夫痹虽异状，然皆本于三气。寒气多谓之冷痹，其证令人脚膝酸疼，行履艰难，四肢
麻，
虎骨散（出《圣济总录》）治诸风毒冷痹，偏枯不遂，骨节疼痛，手足挛
。
虎骨（酥炙黄） 败龟（酥炙各一两） 羌活（去芦） 何首乌（酒醮黑皮） 附子（炮
去皮各半两）
蚕砂（炒各三分）
分） 白干地黄（焙一两）
加减地仙丹（出《济生方》）治风冷邪湿，留滞下焦，足膝拘挛。肿满疼
痛，不能步履，宜
地龙（焙去土） 五灵脂（去石） 乌药 白胶香（别研） 椒红（炒去汗） 上等分
为细末，酒糊
萆 丸（出《圣济方》）治风冷痹，游走无定处，一名血痹。
萆 山羊肉 牛膝（制） 泽泻（各一两） 白术（半两） 干地黄（二两半） 茵
芋（一分） 地
每服空心，温酒下二
防风汤 治风冷痹、身体不遂。四肢 麻，不觉痛痒，不能言语。
巴戟天汤 治冷痹，脚膝疼痛，行履艰难。
巴戟天（去心三两） 五加皮（二两） 萆 牛膝（酒制焙） 石斛（去根） 甘草
（炙各一两半）
，如麻豆，每
羌活汤 治风痹、膝冷烦疼，脚无力。
蠲痹汤 治风湿相搏，身体烦痛，项臂痛肿，举动艰难，及手足冷痹，腰腿沉重，
筋骨无力
羌活（去芦） 赤芍药 姜黄 当归（酒浸） 黄 （蜜炙） 防风（去芦各一两半） 甘
草（炙半两） 上 咀，每服三钱，水一盏，生姜五片，煎至半盏，去滓服，一方无防风，
用枣煎服
菖蒲饮 治风痹，身体俱痛。（方见六生散）
楮实丸 治风痹，三焦虚寒，身体腰脚不遂。
楮实（炒二两） 桂（去皮二分） 枳壳（炒三分） 槟榔（煨锉） 牛膝（酒浸焙切）
干姜（炮各
牛膝散 治冷痹，脚膝疼痛无力。
小灵脂丸 治一切风痹，虚湿寒冷，肢体疼痛，痹不能行。
防风（一两） 五灵脂 川乌头（炮去皮各二两） 上为细末，酒糊为丸，如桐子大，
食前温酒
白蔹散 治风冷痹肿，筋急辗转，移易不常。
松节散 治风寒冷湿，搏于筋骨，使筋挛掣痛，行步艰难。但是诸筋挛缩疼痛，悉
主之。
茯苓中心木（锉如米一两） 乳香（研一钱） 上入银石器内，炒候冷，存性为末，每
服二钱，
治冷风痹其病状腰眼膝间，疼痛寒冷，行步艰难，精力不足，忽时疼痛，两足厥冷。此
病盖
沉重
石斛（去根） 五味子 茯苓 当归 续断 芎 木瓜 萆 （各半两） 官桂（去
皮） 附子
牛膝 上为细末
治风冷气痹，助阳气，行经络。\x
以热汤渫脚，在脚上浓覆，使出汗周身。虽别有药，亦终假汤气以行也。
痹证虽然表现各异，但都根源于风、寒、湿三气。寒气偏盛者称为冷痹，其症状表现为脚膝酸疼，行走困难，四肢麻木。
虎骨散（出自《圣济总录》）治疗各种风毒冷痹，半身不遂，骨节疼痛，手足拘挛。
药材：虎骨（用酥油炙至黄色）、败龟板（用酥油炙，各一两）、羌活（去芦头）、何首乌（酒浸黑皮）、附子（炮制去皮，各半两）、蚕砂（炒，各三分）、白干地黄（焙干，一两）。
加减地仙丹（出自《济生方》）治疗风冷邪湿，留滞于下焦，导致足膝拘挛、肿胀满痛，无法行走，适宜使用此方。
药材：地龙（焙干去土）、五灵脂（去砂石）、乌药、白胶香（另研碎）、椒红（炒去汗液），以上等分研为细末，用酒糊制作丸剂。
萆薢丸（出自《圣济方》）治疗风冷痹，疼痛游走无定处，又名血痹。
药材：萆薢、山羊肉、牛膝（炮制）、泽泻（各一两）、白术（半两）、干地黄（二两半）、茵芋（一分）。每次空腹时，用温酒送服二钱。
防风汤 治疗风冷痹、身体活动不利。四肢麻木，不知痛痒，不能言语。
巴戟天汤 治疗冷痹，脚膝疼痛，行走困难。
药材：巴戟天（去心三两）、五加皮（二两）、萆薢、牛膝（酒制焙干）、石斛（去根）、甘草（炙，各一两半）。
蠲痹汤 治疗风湿相搏，身体烦痛，项部和手臂肿痛，举动困难，以及手足冷痹，腰腿沉重，筋骨无力。
药材：羌活（去芦）、赤芍药、姜黄、当归（酒浸）、黄芪（蜜炙）、防风（去芦，各一两半）、甘草（炙半两）。以上切碎，每次服用三钱，用水一盏，生姜五片，煎至半盏，去渣服用。另一版本无防风，用枣煎服。
楮实丸 治疗风痹，三焦虚寒，身体腰脚活动不利。
药材：楮实（炒二两）、桂枝（去皮二分）、枳壳（炒三分）、槟榔（煨锉）、牛膝（酒浸焙切）、干姜（炮，各...）。
小灵脂丸 治疗一切风痹，虚湿寒冷，肢体疼痛，痹阻不能行走。
药材：防风（一两）、五灵脂、川乌头（炮制去皮，各二两）。以上研为细末，用酒糊制作丸剂，如梧桐子大，饭前用温酒送服。
松节散 治疗风寒冷湿，侵袭筋骨，使筋脉拘挛掣痛，行走艰难。凡是各种筋脉拘缩疼痛，都以此方主治。
药材：茯苓中心木（锉如米粒大小，一两）、乳香（研一钱）。以上放入银石器内，炒候冷却，存性后研为细末，每次服用二钱。
治疗冷风痹的症状：腰部两侧和膝盖之间疼痛寒冷，行走艰难，精力不足，突然疼痛，双脚厥冷。此病大概是因为...（原文此处有缺漏）...沉重。
药材：石斛（去根）、五味子、茯苓、当归、续断、川芎、木瓜、萆薢（各半两）、官桂（去皮）、附子、牛膝。以上研为细末。
Although Bi syndrome (Obstruction Syndrome) presents with various manifestations, it fundamentally stems from the three pathogenic factors: wind, cold, and dampness. When cold qi is predominant, it is called Cold Bi syndrome. Its symptoms include soreness and pain in the feet and knees, difficulty in walking, and numbness of the four limbs.
Hugu San (Tiger Bone Powder), sourced from *Shengji Zonglu*, treats various types of Wind-Toxin Cold Bi syndrome, hemiplegia, joint pain, and spasms of the hands and feet.
Ingredients: Hugu (Tiger Bone, processed with rendered fat until yellow), Baigui (Old Tortoise Shell, processed with rendered fat, each 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, de-awned), Heshouwu (Polygoni Multiflori Radix, soaked in wine to darken the skin), Fuzi (Aconiti Lateralis Radix Praeparata, processed and peeled, each 0.5 liang), Can Sha (Bombyx Batryticatus, stir-fried, each 3 fen), Bai Gan Dihuang (Rehmanniae Radix, dried by baking, 1 liang).
Jiajian Dixian Dan (Modified Earth Immortal Pill), sourced from *Jisheng Fang*, treats Wind-Cold evil-dampness lingering in the Lower Jiao, causing spasms, swelling, fullness, pain in the feet and knees, and inability to walk. This formula is suitable.
Ingredients: Dilong (Pheretima, baked and free of earth), Wulingzhi (Trogopteri Dung, free of stones), Weiyao (Linderae Radix), Baijiaoxiang (Elemi Resin, separately ground), Jiaohong (Zanthoxyli Pericarpium, stir-fried to remove moisture). All ingredients are equal in proportion, ground into fine powder, and made into pills using a paste of rice flour and wine.
Bixie Wan (Dioscoreae Hypoglaucae Pill), sourced from *Shengji Fang*, treats Wind-Cold Bi syndrome with wandering pain without fixed location, also known as Blood Bi syndrome.
Ingredients: Bixie (Dioscoreae Hypoglaucae Rhizoma), Shanyangrou (Capra Hircus Meat), Niuxi (Achyranthis Bidentatae Radix, processed), Zexie (Alismatis Rhizoma, each 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Ganhudi Huang (Rehmanniae Radix Preparata, 2.5 liang), Yinyu (Corydalis Amarae Herba, 1 fen). Take two qian on an empty stomach, washed down with warm wine.
Fangfeng Tang (Saposhnikoviae Decoction) treats Wind-Cold Bi syndrome and physical immobility. Symptoms include numbness of the four limbs, insensitivity to pain and itch, and inability to speak.
Bajitian Tang (Morindae Officinalis Decoction) treats Cold Bi syndrome, pain in the feet and knees, and difficulty in walking.
Ingredients: Bajitian (Morindae Officinalis Radix, de-heart, 3 liang), Wujiapi (Acanthopanacis Cortex, 2 liang), Bixie (Dioscoreae Hypoglaucae Rhizoma), Niuxi (Achyranthis Bidentatae Radix, wine-processed and baked), Shihu (Dendrobii Caulis, de-root), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, each 1.5 liang).
Qianghuo Tang (Notopterygii Decoction) treats Wind Bi syndrome, cold and vexing pain in the knees, and weakness in the feet.
Juanbi Tang (Expel Bi Decoction) treats rheumatism where wind and dampness contend, causing bodily vexation and pain, swelling and pain in the neck and arms, difficulty in movement, as well as cold Bi of the hands and feet, heaviness of the waist and legs, and weakness of sinews and bones.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, de-awned), Chishaoyao (Paeoniae Radix Rubra), Jianghuang (Curcumae Longae Rhizoma), Danggui (Angelicae Sinensis Radix, soaked in wine), Huangqi (Astragali Membranacei Radix, honey-roasted), Fangfeng (Saposhnikoviae Radix, de-awned, each 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 liang). Chop the above ingredients. Take 3 qian per dose, decoct with one sheng of water and five slices of fresh ginger until half a sheng remains, strain, and take. Another version excludes Fangfeng and uses dates for decoction.
Changpu Yin (Acori Tatarinowii Infusion) treats Wind Bi syndrome with pain throughout the body. (Formula see Liusheng San).
Chushi Wan (Celtis Sinensis Fruit Pill) treats Wind Bi syndrome, deficiency-cold of the Triple Burner, and immobility of the body, waist, and feet.
Ingredients: Chushi (Celtidis Sinensis Fructus, stir-fried, 2 liang), Gui (Cinnamomi Cortex, peeled, 2 fen), Zhike (Citri Reticulatae Viridis Pericarpium, stir-fried, 3 fen), Binglang (Arecae Semen, baked and crushed), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, baked and cut), Ganjiang (Zingiberis Rhizoma, processed, each...).
Niuxi San (Achyranthis Bidentatae Powder) treats Cold Bi syndrome, pain and weakness in the feet and knees.
Xiaolingzhi Wan (Small Wulingzhi Pill) treats all types of Wind Bi syndrome, deficiency-dampness and cold, limb pain, and Bi obstruction preventing walking.
Ingredients: Fangfeng (Saposhnikoviae Radix, 1 liang), Wulingzhi (Trogopteri Dung), Chuanwutou (Aconiti Radix, processed and peeled, each 2 liang). Grind the above into fine powder, make into pills using a wine paste, size of paulownia seeds. Take before meals with warm wine.
Bailian San (Marsdeniae Tenacissimae Radix Powder) treats Wind-Cold Bi syndrome with swelling, tendon stiffness and turning, and shifting locations.
Songjie San (Pinus Massoniana Joint Powder) treats Wind-Cold-Dampness attacking the sinews and bones, causing tendon spasms and pulling pain, and difficulty in walking. It is indicated for all types of tendon contraction and pain.
Ingredients: Fuling Zhongxinmu (Wood at the center of Poria, chopped like rice grains, 1 liang), Ruxiang (Olibanum, ground, 1 qian). Place the above in a silver or earthenware vessel, stir-fry until cool, preserve their nature, grind into powder. Take 2 qian per dose.
Treatment for Cold-Wind Bi syndrome: The pathological signs include pain and coldness between the loins and knees, difficulty in walking, lack of vitality, sudden pain, and coldness of both feet. This disease is generally caused by... [text missing] ...heaviness.
Ingredients: Shihu (Dendrobii Caulis, de-root), Wuweizi (Schisandrae Chinensis Fructus), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Xuduan (Dipsaci Radix), Xiong (Ligusticum Chuanxiong Rhizoma), Mugua (Chaenomelis Fructus), Bixie (Dioscoreae Hypoglaucae Rhizoma, each 0.5 liang), Guanzi Gui (Cinnamomi Cortex, peeled), Fuzi (Aconiti Lateralis Radix Praeparata), Niuxi (Achyranthis Bidentatae Radix). Grind the above into fine powder.
Treatment for Wind-Cold Qi Bi syndrome, to assist Yang Qi and unblock the meridians.
Wash the feet with hot water, cover them thickly, to induce sweating throughout the body. Although other medicines exist, they ultimately rely on the steam's energy to circulate.