治风湿寒痹,举体肿满,疼痹不仁,饮食恶冷,涩涩恶寒,胸中痰满,心下塞
。(方见中风门)
夫 节,疼痛不可屈伸,身体 羸,其肿如脱,其痛如掣,流注骨节,短气自汗,头眩
,温温欲吐者,皆以风湿寒相搏而成。其痛如掣者,为寒多;肿满如脱者,为湿多; 节黄
汗出者,为风多。顾《病源》所载,饮酒当风,汗出入水,遂成斯疾。原其所因,虽涉风湿
寒,又有饮酒之说,自属不内外因。亦有不能饮酒而患此者,要当推求所因,分其先后轻重
为治。久而不治,令人骨节蹉跌,变为癫病,不可不知。
治诸肢节疼痛,身体 羸,脚肿如脱,头眩短气,温温欲吐。
桂心 知母 防风(各四两) 芍药 甘草(炙) 麻黄(去节) 附子(炮去皮脐,各三两)
上为锉散。每服四钱,水一盏半,姜五片,煎七分,去滓,空腹服。一法,有白术、川
芎、杏仁、半夏。
治病 节,痛不可屈伸。
乌头(五枚,锉,以蜜二升煎取一升,去乌头) 甘草(炙) 麻黄(去节) 芍药 黄
上为锉散。每服四钱,水二盏,煎至七分,去滓,投前蜜煎一合,空腹温服。《千金》
有老姜、桂心、大枣,无黄 、麻黄,治寒疝,腹中绞痛,贼风入腹攻五脏,拘急不得转侧
,叫呼发作有时,使人手足厥冷。
治疗风湿寒痹,全身肿胀满闷,疼痛麻木不知痛痒,饮食厌恶寒冷,瑟瑟怕冷,胸中痰饮壅盛,心窝部痞塞不通。(方剂见中风门)
关节疼痛,不可屈伸,身体消瘦羸弱,肿胀感觉像要脱落一样,疼痛感觉像被牵引掣动,病邪流注于骨节之间,气短自汗,头晕目眩,心中泛恶欲吐,这些都是由风、湿、寒三气相互搏结而形成的。疼痛如被牵引掣动的,是寒气偏多;肿胀满闷像要脱落的,是湿气偏多;关节处流出黄色汗液的,是风气偏多。考察《诸病源候论》所载,饮酒时当风,出汗后入水,于是形成这种疾病。推究其病因,虽然涉及风、湿、寒,又有饮酒的说法,自然属于“不内外因”。也有不能饮酒却患此病的人,应当推求病因,区分先后轻重来治疗。如果久治不愈,会导致人骨节错乱变形,变为癫病,这是不可忽视的。
治疗各种肢节疼痛,身体消瘦羸弱,脚部肿胀像要脱落,头晕目眩,气短,心中泛恶欲吐。
桂心、知母、防风(各四两)、芍药、甘草(炙)、麻黄(去节)、附子(炮制,去皮脐,各三两)。
以上药物捣碎成粗散。每次服用四钱,加水一盏半,生姜五片,煎煮至七分,滤去药渣,空腹服用。另一种方法,加入白术、川芎、杏仁、半夏。
治疗关节疼痛,不可屈伸。
乌头(五枚,切碎,用蜂蜜二升煎取一升,去掉乌头)、甘草(炙)、麻黄(去节)、芍药、黄芪。
以上药物捣碎成粗散。每次服用四钱,加水二盏,煎煮至七分,滤去药渣,投入之前煎好的蜂蜜汁一合,空腹温服。《千金方》中有老姜、桂心、大枣,没有黄芪、麻黄,用于治疗寒疝,腹中绞痛,贼风侵入腹部攻冲五脏,拘急不能转侧,呼叫发作有定时,使人手足厥冷。
Treats wind-damp-cold bi-syndrome (painful obstruction syndrome caused by wind, dampness, and cold pathogens), with generalized swelling and fullness, painful numbness and insensitivity, aversion to cold in diet, shivering chills, phlegm-fullness in the chest, and stuffiness below the heart. (Formula see Wind-Stroke Section)
Joint pain, inability to flex or extend, emaciated body, swelling feeling as if detached, pain feeling as if being pulled or wrenched, pathogenic factors flowing into the bone joints, shortness of breath, spontaneous sweating, dizziness, and a sensation of nausea wanting to vomit are all caused by the struggle among wind, dampness, and cold. Pain feeling as if being pulled or wrenched indicates excess cold; swelling and fullness feeling as if detached indicates excess dampness; yellow sweat exuding from the joints indicates excess wind. According to *Zhubing Yuanhou Lun* (Source Book of All Pathologies), drinking while exposed to wind, or entering water while sweating, leads to this disease. Tracing its etiology, although it involves wind, dampness, and cold, the mention of drinking alcohol classifies it under "neither internal nor external causes" (Bu Nei Wai Yin). There are also those who suffer from this without drinking alcohol; one must investigate the cause and treat according to priority and severity. If left untreated for a long time, it causes dislocation of bone joints and transforms into epilepsy, which must not be ignored.
Treats various joint pains, emaciated body, swollen feet feeling as if detached, dizziness, shortness of breath, and a sensation of nausea wanting to vomit.
Guixin (Cinnamon Heart), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 4 liang), Shaoyao (Paeoniae Radix Alba), Gancao (Licorice Root, honey-fried), Mahuang (Ephedrae Herba, nodes removed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and bud removed, each 3 liang).
The above are ground into coarse powder. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of ginger, decoct until reduced to 0.7 zhan, strain, and take on an empty stomach. Another method includes Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xingren (Armeniacae Semen Amarum), and Banxia (Pinelliae Rhizoma).
Treats joint pain, inability to flex or extend.
Wutou (Aconiti Radix, 5 pieces, chopped, decocted with 2 sheng of honey until 1 sheng remains, discard Wutou), Gancao (Licorice Root, honey-fried), Mahuang (Ephedrae Herba, nodes removed), Shaoyao (Paeoniae Radix Alba), Huangqi (Astragali Radix).
The above are ground into coarse powder. Take 4 qian per dose, add 2 zhan of water, decoct until reduced to 0.7 zhan, strain, and add 1 he of the previously prepared honey decoction, take warm on an empty stomach. *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) contains old ginger, Guixin (Cinnamon Heart), and Dazao (Jujubae Fructus), but no Huangqi (Astragali Radix) or Mahuang (Ephedrae Herba); it treats cold-han (cold cramps), colicky abdominal pain, thief-wind invading the abdomen and attacking the five zang-organs, stiffness preventing turning or side-moving, periodic crying out, causing cold extremities.