除湿汤(见伤湿)
芎芷香苏散(《得效》)
川芎(七钱) 甘草(二钱) 紫苏叶 干葛 白茯苓 柴胡(各半两) 半夏(六钱) 枳壳(炒,三
钱) 桔梗(生,二钱半) 陈皮(三钱半)
每服三钱,水一盏,姜三片,枣一枚,煎八分,不拘时温服。
木瓜丸(见水肿。) 五积散(见中寒。) 续命汤(见中风。) 越婢加术汤(见痿厥。)
第一竹沥汤(《千金》,下同) 治两脚痹弱,或转筋皮肉不仁,腹胀起如肿,按之不陷,心
中恶不欲食,或患冷方。
竹沥(五升) 甘草 秦艽 葛根 黄芩 麻黄 防己 细辛 桂心 干姜(各一两) 防
风升麻(各一两半) 茯苓(三两) 附子(二枚) 杏仁(五十枚)
水七升,合竹沥煮取三升,分三服,取汗。(《千金翼方》无茯苓、杏仁,有白术一两。)
第二大竹沥汤 治卒中风,口噤不能言,四肢纵缓,偏痹挛急,风经五脏,恍惚恚怒
无常,手足不随方。
竹沥(一斗四升) 独活 芍药 防风 茵芋 甘草 白术 葛根 细辛 黄芩 芎
(各二两) 桂心 防己 人参 石膏 麻黄(各一两) 生姜 茯苓(各三两) 乌头(一枚)
以竹沥煮取四升,分六服。先未汗者取汗,一服相当即服止。
第三竹沥汤 治风毒入人五内,短气,心下烦热,手足烦疼,四肢不举,皮肉不仁,口
噤不能语方。
竹沥(一斗九升) 防风 茯苓 秦艽(各三两) 当归 黄芩(《千金翼》作芍药) 人参 芎
(《千金翼方》作防己) 细辛 桂心 甘草 升麻(《千金翼》作通草) 麻黄 白术(各二两) 附子(二
枚) 蜀椒(一两) 葛根(五两) 生姜(八两)
以竹沥煮取四升,分五服。初得病时,即须摩膏,日再,痹定止。(《千金翼》无麻黄、蜀
椒、生姜。)
风引汤 治两脚疼痹肿,或不仁拘急,不得行方。
麻黄 石膏 独活 茯苓(各二两) 吴茱萸 附子 秦艽 细辛 桂心 人参 防风
芎 防己 甘草(各一两) 干姜(一两半) 白术(三两) 杏仁(六十枚)
以水一斗六升,煮取三升,分三服,取汗。
大鳖甲汤 治脚弱风毒,挛痹气上,及伤寒恶风,温毒,山水瘴气热毒,四肢痹弱方。
鳖甲(二两) 防风 麻黄 白术 石膏 知母 升麻 茯苓 橘皮 芎 杏仁(去皮
尖) 人参 半夏 当归 芍药 葳蕤 甘草 麦门冬(各一两) 羚羊角(屑,六铢) 大黄(一两
半) 犀角 雄黄 青木香(各半两) 大枣(十枚) 贝齿 乌头(七枚) 生姜(三两) 薤白(十四枚)
麝香(三铢) 赤小豆(三合) 吴茱萸(五合)
以水二斗,煮取四升,分六服,去渣,食前温服。如人行十里久,得下止。一方,用
大黄半两(煨),畏下可止用六铢。一方,用羚羊角半两,毒盛可用十八铢。(胡洽有山茱萸半升,
为三十二铢。《千金翼方》无知母、升麻、橘皮、芎 、人参、当归、葳蕤。)
乌头汤(《金匮》) 治香港脚疼痛,不可屈伸。(见痛痹。)
麻黄汤(《千金》) 治恶风毒瓦斯,脚弱无力,顽痹,四肢不仁,失音不能言,毒瓦斯卫心,有
人病者,但一病相当即服。此第一服,次服第二、第三、第四方。
麻黄(一两) 大枣(二十枚) 茯苓(三两) 杏仁(三十枚) 防风 白术 当归 升麻 芎
芍药 黄芩 桂心 麦门冬 甘草(各二两)
上 咀,以水九升,清酒二升,合煮取二升半,分四服,日三夜一,覆令小汗,粉
之,莫令见风。
第二服独活汤方 独活(四两) 熟地黄(三两) 生姜(五两) 葛根 桂心 甘草 芍药
麻黄(各二两)
上 咀,以水八升,清酒二升,合煎取二升半,分四服,日三夜一。脚弱特忌食瓠
子、蕺菜,犯之一世治不愈。
第三服兼补浓朴汤 并治诸气咳嗽,逆气呕吐方。
浓朴 芎 桂心 熟地黄 芍药 当归 人参(各二两) 黄 甘草(各三两) 吴茱
萸(二升) 半夏(七两) 生姜(一斤)
上 咀,以为二斗,煮猪蹄一具,取汁一斗二升,去上肥,纳入清酒三升,合煮取
三升,分四服,相去如人行二十里久更进服。
第四服风引独活汤兼补方
独活(四两) 茯苓 甘草(各三两) 升麻(一两半) 人参 桂心 防风 芍药 当归 黄
干姜 附子(各二两) 大豆(二升)
上 咀,以水九升,清酒三升,合煮三升半,分四服,相去如人行二十里久更进服。
酒浸牛膝丸(《本事》) 治腰脚筋骨酸无力。
牛膝(三两,炙黄) 川椒(半两,去目并合口者) 附子(一个,炮,去皮脐) 虎胫骨(真者半两,醋炙黄)
上 咀,用生绢作袋,入药扎口,用煮酒一斗,春秋浸十日,夏浸七日,冬浸十四
日。每日空心饮一大盏。酒尽,出药为末,醋糊为丸。每服二十丸,空心温酒、盐汤任下。
忌动风等物。
除湿汤(见中湿。) 清暑益气汤(见伤暑。)
麻黄左经汤(《集验》,下同) 治风寒暑湿,流注足太阳经,腰足挛痹,关节重痛,行步
艰难,憎寒发热,无汗恶寒,或自汗恶风,头疼眩晕。
麻黄(去节) 干葛 细辛(去苗) 白术(去芦) 茯苓(去皮) 防己(去皮) 桂心 羌活(去芦)
防风(去芦) 甘草(炙。各等分)
上 咀,每服七钱,水二盏,姜五片,枣一枚,煎至一盏,空心服。
自汗去麻黄,加肉桂、芍药。重着加术、陈皮。无汗减桂,加杏仁、泽泻。
大黄左经汤 治风寒暑湿流注足阳明经,腰脚痹痛,行步艰难,涎潮昏塞,大小
便秘涩,腹痛呕吐,或复下痢,恶闻食气,喘满肩息,自汗谵妄,并宜服之。
大黄(煨) 细辛(去苗) 茯苓(去皮) 防己(去皮) 羌活(去芦) 黄芩 前胡(去芦) 枳壳(去瓤,麸
炒) 浓朴(姜制) 甘草(炙) 杏仁(去皮尖,麸炒)
上各等分,每服七大钱,水一盏半,姜五片,枣一枚,煎,空心热服。腹痛加芍药,
秘结加阿胶,喘急加桑白皮、紫苏,小便秘加泽泻,四肢疮痒浸淫加升麻,并等分。
附∶荷叶 本汤 治脚胫生疮,浸淫腿膝,脓水淋漓,热痹痒痛。
干荷叶(四个) 本(二钱半)
上 咀,水二斗,煎至五升,去渣,温热得所,淋渫。仍服大黄左经汤佳。
半夏左经汤 治足少阳经受风寒暑湿,流注发热,腰脚俱痛,头疼眩晕,呕吐酸水,
耳聋惊悸,热闷心烦,气上喘满,肩背腿痹,腰腿不随。
半夏(汤洗七次,切片) 干葛 细辛(去苗) 白术(去芦) 茯苓(去皮) 桂心 防风(去芦) 干
姜(炮) 黄芩 甘草(炙) 柴胡(去芦) 麦门冬(去心。各七钱半)
上为 咀,每服七大钱,水一盏半,姜五片,枣二枚,煎至一盏,去渣,空腹服。热
闷加竹沥,每服半合;喘满加杏仁、桑白皮。
大料神秘左经汤 治风寒暑湿流注足三阳经,手足拘挛疼痛,行步艰难,憎寒发热,
自汗恶风;或无汗恶寒,头眩腰重,关节掣痛;或卒中昏塞,大小便秘涩;或腹痛呕吐
下痢,恶闻食臭,髀腿顽痹,缓纵不随,热闷惊悸,心烦气上,脐下冷痹,喘满气粗。
麻黄(去节) 干葛 细辛(去苗) 浓朴(姜制) 茯苓(去皮) 防己(去皮) 枳壳(去瓤,麸炒) 桂
心羌活(去芦) 防风(去芦) 柴胡(去芦) 黄芩 半夏(汤洗七次) 干姜(炮) 麦门冬(去心) 甘草
(炙,各等分)
上 咀,每服五七钱,水一盏半,生姜
五片,枣一枚,煎至一盏,去渣,空心服。自汗加牡蛎、白术,去麻黄。肿满加泽泻、木
通。热甚无汗减桂,加橘皮、前胡、升麻。腹痛吐痢去黄芩,加芍药、附子炮。大便秘加
大黄、竹沥。喘满加杏仁、桑白皮、紫苏并等分。凡有此病,备细详证,逐一加减,无不愈者。
加味败毒散 治三阳经香港脚流注,脚踝 热赤肿,寒热如疟,自汗恶风,或无汗恶寒。
人参(去芦) 赤茯苓(去皮) 甘草(炙) 芎 前胡(去芦) 羌活(去芦) 独活(去芦) 枳壳(去
瓤,麸炒) 桔梗(去芦) 大黄(煨) 苍术(米泔浸,各等分)
上每服五七钱,水一盏半,姜五片,薄荷五叶,煎至一盏,去渣热服。皮肤瘙痒赤疹加蝉蜕。
六物附子汤 治四气流注于足太阳经,骨节烦疼,四肢拘急,自汗短气,小便不利,
恶风怯寒,头面手足肿痛。
附子(炮,去皮脐) 桂心 防己(去皮。各四两)
白术(去芦) 茯苓(去皮。各三两) 炙甘草(二两)
上 咀,每服五钱,水二盏,生姜七片,煎至一盏,去渣空心温服。
八味丸 治少阴肾经香港脚入腹,小腹不仁,上气喘急,呕吐自汗。此证最急,以肾
乘心,水克火,死不旋踵。
牡丹皮 泽泻 茯苓(各三两) 附子(炮,去皮脐) 桂心(各二两) 山茱萸 山药(各四两)
熟地黄(八两)
上为细末,炼蜜和丸,如梧桐子大。每服五十丸,食前,温酒、米汤送下。
神应养真丹 治厥阴肝经受邪,四气所伤肝脏,或左瘫右痪,涎潮昏塞,半身不遂,
手足顽麻,语言謇涩,头旋目眩,牙关紧急,气喘自汗,心神恍惚,肢体缓弱,上攻头目,
下注脚漆,荣气凝滞,遍身疼痛。兼治妇人产后中风,角弓反张,堕车落马,打扑伤损,
瘀血在内等证。
当归(酒浸,去芦) 天麻 川芎 羌活(去芦) 白芍药 熟地黄(各等分)
上为细末,炼蜜和丸,如弹子大。每服一丸,木瓜、菟丝子煎酒下。脚痹薏苡仁煎
酒下。中风温酒米汤下。一方,无羌活,入木瓜、熟阿胶等分。
追毒汤 治肝肾脾三经为风湿寒热毒瓦斯上攻,阴阳不和,四肢拘挛,上气喘满,小
便秘涩,心热烦闷,遍身浮肿,脚弱缓纵,不能行步。
半夏(汤洗七次) 黄 (去芦) 甘草(炙) 当归(去芦) 人参(去芦) 浓朴(姜制) 独活(去芦) 橘皮
(去白。各一两) 熟地黄 芍药 枳实(去瓤,麸炒) 麻黄(去节。各二两) 桂心(三两)
上为 咀,每服八钱,水一大盏半,姜七片,枣三枚,煎至一大盏,去渣,空心温
服,日三夜一。
抱龙丸 治肝肾脏虚,风湿寒邪流注腿膝,行步艰难,渐成风湿香港脚,足心如火,上
气喘急,小腹不仁,全不进食。
赤小豆(四两) 白胶香(另研) 破故纸(炒) 狗脊 木鳖子(去壳,另研) 海桐皮 威灵仙
草乌(去芦,锉,以盐炒熟,去盐不用) 五灵脂(炒) 地龙(去土,炒。各一两)
上为细末,酒糊和丸,桐子大,辰砂为衣。每服五十丸,空心盐、酒任下,临晚食
前再进一服。
十全丹 治香港脚上攻,心肾相系,足心隐痛,小腹不仁,烦渴,小便或秘或利,关
节挛痹疼痛。
肉苁蓉(酒浸) 石斛 狗脊 萆 (酒浸) 茯苓(去皮) 牛膝(酒浸) 枸杞子 远志(去心。各
一两) 熟地黄 杜仲(去粗皮,锉,炒去丝。各三两)
上为细末,炼蜜和丸,桐子大。每服五十丸,温酒、盐汤任下。
四蒸木瓜丸 治肝肾脾三经气虚,受风
寒暑湿搏着,流注经络,远年近日,治疗不痊,凡遇六气更变,七情心神不宁,必然动
发,或肿满,或顽痹,憎寒壮热,呕吐自汗。
威灵仙(苦葶苈同入) 黄 (续断同入) 苍术(橘皮同入) 乌药(去木,与黄松节同入) 大木瓜(四枚)
上各半两,以木瓜切去顶盖,去瓤,填药在内,却用顶盖簪定,酒洒蒸熟,三蒸三
晒,取药出,焙干为末,研木瓜为膏,和捣千余下,丸如梧子大。每服五十丸,空心温
酒、盐汤下。(黄松节,即茯苓中木。)
当归拈痛汤(见身痛。)
羌活导滞汤(东垣)
羌活 独活(各半两) 防己(三钱) 大黄(酒煨,一两) 当归(三钱) 枳实(麸炒,二钱)
每服五钱或七钱,水二盏,煎至七分,温服。微利则已,量虚实加减。
开结导饮丸(东垣) 治饮食不消,心下痞闷。
陈皮 白术 泽泻 茯苓 半夏(制) 曲麦 (各一两) 枳实(炒) 青皮 干姜(各半两)
如有积块者,加巴豆霜(一钱半)。
上为末,汤浸蒸饼为丸,如桐子大。每服三五十丸至七十丸,温汤下,食远服。
又方 治湿热并诸湿客搏,腰膝重痛,足胫浮肿。
槟榔 甘遂 赤芍药 威灵仙 泽泻 葶苈 乳香(研。各二两) 没药(研,一两) 牵牛(半
两) 大戟(炒,三两) 陈皮(四两)
上为末,面糊为丸,如桐子大。每服五十丸,加至七八十丸,食前温水送下。得更
衣,止后服。前药忌酒二日,又忌面及甘草三两日。食温淡粥补胃。
枳实大黄汤
羌活(一钱半) 当归(一钱) 枳实(五分) 大黄(酒煨,三钱)
水一盏半,煎至一盏,去渣温服,空心食前,以利为度。
控涎丹(见行痹。)
芎芷香苏散(出自《得效方》)
川芎(七钱)、甘草(二钱)、紫苏叶、干葛、白茯苓、柴胡(各半两)、半夏(六钱)、枳壳(炒制,三钱)、桔梗(生用,二钱半)、陈皮(三钱半)。
每次服用三钱,加水一盏,生姜三片,大枣一枚,煎煮至八分满,不拘时间温服。
木瓜丸(参见“水肿”章节)。五积散(参见“中寒”章节)。续命汤(参见“中风”章节)。越婢加术汤(参见“痿厥”章节)。
第一竹沥汤(出自《千金方》,以下同):治疗双脚麻木无力,或肌肉痉挛、皮肤肌肉感觉迟钝,腹部胀大如肿状,按压后不凹陷,心中厌恶不想进食,或是患有冷证的方法。
竹沥(五升)、甘草、秦艽、葛根、黄芩、麻黄、防己、细辛、桂心、干姜(各一两)、防风、升麻(各一两半)、茯苓(三两)、附子(二枚)、杏仁(五十枚)。
用水七升,加入竹沥一起煮取三升,分三次服用,以出汗为度。(《千金翼方》中无茯苓、杏仁,有一两白术。)
第二大竹沥汤:治疗突然中风,口噤不能说话,四肢松弛无力,半身麻木拘挛,风邪侵入五脏,神志恍惚、易怒无常,手脚不能随意活动的方法。
竹沥(一斗四升)、独活、芍药、防风、茵芋、甘草、白术、葛根、细辛、黄芩、川芎(各二两)、桂心、防己、人参、石膏、麻黄(各一两)、生姜、茯苓(各三两)、乌头(一枚)。
用竹沥煮取四升,分六次服用。原本未出汗的取汗,如果服用一次后症状相当则停止服用。
第三竹沥汤:治疗风毒侵入人体五脏,气短,心下烦热,手足烦痛,四肢无法抬起,皮肤肌肉感觉迟钝,口噤不能说话的方法。
竹沥(一斗九升)、防风、茯苓、秦艽(各三两)、当归、黄芩(《千金翼方》作芍药)、人参、川芎(《千金翼方》作防己)、细辛、桂心、甘草、升麻(《千金翼方》作通草)、麻黄、白术(各二两)、附子(二枚)、蜀椒(一两)、葛根(五两)、生姜(八两)。
用竹沥煮取四升,分五次服用。刚患病时,必须涂抹膏药,每天两次,痹症缓解即止。(《千金翼方》中无麻黄、蜀椒、生姜。)
风引汤:治疗双脚疼痛麻木肿胀,或感觉迟钝拘急,无法行走的方法。
麻黄、石膏、独活、茯苓(各二两)、吴茱萸、附子、秦艽、细辛、桂心、人参、防风、川芎、防己、甘草(各一两)、干姜(一两半)、白术(三两)、杏仁(六十枚)。
用水一斗六升,煮取三升,分三次服用,以出汗为度。
大鳖甲汤:治疗脚弱风毒,筋脉拘挛痹阻气逆上冲,以及伤寒恶风、温毒、山水瘴气热毒导致四肢麻木无力的方法。
鳖甲(二两)、防风、麻黄、白术、石膏、知母、升麻、茯苓、橘皮、川芎、杏仁(去皮尖)、人参、半夏、当归、芍药、葳蕤、甘草、麦门冬(各一两)、羚羊角(锉屑,六铢)、大黄(一两半)、犀角、雄黄、青木香(各半两)、大枣(十枚)、贝齿、乌头(七枚)、生姜(三两)、薤白(十四枚)、麝香(三铢)、赤小豆(三合)、吴茱萸(五合)。
用水二斗,煮取四升,分六次服用,去渣滓,饭前温服。如果人行走十里路的时间后,出现腹泻则停药。另一方案,使用煨大黄半两,担心泻下厉害的可只用六铢。另一方案,使用羚羊角半两,毒盛可用十八铢。(胡洽方中有山茱萸半升,相当于三十二铢。《千金翼方》中无知母、升麻、橘皮、川芎、人参、当归、葳蕤。)
乌头汤(出自《金匮要略》):治疗香港脚疼痛,不可屈伸。(参见“痛痹”章节)。
麻黄汤(出自《千金方》):治疗恶风毒瓦斯,脚弱无力,顽固性麻木,四肢感觉迟钝,失音不能说话,毒瓦斯侵犯心脏,有人患此病,只要病情相符即可服用。这是第一方,其次服用第二、第三、第四方。
麻黄(一两)、大枣(二十枚)、茯苓(三两)、杏仁(三十枚)、防风、白术、当归、升麻、川芎、芍药、黄芩、桂心、麦门冬、甘草(各二两)。
以上药物切碎,用水九升,清酒二升,一起煮取二升半,分四次服用,白天三次,夜间一次,覆盖身体使其微微出汗,扑上爽身粉,不要让风吹到。
第二服独活汤方:独活(四两)、熟地黄(三两)、生姜(五两)、葛根、桂心、甘草、芍药、麻黄(各二两)。
以上药物切碎,用水八升,清酒二升,一起煎取二升半,分四次服用,白天三次,夜间一次。脚弱特别忌讳食用瓠子和蕺菜,触犯则终身难愈。
第三服兼补浓朴汤:并治疗各种气咳嗽,气逆呕吐的方法。
浓朴、川芎、桂心、熟地黄、芍药、当归、人参(各二两)、黄芪、甘草(各三两)、吴茱萸(二升)、半夏(七两)、生姜(一斤)。
以上药物切碎,作为二斗量,煮猪蹄一只,取汁一斗二升,去掉上面的浮油,加入清酒三升,一起煮取三升,分四次服用,间隔如同人行走二十里路的时间再进服。
第四服风引独活汤兼补方
独活(四两)、茯苓、甘草(各三两)、升麻(一两半)、人参、桂心、防风、芍药、当归、黄芪、干姜、附子(各二两)、大豆(二升)。
以上药物切碎,用水九升,清酒三升,一起煮取三升半,分四次服用,间隔如同人行走二十里路的时间再进服。
酒浸牛膝丸(出自《本事方》):治疗腰脚筋骨酸痛无力。
牛膝(三两,炙黄)、川椒(半两,去掉目及合口者)、附子(一个,炮制,去皮脐)、虎胫骨(真品半两,醋炙黄)。
以上药物切碎,用生绢做成药袋,装入药物扎紧口,用煮酒一斗,春秋浸泡十日,夏季浸泡七日,冬季浸泡十四日。每天空腹饮一大盏。酒喝完,取出药物研为末,用醋糊做成丸。每次服用二十丸,空腹用温酒或盐汤送下。
忌食动风等食物。
除湿汤(参见“中湿”章节)。清暑益气汤(参见“伤暑”章节)。
麻黄左经汤(出自《集验方》,以下同):治疗风寒暑湿流注足太阳经,腰足拘挛麻木,关节沉重疼痛,行走艰难,怕冷发热,无汗恶寒,或自汗恶风,头痛眩晕。
麻黄(去节)、干葛、细辛(去苗)、白术(去芦)、茯苓(去皮)、防己(去皮)、桂心、羌活(去芦)、防风(去芦)、甘草(炙。各等分)。
以上药物切碎,每次服用七钱,水二盏,生姜五片,大枣一枚,煎至一盏,空腹服用。
自汗者去掉麻黄,加肉桂、芍药。重着者加白术、陈皮。无汗者减桂枝,加杏仁、泽泻。
大黄左经汤:治疗风寒暑湿流注足阳明经,腰脚麻木疼痛,行走艰难,痰涎上潮昏塞,大小便秘涩,腹痛呕吐,或又下痢,厌恶闻食气,喘满肩息,自汗谵妄,都适宜服用。
大黄(煨)、细辛(去苗)、茯苓(去皮)、防己(去皮)、羌活(去芦)、黄芩、前胡(去芦)、枳壳(去瓤,麸炒)、浓朴(姜制)、甘草(炙)、杏仁(去皮尖,麸炒)。
以上各等分,每次服用七大钱,水一盏半,生姜五片,大枣一枚,煎煮,空腹热服。腹痛加芍药,秘结加阿胶,喘急加桑白皮、紫苏,小便不利加泽泻,四肢疮痒浸淫加升麻,均等分。
附:荷叶本汤:治疗脚胫生疮,浸淫腿膝,脓水淋漓,热痹痒痛。
干荷叶(四个)、本(二钱半)。
以上药物切碎,水二斗,煎至五升,去渣,温热适宜,淋洗患处。最好同时服用大黄左经汤。
半夏左经汤:治疗足少阳经受风寒暑湿,流注发热,腰脚俱痛,头痛眩晕,呕吐酸水,耳聋惊悸,热闷心烦,气上喘满,肩背腿痹,腰腿不能随意活动。
半夏(汤洗七次,切片)、干葛、细辛(去苗)、白术(去芦)、茯苓(去皮)、桂心、防风(去芦)、干姜(炮)、黄芩、甘草(炙)、柴胡(去芦)、麦门冬(去心。各七钱半)。
以上药物切碎,每次服用七大钱,水一盏半,生姜五片,大枣二枚,煎至一盏,去渣,空腹服用。热闷加竹沥,每次半合;喘满加杏仁、桑白皮。
大料神秘左经汤:治疗风寒暑湿流注足三阳经,手足拘挛疼痛,行走艰难,怕冷发热,自汗恶风;或无汗恶寒,头眩腰重,关节掣痛;或卒中昏塞,大小便秘涩;或腹痛呕吐下痢,厌恶闻食臭,大腿小腿顽固麻木,松弛无力,热闷惊悸,心烦气上,脐下冷痹,喘满气粗。
麻黄(去节)、干葛、细辛(去苗)、浓朴(姜制)、茯苓(去皮)、防己(去皮)、枳壳(去瓤,麸炒)、桂心、羌活(去芦)、防风(去芦)、柴胡(去芦)、黄芩、半夏(汤洗七次)、干姜(炮)、麦门冬(去心)、甘草(炙,各等分)。
以上药物切碎,每次服用五七钱,水一盏半,生姜五片,大枣一枚,煎至一盏,去渣,空腹服用。自汗加牡蛎、白术,去麻黄。肿满加泽泻、木通。热甚无汗减桂枝,加橘皮、前胡、升麻。腹痛吐痢去黄芩,加芍药、炮附子。大便秘加大黄、竹沥。喘满加杏仁、桑白皮、紫苏均等分。凡是有此病,详细辨证,逐一加减,没有不愈的。
加味败毒散:治疗三阳经香港脚流注,脚踝发热红肿,寒热如疟,自汗恶风,或无汗恶寒。
人参(去芦)、赤茯苓(去皮)、甘草(炙)、川芎、前胡(去芦)、羌活(去芦)、独活(去芦)、枳壳(去瓤,麸炒)、桔梗(去芦)、大黄(煨)、苍术(米泔浸,各等分)。
以上每次服用五七钱,水一盏半,生姜五片,薄荷五叶,煎至一盏,去渣热服。皮肤瘙痒赤疹加蝉蜕。
六物附子汤:治疗四气流注于足太阳经,骨节烦疼,四肢拘急,自汗短气,小便不利,恶风怯寒,头面手足肿痛。
附子(炮,去皮脐)、桂心、防己(去皮。各四两)、白术(去芦)、茯苓(去皮。各三两)、炙甘草(二两)。
以上药物切碎,每次服用五钱,水二盏,生姜七片,煎至一盏,去渣空腹温服。
八味丸:治疗少阴肾经香港脚入腹,小腹感觉迟钝,上气喘急,呕吐自汗。此证最急,因为肾乘心,水克火,死亡很快。
牡丹皮、泽泻、茯苓(各三两)、附子(炮,去皮脐)、桂心(各二两)、山茱萸、山药(各四两)、熟地黄(八两)。
以上研为细末,炼蜜和丸,如梧桐子大。每次服用五十丸,饭前,用温酒、米汤送下。
神应养真丹:治疗厥阴肝经受邪,四气所伤肝脏,或左瘫右痪,痰涎上潮昏塞,半身不遂,手足顽麻,语言謇涩,头旋目眩,牙关紧急,气喘自汗,心神恍惚,肢体缓弱,上攻头目,下注脚膝,营气凝滞,遍身疼痛。兼治妇人产后中风,角弓反张,堕车落马,打扑伤损,瘀血在内等证。
当归(酒浸,去芦)、天麻、川芎、羌活(去芦)、白芍药、熟地黄(各等分)。
以上研为细末,炼蜜和丸,如弹子大。每次服用一丸,用木瓜、菟丝子煎酒送下。脚痹用薏苡仁煎酒送下。中风用温酒米汤送下。另一方,无羌活,加入木瓜、熟阿胶等分。
追毒汤:治疗肝肾脾三经为风湿寒热毒瓦斯上攻,阴阳不和,四肢拘挛,上气喘满,小便秘涩,心热烦闷,遍身浮肿,脚弱缓纵,不能行步。
半夏(汤洗七次)、黄芪(去芦)、甘草(炙)、当归(去芦)、人参(去芦)、浓朴(姜制)、独活(去芦)、橘皮(去白。各一两)、熟地黄、芍药、枳实(去瓤,麸炒)、麻黄(去节。各二两)、桂心(三两)。
以上切碎,每次服用八钱,水一大盏半,姜七片,枣三枚,煎至一大盏,去渣,空腹温服,日三次夜一次。
抱龙丸:治疗肝肾脏虚,风湿寒邪流注腿膝,行走艰难,渐成风湿香港脚,足心如火,上气喘急,小腹感觉迟钝,全不进食。
赤小豆(四两)、白胶香(另研)、破故纸(炒)、狗脊、木鳖子(去壳,另研)、海桐皮、威灵仙、草乌(去芦,锉,以盐炒熟,去盐不用)、五灵脂(炒)、地龙(去土,炒。各一两)。
以上研为细末,酒糊和丸,桐子大,辰砂为衣。每次服用五十丸,空腹用盐、酒送下,临晚饭前再进一服。
十全丹:治疗香港脚上攻,心肾相系,足心隐痛,小腹感觉迟钝,烦渴,小便或秘或利,关节挛痹疼痛。
肉苁蓉(酒浸)、石斛、狗脊、萆薢(酒浸)、茯苓(去皮)、牛膝(酒浸)、枸杞子、远志(去心。各一两)、熟地黄、杜仲(去粗皮,锉,炒去丝。各三两)。
以上研为细末,炼蜜和丸,桐子大。每次服用五十丸,温酒、盐汤送下。
四蒸木瓜丸:治疗肝肾脾三经气虚,受风寒暑湿搏着,流注经络,远年近日,治疗不痊,凡遇六气更变,七情心神不宁,必然发动,或肿满,或顽痹,憎寒壮热,呕吐自汗。
威灵仙(苦葶苈同入)、黄芪(续断同入)、苍术(橘皮同入)、乌药(去木,与黄芪松节同入)、大木瓜(四枚)。
以上各半两,将木瓜切去顶盖,去瓤,填药在内,却用顶盖簪定,洒酒蒸熟,三蒸三晒,取出药物,焙干为末,研木瓜为膏,和捣千余下,丸如梧子大。每次服用五十丸,空腹温酒、盐汤送下。(黄芪松节,即茯苓中的木。)
羌活导滞汤(李东垣)
羌活、独活(各半两)、防己(三钱)、大黄(酒煨,一两)、当归(三钱)、枳实(麸炒,二钱)。
每次服用五钱或七钱,水二盏,煎至七分,温服。微利则已,根据虚实加减。
开结导饮丸(李东垣):治疗饮食不消,心下痞闷。
陈皮、白术、泽泻、茯苓、半夏(制)、曲麦(各一两)、枳实(炒)、青皮、干姜(各半两)。
如有积块者,加巴豆霜(一钱半)。
以上研为末,汤浸蒸饼为丸,如桐子大。每次服用三五十丸至七十丸,温汤送下,饭后服用。
又方:治疗湿热并诸湿客搏,腰膝重痛,足胫浮肿。
槟榔、甘遂、赤芍药、威灵仙、泽泻、葶苈、乳香(研。各二两)、没药(研,一两)、牵牛(半两)、大戟(炒,三两)、陈皮(四两)。
以上研为末,面糊为丸,如桐子大。每次服用五十丸,加至七八十丸,饭前温水送下。更换衣服,止泻后停服。前药忌酒二日,又忌面食及甘草三日。吃温淡粥补胃。
枳实大黄汤
羌活(一钱半)、当归(一钱)、枳实(五分)、大黄(酒煨,三钱)。
水一盏半,煎至一盏,去渣温服,空腹食前,以利为度。
Chu Shi Tang (See "Shang Shi" chapter)
Xiong Zhi Xiang Su San (from *De Xiao Fang*)
Chuanxiong Rhizome (Radix Chuanxiong) (7 qian), Gancao (Radix Glycyrrhizae) (2 qian), Zi Su Ye (Folium Perillae), Gan Ge (Radix Puerariae Lobatae), Bai Fu Ling (Poria), Chai Hu (Radix Bupleuri) (each half liang), Banxia (Rhizoma Pinelliae) (6 qian), Zhi Qiao (Fructus Aurantii Immaturus, stir-fried) (3 qian), Jie Geng (Radix Platycodonis, raw) (2.5 qian), Chen Pi (Pericarpium Citri Reticulatae) (3.5 qian).
Take 3 qian per dose, add one zhan of water, three slices of Shengjiang (Rhizoma Zingiberis Recens), and one date. Decoct to eight-tenths full. Take warm at any time.
Mu Gua Wan (See "Shui Zhong" chapter). Wu Ji San (See "Zhong Han" chapter). Xu Ming Tang (See "Zhong Feng" chapter). Yue Bi Jia Zhu Tang (See "Wei Jue" chapter).
First Zhu Li Tang (from *Qian Jin*, same below): Treats numbness and weakness in both legs, or muscle spasms with insensitivity of skin and flesh, abdominal distension resembling swelling which does not indent upon pressure, aversion to food due to mental distress, or cold syndromes.
Zhu Li (Bamboo Sap) (5 sheng), Gancao (Radix Glycyrrhizae), Qin Jiao (Radix Gentianae Macrophyllae), Ge Gen (Radix Puerariae Lobatae), Huang Qin (Radix Scutellariae), Ma Huang (Herba Ephedrae), Fang Ji (Radix Stephaniae Tetrandrae), Xi Xin (Herba Asari), Gui Xin (Cortex Cinnamomi), Gan Jiang (Rhizoma Zingiberis Secatum) (each 1 liang), Fang Feng (Radix Saposhnikoviae), Sheng Ma (Rhizoma Cimicifugae) (each 1.5 liang), Fu Ling (Poria) (3 liang), Fu Zi (Radix Aconiti Lateralis Preparata) (2 pieces), Xing Ren (Semen Pruni Armeniacae) (50 seeds).
Use 7 sheng of water, combine with Zhu Li (Bamboo Sap), decoct to obtain 3 sheng. Divide into three doses. Induce sweating. (*Qian Jin Yi Fang* lacks Fu Ling and Xing Ren, but has 1 liang Bai Zhu).
Second Large Zhu Li Tang: Treats sudden wind-stroke, lockjaw unable to speak, flaccidity of four limbs, hemiplegic spasms, wind invading the five zang organs, mental confusion and irritability, inability to move hands and feet.
Zhu Li (Bamboo Sap) (14 sheng), Du Huo (Radix Angelicae Pubescentis), Shao Yao (Radix Paeoniae Alba), Fang Feng (Radix Saposhnikoviae), Yin Yu (Caulis Isatidis), Gancao (Radix Glycyrrhizae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Ge Gen (Radix Puerariae Lobatae), Xi Xin (Herba Asari), Huang Qin (Radix Scutellariae), Xiong (Radix Chuanxiong) (each 2 liang), Gui Xin (Cortex Cinnamomi), Fang Ji (Radix Stephaniae Tetrandrae), Ren Shen (Radix Ginseng), Shi Gao (Gypsum Fibrosum), Ma Huang (Herba Ephedrae) (each 1 liang), Sheng Jiang (Rhizoma Zingiberis Recens), Fu Ling (Poria) (each 3 liang), Wu Tou (Radix Aconiti) (1 piece).
Decoct with Zhu Li (Bamboo Sap) to obtain 4 sheng. Divide into six doses. For those who have not sweated yet, induce sweating. If symptoms improve after one dose, stop taking it.
Third Zhu Li Tang: Treats wind-toxin entering the five internal organs, shortness of breath, heat and vexation in the epigastrium, painful heat in hands and feet, inability to raise limbs, insensitivity of skin and flesh, lockjaw unable to speak.
Zhu Li (Bamboo Sap) (19 sheng), Fang Feng (Radix Saposhnikoviae), Fu Ling (Poria), Qin Jiao (Radix Gentianae Macrophyllae) (each 3 liang), Dang Gui (Radix Angelicae Sinensis), Huang Qin (Radix Scutellariae) (*Qian Jin Yi Fang* uses Shao Yao), Ren Shen (Radix Ginseng), Xiong (Radix Chuanxiong) (*Qian Jin Yi Fang* uses Fang Ji), Xi Xin (Herba Asari), Gui Xin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae), Sheng Ma (Rhizoma Cimicifugae) (*Qian Jin Yi Fang* uses Tong Cao), Ma Huang (Herba Ephedrae), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (each 2 liang), Fu Zi (Radix Aconiti Lateralis Preparata) (2 pieces), Shu Jiao (Fructus Schisandrae Chinensis? Note: Text says Shu Jiao, likely Piper Longum/Fructus Piperis Longi or similar spicy herb, usually Hua Jiao is Sichuan Pepper, Shu Jiao might be a variant or typo for Hua Jiao/Sichuan Pepper in some contexts, but strictly translating as Shu Jiao/Long Pepper if distinct, however standard TCM often uses Hua Jiao. Given context of warming, likely Long Pepper or Sichuan Pepper. I will use Fructus Piperis Longi / Long Pepper as literal Shu Jiao often refers to Long Pepper, though sometimes confused. Let's stick to literal translation or common equivalent. Actually, Shu Jiao usually refers to Fructus Piperis Longi. Wait, standard is Hua Jiao. I will translate as Fructus Piperis Longi (Long Pepper)). *Correction*: In many ancient texts, Shu Jiao might refer to Hua Jiao (Sichuan Pepper). I will use Fructus Zanthoxyli (Sichuan Pepper) as it is more common in these formulas, or note the ambiguity. Let's use Fructus Piperis Longi (Long Pepper) for strict accuracy to "Shu", but acknowledge it might be Sichuan Pepper. Actually, looking at *Qian Jin*, it often lists Hua Jiao. I will translate as Fructus Piperis Longi (Long Pepper) based on character, but functionally similar. Let's use Fructus Piperis Longi (Long Pepper)). Ge Gen (Radix Puerariae Lobatae) (5 liang), Sheng Jiang (Rhizoma Zingiberis Recens) (8 liang).
Decoct with Zhu Li (Bamboo Sap) to obtain 4 sheng. Divide into five doses. At the onset of disease, apply ointment twice daily. Stop when bi-syndrome resolves. (*Qian Jin Yi Fang* lacks Ma Huang, Shu Jiao, Sheng Jiang).
Feng Yin Tang: Treats painful bi-swelling in both legs, or insensitivity and spasm preventing walking.
Ma Huang (Herba Ephedrae), Shi Gao (Gypsum Fibrosum), Du Huo (Radix Angelicae Pubescentis), Fu Ling (Poria) (each 2 liang), Wu Zhu Yu (Fructus Evodiae), Fu Zi (Radix Aconiti Lateralis Preparata), Qin Jiao (Radix Gentianae Macrophyllae), Xi Xin (Herba Asari), Gui Xin (Cortex Cinnamomi), Ren Shen (Radix Ginseng), Fang Feng (Radix Saposhnikoviae), Xiong (Radix Chuanxiong), Fang Ji (Radix Stephaniae Tetrandrae), Gancao (Radix Glycyrrhizae) (each 1 liang), Gan Jiang (Rhizoma Zingiberis Secatum) (1.5 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae) (3 liang), Xing Ren (Semen Pruni Armeniacae) (60 seeds).
Use 16 sheng of water, decoct to obtain 3 sheng. Divide into three doses. Induce sweating.
Da Bie Jia Tang: Treats foot weakness from wind-toxin, spasmodic bi-syndrome with qi rushing upward, as well as Shang Han with aversion to wind, Wen Du, miasma heat-toxin from mountains and waters causing limb numbness and weakness.
Bie Jia (Carapax et Plastrum Testudinis) (2 liang), Fang Feng (Radix Saposhnikoviae), Ma Huang (Herba Ephedrae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Shi Gao (Gypsum Fibrosum), Zhi Mu (Rhizoma Anemarrhenae), Sheng Ma (Rhizoma Cimicifugae), Fu Ling (Poria), Ju Pi (Pericarpium Citri Reticulatae), Xiong (Radix Chuanxiong), Xing Ren (Semen Pruni Armeniacae, remove peel and tip), Ren Shen (Radix Ginseng), Banxia (Rhizoma Pinelliae), Dang Gui (Radix Angelicae Sinensis), Shao Yao (Radix Paeoniae Alba), Wei Rui (Rhizoma Polygonati Odorati), Gancao (Radix Glycyrrhizae), Mai Men Dong (Radix Ophiopogonis) (each 1 liang), Ling Yang Jiao (Cornu Saigae Tataricae), Da Huang (Radix et Rhizoma Rhei) (1.5 liang), Xi Jiao (Cornu Rhinocerotis), Xiong Huang (Realgar), Qing Mu Xiang (Radix Aucklandiae) (each half liang), Da Zao (Fructus Jujubae) (10 pieces), Bei Chi (Concha Meretricis et Cyclinae), Wu Tou (Radix Aconiti) (7 pieces), Sheng Jiang (Rhizoma Zingiberis Recens) (3 liang), Xie Bai (Bulbus Allii Macrostemonis) (14 pieces), She Xiang (Moschus) (3 zhu), Chi Xiao Dou (Semen Phaseoli Angularis) (3 he), Wu Zhu Yu (Fructus Evodiae) (5 he).
Use 2 dou of water, decoct to obtain 4 sheng. Divide into six doses. Remove dregs, take warm before meals. If after walking for the time it takes to cover ten li, diarrhea occurs, stop. Another prescription uses half liang of Da Huang (stir-baked); if fearing purgation, use only 6 zhu. Another prescription uses half liang of Ling Yang Jiao; if toxin is severe, use 18 zhu. (Hu Qia's formula has Shan Zhu Yu half sheng, equivalent to 32 zhu. *Qian Jin Yi Fang* lacks Zhi Mu, Sheng Ma, Ju Pi, Xiong, Ren Shen, Dang Gui, Wei Rui).
Wu Tou Tang (from *Jin Gui Yao Lue*): Treats Hong Kong Foot pain, inability to bend or extend. (See "Tong Bi" chapter).
Ma Huang Tang (from *Qian Jin Fang*): Treats aversion to wind-toxic qi, foot weakness and lack of strength, stubborn numbness, insensitivity of four limbs, aphasia, toxic qi guarding the heart. If someone suffers this, take it once the condition matches. This is the first prescription; follow with the second, third, and fourth prescriptions.
Ma Huang (Herba Ephedrae) (1 liang), Da Zao (Fructus Jujubae) (20 pieces), Fu Ling (Poria) (3 liang), Xing Ren (Semen Pruni Armeniacae) (30 seeds), Fang Feng (Radix Saposhnikoviae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Dang Gui (Radix Angelicae Sinensis), Sheng Ma (Rhizoma Cimicifugae), Xiong (Radix Chuanxiong), Shao Yao (Radix Paeoniae Alba), Huang Qin (Radix Scutellariae), Gui Xin (Cortex Cinnamomi), Mai Men Dong (Radix Ophiopogonis), Gancao (Radix Glycyrrhizae) (each 2 liang).
Crush the above ingredients. Use 9 sheng of water and 2 sheng of clear wine. Decoct together to obtain 2.5 sheng. Divide into four doses. Take three times during the day and once at night. Cover to induce slight sweating. Apply powder. Avoid wind exposure.
Second Dose: Du Huo Tang Formula
Du Huo (Radix Angelicae Pubescentis) (4 liang), Shu Di Huang (Radix Rehmanniae Preparata) (3 liang), Sheng Jiang (Rhizoma Zingiberis Recens) (5 liang), Ge Gen (Radix Puerariae Lobatae), Gui Xin (Cortex Cinnamomi), Gancao (Radix Glycyrrhizae), Shao Yao (Radix Paeoniae Alba), Ma Huang (Herba Ephedrae) (each 2 liang).
Crush the above. Use 8 sheng of water and 2 sheng of clear wine. Decoct to obtain 2.5 sheng. Divide into four doses. Take three times during the day and once at night. Foot weakness specifically forbids eating Hu Zi (Calabash) and Ji Cai (Houttuynia); violating this leads to lifelong incurability.
Third Dose: Niu Po Tang with Tonification
Also treats various qi coughs, rebellious qi vomiting.
Niu Po (Cortex Magnoliae Officinalis), Xiong (Radix Chuanxiong), Gui Xin (Cortex Cinnamomi), Shu Di Huang (Radix Rehmanniae Preparata), Shao Yao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis), Ren Shen (Radix Ginseng) (each 2 liang), Huang Qi (Radix Astragali), Gancao (Radix Glycyrrhizae) (each 3 liang), Wu Zhu Yu (Fructus Evodiae) (2 sheng), Banxia (Rhizoma Pinelliae) (7 liang), Sheng Jiang (Rhizoma Zingiberis Recens) (1 jin).
Crush the above. Boil one pig trotter in two dou of liquid to obtain 1.2 dou of juice. Remove the fat on top. Add 3 sheng of clear wine. Decoct together to obtain 3 sheng. Divide into four doses. Advance the next dose after the time it takes a person to walk twenty li.
Fourth Dose: Feng Yin Du Huo Tang with Tonification
Du Huo (Radix Angelicae Pubescentis) (4 liang), Fu Ling (Poria), Gancao (Radix Glycyrrhizae) (each 3 liang), Sheng Ma (Rhizoma Cimicifugae) (1.5 liang), Ren Shen (Radix Ginseng), Gui Xin (Cortex Cinnamomi), Fang Feng (Radix Saposhnikoviae), Shao Yao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis), Huang Qi (Radix Astragali), Gan Jiang (Rhizoma Zingiberis Secatum), Fu Zi (Radix Aconiti Lateralis Preparata) (each 2 liang), Da Dou (Semen Sojae Preparatum) (2 sheng).
Crush the above. Use 9 sheng of water and 3 sheng of clear wine. Decoct to obtain 3.5 sheng. Divide into four doses. Advance the next dose after the time it takes a person to walk twenty li.
Jiu Jin Niu Xi Wan (from *Ben Shi Fang*): Treats soreness and weakness of waist and leg sinews and bones.
Niu Xi (Radix Achyranthis Bidentatae) (3 liang, stir-fried until yellow), Chuan Jiao (Fructus Zanthoxyli) (half liang, remove eyes and closed ones), Fu Zi (Radix Aconiti Lateralis Preparata) (one piece, processed, remove peel and navel), Hu Jing Gu (Os Tibiae Tigridis) (authentic half liang, stir-fried with vinegar until yellow).
Crush the above. Place in a raw silk bag and tie tightly. Use 1 dou of boiled wine. Soak for 10 days in spring and autumn, 7 days in summer, 14 days in winter. Drink one large cup on an empty stomach daily. When the wine is finished, remove the herbs, grind into powder, and form pills with vinegar paste. Take 20 pills per dose, with warm wine or salt water on an empty stomach.
Avoid wind-aggravating foods.
Chu Shi Tang (See "Zhong Shi" chapter). Qing Shu Yi Qi Tang (See "Shang Shu" chapter).
Ma Huang Zuo Jing Tang (from *Ji Yan Fang*, same below): Treats wind-cold-summerheat-dampness flowing into the Foot-Taiyang channel, causing spasmodic bi in waist and feet, heavy and painful joints, difficulty walking, aversion to cold with fever, no sweat with aversion to cold, or spontaneous sweating with aversion to wind, headache and vertigo.
Ma Huang (Herba Ephedrae, remove nodes), Gan Ge (Radix Puerariae Lobatae), Xi Xin (Herba Asari, remove seedlings), Bai Zhu (Rhizoma Atractylodis Macrocephalae, remove rhizomes), Fu Ling (Poria, remove peel), Fang Ji (Radix Stephaniae Tetrandrae, remove peel), Gui Xin (Cortex Cinnamomi), Qiang Huo (Radix Notopterygii), Fang Feng (Radix Saposhnikoviae), Gancao (Radix Glycyrrhizae, honey-fried. Equal parts).
Crush the above. Take 7 qian per dose, with 2 zhan of water, 5 slices of ginger, and 1 date. Decoct to 1 zhan. Take on an empty stomach.
For spontaneous sweating, remove Ma Huang, add Rou Gui (Cortex Cinnamomi) and Shao Yao (Radix Paeoniae Alba). For heaviness, add Bai Zhu (Rhizoma Atractylodis Macrocephalae) and Chen Pi (Pericarpium Citri Reticulatae). For no sweat, reduce Gui Xin (Cortex Cinnamomi), add Xing Ren (Semen Pruni Armeniacae) and Ze Xie (Rhizoma Alismatis).
Da Huang Zuo Jing Tang: Treats wind-cold-summerheat-dampness flowing into the Foot-Yangming channel, causing bi-pain in waist and feet, difficulty walking, phlegm-turbidity flooding causing coma, constipation of urine and stool, abdominal pain and vomiting, or subsequent dysentery, aversion to smell of food, panting with shoulder breathing, spontaneous sweating and delirium. Suitable for all these conditions.
Da Huang (Radix et Rhizoma Rhei, baked), Xi Xin (Herba Asari, remove seedlings), Fu Ling (Poria, remove peel), Fang Ji (Radix Stephaniae Tetrandrae, remove peel), Qiang Huo (Radix Notopterygii), Huang Qin (Radix Scutellariae), Qian Hu (Radix Peucedani), Zhi Qiao (Fructus Aurantii Immaturus, remove pulp, stir-fried with bran), Niu Po (Cortex Magnoliae Officinalis, ginger-processed), Gancao (Radix Glycyrrhizae, honey-fried), Xing Ren (Semen Pruni Armeniacae, remove peel and tip, stir-fried with bran).
Equal parts. Take 7 da qian per dose, with 1.5 zhan of water, 5 slices of ginger, and 1 date. Decoct. Take hot on an empty stomach. For abdominal pain, add Shao Yao (Radix Paeoniae Alba). For constipation, add E Jiao (Colla Corii Asini). For panting urgency, add Sang Bai Pi (Cortex Mori Radicis) and Zi Su (Folium Perillae). For difficult urination, add Ze Xie (Rhizoma Alismatis). For itching and oozing sores on four limbs, add Sheng Ma (Rhizoma Cimicifugae). All in equal parts.
Appendix: He Ye Ben Tang: Treats sores on calves spreading to thighs and knees, dripping pus, painful and itchy heat-bi.
Gan He Ye (Folium Nelumbinis), Ben Cao (Rhizoma Ligustici Chuanxiong) (2.5 qian).
Crush the above. Use 2 dou of water, decoct to 5 sheng. Remove dregs. Wash the area while warm and appropriate. Best taken with Da Huang Zuo Jing Tang.
Ban Xia Zuo Jing Tang: Treats Foot-Shaoyang channel affected by wind-cold-summerheat-dampness, flowing with fever, pain in waist and feet, headache and vertigo, vomiting sour fluid, deafness, palpitations, heat oppression and vexation, rebellious qi with panting, bi in shoulders, back, and legs, inability to move waist and legs.
Ban Xia (Rhizoma Pinelliae, wash seven times in boiling water, slice), Gan Ge (Radix Puerariae Lobatae), Xi Xin (Herba Asari, remove seedlings), Bai Zhu (Rhizoma Atractylodis Macrocephalae, remove rhizomes), Fu Ling (Poria, remove peel), Gui Xin (Cortex Cinnamomi), Fang Feng (Radix Saposhnikoviae, remove rhizomes), Gan Jiang (Rhizoma Zingiberis Secatum, processed), Huang Qin (Radix Scutellariae), Gancao (Radix Glycyrrhizae, honey-fried), Chai Hu (Radix Bupleuri, remove rhizomes), Mai Men Dong (Radix Ophiopogonis, remove heart. Each 7.5 qian).
Crush the above. Take 7 da qian per dose, with 1.5 zhan of water, 5 slices of ginger, and 2 dates. Decoct to 1 zhan. Remove dregs. Take on an empty stomach. For heat oppression, add Zhu Li (Bamboo Sap), 0.5 he per dose. For panting, add Xing Ren (Semen Pruni Armeniacae) and Sang Bai Pi (Cortex Mori Radicis).
Da Liao Shen Mi Zuo Jing Tang: Treats wind-cold-summerheat-dampness flowing into the Three Yang channels of the foot, causing spasmodic pain in hands and feet, difficulty walking, aversion to cold with fever, spontaneous sweating with aversion to wind; or no sweat with aversion to cold, dizziness and heavy waist, pulling pain in joints; or sudden stroke with coma, constipation of urine and stool; or abdominal pain, vomiting, dysentery, aversion to food odor, stubborn numbness of thighs and legs, flaccidity and inability to move, heat oppression, palpitations, vexation, rebellious qi, cold bi below umbilicus, panting and coarse breathing.
Ma Huang (Herba Ephedrae, remove nodes), Gan Ge (Radix Puerariae Lobatae), Xi Xin (Herba Asari, remove seedlings), Niu Po (Cortex Magnoliae Officinalis, ginger-processed), Fu Ling (Poria, remove peel), Fang Ji (Radix Stephaniae Tetrandrae, remove peel), Zhi Qiao (Fructus Aurantii Immaturus, remove pulp, stir-fried with bran), Gui Xin (Cortex Cinnamomi), Qiang Huo (Radix Notopterygii, remove rhizomes), Fang Feng (Radix Saposhnikoviae, remove rhizomes), Chai Hu (Radix Bupleuri, remove rhizomes), Huang Qin (Radix Scutellariae), Ban Xia (Rhizoma Pinelliae, wash seven times in boiling water), Gan Jiang (Rhizoma Zingiberis Secatum, processed), Mai Men Dong (Radix Ophiopogonis, remove heart), Gancao (Radix Glycyrrhizae, honey-fried. Equal parts).
Crush the above. Take 5-7 qian per dose, with 1.5 zhan of water, 5 slices of ginger, and 1 date. Decoct to 1 zhan. Remove dregs. Take on an empty stomach. For spontaneous sweating, add Mu Li (Concha Ostreae) and Bai Zhu (Rhizoma Atractylodis Macrocephalae), remove Ma Huang. For swelling and fullness, add Ze Xie (Rhizoma Alismatis) and Mu Tong (Caulis Akebiae). For severe heat with no sweat, reduce Gui Xin (Cortex Cinnamomi), add Ju Pi (Pericarpium Citri Reticulatae), Qian Hu (Radix Peucedani), Sheng Ma (Rhizoma Cimicifugae). For abdominal pain, vomiting, and dysentery, remove Huang Qin (Radix Scutellariae), add Shao Yao (Radix Paeoniae Alba) and processed Fu Zi (Radix Aconiti Lateralis Preparata). For severe constipation, add Da Huang (Radix et Rhizoma Rhei) and Zhu Li (Bamboo Sap). For panting, add Xing Ren (Semen Pruni Armeniacae), Sang Bai Pi (Cortex Mori Radicis), Zi Su (Folium Perillae) in equal parts. For any such disease, examine symptoms carefully and adjust individually; none will fail to heal.
Jia Wei Bai Du San: Treats Hong Kong Foot flowing into the Three Yang channels, with hot, red, swollen ankles, chills and fever like malaria, spontaneous sweating with aversion to wind, or no sweat with aversion to cold.
Ren Shen (Radix Ginseng, remove rhizomes), Chi Fu Ling (Poria, remove peel), Gancao (Radix Glycyrrhizae, honey-fried), Xiong (Radix Chuanxiong), Qian Hu (Radix Peucedani, remove rhizomes), Qiang Huo (Radix Notopterygii, remove rhizomes), Du Huo (Radix Angelicae Pubescentis, remove rhizomes), Zhi Qiao (Fructus Aurantii Immaturus, remove pulp, stir-fried with bran), Jie Geng (Radix Platycodonis, remove rhizomes), Da Huang (Radix et Rhizoma Rhei, baked), Cang Zhu (Rhizoma Atractylodis Lanceae, soaked in rice washing water). Equal parts.
Take 5-7 qian per dose, with 1.5 zhan of water, 5 slices of ginger, and 5 leaves of Bo He (Folium Menthae). Decoct to 1 zhan. Remove dregs. Take hot. For itchy skin and red rashes, add Chan Tui (Exuvio Cicadae).
Liu Wu Fu Zi Tang: Treats four pathogens flowing into the Foot-Taiyang channel, causing painful joints, spasmodic four limbs, spontaneous sweating and shortness of breath, difficult urination, aversion to wind and fear of cold, swelling and pain of head, face, hands, and feet.
Fu Zi (Radix Aconiti Lateralis Preparata, processed, remove peel and navel), Gui Xin (Cortex Cinnamomi), Fang Ji (Radix Stephaniae Tetrandrae, remove peel. Each 4 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, remove rhizomes), Fu Ling (Poria, remove peel. Each 3 liang), Zhi Gancao (Radix Glycyrrhizae, honey-fried) (2 liang).
Crush the above. Take 5 qian per dose, with 2 zhan of water and 7 slices of ginger. Decoct to 1 zhan. Remove dregs. Take warm on an empty stomach.
Ba Wei Wan: Treats Hong Kong Foot entering the abdomen via the Shaoyin Kidney channel, insensitivity of lower abdomen, rebellious qi with panting, vomiting and spontaneous sweating. This syndrome is most urgent; kidney overacting on heart, water overcoming fire, death follows swiftly.
Mu Dan Pi (Cortex Moutan), Ze Xie (Rhizoma Alismatis), Fu Ling (Poria) (each 3 liang), Fu Zi (Radix Aconiti Lateralis Preparata, processed, remove peel and navel), Gui Xin (Cortex Cinnamomi) (each 2 liang), Shan Zhu Yu (Fructus Corni), Shan Yao (Rhizoma Dioscoreae) (each 4 liang), Shu Di Huang (Radix Rehmanniae Preparata) (8 liang).
Grind into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take 50 pills per dose before meals, with warm wine or rice soup.
Shen Ying Yang Zhen Dan: Treats Jueyin Liver channel affected by pathogens, liver damaged by four pathogens, or left paralysis right hemiplegia, phlegm-turbidity flooding causing coma, hemiplegia, stubborn numbness of hands and feet, slurred speech, dizziness and vertigo, locked jaw, panting and spontaneous sweating, mental confusion, flaccid limbs, attacking head and eyes, flowing down to knees, stagnant Ying Qi, body-wide pain. Also treats postpartum wind-stroke in women, opisthotonos, falling from carts/horses, blunt trauma injuries, internal blood stasis, etc.
Dang Gui (Radix Angelicae Sinensis, soaked in wine, remove rhizomes), Tian Ma (Rhizoma Gastrodiae), Chuan Xiong (Rhizoma Chuanxiong), Qiang Huo (Radix Notopterygii, remove rhizomes), Bai Shao Yao (Radix Paeoniae Alba), Shu Di Huang (Radix Rehmanniae Preparata). Equal parts.
Grind into fine powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose, with wine decocted from Mu Gua (Fructus Chaenomelis) and Tu Si Zi (Semen Cuscutae). For foot bi, use Yi Yi Ren (Semen Coicis) decocted in wine. For wind-stroke, use warm wine and rice soup. Another prescription lacks Qiang Huo (Radix Notopterygii), adds Mu Gua (Fructus Chaenomelis) and Shu E Jiao (Colla Corii Asini) in equal parts.
Zhui Du Tang: Treats Liver, Kidney, and Spleen channels attacked by wind-damp-cold-heat toxic qi, yin-yang disharmony, spasmodic limbs, rebellious qi with panting, difficult urination, heart heat and vexation, whole-body edema, foot weakness and flaccidity, inability to walk.
Ban Xia (Rhizoma Pinelliae, wash seven times in boiling water), Huang Qi (Radix Astragali, remove rhizomes), Gancao (Radix Glycyrrhizae, honey-fried), Dang Gui (Radix Angelicae Sinensis, remove rhizomes), Ren Shen (Radix Ginseng, remove rhizomes), Niu Po (Cortex Magnoliae Officinalis, ginger-processed), Du Huo (Radix Angelicae Pubescentis, remove rhizomes), Ju Pi (Pericarpium Citri Reticulatae, remove white pith. Each 1 liang), Shu Di Huang (Radix Rehmanniae Preparata), Shao Yao (Radix Paeoniae Alba), Zhi Shi (Fructus Aurantii Immaturus, remove pulp, stir-fried with bran), Ma Huang (Herba Ephedrae, remove nodes. Each 2 liang), Gui Xin (Cortex Cinnamomi) (3 liang).
Crush the above. Take 8 qian per dose, with 1.5 zhan of water, 7 slices of ginger, and 3 dates. Decoct to 1 zhan. Remove dregs. Take warm on an empty stomach, three times day and one time night.
Bao Long Wan: Treats Liver and Kidney deficiency, wind-damp-cold evil flowing into legs and knees, difficulty walking, gradually becoming wind-damp Hong Kong Foot, soles burning like fire, rebellious qi with panting, insensitivity of lower abdomen, complete loss of appetite.
Chi Xiao Dou (Semen Phaseoli Angularis) (4 liang), Bai Jiao Xiang (Resina Elemi, separately ground), Po Gu Zhi (Fructus Psoraleae, stir-fried), Gou Ji (Rhizoma Cibotii), Mu Die Zi (Semen Momordicae, remove shell, separately ground), Hai Tong Pi (Cortex Phellodendri), Wei Ling Xian (Radix Clematidis), Cao Wu (Radix Aconiti Kusnezoffii, remove rhizomes, chop, stir-fry with salt until cooked, discard salt), Wu Ling Zhi (Faeces Tamanduae, stir-fried), Di Long (Pheretima, remove soil, stir-fried. Each 1 liang).
Grind into fine powder. Form pills with wine paste, size of sesame seeds. Coat with Chen Sha (Cinnabar). Take 50 pills per dose on an empty stomach with salt and wine. Take another dose late in the evening before meals.
Shi Quan Dan: Treats Hong Kong Foot attacking upwards, connection between Heart and Kidney, dull pain in soles, insensitivity of lower abdomen, thirst and vexation, urination either constipated or frequent, spasmodic bi-pain in joints.
Rou Cong Rong (Herba Cistanche), Shi Hu (Caulis Dendrobii), Gou Ji (Rhizoma Cibotii), Bi Xie (Rhizoma Dioscoreae Hypoglaucae, soaked in wine), Fu Ling (Poria, remove peel), Niu Xi (Radix Achyranthis Bidentatae, soaked in wine), Gou Qi Zi (Fructus Lycii), Yuan Zhi (Radix Polygalae, remove heart. Each 1 liang), Shu Di Huang (Radix Rehmanniae Preparata), Du Zhong (Cortex Eucommiae, remove rough bark, chop, stir-fry to remove silk threads. Each 3 liang).
Grind into fine powder. Mix with refined honey to form pills the size of sesame seeds. Take 50 pills per dose with warm wine or salt water.
Si Zheng Mu Gua Wan: Treats Qi deficiency in Liver, Kidney, and Spleen channels, affected by wind-cold-summerheat-dampness clashing and flowing into collaterals. Long-standing or recent cases, treatment unsuccessful. Whenever Six Qi changes or Seven Emotions disturb the mind, it inevitably activates, causing swelling/fullness, stubborn bi, aversion to cold with high fever, vomiting and spontaneous sweating.
Wei Ling Xian (Radix Clematidis) (Ku Ting Li [Semen Lepidii] enters together), Huang Qi (Radix Astragali) (Xu Duan [Radix Dipsaci] enters together), Cang Zhu (Rhizoma Atractylodis Lanceae) (Ju Pi [Pericarpium Citri Reticulatae] enters together), Wu Yao (Radix Linderae, remove wood, enter with Huang Qi Song Jie [Astragalus Pine Joint]), Da Mu Gua (Fructus Chaenomelis) (4 pieces).
Each half liang. Cut off the top lid of the Mu Gua, remove pulp, fill with herbs. Replace lid and secure with a pin. Sprinkle with wine and steam until cooked. Steam three times, sun-dry three times. Remove herbs, dry and grind into powder. Grind Mu Gua into paste. Mix and pound for over a thousand strikes. Form pills the size of paulownia seeds. Take 50 pills per dose on an empty stomach with warm wine or salt water. (Huang Qi Song Jie refers to the wood within Poria).
Dang Gui Nian Tong Tang (See "Shen Tong" chapter).
Qiang Huo Dao Zhi Tang (Li Dongyuan)
Qiang Huo (Radix Notopterygii), Du Huo (Radix Angelicae Pubescentis) (each half liang), Fang Ji (Radix Stephaniae Tetrandrae) (3 qian), Da Huang (Radix et Rhizoma Rhei, wine-baked) (1 liang), Dang Gui (Radix Angelicae Sinensis) (3 qian), Zhi Shi (Fructus Aurantii Immaturus, stir-fried with bran) (2 qian).
Take 5 qian or 7 qian per dose, with 2 zhan of water. Decoct to seven-tenths. Take warm. Mild purgation is sufficient. Adjust according to deficiency or excess.
Kai Jie Dao Yin Wan (Li Dongyuan): Treats undigested food, epigastric fullness/stuffiness.
Chen Pi (Pericarpium Citri Reticulatae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Ze Xie (Rhizoma Alismatis), Fu Ling (Poria), Ban Xia (Rhizoma Pinelliae, processed), Qu Mai (Medicated Leaven) (each 1 liang), Zhi Shi (Fructus Aurantii Immaturus, stir-fried), Qing Pi (Pericarpium Citri Reticulatae Viride), Gan Jiang (Rhizoma Zingiberis Secatum) (each half liang).
If there are accumulations, add Ba Dou Shuang (Seminar Crotonis Tiglii frost) (1.5 qian).
Grind into powder. Make pills with steamed dough soaked in water, size of sesame seeds. Take 30-50 to 70 pills per dose with warm water, taken long after meals.
Another Prescription: Treats damp-heat and various dampness pathogens clashing, causing heavy and painful waist and knees, swollen calves.
Bing Lang (Areca Seed), Gan Suan (Radix Kansui), Chi Shao Yao (Radix Paeoniae Rubra), Wei Ling Xian (Radix Clematidis), Ze Xie (Rhizoma Alismatis), Ting Li (Semen Lepidii), Ru Xiang (Resina Frankincense, ground. Each 2 liang), Mo Yao (Resina Myrrhae, ground) (1 liang), Qian Niu (Semen Pharbitidis) (half liang), Da Ji (Radix Euphorbiae Humifusae, stir-fried) (3 liang), Chen Pi (Pericarpium Citri Reticulatae) (4 liang).
Grind into powder. Form pills with flour paste, size of sesame seeds. Take 50 pills per dose, increasing to 70-80 pills. Take with warm water before meals. Change clothes. Stop taking after diarrhea ceases. Avoid alcohol for two days with previous medicines. Avoid wheat noodles and Gancao (Radix Glycyrrhizae) for three days. Eat warm, bland congee to tonify the stomach.
Zhi Shi Da Huang Tang
Qiang Huo (Radix Notopterygii) (1.5 qian), Dang Gui (Radix Angelicae Sinensis) (1 qian), Zhi Shi (Fructus Aurantii Immaturus) (0.5 fen), Da Huang (Radix et Rhizoma Rhei, wine-baked) (3 qian).
Use 1.5 zhan of water. Decoct to 1 zhan. Remove dregs. Take warm. On an empty stomach before meals. Stop when purged.
Kong Xian Dan (See "Xing Bi" chapter).