论曰肾风之状。多汗恶风。脊痛不能正立。其色 。隐曲不利。诊在肌上。其色黑。夫
身之本在肾。受五脏六腑之精神。以养百骸九窍。肾受风。则诸阳之气。不能上至于头面。
故有面庞然浮肿之证。阳气虚者。则多汗恶风。肾主骨。骨不强。则脊痛不能立。精神衰弱。
则
志意昏沉。善恐多忘。皆肾风证也。
治肾中风踞而腰痛。脚肿疼重。耳鸣面黑。志意不乐。海桐皮散方
海桐皮(锉) 五加皮(去粗皮锉) 萆 (炒) 薏苡仁(炒各一两) 虎骨(涂酥
炙令黄)
风(去叉) 续断 杜仲(去粗皮锉炒) 郁李仁(汤退去皮尖双仁炒) 熟干地黄(焙各
一两)
上一十四味。捣罗为散。每服二钱匕。温酒调下。渐加至三钱匕。空腹食前各一。
治肾中风腰脚不遂。骨节酸疼。筋脉拘急。行履艰难。两胁牵痛。杜仲丸方
杜仲(去粗皮锉炒三分) 牛膝(去苗酒浸切焙一两) 萆 (微炒一两半) 酸枣仁
(炒一两) 当归(切焙三分) 防风(去叉一两) 丹参(微炙三分) 赤芍药(三分) 桂
(去粗皮半两
半两) 郁李仁(汤浸
上一十四味。捣罗为末。炼蜜和丸。如梧桐子大。每空腹用温酒下三十丸。
治肾中风腰胯重疼。脚膝无力。胸中气满。两胁膨胀。防风丸方。
防风(去叉一两一分) 白茯苓(去黑皮三分) 酸枣仁(炒三分) 肉苁蓉(酒浸切
焙一两
茱萸(三分) 槟榔(锉三分) 熟干地黄(焙半两)
上一十一味。捣罗为末。炼蜜和丸。如梧桐子大。每空腹煎枣汤。下二十丸至三十丸。
治肾中风腰膝骨髓疼痛。转动不得。白花蛇丸方
白花蛇(酒浸去皮骨炙半两) 羌活(去芦头半两) 白附子(炮一分) 麻黄(去节
煎掠去
两) 附子(炮裂去皮脐半两) 干姜(炮一分) 蜀椒(去目并闭口炒出汗) 乌头(炮
裂去皮脐各一分)
上一十二味。捣罗为末。炼蜜和丸。如梧桐子大。每服空心温酒下十丸至十五丸。如要
出汗。先浴后服药。热酒或葱酒下。汗出避风。凡风病皆治之。
治肾中风腰脚 痹不仁。骨髓酸疼。不能久立。渐觉消瘦。防风汤方
防风(去叉一两半) 羌活(去芦头一两) 黄 (炙锉二两半) 五加皮(锉一两半)
牛膝
赤芍药(
两) 木通(锉一
上一十三味。粗捣筛。每服三钱匕。以水一盏。煎至七分。去滓空心温服。及晚食前再
服。
治肾中风。腰脊疼强。不得俯仰。言语謇涩。志意不定。牛黄天麻散方
牛黄(研一两) 天麻(一两) 天雄(三分生) 枸杞子(三分) 人参(一两) 白
附子(一
上八味。捣罗为散。每日三服。食前温酒调下一钱匕。
治肾中风筋急。两膝不得屈伸。手不为用。起居增剧。恶风寒。通身流肿生疮。凡风冷
疾病在腰膝。挛急缓纵。悉理之。天雄浸酒方
天雄(炮裂去皮脐三两) 蜀椒(去目并闭口炒汗出一两半) 乌头(炮裂去皮脐二两)
茵
踯躅(炒一两半)
上八味。锉如麻豆。用生绢囊贮。以酒一斗五升浸之。春夏五日。秋冬七日。开取每服
一合。渐加至一合半。空心临卧各一服。尽酒将滓曝令干。捣细罗为散。每服半钱。渐加至
一钱匕。服时候如前。
治肾中风下注。腰脚痹弱。利关节。坚筋骨。除头面游风。补虚劳。益气力。石斛浸酒
方
石斛(去根二十四两) 黄 (炙一两半) 丹参(微炙二两) 牛膝(去苗二两) 人
参(一
子(微炒一升半
半) 天门冬(去心焙三两) 细
上一十七味。细锉如麻豆。用生绢囊盛。以酒五斗于净瓷器中浸七宿。初温服三合。日
三夜一。渐加至六七合一升许。令常有酒气。不至大醉。
治肾中风恶风多汗。面浮肿。腰脊痛。不能正立。面色枯黑。吴茱萸丸方
吴茱萸(一分汤浸焙干炒) 山茱萸 牛膝(去苗酒浸切焙) 石斛(去根半两) 细
辛(去
黑皮一分) 羌活(去芦头) 独活(去芦头) 木香(各一分) 萆 (半两)
上一十三味。捣罗为末。用醇酒半盏。炼蜜半盏拌和。丸如梧桐子大。空心日午临卧。
盐汤或盐酒下三十丸。
论述说:肾风的症状,表现为多汗、怕风,脊背疼痛导致无法挺直站立,面色发黑,小便及性功能方面不利。诊察部位在肌肤之上,若见黑色,即为肾风之象。
身体的根本在于肾,肾接受五脏六腑的精气神,用来滋养全身的骨骼和九窍。如果肾受到风邪侵袭,那么诸阳之气就不能上行至头面部,因此会出现面部浮肿的症状。阳气虚弱的人,就会多汗、怕风。肾主骨,骨头不坚固,就会导致脊背疼痛、无法站立。精神衰弱,就会导致意志昏沉、容易恐惧、健忘,这些都是肾风的证候。
治疗肾中风引起的蹲起时腰痛,脚部肿胀疼痛沉重,耳鸣,面色发黑,情绪低落不乐,用海桐皮散方。
海桐皮(锉碎)五加皮(去掉粗皮锉碎)萆薢(炒制)薏苡仁(炒制,各一两)虎骨(涂酥油炙烤至黄色)防风(去掉叉枝)续断 杜仲(去掉粗皮锉碎炒制)郁李仁(热水烫后去皮尖及双仁炒制)熟干地黄(焙干,各一两)。
以上十四味药,捣碎过筛制成散剂。每次服用二钱匕,用温酒调服,逐渐增加至三钱匕,空腹饭前各服一次。
治疗肾中风引起的腰脚活动不便,骨节酸痛,筋脉拘挛紧急,行走困难,两胁牵引疼痛,用杜仲丸方。
杜仲(去掉粗皮锉碎炒制三分)牛膝(去掉苗,酒浸切后焙干一两)萆薢(微炒一两半)酸枣仁(炒制一两)当归(切后焙干三分)防风(去掉叉枝一两)丹参(微炙三分)赤芍药(三分)桂枝(去掉粗皮半两)郁李仁(热水浸……[原文此处有缺漏])。
以上十四味药,捣碎过筛制成末,炼蜜调和做成丸药,大小如梧桐子。每次空腹用温酒送下三十丸。
治疗肾中风引起的腰胯沉重疼痛,脚膝无力,胸中气满,两胁胀满,用防风丸方。
防风(去掉叉枝一两一分)白茯苓(去掉黑皮三分)酸枣仁(炒制三分)肉苁蓉(酒浸切后焙干一两)山茱萸(三分)槟榔(锉碎三分)熟干地黄(焙干半两)。
以上十一味药,捣碎过筛制成末,炼蜜调和做成丸药,大小如梧桐子。每次空腹煎大枣汤送下二十丸至三十丸。
白花蛇(酒浸去皮骨炙烤半两)羌活(去掉芦头半两)白附子(炮制一分)麻黄(去节……[原文此处有缺漏])附子(炮裂去皮脐半两)干姜(炮制一分)蜀椒(去掉目并闭口炒出汗水)乌头(炮裂去皮脐各一分)。
以上十二味药,捣碎过筛制成末,炼蜜调和做成丸药,大小如梧桐子。每次空腹用温酒送下十丸至十五丸。如果要出汗,先洗澡后服药,用热酒或葱酒送下,出汗后避风。凡是风病都治疗。
治疗肾中风引起的腰脚麻木不仁,骨髓酸痛,不能久站,逐渐觉得消瘦,用防风汤方。
防风(去掉叉枝一两半)羌活(去掉芦头一两)黄芪(炙烤锉碎二两半)五加皮(锉碎一两半)牛膝……赤芍药……木通(锉碎……[原文此处有缺漏])。
以上十三味药,粗捣过筛。每次服用三钱匕,用水一盏,煎至七分,去渣,空腹温服,晚上饭前再服一次。
治疗肾中风,腰脊疼痛僵硬,不能俯仰,言语蹇涩,意志不定,用牛黄天麻散方。
牛黄(研细一两)天麻(一两)天雄(生用三分)枸杞子(三分)人参(一两)白附子(一……[原文此处有缺漏])。
以上八味药,捣碎过筛制成散剂。每天分三次服用,饭前用温酒调服一钱匕。
治疗肾中风引起的筋脉拘急,两膝不能屈伸,手不能正常使用,起居加重病情,怕风冷,全身浮肿生疮。凡是风冷疾病在腰膝,出现挛急或弛缓,都调理它,用天雄浸酒方。
天雄(炮裂去皮脐三两)蜀椒(去掉目并闭口炒出汗水一两半)乌头(炮裂去皮脐二两)茵芋……踯躅(炒制一两半)。
以上八味药,锉碎如麻豆大小,用生绢袋装好,用酒一斗五升浸泡。春夏五天,秋冬七天,取出饮用。每次服用一合,逐渐增加至一合半,空腹和临睡前各服一次。喝完酒后将药渣晒干,捣细过筛制成散剂。每次服用半钱,逐渐增加至一钱匕,服用时间同上。
治疗肾中风引起的病邪下注,腰脚麻痹软弱,利关节,强筋骨,去除头面游风,补虚劳,益气力,用石斛浸酒方。
石斛(去掉根二十四两)黄芪(炙烤一两半)丹参(微炙二两)牛膝(去掉苗二两)人参……五味子(微炒一升半)天门冬(去掉心焙干三两)细辛……[原文此处有缺漏]。
以上十七味药,细锉如麻豆大小,用生绢袋盛好,用酒五斗在干净的瓷器中浸泡七宿。初次温服三合,白天三次,夜间一次,逐渐增加至六七合一升左右,使体内常有酒气,不至于大醉。
治疗肾中风引起的怕风多汗,面部浮肿,腰脊痛,无法挺直站立,面色枯黑,用吴茱萸丸方。
吴茱萸(一分,热水浸后焙干炒制)山茱萸 牛膝(去掉苗,酒浸切后焙干)石斛(去掉根半两)细辛(去掉黑皮一分)羌活(去掉芦头)独活(去掉芦头)木香(各一分)萆薢(半两)。
以上十三味药,捣碎过筛制成末,用半盏醇酒、半盏炼蜜拌和,做成如梧桐子大的丸药。空腹、日中、临睡前,用盐汤或盐酒送下三十丸。
Discourse states: The manifestations of Kidney Wind include excessive sweating and aversion to wind, pain in the spine preventing upright standing, a dark complexion, and dysfunction in urination or sexual activities. The diagnosis is located on the skin; if the color is black, it indicates Kidney Wind.
The root of the body lies in the Kidney, which receives the essence, qi, and spirit from the five zang and six fu organs to nourish the hundred bones and nine orifices. When the Kidney is invaded by Wind pathogen, the Qi of all Yang meridians cannot ascend to the head and face, resulting in facial edema. Those with deficient Yang Qi will experience excessive sweating and aversion to wind. Since the Kidney governs the bones, weak bones lead to spinal pain and inability to stand. Mental decline results in dullness of will, frequent fear, and forgetfulness; these are all syndromes of Kidney Wind.
To treat Kidney Wind presenting as lower back pain when squatting or rising, swollen and heavy painful feet, tinnitus, dark complexion, and low mood, use Haitongpi San (Haitong Bark Powder).
Haitongpi (Cortex Tinosporae, sliced) Wujia Pi (Cortex Acanthopanacis, coarse bark removed, sliced) Bixie (Dioscoreae Hypoglaucae Rhizoma, stir-fried) Yiyiren (Semen Coicis, stir-fried, each 1 liang) Hugu (Os Tigridis, coated with butter, roasted until yellow) Fangfeng (Radix Saposhnikoviae, forked parts removed) Xuduan (Radix Dipsaci) Duzhong (Cortex Eucommiae, coarse bark removed, sliced, stir-fried) Yuliren (Semen Pruni, blanched, skin and kernel removed, stir-fried) Shu Dihuang (Radix Rehmanniae Preparata, baked, each 1 liang).
These fourteen ingredients are pounded, sifted, and made into a powder. Take 2 qianbi per dose, mixed with warm wine. Gradually increase to 3 qianbi, taken once before breakfast and once before dinner on an empty stomach.
To treat Kidney Wind causing immobility of the waist and legs, soreness and pain in bone joints, spasms and tightness of tendons and vessels, difficulty walking, and pulling pain in both hypochondria, use Duzhong Wan (Eucommia Pill).
Duzhong (Cortex Eucommiae, coarse bark removed, sliced, stir-fried, 3 fen) Niuxi (Radix Achyranthis Bidentatae, sprouts removed, soaked in wine, sliced, baked, 1 liang) Bixie (Dioscoreae Hypoglaucae Rhizoma, slightly stir-fried, 1.5 liang) Suanzaoren (Semen Ziziphi Spinosae, stir-fried, 1 liang) Danggui (Radix Angelicae Sinensis, sliced, baked, 3 fen) Fangfeng (Radix Saposhnikoviae, forked parts removed, 1 liang) Danshen (Radix Salviae Miltiorrhizae, slightly roasted, 3 fen) Chishao (Radix Paeoniae Rubra, 3 fen) Guizhi (Ramulus Cinnamomi, coarse bark removed, 0.5 liang) Yuliren (Semen Pruni, soaked in water... [text missing]).
These fourteen ingredients are pounded, sifted, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with warm wine on an empty stomach.
To treat Kidney Wind causing heaviness and pain in the waist and hips, weakness in the feet and knees, chest fullness of Qi, and distension in both hypochondria, use Fangfeng Wan (Saposhnikovia Pill).
Fangfeng (Radix Saposhnikoviae, forked parts removed, 1.1 liang) Baifuling (Poria, black skin removed, 3 fen) Suanzaoren (Semen Ziziphi Spinosae, stir-fried, 3 fen) Roushouyu (Cynomorii Herba, soaked in wine, sliced, baked, 1 liang) Shanzhuyu (Fructus Corni, 3 fen) Binglang (Semen Arecae, sliced, 3 fen) Shu Dihuang (Radix Rehmanniae Preparata, baked, 0.5 liang).
These eleven ingredients are pounded, sifted, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20-30 pills per dose with decoction of Jujube fruits on an empty stomach.
To treat Kidney Wind causing pain in the bone marrow of the waist and knees, inability to turn or move, use Baihuashe Wan (Bungarus Pill).
Baihuashe (Bungarus multicinctus, soaked in wine, skin and bones removed, roasted, 0.5 liang) Qianghuo (Rhizoma et Radix Notopterygii, rhizome head removed, 0.5 liang) Baifuzi (Tubera Typhonii, processed, 1 fen) Mahuang (Herba Ephedrae, nodes removed... [text missing]) Fuzi (Lateralis Radix Aconiti Preparata, cracked, skin and navel removed, 0.5 liang) Ganjiang (Rhizoma Zingiberis, processed, 1 fen) Shujiao (Pericarpium Zanthoxyli, eyes and closed mouths removed, stir-fried to release moisture) Wutou (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed, each 1 fen).
These twelve ingredients are pounded, sifted, and made into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 10-15 pills per dose with warm wine on an empty stomach. To induce sweating, bathe first, then take the medicine, administered with hot wine or scallion wine. Avoid wind after sweating. This treats all Wind diseases.
To treat Kidney Wind causing numbness and insensitivity of the waist and legs, soreness and pain in the bone marrow, inability to stand for long periods, and gradual emaciation, use Fangfeng Tang (Saposhnikovia Decoction).
Fangfeng (Radix Saposhnikoviae, forked parts removed, 1.5 liang) Qianghuo (Rhizoma et Radix Notopterygii, rhizome head removed, 1 liang) Huangqi (Radix Astragali, roasted, sliced, 2.5 liang) Wujia Pi (Cortex Acanthopanacis, sliced, 1.5 liang) Niuxi (Radix Achyranthis Bidentatae)... Chishao (Radix Paeoniae Rubra)... Mutong (Caulis Akebiae, sliced... [text missing]).
These thirteen ingredients are coarsely crushed and sifted. Take 3 qianbi per dose, decoct in one sheng of water until reduced to 0.7 sheng, strain, and take warm on an empty stomach. Take again before evening meal.
To treat Kidney Wind causing stiffness and pain in the waist and spine, inability to bend or extend, slurred speech, and unstable will, use Niuhuang Tianma San (Calculus Bovis and Gastrodia Powder).
Niuhuang (Calculus Bovis, ground, 1 liang) Tianma (Rhizoma Gastrodiae, 1 liang) Tianxiong (Radix Aconiti Lateralis Preparata, raw, 3 fen) Gouqizi (Fructus Lycii, 3 fen) Renshen (Radix Ginseng, 1 liang) Baifuzi (Tubera Typhonii... [text missing]).
These eight ingredients are pounded, sifted, and made into powder. Take three doses daily, mixing 1 qianbi with warm wine before meals.
To treat Kidney Wind causing tendon spasms, inability to flex and extend the knees, loss of hand function, worsening of daily activities, aversion to wind and cold, generalized edema with sores, and to regulate all Wind-Cold diseases affecting the waist and knees, whether spasmodic or flaccid, use Tianxiong Infused Wine.
Tianxiong (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed, 3 liang) Shujiao (Pericarpium Zanthoxyli, eyes and closed mouths removed, stir-fried to release moisture, 1.5 liang) Wutou (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed, 2 liang) Yinyu (Herba Hydrastis)... Zhizhu (Flos Rhododendri, stir-fried, 1.5 liang).
These eight ingredients are sliced like hemp seeds, stored in a raw silk bag, and infused in 1.5 dou of wine. Infuse for five days in spring/summer and seven days in autumn/winter. Take 1 he per dose, gradually increasing to 1.5 he, taken on an empty stomach and before bed. After finishing the wine, dry the dregs, pound finely, and sift into powder. Take 0.5 qian per dose, gradually increasing to 1 qianbi, following the same timing as above.
To treat Kidney Wind with pathogenic factors sinking downward, causing numbness and weakness of the waist and legs, benefiting joints, strengthening bones and tendons, removing wandering Wind from the head and face, tonifying deficiency and fatigue, and boosting Qi and strength, use Shihu Infused Wine.
Shihu (Caulis Dendrobii, roots removed, 24 liang) Huangqi (Radix Astragali, roasted, 1.5 liang) Danshen (Radix Salviae Miltiorrhizae, slightly roasted, 2 liang) Niuxi (Radix Achyranthis Bidentatae, sprouts removed, 2 liang) Renshen (Radix Ginseng)... Wuweizi (Fructus Schisandrae, slightly stir-fried, 1.5 sheng) Tianmendong (Radix Asparagi, heart removed, baked, 3 liang) Xixin (Herba Asari)... [text missing].
These seventeen ingredients are finely sliced like hemp seeds, stored in a raw silk bag, and infused in 5 dou of wine in a clean porcelain vessel for seven nights. Initially take 3 he warm, three times during the day and once at night, gradually increasing to 6-7 he up to 1 sheng, maintaining a slight alcohol sensation without intoxication.
To treat Kidney Wind causing aversion to wind, excessive sweating, facial edema, waist and spine pain, inability to stand upright, and withered black complexion, use Wuzhuyu Wan (Evodia Pill).
Wuzhuyu (Fructus Evodiae, 1 fen, soaked in water, baked, dried, stir-fried) Shanzhuyu (Fructus Corni) Niuxi (Radix Achyranthis Bidentatae, sprouts removed, soaked in wine, sliced, baked) Shihu (Caulis Dendrobii, roots removed, 0.5 liang) Xixin (Herba Asari, black skin removed, 1 fen) Qianghuo (Rhizoma et Radix Notopterygii, rhizome head removed) Duhuo (Rhizoma et Radix Angelicae Pubescentis, rhizome head removed) Muxiang (Radix Aucklandiae, each 1 fen) Bixie (Dioscoreae Hypoglaucae Rhizoma, 0.5 liang).
These thirteen ingredients are pounded, sifted, and made into powder. Mix with half a zhan of pure wine and half a zhan of refined honey to form pills the size of Sophora seeds. Take 30 pills on an empty stomach, at noon, and before bed, administered with salt water or salt wine.