夫痛风者。皆因气体虚弱。调理失宜。受风寒暑湿之毒。而四肢之内。肉色不变。其病
昼静
夜剧。其痛如割者。为寒多。肿满如剜者。为湿多。或汗出入水。遂成斯疾。久而不愈。令
人骨节蹉跌。股胫消瘦者。为难疗矣。予考痛风。脉理多端。有旦定而夜甚。脉弦而紧者。
是痛风也。脉沉而伏。中气也。不可一例而治。临症当审辨矣。经曰。痹者。谓风寒湿三气合而成痹。故曰痛痹。筋骨
掣痛也。曰着痹。着而不行也。曰行痹。走而不定也。曰周痹。周身疼痛也。皆邪气有余之候耳。
一论痛风。腰背手足肢节疼痛。乃血虚气弱。经络枯涩。寒滞而然也。午后夜甚者。血
弱阴
参五秦艽汤
当归（三钱） 赤芍（酒炒七分） 苍术（童便浸一钱） 生地黄（酒浸一钱） 萆 （一钱）
黑狗
脊（去毛根二钱） 川芎（七分） 羌活（一钱五分） 秦艽（去芦一钱五分） 川独活（一钱）
五加皮（二钱） 黄连（姜汁炒一钱） 黄柏（酒炒一钱） 红花（酒洗八分） 黄芩（酒炒一钱
五分
）黄 （酒炒二钱） 人参（二钱） 牛膝（去芦酒浸一钱五分） 杜仲（每一两用茴香一钱
盐一钱水二钟拌炒此用二钱） 生甘草（二分）
上锉。桃枝七根。每长一寸半。灯心七根。水煎。临服入童便、好酒各一盏。空心温服
渣再煎服。忌酒面鲤鱼湿热羊鹅。
如天将作雨。阴晦时日。而预先觉痛甚者。加防风、天麻、
升麻。午后夜甚者。血弱阴虚。加升麻五分。牡丹皮一钱。早上午前甚者。气滞阳弱。加连
翘、沉香、竹沥、乳汁。痛甚者。倍羌活、红花、酒炒黄芩。凉血则痛止。此症乃筋与骨症
患者乃外淫侵入日久。及年近衰者。不善养而得。盖筋属肝血。骨属肾水。内损所致耳。
一论湿热作痛。不拘上下用之。苍术妙于燥湿。黄柏妙于去热。二物皆有雄壮之性。亦简易
之方也。加牛膝则治湿热下流。两脚麻木。或如火燎之热者。
二妙散
苍术（米泔浸） 黄柏（乳汁浸透）
上为末。每服三钱。用酒调下。痛甚。加生姜汁。热服。
一论血脉凝滞。筋络拘挛。肢节疼痛。行步艰难。活血理气。第一品也。
舒筋散
元胡索（炒） 当归 辣桂（各等分）
上为丸。每服二钱。用酒调下。
十全大补汤 治劳倦遍身疼痛。加半夏姜制。倍佳。
一妇人年七十余。遍身作痛。筋骨尤甚。不能屈伸。遍身作痒如虫行。口干目赤。头晕
痰涌。胸膈不利。小便短赤。夜间殊甚。用六味地黄丸料。加山栀、柴胡。水煎服。
一论瘀血湿痰。蓄于肢节之间筋骨之会。空窍之所而作痛也。肢节沉重者。是湿痰。晚间病重者。是瘀血也。
赶痛汤
乳香 没药 地龙（酒炒） 香附（童便浸） 桃仁 红花 甘草节 牛膝（酒浸） 当
归羌活 五灵脂（酒淘去土）
上锉。水煎。温服。
一论寒湿之气。痹滞关节。麻木疼痛。
续断丸
黄 （一两） 人参（七钱） 白茯苓（一两） 山茱萸肉（一两） 薏苡仁（一两） 续断（一
两）
防风（七钱） 桂心（一两） 山药（一两） 白术（七钱） 熟地黄（二两） 牡丹皮（一
两） 麦门冬（一两） 石斛（一两） 鹿角胶
上为细末。炼蜜为丸。如梧子大。每服五十丸。空心。温酒下。
一论人手足不能屈伸。周身疼痛。
消风饮 临川徐培鸿试验。
陈皮 白术（去芦） 当归（酒洗） 白茯苓（去皮各一钱） 防己 独活 木瓜 （四分
）秦
各三分） 防风（五分）
上锉一剂。生姜煎。不拘时服。气虚。加人参八分。
一论一切遍身骨节疼痛。或流注作痛。不可忍者。立见神效。
人参 白术（去芦） 白茯苓 当归 川芎 天麻 陈皮 甘草 赤芍 防风 生
地黄 羌活 独活 南星 黄芩
上锉。生姜煎服。
一论风湿相搏。周身尽痛。以益气汤加羌活、防风、 本、苍术治之。如病去。勿再服
以诸风药。损人元气。而益其病故也。
一男子两胯痛不可忍者。临川徐扩吾试效。
黄 （蜜炒一两） 参（二钱） 苍术（米泔制一钱五分） 当归身（酒洗一两五钱） 秦艽
两） 牛膝（去芦酒洗一两） 独活（一两） 杜仲（酒炒一两五钱） 熟地黄（一两） 桑寄
生（一两五钱） 官桂（二钱） 木瓜（五钱） 小茴香（盐酒炒五钱）
上为细末。酒打面糊为丸。如梧子大。每服百丸。空心。酒下。
一论雷火针。
苍术（五钱） 川芎（三钱） 硫黄（二钱半） 穿山甲（三钱炒） 蔓荆子（三钱） 皂角（三
钱） 麝香（五分） 雄黄（二钱） 艾叶（三钱）
上为末。纸卷如指大。以草纸七层贴患处。将药然起淬之。知痛则止。
一论熨法。治诸风恶毒。冷痹麻木肿痛。或遍身骨痛。始觉肿痛。熨之无不即效。
苍术（二两） 羌活（一两） 独活（五钱） 蛇床子（五钱） 蔓荆子（五钱） 穿山甲（五钱
土炒） 雄黄（三钱） 硫黄（三钱） 麝香（三分）
上为末。炒热。以绢包熨患处。一法。以醋拌炒作饼。用绢包。烧秤锤放饼上。熨之。
一人每劳。肢体时痛。或用清痰理气之剂。反不劳常痛。加以导湿。臂痛漫肿。形体倦
怠。
内热盗汗。脉浮大。按之微细。此阳气虚寒。用补中益气加附子一钱。人参五钱。肿痛俱愈
又以十全大补百余剂而愈。
一人形体丰浓。筋骨软痛。痰盛作渴。喜饮冷水。或用愈风汤、天麻丸等药。痰热益盛
服
牛黄清心丸。更加肢体麻痹。余以为脾肾俱虚。用补中益气汤、加减八味丸。三月余而痊。
寿跻七旬。
一治白虎历节风。走注疼痛。两膝热肿。
虎胫骨（酥炙） 黑附子（炮制去皮脐各一两）
上为细末。每服二钱。温酒调下。七日再服。
痛风这一病症，都是因为人体正气虚弱，调理不当，遭受风、寒、暑、湿等邪毒侵袭所致。病变部位在四肢内部，肌肉颜色没有改变。这种病白天症状较轻，夜间加重。疼痛剧烈如刀割的，是寒邪偏多；肿胀满闷如被挖剔般的，是湿邪偏多。或者是因为出汗后入水沐浴，从而形成这种疾病。如果久治不愈，会导致人的骨节错位变形，大腿和小腿肌肉消瘦，这就属于难治之症了。我考察痛风的脉象，机理多种多样：有的早晨稳定而夜晚加重，脉象弦而紧的，这是痛风。脉象沉而伏匿的，是中气不足（中气也指脾胃之气虚弱或气机郁滞），不能一概而论地治疗。临证时必须仔细辨别。《内经》说：痹证，是指风、寒、湿三种邪气结合而成痹阻。所以称为痛痹，表现为筋骨掣引作痛；称为着痹，表现为疼痛固定不移；称为行痹，表现为疼痛游走不定；称为周痹，表现为周身疼痛。这些都是邪气有余的表现罢了。
论述痛风：腰背及手足肢节疼痛，这是由于血虚气弱，经络枯涩，寒邪凝滞所致。午后和夜间加重的，是血弱阴虚。参五秦艽汤：当归（三钱）、赤芍（酒炒七分）、苍术（童便浸一钱）、生地黄（酒浸一钱）、萆薢（一钱）、黑狗脊（去毛根二钱）、川芎（七分）、羌活（一钱五分）、秦艽（去芦一钱五分）、川独活（一钱）、五加皮（二钱）、黄连（姜汁炒一钱）、黄柏（酒炒一钱）、红花（酒洗八分）、黄芩（酒炒一钱五分）、黄芪（酒炒二钱）、人参（二钱）、牛膝（去芦酒浸一钱五分）、杜仲（每一两用茴香一钱、盐一钱、水两钟拌炒，此处用二钱）、生甘草（二分）。以上药物切碎，配合桃枝七根，每根长一寸半，灯心草七根，用水煎煮。服药前加入童便、好酒各一盏，空腹温服。药渣再煎服用。忌食酒、面食、鲤鱼、湿热性质的羊肉、鹅肉。如果天将下雨，阴晦时日，预先感觉疼痛加剧的，加防风、天麻、升麻。午后夜间加重的，因血弱阴虚，加升麻五分、牡丹皮一钱。早上午前加重的，因气滞阳弱，加连翘、沉香、竹沥、乳汁。疼痛剧烈的，加倍使用羌活、红花、酒炒黄芩。凉血则疼痛停止。此症属于筋与骨的病变，患者多是外邪侵入日久，以及年近衰老之人，不善养生而得病。因为筋隶属于肝血，骨隶属于肾水，这是内损所致。
论述湿热引起的疼痛：不拘泥于身体上下部位均可使用。苍术妙在燥湿，黄柏妙在清热。这两味药都具有雄壮之性，也是简易的方子。加上牛膝则可以治疗湿热下注导致的双脚麻木，或者像火烧一样的热感。二妙散：苍术（米泔水浸）、黄柏（乳汁浸透）。以上研为细末，每次服用三钱，用酒调服。疼痛剧烈时，加生姜汁，热服。
论述血脉凝滞，筋络拘挛，肢节疼痛，行走困难。活血理气是第一要务。舒筋散：元胡索（炒）、当归、辣桂（各等分）。以上研为丸剂，每次服用二钱，用酒调服。十全大补汤：治疗劳累倦怠导致的遍身疼痛，加入姜制的半夏，效果更佳。
有一位七十多岁的妇人，遍身疼痛，筋骨尤为严重，不能屈伸，遍身瘙痒如同虫行，口干目赤，头晕痰涌，胸膈不利，小便短赤，夜间尤其严重。使用六味地黄丸的药料，加入山栀、柴胡，水煎服用。
论述瘀血和湿痰，蓄积在肢节之间、筋骨交会之处、空窍之所而引发疼痛。肢节沉重的，是湿痰；晚间病情加重的，是瘀血。赶痛汤：乳香、没药、地龙（酒炒）、香附（童便浸）、桃仁、红花、甘草节、牛膝（酒浸）、当归、羌活、五灵脂（酒淘去土）。以上切碎，用水煎煮，温服。
论述寒湿之气，痹阻停滞关节，导致麻木疼痛。续断丸：黄芪（一两）、人参（七钱）、白茯苓（一两）、山茱萸肉（一两）、薏苡仁（一两）、续断（一两）、防风（七钱）、桂心（一两）、山药（一两）、白术（七钱）、熟地黄（二两）、牡丹皮（一两）、麦门冬（一两）、石斛（一两）、鹿角胶。以上研为细末，炼蜜为丸，如梧桐子大小。每次服用五十丸，空腹，温酒送下。
论述人手足不能屈伸，周身疼痛。消风饮：由临川徐培鸿试验有效。陈皮、白术（去芦）、当归（酒洗）、白茯苓（去皮各一钱）、防己、独活、木瓜（四分）、秦艽（各三分）、防风（五分）。以上切碎一剂，生姜煎煮，不拘时间服用。气虚者，加人参八分。
论述一切遍身骨节疼痛，或者流注作痛，不可忍受的，立见神效。人参、白术（去芦）、白茯苓、当归、川芎、天麻、陈皮、甘草、赤芍、防风、生地黄、羌活、独活、南星、黄芩。以上切碎，生姜煎服。
论述风湿相搏，周身尽痛，以益气汤加入羌活、防风、藁本、苍术治疗。如果病愈，不要再服用各种祛风药，以免损伤人体元气，反而加重病情。
有一位男子，两胯疼痛不可忍受，由临川徐扩吾试用有效。黄芪（蜜炒一两）、人参（二钱）、苍术（米泔制一钱五分）、当归身（酒洗一两五钱）、秦艽（一两）、牛膝（去芦酒洗一两）、独活（一两）、杜仲（酒炒一两五钱）、熟地黄（一两）、桑寄生（一两五钱）、官桂（二钱）、木瓜（五钱）、小茴香（盐酒炒五钱）。以上研为细末，用酒打面糊为丸，如梧桐子大小。每次服用一百丸，空腹，酒送下。
论述雷火针疗法。苍术（五钱）、川芎（三钱）、硫黄（二钱半）、穿山甲（三钱炒）、蔓荆子（三钱）、皂角（三钱）、麝香（五分）、雄黄（二钱）、艾叶（三钱）。以上研为细末，用纸卷成手指粗细，用七层草纸贴在患处，将药点燃后淬烫。感到疼痛时就停止。
论述熨法：治疗各种风邪恶毒、冷痹麻木肿痛，或者遍身骨痛，刚开始觉得肿痛，熨烫无不立即见效。苍术（二两）、羌活（一两）、独活（五钱）、蛇床子（五钱）、蔓荆子（五钱）、穿山甲（五钱土炒）、雄黄（三钱）、硫黄（三钱）、麝香（三分）。以上研为细末，炒热，用绢布包裹熨烫患处。另一种方法，用醋拌炒做成饼，用绢布包好，烧红的秤锤放在饼上熨烫。
有一人每当劳累，肢体时常疼痛。有人使用清痰理气的药剂，反而不劳亦常痛，再加上利湿的药物，手臂疼痛漫肿，形体倦怠，内热盗汗，脉象浮大，按之微细。这是阳气虚寒，使用补中益气汤加附子一钱、人参五钱，肿痛都痊愈了。后来又服用百余剂十全大补汤而彻底治愈。
有一人体形丰腴浓重，筋骨软痛，痰盛口渴，喜欢喝冷水。有人使用愈风汤、天麻丸等药，痰热更加旺盛。又服用牛黄清心丸，更加肢体麻痹。我认为这是脾肾俱虚，使用补中益气汤、加减八味丸，三月余而痊愈。寿命达到七十岁。
治疗白虎历节风，疼痛走注，两膝热肿。虎胫骨（酥炙）、黑附子（炮制去皮脐各一两）。以上研为细末，每次服用二钱，温酒调服。七日后再服。
Gout (Tongfeng) is a condition caused by the deficiency of healthy Qi, improper regulation, and invasion by pathogenic factors such as Wind, Cold, Summer-heat, and Dampness. The pathology lies within the four limbs, while the color of the flesh remains unchanged. The symptoms are mild during the day and severe at night. Pain described as cutting or stabbing indicates an excess of Cold; swelling and fullness feeling like being gouged out indicates an excess of Dampness. This disease may also arise from bathing in water immediately after sweating. If left untreated for a long time, it can lead to dislocation of bone joints and emaciation of the thighs and calves, which becomes difficult to treat. In my study of Gout, the pulse patterns vary greatly. Cases where symptoms stabilize in the morning but worsen at night, with a Wiry (Xian) and Tight (Jin) pulse, are classified as Gout. Cases with a Deep (Chen) and Hidden (Fu) pulse indicate Middle Qi deficiency (deficiency of Spleen/Stomach Qi or stagnation of Qi mechanism). Treatment cannot be uniform; clinical differentiation is essential. The Classics state: Bi Syndrome (Bi Zheng) results from the combination of Wind, Cold, and Dampness pathogens. Thus, it is called Painful Bi (Tong Bi), characterized by pulling pain in sinews and bones; Adherent Bi (Zhuo Bi), characterized by fixed pain; Wandering Bi (Xing Bi), characterized by migrating pain; and Generalized Bi (Zhou Bi), characterized by whole-body pain. These are all manifestations of excess pathogenic factors.
Regarding Gout: Pain in the waist, back, hands, feet, and joints is due to Blood deficiency and Qi weakness, leading to dry and obstructed meridians and stagnation of Cold. Worsening in the afternoon and night indicates weak Yin Blood. Canji Qinjiao Tang (Five-Ingredient Decoction with Qinjiao): Danggui (Radix Angelicae Sinensis, 3 qian), Chishao (Radix Paeoniae Rubra, stir-fried with wine, 0.7 qian), Cangzhu (Rhizoma Atractylodis Macrocephalae, soaked in children's urine, 1 qian), Shengdihuang (Radix Rehmanniae Preparata, soaked in wine, 1 qian), Bibi (Rhizoma Dioscoreae Hypoglaucae, 1 qian), Heigouji (Os Spinae Canis Nigri, de-haired root, 2 qian), Chuanxiong (Rhizoma Chuanxiong, 0.7 qian), Qianghuo (Rhizoma et Radix Notopterygii, 1.5 qian), Qinjiao (Radix Gentianae Macrophyllae, de-radicle, 1.5 qian), Chuan Duhuo (Radix Angelicae Pubescentis, 1 qian), Wujia Pi (Cortex Acanthopanacis, 2 qian), Huanglian (Rhizoma Coptidis, stir-fried with ginger juice, 1 qian), Huangbai (Cortex Phellodendri, stir-fried with wine, 1 qian), Honghua (Flos Carthami, washed with wine, 0.8 fen), Huangqin (Radix Scutellariae, stir-fried with wine, 1.5 qian), Huangqi (Radix Astragali, stir-fried with wine, 2 qian), Renshen (Radix Ginseng, 2 qian), Niuxi (Radix Achyranthis Bidentatae, de-radicle and soaked in wine, 1.5 qian), Duzhong (Cortex Eucommiae, processed with Fennel and salt, 2 qian), Sheng Gancao (Radix Glycyrrhizae Preparata, 0.2 fen). Cut the herbs, add seven branches of Peach Wood (each 1.5 cun long) and seven roots of Jiedixin (Herba Centellae Asiaticae), decoct with water. Before taking, add one cup of children's urine and one cup of good wine. Take warm on an empty stomach. Decoct the dregs again for a second dose. Avoid alcohol, wheat products, carp, and damp-heat generating meats like mutton and goose. If pain exacerbates predictably before rain or on cloudy days, add Fangfeng (Radix Saposhnikoviae), Tianma (Rhizoma Gastrodiae), and Shengma (Rhizoma Cimicifugae). For worsening in the afternoon/night due to Yin Blood deficiency, add Shengma (0.5 fen) and Mudanpi (Cortex Moutan, 1 qian). For worsening in the morning/midday due to Qi stagnation and Yang weakness, add Lianqiao (Fructus Forsythiae), Chenxiang (Lignum Aquilariae Resinatum), Zhuli (Succus Bambusae), and Ru Zhi (Lactis Humanus). For severe pain, double the dosage of Qianghuo, Honghua, and Huangqin (stir-fried with wine). Cooling the blood stops the pain. This condition involves sinews and bones; patients often suffer from long-term external pathogen invasion or age-related decline, resulting from poor self-care. Sinews belong to Liver Blood, and bones belong to Kidney Water; this is internal damage.
Regarding pain caused by Damp-Heat: Cangzhu (Rhizoma Atractylodis Macrocephalae) excels at drying Dampness, and Huangbai (Cortex Phellodendri) excels at clearing Heat. Both possess potent properties and constitute a simple formula. Adding Niuxi treats Damp-Heat flowing downward, causing numbness in both legs or burning heat sensations. Ermiao San (Two Marvels Powder): Cangzhu (soaked in rice wash water), Huangbai (soaked thoroughly in human milk). Grind into powder. Take 3 qian per dose, mixed with wine. For severe pain, add fresh Ginger Juice and take hot.
Regarding stagnation of Blood vessels, contraction of sinews, joint pain, and difficulty walking: Invigorating Blood and regulating Qi is the primary method. Shujin San (Sinew-Relaxing Powder): Yanhusuo (Rhizoma Corydalis, stir-fried), Danggui (Radix Angelicae Sinensis), Lagui (Cortex Cinnamomi, equal parts). Grind into pills. Take 2 qian per dose, mixed with wine. Shiquan Dabu Tang (Ten Complete Tonifying Decoction): Treats whole-body pain due to fatigue and overexertion; adding Banxia (Rhizoma Pinelliae, prepared with ginger) improves efficacy.
A woman over seventy suffered from whole-body pain, especially in sinews and bones, unable to flex or extend. She experienced itching all over like insects crawling, dry mouth, red eyes, dizziness, phlegm surging, chest oppression, short dark urine, worsening at night. She was treated with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) modified with Zhizi (Fructus Gardeniae) and Chaihu (Radix Bupleuri), decocted in water.
Regarding pain caused by Stasis of Blood and Phlegm-Damp accumulating between joints, at the convergence of sinews and bones, and in cavities: Heavy joints indicate Phlegm-Damp; worsening at night indicates Blood Stasis. Gantong Tang (Pain-Chasing Decoction): Ruxiang (Resina Draconis), Moyao (Resina Olibani), Dilong (Pheretima, stir-fried with wine), Xiangfu (Rhizoma Cyperi), Taoren (Semen Persicae), Honghua (Flos Carthami), Gancao Jie (Node of Radix Glycyrrhizae Preparata), Niuxi (Radix Achyranthis Bidentatae, soaked in wine), Danggui (Radix Angelicae Sinensis), Qianghuo (Rhizoma et Radix Notopterygii), Wulingzhi (Faeces Trogopterori, washed with wine to remove soil). Cut the herbs, decoct with water, take warm.
Regarding Cold-Damp obstructing joints, causing numbness and pain: Xuduan Wan (Drynaria Pill): Huangqi (Radix Astragali, 1 liang), Renshen (Radix Ginseng, 7 qian), Baifuling (Poria, 1 liang), Shanzhuyu (Fructus Corni Officinalis, 1 liang), Yiyiren (Semen Coicis, 1 liang), Xuduan (Radix Dipsaci, 1 liang), Fangfeng (Radix Saposhnikoviae, 7 qian), Guixin (Cortex Cinnamomi Cassiae, 1 liang), Shanyao (Rhizoma Dioscoreae Oppositae, 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 7 qian), Shu Dihuang (Radix Rehmanniae Preparata, 2 liang), Mudanpi (Cortex Moutan, 1 liang), Maimendong (Radix Ophiopogonis, 1 liang), Shihu (Caulis Dendrobii, 1 liang), Lu Jiao Jiao (Colla Cornus Cervi). Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 50 pills per dose, warm wine on an empty stomach.
Regarding inability to flex/extend hands and feet, whole-body pain: Xiaofeng Yin (Wind-Dispersing Decoction): Tested successfully by Xu Peihong of Linchuan. Chenpi (Pericarpium Citri Reticulatae), Baizhu (Rhizoma Atractylodis Macrocephalae, de-radicle), Danggui (Radix Angelicae Sinensis, washed with wine), Baifuling (Poria, peeled, 1 qian each), Fangji (Radix Stephaniae Tetrandrae), Duhuo (Radix Angelicae Pubescentis), Mugua (Fructus Chaenomelis, 0.4 fen), Qinjiao (Radix Gentianae Macrophyllae, 0.3 fen each), Fangfeng (Radix Saposhnikoviae, 0.5 fen). Cut one dose, decoct with fresh ginger, take anytime. For Qi deficiency, add Renshen (0.8 fen).
Regarding all types of whole-body joint pain or migratory unbearable pain: Ren Shen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae, de-radicle), Baifuling (Poria), Danggui (Radix Angelicae Sinensis), Chuanxiong (Rhizoma Chuanxiong), Tianma (Rhizoma Gastrodiae), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae Preparata), Chishao (Radix Paeoniae Rubra), Fangfeng (Radix Saposhnikoviae), Sheng Dihuang (Radix Rehmanniae, 1 qian), Qianghuo (Rhizoma et Radix Notopterygii), Duhuo (Radix Angelicae Pubescentis), Nanxing (Rhizoma Arisaematis Cum Bile), Huangqin (Radix Scutellariae). Cut, decoct with fresh ginger, take.
Regarding Wind-Damp battling, causing whole-body pain: Treat with Yiqi Tang (Qi-Supplementing Decoction) plus Qianghuo, Fangfeng, Gaoben (Rhizoma Ligustici Chuanxiong), and Cangzhu. Once the disease resolves, do not continue using Wind-dispersing herbs, as they damage Healthy Qi and worsen the condition.
A man suffered unbearable pain in both hips, tested successfully by Xu Kuowu of Linchuan. Huangqi (Radix Astragali, honey-fried, 1 liang), Renshen (Radix Ginseng, 2 qian), Cangzhu (Rhizoma Atractylodis Macrocephalae, rice-wash processed, 1.5 qian), Danggui Shen (Radix Angelicae Sinensis, washed with wine, 1.5 liang), Qinjiao (Radix Gentianae Macrophyllae, 1 liang), Niuxi (Radix Achyranthis Bidentatae, de-radicle and washed with wine, 1 liang), Duhuo (Radix Angelicae Pubescentis, 1 liang), Duzhong (Cortex Eucommiae, stir-fried with wine, 1.5 liang), Shu Dihuang (Radix Rehmanniae Preparata, 1 liang), Sangjisheng (Ramulus Taxilli, 1.5 liang), Guanzi Gui (Cortex Cinnamomi Cassiae, 2 qian), Mugua (Fructus Chaenomelis, 5 qian), Xiaohuixiang (Fructus Foeniculi, stir-fried with salt and wine, 5 qian). Grind into fine powder, make pills with wine and flour paste, size of Sophora seeds. Take 100 pills per dose, warm wine on an empty stomach.
Regarding Leihuo Zhen (Thunder-Fire Needle): Cangzhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Chuanxiong (Rhizoma Chuanxiong, 3 qian), Liuhuang (Sulfur, 2.5 qian), Chuanshanjia (Squama Manis, stir-fried, 3 qian), Manjingzi (Fructus Viticis Negundo, 3 qian), Zaojiao (Fructus Gleditsiae Sinensis, 3 qian), Shexiang (Moschus, 0.5 fen), Xionghuang (Realgar, 2 qian), Aiye (Folium Artemisiae Argyi, 3 qian). Grind into powder, roll in paper to finger thickness. Place seven layers of straw paper on the affected area, ignite the medicine, and quench it. Stop when pain is felt.
Regarding Ironing Therapy (Yun Fa): Treats various Wind toxins, Cold-Bi numbness/swelling/pain, or whole-body bone pain. Effective immediately upon ironing. Cangzhu (Rhizoma Atractylodis Macrocephalae, 2 liang), Qianghuo (Rhizoma et Radix Notopterygii, 1 liang), Duhuo (Radix Angelicae Pubescentis, 5 qian), Shechuangzi (Fructus Cnidii, 5 qian), Manjingzi (Fructus Viticis Negundo, 5 qian), Chuanshanjia (Squama Manis, earth-stir-fried, 5 qian), Xionghuang (Realgar, 3 qian), Liuhuang (Sulfur, 3 qian), Shexiang (Moschus, 0.3 fen). Grind into powder, heat up, wrap in silk, and iron the affected area. Alternatively, mix with vinegar, form into cakes, wrap in silk, place a heated scale weight on top, and iron.
One patient experienced limb pain upon exertion. Using Phlegm-clearing and Qi-regulating formulas made the pain constant even without exertion. Adding Damp-draining herbs led to arm swelling and pain, fatigue, internal heat, night sweats, floating pulse that is fine upon pressure. This indicates Yang Qi deficiency and Cold. Treated with Buzhong Yiqi Tang (Middle-Supplementing Qi-Boosting Decoction) plus Fuzi (Radix Aconiti Lateralis Preparata, 1 qian) and Renshen (Radix Ginseng, 5 qian); swelling and pain resolved. Subsequently cured with over a hundred doses of Shiquan Dabu Tang (Ten Complete Tonifying Decoction).
One patient had a robust physique, soft/sore sinews and bones, excessive phlegm, thirst preferring cold drinks. Using Yufeng Tang (Wind-Curing Decoction) and Tianma Wan (Gastrodia Pill) increased Phlegm-Heat. Taking Niuhuang Qingxin Wan (Calves' Gallbladder Heart-Clearing Pill) worsened limb paralysis. I diagnosed Spleen and Kidney deficiency. Treated with Buzhong Yiqi Tang (Middle-Supplementing Qi-Boosting Decoction) and Jiaban Bawei Wan (Modified Eight-Ingredient Pill). Cured after three months. Lifespan reached seventy.
Treating Baihu Lijie Feng (White Tiger Joint-Wandering Wind): Migratory pain, hot swollen knees. Hujinggu (Tibia of Tiger, prepared with butter), Hei Fuzi (Radix Aconiti Lateralis Preparata, peeled and de-navel, 1 liang each). Grind into fine powder. Take 2 qian per dose, mixed with warm wine. Repeat every seven days.