治中风抽掣及破伤后受风抽掣者。
生箭 （六钱） 当归（四钱） 羌活（二钱） 独活（二钱）
全蝎（二钱） 全蜈蚣（大者两条）
蜈蚣最善搜风，贯串经络、脏腑无所不至，调安神经又具特长。而其性甚和平，从未有服之觉瞑眩者。
曾治一媪，年六旬。其腿为狗咬破受风，周身抽掣。延一老医调治，服药十余日，抽掣愈甚。所用之药，
每剂中皆有全蝎数钱，佐以祛风、活血、助气之药，仿佛此汤而独未用蜈蚣。遂为拟此汤，服一剂而抽掣即止。
又服一剂，永不反复。
又治一人，年三十余，陡然口眼歪斜，其受病之边，目不能瞬。俾用蜈蚣二条为末、防风五钱，煎汤送
服，三次全愈。审斯，则蜈蚣逐风之力，原迥异于他药也。且其功效，不但治风也，愚于疮痈初起甚剧者，恒
加蜈蚣于托药之中，莫不随手奏效。虽《神农本草经》谓有坠胎之弊，而中风抽掣，服他药不效者，原不妨用。
《内经》所谓“有故无殒，亦无殒也”。况此汤中，又有黄 、当归以保摄气血，则用分毫何损哉。
治历节风证，周身关节皆疼，或但四肢作疼，足不能行步，手不能持物。
生箭 （一两） 于术（五钱） 当归（五钱） 桂枝尖（三钱） 秦艽（三钱） 广陈皮（三钱）
生杭芍（五钱） 生姜（五片）
热者加知母，凉者加附子，脉滑有痰者加半夏。
《金匮》桂枝芍药知母汤，治历节风之善方也。而气体虚者用之，仍有不效之时，以其不胜麻黄、防风
之发也。今取《金匮》治风痹之黄 五物汤，加白术以健脾补气，而即以逐痹（《神农本草经》逐寒湿痹）。
当归以生其血，血活自能散风（方书谓血活风自去）。秦艽为散风之润药，性甚和平，祛风而不伤血。陈皮为
黄之佐使，又能引肌肉经络之风达皮肤由毛孔而出也。广橘红其大者皆柚也，非
橘也。《神农本草经》原橘、柚并称，故用于药中，橘、柚似无须分别（他处柚皮不可入药）。且名为橘红，
其实皆不去白，诚以原不宜去也。
附录∶
直隶青县张××来函∶
湖北张某，患历节风证，西医名偻麻质斯，服其药年余无效。步履艰难，天未凉即着皮裤。诊其脉，浮
数有力，知为经络虚而有热之象。遂用加味黄 五物汤，遵注热者加知母，又加生薏米、鲜桑枝、牛膝、木通。
服一剂觉轻减，三剂离杖，五剂痊愈。近年用此方治痛风、历节证，愈者甚多。若无热者，即用书中原方，亦
甚效验。
江苏平台王××来函∶
顾××，患肢体痿废，时当溽暑，遍延中西医延医无效。用加味黄 五物汤治之，连服数剂全愈。
治疗中风引起的肢体抽搐掣痛，以及破伤后感受风邪导致的抽搐掣痛。
生黄芪（六钱） 当归（四钱） 羌活（二钱） 独活（二钱）
全蝎（二钱） 全蜈蚣（体型较大的两条）
蜈蚣最擅长搜剔风邪，能贯通经络、脏腑，无处不到，且在调安神经方面具有特长。而且它的药性非常平和，从未有人服用后出现瞑眩反应（指服药后病情暂时加重或出现剧烈反应的现象）。
曾治疗一位六十多岁的老妇人。她的腿被狗咬伤后感染风邪，导致全身抽搐掣痛。请一位老中医调理治疗，服药十余日后，抽搐反而更加严重。所用药物中，每剂都含有数钱的全蝎，辅以祛风、活血、补气之药，方义仿佛此汤，唯独没有使用蜈蚣。于是我为她拟定此汤，服用一剂后抽搐立即停止。
又服用一剂，从此不再复发。
又治疗一名三十多岁的男子，突然口眼歪斜，患病一侧的眼睛不能眨眼。让他将两条蜈蚣研成粉末，配合五钱防风，煎汤送服，三次后完全痊愈。由此看来，蜈蚣驱逐风邪的力量，原本就与其他药物截然不同。况且它的功效，不仅仅是治疗风病，我对于初起时症状严重的疮疡痈肿，常在托毒排脓的药物中加入蜈蚣，无不随手见效。虽然《神农本草经》说它有堕胎的弊端，但对于中风抽搐，服用其他药物无效的情况，原本不妨使用。正如《内经》所说：“有故无殒，亦无殒也”（意为如果有确切的病因/病邪存在，使用相应的猛药也不会伤害人体）。况且此汤中，又有黄芪、当归来保护气血，那么使用少量蜈蚣又有什么损害呢？
治疗历节风证，周身关节都疼痛，或者只是四肢疼痛，脚不能行走，手不能拿取物品。
生黄芪（一两） 白术（五钱） 当归（五钱） 桂枝尖（三钱） 秦艽（三钱） 广陈皮（三钱）
生白芍（五钱） 生姜（五片）
《金匮要略》中的桂枝芍药知母汤，是治疗历节风的良方。但是对于体质虚弱的人使用它，仍有无效的时候，因为患者承受不了麻黄、防风的发汗作用。现在选取《金匮要略》中治疗风痹的黄芪五物汤，加入白术以健脾补气，并以此祛除痹症（《神农本草经》记载白术能逐寒湿痹）。
当归用来生血，血液流通自然能散去风邪（医书说血活风自去）。秦艽是疏散风邪的润药，药性非常平和，祛风而不伤血。陈皮作为黄芪的佐使药，又能引导肌肉经络中的风邪达于皮肤，从毛孔排出。广橘红的大果都是柚子，不是橘子。《神农本草经》中原将橘和柚并称，所以用于药物中，橘皮和柚皮似乎无须分别（其他地方柚皮不可入药）。而且名为橘红，其实都不去掉白色内层，确实是因为原不宜去掉。
附录：
直隶青县张××来信：
湖北张某，患历节风证，西医称为偻麻质斯（Rheumatism，风湿），服用西药一年多无效。步履艰难，天未凉就穿着皮裤。诊察他的脉象，浮数有力，知道这是经络虚而有热的征象。于是使用加味黄芪五物汤，遵循注释中“热者加知母”，又加了生薏米、鲜桑枝、牛膝、木通。服用一剂感觉减轻，三剂后离了拐杖，五剂后痊愈。近年来用此方治疗痛风、历节证，治愈的人很多。如果没有热象，即使用书中的原方，也非常有效。
江苏平台王××来信：
顾××，患肢体痿废，正值盛夏酷暑，遍请中西医治疗无效。使用加味黄芪五物汤治疗，连续服用数剂后完全痊愈。
Treats limb twitching and pulling pain caused by wind-stroke (Zhong Feng), as well as twitching and pulling pain resulting from wind invasion after traumatic wounds.
Sheng Huangqi (Raw Astragali Radix, 6 qian) Danggui (Angelicae Sinensis Radix, 4 qian) Qianghuo (Notopterygii Rhizoma et Radix, 2 qian) Duohuo (Angelicae Pubescentis Radix, 2 qian)
Quanxie (Scorpio, 2 qian) Quan Wugong (Scolopendra, two large individuals)
Wugong (Scolopendra) is most adept at searching out and eliminating wind pathogens; it penetrates the meridians and viscera without exception, and possesses special efficacy in calming the nervous system. Its nature is extremely mild, and there has never been a case of Mingxuan reaction (a temporary aggravation or intense reaction after taking medicine) upon its use.
I once treated an elderly woman in her sixties. Her leg had been bitten by a dog, leading to wind infection and subsequent whole-body twitching. An old physician was consulted for treatment; after taking medicine for more than ten days, the twitching worsened. The prescribed medicines contained several qian of Quanxie per dose, supplemented with herbs that dispel wind, invigorate blood, and boost qi. The formula resembled this one but lacked Wugong. I then prescribed this decoction. After one dose, the twitching ceased immediately.
After another dose, there was no recurrence.
I also treated a man in his thirties who suddenly developed facial paralysis (mouth and eye deviation), with the affected side unable to blink. I instructed him to take two Wugongs ground into powder, combined with five qian of Fangfeng, decocted in water and taken orally. He was completely cured after three doses. This demonstrates that the power of Wugong in expelling wind is fundamentally different from other herbs. Moreover, its efficacy is not limited to treating wind disorders. In cases of severe sores and abscesses in their early stages, I often add Wugong to formulas that promote pus discharge, achieving immediate results. Although the *Shennong Bencao Jing* states that it may cause abortion, it can be used when other herbs fail to treat wind-stroke twitching. As stated in the *Neijing*: "If there is a pathogen, there will be no injury" (Yougu wuyun). Furthermore, since this decoction contains Huangqi and Danggui to protect qi and blood, what harm could come from using a small amount of Wugong?
Treats Lijie Wind syndrome (painful joint syndrome), characterized by pain in all joints of the body, or pain only in the four limbs, inability to walk, and inability to hold objects.
Sheng Huangqi (Raw Astragali Radix, 1 liang) Yuzhu (Atractylodis Macrocephalae Rhizoma, 5 qian) Danggui (Angelicae Sinensis Radix, 5 qian) Guizhi Jian (Cinnamomi Ramulus apical part, 3 qian) Qinjiao (Gentianae Macrophyllae Radix, 3 qian) Guang Chenpi (Citri Reticulatae Pericarpium, 3 qian)
Sheng Baishao (Paeoniae Radix Alba, 5 qian) Shengjiang (Zingiberis Rhizoma Recens, 5 slices)
Add Zhimu if heat signs are present; add Fuzi if cold signs are present; add Banxia if the pulse is slippery indicating phlegm.
The Guizhi Shaoyao Zhimu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction) from the *Jingui Yaolue* is an excellent formula for treating Lijie Wind. However, for patients with weak constitution, it may still be ineffective because they cannot tolerate the diaphoretic effects of Mahuang and Fangfeng. Here, we select the Huangqi Wuwu Tang (Astragalus Five-Ingredient Decoction) from the *Jingui Yaolue*, which treats wind-bi, adding Baizhu to strengthen the spleen and tonify qi, thereby dispelling bi obstruction (as recorded in the *Shennong Bencao Jing*, Baizhu expels cold-dampness bi).
Danggui generates blood; when blood circulation is active, wind naturally disperses (as medical texts state: "When blood flows, wind leaves"). Qinjiao is a moistening herb for dispersing wind; its nature is very mild, dispelling wind without damaging blood. Chenpi serves as an assistant and guide for Huangqi, guiding wind from the muscles and meridians to the skin surface to exit through the pores. Guang Juhong (Exocarpium Citri Grandis) comes from large pomelos, not oranges. The *Shennong Bencao Jing* originally grouped Ju (orange peel) and You (pomelo peel) together; thus, in medicinal use, there seems to be no need to distinguish between them (pomelo peel is generally not used in other contexts). Moreover, although named Juhong, the white pith is typically not removed, precisely because it should not be removed.
Appendix:
Letter from Zhang XX of Qing County, Zhili Province:
Mr. Zhang from Hubei suffered from Lijie Wind syndrome, known in Western medicine as Rheumatism. He took Western medicine for over a year with no effect. His gait was difficult, and he wore leather pants even before the weather cooled. His pulse was floating, rapid, and forceful, indicating deficiency in the meridians with internal heat. I therefore used the Modified Huangqi Wuwu Tang, following the note to add Zhimu for heat, and additionally added Sheng Yimi (Coicis Semen), Xian Sangzhi (Mori Ramulus), Niuxi (Achyranthis Bidentatae Radix), and Mutong (Akebiae Caulis). After one dose, he felt relief; after three doses, he could walk without a cane; after five doses, he was fully recovered. In recent years, I have used this formula to treat gout and Lijie syndrome, with many cures. If there are no heat signs, the original formula from the book is also highly effective.
Letter from Wang XX of Pingtai, Jiangsu Province:
Mr. Gu suffered from flaccidity and paralysis of the limbs. It was during the humid summer heat, and both Chinese and Western physicians failed to cure him. Using the Modified Huangqi Wuwu Tang, he was completely cured after taking several doses consecutively.