〔鹤膝风提纲〕 膝肿旋惊疼痛生,风寒湿气合而成,前方仍用能收效,大补十全法亦精。
(仍以桂枝芍药知母汤主之)
十全大补加味汤
(证附) 中虚气血已先伤,参桂苓甘合枣姜,地芍芎归 术用,再加杜附
并牛防。
白芥子敷法
芥子研成照法敷,姜葱取汁可调涂,泡皮脱净肌肤敛,外治良方效更殊。
〔香港脚提纲〕 风寒暑湿外邪侵,香港脚发时痛不禁,初病无非从足起,渐由小腹上攻心。
鸡鸣散
(证附) 脚肿如因湿气伤,浸淫滋水或生疮,木瓜苏叶吴萸用,桔梗槟榔合橘姜。
四物加味证
香港脚属干不肿时,顽麻挛急总非宜,或兼纵缓情尤重,湿盛血虚治莫迟。
四物加味汤
地芍芎归四物汤,再加膝泽佐偏良,更增独活兼苍术,香港脚能医是妙方。
乌头汤
(证附) 香港脚攻心不得安,再加疼痛屈伸难,乌头麻芍兼 草,纳蜜同煎是妙丹。
八味肾气证
小腹居然觉不仁,喘兼上气岂无因,攻心香港脚将成病,八味为丸取效神。
八味肾气丸
山药山萸并可施,泽苓熟地与丹皮,再增桂附扶阳气,炼蜜为丸效更奇。
矾石汤
(证附) 冲心香港脚不安康,湿毒消除有妙方,治法须将矾石用,煎汤浸足效偏良。
〔心腹痛提纲〕 腹中疼痛有多端,气血痰虫食水寒,按证须求原病本,立方得法治何难。
柴胡牡蛎汤
(证附) 气攻胸痛热生风,蒌夏降冲草补中,芍牡滋阴柴散郁,生姜调胃善宣通。
姜苓桂枝汤
(证附) 气攻少腹痛多寒,桂夏姜砂治不难,苓草杏仁宜并用,当归芍药善清肝。
桂枝茯苓丸
(证附) 痛因血积不流通,破用丹桃却有功,桂芍行经苓去湿,陈皮加入气能攻。
下瘀血汤
(证附) 痛因血积有良方,须用桃仁合大黄,再入 虫能化瘀,腹疼止后得安康。
姜苓半夏汤
(证附) 胸停痰饮痛生时,半夏姜甘治最宜,再用陈苓兼泽杏,水留成积总能医。
乌梅证
(方见伤寒) 痛因腹内有蛔虫,湿气中湮大可攻,丸用乌梅真善法,扫平此患着奇功。
浓朴七物汤
(证附) 痛因食积拟何方,枳朴桂枝共大黄,再用生姜兼草枣,法宜温下胃无伤。
五苓证
(方见伤寒) 水饮停留在腹中,时时疼痛总宜攻,五苓散用真神效,利湿除寒大有功。
附子粳米汤
(证附) 积寒生痛有良方,姜枣熬成粳米汤,
半夏更兼甘草入,独凭附子挽真阳。
大建中汤
(证附) 腹中寒积用何消,不外干姜共蜀椒,增入胶饴甘补妙,人参助气
力偏饶。
【鹤膝风提纲】膝盖肿胀随即出现惊悸疼痛,这是由风寒湿邪气结合而形成的疾病。前面的方剂仍然使用能够收到疗效,大补十全的方法也非常精妙。
(主要仍用桂枝芍药知母汤来主治)
十全大补加味汤
(证候附注)中焦虚弱导致气血已经先受损,人参、桂枝、茯苓、甘草配合大枣和生姜,地黄、白芍、川芎、当归、白术都要用到,再加上杜仲、附子以及牛膝、防风。
白芥子敷法
将白芥子研成粉末,按照方法敷贴,用生姜和葱取汁液调和涂抹,泡制后脱去外皮使肌肤收敛,这是外治法的良方,效果更加特殊。
〔香港脚提纲〕风寒暑湿等外邪侵袭,香港脚发作时疼痛难以忍受,初起病无非是从足部开始,逐渐从小腹向上攻冲至心脏。
鸡鸣散
(证候附注)脚肿如果是因湿气损伤所致,浸淫流水或者生疮,要用木瓜、苏叶、吴茱萸,桔梗、槟榔配合橘皮和生姜。
四物加味证
香港脚属于干性而不肿胀的时候,顽固麻木和痉挛拘急总是不适宜的,或者兼有松弛缓纵的情况尤其严重,湿气盛且血虚时治疗不可迟缓。
四物加味汤
地黄、白芍、川芎、当归组成的四物汤,再加牛膝和泽泻辅助偏于良好,更增加独活兼苍术,治疗香港脚能治愈是妙方。
乌头汤
(证候附注)香港脚攻心让人不得安宁,再加上疼痛导致屈伸困难,乌头、麻黄、白芍兼甘草,加入蜂蜜同煎是妙丹。
八味肾气证
小腹竟然感觉不灵敏,气喘兼上气难道没有原因吗?攻心的香港脚即将形成疾病,用八味丸取效神奇。
八味肾气丸
山药、山茱萸都可以施用,泽泻、茯苓、熟地黄与牡丹皮,再增加肉桂和附子扶助阳气,炼蜜为丸效果更加奇妙。
矾石汤
(证候附注)冲心的香港脚不安康,消除湿毒有妙方,治疗方法必须使用矾石,煎汤浸泡双脚效果偏于良好。
〔心腹痛提纲〕腹部疼痛有多种端绪,涉及气、血、痰、虫、食、水、寒等因素,按证候必须探求原始病因,确立方剂得到治疗方法又有什么困难呢。
柴胡牡蛎汤
(证候附注)气攻胸痛热生风,瓜蒌、半夏降逆冲气,甘草补益中气,白芍、牡蛎滋阴,柴胡疏散郁结,生姜调理胃气善于宣通。
姜苓桂枝汤
(证候附注)气攻少腹痛多寒,桂枝、半夏、生姜、砂仁治疗不难,茯苓、甘草、杏仁适宜并用,当归、白芍善于清肝。
桂枝茯苓丸
(证候附注)疼痛因血积滞不通畅,破瘀用丹参、桃仁却有功效,桂枝、白芍行经,茯苓去湿,陈皮加入能使气机攻动。
下瘀血汤
(证候附注)疼痛因血积滞有良方,须用桃仁合大黄,再入䗪虫能化瘀,腹疼止后得安康。
姜苓半夏汤
(证候附注)胸中停聚痰饮疼痛发生时,半夏、生姜、甘草治疗最适宜,再用陈皮、茯苓兼泽泻、杏仁,水留成积总能医治。
乌梅证
(方剂见《伤寒论》)疼痛因腹内有蛔虫,湿气中蕴积大可攻伐,丸剂用乌梅真是善法,扫平此患着奇功。
浓朴七物汤
(证候附注)疼痛因食积拟何方,枳实、厚朴、桂枝共大黄,再用生姜兼甘草、大枣,法宜温下胃无损伤。
五苓证
(方剂见《伤寒论》)水饮停留在腹中,时时疼痛总宜攻伐,五苓散使用真神效,利湿除寒大有功劳。
[Outline of Crane's Knee Wind] The knee swells and is suddenly startled with pain, formed by the combination of wind-cold-dampness pathogens. The previous formulas still yield effective results, and the method of Da Bu Shi Quan (Great Tonification Ten-Ingredient Decoction) is also exquisite.
(Still primarily treated with Guizhi Shaoyao Zhimu Tang [Cinnamon Twig, Peony, and Anemarrhena Decoction])
Da Bu Shi Quan Jia Wei Tang (Great Tonification Ten-Ingredient Decoction with Additions)
(Syndrome Annotation) Middle jiao deficiency has already injured qi and blood; Renshen (Ginseng), Guizhi (Cinnamon Twig), Fuling (Poria), Gancao (Licorice) are combined with Dazao (Jujube) and Shengjiang (Fresh Ginger); Dihuang (Rehmannia), Shaoyao (Peony), Xiong (Ligusticum), Danggui (Angelica), Baizhu (Atractylodes) are used; plus Duzhong (Eucommia), Fuzi (Aconite), Niuxi (Achyranthes), and Fangfeng (Saposhnikovia).
Baijiezi Fu Fa (White Mustard Seed Application Method)
Grind Baijiezi (Sinapis Semen) into powder and apply according to the method; mix with juice extracted from Jiang (Ginger) and Cong (Scallion) for topical application; after soaking, remove the skin to consolidate the flesh. This is an excellent external treatment method with special efficacy.
[Outline of Hong Kong Foot / Podagra] Invasion by external pathogens such as wind, cold, summer-heat, and dampness causes Hong Kong Foot; when it erupts, pain is unbearable. Initially, the disease invariably starts from the feet, gradually attacking upwards from the lower abdomen to the heart.
Jiming San (Crow-Crowing Powder)
(Syndrome Annotation) If foot swelling is due to dampness injury, with oozing fluids or sores forming, use Mugua (Chaenomeles), Suye (Perilla Leaf), Wuyu (Evodia), Jiegeng (Platycodon), Binglang (Areca Nut), combined with Ju (Tangerine Peel) and Jiang (Ginger).
Si Wu Jia Wei Zheng (Si Wu Decoction with Additions Syndrome)
When Hong Kong Foot is dry without swelling, stubborn numbness and spasms are generally unfavorable; or if accompanied by flaccidity and laxity, the condition is even more severe. When dampness is abundant and blood is deficient, treatment must not be delayed.
Si Wu Jia Wei Tang (Si Wu Decoction with Additions)
Dihuang (Rehmannia), Shaoyao (Peony), Xiong (Ligusticum), Danggui (Angelica) form Si Wu Tang (Four Substances Decoction); add Nixi (Achyranthes) and Zexie (Alisma) for auxiliary benefit; further increase Du Huo (Angelica Pubescens) and Cang Zhu (Atractylodes Lancea); this is a miraculous formula capable of curing Hong Kong Foot.
Wutou Tang (Aconite Decoction)
(Syndrome Annotation) Hong Kong Foot attacking the heart causes unrest; added pain makes flexion and extension difficult. Wutou (Aconite), Mahuang (Ephedra), Shaoyao (Peony), and Gancao (Licorice) are used; mixed with honey and decocted together, it is a miraculous pill.
Ba Wei Shen Qi Zheng (Eight-Ingredient Kidney Qi Syndrome)
The lower abdomen actually feels insensible; why is there panting and rebellious qi? The impending disease of Hong Kong Foot attacking the heart can be effectively treated with Ba Wei Wan (Eight-Ingredient Pill).
Ba Wei Shen Qi Wan (Eight-Ingredient Kidney Qi Pill)
Shanyao (Dioscorea) and Shanzhuyu (Cornus) can be applied; Zexie (Alisma), Fuling (Poria), Shudi (Prepared Rehmannia), and Mudanpi (Moutan Bark) are included; further increase Rougui (Cinnamon Bark) and Fuzi (Aconite) to support yang qi; refined honey is used to make pills for miraculous efficacy.
Fanshi Tang (Alum Decoction)
(Syndrome Annotation) For alarming Hong Kong Foot causing discomfort, there is a miraculous method to eliminate damp-toxin. The treatment method requires using Fanshi (Alumen); decocting in water and soaking the feet yields particularly good effects.
[Outline of Heart and Abdominal Pain] Abdominal pain has many origins, involving qi, blood, phlegm, parasites, food retention, water, and cold. According to the syndrome, one must seek the root cause; once the prescription is established based on the treatment principle, what difficulty remains?
Chaihu Muli Tang (Bupleurum and Oyster Shell Decoction)
(Syndrome Annotation) Qi attacking the chest causes pain and heat generating wind; Gualou (Trichosanthes) and Banxia (Pinellia) descend rebellious qi; Gancao (Licorice) tonifies the middle; Shaoyao (Peony) and Muli (Oyster Shell) nourish yin; Chaihu (Bupleurum) disperses stagnation; Shengjiang (Fresh Ginger) regulates the stomach and facilitates free flow.
Jiang Ling Guizhi Tang (Ginger, Poria, and Cinnamon Twig Decoction)
(Syndrome Annotation) Qi attacking the lower abdomen with much cold; Guizhi (Cinnamon Twig), Banxia (Pinellia), Jiang (Ginger), and Sharen (Amomum) make treatment easy; Ling (Poria), Gancao (Licorice), and Xingren (Apricot Kernel) should be used together; Danggui (Angelica) and Shaoyao (Peony) are good at clearing the liver.
Guizhi Fuling Wan (Cinnamon Twig and Poria Pill)
(Syndrome Annotation) Pain is caused by blood stasis and lack of circulation; using Danshen (Salvia) and Taoren (Peach Kernel) to break stasis has merit; Guizhi (Cinnamon Twig) and Shaoyao (Peony) regulate the channels; Fuling (Poria) removes dampness; adding Chenpi (Tangerine Peel) allows qi to move.
Xia Yu Xue Tang (Draining Stasis Blood Decoction)
(Syndrome Annotation) There is a good formula for pain caused by blood stasis; one must use Taoren (Peach Kernel) combined with Dahuang (Rhubarb); adding E chong (Ground Beetle) can resolve stasis; after abdominal pain stops, health is restored.
Jiang Ling Banxia Tang (Ginger, Poria, and Pinellia Decoction)
(Syndrome Annotation) When phlegm-fluid retention in the chest causes pain, Banxia (Pinellia), Jiang (Ginger), and Gancao (Licorice) are most suitable; additionally using Chenpi (Tangerine Peel), Fuling (Poria), Zexie (Alisma), and Xingren (Apricot Kernel) can treat all cases where water accumulates into masses.
Wumei Zheng (Mume Fruit Syndrome)
(Formula seen in Shanghan Lun) Pain is due to roundworms in the abdomen; dampness stagnating internally can be vigorously attacked; making pills with Wumei (Mume Fruit) is truly a good method, sweeping away this affliction with miraculous merit.
Nongpo Qiwu Tang (Magnolia Bark Seven-Ingredient Decoction)
(Syndrome Annotation) What formula is proposed for pain due to food retention? Zhishi (Immature Bitter Orange), Houpo (Magnolia Bark), Guizhi (Cinnamon Twig), and Dahuang (Rhubarb) together; additionally using Shengjiang (Fresh Ginger), Gancao (Licorice), and Dazao (Jujube); the method should be warm purgation to avoid injuring the stomach.
Wuling Zheng (Five-Ling Syndrome)
(Formula seen in Shanghan Lun) Water-fluid retention stays in the abdomen; frequent pain always requires attack; using Wuling San (Five-Ling Powder) is truly miraculous, greatly benefiting by promoting urination to remove dampness and cold.
Fuzi Jingmi Tang (Aconite and Rice Decoction)
(Syndrome Annotation) There is a good formula for pain generated by accumulated cold; Jiang (Ginger) and Zao (Jujube) are boiled into Jingmi (Rice) soup; Banxia (Pinellia) and Gancao (Licorice) are added; relying solely on Fuzi (Aconite) to restore true yang.
Da Jianzhong Tang (Great Construct Middle Decoction)
(Syndrome Annotation) What eliminates cold accumulation in the abdomen? Nothing but Ganjiang (Dried Ginger) and Shujiao (Sichuan Pepper); adding Jiaoyi (Maltose) provides sweet tonification; Renshen (Ginseng) assists qi, making strength abundant.