治风寒湿痹,麻木不仁。
川乌头(生研为细末
上每用香熟白米半碗,入药末四钱,同米以慢火熬熟作稀薄粥,不可稠,下生姜汁一
茶脚许,白蜜三大匙搅匀,空心温啜之为佳。如是中湿,更入薏苡仁末二钱,增米作一中碗
,煮服此粥,大治手足四肢不随,及重痛不能举者。有此证者,预服防之。左氏云∶风淫末
疾。谓四肢为四末也。脾主四肢,风邪客于肝则淫脾,脾为肝克,故疾在末。谷气引风温之
药,径入脾经,故四肢得安。此汤剂极有功,予常制此方以授人,服者良验。
治风寒湿痹,筋骨重疼,走注攻刺,腰脚无力。
草乌(四两,去皮尖,盐炒烟出) 南星(生用) 地龙(去土,炒) 破故纸(炒) 五
灵脂
研) 京墨
上为细末,醋煮糊为丸,如梧桐子大,每服十丸,用温酒送下,渐加丸数服之。
治风寒湿客于荣卫,合而成痹,脚重不仁,疼痛少力,足下瘾痛,不能踏
不能屈伸,及项背拘急,手臂无力,耳内蝉鸣,头旋目眩,及诸香港脚,行步
方风湿门
治风寒湿痹,留于筋脉,拘挛不能转侧,亦治香港脚。
川乌 细辛 川椒 白芍药 附子 秦艽 官桂 甘草(以上各七分) 防风 干姜 当
归白茯苓(以上各一两) 独活(一两三钱半)
上 咀,每服三钱,水一盏半,枣二枚,同煎至八分,去滓,空心服。若热毒多服亦
佳。凡中风,用续命,排风、风引、竹沥诸汤,及神精丹、茵芋酒之类,更加以灸无不愈者
。然此疾积习之久,非一日所能攻,皆大剂久而取效。《唐书》载王太后中风,喑默不语,
医者蒸黄 数斛以熏之得瘥。皆此类也。今人服三五盏求效责医也亦速矣。孟子曰∶七年之
病,求三年之艾,久而后知尔。
治疗风寒湿邪导致的痹证,表现为肢体麻木、感觉迟钝。
川乌头(生研为细末)
每次取香熟白米半碗,加入药末四钱,与米一同用慢火熬煮成稀薄粥状,不可过稠,再加入生姜汁约一茶脚量,以及三大匙白蜜,搅拌均匀,空腹时温服效果最佳。如果是中湿邪所致,可再加薏苡仁末二钱,增加米量至一碗,煮粥服用。此方对治疗手足四肢活动不利,以及沉重疼痛无法抬举者有极大疗效。有此症状者,可预先服用以作预防。左氏说:“风邪过度会导致四肢疾病。”所谓“四末”即指四肢。脾主四肢,风邪侵犯肝脏则会波及脾脏,脾被肝克制,所以疾病表现在四肢末端。谷物之气引导风温性质的药物,直接进入脾经,因此四肢得以安宁。此汤剂功效显著,我常配制此方传授给人,服用者均有良好验证。
治疗风寒湿邪导致的痹证,筋骨沉重疼痛,疼痛游走不定如针刺,腰脚无力。
草乌(四两,去皮尖,盐炒至烟出) 南星(生用) 地龙(去土,炒) 破故纸(炒) 五灵脂(研) 京墨
以上药材研为细末,用醋煮糊制作成丸药,大小如梧桐子,每次服用十丸,用温酒送下,逐渐增加丸数服用。
治疗风寒湿邪客居于营卫之间,合而成为痹证,脚部沉重麻木,疼痛且乏力,足底隐痛,不能踩踏,也不能屈伸,以及颈背部拘急僵硬,手臂无力,耳内蝉鸣,头晕目眩,以及各类香港脚(痛风/下肢疾患),行走不便等症。
治疗风寒湿邪滞留于筋脉,导致拘挛不能转身侧卧,也治疗香港脚。
川乌 细辛 川椒 白芍药 附子 秦艽 官桂 甘草(以上各七分) 防风 干姜 当归 白茯苓(以上各一两) 独活(一两三钱半)
以上药材切碎,每次取三钱,加水一盏半,大枣二枚,同煎至八分,去渣,空腹服用。如果热毒较多,多服几次也很好。凡是中风病,使用续命汤、排风汤、风引汤、竹沥汤等方剂,以及神精丹、茵芋酒之类,再加上艾灸,没有不痊愈的。然而这种疾病积累日久,非一日所能攻克,都需要大剂量长期服用才能见效。《唐书》记载王太后中风,失音沉默不语,医生蒸黄芩数斛来熏蒸她从而痊愈。都是这类情况。现在人服用三五盏药就要求见效,责怪医生太慢,这也太急躁了。孟子说:“七年的病,要寻求三年的艾草”,只有经过长时间的调理才知道其中的道理。
Treats Bi syndrome (Obstruction Syndrome) caused by Wind-Cold-Dampness, manifesting as numbness and insensitivity of the limbs.
Chuanwu Tou (Radix Aconiti Lateralis Preparata, raw ground into fine powder).
For each dose, take half a bowl of well-cooked white rice, add four qian of the medicinal powder, and simmer slowly with the rice until it forms a thin porridge; it must not be thick. Add approximately one tea-foot amount of fresh ginger juice and three large spoons of white honey, stir evenly. It is best to drink this warm on an empty stomach. If the condition is due to Dampness invasion, add two qian of Coicis Semen Powder (Yiyiren), increase the rice quantity to one full bowl, cook and consume the porridge. This greatly treats inability to move the hands, feet, and limbs, as well as heaviness and pain preventing lifting. Those with these symptoms should take this in advance for prevention. Zuo Shi stated: "Excessive Wind leads to diseases of the extremities." The term "Four Extremities" refers to the four limbs. The Spleen governs the four limbs; when Wind pathogen invades the Liver, it overacts upon the Spleen. Since the Spleen is controlled by the Liver, the disease manifests in the extremities. The Qi of grain guides the Wind-Warm medicines directly into the Spleen Meridian, thus calming the limbs. This decoction is extremely effective; I often prepare this formula to give to others, and those who take it show good efficacy.
Treats Bi syndrome caused by Wind-Cold-Dampness, characterized by heavy and painful bones and tendons, wandering pain like stabbing, and weakness in the waist and legs.
Caowu (Four liang, skin and tip removed, salt-fried until smoke appears) Nanxing (Used raw) Dilong (Earth removed, fried) Poguozhi (Fried) Wulingzhi (Ground) Jingmo.
Grind all above into fine powder. Use vinegar-boiled paste to make pills, sized like Sophora japonica seeds. Take ten pills per dose, delivered with warm wine, gradually increasing the number of pills taken.
Treats Bi syndrome formed by Wind-Cold-Dampness lodging in Ying and Wei (Nutritive and Defensive levels), causing heavy and insensitive feet, painful weakness, dull pain under the soles, inability to step or flex/extend joints, stiffness and tension in the neck and back, arm weakness, tinnitus like cicadas, dizziness and vertigo, as well as various Hong Kong Jiao (Gout/Lower limb disorders), and difficulty walking.
Treats Bi syndrome where Wind-Cold-Dampness remains in the sinews and vessels, causing spasms and inability to turn or lie sideways; also treats Hong Kong Jiao.
Chuanwu Xixin Chuanjiao Baishyaoyao Fuzi Qinjiao Guigui Gancao (Each above 7 fen) Fangfeng Jiangjiang Danggui Baifurong (Each above 1 liang) Duohuo (1 liang 3 qian 5 fen).
Cut the above herbs. For each dose, take three qian, add one dan of water and two jujubes, decoct together until reduced to eight parts. Remove the dregs and take on an empty stomach. If there is excessive Heat-Toxin, taking more doses is also beneficial. For any stroke (Zhong Feng), using formulas such as Xuming Tang, Paifeng Tang, Fengyin Tang, Zhuli Tang, as well as Shenjing Dan and Yinyu Jiu, combined with moxibustion, will invariably lead to recovery. However, this disease accumulates over a long period and cannot be cured in a day; it requires large doses administered over a long time to achieve effect. The *Book of Tang* records that Empress Dowager Wang suffered from stroke, losing her voice and remaining silent. The physician steamed several hu of Huangqin (Scutellariae Radix) to fumigate her, resulting in recovery. These are all similar cases. Nowadays, people take only three or five cups of medicine and demand immediate results, blaming the doctor for being too slow; this is too hasty. Mencius said: "For a seven-year illness, seek three-year-old mugwort"; only through time does one understand this principle.