病源历节风之状。短气白汗出。历节疼痛不可忍。屈伸不得是也。由饮酒腠理开。汗出
当风所致。亦有血气虚受风邪而得之者。风历关节。与血气相搏交击。故疼痛。血气虚则汗
出。风冷搏于筋。则不可屈伸。为历节风也。(出第二卷中)
深师大风引汤。疗男女历节风大虚。手脚曲戾或变狂走。或悲笑。言语错乱。无所不疗
方。
茯苓 防风 当归 白前 干姜 甘草(炙各二两) 大豆(一升) 生姜 独活(各
三两) 远志(去心) 附子(炮) 人参(各一两) 大枣(三十枚)
上十三味切。先以水一斗五升。煮豆枣取一斗。去滓。纳诸药。煮取三升。分为五服。
忌海藻菘菜猪肉醋物蒜面生菜等物。(出第九卷中)
千金论曰∶夫历节风着人久不疗者。令人骨节蹉跌。变成癫病。不可不知。古今以来。
无问贵贱。往往苦之。此是风之毒害者也。疗之虽有汤药。而并不及松膏松节酒。若 旅家
贫不可急办者。宜服诸汤。犹胜不疗。但于痛处灸三七壮佳。又防己汤。疗风发历节。四肢
疼痛。如捶 不可忍者方。
防己 茯苓 白术 桂心 生姜(各四分) 人参(二两) 乌头(七枚炮) 甘草(三
两炙)
上八味切。以苦酒一升。水一斗合。煮取三升半。一服八合。日三夜一。当觉热痹忽忽
然。
宜
又大枣汤。疗历节疼痛方。
大枣(十五枚掰) 黄 (四两) 附子(一枚炮) 生姜(一两) 麻黄(五两去节)
甘草(
一尺炙)
上六味切。以水七升。煮取三升。服一升。日三。忌猪肉冷水海藻菘菜。(古今录验同)
又疗历节诸风。百节酸疼不可忍方。
松脂(三十斤炼五十遍不能五十遍二十遍亦可用)
上一味以炼苏三升。温和松脂三升。熟搅令极调。旦空腹以酒服方寸匕。日三。数数食
面粥为佳。慎血腥。生冷。酢物。果子。百日瘥。
又松节酒。主历节风。四肢疼痛犹如解落方。(通按 音投酒再酿也)
松节(四十斤细锉以水四石煮取一石) 猪椒叶(四十斤细锉以水四石煮取一石)
上二味澄清。合渍干曲五斗候发。以糯米四石五斗酿之。依家酝法四 。勿令寒冷热。
第一 时下后诸药。
柏子仁(五两) 磁石(十二两末) 独活(十五两) 天雄(五两炮) 茵芋(四两
炙) 防风
(十两) 秦艽(六两) 芎 (五两) 人参(四两) 萆 (五两)
上十味细切。纳饭中炊之。下 为池。 足讫。封头四十日。押取清。适性服之。勿令
至醉吐。忌猪肉冷水。
又方
松膏一升捣。酒三升浸七日。服一合。日再。数剂即愈。
又方
松叶三十斤。酒二石五斗。渍三七日。服一合。日五六。(并出第八卷中)
延年疗历节风四肢头面肿方。
黄 (十二分) 独活(八分) 生地黄(切三升曝干) 豆豉(一升熬) 鼠粘子(三
升曝
干)
上五味捣筛为散。一服方寸匕。饮汁下。日二服。加至二三匕。忌芜荑蒜面猪肉。(一
方无鼠粘子)
又疗历节风流入腰脚方。
独活(六两) 玄参(四两) 犀角(屑) 升麻(各三两) 生地黄(切三升曝干) 豉
(三合
熬) 鼠粘根(切三升曝干)
上七味捣筛为散。服方寸匕。饮汁下。日二服。加至二三匕。忌芜荑蒜面。(并出第十
卷中)
古今录验防风汤。主身体四肢节解疼痛如堕脱。肿按之皮急。(一作陷)头眩短气。温
温
闷乱如欲吐方。
防风 桂心 知母(各四两) 白术 生姜(各五两) 芍药 甘草(各三两炙) 附
子(二
枚炮)
上八味切。以水一斗。煮取三升。分为三服。忌生葱猪肉海藻菘菜桃李雀肉等。(出第
四卷中千金有半夏杏仁芎 为十味无附子)
【病源】历节风的症状表现为:气短、自汗出、关节剧烈疼痛难以忍受、屈伸活动受限。这是由于饮酒后腠理(皮肤毛孔)张开,出汗时受风邪侵袭所致;也有因气血虚弱,感受风邪而患此病的。风邪遍历关节,与气血相互搏击交击,因此产生疼痛;气血虚弱则导致汗出;风寒之邪搏结于筋脉,致使关节无法屈伸,这就是历节风。(出自第二卷)
【方剂一】深师大风引汤。治疗男女历节风导致的极度虚弱,手脚弯曲畸形或变为狂躁奔走,或悲笑无常,言语错乱,无所不治的方子。
茯苓、防风、当归、白前、干姜、甘草(炙,各二两)、大豆(一升)、生姜、独活(各三两)、远志(去心)、附子(炮制)、人参(各一两)、大枣(三十枚)。
以上十三味药切碎。先用水一斗五升,煮大豆和大枣至剩下一斗水,滤去药渣。加入其余药物,煮取三升药液,分五次服用。忌食海藻、菘菜(白菜类)、猪肉、醋制品、蒜、面食、生菜等物。(出自第九卷)
【论述】《千金方》论曰:历节风若附着人体长久不愈,会导致骨节错位变形,演变成癫病,这一点不可不知。自古以来,无论贵贱,往往有人深受其苦。这是风邪毒害严重的表现。治疗虽有汤药,但都不如松膏、松节酒有效。如果贫寒之家不能立即备齐这些药材,适宜服用其他汤药,这也比不治疗要好。只是在疼痛部位施灸三七壮为佳。另外,防己汤可治疗风邪引发的历节风,四肢疼痛如被捶打般难以忍受的方子。
防己、茯苓、白术、桂心、生姜(各四分)、人参(二两)、乌头(七枚,炮制)、甘草(三两,炙)。
以上八味药切碎,用苦酒(醋)一升、水一斗混合,煮取三升半药液。每次服用八合,每日三次,夜间一次。服药后应当感觉身体发热,痹症症状忽然而解。
【方剂二】大枣汤。治疗历节疼痛的方子。
大枣(十五枚,掰开)、黄芪(四两)、附子(一枚,炮制)、生姜(一两)、麻黄(五两,去节)、甘草(一尺,炙)。
以上六味药切碎,用水七升,煮取三升药液。每次服用一升,每日三次。忌食猪肉、冷水、海藻、菘菜。(古今录验方相同)
【方剂三】又治疗历节诸风,全身百节酸痛难以忍受的方子。
松脂(三十斤,炼制五十遍;若不能炼五十遍,二十遍也可使用)。
将上述一味药放入炼好的酥油三升中,温和加热松脂三升,充分搅拌使其调和均匀。早晨空腹时用酒送服方寸匕大小的量,每日三次。期间经常食用面粥为佳。慎食腥膻肉类、生冷食物、酸味食物、果子。百日后可痊愈。
【方剂四】又松节酒。主治历节风,四肢疼痛犹如关节脱落般的方子。(通按:“投”音tóu,指再次酿酒发酵)
松节(四十斤,细锉碎,用水四石煮取一石汁)、猪椒叶(四十斤,细锉碎,用水四石煮取一石汁)。
以上两味药澄清后,混合浸泡干曲五斗,等待发酵。用糯米四石五斗进行酿造。依照家酿方法操作,注意不要过冷过热。
第一步时下入以下诸药:
柏子仁(五两)、磁石(十二两,研末)、独活(十五两)、天雄(五两,炮制)、茵芋(四两,炙)、防风(十两)、秦艽(六两)、川芎(五两)、人参(四两)、萆薢(五两)。
以上十味药细切,放入饭中蒸熟。倒入容器中作为发酵池,封好口四十日。压榨取出清液。适量饮用,不要喝醉呕吐。忌食猪肉、冷水。
【方剂五】又一方。
松膏一升捣碎,用酒三升浸泡七日。每次服用一合,每日两次。服用数剂即可痊愈。
【方剂六】又一方。
松叶三十斤,酒二石五斗,浸泡三七二十一日。每次服用一合,每日五六次。(均出自第八卷)
【方剂七】延年疗历节风四肢头面肿方。
黄芪(十二分)、独活(八分)、生地黄(切碎三升,晒干)、豆豉(一升,炒熬)、鼠粘子(牛蒡子,三升,晒干)。
以上五味药捣碎筛成散剂。每次服用方寸匕大小,用饮汁送服。每日两次,可加至二三匕。忌食芜荑、蒜、面食、猪肉。(一方无鼠粘子)
【方剂八】又治疗历节风邪流入腰脚的方子。
独活(六两)、玄参(四两)、犀角(屑状)、升麻(各三两)、生地黄(切碎三升,晒干)、豉(三合,炒熬)、鼠粘根(切碎三升,晒干)。
以上七味药捣碎筛成散剂。每次服用方寸匕大小,用饮汁送服。每日两次,可加至二三匕。忌食芜荑、蒜、面食。(均出自第十卷)
【方剂九】古今录验防风汤。主治身体四肢关节疼痛如坠落脱落感,肿胀按压时皮肤紧绷(一作下陷),头晕目眩,气短,心中温温然闷乱似欲呕吐的方子。
防风、桂心、知母(各四两)、白术、生姜(各五两)、芍药、甘草(各三两,炙)、附子(二枚,炮制)。
以上八味药切碎,用水一斗,煮取三升药液,分三次服用。忌食生葱、猪肉、海藻、菘菜、桃李、雀肉等。(出自第四卷,《千金方》中有半夏、杏仁、川芎共十味,无附子)
[Pathogenesis] The manifestations of Li Jie Feng (Joint-Traveling Wind) include: shortness of breath, spontaneous sweating, severe joint pain that is unbearable, and inability to flex or extend the joints. This condition is caused by wind-pathogen invasion while pores are open after drinking alcohol and sweating; it can also result from wind-pathogen invasion due to deficiency of Qi and Blood. The wind-pathogen traverses the joints and battles with Qi and Blood, causing pain; deficiency of Qi and Blood leads to sweating; cold-wind pathogen binds to the sinews, resulting in stiffness and inability to move. This is called Li Jie Feng. (From Volume 2)
[Formula 1] Shen Shi Da Feng Yin Tang (Deep Great Master's Great Wind Guiding Decoction). Treats extreme debility in men and women caused by Li Jie Feng, where hands and feet become deformed or rigid, or manifest as manic running, inappropriate laughing or crying, and disordered speech. It is a comprehensive formula for such conditions.
Fuling (Poria), Fangfeng (Saposhnikovia Root), Danggui (Angelica Sinensis), Baiqian (Cynanchum Stauntonii Rhizome), Ganjiang (Zingiberis Rhizoma), Zhigancao (Prepared Licorice Root, each 2 liang), Doudou (Soybean, 1 sheng), Shengjiang (Fresh Ginger), Duhuo (Angelica Pubescens), each 3 liang; Yuanzhi (Polygalae Radix, heart removed); Fuzi (Prepared Aconite Lateralis Radix), Renshen (Ginseng Radix), each 1 liang; Dazao (Jujube Fruit, 30 pieces).
Chop the above thirteen ingredients. First, boil the soybeans and jujubes in 15 sheng of water until reduced to 10 sheng. Strain out the dregs. Add the remaining herbs and decoct until 3 sheng remains. Divide into five doses. Avoid consuming Hai Zao (Sargassum), Song Cai (Chinese Cabbage), pork, vinegar products, garlic, wheat products, and raw vegetables. (From Volume 9)
[Discussion] The Qian Jin Fang states: If Li Jie Feng lingers in the body without treatment for a long time, it causes joint subluxation and deformity, evolving into epilepsy. This must be known. Since ancient times, regardless of status, many have suffered from this. It is a severe toxicity of wind. Although decoctions exist for treatment, they are not as effective as Song Gao (Pine Resin) and Song Jie Jiu (Pine Node Wine). If poor families cannot immediately procure these, taking other decoctions is still better than no treatment. Moxibustion of 37-70 moxa cones on the painful area is beneficial. Additionally, Fang Ji Tang treats wind-induced Li Jie Feng with limb pain as if beaten, which is unbearable.
Fangji (Stephaniae Tetrandrae Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Guixin (Cinnamomi Cortex), Shengjiang (Fresh Ginger), each 4 fen; Renshen (Ginseng Radix, 2 liang); Wutou (Aconiti Radix, 7 pieces, prepared); Zhigancao (Prepared Licorice Root, 3 liang).
Chop the above eight ingredients. Mix with 1 sheng of Ku Jiu (vinegar) and 10 sheng of water. Decoct until 3.5 sheng remains. Take 8 ge per dose, three times daily and once at night. After ingestion, one should feel warmth, and the bi-syndrome should suddenly resolve.
[Formula 2] Dazao Tang (Jujube Decoction). Treats Li Jie Feng pain.
Dazao (Jujube Fruit, 15 pieces, broken), Huangqi (Astragali Radix, 4 liang), Fuzi (Prepared Aconite Lateralis Radix, 1 piece, prepared), Shengjiang (Fresh Ginger, 1 liang), Mahuang (Ephedrae Herba, 5 liang, nodes removed), Zhigancao (Prepared Licorice Root, 1 chi length).
Chop the above six ingredients. Boil in 7 sheng of water until 3 sheng remains. Take 1 sheng per dose, three times daily. Avoid pork, cold water, Hai Zao (Sargassum), and Song Cai (Chinese Cabbage). (Same as Gujin Lu Yan)
[Formula 3] Another formula for treating various winds of Li Jie Feng, with unbearable soreness and pain in all joints.
Songzhi (Pine Resin, 30 jin, refined fifty times; if not possible, twenty times is acceptable).
Place this single ingredient in 3 sheng of refined Su (clarified butter/ghee). Warm and melt 3 sheng of Songzhi, stirring thoroughly until well blended. In the morning on an empty stomach, take a dose equivalent to a "Fang Cun Bi" (square inch spoonful) with wine. Three times daily. Frequent consumption of noodle congee is recommended. Avoid fishy/meaty foods, raw/cold foods, sour foods, and fruits. Recovery occurs within 100 days.
[Formula 4] Song Jie Jiu (Pine Node Wine). Mainly treats Li Jie Feng with limb pain resembling joint dislocation. (Note: "Tou" refers to re-fermenting wine).
Songjie (Pine Nodes, 40 jin, finely chopped, boiled in 4 shi of water to yield 1 shi liquid); Zhu Jiao Ye (Zanthoxyli Folium, 40 jin, finely chopped, boiled in 4 shi of water to yield 1 shi liquid).
Clarify the two liquids. Mix and soak 5 dou of dry Qu (yeast starter) until fermentation begins. Brew using 4.5 shi of glutinous rice. Follow home-brewing methods. Keep temperature moderate, neither too cold nor too hot.
Add the following ten herbs at the first stage:
Baiziren (Platycladi Semen, 5 liang), Cishi (Hematitum, 12 liang, powdered), Duhuo (Angelica Pubescens, 15 liang), Tianxiong (Aconiti Kusnezoffii Radix Preparata, 5 liang, prepared), Yinyu (Berberidis Aristatae Caulis, 4 liang, processed), Fangfeng (Saposhnikovia Root, 10 liang), Qinjiao (Gentianae Macrophyllae Radix, 6 liang), Xiongqiong (Ligustici Chuanxiong Rhizoma, 5 liang), Renshen (Ginseng Radix, 4 liang), Bixie (Smilacis Glabrae Rhizoma, 5 liang).
Finely chop the above ten ingredients. Steam them with rice. Pour into a fermentation vessel. Seal for 40 days. Press to extract the clear liquor. Drink according to tolerance, avoiding intoxication and vomiting. Avoid pork and cold water.
[Formula 5] Another prescription.
Songgao (Pine Resin Ointment, 1 sheng), crushed and soaked in 3 sheng of wine for seven days. Take 1 ge per dose, twice daily. Several doses lead to cure.
[Formula 6] Another prescription.
Songye (Pinus Massoniana Needle, 30 jin), soaked in 2.5 shi of wine for 21 days (three sevens). Take 1 ge per dose, five to six times daily. (Both from Volume 8)
[Formula 7] Yannian Formula for Treating Li Jie Feng with Swelling of Limbs, Head, and Face.
Huangqi (Astragali Radix, 12 fen), Duhuo (Angelica Pubescens, 8 fen), Shengdihuang (Rehmanniae Radix Recens, 3 sheng, cut and dried), Douchi (Sojae Semen Praeparatum, 1 sheng, roasted), Niuzi (Arctii Fructus, 3 sheng, dried).
Grind the above five herbs into powder. Take a "Fang Cun Bi" dose, washed down with juice. Twice daily. Increase to two or three spoons if necessary. Avoid Wu Yi (Chrysanthemi Indici Flos), garlic, wheat products, and pork. (One version excludes Niuzi).
[Formula 8] Another formula for Li Jie Feng flowing into the waist and legs.
Duhuo (Angelica Pubescens, 6 liang), Xuanshen (Scrophulariae Radix, 4 liang), Xijiao (Rhinocerotis Cornu, shaved), Shengma (Cimicifugae Rhizoma, each 3 liang), Shengdihuang (Rehmanniae Radix Recens, 3 sheng, cut and dried), Chi (Fermented Soybean, 3 he, roasted), Niuzugen (Arctii Radix, 3 sheng, cut and dried).
Grind the above seven herbs into powder. Take a "Fang Cun Bi" dose, washed down with juice. Twice daily. Increase to two or three spoons if necessary. Avoid Wu Yi (Chrysanthemi Indici Flos), garlic, and wheat products. (Both from Volume 10)
[Formula 9] Gujin Lu Yan Fangfeng Tang. Mainly treats body and limb joint pain feeling like dislocation, swelling with tight skin upon pressure (or sinking), dizziness, shortness of breath, and internal heat with restlessness and nausea.
Fangfeng (Saposhnikovia Root), Guixin (Cinnamomi Cortex), Zhimu (Anemarrhenae Rhizoma), each 4 liang; Baizhu (Atractylodis Macrocephalae Rhizoma), Shengjiang (Fresh Ginger), each 5 liang; Shaoyao (Paeoniae Radix), Zhigancao (Prepared Licorice Root), each 3 liang; Fuzi (Prepared Aconite Lateralis Radix, 2 pieces, prepared).
Chop the above eight ingredients. Boil in 10 sheng of water until 3 sheng remains. Divide into three doses. Avoid raw green onions, pork, Hai Zao (Sargassum), Song Cai (Chinese Cabbage), peaches, plums, and sparrow meat. (From Volume 4; Qian Jin Fang has Banxia, Xingren, Xiongqiong making ten ingredients, without Fuzi).