属风热与痰，痛连头额，作风痰治。素多怒者，疏肝火，理风痰。见光明痛甚，属肝虚，目
不能开，昼静夜剧，导痰汤加细茶。
主方 羌活 防风 川芎 酒芩 白芷（各一钱） 荆芥 薄荷（各八分） 细辛 升麻
甘草（各三分）葱茶煎服。
湿痰，苍白术，二陈，南星；火加栀子、连翘；多怒，柴胡、胆草；血虚，当归、生地、赤
芍；肝虚，阿胶、橘叶；风寒，川草乌（俱童便制。）
经曰∶诸颈项强，皆属于湿。盖颈项强直，不能回顾，不得转动者，乃风湿之邪，干于足太
阳经，或痰热客于经络。或致微痛，脉数而实，右手为甚。治宜驱风散邪，利气舒筋。有痰热寒
湿相干者，随证治之。
主方 陈皮 半夏 茯苓（各一钱半） 木瓜（三钱） 羌活 酒芩（各一钱） 红花
甘草（各五分）
上水煎服。兼有外邪加乌药、苍术（各二钱），甚者加乳香、没药。
治项强∶鲜木瓜一个，取盖去穣，入乳香、没药末各五钱，扎定，饭上蒸多次，研成膏。每
服五钱，地黄汁和酒下；或干者酒煮，捣入乳、没服。
夫周身骨节之痛，种种不同。有湿郁周身作痛者；有食滞而身痛者；有痰凝经络作块而痛者
；有诸骨节疼酸，或寒或热者；有好酒湿热郁滞而痛。至于臂项肿疼，发热呕吐，上焦不能清利
者，皆日常酝酿，致生痰涎饮沫，随气上行。浮壅于肺，咳嗽发动稠脓者为痰；留聚于脾，溢流
口角不禁者为涎；停积于胃，呕吐出清稀者为饮。饮脉多沉濡而弦；痰脉多浮大而滑；郁滞脉多
沉伏；痛甚脉沉而紧。治宜散郁行气，渗湿疏风，清痰去热。痛止之后，调补气血。
主方 苍术 羌活 酒芩 秦艽 威灵仙 当归 防风 姜黄 甘草 水煎服。未安，服后
方。
当归拈痛汤 治风寒湿三气杂至，合而为痹，遍身走注，肩臂背腰腿膝、周身作痛甚者，
及风湿诸证。胫足水湿，脓疮溃烂。
苍术 白术 酒芩 羌活 猪苓 泽泻 当归 茵陈（铃儿，酒炒） 知母（各六分） 人
参（不用亦效） 苦参（酒炒） 升麻 葛根 防风 炙草（各四分）
水煎（上痛食后服，下痛空心服）。痛甚加乳香。上身痛倍升麻；下体痛加牛膝。腿足加木
栝、苡仁；臂痛桂枝。
威灵仙丸 治湿痰风痛。
威灵（酒炒） 桂枝 羌活（各三两） 南星 黄柏（酒炒） 苍术（各二两） 神曲 川
芎（各一两） 防己 白芷 桃仁 红
花龙胆草（各五钱）
上为末，神曲糊丸如桐子大，每百丸白汤下。
舒筋散 治风湿血刺身体疼痛，四肢拘挛。
当归 玄胡索 辣桂（各等分） 为末，每二钱酒下。痰滞，二陈汤加肉桂；劳倦身疼，十全大补
汤加陈皮、半夏。
清痰宁痛丸 治酒客多饮，致痰涎饮积致痛，兼服拈痛汤效。
橘红 茯苓 半夏 贝母 天麻 白术 胆星 白附子 栝蒌仁 酒芩（等分）
上共为末，水法丸绿豆大。每服二钱，白汤下。竹沥、姜汁为丸尤妙。痰饮稀涎散吐。
属于风热与痰邪，疼痛牵连头额，按风痰证治疗。平素易怒的人，疏泄肝火，调理风痰。见到光亮时疼痛加剧，属于肝虚，眼睛不能睁开，白天安静夜间加重，用导痰汤加入细茶。
主方：羌活、防风、川芎、酒黄芩、白芷（各一钱），荆芥、薄荷（各八分），细辛、升麻、甘草（各三分）。用葱和茶煎服。
若是湿痰，用苍术、白术，二陈汤，南星；有火加栀子、连翘；易怒加柴胡、龙胆草；血虚加当归、生地黄、赤芍；肝虚加阿胶、橘叶；风寒加川乌、草乌（均用童便炮制）。
《内经》说：所有的颈项强直，都归属于湿。大概颈项强直，不能回头，不能转动，是风湿之邪，侵犯足太阳经，或者痰热客居在经络。或者导致轻微疼痛，脉象数而实，右手脉象更明显。治疗应当驱散风邪，疏通气机，舒缓筋脉。如果有痰热寒湿相互干扰的，根据证候治疗。
主方：陈皮、半夏、茯苓（各一钱半），木瓜（三钱），羌活、酒黄芩（各一钱），红花、甘草（各五分）。用水煎服。兼有外邪加乌药、苍术（各二钱），严重的加乳香、没药。
治疗项强：鲜木瓜一个，取盖去瓤，放入乳香、没药末各五钱，扎紧，在饭上蒸多次，研成膏。每次服用五钱，用地黄汁和酒送下；或者用干木瓜酒煮，捣碎加入乳香、没药服用。
全身的骨节疼痛，种种不同。有湿气郁滞全身作痛的；有食积停滞导致身体疼痛的；有痰凝经络形成肿块而疼痛的；有各个骨节疼酸，或寒或热的；有因嗜酒湿热郁滞而疼痛的。至于手臂和颈部肿胀疼痛，发热呕吐，上焦不能清利的，都是日常酝酿，导致产生痰涎饮沫，随着气上行。浮壅于肺，咳嗽发动吐出稠脓的是痰；留聚于脾，溢出嘴角控制不住的是涎；停积在胃，呕吐出清稀液体的是饮。饮的脉象多沉濡而弦；痰的脉象多浮大而滑；郁滞的脉象多沉伏；疼痛剧烈的脉象沉而紧。治疗应当疏散郁滞，行气，渗湿疏风，清痰去热。疼痛停止后，调补气血。
主方：苍术、羌活、酒黄芩、秦艽、威灵仙、当归、防风、姜黄、甘草，水煎服。如果未痊愈，服用后方剂。
当归拈痛汤：治疗风寒湿三气杂至，合而为痹症，遍身游走疼痛，肩臂背腰腿膝、周身疼痛严重的，以及风湿各种证候。胫足水湿，脓疮溃烂。
苍术、白术、酒黄芩、羌活、猪苓、泽泻、当归、茵陈（铃儿，酒炒）、知母（各六分），人参（不用也有效），苦参（酒炒），升麻、葛根、防风、炙甘草（各四分）。
水煎（上部疼痛饭后服，下部疼痛空腹服）。疼痛剧烈加乳香。上身痛加倍升麻；下体痛加牛膝。腿足痛加木栝楼、薏苡仁；手臂痛加桂枝。
威灵仙（酒炒）、桂枝、羌活（各三两），南星、黄柏（酒炒）、苍术（各二两），神曲、川芎（各一两），防己、白芷、桃仁、红花、龙胆草（各五钱）。
以上为末，神曲糊丸如梧桐子大，每次一百丸，白开水送下。
当归、玄胡索、辣桂（各等分），为末，每次二钱，酒送下。痰滞，二陈汤加肉桂；劳倦身疼，十全大补汤加陈皮、半夏。
清痰宁痛丸：治疗酒客多饮，导致痰涎饮积致痛，兼服拈痛汤有效。
Belongs to Wind-Heat and Phlegm, pain radiates to the forehead, treat as Wind-Phlegm. For those prone to anger, soothe Liver Fire and regulate Wind-Phlegm. Pain worsens upon exposure to light, belongs to Liver Deficiency, eyes cannot open, quiet during the day and severe at night, use Dao Tan Tang (Phlegm-Guiding Decoction) with fine tea.
Main Formula: Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Jiu Huang Qin (Scutellariae Radix prepared with wine), Bai Zhi (Angelicae Dahuricae Radix) (each 1 qian), Jing Jie (Schizonepetae Spica), Bo He (Menthae Haplocalycis Herba) (each 8 fen), Xi Xin (Asari Radix et Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 fen). Decoct with green onion and tea for administration.
If it is Damp-Phlegm, use Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Er Chen Tang (Two-Aged Decoction), Nan Xing (Arisaematis Cum Bile); if there is Fire, add Zhi Zi (Gardeniae Fructus), Lian Qiao (Forsythiae Fructus); if prone to anger, add Chai Hu (Bupleuri Radix), Dan Cao (Gentianae Radix); if Blood Deficiency, add Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Chi Shao (Paeoniae Radix Rubra); if Liver Deficiency, add E Jiao (Colla Corii Asini), Ju Ye (Citri Reticulatae Folium); if Wind-Cold, add Chuan Wu (Aconiti Radix) and Cao Wu (Aconiti Kusnezoffii Radix) (all processed with child's urine).
The Classic says: All cases of neck stiffness belong to Dampness. Generally, neck stiffness where one cannot look back or turn the head is due to Wind-Damp pathogenic factors invading the Foot-Taiyang Meridian, or Phlegm-Heat lodging in the meridians. It may cause slight pain, with a rapid and excess pulse, more pronounced on the right hand. Treatment should focus on dispelling Wind and eliminating pathogens, promoting Qi circulation and relaxing sinews. If there is interference among Phlegm-Heat, Cold, and Dampness, treat according to the syndrome.
Main Formula: Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Tuber), Fu Ling (Poria), Mu Gua (Chaenomelis Fructus) (each 1.5 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Jiu Huang Qin (Scutellariae Radix prepared with wine) (each 1 qian), Hong Hua (Carthami Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 5 fen). Decoct in water for administration. If accompanied by external pathogens, add Wu Yao (Linderae Radix) and Cang Zhu (Atractylodis Rhizoma) (each 2 qian); if severe, add Ru Xiang (Olibanum) and Mo Yao (Myrrha).
Treatment for Neck Stiffness: One fresh Mu Gua (Chaenomelis Fructus), remove the lid and core, insert 5 qian each of powdered Ru Xiang (Olibanum) and Mo Yao (Myrrha), tie tightly, steam over rice multiple times, grind into a paste. Take 5 qian each time, administered with Rehmannia juice and wine; or use dried fruit boiled in wine, crushed and mixed with Olibanum and Myrrha for administration.
Pain in the whole body's joints varies greatly. There are cases of pain throughout the body due to Dampness stagnation; cases of body pain due to food retention; cases of pain due to Phlegm condensing in meridians forming lumps; cases of soreness and pain in various joints, either cold or hot; cases of pain due to damp-heat stagnation from excessive alcohol consumption. As for swelling and pain in the arms and neck, fever, vomiting, and inability to clear the Upper Jiao, these are all caused by daily accumulation leading to the generation of Phlegm, Saliva, and Fluids, which ascend with Qi. Floating and obstructing the Lung, causing cough with thick pus indicates Phlegm; accumulating in the Spleen, overflowing from the corners of the mouth uncontrollably indicates Saliva; stagnating in the Stomach, vomiting clear thin fluids indicates Fluids. The pulse for Fluids is often deep, soft, and wiry; the pulse for Phlegm is often floating, large, and slippery; the pulse for stagnation is often deep and hidden; the pulse for severe pain is deep and tight. Treatment should focus on dispersing stagnation, moving Qi, leaching out Dampness, dispelling Wind, clearing Phlegm, and eliminating Heat. After the pain subsides, tonify Qi and Blood.
Main Formula: Cang Zhu (Atractylodis Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Jiu Huang Qin (Scutellariae Radix prepared with wine), Qin Jiao (Gentianae Macrophyllae Radix), Wei Ling Xian (Clematidis Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix), Jiang Huang (Curcumae Longae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma). Decoct in water for administration. If not relieved, take the following formula.
Dang Gui Nian Tong Tang (Angelica Sinensis Decoction for Relieving Pain): Treats Bi Syndrome caused by the mixture of Wind, Cold, and Dampness, wandering pain throughout the body, severe pain in shoulders, arms, back, waist, legs, knees, and whole body, as well as various Wind-Damp syndromes. Edema and water-dampness in shins and feet, ulcerated abscesses.
Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Jiu Huang Qin (Scutellariae Radix prepared with wine), Qiang Huo (Notopterygii Rhizoma et Radix), Zhu Ling (Poria), Ze Xie (Alismatis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Yin Chen (Artemisiae Scopariae Herba) (prepared with wine), Zhi Mu (Anemarrhenae Rhizoma) (each 6 fen), Ren Shen (Ginseng Radix) (optional, effective even without it), Ku Shen (Sophorae Flavescentis Radix) (prepared with wine), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Fang Feng (Saposhnikoviae Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 4 fen).
Decoct in water (take after meals for upper body pain, on an empty stomach for lower body pain). Add Ru Xiang (Olibanum) if pain is severe. Double Sheng Ma (Cimicifugae Rhizoma) for upper body pain; add Niu Xi (Achyranthis Bidentatae Radix) for lower body pain. Add Gua Lou (Trichosanthis Fructus) and Yi Yi Ren (Coicis Semen) for leg and foot pain; add Gui Zhi (Cinnamomi Ramulus) for arm pain.
Wei Ling Xian Wan (Clematis Pill): Treats Wind-Pain due to Damp-Phlegm.
Wei Ling Xian (Clematidis Radix et Rhizoma) (prepared with wine), Gui Zhi (Cinnamomi Ramulus), Qiang Huo (Notopterygii Rhizoma et Radix) (each 3 liang), Nan Xing (Arisaematis Cum Bile), Huang Bo (Phellodendri Cortex) (prepared with wine), Cang Zhu (Atractylodis Rhizoma) (each 2 liang), Shen Qu (Massa Medicata Fermentata), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang), Fang Ji (Stephaniae Tetrandrae Radix), Bai Zhi (Angelicae Dahuricae Radix), Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), Long Dan Cao (Gentianae Radix) (each 5 qian).
Grind into powder, make pills with Shen Qu paste size of paulownia seeds. Take 100 pills each time with warm water.
Shu Jin San (Sinew-Relaxing Powder): Treats Body Pain due to Wind-Damp and Blood Stabbing, and limb contracture.
Dang Gui (Angelicae Sinensis Radix), Yan Hu Suo (Corydalis Rhizoma), La Gui (Cinnamomi Ramulus) (equal parts). Grind into powder, take 2 qian each time with wine. For Phlegm stagnation, use Er Chen Tang (Two-Aged Decoction) with Rou Gui (Cinnamomi Cortex); for body pain due to fatigue, use Shi Quan Da Bu Tang (Ten Significant Tonifying Decoction) with Chen Pi (Citri Reticulatae Pericarpium) and Ban Xia (Pinelliae Tuber).
Qing Tan Ning Tong Wan (Phlegm-Clearing Pain-Calming Pill): Treats pain caused by Phlegm and Fluid accumulation due to excessive drinking by alcoholics, combined with taking Nian Tong Tang is effective.
Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria), Ban Xia (Pinelliae Tuber), Bei Mu (Fritillariae Thunbergii Bulbus), Tian Ma (Gastrodiae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Dan Xing (Arisaematis Cum Bile), Bai Fu Zi (Typhonii Rhizoma), Gua Lou Ren (Trichosanthis Semen), Jiu Huang Qin (Scutellariae Radix prepared with wine) (equal parts).
Grind all into powder, make pills with water method size of mung beans. Take 2 qian each time with warm water. Pills made with Bamboo Sap (Zhu Li) and Ginger Juice (Jiang Zhi) are especially good. Use Xi Xian San (Thin-Saliva-Dispersing Powder) to induce vomiting for Phlegm-Fluids.