(附∶麻木)
经曰∶风寒湿三气杂至，合而为痹也。其风气胜者为行痹；寒气胜者为痛痹；湿气胜者为着
痹。五痹者，冬为骨痹；春筋痹；夏脉痹；季夏肌痹；秋皮痹。又曰∶血凝于肤者为痹。又周痹
者，在身上下移徙，随脉左右相应，间不容空也。众痹者，各有其处，更发更止也。按风寒湿气
，客于分肉之间，迫切而为沫，沫得寒则聚，聚则排分肉作痛，此内不在脏，外不在皮，独居分
肉之间。如痹不已，在骨则重而不举；在筋则屈而不伸；在肉则不仁；在脉则血凝；在皮则寒悚
，皆不痛也。凡痹逢寒则急，逢热
则纵。治宜先攻风湿，定痛；次养血润燥滋阴。脉涩而紧为痹。
主方 羌活 苍术 白术 酒芩 防己 当归 片姜黄（温州） 防风（各一钱） 甘草（
七分） 生姜五片，水煎，食前服。
寒胜痛甚，倍羌加麻黄、桂枝；风胜加独活、 本、白芷；湿胜倍苍白术，加猪苓、泽泻、
茵陈。当归拈痛汤效（方见身重）。
定痛丸 治诸痹风湿流注，骨节疼痛麻痹。
乳香（两半，另研） 没药（并出汗） 羌活 归尾（各一两） 两头尖（去皮生用，五钱）
上各为末，酒糊丸如桐子大，每服三十丸，煮酒送下。
苍术薏苡汤 治手足流注作痛，麻木不仁，难以屈伸。
苍术（制，二钱） 薏苡仁（炒） 当归 芍药 桂心 麻黄（各一钱） 甘草（五分）
上加生姜五片，水煎服。有汗去麻，热去桂。
芎附汤 寒湿痹痛甚，五痹从腿臂间发。
抚芎 附子（炮，去皮脐） 黄 防风 白术 当归 熟地 桂心 柴胡 炙草（等分）
加姜、枣，水煎服。
三邪饮 风寒湿邪成痹，痛甚，四肢麻木不举。
麻黄 苍术 浮萍（七月半采） 白芷 苦参 桑皮 川芎 甘松（各一钱）
水酒煎服，暖室出汗，三日再服。
秘传药酒方 男、妇风湿相搏，腰膝及遍身骨节痛甚。
麻黄 白芷 当归 芍药 肉桂 桔梗 半夏 防己 甘草（各一两） 杜仲 牛膝 乌药
枳壳 浓朴 陈皮（各二两） 苍术 木瓜 羌活 槟榔（各两半） 无灰酒三坛，药盛三袋，
悬坛心、重汤煮二时；或煨过三日取饮，日三次。渣为末，酒糊丸桐子大，每百丸早酒下。
痛宁酒 治风寒湿火相乘，遍身筋骨走痛，白虎历节诸风痛。
当归 秦艽（各二两） 川芎 白芍药 生地黄 苍术 羌活 黄芩（各一两） 猪苓 泽
泻防风 茵陈（铃儿） 苦参 虎骨（打细，酒煮）
上身痛，灵仙、升麻；下体痛，牛膝、黄柏；臂痛，桂枝，冬加麻黄；痛甚，乳香研末调。
将药绢袋盛内，封固十四日，取酒饮。渣晒为末，米糊丸桐子大，每服八十丸，空心酒下。
忌发风、动火物。
乌头粥 风寒湿痹，麻木不仁。如四肢肿痛，加苡仁末煮啜。
乌头（生，研为末，每四钱），入白米（二合），砂锅煮稀粥，入姜汁一匙，白蜜三匙。
熨汗法 治风寒湿痹，遍身大痛，不可忍者。
醇酒（二十斤） 川椒 干姜 桂心（各一斤）
为粗末，同棉絮一斤，白布四丈，并入酒中。用马粪或砻糠煨三日夜，取布絮晒干，复渍酒
尽为度。
椒药为末，布缝如夹复，药絮填入复内，复用炭火炙热，裹痛处，冷再炙。熨数十遍，汗出复拭
干，勿见风。（病轻者，制半料）。
熏蒸法 风寒湿停于腿膝痛甚者。
川椒（一把） 葱（一握，俱打细） 盐（一把） 小麦麸（约四、五升）
酒，醋各碗许拌润，铜器内炒极热，熏蒸痛处，上浓盖，卧一时，要汗出，冷再炒。避风。
简便方 痹痛。布絮包紧，烘极热痛减。又治一切痹痛痒。五加皮（五两）、南木香（二两），好
酒一坛，绢袋盛浸，箬包煮一时，过七日开饮。
（附注：麻木）
经典记载：风、寒、湿三种邪气混杂侵袭人体，合而发为痹证。其中风气偏盛的称为行痹；寒气偏盛的称为痛痹；湿气偏盛的称为着痹。五体痹方面：冬季对应骨痹；春季对应筋痹；夏季对应脉痹；长夏（季夏）对应肌痹；秋季对应皮痹。又说：血液凝滞于皮肤层面的称为痹。另外，周痹的特点是疼痛在身体上下移动，随着经脉左右相应，发作时中间没有空隙。众痹的特点是疼痛各有固定部位，交替发作又停止。按：风寒湿邪气，客居于分肉（肌肉间隙）之间，压迫津液使其变为沫，沫遇到寒冷则聚集，聚集后挤压分肉导致疼痛，这种病内不在脏腑，外不在皮肤，独居在分肉之间。如果痹证久治不愈，邪气在骨则感觉沉重难以抬举；在筋则屈曲不能伸展；在肉则感觉麻木不仁；在脉则血液凝滞；在皮则感到寒冷战栗，这些情况都不一定疼痛。凡是痹证遇到寒冷则经脉拘急，遇到热则经脉弛纵。治疗宜先攻逐风湿，定止痛楚；其次养血润燥滋阴。脉象涩而紧的为痹证。
主方：羌活、苍术、白术、酒黄芩、防己、当归、片姜黄（温州产）、防风（各一钱），甘草（七分），生姜五片，水煎服，饭前服用。
若寒气胜致疼痛剧烈，加倍使用羌活并加入麻黄、桂枝；风气胜加入独活、藁本、白芷；湿气胜加倍使用苍术、白术，加入猪苓、泽泻、茵陈。当归拈痛汤也有效（方剂见身重章节）。
定痛丸：治疗各种痹证风湿流注，骨节疼痛麻痹。
乳香（半两，单独研磨）、没药（并出汗处理）、羌活、当归尾（各一两）、两头尖（去皮生用，五钱）。
以上药物分别研为细末，用酒糊制成梧桐子大小的丸剂，每次服用三十丸，煮酒送下。
苍术薏苡汤：治疗手足流注作痛，麻木不仁，难以屈伸。
苍术（制，二钱）、薏苡仁（炒）、当归、芍药、桂心、麻黄（各一钱）、甘草（五分）。
上方加生姜五片，水煎服。有汗者去掉麻黄，有热者去掉桂心。
芎附汤：治疗寒湿痹痛严重，五痹从腿臂间发起。
抚芎、附子（炮制，去皮脐）、黄芪、防风、白术、当归、熟地黄、桂心、柴胡、炙甘草（等分）。
加生姜、大枣，水煎服。
三邪饮：治疗风寒湿邪成痹，疼痛剧烈，四肢麻木无法抬起。
麻黄、苍术、浮萍（七月半采集）、白芷、苦参、桑白皮、川芎、甘松（各一钱）。
用水和酒煎服，在温暖房间出汗，三天后再服。
秘传药酒方：男女风湿相搏，腰膝及全身骨节疼痛剧烈。
麻黄、白芷、当归、芍药、肉桂、桔梗、半夏、防己、甘草（各一两）；杜仲、牛膝、乌药、枳壳、厚朴、陈皮（各二两）；苍术、木瓜、羌活、槟榔（各一两半）。无灰酒三坛，将药物装入三个布袋，悬挂于坛中心，隔水炖煮两个时辰；或者煨过三天后取酒饮用，每日三次。药渣研为细末，用酒糊制成梧桐子大小的丸剂，每次一百丸，早晨用酒送下。
痛宁酒：治疗风寒湿火相互乘袭，遍身筋骨游走性疼痛，白虎历节等各种风痛。
当归、秦艽（各二两）；川芎、白芍药、生地黄、苍术、羌活、黄芩（各一两）；猪苓、泽泻、防风、茵陈（铃儿草）、苦参、虎骨（打碎细，酒煮）。
上身痛，加威灵仙、升麻；下体痛，加牛膝、黄柏；手臂痛，加桂枝；冬季加麻黄；疼痛剧烈，加乳香研末调服。
将药物装入绢袋，密封十四日，取出酒饮用。药渣晒干研为细末，米糊制成梧桐子大小的丸剂，每次服用八十丸，空腹用酒送下。
忌食发风、动火的食物。
乌头粥：治疗风寒湿痹，麻木不仁。如四肢肿痛，加薏苡仁末煮食。
乌头（生，研为末，每四钱），放入白米（二合），砂锅煮成稀粥，加入姜汁一匙，白蜜三匙。
熨汗法：治疗风寒湿痹，遍身剧痛，不可忍受。
醇酒（二十斤）、川椒、干姜、桂心（各一斤）。
研为粗末，同棉絮一斤、白布四丈，一并浸入酒中。用马粪或砻糠煨烧三昼夜，取出布和絮晒干，再次浸入酒中直至酒尽为止。
将椒药研为细末，缝制布夹复（双层布），将药絮填入夹层内，再用炭火烤热，包裹疼痛处，冷了再烤。熨烫数十遍，出汗后擦干，不要见风。（病情轻者，制作一半剂量）。
熏蒸法：治疗风寒湿邪停滞于腿膝疼痛严重者。
川椒（一把）、葱（一握，都打碎）、盐（一把）、小麦麸（约四、五升）。
用酒、醋各一碗许拌润，在铜器内炒至极热，熏蒸疼痛处，上面严密覆盖，躺卧一个时辰，要出汗，冷了再炒。注意避风。
简便方：治疗痹痛。用布絮包紧，烘至极热，疼痛减轻。又治疗一切痹痛瘙痒。五加皮（五两）、南木香（二两），好酒一坛，绢袋盛装浸泡，箬叶包裹煮一个时辰，过七日后开坛饮用。
(Note: Numbness)
The Classics state: When Wind, Cold, and Dampness pathogenic factors mix and invade the body together, they combine to form Bi Syndrome (Obstruction Syndrome). Among them, Bi Syndrome with predominance of Wind is called Xing Bi (Wandering Bi); that with predominance of Cold is called Tong Bi (Painful Bi); and that with predominance of Dampness is called Zhuo Bi (Fixed Bi). Regarding the Five Bi Syndromes corresponding to seasons: Winter corresponds to Gu Bi (Bone Bi); Spring to Jin Bi (Tendon Bi); Summer to Mai Bi (Vessel Bi); Late Summer (Ji Xia) to Ji Bi (Muscle Bi); and Autumn to Pi Bi (Skin Bi). It is also stated: Blood coagulation in the skin layer constitutes Bi. Furthermore, Zhou Bi (General Bi) is characterized by pain migrating up and down the body, corresponding left and right along the meridians, with no interval between attacks. Zhong Bi (Multiple Bi) is characterized by pain having fixed locations, alternating in onset and cessation. Analysis: Wind, Cold, and Dampness pathogenic factors lodge between the Fen Rou (muscle intervals), compressing body fluids into foam; this foam aggregates upon encountering cold, and its aggregation squeezes the muscle intervals causing pain. This pathology is internally not in the Zang-Fu organs, externally not on the skin, but resides exclusively in the muscle intervals. If Bi Syndrome persists untreated, if in the bone, it causes heaviness and inability to lift; if in the tendons, flexion without extension; if in the muscles, numbness and insensibility (Bu Ren); if in the vessels, blood coagulation; if in the skin, coldness and shivering, none of which necessarily involve pain. Generally, Bi Syndrome becomes contracted upon encountering cold and relaxed upon encountering heat. Treatment should first focus on attacking Wind-Dampness and relieving pain; subsequently, nourishing Blood, moistening dryness, and nourishing Yin. A choppy and tight pulse indicates Bi Syndrome.
Main Formula: Qiang Huo (Notopterygii Rhizoma et Radix), Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Jiu Huang Qin (Scutellariae Radix processed with wine), Fang Ji (Stephaniae Tetrandrae Radix), Dang Gui (Angelicae Sinensis Radix), Pian Jiang Huang (Curcumae Longae Rhizoma, from Wenzhou), Fang Feng (Saposhnikoviae Radix) (each 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (0.7 qian), Sheng Jiang (Zingiberis Rhizoma Recens) (5 slices). Decoct in water and take before meals.
If Cold predominates causing severe pain, double the dosage of Qiang Huo and add Ma Huang (Ephedrae Herba), Gui Zhi (Cinnamomi Ramulus); if Wind predominates, add Du Huo (Angelicae Pubescentis Radix), Ben Cao (Ligustici Rhizoma), Bai Zhi (Angelicae Dahuricae Radix); if Dampness predominates, double Cang Zhu and Bai Zhu, and add Zhu Ling (Polypori Umbilicati Sclerotium), Ze Xie (Alismatis Rhizoma), Yin Chen (Artemisiae Scopariae Herba). Dang Gui Nian Tong Tang (Dong Quin Pain-Relieving Decoction) is also effective (see formula for heavy body sensation).
Ding Tong Wan (Pain-Stabilizing Pill): Treats various Bi syndromes with Wind-Dampness flowing and accumulating, causing bone-joint pain and numbness.
Ru Xiang (Boswelliae Resina) (half tael, separately ground), Mo Yao (Commiphorae Resina) (processed to remove sweat), Qiang Huo, Wei Dang Gui (Tail of Angelicae Sinensis Radix) (each 1 liang), Liang Tou Jian (Polygala Tenuifolia Radix, peeled and used raw) (5 qian).
Grind each into powder, make pills using wine paste the size of paulownia seeds. Take 30 pills per dose, delivered with boiled wine.
Cang Zhu Yi Yi Tang (Atractylodes and Coix Decoction): Treats flowing pain in hands and feet, numbness and insensibility, difficulty in flexion and extension.
Zhi Cang Zhu (Processed Atractylodis Rhizoma) (2 qian), Chao Yi Yi Ren (Fried Coicis Semen), Dang Gui, Shao Yao (Paeoniae Radix), Gui Xin (Cinnamomi Cortex), Ma Huang (each 1 qian), Gan Cao (0.5 qian).
Add 5 slices of Sheng Jiang, decoct in water and take. Remove Ma Huang if sweating; remove Gui Xin if there is heat.
Xiong Fu Tang (Sichuan Lovage and Aconite Decoction): Treats severe Cold-Dampness Bi pain, with Five Bi Syndromes originating from legs and arms.
Fu Xiong (Ligusticum Chuanxiong Rhizoma), Pao Fu Zi (Prepared Aconiti Lateralis Radix, peeled and umbilicus removed), Huang Qi (Astragali Radix), Fang Feng, Bai Zhu, Dang Gui, Shu Di Huang (Rehmanniae Radix Praeparata), Gui Xin, Chai Hu (Bupleuri Radix), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (equal parts).
Add Sheng Jiang and Da Zao (Jujubae Fructus), decoct in water and take.
San Xie Yin (Three Pathogens Infusion): Treats Bi formed by Wind-Cold-Dampness pathogens, with severe pain and numbness/inability to lift limbs.
Ma Huang, Cang Zhu, Fu Ping (Lemna Minoris Herba, harvested mid-July), Bai Zhi, Ku Shen (Sophorae Flavescentis Radix), Sang Bai Pi (Mori Cortex), Chuan Xiong, Gan Song (Nardostachyos Radix et Rhizoma) (each 1 qian).
Decoct in water and wine, induce sweating in a warm room, take again after three days.
Secret Prescribed Medicinal Wine: Treats men and women with Wind-Dampness struggling against each other, causing severe pain in waist, knees, and whole-body joints.
Ma Huang, Bai Zhi, Dang Gui, Shao Yao, Rou Gui (Cinnamomi Cortex), Jie Geng (Platycodonis Radix), Ban Xia (Pinelliae Rhizoma), Fang Ji, Gan Cao (each 1 liang); Du Zhong (Eucommiae Cortex), Niu Xi (Achyranthis Bidentatae Radix), Wu Yao (Linderae Radix), Zhi Ke (Aurantii Fructus Immaturus), Hou Po (Magnoliae Officinalis Cortex) (each 2 liang); Cang Zhu, Mu Gua (Chaenomelis Fructus), Qiang Huo, Bing Lang (Arecae Semen) (each 1.5 liang). Use 3 jars of Wu Hui Jiu (pure rice wine without ash). Place medicines in three cloth bags, suspend in the center of the jars, stew over water for two hours; or simmer for three days then drink the wine, three times daily. Grind the dregs into powder, make pills with wine paste the size of paulownia seeds. Take 100 pills in the morning with wine.
Tong Ning Jiu (Pain-Calming Wine): Treats mutual assault of Wind-Cold-Dampness-Fire, causing wandering pain in whole-body sinews and bones, White Tiger Li Jie (various wind pains like erysipelas/arthritis).
Dang Gui, Qin Jiao (Gentianae Macrophyllae Radix) (each 2 liang); Chuan Xiong, Bai Shao Yao (White Peony Root), Sheng Di Huang (Raw Rehmanniae Radix), Cang Zhu, Qiang Huo, Huang Qin (each 1 liang); Zhu Ling, Ze Xie, Fang Feng, Yin Chen (Ling Er/Artemisiae Scopariae Herba), Ku Shen, Hu Gu (Pantheris Os, crushed fine, boiled in wine).
For upper body pain, add Ling Xian (Notopterygii Rhizoma et Radix), Sheng Ma (Cimicifugae Rhizoma); for lower body pain, add Niu Xi, Huang Bo (Phellodendri Cortex); for arm pain, add Gui Zhi; in winter add Ma Huang; for severe pain, add Ru Xiang powder mixed in.
Place medicines in a silk bag, seal tightly for fourteen days, then take the wine. Dry the dregs, grind into powder, make pills with rice paste the size of paulownia seeds. Take 80 pills per dose on an empty stomach with wine.
Avoid foods that trigger Wind or generate Fire.
Wu Tou Zhou (Aconite Porridge): Treats Wind-Cold-Dampness Bi, numbness and insensibility. If limbs are swollen and painful, add Yi Yi Ren powder and cook/eat.
Sheng Wu Tou (Raw Aconiti Radix, ground to powder, 4 qian per dose), enter Bai Mi (Oryza Sativa Var. Glutinosa Semen, 2 he). Cook into thin porridge in a clay pot, add one spoon of Jiang Zhi (Ginger Juice) and three spoons of Bai Mi (White Honey).
Yi Han Fa (Sweating Irrigation Method): Treats Wind-Cold-Dampness Bi with unbearable whole-body severe pain.
Chun Jiu (Pure Wine, 20 jin), Chuan Jiao (Zanthoxyli Pericarpium), Gan Jiang (Zingiberis Rhizoma), Gui Xin (each 1 jin).
Grind into coarse powder, mix with 1 jin cotton wadding and 4 zhang white cloth, immerse together in wine. Simmer using horse manure or rice husk chaff for three days and nights. Take out the cloth and wadding, dry them, and re-immerse in wine until the wine is exhausted.
Grind the pepper and medicine into powder, sew into a double-layered cloth pouch, fill the pouch with the medicinal wadding, heat over charcoal fire, wrap around the painful area, reheat when cool. Perform irrigation dozens of times, wipe dry after sweating, avoid wind. (For mild cases, prepare half dosage).
Xun Zheng Fa (Fumigation and Steaming Method): Treats stagnation of Wind-Cold-Dampness in legs and knees with severe pain.
Chuan Jiao (a handful), Cong Bai (Scallion White, a handful, all crushed), Yan (Salt, a handful), Xiao Mai Fu (Wheat Bran, approx. 4-5 sheng).
Moisten with approx. one bowl each of Jiu (Wine) and Cu (Vinegar), stir-fry in a copper vessel until extremely hot. Fumigate and steam the painful area, cover thickly, lie down for one hour to induce sweating, re-stir-fry when cool. Avoid wind.
Simple Prescription: For Bi pain. Wrap tightly with cloth wadding, bake until extremely hot to reduce pain. Also treats all types of Bi pain and itching. Wu Jia Pi (Acanthopanacis Cortex, 5 liang), Nan Mu Xiang (Agarwood/Aquilaria, 2 liang). Soak in one jar of good wine in a silk bag, wrap with bamboo leaves and boil for one hour. Open and drink after seven days.