论曰蛊风之状。在皮肤间一身尽痛。若划若刺。淫淫跃跃。如中蛊毒。故名蛊风。皆由
体虚受风侵伤正气也。
治体虚风邪所中。攻走皮肤。状如刺划。薏苡仁汤方
薏苡仁(二两) 独活(去芦头) 茵芋 细辛(去苗叶) 桂(去粗皮) 侧子(炮
裂去皮脐)
角(镑各一两) 甘
上一十二味。锉如麻豆。每服四钱匕。水一盏。入生姜半分拍破。煎至七分。去滓温服
。不计时候。
治蛊风皮肤如刺划。天麻丸方
天麻(锉焙) 踯躅花 独活(去芦头) 附子(炮裂去皮脐) 白附子(炮) 原蚕
蛾(炒) 防风
(炮裂去皮脐各一两) 麻
上一十五味。除研者外。捣罗为末。入麝香再研匀。炼蜜和捣三二百下。丸如梧桐子大
。每服二十丸。温酒下。不拘时候。如有汗出。即宜避风。
治蛊风四白散方
白花蛇(酒浸去皮骨炙一两半) 白附子(炮) 白僵蚕(微炒) 白蒺藜(炒去角各
一两)
上四味。捣罗为散。空心温酒调下二钱匕。晚食前再服。
治六十四种风。注走入皮肤中如虫行。痛如刺划。状似蛊毒。及卒风面目肿起。手不及
头。口噤不能言。石南汤方
石南 干姜(炮) 黄芩(去黑心) 细辛(去苗叶) 人参(各一两) 桂(去粗皮)
麻黄(去根
茱萸(一两一分)
上一十二味。 咀如麻豆大。每服六钱匕。以水一盏。酒一盏。煎至一盏。去滓温服。
得汗为度。
治蛊风身痛如刀划。白花蛇煎方
白花蛇 乌蛇(并用酒浸皮去骨焙干各二两) 白蜜(三十两) 生姜(汁六两) 薄
荷汁(
上九味。捣罗六味为末。先下蜜。并生姜汁薄荷汁。次下诸药末拌和匀。银器中重汤熬
成煎。以无灰酒调下半匙匕。久服身体滑腻。
治蛊风。何首乌散方
何首乌(去黑皮) 威灵仙(去土各一两) 苦参(半两) 麒麟竭(一分)
上四味。并生捣罗为散。入乳钵内研三五百遍。每服一钱匕。用荆芥汤调下。每日三服
。酒服尤妙。
治蛊风皮肤尽痛。淫淫如有蛊啄。搔之生疮。甚者如刀划。茵芋酒方
茵芋 乌头(炮裂去皮脐) 石南 防风(去叉) 女葳 蜀椒(去目及合口者炒出汗)
附
裂去皮脐) 秦
上一十五味。 咀如麻豆大。少壮人无用熬。虚老人薄熬之。清酒二斗渍。冬七日。夏
三日。春秋五日。初服一合。不知加至二合。
治蛊风皮肤尽痛。如刀划状。及头目不利。风痰等疾。薄荷丸方
干薄荷叶(一斤) 天麻(四两) 威灵仙(去苗土三两) 羌活(去芦头四两) 山
栀子仁(二两) 蔓荆实(去白皮三两) 白芷 桔梗(炒) 防风(去叉各二两) 大黄
(湿纸裹煨令纸干一两)
上一十三味。捣研为末。再和匀炼蜜。丸如鸡头实大。每服一丸。食后细嚼。茶酒任下
治蛊风皮肤尽痛。身体若划、若刺。乌头五灵脂丸方
乌头(生去皮脐) 五灵脂(各五两) 附子(炮裂去皮脐二两) 野狼毒(炮一两) 防
风(去
自然铜(
(研一钱) 乱发(存
上一十六味。各锉研。日中曝七日。捣罗为末。以生姜自然汁和。捣熟为丸。如弹子大
。每一丸分作四服。用温酒入生姜汁少许磨化服。此药亦治瘫痪急慢中风。痰涎壅塞。胸中
不利。眼口 斜。半身不遂。神昏恍惚。及血风走注。并根据前汤使日二三服。偏正头疼。夹
脑风疾。以腊茶清和少姜汁磨下。即枕卧少时。肿痛处磨一丸涂之。产后诸疾备急。用姜汁
磨化。入童子小便并酒各半盏。稍热服。血风劳、及败血攻四肢。或攻刺腹肋痛。用当归酒
下。
论述说:蛊风的症状表现,是全身皮肤之间都感到疼痛,感觉像被刀划或被针刺一样,身体有瘙痒游走感,如同中了蛊毒,因此命名为蛊风。这都是因为体质虚弱,受到风邪侵袭,损伤了正气所致。
治疗因体质虚弱导致风邪中伤,攻窜至皮肤,症状如针刺刀割的方剂:薏苡仁汤方
薏苡仁(二两) 独活(去除芦头) 茵芋 细辛(去除苗叶) 桂枝(去除粗皮) 侧子(炮制裂开,去除皮和脐)
角(镑碎,各一两) 甘草
以上十二味药,锉碎如麻豆大小。每次服用四钱匕,用水一盏,加入生姜半块拍破,煎煮至七分满,去渣温服。不限时候服用。
治疗蛊风皮肤感觉如针刺刀割的方剂:天麻丸方
天麻(锉碎焙干) 踯躅花 独活(去除芦头) 附子(炮制裂开,去除皮和脐) 白附子(炮制) 原蚕蛾(炒制) 防风
(炮制裂开,去除皮和脐,各一两) 麻黄
以上十五味药,除需要研磨的药物外,捣碎过筛成粉末,加入麝香再次研匀,用炼蜜调和并捣击三二百下,制成梧桐子大小的丸药。每次服用二十丸,用温酒送下。不限时候服用。如果出汗,应当避风。
治疗蛊风的方剂:四白散方
白花蛇(酒浸,去皮骨,炙烤,一两半) 白附子(炮制) 白僵蚕(微炒) 白蒺藜(炒制,去除刺角,各一两)
以上四味药,捣碎过筛成散剂。空腹时用温酒调服二钱匕,晚饭后再次服用。
治疗六十四种风邪,注入皮肤中如虫爬行,疼痛如针刺刀割,状似蛊毒,以及突发风邪导致面目肿胀,手无法举过头顶,口噤不能说话的方剂:石南汤方
石南藤 干姜(炮制) 黄芩(去除黑心部分) 细辛(去除苗叶) 人参(各一两) 桂枝(去除粗皮)
麻黄(去除根节) 山茱萸(一两一分)
以上十二味药,锉碎如麻豆大小。每次服用六钱匕,用水一盏、酒一盏,煎煮至一盏量,去渣温服。以出汗为度。
治疗蛊风身体疼痛如刀割的方剂:白花蛇煎方
白花蛇 乌梢蛇(均用酒浸,去皮去骨,焙干,各二两) 白蜜(三十两) 生姜(取汁六两) 薄荷汁
以上九味药,将其中六味捣碎过筛成粉末。先放入蜂蜜,并加入生姜汁和薄荷汁,其次放入各种药末拌和均匀。在银器中隔水熬制成煎膏。用无灰酒调服半匙匕。长期服用可使身体滑润细腻。
治疗蛊风的方剂:何首乌散方
何首乌(去除黑皮) 威灵仙(去除泥土,各一两) 苦参(半两) 麒麟竭(一分)
以上四味药,均生捣碎过筛成散剂,放入乳钵内研磨三五百遍。每次服用一钱匕,用荆芥汤调服。每日三次,用酒送服效果更佳。
治疗蛊风全身皮肤疼痛,瘙痒游走感如有蛊虫啄食,搔抓后生疮,严重者如刀割的方剂:茵芋酒方
茵芋 乌头(炮制裂开,去除皮和脐) 石南藤 防风(去除叉枝) 女贞子 蜀椒(去除目及合口者,炒出油汗)
附子(炮制裂开,去除皮和脐) 秦艽
以上十五味药,锉碎如麻豆大小。年轻力壮者不用熬煮,体虚老人轻微熬煮。用清酒二斗浸泡。冬季七日,夏季三日,春秋五日。初次服用一合,若无效加至二合。
治疗蛊风全身皮肤疼痛,如刀割状,以及头目不清利、风痰等疾病的方剂:薄荷丸方
干薄荷叶(一斤) 天麻(四两) 威灵仙(去苗土三两) 羌活(去芦头四两) 山栀子仁(二两) 蔓荆实(去白皮三两) 白芷 桔梗(炒制) 防风(去叉,各二两) 大黄(湿纸包裹煨至纸干,一两)
以上十三味药,捣碎研磨成粉末,再与炼蜜混合均匀,制成鸡头实大小的丸药。每次服用一丸,饭后细细咀嚼,茶或酒送服均可。
治疗蛊风全身皮肤疼痛,身体感觉如刀划、如针刺的方剂:乌头五灵脂丸方
乌头(生用,去皮脐) 五灵脂(各五两) 附子(炮制裂开,去除皮脐二两) 野狼毒(炮制一两) 防风(去叉)
自然铜(
(研细一钱) 乱发(存性
以上十六味药,各自锉碎研磨。在阳光下曝晒七日,捣碎过筛成粉末,用生姜自然汁调和,捣熟制成丸药,如弹子大小。每一丸分作四次服用,用温酒加入少许生姜汁磨化后服用。此药也治疗瘫痪、急慢性中风、痰涎壅塞、胸中不利、眼口歪斜、半身不遂、神志昏沉恍惚,以及血风走注。均按照前面的汤药方法,每日服用二三次。偏头痛、正头痛、夹脑风疾,用腊茶清加入少量姜汁磨下服用,然后枕卧片刻。肿痛处磨一丸涂抹。产后各种疾病备急使用,用姜汁磨化,加入童便和酒各半盏,稍热后服用。血风劳损、败血攻冲四肢,或攻刺腹肋疼痛,用当归酒送服。
Discussion states: The manifestation of Gu Feng (Gu Wind) involves pain throughout the skin and flesh of the entire body, feeling as if being scratched by a knife or pricked by needles, accompanied by an itching sensation that wanders like insects moving under the skin, resembling poisoning by Gu toxin; hence it is named Gu Feng. This condition arises from deficiency of the constitution where wind pathogen invades and damages the righteous Qi (Vital Energy).
Formula for treating wind pathogen striking due to bodily deficiency, attacking the skin with symptoms like needle pricks and knife scratches: Yiyiren Tang (Coix Seed Decoction)
Yiyi Ren (Coicis Semen, Coix Seed) (2 liang)
Duhuo (Angelicae Pubescentis Radix, Pubescent Angelica Root) (remove rhizome head)
Yinyu (Corylani Folium, Corylus Leaf)
Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) (remove seedlings and leaves)
Guizhi (Cinnamomi Ramulus, Cinnamon Twig) (remove rough bark)
Cizi (Aconiti Lateralis Radix Praeparata, Prepared Lateral Root of Aconite) (pao processed until cracked, remove skin and navel)
Jiao (Animal Horn) (sliced, each 1 liang)
Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root and Rhizome)
The above twelve ingredients are chopped like hemp seeds. Each dose consists of 4 qianbi (approx. 4-6 grams), boiled in 1 sheng (approx. 200 ml) of water with half a piece of crushed fresh ginger. Decoct until reduced to 7/10 volume, strain, and take warm. No specific timing required.
Formula for treating Gu Feng with skin sensations like needle pricks and knife scratches: Tianma Wan (Gastrodia Pill)
Tianma (Gastrodiae Rhizoma, Gastrodia Rhizome) (chopped and baked)
Zhizhu Hua (Rhododendri Mollis Flos, Rhododendron Flower)
Duhuo (Angelicae Pubescentis Radix, Pubescent Angelica Root) (remove rhizome head)
Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Lateral Root of Aconite) (pao processed until cracked, remove skin and navel)
Baifuzi (Belleiridis Rhizoma, Belleire Rhizome) (pao processed)
Yuancan E (Bombyx Batryticatus, Metamorphosed Silkworm) (stir-fried)
Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) (pao processed until cracked, remove skin and navel, each 1 liang)
Mahuang (Ephedrae Herba, Ephedra Herb)
The above fifteen ingredients, except those to be ground, are pounded and sieved into powder. Add Shexiang (Moschi Fermentum, Civet Musk) and grind evenly. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take 20 pills per dose with warm wine. No specific timing. If sweating occurs, avoid wind.
Formula for treating Gu Feng: Sibai San (Four Whites Powder)
Baihuashe (Deinagkistrodon Acutus, Hundred-Step Snake) (soaked in wine, remove skin and bones, roasted, 1.5 liang)
Baifuzi (Belleiridis Rhizoma, Belleire Rhizome) (pao processed)
Baijiangcan (Bombyx Batryticatus, Metamorphosed Silkworm) (lightly stir-fried)
Bajili (Tribuli Fructus, Tribulus Fruit) (stir-fried, remove spines, each 1 liang)
The above four ingredients are pounded and sieved into powder. Take 2 qianbi on an empty stomach with warm wine, and again before evening meal.
Formula for treating sixty-four types of wind pathogens entering the skin like insects crawling, causing pain like needle pricks and knife scratches resembling Gu poisoning, as well as sudden wind causing facial swelling, inability to raise hands above the head, and locked jaw preventing speech: Shinan Tang (Shinan Vine Decoction)
Shinan (Nandinae Folium, Nandinia Leaf)
Ganjiang (Zingiberis Rhizoma, Dried Ginger Rhizome) (pao processed)
Huangqin (Scutellariae Radix, Scutellaria Root) (remove black heart)
Xixin (Asari Radix et Rhizoma, Asarum Root and Rhizome) (remove seedlings and leaves)
Renshen (Ginseng Radix, Ginseng Root) (each 1 liang)
Guizhi (Cinnamomi Ramulus, Cinnamon Twig) (remove rough bark)
Mahuang (Ephedrae Herba, Ephedra Herb) (remove roots)
Shanzhuyu (Corni Fructus, Cornus Fruit) (1 liang 1 fen)
The above twelve ingredients are chopped like hemp seeds. Each dose is 6 qianbi, decocted in 1 sheng of water and 1 sheng of wine until reduced to 1 sheng. Strain and take warm. Stop when sweating occurs.
Formula for treating Gu Feng with body pain like knife scratches: Baihuashe Jian (Hundred-Step Snake Paste)
Baihuashe (Deinagkistrodon Acutus, Hundred-Step Snake)
Wushe (Agkistrodon Halys, Half-Snake) (both soaked in wine, remove skin and bones, dried, each 2 liang)
Baimi (Mel, Honey) (30 liang)
Shengjiang (Zingiberis Rhizoma Recens, Fresh Ginger Rhizome) (juice 6 liang)
Bohe (Menthae Haplocalycis Herba, Mint Herb) (juice)
The above nine ingredients: Pound six ingredients into powder. First add honey, ginger juice, and mint juice. Then add the drug powders and mix evenly. Simmer in a silver vessel using double-boiling method until paste forms. Take half a spoonful mixed with non-grain alcohol. Long-term use makes the body smooth and supple.
Formula for treating Gu Feng: Heshouwu San (Polygonum Multiflorum Powder)
Heshouwu (Polygoni Multiflori Radix, Polygonum Multiflorum Root) (remove black skin)
Weilingxian (Clematidis Radix et Rhizoma, Clematis Root and Rhizome) (remove soil, each 1 liang)
Kushen (Sophorae Flavescentis Radix, Sophora Root) (0.5 liang)
Qilinjie (Dragon's Blood, Sanguis Draconis) (1 fen)
The above four ingredients are raw-pounded and sieved into powder. Grind in a mortar 300-500 times. Take 1 qianbi per dose, mixed with Jingjie (Perillae Folium, Perilla Leaf) decoction. Take three times daily; taking with wine is especially effective.
Formula for treating Gu Feng with whole-body skin pain, itching wandering like Gu bites, scratching leads to sores, severe cases feel like knife scratches: Yinyu Jiu (Yinyu Wine)
Yinyu (Corylani Folium, Corylus Leaf)
Wutou (Aconiti Radix, Aconite Root) (pao processed until cracked, remove skin and navel)
Shinan (Nandinae Folium, Nandinia Leaf)
Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) (remove forked branches)
Nu Zhen Zi (Ligustri Lucidi Fructus, Privet Fruit)
Shujiao (Zanthoxyli Pericarpium, Zanthoxylum Pericarp) (remove eyes and closed ones, stir-fry until oil sweats out)
Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Lateral Root of Aconite) (pao processed until cracked, remove skin and navel)
Qinjiao (Gentianae Macrophyllae Radix, Gentian Root)
The above fifteen ingredients are chopped like hemp seeds. Young and strong people do not need boiling; weak and elderly people should lightly boil. Soak in 2 dou of clear wine. Winter: 7 days; Summer: 3 days; Spring/Autumn: 5 days. Initial dose: 1 he. Increase to 2 he if ineffective.
Formula for treating Gu Feng with whole-body skin pain like knife scratches, along with unclear head and eyes, wind-phlegm and other diseases: Bohe Wan (Mint Pill)
Gan Bohe Ye (Menthae Haplocalycis Herba, Mint Herb) (1 jin)
Tianma (Gastrodiae Rhizoma, Gastrodia Rhizome) (4 liang)
Weilingxian (Clematidis Radix et Rhizoma, Clematis Root and Rhizome) (remove seedlings and soil, 3 liang)
Qianghuo (Notopterygii Rhizoma et Radix, Notopterygium Root and Rhizome) (remove rhizome head, 4 liang)
Shanzhizi Ren (Gardeniae Fructus, Gardenia Fruit) (2 liang)
Manjing Shi (Viticis Fructus, Vitex Fruit) (remove white skin, 3 liang)
Baizhi (Angelicae Dahuricae Radix, Dahurian Angelica Root)
Jiegeng (Platycodonis Radix, Platycodon Root) (stir-fried)
Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) (remove forked branches, each 2 liang)
Dahuang (Rhei Radix et Rhizoma, Rhubarb Root and Rhizome) (wrapped in wet paper and baked until dry, 1 liang)
The above thirteen ingredients are pounded and ground into powder, mixed evenly with refined honey, and formed into pills the size of corn kernels. Take one pill per dose after meals, chew thoroughly, and swallow with tea or wine.
Formula for treating Gu Feng with whole-body skin pain, body feeling like knife scratches or needle pricks: Wutou Wulingzhi Wan (Aconite and Trogopterus Dung Pill)
Wutou (Aconiti Radix, Aconite Root) (raw, remove skin and navel)
Wulingzhi (Trogopterori Faeces, Trogopterus Dung) (each 5 liang)
Fuzi (Aconiti Lateralis Radix Praeparata, Prepared Lateral Root of Aconite) (pao processed until cracked, remove skin and navel, 2 liang)
Yelangdu (Stellerae Radix, Stellera Root) (pao processed, 1 liang)
Fangfeng (Saposhnikoviae Radix, Saposhnikovia Root) (remove forked branches)
Ziran Tong (Pyritum, Pyrite)
(Grind 1 qian)
Luankua (Capillis Humanis, Human Hair) (charred)
The above sixteen ingredients are chopped and ground separately, exposed to sunlight for seven days, then pounded and sieved into powder. Mix with fresh ginger juice and pound until cohesive. Form pills the size of bullet shells. Divide one pill into four doses. Take with warm wine mixed with a little ginger juice. This formula also treats paralysis, acute and chronic stroke, phlegm-fluid obstruction, chest discomfort, deviation of eye and mouth, hemiplegia, mental confusion, and blood-wind migration. Administer according to previous decoction methods, 2-3 times daily. For lateral headache, frontal headache, and brain-invading wind-disease, grind with aged tea liquor and a little ginger juice, take, and lie down for a while. Grind one pill and apply to swollen/painful areas. For postpartum emergencies, grind with ginger juice, add equal parts child's urine and wine, warm slightly, and take. For blood-wind consumption and failed blood attacking limbs or stabbing abdominal/flank pain, take with Danggui (Angelicae Sinensis Radix, Chinese Angelica Root) wine.