〔大〕夫妇人体虚，受风邪之气，随血而行，或淫溢皮肤，卒然掣痛，游走无有常
处，故名为走疰也。加减小续命汤主之。
〔薛〕东垣云∶若人身体沉重，走疰疼痛，此湿热相搏，或风热郁而不得伸，附着
于有形也。是证多因饮食起居失节，或因七情劳役失宜，脾胃亏损，腠理不密，外邪所
侵，以致内热晡热，自汗盗汗，或经候不调，饮食不甘。治法∶湿热肿痛者，清燥汤，（杂病
伤暑。）兼痰，佐以二陈汤。（杂病痰饮。）肝火作痛者，加味逍遥散。脾郁作痛者，加味归脾
汤。血虚作痛者，四物汤。气虚作痛者，四君子汤。气血俱虚者，八珍汤。俱加羌活、川
芎。月经先期而痛者，加味逍遥散。头眩倦怠而痛者，补中益气汤。大抵按之痛甚者，病
气实。按之痛缓者，元气虚。劳役而痛者，亦元气虚也。饮食失宜而痛者，脾气虚也。恼
怒而痛者，肝火盛也。若昼轻而夜重者，血分病也。一妇人历节发热作渴，饮食少思，月
经过期，其脉举之洪大，按之微细，用附子八物汤四剂而痛止，用加味逍遥而元气复，用
六味丸而月经调。一妇人体肥胖，素有热，月经先期，患痛风，下体微肿，痛甚则小便
频数，身重脉缓，此风湿血虚有热，用羌活胜湿汤二剂，肿痛渐愈。用清燥汤数剂，小
便渐清。用加味逍遥散，内热渐愈，又为饮食停滞，发热仍痛，面目浮肿，用六君加柴
胡、升麻而愈。又因怒气。小腹痞闷，寒热呕吐，用前药加山栀、木香而安。惟小腹下
坠，似欲去后，此脾气下陷，用补中益气而愈。后因劳役怒气，作呕吐痰，遍身肿痛，经
行寒热，此肝木侮脾土，用六君加柴胡、山栀，肿痛呕吐悉退，后用补中益气而安。
一妇人饮食少思，畏风寒，患痛风呕吐寒热，脉弦紧，用附子八物汤而四肢痛愈，用独活
寄生汤而腰痛渐痊。惟两膝肿痛，用大防风汤而痛渐愈，用归脾、逍遥而元气复。
没药散 治妇人血风走疰，肢节疼痛，发时来往不定。
没药（另研） 乳香（另研） 芎 当归（炒，去芦） 桂心 漏芦（去芦） 木香（各半两）
白芷 琥珀（另研） 地龙（去土，微炒，各七钱半） 安息香（另研） 麝香（另细研，各二钱半）
为细末，入研药拌匀。每服一钱，温酒调下，不拘时。
琥珀散 治妇人血风走疰疼痛，来往疼痛。
琥珀（另研） 当归（去芦） 牛膝（酒浸） 羌活（去芦） 川大黄（锉、微炒，各七钱半）
桂心（一两） 没药（另研） 血竭（另研） 干漆（炒烟尽） 玄胡索 防风（去芦） 羚羊角屑（各半两）
上为细末，每服二钱，温酒调下，不拘时日，进二服。
虎骨散 治妇人血风走疰疼痛，痛不可忍。
虎胫骨（二两，酥炙） 干蝎（炒） 琥珀（另研，各半两） 当归（炒） 威灵仙 牛膝（酒浸）
羌活（去芦） 桂心（各一两） 漏芦（去芦） 芎 没药（另研，各七钱半）
上为细末，每服二钱，温酒调下，不拘时候，日进二服。
雄黄散 治妇人血风走疰疼痛。
雄黄（研，水飞） 血竭（另研） 赤箭 侧子（炮，去皮脐） 桂心 没药（另研） 木香
白芥子 地龙（炒去土） （各半两，生用） 麝香（二钱半，另研） 乌蛇（二两，酒浸去皮骨，
炒微黄）
上为细末，入研药更研令匀，每服二钱，热酒调下，不拘时候，日进二服。
漏芦散 治妇人血风走疰，疼痛无有常处。
漏芦 当归 牛膝（各三分） 桂心 地龙（去土） 防风 羌活 白芷 没药（研）
甜瓜子（各半两） 虎胫骨（酥炙） 败龟板（醋炙，各一两）
上为细末，每服二钱，热酒调下，无时。
四生丸（见前。）
麝香丸 治白虎历节，诸风疼痛，游走不定，状如虫啮，昼静夜剧，及一切手足不
测疼痛。
大八角川乌头（三枚，去皮尖，生用） 生全蝎（二十个） 生黑豆（二十粒） 生地龙（去土，
半两）
为细末，入麝香一字，同研停，糯米糊为丸，如绿豆大。每服七丸，甚者十丸，夜
卧令膈空，温酒吞下，微出冷汗一身便瘥。许学士云∶予得此方，凡是历节及不测疼痛，一
二服便瘥。在歙州日，有一贵家妇人，遍身走注疼痛，至夜则发，如虫啮其肌，多作鬼
邪治。予曰∶此正历节病也，三服效。
芍药知母汤 （《三因》）治诸肢节疼痛，身体 羸，脚肿如脱，头眩短气，温温欲吐。
桂心 知母 防风（各四两） 芍药 麻黄（去根节） 甘草（各三两） 附子（二两，炮）
上 咀，每服四钱，水一盏半，生姜五片，煎七分，去滓空心服。一方有白术、川
芎、杏仁、半夏。
附子八物汤 治风历节疼痛，四肢如锤锻不可忍。
附子 干姜 芍药 茯苓 人参 甘草 桂心（各三两） 白术（四两）
上 咀，每服四大钱，水二盏，煎七分，去滓食前服。一方去桂，用干地黄二两。
独活寄生汤（方见杂病腰痛。）
小续命汤 治白虎历节，痛不可忍。（方见杂病中风。）
〔陈〕一妇人先自两足踝骨痛不可忍，次日流上于膝，三日流于髀骨，甚疼，至于
肩，肩流于肘，肘流于后溪。或如锤锻，或如虫窜，痛不可忍，昼静夜剧，服诸药无效。
召仆诊之，六脉紧。予曰∶此真历节证也，非解散之药不能愈，但用小续命汤，一剂而痊。
又邓安人夏月亦病历节，痛不可忍，诸药无效。召仆诊之，人迎与心脉虚，此因中暑
而得，合先服酒蒸黄连丸，众医莫不笑。用此药服一帖即愈，自后与人良验。
治妇人血风走疰，腰膝骨节疼痛不可忍。
附子（生） 薰陆香 杏仁（研） 桂心 当归 芸苔子 芫花 巴豆（去皮，各一两）
松脂（一两半）
上为细末，熔黄蜡五两，搅和诸药，捏作片子，包裹痛处，立效。
又方
芫花 桂心（各一两） 汉椒（二两） 桑根白皮（三两） 芸苔子 柳 屑（各五两）
上为细末，用醋一升拌和，蒸令热，用青布裹熨痛处，冷即更入醋蒸用之。
治妇人血风走疰，腰胯脚膝疼痛。
天仙子 川乌头（生） 附子（生，各一两）
上为细末，以酒煎成膏，摊于帛上，敷贴痛处，多年者不过三上效。
【大】妇女身体虚弱，感受风邪之气，随着血液运行，或者泛滥于皮肤之间，突然发生牵引性疼痛，游走不定没有固定位置，所以称为走疰。用小续命汤加减方主治。
【薛】李东垣说：如果人身体沉重，走疰疼痛，这是湿热相互搏结，或者风热郁滞而不能舒展，附着在形体之上。这个证候多因为饮食起居没有节制，或者因七情劳役调理不当，导致脾胃亏损，腠理（皮肤纹理及汗孔）不紧密，外邪侵入，以致产生内热、傍晚发热、自汗或盗汗，或者月经不调，饮食无味。治疗方法：湿热肿痛者，用清燥汤；兼有痰湿者，佐以二陈汤；肝火作痛者，用加味逍遥散；脾郁作痛者，用加味归脾汤；血虚作痛者，用四物汤；气虚作痛者，用四君子汤；气血俱虚者，用八珍汤。以上各方均加入羌活、川芎。月经先期且疼痛者，用加味逍遥散；头晕倦怠且疼痛者，用补中益气汤。大抵按压时疼痛加剧的，是病气实证；按压时疼痛缓解的，是元气虚证。劳累后疼痛的，也是元气虚证。饮食不当而疼痛的，是脾气虚证。恼怒后疼痛的，是肝火盛证。如果白天轻晚上重，是血分病证。有一位妇人患历节病发热口渴，饮食减少，月经过期，脉象举之洪大，按之微细，服用附子八物汤四剂后疼痛停止，服用加味逍遥散后元气恢复，服用六味丸后月经调顺。另一位妇人体型肥胖，素有热邪，月经先期，患痛风，下肢轻微肿胀，疼痛严重时小便频数，身体沉重脉缓，这是风湿兼血虚有热，服用羌活胜湿汤两剂，肿痛逐渐痊愈。服用清燥汤数剂，小便逐渐清利。服用加味逍遥散，内热逐渐痊愈。又因饮食停滞，再次发热疼痛，面目浮肿，服用六君子汤加柴胡、升麻而痊愈。又因怒气，小腹痞闷，寒热呕吐，用前方加山栀、木香而安定。只有小腹下坠，似有大便欲解之感，这是脾气下陷，服用补中益气汤而痊愈。后来因劳累和怒气，出现呕吐痰涎，遍身肿痛，经期寒热，这是肝木侮脾土，服用六君子汤加柴胡、山栀，肿痛呕吐全部消退，后用补中益气汤而安。还有一位妇人饮食少思，畏风寒，患痛风呕吐寒热，脉弦紧，服用附子八物汤后四肢疼痛痊愈，服用独活寄生汤后腰痛逐渐康复。只有两膝肿痛，服用大防风汤后疼痛逐渐痊愈，服用归脾汤、逍遥散后元气恢复。
没药散：治疗妇人血风走疰，肢节疼痛，发作时来往不定。
配方：没药（另研）、乳香（另研）、川芎、当归（炒，去芦）、桂心、漏芦（去芦）、木香（各半两）、白芷、琥珀（另研）、地龙（去土，微炒，各七钱半）、安息香（另研）、麝香（另细研，各二钱半）。
制法与用法：研为细末，将另研的药物拌匀。每次服一钱，温酒调下，不限时间。
琥珀散：治疗妇人血风走疰疼痛，疼痛来往不定。
配方：琥珀（另研）、当归（去芦）、牛膝（酒浸）、羌活（去芦）、川大黄（锉碎、微炒，各七钱半）、桂心（一两）、没药（另研）、血竭（另研）、干漆（炒至烟尽）、玄胡索、防风（去芦）、羚羊角屑（各半两）。
制法与用法：研为细末，每次服二钱，温酒调下，不限时日，每日进服两次。
虎骨散：治疗妇人血风走疰疼痛，疼痛难以忍受。
配方：虎胫骨（二两，酥炙）、干蝎（炒）、琥珀（另研，各半两）、当归（炒）、威灵仙、牛膝（酒浸）、羌活（去芦）、桂心（各一两）、漏芦（去芦）、川芎、没药（另研，各七钱半）。
制法与用法：研为细末，每次服二钱，温酒调下，不限时候，每日进服两次。
雄黄散：治疗妇人血风走疰疼痛。
配方：雄黄（研，水飞）、血竭（另研）、赤箭（天麻）、侧子（炮，去皮脐）、桂心、没药（另研）、木香、白芥子、地龙（炒去土）、麝香（二钱半，另研）、乌蛇（二两，酒浸去皮骨，炒微黄）。（注：前几味药各半两，生用）
制法与用法：研为细末，将另研的药物混合再研均匀，每次服二钱，热酒调下，不限时候，每日进服两次。
漏芦散：治疗妇人血风走疰，疼痛没有固定位置。
配方：漏芦、当归、牛膝（各三分）、桂心、地龙（去土）、防风、羌活、白芷、没药（研）、甜瓜子（各半两）、虎胫骨（酥炙）、败龟板（醋炙，各一两）。
制法与用法：研为细末，每次服二钱，热酒调下，不限时间。
四生丸（见前文）。
麝香丸：治疗白虎历节病，各种风邪疼痛，游走不定，状如虫咬，白天安静晚上加重，以及一切手足不明原因的疼痛。
配方：大八角川乌头（三枚，去皮尖，生用）、生全蝎（二十个）、生黑豆（二十粒）、生地龙（去土，半两）。
制法与用法：研为细末，加入麝香一字，一同研磨均匀，用糯米糊做成丸，如绿豆大小。每次服七丸，严重的服十丸，夜间睡觉时让胃脘部空虚，用温酒吞服，全身微微出冷汗即可痊愈。许学士说：我得到这个方子，凡是历节病及不明原因的疼痛，一二剂就痊愈。在歙州时，有一位贵家妇人，遍身走注疼痛，到了夜间发作，像虫子咬她的肌肉，大多被当作鬼邪治疗。我说：这正是历节病，服三剂有效。
芍药知母汤（出自《三因极一病证方论》）：治疗各种肢节疼痛，身体消瘦，脚肿得像要脱落一样，头晕目眩，呼吸短促，心中烦闷想吐。
配方：桂心、知母、防风（各四两）、芍药、麻黄（去根节）、甘草（各三两）、附子（二两，炮制）。
制法与用法：切碎，每次服四钱，用水一盏半，生姜五片，煎至七分，去渣空腹服用。另一版本有白术、川芎、杏仁、半夏。
附子八物汤：治疗风邪历节疼痛，四肢疼痛如受锤锻般难以忍受。
配方：附子、干姜、芍药、茯苓、人参、甘草、桂心（各三两）、白术（四两）。
制法与用法：切碎，每次服四大钱，用水二盏，煎至七分，去渣饭前服用。另一版本去掉桂心，用干地黄二两。
独活寄生汤（方见杂病腰痛章节）。
小续命汤：治疗白虎历节病，疼痛难以忍受。（方见杂病中风章节）。
【陈】一位妇人起初双足踝骨疼痛难以忍受，第二天疼痛流窜到膝盖，第三天流窜到大腿骨，非常疼，进而到肩部，肩流到肘部，肘流到手后溪穴。有时像受锤锻，有时像虫子钻窜，疼痛难以忍受，白天安静晚上加重，服用各种药物无效。请仆人诊治，六脉紧。我说：这是真正的历节证，不是发散解表药不能治愈，只用小续命汤，一剂就痊愈了。
另外邓安人在夏天也患历节病，疼痛难以忍受，各种药物无效。请仆人诊治，人迎脉与心脉虚弱，这是因为中暑所致，应当先服用酒蒸黄连丸，众医生无不嘲笑。服用此药一帖即愈，此后给人使用都验证有效。
治疗妇人血风走疰，腰膝骨节疼痛难以忍受的外敷方：
配方：附子（生）、薰陆香（乳香）、杏仁（研）、桂心、当归、芸苔子（油菜籽）、芫花、巴豆（去皮，各一两）、松脂（一两半）。
制法与用法：研为细末，熔化黄蜡五两，搅拌混合诸药，捏成片状，包裹疼痛处，立即见效。
又一方：
配方：芫花、桂心（各一两）、汉椒（花椒，二两）、桑根白皮（三两）、芸苔子、柳屑（各五两）。
制法与用法：研为细末，用醋一升拌和，蒸热，用青布包裹熨烫疼痛处，冷了再放入醋中蒸热使用。
治疗妇人血风走疰，腰胯脚膝疼痛的外敷膏方：
配方：天仙子、川乌头（生）、附子（生，各一两）。
制法与用法：研为细末，用酒煎成膏，摊在帛上，敷贴疼痛处，多年的病痛不过三次敷贴即可见效。
[Da] Women with a deficient constitution are susceptible to wind-pathogenic qi, which travels along with the blood. It may overflow into the skin and subcutaneous tissue, causing sudden pulling pain that migrates without a fixed location; hence it is named "Zou Zhu" (migrating bi-syndrome). It is primarily treated with Jiawei Xiao Xu Ming Tang (Modified Minor Continuation Life Decoction).
[Xue] Li Dongyuan stated: If a person suffers from heavy body sensation and Zou Zhu pain, this indicates a struggle between damp-heat, or wind-heat stagnation failing to disperse, adhering to the physical form. This syndrome often arises from irregular diet and lifestyle, or improper management of the seven emotions and overexertion, leading to Spleen-Stomach deficiency. The interstices (Cou Li) become loose, allowing external pathogens to invade, resulting in internal heat, afternoon fever, spontaneous sweating, or night sweats, irregular menstruation, and poor appetite. Treatment methods: For damp-heat swelling and pain, use Qing Zao Tang (Clear Dryness Decoction); if accompanied by phlegm, assist with Er Chen Tang (Two Aged Medicines Decoction); for pain due to Liver Fire, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); for pain due to Spleen Qi Stagnation, use Jiawei Guipi Tang (Modified Restore the Spleen Decoction); for pain due to Blood Deficiency, use Si Wu Tang (Four Substances Decoction); for pain due to Qi Deficiency, use Si Jun Zi Tang (Four Gentlemen Decoction); for combined Qi and Blood Deficiency, use Ba Zhen Tang (Eight Treasures Decoction). All these formulas should be supplemented with Qiang Huo (Notopterygii Rhizoma et Radix) and Chuan Xiong (Chuanxiong Rhizoma). For early menstruation with pain, use Jiawei Xiaoyao San; for dizziness, fatigue, and pain, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Generally, pain exacerbated by pressure indicates excess pathogenic factors, while pain relieved by pressure indicates deficiency of Yuan Qi (Original Qi). Pain triggered by overexertion also indicates Yuan Qi deficiency. Pain caused by improper diet indicates Spleen Qi deficiency. Pain triggered by anger indicates excessive Liver Fire. Pain that is mild during the day and severe at night indicates a disorder of the Blood level.
Case 1: A woman suffered from joint disease (Li Jie) with fever and thirst, reduced appetite, and delayed menstruation. Her pulse was surging and large when lifted, but fine and subtle when pressed. After four doses of Fuzi Bawu Tang (Aconite Eight-Ingredient Decoction), the pain ceased. After taking Jiawei Xiaoyao San, her Original Qi recovered. After taking Liuwei Wan (Six-Ingredient Pill with Rehmannia), her menstruation regulated.
Case 2: Another woman was obese and had inherent heat, with early menstruation. She developed gout-like symptoms with slight swelling in the lower limbs. Severe pain was accompanied by frequent urination, heaviness, and a slow pulse. This indicated Wind-Dampness with Blood Deficiency and Heat. After two doses of Qianghuo Shengshi Tang (Notopterygium Decoction to Overcome Dampness), the swelling and pain gradually subsided. After several doses of Qing Zao Tang, urination cleared. Jiawei Xiaoyao San resolved the internal heat. Later, due to food stagnation, fever and pain recurred with facial edema. She was cured with Liujun Zi Tang (Six Gentlemen Decoction) plus Chai Hu (Bupleuri Radix) and Sheng Ma (Cimicifugae Rhizoma). Anger later caused abdominal distension, chills, fever, and vomiting. Adding Zhi Zi (Gardeniae Fructus) and Mu Xiang (Aucklandiae Radix) to the previous formula brought stability. However, a sensation of rectal tenesmus indicated Spleen Qi sinking, which was cured by Buzhong Yiqi Tang. Later, overexertion and anger caused vomiting of phlegm, generalized swelling and pain, and chills/fever during menstruation. This indicated Liver Wood insulting Spleen Earth. Liujun Zi Tang plus Chai Hu and Zhi Zi resolved the symptoms, followed by Buzhong Yiqi Tang for recovery.
Case 3: A woman with poor appetite and aversion to wind/cold suffered from gout with vomiting, chills, and fever, and a string-tight pulse. Fuzi Bawu Tang cured the limb pain, and Duhuo Jisheng Tang (Angelica Pubescens and Dorstenia Decoction) cured the lower back pain. However, knee swelling and pain persisted until Da Fangfeng Tang (Major Saposhnikovia Decoction) helped, after which Guipi Tang and Xiaoyao San restored her Qi.
Moyao San (Myrrh Powder): Treats women's Blood-Wind Zou Zhu, joint pain, with attacks occurring intermittently.
Ingredients: Moyao (Myrrha, separately ground), Ruxiang (Olibanum, separately ground), Chuanxiong, Danggui (Angelicae Sinensis Radix, stir-fried, de-gorged), Guixin (Cinnamomi Ramulus), Loulu (Euphorbiae Humifusae Radix, de-gorged), Muxiang (Aucklandiae Radix) (each 0.5 liang); Baizhi (Angelicae Dahuricae Radix), Hupo (Succinum, separately ground), Dilong (Pheretima, de-soil, lightly stir-fried) (each 0.75 liang); Anshixiang (Styrax, separately ground), Shexiang (Moschus, finely separately ground) (each 0.25 liang).
Preparation and Administration: Grind into fine powder, mix with separately ground ingredients. Take 1 qian per dose, mixed with warm wine, at any time.
Hupo San (Succinum Powder): Treats women's Blood-Wind Zou Zhu pain, with intermittent pain.
Ingredients: Hupo (Succinum, separately ground), Danggui (Angelicae Sinensis Radix, de-gorged), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Qianghuo (Notopterygii Rhizoma et Radix, de-gorged), Chuan Huanglian (Rhizoma Coptidis - *Note: Text says Chuan Dahuang, usually Rheum Palmatum* - Rhizoma et Radix Rhei, crushed, lightly stir-fried), Guixin (Cinnamomi Ramulus) (each 0.75 liang); Guixin (Cinnamomi Ramulus) (1 liang); Moyao (Myrrha, separately ground), Xuexie (Draconis Sanguis, separately ground), Ganqi (Caulis Cissampi, stir-fried until smoke ceases), Yanhusuo (Corydalis Rhizoma), Fangfeng (Saposhnikoviae Radix, de-gorged), Lingyangjiaoxie (Saigae Tataricae Cornu) (each 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with warm wine, at any time, twice daily.
Hugu San (Tiger Bone Powder): Treats women's Blood-Wind Zou Zhu pain, unbearable pain.
Ingredients: Hujinggu (Os Tigridis Tibia, roasted with butter) (2 liang), Ganxie (Scorpio, stir-fried), Hupo (Succinum, separately ground) (each 0.5 liang); Danggui (Angelicae Sinensis Radix, stir-fried), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma - *Note: Usually Salvia Chinensis*, here likely Clematidis Radix et Rhizoma based on context of wind-damp*), Niuxi (Achyranthis Bidentatae Radix, soaked in wine), Qianghuo (Notopterygii Rhizoma et Radix, de-gorged), Guixin (Cinnamomi Ramulus) (each 1 liang); Loulu (Euphorbiae Humifusae Radix, de-gorged), Chuanxiong, Moyao (Myrrha, separately ground) (each 0.75 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with warm wine, at any time, twice daily.
Xionghuang San (Realgar Powder): Treats women's Blood-Wind Zou Zhu pain.
Ingredients: Xionghuang (Realgar, ground, water-leveled), Xuexie (Draconis Sanguis, separately ground), Chijian (Gastrodiae Rhizoma), Cezi (Aconiti Lateralis Radix Praeparata, processed, peel and navel removed), Guixin (Cinnamomi Ramulus), Moyao (Myrrha, separately ground), Muxiang (Aucklandiae Radix), Baijiezi (Sinapis Semen), Dilong (Pheretima, stir-fried, de-soil) (each 0.5 liang, raw); Shexiang (Moschus, 0.25 liang, separately ground); Wushe (Bungarus multicinctus, soaked in wine, skin and bones removed, lightly stir-fried) (2 liang).
Preparation and Administration: Grind into fine powder, mix thoroughly with separately ground ingredients. Take 2 qian per dose, mixed with hot wine, at any time, twice daily.
Loulu San (Euphorbia Humifusa Powder): Treats women's Blood-Wind Zou Zhu, pain without fixed location.
Ingredients: Loulu (Euphorbiae Humifusae Radix), Danggui (Angelicae Sinensis Radix), Niuxi (Achyranthis Bidentatae Radix) (each 3 fen); Guixin (Cinnamomi Ramulus), Dilong (Pheretima, de-soil), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Moyao (Myrrha, ground), Tianguaizi (Trichosanthis Semen) (each 0.5 liang); Hujinggu (Os Tigridis Tibia, roasted with butter), Baiguiban (Testudinis Carapax et Plastrum, vinegar-roasted) (each 1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with hot wine, at any time.
Sisheng Wan (Four Generations Pill) (See previous section).
Shexiang Wan (Moschus Pill): Treats Baihu Lijie (White Tiger Arthralgia), various wind-pain, migrating pain resembling insect bites, worse at night than day, and all unexplained extremity pains.
Ingredients: Da Bajiao Chuan Wutou (Aconitum Carmichaelii Radix Preparata - *Text specifies raw, large star-shaped*) (3 pieces, peel tip, raw), Sheng Quanxie (Scorpio, raw) (20), Sheng Heidou (Sojae Semen Nigrum, raw) (20), Sheng Dilong (Pheretima, de-soil) (0.5 liang).
Preparation and Administration: Grind into fine powder, add one "zi" amount of Shexiang (Moschus), grind together uniformly, bind with glutinous rice paste into pills the size of mung beans. Take 7 pills per dose, 10 for severe cases. Take before sleep with an empty stomach, swallowed with warm wine. Recovery occurs when a slight cold sweat breaks out over the body. Scholar Xu stated: I obtained this prescription; for Lijie and unexplained pains, one or two doses bring cure. In Shenzhou, a noblewoman suffered from generalized migrating pain, worsening at night as if insects bit her muscles, often treated as ghost evil. I said: This is precisely Lijie disease; three doses will be effective.
Shaoyao Zhimu Tang (Peony and Anemarrhena Decoction) (From *San Yin Fang*): Treats pain in all joints, emaciation, swollen feet feeling like they are falling off, dizziness, shortness of breath, and nausea.
Ingredients: Guixin (Cinnamomi Ramulus), Zhimu (Anemarrhenae Rhizoma), Fangfeng (Saposhnikoviae Radix) (each 4 liang); Shaoyao (Paeoniae Radix Alba), Mahuang (Ephedrae Herba, remove roots and joints), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang); Fuzi (Aconiti Lateralis Radix Praeparata) (2 liang, processed).
Preparation and Administration: Cut into small pieces. Take 4 qian per dose, with 1.5 cups of water and 5 slices of Shengjiang (Zingiberis Rhizoma Recens), decoct to 0.7 cup, strain, and take on an empty stomach. Another version includes Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong, Xingren (Armeniacae Semen Amarum), Banxia (Pinelliae Rhizoma).
Fuzi Bawu Tang (Aconite Eight-Ingredient Decoction): Treats wind-Lijie pain, unbearable pain in limbs as if hammered.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata), Jiangtang (Zingiberis Rhizoma), Shaoyao (Paeoniae Radix Alba), Fuling (Poria), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Guixin (Cinnamomi Ramulus) (each 3 liang); Baizhu (Atractylodis Macrocephalae Rhizoma) (4 liang).
Preparation and Administration: Cut into small pieces. Take 4 da-qian per dose, with 2 cups of water, decoct to 0.7 cup, strain, and take before meals. Another version removes Guixin and uses Dihuang (Rehmanniae Radix) 2 liang.
Duhuo Jisheng Tang (Angelica Pubescens and Dorstenia Decoction) (Formula seen in Miscellaneous Diseases Lower Back Pain section).
Xiao Xu Ming Tang (Minor Continuation Life Decoction): Treats Baihu Lijie, unbearable pain. (Formula seen in Miscellaneous Diseases Stroke section).
[Chen] A woman initially suffered unbearable pain in both ankle bones. The next day, the pain migrated to the knees; on the third day, to the thigh bones, very painful, then to the shoulders, elbows, and Houxi acupoint. The pain felt like hammering or insect crawling, unbearable, worse at night than day. Various medicines failed. Upon examination, the six pulses were tight. I said: This is true Lijie syndrome, not resolvable by dispersing herbs alone, but Xiao Xu Ming Tang will cure it in one dose.
Another case: Lady Deng also suffered from Lijie in summer, unbearable pain, medicines failed. Examination showed Renying and Xin pulses were deficient, indicating heatstroke. She should first drink Jiuzheng Huanglian Wan (Wine-steamed Coptis Pills). Other doctors laughed. One dose cured her, and it proved effective subsequently.
External application for women's Blood-Wind Zou Zhu, unbearable pain in waist, knees, and joints:
Ingredients: Fuzi (Aconiti Lateralis Radix, raw), Xunluxiang (Olibanum), Xingren (Armeniacae Semen Amarum, ground), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Yuntaizi (Brassicae Napus Semen), Yuanhua (Genkwa Flos), Badou (Crotonis Fructus, peel removed) (each 1 liang); Songzhi (Pini Resina) (1.5 liang).
Preparation and Administration: Grind into powder, melt 5 liang of Huangla (Beeswax), mix with herbs, mold into patches, apply to painful area. Immediate effect.
Another formula:
Ingredients: Yuanhua (Genkwa Flos), Guixin (Cinnamomi Ramulus) (each 1 liang); Hanjiao (Zanthoxyli Pericarpium) (2 liang), Sanggenbaipi (Mori Cortex) (3 liang), Yuntaizi (Brassicae Napus Semen), Liuxie (Salicis Cortex/Calamus) (each 5 liang).
Preparation and Administration: Grind into powder, mix with 1 sheng of Cu (Vinegar), steam until hot, wrap in green cloth, and compress/foment the painful area. When cool, re-steam with vinegar.
External plaster for women's Blood-Wind Zou Zhu, pain in waist, hips, legs, and knees:
Ingredients: Tianxianzi (Hyoscyami Semen), Chuan Wutou (Aconiti Radix, raw), Fuzi (Aconiti Lateralis Radix, raw) (each 1 liang).
Preparation and Administration: Grind into powder, decoct with wine to make a paste, spread on silk, and apply to the painful area. Chronic cases resolve within three applications.