吴 风湿相搏。一身尽痛。加以堕水。外寒里热。痛极发厥。此属周痹。（周痹）
桂枝木 片姜黄 羚羊角 海桐皮 花粉 白蒺藜
又 照前方去姜黄白蒺加大豆、黄卷、木防己
鲍（四四） 风湿客邪。留于经络。上下四肢流走而痛。邪行触犯。不拘一处。古称周痹。且数十年之
久。岂区区汤散可效。凡新邪宜急散。宿邪宜缓攻。
蜣螂虫 全蝎 地龙 穿山甲 蜂房 川乌 麝香 乳香
上药制末。以无灰酒煮黑大豆汁泛丸。
杜（三三） 温暖开泄。骤冷外加。风寒湿三气交伤为痹。游走上下为楚。邪入经隧。虽汗不解。贵乎宣
通。
桂枝 杏仁 滑石 石膏 川萆 汉防己 苡仁 通草
又 经脉通而痛痹减。络中虚则痿弱无力。周身汗出。阳泄已多。岂可再用苦辛以伤阳泄气
乎。内经以筋缓为阳明脉虚。当宗此旨。
黄 防风 白术 茯苓 炙草 桂枝 当归 白芍 苡仁
又 大凡邪中于经为痹。邪中于络为痿。今痹痛全止。行走痿弱无力。经脉受伤。阳气不为护
持。法当温养通补。经旨春夏养阳。重在扶培生气耳。
黄 （四两） 茯苓（三两） 生白术（三两） 炙草 淡苁蓉（二两） 当归（三两）
牛膝（二两） 仙灵脾（二两） 虎骨胶 金毛狗脊（十二两无灰酒浸半日蒸熬膏） 胶膏为丸。
刘（三一） 濒海飓风潮湿。着于经脉之中。此为周痹。痹则气血不通。阳明之阳不主司事。食腥腻遂
不化为溏泻。病有六七年。正虚邪实。不可急攻。宜缓。
生白术 生黄 海桐皮 川桂枝木 羌活 防风
周 痛势流走而肿。后感外邪。参药不可与也。从行痹治。（行痹）
羌活 木防己 石膏 生甘草 海桐皮 杏仁
吴 寒入阴分。筋骨痛 。此为痹症。遗泄内虚。忌用表散劫真。
当归 沙苑 北细辛 桂枝木 生白术 茯苓
又 虎骨 当归 北细辛 生白术 茯苓
又 行痹入左足。
生虎骨 防己 萆 苡仁 半夏 茯苓
某（氏） 风湿发热。萃于经脉。肿痛游走。病名行痹。世俗呼为历节风是也。
桂枝 羌活 石膏 甘草 杏仁 防风
又 行痹。腹中痛便难。不知饥。
栝蒌皮 紫菀 杏仁 郁金 半夏 山栀 桑枝
俞 肩胛连及臂指。走痛而肿。一年。乃肢痹也。络虚留邪。和正祛邪。（肢痹）
黄 防风 海桐皮 生白术 归身 川羌活 片姜黄 白蒺藜
李（三四） 脉小弱。当长夏四肢痹痛。一止之后筋骨不甚舒展。此卫阳单薄。三气易袭。先用阳明流
畅气血方。
黄 生白术 汉防己 川独活 苡仁 茯苓
朱（三二） 肢痹痛频发。
羚羊角 木防己 川桂枝尖 晚蚕砂 川萆 白通草 生苡仁 茯苓
汪 冬月温暖。真气未得潜藏。邪乘内虚而伏。因惊蛰节。春阳内动。伏气乃发。初受风寒。已
从热化。兼以夜坐不眠。身中阳气。亦为泄越。医者但执风寒湿三邪合成为痹。不晓病随时
变之理。羌防葛根。再泄其阳。必致增剧矣。焉望痛缓。议用仲景木防己汤法。
木防己 石膏 桂枝 片姜黄 杏仁 桑枝
又 气中伏邪得宣。右肢痹痛已缓。血分留热壅着。左肢痛势未衰。足微肿。体质阴虚。仍以宣
通轻剂。
羚羊角 桂枝木 片姜黄 花粉 木防己 杏仁 桑皮
顾 湿热流着。四肢痹痛。
川桂枝 木防己 蚕砂 石膏 杏仁 威灵仙
某 左脉如刃。右脉缓涩。阴亏本质。暑热为疟。水谷湿气下坠。肢末遂成挛痹。今已便泻减食
畏冷。阳明气衰极矣。当缓调。勿使成疾。（寒湿）
生白术 狗脊 独活 茯苓 木防己 仙灵脾 防风 威灵仙
又 湿痹。脉络不通。用苦温渗湿小效。但汗出形寒泄泻。阳气大伤。难以湿甚生热例治。通阳
宣行以通脉络。生气周流。亦却病之义也。
生于术 附子 狗脊 苡仁 茯苓 萆
徐（十九） 长夏湿胜气阻。不饥不食。四肢痹痛。痛甚于午后子前。乃阳气被阴湿之遏。色痿黄。脉小
涩。以微通其阳。忌投劫汗。
茯苓 萆 木防己 晚蚕砂 泽泻 金毛狗脊
黎 肢腠麻痹。足膝为甚。
当归 杞子 生虎骨 油松节（各二两） 川芎 狗脊 萆 淮牛膝 仙灵脾 檀香泥
白茄根 沙苑（各一两）
火酒醇酒各半。浸七日。
某（三七） 寒湿滞于经络。身半以下筋骨不舒。二便不爽。若非迅疾飞走。不能效。蠲痛丹。
某 劳力感湿。腰痹酸痛。四肢乏力。
生杜仲 生苡仁 沙苑子 茯苓 粗桂枝木 金毛狗脊 晚蚕砂 木防己
某 十五年中。痹痛三发。述痛久流及肢节骨骱。屈曲之所皆肿赤。此寒湿变热为欲解。病在
躯壳筋骨。无害命之理。但病深沉下甚。已属阴邪。小腹胀。小溲全无。
川独活（八分） 汉防己（八分） 川熟附（八分） 粗桂枝木（一钱） 茯苓（五钱） 川萆 （一钱）
木猪苓（一钱）
又 生白术（三钱） 茯苓（三钱） 川熟附（一钱） 川独活（五分） 北细辛（一分） 汉防己（五分）
猪苓（一钱半） 泽泻（一钱）
又 阳虚湿痹。痹愈。下焦无力。用斡旋其阳。
茯苓（四两） 生白术（二两） 泡淡生干姜（一两） 肉桂（五钱）
以上四味。生研末。滚水泛丸。每早服三钱。开水下。
何（三六） 脉沉。目黄舌肿。周身四肢疹发。胃痛。肢末皆肿强。遇冷冻饮料凉即病。此久伏湿邪。阳气伤
损。议温气分以通周行之脉。
川乌头 生白术 桂枝木 茯苓 半夏 姜汁
唐（妪） 右后胁痛连腰胯。发必恶寒逆冷。暖护良久乃温。此脉络中气血不行。遂至凝塞为痛。乃
脉络之痹症。从阳维阴维论病。
鹿角霜 小茴香 当归 川桂枝 沙苑 茯苓
王 努力。经气受伤。客邪乘卫阳之疏而入。风湿阻遏经隧。为肿为痛。大汗连出。痛仍不止。而
大便反滑。其湿邪无有不伤阳气者。固卫阳以却邪。古人正治。以湿家忌汗耳。（风湿）
生于术（三钱） 防风根（五分） 生黄 （三钱） 片姜黄（一钱） 桂枝木（五分） 海桐皮（一钱）
羌活（五分） 独活（五分）
又 人参（一钱） 生于术（二钱） 黄 （三钱） 炒当归（一钱半） 川桂枝（一钱） 炙甘草（五分）
煨姜（七分） 南枣（二枚）
又 风湿肿痹。举世皆以客邪宜散。愈治愈剧。不明先因劳倦内伤也。盖邪之所凑。其气必虚。
参术益气。佐以风药。气壮托出其邪。痛斯止矣。病患自云。手足如堕如无。讵非阳微不及行
乎四末乎。此皆误治。致参药过费耳。
人参（一钱） 生于术（二钱） 黄 （二钱） 归身（一钱半） 肉桂（三分） 炙甘草（三分）
煨姜（一钱） 南枣（一枚）
又 遗泄阴伤。兼以敛摄。
人参（一钱） 生于术（二钱） 黄 （三钱） 归身（一钱） 炙草（五分） 熟地（三钱）
茯神（三钱） 五味（五分） 白芍（一钱）
（丸方）人参（二两） 黄 （四两） 茯神（二两） 杞子（二两） 鹿角霜（二两） 鹿茸（二两）
归身（三两） 炙草（一两） 菊花炭（二两） 炼蜜丸。
王 风湿痹痛。
防己 生于术 川独活 茯苓 炒黄柏 生苡仁
又 痹在四肢。
羚羊角 白蒺藜 海桐皮 滑石 大豆黄卷 苡仁
又 照前方去蒺藜苡仁加连翘青菊叶花粉。
又 羚羊角 犀角 连翘 海桐皮 大豆黄卷 花粉 姜黄 金银花
金 风湿热走痛。二便不通。此痹症也。
杏仁 木防己 寒水石 郁金 生石膏 木通
李 风湿肌肿而痛。畏热。
炒黄柏 茅术 制蒺藜 木防己 秦艽 钩藤
又 黄柏 防己 茯苓 苡仁 萆 虎骨
杨 四肢流走痹痛。风胜移走。湿凝为肿。下焦为甚。邪入阴分。蠲痛丹。
蒋（氏） 便溏食少。腰腹以下骨骱肢节沉痛。
人参 生于术 制白松香 茯苓 汉防己 北细辛 川独活 苡仁
王 身半以上属阳。风湿雨露从上而受。流入经络。与气血交混。遂为痹痛。经月来。外邪已变
火化。攻散诸法。不能取效。急宜宣通清解。毋使布及流注。
防己 姜黄 蚕砂 杏仁 石膏 滑石
毛（氏） 风湿相搏。一身肿痛。周行之气血为邪阻蔽。仿仲景木防己汤法。
木防己 石膏 杏仁 川桂枝 威灵仙 羌活
洪（四三） 湿盛生热生痰。渐有痿痹之状。乃阳明经隧为壅。不可拘执左属血右属气也。金匮云。经
热则痹。络热则痿。今有痛处。治在气分。（湿热）
生于术（三钱） 生黄 （三钱） 片姜黄（一钱） 川羌活（一钱） 半夏（一钱） 防风（五分）
加桑枝（五钱）
又 术固卫升阳。左肩胛痛未已。当治营中。以辛甘化风法。
黄 当归 炙草 防风 桂枝 肉桂
张 骨骱走注行痛。身体重着。不能转舒。此为湿痹。但阳虚之质。忌辛散苦寒药。
桂枝木 木防己 苡仁 羚羊角 大豆黄卷 杏仁 橘红
方 左脉弦大。面赤痰多。大便不爽。此劳怒动肝。令阳气不交于阴。阳维阳跷二脉无血营养。
内风烁筋。跗HT 痹痛。暮夜为甚者。厥阴旺时也。病在脉络。
金斛 晚蚕砂 汉防己 黄柏 半夏 萆
大槟榔汁
又 痛右缓。左痛。湿热未尽。液虚风动也。
生地 阿胶 龟版 豆皮 茯苓 通草
某（十九） 舌白目彩油光。腰痹痛。湿邪内蕴。尚未外达。必分利湿邪为主。
杏仁 苏梗 木防己 浓朴 茯苓皮 花粉 晚蚕砂 茵陈
吴（氏） 风湿化热。蒸于经络。周身痹痛。舌干咽燥。津液不得升降。营卫不肯宣通。怕延中痿。
生石膏 杏仁 川桂枝 苡仁 木防己
又 石膏 杏仁 木防己 炒半夏 橘红 黑山栀 姜汁 竹沥
石 脉数右大。温渐化热。灼及经络。气血交阻。而为痹痛。阳邪主动。自为游走。阳动化风。肉腠
浮肿。俗谚称为白虎历节之谓。
川桂枝 木防己 杏仁 生石膏 花粉 郁金
又 照前方去郁金加寒水石晚蚕砂通草。
又 脉大已减。右数象未平。痛缓什七。肌肤甲错。发痒。腹微满。大便不通。阳明之气未化。热未
尽去。阴已先虚。不可过剂。
麻仁 鲜生地 川斛 丹皮 寒水石 钩藤
某 久痹酿成历节。舌黄痰多。由湿邪阻着经脉。
汉防己 嫩滑石 晚蚕砂 寒水石 杏仁 苡仁 茯苓
宋 病者长夏霉天奔走。内踝重坠发斑。下焦痛起。继而筋掣。及于腰窝左臂。经云。伤于湿者。
下先受之。夫下焦奇脉不流行。内踝重着。阴维受邪。久必化热烁血。风动内舍乎肝胆。所
谓少阳行身之侧也。诊得右脉缓。左脉实。湿热混处血络之中。搜逐甚难。此由湿痹之症失
治。延为痿废沉 矣。三年病根。非仓猝迅攻。姑进先通营络。参之奇经为治。考古圣治痿痹。
独取阳明。惟通则留邪可拔耳。（湿热入血络）
鹿角霜 生白术 桂枝 茯苓 抚芎 归须 白蒺藜 黄菊花
某 初病湿热在经。久则瘀热入络。脓疡日多未已。渐而筋骨疼痛。金匮云。经热则痹。络热则
痿。数年宿病。勿事速攻。夜服蒺藜丸。
（午服）犀角 元参 连翘心 野赤豆皮 细生地 丹参 姜黄 桑枝
张（二九） 四肢经隧之中。遇天令阴晦。疼痛拘挛。痈疽疡溃脓。其病不发。疡愈病复至。抑且时常衄
鼽。经以风寒湿三气合而为痹。然经年累月。外邪留着。气血皆伤。其化为败瘀凝痰。混处经
络。盖有诸矣。倘失其治。年多气衰。延至废弃沉 。（痰血壅塞经络）
当归须（四两） 干地龙（二两） 穿山甲（二两） 白芥子（一两） 小抚芎（一两） 生
白蒺（二两）
酒水各半法丸。
沈 从来痹症。每以风寒湿三气杂感主治。召恙之不同。由乎暑 外加之湿热。水谷内蕴之
湿热。外来之邪。着于经络。内受之邪。着于腑络。故辛解汗出。热痛不减。余以急清阳明而致
小愈。病中复反者。口鼻复吸暑热也。是病后宜薄味。使阳明气爽。斯清阳流行不息。肢节脉
络舒通。而痹痿之根尽拔。至若温补而图速效。又非壮盛所宜。（暑伤气湿热入络）
人参 茯苓 半夏 广皮 生于术 枳实 川连 泽泻 竹沥姜汁法丸。
暮服白蒺藜丸。
某 冬月温舒。阳气疏豁。风邪由风池风府。流及四末。古为痹症。忽上忽下。以风为阳。阳主动
也。诊视鼻明。阳明中虚可见。却邪之剂。在乎宣通经脉。（卫阳疏风邪入络）
桂枝 羚羊角 杏仁 花粉 防己 桑枝 海桐皮 片姜黄
又 症已渐安。脉络有流通意。仲景云。经热则痹。络热则痿。知风淫于内。治以甘寒。寒可去
热。甘味不伤胃也。
甜杏仁 连翘 元参 花粉 绿豆皮 梨汁
又 余热尚留。下午足寒。晨餐颈汗。胃未调和。食不甘美。因大便微溏。不必过润。
北沙参 麦冬 川贝 川斛 陈皮 谷芽
沈（三七） 用养肝血熄风方。右指仍麻。行走则屈伸不舒。戌亥必心热烦蒸。想前法不效。杞归辛温。
吴（患者）风湿相互搏结。全身疼痛。又加上落水受寒。外有寒邪内有郁热。疼痛剧烈导致昏厥。这属于周痹。（周痹：风寒湿三气杂至，合而为痹，其风气胜者为行痹，寒气胜者为痛痹，湿气胜者为着痹。此处指疼痛游走不定之痹证）
桂枝木 片姜黄 羚羊角 海桐皮 花粉 白蒺藜
鲍（四十四岁）风湿客邪。停留在经络。上下四肢流走而痛。邪气运行触犯各处，不拘泥于一个地方。古时候称为周痹。况且已经几十年了，岂是普通的汤剂散剂可以见效的。凡是新的邪气应当急散，陈旧的邪气应当缓攻。
蜣螂虫 全蝎 地龙 穿山甲 蜂房 川乌 麝香 乳香
将上述药物制成粉末，用无灰酒煮黑大豆汁泛丸。
杜（三十三岁）温暖开泄。突然受到寒冷侵袭。风寒湿三气交加损伤身体导致痹证。游走上下感到痛苦。邪气进入经隧，虽然发汗也不能解除。关键在于宣通。
桂枝 杏仁 滑石 石膏 川萆 汉防己 苡仁 通草
又 经脉通畅后痛痹减轻。络脉空虚则痿弱无力。周身出汗，阳气泄露已经很多。怎么可以再使用苦辛的药物来伤害阳气、泄露正气呢？《内经》认为筋脉弛缓是因为阳明脉虚，应当遵循这个宗旨。
防风 白术 茯苓 炙甘草 桂枝 当归 白芍 苡仁
又 大凡邪气侵入经脉为痹，邪气侵入络脉为痿。现在痹痛完全停止，行走时痿弱无力。经脉受伤，阳气不能护持。治法应当温养通补。经旨说春夏养阳，重在扶持培补生气罢了。
黄芪（四两） 茯苓（三两） 生白术（三两） 炙甘草 淡苁蓉（二两）
牛膝（二两） 仙灵脾（二两） 虎骨胶 金毛狗脊（十二两，无灰酒浸泡半天蒸熬成膏） 胶膏和药末为丸。
刘（三十一岁）濒临海边飓风潮湿之气。附着在经脉之中。这是周痹。痹证则气血不通。阳明之阳不能主司事务。吃腥腻食物就不能消化变成溏泻。病已有六七年，正气虚弱邪气实盛，不可以急攻。应当缓治。
生白术 生黄芪 海桐皮 川桂枝木 羌活 防风
周 疼痛势态流走并且肿胀。后来感受外邪。参药不可服用。从行痹治疗。（行痹：以风邪为主，疼痛游走不定）
羌活 木防己 石膏 生甘草 海桐皮 杏仁
吴 寒邪深入阴分。筋骨疼痛。这是痹症。遗精泄泻导致内虚。忌讳使用发表发散劫夺真阴的药物。
当归 沙苑 北细辛 桂枝木 生白术 茯苓
某（姓氏）风湿发热。聚集在经脉。肿痛游走。病名叫行痹。世俗人呼为历节风。
桂枝 羌活 石膏 甘草 杏仁 防风
又 行痹。腹中痛大便难。不知道饥饿。
栝蒌皮 紫菀 杏仁 郁金 半夏 山栀 桑枝
俞 肩胛连及手臂手指。走痛并且肿胀。一年了。这是肢痹。络脉空虚留滞邪气。调和正气祛除邪气。（肢痹：肢体关节痹痛）
黄芪 防风 海桐皮 生白术 归身 川羌活 片姜黄 白蒺藜
李（三十四岁）脉象小弱。应当在长夏季节治疗四肢痹痛。一次发作之后筋骨不太舒展。这是卫阳单薄。风寒湿三气容易侵袭。先用阳明经流畅气血的方子。
黄芪 生白术 汉防己 川独活 苡仁 茯苓
朱（三十二岁）肢痹疼痛频繁发作。
羚羊角 木防己 川桂枝尖 晚蚕砂 川萆薢 白通草 生苡仁 茯苓
汪 冬天月份温暖。真气未能潜藏。邪气乘内虚而潜伏。因为惊蛰节气。春阳在内发动。伏气于是发作。初受风寒。已经从热化。兼以夜坐不眠。身体中的阳气。也被泄越。医生只执着于风寒湿三邪合成为痹。不懂疾病随时间变化的道理。羌活防风葛根。再次泄露其阳气。必定导致病情加重。哪里指望疼痛缓解。建议采用仲景木防己汤的方法。
木防己 石膏 桂枝 片姜黄 杏仁 桑枝
又 气中的伏邪得到宣散。右肢痹痛已经缓解。血分留热壅滞附着。左肢痛势没有衰减。脚微微肿胀。体质阴虚。仍然用宣通的轻剂。
羚羊角 桂枝木 片姜黄 花粉 木防己 杏仁 桑皮
顾 湿热流注附着。四肢痹痛。
川桂枝 木防己 蚕砂 石膏 杏仁 威灵仙
某 左脉像刀刃一样弦硬。右脉缓涩。阴亏本质。暑热导致疟疾。水谷湿气下坠。肢端遂成挛痹。现在已经便泻减少食欲畏冷。阳明气衰极了。应当缓调。不要使其成为重疾。（寒湿）
生白术 狗脊 独活 茯苓 木防己 仙灵脾 防风 威灵仙
又 湿痹。脉络不通。用苦温渗湿的方法小有效果。但是出汗形寒泄泻。阳气大伤。难以用湿甚生热的例子来治疗。通阳宣行以疏通脉络。生气周流。也是祛病的意义。
生白术 附子 狗脊 苡仁 茯苓 萆薢
徐（十九岁）长夏湿气胜气机阻滞。不饥不食。四肢痹痛。痛甚于午后子前。这是阳气被阴湿遏制。面色萎黄。脉象小涩。用微通其阳的方法。忌讳投用劫汗的药物。
茯苓 萆薢 木防己 晚蚕砂 泽泻 金毛狗脊
黎 肢腠麻痹。足膝最为严重。
当归 杞子 生虎骨 油松节（各二两） 川芎 狗脊 萆薢 淮牛膝 仙灵脾 檀香泥
白茄根 沙苑（各一两）
火酒醇酒各半。浸泡七天。
某（三十七岁）寒湿停滞于经络。半身以下筋骨不舒。二便不爽。如果不是迅疾飞走（指药性走窜），不能见效。蠲痛丹。
某 劳力感湿。腰痹酸痛。四肢乏力。
生杜仲 生苡仁 沙苑子 茯苓 粗桂枝木 金毛狗脊 晚蚕砂 木防己
某 十五年中。痹痛三次发作。叙述疼痛长久流及肢节骨骱。屈曲的地方都肿赤。这是寒湿变热想要解的表现。病在躯壳筋骨。没有害命的道理。但病深沉在下部。已属阴邪。小腹胀。小便全无。
川独活（八分） 汉防己（八分） 川熟附子（八分） 粗桂枝木（一钱） 茯苓（五钱） 川萆薢（一钱）
木猪苓（一钱）
又 生白术（三钱） 茯苓（三钱） 川熟附子（一钱） 川独活（五分） 北细辛（一分） 汉防己（五分）
猪苓（一钱半） 泽泻（一钱）
又 阳虚湿痹。痹愈。下焦无力。用斡旋其阳的方法。
茯苓（四两） 生白术（二两） 泡淡生干姜（一两） 肉桂（五钱）
以上四味。生研末。滚水泛丸。每早服三钱。开水送下。
何（三十六岁）脉沉。目黄舌肿。周身四肢疹发。胃痛。肢端都肿强。遇到冷冻饮料凉的就发病。这是久伏湿邪。阳气伤损。建议温气分以通周行之脉。
川乌头 生白术 桂枝木 茯苓 半夏 姜汁
唐（老妇人）右后胁痛连腰胯。发作必定恶寒逆冷。暖护很久才温。这是脉络中气血不行。遂至凝塞为痛。乃是脉络的痹症。从阳维阴维论病。
鹿角霜 小茴香 当归 川桂枝 沙苑 茯苓
王 努力劳作。经气受伤。客邪乘卫阳之疏而入。风湿阻遏经隧。为肿为痛。大汗连出。痛仍不止。而大便反滑。其湿邪无有不伤阳气者。固卫阳以却邪。古人正治。以湿家忌汗耳。（风湿）
生白术（三钱） 防风根（五分） 生黄芪（三钱） 片姜黄（一钱） 桂枝木（五分） 海桐皮（一钱）
羌活（五分） 独活（五分）
又 人参（一钱） 生白术（二钱） 黄芪（三钱） 炒当归（一钱半） 川桂枝（一钱） 炙甘草（五分）
煨姜（七分） 南枣（二枚）
又 风湿肿痹。举世皆以客邪宜散。愈治愈剧。不明白先因劳倦内伤也。盖邪之所凑。其气必虚。
参术益气。佐以风药。气壮托出其邪。痛斯止矣。病患自云。手足如堕如无。难道不是阳微不及行乎四末乎。这都是误治。导致参药过费耳。
人参（一钱） 生白术（二钱） 黄芪（二钱） 归身（一钱半） 肉桂（三分） 炙甘草（三分）
煨姜（一钱） 南枣（一枚）
又 遗泄阴伤。兼以敛摄。
人参（一钱） 生白术（二钱） 黄芪（三钱） 归身（一钱） 炙甘草（五分） 熟地（三钱）
茯神（三钱） 五味子（五分） 白芍（一钱）
（丸方）人参（二两） 黄芪（四两） 茯神（二两） 杞子（二两） 鹿角霜（二两） 鹿茸（二两）
归身（三两） 炙甘草（一两） 菊花炭（二两） 炼蜜丸。
又 羚羊角 犀角 连翘 海桐皮 大豆黄卷 花粉 姜黄 金银花
金 风湿热走痛。二便不通。这是痹症。
杏仁 木防己 寒水石 郁金 生石膏 木通
李 风湿肌肿而痛。畏热。
炒黄柏 茅术 制蒺藜 木防己 秦艽 钩藤
杨 四肢流走痹痛。风胜移走。湿凝为肿。下焦为甚。邪入阴分。蠲痛丹。
蒋（姓氏）便溏食少。腰腹以下骨骱肢节沉痛。
人参 生白术 制白松香 茯苓 汉防己 北细辛 川独活 苡仁
王 身半以上属阳。风湿雨露从上而受。流入经络。与气血交混。遂为痹痛。经月来。外邪已变火化。攻散诸法。不能取效。急宜宣通清解。毋使布及流注。
防己 姜黄 蚕砂 杏仁 石膏 滑石
毛（姓氏）风湿相搏。一身肿痛。周行之气血为邪阻蔽。仿仲景木防己汤法。
木防己 石膏 杏仁 川桂枝 威灵仙 羌活
洪（四十三岁）湿盛生热生痰。渐有痿痹之状。乃阳明经隧为壅。不可拘执左属血右属气也。金匮云。经热则痹。络热则痿。今有痛处。治在气分。（湿热）
生白术（三钱） 生黄芪（三钱） 片姜黄（一钱） 川羌活（一钱） 半夏（一钱） 防风（五分）
加桑枝（五钱）
又 术固卫升阳。左肩胛痛未已。当治营中。以辛甘化风法。
黄芪 当归 炙甘草 防风 桂枝 肉桂
张 骨骱走注行痛。身体重着。不能转舒。此为湿痹。但阳虚之质。忌辛散苦寒药。
桂枝木 木防己 苡仁 羚羊角 大豆黄卷 杏仁 橘红
方 左脉弦大。面赤痰多。大便不爽。此劳怒动肝。令阳气不交于阴。阳维阳跷二脉无血营养。
内风烁筋。跗痹痛。暮夜为甚者。厥阴旺时也。病在脉络。
金斛 晚蚕砂 汉防己 黄柏 半夏 萆薢
大槟榔汁
又 痛右缓。左痛。湿热未尽。液虚风动也。
生地 阿胶 龟版 豆皮 茯苓 通草
某（十九岁）舌白目彩油光。腰痹痛。湿邪内蕴。尚未外达。必分利湿邪为主。
杏仁 苏梗 木防己 浓朴 茯苓皮 花粉 晚蚕砂 茵陈
吴（姓氏）风湿化热。蒸于经络。周身痹痛。舌干咽燥。津液不得升降。营卫不肯宣通。怕延中痿。
生石膏 杏仁 川桂枝 苡仁 木防己
石 脉数右大。温渐化热。灼及经络。气血交阻。而为痹痛。阳邪主动。自为游走。阳动化风。肉腠浮肿。俗谚称为白虎历节之谓。
川桂枝 木防己 杏仁 生石膏 花粉 郁金
又 脉大已减。右数象未平。痛缓什七。肌肤甲错。发痒。腹微满。大便不通。阳明之气未化。热未尽去。阴已先虚。不可过剂。
麻仁 鲜生地 川斛 丹皮 寒水石 钩藤
某 久痹酿成历节。舌黄痰多。由湿邪阻着经脉。
汉防己 嫩滑石 晚蚕砂 寒水石 杏仁 苡仁 茯苓
宋 病者长夏霉天奔走。内踝重坠发斑。下焦痛起。继而筋掣。及于腰窝左臂。经云。伤于湿者。下先受之。夫下焦奇脉不流行。内踝重着。阴维受邪。久必化热烁血。风动内舍乎肝胆。所谓少阳行身之侧也。诊得右脉缓。左脉实。湿热混处血络之中。搜逐甚难。此由湿痹之症失治。延为痿废沉疴矣。三年病根。非仓猝迅攻。姑进先通营络。参之奇经为治。考古圣治痿痹。独取阳明。惟通则留邪可拔耳。（湿热入血络）
鹿角霜 生白术 桂枝 茯苓 抚芎 归须 白蒺藜 黄菊花
某 初病湿热在经。久则瘀热入络。脓疡日多未已。渐而筋骨疼痛。金匮云。经热则痹。络热则痿。数年宿病。勿事速攻。夜服蒺藜丸。
（午服）犀角 元参 连翘心 野赤豆皮 细生地 丹参 姜黄 桑枝
张（二十九岁）四肢经隧之中。遇天令阴晦。疼痛拘挛。痈疽疡溃脓。其病不发。疡愈病复至。抑且时常衄鼽。经以风寒湿三气合而为痹。然经年累月。外邪留着。气血皆伤。其化为败瘀凝痰。混处经络。盖有诸矣。倘失其治。年多气衰。延至废弃沉疴。（痰血壅塞经络）
当归须（四两） 干地龙（二两） 穿山甲（二两） 白芥子（一两） 小抚芎（一两） 生白蒺藜（二两）
酒水各半法丸。
沈 从来痹症。每以风寒湿三气杂感主治。召恙之不同。由乎暑湿外加之湿热。水谷内蕴之湿热。外来之邪。着于经络。内受之邪。着于腑络。故辛解汗出。热痛不减。余以急清阳明而致小愈。病中复反者。口鼻复吸暑热也。是病后宜薄味。使阳明气爽。斯清阳流行不息。肢节脉络舒通。而痹痿之根尽拔。至若温补而图速效。又非壮盛所宜。（暑伤气湿热入络）
人参 茯苓 半夏 广皮 生白术 枳实 川连 泽泻 竹沥姜汁法丸。
暮服白蒺藜丸。
某 冬月温舒。阳气疏豁。风邪由风池风府。流及四末。古为痹症。忽上忽下。以风为阳。阳主动也。诊视鼻明。阳明中虚可见。却邪之剂。在乎宣通经脉。（卫阳疏风邪入络）
桂枝 羚羊角 杏仁 花粉 防己 桑枝 海桐皮 片姜黄
又 症已渐安。脉络有流通意。仲景云。经热则痹。络热则痿。知风淫于内。治以甘寒。寒可去热。甘味不伤胃也。
甜杏仁 连翘 元参 花粉 绿豆皮 梨汁
Wu (Patient) Wind-dampness combats and intertwines. The whole body is in pain. Additionally, having fallen into water, there is external cold and internal heat. The pain is extreme, leading to syncope. This belongs to Zhou Bi (Generalized Bi Syndrome: a type of Bi syndrome characterized by wandering pain).
Guizhi Mu (Cinnamon Twig), Pian Jianghuang (Turmeric Rhizome), Lingyang Jiao (Antelope Horn), Haitong Pi (Tinosporae Cortex), Huafen (Trichosanthis Radix), Baijili (Tribuli Fructus)
Again, follow the previous prescription but remove Jianghuang and Baijili, add Doudou (Soybean), Huangjuan (Yellow Mung Bean Sprout), and Mufangji (Stephaniae Tetrandrae Radix).
Bao (44 years old) Wind-dampness pathogenic factors linger in the meridians. Pain wanders up and down in the four limbs. The pathogen moves and touches various places, not confined to one area. In ancient times, this was called Zhou Bi. Moreover, it has lasted for decades; how could ordinary decoctions or powders be effective? New pathogens should be dispersed urgently, while old pathogens should be attacked slowly.
Qianglang Chong (Dung Beetle), Quanxie (Scorpion), Dilong (Earthworm), Chuanshanjia (Pangolin Scales), Fengfang (Honeycomb), Chuanwu (Aconiti Radix), Shexiang (Musk)
The above medicines are made into powder, and pills are formed using black soybean juice boiled with non-ash wine.
Du (33 years old) Warmth opens and drains. Suddenly exposed to cold. The three Qi of wind, cold, and dampness jointly injure the body causing Bi syndrome. Wandering up and down causes discomfort. The pathogen enters the Jing-sui (deep meridians); although sweating does not resolve it. The key lies in promoting circulation.
Guizhi (Cinnamon Twig), Xingren (Apricot Seed), Huashi (Talcum), Shigao (Gypsum Fibrosum), Chuanbi (Dioscoreae Hypoglaucae Rhizoma), Hanfangji (Stephaniae Tetrandrae Radix), Yiren (Coicis Semen), Tongcao (Tetrapanacis Medulla)
Again, as the meridians become unblocked, the pain of Bi decreases. If the Luo vessels are deficient, there is flaccidity and weakness. Sweating all over the body indicates excessive leakage of Yang Qi. How can bitter and acrid herbs that damage Yang and leak Qi be used again? The *Neijing* states that flaccid sinews indicate deficiency of the Yangming Meridian. One should follow this principle.
Fangfeng (Saposhnikoviae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zhi Cao (Prepared Licorice Root), Guizhi (Cinnamon Twig), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Yiren (Coicis Semen)
Again, generally, when pathogens invade the Jing meridians, it is Bi; when they invade the Luo vessels, it is Wei (Flaccidity Syndrome). Now that the Bi pain has completely stopped, walking reveals flaccidity and weakness. The Jing meridians are injured, and Yang Qi fails to protect. The method should be warming, nourishing, unblocking, and tonifying. The classic says "nourish Yang in spring and summer," emphasizing the support and tonification of vital Qi.
Huangqi (Astragali Radix, 4 liang), Fuling (Poria, 3 liang), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 3 liang), Zhi Cao (Prepared Licorice Root), Dan Congrong (Cistanche Deserticola, 2 liang)
Niuxi (Achyranthis Bidentatae Radix, 2 liang), Xianlingpi (Epimedii Folium, 2 liang), Hugujiao (Tiger Bone Glue), Jinmao Gouji (Cibotii Rhizoma, 12 liang, soaked in non-ash wine for half a day, steamed and boiled into paste). Mix paste with medicine powder to form pills.
Liu (31 years old) Humidity from coastal hurricanes attaches to the meridians. This is Zhou Bi. In Bi syndrome, Qi and Blood do not flow smoothly. Yangming Yang cannot perform its functions. Eating greasy or fishy foods leads to loose stools due to indigestion. The disease has existed for six or seven years; Zheng (Upright Qi) is deficient and Xie (Pathogenic Qi) is excess. It cannot be attacked urgently; it should be treated slowly.
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Sheng Huang (Raw Astragali Radix), Haitong Pi (Tinosporae Cortex), Chuan Guizhi Mu (Cinnamon Twig), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix)
Zhou Pain wanders and swelling occurs. Later, external pathogens were contracted. Ginseng should not be taken. Treat as Xing Bi (Wandering Bi Syndrome).
Qianghuo (Notopterygii Rhizoma et Radix), Mufangji (Stephaniae Tetrandrae Radix), Shigao (Gypsum Fibrosum), Sheng Gancao (Raw Licorice Root), Haitong Pi (Tinosporae Cortex), Xingren (Apricot Seed)
Wu Cold enters the Yin division. Bones and sinews hurt. This is a Bi syndrome. Seminal emission and deficiency internally contraindicate dispersing methods that劫 (rob) true Yin.
Danggui (Angelicae Sinensis Radix), Shayuan (Astragali Complanati Semen), Beixixin (Asari Radix et Rhizoma), Guizhi Mu (Cinnamon Twig), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Fuling (Poria)
Again, Hugujiao (Tiger Bone Glue), Danggui (Angelicae Sinensis Radix), Beixixin (Asari Radix et Rhizoma), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Fuling (Poria)
Again, Xing Bi enters the left foot.
Sheng Hugujiao (Raw Tiger Bone), Fangji (Stephaniae Tetrandrae Radix), Bibai (Dioscoreae Hypoglaucae Rhizoma), Yiren (Coicis Semen), Banxia (Pinelliae Tuber), Fuling (Poria)
Certain Patient (Surname unknown) Wind-dampness generates fever. It gathers in the meridians. Swelling, pain, and wandering movement. The disease name is Xing Bi. Secular people call it Lijie Feng (Joint-migrating Wind).
Guizhi (Cinnamon Twig), Qianghuo (Notopterygii Rhizoma et Radix), Shigao (Gypsum Fibrosum), Gancao (Licorice Root), Xingren (Apricot Seed), Fangfeng (Saposhnikoviae Radix)
Again, Xing Bi. Abdominal pain and difficult defecation. Lack of hunger sensation.
Gualou Pi (Trichosanthis Pericarpium), Ziwan (Adenophorae Radix), Xingren (Apricot Seed), Yujin (Curcumae Longae Radix), Banxia (Pinelliae Tuber), Shanzhi (Gardeniae Fructus), Sangzhi (Mori Ramulus)
Yu Shoulder blades extend to arms and fingers. Wandering pain and swelling. For one year. This is Zhi Bi (Limbs Bi Syndrome). Luo vessels are deficient, leaving pathogens. Harmonize Zheng (Upright Qi) to dispel Xie (Pathogenic Qi).
Huangqi (Astragali Radix), Fangfeng (Saposhnikoviae Radix), Haitong Pi (Tinosporae Cortex), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Guishen (Angelicae Sinensis Radix Head), Chuan Qianghuo (Notopterygii Rhizoma et Radix), Pian Jianghuang (Turmeric Rhizome), Baijili (Tribuli Fructus)
Li (34 years old) Pulse is small and weak. During late summer, treat Bi pain in the four limbs. After an episode, bones and sinews are not very flexible. This is thin and weak Wei Yang (Defensive Qi). The three Qi (wind, cold, damp) easily attack. First use a formula to smooth Qi and Blood in the Yangming channel.
Huangqi (Astragali Radix), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Hanfangji (Stephaniae Tetrandrae Radix), Chuan Duhuo (Angelicae Pubescentis Radix), Yiren (Coicis Semen), Fuling (Poria)
Zhu (32 years old) Limb Bi pain frequently recurs.
Lingyang Jiao (Antelope Horn), Mufangji (Stephaniae Tetrandrae Radix), Chuan Guizhi Jian (Cinnamon Twig Tip), Wancansha (Mulberry Silkworm Faeces), Chuan Bibai (Dioscoreae Hypoglaucae Rhizoma), Bai Tongcao (Tetrapanacis Medulla), Sheng Yiren (Raw Coicis Semen), Fuling (Poria)
Wang In winter, warmth prevails. True Qi fails to hide. Pathogens take advantage of internal deficiency to lurk. Due to the Awakening of Insects solar term, Spring Yang moves internally. Lurking Qi erupts. Initially contracting wind-cold, it transforms into heat. Coupled with night sitting and insomnia, the body's Yang Qi is also leaked. Doctors only insist that wind, cold, and dampness combine to form Bi, unaware that diseases change with time. Qianghuo, Fangfeng, and Gegen disperse Yang again, inevitably worsening the condition. How can pain relief be expected? Propose using Zhang Zhongjing's Mufangji Tang method.
Mufangji (Stephaniae Tetrandrae Radix), Shigao (Gypsum Fibrosum), Guizhi (Cinnamon Twig), Pian Jianghuang (Turmeric Rhizome), Xingren (Apricot Seed), Sangzhi (Mori Ramulus)
Again, the lurking pathogen in Qi is dispersed. Right limb Bi pain has eased. Heat lingering in Blood level is congested. Left limb pain remains severe. Foot is slightly swollen. Constitution is Yin deficient. Still use mild unblocking agents.
Lingyang Jiao (Antelope Horn), Guizhi Mu (Cinnamon Twig), Pian Jianghuang (Turmeric Rhizome), Huafen (Trichosanthis Radix), Mufangji (Stephaniae Tetrandrae Radix), Xingren (Apricot Seed), Sangpi (Mori Cortex)
Gu Damp-heat flows and adheres. Bi pain in the four limbs.
Chuan Guizhi (Cinnamon Twig), Mufangji (Stephaniae Tetrandrae Radix), Cansha (Mulberry Silkworm Faeces), Shigao (Gypsum Fibrosum), Xingren (Apricot Seed), Weilingxian (Syneilesis Rhizoma)
Certain Patient Left pulse is sharp like a blade. Right pulse is slow and choppy. Yin deficiency constitution. Summer-heat causes malaria. Water-grain dampness sinks downward. Limb extremities become spasmodic Bi. Now diarrhea has decreased, appetite is poor, and fear of cold exists. Yangming Qi is extremely depleted. Should be adjusted slowly. Do not let it become a serious illness. (Cold-Dampness)
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Gouji (Cibotii Rhizoma), Duhuo (Angelicae Pubescentis Radix), Fuling (Poria), Mufangji (Stephaniae Tetrandrae Radix), Xianlingpi (Epimedii Folium), Fangfeng (Saposhnikoviae Radix), Weilingxian (Syneilesis Rhizoma)
Again, Damp-Bi. Meridians are blocked. Bitter-warm damp-draining methods had slight effect. But sweating, chills, and diarrhea indicate major injury to Yang Qi. Cannot be treated simply as dampness generating heat. Unblock Yang and promote circulation to open meridians. Let vital Qi circulate freely, which is also the meaning of curing disease.
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Gouji (Cibotii Rhizoma), Yiren (Coicis Semen), Fuling (Poria), Bibai (Dioscoreae Hypoglaucae Rhizoma)
Xu (19 years old) Late summer dampness dominates, blocking Qi. No hunger, no eating. Bi pain in four limbs. Pain is worse before midnight. This is Yang Qi suppressed by Yin-dampness. Complexion is sallow. Pulse is small and choppy. Use mild methods to unblock Yang. Avoid diaphoretic drugs that rob fluids.
Fuling (Poria), Bibai (Dioscoreae Hypoglaucae Rhizoma), Mufangji (Stephaniae Tetrandrae Radix), Wancansha (Mulberry Silkworm Faeces), Zexie (Alismatis Rhizoma), Jinmao Gouji (Cibotii Rhizoma)
Li Numbness and paralysis of skin and muscles. Worst in feet and knees.
Danggui (Angelicae Sinensis Radix), Qizi (Lycii Fructus), Sheng Hugujiao (Raw Tiger Bone), You Songjie (Pinus Massoniana Joint), each 2 liang, Chuanxiong (Ligustici Chuanxiong Rhizoma), Gouji (Cibotii Rhizoma), Bibai (Dioscoreae Hypoglaucae Rhizoma), Huainiuxi (Achyranthis Bidentatae Radix), Xianlingpi (Epimedii Folium), Tanxiangni (Sandalwood Mud)
Baiqiegen (Solanum Melongena Root), Shayuan (Astragali Complanati Semen), each 1 liang.
Soak in half firewine and half pure wine for seven days.
Certain Patient (37 years old) Cold-dampness stagnates in meridians. Bones and sinews below half the body are uncomfortable. Urination and defecation are unsatisfactory. Unless swift-moving herbs are used, efficacy cannot be achieved. Juan Tong Dan.
Certain Patient Labor-induced dampness invasion. Waist Bi soreness and pain. Four limbs lack strength.
Sheng Duzhong (Eucommiae Cortex), Sheng Yiren (Raw Coicis Semen), Shayuanzi (Astragali Complanati Semen), Fuling (Poria), Cu Guizhi Mu (Rough Cinnamon Twig), Jinmao Gouji (Cibotii Rhizoma), Wancansha (Mulberry Silkworm Faeces), Mufangji (Stephaniae Tetrandrae Radix)
Certain Patient Over fifteen years, Bi pain occurred three times. Describes long-lasting pain flowing to joints and bone ends. Swelling and redness at flexion points. This is cold-damp transforming into heat, indicating resolution. Disease is in the shell and bones/sinews, not life-threatening. But disease is deep and lower, belonging to Yin pathogen. Lower abdomen distends, urination is absent.
Chuan Duhuo (Angelicae Pubescentis Radix, 8 fen), Hanfangji (Stephaniae Tetrandrae Radix, 8 fen), Chuan Shu Fu (Prepared Aconite, 8 fen), Cu Guizhi Mu (Rough Cinnamon Twig, 1 qian), Fuling (Poria, 5 qian), Chuan Bibai (Dioscoreae Hypoglaucae Rhizoma, 1 qian), Zhu Ling (Polyporus, 1 qian)
Again, Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 3 qian), Fuling (Poria, 3 qian), Chuan Shu Fu (Prepared Aconite, 1 qian), Chuan Duhuo (Angelicae Pubescentis Radix, 5 fen), Beixixin (Asari Radix et Rhizoma, 1 fen), Hanfangji (Stephaniae Tetrandrae Radix, 5 fen), Zhuling (Polyporus, 1.5 qian), Zexie (Alismatis Rhizoma, 1 qian)
Again, Yang-deficiency Damp-Bi. After Bi resolves, lower jiao lacks strength. Use methods to pivot Yang.
Fuling (Poria, 4 liang), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 2 liang), Pao Dan Sheng Ganjiang (Soaked Raw Dried Ginger, 1 liang), Rougui (Cinnamon Bark, 5 qian)
Grind the above four ingredients into powder. Form pills with boiling water. Take 3 qian every morning with warm water.
He (36 years old) Pulse is deep. Yellow eyes, swollen tongue. Rash on whole body and four limbs. Stomach pain. Extremities are swollen and stiff. Illness triggered by cold/frozen drinks. This is long-lurking dampness pathogen injuring Yang Qi. Propose warming Qi level to unblock circulating meridians.
Chuan Wu Tou (Aconiti Radix), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Guizhi Mu (Cinnamon Twig), Fuling (Poria), Banxia (Pinelliae Tuber), Jiangzhi (Ginger Juice)
Tang (Elderly Woman) Right posterior hypochondriac pain radiating to waist and hip. Attacks always accompanied by aversion to cold and cold limbs. Warms up only after prolonged protection. This is stagnation of Qi and Blood in meridians, leading to obstruction and pain. It is a meridian Bi syndrome. Discuss pathology via Yangwei and Yinwei vessels.
Lujiaoshuang (Deer Antler Glaze), Xiaohuixiang (Foeniculi Fructus), Danggui (Angelicae Sinensis Radix), Chuan Guizhi (Cinnamon Twig), Shayuan (Astragali Complanati Semen), Fuling (Poria)
Wang Straining labor injures Jing Qi. External pathogens enter through defensive Yang deficiency. Wind-damp obstructs meridians, causing swelling and pain. Profuse continuous sweating, yet pain persists. Loose stools occur instead. Dampness inevitably damages Yang Qi. Secure Defensive Yang to expel pathogens. Ancient correct treatment: avoid sweating in dampness patients. (Wind-Dampness)
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 3 qian), Fangfeng Gen (Saposhnikoviae Radix, 5 fen), Sheng Huang (Raw Astragali Radix, 3 qian), Pian Jianghuang (Turmeric Rhizome, 1 qian), Guizhi Mu (Cinnamon Twig, 5 fen), Haitong Pi (Tinosporae Cortex, 1 qian)
Qianghuo (Notopterygii Rhizoma et Radix, 5 fen), Duhuo (Angelicae Pubescentis Radix, 5 fen)
Again, Renshen (Ginseng Radix, 1 qian), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 2 qian), Huangqi (Astragali Radix, 3 qian), Chao Danggui (Stir-fried Angelicae Sinensis Radix, 1.5 qian), Chuan Guizhi (Cinnamon Twig, 1 qian), Zhi Gancao (Prepared Licorice Root, 5 fen)
Wei Jiang (Baked Ginger, 7 fen), Nanzao (Jujube, 2 pieces)
Again, Wind-damp swelling Bi. The world believes external pathogens should be dispersed. Treatment worsens the condition. Failure to understand initial internal injury from fatigue. Where pathogens gather, Qi must be deficient.
Renshen and Baizhu tonify Qi. Assist with wind herbs. Strong Qi pushes out pathogens, pain stops. Patient claims hands and feet feel heavy/absent. Is this not Yang deficiency failing to reach extremities? These are misdiagnoses causing waste of expensive herbs.
Renshen (Ginseng Radix, 1 qian), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 2 qian), Huangqi (Astragali Radix, 2 qian), Guishen (Angelicae Sinensis Radix Head, 1.5 qian), Rougui (Cinnamon Bark, 3 fen), Zhi Gancao (Prepared Licorice Root, 3 fen)
Wei Jiang (Baked Ginger, 1 qian), Nanzao (Jujube, 1 piece)
Again, Emission injuries Yin. Combine with astringent methods.
Renshen (Ginseng Radix, 1 qian), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 2 qian), Huangqi (Astragali Radix, 3 qian), Guishen (Angelicae Sinensis Radix Head, 1 qian), Zhi Cao (Prepared Licorice Root, 5 fen), Shudi (Rehmanniae Radix Praeparata, 3 qian)
Fushen (Poria with Hostwood, 3 qian), Wuwei Zi (Schisandrae Chinensis Fructus, 5 fen), Baishao (Paeoniae Radix Alba, 1 qian)
(Pill Formula) Renshen (Ginseng Radix, 2 liang), Huangqi (Astragali Radix, 4 liang), Fushen (Poria with Hostwood, 2 liang), Qizi (Lycii Fructus, 2 liang), Lujiaoshuang (Deer Antler Glaze, 2 liang), Lurong (Deer Antler Horn, 2 liang)
Guishen (Angelicae Sinensis Radix Head, 3 liang), Zhi Cao (Prepared Licorice Root, 1 liang), Juhua Tan (Chrysanthemi Flos Charred, 2 liang). Honey pills.
Wang Wind-damp Bi pain.
Fangji (Stephaniae Tetrandrae Radix), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Chuan Duhuo (Angelicae Pubescentis Radix), Fuling (Poria), Chao Huangbo (Stir-fried Phellodendri Cortex), Sheng Yiren (Raw Coicis Semen)
Again, Bi in four limbs.
Lingyang Jiao (Antelope Horn), Baijili (Tribuli Fructus), Haitong Pi (Tinosporae Cortex), Huashi (Talcum), Doudou Huangjuan (Yellow Soybean Sprout), Yiren (Coicis Semen)
Again, follow previous prescription, remove Jili and Yiren, add Lianqiao (Forsythiae Fructus), Qing Juye (Green Chrysanthemum Leaf), Huafen (Trichosanthis Radix).
Again, Lingyang Jiao (Antelope Horn), Xijiao (Rhinocerotis Cornu), Lianqiao (Forsythiae Fructus), Haitong Pi (Tinosporae Cortex), Doudou Huangjuan (Yellow Soybean Sprout), Huafen (Trichosanthis Radix), Jianghuang (Curcumae Longae Radix), Jinyinhua (Lonicerae Japonicae Flos)
Jin Wind-damp-heat wandering pain. Difficulty in urination and defecation. This is Bi syndrome.
Xingren (Apricot Seed), Mufangji (Stephaniae Tetrandrae Radix), Hanshui Shi (Calcitum), Yujin (Curcumae Longae Radix), Sheng Shigao (Raw Gypsum Fibrosum), Mutong (Akebiae Caulis)
Li Wind-damp muscle swelling and pain. Aversion to heat.
Chao Huangbo (Stir-fried Phellodendri Cortex), Maozhu (Atractylodis Rhizoma), Zhi Jili (Processed Tribuli Fructus), Mufangji (Stephaniae Tetrandrae Radix), Qinjiao (Gentianae Macrophyllae Radix), Gouteng (Uncariae Ramulus cum Uncis)
Again, Huangbo (Phellodendri Cortex), Fangji (Stephaniae Tetrandrae Radix), Fuling (Poria), Yiren (Coicis Semen), Bibai (Dioscoreae Hypoglaucae Rhizoma), Hugujiao (Tiger Bone Glue)
Yang Wandering Bi pain in four limbs. Wind predominance causes wandering. Dampness condenses causing swelling. Worse in lower jiao. Pathogen enters Yin division. Juan Tong Dan.
Jiang (Surname) Loose stools, poor appetite. Heavy pain in joints below waist and abdomen.
Renshen (Ginseng Radix), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Zhi Baishixiang (Processed White Pine Rosin), Fuling (Poria), Hanfangji (Stephaniae Tetrandrae Radix), Beixixin (Asari Radix et Rhizoma), Chuan Duhuo (Angelicae Pubescentis Radix), Yiren (Coicis Semen)
Wang Upper half of body belongs to Yang. Wind-damp rain/dew received from above. Flows into meridians, mixes with Qi and Blood, causing Bi pain. For a month, external pathogens have transformed into fire. Attacking and dispersing methods failed. Urgently need to unblock and clear heat. Prevent spread and flow.
Fangji (Stephaniae Tetrandrae Radix), Jianghuang (Curcumae Longae Radix), Cansha (Mulberry Silkworm Faeces), Xingren (Apricot Seed), Shigao (Gypsum Fibrosum), Huashi (Talcum)
Mao (Surname) Wind-damp combats. Whole body swelling and pain. Circulating Qi and Blood are blocked by pathogens. Imitate Zhang Zhongjing's Mufangji Tang method.
Mufangji (Stephaniae Tetrandrae Radix), Shigao (Gypsum Fibrosum), Xingren (Apricot Seed), Chuan Guizhi (Cinnamon Twig), Weilingxian (Syneilesis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix)
Hong (43 years old) Excess dampness generates heat and phlegm. Gradually showing signs of Wei-Bi. Yangming meridians are congested. Cannot rigidly adhere to left being blood and right being Qi. *Jinkui* says: Heat in Jing causes Bi, heat in Luo causes Wei. Currently painful areas exist. Treatment focuses on Qi level. (Damp-Heat)
Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma, 3 qian), Sheng Huang (Raw Astragali Radix, 3 qian), Pian Jianghuang (Turmeric Rhizome, 1 qian), Chuan Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Banxia (Pinelliae Tuber, 1 qian), Fangfeng (Saposhnikoviae Radix, 5 fen)
Add Sangzhi (Mori Ramulus, 5 qian)
Again, Baizhu secures Wei and raises Yang. Left scapular pain persists. Should treat Ying (Nutritive) level. Use Acrid-Sweet to transform Wind method.
Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Prepared Licorice Root), Fangfeng (Saposhnikoviae Radix), Guizhi (Cinnamon Twig), Rougui (Cinnamon Bark)
Zhang Wandering pain in joints. Body feels heavy. Cannot turn comfortably. This is Damp-Bi. But constitution is Yang-deficient. Contraindicate acrid-dispersing and bitter-cold drugs.
Guizhi Mu (Cinnamon Twig), Mufangji (Stephaniae Tetrandrae Radix), Yiren (Coicis Semen), Lingyang Jiao (Antelope Horn), Doudou Huangjuan (Yellow Soybean Sprout), Xingren (Apricot Seed), Juhong (Citri Reticulatae Pericarpium Rubrum)
Fang Left pulse string-large. Red face, much phlegm. Unsmooth defecation. This is fatigue and anger stirring Liver, preventing Yang Qi from connecting to Yin. Yangwei and Yangqiao vessels lack blood nourishment.
Internal wind scorches sinews. Ankle Bi pain. Worse at night when Jueyin is prosperous. Disease is in meridians.
Jinhu (Dendrobii Caulis), Wancansha (Mulberry Silkworm Faeces), Hanfangji (Stephaniae Tetrandrae Radix), Huangbo (Phellodendri Cortex), Banxia (Pinelliae Tuber), Bibai (Dioscoreae Hypoglaucae Rhizoma)
Da Binglang Zhi (Betel Nut Juice)
Again, Pain eases on right, hurts on left. Damp-heat not fully cleared. Fluid deficiency and Wind stirring.
Shengdi (Rehmanniae Radix), Ejiao (Asini Corii Colla), Guiban (Testudinis Carapax et Plastrum), Doupi (Phaseoli Cochinchinensis Pericarpium), Fuling (Poria), Tongcao (Tetrapanacis Medulla)
Certain Patient (19 years old) White tongue, oily sheen on eyes. Lumbar Bi pain. Dampness pathogen stored internally, not yet reaching exterior. Must primarily separate and drain dampness.
Xingren (Apricot Seed), Sugeng (Perillae Caulis), Mufangji (Stephaniae Tetrandrae Radix), Nongpo (Magnoliae Officinalis Cortex), Fuling Pi (Poria Peel), Huafen (Trichosanthis Radix), Wancansha (Mulberry Silkworm Faeces), Yinchen (Artemisiae Scopariae Herba)
Wu (Surname) Wind-damp transforms into heat. Steams in meridians. Whole body Bi pain. Dry tongue, parched throat. Jin-Ye (Body Fluids) cannot ascend/descend. Ying and Wei refuse to circulate. Fear progression to Wei (Flaccidity).
Sheng Shigao (Raw Gypsum Fibrosum), Xingren (Apricot Seed), Chuan Guizhi (Cinnamon Twig), Yiren (Coicis Semen), Mufangji (Stephaniae Tetrandrae Radix)
Again, Shigao (Gypsum Fibrosum), Xingren (Apricot Seed), Mufangji (Stephaniae Tetrandrae Radix), Chao Banxia (Stir-fried Pinelliae Tuber), Juhong (Citri Reticulatae Pericarpium Rubrum), Hei Shanzhi (Black Gardeniae Fructus), Jiangzhi (Ginger Juice), Zhuli (Bamboo Sap)
Shi Pulse rapid, right large. Warmth gradually transforms to heat. Scorches meridians. Qi and Blood obstruct mutually, causing Bi pain. Yang pathogens move actively, wandering naturally. Yang movement transforms into Wind. Flesh pores swell. Commonly known as White Tiger Lijie.
Chuan Guizhi (Cinnamon Twig), Mufangji (Stephaniae Tetrandrae Radix), Xingren (Apricot Seed), Sheng Shigao (Raw Gypsum Fibrosum), Huafen (Trichosanthis Radix), Yujin (Curcumae Longae Radix)
Again, follow previous prescription, remove Yujin, add Hanshui Shi (Calcitum), Wancansha (Mulberry Silkworm Faeces), Tongcao (Tetrapanacis Medulla).
Again, Large pulse has decreased. Rapid quality on right not normalized. Pain eased 70%. Skin rough/scaly. Itching. Slight abdominal fullness. Constipation. Yangming Qi not transformed. Heat not fully gone. Yin already deficient first. Do not overdose.
Maren (Cannabis Seed), Xian Shengdi (Fresh Rehmanniae Radix), Chuan Hu (Dendrobii Caulis), Danpi (Moutan Cortex), Hanshui Shi (Calcitum), Gouteng (Uncariae Ramulus cum Uncis)
Certain Patient Long-standing Bi酿 (brews) into Lijie. Yellow tongue, much phlegm. Caused by dampness pathogen blocking meridians.
Hanfangji (Stephaniae Tetrandrae Radix), Nen Huashi (Young Talcum), Wancansha (Mulberry Silkworm Faeces), Hanshui Shi (Calcitum), Xingren (Apricot Seed), Yiren (Coicis Semen), Fuling (Poria)
Song Patient ran during humid late summer. Inner ankle heavy, spotting erupted. Lower jiao pain started. Then sinew twitching extended to popliteal fossa and left arm. Classic says: Those injured by dampness, lower part receives it first. Odd meridians of lower jiao do not circulate. Inner ankle heavy. Yinwei affected. Long-term will transform heat, scorch blood. Wind stirs internally affecting Liver/Gallbladder. As said, Shaoyang runs along the side of the body. Diagnosis: Right pulse slow, Left pulse solid. Damp-heat mixed in blood collaterals. Hard to search and eliminate. This is due to mistreatment of Damp-Bi, extending to Wei-Failure chronic illness. Three-year root cause. Not suitable for sudden rapid attack. Temporarily advance first to unblock Ying collaterals. Reference odd meridians for treatment. Ancient sages treating Wei-Bi focus solely on Yangming. Only through unblocking can lingering pathogens be extracted. (Damp-Heat entering Blood Collaterals)
Lujiaoshuang (Deer Antler Glaze), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Guizhi (Cinnamon Twig), Fuling (Poria), Fuxiong (Ligusticum Chuanxiong Rhizoma), Guixu (Angelicae Sinensis Radix Tail), Baijili (Tribuli Fructus), Huang Juhua (Yellow Chrysanthemum Flower)
Certain Patient Initially Damp-Heat in Jing. Long-term, Stasis-Heat enters Luo. Abscesses increase daily without end. Gradually bone/sinew pain. *Jinkui* says: Heat in Jing causes Bi, heat in Luo causes Wei. Years of chronic disease. Do not seek quick attack. Night take Jili Pills.
(Midday take) Xijiao (Rhinocerotis Cornu), Yuanshen (Scrophulariae Radix), Lianqiao Xin (Forsythiae Fructus Heart), Ye Chidou Pi (Wild Phaseoli Cochinchinensis Pericarpium), Xi Shengdi (Fine Fresh Rehmanniae Radix), Danshen (Salviae Miltiorrhizae Radix), Jianghuang (Curcumae Longae Radix), Sangzhi (Mori Ramulus)
Zhang (29 years old) Within four limb meridians. When weather is cloudy/dark, pain and spasm occur. Carbuncles/ulcers suppurate. Disease doesn't flare up. Ulcer heals, disease returns. Also frequent nosebleeds. Classics say wind-cold-damp combine to form Bi. However, over years/months, external pathogens linger. Qi and Blood both injured. Transforming into failed stasis and congealed phlegm, mixing in meridians. Indeed so. If treatment is lost, age increases, Qi declines, extending to disability and chronic illness. (Phlegm-Stasis Blocking Meridians)
Danggui Xu (Angelicae Sinensis Radix Tail, 4 liang), Gan Dilong (Dry Earthworm, 2 liang), Chuanshanjia (Pangolin Scales, 2 liang), Baijiezi (Sinapis Semen, 1 liang), Xiao Fuxiong (Small Ligusticum Chuanxiong Rhizoma, 1 liang), Sheng Baiji (Raw Tribuli Fructus, 2 liang)
Half wine, half water method for pills.
Shen Traditionally, Bi syndrome is mainly treated by wind-cold-damp complex infection. Different illnesses arise from summer-heat/dampness added externally, and damp-heat stored internally from water/grain. External pathogens attach to meridians. Internal pathogens attach to fu organs/collaterals. Thus acrid release sweating occurs, but hot pain does not decrease. I used urgent clearing of Yangming to achieve slight recovery. Relapse during illness is due to mouth/nose re-inhaling summer-heat. Post-illness diet should be light. Make Yangming Qi fresh. Then Clear Yang circulates endlessly. Limb/joint meridians relax. Roots of Bi/Wei are pulled out. As for warming/tonifying seeking quick effect, this is not suitable for robust constitutions. (Summer-Heat Injuring Qi, Damp-Heat Entering Collaterals)
Renshen (Ginseng Radix), Fuling (Poria), Banxia (Pinelliae Tuber), Guangpi (Tangerine Peel), Sheng Baizhu (Raw Atractylodis Macrocephalae Rhizoma), Zhishi (Aurantii Fructus Immaturus), Chuan Lian (Coptidis Rhizoma), Zexie (Alismatis Rhizoma), Zhuli Jiangzhi (Bamboo Sap and Ginger Juice) method for pills.
Night take Baijili Pills.
Certain Patient Winter months warm and comfortable. Yang Qi is loose/open. Wind pathogen flows from Fengchi and Fengfu to four extremities. Anciently called Bi syndrome. Suddenly up, suddenly down. Wind is Yang, Yang moves actively. Diagnosis shows bright nose (indicating Yangming middle deficiency). Expelling pathogen agents lie in unblocking meridians. (Defensive Yang Loose, Wind Pathogen Entering Collaterals)
Guizhi (Cinnamon Twig), Lingyang Jiao (Antelope Horn), Xingren (Apricot Seed), Huafen (Trichosanthis Radix), Fangji (Stephaniae Tetrandrae Radix), Sangzhi (Mori Ramulus), Haitong Pi (Tinosporae Cortex), Pian Jianghuang (Turmeric Rhizome)
Again, Symptoms gradually calming. Meridians show signs of flow. Zhongjing said: Heat in Jing causes Bi, heat in Luo causes Wei. Knowing wind flourishes internally, treat with Sweet-Cold. Cold removes heat, sweet flavor does not harm stomach.
Tian Xingren (Sweet Apricot Seed), Lianqiao (Forsythiae Fructus), Yuanshen (Scrophulariae Radix), Huafen (Trichosanthis Radix), Lv Dou Pi (Mung Bean Peel), Li Zhi (Pear Juice)
Again, Residual heat remains. Cold feet in afternoon. Neck sweat after morning meal. Stomach not harmonized. Food tastes bland. Due to slight loose stool, do not overly moisten.
Beishashen (Glehniae Radix), Maidong (Ophiopogonis Tubera), Chuan Bei (Fritillariae Cirrhosae Bulbus), Chuan Hu (Dendrobii Caulis), Chenpi (Citri Reticulatae Pericarpium), Guya (Sacchari Granulum Germinatum)
Shen (37 years old) Using Liver-blood nourishing and Wind-extinguishing formula. Right fingers still numb. Walking causes stiffness. Xu-Hai hours (9-11 PM) definitely heart heat and vexation. Presumably previous methods ineffective. Qigu (Cibotii Rhizoma) and Danggui (Angelicae Sinensis Radix) are acrid-warm.