凡头痛身热，肢节痛，大便秘，或呕逆而脚屈弱者，香港脚也。轻者可与香苏散加木瓜、
槟榔、生姜煎服，然后随证治之。要知有香港脚之人，先从脚起。或先缓弱疼痹；或行起忽倒
；或两胫肿满；或脚膝枯细；或心中忪悸；或小腹不仁（皮顽，不知有无也）；或举体转筋；
或见食呕逆；恶闻食气；或胸满气急；或遍体酸痛，皆香港脚候（“或”之一字，有无是也）。
黄帝所谓缓风湿痹是也。顽弱名缓风，疼痛为湿痹。寒中三阳，所患必冷，小续命汤主之（
煎成入生姜自然汁最快）。暑中三阴，所患必热，小续命汤去附子，减桂一半主之。大烦躁
者，紫雪最良。若无紫雪，以自合薄荷煎，冷水调服极妙。大便秘者，脾约丸、麻仁丸、三
和散主之。（方并见《和剂局方》中）仍针灸为佳。服补药与汤淋洗，皆医之大禁也。
《圣惠方》妇人香港脚论
夫妇人香港脚与丈夫不同。男子则肾脏虚弱，为风湿所乘；女子以胞络气虚，为风毒所搏
。是以胞络属于肾也，肾主于腰脚。又肝、脾、肾三脏，经络起于十足指。若脏腑虚损，则
风邪先客于脚，从下而上动于气，故名香港脚也。此皆由体虚，或当风取凉，或久坐卑湿，或
产后劳损，或恚怒伤肝，心气滞，致令月候不通。因其虚伤，风毒搏于肌骨，则令皮肤不仁
，筋骨抽痛，五缓不遂，六急拘挛。或即冷疼，或即肿满，或两脚痹弱，或举体转筋，目眩
心烦，见食即呕，精神昏愦，肢节烦疼，小便赤黄，大便秘涩，并皆其证也。其妇人香港脚治
之与丈夫不同者，以其气血不调，怀胎难产、崩伤之异。是以褚澄疗寡妇、师尼与妻外家殊别，
即其义也。（凡妇人有香港脚疾者，必无生育）
凡是出现头痛、身体发热、四肢关节疼痛、大便秘结，或者呕吐逆气且双脚软弱无力的，就是香港脚病。病情较轻的，可以用香苏散加入木瓜、槟榔、生姜煎煮后服用，然后根据具体证候进行治疗。要知道患有香港脚的人，病症通常先从脚部开始。有的先表现为下肢迟缓无力、疼痛麻木；有的行走时突然跌倒；有的双侧小腿肿胀饱满；有的脚膝肌肉枯瘦细小；有的心中悸动不安；有的小腹部位感觉迟钝（皮肤僵硬麻木，不知痛痒有无）；有的全身抽筋；有的看见食物就呕吐逆气，厌恶食物的气味；有的胸中胀满、气息急促；有的全身酸痛，这些都是香港脚的征候（“或”字表示症状可有可无）。这就是黄帝所说的缓风湿痹。肢体迟缓无力称为缓风，疼痛称为湿痹。寒邪侵入三阳经，所患之病必定偏冷，用小续命汤主治（煎好后加入生姜自然汁效果最快）。暑热侵入三阴经，所患之病必定偏热，用小续命汤去掉附子，将桂枝用量减半来主治。如果烦躁非常严重的，紫雪是最良的药物。如果没有紫雪，用自制的薄荷煎剂，用冷水调服也非常奇妙。大便秘结的，用脾约丸、麻仁丸、三和散主治。（这些方剂都见于《和剂局方》中）仍然以针灸治疗为佳。服用补药以及用汤药淋洗患处，都是医家的大禁忌。
《圣惠方》关于妇人香港脚的论述：
妇女的香港脚与男子不同。男子是因为肾脏虚弱，被风湿邪气侵袭；女子因为胞络气虚，被风毒邪气搏结。这是因为胞络归属于肾，而肾主管腰部和脚部。另外，肝、脾、肾三脏的经络起始于足十趾。如果脏腑虚损，那么风邪就会先客居在脚部，从下向上扰动气机，所以名叫香港脚。这都是因为体质虚弱，或者迎风取凉，或者久坐潮湿低洼之地，或者产后劳损，或者愤怒伤肝，导致心气郁滞，致使月经不通畅。因为体虚受邪，风毒搏结于肌肤骨骼，就会导致皮肤麻木不仁，筋骨抽掣疼痛，五缓不能随意运动，六急拘挛抽搐。有的立即感到冷痛，有的立即肿胀饱满，有的双脚麻木软弱，有的全身抽筋，头晕眼花，心烦意乱，看见食物就呕吐，精神昏沉迷糊，四肢关节烦扰疼痛，小便赤黄，大便秘涩，这些都是其证候。治疗妇女香港脚与男子不同的原因，在于她们气血不调，以及怀孕难产、崩漏外伤等情况的差异。所以褚澄治疗寡妇、尼姑与妻子的娘家亲属有所不同，就是这个道理。（凡是患有香港脚病的妇女，一定无法生育）
Whenever there is headache, fever, pain in the limbs and joints, constipation, or vomiting with weakness of the feet, it is Xianggangjiao (Hong Kong Foot / Beriberi). For mild cases, Xiangsu San (Perilla and Bupleurum Powder) with added Mugua (Chaenomeles Fruit), Binglang (Areca Seed), and Shengjiang (Fresh Ginger) can be decocted and taken orally, followed by treatment according to the specific syndrome. It should be known that for those suffering from Xianggangjiao, the condition always starts from the feet. Some present initially with flaccidity, weakness, pain, and numbness; some suddenly collapse while walking; some have swollen and full lower legs; some have withered and thin foot and knee muscles; some experience palpitations; some have insensitivity in the lower abdomen (skin is stiff and numb, unaware of sensation); some suffer from generalized muscle spasms; some vomit upon seeing food and dislike the smell of food; some have chest fullness and shortness of breath; some have body-wide soreness and pain. All these are signs of Xianggangjiao (the word "or" indicates that symptoms may or may not be present). This corresponds to what the Yellow Emperor called Huanfeng Shibì (Flaccid Wind-Damp Bi Syndrome). Flaccidity and weakness are termed Huanfeng (Flaccid Wind), and pain is termed Shibì (Damp Bi). When cold pathogen invades the Three Yang meridians, the disease will necessarily be cold in nature, treated primarily with Xiao Xuming Tang (Minor Xu-Ming Decoction) (adding fresh ginger juice after decoction yields the fastest effect). When summer-heat pathogen invades the Three Yin meridians, the disease will necessarily be hot in nature, treated primarily with Xiao Xuming Tang minus Fuzi (Aconite Lateralis Radix Preparata) and with Guizhi (Cinnamon Twig) reduced by half. For severe restlessness, Zixue (Purple Snow) is the best remedy. If Zixue is unavailable, a self-prepared Mint decoction mixed with cold water is extremely effective. For constipation, Piyue Wan (Splee-Restriction Pill), Maren Wan (Hemp Seed Pill), or Sanhe San (Three-Harmony Powder) are indicated. (These formulas are all found in *Heji Jufang*). Acupuncture and moxibustion are still preferred. Taking tonifying medicines and washing the affected parts with herbal decoctions are both major taboos in medicine.
*Shenghui Fang* Discussion on Women's Xianggangjiao:
Women's Xianggangjiao differs from men's. Men suffer because their Kidney essence is weak, allowing Wind-Damp to invade; women suffer because their Baoluo (Uterine Collaterals) qi is deficient, allowing Wind-Toxin to bind. This is because the Baoluo belongs to the Kidney, and the Kidney governs the waist and feet. Furthermore, the meridians of the Liver, Spleen, and Kidney originate at the ten toes of the feet. If the Zang-Fu organs are deficient and damaged, Wind pathogen first resides in the feet, moving upward disturbing the Qi, hence named Xianggangjiao. These conditions arise from physical deficiency, exposure to wind while cooling off, prolonged sitting in damp and low places, postpartum overexertion, anger injuring the Liver, stagnation of Heart Qi, leading to amenorrhea. Due to deficiency and injury, Wind-Toxin binds to the skin and bones, causing skin insensitivity, tendon and bone pulling pain, inability to move freely due to Five Flaccidities, and spasms due to Six Tensions. Some immediately feel cold pain, some immediately swell, some have numb and weak feet, some have generalized spasms, dizziness, irritability, vomiting upon seeing food, mental confusion, vexatious pain in limbs and joints, dark yellow urine, and constipation. All these are its manifestations. The reason for treating women's Xianggangjiao differently from men's lies in their irregular Qi and Blood, as well as differences regarding pregnancy, difficult labor, and metrorrhagia trauma. Thus, Chu Cheng's treatments for widows, nuns, and wives' female relatives differed, which illustrates this principle. (Any woman suffering from Xianggangjiao disease will definitely be unable to bear children.)