常仲明病湿痹，五七年矣。张令上涌之后，可泻五七次，其药则舟车、浚川、通经、神 、益肾，自春及
秋，必十余次方能愈。公之疾不必针灸，与令嗣皆宜涌，但腊月非其时也。欲俟春时，恐余东迈。今姑屏病之
大势，至春和时，人气在上，可再涌之以去其根。卒如所论而愈。
缪仲淳治高存之长郎，两年腹痛，服参、地、归、芍、陈皮、白术等药而愈。愈后又患臂痛，每发一处，
辄于手臂指屈伸之间，肿痛不可忍，三四日方愈。痛时在手即不能动，曰∶此即前病之余，虚火移走为害也。
立丸方，凡四五更，定服至此方全愈。生地一斤，丹皮蒸六两，萸肉八两，茯苓人乳拌蒸六两，山药八两，泽
泻六两，天冬六两，麦冬八两，五味八两，牛膝酒蒸八两，黄柏蜜炒八两，枸杞八两，砂仁二两，甘菊花八两，
何首乌一斤，虎前胫骨二对酥炙，蒺藜炒去刺十两，菟丝三两，蜜丸，每服五钱，空心白汤下。
一妇人臂痛肢挛，不能伸屈，遇寒则剧，脉紧细，正陈良甫所谓肝气虚，为风寒所中，流于血脉经络，搏
于筋，筋不荣则干急而为痛。先以舒筋汤，更以四物汤加丹皮、泽兰、白术，治之而痊。亦有臂痛不能举，或
转左右作痛，由中脘伏痰，脾气滞而不行，宜茯苓丸，或控涎丹治之。
胡县丞遍身走痛，两月后左脚面结肿，未几腿股又患一块，脉轻诊则浮，重诊迟缓，此血气不足，腠理不
密，寒邪袭虚而然。以加减小续命汤四剂，及独活寄生汤数剂，疼痛顿去。更以托里裹，倍加参、 、归、术、
百帖而愈。
施沛然治许户部赞勿患痛痹，不能步履者浃旬矣，遍治无效。诊之曰∶病得之暮不收拒，数见风露，立而
使内，扰其筋骨。许曰∶然，然未有语其因者。畴昔之夏，祝融肆虐，竹筐几床，如焚如炙，移榻露处，凉
拂拂，越女挥扇，齐姬荐席，行女坐卧，匪朝伊芳夕，岂以斯故，乃撄厥疾。曰∶无难也，当为起之。乃饮以
丹参虎骨酒，萆 蠲痹汤，不一月而病若失，步履如常矣。
蒋仲芳治张莳官，年十九，春来遍身筋骨疼痛，渐生小骨，久药不效。视其身，累累如龙眼，盖筋非骨也。
因湿邪气入筋，缩结而然，譬之颈 结核而硬，岂真骨乎？遂针委中、大椎以治其后，内关、三里以治其前，
内服当归、生地、白术、秦艽、桂枝、桑枝、炙草、羌活、米仁、牛膝、生姜，入酒三分以助药力，数日其骨
渐小，一月尽消。
刘云密治一女子，年三十外，病冬月怯寒，并头痛背重坠而痛，下引腰腿及腿肚痛甚，右臂痛不能举。医
以五积散为主，加羌活、乌药，以散凝寒而行滞，似亦近之。然但除怯寒与腰痛，而头、腿肚及右臂之痛，只
小愈耳，至背之重坠而痛，毫未减。盖止知散寒，而不知达阳，止知行胃、肾之气，而不知达胸中之阳也。夫
阳气受于胸中，而背固胸之府也。因简方书，有以姜黄为君，而用羌活、白术、甘草四分之一，乃加入附子三
分，服头饮，则诸痛去其三。再如前剂，用其三分之一，与前渣同煎，服竟而诸症霍然。此以姜黄达上焦之阳，
为其能不混于治血，且不等于治气之味也。
徐灵胎曰∶天下有治法不误，而始终无效者，此乃病气深痼，非泛然之方药所能愈也。凡病在皮毛荣卫之
间，即使病势极重，而所感之位甚浅，邪气易出。至于脏腑筋骨之痼疾，如劳怯痞膈，风痹痿厥之类，其感非
一日，其邪在脏腑筋骨，如油之入面，与正气相并，病家不知，屡易医家。医者见其不效，杂药乱投，病日深
而元气日败，遂至不救，不知此病非一二寻常之方所能愈也。今之集方书者，如风痹大症之类，前录古方数首，
后附以通治之方数首，如此而已。此等治法，岂有愈期？必当遍考此病之种类，与夫致病之根原，及变迁之情
状。并询其历来服药之误否，然后广求古今以来治此症之方，选择其内外种种治法，次第施之。又时时消息其
效否，而神明变通之，则痼疾或有可愈之理。若使执数首通治之方，屡试不效，其计遂穷，未有不误者也。故
治大症必学问深博，心思精敏，又专深久治乃能奏效。世又有极重极久之病，诸药罔效，忽服极轻淡之方而愈
者。此乃其病本有专治之方，从前皆系误治，忽遇对症之药，自然应手而痊也。
大活络丹，治一切中风瘫痪，痿痹痰厥，拘挛疼痛，痈疽流注，跌扑损伤，小儿惊痫，妇人停经。白花蛇、
乌梢蛇、威灵仙、两头尖俱酒浸，草乌、天麻、煨全蝎去毒、首乌黑豆水浸、龟板炙、麻黄、贯众、炙草、羌
活、官桂、藿香、乌药、黄连、熟地、大黄蒸、木香、沉香，以上各二两，细辛、赤芍、没药去油另研、丁香、
乳香去油另研、僵蚕、天南星姜制、青皮、骨碎补、白蔻、安息香酒熬、制附子、黄芩、蒸茯苓、香附酒洗浸
焙、元参、白术，以上各一两，防风二两半，葛根、虎胫骨炙、当归各一两半，血蝎另研七钱，地龙炙、犀角、
麝香另研、松脂各五钱，牛黄另研、冰片另研，各一钱五分，人参三两，共五十味为末，蜜丸如桂圆核大，金
箔为衣，陈酒送下。徐灵胎曰∶顽痰恶风，热毒瘀血，入于经络，非此方不能透达。凡肢体大症，必备之药
也。方书亦有活络丹，只用地龙、乳香等四五味，此乃治藜藿人实邪之方，不堪用也。
叶天士治吴某，脉弦小数，形体日瘦，口舌糜碎，肩背掣痛，肢节麻木，肤膝瘙痒，目眩晕耳鸣，已有数
年。此操持积劳，阳升内动，旅动烁筋损液，古谓壮火食气，皆阳气之化。先拟清血分中热，继当养血熄其内
风，安静勿劳，不致痿厥。生地、元参、天冬、丹参、犀角、羚羊角、连翘、竹叶心。丸方∶何首乌、生白芍、
黑芝麻、冬桑叶、天冬、女贞子、茯神、青盐。
常仲明患有湿痹，病程已有五七年。张令采用涌吐法治疗后，可以泻下五到七次，所用的药物包括舟车丸、浚川散、通经散、神芎丸、益肾丸等，从春季到秋季，必须经过十多次治疗才能痊愈。常公的病症不需要针灸，与他的儿子都适宜用涌吐法，只是腊月不是合适的时机。想要等到春天，恐怕我要向东远行。现在暂且抑制病势的大范围发展，等到春天气候温和时，人体阳气上升，可以再使用涌吐法以去除病根。最终按照这个方案治疗而痊愈。
缪仲淳治疗高存之的长子，腹痛两年，服用人参、地黄、当归、白芍、陈皮、白术等药物后痊愈。痊愈后又患手臂疼痛，每次发作一处，就在手臂手指屈伸之间，肿痛难以忍受，三四天才能缓解。疼痛时手不能动，缪氏说：这就是前病的余邪，虚火游走为害所致。立即制定丸药方，凡四五更时分，定服此方直至完全痊愈。生地黄一斤，牡丹皮蒸制六两，山茱萸八两，茯苓用人乳拌蒸六两，山药八两，泽泻六两，天冬六两，麦冬八两，五味子八两，牛膝酒蒸八两，黄柏蜜炒八两，枸杞八两，砂仁二两，甘菊花八两，何首乌一斤，虎前胫骨二对酥炙，蒺藜炒去刺十两，菟丝子三两，蜂蜜为丸，每次服用五钱，空腹用白开水送服。
一位妇人手臂疼痛肢体拘挛，不能伸屈，遇寒则加剧，脉象紧细，正是陈良甫所说的肝气虚弱，被风寒所中，流注于血脉经络，搏结于筋，筋失濡养则干枯急迫而为痛。先用舒筋汤，再用四物汤加牡丹皮、泽兰、白术，治疗而痊愈。也有手臂疼痛不能举起，或左右转动时作痛，这是由于中脘部伏痰，脾气滞涩不行，宜用茯苓丸，或控涎丹治疗。
胡县丞遍身游走疼痛，两个月后左脚面结肿，不久大腿又患一块肿块，脉轻取则浮，重取迟缓，这是血气不足，腠理不密，寒邪侵袭虚处所致。用加减小续命汤四剂，以及独活寄生汤数剂，疼痛顿时消除。再用托里散，加倍加入人参、黄芪、当归、白术，共一百帖而痊愈。
施沛然治疗许户部赞勿患痛痹，不能行走已经十天了，遍治无效。诊察后说：病得之于晚上不关闭门窗拒风，多次见到风露，站立时行房事，扰动筋骨。许某说：是的，但没有人告知病因。往年夏天，祝融（指烈日）肆虐，竹筐几床，如同焚烧炙烤，移榻露处，凉风习习，越女挥扇，齐姬荐席，行女坐卧，非朝即夕，岂因如此缘故，才染上此疾？施某说：不难，当为你治好。于是饮以丹参虎骨酒，萆薢蠲痹汤，不到一个月病若消失，步履如常。
蒋仲芳治疗张莳官，十九岁，春天来遍身筋骨疼痛，渐生小骨节，久服药无效。看他的身体，累累如龙眼核，这其实是筋而非骨。因为湿邪之气入筋，缩结而成，譬如颈部结核而硬，难道真是骨吗？遂针刺委中、大椎以治其后，内关、足三里以治其前，内服当归、生地、白术、秦艽、桂枝、桑枝、炙甘草、羌活、薏苡仁、牛膝、生姜，加入酒三分以助药力，数日其骨节渐小，一月尽消。
刘云密治疗一女子，三十多岁，病在冬天怕冷，并头痛背重坠而痛，向下牵引腰腿及小腿肚痛甚，右臂痛不能举。医生以五积散为主，加羌活、乌药，以散凝寒而行滞，似乎接近病情。然而只除去了怕冷与腰痛，而头、小腿肚及右臂之痛，只是稍愈而已，至于背部的重坠而痛，丝毫未减。大概只知道散寒，而不知道通达阳气，只知道运行胃、肾之气，而不知道通达胸中之阳。夫阳气受于胸中，而背部确实是胸之府邸。因此简阅方书，有以姜黄为君药，而用羌活、白术、甘草四分之一，于是加入附子三分，服第一煎，则诸痛去其三。再如前剂，用其三分之一，与前药渣同煎，服完而诸症霍然痊愈。这是以姜黄通达上焦之阳，因为它能不混同于治血，也不等同于治气的药味。
徐灵胎说：天下有治法无误，而始终无效的，这是病气深痼，不是泛然的方药所能治愈的。凡是病在皮毛营卫之间，即使病势极重，而所感之位很浅，邪气易出。至于脏腑筋骨之痼疾，如劳怯痞膈，风痹痿厥之类，其感受非一日，其邪在脏腑筋骨，如油之入面，与正气相并，病家不知，屡换医家。医者见其不效，杂药乱投，病日深而元气日败，遂至不救，不知此病非一二寻常之方所能治愈。现在的集方书者，如风痹大症之类，前录古方数首，后附以通治之方数首，如此而已。这种治法，哪里有痊愈之期？必当遍考此病的种类，与夫致病的根原，及变迁的情状。并询问其历来服药是否有误，然后广求古今以来治此症的方，选择其内外种种治法，次第施之。又时时斟酌其效否，而神明变通之，则痼疾或有可愈之理。若使执守数首通治之方，屡试不效，其计遂穷，未有不误的。所以治大病必学问深博，心思精敏，又专深久治乃能奏效。世上又有极重极久之病，诸药罔效，忽服极轻淡之方而愈的。这是其病本有专治之方，从前皆系误治，忽遇对症之药，自然应手而痊也。
大活络丹，治疗一切中风瘫痪，痿痹痰厥，拘挛疼痛，痈疽流注，跌扑损伤，小儿惊痫，妇人停经。白花蛇、乌梢蛇、威灵仙、两头尖俱酒浸，草乌、天麻、煨全蝎去毒、首乌黑豆水浸、龟板炙、麻黄、贯众、炙甘草、羌活、官桂、藿香、乌药、黄连、熟地黄、大黄蒸、木香、沉香，以上各二两，细辛、赤芍、没药去油另研、丁香、乳香去油另研、僵蚕、天南星姜制、青皮、骨碎补、白蔻、安息香酒熬、制附子、黄芩、蒸茯苓、香附酒洗浸焙、元参、白术，以上各一两，防风二两半，葛根、虎胫骨炙、当归各一两半，血竭另研七钱，地龙炙、犀角、麝香另研、松脂各五钱，牛黄另研、冰片另研，各一钱五分，人参三两，共五十味为末，蜜丸如桂圆核大，金箔为衣，陈酒送下。徐灵胎说：顽痰恶风，热毒瘀血，入于经络，非此方不能透达。凡肢体大病，必备之药也。方书中亦有活络丹，只用地龙、乳香等四五味，这是治疗平民百姓实邪之方，不堪使用。
叶天士治疗吴某，脉弦小数，形体日渐消瘦，口舌糜烂破碎，肩背掣痛，肢节麻木，肤膝瘙痒，目眩晕耳鸣，已有数年。这是操持积劳，阳升内动，燔灼筋损液，古谓壮火食气，皆阳气之化。先拟清血分中热，继当养血熄其内风，安静勿劳，不致痿厥。生地、元参、天冬、丹参、犀角、羚羊角、连翘、竹叶心。丸方：何首乌、生白芍、黑芝麻、冬桑叶、天冬、女贞子、茯神、青盐。
Chang Zhongming suffered from damp-bi syndrome (Dampness Bi Syndrome) for five or seven years. After Zhang Ling employed the emetic method, purgation could be performed five to seven times. The medications used included Zhouche Wan (Boat and Cart Pill), Junchuan San (Abyssal River Powder), Tongjing San (Meridian-Penetrating Powder), Shenxiong Wan (Divine Cardamom Pill), and Yishen Wan (Kidney-Nourishing Pill). From spring to autumn, more than ten treatments were necessary for recovery. Mr. Chang's condition did not require acupuncture; both he and his son were suitable candidates for emesis, though the twelfth lunar month was an inappropriate time. Wishing to wait until spring, fearing my eastward journey, I proposed temporarily suppressing the major pathogenic factors. When the spring climate became mild and human qi ascended, we could employ emesis again to eliminate the root cause. Ultimately, the treatment followed this discussion, resulting in a cure.
Miu Zhongchun treated the eldest son of Gao Cunzhi, who had suffered from abdominal pain for two years. He recovered after taking medicines such as Renshen (Ginseng Radix et Rhizoma), Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium), and Baizhu (Atractylodis Macrocephalae Rhizoma). After recovery, he developed arm pain. Each episode occurred at one spot on the arm, between the flexion and extension of fingers, with unbearable swelling and pain, resolving only after three to four days. During pain, the hand could not move. Miu stated: "This is the residual effect of the previous illness; deficient fire wandering causes harm." He immediately prepared a pill formula. Patients were instructed to take it during the fourth or fifth watch (late night/early morning) until complete recovery. The formula consisted of Shengdihuang (Rehmanniae Radix Recens) 1 jin, Danpi (Moutan Cortex) steamed 6 liang, Yurou (Corni Fructus) 8 liang, Fuling (Poria) steamed with human milk 6 liang, Shanyao (Dioscoreae Rhizoma) 8 liang, Zexie (Alismatis Rhizoma) 6 liang, Tiandong (Asparagi Radix) 6 liang, Maidong (Ophiopogonis Radix) 8 liang, Wuweizi (Schisandrae Fructus) 8 liang, Niuxi (Achyranthis Bidentatae Radix) wine-steamed 8 liang, Huangbai (Phellodendri Cortex) honey-fried 8 liang, Gouqi (Lycii Fructus) 8 liang, Sharen (Amomi Fructus) 2 liang, Ganjuhua (Chrysanthemi Flos) 8 liang, Heshouwu (Polygoni Multiflori Radix) 1 jin, Huqianjinggu (Tigris Ossis Anterior Tibialis) two pairs酥-roasted, Jili (Tribuli Fructus) stir-fried and thorns removed 10 liang, Tusizi (Cuscutae Semen) 3 liang. These were made into pills with honey. Each dose was 5 qian, taken on an empty stomach with plain boiled water.
A woman suffered from arm pain and limb spasms, unable to flex or extend. Symptoms worsened upon exposure to cold. Her pulse was tight and fine. This corresponds to Chen Liangfu’s description: liver qi deficiency, invaded by wind-cold, flowing into blood vessels and meridians, clashing with sinews. When sinews lack nourishment, they become dry and tense, causing pain. Initially treated with Shujin Tang (Sinew-Relaxing Decoction), then with Siwu Tang (Four Substances Decoction) added with Danpi (Moutan Cortex), Zelan (Leonuri Herba), and Baizhu (Atractylodis Macrocephalae Rhizoma), she recovered. Another case involved arm pain preventing elevation, or pain shifting left and right, caused by latent phlegm in the Zhongwan (CV12) region and stagnant spleen qi. Treatment with Fuling Wan (Poria Pill) or Kongxian Dan (Controlling Saliva Pill) was indicated.
County Magistrate Hu suffered from migrating pain throughout the body. Two months later, swelling appeared on the dorsum of the left foot, followed shortly by a lump on the thigh. Light palpation revealed a floating pulse; heavy palpation revealed a slow and sluggish pulse. This indicated insufficiency of blood and qi, loose interstices (couli), and invasion of cold pathogens into the deficiency. Four doses of Jiajian Xiao Ming Tang (Modified Minor Rescue Decoction) and several doses of Duhuo Jisheng Tang (Angelica Pubescens and Dogwood Decoction) eliminated the pain. Subsequently, Tuoli San (Support Interior Powder) was used with doubled amounts of Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma). After 100 doses, he recovered.
Shi Peiran treated Xu Hubu Zanwu, who suffered from painful bi syndrome (Painful Bi Syndrome) and could not walk for ten days. Previous treatments failed. Diagnosis revealed the disease originated from failing to close windows against wind at night, frequent exposure to wind and dew, and sexual intercourse while standing, disturbing the sinews and bones. Xu admitted this but noted no one had identified the cause. Shi recalled a summer when the heat was intense, forcing them to sleep outdoors under cool breezes and fans. Shi said, "It is not difficult; I will cure you." He prescribed Danshen Hugujia (Salvia and Tiger Bone Wine) and Bixie Juanbi Tang (Dioscorea Hypoglauca and Bi-Relieving Decoction). Within a month, the illness vanished, and walking returned to normal.
Jiang Zhongfang treated Zhang Shiguan, aged 19. In spring, he suffered from whole-body bone and joint pain, gradually developing small bony prominences. Long-term medication was ineffective. Examination showed lumps resembling longan seeds, which were actually contracted sinews, not true bones. Jiang attributed this to damp pathogens entering the sinews and causing contraction. He needled Weizhong (BL40) and Dazhui (GV14) to treat the posterior aspect, and Neiguan (PC6) and Zusanli (ST36) for the anterior aspect. Internally, he administered Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Baizhu (Atractylodis Macrocephalae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Guizhi (Cinnamomi Ramulus), Sangzhi (Mori Ramulus), Zhigancao (Prepared Licorice Root), Qianghuo (Notopterygii Rhizoma et Radix), Yiren (Coicis Semen), Niuxi (Achyranthis Bidentatae Radix), and Shengjiang (Zingiberis Rhizoma Recens), adding three parts wine to enhance efficacy. Within days, the bony prominences shrank, and within a month, they disappeared completely.
Liu Yunmi treated a woman over thirty who feared cold in winter, accompanied by headache, heavy dragging pain in the back, radiating pain to the waist, legs, and calves, and inability to raise her right arm. Physicians primarily used Wuji San (Five Accumulations Powder) added with Qianghuo (Notopterygii Rhizoma et Radix) and Wuyao (Linderae Radix) to disperse congealed cold and promote stagnation. While this alleviated fear of cold and lower back pain, the head, calf, and right arm pain only slightly improved, and the heavy dragging back pain remained unchanged. Liu reasoned that physicians knew how to disperse cold but failed to unblock yang qi, knowing how to move stomach and kidney qi but failing to reach the upper jiao yang. Since yang qi originates in the chest and the back is the mansion of the chest, he consulted texts finding a formula using Jianghuang (Curcumae Longae Rhizoma) as the sovereign herb, combined with Qianghuo, Baizhu, and Gancao in quarter doses. He added Fuzi (Aconiti Lateralis Radix Praeparata) 3 fen. After the first decoction, three-quarters of the pains subsided. A second dose, using one-third of the original amount and boiling with the dregs, resulted in complete recovery. Jianghuang effectively reached the upper jiao yang without confusing blood or qi treatments.
Xu Lingtai stated: "There are cases where the treatment method is correct but ineffective throughout. This occurs when pathogenic qi is deep-seated and stubborn, beyond the reach of generic prescriptions. Diseases confined to the skin, hair, ying, and wei levels, even if severe, are shallow and easily expelled. However, chronic diseases of the zang-fu, sinews, and bones, such as consumption, palpitations, distension, diaphragmatic obstruction, wind-bi, flaccidity, and tetanus, develop over time. Pathogens embed in zang-fu and sinews like oil penetrating dough, merging with healthy qi. Patients often change doctors repeatedly. Physicians seeing failure may prescribe indiscriminately, worsening the condition and depleting yuan qi until death ensues. Such stubborn diseases cannot be cured by ordinary formulas. Modern compendia often list ancient formulas for wind-bi followed by general remedies. This approach lacks a prognosis for cure. One must investigate the specific type, root cause, and progression of the disease, inquire about past medication errors, and seek comprehensive ancient and modern treatments, applying them sequentially. Constantly monitor efficacy and adapt flexibly. Stubborn diseases may then have a chance of cure. Clinging to a few general formulas leads to failure. Therefore, treating major diseases requires profound learning, sharp intellect, and persistent, specialized treatment. Additionally, extremely severe and chronic cases resistant to all medicines may suddenly recover with very mild prescriptions. This happens because the disease originally had a specific remedy, but previous treatments were incorrect. Upon encountering the correct medicine, recovery follows naturally."
Da Huoluo Dan (Great Meridian-Unblocking Pill) treats all types of stroke paralysis, flaccidity-bi, phlegm-tetanus, spasms and pain, carbuncles and sores, traumatic injuries, pediatric convulsions, and amenorrhea in women. Ingredients include Baihuashe (Bungarus multicinctus), Wushaoshe (Zaocys dhumnades), Weilingxian (Syneilesis Rhizoma), Liangtoujian (Saussureae Radix) soaked in wine; Caowu (Aconiti Radix), Tianma (Gastrodiae Rhizoma), Wei Quanxie (Scorpio) detoxified, Shouwu (Polygoni Multiflori Radix) soaked with black beans, Guiban (Testudinis Carapax et Plastrum) roasted, Mahuang (Ephedrae Herba), Guanzhong (Cyati Spora), Zhigancao (Prepared Licorice Root), Qianghuo (Notopterygii Rhizoma et Radix), Guanzi Gui (Cinnamomi Cassiae Ramulus), Huoxiang (Agastaches Herba), Wuyao (Linderae Radix), Huanglian (Coptidis Rhizoma), Shudi (Rehmanniae Radix Preparata), Dahuang (Rhei Radix et Rhizoma) steamed, Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), each 2 liang; Xixin (Asari Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), Moyao (Myrrha) defatted and ground separately, Dingxiang (Caryophylli Flos), Rushiang (Boswelliae Resina) defatted and ground separately, Jiangcan (Bombyx Batryticatus), Tiannanxing (Arisaematis Rhizoma) processed with ginger, Qingpi (Citri Reticulatae Pericarpium Viride), Gusuibu (Drynariae Rhizoma), Baiko (Cardamomi Fructus), Anshixiang (Styrax) boiled in wine, Zhifu Zi (Aconiti Radix Preparata), Huangqin (Scutellariae Radix), Zheng Fuling (Poria) steamed, Xiangfu (Cyperi Rhizoma) washed and baked in wine, Yuanshen (Scrophulariae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), each 1 liang; Fangfeng (Saposhnikoviae Radix) 2.5 liang; Gegen (Puerariae Lobatae Radix), Hu Jinggu (Tigris Ossis Tibialis) roasted, Danggui (Angelicae Sinensis Radix), each 1.5 liang; Xuexie (Dracaenae Sanguis) ground separately 7 qian; Dilong (Pheretima) roasted, Xijiao (Rhinocerotis Cornu), Shexiang (Moschus) ground separately, Songzhi (Pini Resina), each 5 qian; Niuhuang (Bovis Calculus) ground separately, Bingpian (Borneolum Syntheticum) ground separately, each 1.5 qian; Renshen (Ginseng Radix et Rhizoma) 3 liang. Fifty ingredients total, ground into powder, formed into pills the size of longan seeds with honey, coated with gold foil, taken with aged wine. Xu Lingtai commented: "Stubborn phlegm, evil wind, heat toxins, and blood stasis entering the meridians cannot be penetrated except by this formula. It is an essential medicine for major limb diseases." Other texts mention Huoluo Dan using only Dilong (Pheretima) and Rushiang (Boswelliae Resina) among four or five herbs; this is a formula for robust commoners with excess pathogens and is inadequate here.
Ye Tianshi treated Wu Mou, whose pulse was wiry and slightly rapid. His body wasted away daily. He suffered from oral and lingual ulceration, shoulder and back pulling pain, numbness in joints, itching of skin and knees, vertigo, and tinnitus for several years. This resulted from mental exertion and accumulated fatigue, causing yang to ascend and move internally, scorching sinews and damaging fluids. As the ancients said, "vigorous fire consumes qi," representing the transformation of yang qi. Initially, he formulated a prescription to clear heat from the blood level, followed by nourishing blood to extinguish internal wind. Advised rest and avoidance of labor to prevent flaccidity and tetanus. Prescription: Shengdi (Rehmanniae Radix Recens), Yuanshen (Scrophulariae Radix), Tiandong (Asparagi Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu), Lianqiao (Forsythiae Fructus), Zhuyexin (Bambusae Folium). Pill Formula: Heshouwu (Polygoni Multiflori Radix), Sheng Baishao (Paeoniae Radix Alba), Heima (Sesami Fructus Nigrum), Dong Sangye (Mori Folium), Tiandong (Asparagi Radix), Nvzhenzi (Ligustri Lucidi Fructus), Fushen (Poria cum Radix), Qingyan (Natrii Chloridum).