夫伤寒毒瓦斯攻手足者。由热毒从内出。循经络攻于手足故也。人五脏六腑并荣俞。皆出
于手足指。故毒从脏腑而出也。
治伤寒。毒瓦斯攻手足。肿满疼痛。心神烦闷。宜服连翘散方。
连翘（一两） 川大黄（半两锉碎微炒） 当归（一两） 木香（半两） 麦门冬（一
两去心）
防风
壳（半
两麸
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治伤寒。毒瓦斯攻四肢虚肿。宜服此方。
泽泻（三分） 半夏（半两汤洗七遍去滑） 柴胡（三分去苗） 甜葶苈（三分隔纸炒
令紫色）
甘草（半两炙微赤锉）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不计时候温服。
治伤寒。发歇寒热。唇口干焦。毒瓦斯攻四肢浮肿。宜服细辛散方。
细辛（一两） 芎 （一两） 赤茯苓（一两半） 桑根白皮（二两锉） 麦门冬（一
两半去心）
甘草（三分炙微赤锉） 郁李仁（一两汤浸去皮尖微炒）
上件药。捣筛为散。每服五钱。以水一中（大）盏。煎至五分。去滓。不计时候温服。
治伤寒。毒瓦斯攻手足虚肿。宜贴膏方。
黄丹（半两） 蜡（三两） 松脂（一两） 乳香（一分） 麝香（一分） 麻油（一
两）
上件药。各别研为末。以瓷器内。先炼松脂并油。次下蜡及黄丹香等。慢火煎。少时候
冷。摊于绢上。贴肿处。一切肿毒并宜用之。
又方。
清油（一合） 蜡（半两） 盐花（一合）
上件药。以瓷器中。先炼油熟。次下蜡并盐花。用文武火煎成膏。贴于肿处。
治伤寒。毒瓦斯攻手足。虚肿疼痛。宜用此方。
赤马通（一升）
上以水一斗五升。煮取一斗。绞取汁。看冷热。以渍手足。
又方。
羊粪末（一两） 炼成猪脂（二两）
上件药。相和令匀。用涂肿处。
又方。
虎杖（半斤）
上药细锉。以水一斗五升。煎至一斗。去滓。看冷热。以渍手足。
又方。
苦参（半斤）
上药细锉。以水一斗。煎五七沸。去滓。看冷热。渍手足。
治伤寒毒瓦斯攻手足。及身体虚肿。宜服此方。
豉（五合）
治伤寒。毒瓦斯攻手足肿方。
猪蹄（一具） 葱白兼须（十茎）
上件药。以水五升。煮令猪蹄熟。去滓。入盐二钱。看冷热渍肿处。
治伤寒毒瓦斯攻手足虚肿。及疼痛欲脱方。
豉（一升） 猪肉（一斤）
上以水一斗。煮令肉熟。去滓。看冷热。用渍手足。
又方。
黄柏〔一（二）斤细锉〕
上以水一斗五升。煎五七沸。去滓。看冷热。用渍手足。
又方。
猪肉（一斤） 桃叶（一斤）
上以水一斗五升。煮令肉熟。去滓。看冷热。用渍手足。
又方。
苍耳苗绞取汁。以渍手足。
又方。
稻穣烧灰淋汁渍。
凡是伤寒毒气侵袭手足的病症，是因为热毒从体内发出，沿着经络攻击到手足所致。人的五脏六腑以及荣穴、俞穴，都连接于手足指端，所以毒气是从脏腑发出的。
治疗伤寒，毒气侵袭手足，导致肿胀满痛，心神烦闷，适宜服用连翘散方。
连翘（一两） 川大黄（半两，锉碎，微炒） 当归（一两） 木香（半两） 麦门冬（一两，去心）
防风
壳（半两，麸炒）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，煎至六分，滤去药渣，不分时候温服。
治疗伤寒，毒气侵袭四肢引起虚肿，适宜服用此方。
泽泻（三分） 半夏（半两，汤洗七遍去滑腻） 柴胡（三分，去苗） 甜葶苈（三分，隔纸炒至紫色）
甘草（半两，炙微赤，锉）
以上药物，捣碎过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，大枣三枚，煎至六分，滤去药渣，不分时候温服。
治疗伤寒，寒热往来发作，嘴唇干燥焦裂，毒气侵袭四肢引起浮肿，适宜服用细辛散方。
细辛（一两） 川芎（一两） 赤茯苓（一两半） 桑根白皮（二两，锉） 麦门冬（一两半，去心）
甘草（三分，炙微赤，锉） 郁李仁（一两，汤浸去皮尖，微炒）
以上药物，捣碎过筛制成散剂。每次服用五钱，用水一中（大）盏，煎至五分，滤去药渣，不分时候温服。
治疗伤寒，毒气侵袭手足引起虚肿，适宜贴敷膏药方。
黄丹（半两） 蜡（三两） 松脂（一两） 乳香（一分） 麝香（一分） 麻油（一两）
以上药物，分别研为末。在瓷器内，先炼制松脂和油，然后放入蜡及黄丹、香等，用慢火煎煮，稍凉后，摊涂在绢布上，贴敷于肿胀处。一切肿毒都适宜使用。
又一方。
清油（一合） 蜡（半两） 盐花（一合）
以上药物，在瓷器中，先炼油熟透，然后放入蜡和盐花，用文武火煎成膏状，贴敷于肿胀处。
治疗伤寒，毒气侵袭手足，引起虚肿疼痛，适宜使用此方。
赤马通（一升）
以上用水一斗五升，煮取一斗，绞取汁液，根据冷热程度，浸泡手足。
又一方。
羊粪末（一两） 炼成猪脂（二两）
以上药物，混合均匀，涂抹于肿胀处。
又一方。
虎杖（半斤）
以上药物细锉，用水一斗五升，煎至一斗，滤去药渣，根据冷热程度，浸泡手足。
又一方。
苦参（半斤）
以上药物细锉，用水一斗，煎煮五到七沸，滤去药渣，根据冷热程度，浸泡手足。
治疗伤寒毒气侵袭手足，以及身体虚肿，适宜服用此方。
豉（五合）
治疗伤寒，毒气侵袭手足引起肿胀的方子。
猪蹄（一具） 葱白兼须（十茎）
以上药物，用水五升，煮至猪蹄熟透，滤去药渣，加入盐二钱，根据冷热程度浸泡肿胀处。
治疗伤寒毒气侵袭手足引起虚肿，以及疼痛欲脱落的方子。
豉（一升） 猪肉（一斤）
以上用水一斗，煮至肉熟，滤去药渣，根据冷热程度，浸泡手足。
又一方。
黄柏〔一（二）斤，细锉〕
以上用水一斗五升，煎煮五到七沸，滤去药渣，根据冷热程度，浸泡手足。
又一方。
猪肉（一斤） 桃叶（一斤）
以上用水一斗五升，煮至肉熟，滤去药渣，根据冷热程度，浸泡手足。
又一方。
苍耳苗绞取汁液，用来浸泡手足。
又一方。
稻穣烧灰淋汁浸泡。
Conditions where the toxic qi of Cold Damage (Shanghan) attacks the hands and feet are caused by heat-toxin emerging from within and following the meridians to attack the extremities. The five zang organs, six fu organs, as well as Ying (Nutrient) and Shu (Transporting) acupoints all connect to the fingers and toes; thus, the toxin originates from the internal organs.
For treating Cold Damage where toxic qi attacks the hands and feet, causing swelling, fullness, pain, and mental restlessness, Lianqiao San (Forsythia Powder) is indicated.
Lianqiao (Forsythiae Fructus, 连翘) (1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 川大黄) (0.5 liang, sliced and lightly stir-fried), Danggui (Angelicae Sinensis Radix, 当归) (1 liang), Muxiang (Aucklandiae Radix, 木香) (0.5 liang), Maimendong (Ophiopogonis Radix, 麦门冬) (1 liang, heart removed).
Fangfeng (Saposhnikoviae Radix, 防风) [Note: Text fragment "Ke" likely refers to processing or part, standard is root].
Qufu (Half liang, bran-fried).
Crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhen (medium cup) of water until reduced to 6 fen. Strain and take warm at any time.
For treating Cold Damage where toxic qi attacks the four limbs causing deficiency-type swelling, this formula is indicated.
Zexie (Alismatis Rhizoma, 泽泻) (3 fen), Banxia (Pinelliae Rhizoma, 半夏) (0.5 liang, washed seven times in hot water to remove slipperiness), Chaihu (Bupleuri Radix, 柴胡) (3 fen, radix removed), Tiantingli (Descurainiae Semen, 甜葶苈) (3 fen, fried between papers until purple).
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (0.5 liang, honey-fried until slightly red and sliced).
Crush and sieve the above herbs into a powder. Take 4 qian per dose, decoct with one zhongzhen of water, add 0.5 fen of Shengjiang (Zingiberis Rhizoma Recens, 生姜) and three Zao (Jujubae Fructus, 枣). Reduce to 6 fen, strain, and take warm at any time.
For treating Cold Damage with alternating chills and fever, dry and cracked lips, and toxic qi attacking the four limbs causing edema, Xixin San (Asari Powder) is indicated.
Xixin (Asari Radix et Rhizoma, 细辛) (1 liang), Xiong (Ligustici Chuanxiong Rhizoma, 川芎) (1 liang), Chi Fuling (Poria Cocos with Red Host, 赤茯苓) (1.5 liang), Sangbaipí (Mori Cortex, 桑根白皮) (2 liang, sliced), Maimendong (Ophiopogonis Radix, 麦门冬) (1.5 liang, heart removed).
Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (3 fen, honey-fried until slightly red and sliced), Yuliren (Prunus japonica seed, 郁李仁) (1 liang, soaked in water, skin and tip removed, lightly stir-fried).
Crush and sieve the above herbs into a powder. Take 5 qian per dose, decoct with one large zhongzhen of water until reduced to 5 fen. Strain and take warm at any time.
For treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling, an external plaster is indicated.
Huandan (Lithargyrum, 黄丹) (0.5 liang), La (Beeswax, 蜡) (3 liang), Songzhi (Pini Resin, 松脂) (1 liang), Ruxiang (Boswelliae Resin, 乳香) (1 fen), Muxiang (Moschus, 麝香) (1 fen), Mayou (Semen Cannabis Oil, 麻油) (1 liang).
Grind each herb separately into powder. In a porcelain vessel, first melt the Songzhi and oil. Then add La, Huandan, and the aromatic powders. Simmer over low heat. When slightly cool, spread onto silk cloth and apply to the swollen area. This is suitable for all types of swelling and toxicity.
Another prescription.
Qingyou (Clarified Sesame Oil, 清油) (1 he), La (Beeswax, 蜡) (0.5 liang), Yanhua (Salt Flower, 盐花) (1 he).
In a porcelain vessel, first refine the oil until cooked. Then add La and Yanhua. Fry using moderate fire until it becomes a paste. Apply to the swollen area.
For treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling and pain, use this method.
Chima Tong (Horse Dung, 赤马通) (1 sheng).
Decoct with 15 dou of water until reduced to 10 dou. Strain to obtain the juice. Check the temperature and soak the hands and feet.
Another prescription.
Yangfen Mo (Goat Manure Powder, 羊粪末) (1 liang), Lian Cheng Zhuzhi (Refined Pig Fat, 炼成猪脂) (2 liang).
Mix evenly and apply to the swollen area.
Another prescription.
Huzhang (Polygoni Cuspidati Rhizoma et Radix, 虎杖) (0.5 jin).
Slice finely, decoct with 15 dou of water until reduced to 10 dou. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Kushen (Sophorae Flavescentis Radix, 苦参) (0.5 jin).
Slice finely, decoct with 10 dou of water for five to seven boils. Strain. Check the temperature and soak the hands and feet.
For treating Cold Damage where toxic qi attacks the hands and feet, as well as body-wide deficiency-type swelling, this formula is indicated.
Chi Dou (Prepared Soybean, 豉) (5 he).
Formula for treating Cold Damage where toxic qi attacks the hands and feet causing swelling.
Zhuti (Porcinis Pes, 猪蹄) (one piece), Congbai Jian Xu (Scallion White including roots, 葱白兼须) (ten stalks).
Decoct with 5 sheng of water until the pig trotter is cooked. Strain. Add 2 qian of salt. Check the temperature and soak the swollen area.
Formula for treating Cold Damage where toxic qi attacks the hands and feet causing deficiency-type swelling and severe pain threatening detachment.
Chi Dou (Prepared Soybean, 豉) (1 sheng), Zhu Rou (Porcine Meat, 猪肉) (1 jin).
Decoct with 10 dou of water until the meat is cooked. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Huangbai (Phellodendri Cortex, 黄柏) [1 or 2 jin, sliced finely].
Decoct with 15 dou of water for five to seven boils. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Zhu Rou (Porcine Meat, 猪肉) (1 jin), Tao Ye (Peach Leaf, 桃叶) (1 jin).
Decoct with 15 dou of water until the meat is cooked. Strain. Check the temperature and soak the hands and feet.
Another prescription.
Canger Miao (Xanthii Herba, 苍耳苗) - extract juice and soak the hands and feet.
Another prescription.
Dao Rang (Rice Straw, 稻穣) - burn to ash, leach with water, and soak.