留着之邪，与流行荣卫真气相击搏，则作痛痹。若不干其流行出入之道则不痛，
但痿痹耳。随其痹所在，或阳多阴少则为痹热，或阴多阳少则为痹寒。虽曰风寒湿三气杂至合而为痹，
至四时刺逆从篇，于六经皆云有余不足悉为痹。注曰∶痹、痛也，此非人气之邪亦作痛耶。且人身体
痛，在外有皮、肉、脉、筋、骨之异，由病有不同之邪，亦各欲正其名，名不正将何以施治。如邪是
六淫者，便须治邪。是人气者，便须补泻其气。病在六经四属者，各从其气。故制方须分别药之轻重
缓急，适当其所，庶得经意。有风、有湿、有痰、有火、有血虚、有瘀血。诊其脉浮者，风也。缓细
者，湿也。滑者，痰也。洪大者，火也。芤者，血虚也。涩者，瘀血也。因于风者，加减小续命汤，
或乌药顺气散去干姜，加羌活、防风。因于湿者，遇阴雨即发，身体沉重，宜除湿蠲痛汤，佐以竹沥、
姜汁，或大橘皮汤。伤湿而兼感风寒者，汗出身重恶风，喘满，骨节烦疼，状如历节风，脐下连脚冷
痹，不能屈伸，宜防己黄 汤，或五痹汤。因痰者，王隐君豁痰汤，二陈汤加姜汁、竹沥，甚者控涎
丹。因火者，潜行散加竹沥。因湿热者，二妙散。因于血虚者，四物苍术各半汤，吞活血丹。因瘀血
者，芎、归、桃仁、红花、水蛭，入麝香少许。肥人多湿痰。瘦人多血虚与热。上部痛，羌活、桂枝、
桔梗、威灵仙。下部痛，牛膝、防己、木通、
黄柏。上部肿痛，五积散、乌药顺气散加姜、葱煎，发其汗。下部肿痛，五苓、八正、大橘皮汤，加
灯心、竹叶利小便。若肿痛而大便不通者，大柴胡汤，防风通圣散主之。大势既退，当随其所因之本
病施治，防其再发，忌羊肉、法酒、湿面、房劳。寒湿相合，脑户痛，恶寒，项筋脊强，肩背胛卵痛，
膝膑痛无力行步，能食，身沉重，其脉沉缓洪上急，宜苍术复煎散。目如火肿痛，两足及伏兔骨筋痛，
膝少力，身重腰痛，夜恶寒痰嗽，项颈筋骨皆急痛，目多眵泪，食不下，宜缓筋汤。风湿客于肾经，
血脉凝滞，腰背肿疼，不能转侧，皮肤不仁，遍身麻木，上项头目虚肿，耳内常鸣，下注脚膝重痛少
力，行履艰难，项背拘急不得舒畅，宜活血应痛丸。昼则静，夜则动，其痛彻骨，如虎之啮，名曰白
虎病。痛如掣者为寒多，肿满如脱者为湿多，汗出者为风多，于上药中求之。通用虎骨二两，犀角屑、
沉香、青木香、当归、赤芍药、牛膝、羌活、秦艽、骨碎补、桃仁各一两，甘草半两，槲叶一握。每
服五钱，水煎，临服入麝香少许。一人感风湿，得白虎历节风证，遍身抽掣疼痛，足不能履地者三年，
百方不效。一日梦与木通汤愈，遂以四物汤加木通服，不效，后以木通二两，锉细，长流水煎汁顿服，
服后一时许，遍身痒甚，上体发红丹如小
豆大粒，举家惊惶，随手没去，出汗至腰而止，上体不痛矣。次日又如前煎服，下体又发红丹，方出
汗至足底，汗干后通身舒畅而无痛矣。一月后人壮气复，步履如初，后以治数人皆验。盖痛则不通，
通则不痛也。熨法，《灵枢经》寒痹之为病也，留而不去，时痛而皮不仁。刺布衣者，以火 之。刺
大人者，以药熨之。用醇酒二十斤，蜀椒一升，干姜一斤，桂心一斤，凡四种，皆 咀，渍酒中，用
绵絮一斤，细白布四丈，并纳酒中，置酒马矢 中，盖封涂，勿使泄，五日五夜，出布绵絮曝干之，
干复渍，以尽其汁，每渍必 其日，乃出干之，并用查与绵絮，复布为复巾，长六七尺，为六七巾，
则用之生桑炭炙巾，以熨寒痹所刺之处，令热入至于病所，寒复炙布以熨之，三十遍而止。汗出，以
巾拭其身，亦三十遍而止。起步内中，无见风。每刺必熨，如此病已矣。此所谓内热也。（内热之内
音纳。）《外台方》以三年酽醋五升，热煎三四沸，切葱白二三升，煮一沸，滤出，布帛热裹，当病
上熨之瘥为度。熏洗法，用樟木屑一斗，置大桶内，桶边放一兀凳，以急流水一担，熬沸，泡之桶内，
安一矮凳子，令人坐桶边，放脚在桶内，外以草荐围之，勿令汤气入眼。
【肢节肿痛】痛属火，肿属湿，兼受风寒而发动于经络之中，流注于肢节之间，
用麻黄去节、赤芍药各一钱，防风、荆芥、羌活、独活、白芷、苍术、威灵仙、酒片芩、枳实、桔梗、
葛根、川芎各五分，当归、甘草、升麻各二分。下焦加酒黄柏，肿多加槟榔、大腹皮，痛多加没药，
妇人加酒红花。风湿相搏肢节疼痛，宜大羌活汤。《金匮》方，诸肢节疼痛，身体 羸，脚肿如脱，
头眩短气，兀兀欲吐，桂枝芍药知母汤主之。肥人多是风湿与痰饮流注经络而痛，宜南星、半夏。瘦
人是血虚与热，四物加防风、羌活、酒芩。瘦人或性躁急而痛发热是血热，四物加酒炒芩、柏。脉濡
滑者用燥湿，苍术、南星，兼行气，以木香、枳壳、槟榔。脉涩数为瘀血，芎、归、桃仁泥、红花，
加大黄微利之。倦怠无力而痛，用参、术、南星、半夏之类。风热成历节，攻手指作赤肿麻木，甚则
攻肩背两膝，遇暑热或大便秘即作，宜牛蒡子散。此病胸膈生痰，久则赤肿附着肢节，久久不退，遂
成疠风。宜早治之。
滞留体内的病邪，与运行于营卫中的真气相互搏击，从而引发痛痹。如果病邪不干扰其运行出入的通道，就不会产生疼痛，只会表现为痿痹。根据痹证所在的部位不同，若阳气多而阴气少，则表现为热痹；若阴气多而阳气少，则表现为寒痹。虽然常说风、寒、湿三气杂合而至导致痹证，但在《素问·四时刺逆从论》篇中，对于六经皆提到有余或不足均可导致痹证。注释说：痹，就是痛的意思，这难道不是人气之邪也引起疼痛吗？况且人体身体疼痛，在体表有皮、肉、脉、筋、骨的区别，由于致病邪气不同，也应当各自正名，名称不正，如何施治？如果是六淫邪气所致，就必须治疗邪气；如果是人气（正气）失调所致，就必须补泻其气。病在六经和四肢者，各顺从其气的特性。因此制定方剂必须区分药物的轻重缓急，使其恰如其分，才能符合经旨。致病因素包括风、湿、痰、火、血虚、瘀血。诊察脉象浮的，是风邪；脉象缓细的，是湿邪；脉象滑的，是痰邪；脉象洪大的，是火邪；脉象芤的，是血虚；脉象涩的，是瘀血。因风邪引起的，用小续命汤加减，或者乌药顺气汤去掉干姜，加入羌活、防风。因湿邪引起的，遇阴雨天气即发作，身体沉重，宜用除湿蠲痛汤，配合竹沥、姜汁，或者大橘皮汤。伤湿又兼感风寒的，出汗后身体沉重、怕风、气喘胸闷、骨节烦疼，症状像历节风，脐下连及脚部冷痹，不能屈伸，宜用防己黄芪汤，或者五痹汤。因痰邪引起的，用王隐君的豁痰汤，二陈汤加姜汁、竹沥，严重的用控涎丹。因火邪引起的，用潜行散加竹沥。因湿热引起的，用二妙散。因血虚引起的，用四物苍术各半汤，吞服活血丹。因瘀血引起的，用川芎、当归、桃仁、红花、水蛭，加入少许麝香。肥胖的人多湿痰。消瘦的人多血虚与热。上部疼痛，用羌活、桂枝、桔梗、威灵仙。下部疼痛，用牛膝、防己、木通、黄柏。上部肿痛，用五积散、乌药顺气散加生姜、葱白煎服，以发汗。下部肿痛，用五苓散、八正散、大橘皮汤，加灯心草、竹叶以利小便。如果肿痛且大便不通的，用大柴胡汤、防风通圣散主治。大势已退之后，应当根据其根本病因进行治疗，防止复发，忌食羊肉、法酒、湿面、房事劳累。寒湿相合，脑户穴处疼痛，怕冷，项部筋脉脊柱强直，肩背胛骨及睾丸疼痛，膝盖髌骨疼痛无力行走，能进食，身体沉重，脉象沉缓洪大而上部急促，宜用苍术复煎散。眼睛如火烧般肿痛，两足及伏兔穴处的筋骨疼痛，膝盖无力，身体沉重腰痛，夜间怕冷、咳嗽有痰，颈项筋骨都拘急疼痛，眼屎多流泪，饮食不下，宜用缓筋汤。风湿客居于肾经，血脉凝滞，腰背肿胀疼痛，不能转身侧卧，皮肤麻木不仁，全身麻木，上至项头部目虚肿，耳内常鸣响，下注脚膝重痛无力，行走艰难，项背拘急不得舒展，宜用活血应痛丸。白天安静，夜晚躁动，疼痛彻骨，如老虎咬噬，名为白虎病。疼痛如牵引掣动的是寒多，肿胀满闷如脱落感的是湿多，出汗多的是风多，在上述药物中寻求对应。通用方：虎骨二两，犀角屑、沉香、青木香、当归、赤芍药、牛膝、羌活、秦艽、骨碎补、桃仁各一两，甘草半两，槲叶一握。每次服用五钱，水煎，临服药时加入少许麝香。有一人感受风湿，得了白虎历节风证，全身抽掣疼痛，脚不能踩地三年，百方无效。一天梦见用木通汤治愈，于是用四物汤加木通服用，无效，后来用木通二两，锉细，用长流水煎汁一次性服下，服后约一小时，全身极度瘙痒，上身发红如小豆大的疹子，全家惊慌，随手抹去，出汗到腰部停止，上身不再疼痛。第二天又如前煎服，下身又发红疹，才出汗到脚底，汗干后全身舒畅而无疼痛了。一个月后人元气恢复，步履如初，后来治疗数人都有效。大概是因为通则不痛，痛则不通。熨法，《灵枢经》记载寒痹的病证，留滞不去，时常疼痛且皮肤麻木。刺布衣（平民），用火针。刺大人（贵族），用药熨。用醇酒二十斤，蜀椒一升，干姜一斤，桂心一斤，共四种，都切碎，浸泡在酒中，用绵絮一斤，细白布四丈，一并放入酒中，置于马粪发酵的热源中，盖封涂抹，不要泄漏，五日五夜，取出布和绵絮晒干，干了再浸泡，直到浸尽药汁，每次浸泡必须经过规定的日子，然后取出晒干，并用渣滓与绵絮，再用布做成复巾，长六七尺，做六七条巾，就用生桑炭炙烤毛巾，来熨烫寒痹针刺的部位，让热气进入病所，冷了再炙烤布来熨烫，三十遍为止。出汗后，用巾擦拭身体，也是三十遍为止。起身进入室内，不要见风。每次针刺必熨，这样病就好了。这就是所谓的“内热”（内热的“内”音同“纳”）。《外台秘要》方用三年浓醋五升，加热煎煮三四沸，切葱白二三升，煮一沸，滤出，用布帛热裹，在患处熨烫，直到痊愈为止。熏洗法，用樟木屑一斗，放在大桶内，桶边放一个无腿凳，用急流水一担，熬沸，泡在桶内，安一个矮凳子，让人坐在桶边，把脚放在桶内，外面用草席围住，不要让汤气入眼。
【肢节肿痛】痛属于火，肿属于湿，兼受风寒而在经络中发动，流注于肢节之间，用麻黄去节、赤芍药各一钱，防风、荆芥、羌活、独活、白芷、苍术、威灵仙、酒炒黄芩、枳实、桔梗、葛根、川芎各五分，当归、甘草、升麻各二分。下焦加酒黄柏，肿多加槟榔、大腹皮，痛多加没药，妇人加酒红花。风湿相搏导致肢节疼痛，宜用大羌活汤。《金匮要略》方，诸肢节疼痛，身体消瘦羸弱，脚肿如脱落感，头眩短气，恶心欲吐，用桂枝芍药知母汤主治。肥胖的人多是风湿与痰饮流注经络而痛，宜用南星、半夏。消瘦的人是血虚与热，用四物汤加防风、羌活、酒芩。消瘦的人如果性情急躁而痛发热是血热，用四物汤加酒炒黄芩、黄柏。脉濡滑的用燥湿药，苍术、南星，兼行气，用木香、枳壳、槟榔。脉涩数为瘀血，用川芎、当归、桃仁泥、红花，加大黄轻微通便。倦怠无力而痛，用人参、白术、南星、半夏之类。风热成历节风，攻冲手指导致赤肿麻木，甚至攻冲肩背两膝，遇暑热或大便秘结即发作，宜用牛蒡子散。此病胸膈生痰，久则赤肿附着肢节，久久不退，遂成疠风。宜早治之。
Pathogenic factors retained in the body, clashing with the true Qi circulating in Ying and Wei (Nutritive and Defensive levels), result in Painful Bi syndrome. If the pathogen does not obstruct its pathways of circulation and exit, pain will not occur, only Wei-Bi (flaccidity and numbness). Depending on the location of the Bi syndrome, if Yang is excessive and Yin deficient, it manifests as Heat-Bi; if Yin is excessive and Yang deficient, it manifests as Cold-Bi. Although it is said that Wind, Cold, and Dampness mixing together cause Bi syndrome, in the "Su Wen: Chapter on Four Seasons Acupuncture Reversals and Conformities," it is stated regarding the Six Channels that both excess and deficiency can lead to Bi. The commentary notes: Bi means pain; does this not imply that internal Qi disorders also cause pain? Furthermore, bodily pain differs in the skin, flesh, vessels, sinews, and bones externally. Due to different pathogenic factors, names must be correctly assigned; without correct naming, how can treatment be applied? If the cause is the Six Excesses (Six Pathogenic Factors), one must treat the pathogen. If it is a disorder of internal Qi, one must tonify or sedate the Qi. For diseases in the Six Channels and the four limbs, treatment should follow the nature of the Qi. Therefore, when formulating prescriptions, one must distinguish the heaviness, lightness, slowness, and urgency of herbs, ensuring they are appropriate, to truly understand the classics. Causes include Wind, Dampness, Phlegm, Fire, Blood Deficiency, and Blood Stasis. A floating pulse indicates Wind. A slow and fine pulse indicates Dampness. A slippery pulse indicates Phlegm. A surging and large pulse indicates Fire. A hollow pulse indicates Blood Deficiency. A choppy pulse indicates Blood Stasis. For cases caused by Wind, modify Xiao Xu Ming Tang (Minor Continuation of Life Decoction) or Wu Yao Shun Qi San (Aucklandia Regulating Qi Powder) by removing Gan Jiang (Dried Ginger) and adding Qiang Huo (Notopterygium Rhizome) and Fang Feng (Saposhnikovia Root). For cases caused by Dampness, which flare up during rainy weather with heavy body sensation, use Chu Shi Juan Tong Tang (Dampness-Removing Pain-Relieving Decoction), assisted by Zhu Li (Bamboo Sap) and Jiang Zhi (Ginger Juice), or Da Ju Pi Tang (Large Tangerina Peel Decoction). For injury from Dampness combined with Wind-Cold, presenting with sweating, heavy body, aversion to wind, wheezing and chest fullness, vexing pain in bone joints resembling Li Jie Feng (Erythema Nodosum-like condition), cold Bi extending from below the navel to the feet with inability to flex and extend, use Fang Ji Huang Qi Tang (Stephania and Astragalus Decoction) or Wu Bi Tang (Five Bi Decoction). For cases caused by Phlegm, use Wang Yin Jun's Huo Tan Tang (Phlegm-Expelling Decoction), Er Chen Tang (Two Aged Ingredients Decoction) with Ginger Juice and Bamboo Sap; for severe cases, Kong Xian Dan (Saliva-Controlling Pill). For cases caused by Fire, use Qian Xing San (Hidden Movement Powder) with Bamboo Sap. For Damp-Heat, use Er Miao San (Two Marvels Powder). For Blood Deficiency, use Si Wu Cang Zhu Ge Ban Tang (Equal Parts Rehmannia-Atractylodes Formula based on Four Substances) taken with Huo Xue Dan (Blood-Invigorating Pill). For Blood Stasis, use Xiong Gui Tao Ren Hong Hua Shui Zhi (Ligusticum, Angelica, Peach Kernel, Safflower, Leech) with a small amount of She Xiang (Musk). Fat people tend to have Damp-Phlegm. Thin people tend to have Blood Deficiency and Heat. For upper body pain, use Qiang Huo, Gui Zhi (Cinnamon Twig), Jie Geng (Platycodon Root), and Wei Ling Xian (Clematis Root). For lower body pain, use Niu Xi (Achyranthes Root), Fang Ji, Mu Tong (Akebia Stem), and Huang Bo (Phellodendron Bark). For upper body swelling and pain, use Wu Ji San (Five Accumulations Powder) or Wu Yao Shun Qi San with Sheng Jiang (Fresh Ginger) and Cong Bai (Scallion White) decocted to induce sweating. For lower body swelling and pain, use Wu Ling San (Five Ling Powder), Ba Zheng San (Eight Rights Powder), or Da Ju Pi Tang, adding Deng Xin Cao (Juncus Effusus) and Zhu Ye (Bamboo Leaf) to promote urination. If swelling and pain are accompanied by constipation, Da Chai Hu Tang (Major Bupleurum Decoction) or Fang Feng Tong Sheng San (Saposhnikovia Unblocking Prosperity Powder) should be used. After the major symptoms subside, treatment should address the root cause to prevent recurrence; avoid mutton, Fa Jiu (Medicated Wine), wet noodles, and sexual exertion. When Cold and Damp combine, causing pain at Naohu (GV17), aversion to cold, stiffness of neck sinews and spine, pain in shoulders, back, scapulae, and genitals, knee cap pain with weakness in walking, good appetite, heavy body, and a pulse that is deep, slow, surging above but rapid at the top, use Cang Fu Jian San (Atractylodes and Magnolia Re-decoction Powder). For eyes swollen and painful like fire, pain in sinews and bones of both feet and Futu (ST32), weak knees, heavy body, lower back pain, night-time aversion to cold, cough with phlegm, stiffness and pain in neck and jaw sinews/bones, excessive eye discharge and tearing, poor appetite, use Huan Jin Tang (Sinew-Relaxing Decoction). When Wind-Damp invades the Kidney channel, causing blood vessel stagnation, swelling and pain in waist and back, inability to turn sideways, skin insensitivity, whole-body numbness, upper puffiness of neck/head/eyes, constant tinnitus, downward flow causing heavy/painful/weak legs making walking difficult, neck/back stiffness preventing comfort, use Huo Xue Ying Tong Wan (Blood-Invigorating Pain-Responding Pill). If quiet by day and active by night, with bone-penetrating pain like a tiger bite, it is named Bai Hu Bing (White Tiger Disease). Pain like pulling indicates excess Cold; swelling/fullness like detachment indicates excess Dampness; sweating indicates excess Wind; seek corresponding remedies among the aforementioned herbs. Common prescription: Hu Gu (Tiger Bone) 2 liang, Xi Jiao Xie (Rhinoceros Horn Shavings - *Note: Use substitutes in modern practice*), Chen Xiang (Aquilaria Wood), Qing Mu Xiang (Aucklandia Root), Dang Gui (Angelica Sinensis), Chi Shao Yao (Red Peony Root), Niu Xi, Qiang Huo, Qin Jiao (Gentiana Macrophylla Root), Gu Sui Bu (Drynaria Rhizome), Tao Ren (Peach Kernel) each 1 liang, Gan Cao (Licorice Root) half liang, Hu Ye (Oak Leaf) one handful. Take 5 qian per dose, decoct in water, add a little She Xiang before taking. One patient contracted Wind-Damp, developing White Tiger Li Jie Feng syndrome, with whole-body twitching pain and inability to walk for three years, unresponsive to hundreds of prescriptions. One day he dreamed of being cured by Mu Tong Tang, so he took Si Wu Tang with Mu Tong, but it failed. Later, he took 2 liang of Mu Tong, finely chopped, decocted in running water, and drank it in one dose. About an hour later, his whole body itched severely, turning red with bean-sized rashes. His family panicked, wiping them away. Sweating occurred down to the waist, stopping there, and upper body pain ceased. The next day, he took it again as before; red rashes appeared on the lower body, and sweating extended to the soles of the feet. After the sweat dried, his whole body felt comfortable and pain-free. Within a month, his vigorous Qi recovered, and he walked as before. This was effective for several others. The principle is: obstruction causes pain, freedom from obstruction relieves pain.
Irrigation Method: The "Ling Shu" states that Cold Bi disease, remaining unchecked, causes intermittent pain and skin insensitivity. For commoners, use fire acupuncture. For nobles, use medicinal irrigation. Use 20 jin of pure wine, 1 sheng of Shu Jiao (Sichuan Pepper), 1 jin of Gan Jiang (Dried Ginger), 1 jin of Gui Xin (Cinnamon Heart). These four ingredients are crushed and soaked in wine. Add 1 jin of cotton wadding and 4 zhang of fine white cloth into the wine. Place the mixture in fermenting horse manure heat source, seal and coat tightly to prevent leakage. Leave for five days and nights. Remove cloth and wadding, dry them in the sun, then re-soak until all juice is extracted. Each soaking must last the prescribed duration. Dry them again. Mix the dregs with wadding, wrap in cloth to make multiple towels, 6-7 chi long. Use live mulberry charcoal to heat the towels, and apply to the acupoints treated for Cold Bi, allowing heat to penetrate to the lesion site. When cool, reheat and apply. Repeat thirty times. Wipe sweat with towel, thirty times. Enter the room immediately, avoiding wind. Irrigate after every needling session. Thus the disease resolves. This is called "Internal Heat" (Nei sounds like Na).
The "Wai Tai Mi Yao" prescribes 5 sheng of three-year strong vinegar, heated to three or four boils. Cut 2-3 sheng of Scallion White, boil once, strain. Wrap in hot cloth and apply to the diseased area until healed.
Fumigation and Washing Method: Use 1 dou of Camphor Wood chips, place in a large barrel. Place a legless stool beside the barrel. Pour one dan of fast-flowing boiling water into the barrel. Place a low stool nearby, sit by the barrel, put feet in the barrel, surround outside with straw mats to prevent steam from entering the eyes.
[Joint Swelling and Pain] Pain belongs to Fire, swelling belongs to Dampness. Combined with Wind-Cold activating in the meridians and flowing into the joints, use Ma Huang (Ephedra Stem) de-jointed and Chi Shao Yao (Red Peony Root) each 1 qian; Fang Feng, Jing Jie (Schizonepeta), Qiang Huo, Du Huo (Angelica Pubescens), Bai Zhi (Angelica Dahurica), Cang Zhu (Atractylodes Lancea), Wei Ling Xian, Jiu Pian Qin (Wine-fried Scutellaria Root), Zhi Shi (Immature Bitter Orange), Jie Geng, Ge Gen (Pueraria Root), Chuan Xiong (Ligusticum Chuanxiong) each 5 fen; Dang Gui, Gan Cao, Sheng Ma (Cimicifuga Rhizome) each 2 fen. For Lower Jiao, add Jiu Huang Bo (Wine-fried Phellodendron Bark); for more swelling, add Bin Lang (Areca Seed) and Da Fu Pi (Betel Nut Rind); for more pain, add Mo Yao (Myrrh); for women, add Jiu Hong Hua (Wine-fried Safflower). For Wind-Damp clumping causing joint pain, use Da Qiang Huo Tang (Major Notopterygium Decoction). The "Jin Gui Yao Lue" formula for various joint pains, emaciated body, foot swelling as if detached, vertigo, shortness of breath, nausea, uses Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon Twig, Peony, and Anemarrhena Decoction). Fat people often suffer from Wind-Damp and Phlegm-Fluid flowing in meridians causing pain; use Nan Xing (Arisaema Cum Bile) and Ban Xia (Pinellia Tuber). Thin people have Blood Deficiency and Heat; use Si Wu Tang plus Fang Feng, Qiang Huo, Jiu Qin. Thin people who are irritable with pain and fever have Blood Heat; use Si Wu Tang plus wine-fried Qin and Bo. A soggy-slippery pulse requires drying dampness: Cang Zhu, Nan Xing, combined with Qi-moving herbs: Mu Xiang (Aucklandia Root), Zhi Ke (Bitter Orange), Bin Lang. A choppy-rapid pulse indicates Blood Stasis: Chuan Xiong, Dang Gui, Tao Ren paste, Hong Hua, plus Da Huang (Rhubarb) to mildly purge. Fatigue and weakness with pain require Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala), Nan Xing, Ban Xia. Wind-Heat forming Li Jie Feng attacking fingers causing red swelling and numbness, even spreading to shoulders, back, and knees, flaring with summer heat or constipation, use Niu Bang Zi San (Arctium Seed Powder). This disease involves Phlegm in the chest/diaphragm; over time, red swelling attaches to joints, persisting, eventually becoming Leprosy (Li Feng). Treat early.