浮涩而紧痹之脉也
治风寒湿三气合而为痹
防风 甘草 当归 茯苓 杏仁 官桂 黄芩 秦艽 干葛 麻黄 水二钟酒一钟姜三
片枣一枚煎八分不拘时服
治痛痹四肢疼痛拘挛浮肿
茯苓 桑皮 川芎 防风 官桂 芍药 麻黄 水二钟姜五片枣一枚煎八分不拘时服
治五痹
片姜黄 羌活 防己 甘草 白术 水二钟姜三片煎八分不拘时服
治手足冷痹腰腿沉重及身体烦疼
当归 赤芍药 黄 防风 羌活 甘草 片姜黄 水二钟姜五片煎八分不拘时服
治血虚历节风痛
羌活 附子 秦艽 官桂心 木香 骨碎补 川芎 当归 牛膝 甘草 桃仁 防风
水二钟姜五片煎八分不拘时服
治痰饮留滞手足麻痹
茯苓 半夏 甘草 枳实 陈皮 薄桂 南星 水二钟姜三片煎八分不拘时服
伤寒一科自仲景先师而下得其旨趣者几人哉予考之治伤寒有三百九十七法一百一十三方
盖变迁之不定反复之无常运气匪明不能知阴阳之消长主客匪辨不能知时月之盛衰是亦难矣必
也明素难精脉理分经络然后方可施治其大要无出乎表里阴阳虚实寒热八者而已矧内伤有似于
外感一或少差悬隔霄壤东垣立内外伤辨明且备矣而丹溪亦云千世之下得旨趣者惟东垣而已故
治法当对症斟方表则汗里则下表里汗下之法少有未当则死生之系岂小小哉
浮、涩、紧是痹证的脉象。
治疗风寒湿三气合而为痹的病症：防风、甘草、当归、茯苓、杏仁、官桂、黄芩、秦艽、干葛、麻黄，用水二钟、酒一钟、生姜三片、大枣一枚，煎至八分，不拘时候服用。
治疗痛痹（以疼痛为主症的痹证），表现为四肢疼痛、拘挛、浮肿：茯苓、桑白皮、川芎、防风、官桂、芍药、麻黄，用水二钟、生姜五片、大枣一枚，煎至八分，不拘时候服用。
治疗五痹：片姜黄、羌活、防己、甘草、白术，用水二钟、生姜三片，煎至八分，不拘时候服用。
治疗手足冷痹、腰腿沉重以及身体烦疼：当归、赤芍药、黄芪、防风、羌活、甘草、片姜黄，用水二钟、生姜五片，煎至八分，不拘时候服用。
治疗血虚导致的历节风痛（一种关节剧烈疼痛的疾病）：羌活、附子、秦艽、官桂心、木香、骨碎补、川芎、当归、牛膝、甘草、桃仁、防风，用水二钟、生姜五片，煎至八分，不拘时候服用。
治疗痰饮留滞导致的手足麻痹：茯苓、半夏、甘草、枳实、陈皮、薄桂、南星，用水二钟、生姜三片，煎至八分，不拘时候服用。
伤寒这一科，自张仲景先师以来，能得其精髓旨趣的人有多少呢？我考察过，治疗伤寒有三百九十七种治法、一百一十三首方剂。大概是因为病情变化不定，反复无常，如果不通晓运气学说，就不能知晓阴阳的消长；如果不分辨主客邪气，就不能知晓月份时令的盛衰，这也很困难啊。必须精通《素问》《难经》，精研脉理，分清经络，然后才可以施治。其大要不出乎表、里、阴、阳、虚、实、寒、热这八者罢了。况且内伤疾病有类似外感的情况，一旦稍有差错，便相差甚远。李东垣确立了内外伤辨别的理论，详尽且完备。而朱丹溪也说，千世之下能得其旨趣的只有李东垣罢了。所以治疗方法应当对症斟酌选方，在表则用汗法，在里则用下法。如果表里汗下之法稍有不当，便关系到生死，这岂是小事呢？
Floating, choppy, and tight pulses are indicative of Bi syndrome (Obstruction Syndrome).
For the treatment of Bi syndrome caused by the combination of Wind-Cold-Dampness: Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Xingren (Armeniacae Semen Amarum), Guigui (Cinnamomi Ramulus), Huangqin (Scutellariae Radix), Qinjiao (Gentianae Macrophyllae Radix), Gange (Puerariae Lobatae Radix), Mahuang (Ephedrae Herba). Decoct with 2 units of water, 1 unit of wine, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 Zao (Jujubae Fructus) until reduced to 80% volume. Take at any time.
For the treatment of Painful Bi syndrome characterized by pain in the four limbs, contracture, and edema: Fuling (Poria), Sangpi (Mori Cortex), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Guigui (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Mahuang (Ephedrae Herba). Decoct with 2 units of water, 5 slices of Shengjiang (Zingiberis Rhizoma Recens), and 1 Zao (Jujubae Fructus) until reduced to 80% volume. Take at any time.
For the treatment of Five Types of Bi syndrome: Pianjianghuang (Curcumae Longae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangji (Stephaniae Tetrandrae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma). Decoct with 2 units of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 80% volume. Take at any time.
For the treatment of Cold Bi syndrome of the hands and feet, heaviness in the waist and legs, and general body discomfort/pain: Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Huangqi (Astragali Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Pianjianghuang (Curcumae Longae Rhizoma). Decoct with 2 units of water and 5 slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 80% volume. Take at any time.
For the treatment of Li Jie Feng Tong (Severe Joint Pain due to Blood Deficiency): Qianghuo (Notopterygii Rhizoma et Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Qinjiao (Gentianae Macrophyllae Radix), Guixin (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Gusui Bu (Drynariae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Niuxi (Achyranthis Bidentatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Taoren (Persicae Semen), Fangfeng (Saposhnikoviae Radix). Decoct with 2 units of water and 5 slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 80% volume. Take at any time.
For the treatment of numbness in the hands and feet caused by retention of Phlegm-Fluids: Fuling (Poria), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), Chenpi (Citri Reticulatae Pericarpium), Bo Gui (Cinnamomi Cortex), Nanxing (Arisaematis Cum Bile). Decoct with 2 units of water and 3 slices of Shengjiang (Zingiberis Rhizoma Recens) until reduced to 80% volume. Take at any time.
Regarding the discipline of Shanghan (Cold Damage diseases), how many practitioners since Master Zhang Zhongjing have truly grasped its essence? I have examined that there are 397 methods and 113 formulas for treating Shanghan. This is because the disease changes unpredictably and repeatedly; without understanding Yunqi (Five Movements and Six Qi), one cannot know the waxing and waning of Yin and Yang; without distinguishing between Host and Guest pathogens, one cannot know the prosperity and decline of seasonal months. This is indeed difficult. One must master the Suwen (Plain Questions) and Nanjing (Classic of Difficult Issues), refine pulse diagnosis, and differentiate meridians before applying treatment. The general principles do not exceed the eight categories: Exterior, Interior, Yin, Yang, Deficiency, Excess, Cold, and Heat. Moreover, internal injuries often resemble external contractions; a slight error can lead to vast discrepancies. Li Dongyuan established the differentiation between internal injury and external contraction, which was thorough and complete. Zhu Danxi also stated that among those who came a thousand years later, only Li Dongyuan grasped the essence. Therefore, treatment methods should be carefully matched to symptoms: use sweating methods for exterior conditions and purging methods for interior conditions. If the application of sweating or purging for exterior or interior conditions is slightly inappropriate, it concerns life and death; how could this be a trivial matter?