歧伯曰∶以冬壬癸中于邪者为肾风。肾气虚弱,风邪所侵,则踞而腰疼,不得俯仰,或
则偏枯,两耳虚鸣,语声混浊,面多浮肿,骨节酸疼,精神昏愦,喜恐好忘,肌色黧黑,身
体沉重,多汗恶风,隐曲不利,此是肾脏中风也。
治肾脏中风,腰脊疼痛,不得俯仰,两脚冷痹,缓弱不随,头昏耳聋,语音浑
沉重,并宜服之。
独活(去芦) 附子(炮,去皮脐) 当归(去芦) 防风(去芦) 天麻 桂心(各
一钱) 川
浸) 萆 (酒浸)
上作一服,水二盅,生姜五片,煎至一盅,不拘时服。
治肾经受病,多汗恶风,面浮肿,脊骨疼,不能行立,肌肤变色,但坐而腰
于肾经也。视胁下左右上下赤黄如饼者,可治。急灸肾 百壮,齿黄,发须直,面如土色者,
不可治。
萆 (酒浸) 狗脊 杜仲(炒,去丝) 白茯苓(去皮,各一两) 何首乌 天雄(去
皮脐
上为细末,每服二钱,米饮调下,不拘时服。
治肾脏风邪所伤,语言蹇涩,腰脊不可转侧,脚膝软弱疼痹,头旋耳鸣,身体
并宜服之。
天雄(炮,去皮脐) 麻黄(去节) 枳壳(麸炒) 桂心(各六分) 石龙芮 独活 人
参(
芦) 羌活(去
作一服,水二盅,生姜五片,煎至一盅,不拘时服。
岐伯说:在冬季,人体感受壬癸日(属水之日)的邪气,就会形成肾风。如果肾气虚弱,风邪乘虚侵袭,患者会出现蹲坐困难、腰部疼痛,无法弯腰或后仰;或者出现半身不遂,双耳空虚鸣响,说话声音浑浊不清,面部浮肿明显,骨节酸痛,精神昏沉困倦,容易惊恐且健忘,面色黧黑,身体沉重,多汗且怕风,大小便或性功能不利,这就是肾脏中风的症状。
治疗肾脏中风引起的腰脊疼痛,无法弯腰后仰,双脚寒冷麻木,软弱无力不能随意活动,头晕耳聋,语音浑厚沉重等症状,都适宜服用以下方剂。
独活(去除芦头)、附子(炮制,去掉皮和脐)、当归(去除芦头)、防风(去除芦头)、天麻、桂心(以上各一钱),以及川芎(酒浸)、萆薢(酒浸)。
将上述药物作为一服剂量,加水两盅,生姜五片,煎煮至一盅,不拘泥于特定时间服用。
治疗肾经受病,表现为多汗怕风,面部浮肿,脊柱疼痛,不能行走站立,肌肤颜色改变,这属于病在肾经。如果观察患者胁下左右上下部位,出现像饼状的红黄色斑块,是可以治疗的。此时应紧急艾灸肾俞穴一百壮;如果出现牙齿发黄、头发胡须直立、面色如土色者,则不可治。
萆薢(酒浸)、狗脊、杜仲(炒制,去除丝络)、白茯苓(去皮,以上各一两)、何首乌、天雄(去掉皮和脐)。
将上述药物研成细末,每次服用二钱,用米汤调服,不拘泥于特定时间服用。
治疗肾脏受到风邪损伤,表现为语言蹇涩不利,腰脊不能转动侧身,脚膝软弱疼痛麻木,头晕耳鸣,身体沉重等症状,都适宜服用以下方剂。
天雄(炮制,去掉皮和脐)、麻黄(去除节)、枳壳(麸炒)、桂心(以上各六分),以及石龙芮、独活、人参(去芦头)、羌活(去芦头)。
将上述药物作为一服剂量,加水两盅,生姜五片,煎煮至一盅,不拘泥于特定时间服用。
Qibo said: Contracting pathogenic factors on Ren and Gui days (days associated with Water in the Heavenly Stems) during winter results in Kidney Wind. When Kidney Qi is deficient and Wind pathogens invade, the patient may experience difficulty squatting, lower back pain, inability to bend forward or extend backward, or hemiplegia, empty ringing in both ears, turbid voice, prominent facial edema, soreness and pain in bone joints, mental confusion and drowsiness, predisposition to fearfulness and forgetfulness, dark complexion, heavy body sensation, profuse sweating with aversion to wind, and dysfunction of the genitalia or bowels/bladder. This constitutes Wind Stroke of the Kidney.
For treating Wind Stroke of the Kidney characterized by pain in the waist and spine, inability to bend or extend, cold numbness in both legs, weakness and loss of motor control, dizziness, deafness, and a heavy, muffled voice, the following prescription is suitable.
Du Huo (Dangosmi Radix), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peel and umbilicus removed), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), Gui Xin (Cinnamomi Cortex), each 1 qian; Chuan Xiong (Ligustici Chuanxiong Rhizoma, wine-soaked); Bi Xie (Dioscoreae Hypoglaucae Rhizoma, wine-soaked).
Take as one dose, add two zhong of water and five slices of fresh ginger, decoct until one zhong remains, and take at any time.
For treating diseases of the Kidney Meridian manifesting as profuse sweating with aversion to wind, facial edema, spinal pain, inability to walk or stand, and changes in skin color, which indicates pathology in the Kidney Meridian. If red-yellow patches resembling cakes are observed around the hypochondrium (left, right, upper, and lower areas), the condition is treatable. Urgently moxa the Shenshu (BL-23) acupoint for 100 moxa cones. If teeth turn yellow, hair and beard become stiff and upright, and the face takes on an earthy hue, the condition is untreatable.
Bi Xie (Dioscoreae Hypoglaucae Rhizoma, wine-soaked), Gou Ji (Cibotii Rhizoma), Du Zhong (Eucommiae Cortex, stir-fried, fibers removed), Bai Fu Ling (Poria, peel removed), each 1 liang; He Shou Wu (Polygoni Multiflori Radix); Tian Xiong (Aconiti Kusnezoffii Radix, peel and umbilicus removed).
Grind into fine powder. Take 2 qian per dose, mixed with rice water, at any time.
For treating injury from Wind pathogens affecting the Kidneys, manifesting as slurred speech, inability to rotate or twist the waist and spine, weak and painful/numb feet and knees, dizziness, tinnitus, and heaviness of the body, the following prescription is suitable.
Tian Xiong (Aconiti Kusnezoffii Radix, processed, peel and umbilicus removed), Ma Huang (Ephedrae Herba, nodes removed), Zhi Ke (Aurantii Fructus, bran-fried), Gui Xin (Cinnamomi Cortex), each 6 fen; Shi Long Rui (Ranunculi Ternati Herba); Du Huo (Dangosmi Radix); Ren Shen (Ginseng Radix et Rhizoma, radix removed); Qiang Huo (Notopterygii Rhizoma et Radix, radix removed).
Take as one dose, add two zhong of water and five slices of fresh ginger, decoct until one zhong remains, and take at any time.