臂为风寒湿所搏。或睡后手在被外。为寒邪所袭。遂令臂痛。及乳妇从臂枕儿。伤于风
寒而致臂痛。悉根据本方对症用之。
一论有因湿痰横行经络而作臂痛者。
二术汤
苍术（米泔浸一钱半） 白术（去芦） 南星 陈皮 白茯苓（去皮） 香附 酒芩 羌
活威灵仙 半夏 甘草（各一钱）
上锉一剂。生姜。水煎服。
一论臂痛因于寒者。五积散。（方见中寒）
一论臂痛因于气者。乌药顺气散。（方见中风）
一论臂痛因于湿者。
蠲痹汤
当归 赤芍 黄 羌活 姜黄 防风 甘草（炙各等分）
上锉。生姜五片。煎服。
一论臂冷痛。起手甚艰。或一臂痛。或两臂俱痛者。
五积交加散（□主簿传效） 五积散合人参败毒散。加木瓜、姜、枣煎服。未效再加牛
膝。可服乌药顺气散。加羌活、木瓜。
一论凡臂软无力。不任重者。乃肝经气虚。风邪客滞于荣卫之间。使血气不能周养四肢
故
有此症。肝主项背与臂膊。肾主腰胯与脚膝。其二脏若偏虚。则随其所主而病焉。今此症乃
肝气偏虚。宜补肝肾。六味丸主之。
一男子年六十余。素善饮。两臂作痛。恪服祛风治痹之药。更加麻木。发热体软。痰涌
腿
膝拘痛。口斜语涩。头目晕重。口角流涎。身如虫行。搔起白屑。始信谓余曰。何也。余曰
臂麻体软。脾无用也。痰涎自出。脾不能摄也。口斜语涩。脾气伤也。头目晕重。脾气
不能升
也。痒起白屑。脾气不能营也。遂用补中益气加神曲、半夏、茯苓。三十余剂。诸症悉退。
又用参、术煎膏。治之而愈。
手臂疼痛是由于风寒湿邪侵袭所致。有的人睡觉时手露在被子外面，被寒邪袭击，从而导致手臂疼痛。还有产妇用胳膊枕着孩子睡觉，受风寒侵袭而导致臂痛。这些情况都应根据本方对症使用。
有一种论述认为，有因湿痰在经络中横行导致臂痛的。
二术汤
苍术（用米泔水浸泡一钱半） 白术（去除芦头） 天南星 陈皮 白茯苓（去皮） 香附 酒黄芩 羌活 威灵仙 半夏 甘草（各一钱）
以上药材锉碎为一剂，加生姜，用水煎服。
有一种论述认为，臂痛是因为寒邪引起的，用五积散。（方剂见“中寒”篇）
有一种论述认为，臂痛是因为气滞引起的，用乌药顺气散。（方剂见“中风”篇）
有一种论述认为，臂痛是因为湿邪引起的。
蠲痹汤
当归 赤芍 黄芪 羌活 姜黄 防风 甘草（炙，各等分）
以上药材锉碎，加生姜五片，煎服。
有一种论述认为，手臂冷痛，起手非常困难，或者只有一只手臂痛，或者两只手臂都痛的。
五积交加散（由□主簿传授有效）：将五积散与人参败毒散合用，加木瓜、生姜、大枣煎服。如果无效，再加牛膝。也可以服用乌药顺气散，加羌活、木瓜。
有一种论述认为，凡是手臂软弱无力，不能承受重物的，这是肝经气虚，风邪客居滞留于营卫之间，使得血气不能周全滋养四肢，所以出现这种症状。肝主管颈项背部和臂膊，肾主管腰胯和脚膝。这两个脏腑如果偏虚，就会随着它们所主的部位而发病。现在这个症状是肝气偏虚，应当补益肝肾，以六味丸为主治。
有一个六十多岁的男子，平时喜欢喝酒，两臂疼痛。严格服用祛风治疗痹证的药物后，反而更加麻木，发热身体软弱，痰涌，腿膝拘挛疼痛，口眼歪斜言语涩滞，头目晕沉，口角流涎，身体像有虫子爬一样，搔抓后起白屑。这才相信对我说：“为什么呢？”我说：“手臂麻木身体软弱，是脾脏功能无用；痰涎自动流出，是脾脏不能摄纳；口眼歪斜言语涩滞，是脾气受伤；头目晕沉，是脾气不能上升；瘙痒起白屑，是脾气不能营养周身。”于是用补中益气汤加神曲、半夏、茯苓。服用三十多剂后，所有症状全部消退。后来又用人参、白术煎膏，治疗而痊愈。
Arm pain is caused by the invasion of Wind-Cold-Dampness pathogens. In some cases, when sleeping, the hand is exposed outside the blanket and attacked by Cold pathogens, leading to arm pain. Additionally, nursing mothers may suffer from arm pain due to Wind-Cold invasion after using their arms as pillows for their infants. All such cases should be treated according to the following formulas based on specific symptoms.
One theory states that arm pain can arise from Damp-Phlegm moving horizontally through the meridians.
**E Zhu Tang (Two Atractylodes Decoction)**
* *Cangzhu* (Rhizoma Atractylodis Chinensis) (soaked in rice washing water, 1.5 qian)
* *Baizhu* (Rhizoma Atractylodis Macrocephalae) (remove rhizome base)
* *Nanxing* (Rhizoma Arisaematis Cum Bile)
* *Chenpi* (Pericarpium Citri Reticulatae)
* *Baifuling* (Poria) (remove bark)
* *Xiangfu* (Rhizoma Cyperi)
* *Jiu Qin* (Radix Scutellariae Preparated with Wine)
* *Qianghuo* (Rhizoma et Radix Notopterygii)
* *Weilingxian* (Herba Saposhnikoviae)
* *Banxia* (Rhizoma Pinelliae Preparatum)
* *Gancao* (Radix Glycyrrhizae Preparata) (each 1 qian)
Crush these herbs into one dose. Add fresh ginger (*Shengjiang*), decoct with water, and take orally.
Another theory states that arm pain caused by Cold is treated with **Wu Ji San (Five Accumulations Powder)**. (See formula under "Zhong Han" / Middle Cold).
Another theory states that arm pain caused by Qi stagnation is treated with **Wu Yao Shun Qi San (Lindera Regulating Qi Powder)**. (See formula under "Zhong Feng" / Stroke).
Another theory states that arm pain caused by Dampness is treated with:
**Juan Bi Tang (Expelling Bi Syndrome Decoction)**
* *Danggui* (Radix Angelicae Sinensis)
* *Chishao* (Radix Paeoniae Rubra)
* *Huangqi* (Radix Astragali Membranacei)
* *Qianghuo* (Rhizoma et Radix Notopterygii)
* *Jianghuang* (Rhizoma Curcumae Longae)
* *Fangfeng* (Radix Saposhnikoviae)
* *Zhi Gancao* (Radix Glycyrrhizae Preparata) (all in equal parts)
Crush these herbs. Add five slices of fresh ginger, decoct, and take orally.
Another theory addresses cold pain in the arms where lifting is difficult, or pain occurs in one or both arms.
**Wu Ji Jia Jiao San (Five Accumulations Combined Powder)** (Effective prescription transmitted by Magistrate □): Combine **Wu Ji San** with **Renshen Bai Du San (Ginseng Detoxifying Powder)**. Add *Mugua* (Fructus Chaenomelis), ginger, and jujube, decoct, and take orally. If ineffective, add *Niuxi* (Radix Achyranthis Bidentatae). Alternatively, take **Wu Yao Shun Qi San** with added *Qianghuo* and *Mugua*.
Another theory states that softness and weakness in the arms, inability to bear weight, results from deficiency of Qi in the Liver Meridian. Wind pathogens lodge between Ying (Nutritive) and Wei (Defensive) levels, preventing blood and Qi from nourishing the four limbs adequately. Thus, this symptom arises. The Liver governs the neck, back, and arms; the Kidneys govern the waist, hips, and knees. If these two zang organs are deficient, disease manifests in their respective domains. This case involves deficiency of Liver Qi, so one should tonify the Liver and Kidneys, primarily using **Liu Wei Wan (Six-Ingredient Pill with Rehmannia)**.
A man over sixty years old, who habitually drank alcohol, suffered from pain in both arms. He strictly took medicines for dispelling Wind and treating Bi syndrome, but his numbness worsened, accompanied by fever, body weakness, surging phlegm, spasm and pain in the legs and knees, deviation of the mouth and slurred speech, dizziness and heaviness of the head and eyes, drooling from the corner of the mouth, a sensation of insects crawling on the body, and white scales appearing upon scratching. He then believed my diagnosis and asked, "Why?" I said: "Arm numbness and body weakness indicate Spleen dysfunction; spontaneous flow of phlegm and saliva indicates the Spleen's failure to control retention; mouth deviation and slurred speech indicate injury to Spleen Qi; dizziness and heaviness indicate the Spleen's failure to raise clear Yang; itching with white scales indicates the Spleen's failure to nourish the surface." Consequently, I prescribed **Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction)** with added *Shenqu* (Massa Medicata Fermentata), *Banxia*, and *Fuling*. After more than thirty doses, all symptoms subsided. Subsequently, I prepared a paste from *Renshen* (Radix Ginseng) and *Baizhu* to treat him, resulting in a cure.