（附鹅掌风鹤膝风）
痿症之状。四肢难举。不能伸缩转动。状若瘫痪。而不痛者。乃因气血不足属虚。勿以
风治。误用热燥攻风之药。宜当归。白芍。杜仲。牛膝。黄 。炒白术。（各一钱）熟地。（二
三
风痹之症。即今人所谓痛风也。盖痹者闭也。以血气为邪所闭。不得通行而病也。故宜
行血养血药治之。
〔筋骨酸痛〕 十大功劳叶。（即老鼠刺叶。采一篮剪去叶上刺。好酒一斤拌蒸晒干七
次。）红花。（五钱炒）当归。（一两酒炒枯）虎骨。（一两炙酥）同为细末。砂糖调服二钱。
日两次。
〔风气痛〕 一切肩背手足皆治。姜汁。葱汁。蒜汁。凤仙花汁各一碗。米醋一小碗。
牛
入独部蒜四十九个。葱头一大握。油内煎枯。去渣。加入血丹四两。铅粉四两。（俱炒黄）
慢
〔历节风〕 每遇天将阴雨。手足作痛。至夜转甚。肢节肿痛者。用松树节十斤。好酒
三斗。浸二十七日。每服二钟。日五六次。以好为度。 腰腿风气痛不可践地。用松叶一升。
（
神。
〔手足痛风冷痛如虎咬者〕 樟木屑一斗。以急流水一担煮沸。将樟木屑入大桶内。用
沸水泡之。桶内安一踏脚凳。桶边放一兀凳。患者坐桶边。以脚在桶内熏之。候温洗。外以
夹布单围之。勿令汤气入目。恐致坏眼。其功甚捷。一切风湿香港脚肿大者俱宜。
〔风热臂痛〕 桑枝切段炒。水煎服。 小便黄涩者。用木通一二两水煎。服三次愈。
〔秘传黄豆丸〕 治湿痹膝痛。五脏不足。脾胃气结积滞。大黑豆一斗。（水浸透。）甑
上蒸熟。如造酱法铺席上。用荷叶覆盖七日。黄透取出晒干。去黄为末。炼蜜丸如桐子大。
空心每服百丸。白汤下。（并能壮力补虚损。开胃进食。大有神验。）
〔秘传药酒方〕 治一切风痹。手足麻木。肢体不仁。将成瘫痪之症。不拘男妇屡效。
肉桂。秦艽。山萸肉。川断肉。（各一钱）广木香。牛膝。（各三钱）当归。枸杞。风藤。防
风。
黄。（各五钱）熟地。杜仲。木瓜。白术。丹皮。五加皮。（各二钱）陈绍酒二斤。连药入
瓶
内。隔水蒸出药性。待凉。加烧酒十斤。（冬用煮酒亦可。）过七日。早晚饮三杯。如体素热
者
〔鹅掌疯〕 穿山甲。雄黄二味。火烧烟熏之。数次自愈。吕祖传方。 鸡脑髓乘热掌
心搓擦数次即愈。 真蕲艾四五两。水煮五六滚。入大口瓶内盛贮。将手心放在瓶口熏之。
如冷再煮热即效。 活蟹煮汤。洗手即效。
〔鹤膝疯〕 三阴之气不足。风邪乘之。两膝作痛。久则膝愈大而腿愈细。因名鹤膝风。
乃败症也。乳香。没药。（各一钱五分）地骨皮。（三钱）无名异。（五钱）麝香。（一分）共
为细
末。用车前草捣汁。入酒少许。调敷患处。不拘久近。敷三日愈。 用去湿膏药贴患处一二
日。次用鲜威灵仙捣烂罨上。须略痛一日。出黄水即愈。仍贴膏药收功。 此症须内服人参。
（二钱）白术。制附子。当归。白芍。（酒炒）熟地。川芎。防风。杜仲。黄 。羌活。牛
膝。
甘草。（各一钱）加姜一片水煎。食前服。多服易效。（此方兼治附骨疽。皮色不变。大腿通
肿。疼痛无奈。及痢后脚疼缓弱不能行。或腿膝肿痛等症。须配参方验。）
（附鹅掌风、鹤膝风）
痿证的表现为四肢难以抬起，不能伸缩转动，症状类似瘫痪，但不疼痛。这是由于气血不足属于虚证，不应按风邪治疗。误用燥热攻风的药物是错误的。适宜使用当归、白芍、杜仲、牛膝、黄芩（清热燥湿药）、炒白术（健脾益气药）。（各一钱）熟地黄（滋阴补血药）。（二至三钱）
风痹的病症，就是现在人们所说的痛风。所谓“痹”，意思是闭塞，因为血气被邪气阻滞，不能通行而致病。因此适宜用行血养血的药物来治疗。
〔筋骨酸痛〕 十大功劳叶（即老鼠刺叶，采摘一篮，剪去叶上的刺，用好酒一斤拌匀蒸晒七次）。红花（五钱，炒制）。当归（一两，酒炒至枯焦）。虎骨（一两，炙烤至酥）。共同研为细末，用砂糖调服二钱，每日两次。
〔风气痛〕 一切肩背手足疼痛皆有效。姜汁、葱汁、蒜汁、凤仙花汁各一碗，米醋一小碗。将上述材料混合，加入独头蒜四十九个，葱头一大把，在油中煎至枯焦，滤去药渣。加入血竭（活血止血药）四两，铅粉（外用收敛药，注意毒性）四两（均炒至黄色），慢火熬制……（原文此处有缺漏，依文意补全逻辑：熬制成膏或散剂备用）。
〔历节风〕 每逢天气即将阴雨时，手足作痛，到了夜晚加重，肢节肿痛者，可用松树节十斤，好酒三斗，浸泡二十七天。每次服用二钟，每日五六次，以好转为度。腰腿风气痛严重到无法站立行走者，可用松叶一升……（原文此处有缺漏，依文意补全逻辑：煎汤熏洗或内服，以通利关节）。
〔手足痛风冷痛如虎咬者〕 樟木屑一斗，用急流水一担煮沸，将樟木屑放入大桶内，用沸水泡之。桶内安放一个踏脚凳，桶边放一个矮凳。患者坐在桶边，将脚放在桶内熏蒸。待温度适宜时清洗，外部用夹布单围住，不要让蒸汽进入眼睛，恐怕导致视力受损。此法功效甚捷，一切风湿、香港脚（足癣/踝部肿胀）肿大者都适宜。
〔风热臂痛〕 桑枝切段炒制，水煎服。小便黄且涩滞者，用木通一二两水煎，服用三次即可痊愈。
〔秘传黄豆丸〕 治疗湿痹膝痛，五脏不足，脾胃气结积滞。大黑豆一斗（用水浸透），在甑上蒸熟，像制作酱料一样铺在席子上，用荷叶覆盖七日，变黄后取出晒干，去掉黄色的部分研为细末，用炼蜜制成梧桐子大小的丸药。空腹每次服用一百丸，白开水送下。（并能增强体力，补益虚损，开胃进食，大有神效。）
〔秘传药酒方〕 治疗一切风痹，手足麻木，肢体感觉迟钝，即将发展为瘫痪的症状。不拘男女，屡试屡效。肉桂、秦艽（祛风湿药）、山萸肉、川断（续断，补肝肾强筋骨药）。（各一钱）广木香、牛膝。（各三钱）当归、枸杞、海风藤（祛风湿通经络药）、防风、黄芪（补气固表药）。（各五钱）熟地黄、杜仲、木瓜、白术、丹皮（清热凉血药）、五加皮（祛风湿强筋骨药）。（各二钱）陈绍酒二斤，连同药材装入瓶内，隔水蒸出药性，待冷却后，加入烧酒十斤。（冬季也可用煮过的酒）。过七日后，早晚各饮三杯。如果体质素来偏热者……（原文此处有缺漏，依文意补全逻辑：减量或慎用）。
〔鹅掌风〕 穿山甲、雄黄两味药，火烧产生烟雾熏患处，数次后即可自愈。此为吕祖所传方。鸡脑髓趁热在掌心搓擦数次即可痊愈。真蕲艾四五两，水煮五六滚，装入大口瓶中盛贮，将手心放在瓶口熏蒸。如果凉了再加热煮即可见效。活蟹煮汤，洗手即见效。
〔鹤膝风〕 三阴之气不足，风邪乘虚而入，两膝作痛，时间久了膝盖变得粗大而腿部变细，因此名为鹤膝风。这属于难治之症。乳香、没药（各一钱五分）、地骨皮（三钱）、无名异（矿物药，活血止痛）、麝香（一分）。共同研为细末，用车前草捣汁，加入少许酒，调和敷于患处。不论病程长短，敷三日即可痊愈。或用祛湿膏药贴敷患处一二日，接着用鲜威灵仙捣烂外敷，必须稍微感到疼痛一天，流出黄水即可痊愈，然后再贴膏药收功。此症须内服人参（二钱）、白术、制附子（温里回阳药）、当归、白芍（酒炒）、熟地黄、川芎、防风、杜仲、黄芪、羌活（祛风湿解表药）、牛膝、甘草。（各一钱）加生姜一片水煎，饭前服用，多服容易见效。（此方兼治附骨疽，皮色不变，大腿整体肿胀，疼痛难忍，以及痢疾后脚疼无力不能行走，或腿膝肿痛等症状，必须配合人参方验证疗效。）
(Attached: Goose Palm Wind, Crane Knee Wind)
The manifestation of Wei Syndrome (Atrophy Syndrome) involves difficulty in lifting the four limbs, inability to flex, extend, or rotate, resembling paralysis but without pain. This is caused by deficiency of Qi and Blood, belonging to a deficiency pattern. It should not be treated as Wind pathogen. Misusing hot and drying drugs that attack Wind is erroneous. Suitable herbs include Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Duzhong (Eucommiae Cortex), Niuxi (Achyranthis Bidentatae Radix), Huangqin (Scutellariae Radix, a heat-clearing and damp-draining herb), Chao Baizhu (Stir-fried Atractylodis Macrocephalae Rhizoma, a spleen-qi tonifying herb). (Each 1 qian). Shudi (Rehmanniae Radix Preparata, a yin-nourishing and blood-tonifying herb). (2 to 3 qian).
Feng Bi Syndrome (Wind-Bi), which is what people today call Gout, refers to "Bi" meaning obstruction. It occurs when Qi and Blood are blocked by pathogens and cannot circulate freely, causing disease. Therefore, it is suitable to treat it with drugs that promote blood circulation and nourish blood.
[Acute Pain in Muscles and Bones] Shidagonglao Ye (Leaves of Mahonia fortunei, also known as Laoshuci leaves; harvest one basket, remove thorns from leaves, mix with 1 jin of good wine, steam and sun-dry seven times). Honghua (Carthami Flos, 5 qian, stir-fried). Danggui (Angelicae Sinensis Radix, 1 liang, stir-fried with wine until dry). Hugu (Ossis Tigris, 1 liang, roasted until crisp). Grind all into fine powder. Take 2 qian mixed with rock sugar, twice daily.
[Pain due to Wind Qi] Treats all pains in shoulders, back, hands, and feet. Ginger juice, Scallion juice, Garlic juice, and Impatiens juice, each 1 bowl; Rice vinegar, 1 small bowl. Take 49 cloves of single-clove garlic and a large handful of scallion bulbs, fry in oil until charred, remove dregs. Add Xuejie (Dragon's Blood Resin, 4 liang) and Qianfen (Lead Carbonate, an external astringent, note toxicity, 4 liang). (Both stir-fried until yellow), simmer slowly... [Text missing here, implying preparation of a paste or powder].
[Lijie Feng (Joint-Wandering Wind)] Whenever weather is about to turn rainy, hands and feet hurt, worsening at night, with swelling and pain in joints. Use 10 jin of Pine branch nodes, soak in 3 dou of good wine for 27 days. Take 2 zhong per dose, 5-6 times daily, until improvement. For wind-qi pain in waist and legs so severe that walking is impossible, use 1 sheng of Pine needles... [Text missing here, implying preparation method similar to previous entries, e.g., soaking or decoction, for divine effect].
[Cold Pain in Hands and Feet like Tiger Bite, due to Hand-Foot Gout] 1 dou of Camphor wood chips. Boil 1 dan of fast-flowing water. Place camphor wood chips in a large barrel and pour boiling water over them. Place a footstool inside the barrel and a low stool beside it. The patient sits by the barrel, steaming their feet inside. When warm enough, wash. Wrap externally with a cloth layer to prevent steam from entering the eyes, lest it damage vision. Its efficacy is very rapid. Suitable for all rheumatism, Hong Kong Foot (Tinea Pedis/Foot Rot), and swelling.
[Wind-Heat Arm Pain] Cut Sangzhi (Mulberry Twig) into sections, stir-fry, decoct in water, and take orally. For yellow and scanty/difficult urination, use Mutong (Akebiae Caulis, 1-2 liang), decoct in water, take three doses to cure.
[Secretly Transmitted Soybean Pill] Treats Wet-Bi knee pain, insufficiency of the Five Zang organs, Qi stagnation and accumulation in Spleen and Stomach. 1 dou of large black soybeans (soaked thoroughly in water). Steam on a steamer until cooked. Spread on a mat like making sauce, cover with lotus leaves for seven days. When turned yellow, take out, sun-dry, remove the yellow part, and grind into powder. Make pills using refined honey, size of paulownia seeds. Take 100 pills on an empty stomach with plain boiled water. (Also strengthens strength, tonifies deficiency, opens appetite, and has great efficacy.)
[Secretly Transmitted Medicinal Wine Recipe] Treats all Wind-Bi, numbness in hands and feet, insensitivity of limbs, and conditions about to become paralysis. Effective for both men and women. Rougui (Cinnamon Bark), Qinjiao (Gentianae Macrophyllae Radix, a wind-damp dispelling herb), Shanyurou (Corni Fructus, a liver-kidney tonic), Chuanduan (Dipsaci Radix, a liver-kidney tonic and bone-strengthening herb). (Each 1 qian). Guangmuxiang (Costi Rhizoma), Niuxi (Achyranthis Bidentatae Radix). (Each 3 qian). Danggui (Angelicae Sinensis Radix), Gouqi (Lycii Fructus), Fengteng (Sargentodoxae Caulis, a wind-damp dispelling and meridian-unblocking herb), Fangfeng (Saposhnikoviae Radix), Huangqi (Astragali Radix, a qi-tonifying and surface-consolidating herb). (Each 5 qian). Shudi (Rehmanniae Radix Preparata), Duzhong (Eucommiae Cortex), Mugua (Chaenomelis Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Danpi (Moutan Cortex, a heat-clearing and blood-cooling herb), Wujia Pi (Acanthopanacis Cortex, a wind-damp dispelling and bone-strengthening herb). (Each 2 qian). 2 jin of aged Shaowine. Put herbs and wine in a bottle, steam over water to extract medicinal properties. Wait until cool, then add 10 jin of distilled liquor. (In winter, boiled wine may also be used). After seven days, drink three cups morning and evening. If the constitution is inherently hot... [Text missing here, usually indicating contraindications or adjustments].
[Goose Palm Fungus] Shanji jia (Manis Squama) and Xionghuang (Realgar), two ingredients. Burn to produce smoke and fumigate the affected area several times until self-healed. Formula transmitted by Lü Zu. Chicken brain marrow, while hot, rub on palm several times until cured. Zhen Qiai (Artemisia argyi, 4-5 liang), boil water 5-6 times, store in a large-mouthed bottle. Place palm over the bottle mouth to fumigate. Reheat if cooled for effectiveness. Live crab boiled in soup, wash hands with it for effectiveness.
[Crane Knee Fungus] Insufficiency of the Three Yin Qi allows Wind pathogen to invade, causing pain in both knees. Over time, knees become larger and legs thinner, hence named Crane Knee Wind. This is a deteriorating condition. Ruxiang (Olibanum), Moyao (Myrrha). (Each 1.5 qian). Digupi (Lycii Cortex, a heat-clearing herb). (3 qian). Wumingyi (Hematites, a mineral drug for invigorating blood and relieving pain). (5 qian). Shexiang (Moschus, an opening-orifice and awakening spirit herb). (1 fen). Grind all into fine powder. Use Cheqiancao (Plantaginis Herba) juice, add a little wine, mix and apply to the affected area. Regardless of duration, apply for three days to cure. Apply damp-dispelling plaster to the affected area for 1-2 days, then apply fresh Weilingxian (Clematidis Radix et Rhizoma) mashed pulp. Must feel slight pain for one day; discharge of yellow fluid indicates cure. Continue applying plaster to conclude treatment. This condition requires internal administration of Renshen (Ginseng Radix et Rhizoma, 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhifuzi (Aconiti Lateralis Radix Preparata, a warming interior and restoring yang herb), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, stir-fried with wine), Shudi (Rehmanniae Radix Preparata), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Duzhong (Eucommiae Cortex), Huangqi (Astragali Radix), Qianghuo (Notopterygii Rhizoma et Radix, a wind-cold dispelling exterior herb), Niuxi (Achyranthis Bidentatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma). (Each 1 qian). Add one slice of ginger, decoct in water, take before meals. Frequent administration yields better results. (This formula also treats Fusgu Ju (Bone-abscess Abscess), where skin color does not change, thigh is generally swollen, pain is unbearable, and post-dysentery leg weakness/pain preventing walking, or leg/knee swelling and pain. Must verify efficacy with Ginseng formula.)