羌活 赤芍药（酒炒） 姜黄（酒炒） 甘草（各五分） 黄 当归（酒炒） 防风
（各二钱五分）
有渐于湿，以水为事，痹而不仁，发为肉痹者，此方主之。
湿气着于肌肉，则营卫之气不荣，令人痹而不仁，即为肉痿。肉痿即肉痹也。是方也，
防风、羌活，风药也，用之所以胜湿。经曰∶营血虚则不仁，故用当归以养营。又曰∶卫气
虚则不用，故用黄 以益卫。用夫赤芍、姜黄者，活其湿伤之血也。用夫甘草者，益其湿伤
之气也。
熟地黄（八两） 山茱萸（去核） 山药（各四两） 牡丹皮 白茯苓 泽泻（各三两）
黄柏 知
肾气热，则腰脊不举，骨枯而髓减，发为骨痿，宜此方主之。
肾者水脏，无水则火独治，故令肾热。肾主督脉，督脉者，行于脊里，肾坏则督脉虚，
故令腰脊不举。骨枯髓减者，枯涸之极也。肾主骨，故曰骨痿。是方也，熟地黄、山茱萸，
味浓而能生阴。黄柏、知母，苦寒而能泻火。泽泻、丹皮，能去坎中之热。茯苓、山药，能
制肾间之邪。王冰曰∶壮水之主，以制阳光。此方有之矣。正考见虚损劳瘵门。
人参 白术 茯苓 甘草
阳明虚，宗筋失养，不能束骨而利机关，令人手足痿弱者，此方主之。
阳明者，胃也。胃为土，土者万物之母。《易》曰∶至哉坤元，万物资生。若胃土一虚，
则百骸失养，而绝其生气矣。故宗筋纵驰，不能束骨而利机关，令人手足痿弱。是方也，人
参、甘草，甘温之品也，甘者土之味，温者土之气，故足以益阳明；白术、茯苓，燥渗之品
也，燥之则土不濡，渗之则土不湿，故足以益脾胃。凡人大病之后，手足痿弱者，率是阳明
虚也。能于胃而调养之，则继东垣之武矣。
羌活、赤芍药（酒炒）、姜黄（酒炒）、甘草（各五分）、黄芪、当归（酒炒）、防风（各二钱五分）。
因逐渐受湿气侵袭，且以涉水劳作为业，导致肢体痹阻而感觉迟钝，发为肉痹的病症，此方主治。
湿气附着于肌肉，致使营卫之气不能濡养肌肤，使人出现痹阻且感觉麻木不仁的症状，这就称为肉痿。肉痿就是肉痹。这个方剂中，防风、羌活属于风药，使用它们是为了祛除湿气。医经说：营血虚则感觉不仁，所以用当归来滋养营血。又说：卫气虚则肢体无力，所以用黄芪来补益卫气。使用赤芍、姜黄，是为了活血化除湿邪所伤之瘀血。使用甘草，是为了补益被湿邪所伤之气。
熟地黄（八两）、山茱萸（去核）、山药（各四两）、牡丹皮、白茯苓、泽泻（各三两）、黄柏、知母。
肾气热盛，则腰脊僵硬无法抬起，骨骼枯槁而骨髓减少，发为骨痿，适宜用此方主治。
肾是水脏，若肾阴不足无水制约，则相火独亢，从而导致肾热。肾主管督脉，督脉行于脊柱内部，肾脏受损则督脉虚弱，因此导致腰脊无法抬起。骨骼枯槁、骨髓减少，是枯竭到了极点的表现。肾主骨，所以称为骨痿。这个方剂中，熟地黄、山茱萸，味道浓厚而能滋生阴液。黄柏、知母，味苦性寒而能清泻火热。泽泻、牡丹皮，能清除肾中（坎位）的热邪。茯苓、山药，能制约肾间的邪气。王冰说：壮水之主，以制阳光。此方正体现了这一原理。详细考证可见“虚损劳瘵”门。
阳明经虚弱，宗筋失去濡养，不能约束骨骼并滑利关节，导致手足痿软无力的病症，此方主治。
阳明经指的就是胃。胃属土，土是万物的母亲。《易经》说：坤元伟大啊，万物依赖它而生存。如果胃土一旦虚弱，那么全身骨骼四肢就会失去濡养，从而断绝生机。因此宗筋松弛，不能约束骨骼并滑利关节，导致手足痿弱。这个方剂中，人参、甘草，是甘温性质的药物，甘味属土之味，温性属土之气，所以足以补益阳明；白术、茯苓，是燥湿渗利的药物，燥湿则脾土不湿润过度，渗利则脾土不潮湿，所以足以补益脾胃。大凡人在大病之后，出现手足痿弱的情况，大多是因为阳明虚弱。能够针对胃部进行调养，就能继承李东垣的学术遗志了。
Notopterygii Rhizoma et Radix (Qianghuo), Red Peony Root (Chishao Yao, stir-fried with wine), Turmeric Rhizome (Jianghuang, stir-fried with wine), Licorice Root (Gancao) (each 0.5 fen), Astragali Radix (Huangqi), Angelicae Sinensis Radix (Danggui, stir-fried with wine), Saposhnikoviae Radix (Fangfeng) (each 2.5 qian).
For conditions caused by gradual exposure to dampness and occupational water-related labor, resulting in Bi syndrome (obstruction syndrome characterized by pain, numbness, or heaviness) with loss of sensation, manifesting as Rou Bi (Meat Bi), this formula is indicated.
When dampness lodges in the muscles, Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) fail to nourish the area, causing obstruction and numbness, which is termed Rou Wei (Meat Flaccidity). Rou Wei is synonymous with Rou Bi. In this formula, Fangfeng and Qianghuo are wind-dispelling herbs; they are used to overcome dampness. The Classics state: "Deficiency of Ying Blood leads to insensibility," hence Danggui is used to nourish Ying Qi. It also states: "Deficiency of Wei Qi leads to weakness," hence Huangqi is used to tonify Wei Qi. Chishao and Jianghuang are employed to invigorate blood damaged by dampness. Gancao is used to replenish Qi injured by dampness.
Rehmanniae Radix Praeparata (Shu Dihuang), Corni Fructus (Shanzhuyu, pitted), Dioscoreae Rhizoma (Shanyao) (each 4 liang), Moutan Cortex (Mudanpi), Poria (Baifuling), Alismatis Rhizoma (Zexie) (each 3 liang), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu).
When Kidney Qi becomes hot, the waist and spine become stiff and cannot be lifted, bones wither, and marrow decreases, leading to Gu Wei (Bone Flaccidity); this formula is appropriate for treatment.
The Kidney is the Water Organ. Without sufficient Water, Fire acts independently, causing Kidney heat. The Kidney governs the Du Mai (Governing Vessel), which runs within the spine. When the Kidneys are impaired, the Du Mai becomes deficient, resulting in an inability to lift the waist and spine. Withered bones and reduced marrow represent extreme depletion. Since the Kidney governs the bones, it is called Gu Wei. In this formula, Shu Dihuang and Shanzhuyu have rich flavors and can generate Yin. Huangbai and Zhimu are bitter and cold, capable of clearing fire. Zexie and Mudanpi can remove heat from the Kan (Water/Kidney) region. Baifuling and Shanyao can restrain pathogens in the Kidney area. Wang Bing stated: "Strengthen the master of Water to control the Yang brilliance." This formula embodies this principle. For detailed examination, refer to the section on Deficiency, Consumption, and Tuberculosis.
Codonopsis Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao).
When the Yangming channel is deficient, the Zong Jin (General Tendon) loses nourishment, failing to bind the bones and facilitate joint movement, leading to flaccidity and weakness of the hands and feet; this formula is indicated.
Yangming refers to the Stomach. The Stomach belongs to Earth, and Earth is the mother of all things. The *I Ching* says: "Great indeed is the Kun Yuan (Earth Principle), upon which all things depend for life." If the Stomach Earth becomes deficient, the entire body loses nourishment, severing the source of vitality. Consequently, the Zong Jin becomes lax, unable to bind the bones and lubricate the joints, causing flaccidity and weakness of the limbs. In this formula, Renshen and Gancao are sweet and warm substances; sweetness corresponds to the flavor of Earth, and warmth corresponds to the nature of Earth, thus sufficiently tonifying Yangming. Baizhu and Fuling are drying and draining substances; drying prevents Earth from becoming overly moist, and draining prevents Earth from becoming damp, thus sufficiently benefiting the Spleen and Stomach. Generally, after severe illness, flaccidity and weakness of the limbs are mostly due to Yangming deficiency. By regulating and nourishing the Stomach, one continues the legacy of Li Dongyuan.