一身尽痛,其病暴似伤寒,属湿痹,并见伤寒太阳症门。其留连难已者,于此求之。寒
而一身痛苦,甘草附子汤。热者,拈痛汤。(甘草附子汤,方见伤寒身疼门)
〔垣〕拈痛汤 治湿热相搏,肩背沉重疼痛,上热胸膈不利,及遍身疼痛。
羌活(半两) 人参(二钱) 甘草(五钱) 防风(三钱,去头) 苦参(三钱,酒炒) 升麻(二钱,去芦)
葛根(二钱) 知母(二钱,酒炒) 黄芩(二钱,酒炒) 泽泻(三钱) 猪苓(三钱) 茵陈(五钱,酒) 白
术(钱半) 当归(三钱,酒) 苍术(二钱)
上为细末。每服一两,水二盏,煎至一盏,食远或空心,日一服。
〔丹〕妇人患身痛食少,脉涩、略沉,重取弦实,此气滞也。
白术(二钱) 青皮 黄芩 芍药 木通 陈皮(半两) 神曲(炒一两) 桂(二钱) 甘草(五分)
苏梗(二分)
上分十帖煎。
〔垣〕麻黄桂枝升麻汤 李夫人患浑身麻木,睡觉则少减,开目久则全已,闭目则麻复至
。此症用药已全去,又因家事不和,心中烦恼,遍身骨节疼,身体沉重,饮食减少,腹中气
不转运。
麻黄(不去节五分) 桂枝(三分) 升麻 人参(五分) 白术(三分) 甘草(炙三分)
黄 (五分) 半夏(二分) 生姜(一分) 陈皮(二分) 浓朴(二分) 木香(一分) 茯苓(三分) 泽
泻(二分) 黄柏(二分) 附子(二分) 草豆蔻(二分)
上 咀。水二大盏,煎至一盏,去渣,稍热,食远服。
〔《本》〕治遍身皆痛如劳证者,若伤寒身体痛者,不可服。但少年虚损冷惫,老人诸疾,并皆治之。
黄 人参 甘草 附子(炮) 羌活 木香 知母 芍药 川芎 前胡 枳壳 桔梗
白术 当归 茯苓 半夏(制以上各五钱) 柴胡 鳖甲(醋炙各一两) 桂心 酸枣仁(三分)
杏仁(半两,炒)
上为末。每服二钱,水一盏,姜三片,枣二个,乌梅三枚,葱白三寸,同煎至七分,空
心温服。
脾之大络,名曰大包,出渊腋下三寸,实则身尽痛。此脉若罗络之血,皆取之脾之大络
脉也。(全文见针灸)
〔洁〕百节痛实无所知∶绝骨(三棱针出血)
全身疼痛,发病急骤类似伤寒,属于湿痹范畴,详见《伤寒论》太阳病篇。若病情迁延难愈,可在此处寻求治法。因寒邪导致全身痛苦,使用甘草附子汤。若属热证,使用拈痛汤。(甘草附子汤的方剂组成见《伤寒论》身疼门)
〔李东垣〕拈痛汤:治疗湿热相互搏结,肩背沉重疼痛,上部胸膈烦热不利,以及遍身疼痛。
羌活(半两) 人参(二钱) 甘草(五钱) 防风(三钱,去芦头) 苦参(三钱,酒炒) 升麻(二钱,去芦头)
葛根(二钱) 知母(二钱,酒炒) 黄芩(二钱,酒炒) 泽泻(三钱) 猪苓(三钱) 茵陈(五钱,酒浸) 白术(一钱半) 当归(三钱,酒浸) 苍术(二钱)
以上药物研为细末。每次服用一两,加水两盏,煎煮至一盏,在饭后较长时间或空腹时服用,每日一次。
〔朱丹溪〕妇女患身体疼痛、食欲减退,脉象涩而略沉,重按弦实,这是气滞所致。
白术(二钱) 青皮 黄芩 芍药 木通 陈皮(半两) 神曲(炒制一两) 桂枝(二钱) 甘草(五分)
苏梗(二分)
以上药物分为十帖煎服。
〔李东垣〕麻黄桂枝升麻汤:李夫人患浑身麻木,睡醒后症状稍减,久睁眼则完全消失,闭目则麻木又至。此症用药已全面去除,后又因家事不和,心中烦恼,导致遍身骨节疼痛,身体沉重,饮食减少,腹中气机不运转。
麻黄(不去节五分) 桂枝(三分) 升麻 人参(五分) 白术(三分) 甘草(炙三分)
黄芪(五分) 半夏(二分) 生姜(一分) 陈皮(二分) 厚朴(二分) 木香(一分) 茯苓(三分) 泽泻(二分) 黄柏(二分) 附子(二分) 草豆蔻(二分)
以上药物切碎。加水两大盏,煎煮至一盏,去渣,趁稍热时,在饭后较长时间服用。
〔《本草纲目》引方〕治疗遍身皆痛如同劳损证者,如果是伤寒引起的身体痛,不可服用。仅适用于少年虚损冷惫,以及老人各种疾病,均可治疗。
黄芪 人参 甘草 附子(炮制) 羌活 木香 知母 芍药 川芎 前胡 枳壳 桔梗
白术 当归 茯苓 半夏(制,以上各五钱) 柴胡 鳖甲(醋炙各一两) 桂心 酸枣仁(三分)
杏仁(半两,炒制)
以上研为末。每次服用二钱,加水一盏,生姜三片,大枣二个,乌梅三枚,葱白三寸,同煎至七分,空腹温服。
Pain throughout the whole body, with an acute onset resembling Taiyang disease (disease of the Taiyang channel), belongs to the category of Bi syndrome due to dampness (Bi syndrome caused by dampness). Refer to the Taiyang disease chapter for details. For cases that are lingering and difficult to cure, seek treatment here. Pain and suffering throughout the body due to cold: use Gancao Fuzi Tang (Licorice and Aconite Decoction). If it is a heat pattern: use Nian Tong Tang (Relieve Pain Decoction). (The formula for Gancao Fuzi Tang is found in the Body Pain chapter of Shanghan Lun).
[Li Dongyuan] Nian Tong Tang (Relieve Pain Decoction): Treats intermingling of damp-heat, heaviness and pain in the shoulders and back, upper heat with chest and diaphragm discomfort, and pain throughout the body.
Qianghuo (Notopterygii Rhizoma et Radix, half tael) Renshen (Ginseng Radix, two qian) Gancao (Glycyrrhizae Radix et Rhizoma, five qian) Fangfeng (Saposhnikoviae Radix, three qian, remove head) Kushen (Sophorae Flavescentis Radix, three qian, stir-fried with wine) Shengma (Cimicifugae Rhizoma, two qian, remove rhizome)
Gegen (Puerariae Lobatae Radix, two qian) Zhimu (Anemarrhenae Rhizoma, two qian, stir-fried with wine) Huangqin (Scutellariae Radix, two qian, stir-fried with wine) Zexie (Alismatis Rhizoma, three qian) Zhuling (Polyporus, three qian) Yichen (Artemisiae Capillaris Herba, five qian, soaked in wine) Baizhu (Atractylodis Macrocephalae Rhizoma, one and a half qian) Danggui (Angelicae Sinensis Radix, three qian, soaked in wine) Cangzhu (Atractylodis Rhizoma, two qian)
Grind all into fine powder. Take one liang per dose, add two zhan of water, decoct to one zhan. Take long after meals or on an empty stomach, once daily.
[Zhu Danxi] Women suffering from body pain and poor appetite, with a choppy pulse that is slightly deep, and firm and wiry upon heavy pressure, indicates Qi stagnation.
Baizhu (Atractylodis Macrocephalae Rhizoma, two qian) Qingpi (Citri Reticulatae Pericarpium Viride) Huangqin (Scutellariae Radix) Shaoyao (Paeoniae Radix) Mutong (Akebiae Caulis) Chenpi (Citri Reticulatae Pericarpium, half tael) Shenqu (Massa Medicata Fermentata, stir-fried one liang) Guizhi (Cinnamomi Ramulus, two qian) Gancao (Glycyrrhizae Radix et Rhizoma, five fen)
Sugeng (Perillae Caulis, two fen)
Divide into ten doses for decoction.
[Li Dongyuan] Mahuang Guizhi Shengma Tang (Ephedra, Cinnamon Twig, and Cimicifuga Decoction): Lady Li suffered from numbness throughout her body. The symptoms decreased slightly upon waking, disappeared completely when keeping eyes open for a long time, and returned when closing eyes. This condition had been fully treated with medication, but due to family discord and mental distress, she developed joint pain throughout the body, bodily heaviness, reduced food intake, and stagnant Qi in the abdomen.
Mahuang (Ephedrae Herba, without joints, five fen) Guizhi (Cinnamomi Ramulus, three fen) Shengma (Cimicifugae Rhizoma) Renshen (Ginseng Radix, five fen) Baizhu (Atractylodis Macrocephalae Rhizoma, three fen) Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, three fen)
Huangqi (Astragali Radix, five fen) Banxia (Pinelliae Rhizoma, two fen) Shengjiang (Zingiberis Rhizoma Recens, one fen) Chenpi (Citri Reticulatae Pericarpium, two fen) Houpo (Magnoliae Officinalis Cortex, two fen) Muxiang (Aucklandiae Radix, one fen) Fuling (Poria, three fen) Zexie (Alismatis Rhizoma, two fen) Huangbai (Phellodendri Cortex, two fen) Fuzi (Aconiti Lateralis Radix Praeparata, two fen) Caodoukou (Amomi Fructus Rotundus, two fen)
Chop the herbs. Add two large zhan of water, decoct to one zhan. Remove dregs, take while slightly warm, long after meals.
[Ben Cao Gang Mu] Treats pain throughout the body resembling consumptive disease. However, if the body pain is caused by Shanghan (Cold Damage), this formula must not be used. It is suitable only for young people with deficiency-cold exhaustion, and various diseases in the elderly.
Huangqi (Astragali Radix) Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Qianghuo (Notopterygii Rhizoma et Radix) Muxiang (Aucklandiae Radix) Zhimu (Anemarrhenae Rhizoma) Shaoyao (Paeoniae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Qianhu (Peucedani Radix) Zhike (Aurantii Fructus Immaturus) Jiegeng (Platycodonis Radix)
Baizhu (Atractylodis Macrocephalae Rhizoma) Danggui (Angelicae Sinensis Radix) Fuling (Poria) Banxia (Pinelliae Rhizoma, prepared; above ingredients each five qian) Chaihu (Bupleuri Radix) Biejia (Testudinis Carapax et Plastrum, vinegar-fried, each one liang) Guixin (Cinnamomi Cortex) Suanzaoren (Ziziphi Spinosae Semen, three fen)
Xingren (Prunus Armeniacae Semen, half tael, stir-fried)
Grind into powder. Take two qian per dose, add one zhan of water, three slices of ginger, two dates, three dark plums, and three cun of scallion white. Decoct together to seven-tenths. Take warm on an empty stomach.
The great collateral of the Spleen is named Dabao (SP21), originating three cun below Yuanye (GB24) under the armpit. In excess patterns, there is pain throughout the body. If this vessel contains blood like a net, all should be taken from the great collateral of the Spleen. (Full text see Acupuncture).
[Zhang Jiegu] Pain in all joints with no clear location known: Juegu (GB39) - bleed using a three-edged needle.