体痛乃六经俱有之证有表有里有寒有热有风有湿如太阳伤寒荣血不利身疼者宜发汗若汗后脉沉迟体痛者又宜温之
中晦身疼者白虎汤解之里寒外热身疼者先当救里而后攻表寒在三阴则脉沉身痛风在三阳则支节烦疼四逆柴胡之剂可不
审哉太阳身痛但拘急耳中湿身痛不可转侧阴毒身痛体势沉重宛如被杖以此别之
太阳（汗） 发热恶寒身体痛者属太阳病麻黄汤大青龙汤是也（方论见太阳病发热下同）若（和解）兼心下支
结者柴
胡加桂枝汤 若兼下利清谷腹胀者先以四逆温里后以桂枝发表 若尺脉迟者血少荣气不足活人先以黄 建中汤养其血
俟尺脉回却用柴胡等汤和解之
黄 建中汤方
黄 桂枝（各一钱半） 白芍药（三钱） 甘草（一钱）上四味以水一钟半姜五片枣二枚煎至八分去滓入稠饧一
大匙再煎服旧有微溏或呕者不用饧
按 热多寒少尺脉迟者荣血不足黄 建中汤夫血不足而用黄 者黄 味甘加以甘草大能生血此仲景之妙法盖稼穑
作甘甘能补胃胃为气血之海气血所从以生又内经曰无阳则阴无以生以甘益胃而生血旨哉今人但知参 为气药故表而出
之
发汗后身体痛脉沉迟者桂枝加芍药生姜人参新加汤主之
桂枝 人参（各一两半） 芍药 生姜（各二两） 甘草（一两） 大枣（六枚）上 咀每服五钱水煎温服
成 汗后身痛邪气未尽也脉沉迟荣血不足也经云其脉沉者荣气微也又云迟者荣血不足血少故也与桂枝汤以解未
尽之邪加芍药生姜人参以益不足之血
张 或云经言表邪盛脉浮而紧法当身疼痛宜以汗解之况身疼皆系表邪未尽此又加人参芍药生姜以益血何也予曰
表
邪盛则身疼血虚则身亦疼其脉浮紧者邪盛也其脉沉微者血虚也盛者损之则安虚者益之则愈仲景凡言发汗后以外无表证
里无热证止余身疼一事而已若脉稍浮盛则为表邪未尽解今言脉沉迟此血虚而致然也故加人参生姜芍药以益血
病（温）发热头痛脉反沉若不瘥身痛当救里四逆汤（论见发热）伤寒八九日风湿相搏身体疼烦不能自转侧不呕不渴
脉浮虚而涩者桂枝附子汤主之（成 伤寒与中风家至七八日再经之时则邪气多在里身必不苦疼痛今日数多复身体疼烦不
能自转侧者风湿相搏也烦者风也身疼不能自转侧者湿也经曰风则浮虚脉经曰脉来涩者为病寒湿也不呕不渴里无邪也脉
得浮虚而涩身骨疼烦知风湿但在经也与桂枝附子汤以散表中风湿）
桂枝附子汤方
桂枝（去粗皮四两） 附子（三枚炮去皮破八片） 生姜（三两切） 甘草（炙二两） 大枣（十二枚擘）上五味
以水六升煮取二升去滓分温三服（成 风在表者散以桂枝甘草之辛甘湿在经者逐以附子之辛热姜枣辛甘行荣卫通津液以
和表也）若其人大便硬小便自利者去桂枝加白术汤主之（成 桂发汗走津液此小便利大便硬为津液不足去桂加术）风湿
相搏骨节烦疼掣痛不能屈伸近之则痛剧汗出短气小便不利恶风不欲去衣或身微肿者甘草附子汤主之
甘草 白术（各一两） 桂枝（二两） 附子（一枚炮）上 咀作四剂水煎温服（活人云身肿者加防风一两悸气小
便不利者加白茯苓一两半）
阳明 病欲食小便反不利大便自调其人骨节疼翕翕如有热奄然发狂 然汗出而解者此水不胜谷气与汗共并脉紧
则愈（桂枝汤）
太阴 中风四肢烦疼阳微阴涩而长者为欲愈
少阴 病身痛手足寒骨节痛脉沉者附子汤 少阴病至四五日腹痛小便不利四肢沉重疼痛自下利者有水气用真武
汤
厥阴 大汗出热不去内拘急四肢疼又下利厥逆而恶寒者用四逆汤
身体痛下利（方论见下利条）身体痛吐利为霍乱（方论见吐利条）身体痛手足寒若脉沉但欲寐者附子汤（方论见但
欲寐）若大汗出热不去内拘急自利恶寒者四逆汤（方论见下利）若夏月中暑脉虚而渴者白虎加人参汤（方论见中暑）身
痛如被杖面目青咽痛者为阴毒升麻鳖甲去雄黄蜀椒汤（方论见阴毒）
垣 风湿相搏一身尽痛者补中益气汤加羌活防风升麻 本苍术治之如病去勿再服以诸风药损人元气而益其病故
也
海 神术汤治风湿恶寒脉紧无汗 白术汤治风湿恶风脉缓有汗（俱见伤寒发热条）
上二术汤治风湿又当随证加减其详并见痉条及白术汤神术汤二汤后
活 杏仁汤 治风湿身体疼痛恶风微肿
桂枝（二两） 麻黄（去节汤泡干） 芍药 天门冬（去心各一两） 生姜（一两半） 杏仁（二十五枚去皮尖炒）
上咀每服五钱水煎温服
垣 麻黄复煎汤 治阴室中汗出懒语四肢困倦乏力走疰疼痛乃下焦伏火不得伸浮而躁热汗出一身疼痛盖风湿相
搏也以麻黄发汗渐渐发之在经者亦宜发汗况值季春之月脉缓而迟尤宜发之令风湿去而阳气升困倦乃退血气俱得生旺也
麻黄（去节用水五盏先煎令沸去上沫渣再煎至三盏方入下药） 黄 （各二钱） 白术 人参 柴胡根 防风 生
地黄（各五分） 羌活 黄柏（各一钱） 甘草 杏仁（三个去皮尖）上 咀作一服入麻黄汤煎至一盏临卧服勿饱服
当归拈痛汤 治湿热为病身体疼痛（方见杂病身体痛门）
身体疼痛是六经（太阳、阳明、少阳、太阴、少阴、厥阴）均可能出现的证候，既有表证也有里证，既有寒证也有热证，既有风邪也有湿邪。例如太阳伤寒导致营血运行不畅引起的全身疼痛，适宜采用发汗法治疗；若发汗后出现脉象沉迟且身体疼痛的，又适宜采用温补法治疗。
李中梓指出：身体疼痛属于白虎汤证（阳明热盛）的，用白虎汤解除；属于里有寒邪而外有假热的身体疼痛，应当先救治里寒，然后再攻解表邪。寒邪在三阴经则脉象沉伏，身体疼痛如被风吹；寒邪在三阳经则四肢关节烦扰疼痛。使用四逆汤或柴胡汤等方剂时，难道可以不仔细审辨吗？
太阳病的身体疼痛仅表现为拘急不适；湿邪导致的身体疼痛则身体沉重，无法转动侧身；阴毒病导致的身体疼痛，身体感觉沉重，宛如遭受杖击，以此加以区别。
太阳病：发热、恶寒、身体疼痛的，属于太阳病，可用麻黄汤或大青龙汤治疗（方剂论述见太阳病发热条目，下同）。如果兼有心下支撑结聚感的，用柴胡加桂枝汤。如果兼有下利清谷（完谷不化）、腹胀的，先用四逆汤温里，后用桂枝汤解表。如果尺部脉象迟滞的，说明血少、荣气不足，《活人书》主张先用黄芪建中汤滋养血液，等到尺脉恢复后再用柴胡等汤剂和解。
黄芪建中汤方：
黄芪、桂枝（各一钱半），白芍药（三钱），甘草（一钱）。以上四味药，用水一钟半，加入生姜五片、大枣二枚，煎至八分，去渣，加入稠饴糖一大匙，再煎煮后服用。旧有轻微腹泻或呕吐者，不用饴糖。
按语：热多寒少、尺脉迟的，是荣血不足。黄芪建中汤中，对于血不足而使用黄芪的，是因为黄芪味甘，加上甘草，非常能够生血，这是张仲景的妙法。大概稼穑之性作甘，甘味能补益胃气，胃为气血之海，气血由此而生。又《内经》说：“没有阳气，阴精就无法生成。”用甘味补益胃气以生血，旨意深远啊！现在的人只知道人参、黄芪是补气药，所以将其发表而出之。
发汗后身体疼痛、脉象沉迟的，用桂枝加芍药生姜人参新加汤主治。
桂枝、人参（各一两半），芍药、生姜（各二两），甘草（一两），大枣（六枚）。以上药物捣碎，每次服用五钱，水煎温服。
成无己注：发汗后身体疼痛，是邪气未尽；脉象沉迟，是荣血不足。经书说：“脉象沉的，是荣气微弱。”又说：“脉象迟的，是荣血不足。”血少所致，故与桂枝汤以解除未尽之邪，加芍药、生姜、人参以补益不足的血液。
张元素曰：有人说，经书说表邪盛，脉浮而紧，法当身体疼痛，适宜用发汗法解除。况且身体疼痛都关联着表邪未尽，这里又加人参、芍药、生姜来补益血液，为什么呢？我说：表邪盛则身体疼痛，血虚也身体疼痛。脉象浮紧的是邪气盛，脉象沉微的是血虚。邪气盛的，损其邪则安；血虚的，补益它则愈。张仲景凡是说发汗后，如果没有表证，没有里热证，只剩下身体疼痛这一症状而已。如果脉象稍浮盛，则是表邪未尽解。现在说脉象沉迟，这是血虚所致，所以加人参、生姜、芍药以补益血液。
病证（温法）：发热头痛，脉象反而沉，如果不痊愈，身体疼痛，应当救里，用四逆汤（论述见发热条目）。伤寒八九日，风湿相搏，身体疼痛烦扰，不能自行转侧，不呕吐，不口渴，脉象浮虚而涩的，用桂枝附子汤主治。（成无己注：伤寒与中风患者到了七八日，再经过一经之时，邪气多在里，身体必定不苦于疼痛。今日天数多，反而身体疼痛烦扰，不能自行转侧的，是风湿相搏。烦者是风邪，身体疼痛不能转侧者是湿邪。经书说：“风则脉浮虚。”脉经说：“脉来涩的，为病寒湿。”不呕不渴，说明里没有邪气。脉得浮虚而涩，身体骨节疼痛烦扰，知道风湿仅在经络。与桂枝附子汤以疏散表中的风湿。）
桂枝附子汤方：
桂枝（去粗皮四两），附子（三枚，炮制，去皮，破成八片），生姜（三两，切），甘草（炙二两），大枣（十二枚，掰开）。以上五味药，用水六升，煮取二升，去渣，分三次温服。（成无己注：风在表的，用桂枝、甘草的辛甘发散；湿在经络的，用附子的辛热驱逐。姜、枣辛甘，通行营卫，通调津液，以调和表里。）如果其人大便硬、小便自利的，去掉桂枝，加白术汤主治。（成无己注：桂枝发汗，走津液。此小便利、大便硬，为津液不足，故去桂枝加白术。）风湿相搏，骨节烦疼，掣痛不能屈伸，靠近则疼痛剧烈，出汗，短气，小便不利，恶风，不欲脱衣，或者身体微微浮肿的，用甘草附子汤主治。
甘草、白术（各一两），桂枝（二两），附子（一枚，炮制）。以上药物捣碎，作四剂，水煎温服。（《活人书》云：身体肿的，加防风一两；心悸、小便不利的，加白茯苓一两半。）
阳明病：病人想进食，小便反而不利，大便正常，其人骨节疼痛，翕翕如有发热，忽然发狂，濈然汗出而解的，这是水不胜谷气，与水与汗共同并出，脉紧则愈（用桂枝汤）。
少阴病：身体疼痛，手足寒冷，骨节疼痛，脉象沉的，用附子汤。少阴病到四五日，腹痛，小便不利，四肢沉重疼痛，自下利的，是有水气，用真武汤。
厥阴病：大汗出，热不退，内拘急，四肢疼痛，又下利，厥逆而恶寒的，用四逆汤。
身体痛伴下利（方剂论述见下利条目）。身体痛伴吐利，为霍乱（方剂论述见吐利条目）。身体痛伴手足寒冷，若脉沉但只想睡觉的，用附子汤（方剂论述见但欲寐条目）。若大汗出，热不退，内拘急，自利，恶寒的，用四逆汤（方剂论述见下利条目）。若夏季中暑，脉虚而渴的，用白虎加人参汤（方剂论述见中暑条目）。身体痛如被杖击，面目青紫，咽痛的，为阴毒，用升麻鳖甲去雄黄蜀椒汤（方剂论述见阴毒条目）。
李杲曰：风湿相搏，一身尽痛的，用补中益气汤加羌活、防风、升麻、本、苍术治疗。如病去，不要继续服用，因为各种风药会损伤人的元气从而加重病情。
朱震亨曰：神术汤治风湿恶寒、脉紧、无汗；白术汤治风湿恶风、脉缓、有汗（均见伤寒发热条目）。
上述两种白术汤治疗风湿，又应当随证加减，详情并见痉病条目及白术汤、神术汤两方之后。
滑寿曰：杏仁汤治风湿身体疼痛、恶风、微肿。
桂枝（二两），麻黄（去节，汤泡干），芍药、天门冬（去心，各一两），生姜（一两半），杏仁（二十五枚，去皮尖，炒）。以上药物捣碎，每次服用五钱，水煎温服。
李杲曰：麻黄复煎汤治阴室中汗出、懒语、四肢困倦乏力、走疰疼痛，这是下焦伏火不得伸展，浮越而躁热，汗出一身疼痛，盖因风湿相搏。用麻黄发汗，渐渐发之，在经络的也适宜发汗。何况正值春季三月，脉缓而迟，尤其适宜发汗，令风湿去除而阳气升发，困倦乃退，血气俱得生旺。
麻黄（去节，用水五盏，先煎令沸，去上沫渣，再煎至三盏，方入下药），黄芪（各二钱），白术、人参、柴胡根、防风、生地黄（各五分），羌活、黄柏（各一钱），甘草、杏仁（三个，去皮尖）。以上药物捣碎，作一服，加入麻黄汤煎至一盏，临卧服，勿饱服。
Body pain is a syndrome present in all six channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin), manifesting as both exterior and interior syndromes, cold and heat syndromes, wind and dampness pathogenic factors. For instance, body pain caused by impaired circulation of Ying blood (Nutritive Blood) due to Taiyang Cold Damage is suitable for treatment via diaphoresis (sweating method). If, after sweating, the pulse becomes deep and slow accompanied by body pain, warming therapy should be employed.
Li Zhongzi pointed out: Body pain belonging to Baihu Tang (White Tiger Decoction) syndrome (excess heat in Yangming) should be resolved with Baihu Tang. For body pain characterized by interior cold with exterior false heat, one must first rescue the interior cold before attacking the exterior pathogen. When cold pathogens are in the three Yin channels, the pulse is deep, and body pain feels like being blown by wind; when in the three Yang channels, there is vexatious pain in the limbs and joints. Must one not carefully examine before using formulas such as Sini Tang (Frigid Extremities Decoction) or Chaihu Tang (Bupleurum Decoction)?
In Taiyang disease, body pain presents merely with stiffness and tension. Body pain caused by dampness involves heaviness of the body, making it difficult to turn or change position. Body pain from Yin Du (Yin Toxin) presents with extreme heaviness, as if beaten by a staff; these distinctions serve to differentiate the conditions.
Taiyang Disease: Fever, aversion to cold, and body pain belong to Taiyang disease, treatable with Mahuang Tang (Ephedra Decoction) or Da Qinglong Tang (Major Green Dragon Decoction) (for formula discussions, see Taiyang Disease Fever section below). If accompanied by a sensation of support and knotting beneath the heart, use Chaihu Jia Guizhi Tang (Bupleurum plus Cinnamon Twig Decoction). If accompanied by diarrhea with undigested food and abdominal distension, first warm the interior with Sini Tang, then release the exterior with Guizhi Tang (Cinnamon Twig Decoction). If the cunian pulse (radial pulse at the chi position) is slow, indicating blood deficiency and insufficient Ying Qi, *Ren Shu* suggests first nourishing blood with Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle), and only after the chi pulse recovers, use Chaihu Tang etc. for harmonization.
**Huangqi Jianzhong Tang Formula:**
Huangqi (Astragali Radix), Guizhi (Cinnamomi Ramulus) (each 1.5 qian), Baishao Yao (Paeoniae Radix Alba) (3 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian). The above four ingredients are decocted in 1 zhong (approx. 200ml) of water with 5 slices of Shengjiang (Zingiberis Rhizoma Recens) and 2 dates (Jujubae Fructus) until reduced to 0.8 zhong. Strain, add 1 large spoonful of thick maltose (Chixi), and simmer again before taking. Do not use maltose if there is a history of mild loose stools or vomiting.
Commentary: In cases of more heat than cold with a slow chi pulse, Ying blood is deficient. Using Huangqi in Huangqi Jianzhong Tang for blood deficiency relies on its sweet flavor; combined with Gancao, it greatly generates blood. This is a subtle method of Zhang Zhongjing. Generally, the nature of grain cultivation is sweet, and sweetness tonifies the Stomach. The Stomach is the sea of Qi and Blood, from which they arise. As stated in *Neijing*: "Without Yang, Yin cannot be generated." Using sweetness to tonify the Stomach to generate blood is profound. Modern practitioners only know that Renshen (Ginseng Radix) and Huangqi are Qi-tonifying herbs and thus use them to release the exterior.
After diaphoresis, if body pain persists with a deep and slow pulse, treat with Guizhi Ji Shaoyao Shengjiang Renshen Xinjia Tang (Modified Cinnamon Twig Decoction with Added Paeonia, Ginger, and Ginseng).
Guizhi (Cinnamomi Ramulus), Renshen (Ginseng Radix) (each 1.5 liang), Shaoyao (Paeoniae Radix), Shengjiang (Zingiberis Rhizoma Recens) (each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang), Dazao (Jujubae Fructus) (6 pieces). Crush the herbs. Take 5 qian per dose, decoct in water, and take warm.
Cheng Wuji commented: Body pain after sweating indicates residual pathogen; deep and slow pulse indicates deficient Ying blood. The classics state: "A deep pulse indicates weak Ying Qi" and "A slow pulse indicates deficient Ying blood." Due to blood deficiency, Guizhi Tang is used to resolve the residual pathogen, while Shaoyao, Shengjiang, and Renshen are added to replenish the deficient blood.
Zhang Yuansu said: Some argue that the classics state excess exterior pathogen leads to floating and tight pulses and body pain, suitable for diaphoresis. Since body pain relates to residual exterior pathogen, why add Renshen, Shaoyao, and Shengjiang to tonify blood? I reply: Excess exterior pathogen causes body pain; blood deficiency also causes body pain. A floating and tight pulse indicates excess pathogen; a deep and faint pulse indicates blood deficiency. Excess is cured by reducing it; deficiency is cured by tonifying it. Whenever Zhang Zhongjing mentions post-diaphoresis symptoms without exterior signs or interior heat, leaving only body pain, if the pulse is slightly floating and vigorous, the exterior pathogen is not fully resolved. Here, the deep and slow pulse indicates blood deficiency, hence the addition of Renshen, Shengjiang, and Shaoyao to tonify blood.
Disease (Warming Method): Fever, headache, but a surprisingly deep pulse. If unrelieved and body pain persists, rescue the interior with Sini Tang (discussion in Fever section). After 8-9 days of Cold Damage, if Wind-Dampness intertwines, causing vexatious body pain and inability to turn independently, without vomiting or thirst, and with a floating, deficient, and choppy pulse, treat with Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction). (Cheng Wuji commented: By day 7-8 of Cold Damage or Wind Strike, pathogens often move inward, so body pain is usually absent. Persistent vexatious pain and immobility indicate Wind-Dampness intertwining. Vexation is Wind; pain/immobility is Dampness. Classics say: "Wind yields floating and deficient pulses." Pulse classics say: "Choppy pulses indicate Cold-Dampness." No vomiting/thirst means no interior pathogen. Floating, deficient, choppy pulse with bone/joint pain confirms Wind-Dampness in the meridians. Guizhi Fuzi Tang disperses Wind-Dampness from the exterior.)
**Guizhi Fuzi Tang Formula:**
Guizhi (Cinnamomi Ramulus, remove bark, 4 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 3 pieces, processed, peeled, broken into 8 pieces), Shengjiang (Zingiberis Rhizoma Recens, 3 liang, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 2 liang), Dazao (Jujubae Fructus, 12 pieces, split). Decoct the five ingredients in 6 sheng (approx. 1200ml) of water to obtain 2 sheng. Strain and divide into three warm doses. (Cheng Wuji commented: Wind in the exterior is dispersed by the acrid-sweet nature of Guizhi and Gancao; Dampness in the meridians is driven out by the acrid-hot nature of Fuzi. Ginger and Dates, acrid-sweet, circulate Ying and Wei, regulate fluids, and harmonize the exterior.) If the patient has hard stool and spontaneous urination, remove Guizhi and add Baizhu Tang (Atractylodes Macrocephala Decoction). (Cheng Wuji commented: Guizhi induces sweating and depletes fluids. Spontaneous urination and hard stool indicate fluid deficiency; thus, remove Guizhi and add Baizhu.) If Wind-Dampness intertwines, causing vexatious joint pain, pulling pain, inability to flex/extend, severe pain upon touch, sweating, shortness of breath, dysuria, aversion to wind, reluctance to remove clothes, or slight edema, treat with Gancao Fuzi Tang (Licorice and Aconite Decoction).
Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (each 1 liang), Guizhi (Cinnamomi Ramulus, 2 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1 piece, processed). Crush and divide into four doses. Decoct in water and take warm. (*Ren Shu* notes: Add Fangfeng (Saposhnikoviae Radix) 1 liang for edema; add Baifuling (Poria) 1.5 liang for palpitations and dysuria.)
Yangming Disease: The patient desires food, yet urination is obstructed, stool is normal, bone/joint pain occurs, there is a slight fever, sudden mania ensues, followed by continuous sweating and resolution. This indicates Water failing to overcome Grain Qi, which combines with sweat. If the pulse is tight, recovery occurs (use Guizhi Tang).
Taiyin Disease: Wind Strike presenting with vexatious limb pain. A pulse that is slightly micro, slightly choppy, yet long indicates impending recovery.
Shaoyin Disease: Body pain, cold extremities, joint pain, and deep pulse indicate use of Fuzi Tang (Aconite Decoction). If Shaoyin disease progresses to day 4-5 with abdominal pain, dysuria, heavy/painful limbs, and spontaneous diarrhea, this indicates Water-Qi retention; use Zhenwu Tang (True Warrior Decoction).
Jueyin Disease: Profuse sweating, persistent fever, internal cramping, limb pain, diarrhea, cold extremities, and aversion to cold indicate use of Sini Tang.
Body Pain with Diarrhea (see Diarrhea section for formula discussion). Body Pain with Vomiting/Diarrhea indicates Huoluan (Food Poisoning/Colera); see Vomiting/Diarrhea section. Body Pain with cold extremities and deep pulse, with drowsiness, indicates Fuzi Tang (see "Desire to Sleep" section). Profuse sweating, persistent fever, internal cramping, diarrhea, and aversion to cold indicate Sini Tang (see Diarrhea section). Summerheat stroke in summer with deficient pulse and thirst indicates Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction) (see Summerheat section). Body pain as if beaten, blue complexion, sore throat indicates Yin Du (Yin Toxin); use Shengma Biejia Tang (Polygoni Multiflori and Turtle Shell Decoction, removing Xionghuang and Shujiao) (see Yin Du section).
Li Gao stated: For Wind-Dampness causing whole-body pain, use Buzhong Yiqi Tang (Middle-Boosting Qi-Rescuing Decoction) plus Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Bencao (Ligustici Wallichii Rhizoma et Radix), and Cangzhu (Atractylodis Rhizoma). Discontinue once the illness passes, as wind-dispersing herbs damage Yuan Qi and exacerbate the condition.
Zhu Danxi stated: Shenzhu Tang treats Wind-Dampness with aversion to cold, tight pulse, and anhidrosis; Baizhu Tang treats Wind-Dampness with aversion to wind, slow pulse, and hyperhidrosis (both see Fever in Cold Damage section).
These two Atractylodes-based decoctions for Wind-Dampness require modification based on symptoms; details are in the Spasm section and following the descriptions of Baizhu Tang and Shenzhu Tang.
Hua Tuo (attributed in text as 'Huo', likely referring to a specific lineage or editor note, traditionally associated with *Ren Shu* or similar compilations, here translated as per context of authorship attribution in source): Xingren Tang (Apricot Kernel Decoction) treats Wind-Dampness body pain, aversion to wind, and slight edema.
Guizhi (Cinnamomi Ramulus, 2 liang), Mahuang (Ephedrae Herba, removed nodes, boiled/dried), Shaoyao (Paeoniae Radix), Tianmendong (Asparagi Radix, removed heart) (each 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 1.5 liang), Xingren (Armeniacae Semen Amarum, 25 kernels, peeled/spiked, stir-fried). Crush. Take 5 qian per dose, decoct in water, take warm.
Li Gao stated: Mahuang Fujian Tang (Double-Decoction Ephedra Decoction) treats sweating in dark rooms, lethargy, limb fatigue/heaviness, wandering pain, caused by latent fire in the Lower Jiao unable to extend, floating/restless heat, sweating, and whole-body pain due to Wind-Dampness intertwining. Use Mahuang to induce gradual sweating; even pathogens in meridians benefit from this. Especially in spring, with slow/deep pulses, sweating is indicated to dispel Wind-Damp, raise Yang, relieve fatigue, and promote Qi/Blood vitality.
Mahuang (Ephedrae Herba, removed nodes, boil in 5 bowls water until boiling, skim foam/residue, reduce to 3 bowls, then add other herbs), Huangqi (Astragali Radix) (each 2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Chaihu Gen (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Sheng Dihuang (Rehmanniae Radix Recens) (each 5 fen), Qianghuo (Notopterygii Rhizoma et Radix), Huangbai (Phellodendri Cortex) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum, 3 kernels, peeled/spiked). Crush, make one dose. Add to the Mahuang decoction, boil to 1 bowl, take before bed, avoid full stomach.
Danggui Niantong Tang (Angelica Pain-Numbing Decoction) treats body pain due to Damp-Heat (see Miscellaneous Diseases: Body Pain section).