病源风湿痹病之状,或皮肤顽浓,或肌肉酸疼,风寒湿三气杂至,合而成痹,其风湿气
多,
亦变
纵
愈
满
又云∶以手摩腹,从足至头,正卧伸臂导引,以手持引足住,任臂,闭气不息十二通,
以疗痹湿不可任,腰脊痛。(出第一卷中)
千金诸风痹方。
桂心(一两) 当归(一两) 茯苓(一两) 防风(一两) 甘草(一两炙) 黄芩
(一两) 生
姜(五两) 秦艽(二分) 葛根(二分) 干枣(三十枚擘) 杏仁(五十枚去皮尖)
上十一味切。水酒各四升,煮取三升,分三服取汗。
又疗风痹游走无定处,名曰血痹,大主之方。
萆 (四分) 薯蓣(四分) 牛膝(四分) 泽泻(四分) 蛴螬(三分熬) 天雄
(三分炮)
车前子(三分) 干漆(熬三分) 白术(三分) 地肤子(三分) 山茱萸(五分) 狗
脊(三分) 茵芋(一分)
上十四味捣筛,蜜和丸,酒服如梧子十丸,日三服,稍稍加之。忌桃李雀肉猪肉冷水芜
荑等物。
又白蔹散,疗风痹肿,筋急展转,易无常处方。
白蔹(二分) 附子(一分炮)
上二味捣下筛,酒服半刀圭,日三不知,增至一刀圭,身中热行为候,十日便觉。忌猪
肉冷水。(并出第八卷中)
古今录验六生散,疗急风痹,身躯拘痛方。
生菖蒲(一斤切) 生地黄(一斤) 枸杞根(一斤) 生商陆根(一斤) 生乌头(半
斤) 生
姜(二斤)
上六味,以淳酒渍之一宿,出曝干,复纳酒中,令酒尽,曝令燥,捣下筛,以清酒一升
,服一钱匕,日再服之。忌猪羊肉冷水芜荑饧。(出第十四卷中)
关于风湿痹病的症状表现,有的患者皮肤麻木厚重,有的肌肉酸痛。这是由于风、寒、湿三种邪气混杂侵入人体,结合而成痹证。其中风湿之气偏盛,也会导致身体痿软无力、腹部胀满等症状。
另外记载:用手按摩腹部,从足部向上至头部,端正仰卧并伸展手臂进行导引练习;用手握住脚保持静止,任由手臂伸展,闭气不呼吸十二次,用来治疗因痹湿导致无法忍受的症状,以及腰脊疼痛。(出自第一卷)
《千金方》中治疗各种风痹的方剂。
桂心(一两) 当归(一两) 茯苓(一两) 防风(一两) 甘草(一两,炙) 黄芩(一两) 生姜(五两) 秦艽(二分) 葛根(二分) 干枣(三十枚,掰开) 杏仁(五十枚,去皮尖)
以上十一味药切碎。用水和酒各四升,煎煮取汁三升,分三次服用,以出汗为度。
萆薢(四分) 薯蓣(四分) 牛膝(四分) 泽泻(四分) 蛴螬(三分,炒制) 天雄(三分,炮制) 车前子(三分) 干漆(炒制三分) 白术(三分) 地肤子(三分) 山茱萸(五分) 狗脊(三分) 茵芋(一分)
以上十四味药捣碎过筛,用蜂蜜调和做成丸药,用酒送服,每次十丸(如梧桐子大小),每日三次,逐渐增加剂量。忌食桃李、雀肉、猪肉、冷水、芜荑等物。
又有白蔹散,用于治疗风痹肿胀,筋脉拘急辗转反侧,变化无常的情况。
以上两味药捣碎过筛,用酒送服半刀圭的量,每日三次,若无效则增加至一刀圭,以身中发热走动为见效标志,十日即可察觉。忌食猪肉、冷水。(均出自第八卷)
《古今录验》中的六生散,用于治疗急风痹,身体拘挛疼痛的情况。
生菖蒲(一斤,切碎) 生地黄(一斤) 枸杞根(一斤) 生商陆根(一斤) 生乌头(半斤) 生姜(二斤)
以上六味药,用纯酒浸泡一夜,取出晒干,再放入酒中,直到酒被吸尽,晒干后捣碎过筛,用清酒一升送服一钱匕的量,每日两次服用。忌食猪羊肉、冷水、芜荑、饴糖。(出自第十四卷)
Regarding the manifestations of Wind-Damp Bi Syndrome (Wind-Dampness Obstruction Syndrome), some patients experience numb and thick skin, while others suffer from sore and painful muscles. This condition arises when Wind, Cold, and Dampness pathogens mix and invade the body, combining to form Bi Syndrome. When Wind-Dampness pathogens are predominant, it may also lead to flaccidity and abdominal fullness.
Additionally, it is recorded: Massage the abdomen with hands, moving from the feet up to the head; lie supine in a straight posture and extend the arms for Qigong guidance exercises; hold the feet with hands keeping them still, allow the arms to stretch freely, hold the breath without breathing for twelve cycles, to treat unbearable symptoms caused by Bi-Dampness and pain in the waist and spine. (From Volume I)
Formulas for various Wind-Bi syndromes from *Qianjin Fang* (*Essential Prescriptions Worth a Thousand Gold*).
Guixin Tang (Cinnamon Heart Decoction): Guixin (Cinnamomi Cortex, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Fuling (Poria, 1 liang), Fangfeng (Saposhnikoviae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried), Huangqin (Scutellariae Radix, 1 liang), Shengjiang (Zingiberis Rhizoma Recens, 5 liang), Qinjiao (Gentianae Macrophyllae Radix, 2 fen), Gegen (Puerariae Lobatae Radix, 2 fen), Ganzao (Jujubae Fructus, 30 pieces, split), Xingren (Armeniacae Semen Amarum, 50 pieces, skin and tips removed).
The above eleven ingredients are chopped. Boil with 4 sheng of water and 4 sheng of wine, reduce to 3 sheng of liquid, divide into three doses, and take until sweating occurs.
Another formula for treating Wind-Bi that wanders without fixed location, named Blood Bi (Blood Stasis Obstruction), as the main treatment:
Bixie (Dioscoreae Hypoglaucae Rhizoma, 4 fen), Shuyu (Dioscoreae Rhizoma, 4 fen), Niuxi (Achyranthis Bidentatae Radix, 4 fen), Zexie (Alismatis Rhizoma, 4 fen), Qicao (Larvae Tenebrionis, 3 fen, stir-fried), Tianxiong (Aconiti Lateralis Radix Praeparata, 3 fen, processed), Cheqianzi (Plantaginis Semen, 3 fen), Ganqi (Resina Draconis, 3 fen, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Difuzi (Kochiae Fructus, 3 fen), Shanzhuyu (Corni Fructus, 5 fen), Gouji (Cervi Spina Corneum, 3 fen), Yinyu (Illicii Anisi Stellati Fructus, 1 fen).
The above fourteen ingredients are crushed and sieved, mixed with honey to form pills. Take ten pills (size of wu zi) with wine, three times a day, gradually increasing the dose. Avoid peaches, plums, sparrow meat, pork, cold water, and Wuyi (Chenopodii Fructus).
There is also Bailian San (White Peony Root Powder) for treating Wind-Bi swelling, tendon stiffness with turning and rolling, and unpredictable changes:
Bailian (Ampelopsis Radix, 2 fen), Fuzi (Aconiti Lateralis Radix Praeparata, 1 fen, processed).
The above two ingredients are crushed and sieved. Take half dao gui with wine, three times a day. If ineffective, increase to one dao gui. The sign of efficacy is feeling heat and movement in the body; improvement should be felt within ten days. Avoid pork and cold water. (Both from Volume VIII)
Liusheng San (Six Raw Ingredients Powder) from *Gujin Luyan* for treating acute Wind-Bi with bodily stiffness and pain:
Shengchangpu (Acori Tatarinowii Rhizoma, raw, 1 jin, chopped), Shengdihuang (Rehmanniae Radix, raw, 1 jin), Gouqigen (Lycii Radix Cortex, 1 jin), Shengshanglugen (Phytolaccae Radix, raw, 1 jin), Shengwutou (Aconiti Radix, raw, 0.5 jin), Shengjiang (Zingiberis Rhizoma Recens, 2 jin).
The above six ingredients are soaked in pure wine overnight, taken out and dried in the sun, then put back into the wine until the wine is absorbed. Dry thoroughly, crush and sieve. Take one qian bi with clear wine, twice a day. Avoid pork, mutton, cold water, Wuyi, and maltose. (From Volume XIV)