五痹汤中羌白术,姜黄防己二钱足,甘草一钱姜同煎,筋缓皮顽堪再续。
羌活、白术、姜黄、防己各二钱,甘草一钱(一方有柴胡),姜煎热服。治风寒湿气客留肌体,手足缓弱,
顽麻不仁。
三痹汤即寄生汤,黄 续断凑成方,一切风痹拘挛疾,煎服为丸任意尝。
杜仲、牛膝、细辛、人参、茯苓、桂心、白芍、甘草、防风、当归、川芎、黄 、续断各一钱,独活、
秦艽、生地各五分,姜枣煎热服。治血气涩滞,手足拘挛,风痹等疾。
黄 汤治浑身麻,蔓草橘参芍药遐,临卧水煎还滚服,大热三分黄柏加。
黄 、人参、芍药各一钱,蔓荆子四分,橘皮、甘草各六分,水煎热服。治头面手足 背腿脚,或遍身
麻木不知,及两目羞明,隐涩睛痛。
补气汤黄 ,白芍甘草泽泻陈皮搏,水煎能治皮肤麻,兼医眼目多昏错。
白芍、陈皮各一钱半,黄 、甘草各一钱,泽泻五分,水煎温服。治肝气不行,皮肤间麻木,兼治两目
缩小,羞明畏日,视物无力。
五积白芷陈皮朴,桔梗枳壳川芎芍,甘草苍术茯苓归,半夏桂姜麻黄着。熟料去麻加土乌(药),除芷
桂外醋炒略。
五积散 白芷、川芎、芍药、甘草、茯苓、当归、肉桂各三分,陈皮、麻黄各六分,浓朴、干姜各四分,桔
梗一分半,枳壳五分,半夏二分,苍术七分半,姜葱煎服。冒寒用煨姜;如腹痛或挟气加吴萸;调经入艾醋;
体薄有汗去苍术、麻黄;气虚去枳、梗,加参、术;若产后余血流入遍身,肢节腰脚疼痛,去麻黄,加人参、木
瓜、桃仁、小茴,姜煎。此方大治感冒寒邪,头疼身痛项强,拘急恶寒,呕吐腹痛及伤寒发热,头痛恶风,内
伤生冷,外感风寒,并寒湿客于经络,腰脚酸疼,及妇人经脉不调及腹痛带下等症。
熟料五积散 即本方除白芷、肉桂二味外,余十三味,用慢火炒令色变,摊冷,入桂、芷和匀。产后寒热
去麻黄,用乌药一钱,俱用淡醋炒过;寻常冬月,感寒无汗,量用麻黄同诸药干炒;半身不遂,或复麻痹及
卒中风,加麝少许;四肢逆冷呕吐,加附子二分;久虚脾泻,每用略炒过,加陈米一撮,乌梅一个;乳痈初作,
加牛膝、生地各三分;产后及寻常血气痛,加木香、玄胡索各五分。
藿香正气用紫苏,大腹皮桔梗咀,甘草茯苓半夏曲,浓朴白芷枣姜扶。(见三卷)
又不换金正气散,苍陈朴半藿甘六,伤湿须加白茯苓,汗多去苍换白术。(见三卷)
神术散用五两苍,芎芷细辛 本姜,甘草六件各一两,风寒泄痢总相当。
苍术五两,川芎、白芷、细辛、 本、羌活、甘草各一两,每三钱,姜葱煎温服,伤风鼻塞,为末,葱白茶
清调下。治四时感冒风寒及中雾露,头疼项强,寒热身痛,鼻塞声重,咳嗽,时行飧泄下痢,皆效。
五痹汤由羌活、白术、姜黄、防己各二钱,甘草一钱组成,加生姜同煎。此方能使松弛的筋脉恢复弹性,使顽麻的皮肤重新获得知觉。
三痹汤即独活寄生汤(此处原文称“寄生汤”,实指含桑寄生等补益肝肾药物的方剂,通常对应《千金要方》之独活寄生汤或类似变方,但根据后文药材列表,此为包含杜仲、牛膝等的复方),由黄芪、续断等药凑成。凡是一切风痹引起的拘挛疾病,均可煎服或制成丸药随意服用。
该方由杜仲、牛膝、细辛、人参、茯苓、桂心、白芍、甘草、防风、当归、川芎、黄芪、续断各一钱,独活、秦艽、生地黄各五分组成,加生姜、大枣煎煮,热服。主治气血涩滞,手足拘挛,风痹等疾病。
黄芪汤治疗全身麻木,由蔓荆子、橘皮、人参、芍药等组成,临睡前用水煎煮并煮沸后服用,若伴有三分大热,可加入黄柏。
该方由黄芪、人参、芍药各一钱,蔓荆子四分,橘皮、甘草各六分组成,水煎热服。主治头面、手足、背部、腿部及脚部,或遍身麻木不知痛痒,以及两眼畏光、隐涩疼痛。
补气汤由黄芪、白芍、甘草、泽泻、陈皮组成,水煎能治疗皮肤麻木,兼治眼睛多昏花错视。
该方由白芍、陈皮各一钱半,黄芪、甘草各一钱,泽泻五分组成,水煎温服。主治肝气运行不畅,皮肤间麻木,兼治两眼缩小、畏光怕日、视物无力。
五积散由白芷、陈皮、厚朴、桔梗、枳壳、川芎、芍药、甘草、苍术、茯苓、当归、半夏、肉桂、干姜、麻黄组成。熟料五积散需去掉麻黄,加入制附子(药),除白芷、肉桂外,其余药物用醋炒略过。
五积散由白芷、川芎、芍药、甘草、茯苓、当归、肉桂各三分,陈皮、麻黄各六分,厚朴、干姜各四分,桔梗一分半,枳壳五分,半夏二分,苍术七分半组成,加生姜、葱白煎服。受寒者用煨姜;如腹痛或兼有气滞加吴茱萸;调理月经加入艾叶和醋;体质薄弱有汗者去掉苍术、麻黄;气虚者去掉枳壳、桔梗,加入人参、白术;若产后余血流入全身,导致肢节腰脚疼痛,去掉麻黄,加入人参、木瓜、桃仁、小茴香,加生姜煎服。此方主要治疗感冒寒邪引起的头痛、身痛、项强、拘急恶寒、呕吐腹痛,以及伤寒发热、头痛恶风,内伤生冷,外感风寒,并治疗寒湿客于经络导致的腰脚酸痛,以及妇人经脉不调及腹痛带下等症状。
熟料五积散即本方除去白芷、肉桂两味药外,其余十三味药,用慢火炒至颜色改变,摊凉后,再加入白芷、肉桂混合均匀。产后寒热往来者去掉麻黄,用一钱乌药,均用淡醋炒过;寻常冬季,感受寒邪无汗者,酌情使用麻黄同诸药干炒;半身不遂,或再次麻痹及突然中风者,加入少许麝香;四肢逆冷呕吐者,加入二分附子;久病体虚脾虚泄泻者,每次用药略炒过,加入陈米一撮、乌梅一个;乳痈初起者,加入牛膝、生地黄各三分;产后及寻常血气疼痛者,加入木香、玄胡索各五分。
藿香正气散使用紫苏、大腹皮、桔梗(咀碎)、甘草、茯苓、半夏曲、厚朴、白芷、大枣、生姜。(见第三卷)
又不换金正气散,由苍术、陈皮、厚朴、半夏、藿香、甘草、茯苓六味药组成,伤湿须加白茯苓,汗多者去掉苍术换成白术。(见第三卷)
神术散使用五两苍术,加上川芎、白芷、细辛、藁本、生姜、甘草共六件药,每件一两。风寒引起的泄痢都适用。
苍术五两,川芎、白芷、细辛、藁本、羌活、甘草各一两,每取三钱,加生姜、葱白煎煮温服;若是伤风鼻塞,可将药研为末,用葱白茶清调服。治疗四时感冒风寒及中雾露之气,头痛项强,寒热身痛,鼻塞声重,咳嗽,时行飧泄下痢,皆有效。
Wubi Decoction (Five Bi Syndrome Decoction) contains Qianghuo (Notopterygii Rhizoma et Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Jianghuang (Curcumae Longae Rhizoma), and Fangji (Stephaniae Tetrandrae Radix), each two qian, along with one qian of Gancao (Glycyrrhizae Radix et Rhizoma). Decoct with fresh ginger. This formula can restore tone to relaxed sinews and sensibility to numb skin.
Sanbi Decoction (Three Bi Syndrome Decoction) is essentially the Sangjisheng Tang (Mulberry Mistletoe Decoction), compounded with Huangqi (Astragali Membranacei Radix) and Xuduan (Dipsaci Radix). It treats all disorders of wind-bi with spasms and contractures; it may be decocted for immediate use or made into pills for convenient consumption.
The prescription consists of Duzhong (Eucommiae Cortex), Niuxi (Achyranthis Bidentatae Radix), Xixin (Asari Radix et Rhizoma), Renshen (Ginseng Radix), Fuling (Poria), Guixin (Cinnamomi Ramulus), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Huangqi (Astragali Membranacei Radix), and Xuduan (Dipsaci Radix), each one qian; Duhuo (Angelicae Pubescentis Radix), Qinjiao (Gentianae Macrophyllae Radix), and Shengdi (Rehmanniae Radix) each five fen. Decoct with fresh ginger and jujube, and take hot. It treats blood and qi stagnation, spasms and contractures of the hands and feet, and wind-bi disorders.
Huangqi Tang (Astragalus Decoction) treats generalized numbness. It includes Manjingzi (Viticis Semen), Jupi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix), and Baishao (Paeoniae Radix Alba). Take after boiling in water before retiring. If there is significant heat, add Huangbai (Phellodendri Cortex).
The prescription consists of Huangqi (Astragali Membranacei Radix), Renshen (Ginseng Radix), and Baishao (Paeoniae Radix Alba) each one qian; Manjingzi (Viticis Semen) four fen; Jupi (Citri Reticulatae Pericarpium) and Gancao (Glycyrrhizae Radix et Rhizoma) each six fen. Decoct in water and take hot. It treats numbness and loss of sensation in the head, face, hands, feet, back, legs, and feet, or generalized body numbness, as well as photophobia, gritty sensation, and eye pain.
Buqi Tang (Qi-Boosting Decoction) contains Huangqi (Astragali Membranacei Radix), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Zexie (Alismatis Rhizoma), and Chenpi (Citri Reticulatae Pericarpium). Decoct in water to treat skin numbness; it also treats visual disturbances such as blurred vision.
The prescription consists of Baishao (Paeoniae Radix Alba) and Chenpi (Citri Reticulatae Pericarpium) each one-and-a-half qian; Huangqi (Astragali Membranacei Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) each one qian; Zexie (Alismatis Rhizoma) five fen. Decoct in water and take warm. It treats stagnant liver qi causing skin numbness, and also treats small pupils, photophobia, aversion to sunlight, and weak vision.
Wuji San (Five Accumulations Powder) contains Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus Immaturus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Banxia (Pinelliae Rhizoma), Rougui (Cinnamomi Cortex), Ganjiang (Zingiberis Rhizoma), and Mahuang (Ephedrae Herba). For the "cooked material" version (Shuliao Wuji San), remove Mahuang and add prepared Fuzi (Aconiti Lateralis Radix Praeparata); except for Baizhi (Angelicae Dahuricae Radix) and Rougui (Cinnamomi Cortex), stir-fry the other herbs briefly with vinegar.
Wuji San consists of Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), and Rougui (Cinnamomi Cortex) each three fen; Chenpi (Citri Reticulatae Pericarpium) and Mahuang (Ephedrae Herba) each six fen; Houpo (Magnoliae Officinalis Cortex) and Ganjiang (Zingiberis Rhizoma) each four fen; Jiegeng (Platycodonis Radix) one-and-a-half fen; Zhike (Aurantii Fructus Immaturus) five fen; Banxia (Pinelliae Rhizoma) two fen; Cangzhu (Atractylodis Rhizoma) seven-and-a-half fen. Decoct with fresh ginger and scallion. Use roasted ginger for cold invasion; add Wuyu (Evodiae Fructus) if abdominal pain or qi stagnation is present; add Aiye (Artemisiae Argyi Folium) and vinegar for regulating menstruation; remove Cangzhu (Atractylodis Rhizoma) and Mahuang (Ephedrae Herba) if the constitution is thin and sweating occurs; remove Zhike (Aurantii Fructus Immaturus) and Jiegeng (Platycodonis Radix) and add Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) if qi deficiency exists; if postpartum residual blood flows throughout the body causing pain in limbs, joints, waist, and legs, remove Mahuang (Ephedrae Herba) and add Renshen (Ginseng Radix), Mugua (Chaenomelis Fructus), Taoren (Persicae Semen), and Xiaohui (Foeniculi Fructus), decoct with fresh ginger. This formula primarily treats headache, body ache, neck stiffness, spasms, aversion to cold, vomiting, and abdominal pain caused by cold pathogen invasion; fever, headache, and aversion to wind from cold damage; internal injury from raw/cold food; external contraction of wind-cold; and soreness/pain in waist and legs due to cold-dampness invading collaterals. It also treats irregular menstruation, abdominal pain, and leukorrhea in women.
Shuliao Wuji San (Cooked Material Five Accumulations Powder) is this formula minus Baizhi (Angelicae Dahuricae Radix) and Rougui (Cinnamomi Cortex). The remaining thirteen ingredients are slow-fired until color changes, spread to cool, then mixed with Baizhi (Angelicae Dahuricae Radix) and Rougui (Cinnamomi Cortex). For postpartum chills and fever, remove Mahuang (Ephedrae Herba) and use one qian of Wuyao (Linderae Radix), all stir-fried with light vinegar; in winter for cold invasion without sweat, use Mahuang (Ephedrae Herba) dry-fried with other herbs as appropriate; for hemiplegia, recurrent numbness, or sudden stroke, add a small amount of Shexiang (Moschus); for cold extremities and vomiting, add two fen of Fuzi (Aconiti Lateralis Radix Praeparata); for chronic deficiency spleen diarrhea, lightly fry the herbs before use, adding a pinch of aged rice and one wumei (Mume Fructus); for early-stage breast abscess, add Niuxi (Achyranthis Bidentatae Radix) and Shengdi (Rehmanniae Radix) each three fen; for postpartum or general blood-qih pain, add Muxiang (Aucklandiae Radix) and Yuanhusuo (Corydalis Rhizoma) each five fen.
Huoxiang Zhengqi San (Agastache Decoction to Rectify the Qi) uses Zisu (Perillae Folium), Dafupi (Arecae Pericarpium), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Banxiaqu (Pinelliae Fermentatum), Houpo (Magnoliae Officinalis Cortex), Baizhi (Angelicae Dahuricae Radix), Dazao (Jujubae Fructus), and Shengjiang (Zingiberis Rhizoma Recens). (See Volume 3)
Buhuanjin Zhengqi San (Golden-Unchanging Decoction to Rectify the Qi) consists of Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Houpo (Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma), Huoxiang (Agastaches Pallidae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), and Liushen (likely referring to a specific preparation or typo for another herb, but context implies Fu Ling/Bai Zhu adjustment). Add Baifuling (Poria with Hostwood) for dampness; replace Cangzhu (Atractylodis Rhizoma) with Baizhu (Atractylodis Macrocephalae Rhizoma) if sweating is excessive. (See Volume 3)
Shenzhu San (Divine Efficacy Powder) uses five liang of Cangzhu (Atractylodis Rhizoma), plus Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Bencao (Ligustici Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), and Gancao (Glycyrrhizae Radix et Rhizoma), each one liang. It is suitable for wind-cold with diarrhea and dysentery.
Take five liang of Cangzhu (Atractylodis Rhizoma), and one liang each of Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma), Bencao (Ligustici Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), and Gancao (Glycyrrhizae Radix et Rhizoma). Take three qian per dose, decoct with fresh ginger and scallion, and drink warm. For wind-cold with nasal congestion, grind into powder and take with green tea and scallion water. It treats wind-cold contraction in all seasons, exposure to fog and dew, headache and neck stiffness, chills and fever with body pain, nasal congestion with heavy voice, cough, seasonal diarrhea and dysentery. All are effective.