【木瓜虎骨丸】治风寒湿合而成痹。脚重不仁。疼痛少力。足下隐痛。不能踏地。脚膝筋
挛。不能屈伸。及项背拘急。手背无力。耳内蝉鸣。头眩目晕诸证。香港脚。行步艰难。并皆服之。
木瓜 骐 竭(研) 虎胫骨(酒炙) 没药(研)
自然铜(醋淬七次) 枫香脂 败龟(醋炙去阑) 骨碎补(去毛)
甜瓜子 当归(切焙) 桂(以上各一两) 乳香(研。半两)
木香(一两) 安息香(重汤酒煮入药) 地龙(去土。各二两)
上为末。入研药和匀。酒糊丸如桐子大。每服三十丸。温酒送下。煎木瓜汤送下亦得。渐加至
五十丸。空心食前。
【 葱丸】治寒湿筋骨冷疼。不能举动。
川乌(去皮尖。生) 黑牵牛(头末) 盐豉(各三钱) 乳香(研)
没药(研。各一钱)
上为末。入研药匀。用肥葱一握。洗去土。淡醋一升。不犯铜铁。于文武火熬葱醋一半。漉去
渣。慢火再熬
成膏。滴水中不散为度。将前药末和丸如桐子大。每服一十丸加至二十丸。温酒送下。大便微利则
愈。
【活血应痛丸】 治风湿为病血脉凝滞。腰腿重疼。身体麻木。头面虚肿。下注脚膝重痛
。行履艰难。
狗脊(六两半) 苍术(十两) 香附(十二两) 陈皮(九两)
没药(一两二钱) 威灵仙(三两) 草乌头(二两半)
上七味为末。酒糊丸桐子大。每服二三十丸。温酒或熟水任下。不以时。
【左经丸】治筋骨诸疾。手足不遂。不能行步运动。但不曾针灸伤筋脉者。四五丸必效。
此药尤能通行荣卫。导经络。专治心肾肝三经。服后小便少淋涩。乃其验也。
木鳖子(去壳。别研) 白胶香(研) 五灵脂(各三两半)
常归(去土一两) 草乌头(生。去皮脐。三两半) 斑蝥(五个。去头足翅。炒。醋煮熟)
上后四味为末。与前二味和匀。用黑豆去皮。生杵粉一斤。醋煮为糊和药。丸如鸡头大。每服
一丸。酒磨下。
【神应丸】治一切腰痛。
当归 肉桂(各十两) 威灵仙(二十两)
上为末。酒煮面糊为丸桐子大。每服十五丸。温酒下。
【乌灵丸】久患风虚麻痛。行步艰难。正宜服之。
川乌(炮去皮。一两) 五灵脂(二两)
上为末。酒糊丸如桐子大。每服十丸加至五十丸。空心温酒送下。忌一切冷物。
【克效饼子】治腰痛及腿膝累效。
甘遂(麸炒黄) 荞面(各一两) 黑牵牛(净。四两。半生半熟。取头末二两半)
上为末。每服三钱。夜卧滴水和成饼。慢火烧黄色取出。气实者作一服。烂嚼后煎。半生半熟
。葱白酒送下。气虚人作两服。先吃一多半。至明取动。再嚼一少半。亦用半生半熟。葱白酒送下
。微取一行。如妇人有胎。不可服之。
【独活寄生汤】治肾气虚弱。冷卧湿地。腰背拘蜷。筋骨挛痛。或当风取凉。风邪流入脚
膝。为偏枯冷痹。缓弱疼痛。或腰痛牵引脚重。行步艰辛。
独活 寄生 杜仲 牛膝
细辛 秦艽 桂心 茯苓
防风 川芎 人参 甘草(各一两半)
当归 熟地黄 芍药(各一两)
上 咀。每服三钱。水二盏。生姜五片。煎至一盏。去渣。稍热服。食前。
【独活汤】治因劳役得腰痛如折。沉重如山。
羌活 肉桂 大黄(酒煨) 防风
独活 泽泻(各三钱) 当归 连翘(各五钱)
桃仁(五十个) 甘草(炙。二钱) 黄柏(酒炙) 防己(各一两)
上 咀。每服五钱。水一盏半。酒半盏。煎至一盏。去渣。热服。食前。立愈。
【薏苡仁汤】疗病者一身尽痛。发热所剧者。此名风湿。此病伤于肝。汗出当风。或久
伤取冷所致也。
麻黄(六钱。去节) 薏苡仁(二钱) 杏仁(六个。麸炒去皮尖) 甘草(炙。二钱
)
上 咀。作一服。水三盏半。煎至二盏。去渣。分温二服。
【防己黄 汤】疗风湿脉浮身重。汗出恶风。
防己(二钱) 黄 (二钱半) 甘草(一钱炙) 白术
生姜(各二钱半) 大枣(一个擘)
上 咀作一服。水三盏。煎至一盏半。去渣。温分作二服。
【木瓜虎骨丸】治疗风寒湿邪结合而成的痹证。表现为脚部沉重麻木,疼痛且乏力,足底隐隐作痛,无法踩地行走,脚膝部筋脉拘挛,不能屈伸,以及颈部和背部僵硬紧急,手背无力,耳内蝉鸣,头晕目眩等各种症状,还有香港脚(脚气病),行走困难,均服用此药。
木瓜、麒麟竭(研磨)、虎胫骨(酒炙)、没药(研磨)、自然铜(用醋淬炼七次)、枫香脂、败龟板(醋炙后去除内脏残留物)、骨碎补(去毛)、甜瓜子、当归(切片焙干)、桂枝(以上药材各一两)、乳香(研磨,半两)、木香(一两)、安息香(隔水加热并用酒煮后入药)、地龙(去泥土,各二两)。
将上述药材研为细末,加入已研磨的药材混合均匀,用酒调面粉制成糊状作为粘合剂,制成如梧桐子大小的药丸。每次服用三十丸,用温酒送服;煎煮木瓜汤送服也可以。逐渐增加剂量至五十丸,在空腹饭前服用。
【葱丸】治疗寒湿引起的筋骨冷痛,导致肢体不能活动。
川乌(去皮尖,生用)、黑牵牛(取头末)、盐豉(各三钱)、乳香(研磨)、没药(研磨,各一钱)。
将上述药材研为细末,加入已研磨的药材混合均匀。取一把肥葱,洗净泥土,用一升淡醋(不可接触铜铁器皿),在文火和武火交替下熬煮葱和醋至剩下一半,滤去渣滓,再用慢火继续熬制成膏状,以滴入水中不散开为度。将前面的药末与膏混合,制成如梧桐子大小的药丸。每次服用十丸,逐渐增加至二十丸,用温酒送服。大便轻微通畅即可痊愈。
【活血应痛丸】治疗风湿致病导致的血脉凝滞。表现为腰腿沉重疼痛,身体麻木,头面部虚肿,病邪下注导致脚膝重痛,行走艰难。
狗脊(六两半)、苍术(十两)、香附(十二两)、陈皮(九两)、没药(一两二钱)、威灵仙(三两)、草乌头(二两半)。
将以上七味药材研为细末,用酒调面粉制成糊状,制成如梧桐子大小的药丸。每次服用二三十丸,用温酒或熟开水任意送服,不拘时间。
【左经丸】治疗筋骨各类疾病,手足瘫痪不遂,不能行走运动,只要未曾因针灸损伤筋脉者,服用四五丸必定有效。此药尤其能通行营卫之气,疏导经络,专门治疗心、肾、肝三经的疾病。服药后小便少量淋沥涩痛,是药效显现的标志。
木鳖子(去壳,单独研磨)、白胶香(研磨)、五灵脂(各三两半)、常归(去土一两)、草乌头(生用,去皮脐,三两半)、斑蝥(五个,去头足翅,炒制后用醋煮熟)。
将后四味药材研为细末,与前两味药材混合均匀。用黑豆去皮,生捣成粉一斤,用醋煮成糊状调和药物,制成如鸡头大小的药丸。每次服用一丸,用酒磨化送服。
将上述药材研为细末,用酒煮面糊制成如梧桐子大小的药丸。每次服用十五丸,用温酒送服。
【乌灵丸】长期患有风虚引起的麻木疼痛,行走困难,正适宜服用此药。
将上述药材研为细末,用酒调面粉制成糊状,制成如梧桐子大小的药丸。每次服用十丸,逐渐增加至五十丸,空腹时用温酒送服。忌食一切生冷食物。
甘遂(麸皮炒至黄色)、荞麦面(各一两)、黑牵牛(净选,四两,一半生用一半熟用,取头末二两半)。
将上述药材研为细末。每次服用三钱,夜间睡觉时滴水调和成饼状,用慢火烧至黄色取出。体质壮实的人一次服完,嚼烂后煎煮,使用半生半熟的药粉,用葱白酒送服。体质虚弱的人分两次服用,先吃大部分,到第二天早晨排泄通畅后,再嚼烂剩余的一小部分,也使用半生半熟的药粉,用葱白酒送服。微微引起一次排便即可。如果妇女怀孕,不可服用此药。
【独活寄生汤】治疗肾气虚弱,长时间睡在潮湿地方,导致腰背拘挛蜷曲,筋骨挛缩疼痛。或者迎风纳凉,风邪流入脚膝,导致偏枯冷痹,肢体缓弱疼痛。或者腰痛牵引脚部沉重,行走艰辛。
独活、桑寄生、杜仲、牛膝、细辛、秦艽、桂心、茯苓、防风、川芎、人参、甘草(各一两半)、当归、熟地黄、芍药(各一两)。
将上述药材切碎。每次服用三钱,加水两盏,生姜五片,煎煮至一盏,滤去渣滓,稍热后服用,饭前服用。
羌活、肉桂、大黄(酒煨)、防风、独活、泽泻(各三钱)、当归、连翘(各五钱)、桃仁(五十个)、甘草(炙,二钱)、黄柏(酒炙)、防己(各一两)。
将上述药材切碎。每次服用五钱,加水一盏半,酒半盏,煎煮至一盏,滤去渣滓,热服,饭前服用,立即见效。
【薏苡仁汤】治疗患者全身疼痛,发热时加剧的情况。这称为风湿。此病伤及肝脏,是由于出汗后当风,或长期贪凉所致。
麻黄(六钱,去节)、薏苡仁(二钱)、杏仁(六个,麸炒去皮尖)、甘草(炙,二钱)。
将上述药材切碎,作为一剂服用。加水三盏半,煎煮至二盏,滤去渣滓,分两次温热服用。
[Mugua Hugu Wan] Treats Bi syndrome (obstruction syndrome) caused by the combination of wind, cold, and dampness. Manifestations include heaviness and numbness in the feet, pain with weakness, dull pain under the soles of the feet making it impossible to walk on them, spasms of tendons and bones in the feet and knees preventing flexion and extension, stiffness and tension in the neck and back, weakness in the dorsum of the hands, tinnitus like cicadas in the ears, dizziness, vertigo, and other symptoms; also Hong Kong foot (foot qi disease), difficulty walking. All these conditions are treated by taking this pill.
Papaya (Chaenomeles speciosa fruit), Dried Dragon's Blood (Qijie, ground), Tiger Tibia Bone (Hu Jinggu, wine-fried), Myrrh (Moyao, ground), Natural Pyrite (Ziran Tong, quenched seven times in vinegar), Liquidambar Resin (Fengxiang Zhi), Tortoise Plastron (Baigui, vinegar-fried and cleaned), Drynaria Rhizome (Gusuibu, hair removed), Sweet Melon Seed (Tian Guazi), Angelica Sinensis Root (Danggui, sliced and baked), Cinnamon Twig (Gui, all above each 1 liang), Frankincense (Ruxiang, ground, 0.5 liang), Costus Root (Muxiang, 1 liang), Benzoin Resin (Anxi Xiang, boiled in water with wine before adding to prescription), Earthworm (Dilong, soil removed, each 2 liang).
Grind the above ingredients into powder, mix evenly with the ground medicines. Use wine and flour paste to make pills the size of paulownia seeds. Take 30 pills per dose, washed down with warm wine; decoction of Papaya can also be used. Gradually increase to 50 pills. Take on an empty stomach before meals.
[Cong Wan] Treats cold pain in tendons and bones caused by cold-dampness, resulting in immobility.
Aconite Lateralis Radix Praeparata (Chuanwu, peeled and tip removed, raw), Black Morning Glory Seed (Hei Qianniu, first extraction powder), Fermented Soybean Paste (Yanchi, each 3 qian), Frankincense (Ruxiang, ground), Myrrh (Moyao, ground, each 1 qian).
Grind the above ingredients into powder, mix evenly with the ground medicines. Take a handful of fat green onions, wash away soil. Use one sheng of light vinegar (avoid copper and iron vessels). Boil the onions and vinegar over alternating mild and strong heat until half remains. Strain out the residue. Continue boiling slowly over low heat until it becomes a paste; the consistency is correct when a drop does not disperse in water. Mix the previous powder with the paste to make pills the size of paulownia seeds. Take 10 pills per dose, gradually increasing to 20 pills, washed down with warm wine. Recovery occurs when there is slight loose stool.
[Huoxue Ying Tong Wan] Treats blood vessel stagnation caused by wind-dampness. Manifestations include heavy and painful waist and legs, body numbness, puffiness of the head and face, pathogenic factors sinking causing heavy and painful feet and knees, and difficulty walking.
Cibotium Rhizome (Gouji, 6.5 liang), Atractylodes Macrocephala Rhizome (Cangzhu, 10 liang), Cyperus Rotundus Rhizome (Xiangfu, 12 liang), Tangerine Peel (Chenpi, 9 liang), Myrrh (Moyao, 1.2 qian), Spirit of Clematis Root (Weilingxian, 3 liang), Aconitum Carmichaelii Lateralis Radix (Caowutou, 2.5 liang).
Grind the above seven ingredients into powder. Use wine and flour paste to make pills the size of paulownia seeds. Take 20-30 pills per dose, washed down with warm wine or boiled water as preferred, at any time.
[Zuojing Wan] Treats various diseases of tendons and bones, paralysis of hands and feet, inability to walk or move. It is effective if acupuncture has not damaged the tendons and vessels. Taking 4-5 pills will surely yield results. This medicine especially promotes the circulation of Ying and Wei (nutritive and defensive qi) and guides the meridians. It specifically treats the Heart, Kidney, and Liver meridians. After taking it, slight dysuria (scanty, dribbling, and painful urination) indicates efficacy.
Momordica Cochinchinensis Seed (Mubiezi, shell removed, separately ground), White Amber (Bai Jiaoxiang, ground), Trogopterus Dung (Wulingzhi, each 3.5 liang), Angelica Sinensis Root (Changgui, soil removed, 1 liang), Aconitum Carmichaelii Lateralis Radix (Caowutou, raw, peel and navel removed, 3.5 liang), Mylabris (Banmao, five insects, heads, feet, and wings removed, fried and cooked thoroughly in vinegar).
Grind the last four ingredients into powder, mix evenly with the first two. Use one jin of black beans, peeled and pounded into powder raw. Cook with vinegar to form a paste to mix with the medicine. Make pills the size of a chicken head. Take one pill per dose, dissolved in wine and taken orally.
[Shenyi Wan] Treats all types of lower back pain.
Angelica Sinensis Root (Danggui), Cinnamon Bark (Rougui, each 10 liang), Spirit of Clematis Root (Weilingxian, 20 liang).
Grind the above ingredients into powder. Use wine-boiled wheat flour paste to make pills the size of paulownia seeds. Take 15 pills per dose, washed down with warm wine.
[Wuling Wan] Suitable for long-standing deficiency-wind causing numbness and pain, and difficulty walking.
Aconite Lateralis Radix Praeparata (Chuanwu, processed, peeled, 1 liang), Trogopterus Dung (Wulingzhi, 2 liang).
Grind the above ingredients into powder. Use wine and flour paste to make pills the size of paulownia seeds. Take 10 pills per dose, gradually increasing to 50 pills. Take on an empty stomach with warm wine. Avoid all cold foods.
[Kexiao Bingzi] Treats lower back pain and chronic leg and knee ailments.
Kansui Root (Gansui, bran-fried to yellow), Buckwheat Flour (Qiaomian, each 1 liang), Black Morning Glory Seed (Hei Qianniu, cleaned, 4 liang; half raw, half cooked, take 2.5 liang of the first extraction powder).
Grind the above ingredients into powder. Take 3 qian per dose. At night, mix with water to form a cake. Slowly roast until yellow, then remove. For those with excess constitution, take as one dose: chew thoroughly, decoct using half-raw/half-cooked powder, and wash down with scallion and white wine. For those with deficiency constitution, divide into two doses: eat most of it first; after bowel movement the next morning, chew the remaining small portion, also using half-raw/half-cooked powder, and wash down with scallion and white wine. Aim for mild evacuation. Pregnant women must not take this.
[Duhuo Jisheng Tang] Treats kidney qi deficiency, sleeping on damp ground for long periods leading to stiff and curled waist and back, tendon and bone spasms and pain. Or, cooling off in the wind allows wind pathogens to enter the feet and knees, causing hemiplegic cold bi syndrome, flaccidity, weakness, and pain. Or, lower back pain radiating to heavy legs and difficult walking.
Radix Saposhnikoviae (Duhuo), Herba Taxilli (Jisheng), Cortex Eucommiae (Duzhong), Radix Achyranthis Bidentatae (Niuxi), Radix Asari (Xixin), Herba Gentianae Macrophyllae (Qinjiao), Cinnamomi Ramulus (Guixin), Poria (Fuling), Radix Saposhnikoviae (Fangfeng), Radix Chuanxiong (Chuanxiong), Radix Ginseng (Renshen), Radix Glycyrrhizae Uralensis (Gancao, each 1.5 liang), Radix Angelicae Sinensis (Danggui), Prepared Radix Rehmanniae (Shudihuang), Radix Paeoniae Alba (Shaoyao, each 1 liang).
Coarsely crush the ingredients. Take 3 qian per dose. Add two zhan of water and five slices of fresh ginger. Decoct to one zhan. Strain and drink slightly warm before meals.
[Duhuo Tang] Treats lower back pain resembling breaking due to overwork, feeling heavy as if carrying a mountain.
Radix Notopterygii (Qianghuo), Cinnamon Bark (Rougui), Radix et Rhizoma Rhei (Dahuang, wine-baked), Radix Saposhnikoviae (Fangfeng), Radix Saposhnikoviae (Duhuo), Radix Alismatis (Zexie, each 3 qian), Radix Angelicae Sinensis (Danggui), Fructus Forsythiae (Lianqiao, each 5 qian), Semen Persicae (Taoren, 50 seeds), Radix Glycyrrhizae Uralensis (Gancao, honey-fried, 2 qian), Cortex Phellodendri (Huangbai, wine-fried), Radix Stephaniae Tetrandrae (Fangji, each 1 liang).
Coarsely crush the ingredients. Take 5 qian per dose. Add one and a half zhan of water and half a zhan of wine. Decoct to one zhan. Strain and take hot before meals. Immediate relief is expected.
[Yiyiren Tang] Treats patients with whole-body pain exacerbated by fever. This is named Wind-Dampness. This disease injures the Liver, caused by sweating while exposed to wind, or long-term exposure to cold.
Radix Ephedrae (Mahuang, 6 qian, nodes removed), Semen Coicis (Yiyiren, 2 qian), Semen Pruni Armeniacae (Xingren, six seeds, bran-fried, skin and tip removed), Radix Glycyrrhizae Uralensis (Gancao, honey-fried, 2 qian).
Coarsely crush as one dose. Add three and a half zhan of water. Decoct to two zhan. Strain and divide into two warm doses.
[Fangji Huangqi Tang] Treats Wind-Dampness with floating pulse, heavy body, sweating, and aversion to wind.
Radix Stephaniae Tetrandrae (Fangji, 2 qian), Radix Astragali Membranacei (Huangqi, 2.5 qian), Radix Glycyrrhizae Uralensis (Gancao, 1 qian, honey-fried), Rhizoma Atractylodis Macrocephalae (Baizhu), Rhizoma Zingiberis Recens (Shengjiang, each 2.5 qian), Fructus Jujubae (Dazao, one piece, split).
Coarsely crush as one dose. Add three zhan of water. Decoct to one and a half zhan. Strain and take warm, divided into two doses.