论曰中风百节疼痛者。由体虚受风。风邪中于关节。故令百节筋脉。拘急疼痛。寒热更
作。不可屈伸。此皆真气怯弱。不胜风邪。真邪相搏。所以痛也。
治中风手足拘挛。百节疼痛。烦热心躁恶寒。经数日不欲饮食。加减三黄汤方
麻黄（去根节煎掠去沫焙一两二钱） 独活（去芦头一两） 黄 （半两） 细辛（去
苗叶一分） 黄芩（去黑心三分）
上五味。 咀如麻豆。每服六钱匕。水二盏。煎至一盏。去滓空腹服。一服小汗。两服
大汗
蛎粉
治中风身体百节疼痛。四肢缓弱。手足不遂。及产后中风。羌活汤方
羌活（去芦头） 桂（去粗皮） 熟干地黄（焙） 芍药 葛根（锉） 麻黄（去根节
煎掠去沫
上八味。 咀。如麻豆大。每服五钱匕。水一盏。酒一盏。同煎取一盏。去滓温服。日
三夜一。不拘时候。
治中风百节疼痛。头目昏眩。及伤寒头疼壮热。肢节疼痛。肩背拘急。羌活汤方
羌活（去芦头） 桂（去粗皮） 防风（去叉各半两） 天麻 甘菊花 旋复花 白附
子（炮）
浸一日切作片子焙
术（米泔浸一宿切炒各半斤
白焙半斤）
上一十七味。锉如麻豆。每服三钱匕。水一盏。入薄荷七叶。生姜三片。同煎至七分。
去滓温服。
治外伤风邪。百节酸痛。头痛身重。遍体发热。气粗眼疼。神术汤方
苍术（锉碎四两） 甘草 麻黄（去根节各三两） 猪牙皂荚（四挺去皮子）
上四味。并生用。粗捣筛。每服三钱匕。水一盏。煎至七分去滓。不拘时温服。浓被盖
出汗。或入葱白三寸。杏仁二枚碎。豉七粒、同煎服。尤佳。
治中风身体筋脉骨节疼痛。搜风趁痛散方
白附子（炮） 附子（炮裂去皮脐） 赤小豆 天南星（炮去脐） 海桐皮（锉） 野狼
毒自然铜（ 醋淬） 地龙（炒去土）
上八味。等分。捣罗为散。每服半钱。至一钱匕。葱酒调下。豆淋酒亦得。空心服。
治中风肢节疼痛。言语謇涩。白花蛇散方
白花蛇（酒浸炙去皮骨二两） 何首乌（去黑皮切） 牛膝（三味用酒浸半日焙干） 蔓
荆实
上七味。捣罗为末。每服一钱匕。温酒调下。空心临卧服。
治中风百节疼痛。寒热更作。不可俯仰。羌活散方
羌活（去芦头一两） 天麻（去蒂生用一两） 芎 （半两） 酸枣仁（炒三分） 鹿
角胶（炙
子（炮半两） 牛膝（去
用肉半两） 犀角（镑屑一分）
用三分）
上一十七味。捣罗为细散。每日空腹及夜卧。各以豆淋酒。调下一钱匕。至一钱半匕。
治中风手足拘挛。痰涎不利。精神昏闷。百节疼痛。麝香丸方
麝香（研） 牛黄（研） 蔓荆实（去皮） 木香 人参 赤茯苓（去黑皮） 芎 独
活（去
去皮脐） 干蝎（炒去
龟（酒浸炙） 萆 酸枣仁（炒
干姜（炮） 虎骨（酒浸炙各一两） 乌
上二十八味。捣研为末。再同研匀。炼蜜和丸。如弹子大。每服一丸。薄荷酒下。
治诸风痛攻四肢百节。白头翁酒方
白头翁草（一握）
上一味。烂研。以醇酒投之。顿服。
又方
生恶实根。摩酒服。痛止即住。
又方
黑豆（炒去皮半升） 威灵仙（二两） 桑根白皮（锉一两）
上三味。用醇酒一升半。煎取八合。去滓顿服。
又方
杏仁（汤浸去皮尖双仁炒黄研半两） 虎骨（以酒涂炙黄取半两为细末）
上二味。用醇酒一升。热调顿服。
论述说：中风导致全身关节疼痛的，是由于身体虚弱感受风邪。风邪侵入关节，因此使得全身筋脉拘急、疼痛，寒热交替发作，肢体不能屈伸。这都是因为真气怯弱，无法抵御风邪，正气与邪气相互搏结，所以产生疼痛。
治疗中风引起的手足拘挛、全身关节疼痛、心烦发热、躁动不安、恶寒，经过数日后不想饮食的症状，使用加减三黄汤方：
麻黄（去除根和节，煎煮时撇去浮沫，焙干一两二钱） 独活（去除芦头一两） 黄芪（半两） 细辛（去除苗叶一分） 黄芩（去除黑心三分）
以上五味药，切碎如麻豆大小。每次服用六钱匕，加水两盏，煎至一盏，滤去药渣，空腹服用。服一次微微出汗，服两次大汗出。
蛎粉
治疗中风引起的身体及全身关节疼痛、四肢软弱无力、手足活动不遂，以及产后中风的羌活汤方：
羌活（去除芦头） 桂枝（去除粗皮） 熟干地黄（焙干） 芍药 葛根（锉碎） 麻黄（去除根节，煎煮时撇去浮沫）
以上八味药，切碎如麻豆大小。每次服用五钱匕，加水一盏，酒一盏，一同煎取一盏，滤去药渣，温服。每日三次，夜间一次，不拘泥于特定时间。
治疗中风引起的全身关节疼痛、头目昏眩，以及伤寒引起的头痛高热、肢节疼痛、肩背拘急的羌活汤方：
羌活（去除芦头） 桂枝（去除粗皮） 防风（去除叉枝，各半两） 天麻 甘菊花 旋复花 白附子（炮制）
苍术（米泔水浸泡一夜后切片炒制，各半斤；白术焙干半斤）
以上十七味药，锉碎如麻豆大小。每次服用三钱匕，加水一盏，加入薄荷七片、生姜三片，一同煎至七分，滤去药渣，温服。
治疗外伤风邪引起的全身酸痛、头痛身重、遍体发热、呼吸急促眼痛的神术汤方：
苍术（锉碎四两） 甘草 麻黄（去除根节，各三两） 猪牙皂荚（四挺，去皮子）
以上四味药，均生用，粗捣筛过。每次服用三钱匕，加水一盏，煎至七分，滤去药渣，不拘时间温服。用厚被子盖住出汗。或者加入葱白三寸、杏仁二枚捣碎、豉七粒，一同煎服，效果更佳。
治疗中风引起的身体筋脉骨节疼痛的搜风趁痛散方：
白附子（炮制） 附子（炮裂，去皮脐） 赤小豆 天南星（炮制，去脐） 海桐皮（锉碎） 野狼毒 自然铜（醋淬） 地龙（炒去土）
以上八味药，等分，捣罗成散剂。每次服用半钱至一钱匕，用葱酒调下，豆淋酒也可以。空腹服用。
治疗中风引起的肢节疼痛、言语謇涩的白花蛇散方：
白花蛇（酒浸，炙烤，去皮骨，二两） 何首乌（去除黑皮切片） 牛膝（这三味药用酒浸泡半天后焙干） 蔓荆实
以上七味药，捣罗成末。每次服用一钱匕，用温酒调下。空腹及睡前服用。
治疗中风引起的全身关节疼痛、寒热交替发作、不能俯仰的羌活散方：
羌活（去除芦头一两） 天麻（去除蒂，生用一两） 川芎（半两） 酸枣仁（炒三分） 鹿角胶（炙） 马前子（即马钱子，炮制半两） 牛膝（去芦头，用肉半两） 犀角（镑屑一分） 狗脊（去毛，用三分）
以上十七味药，捣罗成细散。每天空腹及夜间卧床时，各用豆淋酒调下一钱匕，至一钱半匕。
治疗中风引起的手足拘挛、痰涎不利、精神昏闷、全身关节疼痛的麝香丸方：
麝香（研） 牛黄（研） 蔓荆实（去皮） 木香 人参 赤茯苓（去除黑皮） 川芎 独活（去除芦头） 乌梢蛇（去皮脐） 干蝎（炒去头足） 龟板（酒浸，炙） 萆薢 酸枣仁（炒） 干姜（炮制） 虎骨（酒浸，炙，各一两） 乌梢蛇（此处原文可能有误或重复，依原文列出）
以上二十八味药，捣研成末，再共同研匀，用炼蜜和丸，如弹子大。每次服用一丸，用薄荷酒送下。
治疗各种风邪疼痛攻注四肢百节的白头翁酒方：
白头翁草（一握）
以上一味药，烂研，用醇酒冲服，一次性服完。
又一方：
生恶实根，磨酒后服用，疼痛停止即停服。
又一方：
黑豆（炒，去皮半升） 威灵仙（二两） 桑根白皮（锉碎一两）
以上三味药，用醇酒一升半，煎取八合，滤去药渣，一次性服完。
又一方：
杏仁（汤浸，去皮尖双仁，炒黄，研，半两） 虎骨（以酒涂炙黄，取半两为细末）
以上二味药，用醇酒一升，加热调匀一次性服完。
Discussion: Regarding joint pain throughout the body caused by wind-stroke (Zhong Feng, stroke/paralysis due to wind), it arises from physical deficiency leading to the invasion of wind pathogen. The wind pathogen strikes the joints, causing the tendons and vessels of the entire body to become contracted and painful, with alternating chills and fever, and inability to flex or extend the limbs. This is all due to the weakness of true qi (Zhen Qi, vital energy) which cannot withstand the wind pathogen; the struggle between true qi and evil pathogen results in pain.
For treating hand and foot contracture, joint pain throughout the body, vexation, heat, restlessness, aversion to cold, and loss of appetite after several days due to wind-stroke, use the Modified San Huang Tang (Three Yellows Decoction):
Ephedrae Herba (Mahuang, 麻黄) [1 liang 2 qian, roots and nodes removed, boiled to remove foam, dried]
Angelicae Pubescentis Radix (Duhuo, 独活) [1 liang, rhizome removed]
Astragali Radix (Huangqi, 黄芪) [0.5 liang]
Asari Radix et Rhizoma (Xixin, 细辛) [1 fen, seedlings and leaves removed]
Scutellariae Radix (Huangqin, 黄芩) [3 qian, black heart removed]
The above five herbs are crushed like hemp seeds. Each dose consists of 6 qian bi, boiled in 2 zhan of water until 1 zhan remains. Strain and take on an empty stomach. One dose induces slight sweating; two doses induce profuse sweating.
Li Fen (Oyster Shell Powder)
For treating body and joint pain, limb weakness, hemiplegia due to wind-stroke, and postpartum wind-stroke, use Qianghuo Tang (Notopterygium Decoction):
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
Rehmanniae Radix Praeparata (Shu Dihuang, 熟地黄) [dried]
Paeoniae Radix Alba (Baishao, 芍药)
Puerariae Radix (Gegen, 葛根) [crushed]
Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed, boiled to remove foam]
The above eight herbs are crushed like hemp seeds. Each dose consists of 5 qian bi, boiled with 1 zhan of water and 1 zhan of wine until 1 zhan remains. Strain and take warm. Three times daily and once at night, without restriction on timing.
For treating joint pain throughout the body, dizziness, headache, high fever, limb pain, and shoulder/back stiffness due to wind-stroke or cold damage (Shang Han, cold injury), use Qianghuo Tang (Notopterygium Decoction):
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed]
Cinnamomi Ramulus (Guizhi, 桂枝) [bark removed]
Saposhnikoviae Radix (Fangfeng, 防风) [twigs removed, 0.5 liang each]
Gastrodiae Rhizoma (Tianma, 天麻)
Chrysanthemi Flos (Gan Juhua, 甘菊花)
Inulae Flos (Xuanjinhua, 旋覆花)
Typhonii Rhizoma (Baifuzi, 白附子) [processed]
Atractylodis Rhizoma (Baizhu/Cangzhu context implies Atractylodes, here likely Cangzhu based on previous mention but text says Shu/Bai Zhu split, assuming Atractylodis Rhizoma) [soaked in rice wash overnight, sliced, stir-fried, 0.5 jin each for Cangzhu; Bai Zhu dried, 0.5 jin]
The above seventeen herbs are crushed like hemp seeds. Each dose consists of 3 qian bi, boiled with 1 zhan of water, adding 7 leaves of Menthae Haplocalycis Herba (Bohe, 薄荷) and 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), until 0.7 portion remains. Strain and take warm.
For treating external wind pathogen causing soreness and pain throughout the body, headache, heavy body, generalized fever, rough breathing, and eye pain, use Shenzhu Tang (Divine Atractylodes Decoction):
Atractylodis Rhizoma (Cangzhu, 苍术) [crushed, 4 liang]
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草)
Ephedrae Herba (Mahuang, 麻黄) [roots and nodes removed, 3 liang each]
Gleditsiae Fructus (Zhuyazaojia, 猪牙皂荚) [4 pods, skin and seeds removed]
The above four herbs are used raw, coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled with 1 zhan of water until 0.7 portion remains. Strain and take warm at any time. Cover with thick blankets to induce sweating. Alternatively, add 3 cun of Allii Fistulosi Bulbus (Congbai, 葱白), 2 crushed Almondae Semen (Xingren, 杏仁), and 7 grains of Sojae Semen Preparatum (Chidou/Zhichi context implies Zhichi/Fermented Soybean, here Chidou is black bean but text says Chi Dou later, likely Zhichi/Douchi) [Note: Text says 'Chi' then 'Dou', likely Douchi], boil together for better effect.
For treating tendon, vessel, bone, and joint pain due to wind-stroke, use Sofeng Chen Tong San (Wind-Searching Pain-Chasing Powder):
Typhonii Rhizoma (Baifuzi, 白附子) [processed]
Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, cracked, skin and umbilicus removed]
Phaseoli Semen Rubrum (Chixiaodou, 赤小豆)
Arisaematis Rhizoma (Tiannanxing, 天南星) [processed, umbilicus removed]
Cryptocorynetis Cortex (Haitongpi, 海桐皮) [crushed]
Ligustici Chuanxiong Rhizoma? No, Wild Wolf Poison (Yelangdu, 野狼毒)
Pyritum (Ziran Tong, 自然铜) [quench in vinegar]
Pheretima (Dilong, 地龙) [stir-fried, soil removed]
The above eight herbs are in equal parts, pounded and sieved into powder. Each dose is 0.5 to 1 qian bi, taken with scallion-wine or bean-leak wine on an empty stomach.
For treating limb and joint pain, and slurred speech due to wind-stroke, use Baihua She San (White Flower Snake Powder):
Bungarus Parvus? No, Bungarus multicinctus? Text says Baihua She (Baihuashe, 白花蛇) [soaked in wine, roasted, skin and bones removed, 2 liang]
Polygoni Multiflori Radix (Heshouwu, 何首乌) [black skin removed, sliced]
Cyathulae Radix / Acanthopanacis Senticosi Radix? Text says Niuxi (Niuxi, 牛膝) [these three soaked in wine for half a day, dried]
Viticis Fructus (Manjingzi, 蔓荆实)
The above seven herbs are pounded and sieved into powder. Each dose is 1 qian bi, taken with warm wine on an empty stomach and before sleep.
For treating joint pain throughout the body, alternating chills and fever, and inability to bend or stretch due to wind-stroke, use Qianghuo San (Notopterygium Powder):
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [rhizome removed, 1 liang]
Gastrodiae Rhizoma (Tianma, 天麻) [pedicle removed, raw, 1 liang]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) [0.5 liang]
Zizyphi Semen (Szaoren, 酸枣仁) [stir-fried, 3 qian]
Cervi Cornu Colla (Lujiaojiao, 鹿角胶) [roasted]
Strychni Semen (Maqianzi, 马钱子) [processed, 0.5 liang]
Cyathulae Radix / Achyranthis Bidentatae Radix (Niuxi, 牛膝) [rhizome removed, meat part 0.5 liang]
Rhinocerotis Cornu (Xijiao, 犀角) [shavings, 1 fen]
Drynariae Rhizoma (Gujin, 狗脊) [hair removed, 3 qian]
The above seventeen herbs are pounded and sieved into fine powder. Take 1 to 1.5 qian bi with bean-leak wine on an empty stomach and before bed daily.
For treating hand and foot contracture, difficult phlegm-saliva, mental confusion, and joint pain due to wind-stroke, use Shexiang Wan (Musk Pill):
Moschus (Shexiang, 麝香) [pounded]
Bovis Calculus (Niuhuang, 牛黄) [pounded]
Viticis Fructus (Manjingzi, 蔓荆实) [skin removed]
Costi Rhizoma (Muxiang, 木香)
Panacis Ginseng Radix (Renshen, 人参)
Poria Cocos (Chifuling, 赤茯苓) [black skin removed]
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎)
Angelicae Pubescentis Radix (Duhuo, 独活) [rhizome removed]
Zaocys (Wushaoshe, 乌梢蛇) [skin and umbilicus removed]
Scorpio (Ganjie, 干蝎) [stir-fried, head and feet removed]
Testudinis Carapax et Plastrum (Guiban, 龟板) [soaked in wine, roasted]
Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢)
Zizyphi Semen (Szaoren, 酸枣仁) [stir-fried]
Zingiberis Rhizoma (Ganjiang, 干姜) [processed]
Pantheros Os (Hugu, 虎骨) [soaked in wine, roasted, 1 liang each]
Zaocys (Wushaoshe, 乌梢蛇) [Repeated in source text list, listed as 28 ingredients total]
The above twenty-eight herbs are pounded and ground into powder, mixed evenly, and formed into pills with refined honey, size of a bullet. Take one pill per dose with mint-wine.
For treating various wind pains attacking the four limbs and joints, use Baitouweng Jiu (Baitouweng Wine):
Bupleuri Radix? No, Pulsatillae Radix (Baitouwengcao, 白头翁草) [one handful]
The above single herb is mashed thoroughly, mixed with strong wine, and taken in one dose.
Another prescription:
Fresh Arctii Radix (Engen, 恶实根), rubbed in wine and taken. Stop when pain ceases.
Another prescription:
Sojae Semen Nigrum (Heidou, 黑豆) [stir-fried, skin removed, 0.5 sheng]
Cirsii Japonici Herba (Weilingxian, 威灵仙) [2 liang]
Mori Cortex (Sangbaipi, 桑根白皮) [crushed, 1 liang]
The above three herbs are boiled in 1.5 sheng of strong wine until 0.8 sheng remains. Strain and take in one dose.
Another prescription:
Almondae Semen (Xingren, 杏仁) [soaked in hot water, skin and pointed end removed, double-kernel, stir-fried yellow, pounded, 0.5 liang]
Pantheros Os (Hugu, 虎骨) [coated with wine, roasted yellow, pounded to fine powder, 0.5 liang]
The above two herbs are mixed in 1 sheng of strong wine, heated, and taken in one dose.