夫风寒湿三气杂至,合而为痹,以至阴遇此者,则为肌痹,其状皮肤弗荣,肌肉 痹而
不仁是也。
方
天麻丸(出《圣济总录》)治肌肉 痹,肢体怠惰缓弱,恶风头疼,舌本
强,言语謇涩。
天麻 独活(去芦各一两) 人参 防风(去皮各三分) 桂(去皮) 附子(去皮脐)
麻黄(去
苡仁 干蝎(去
僵蚕(炒各三分) 牛黄(研)
砂
(另研半两) 龙脑(别另一分) 上除
丸如梧桐子大,每服温酒下一丸,至十
石南散 治内热极,则体上如鼠走。或如风痹,唇口干。皮肤色变,主诸风大病。
石南(三十铢) 薯蓣 芍药(一本作甘草) 天雄 桃花(一作桃仁) 甘菊花(各
一两) 黄 (
蕤(各一两半) 上 咀,治下筛,酒服方寸匕,日再,食前服。
麻黄汤(出《圣济总录》)治肌肤淫淫,如鼠走四肢,津液脱,腠理开,汗
大泄,此为脾风
麻黄(去根节煎去沫焙干) 枳实(去瓤面炒微黄) 细辛(去苗叶) 白术 防风(去
皮各三两)
当归(切焙) 芍药
去滓温服,不计时候
细辛汤(出《圣济总录》)治肌痹淫淫如虫行,或腠理开疏,汗出皮肤,肉
色不泽,唇、鼻
细辛(去苗叶) 防风(去皮) 白术(炮去皮) 桂(去皮) 石膏(研) 麻黄(去
根节炮焙各二
锉如黄豆,每服五
麻黄(去根节煎去末焙干) 当归(切焙) 石膏(研各二两) 芎 桂(去皮) 甘
草(炙) 防
四钱,水一盏,姜一
风寒湿三种邪气混杂侵袭人体,结合而形成痹证。如果发生在至阴(脾所主)部位,就称为肌痹,其症状表现为皮肤缺乏荣润,肌肉麻木不仁。
方剂:
天麻丸(出自《圣济总录》),治疗肌肉痹阻,肢体倦怠无力、松弛软弱,怕风头痛,舌根僵硬,言语不清涩滞。
药材:天麻、独活(去芦头各一两)、人参、防风(去皮各三分)、桂枝(去皮)、附子(去皮脐)、麻黄(去节)、薏苡仁、全蝎(去毒)、僵蚕(炒各三分)、牛黄(研细)、麝香(另研半两)、龙脑(别研一分)。以上药物除龙脑外,其余捣筛为散,加入龙脑拌匀,制成如梧桐子大小的丸药。每次服用一丸,用温酒送下,最多服十丸。
石南散,治疗体内热邪极盛,导致身体感觉像老鼠在皮肤下爬行。或者像风痹一样,嘴唇和口干裂。皮肤颜色改变。主治各种风病重症。
药材:石南叶(三十铢)、山药、芍药(另一版本作甘草)、天雄、桃花(另一版本作桃仁)、甘菊花(各一两)、黄芪、蕤仁(各一两半)。以上药物切碎,研磨过筛,用酒送服一方寸匕,每日两次,饭前服用。
麻黄汤(出自《圣济总录》),治疗肌肤瘙痒不适,感觉像老鼠在四肢皮肤下爬行,津液耗脱,腠理开泄,大汗淋漓,这属于脾风。
药材:麻黄(去根节,煎煮去沫,焙干)、枳实(去瓤,面炒微黄)、细辛(去苗叶)、白术、防风(去皮各三两)、当归(切后焙干)、芍药。以上药物水煎,去渣,温服,不限时间。
细辛汤(出自《圣济总录》),治疗肌痹,肌肤瘙痒如虫行,或者腠理疏松,汗出,皮肤色泽不润泽,嘴唇、鼻子干燥。
药材:细辛(去苗叶)、防风(去皮)、白术(炮制去皮)、桂枝(去皮)、石膏(研细)、麻黄(去根节,炮制焙干各二两)。以上药物切碎如黄豆大小,每次服用五钱,用水一盏,生姜一片,煎至七分,去渣温服,不拘时候。
(注:原文最后部分残缺,仅保留可见内容翻译)
药材:麻黄(去根节,煎煮去沫,焙干)、当归(切后焙干)、石膏(研细各二两)、川芎、桂枝(去皮)、甘草(炙)。以上药材加水一盏,生姜一片,煎煮...
Wind, cold, and dampness pathogenic factors mix and invade the body, combining to form Bi syndrome (obstruction syndrome). If this occurs in the area governed by Zhi Yin (Spleen), it is called Ji Bi (Muscle Bi). Its manifestations include skin lacking nourishment and luster, muscle numbness, and loss of sensation.
Prescription:
Tianma Wan (Cinnamon Twig Pill) [Source: *Shengji Zonglu*]. Treats muscle obstruction, limb fatigue and weakness, aversion to wind, headache, stiffness of the tongue root, and slurred speech.
Ingredients: Gastrodiae Rhizoma (Tianma), Angelicae Pubescentis Radix (Duhuo, de-radicle, each 1 liang), Ginseng Radix et Rhizoma (Renshen), Saposhnikoviae Radix (Fangfeng, de-cortex, each 3 fen), Cinnamomi Ramulus (Guizhi, de-cortex), Aconiti Lateralis Radix Praeparata (Fuzi, de-cortex and umbilicus), Ephedrae Herba (Mahuang, de-joints), Coicis Semen (Yiyiren), Scorpio (Quanxie, detoxified), Bombyx Batryticatus (Jiangcan, stir-fried, each 3 fen), Calculus Bovis (Niuhuang, ground), Moschus (Shexiang, separately ground, 0.5 liang), Borneolum Syntheticum (Longnao, separately ground, 1 fen). Except for Borneolum Syntheticum, grind the remaining herbs into powder, mix with Borneolum Syntheticum, and make pills the size of Sophora japonica seeds. Take one pill per dose with warm wine, up to ten pills.
Shinan San. Treats extreme internal heat causing a sensation like mice running under the skin. Or symptoms resembling Wind-Bi, with dry lips and mouth. Changes in skin color. Mainly treats severe wind diseases.
Ingredients: Pyrolae Folium (Shinan), Dioscoreae Rhizoma (Shuyu), Paeoniae Radix Alba (Shaoyao, another version uses Glycyrrhizae Radix et Rhizoma), Aconiti Radix (Tianxiong), Persicae Flos (Taohua, another version uses Persicae Semen), Chrysanthemi Flos (Gan Juhua, each 1 liang), Astragali Radix (Huangqi), Pruni Armeniacae Semen (Ruiren, each 1.5 liang). Cut the herbs, grind and sieve them. Take one Fangcunbi with wine, twice daily, before meals.
Mahuang Tang (Ephedra Decoction) [Source: *Shengji Zonglu*]. Treats skin itching and discomfort, sensation like mice running on limbs, depletion of body fluids, open pores, and profuse sweating. This belongs to Pi Feng (Spleen Wind).
Ingredients: Ephedrae Herba (Mahuang, de-roots and joints, decoct to remove foam, bake dry), Aurantii Fructus Immaturus (Zhishi, de-albedo, stir-fried with flour until slightly yellow), Asari Radix et Rhizoma (Xixin, de-seeds and leaves), Atractylodis Macrocephalae Rhizoma (Baizhu), Saposhnikoviae Radix (Fangfeng, de-cortex, each 3 liang), Angelicae Sinensis Radix (Danggui, cut and bake), Paeoniae Radix Alba (Shaoyao). Decoct in water, strain, take warm, at any time.
Xixin Tang (Asari Decoction) [Source: *Shengji Zonglu*]. Treats Ji Bi with skin itching like insects crawling, or loose pores, sweating, dull skin luster, and dry lips and nose.
Ingredients: Asari Radix et Rhizoma (Xixin, de-seeds and leaves), Saposhnikoviae Radix (Fangfeng, de-cortex), Atractylodis Macrocephalae Rhizoma (Baizhu, processed, de-cortex), Cinnamomi Ramulus (Guizhi, de-cortex), Gypsum Fibrosum (Shigao, ground), Ephedrae Herba (Mahuang, de-roots and joints, processed and baked, each 2 liang). Cut into pieces the size of soybeans. Take 5 qian per dose with one cup of water and one slice of ginger, decoct to 7/10 volume, strain, take warm, without restriction on time.
[Fragment]
Ingredients: Ephedrae Herba (Mahuang, de-roots and joints, decoct to remove foam, bake dry), Angelicae Sinensis Radix (Danggui, cut and bake), Gypsum Fibrosum (Shigao, ground, each 2 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Cinnamomi Ramulus (Guizhi, de-cortex), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried). Add one cup of water and one slice of ginger, decoct...