论曰柔风之状。四肢不能收。里急不能仰。盖以血气俱虚。风邪并入。在阳而搏于外。
则皮肤缓。在阴而乘于内。则腹里急故也。
治柔风身体疼痛。四肢缓弱。欲起不随。并治产后中风。四肢不能收摄。羌活汤方
羌活(去芦头) 熟干地黄(焙) 桂(去粗皮) 葛根(锉) 芍药 麻黄(去根节
先煮掠去
上七味。粗捣筛。每服五钱匕。清酒一盏。水一盏。入生姜半分切碎。煎取一盏。去滓
温服。日二夜一。
治柔风四肢不能收摄。并风毒香港脚。行履不得。槟榔汤方
槟榔(煨七枚锉) 黑豆(小者炒二升) 桑根白皮(炙锉二两) 郁李仁(去皮尖微
炒半两)
温服。
治柔风身体疼痛。自汗出。石膏散方
石膏(别研如粉一两) 甘草(炙锉三分)
上二味。捣罗为散。每服一钱匕。温酒调下。日四服。不拘时。
治柔风四肢不收。腹内拘急。兼治妇人产后中风。紫葛散方
紫葛(锉) 防风(去叉) 羌活(去芦头各一两) 甘草(炙锉) 黄连(去须各半
两)
上五味。捣罗为散。每服二钱匕。温酒调下。
治柔风肢体弛缓不收。里急不能仰息。兼治妇人产后中风。地肤子散方
地肤子(炒二两) 紫葛(锉一两半) 白头翁(锉炒一两)
上三味。捣罗为散。每服二钱匕。加至三钱匕。温酒调下。
治柔风举体无力。四肢缓弱。不能行立。苁蓉丸方
肉苁蓉(酒浸切焙) 牛膝(去苗酒浸切焙) 菟丝子(酒浸别捣各一两)
上三味。捣罗为末。用白面二两。附子生去皮脐为末一两。共享酒煮为糊。丸如梧桐子
大。每服二十丸。食前温酒下。
治柔风脚膝痿弱。久积风毒。上冲肩膊胸背疼痛。妇人产后中风。仙人杖浸酒方
仙人杖根(一斤四两刮洗去土皮锉枸杞根白皮是也)
上一味。用生绢囊贮。以酒二斗浸七日。每日温饮一盏。至两盏。不拘时。酒欲尽。再
入五升。根据前浸服。兼治一切热毒风。
治柔风肢体缓弱。腹内拘急。不得俯仰。五枝煎方
桑枝 桃枝 槐枝 百灵藤枝 柳枝(各细锉二升) 黑豆(洗三升) 防风(去叉) 羌
活(去芦头各二两)
上八味。五枝各取东南向者。细锉如豆粒。羌活防风捣罗为末。先将豆铺甑中摊平。即
将五
着锅煎汤。旋添入釜中再蒸。以豆烂熟。即下甑。看釜中汤。约一斗净。锅中煎三分减二。
入防风羌活二味末同煎。如稠饧。每日空心夜卧时。温酒调半匙许。加至一匙。若妇人血风、
及
煎神效。其滓即乘热分作三处。以帛裹之。每夜服药后。熨不遂处。速效。冷即用酒拌炒热
用之。
治柔风身体疼痛。行履不得。酸枣仁煎方
酸枣仁(生用三两) 败龟(醋炙一两) 海桐皮(锉二两) 仙灵脾(去粗茎) 赤
石脂 萆
石斛(去根)
仲(去粗皮炙锉) 熟干
枝(一握长五寸锉)
上一十九味。将十六味。捣罗为末。后用清酒一斗。先煎桑枝令色黄。滤去桑枝。却下
药末。更煎取沸。次下白蜜牛酥。煎如稀膏。用瓷合盛。每服半匙许。温酒调下。空心日午
夜卧
治柔风血气俱虚。邪中内外。皮肤缓纵。腹里拘急。白花蛇散方
白花蛇(用头项肉酒浸去骨慢火炙令焦) 本(去苗土) 五加皮(锉) 牛膝(酒
浸切焙) 萆 桂(去粗皮) 熟干地黄(焙) 木香 芸苔子(炒) 当归(切焙各半
两) 甘草(炙一
白皮一两) 郁李仁(去皮半两) 羌活(去芦头) 虎骨(酥炙一两) 干蝎(微炒半两)
白芷 防风(去叉各一两)
上二十一味。捣罗为散。每服二钱匕。空心温酒调下。不拘时候亦得。
治柔风四肢不收。里急不能仰。乳香煎丸方
乳香(研一两) 麝香(研半两) 天麻(二两) 没药(研) 地榆 玄参 乌头(生
去皮脐)
上八味。将五味捣罗为细末。入研药和匀。别用麻黄去根节二两。捣罗为末。以酒一升
。慢
亦得
治柔风四肢不收。腹中拘急。附子煎方
附子(炮裂去皮脐五两) 黑豆(洗一升) 天雄(炮裂去皮脐五两) 防风(去叉三
两)
以上四味。将三味细锉。并豆用酒一斗五升。煮候豆烂。去滓取汁。更用
天麻 芎 (各五两)
上共六味。将此二味。捣罗为散。与前豆药汁。同煎如稀饧。每日空心热汤。或温酒调
服一匙头。
治柔风筋骨缓弱。不能行立。附子汤方
附子(炮裂去皮脐一两)
上一味。 咀如麻豆。以水五升。绿豆五合。同煮至三升。绞去滓。每服半盏。细细饮
之。空心日午临卧服。
治柔风筋骨疼痛。手脚拳挛。柳 粪熨方
柳 粪(二升)
上一味。甑上炊一饭顷。如无柳 粪。用大豆五斗蒸熟。摊于床上。着旧夹衣盖衬。令
患人卧。蒸熨所患处。
论述说:柔风的症状表现。四肢无法收缩(或控制),身体僵硬不能仰卧。这是因为气血都虚弱,风邪乘虚而入。如果风邪在阳分而搏击于体表,则皮肤松弛;如果风邪在阴分而侵袭体内,则腹部内部拘急疼痛。
治疗柔风引起的身体疼痛、四肢松弛无力、想要起身却行动不便。同时也治疗产后中风导致的四肢无法收摄(控制)。羌活汤方:
羌活(去除芦头)、熟干地黄(焙干)、桂枝(去除粗皮)、葛根(锉碎)、芍药、麻黄(去除根节,先煮并撇去浮沫)。
以上七味药,捣碎过筛。每次服用五钱匕,加入清酒一盏、水一盏,放入生姜半分切碎,煎取一盏药液,去渣。温服。每日两次,夜间一次。
治疗柔风导致四肢无法收摄,以及风毒引起的香港脚(足部肿痛麻木),行走困难。槟榔汤方:
槟榔(煨制七枚,锉碎)、黑豆(小的炒制二升)、桑根白皮(炙后锉碎二两)、郁李仁(去皮尖,微炒半两)。
[注:原文此处缺失煎服法描述,依前例推测为常规煎服,但严格翻译仅保留原文] 温服。
治疗柔风引起的身体疼痛、自汗出。石膏散方:
石膏(单独研成粉末一两)、甘草(炙后锉碎三分)。
以上两味药,捣碎过筛成为散剂。每次服用一钱匕,用温酒调服。每日四次,不限时间。
治疗柔风导致四肢不收(失控),腹部内部拘急。兼治妇女产后中风。紫葛散方:
紫葛(锉碎)、防风(去除叉状分枝)、羌活(去除芦头各一两)、甘草(炙后锉碎)、黄连(去除须根各半两)。
以上五味药,捣碎过筛成为散剂。每次服用二钱匕,用温酒调服。
治疗柔风导致肢体弛缓不收,腹部拘急不能仰卧呼吸。兼治妇女产后中风。地肤子散方:
地肤子(炒制二两)、紫葛(锉碎一两半)、白头翁(锉碎炒制一两)。
以上三味药,捣碎过筛成为散剂。每次服用二钱匕,可加至三钱匕,用温酒调服。
治疗柔风导致全身无力,四肢松弛无力,不能行走站立。苁蓉丸方:
肉苁蓉(酒浸后切片焙干)、牛膝(去苗,酒浸后切片焙干)、菟丝子(酒浸后单独捣碎各一两)。
以上三味药,捣碎过筛成为细末。用白面二两,生附子去皮脐后成为细末一两,共同用酒煮成糊状,制成梧桐子大小的丸药。每次服用二十丸,饭前用温酒送下。
治疗柔风导致脚膝痿弱,久积的风毒上冲至肩膊胸背引起疼痛。妇女产后中风。仙人杖浸酒方:
仙人杖根(一斤四两,刮洗去除土皮,即枸杞根白皮,锉碎)。
以上一味药,用生绢袋装好,用酒二斗浸泡七日。每天温饮一盏,逐渐加至两盏,不限时间。酒快喝完时,再加入五升酒,按照前面的方法浸泡服用。兼治一切热毒风。
治疗柔风导致肢体缓弱,腹部拘急,不能俯仰。五枝煎方:
桑枝、桃枝、槐枝、百灵藤枝、柳枝(各细锉二升)、黑豆(洗净三升)、防风(去除叉状分枝)、羌活(去除芦头各二两)。
以上八味药,五枝各选取向东向南生长的部分,细锉如豆粒大小。羌活和防风捣碎过筛成为细末。先将黑豆铺在蒸笼中摊平,即将五枝放在锅中煎汤,随后添入釜中再蒸,直到豆子烂熟,取出豆子。看釜中的汤,约剩一斗净汤。在锅中煎至减少三分之二。加入防风、羌活两味药末同煎,像稠糖浆一样。每天空腹和睡前,用温酒调半匙许服用,可加至一匙。如果是妇女血风病,煎服此方神效。剩下的药渣趁热分成三份,用布包裹。每晚服药后,熨烫不遂(活动不利)的部位,见效快。冷了就用酒拌炒热再用。
治疗柔风导致身体疼痛,行走困难。酸枣仁煎方:
酸枣仁(生用三两)、败龟(醋炙一两)、海桐皮(锉碎二两)、仙灵脾(去除粗茎)、赤石脂、萆薢、石斛(去根)、杜仲(去除粗皮炙后锉碎)、熟干地黄、桂枝(一握长五寸锉碎)。
[注:原文此处药材罗列有断行和错乱,依文意整理]
以上十九味药,将十六味药捣碎过筛成为细末。后用清酒一斗,先煎桑枝令颜色变黄,滤去桑枝,然后下药末,再煎至沸腾。接着加入白蜜、牛酥,煎成稀膏状。用瓷盒盛装。每次服用半匙许,用温酒调服。空腹、中午、睡前服用。
治疗柔风导致气血俱虚,邪气侵入内外,皮肤松弛纵缓,腹部内部拘急。白花蛇散方:
白花蛇(用头颈肉酒浸去骨,慢火炙令焦)、藁本(去苗土)、五加皮(锉碎)、牛膝(酒浸切焙)、萆薢、桂枝(去粗皮)、熟干地黄(焙)、木香、芸苔子(炒)、当归(切焙各半两)、甘草(炙一两)、桑白皮一两)、郁李仁(去皮半两)、羌活(去芦头)、虎骨(酥炙一两)、干蝎(微炒半两)、白芷、防风(去叉各一两)。
以上二十一味药,捣碎过筛成为散剂。每次服用二钱匕,空腹用温酒调服。不限时候也可以。
治疗柔风导致四肢不收,腹部拘急不能仰卧。乳香煎丸方:
乳香(研细一两)、麝香(研细半两)、天麻(二两)、没药(研细)、地榆、玄参、乌头(生用去皮脐)。
以上八味药,将五味药捣罗为细末,加入研好的药混合均匀。另外用麻黄去根节二两,捣罗为末,用酒一升,慢火煎... [原文此处中断] 也可以。
治疗柔风导致四肢不收,腹部拘急。附子煎方:
附子(炮裂去皮脐五两)、黑豆(洗一升)、天雄(炮裂去皮脐五两)、防风(去叉三两)。
以上四味药,将三味药细锉,并与豆子一起用酒一斗五升,煮到豆子烂熟,去渣取汁。再用天麻、川芎(各五两)。
以上共六味药,将此两味药捣罗为散,与前豆药汁同煎如稀饧。每天空腹热汤,或温酒调服一匙头。
治疗柔风导致筋骨缓弱,不能行走站立。附子汤方:
附子(炮裂去皮脐一两)。
以上一味药,咀碎如麻豆大小,用水五升,绿豆五合,同煮至三升,绞去渣。每次服用半盏,细细饮之。空腹、中午、临卧时服用。
治疗柔风导致筋骨疼痛,手脚拳挛。柳粪熨方:
柳粪(二升)。
以上一味药,在蒸笼上蒸一顿饭的时间。如果没有柳粪,用大豆五斗蒸熟,摊在床上,盖上旧夹衣衬垫,让病人躺卧,蒸熨患处。
Discussion: The manifestations of Rou Feng (Soft Wind) include the inability to control or contract the four limbs, and stiffness preventing supine posture. This is due to the deficiency of both Qi and Blood, allowing Wind pathogen to invade. If the Wind pathogen affects the Yang aspect and battles on the exterior, the skin becomes flaccid; if it invades the Yin aspect and penetrates the interior, abdominal tension and pain occur.
Treatment for Rou Feng causing body pain, flaccidity and weakness of the four limbs, and difficulty rising/moving. Also treats postpartum stroke (Chan Hou Zhong Feng) resulting in loss of limb control. Qiang Huo Tang (Notopterygium Decoction):
Qiang Huo (Rhizoma Notopterygii, remove rhizome head), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Gui Zhi (Ramulus Cinnamomi, remove coarse bark), Ge Gen (Puerariae Radix, chopped), Bai Shao (Radix Paeoniae Rubra), Ma Huang (Herba Ephedrae, remove root joints, boil first and skim foam).
The above seven herbs are coarsely crushed and sifted. Take five qianbi per dose, with one ladle of clear wine and one ladle of water. Add half a qianbi of finely chopped fresh ginger. Decoct until one ladle remains, strain, and take warm. Twice daily, once at night.
Treatment for Rou Feng causing loss of limb control, and Hong Xiang Jiao (Hong Kong Foot/Charcot Joint/Foot Drop due to wind-toxin) making walking impossible. Bing Lang Tang (Areca Seed Decoction):
Bing Lang (Semen Arecae, roasted seven pieces, chopped), Hei Dou (Semen Sojae Preparatum, small beans roasted two sheng), Sang Bai Pi (Cortex Morus Radicis, roasted and chopped two liang), Yu Li Ren (Semen Pruni, remove peel and tip, lightly roasted half liang).
Take warm. [Note: Original text lacks specific decoction instructions here].
Treatment for Rou Feng causing body pain and spontaneous sweating. Shi Gao San (Gypsum Powder):
Shi Gao (Gypsum Fibrosum, separately ground into powder one liang), Gan Cao (Radix Glycyrrhizae, roasted and chopped three fen).
The above two herbs are ground and sifted into a powder. Take one qianbi per dose, mixed with warm wine. Four times daily, at any time.
Treatment for Rou Feng causing loss of limb control and abdominal tension. Also treats postpartum stroke in women. Zi Ge San (Tetrastigma Powder):
Zi Ge (Caulis Tetrastigmatis, chopped), Fang Feng (Radix Saposhnikoviae, remove forked branches), Qiang Huo (Rhizoma Notopterygii, remove rhizome head, each one liang), Gan Cao (Radix Glycyrrhizae, roasted and chopped), Huang Lian (Rhizoma Coptidis, remove roots, each half liang).
The above five herbs are ground and sifted into a powder. Take two qianbi per dose, mixed with warm wine.
Treatment for Rou Feng causing flaccidity and loss of limb control, abdominal tension preventing supine breathing. Also treats postpartum stroke in women. Di Fu Zi San (Kochiae Fructus Powder):
Di Fu Zi (Fructus Kochiae, roasted two liang), Zi Ge (Caulis Tetrastigmatis, chopped one and a half liang), Bai Tou Weng (Radix Pulsatillae, chopped and roasted one liang).
The above three herbs are ground and sifted into a powder. Take two qianbi per dose, up to three qianbi, mixed with warm wine.
Treatment for Rou Feng causing general weakness, flaccidity and weakness of the four limbs, inability to walk or stand. Cong Rong Wan (Cistanche Pill):
Rou Cong Rong (Cistanches Herba, soaked in wine, sliced and baked), Niu Xi (Radix Achyranthis Bidentatae, remove seedlings, soak in wine, slice and bake), Tu Si Zi (Semen Cuscutae, soak in wine, grind separately, each one liang).
The above three herbs are ground into fine powder. Use two liang of white flour and one liang of raw Fu Zi (Radix Aconiti Lateralis Preparata, peeled and de-navelled, ground into powder). Boil together with wine to form a paste. Form pills the size of paulownia seeds. Take twenty pills per dose before meals with warm wine.
Treatment for Rou Feng causing weak legs and knees, long-standing wind-toxin rushing upward causing shoulder, chest, and back pain. Postpartum stroke in women. Xian Ren Zhang Infused Wine (Immortal Staff Infusion):
Xian Ren Zhang Gen (Root of Imperatae Rhizoma? Note: Text clarifies this is actually Gou Qi Gen Bai Pi / Cortex Lycii Radicis, one jin four liang, scraped clean of soil and outer bark, chopped).
Place the single herb in a raw silk bag. Infuse in two dou of wine for seven days. Drink one ladle warm daily, gradually increasing to two ladles, at any time. When wine is nearly finished, add five sheng more and infuse again as before. Also treats all kinds of heat-toxic wind.
Treatment for Rou Feng causing flaccid limbs, abdominal tension, and inability to bend or extend. Wu Zhi Jian (Five Branches Decoction):
Sang Zhi (Ramulus Mori), Tao Zhi (Ramulus Persicae), Huai Zhi (Ramulus Sophorae), Bai Ling Teng Zhi (Ramulus Sinomenii?), Liu Zhi (Ramulus Salicis) (each finely chopped two sheng), Hei Dou (Semen Sojae Preparatum, washed three sheng), Fang Feng (Radix Saposhnikoviae, remove forked branches), Qiang Huo (Rhizoma Notopterygii, remove rhizome head, each two liang).
Of the above eight herbs, select the five branches growing towards the east and south. Chop them finely like bean grains. Grind Qiang Huo and Fang Feng into powder. Spread black beans evenly in a steamer. Place the five branches in a pot to make soup, then transfer to the steamer to steam over the beans until beans are cooked. Remove beans. The soup in the pot should be about one dou. Boil the soup in the pot until reduced by two-thirds. Add the powders of Fang Feng and Qiang Huo and continue boiling until thick like syrup. Take half a spoonful mixed with warm wine when fasting and before sleep, increasing to one spoonful. For women's blood-wind, this decoction is miraculous. Wrap the remaining dregs in cloth while hot. After taking medicine nightly, apply hot compress to affected areas for quick effect. If cold, mix with wine and stir-fry hot before use.
Treatment for Rou Feng causing body pain and inability to walk. Suan Zao Ren Jian (Ziziphus Decoction):
Suan Zao Ren (Semen Ziziphi Spinosae, raw use three liang), Bai Gui (Testudo Carapax et Plastrum, vinegar-roasted one liang), Hai Tong Pi (Cortex Erythrinae, chopped two liang), Xian Ling Pi (Herba Epimedii, remove coarse stems), Chi Shi Zhi (Haematitum), Bi Xie (Rhizoma Dioscoreae Hypoglaucae), Shi Hu (Herba Dendrobii, remove roots), Du Zhong (Cortex Eucommiae, remove coarse bark, roast and chop), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Gui Zhi (Ramulus Cinnamomi, one handful five cun long, chopped).
Of the above nineteen herbs, grind sixteen herbs into powder. Use one dou of clear wine. First boil Sang Zhi until yellow, filter out Sang Zhi. Add the herb powder and boil until bubbling. Then add Bai Mi (Mel) and Niu Su (Butyrum Bubali). Boil into a thin paste. Store in porcelain jars. Take half a spoonful mixed with warm wine. Take when fasting, at noon, and before sleep.
Treatment for Rou Feng causing deficiency of Qi and Blood, pathogenic invasion of interior and exterior, flaccid skin, and abdominal tension. Bai Hua She San (Bungarus Powder):
Bai Hua She (Bungarus multicinctus, use neck meat soaked in wine to remove bones, slow-fire roast until scorched), Ben Cao (Radix Ligustici Chuanxiong? Note: Text says "Ben", likely Cang Zhu or similar, but literally "Ben" refers to Ligusticum or Angelica dahurica contextually often implies Gu Ben/Ligusticum), Wu Jia Pi (Cortex Acanthopanacis, chopped), Niu Xi (Radix Achyranthis Bidentatae, soak in wine, slice and bake), Bi Xie (Rhizoma Dioscoreae Hypoglaucae), Gui Zhi (Ramulus Cinnamomi, remove coarse bark), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Mu Xiang (Radix Aucklandoniae), Yun Tai Zi (Semen Brassicae Napus, roasted), Dang Gui (Radix Angelicae Sinensis, slice and bake, each half liang), Gan Cao (Radix Glycyrrhizae, roasted one liang), Sang Bai Pi (Cortex Morus Radicis one liang), Yu Li Ren (Semen Pruni, remove peel half liang), Qiang Huo (Rhizoma Notopterygii, remove rhizome head), Hu Gu (Os Tigris,酥-roasted one liang), Gan Xie (Scorpio, lightly roasted half liang), Bai Zhi (Radix Angelicae Dahuricae), Fang Feng (Radix Saposhnikoviae, remove forked branches, each one liang).
The above twenty-one herbs are ground and sifted into a powder. Take two qianbi per dose, mixed with warm wine when fasting. Can also be taken at other times.
Treatment for Rou Feng causing loss of limb control and abdominal tension preventing supine posture. Ru Xiang Jian Wan (Frankincense Decoction Pill):
Ru Xiang (Resina Frankincense, ground one liang), She Xiang (Moschus, ground half liang), Tian Ma (Rhizoma Gastrodiae, two liang), Mo Yao (Resina Myrrhae, ground), Di Yu (Radix Sanguisorbae), Xuan Shen (Radix Scrophulariae), Wu Tou (Radix Aconiti Kusnezoffii, raw, peeled and de-navelled).
The above eight herbs: grind five herbs into fine powder, mix with ground medicines. Separately, take Ma Huang (Herba Ephedrae, remove root joints, two liang), grind into powder. Use one sheng of wine, slow fire... [Text incomplete] ...also acceptable.
Treatment for Rou Feng causing loss of limb control and abdominal tension. Fu Zi Jian (Aconite Decoction):
Fu Zi (Radix Aconiti Lateralis Preparata, cracked, peeled, de-navelled, five liang), Hei Dou (Semen Sojae Preparatum, washed one sheng), Tian Xiong (Radix Aconiti Kusnezoffii Preparata, cracked, peeled, de-navelled, five liang), Fang Feng (Radix Saposhnikoviae, remove forked branches, three liang).
The above four herbs: chop three herbs finely. Cook with beans in one dou five sheng of wine until beans are soft. Strain and take juice. Add Tian Ma (Rhizoma Gastrodiae) and Xiong Dui (Radix Leonuri? Note: Text says "Xiong", likely Xiong Dui/San Ji or similar, but context suggests a root/rhizome, possibly Xiong Dui or typo for something else. Given "Ge Wu Liang", likely a standard herb. Let's assume Xiong Dui or similar based on "Xiong". Actually, looking at common formulas, it might be Xiong Dui or just a typo. I will translate as "Xiong" as per text, likely referring to a specific root). Each five liang.
Total six herbs. Grind the last two into powder. Mix with the bean decoction and boil until thick like syrup. Take one spoonful mixed with hot water or warm wine when fasting daily.
Treatment for Rou Feng causing flaccid tendons and bones, inability to walk or stand. Fu Zi Tang (Aconite Decoction):
Fu Zi (Radix Aconiti Lateralis Preparata, cracked, peeled, de-navelled, one liang).
Chop the single herb like hemp seeds. Use five sheng of water and five he of Mung Beans. Boil together until three sheng remain. Strain. Take half a zhan per dose, sip slowly. Take when fasting, at noon, and before sleep.
Treatment for Rou Feng causing tendon and bone pain, curling of hands and feet. Liu Fen Yu (Willow Manure Compress):
Liu Fen (Willow manure, two sheng).
Steam the single herb in a steamer for the duration of cooking a meal. If Willow manure is unavailable, use five dou of soybeans, steam until cooked, spread on bed, cover with old padded jacket, and have patient lie on it to steam/compress the affected area.