上体风痛，保元、四物加凉血疏风药；下体痛，保元、四物加牛膝、木瓜、黄柏，或山
药、
仁属虚，小续命汤加减。晚蚕沙去上焦风热，左在皆宜用。
痛风俱属于火，风淫作痛，风痰作肿，风寒作滞，风湿痛证。古人用独活寄生汤，今人
当用羌活续断汤。盖桑寄生、川独活，乃去风胜湿之圣药也。近时桑寄生，采桃、梅、榆、枫上
者代用，不知寄生不生于桑，则性热，伤血损气，故另立方曰羌活续断汤，治之亦效。
验案
一人历节风痛，用四物汤加薏苡仁、秦艽、甘草、蚕砂，养血荣筋效。
风为百病之长，而疠风尤为内外两伤。疠风者，俗名大麻风，乃湿热填塞于脏腑之窍，
故为病中最难治之证。盖湿属脾，风属肝，正气衰而脾因肝害，风湿日横而正气日虚，欲攻而正
坏，欲补而邪兴，惟有针法可治。须在初发时，或于面，或于手足，或于麻木处针之可平。
药用蕲蛇、大枫子、川芎、当归之类，亦有愈十中之一二。
疠风皮肉溃肿，湿热填于汗孔也。苦参丸主之。
苦参丸（并治赤白癜风）
苦参（一斤） 防风 荆芥 苍耳子 胡麻（各八两） 川乌 白芷（各一两半） 黑蛇（一
共为末，酒糊丸，茶酒任下之。
又方
苦参（七钱半） 苍耳子 牛蒡子 黄柏（酒炒各二两） 黄精 浮萍（各一两） 乌蛇（一
浸酒服。
上肢及躯干上部出现风痛，使用保元汤、四物汤，并加入凉血疏风的药物；下肢疼痛，使用保元汤、四物汤，并加入牛膝、木瓜、黄柏，或者山药。若属虚证，则对小续命汤进行加减化裁。晚蚕沙（Mulberry Silkworm Feces）能去除上焦的风热，无论病位左右皆适宜使用。
痛风均归属于火邪，风邪淫溢导致疼痛，风痰导致肿胀，风寒导致气血滞涩，风湿导致疼痛证候。古人使用独活寄生汤，今人应当使用羌活续断汤。因为桑寄生（Taxilli Caulis et Folium）、川独活（Angelicae Pubescentis Radix），是祛除风邪、胜除湿邪的圣药。近来人们采集生长在桃树、梅树、榆树、枫树上的桑寄生代替正品使用，却不知道桑寄生若不寄生于桑树上，其性便偏热，会损伤血液和气，因此另外制定方剂名为羌活续断汤，治疗此病也有效。
验案：
有一人患历节风（Lijie Wind, a type of severe joint pain similar to gout or rheumatoid arthritis）疼痛，使用四物汤加入薏苡仁、秦艽、甘草、蚕砂，起到养血荣筋的效果，痊愈。
风邪是百病的先导，而疠风（Lefeng, Leprosy/Hansen's disease）更是内外两伤。疠风，俗称大麻风，是由于湿热填塞于脏腑的窍道，所以是疾病中最难治疗的证候。湿属于脾，风属于肝，正气衰弱导致脾受到肝的克制，风湿日益猖獗而正气日益虚弱，想要攻邪则正气败坏，想要补益则邪气兴盛，只有针法可以治疗。必须在初发时，在面部、手足或麻木处进行针刺，可以使病情平复。药用蕲蛇（Agkistrodon), 大枫子（Aleuritidis Fructus）、川芎、当归之类，也有十分之一二的治愈率。
疠风导致皮肉溃烂肿胀，是因为湿热填塞于汗孔。以苦参丸为主治方。
苦参丸（同时治疗赤白癜风）
苦参（一斤）防风荆芥苍耳子胡麻（各八两）川乌白芷（各一两半）黑蛇（共研为细末，用酒糊制作成丸剂，茶或酒送服。
For wind-pain in the upper body, use Baoyuan Decoction (Tonifying Qi and Yang Decoction) and Siwu Tang (Four Substances Decoction) with added blood-cooling and wind-dispersing herbs; for pain in the lower body, use Baoyuan Decoction and Siwu Tang with added Niuxi (Achyranthis Bidentatae Radix), Mugua (Chaenomelis Fructus), Huangbai (Phellodendri Cortex), or Shanyao (Dioscoreae Rhizoma). If it is a deficiency pattern, modify Xiao Xuming Tang (Minor Rescue Life Decoction). Wancangsha (Bombyx Batryticatus, Mulberry Silkworm Feces) clears wind-heat from the Upper Jiao and is suitable regardless of whether the pathogen is on the left or right.
Gout (Tongfeng) all belongs to Fire. Wind excess causes pain, wind-phlegm causes swelling, wind-cold causes stagnation, and wind-dampness causes painful conditions. Ancient practitioners used Duhuo Jisheng Tang (Notopterygium and Taxillus Decoction); modern practitioners should use Qianghuo Xuduan Tang (Notopterygii Rhizomatis et Radicis and Dipsaci Radix Decoction). This is because Sangjisheng (Taxilli Caulis et Folium) and Chuan Duhuo (Angelicae Pubescentis Radix) are supreme herbs for dispelling wind and overcoming dampness. Recently, people have been using Sangjisheng harvested from peach, plum, elm, or maple trees as substitutes, not realizing that if Sangjisheng does not parasitize mulberry trees, its nature becomes hot, damaging blood and qi. Therefore, a separate formula named Qianghuo Xuduan Tang was created, which is also effective in treating this condition.
Verified Case:
A patient suffered from Lijie Feng (severe joint pain) pain. Using Siwu Tang (Four Substances Decoction) added with Yiyiren (Coicis Semen), Qinjiao (Gentianae Macrophyllae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Cansha (Bombyx Batryticatus), the treatment nourished blood and benefited tendons, resulting in a cure.
Wind is the chief of all diseases, and Lefeng (Hansen's Disease/Leprosy) is particularly caused by both internal and external injuries. Lefeng, commonly known as "Big Hemp Wind," occurs when damp-heat fills the orifices of the Zang-Fu organs, making it one of the most difficult conditions to treat. Dampness relates to the Spleen, and wind relates to the Liver. When healthy qi declines, the Spleen is harmed by the Liver; as wind-dampness spreads daily, healthy qi becomes increasingly deficient. Attempting to attack the pathogen damages healthy qi further, while tonification exacerbates the pathogenic factors. Only acupuncture can be used for treatment. Needling must be performed at the onset, targeting areas on the face, hands, feet, or numbness, which can calm the condition. Medicinal herbs such as Qishe (Agkistrodon), Dafengzi (Aleuritidis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Danggui (Angelicae Sinensis Radix) are used; there is a recovery rate of one or two out of ten cases.
In Lefeng, skin and flesh ulcerate and swell due to damp-heat filling the sweat pores. Kushen Wan (Sophorae Flavescentis Pill) is the primary treatment.
Kushen Wan (Also treats Red and White Vitiligo):
Kushen (Stemonae Radix) (one jin), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Cang'erzi (Xanthii Fructus), Huma (Sesami Fructus) (each eight liang), Chuanwu (Aconiti Radix Preparata), Baizhi (Angelicae Dahuricae Radix) (each one and a half liang), Heishe (Black Snake) (all ground into powder, formed into pills with wine paste, taken with tea or wine).
Another Formula:
Kushen (Stemonae Radix) (seven qian and half liang), Cang'erzi (Xanthii Fructus), Niubangzi (Arctii Fructus), Huangbai (Phellodendri Cortex) (wine-fried, each two liang), Huangjing (Polygonati Rhizoma), Fuping (Urticae Herba) (each one liang), Wushe (Aspis Formosae Venenum) (soaked in wine and taken orally).