（附∶鹤膝风）
是证亦与痹证相类，俗谓白虎历节风。白虎者，痛甚如虎啮；历节者，循历四肢关节而痛也。
因夏月腠理开豁之际，贪凉乘风；或泥地、漆橙坐卧而受风湿；或汗出当风；或酒醉感风。秋冬腠
理闭塞，风寒湿邪与气血相并，手指挛曲，腿膝肿胀，作非常之痛不可忍。亦有湿痰流注作痛者，
如风寒则夜尤甚，湿痰日夜皆然。脉浮大为风寒；弦细湿；滑多痰。治宜辛温解表、逐风寒湿邪，
当归拈痛汤之类。
湿痰渗湿导痰，痛减兼养血舒筋。
主方 羌活 苍术 黄芩（酒炒） 防风 猪苓 泽泻 秦艽 麻黄（夏日减用） 茵陈
（铃儿等分） 升麻（减半） 上水煎服。
手臂痛加桂枝、海桐皮，腿膝痛加牛膝、木瓜；痛甚，调乳香服。
当归拈痛汤 （方见身痛）
导痰汤 （方见痰门）
羌活续断汤 治一切历节风，手足肢节肿痛如锥。
羌活 川续断 牛膝 防风 当归 川芎（各一钱） 苍术 麻黄 甘草节 枳壳 穿山甲（
各七分） 秦艽 川乌（五分） 薄桂（三分）
上加葱一根，水煎服，取汗至足。
简便方 治历节风。
三年酽醋（五碗） 煎数沸，切葱白二碗，煮一沸，包，熨患处热。
又 羌、独活煮酒饮。
又 松叶一斗捣烂，酒三斗浸七日，每日服三次。
又 虎骨（三两）打细，好酒三碗，煮至半碗，将骨切片捣为末，乳香、没药（各五钱），出
汗研末，同虎骨末调酒内，分十次，添酒调服。
又 用羊蹄根、好醋、生铁磨浆，涂患处，入硫黄末尤妙。
万灵膏 捻入乳香末摊布上，贴痛处，外包熨热，痛止（方见外科）。或以绵布絮浓包，烘熨
极热，汗出痛止。
（附注：鹤膝风）
这种病症也与痹证相似，民间称为白虎历节风。所谓“白虎”，是指疼痛剧烈如同被老虎咬噬；所谓“历节”，是指疼痛沿着四肢关节依次发作。
由于在夏季腠理（皮肤毛孔及肌肉间隙）开泄之时，贪凉受风；或坐卧于泥地、漆器之上而感受风湿之邪；或出汗后当风受凉；或酒后感受风邪。到了秋冬季节，腠理闭塞，风寒湿邪与气血相搏结，导致手指拘挛弯曲，腿膝肿胀，产生难以忍受的剧烈疼痛。也有因湿痰流注经络而引起疼痛的，如果是风寒所致，夜间疼痛尤为严重；如果是湿痰所致，则日夜疼痛程度相同。脉象浮大属于风寒；弦细属于湿邪；滑脉多主痰饮。治疗应当采用辛温解表的方法，驱逐风寒湿邪，可用当归拈痛汤之类的方剂。
若是湿痰引起的，应使用渗湿导痰法，待疼痛减轻后再兼用养血舒筋之法。
主方：羌活、苍术、黄芩（酒炒）、防风、猪苓、泽泻、秦艽、麻黄（夏季减量使用）、茵陈（以上药材分量相等），升麻（减半量）。以上药材用水煎服。
手臂疼痛者，加桂枝、海桐皮；腿膝疼痛者，加牛膝、木瓜；疼痛剧烈者，调服乳香。
羌活续断汤：治疗各种历节风，手足肢节肿痛如针刺般。
处方：羌活、川续断、牛膝、防风、当归、川芎（各一钱），苍术、麻黄、甘草节、枳壳、穿山甲（各七分），秦艽、川乌（五分），薄桂（三分）。
上方加入葱一根，用水煎服，服药后取汗直至足部。
简便方：治疗历节风。
方法一：三年陈醋（五碗），煮沸数次，加入切好的葱白二碗，再煮一沸，用药液包裹患处，热敷至热。
方法二：羌活、独活煮酒饮用。
方法三：松叶一斗捣烂，用酒三斗浸泡七日，每日服用三次。
方法四：虎骨（三两）打碎成细末，用好酒三碗，煮至半碗，将骨头切片捣为粉末，乳香、没药（各五钱），待出汗后研为粉末，与虎骨粉混合，调入酒中，分十次服用，每次添加酒调服。
方法五：用羊蹄根、好醋、生铁磨成的浆液，涂抹患处，加入硫黄粉效果更佳。
万灵膏：将乳香末掺入药膏中，摊在布上，贴敷于疼痛处，外包热敷，疼痛停止（方剂见外科章节）。或者用厚棉絮包裹，烘烤至极热，敷于患处，出汗后疼痛停止。
(Note: Crane's Knee Wind)
This condition is also similar to Bi syndrome (Bi Syndrome, obstruction of meridians causing pain and numbness), commonly known in folklore as White Tiger Li Jie Feng. "White Tiger" refers to the severe pain feeling as if bitten by a tiger; "Li Jie" refers to the pain traversing sequentially through the joints of the four limbs.
It occurs because during summer, when the Cou Li (skin pores and interstitial spaces) are open, one indulges in cooling off and catches wind; or sits and lies on mud or lacquered surfaces, contracting wind-dampness; or exposes oneself to wind while sweating; or contracts wind after drunkenness. In autumn and winter, when the Cou Li are closed, pathogenic factors of wind-cold-dampness combine with Qi and Blood, leading to curling of fingers, swelling of legs and knees, and unbearable excruciating pain. There are also cases where pain is caused by the flow and deposition of damp-phlegm. If due to wind-cold, pain is worse at night; if due to damp-phlegm, pain persists equally day and night. A floating and large pulse indicates wind-cold; a wiry and thin pulse indicates dampness; a slippery pulse indicates phlegm. Treatment should employ acrid-warm methods to release the exterior and expel wind-cold-dampness pathogens, such as Danggui Niangong Tang (Angelica Root and Ligusticum Pain-Relieving Decoction).
If caused by damp-phlegm, use methods to leach out dampness and guide out phlegm; once pain subsides, concurrently nourish blood and relax sinews.
Main Formula: Qianghuo (Notopterygii Rhizoma et Radix), Cangzhu (Atractylodis Rhizoma), Huangqin (Scutellariae Radix, stir-fried with wine), Fangfeng (Saposhnikoviae Radix), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Mahuang (Ephedrae Herba, reduce dosage in summer), Yinchen (Artemisiae Scopariae Herba) (all equal parts); Shengma (Cimicifugae Rhizoma, half dosage). Decoct with water and take orally.
For arm pain, add Guizhi (Cinnamomi Ramulus) and Haitongpi (Sapii Semen Cortex); for leg and knee pain, add Niuxi (Achyranthis Bidentatae Radix) and Mugua (Chaenomelis Fructus); for severe pain, mix and take Xurxiang (Boswelliae Resina).
Danggui Niangong Tang (See formula in Section on Body Pain)
Daotan Tang (Phlegm-Guiding Decoction) (See formula in Section on Phlegm)
Qianghuo Xuduan Tang: Treats all types of Li Jie Feng, characterized by swelling and pain in hands, feet, and joints like needle pricks.
Prescription: Qianghuo, Chuanxuduan (Dipsaci Radix), Niuxi, Fangfeng, Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 qian), Cangzhu, Mahuang, Gancao Jie (Licorice Joint), Zhike (Aurantii Fructus Immaturus), Chuanshanjia (Manis Squama) (each 0.7 qian), Qinjiao, Chuanwu (Aconiti Radix Preparata) (0.5 qian), Bo Gui (Cinnamomi Ramulus, thin bark) (0.3 qian).
Add one green onion stalk, decoct with water, and induce sweating until the feet are reached.
Simple Prescriptions for Li Jie Feng:
Method 1: Three-year strong vinegar (five bowls), boil several times, add two bowls of sliced white part of green onion, boil once more, wrap in cloth, and apply hot compress to the affected area.
Method 2: Drink wine boiled with Qianghuo and Duhuo (Angelicae Pubescentis Radix).
Method 3: One dou of pine needles, pounded into paste, soaked in three dou of wine for seven days, taken three times daily.
Method 4: Tiger bone (three liang), crushed into fine powder, boiled in three bowls of good wine until reduced to half a bowl. Slice the bone, pound into powder. Mix with Xurxiang and Moyao (Commiphora Myrrhae Resina) (each five qian). After inducing sweat, grind these into powder, mix with tiger bone powder, dissolve in wine, divide into ten doses, adding wine for each dose.
Method 5: Apply paste made from Rumex root (Yangti Gen), good vinegar, and ground raw iron to the affected area; adding sulfur powder is especially effective.
Wanling Gao (Ten Thousand Spirits Ointment): Mix Xurxiang powder into the ointment, spread on cloth, apply to the painful area, cover with external heat compress, pain stops (See formula in Surgical Section). Alternatively, wrap thickly with cotton wadding, heat thoroughly, apply to the site, and pain stops upon sweating.