脉
脉涩而紧者，痹。少阴脉浮而弱，弱则血不足，浮则为风，风血相搏，则疼痛如掣。风寒湿气合
而为痹，浮涩而紧，三脉乃备。
病
夫痹者，手足痛而不仁也。盖由元精内虚，而为风寒湿三气所袭，不能随时祛散，流注经络，入而为痹。
其为病也，寒多则掣痛，风多则引注，湿多则重着。其病在筋者，屈而不能伸，应乎肝，其证夜卧多惊，饮
食少，小便数；其病在脉者，则血凝而不流，应乎心，其症令人痿黄，心下鼓暴，上气逆喘不通，嗌干善
噫；其病在骨者，则重而不能举，应乎肾，其症手足不遂而多痛，心腹胀满；其病在皮者，多寒，遇寒则急，
遇热则纵，应乎肺，其证皮肤无所知觉，气贲喘满；其病在肌者，多不仁，应乎脾，其症四肢懈怠，发嗽
呕吐，是名五痹。至如白虎历节风，以其走痛，四肢骨节如虎咬之状，而以其名之耳，无非风寒湿三气
乘之也。若饮酒当风，汗出入水，亦成斯疾，久而不已，令人骨节蹉跌。
丹溪云∶大率因血虚受热，其血已自沸腾，或加之涉水受湿，血得寒污浊凝滞，不得营运，所以作痛，
夜则痛甚，行于阴也。治以辛热之剂，流散寒湿，开通郁结，使血行气和而愈，更宜忌口节
欲，不宜食肉，肉属阳，大能助火，如此调治，无有不安者。
治
大法用苍术、南星、川芎、白芷、当归、黄芩、酒，在上者属风，加羌活、桂枝、桔
梗、威灵仙；下者属湿，加木通、牛膝、防己、黄柏。
方
解表升麻汤 治遍身壮热，骨节疼痛。
升麻（一升） 羌活（一钱） 苍术（一钱） 防风（八分） 柴胡（七分） 甘草（七分）
当归（五分） 本（五分） 陈皮（三分） 麻黄（三分）
上锉一剂，生姜、葱白水煎热服，出微汗。
灵仙除痛饮〔批〕（按此方止痛发散之剂） 肢节肿痛，痛属火，肿属
湿，兼受风寒而发，动于经络之中，湿热流注于肢节之间，而无已也。
麻黄 赤芍（各一钱） 防风 荆芥 羌活 独活 白芷 苍术
威灵仙 片黄芩 枳实 桔梗 葛根 川芎（各五分） 归尾 升麻 甘草（各等分）
上锉一剂，水煎服。在下焦，加酒炒黄柏。妇人加红花。肿多加槟榔、大腹皮、泽泻，更加没药一钱
住痛。一云脉涩数者，有瘀血，宜桃仁、红花、芎、归及大黄微利之。
疏筋活血汤（云林制） 患遍身走痛如刺，左足痛尤甚，左属血，多因酒色所伤，筋脉空虚，被风寒
湿热感于内，热包于寒则痛，伤经络则夜重，宜以疏筋活血行湿，此非白虎历节风。
川芎（六分） 当归（一钱二分，酒洗） 白芍（二钱半，酒洗） 生地黄（一钱半，酒
洗） 羌活（六分） 白茯苓（七分，去皮） 苍术（一钱，米泔浸炒） 桃仁（一钱，炒
）牛膝（二钱，酒炒） 汉防己（六分） 陈皮（一钱，去苗） 白芷（六分） 龙胆草（八分，
酒洗） 威灵仙（一钱，酒洗） 防风（六分） 甘草（四分，炙）
有痰加南星、半夏各一钱，用姜汁、白矾、皂角煎汤，浸一日。如上体及臂疼，加薄桂三分。如下体
并足疼，受风寒湿热所感，加木瓜、木通盐炒，黄柏、薏苡仁炒各一钱。如气虚，加人参、白术、龟板各七分。
通经妙灵丸（云林制） 治同前，兼治上下中疼痛。
黄连（酒炒，一两） 苍术（米泔浸炒，二两） 黄柏（盐酒炒，二两） 肉桂（去皮，
四两） 南芎（五分） 当归（酒洗，一两） 白芍（盐酒炒，一两三钱） 汉防己（酒洗，三
钱） 白芷（二钱半） 桃仁（去皮尖，三钱） 威灵仙（一两，酒浸蒸晒九次） 羌活（酒
洗，三钱） 龙胆草（酒洗，一钱） 红花（酒洗，五钱） 防风（酒洗，五钱） 龟板（酥炙，
五钱） 杜仲（姜汁炒，八钱）
上为细末，酒糊为丸，如梧桐子大。每服百丸，空心陈酒下，盐汤亦可。
加味二妙丸〔批〕（按此方止痛养血除湿热之剂） 治两足湿痹疼痛，或如
火燎，从足附热起，至腰胯，或麻痹痿软，皆是湿热为病，此药神效。
苍术（四两，米泔浸） 黄柏（二两，酒浸晒干） 川牛膝（去芦，一两） 当归尾
（一两酒洗） 防己（一两） 川萆 （一两） 龟板（酥炙，一两。龟板难得，败者，市货
者多不效，不若以熟地黄代之，庶几可也）
上为末，酒煮面糊为丸，如梧子大。每服百丸，空心盐汤下。
舒筋立安散 治四肢百节疼痛，名曰白虎历节风。
防风 羌活 独活 茯苓 川芎 白芷 生地黄 苍术 红花 桃仁 陈皮 半夏 南星 白术 威灵
仙牛膝 木瓜 防己 黄芩 连翘 木通 龙胆草（酒浸） 木香（少许） 大附子（少许） 甘草（各等分）
上锉一剂，水煎，入姜汁、竹沥服。痛甚加乳香、没药为末，调服。
神通饮〔批〕（按此方治白虎历节风之剂） 治感风湿，得白虎历节风症，
遍身抽掣疼痛，足不能履地者二三年，百方不效，身体羸瘦，服此神效。
川木通二两，锉细，长流水煎汁，顿服，服后一时许，遍身发痒，或发红丹，勿惧，遍身上下出汗即愈。
治两手疼痛麻木（云林制）
当归 川芎 白芷 黄芩（酒炒） 黄连（姜汁炒） 苍术 羌活 防风
桔梗 南星（姜汁炒） 半夏（姜汁炒） 桂枝 甘草（各等分）
上锉一剂，生姜煎服。
治两足疼痛麻木（云林制）
当归 白芍 白术 苍术 陈皮 半夏 茯苓 黄柏（酒炒） 川
牛膝（酒洗） 威灵仙 桃仁 红花 甘草（各等分）
上锉，生姜五片，水煎，入竹沥同服。
治四肢百节，流注走痛，皆是湿痰，或死血所致，其病处或肿，或红。
当归 川芎 白芷 防己 黄柏 南星 羌活 苍术 威灵仙 红花 桂枝（各等分）
上锉，生姜，水煎服。
行湿滋筋养血汤（云林制） 治遍身行痛，乃气血两虚，有火有湿。
当归 川芎 白芍 生地黄（一钱，姜汁炒） 人参（六分） 白术 白茯
苓威灵仙 防己 红花（七分） 牛膝 黄连 黄柏 知母 甘草（四分） 苍术（各等分）
上锉一剂，姜、枣煎服。
乳香定痛丸（秘方）〔批〕（按此方治诸痛，宜对症用之） 治诸风，遍身骨节疼痛，或腿膝痛，及筋骨风。
苍术（米泔浸，二两） 川乌（炮，去皮，一两） 当归（一两） 川芎（一两） 乳香
没药（各三钱） 丁香（五钱）
上为末，枣肉为丸，如梧子大。每服五六十丸，陈酒送下。
妇人湿痰流注，肩背臂腰胁疼痛，日夜不止，行步不得。
陈皮 半夏（姜制） 茯苓 当归 川芎 白芷 乌药 官桂 枳
壳防己 苍术 防风 独活 木香 香附 贝母 甘草（各等分）
上锉一剂，同姜煎服。
一妇人患四肢骨节疼痛，呕吐心痛，胁胀遍身浮肿，经年不愈
五积散全料，加羌活、独活、柴胡、前胡。
脉象
脉象涩而紧的，是痹证。少阴脉浮而弱，弱表示血不足，浮表示有风邪，风与血相互搏结，就会引起牵掣样的疼痛。风寒湿气结合而形成痹证，脉象浮、涩、紧三者具备，才算是典型的痹证脉象。
病症
所谓痹证，就是手足疼痛且感觉迟钝（麻木不仁）。这主要是由于人体元气和精血内部虚弱，被风、寒、湿三种外邪侵袭，不能及时驱散，流注于经络之中，深入体内形成痹证。
在发病表现上，寒气多则出现牵掣性疼痛，风气多则疼痛游走不定，湿气多则身体沉重困着。
如果病位在筋，表现为屈伸不利，对应肝脏，症状包括夜间睡眠易惊悸、饮食减少、小便频数；
如果病位在脉，表现为血液凝滞而不流通，对应心脏，症状使人面色萎黄，心下悸动剧烈，气逆上冲导致喘息不通，咽喉干燥且容易嗳气；
如果病位在骨，表现为身体沉重难以抬举，对应肾脏，症状为手足活动不便且多痛，心腹胀满；
如果病位在皮肤，表现为怕冷，遇寒冷则肌肉拘急，遇热则松弛，对应肺脏，症状为皮肤知觉丧失，气逆喘促胸满；
如果病位在肌肉，表现为麻木不仁，对应脾脏，症状为四肢倦怠乏力，引发咳嗽呕吐，这称为“五痹”。
至于白虎历节风，是因为疼痛游走全身，四肢骨节疼痛如同被老虎咬噬一般，因此得名，其病因无非也是风、寒、湿三气乘虚而入。如果是饮酒后当风，或者出汗时入水沐浴，也会形成这种疾病，日久不愈，会导致骨节错位变形。
朱丹溪说：大率是因为血虚受热，血液已经沸腾，如果再涉水受湿，血液遇到寒湿变得污浊凝滞，无法正常运行，所以产生疼痛，夜间疼痛加剧，这是因为病行于阴分。治疗应用辛热性质的药物，来疏散寒湿，开通郁结，使气血运行通畅而痊愈，同时更应忌口并节制欲望，不宜吃肉，因为肉属阳，极易助火，这样调治，没有不安稳好的。
治疗大法
主要使用苍术、天南星、川芎、白芷、当归、黄芩、酒作为基础方。病位在上部属于风邪影响的，加羌活、桂枝、桔梗、威灵仙；病位在下部属于湿邪影响的，加木通、牛膝、防己、黄柏。
方剂
解表升麻汤：治疗全身壮热，骨节疼痛。
组成：升麻（一升）、羌活（一钱）、苍术（一钱）、防风（八分）、柴胡（七分）、甘草（七分）、当归（五分）、藁本（五分）、陈皮（三分）、麻黄（三分）。
制法用法：以上药材锉碎为一剂，用生姜、葱白水煎煮，热服，以微微出汗为宜。
灵仙除痛饮【批注】（按：此方为止痛发散的药剂）：治疗肢节肿痛。痛属于火，肿属于湿，兼受风寒而发作，病邪动于经络之中，湿热流注于肢节之间，无休止地发作。
组成：麻黄、赤芍（各一钱）、防风、荆芥、羌活、独活、白芷、苍术、威灵仙、片黄芩、枳实、桔梗、葛根、川芎（各五分）、归尾、升麻、甘草（各等分）。
制法用法：以上药材锉碎为一剂，水煎服。若病在下焦，加酒炒黄柏。妇女服用加红花。肿胀严重多加槟榔、大腹皮、泽泻，再加没药一钱以止住疼痛。另一种说法认为脉象涩数的，是有瘀血，宜用桃仁、红花、川芎、当归及大黄轻微通便泄下。
疏筋活血汤（云林制）：治疗遍身游走性刺痛如针刺感，左足疼痛尤为严重。左侧属血，多因酒色损伤，导致筋脉空虚，被风寒湿热内侵，热包裹寒则疼痛，伤及经络则夜间加重。适宜用此方疏筋活血、行湿，这不是白虎历节风。
组成：川芎（六分）、当归（一钱二分，酒洗）、白芍（二钱半，酒洗）、生地黄（一钱半，酒洗）、羌活（六分）、白茯苓（七分，去皮）、苍术（一钱，米泔水浸后炒）、桃仁（一钱，炒）、牛膝（二钱，酒炒）、汉防己（六分）、陈皮（一钱，去瓤）、白芷（六分）、龙胆草（八分，酒洗）、威灵仙（一钱，酒洗）、防风（六分）、甘草（四分，炙）。
加减法：有痰加天南星、半夏各一钱，用姜汁、白矾、皂角煎汤，浸泡一日。如上体和手臂疼痛，加薄桂三分。如下体和足部疼痛，受风寒湿热所感，加木瓜、盐炒木通、盐炒黄柏、炒薏苡仁各一钱。如气虚，加人参、白术、龟板各七分。
通经妙灵丸（云林制）：主治同上，兼治上、中、下三焦疼痛。
组成：黄连（酒炒，一两）、苍术（米泔水浸炒，二两）、黄柏（盐酒炒，二两）、肉桂（去皮，四两）、南芎（五分）、当归（酒洗，一两）、白芍（盐酒炒，一两三钱）、汉防己（酒洗，三钱）、白芷（二钱半）、桃仁（去皮尖，三钱）、威灵仙（一两，酒浸蒸晒九次）、羌活（酒洗，三钱）、龙胆草（酒洗，一钱）、红花（酒洗，五钱）、防风（酒洗，五钱）、龟板（酥炙，五钱）、杜仲（姜汁炒，八钱）。
制法用法：以上研为细末，用酒糊制作成梧桐子大小的丸药。每次服用一百丸，空腹时用陈年黄酒送服，盐汤也可以。
加味二妙丸【批注】（按：此方为止痛养血、除湿热的药剂）：治疗双足湿痹疼痛，或如火烧般灼热，从足踝发热起，上行至腰胯，或麻痹痿软无力，这些都是湿热致病，此药神效。
组成：苍术（四两，米泔水浸）、黄柏（二两，酒浸晒干）、川牛膝（去芦头，一两）、当归尾（一两，酒洗）、防己（一两）、川萆薢（一两）、龟板（酥炙，一两。龟板难得，劣质的市售货大多无效，不如用熟地黄代替，或许可以）。
制法用法：以上研为粉末，用酒煮面糊制作成梧桐子大小的丸药。每次服用一百丸，空腹时用盐汤送服。
舒筋立安散：治疗四肢百节疼痛，名为白虎历节风。
组成：防风、羌活、独活、茯苓、川芎、白芷、生地黄、苍术、红花、桃仁、陈皮、半夏、天南星、白术、威灵仙、牛膝、木瓜、防己、黄芩、连翘、木通、龙胆草（酒浸）、木香（少许）、大附子（少许）、甘草（各等分）。
制法用法：以上锉碎为一剂，水煎，加入姜汁、竹沥服用。疼痛严重者加乳香、没药研末，调服。
神通饮【批注】（按：此方治疗白虎历节风的药剂）：治疗感受风湿，患上白虎历节风症，遍身抽掣疼痛，足不能踩地已有两三年，各种方法都无效，身体消瘦，服用此药神效。
组成：川木通二两，锉细，用长流水煎汁，一次性顿服。服药后约一小时，遍身发痒，或出现红色丹疹，不要害怕，遍身上下出汗即痊愈。
治疗两手疼痛麻木（云林制）
组成：当归、川芎、白芷、黄芩（酒炒）、黄连（姜汁炒）、苍术、羌活、防风、桔梗、天南星（姜汁炒）、半夏（姜汁炒）、桂枝、甘草（各等分）。
制法用法：以上锉碎为一剂，用生姜煎服。
治疗两足疼痛麻木（云林制）
组成：当归、白芍、白术、苍术、陈皮、半夏、茯苓、黄柏（酒炒）、川牛膝（酒洗）、威灵仙、桃仁、红花、甘草（各等分）。
制法用法：以上锉碎，加生姜五片，水煎，加入竹沥同服。
治疗四肢百节，流注游走性疼痛，皆是湿痰或死血所致，病变部位或肿胀，或发红。
组成：当归、川芎、白芷、防己、黄柏、天南星、羌活、苍术、威灵仙、红花、桂枝（各等分）。
制法用法：以上锉碎，加生姜，水煎服。
行湿滋筋养血汤（云林制）：治疗遍身游走性疼痛，这是气血两虚，兼有火邪和湿气。
组成：当归、川芎、白芍、生地黄（一钱，姜汁炒）、人参（六分）、白术、白茯苓、威灵仙、防己、红花（七分）、牛膝、黄连、黄柏、知母、甘草（四分）、苍术（各等分）。
制法用法：以上锉碎为一剂，加姜、枣煎服。
乳香定痛丸（秘方）【批注】（按：此方治疗各种疼痛，宜对症使用）：治疗各种风邪，遍身骨节疼痛，或腿膝痛，以及筋骨风痛。
组成：苍术（米泔水浸，二两）、川乌（炮制，去皮，一两）、当归（一两）、川芎（一两）、乳香、没药（各三钱）、丁香（五钱）。
制法用法：以上研为粉末，用枣肉制作成梧桐子大小的丸药。每次服用五六十丸，陈年黄酒送服。
妇人湿痰流注，肩背臂腰胁疼痛，日夜不止，行走困难。
组成：陈皮、半夏（姜制）、茯苓、当归、川芎、白芷、乌药、官桂、枳壳、防己、苍术、防风、独活、木香、香附、贝母、甘草（各等分）。
制法用法：以上锉碎为一剂，同生姜煎服。
Pulse Diagnosis
A pulse that is choppy (Se) and tight (Jin) indicates Bi syndrome (Obstruction Syndrome). A Shaoyin (Kidney channel) pulse that is floating (Fu) and weak (Ruo) indicates blood deficiency due to weakness, and wind pathogen due to floating. When wind and blood contend with each other, it causes pulling pain. The combination of wind, cold, and dampness pathogens forms Bi syndrome; when the pulse presents as floating, choppy, and tight, all three pulse characteristics are present, confirming the diagnosis.
Disease Manifestations
Bi syndrome refers to pain in the hands and feet accompanied by numbness and lack of sensation. This arises primarily from internal deficiency of primordial essence and blood, allowing wind, cold, and dampness pathogens to invade. If these pathogens cannot be dispersed promptly, they flow into the meridians and enter the interior to form Bi syndrome.
In terms of symptoms: excessive cold causes pulling pain; excessive wind causes wandering pain; excessive dampness causes heaviness and stagnation.
If the pathology is in the sinews, there is inability to flex and extend, corresponding to the Liver. Symptoms include frequent startles during sleep, reduced appetite, and frequent urination.
If the pathology is in the vessels, blood coagulates and fails to circulate, corresponding to the Heart. Symptoms include sallow complexion, palpitations or throbbing in the epigastrium, rebellious Qi causing asthma and dyspnea, dry throat, and frequent belching.
If the pathology is in the bones, there is heaviness and inability to lift the body, corresponding to the Kidneys. Symptoms include paralysis or difficulty moving the limbs with much pain, and abdominal distension and fullness.
If the pathology is in the skin, there is aversion to cold; muscles contract upon exposure to cold and relax upon exposure to heat, corresponding to the Lungs. Symptoms include loss of cutaneous sensation, rebellious Qi causing asthma and chest fullness.
If the pathology is in the muscles, there is numbness and lack of sensation, corresponding to the Spleen. Symptoms include flaccidity and lassitude of the four limbs, coughing, and vomiting. This is called the "Five Bis."
Regarding Baihu Lijie Feng (White Tiger Joint Pain), it is named so because the pain wanders and the joints of the four limbs feel as if bitten by a tiger. Its etiology is none other than the invasion of wind, cold, and dampness. Drinking alcohol while exposed to wind, or entering water while sweating, can also cause this disease. If prolonged and untreated, it leads to joint dislocation and deformity.
Zhu Danxi stated: Generally, this occurs due to blood deficiency with internal heat, where the blood is already boiling. If one wades through water or is exposed to dampness, the blood becomes turbid and stagnant due to cold, failing to circulate properly, thus causing pain. Pain worsens at night because the pathogen travels through the Yin aspects. Treatment should employ acrid-hot herbs to disperse cold and dampness, open up stagnation, and restore smooth Qi and Blood circulation for recovery. Patients must observe dietary restrictions and moderate sexual desire, avoiding meat, as meat is Yang in nature and strongly aids fire. With such regulation, recovery is assured.
General Treatment Principles
The primary formula uses Cangzhu (Atractylodis Rhizoma), Nanting (Arisaematis Rhizoma Praeparatum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), and Jiu (Alcohol). For upper body conditions attributed to Wind, add Qianghuo (Notopterygii Rhizoma et Radix), Guizhi (Cinnamomi Ramulus), Jiegeng (Platycodonis Radix), and Weilingxian (Sinomenii Caulis). For lower body conditions attributed to Dampness, add Mutong (Akebiae Caulis), Niuxi (Achyranthis Bidentatae Radix), Fangji (Stephaniae Tetrandrae Radix), and Huangbai (Phellodendri Cortex).
Formulas
Jiebiao Shengma Tang (Release the Exterior Decoction with Cimicifugae): Treats high fever throughout the body and bone-joint pain.
Ingredients: Shengma (Cimicifugae Rhizoma, 1 sheng), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Cangzhu (Atractylodis Rhizoma, 1 qian), Fangfeng (Saposhnikoviae Radix, 8 fen), Chaihu (Bupleuri Radix, 7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 7 fen), Danggui (Angelicae Sinensis Radix, 5 fen), Bencao/Luoben (Ligustici Rhizoma, 5 fen), Chenpi (Citri Reticulatae Pericarpium, 3 fen), Mahuang (Ephedrae Herba, 3 fen).
Preparation and Administration: Coarsely crush the ingredients for one dose. Decoct with fresh ginger and scallion white water. Take hot. Aim for a slight sweat.
Lingxian Chutong Yin (Dispel Pain Drink with Sinomenium) [Commentary: A formula for dispelling pain and inducing sweating]: Treats swelling and pain in limbs and joints. Pain is attributed to Fire, swelling to Dampness. It develops from concurrent wind-cold invasion, moving within the meridians, with damp-heat flowing into the joints incessantly.
Ingredients: Mahuang (Ephedrae Herba), Chishao (Paeoniae Radix Rubra, 1 qian each), Fangfeng (Saposhnikoviae Radix), Jingjie (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma), Weilingxian (Sinomenii Caulis), Pian Huangqin (Scutellariae Radix, sliced), Zhishi (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Gegen (Puerariae Lobatae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 fen each), Guiwei (Tail of Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation and Administration: Coarsely crush for one dose. Decoct in water and take. For lower jiao involvement, add Huangbai (Phellodendri Cortex) stir-fried with wine. For women, add Honghua (Carthami Flos). For severe swelling, add more Binglang (Arecae Semen), Dafupi (Tsaoko Pericarpium), and Zexie (Alismatis Rhizoma), plus Moyao (Olibanum, 1 qian) to stop pain. Alternatively, if the pulse is choppy and rapid, indicating blood stasis, use Taoren (Persicae Semen), Honghua (Carthami Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), and Dahuang (Rhei Radix et Rhizoma) to mildly purge.
Shujin Huoxue Tang (Unbind Sinews and Invigorate Blood Decoction) [Made by Yunlin]: Treats wandering stabbing pain throughout the body like needle pricks, especially severe in the left foot. The left side corresponds to Blood. This is often caused by damage from alcohol and sexual excess, leading to empty sinews and vessels invaded internally by wind, cold, damp, and heat. Heat wrapping cold causes pain; injury to meridians causes worsening at night. This formula unbinds sinews, invigorates blood, and moves dampness. This is not Baihu Lijie Feng.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma, 6 fen), Danggui (Angelicae Sinensis Radix, 1.2 qian, washed with wine), Baishao (Paeoniae Radix Alba, 2.5 qian, washed with wine), Shengdihuang (Rehmanniae Radix Recens, 1.5 qian, washed with wine), Qianghuo (Notopterygii Rhizoma et Radix, 6 fen), Baifuling (Poria, 7 fen, peeled), Cangzhu (Atractylodis Rhizoma, 1 qian, soaked in rice wash water and stir-fried), Taoren (Persicae Semen, 1 qian, stir-fried), Niuxi (Achyranthis Bidentatae Radix, 2 qian, stir-fried with wine), Hanfangji (Stephaniae Tetrandrae Radix, 6 fen), Chenpi (Citri Reticulatae Pericarpium, 1 qian, pith removed), Baizhi (Angelicae Dahuricae Radix, 6 fen), Longdancao (Gentianae Radix, 8 fen, washed with wine), Weilingxian (Sinomenii Caulis, 1 qian, washed with wine), Fangfeng (Saposhnikoviae Radix, 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen, honey-fried).
Modifications: Add Nanting (Arisaematis Rhizoma Praeparatum) and Banxia (Pinelliae Rhizoma Praeparatum, 1 qian each); decoct with ginger juice, Baifan (Alumen), and Zaorou (Stemonae Radix) and soak for one day. For upper body and arm pain, add Bo Gui (Thin Cinnamon Twig, 3 fen). For lower body and foot pain due to wind-cold-damp-heat, add Mugua (Chaenomelis Fructus), Mutong (Akebiae Caulis salt-stir-fried), Huangbai (Phellodendri Cortex salt-stir-fried), and Yiyiren (Coicis Semen stir-fried, 1 qian each). For Qi deficiency, add Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Guiban (Testudinis Carapax et Plastrum, 7 fen each).
Tongjing Miaoling Wan (Unblock Meridians Marvelous Spirit Pill) [Made by Yunlin]: Treats the same as above, additionally treating pain in the upper, middle, and lower jiao.
Ingredients: Huanglian (Coptidis Rhizoma, wine-stir-fried, 1 liang), Cangzhu (Atractylodis Rhizoma, rice wash-soaked and stir-fried, 2 liang), Huangbai (Phellodendri Cortex, salt-wine-stir-fried, 2 liang), Rougui (Cinnamomi Cortex, bark removed, 4 liang), Nanxiong (Chuanxiong, 5 fen), Danggui (Angelicae Sinensis Radix, wine-washed, 1 liang), Baishao (Paeoniae Radix Alba, salt-wine-stir-fried, 1.3 qian), Hanfangji (Stephaniae Tetrandrae Radix, wine-washed, 3 qian), Baizhi (Angelicae Dahuricae Radix, 2.5 qian), Taoren (Persicae Semen, peel and tip removed, 3 qian), Weilingxian (Sinomenii Caulis, 1 liang, wine-soaked, steamed, and sun-dried nine times), Qianghuo (Notopterygii Rhizoma et Radix, wine-washed, 3 qian), Longdancao (Gentianae Radix, wine-washed, 1 qian), Honghua (Carthami Flos, wine-washed, 5 qian), Fangfeng (Saposhnikoviae Radix, wine-washed, 5 qian), Guiban (Testudinis Carapax et Plastrum,酥-roasted, 5 qian), Duzhong (Eucommiae Cortex, ginger juice-stir-fried, 8 qian).
Preparation and Administration: Grind into fine powder. Use wine paste to make pills the size of Sophora seeds. Take 100 pills per dose on an empty stomach with aged wine. Salt water is also acceptable.
Jiawei Ermiao Wan (Modified Two Marvels Pill) [Commentary: A formula for stopping pain, nourishing blood, and clearing damp-heat]: Treats painful wet-Bi in both feet, burning like fire, starting with heat from the ankles up to the waist and hips, or causing numbness and flaccidity. These are all diseases of damp-heat; this medicine is miraculous.
Ingredients: Cangzhu (Atractylodis Rhizoma, 4 liang, soaked in rice wash water), Huangbai (Phellodendri Cortex, 2 liang, soaked in wine and sun-dried), Chuan Niuxi (Achyranthis Bidentatae Radix, remove radicle, 1 liang), Dangguiwei (Tail of Angelicae Sinensis Radix, 1 liang, wine-washed), Fangji (Stephaniae Tetrandrae Radix, 1 liang), Chuanbixie (Dioscoreae Hypoglaucae Rhizoma, 1 liang), Guiban (Testudinis Carapax et Plastrum,酥-roasted, 1 liang. Turtle shell is hard to obtain; inferior market goods are often ineffective. It is better to substitute with Shudihuang (Rehmanniae Radix Preparata)).
Preparation and Administration: Grind into powder. Use wine-boiled wheat paste to make pills the size of Sophora seeds. Take 100 pills per dose on an empty stomach with salt water.
Shujin Li'an San (Unbind Sinews and Establish Peace Powder): Treats pain in all limbs and joints, known as Baihu Lijie Feng.
Ingredients: Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Shengdihuang (Rehmanniae Radix Recens), Cangzhu (Atractylodis Rhizoma), Honghua (Carthami Flos), Taoren (Persicae Semen), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Praeparatum), Nanting (Arisaematis Rhizoma Praeparatum), Baizhu (Atractylodis Macrocephalae Rhizoma), Weilingxian (Sinomenii Caulis), Niuxi (Achyranthis Bidentatae Radix), Mugua (Chaenomelis Fructus), Fangji (Stephaniae Tetrandrae Radix), Huangqin (Scutellariae Radix), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis), Longdancao (Gentianae Radix, wine-soaked), Muxiang (Aucklandiae Radix, small amount), Da Fuzi (Aconiti Lateralis Radix Preparata, small amount), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation and Administration: Coarsely crush for one dose. Decoct in water. Add ginger juice and Zhuli (Bambusae Sap) before taking. For severe pain, add Rushiang (Boswelliae Resin) and Moyao (Olibanum) ground into powder, mixed and taken.
Shentong Yin (Divine Efficacy Drink) [Commentary: A formula for treating Baihu Lijie Feng]: Treats wind-damp invasion resulting in Baihu Lijie Feng syndrome, with whole-body twitching and pain, inability to bear weight on feet for two to three years, unresponsive to hundred methods, emaciation. Taking this yields miraculous results.
Ingredients: Chuan Mutong (Akebiae Caulis, 2 liang), finely crushed. Decoct in long-flowing water. Take in one dose. About one hour after ingestion, the whole body may itch or develop red rashes; do not fear. Recovery occurs when sweat appears over the entire body.
Treatment for Pain and Numbness in Both Hands [Made by Yunlin]
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Huangqin (Scutellariae Radix, wine-stir-fried), Huanglian (Coptidis Rhizoma, ginger juice-stir-fried), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Nanting (Arisaematis Rhizoma Praeparatum, ginger juice-stir-fried), Banxia (Pinelliae Rhizoma Praeparatum, ginger juice-stir-fried), Guizhi (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation and Administration: Coarsely crush for one dose. Decoct with fresh ginger and take.
Treatment for Pain and Numbness in Both Feet [Made by Yunlin]
Ingredients: Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Praeparatum), Fuling (Poria), Huangbai (Phellodendri Cortex, wine-stir-fried), Chuan Niuxi (Achyranthis Bidentatae Radix, wine-washed), Weilingxian (Sinomenii Caulis), Taoren (Persicae Semen), Honghua (Carthami Flos), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation and Administration: Coarsely crush. Add five slices of fresh ginger. Decoct in water. Add Zhuli (Bambusae Sap) and take together.
Treatment for Wandering Pain in All Limbs and Joints, Caused by Damp-Phlegm or Dead Blood, with Swelling or Redness at the Affected Site
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangji (Stephaniae Tetrandrae Radix), Huangbai (Phellodendri Cortex), Nanting (Arisaematis Rhizoma Praeparatum), Qianghuo (Notopterygii Rhizoma et Radix), Cangzhu (Atractylodis Rhizoma), Weilingxian (Sinomenii Caulis), Honghua (Carthami Flos), Guizhi (Cinnamomi Ramulus, equal parts).
Preparation and Administration: Coarsely crush. Add fresh ginger. Decoct in water and take.
Xingshi Zijin Yangxue Tang (Move Dampness, Nourish Sinews, and Tonify Blood Decoction) [Made by Yunlin]: Treats wandering pain throughout the body, caused by dual deficiency of Qi and Blood, with Fire and Dampness present.
Ingredients: Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix Recens, 1 qian, ginger juice-stir-fried), Renshen (Ginseng Radix et Rhizoma, 6 fen), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Weilingxian (Sinomenii Caulis), Fangji (Stephaniae Tetrandrae Radix), Honghua (Carthami Flos, 7 fen), Niuxi (Achyranthis Bidentatae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen), Cangzhu (Atractylodis Rhizoma, equal parts).
Preparation and Administration: Coarsely crush for one dose. Decoct with fresh ginger and dates and take.
Ruxiang Ding Tong Wan (Frankincense Pain-Stabilizing Pill) [Secret Recipe] [Commentary: A formula for various pains, use according to syndrome]: Treats various winds, bone-joint pain throughout the body, leg and knee pain, and wind affecting sinews and bones.
Ingredients: Cangzhu (Atractylodis Rhizoma, rice wash-soaked, 2 liang), Chuanwu (Aconiti Radix, processed, peel removed, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 liang), Rushiang (Boswelliae Resin), Moyao (Olibanum, 3 qian each), Dingxiang (Syzygii Aromatisati Flos, 5 qian).
Preparation and Administration: Grind into powder. Use date flesh to make pills the size of Sophora seeds. Take 50-60 pills per dose with aged wine.
For Women with Damp-Phlegm Flowing and Stagnating, Causing Pain in Shoulders, Back, Arms, Waist, and Flanks Day and Night, Preventing Walking
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma Praeparatum, ginger-processed), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Wuyao (Litseae Fructus), Guanzi Gui (Cinnamomi Cortex), Zhike (Aurantii Fructus Immaturus), Fangji (Stephaniae Tetrandrae Radix), Cangzhu (Atractylodis Rhizoma), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Muxiang (Aucklandiae Radix), Xiangfu (Cyperi Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), Gancao (Glycyrrhizae Radix et Rhizoma, equal parts).
Preparation and Administration: Coarsely crush for one dose. Decoct with fresh ginger and take.
A Woman Suffering from Bone-Joint Pain in Four Limbs, Vomiting, Heart Pain, Flank Distension, Generalized Edema, Unresolved for Years
Prescription: Wuji San (Five Accumulations Powder) in full dosage, plus Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix), and Qianhu (Peucedani Radix).