（严氏）
治中风身体烦痛，项背拘急，手足冷痹，腰膝沉重，举动艰难（项背拘急，风也，腰膝
沉
仁
一曰偏枯，半身不遂也；二曰风痱，身无疼痛，四肢不收也；三曰风 ，奄忽不知人也；四
曰风痹，诸痹类风状也）。
黄 （蜜炙） 当归（酒洗） 赤芍（酒炒） 羌活 防风 片子姜黄（酒炒） 甘草
（炙）。加
此足太阳、厥阴药也。辛能散寒，风能胜湿，防风、羌活除湿而疏风；气通则血活，血
活则风散，黄 、炙草补气而实卫（黄 畏防风，合用而其功益大）；当归、赤芍活血而和
营，姜黄理血中之气，能入手足而祛寒湿也（《准绳》曰∶凡风痹偏枯，未有不因真气不周
而病者也。治之不用黄 为君，人参、归、芍为臣，防风、桂枝、钩藤、荆沥、竹沥、姜汁、
韭汁、葛汁、梨汁、乳汁之属为佐，而徒杂沓乎乌、附、羌、独以涸营而耗卫，如此死者，
实医杀之也
治气血凝滞，手足拘挛，风寒湿三痹（经曰∶风寒湿三者杂合而为痹也，其风气胜者为
行痹，寒气胜者为痛痹，湿气胜者为着痹也。以冬遇此者为骨痹，以春遇此者为筋痹，以夏
遇此者为脉痹，以至阴遇此者为肌痹，以秋遇此者为皮痹。痹在于骨则重，在于脉则血凝而
不流，在于筋则屈不伸，在于肉则不仁。在皮则寒痛者，寒气多也。其寒者，阳气少阴气多
也；其热者，阳气多阴气少也，故为痹热；其多汗而濡者，湿也，阳气少，阴气盛，故汗出
而濡也）。
人参 黄 茯苓 甘草 当归 川芎 白芍 生地黄 杜仲（姜汁炒断丝） 川牛膝
川续断 桂心 细辛 秦艽 川独活 防风。等分。加姜、枣煎。
此足三阴药也。喻嘉言曰∶此方用参、 、四物一派补药，内加防风、秦艽以胜风湿，
桂心以胜寒，细辛、独活以通肾气，凡治三气袭虚而成痹患者，宜准诸此（昂按∶风痹诸方，
大约
之药
（严氏）蠲痹汤：治疗中风引起的身体烦痛，项背部拘急不舒，手足寒冷麻木，腰膝沉重，行动困难。（注：项背拘急是风邪所致；腰膝沉重。另有说法：一是偏枯，即半身不遂；二是风痱，身体无疼痛，四肢无法收持；三是风喑，突然昏不知人；四是风痹，各种痹证类似风病的症状。）
药材组成：黄芪（蜂蜜炙），当归（酒洗），赤芍（酒炒），羌活，防风，片姜黄（酒炒），甘草（炙）。煎服时加入生姜、大枣。
此方属于足太阳膀胱经和足厥阴肝经的药物。辛味能散寒，风能胜湿，防风、羌活能除湿并疏风；气机通畅则血液运行活跃，血液活跃则风邪消散，黄芪、炙甘草补气以充实卫气（黄芪畏忌防风，但二者合用功效反而更大）；当归、赤芍活血以调和营血，姜黄调理血中之气，能进入手足经络以祛除寒湿。（《准绳》说：凡是风痹、偏枯，没有不是因为真气不能周流而发病的。治疗时如果不以黄芪为君药，人参、当归、白芍为臣药，防风、桂枝、钩藤、荆沥、竹沥、姜汁、韭汁、葛汁、梨汁、乳汁等作为佐使药，却杂乱地混用乌头、附子、羌活、独活等药物来耗竭营血、损伤卫气，这样导致患者死亡的，实际上是医生杀死了病人。）
三痹汤：治疗气血凝滞，手足拘挛，风寒湿三痹。（《内经》说：风、寒、湿三种邪气混杂结合而成痹证，风气偏胜的叫行痹，寒气偏胜的叫痛痹，湿气偏胜的叫着痹。在冬季感受这些邪气的叫骨痹，在春季感受的叫筋痹，在夏季感受的叫脉痹，在长夏（至阴之时）感受的叫肌痹，在秋季感受的叫皮痹。痹邪在骨则身体沉重，在脉则血液凝滞不流动，在筋则屈伸不利，在肉则感觉麻木不仁。在皮则恶寒。疼痛多的，是因为寒气多。所谓寒证，是因为阳气少、阴气多；所谓热证，是因为阳气多、阴气少，所以出现痹热；多汗且湿润的，是因为湿邪，这是因为阳气少、阴气盛，所以出汗且湿润。）
药材组成：人参，黄芪，茯苓，甘草，当归，川芎，白芍，生地黄，杜仲（姜汁炒断丝），川牛膝，川续断，桂心，细辛，秦艽，川独活，防风。各药等分。煎服时加入生姜、大枣。
此方属于足三阴经的药物。喻嘉言说：此方用人参、黄芪、四物汤（当归、川芎、白芍、熟地/生地）这一派补益药物，内部加入防风、秦艽以战胜风湿，桂心以战胜寒邪，细辛、独活以通利肾气，凡是治疗因风、寒、湿三气侵袭虚弱之体而形成的痹病患者，适宜参照此方。（汪昂按：治疗风痹的各种方剂，大约……[原文此处似有缺漏或截断] 的药物。）
(Yan Shi's) Juanbi Decoction: Treats body restlessness and pain caused by wind-stroke, stiffness and tightness of the neck and back, cold numbness of the hands and feet, heaviness of the waist and knees, and difficulty in movement. (Note: Stiffness and tightness of the neck and back is due to Wind pathogen; heaviness of the waist and knees. Other classifications include: 1. Pianku [Hemiplegia], i.e., paralysis of half the body; 2. Fengfei [Wind Paraplegia], no body pain, inability to control the four limbs; 3. Fengyin [Wind Aphonia], sudden loss of consciousness; 4. Fengbi [Wind Bi], various Bi syndromes resembling Wind diseases.)
Ingredients: Huangqi (Astragali Radix, honey-fried), Danggui (Angelicae Sinensis Radix, wine-washed), Chishao (Paeoniae Radix Rubra, wine-fried), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Pian Jianghuang (Curcumae Longae Rhizoma, wine-fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted). Add Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) when decocting.
This formula consists of herbs belonging to the Foot-Taiyang Bladder Meridian and Foot-Jueyin Liver Meridian. Pungent flavor can disperse Cold; Wind can overcome Dampness. Fangfeng and Qianghuo eliminate Dampness and dispel Wind; when Qi flows freely, Blood moves actively, and when Blood moves actively, Wind dissipates. Huangqi and Zhi Gancao tonify Qi to solidify Wei-Qi (Huangqi is inhibited by Fangfeng, but their combined effect is greater); Danggui and Chishao invigorate Blood to harmonize Ying-Blood, while Jianghuang regulates Qi within the Blood, entering the meridians of the hands and feet to expel Cold-Dampness. (*Zhunsheng* states: In cases of Wind-Bi or hemiplegia, there is none that does not arise from the failure of True Qi to circulate freely. Treatment should not rely on mixing Wutou (Aconiti Lateralis Radix Preparata), Fuzi (Aconiti Radix Preparata), Qianghuo, and Duhuo indiscriminately, which depletes Ying and damages Wei, leading to death; such deaths are effectively murders committed by physicians. Instead, one should use Huangqi as the Sovereign herb, Renshen (Ginseng Radix), Danggui, and Baishao (Paeoniae Radix Alba) as Ministers, and Fangfeng, Guizhi (Cinnamomi Ramulus), Gouteng (Uncariae Ramulus cum Uncis), Jingli (Arundinis Spuma), Zhuli (Bambusae Caulis in Taenia Succus), Jiangzhi (Zingiberis Succus), Jiuji (Allii Tuberosi Succus), Gezhi (Puerariae Radix Succus), Lizhi (Pyrri Fructus Succus), and Nairu (Lactis Bovilis) as Assistants and Guides.)
Sanbi Decoction: Treats stagnation of Qi and Blood, spasms and contracture of the hands and feet, and the three types of Bi syndrome caused by Wind, Cold, and Dampness. (*Neijing* states: When Wind, Cold, and Dampness combine to form a Bi syndrome, predominance of Wind results in Xingbi [Wandering Bi]; predominance of Cold results in Tongbi [Painful Bi]; predominance of Dampness results in Zhuobi [Fixed Bi]. Contracting these pathogens in Winter results in Guyi [Bone Bi]; in Spring, Jinbi [Sinew Bi]; in Summer, Maibi [Vessel Bi]; during the late summer/to-yin period, Jiabi [Flesh Bi]; in Autumn, Piabi [Skin Bi]. If Bi affects the bones, the body feels heavy; if it affects vessels, blood coagulates and fails to flow; if it affects sinews, flexion and extension are impaired; if it affects flesh, sensation is lost. If it affects the skin, there is aversion to cold. Abundant pain indicates excess Cold. The "Cold" type arises from deficient Yang and abundant Yin; the "Heat" type arises from abundant Yang and deficient Yin, resulting in Bi-Heat. Profuse sweating and moisture indicate Dampness, arising from deficient Yang and abundant Yin, causing sweat and dampness.)
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix), Duzhong (Eucommiae Cortex, stir-fried with ginger juice until fibers break), Chuan Niuxi (Achyranthis Bidentatae Radix), Chuan Xuduan (Dipsaci Radix), Guixin (Cinnamomi Cortex), Xixin (Asari Radix et Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Chuan Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix). Equal parts. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus).
This formula acts on the Foot-Sanyin (Three Yin) meridians. Yu Jiayan stated: This formula uses a group of tonifying herbs including Renshen, Huangqi, and Siwu Tang (Four Substances Decoction), internally adding Fangfeng and Qinjiao to overcome Wind-Dampness, Guixin to overcome Cold, and Xixin and Duhuo to unblock Kidney Qi. For patients suffering from Bi syndrome caused by the invasion of Wind, Cold, and Dampness into a deficient constitution, this formula serves as an appropriate standard. (Wang Ang notes: Various formulas for treating Wind-Bi generally... [text cuts off] herbs.)