（附论）
夫肾主于脚。若肾虚风湿所搏。攻于脚膝。则名香港脚。因其气血壅滞。湿毒瓦斯盛于肤腠。
不
方
石南丸（出指直方）专治风毒。脚肿生疮。或筋挛痛重。
石南叶 薏苡仁 杏仁（汤浸去皮炒微赤） 牵牛（炒熟） 大腹子（连皮用） 川芎 川
续断
膝（各三两）
浸蒸饼。研糊为丸。
漏芦丸（出圣惠方） 专治香港脚肿盛生疮。久不瘥。脓血长流。疼痛不歇。
漏芦（一两） 葳蕤（一两） 槟榔（一两） 枳壳（一两麸炒去瓤锉） 秦艽（一两
去苗） 防风（
（一两锉碎微炒焦） 黄
为细末。炼蜜和捣三二百杵
犀角散（出圣惠方） 治香港脚生毒。疮肿疼痛。心神烦热。
犀角屑（三分） 天麻（三分） 羌活（三分） 枳壳（三分麸炒去瓤） 防风（三分
去芦头） 黄
蛇（一两酒浸去皮骨炙黄）
以水一中盏。入生姜半分。煎至
治香港脚风毒。壅盛生疮。肿痛不歇。（出圣惠方）
牛蒡子（一两微炒） 枳壳（一两麸炒微黄去瓤） 防风（半两去芦头） 薏苡仁（三
分） 玄参（
皮骨炙微黄） 上为散
秦艽散（出圣惠方） 专治香港脚风毒。生疮肿痛。
秦艽（一两去芦） 玄参（一两） 地骨皮（一两） 独活（一两） 黄 （一两） 枳
壳（一两麸炒
煎至六分去滓
治脚肿方 男子六十一岁脚肿盛生疮。忽食猪肉不安。医以药利之稍愈。时出外中
风。汗后头暴肿起紫色。多唾。耳叶上有浮泡小疮。黄汗出。以小续命汤加羌活一倍煎
服之。遂愈。
漏芦丸 疗香港脚肿盛。因生疮。积年不瘥。脓血长流者。此是风毒瓦斯。为冬间服药
酒壅滞。散在腠理。宜服。此方疗风痒。及诸癣疥百病。轻腰脚兼通大肠。疗肺中热毒
气方。
漏芦 葳蕤 乌蛇脯（炙各二钱四分） 枳实（一钱六分炙） 苦参（一斤捣去筋脉取
粉） 秦艽
术黄 （各一钱
大。每服四十丸。日渐
沃实酒
牛蒡根（三大升） 枳实（八两炙） 毛磁石（一斤绵裹） 薏苡仁（一升） 玄参（六
两） 乌蛇脯
以好无灰酒一大斗
白蔹汤洗方治香港脚风毒。疮肿疼痛。\x
漏芦（切一大升） 白蔹（五两） 槐白皮（切） 蒺藜子 五加根皮（切各一大升） 甘
草（三两
体。如疮
（附论）
肾脏主管脚部。如果肾虚，风湿之邪相搏结，侵袭脚膝部位，就称为香港脚（足部风湿病）。因为气血壅滞，湿毒之气旺盛于皮肤腠理之间。
石南丸（出自《指直方》），专门治疗风毒引起的脚肿生疮，或者筋脉拘挛、疼痛沉重。
药材：石南叶、薏苡仁、杏仁（用汤浸泡后去皮，炒至微红）、牵牛子（炒熟）、大腹子（连皮使用）、川芎、续断、膝（各三两）。
制法：浸透后蒸熟，捣烂成糊状，制成丸剂。
漏芦丸（出自《圣惠方》），专门治疗香港脚肿胀严重并生疮，久治不愈，脓血长期流出，疼痛不止。
药材：漏芦（一两）、葳蕤（一两）、槟榔（一两）、枳壳（一两，麸炒后去瓤，锉碎）、秦艽（一两，去苗）、防风（一两，锉碎，微炒至焦）、黄耆（一两，锉碎，微炒）。
制法：研为细末，炼蜜调和，捣杵三二百下。
犀角散（出自《圣惠方》），治疗香港脚生毒，疮肿疼痛，心神烦热。
药材：犀角屑（三分）、天麻（三分）、羌活（三分）、枳壳（三分，麸炒去瓤）、防风（三分，去芦头）、黄耆（三分，炙）、乌蛇（一两，酒浸后去皮骨，炙黄）。
用法：用水一中盏，加入生姜半分，煎至……（原文此处有缺漏，通常煎至一定量去滓服用）。
（此方出自《圣惠方》）治疗香港脚风毒，壅盛生疮，肿痛不止。
药材：牛蒡子（一两，微炒）、枳壳（一两，麸炒微黄，去瓤）、防风（半两，去芦头）、薏苡仁（三分）、玄参（三分）、地骨皮（一两，去心）、黄耆（一两，炙微黄）。
制法：上药研为散剂。
秦艽散（出自《圣惠方》），专门治疗香港脚风毒，生疮肿痛。
药材：秦艽（一两，去芦）、玄参（一两）、地骨皮（一两）、独活（一两）、黄耆（一两）、枳壳（一两，麸炒）。
用法：水煎至六分，去渣服用。
治疗脚肿的医案：一名六十一岁男子，脚部肿胀严重并生疮。忽然吃了猪肉感到不适，医生用药通便后稍有好转。后来外出中风，出汗后头部突然肿胀呈紫色，多唾沫，耳廓上有浮泡和小疮，流出黄色汗液。用小续命汤加倍用量羌活煎服，于是痊愈。
漏芦丸，治疗香港脚肿胀严重，因生疮而积年不愈，脓血长流的情况。这是风毒之气，由于冬季服用药物和酒导致壅滞，散布在腠理之间，适宜服用此方。此方也治疗风痒及各类癣疥百病，能轻身利脚兼通大肠。
治疗肺中热气毒方的药材：
漏芦、葳蕤、乌蛇脯（炙，各二钱四分）、枳实（一钱六分，炙）、苦参（一斤，捣去筋脉取粉）、秦艽、白术、黄耆（各一钱）。
制法：研末，每服四十丸，日渐增加剂量。
用法：用沃实酒送服。
另一组药材：牛蒡根（三大升）、枳实（八两，炙）、磁石（一斤，绵裹）、薏苡仁（一升）、玄参（六两）、乌蛇脯。
用法：用好无灰酒一大斗煎煮。
白蔹汤洗方，治疗香港脚风毒，疮肿疼痛。
药材：漏芦（切，一大升）、白蔹（五两）、槐白皮（切）、蒺藜子、五加根皮（切，各一大升）、甘草（三两）。
用法：煎汤外洗患处。
(Attached Discussion)
The Kidney governs the feet. If Kidney deficiency allows Wind-Dampness to clash and invade the feet and knees, it is named Hongxiangjiao (Gouty Arthritis/Rheumatism of the lower limbs). This occurs because Qi and Blood are stagnant, and Damp-Toxic fumes are abundant in the skin and interstices.
Shinan Wan (Stone Nan Pill) [Source: *Zhi Zhi Fang*] specifically treats Wind-Toxin causing foot swelling and sores, or tendon spasms with heavy pain.
Herbs: *Acanthopanacis Senticosi Caulis* (Shinan Ye), *Coicis Semen* (Yiyi Ren), *Armeniacae Semen Amarum* (Xingren, soaked in decoction, peeled, stir-fried until slightly red), *Pharbitidis Semen* (Qianniu, stir-fried ripe), *Arecae Pericarpium* (Dafuzi, used with peel), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Dipsaci Radix* (Xuduan), *Cnidii Rhizoma* (Qixian - note: text says "Xi", likely referring to a knee-related herb or typo for Qixian/Cnidium, kept as literal translation contextually implies knee joint herbs), each 3 liang.
Preparation: Soak, steam, grind into paste, and form pills.
Loulu Wan (Euphorbiae Fissurae Pill) [Source: *Sheng Hui Fang*] specifically treats severe Hongxiangjiao swelling with sores that do not heal for a long time, with continuous flow of pus and blood, and unceasing pain.
Herbs: *Euphorbiae Fissurae Radix* (Loulu, 1 liang), *Polygonati Rhizoma* (Weirui, 1 liang), *Areca Seed* (Binglang, 1 liang), *Aurantii Fructus Immaturus* (Zhike, 1 liang, stir-fried with bran, remove core, cut into pieces), *Gentianae Macrophyllae Radix* (Qinjiao, 1 liang, remove sprouts), *Saposhnikoviae Radix* (Fangfeng, 1 liang, cut into pieces, stir-fried lightly until scorched), *Astragali Radix* (Huangqi, 1 liang, cut into pieces, stir-fried lightly).
Preparation: Grind into fine powder, mix with refined honey, and pound/beaten 300-200 times.
Xijiao San (Rhinoceros Horn Powder) [Source: *Sheng Hui Fang*] treats Hongxiangjiao generating toxins, sore swelling and pain, mental restlessness and heat.
Herbs: *Rhinocerotis Cornu* (Xijiao xie, 3 fen), *Gastrodiae Rhizoma* (Tianma, 3 fen), *Notopterygii Rhizoma et Radix* (Qianghuo, 3 fen), *Aurantii Fructus Immaturus* (Zhike, 3 fen, stir-fried with bran, remove core), *Saposhnikoviae Radix* (Fangfeng, 3 fen, remove radicle head), *Astragali Radix* (Huangqi, 3 fen, processed), *Dinoceratis Cornu* (Wushe - Note: Text says "She" preceded by Wu, likely Wushe Snake or similar, context implies snake medicine), 1 liang, soaked in wine, skin and bones removed, processed until yellow).
Usage: Use one zhong of water, add half fen of fresh ginger, decoct until... (text missing, typically reduce to specific volume, strain and take).
[Source: *Sheng Hui Fang*] Treats Hongxiangjiao Wind-Toxin, excessive generation of sores, unceasing swelling and pain.
Herbs: *Arctii Fructus* (Niubangzi, 1 liang, lightly stir-fried), *Aurantii Fructus Immaturus* (Zhike, 1 liang, stir-fried with bran until slightly yellow, remove core), *Saposhnikoviae Radix* (Fangfeng, 0.5 liang, remove radicle head), *Coicis Semen* (Yiyi Ren, 3 fen), *Scrophulariae Radix* (Xuanshen, 3 fen), *Lycii Cortex* (Digupi, 1 liang, remove heart), *Astragali Radix* (Huangqi, 1 liang, processed until slightly yellow).
Preparation: Grind all into powder.
Qinjiao San (Gentian Macrophylla Powder) [Source: *Sheng Hui Fang*] specifically treats Hongxiangjiao Wind-Toxin, generating sores with swelling and pain.
Herbs: *Gentianae Macrophyllae Radix* (Qinjiao, 1 liang, remove radicle), *Scrophulariae Radix* (Xuanshen, 1 liang), *Lycii Cortex* (Digupi, 1 liang), *Angelicae Pubescentis Radix* (Duohuo, 1 liang), *Astragali Radix* (Huangqi, 1 liang), *Aurantii Fructus Immaturus* (Zhike, 1 liang, stir-fried with bran).
Usage: Decoct in water until 60% remains, strain and take.
Case for treating foot swelling: A 61-year-old man had severe foot swelling and sores. After suddenly eating pork and feeling unwell, a doctor treated him with purgatives, leading to slight improvement. Later, he contracted Wind while going out; after sweating, his head suddenly swelled up purple, he produced much saliva, and had floating blisters and small sores on his earlobes with yellow sweat. He was treated with Xiao Xuming Tang with double the dose of Qianghuo, decocted and taken, resulting in recovery.
Loulu Wan treats severe Hongxiangjiao swelling due to sores that have persisted for years without healing, with continuous flow of pus and blood. This is caused by Wind-Toxin fumes stagnating from taking medicines and alcohol during winter, scattering in the interstices. It is suitable to take this formula. This formula also treats wind itching and various tinea/psoriasis diseases, lightens the waist and legs, and unblocks the Large Intestine.
Formula for treating Heat-Toxin Qi in the Lung:
Herbs: *Euphorbiae Fissurae Radix* (Loulu), *Polygonati Rhizoma* (Weirui), *Dinoceratis Cornu* (Wushe Fu, processed, each 2 qian 4 fen), *Immature Aurantii Fructus* (Zhishi, 1 qian 6 fen, processed), *Sophorae Flavescentis Radix* (Kushen, 1 jin, pounded to remove tendons and veins to take starch), *Gentianae Macrophyllae Radix* (Qinjiao), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Astragali Radix* (Huangqi, each 1 qian).
Preparation: Grind into powder, take 40 pills per dose, gradually increasing.
Usage: Take with wine.
Another set of herbs: *Arctii Radix* (Niubang Gen, 3 da sheng), *Immature Aurantii Fructus* (Zhishi, 8 liang, processed), *Magnetitum* (Maoci Shi, 1 jin, wrapped in silk), *Coicis Semen* (Yiyi Ren, 1 sheng), *Scrophulariae Radix* (Xuanshen, 6 liang), *Dinoceratis Cornu* (Wushe Fu).
Usage: Decoct in 1 dou of good non-ashy wine.
Bailian Tang Wash Formula treats Hongxiangjiao Wind-Toxin, sore swelling and pain.
Herbs: *Euphorbiae Fissurae Radix* (Loulu, cut, 1 da sheng), *Ampelopsis Radix* (Bailian, 5 liang), *Morus Alba Bark* (Huai Baipi, cut), *Tribuli Fructus* (Jili Zi), *Acanthopanacis Cortex* (Wujia Genpi, cut, each 1 da sheng), *Glycyrrhizae Radix et Rhizoma* (Gancao, 3 liang).
Usage: Decoct for washing the affected area.