(附论)
夫身体疼痛。非湿则痰固也。人有挟刀锯之惊。而又馁在其中。为风寒水湿所伤。致使
心窍凝滞。于是经络壅闭。血不流行。肠肉骨节。为之刺痛。治法当归、川芎、芍药、白芷、
灵脂、大黄、甘草。利下黑物小片。而不甚痛。可瘳。
方
治背痛方。(出海上名方)
用当归二三两。切作薄片。酒浸三日。饮其酒。酒尽。别换当归浸服。三两日即愈。
流气饮子(出指南方)治背痛。外连肌肉。牵引背脾。时发时止。此由荣卫
之气。循行失度。流滞经络。与正气相搏。其发则有似瘫痪。
紫苏叶 青皮 苦梗 当归 芍药 乌药 茯苓 枳壳(去瓤麸炒一作枳实) 黄 川
芎防风(各半两) 甘草(炙) 橘皮(各三分) 陈皮(二两) 大腹子(二两锉姜汁
炒) 木香
(二两) 上锉散。每服水二盏。姜三片。枣二枚。煎至一盏。去滓服。一方治腰臂痛。有
大
黄、橘皮。
拈痛散(出御药院方)澡浴药。
当归(去芦头) 防风(去芦头) 黑狗脊 骨碎补(并去毛) 本(去土) 细辛
(去苗土)
赤芍药 自然铜(酒淬七遍) 桂(去粗皮) 萆 (以上各一两) 上为粗末。每二两。
用手帕
包定。上用热盐包纳。在痛处熨之。
枳壳煮散(出简易方)治悲哀烦恼。肝气至两腋。骨痛。筋脉拘急。腰脚滞
重
。两股筋急。两胁牵痛。四肢不能举。渐致背挛急。大治胁痛。
防风 川芎 细辛 枳壳 桔梗(各四钱) 甘草(二钱) 干葛(钱半) 上为 咀。
每服
四钱。水一盏。姜三片。煎七分。空心服。
白芥子散(出危氏方)治背痛。外连肌肉。牵引背脾。时发时止。皆荣卫之
气
。循行失度。流滞经络。与正气相搏。其发则似瘫痪。
真白芥子 木鳖子(去皮各二两) 没药 桂心 木香(各半两) 上为末。入研药令
匀。
每服一钱。温酒调下。
栝蒌实丸(出济生方)治胸痞。胸中痛彻背胁。喘急妨闷。
栝蒌实(别研) 枳壳(去瓤麸炒) 半夏(汤炮七次) 桔梗(去芦头各一两) 上
为细末。
姜汁打糊。丸如桐子大。每服五十丸。食后用淡姜汤下。
控涎丹(出危氏方)凡人忽患背手脚腰胯隐痛不可忍。连筋骨牵引钓痛。坐卧
不宁。时走易不定。俗医不晓。谓之走注。便用风药及针灸。皆无益。又是风毒结聚
。欲为痈疽。乱以药贴。亦非也。此乃是痰涎。伏在心膈上下。变为此疾。或令人头痛
不可举。或神意昏倦多睡。或饮食无味。痰唾稠粘。夜间喉中如锯声。多流睡涎。手
脚重肿冷痹。气脉不通。误认为瘫痪。亦非也。凡有此疾。但以是药。不过数服。其
疾如失。
甘遂(去心) 紫大戟(去皮) 白芥子(真者各等分) 上为末。煮糊丸如梧子大。
晒干。
食后临睡。姜汤或热水。下五七丸至十丸。如疾猛气实。加丸数不妨。其效如神。
治头身无不痛。颠倒烦满欲死方。
取头垢如大豆大。服之。并囊贮大豆蒸熟。逐痛处熨之。作两囊更番为佳。若无豆。蒸
鼠壤土熨亦可。
治诸处皮肤里面痛。
上用何首乌为末。生姜自然汁调成膏。敷痛处。以绢帛裹之。用火炙鞋底熨之。神效。
虎骨酒法(出本草)治肾经疼痛。不得屈伸。走注痛苦。不问浅深。
用虎胫骨新芍药二两。以无灰酒浸。春夏七日。秋冬二七日。浸后。须以银石器盛。于
慢火上温养三日两日。即得服。一方有黄羚羊角一大两。
贴药芫花散(出经验良方)治臂腿间。忽一两点痛。着骨不可忍者。
芫花根一把 上研为末。米醋调。随大小敷之。如痛不止。以纸花覆其上。用绵帛扎定。
此方曾治一妇人。产后而得此疾者。良验。
治臂痛。(出经验良方)
用桑枝细切一升。炒香。以水三升。煎取二升。日服数次安。
治手足烦疼。(出肘后方)
用地肤子草三两。水四升。煮二升半。分作三服。日一剂。一方取六七月者。阴干服。
舒筋散(出直指方)治风淫血刺。身体疼痛。四肢拘挛。
延胡索(炒) 辣桂(去粗皮) 当归(等分) 上为末。每二钱。调酒下。延胡索。
活血除
风理气。
葛根汤(出千金方)治四肢缓弱。身体疼痛不遂。妇人产后中柔风。及气满
方。
葛根 芍药 桂心 干地黄 干姜(各三两) 麻黄 甘草(各二两) 生姜(六两) 上
八
味。以清酒三升。水五升。煮取三升。温服五合。日三。
三皮散(出朱氏集验方)治风毒湿气。流注脚膝。四肢挛拳。筋脉不伸。脚
足疼痛。步履艰难。用此药酒断根。不问三二十年者。皆有效。
海桐皮(去皮) 五加皮(新采者) 桑白皮 川独活(各二两) 生干地黄(六升半)
制杜
仲(各一两) 黑附子(炮去皮斟酌多少) 薏苡仁(生用二两) 川牛膝(一两) 上为
粗末。用
绵裹作一包。以无灰好酒一斗许。春浸七日。秋冬二七日。夏三五日。捞起药。空心温服一
盏。一日三五次服。如服药酒时。却饮它酒。常令酒气相接。勿令大醉。重者不过两剂。服
此药后旬日。两腿必发大疹。渐渐破出紫黑血。候干。贴磨风膏脂疮上。自然好也。日逐脚
上如数百条蛇。自足而出。此其效验。如患足疾之人。脚后有条筋。直凑肾囊。疼痛拘挛。
用妙香散一贴。分作三二服。空心食前。温酒盐汤下。自然伸也。
拈痛散(出御药院方)治肢节疼痛。熨烙药。
羌活(去芦头) 独活(去芦头) 细辛(去苗) 肉桂(去粗皮) 防风(去芦) 白
术川乌
(生去皮脐) 良姜(锉) 麻黄(不去节) 天麻(去苗) 吴茱萸(生用) 葛根 乳
香(另研)
川椒(去子并闭口者) 全蝎(生用) 当归(各一两去苗) 川姜(生用半两) 上为粗
末。入乳
香匀炒一两 痛甚者加至一两半。同细盐一处。炒令极热。用绢袋内贮药。熨烙痛处。不拘
早晚。频用为效。如药冷。即再炒一次。用毕。其炒药不用。
薏苡仁散 治湿伤肾不养肝。肝自生风。遂成风湿。流注四肢筋骨。或入左肩
。肌肉疼痛。渐入左指中。
薏苡仁(一两) 当归(酒浸) 人参 川乌(炮去皮脐) 川芎 白术(炒) 羌活 桂
心
防风(去芦) 茵芋(炒) 麻黄(去根节) 干姜(炮) 独活 甘草(炙各半两) 上
为细末。每
服二钱。空心临卧酒调下。日三服。
徐神翁神效地仙丹 治筋节疼痛。打扑伤损。仙术汤送下。除寒湿。进饮食。神效
。
川乌(一个炮裂) 草乌(五个炮制) 白芥(去根半两) 苍术(一两浸一宿炒) 白
芷(半
两) 自然铜(一字研) 地龙 没药(各半两研) 乳香(半钱研) 莴苣种 黄瓜种 稍
瓜种
木鳖子(各一钱) 半两钱(二文) 上为末散。糊丸如桐子大。每服十丸。食后温酒送下。
虎骨丸 治经络凝涩。骨节疼痛。筋脉挛急。遇阴寒。愈痛。
南乳香(别研) 没药(另研) 赤芍药 熟地黄 虎胫骨(酥炙黄) 当归(各一两)
血竭
(五钱) 上为细末。木瓜一枚。切破去子。入乳香在内。以麻缕札定。勿令透气。好酒二
升。
煮至酒尽。取木瓜去皮。研如泥。更入熟蜜少许。杵和为丸。如桐子大。每服三十丸。至五
十丸。病在上食后。在下食前。温酒下。
治骨节疼痛烦。不得屈伸。近之则痛短气。得汗出或欲肿者。
桂(四两) 术(三两) 甘草(二两) 上用水六升。煮取三升。分三服。汗出愈。
治卒得胸痛。瘥而复发者。
取薤根五升。捣绞汁。饮之立止。
加减当归饮子 治肩忽痛。
防风 当归 柴胡 生地黄 大黄(各一两半) 芍药 人参 黄芩(各一两) 甘草
(一
两二钱) 黄连(五钱) 滑石(六两) 上为散。白水煎服。无时。
活络汤 治风湿臂痛。诸药不效者。此方专主之。
白术(薄切一两) 当归(净洗薄切干称) 羌活(净洗去芦切焙) 独活(净洗) 甘
草(炙)
川芎(各半两) 上锉散。每服酒三大盏。水一盏半。姜五片。慢火煎至一盏。去滓温服。
不
拘时候。一方用苍术切炒。川白芷各二两。为末。每服二钱酒调。
趁痛丸 治腰臂痛。
五灵脂 赤芍药(各半两) 川乌(一个) 没药(四钱) 麝香(一钱) 上为末。
酒糊丸。
空心温酒送下。
叶氏方十味锉散 治中风血弱。臂痛连筋及骨。举动艰难。此药以补心益血气。
养筋生力。
附子(三两炮去脐皮) 当归(去土洗切) 黄 (炙) 白芍药(各二两) 川芎(不
见火)
防风(去芦) 白术(各一两半) 肉桂(去粗皮一两不见火) 茯苓 熟地黄(洗净用少
酒熬干
焙之各七钱半) 上修制了再称。 咀。每四钱。水一大盏。姜八片。枣三枚。擘开。煎七
分。去滓。通口服。食后临睡。日三服。温覆浓衣。将养。去黄 、熟地黄。用当归去芦。
洗净干焙。白芍药、川芎、白术、人参、附子、白茯苓、桂心、川独活、防风、甘草、细锉
每三钱。姜八片。水一盏半。煎八分。去滓。食前服。除寒邪。益气血。名川独活汤。制地
黄法。须洗净。以好酒浸。令干焙之。
五灵脂散 治臂髀痛。
五灵脂 荆芥穗 防风 羌活 独活 甘草节 穿山甲 骨碎补 草乌(各五钱) 麝
(少许) 上为末。用温酒调下。临睡服。如浑身损伤。加没药、木香。酒调。空心下。
芎活汤 治水饮停蓄。注于脾脉。发为臂痛。皆因脾土有亏。平日多饮水浆。不
能传化所致。
川芎 半夏(汤洗) 白茯苓 独活 陈皮 枳壳(去瓤炒各半两) 白术 甘草(各
一分)
上为散。每服三钱。水一盏半。生姜五片。同煎。去滓。食后少停温服。
舒经汤(一名五痹汤出澹寮方)治臂痛不能举。有人常苦左臂痛。或以为饮
。或以为风为湿。诸药悉投。继以针艾。俱不效。得此方而愈。盖是气血凝滞。经络不
行所致。非风饮非湿。腰以下食前服。腰以上食后服。
片子姜黄(四两无则用嫩莪术代) 甘草(一两炙) 羌活(一两) 海桐皮(去粗皮)
当归
赤芍药 白术(各二两) 上 咀。每服三钱。水一钟半。生姜三片。磨沉香水少许。同煎
服
之。陈氏经验方云。沈自闻尝苦此臂痛。或以为饮。或以为风湿。诸药悉投。继以针艾。俱
不效。一日见陈君卿云。亦常患此。德清尉传一方云。可三服而愈。盖是血气流滞。经络不
行所致。非风非饮。非湿非气。但其方只前四味。只能治腰以上疾。若腰以下则不及也。后
见王伯举。因话及此。伯举云。吾有方。谓之五痹汤。又添后三味。腰以下疾。则食前服。
腰以上疾。食后服。一名白术姜汤。
独活汤 治病患胸背相引而痛者。此为卫不和也。
独活(四两) 葛根 桂枝 芍药 防风 甘草 干姜(各二两) 上为 咀。以水一
斗。
先煮葛根。减三升。去上沫。纳诸药。煮取二升。去滓温服一升。覆取微汗。若病止宜消散
者。服汤则无汗而解。若咽痛而渴。加栝蒌二两。或咳或呕者。加半夏二两。恶热药者。去
干姜。面赤龈痛者。加鸡苏二两。水增二升。
治皮肉痒痛。
用酒二升。水五升。茱萸子半升。煎取三升。去滓。微暖洗。立止。
治关节疼痛。
蒲黄(八两) 附子(一两炮) 上为末。服一钱匕。日三。稍增至方寸匕。
茯苓丸(出仁存方)若臂痛不能举手。或左或右。时复输移。由伏痰在中。
内脘气滞。脾气不流行。上与气搏。四肢属脾。气滞而不下。上行攻臂。其脉沉细者
。是后人谓此臂痛。乃痰证也。作痰治无效者。
白茯苓(一两) 半夏(二两) 枳实(一作枳壳) 风化朴硝(各半两) 上为末。
姜汁糊为丸。如梧桐子大。每服三十丸。姜汤下。食后服。累有人为痰所苦。夜间两臂常若
有人抽KT 。两手战掉。至于茶盏亦不能举。只以此药治之。皆随服随愈。世间所谓痰药。
未有如此之神妙也。
调气丸(出指南方)
牵牛末(一两) 陈皮(半两) 青皮(一分) 上为细末。面糊丸如桐子大。每服十
丸。姜
汤下。
理气汤(出指南方)
半夏(五两) 橘皮(四两) 官桂(三两) 人参(二两) 甘草(一两) 上为粗
末。服五
钱。水三盏。姜十片。煎一盏。去滓服。
柏子仁丸(出指南方)
柏子仁(炒) 黄 茯苓 楮实 五味子 覆盆子 附子 石斛 鹿茸(炙去毛) 酸
枣
仁枳实 官桂 沉香 地黄(等分) 上为细末。炼蜜为丸。如桐子大。每服三十丸。米
饮
下。
天麻除湿汤(一名白术散出杨氏家藏方)治湿留肢节。身体烦疼。手足肿痛
。或时麻木。
白术(四两) 天麻(三两) 人参(去芦头三两) 干姜(二两) 全蝎(二两用糯
米一盏炒
【附论】
身体疼痛,不是由湿邪就是由痰浊阻滞所致。有人遭受刀锯惊吓,加之体内虚弱,被风寒水湿所伤,导致心窍凝滞,经络壅塞闭阻,血液运行不畅,肠肉骨节因此产生刺痛。治疗方法使用当归、川芎、芍药、白芷、五灵脂、大黄、甘草。服药后排出黑色小片状物,且疼痛不剧烈,即可痊愈。
方剂
治疗背痛的方子。(出自《海上名方》)
用当归二三两,切成薄片,用酒浸泡三天,饮用泡过的酒。酒喝完后,更换新的当归继续浸泡服用,两三日后即可痊愈。
流气饮子(出自《指南方》)治疗背痛,疼痛向外牵连肌肉,牵引背部脾区,时发时止。这是由于营卫之气循行失去常度,流滞于经络,与正气相搏结。发作时症状类似瘫痪。
紫苏叶、青皮、苦梗(桔梗)、当归、芍药、乌药、茯苓、枳壳(去瓤麸炒,一作枳实)、黄芪、川芎、防风(各半两)、甘草(炙)、橘皮(各三分)、陈皮(二两)、大腹子(二两,锉碎后用姜汁炒)、木香(二两)。以上药材锉散。每次服用二盏水,加生姜三片、大枣二枚,煎至一盏,去渣服用。另一版本治疗腰臂痛,含有大黄、橘皮。
拈痛散(出自《御药院方》)洗浴用药。
当归(去芦头)、防风(去芦头)、黑狗脊、骨碎补(均去毛)、藁本(去土)、细辛(去苗土)、赤芍药、自然铜(用酒淬炼七遍)、桂枝(去粗皮)、萆薢(以上各一两)。以上药材捣成粗末。每次取二两,用手帕包好,上面再用热盐包包裹,在疼痛处熨烫。
枳壳煮散(出自《简易方》)治疗因悲哀烦恼导致肝气上逆至两腋,骨痛,筋脉拘急,腰脚沉重,大腿筋脉拘急,两胁牵拉疼痛,四肢不能抬起,逐渐导致背部挛急。对胁痛有极大疗效。
防风、川芎、细辛、枳壳、桔梗(各四钱)、甘草(二钱)、干葛(一钱半)。以上药材切碎。每次服用四钱,加水一盏,生姜三片,煎至七分,空腹服用。
白芥子散(出自《危氏方》)治疗背痛,疼痛向外牵连肌肉,牵引背部脾区,时发时止。这都是因为营卫之气循行失度,流滞经络,与正气相搏结。发作时类似瘫痪。
真白芥子、木鳖子(去皮,各二两)、没药、桂心、木香(各半两)。以上药材研为末,加入研磨好的药物混合均匀。每次服用一钱,用温酒调服。
栝蒌实丸(出自《济生方》)治疗胸痞闷,胸中疼痛放射至背胁,喘急胸闷。
栝蒌实(另研)、枳壳(去瓤麸炒)、半夏(汤泡七次)、桔梗(去芦头,各一两)。以上药材研为细末,用姜汁打糊,制成梧桐子大小的丸剂。每次服用五十丸,饭后用淡姜汤送服。
控涎丹(出自《危氏方》)凡人忽然患背部、手脚、腰胯隐痛不可忍受,连筋骨牵引如钓痛,坐卧不宁,疼痛游走不定。俗医不懂,称之为“走注”,便使用风药及针灸,都无益。这又是风毒结聚,欲成为痈疽,乱用药贴敷,也不对。这其实是痰涎伏在心膈上下,变为此疾。有时让人头痛不能抬举,或神志昏倦多睡,或饮食无味,痰唾稠粘,夜间喉中如锯声,多流睡涎,手脚重肿冷痹,气脉不通,误认为瘫痪,也不对。凡有此疾,只要用此药,不过数服,疾病即消失。
甘遂(去心)、紫大戟(去皮)、白芥子(真品,各等分)。以上药材研为末,煮糊为丸,如梧桐子大,晒干。食后临睡前,用姜汤或热水送服五七丸至十丸。如果病势猛、体质实,增加丸数不妨碍。其效如神。
治疗头身无不痛,颠倒烦满欲死的方子。
取头垢如大豆大小,服用它。并用布袋装蒸熟的大豆,在疼痛处熨烫。做两个袋子交替使用更好。如果没有豆子,蒸鼠壤土熨烫也可以。
治疗各处皮肤里面痛。
用上文提到的何首乌研为末,用生姜自然汁调成膏,敷在痛处,用绢帛包裹,用火炙烤鞋底熨烫,神效。
虎骨酒法(出自《本草》)治疗肾经疼痛,不能屈伸,走注痛苦,不问深浅。
用虎胫骨、新采芍药二两,用无灰酒浸泡。春夏七天,秋冬十四天。浸泡后,必须用银石器盛放,在慢火上温养两三日,即可服用。另一方含有黄羚羊角一大两。
贴药芫花散(出自《经验良方》)治疗臂腿间,忽然一两点痛,着骨不可忍受。
芫花根一把。以上研为末,用米醋调匀,根据患处大小敷之。如果疼痛不止,用纸花覆盖其上,用绵帛扎紧。此方曾治疗一位产后得此疾的妇人,效果很好。
治疗臂痛。(出自《经验良方》)
用桑枝细切一升,炒香,用水三升,煎取二升,每日数次服用,安适。
治疗手足烦疼。(出自《肘后方》)
用地肤子草三两,水四升,煮取二升半,分作三次服用,每日一剂。另一方取六七月采收的,阴干服用。
舒筋散(出自《直指方》)治疗风淫血刺,身体疼痛,四肢拘挛。
延胡索(炒)、辣桂(去粗皮)、当归(等分)。以上研为末,每次二钱,调酒下服。延胡索能活血除风理气。
葛根汤(出自《千金方》)治疗四肢缓弱,身体疼痛不遂,妇人产后中柔风,以及气满方。
葛根、芍药、桂心、干地黄、干姜(各三两)、麻黄、甘草(各二两)、生姜(六两)。以上八味药,用清酒三升,水五升,煮取三升,温服五合,每日三次。
三皮散(出自《朱氏集验方》)治疗风毒湿气,流注脚膝,四肢挛拳,筋脉不伸,脚足疼痛,步履艰难。用此药酒断根,不问三二十年者,皆有效。
海桐皮(去皮)、五加皮(新采者)、桑白皮、川独活(各二两)、生干地黄(六升半)、制杜仲(各一两)、黑附子(炮去皮,斟酌多少)、薏苡仁(生用二两)、川牛膝(一两)。以上药材捣成粗末,用绵裹作一包,用无灰好酒一斗许,春季浸泡七日,秋冬十四天,夏季三五天。捞起药,空腹温服一盏,一日三五次服用。如果服药酒时,再饮其他酒,常令酒气相接,勿令大醉。重者不过两剂。服此药后旬日,两腿必发大疹,渐渐破出紫黑血,待干燥后,贴磨风膏脂疮上,自然好也。每日脚上如数百条蛇,自足而出,这是其效验。如患足疾之人,脚后有条筋,直凑肾囊,疼痛拘挛,用妙香散一贴,分作三二次服用,空腹食前,温酒盐汤下,自然伸展。
拈痛散(出自《御药院方》)治疗肢节疼痛,熨烙药。
羌活(去芦头)、独活(去芦头)、细辛(去苗)、肉桂(去粗皮)、防风(去芦)、白术、川乌(生去皮脐)、良姜(锉)、麻黄(不去节)、天麻(去苗)、吴茱萸(生用)、葛根、乳香(另研)、川椒(去子并闭口者)、全蝎(生用)、当归(各一两去苗)、川姜(生用半两)。以上药材捣成粗末,加入乳香均匀炒制一两,痛甚者加至一两半,同细盐一处,炒令极热,用绢袋内贮药,熨烙痛处,不拘早晚,频用为效。如果药冷,即再炒一次。用毕,其炒药不用。
薏苡仁散 治疗湿伤肾不养肝,肝自生风,遂成风湿,流注四肢筋骨,或入左肩,肌肉疼痛,渐入左指中。
薏苡仁(一两)、当归(酒浸)、人参、川乌(炮去皮脐)、川芎、白术(炒)、羌活、桂心、防风(去芦)、茵芋(炒)、麻黄(去根节)、干姜(炮)、独活、甘草(炙,各半两)。以上药材研为细末,每次服用二钱,空腹临卧酒调下,每日三次。
徐神翁神效地仙丹 治疗筋节疼痛,打扑伤损,仙术汤送下。除寒湿,进饮食,神效。
川乌(一个炮裂)、草乌(五个炮制)、白芥(去根半两)、苍术(一两浸一宿炒)、白芷(半两)、自然铜(一字研)、地龙、没药(各半两研)、乳香(半钱研)、莴苣种、黄瓜种、稍瓜种、木鳖子(各一钱)、半两钱(二文)。以上药材研为末散,糊丸如桐子大,每次服用十丸,食后温酒送下。
虎骨丸 治疗经络凝涩,骨节疼痛,筋脉挛急,遇阴寒,愈痛。
南乳香(别研)、没药(另研)、赤芍药、熟地黄、虎胫骨(酥炙黄)、当归(各一两)、血竭(五钱)。以上药材研为细末,木瓜一枚,切破去子,放入乳香在内,以麻缕扎定,勿令透气,好酒二升,煮至酒尽,取木瓜去皮,研如泥,更入熟蜜少许,杵和为丸,如桐子大,每次服用三十丸,至五十丸,病在上食后,在下食前,温酒下。
治疗骨节疼痛烦,不得屈伸,近之则痛短气,得汗出或欲肿者。
桂枝(四两)、白术(三两)、甘草(二两)。以上用水六升,煮取三升,分三服,汗出愈。
加减当归饮子 治疗肩忽痛。
防风、当归、柴胡、生地黄、大黄(各一两半)、芍药、人参、黄芩(各一两)、甘草(一两二钱)、黄连(五钱)、滑石(六两)。以上药材研为散,白水煎服,无固定时间。
活络汤 治疗风湿臂痛,诸药不效者,此方专主之。
白术(薄切一两)、当归(净洗薄切干称)、羌活(净洗去芦切焙)、独活(净洗)、甘草(炙)、川芎(各半两)。以上药材锉散,每次服用酒三大盏,水一盏半,生姜五片,慢火煎至一盏,去渣温服,不拘时候。另一方用苍术切炒、川白芷各二两,为末,每次服用二钱酒调。
趁痛丸 治疗腰臂痛。
五灵脂、赤芍药(各半两)、川乌(一个)、没药(四钱)、麝香(一钱)。以上药材研为末,酒糊丸,空腹温酒送下。
叶氏方十味锉散 治疗中风血弱,臂痛连筋及骨,举动艰难。此药以补心益血气,养筋生力。
附子(三两炮去脐皮)、当归(去土洗切)、黄芪(炙)、白芍药(各二两)、川芎(不见火)、防风(去芦)、白术(各一两半)、肉桂(去粗皮一两不见火)、茯苓、熟地黄(洗净用少酒熬干焙之,各七钱半)。以上修制了再称,切碎。每次四钱,水一大盏,生姜八片,大枣三枚,擘开,煎七分,去渣,通口服,食后临睡,每日三次,温覆浓衣,将养。去掉黄芪、熟地黄,用当归去芦,洗净干焙,白芍药、川芎、白术、人参、附子、白茯苓、桂心、川独活、防风、甘草、细锉,每三钱,生姜八片,水一盏半,煎八分,去渣,食前服,除寒邪,益气血,名川独活汤。制地黄法,须洗净,以好酒浸,令干焙之。
五灵脂散 治疗臂髀痛。
五灵脂、荆芥穗、防风、羌活、独活、甘草节、穿山甲、骨碎补、草乌(各五钱)、麝(少许)。以上药材研为末,用温酒调下,临睡服。如浑身损伤,加没药、木香,酒调,空心下。
芎活汤 治疗水饮停蓄,注于脾脉,发为臂痛,皆因脾土有亏,平日多饮水浆,不能传化所致。
川芎、半夏(汤洗)、白茯苓、独活、陈皮、枳壳(去瓤炒,各半两)、白术、甘草(各一分)。以上药材研为散,每次服用三钱,水一盏半,生姜五片,同煎,去渣,食后少停温服。
舒经汤(一名五痹汤,出自《澹寮方》)治疗臂痛不能举。有人常苦左臂痛,或以为是饮邪,或以为是风为湿,诸药悉投,继以针艾,俱不效,得此方而愈。盖是气血凝滞,经络不行所致,非风饮非湿。腰以下食前服,腰以上食后服。
片子姜黄(四两,无则用嫩莪术代)、甘草(一两炙)、羌活(一两)、海桐皮(去粗皮)、当归、赤芍药、白术(各二两)。以上切碎,每次服用三钱,水一钟半,生姜三片,磨沉香水少许,同煎服之。陈氏经验方云,沈自闻尝苦此臂痛,或以为是饮邪,或以为是风湿,诸药悉投,继以针艾,俱不效。一日见陈君卿云,亦常患此,德清尉传一方云,可三服而愈。盖是血气流滞,经络不行所致,非风非饮,非湿非气。但其方只前四味,只能治腰以上疾,若腰以下则不及也。后见王伯举,因话及此,伯举云,吾有方,谓之五痹汤,又添后三味,腰以下疾,则食前服,腰以上疾,食后服,一名白术姜汤。
独活汤 治疗病患胸背相引而痛者,此为卫不和也。
独活(四两)、葛根、桂枝、芍药、防风、甘草、干姜(各二两)。以上药材切碎,以水一斗,先煮葛根,减三升,去上沫,纳诸药,煮取二升,去渣温服一升,覆取微汗。若病止宜消散者,服汤则无汗而解。若咽痛而渴,加栝蒌二两,或咳或呕者,加半夏二两,恶热药者,去干姜,面赤龈痛者,加鸡苏二两,水增二升。
治疗皮肉痒痛。
用酒二升,水五升,茱萸子半升,煎取三升,去渣,微暖洗,立止。
治疗关节疼痛。
蒲黄(八两)、附子(一两炮)。以上药材研为末,服用一钱匕,每日三次,稍增至方寸匕。
茯苓丸(出自《仁存方》)若臂痛不能举手,或左或右,时复输移,由伏痰在中,内脘气滞,脾气不流行,上与气搏,四肢属脾,气滞而不下,上行攻臂,其脉沉细者,是后人谓此臂痛,乃痰证也,作痰治无效者。
白茯苓(一两)、半夏(二两)、枳实(一作枳壳)、风化朴硝(各半两)。以上药材研为末,姜汁糊为丸,如梧桐子大,每次服用三十丸,姜汤下,食后服。累有人为痰所苦,夜间两臂常若有人抽KT,两手战掉,至于茶盏亦不能举,只以此药治之,皆随服随愈,世间所谓痰药,未有如此之神妙也。
调气丸(出自《指南方》)
牵牛末(一两)、陈皮(半两)、青皮(一分)。以上药材研为细末,面糊丸如桐子大,每次服用十丸,姜汤下。
理气汤(出自《指南方》)
半夏(五两)、橘皮(四两)、官桂(三两)、人参(二两)、甘草(一两)。以上药材为粗末,服用五钱,水三盏,生姜十片,煎一盏,去渣服。
柏子仁丸(出自《指南方》)
柏子仁(炒)、黄芪、茯苓、楮实、五味子、覆盆子、附子、石斛、鹿茸(炙去毛)、酸枣仁、枳实、官桂、沉香、地黄(等分)。以上药材研为细末,炼蜜为丸,如桐子大,每次服用三十丸,米饮下。
天麻除湿汤(一名白术散,出自《杨氏家藏方》)治疗湿留肢节,身体烦疼,手足肿痛,或时麻木。
白术(四两)、天麻(三两)、人参(去芦头三两)、干姜(二两)、全蝎(二两用糯米一盏炒)
[Attached Discussion]
Body pain is caused either by dampness or by phlegm obstruction. Some individuals, having suffered the shock of knives and saws, combined with internal deficiency, are injured by wind-cold and water-dampness. This causes the heart orifices to become stagnant, leading to blockage and closure of the meridians and collaterals, resulting in poor blood circulation. Consequently, the intestines, flesh, bones, and joints suffer from stabbing pain. The treatment method involves using Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), Wulingzhi (Trogopterori Faeces), Dahuang (Rhei Radix et Rhizoma), and Gancao (Glycyrrhizae Radix et Rhizoma). After taking the medicine, small black pieces are discharged, and if the pain is not severe, the condition can be cured.
Formulas
Formula for treating back pain. (From *Haishang Mingfang*)
Use 2-3 liang of Danggui (Angelicae Sinensis Radix), cut into thin slices, soak in wine for three days, and drink the wine. When the wine is finished, replace with fresh Danggui (Angelicae Sinensis Radix) for continued soaking and consumption. Recovery occurs within two to three days.
Liuxi Yinzi (Flowing Qi Decoction) (From *Zhinan Fang*). Treats back pain that extends outward to the muscles, pulling on the dorsal spleen area, occurring intermittently. This is due to the abnormal circulation of Ying and Wei Qi (Nutritive and Defensive Qi), which stagnates in the meridians and collaterals and contends with healthy Qi. During attacks, symptoms resemble paralysis.
Zisuye (Perillae Folium), Qingpi (Citri Reticulatae Pericarpium Viride), Kugeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Wuyao (Linderae Radix), Fuling (Poria), Zhike (Aurantii Fructus), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 0.5 liang), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Juapi (Citri Reticulatae Pericarpium) (each 0.3 fen), Chenpi (Citri Reticulatae Pericarpium) (2 liang), Dafuzi (Arecae Semen) (2 liang, crushed and stir-fried with ginger juice), Muxiang (Aucklandiae Radix) (2 liang). The above herbs are crushed into coarse powder. For each dose, use 2 cups of water, add 3 slices of ginger and 2 jujubes, decoct until 1 cup remains, strain, and take. Another version for treating waist and arm pain contains Dahuang (Rhei Radix et Rhizoma) and Juapi (Citri Reticulatae Pericarpium).
Niantong San (Pain-Relieving Powder) (From *Yuyao Yuan Fang*). A bathing medicament.
Danggui (Angelicae Sinensis Radix) (remove rhizome head), Fangfeng (Saposhnikoviae Radix) (remove rhizome head), Hei Gouji (Cervi Cornu Pantotrichum), Gusuibu (Drynariae Rhizoma) (both remove hairs), Bencao (Ligustici Wallichii Rhizoma) (remove soil), Xixin (Asari Radix et Rhizoma) (remove seedlings and soil), Chi Shaoyao (Red Paeoniae Radix), Ziran Tong (Natural Pyrite) (quench in wine seven times), Guizhi (Cinnamomi Ramulus) (remove rough bark), Biba (Dioscoreae Hypoglaucae Rhizoma) (each 1 liang). The above herbs are made into a coarse powder. Take 2 liang per dose, wrap securely in a handkerchief, place inside a hot salt pack, and apply as a hot compress to the painful area.
Zhike Zhusan (Bitter Orange Boiled Powder) (From *Jianyi Fang*). Treats bone pain, muscle spasm, heaviness in the waist and legs, urgency of tendons in the thighs, pulling pain in the hypochondrium, inability to raise the limbs, and gradual back stiffness caused by grief and distress leading to Liver Qi rising to the axillae. Highly effective for hypochondriac pain.
Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix) (each 4 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian), Gange (Puerariae Radix) (1.5 qian). The above herbs are chopped. Take 4 qian per dose with 1 cup of water, 3 slices of ginger, decoct to 70%, and take on an empty stomach.
Baijiezi San (White Mustard Seed Powder) (From *Weishi Fang*). Treats back pain extending to muscles, pulling on the dorsal spleen area, intermittent. Caused by abnormal circulation of Ying and Wei Qi (Nutritive and Defensive Qi), stagnation in meridians, and contention with healthy Qi, resembling paralysis during attacks.
True Baijiezi (Sinapis Semen), Muguezi (Momordicae Semen) (peeled, each 2 liang), Moyao (Myrrha), Guixin (Cinnamomi Cortex), Muxiang (Aucklandiae Radix) (each 0.5 liang). Grind all into powder, mix thoroughly. Take 1 qian per dose, mixed with warm wine.
Gualou Shi Wan (Trichosanthes Fruit Pill) (From *Jisheng Fang*). Treats chest fullness and pain radiating to the back and hypochondrium, accompanied by shortness of breath and stifling sensation.
Gualou Shi (Trichosanthis Fructus) (separately ground), Zhike (Aurantii Fructus) (pulp removed, bran-fried), Banxia (Pinelliae Rhizoma) (boiled seven times), Jiegeng (Platocodonis Radix) (rhizome head removed, each 1 liang). Grind into fine powder, make pills with ginger juice paste, size of paulownia seeds. Take 50 pills per dose after meals, washed down with light ginger soup.
Kongxian Dan (Phlegm-Draining Pill) (From *Weishi Fang*). Sudden onset of unbearable hidden pain in the back, hands, feet, waist, and hips, radiating to bones and sinews like a hook, causing restlessness, with wandering pain. Folk doctors misunderstand this as "Wandering Bi" (Zou Zhu) and use wind-dispelling drugs and acupuncture, which are ineffective. It is also not wind-toxin accumulation turning into carbuncles, nor should it be treated with plaster. This is actually phlegm-fluid retention hiding above and below the diaphragm. Symptoms may include severe headache preventing lifting the head, mental confusion, drowsiness, loss of taste, thick sticky sputum, sawing sounds at night, excessive salivation during sleep, heavy swollen cold numbness in limbs, and blocked qi-pulse, often misdiagnosed as paralysis. Using this drug for a few doses cures the disease completely.
Gansui (Kansui Radix) (heart removed), Zijda Ji (Euphorbiae Pekinensis Radix) (skin removed), Baijiezi (Sinapis Semen) (authentic, equal parts). Grind into powder, make pills with boiled paste, size of white mustard seeds, dry in sun. Take 5-10 pills after meals before sleep, washed down with ginger soup or hot water. If the disease is fierce and constitution strong, increasing the number of pills is acceptable. The effect is miraculous.
Formula for treating universal head and body pain, extreme irritability, and feeling like dying.
Take head scurf the size of a soybean, ingest it. Also, store steamed soybeans in bags and apply as hot compresses to painful areas. Using two bags alternately is best. If beans are unavailable, steamed mouse burrow soil can be used for compression.
For treating deep skin pain.
Use Heshouwu (Polygoni Multiflori Radix) powder, mix with fresh ginger juice to form a paste, apply to the painful area, wrap with silk, and heat with a fire-heated shoe sole. Miraculous effect.
Hugu Jiu (Tiger Bone Wine) Method (From *Bencao*). Treats Kidney meridian pain, inability to flex and extend, wandering pain, regardless of depth.
Use new Hu Jinggu (Pantherae Ossus) and Shaoyao (Paeoniae Radix) 2 liang, soak in unadulterated wine. Soak for 7 days in spring/summer, 14 days in autumn/winter. After soaking, store in silver or earthenware vessel, keep warm over slow fire for 2-3 days before consumption. Another formula includes Huang Ling Yangjiao (Saiga Tataricae Cornu) 1 da liang.
Topical Yanhua San (Genkwa Powder) (From *Jingyan Liangfang*). Treats sudden sharp pain in arms and legs, penetrating to bone, unbearable.
Yanhua Gen (Genkwae Radix) 1 bunch. Grind into powder, mix with rice vinegar, apply according to lesion size. If pain persists, cover with paper flower and bind with cotton cloth. This formula successfully treated a woman postpartum with this condition.
For treating arm pain. (From *Jingyan Liangfang*)
Cut Sangzhi (Mori Ramulus) finely, 1 sheng, stir-fry until fragrant, decoct in 3 sheng water to obtain 2 sheng liquid. Take several times daily for relief.
For treating vexing pain in hands and feet. (From *Zhouhou Fang*)
Use Difuzi Cao (Kochiae Herba) 3 liang, 4 sheng water, boil to 2.5 sheng, divide into three doses, one dose daily. Another method uses herbs harvested in June/July, dried in shade.
Shujin San (Sinew-Relaxing Powder) (From *Zhizhi Fang*). Treats wind-pathogen affecting blood causing stabbing pain, body pain, and limb spasms.
Yanhusuo (Corydalis Rhizoma) (stir-fried), Lagul (Cinnamomi Cortex), Danggui (Angelicae Sinensis Radix) (equal parts). Grind into powder, take 2 qian per dose mixed with wine. Yanhusuo activates blood, dispels wind, and regulates qi.
Gegen Tang (Kudzu Decoction) (From *Qianjin Fang*). Treats flaccidity of limbs, body pain and dysfunction, soft wind syndrome postpartum in women, and qi-fullness.
Gegen (Puerariae Radix), Shaoyao (Paeoniae Radix), Guixin (Cinnamomi Cortex), Dihuang (Rehmanniae Radix Preparata), Jiangjiang (Zingiberis Rhizoma), Mahuang (Ephedrae Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang for roots/bark, 2 liang for Mahuang/Gancao), Shengjiang (Zingiberis Rhizoma Recens) (6 liang). The eight ingredients are decocted in 3 sheng clear wine and 5 sheng water to yield 3 sheng. Take 5 he of warm decoction three times daily.
Sanpi San (Three Barks Powder) (From *Zhu Shi Jiyan Fang*). Treats wind-toxin and dampness flowing into knees and legs, causing limb curling, tendon restriction, foot pain, and difficulty walking. Effective for chronic cases of 20-30 years when taken as medicinal wine.
Haitongpi (Sapiae Cortex), Wujia Pi (Acanthopanacis Cortex), Sangbaipi (Mori Cortex), Chuan Du Huo (Angelicae Pubescentis Radix) (each 2 liang), Sheng Gan Dihuang (Rehmanniae Radix) (6.5 sheng), Zhi Du Zhong (Eucommiae Cortex) (each 1 liang), Hei Fuzi (Aconiti Lateralis Radix Preparata) (processed, skin removed, quantity adjusted), Yiyiren (Coicis Semen) (raw, 2 liang), Chuan Niuxi (Achyranthis Bidentatae Radix) (1 liang). Make coarse powder, wrap in silk, soak in 1 dou of good unadulterated wine. Spring: 7 days; Autumn/Winter: 14 days; Summer: 3-5 days. Remove herbs, take 1 cup warm on empty stomach, 3-5 times daily. Maintain continuous mild intoxication but avoid drunkenness. Severe cases resolve in two courses. Ten days after starting, large rashes appear on legs, bursting purple-black blood. Apply Mofeng Gao (Wind-Rubbing Ointment) when dry for natural healing. Daily sensation of hundreds of snakes emerging from feet indicates efficacy. For heel cord pain pulling to scrotum, use Miaoxiang San (Wonderful Fragrance Powder) divided into 2-3 doses, taken warm with wine-salt water before meals for extension.
Niantong San (Pain-Relieving Powder) (From *Yuyao Yuan Fang*). For joint pain, hot compress therapy.
Qianghuo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Xixin (Asari Radix et Rhizoma), Rougui (Cinnamomi Cortex), Fangfeng (Saposhnikoviae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuan Wu (Aconiti Radix) (raw, peeled), Liangjiang (Alpiniae Officinarum Rhizoma), Mahuang (Ephedrae Herba) (without joints), Tianma (Gastrodiae Rhizoma), Wuzhuyu (Evodiae Fructus) (raw), Gegen (Puerariae Radix), Ruxiang (Olibanum) (separately ground), Chuanjiao (Zanthoxyli Pericarpium) (seeds and closed ones removed), Quanxie (Scorpio), Danggui (Angelicae Sinensis Radix) (each 1 liang, seedlings removed), Chuanjiang (Zingiberis Rhizoma) (raw, 0.5 liang). Make coarse powder, mix with Ruxiang (Olibanum) and stir-fry 1 liang (increase to 1.5 liang for severe pain). Mix with fine salt, stir-fry until very hot. Store in silk bag, apply hot compress to painful area frequently. Reheat if cool. Discard after use.
Yiyiren San (Coix Seed Powder). Treats dampness injuring Kidney failing to nourish Liver, generating internal wind, becoming Wind-Dampness flowing into limbs and bones, entering left shoulder, causing muscle pain spreading to left fingers.
Yiyiren (Coicis Semen) (1 liang), Danggui (Angelicae Sinensis Radix) (soaked in wine), Renshen (Ginseng Radix), Chuan Wu (Aconiti Radix) (processed, peeled), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (fried), Qianghuo (Notopterygii Rhizoma et Radix), Guixin (Cinnamomi Cortex), Fangfeng (Saposhnikoviae Radix), Yinyu (Coscinii Rhizoma) (fried), Mahuang (Ephedrae Herba) (roots/joints removed), Jiangjiang (Zingiberis Rhizoma) (processed), Du Huo (Angelicae Pubescentis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared, each 0.5 liang). Grind to fine powder, take 2 qian per dose with wine on empty stomach and before bed, three times daily.
Xu Shenweng Shenxiao Dixian Dan (Immortal Earth Pill). Treats joint pain and trauma. Take with Xianshu Tang (Immortal Art Decoction). Dispels cold-dampness, promotes appetite. Miraculous effect.
Chuan Wu (Aconiti Radix) (1, cracked), Caowu (Aconiti Kusnezoffii Radix) (5, processed), Baijie (Sinapis Semen) (root removed, 0.5 liang), Cangzhu (Atractylodis Rhizoma) (1 liang, soaked overnight, fried), Baizhi (Angelicae Dahuricae Radix) (0.5 liang), Ziran Tong (Natural Pyrite) (1 zi, ground), Dilong (Pheretima), Moyao (Myrrha) (each 0.5 liang, ground), Ruxiang (Olibanum) (0.05 liang, ground), Letu Zhong (Lactucae Semen), Huanggua Zhong (Cucumeris Semen), Shagua Zhong (Trichosanthis Cucumeroidis Fructus), Muguezi (Momordicae Semen) (each 1 qian), Banliang Qian (Two Wen coins). Grind to powder, make pills with paste, size of paulownia seeds. Take 10 pills after meals with warm wine.
Hugu Wan (Tiger Bone Pill). Treats stagnant meridians, joint pain, tendon spasms worsening in cold/damp.
Nan Ruxiang (Olibanum) (separately ground), Moyao (Myrrha) (separately ground), Chi Shaoyao (Red Paeoniae Radix), Shu Dihuang (Rehmanniae Radix Preparata), Hu Jinggu (Pantherae Ossus) (roasted with butter until yellow), Danggui (Angelicae Sinensis Radix) (each 1 liang), Xuexie (Dragon's Blood) (5 qian). Grind to fine powder. Cut 1 Mu Gua (Chaenomelis Fructus), remove seeds, insert Ruxiang (Olibanum), tie tightly with hemp thread to prevent air entry. Decoct in 2 sheng good wine until wine is exhausted. Remove Mu Gua (Chaenomelis Fructus), peel, grind to paste, add small amount of honey, pound into pills, size of paulownia seeds. Take 30-50 pills, upper body diseases after meals, lower body before meals, with warm wine.
For painful stiff joints, inability to flex/extend, pain upon touch, shortness of breath, sweating, or swelling.
Guizhi (Cinnamomi Ramulus) (4 liang), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang). Decoct in 6 sheng water to yield 3 sheng, divide into three doses. Cure upon sweating.
For sudden chest pain recurring after recovery.
Take 5 sheng of Xie Gen (Allii Macrostemonis Bulbus), crush and extract juice, drink for immediate relief.
Jiajian Danggui Yinzi (Modified Angelica Drink). Treats sudden shoulder pain.
Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Sheng Dihuang (Rehmanniae Radix), Dahuang (Rhei Radix et Rhizoma) (each 1.5 liang), Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix) (each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1.2 liang), Huanglian (Coptidis Rhizoma) (5 qian), Huashi (Talcum) (6 liang). Make powder, decoct in plain water, take anytime.
Huoluo Tang (Meridian-Activating Decoction). Treats wind-damp arm pain unresponsive to other drugs.
Baizhu (Atractylodis Macrocephalae Rhizoma) (thin slice, 1 liang), Danggui (Angelicae Sinensis Radix) (clean, thin slice, dry weight), Qianghuo (Notopterygii Rhizoma et Radix) (clean, de-rhizomed, sliced, roasted), Du Huo (Angelicae Pubescentis Radix) (clean), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang). Crush into powder. Take 3 large cups of wine and 1.5 cups of water per dose, add 5 slices of ginger, decoct slowly to 1 cup, strain, take warm anytime. Alternative: Cangzhu (Atractylodis Rhizoma) fried slice, Chuan Baizhi (Angelicae Dahuricae Radix) 2 liang each, powder, take 2 qian with wine.
Chentong Wan (Pain-Catching Pill). Treats waist and arm pain.
Wulingzhi (Trogopterori Faeces), Chi Shaoyao (Red Paeoniae Radix) (each 0.5 liang), Chuan Wu (Aconiti Radix) (1), Moyao (Myrrha) (4 qian), Shexiang (Moschus) (1 qian). Grind to powder, make pills with wine paste. Take on empty stomach with warm wine.
Ye Shi Fang Shiwei Cusan (Master Ye’s Ten-Ingredient Crushed Powder). Treats stroke with weak blood, arm pain connecting to sinews and bones, difficult movement. Nourishes Heart, benefits blood and qi, strengthens sinews and generates strength.
Fuzi (Aconiti Lateralis Radix Preparata) (3 liang, processed, peeled), Danggui (Angelicae Sinensis Radix) (cleaned, sliced), Huangqi (Astragali Radix) (prepared), Baishaoyao (White Paeoniae Radix) (each 2 liang), Chuanxiong (Ligustici Chuanxiong Rhizoma) (avoid direct fire), Fangfeng (Saposhnikoviae Radix) (de-rhizomed), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1.5 liang), Rougui (Cinnamomi Cortex) (rough bark removed, 1 liang, avoid direct fire), Fuling (Poria), Shu Dihuang (Rehmanniae Radix Preparata) (cleaned, simmered in little wine, dried, roasted, each 0.75 liang). Process and weigh again, chop. Take 4 qian per dose with 1 large cup of water, 8 slices of ginger, 3 jujubes (split), decoct to 70%, strain, take orally. Take after meals and before sleep, three times daily. Keep warm with thick clothing. To remove Huangqi (Astragali Radix) and Shu Dihuang (Rehmanniae Radix Preparata), use Danggui (Angelicae Sinensis Radix) cleaned and dry-roasted. Alternative prescription: Baishaoyao (White Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Fuzi (Aconiti Lateralis Radix Preparata), Baifuling (Poria), Guixin (Cinnamomi Cortex), Chuan Du Huo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), finely chopped. Take 3 qian per dose with 8 slices of ginger, 1.5 cups water, decoct to 80%, strain, take before meals. Dispels cold pathogen, benefits qi and blood. Name: Chuan Du Huo Tang. Preparation of Dihuang (Rehmanniae Radix): Clean well, soak in good wine, dry and roast.
Wulingzhi San (Trogopterori Faeces Powder). Treats arm and thigh pain.
Wulingzhi (Trogopterori Faeces), Jingjie Sui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Gancao Jie (Glycyrrhizae Radix et Rhizoma node), Chuanshanjia (Manis Squama), Gusuibu (Drynariae Rhizoma), Caowu (Aconiti Radix) (each 5 qian), She (Moschus) (small amount). Grind to powder, take with warm wine before sleep. For whole-body injury, add Moyao (Myrrha) and Muxiang (Aucklandiae Radix), take with wine on empty stomach.
Xionghuo Tang (Ligustici and Notopterygium Decoction). Treats fluid retention pouring into Spleen meridian causing arm pain, due to Spleen Earth deficiency and excessive drinking unable to transform.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxia (Pinelliae Rhizoma) (washed in boiling water), Baifuling (Poria), Du Huo (Angelicae Pubescentis Radix), Chenpi (Citri Reticulatae Pericarpium), Zhike (Aurantii Fructus) (pulp removed, fried, each 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.1 fen). Make powder, take 3 qian per dose with 1.5 cups water, 5 slices ginger, decoct together, strain, take warm after a short pause post-meal.
Shujing Tang (Meridian-Relaxing Decoction), also known as Wubi Tang (Five Obstruction Decoction) (From *Danliao Fang*). Treats arm pain with inability to lift. Someone suffered constant left arm pain, mistaken for fluid or wind-damp, tried all drugs and acupuncture/moxibustion without success. Cured by this formula. Caused by qi-blood stagnation and meridian blockage, not wind, fluid, or damp. Take before meals for lower body, after meals for upper body.
Pianzi Jianghuang (Curcumae Longae Rhizoma) (4 liang, substitute with tender Ezhu if unavailable), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix) (1 liang), Haitongpi (Sapiae Cortex) (rough bark removed), Danggui (Angelicae Sinensis Radix), Chi Shaoyao (Red Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 2 liang). Chop, take 3 qian per dose with 1.5 cups water, 3 slices ginger, a little powdered Chenxiang (Aquilariae Lignum Resinatum), decoct together. Chen Shi Jingyan Fang records Shen Ziwen suffering from this arm pain, mistaking it for fluid or wind-damp, failed treatments. Heard from Chen Junqing that Deqing Magistrate transmitted a formula curable in three doses. Caused by blood-qii stagnation, not wind/fluid/damp/qi. The first four ingredients only treat upper body; for lower body, Wang Boju added three more ingredients. Lower body: before meals; Upper body: after meals. Also named Baizhu Jiang Tang (Atractylodes Ginger Decoction).
Du Huo Tang (Angelicae Pubescentis Decoction). Treats patients with pain linking chest and back, due to disharmony of Wei Qi (Defensive Qi).
Du Huo (Angelicae Pubescentis Radix) (4 liang), Gegen (Puerariae Radix), Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangjiang (Zingiberis Rhizoma) (each 2 liang). Chop, decoct in 1 dou water. First boil Gegen (Puerariae Radix) reducing volume by 3 sheng, skim foam, add other herbs, decoct to 2 sheng, strain, take 1 sheng warm, cover for slight sweat. If pain resolves via dispersion, no sweat needed. If sore throat/thirst, add Gualou (Trichosanthis Fructus) 2 liang; if cough/vomiting, add Banxia (Pinelliae Rhizoma) 2 liang; if heat-intolerant, remove Jiangjiang (Zingiberis Rhizoma); if red face/gum pain, add Jisu (Elsholtziae Herba) 2 liang, increase water by 2 sheng.
For treating skin/flesh itching and pain.
Use 2 sheng wine, 5 sheng water, 0.5 sheng Zhuyu Zi (Corni Fructus), decoct to 3 sheng, strain, wash with warm liquid for immediate relief.
For treating joint pain.
Puhuang (Tyllidis Pollen) (8 liang), Fuzi (Aconiti Lateralis Radix Preparata) (1 liang, processed). Grind to powder, take 1 qian bi per dose, three times daily, gradually increase to 1 fang cun bi.
Fuling Wan (Poria Pill) (From *Ren Cun Fang*). Arm pain preventing lifting hands, left or right, migrating. Caused by latent phlegm in middle, internal stomach qi stagnation, Spleen qi not circulating, contending with qi upwards. Limbs belong to Spleen; qi stagnation prevents downward flow, attacking arms upwards. Pulse is deep and fine. Later generations call this arm pain a Phlegm Syndrome; treating as phlegm is ineffective if done incorrectly.
Baifuling (Poria) (1 liang), Banxia (Pinelliae Rhizoma) (2 liang), Zhishi (Aurantii Fructus Immaturus) (or Zhike), Fenghua Puxiao (Mirabilite Efflorescens) (each 0.5 liang). Grind to powder, make pills with ginger juice paste, size of paulownia seeds. Take 30 pills per dose with ginger soup after meals. Many suffered from phlegm, nightly arm twitching/trembling, unable to hold teacups. Only this drug cures them instantly. No phlegm drug in the world is so miraculous.
Tiaoqi Wan (Qi-Regulating Pill) (From *Zhinan Fang*)
Qianniu Mo (Ipomoeae Semen) (1 liang), Chenpi (Citri Reticulatae Pericarpium) (0.5 liang), Qingpi (Citri Reticulatae Pericarpium Viride) (0.1 fen). Grind to fine powder, make pills with flour paste, size of paulownia seeds. Take 10 pills per dose with ginger soup.
Liqi Tang (Qi-Regulating Decoction) (From *Zhinan Fang*)
Banxia (Pinelliae Rhizoma) (5 liang), Juapi (Citri Reticulatae Pericarpium) (4 liang), Guanzi Gui (Cinnamomi Cortex) (3 liang), Renshen (Ginseng Radix) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang). Make coarse powder, take 5 qian per dose with 3 cups water, 10 slices ginger, decoct to 1 cup, strain, take.
Baizi Ren Wan (Seed of Arbor Vitae Pill) (From *Zhinan Fang*)
Baizi Ren (Sabinae Semen) (fried), Huangqi (Astragali Radix), Fuling (Poria), Chushi (Torreyaes Semen), Wuweizi (Schisandrae Chinensis Fructus), Fupenzi (Rubigenic Fructus), Fuzi (Aconiti Lateralis Radix Preparata), Shihu (Dendrobii Caulis), Lurong (Cervi Cornu Pantotrichum) (roasted, hair removed), Suanzaoren (Ziziphi Spinosae Semen), Zhishi (Aurantii Fructus Immaturus), Guanzi Gui (Cinnamomi Cortex), Chenxiang (Aquilariae Lignum Resinatum), Dihuang (Rehmanniae Radix) (equal parts). Grind to fine powder, make pills with refined honey, size of paulownia seeds. Take 30 pills per dose with rice drink.
Tianma Chushi Tang (Gastrodia Dampness-Dispelling Decoction), also known as Baizhu San (Atractylodes Powder) (From *Yang Shi Jiacang Fang*). Treats dampness lingering in joints, body vexing pain, hand/foot swelling/pain, occasional numbness.
Baizhu (Atractylodis Macrocephalae Rhizoma) (4 liang), Tianma (Gastrodiae Rhizoma) (3 liang), Renshen (Ginseng Radix) (de-rhizomed, 3 liang), Jiangjiang (Zingiberis Rhizoma) (2 liang), Quanxie (Scorpio) (2 liang, stir-fried with 1 cup glutinous rice)