夫血性得温则宣流,得寒则凝涩。凝涩不行,则皮毛萎悴,肌肉 痹。《内经》谓风寒
湿三
方
导痹汤(出《圣济总录》)治脉痹,血道壅涩。
黄 (四两) 当归(焙) 人参 白茯苓(去皮) 龙齿 远志(去心) 甘草(炙
各三两) 桂(
茯神(去木各二两)
五片,大枣二枚劈开,
升麻汤(出《圣济总录》)治脉痹,面脱颜色,脉空,口唇赤色干燥,消痹
蠲热,润悦颜色
升麻 射干 芎 人参(各三两) 赤小豆(五合) 生姜(二两半) 麦门冬(去
心炮) 葳蕤
如麻豆,每服五钱,水
芍药汤(出《圣济总录》)治脉痹,营卫不通,四肢疼痛。
芍药 熟地黄(焙) 当归(切焙各二两) 防风(去皮) 秦艽(去苗土) 羌活(去
芦) 芎
盏半,煎至八分,去
人参丸(出《圣济》)治脉痹,通行血脉。
人参 麦门冬(去心焙) 茯神(去木) 龙齿 远志(去心) 黄 (锉) 菖蒲 赤
石脂(各一
良久,以精
防风汤 治风湿脉痹,皮肤不仁。
黄 汤(出《圣济总录》)治麻痹身体不仁。\x
黄 (锉) 芍药 桂(去皮各三两) 当归(切焙) 白茯苓(去皮) 菖蒲 人参
(各二两) 上
不拘时。
血液的特性是遇温暖则流通顺畅,遇寒冷则凝滞不畅。如果凝滞不通,就会导致皮毛枯萎憔悴,肌肉发生痹证。《内经》中提到风寒湿三种邪气导致痹证。
导痹汤(出自《圣济总录》)治疗脉痹,血道壅塞涩滞。
药材及用量:黄芪(四两)、当归(焙干)、人参、白茯苓(去皮)、龙齿、远志(去心)、甘草(炙,各三两)、桂枝(五片)、大枣(二枚,劈开)、茯神(去木,各二两)。
煎服法:将药物切碎,用水煎煮,去渣取汁,温服。
升麻汤(出自《圣济总录》)治疗脉痹,面色脱失无华,脉搏空虚,口唇赤色干燥,消除痹证热邪,润泽容颜。
药材及用量:升麻、射干、川芎、人参(各三两)、赤小豆(五合)、生姜(二两半)、麦门冬(去心,炮制)、葳蕤(玉竹)。
煎服法:将药物捣碎如麻豆大小,每次服用五钱,用水煎煮,去渣温服。
芍药汤(出自《圣济总录》)治疗脉痹,营卫之气不通,四肢疼痛。
药材及用量:芍药、熟地黄(焙干)、当归(切后焙干,各二两)、防风(去皮)、秦艽(去苗土)、羌活(去芦头)、川芎。
煎服法:将药物切碎,用水一盏半,煎至八分,去渣温服。
人参丸(出自《圣济总录》)治疗脉痹,通行血脉。
药材及用量:人参、麦门冬(去心焙干)、茯神(去木)、龙齿、远志(去心)、黄芪(锉碎)、石菖蒲、赤石脂(各一两)。
煎服法:将药物研为细末,炼蜜为丸,如梧桐子大,空腹时用米饮送服,良久见效。
防风汤 治疗风湿脉痹,皮肤麻木不仁。
药材及用量:黄芪、芍药、桂枝(去皮,各三两)、当归(切后焙干)、白茯苓(去皮)、石菖蒲、人参(各二两)。
煎服法:将药物切碎,用水煎煮,去渣温服,不拘时间。
Blood naturally flows smoothly when warmed and becomes stagnant and sluggish when chilled. If stagnation occurs and flow is obstructed, the skin and hair will wither and deteriorate, and the muscles will suffer from Bi syndrome (obstruction syndrome). The *Neijing* (Inner Canon) states that wind, cold, and dampness are the three pathogens causing Bi syndrome.
Dao Bi Tang (Decoction for Guiding Out Bi Syndrome) [from *Shengji Zonglu*] treats Mai Bi (Pulse Bi Syndrome), characterized by obstruction and sluggishness in the blood vessels.
Ingredients: Huangqi (Astragali Radix, 4 liang), Danggui (Angelicae Sinensis Radix, roasted), Renshen (Ginseng Radix), Baifushen (Poria with Hostwood, peeled), Longchi (Dragon Teeth), Yuanzhi (Polygalae Radix, heart removed), Gancao (Licorice Radix et Rhizoma, honey-fried, each 3 liang), Guizhi (Cinnamomi Ramulus, 5 slices), Dazao (Ziziphi Jujubae Fructus, 2 pieces, split), Fushen (Poria with Pine Root, wood removed, each 2 liang).
Preparation: Crush the ingredients, decoct in water, strain, and take warm.
Shengma Tang (Imperata Decoction) [from *Shengji Zonglu*] treats Mai Bi (Pulse Bi Syndrome), presenting with sallow complexion, empty pulse, red and dry lips, eliminating heat from Bi syndrome, and nourishing the complexion.
Ingredients: Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Xiongqiong (Ligustici Chuanxiong Rhizoma), Renshen (Ginseng Radix, each 3 liang), Chixiaodou (Phaseoli Semen Rubrum, 5 he), Shengjiang (Zingiberis Rhizoma Recens, 2.5 liang), Maimendong (Ophiopogonis Radix, heart removed, processed), Weirui (Polygonati Odorati Rhizoma).
Preparation: Crush the ingredients to the size of hemp seeds, take 5 qian per dose, decoct in water, strain, and take warm.
Shaoyao Tang (Peony Decoction) [from *Shengji Zonglu*] treats Mai Bi (Pulse Bi Syndrome), characterized by obstruction of Ying and Wei (nutritive and defensive qi), and pain in the four limbs.
Ingredients: Shaoyao (Paeoniae Radix Alba/Rubra), Shudihuang (Rehmanniae Radix Praeparata, roasted), Danggui (Angelicae Sinensis Radix, sliced and roasted, each 2 liang), Fangfeng (Saposhnikoviae Radix, peeled), Qinjiao (Gentianae Macrophyllae Radix, seedlings and soil removed), Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed), Xiongqiong (Ligustici Chuanxiong Rhizoma).
Preparation: Crush the ingredients, decoct in 1.5 zhan of water until reduced to 0.8 zhan, strain, and take warm.
Renshen Wan (Ginseng Pill) [from *Shengji Zonglu*] treats Mai Bi (Pulse Bi Syndrome), promoting the circulation of blood vessels.
Ingredients: Renshen (Ginseng Radix), Maimendong (Ophiopogonis Radix, heart removed and roasted), Fushen (Poria with Pine Root, wood removed), Longchi (Dragon Teeth), Yuanzhi (Polygalae Radix, heart removed), Huangqi (Astragali Radix, crushed), Changpu (Acori Tatarinowii Rhizoma), Chishizhi (Halloysit Rubrum, each 1 liang).
Preparation: Grind into fine powder, mix with honey to form pills the size of tung tree seeds, take on an empty stomach with rice broth; effects will be seen after a while.
Fangfeng Tang (Saposhnikovia Decoction) treats Wind-Damp Mai Bi (Pulse Bi Syndrome), presenting with numbness and lack of sensation in the skin.
Ingredients: Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), Guizhi (Cinnamomi Ramulus, peeled, each 3 liang), Danggui (Angelicae Sinensis Radix, sliced and roasted), Baifushen (Poria with Hostwood, peeled), Changpu (Acori Tatarinowii Rhizoma), Renshen (Ginseng Radix, each 2 liang).
Preparation: Crush the ingredients, decoct in water, strain, and take warm at any time.