遍身走痛名痛风，血虚气滞风湿攻。湿热生风不克土，痰壅经络难宣通。风淫末疾四肢
属，日甚夜轻气血从。治主四物桃红益，痰热二陈蒌相同。上风羌防芷薄桂，下湿薏藤宣汉
庸。小便如涩四苓散，桑枝酒炒加汤中。此虽血瘀筋不着，总由血虚不内荣（失养）。寒气凝
滞湿痰结，因风行走痛自凶。
陈参曰∶五行六气流行最速，莫如风火，重按疼痛少缓，是为络血。
血络瘀痹（久痛必入络，气血不行发痹）
金沸草 桃仁 生鹿角 新绛屑 归尾 青葱管
积伤入络作痛
归须 降香末 小茴香 木香 柏子仁 野郁金
阴分伏热痛风
头颠至足麻木刺痛，用东垣滋肾丸。
肝肾虚下焦痛
病后精采未复，多言伤气，行走动筋，当以甘温和养。
人参 当归身 白茯神 枸杞 沙苑子 甘菊炭
陈参曰∶相火寄于肝，龙雷起于肾，并从阴发越，根蒂先亏，藏纳失职矣。
何书田曰∶经云诸痛痒疮，皆属于心。夫心主君火，自当从热而论，然此但言疮耳，不
可概诸他病也。诸痛古人总以通字立法，非攻下通利之谓，谓通其气血则不痛也。然必辨明
气血在气分者，但行其气，弗动其血。在血分者，兼乎气治，所谓气行则血随之矣。症实者
气滞血凝，通其气而散其血。症虚者气馁不能充运，血衰不能滋荣，当养气补血，兼寓通于补。
陈参曰∶诸痛宜辛润宣通，不宜酸寒敛涩，恐留邪也。
遍身游走性疼痛称为痛风，多因血虚气滞，风湿之邪侵袭所致。湿热内生生风，不能克制脾土（脾胃属土），导致痰浊壅塞经络，难以宣通。风邪淫溢导致的四肢末端疾病，表现为白天加重、夜间减轻，这是气血运行不畅的表现。治疗主要以四物汤加桃仁、红花来补血活血；若有痰热，可用二陈汤加瓜蒌相同。病位在上焦者，用羌活、防风、白芷、薄荷、桂枝；病位在下焦湿盛者，用薏苡仁、海风藤宣通，参考汉庸之法。小便涩滞者，用四苓散，并加入炒过的桑枝同煎。这虽然看似血瘀筋脉失养，但总根源在于血虚无法内荣（滋养）。寒气凝滞，湿痰结聚，因风邪行走而致疼痛剧烈凶险。
陈参说：五行六气中流行最快的莫过于风和火，重按时疼痛稍缓，这是络脉血瘀的表现。
血络瘀痹（久痛必然入络，气血不行发为痹证）
金沸草、桃仁、生鹿角、新绛屑、当归尾、青葱管。
肝肾虚下焦痛
病后精气神采未恢复，多言伤气，行走动筋，应当以甘温和养为主。
人参、当归身、白茯神、枸杞、沙苑子、甘菊炭。
陈参说：相火寄居于肝，龙雷之火起于肾，均从阴分发越而出，根本先已亏损，藏纳功能失职了。
何书田说：《内经》云“诸痛痒疮，皆属于心”。心主君火，自然应当从热证来论述，但这仅指疮疡而言，不可一概而论其他疾病。古人治疗各种疼痛总以“通”字立法，并非指攻下通利的方法，而是指通畅其气血则不痛。然而必须辨明气血是在气分还是血分。在气分的，只行其气，不动其血。在血分的，兼治气，所谓气行则血随之。实证者气滞血凝，通其气而散其血。虚证者气馁不能充运，血衰不能滋荣，当养气补血，并在补益中寓含通法。
Wandering pain throughout the body is named *Tongfeng* (Gout). It is caused by wind-dampness attacking due to blood deficiency and qi stagnation. Internal generation of damp-heat produces wind, which fails to control Earth (Spleen/Stomach), leading to phlegm obstructing the collaterals and difficult circulation. Wind pathogen affecting the extremities manifests as worsening during the day and easing at night, indicating issues with Qi and Blood circulation. Treatment primarily benefits from *Siwu Tang* (Four Substances Decoction) added with *Taoren* (Peach Kernel) and *Honghua* (Safflower) to nourish blood and invigorate blood stasis; for phlegm-heat, *Erchen Tang* (Two-Cured Decoction) added with *Gualou* (Trichosanthes Fruit) is similar. For upper wind, use *Qianghuo* (Notopterygium Rhizome), *Fangfeng* (Saposhnikovia Root), *Baizhi* (Angelica Dahurica), *Bohe* (Mint), and *Guizhi* (Cinnamon Twig); for lower dampness, use *Yiyiren* (Coix Seed) and *Haifengteng* (Lardizabala Vine) for unblocking, referencing Han Yong's method. For astringent urination, use *Siling San* (Four-Poria Powder) with stir-fried *Sangzhi* (Mulberry Twig) added to the decoction. Although this appears as blood stasis with tendons lacking attachment, the root cause is total blood deficiency failing to nourish internally. Cold qi congealing and stagnating, combined with wet-phlegm accumulation, moves with wind causing severe and ominous pain.
Chen Can stated: Among the Five Elements and Six Qi, none circulate faster than Wind and Fire. Pain that eases slightly upon deep pressure indicates blood stasis in the collaterals.
Blood Collateral Stasis Obstruction (Long-standing pain inevitably enters the collaterals; when Qi and Blood do not flow, Bi syndrome arises.)
*Jinfecao* (Boilweed Herb), *Taoren* (Peach Kernel), Raw Deer Antler, *Xinjiang* (Fresh Crimson Dye), *Guiwei* (Tail of Angelica Sinensis), Green Onion Tube.
Accumulated Injury Entering Collaterals Causing Pain
*Guixu* (Tip of Angelica Sinensis), *Xiangxiangmo* (Powder of Costus Root), *Xiaohuixiang* (Fennel), *Muxiang* (Aucklandia Root), *Baiziren* (Biota Seed), *Yeyujin* (Wild Turmeric).
Yin-Level Latent Heat Type Tongfeng
Numbness and stabbing pain from the vertex to the feet are treated with Dongyuan's *Zishen Wan* (Kidney-Nourishing Pill).
Liver and Kidney Deficiency Lower Jiao Pain
After illness, if essence and spirit have not recovered, excessive speech damages Qi, and walking strains the sinews. One should employ sweet, warm, and mild nourishment.
*Renshen* (Ginseng Root), *Dangguishen* (Body of Angelica Sinensis), *Baifushen* (Poria with Hostwood), *Gouqi* (Goji Berry), *Shayuanzi* (Astragalus Complanatus Seed), *Ganjuetan* (Charred Chrysanthemum).
Chen Can stated: Ministerial Fire resides in the Liver, Dragon-Lei Fire arises from the Kidney, both emerging from the Yin level. The root is initially deficient, and storage functions fail.
He Shutian stated: The Classics say, "All pain, itching, and sores belong to the Heart." Since the Heart governs Sovereign Fire, it naturally falls under heat patterns. However, this refers only to sores and cannot be generalized to other diseases. Ancient practitioners established the principle of "unblocking" for all pains, not meaning purgative or draining methods, but rather unblocking Qi and Blood so pain ceases. One must distinguish whether the pathology lies in the Qi level or Blood level. In the Qi level, one only moves Qi without disturbing Blood. In the Blood level, one treats both Qi and Blood, as moving Qi causes Blood to follow. In excess patterns, Qi stagnates and Blood coagulates; one unblocks Qi to dissipate Blood. In deficiency patterns, Qi is weak and cannot transport, Blood is deficient and cannot nourish; one must tonify Qi and Blood, incorporating unblocking within tonification.
Chen Can stated: Various pains are suitable for pungent, moistening, and unblocking methods, and unsuitable for sour, cold, astringent, and涩 (astringent) methods, lest evil pathogens remain trapped.