历节风痛，以其痛无定所，即行痹之属也。《病源》云∶历节风痛是气血本虚，或因饮
酒，腠理开，汗出当风所致，或因劳倦调护不谨，以致三气之邪遍历关节，与气血相搏，而
疼痛非常，或如虎之咬，故又有白虎历节之名。《中藏经》曰∶历节疼痛者，因醉犯房而得
之，此其概也。大都痛痹之证，多有昼轻而夜重者，正阴邪之在阴分也。其有遇风雨阴晦而
甚者，此正阴邪侮阳之证也。或得暖遇热而甚者，此湿热伤阴之火证也。有火者宜从清凉，
有寒者宜从温热。若筋脉拘滞，伸缩不利者，此血虚血燥证也，非养血养气不可。凡诸治法
，总宜如前。
一、凡诸痹作痛者，俱宜用火龙膏贴之。
六君子汤（补五） 大防风汤（补九八） 大秦艽汤（和二四五） 小续命汤（散五二） 败毒
散（散三六） 五积散（散三九） 真武汤（热一四三） 二陈汤（和一） 三气饮（新热十七）
五苓散（和一八二） 抽薪饮（新寒三） 二妙散（寒一三四） 火龙膏（外三百二十） 《三因》
附子汤（热二三） 甘草附子汤（热三一） 加味二妙丸（寒一三五） 易老天麻丸（和二七五）
当归拈痛汤（寒百三十） 乌药顺气散（散九三） 九味羌活汤（散四四） 调气平胃散（和十八）
羌活胜湿汤（和一七八）
历节风痛，因其疼痛部位游走不定，属于行痹的范畴。《诸病源候论》记载：历节风痛是由于气血原本虚弱，或者因为饮酒后腠理（皮肤毛孔）张开，汗出时受风邪侵袭所致；又或者因为劳累疲倦、调养不慎，导致风、寒、湿三气之邪遍历关节，与气血相互搏结，从而引起剧烈的疼痛，有时疼痛剧烈得像老虎咬一样，所以又有“白虎历节”的名称。《中藏经》说：历节疼痛，是因为醉酒之后行房事而导致的，这是大概的情况。大抵痛痹这类病症，多有白天较轻而夜间加重的特点，这正是阴邪停留在阴分的缘故。那些遇到风雨阴天就加重的，正是阴邪侮犯阳气的证候。有的遇到温暖或受热反而加重的，这是湿热伤阴的火证。有火邪的应当采用清凉法治疗，有寒邪的应当采用温热法治疗。如果筋脉拘挛阻滞，伸展收缩不灵活的，这是血虚血燥的证候，必须通过养血养气来治疗。凡是各种治疗方法，总宜按照前述原则进行。
六君子汤（补益类第五方） 大防风汤（补益类第九十八方） 大秦艽汤（和解类第四十五方） 小续命汤（发散类第五十二方） 败毒散（发散类第三十六方） 五积散（发散类第三十九方） 真武汤（温热类第一百四十三方） 二陈汤（和解类第一方） 三气饮（新编温热类第十七方） 五苓散（和解类第一百八十二方） 抽薪饮（新编寒凉类第三方） 二妙散（寒凉类第一百三十四方） 火龙膏（外治类第三百二十方） 《三因方》附子汤（温热类第二十三方） 甘草附子汤（温热类第三十一方） 加味二妙丸（寒凉类第一百三十五方） 易老天麻丸（和解类第二百七十五方） 当归拈痛汤（寒凉类第一百三十方） 乌药顺气散（发散类第九十三方） 九味羌活汤（发散类第四十四方） 调气平胃散（和解类第十八方） 羌活胜湿汤（和解类第一百七十八方）
Lijie Fengtong (Joint-wandering Wind Pain), characterized by its pain moving to different locations, belongs to the category of Xingbi (Wandering Bi Syndrome). The *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states that Lijie Fengtong is caused by an inherent deficiency of Qi and Blood, or by drinking alcohol which opens the Couli (skin pores), followed by wind invasion while sweating; or due to fatigue and improper care, leading to the pathogens of Wind, Cold, and Dampness traversing all joints and battling with Qi and Blood, resulting in severe pain, sometimes described as being bitten by a tiger, hence the name "Baihu Lijie" (White Tiger Joint-Wandering Pain). The *Zhongzang Jing* (Classic of Internal Organs) states that Lijie pain is obtained from engaging in sexual activity after drunkenness; this is the general overview. Generally, Bingbi (Painful Bi Syndrome) often presents with milder symptoms during the day and heavier symptoms at night, which indicates Yin pathogens residing in the Yin aspect. Cases that worsen upon exposure to wind, rain, or overcast weather indicate Yin pathogens harassing Yang. Cases that worsen upon warming or heat exposure indicate a Fire syndrome where Damp-Heat injures Yin. For cases with Fire, cooling methods should be used; for cases with Cold, warming methods should be used. If tendons and vessels are spasmodic and stiff, with difficulty in extension and flexion, this is a syndrome of Blood deficiency and Blood dryness, requiring nourishment of Blood and Qi. All treatment methods should generally follow the principles mentioned above.
1. For any Bi syndrome presenting with pain, it is suitable to apply Huolong Gao (Fire Dragon Plaster) externally.
Liujunzi Tang (Six Gentlemen Decoction) [Tonifying Category, Formula 5] Dafangfeng Tang (Great Wind-Expelling Decoction) [Tonifying Category, Formula 98] Daqin Jiao Tang (Great Qinghting Decoction) [Harmonizing Category, Formula 45] Xiao Xuming Tang (Minor Continuation of Life Decoction) [Dispersing Category, Formula 52] Baidu San (Defeat Poison Powder) [Dispersing Category, Formula 36] Wuji San (Five Accumulations Powder) [Dispersing Category, Formula 39] Zhenwu Tang (True Warrior Decoction) [Warm-Hot Category, Formula 143] Erchen Tang (Two Aged Decoction) [Harmonizing Category, Formula 1] Sanqi Yin (Three Qi Drink) [New Warm-Hot Category, Formula 17] Wuling San (Five Ling Powder) [Harmonizing Category, Formula 182] Chouxin Yin (Drawing Down the Fuel Drink) [New Cold-Cool Category, Formula 3] Ermiao San (Two Marvels Powder) [Cold-Cool Category, Formula 134] Huolong Gao (Fire Dragon Plaster) [External Category, Formula 320] *Sanyin Fang* Fuzi Tang (Aconite Decoction from *Three Causes*) [Warm-Hot Category, Formula 23] Gancao Fuzi Tang (Licorice and Aconite Decoction) [Warm-Hot Category, Formula 31] Jiawei Ermiao Wan (Modified Two Marvels Pill) [Cold-Cool Category, Formula 135] Yilao Tianma Wan (Yilao Gastrodia Pill) [Harmonizing Category, Formula 275] Danggui Niangtong Tang (Angelica Pain-Relieving Decoction) [Cold-Cool Category, Formula 130] Wuyao Shunqi San (Aucklandia Qi-Smooth Powder) [Dispersing Category, Formula 93] Jiuwei Qianghuo Tang (Nine Ingredients Notopterygium Decoction) [Dispersing Category, Formula 44] Tiaoqi Pingwei San (Regulating Qi and Leveling Stomach Powder) [Harmonizing Category, Formula 18] Qianghuo Shengshi Tang (Notopterygium Overcoming Dampness Decoction) [Harmonizing Category, Formula 178]