（丹溪）
痛风有寒、有湿、有热、有痰，有血之不同，此为通治（按此即《内经》所谓行痹、痛
痹也。经曰∶风寒湿三者杂合而为痹也，盖风痹痿厥，病多杂合，故世俗每言风痹有病风而
不痛者
黄柏（酒炒） 苍术（泔洗） 南星（姜制。二两） 神曲（炒） 川芎 桃仁（去皮
尖。捣）
桂枝（三钱。横
此治痛风之通剂也。黄柏清热，苍术燥湿（此二妙散也，治痿正药），龙胆泻火，防己
行水，四者所以治湿与热也；南星燥痰散风，桃仁、红花活血去瘀，川芎为血中气药，四者
所以治痰与血也；羌活祛百节之风，白芷祛头面之风，桂枝、威灵仙祛臂胫之风，四者所以
治风也；加神曲者，所以消中州陈积之气也。疏风以宣于上，泻热利湿以泄于下，活血燥痰
消滞以调于中，所以能兼治而通用也。证不兼者，以意消息可矣（丹溪曰∶大法痛风用苍术、
南星、川芎、当归、白芷、酒芩；在上者加羌活、桂枝、威灵仙；在下者加牛膝、防己、木
通、黄柏；
治中风语言謇涩，手足拘挛，半身不遂，痿痹不仁（语言謇涩，风中舌本也；半身不遂，
邪并于虚也；手足拘挛，风燥其筋而血不濡也；痿痹不仁，风而兼湿，顽麻痿 也）。
羌活 防风 白术（土炒） 当归（酒洗） 川牛膝（酒浸） 川萆 杜仲（姜汁炒
断丝）
子（炒、槌碎。四
三十斤，煮熟退火毒服
此足厥阴药也。防风、羌活、苍耳、秦艽、松节、茄根、蚕砂、萆 既以祛风，兼以燥
湿（松节能除骨节间之风，茄根散血消肿，能疗冻疮，亦散寒之品）；当归、枸杞、杜仲、
牛膝补阴润燥，养血荣筋；白术补气而健脾（脾主四肢）；虎胫驱风而壮骨（风从虎，故虎
骨治风，虎虽死犹立不仆，其气力皆在前胫，且胫骨能入手足；若腰脊痛，又当用脊骨）；
鳖甲亦厥阴血分之
（朱丹溪）
痛风有寒邪、湿邪、热邪、痰浊、瘀血等不同类型，这是治疗痛风的通用方剂（按：这就是《内经》所说的行痹、痛痹。经典记载：风、寒、湿三种邪气混杂结合而形成痹证。大概风痹、痿证、厥证，病情多夹杂混合，所以世俗常说风痹，有的病有风邪表现却不疼痛）。
黄柏（酒炒制）、苍术（淘米水洗净）、南星（姜汁炮制，各二两）、神曲（炒制）、川芎、桃仁（去皮尖，捣碎）、桂枝（三钱，取横生枝条）。
这是治疗痛风的通用方剂。黄柏清热，苍术燥湿（这两味药组成二妙散，是治疗痿证的对症药物），龙胆草泻火，防己利水，这四味药用来治疗湿邪与热邪；南星燥湿化痰并疏散风邪，桃仁、红花活血祛瘀，川芎作为血中的气药，这四味药用来治疗痰浊与瘀血；羌活祛除全身关节的风邪，白芷祛除头面部的风邪，桂枝、威灵仙祛除手臂和小腿的风邪，这四味药用来治疗风邪；加入神曲，是为了消除中焦脾胃积滞的气机。疏散风邪以宣通上部，泻热利湿以泄除下部，活血燥痰消滞以调和中部，所以能够兼治多种证候而通用。如果证候不兼夹的，可以根据具体情况斟酌加减即可（朱丹溪说：大凡治疗痛风使用苍术、南星、川芎、当归、白芷、酒黄连；病位在上部者加羌活、桂枝、威灵仙；病位在下部者加牛膝、防己、木通、黄柏）。
治疗中风引起的言语不清、手足拘挛、半身不遂、肢体痿废麻木不仁（言语不清，是因为风邪侵袭舌根；半身不遂，是因为邪气乘虚而入；手足拘挛，是因为风燥损伤筋脉导致血液不能濡养；痿痹麻木不仁，是因为风邪兼夹湿邪，导致顽麻痿弱）。
羌活、防风、白术（土炒制）、当归（酒洗）、川牛膝（酒浸泡）、川萆薢、杜仲（姜汁炒至断丝）、[此处原文缺字，推测为某种药材]子（炒制、敲碎，四[此处原文缺字，推测为数量]）。三十斤[酒]，煮熟后去除火毒服用。
这是足厥阴肝经的药物。防风、羌活、苍耳子、秦艽、松节、茄根、蚕砂、萆薢既能祛除风邪，又能燥湿（松节能除去骨节间的风邪，茄根能散血消肿，可治疗冻疮，也是散寒的药物）；当归、枸杞、杜仲、牛膝补益阴液滋润燥热，养血荣养筋脉；白术补气健脾（脾主四肢）；虎骨驱风壮骨（风从虎来，所以虎骨治疗风病，老虎即使死了站立也不会倒下，其气力都在前胫，且胫骨能入手足经络；如果是腰脊疼痛，则应当用脊骨）；鳖甲也属于厥阴血分[的药物]。
(Zhu Danxi)
Gout (Tongfeng) may differ in having cold pathogens, dampness pathogens, heat pathogens, phlegm turbidity, or blood stasis. This is a general formula for treating gout (Note: This corresponds to what the *Neijing* calls Xingbi [Wandering Bi Syndrome] and Tongbi [Painful Bi Syndrome]. The classics state: Wind, cold, and dampness combine to form Bi syndrome. Generally, Fengbi [Wind Bi], Weizheng [Flaccidity Syndrome], and Juezheng [Reversal Syndrome] often involve mixed pathologies; thus, in common parlance, Fengbi is mentioned, where some conditions exhibit wind signs but no pain).
Huangbai (Phellodendri Cortex), processed with wine; Cangzhu (Atractylodis Rhizoma), washed with rice water; Nanxing (Arisaematis Rhizoma), processed with ginger juice, each 2 liang; Shenqu (Massa Medicata Fermentata), stir-fried; Chuanxiong (Ligustici Chuanxiong Rhizoma); Taoren (Persicae Semen), skin and tip removed, pounded; Guizhi (Cinnamomi Ramulus), 3 qian, using horizontal branches.
This is a general formula for treating gout. Huangbai clears heat, Cangzhu dries dampness (These two herbs constitute Ermiao San [Two Marvels Powder], the specific remedy for treating Weizheng [Flaccidity Syndrome]); Longdancao (Gentianae Radix) purges fire, Fangji (Stephaniae Tetrandrae Radix) promotes urination to leach out dampness; these four herbs treat dampness and heat. Nanxing dries phlegm and disperses wind; Taoren and Honghua (Carthami Flos) invigorate blood and remove stasis; Chuanxiong acts as the Qi-moving herb within the Blood category; these four herbs treat phlegm and blood stasis. Qianghuo (Notopterygii Rhizoma et Radix) dispels wind from all joints; Baizhi (Angelicae Dahuricae Radix) dispels wind from the head and face; Guizhi and Weilingxian (Spatholobi Caulis) dispel wind from the arms and shins; these four herbs treat wind. The addition of Shenqu serves to eliminate stagnant Qi in the Middle Jiao (Spleen and Stomach). Dispelling wind to vent the Upper Jiao, purging heat and promoting urination to drain the Lower Jiao, invigorating blood, drying phlegm, and eliminating stagnation to regulate the Middle Jiao; thus, it can treat multiple syndromes simultaneously and be used generally. If the syndromes are not combined, adjustments can be made according to judgment (Zhu Danxi stated: The general method for treating gout uses Cangzhu, Nanxing, Chuanxiong, Danggui, Baizhi, and Jiuhuangqin [Scutellariae Radix processed with wine]; if the pathology is in the upper body, add Qianghuo, Guizhi, Weilingxian; if in the lower body, add Niuxi, Fangji, Mutong, Huangbai).
Treating stroke (Zhongfeng) manifesting as slurred speech (Jiansese), spasm of hands and feet, hemiplegia, and flaccid numbness (Slurred speech occurs because wind pathogen attacks the tongue root; hemiplegia occurs because evil pathogens invade deficiency; hand and foot spasms occur because wind-dryness damages sinews and blood fails to nourish them; flaccid numbness occurs because wind combines with dampness, leading to stubborn numbness and weakness).
Qianghuo; Fangfeng (Saposhnikoviae Radix); Baizhu (Atractylodis Macrocephalae Rhizoma), stir-fried with soil; Danggui (Angelicae Sinensis Radix), washed with wine; Chuanniuxi (Cyathulae Radix), soaked in wine; Chuanbixie (Dioscoreae Hypoglaucae Rhizoma); Duzhong (Eucommiae Cortex), stir-fried with ginger juice until fibers break; [Text missing here, likely a seed/herb name] zi (processed with heat, crushed, quantity [missing]). Thirty jin [of wine], boiled until cooked, remove "fire toxicity" before consumption.
This is a prescription for the Foot-Jueyin Liver Meridian. Fangfeng, Qianghuo, Cang'erzi (Xanthii Fructus), Qinjiao (Gentianae Macrophyllae Radix), Songjie (Pinus Massoniana Node), Qiegen (Solanum Melongena Root), Can Sha (Bombyx Batryticatus), and Bixie both dispel wind and dry dampness (Songjie removes wind from between bones and joints; Qiegen disperses blood swelling and reduces edema, treats frostbite, and is also a cold-dispersing agent); Danggui, Gouqi (Lycii Fructus), Duzhong, and Niuxi tonify Yin and moisten dryness, nourish blood and benefit sinews; Baizhu tonifies Qi and strengthens the Spleen (The Spleen governs the four limbs); Hujiu (Panther Bone) dispels wind and strengthens bones (Wind originates from the tiger, hence tiger bone treats wind diseases; even after death, a tiger stands without falling, its strength lies in the front tibia, and tibial bone enters the hand and foot meridians; if there is lumbar and spinal pain, vertebral bone should be used instead); Biejia (Trionycis Carapax) also belongs to the Jueyin Blood level.