健忘,精神短少者多,亦有痰者。
戴云∶健忘者为事有始无终,言谈不知首尾,此以为病之名,非比生成之愚顽不知人事
〔附录〕健忘者,此证皆由忧思过度,损其心胞,以致神舍不清,遇事多忘。乃思虑过度
,病在心脾。又云∶思伤脾,亦令朝暗遗忘,治之以归脾汤,须兼理心脾,神宁意定,其证
附方
归脾汤 治思虑过度,劳伤心脾,健忘怔忡。
白术 茯神 黄 圆眼肉 酸枣仁(炒,各一两) 人参 木香(各半两) 甘草(炙,二钱半
上每服四钱,姜三片,枣一枚,水煎服。
定志丸 治心气不定,恍惚多忘。
远志(二两) 人参(一两) 菖蒲(一两) 白茯苓(三两)
上为末,炼蜜丸如梧子大,朱砂为衣。服二十丸,米汤下。
(附肢节痛)
四肢百节走痛是也。他方谓之白虎历节风证。大率有痰、风热、风湿、血虚。因于
续命汤;因于湿者,苍术、白术之类,佐以竹沥;因于痰者,二陈汤加酒炒黄芩、羌活、
术;因于血虚者,用芎、归之类,佐以红花、桃仁。大法之方,苍术、川芎、白芷、南星
、当归、酒黄芩。在上者,加羌活、威灵仙、桂枝;
在下者,加牛膝、防己、木通、黄柏。血虚,《格致余论》详言,多用川芎、当归,佐以桃
红花、薄桂、威灵仙。治痛风,取薄桂味淡者,独此能横行手臂,领南星、苍术等药至痛
又方 治上中下疼痛
南星(姜制) 苍术(泔浸) 黄柏(酒炒,各二两) 川芎(一两) 白芷(半两) 神曲(炒,一两)
桃仁(半两)
行臂) 红花(酒洗,一钱半) 草龙胆(半钱,下行)
上为末,曲糊丸梧子大。每服一百丸,空心白汤下。
张子元,血气虚有痰,白浊,阴火痛风。
人参(一两) 白术 熟地黄 黄柏(炒黑,各二两) 山药 海石 南星(各一两) 锁阳(半两)
干姜(烧灰,半两,取其不走) 败龟板(酒炙,二两)
上为末,粥丸。一云酒糊丸。
臂痛方
苍术(一钱半)半夏 南星 白术 酒芩(炒) 香附(各一钱) 陈皮 茯苓(各半钱) 威灵仙
(三钱) 甘草(少许,别本加羌活一钱)
上 咀。作一服,入生姜二三片。
二妙散 治筋骨疼痛因湿热者,有气加气药,血虚者加补药,痛甚者加生姜汁,热辣服
黄柏(炒) 苍术(米泔浸炒)
上二味为末,沸汤,入姜汁调服。二物皆有雄壮之气,表实气实者,加酒少许佐之。若
痰带热者,先以舟车丸,或导水丸、神芎丸下伐,后以趁痛散服之。
趁痛散
乳香 没药 桃仁 红花 当归 地龙(酒炒) 牛膝(酒浸) 羌活 甘草 五灵脂(酒
淘) 香附(童便浸) 或加酒芩 炒酒柏
上为末。酒调二钱服。
八珍丸 治痛风走注,脚疾。
乳香 没药 代赭石 穿山甲(生用,各三钱) 羌活 草乌(生用,各五钱) 全蝎(二十一个
炒) 川乌(生用,一两,不去皮尖)
上为末,醋糊丸如梧子大。每二十一丸,温酒送下。
四妙散 痛风走注。
威灵仙(酒浸,五钱) 羊角灰(三钱) 白芥子(一钱) 苍耳(一钱半,一云苍术)
上为末。每服一钱,生姜一大片,擂汁,入汤调服,及二妙散同调服。
又方 治酒湿痰痛风。
黄柏(酒炒) 威灵仙(酒炒,各五钱) 苍术 羌活 甘草(三钱) 陈皮(一钱) 芍药(一钱)
上为末。每服一钱或二钱,沸汤入姜汁调下。
治气实表实,骨节痛方。
滑石(六钱) 甘草(一钱) 香附 片芩(各三钱)
上为末,姜汁糊丸,如梧子大。每服五七十丸,白汤吞下。
又方
糯米(一盏) 黄踯躅根(一握) 黑豆(半合)
上用酒水和一碗煎,徐徐服之。大吐大泻,一服便能行动。
治食积肩腿痛。
龟板(酒浸,一两) 酒柏叶 香附(半两) 辣芥子 凌霄花
上为末,酒糊丸如梧子大。煎四物汤加陈皮、甘草汤下。
附方
控涎丹 治一身及两胁走痛,痰挟死血者。
甘遂(面裹煨) 大戟(制) 真白芥菜子(炒,各等分)
上为末,加桃仁泥糊丸,如梧子大。每服五七丸,渐加至十丸,临卧姜汤下。
龙虎丹 治走注疼痛,或麻木不遂,或半身痛。
草乌 苍术 白芷(各一两,碾粗末拌发酵, 过入后药) 乳香 没药(各二钱,另研) 当
归牛膝(各五钱)
上为末,酒糊丸如弹大。每服一丸,温酒化下。
〔附录〕遍身骨节疼痛,昼静夜剧,如虎啮之状,名曰白虎历节风,并宜加减地仙丹,或
青龙丸、乳香丸等服之。
又有痛风而痛有常处,其痛处赤肿灼热,或浑身壮热,此欲成风毒,宜败毒散。凡治臂
痛以二陈汤加酒炒黄芩、苍术、羌活。
如肢节痛,须用羌活,去风湿亦宜用之。如肥人肢节痛,多是风湿与痰饮,流注经络而
宜南星、半夏;如瘦人肢节痛,是血虚,宜四物加防风、羌活;如瘦人性急燥而肢节痛发
,是血热,宜四物汤加黄芩、酒炒黄柏;如肢节肿痛脉滑者,当用燥湿,宜苍术、南星,
行气药木香、枳壳、槟榔,在下者加汉防己;若肢节肿痛脉涩数者,此是瘀血,宜桃仁、
花、当归、川芎及大黄微利之;如倦怠无力而肢节痛,此是气虚,兼有痰饮流注,宜参、
术、星、半。丹溪无肢节痛条,此文又纯似丹溪语,姑书以俟知者。
小续命汤 地仙丹 并见中风类。
舟车丸 见中湿类。
导水丸 见痢类。
神芎丸 见发热类。
败毒散 见瘟疫类。
乳香丸
白附子(炮) 南星 白芷 没药 赤小豆 荆芥 藿香(去土) 骨碎补(去毛) 乳香(
,各一两) 五灵脂 川乌(炮,去皮脐尖) 糯米(炒,各二两) 草乌头(炮,去皮尖) 京墨(
,各五两) 松脂(半两,研)
上为末,酒糊丸梧子大。每服十丸至十五丸,冷酒吞下,茶亦得,不拘时。忌热物。
健忘症,多因精神元气不足所致,也有由痰浊引起的。
戴元礼说:健忘的人做事有头无尾,说话不知首尾连贯,这被称为病名,不同于先天愚笨、不懂人事的情况。
【附录】健忘这一病症,皆因忧愁思虑过度,损伤心包络,导致心神居所不清澈,遇事容易遗忘。这是思虑过度,病变在心脾。又说:思虑伤脾,也会导致白天昏暗、记忆遗忘,治疗用归脾汤,必须兼顾调理心脾,使神志安宁、意念安定,此证即可痊愈。
附方:
归脾汤:治疗思虑过度,劳伤心脾,导致健忘、心悸怔忡。
药材:白术、茯神、黄芪、桂圆肉、酸枣仁(炒,各一两)、人参、木香(各半两)、甘草(炙,二钱半)。
用法:每次服用四钱,加生姜三片、大枣一枚,水煎服。
定志丸:治疗心气不安,神情恍惚、多忘。
药材:远志(二两)、人参(一两)、石菖蒲(一两)、白茯苓(三两)。
用法:研为细末,炼蜜制成梧桐子大小的药丸,用朱砂粉末做外衣。每次服用二十丸,米汤送下。
(附:肢节疼痛)
四肢百节游走性疼痛即是此证。其他地方称之为“白虎历节风”证。大率分为痰、风热、风湿、血虚几种情况。因于风邪者,用小续命汤;因于湿邪者,用苍术、白术之类,佐以竹沥;因于痰浊者,用二陈汤加酒炒黄芩、羌活、南星;因于血虚者,用川芎、当归之类,佐以红花、桃仁。通用的基础方剂包括:苍术、川芎、白芷、天南星、当归、酒黄芩。疼痛在上部者,加羌活、威灵仙、桂枝;在下部者,加牛膝、防己、木通、黄柏。关于血虚,《格致余论》中有详细论述,多用川芎、当归,佐以桃仁、红花、薄桂、威灵仙。治疗痛风,选取味淡的薄桂,只有它能横行手臂,引领南星、苍术等药物到达疼痛部位。
又一方:治疗上、中、下部疼痛。
药材:天南星(姜制)、苍术(淘米水浸泡)、黄柏(酒炒,各二两)、川芎(一两)、白芷(半两)、神曲(炒,一两)、桃仁(半两)、红花(酒洗,一钱半)、草龙胆(半钱,引药下行)。
用法:研为细末,神曲糊制成梧桐子大小的药丸。每次服用一百丸,空腹时白开水送下。
张子元,气血虚弱且有痰浊,出现白浊、阴火痛风症状。
药材:人参(一两)、白术、熟地黄、黄柏(炒黑,各二两)、山药、海浮石、天南星(各一两)、锁阳(半两)、干姜(烧成灰,半两,取其药性不走散之意)、败龟板(酒炙,二两)。
用法:研为细末,粥糊或酒糊制成丸药。
臂痛方:
药材:苍术(一钱半)、半夏、天南星、白术、酒黄芩(炒)、香附(各一钱)、陈皮、茯苓(各半钱)、威灵仙(三钱)、甘草(少许,另一版本加羌活一钱)。
用法:切碎。作为一服药量,加入生姜二三片。
二妙散:治疗因湿热导致的筋骨疼痛。有气滞的加理气药,血虚的加补血药,疼痛剧烈的加生姜汁,趁热辣服。
药材:黄柏(炒)、苍术(米泔水浸泡后炒)。
用法:将这两味药研为细末,用沸水冲调,加入生姜汁调和服用。这两味药都有雄壮之气,表实、气实者,加少许酒辅助。若痰中带热者,先用舟车丸,或导水丸、神芎丸攻下泻热,然后再服用趁痛散。
趁痛散:
药材:乳香、没药、桃仁、红花、当归、地龙(酒炒)、牛膝(酒浸)、羌活、甘草、五灵脂(酒淘洗)、香附(童便浸泡),也可加酒黄芩、炒酒黄柏。
用法:研为细末。用酒调服二钱。
八珍丸:治疗痛风游走不定,脚部疾病。
药材:乳香、没药、代赭石、穿山甲(生用,各三钱)、羌活、草乌(生用,各五钱)、全蝎(二十一个,炒)、川乌(生用,一两,不去皮尖)。
用法:研为细末,醋糊制成梧桐子大小的药丸。每次服用二十一丸,温酒送下。
四妙散:治疗痛风游走不定。
药材:威灵仙(酒浸,五钱)、羊角灰(三钱)、白芥子(一钱)、苍耳子(一钱半,一说为苍术)。
用法:研为细末。每次服用一钱,取一大片生姜,研磨取汁,用汤药调服,也可与二妙散同调服用。
又一方:治疗酒湿痰浊导致的痛风。
药材:黄柏(酒炒)、威灵仙(酒炒,各五钱)、苍术、羌活、甘草(三钱)、陈皮(一钱)、芍药(一钱)。
用法:研为细末。每次服用一钱或二钱,沸水冲入姜汁调下。
治疗气实表实导致的骨节疼痛方:
药材:滑石(六钱)、甘草(一钱)、香附、片芩(各三钱)。
用法:研为细末,姜汁糊制成梧桐子大小的药丸。每次服用五七十丸,白开水吞下。
又一方:
药材:糯米(一盏)、黄踯躅根(一握)、黑豆(半合)。
用法:用酒水混合一碗煎煮,慢慢服用。服药后会出现剧烈呕吐和腹泻,服一次便能行动自如。
治疗食积导致的肩腿疼痛:
药材:龟板(酒浸,一两)、酒柏叶、香附(半两)、辣芥子、凌霄花。
用法:研为细末,酒糊制成梧桐子大小的药丸。煎四物汤加陈皮、甘草汤送下。
附方:
控涎丹:治疗全身及两胁游走性疼痛,痰挟死血者。
药材:甘遂(面粉包裹煨制)、大戟(制过)、真白芥菜子(炒,各等分)。
用法:研为细末,加入桃仁泥糊制成梧桐子大小的药丸。每次服用五到七丸,逐渐增加到十丸,临睡前姜汤送下。
龙虎丹:治疗游走性疼痛,或麻木不遂,或半身疼痛。
药材:草乌、苍术、白芷(各一两,碾成粗末拌发酵,过筛后加入以下药物)、乳香、没药(各二钱,另研细)、当归、牛膝(各五钱)。
用法:研为细末,酒糊制成弹丸大小的药丸。每次服用一丸,温酒化开送下。
【附录】遍身骨节疼痛,白天安静夜间加剧,像被老虎咬噬一样的状态,名叫“白虎历节风”,都适宜服用加减地仙丹,或青龙丸、乳香丸等。
又有痛风而疼痛部位固定,疼痛处红肿灼热,或浑身高热,这是将要形成风毒,宜用败毒散。凡是治疗臂痛,用二陈汤加酒炒黄芩、苍术、羌活。
如果是肢节疼痛,须用羌活,去除风湿也适宜用它。如果是肥胖之人肢节疼痛,多是风湿与痰饮,流注经络所致,宜用南星、半夏;如果是瘦人肢节疼痛,是血虚所致,宜用四物汤加防风、羌活;如果是瘦人性情急躁易怒且肢节疼痛发作,是血热所致,宜用四物汤加黄芩、酒炒黄柏;如果是肢节肿痛且脉象滑者,应当用燥湿药,宜用苍术、南星,配合行气药木香、枳壳、槟榔,病位在下者加汉防己;如果肢节肿痛且脉象涩数者,这是瘀血所致,宜用桃仁、红花、当归、川芎及大黄轻微通利大便;如果倦怠无力且肢节疼痛,这是气虚,兼有痰饮流注,宜用人参、白术、南星、半夏。朱丹溪原书没有肢节痛的条目,这段文字又纯像是朱丹溪的语言,暂且记录下来等待懂行的人考证。
小续命汤、地仙丹 并见中风类。
舟车丸 见中湿类。
导水丸 见痢疾类。
神芎丸 见发热类。
败毒散 见瘟疫类。
乳香丸:
药材:白附子(炮制)、天南星、白芷、没药、赤小豆、荆芥、藿香(去土)、骨碎补(去毛)、乳香(各一两)、五灵脂、川乌(炮制,去皮脐尖)、糯米(炒,各二两)、草乌头(炮制,去皮尖)、京墨(煅,各五两)、松脂(半两,研细)。
用法:研为细末,酒糊制成梧桐子大小的药丸。每次服用十丸至十五丸,冷酒吞下,茶送也可以,不拘时间。忌食热物。
Amnesia is mostly caused by a deficiency of spirit and vital energy, but it can also be due to phlegm.
Dai Yuanli stated: People with amnesia start things without finishing them and speak without coherence between the beginning and end. This is considered a disease name, distinct from congenital stupidity or ignorance of human affairs.
[Appendix] The syndrome of amnesia is all caused by excessive worry and overthinking, which damages the Pericardium (Pericardium Meridian of Hand-Jueyin), leading to an unclear dwelling place for the Spirit (Shen). Consequently, one tends to forget things easily. This results from excessive mental exertion, with pathology located in the Heart and Spleen. It is also said that overthinking injures the Spleen, causing dimness during the day and memory loss. Treatment involves Gui Pi Tang (Restore the Spleen Decoction), requiring simultaneous regulation of the Heart and Spleen so that the Spirit becomes tranquil and intentions stable, thereby resolving the syndrome.
Attached Formula:
Gui Pi Tang (Restore the Spleen Decoction): Treats amnesia and palpitations (restlessness and fear of being startled) caused by excessive mental exertion damaging the Heart and Spleen.
Herbs: Atractylodis Rhizoma (Baizhu), Poria (Fushen), Astragali Radix (Huangqi), Dimocarpus Longan Aril (Yuanyuanrou), Ziziphi Spinosae Semen (Suanzaoren, stir-fried, each 1 liang), Ginseng Radix et Rhizoma (Renshen), Aucklandiae Radix (Muxiang, each half liang), Glycyrrhizae Radix et Rhizoma (Gancao, roasted, 2 qian 5 fen).
Usage: Take 4 qian per dose, add 3 slices of Zingiberis Rhizoma Recens (Fresh Ginger) and 1 Jujubae Fructus (Jujube), decoct in water and take orally.
Ding Zhi Wan (Stabilize Mind Pill): Treats instability of Heart Qi, resulting in trance-like states and forgetfulness.
Herbs: Polygalae Radix (Yuanzhi, 2 liang), Ginseng Radix et Rhizoma (Renshen, 1 liang), Pogostemonis Herba (Shichangpu, 1 liang), Poria (Baifuling, 3 liang).
Usage: Grind into fine powder, mix with refined honey to form pills the size of Chinese quince seeds (Wu Zi), coat with Cinnabar (Zhusha). Take 20 pills per dose, washed down with Rice Decoction (Mitang).
(Attached: Limb Joint Pain)
Wandering pain in the four limbs and hundred joints is this syndrome. In other texts, it is called "White Tiger Periarticular Wind" syndrome. Generally, it is categorized into Phlegm, Wind-Heat, Damp-Wind, and Blood Deficiency. If caused by Wind, use Xiao Xu Ming Tang (Minor Continuation of Life Decoction); if caused by Dampness, use Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), assisted by Zhuli (Bamboo Juice); if caused by Phlegm, use Er Chen Tang (Two-Cured Decoction) added with Jiuhuang Huangqin (Scutellariae Radix fried with wine) and Qianghuo (Notopterygii Rhizoma et Radix), Nanxing (Arisaematis Rhizoma); if caused by Blood Deficiency, use Chuanxiong Rhizome (Chuanxiong) and Angelicae Sinensis Radix (Danggui), assisted by Honghua (Carthami Flos) and Taoren (Persicae Semen). The general foundational formula includes Cang Zhu (Atractylodis Rhizoma), Chuanxiong Rhizome (Chuanxiong), Angelicae Dahuricae Radix (Baizhi), Arisaematis Rhizoma (Nanxing), Angelicae Sinensis Radix (Danggui), and Jiuhuang Huangqin (Scutellariae Radix fried with wine). For pain in the upper body, add Qianghuo (Notopterygii Rhizoma et Radix), Sparaxis (Weilingxian), and Guizhi (Cinnamomi Ramulus); for pain in the lower body, add Achyranthis Bidentatae Radix (Niuxi), Podophylli Emodi Rhizoma et Radix (Fangji), Akebiae Caulis (Mutong), and Phellodendri Cortex (Huangbai). Regarding Blood Deficiency, Ge Zhi Yu Lun has detailed discussions, mainly using Chuanxiong Rhizome (Chuanxiong) and Angelicae Sinensis Radix (Danggui), assisted by Taoren (Persicae Semen), Honghua (Carthami Flos), Bo Gui (Thin Cinnamon Twig), and Weilingxian (Sparaxis). To treat Gout (Tongfeng), select thin cinnamon twigs with a mild flavor; only these can travel horizontally through the arms, guiding Nanxing (Arisaematis Rhizoma) and Cang Zhu (Atractylodis Rhizoma) to the painful areas.
Another Prescription: Treats pain in the upper, middle, and lower parts of the body.
Herbs: Arisaematis Rhizoma Praeparatum (Nanxing, ginger-processed), Atractylodis Rhizoma (Cangzhu, soaked in rice wash), Phellodendri Cortex (Huangbai, wine-fried, each 2 liang), Chuanxiong Rhizome (Chuanxiong, 1 liang), Angelicae Dahuricae Radix (Baizhi, half liang), Massae Fermentatae Medicinalis (Shenqu, stir-fried, 1 liang), Persicae Semen (Taoren, half liang), Carthami Flos (Honghua, wine-washed, 1 qian 5 fen), Gentiana Scabra Radix et Rhizoma (Caolongdan, half qian, directs downward).
Usage: Grind into fine powder, bind with Shenqu paste to form pills the size of Chinese quince seeds. Take 100 pills per dose on an empty stomach, washed down with plain boiled water.
Zhang Ziyuan had deficient Qi and Blood with Phlegm, presenting with white turbid discharge and Yin-Fire Gout.
Herbs: Ginseng Radix et Rhizoma (Renshen, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix Praeparata (Shudihuang), Phellodendri Cortex (Huangbai, black-roasted, each 2 liang), Dioscoreae Rhizoma (Shanyao), Filicinae Rhizoma (Haishi), Arisaematis Rhizoma (Nanxing, each 1 liang), Cynomorii Herba (Suoyang, half liang), Zingiberis Rhizoma (Ganjiang, burnt to ash, half liang, to prevent dispersion of action), Testudinis Carapax et Plastrum (Baiguiban, wine-roasted, 2 liang).
Usage: Grind into fine powder, bind with congee paste or wine paste to form pills. One version says wine paste.
Arm Pain Formula:
Herbs: Atractylodis Rhizoma (Cangzhu, 1 qian 5 fen), Pinelliae Rhizoma Preparatum (Banxia), Arisaematis Rhizoma (Nanxing), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Jiuqin, fried), Cyperi Rhizoma (Xiangfu, each 1 qian), Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling, each half qian), Sparaxis (Weilingxian, 3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, a small amount; another edition adds Notopterygii Rhizoma et Radix/Qianghuo 1 qian).
Usage: Cut into pieces. Prepare as one dose, adding 2-3 slices of Fresh Ginger.
Er Miao San (Two Marvels Powder): Treats bone and tendon pain caused by Damp-Heat. Add Qi-regulating herbs for Qi stagnation, tonifying herbs for Blood deficiency, and Fresh Ginger Juice for severe pain; take hot and spicy.
Herbs: Phellodendri Cortex (Huangbai, fried), Atractylodis Rhizoma (Cangzhu, soaked in rice wash and fried).
Usage: Grind these two herbs into fine powder, mix with boiling water, add Ginger Juice, and take orally. Both herbs possess strong aromatic properties; for exterior-excess and Qi-excess patterns, add a little wine to assist. If Phlegm carries Heat, first purge with Zhou Che Wan (Boat Cart Pill), Dao Shui Wan (Water-Guiding Pill), or Shen Xiong Wan (Divine Ligusticum Pill), then take Chen Tong San (Follow-Pain Powder).
Chen Tong San (Follow-Pain Powder):
Herbs: Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao), Persicae Semen (Taoren), Carthami Flos (Honghua), Angelicae Sinensis Radix (Danggui), Pheretima (Dilong, wine-fried), Achyranthis Bidentatae Radix (Niuxi, wine-soaked), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao), Trogopterori Faeces (Wulingzhi, wine-rinsed), Cyperi Rhizoma (Xiangfu, soaked in child's urine), optionally add Scutellariae Radix (Jiuqin) and Phellodendri Cortex (Jiuhuangbai).
Usage: Grind into fine powder. Mix with wine and take 2 qian per dose.
Ba Zhen Wan (Eight Treasures Pill): Treats wandering Gout and foot diseases.
Herbs: Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao), Haematitum (Daizheshi), Manis Squama (Chuanshanjia, raw, each 3 qian), Notopterygii Rhizoma et Radix (Qianghuo), Aconiti Lateralis Radix Praeparata (Caowu, raw, each 5 qian), Scorpio (Quanxie, 21 pieces, fried), Aconiti Radix (Chuanwu, raw, 1 liang, do not remove skin and tip).
Usage: Grind into fine powder, bind with vinegar paste to form pills the size of Chinese quince seeds. Take 21 pills per dose, washed down with warm wine.
Si Miao San (Four Marvels Powder): Treats wandering Gout.
Herbars: Sparaxis (Weilingxian, wine-soaked, 5 qian), Ash of Sheep Horn (Yangjiao Hui, 3 qian), Brassicae Albae Semen (Baijiezi, 1 qian), Xanthii Fructus (Cangerzi, 1 qian 5 fen; one source says Cangzhu/Atractylodis Rhizoma).
Usage: Grind into fine powder. Take 1 qian per dose, grind one large slice of Fresh Ginger to extract juice, mix with herbal decoction to take orally, or mix with Er Miao San.
Another Prescription: Treats Gout caused by Wine-Dampness and Phlegm.
Herbs: Phellodendri Cortex (Huangbai, wine-fried), Sparaxis (Weilingxian, wine-fried, each 5 qian), Atractylodis Rhizoma (Cangzhu), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian), Citri Reticulatae Pericarpium (Chenpi, 1 qian), Paeoniae Radix Alba (Shaoyao, 1 qian).
Usage: Grind into fine powder. Take 1 or 2 qian per dose, mixed with boiling water and Ginger Juice.
Formula for Bone and Joint Pain due to Excess Qi and Excess Exterior:
Herbs: Talcum (Huashi, 6 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian), Cyperi Rhizoma (Xiangfu), Scutellariae Radix (Pianqin, each 3 qian).
Usage: Grind into fine powder, bind with Ginger Juice paste to form pills the size of Chinese quince seeds. Take 50-70 pills per dose, swallowed with plain boiled water.
Another Prescription:
Herbs: Oryzae Fructus Glutinosa (Nuomi, 1 zhan), Rhododendri Daurici Flos (Huangzhizhu Gen, one handful), Sojae Semen Nigrum (Heidou, half he).
Usage: Decoct in a mixture of wine and water until one bowl remains, drink slowly. Severe vomiting and diarrhea will occur after one dose, enabling movement immediately.
Formula for Shoulder and Leg Pain due to Food Stagnation:
Herbs: Testudinis Carapax et Plastrum (Guiban, wine-soaked, 1 liang), Phellodendri Cortex Folium (Jiu Baiye), Cyperi Rhizoma (Xiangfu, half liang), Sinapis Semen (Lajiezi), Campsis Grandiflora Flos (Lingxiaohua).
Usage: Grind into fine powder, bind with wine paste to form pills the size of Chinese quince seeds. Take with decoction of Si Wu Tang (Four Substances Decoction) added with Citri Reticulatae Pericarpium (Chenpi) and Glycyrrhizae Radix et Rhizoma (Gancao).
Attached Formula:
Kong Xian Dan (Control Phlegm Pill): Treats wandering pain throughout the body and hypochondrium, where Phlegm clots with dead Blood.
Herbs: Kansui Radix (Gansui, baked in flour wrapper), Mirabilite (Daji, processed), Sinapis Albae Semen (Zhen Baijiecaizi, fried, equal parts).
Usage: Grind into fine powder, mix with Persicae Semen paste to form pills the size of Chinese quince seeds. Take 5-7 pills initially, gradually increasing to 10 pills, taken before bed with Ginger Decoction.
Long Hu Dan (Dragon-Tiger Pill): Treats wandering pain, numbness and paralysis, or hemibody pain.
Herbs: Aconiti Lateralis Radix Praeparata (Caowu), Atractylodis Rhizoma (Cangzhu), Angelicae Dahuricae Radix (Baizhi, each 1 liang, ground into coarse powder, mixed with fermentation starter, sieved, then added to following herbs), Boswelliae Resina (Ruxiang), Myrrhae Resina (Moyao, each 2 qian, separately ground), Angelicae Sinensis Radix (Danggui), Achyranthis Bidentatae Radix (Niuxi, each 5 qian).
Usage: Grind into fine powder, bind with wine paste to form pills the size of a bullet. Take one pill per dose, dissolved in warm wine.
[Appendix] Wandering pain in all bone joints, quiet during the day but severe at night, resembling bites from a tiger, is named "White Tiger Periarticular Wind." All cases should be treated with Ji Jian Di Xian Dan (Modified Immortal Earth Pill), Qing Long Wan (Green Dragon Pill), or Ruxiang Wan (Boswellia Pill).
There is also Gout where pain is fixed in one location, with redness, swelling, and burning heat at the painful site, or high fever throughout the body; this indicates impending Wind-Toxin, and Bai Du San (Eliminate Toxin Powder) is suitable. For treating arm pain generally, use Er Chen Tang (Two-Cured Decoction) added with Jiuhuang Huangqin (Scutellariae Radix fried with wine), Cangzhu (Atractylodis Rhizoma), and Qianghuo (Notopterygii Rhizoma et Radix).
For limb joint pain, Qianghuo (Notopterygii Rhizoma et Radix) must be used; it is also suitable for dispelling Wind-Damp. For obese individuals with limb joint pain, it is mostly Wind-Damp combined with Phlegm-Fluid flowing into collaterals, so Nanxing (Arisaematis Rhizoma) and Banxia (Pinelliae Rhizoma) are appropriate. For thin individuals with limb joint pain, it is due to Blood Deficiency, so Si Wu Tang (Four Substances Decoction) added with Fangfeng (Saposhnikoviae Radix) and Qianghuo (Notopterygii Rhizoma et Radix) is suitable. For thin individuals with irritable temper who suffer from limb joint pain attacks, it is due to Blood-Heat, so Si Wu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix) and Jiuhuang Huangbai (Phellodendri Cortex fried with wine) is suitable. For swollen and painful joints with a slippery pulse, dryness-promoting herbs are needed, such as Cangzhu (Atractylodis Rhizoma) and Nanxing (Arisaematis Rhizoma), combined with Qi-moving herbs like Muxiang (Aucklandiae Radix), Zhike (Aurantii Fructus), and Binglang (Arecae Semen); for lower body involvement, add Hanfangji (Podophylli Emodi Rhizoma et Radix). If joints are swollen and painful with a choppy and rapid pulse, this is Blood Stasis, so Taoren (Persicae Semen), Honghua (Carthami Flos), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizome), and Dahuang (Rhei Radix et Rhizoma) to induce mild purgation are suitable. For fatigue and weakness accompanied by limb joint pain, this is Qi Deficiency with Phlegm-Fluid flowing into collaterals, so Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Nanxing (Arisaematis Rhizoma), and Banxia (Pinelliae Rhizoma) are appropriate. Zhu Danxi did not have a section on limb joint pain in his original work; this text reads purely like Zhu Danxi's language, so it is recorded provisionally for experts to verify.
Xiao Xu Ming Tang (Minor Continuation of Life Decoction) and Di Xian Dan (Immortal Earth Pill) are both found in the Stroke category.
Zhou Che Wan (Boat Cart Pill) is found in the Dampness category.
Dao Shui Wan (Water-Guiding Pill) is found in the Dysentery category.
Shen Xiong Wan (Divine Ligusticum Pill) is found in the Fever category.
Bai Du San (Eliminate Toxin Powder) is found in the Plague category.
Ruxiang Wan (Boswellia Pill):
Herbs: Bai Fu Zi (Typhonii Rhizoma, prepared), Nanxing (Arisaematis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Moyao (Myrrhae Resina), Chi Xiaodou (Vigna Angularis Semen), Jingjie (Schizonepetae Spica), Huoxiang (Agastaches Herba, cleaned), Gusuibu (Drynariae Rhizoma, hair removed), Ruxiang (Boswelliae Resina, each 1 liang), Wulingzhi (Trogopterori Faeces), Chuanwu (Aconiti Radix, prepared, skin and tip removed), Nuomi (Oryzae Fructus Glutinosa, fried, each 2 liang), Caowutou (Aconiti Radix, prepared, skin and tip removed), Jingmo (Beijing Inkstone Ink, calcined, each 5 liang), Songzhi (Pini Resin, half liang, ground).
Usage: Grind into fine powder, bind with wine paste to form pills the size of Chinese quince seeds. Take 10-15 pills per dose, swallowed with cold wine; tea is also acceptable, time不限. Avoid hot foods.