颤，摇也∶振，战动也。亦风火摇撼之象，由水虚而然。（水主静，虚则风火内生而动摇
矣。）风木盛则脾土虚，脾为四肢之本，四肢乃脾之末，故曰风淫末疾。（有头摇动而手足不
动者，木气上冲也。）风火盛而脾虚，则不能行其津液，而痰湿亦停聚，当兼去痰。子和
治马叟，风搐三年，掉颤抖搜之甚，如线引傀儡，以防风通圣散（见中风）汗之，继服涌
剂吐痰一二升，又下行五七次，数日又再涌去痰三四升，又下数行乃愈。但觉极寒，
盖卫气未复也，以散风导气药调之。不用温热，恐又动火故也。风火交盛者，摧肝
丸。气虚者，参术汤。（气虚不能周，四肢为虚风所鼓故动。）心血虚者，补心丸。挟痰，
导痰汤（见痰）加竹沥。老人战振，定振丸。
（酒风脚 脚腕疮 脚跟注孔）
香港脚之名，始于晋苏敬，上古所无。然其肿痛顽麻，即《经》所谓痹也；纵缓
不收，即《经》所谓痿也；甚而气上冲心腹，即《经》所谓厥逆也。病由湿致，或
水湿外侵，或水饮内注。其初多寒，止见顽麻，其后湿郁成热，遂为肿痛。湿热蒸
发则肿，血气壅滞则痛也。若加以风寒外袭，则热愈不得泄，而痛益甚矣。两脚之
气血既壅滞不行，则周身之气血亦不宣通，郁而发热；气不宣通则不周于
表，故洒洒恶寒，而证类伤寒矣。纵缓不收者，筋得湿热则软而无力也。（凡物之
湿热者必软。）甚而上冲者，下不通则反干乎上也。治法须分湿热多寡，湿多热少，则肿
甚而痛微；湿少热多，则肿微而痛甚。亦有单湿而无热者，但肿胀而不痛，俗名湿
香港脚；单热而无湿者，但热痛而不肿，（甚者枯细。）俗名干香港脚。（虽曰无湿，亦必有老痰恶涎凝
聚不散。）初起止觉冷冻顽麻而肿，灸患处二三十壮以引湿气外出，更饮驱湿药酒以通
经散邪，用药宜麻黄、川乌、姜、附之属。麻黄发散，使湿从外泄；川乌辛热，走
而不守，以通行经络；姜、附以散其寒；羌、防、升麻、葛根辈以升散之，风胜湿
也；二术以燥之，土克水也；兼用二苓、泽泻辈以利之。此治寒湿之大法也。（苡仁
酒、独活寄生汤可用。）若初起止觉热痛不肿，乃三阴血虚，阳邪下陷成热不散，血脉不通
而痛也，无湿故不肿。治宜清热养血，四物（见血）、六味（见虚损），并加牛
膝、黄柏、知母。
又用补中益气汤（见气）。以升提阳气之下陷。此治虚热之大法也。实热则兼湿痰，肿而
痛也。便结者，羌活导滞汤微利之，后服当归拈痛汤。（见身痛。）身有寒热者，加味败
毒散，后服当归拈痛汤。（见身痛。）疼如火燎，热至腰胯，加味二妙丸。痛不
可忍者，五积散（见中寒）加全蝎三个，酒煎。大抵湿热壅塞，治宜宣通，活络丹（见
中风）最妙。邪深伏者，非此不能透达。若壅塞既成，须砭恶血以杀其势，而后药之。
此证须分经用药，前廉为阳明，白芷、升麻、葛根为引；后廉为太阳，羌活、防风
为引；外廉为少阳，柴胡为引；内廉为厥阴，青皮、川芎、吴茱萸为引；内前廉为
太阴，苍术、白芍为引；内后廉为少阴，独活为引。又须察其有无外感，感风则自
汗，感寒则无汗，并加发散之品。（风加羌活、防风，寒加麻黄、细辛。）若病甚而上攻，少腹
不仁，或见食呕吐，腰脊身体俱痛，胸胁痛，则为重证。但见少腹不仁，不过二三
日即上攻心，心烦气喘，呕逆头痛，眩冒不得眠，谵妄，目额黑，汗大出，脉短促
而数，左寸乍大乍小乍无，尺绝者，皆不治，所谓冲心即死也。今列数方于左。丹
溪用四物汤（见血）加炒黄柏，另以附子末津调敷涌泉穴，安艾灸之，以引热下行。（血虚
热上冲者宜之。）金匮八味丸（见虚损）治香港脚上入少腹不仁，（肾寒湿气上冲者宜。
）或茱萸丸、茱萸
木瓜汤。槟榔为末，童便调服。大腹子散。三脘散。桑白皮散。（以上实者宜之。）犀角散。
（热者宜之。）沉香散。（无热者宜之。）紫苏叶三两，桑白皮（炒）二两，前胡（去芦）一两，每服八钱。
槟榔二枚，杏仁（去皮、尖）二十粒，生姜五片，水煎汤服。苏子降气汤，佐以养正丹或
四磨饮。（并见气。以上气喘急者宜之。）八味平胃散（见呕吐），畏食者，生料平胃散
（见伤饮食），并加
木瓜一钱。半夏散。橘皮汤。（以上呕逆恶心者宜。）岭南人嗜酒者，每多病此，名酒风脚。
由酒之湿热伤脾，不能运化，因而下坠，结为痰涎，不得解散所致。其痛不可忍，
虽蚊蝇着脚重若石压。治此鲜有效者，盖利湿清热易，而去结痰难也。《准绳》载治
廉平章患此，初用当归拈痛汤（见身痛），二服效。后食湿面复发，以羌活辛温透关节去
湿为君；当归辛温散壅，枳壳苦寒消食为臣；大黄苦寒导湿面下行，并利留结老血
为使，全愈。又云∶控涎丹（见痰）加胭脂一钱，槟榔、木瓜各一两，卷柏半两，（先以盐水
煮半日，又用白水煮半日。）同为丸，每服三十丸，加至五十丸，利下恶物立效。又云∶威
灵仙为末，蜜丸桐子大，酒下八十丸，利出恶物如青脓桃胶。当仿其意用之，先去
其湿热使气血得通，次以升、柴等轻清之药提拔痰涎上行，以控涎丹及诸软坚消结
之品取之，更砭去恶血，可见。《活人书》云∶香港脚忌服补药，禁用汤淋洗。按此为
邪气壅实者言，故忌补。又为湿气太盛将欲上冲者言，恐淋洗蒸动其湿，助之升腾
也。若湿正沉坠在脚，不能外达，正宜淋洗以导之外出，用防风、荆芥、威灵仙、
草乌、川椒、白芷、乌药、苍术、紫苏之属，煎汤热洗可也。两脚须常护，令
暖有微汗，仍不时令人按揉。饭后常自行动，以散泄其湿热为佳。夜饭宜少，不食
更好，盖夜食难消，最能壅滞气血也。香港脚有腿腕生疮者，肿痛用漏芦、白蔹、五
加皮、槐白皮、甘草各七钱半，蒺藜子二两，水煎去渣，于无风处洗之。心烦乱者，
犀角散。脚跟注一孔，深半寸许，每下半日痛异常，以人中白火上 ，中有水出，
滴入疮口。
颤，是指摇动；振，是指战栗动摇。这也是风火摇撼的征象，是由肾水亏虚所致。（水主静，水虚则风火内生而引发动摇。）肝木之气过盛则导致脾土虚弱，脾为四肢的根本，四肢是脾的末梢，所以说风邪容易侵袭末梢导致疾病。（有的患者仅头部摇动而手足不动，这是肝木之气上冲所致。）若风火亢盛且脾虚，则脾不能运化津液，导致痰湿停聚，治疗时应当兼以祛痰。张子和治疗马叟，患风搐三年，颤抖剧烈，如同线牵引傀儡一般，先用防风通圣散发汗，继服涌吐剂吐出痰涎一二升，又用泻下法排便五七次，数日后再次涌吐去痰三四升，又下行数次才痊愈。但患者感觉极度寒冷，这是因为卫气尚未恢复，用疏散风邪、调理气机的药物调治。不用温热药，是担心再次助长火热之邪。若是风火交相亢盛者，用摧肝丸。气虚者，用参术汤。（气虚不能周流全身，四肢被虚风鼓动故发生动摇。）心血虚者，用补心丸。兼有痰浊者，用导痰汤加竹沥。老人战栗动摇者，用定振丸。
（酒风脚、脚腕疮、脚跟注孔）
“香港脚”这一病名，始于晋代苏敬，上古时期并无此称。然而其肿痛顽麻的症状，就是《内经》所说的痹证；肢体纵缓不收的症状，就是《内经》所说的痿证；严重时气逆上冲心腹的症状，就是《内经》所说的厥逆证。此病由湿邪引起，或是外受水湿侵袭，或是内停水饮注积。初起多表现为寒象，仅见顽麻，随后湿邪郁久化热，便出现肿痛。湿热蒸发则肿胀，气血壅滞则疼痛。如果再加上风寒外袭，则热邪更无法宣泄，疼痛也就更加剧烈。两脚的气血既已壅滞不行，周身的气血也不宣通，郁结而发热；气机不宣通则不能布达体表，所以出现洒淅恶寒的症状，证候类似伤寒。肢体纵缓不收，是因为筋脉受到湿热熏蒸而软弱无力。（凡是物体遇湿热必然变软。）严重到气逆上冲的，是因为下部不通畅反而干扰上部。治疗方法必须区分湿与热的多少：湿多热少，则肿胀明显而疼痛轻微；湿少热多，则肿胀轻微而疼痛剧烈。也有仅有湿邪而无热邪的，仅肿胀而不痛，俗称为湿香港脚；仅有热邪而无湿邪的，仅热痛而不肿（严重的肢体枯细），俗称为干香港脚。（虽然说是无湿，但也一定有老痰恶涎凝聚不散。）初起时只觉得冷冻顽麻并伴有肿胀，可在患处艾灸二三十壮以引湿气外出，再饮用驱湿药酒以通经散邪，用药宜选用麻黄、川乌、生姜、附子之类。麻黄发散，使湿邪从体表泄出；川乌辛热，走而不守，以通行经络；姜、附以散寒邪；羌活、防风、升麻、葛根等药以升散之，取“风能胜湿”之意；苍术、白术以燥湿，取“土能克水”之意；兼用茯苓、猪苓、泽泻等药以利水渗湿。这是治疗寒湿的大法。（苡仁酒、独活寄生汤可用。）若初起时只觉得热痛而不肿，这是三阴经血虚，阳邪下陷化为热邪不散，血脉不通而致疼痛，因无湿故不肿。治疗宜清热养血，用四物汤、六味地黄丸，并加牛膝、黄柏、知母。
又用补中益气汤，以升提下陷的阳气。这是治疗虚热的大法。实热则兼夹湿痰，表现为肿胀且疼痛。大便干结者，用羌活导滞汤微利之，之后服用当归拈痛汤。身体有寒热症状者，用加味败毒散，之后服用当归拈痛汤。疼痛如火燎，热感至腰胯部，用加味二妙丸。疼痛不可忍受者，用五积散加全蝎三个，酒煎服。大抵湿热壅塞，治疗宜宣通，活络丹最为巧妙。邪气深伏者，非此药不能透达。若壅塞已成，须用砭石刺破排出恶血以遏制病势，然后再用药治疗。此证须分经络用药：前侧为阳明经，以白芷、升麻、葛根为引经药；后侧为太阳经，以羌活、防风为引经药；外侧为少阳经，以柴胡为引经药；内侧为厥阴经，以青皮、川芎、吴茱萸为引经药；内前侧为太阴经，以苍术、白芍为引经药；内后侧为少阴经，以独活为引经药。又须观察是否有外感，感受风邪则自汗，感受寒邪则无汗，并加入发散的药物。（风邪加羌活、防风，寒邪加麻黄、细辛。）若病情严重而上攻，少腹麻木不仁，或进食后呕吐，腰脊身体俱痛，胸胁痛，则为重证。只要出现少腹麻木不仁，不过两三天就会上攻于心，出现心烦气喘、呕逆头痛、眩晕昏冒不得安眠、谵语妄言、目眶及额头发黑、大汗出、脉短促而数、左寸脉乍大乍小乍无、尺脉绝迹等症状，都属于不治之症，所谓“冲心即死”。现将数个方剂列于下方。朱丹溪用四物汤加炒黄柏，另用附子末以唾液调匀敷于涌泉穴，安放艾条灸之，以引热下行。（适用于血虚热上冲者。）金匮八味丸治疗香港脚上入少腹麻木不仁，（适用于肾寒湿气上冲者。）或用茱萸丸、茱萸木瓜汤。槟榔研末，童便调服。大腹子散。三脘散。桑白皮散。（以上适用于实证。）犀角散。（适用于热证。）沉香散。（适用于无热证者。）紫苏叶三两，桑白皮（炒）二两，前胡（去芦头）一两，每服八钱。槟榔二枚，杏仁（去皮、尖）二十粒，生姜五片，水煎汤服。苏子降气汤，佐以养正丹或四磨饮。（均见气病篇。以上适用于气喘急促者。）八味平胃散（见呕吐篇），畏食者，用生料平胃散（见伤饮食篇），并加木瓜一钱。半夏散。橘皮汤。（以上适用于呕逆恶心者。）岭南人嗜酒者，多患此病，名为酒风脚。由于酒的湿热损伤脾胃，不能运化，因而下坠，凝结为痰涎，不得解散所致。其疼痛不可忍受，即使蚊蝇落在脚上也觉得沉重如石头压迫。治疗此病鲜有效果，因为利湿清热容易，而去结痰难。《准绳》记载治疗廉平章患此病，初用当归拈痛汤，服两剂见效。后因吃湿面复发，以羌活辛温透关节去湿为君药；当归辛温散壅滞，枳壳苦寒消食积为臣药；大黄苦寒引导湿面下行，并利除留结的老血为使药，最终痊愈。又说：控涎丹加胭脂一钱，槟榔、木瓜各一两，卷柏半两，（先以盐水煮半天，再用白水煮半天。）同为丸药，每服三十丸，加至五十丸，利下恶物后立即见效。又说：威灵仙研末，蜜丸如梧桐子大，酒送服八十丸，利出恶物如青脓桃胶状。应当仿照其意使用，先去其湿热使气血得以通畅，其次用升麻、柴胡等轻清之药提拔痰涎上行，用控涎丹及诸软坚消结之品攻取，更用砭石去除恶血，可见疗效。《活人书》说：香港脚忌服补药，禁用热水汤淋洗。按：这是针对邪气壅实者而言，所以忌补。又是针对湿气太盛将欲上冲者而言，恐怕淋洗蒸动湿气，助其升腾。若湿气正沉坠在脚部，不能外达，正适宜淋洗以导之外出，可用防风、荆芥、威灵仙、草乌、川椒、白芷、乌药、苍术、紫苏等药，煎汤热洗即可。双脚须常保护，令温暖并有微汗，仍不时让人按摩揉捏。饭后常自行活动，以散发泄其湿热为佳。晚饭宜少，不吃更好，因为夜食难消化，最能壅滞气血也。香港脚有脚踝处生疮者，肿痛用漏芦、白蔹、五加皮、槐白皮、甘草各七钱半，蒺藜子二两，水煎去渣，在无风处清洗。心烦乱者，用犀角散。脚跟注入一孔，深约半寸，每下半日疼痛异常，以人中白在火上煅烧，中有水流出，滴入疮口。
Tremor (Chan) refers to shaking; vibration (Zhen) refers to shivering and agitation. These are also manifestations of wind and fire agitating the body, caused by deficiency of Kidney Water. (Water governs stillness; when deficient, internal wind and fire arise causing agitation.) Excessive Liver Wood weakens Spleen Earth. The Spleen is the root of the four limbs, and the four limbs are the extremities of the Spleen; thus it is said that Wind pathogen easily causes disease in the extremities. (In some cases, only the head shakes while the hands and feet remain still, which indicates upward rushing of Liver Qi.) When Wind and Fire are excessive and the Spleen is deficient, the Spleen cannot transport fluids, leading to accumulation of Phlegm-Dampness; treatment should include resolving Phlegm. He Zizheng treated Old Man Ma, who suffered from Wind convulsions for three years with severe trembling, like a puppet pulled by strings. He first induced sweating with Fangfeng Tongsheng San (see Stroke), then administered emetics to vomit one or two *sheng* of Phlegm, followed by purgatives five to seven times. Several days later, he vomited another three or four *sheng* of Phlegm and had several bowel movements before recovery. The patient felt extreme cold because Wei Qi had not yet recovered; he was regulated with herbs that disperse Wind and regulate Qi. Warm-tonic herbs were avoided to prevent aggravating Fire. For cases where Wind and Fire interact excessively, Cui Gan Wan (Liver-Subduing Pill) is used. For Qi deficiency, Shen Zhu Tang (Ginseng and Atractylodes Decoction) is used. (Qi deficiency fails to circulate throughout the body, and the four limbs move due to鼓动 by Deficient Wind.) For Heart Blood deficiency, Bu Xin Wan (Heart-Nourishing Pill) is used. If accompanied by Phlegm, Daotan Tang (Phlegm-Resolving Decoction) with Zhuli (Bamboo Sap) is added. For elderly patients with shivering and trembling, Dingzhen Wan (Stabilizing Vibration Pill) is used.
(Jiu Feng Jiao / Wine-Wind Foot, Jiao Wan Chuang / Ankle Ulcer, Gen Qian Zhu Kong / Heel Puncture Hole)
The term "Xianggang Jiao" (Hong Kong Foot, commonly known as Beriberi) originated with Su Jing of the Jin Dynasty and did not exist in ancient times. However, its symptoms of swelling, pain, numbness, and hardness correspond to Bi Syndrome described in the *Classic*; flaccidity and inability to contract correspond to Wei Syndrome; and severe upward rushing of Qi to the heart and abdomen corresponds to Jue Ni (Reversal Cold/Heat). This disease is caused by Dampness, either external invasion of water-dampness or internal accumulation of fluid retention. Initially, it often presents with cold signs, showing only numbness and hardness; subsequently, Dampness stagnates and transforms into Heat, resulting in swelling and pain. Evaporation of Damp-Heat causes swelling, while stagnation of Blood and Qi causes pain. If exacerbated by external Wind-Cold, the Heat cannot dissipate, and pain intensifies. Since the Qi and Blood in both legs are stagnant and unable to flow, the Qi and Blood throughout the body fail to circulate freely, leading to stagnation and fever. Because Qi fails to circulate to the exterior, the patient experiences chills (Sasha E Han), and the presentation resembles Taiyang Disease (Cold Damage). Flaccidity results from tendons becoming soft and weak due to Damp-Heat steaming them. (Objects exposed to Damp-Heat inevitably become soft.) Severe upward rushing occurs because blockage below forces rebellion upwards. Treatment must distinguish the ratio of Dampness to Heat: if Dampness exceeds Heat, swelling is prominent but pain is mild; if Heat exceeds Dampness, swelling is mild but pain is severe. There are cases with only Dampness and no Heat, presenting as swelling without pain, vulgarly called Wet Xianggang Jiao; there are cases with only Heat and no Dampness, presenting as hot pain without swelling (severe cases show wasting), vulgarly called Dry Xianggang Jiao. (Although termed 'no Dampness', old Phlegm and foul saliva must still be present.) In the initial stage, feeling cold, numbness, and swelling, moxibustion of 20–30 cones on the affected area draws Dampness outward, followed by drinking damp-dispelling medicinal wine to unblock meridians and scatter pathogens. Herbs such as Mahuang (Ephedrae Herba), Chuanwu (Aconiti Radix Preparata), Shengjiang (Zingiberis Rhizoma Recens), and Fuzi (Aconiti Lateralis Radix Preparata) are suitable. Mahuang disperses, allowing Dampness to exit via the exterior; Chuanwu is acrid and hot, moving freely without staying put, to unblock meridians; Ginger and Aconium disperse Cold; Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), and Gegen (Puerariae Lobatae Radix) lift and disperse, utilizing the principle that "Wind overcomes Dampness"; Baizhu (Atractylodis Macrocephalae Rhizoma) and Cangzhu (Atractylodis Rhizoma) dry Dampness, utilizing the principle that "Earth controls Water"; along with Fuling (Poria), Zhuling (Polyporus), and Zexie (Alismatis Rhizoma) to promote urination. This is the general method for treating Cold-Dampness. (Yiren Jiu / Coix Seed Wine, Duhuo Jisheng Tang / Notopterygium and Poria Decoction may be used.) If initially presenting with hot pain but no swelling, this indicates Blood deficiency in the Three Yin channels, with Yang pathogen sinking and transforming into Heat that does not dissipate, causing blood vessel obstruction and pain; absence of Dampness explains the lack of swelling. Treatment should clear Heat and nourish Blood using Siwu Tang (Four Substances Decoction) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), adding Niuxi (Achyranthis Bidentatae Radix), Huangbai (Phellodendri Cortex), and Zhimu (Anemarrhenae Rhizoma).
Additionally, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to lift sinking Yang Qi. This is the general method for treating Deficient Heat. Excess Heat involves combined Damp-Phlegm, presenting with swelling and pain. For constipation, use Qianghuo Daozhi Tang (Notopterygium Guiding Stasis Decoction) to mildly purge, followed by Danggui Niantong Tang (Angelica Joint-Pain Resolving Decoction). For aversion to cold and fever, use Jiawei Baidu San (Modified Detoxifying Powder), followed by Danggui Niantong Tang. For burning pain extending to the waist and hips, use Jiawei Ermiao Wan (Modified Two Marvels Pill). For unbearable pain, use Wuji San (Five Accumulations Powder) with three Quanxie (Scorpion), decocted in wine. Generally, for Damp-Heat congestion, treatment should focus on unblocking; Huoluo Dan (Meridian-Unblocking Pill) is most effective. For deeply entrenched pathogens, only this can penetrate. Once congestion is established, Bian (stone pricking) must be used to release evil blood to curb the momentum before administering medicine. This condition requires meridian-specific medication: the anterior aspect belongs to the Yangming channel, with Baizhi (Angelicae Dahuricae Radix), Shengma, and Gegen as guiding herbs; the posterior aspect belongs to the Taiyang channel, with Qianghuo and Fangfeng as guides; the lateral aspect belongs to the Shaoyang channel, with Chaihu (Bupleuri Radix) as a guide; the medial aspect belongs to the Jueyin channel, with Qingpi (Citri Reticulatae Pericarpium Viride), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Wuzhuyu (Evodiae Fructus) as guides; the anteromedial aspect belongs to the Taiyin channel, with Cangzhu and Baishao (Paeoniae Radix Alba) as guides; the posteromedial aspect belongs to the Shaoyin channel, with Duhuo (Angelicae Pubescentis Radix) as a guide. One must also check for external pathogens: Wind sensation implies spontaneous sweating, Cold sensation implies absence of sweating; add dispersing herbs accordingly. (Add Qianghuo and Fangfeng for Wind; add Mahuang and Xixin (Asari Radix et Rhizoma) for Cold.) If the disease is severe and attacks upward, causing insensitivity in the lower abdomen, vomiting after eating, pain in the back, spine, and body, and chest/hypochondriac pain, it is a critical condition. If insensitivity in the lower abdomen appears, within two to three days it will attack the Heart, causing irritability, panting, vomiting, headache, dizziness, insomnia, delirium, blackening of the eyes and forehead, profuse sweating, short and rapid pulse, fluctuating or absent Left Cun pulse, and absent Chi pulse; these are all untreatable, known as "attacking the Heart leads to death." Several formulas are listed below. Zhu Danxi used Siwu Tang plus fried Huangbai, and applied Fuzi powder mixed with saliva to Yongquan (KI1) acupoint, followed by moxibustion to draw Heat downward. (Suitable for Blood deficiency with upward-rushing Heat.) Jingui Shenqi Wan (Eight-Ingredient Pill from the Golden Cabinet) treats Xianggang Jiao ascending to lower abdominal insensitivity. (Suitable for Kidney Cold with upward-rushing Damp-Qi.) Alternatively, Zhuyu Wan (Cornelian Cherry Pill) or Zhuyu Mugua Tang (Cornelian Cherry and Papaya Decoction). Areca nut powder taken with child's urine. Dafuzi San (Betel Nut Powder). Sanwan San (Three Epigastrium Powder). Sangbaipi San (Mulberry Bark Powder). (All suitable for Excess patterns.) Xijiao San (Rhinoceros Horn Powder). (Suitable for Heat patterns.) Chenxiang San (Agarwood Powder). (Suitable for non-Heat patterns.) Ziye (Perilla Leaf) 3 liang, fried Sangbaipi (Mori Cortex) 2 liang, Qianhu (Peucedani Radix) 1 liang; take 8 qian per dose. Binglang (Arecae Semen) 2 pieces, Xingren (Armeniacae Semen Amarum) 20 kernels (skin and tip removed), Shengjiang 5 slices; decoct in water and drink. Suzi Jiangqi Tang (Perilla Seed Descending Qi Decoction), assisted by Yangzheng Dan (Upright-Conserving Pill) or Simo Yin (Four-Mouth Drink). (See Qi disorders. Suitable for urgent asthma.) Bawei Pingwei San (Eight-Ingredient Pingwei Powder), for those with poor appetite, use Shengliao Pingwei San (Raw Material Pingwei Powder), plus 1 qian Mugua (Chaenomelis Fructus). Banxia San (Pinellia Powder). Jupi Tang (Tangerine Peel Decoction). (All suitable for vomiting and nausea.) People in Lingnan who love alcohol often suffer from this, named Jiufeng Jiao (Wine-Wind Foot). It is caused by alcohol's Damp-Heat damaging the Spleen, failing to transform and transport, causing sinking and condensation into Phlegm-Saliva that cannot resolve. The pain is unbearable, feeling as heavy as a stone pressing on the foot even from mosquitoes or flies. Treatment rarely succeeds because clearing Damp-Heat is easy, but resolving consolidated Phlegm is difficult. *Zhunsheng* records treating Minister Lian Pingzhang with Danggui Niantong Tang, effective after two doses. After recurrence from eating wet noodles, Qianghuo (acrid-warm, penetrating joints to remove Dampness) was used as the Sovereign herb; Danggui (acrid-warm, dispersing stagnation) and Zhike (bitter-cold, digesting food) as Ministers; Dahuang (bitter-cold, guiding Damp-food downward and removing old blood) as Attendant. Full recovery ensued. Also: Kaoyan Dan (Saliva-Controlling Pill) plus 1 qian Yanzhi (Vermilion), 1 liang Binglang, 1 liang Mugua, 0.5 liang Juanbai (Serpylli Herba) (boiled in salt water for half a day, then plain water for half a day), made into pills. Take 30 pills, increasing to 50; expelling evil matter brings immediate relief. Also: Weilingxian (Syneilesidis Rhizoma) powder, honey pills sized like paulownia seeds, taken with wine, 80 pills; expels evil matter resembling green pus or peach gum. One should imitate this approach: first clear Damp-Heat to allow Qi-Blood circulation, then use light-clearing herbs like Shengma and Chaihu to lift Phlegm upward, use Kaoyan Dan and other softening/resolving agents to attack it, and finally use Bian to remove evil blood. *Huren Shu* states: Xianggang Jiao contraindicates tonic medicines and prohibits hot water washing. Note: This applies to excess pathogenic congestion, hence tonics are forbidden. It also applies to excessive Dampness about to rush upward, fearing that washing will steam and raise the Dampness. However, if Dampness is sinking in the feet and cannot exit externally, washing is appropriate to guide it out. Use Fangfeng, Jingjie (Schizonepetae Herba), Weilingxian, Caowu (Aconiti Radix), Chuanjiao (Zanthoxyli Pericarpium), Baizhi, Wuyao (Linderae Radix), Cangzhu, Zisu (Perillae Folium), etc., decocted in hot water for washing. Keep feet warm with slight sweating, and have someone massage them frequently. Walk after meals to dissipate Damp-Heat. Dinner should be light or skipped, as night food is hard to digest and obstructs Qi-Blood. For ankle ulcers in Xianggang Jiao with swelling and pain, use Loulu (Rhapontici Radix), Bailian (Pleurospermatis Radix), Wujiaopi (Acanthopanacis Cortex), Huaibaipi (Mori Cortex Albus), Gancao (Glycyrrhizae Radix et Rhizoma) each 7.5 qian, and Jili (Tribuli Fructus) 2 liang; decoct in water, strain, and wash in a windless place. For irritability, use Xijiao San. For a hole injecting into the heel, deep about half cun, with exceptional pain every afternoon, burn Renzhongbai (Dentis Humanis Ossis Calcinatum) over fire until water exudes, and drip into the wound.