论曰心者生之本,神之舍,所以主治五脏者也。脚弱之疾,感于风多而湿证少,则风行
阳化。其应在心,令人神思不宁,心多惊悸也。
治香港脚风经五脏,夜卧不安,心中惊悸,志意不定,小便频数。木香丸方
木香 升麻 白术 芍药 枳壳(去瓤麸炒各一两) 白茯苓(去黑皮锉) 大黄(细
锉微
上八味。捣罗为末,炼蜜和丸,如梧桐子大。每服十丸,空心温酒下,日午再服,渐加
至十五丸,以微利为度。
治先有风证,后患香港脚,心闷愦愦,惊悸不安,食即呕吐胀满。独活汤方
独活(去芦头) 赤茯苓(去黑皮) 麻黄(去根节炒) 陈橘皮(汤浸去白炒各一两
半) 半
上九味。粗捣筛,每服三钱匕,用水一盏,入生姜半分拍破,同煎至七分,去滓温服,
若小便利兼汗即瘥,如无防葵,用龙骨代之。
治香港脚风经五脏,心下坚满,惊悸不宁。木香汤方
木香 羚羊角(镑) 赤茯苓(去黑皮) 陈橘皮(汤浸去白炒各一两) 犀角(镑半
两) 半
两) 乌梅(去核
上一十味,粗捣筛。每服三钱匕,水一盏,入生姜少许拍破,同煎至七分,去滓空心日
午晡时,各一服。
治香港脚风毒上冲,心忪惊悸,心下坚满。茯苓汤方
赤茯苓(去黑皮三两) 木香 半夏(汤洗七遍去滑) 独活(去芦头各一两半) 犀
角(镑)
(捣碎二两半) 贝母(去心炮七枚)
上一十一味, 咀。每服三钱匕,水一盏,入生姜一枣大拍破,同煎至七分,去滓温服,
不拘时候。
治两脚肿至膝,小腹引痛,膀胱急,宿水不宣,时复心闷,夜卧恍惚,昏热惊悸。茯苓
饮方
赤茯苓(去黑皮) 桑根白皮(炙锉) 防己 羚羊角(镑) 郁李仁(汤浸去皮尖) 木
香(各二两) 槟榔(碎五枚) 红雪(二两半旋入)
上八味,除红雪外,粗捣筛。每服五钱匕,水一盏半,煎取七分。绞去滓,内红雪二钱
匕,空腹温服,当快利三两行,须隔日服之。
治风毒散攻,下焦冷注,四肢疼痛,脚膝麻痹,及风邪干脏,心神恍惚,筋脉拘急。酸
枣仁汤方
酸枣仁(炒二两) 薏苡仁(炒一两半) 人参(三分) 茯神(去木一两) 麦门冬
(去心焙
上五味,粗捣筛。每服四钱匕,水一盏,煎至七分,去滓热服,不拘时,日三。
治香港脚风经五脏惊悸。羌活汤方
羌活(去芦头一两一分) 半夏(汤洗七遍去滑) 赤茯苓(去黑皮) 麻黄(去根节
炒) 槟
皮一两) 杏仁(
上九味,粗捣筛。每服五钱匕,水一盏半,生姜半分拍碎,煎至七分,去滓空心温服,
日午再服。
论述说:心是生命的根本,是神志的居所,因此主治五脏。脚弱(下肢痿软无力)的疾病,多因感受风邪所致,而湿证较少,所以风气盛行并化为阳热。其病变反映在心,导致人的神思不宁,心中经常惊悸不安。
治疗香港脚风邪侵入五脏,夜间睡眠不安,心中惊悸,意志不定,小便频数。木香丸方:
木香、升麻、白术、芍药、枳壳(去除瓤部,麸皮炒,各一两)、白茯苓(去除黑皮,锉碎)、大黄(细锉,微炒)。
以上八味药。捣碎过筛成为粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用十丸,空腹时用温酒送服,中午再服一次,逐渐增加至十五丸,以轻微腹泻为限度。
治疗先有风证,后患香港脚,心胸闷乱烦扰,惊悸不安,进食后即呕吐胀满。独活汤方:
独活(去除芦头)、赤茯苓(去除黑皮)、麻黄(去除根节,炒)、陈橘皮(热水浸泡,去除白色瓤部,炒,各一两半)、半夏(汤洗七遍,去滑腻)。
以上九味药。粗捣筛过,每次服用三钱匕,用水一盏,加入生姜半分拍破,一同煎煮至七分,去渣温服,如果小便通利且出汗即痊愈,如果没有防葵,可以用龙骨代替。
治疗香港脚风邪侵入五脏,心下坚硬胀满,惊悸不宁。木香汤方:
木香、羚羊角(镑片)、赤茯苓(去除黑皮)、陈橘皮(热水浸泡,去除白色瓤部,炒,各一两)、犀角(镑片,半两)、乌梅(去核,半两)。
以上十味药,粗捣筛过。每次服用三钱匕,水一盏,加入少许生姜拍破,一同煎煮至七分,去渣,在空腹、中午、傍晚时分,各服一次。
治疗香港脚风毒上冲,心中悸动惊悸,心下坚硬胀满。茯苓汤方:
赤茯苓(去除黑皮,三两)、木香、半夏(热水洗七遍,去滑腻)、独活(去除芦头,各一两半)、犀角(镑片)、贝母(去除心,炮制,七枚)、防风(去芦头,二两半)。
以上十一味药,切碎。每次服用三钱匕,水一盏,加入一块枣大的生姜拍破,一同煎煮至七分,去渣温服,不拘泥于特定时间。
治疗双脚肿胀至膝盖,小腹牵引疼痛,膀胱拘急,宿水不能排泄,时常感到胸闷,夜间睡眠恍惚,昏热惊悸。茯苓饮方:
赤茯苓(去除黑皮)、桑根白皮(炙烤后锉碎)、防己、羚羊角(镑片)、郁李仁(热水浸泡,去皮尖)、木香(各二两)、槟榔(捣碎,五枚)、红雪(二两半,临时加入)。
以上八味药,除红雪外,粗捣筛过。每次服用五钱匕,水一盏半,煎取七分。过滤去渣,加入红雪二钱匕,空腹温服,应当畅快排便两三次,需要隔日服用。
治疗风毒散攻,下焦寒冷注滞,四肢疼痛,脚膝麻痹,以及风邪侵犯脏腑,心神恍惚,筋脉拘急。酸枣仁汤方:
酸枣仁(炒,二两)、薏苡仁(炒,一两半)、人参(三分)、茯神(去除木质部分,一两)、麦门冬(去除心,焙干)。
以上五味药,粗捣筛过。每次服用四钱匕,水一盏,煎至七分,去渣热服,不拘时间,每日三次。
治疗香港脚风邪侵入五脏引起的惊悸。羌活汤方:
羌活(去除芦头,一两一分)、半夏(热水洗七遍,去滑腻)、赤茯苓(去除黑皮)、麻黄(去除根节,炒)、槟榔(去皮,一两)、杏仁(去皮尖,炒)。
以上九味药,粗捣筛过。每次服用五钱匕,水一盏半,生姜半分拍碎,煎至七分,去渣空腹温服,中午再服一次。
Commentary states: The Heart is the root of life and the residence of the Spirit (Shen), thus it governs the five Zang organs. Diseases of leg weakness are mostly caused by Wind pathogen invasion, with Dampness being less common; therefore, Wind prevails and transforms into Yang-Heat. Its manifestation corresponds to the Heart, causing mental restlessness and frequent palpitations (Jingji).
Treatment for Hongjiao (Gouty Arthritis/Leg Weakness) Wind invading the five Zang organs, manifesting as restless sleep at night, internal palpitations, unstable will, and frequent urination. Muxiang Wan Formula:
Muxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba), Zhike (Aurantii Fructus Immaturus, pith removed, stir-fried with bran, each 1 liang), Baifuling (Poria, black skin removed, sliced), Dahuang (Rhei Radix et Rhizoma, finely sliced, slightly stir-fried).
The above eight herbs. Pounded and sieved into powder, mixed with refined honey to form pills the size of Sophora seeds. Take ten pills per dose, swallowed with warm wine on an empty stomach, take again at noon, gradually increase to fifteen pills, stopping when mild diarrhea occurs.
Treatment for cases where Wind syndrome existed first, followed by Hongjiao, manifesting as chest oppression and confusion, palpitations and unrest, vomiting and fullness immediately after eating. Duhuo Tang Formula:
Duhuo (Angelicae Pubescentis Radix, rhizome removed), Chifuling (Poria with red coating, black skin removed), Mahuang (Ephedrae Herba, roots and joints removed, stir-fried), Chenjuapi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, stir-fried, each 1.5 liang), Banxia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness).
The above nine herbs. Coarsely pounded and sieved. Take three qianbi per dose, add one zhan of water and half a qianbi of fresh ginger (shattered), decoct together until reduced to 70%. Strain and take warm. If urination becomes free and sweating occurs, the disease will heal. If Fangkui is unavailable, use Longgu (Fossilized Bones) as a substitute.
Treatment for Hongjiao Wind invading the five Zang organs, manifesting as hardness and fullness below the heart, and restless palpitations. Muxiang Tang Formula:
Muxiang (Aucklandiae Radix), Lingyangjiao (Saigae Tataricae Cornu, shaved), Chifuling (Poria with red coating, black skin removed), Chenjuapi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, stir-fried, each 1 liang), Xijiao (Rhinocerotis Cornu, shaved, 0.5 liang), Wumei (Mume Fructus, pits removed, 0.5 liang).
The above ten herbs. Coarsely pounded and sieved. Take three qianbi per dose, add one zhan of water and a little fresh ginger (shattered), decoct together until reduced to 70%. Strain and take at empty stomach, noon, and dusk.
Treatment for Hongjiao Wind-Toxin rushing upward, manifesting as internal palpitations and fright, and hardness/fullness below the heart. Fuling Tang Formula:
Chifuling (Poria with red coating, black skin removed, 3 liang), Muxiang (Aucklandiae Radix), Banxia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness), Duhuo (Angelicae Pubescentis Radix, rhizome removed, each 1.5 liang), Xijiao (Rhinocerotis Cornu, shaved), Beimu (Fritillariae Thunbergii Bulbus, core removed, processed, seven bulbs), Fangfeng (Saposhnikoviae Radix, rhizome removed, 2.5 liang).
The above eleven herbs. Cut into pieces. Take three qianbi per dose, add one zhan of water and a date-sized piece of fresh ginger (shattered), decoct together until reduced to 70%. Strain and take warm, without restriction on time.
Treatment for swelling of both legs up to the knees, pulling pain in the lower abdomen, urgency of the Bladder, retention of old fluids, occasional chest oppression, vague sleep at night, dizziness, heat, and palpitations. Fuling Yin Formula:
Chifuling (Poria with red coating, black skin removed), Sangbaipipi (Mori Cortex, roasted and sliced), Fangji (Stephaniae Tetrandrae Radix), Lingyangjiao (Saigae Tataricae Cornu, shaved), Yuliren (Pruni Semen, soaked in water, skin and tips removed), Muxiang (Aucklandiae Radix, each 2 liang), Binglang (Arecae Semen, crushed, five seeds), Hongxue (Red Snow/Sugar Candy, 2.5 liang, added just before serving).
The above eight herbs. Except for Hongxue, coarsely pounded and sieved. Take five qianbi per dose, add one and a half zhan of water, decoct until reduced to 70%. Strain and filter, add two qianbi of Hongxue, take warm on an empty stomach. Expect brisk bowel movements two or three times; administer every other day.
Treatment for Wind-Toxin dispersing and attacking, cold stagnation in the Lower Jiao, pain in the four limbs, numbness of feet and knees, Wind-Evil interfering with Zang organs, vague spirit, and tendon vessel spasm. Suanzaoren Tang Formula:
Suanzaoren (Ziziphi Spinosae Semen, stir-fried, 2 liang), Yiyiren (Coicis Semen, stir-fried, 1.5 liang), Renshen (Ginseng Radix et Rhizoma, 3 fen), Fushen (Poria with Pinus Root, wood removed, 1 liang), Maimendong (Ophiopogonis Radix, core removed, roasted).
The above five herbs. Coarsely pounded and sieved. Take four qianbi per dose, add one zhan of water, decoct until reduced to 70%. Strain and take hot, without restriction on time, three times daily.
Treatment for Hongjiao Wind invading the five Zang organs causing palpitations. Qianghuo Tang Formula:
Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed, 1 liang 1 fen), Banxia (Pinelliae Rhizoma, washed seven times in water to remove slipperiness), Chifuling (Poria with red coating, black skin removed), Mahuang (Ephedrae Herba, roots and joints removed, stir-fried), Binglang (Arecae Semen, skin removed, 1 liang), Xingren (Armeniacae Semen Amarum, skin and tips removed, stir-fried).
The above nine herbs. Coarsely pounded and sieved. Take five qianbi per dose, add one and a half zhan of water and half a qianbi of fresh ginger (shattered), decoct until reduced to 70%. Strain and take warm on an empty stomach, take again at noon.