一论脉洪大促紧者。肩背痛。沉而滑者。痰痛也。
豁痰汤
半夏（制） 栀子（炒） 陈皮 海桐皮 枳壳（各八分） 桔梗 赤芍 苍术（制） 香
附（各七分） 茯苓（去皮六分） 川芎 姜黄（各五分） 甘草（三分）
上锉一剂。生姜煎服。如痛甚。头剂加朴硝二钱。
一论肩背痛。不可回顾者。太阳气郁而不行也。以风药散之。脊痛腰强。腰似折。项似
拔。此足太阳经不通行也。以
羌活胜湿汤
本（二钱） 防风 羌活 独活（各一钱） 川芎（一钱） 蔓荆子（六分） 甘草（六分）
上锉一剂。水煎服。身痛腰沉。经中有湿寒。加防己一钱。轻者炮附子。重者炮川乌各
五分。
一论背心一点痛者。痰气之所聚也。
参合汤
陈皮 半夏（制） 茯苓（去皮） 乌药 枳壳（麸炒） 僵蚕（炒） 川芎 白芷 麻黄
桔梗 干姜 紫苏 香附 苍术 甘草 羌活（各等分）
上锉。姜、枣煎服。
一论风热乘肺。肩背强直作痛。
提肩散
防风 羌活 本 川芎 白芍（炒各七分） 黄连（酒炒） 黄芩（酒炒各五分） 甘
草（四分）
上锉一剂。生姜三片。煎服。湿。加苍术、防己、薏苡仁各五分。气虚。加人参。汗多
加黄 蜜炒一钱。血虚。加芎、归、地黄。
一治肩背痛。汗出。小便数而少。风热乘肺。肺气郁甚也。当泻风热则愈。以
迎气防风汤
防风 羌活 陈皮 人参 甘草（各五分） 本 青皮（各三分） 白豆蔻 黄柏（
各二分） 升麻（四分） 柴胡 黄 （蜜水炒各一钱）
上锉一剂。水煎。食后温服。如面白脱色气短者。不可服。
一论体虚人。背上恶风。或夏月怕脱衣。及妇人产后。被冷风吹入经络。故常冷痛。或
手足冷入骨者。又治腰痛。及一切冷痹痛。又治湿气。
御寒膏
用生姜八两。取自然汁。入牛膝三两。乳香、没药末各一钱五分。铜勺内煎化。就移在
滚水
内。须以柳条搅令成膏。又入花椒末少许。再搅匀。用皮纸将纸作壳子。视痛处阔狭贴患处
用鞋烘热熨之。候五七日脱下。或起小痕。不妨。
第一段论述：脉象洪大且急促有力的，是肩背疼痛；脉象沉而滑的，是痰饮引起的疼痛。
豁痰汤
半夏（制过的） 栀子（炒过的） 陈皮 海桐皮 枳壳（各八分） 桔梗 赤芍 苍术（制过的） 香附（各七分） 茯苓（去皮，六分） 川芎 姜黄（各五分） 甘草（三分）
以上药材锉碎为一剂药量，用生姜煎煮后服用。如果疼痛剧烈，第一剂药中加入朴硝二钱。
第二段论述：肩背疼痛，不能回头张望的，这是太阳经气机郁滞而不通畅所致。应当用风药来疏散它。脊背疼痛、腰部僵硬，腰部感觉像要折断一样，颈部感觉像被拔起一样，这是足太阳膀胱经气血不通畅所致。
羌活胜湿汤
独活（二钱） 防风 羌活 独活（各一钱） 川芎（一钱） 蔓荆子（六分） 甘草（六分）
*注：原文此处“本”应为藁本之误或省略，结合方义及常见配伍，通常指藁本，但依原文忠实度保留“本”，实际中医语境多指藁本。此处按原文翻译为“本”。*
以上药材锉碎为一剂药量，用水煎煮后服用。身体疼痛、腰部沉重，这是经络中有湿寒之气，加入防己一钱。病情轻的用炮附子，重的用炮川乌，各五分。
第三段论述：背部中间某一点疼痛的，这是痰气和邪气聚集的地方。
参合汤
陈皮 半夏（制过的） 茯苓（去皮的） 乌药 枳壳（麸皮炒过的） 僵蚕（炒过的） 川芎 白芷 麻黄 桔梗 干姜 紫苏 香附 苍术 甘草 羌活（各等分）
以上药材锉碎，用生姜和大枣煎煮后服用。
提肩散
防风 羌活 藁本 川芎 白芍（炒过的，各七分） 黄连（酒炒过的） 黄芩（酒炒过的，各五分） 甘草（四分）
以上药材锉碎为一剂药量，加生姜三片，煎煮后服用。如果有湿气，加入苍术、防己、薏苡仁各五分。如果气虚，加入人参。如果出汗多，加入蜜炙黄芪一钱。如果血虚，加入川芎、当归、地黄。
第五段治疗：肩背疼痛，伴有出汗，小便频数且量少，这是风热侵袭肺部，肺气郁结严重的表现。应当泻除风热即可痊愈。
迎气防风汤
防风 羌活 陈皮 人参 甘草（各五分） 藁本 青皮（各三分） 白豆蔻 黄柏（各二分） 升麻（四分） 柴胡 黄芪（蜜水炒过的，各一钱）
以上药材锉碎为一剂药量，用水煎煮，饭后温服。如果面色苍白、脱色、气短的，不可服用。
第六段论述：体质虚弱的人，背部怕风，或者在夏天害怕脱衣服，以及妇女产后，冷风吹入经络，所以经常感到冷痛，甚至手脚冷得刺骨。又用于治疗腰痛，以及一切冷痹疼痛。又用于治疗湿气。
御寒膏
取生姜八两，榨取自然汁液。加入牛膝三两，乳香、没药的粉末各一钱五分。在铜勺内煎化，然后移到滚水中。必须用柳条搅拌使其成为膏状。再加入少许花椒粉末，再次搅拌均匀。用皮纸做成纸壳包裹药膏，根据疼痛处的宽窄贴在患处，用鞋子烘热熨烫。等到五到七天后取下，如果起小水泡，不要紧。
**First Discussion:** A pulse that is flooding (Hong) and rapid with tension (Cu Jin) indicates shoulder and back pain. A pulse that is deep (Chen) and slippery (Hua) indicates pain caused by phlegm.
**Huotan Decoction (Phlegm-Expelling Decoction)**
Banxia (Pinelliae Rhizoma, processed), Zhizi (Gardeniae Fructus, fried), Chenpi (Citri Reticulatae Pericarpium), Haitongpi (Erythrinae Cortex), Zhiqiao (Aurantii Fructus Immaturus) [each 8 fen]; Jiegeng (Platycodonis Radix), Chishao (Paeoniae Radix Rubra), Cangzhu (Atractylodis Rhizoma, processed), Xiangfu (Cyperi Rhizoma) [each 7 fen]; Fuling (Poria, peeled, 6 fen); Chuanxiong (Ligusticum Chuanxiong Rhizoma), Jianghuang (Curcumae Longae Rhizoma) [each 5 fen]; Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Crush the above herbs into one dose. Decoct with fresh ginger and take orally. If the pain is severe, add Muxiao (Natrii Sulfas, Mirabilite) 2 qian to the first decoction.
**Second Discussion:** Shoulder and back pain accompanied by an inability to turn the head backward is due to the stagnation and obstruction of Qi in the Taiyang channel. It should be dispersed using wind-dispelling herbs. Pain in the spine and stiffness in the waist, where the waist feels as if it were broken, and the neck feels as if it were pulled out, indicate a lack of free flow in the Foot-Taiyang Bladder Channel.
**Qianghuo Shengshi Decoction (Notopterygium Decoction for Overcoming Dampness)**
Ben (Ligustici Sinensis Rhizoma, often referred to as Gaoben in this context), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) [each 1 qian]; Chuanxiong (Ligusticum Chuanxiong Rhizoma, 1 qian); Manjingzi (Vittariae Spora, 6 fen); Gancao (Glycyrrhizae Radix et Rhizoma, 6 fen).
Crush the above herbs into one dose. Decoct with water and take orally. If there is body pain and heaviness in the waist, indicating damp-cold in the channels, add Fangji (Stephaniae Tetrandrae Radix) 1 qian. For mild cases, use Paofuzi (Aconiti Lateralis Radix Praeparata); for severe cases, use Paochuanwu (Aconiti Radix), each 5 fen.
**Third Discussion:** Pain at a single point on the back is due to the accumulation of phlegm and Qi stagnation.
**Canhe Decoction (Integration Decoction)**
Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, processed), Fuling (Poria, peeled), Wuyao (Linderae Radix), Zhiqiao (Aurantii Fructus Immaturus, bran-fried), Jiangcan (Bombyx Batryticatus, fried), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Mahuang (Ephedrae Herba), Jiegeng (Platycodonis Radix), Ganjiang (Zingiberis Rhizoma), Zisu (Perillae Folium), Xiangfu (Cyperi Rhizoma), Cangzhu (Atractylodis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix) [equal parts].
Crush the above herbs. Decoct with fresh ginger and jujube, and take orally.
**Fourth Discussion:** Wind-heat invading the Lung causes stiffness and pain in the shoulder and back.
**Tijian San (Shoulder-Lifting Powder)**
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Ben (Ligustici Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba, fried) [each 7 fen]; Huanglian (Coptidis Rhizoma, wine-fried), Huangqin (Scutellariae Radix, wine-fried) [each 5 fen]; Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen).
Crush the above herbs into one dose. Add three slices of fresh ginger, decoct with water, and take orally. If dampness is present, add Cangzhu (Atractylodis Rhizoma), Fangji (Stephaniae Tetrandrae Radix), and Yiyiren (Coicis Semen) [each 5 fen]. If Qi deficiency exists, add Renshen (Ginseng Radix et Rhizoma). If sweating is excessive, add Huangqi (Astragali Radix, honey-fried) 1 qian. If Blood deficiency exists, add Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), and Dihuang (Rehmanniae Radix).
**Fifth Treatment:** Shoulder and back pain with sweating, frequent urination with scanty output, caused by wind-heat invading the Lung and severe stagnation of Lung Qi. The condition will resolve by draining wind-heat.
**Yingqi Fangfeng Decoction (Wind-Dispersing Decoction for Welcoming Qi)**
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) [each 5 fen]; Ben (Ligustici Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride) [each 3 fen]; Baidoukou (Amomi Fructus Rotundus), Huangbai (Phellodendri Cortex) [each 2 fen]; Shengma (Cimicifugae Rhizoma, 4 fen); Chaihu (Bupleuri Radix), Huangqi (Astragali Radix, honey-water fried) [each 1 qian].
Crush the above herbs into one dose. Decoct with water and take warm after meals. Do not administer if the patient has a pale complexion, loss of luster, and shortness of breath.
**Sixth Discussion:** In individuals with weak constitutions, aversion to wind on the back, or fear of removing clothes even in summer, as well as postpartum women whose meridians are invaded by cold wind causing chronic cold pain or bone-chilling cold in the hands and feet, this formula is also used for lower back pain, all types of cold-bi pain, and dampness.
**Yuhan Gao (Cold-Defying Paste)**
Take 8 liang of fresh ginger and extract its natural juice. Add 3 liang of Niuxi (Achyranthis Bidentatae Radix) and 1.5 qian each of powdered Xurxiang (Boswelliae Resina) and Moyao (Commiphora Myrrha). Melt in a copper spoon, then transfer to boiling water. Stir continuously with a willow twig until it forms a paste. Add a small amount of Huajiao (Zanthoxyli Pericarpium) powder and stir evenly. Apply the paste onto leather paper to form a patch. Cut the patch to fit the width and length of the painful area, apply it to the affected site, and warm it by ironing with shoes. Remove after five to seven days. Small blisters may appear; this is harmless.