夫寒气胜者,为痛痹,夫宜通而塞,则为痛,痹之有痛,以寒气入经络而稽迟,泣而不
行也
血
方
当归摩膏(出《圣济总录》)治诸风寒湿,骨肉痹痛。
当归(切焙) 细辛(去苗叶各一两半) 桂(去粗皮一两) 生地黄(一斤切研绞取
汁) 天雄(
一两) 干姜(炮三分
去滓) 上先将八味锉,如大
浓绵滤去滓,用瓷合盛,入丹
茵芋浸酒(一名茵芋散)治风寒湿痹,皮肉不仁,骨髓疼痛不可忍,宜服。
茯苓汤(出《医方大成》)治风湿痹,四肢疼痛拘挛浮肿。
赤茯苓(去黑皮) 桑根白皮(各二两) 防己(一方用防风) 桂(去粗皮) 芎 芍
药麻黄(
服,连三服
天雄丸(出《圣济总录》)治风湿痹,皮肉不仁,骨髓疼痛,不可忍者。
天雄(炮去皮脐) 附子(去皮脐炮各一两) 桂(去粗皮一两半) 干姜(炮制二两)
防风(去
去毒丸(出《圣济总录》)治风湿痹,腰脚疼痛,不可忍,久不瘥者。
天雄(去皮脐) 附子(炮裂去皮脐) 桂枝(去粗皮一两) 白僵蚕(直者炒三两) 防
风(去叉三分) 上为细末,炼蜜丸如梧桐子大,每服二十丸,温酒下,日三夜一。
治诸处皮里面痛.
上用何首乌末,姜汁调成膏,痛处以绵子裹之,用火炙鞋底熨之妙。
寒气偏盛,称为痛痹。气机应当通畅却发生阻滞,就会引起疼痛;痹证之所以出现疼痛,是因为寒气侵入经络,导致气血运行迟缓、凝涩而不流通。
当归摩膏(出自《圣济总录》):治疗各种风寒湿邪引起的骨肉痹痛。
药材:当归(切片焙干)、细辛(去苗叶,各一两半)、桂(去粗皮,一两)、生地黄(一斤,切片研磨绞取汁液)、天雄(一两)、干姜(炮制,三分)。
用法:先将上述八味药切碎,用大浓绵滤去药渣,装入瓷盒中保存。
茵芋浸酒(又名茵芋散):治疗风寒湿痹,皮肤肌肉麻木不仁,骨髓疼痛难以忍受,适宜服用。
茯苓汤(出自《医方大成》):治疗风湿痹证,四肢疼痛、拘挛及浮肿。
药材:赤茯苓(去黑皮)、桑根白皮(各二两)、防己(有的版本用防风代替)、桂(去粗皮)、川芎、芍药、麻黄(用量未详,需煎煮后服用,连续服用三剂)。
天雄丸(出自《圣济总录》):治疗风湿痹证,皮肤肌肉麻木不仁,骨髓疼痛难以忍受。
药材:天雄(炮制去皮脐)、附子(去皮脐炮制,各一两)、桂(去粗皮,一两半)、干姜(炮制,二两)、防风(去叉枝,用量未详)。
去毒丸(出自《圣济总录》):治疗风湿痹证,腰脚疼痛难以忍受,久治不愈者。
药材:天雄(去皮脐)、附子(炮裂去皮脐)、桂枝(去粗皮,一两)、白僵蚕(直条者炒制,三两)、防风(去叉枝,三分)。
用法:将上述药物研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用二十丸,温酒送服,每日三次,夜间一次。
When cold qi prevails, it is termed Painful Bi (Tongbi, a type of bi syndrome characterized by severe pain). When the flow of qi should be unobstructed but becomes blocked, pain ensues. The presence of pain in Bi syndrome arises because cold qi invades the meridians and collaterals, causing blood and qi to move sluggishly, stagnate, and fail to circulate freely.
Danggui Mogan (Angelica Sinensis Ointment) [from *Shengji Zonglu*]: Treats bone and muscle painful Bi caused by various wind-cold-damp pathogens.
Ingredients: Danggui (Radix Angelicae Sinensis, sliced and roasted), Xixin (Herba Asari, removed seedlings and leaves, 1.5 liang each), Gui (Ramulus Cinnamomi, removed coarse bark, 1 liang), Shengdihuang (Rhizoma Rehmanniae Recens, 1 jin, sliced, ground, and juice extracted), Tianxiong (Radix Aconiti Lateralis Preparata, 1 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed, 3 fen).
Usage: First, chop the aforementioned eight ingredients. Filter the decoction through thick cotton gauze to remove dregs, and store in a porcelain container.
Yinyu Jinjiu (Yinyu Infused Wine) [also known as Yinyu San]: Treats wind-cold-damp Bi, numbness of skin and flesh, and unbearable bone marrow pain. It is suitable for consumption.
Fuling Tang (Poria Decoction) [from *Yifang Dacheng*]: Treats wind-damp Bi with pain, spasms, and edema in the four limbs.
Ingredients: Chi Fuling (Poria with Red Cortex, removed black skin), Sanggen Baipi (Cortex Morus Radicis, 2 liang each), Fangji (Radix Stephaniae Tetrandrae; some versions use Fangfeng), Gui (Ramulus Cinnamomi, removed coarse bark), Xiong (Rhizoma Chuanxiong), Shaoyao (Radix Paeoniae Alba), Mahuang (Herba Ephedrae; dosage unspecified, boil and take, continue for three doses).
Tianxiong Wan (Tianxiong Pill) [from *Shengji Zonglu*]: Treats wind-damp Bi with numbness of skin and flesh and unbearable bone marrow pain.
Ingredients: Tianxiong (Radix Aconiti Lateralis Preparata, processed, peeled, umbilicus removed), Fuzi (Radix Aconiti Lateralis Preparata, peeled, umbilicus removed, processed, 1 liang each), Gui (Ramulus Cinnamomi, removed coarse bark, 1.5 liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed, 2 liang), Fangfeng (Radix Saposhnikoviae, removed forked tips, dosage unspecified).
Qudu Wan (Detoxifying Pill) [from *Shengji Zonglu*]: Treats wind-damp Bi with unbearable pain in the waist and legs, especially for chronic cases that do not heal.
Ingredients: Tianxiong (Radix Aconiti Lateralis Preparata, peeled, umbilicus removed), Fuzi (Radix Aconiti Lateralis Preparata, cracked, peeled, umbilicus removed), Guizhi (Ramulus Cinnamomi, removed coarse bark, 1 liang), Bai Jiangcan (Bombyx Batryticatus, straight ones stir-fried, 3 liang), Fangfeng (Radix Saposhnikoviae, removed forked tips, 3 fen).
Usage: Grind the above ingredients into fine powder. Make pills using refined honey, sized like paulownia seeds. Take 20 pills per dose, washed down with warm wine, three times daily and once at night.
Treatment for internal pain in skin and flesh anywhere in the body:
Use powder of Heshouwu (Polygoni Multiflori Radix), mix with ginger juice to form a paste. Apply to the painful area, wrap with cotton cloth, and iron over it using a fire-heated shoe sole. This method is miraculous.