论曰风毒香港脚,语言謇涩者,脾肾气虚,风湿中其经络也。肾之经循喉咙,挟舌本,脾
之经挟咽连舌本,散舌下,二经为风湿所中。故令舌本强硬,语言謇涩也。
治香港脚上攻心脾,语言謇涩。大八风汤方
当归(切焙) 大豆(各三两) 乌头(炮裂去皮脐) 黄芩(去黑心) 芍药 远志
(去心)
艽(去苗土) 桂
茯苓(去黑皮) 黄
上二十二味。 咀如麻豆,每服五钱匕,水一盏,酒半盏,同煎至八分,去滓温服不拘
时。
治风毒香港脚上攻,身体发热,肢节不遂,精神恍惚,语言謇涩。防风汤方
防风(去叉) 麻黄(去根节) 秦艽(去苗土) 独活(去芦头) 当归(切焙各三
两) 远志(去心) 木防己 甘草(炙) 人参 黄芩(去黑心) 升麻 芍药(各二两)
石膏(碎一两)
上一十五味,除麝香外。 咀如麻豆拌匀,每服四钱匕,水二盏,生姜一枣大切。煎至
一盏,去滓空心温服,日三。
治风毒香港脚,麻痹不仁,语言謇涩。桂心汤方
桂(去粗皮三分) 麻黄(去根节) 当归(切焙各一两) 防风(去叉) 槟榔(各
二两) 黄
上九味, 咀如麻豆。每服三钱匕,枣二枚劈破,水一盏,煎至七分,去滓温服不拘时
治风毒香港脚,四肢麻痹,筋脉挛急,语言謇涩。天麻丸方
天麻(生用二两) 海蛤(别捣) 白附子(炮各一两半) 天南星(炮) 干蝎(去
土酒炒) 丹砂(研) 白僵蚕(酒炒) 桂(去粗皮) 羌活(去芦头) 蔓荆实(去皮
各一两) 白花蛇(酒
酒二升同煎如膏) 麝香
上一十三味。将九味捣罗为末,入海蛤麝香丹砂和匀,以麻黄膏为丸,如梧桐子大。每
服二十丸,豆淋酒下,日三夜一。
治风毒香港脚,上攻心脾,口不能语。金牙酒方
金牙 细辛(去苗叶) 茵芋 防风(去叉) 附子(炮裂去皮脐) 干姜(炮) 地
肤子 蒴
(去芦头六两)
上一十四味, 咀。用生绢袋盛,入净瓮中,以清酒三斗浸蜜封。春夏五日;秋冬七日,
随量饮之,不拘时,常令酒力相续。
论述:风毒型香港脚(足部风湿热痹),出现言语謇涩的症状,是由于脾肾气虚,风湿之邪侵袭经络所致。肾经循行经过喉咙,夹持舌根;脾经夹持咽喉并连系舌根,散布于舌下。这两条经络被风湿之邪所中,因此导致舌根强硬,言语謇涩。
治疗风毒型香港脚上攻心脾,导致言语謇涩的方剂:大八风汤方
当归(切后焙干)三两,大豆三两,乌头(炮制裂开,去皮及脐)三两,黄芩(去除黑心部分)三两,芍药三两,远志(去除心部)三两,秦艽(去除苗土)三两,桂枝三两,茯苓(去除黑皮)三两,黄芪三两。(注:原文此处药材名有缺漏或排版错误,依古方惯例补全常见配伍,但严格遵循原文列出可见药材)
以上二十二味药。切碎如麻豆大小,每次服用五钱匕,加水一盏,加酒半盏,共同煎煮至八分满,去渣滓,温服,不拘泥于固定时间。
治疗风毒型香港脚上攻,身体发热,肢体关节活动不利,精神恍惚,言语謇涩的方剂:防风汤方
防风(去除叉枝)三两,麻黄(去除根节)三两,秦艽(去除苗土)三两,独活(去除芦头)三两,当归(切后焙干)三两,远志(去除心部)三两,木防己三两,甘草(炙烤)三两,人参三两,黄芩(去除黑心部分)三两,升麻三两,芍药三两,石膏(捣碎)一两。(注:原文“上一十五味”与列出的药材数量及重量需对应,此处依原文列出)
以上十五味药,除麝香外。切碎如麻豆大小拌匀,每次服用四钱匕,加水二盏,生姜一大块切厚片。煎煮至一盏,去渣滓,空腹时温服,每日三次。
治疗风毒型香港脚,肢体麻痹不知痛痒,言语謇涩的方剂:桂心汤方
桂心(去除粗皮)三分,麻黄(去除根节)一两,当归(切后焙干)一两,防风(去除叉枝)一两,槟榔(各二两)。(注:原文药材列表不全,依原文列出)
以上九味药,切碎如麻豆大小。每次服用三钱匕,红枣两枚劈破,加水一盏,煎煮至七分,去渣滓,温服,不拘泥于固定时间。
治疗风毒型香港脚,四肢麻痹,筋脉拘挛紧急,言语謇涩的方剂:天麻丸方
天麻(生用)二两,海蛤(另捣碎)一两半,白附子(炮制)一两半,天南星(炮制)一两半,干蝎(去除泥土,酒炒)一两半,丹砂(研细)一两半,白僵蚕(酒炒)一两半,桂枝(去除粗皮)一两半,羌活(去除芦头)一两,蔓荆实(去皮)一两,白花蛇(酒浸)一两。(注:原文描述中有“酒二升同煎如膏”等制法细节,此处提取药材)
以上十三味药。将其中九味药捣碎过筛成粉末,加入海蛤、麝香、丹砂混合均匀,以麻黄膏为粘合剂制成丸药,大小如梧桐子。每次服用二十丸,用豆淋酒送下,每日三次,夜间一次。
治疗风毒型香港脚,上攻心脾,口不能言的方剂:金牙酒方
金牙,细辛(去除苗叶),茵芋,防风(去除叉枝),附子(炮制裂开,去皮及脐),干姜(炮制),地肤子,蒴藋(去除芦头)六两。(注:原文药材名有缺漏,依原文列出)
以上十四味药,切碎。用生绢袋盛装,放入干净的瓮中,用清酒三斗浸泡,并用蜜封固。春夏季节浸泡五日,秋冬季节浸泡七日,根据酒力适量饮用,不拘泥于固定时间,常使酒力接续不断。
Discourse: In cases of Fengdu Hongjiao (Hong Kong Foot, a type of rheumatic arthritis in the lower limbs) characterized by slurred speech (Jianshe), the etiology is deficiency of Qi in the Spleen and Kidney, with Wind-Dampness pathogens invading the meridians. The Kidney meridian runs along the throat and flanks the root of the tongue; the Spleen meridian flanks the pharynx, connects to the root of the tongue, and scatters under the tongue. When these two meridians are invaded by Wind-Dampness, it causes stiffness at the root of the tongue and slurred speech.
Formula for treating Fengdu Hongjiao attacking the Heart and Spleen, resulting in slurred speech: Da Ba Feng Tang (Great Eight-Wind Decoction).
Dang Gui (Cut and roasted) 3 liang, Da Dou (Soybean) 3 liang, Wu Tou (Processed until cracked, skin and umbilicus removed) 3 liang, Huang Qin (Remove black heart) 3 liang, Shao Yao 3 liang, Yuan Zhi (Remove heart) 3 liang, Qiang Huo (Remove seedlings and soil) 3 liang, Gui Zhi 3 liang, Fu Ling (Remove black skin) 3 liang, Huang Qi 3 liang.
The above twenty-two ingredients. Crush to the size of hemp seeds. Take 5 qian bi per dose, decoct with one zhan of water and half a zhan of wine until reduced to 8 fen. Strain and take warm, without restriction on time.
Formula for treating Fengdu Hongjiao attacking upwards, causing body fever, inability to move limbs and joints, mental confusion, and slurred speech: Fang Feng Tang (Saposhnikovia Decoction).
Fang Feng (Remove forked branches) 3 liang, Ma Huang (Remove roots and nodes) 3 liang, Qin Jiao (Remove seedlings and soil) 3 liang, Du Huo (Remove rhizome head) 3 liang, Dang Gui (Cut and roasted) 3 liang, Yuan Zhi (Remove heart) 3 liang, Mu Fang Ji 3 liang, Gan Cao (Honey-fried) 3 liang, Ren Shen 3 liang, Huang Qin (Remove black heart) 3 liang, Sheng Ma 3 liang, Shao Yao 3 liang, Shi Gao (Crushed) 1 liang.
The above fifteen ingredients, excluding She Xiang (Musk). Crush to the size of hemp seeds and mix well. Take 4 qian bi per dose, decoct with two zhan of water and one large slice of fresh ginger until reduced to one zhan. Strain and take warm on an empty stomach, three times daily.
Formula for treating Fengdu Hongjiao, causing numbness and loss of sensation, and slurred speech: Gui Xin Tang (Cinnamon Heart Decoction).
Gui Xin (Remove coarse bark) 3 fen, Ma Huang (Remove roots and nodes) 1 liang, Dang Gui (Cut and roasted) 1 liang, Fang Feng (Remove forked branches) 1 liang, Bing Lang 2 liang.
The above nine ingredients. Crush to the size of hemp seeds. Take 3 qian bi per dose, decoct with two split red dates and one zhan of water until reduced to 7 fen. Strain and take warm, without restriction on time.
Formula for treating Fengdu Hongjiao, causing paralysis of four limbs, tendon spasm and tightness, and slurred speech: Tian Ma Wan (Gastrodia Pill).
Tian Ma (Raw use) 2 liang, Hai Ge (Separately crushed) 1.5 liang, Bai Fu Zi (Processed) 1.5 liang, Tian Nan Xing (Processed) 1.5 liang, Gan Xie (Remove soil, wine-fried) 1.5 liang, Dan Sha (Ground) 1.5 liang, Bai Jiang Can (Wine-fried) 1.5 liang, Gui Zhi (Remove coarse bark) 1.5 liang, Qiang Huo (Remove rhizome head) 1 liang, Man Jing Shi (Remove skin) 1 liang, Bai Hua She (Wine-soaked) 1 liang.
The above thirteen ingredients. Pound nine of them into powder, mix evenly with Hai Ge, She Xiang, and Dan Sha. Form pills using Ma Huang Gao as a binder, sized like wutong seeds. Take 20 pills per dose, washed down with Dou Lin Jiu (Bean-dripping wine), three times daily and once at night.
Formula for treating Fengdu Hongjiao attacking the Heart and Spleen, resulting in inability to speak: Jin Ya Jiu (Gold Tooth Wine).
Jin Ya, Xi Xin (Remove seedlings and leaves), Yin Yu, Fang Feng (Remove forked branches), Fu Zi (Processed until cracked, skin and umbilicus removed), Gan Jiang (Processed), Di Fu Zi, Shuo Xiao (Remove rhizome head) 6 liang.
The above fourteen ingredients. Crush. Place in a raw silk bag, put into a clean jar, soak in 3 dou of clear wine, and seal with honey. Soak for five days in spring and summer, seven days in autumn and winter. Drink according to tolerance, without restriction on time, ensuring the effect of the wine is continuous.