《千金》香港脚论,在诸风之前,良有以也。方论虽多,识病者少,或觉之伤晚,或狐
疑不决,枉死者半,信不诬矣。凡有此证,最宜急治,缓则入腹攻五脏,虽神丹亦无如之
何。又久患续生诸病,如大小便不利,肿满,饮食伤等,不妨分别为治,所谓先去新病,病
当在后,若总而治之,则亦庶乎其可也。
治香港脚上攻,喘满;及五脏偏胜,诸气不和,喘咳奔冲,坐卧不安,头晕
脚弱,上实下虚。
乌药(去木) 人参 白术 川芎 当归 茯神(去木) 甘草(炙) 白芷 木瓜干 五味
子紫苏子(各等分)
上为锉散。每服四钱,水一盏半,姜五片,枣两枚,煎七分,去滓温服;或作细末,汤点下。
治脚弱上气,阴阳交错,清浊不分,上重下虚,中满喘急,呕吐自汗,无复
纪律。《千金》云∶宋湘王在南州,患香港脚困笃,服此得效。
紫苏子(略炒) 半夏(汤洗,各五两) 前胡(去苗) 浓朴(去皮制) 甘草(炙) 当归(各二
两) 桂心(不见火) 橘皮(各三两)
上为锉散。每服四钱,水二盏,姜七片,枣两个,煎七分,去滓食后服。人谓俞山人降
气汤是也,好事者复加附子、黄 ,又改其分两,亦班入太医方,用者宜知之。
治寒湿香港脚,冷湿下注,脚弱无力,或肿急疼痛。兼治妇人血风。大固肾
气,活血壮筋络。
木瓜(大者,三四个,切开盖,去瓤,先用糯米浆过,盐焙干,为末,却将盐末入瓜内令
满,仍用盖针定,蒸三次,烂研作膏) 川乌(大者,去皮尖,用无灰酒一升浸薄切,酒煮干
研为膏,三两) 牛膝(酒浸) 萆 茴香(炒) 羌活 青皮 青盐(别研入) 狗脊(燎去毛)
巴戟 海桐皮(九件各一两)
上为末,入青盐和匀,将前二膏搜为丸,如硬,再入酒,杵数千下,丸梧子大。每服五
十丸,食前盐汤、盐酒任下。
《千金方》中将香港脚(足部肿痛、麻木等症,古称“缓风”或“脚气”)的论述放在各种风病之前,是有其道理的。虽然关于此病的方论很多,但能准确识别病症的人很少,有的发现得太晚,有的犹豫不决,导致一半的人白白死去,这确实不是虚言。凡是出现这种证候,最应当紧急治疗,如果拖延,病邪就会进入腹部攻击五脏,即使是神丹妙药也无能为力了。另外,长期患病后衍生出的其他疾病,如大小便不通利、肿胀胀满、饮食积滞等,不妨分别进行治疗,所谓先治新发的急病,旧病自然会在后面解决;如果将所有症状混在一起一起治疗,那也差不多可以了。
治疗香港脚病邪上攻,导致气喘胸闷;以及五脏功能偏盛偏衰,各种气机不和,气喘咳嗽气逆冲胸,坐卧不安,头晕脚弱,上部实下部虚。
乌药(去木质部分)、人参、白术、川芎、当归、茯神(去木质部分)、甘草(炙烤)、白芷、木瓜干、五味子、紫苏子(各等分)
以上药物捣碎成散剂。每次服用四钱,用水一盏半,生姜五片,大枣两枚,煎煮至七分满,滤去药渣温服;或者制成细末,用汤药冲服。
治疗脚弱无力伴气逆上冲,阴阳之气交错混乱,清浊之气不分,头部沉重下部虚弱,胸中胀满气喘急促,呕吐自汗,病情失去常规规律。《千金方》记载:宋湘王在南州时,患严重的香港脚病,服用此方见效。
紫苏子(略炒)、半夏(热水洗,各五两)、前胡(去苗)、浓朴(去皮炮制)、甘草(炙烤)、当归(各二两)、桂心(不经过火烤)、橘皮(各三两)
以上药物捣碎成散剂。每次服用四钱,用水二盏,生姜七片,大枣两个,煎煮至七分满,滤去药渣饭后服用。人们说这就是俞山人的降气汤,好事者又加入了附子、黄芪,并改变了分量,也被列入太医局的标准方剂中,使用者应当知晓。
治疗寒湿型香港脚,冷湿之邪下注,脚部软弱无力,或者肿胀紧迫疼痛。兼治妇女血风病。具有大补肾气,活血强壮筋络的功效。
木瓜(大的三四个,切开盖,去掉瓤,先用糯米浆浸泡过,盐焙干,研成末,再将盐末填入瓜内使其充满,仍用盖子钉好,蒸三次,烂熟后研成膏)、川乌(大的,去皮尖,用无灰酒一升浸泡并薄切,用酒煮干后研成膏,三两)、牛膝(酒浸)、萆薢、茴香(炒)、羌活、青皮、青盐(单独研细加入)、狗脊(燎去毛)、巴戟天、海桐皮(以上九味各一两)
以上药物研成细末,加入青盐混合均匀,用前面两种膏剂调和做成丸药,如果太硬,再加点酒,杵捣几千下,做成梧桐子大小的丸药。每次服用五十丸,饭前用盐汤或盐酒送服均可。
The discussion on Jiaoxie (Foot Qi, a condition characterized by swelling, weakness, and numbness of the legs) in the *Qianjin Fang* is placed before discussions on various wind diseases, which is well-founded. Although there are many treatises and prescriptions for this disease, few can accurately identify it; some detect it too late, while others hesitate without resolution, resulting in half of the patients dying unnecessarily. This is indeed not an exaggeration. For any such syndrome, urgent treatment is most appropriate. If delayed, the pathogen will enter the abdomen and attack the five zang organs, rendering even miraculous elixirs ineffective. Furthermore, other conditions arising from long-term illness, such as difficulty in urination and defecation, distension and fullness, or food stagnation, may be treated separately. The principle is to first treat the new acute condition, after which the chronic condition will likely resolve; treating everything simultaneously is also acceptable.
For Jiaoxie with pathogenic qi attacking upward, causing asthma and chest fullness; as well as excessive or deficient functions of the five zang organs, disharmony of various qi mechanisms, asthma, cough, and rebellious qi rushing upward, restlessness in sitting or lying down, dizziness, weak legs, excess in the upper body and deficiency in the lower body:
Wuyao (Linderae Radix, woody part removed), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Fushen (Poria with Hostwood, woody part removed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Baizhi (Angelicae Dahuricae Radix), Mugua (Chaenomelis Fructus, dried), Wuweizi (Schisandrae Chinensis Fructus), Zisuzi (Perillae Fructus) (equal parts).
Crush the above herbs into a coarse powder. Take 4 qian per dose, decoct with 1.5 liang of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 Dazao (Jujubae Fructus) until reduced to 0.7 volume. Strain and take warm. Alternatively, prepare as a fine powder and take with decoction.
For weak legs with rebellious qi, intermingling of yin and yang, failure to distinguish clear and turbid qi, heaviness in the head and deficiency in the lower body, abdominal fullness with rapid breathing, vomiting, spontaneous sweating, and irregular symptoms. The *Qianjin Fang* records: When Prince Xiang of Song was in the southern regions, he suffered from severe Jiaoxie and recovered after taking this prescription.
Zisuzi (Perillae Fructus, lightly stir-fried), Banxia (Pinelliae Rhizoma, washed with hot water, each 5 liang), Qianhu (Peucedani Radix, apical part removed), Houpo (Magnoliae Officinalis Cortex, bark removed and processed), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Danggui (Angelicae Sinensis Radix, each 2 liang), Guixin (Cinnamomi Ramulus inner bark, not exposed to direct fire), Juapi (Citri Reticulatae Pericarpium, each 3 liang).
Crush the above herbs into a coarse powder. Take 4 qian per dose, decoct with 2 liang of water, 7 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 Dazao (Jujubae Fructus) until reduced to 0.7 volume. Strain and take after meals. This is known as the Jiangqi Tang (Descending Qi Decoction) by Scholar Yu. Enthusiasts later added Fuzi (Aconiti Lateralis Radix Praeparata) and Huangqi (Astragali Membranacei Radix), altered the dosages, and it was also included in the Imperial Medical Bureau formularies. Users should be aware of this.
For cold-dampness type Jiaoxie, where cold-damp pathogens descend downward, causing weak and powerless legs, or swollen, tight, and painful legs. Also treats Blood Wind syndrome in women. It strongly tonifies Kidney Qi, invigorates blood, and strengthens sinews and collaterals.
Mugua (Chaenomelis Fructus, select large ones, cut off the lid, remove seeds, soak in rice paste, dry with salt roast, grind into powder, fill the cavity with salt powder, replace lid, secure, steam three times, then mash into paste); Chuanwu (Aconiti Radix, large ones, remove skin and tips, slice thinly, soak in 1 sheng of unadulterated wine, boil until wine is absorbed, grind into paste, 3 liang); Niuxi (Achyranthis Bidentatae Radix, soaked in wine); Bibo (Dioscoreae Hypoglaucae Rhizoma); Huixiang (Foeniculi Fructus, stir-fried); Qianghuo (Notopterygii Rhizoma et Radix); Qingpi (Citri Reticulatae Pericarpium Viride); Qingyan (Halitum); Gouji (Cibotii Rhizoma, scalded to remove hairs); Bajitian (Morindae Officinalis Radix); Haitongpi (Spatholobi Caulis) (nine ingredients, each 1 liang).
Grind all into a fine powder, mix evenly with Qingyan (Halitum). Use the two pastes prepared earlier to knead into pills. If too hard, add more wine and pound for thousands of strokes. Shape into pills the size of wutong seeds. Take 50 pills per dose before meals, with saline water or saline wine as desired.