薏苡仁煎（出十便良方）治寒湿搏袭经络。筋脉挛急。腿膝重痛行履艰难。
宜
服之。
薏苡仁 虎骨（各八两） 天麻 防风 附子 羌活 桂心（各四两） 乳香（二两） 上
为细末。酒煮面糊为丸如梧桐子大。每服二十丸。煎防风汤下。不拘时候。
葱丸（出卫生家宝）治寒湿。筋骨冷痛不能举动。
川乌头（去皮尖生用三钱） 盐豉（三钱） 黑牵牛（头末三钱） 乳香（一钱） 没
药（一钱别研） 上为细末。用肥葱一握洗去土。用淡醋一升。不犯铜铁。文武火煮葱醋一
半。漉去滓。慢火再熬成膏。滴水中不散为度。将前次末和成剂。如桐子大。每服一十丸。
或加至二十丸。温酒送下。大便微利则愈。
术附汤（出指南方）治寒湿之证。
白术（四两） 芍药（一两） 附子（一两半炮去皮脐） 甘草（二两炙） 上为粗末。
每服五钱。水二盏。姜三片。枣一枚。煎一盏去滓。温服。
真定府张大。年二十九。素嗜酒。至元辛未五月间病手指节肿痛。屈伸不利。膝膑亦然。
身体沉重。心下痞不欲食。食则欲吐。面色痿黄。精神短少。至六月诊其脉沉而缓。缓者脾
也。难经云。 主体重节痛。 者脾土所主。四肢属脾。盖以素饮酒。加之时助。湿气大胜
流于四肢。故为肿痛。内经云。诸湿肿痛皆属脾土。仲景曰。湿流关节肢体烦疼。此之谓也。
以大羌活汤治之。
大羌活汤（出卫生家宝）
羌活（一钱） 升麻（一钱） 苍术（半钱） 独活（七分） 防风（五分） 茯苓（五
分） 泽泻（五分） 威灵仙（五分） 当归（五分） 白术（半钱） 内经以湿淫于内治
以苦温。以苦发之。以
升麻苦平。威灵仙、
苍术、防风苦辛温。发之者也。故以为臣。血壅而不流则痛。当归辛温以散之。甘草甘温。
益气缓中。泽泻咸平。茯苓甘平。又能利小便。导其湿。以淡渗之者也。使气味相合。上下
分散其湿也。
上 咀。都作一服。水二盏。煎至一盏去滓。温服。食前一服。食后一服。忌酒湿面及
生
肾着汤（出如宜方）治中湿小便自利。经云。治湿不利小便非其治也。又
云。
中湿者脉多沉缓而微。关节一身尽痛。
人参 干姜 白术 甘草 茯苓（各等分） 上 咀。每服四钱。水煎服。
除风湿羌活汤 夫痿者。湿热乘肾肝也。当急去之。不然则下焦元气竭尽而成软瘫
。必腰下不能动。心烦冤而不止也。若身重减。气不短。小便如常。及湿热之令退时。
或所增之病气退者。不用五味子、泽泻、茯苓、猪苓、黄柏、知母、苍术、白术之药。
只根据本病中证候加减。常服药亦须用酒黄柏二分或三分。如更时令。清燥之气大行。却
加辛温泻之。若湿气胜风证不退。眩晕麻木不已。（方见神圣复气汤）
治当风卧湿。遇冷所中等病。
用黄粱米作饭食之。
羌活汤 治风湿久不解。攻注经络。走注疼痛不可忍。\x
川芎 羌活 防风 肉桂 赤芍药 牡丹皮 当归 续断 白芷（各一两） 用姜枣煎
汤下。
薏苡仁煎（出自《十便良方》）治疗寒湿邪气侵袭经络。导致筋脉拘挛紧急，腿膝沉重疼痛，行走困难。
适宜服用此方。
药材：薏苡仁、虎骨（各八两）、天麻、防风、附子、羌活、桂心（各四两）、乳香（二两）。
制法：将上述药物研成细末。用酒煮面糊作为粘合剂，制成如梧桐子大小的丸药。每次服用二十丸，用防风汤送服。不限定具体时间。
葱丸（出自《卫生家宝》）治疗寒湿引起的筋骨冷痛，导致无法活动。
药材：川乌头（去皮尖，生用三钱）、盐豉（三钱）、黑牵牛（取头末三钱）、乳香（一钱）、没药（一钱，单独研磨）。
制法：将上述药物研成细末。取一把肥葱，洗净泥土。用一升淡醋，注意不要接触铜铁器皿。先用武火后用文火，煮葱和醋至剩下一半。滤去药渣，再用慢火继续熬制成膏状，以滴入水中不散开为度。将前面研好的药末与膏混合成团，制成如桐子大小的丸药。每次服用十丸，或加量至二十丸，用温酒送下。大便轻微通畅即痊愈。
术附汤（出自《指南方》）治疗寒湿证候。
药材：白术（四两）、芍药（一两）、附子（一两半，炮制后去皮脐）、甘草（二两，炙）。
制法：将上述药物捣碎成粗末。每次服用五钱，加水两盏，生姜三片，大枣一枚，煎煮至一盏，滤去药渣，温服。
真定府张大，年龄二十九岁。平素嗜好饮酒。在至元辛未年五月间，患病手指关节肿痛，屈伸不利，膝盖髌骨也是如此。身体沉重，胃脘部痞满不想进食，进食则想呕吐，面色萎黄，精神短少。到了六月诊察其脉象沉而缓。缓脉主脾。《难经》说：“主要症状是身体沉重、关节疼痛。”这是脾土所主的病证。四肢属于脾。大概是因为平素饮酒，加上时令湿气相助，湿气大胜，流注于四肢，所以出现肿痛。《内经》说：“各种湿邪导致的肿痛都归属于脾土。”张仲景说：“湿气流注关节肢体导致烦疼。”说的就是这种情况。使用大羌活汤治疗。
大羌活汤（出自《卫生家宝》）
药材：羌活（一钱）、升麻（一钱）、苍术（半钱）、独活（七分）、防风（五分）、茯苓（五分）、泽泻（五分）、威灵仙（五分）、当归（五分）、白术（半钱）。
方解：《内经》认为湿邪淫溢于内，应用苦温之法治疗，并用苦味药发散。升麻味苦平，威灵仙、苍术、防风味苦辛温，具有发散作用，故作为臣药。血液壅滞而不流通则疼痛，当归味辛温以散之。甘草味甘温，益气和中。泽泻味咸平，茯苓味甘平，又能利小便，引导湿气排出，这是用淡渗之法。使药性气味相合，上下分散湿气。
制法：将药物切碎，全部作为一服药。加水两盏，煎煮至一盏，滤去药渣，温服。饭前服一次，饭后服一次。忌食酒、湿面及生冷食物。
肾着汤（出自《如宜方》）治疗中湿导致的小便自利。医经说：“治疗湿邪如果不通利小便，不是正确的治法。”又说：“中湿的患者脉象多沉缓而微，全身关节疼痛。”
药材：人参、干姜、白术、甘草、茯苓（各等分）。
制法：将药物切碎。每次服用四钱，水煎服。
除风湿羌活汤 痿证，是由于湿热乘袭肝肾所致。应当急去之，否则下焦元气竭尽而成软瘫，必然腰部以下不能活动，心烦冤屈不止。如果身体沉重减轻，气不短促，小便正常，以及湿热时令退去时，或者增加的病气消退时，不用五味子、泽泻、茯苓、猪苓、黄柏、知母、苍术、白术这些药物。只根据本病的中证候进行加减。常服药也须用酒黄柏二分或三分。如果遇到时令变化，清燥之气盛行，却加辛温药以泻之。如果湿气胜风证不退，眩晕麻木不已。（方剂见神圣复气汤）
治疗当风卧湿、遇冷所中的病证。
用黄粱米做饭食用。
羌活汤 治疗风湿久治不愈，攻注经络，走窜疼痛不可忍受。
药材：川芎、羌活、防风、肉桂、赤芍药、牡丹皮、当归、续断、白芷（各一两）。
用法：用姜枣煎汤送服。
Yiyiren Decoction (from *Shibian Liangfang*) treats cold-dampness invading the meridians and collaterals, causing spasmodic tension of sinews and vessels, heaviness and pain in the legs and knees, and difficulty in walking.
It is suitable to take this formula.
Ingredients: Coicis Semen (Yiyiren), Ossum Tigris (Hugu) (each 8 liang), Gastrodiae Rhizoma (Tianma), Saposhnikoviae Radix (Fangfeng), Aconiti Lateralis Radix Praeparata (Fuzi), Notopterygii Rhizoma et Radix (Qianghuo), Cinnamomi Cortex (Guixin) (each 4 liang), Frankincense (Ruxiang) (2 liang).
Preparation: Grind the above ingredients into a fine powder. Use wine-boiled wheat paste as a binder to form pills the size of paulownia seeds. Take 20 pills each time, administered with Fangfeng Decoction. Time is not restricted.
Cong Wan (Onion Pill) (from *Weisheng Jiabao*) treats cold-dampness causing cold pain in bones and sinews, leading to immobility.
Ingredients: Aconiti Radix (Chuanwutou) (peeled and tip removed, raw, 3 qian), Phaseoli Volubilis Semen Salinum (Yanchi) (3 qian), Pharbitidis Semen (Heiqianniu) (first powder, 3 qian), Frankincense (Ruxiang) (1 qian), Myrrha (Moyao) (1 qian, separately ground).
Preparation: Grind the above ingredients into a fine powder. Take a handful of fat green onions, wash away the soil. Use one sheng of light vinegar, ensuring no contact with copper or iron. Boil the onions and vinegar over high then low heat until half remains. Strain off the dregs, and continue simmering over low heat to form a paste, testing by dropping into water; it should not disperse. Mix the previously prepared powders with the paste to form dough, shaping into pills the size of tung tree seeds. Take 10 pills each time, or increase to 20 pills, taken down with warm wine. Recovery occurs when there is slight loose stool.
Zhufu Tang (Atractylodes and Aconite Decoction) (from *Zhinan Fang*) treats cold-dampness syndromes.
Ingredients: Atractodis Macrocephalae Rhizoma (Baizhu) (4 liang), Paeoniae Radix Alba (Shaoyao) (1 liang), Aconiti Lateralis Radix Praeparata (Fuzi) (1.5 liang, processed, peeled, navel removed), Glycyrrhizae Radix et Rhizoma (Gancao) (2 liang, honey-fried).
Preparation: Crush the above ingredients into coarse powder. Take 5 qian each time, add two zhan of water, three slices of ginger, and one jujube. Decoct to one zhan, strain, and take warm.
Zhang Da from Zhengding Prefecture, aged twenty-nine. He had a long-standing preference for alcohol. In May of the Xinwei year of Zhiyuan, he suffered from swelling and pain in the finger joints, with limited flexion and extension, similarly affecting the knee patella. His body felt heavy, he experienced epigastric fullness and lack of appetite, and vomiting after eating. His complexion was sallow, and his spirit was deficient. By June, his pulse was deep and slow. A slow pulse indicates Spleen involvement. The *Nan Jing* states: "The main symptoms are heavy body and joint pain." This is a disease governed by Spleen Earth. The four limbs belong to the Spleen. It is likely due to his habitual drinking, compounded by seasonal dampness assisting the pathogen, causing excessive dampness flowing into the four limbs, thus resulting in swelling and pain. The *Nei Jing* states: "All dampness-induced swelling and pain belong to Spleen Earth." Zhang Zhongjing said: "Dampness flowing into joints and limbs causes painful discomfort." This refers to such cases. Treat with Da Qianghuo Tang.
Da Qianghuo Tang (Greater Notopterygium Decoction) (from *Weisheng Jiabao*)
Ingredients: Notopterygii Rhizoma et Radix (Qianghuo) (1 qian), Cimicifugae Rhizoma (Shengma) (1 qian), Atractodis Rhizoma (Cangzhu) (0.5 qian), Angelicae Pubescentis Radix (Duhuo) (0.7 qian), Saposhnikoviae Radix (Fangfeng) (0.5 qian), Poria (Fuling) (0.5 qian), Alismatis Rhizoma (Zexie) (0.5 qian), Spirit of Clematis (Weilingxian) (0.5 qian), Angelicae Sinensis Radix (Danggui) (0.5 qian), Atractodis Macrocephalae Rhizoma (Baizhu) (0.5 qian).
Formula Analysis: The *Nei Jing* teaches that for dampness overflowing internally, treat with bitter-warm methods, using bitter flavors to disperse. Shengma is bitter and neutral; Weilingxian, Cangzhu, and Fangfeng are bitter, acrid, and warm, possessing dispersing properties, hence they serve as Deputy Ministers. Blood stagnation without flow causes pain; Danggui is acrid and warm to scatter it. Gancao is sweet and warm, benefiting Qi and harmonizing the middle. Zexie is salty and neutral; Fuling is sweet and neutral, both promoting urination to guide out dampness via bland leaching. This ensures the flavors and qi combine to disperse dampness up and down.
Preparation: Cut the herbs. Combine all as one dose. Add two zhan of water, decoct to one zhan, strain, and take warm. Take one dose before meals and one dose after meals. Avoid alcohol, damp noodles, and raw/cold foods.
Shenzhe Tang (Kidney Garment Decoction) (from *Ruyi Fang*) treats central dampness with spontaneous urination. The medical classics state: "To treat dampness without promoting urination is not the correct method." It also states: "Patients with central dampness often have a deep, slow, and faint pulse, with pain throughout the joints and body."
Ingredients: Ginseng Radix (Renshen), Zingiberis Rhizoma (Ganjiang), Atractodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao), Poria (Fuling) (equal parts).
Preparation: Cut the herbs. Take 4 qian each time, decoct in water and administer.
Chufengshi Qianghuo Tang (Remove Wind-Dampness Notopterygium Decoction) Wei syndrome results from damp-heat attacking the Liver and Kidney. It must be urgently eliminated; otherwise, the Yuan Qi of the lower jiao will be exhausted, leading to flaccid paralysis, inevitably causing immobility below the waist and endless vexation and grievance. If body heaviness decreases, breath is not short, urination is normal, and the damp-heat season recedes, or if the increased pathogenic qi subsides, do not use Schisandrae Fructus (Wuweizi), Alismatis Rhizoma (Zexie), Poria (Fuling), Polyporus (Zhuling), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Atractodis Rhizoma (Cangzhu), or Atractodis Macrocephalae Rhizoma (Baizhu). Instead, adjust based on the specific syndrome of the primary disease. Even in regular medication, use Jiu Huangbai (wine-processed Phellodendri Cortex) at 2 or 3 fen. If seasonal changes occur and dry-cool qi prevails, add acrid-warm herbs to drain. If dampness exceeds wind and wind syndromes do not recede, with persistent dizziness and numbness... (See Shensheng Fuqi Tang).
For diseases caused by lying in wind and dampness, or being struck by cold.
Eat rice made from Setaria italica var. glauca (Huangliangmi).
Qianghuo Tang (Notopterygium Decoction) treats chronic wind-dampness that fails to resolve, attacking and flooding the meridians, causing wandering pain that is unbearable.
Ingredients: Chuanxiong Rhizoma (Chuanxiong), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Cinnamomi Cortex (Rougui), Paeoniae Radix Rubra (Chishaoyao), Moutan Cortex (Mudanpi), Angelicae Sinensis Radix (Danggui), Dipsaci Radix (Xuduan), Angelicae Dahuricae Radix (Baizhi) (each 1 liang).
Administration: Take with decoction of ginger and jujube.