Discussion: The *Neijing* (Classic of Internal Medicine) states that individuals suffering from "Rouke" (Muscular Numbness and Heaviness) still feel numbness even when wearing cotton wadding. This is due to deficiency of Ying Qi (Nutritive Qi) and excess of Wei Qi (Defensive Qi). Blood belongs to Ying, and Qi belongs to Wei. If both Ying and Wei Qi flow smoothly and unimpeded, the muscles will not suffer from numbness. However, when Ying Qi is deficient and Wei Qi is excessive, the blood vessels become stagnant and sluggish. Although the muscles may appear normal externally, the symptoms manifest as severe numbness and heaviness.

**Bai Jiangcan Wan Formula** for treating Ying deficiency with Wei excess, resulting in muscular numbness, a condition named Rouke:
*Bombyx Batryticatus* (Stir-fried, 0.5 liang), *Arisaema Cum Bile* (Pao-processed, washed with decoction, 0.5 liang), *Aconitum Carmichaelii Lateralis Radix Praeparata* (Pao-processed, peel off skin and umbilicus, 1 liang), *Fuzi* (Pao-processed, wash with decoction, 1 liang), *Zingiberis Rhizoma* (Pao-processed, sliced, 1 fen), *Calomel* (0.5 liang), *Moschus* (1 fen, ground into fine powder together with Calomel).
The above seven ingredients are pounded and ground into a fine powder. Honey is refined and used to form pills, sized like sophora seeds. Take 3 to 5 pills per dose with warm wine on an empty stomach.

**Kushen Wan Formula** for treating Ying deficiency with Wei excess, resulting in muscular numbness, a condition named Rouke:
*Sophorae Flavescentis Radix* (2 liang, sliced and pounded to extract powder), *Salviae Miltiorrhizae Radix* (remove soil, slightly roasted), *Glehniae Radix* (remove dust), *Ginseng Radix* (1 liang), *Acanthopanacis Senticosi Cortex* (sliced), *Saposhnikoviae Radix* [Text fragment "Fang"], *Testudinis et Chelydrae Carapax et Plastrum* [Text fragment "Gui", coated with butter, roasted until yellow], *Pantherae Os* [Text fragment "Hu"].
The above twelve ingredients are pounded and sifted into powder. Separately, take 1 jin of *Gleditsiae Sinensis Fructus*, add 3 sheng of water, decoct to extract juice, remove dregs. Decoct in an oil-free iron vessel until it becomes a paste. Add 4 liang of refined honey, mix well, and form pills sized like sophora seeds. Take 15 to 20 pills per dose with Jingjie (Schizonepeta) and Bohe (Mentha) wine, taken long after meals and before bedtime, three times a day.

**Qianghuo San Powder** for treating Ying deficiency with Wei excess, muscular numbness, and generalized body numbness:
*Notopterygii Rhizoma et Radix* (remove rhizome head), *Angelicae Pubescentis Radix* (remove rhizome head), *Saposhnikoviae Radix* (remove forked roots), *Viticis Fructus* (remove white skin), *Ginseng Radix*, *Tribuli Fructus* (stir-fried, remove spines), *Clematidis Radix et Rhizoma* (remove seedlings and soil, 0.5 liang each).
The above thirteen ingredients are pounded and sifted to an extremely fine powder. Take 2 qianbi per dose, mixed with Doulin Jiu (Bean-leavened Wine) on an empty stomach. Warm wine is also acceptable. Alternatively, form pills with refined honey, sized like sophora seeds. Take 15 to 20 pills with Doulin Bohe Jiu.

**Baihua She Wan Formula** for treating Ying deficiency with Wei excess, stagnant blood vessels, and muscular numbness:
*Daboia Swinhonis* (soaked in wine, skin and bones removed, roasted), *Scorpio* (remove soil, stir-fried), *Epimedii Folium* (Xianlingpi), *Aconiti Kusnezoffii Radix* (Pao-processed, peel off skin and umbilicus), *Gastrodiae Rhizoma*, *Cinnamomi Ramulus* (remove rough bark), *Aconiti Lateralis Radix Praeparata* [Text fragment "Tou", Pao-processed, peel off skin and umbilicus], *Arisaema Cum Bile* (Pao-processed, 0.5 liang each), *Realgar* (ground), *Moschus* (ground, 1 fen each).
Except for separate preparations, use 3 liang of *Cannabis Semen* ground into fine powder, soaked in non-grain alcohol, boiled down to a paste. Mix with the previous powders and pound 500 times. Form pills sized like sophora seeds. Take 20 pills per dose with Bohe (Mentha) wine, at any time.

**Niuxi Tianma Wan Formula** for treating Ying deficiency with Wei excess, muscular numbness, and generalized body heaviness:
*Achyranthis Bidentatae Radix* (soaked in wine, sliced, dried, 1 liang), *Gastrodiae Rhizoma* (soaked in wine, sliced, dried, 1.5 liang), *Moschus* (ground), *Cinnamomi Ramulus* (remove rough bark, 1 fen each), *Scorpio* (stir-fried, remove soil), *Daboia Swinhonis Meat* (wine-roasted, 0.5 liang each), *Arecae Semen* (sliced), *Angelicae Pubescentis Radix* (remove rhizome head, 0.3 fen each), *Saposhnikoviae Radix* (remove forked roots, 1 liang).
The above nine ingredients are ground into powder, mixed with refined honey, and formed into pills sized like sophora seeds. Take 15 pills per dose with Bohe (Mentha) wine. Jingjie (Schizonepeta) decoction is also acceptable. At any time.

**Shengma Tang Decoction** for treating Rouke and muscular numbness:
*Cimicifugae Rhizoma*, *Koelsiae Herba* (remove soil), *Forsythiae Fructus*, *Paeoniae Radix Alba*, *Saposhnikoviae Radix* (remove forked roots), *Saigae Tataricae Cornu* (shaved), *Costi Radix*, *Aurantii Fructus* (remove pulp, bran-roasted).
The above nine ingredients are finely sliced, divided into ten doses. For each dose, add 2 zhan of water and 5 slices of *Zingiberis Recens Rhizoma*, decoct to obtain 1 zhan. Remove dregs and drink slowly while warm.

**Duhuo Jiu Medicinal Wine** for treating Rouke, muscular numbness, and generalized body heaviness:
*Angelicae Pubescentis Radix* (remove rhizome head, 1 jin), *Chalcostyrum* (Jinya), *Asari Radix et Rhizoma* (remove seedlings and leaves), *Kochiae Spica*, *Matteuccii Filix*, *Rehmanniae Radix Praeparata* (sliced, dried), *Polygoni Multiflori Caulis* [Text fragment "Shuo Gen"].
The above eleven ingredients, except for Chalcostyrum, are finely sliced and placed in a silk bag. Soak in 5 sheng of clear wine. Seal the vessel mouth tightly with mud. Soak for three nights in summer and five nights in winter. Drink 2 ge of the warm wine per dose, three times a day, gradually increasing the dosage. Process the Chalcostyrum separately by grinding it into powder, place it in a separate linen bag, and put it inside the large bag.

**Fangfeng Jiu Medicinal Wine** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Saposhnikoviae Radix* (remove forked roots, 2 liang), *Atractylodis Macrocephalae Rhizoma* (1.5 liang), *Corni Fructus* (with seeds, 1.5 liang), *Dioscoreae Rhizoma* (dried, 1.5 liang), *Aconitum Carmichaelii Lateralis Radix Praeparata* [Text fragment missing], [Text fragment missing], *Koelsiae Herba* (remove soil, 1.5 liang), *Dryopteridis Crassirhizoma* (remove coarse stems, 1.5 liang), *Pruni Semen* (soaked in water, peel off skin and tips, double-kernel, stir-fried, 1.5 liang), *Morinda Officinalis Radix* (remove heart, 2 liang), *Cinnamomi Ramulus* (remove rough bark, 2 liang), *Ephedrae Herba* (remove joints, boil first to remove foam, dry, 2 liang), *Zingiberis Recens Rhizoma* (sliced, dried, 2 liang), *Magnetitum* (raw, crushed to soybean size, soak to remove red liquid, 0.5 jin), *Coicis Semen* (stir-fried, 3 liang), *Rehmanniae Radix* (cleanly washed, finely sliced, dried, 2.5 liang).
The above eighteen ingredients are sliced like hemp seeds, placed in a raw silk bag. Soak in 3 dou of non-grain clear wine for six to seven days. Drink 4 to 5 ge of warm wine on an empty stomach, adjusting until efficacy is achieved.

**Wuweizi Jiu Medicinal Wine** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Schisandrae Chinensis Fructus* (1 liang), *Saposhnikoviae Radix* (remove forked roots, 1 liang), *Lycii Cortex Radicis* (use root bark, sliced, 1 liang), *Achyranthis Bidentatae Radix* (1 liang), *Moutan Cortex* (remove heart, 1 liang), [Text fragment likely Qianhu or similar herb based on context "Miao wei zhi"], *Angelicae Sinensis Radix* (sliced [skin?], 1 liang), *Magnoliae Officinalis Cortex* (remove rough bark, coat with ginger juice, roast, 1 liang), *Asari Radix et Rhizoma* (remove whiskers and leaves, light stir-fry, 1 liang), *Angelicae Dahuricae Radix* [Text fragment incomplete].
The above nineteen ingredients are sliced like hemp seeds, placed in a raw silk bag. Soak in 2 dou of good wine, sealed tightly. After seven days, take 5 ge of warm wine per dose on an empty stomach, at noon, and before bed. Long-term use can gradually increase to 7 ge to 1 sheng. Do not drink to the point of drunkenness and vomiting.

**Qianhu Gao Ointment** for treating Ying deficiency with Wei excess, muscular numbness, a condition named Rouke:
*Peucedani Radix* (remove rhizome head, 3 liang), *Atractylodis Macrocephalae Rhizoma* (raw use, 3 liang), *Angelicae Dahuricae Radix* (sliced 3 liang, leave one unsliced to test ointment completion), *Ligustici Chuanxiong Rhizoma* (3 liang), [Text fragment missing], *Angelicae Sinensis Radix* (finely [sliced]).
The above ten ingredients are sliced and pounded. Separately, mix with 3 sheng of vinegar, blend evenly, and ferment overnight. Add 5 jin of refined lard, cook gently over fire. When the Angelicae Dahuricae Radix turns yellow-purple, remove dregs to complete the ointment. Apply externally for external diseases; for internal diseases, dissolve in hot wine and take, sized like a cherry. It treats sores, tinea, ulcers, and is highly effective for various wind-induced numbness and pain. For fractures and falls, use both externally and internally.