治两脚软弱,虚羸无力,及小儿不能行。
天麻(明净大者,酒浸一夕) 白附子(炮) 牛膝(洗,锉,焙,酒浸一宿,再焙) 木
鳖
子(去壳,研,各半两) 乌头(炮,去皮脐,一分) 川羌活(洗去土,半两) 地龙(去
土秤
,一分) 滴乳香(乳钵坐水盆中,研细) 真没药(研,各二钱) 朱砂(水飞,一钱)
上以生天南星末一两,无灰酒煮糊丸如鸡头大,朱砂为衣,薄荷汤磨一粒,食前服。
治风气积滞成香港脚,常觉微肿,发则或痛。
茵芋叶(锉,炒) 薏苡仁(各半两) 郁李仁(去皮、尖,微炒,一两) 牵牛子(三
两,
生取末一两半)
上细末,炼蜜丸如梧子大。每服二十丸,五更姜枣汤下,未利加至三十丸,日三,快利
为度,白粥补。
治腰脚走注疼痛,此是香港脚。
薏苡仁 茵芋(去梗,锉,炒) 白芍药 牛膝(洗,锉,焙,酒浸一宿,再焙) 川
芎(
洗) 丹参(去芦) 防风(去钗股) 独活(黄色如鬼眼者,去芦,洗,焙,秤,各半两)
侧
子(一枚,炮,去皮脐) 熟干地黄(酒洒,九蒸九曝,焙,秤) 桂心(不见火) 橘皮
(各一
两)
上细末,炼蜜丸如梧子大。每服三四十丸,酒下,食前,日三服,木瓜汤下亦得。
今人谓之香港脚者,黄帝所谓缓风湿痹也。《千金》云∶顽弱名缓风,疼痛为湿痹。大抵
此疾不可以三五服便效,须久服得力。唐张文仲云∶风有一百二十四种,气有八十种,唯脚
气头风上气,常须服药不绝,自余则随其发动,临时消息。但有风气之人,春末夏初及秋暮
得通泄,则不困剧。所谓通泄者,如麻黄牵牛郁李仁之类是也,不必苦快利药也。
治疗两脚软弱无力,身体虚弱消瘦,以及小儿无法行走。
天麻(选择明亮洁净的大者,用酒浸泡一夜) 白附子(炮制) 牛膝(清洗,切碎,焙干,用酒浸泡一晚,再次焙干) 木鳖子(去掉外壳,研磨,各半两) 乌头(炮制,去掉皮和脐,一分) 川羌活(清洗去土,半两) 地龙(去掉泥土称重,一分) 滴乳香(在乳钵中置于水盆上,研磨细) 真没药(研磨,各二钱) 朱砂(水飞法处理,一钱)
以上药物以生天南星粉末一两,用无灰酒煮成糊状,制成如鸡头大小的丸剂,用朱砂作为衣层,饭前服用时取一粒用薄荷汤磨化送服。
治疗风气积滞形成的香港脚(痛风/下肢关节炎),经常感觉轻微肿胀,发作时有时疼痛。
茵芋叶(切碎,炒制) 薏苡仁(各半两) 郁李仁(去掉皮和尖,微炒,一两) 牵牛子(三两,生取粉末一两半)
以上药物研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用二十丸,五更天时用姜枣汤送下,如果未通便则加至三十丸,每日三次,以大便通畅为度,之后喝白粥调养。
治疗腰部和脚部游走性疼痛,这就是香港脚。
薏苡仁 茵芋(去掉梗,切碎,炒制) 白芍药 牛膝(清洗,切碎,焙干,用酒浸泡一晚,再次焙干) 川芎(清洗) 丹参(去掉芦头) 防风(去掉钗股状的残枝) 独活(黄色如鬼眼状的,去掉芦头,清洗,焙干,称重,各半两) 侧子(一枚,炮制,去掉皮和脐) 熟干地黄(洒酒,九蒸九晒,焙干,称重) 桂心(不经过火烤) 橘皮(各一两)
以上药物研成细末,用炼蜜制成如梧桐子大小的丸剂。每次服用三四十丸,用酒送下,饭前服用,每日三次,用木瓜汤送下也可以。
现在人所说的香港脚,就是黄帝所说的缓风湿痹。《千金方》说:顽弱称为缓风,疼痛称为湿痹。大体上说,这种病不能靠三五次服药就见效,必须长期服用才能奏效。唐代张文仲说:风有一百二十四种,气有八十种,只有脚气、头风、上气这三种病,需要常年不间断服药,其余的则根据发病情况,临时斟酌处理。只要有风气的人,在春末夏初及秋末时节进行通泄治疗,就不会病情困重剧烈。所谓通泄,就像麻黄、牵牛子、郁李仁这类药物,不必使用猛烈泻下的药物。
Treats weakness and lack of strength in both legs, emaciation due to deficiency, and the inability of infants to walk.
*Gastrodiae Rhizoma* (Tianma) [Gastrodia Rhizome] (Select large, clear, and clean ones; soak in wine for one night) *Aconiti Kusnezoffii Rhizoma* (Baifuzi) [Kusnezoff Monkshood Root] (Pao processed) *Achyranthis Bidentatae Radix* (Niuxi) [Bitter Achyranthes Root] (Wash, cut into pieces, dry by roasting, soak in wine overnight, then roast again) *Muciae Semen* (Mubiezi) [Mucuna Seed] (Remove shell, grind, half liang each) *Aconiti Radix* (Wutou) [Chinese Aconite Root] (Pao processed, remove skin and navel, 1 fen) *Notopterygii Rhizoma et Radix* (Chuan Qianghuo) [Notopterygium Rhizome and Root] (Wash to remove soil, half liang) *Longdosoma* (Dilong) [Earthworm] (Remove soil, weigh, 1 fen) *Olibanum* (Diru Xiang) [Frankincense] (Grind finely in a mortar placed over a basin of water) *Myrrha* (Zhen Moyao) [Myrrh] (Grind, 2 qian each) *Cinnabaris* (Zhusha) [Cinnabar] (Water levigation, 1 qian)
Take 1 liang of powder from *Acori Tatarinowii Rhizoma* (Sheng Tiannanxing) [Raw Arisaema Rhizome], boil with non-ash wine to make a paste, form pills the size of a chicken head, coat with Cinnabar. Take one pill, ground in mint tea, before meals.
Treats Hongxiangjiao (Hong Kong Foot/Gout-like condition) caused by accumulation of wind-dampness and stagnation, often feeling slightly swollen, with pain upon onset.
*Epimedii Folium* (Yinye) [Epimedium Leaf] (Cut, stir-fry) *Coicis Semen* (Yiyiren) [Job's Tears] (Half liang each) *Prunus japonicae Semen* (Yuliren) [Bush Cherry Seed] (Remove skin and tip, lightly stir-fry, 1 liang) *Pharbitidis Semen* (Qianniuzi) [Morning Glory Seed] (3 liang, take raw powder, 1.5 liang)
Grind all ingredients into fine powder, mix with refined honey to form pills the size of wu zi (wutong seeds). Take 20 pills per dose, administered at dawn (wugeng) with ginger and jujube decoction. If bowel movement is not achieved, increase to 30 pills. Take three times daily, until smooth defecation is achieved, then replenish with white rice porridge.
Treats wandering pain in the waist and feet, which is known as Hongxiangjiao.
*Coicis Semen* (Yiyiren) [Job's Tears] *Epimedii Folium* (Yinyu) [Epimedium Leaf] (Remove stems, cut, stir-fry) *Paeoniae Radix Alba* (Baishaoyao) [White Peony Root] *Achyranthis Bidentatae Radix* (Niuxi) [Bitter Achyranthes Root] (Wash, cut, roast, soak in wine overnight, roast again) *Ligustici Chuanxiong Rhizoma* (Chuanxiong) [Sichuan Lovage Rhizome] (Wash) *Salviae Miltiorrhizae Radix* (Danshen) [Salvia Root] (Remove rhizome base) *Saposhnikoviae Radix* (Fangfeng) [Divaricate Saposhnikovia Root] (Remove twig-like remnants) *Angelicae Pubescentis Radix* (Duhuo) [Pubescent Angelica Root] (Yellow like ghost eyes, remove rhizome base, wash, roast, weigh, half liang each) *Aconiti Lateralis Radix Praeparata* (Cezi) [Prepared Lateral Root of Chinese Aconite] (One piece, Pao processed, remove skin and navel) *Rehmanniae Radix Preparata* (Shu Gan Dihuang) [Prepared Rehmannia Root] (Sprinkle with wine, steam nine times, sun-dry nine times, roast, weigh) *Cinnamomi Cortex* (Guixin) [Cinnamon Bark] (Do not expose to direct fire) *Citri Reticulatae Pericarpium* (Jupi) [Tangerine Peel] (1 liang each)
Grind all ingredients into fine powder, mix with refined honey to form pills the size of wu zi. Take 30-40 pills per dose, with wine, before meals, three times daily. Taking with papaya decoction is also acceptable.
What modern people call Hongxiangjiao is what the Yellow Emperor referred to as Huan Feng Shi Bi (Flaccid Wind-Damp Bi Syndrome). The *Qianjin Fang* states: Flaccidity and weakness are called Huan Feng (Flaccid Wind), while pain is called Shi Bi (Damp Bi). Generally, this disease does not respond to just three or five doses; it requires long-term administration to be effective. Zhang Wenzhong of the Tang Dynasty said: There are 124 types of wind and 80 types of qi disorders. Only Jiaoqi (Foot Qi), Toufeng (Head Wind), and Shangqi (Ascending Qi) require continuous medication. For others, treatment should be adjusted according to the specific manifestation. Individuals prone to wind-pathogens should undergo purging/drainage therapies in late spring/early summer and late autumn to prevent severe exacerbation. Such purging therapies include herbs like Ephedra, Pharbitis, and Prunus seeds; harsh cathartics are not necessary.