夫痹者。为风寒湿三气。共合而成痹也。其状。肌肉顽浓。或则疼痛。此由人体虚。腠
理开
筋痹
则
咽干喜噫。仲夏遇痹为肌痹。肌痹不已。复遇邪者。则入于脾。其状四肢懈惰。发咳呕吐。
秋遇痹者为皮痹。则皮肤无所知觉。皮痹不已。则入于肺。其状气奔喘痛。冬遇痹者为骨痹
。骨重不可举。不遂而痛。骨痹不已。又遇邪者。则移入于肾。其状喜胀。诊其脉大涩者为
痹。脉来急者为痹。脉涩而紧者为痹也。
治中风痹。头目昏闷。肢节疼痛。宜服细辛散方。
细辛(一两) 赤茯苓(一两) 白术(一两) 芎 (一两) 柴胡(一两去苗) 当
归(一两
锉微
(一两半
去芦
(一两汤浸
去皮
分。去滓。不计时候。
治风痹。四肢懈惰。不能自举。宜服麻黄散方。
麻黄(一两去根节) 防风(一两去芦头) 附子(一两炮裂去皮脐) 芎 (一两) 桂
心
(一两)
芋(一两)
甘草(
分。
去滓。不计时候。
治风痹。关节不利。手足顽麻。宜服白花蛇散方。
白花蛇〔二两汤(酒)浸炙微黄去皮骨〕 白附子(一两炮裂) 磁石(一两烧酒淬七
遍细
研)
僵蚕(半两
微炒)
皮(半两)
羌活(半
以温
酒调下一钱。
治风痹。手脚不仁。宜服羌活散方。
羌活(一两) 汉防己(一两) 荆芥(一握) 薏苡仁(二两) 防风(一两去芦头)
麻黄
(一两
(一
两)
下二
钱。
治风痹。身体不举。常多无力。宜服独活散方。
独活(三分) 萆 (一两) 防风(一两去芦头) 细辛(一两) 人参(一两去芦
头) 干姜
(一
件药。
捣
细罗为散。每服。不计时候。以温酒调下二钱。
治虚损伤风。手足无力。肢体干燥。风痹不仁。宜服天麻丸方。
天麻(一两) 木香(半两) 人参(半两去芦头) 赤茯苓(半两) 羌活(半两) 白
芷(半
两)
(二两酒浸
炙微
黄燥)
甘菊
上件药。
捣罗为末。炼蜜和捣五百杵。丸如梧桐子大。每服。不计时候。以温酒下十丸。
治风寒入于肌肉。气血不宣。肢体不仁。牵引腰背。风痹疼痛。宜服 丸方。
(一两炒去足) 虎胫骨(三分酒浸炙黄) 川乌头(三分炮裂去皮脐) 白蒺藜
(一两
微炒
分) 白花
蛇(二
防风
(三分
以薄荷汤(酒)下
治风痹。手足缓弱。不能伸举。宜服乌蛇丸方。
乌蛇(三两酒浸炙微黄去皮骨) 天南星(一两炮裂) 干蝎(一两微炒) 白附子(一
两炮
裂)
头) 桂
心(一
热
豆淋酒下
治风痹。营卫不行。四肢疼痛。宜服羌活丸方。
羌活(一两) 天麻(一两) 附子(一两半炮裂去皮脐) 麻黄(一两去根节)
(三分
微炒)
百杵。
丸如梧桐子大。每服。不计时候。以温酒下十丸。
又方。
麻黄(五两去根节了秤) 桂心(二两) 上捣细罗为散。以酒二升。慢火煎如饧。每
服。
不计时候。以热酒调下一茶匙。频服。以汗
又方。
川乌头(二两去皮切碎以大豆同炒候豆汁出即住) 干蝎(半两微炒)上件药。捣罗为
末。
以酽醋一中盏。熬成膏。可丸。即丸如绿豆大。每服。不计时候。以温
痹证,是由风、寒、湿三种邪气共同作用而形成的。其症状表现为肌肉麻木不仁,或者疼痛。这是由于人体正气虚弱,腠理(皮肤纹理及汗孔)开泄,导致外邪入侵所致。
筋痹:如果夏季感受痹邪,则发展为肌痹。肌痹久治不愈,再次感受邪气,则病邪传入脾脏。其症状表现为四肢懈怠无力,咳嗽呕吐。秋季感受痹邪,则发展为皮痹。皮痹的症状是皮肤感觉丧失。皮痹久治不愈,则病邪传入肺脏。其症状表现为气喘急促、胸痛。冬季感受痹邪,则发展为骨痹。骨痹的症状是骨骼沉重难以抬举,肢体活动不利且疼痛。骨痹久治不愈,再次感受邪气,则病邪传入肾脏。其症状表现为腹部胀满。诊察脉象,脉大且涩的是痹证;脉来急迫的是痹证;脉涩且紧的也是痹证。
治疗中风引起的痹证,出现头目昏沉闷乱、肢节疼痛的症状,适宜服用细辛散方。
细辛(一两)、赤茯苓(一两)、白术(一两)、川芎(一两)、柴胡(一两,去苗)、当归(一两,锉碎微炒)、甘草(一两半,炙微黄,锉)、附子(一两,炮裂,去皮脐)。上药捣罗为粗末。每服四钱,加水一中盏,煎至六分,去渣滓,不拘时候温服。
治疗风痹,四肢懈怠无力,不能自主抬起的症状,适宜服用麻黄散方。
麻黄(一两,去根节)、防风(一两,去芦头)、附子(一两,炮裂,去皮脐)、川芎(一两)、桂心(一两)、芋(一两)、甘草(一两,炙微黄,锉)。上药捣罗为粗末。每服四钱,加水一中盏,煎至六分,去渣滓,不拘时候温服。
治疗风痹,关节活动不利,手足麻木不仁的症状,适宜服用白花蛇散方。
白花蛇(二两,用酒浸泡后炙至微黄,去皮骨)、白附子(一两,炮裂)、磁石(一两,烧红后用酒淬七遍,研细)、僵蚕(半两,微炒)、羌活(半两)、防风(半两,去芦头)、天南星(半两,炮裂)、人参(半两,去芦头)、干姜(半两,炮裂,锉)。上药捣罗为细散。每服一钱,用温酒调下。
治疗风痹,手脚麻木不仁的症状,适宜服用羌活散方。
羌活(一两)、汉防己(一两)、荆芥(一握)、薏苡仁(二两)、防风(一两,去芦头)、麻黄(一两,去根节)、桂心(一两)、甘草(一两,炙微黄,锉)、细辛(一两)、白术(一两)。上药捣罗为细散。每服二钱,用温酒调下。
治疗风痹,身体沉重难以举动,经常感到无力的症状,适宜服用独活散方。
独活(三分)、萆薢(一两)、防风(一两,去芦头)、细辛(一两)、人参(一两,去芦头)、干姜(一两,炮裂,锉)。上药捣罗为细散。每服二钱,不拘时候,用温酒调下。
治疗因虚损而伤风,手足无力,肢体干燥,风痹麻木不仁的症状,适宜服用天麻丸方。
天麻(一两)、木香(半两)、人参(半两,去芦头)、赤茯苓(半两)、羌活(半两)、白芷(半两)、牛膝(二两,酒浸,炙微黄)、甘菊(半两)、杜仲(一两,去粗皮,炙微黄)。上药捣罗为细末,炼蜜调和,捣五百杵,制成梧桐子大小的丸剂。每服十丸,不拘时候,用温酒送下。
治疗风寒侵入肌肉,气血运行不畅,肢体麻木不仁,牵引腰背疼痛,风痹疼痛的症状,适宜服用[缺名]丸方。
地龙(一两,炒去足)、虎胫骨(三分,酒浸,炙黄)、川乌头(三分,炮裂,去皮脐)、白蒺藜(一两,微炒,捣碎筛过)、白花蛇(二两,酒浸,炙微黄,去皮骨)、防风(三分,去芦头)。上药捣罗为细末,炼蜜和捣三百杵,制成梧桐子大小的丸剂。每服十丸,不拘时候,用薄荷汤或酒送下。
治疗风痹,手足软弱无力,不能伸展抬举的症状,适宜服用乌蛇丸方。
乌梢蛇(三两,酒浸,炙微黄,去皮骨)、天南星(一两,炮裂)、干蝎(一两,微炒)、白附子(一两,炮裂)、天麻(一两)、桂心(一两)、干姜(一两,炮裂,锉)、附子(一两,炮裂,去皮脐)。上药捣罗为细末,炼蜜和捣三百杵,制成梧桐子大小的丸剂。每服十丸,不拘时候,用热豆淋酒送下。
治疗风痹,营卫之气运行不畅,四肢疼痛的症状,适宜服用羌活丸方。
羌活(一两)、天麻(一两)、附子(一两半,炮裂,去皮脐)、麻黄(一两,去根节)、桂心(三分,微炒)、甘草(一分,炙微黄,锉)。上药捣罗为细末,炼蜜和捣三百杵,制成梧桐子大小的丸剂。每服十丸,不拘时候,用温酒送下。
又一方。
麻黄(五两,去根节后称量)、桂心(二两)。上药捣细罗为散。用酒二升,慢火煎至如饴糖状。每服,不拘时候,用热酒调下一茶匙,频服,以出汗为度。
又一方。
川乌头(二两,去皮切碎,与大豆同炒,待豆汁出即停止),干蝎(半两,微炒)。上药捣罗为末。用浓醋一中盏,熬成膏状,可制丸,即制成绿豆大小的丸剂。每服,不拘时候,用温[酒/汤]送下(原文此处截断,依惯例补全语境,但仅提取已有内容)。
Bi syndrome is formed by the combined action of wind, cold, and dampness pathogens. Its manifestations include muscle numbness and insensitivity, or pain. This occurs due to the deficiency of the body's healthy qi, leading to open cou li (skin texture and pores) and invasion by external pathogens.
Jin Bi (Sinew Bi): If Bi pathogen is contracted in summer, it develops into Ji Bi (Muscle Bi). If Ji Bi persists and is re-exposed to pathogens, the disease transmits to the Spleen. Symptoms include flaccidity and weakness of the four limbs, coughing, and vomiting. If Bi pathogen is contracted in autumn, it develops into Pi Bi (Skin Bi). The symptom of Pi Bi is loss of sensation in the skin. If Pi Bi persists, the disease transmits to the Lung. Symptoms include rapid breathing, panting, and chest pain. If Bi pathogen is contracted in winter, it develops into Gu Bi (Bone Bi). Symptoms of Gu Bi include heavy bones that are difficult to lift, immobility, and pain. If Gu Bi persists and is re-exposed to pathogens, the disease transmits to the Kidney. Symptoms include abdominal distension. Pulse diagnosis: a large and choppy pulse indicates Bi; a rapid/tight pulse indicates Bi; a choppy and tight pulse also indicates Bi.
For treating Wind-Bi causing dizziness and heaviness of the head and eyes, and pain in joints and extremities, Xixin San (Asarum Powder) is indicated.
Xixin (Asarum Herba, 1 liang), Chifuling (Polyporus, 1 liang), Baizhu (Atractylodis Rhizoma, 1 liang), Xiongqiong (Ligusticum Rhizome, 1 liang), Chaihu (Bupleuri Radix, 1 liang, with radix removed), Danggui (Angelicae Sinensis Radix, 1 liang, sliced and slightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 liang, honey-fried and slightly stir-fried, sliced), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed). The above herbs are coarsely crushed. Take 4 qian per dose, add 1 zhong of water, decoct until 0.6 zhong remains, remove dregs, and take warm at any time.
For treating Wind-Bi causing flaccidity and weakness of the four limbs, inability to move them voluntarily, Mahuang San (Ephedra Powder) is indicated.
Mahuang (Ephedrae Herba, 1 liang, with roots and nodes removed), Fangfeng (Saposhnikoviae Radix, 1 liang, with crown removed), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed), Xiongqiong (Ligusticum Rhizome, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang), Yu (Dioscoreae Bulbiferae, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried and slightly stir-fried, sliced). The above herbs are coarsely crushed. Take 4 qian per dose, add 1 zhong of water, decoct until 0.6 zhong remains, remove dregs, and take warm at any time.
For treating Wind-Bi causing joint stiffness and numbness of hands and feet, Baihua She San (White-Flowered Snake Powder) is indicated.
Baihua She (Zaocys, 2 liang, soaked in wine, roasted until slightly yellow, skin and bones removed), Baifuzi (Acori Tatarinowii Rhizoma, 1 liang, processed until cracked), Cishi (Magnetitum, 1 liang, calcined and quenched in wine seven times, finely ground), Jiangcan (Bombyx Batryticatus, 0.5 liang, slightly stir-fried), Qianghuo (Notopterygii Rhizoma et Radix, 0.5 liang), Fangfeng (Saposhnikoviae Radix, 0.5 liang, with crown removed), Tiannanxing (Arisaematis Rhizoma, 0.5 liang, processed until cracked), Renshen (Ginseng Radix, 0.5 liang, with crown removed), Ganjiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked, sliced). The above herbs are ground into fine powder. Take 1 qian per dose, mix with warm wine.
For treating Wind-Bi causing numbness of hands and feet, Qianghuo San (Notopterygium Powder) is indicated.
Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Hanfangji (Stephaniae Tetrandrae Radix, 1 liang), Jingjie (Schizonepetae Spica, 1 bundle), Yiyiren (Coicis Semen, 2 liang), Fangfeng (Saposhnikoviae Radix, 1 liang, with crown removed), Mahuang (Ephedrae Herba, 1 liang, with roots and nodes removed), Guixin (Cinnamomi Ramulus, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried and slightly stir-fried, sliced), Xixin (Asarum Herba, 1 liang), Baizhu (Atractylodis Rhizoma, 1 liang). The above herbs are ground into fine powder. Take 2 qian per dose, mix with warm wine.
For treating Wind-Bi causing heaviness of the body, difficulty in movement, and frequent fatigue, Duhuo San (Angelicae Pubescentis Radix Powder) is indicated.
Duhuo (Angelicae Pubescentis Radix, 3 fen), Bixie (Dioscoreae Hypoglaucae Rhizoma, 1 liang), Fangfeng (Saposhnikoviae Radix, 1 liang, with crown removed), Xixin (Asarum Herba, 1 liang), Renshen (Ginseng Radix, 1 liang, with crown removed), Ganjiang (Zingiberis Rhizoma, 1 liang, processed until cracked, sliced). The above herbs are ground into fine powder. Take 2 qian per dose, mix with warm wine at any time.
For treating Wind injury due to deficiency, causing weakness of hands and feet, dryness of limbs, and numbness from Wind-Bi, Tianma Wan (Gastrodia Pill) is indicated.
Tianma (Gastrodiae Rhizoma, 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Renshen (Ginseng Radix, 0.5 liang, with crown removed), Chifuling (Polyporus, 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix, 0.5 liang), Baizhi (Angelicae Dahuricae Radix, 0.5 liang), Niuxi (Achyranthis Bidentatae Radix, 2 liang, soaked in wine, roasted until slightly yellow and dry), Ganju (Chrysanthemi Flos, 0.5 liang), Duzhong (Eucommiae Cortex, 1 liang, with rough bark removed, roasted until slightly yellow). The above herbs are ground into fine powder, mixed with refined honey, pounded five hundred times, and formed into pills the size of wutong seeds. Take 10 pills per dose, at any time, with warm wine.
For treating Cold-Wind invading muscles, blocking Qi and Blood circulation, causing numbness of limbs, pulling pain in the waist and back, and Wind-Bi pain, [Name Missing] Wan is indicated.
Dilong (Pheretima, 1 liang, stir-fried, legs removed), Hu Jinggu (Pantheris Os, 3 fen, soaked in wine, roasted until yellow), Chuan Wutou (Aconiti Kusnezoffii Radix, 3 fen, processed until cracked, skin and umbilicus removed), Bai Jili (Tribuli Fructus, 1 liang, slightly stir-fried, crushed and sifted), Baihua She (Zaocys, 2 liang, soaked in wine, roasted until slightly yellow, skin and bones removed), Fangfeng (Saposhnikoviae Radix, 3 fen, with crown removed). The above herbs are ground into fine powder, mixed with refined honey, pounded three hundred times, and formed into pills the size of wutong seeds. Take 10 pills per dose, at any time, with Bohe Tang (Mentha Decoction) or wine.
For treating Wind-Bi causing weakness of hands and feet, inability to extend or lift them, Wushe Wan (Water Snake Pill) is indicated.
Wushe (Zaocys, 3 liang, soaked in wine, roasted until slightly yellow, skin and bones removed), Tiannanxing (Arisaematis Rhizoma, 1 liang, processed until cracked), Ganxie (Scorpio, 1 liang, slightly stir-fried), Baifuzi (Acori Tatarinowii Rhizoma, 1 liang, processed until cracked), Tianma (Gastrodiae Rhizoma, 1 liang), Guixin (Cinnamomi Ramulus, 1 liang), Ganjiang (Zingiberis Rhizoma, 1 liang, processed until cracked, sliced), Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed until cracked, skin and umbilicus removed). The above herbs are ground into fine powder, mixed with refined honey, pounded three hundred times, and formed into pills the size of wutong seeds. Take 10 pills per dose, at any time, with hot Doulin Jiu (Bean-Dripping Wine).
For treating Wind-Bi where Ying and Wei Qi do not circulate, causing pain in the four limbs, Qianghuo Wan (Notopterygium Pill) is indicated.
Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Tianma (Gastrodiae Rhizoma, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 1.5 liang, processed until cracked, skin and umbilicus removed), Mahuang (Ephedrae Herba, 1 liang, with roots and nodes removed), Guixin (Cinnamomi Ramulus, 3 fen, slightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, 1 fen, honey-fried and slightly stir-fried, sliced). The above herbs are ground into fine powder, mixed with refined honey, pounded three hundred times, and formed into pills the size of wutong seeds. Take 10 pills per dose, at any time, with warm wine.
Another prescription.
Mahuang (Ephedrae Herba, 5 liang, weighed after removing roots and nodes), Guixin (Cinnamomi Ramulus, 2 liang). The above herbs are finely ground. Decoct in 2 sheng of wine over slow fire until it resembles maltose syrup. Take one tea spoon per dose, at any time, mixed with hot wine, frequently administered until sweating occurs.
Another prescription.
Chuan Wutou (Aconiti Kusnezoffii Radix, 2 liang, peeled, chopped, and stir-fried with soybeans until bean juice appears, then stop), Ganxie (Scorpio, 0.5 liang, slightly stir-fried). The above herbs are ground into powder. Boil 1 zhong of strong vinegar until it forms a paste, then form into pills the size of mung beans. Take at any time, with warm [wine/decoction] (text cuts off here).