体痛谓一身尽痛，伤寒、霍乱、中暑、阴毒、湿痹、痛痹，皆有体痛，但看兼证及问因诊脉而别
之。治法已分见各门，其留连难已者，于此求之。寒而一身痛者，甘草附子汤。热者，拈痛汤。内伤
劳倦饮食，兼感风湿相搏，一身尽痛者，补中益气汤加羌活、防风、升麻、 本、苍术治之。湿热相
搏，肩背沉重疼痛，上热胸膈不利，遍身疼痛，宜拈痛汤。阴室中汗出懒语，四肢困倦乏力，走注疼
痛，乃下焦伏火不得伸浮而躁热汗出，一身尽痛，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。
麻黄复煎汤主之。丹溪用苍术一两，黄柏半两，羌活、威灵仙各二钱半，姜擂服。遍身皆痛如劳证者，
《本事方》用黄 、人参、甘草、附子、（炮）羌活、木香、知母、芍药、川芎、前胡、枳壳、桔梗、白
术、当归、茯苓、半夏，（制）以上各五钱，柴胡、鳖甲（醋炙）各一两，桂心，酸枣仁各三分，杏仁（炒）
半两，上为末。每服四钱，水一盏，姜三片，枣二个，乌梅三枚，葱白三寸，同煎至七分，
空心温服。但少年虚损冷惫、老人诸疾，并皆治之。惟伤寒身体痛者不可服。活血丹与四物
苍术各半
【身体拘急】皆属寒与寒湿、风湿。经云∶诸寒收引，皆属于肾。又云∶太阴司天之政，民病寒厥拘急，初之
气，风湿相搏，民病经络拘强，关节不利。治法盖小续命汤、仲景三黄汤之类是也。
【诊】伤寒太阳经表证，六脉俱紧。阴毒伤寒，身如被杖，脉沉紧。伤寒发汗后，身体痛，气
血未和，脉弦迟。伤湿流关节，一身尽痛，风湿相搏，肢体重痛，不可转侧，脉缓。虚劳人气血虚损，
脉弦小或豁大。
身体疼痛是指全身都感到疼痛。伤寒、霍乱、中暑、阴毒、湿痹、痛痹等疾病，都会出现身体疼痛的症状，但需要结合伴随症状、询问病因以及诊察脉象来加以区分。治疗方法已在各章节中分别列出，对于那些缠绵难愈的病例，可在此处寻求治疗方案。
如果是因寒邪导致全身疼痛，使用甘草附子汤（Gancao Fuzi Tang, Licorice and Aconite Twig Decoction）。如果是热证，使用拈痛汤（Niantong Tang, Pain-Relieving Decoction）。如果是内伤劳倦或饮食不当，又兼感风湿之邪相互搏结，导致全身疼痛，使用补中益气汤（Buzhong Yiqi Tang, Tonify the Middle and Augment the Qi Decoction）加入羌活、防风、升麻、独活、苍术进行治疗。如果是湿热相互搏结，导致肩背沉重疼痛，胸膈部有热感且气机不畅，全身疼痛，适宜使用拈痛汤。如果在阴冷潮湿的环境中出汗，懒于言语，四肢困倦乏力，疼痛游走不定，这是由于下焦潜伏的火邪无法舒展上浮，导致躁热出汗、全身疼痛，这属于风湿相互搏结的情况。应当用麻黄（Ephedrae Herba, Ma Huang）发汗，逐渐地发散出来。病邪在经络者，也适宜发汗，况且正值春季三月，脉象缓而迟，尤其适宜发汗，使风湿之邪去除而阳气升发，困倦自然消退，气血得以生旺。可用麻黄复煎汤（Mahuang Fujian Tang, Ephedra Double-Decoction）主治。朱丹溪使用苍术一两，黄柏半两，羌活、威灵仙各二钱半，生姜擂汁送服。如果遍身疼痛如同虚劳证候，《本事方》使用黄芪、人参、甘草、附子（炮制）、羌活（炮制）、木香、知母、芍药、川芎、前胡、枳壳、桔梗、白术、当归、茯苓、半夏（制），以上药材各五钱，柴胡、鳖甲（醋炙）各一两，桂心、酸枣仁各三分，杏仁（炒）半两，将上述药物研为细末。每次服用四钱，加水一盏，生姜三片，大枣二个，乌梅三枚，葱白三寸，共同煎煮至七分，空腹温服。无论是少年的虚损冷惫，还是老人的各种疾病，都能治疗。唯独伤寒引起的身体疼痛不可服用。活血丹与四物汤合苍术各半。
【身体拘急】都属于寒证与寒湿、风湿。《内经》说：所有的寒性收引症状，都归属于肾。又说：太阴司天之年，民众易患寒厥和拘急，初之气时，风湿相互搏结，民众易患经络拘强，关节不利。治疗方法大概用小续命汤（Xiaoxuming Tang, Minor Rescue Life Decoction）、张仲景的三黄汤（Sanhuang Tang, Three-Yellow Decoction）之类的方剂。
【诊法】伤寒太阳经表证，六脉俱紧。阴毒伤寒，身体疼痛如被棍棒击打，脉象沉紧。伤寒发汗后，身体疼痛，气血尚未调和，脉象弦迟。湿气侵入流注关节，全身疼痛，风湿相互搏结，肢体沉重疼痛，不能转动侧身，脉象缓。虚劳人气血虚损，脉象弦小或豁大。
Body pain refers to pain throughout the entire body. Conditions such as Shanghan (Cold Damage), Huoluan (Cholera-like disorder), Zhongshu (Heatstroke), Yindu (Yin Toxin), Shibi (Damp Bi Syndrome), and Tongbi (Painful Bi Syndrome) all present with body pain; however, differentiation is made by observing accompanying symptoms, inquiring about the etiology, and examining the pulse. Treatment methods are detailed in their respective sections. For cases that are lingering and difficult to resolve, one may seek guidance here.
For body pain caused by cold, Gancao Fuzi Tang (Licorice and Aconite Twig Decoction) is used. For heat patterns, Niantong Tang (Pain-Relieving Decoction) is indicated. If the cause is internal injury from overwork or improper diet, compounded by wind-dampness pathogens interacting and binding, resulting in whole-body pain, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is prescribed with additions of Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix), and Cangzhu (Atractylodis Rhizoma). If damp-heat interacts and binds, causing heaviness and pain in the shoulders and back, heat sensation and stagnation in the chest and diaphragm, and generalized body pain, Niantong Tang is appropriate.
If sweating occurs in a cold, damp environment, accompanied by reluctance to speak, fatigue and weakness in the four limbs, and wandering pain, this indicates latent fire in the lower jiao failing to ascend and disperse, leading to restlessness, sweating, and whole-body pain; this is attributed to the interaction of wind and dampness. One should induce sweating gradually using Mahuang (Ephedrae Herba). For pathogenic factors residing in the meridians, inducing sweating is also appropriate. Especially during the third lunar month, when the pulse is slow and delayed, sweating is particularly suitable to expel wind-dampness, allow Yang qi to rise, alleviate fatigue, and promote the flourishing of blood and qi. Mahuang Fujian Tang (Ephedra Double-Decoction) is the primary treatment. Zhu Danxi used Cangzhu (Atractylodis Rhizoma) 1 liang, Huangbai (Phellodendri Cortex) 0.5 liang, Qianghuo (Notopterygii Rhizoma et Radix) and Weilingxian (Syneilesidis Herba) each 2.5 qian, taken with ginger paste.
For generalized pain resembling deficiency-fatigue syndromes, Ben Shi Fang uses Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Qianghuo (Notopterygii Rhizoma et Radix, processed), Muxiang (Aucklandiae Radix), Zhimu (Anemarrhenae Rhizoma), Shaoyao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianhu (Peucedani Radix), Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), and Banxia (Pinelliae Rhizoma Praeparata, prepared); each of the above at 5 qian; Chaihu (Bupleuri Radix) and Biejia (Testudinis Carapax et Plastrum, vinegar-fried) each at 1 liang; Guixin (Cinnamomi Ramulus) and Suanzaoren (Ziziphi Spinosae Semen) each at 3 fen; Xingren (Armeniacae Semen Amarum, stir-fried) at 0.5 liang. These are powdered. Each dose consists of 4 qian, decocted with 1 cup of water, 3 slices of ginger, 2 dates, 3 Chinese plums (Wumei), and 3 cun of scallion white, until reduced to 70%. Take warm on an empty stomach. This formula treats deficiency-cold exhaustion in youth and various ailments in the elderly, except for body pain caused by Shanghan. [Text fragment: Huoxue Dan and Siwu Tang combined with Cangzhu, half and half.]
[Physical Stiffness and Cramping] All belong to cold, cold-dampness, or wind-dampness. The Classic states: "All cold-induced contraction and pulling belong to the Kidney." It further states: "During the reign of Taiyin, people suffer from cold jue and stiffness/cramping. In the first phase of climate, wind-dampness interacts, causing people to suffer from stiff meridians and joint immobility." Treatment methods generally involve Xiaoxuming Tang (Minor Rescue Life Decoction) or Zhang Zhongjing's Sanhuang Tang (Three-Yellow Decoction).
[Diagnosis] For Shanghan exterior syndrome of the Taiyang meridian, all six pulses are tight. For Yin Toxin Shanghan, the body feels as if beaten with a club, and the pulse is deep and tight. After sweating therapy for Shanghan, if body pain persists due to unharmonized blood and qi, the pulse is wiry and slow. When dampness flows into the joints, causing whole-body pain, wind-dampness interaction leads to heavy and painful limbs unable to turn or side-bend, with a slow pulse. In deficiency-fatigue conditions with blood and qi depletion, the pulse is wiry and small or hollow and large.