病源风不仁者,由荣气虚,卫气实,风寒入于肌肉,使血气行不宣流,其状搔之皮肤如
隔衣
正方
以
又云∶展左足右足上,除不仁胫寒。(出第一卷中)
深师茵芋酒,疗新久风,体不仁屈曳或拘急肿,或枯焦皆主之,施连所增损方甚长。
茵芋(二两) 狗脊(二两) 踯躅花(二两生用) 乌头(二两生用) 附子(二两
生用) 天
雄(一两生用)
上六味切。以酒一斗,绢囊盛药渍之,冬八九日,夏五六日,初服半合,不知增之,以
知为度。忌猪肉冷水。(千金翼同)
又八风汤,疗五缓六急不随,身体不仁,下重,腹中雷鸣,失小便方。
防风(二两) 芍药(二两) 茯苓(二两) 黄 (三两) 独活(四两) 当归(三
两) 人参
(三两) 干姜(三两) 甘草(一两炙) 大豆(二升) 附子(大者一枚炮)
上十一味切。以水一斗,清酒二升,合煮取三升,分三服。忌海藻菘菜猪肉冷水酢物。
又犀角丸,疗百病鬼注,恶风入皮肤,淫淫液液,流移无有常处,四肢不仁,牵引腰背
,腹胀满,心痛逆,胸满不得饮食,吸吸短气,寒热羸瘦,夜喜恶梦,与鬼神交通,咳嗽脓
血皆疗之方。
犀角(二分屑) 獭肝(三分炙) 雄黄(四分研) 桂心(二分) 丹砂(四分研) 贝
齿(十
分炙研) 巴豆(三十枚熬去心) 蜈蚣(一枚去头足炙) 真珠(四分研) 射罔(一分)
麝香
(一分研) 羚羊角(二分屑) 牛黄(二分研) 附子(一分炮) 鬼臼(二分)
上十五味捣下筛,蜜和更捣五千杵,平旦服如胡豆二丸,酒饮并得,日三。忌猪肉冷水
生葱生血物芦笋。(并出第九卷中)
【病源】风不仁的病因,是由于营气虚弱,卫气偏盛,风寒之邪侵入肌肉,导致气血运行不畅、流通受阻。其症状表现为:搔抓皮肤时,感觉如同隔着衣物一般麻木不仁。
【正方】
第一首方剂:
(原文此处有残缺或脱漏,仅存操作描述)又云:伸展左足,将右足置于其上,可去除小腿部位的麻木和寒冷感。(出自第一卷中)
第二首方剂:深师茵芋酒。用于治疗新近或久患的风邪所致身体麻木不仁、肢体屈伸不利或牵引拘急肿胀,以及身体枯瘦焦燥等症状,此方均适用。施连所增减的方子内容很长。
药材组成:茵芋(二两)、狗脊(二两)、踯躅花(二两,生用)、乌头(二两,生用)、附子(二两,生用)、天雄(一两,生用)。
制法与用法:以上六味药切碎。用一斗酒,将药物装入绢袋中浸泡,冬季浸泡八九日,夏季浸泡五六日。初次服用半合(容量单位),若未见效则逐渐增加剂量,以身体感到有效为度。忌食猪肉、冷水。(《千金翼方》与此相同)
第三首方剂:八风汤。用于治疗五缓六急导致的肢体不能随意运动、身体麻木不仁、下肢沉重、腹中肠鸣、小便失禁等症。
药材组成:防风(二两)、芍药(二两)、茯苓(二两)、黄芪(三两)、独活(四两)、当归(三两)、人参(三两)、干姜(三两)、甘草(一两,炙)、大豆(二升)、附子(大者一枚,炮制)。
制法与用法:以上十一味药切碎。用水一斗、清酒二升,共同煎煮至取汁三升,分三次服用。忌食海藻、菘菜(白菜类)、猪肉、冷水及醋制食物。
第四首方剂:犀角丸。用于治疗百病中的“鬼注”(一种传染性或精神类疾病古称),恶风侵入皮肤,皮肤感觉如虫行液流般异常,症状流移无常处,四肢麻木不仁,牵引腰背疼痛,腹胀满闷,心痛气逆,胸满无法进食,呼吸短促,寒热往来且身体消瘦,夜间多恶梦,仿佛与鬼神交通,咳嗽脓血等症状,此方均可治疗。
药材组成:犀角(二分,锉屑)、獭肝(三分,炙)、雄黄(四分,研细)、桂心(二分)、丹砂(四分,研细)、贝齿(十分,炙后研细)、巴豆(三十枚,熬制去心)、蜈蚣(一枚,去头足后炙)、真珠(四分,研细)、射罔(一分)、麝香(一分,研细)、羚羊角(二分,锉屑)、牛黄(二分,研细)、附子(一分,炮制)、鬼臼(二分)。
制法与用法:以上十五味药捣碎过筛,用蜂蜜调和后再捣五千杵。清晨服用,每次如胡豆大小的两丸,酒送服亦可,每日三次。忌食猪肉、冷水、生葱、生血物(如动物血制品)、芦笋。(均出自第九卷中)
[Pathogenesis] The etiology of "Wind-induced Numbness" (Feng Bu Ren) lies in the deficiency of Ying Qi (Nutritive Qi) and the excess of Wei Qi (Defensive Qi). When Wind-Cold pathogens invade the muscles, they obstruct the smooth circulation and flow of Blood and Qi. The clinical manifestation is characterized by a sensation of numbness when scratching the skin, as if feeling through clothing.
[Prescriptions]
First Prescription:
(Original text here is incomplete or fragmented, containing only operational description.) It is also stated: Extend the left foot and place the right foot upon it; this can alleviate numbness and coldness in the lower legs. (From Volume I)
Second Prescription: Shen Shi Yin Yu Jiu (Deep Master's Rhododendron Wine). It treats Wind pathogen conditions, whether recent or chronic, presenting with body numbness, limb flexion-extension difficulties, traction-like spasms, swelling, or emaciation and dryness. This prescription is applicable to all such symptoms. The modifications by Shi Lian are extensive.
Ingredients: Rhododendri Daurici Caulis (Yin Yu, 2 liang), Drynariae Rhizoma (Gou Ji, 2 liang), Rhododendri Moliflori Flos (Zhi Zhu Hua, 2 liang, used raw), Aconiti Lateralis Radix Preparata (Wu Tou, 2 liang, used raw), Aconiti Radix Preparata (Fu Zi, 2 liang, used raw), Aconiti Radix Preparata (Tian Xiong, 1 liang, used raw).
Preparation and Administration: The above six herbs are chopped. Soak them in one dou of wine using a silk bag. In winter, soak for 8-9 days; in summer, for 5-6 days. Initially take half he (a unit of volume). If ineffective, gradually increase the dose until therapeutic effects are perceived. Avoid pork and cold water. (Identical to Qian Jin Yi Fang)
Third Prescription: Ba Feng Tang (Eight Winds Decoction). It treats conditions caused by Five Sluggishnesses and Six Urgencies, resulting in involuntary movement disorders, body numbness, heaviness in the lower body, borborygmus in the abdomen, and urinary incontinence.
Ingredients: Saposhnikoviae Radix (Fang Feng, 2 liang), Paeoniae Radix Alba (Shao Yao, 2 liang), Poria (Fu Ling, 2 liang), Astragali Radix (Huang Qi, 3 liang), Angelicae Pubescentis Radix (Du Huo, 4 liang), Angelicae Sinensis Radix (Dang Gui, 3 liang), Ginseng Radix (Ren Shen, 3 liang), Zingiberis Rhizoma (Gan Jiang, 3 liang), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 liang, honey-fried), Sojae Semen (Da Dou, 2 sheng), Aconiti Radix Preparata (Fu Zi, one large piece, processed).
Preparation and Administration: The above eleven herbs are chopped. Boil them in one dou of water and two sheng of clear wine until three sheng of decoction remain. Divide into three doses. Avoid seaweed, Brassica vegetables (Song Cai), pork, cold water, and vinegar-preserved foods.
Fourth Prescription: Xi Jiao Wan (Rhinoceros Horn Pill). It treats various diseases including "Gui Zhu" (an ancient term for certain infectious or psychosomatic ailments), where aversion to wind invades the skin, causing sensations like insects crawling or fluid flowing under the skin. Symptoms migrate without a fixed location, accompanied by limb numbness, traction pain in the waist and back, abdominal distension and fullness, heart pain with rebellious Qi, chest fullness preventing eating, shortness of breath, alternating chills and fever with emaciation, frequent nightmares resembling interaction with spirits, and coughing up pus and blood. This prescription treats all these conditions.
Ingredients: Rhinocerotis Cornu (Xi Jiao, 2 fen, crushed), Hystricis Hystrix (Ta Gan, 3 fen, roasted), Realgar (Xiong Huang, 4 fen, ground), Cinnabar (Dan Sha, 4 fen, ground), Cassiae Ramulus (Gui Xin, 2 fen), Concha Arcae (Bei Chi, 10 fen, roasted and ground), Crotonis Fructus (Ba Dou, 30 seeds, roasted and deseeded), Scolopendra (Wu Gong, one, head and feet removed, roasted), Margarita (Zhen Zhu, 4 fen, ground), Asarum Heterotropoides Root (She Wang, 1 fen), Moschus (She Xiang, 1 fen, ground), Saiga Tatarica Cornu (Ling Yang Jiao, 2 fen, crushed), Bovaris Calculus (Niu Huang, 2 fen, ground), Aconiti Radix Preparata (Fu Zi, 1 fen, processed), Typhonii Rhizoma (Gui Jiu, 2 fen).
Preparation and Administration: The above fifteen herbs are pounded and sifted. Mix with honey and pound another 5,000 times. Take two pills the size of a broad bean in the early morning. Can be taken with wine. Three times daily. Avoid pork, cold water, raw green onions, raw blood products, and Asparagus cochinchinensis (Lu Sun). (All from Volume IX)