内经谓人之肉苛者。虽近衣絮犹尚苛也。以营气虚卫气实也。夫血为营。气为卫。气血
均得
也。
方
五味子酒(出圣济总录)
治营虚卫实。肌肉不仁。病名肉苛。
五味子 防风(去叉) 牛膝 枸杞子(用根白皮) 牡丹(去心各一两) 肉苁蓉(切
焙)
黄芩
去瓤)
桂(
须叶炒)
白芷(炒各一两) 上锉如麻豆大。生绢囊盛。用好酒二斗。蜜封。浸经七日。每空心午时
夜
卧。各温服五合。又服渐加至七合一升。勿令酒吐。
防风酒(出圣济总录)
治营虚卫实。肌肉不仁。病名肉苛。
防风(去叉二两) 白术 山茱萸(并子用) 山芋(干者) 附子(炮裂去皮脐) 天
雄(炮
裂去
杏仁
(汤浸
黄(去节
锉先煎
去赤汁
半斤)
为度。
苦参丸(出圣济总录)
治营虚卫实。肌肉不仁。病名肉苛。
苦参(二两锉捣取粉) 丹砂(去土微炒) 沙参(去尘土) 人参 五加皮 防风(去
叉锉)
蒺
醋炙令
黄)
油
铁器
芥薄
独活酒(一名金牙酒出圣济总录)
治肉苛。肌肉不仁。遍身 重。
前胡膏(一名前胡散出宣明论)
治营虚卫实。肌肉不仁。名曰肉苛。
前胡(去芦头) 白术(生用) 白芷(锉留一枚不锉以验成膏) 芎 (各三两) 椒
(去目
并闭
辛(去
苗叶
入
药微
痍皆
牛膝天麻丸(出圣济总录)
治营虚卫实。肌肉不仁。遍身 重。
牛膝(酒浸切焙一两) 天麻(酒浸切焙一两半) 麝香(研) 桂(去粗皮各一分) 干
蝎
(炒去
叉一两)
上为
升麻 秦艽(去土) 连翘 芍药 防风(去叉) 羚羊角(镑) 木香 枳壳(去瓤
麸炒)
薏苡
服。
白僵蚕丸(出圣济总录)
治营虚卫实。肌肉不仁。病名肉苛。
白僵蚕(半两炒) 天南星(炮制汤洗半两) 附子(炮裂去皮脐一两) 白附子(炮
裂汤洗
一两)
炼蜜
为丸。
《黄帝内经》说,患有“肉苛”病的人,即使穿着靠近身体的棉絮衣物,仍然感觉肌肤麻木不仁。这是因为营气虚弱而卫气亢盛(实)。血属于营,气属于卫,气血应当调和均衡。
五味子酒(出自《圣济总录》)
治疗营虚卫实,肌肉麻木不仁,病名叫做肉苛。
药材:五味子、防风(去净枝梗)、牛膝、枸杞子(取根白皮)、牡丹(去心)、肉苁蓉(切片焙干)、黄芩(去瓤)、桂枝(须叶炒制)、白芷(炒制),以上各一两。将上述药材锉碎如麻豆大小,装入生绢袋中,用二斗好酒浸泡,以蜜封口,浸泡七天。每次在空腹、午时或夜卧前,温服五合。后续服用可逐渐增加至七合一升。服药后不要令酒引起呕吐。
防风酒(出自《圣济总录》)
治疗营虚卫实,肌肉麻木不仁,病名叫做肉苛。
药材:防风(去净枝梗,二两)、白术、山茱萸(连子使用)、山药(干燥者)、附子(炮裂去皮脐)、天雄(炮裂去...[原文残缺])、杏仁(汤浸...[原文残缺])、黄芪(去节...[原文残缺])、[其他药材及煎煮方法描述残缺]。
苦参丸(出自《圣济总录》)
治疗营虚卫实,肌肉麻木不仁,病名叫做肉苛。
药材:苦参(二两,锉捣取粉)、丹砂(去土微炒)、沙参(去尘土)、人参、五加皮、防风(去净枝梗锉碎)、蒺藜(醋炙令...[原文残缺])、[其他药材及制作细节描述残缺]。
独活酒(一名金牙酒,出自《圣济总录》)
治疗肉苛,肌肉麻木不仁,遍身沉重。
前胡膏(一名前胡散,出自《宣明论》)
治疗营虚卫实,肌肉麻木不仁,名曰肉苛。
药材:前胡(去芦头)、白术(生用)、白芷(锉碎,留一枚不锉以验证成膏效果)、川芎(各三两)、花椒(去目...[原文残缺])、细辛(去...[原文残缺])、[其他药材及制作细节描述残缺]。
牛膝天麻丸(出自《圣济总录》)
治疗营虚卫实,肌肉麻木不仁,遍身沉重。
药材:牛膝(酒浸切焙,一两)、天麻(酒浸切焙,一两半)、麝香(研细)、桂枝(去粗皮,各一分)、干蝎(炒去...[原文残缺])、防风(去净枝梗,一两)。以上为...[原文残缺]。
[另一首方剂,名称缺失]
药材:升麻、秦艽(去土)、连翘、芍药、防风(去净枝梗)、羚羊角(镑片)、木香、枳壳(去瓤麸炒)、薏苡仁...[原文残缺]。
白僵蚕丸(出自《圣济总录》)
治疗营虚卫实,肌肉麻木不仁,病名叫做肉苛。
药材:白僵蚕(半两,炒制)、天南星(炮制汤洗,半两)、附子(炮裂去皮脐,一两)、白附子(炮裂汤洗,一两)。炼蜜为丸。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that individuals suffering from "Rouke" (flesh numbness/atrophy), even when wearing cotton wadding close to the body, still experience numbness and lack of sensation. This is due to deficiency of Ying Qi (Nutritive Qi) and excess of Wei Qi (Defensive Qi). Blood belongs to Ying, and Qi belongs to Wei; Ying and Qi should be harmonious and balanced.
**Wuweizi Jiu (Schisandra Wine)** (from *Shengji Zonglu*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility. The disease is named Rouke.
Ingredients: Wuweizi (Schisandrae Fructus), Fangfeng (Saposhnikoviae Radix, cleaned of twigs), Niuxi (Achyranthis Bidentatae Radix), Gouqizi (Lycii Cortex [Radix Lycii]), Mudan (Moutan Cortex, heart removed), Roushoucong (Cistanche Stem), Huangqin (Scutellariae Radix, pulp removed), Gui (Cinnamomi Ramulus, leaves and twigs stir-fried), Baizhi (Angelicae Dahuricae Radix, stir-fried). Each ingredient weighs one liang.
Preparation: Coarsely powder the ingredients to the size of hemp seeds. Place in a raw silk bag. Soak in two dou of fine wine, seal with honey, and steep for seven days. Take five he of warm decoction on an empty stomach, at noon, or before sleep. Gradually increase the dose to seven he or one sheng. Do not allow the wine to induce vomiting.
**Fangfeng Jiu (Saposhnikovia Wine)** (from *Shengji Zonglu*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility. The disease is named Rouke.
Ingredients: Fangfeng (Saposhnikoviae Radix, cleaned of twigs, two liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Shanzhuyu (Corni Fructus, used with seeds), Shanyu (Dioscoreae Rhizoma, dried), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and umbilicus removed), Tianxiong (Aconiti Radix Praeparata, processed until cracked... [text missing]), Xingren (Pruni Semen, soaked in water... [text missing]), Huangqi (Astragali Radix, nodes removed... [text missing]), ... [preparation details missing].
**Kushen Wan (Sophora Pill)** (from *Shengji Zonglu*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility. The disease is named Rouke.
Ingredients: Kushen (Sophorae Flavescentis Radix, two liang, coarsely powdered and sifted for starch), Dansha (Cinnabar, cleaned of earth and lightly stir-fried), Shashen (Glehniae Radix, cleaned of dust), Renshen (Ginseng Radix), Wujia Pi (Acanthopanacis Cortex), Fangfeng (Saposhnikoviae Radix, cleaned of twigs and coarsely powdered), Jili (Tribuli Fructus, vinegar-processed... [text missing]), ... [preparation details missing].
**Duhuo Jiu (Angelica Pubescens Wine)** (also known as Jinya Jiu, from *Shengji Zonglu*)
Treats Rouke, with muscle insensibility and heaviness throughout the body.
**Qianhu Gao (Peucedani Paste)** (also known as Qianhu San, from *Xuanming Lun*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility. The condition is named Rouke.
Ingredients: Qianhu (Peucedani Radix, rhizome removed), Baizhu (Atractylodis Macrocephalae Rhizoma, used raw), Baizhi (Angelicae Dahuricae Radix, coarsely powdered, leave one piece unprocessed to verify paste formation), Xiongnu (Ligustici Chuanxiong Rhizoma, each three liang), Jiaojiao (Zanthoxyli Pericarpium, remove eyes... [text missing]), Xixin (Asari Radix et Rhizoma, remove... [text missing]), ... [preparation details missing].
**Niuxi Tianma Wan (Achyranthes and Gastrodia Pill)** (from *Shengji Zonglu*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility and heaviness throughout the body.
Ingredients: Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and baked, one liang), Tianma (Gastrodiae Rhizoma, soaked in wine, sliced, and baked, one and a half liang), Shexiang (Moschus, ground), Gui (Cinnamomi Ramulus, coarse bark removed, each one fen), Ganxie (Scorpio, stir-fried and cleaned of... [text missing]), Fangfeng (Saposhnikoviae Radix, cleaned of twigs, one liang). The above are... [text missing].
[Formula Name Missing]
Ingredients: Shengma ( Cimicifugae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix, cleaned of soil), Lianqiao (Forsythiae Fructus), Shaoyao (Paeoniae Radix Alba/Rubra), Fangfeng (Saposhnikoviae Radix, cleaned of twigs), Lingyangjiao (Saigae Tataricae Cornu, shaved), Muxiang (Aucklandiae Radix), Zhike (Citri Reticulatae Pericarpium Viride, pulp removed, bran-stir-fried), Yiyiren (Coicis Semen)... [text missing].
**Baijiangcan Wan (Bombyx Batryticatus Pill)** (from *Shengji Zonglu*)
Treats deficiency of Ying Qi and excess of Wei Qi, with muscle insensibility. The disease is named Rouke.
Ingredients: Baijiangcan (Bombyx Batryticatus, half a liang, stir-fried), Tiannanxing (Arisaematis Rhizoma Praeparatum, processed and washed in water, half a liang), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel and umbilicus removed, one liang), Baifuzi (Typhonii Rhizoma, processed until cracked and washed in water, one liang). Form pills using refined honey.