治历节风,四肢疼痛,如捶锻不可忍。
附子(炮,去皮脐) 干姜 芍药 茯苓 甘草(炙) 桂心(各三两) 白术(各三
两) 白
术(
上锉散。每服四大钱,水二盏煎,食前服,一方,去桂心,用干地黄二两。
治病历节痛,不可屈伸。
乌头(五枚,锉,以蜜二升煎取一升,去乌头)
甘草 麻黄(去节) 芍药 黄
上锉散。每服四钱,水盏半煎,去滓,投蜜再煎,空心服。或加老姜、桂心、大枣,不
用麻
人手
治白虎风,肢节疼痛,发则不可忍,或痒痛不得屈伸。
虎骨(炙酥,二两) 花蛇(酒浸,取肉) 天麻 防风(去芦) 川牛膝(酒浸,去
芦) 白
僵蚕
草(炙)
全
上为末。每服一钱,温酒调,不拘时服。豆淋酒亦可。
治白虎历节诸风,疼痛游走无定,状如虫噬,昼静夜剧,一切手足不测疼痛及脚痛
川乌(大八角者,三个) 全蝎(二十一个) 黑豆(二十一个) 地龙(半两,并生
用)
上为末,入麝香半字,糯糊丸,绿豆大。每服七丸,甚者十丸,夜卧令肚空,温酒下,
微出
治历节风温,解风寒暑湿之毒,亦治香港脚。(方见大方科腰痛类。)
治历节无汗,宜发汗。
羌活(一两) 华阴细辛 黄 (各半两) 麻黄(一两一分)
上锉散。每服五钱,水二盏煎,接续三四服,有汗慎外风。
治疗历节风,四肢疼痛,如同被捶打锻造一般,难以忍受。
附子(炮制,去皮和脐) 干姜 芍药 茯苓 甘草(炙) 桂心(各三两) 白术(各三两)
将上述药材切碎成散剂。每次服用四大钱,加水两盏煎煮,饭前服用。另一版本方剂,去掉桂心,改用干地黄二两。
治疗疾病引起的历节痛,关节僵硬无法屈伸。
乌头(五枚,切碎,用蜂蜜二升煎取一升,去除乌头)
甘草 麻黄(去节) 芍药 黄芪
将上述药材切碎成散剂。每次服用四钱,加水一盏半煎煮,滤去药渣,加入蜂蜜再次煎煮,空腹服用。也可以加入老姜、桂心、大枣,不使用麻黄。(注:原文此处有缺漏或异文,按常规理解保留主要结构)
治疗白虎风,肢节疼痛,发作时难以忍受,或者又痒又痛导致无法屈伸。
虎骨(炙酥,二两) 白花蛇(酒浸,取肉) 天麻 防风(去芦头) 川牛膝(酒浸,去芦头) 白僵蚕
全蝎
将上述药材研为细末。每次服用一钱,用温酒调服,不限时间服用。豆淋酒也可以。
治疗白虎历节等诸风病,疼痛游走不定,状如虫咬,白天安静夜晚加剧,一切手足不明原因的疼痛以及脚痛。
川乌(大八角形的,三个) 全蝎(二十一个) 黑豆(二十一个) 地龙(半两,均生用)
将上述药材研为细末,加入麝香半字,用糯米糊制成丸药,大小如绿豆。每次服用七丸,严重的服用十丸,夜间睡觉时保持腹部空虚,用温酒送下,微微出汗即可。
治疗历节风兼有温热之邪,解除风寒暑湿的毒邪,也治疗香港脚。(此方见大方科腰痛类。)
治疗历节风无汗症状,适宜采用发汗法。
羌活(一两) 华阴细辛 黄芪(各半两) 麻黄(一两一分)
将上述药材切碎成散剂。每次服用五钱,加水两盏煎煮,连续服用三四次,若有汗出需慎避外风。
Treatment for Li Jie Feng (Joint-Striking Wind), characterized by pain in the four limbs that is unbearable, as if beaten and forged.
Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed) [3 liang], Ganjiang (Zingiberis Rhizoma) [3 liang], Shaoyao (Paeoniae Radix Alba) [3 liang], Fuling (Poria) [3 liang], Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) [3 liang], Guixin (Cinnamomi Cortex) [3 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [3 liang].
Crush these into a powder. Take 4 qian per dose, decoct with 2 zhan of water, and take before meals. In another prescription, remove Guixin and use Dihuang (Rehmanniae Radix) 2 liang instead.
Treatment for joint pain caused by disease, where flexion and extension are impossible.
Wutou (Aconiti Radix) [5 pieces, crushed, decocted with 2 sheng of honey to obtain 1 sheng, then discard Wutou]
Gancao (Glycyrrhizae Radix et Rhizoma), Mahuang (Ephedrae Herba, nodes removed), Shaoyao (Paeoniae Radix Alba), Huangqi (Astragali Radix).
Crush these into a powder. Take 4 qian per dose, decoct with 1.5 zhan of water, filter the dregs, add honey, and decoct again. Take on an empty stomach. Alternatively, add Laojiang (Zingiberis Rhizoma Recens), Guixin (Cinnamomi Cortex), and Dazao (Jujubae Fructus); do not use Mahuang (Ephedrae Herba).
Treatment for Bai Hu Feng (White Tiger Wind), characterized by pain in the limbs and joints that is unbearable upon onset, or accompanied by itching and pain preventing flexion and extension.
Hugu (Pantheros Os, prepared until crisp) [2 liang], Huashe (Bungarus multicinctus, soaked in wine, meat taken), Tianma (Gastrodiae Rhizoma), Fangfeng (Saposhnikoviae Radix, radix tip removed), Chuan Niuxi (Achyranthis Bidentatae Radix, soaked in wine, radix tip removed), Bai Jiangcan (Bombyx Batryticatus).
Quanxie (Scorpio) [implied from context "Quan"].
Grind these into a fine powder. Take 1 qian per dose, mix with warm wine, and take at any time. Doulin Jiu (Soybean-infused wine) may also be used.
Treatment for Bai Hu Li Jie and various wind disorders, where pain migrates without fixed location, resembling insect bites, quiet during the day but severe at night, covering all unexplained pains in hands and feet as well as foot pain.
Chuanwu (Aconiti Radix, large eight-cornered type) [3 pieces], Quanxie (Scorpio) [21 pieces], Heidou (Sojae Semen Nigrum) [21 pieces], Dilong (Pheretima) [0.5 liang, all used raw].
Grind these into a fine powder, add Shexiang (Moschus) half a zi, and form pills with glutinous rice paste, sized like mung beans. Take 7 pills per dose, or 10 pills if severe. Take at night while the stomach is empty, with warm wine. Slight sweating is desired.
Treatment for Li Jie Feng with warm pathogenic factors, resolving toxins of wind-cold, summerheat, and dampness; also treats Hong Xiang Jiao (Charley Horse/Gouty Foot). (See this formula in the Large Formulas Section under Lower Back Pain.)
For Li Jie Feng presenting with no sweat, diaphoresis (sweating method) is appropriate.
Qianghuo (Notopterygii Rhizoma et Radix) [1 liang], Huayin Xixin (Asari Radix et Rhizoma from Huayin) [0.5 liang], Huangqi (Astragali Radix) [0.5 liang], Mahuang (Ephedrae Herba) [1 liang 1 fen].
Crush these into a powder. Take 5 qian per dose, decoct with 2 zhan of water. Continue taking 3-4 doses. If sweat occurs, avoid exposure to external wind.