夫蛊风之状。在皮肤间。一身尽痛。若划若刺。淫淫跃跃如中蛊毒。故名蛊风。皆由体
虚受
方
乌头五灵脂丸(出圣济总录)
治毒风。皮肤尽痛。身体若划若刺。
乌头(生用去皮脐) 五灵脂(各五两) 虎骨(沙瓶中盐泥固济煨存性二两) 野狼毒
(炮一
两)
(锉各二
两) 乳
脑(研
一钱)
生姜
自然汁和
药亦治瘫
并根据前
盏。稍
深者。
茵芋酒(出千金方)
治蛊风。皮肤尽痛。淫淫如有虫啄。搔之生疮。甚者如刀划。大风头眩
所见。或仆地气绝。半日乃苏。口 噤不开。半身偏死。拘急痹痛不能动摇。历节肿
痛。骨中酸疼。手不得上头。足不得屈伸。不能蹑履。行欲倾跛。及狂走。有此诸病。
茵芋 乌头(炮炙去皮脐) 石南 防风(去叉) 女萎 蜀椒(去目及合口者炒出汗)
附
子(
去皮脐)
秦
虚老人薄熬之。清酒二斗渍。冬七日。夏三日。春秋五日。初服一合。不知加至二合。
宁从
天麻丸(出圣惠方)
治蛊风。皮肤如刺划。顽痹不仁。
天麻(炮炒) 踯躅花 独活(去芦头) 附子(炮裂去皮脐) 白附子(炮) 原蚕
蛾防风
(去
一两) 麻
黄(
入麝
香
宜避风。
薄荷丸(出圣济总录)
治蛊风。皮肤尽痛如刀划状。及头目不利。风痰等疾。
干薄荷(一斤) 天麻(四两) 威灵仙(去苗土三两) 羌活(去芦头四两) 山栀
子(仁二
两)
令纸干一
两)
丸。
食后
薏苡仁方(出圣惠方)
治体虚风邪所中。攻走皮肤状如刺划。四肢不仁。筋脉拘急。
薏苡仁(二两) 独活(去芦头) 茵芋 细辛(去苗叶) 桂(去粗皮) 侧子(炮
裂去皮脐)
防风(去叉) 酸枣仁(炒) 麻黄(去根节先煮去沫焙) 五加皮 羚羊角(镑各一两) 甘
草
(炙锉半两) 上锉如麻豆大。每服四钱匕。水一盏。入生姜半分。拍碎。煎至七分去滓。
温服
白花蛇煎(出圣济总录)
治蛊风。身痛如刀刺。
白花蛇 乌蛇(并用酒浸去皮骨焙干各二两) 白蜜(三十两) 生姜汁(六两) 薄
荷汁
(六两)
并生姜汁
薄荷汁
四白散(出圣济总录)
治蛊风。
白花蛇(酒浸去皮骨炙一两半) 白附子(炮一方生用) 白僵蚕(微炒) 白蒺藜(炒
去角
各一
何首乌散(出圣济总录)
治蛊风。
何首乌(去黑皮) 威灵仙(去土各一两) 苦参(半两) 麒麟竭(一分) 上并生
捣罗为
散。乳
蛊风的症状表现为:病邪位于皮肤之间,全身疼痛,感觉如同被刀划或被针刺一般,身体瘙痒躁动不安,就像中了蛊毒一样,因此称为“蛊风”。这主要是由于体质虚弱,感受了风邪所致。
方剂:乌头五灵脂丸(出自《圣济总录》)
主治毒风。症状为皮肤全身疼痛,身体感觉如同被刀划或被针刺。
药材及用量:乌头(生用,去皮和脐部)、五灵脂(各五两);虎骨(在沙瓶中用盐泥密封固定,煨至存性,二两);野狼毒(炮制,一两);[此处原文有缺漏,推测为其他药材](锉碎,各二两);乳香、脑麝(研细,一钱)。
用法:用生姜自然汁调和药末制成丸剂。此方也治疗瘫痪。并根据病情深浅调整剂量。
方剂:茵芋酒(出自《千金方》)
主治蛊风。症状为皮肤全身疼痛,瘙痒躁动,好像有虫子在啄食。搔抓后生疮,严重的如同刀划。大风病导致的头晕目眩,甚至跌倒在地气息断绝,半天才苏醒。牙关紧闭不能张开,半身不遂,拘挛急迫、痹痛不能活动。历节肿痛,骨头中酸痛,手不能举过头顶,脚不能屈伸,不能穿鞋走路,行走时想要倾倒跛行,以及狂乱奔走。出现上述各种病症。
药材及用量:茵芋、乌头(炮炙,去皮和脐部)、石南藤、防风(去叉枝)、女萎、蜀椒(去掉目及合口者,炒出油汗)、附子(去皮和脐部)、秦艽、[此处原文有缺漏]。
用法:虚弱的老人应小火慢熬。用清酒二斗浸泡。冬季七天,夏季三天,春秋五天。初次服用一合,若无效加至二合。宁可少服不要过量。
方剂:天麻丸(出自《太平惠民和剂局方·圣惠方》)
主治蛊风。症状为皮肤感觉如刺如划,顽固性麻痹无知觉。
药材及用量:天麻(炮炒)、踯躅花、独活(去芦头)、附子(炮裂,去皮和脐部)、白附子(炮制)、原蚕蛾、防风(去叉枝,一两)、麻黄(去根节,一两)、[此处原文有缺漏]入麝香。
注意:服药期间宜避风。
方剂:薄荷丸(出自《圣济总录》)
主治蛊风。症状为皮肤全身疼痛如同刀划状,以及头目不清利、风痰等疾病。
药材及用量:干薄荷(一斤)、天麻(四两)、威灵仙(去苗土,三两)、羌活(去芦头,四两)、山栀子仁(二两)、[此处原文有缺漏]令纸干(一两)。
用法:制成丸剂。饭后服用。
方剂:薏苡仁方(出自《太平惠民和剂局方·圣惠方》)
主治体质虚弱,风邪侵入,攻窜皮肤,状如刺划,四肢麻木不仁,筋脉拘急。
药材及用量:薏苡仁(二两)、独活(去芦头)、茵芋、细辛(去苗叶)、桂枝(去粗皮)、侧子(炮裂,去皮和脐部)、防风(去叉枝)、酸枣仁(炒制)、麻黄(去根节,先煮去沫,焙干)、五加皮、羚羊角(镑片,各一两)、甘草(炙,锉碎,半两)。
用法:将上述药材锉成如麻豆大小的颗粒。每次服用四钱匕。用水一盏,加入生姜半分,拍碎。煎煮至七分,去渣滓。温服。
方剂:白花蛇煎(出自《圣济总录》)
主治蛊风。症状为身体疼痛如同刀刺。
药材及用量:白花蛇、乌梢蛇(均用酒浸泡,去皮骨,焙干,各二两)、白蜜(三十两)、生姜汁(六两)、薄荷汁(六两)。
用法:并将生姜汁、薄荷汁与蛇肉、蜂蜜等一同煎熬。
方剂:四白散(出自《圣济总录》)
主治蛊风。
药材及用量:白花蛇(酒浸,去皮骨,炙,一两半)、白附子(炮制,一方主张生用)、白僵蚕(微炒)、白蒺藜(炒,去角刺,各一两)。
用法:[原文截断,推测为研末散服]。
方剂:何首乌散(出自《圣济总录》)
主治蛊风。
药材及用量:何首乌(去黑皮)、威灵仙(去土,各一两)、苦参(半两)、麒麟竭(一分)。
用法:以上药材均生用,捣罗为散。用乳汁调服。
The manifestations of Gu Feng (Gu Wind) are as follows: the pathogen resides in the skin, causing pain throughout the body, feeling as if being cut by a knife or pierced by needles. The body feels itchy and restless, resembling poisoning by Gu toxin; hence it is named Gu Feng. This condition is primarily caused by constitutional deficiency allowing wind pathogens to invade.
Formula: Wutou Wulingzhi Wan (Aconite and Trogopterus Dung Pill), sourced from *Shengji Zonglu*.
Indications: Toxic wind. Symptoms include generalized skin pain and a sensation of the body being cut or pierced.
Ingredients: Wutou (Radix Aconiti Lateralis Preparata, raw use, remove skin and umbilicus), Wulingzhi (Trogopterori Faeces, 5 liang each); Hugu (Os Tigris, calcined in salt mud within a sand bottle until only the essence remains, 2 liang); Yelangdu (Radix Stellerae Chamaejasme, processed, 1 liang); [Text missing, likely another herb] (cut into pieces, 2 liang each); Ruxiang (Resina Draconis), Naoshe (Moschus, ground, 1 qian).
Administration: Mix with fresh ginger juice to form pills. This formula also treats paralysis. Dosage should be adjusted based on the depth of the pathology.
Formula: Yinyu Jiu (Corydalis Wine), sourced from *Qianjin Fang*.
Indications: Gu Feng. Symptoms include generalized skin pain, itching and restlessness as if insects are biting. Scratching leads to sores. Severe cases feel like cuts. It addresses dizziness and vertigo caused by Da Feng (Great Wind), fainting with cessation of breath for half a day before recovery, trismus (lockjaw), hemiplegia, spasms, bi-syndrome pain with immobility, joint swelling and pain, deep bone ache, inability to raise hands above the head, inability to flex or extend legs, inability to wear shoes or walk steadily (limping), and manic running.
Ingredients: Yinyu (Herba Corydalidis), Wutou (Radix Aconiti Lateralis Preparata, processed, remove skin and umbilicus), Shinan (Folium Nandinae), Fangfeng (Radix Saposhnikoviae, remove forked roots), Nuwei (Rhizoma Polygoni Multiflori), Shujiao (Fructus Zanthoxyli, remove eyes and closed ones, stir-fry until oil appears), Fuzi (Radix Aconiti Lateralis Preparata, remove skin and umbilicus), Qinjiao (Radix Gentiana Macrophyllae), [Text missing].
Administration: For frail elderly patients, simmer gently. Soak in 2 dou of clear wine. Winter: 7 days; Summer: 3 days; Spring/Autumn: 5 days. Initial dose: 1 he. If ineffective, increase to 2 he. Better to underdose than overdose.
Formula: Tianma Wan (Gastrodia Pill), sourced from *Shenghui Fang* (Taiping Huimin Heji Jufang).
Indications: Gu Feng. Symptoms include skin sensations of piercing and cutting, stubborn numbness and anesthesia.
Ingredients: Tianma (Rhizoma Gastrodiae, processed and fried), Zhizhu Hua (Flos Rhododendri Daurici), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, remove skin and umbilicus), Baifuzi (Rhizoma Typhonii, processed), Yuancan'e (Bombyx Batryticatus), Fangfeng (Radix Saposhnikoviae, remove forked roots, 1 liang), Mahuang (Herba Ephedrae, remove root joints, 1 liang), [Text missing], Shexiang (Moschus).
Precautions: Avoid wind after administration.
Formula: Bohe Wan (Mint Pill), sourced from *Shengji Zonglu*.
Indications: Gu Feng. Symptoms include generalized skin pain resembling cuts, visual/ocular impairment, and disorders such as wind-phlegm.
Ingredients: Gan Bohe (Herba Menthae Haplocalycis, 1 jin), Tianma (Rhizoma Gastrodiae, 4 liang), Weilingxian (Radix Clematidis, remove seedlings and soil, 3 liang), Qianghuo (Rhizoma et Radix Notopterygii, remove rhizome, 4 liang), Shanzhizi (Fructus Gardeniae, seeds only, 2 liang), [Text missing] Lingzhigan (Dried Paper?, 1 liang).
Administration: Form into pills. Take after meals.
Formula: Yiyiren Fang (Coix Seed Formula), sourced from *Shenghui Fang* (Taiping Huimin Heji Jufang).
Indications: Constitutional deficiency with wind-pathogen invasion attacking the skin, causing sensations like piercing and cutting, four-limb numbness, and tendon-meridian spasms.
Ingredients: Yiyiren (Semen Coicis, 2 liang), Duhuo (Radix Angelicae Pubescentis, remove rhizome), Yinyu (Herba Corydalidis), Xixin (Herba Asari, remove seedlings and leaves), Guizhi (Ramulus Cinnamomi, remove rough bark), Cezi (Lateralis Radix Aconiti Preparata, cracked by processing, remove skin and umbilicus), Fangfeng (Radix Saposhnikoviae, remove forked roots), Szaoren (Semen Ziziphi Spinosae, stir-fried), Mahuang (Herba Ephedrae, remove root joints, decoct first to remove foam, then dry), Wujiaopi (Cortex Acanthopanacis), Lingyangjiao (Cornu Saigae Tataricae, shaved, 1 liang each), Gancao (Radix Glycyrrhizae Preparata, roasted and cut, 0.5 liang).
Administration: Cut ingredients to the size of hemp seeds. Take 4 qianbi per dose. Add 1 zhan of water and 0.5 fen of crushed fresh ginger. Decoct to 0.7 zhan, strain, and take warm.
Formula: Baihuashe Jian (White Flower Snake Decoction/Paste), sourced from *Shengji Zonglu*.
Indications: Gu Feng. Symptoms include body pain like knife stabs.
Ingredients: Baihuashe (Bungarus multicinctus), Wushe (Zaocys dhumnades), both soaked in wine, skin and bones removed, dried (2 liang each); Baimi (Mel Album, 30 liang); Shengjiangzhi (Jucius Zingiberis Recens, 6 liang); Bohezhi (Jucius Menthae Haplocalycis, 6 liang).
Administration: Combine ginger juice, mint juice, snake meat, and honey to prepare the paste/decoction.
Formula: Sibai San (Four Whites Powder), sourced from *Shengji Zonglu*.
Indications: Gu Feng.
Ingredients: Baihuashe (Bungarus multicinctus, wine-soaked, skin/bones removed, roasted, 1.5 liang), Baifuzi (Rhizoma Typhonii, processed; one method uses raw), Baijiangcan (Bombyx Batryticatus, lightly stir-fried), Baijili (Fructus Tribuli, stir-fried, remove spines, 1 liang each).
Administration: [Text truncated, likely grind into powder].
Formula: Heshouwu San (Polygonum Multiflorum Powder), sourced from *Shengji Zonglu*.
Indications: Gu Feng.
Ingredients: Heshouwu (Radix Polygoni Multiflori, remove black skin), Weilingxian (Radix Clematidis, remove soil, 1 liang each), Kushen (Radix Sophorae Flavescentis, 0.5 liang), Qilinjie (Resina Draconis, 1 fen).
Administration: Process all ingredients raw, grind into powder. Administer with milk.