脉∶脉弦者风；濡弱者湿；洪数者热；迟涩者寒，微滑者虚；牢坚者实。结则因气；散则因优，紧则因怒；
细则因悲。
麻是风，痛是寒，肿是湿。足内踝骨红肿痛者，名曰绕跸风。足外踝骨红肿痛者，名曰穿 外。两膝红肿
痛者，名曰鹤膝凤。两腿胯痛者，名曰腿 风。
肿者，名湿香港脚。湿者，筋脉弛长而软，或浮肿，或生 疮之类，谓之湿香港脚。宜利湿疏风。不肿者，名
干香港脚。干即热也，筋脉蜷缩挛痛、枯细不肿，谓之干香港脚。宜润血清燥。
无汗走注为风胜。风者脉浮，汗而愈也。拘急掣痛为寒胜，寒者脉迟，温而愈也。肿满重痛为湿胜，湿者
脉细，渗而愈也。燥渴便实为热胜，热者脉数，下而愈也。
香港脚肿痛初发者，宜先导其滞也。
羌活导滞汤 治香港脚初发，一身尽痛，或肢节肿痛，便溺阻隔，用此导引后，服当归拈痛汤，以彻其
邪。
羌活 独活 当归（各二钱） 防己（一钱半） 大黄（酒炒，四钱） 枳实（炒，一钱）
上锉一剂，水煎空心服。
香港脚肿属湿热者，宜彻其邪也。
当归拈痛汤 治湿热香港脚为病，四肢骨节烦疼、肩背沉重、胸胁不利、遍身疼痛，下注足胫，肿痛生
疮、赤肿、脓水不绝，或痒或痛，并宜服之。
羌活 当归（酒洗） 猪苓 泽泻 知母（酒炒） 白术（去芦，各五分） 人参 苦参 升麻 葛根
防风 苍术（各四分） 黄芩（酒炒） 茵陈（酒洗） 甘草（炙。各五分）
上锉一剂，水煎空心服。
香港脚热痛如火燎者，此湿热盛也。
加味二妙丸 治两足湿痹疼痛，或如火燎，从足 热起，渐至腹胯，或麻痹痿软，皆是湿热为病，此
药神效。
苍术（米泔浸一宿，切片晒干，四两） 黄柏（酒浸一宿晒干，二两） 川牛膝（去芦酒洗） 汉防己
（酒洗） 当归（酒洗） 川萆 （酒洗。各一两） 败龟板（酥炙，一两，要自毙者佳，多难得，市货多以
不效，不然，以怀熟地一两代之可也。）
上为末，酒煮面糊为丸，如梧桐子大，空心，盐汤送下。
三妙丸 治湿热香港脚，或肿痛俱可服。
苍术（冬月用四两，夏月用二两，米泔浸一宿。切片晒干） 黄柏（冬月用三两，夏月用四两，切片酒浸
一宿晒干） 川牛膝（去芦，酒洗晒干，二两）
上为末，炼蜜为丸，如梧桐子大。每服五十丸，空心盐汤下，酒亦可。
香港脚属血虚湿热者，宜除湿润燥也。
滋荣舒筋健步丸 治痰湿手足小便，血虚注下，筋软不能行步，兼痛者。
当归（酒洗，一两） 白术（去芦，二两） 熟地黄（酒洗，一两二钱） 川芎（七钱） 白芍（酒炒，
一两） 茅山苍术（米泔浸，二两） 羌活（七钱） 防风（七钱） 牛膝（去芦，酒洗，一两） 独活
（酒浸一宿，焙，七钱） 桑寄生（酒炒，六钱） 木瓜（酒浸，焙，七钱） 防己（酒浸，焙，七钱）
肉桂（浓者四钱） 一方加虎胫骨（一两酥炙）、杜仲（酒炒，一两）
上为细末，酒打糊为丸，如梧桐子大。每服百丸，空心，淡盐汤送下。天阴姜汤下，酒亦可。
神仙飞步丸 治脚膝疼痛。
当归（酒洗，一两） 川芎（八钱） 白芍（酒炒，钱半） 黄柏（酒洗） 生地（酒洗） 知母（酒洗，
炒） 苍术（米泔浸） 牛膝（去芦，酒洗） 木瓜（酒洗） 杜仲（去粗皮，姜酒炒） 薏苡仁 黄连
（酒炒） 黄芩（酒炒） 陈皮 半夏（姜汁炒） 茯苓（去皮。各一两） 防己（酒炒） 防风（去芦）
威灵仙（酒洗） 桃仁（去皮） 红花（各七钱） 肉桂 甘草（各三钱）
上为末，酒糊为丸，如梧子大。每服五七十丸，空心，盐汤下。若肝肾虚损而足无力者，用六味丸加牛膝、
杜仲、木瓜、苍术、黄柏酒炒。（方见补益。）
香港脚 热红肿痛者，此风热也。
人参败毒散 治三阳经香港脚流注，脚踝上 热赤肿，寒热如疟，自汗恶风。根据本方各一钱，加苍术、
大黄酒蒸各二钱、生姜五片，煎服。皮肤搔痒加蝉蜕。
香港脚属虚寒湿者，宜温下元也。
五积散 治风湿流注、两脚酸疼。（方见中寒。）根据本方加羌活、独活、槟榔、乌药、木香。
二十四味飞步散 治下元虚损，脚膝酸软疼痛，并寒湿风气，麻木不仁，及打伤跌损，行步艰辛。
当归 白芷 赤芍 牛膝（酒洗） 杜仲（姜汁炒） 木瓜 茯苓（去皮） 骨碎补 乌梅 何首乌
川续断 破故纸 小茴香（盐水炒） 独活 桑寄生 五加皮 苍术（米泔浸） 陈皮 防风（去芦）
天麻（各一两） 川芎 槟榔 半夏（姜汁炒，各五钱） 甘草（三钱）
上锉生姜三片，水煎热入酒一半，空心服。或用好酒五壶，煮前药服之亦可。忌生冷。
青囊药酒 治男、妇风湿相搏，腰膝疼痛，或因坐卧湿地，雨露新袭，遍身骨节疼痛，寒湿气宜服。
苍术（米泔浸炒） 乌药 牛膝（去芦） 杜仲（姜汁炒。各二两） 陈皮 浓朴（姜汁炒） 当归
枳壳（去瓤，麸炒） 独活 槟榔 木瓜（各一两） 川芎 白芍 桔梗（去芦） 白芷 茯苓（去皮）
半夏（姜汁炒） 麻黄 肉桂 防己 甘草（各一两）
上锉，以麻布袋盛之，用酒三斗，将药悬坛内，密封坛口，锅内煮一时久，然后取出，过三日后，去药，
随量饮之。渣晒干为末，酒糊为丸，如梧桐子大。每服七八十丸，空心酒送下。
追风丹 治腰腿脚膝疼痛。
苍术（米泔浸炒） 草乌（炮） 白芷 羌活 当归 赤芍 虎胫骨（各等分）
上为末，每服五七分，酒调服。为丸亦可。
二术散 治香港脚痛。
苍术（米泔浸，炒） 白术（去芦） 牛膝（酒洗。各三钱）
上锉一剂，黄酒二钟煎至一钟，空心服，出汗即愈。
香港脚肿痛属风湿者，宜外治也。
除湿汤 治香港脚疼痛，多是风湿凝注。用人言二两，水煮滚热，再入毡片剪如底样五六片，入内同煮
，令汁干为度，取出毡片晒干或焙干，裹脚板上出汗。如毡湿透，再换一片。
出令汗尽即已。
洗足汤
川椒（一两） 独活 羌活 木瓜（各五钱） 白芷（三钱） 荆芥穗（一两）
上锉剂，用水一壶，煎至半壶，倾出，去渣，于避风处温浴，洗后拭干，仍用花椒炒热，绢包裹熨患处，
或炒盐亦可，熨之。
香港脚冲心者，最为恶候也。四物汤治香港脚冲心。根据本方加炒黄柏，更于涌泉穴用附子末津唾调，捏作饼子
贴穴上。
香港脚转筋者，属血热也。四物汤治香港脚转筋。根据本方加酒炒黄芩、红花。
又方 治腿转筋，用油松节酝酒煎服。一方加乳香少许。
脚跟肿者，有痰、有血热也。脚跟热者，四物汤加黄柏、知母、牛膝之类；有痰唾者，五积散加木瓜。
两膝痛肿，脚胫枯细者，名鹤膝风也。四物汤加黄 、人参、白术、附子、牛膝、杜仲、防风、羌活、
甘草。又宜五积散加松节、杉节。
灸法 治两脚俱是青疙瘩，肿毒骨痛。用独蒜切片，铺放患处。每处一片，用艾灸二壮，去蒜，再换
再灸，至愈。
补遗方
一粒金 专治风寒暑湿香港脚，不问远年近日，一切走注疼痛不可忍，临发时空心服一丸。赶到脚面上
赤肿痛不散，再服一丸。赶至脚心中出黑汗，乃除根。如病在上，食后临卧酒下，自然出汗，定痛为验。及中
风瘫痪，麻痹不仁，手足不能屈伸，偏枯，酒下二丸，日进二服。国中风，不省人事，牙关不开，研一丸酒调
灌下，一醒是验。
白胶香（另研） 草乌（去皮脐） 五灵脂 地龙（去土） 木鳖子（捶去油。各二两五钱） 乳香
没药 当归（各七钱五分） 麝香（二钱二分） 京
墨（炙烟尽，一钱五分）
上为细末，糯米粉糊为丸，如芡实大，温酒研化一丸，神效。
膝风 陈艾 菊花。二味作护膝内，久自除患。
立患丹 治湿气两腿作痛。
艾叶（二两） 葱头（一根捣烂） 生姜（一两五钱捣烂。）
上用布共为一包，蘸极热烧酒擦患处，以痛止为度。
寒湿香港脚肿痛 花椒 陈皮（各四两）。同炒热，用绢袋装在火箱上，以脚底踏袋熏之最效。不可水洗。
一妇人，两足发热，两腿作痛，日晡热甚。余以为肝肾血虚。用加味逍遥散、六味丸五十余剂，诸症悉愈。
加味逍遥散（见妇人虚劳）；六味丸（方见补益）。
陈大尹，两腿酸软，或赤或白，足跟患肿，或痛或痒后痛，而或如无皮，或如皱裂，日晡至夜胀痛 热。
用补中益气汤加八味丸料，补其肝肾而愈。（二方俱见补益。）
一儒者，脚心发热作痒，以滚汤浸渍，溃而出水，肌体骨立，作渴吐痰。此脾肾虚而水泛为痰也。服补中
益气汤、六味丸，年余元气复而诸症愈。（方见补益。）
脉象：脉弦主风邪；脉濡弱主湿邪；脉洪数主热邪；脉迟涩主寒邪，脉微滑主虚证；脉牢坚主实证。脉结滞是因气机郁结；脉散乱是因忧思过度；脉紧束是因愤怒；脉细弱是因悲伤。
麻木是风邪所致，疼痛是寒邪所致，肿胀是湿邪所致。足内踝骨处红肿疼痛的，称为绕踝风。足外踝骨处红肿疼痛的，称为穿踝风。两膝红肿疼痛的，称为鹤膝风。两腿胯部疼痛的，称为腿风。
肿胀的，称为湿香港脚（湿热型脚气）。湿邪致病，筋脉弛缓软弱，或出现浮肿，或生疮疡等，称为湿香港脚。宜采用利湿疏风的治疗方法。不肿胀的，称为干香港脚（燥热型脚气）。干燥即代表热邪，筋脉蜷缩挛急疼痛、干枯细瘦而不肿胀，称为干香港脚。宜采用润血清燥的治疗方法。
无汗且疼痛游走不定为风邪偏胜。风邪致病脉象浮，发汗即可痊愈。拘急掣痛为寒邪偏胜，寒邪致病脉象迟，温煦即可痊愈。肿胀沉重疼痛为湿邪偏胜，湿邪致病脉象细，渗利即可痊愈。口干渴、大便实结为热邪偏胜，热邪致病脉象数，攻下即可痊愈。
羌活导滞汤：治疗香港脚初发，全身疼痛，或肢节肿痛，大小便不通畅。用此方引导积滞排出后，再服用当归拈痛汤，以彻底祛除病邪。
药材：羌活、独活、当归（各二钱）、防己（一钱半）、大黄（酒炒，四钱）、枳实（炒，一钱）。
以上药材锉碎为一剂，水煎，空腹服用。
当归拈痛汤：治疗湿热引起的香港脚病，四肢骨节烦扰疼痛、肩背沉重、胸胁部不适、全身疼痛，病邪下注于足胫，导致肿痛生疮、红肿、脓水不绝，或痒或痛，均适宜服用此方。
药材：羌活、当归（酒洗）、猪苓、泽泻、知母（酒炒）、白术（去芦头，各五分）、人参、苦参、升麻、葛根、防风、苍术（各四分）、黄芩（酒炒）、茵陈（酒洗）、甘草（炙，各五分）。
以上药材锉碎为一剂，水煎，空腹服用。
加味二妙丸：治疗两足湿痹疼痛，或如火烧，从足部发热而起，逐渐蔓延至腹部和胯部，或出现麻痹痿软，这些都是湿热致病，此药疗效神奇。
药材：苍术（米泔水浸泡一夜，切片晒干，四两）、黄柏（酒浸泡一夜晒干，二两）、川牛膝（去芦头，酒洗）、汉防己（酒洗）、当归（酒洗）、川萆薢（酒洗，各一两）、败龟板（酥炙，一两，以自然死亡的为佳，市面上很难买到，市售多无效，否则可用怀熟地黄一两代替）。
以上研为细末，用酒煮面糊制成丸药，如梧桐子大小，空腹时盐汤送服。
三妙丸：治疗湿热香港脚，无论肿痛均可服用。
药材：苍术（冬季用四两，夏季用二两，米泔水浸泡一夜，切片晒干）、黄柏（冬季用三两，夏季用四两，切片酒浸泡一夜晒干）、川牛膝（去芦头，酒洗晒干，二两）。
以上研为细末，炼蜜为丸，如梧桐子大小。每次服用五十丸，空腹盐汤送服，酒送服亦可。
滋荣舒筋健步丸：治疗痰湿阻滞手足小便不利，血虚邪气下注，筋脉软弱不能行走，兼有疼痛者。
药材：当归（酒洗，一两）、白术（去芦头，二两）、熟地黄（酒洗，一两二钱）、川芎（七钱）、白芍（酒炒，一两）、茅山苍术（米泔水浸泡，二两）、羌活（七钱）、防风（七钱）、牛膝（去芦头，酒洗，一两）、独活（酒浸泡一夜，焙干，七钱）、桑寄生（酒炒，六钱）、木瓜（酒浸泡，焙干，七钱）、防己（酒浸泡，焙干，七钱）、肉桂（浓者四钱）。一方加虎胫骨（一两，酥炙）、杜仲（酒炒，一两）。
以上研为细末，用酒打糊制成丸药，如梧桐子大小。每次服用一百丸，空腹淡盐汤送服。阴雨天气姜汤送服，酒送服亦可。
神仙飞步丸：治疗脚膝疼痛。
药材：当归（酒洗，一两）、川芎（八钱）、白芍（酒炒，钱半）、黄柏（酒洗）、生地（酒洗）、知母（酒洗，炒）、苍术（米泔水浸泡）、牛膝（去芦头，酒洗）、木瓜（酒洗）、杜仲（去粗皮，姜酒炒）、薏苡仁、黄连（酒炒）、黄芩（酒炒）、陈皮、半夏（姜汁炒）、茯苓（去皮，各一两）、防己（酒炒）、防风（去芦头）、威灵仙（酒洗）、桃仁（去皮）、红花（各七钱）、肉桂、甘草（各三钱）。
以上研为细末，酒糊为丸，如梧桐子大小。每次服用五七十丸，空腹盐汤送服。若肝肾虚损导致足部无力者，用六味丸加牛膝、杜仲、木瓜、苍术、黄柏酒炒。（方剂见补益篇。）
人参败毒散：治疗三阳经香港脚流注，脚踝上方发热赤肿，寒热往来如疟疾状，自汗恶风。根据本方每味各一钱，加苍术、大黄（酒蒸）各二钱、生姜五片，煎服。皮肤瘙痒加蝉蜕。
五积散：治疗风湿流注、两脚酸痛。（方剂见中寒篇。）根据本方加羌活、独活、槟榔、乌药、木香。
二十四味飞步散：治疗下元虚损，脚膝酸软疼痛，以及寒湿风气导致的麻木不仁，还有跌打损伤，行走艰难。
药材：当归、白芷、赤芍、牛膝（酒洗）、杜仲（姜汁炒）、木瓜、茯苓（去皮）、骨碎补、乌梅、何首乌、川续断、破故纸、小茴香（盐水炒）、独活、桑寄生、五加皮、苍术（米泔水浸泡）、陈皮、防风（去芦头）、天麻（各一两）、川芎、槟榔、半夏（姜汁炒，各五钱）、甘草（三钱）。
以上锉碎，加生姜三片，水煎，热服时加入一半酒，空腹服用。或用好酒五壶，煮前药服用亦可。忌食生冷。
青囊药酒：治疗男女风湿相搏，腰膝疼痛，或因坐卧湿地、新近遭受雨露侵袭，导致全身骨节疼痛，寒湿气重者适宜服用。
药材：苍术（米泔水浸炒）、乌药、牛膝（去芦头）、杜仲（姜汁炒，各二两）、陈皮、浓朴（姜汁炒）、当归、枳壳（去瓤，麸炒）、独活、槟榔、木瓜（各一两）、川芎、白芍、桔梗（去芦头）、白芷、茯苓（去皮）、半夏（姜汁炒）、麻黄、肉桂、防己、甘草（各一两）。
以上锉碎，装入麻布袋，用酒三斗，将药袋悬于坛内，密封坛口，在锅内煮一时辰之久，然后取出，过三天后，去掉药渣，随量饮用。药渣晒干研为细末，酒糊为丸，如梧桐子大小。每次服用七八十丸，空腹酒送服。
追风丹：治疗腰腿脚膝疼痛。
药材：苍术（米泔水浸炒）、草乌（炮制）、白芷、羌活、当归、赤芍、虎胫骨（各等分）。
以上研为细末，每次服用五七分，酒调服。制成丸药亦可。
二术散：治疗香港脚疼痛。
药材：苍术（米泔水浸，炒）、白术（去芦头）、牛膝（酒洗，各三钱）。
以上锉碎为一剂，黄酒二钟煎至一钟，空腹服用，出汗即愈。
除湿汤：治疗香港脚疼痛，多是风湿凝注所致。用人言（砒霜，剧毒，慎用）二两，水煮滚热，再放入剪成鞋底样五六片的毡片，一同煮至汁液干尽为止，取出毡片晒干或焙干，包裹脚板令其出汗。如果毡片湿透，再换一片。
待汗出尽即可停止。
洗足汤
药材：川椒（一两）、独活、羌活、木瓜（各五钱）、白芷（三钱）、荆芥穗（一两）。
以上锉碎为一剂，用水一壶，煎至半壶，倒出，去渣，在避风处温浴。洗后擦干，仍用花椒炒热，用绢包裹熨烫患处，或炒盐亦可，熨烫之。
香港脚冲心者，是最为凶险的证候。四物汤治疗香港脚冲心。根据本方加炒黄柏，更于涌泉穴用附子末与津唾调和，捏作饼子贴敷于穴位上。
香港脚转筋者，属于血热。四物汤治疗香港脚转筋。根据本方加酒炒黄芩、红花。
脚跟肿胀者，有痰湿、有血热。脚跟发热者，用四物汤加黄柏、知母、牛膝之类；有痰涎者，用五积散加木瓜。
两膝痛肿，脚胫干枯细瘦者，名为鹤膝风。用四物汤加黄芪、人参、白术、附子、牛膝、杜仲、防风、羌活、甘草。又宜用五积散加松节、杉节。
灸法：治疗双脚都是青色疙瘩，肿毒骨痛。用独蒜切片，铺放在患处。每处一片，用艾灸二壮，去掉蒜片，再换再灸，直至痊愈。
补遗方
一粒金：专治风寒暑湿香港脚，不问远年近日，一切走注疼痛不可忍受，临发作时空心服一丸。赶到脚面上赤肿痛不散，再服一丸。赶至脚心中出黑汗，乃除根。如病位在上，食后临卧时酒送服，自然出汗，定痛为有效标志。及中风瘫痪，麻痹不仁，手足不能屈伸，偏枯，酒送服二丸，每日进服两次。国中风（卒中），不省人事，牙关紧闭，研一丸酒调灌下，苏醒为有效标志。
药材：白胶香（另研）、草乌（去皮脐）、五灵脂、地龙（去土）、木鳖子（捶去油，各二两五钱）、乳香、没药、当归（各七钱五分）、麝香（二钱二分）、京墨（炙烟尽，一钱五分）。
以上研为细末，糯米粉糊为丸，如芡实大小，温酒研化一丸，神效。
立患丹：治疗湿气导致两腿作痛。
药材：艾叶（二两）、葱头（一根捣烂）、生姜（一两五钱捣烂）。
以上用布包成一包，蘸极热烧酒擦患处，以痛止为度。
寒湿香港脚肿痛：花椒、陈皮（各四两）。同炒热，用绢袋装在火箱上，以脚底踏袋熏之最有效。不可水洗。
一妇人，两足发热，两腿作痛，日晡时热甚。我认为是肝肾血虚。用加味逍遥散、六味丸五十余剂，诸症悉愈。（加味逍遥散见妇人虚劳篇；六味丸方见补益篇。）
陈大尹，两腿酸软，或赤或白，足跟患肿，或痛或痒后痛，有时如无皮，有时如皱裂，日晡至夜胀痛发热。用补中益气汤加八味丸料，补其肝肾而愈。（二方俱见补益篇。）
一儒者，脚心发热作痒，以滚汤浸渍，溃而出水，肌体骨立，作渴吐痰。这是脾肾虚而水泛为痰也。服补中益气汤、六味丸，年余元气复而诸症愈。（方见补益篇。）
Pulse: A string-like pulse (Xian Mai) indicates Wind; a soggy and weak pulse (Ru Ruo Mai) indicates Dampness; a flooding and rapid pulse (Hong Shu Mai) indicates Heat; a slow and choppy pulse (Chi Se Mai) indicates Cold, while a faint and slippery pulse (Wei Hua Mai) indicates Deficiency; a firm and hard pulse (Lao Jian Mai) indicates Excess. A knotted pulse (Jie Mai) is due to Qi stagnation; a scattered pulse (San Mai) is due to excessive worry; a tight pulse (Jin Mai) is due to anger; a fine pulse (Xi Mai) is due to sorrow.
Numbness is caused by Wind, pain by Cold, and swelling by Dampness. Redness, swelling, and pain at the medial malleolus of the foot are named "Ankle-Encircling Wind" (Rao Bi Feng). Redness, swelling, and pain at the lateral malleolus are named "Piercing Ankle Wind" (Chuan Huai Feng). Redness, swelling, and pain in both knees are named "Crane's Knee Wind" (He Xi Feng). Pain in both thighs and hips is named "Thigh Wind" (Tui Feng).
Swelling characterizes "Damp Hong Kong Foot" (Shi Xiang Gang Jiao - damp-type podagra/foot strike). Dampness causes tendons and vessels to become lax, soft, swollen, or prone to sores, known as Damp Hong Kong Foot. The treatment should promote diuresis to drain Dampness and disperse Wind. Non-swelling characterizes "Dry Hong Kong Foot" (Gan Xiang Gang Jiao - dry-type podagra/foot strike). Dryness implies Heat, with curled, contracted, painful, withered, thin, non-swollen tendons, known as Dry Hong Kong Foot. The treatment should moisten blood and clear dryness.
Absence of sweat with wandering pain indicates predominance of Wind. Wind pathology presents with a floating pulse and resolves with sweating. Cramping and pulling pain indicate predominance of Cold. Cold pathology presents with a slow pulse and resolves with warming. Swelling, fullness, and heavy pain indicate predominance of Dampness. Damp pathology presents with a fine pulse and resolves with渗利 (seeping/drainage). Dryness, thirst, and solid stool indicate predominance of Heat. Heat pathology presents with a rapid pulse and resolves with purgation.
For initial onset of Hong Kong Foot with swelling and pain, one should first guide out the stagnation.
Qianghuo Daizhi Tang (Notopterygium Decoction for Guiding Out Stagnation): Treats initial Hong Kong Foot with whole-body pain or joint swelling and pain, and obstruction of urination and defecation. After using this decoction to guide out stagnation, administer Danggui Niangong Tang (Angelica Sinensis Decoction for Relieving Pain) to thoroughly eliminate the pathogen.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix), Danggui (Angelicae Sinensis Radix) [each 2 qian], Fangji (Stephaniae Tetrandrae Radix) [1.5 qian], Dahuang (Rhei Radix et Rhizoma, stir-fried with wine) [4 qian], Zhishi (Aurantii Fructus Immaturus, stir-fried) [1 qian].
Process these ingredients into one dose, decoct in water, and take on an empty stomach.
For Hong Kong Foot swelling due to Damp-Heat, one should thoroughly eliminate the pathogen.
Danggui Niangong Tang (Angelica Sinensis Decoction for Relieving Pain): Treats Hong Kong Foot disease caused by Damp-Heat, characterized by vexing pain in limbs and joints, heaviness in shoulders and back, discomfort in chest and hypochondrium, generalized body pain, downward pouring of pathogens to shins causing swelling, pain, sores, redness, continuous pus, itching, or pain. It is suitable for all such cases.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix, washed with wine), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Zhimu (Anemarrhenae Rhizoma, stir-fried with wine), Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome head) [each 5 fen], Renshen (Ginseng Radix), Kushen (Sophorae Flavescentis Radix), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Lanceae Rhizoma) [each 4 fen], Huangqin (Scutellariae Radix, stir-fried with wine), Yinchen (Artemisiae Scopariae Herba, washed with wine), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [each 5 fen].
Process these ingredients into one dose, decoct in water, and take on an empty stomach.
For Hong Kong Foot with heat pain like burning fire, this indicates excess Damp-Heat.
Jiawei Ermiao Wan (Modified Two Marvels Pill): Treats bi-syndrome pain in both feet, or burning pain starting from the feet and spreading to abdomen and hips, or numbness and flaccidity. These are all diseases caused by Damp-Heat, and this pill is miraculous.
Ingredients: Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash overnight, sliced, dried) [4 liang], Huangbai (Phellodendri Chinensis Cortex, soaked in wine overnight, dried) [2 liang], Chuan Niuxi (Achyranthis Bidentatae Radix, remove rhizome head, washed with wine), Han Fangji (Stephaniae Tetrandrae Radix, washed with wine), Danggui (Angelicae Sinensis Radix, washed with wine), Chuan Bixie (Dioscoreae Hypoglaucae Rhizoma, washed with wine) [each 1 liang], Bai Guiban (Testudinis Carapax et Plastrum, roasted with butter) [1 liang, preferably from naturally deceased turtles; market goods are often ineffective. If unavailable, replace with Shudi Rehmanniae Radix Preparata 1 liang].
Grind into powder, make pills with wine-boiled wheat paste, size of Sophora seeds. Take on an empty stomach with salt water.
Sanmiao Wan (Three Marvels Pill): Treats Damp-Heat Hong Kong Foot; effective for both swelling and pain.
Ingredients: Cangzhu (Atractylodis Lanceae Rhizoma, 4 liang in winter, 2 liang in summer, soaked in rice wash overnight, sliced, dried), Huangbai (Phellodendri Chinensis Cortex, 3 liang in winter, 4 liang in summer, sliced, soaked in wine overnight, dried), Chuan Niuxi (Achyranthis Bidentatae Radix, remove rhizome head, washed with wine, dried) [2 liang].
Grind into powder, make pills with refined honey, size of Sophora seeds. Take 50 pills per dose on an empty stomach with salt water; wine is also acceptable.
For Hong Kong Foot due to Blood Deficiency with Damp-Heat, one should drain Dampness and moisten dryness.
Zirong Shujin Jianbu Wan (Nourishing Merit, Relaxing Tendons, Strengthening Steps Pill): Treats phlegm-dampness obstructing limbs and urination, Blood Deficiency with downward pouring, soft tendons unable to walk, accompanied by pain.
Ingredients: Danggui (Angelicae Sinensis Radix, washed with wine) [1 liang], Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome head) [2 liang], Shudi (Rehmanniae Radix Preparata, washed with wine) [1.2 liang], Chuanxiong (Ligustici Chuanxiong Rhizoma) [7 qian], Baishao (Paeoniae Radix Alba, stir-fried with wine) [1 liang], Maoshan Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash) [2 liang], Qianghuo (Notopterygii Rhizoma et Radix) [7 qian], Fangfeng (Saposhnikoviae Radix) [7 qian], Niuxi (Achyranthis Bidentatae Radix, remove rhizome head, washed with wine) [1 liang], Duohuo (Angelicae Pubescentis Radix, soaked in wine overnight, baked) [7 qian], Sangjisheng (Taxilli Herba, stir-fried with wine) [6 qian], Mugua (Chaenomelis Fructus, soaked in wine, baked) [7 qian], Fangji (Stephaniae Tetrandrae Radix, soaked in wine, baked) [7 qian], Rougui (Cinnamomi Cortex, thick pieces) [4 qian]. Another formula adds Hujinggu (Pantheris Os, roasted with butter) [1 liang] and Duzhong (Eucommiae Cortex, stir-fried with wine) [1 liang].
Grind into fine powder, make pills with wine-beaten paste, size of Sophora seeds. Take 100 pills per dose on an empty stomach with light salt water. On cloudy days, use ginger water; wine is also acceptable.
Shenxian Feibu Wan (Immortal Walking-Enhancing Pill): Treats foot and knee pain.
Ingredients: Danggui (Angelicae Sinensis Radix, washed with wine) [1 liang], Chuanxiong (Ligustici Chuanxiong Rhizoma) [8 qian], Baishao (Paeoniae Radix Alba, stir-fried with wine) [1.5 qian], Huangbai (Phellodendri Chinensis Cortex, washed with wine), Shengdi (Rehmanniae Radix, washed with wine), Zhimu (Anemarrhenae Rhizoma, washed with wine, stir-fried), Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash), Niuxi (Achyranthis Bidentatae Radix, remove rhizome head, washed with wine), Mugua (Chaenomelis Fructus, washed with wine), Duzhong (Eucommiae Cortex, remove rough bark, stir-fried with ginger and wine), Yiyiren (Coicis Semen), Huanglian (Coptidis Rhizoma, stir-fried with wine), Huangqin (Scutellariae Radix, stir-fried with wine), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Tuber, stir-fried with ginger juice), Fuling (Poria, remove skin) [each 1 liang], Fangji (Stephaniae Tetrandrae Radix, stir-fried with wine), Fangfeng (Saposhnikoviae Radix, remove rhizome head), Weilingxian (Pedalioris Herba, washed with wine), Taoren (Persicae Semen, remove skin), Honghua (Carthami Flos) [each 7 qian], Rougui (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) [each 3 qian].
Grind into powder, make pills with wine paste, size of Sophora seeds. Take 50-70 pills per dose on an empty stomach with salt water. For Liver and Kidney Deficiency causing foot weakness, use Liuwei Wan (Six-Ingredient Pill) plus Niuxi, Duzhong, Mugua, Cangzhu, Huangbai stir-fried with wine. (Formula see Tonification section.)
For Hong Kong Foot with heat, redness, swelling, and pain, this is Wind-Heat.
Renshen Baidu San (Ginseng Decoction to Overcome Toxins): Treats Hong Kong Foot flowing through the three Yang meridians, with heat and red swelling above the ankle, alternating chills and fever like malaria, spontaneous sweating, and aversion to wind. Based on this formula, take 1 qian of each ingredient, add Cangzhu and Dahuang (steamed with wine) 2 qian each, and 5 slices of Shengjiang (Zingiberis Rhizoma Recens). Decoct and take. Add Chantui (Cicadae Periostracum) for skin itching.
For Hong Kong Foot due to Deficient-Cold-Dampness, one should warm the Lower Yuan.
Wuji San (Five Accumulations Powder): Treats Wind-Dampness flowing and pouring, soreness and pain in both legs. (Formula see Middle Cold section.) Based on this formula, add Qianghuo, Duohuo, Binglang (Arecae Semen), Wuyao (Linderae Radix), Muxiang (Aucklandiae Radix).
Ershisi Wei Feibu San (Twenty-Four Ingredients Walking-Enhancing Powder): Treats Lower Yuan Deficiency, soreness, weakness, and pain in feet and knees, numbness and insensitivity due to Cold-Dampness and Wind-Qi, as well as trauma from falls and bruises, making walking difficult.
Ingredients: Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Chishao (Paeoniae Radix Rubra), Niuxi (Achyranthis Bidentatae Radix, washed with wine), Duzhong (Eucommiae Cortex, stir-fried with ginger juice), Mugua (Chaenomelis Fructus), Fuling (Poria, remove skin), Gusuibu (Drynariae Rhizoma), Wumei (Mume Fructus), Heshouwu (Polygoni Multiflori Radix), Chuanxuduan (Dipsaci Radix), Pozhuzi (Psoraleae Fructus), Xiaohuixiang (Foeniculi Fructus, stir-fried with salt water), Duohuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Herba), Wujiaopi (Acanthopanacis Cortex), Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash), Chenpi (Citri Reticulatae Pericarpium), Fangfeng (Saposhnikoviae Radix, remove rhizome head), Tianma (Gastrodiae Rhizoma) [each 1 liang], Chuanxiong (Ligustici Chuanxiong Rhizoma), Binglang (Arecae Semen), Banxia (Pinelliae Tuber, stir-fried with ginger juice) [each 5 qian], Gancao (Glycyrrhizae Radix et Rhizoma) [3 qian].
Process these ingredients, add 3 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, mix with half wine when hot, and take on an empty stomach. Alternatively, boil the herbs in 5 pots of good wine and take. Avoid raw and cold foods.
Qingnang Yaojiu (Qingnang Medicinal Wine): Treats men and women with Wind-Dampness intermingling, waist and knee pain, or pain in all joints due to sitting/lying on damp ground or recent exposure to rain and dew. Suitable for Cold-Dampness.
Ingredients: Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash and stir-fried), Wuyao (Linderae Radix), Niuxi (Achyranthis Bidentatae Radix, remove rhizome head), Duzhong (Eucommiae Cortex, stir-fried with ginger juice) [each 2 liang], Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus, remove pulp, stir-fried with bran), Duohuo (Angelicae Pubescentis Radix), Binglang (Arecae Semen), Mugua (Chaenomelis Fructus) [each 1 liang], Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Jiegeng (Platycodonis Radix, remove rhizome head), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria, remove skin), Banxia (Pinelliae Tuber, stir-fried with ginger juice), Mahuang (Ephedrae Herba), Rougui (Cinnamomi Cortex), Fangji (Stephaniae Tetrandrae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [each 1 liang].
Process these ingredients, place in a hemp bag, suspend in 3 dou of wine in a jar, seal tightly, and boil in a pot for one hour. Remove after three days, discard herbs, and drink as desired. Dry the residue, grind to powder, make pills with wine paste, size of Sophora seeds. Take 70-80 pills on an empty stomach with wine.
Zhuifeng Dan (Wind-Chasing Pill): Treats waist, leg, foot, and knee pain.
Ingredients: Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash and stir-fried), Caowu (Aconiti Radix Preparata, processed), Baizhi (Angelicae Dahuricae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Chishao (Paeoniae Radix Rubra), Hujinggu (Pantheris Os) [equal parts].
Grind into powder, take 5-7 fen per dose mixed with wine. Can also be made into pills.
Ershu San (Two Zhu Powders): Treats Hong Kong Foot pain.
Ingredients: Cangzhu (Atractylodis Lanceae Rhizoma, soaked in rice wash, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, remove rhizome head), Niuxi (Achyranthis Bidentatae Radix, washed with wine) [each 3 qian].
Process into one dose, decoct in 2 zhong of yellow wine until 1 zhong remains, take on an empty stomach. Sweating indicates cure.
For Hong Kong Foot swelling and pain due to Wind-Dampness, external treatment is appropriate.
Chushi Tang (Dampness-Draining Decoction): Treats Hong Kong Foot pain, mostly due to Wind-Dampness condensing and pouring. Use Renyan (Arsenic Trioxide, highly toxic) 2 liang, boil in water until hot. Add 5-6 pieces of felt cut like shoe soles, boil together until liquid is dry. Remove felt, dry or bake, wrap around feet to induce sweating. Replace if wet. Stop when sweat is exhausted.
Xizu Tang (Foot-Washing Decoction)
Ingredients: Chuanjiao (Sichuan Pepper) [1 liang], Duohuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Mugua (Chaenomelis Fructus) [each 5 qian], Baizhi (Angelicae Dahuricae Radix) [3 qian], Jingjie Sui (Schizonepetae Spica) [1 liang].
Process into one dose, decoct 1 pot of water until half remains. Strain, discard dregs. Bathe feet in lukewarm water in a draft-free place. After washing, dry, then stir-fry Chuanjiao until hot, wrap in silk, and apply heat compress to affected area. Stir-fried salt can also be used.
Hong Kong Foot rushing to the heart is the most malignant condition. Siwu Tang (Four Substances Decoction) treats Hong Kong Foot rushing to the heart. Based on this formula, add stir-fried Huangbai (Phellodendri Chinensis Cortex). Additionally, apply a mixture of Fuzi (Aconiti Lateralis Radix Preparata) powder and saliva to Yongquan (KI-1) acupoint as a cake.
Hong Kong Foot with tendon contraction belongs to Blood Heat. Siwu Tang (Four Substances Decoction) treats Hong Kong Foot with tendon contraction. Based on this formula, add Huangqin (Scutellariae Radix) stir-fried with wine and Honghua (Carthami Flos).
Another prescription: For leg tendon contraction, brew oil pine nodes in wine and decoct. Another formula adds a small amount of Rushxiang (Olibanum).
Heel swelling is due to Phlegm or Blood Heat. Heel heat is treated with Siwu Tang (Four Substances Decoction) plus Huangbai (Phellodendri Chinensis Cortex), Zhimu (Anemarrhenae Rhizoma), Niuxi (Achyranthis Bidentatae Radix). For Phlegm-saliva, use Wuji San (Five Accumulations Powder) plus Mugua (Chaenomelis Fructus).
Swelling and pain in both knees with withered, thin shins is named Crane's Knee Wind (He Xi Feng). Use Siwu Tang (Four Substances Decoction) plus Huangqi (Astragali Radix), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata), Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma). Also suitable is Wuji San (Five Accumulations Powder) plus Songjie (Pini Ramulus) and Shanjie (Cryptomeriae Ramulus).
Moxibustion: Treats both feet with blue nodules, swelling, toxicity, and bone pain. Slice fresh garlic, place on affected areas. Apply two moxa cones per slice. Remove garlic, replace, and continue until cured.
Supplementary Prescriptions
Yili Jin (One Grain Gold): Specifically treats Wind-Cold, Summer-Heat, and Dampness Hong Kong Foot, regardless of duration. For unbearable wandering pain, take one pill on an empty stomach at onset. If redness and swelling persist on the foot surface, take another. If black sweat appears in the sole, the root is eliminated. For upper body ailments, take with wine after meals or before bed; natural sweating and pain relief indicate efficacy. For stroke paralysis, numbness, inability to flex/extend limbs, hemiplegia, take two pills with wine, twice daily. For sudden collapse/unconsciousness, grind one pill, mix with wine, and force-feed; awakening indicates efficacy.
Ingredients: Baijiaoxiang (Agarwood Resin, separately ground), Caowu (Aconiti Radix Preparata, remove skin and navel), Wulingzhi (Trogopterori Faeces), Dilong (Pheretima, remove soil), Mubiezi (Momordicae Semen, pounded to remove oil) [each 2.5 liang], Rushxiang (Olibanum), Moyao (Myrrhae Resina), Danggui (Angelicae Sinensis Radix) [each 7.5 qian], Shexiang (Moschus) [2.2 qian], Jingmo (Beijing Ink, burned until smoke ceases) [1.5 qian].
Grind into fine powder, make pills with glutinous rice flour paste, size of Euryale seeds. Dissolve one pill in warm wine; miraculous effect.
Kifeng (Knee Wind): Chen Ai (Matured Artemisia Argyi Folium), Juhua (Chrysanthemi Flos). Place in knee guards; long-term use eliminates affliction.
Lihuan Dan (Instant Relief Pill): Treats leg pain due to Dampness.
Ingredients: Aiye (Artemisiae Argyi Folium) [2 liang], Congtou (Allii Fistulosi Bulbus, one stem, pounded), Shengjiang (Zingiberis Rhizoma Recens) [1.5 liang, pounded].
Wrap in cloth, dip in extremely hot liquor, rub on affected area until pain stops.
Cold-Damp Hong Kong Foot Swelling and Pain: Huajiao (Sichuan Pepper), Chenpi (Citri Reticulatae Pericarpium) [each 4 liang]. Stir-fry together until hot, place in silk bag on fire box, step on bag to fumigate feet. Most effective. Do not wash with water.
A woman had hot feet and painful legs, worse in late afternoon. I diagnosed Liver-Kidney Blood Deficiency. Used Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuwei Wan (Six-Ingredient Pill) for over 50 doses; all symptoms resolved. (Jiawei Xiaoyao San see Women's Consumption; Liuwei Wan see Tonification.)
Chen Dayin had sore, weak legs, sometimes red, sometimes white, swollen heels, alternating pain/itch/pain, skin peeling/cracking, distending heat pain from late afternoon to night. Used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Babai Wan (Eight-Treasure Pill) ingredients to tonify Liver-Kidney; cured. (Both formulas see Tonification.)
A scholar had hot, itching soles, ulcerated with fluid after soaking in boiling water, emaciation, thirst, and expectoration. This was Spleen-Kidney Deficiency with Water overflowing as Phlegm. Took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Wan (Six-Ingredient Pill); after more than a year, Yuan Qi recovered and symptoms resolved. (Formulas see Tonification.)