上晒干为末，每服五钱，以无灰酒半碗，热调服讫。服至一时久，即煎后药，汤倾桶内，披浓衣于桶上坐，
勿令走了药气，将脚腿熏之，当自下而上汗出，直至顶门，其出如水，尽为度。熏洗用∶
紫苏（半斤） 忍冬花（四两） 木馒头（七个） 苏木（二两）
上为粗末，水一中样桶，煎药味出，分三度添用，只一用，永除根。
〔垣〕香港脚渫洗法。《活人书》曰∶凡香港脚服补药及用汤渫洗，皆医之大禁也，为南方外感湿气乘虚袭人
为肿痛而言，非为北方内受湿气注下肿痛而言也。盖湿气不能外达，宜淋渫开导，泄越其邪，名曰导气除湿汤。
威灵仙 防风 荆芥穗 当归 地骨皮 升麻 白芍 蒴 叶
上等分锉细，水二斗，煮取一斗五升，去渣，热淋洗无时。
〔世〕治脚赤肿。杉皮煎浓汤洗数次，立愈。（本草云∶用杉节殊效。）
〔《千》〕治岭南香港脚从足至膝胫肿满连骨疼者。用蓖麻子叶，切蒸薄裹，三二易，即消。治岭南香港脚
从足至膝胫肿满连骨疼者。蒴 根锉碎，和酒醋共三分，根一分，合蒸熟，封裹肿上，二三日即消。亦治不仁。
〔《简》〕治香港脚连腿肿满久不瘥方。黑附子一两，去皮脐，生用，捣为散，生姜汁调如膏，涂敷肿上，
药干再涂之，候肿消为度。
〔《山》〕治香港脚。用无名异化牛皮胶，调匀贴患处。
〔世〕治远行脚肿，用之可行千里，轻便甚妙。
防风 细辛 草乌
上等分为末，掺内鞋底内。如着前鞋，即以水微湿过，然后掺药。
〔《食》〕疗香港脚风痹不仁，五缓筋急。熊肉半斤，于豉汁中和姜、椒、葱白、盐、酱作腌腊，空腹食之。
〔《玉》〕针香港脚肿痛∶三里 绝骨（各二寸半。） 丘墟（针入一寸，泻之。） 行间（五分，留八吸泻之。）
解溪（留十吸泻之，针入五分。） 商丘（针入五分，泻十吸。）
〔《撮》〕治香港脚诸穴，随经选用之∶陷谷（三分，泻之。）行谷（五分，泻之，灸。） 中封（泻之，灸。）
侠溪（先泻后补，灸。） 阳辅 绝骨（各二寸半，泻之，灸。） 通谷（一分，泻之，灸。）
〔东阳〕香港脚针灸大法∶（此法与《千金》同，兼服药。） 风市（百壮。三报穴，正身平立垂手指尽处大筋
上是。） 伏免（病患端坐离膝盖上七寸，以左右指按捺上有肉起如兔状是穴，可灸五十壮，三报穴。）
犊鼻（五十壮，三报穴。） 膝眼（二十壮。） 三里 上廉 下廉 绝骨（各五十壮。凡上项诸穴，不必一
顿灸尽壮数，可日日报灸之，三日令尽壮数为佳。凡一脚病即灸一脚，两脚病灸两脚，弱者看轻重加减，
不可执一，灵验不可述也。）
〔扁鹊〕又香港脚∶肾气（脐傍相去各四寸。） 肩井 三里 气海 交龙
〔《撮》〕寒湿香港脚，红肿生疮∶中封（五分，泻之。） 阳辅 绝骨（各二寸半，泻之，灸。）
〔《集》〕又法∶行间 三里 照海 昆仑 绝骨 京骨 委中 三阴交
〔《玉》〕两足麻，足腿膝无力∶风市（在腿外廉垂手中指点到处是穴，针五分，补多泻少 留五呼，
先泻成，后补生。）
〔《集》〕又足不能行∶丘墟 行间 昆仑 太冲 阳辅 三阴交 复溜 三里（大治足不行）
〔《本》〕风有一百二十四种，气有八十种，唯香港脚、头风、上气当须药不绝，余则随其发动临时消息。
但有风气之人，春末夏初及秋暮，得通泄则不困剧，所谓通泄者，如麻黄、牵牛、郁李仁之类是也，不必苦寒
利药也。
〔垣〕《外台》云∶第一忌嗔，嗔则心烦，烦则香港脚发。第二禁大语，大语则伤肺，肺伤亦发动。又不得露
足当风入水，以冷水洗脚，两脚胫尤不宜冷，虽暑月常须着绵裤，至冬寒倍令两胫温暖，得微汗大佳。根据此将
息，气渐薄损，每至寅丑日割手足甲，割少侵肉去气。夏时腠理开，不宜当风卧睡，睡觉令人按 ，勿使邪
气稽留，数劳动关节，常令通畅，此并养生之要，拒风邪之法也。寻常有力，每食后行三五百步，疲倦便止，
脚中恶气，随即下散，虽浮肿气，不能上也。
〔罗〕凡治此疾，每旦早饭任意饱食，午饭少食，晚饭不食，弥佳。恐伤脾胃营运之气，失其天度。况夜
食则血气壅滞，而阴道愈增肿痛矣。
〔垣〕第一，凡饮食酒及 酪，勿使过度，过则伤损脾胃，下注于足胫跗肿，遂成脚疾。第二，欲不可纵，
嗜欲多则香港脚发。凡饮食之后，宜缓行二三百步，不至汗出，觉困则止，如此则不能成壅也。经云∶逸者行之。
又云∶病湿痹，忌温食、饱食、湿地、濡衣。
〔《千》〕凡香港脚之病，极须忌房室牛羊鱼肉蒜韭菜菘菜蔓菁瓠子酒面酥油浮糜猪鸡鹅鸭，并忌大怒，惟
得食粳粱粟米酱豉葱椒姜橘皮，又不得食诸生果子酸酢之食，犯者皆不瘥。
凡香港脚之病，始起甚微，多不令人识也。食饮嬉戏，气力如故，惟卒起脚屈，弱不能动，有此为异耳。凡
香港脚之候，或见食呕吐，憎闻食臭，或有腹痛下利，或大小便闭涩不通，或胸中冲悸，不欲见光明，或精神昏
惯，或喜迷忘，语言错乱，或壮热头痛，或身体极冷疼烦，或觉转筋，或肿或不肿，或 腿顽痹，或时缓纵不
随，或复百节挛急，或小腹不仁，此皆香港脚状貌也。香港脚有肿者，有不肿者，其小腹顽痹不仁者，多不肿。小
腹顽后不过三五日，即令人呕吐者，名香港脚入心。如此者，死在旦夕。其人黑瘦者易治，肥大肉浓赤白者难愈。
黑人耐风湿，赤白不耐风湿，瘦人肉硬，肥人肉软，肉软则受病难愈。凡香港脚觉病候有异，即须大怖畏，决意
急治之，稍缓则气上入胸胁，逆满气上，肩息，急者死不旋踵，宽者数日必死，不可不急治也。但见心下急，
气喘不停，或自汗数出，或乍寒乍热，其脉促短而数呕吐不止者死。
将药材晒干后研成细末，每次服用五钱，用半碗无灰酒调匀，加热后服用。服药约一小时后，再煎煮后面的药方，将药汤倒入桶中，披上厚衣服坐在桶上熏蒸，不要让药气散失，用热气熏蒸脚和小腿，应当会从下往上出汗，一直出到头顶，汗出如水样，以汗出尽为度。熏洗用药：紫苏（半斤）、忍冬花（四两）、木馒头（七个）、苏木（二两）。以上药材捣碎成粗末，用水装满中等大小的桶，煎至药味散发出来，分三次添加使用，只用一次即可彻底除根。
〔李东垣〕治疗香港脚（足部肿痛病）的淋洗方法。《活人书》说：凡是香港脚服用补药以及用汤药淋洗，都是医家的重大禁忌，这是针对南方外感湿气乘虚侵袭人体导致肿痛而言的，并非针对北方内受湿气注下导致肿痛而言。因为湿气不能向外发散，适宜通过淋洗开导，泄越邪气，名为导气除湿汤。威灵仙、防风、荆芥穗、当归、地骨皮、升麻、白芍、蒴藋叶。以上药材等分切碎，用水二斗，煮取一斗五升，去渣，随时热淋洗。
〔世传〕治疗脚部赤肿。用杉树皮煎浓汤清洗数次，立即痊愈。（《本草》记载：用杉节效果特别显著。）
〔《千金方》〕治疗岭南地区香港脚从足部到膝胫肿胀满痛连及骨骼者。用蓖麻子叶，切碎蒸熟后薄敷，更换两三回，即可消肿。治疗岭南地区香港脚从足部到膝胫肿胀满痛连及骨骼者。蒴藋根切碎，与酒醋共三份，根一份，混合蒸熟，封裹在肿胀处，两三天即可消肿。也治疗肢体麻木不仁。
〔《简要济众方》〕治疗香港脚连累腿部肿胀满痛日久不愈的方剂。黑附子一两，去皮脐，生用，捣成散剂，用生姜汁调成膏状，涂敷在肿胀处，药干了再涂，等到肿胀消退为止。
〔《山居方》〕治疗香港脚。用无名异化开牛皮胶，调匀贴敷患处。
〔世传〕治疗远行导致的脚肿，用了这个方子可以行走千里，非常轻便奇妙。防风、细辛、草乌。以上药材等分为末，掺入鞋底内。如果穿之前的鞋，就用水稍微湿润过，然后掺药。
〔《食疗本草》〕治疗香港脚风痹麻木不仁，五缓筋急。熊肉半斤，在豆豉汁中加入姜、椒、葱白、盐、酱做成腌腊食品，空腹食用。
〔《玉机微义》〕针刺治疗香港脚肿痛：足三里、绝骨（各深二寸半）、丘墟（针入一寸，泻法）、行间（五分深，留针八吸后泻法）、解溪（留针十吸后泻法，针入五分深）、商丘（针入五分深，泻十吸）。
〔《撮要》〕治疗香港脚的诸穴，随经络选用：陷谷（三分深，泻法）、行谷（五分深，泻法，灸法）、中封（泻法，灸法）、侠溪（先泻后补，灸法）、阳辅、绝骨（各深二寸半，泻法，灸法）、通谷（一分深，泻法，灸法）。
〔东阳〕香港脚针灸大法：（此法与《千金方》相同，兼服药物。）风市（百壮。三报穴，正身平立垂手指尽头大筋上是。）伏免（病患端坐离膝盖上七寸，以左右指按捺上有肉起如兔状是穴，可灸五十壮，三报穴。）犊鼻（五十壮，三报穴。）膝眼（二十壮。）足三里、上廉、下廉、绝骨（各五十壮。凡上述诸穴，不必一次灸完壮数，可每天报告并灸之，三日令尽壮数为佳。凡一脚病即灸一脚，两脚病灸两脚，体弱者看轻重加减，不可固执一端，灵验不可述说。）
〔扁鹊〕又治香港脚：肾气（脐旁相去各四寸）、肩井、足三里、气海、交龙。
〔《撮要》〕寒湿香港脚，红肿生疮：中封（五分深，泻法）、阳辅、绝骨（各深二寸半，泻法，灸法）。
〔《集验》〕又法：行间、足三里、照海、昆仑、绝骨、京骨、委中、三阴交。
〔《玉机微义》〕两足麻木，足腿膝无力：风市（在腿外侧垂手中指点到处是穴，针五分，补多泻少，留五呼，先泻成，后补生。）
〔《集验》〕又治足不能行走：丘墟、行间、昆仑、太冲、阳辅、三阴交、复溜、足三里（大治足不行）。
〔《本经》〕风有一百二十四种，气有八十种，唯有香港脚、头风、上气必须用药不断，其余则随其发动临时斟酌。只要有风气的人，春末夏初及秋暮，得通泄则不困剧，所谓通泄者，如麻黄、牵牛、郁李仁之类是也，不必用苦寒利药。
〔李东垣〕《外台秘要》说：第一忌发怒，发怒则心烦，心烦则香港脚发作。第二禁大声说话，大声说话则伤肺，肺伤亦会发动。又不得露足当风入水，以冷水洗脚，两脚胫尤不宜冷，虽暑月常须着绵裤，至冬寒倍令两胫温暖，得微汗大佳。根据此将息，气渐薄损，每至寅丑日割手足甲，割少侵肉去气。夏时腠理开，不宜当风卧睡，睡觉令人按摩，勿使邪气稽留，数劳动关节，常令通畅，此并养生之要，拒风邪之法也。寻常有力，每食后行三五百步，疲倦便止，脚中恶气，随即下散，虽浮肿气，不能上也。
〔罗天益〕凡治此疾，每旦早饭任意饱食，午饭少食，晚饭不食，弥佳。恐伤脾胃营运之气，失其天度。况夜食则血气壅滞，而阴道愈增肿痛矣。
〔李东垣〕第一，凡饮食酒及酪，勿使过度，过则伤损脾胃，下注于足胫跗肿，遂成脚疾。第二，欲不可纵，嗜欲多则香港脚发。凡饮食之后，宜缓行二三百步，不至汗出，觉困则止，如此则不能成壅也。经云：逸者行之。又云：病湿痹，忌温食、饱食、湿地、濡衣。
〔《千金方》〕凡香港脚之病，极须忌房室牛羊鱼肉蒜韭菜菘菜蔓菁瓠子酒面酥油浮糜猪鸡鹅鸭，并忌大怒，惟得食粳粱粟米酱豉葱椒姜橘皮，又不得食诸生果子酸酢之食，犯者皆不瘥。
凡香港脚之病，始起甚微，多不令人识也。食饮嬉戏，气力如故，惟卒起脚屈，弱不能动，有此为异耳。凡香港脚之候，或见食呕吐，憎闻食臭，或有腹痛下利，或大小便闭涩不通，或胸中冲悸，不欲见光明，或精神昏惯，或喜迷忘，语言错乱，或壮热头痛，或身体极冷疼烦，或觉转筋，或肿或不肿，或腿顽痹，或时缓纵不随，或复百节挛急，或小腹不仁，此皆香港脚状貌也。香港脚有肿者，有不肿者，其小腹顽痹不仁者，多不肿。小腹顽后不过三五日，即令人呕吐者，名香港脚入心。如此者，死在旦夕。其人黑瘦者易治，肥大肉浓赤白者难愈。黑人耐风湿，赤白不耐风湿，瘦人肉硬，肥人肉软，肉软则受病难愈。凡香港脚觉病候有异，即须大怖畏，决意急治之，稍缓则气上入胸胁，逆满气上，肩息，急者死不旋踵，宽者数日必死，不可不急治也。但见心下急，气喘不停，或自汗数出，或乍寒乍热，其脉促短而数呕吐不止者死。
Dry the herbs in the sun, grind them into powder, take 5 qian each time, mix with half a bowl of unfermented wine, heat and drink. After about one hour, decoct the following medicine, pour the soup into a bucket, sit on top of the bucket covered with thick clothing, do not let the medicinal vapor escape, fumigate the legs and feet with the heat. Sweat should emerge from bottom to top, reaching until the crown of the head, flowing like water, stop when the sweat is exhausted. For fumigation and washing use: Perilla Fructus (Ban Jin), Honeysuckle Flower (Si Liang), Ficus hirta (Qi Ge), Sappan Wood (Er Liang). Grind the above into coarse powder, fill a medium-sized bucket with water, decoct until the medicinal odor emerges, add water three times for use. Using it once can permanently eradicate the root cause.
[Li Dongyuan] Washing method for Hongxiangjiao (Gout/Charley-horse). The *Huoren Shu* states: Taking tonifying medicines and using hot water washing for Hongxiangjiao are major taboos in medicine. This refers to southern external dampness invading the body due to deficiency causing swelling and pain, not to northern internal dampness sinking down causing swelling and pain. Since dampness cannot reach the exterior, it is suitable to open and guide through washing, draining and venting the pathogen, named Daoqi Chushi Tang (Qi-Guiding Dampness-Draining Decoction). Clematis Root (Weilingxian), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie Sui), Angelica Sinensis Root (Danggui), Bark of Ground Tree Broomroot (Digupi), Cimicifuga Rhizome (Shengma), White Peony Root (Baishao), Dioscorea Hypoglauca Stem (Shuodie Ye). Equal parts of the above herbs, finely chopped, boil two dou of water to obtain one dan five sheng, remove dregs, wash hot at any time.
[Worldly Transmission] Treat red and swollen feet. Wash several times with concentrated decoction of fir bark, immediate cure. (*Bencao* records: Using fir joints is particularly effective.)
*[Qianjin Fang]* Treat Hongxiangjiao in Lingnan region where swelling and bone pain extend from foot to knee and shin. Use Ricinus Communis Leaf, cut, steam thinly, wrap, change two or three times, swelling subsides. Treat Hongxiangjiao in Lingnan region where swelling and bone pain extend from foot to knee and shin. Chop Dioscorea Hypoglauca Root, mix with wine and vinegar three parts, root one part, steam together, seal and wrap on swelling, subside in two or three days. Also treats numbness.
*[Jianyao Jizhong Fang]* Formula for Hongxiangjiao with leg swelling persisting for a long time. Black Aconite Root (Hei Fuzi) 1 liang, peel navel, use raw, crush into powder, mix with ginger juice into paste, apply on swelling, reapply when dry, until swelling subsides.
*[Shanju Fang]* Treat Hongxiangjiao. Dissolve Wumingyi (Hematite?) with cowhide glue, mix evenly, apply to affected area.
[Worldly Transmission] Treat foot swelling from long walking; using this allows walking a thousand miles, very light and wonderful. Saposhnikovia Root (Fangfeng), Asarum Root (Xixin), Aconitum Carmichaelii Root (Caowu). Equal parts into powder, sprinkle inside shoe soles. If wearing previous shoes, moisten slightly with water, then sprinkle medicine.
*[Shiliao Bencao]* Treat Hongxiangjiao wind-bi numbness, five slacknesses and tendon tension. Bear meat 0.5 jin, mix with soybean paste juice, ginger, pepper, scallion white, salt, sauce to make cured meat, eat on empty stomach.
*[Yuji Wei Yi]* Acupuncture for Hongxiangjiao swelling and pain: Zusanli (3.5 cun deep), Jiexu (3.5 cun deep), Qiuxu (insert 1 cun, reducing method), Xingjian (0.5 cun deep, retain needle for eight breaths then reduce), JieXi (retain needle for ten breaths then reduce, insert 0.5 cun), Shangqiu (insert 0.5 cun, reduce ten breaths).
*[Cuoyao]* Acupoints for Hongxiangjiao, select according to meridian: Xiagu (0.3 cun deep, reducing), Xinggu (0.5 cun deep, reducing, moxa), Zhongfeng (reduce, moxa), Xiaxi (first reduce then tonify, moxa), Yangfu, Jiexu (each 3.5 cun deep, reduce, moxa), Tonggu (0.1 cun deep, reduce, moxa).
[Dongyang] Major acupuncture method for Hongxiangjiao: (This method is same as *Qianjin*, combined with medication.) Fengshi (100 moxa cones. Sanbao point, stand straight, hang hand, large tendon at tip of finger is the point.) Fumian (Patient sits upright, 7 cun above knee, press with left/right fingers, fleshy rise like rabbit shape is the point, 50 moxa cones, Sanbao point.) Dubi (50 moxa cones, Sanbao point.) Xiyan (20 moxa cones.) Zusanli, Shanglian, Xialian, Jiexu (each 50 moxa cones. Do not burn all cones at once, report and moxa daily, best to finish in three days. One foot disease moxa one foot, both feet disease moxa both feet, weak patients adjust according to severity, do not be rigid, efficacy is indescribable.)
[Bian Que] Another treatment for Hongxiangjiao: Shenqi (4 cun lateral to umbilicus), Jianjing, Zusanli, Qihai, Jiaolong.
*[Cuoyao]* Cold-damp Hongxiangjiao, red swelling and sores: Zhongfeng (0.5 cun deep, reduce), Yangfu, Jiexu (each 3.5 cun deep, reduce, moxa).
*[Jiyan]* Another method: Xingjian, Zusanli, Zhaohai, Kunlun, Jiexu, Jinggu, Weizhong, Sanyinjiao.
*[Yuji Wei Yi]* Numbness in both feet, weakness in legs and knees: Fengshi (Lateral thigh, point where middle finger touches when hanging hand, insert 0.5 cun, tonify more than reduce, retain five breaths, first reduce then tonify.)
*[Jiyan]* Another treat for inability to walk: Qiuxu, Xingjian, Kunlun, Taichong, Yangfu, Sanyinjiao, Fuliou, Zusanli (Greatly treats inability to walk).
*[Benjing]* There are 124 types of wind, 80 types of qi, only Hongxiangjiao, Head Wind, and Ascending Qi require continuous medication, others depend on onset and adjust temporarily. Those with wind qi, late spring early summer and late autumn, if allowed to drain and unblock, will not be severe. What is called draining and unblocking includes Ephedra Herb (Mahuang), Morning Glory Seed (Qianniu), Prunus Armeniaca Kernel (Yuliren), etc., no need for bitter cold purgatives.
[Li Dongyuan] *Waitai Miyao* says: First taboo is anger, anger causes heart vexation, vexation triggers Hongxiangjiao. Second taboo is loud talking, loud talking damages Lung, Lung damage also triggers it. Do not expose feet to wind or enter water, do not wash feet with cold water, calves especially should not be cold, even in summer wear cotton pants, in winter keep calves warm, slight sweating is excellent. Rest according to this, qi gradually thins, every Yin-Chou day cut toe/nail slightly to release qi. In summer pores open, do not sleep facing wind, have someone massage after sleep, do not let pathogenic qi linger, frequently move joints, keep them smooth, these are key to health preservation and rejecting wind pathogen. Normally strong, walk 300-500 steps after meals, stop when tired, evil qi in feet disperses downward, even if swollen qi cannot ascend.
[Luo Tianyi] To treat this disease, breakfast freely full, lunch less, dinner none, better still. Fear damaging Spleen-Stomach transport and transformation qi, losing heavenly rhythm. Moreover, night eating causes blood and qi stagnation, increasing swelling and pain via yin pathways.
[Li Dongyuan] First, do not overconsume alcohol and dairy, overconsumption damages Spleen-Stomach, sinking to calf and instep swelling, becoming foot disease. Second, desires must not be indulged, excessive desires trigger Hongxiangjiao. After eating, walk slowly 200-300 steps, do not sweat, stop when tired, thus preventing stagnation. Classic says: Move those who are idle. Also says: With damp-bi, avoid warm food, full meals, damp ground, wet clothes.
*[Qianjin Fang]* Hongxiangjiao disease strictly forbids sexual intercourse, beef, mutton, fish, meat, garlic, Chinese cabbage, turnip, gourd, wine, flour, butter, porridge, pork, chicken, goose, duck, and forbid great anger. Only allow rice, millet, soy sauce, fermented beans, scallion, pepper, ginger, tangerine peel. Do not eat raw fruits or sour foods, offenders will not heal.
Hongxiangjiao disease starts very subtly, often unrecognized. Eating, drinking, playing, strength remains normal, only sudden foot flexion, weakness unable to move, this is abnormal. Signs of Hongxiangjiao: vomiting upon seeing food, aversion to food smell, abdominal pain and diarrhea, constipation or difficult urination, chest palpitations, fear of light, mental confusion, forgetfulness, disordered speech, high fever headache, extreme body cold pain and vexation, muscle twitching, swelling or no swelling, leg numbness/bi, occasional flaccidity, joint spasms, lower abdomen numbness, these are all appearances of Hongxiangjiao. Some have swelling, some do not, those with lower abdomen numbness usually do not swell. Lower abdomen numbness followed by vomiting within 3-5 days is named Hongxiangjiao entering Heart. Such cases die soon. Dark thin people are easy to treat, fat thick red-white people are hard to cure. Dark people tolerate wind-damp, red-white do not tolerate, thin people have hard flesh, fat people have soft flesh, soft flesh makes disease hard to cure. Whenever Hongxiangjiao signs appear abnormal, must be greatly fearful, decide to treat urgently. Slight delay causes qi to enter chest and hypochondrium, reverse fullness, shoulder breathing, urgent death follows quickly, slow death occurs in days, must treat urgently. Seeing epigastric urgency, continuous panting, spontaneous sweating, alternating chills and fever, rapid short frequent pulse, continuous vomiting indicates death.