论曰∶若始觉肌肉不仁，久而变生他证，病名曰痹。此由风寒湿三气客于经络，舍于血
脉，搏于荣卫，故令皮肤痹而不仁。有热则肌肉骨节烦疼，有寒则冷。以春得之在筋，夏得
之在脉，秋得之在皮，冬得之在骨，四季得之在肌肉。又久而不去，各传其脏，筋痹不已，
舍之于肝，夜卧则惊，饮食多，小便数，上为引如怀妊。脉痹不已，舍之于心，其脉不通，
烦满，心下鼓，暴上气。肌痹不已，舍之于脾，其状四肢懈惰，发咳，呕汁，上为大塞。皮
痹不已，舍之于肺，其状烦满而喘呕。骨痹不已，舍之于肾，其状善胀，尻以代踵，脊以代
头。上证虽多，必先肌肉不仁。其始，治当以增损小续命汤，证状小不同者，当根据本法。病
久入深，鲁公酒主之。
增损小续命汤（方缺。）
鲁公酒
茵芋 川乌头（炮，去皮脐） 踯躅花 天雄（炮，去皮脐） 防己 石斛（去根，各
一两）
细辛
艽（去苗
土）
风
生干地黄（各半
右 咀，酒四斗，渍十日。每服一合，常令酒气相续。
若胃干而渴，肌肉不仁，由居处卑湿，以水为事，肌肉濡渍，痹而不仁，是谓肉痿，罂
粟汤主之。
罂粟汤
罂粟（不计多少）
上研细末，煮稀粥，入蜜饮之，大解金石毒。
若一边足膝无力，渐渐瘦细，肌肉不泽，上牵胁肋，下连筋急，不能行步，此由大病之
后，数亡津液，血少不荣，气弱不运，肝气亏损，无血以养筋，筋不荣则干急而痛，亦不能
举，活血丹主之。
活血丹
干地黄（二两） 当归（洗） 芍药 续断 白术（各一两）
上为细末，酒糊为丸，如梧桐子大。温酒下三十丸，食前服，加至五十丸。如痛甚，足
痿不能行，去术，加杜仲一两，乳香、葳灵仙、木鳖子仁、草乌头、白芥子各半两。
鹿茸丸
鹿茸（去毛，切作片子，酥炙，五两） 干地黄（二两） 菟丝子（拣净，酒浸透，乘
润捣
烂，焙，二两）
杜仲（去粗皮，捣烂，酒拌，炒干，二两） 牛膝（二两） 萆 （二两） 附子（炮，
去皮
脐，半两） 干漆（半两，炒烟尽为度）
上为细末，酒糊为丸，如梧桐子大。饮下三十丸，食前服。
若时觉脚弱，速灸风市、三里二穴各一二百壮。若觉热闷，慎不可灸，大忌酒面房劳。
风市穴，使病患平立垂两手，合手着腿，中指尖头即是穴。三里穴在足膝盖下三寸外廉，按
之陷中是。又法以指深按之，则足趺阳脉不见为准。
论述说：如果起初感觉肌肉麻木不仁，时间久了变生其他病证，病名叫做痹。这是由于风、寒、湿三种邪气侵入经络，停留于血脉，与营卫之气搏结，从而导致皮肤痹阻而麻木不仁。如果有热邪，则肌肉骨节烦扰疼痛；如果有寒邪，则感到寒冷。在春季得的，病位在筋；夏季得的，病位在脉；秋季得的，病位在皮；冬季得的，病位在骨；四季皆有的，病位在肌肉。又因日久不愈，各传变至相应的脏腑：筋痹不愈，传入肝脏，夜间睡眠时易惊，食欲增多，小便频数，腹部胀大如同怀孕一般。脉痹不愈，传入心脏，其血脉不通畅，心中烦闷胀满，心下悸动如鼓，突然气逆上冲。肌痹不愈，传入脾脏，症状表现为四肢懈怠懒惰，发作咳嗽，呕吐涎汁，上部出现严重的痞塞感。皮痹不愈，传入肺脏，症状表现为烦闷且喘息呕吐。骨痹不愈，传入肾脏，症状表现为容易腹胀，臀部代替脚跟站立（形容足部萎缩无法行走），脊柱弯曲代替头部直立（形容脊背佝偻）。上述症状虽然繁多，但必定先有肌肉麻木不仁这一表现。初期治疗应当使用增损小续命汤，若症状略有不同，应当依据本法加减。病程长久深入者，用鲁公酒主治。
增损小续命汤（方剂缺失。）
鲁公酒
茵芋 川乌头（炮制，去皮和脐） 踯躅花 天雄（炮制，去皮和脐） 防己 石斛（去根，以上各一两）
细辛
秦艽（去苗土）
生干地黄（以上各半两）
将上述药材切碎，用酒四斗浸泡十天。每次服用一合，常使酒气在体内延续不断。
如果胃中干燥而口渴，肌肉麻木不仁，这是由于居住低洼潮湿之地，以水为业，肌肉长期受湿气浸渍，导致痹阻而麻木不仁，这叫做肉痿，用罂粟汤主治。
罂粟汤
罂粟（数量不限）
将上述药材研成细末，煮稀粥，加入蜂蜜饮用，可以大大缓解金石药物的毒性。
如果一侧足膝无力，逐渐消瘦细小，肌肉没有光泽，向上牵引胁肋，向下连接筋脉拘急，不能行走，这是由大病之后，多次流失津液，血液亏少不能濡养，气弱不能运化，肝气亏损，无血以滋养筋脉，筋脉失养则干枯拘急而疼痛，也不能抬举，用活血丹主治。
活血丹
干地黄（二两） 当归（洗净） 芍药 续断 白术（以上各一两）
将上述药材研成细末，用酒糊制作成丸药，大小如梧桐子。温酒送服三十丸，饭前服用，可加至五十丸。如果疼痛严重，足部痿软不能行走，去掉白术，加入杜仲一两，乳香、威灵仙、木鳖子仁、草乌头、白芥子各半两。
鹿茸丸
鹿茸（去毛，切成片，用酥炙，五两） 干地黄（二两） 菟丝子（拣选干净，酒浸透，趁湿润捣烂，焙干，二两）
杜仲（去粗皮，捣烂，酒拌，炒干，二两） 牛膝（二两） 萆薢（二两） 附子（炮制，去皮和脐，半两） 干漆（半两，炒至烟尽为止）
将上述药材研成细末，用酒糊制作成丸药，大小如梧桐子。饮服三十丸，饭前服用。
如果时常觉得脚弱，迅速艾灸风市穴、足三里穴各一二百壮。如果感觉发热胸闷，千万不要艾灸，严禁饮酒、面食及房事。
风市穴的定位方法：让患者平立垂下双手，手掌贴靠大腿，中指指尖处即是穴位。足三里穴位于膝盖下方三寸外侧，按压时中间凹陷处即是。另一种方法是用手指深按，以足背动脉（趺阳脉）摸不到为准。
Commentary states: If one initially feels numbness and insensitivity in the muscles, which over time develops into other syndromes, the disease is named Bi Syndrome (Obstruction Syndrome). This arises from the invasion of Wind, Cold, and Dampness pathogens into the meridians, lodging in the blood vessels, and struggling with Ying (Nutritive) and Wei (Defensive) Qi, thereby causing skin Bi Syndrome characterized by numbness and insensitivity. If Heat is present, there is vexing pain in the muscles and bone joints; if Cold is present, there is a sensation of coldness. Acquired in Spring, the pathology resides in the Tendons (Jin); acquired in Summer, in the Vessels (Mai); acquired in Autumn, in the Skin (Pi); acquired in Winter, in the Bones (Gu); and present throughout the four seasons, it resides in the Muscles (Rou). Furthermore, if prolonged without resolution, each transmits to its corresponding Zang organ: Untreated Tendon Bi enters the Liver, causing fright during sleep, increased appetite, frequent urination, and abdominal distension resembling pregnancy. Untreated Vessel Bi enters the Heart, causing obstruction of the vessels, vexation and fullness, palpitations in the epigastrium like drumbeats, and sudden upward rushing of Qi. Untreated Muscle Bi enters the Spleen, manifesting as flaccidity and lethargy of the four limbs, coughing, vomiting of saliva, and severe upper jiao obstruction. Untreated Skin Bi enters the Lung, manifesting as vexation, fullness, wheezing, and vomiting. Untreated Bone Bi enters the Kidney, manifesting as propensity for abdominal distension, inability to stand on heels (sitting on buttocks), and spinal curvature replacing the head (hunchback). Although these symptoms are numerous, they must all begin with muscle numbness and insensitivity. In the initial stage, treatment should employ Zengsun Xiao Xuming Tang (Modified Minor Continuation Life Decoction); if symptoms vary slightly, adjustments should be made according to this method. For chronic diseases penetrating deeply, Lu Gong Jiu (Lord Lu's Wine) is used.
Zengsun Xiao Xuming Tang (Formula missing.)
Lu Gong Jiu
Inyu (Corydalis Amurensis Rhizome) Chuan Wutou (Aconiti Radix Lateralis Preparata, processed, peel removed) Zhizhu Hua (Rhododendri Mollis Flos) Tianxiong (Aconiti Radix Preparata, processed, peel removed) Fangji (Stephaniae Tetrandrae Rhizoma) Shihu (Dendrobii Caulis, root removed, each 1 liang)
Xixin (Asari Radix et Rhizoma)
Qiong (Angelicae Dahuricae Radix, remove seedlings and soil)
Sheng Gan Dihuang (Rehmanniae Radix Recens, each half liang)
Chop the above herbs finely, soak in 4 dou of wine for ten days. Take 1 ge per dose, ensuring the warming effect of the wine persists continuously.
If the stomach is dry with thirst, accompanied by muscle numbness and insensitivity, this is due to residing in low-lying damp places or working with water, causing muscles to be soaked by dampness, leading to Bi Syndrome known as Rou Wei (Flesh Flaccidity). It is treated with Yingsu Tang (Poppy Decoction).
Yingsu Tang
Yingsu (Papaveris Somniferi Fructus, quantity unspecified)
Grind the above herb into fine powder, boil thin porridge, mix with honey, and drink. It greatly resolves toxicity from mineral and metallic drugs.
If one side of the foot and knee is weak, gradually becoming emaciated, with lusterless muscles, pulling upwards to the hypochondrium and downwards connecting to tight tendons, unable to walk, this is caused by excessive loss of body fluids after a major illness, resulting in blood deficiency failing to nourish, and Qi weakness failing to transport. With Liver Qi deficiency and lack of blood to nourish the tendons, the tendons become dry, tight, painful, and unable to lift. It is treated with Huoxue Dan (Blood Activating Pill).
Huoxue Dan
Gan Dihuang (Rehmanniae Radix Preparata, 2 liang) Danggui (Angelicae Sinensis Radix, washed) Shaoyao (Paeoniae Radix) Xuduan (Dianthi Herba) Baizhu (Atractylodis Macrocephalae Rhizoma, each 1 liang)
Grind the above herbs into fine powder, make pills using wine paste, sized like wutong seeds. Take 30 pills with warm wine before meals, increasing up to 50 pills. If pain is severe, with foot flaccidity preventing walking, remove Baizhu, add Duzhong 1 liang, Ruxiang (Olibanum), Weilingxian (Smilacis Glabrae Rhizoma), Muguezi Ren (Mucias Semen), Caowutou (Aconiti Kusnezoffii Radix), Baijiezi (Sinapis Semen) each half liang.
Lurong Wan
Lurong (Cervi Cornu Pantotrichum, remove hair, slice, roast with butter, 5 liang) Gan Dihuang (Rehmanniae Radix Preparata, 2 liang) Tusizi (Cuscutae Semen, selected clean, soaked in wine until permeated, pounded while moist, dried, 2 liang)
Duzhong (Eucommiae Cortex, remove coarse bark, pound, mix with wine, stir-fry dry, 2 liang) Niuxi (Achyranthis Bidentatae Radix, 2 liang) Bixie (Dioscoreae Hypoglaucae Rhizoma, 2 liang) Fuzi (Aconiti Lateralis Radix Preparata, processed, peel removed, half liang) Ganqi (Resina Taxodi, half liang, stir-fry until smoke ceases)
Grind the above herbs into fine powder, make pills using wine paste, sized like wutong seeds. Take 30 pills with water before meals.
If one frequently feels leg weakness, quickly moxa the Fengshi (GB31) and Zusanli (ST36) acupoints, 100-200 moxa cones each. If feeling heat and stifling, do not moxa; strictly avoid alcohol, wheat products, and sexual activity.
Location of Fengshi (GB31): Have the patient stand upright with arms hanging down, palms touching the thighs; the tip of the middle finger marks the point. Location of Zusanli (ST36): Three cun below the knee cap on the lateral aspect, where pressing creates a depression. Another method: press deeply with the finger until the foot Yangming pulse (Duyang pulse) is no longer palpable.