黄帝《针经》谓周痹者、在于血脉之中。随脉上,随脉下,不能左右,各当其所。夫风
寒湿
升降
遏之
方
巴戟天散(一名八气散出《圣济总录》)治周痹、肢体痿弱,不能步履,及
诸缓风湿痹。
巴戟天(去心半两) 芎 (一分) 附子(去皮脐) 白蔹(一分) 黄 (炙) 桂
(去粗皮各半两)
荆实 天雄(炮去皮
赤茯苓(去皮) 牛膝(去苗
喙(炮去皮脐) 远志(去心各一两)
根各半两锉) 白矾(研各半两) 五味子(三分)
炒出汗各一钱) 浓朴(去皮生姜汁半两) 菖蒲(九节者
末,次入白矾,拌匀重罗。每服半钱,渐至一钱,温酒调下
即渐加至一钱。如觉太热心烦,以少许豉汤解之。一方加葳
远志散(出《圣济总录》)治周痹不仁。
远志(去心) 黄 (炙各半两) 五味子(一分) 防风(去叉三分) 芍药(一两)
赤茯苓(去
茱萸 天雄(炮去
(去毛) 乌头(炮裂去皮
节皮焙) 葳蕤(去皮须,焙各三分
浓朴(去粗皮生姜汁各半两) 蜀椒(去目
散,每服一钱,空心温酒下,渐加二钱,日二
金牙散(出《圣济方》)治周痹,脚胫细瘦,痿弱不能行立。
金牙(别研细一两) 防风(去叉) 侧子(炮裂去皮脐) 当归(切焙) 石膏(别
研细) 桂(去粗
泻黄芩(去黑心)
为散,入金牙、石膏末,拌
觉,更增药至二钱半。
附子散(出《圣济总录》)治周痹、肢体腰膝无力。
附子(炮去皮脐) 狗脊(去毛各一分) 山芋 熟干地黄(焙) 王孙(去土生用) 桂
(去粗皮)
叉) 甘草(炙各半
渐加至一钱半服之,
白术散(出《圣济录》)治积年周痹,头秃发落,瘾疹疮气脉不通,搔之不觉
疼痒。
白术(微炒三两) 附子(炮去皮脐二两) 石斛(去根半两) 干姜(炮) 细辛(轻
炒去苗叶各
椒(去目合口炒出汗
为散,每服半钱,至一钱
以少白羊脯。嚼汁下药,
贮,勿泄其气。初服身与
黄芩汤(出《圣济总录》)治周痹,身体不仁。
黄芩(去黑心) 甘草(炙锉) 防风(去叉各半两) 秦艽(去苗土) 菖蒲(根锉)
杏仁(去皮
半两) 上粗筛,每
日二夜一,一方无
六生散(出《圣济总录》)治周痹,身体俱痛,脚腰痛 。
生菖蒲(九节者去毛节切焙) 生干地黄(焙) 生商陆根(洗切焙) 生枸杞根(各
一斤) 生乌
斗五升,淹浸一宿
盏调下,渐加至一
白石英浸酒方(出《圣济总录》)治风湿周痹,肢节疼痛,不可持物,行动
无力,耳聋及肾
白石英(碎如大麻粒) 磁石(火 令赤,醋淬如此五次,捣各五两) 上捣筛,生绢
囊贮,以
醍醐方 治寒湿周痹。
大豆药方(出《宣明论》)治周痹,除五脏留滞,胃中结聚,益气去毒,润
皮毛,补肾脏。
上以大豆 一升,炒令香熟,捣为末,每空腹温酒下半匙,渐加至一匙,一日三服。
野驼脂方(出《圣济总录》)治周痹。
上以野驼脂炼了,滤过一斤,别入好酥四两,同炼匀。每服半匙,以热酒半盏,和化服
之,
《黄帝针经》中说,周痹这种病,位于血脉之中。它随着经脉向上行,也随着经脉向下行,不能向左右扩散,而是各自停留在其所经过的部位。
巴戟天散(又名八气散,出自《圣济总录》):治疗周痹、肢体痿弱无力,无法行走,以及各类因风湿引起的缓痹。
药材组成:巴戟天(去心半两)、川芎(一分)、附子(去皮脐)、白蔹(一分)、黄芪(炙)、桂枝(去粗皮,各半两)、吴茱萸(炮制,去皮脐)、远志(去心,各一两)、茯苓(去皮)、牛膝(去苗)、天雄(炮制,去皮脐)、白矾(研细,各半两)、五味子(三分)、干姜(炒出汗,各一钱)、厚朴(去皮,生姜汁半两)、石菖蒲(九节者)。
用法:将上述药材捣成粗末,加入白矾,拌匀后过筛。每次服用半钱,逐渐增加至一钱,用温酒调服。如果感觉太热且心烦,可用少许豆豉汤解之。另一版本方剂中加入葳蕤。
远志散(出自《圣济总录》):治疗周痹导致的感觉麻木不仁。
药材组成:远志(去心)、黄芪(炙,各半两)、五味子(一分)、防风(去叉三分)、芍药(一两)、赤茯苓(去皮)、山茱萸、天雄(炮制,去皮脐)、乌头(炮裂,去皮脐)、石菖蒲(九节皮焙)、葳蕤(去皮须,焙,各三分)、厚朴(去粗皮,生姜汁各半两)、蜀椒(去目)。
用法:将上述药材捣为散剂,每次服用一钱,空腹时用温酒送服,逐渐增加至二钱,每日早晚各一次。
金牙散(出自《圣济方》):治疗周痹,脚胫细瘦,痿弱无法站立行走。
药材组成:金牙(别研细一两)、防风(去叉)、侧子(炮裂,去皮脐)、当归(切,焙)、石膏(别研细)、桂枝(去粗皮)、黄芩(去黑心)。
用法:将上述药材捣为散剂,加入金牙、石膏末,拌匀。若感觉药效不足,可再增加药量至二钱半。
附子散(出自《圣济总录》):治疗周痹、肢体腰膝无力。
药材组成:附子(炮制,去皮脐)、狗脊(去毛,各一分)、山药、熟干地黄(焙)、王孙(去土,生用)、桂枝(去粗皮)、甘草(炙,各半两)。
用法:将上述药材捣为散剂,每次服用一钱半,逐渐增加至一钱半服之(注:原文此处可能有误,通常指从少量渐加),每日两次。
白术散(出自《圣济录》):治疗多年周痹,伴有头发脱落、瘾疹疮气脉不通,搔抓时不觉疼痒。
药材组成:白术(微炒三两)、附子(炮制,去皮脐二两)、石斛(去根半两)、干姜(炮制)、细辛(轻炒,去苗叶各半两)、蜀椒(去目合口,炒出汗)。
用法:将上述药材捣为散剂,每次服用半钱,至一钱,用少许白羊脯肉嚼碎取汁送下药散,并密封贮存,勿泄其气。初服时身体与……(原文此处中断)。
黄芩汤(出自《圣济总录》):治疗周痹,身体麻木不仁。
药材组成:黄芩(去黑心)、甘草(炙锉)、防风(去叉,各半两)、秦艽(去苗土)、石菖蒲(根锉)、杏仁(去皮尖)。
用法:上药粗筛,每服……(原文此处中断)。
六生散(出自《圣济总录》):治疗周痹,全身疼痛,脚腰痛。
药材组成:生菖蒲(九节者,去毛节,切,焙)、生干地黄(焙)、生商陆根(洗,切,焙)、生枸杞根(各一斤)、生乌头……(原文此处中断)。
用法:用水五斗,浸泡一夜,煎煮取汁,每次一盏调下,逐渐增加至……(原文此处中断)。
白石英浸酒方(出自《圣济总录》):治疗风湿周痹,肢节疼痛,不可持物,行动无力,耳聋及肾虚。
药材组成:白石英(碎如大麻粒)、磁石(火令赤,醋淬如此五次,捣,各五两)。
用法:将上述药材捣筛,装入生绢袋中,以酒浸泡……(原文此处中断)。
大豆药方(出自《宣明论》):治疗周痹,去除五脏留滞之气,消除胃中结聚,益气解毒,润泽皮毛,补益肾脏。
用法:以上等大豆一升,炒至香熟,捣为末。每次空腹用温酒送下半匙,逐渐增加至一匙,一日服用三次。
野驼脂方(出自《圣济总录》):治疗周痹。
用法:取野驼脂炼净,滤过后一斤,另外加入好酥四两,一同炼匀。每次服用半匙,用热酒半盏,调和化开服用。
The *Huangdi Zhenjing* (Yellow Emperor's Classic of Acupuncture) states that Zhou Bi (Circulating Bi Syndrome) resides within the blood vessels. It moves upward along the meridians and downward along the meridians, without spreading to the left or right, but rather staying fixed at the locations it traverses.
**Bajitian San** (also known as Bqi San, from *Shengji Zonglu*): Treats Zhou Bi, flaccidity and weakness of the limbs, inability to walk, and various types of slow Bi syndrome caused by wind-dampness.
Ingredients: Morinda officinalis Radix (Bajitian, heart removed, half liang), Ligusticum chuanxiong Rhizoma (Chuanxiong, one fen), Aconitum carmichaelii Radix Preparata (Fuzi, skin and umbilicus removed), Pleurospermum austro-sinense Radix (Bailian, one fen), Astragali Membranacei Radix (Huangqi, honey-fried), Cinnamomi Ramulus (Guizhi, coarse bark removed, each half liang), Evodiae Fructus (Wuyu, processed, skin and umbilicus removed), Polygala Tenuifolia Radix (Yuanzhi, heart removed, each one liang), Poria (Fuling, skin removed), Achyranthis Bidentatae Radix (Niuxi, sprouts removed), Aconitum kusnezoffii Radix (Tianxiong, processed, skin and umbilicus removed), Alumen (Baifan, ground, each half liang), Schisandrae Chinensis Fructus (Wuweizi, three fen), Zingiberis Rhizoma (Ganjiang, stir-fried until moisture evaporates, each one qian), Magnoliae Officinalis Cortex (Houpo, bark removed, ginger juice half liang), Acori Tatarinowii Rhizoma (Shichangpu, those with nine nodes).
Usage: Coarsely crush the above herbs, add Baifan, mix well, and sift. Take half a qian per dose, gradually increasing to one qian, mixed with warm wine. If feeling excessive heat and restlessness, resolve it with a small amount of Dou Chi decoction. Another variant adds Polygonatum odoratum Rhizoma (Weirui).
**Yuanzhi San** (from *Shengji Zonglu*): Treats Zhou Bi causing numbness and insensitivity.
Ingredients: Polygala Tenuifolia Radix (Yuanzhi, heart removed), Astragali Membranacei Radix (Huangqi, honey-fried, each half liang), Schisandrae Chinensis Fructus (Wuweizi, one fen), Saposhnikoviae Radix (Fangfeng, twigs removed, three fen), Paeoniae Radix Alba (Shaoyao, one liang), Polyporus (Chifuling, skin removed), Corni Fructus (Shanzhuyu), Aconitum kusnezoffii Radix (Tianxiong, processed, skin and umbilicus removed), Aconiti Lateralis Radix Preparata (Wutou, processed until cracked, skin and umbilicus removed), Acori Tatarinowii Rhizoma (Shichangpu, nine-node skin roasted), Polygonatum odoratum Rhizoma (Weirui, skin and roots removed, roasted, each three fen), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, ginger juice each half liang), Zanthoxyli Fructus (Shujiao, eyes removed).
Usage: Crush the above herbs into powder. Take one qian per dose, on an empty stomach with warm wine, gradually increasing to two qian, twice daily (morning and evening).
**Jinya San** (from *Shengji Fang*): Treats Zhou Bi, characterized by thin and emaciated calves, flaccidity and weakness preventing standing and walking.
Ingredients: Aurichalcum (Jinya, separately ground fine, one liang), Saposhnikoviae Radix (Fangfeng, twigs removed), Aconiti Lateralis Radix Preparata (Cezi, processed until cracked, skin and umbilicus removed), Angelicae Sinensis Radix (Danggui, sliced, roasted), Gypsum Fibrosum (Shigao, separately ground fine), Cinnamomi Ramulus (Guizhi, coarse bark removed), Scutellariae Radix (Huangqin, black heart removed).
Usage: Crush the above herbs into powder, mix in Jinya and Shigao powders. If efficacy is insufficient, increase the dosage to two qian and half.
**Fuzi San** (from *Shengji Zonglu*): Treats Zhou Bi, weakness in the limbs, waist, and knees.
Ingredients: Aconitum carmichaelii Radix Preparata (Fuzi, processed, skin and umbilicus removed), Cibotium Barometz Rhizome (Gouji, hair removed, each one fen), Dioscoreae oppositae Rhizoma (Shanyao), Rehmanniae Radix Preparata (Shudihuang, roasted), Aristolochiae Mollissima Radix (Wangsun, soil removed, used raw), Cinnamomi Ramulus (Guizhi, coarse bark removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried, each half liang).
Usage: Crush the above herbs into powder. Take one qian and half per dose, gradually increasing to this amount, taken twice daily.
**Baizhu San** (from *Shengji Lu*): Treats chronic Zhou Bi accompanied by hair loss, urticaria, obstruction of qi and pulses, and itching/numbness upon scratching.
Ingredients: Atractylodis Macrocephalae Rhizoma (Baizhu, lightly stir-fried, three liang), Aconitum carmichaelii Radix Preparata (Fuzi, processed, skin and umbilicus removed, two liang), Dendrobii Nobile Caulis (Shihu, roots removed, half liang), Zingiberis Rhizoma (Ganjiang, processed), Asari Radix et Rhizoma (Xixin, lightly stir-fried, sprouts and leaves removed, each half liang), Zanthoxyli Fructus (Shujiao, remove eyes and closed mouths, stir-fry until moisture evaporates).
Usage: Crush the above herbs into powder. Take half a qian to one qian per dose, swallowing with the juice chewed from a small piece of white mutton jerky. Store tightly sealed to prevent air leakage. Initial administration causes... [Text cuts off].
**Huangqin Tang** (from *Shengji Zonglu*): Treats Zhou Bi with body numbness.
Ingredients: Scutellariae Radix (Huangqin, black heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried and crushed), Saposhnikoviae Radix (Fangfeng, twigs removed, each half liang), Gentianae Macrophyllae Radix (Qinjiao, sprouts and soil removed), Acori Tatarinowii Rhizoma (Shichangpu, root crushed), Armeniacae Semen Amarum (Xingren, skin and tips removed).
Usage: Coarsely sieve the above herbs... [Text cuts off].
**Liusheng San** (from *Shengji Zonglu*): Treats Zhou Bi with pain throughout the body, specifically in the feet and lower back.
Ingredients: Fresh Acori Tatarinowii Rhizoma (Sheng Shichangpu, nine-node, remove hair and nodes, slice, roast), Fresh Rehmanniae Radix (Sheng Gan Dihuang, roast), Fresh Phytolaccae Radix (Sheng Shanglu Gen, wash, slice, roast), Fresh Lycii Radicis Cortex (Sheng Gouqi Gen, each one jin), Fresh Aconiti Radix (Sheng Wutou)... [Text cuts off].
Usage: Soak in five dou of water overnight, decoct... take one zhan per dose, gradually increasing... [Text cuts off].
**Baishuying Infusion Wine Formula** (from *Shengji Zonglu*): Treats wind-damp Zhou Bi, joint pain, inability to hold objects, weakness in movement, deafness, and kidney deficiency.
Ingredients: Quartz Bai (Baishiyingsui, crushed like hemp seeds), Magnetitum (Cishi, heated red-hot, quenched in vinegar five times, crushed, each five liang).
Usage: Crush and sieve, place in a raw silk bag, and infuse in wine... [Text cuts off].
**Tihu Formula**: Treats cold-damp Zhou Bi. [Specific ingredients and usage not listed in source text].
**Da Dou Yao Fang** (from *Xuanming Lun*): Treats Zhou Bi, removes stagnation in the five zang organs, resolves accumulations in the stomach, tonifies qi, eliminates toxins, moistens skin and hair, and tonifies the kidneys.
Usage: Take one sheng of soybeans, stir-fry until fragrant and cooked, crush into powder. Take half a spoonful with warm wine on an empty stomach, gradually increasing to one spoonful, three times a day.
**Ye Tuozhi Fang** (from *Shengji Zonglu*): Treats Zhou Bi.
Usage: Refine one jin of wild camel fat, filter it, then add four liang of good ghee (su), and refine together until uniform. Take half a spoonful per dose, dissolved in half a zhan of hot wine.