论曰风 腿之状。四肢不收。身体疼痛。肌肉虚满。骨节懈怠。腰脚缓弱。不自觉知也
。盖风邪侵于分肉。流于血脉。营卫稽留。涩而不行。致身体骨节。肌肉腰脚。痹滞无力不
能用也。久不瘥。气体虚羸。则变成水病。
治风 腿四肢缓弱。骨节疼痛。皮肤不仁。肌肉虚满。腰脚沉重。举止无力。
五加皮汤
五加皮 萆 独活(去芦头) 防己 牛膝(酒浸切焙各二两) 桂(去粗皮) 赤
茯苓(
苗土) 茵芋 海桐
三分)
上一十八味。锉如麻豆。每服五钱匕。水一盏半。入生姜一枣大拍碎。同煎至七分。去
滓温服不拘时。
治风 腿四肢不收。身面浮肿。筋骨怠惰。皮肤不仁。独活汤方
独活(去芦头) 防风(去叉) 赤茯苓(去黑皮) 防己 赤芍药 桂(去粗皮各二
两) 芎
辛(去苗叶各半两)
上一十四味。 咀如麻豆大。每服五钱匕。水一盏半。入生姜一枣大拍碎。大枣二枚劈
破。同煎取七分。去滓温服。日二夜一。
治风 腿肌肉虚满。四肢不收。骨节疼痛。防风汤方
防风(去叉) 五加皮(锉) 附子(炮裂去皮脐) 萆 薏苡仁 桂(去粗皮各一
两) 牛膝(酒浸切焙) 独活(去芦头) 赤茯苓(去黑皮) 当归(切焙) 杜仲(去
粗皮炙) 海桐皮
上一十五味。 咀如麻豆大。每服五钱匕。水一盏半。入生姜一枣大拍碎。同煎至一盏
。去滓温服不拘时。
治风 腿四肢不收。苍耳汤浸淋方
苍耳(五升苗亦得) 羊桃(四升二合细锉) 蒴 (切二升半) 赤小豆(二升半) 食
盐(
上五味。以水一石五斗。煮取一石。去滓适寒温。浸所患脚。勿过绝骨。每浸一炊顷出
。勿令汤冷。可将汤更番添换令热。若遍身汗出瘥。每隔三日一度浸淋。避外风。
治风 腿肢体不收。失音不语。蓖麻酒方
蓖麻子油(一升) 酒(一斗)
上二味。同于银石器中盛。搅令匀。重汤煮一日。不住搅。候熟每服三合。空心日午夜
卧各一服。初服吐风涎勿怪。不吐即涎不出。
治风 腿四肢不收。失音不语。杏仁酝酒方
杏仁(汤浸去皮尖双仁三斗) 糯米(一石簸去糠) 麦曲(二十斤焙令干捣为末)
上三味。先取杏仁二斗捣。更入砂盆内烂研。渐入水八斗。旋研旋绞。取汁令尽去滓。
煎取四斗尝之。若香滑则熟。倾入不津瓮中。如法盖复。作三料酝酒。
第一酝。取糯米六斗。炊作饭。用曲末一十二斤拌和。又取杏仁四升烂研。渐以水一斗
六升。煎取八升。寒温适宜。投入前药瓮中酝之。令米糜溃。
第二酝。取糯米二斗炊饭。用曲末四斤拌和。又取杏仁三升烂研。渐以水一斗一升。煎
取六升。寒温适宜。投入前药瓮中。
第三酝。用米曲杏仁水汁。一切根据第二酝法。
右三酝既毕。用腊纸密封。莫令气泄。于静处安。候香熟。每服取五合。不拘时相续饮
之。常令半醺。无至醉吐为妙。
【论述】风腿的症状表现:四肢弛缓无力,无法收持;身体疼痛;肌肉虚胀;骨节松弛懈怠;腰部和脚部软弱无力;感觉迟钝,甚至不知痛痒。这是因为风邪侵入分肉(肌肉间隙),流注于血脉之中,导致营气和卫气稽留停滞,运行涩滞不畅,从而引起身体、骨节、肌肉、腰脚等处痹阻阻滞,无力且不能使用。若久治不愈,气血亏虚瘦弱,则会演变为水病(水肿)。
治疗风腿引起的四肢弛缓无力、骨节疼痛、皮肤麻木不仁、肌肉虚胀、腰脚沉重、行动无力的方剂:五加皮汤。
药材:五加皮、萆薢、独活(去除芦头)、防己、牛膝(酒浸后切片焙干,各二两)、桂枝(去除粗皮)、赤茯苓(去除黑皮)、茵芋、海桐皮(以上九味药,每味三分)。
上一十八味药。锉碎如麻豆大小。每次服用五钱匕。加水一盏半,放入生姜一块如枣大拍碎,一同煎煮至七分量,去渣温服,不拘时间。
治疗风腿引起的四肢弛缓不收、身面浮肿、筋骨怠惰、皮肤麻木不仁的方剂:独活汤。
药材:独活(去除芦头)、防风(去除叉枝)、赤茯苓(去除黑皮)、防己、赤芍药、桂枝(去除粗皮,各二两)、川芎、辛夷(去除苗叶,各半两)。
上一十四味药。锉碎如麻豆大小。每次服用五钱匕。加水一盏半,放入生姜一块如枣大拍碎,大枣两枚劈破,一同煎煮取七分量,去渣温服。每日两次,夜间一次。
治疗风腿引起的肌肉虚胀、四肢弛缓不收、骨节疼痛的方剂:防风汤。
药材:防风(去除叉枝)、五加皮(锉碎)、附子(炮裂后去皮脐)、萆薢、薏苡仁、桂枝(去除粗皮,各一两)、牛膝(酒浸后切片焙干)、独活(去除芦头)、赤茯苓(去除黑皮)、当归(切片焙干)、杜仲(去除粗皮炙烤)、海桐皮。
上一十五味药。锉碎如麻豆大小。每次服用五钱匕。加水一盏半,放入生姜一块如枣大拍碎,一同煎煮至一盏量,去渣温服,不拘时间。
治疗风腿引起的四肢弛缓不收的苍耳汤浸洗方:
药材:苍耳(五升,苗也可用)、羊桃(四升二合,细锉)、蒴藋(切,二升半)、赤小豆(二升半)、食盐(适量)。
上五味药。用水一石五斗,煮取一石水量,去渣,调节温度适宜,浸泡患处的脚部。注意不要超过绝骨穴。每次浸泡一顿饭的时间后取出。不要让药汤变冷,可以将药汤反复加热更换使其保持温热。如果全身出汗则病愈,之后每隔三日浸洗淋浇一次。注意避风。
治疗风腿引起的肢体弛缓不收、失音不语的蓖麻酒方:
药材:蓖麻子油(一升)、酒(一斗)。
上二味药。同置于银石器中,搅拌均匀,隔水炖煮一天,不停搅拌。待熟透后,每次服用三合。空腹时,半夜和睡前各服一次。初服时吐出风涎不要惊慌,如果不吐说明涎液未出。
治疗风腿引起的四肢弛缓不收、失音不语的杏仁酝酒方:
药材:杏仁(汤浸后去皮尖双仁者,三斗)、糯米(一石,簸去糠秕)、麦曲(二十斤,焙干捣为末)。
上三味药。先取杏仁二斗捣碎,再放入砂盆内烂研。逐渐加入水八斗,边研磨边绞汁,取尽汁液去渣。煎煮取四斗尝之,若味道香滑则说明已熟。倒入不透气的瓮中,按规定盖好密封,制成三份料酒的酒醅。
第一次酿制:取糯米六斗,蒸成饭。用曲末十二斤拌和。又取杏仁四升烂研,逐渐加入水一斗六升,煎取八升,温度适宜后,投入前面的药瓮中酝酿。使米粒糜烂溃散。
第二次酿制:取糯米二斗蒸饭。用曲末四斤拌和。又取杏仁三升烂研,逐渐加入水一斗一升,煎取六升,温度适宜后,投入前面的药瓮中。
第三次酿制:使用米、曲、杏仁水汁,一切按照第二次酿制的方法进行。
以上三次酿制完成后,用腊纸密封,不让气体泄漏,放置在安静处。待香气成熟后,每次服用五合,不拘时间连续饮用。常令微醉,以不致醉吐为妙。
[Discussion] The manifestations of Wind Leg (Feng Tui) include: flaccidity and weakness of the four limbs, inability to hold or move them; body pain; distension and fullness of muscles; laxity and debility of bone joints; weakness of the waist and feet; dull sensation or even loss of proprioception. This is because Wind Pathogen invades the fenrou (intermuscular spaces), flows into the blood vessels, causing Qiying (Nutritive Qi) and Weiqi (Defensive Qi) to stagnate and remain in place, resulting in sluggish and obstructed circulation. Consequently, the body, bone joints, muscles, waist, and feet become bi-occluded (blocked by pathogenic factors), weak, and unusable. If not cured for a long time, with the depletion of Qi and Blood leading to emaciation, it may transform into Shuibing (Water Disease/Edema).
Formula for treating Wind Leg characterized by flaccidity and weakness of the four limbs, bone joint pain, skin numbness, muscle distension, heaviness of the waist and feet, and lack of strength in movement: Wujiapi Tang (Five-Acanthopanax Decoction).
Herbs: Wujiapi (Cortex Acanthopanacis), Bixie (Rhizoma Dioscoreae Hypoglaucae), Duhuo (Radix Angelicae Pubescentis) [remove rhizome head], Fangji (Radix Stephaniae Tetrandrae), Niuxi (Radix Achyranthis Bidentatae) [soaked in wine, sliced, and dried over heat, each 2 liang], Guizhi (Ramulus Cinnamomi) [remove rough bark], Chifuling (Poria with Red Core) [remove black skin], Yinyu (Fructus Ilicis Cornutae), Haitongpi (Cortex Erythrinae) [each 3 qian].
The above eighteen ingredients. Coarsely crush them like hemp seeds. Take 5 qianbi per dose. Add 1.5 zhan of water, one piece of fresh ginger (size of a jujube) smashed, decoct together until reduced to 0.7 zhan. Remove dregs and take warm, at any time.
Formula for treating Wind Leg characterized by flaccidity and non-retraction of the four limbs, edema of the face and body, laxity of sinews and bones, and skin numbness: Duhuo Tang (Angelica Pubescens Decoction).
Herbs: Duhuo (Radix Angelicae Pubescentis) [remove rhizome head], Fangfeng (Radix Saposhnikoviae) [remove forked branches], Chifuling (Poria with Red Core) [remove black skin], Fangji (Radix Stephaniae Tetrandrae), Chishao Yao (Radix Paeoniae Rubra), Guizhi (Ramulus Cinnamomi) [remove rough bark, each 2 liang], Xiong (Radix Chuanxiong), Xin Yi (Flos Magnoliae Borealis) [remove seedlings and leaves, each 0.5 liang].
The above fourteen ingredients. Crush them like hemp seeds. Take 5 qianbi per dose. Add 1.5 zhan of water, one piece of fresh ginger (size of a jujube) smashed, two jujubes split open. Decoct together to obtain 0.7 zhan. Remove dregs and take warm. Twice daily, once at night.
Formula for treating Wind Leg characterized by muscle distension, flaccidity and non-retraction of the four limbs, and bone joint pain: Fangfeng Tang (Saposhnikovia Decoction).
Herbs: Fangfeng (Radix Saposhnikoviae) [remove forked branches], Wujiapi (Cortex Acanthopanacis) [coarsely crushed], Fuzi (Radix Aconiti Lateralis Preparata) [processed until cracked, peel removed, umbilicus removed], Bixie (Rhizoma Dioscoreae Hypoglaucae), Yiyiren (Semen Coicis), Guizhi (Ramulus Cinnamomi) [remove rough bark, each 1 liang], Niuxi (Radix Achyranthis Bidentatae) [soaked in wine, sliced, and dried over heat], Duhuo (Radix Angelicae Pubescentis) [remove rhizome head], Chifuling (Poria with Red Core) [remove black skin], Danggui (Radix Angelicae Sinensis) [sliced and dried], Duzhong (Cortex Eucommiae) [remove rough bark, stir-fried], Haitongpi (Cortex Erythrinae).
The above fifteen ingredients. Crush them like hemp seeds. Take 5 qianbi per dose. Add 1.5 zhan of water, one piece of fresh ginger (size of a jujube) smashed. Decoct until reduced to 1 zhan. Remove dregs and take warm, at any time.
Canger Tang soaking and washing formula for treating Wind Leg characterized by flaccidity and non-retraction of the four limbs:
Herbs: Cang'er (Fructus Xanthii) [5 sheng, seedlings are also acceptable], Yangtao (Caulis Actinidiae Polygamae) [4 sheng 2 he, finely crushed], Shuodiao (Caulis Siegesbeckiae) [cut, 2.5 sheng], Chixiaodou (Semen Phaseoli Angularis) [2.5 sheng], Shiyen (Sal) [appropriate amount].
The above five ingredients. Use 15 dan of water, boil down to 1 dan. Remove dregs and adjust temperature to suit. Soak the affected foot. Do not exceed the Juegu acupoint. Soak for the duration of one meal, then remove. Do not let the liquid cool; you may repeatedly add hot liquid to keep it warm. If sweating occurs all over the body, the disease will heal. Afterward, soak and wash every three days. Avoid external wind.
Bimajiu (Castor Bean Wine) for treating Wind Leg characterized by limb flaccidity, aphasia, and muteness:
Herbs: Bimazi You (Oleum Ricini) [1 sheng], Jiu (Alcohol) [1 dou].
The above two ingredients. Place together in a silver or earthenware vessel, stir well. Simmer in a double boiler for one day, stirring continuously. When ready, take 3 he per dose. On an empty stomach, once at midnight and once before sleep. Initially, vomiting of wind-phlegm saliva is expected; do not be alarmed. If no vomiting occurs, the phlegm has not been expelled.
Xingren Yunjiu (Almond Fermented Wine) for treating Wind Leg characterized by limb flaccidity, aphasia, and muteness:
Herbs: Xingren (Semen Pruni Armeniacae) [soaked in boiling water, peel and bitter kernels removed, 3 dou], Nuomi (Glutinous Rice) [1 shi, winnowed to remove chaff], Maiqu (Malt) [20 jin, dried over heat and ground into powder].
The above three ingredients. First, take 2 dou of Xingren, pound them, then grind thoroughly in a mortar. Gradually add 8 dou of water, grinding and squeezing juice continuously until all juice is extracted and dregs removed. Boil down to 4 dou. Taste it; if fragrant and smooth, it is cooked. Pour into a watertight urn, cover according to method, and prepare three batches of fermentation.
First Fermentation: Take 6 dou of glutinous rice, steam into rice. Mix with 12 jin of malt powder. Take 4 sheng of Xingren, grind thoroughly. Gradually add 1.6 dou of water, boil down to 8 sheng. When temperature is suitable, pour into the previous medicinal urn to ferment. Allow the rice to break down completely.
Second Fermentation: Take 2 dou of glutinous rice, steam into rice. Mix with 4 jin of malt powder. Take 3 sheng of Xingren, grind thoroughly. Gradually add 1.1 dou of water, boil down to 6 sheng. When temperature is suitable, pour into the previous urn.
Third Fermentation: Use rice, malt, and almond water juice, following the method of the Second Fermentation entirely.
After the three fermentations are complete, seal tightly with wax paper to prevent gas leakage. Store in a quiet place. Wait until fragrant and ripe. Take 5 he per dose, drink continuously at any time. Maintain a state of mild intoxication; avoid drunkenness and vomiting.