凡香港脚虽复，诊候多涂，而三部之脉要，须不违四时者为吉，其逆四时者勿治，余如脉
经所说，此中不复具载。其人本黑瘦者易治，本肥大肉浓赤白者难愈，黑人耐风湿，赤自不
耐风
凡有人久患香港脚，不自知别，于后因他病发动，疗之得瘥。后直患呕吐而复脚弱，余为
诊之。乃告为香港脚，病者曰∶我平生不患脚肿，何因名为香港脚，不肯服汤。余医以为石发，
狐疑
不仁
凡患
凡香港脚之病，极须慎房室羊肉牛肉鱼蒜蕺菜菘菜蔓荆瓠子酒面酥油乳糜猪鸡鹅鸭。有方
用鲤鱼头，此等并切禁，不得犯之，并忌大怒。唯得食粳米梁米粟米酱豉葱韭薤椒姜橘皮，
又不
凡香港脚病枉死者众，略而言之，有三种。一觉之伤晚；二骄狠恣傲；三狐疑不决。此之
三种，正当枉死之色，世间虽有良医，而病患有性灵，堪受入者更复鲜少。故虽有骐骥而不
遇伯
过十
病皆
病源，凡香港脚病皆由感风毒所致也，得此病者多不即觉，或先无他病而忽得之，或因
众病后
淫淫如
不随；
发于
苦痛而兼下者，
便上入腹，入腹
便宜速疗之，
浮大而缓，宜
脉微而弱，宜
之冷热而用之
沉细而快者，
消息以意耳，
日服一剂，
服之，皆须
可作大鳖
气息料
弱，然
石，别
使心内
至
席，两
冷风痹，
酸疼，脚
脚涌泉挽
膝冷脚疼
膝头，向
一足向
痛痹急
吴氏窃寻苏长史唐侍中徐王等香港脚方，身经自患三二十年，各序气论，皆有道理。具述
灸穴
类同
苏长史论曰∶香港脚之为病，本因肾虚，多中肥溢肌肤者，无问男女，若瘦而劳苦，肌肤
薄实，皮肤浓紧者，纵患亦无死忧。一瘥以后，又不可久立蒸湿等地，多饮酒食面，心情忧
愦亦
也，又有不肿而缓弱，行卒屈倒，渐至不仁，毒瓦斯上阴攻心便死。急
然则缓风毒瓦斯，得其总称矣。近来诸医，多宗短剧所说，粗为详悉，
肘后单略，时有可依。集验亦遵短剧胡洽陶公微在梗概，并非身以
今略述病有数种，形证不同，一人经病三十年，中便数发，每发差
后用便增，一旬之内，变候不等，未能深达，往往致毙，固不可
时，因丁忧得此病，三十年中，已经六七度发每发几死，后发时
有异，依旧用差方疗。不复有效，更张乃瘳耳，一分同者，毒瓦斯
服侧子金牙酒，往往得瘥。此酒香港脚之要也，余无以加，痿蹙
分异者，毒瓦斯入腹，冷热不同，已经投药，虚实亦异，或补或
验香港脚脉三种，以缓脉为轻，沉紧为次，洪数者为下，自三十
者多死，洪数者并生，缓者不疗自瘥，大况如此。疗之违法，虽
生也，凡香港脚为疾，不同余病，风毒不退，未宜停药，比见病者
言疾自愈，废药不服，或已服药而患末退，诸药病相违，乃改为
略述所知，以示同病者。
苏凡香港脚病多以春末夏初发动，得之，皆因热蒸情地忧愦，春发如轻，夏发更重，入秋
少轻
士得
遍有
死极
专须
差，
医者
并经
苏凡香港脚病虽苦虚羸，要不可补之，补药唯宜冬月酒中用之。丸散亦不可补，服之胪胀
，非
而毙
则
若
哉
苏夫香港脚病不可常服补药，补药多令鼓胀紧实难救也。每月之中，须五六度行利为佳，
纵常
闷，
之，
苏诸毒瓦斯所攻，攻内则心急闷，不疗至死。若攻外毒出皮肤则不仁，不仁者膏摩之瘥；
若未
急宜
此
仍灸勿止，待肢体轻乃休矣。
苏疗香港脚不可全补，当依前论，随四时候病虚实疗之，常宜食犊肉犊蹄鲫鱼鲤鱼猪兔肉
葱
极
房
初
耳
服
苏凡香港脚复发，或似石发，恶寒壮热，头痛手足冷，或似疟发，发作有时，又似伤寒，
脉甚
平
大
苏凡香港脚虚病，猛在皮肤毒未入者，可服三五剂，大小竹沥汤唯宜多热者，大小续命汤
时宜可用，不宜多至十剂也。石斛酒及钟乳酒，恶于侧子，而伤缓钝小，石斛散及钟乳散宜
多冷
者服
气
不
每
头
渐
唐若头面及项，少似热气上，即露背膊取冷，勿使腰肾冷，其背膊冷，极浓着衣，须如
此姑息
添冷水
唐凡香港脚病患不能永瘥，至春夏还复发动，夏时腠理开不宜卧睡，睡觉令人按 ，勿使
邪气
步，
凡香港脚病虽然症状缓解，但诊察脉候仍有很多讲究，而寸、关、尺三部之脉，必须不违背四时阴阳变化规律才为吉兆；若违背四时规律则不宜治疗，其余内容如《脉经》所述，此处不再详细记载。原本形体黑瘦的人容易治愈，原本形体肥大、肌肉丰厚且肤色红白相间的人难以痊愈；黑人耐受风湿，红色皮肤者不耐受风邪。
凡是有人长期患有香港脚（脚气病），自己并不知晓区别，后来因其他疾病诱发，经过治疗得以痊愈。之后又直接出现呕吐并且脚部软弱无力，我替他诊治。于是告知他是香港脚病，病人说：“我平生没有患过脚肿，为什么称为香港脚？”不肯服用汤药。我将此医案记录在石头上（意为警示后人或留作纪念），以应对那些狐疑不定、肢体麻木不仁的患者。
凡是患香港脚病，极须谨慎房事，禁食羊肉、牛肉、鱼、蒜、蕺菜（鱼腥草）、菘菜（白菜）、蔓荆子、瓠子（葫芦）、酒、面、酥油、乳糜、猪、鸡、鹅、鸭等食物。有方剂用鲤鱼头，这些食物都严格禁止，不得触犯，并忌大怒。只可以吃粳米、梁米（小米类）、粟米、酱、豉、葱、韭、薤（小根蒜）、椒、姜、橘皮，又不……（原文此处似有缺漏或断句，依文意译为：饮食宜清淡温和）。
凡是香港脚病枉死的人很多，简略而言之，有三种情况导致死亡：一是对病情觉察太晚；二是骄横狠毒、放纵傲慢；三是狐疑不决。这三种态度正是导致死亡的征兆，世间虽有良医，但患者若有灵性、能听从医嘱接受治疗的更是稀少。所以虽然有千里马（喻良医）却遇不到伯乐（喻明理的患者）……超过十天……病皆……病因方面，凡香港脚病都是由感受风毒所致，得此病的人大多不会立即察觉，或者先前没有其他疾病而突然患病，或因多种疾病后……淫淫然如……不能随意移动；发作于……痛苦而且兼有下注症状的，……便向上进入腹部，进入腹部……应当迅速治疗，脉象浮大而缓，宜……脉象微而弱，宜……根据冷热病机来用药……脉象沉细而快者，……凭心意斟酌处理，每日服用一剂，……服用，都必须……可以制作大鳖……气息料……虚弱，然而……石头，另外……使心内……至……席，两……冷风痹，……酸疼，脚……脚涌泉穴挽……膝冷脚疼……膝头，向……一足向……痛痹急……吴氏私下探究苏长史、唐侍中、徐王等人的香港脚方，他们自身亲身患病三二十年，各自叙述气论，都有道理。具体叙述灸治穴位……类别相同……苏长史论述说：香港脚之为病，本因肾虚，多发生于肥满肌肤之人，无论男女，如果瘦弱且劳苦，肌肤薄实，皮肤浓紧的人，纵然患病也没有死亡之忧。一次痊愈以后，又不可久立蒸湿等地，多饮酒食面，心情忧闷烦躁也……也有不肿而缓弱，行走突然屈倒，逐渐至麻木不仁，毒瓦斯上攻阴位侵犯心脏便会死亡。紧急……那么缓风毒瓦斯，得到总称了。近来诸医，多宗法《肘后备急方》所说，粗略地详细完备，《肘后方》单略，有时可依循。《集验方》也遵循《肘后备急方》和胡洽、陶公的微言大义梗概，并非亲身经验……现在简略叙述病有数种，形证不同，一个人患病三十年，中间多次发作，每次发作差……后用便增加，一旬之内，变候不等，未能深达，往往致死，确实不可……当时，因遭父丧丁忧得此病，三十年中，已经六七度发作，每次发作几乎死去，后发时……有异，依旧用差方治疗。不再有效，更张乃瘳耳，一分同者，毒瓦斯……服用侧子金牙酒，往往得以痊愈。此酒是治疗香港脚的要方，我无以加，痿蹙……分异者，毒瓦斯入腹，冷热不同，已经投药，虚实亦异，或补或……验证香港脚脉三种，以缓脉为轻症，沉紧为次症，洪数者为重症，自三十……者多死，洪数者并生，缓者不疗自瘥，大况如此。疗之违法，虽……生也，凡香港脚为疾，不同于其他病，风毒不退，未宜停药，比见病者……言疾自愈，废药不服，或已服药而患末退，诸药病相违，乃改为……略述所知，以示同病者。
苏凡香港脚病多以春末夏初发动，得之，皆因热蒸情地忧愦，春发如轻，夏发更重，入秋……少轻……士得……遍有……死极……专须……差……医者……并经……苏凡香港脚病虽苦虚羸，要不可补之，补药唯宜冬月酒中用之。丸散亦不可补，服之胪胀……非……而毙……则……若……哉……苏夫香港脚病不可常服补药，补药多令鼓胀紧实难救也。每月之中，须五六度行利为佳，纵常……闷……之……苏诸毒瓦斯所攻，攻内则心急闷，不疗至死。若攻外毒出皮肤则不仁，不仁者膏摩之瘥；若未……急宜……此……仍灸勿止，待肢体轻乃休矣。
苏疗香港脚不可全补，当依前论，随四时候病虚实疗之，常宜食犊肉、犊蹄、鲫鱼、鲤鱼、猪兔肉……葱……极……房……初……耳……服……苏凡香港脚复发，或似石发（石痈），恶寒壮热，头痛手足冷，或似疟发，发作有时，又似伤寒，……脉甚……平……大……苏凡香港脚虚病，猛在皮肤毒未入者，可服三五剂，大小竹沥汤唯宜多热者，大小续命汤……时宜可用，不宜多至十剂也。石斛酒及钟乳酒，恶于侧子，而伤缓钝小，石斛散及钟乳散宜……多冷……者服……气……不……每……头……渐……唐若头面及项，少似热气上，即露背膊取冷，勿使腰肾冷，其背膊冷，极浓着衣，须如……此姑息……添冷水……唐凡香港脚病患不能永瘥，至春夏还复发动，夏时腠理开不宜卧睡，睡觉令人按……勿使……邪气……步，
Although the symptoms of Hongkangjiao (Jiaqi disease, often corresponding to beriberi or gout in modern medicine) may subside, pulse diagnosis requires careful attention. The pulses at the Cun, Guan, and Chi positions must not violate the laws of the Four Seasons (the physiological changes associated with Spring, Summer, Autumn, and Winter) to be considered auspicious; if they violate these laws, treatment should be avoided. Other details are as described in *Mai Jing* (Classic of Pulse Diagnosis) and are not repeated here. Patients who are naturally dark-skinned and thin are easier to cure, while those who are naturally obese with thick flesh and reddish-white skin are difficult to heal. Dark-skinned individuals tolerate wind-dampness, whereas those with red complexions do not tolerate wind.
There are cases where a person has suffered from Hongkangjiao for a long time without realizing it, only to have it triggered by another illness later, which is then cured through treatment. Subsequently, vomiting occurs accompanied by weakness in the legs. Upon examination, I diagnosed it as Hongkangjiao. The patient said, "I have never had swollen feet in my life; why call it Hongkangjiao?" and refused to take decoctions. I recorded this case on stone to warn against hesitation and numbness (Bu Ren).
Patients with Hongkangjiao must strictly abstain from sexual activity and avoid consuming mutton, beef, fish, garlic, Houttuynia cordata (Zhe Cai), Chinese cabbage (Song Cai), Vitex fruit (Man Jing Zi), gourd (Hu Zi), alcohol, wheat products, butter, milk gruel, pork, chicken, goose, and duck. Although some formulas use carp heads, all the aforementioned foods are strictly prohibited. One must also avoid extreme anger. Permitted foods include japonica rice, sorghum, millet, soybean paste, fermented soybeans, green onion, leek, wild garlic (Xie), pepper, ginger, and tangerine peel.
Many patients die prematurely due to Hongkangjiao. Briefly, there are three causes of death: 1. Late recognition of the injury; 2. Arrogance and indulgence; 3. Indecision and doubt. These three attitudes lead to fatal outcomes. Even with excellent physicians, few patients possess the wisdom to accept treatment. Thus, even if one has a thoroughbred (metaphor for a skilled doctor), without a Bo Le (metaphor for an understanding patient)... [Text fragmentary]. Regarding etiology, Hongkangjiao is caused by the invasion of Wind-Toxin. Patients often do not notice it immediately; it may appear suddenly without prior illness, or follow other diseases... [Text fragmentary]. If pain is accompanied by downward flow... [Text fragmentary]. If it enters the abdomen, rapid treatment is required. A floating, large, and slow pulse indicates... [Text fragmentary]. A faint and weak pulse indicates... [Text fragmentary]. Medication should be adjusted according to cold and heat patterns... [Text fragmentary]. A deep, fine, and rapid pulse... [Text fragmentary]. Use discretion daily, taking one dose per day... [Text fragmentary]. All treatments require... [Text fragmentary]. Turtle can be prepared... [Text fragmentary]. Weakness... [Text fragmentary]. Stone... [Text fragmentary]. To prevent internal heart issues... [Text fragmentary]. Cold wind bi-syndrome... [Text fragmentary]. Soreness and pain in the feet... [Text fragmentary]. Yongquan (KI-1) point... [Text fragmentary]. Cold knees and painful feet... [Text fragmentary]. Wu Shi privately studied the Hongkangjiao formulas of Su Changshi, Tang Shizhong, and Prince Xu, who suffered from the disease for 20-30 years and documented their experiences logically. Specific acupuncture points are listed... [Text fragmentary].
Su Changshi states: Hongkangjiao originates from Kidney deficiency and mostly affects those with abundant flesh. Regardless of gender, thin individuals who labor and have tight, dense skin will rarely die from it. After recovery, one must not stand for long periods in damp places, drink excessively, eat wheat products, or become emotionally distressed. There are also cases without swelling but with weakness, sudden falling when walking, progressing to numbness, where toxin attacks the Yin and Heart, leading to death. Emergency measures... [Text fragmentary]. Then the general term for slow wind-toxin is established. Recent physicians rely on *Zhou Hou Bei Ji Fang* (Emergency Prescriptions Kept Up the Sleeve), which is somewhat detailed, though brief. *Ji Yan Fang* follows Hu Qia and Tao Hongjing's summaries, lacking personal experience... [Text fragmentary]. Now briefly describing several types of the disease with different manifestations. One person suffered for 30 years with multiple relapses... [Text fragmentary]. Changes within ten days vary, making deep understanding difficult, often leading to death... [Text fragmentary]. During mourning for a parent, the disease recurred 6-7 times in 30 years, nearly fatal each time... [Text fragmentary]. Using previous effective formulas no longer works; adjustments are needed. For identical toxin patterns, Cezi Jinya Jiu (Aconite and Gold Tooth Wine) often cures. This wine is essential for Hongkangjiao... [Text fragmentary]. For differing patterns where toxin enters the abdomen with varying cold/heat and deficiency/excess, tonification or purgation is used... [Text fragmentary]. Pulse verification for Hongkangjiao: Slow pulse is mild, Deep-Tight is moderate, Full-Rapid is severe. Of those over thirty... [Text fragmentary]. Rapid pulse patients survive, slow pulse patients may recover spontaneously. Treatment deviation leads to death. Unlike other diseases, Wind-Toxin must be cleared before stopping medication. Patients claiming self-healing stop meds prematurely... [Text fragmentary].
Su states: Hongkangjiao often flares in late spring and early summer due to heat steaming and emotional distress. Spring onset is mild, summer is severe, autumn is lighter... [Text fragmentary]. Although Hongkangjiao causes emaciation, tonification should generally be avoided. Tonics are suitable only in winter wines. Pills and powders for tonification cause abdominal distension and death... [Text fragmentary]. Hongkangjiao should not be treated with constant tonification, as it causes bloating and rigidity. Regular bowel movements (5-6 times a month) are beneficial... [Text fragmentary]. Toxin attacking internally causes heart anxiety and suffocation, leading to death if untreated. Toxin attacking externally causes skin numbness, treatable with ointment massage... [Text fragmentary]. Acupuncture should continue until limbs feel light.
Su states: Hongkangjiao cannot be fully tonified; treatment must follow seasonal variations and deficiency/excess patterns. Diet should include veal, calf hooves, crucian carp, carp, pork, rabbit... [Text fragmentary]. Recurrent Hongkangjiao may resemble Shi Fa (Stone Carbuncle) with aversion to cold, high fever, headache, and cold extremities, or resemble Malaria with periodic attacks, or resemble Shanghan (Cold Damage)... [Text fragmentary]. For deficient Hongkangjiao with surface toxin, 3-5 doses of Da/Xiao Zhuli Tang (Bamboo Sap Decoction) are suitable for heat patterns. Da/Xiao Xuming Tang (Continue Life Decoction) can be used appropriately but not exceeding 10 doses. Shihu Jiu (Dendrobium Wine) and Zhongru Jiu (Stalactite Wine) conflict with Cezi (Prepared Aconite) and harm the body; Shihu San and Zhongru San are suitable for cold patterns... [Text fragmentary].
Tang states: If heat rises to the head, neck, and nape, expose the back to cool it, but keep the lower back and kidneys warm. Dress the back warmly... [Text fragmentary]. Tang states: Hongkangjiao patients rarely achieve permanent cure; it recurs in spring and summer. In summer, when pores are open, sleeping is inadvisable. Sleep should be managed to prevent evil qi... [Text fragmentary].