专能顺气化痰，并治传尸骨蒸劳瘵，卒暴心痛，中恶，诸厥鬼魅瘴疟。
沉香 麝香（研） 诃子（煨、去核） 丁香 青木香 香附（炒，去毛）
荜茇 白术 白檀香 薰陆香（另研） 乌犀角 朱砂（研飞，各二钱） 安息香（另为末，
用无灰酒一升，熬膏），龙脑研末，苏合香油入安息香膏内各一钱，为末，研匀，用安
息膏，并炼蜜和丸，如樱桃大，空心温水或酒化下。
治皮肤间有麻木。
黄 橘皮 甘草(各一两） 白芍(一两五钱） 泽泻(三钱） 每服一两，水煎服，加肉桂更效。
姜附汤
方见中寒门。
理中汤
方见中寒门。
四逆汤
方见中寒门。
有于睡中，或于伸欠而筋转，于足大指，上至腰腿结痛者，此多属血热血燥，不
能荣筋，宜四物加红花、酒芩、南星之类。又有因奉养过浓，酿成湿热，而饮冷感寒，
或睡中受寒，以至寒遏其热，寒主收引劲急，故筋转而疼者；有吐泻津液暴伤，筋失
所养，以致转筋入腹者，并宜温养脾胃，化痰顺气，使中气营运，而四末之转筋自愈也。
一方
治香港脚转筋，疼痛挛急，用松节二两，锉如米粒，乳香一钱，以瓦器内慢火炒焦
为末，每用一二钱，热木瓜酒调下，但是筋病皆妙，不独脚转筋也。
《内经》谓∶新沐中风为首风，饮酒中风为漏风，入房汗出中风为内风，入中为肠
风，在外为泄风，及心肝脾肺肾胃风之形状不同。又曰∶风者百病之长也。清净则肉腠
闭拒，虽有大风苛毒，勿之能害。否则天有八风，乘虚感袭。《灵枢》曰∶风从南来，
名曰太弱风。其伤人也，内舍于心，外在于脉，其气主热。风从西南方来，名曰谋风。
其伤人也，内舍于脾，外在于肌，其气主弱。风从四方来，名曰刚风。其伤人也，内
舍于肺，外在于皮肤，其气主燥。风从西北方来，名曰折风。内舍于小肠，外在于手太
阳脉，脉闭则结而不通，故善暴死。风从北方来，名曰大刚风。其伤人也，内舍于肾，
外在于骨与肩背之膂筋，其气主寒。风从东北方来，名曰凶风。其伤人也，内舍于大
肠，外在于两胁腋骨下及胶节。风从东来，名曰婴儿风。其伤人也，内舍于肝，外在于
筋纽，其气主身湿。风从东南方来，名曰弱风。其伤人也，内舍于胃，外在于肌肉，其
气主体重。此谓八风，圣人避兹如矢石焉。《经》曰∶虚邪贼风，避之有时。贼风者，
如月建在卯寅，卯寅属木，风从西来，则对冲之金克木。月建在已午，已午属火，风从
北来，则对冲之水克火。月建在申酉，申酉属金，风从南来，则对冲之火克金。月建在
辰戍丑未，四者皆为属土，风从东来则对冲之木克土。月建在子，风从南来，对冲之火
反胜也。月建在酉，风从东来，对冲之木反胜也。皆为贼风，并宜避之，如肝中风，则
踞坐而举头不得，左胁疼痛，诸筋挛急，头目 动，上视多怒。心中风，则但能仰卧，
倾侧不能，发热失音，其舌焦赤。脾中风，则腹满身黄，唇黄踞坐，四肢不收，皮肉
动。肺中风，则偃卧胸满，喘息咳嗽，燥闷汗出，目能视人，口不能言。肾中风，则踞
坐面浮，腰脊痛引少腹，风入颌颊之间，则口 而牙紧，风客咽喉，而出声之窍塞而失
音。风与气搏则气被痰隔，而出锯声，搏于筋脉，因寒则拘急挛通而脉浮紧，因热则弛
缓不随，而脉浮洪，浮者在表宜汗，实者在里宜泄，促者在上宜吐。然治风当先理气，
不可专服风药，攻之愈急，则风势愈甚，务调荣卫通畅，则风可不治自愈矣。
专能顺气化痰，并治疗传尸骨蒸劳瘵（指由痨虫引起的慢性消耗性疾病，表现为骨蒸潮热、形体消瘦等），突发的心痛，中恶（突受秽浊之气而致的急症），各种厥证、鬼魅邪气及瘴疟。
沉香 麝香（研碎） 诃子（煨熟、去核） 丁香 青木香 香附（炒制，去毛）
荜茇 白术 白檀香 薰陆香（另研） 乌犀角 朱砂（研细飞过，各二钱） 安息香（另研为末，用无灰酒一升，熬成膏状），龙脑（冰片）研末，苏合香油加入安息香膏内各一钱，混合研匀，用安息香膏和炼蜜制成丸药，大小如樱桃，空腹时用温水或酒送服化开。
治疗皮肤间出现麻木感。
黄芪 橘皮 甘草（各一两） 白芍（一两五钱） 泽泻（三钱） 每次服用一两，水煎服，加入肉桂效果更佳。
姜附汤
方剂见“中寒门”。
理中汤
方剂见“中寒门”。
四逆汤
方剂见“中寒门”。
有人在睡眠中，或在伸欠（打哈欠、伸懒腰）时发生筋脉拘挛扭转，从足大趾向上延伸至腰腿部剧烈疼痛的，这多属于血热、血燥，不能濡养筋脉所致，适宜使用四物汤加红花、酒炒黄芩、天南星之类的药物。又有因饮食滋补过度，酿成湿热，又饮用冷食感受寒邪，或在睡眠中受寒，以致寒邪遏制了体内的热邪，寒性主收引、劲急，所以导致筋脉拘挛扭转而疼痛；还有因呕吐腹泻导致津液突然损伤，筋脉失去滋养，以至于筋脉拘挛扭转进入腹部的，都适宜温补脾胃，化痰顺气，使中焦之气运行通畅，那么四肢末端的转筋自然就会痊愈。
一方
治疗香港脚（脚气病）转筋，疼痛拘挛紧急，用松节二两，锉碎如米粒大小，乳香一钱，在瓦器内用慢火炒焦后研为末，每次用一二钱，用热木瓜酒调服，凡是筋病都有效，不仅限于脚部转筋。
《内经》说：刚洗完头就中风称为首风，饮酒后中风称为漏风，行房事出汗后中风称为内风，邪气入中称为肠风，邪气在外称为泄风，以及心、肝、脾、肺、肾、胃受风的形态各不相同。又说：风是百病的先导。保持清净则肌肉腠理闭合拒邪，即使有大风苛毒，也不能伤害人体。否则，天有八风，趁虚侵袭。《灵枢》说：风从南方来，名叫太弱风。它伤人时，内舍于心，外在表现于脉，其气主热。风从西南方来，名叫谋风。它伤人时，内舍于脾，外在表现于肌，其气主弱。风从西方来，名叫刚风。它伤人时，内舍于肺，外在表现于皮肤，其气主燥。风从西北方来，名叫折风。内舍于小肠，外在表现于手太阳脉，脉道闭塞则气血结滞不通，所以容易突然死亡。风从北方来，名叫大刚风。它伤人时，内舍于肾，外在表现于骨与肩背的膂筋，其气主寒。风从东北方来，名叫凶风。它伤人时，内舍于大肠，外在表现于两胁腋骨下及关节。风从东方来，名叫婴儿风。它伤人时，内舍于肝，外在表现于筋纽，其气主身湿。风从东南方来，名叫弱风。它伤人时，内舍于胃，外在表现于肌肉，其气主体重。这叫做八风，圣人躲避它们就像躲避箭石一样。《经》说：虚邪贼风，要适时躲避。贼风者，比如月建在卯寅年，卯寅属木，风从西来，则对冲的金克木。月建在巳午年，巳午属火，风从北来，则对冲的水克火。月建在申酉年，申酉属金，风从南来，则对冲的火克金。月建在辰戌丑未年，这四者都属土，风从东来则对冲的木克土。月建在子年，风从南来，对冲的火反而胜。月建在酉年，风从东来，对冲的木反而胜。这些都是贼风，都应当躲避。比如肝中风，则蹲坐时抬头困难，左胁疼痛，诸筋挛急，头目跳动，上视多怒。心中风，则只能仰卧，侧身不能，发热失音，舌头焦赤。脾中风，则腹部胀满身体发黄，嘴唇黄蹲坐，四肢无力不收，皮肉跳动。肺中风，则仰卧胸满，喘息咳嗽，燥闷汗出，眼睛能看人，口不能言。肾中风，则蹲坐面部浮肿，腰脊痛牵引少腹，风进入颌颊之间，则口噤牙紧，风客居咽喉，则发声之窍堵塞而失音。风与气搏结则气被痰阻隔，而出锯声，搏结于筋脉，因寒则拘急挛缩而脉浮紧，因热则弛缓不随从而脉浮洪，浮脉在表宜发汗，实脉在里宜攻下，促脉在上宜催吐。然而治风应当先调理气机，不可专门服用风药，攻伐越急，则风势越盛，务必调和营卫使之通畅，则风邪可不治自愈。
It is specifically capable of regulating Qi and resolving phlegm, and also treats transmissive tuberculosis with bone-steaming consumption (a chronic consumptive disease caused by "tubercle worms," characterized by bone-steaming tidal fever and emaciation), sudden severe heart pain, acute poisoning from foul miasma (sudden illness caused by inhaling noxious vapors), various types of Jue syndrome (reversal conditions involving cold limbs or loss of consciousness), demonic influences, and malarial fevers.
Agarwood (Chenxiang)
Musk (Shexiang, ground)
Chebula fruit (Hezi, roasted, pitted)
Clove (Dingxiang)
Ligusticum wallichii root (Qingmuxiang)
Cyperi Rhizoma (Xiangfu, stir-fried, hairs removed)
Piper longum fruit (Bibo)
Atractylodes macrocephala rhizome (Baizhu)
Sandalwood (Baitanxiang)
Frankincense (Xunluxiang, separately ground)
Black Rhinoceros Horn (Wuxijiao) [Note: Modern substitutes like Water Buffalo Horn are used]
Cinnabar (Zhusha, finely ground and washed, each 2 qian)
Styrax resin (Anshixiang, separately ground into powder, boiled in one sheng of pure wine without ash to form a paste)
Borneol (Longnao, ground into powder)
Styrax oil (Suhe Xiangyou, added to the Anshixiang paste, each 1 qian)
All ingredients are mixed and ground evenly. The Styrax paste and refined honey are used to form pills the size of cherries. Take orally on an empty stomach, dissolved in warm water or wine.
Treats numbness in the skin.
Astragalus root (Huangqi)
Citrus reticulata peel (Jupi)
Licorice root (Gancao) [each 1 liang]
White Peony Root (Baishao) [1.5 liang]
Alisma rhizome (Zexie) [3 qian]
Take 1 liang per dose, decoct in water and drink. Adding Cinnamon bark (Rougui) enhances efficacy.
Jiang Fu Tang (Ginger and Aconite Decoction)
See formula under "Middle Cold Chapter."
Lizhong Tang (Regulate the Middle Decoction)
See formula under "Middle Cold Chapter."
Sini Tang (Reverse the Extremities Decoction)
See formula under "Middle Cold Chapter."
When spasms and twisting of tendons occur during sleep or while stretching/yawning, extending from the big toe up to the waist and legs with severe pain, this mostly belongs to Blood heat and Blood dryness, failing to nourish the tendons. It is suitable to use Siwu Tang (Four Substances Decoction) plus Safflower Honghua, Scutellaria baicalensis Huangqin fried with wine, and Pinellia ternata Nanting. There are also cases caused by excessive rich nourishment, brewing damp-heat, followed by drinking cold liquids or catching cold, or catching cold during sleep, causing cold to restrain the heat. Since cold governs contraction and tension, it causes tendon spasms and pain. In cases where vomiting and diarrhea suddenly injure body fluids, leading to loss of nourishment for the tendons and resulting in tendon spasms entering the abdomen, all should be treated by warming and nourishing the Spleen and Stomach, resolving phlegm, and regulating Qi, so that Middle Qi circulates smoothly, and the tendon spasms in the four extremities will heal spontaneously.
One prescription
Treats Hongxiangjiao (Beriberi/Foot Qi) with tendon spasms, painful and tight contractions. Use Pine joint (Songjie) 2 liang, crushed like rice grains, and Frankincense (Ruxiang) 1 qian. Stir-fry until scorched in a clay vessel, then grind into powder. Take 1-2 qian per dose, mixed with hot Quince (Mu Gua) wine. This is excellent for all tendon diseases, not just foot spasms.
The *Neijing* states: Wind-stroke immediately after washing hair is called Shoufeng (Head Wind); wind-stroke after drinking alcohol is called Loufeng (Leaking Wind); wind-stroke after intercourse with sweating is called Neifeng (Internal Wind); pathogen entering inward is Changfeng (Intestinal Wind); pathogen staying outward is Xiefeng (Discharge Wind). The manifestations of wind affecting the Heart, Liver, Spleen, Lung, Kidney, and Stomach differ. It also says: Wind is the chief of all diseases. If one remains pure and quiet, the muscle pores close and resist pathogens; even strong winds and severe toxins cannot harm. Otherwise, the Eight Winds of Heaven invade when deficiency exists. The *Lingshu* states: Wind coming from the South is named Taiweak Wind. When injuring people, it resides internally in the Heart and externally in the vessels; its Qi is primarily Heat. Wind from the Southwest is named Moufeng. It resides internally in the Spleen and externally in the muscles; its Qi is primarily Weakness. Wind from the West is named Gangfeng. It resides internally in the Lung and externally in the skin; its Qi is primarily Dryness. Wind from the Northwest is named Zhefeng. It resides internally in the Small Intestine and externally in the Hand-Taiyang vessel; if the vessel closes, qi and blood knot and do not flow, leading to sudden death. Wind from the North is named Dagangfeng. It resides internally in the Kidney and externally in the bones and the Du tendons of the shoulder and back; its Qi is primarily Cold. Wind from the Northeast is named Xiongfeng. It resides internally in the Large Intestine and externally in the lower parts of the two flanks, armpits, and joints. Wind from the East is named Ying'erfeng. It resides internally in the Liver and externally in the tendon connections; its Qi makes the body damp. Wind from the Southeast is named Ruofeng. It resides internally in the Stomach and externally in the muscles; its Qi causes heaviness. These are called the Eight Winds; sages avoid them as they would avoid arrows and stones. The Classic says: Avoid false evils and thief winds at the proper time. Thief winds refer to situations such as: when the monthly branch is Mao or Yin (Wood), wind coming from the West (Metal) clashes with Wood. When the monthly branch is Si or Wu (Fire), wind from the North (Water) clashes with Fire. When the monthly branch is Shen or You (Metal), wind from the South (Fire) clashes with Metal. When the monthly branch is Chen, Xu, Chou, or Wei (Earth), wind from the East (Wood) clashes with Earth. When the monthly branch is Zi, wind from the South (Fire) overcomes excessively. When the monthly branch is You, wind from the East (Wood) overcomes excessively. All these are thief winds and should be avoided. For example, Liver Wind-stroke causes difficulty lifting the head while squatting/sitting, left flank pain, tendon spasms, twitching of the head and eyes, upward gaze, and irritability. Heart Wind-stroke allows only supine lying, inability to turn sideways, fever, loss of voice, and a scorched red tongue. Spleen Wind-stroke causes abdominal fullness, yellowing of the body, yellow lips, squatting posture, inability to move the four limbs, and twitching of skin and flesh. Lung Wind-stroke causes supine position with chest fullness, panting, coughing, dryness, stifling sensation, sweating, ability to see but inability to speak. Kidney Wind-stroke causes squatting with facial edema, lower back and spine pain radiating to the lower abdomen. If wind enters the jaw and cheeks, the mouth clamps shut and teeth tighten. If wind lodges in the throat, the vocal aperture is blocked, causing loss of voice. When wind and Qi struggle, Qi is obstructed by phlegm, producing a sawing sound. When struggling in the tendons and vessels, due to Cold there is stiffness, spasm, and floating-tight pulse; due to Heat there is flaccidity, non-compliance, and floating-hong pulse. Floating indicates exterior, suitable for sweating; Excess indicates interior, suitable for purging; Rapid/Cu indicates upper jiao, suitable for vomiting. However, treating wind requires first regulating Qi; one must not solely use wind-dispelling drugs, as aggressive attack worsens the wind condition. One must ensure the smooth circulation of Ying and Wei nutrients, then the wind can heal itself without specific treatment.