病源此由体虚腠理开,风邪在于筋故也。春遇痹为筋痹,则筋屈,邪客关机,则使筋挛
,邪客于足太阳之络,令人肩背拘急也,足厥阴,肝之经也,肝通主诸筋,主在春,其经络
虚,
屈不
宣导
向下
并冷
中痛
又云∶以两手抱左膝着膺除下重难屈伸。
又云∶踞坐伸右脚,两手抱左膝头,生腰,以鼻内气,自极七息,展右足着外,除难屈
伸拜起,胫中疼痹。
又云∶立身上下正直,一手上拓抑手如似推物势,一手向下如捺物,极势上下,来去换
易四七,去膊内风,两膊并内冷血,两腋筋脉挛急。
又云∶踞伸左脚,两手抱右膝生腰以鼻内气自极七息展左足者外,除难屈伸拜起,胫中
疼痹。(出第一卷中)
千金疗口风手足拘挛,百节疼痛,烦热心乱,恶寒经日,不欲饮食,张仲景三黄汤方。
麻黄(五分去节) 独活(四分) 细辛(二分) 黄 (二分) 黄芩(三分)
上五味切。以水五升,煮取二升,分二服,一服小汗,两服大汗,心中热加大黄二分,
腹满
附子
又麻子汤,疗大风周身,四肢挛急,风行在皮肤,身劳强服之不虚人,又主精神蒙昧方
秋麻子(三升净择水渍一宿) 防风(二两) 麻黄(二两去节) 生姜(二两) 橘
皮桂心
(二两) 竹叶(一握洗) 石膏(二两碎) 细辛(二两) 葱白(一握) 香豉(一合)
上十一味切。先以水二斗半,煮麻子令极熟,漉却滓,取九升,别煮麻黄数沸,掠去沫
,纳
过三
小
又白蔹薏苡汤,疗风,拘挛不可屈伸方。
白蔹(一升) 薏苡仁(一升) 芍药(一升) 酸枣仁(一升) 干姜(一升) 附
子(三枚炮
破) 甘草(炙一升) 桂心(一升) 牛膝(一升)
上九味。淳酒二斗渍一宿,微火煎三沸,服一升,日三,扶杖起行,不耐酒,服五合。
忌生葱猪肉海藻。(古今录验同翼方有车前子并出第八卷中)
崔氏疗暴得风,四肢挛缩枯细,不能行动,用大豆蒸,贫人不能办药者,可依此方。
取大豆三升净拣择淘之漉出蒸之,待气溜下甑倾二大升 醋甑中,和搅令遍,于密屋内
地上
冷渐
甑,
日再
古今录验西州续命汤,疗中风入藏,及四肢拘急不随,缓急风方。
麻黄(三两去节) 石膏(二两) 芎 (一两) 生姜(三两) 黄芩(一两) 甘
草(一两炙) 芍药(一两) 桂心(一两) 郁李仁(三两去皮) 防风(一两) 杏仁
(四十枚) 当归(一两)
上十二味切。以水九升,煮麻黄,去上沫,纳诸药煮取三升,分四服,初服取汗,米粉
于衣里粉之。忌海藻菘菜生葱。(出第四卷中)
病因源于体质虚弱,腠理疏松,风邪侵入筋脉所致。春季感受痹邪称为筋痹,导致筋脉屈曲;邪气客居关节,则使筋脉拘挛;邪气客居足太阳经的络脉,令人肩背拘急僵硬;足厥阴经是肝的经脉,肝主管全身筋脉,其气应于春季,若经络虚弱,则导致屈伸不利。
又云:用双手抱住左膝贴近胸部,以减轻沉重感和屈伸困难。
又云:蹲坐并伸直右脚,双手抱住左膝头部,挺直腰部,用鼻子吸气,尽力至极限共七次呼吸,将右足向外展开,以消除屈伸困难、拜起时的疼痛及小腿中的痹痛。
又云:站立时身体上下正直,一只手向上推按,姿势如同推物,另一只手向下按压如同捺物,极力上下运动,左右交替进行二十八次(四七),以去除两膊内的风邪,缓解两膊及内部冷血,以及两腋筋脉的拘挛急迫。
又云:蹲坐并伸直左脚,双手抱住右膝,挺直腰部,用鼻子吸气,尽力至极限共七次呼吸,将左足向外展开,以消除屈伸困难、拜起时的疼痛及小腿中的痹痛。(出自第一卷)
《千金方》治疗口风症,症状为手足拘挛,全身关节疼痛,心烦发热且神志混乱,恶寒持续多日,不想饮食,使用张仲景的三黄汤方。
麻黄(五分,去节) 独活(四分) 细辛(二分) 黄芩(二分) 黄柏(三分)
以上五味药切碎。用水五升,煎煮取二升药液,分两次服用,第一次服用后微微出汗,第二次服用后大汗出,若心中烦热加大黄二分,若腹部胀满加附子。
又用麻子汤,治疗大风侵袭周身,四肢拘挛急迫,风邪行于皮肤之间,身体僵硬强直者服用此方不会损伤正气,同时也主治精神昏昧之症。
秋麻子(三升,净选后用水浸泡一夜) 防风(二两) 麻黄(二两,去节) 生姜(二两) 陈皮(二两) 桂心(二两) 竹叶(一握,洗净) 石膏(二两,捣碎) 细辛(二两) 葱白(一握) 香豉(一合)
以上十一味药切碎。先用二斗半水,煮麻子至极熟,滤去渣滓,取九升药汁,另煮麻黄数沸,撇去浮沫,纳入其他药物,再煮取三升,分三次服用。
又用白蔹薏苡汤,治疗风邪引起的拘挛,无法屈伸的病症。
白蔹(一升) 薏苡仁(一升) 芍药(一升) 酸枣仁(一升) 干姜(一升) 附子(三枚,炮制后破开) 甘草(炙,一升) 桂心(一升) 牛膝(一升)
以上九味药。用二斗纯酒浸泡一夜,微火煎煮三沸,每次服用一升,每日三次,服药后可扶杖行走,若不耐受酒力,可服用五合。忌食生葱、猪肉、海藻。(《古今录验》相同,《翼方》中有车前子,均出自第八卷)
崔氏治疗突然患风症,四肢拘挛收缩枯细,不能行动,使用大豆蒸制的方法,贫穷之人无法备办药材者,可依此方。
取大豆三升,净选淘洗后捞出蒸熟,待蒸汽从甑中冒出时,倒入两大升醋入甑中,混合搅拌使其均匀,在密闭的房间内地上放置甑,冷却后逐渐食用,每日两次。
《古今录验》西州续命汤,治疗中风入脏,以及四肢拘急不遂,缓急风症。
麻黄(三两,去节) 石膏(二两) 川芎(一两) 生姜(三两) 黄芩(一两) 甘草(一两,炙) 芍药(一两) 桂心(一两) 郁李仁(三两,去皮) 防风(一两) 杏仁(四十枚) 当归(一两)
以上十二味药切碎。用水九升,先煮麻黄,撇去上浮的泡沫,纳入其他药物,煎煮取三升药液,分四次服用,初次服用后取汗,用米粉撒在衣服里扑身。忌食海藻、菘菜、生葱。(出自第四卷)
The etiology of this condition stems from constitutional deficiency and open interstices (pores), allowing wind pathogens to invade the sinews. In spring, contracting Bi syndrome results in Sinew Bi (Jin Bi), causing sinew flexion; when pathogens lodge in the joints, they cause sinew contraction; when pathogens lodge in the collaterals of the Foot-Taiyang meridian, it causes stiffness and tightness in the shoulder and back; the Foot-Jueyin meridian is the Liver meridian, which governs all sinews throughout the body and corresponds to Spring; if the meridians are deficient, it leads to inability to extend and flex smoothly.
It is also said: Hold the left knee with both hands close to the chest to alleviate heaviness and difficulty in flexion and extension.
It is also said: Sit in a squatting position with the right leg extended, hold the head of the left knee with both hands, straighten the waist, inhale through the nose, exerting effort to the limit for seven breath cycles, extend the right foot outward to eliminate difficulty in flexion and extension, pain upon bowing and rising, and numbness/pain in the shins.
It is also said: Stand upright with the body aligned vertically, push one hand upward as if pushing an object, press the other hand downward as if pressing on something, exert maximum force up and down, switching sides for twenty-eight repetitions (four sets of seven) to expel wind from both arms, relieve cold blood in both arms and internally, and resolve spasms in the sinews of both axillae.
It is also said: Sit in a squatting position with the left leg extended, hold the right knee with both hands, straighten the waist, inhale through the nose, exerting effort to the limit for seven breath cycles, extend the left foot outward to eliminate difficulty in flexion and extension, pain upon bowing and rising, and numbness/pain in the shins. (From Volume I)
*Qianjin Fang* treats Mouth Wind (Kou Feng) characterized by spasticity of hands and feet, pain in all joints, vexation, fever, mental confusion, aversion to cold lasting for days, and loss of appetite. Use Zhang Zhongjing's Sanhuang Tang (Three Yellows Decoction).
Ephedrae Herba (Mahuang, 麻黄) (5 fen, remove nodes)
Angelicicae Dahuricae Radix (Duqiang, 独活) (4 fen)
Asari Radix (Xixin, 细辛) (2 fen)
Scutellariae Radix (Huangqin, 黄芩) (2 fen)
Phellodendri Cortex (Huangbai, 黄柏) (3 fen)
Cut the above five herbs. Boil in 5 sheng of water until reduced to 2 sheng. Divide into two doses. The first dose induces slight sweating; the second dose induces profuse sweating. If there is heat in the heart, add Rhizoma Rhei (Dahuang, 大黄) 2 fen; if there is abdominal fullness, add Radix Aconiti Lateralis Preparata (Fuzi, 附子).
Also use Mazitang (Hemp Seed Decoction) to treat severe wind affecting the whole body, with spasticity and urgency in the four limbs, wind pathogenic factors moving in the skin, and bodily stiffness. This formula does not damage healthy qi even in those who are physically exhausted, and it also treats mental dullness.
Cannabis Fructus (Huomaren, 火麻仁) (3 sheng, cleaned and soaked in water overnight)
Saposhnikoviae Radix (Fangfeng, 防风) (2 liang)
Ephedrae Herba (Mahuang, 麻黄) (2 liang, remove nodes)
Zingiberis Rhizoma Recens (Shengjiang, 生姜) (2 liang)
Citri Reticulatae Pericarpium (Chenpi, 陈皮) (2 liang)
Cinnamomi Ramulus (Guixin, 桂心) (2 liang)
Bambusae Folium (Zhuye, 竹叶) (1 handful, washed)
Gypsum Fibrosum (Shigao, 石膏) (2 liang, crushed)
Asari Radix (Xixin, 细辛) (2 liang)
Allii Fistulosi Bulbus (Congbai, 葱白) (1 handful)
Sojae Semen Preparatum (Xiangchi, 香豉) (1 he)
Cut the above eleven herbs. First, boil 2.5 dou of water, cook the hemp seeds until extremely soft, strain out the dregs, and retain 9 sheng of liquid. Separately boil Ephedrae Herba for several boils, skim off the foam, add the remaining herbs, and boil to obtain 3 sheng. Divide into three doses.
Also use Bailian Yiyi Tang (Ampelopsis Root and Coix Decoction) to treat wind-induced spasticity where flexion and extension are impossible.
Ampelopsis Radix (Bailian, 白蔹) (1 sheng)
Coicis Semen (Yiyiren, 薏苡仁) (1 sheng)
Paeoniae Radix Alba (Shaoyao, 芍药) (1 sheng)
Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) (1 sheng)
Zingiberis Rhizoma (Ganjiang, 干姜) (1 sheng)
Radix Aconiti Lateralis Preparata (Fuzi, 附子) (3 pieces, processed and broken)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 sheng, honey-fried)
Cinnamomi Ramulus (Guixin, 桂心) (1 sheng)
Achyranthis Bidentatae Radix (Niuxi, 牛膝) (1 sheng)
Take the above nine herbs. Soak in 2 dou of pure wine overnight, simmer over low heat for three boils. Take 1 sheng per dose, three times daily. One may walk while holding a cane after taking the medicine. If unable to tolerate alcohol, take 5 he. Avoid raw green onions, pork, and Sargassum. (*Gujin Luyan* is identical; *Yifang* includes Plantaginis Semen, all from Volume VIII).
Cui Shi treats sudden onset of wind where the four limbs are contracted, shriveled, and thin, making movement impossible. Use steamed soybeans. For poor people who cannot afford medicines, follow this prescription.
Take 3 sheng of soybeans, clean and wash them, drain and steam. When steam rises from the steamer, pour 2 large sheng of vinegar into the steamer, mix thoroughly. Place the steamer on the ground in a sealed room. Consume gradually as it cools, twice daily.
*Gujin Luyan* Xizhou Xuming Tang (West Capital Continuation Life Decoction) treats stroke entering the zang organs, as well as spasticity and paralysis of the four limbs, and fluctuating wind syndromes.
Ephedrae Herba (Mahuang, 麻黄) (3 liang, remove nodes)
Gypsum Fibrosum (Shigao, 石膏) (2 liang)
Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎) (1 liang)
Zingiberis Rhizoma Recens (Shengjiang, 生姜) (3 liang)
Scutellariae Radix (Huangqin, 黄芩) (1 liang)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, honey-fried)
Paeoniae Radix Alba (Shaoyao, 芍药) (1 liang)
Cinnamomi Ramulus (Guixin, 桂心) (1 liang)
Pruni Semen (Yuliren, 郁李仁) (3 liang, peeled)
Saposhnikoviae Radix (Fangfeng, 防风) (1 liang)
Armeniacae Semen Amarum (Xingren, 杏仁) (40 pieces)
Angelicae Sinensis Radix (Danggui, 当归) (1 liang)
Cut the above twelve herbs. Boil in 9 sheng of water, first boil Ephedrae Herba and skim off the foam, then add the other herbs and boil to obtain 3 sheng. Divide into four doses. The initial dose induces sweating; sprinkle rice flour inside clothing. Avoid Sargassum, Chinese cabbage, and raw green onions. (From Volume IV)