夫血痹之状,形体肌肤,如被微风所吹者是也。盖血为阴,邪入于血而痹,故谓之血痹。
先
血
劳
急针引阳气,令脉和则愈。
方
黄 汤(一名小黄 酒出《鲍氏方》)治血痹及诸痹,甚者四肢不遂。风湿
寒痹,举体肿,
痛,胁下挛急,心下有伏
所致,或久座腰痛耳聋,卒起
满,心下气塞。及妇人产后余疾,
大黄(锉生一两) 山茱萸(二两) 干姜(炮三两半) 黄 独活(去芦) 防风
(去皮) 甘草
细辛(去苗叶各
头(炮裂去皮脐以上三味各
日、秋冬三日。初服三合,
姜三两。多忘加石斛、菖蒲
尽可更以酒二斗重渍服之,
令人耐寒冷。补虚。治诸风
干地黄丸(出《圣济总录》)治血痹,去邪益心,悦颜色,壮筋力
生干地黄(焙二两半) 五味子 桂(去粗皮) 秦艽(去苗土) 独活(去芦) 附
子(炮去皮脐
切焙) 菟丝子(酒浸另
黎勒皮 槟榔(锉各三两半)
大,每日空心食前,温酒下二十
萆 酒(出《圣济总录》)治血痹,及五脏六腑,皮肤骨髓,肌肉筋脉等
疾,不问新久。
萆 防风(去皮) 菟丝子 杜仲(去粗皮锉炒) 黄 菊花 天雄(炮去皮脐) 石
斛(去
蜀椒(去目
次量性服,候减一升,即旋添酒一升。药薄即别制,年老人亦可服。
萆 丸(出《千金方》)治血痹,手足 麻不仁,游走无定,风痹等证。
萆 (炒) 山芋 牛膝(酒浸切焙各一两) 白术(半两) 地肤子(炒半两) 干
漆(炒令烟出)
芋(去皮茎一钱) 狗
入外,捣罗为末,和令匀,
日二夜一。
地黄丸 治风寒痹,走无定处,及诸风痹。(方见干地黄丸)
茵芋酒(出《圣济总录》)治风血痹,肌体手足痿弱,四肢拘挛。
茵芋(去粗皮) 附子(炮去皮脐) 天雄(炮去皮脐) 乌头(去皮脐) 秦艽(去
土) 女萎
咀、如麻豆,
合日三,渐增。
萆 丸 治风邪游走无定处,名曰血痹。
防风汤(出《医方大成》)治风血痹,皮肤不仁。
防风(去皮半两) 甘草(炙锉半两) 独活(去芦三分) 赤茯苓(去皮) 当归 秦
艽(去苗土
半两) 上捣筛,
一方有赤芍药黄芩
芍药汤(一名侧子散出《圣惠方》)治风血痹,身体不仁,肉冷。
赤芍药 侧子(炮去皮脐) 桂(去粗皮) 麻黄(去根节) 萆 (炒) 当归(切
焙) 丹砂(各
水一盏,入生姜五片
麻黄散(出《圣惠方》)治风血痹,肌肤不仁,四肢缓弱。
麻黄(三分去根节) 乌蛇(二两酒浸炙令黄去皮骨) 白术 防风(去芦) 桂心 当
归(各三分
计时候,以豆淋
茵芋散(出《圣惠方》)治风血痹,体虚风邪入血,肌肤顽痹。
茵芋 天雄(炮去皮脐) 石南 附子(炮去皮脐) 桂心 秦艽(去苗) 防风(各
一两去芦
以温酒调下
黄 汤(出《千金方》)治血痹,阴阳俱微,寸口关上微,尺中小紧,外证
身体不仁,如风
蜀黄 人参 芍药 桂心(各二两) 生姜(六两) 大枣(十二枚) 上 咀,以
水六升,煮
黄 五物汤(出《三因方》)治骨弱肌重,困疲劳汗出。卧不时动摇,加以
微风,遂作血痹
黄 芍药 桂心(各等分) 上锉散,每服四钱,水二盏,姜五片,枣三枚,煎至
七分,
血痹的症状表现,是形体肌肤感觉如同被微风吹拂一般。因为血属阴,邪气侵入血脉导致痹阻,所以称为血痹。
先(此处原文似有脱漏或排版错误,结合下文“急针引阳气”,推测为治疗原则的简述):紧急针刺以引导阳气,使脉象调和即可痊愈。
方剂部分:
黄芪汤(又名小黄耆酒,出自《鲍氏方》):治疗血痹及各类痹证,严重的出现四肢不能随意运动。风湿寒痹,全身肿胀疼痛,胁下拘挛紧急,心下有伏邪所致的气满、心下气塞。以及妇人产后余疾。
药材:黄芪(锉碎生用一两)、山茱萸(二两)、干姜(炮制三两半)、黄芪(独活?此处原文疑似错简,通常黄芪汤含黄芪,但列出了独活、防风等,且前文有“黄 汤”后接“大黄”,疑为文本识别错误,依常见《千金》黄芪桂枝五物汤类方或《鲍氏方》记载,此处按原文列出药材名)、独活(去芦头)、防风(去皮)、甘草、细辛(去苗叶,各...)、头(炮裂去皮脐,以上三味各...)。煎服法:日、秋冬三日。初服三合,生姜三两。多忘加石斛、菖蒲。尽可更以酒二斗重渍服之,令人耐寒冷。补虚。治诸风。
干地黄丸(出自《圣济总录》):治疗血痹,祛除邪气益养心脏,悦泽颜色,强壮筋力。
药材:生干地黄(焙干二两半)、五味子、桂(去粗皮)、秦艽(去苗土)、独活(去芦)、附子(炮制去皮脐)、切焙)、菟丝子(酒浸另...)、黎勒皮、槟榔(锉碎,各三两半)。服用方法:大,每日空心食前,温酒送下二十...
萆薢酒(出自《圣济总录》):治疗血痹,以及五脏六腑、皮肤骨髓、肌肉筋脉等疾病,不论新久。
药材:萆薢、防风(去皮)、菟丝子、杜仲(去粗皮锉炒)、黄芪、菊花、天雄(炮制去皮脐)、石斛(去...)、蜀椒(去目...)。服用方法:次量性服,候减一升,即旋添酒一升。药薄即别制,年老人亦可服。
萆薢丸(出自《千金方》):治疗血痹,手足麻木不仁,游走无定处,风痹等证。
药材:萆薢(炒)、山芋、牛膝(酒浸切焙各一两)、白术(半两)、地肤子(炒半两)、干漆(炒令烟出)、芋(去皮茎一钱)、狗...。除入外,捣罗为末,和令匀,日二夜一。
茵芋酒(出自《圣济总录》):治疗风血痹,肌体手足痿弱,四肢拘挛。
药材:茵芋(去粗皮)、附子(炮制去皮脐)、天雄(炮制去皮脐)、乌头(去皮脐)、秦艽(去土)、女萎。咀、如麻豆,合日三,渐增。
防风汤(出自《医方大成》):治疗风血痹,皮肤不仁。
药材:防风(去皮半两)、甘草(炙锉半两)、独活(去芦三分)、赤茯苓(去皮)、当归、秦艽(去苗土半两)。上捣筛,一方有赤芍药黄芩。
芍药汤(一名侧子散,出自《圣惠方》):治疗风血痹,身体不仁,肉冷。
药材:赤芍药、侧子(炮制去皮脐)、桂(去粗皮)、麻黄(去根节)、萆薢(炒)、当归(切焙)、丹砂(各...)。水一盏,入生姜五片。
麻黄散(出自《圣惠方》):治疗风血痹,肌肤不仁,四肢缓弱。
药材:麻黄(三分去根节)、乌蛇(二两酒浸炙令黄去皮骨)、白术、防风(去芦)、桂心、当归(各三分...)。计时候,以豆淋...
茵芋散(出自《圣惠方》):治疗风血痹,体虚风邪入血,肌肤顽痹。
药材:茵芋、天雄(炮制去皮脐)、石南、附子(炮制去皮脐)、桂心、秦艽(去苗)、防风(各一两去芦...)。以温酒调下。
黄芪汤(出自《千金方》):治疗血痹,阴阳俱微,寸口关上微,尺中小紧,外证身体不仁,如风...
药材:黄芪、人参、芍药、桂心(各二两)、生姜(六两)、大枣(十二枚)。上咀,以水六升,煮...
黄芪五物汤(出自《三因方》):治疗骨弱肌重,困疲劳汗出。卧不时动摇,加以微风,遂作血痹。
药材:黄芪、芍药、桂心(各等分)。上锉散,每服四钱,水二盏,姜五片,枣三枚,煎至七分。
The manifestation of Blood Bi (Blood Obstruction) is that the body and skin feel as if blown by a slight breeze. Since Blood belongs to Yin, when pathogenic factors enter the Blood causing obstruction, it is called Blood Bi.
First [Note: Text appears fragmented]: Urgently needle to guide Yang Qi; when the pulse harmonizes, the condition will be cured.
Formulas:
Huangqi Decoction (also known as Xiaohuangqi Wine, from *Bao's Formulas*): Treats Blood Bi and various Bi syndromes; in severe cases, limbs become immobile. It treats Wind-Damp-Cold Bi with whole-body swelling and pain, spasm and urgency under the hypochondrium, fullness and Qi blockage below the heart caused by latent pathogens, as well as residual diseases after childbirth in women.
Herbs: Huangqi (Astragali Radix, raw, crushed, 1 liang), Corni Fructus (Shanzhuyu, 2 liang), Dried Ginger (Ganjiang, processed, 3.5 liang), [Text error suspected: lists Du Huo, Fang Feng, Gan Cao, Xi Xin, etc.]. Dosage: Initial dose 3 he. Add Shihu (Dendrobii Caulis) and Changpu (Acori Tatarinowii Rhizoma) for forgetfulness. Can be soaked again in 2 dou of wine and taken; enhances cold tolerance. Tonifies deficiency. Treats various Wind conditions.
Gan Dihuang Wan (Dried Rehmannia Pill, from *Shengji Zonglu*): Treats Blood Bi, expels evil and benefits the Heart, improves complexion, and strengthens sinews and bones.
Herbs: Raw Dried Rehmannia Root (Sheng Gan Dihuang, baked, 2.5 liang), Schisandrae Fructus (Wuweizi), Cinnamon Twig (Guiqu), Gentianae Macrophyllae Radix (Qinjiao), Atractylodis Dispersae Radix (Du Huo), Prepared Aconiti Lateralis Radix (Fuzi), Cuscutae Semen (Tusizi), Litseae Cortex (Lilepi), Arecae Semen (Binglang). Dosage: Take 20 pills before meals on an empty stomach with warm wine.
Bixie Jiu (Smilacis Glabrae Rhizoma Wine, from *Shengji Zonglu*): Treats Blood Bi and diseases of the Five Zang and Six Fu organs, skin, bone marrow, muscles, sinews, and vessels, regardless of whether new or old.
Herbs: Smilacis Glabrae Rhizoma (Bixie), Saposhnikoviae Radix (Fangfeng), Cuscutae Semen (Tusizi), Eucommiae Cortex (Duzhong), Astragali Radix (Huangqi), Chrysanthemi Flos (Juhua), Prepared Aconiti Radix (Tianxiong), Dendrobii Caulis (Shihu), Zanthoxyli Fructus (Shujiao). Dosage: Adjust according to constitution. When reduced by one sheng, replenish with one sheng of wine. Prepare anew if potency diminishes; suitable for the elderly.
Bixie Wan (Smilacis Glabrae Rhizoma Pill, from *Qianjin Fang*): Treats Blood Bi with numbness and insensitivity of hands and feet, wandering pain without fixed location, and Wind Bi syndromes.
Herbs: Smilacis Glabrae Rhizoma (Bixie, stir-fried), Dioscoreae Rhizoma (Shanyu/Aoyao), Achyranthis Bidentatae Radix (Niuxi), Atractylodis Macrocephalae Rhizoma (Baizhu), Kochiae Fructus (Difuzi), Drynariae Rhizoma? (Text says Gansui/Gan Qi - Gan Qi usually refers to Drynaria or Lacquer tree resin, here likely Lacquer tree resin Ganqi), Yam (Shanyu), Dog meat? (Text fragment "Gou"). Process into powder, mix evenly. Take twice daily, once at night.
Dihuang Wan (Rehmannia Pill): Treats Wind-Cold Bi wandering without fixed location and various Wind Bi syndromes. (See Gan Dihuang Wan above).
Yinyu Jiu (Ilicis Cornei Fructus Wine, from *Shengji Zonglu*): Treats Wind-Blood Bi, flaccidity and weakness of limbs, and spasms of the four limbs.
Herbs: Ilicis Cornei Fructus (Yinyu), Prepared Aconiti Lateralis Radix (Fuzi), Prepared Aconiti Radix (Tianxiong), Aconiti Radix (Wutou), Gentianae Macrophyllae Radix (Qinjiao), Anemarrhenae Rhizoma? (Text says Nuwei - likely Anemarrhenae or similar). Crush to size of hemp seeds. Take three times a day, gradually increasing.
Bixie Wan (Smilacis Glabrae Rhizoma Pill): Treats wandering Wind-Evil without fixed location, named Blood Bi.
Fangfeng Tang (Saposhnikoviae Decoction, from *Yifang Dacheng*): Treats Wind-Blood Bi with skin insensitivity.
Herbs: Saposhnikoviae Radix (Fangfeng), Licorice Root (Gancao, honey-fried), Atractylodis Dispersae Radix (Du Huo), Red Poria (Chifuling), Angelicae Sinensis Radix (Danggui), Gentianae Macrophyllae Radix (Qinjiao). One variant includes Red Peony Root (Chishaoyao) and Scutellariae Radix (Huangqin).
Shaoyao Tang (also known as Cizi San/Paeonia Powder, from *Shenghui Fang*): Treats Wind-Blood Bi with body insensitivity and cold flesh.
Herbs: Red Peony Root (Chishaoyao), Prepared Aconiti Lateralis Radix (Cizi/Fuzi), Cinnamon Twig (Guiqu), Ephedrae Herba (Mahuang), Smilacis Glabrae Rhizoma (Bixie), Angelicae Sinensis Radix (Danggui), Cinnabar (Dansha). Decoct with water and ginger slices.
Mahuang San (Ephedra Powder, from *Shenghui Fang*): Treats Wind-Blood Bi with skin insensitivity and weak/flaccid limbs.
Herbs: Ephedrae Herba (Mahuang), Black Snake (Wushe), Atractylodis Macrocephalae Rhizoma (Baizhu), Saposhnikoviae Radix (Fangfeng), Cinnamon Heart (Guixin), Angelicae Sinensis Radix (Danggui). Take with Doulin soup/wine at appropriate times.
Yinyu San (Ilicis Cornei Fructus Powder, from *Shenghui Fang*): Treats Wind-Blood Bi due to body deficiency allowing Wind-Evil to enter Blood, resulting in stubborn skin Bi.
Herbs: Ilicis Cornei Fructus (Yinyu), Prepared Aconiti Radix (Tianxiong), Pyrolae Herba (Shinan), Prepared Aconiti Lateralis Radix (Fuzi), Cinnamon Heart (Guixin), Gentianae Macrophyllae Radix (Qinjiao), Saposhnikoviae Radix (Fangfeng). Mix with warm wine and take.
Huangqi Tang (Astragalus Decoction, from *Qianjin Fang*): Treats Blood Bi where Yin and Yang are both deficient, Cun and Guan pulses are faint, Chi pulse is slightly tight externally. External symptoms include body insensitivity, feeling like Wind...
Herbs: Astragali Radix (Huangqi), Ginseng Radix (Renshen), Paeoniae Radix (Shaoyao), Cinnamon Heart (Guixin), Fresh Ginger (Shengjiang), Jujubae Fructus (Dazao). Decoct with water.
Huangqi Wuwu Tang (Astragalus Five-Ingredient Decoction, from *San Yin Fang*): Treats weak bones and heavy muscles, fatigue with sweating. Restlessness during sleep, aggravated by slight wind, leading to Blood Bi.
Herbs: Astragali Radix (Huangqi), Paeoniae Radix (Shaoyao), Cinnamon Heart (Guixin). Chop into pieces. Take 4 qian per dose with 2 zhan water, 5 slices ginger, 3 jujubes, decoct until 70% remains.