脉∶脉浮而濡,属气血虚;关前得之,麻在上体;关后得之,麻在下也。
麻是浑身气虚也。
加味益气汤
黄 (蜜炒) 人参 白术(去芦) 陈皮 当归(各一钱) 升麻 柴胡 木香(各五分) 香附
青皮(去穣) 川芎(各八分) 桂枝(少许) 甘草(三分)
上锉一剂。姜、枣煎服。
治十指尽麻,并面目皆麻,此亦气虚也。以补中益气汤加木香、麦门冬、香附、羌活、
防风、乌药,立愈。
加味八仙汤 治手足麻木。
当归(酒浸) 川芎(七分) 白芍(八分) 熟地(酒浸,七分) 人参(六分) 白术(酒浸,四钱) 茯
苓(去皮,一钱) 陈皮(八分) 半夏(姜制,七分) 桂枝(三分) 柴胡(四分) 羌活(五分) 防风(五分)
秦艽(六分) 牛膝(六分) 甘草(炙,四分)
上锉一剂。姜、枣煎,食远服。
木是湿痰死血也。
双合汤
当归 川芎 白芍 生地黄 陈皮 半夏(姜汁炒) 茯苓(去皮,各一钱) 桃仁(去皮,八
分) 红花(三分) 白芥子(一钱) 甘草(三分)
上锉一剂。生姜三片,水煎熟,入竹沥、姜汁同服。
凡人遍身麻痹,谓之不仁,皆因气虚受风湿所致也。
祛风散
生川乌 白术 白芷(各三钱) 甘草(三钱)
上为末。酒调吞下五补丸。
五补丸
黄 (一两,蜜炒) 人参 白芍(酒炒,各五钱) 当归(二钱) 大附子(一个,面包裹煨,去皮
脐)
上为末,炼蜜为丸。用祛风散送下。
妇人手足麻痹者,七情六郁滞经络也。
开结舒经汤
紫苏 陈皮 香附 乌药 川芎 苍术(米泔制) 羌活 南星(姜制) 半夏 当归(各八
分) 桂枝 甘草(各四分)
上锉一剂。生姜三片,水煎,临服入竹沥、姜汁少许,同服。
麻骨方 自头麻至心窝而死者,或自足心麻至膝盖而死者。用人粪烧灰,用豆腐浆调饮
,即止。
又方 治症同前。用楝子烧灰研细末,每服三五钱,黄酒调下即止。
加减天麻汤 治头目四肢麻木,饮食少用,不时眼黑。
半夏(姜汤泡七次,八分) 白术(用腿白色不油者,微炒,七分) 天麻(用坚实者,纸包,
水湿煨熟,五分) 神曲(炒,五分) 南川芎(七分,西芎不用) 泽泻(五分) 陈皮(一钱) 防风(一分
茯苓(五分) 苍术(米泔制,三分) 白芷(二分) 黄 (三分) 人参(去芦,三分) 甘草(炙,三分)
上锉一剂。生姜三片,黑枣二枚,煎至八分,食远服。
脉象:脉象浮而濡软,属于气血虚弱;如果在关前(寸部)出现这种脉象,麻木出现在身体上部;如果在关后(尺部)出现这种脉象,麻木出现在身体下部。
加味益气汤
黄芪(用蜂蜜炒制) 人参 白术(去除芦头) 陈皮 当归(以上各一钱) 升麻 柴胡 木香(以上各五分) 香附 青皮(去除瓤) 川芎(以上各八分) 桂枝(少许) 甘草(三分)
以上药材锉碎为一剂。加入生姜、大枣煎煮后服用。
治疗十个手指全部麻木,以及面部和眼睛都麻木的情况,这也是气虚所致。使用补中益气汤(Buzhong Yiqi Tang, Tonifying the Middle and Augmenting Qi Decoction)加入木香、麦门冬、香附、羌活、防风、乌药,即可立即痊愈。
加味八仙汤 治疗手足麻木。
当归(用酒浸泡) 川芎(七分) 白芍(八分) 熟地黄(用酒浸泡,七分) 人参(六分) 白术(用酒浸泡,四钱) 茯苓(去除外皮,一钱) 陈皮(八分) 半夏(用姜汁炮制,七分) 桂枝(三分) 柴胡(四分) 羌活(五分) 防风(五分) 秦艽(六分) 牛膝(六分) 甘草(炙烤,四分)
以上药材锉碎为一剂。加入生姜、大枣煎煮,在饭后较长时间服用。
双合汤
当归 川芎 白芍 生地黄 陈皮 半夏(用姜汁炒制) 茯苓(去除外皮,以上各一钱) 桃仁(去除外皮,八分) 红花(三分) 白芥子(一钱) 甘草(三分)
以上药材锉碎为一剂。加入生姜三片,用水煎煮至熟,加入竹沥、姜汁一同服用。
凡是全身麻痹的,称为“不仁”(感觉丧失),都是因为气虚感受风湿之邪所致。
祛风散
生川乌 白术 白芷(以上各三钱) 甘草(三钱)
以上药材研为细末。用酒调服,并吞服五补丸。
五补丸
黄芪(一两,用蜂蜜炒制) 人参 白芍(用酒炒制,以上各五钱) 当归(二钱) 大附子(一个,用面包裹煨熟,去除外皮和脐部)
以上药材研为细末,用炼蜜制成丸剂。用祛风散送服。
妇女出现手足麻痹,是因为七情(喜、怒、忧、思、悲、恐、惊)和六郁(气、血、火、食、湿、痰郁结)导致经络阻滞。
开结舒经汤
紫苏 陈皮 香附 乌药 川芎 苍术(用米泔水炮制) 羌活 南星(用姜汁炮制) 半夏 当归(以上各八分) 桂枝 甘草(以上各四分)
以上药材锉碎为一剂。加入生姜三片,用水煎煮,临服用时加入少许竹沥、姜汁,一同服用。
麻骨方 如果从头部麻木发展到心窝处而死亡的,或者从脚心麻木发展到膝盖而死亡的。用人粪烧成灰,用豆腐浆调和饮用,麻木即可停止。
又一方 治疗的病症与上述相同。用楝树果实烧成灰研成细末,每次服用三到五钱,用黄酒调服,麻木即可停止。
加减天麻汤 治疗头目及四肢麻木,饮食减少,不时眼前发黑。
半夏(用姜汤泡七次,八分) 白术(选用腿根白色且不油腻的,微炒,七分) 天麻(选用质地坚实的,用纸包裹,用水湿润后煨熟,五分) 神曲(炒制,五分) 南川芎(七分,不用西川芎) 泽泻(五分) 陈皮(一钱) 防风(一分) 茯苓(五分) 苍术(用米泔水炮制,三分) 白芷(二分) 黄芪(三分) 人参(去除芦头,三分) 甘草(炙烤,三分)
以上药材锉碎为一剂。加入生姜三片,黑枣两枚,煎煮至剩余八分药液,在饭后较长时间服用。
Pulse: A pulse that is floating and soggy indicates deficiency of Qi and Blood. If this pulse is found at the front of the guan position (cun position), numbness occurs in the upper body; if found at the back of the guan position (chi position), numbness occurs in the lower body.
Numbness is a manifestation of systemic Qi deficiency.
Modified Yiqi Decoction (Jiawei Yiqi Tang)
Huangqi (Astragali Radix, honey-fried) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, de-radicle) Chenpi (Citri Reticulatae Pericarpium) Danggui (Angelicae Sinensis Radix) [each 1 qian] Shengma (Cimicifugae Rhizoma) Chaihu (Bupleuri Radix) Muxiang (Aucklandiae Radix) [each 5 fen] Xiangfu (Cyperi Rhizoma) Qingpi (Citri Reticulatae Pericarpium Viride, de-albedo) Chuanxiong (Ligustici Chuanxiong Rhizoma) [each 8 fen] Guizhi (Cinnamomi Ramulus) [a small amount] Gancao (Glycyrrhizae Radix et Rhizoma) [3 fen]
Crush these ingredients for one dose. Decoct with fresh ginger and jujube, and take orally.
To treat numbness in all ten fingers, as well as numbness of the face and eyes, which is also due to Qi deficiency. Use Buzhong Yiqi Decoction (Tonifying the Middle and Augmenting Qi Decoction) added with Muxiang, Maidong (Ophiopogonis Radix), Xiangfu, Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Wuyao (Linderae Radix). Recovery will be immediate.
Modified Baxian Decoction (Jiawei Baxian Tang) To treat numbness of the hands and feet.
Danggui (Angelicae Sinensis Radix, wine-soaked) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shudihuang (Rehmanniae Radix Praeparata, wine-soaked) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma, wine-soaked) Fuling (Poria) [de-cortex] Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, ginger-processed) Guizhi (Cinnamomi Ramulus) Chaihu (Bupleuri Radix) Qianghuo (Notopterygii Rhizoma et Radix) Fangfeng (Saposhnikoviae Radix) Qinjiao (Gentianae Macrophyllae Radix) Niuxi (Achyranthis Bidentatae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, roasted) [4 fen]
Crush these ingredients for one dose. Decoct with fresh ginger and jujube, and take long after meals.
Stiffness (Mu) is caused by damp-phlegm and dead blood (stasis).
Shuanghe Decoction (Double Combination Decoction)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba) Shengdihuang (Rehmanniae Radix) Chenpi (Citri Reticulatae Pericarpium) Banxia (Pinelliae Rhizoma, fried with ginger juice) Fuling (Poria) [de-cortex] [each 1 qian] Taoren (Persicae Semen) [de-skin, 8 fen] Honghua (Carthami Flos) [3 fen] Baijiezi (Sinapis Semen) [1 qian] Gancao (Glycyrrhizae Radix et Rhizoma) [3 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger, decoct with water until cooked, add Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Recens Juice), and take together.
Generalized paralysis of the whole body is called "Bu Ren" (lack of sensation). It is caused by Qi deficiency leading to susceptibility to wind-damp pathogenic factors.
Qufeng Powder (Wind-Dispersing Powder)
Sheng Chuanwu (Aconiti Radix lateralis Preparata, raw) Baizhu (Atractylodis Macrocephalae Rhizoma) Baizhi (Angelicae Dahuricae Radix) [each 3 qian] Gancao (Glycyrrhizae Radix et Rhizoma) [3 qian]
Grind into powder. Mix with wine and swallow, accompanied by Wubu Wan (Five-Tonifying Pill).
Wubu Pill (Five-Tonifying Pill)
Huangqi (Astragali Radix) [1 liang, honey-fried] Renshen (Ginseng Radix) Baishao (Paeoniae Radix Alba, wine-fried) [each 5 qian] Danggui (Angelicae Sinensis Radix) [2 qian] Da Fuzi (Aconiti Lateralis Radix Praeparata, large) [one piece, wrapped in dough and baked, skin and navel removed]
Grind into powder, make pills with refined honey. Take with Qufeng Powder.
In women, numbness of the hands and feet is caused by stagnation of the meridians due to the seven emotions and six depressions.
Kaijie Shujing Decoction (Unbinding and Meridian-Relaxing Decoction)
Zisu (Perillae Folium) Chenpi (Citri Reticulatae Pericarpium) Xiangfu (Cyperi Rhizoma) Wuyao (Linderae Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Cangzhu (Atractylodis Rhizoma, rice-water processed) Qianghuo (Notopterygii Rhizoma et Radix) Nanxing (Arisaematis Rhizoma cum Bile, ginger-processed) Banxia (Pinelliae Rhizoma) Danggui (Angelicae Sinensis Radix) [each 8 fen] Guizhi (Cinnamomi Ramulus) Gancao (Glycyrrhizae Radix et Rhizoma) [each 4 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger, decoct with water. Before taking, add a small amount of Zhuli (Bambusae Caulis in Taenia) and Jiangzhi (Zingiberis Recens Juice), and take together.
Magu Formula (Bone-Numbing Formula) For cases where numbness starts from the head and spreads to the heart pit leading to death, or starts from the sole of the foot and spreads to the knee leading to death. Burn human feces to ash, mix with tofu whey, and drink to stop the condition.
Another Prescription Treats the same symptoms. Burn Fructus Meliae Toosendan to ash, grind into fine powder. Take 3-5 qian per dose, mixed with yellow wine to stop the condition.
Modified Tianma Decoction (Jiajian Tianma Tang) To treat numbness of the head, eyes, and four limbs, reduced appetite, and frequent blackouts.
Banxia (Pinelliae Rhizoma, soaked seven times in ginger water) [8 fen] Baizhu (Atractylodis Macrocephalae Rhizoma, select white, non-greasy rhizomes, lightly fried) [7 fen] Tianma (Gastrodiae Rhizoma, select firm ones, wrap in paper, steam-wet until ripe) [5 fen] Shenqu (Massa Medicata Fermentata, fried) [5 fen] Nan Chuanxiong (Ligustici Chuanxiong Rhizoma) [7 fen, do not use Xi Chuanxiong] Zexie (Alismatis Rhizoma) [5 fen] Chenpi (Citri Reticulatae Pericarpium) [1 qian] Fangfeng (Saposhnikoviae Radix) [1 fen] Fuling (Poria) [5 fen] Cangzhu (Atractylodis Rhizoma, rice-water processed) [3 fen] Baizhi (Angelicae Dahuricae Radix) [2 fen] Huangqi (Astragali Radix) [3 fen] Renshen (Ginseng Radix) [de-radicle, 3 fen] Gancao (Glycyrrhizae Radix et Rhizoma, roasted) [3 fen]
Crush these ingredients for one dose. Add three slices of fresh ginger and two black jujubes. Decoct until 8/10 remains. Take long after meals.