香港脚之脉,浮弦为风,濡弱为湿。迟涩因寒,洪数热郁。沉伏毒在筋骨,涩涩不调,毒在血分。夏暑脚
膝冷,其脉阳濡阴弱,为湿温。浮大紧 ,及沉细而 ,皆恶脉。心下急,气喘自汗,脉促短数,呕吐不止者
死。
〔顽痹〕八味丸 见一卷中风。
〔气滞〕槟苏散 苍术(二钱) 香附 苏叶 陈皮 木瓜 槟榔 羌活 牛膝(各一钱) 甘草(三分)
葱白(二茎) 姜(三片)
〔气滞〕枳黄汤 枳实(五分) 酒浸大黄(三钱) 羌活(钱半) 当归(一钱)
〔风胜〕越婢加术汤 麻黄 石膏 白术 甘草 姜 枣
〔寒胜〕牛膝丸 牛膝(二两) 川椒(五钱) 附子(一钱) 虎胫骨(六钱) 酒浸晒研,蜜丸,酒下,
忌食动风物。
〔暑胜〕清暑益气汤 见一卷暑。
〔湿胜〕除湿汤 见一卷湿。
〔寒湿〕葫芦巴丸 葫芦巴(酒浸一宿,焙) 故纸(炒。各四两) 共研,以木瓜切顶去瓤,入药令满,
签合蒸烂,捣丸。
〔热甚〕加味苍柏散 苍术(一钱) 白术(八分) 知母 黄柏 黄芩(各六分) 归 芍 地(各四分)
木瓜 槟榔 牛膝 木通 羌 独
防草(各三分)
〔肿甚〕胜湿饼子 白丑 黑丑(各二两,取头末五钱) 甘遂(五钱) 荞麦面(一两半) 水调作饼如钱
大,饭上蒸熟。空心服,以利为度。
〔肿甚〕桑白皮散 赤苓(二钱) 木香 防己 槟榔(各一钱二分) 桑皮 郁李仁(各一钱) 苏叶
木通 大腹子 青皮(各七分) 姜(三片)
〔疏下〕羌活导滞汤 大黄(酒煨、二钱四分) 羌活 独活(各一钱二分) 防己 归尾(各七分)
枳实(五分)
〔湿热〕当归拈痛散 见一卷湿。
〔中风〕小续命汤 见一卷中风。
〔热毒〕败毒散 见一卷伤风。
〔胸闷〕半夏汤 半夏 人参 桂心(各三钱) 干姜(二钱) 附子 炙草(各钱半) 细辛 蜀椒(各一钱)
分三服。
〔胁痞〕杉木节汤 杉木节(一升) 橘叶(切,一升,无叶则以橘皮代之) 槟榔(七枚) 童便(三升。
煮一升半) 分二服。
〔火逆〕金铃子散 见三卷郁。
〔满阻〕沉香导气汤 羌活 白芍 槟榔(各一钱) 川芎 香附(各八分) 枳壳(七分) 苏叶 苏子
木瓜 姜(各六分) 炙草 沉香(各五分)
〔喘胀〕苏子降气汤 见二卷失音。
〔喘急〕养正丹 见三卷呕吐。
〔呕恶〕平胃散 术 朴 陈 草 姜 枣
〔肝气〕木萸汤 木瓜 槟榔(各二钱半) 吴茱萸(钱半)
〔肾虚〕肾气丸 见二卷虚损。
〔虚弱〕独活寄生汤 见一卷湿。
〔偏痿〕羌活续断汤 羌 续 辛 防 艽 芷 参 地 归 芍 苓 桂 牛膝 杜仲
〔走注〕捉虎丹 五灵脂 白胶香 草乌(黑豆同煮) 木鳖子 地龙(各两半) 乳 没 归(各七钱半)
麝京墨(各三钱半) 糯米糊丸,酒下。
〔肿痛〕五加皮丸 五加皮(四两,酒浸) 远志(四两,酒浸) 晒研,酒糊丸,酒下。
〔筋急〕苎根汤 杜仲(三钱) 当归 川断 胡桃肉 杞子 白苎根(各二钱) 桑枝(炒,四钱) 红花
秦艽 桃仁(各一钱) 煎服,将药渣
乘热熨之。
〔厥气〕三将军丸 茱萸 木瓜 大黄 等分糊丸。专治香港脚攻心,大便不通。
〔疮烂〕香港脚汤 萆 (五钱) 茯苓 桑枝(各三钱) 苍术 薏仁 牛膝(各二钱) 秦艽
泽泻(各钱半)
〔冲心〕槟榔汤 槟榔 木香 茴香 等分,加童便、姜汁,温服。
〔初起〕香苏散 香附(三两) 苏梗(二两) 陈皮(一两) 甘草(五钱) 姜(三片) 葱白连根(二茎)
〔肿满〕木通散 木通 紫苏 猪苓(各一两) 桑白皮(姜汁炒) 槟榔 赤苓(各二两) 每服五钱,
葱、姜水煎。
香港脚(一种以足胫肿重、软弱无力为主要表现的疾病)的脉象,浮而弦主风邪,濡弱主湿邪。迟涩因寒邪所致,洪数因热邪郁结。沉伏表示毒邪在筋骨,涩涩不调表示毒邪在血分。夏季暑天出现脚膝发冷,其脉象阳部濡软、阴部微弱,属于湿温病。脉象浮大紧,以及沉细而涩,都是恶候(预后不良的脉象)。如果患者心下急迫,气喘自汗,脉象促短数,呕吐不止,则预后死亡。
〔顽痹〕八味丸 见一卷中风。
〔气滞〕槟苏散 苍术(二钱) 香附 苏叶 陈皮 木瓜 槟榔 羌活 牛膝(各一钱) 甘草(三分) 葱白(二茎) 姜(三片)
〔气滞〕枳黄汤 枳实(五分) 酒浸大黄(三钱) 羌活(钱半) 当归(一钱)
〔风胜〕越婢加术汤 麻黄 石膏 白术 甘草 姜 枣
〔寒胜〕牛膝丸 牛膝(二两) 川椒(五钱) 附子(一钱) 虎胫骨(六钱) 用酒浸泡后晒干研粉,蜂蜜为丸,酒送服,忌食动风之物。
〔暑胜〕清暑益气汤 见一卷暑。
〔湿胜〕除湿汤 见一卷湿。
〔寒湿〕葫芦巴丸 葫芦巴(用酒浸泡一夜,焙干) 故纸(炒。各四两) 共同研粉,将木瓜切去顶部去掉瓤,填入药物使其满,粘合后蒸烂,捣碎制成丸药。
〔热甚〕加味苍柏散 苍术(一钱) 白术(八分) 知母 黄柏 黄芩(各六分) 当归 芍药 地黄(各四分) 木瓜 槟榔 牛膝 木通 羌活 独活 防风 甘草(各三分)
〔肿甚〕胜湿饼子 白丑 黑丑(各二两,取头末五钱) 甘遂(五钱) 荞麦面(一两半) 用水调成如铜钱大小的饼状,放在饭上蒸熟。空腹服用,以利下为度。
〔肿甚〕桑白皮散 赤苓(二钱) 木香 防己 槟榔(各一钱二分) 桑白皮 郁李仁(各一钱) 苏叶 木通 大腹子 青皮(各七分) 姜(三片)
〔疏下〕羌活导滞汤 大黄(酒煨、二钱四分) 羌活 独活(各一钱二分) 防己 当归尾(各七分) 枳实(五分)
〔湿热〕当归拈痛散 见一卷湿。
〔中风〕小续命汤 见一卷中风。
〔热毒〕败毒散 见一卷伤风。
〔胸闷〕半夏汤 半夏 人参 桂心(各三钱) 干姜(二钱) 附子 炙甘草(各钱半) 细辛 蜀椒(各一钱) 分三次服用。
〔胁痞〕杉木节汤 杉木节(一升) 橘叶(切碎,一升,无叶则以橘皮代替) 槟榔(七枚) 童便(三升。煮至一升半) 分两次服用。
〔火逆〕金铃子散 见三卷郁。
〔满阻〕沉香导气汤 羌活 白芍 槟榔(各一钱) 川芎 香附(各八分) 枳壳(七分) 苏叶 苏子 木瓜 姜(各六分) 炙甘草 沉香(各五分)
〔喘胀〕苏子降气汤 见二卷失音。
〔喘急〕养正丹 见三卷呕吐。
〔呕恶〕平胃散 苍术 厚朴 陈皮 甘草 姜 枣
〔肝气〕木萸汤 木瓜 槟榔(各二钱半) 吴茱萸(钱半)
〔肾虚〕肾气丸 见二卷虚损。
〔虚弱〕独活寄生汤 见一卷湿。
〔偏痿〕羌活续断汤 羌活 续断 细辛 防风 秦艽 白芷 人参 地黄 当归 芍药 茯苓 桂枝 牛膝 杜仲
〔走注〕捉虎丹 五灵脂 白胶香 草乌(与黑豆同煮) 木鳖子 地龙(各两半) 乳香 没药 当归(各七钱半) 麝香京墨(各三钱半) 糯米糊为丸,酒送服。
〔肿痛〕五加皮丸 五加皮(四两,酒浸) 远志(四两,酒浸) 晒干研粉,酒糊为丸,酒送服。
〔筋急〕苎根汤 杜仲(三钱) 当归 川断 胡桃肉 杞子 白苎根(各二钱) 桑枝(炒,四钱) 红花 秦艽 桃仁(各一钱) 煎服,用药渣乘热熨烫患处。
〔厥气〕三将军丸 吴茱萸 木瓜 大黄 等分糊为丸。专门治疗香港脚攻心,大便不通。
〔疮烂〕香港脚汤 萆薢(五钱) 茯苓 桑枝(各三钱) 苍术 薏仁 牛膝(各二钱) 秦艽 泽泻(各钱半)
〔冲心〕槟榔汤 槟榔 木香 茴香 等分,加入童便、姜汁,温服。
〔初起〕香苏散 香附(三两) 苏梗(二两) 陈皮(一两) 甘草(五钱) 姜(三片) 葱白连根(二茎)
〔肿满〕木通散 木通 紫苏 猪苓(各一两) 桑白皮(姜汁炒) 槟榔 赤苓(各二两) 每服五钱,用葱、姜水煎服。
The pulse of Hongjiao (a disease characterized by swelling and heaviness of the lower legs and weakness) is floating and wiry indicating Wind, or soggy and weak indicating Dampness. Slow and choppy indicates Cold; surging and rapid indicates Heat stagnation. Deep and hidden indicates toxin in the sinews and bones; choppy and irregular indicates toxin in the Blood level. In summer heat, if the feet and knees are cold, with a pulse that is soggy on the Yang position and weak on the Yin position, it is Damp-Warmth. Floating, large, and tight, as well as deep, fine, and choppy, are all ominous pulses. If the patient has urgency under the heart, panting, spontaneous sweating, a hurried, short, and rapid pulse, and incessant vomiting, death ensues.
[Stubborn Bi] Bawei Wan (Eight-Ingredient Pill with Rehmannia) See Volume 1, Stroke.
[Qi Stagnation] Bingsu San Areca and Perilla Powder: Cangzhu (Atractylodis Rhizoma, 2 qian), Xiangfu (Cyperi Rhizoma), Ziyè (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Mugua (Chaenomelis Fructus), Binglang (Arecae Semen), Qianghuo (Notopterygii Rhizoma et Radix), Niuxi (Achyranthis Bidentatae Radix) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen), Congbai (Allii Fistulosi Bulbus, 2 stalks), Jiang (Zingiberis Rhizoma Recens, 3 slices).
[Qi Stagnation] Zhihuang Tang Aurantium and Rhubarb Decoction: Zhishi (Aurantii Fructus Immaturus, 5 fen), Jiujin Dahuang (Rhei Radix et Rhizoma soaked in wine, 3 qian), Qianghuo (Notopterygii Rhizoma et Radix, 1.5 qian), Danggui (Angelicae Sinensis Radix, 1 qian).
[Wind Predominance] Yebijia Zhu Tang Ma Huang and Gypsum Plus Atractylodes Decoction: Mahuang (Ephedrae Herba), Shigao (Gypsum Fibrosum), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Jiang (Zingiberis Rhizoma Recens), Zao (Jujubae Fructus).
[Cold Predominance] Niuxi Wan Achyranthes Pill: Niuxi (Achyranthis Bidentatae Radix, 2 liang), Chuanjiao (Sichuan Pepper, 5 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 1 qian), Hu Jinggu (Tigris Ossis [Note: Modern usage substitutes other materials], 6 qian). Soak in wine, sun-dry, and powder. Form pills with honey, take with wine. Avoid wind-stimulating foods.
[Summer Heat Predominance] Qingshu Yiqi Tang Clear Summer Heat and Boost Qi Decoction See Volume 1, Summer Heat.
[Dampness Predominance] Chushi Tang Dampness-Expelling Decoction See Volume 1, Dampness.
[Cold-Dampness] Hulu Ba Wan Trigonella Pill: Hulu Ba (Trigonellae Semens, soaked in wine overnight, dried), Guzhi (Psoraleae Fructus, stir-fried) (each 4 liang). Powder together. Cut the top off Mugua (Chaenomelis Fructus), remove the pith, fill with medicine, seal, steam until soft, mash, and form pills.
[Heat Severe] Jiawei Cangbai San Modified Cangbai Powder: Cangzhu (Atractylodis Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix) (each 6 fen), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Dihuang (Rehmanniae Radix) (each 4 fen), Mugua (Chaenomelis Fructus), Binglang (Arecae Semen), Niuxi (Achyranthis Bidentatae Radix), Mutong (Akebiae Caulis), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 fen).
[Severe Swelling] Shengshi Bingzi Moisture-Vanishing Cake: Bai Chou (Menispermum Semen album), Hei Chou (Menispermum Semen niger) (each 2 liang, take the finest powder, 5 qian), Gansui (Kansui Radix, 5 qian), Qiaomai mian (Fagopyri Tatarici Farina, 1.5 liang). Mix with water to make cakes the size of coins, steam over rice until cooked. Take on an empty stomach, stop when purged.
[Severe Swelling] Sangbaipi Sandu Mulberry Bark Powder: Chiling (Poria cum Pini Radix, 2 qian), Muxiang (Aucklandiae Radix), Fangji (Stephaniae Tetrandrae Radix), Binglang (Arecae Semen) (each 1.2 qian), Sangpiao (Mori Cortex), Yuliren (Prunus Armeniacae Semen Amarum) (each 1 qian), Ziyè (Perillae Folium), Mutong (Akebiae Caulis), Dafuzi (Arecae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride) (each 7 fen), Jiang (Zingiberis Rhizoma Recens, 3 slices).
[Unblocking Downward] Qianghuo Daozhi Tang Notopterygium Guiding Stasis Decoction: Dahuang (Rhei Radix et Rhizoma, roasted in wine, 2.4 qian), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix) (each 1.2 qian), Fangji (Stephaniae Tetrandrae Radix), Guiwei (Angelicae Sinensis Radix caudex) (each 7 fen), Zhishi (Aurantii Fructus Immaturus, 5 fen).
[Damp-Heat] Danggui Niangong San Angelica Relieving Pain Powder See Volume 1, Dampness.
[Stroke] Xiao Xuming Tang Minor Continuation Life Decoction See Volume 1, Stroke.
[Heat Toxin] Baidu San Defeat Toxin Powder See Volume 1, Wind-Cold.
[Chest Tightness] Banxia Tang Pinellia Decoction: Banxia (Pinelliae Rhizoma), Renshen (Ginseng Radix), Guixin (Cinnamomi Ramulus) (each 3 qian), Ganjiang (Zingiberis Rhizoma Aridum, 2 qian), Fuzi (Aconiti Lateralis Radix Praeparata), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 1.5 qian), Xixin (Asari Radix et Rhizoma), Shujiao (Zanthoxyli Pericarpium) (each 1 qian). Divide into three doses.
[Hypochondriac Fullness] Shanmu Jie Tang Fir Branch Decoction: Shanmu jie (Cupressi Cacumen, 1 sheng), Juye (Citri Reticulatae Folium, chopped, 1 sheng; substitute Chenpi if no leaves), Binglang (Arecae Semen, 7 pieces), Tongbian (Child's Urine, 3 sheng, boil down to 1.5 sheng). Divide into two doses.
[Fire Rebellion] Jinlingzi San Golden Bell Powder See Volume 3, Depression.
[Fullness Obstruction] Chenxiang Daoqi Tang Agarwood Guiding Qi Decoction: Qianghuo (Notopterygii Rhizoma et Radix), Baishao (Paeoniae Radix Alba), Binglang (Arecae Semen) (each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma) (each 8 fen), Zhiqiao (Aurantii Fructus, 7 fen), Ziyè (Perillae Folium), Suzi (Perillae Fructus), Mugua (Chaenomelis Fructus), Jiang (Zingiberis Rhizoma Recens) (each 6 fen), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Chenxiang (Aquilariae Lignum Resinatum) (each 5 fen).
[Panting and Distension] Suzi Jiangqi Tang Perilla Seed Descending Qi Decoction See Volume 2, Loss of Voice.
[Acute Panting] Yangzheng Dan Nourishing Righteousness Pill See Volume 3, Vomiting.
[Vomiting and Disgust] Pingwei San Calm the Stomach Powder: Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Jiang (Zingiberis Rhizoma Recens), Zao (Jujubae Fructus).
[Liver Qi] Muyu Tang Chaenomeles and Cornus Decoction: Mugua (Chaenomelis Fructus), Binglang (Arecae Semen) (each 2.5 qian), Wuzhuyu (Evodiae Fructus, 1.5 qian).
[Kidney Deficiency] Shenqi Wan Kidney Qi Pill See Volume 2, Deficiency and Damage.
[Weakness] Duhuo Jisheng Tang Notopterygium and Doronicum Pill See Volume 1, Dampness.
[Unilateral Atrophy] Qianghuo Xuduan Tang Notopterygium and Dipsacus Decoction: Qianghuo (Notopterygii Rhizoma et Radix), Xuduan (Dipsaci Radix), Xixin (Asari Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Qiongjie (Cnidii Rhizoma), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix), Dihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Fuling (Poria), Guizhi (Cinnamomi Ramulus), Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex).
[Migratory Pain] Zhuohu Dan Tiger-Catching Pill: Wulingzhi (Trogopterori Faeces), Baijiaoxiang (Boswelliae Resina), Caowu (Aconiti Radix Lateralis Preparata, boiled with black soybeans), Mubiezi (Strychni Semen), Dilong (Pheretima) (each 1.5 liang), Rushi (Bisuthi Resina), Moyao (Myrrhae Resina), Danggui (Angelicae Sinensis Radix) (each 7.5 qian), Shexiang Jingmo (Moschus and Ink from Beijing, each 3.5 qian). Form pills with glutinous rice paste, take with wine.
[Swelling and Pain] Wujiapi Wan Eucommia Bark Pill: Wujiapi (Acanthopanacis Cortex, 4 liang, soaked in wine), Yuanzhi (Polygalae Radix, 4 liang, soaked in wine). Sun-dry and powder. Form pills with wine paste, take with wine.
[Tendon Tension] Zhu Gen Tang Ramie Root Decoction: Duzhong (Eucommiae Cortex, 3 qian), Danggui (Angelicae Sinensis Radix), Chuanduan (Dipsaci Radix), Hutaorou (Juglandis Semen), Qizi (Lycii Fructus), Baizhugen (Ramiae Cidis Radix) (each 2 qian), Sangzhi (Mori Ramulus, stir-fried, 4 qian), Honghua (Carthami Flos), Qinjiao (Gentianae Macrophyllae Radix), Taoren (Persicae Semen) (each 1 qian). Decoct and drink. Apply the dregs hot to the affected area.
[Jue Qi] San Jiangjun Wan Three Generals Pill: Wuzhuyu (Evodiae Fructus), Mugua (Chaenomelis Fructus), Dahuang (Rhei Radix et Rhizoma). Equal parts, form pills with paste. Specifically treats Hongjiao attacking the Heart with constipation.
[Sore Ulceration] Hongjiao Tang Hongjiao Decoction: Bibo (Dioscoreae Hypoglaucae Rhizoma, 5 qian), Fuling (Poria), Sangzhi (Mori Ramulus) (each 3 qian), Cangzhu (Atractylodis Rhizoma), Yiren (Coicis Semen), Niuxi (Achyranthis Bidentatae Radix) (each 2 qian), Qinjiao (Gentianae Macrophyllae Radix), Zexie (Alismatis Rhizoma) (each 1.5 qian).
[Attacking Heart] Binglang Tang Areca Nut Decoction: Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus). Equal parts. Add Tongbian (Child's Urine) and Jiangzhi (Zingiberis Rhizoma Recens Juice), take warm.
[Early Stage] Xiangsu San Fragrant Perilla Powder: Xiangfu (Cyperi Rhizoma, 3 liang), Sugeng (Perillae Caulis, 2 liang), Chenpi (Citri Reticulatae Pericarpium, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian), Jiang (Zingiberis Rhizoma Recens, 3 slices), Congbai liangen (Allii Fistulosi Bulbus with roots, 2 stalks).
[Swelling and Fullness] Mutong San Akebia Decoction: Mutong (Akebiae Caulis), Zisu (Perillae Folium), Zhuling (Polyporus) (each 1 liang), Sangbaipi (Mori Cortex, stir-fried with Ginger juice), Binglang (Arecae Semen), Chiling (Poria cum Pini Radix) (each 2 liang). Each dose 5 qian, decoct with Cong (Allii Fistulosi Bulbus) and Jiang (Zingiberis Rhizoma Recens) water.