见痛风门。
治寒湿相合,脑痛,恶寒,烦闷,脊骨胛眼痛,膝膑痛,脉沉洪。
苍术(四两,水三大碗煎至碗半,去渣,再同煎下药一钟温服) 羌活 升麻 泽泻 柴
胡 本 白术(各五分) 黄柏(三钱) 红花(少许)
上为粗末,如上法煎服。忌酒面腥冷。
一名通气饮子。治臂痛不能举,有人常苦左臂痛,或以为饮,或以为风为湿,诸药不效,
继以针灸俱不愈,得此方而愈。盖是气血凝滞,经络不行所致,非风、非饮、非湿。腰以下
食前服,腰以上食后服。
片子姜黄(四两) 甘草(炙) 羌活(各一两) 海桐皮 赤芍药 白术(各二两)
上每服三钱,水钟半,生姜三片,磨沉香水少许,温服。
治两膊痛,并胳膊肩痛,皆痰之所为也。
陈皮(八分) 甘草(生用) 当归(五分) 桔梗(米泔浸切) 茯苓(各六分) 羌
活(五分) 薄桂(二分)
前胡(七分) 防风(二分) 贝母(七分,用柳条烧灰水浸透,糯米炒) 苍术(五分,
泔浸)
上水一钟半,生姜三片,枣二枚煎,临服再入姜汁、竹沥各三茶匙。
《脉诀》∶沉、弦、细、动,皆是痛证。心痛在寸,腹痛在关,下部在尺,脉象显然。
即胃脘痛,虽不食不妨,治而痛止,不宜即食,得食还痛,必须三二服药。真心痛,朝发暮
死,不治。痛甚至唇口青黑,脉必伏,用温药,不可用参术。又心腹之痛,脉必沉、细、浮、
大
在“痛风”章节中可见。
治疗寒湿邪气相合,导致头痛、恶寒、烦闷、脊柱及肩胛骨疼痛、膝盖髌骨疼痛,脉象沉而洪大。
苍术(四两,用三碗水煎至一碗半,去药渣,再以此药液同煎其他药物一钟,温服)羌活 升麻 泽泻 柴胡 藁本 白术(各五分)黄柏(三钱)红花(少许)
以上药物研为粗末,按照上述方法煎煮服用。忌食酒、面食、腥膻及生冷食物。
此方又名通气饮子。治疗手臂疼痛不能抬起。有人长期苦于左臂疼痛,有人以为是痰饮,有人以为是风或湿邪,各种药物治疗均无效,随后使用针灸也未能痊愈,得到此方后治愈。这大概是气血凝滞,经络运行不畅所致,并非风邪、并非痰饮、并非湿邪。腰部以下的病症在饭前服用,腰部以上的病症在饭后服用。
片子姜黄(四两)甘草(炙)羌活(各一两)海桐皮 赤芍药 白术(各二两)
每次服用三钱,用水一钟半,生姜三片,磨入少量沉香香水,温服。
治疗两侧胳膊疼痛,以及胳膊和肩膀疼痛,这些都是由痰邪引起的。
陈皮(八分)甘草(生用)当归(五分)桔梗(用米泔水浸泡后切片)茯苓(各六分)羌活(五分)薄桂(二分)
前胡(七分)防风(二分)贝母(七分,用柳条烧成灰后用冷水浸透,再用糯米炒制)苍术(五分,用米泔水浸泡)
以上药物用水一钟半,生姜三片,大枣二枚煎煮,临服用时再加入姜汁、竹沥各三茶匙。
《脉诀》中说:沉脉、弦脉、细脉、动脉,都是痛证的脉象。心痛表现在寸口脉,腹痛表现在关部脉,下部疼痛表现在尺部脉,脉象表现非常明显。即使是胃脘痛,虽然不影响进食,但治疗后疼痛停止,也不宜立即进食,如果进食后疼痛复发,必须连续服用二三剂药物。真心痛,早晨发病晚上死亡,属于不治之症。疼痛剧烈到嘴唇和口角发青发黑,脉象必然伏匿,应用温热药物,不可用人参、白术。另外心腹部的疼痛,脉象必然表现为沉、细、浮、大
See the section on "Gout" (Tongfeng).
Treats headache, aversion to cold, restlessness, pain in the spine and scapulae, pain in the knee patella, with a deep and full pulse, caused by the combination of Cold-Dampness.
Cangzhu (Atractylodis Rhizoma) (4 liang, decocted in 3 bowls of water until reduced to 1.5 bowls, strain the dregs, then decoct the remaining herbs together in this liquid for one zhong, take warm) Qianghuo (Notopterygii Rhizoma et Radix), Shengma (Cimicifugae Rhizoma), Zexie (Alismatis Rhizoma), Chaihu (Bupleuri Radix), Bencao (Ligustici Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 5 fen), Huangbai (Phellodendri Cortex) (3 qian), Honghua (Carthami Flos) (a small amount).
Grind the above into coarse powder, decoct and take as described above. Avoid alcohol, wheat products, fish/meat, and cold/raw foods.
Also known as Tongqi Yinzi (Ventilation Decoction). Treats arm pain preventing elevation. A person suffered from chronic left arm pain; some attributed it to Phlegm-Fluid, others to Wind or Dampness, but various medications were ineffective. Acupuncture and moxibustion also failed to cure it. This formula cured him. This condition is due to Qi and Blood stagnation and obstruction of the meridians, not Wind, not Phlegm-Fluid, not Dampness. For ailments below the waist, take before meals; for ailments above the waist, take after meals.
Pianzi Jianghuang (Curcumae Longae Rhizoma) (4 liang), Gancao (Licorice Root) (roasted), Qianghuo (Notopterygii Rhizoma et Radix) (each 1 liang), Haitongpi (Spatholobi Caulis), ChiShaoyao (Paeoniae Radix Rubra), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 liang).
Take 3 qian per dose, with 1.5 zhong of water, 3 slices of fresh ginger, and a small amount of ground Chenxiang (Aquilariae Lignum Resinatum) infused in water, take warm.
Treats pain in both arms, as well as arm and shoulder pain, all caused by Phlegm.
Chenpi (Citri Reticulatae Pericarpium) (8 fen), Gancao (Licorice Root) (raw), Danggui (Angelicae Sinensis Radix) (5 fen), Jiegeng (Platycodonis Radix) (soaked in rice wash water and sliced), Fuling (Poria) (each 6 fen), Qianghuo (Notopterygii Rhizoma et Radix) (5 fen), Bo Gui (Cinnamomi Cortex) (2 fen).
Qianhu (Peucedani Radix) (7 fen), Fangfeng (Saposhnikoviae Radix) (2 fen), Beimu (Fritillariae Thunbergii Bulbus) (7 fen, burnt willow branches to ash, soaked in water, stir-fried with glutinous rice), Cangzhu (Atractylodis Rhizoma) (5 fen, soaked in rice wash water).
Decoct the above with 1.5 zhong of water, 3 slices of fresh ginger, and 2 jujubes. Before taking, add 3 tea spoons of Ginger Juice (Shengjiang Zhi) and Bamboo Sap (Zhuli).
The Maijue (Pulse Classic) states: Deep (Chen), Wiry (Xian), Fine (Xi), and Agitated (Dong) pulses are all indicative of Pain syndromes. Heart pain manifests at the Cun position, abdominal pain at the Guan position, lower body pain at the Chi position; the pulse signs are clear. Even for Wei-wan pain (epigastric pain), although eating may not be hindered, after treatment stops the pain, one should not eat immediately; if pain recurs upon eating, two or three doses must be taken. Zhenxin tong (True Heart Pain) leads to death from morning to evening and is untreatable. When pain is severe enough that lips and mouth turn cyanotic/black, the pulse will likely be hidden (Fu); use warming medicines, do not use Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma). Furthermore, for heart and abdominal pain, the pulse will necessarily present as Deep, Fine, Floating, or Large.