论曰风毒之中人也,必先中脚,久而不瘥,遍及四肢,其气深入,则腹胁胀满,小便不
利,气喘息高者,其病为重也。
治香港脚疼痛,发热肿闷,上攻心腹胀满吐逆。诃黎勒汤方
诃黎勒(炮去核) 大腹(煨熟和皮用) 木香 防己 紫苏茎叶 干木瓜(去子) 羌
活
(去芦头) 芍药 沉香(镑) 杉木节(各半两)
上一十味,粗捣筛。每服半两,水二盏,煎至一盏,去滓通口服,不计时,日再。
治香港脚心腹胀急,不思饮食。茯苓丸方
赤茯苓(去黑皮三分) 木瓜(一枚半切) 桂(去粗皮) 木香 诃黎勒皮 吴茱萸
(汤洗
焙干炒黄) 陈橘皮(汤浸去白焙) 白术 干姜(炮) 高良姜(各半两) 人参 枳壳
(去瓤麸
炒各三分)
上一十二味。除木瓜外,捣罗为末,先将木瓜饭上蒸熟,研如膏,次入诸药末和匀,炼
蜜丸如梧桐子大,每服空心煎人参茯苓汤,下三十丸,兼疗干湿霍乱泄泻转筋。
治久患香港脚,心腹胀满,脚膝浮肿。木瓜丸方
干木瓜 槟榔(煨锉各三两) 人参(一两) 高良姜 浓朴(去粗皮涂生姜汁炙) 桂
(去
粗皮) 陈橘皮(汤浸去白炒各三分) 沉香(镑) 木香 芍药 柴胡(去苗各一两半) 吴
茱
萸(汤洗焙干炒黄半两)
上一十二味。捣罗为末,炼蜜和丸,如梧桐子大,每服空心酒下二十丸,日午再服。
治久患香港脚,腹胀膝肿。肉豆蔻丸方
肉豆蔻仁 人参 陈橘皮(汤浸去白炒各一两) 木香 槟榔(煨锉) 赤芍药 柴胡
(去
苗) 枳壳(去瓤麸炒各一两半) 浓朴(去粗皮涂生姜汁炙令烟尽) 桂(去粗皮) 高
良姜(各
三分) 吴茱萸(汤洗焙干炒黄半两)
上一十二味。捣罗为末,炼蜜和丸,如梧桐子大,每日空心温酒下二十丸,日晚再服。
治香港脚、食即腹胀,喘息不利,腰连左胯时掣痛,小便日有余沥,背膊拘闷,手心多汗。
牛膝丸方
牛膝(锉酒浸一宿焙) 木香 诃黎勒皮 菟丝子(酒浸捣碎各二两半) 赤茯苓(去
黑皮)
上八味,捣罗为末。炼蜜和丸,如梧桐子大,每日空腹温酒下一十五丸,日午再服,渐
加至三十丸。
治香港脚、心腹妨闷,两肋虚胀,不思食,渐觉心满,气隔不通。羚羊角丸方
羚羊角(镑) 茯神(去木) 木香 防风(去叉) 升麻(各二两) 赤茯苓(去黑
皮) 大麻
仁(别捣如膏各三两) 独活(去芦头二两半) 大腹(七枚连皮子锉) 旋复花(一两一
分)
上一十味。除大麻仁外,捣罗为末,合和匀、炼蜜为丸,如梧桐子大,每日空腹酒下四
十丸,日一服,如腹内先冷,加附子,(炮裂去皮脐二两) 大肠秘涩加大黄,(锉炒二两半)
兼气加槟榔仁,(锉二两半)心胸间热,加麦门冬,(去心三两)筋急掣痛,加牛膝(切焙二
两半)皮肤风痒。心下妨闷,加枳壳,(去瓤炒黄一两半) 脏气羸弱,加黄 ,(锉炒三两)
治香港脚攻心腹胀满,呕吐不下食。前胡饮方
前胡(去芦头) 生姜(切焙) 羚羊角(镑) 半夏(汤洗七遍) 大黄(锉炒) 赤
茯苓(去
黑皮各半两) 枳壳(去瓤麸炒三分)
上七味。细锉如麻豆,每服五钱匕,水一盏半,煎至一盏,去滓下朴硝一钱匕,搅匀空
腹温服。
治香港脚风毒,与脏气相击,心腹急胀。紫葛饮方
紫葛(炒) 大戟(炒) 黑牵牛(瓦上炒半生半熟) 大黄(锉炒各一两) 木香(一
分) 乳
香(少许别研) 槟榔(煨半两)
上七味,除乳香外,粗捣筛拌匀。每服三钱匕,童子小便酒各半盏,葱白三寸,蜀椒二
十粒,煎至六分,去滓临卧温服,量虚实用,至来日早,取下赤汁效,第一服病减五分,次
日第二服必安。
治香港脚攻注,心腹胀硬,小便赤涩。大戟丸方
大戟(炒) 芫花(醋炒黑色) 苦葶苈(炒各半两) 巴豆(去皮心膜出油别研) 续
随子(
炒各一分)
上五味。捣研为末,炼蜜为丸,梧桐子大,每服十丸,灯心汤下。
治香港脚入腹,心腹胀急,烦躁肿痛。松节汤方
松节(锉碎炒黄) 桑根白皮(锉) 紫苏叶(各一两) 甘草(炙锉半两) 槟榔(煨
锉三分)
煎至七分,去滓食前温服,日三。
治香港脚上气入腹,不能食,兼主冷气。牛膝散方
牛膝(去苗酒浸焙干别捣) 细辛(去苗叶) 砂(研碎以水一盏煎一两沸去石重煎
令水
尽取 砂霜用各一两)
上三味。捣研为散,拌和令匀,每服三钱匕,食前以温酒调下,日一服。
论述说:风毒邪气侵袭人体,必定先侵犯足部,若久治不愈,便会蔓延至四肢;若邪气深入体内,则会导致腹部和胁肋部胀满,小便不通畅,呼吸急促且声音高亢的,属于病情严重的表现。
治疗香港脚(一种以足胫肿重、软弱无力为主要表现的疾病)引起的疼痛、发热、肿胀闷痛,以及邪气上攻导致的心腹胀满、呕吐逆气的方剂:诃黎勒汤方。
药材包括:诃黎勒(炮制后去核)、大腹皮(煨熟后连皮使用)、木香、防己、紫苏茎叶、干木瓜(去籽)、羌活(去芦头)、芍药、沉香(镑片)、杉木节(以上各半两)。
以上十味药,粗捣筛碎。每次服用半两,加水二盏,煎煮至一盏,滤去药渣,不分时候温服,每日两次。
治疗香港脚引起的心腹胀急、不想饮食的方剂:茯苓丸方。
药材包括:赤茯苓(去黑皮三分)、木瓜(一枚半,切块)、桂枝(去粗皮)、木香、诃黎勒皮、吴茱萸(用汤洗后焙干炒黄)、陈橘皮(用汤浸泡去白瓤焙干)、白术、干姜(炮制)、高良姜(以上各半两)、人参、枳壳(去瓤麸炒,以上各三分)。
以上十二味药。除木瓜外,捣碎过罗成粉末;先将木瓜在饭上蒸熟,研磨成膏状,然后加入其他药末混合均匀,用炼蜜制成如梧桐子大小的丸药。每次空腹时用人参茯苓汤送服三十丸,兼治干湿霍乱、泄泻及转筋。
治疗长期患有香港脚,出现心腹胀满、脚膝浮肿的方剂:木瓜丸方。
药材包括:干木瓜、槟榔(煨制锉碎,以上各三两)、人参(一两)、高良姜、厚朴(去粗皮涂生姜汁炙烤)、桂枝(去粗皮)、陈橘皮(用汤浸泡去白瓤炒,以上各三分)、沉香(镑片)、木香、芍药、柴胡(去苗,以上各一两半)、吴茱萸(用汤洗焙干炒黄,半两)。
以上十二味药。捣碎过罗成粉末,用炼蜜和丸,制成如梧桐子大小的丸药。每次空腹时用酒送服二十丸,中午再服一次。
治疗长期患有香港脚,出现腹胀、膝盖浮肿的方剂:肉豆蔻丸方。
药材包括:肉豆蔻仁、人参、陈橘皮(用汤浸泡去白瓤炒,以上各一两)、木香、槟榔(煨制锉碎)、赤芍药、柴胡(去苗)、枳壳(去瓤麸炒,以上各一两半)、厚朴(去粗皮涂生姜汁炙至烟尽)、桂枝(去粗皮)、高良姜(以上各三分)、吴茱萸(用汤洗焙干炒黄,半两)。
以上十二味药。捣碎过罗成粉末,用炼蜜和丸,制成如梧桐子大小的丸药。每天空腹时用温酒送服二十丸,晚上再服一次。
治疗香港脚、进食后即感腹胀、呼吸不畅、腰部连带左侧胯部时常牵引疼痛、小便每日有余沥不尽感、背部拘谨闷痛、手心多汗的方剂:牛膝丸方。
药材包括:牛膝(锉碎后用酒浸泡一夜焙干)、木香、诃黎勒皮、菟丝子(用酒浸泡捣碎,以上各二两半)、赤茯苓(去黑皮)。
以上八味药。捣碎过罗成粉末。用炼蜜和丸,制成如梧桐子大小的丸药。每天空腹时用温酒送服十五丸,中午再服一次,逐渐增加剂量至三十丸。
治疗香港脚引起的心腹烦闷、两肋虚胀、不思饮食、逐渐感到心下痞满、气机阻隔不通的方剂:羚羊角丸方。
药材包括:羚羊角(镑片)、茯神(去木质)、木香、防风(去叉)、升麻(以上各二两)、赤茯苓(去黑皮)、大麻仁(另捣如膏状,以上各三两)、独活(去芦头,二两半)、大腹皮(七枚,连皮子锉碎)、旋复花(一两一分)。
以上十味药。除大麻仁外,其余捣碎过罗成粉末,混合均匀,用炼蜜制成如梧桐子大小的丸药。每天空腹时用酒送服四十丸,每日一服。如果腹内先有冷感,加附子(炮裂去皮脐,二两);如果大肠便秘涩滞,加大黄(锉碎炒,二两半);如果兼有气滞,加槟榔仁(锉碎,二两半);如果心胸间有热,加麦门冬(去心,三两);如果筋脉紧急牵引疼痛,加牛膝(切后焙,二两半);如果皮肤风痒、心下烦闷,加枳壳(去瓤炒黄,一两半);如果脏气虚弱羸弱,加黄芪(锉碎炒,三两)。
治疗香港脚邪气攻冲心腹导致胀满、呕吐不能进食的方剂:前胡饮方。
药材包括:前胡(去芦头)、生姜(切后焙干)、羚羊角(镑片)、半夏(用汤洗七遍)、大黄(锉碎炒)、赤茯苓(去黑皮,以上各半两)、枳壳(去瓤麸炒,三分)。
以上七味药。细锉如麻豆大小。每次服用五钱匕,加水一盏半,煎煮至一盏,滤去药渣,加入朴硝一钱匕,搅匀后空腹温服。
治疗香港脚风毒与脏腑之气相搏结,导致心腹急胀的方剂:紫葛饮方。
药材包括:紫葛(炒)、大戟(炒)、黑牵牛(瓦上炒至半生半熟)、大黄(锉碎炒,以上各一两)、木香(一分)、乳香(少许,另研)、槟榔(煨,半两)。
以上七味药。除乳香外,粗捣筛拌匀。每次服用三钱匕,用童便和酒各半盏,葱白三寸,蜀椒二十粒,煎煮至六分,滤去药渣,临睡前温服。根据虚实情况调整用量,到第二天早晨,排出红色液体为有效。第一服药病势减轻五分,次日第二服药必能安愈。
治疗香港脚邪气攻注,导致心腹胀硬、小便赤涩的方剂:大戟丸方。
药材包括:大戟(炒)、芫花(醋炒至黑色)、苦葶苈(炒,以上各半两)、巴豆(去皮心膜出油,另研)、续随子(炒,以上各一分)。
以上五味药。捣碎研磨成粉末,用炼蜜制成如梧桐子大小的丸药。每次服用十丸,用灯心草汤送服。
治疗香港脚邪气入腹,导致心腹胀急、烦躁肿痛的方剂:松节汤方。
药材包括:松节(锉碎炒黄)、桑根白皮(锉)、紫苏叶(以上各一两)、甘草(炙后锉碎,半两)、槟榔(煨锉,三分)。
煎煮至七分,滤去药渣,食前温服,每日三次。
治疗香港脚气上冲入腹,不能进食,兼主冷气证的方剂:牛膝散方。
药材包括:牛膝(去苗用酒浸焙干另捣)、细辛(去苗叶)、硇砂(研碎,用水一盏煎一两沸,去石重煎令水尽取硇砂霜用,以上各一两)。
以上三味药。捣研为散剂,拌和均匀。每次服用三钱匕,食前用温酒调下,每日一服。
Commentary states: When wind-toxin pathogenic factors invade the human body, they must first attack the feet. If not cured for a long time, they will spread to the four limbs. If the pathogenic qi penetrates deeply into the interior, it causes distension and fullness in the abdomen and hypochondrium, difficult urination, rapid breathing with a loud voice; such conditions indicate severe disease.
Formula Heheli Tang (Haritaki Decoction) is used to treat Hongjiao (a disease characterized by swelling and weakness of the lower legs), pain, fever, swelling and stifling sensation, and upward invasion causing abdominal distension, fullness, vomiting, and regurgitation.
Ingredients: Heheli (Fructus Terminaliae Chebulae, prepared and pitted), Dafupi (Pericarpium Arecae Catechae, baked with peel), Muxiang (Radix Aucklandiae), Fangji (Radix Stephaniae Tetrandrae), Zisujingye (Caulis et Folium Perillae), Ganmugua (Fructus Chaenomelis, dried and seeded), Qianghuo (Rhizoma et Radix Notopterygii, radix removed), Shaoyao (Radix Paeoniae Alba or Rubra), Chenxiang (Lignum Aquilariae Resinatum, shaved), Shanmujie (Nodus Calami Schizostachyos). Each half liang.
Process these ten ingredients, crush coarsely and sieve. Take half a liang per dose, add two zhan of water, decoct until one zhan remains, remove dregs, and take orally at any time, twice daily.
Formula Fuling Wan (Poria Pill) is used to treat Hongjiao causing abdominal urgency and fullness, and loss of appetite.
Ingredients: Chifuling (Poria cum Risus, black skin removed, 3 fen), Mugua (Fructus Chaenomelis, one and a half pieces, cut), Guizhi (Ramulus Cinnamomi, bark removed), Muxiang (Radix Aucklandiae), Heheli pi (Pericarpium Terminaliae Chebulae), Wuzhuyu (Fructus Evodiae, washed with water, baked dry and stir-fried yellow), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, baked), Baizhu (Rhizoma Atractylodis Macrocephalae), Ganjiang (Radix Zingiberis Recens, dried and prepared), Gaoliangjiang (Rhizoma Alpiniae Officinarum). Each half liang. Renshen (Radix Ginseng), Zhike (Fructus Aurantii Immaturus, pulp removed, stir-fried with bran, 3 fen).
Process these twelve ingredients. Except for Mugua, crush and sieve into powder. First, steam Mugua over rice until cooked, grind into a paste, then mix with other powders evenly. Use refined honey to make pills the size of Sophora japonica seeds. Take thirty pills on an empty stomach with Ren Shen Fu Ling Tang (Ginseng and Poria Decoction). It also treats wet and dry Huoluan (cholera-like syndrome), diarrhea, and muscle cramps.
Formula Mugua Wan (Chaenomeles Pill) is used to treat chronic Hongjiao with abdominal distension and fullness, and edema of the feet and knees.
Ingredients: Ganmugua (Fructus Chaenomelis, dried), Binglang (Fructus Arecae, baked and crushed, each 3 liang), Renshen (Radix Ginseng, 1 liang), Gaoliangjiang (Rhizoma Alpiniae Officinarum), Houpo (Cortex Magnoliae Officinalis, bark removed, brushed with ginger juice and roasted), Guizhi (Ramulus Cinnamomi, bark removed), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, stir-fried, 3 fen), Chenxiang (Lignum Aquilariae Resinatum, shaved), Muxiang (Radix Aucklandiae), Shaoyao (Radix Paeoniae), Chaihu (Radix Bupleuri, radix removed, each 1.5 liang), Wuzhuyu (Fructus Evodiae, washed with water, baked dry and stir-fried yellow, 0.5 liang).
Process these twelve ingredients. Crush and sieve into powder. Mix with refined honey to make pills the size of Sophora japonica seeds. Take twenty pills on an empty stomach with wine, and again at noon.
Formula Roudoukou Wan (Myristica Pill) is used to treat chronic Hongjiao with abdominal distension and knee swelling.
Ingredients: Roudoukou ren (Semen Myristicae), Renshen (Radix Ginseng), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, stir-fried, each 1 liang), Muxiang (Radix Aucklandiae), Binglang (Fructus Arecae, baked and crushed), Chishaoyao (Radix Paeoniae Rubra), Chaihu (Radix Bupleuri, radix removed), Zhike (Fructus Aurantii Immaturus, pulp removed, stir-fried with bran, each 1.5 liang), Houpo (Cortex Magnoliae Officinalis, bark removed, brushed with ginger juice and roasted until smoke ceases), Guizhi (Ramulus Cinnamomi, bark removed), Gaoliangjiang (Rhizoma Alpiniae Officinarum, each 3 fen), Wuzhuyu (Fructus Evodiae, washed with water, baked dry and stir-fried yellow, 0.5 liang).
Process these twelve ingredients. Crush and sieve into powder. Mix with refined honey to make pills the size of Sophora japonica seeds. Take twenty pills on an empty stomach with warm wine, and again in the evening.
Formula Niuxi Wan (Achyranthes Pill) is used to treat Hongjiao with postprandial abdominal distension, dyspnea, pulling pain from the waist to the left hip, residual urine dribbling throughout the day, back stiffness and stifling sensation, and excessive sweating of the palms.
Ingredients: Niuxi (Radix Achyranthis Bidentatae, crushed, soaked in wine overnight, baked), Muxiang (Radix Aucklandiae), Heheli pi (Pericarpium Terminaliae Chebulae), Tusizi (Semen Cuscutae, soaked in wine and crushed). Each 2.5 liang. Chifuling (Poria cum Risus, black skin removed).
Process these eight ingredients. Crush and sieve into powder. Mix with refined honey to make pills the size of Sophora japonica seeds. Take fifteen pills on an empty stomach with warm wine, and again at noon. Gradually increase the dose to thirty pills.
Formula Lingyangjiao Wan (Antelope Horn Pill) is used to treat Hongjiao causing chest and abdominal oppression, false distension of both hypochondria, loss of appetite, gradual feeling of fullness in the heart, and obstruction of qi flow.
Ingredients: Lingyangjiao (Cornu Saigae Tataricae, shaved), Fushen (Poria cum Radix Tremellae, wood removed), Muxiang (Radix Aucklandiae), Fangfeng (Radix Saposhnikoviae, forked root removed), Shengma (Rhizoma Cimicifugae). Each 2 liang. Chifuling (Poria cum Risus, black skin removed), Daren (Semen Cannabis, separately ground into paste). Each 3 liang. Duohuo (Radix et Rhizoma Angelicae Pubescentis, radix removed, 2.5 liang), Dafupi (Pericarpium Arecae Catechae, seven pieces, with peel and seeds, crushed), Xuanjinhua (Flos Inulae, 1 liang 1 fen).
Process these ten ingredients. Except for Daren, crush and sieve into powder, mix evenly, and use refined honey to make pills the size of Sophora japonica seeds. Take forty pills on an empty stomach with wine, once daily. Modifications: If there is pre-existing cold in the abdomen, add Fuzi (Radix Aconiti Lateralis Preparata, cracked, skin and navel removed, 2 liang); if large intestine constipation occurs, add Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, 2.5 liang); if qi stagnation is present, add Binglang ren (Fructus Arecae, crushed, 2.5 liang); if heat in the chest and heart, add Maidong (Radix Ophiopogonis, core removed, 3 liang); if tendons are tight and painful, add Niuxi (Radix Achyranthis Bidentatae, cut and baked, 2.5 liang); if skin itching and chest oppression, add Zhike (Fructus Aurantii Immaturus, pulp removed, stir-fried yellow, 1.5 liang); if visceral qi is weak and emaciated, add Huangqi (Radix Astragali, crushed and stir-fried, 3 liang).
Formula Qianhu Yin (Peucedani Decoction) is used to treat Hongjiao attacking the heart and abdomen causing distension and fullness, vomiting, and inability to eat.
Ingredients: Qianhu (Radix Peucedani), Shengjiang (Rhizoma Zingiberis Recens, sliced and baked), Lingyangjiao (Cornu Saigae Tataricae, shaved), Banxia (Rhizoma Pinelliae, washed seven times with water), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried), Chifuling (Poria cum Risus, black skin removed). Each half liang. Zhike (Fructus Aurantii Immaturus, pulp removed, stir-fried with bran, 3 fen).
Process these seven ingredients. Finely crush like hemp seeds. Take five qianbi per dose, add one and a half zhan of water, decoct until one zhan remains, remove dregs, add Xiaoshi (Natrii Sulfas, one qianbi), mix well, and take warm on an empty stomach.
Formula Zi Ge Yin (Bauhiniae Decoction) is used to treat Hongjiao wind-toxin clashing with visceral qi, causing acute abdominal distension.
Ingredients: Zi Ge (Caulis Bauhiniae Purpureae, stir-fried), Daji (Radix Euphorbiae Pekinensis, stir-fried), Heiqianniu (Semen Phaseoli Volubilis, stir-fried on tile until half raw and half cooked), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried). Each 1 liang. Muxiang (Radix Aucklandiae, 1 fen), Rushi (Lapis Malachitis, a small amount, separately ground), Binglang (Fructus Arecae, baked, 0.5 liang).
Process these seven ingredients. Except for Rushi, crush coarsely and sieve, mix evenly. Take three qianbi per dose, with half a zhan of child's urine and half a zhan of wine, three cun of scallion white, and twenty grains of Shujiao (Fructus Zanthoxyli). Decoct until six parts remain, remove dregs, and take warm before bedtime. Adjust dosage according to deficiency or excess. By the next morning, passing red fluid indicates efficacy. After the first dose, symptoms reduce by five tenths; after the second dose the next day, relief is certain.
Formula Daji Wan (Euphorbia Pill) is used to treat Hongjiao invading and flooding, causing hard abdominal distension and dark, scanty urination.
Ingredients: Daji (Radix Euphorbiae Pekinensis, stir-fried), Yuanhua (Flos Genkwa, vinegar-stir-fried until black), Kutingli (Semen Lepidii et Descurainiae, stir-fried). Each half liang. Badou (Semen Crotonis, skin, heart, and membrane removed, oil expressed, separately ground), Xuisui zi (Semen Euphorbiae Lathyridis, stir-fried). Each 1 fen.
Process these five ingredients. Crush and grind into powder. Use refined honey to make pills the size of Sophora japonica seeds. Take ten pills per dose with Deng Xin Cao Tang (Junci Medullae Decoction).
Formula Songjie Tang (Podocarpus Joint Decoction) is used to treat Hongjiao entering the abdomen, causing abdominal urgency and fullness, irritability, swelling, and pain.
Ingredients: Songjie (Nodus Podocarpi, crushed and stir-fried yellow), Sangbaipipi (Cortex Morus Radicis, crushed), Zisuye (Folium Perillae). Each 1 liang. Gancao (Radix Glycyrrhizae, roasted and crushed, half liang), Binglang (Fructus Arecae, baked and crushed, 3 fen).
Decoct until seven parts remain, remove dregs, and take warm before meals, three times daily.
Formula Niuxi San (Achyranthes Powder) is used to treat Hongjiao qi rushing into the abdomen, inability to eat, and cold qi syndrome.
Ingredients: Niuxi (Radix Achyranthis Bidentatae, radix removed, soaked in wine, baked dry, separately crushed), Xixin (Herba Asari, radix and leaves removed), Naosha (Lapis Malachitis, ground fine, boiled in one zhan of water with one liang for one boil, remove stones, re-boil until water is gone to obtain Naosha frost). Each 1 liang.
Process these three ingredients. Crush and grind into powder, mix evenly. Take three qianbi per dose, mixed with warm wine before meals, once daily.