金刚丸 治肾损骨痿,不能起床,宜服此益精。
萆 杜仲(姜汁炒) 肉苁蓉(酒浸) 菟丝子(制)
上为细末,酒煮猪腰子,捣烂,和丸,梧桐子大。每服五七十丸,空心温酒送下。
补肝丸 治前证。阴如冰冷,并阴汗,两脚痿弱无力。
黄 (一钱,炙) 人参 葛根 白茯苓 猪苓 升麻(各一钱) 柴胡 当归身
羌活 连翘 黄柏 泽泻 陈皮 神曲 知母 防风 苍术 甘草(炙。各五分)
上水二盏,煎一盏,空心热服,忌酒湿面。
温肾汤 治面色萎黄,脚软弱无力,阴汗出。
苍术 白术(各一钱) 柴胡 升麻 麻黄 猪苓 泽泻(各五分) 酒黄柏 防风 白茯苓(各一钱)
上水二盏,煎一盏,食前温服。一时久,方可饮食。
(兼风痹门,治世俗谓之麻痹是也。麻木者,即痹证中之不仁者也。)
《内经》以风寒湿三气杂至,合而为痹。其风气胜者为行痹,寒气胜者为痛痹,湿气胜者为
着痹,其不痛不仁者为麻痹是也。今夫麻木之证,正经谓其不痛不仁,病久入深,荣卫之行涩,
经络时疏,故不痛。皮肤不荣,故不仁,如绳扎缚,初解之状。
河间云∶留着不去,即四肢麻木拘挛也。
丹溪曰∶麻是气虚,木是湿痰死血。或有气血俱虚,但麻而不木者;有虚感湿,麻木兼作者,
有因虚风寒湿三气乘之,故周身掣痛,兼麻木并作者,若此其甚,宜先汗而后补;有痰滞四肢,
或一指麻木,逾年而中风之病作,此皆气血先虚之兆也。若此者,须预调之。
金刚丸:治疗肾精亏损导致的骨骼痿弱,无法起床,适宜服用此药以补益精气。
萆薢、杜仲(用姜汁炒制)、肉苁蓉(用酒浸泡)、菟丝子(经过炮制)。
以上药材研成细末,用酒煮猪腰子至烂,捣碎后与药末混合制成丸剂,大小如梧桐子。每次服用五七十丸,空腹时用温酒送服。
补肝丸:治疗上述证候。症状表现为阴部感觉像冰一样冷,并伴有阴汗,两脚痿软无力。
黄芪(一钱,炙烤)、人参、葛根、白茯苓、猪苓、升麻(各一钱)、柴胡、当归身、羌活、连翘、黄柏、泽泻、陈皮、神曲、知母、防风、苍术、甘草(炙烤,各五分)。
以上药材加水二盏,煎煮至一盏,空腹时热服,忌食酒类、湿面及发物。
温肾汤:治疗面色萎黄,脚部软弱无力,阴部出汗。
苍术、白术(各一钱)、柴胡、升麻、麻黄、猪苓、泽泻(各五分)、酒黄柏、防风、白茯苓(各一钱)。
以上药材加水二盏,煎煮至一盏,饭前温服。服药后过一段时间,方可进食。
(兼风痹门:治疗世俗所称的麻痹症。麻木,即痹证中表现为不知痛痒的一类。)
《黄帝内经》认为,风、寒、湿三种邪气混杂侵袭人体,结合而成痹证。其中风气偏胜的叫行痹,寒气偏胜的叫痛痹,湿气偏胜的叫着痹,那些不痛且不知痛痒的就是麻痹症。如今的麻木病症,经典记载其特点是不痛且不知痛痒,病程长久深入,营气和卫气的运行涩滞,经络时常空虚疏懈,所以不痛;皮肤得不到濡养,所以不知痛痒,就像绳子捆绑后刚刚解开时的状态。
刘河间说:邪气留着不去,就会导致四肢麻木拘挛。
朱丹溪说:麻是气虚所致,木是湿痰和死血阻滞所致。有的气血都虚弱,只麻而不木;有的因虚体感受湿邪,麻木同时出现;有的因虚体受风寒湿三气侵袭,导致全身掣痛,兼有麻木,如果情况严重,应当先发汗解表而后补益;有的因痰滞于四肢,或仅一指麻木,过了一年便发作中风病,这都是气血先已虚弱的征兆。如果是这种情况,必须预先调理。
Jingang Wan (Golden Pill): Treats bone atrophy due to kidney essence deficiency, where the patient cannot get out of bed. It is suitable to take this formula to tonify essence.
Bixie (Dioscorea Hypoglauca Rhizome), Duzhong (Eucommia Bark, stir-fried with ginger juice), Rongshou (Cistanche Stem), Tusizi (Cuscuta Seed, processed).
Grind the above herbs into fine powder. Boil pig kidneys in wine until soft, mash them, and mix with the powder to make pills, sized like Chinese honeylocust seeds. Take 50-70 pills per dose, swallowed with warm wine on an empty stomach.
Bugan Wan (Liver-Tonifying Pill): Treats the aforementioned syndrome. Symptoms include coldness in the genital area as if ice-cold, sweating in the genital region, and weakness/atrophy in both legs.
Huangqi (Astragalus Root, one qian, roasted), Renshen (Ginseng Root), Gegen (Pueraria Root), Baifuling (Poria, one qian each), Zhuling (Polyporus, one qian each), Shengma (Cimicifuga Rhizome, one qian each), Chaihu (Bupleurum Root), Dangguishen (Angelica Sinensis Root body), Qianghuo (Notopterygium Rhizome), Lianqiao (Forsythia Fruit), Huangbai (Phellodendron Bark), Zexie (Alisma Rhizome), Chenpi (Citrus Reticulata Peel), Shenqu (Medicated Leaven), Zhimu (Anemarrhena Rhizome), Fangfeng (Saposhnikovia Root), Cangzhu (Atractylodes Rhizome), Gancao (Licorice Root, roasted, five fen each).
Add two cups of water, decoct to one cup. Take hot on an empty stomach. Avoid alcohol, damp-producing foods, and wheat products.
Wenshen Tang (Kidney-Warming Decoction): Treats sallow complexion, weakness in the feet, and sweating in the genital region.
Cangzhu (Atractylodes Rhizome, one qian), Baizhu (Atractylodes Macrocephala Rhizome, one qian), Chaihu (Bupleurum Root, five fen each), Shengma (Cimicifuga Rhizome, five fen each), Mahuang (Ephedra Herb, five fen each), Zhuling (Polyporus, five fen each), Zexie (Alisma Rhizome, five fen each), Jiu Huangbai (Phellodendron Bark, wine-processed, one qian each), Fangfeng (Saposhnikovia Root, one qian each), Baifuling (Poria, one qian each).
Add two cups of water, decoct to one cup. Take warm before meals. Wait for a period of time before eating food.
(Section on Wind-Bi: Treats what secular people call numbness and paralysis. Numbness refers to the type of Bi syndrome characterized by loss of sensation.)
The *Neijing* (Inner Canon) states that when wind, cold, and dampness pathogenic factors mix and invade together, they combine to form Bi syndrome. When wind predominates, it is called Xingbi (Wandering Bi); when cold predominates, it is called Tongbi (Painful Bi); when dampness predominates, it is called Zhuobi (Fixed Bi). Those that are neither painful nor insensible are referred to as Mabu (numbness and anesthesia). In current cases of numbness and anesthesia, the classics describe them as painless and insensible. When the disease lingers and penetrates deeply, the flow of Ying (Nutrient Qi) and Wei (Defensive Qi) becomes sluggish, and the meridians become temporarily sparse or deficient, hence there is no pain. The skin lacks nourishment, hence there is insensibility, resembling the feeling after tight ropes have just been untied.
He Jian (Liu Wansu) stated: When pathogens remain lodged and do not depart, it leads to numbness and spasms in the four limbs.
Danxi (Zhu Zhenheng) said: "Ma" (tingling) is caused by Qi deficiency; "Mu" (woodiness/anesthesia) is caused by damp-phlegm and dead blood. Some cases involve both Qi and Blood deficiency, presenting only with tingling but no anesthesia; some involve deficiency compounded by dampness, presenting with both tingling and anesthesia; some involve deficiency allowing wind-cold-dampness to invade, causing whole-body pulling pain accompanied by numbness. If the condition is severe, one should first induce sweating to release the exterior, then tonify. Some cases involve phlegm stagnation in the four limbs, or numbness in a single finger, which may precede stroke by a year; these are all omens of prior Qi and Blood deficiency. In such cases, preventive regulation is necessary.