夫《经》言风寒湿三气杂至,合而为痹。又曰以至阴遇此者为肌痹,肌痹不已,复感于
邪,
者如
方
黄 酒(出《圣济总录》)治脾痹,肉极虚寒,体重怠惰,四肢不敛,关节
疼痛,不嗜饮食
黄 桂(去皮) 巴戟天(去心) 石斛(去根) 泽泻 白茯苓(去皮) 柏子仁 干
姜(炮)
天雄(炮去皮)
辛(去苗叶) 白术
酒三斗浸之。秋冬七日,春
黄 丸(出《圣济总录》)治脾痹,肌肉消瘦,心腹胀满,水谷不化,食即
欲呕,饮食无味
黄 石斛(去根) 附子(炮去皮) 白术 肉苁蓉(酒浸切焙) 益智(去皮) 人
参(各一两)
子当归(切焙) 沉
茱萸(浸焙) 丁香(各半两)
食前温酒下。
白术汤(出《圣济总录》)治脾痹,心腹胀满,不欲饮食,或气滞体重,四
肢无力。
白术 人参 荜澄茄(各一两) 诃黎勒(煨三两) 丁香 草豆蔻(去皮) 黄 附
子(炮去
炒) 甘草(炙各半
分,去滓温服,不计
温中法曲丸(出《圣济总录》)治脾痹,发咳呕汁。
法曲(炒) 吴茱萸(汤浸焙) 小麦 (炒五合) 枳实(面炒) 甘草(炙) 桂
(去皮) 浓朴(
门冬(去心焙) 干姜(炮
桐子大,每服七丸,食前热水
风引汤(出《圣济》)治脾痹,四肢怠惰,皮肤不仁。
独活(去芦四两) 当归(切焙) 白茯苓(去皮各三两) 干姜(炮) 甘草(炙) 人
参黄
锉如麻豆,每服五
麻黄汤(出《圣济》)治脾痹,四肢懈惰,肌肉极热。
麻黄(去根节) 枳实(去瓤面炒) 白术 细辛(去苗叶各三两) 防风(去叉三两)
石膏(碎
每服五钱,水
大半夏汤(出《圣济》)治脾痹,四肢怠惰,发咳。
半夏(为末生姜汁和作饼曝干五两) 白术 白茯苓(去黑皮) 人参 甘草(炙) 附
子(炮去
水一盏半,
《黄帝内经》中说,风、寒、湿三种邪气混杂侵袭人体,结合而形成痹证。又说,在至阴之时(指脾所主的长夏或脾胃虚弱时)遇到这些邪气的,称为肌痹。如果肌痹久治不愈,再次感受邪气,就会发展为脾痹。
黄酒方(出自《圣济总录》):治疗脾痹,肌肉极度虚寒,身体沉重,精神倦怠懒惰,四肢不能收摄约束,关节疼痛,食欲不振。
处方组成:桂枝(去皮)、巴戟天(去心)、石斛(去根)、泽泻、白茯苓(去皮)、柏子仁、干姜(炮制)、天雄(炮制,去皮)、细辛(去苗叶)、白术。
用法:用酒三斗浸泡上述药材。秋冬季节浸泡七日,春夏季节浸泡三日(原文“春”后缺字,依常理推断)。
黄丸(出自《圣济总录》):治疗脾痹,肌肉消瘦,心腹部胀满,水谷食物无法消化,进食后立即想呕吐,饮食没有味道。
处方组成:石斛(去根)、附子(炮制,去皮)、白术、肉苁蓉(酒浸后切片焙干)、益智仁(去皮)、人参(各一两)、当归(切后焙干)、山茱萸(浸后焙干)、丁香(各半两)。
用法:饭前用温酒送服。
白术汤(出自《圣济总录》):治疗脾痹,心腹部胀满,不想吃东西,或者气机阻滞导致身体沉重,四肢无力。
处方组成:白术、人参、荜澄茄(各一两)、诃黎勒(煨制三两)、丁香、草豆蔻(去皮)、附子(炮制,去皮,炒)、甘草(炙制,各半两)。
用法:加水煎煮,去渣滓,温服,不拘泥于次数和时间。
温中法曲丸(出自《圣济总录》):治疗脾痹,发作咳嗽并呕出涎汁。
处方组成:法曲(炒制)、吴茱萸(汤浸后焙干)、小麦(炒五合)、枳实(面炒)、甘草(炙制)、桂枝(去皮)、厚朴(去皮)、麦冬(去心焙干)、干姜(炮制)。
用法:制成如梧桐子大小的药丸,每次服用七丸,饭前用热水送服。
风引汤(出自《圣济总录》):治疗脾痹,四肢倦怠懒惰,皮肤麻木不仁。
处方组成:独活(去芦头四两)、当归(切后焙干)、白茯苓(去皮,各三两)、干姜(炮制)、甘草(炙制)、人参。
用法:锉碎如麻豆大小,每次服用五钱,用水……(原文此处中断)
麻黄汤(出自《圣济总录》):治疗脾痹,四肢懈怠懒惰,肌肉极度发热。
处方组成:麻黄(去根节)、枳实(去瓤面炒)、白术、细辛(去苗叶,各三两)、防风(去叉梢,三两)、石膏(捣碎)。
用法:每次服用五钱,用水……(原文此处中断)
大半夏汤(出自《圣济总录》):治疗脾痹,四肢倦怠懒惰,发作咳嗽。
处方组成:半夏(研为末,用生姜汁调和做成饼状,晒干,五两)、白术、白茯苓(去黑皮)、人参、甘草(炙制)、附子(炮制,去皮)。
用法:用水一盏半……(原文此处中断)
The *Classic* (Huangdi Neijing) states that the mixed invasion of wind, cold, and dampness pathogens combines to form Bi syndrome (obstruction syndrome). It further states that encountering these pathogens during the "Extreme Yin" period (associated with the Spleen/Stomach) results in Muscle Bi. If Muscle Bi persists and is re-exposed to pathogens, it develops into Spleen Bi.
**Huangjiu Fang (Yellow Wine Decoction)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by extreme deficiency-cold of muscles, heavy body, lethargy and lassitude, inability to restrain the four limbs, joint pain, and loss of appetite.
Ingredients: Guizhi (Cinnamon Twig, peeled), Bajitian (Morinda Root, heart removed), Shihu (Dendrobium Stem, roots removed), Zexie (Alisma Rhizome), Baifuling (Poria, skin removed), Baiziren (Biota Seed), Ganjiang (Dried Ginger, processed), Tianxiong (Aconite Lateral Root, processed and peeled), Xixin (Asarum, stems and leaves removed), Baizhu (Atractylodes Rhizome).
Usage: Soak the above herbs in three dou of wine. Soak for seven days in autumn and winter, and for three days in spring and summer.
**Huang Wan (Yellow Pill)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by muscle emaciation, abdominal distension and fullness, indigestion of food and fluids, immediate urge to vomit after eating, and lack of taste for food.
Ingredients: Shihu (Dendrobium Stem, roots removed), Fuzi (Prepared Aconite Root, processed and peeled), Baizhu (Atractylodes Rhizome), Roushoucong (Cistanche Stem, soaked in wine, sliced, and dried), Yizhi (Alpinia Katsumadai Fruit, peeled), Renshen (Ginseng Root) (each 1 liang), Danggui (Angelica Sinensis Root, sliced and dried), Shanzhuyu (Cornus Fruit, soaked and dried), Dingxiang (Clove Bud) (each 0.5 liang).
Usage: Take with warm wine before meals.
**Baizhu Tang (Atractylodes Decoction)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by epigastric and abdominal distension and fullness, anorexia, or qi stagnation leading to heaviness of the body and weakness of the four limbs.
Ingredients: Baizhu (Atractylodes Rhizome), Renshen (Ginseng Root), Bichengqie (Long Pepper Fruit) (each 1 liang), Helile (Chebula Fruit, roasted) (3 liang), Dingxiang (Clove Bud), Caodoukou (Black Cardamom Seed, skin removed), Fuzi (Prepared Aconite Root, processed, peeled, and stir-fried), Gancao (Licorice Root, honey-fried) (each 0.5 liang).
Usage: Decoct in water, remove the dregs, and take warm. The frequency and timing are not restricted.
**Wenzhong Faqu Wan (Warm-Middle Faqu Pill)** (from *Shengji Zonglu*): Treats Spleen Bi manifesting as coughing and vomiting of saliva.
Ingredients: Faqu (Medicated Leaven, stir-fried), Wuzhuyu (Evodia Fruit, soaked in water and dried), Xiaomai (Wheat Grain, stir-fried, 5 he), Zhishi (Immature Bitter Orange, flour-roasted), Gancao (Licorice Root, honey-fried), Guizhi (Cinnamon Twig, peeled), Houpo (Magnolia Bark, peeled), Maidong (Ophiopogon Tuber, heart removed and dried), Ganjiang (Dried Ginger, processed).
Usage: Form pills the size of tung tree seeds. Take 7 pills per dose with hot water before meals.
**Fengyin Tang (Wind-Driving Decoction)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by lethargy of the four limbs and numbness of the skin.
Ingredients: Duhuo (Angelica Pubescens Root, rhizome removed, 4 liang), Danggui (Angelica Sinensis Root, sliced and dried), Baifuling (Poria, skin removed, each 3 liang), Ganjiang (Dried Ginger, processed), Gancao (Licorice Root, honey-fried), Renshen (Ginseng Root).
Usage: Coarsely crush to the size of hemp seeds. Take 5 qian per dose with water... (Text truncated)
**Mahuang Tang (Ephedra Decoction)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by laxity and weakness of the four limbs and extreme heat in the muscles.
Ingredients: Mahuang (Ephedra Stem, roots and joints removed), Zhishi (Immature Bitter Orange, pulp removed and flour-roasted), Baizhu (Atractylodes Rhizome), Xixin (Asarum, stems and leaves removed, each 3 liang), Fangfeng (Saposhnikovia Root, tips removed, 3 liang), Shigao (Gypsum Fibrosum, crushed).
Usage: Take 5 qian per dose with water... (Text truncated)
**Da Banxia Tang (Large Pinellia Decoction)** (from *Shengji Zonglu*): Treats Spleen Bi characterized by lethargy of the four limbs and coughing.
Ingredients: Banxia (Pinellia Tuber, ground into powder, mixed with fresh ginger juice to make cakes, sun-dried, 5 liang), Baizhu (Atractylodes Rhizome), Baifuling (Poria, black skin removed), Renshen (Ginseng Root), Gancao (Licorice Root, honey-fried), Fuzi (Prepared Aconite Root, processed and peeled).
Usage: Add one and a half zhan of water... (Text truncated)