【湿热痿软之症】身体重着，走注疼痛，首如裹，面壅肿，小便黄赤，手足发热，小筋
【湿热痿软之因】时令之湿热加临，肥甘之湿热内积；或湿热中于皮肤，传合经络，湿
【湿热痿软之脉】浮濡沉数，濡主乎湿，数主乎热，浮濡主表，沉数主里，浮沉皆数，表里皆热。
【湿热痿软之治】脉见浮数，湿热在表，败毒散、太阳二妙丸。脉沉而数，积热在里者
，川连枳壳汤、阳明二妙丸。表里见症者，二方加荆芥、防风。
羌活败毒散
羌活 独活 柴胡 前胡 防风 荆芥 陈皮 川芎 甘草
太阳二妙丸
黄柏 独活
阳明二妙丸
黄柏 苍术
川连枳壳汤
川黄连 枳壳 陈皮 甘草
表有湿热者，合荆防二妙丸。
【燥热痿软之症】口燥唇焦，皮毛干揭，手足痿软，不能行动，此燥热痿软之症也。
【燥热痿软之因】或赫羲之年，燥火行令，或秋燥之时，燥气烁人，阴血不能荣养宗筋
，则痿软之症作矣。
【燥热痿软之脉】洪大数疾，燥火加临。右脉洪数，燥伤气分。左脉洪数，燥伤于血。
【燥热痿软之治】燥火伤气，右脉洪数者，知母石膏汤，合凉膈散。燥伤阴血，左脉洪
数，滋燥养荣汤。
知母石膏汤 治燥火伤气分者
知母 石膏 地骨皮 麦冬 天花粉 甘草
凉膈散
桔梗 连翘 天花粉 山栀 薄荷 黄芩 川连 甘草
滋燥养荣汤 治燥伤阴血者。
当归 生地 白芍药 秦艽 黄芩 荆芥 甘草 丹皮 犀角
【湿热痿软的症状】身体沉重困倦，疼痛游走不定，头部感觉像被包裹一样，面部浮肿，小便颜色黄赤，手足发热，筋脉拘急。
【湿热痿软的病因】时令气候中的湿热邪气侵袭人体，加上体内因过食肥甘厚味而积聚的湿热；或者湿热邪气侵入皮肤，进而传变并合并于经络之中，导致湿气……（原文此处截断）
【湿热痿软的脉象】脉象浮而濡缓，沉取则数疾。濡脉主湿邪，数脉主热邪；浮濡脉象表明病位在表，沉数脉象表明病位在里；若浮取和沉取皆见数脉，则说明表里皆有热邪。
【湿热痿软的治疗】若脉象浮数，提示湿热在体表，可用败毒散、太阳二妙丸。若脉象沉而数，提示积热在体内，可用川连枳壳汤、阳明二妙丸。若表里症状同时出现，可在上述两方中加入荆芥、防风。
羌活败毒散
组成：羌活、独活、柴胡、前胡、防风、荆芥、陈皮、川芎、甘草。
【燥热痿软的症状】口唇干燥焦裂，皮肤毛发干枯揭起，手足痿弱无力，不能行动，这是燥热痿软的症状。
【燥热痿软的病因】或者是烈日炎炎的夏季，燥火当令；或者是秋季燥气盛行之时，燥气灼伤人体，导致阴血无法滋养宗筋，从而引发痿软之症。
【燥热痿软的脉象】脉象洪大且数疾，这是燥火邪气加临的表现。右脉洪数，表示燥邪损伤了气分；左脉洪数，表示燥邪损伤了血分。
【燥热痿软的治疗】若燥火损伤气分，右脉洪数者，用知母石膏汤，配合凉膈散。若燥邪损伤阴血，左脉洪数者，用滋燥养荣汤。
知母石膏汤 治疗燥火损伤气分者
组成：知母、石膏、地骨皮、麦冬、天花粉、甘草。
[Symptoms of Damp-Heat Flaccidity] The body feels heavy and lethargic, with pain that migrates; the head feels as if wrapped in cloth; the face is puffy and swollen; urine is yellow and reddish; hands and feet feel hot; tendons are contracted.
[Etiology of Damp-Heat Flaccidity] Damp-heat pathogens from the seasonal climate invade the body, compounded by internal accumulation of damp-heat due to excessive consumption of rich and sweet foods; or damp-heat pathogens penetrate the skin and transmit into the meridians and collaterals, where dampness... (original text truncated here).
[Pulse Signs of Damp-Heat Flaccidity] The pulse is floating and soggy (Ru), while deep palpation reveals a rapid (Shu) quality. A soggy pulse indicates dampness; a rapid pulse indicates heat. A floating-soggy pulse suggests the pathogen is at the exterior level; a deep-rapid pulse suggests the pathogen is at the interior level. If both superficial and deep pulses are rapid, it indicates heat present in both the exterior and interior.
[Treatment of Damp-Heat Flaccidity] If the pulse is floating and rapid, indicating damp-heat at the exterior, use Baidu San (Decoction for Overcoming Toxicity) or Taiyang Ermiao Wan (Sun-Two Marvels Pill). If the pulse is deep and rapid, indicating accumulated heat within, use Chuanlian Zhike Tang (Coptis and Aurantium Decoction) or Yangming Ermiao Wan (Yang-Ming Two Marvels Pill). If symptoms manifest in both the exterior and interior, add Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix) to these formulas.
Qianghuo Baidu San (Notopterygii Rhizoma et Radix Decoction for Overcoming Toxicity)
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix), Qianhu (Peucedani Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Taiyang Ermiao Wan (Sun-Two Marvels Pill)
Ingredients: Huangbai (Phellodendri Cortex), Duhuo (Angelicae Pubescentis Radix).
Yangming Ermiao Wan (Yang-Ming Two Marvels Pill)
Ingredients: Huangbai (Phellodendri Cortex), Cangzhu (Atractylodis Rhizoma).
Chuanlian Zhike Tang (Coptis and Aurantium Decoction)
Ingredients: Chuanlianzhong (Coptidis Rhizoma), Zhike (Aurantii Fructus Immaturus), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
For cases with damp-heat at the exterior, combine with Jingfang Ermiao Wan.
[Symptoms of Dry-Heat Flaccidity] Dry mouth and cracked lips; dry and peeling skin and hair; flaccid weakness of hands and feet, inability to move. This constitutes the syndrome of Dry-Heat Flaccidity.
[Etiology of Dry-Heat Flaccidity] During the scorching heat of summer, dry-fire dominates; or during the autumn season when dryness prevails, dry air scorches the body. Yin-blood fails to nourish the Zongjin (major tendons), leading to the onset of flaccidity.
[Pulse Signs of Dry-Heat Flaccidity] The pulse is surging (Hong), large, and rapid (Shu), indicating the presence of dry-fire. A right-hand surging-rapid pulse indicates dryness injuring the Qi aspect; a left-hand surging-rapid pulse indicates dryness injuring the Blood aspect.
[Treatment of Dry-Heat Flaccidity] For dry-fire injuring Qi, characterized by a right-hand surging-rapid pulse, use Zhimu Shigao Tang (Anemarrhenae and Gypsum Decoction) combined with Liangge San (Cooling the Diaphragm Powder). For dryness injuring Yin-blood, characterized by a left-hand surging-rapid pulse, use Zizao Yangrong Tang (Moistening Dryness and Nourishing Vitality Decoction).
Zhimu Shigao Tang (Treats dry-fire injuring the Qi aspect)
Ingredients: Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Digupi (Bark of Ground Tree Bark / Corni Fructus? Note: Usually refers to Gu Pi or similar cooling bone herbs, strictly transliterated here as Digupi), Maidong (Ophiopogonis Tuber), Tianhuafen (Trichosanthis Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Liangge San (Cooling the Diaphragm Powder)
Ingredients: Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Tianhuafen (Trichosanthis Radix), Shanzhi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix), Chuanlian (Coptidis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Zizao Yangrong Tang (Treats dryness injuring Yin-blood)
Ingredients: Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Baishaoyao (Paeoniae Radix Alba), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix), Jingjie (Schizonepetae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Danpi (Moutan Cortex), Xijiao (Rhinocerotis Cornu - *Note: Use substitute such as Water Buffalo Horn Shuiniujiao in modern practice*).