〔垣〕风湿相搏,一身尽痛者,补中益气汤加羌活、防风、升麻、 本、苍术治之。如病去勿再服,以诸
风药损人元气而益其病故也。
〔海〕神术汤,治风湿恶寒,脉紧无汗。白术汤,治风湿恶风,脉缓有汗。(俱见续伤寒发热条。)
上二术汤,治风湿,又当随症加减。其详并见 条,及白术、神术二汤后。
〔《活》〕杏仁汤 疗风湿身体疼痛,恶风微肿。
桂枝(二两) 麻黄(去节,汤泡,干) 芍药 天门冬(去心。各一两) 生姜(两半) 杏仁(二十五枚,
去皮尖,炒)
上 咀,每服五钱,水煎温服。
〔垣〕麻黄复煎汤 治阴室中汗出懒语,四肢困倦乏力,走疰疼痛。乃下焦伏火不得伸,浮而躁热,
汗出,一身疼痛,盖风湿相搏也。以麻黄发汗,渐渐发之。在经者,亦宜发汗。况值季春之月,脉缓而迟,
尤宜发之,令风湿去而阳气升,困倦乃退,血气俱得生旺也。
麻黄(去节,用水五盏,先煎令沸去沫渣,再煎至三盏,方入下药) 黄 (各二钱) 白术 人参
柴胡根 防风 生地(各五分) 甘草(三分) 羌活 黄柏(各一钱) 杏仁(三个,去皮尖)
上 咀,作一服,入麻黄汤,煎至一盏,临卧服,勿饱服。
当归拈痛汤 治湿热为病,身体疼痛。(方见诸痹门一身尽痛条。)
[李东垣]风湿相互搏结,导致全身皆痛者,用补中益气汤加入羌活、防风、升麻、本(此处原文缺字,通常指藁本或独活,依语境保留“本”)、苍术来治疗。如果病邪去除后不要再服用,因为各种祛风药会损伤人的元气从而加重病情。
[朱丹溪]神术汤,治疗风湿引起的恶寒、脉象紧且无汗。白术汤,治疗风湿引起的恶风、脉象缓且有汗。(均见于续伤寒发热条。)
上述两种术汤,治疗风湿时,还应当根据症状进行加减。详细内容并见某条(原文缺漏),以及白术汤、神术汤方后注。
[《济生拔粹》]杏仁汤,治疗风湿导致的身体疼痛、恶风及轻微浮肿。
桂枝(二两) 麻黄(去节,用热水浸泡,干燥) 芍药 天门冬(去心,各一两) 生姜(一两半) 杏仁(二十五枚,去皮尖,炒制)
以上药物切碎,每次服用五钱,用水煎煮后温服。
[李东垣]麻黄复煎汤,治疗在阴冷房间出汗、懒于说话、四肢困倦乏力、游走性疼痛。这是由于下焦潜伏的火邪无法舒展,浮越而躁热,导致出汗、全身疼痛,这属于风湿相互搏结的情况。用麻黄发汗,要逐渐地发散。病在经络的,也适宜发汗。况且正值春季三月,脉象缓而迟,尤其适宜发散,使风湿去除而阳气升发,困倦自然消退,气血都能得到生长旺盛。
麻黄(去节,用水五盏,先煎至沸腾去掉沫和渣,再煎至三盏,然后放入其他药) 黄芪(二钱) 白术 人参 柴胡根 防风 生地(各五分) 甘草(三分) 羌活 黄柏(各一钱) 杏仁(三个,去皮尖)
以上药物切碎,作为一剂服用,加入麻黄汤中,煎至一盏,临睡前服用,不要饱食后服用。
[Li Dongyuan] When wind-dampness mutually combats, causing pain throughout the entire body, treat it with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Qianghuo (Notopterygii Rhizoma), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Ben (Gastrodiae Rhizoma or similar, text incomplete), and Cangzhu (Atractylodis Rhizoma). Do not continue taking it after the disease is eliminated, because various wind-dispelling drugs damage the person's Yuanqi (Original Qi) and exacerbate the illness.
[Zhu Danxi] Shenzhu Tang (Divine Efficacy Artisan Decoction) treats wind-dampness with aversion to cold, tight pulse, and absence of sweating. Baizhu Tang (Atractylodis Macrocephalae Decoction) treats wind-dampness with aversion to wind, slow pulse, and presence of sweating. (Both are found in the section on Continuing Shanghan Fever.)
For the aforementioned two Zhu Tangs treating wind-dampness, modifications should be made according to symptoms. The details are seen in [missing section] and after the formulas for Baizhu Tang and Shenzhu Tang.
[Jisheng Bachui] Xingren Tang (Apricot Seed Decoction) treats wind-dampness causing body pain, aversion to wind, and slight swelling.
Guizhi (Cinnamomi Ramulus, 2 liang), Mahuang (Ephedrae Herba, remove joints, soak in boiling water, dry), Shaoyao (Paeoniae Radix), Tiandongmen (Asparagi Radix, remove heart, each 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 1.5 liang), Xingren (Armeniacae Semen Amarum, 25 seeds, remove skin and tips, stir-fry).
Chop the above ingredients. Take 5 qian per dose, decoct with water, and take warm.
[Li Dongyuan] Mahuang Fujian Tang (Mahuang Re-decoction) treats sweating in a yin/cold room, reluctance to speak, fatigue and weakness in the four limbs, and migratory pain. This is due to latent fire in the lower jiao unable to extend, floating and restless heat, leading to sweating and whole-body pain, which constitutes wind-dampness combatting. Use Mahuang to induce sweating, doing so gradually. If the pathogen is in the meridians, inducing sweating is also appropriate. Moreover, during the third month of spring, when the pulse is slow and delayed, inducing sweating is particularly suitable, allowing wind-dampness to depart and yang qi to ascend; thus, fatigue recedes, and both blood and qi thrive.
Mahuang (Ephedrae Herba, remove joints, use 5 bowls of water, boil first until bubbling, remove foam and dregs, then simmer to 3 bowls before adding other herbs): Huangqi (Astragali Radix, 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Chaihu Gen (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Shengdi (Rehmanniae Radix, each 0.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 qian), Qianghuo (Notopterygii Rhizoma et Radix), Huangbai (Phellodendri Cortex, each 1 qian), Xingren (Armeniacae Semen Amarum, 3 seeds, remove skin and tips).
Chop the above ingredients as one dose. Add to the Mahuang decoction, simmer to 1 bowl, take before going to bed, do not take after a full meal.
Danggui Niantong Tang (Angelica Sinensis Pain-Relieving Decoction) treats diseases caused by damp-heat, characterized by body pain. (Formula seen in the Men of Various Bi Syndromes section under "Whole Body Pain".)