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（三个，去皮尖，生） 生全蝎（二十一个） 生黑豆（二十一粒） 生
地龙（去皮，净，半两）
上为细末，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
令鬲空，温酒吞下，微出冷汗一身，便瘥。（许学士云∶余得此方，凡是历节及不测疼痛，
一、二服便瘥。在歙川日，有一贵家妇人，遍身走疰疼痛，至夜则发，如虫啮其肌。多作鬼
邪治。余曰∶此正历节病也。三服愈。）
治诸肢节疼痛，身体 羸，脚肿如脱，头眩短气，温温欲吐。（《三因方》）
桂心 知母 防风（各四两） 芍药 甘草 麻黄（去根节，各三两，炮） 附子（三两，
炮）
上 咀。每服四钱，水一盏半，生姜五片，煎七分，去滓，空心服。一法有白术、川芎
、杏仁、半夏。
治风历节，四肢疼痛如锤锻，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。
最治历节风，近人用之甚效。（见本卷第七论。）
小续命汤 大治白虎历节，痛不可忍。（方见第三卷）
有一妇人，先自两足踝骨痛不可忍，次日流上于膝，一、二日流于髀骨，甚流至于肩，
肩流于肘，肘流于后溪。或如锤锻，或如虫啮，痛不可忍，昼静夜剧，服诸药无效。召仆诊
之，六脉紧。余曰∶此真历节证也，非解散之药不能愈。但用小续命汤，一剂而愈。
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
而得之，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。
治疗白虎历节风，各种风邪引起的疼痛，游走不定，感觉像被虫子咬一样，白天安静晚上加重，以及一切手足突发不明原因的疼痛。
大八角川乌头（三个，去皮和尖端，生用） 全蝎（二十一个，生用） 黑豆（二十一粒，生用） 地龙（去掉皮，洗净，半两）。
以上药物研成细末，加入麝香一字量，一起研磨均匀，用糯米糊做成如绿豆大小的丸药。每次服用七丸，病情严重的服用十丸，睡前保持胃脘部空虚，用温酒送服，微微出一身冷汗，病就好了。（许学士说：我得到这个方子，凡是历节风和不明原因的疼痛，服用一两次就好了。在歙川的时候，有一位富贵人家的妇人，全身游走性疼痛，到了晚上发作，像虫子咬她的肌肉一样。很多人把它当作鬼邪来治。我说：这正是历节病。服用三剂后痊愈。）
治疗各种肢体关节疼痛，身体消瘦虚弱，脚肿得像要脱落一样，头晕气短，恶心欲吐。（出自《三因方》）
桂心 知母 防风（各四两） 芍药 甘草 麻黄（去掉根和节，各三两，炮制） 附子（三两，炮制）。
以上药物切碎。每次服用四钱，用水一盏半，生姜五片，煎至七分，去渣，空腹服用。另一种方法加白术、川芎、杏仁、半夏。
治疗风邪引起的历节风，四肢疼痛像被锤子敲打铁器一样，难以忍受。
附子 干姜 芍药 茯苓 人参 甘草 桂心（各三两） 白术（四两）。
以上药物切碎，每次服用四大钱。用水二盏，煎至七分，去渣，饭前服用。另一版本去掉桂心，改用干地黄二两。
最能治疗历节风，近代人使用非常有效。（见本卷第七论。）
小续命汤 主要治疗白虎历节风，疼痛难以忍受。（方剂见第三卷）
有一位妇人，起初双脚踝骨疼痛难忍，第二天疼痛向上流注到膝盖，一两天后流注到大腿骨，严重时流注到肩膀，从肩膀流注到肘部，从肘部流注到手太阳小肠经的后溪穴。疼痛有时像被锤子敲打，有时像被虫子咬，痛不可忍，白天安静晚上加重，服用各种药物无效。请我来诊治，六脉紧。我说：这是真正的历节证，不用发散解表的药不能痊愈。只用了小续命汤，一剂就痊愈了。
又一位邓安人，夏天也得了历节风，疼痛难忍，各种药物无效。请我来诊治，人迎脉和心脉虚弱，这是因为中暑引起的，应当先服用酒蒸黄连丸，其他医生没有不笑的，但服用这一帖药后就痊愈了。此后与人使用都验证有效。
Treats Baihu Lijie (White Tiger Arthralgia), various pains caused by wind pathogens, wandering and unsteady, feeling as if bitten by insects, quiet during the day and severe at night, as well as all sudden unexplained pains in the hands and feet.
Daba Jiao Chuan Wutou (Three large star-shaped Sichuan Aconite roots, peeled and tips removed, raw) Quanxie (Twenty-one whole Scorpions, raw) Sheng Heidou (Twenty-one black soybeans, raw) Dilong (Earthworm, skin removed, cleaned, half tael).
The above ingredients are ground into a fine powder. Add Moxiang (Musk) in an amount of "one character" (approx. 0.5g or a pinch), grind together uniformly, and form pills using glutinous rice paste, sized like mung beans. Take seven pills per dose; for severe cases, take ten pills. Ensure the stomach is empty before sleep, swallow with warm wine. A slight general cold sweat will occur, after which the illness will subside. (Scholar Xu stated: I obtained this prescription. For any Lijie or unexplained pain, one or two doses result in recovery. While in Shechuan, a noblewoman suffered from widespread wandering pain that flared up at night, feeling as if insects were biting her muscles. Many treated it as a ghostly affliction. I said: This is precisely Lijie disease. After three doses, she was cured.)
Treats various limb and joint pains, emaciated body, swollen feet as if detached, dizziness, shortness of breath, and a sensation of nausea wanting to vomit. (From *San Yin Fang*)
Guixin (Cinnamon Twig Heart) Zhimu (Anemarrhena Rhizome) Fangfeng (Saposhnikovia Root) Shaoyao (Peony Root) Gancao (Licorice Root) Mahuang (Ephedra Stem, roots and joints removed, each 4 liang, processed) Fuzi (Aconite Lateral Root, 3 liang, processed).
The above ingredients are chopped. Take 4 qian per dose, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until reduced to 0.7 zhan, strain, and take on an empty stomach. Another method includes Baizhu (Atractylodes Macrocephala Rhizome), Chuanxiong (Ligusticum Chuanxiong Rhizome), Xingren (Apricot Seed), and Banxia (Pinellia Tuber).
Treats wind-induced Lijie, where limb pains feel like hammering on iron, unbearable.
Fuzi (Aconite Lateral Root) Ganjiang (Dried Ginger) Shaoyao (Peony Root) Fuling (Poria) Renshen (Ginseng Root) Gancao (Licorice Root) Guixin (Cinnamon Twig Heart) (each 3 liang) Baizhu (Atractylodes Macrocephala Rhizome, 4 liang).
The above ingredients are chopped. Take 4 da qian per dose. Add 2 zhan of water, decoct until reduced to 0.7 zhan, strain, and take before meals. Another version removes Guixin and uses Dihuang (Rehmannia Root), 2 liang.
Most effective for Lijie Feng (Wind Lijie); modern people use it with great efficacy. (See Chapter 7 of this volume.)
Xiao Xuming Tang (Minor Continuation of Life Decoction) Primarily treats Baihu Lijie, where pain is unbearable. (Prescription found in Volume 3)
There was a woman who initially suffered unbearable pain in both ankle bones. The next day, the pain flowed upward to the knees. Within one or two days, it flowed to the thigh bones. In severe cases, it flowed to the shoulders, then from shoulders to elbows, and from elbows to Houxi (SI3, Posterior Stream acupoint). The pain felt either like hammering or like insect bites, unbearable. Daytime quietness with nighttime exacerbation occurred. Various medicines failed. Upon my diagnosis, the six pulses were tight. I said: This is true Lijie syndrome. Only dispersing and releasing exterior herbs can cure it. Using only Xiao Xuming Tang, one dose resulted in a cure.
Another case: Lady Deng also suffered from Lijie in summer, with unbearable pain, unresponsive to various medicines. Upon my diagnosis, the Renying (ST9, Neck Artery pulse point) and Xinmai (Heart pulse) were deficient. This was caused by Summerheat. It was appropriate to first administer Jiuzheng Huanglian Wan (Wine-steamed Coptis Pill). Other doctors laughed at this approach. However, after taking one packet, she was cured. Subsequent use on others proved highly effective.