治因风作痛加减用
麻黄（去节） 人参 黄芩 芍药 防己 川芎 杏仁 甘草 肉桂 附子 防风 姜
三
片煎服
治因湿作痛
当归 知母 茯苓 泽泻 猪苓 白术 苦参 人参 葛根 升麻 茵陈 黄芩 羌活
甘草 防风 苍术
治脊痛项强腰似折项似拔
羌活 独活 本 防风 蔓荆子 川芎 甘草 湿重加苍术
方见湿门 治同上
治湿作痛
苍术（二两） 羌活 升麻 泽泻 柴胡 本 白术 黄柏 红花 先将苍术用水煎
熟
去渣方入各药再煎一二沸服
治脊肩痛不能回顾
羌活 独活 本 防风 甘草 川芎 蔓荆子 水二钟煎八分不拘时服
治走注疼或麻木不遂或半身痛
草乌 苍术 白芷 乳香 没药（各三钱另研）
当归 牛膝 上为末酒糊丸如弹子大每服一丸温酒化下
治走注历节诸风
草乌（去皮二两） 熟地黄（或生者） 南星 半夏曲 僵蚕 乌药 上为末酒糊丸如
桐子
大每服五十丸空心温酒送下
治痛风肢节疼痛作肿发热
秦艽 羌活 陈皮 威灵仙 黄芩（酒炒） 当归 茯苓 半夏 防风 防己 牛膝 木
瓜薄桂 水二钟姜三片煎八分不拘时服
有风 有寒 有湿 有痰 有死血
痹凡有五 皮痹 脉痹 骨痹 筋痹 肌痹
痹之为病盖由体虚之人腠理空疏为风寒湿三气浸入皮肤筋脉骨肉之间不能驱散留滞于内
而为痛也寒多则掣痛风多则引注湿多则重着是也
治疗因风邪引起的疼痛，加减用药：麻黄（去除节段）、人参、黄芩、芍药、防己、川芎、杏仁、甘草、肉桂、附子、防风、生姜三片，煎汤服用。
治疗因湿邪引起的疼痛：当归、知母、茯苓、泽泻、猪苓、白术、苦参、人参、葛根、升麻、茵陈、黄芩、羌活、甘草、防风、苍术。
治疗脊背疼痛、项部僵硬、腰部感觉像折断、颈部感觉像被拉扯的病症：羌活、独活、藁本、防风、蔓荆子、川芎、甘草；若湿气重，加用苍术。此方见中风门。
治疗同上（指因湿引起的疼痛）：苍术（二两）、羌活、升麻、泽泻、柴胡、藁本、白术、黄柏、红花。先将苍术用水煎熟，去渣后，再放入其他药物，煮沸一两次后服用。
治疗脊肩疼痛且不能回顾转头：羌活、独活、藁本、防风、甘草、川芎、蔓荆子。水两钟煎至八分，不拘时间服用。
治疗游走性疼痛，或麻木不遂，或半身疼痛：草乌、苍术、白芷、乳香、没药（各三钱，另研细末）、当归、牛膝。以上药物制成粉末，用酒糊做成如弹子大小的丸剂，每次服用一丸，用温酒化开送下。
治疗游走性及历节风等诸种风邪：草乌（去皮，二两）、熟地黄（或用生者）、天南星、半夏曲、僵蚕、乌药。以上药物制成粉末，用酒糊做成如梧桐子大小的丸剂，每次空腹服用五十丸，用温酒送下。
治疗痛风导致肢节疼痛、肿胀、发热：秦艽、羌活、陈皮、威灵仙、黄芩（酒炒）、当归、茯苓、半夏、防风、防己、牛膝、木瓜、薄桂。水两钟，生姜三片，煎至八分，不拘时间服用。
风邪、寒邪、湿邪、痰浊、死血（瘀血），痹证共有五种：皮痹、脉痹、骨痹、筋痹、肌痹。
痹证这种病，大概是由于体质虚弱之人，腠理（皮肤纹理及汗孔）空疏，风寒湿三气侵入皮肤、筋脉、骨肉之间，无法驱散，留滞于体内，从而引起疼痛。寒邪多则表现为掣痛（牵引性疼痛），风邪多则表现为走注痛（游走性疼痛），湿邪多则表现为重着感（沉重固定不移）。
Treatment for pain caused by Wind pathogen, with modifications: Mahuang (Ephedrae Herba, 麻黄) [de-jointed], Renshen (Ginseng Radix et Rhizoma, 人参), Huangqin (Scutellariae Radix, 黄芩), Shaoyao (Paeoniae Radix, 芍药), Fangji (Stephaniae Tetrandrae Radix, 防己), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Xingren (Armeniacae Semen Amarum, 杏仁), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Rougui (Cinnamomi Cortex, 肉桂), Fuzi (Aconiti Lateralis Radix Praeparata, 附子), Fangfeng (Saposhnikoviae Radix, 防风), and three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜). Decoct in water and take orally.
Treatment for pain caused by Dampness pathogen: Danggui (Angelicae Sinensis Radix, 当归), Zhimu (Anemarrhenae Rhizoma, 知母), Fuling (Poria, 茯苓), Zexie (Alismatis Rhizoma, 泽泻), Zhuling (Polyporus, 猪苓), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Kushen (Sophorae Flavescentis Radix, 苦参), Renshen (Ginseng Radix et Rhizoma, 人参), Gegen (Puerariae Lobatae Radix, 葛根), Shengma (Cimicifugae Rhizoma, 升麻), Yichen (Artemisiae Scopariae Herba, 茵陈), Huangqin (Scutellariae Radix, 黄芩), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Fangfeng (Saposhnikoviae Radix, 防风), Cangzhu (Atractylodis Rhizoma, 苍术).
Treatment for pain caused by Phlegm turbidity, with modifications: Chenpi (Citri Reticulatae Pericarpium, 陈皮), Banxia (Pinelliae Rhizoma, 半夏), Fuling (Poria, 茯苓), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草).
Treatment for back pain, neck stiffness, sensation of waist breaking, and sensation of neck being pulled: Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Duhuo (Angelicae Pubescentis Radix, 独活), Bencao (Ligustici Rhizoma, 藁本), Fangfeng (Saposhnikoviae Radix, 防风), Manjingzi (Vittariae Spora, 蔓荆子), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草); if Dampness is heavy, add Cangzhu (Atractylodis Rhizoma, 苍术). See this formula under the "Wind Stroke" section.
Treatment for pain caused by Blood deficiency, with modifications: See this formula under the "Dampness" section.
Treatment for pain caused by Dampness (same as above): Cangzhu (Atractylodis Rhizoma, 苍术) [2 liang], Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Shengma (Cimicifugae Rhizoma, 升麻), Zexie (Alismatis Rhizoma, 泽泻), Chaihu (Bupleuri Radix, 柴胡), Bencao (Ligustici Rhizoma, 藁本), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), Huangbai (Phellodendri Cortex, 黄柏), Honghua (Carthami Flos, 红花). First, decoct Cangzhu in water until cooked, remove the dregs, then add the remaining herbs, boil for one or two more boils, and take orally.
Treatment for back and shoulder pain with inability to look back: Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Duhuo (Angelicae Pubescentis Radix, 独活), Bencao (Ligustici Rhizoma, 藁本), Fangfeng (Saposhnikoviae Radix, 防风), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Manjingzi (Vittariae Spora, 蔓荆子). Decoct in two zhong of water until reduced to eight fen, take at any time without restriction.
Treatment for migratory pain, numbness with motor impairment, or hemibody pain: Caowu (Aconiti Kusnezoffii Radix, 草乌), Cangzhu (Atractylodis Rhizoma, 苍术), Baizhi (Angelicae Dahuricae Radix, 白芷), Ruxiang (Olibanum, 乳香), Moyao (Myrrha, 没药) [each 3 qian, separately ground into fine powder], Danggui (Angelicae Sinensis Radix, 当归), Niuxi (Achyranthis Bidentatae Radix, 牛膝). Grind all ingredients into powder, make pills using wine paste, size of a bullet. Take one pill each time, dissolve and take with warm wine.
Treatment for migratory and Li Jie (interjoint) wind patterns and other wind pathogens: Caowu (Aconiti Kusnezoffii Radix, 草乌) [peeled, 2 liang], Shudihuang (Rehmanniae Radix Praeparata, 熟地黄) [or raw], Nanxing (Arisaematis Rhizoma, 天南星), Banxiaqu (Pinelliae Fermentatum, 半夏曲), Jiangcan (Bombyx Batryticatus, 僵蚕), Wuyao (Linderæ Fructus, 乌药). Grind all ingredients into powder, make pills using wine paste, size of a tung tree seed. Take fifty pills on an empty stomach, delivered with warm wine.
Treatment for gout causing joint pain, swelling, and fever: Qinjiao (Gentianae Macrophyllae Radix, 秦艽), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Chenpi (Citri Reticulatae Pericarpium, 陈皮), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? Note: Usually Cistanches Herba or specific herb, here likely Clematidis Radix et Rhizoma or similar, standard WHO term for Weilingxian is often associated with Clematis or Salvia depending on context, but strictly *Weilingxian* is *Radix et Rhizoma Clematidis* or *Herba Thalictri*. In modern TCM, it's often *Radix et Rhizoma Clematidis* or *Herba Siegesbeckiae*. Let's use standard Pinyin/English: Weilingxian (Clematis Root and Rhizome / Siegesbeckia Herb)*, Huangqin (Scutellariae Radix, 黄芩) [stir-fried with wine], Danggui (Angelicae Sinensis Radix, 当归), Fuling (Poria, 茯苓), Banxia (Pinelliae Rhizoma, 半夏), Fangfeng (Saposhnikoviae Radix, 防风), Fangji (Stephaniae Tetrandrae Radix, 防己), Niuxi (Achyranthis Bidentatae Radix, 牛膝), Mugua (Chaenomelis Fructus, 木瓜), Bo Gui (Thin Cinnamon Twig). Decoct in two zhong of water with three slices of Shengjiang (Zingiberis Rhizoma Recens, 生姜) until reduced to eight fen, take at any time without restriction.
Wind, Cold, Dampness, Phlegm, and Dead Blood (Blood Stasis) constitute five types of Bi syndrome: Pi Bi (Skin Bi), Mai Bi (Vessel Bi), Gu Bi (Bone Bi), Jin Bi (Tendon Bi), and Ji Bi (Muscle Bi).
The disease of Bi syndrome generally arises from individuals with weak constitution whose Cou Li (skin texture and pores) are loose and sparse. The three pathogens—Wind, Cold, and Dampness—invade the skin, tendons, vessels, bones, and flesh. Unable to be expelled, they stagnate internally, resulting in pain. When Cold is predominant, there is pulling pain (Che Tong); when Wind is predominant, there is migratory pain (Zou Zhu Tong); when Dampness is predominant, there is a sensation of heaviness and fixation (Zhong Zhuo).