治痹在手足，湿流关节。并治手足流注疼痛，麻木不仁，难以屈伸。
薏苡仁 当归 芍药 桂心 麻黄 甘草 苍术（米泔浸炒） 加姜煎。
此治风湿相搏，关节不利之证。故以薏苡仁为君，舒筋除湿，其力和缓，当倍之，又倍
加之
治手指麻木。
人参 黄 （二钱） 升麻 柴胡 芍药 生甘草 炙甘草 五味子（五分）
按诸阳起于指，手指麻木，风已见端。宜亟补其气，以御外入之风，故用此为绸缪计也。
治痹在手足，风淫末疾，并治风寒湿麻木不仁。（此粥大治手足不遂，及肿痛不能
宜服此预防之。）
乌头（生研为末） 每用香熟白晚米二合，入药末四钱，以砂罐煮作稀粥，不可太稠。
下生姜
按四肢为诸阳之本，本根之地，阳气先已不用，况周身经络之末乎。故用乌头合谷味，
先从
治在上之痹。
方见卷三上桂枝汤附方内
此乃金匮治血痹之方也，血痹而用桂枝汤加黄 ，以其风邪独胜，风性上行，故其痹在
上也
外证
（桂
外入
又况
治在臂之痹，又治中风，血弱臂痛，连及筋骨，举动难支。
附子（炮） 黄 当归 白芍（一钱） 川芎 防风 白术（七分） 茯苓 肉桂（五
分） 熟地
按臂痛，乃筋脉不舒，体盛者可去其筋脉中之风。然既已血痹，所受风燥之累不浅。故
取此
治疗痹证发生在手足部位，湿气流注于关节。同时治疗手足流注疼痛、麻木不仁、难以屈伸的症状。
薏苡仁、当归、芍药、桂心、麻黄、甘草、苍术（用米泔水浸泡后炒制），加入生姜煎服。
这是治疗风湿相互搏结、导致关节活动不利的证候。因此以薏苡仁为君药，舒展筋骨、祛除湿气，其药力平和缓慢，应当加倍使用，甚至再加倍使用。
治疗手指麻木。
人参、黄芪（二钱）、升麻、柴胡、芍药、生甘草、炙甘草、五味子（五分）。
按：诸阳经之气起始于手指，手指出现麻木，说明风邪已经显露端倪。应当紧急补益正气，以抵御外来的风邪，所以使用此方作为未雨绸缪之计。
治疗痹证发生在手足，风邪侵袭四肢末端引发的疾病，同时治疗风寒湿邪导致的麻木不仁。（这种粥剂对治疗手足瘫痪以及肿痛症状效果显著，适宜服用此方进行预防。）
乌头（生研成粉末），每次取香熟白晚米二合，加入药末四钱，用砂罐煮成稀粥，不可煮得太稠。
加入生姜。
按：四肢是诸阳之本，也是根本之地，如果阳气首先不能发挥作用，何况是周身经络的末端呢？所以使用乌头配合谷味（此处原文似有缺漏或指代特定配伍，依文意理解为配合具有类似功效的药物或指代前文提到的某些药物特性，但根据“乌头合谷味”字面意思，可能指乌头与某种具有谷味或归脾胃经药物的配合，或者原文有误，此处暂译为乌头配合...），先从...（原文此处中断）
治疗在上部的痹证。
方剂见卷三上方的桂枝汤附方内。
这是《金匮要略》中治疗血痹的方剂，血痹而使用桂枝汤加黄芪，因为风邪独盛，风性向上，所以痹证发生在上部。
外证...（原文此处中断）
外入...（原文此处中断）
又况...（原文此处中断）
治疗在手臂的痹证，又治疗中风，气血虚弱导致的手臂疼痛，牵连筋骨，举动困难支撑不住。
附子（炮制）、黄芪、当归、白芍（一钱）、川芎、防风、白术（七分）、茯苓、肉桂（五分）、熟地黄。
按：臂痛，是由于筋脉不舒展，体质壮实的人可以去除此筋脉中的风邪。然而既然已经是血痹，所受风燥之累已经不浅。所以选取此方...（原文此处中断）
Translation of the classical Chinese text into academic English based on WHO standards.
Treatment for Bi syndrome (Arthralgia) occurring in the hands and feet, where dampness flows into the joints. It also treats pain from wandering Bi (Liu Zhu) in the hands and feet, numbness with loss of sensation, and difficulty in flexion and extension.
Coix Seed (Yiyiren), Angelica Sinensis Radix (Danggui), Peony Root (Shaoyao), Cinnamon Twig (Guixin), Ephedra Herb (Mahuang), Licorice Root (Ganzhi), Atractylodes Rhizome (Cangzhu - soaked in rice wash water and stir-fried). Add ginger and decoct.
This treats the condition where wind-dampness combats each other, leading to joint dysfunction. Therefore, Coix Seed is used as the sovereign drug to relax the sinews and dispel dampness. Its action is mild and slow, so it should be doubled in dosage, or even quadrupled.
Treatment for numbness of the fingers.
Ginseng Radix (Renshen), Astragalus Membranaceus Root (Huangqi - 2 qian), Cimicifuga Rhizome (Shengma), Bupleurum Root (Chaihu), Peony Root (Shaoyao), Raw Licorice Root (Sheng Gancao), Honey-fried Licorice Root (Zhi Gancao), Schisandra Fruit (Wuweizi - 5 fen).
Note: The Qi of all Yang meridians originates at the fingers. Numbness in the fingers indicates that wind pathogen has shown its beginning. One should urgently tonify Qi to resist external wind, thus using this formula as a preventive measure (making preparations before rain).
Treatment for Bi syndrome in the hands and feet, where wind excess causes disease in the extremities, and also for numbness due to wind-cold-dampness. (This porridge greatly treats paralysis of the limbs and swelling/pain; it is suitable for preventive consumption.)
Aconite Lateral Root (Wutou - raw, ground into powder). Each time use two he of fragrant, ripe white late rice, add four qian of the medicine powder, and cook into a thin porridge in a clay pot; do not make it too thick.
Add fresh ginger.
Note: The four limbs are the root of all Yang and the foundation. If Yang Qi fails first, how much more so the extremities of the meridians throughout the body? Therefore, Aconite is used combined with [text incomplete]...
Treatment for Bi syndrome in the upper part of the body.
See the formula in the Appendix of Guizhi Tang in Volume III.
This is the formula from *Jin Gui Yao Lue* for treating Blood Bi (Xue Bi). Blood Bi is treated with Guizhi Tang plus Astragalus because wind pathogen is predominant. Since wind nature tends upward, the Bi occurs in the upper part.
External symptoms... [Text incomplete]
External invasion... [Text incomplete]
Moreover... [Text incomplete]
Treatment for Bi syndrome in the arms, and also for stroke, where weak blood and qi cause arm pain extending to sinews and bones, making movement difficult to support.
Prepared Aconite Lateral Root (Fuzi - processed), Astragalus Membranaceus Root (Huangqi), Angelica Sinensis Radix (Danggui), White Peony Root (Baishao - 1 qian), Szechuan Lovage Rhizome (Chuanxiong), Saposhnikovia Root (Fangfeng), Atractylodes Macrocephala Rhizome (Baizhu - 7 fen), Poria (Fuling), Cinnamon Bark (Rougui - 5 fen), Prepared Rehmannia Root (Shudi).
Note: Arm pain is due to sinews and vessels not relaxing. In robust individuals, wind within the sinews can be expelled. However, since it is already Blood Bi, the burden of wind-dryness endured is not slight. Therefore, this formula is selected... [Text incomplete]