治蛔厥胃寒所生。
即理中汤加炒川椒(五粒) 槟榔(五分) 乌梅丸亦治蛔厥,见心脾痛门。
治尸厥,此中恶之候,因冒犯不正之气,忽然手足厥冷,头面青黑,不省人事,妄语口
噤。宜苏合香丸灌之,候稍醒用调气平胃散。紫金锭效。
白豆蔻 丁香 檀香 木香(各二钱) 藿香 甘草(各八分) 砂仁(四钱) 苍术
(八钱) 浓
上为末,每服二钱,姜枣煎汤,入盐少许,调服。
治皮肤麻痒。
黄 白芍 甘草 泽泻 陈皮 人参
上水一盏半煎服。有痰加半夏、生姜。
治两手麻木,四肢困倦,怠惰嗜卧,乃热伤元气也。
黄 (八钱) 生甘草 人参(各五钱) 白芍(二钱) 柴胡(二钱半) 炙甘草 升
麻(各二钱)
上分作四服,水一盏半煎。
治两腿麻木沉重。
黄 (八钱) 甘草(六钱) 青皮(四钱) 升麻 柴胡 归梢 泽泻(各二钱) 陈
皮(一钱)
一方 治麻是气虚,胃中有湿痰,木者即不仁,胃中有湿痰,经络中有死血瘀血,随左
右患
一方 治风湿,遍身疼痛,或麻木不仁。先饮胡椒、姜汁热酒数杯,后将生姜半斤或四
五两捣烂,和荞面成饼掩脐上,一炷香觉热气入腹,二三炷香时通身汗出,自愈。
(附湿痹 鹤膝风)
四肢百节走痛是也。他方谓之白虎历节风。有痰,有风热,有风湿,有血虚。又有痹病
相类,行痹即走注疼痛,痛痹则痛风,着痹即麻木不仁。痹类痿,痛为痹,不痛者痿。
治方
陈皮 半夏 茯苓 甘草 黄芩(酒炒) 羌活 苍术 白芷 川芎 当归 香附
上水二盏,姜三片,煎服。在臂痛加薄桂、威灵仙。在腿加牛膝、防己。肥人因痰者加
南星,瘦人血虚者加黄柏、生地、芍药,湿者加白术。肢节痛脉涩数者,是瘀血,加桃仁、
红花、当归、川芎、大黄,微利之。因于风者,用续命汤。
一方 鸡爪风,手足摇动,不能举物。
五加皮 海桐皮 川乌(炮) 牡丹皮 川芎 赤芍(各五钱) 干姜 肉桂(各一钱)
上为末,每服三钱,用古铜钱一文,香油浸入药,同煎服。
一方 十指痛,或麻木。
大附子 广木香(各等分) 足弱去附子加川乌(炮)。
上水煎服。
治疗因胃寒引起的蛔厥。
即理中汤加入炒川椒(五粒)、槟榔(五分)。乌梅丸也能治疗蛔厥,详见心脾痛门。
治疗尸厥,这是中恶的证候,因为冒犯不正之气,突然手足冰冷,头面青黑,不省人事,胡言乱语,牙关紧闭。适宜用苏合香丸灌服,待患者稍醒后使用调气平胃散。紫金锭也有效。
白豆蔻、丁香、檀香、木香(各二钱)、藿香、甘草(各八分)、砂仁(四钱)、苍术(八钱),浓煎。
以上药物研为细末,每次服用二钱,用姜枣煎汤,加入少许盐,调匀服用。
治疗皮肤麻木瘙痒。
黄芪、白芍、甘草、泽泻、陈皮、人参。
以上用水一盏半煎服。有痰者加半夏、生姜。
治疗两手麻木,四肢困倦,怠惰嗜卧,这是热邪损伤元气所致。
黄芪(八钱)、生甘草、人参(各五钱)、白芍(二钱)、柴胡(二钱半)、炙甘草、升麻(各二钱)。
以上分为四次服用,用水一盏半煎煮。
治疗两腿麻木沉重。
黄芪(八钱)、甘草(六钱)、青皮(四钱)、升麻、柴胡、归梢、泽泻(各二钱)、陈皮(一钱)。
另一方:治疗麻木是因为气虚,胃中有湿痰,木即不仁,胃中有湿痰,经络中有死血瘀血,随左右患病。
另一方:治疗风湿,遍身疼痛,或麻木不仁。先饮用胡椒、姜汁热酒数杯,然后将生姜半斤或四五两捣烂,和荞麦面做成饼敷在脐上,燃一支香时感觉热气入腹,两三炷香时间全身出汗,自然痊愈。
(附湿痹 鹤膝风)
就是四肢百节游走性疼痛。其他方书称为白虎历节风。有痰,有风热,有风湿,有血虚。又有与痹病相似的病症,行痹即走注疼痛,痛痹即痛风,着痹即麻木不仁。痹类同痿证,痛者为痹,不痛的为痿。
治疗方剂
陈皮、半夏、茯苓、甘草、黄芩(酒炒)、羌活、苍术、白芷、川芎、当归、香附。
以上用水二盏,生姜三片,煎服。手臂痛加薄桂、威灵仙。腿部痛加牛膝、防己。肥胖人因痰者加南星,瘦人血虚者加黄柏、生地、芍药,湿重者加白术。肢节痛脉涩数者,是瘀血,加桃仁、红花、当归、川芎、大黄,轻微通下。因风邪所致者,用续命汤。
另一方:鸡爪风,手足摇动,不能拿取物品。
五加皮、海桐皮、川乌(炮制)、牡丹皮、川芎、赤芍(各五钱)、干姜、肉桂(各一钱)。
以上研为细末,每次服用三钱,用古铜钱一枚,香油浸泡药物,一同煎服。
另一方:十指疼痛,或麻木。
大附子、广木香(各等分)。足弱去附子加川乌(炮制)。
以上水煎服。
Treats Hui Jue (Roundworm Convulsion) caused by Stomach Cold.
This is Lizhong Tang (Regulate the Middle Decoction) added with fried Chuanjiao (Sichuan Pepper, *Zanthoxyli Pericarpium*) (5 grains) and Binglang (Areca Seed, *Arecae Semen*) (0.5 fen). Wumei Wan (Mume Pill) also treats Hui Jue; see the section on Heart-Spleen Pain.
Treats Shi Jue (Corpse-like Fainting), which is a manifestation of Zhong E (Sudden Evil Invasion). It occurs due to exposure to evil qi, resulting in sudden coldness of the hands and feet, cyanosis and blackening of the head and face, loss of consciousness, delirious speech, and lockjaw. It is appropriate to administer Suhexiang Wan (Styrax Pill) via gavage. After the patient regains slight consciousness, use Tiaoqi Pingwei San (Regulate Qi and Harmonize the Stomach Powder). Zijin Ding (Purple Gold Pellet) is also effective.
Baiddoukou (White Cardamom, *Amomi Fructus Rotundus*), Dingxiang (Clove, *Caryophylli Flos*), Tanxiang (Sandalwood, *Santalum Album Lignum*), Muxiang (Aucklandia Root, *Aucklandiae Radix*) (each 2 qian), Huoxiang (Patchouli, *Pogostemonis Herba*), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (each 8 fen), Sharen (Amomum Fruit, *Amomi Fructus*) (4 qian), Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*) (8 qian), decocted strongly.
Grind the above herbs into powder. Take 2 qian per dose, decoct with ginger and jujube in water, add a little salt, mix well, and take orally.
Treats skin numbness and itching.
Huangqi (Astragalus Root, *Astragali Radix*), Baishao (White Peony Root, *Paeoniae Radix Alba*), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Zexie (Alisma Rhizome, *Alismatis Rhizoma*), Chenpi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*), Renshen (Ginseng Root, *Panacis Ginseng Radix*).
Decoct with 1.5 zhan of water and take orally. Add Banxia (Pinellia Tuber, *Pinelliae Rhizoma*) and Shengjiang (Fresh Ginger, *Zingiberis Recens Rhizoma*) if there is phlegm.
Treats numbness of both hands, fatigue of the four limbs, lethargy, and desire to lie down. This is due to heat damaging the Yuan Qi (Original Qi).
Huangqi (Astragalus Root, *Astragali Radix*) (8 qian), Sheng Gancao (Raw Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Renshen (Ginseng Root, *Panacis Ginseng Radix*) (each 5 qian), Baishao (White Peony Root, *Paeoniae Radix Alba*) (2 qian), Chaihu (Bupleurum Root, *Bupleuri Radix*) (2.5 qian), Zhi Gancao (Honey-fried Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Shengma (Cimicifuga Rhizome, *Cimicifugae Rhizoma*) (each 2 qian).
Divide into four doses. Decoct with 1.5 zhan of water.
Treats numbness and heaviness of both legs.
Huangqi (Astragalus Root, *Astragali Radix*) (8 qian), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*) (6 qian), Qingpi (Green Tangerine Peel, *Citri Reticulatae Pericarpium Viride*) (4 qian), Shengma (Cimicifuga Rhizome, *Cimicifugae Rhizoma*), Chaihu (Bupleurum Root, *Bupleuri Radix*), Guishao (Angelica Sinensis Tip, *Angelicae Sinensis Radix*), Zexie (Alisma Rhizome, *Alismatis Rhizoma*) (each 2 qian), Chenpi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*) (1 qian).
Another prescription: Treats numbness due to Qi deficiency, with damp-phlegm in the Stomach. "Mu" (wood-like stiffness) implies Ren (insensitivity); damp-phlegm in the Stomach and dead blood/stasis in the meridians cause symptoms on either side.
Another prescription: Treats Wind-Dampness, causing pain throughout the body or numbness and insensitivity. First, drink several cups of hot wine infused with HuJiao (Pepper, *Piperis Longi Fructus*) and Jiangzhi (Ginger Juice, *Zingiberis Succus*). Then, mash half jin (or 4-5 liang) of Shengjiang (Fresh Ginger, *Zingiberis Recens Rhizoma*), mix it with Qiaomian (Buckwheat Flour, *Fagopyri Esculenti Semen*), form a cake, and apply it to the navel. When heat is felt entering the abdomen after burning one incense stick, and after two to three incense sticks when sweating pervades the whole body, the condition will heal spontaneously.
See the Spleen-Stomach section.
(Attached: Shi Bi [Damp Bi] and Hexi Feng [Crane Knee Wind])
This refers to wandering pain in the four limbs and joints. Other texts call it Baihu Lijie Feng (White Tiger Joint-Wandering Wind). Causes include phlegm, Wind-Heat, Wind-Dampness, and Blood deficiency. There are also conditions similar to Bi syndrome: Xing Bi (Wandering Bi) involves migrating pain; Tong Bi (Painful Bi) is Tongfeng (Gout); Zhuo Bi (Fixed Bi) involves numbness and insensitivity. Bi resembles Wei syndrome; painful conditions are Bi, while non-painful conditions are Wei.
Treatment Formula
Chenpi (Aged Tangerine Peel, *Citri Reticulatae Pericarpium*), Banxia (Pinellia Tuber, *Pinelliae Rhizoma*), Fuling (Poria, *Polyporus Umbellatus*), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Huangqin (Scutellaria Root, *Scutellariae Radix*) (stir-fried with wine), Qianghuo (Notopterygium Rhizome, *Notopterygii Rhizoma et Radix*), Cangzhu (Atractylodes Rhizome, *Atractylodis Rhizoma*), Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Xiangfu (Cyperus Rhizome, *Cyperi Rhizoma*).
Decoct with 2 zhan of water and 3 slices of ginger. Take orally. For arm pain, add Bo Gui (Thin Cinnamon Twig, *Cinnamomi Ramulus*) and Weilingxian (Spirit Vine, *Saposhnikoviae Radix*). For leg pain, add Niuxi (Achyranthes Root, *Achyranthis Bidentatae Radix*) and Fangji (Stephania Root, *Stephaniae Tetrandrae Radix*). For obese patients due to phlegm, add Nanting (Arisaema Tuber, *Arisaematis Rhizoma*). For thin patients with Blood deficiency, add Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*), Shengdi (Rehmannia Root, *Rehmanniae Radix*), and Shaoyao (Peony Root, *Paeoniae Radix*). For heavy dampness, add Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*). For joint pain with a choppy and rapid pulse, indicating blood stasis, add Taoren (Peach Kernel, *Persicae Semen*), Honghua (Safflower, *Carthami Flos*), Danggui (Angelica Sinensis Root, *Angelicae Sinensis Radix*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), and Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) to mildly promote bowel movement. For cases caused by Wind, use Xuming Tang (Restore Life Decoction).
Another prescription: Jizhao Feng (Chicken Claw Wind), characterized by shaking of hands and feet and inability to grasp objects.
Wujiapi (Eleutherococcus Stem, *Acanthopanacis Cortex*), Haitongpi (Erythrina Bark, *Erythrinae Cortex*), Chuanwu (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (processed), Mudanpi (Tree Peony Bark, *Moutan Cortex*), Chuanxiong (Ligusticum Rhizome, *Ligustici Chuanxiong Rhizoma*), Chishao (Red Peony Root, *Paeoniae Radix Rubra*) (each 5 qian), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*), Rougui (Cinnamon Bark, *Cinnamomi Cortex*) (each 1 qian).
Grind into powder. Take 3 qian per dose. Soak one ancient copper coin in sesame oil, add the medicine, decoct together, and take orally.
Another prescription: Pain or numbness in the ten fingers.
Da Fuzi (Prepared Aconite Main Root, *Aconiti Lateralis Radix Praeparata*), Guangmuxiang (Aucklandia Root, *Aucklandiae Radix*) (equal parts). If legs are weak, remove Fuzi and add Chuanwu (Aconite Lateral Root, *Aconiti Lateralis Radix Praeparata*) (processed).
Decoct with water and take orally.