典藏书目

First method: Hook the big toe of the left foot with the right heel to dispel Wind-Bi (Wind obstruction syndrome); hook the big toe of the right foot with the left heel to dispuel Jue-Bi (obstruction syndrome of the extremities); then use both hands to alternately pull the dorsum of the feet up to the knees to dispel general body Bi.

Second method: Sit in a squatting position and straighten the waist, use both hands to pull the two heels, inhale through the nose until reaching the limit, for seven breaths, then extend the knees to dispel Bi.

Third method: Whenever one feels stiffness and tension in the lower back and spine, and difficulty moving the limbs, make a拱手 gesture (hands clasped) with both left and right hands, exhale forcefully three times towards the front, stand with legs straight, count to seven while squatting, hug the knees with both hands and shake fourteen times, inhale for seven breaths, which will cure general body Bi.

The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) states: Lijie Feng (Joint Pain Syndrome resembling Tiger Bite) is caused by deficiency of Qi and Blood. It occurs when alcohol consumption opens the Couli (skin pores), and sweat is exposed to Wind. Alternatively, it results from improper care, allowing pathogenic factors of Cold, Wind, and Dampness to invade the joints, where they contend with Qi and Blood causing severe pain. The pain may feel like being bitten by a tiger, hence the name "White Tiger."

Lijie Feng is mostly caused by the invasion of Cold, Wind, and Dampness into the joints. However, it can also be caused by the flow and accumulation of Damp-Phlegm, characterized by pain that is worse at night and lighter during the day, indicating an excess of Cold-Wind. If pain is severe regardless of day or night, it indicates Damp-Phlegm. Those with excessive Phlegm-Dampness will have poor appetite and frequent vomiting.

When Cold-Wind contends with the sinews, flexion and extension become impossible, fingers curl, and joint pain is unbearable. Swelling may resemble a gourd, or pain may feel like pulling/twitching, or there may be generalized wandering itching, and inability to lift the limbs; these are all due to pathogenic factors of Cold, Wind, and Dampness. Treatment should employ Acrid-Warm methods to release the exterior and expel Cold-Wind, such as Qianghuo Tang (Notopterygium Decoction) or Yingxiao Jiu (Effective Wine). For cases of Damp-Phlegm stagnation with ceaseless day-and-night pain, treatment should focus on resolving Dampness and guiding out Phlegm, such as Erchen Tang (Two-Aged Decoction), Qianghuo Shengshi Tang (Notopterygium Decoction for Resolving Dampness), or Yufeng Huatan Wan (Wind-Dispelling Phlegm-Resolving Pill).

A floating and large pulse indicates excess of Cold-Wind pathogens; a string-taut and fine pulse indicates excess of Dampness; a slippery and abundant pulse indicates Phlegm.

Qianghuo Xuduan Tang (Notopterygium and Teasel Root Decoction): Treats all forms of White Tiger Lijie Feng, with swelling and pain in the hands, feet, and joints as if pierced by awls.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Chuan Xuduan (Dipsaci Radix), Niuxi (Achyranthis Bidentatae Radix, wine-washed), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix, wine-washed), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Bo Gui (Cinnamomi Cortex, thin slice) (3 fen), Qinjiao (Gentianae Macrophyllae Radix), Chuan Wu (Aconiti Radix) (each 5 fen), Cangzhu (Atractylodis Rhizoma, soaked in rice water, stir-fried), Mahuang (Ephedrae Herba), Gancao Jie (Glycyrrhizae Radix et Rhizoma nodes), Zhike (Aurantii Fructus Immaturus, bran-fried), Chuanshanjia (Manis Squama) (each 7 fen).
Preparation: Add two cups of water, three slices of ginger, and one stalk of scallion. Decoct until one cup remains. Take at any time to induce sweating.

Haitongpi San (Sea Pine Bark Powder): Treats Lijie Zouzhu (wandering joint pain) and bone-joint pain.
Ingredients: Haitongpi (Pavoniae Ramulus), Duhuo (Angelicae Pubescentis Radix), Biba (Smilacis Glabrae Rhizoma, soaked in salt water and baked), Hu Jinggu (Pantheris Os, roasted with lard oil), Danggui, Chuanxiong, Tianma (Gastrodiae Rhizoma), Fangfeng, Mahuang, Zhike, Shaoyao (Paeoniae Radix), Gancao, Chuan Wu (prepared, skin and rootlets removed), Bo Gui, Taoren (Pruni Semen, peeled and blanched), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Songjie (Pinus Massoniana Node), Shexiang (Moscus, lightly roasted and separately ground), Niuxi (wine-washed).
Preparation: Coarsely crush the herbs. For each dose, take five qian, add two cups of water, three slices of ginger, and two dates. Decoct and take orally.

Hugu San (Tiger Bone Powder): Treats White Tiger Lijie Feng, with unbearable pain in limbs and joints.
Ingredients: Hugu (Pantheris Os, roasted with lard oil, 1 liang), Baihua She (Bungarus multicinctus, soaked in wine, meat taken), Tianma, Fangfeng, Danggui, Niuxi (wine-washed), Guixin (Cinnamomi Ramulus) (each 1 liang), Quanxie (Scorpio, feet removed, 5 qian), Gancao (roasted, 5 fen), Bai Jiangcan (Bombyx Batryticatus, roasted, silk mouth removed), Ruxiang (Olibanum, separately ground, 2 qian), Shexiang (separately ground, 5 fen).
Preparation: Grind into fine powder. Take 2 qian per dose, mixed with wine. Doulin Jiu (Bean-dripping wine) is especially effective.

Moyao San (Myrrh Powder): Treats White Tiger Lijie Liuzhu (flowing accumulation), with pain in sinews and bones.
Ingredients: Moyao (Myrrha, 5 qian), Duhuo, Fangfeng, Manjingzi (Viticis Fructus), Danggui, Chuanxiong, Guixin, Wancansha (Bombyx Batryticatus), Chishao (Paeoniae Radix Rubra) (each 7 qian), Hu Jinggu (Pantheris Os, 1 liang, roasted with lard oil).
Preparation: Grind into powder. Take 2 qian per dose before meals, mixed with warm wine.

Juan Tong Wan (Pain-Relieving Pill, also known as Shexiang Wan): Treats various Wind-induced Lijie pain, unpredictable movement of hands and feet, pain, swelling, and fullness. Suitable for all regardless of status, as this is the harm caused by Wind toxicity.
Ingredients: Chuan Wu (one piece, raw), Heidou (Black Soybean, 17 grains, peeled, raw), Quanxie (fourteen pieces, detoxified), Dilong (Pheretima, earth removed, 5 qian), Shexiang (5 fen, separately ground).
Preparation: Grind into powder, mix with wine paste to form pills the size of paulownia seeds. Take fifteen pills before sleep on an empty stomach with cold wine, aiming for slight sweating.

Shefeng Jiu (Wind-Capturing Wine): Treats White Tiger Lijie Feng, various Wind-Damp flowing accumulations, Crane-Knee Leg Wind, and all Wind-Phlegm syndromes.
Ingredients: Wuyao (Linderae Radix), Xunfeng Teng (Caulis Tiliaphylli), Wujapi (Acanthopanacis Cortex, 1 liang), Hu Jinggu, Shinanteng (Acanthopanacis Senticosi Caulis), Sanjiaofeng (Alangi Radix), Qingmuxiang (Aquilariae Lignum Resinatum), Gusuibu (Drynariae Rhizoma), Danggui, Cangzhu, Chuan Xuduan, Weilingxian (Salviae Miltiorrhizae Radix? Note: Usually Saposhnikoviae Radix in this context, but text says Weilingxian - likely Glehniae Radix or similar local herb, standard is usually Saposhnikoviae but here distinct from Fangfeng/Qianghuo, assuming Glehniae Radix or similar), Qianghuo, Beixixin (Asari Radix et Rhizoma) (each 2 qian), Qingtenggen (Sinomenii Caulis, one piece), Qing Ruxiang (Frankincense, 2 qian), Chuan Niuxi, Fangfeng, Gancao Jie, Sumu (Sappan Lignum, 5 qian), Nanmuxiang (Agarwood, 2 qian), Shibili (Ficus pumila, 5 qian), Chuan Wutou (Aconiti Kusnezoffii Radix, one piece, use only 1 fen), Shengjiang (Fresh Ginger, 1 liang).
Preparation: Coarsely crush and place in a silk bag. Put into a jar of unfermented wine (Wuhui Jiu), seal tightly. Place in boiling water and simmer slowly for one shichen (two hours). Remove and let sit on the ground for three days before opening. Drink three times daily according to tolerance. In summer, use half the dosage and one small jar of wine.

Jindao Rusheng San (Golden Knife Like Saint Powder): Treats thirty-six types of facial paralysis (mouth and eye deviation), hemiplegia, generalized wandering Wind, and White Tiger Lijie pain, with immediate effect.
Ingredients: Chuan Wu (prepared), Caowu (Aconiti Kusnezoffii Radix, prepared, each 2 liang), Fangfeng, Jingjie (Perillae Folium), Mahuang, Tianma, Cangzhu, Heshouwu (Polygoni Multiflori Radix), Danggui, Chuanxiong, Xixin (Asari Radix et Rhizoma), Shihu (Dendrobii Caulis), Renshen (Ginseng Radix et Rhizoma), Gancao (each 3 qian), Quanxie, Zhusha (Cinnabar), Xionghuang (Realgar) (each 2 qian).
Preparation: Grind into fine powder. Take 5 fen per dose at bedtime with warm tea. For chronic cases, start with 3 fen and gradually increase to 5 fen, adjusting based on deficiency or excess.

Qinglong Miaoying Wan (Azure Dragon Miraculous Efficacy Pill): Treats various Wind-induced spasms and wandering pain throughout the body without fixed timing, ineffective against other medicines.
Ingredients: Chuanshanjia (fifteen slices, fried with lime), Quanxie (thirty pieces, detoxified), Dilong (earth removed, 1 liang), Wugong (Scolopendra, ten pieces, raw), Caowu (1 liang, raw), Jiangcan (Bombyx Batryticatus, roasted, 5 qian), Wulingzhi (Trogopteri Excrement, 5 qian), Moyao (Myrrha, 5 qian, separately ground), Ruxiang (Frankincense, 5 qian, separately ground).
Preparation: Grind into powder, mix with wine paste to form pills the size of mung beans, coated with Qingdai (Indigo Naturalis). Take twenty pills on an empty stomach with salt water.

Yili Jin Dan (One Grain Golden Pill): Treats wandering pain in waist and knees, pain like tiger bites.
Ingredients: Caowu, Wulingzhi (each 1 liang), Bai Jiaoxiang (Elemi Resin, 8 liang), Mugubeizi (Momordicae Semen, shell removed), Dilong (earth removed, each 2 liang), Hao Mo (Good Ink), Danggui (each 1 liang), Ruxiang, Moyao (each 5 qian), Shexiang (5 fen).
Preparation: Grind into powder, mix thoroughly again. Form pills using rice flour paste, size of paulownia seeds. Take thirty pills with warm wine to induce slight sweating. This formula is largely similar to Tie Dan Wan, except it lacks Baizhi and Fangfeng.

Duhuo Jisheng Tang (Angelica Pubescens and Drynaria Decoction): Treats White Tiger Lijie Feng and is most effective for Hongxiangjiao (Foot Qi / Beriberi). (See Formula in Lower Back Pain Section).