2.周痹患定无歇止, 左右不移上下行, 似风偏废只足手, 口眼无斜
有痛疼.
【注】周痹, 或痛, 或肿, 或手, 或足, 患有定处, 痛无歇止. 或从
上病及于下, 或从下病及于上, 而不似众痹痛有歇止, 左右相移流走
也. 周痹, 或两手, 或两足, 或只手足, 或偏废不仁不用, 似中风,
但不口眼喎斜, 身有痛疼也.
3.痹在筋骨痛难巳, 留连皮脉易为功, 痹久入脏中虚死, 脏实不受
复还生.
【注】痹在筋骨则受邪深, 故痛久难巳. 痹在皮脉则受邪浅, 故易治
也.凡痹病日久内传所合之脏, 则为五脏之痹. 若其人中虚受邪, 则
难治多死, 其人脏实而不受邪, 复还于外, 则易治多生. 假如久病皮
痹,复感于邪, 当内传肺而为肺痹, 若无胸满而烦喘咳之证, 则是脏
实不受邪. 余脏仿此.
4.肺痹烦满喘咳嗽, 肾胀尻踵脊代头, 脾呕痞硬肢懈堕, 心烦悸噫
恐时休, 数饮卧惊肝太息, 饮秘胀泻在肠究, 胞秘沃痛鼻清涕, 三焦
胃附胆无忧.
【注】久病皮痹, 复感于邪, 见胸满而烦喘咳之证, 是邪内传于肺,
则为肺痹也. 久病骨痹, 复感于邪, 而见腹胀, 尻以代踵, 足挛不伸
,脊以代头, 伛偻不直之证, 是邪内传于肾, 则为肾痹也. 久病肌痹
,复感于邪, 而见呕涎心下痞硬, 四肢懈堕之证, 是邪内传于脾, 则
为脾痹也. 久病脉痹, 复感于邪, 而见心烦, 心悸, 嗌干, 噫气, 有
时则恐之证, 是邪内传于心, 则为心痹也. 久病筋痹, 复感于邪, 而
见喜饮小便数多, 夜卧则惊, 太息之证, 是邪内传于肝, 则为肝痹也
.久痹不巳复感于邪, 脏实不受而传腑者, 凡见喜饮小便秘, 不胀则
泻,不泻则胀之证, 是邪内传于大小肠, 则为肠痹也. 凡见少腹胞中
,按如沃汤状而痛, 小便秘涩, 鼻流清涕之证, 是邪内传于膀胱, 则
为胞痹也. 三焦之痹附于膀胱, 从水道也. 胃痹附于大, 小二肠, 从
传化也. 胆为清净之腑, 不受痹邪, 故曰无忧也.
小续命汤 增味五痹汤
5.痹虚加减小续命, 痹实增味五痹汤, 麻桂红花芷葛附, 虎羊耆草
二防羌.
【注】痹虚, 谓气虚之人病诸痹也. 宜用加减小续命汤, 风胜行痹倍
防风, 寒胜痛痹倍附子, 湿胜着痹倍防己, 皮痹加黄耆或桂枝, 皮脉
痹加姜黄或加红花, 肌痹加葛根或加白芷, 筋痹加羚羊角或加续断,
骨痹加虎骨或加狗脊. 有汗减麻黄, 便溏减防己, 寒胜减黄芩加干姜
,热胜减附子加石膏, 加减治之. 痹实, 谓气血实之人病诸痹也. 宜
用增味五痹汤, 即麻黄, 桂枝, 红花, 白芷, 葛根, 附子, 虎骨, 羚
羊角, 黄耆, 甘草, 防风, 防己, 羌活也. 行痹以羌活, 防风为主,
痛痹以麻黄, 附子为主, 着痹以防己, 羌活为主, 皮痹以黄耆, 桂枝
皮为主, 脉痹以红花, 桂枝为主, 肌痹以葛根, 白芷为主, 筋痹以羚
羊角为主, 骨痹以虎骨为主, 增味于五痹治之可也.
木通汤 附子五苓散 苍术五苓散
6.三痹木通长流水, 湿加防己风羌防, 寒痹附麻分汗入, 胞肠五苓
附子苍.
【注】三痹; 谓行痹, 痛痹, 着痹也. 宜用木通一味, 不见水者二两
,以长流水二碗, 煎一碗, 热服取微汗, 不愈再服, 以愈为度. 若其
痛上下, 左右流走相移者, 加羌活, 防风以袪风邪. 其痛苦甚者, 有
汗加附子, 无汗加麻黄, 以去寒邪. 其痛重着难移者, 加防己以胜湿
邪.其所应加之药, 不可过三钱, 弱者俱减半服. 胞痹宜用五苓散加
附子, 肠痹宜五苓散加苍术, 以利寒饮也. 五苓散方在伤寒门.
三痹汤 独活寄生汤
7.三痹十全无白术, 牛秦续杜细独防, 独活加桑除耆续, 入脏乘虚
久痹方.
【注】三痹, 谓三痹汤, 即十全大补汤无白术, 加牛膝, 秦艽, 续断
,杜仲, 细辛, 独活, 防风也. 独活, 谓独活寄生汤, 根据三痹汤方加
桑寄生, 除去黄耆, 续断也. 此皆治五痹不巳, 乘虚入脏, 反留连日
久,谓理痹病之方也.
黄耆益气汤
8.黄耆益气虚皮痹, 皮麻不知痒与疼, 补中益气加红柏, 味秋芩夏
桂加冬.
【注】气实麻木, 用小续命汤加麻黄治之. 气虚麻木, 用黄耆益气汤
,即补中益气汤加红花, 黄柏也. 秋加五味子, 夏加黄芩, 冬加桂枝
皮.
蠲痹汤 加味升阳散火汤
9.蠲瘟冷痹身寒厥, 附归耆草桂羌防, 肌热如火名热痹, 羚犀升阳
散火汤.
【注】蠲痹汤, 即附子, 当归, 黄耆, 炙草, 官桂, 羌活, 防风, 治
痹病而身寒无热, 四肢厥冷, 名曰冷痹也. 加味升阳散火汤, 即内伤
门升阳散火汤加羚羊角, 犀角, 治痹病而肌热如火, 名曰热痹也.
2. 周痹患者疼痛固定且无休止，疼痛部位左右不转移，而是上下行走。症状类似中风导致的偏瘫，仅局限于手或足，但口眼没有歪斜，身体有疼痛感。
【注】周痹，有时疼痛，有时肿胀，发生在手或足，患病部位固定，疼痛无休止。或者病势从上发展到下，或者从下发展到上，不像众痹那样疼痛有休止，且在左右之间流窜游走。周痹，可能两只手都痛，或两只脚都痛，或只有一只手一只脚痛，或出现半身不遂、麻木不仁、不能活动，看似中风，但不出现口眼歪斜，只是身体疼痛。
3. 痹邪在筋骨，疼痛难以停止；痹邪在皮脉，容易治疗见效。痹病日久侵入脏腑，若脏气虚弱则致死；若脏气充实不受邪侵，则病邪返还体表，可以生还。
【注】痹邪在筋骨，说明受邪深重，所以疼痛持久难愈。痹邪在皮脉，说明受邪浅表，所以容易治愈。凡是痹病日久内传至相合的脏腑，就称为五脏之痹。如果病人脏气虚弱而受邪，则难治且多死亡；如果病人脏气充实而不受邪，病邪返还于外，则易治且多存活。例如久患皮痹，再次感受邪气，应当内传于肺而形成肺痹，如果没有胸满烦闷、气喘咳嗽的症状，这就是脏气充实不受邪。其他脏腑可类推。
4. 肺痹表现为烦闷、胸满、气喘、咳嗽；肾痹表现为腹胀、臀部着地脚跟抬起（形容足挛缩不能行）、脊柱弯曲头部前倾（形容伛偻）；脾痹表现为呕吐、痞塞硬满、四肢懈怠下垂；心痹表现为心烦、心悸、嗳气、时常恐惧；肝痹表现为喜饮水、小便频数、夜间卧睡惊悸、太息；肠痹表现为便秘或腹泻交替、腹部胀满；膀胱胞痹表现为小便闭塞、少腹疼痛如热水浇灌、鼻流清涕；三焦、胃、胆三腑无忧患痹证。
【注】久患皮痹，再次感受邪气，出现胸满烦闷、气喘咳嗽的症状，这是邪气内传于肺，就称为肺痹。久患骨痹，再次感受邪气，出现腹胀、臀部着地脚跟抬起、足部挛缩不能伸直、脊柱弯曲头部前倾、驼背不能直立的症状，这是邪气内传于肾，就称为肾痹。久患肌痹，再次感受邪气，出现呕吐涎沫、心下痞塞硬满、四肢懈怠下垂的症状，这是邪气内传于脾，就称为脾痹。久患脉痹，再次感受邪气，出现心烦、心悸、咽喉干燥、嗳气、有时恐惧的症状，这是邪气内传于心，就称为心痹。久患筋痹，再次感受邪气，出现喜欢饮水、小便频数、夜间卧睡惊悸、太息的症状，这是邪气内传于肝，就称为肝痹。久痹不愈，再次感受邪气，若脏气充实不受邪而传入腑，凡出现喜欢饮水、小便闭塞、不胀则泻、不泻则胀的症状，这是邪气内传于大小肠，就称为肠痹。凡出现少腹膀胱区域，按压时感觉像热水浇灌一样疼痛、小便闭塞涩滞、鼻流清涕的症状，这是邪气内传于膀胱，就称为胞痹。三焦之痹依附于膀胱，沿水道传导。胃痹依附于大小肠，沿传化功能传导。胆为清净之腑，不受痹邪侵袭，所以说无忧。
小续命汤、增味五痹汤
5. 痹证属虚者用加减小续命汤，痹证实者用增味五痹汤。方药组成包括麻黄、桂枝、红花、白芷、葛根、附子、虎骨、羚羊角、黄芪、甘草、防风、防己、羌活。
【注】痹虚，指气虚之人患各种痹证。宜用加减小续命汤：风邪胜的行痹加倍使用防风；寒邪胜的痛痹加倍使用附子；湿邪胜的着痹加倍使用防己；皮痹加黄芪或桂枝；皮脉痹加姜黄或红花；肌痹加葛根或白芷；筋痹加羚羊角或续断；骨痹加虎骨或狗脊。有汗者减麻黄用量，便溏者减防己用量，寒邪胜者减黄芩加干姜，热邪胜者减附子加石膏，根据情况加减治疗。痹实，指气血实证之人患各种痹证。宜用增味五痹汤，即由麻黄、桂枝、红花、白芷、葛根、附子、虎骨、羚羊角、黄芪、甘草、防风、防己、羌活组成。行痹以羌活、防风为主药；痛痹以麻黄、附子为主药；着痹以防己、羌活为主药；皮痹以黄芪、桂枝皮为主药；脉痹以红花、桂枝为主药；肌痹以葛根、白芷为主药；筋痹以羚羊角为主药；骨痹以虎骨为主药，在五痹治法基础上增味即可。
木通汤、附子五苓散、苍术五苓散
6. 三痹证用木通汤配长流水煎服，湿邪盛加防己，风邪盛加羌活防风，寒痹通过发汗分消（用附子或麻黄），胞痹和肠痹分别用五苓散加附子或苍术。
【注】三痹，指行痹、痛痹、着痹。宜用单味木通二两（未见到水分的药材），用长流水两碗，煎至一碗，热服取微汗，若不愈再服，以痊愈为度。如果疼痛上下左右流窜游走，加羌活、防风以祛风邪。如果疼痛剧烈，有汗者加附子，无汗者加麻黄，以去寒邪。如果疼痛沉重固定难移，加防己以胜湿邪。所应加入的药物，不可超过三钱，体质弱者全部减半服用。胞痹宜用五苓散加附子，肠痹宜用五苓散加苍术，以利寒饮。五苓散方见伤寒门。
三痹汤、独活寄生汤
7. 三痹汤由十全大补汤去掉白术，加入牛膝、秦艽、续断、杜仲、细辛、独活、防风组成。独活寄生汤是在三痹汤基础上加桑寄生，除去黄芪、续断而成。这些都是治疗五痹不愈，乘虚入脏，缠绵日久，属于理痹病的方剂。
【注】三痹，指三痹汤，即十全大补汤去掉白术，加入牛膝、秦艽、续断、杜仲、细辛、独活、防风。独活，指独活寄生汤，依据三痹汤方加桑寄生，除去黄芪、续断。这些皆用于治疗五痹不愈，乘虚入脏，反致缠绵日久的痹病，是调理痹病的方剂。
黄芪益气汤
8. 黄芪益气汤治疗气虚引起的皮痹麻木，皮肤麻木不知痒与痛。补中益气汤加红花、黄柏，秋季加五味子，夏季加黄芩，冬季加桂枝皮。
【注】气实导致的麻木，用小续命汤加麻黄治疗。气虚导致的麻木，用黄芪益气汤，即补中益气汤加红花、黄柏。秋季加五味子，夏季加黄芩，冬季加桂枝皮。
蠲痹汤、加味升阳散火汤
9. 蠲痹汤治疗冷痹，症见身寒厥冷；方含附子、当归、黄芪、甘草、桂枝、羌活、防风。肌肉发热如火名为热痹，用加味升阳散火汤（含羚羊角、犀角）治疗。
【注】蠲痹汤，即由附子、当归、黄芪、炙甘草、官桂、羌活、防风组成，治疗痹病而身体寒冷无热、四肢厥冷，名叫冷痹。加味升阳散火汤，即内伤门中的升阳散火汤加羚羊角、犀角，治疗痹病而肌肉发热如火，名叫热痹。
2. In Zhou Bi (General Bi Syndrome), the pain is fixed and unceasing, does not shift left or right, but moves up and down. It resembles hemiplegia caused by wind-stroke, affecting only the hands or feet, without deviation of the mouth and eyes, yet accompanied by body pain.
[Note] Zhou Bi (General Bi Syndrome) may present with pain or swelling in the hands or feet. The affected site is fixed, and the pain is unceasing. The pathology may move from upper to lower parts or from lower to upper parts, unlike Zhong Bi (Cluster Bi Syndrome), where pain has intervals and shifts left and right. Zhou Bi (General Bi Syndrome) may affect both hands, both feet, or only one hand and one foot, or cause hemiplegia with numbness and immobility, resembling stroke, but without deviation of the mouth and eyes, merely presenting with body pain.
3. When Bi (Obstruction Syndrome) resides in the sinews and bones, the pain is difficult to cease; when it resides in the skin and vessels, it is easy to treat. If Bi (Obstruction Syndrome) enters the Zang organs after a long duration and the Zang Qi (Visceral Qi) is deficient, death ensues; if the Zang Qi is solid and rejects the pathogen, returning to the exterior, life can be preserved.
[Note] When Bi (Obstruction Syndrome) is in the sinews and bones, the pathogenic invasion is deep, so the pain persists and is hard to cure. When Bi (Obstruction Syndrome) is in the skin and vessels, the pathogenic invasion is superficial, so it is easy to treat. Generally, if Bi (Obstruction Syndrome) lingers for a long time and transmits internally to its corresponding Zang organ, it becomes Zang Bi (Visceral Obstruction). If the person has deficient Zang Qi and accepts the pathogen, it is difficult to treat and often fatal; if the person has solid Zang Qi that rejects the pathogen, causing it to return outward, it is easy to treat and often curable. For example, if chronic Pi Bi (Skin Obstruction) is re-exposed to pathogens and should transmit internally to the Lung to form Fei Bi (Lung Obstruction), but there are no symptoms of chest fullness, irritability, wheezing, and coughing, this indicates solid Zang Qi rejecting the pathogen. The same applies to other Zang organs.
4. Fei Bi (Lung Obstruction) presents with irritability, chest fullness, wheezing, and coughing; Shen Bi (Kidney Obstruction) presents with abdominal distension, inability to extend the legs (sitting on the buttocks as if replacing the heels), and spinal curvature (stooping forward); Pi Bi (Spleen Obstruction) presents with vomiting, epigastric stuffiness and hardness, and flaccidity and drooping of the limbs; Xin Bi (Heart Obstruction) presents with mental restlessness, palpitations, belching, and occasional fear; Gan Bi (Liver Obstruction) presents with excessive thirst, frequent urination, night terrors during sleep, and sighing; Chang Bi (Intestinal Obstruction) presents with alternating constipation and diarrhea, and abdominal distension; Bao Bi (Bladder Obstruction) presents with urinary retention, pain in the lower abdomen feeling like hot water pouring, and clear nasal discharge; San Jiao (Triple Burner), Stomach, and Gallbladder do not suffer from Bi (Obstruction).
[Note] If chronic Pi Bi (Skin Obstruction) is re-exposed to pathogens, presenting with chest fullness, irritability, wheezing, and coughing, the pathogen has transmitted internally to the Lung, forming Fei Bi (Lung Obstruction). If chronic Gu Bi (Bone Obstruction) is re-exposed to pathogens, presenting with abdominal distension, inability to extend the legs, spinal curvature, and stooping, the pathogen has transmitted internally to the Kidney, forming Shen Bi (Kidney Obstruction). If chronic Ji Bi (Muscle Obstruction) is re-exposed to pathogens, presenting with vomiting of saliva, epigastric stuffiness and hardness, and flaccidity of the limbs, the pathogen has transmitted internally to the Spleen, forming Pi Bi (Spleen Obstruction). If chronic Mai Bi (Vessel Obstruction) is re-exposed to pathogens, presenting with mental restlessness, palpitations, dry throat, belching, and occasional fear, the pathogen has transmitted internally to the Heart, forming Xin Bi (Heart Obstruction). If chronic Jin Bi (Sinew Obstruction) is re-exposed to pathogens, presenting with excessive thirst, frequent urination, night terrors, and sighing, the pathogen has transmitted internally to the Liver, forming Gan Bi (Liver Obstruction). If chronic Bi (Obstruction) persists and is re-exposed to pathogens, and the Zang Qi is solid rejecting the pathogen which then transmits to the Fu organs, presenting with excessive thirst, urinary retention, and alternating bloating and diarrhea, the pathogen has transmitted internally to the Large and Small Intestines, forming Chang Bi (Intestinal Obstruction). If presenting with pain in the lower abdomen and bladder area, feeling like hot water pouring upon pressure, urinary retention and difficulty, and clear nasal discharge, the pathogen has transmitted internally to the Bladder, forming Bao Bi (Bladder Obstruction). San Jiao (Triple Burner) Bi (Obstruction) attaches to the Bladder, following the water passages. Stomach Bi (Obstruction) attaches to the Large and Small Intestines, following the transmission and transformation functions. The Gallbladder is a pure and clear Fu organ and does not accept Bi (Obstruction) pathogens, hence "no worry."
Xiaoxuming Decoction (Minor Continuation Life Decoction), Zengwei Wubi Tang (Modified Five-Obstruction Decoction)
5. For deficiency-type Bi (Obstruction), use Jiajian Xiaoxuming Tang (Modified Minor Continuation Life Decoction); for excess-type Bi (Obstruction), use Zengwei Wubi Tang (Modified Five-Obstruction Decoction). Ingredients include Ephedrae Herba (Mahuang), Cinnamomi Ramulus (Guizhi), Carthami Flos (Honghua), Angelicae Dahuricae Radix (Baizhi), Puerariae Lobatae Radix (Gegen), Aconiti Lateralis Radix Preparata (Fuzi), Ossis Tigridis (Hugu), Cornu Saigae Tataricae (Lingyangjiao), Astragali Membranacei Radix (Huangqi), Glycyrrhizae Radix et Rhizoma (Gancao), Saposhnikoviae Radix (Fangfeng), Stephaniae Tetrandrae Radix (Fangji), and Notopterygii Rhizoma et Radix (Qianghuo).
[Note] Deficiency-type Bi (Obstruction) refers to various Bi syndromes occurring in persons with Qi deficiency. One should use Jiajian Xiaoxuming Tang (Modified Minor Continuation Life Decoction): for Wind-Bi (Moving Obstruction) where wind is predominant, double the dose of Fangfeng; for Cold-Bi (Painful Obstruction) where cold is predominant, double the dose of Fuzi; for Damp-Bi (Fixed Obstruction) where dampness is predominant, double the dose of Fangji; for Pi Bi (Skin Obstruction), add Huangqi or Guizhi; for Mai Bi (Vessel Obstruction), add Jianghuang or Honghua; for Ji Bi (Muscle Obstruction), add Gegen or Baizhi; for Jin Bi (Sinew Obstruction), add Lingyangjiao or Xuduan; for Gu Bi (Bone Obstruction), add Hugu or Gouji. Reduce Mahuang if sweating is present; reduce Fangji if stools are loose; reduce Huangqin and add Ganjiang if cold is predominant; reduce Fuzi and add Shigao if heat is predominant, adjusting accordingly. Excess-type Bi (Obstruction) refers to various Bi syndromes occurring in persons with excess Qi and Blood. One should use Zengwei Wubi Tang (Modified Five-Obstruction Decoction), composed of Mahuang, Guizhi, Honghua, Baizhi, Gegen, Fuzi, Hugu, Lingyangjiao, Huangqi, Gancao, Fangfeng, Fangji, and Qianghuo. For Wind-Bi (Moving Obstruction), Qianghuo and Fangfeng are principal herbs; for Cold-Bi (Painful Obstruction), Mahuang and Fuzi are principal herbs; for Damp-Bi (Fixed Obstruction), Fangji and Qianghuo are principal herbs; for Pi Bi (Skin Obstruction), Huangqi and Guizhi Pi are principal herbs; for Mai Bi (Vessel Obstruction), Honghua and Guizhi are principal herbs; for Ji Bi (Muscle Obstruction), Gegen and Baizhi are principal herbs; for Jin Bi (Sinew Obstruction), Lingyangjiao is the principal herb; for Gu Bi (Bone Obstruction), Hugu is the principal herb. These are added to the standard treatments for the Five Obstructions.
Mutong Tang (Akebia Decoction), Fuzi Wuling San (Aconite Five-Ling Powder), Cangzhu Wuling San (Atractylodes Macrocephala Five-Ling Powder)
6. For Three Bi (Three Types of Obstruction), use Mutong Tang decocted with long-flowing water; add Fangji for dampness, Qianghuo and Fangfeng for wind; for Cold-Bi, use Fuzi or Mahuang to induce sweating; for Bao Bi and Chang Bi, use Wuling San with Fuzi or Cangzhu respectively.
[Note] Three Bi refers to Wind-Bi (Moving Obstruction), Cold-Bi (Painful Obstruction), and Damp-Bi (Fixed Obstruction). Use single-herb Mutong Tang: two liang of Mutong (without visible moisture), decocted in two bowls of long-flowing water until one bowl remains, taken hot to induce slight sweating. If ineffective, take again until cured. If pain migrates up/down/left/right, add Qianghuo and Fangfeng to dispel wind. If pain is severe, add Fuzi if sweating is present, or Mahuang if no sweating, to dispel cold. If pain is heavy and fixed, add Fangji to overcome dampness. Added herbs should not exceed three qian; reduce dosage by half for weak patients. For Bao Bi (Bladder Obstruction), use Wuling San with Fuzi; for Chang Bi (Intestinal Obstruction), use Wuling San with Cangzhu, to drain cold-fluid retention. See Shanghan Lun section for Wuling San formula.
Sanbi Tang (Three-Obstruction Decoction), Duhuo Jisheng Tang (Angelica Pubescens and Sangjisheng Decoction)
7. Sanbi Tang is derived from Shiquan Dabu Tang (Ten Complete Tonifying Decoction) minus Baizhu, plus Niuxi, Qinjiao, Xuduan, Duzhong, Xixin, Duhuo, and Fangfeng. Duhuo Jisheng Tang is based on Sanbi Tang, adding Sangjisheng, and removing Huangqi and Xuduan. These formulas treat persistent Five Obstructions that penetrate the Zang organs due to deficiency and linger for a long time, serving as formulas for regulating Bi syndrome.
[Note] "Sanbi" refers to Sanbi Tang, which is Shiquan Dabu Tang (Ten Complete Tonifying Decoction) minus Baizhu, plus Niuxi, Qinjiao, Xuduan, Duzhong, Xixin, Duhuo, and Fangfeng. "Duhuo" refers to Duhuo Jisheng Tang, which is based on Sanbi Tang, adding Sangjisheng, and removing Huangqi and Xuduan. These all treat Five Obstructions that persist, penetrate the Zang organs due to deficiency, and linger for a long time; they are formulas for managing Bi syndrome.
Huangqi Yiqi Tang (Astragalus Qi-Supplementing Decoction)
8. Huangqi Yiqi Tang treats Pi Bi (Skin Obstruction) caused by Qi deficiency, manifesting as numbness in the skin with insensitivity to itch and pain. It is Buzhong Yiqi Tang (Middle-Supplementing Qi-Tonifying Decoction) plus Honghua and Huangbai, with Wuweizi added in autumn, Huangqin in summer, and Guizhi Pi in winter.
[Note] Numbness due to Qi excess is treated with Xiaoxuming Tang (Minor Continuation Life Decoction) plus Mahuang. Numbness due to Qi deficiency is treated with Huangqi Yiqi Tang (Astragalus Qi-Supplementing Decoction), which is Buzhong Yiqi Tang (Middle-Supplementing Qi-Tonifying Decoction) plus Honghua and Huangbai. Add Wuweizi in autumn, Huangqin in summer, and Guizhi Pi in winter.
Juanbi Tang (Expelling Obstruction Decoction), Jiawei Shengyang Sanhuo Tang (Modified Raising Yang and Dispersing Fire Decoction)
9. Juanbi Tang treats Leng Bi (Cold Obstruction) with symptoms of body coldness and cold extremities; ingredients include Fuzi, Danggui, Huangqi, Zhi Cao, Guizhi, Qianghuo, and Fangfeng. Re Bi (Heat Obstruction) is characterized by muscle heat like fire and is treated with Jiawei Shengyang Sanhuo Tang (Modified Raising Yang and Dispersing Fire Decoction) containing Lingyangjiao and Xijiao.
[Note] Juanbi Tang consists of Fuzi, Danggui, Huangqi, Zhi Cao, Guizhi, Qianghuo, and Fangfeng. It treats Bi syndrome with body coldness, absence of fever, and cold extremities, named Leng Bi (Cold Obstruction). Jiawei Shengyang Sanhuo Tang (Modified Raising Yang and Dispersing Fire Decoction) is the Shengyang Sanhuo Tang from the Internal Injury section plus Lingyangjiao and Xijiao. It treats Bi syndrome with muscle heat like fire, named Re Bi (Heat Obstruction).