行痹，走注无定，防风汤主之。黄柏、苍术各二钱，各用酒炒，煎就，调酒威灵仙末、羚羊角灰，
臣苍术，佐芥子，使用姜一片，入药末一钱擂碎，以前药再温服。东垣云∶身体沉重，走注疼痛，湿
热相搏，而风热郁不得伸，附着于有形也。宜苍术、黄柏之类。湿伤肾，肾不养肝，肝自生风，遂成
风湿，流注四肢筋骨，或入左肩 ，肌肉疼痛，渐入左指中，薏苡仁散主之。两手十指，一指疼了一
指疼，疼后又肿，骨头里痛。膝痛，左膝痛了右膝痛，发时多则五日，少则三日，昼轻夜重，痛时觉
热，行则痛轻肿却重。解云∶先血后气，乃先痛后肿，形伤气也。和血散痛汤主之。走注又与历节不
同，历节但是肢节疼痛，未必行也。《纲目》未免混淆。今以专主走注疼痛方具于后。如意通圣散、
虎骨散、桂心散、仙灵脾散、没药散、小乌犀丸、没药丸、虎骨丸、十生丹、骨碎补丸、定痛丸、八
神丹、一粒金丹、
乳香应痛丸。地龙一两，去土炒，水蛭半两，糯米内炒熟，麝香二钱半，另研，上为细末。每服一钱，
以温酒调下，不拘时候。外贴方，牛皮胶一两，水熔成膏，芸苔子、安息香、川椒、附子各半两，为
细末，入胶中和成膏，涂纸上，随痛处贴之。萆麻子一两，去皮，草乌头半两，乳香一钱，另研，上
以猪肚脂炼去沫成膏，方入药搅匀，涂摩攻注之处，以手心摩娑如火之热，却涂摩患处妙。
陈无择云∶凡人忽胸背、手脚、颈项、腰膝隐痛不可忍，连筋骨牵引钩痛，坐卧不宁，时时走易
不定。俗医不晓谓之走注，便用风药及针灸，皆无益。又疑是风毒结聚欲为痈疽，乱投药饵，亦非也。
此是痰涎伏在心膈上下变为疾，或令人头痛不可举，或神思昏倦多睡，或饮食无味，痰唾稠粘，夜间
喉中如锯声，口流涎唾，手脚重，腿冷痹，气不通，误认为瘫痪，亦非也。凡有此疾，但用控涎丹，
不过数服，其疾如失。痰挟死血，丹溪控涎散。
行痹，表现为疼痛游走不定，以防风汤为主治方剂。取黄柏、苍术各二钱，均用酒炒制后煎煮，待药液煎成后，调入酒制的威灵仙粉末和羚羊角灰。以苍术为臣药，芥子为佐药，使用生姜一片，将一钱药末擂碎，再用前述药液温服。李东垣说：身体沉重，疼痛游走不定，是湿热相互搏结，风热郁滞不得舒展，附着于有形之体所致。适宜使用苍术、黄柏之类的药物。湿邪损伤肾脏，肾气不足不能滋养肝脏，肝气自生风邪，遂形成风湿，流注于四肢筋骨，或侵入左肩，导致肌肉疼痛，逐渐蔓延至左手指中，以薏苡仁散为主治方剂。双手十指，这里一指疼完那里一指疼，疼痛之后又出现肿胀，痛感深入骨髓。膝盖疼痛，左膝痛罢右膝痛，发作时多则五日，少则三日，白天轻晚上重，疼痛时感觉发热，行走时疼痛减轻但肿胀加重。解疑云：先见血分症状后见气分症状，即先疼痛后肿胀，这是形体受伤影响气机。以和血散痛汤为主治方剂。走注（游走性疼痛）与历节病不同，历节仅仅是肢节疼痛，未必会游走。《本草纲目》未免混淆了二者。现在专门列出治疗游走性疼痛的方剂如下：如意通圣散、虎骨散、桂心散、仙灵脾散、没药散、小乌犀丸、没药丸、虎骨丸、十生丹、骨碎补丸、定痛丸、八神丹、一粒金丹、乳香应痛丸。取地龙一两，去土后炒制；水蛭半两，在糯米中炒熟；麝香二钱半，单独研细。以上药材制成细末。每次服用一钱，用温酒调服，不限时间。外用贴敷方：牛皮胶一两，用水溶化成膏状；芸苔子、安息香、川椒、附子各半两，制成细末，加入胶中调和成膏，涂在纸上，根据疼痛部位贴敷。蓖麻子一两，去皮；草乌头半两；乳香一钱，单独研细。以上药材用猪肚脂炼制去沫后成膏，再加入药物搅拌均匀，涂抹并按摩疼痛游走之处，用手心摩擦产生如火般的温热感，然后再涂抹按摩患处，效果更佳。陈无择说：凡人突然胸背、手脚、颈项、腰膝出现隐隐作痛，难以忍受，牵连筋骨牵引钩痛，坐卧不宁，疼痛时时游走不定。世俗医生不懂，称之为“走注”，便使用祛风药物及针灸，都没有益处。又怀疑是风毒结聚想要成为痈疽，乱投药物，也不对。这是痰涎潜伏在心膈上下变为疾病，或者令人头痛不能抬头，或者神思昏倦嗜睡，或者饮食无味，痰唾稠粘，夜间喉中有如拉锯声，口流涎唾，手脚沉重，腿部冷痹，气机不通，误认为是瘫痪，也不对。凡是有这种疾病的，只要使用控涎丹，不过几服药，疾病就会消失。若痰挟死血，可用丹溪控涎散。
Xingbi (Wandering Bi Syndrome), characterized by pain that wanders without a fixed location, is primarily treated with Fangfeng Tang (Saposhnikovia Decoction). Take Huangbai (Phellodendri Cortex) and Cangzhu (Atractylodis Rhizoma), each 2 qian, stir-fried with wine, decocted in water. Once the decoction is ready, mix in powdered Weilingxian (Syringae Ramulus processed with wine) and Lingyangjiao Hui (Ash of Antelope Horn). With Cangzhu as the minister herb and Jiezi (Sinapis Semen) as the assistant herb, use one slice of Shengjiang (Zingiberis Rhizoma Recens), crush 1 qian of medicinal powder, and take warm with the aforementioned decoction. Li Dongyuan stated: "Body heaviness and wandering pain result from the struggle between dampness and heat, where wind-heat is depressed and unable to extend, attaching itself to tangible structures." It is appropriate to use herbs such as Cangzhu and Huangbai. Dampness injures the Kidney; when the Kidney fails to nourish the Liver, the Liver generates internal wind, thereby forming Wind-Dampness. This flows into the tendons and bones of the four limbs, or invades the left shoulder, causing muscle pain that gradually spreads to the left fingers. Yiyiren San (Coix Seed Powder) is the primary treatment. For the ten fingers of both hands, pain shifts from one finger to another; after pain, swelling occurs, with deep bone pain. Knee pain shifts from the left knee to the right knee; attacks last five days at most or three days at least, being lighter during the day and heavier at night. During pain, there is a sensation of heat; walking alleviates pain but increases swelling. The commentary explains: "Blood aspect symptoms preceding Qi aspect symptoms means pain precedes swelling; this is injury to form affecting Qi." He Xue San Tong Tang (Harmonize Blood and Disperse Pain Decoction) is the primary treatment. Wandering pain differs from Lijie (Joint Ankylosis); Lijie involves merely joint pain, not necessarily wandering. *Bencao Gangmu* (Compendium of Materia Medica) confuses the two. Here are formulas specifically for treating wandering pain: Ruyi Tongsheng San, Hugut San, Guixin San, Xianlingpi San, Moyao San, Xiao Wuxi Wan, Moyao Wan, Hugut Wan, Shisheng Dan, Gusuibu Wan, Dingtong Wan, Bashen Dan, Yili Jin Dan, and Ruxiang Yingtong Wan. Take Dilong (Pheretima) 1 liang, cleaned of soil and stir-fried; Shuizhi (Hirudo) 0.5 liang, stir-fried ripe with glutinous rice; Shexiang (Moschus) 2.5 qian, separately ground fine. Grind all into fine powder. Take 1 qian per dose, mixed with warm wine, at any time. External application formula: Niujiaojiao (Bovis Colla) 1 liang, melted into paste with water; Yuntaizi (Brassicae Napus Semen), Anshixiang (Styrax), Chuanjiao (Zanthoxyli Pericarpium), and Fuzi (Aconiti Lateralis Radix Praeparata), each 0.5 liang, ground into fine powder, mixed with the paste, applied on paper, and adhered to the painful area. Bimazi (Ricini Semen) 1 liang, peeled; Caowutou (Aconiti Kusnezoffii Radix) 0.5 liang; Ruxiang (Olibanum) 1 qian, separately ground fine. Refine Zhuduzhi (Porci Cauda Adiposum) to remove foam and form a paste, then mix evenly with the medicines. Apply and massage the site of wandering pain; rub with the palm until hot like fire, then apply and massage the affected area for optimal effect. Chen Wuyue stated: "When people suddenly suffer unbearable dull pain in the chest, back, hands, feet, neck, nape, waist, and knees, pulling and hooking the tendons and bones, causing restlessness in sitting and lying, with pain shifting constantly. Ignorant folk doctors call it 'Zouzhù' (wandering injection/pain) and use wind-dispelling drugs and acupuncture, which are of no benefit. They suspect wind-toxin accumulation intending to become carbuncle or ulcer, and indiscriminately administer medicines, which is also incorrect. This is phlegm-saliva lurking above and below the heart and diaphragm transforming into disease, causing severe headache preventing head lifting, mental confusion and drowsiness, loss of taste in food, thick sticky saliva, sawing sounds in the throat at night, drooling, heavy limbs, cold numbness in legs, blocked Qi flow. Misdiagnosing it as paralysis is also incorrect. For anyone with this condition, using Kongyan Dan (Control Phlegm Pill) for just a few doses will make the disease vanish. If phlegm carries dead blood, use Danxi Kongyan San."