夫风寒湿三气杂至,合而为痹。以秋遇此者,为皮痹。盖肺主皮毛。于五行为金,于四
时为
肤不
方
赤箭丸 治肺感外邪,皮肤 痹,项强痛,四肢缓弱,目昏塞,心脑短气者,宜服
之。
赤箭 羌活(去芦) 桂(去皮) 细辛(去苗) 当归(锉炒) 甘菊花 防风(去
皮) 天雄(去
炒) 茯神(去木) 山茱
(炙炒) 人参 枫香脂
黄(研各一钱) 上二十三味研
五丸,荆芥汤下,不拘时候。
羌活汤 治皮痹如虫行,腹胀大肠不利,语声不出。
羌活(去芦) 蒺藜子(炒) 沙参 麻黄(去根节) 白术 羚羊角(镑) 细辛(去
苗叶) 萆
双仁炒) 枳实(去
三分) 木通 槟榔(各半两
去滓温服,不拘时候。
防风汤(出《圣济总录》)治肺中风寒湿,项强头昏,胸满短气,嘘吸颤
掉,言语声嘶,四
防风(去皮) 芎 麻黄(去根节各一两) 独活(去芦) 桂(去皮) 前胡(去
芦) 五味子
两) 细辛(去苗叶)
四钱,水一盏半,姜五片,
天麻散(出《圣济总录》)治皮痹肌肉不仁,心烦气促,项背硬强。
天麻 附子(炮去皮脐) 麻黄(去根节) 防风(去皮) 细辛(去苗叶) 白花蛇
(酒酥拌匀)
(汤浸去皮尖双仁研炒
拌匀再筛,每服一钱,薄荷
麻黄汤(出《圣济总录》)治风寒湿气,感于肺经,皮肤 痹不仁。
麻黄(去根节) 桂(去皮) 人参 芎 防风(去皮) 附子(炮去皮脐) 芍药 黄
芩(去
水一盏半
蔓荆实丸(出《圣济总录》)治皮痹不仁。
蔓荆实(三分) 枳壳(去瓤面炒) 防风(去皮) 羌活(去芦) 桔梗(炒) 白
附子(炒) 蒺藜
同煎成膏) 上为末,
天麻丸(出《圣济总录》)治皮肤 痹。
天麻(酒浸切焙二两) 玄参 没药(研) 地榆 乌头(炮去皮脐各一两) 麝香(研
一分) 上
蒴 蒸汤(出《圣济总录》)治皮痹。
蒴 根(并叶) 桃皮(并叶) 菖蒲(叶各三升) 细糖(一斗) 秫米(五升) 上
水一石五斗,
以被衣盖覆身
但是皮肤中一
补气汤(出《济生拔萃方》)治皮肤间有麻木,此肺气不行故也。\x(方见人
参补气汤)
风寒湿三种邪气混杂侵袭人体,结合而发为痹证。如果在秋季感受这些邪气,则称为皮痹。这是因为肺主司皮毛。在五行中属金,在四季中对应……(原文此处有缺漏,推测为“秋”),皮肤……(原文此处有缺漏)。
赤箭丸:治疗肺脏感受外邪,导致皮肤痹阻,项部僵硬疼痛,四肢弛缓软弱,视力昏蒙闭塞,心胸脑部短气的患者,适宜服用此方。
药材组成:赤箭、羌活(去芦头)、桂枝(去皮)、细辛(去苗)、当归(锉碎炒制)、甘菊花、防风(去皮)、天雄(去……炒制)、茯神(去木心)、山茱萸(炙炒)、人参、枫香脂、黄芪(研细,各一钱)。以上二十三味药研成细末,制成梧桐子大小的丸剂,用荆芥汤送服,不限定具体时间。
羌活汤:治疗皮痹感觉如虫爬行,腹部胀满,大肠传导不利,声音嘶哑或无法发声。
药材组成:羌活(去芦头)、蒺藜子(炒制)、沙参、麻黄(去根节)、白术、羚羊角(镑片)、细辛(去苗叶)、萆薢(双仁炒制)、枳实(去瓤,三分)、木通、槟榔(各半两)。煎煮后去渣,温服,不限定具体时间。
防风汤(出自《圣济总录》):治疗肺经受风寒湿邪侵袭,项部僵硬头部昏沉,胸部胀满呼吸短促,呼吸时颤抖动摇,言语声音嘶哑,四肢……(原文此处有缺漏)。
药材组成:防风(去皮)、川芎、麻黄(去根节,各一两)、独活(去芦头)、桂枝(去皮)、前胡(去芦头)、五味子(……两)、细辛(去苗叶)……四钱,用水一盏半,生姜五片,煎煮……
天麻散(出自《圣济总录》):治疗皮痹导致肌肉麻木不仁,心烦气促,项背部僵硬强直。
药材组成:天麻、附子(炮制,去皮脐)、麻黄(去根节)、防风(去皮)、细辛(去苗叶)、白花蛇(酒酥拌匀)、……(汤浸去皮尖双仁研炒拌匀再筛),每次服用一钱,薄荷……
麻黄汤(出自《圣济总录》):治疗风寒湿气侵袭肺经,导致皮肤痹阻麻木不仁。
药材组成:麻黄(去根节)、桂枝(去皮)、人参、川芎、防风(去皮)、附子(炮制,去皮脐)、芍药、黄芩(去……)、水一盏半……
蔓荆实丸(出自《圣济总录》):治疗皮痹麻木不仁。
药材组成:蔓荆实(三分)、枳壳(去瓤面炒)、防风(去皮)、羌活(去芦头)、桔梗(炒)、白附子(炒)、蒺藜……同煎成膏),以上药物研为细末……
天麻丸(出自《圣济总录》):治疗皮肤痹阻。
药材组成:天麻(酒浸切焙二两)、玄参、没药(研细)、地榆、乌头(炮制,去皮脐,各一两)、麝香(研细一分)。以上药物……
蒴藋蒸汤(出自《圣济总录》):治疗皮痹。
药材组成:蒴藋根(连同叶子)、桃皮(连同叶子)、菖蒲(叶子各三升)、细糖(一斗)、秫米(五升)。以上药物用水一石五斗,煎煮……用被子衣被覆盖身体……只要是皮肤中的……
Wind, cold, and dampness pathogenic factors mix and invade the body, combining to form Bi syndrome (obstruction syndrome). If contracted in autumn, it is termed Pi Bi (Skin Bi). This is because the Lung governs the skin and hair. In the Five Elements, it corresponds to Metal; in the Four Seasons, it corresponds to... [text missing], skin... [text missing].
Chijian Wan (Red Arrow Pill): Indicated for patients whose Lungs have been affected by external pathogens, resulting in skin obstruction, stiffness and pain in the neck, flaccidity and weakness of the four limbs, blurred vision, and shortness of breath in the chest and brain area.
Ingredients: Chijian (Rhizoma Gastrodiae), Qianghuo (Radix Notopterygii, rhizome removed), Guizhi (Ramulus Cinnamomi, bark removed), Xixin (Herba Asari, seedlings removed), Danggui (Radix Angelicae Sinensis, sliced and stir-fried), Gan Juhua (Flos Chrysanthemi), Fangfeng (Radix Saposhnikoviae, bark removed), Tianxiong (Radix Aconiti Lateralis Preparata, processed), Fushen (Poria with Hostwood, woody core removed), Shanzhuyu (Fructus Corni, stir-baked), Renshen (Radix Ginseng), Fengxiangzhi (Resina Pini), Huangqi (Radix Astragali, ground, each 1 qian). The above twenty-three ingredients are ground into fine powder, formed into pills the size of paulownia seeds, taken with Jingjie Decoction, at any time.
Qianghuo Tang (Notopterygium Decoction): Indicated for Pi Bi presenting with a sensation of insects crawling on the skin, abdominal distension, difficulty in bowel movement, and aphonia or hoarseness.
Ingredients: Qianghuo (Radix Notopterygii, rhizome removed), Jili (Fructus Tribuli, stir-fried), Shashen (Radix Adenophorae seu Glehniae), Mahuang (Herba Ephedrae, roots and joints removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Lingyangjiao (Cornu Saigae Tataricae, shaved), Xixin (Herba Asari, seedlings and leaves removed), Bibi (Radix Dioscoreae Hypoglaucae, double-kernel stir-fried), Zhishi (Fructus Aurantii Immaturus, pith removed, 3 fen), Mutong (Caulis Akebiae seu Aristolochiae), Binglang (Semen Arecae, half liang each). Strain the decoction and take warm, at any time.
Fangfeng Tang (Saposhnikovia Decoction) [from *Shengji Zonglu*]: Indicated for Wind-Cold-Dampness invading the Lung, causing neck stiffness, dizziness, chest fullness, shortness of breath, tremors during respiration, hoarse voice, and... [text missing] of the four limbs.
Ingredients: Fangfeng (Radix Saposhnikoviae, bark removed), Xiong (Radix Chuanxiong), Mahuang (Herba Ephedrae, roots and joints removed, each 1 liang), Duhuo (Radix Angelicae Pubescentis, rhizome removed), Guizhi (Ramulus Cinnamomi, bark removed), Qianhu (Radix Peucedani), Wuweizi (Fructus Schisandrae, ... liang), Xixin (Herba Asari, seedlings and leaves removed)... 4 qian. Add 1.5 cups of water and 5 slices of fresh ginger, decoct...
Tianma San (Gastrodia Powder) [from *Shengji Zonglu*]: Indicated for Pi Bi causing muscle numbness and insensitivity, restlessness, rapid breathing, and stiffness/induration of the neck and back.
Ingredients: Tianma (Rhizoma Gastrodiae), Fuzi (Radix Aconiti Lateralis Preparata, processed, bark and umbilicus removed), Mahuang (Herba Ephedrae, roots and joints removed), Fangfeng (Radix Saposhnikoviae, bark removed), Xixin (Herba Asari, seedlings and leaves removed), Baihua She (Bungarus multicinctus, soaked in wine and processed with starch), ... [soaked in water, skin and kernels removed, ground and stir-fried, mixed and sifted]. Take 1 qian per dose, with Bohe (Mentha haplocalyx)...
Mahuang Tang (Ephedra Decoction) [from *Shengji Zonglu*]: Indicated for Wind-Cold-Dampness affecting the Lung Meridian, causing skin Bi with numbness and insensitivity.
Ingredients: Mahuang (Herba Ephedrae, roots and joints removed), Guizhi (Ramulus Cinnamomi, bark removed), Renshen (Radix Ginseng), Xiong (Radix Chuanxiong), Fangfeng (Radix Saposhnikoviae, bark removed), Fuzi (Radix Aconiti Lateralis Preparata, processed, bark and umbilicus removed), Shaoyao (Radix Paeoniae Alba), Huangqin (Radix Scutellariae, ...), 1.5 cups of water...
Manjingzi Wan (Vitex Fruit Pill) [from *Shengji Zonglu*]: Indicated for Pi Bi with numbness and insensitivity.
Ingredients: Manjingshi (Fructus Viticis), Zhike (Pericarpium Citri Reticulatae, pith removed and stir-fried with flour), Fangfeng (Radix Saposhnikoviae, bark removed), Qianghuo (Radix Notopterygii, rhizome removed), Jiegeng (Radix Platycodonis, stir-fried), Baifuzi (Rhizoma Typhonii, stir-fried), Jili (Fructus Tribuli)... decoct together until a paste is formed. Grind the remaining ingredients into powder...
Tianma Wan (Gastrodia Pill) [from *Shengji Zonglu*]: Indicated for Skin Bi.
Ingredients: Tianma (Rhizoma Gastrodiae, soaked in wine, sliced, dried, 2 liang), Xuanshen (Radix Scrophulariae), Moyao (Resina Myrrhae, ground), Diyü (Radix Sanguisorbae), Wutou (Radix Aconiti, processed, bark and umbilicus removed, each 1 liang), Shexiang (Moschus, ground, 1 fen). The above ingredients...
Shuodi Zheng Tang (Dioscorea Steaming Decoction) [from *Shengji Zonglu*]: Indicated for Pi Bi.
Ingredients: Shuodi Gen (Radix Dioscoreae Hypoglaucae, including leaves), Taopi (Cortex Persicae, including leaves), Changpu (Rhizoma Acori Tatarinowii, leaves, each 3 sheng), Xi Tang (fine sugar, 1 dou), Shumi (Sorghum vulgare, 5 sheng). Add 150 dou of water, decoct... Cover the body with quilts and garments... For any condition within the skin...
Buqi Tang (Qi-Nourishing Decoction) [from *Jisheng Bacuifang*]: Indicated for numbness in the skin, caused by the failure of Lung Qi to circulate. (See Renshen Buqi Tang for the formula.)