历节风之状,短气自汗,头眩欲吐,手指挛曲,身体魁羸,其肿如脱,渐至摧落,其痛
如掣,不能屈伸。盖由饮酒当风,汗出入水,或体虚肤空,掩护不谨,以致风寒湿之邪,遍
历关节,与血气搏而有斯疾也。其痛如掣者为寒多;其肿如脱者为湿多;肢节间黄汗出者为
风多。遍身走痒,彻骨疼痛,昼静夜剧,发如虫啮者,谓之白虎历节。治法当以温药解其风
寒湿之毒,或用和平,则独活寄生汤辈可也。其白虎历节,游走痒痛,虫实为之。况夫脾主
肌肉,虚则为痒,遇痒而进饮食,尚庶几焉。而虫亦餍饫,其间不至于频频啮也。《书》曰∶
若药
虎骨散 治白虎历节,走注痒痛,不得屈伸。
虎胫骨(酒炙黄,一两半) 白花蛇(酒浸,取肉炙黄) 天麻 自然铜(用醋淬七次)
防风 白附子(炮) 槟榔 官桂 当归 羌活 牛膝 白芷 川芎 僵蚕(炒,去丝。各
一两) 全
上末。每服二钱,食前以暖豆淋酒调下。
雄麝丸 治历节风,骨节疼痛,挛急痹顽。
安息香 五灵脂 天麻(各一两半) 地龙(净) 白僵蚕(微炒。各三分) 全蝎
(微炒) 雄黄(各半两) 麝香(一分) 乌蛇(酒浸,取肉炙) 天雄(炮,去皮脐) 当
归川乌(炮,去皮脐) 川芎 南星(炮) 官桂 虎胫骨(酒炙黄。各一两) 川独
活(二两)
上末,炼蜜杵丸桐子大。每服十五丸,食前温酒下。
海桐皮散 治历节走注,骨节疼痛。
独活 萆 (盐水浸,焙) 川芎 当归(各三分) 桃仁(去皮,焙) 天麻 辣桂 牛
膝麻黄(去节) 枳壳(制) 海桐皮 白芍药 川乌(炮,去皮脐) 松节 防风 杜
仲(姜制) 甘草(炙。各半两) 麝香(一分) 虎胫骨(酒炙黄,一两)
上粗末。每服二钱,姜五片,枣二枚,食前煎服。
独活寄生汤 治历节风,亦治香港脚。(方见腰疼门。)
麝香丸 治白虎历节,游走痒痛,状若虫啮。(方见风类。)
虎骨酒 治历节诸风,百节疼痛。(方见风缓门。)
硫黄酒 治恶风,头面肢体瘾疹, 羸。
透明锋芒硫黄
上每服三钱,乳钵内研细,入醇酒再研,空心饮其清者。滓又研细,入酒饮之,连日如
是。
必用历节厉风方 治手指弯曲,骨节间痛甚。
蓖麻子(去皮,二两) 黄连(去须,锉如豆,一两)
上用新水二升,于瓷瓶内浸二药,密封七日取出,逐日侵晨面东,以浸药水吞蓖麻仁一
粒,七日后添两粒,微利不妨。以疗大风亦效。
返魂追命再造散 治大风厉风。
川大黄(锦纹皱者,一两) 独生皂角刺(一两半)
上末。每服二钱,临夜冷酒调下,以净桶伺候泄虫。如虫口黑色,乃是多年;虫口赤色,
是为方近。三数日又进一服,直候无虫,则绝根也。(瘾疹若吃醋,则风疹食人。)
神授丸 治风寒湿合而为痹,遍身或半身麻木不仁,最能杀虫。(方见虚劳门。)用增味
五痹
白虎风走注痒痛方 鸡子揩患处,咒三遍,愿送粪堆头。盖白虎是粪神,爱吃鸡子。患
者下饭用黄脚鸡为妙,亦可抱鸡来压之,其痒自止。
麝香丸 治白虎历节风,游走疼痛,遍身瘙痒,状如虫啮,昼静夜剧。(方见风类。)
历节风的症状表现为:呼吸短促、自汗,头晕目眩且欲呕吐,手指拘挛弯曲,身体消瘦虚弱,关节肿胀感如同脱落一般,逐渐导致肢体毁损脱落,疼痛剧烈如被牵拉撕扯,无法屈伸活动。这主要是由于饮酒时受风,出汗后入水沐浴,或者体质虚弱、腠理疏松,防护不严密,致使风寒湿邪气遍行于各个关节,与气血相互搏结而引发此病。其中,疼痛如被牵掣的是寒邪偏盛;肿胀如脱出的是湿邪偏盛;肢节间流出黄色汗液的是风邪偏盛。全身游走性瘙痒,彻骨般的疼痛,白天安静夜间加重,发作时感觉像被虫子啃咬的,称为“白虎历节”。治疗方法应当使用温性药物来解除风寒湿的毒邪,或者采用药性平和的方法,那么独活寄生汤之类的方剂就可以使用。至于白虎历节这种游走性的痒痛,是由虫邪引起的。况且脾主肌肉,脾虚则产生瘙痒,遇到瘙痒时进食,或许还能使虫类吃饱,从而不至于频繁地啃咬患处。《尚书》说:“若药……”
虎骨散:治疗白虎历节,疼痛游走不定且瘙痒,不能屈伸。
药材:虎胫骨(用酒炙至黄色,一两半)、白花蛇(用酒浸泡,取肉炙黄)、天麻、自然铜(用醋淬炼七次)、防风、白附子(炮制)、槟榔、官桂、当归、羌活、牛膝、白芷、川芎、僵蚕(炒制,去丝线,各一两)。
以上药材研为细末。每次服用二钱,饭前用温热的豆淋酒调服。
雄麝丸:治疗历节风,骨节疼痛,拘急痹阻顽硬。
药材:安息香、五灵脂、天麻(各一两半)、地龙(洗净)、白僵蚕(微炒,各三分)、全蝎(微炒)、雄黄(各半两)、麝香(一分)、乌蛇(用酒浸泡,取肉炙干)、天雄(炮制,去皮和脐)、当归、川乌(炮制,去皮和脐)、川芎、南星(炮制)、官桂、虎胫骨(用酒炙至黄色,各一两)、川独活(二两)。
以上药材研为细末,用炼蜜捣制成梧桐子大小的丸剂。每次服用十五丸,饭前用温酒送服。
海桐皮散:治疗历节风疼痛游走不定,骨节疼痛。
药材:独活、萆薢(用盐水浸泡,焙干)、川芎、当归(各三分)、桃仁(去皮,焙干)、天麻、辣桂、牛膝、麻黄(去节)、枳壳(制过)、海桐皮、白芍药、川乌(炮制,去皮和脐)、松节、防风、杜仲(姜汁制)、甘草(炙,各半两)、麝香(一分)、虎胫骨(用酒炙至黄色,一两)。
以上药材捣成粗末。每次服用二钱,加生姜五片、大枣二枚,饭前煎煮后服用。
麝香丸:治疗白虎历节,游走性痒痛,状如虫咬。(方剂见风类。)
虎骨酒:治疗历节各种风证,百节疼痛。(方剂见风缓门。)
硫黄酒:治疗恶风,头面肢体出现瘾疹,身体消瘦虚弱。
药材:透明锋芒硫黄。
用法:每次服用三钱,在乳钵内研细,加入纯酒再次研磨,空腹饮用澄清的药液。药渣再次研细,加入酒中饮用,连续多日如此。
必用历节厉风方:治疗手指弯曲,骨节间疼痛剧烈。
药材:蓖麻子(去皮,二两)、黄连(去须,锉碎如豆大小,一两)。
用法:用新水二升,放入瓷瓶内浸泡这两种药材,密封七天取出。每天清晨面向东方,用浸泡的药液吞服一粒蓖麻仁,七日后增加至两粒,轻微腹泻无妨。治疗大风病也有效。
返魂追命再造散:治疗大风厉风。
药材:川大黄(锦纹皱缩者,一两)、独生皂角刺(一两半)。
以上药材研为细末。每次服用二钱,临睡前用冷酒调服,准备干净的桶以便排泄虫体。如果排出的虫口是黑色的,说明病程多年;如果虫口是红色的,说明用药不久。三数日后再进服一次,直到没有虫排出,才能断根。(瘾疹如果吃醋,风疹就会侵蚀人体。)
神授丸:治疗风寒湿合而为痹,全身或半身麻木不仁,最能杀虫。(方剂见虚劳门。)此处引用增味五痹……
白虎风走注痒痛方:用鸡蛋擦拭患处,念咒语三遍,愿将鸡蛋送至粪堆头部。因为白虎是粪神,爱吃鸡蛋。患者吃饭时用黄脚鸡为宜,也可以抱一只母鸡来压制它,瘙痒自然停止。
The manifestations of Li Jie Feng (Lichuan Joint Wind) include shortness of breath, spontaneous sweating, dizziness with a sensation of vomiting, contracture and curvature of the fingers, emaciation of the body, a sensation that the joints are swollen as if dislocated, gradual destruction and loss of limbs, severe pain as if being pulled or torn, and inability to flex or extend. This condition arises primarily from exposure to wind while drinking alcohol, entering water for bathing while sweating, or due to a weak constitution and loose skin pores with inadequate protection, allowing pathogenic factors of Wind, Cold, and Dampness to pervade all joints. These pathogens contend with Qi and Blood, resulting in this disease. When the pain feels like pulling, it indicates an excess of Cold; when swelling feels like dislocation, it indicates an excess of Dampness; when yellow sweat appears between the joints, it indicates an excess of Wind. Generalized wandering itching, bone-deep pain, quietness during the day but exacerbation at night, and sensations resembling insect bites are termed "White Tiger Lichuan Joint" (Bai Hu Li Jie). The treatment method should employ warm herbs to resolve the toxicity of Wind, Cold, and Dampness, or use mild methods, such as Du Huo Ji Sheng Tang (Radix Angelicae Pubescentis Decoction). As for White Tiger Lichuan Joint, the wandering itch and pain are caused by parasites. Furthermore, the Spleen governs muscles; deficiency leads to itching. If food is consumed upon feeling itchy, it may satisfy the parasites, preventing frequent biting. The Book of Documents states: "If medicine..."
Hu Gu San (Tiger Bone Powder): Treats White Tiger Lichuan Joint, wandering pain and itching, and inability to flex or extend.
Ingredients: Hu Jing Gu (Tibia of Tiger, processed with wine until yellow, 1.5 liang), Bai Hua She (Bungarus multicinctus, soaked in wine, meat taken and roasted until yellow), Tian Ma (Gastrodiae Rhizoma), Zi Ran Tong (Pyritum, quenched seven times in vinegar), Fang Feng (Saposhnikoviae Radix), Bai Fu Zi (Typhonii Rhizoma, processed), Bing Lang (Arecae Semen), Guan Gui (Cinnamomi Cortex), Dang Gui (Angelicae Sinensis Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Niu Xi (Achyranthis Bidentatae Radix), Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Chuanxiong Rhizoma), Jiang Can (Bombyx Batryticatus, fried, silk removed, each 1 liang).
Process the above into fine powder. Take 2 qian per dose, mixed with warm Dou Lin Jiu (Bean-leavened Wine) before meals.
Xiong She Wan (Musk Pill): Treats Li Jie Feng, bone joint pain, contracture, bi-syndrome, and stiffness.
Ingredients: An Xi Xiang (Ambra, 1.5 liang each), Wu Ling Zhi (Trogopteri Dung, 1.5 liang each), Tian Ma (Gastrodiae Rhizoma, 1.5 liang each), Di Long (Pheretima, cleaned), Bai Jiang Can (Bombyx Batryticatus, lightly fried, each 3 fen), Quan Xie (Scorpio, lightly fried), Xiong Huang (Realgar, each half liang), She Xiang (Moschus, 1 fen), Wu She (Agkistrodon, soaked in wine, meat taken and roasted), Tian Xiong (Aconiti Lateralis Radix Praeparata, processed, skin and navel removed), Dang Gui (Angelicae Sinensis Radix), Chuan Wu (Aconiti Radix, processed, skin and navel removed), Chuan Xiong (Chuanxiong Rhizoma), Nan Xing (Arisaematis Rhizoma, processed), Guan Gui (Cinnamomi Cortex), Hu Jing Gu (Tibia of Tiger, processed with wine until yellow, each 1 liang), Chuan Du Huo (Notopterygii Rhizoma et Radix, 2 liang).
Process the above into fine powder, mix with refined honey, and pound into pills the size of tung seeds. Take 15 pills per dose, with warm wine before meals.
Hai Tong Pi San (Sea Pine Bark Powder): Treats Li Jie Feng with wandering pain and bone joint pain.
Ingredients: Du Huo (Notopterygii Rhizoma et Radix), Bi Xie (Dioscoreae Hypoglaucae Rhizoma, soaked in salt water, dried), Chuan Xiong (Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix, each 3 fen), Tao Ren (Persicae Semen, peeled, dried), Tian Ma (Gastrodiae Rhizoma), La Gui (Cinnamomi Ramulum), Niu Xi (Achyranthis Bidentatae Radix), Ma Huang (Ephedrae Herba, nodes removed), Zhi Ke (Aurantii Fructus, processed), Hai Tong Pi (Securinegae Ramulus), Bai Shao Yao (Paeoniae Radix Alba), Chuan Wu (Aconiti Radix, processed, skin and navel removed), Song Jie (Pinus Massoniana Node), Fang Feng (Saposhnikoviae Radix), Du Zhong (Eucommiae Cortex, ginger-processed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted, each half liang), She Xiang (Moschus, 1 fen), Hu Jing Gu (Tibia of Tiger, processed with wine until yellow, 1 liang).
Process the above into coarse powder. Take 2 qian per dose, decoct with 5 slices of fresh ginger and 2 jujubes, and take before meals.
Du Huo Ji Sheng Tang (Radix Angelicae Pubescentis Decoction): Treats Li Jie Feng, also treats Hong Kong Foot (Gout/Jiaogong). (Formula see Yao Teng Men/Waist Pain Section.)
She Xiang Wan (Musk Pill): Treats White Tiger Lichuan Joint, wandering itch and pain, resembling insect bites. (Formula see Feng Lei/Wind Category.)
Hu Gu Jiu (Tiger Bone Wine): Treats various wind syndromes of Li Jie, pain in all joints. (Formula see Feng Huan Men/Flaccidity Syndrome Section.)
Liu Huang Jiu (Sulfur Wine): Treats aversion to wind, urticaria on the head, face, and limbs, and emaciation.
Ingredient: Tou Ming Feng Mang Liu Huang (Transparent Sharp-pointed Sulfur).
Usage: Take 3 qian per dose, grind finely in a mortar, add pure wine and grind again. Drink the clear liquid on an empty stomach. Grind the dregs finely again, add wine, and drink. Continue daily.
Bi Yong Li Jie Li Feng Fang (Essential Formula for Li Jie and Severe Wind): Treats finger curvature and severe pain between bone joints.
Ingredients: Bi Ma Zi (Ricini Semen, peeled, 2 liang), Huang Lian (Coptidis Rhizoma, remove roots, chop like beans, 1 liang).
Usage: Soak the two herbs in 2 sheng of fresh water in a porcelain bottle, seal tightly for seven days, then remove. Every morning facing east, swallow one Ricini Semen grain using the infused water. After seven days, increase to two grains. Mild diarrhea is acceptable. This is also effective for treating Da Feng (Leprosy/Massive Wind).
Fan Hun Zhui Ming Zai Zao San (Reviving Soul and Life Rebuilding Powder): Treats Da Feng and Li Feng.
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, with brocade patterns and wrinkles, 1 liang), Du Sheng Zao Jiao Ci (Gleditsiae Sinensis Spina, solitary growth, 1.5 liang).
Process the above into fine powder. Take 2 qian per dose, mixed with cold wine before bed, ready with a clean bucket to excrete worms. If the worm mouth is black, the disease has persisted for years; if red, the medication was recent. Administer another dose after three to four days until no worms appear, which eradicates the root. (If Urticaria consumes vinegar, Wind Rash will invade the body.)
Shen Shou Wan (Heaven-bestowed Pill): Treats Bi syndrome caused by the combination of Wind, Cold, and Dampness, causing numbness and insensitivity in the whole body or half-body, most capable of killing parasites. (Formula see Xu Lao Men/Deficiency Consumption Section.) Here citing Zeng Wei Wu Bi...
Bai Hu Feng Zou Zhu Yang Tong Fang (White Tiger Wind Wandering Itch Pain Formula): Rub the affected area with a chicken egg, recite a spell three times, wishing to send the egg to the top of a dung pile. Because White Tiger is the god of dung and loves eating eggs. It is advisable for patients to eat yellow-legged chickens with their meals, or one can hold a hen to suppress the condition, and the itching will stop naturally.
She Xiang Wan (Musk Pill): Treats White Tiger Lichuan Joint Wind, wandering pain, generalized itching, resembling insect bites, quiet during the day and severe at night. (Formula see Feng Lei/Wind Category.)