邪中于络为痿，又络热则痿。痿不外乎肝、肾、肺、胃四经之病。肝主筋，肝伤则四肢
不为人用，而筋骨拘挛。肾藏精，精血相生，精虚则不能灌溉诸末，血虚则不能营养筋骨。肺
主气，为清高之脏，肺虚则高源化绝，化绝则水涸，水涸则不能濡润筋骨。阳明为宗筋之
长，阳明虚则宗筋纵，而不能束筋骨以利机关。经云∶湿热不攘，大筋软短，小筋弛长。软短为拘，弛长为痿。
四肢软弱痿症成，不痒不痛难趋行。五痿筋脉骨肉气，治法独取阳明经。阳明本为宗筋
长，主润宗筋合相养。虚则宗筋纵不收，束骨利关职不掌。总由肝肾肺胃伤，四末无用肝脾
殃。肺热何由得濡润，高源化绝水涸彰。清心补肾二四（四君四物等汤）利，栀芩化热桔引
肺（杜）。仲（牛）膝（栝）蒌（麦）冬（黄） （五）味（木）瓜，木通通窍（升）麻提气。治痿之法专
补阴，壮骨补虚药须备。
肺热叶焦
如形瘦脉数，玉竹、地骨皮、百合、北沙参、麦冬、杏仁、桑叶。如面瘰跗软，连翘。
湿热蒸铄筋骨为痿
茅术 川柏 寒水石 防己 茵陈 茯苓 晚蚕沙 萆 杏仁 飞滑石 木通 龙胆草
胃气窒塞为痿（气塞胃呆，筋骨不利）
加味温胆汤、更衣丸。
邪风入络为痿（口鼻歪斜而起）
羚角 大生地 元参 川石斛 犀角 川萆 黄柏
阳明虚，营络热，内风动成痿（宜清营热、熄内风法）
犀角 元参 明天麻 钩藤 生地 连翘 冬桑叶 丹皮
胃阳督任皆虚为痿（当两固中下）
鹿角胶 淡苁蓉 巴戟肉 归身 牛膝 柏子仁 补骨脂 白茯苓 杞子 川斛
肝肾两虚为痿（熄风纳下）
河间地黄饮子 熟地 巴戟肉 山萸肉 淡苁蓉 附子 官桂 石斛 白茯苓 石菖蒲 远志 麦冬 五味子
虎潜丸
熟地 虎胫骨 知母 当归 川柏 败龟版 锁阳 白芍 牛膝 广陈皮 羚羊肉
脾肾阳虚为少女（晕中肌麻，腹鸣瘕泄，用脾肾两补）
冲任虚寒为痿（用薛氏加减八味丸）
督阳奇脉兼虚为痿
鹿角 淡苁蓉 菟丝子 远志 白茯苓 覆盆子
督阳虚为痿（如历节汗出，筋骨腰脊酸软，冬月尤甚）
麝茸 麝香 生羊肾子 归身 川乌酒煮为丸
骨痿（由精血内夺，奇脉少气，当填精补髓）
鹿角屑 羊肉胶 虎骨 巴戟天 猪脊髓 线鱼胶 龟版 怀熟地 淡苁蓉 沙苑子 枸杞
川黄柏 青盐 川杜仲 白茯苓 牛膝 陈归身
陈参曰∶治痿之法，经云独取阳明，无非流通胃气，以为脉主乎束筋骨利机关也。头颈
轰然热蒸，痰涎涌出，味酸，此督脉不司纳束，肾虚收纳无权，阴火上炎，内风齐煽，宜通纳
入脉，以收拾散失之阴阳。
邪气侵入络脉导致痿证，另外络脉有热也会导致痿证。痿证不外乎是肝、肾、肺、胃这四条经脉的病变。肝主管筋脉，肝受损则四肢不能随意使用，出现筋骨拘挛。肾藏精，精与血相互滋生，精虚则不能灌溉四肢末端，血虚则不能滋养筋骨。肺主管气，是清高之脏，肺虚则上源化生之源断绝，化源断绝则津液枯竭，津液枯竭则不能濡润筋骨。阳明经是宗筋（众多筋脉汇聚之处）的主管，阳明经虚弱则宗筋松弛，不能约束筋骨以利于关节运动。医经说：湿热不除，大筋会软缩，小筋会弛长。软缩表现为拘挛，弛长表现为痿废。四肢软弱形成痿证，不痒不痛难以行走。五体（筋、脉、肉、皮、骨）之痿涉及筋、脉、肉、骨、气，治疗原则唯独取法于阳明经。阳明经本是宗筋的主管，主要滋润宗筋并使其相互滋养。若虚弱则宗筋松弛不收，约束骨骼、利通关节的功能丧失。总归是由于肝、肾、肺、胃受损，四肢失去作用，肝脾受累。肺热如何能濡润？上源化绝、水液枯竭的表现明显。清心补肾用四君子汤、四物汤等方剂加减有利，栀子、黄芩清热，桔梗引药入肺，杜仲、牛膝、瓜蒌、麦冬、五味子、木瓜，木通通窍，升麻提气。治疗痿证的方法专门在于补阴，强壮筋骨、补虚的药物必须备齐。
肺热叶焦（肺热导致肺叶枯焦）
如果形体消瘦、脉象数疾，用玉竹、地骨皮、百合、北沙参、麦冬、杏仁、桑叶。如果面部浮肿、足背软弱，加连翘。
湿热蒸灼筋骨导致痿证
苍术、黄柏、寒水石、防己、茵陈、茯苓、晚蚕沙、萆薢、杏仁、飞滑石、木通、龙胆草。
胃气窒塞导致痿证（气机堵塞、胃呆滞，筋骨不利）
加味温胆汤、更衣丸。
邪风入络导致痿证（口眼歪斜而起病）
羚羊角、大生地、玄参、川石斛、犀角、川萆薢、黄柏。
阳明虚弱，营分络脉有热，内风动而致痿（宜用清营热、熄内风之法）
犀角、玄参、明天麻、钩藤、生地、连翘、冬桑叶、丹皮。
胃阳及督脉、任脉皆虚导致痿证（应当同时固护中焦和下焦）
鹿角胶、淡苁蓉、巴戟天肉、当归身、牛膝、柏子仁、补骨脂、白茯苓、枸杞子、川石斛。
肝肾两虚导致痿证（熄风、纳气归下）
河间地黄饮子、熟地、巴戟天肉、山萸肉、淡苁蓉、附子、官桂、石斛、白茯苓、石菖蒲、远志、麦冬、五味子。
虎潜丸
熟地、虎胫骨、知母、当归、川黄柏、败龟版、锁阳、白芍、牛膝、广陈皮、羚羊肉。
脾肾阳虚导致少女（此处原文可能有误，结合后文“晕中肌麻”等症，实指某种虚损证候，或指女性患者，但根据上下文“脾肾阳虚为少女”疑为“脾肾阳虚为痿”之误或特定语境，此处依字面翻译并结合后文症状描述理解：头晕中肌肉麻木，腹鸣泄泻，用脾肾双补法）
冲任虚寒导致痿证（用薛氏加减八味丸）
督脉阳气及奇经八脉兼虚导致痿证
鹿角、淡苁蓉、菟丝子、远志、白茯苓、覆盆子。
督脉阳气虚导致痿证（如历节病汗出，筋骨腰脊酸软，冬季尤其严重）
麝茸、麝香、生羊肾子、当归身、川乌（酒煮为丸）。
骨痿（由精血内夺，奇经之气少，当填精补髓）
鹿角屑、羊肉胶、虎骨、巴戟天、猪脊髓、线鱼胶、龟版、怀熟地、淡苁蓉、沙苑子、枸杞、川黄柏、青盐、川杜仲、白茯苓、牛膝、陈归身。
陈修园说：治疗痿证的方法，医经说“独取阳明”，无非是为了流通胃气，因为胃脉主束筋骨、利关节。如果头颈轰然发热蒸腾，痰涎涌出，口泛酸味，这是督脉不能司职收纳约束，肾虚收纳无权，阴火上炎，内风齐煽，宜用通纳入脉的方法，来收拾散失的阴阳。
Pathogenic factors invading the collaterals cause Wei syndrome (flaccidity syndrome), and heat in the collaterals also causes Wei syndrome. Wei syndrome is essentially a disease of the Liver, Kidney, Lung, and Stomach meridians. The Liver governs the sinews; when the Liver is injured, the four limbs cannot be used, resulting in stiffness and contraction of the sinews and bones. The Kidneys store Essence (Jing); Essence and Blood generate each other. If Essence is deficient, it cannot irrigate the extremities; if Blood is deficient, it cannot nourish the sinews and bones. The Lungs govern Qi and are the organ of clarity and height. When the Lungs are deficient, the source of transformation (Upper Source) is cut off. When the source of transformation is cut off, fluids dry up. When fluids dry up, they cannot moisten the sinews and bones. The Yangming Meridian is the chief of the Zongjin (major sinews). When Yangming is deficient, the Zongjin become lax and cannot bind the sinews and bones to facilitate joint movement. The Classics state: "If damp-heat is not eliminated, the large sinews become soft and short, and the small sinews become flaccid and long." Softness and shortness manifest as stiffness; flaccidity and length manifest as Wei syndrome. Flaccidity syndrome of the four limbs is characterized by weakness, absence of itching or pain, and difficulty in walking. The five types of Wei syndrome involve sinews, vessels, flesh, skin, and bone; the treatment principle focuses exclusively on the Yangming Meridian. The Yangming Meridian is the chief of the Zongjin, primarily moistening them and allowing mutual nourishment. Deficiency leads to laxity and inability to retain the Zongjin, causing failure in binding bones and facilitating joints. This is ultimately due to injury of the Liver, Kidney, Lung, and Stomach, rendering the four extremities useless and affecting the Liver and Spleen. How can Lung Heat provide moisture? The manifestation is clear: the Upper Source of transformation is cut off, and water/fluids are depleted. Clearing the Heart and tonifying the Kidney using formulas like Si Jun Zi Tang (Four Gentlemen Decoction) and Si Wu Tang (Four Substance Decoction) is beneficial; Zhi Zi (Gardeniae Fructus) and Huang Qin (Scutellariae Radix) clear heat; Jie Geng (Platycodonis Radix) guides herbs to the Lungs; Du Zhong (Eucommiae Cortex), Niu Xi (Achyranthis Bidentatae Radix), Gua Lou (Trichosanthis Fructus), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus), and Mu Gua (Chaenomelis Fructus) are used; Mu Tong (Akebiae Caulis) opens orifices; Sheng Ma (Cimicifugae Rhizoma) lifts Qi. The method for treating Wei syndrome specializes in tonifying Yin; medicines for strengthening bones and tonifying deficiency must be prepared.
Lung Heat with Scorched Lung Leaves (Fei Re Ye Jiao)
If the body is emaciated and the pulse is rapid, use Yu Zhu (Polygonati Odorati Rhizoma), Di Gu Pi (Lycii Cortex), Bai He (Lilii Bulbus), Bei Sha Shen (Glehniae Radix), Mai Dong (Ophiopogonis Radix), Xing Ren (Armeniacae Semen Amarum), and Sang Ye (Mori Folium). If there is facial swelling and foot weakness, add Lian Qiao (Forsythiae Fructus).
Damp-Heat Steaming and Scorching Sinews and Bones Causing Wei Syndrome
Cang Zhu (Atractylodis Rhizoma), Chuan Bai (Phellodendri Cortex), Han Shui Shi (Halloysit Rubrum), Fang Ji (Stephaniae Tetrandrae Radix), Yin Chen (Artemisiae Scopariae Herba), Fu Ling (Poria), Wan Can Sha (Bombyx Batryticatus), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Xing Ren (Armeniacae Semen Amarum), Fei Hua Shi (Talcum), Mu Tong (Akebiae Caulis), Long Dan Cao (Gentianae Radix).
Stomach Qi Obstruction Causing Wei Syndrome (Qi stagnation, gastric stagnation, leading to unbeneficial sinews and bones)
Jia Wei Wen Dan Tang (Modified Warm the Gallbladder Decoction), Geng Yi Wan (Clothing Change Pill).
Evil Wind Entering Collaterals Causing Wei Syndrome (Onset with deviation of mouth and eyes)
Ling Jiao (Rhinocerotis Cornu), Da Sheng Di (Rehmanniae Radix Preparata), Yuan Shen (Scrophulariae Radix), Chuan Shi Hu (Dendrobii Caulis), Xi Jiao (Rhinocerotis Cornu - *Note: Use substitutes in modern practice*), Chuan Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Huang Bo (Phellodendri Cortex).
Yangming Deficiency, Heat in Ying and Collaterals, Internal Wind Movement Causing Wei Syndrome (Suitable for clearing Ying heat and extinguishing internal wind)
Xi Jiao (Rhinocerotis Cornu - *Note: Use substitutes*), Yuan Shen (Scrophulariae Radix), Ming Tian Ma (Gastrodiae Rhizoma), Gou Teng (Uncariae Ramulus cum Uncis), Sheng Di (Rehmanniae Radix), Lian Qiao (Forsythiae Fructus), Dong Sang Ye (Mori Folium), Dan Pi (Moutan Cortex).
Deficiency of Stomach Yang, Du Meridian, and Ren Meridian Causing Wei Syndrome (Should simultaneously secure Middle and Lower Jiao)
Lu Jiao Jiao (Colla Cornus Cervi), Dan Cong Rong (Cibotii Rhizoma), Ba Ji Rou (Morindae Officinalis Radix), Gui Shen (Angelicae Sinensis Radix), Niu Xi (Achyranthis Bidentatae Radix), Bai Zi Ren (Biotae Semen), Bu Gu Zhi (Psoraleae Fructus), Bai Fu Ling (Poria), Qi Zi (Lycii Fructus), Chuan Shi Hu (Dendrobii Caulis).
Dual Deficiency of Liver and Kidney Causing Wei Syndrome (Extinguish wind, draw Qi downward)
He Jian Di Huang Yin Zi (Di Huang Yin Zi from Liu Wansu), Shu Di (Rehmanniae Radix Preparata), Ba Ji Rou (Morindae Officinalis Radix), Shan Yu Rou (Corni Fructus), Dan Cong Rong (Cibotii Rhizoma), Fu Zi (Aconiti Lateralis Radix Preparata), Guan Gui (Cinnamomi Cortex), Shi Hu (Dendrobii Caulis), Bai Fu Ling (Poria), Shi Chang Pu (Acori Tatarinowii Rhizoma), Yuan Zhi (Polygalae Radix), Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Fructus).
Hu Qian Wan (Tiger Crouching Pill)
Shu Di (Rehmanniae Radix Preparata), Hu Jing Gu (Pantheris Os - *Note: Use substitutes*), Zhi Mu (Anemarrhenae Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Bai (Phellodendri Cortex), Bai Gui Ban (Testudinis Carapax et Plastrum Preparatum), Suo Yang (Cynomorii Herba), Bai Shao (Paeoniae Radix Alba), Niu Xi (Achyranthis Bidentatae Radix), Guang Chen Pi (Citri Reticulatae Pericarpium), Ling Yang Rou (Caprae Hircus Carneo - *Note: Contextual ingredient*).
Spleen and Kidney Yang Deficiency Causing [Condition] (Dizziness with muscle numbness, abdominal borborygmus and diarrhea, treat with dual tonification of Spleen and Kidney)
Chong and Ren Deficiency Cold Causing Wei Syndrome (Use Xue Shi Jia Jian Ba Wei Wan - Modified Eight Flavor Pill by Xue Ji)
Du Meridian Yang and Odd Vessels Dual Deficiency Causing Wei Syndrome
Lu Jiao (Cervi Cornu), Dan Cong Rong (Cibotii Rhizoma), Tu Si Zi (Cuscutae Semen), Yuan Zhi (Polygalae Radix), Bai Fu Ling (Poria), Fu Pen Zi (Rubiae Fructus).
Du Meridian Yang Deficiency Causing Wei Syndrome (Such as Li Jie syndrome with sweating, soreness and weakness of sinews, bones, waist, and spine, worse in winter)
She Rong (Moschus Corneum), She Xiang (Moschus), Sheng Yang Shen Zi (Ovis Aries Testis), Gui Shen (Angelicae Sinensis Radix), Chuan Wu (Aconiti Radix - boiled in wine for pills).
Bone Wei Syndrome (Due to depletion of Essence and Blood internally, Qi deficiency in Odd Vessels, should fill Essence and tonify Marrow)
Lu Jiao Xie (Cervi Cornu Deletum), Yang Rou Jiao (Carnea Gelatinum), Hu Gu (Pantheris Os - *Note: Use substitutes*), Ba Ji Tian (Morindae Officinalis Radix), Zhu Ji Sui (Porci Medulla Spinalis), Xian Yu Jiao (Ichthyocola), Gui Ban (Testudinis Carapax et Plastrum), Huai Shu Di (Rehmanniae Radix Preparata), Dan Cong Rong (Cibotii Rhizoma), Sha Yuan Zi (Astragali Complanati Semen), Gou Qi (Lycii Fructus), Chuan Huang Bai (Phellodendri Cortex), Qing Yan (Sal), Chuan Du Zhong (Eucommiae Cortex), Bai Fu Ling (Poria), Niu Xi (Achyranthis Bidentatae Radix), Chen Gui Shen (Angelicae Sinensis Radix).
Chen Xiu Yuan said: The method for treating Wei syndrome, as stated in the Classics, "focus exclusively on Yangming," is nothing but to circulate Stomach Qi, because the Stomach meridian governs binding sinews and bones and facilitating joints. If the head and neck feel suddenly hot and steaming, phlegm and saliva surge, and the taste is sour, this indicates that the Du Meridian fails to govern reception and binding, Kidney deficiency fails to receive and hold, Yin Fire flares upward, and Internal Wind rises together. It is appropriate to use methods to open and receive into the meridians to gather scattered Yin and Yang.