论痛风 论风懿 论风痱 论痿废 论痉症
天师曰∶卧治者，因其卧而卧治之也。如痛风之人，风懿、风痱、痿废之症是也。痛风之病，乃中湿
也。湿气入于关节骨髓之中，则痛不可忍，手足牵掣，腰脊伛偻，经岁周年不起床席，欲其坐起，且不可
得。欲其不卧而治得乎。方用薏仁一两，芡实一两，茯苓三钱，车前子一钱，白术五钱，肉桂一分，不可
多，水煎服，（〔批〕解湿汤。）此方妙在去湿而不走气。尤妙在用肉桂一分，得桂之气而不得桂之味，
始能入诸关节之间，以引去其水湿之气也。此方常服，当用作汤，不
可责其近功。此卧治之一法。
风懿之症，奄忽不知人，不疼不痛，卧于床褥之上，亦终岁经年。此亦风湿之症，入之皮肉之
内，而手足不为用者也。方用白术五钱，薏仁一两，芡实五钱，山药三钱，车前子一钱，人参三钱，甘草
一钱，陈皮一钱，柴胡一钱，白芍三钱，白芥子三钱，水煎服（〔批〕健胃散湿丹。）此方亦去湿之神
剂，水去而又不耗气，则皮肉自然血活，而风症可痊，但不可责之以近功。此又卧治之一法。
风痱之症，乃火热也。火之有余，由于肾水之不足，补水则火自消亡于乌有。方用熟地四两，山
茱萸三钱，北五味二钱，麦冬二两，元参一两，附子一分，白芥子三钱，水煎服。（〔批〕息火汤。）此方
妙在纯是补水之味，水足则火自息，火息则风痱之患自除。此又卧治之一法也。
痿废之症，乃阳明火症，肾水不足以滋之，则骨空不能立。方用元参三两，麦冬一两，熟地三两，
山茱萸二两，水煎服。（〔批〕生阴壮髓丹。）此方妙在熟地、山茱全去滋水，而元参去浮游之火，麦冬
生肺金之阴，阴长阳消，阳明自然息焰。火焰既息，金水又生，脏腑有津，骨髓自满，而两足有不能步履
者乎。此又卧治之一法也。
张公曰∶卧病固不止此，更有痉症，亦须卧治者也。其症必脚缩筋促，不能起立，或痛或不痛，终
年难以下床，不得不卧以治之。方用薏仁五钱，芡实五钱，山药五钱，茯苓五钱，白术五钱，肉桂一钱，
水煎服。（〔批〕风湿两祛散。）此方乃纯是去湿健脾之药，绝不去祛风，而祛风已在其中。盖痉病
原是湿症，而非风症，脾健则水湿之气自消，湿去则筋之疼痛自去，筋舒则骨节自利矣。但此药必须多服
始得。
华君曰∶与余同。
孙真君曰∶痿症奇方∶用薏仁三两，熟地三两，麦冬一两，北五味一钱，牛膝五钱，水煎服。此
方之妙，妙在薏仁用至三两，则熟地不患太湿，麦冬不患太寒，牛膝不患太走，转能得三味之益，可以久
服而成功也。（〔批〕妙论妙方。）我传子止此。天师已发天地之奇，又何必吾辈之多事哉。我有方
俱已传世，今传子者，从前未传之方也，实无可再传，非隐秘之也。
天师说：所谓“卧治”，就是让患者躺着进行治疗。例如患有痛风的人，以及出现风懿（突然昏倒不知人事）、风痱（肢体瘫痪不用）、痿废（肌肉萎缩无力）等症状的患者，都属于此类。痛风的病机，在于体内中湿。湿气侵入关节和骨髓之中，导致疼痛难以忍受，手足拘挛牵引，腰脊弯曲驼背，常年卧床不起，想要让他坐起或站立，都做不到。既然无法起身，怎么能不通过卧位来治疗呢？方剂使用薏苡仁一两，芡实一两，茯苓三钱，车前子一钱，白术五钱，肉桂一分（不可多用），加水煎服。（批注：解湿汤。）此方的妙处在于祛除湿气而不耗散正气。尤其妙在用肉桂仅一分，取其桂枝之气而不过其辛烈之味，才能进入各个关节之间，引导排出其中的水湿之气。此方长期服用，应当作为汤药使用，不要指望它能立即见效。这是卧治的一种方法。
风懿的症状，是突然昏倒不知人事，身体没有疼痛感，躺在床褥之上，往往终年经岁如此。这也是风湿之邪侵袭皮肉之内，导致手足不能使用的病症。方剂使用白术五钱，薏苡仁一两，芡实五钱，山药三钱，车前子一钱，人参三钱，甘草一钱，陈皮一钱，柴胡一钱，白芍三钱，白芥子三钱，加水煎服（批注：健胃散湿丹）。此方也是祛湿的神效药剂，水湿去除而不耗伤正气，那么皮肉自然气血流通，风症即可痊愈，但同样不能指望它立即见效。这又是卧治的一种方法。
风痱的症状，属于火热证。火气有余，是由于肾水不足所致，补充肾水则虚火自然消亡于无形。方剂使用熟地黄四两，山茱萸三钱，北五味子二钱，麦冬二两，玄参一两，附子一分，白芥子三钱，加水煎服。（批注：息火汤。）此方的妙处在于全是滋补肾水的药物，水充足则火自熄，火熄灭则风痱的祸患自然消除。这又是卧治的一种方法。
痿废的症状，属于阳明经火热证，因肾水不足以滋养，导致骨骼空虚不能站立。方剂使用玄参三两，麦冬一两，熟地黄三两，山茱萸二两，加水煎服。（批注：生阴壮髓丹。）此方的妙处在于熟地黄、山茱萸全用于滋补肾水，而玄参清除浮游之火，麦冬滋生肺金之阴，阴长阳消，阳明经的火势自然平息。火焰既已平息，金水相生，脏腑有了津液，骨髓自然充盈，难道还有两脚不能行走的道理吗？这又是卧治的一种方法。
张公说：卧病固然不止这些，还有痉症（痉挛抽搐），也必须采用卧治。其症状必然是双脚收缩筋脉拘急，不能站立，或者疼痛或者不痛，终年难以下床，不得不躺着治疗。方剂使用薏苡仁五钱，芡实五钱，山药五钱，茯苓五钱，白术五钱，肉桂一钱，加水煎服。（批注：风湿两祛散。）此方完全是祛湿健脾的药物，绝不直接祛风，但祛风的效果已在其中了。因为痉病原本就是湿症，而非风症，脾脏健运则水湿之气自然消散，湿气去除则筋脉的疼痛自然消失，筋脉舒展则骨节自然灵活。但这药必须多服用才能见效。
华君说：我同意这个观点。
孙真君（孙思邈）说：治疗痿症的奇方：使用薏苡仁三两，熟地黄三两，麦冬一两，北五味子一钱，牛膝五钱，加水煎服。此方的妙处，妙在薏苡仁用量达到三两，这样熟地黄就不怕过于滋腻湿润，麦冬不怕过于寒凉，牛膝不怕过于走窜，反而能汲取这三味药的益处，可以长期服用而取得成效。（批注：精妙的论述，精妙的方剂。）我传授给你的只有这些。天师已经阐发了天地间的奇妙道理，又何必让我们这些人多事呢？我的方子都已经流传于世，现在传授给你的，是从前未曾传出的方子，确实没有再可传的，并非故意隐秘。
On Gout, On Feng Yi (Sudden Loss of Consciousness), On Feng Fei (Paralysis), On Wei Fei (Atrophy and Paralysis), and on Jing Zheng (Spasm)
The Heavenly Master said: "Wu Zhi" (Treatment while lying down) refers to treating the patient while they remain in a recumbent position. This applies to patients suffering from gout, as well as those with symptoms of Feng Yi (sudden loss of consciousness), Feng Fei (paralysis of limbs), and Wei Fei (atrophy and inability to move). The pathology of gout lies in dampness obstructing the interior. When dampness enters the joints and bone marrow, it causes unbearable pain, pulling and cramping of the hands and feet, curvature of the waist and spine, leaving the patient bedridden for years. It is impossible for them to sit or stand up. Given this condition, how can one treat them without employing the method of treatment while lying down?
Prescribe Coicis Semen (Yiren) 1 liang, Euryales Semen (Qianshi) 1 liang, Poria (Fuling) 3 qian, Plantaginis Semen (Cheqianzi) 1 qian, Atractylodis Macrocephalae Rhizoma (Baizhu) 5 qian, and Cinnamomi Ramulus (Rougui) 1 fen (do not use more). Decoct in water and take orally. (Annotation: Jie Shi Tang / Dampness-Resolving Decoction.) The brilliance of this formula lies in its ability to eliminate dampness without depleting Qi. Its particular ingenuity lies in using only 1 fen of Rougui; by utilizing the qi of cinnamon twig without its harsh flavor, it can penetrate into various joints to guide out the pathogenic water-dampness. This formula should be taken long-term as a decoction; do not expect immediate results. This is one method of Wu Zhi.
The symptom of Feng Yi involves sudden loss of consciousness without pain, with the patient remaining in bed for years. This is also a wind-dampness syndrome where pathogens enter the skin and flesh, rendering the limbs useless. Prescribe Baizhu 5 qian, Yiren 1 liang, Qianshi 5 qian, Dioscoreae Rhizoma (Shanyao) 3 qian, Cheqianzi 1 qian, Ginseng Radix et Rhizoma (Renshen) 3 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 1 qian, Citri Reticulatae Pericarpium (Chenpi) 1 qian, Bupleuri Radix (Chaihu) 1 qian, Paeoniae Radix Alba (Baishao) 3 qian, and Sinapis Semen (Baijiezi) 3 qian. Decoct in water and take orally. (Annotation: Jian Wei San Shi Dan / Stomach-Strengthening and Dampness-Dispersing Elixir.) This formula is also a divine agent for removing dampness; when water-dampness is removed without consuming Qi, blood circulation in the skin and flesh naturally improves, and the wind syndrome can be cured. However, do not expect immediate results. This is another method of Wu Zhi.
The symptom of Feng Fei belongs to heat-fire syndromes. Excessive fire arises from insufficient Kidney Water; replenishing the water causes the fire to vanish into nothingness. Prescribe Rehmanniae Radix Praeparata (Shudi) 4 liang, Corni Fructus (Shanzhuyu) 3 qian, Schisandrae Fructus (Beiwuweizi) 2 qian, Ophiopogonis Tuber (Maidong) 2 liang, Scrophulariae Radix (Yuanshen) 1 liang, Aconiti Lateralis Radix Praeparata (Fuzi) 1 fen, and Baijiezi 3 qian. Decoct in water and take orally. (Annotation: Xi Huo Tang / Fire-Extinguishing Decoction.) The brilliance of this formula lies in its pure water-nourishing ingredients. When water is sufficient, fire extinguishes itself, and the affliction of Feng Fei is naturally eliminated. This is yet another method of Wu Zhi.
The symptom of Wei Fei belongs to Yangming Fire syndromes. When Kidney Water is insufficient to nourish, the bones become empty and cannot support standing. Prescribe Yuanshen 3 liang, Maidong 1 liang, Shudi 3 liang, and Shanzhuyu 2 liang. Decoct in water and take orally. (Annotation: Sheng Yin Zhuang Sui Dan / Yin-Nourishing and Marrow-Strengthening Elixir.) The brilliance of this formula lies in using Shudi and Shanzhuyu entirely to nourish water, while Yuanshen clears floating fire, and Maidong generates Lung Metal Yin. As Yin grows and Yang declines, the Yangming fire naturally subsides. Once the flame is extinguished, Metal and Water generate each other, organs and bowels receive fluids, and bone marrow becomes full. Would there still be cases of legs unable to walk? This is yet another method of Wu Zhi.
Master Zhang said: Illnesses requiring recumbent treatment are certainly not limited to these; there is also Jing Zheng (spasm), which also requires treatment while lying down. The symptoms inevitably include retracted legs and contracted sinews, inability to stand, with or without pain, making it difficult to get out of bed for a whole year, necessitating treatment in a supine position. Prescribe Yiren 5 qian, Qianshi 5 qian, Shanyao 5 qian, Fuling 5 qian, Baizhu 5 qian, and Rougui 1 qian. Decoct in water and take orally. (Annotation: Feng Shi Liang Qu San / Wind-Dampness Dual-Expelling Powder.) This formula consists purely of herbs that remove dampness and strengthen the Spleen; it does not directly dispel wind, but wind-dispelling action is inherent within it. Jing Bing (spasm disease) is originally a dampness syndrome, not a wind syndrome. When the Spleen is healthy, water-dampness dissipates naturally; when dampness is removed, sinus pain disappears, and when sinews relax, joints become flexible. However, this medicine must be taken in large quantities over time to be effective.
Master Hua said: I agree.
Sun Zhenjun (Sun Simiao) said: A miraculous prescription for Wei Syndrome: Use Yiren 3 liang, Shudi 3 liang, Maidong 1 liang, Beiwuweizi 1 qian, and Achyranthis Bidentatae Radix (Niuxi) 5 qian. Decoct in water and take orally. The brilliance of this formula lies in using Yiren up to 3 liang; thus, Shudi is not feared for being too cloying/damp, Maidong is not feared for being too cold, and Niuxi is not feared for being too dispersing. Instead, it gains the benefits of all three, allowing for long-term administration to achieve success. (Annotation: Profound discussion, profound prescription.) I have transmitted only this to you. The Heavenly Master has already revealed the wonders of Heaven and Earth; why should we others trouble ourselves? My prescriptions have all been passed down to the world. What I am transmitting to you now are formulas previously untransmitted. There is truly nothing left to transmit; it is not due to secrecy.