人有两足牵连作痛，腹又微溏，人不能寐，卧倒足缩而不能伸，伸则愈痛者，人以为寒
湿之成痹也，谁知是风寒湿同结于大肠乎?夫风入大肠，日日大便，邪似易下，即有湿气，
亦可同散，何以固结于中，而痛形于两足耶?不知寒邪入腹，而留于大肠，又得风湿相搏，
每不肯遽散，因成为痹耳。治法必去此风寒湿三气之邪，使不留于大肠，而痹病可愈。然而
徒治大肠之邪，而风寒湿转难去也，又宜益大肠之气，令气旺于肠中，而转输倍速，则风寒
湿亦易祛诶。方用逐痹丹∶
人参（一钱） 茯苓（五钱） 肉桂（三分） 升麻（五分） 甘草（一钱） 薏仁（一两） 神曲（五分） 白
术（五
钱） 水煎服。一剂而湿去，二剂而风寒亦散也。
此方治湿为多，而治风治寒反轻者，盖水湿最难分消，治其难，而易者更易。况治湿之
中，不伤元气，则大肠自有传化之妙力，能使风寒随湿而同解也。
此症亦可用薏仁苓术汤∶
茯苓 白术（各五钱） 薏仁（一两） 肉桂（三分） 炒荆芥（三钱）
水煎服。
人有呕吐不宁，胸膈饱闷，吞酸作痛，因而两足亦痛者，人以为胃口之寒也，谁知是风
寒湿结于胃而成痹乎。夫胃喜热而不喜寒，胃口一寒，邪气因之相犯，风入于胃而不散，湿
停于胃而不行，三者相合，而痹症乃成。治法祛三者之邪，而仍在调其胃气，胃气健而风寒
湿不攻自解也。方用六君子汤加减治之。
人参（三钱） 白术（五钱） 生姜（五片） 陈皮（五分） 甘草（五分） 肉桂（五分） 荆芥（三钱） 茯
苓（三
钱） 半夏（一钱）
水煎服。一剂轻，二剂又轻，三剂更轻，连服十剂而饱闷酸痛之证尽去。
此方开胃而又善分消，加之生姜、荆芥，尤善祛散风寒，以离散党羽，故奏功特神也。
此症亦可用温胃消湿丹∶
人参 黄 茯神 巴戟天（各三钱） 远志（一钱） 肉桂（三分） 肉豆蔻（一枚） 益智仁 甘草
防风（各五分）
水煎服。
人有心下畏寒作痛，惕惕善惊，懒于饮食，以手按之，如有水声 ，人以为水
停心下也，谁知是风寒湿结于心包络乎!夫水邪犯心则痛；风邪乘心则痛；寒邪入心则痛，
是邪无论风寒湿均能成病。重则未有不死者，今止畏寒作痛，而不致有死亡者，正心包以障
心也。然心包既然障心，独当其锋，安得而不痛乎。治法自当急祛风寒湿三者之邪，使之毋
犯心包，而心君相安，何致心下之痛哉。虽然徒祛风寒湿之邪，而不补心包之气，则心包太
弱，而外援之师亦多相欺，反成覆亡之祸。故必补心包而兼治风寒湿也。方用散痹汤∶
巴戟天（五钱） 白术（五钱） 菟丝子（三钱） 炒枣仁（三钱） 远志（八分） 山药（五钱） 莲子（五钱）
茯苓（三钱） 甘草（三分） 柴胡（一钱） 半夏（一钱）
水煎服。一剂而惊止，二剂而胃气开，三剂而水声息，十剂而心下之痛安然也。
此方之药，似乎单治心也，然而心包为心之相臣，治心正所以治心包耳。譬如君主清明
，而相臣供职惟谨，自能安反侧于顷刻也。
此症可用巴戟天汤∶
人参 白术 茯神 巴戟天 车前子（各三钱） 山药（一两） 半夏 肉桂（各一钱）
水煎服。
人有小便艰涩，道涩如淋，而下体生疼，时而升上有如疝气，人以为疝，或以为淋，而
不知非也。盖风寒湿入于小肠之间，而成痹耳。夫小肠主泄水者也，水入小肠，何邪不去，
乃缩住而不流，盖寒与风作祟也。治法必须散小肠之风寒，而湿气不难去也。然而治小肠，
必宜治膀胱之为得，膀胱利而小肠无不利也。虽膀胱亦有痹症，而与小肠之痹正无差别，故
治小肠之痹，必当以治膀胱者治之耳（风寒湿入于小肠而成痹，亦无人能识）。方用攻痹散∶
车前子（三钱） 茯苓（三钱） 薏仁（一两） 肉桂（五分） 木通（二钱） 白术（五钱） 王不留行（一钱）
水煎服。一连数剂。而似淋者不淋，似疝者不疝，再服数剂，而痛如失也。
此方利湿而又不耗气，祛寒而风自散，所以为佳，何用逐风之品以损伤脏腑哉。
此症可用寄奴汤∶
白术（一两） 茯苓（三钱） 肉桂（一钱） 柴胡（一钱） 刘寄奴（二钱）
水煎服。
人有一身上下尽行作痛，有时而止，痰气不清，欲嗽不能，咽喉气闷，胸膈饱胀，二便
艰涩，人以为肺气之不行也，谁知是风寒湿之犯于三焦乎。夫三焦主气，而流通于上中下之
间者，气也。风寒湿感一邪，而气即不能宣矣。况三邪搏结，安能自舒乎。毋怪清浊二道，
举皆闭塞，因而作痛也。治法不急祛风寒湿三者之邪，则三焦何以流通哉。然三焦不可径治
也。治三焦必宜治肾，肾气旺而下焦之气始通；更宜治肺，肺气肃而上焦之气始降；尤宜治
脾胃，脾胃健而中焦之气始化。理肺、肾、脾胃之气，而益之散邪之药，则三焦得令，而风
寒湿不难去也。方用理本汤∶
人参（一钱） 白术（五钱） 麦冬（三钱） 山药（五钱） 芡实（五钱） 巴戟天（三钱） 肉桂（一钱） 桔
梗
（五分） 贝母（五分） 白芥子（二钱） 防己（三分） 茯苓（三钱） 草（一钱）
水煎服。四剂而上中下之气乃通，一身之病尽解，再用四剂，诸症全愈。
此方全去扶肺、肾、脾胃之气，而轻于祛风寒湿者，正所以理其本也，而攻标在其内矣
。况原未尝无荡邪之药乎，故能建功若是之神也。
此症亦可用防桂术苓散∶
白术 茯苓 防风（各五钱） 巴戟天（三钱） 肉桂（一钱） 桂枝（八分） 天花粉 黄 （各二钱）
水煎服。
人有胸背、手足、腰脊牵连疼痛不定，或来或去，至头重不可举，痰唾稠粘，口角流涎
，卧则喉中有声，人以为此痹症也，宜用控涎丹治之，而不知非也。夫痹虽合风寒湿三气之
邪以成，然而人之气血不虚，则风寒湿何从而入?风寒湿之入，乃乘气血之虚而侵之也。乌
可徒治其邪而不补其正乎。控涎丹用甘遂、大戟以祛邪，而无补气补血之药，往往用之以治
痹而不能收功，反致败绩者坐此弊也。法宜补正而助以祛邪，则百战而百胜矣。方名补正逐
邪汤∶
白术（五钱） 薏仁（五钱） 人参（一钱） 桂枝（三分） 茯苓（一两） 白芥子（三钱）
水煎服。二剂轻，十剂愈。
白术、薏仁、人参、茯苓皆健脾补气之药，又利水去湿之剂也。虽曰风寒湿合而成痹，
其内最多者湿也。湿在经络、肠胃之间，最难分化，逐其湿而风寒正不必治而自散，所以止
佐桂枝数分而已足也。惟是既用参、术、薏、苓以健土而利湿，尚何虑痰哉。然而风寒湿之
邪，每藉痰为奥援，故治痹者必治痰。今用白芥子，膜膈之中痰且尽消，其余各处之痰有不
尽消者乎?痰消而风寒湿无可藏之薮，欲聚而作乱，已不可得，况正气日旺哉。或曰痹成于
气血之虚，治法自宜气血双补矣，何以方中止用气分之药以益气，绝不用血分之药以益血也
?不知气旺自能生血，且血有形之物，补之艰于速生，且恐因循等待，有碍生气之速，不若
专补其气，而去风去湿去寒之更捷也。
此症亦可用自适汤∶
黄 白芍 当归 茯苓（各五钱） 陈皮（五分） 半夏 羌活 甘草（各一钱） 柴胡（二钱） 桔
梗（五分）
水煎服。
人有肌肉热极，体上如鼠走，唇口反裂，久则缩入，遍身皮毛尽发红黑，人以为热痹也
。夫风寒湿三者合而成痹，未闻三者之中更添入热痹之谓。此乃热极生风，似乎痹症，而实
非痹症也。治法解其阳明之热，而少散其风则得矣，不必更治其湿也
。至于寒邪，尤不必顾。盖寒则不热，而热则不寒耳。方用化炎汤∶
玄参（一两） 甘菊花（五钱） 麦冬（五钱） 升麻（三钱） 羚羊角（镑，五分） 生地（五钱） 荆芥（炒，
三钱）
水煎服。连服二剂而热少解，再服四剂而诸症尽愈矣。
方中用玄参、菊花、生地、麦冬解其阳明之火，而更退其肺金之炎者，以肺主皮毛也。
然而仅治其胃与肺，恐止散其在内之热，而不能散其在外之热也。故又多用升麻、荆芥导之
出外，而不使其内留以乱心君之神明。外既清凉而内有不快然者乎。至于羚羊角者，虽取其
散火之毒，亦藉其上引而入于唇口之间，使缩者不缩，而裂者不裂也。或谓既是阳明火毒，
何不用石膏、知母寒凉之药以泻之?不知火热而外现于皮毛、唇口、肌肉之处，一用大寒大
凉之药，则直攻其火，必从下泄，不能随升麻、荆芥之类而外泄矣。故不用石膏、知母，而
用玄参、菊花于补中表火之为得也。
此症用凉肢散亦效。
茯苓 薏仁 玄参（各五钱） 甘草 升麻（各一钱） 炒荆芥（一钱） 甘菊（三钱） 麦冬（三钱） 天
花粉（二钱）
水煎服。
人有脚膝疼痛，行步艰难，自按其皮肉直凉至骨，人以为是冷痹也。夫痹而曰冷，正合
风寒湿三者之旨也。此等之病，虽三邪相合，而寒为甚。盖挟北方寒水之势，侵入骨髓，乃
至阴之寒，非至阳之热不能胜之也。然而至阳之热，又虑过于炎威，恐至寒之邪未及祛，而
至阴之水先已熬干。真水涸而邪水必然泛滥，邪水盛而寒风助之，何以愈痹哉。方用真火汤
治之。
白术（五钱） 巴戟天（一两） 附子（一钱） 防风（一钱） 牛膝（三钱） 石斛（三钱） 萆 （
二钱） 茯苓（三钱）
水煎服。连服四剂而皮肉温矣，又服四剂而骨髓热矣，再服四剂脚膝之痛去，更服四剂
而步履无艰难之态矣。
方中用巴戟天为君，补火仍是补水之药，而辅佐之味，又彼此得宜，不用肉桂、当归之
品温其血分，实有意义。盖补气则生精最速，生精既速，则温髓亦速矣。若一入血分之药，
则沾濡迟滞，欲速而不达矣。萆 原忌防风，使之相畏而相使，更复相宜，所以同群而共济
也。
人有肝气常逆，胸膈引痛，睡卧多惊，饮食不思，吞酸作呕，筋脉挛急，人以为此肝痹
之症也。夫肝痹是矣，而肝之所以成痹者，人知之乎?虽风寒湿三者成之，然亦气血之不足
而成之也。肝之血不足而湿邪乘之，肝之气不足而风邪乘之，肝之气血不足而寒邪乘之。有
此三邪，直入于肝经，而后肝之血益亏，肝之气益耗，于是肝之魂不能藏于肝之中，乃越出
而作惊也。肝经既病，何能生心，心无血养，安能生胃气哉。胃气不生，自难消化饮食，不
能消化饮食，而强饮强食焉，必至吞酸作呕矣。夫饮食所以养脏腑者也，饮食既不消化，不
能变精以分布于筋脉，则筋脉无所养，安得而不拘挛哉。然则治法，乌可徒治风寒湿三者之
邪，而罔顾肝经之气血耶。方用肝痹散∶
人参（三钱） 当归（一两） 川芎（五钱） 代赭石末（二钱） 羌活（五分） 肉桂（一
钱） 茯苓（五钱） 酸
水煎，调丹砂、代赭石末同服。一剂而惊止，二剂而胸膈不痛，肝气不逆矣，再服四剂
而吞酸呕吐之病痊，筋脉亦不挛急矣。
方中用当归、川芎以生血，加入人参益气以开血，引代赭石去通肝气，以佐川、归之不
逮，气开血通，而后邪可引而出矣。又加肉桂以辟寒，加茯苓以利湿，加羌活以除风，则邪
自难留，而魂自不乱矣，所以益之枣仁、丹砂收惊特速也。
此症用二术救痹饮亦效。
白术 白芍 茯神（各五钱） 陈皮 肉桂 柴胡（各一钱） 枳壳（五分） 远志 白芥子 苍术
（各三钱）
水煎服。
人有咳嗽不宁，心膈窒塞，吐痰不已，上气满胀，不能下通，人以为肺痹也。肺痹之成
于气虚，尽人而不知也。夫肺为相傅之官，治节出焉，统辖一身之气，无经不达，无脏不转
，是气乃肺之充，而肺乃气之主也。肺病则气病，而气病则肺亦病。然则肺痹即气痹也，肺
痹既为气痹，治肺痹者乌可舍气而不治乎?但肺虽主气，而补气之药，不能直入于肺也，必
须补脾胃之气以生肺气。然而生肺气者，止有脾胃之土。而克肺者有心焉；仇肺者有肝焉；
耗肺者有肾焉。一脏腑之生，不敌众脏腑之克，此气之所以易衰，而邪之所以易入也。且脾
胃之土，又能暗伤肺金。盖饮食入胃，必由脾胃之气以转入于肺，今脾胃既受风寒湿之邪，
则邪亦随脾胃之气，而输之于肺，而肺乃受伤矣。况多怒而肝之气逆于肺，多欲而肾之气逆
于肺，肺气受伤，而风寒湿之邪遂填塞肺窍而成痹矣。方用肺痹汤治之。
人参（三钱） 茯苓（三钱） 白术（五钱） 白芍（五钱） 苏叶（二钱） 半夏（一钱） 陈皮（一钱） 枳
壳（三
水煎服。连用二剂而咳嗽安，再用二剂而窒塞开矣，用十剂而诸症尽愈。
或谓人参助气是矣，但多用恐助邪气，何以用之咸宜乎?不知肺气之虚以成痹，非肺气
之实以成痹也。人参畏实不畏虚，况又有苏叶以治风，半夏以消湿，肉桂以祛寒，则邪何能
有人双足相互牵引作痛，腹部又轻微腹泻，人不能入睡，躺下时双脚蜷缩无法伸直，伸直则疼痛加剧。人们认为是寒湿导致的痹证，哪里知道这是风寒湿三气共同结聚于大肠呢？风邪侵入大肠，每日导致大便次数增多，邪气似乎容易排出，即使有湿气，也可以一同消散，为什么却固结在体内，而疼痛表现在两足呢？不知道是寒邪进入腹部，停留于大肠，又得到风湿二气的搏结，常常不肯迅速消散，因此成为痹证。治疗方法必须去除这风寒湿三气的邪气，使它们不留存于大肠，那么痹病就可以痊愈。然而，如果只治疗大肠的邪气，而风寒湿反而难以去除，还应当补益大肠之气，让气在大肠中旺盛，那么转输功能加倍快速，则风寒湿也容易被祛除。方剂用逐痹丹：人参（一钱）、茯苓（五钱）、肉桂（三分）、升麻（五分）、甘草（一钱）、薏苡仁（一两）、神曲（五分）、白术（五钱），水煎服。服用一剂湿气就去除了，服用两剂风寒也就散去了。
这个方子治疗湿气较多，而治疗风、寒相对较轻，这是因为水湿最难分消，治疗难的，容易的就更容易了。况且在治疗湿气的过程中，不损伤元气，那么大肠自然有传导变化的奇妙力量，能使风寒随着湿气一同解除。
这种病症也可以用薏苡仁苓术汤：茯苓、白术（各五钱）、薏苡仁（一两）、肉桂（三分）、炒荆芥（三钱），水煎服。
有人呕吐不安，胸膈饱闷，吞酸作痛，因而两足也疼痛，人们以为是胃口的寒症，哪里知道这是风寒湿结聚于胃而成痹证呢。胃喜欢热而不喜欢寒，胃口一旦受寒，邪气就趁机侵犯，风邪进入胃中不散，湿气停在胃中不行，三者相合，痹证就形成了。治疗方法是祛除这三者的邪气，同时调理胃气，胃气健壮，那么风寒湿不攻自解。方剂用六君子汤加减治疗。人参（三钱）、白术（五钱）、生姜（五片）、陈皮（五分）、甘草（五分）、肉桂（五分）、荆芥（三钱）、茯苓（三钱）、半夏（一钱），水煎服。服用一剂症状减轻，服用两剂更轻，服用三剂再轻，连续服用十剂，饱闷酸痛的症状全部去除。
这个方子开胃又善于分消湿气，加上生姜、荆芥，尤其善于祛散风寒，以离散邪气的党羽，所以疗效特别神奇。
这种病症也可以用温胃消湿丹：人参、黄芪、茯神、巴戟天（各三钱）、远志（一钱）、肉桂（三分）、肉豆蔻（一枚）、益智仁、甘草、防风（各五分），水煎服。
有人心下部怕冷作痛，心中惕惕不安容易受惊，懒得饮食，用手按压，好像有水声，人们以为是水停在心下部，哪里知道这是风寒湿结聚于心包络呢！水邪侵犯心脏则痛；风邪乘袭心脏则痛；寒邪进入心脏则痛，这些邪气无论风寒湿都能成病。严重的没有不死的，现在只是怕冷作痛，而没有导致死亡，正是心包在保护心脏。然而心包既然保护心脏，独自承受攻击，怎么能不痛呢。治疗方法自然应当紧急祛除风寒湿三者的邪气，使它们不侵犯心包，那么心君就能相安无事，怎么会心下疼痛呢。虽然如此，如果只祛除风寒湿的邪气，而不补益心包的气，那么心包太弱，外援的军队也多被欺侮，反而造成覆灭的祸患。所以必须补益心包兼治风寒湿。方剂用散痹汤：巴戟天（五钱）、白术（五钱）、菟丝子（三钱）、炒枣仁（三钱）、远志（八分）、山药（五钱）、莲子（五钱）、茯苓（三钱）、甘草（三分）、柴胡（一钱）、半夏（一钱），水煎服。服用一剂惊吓停止，服用两剂胃气开通，服用三剂水声消失，服用十剂心下的疼痛安然无恙。
这个方子的药，看起来单治心脏，然而心包是心的辅佐大臣，治心正是为了治心包。譬如君主清明，而辅佐大臣供职谨慎，自然能顷刻间安定反侧之人。
这种病症可用巴戟天汤：人参、白术、茯神、巴戟天、车前子（各三钱）、山药（一两）、半夏、肉桂（各一钱），水煎服。
有人小便艰涩，尿道涩滞像淋证，而下体生疼，时而感觉向上冲有如疝气，人们以为是疝气，或以为是淋证，却不知道不是这样。大概风寒湿进入小肠之间，而成痹证罢了。小肠主排泄水液，水进入小肠，什么邪气不去，却收缩住不流动，大概是寒与风在作祟。治疗方法必须疏散小肠的风寒，那么湿气不难去除。然而治疗小肠，适宜治疗膀胱才算得当，膀胱通利而小肠没有不通利的。虽然膀胱也有痹证，但与小肠的痹证正没有差别，所以治疗小肠的痹证，必须用治疗膀胱的方法来治疗它（风寒湿进入小肠而成痹，也没有人能识别）。方剂用攻痹散：车前子（三钱）、茯苓（三钱）、薏苡仁（一两）、肉桂（五分）、木通（二钱）、白术（五钱）、王不留行（一钱），水煎服。连续服用数剂，像淋证的就不像淋证了，像疝气的就不像疝气了，再服用数剂，疼痛就像丢失了一样消失了。
这个方子利湿而不耗气，祛寒而风自然散，所以好，何必用逐风的药物来损伤脏腑呢。
这种病症可用寄奴汤：白术（一两）、茯苓（三钱）、肉桂（一钱）、柴胡（一钱）、刘寄奴（二钱），水煎服。
有人全身上下都疼痛，有时停止，痰气不清，想咳嗽咳不出，咽喉气闷，胸膈饱胀，大小便艰涩，人们以为是肺气不行，哪里知道这是风寒湿侵犯三焦呢。三焦主气，流通于上中下之间的就是气。感受风寒湿其中一种邪气，气就不能宣通了。何况三种邪气搏结，怎么能自行舒展呢。难怪清浊两道，全都闭塞，因而作痛。治疗方法如果不紧急祛除风寒湿三者的邪气，那么三焦怎么能流通呢。然而三焦不可直接治疗。治疗三焦必须治疗肾，肾气旺盛而下焦的气才通；更宜治疗肺，肺气肃降而上焦的气才降；尤宜治疗脾胃，脾胃健壮而中焦的气才化。调理肺、肾、脾胃的气，并加入散邪的药物，那么三焦得令，而风寒湿不难去除。方剂用理本汤：人参（一钱）、白术（五钱）、麦冬（三钱）、山药（五钱）、芡实（五钱）、巴戟天（三钱）、肉桂（一钱）、桔梗（五分）、贝母（五分）、白芥子（二钱）、防己（三分）、茯苓（三钱）、甘草（一钱），水煎服。服用四剂上中下之气乃通，全身的病痛全部解除，再用四剂，各种症状全愈。
这个方子完全去扶持肺、肾、脾胃的气，而轻于祛除风寒湿，正是为了治理根本，而攻治标症就在其中了。况且原本未尝没有荡涤邪气的药物吗，所以能建功如此神奇。
这种病症也可用防桂术苓散：白术、茯苓、防风（各五钱）、巴戟天（三钱）、肉桂（一钱）、桂枝（八分）、天花粉、黄芪（各二钱），水煎服。
有人胸背、手足、腰脊相互牵引疼痛不定，或来或去，到了头重得不能抬起，痰唾稠粘，口角流涎，躺下时喉中有声音，人们认为这是痹证，适宜用控涎丹治疗，却不知道不是这样。痹虽然合风寒湿三气的邪气而成，然而人的气血不虚，那么风寒湿从哪里进入？风寒湿的进入，是乘气血之虚而侵袭的。怎么可以只治疗邪气而不补正气呢。控涎丹用甘遂、大戟来祛邪，而没有补气补血药，往往用它治疗痹证而不能收功，反而导致失败的缘故就在这里。法度适宜补正而辅助祛邪，那么百战百胜了。方名补正逐邪汤：白术（五钱）、薏苡仁（五钱）、人参（一钱）、桂枝（三分）、茯苓（一两）、白芥子（三钱），水煎服。服用二剂减轻，服用十剂痊愈。
白术、薏苡仁、人参、茯苓都是健脾补气药，又是利水去湿的药剂。虽然说风寒湿合而成痹，其中最多的是湿。湿在经络、肠胃之间，最难分化，驱逐湿气而风寒正不必治疗而自己散开，所以只辅助桂枝几分就足够了。只是既然用了参、术、薏、苓来健土利湿，还担心什么痰呢。然而风寒湿的邪气，常常借痰作为后援，所以治疗痹证必须治痰。现在用白芥子，膜膈之中的痰且尽消，其余各处的痰有不尽消的吗？痰消而风寒湿无处藏身，想要聚众作乱，已经不可能了，何况正气日益旺盛呢。有人说痹成于气血之虚，治疗方法自然适宜气血双补了，为什么方中只用气分的药来益气，绝不用血分的药来益血呢？不知道气旺自然能生血，而且血是有形之物，补之难以速生，且恐怕因循等待，有碍生气之速，不如专补其气，而去风去湿去寒更快捷。
这种病症也可用自适汤：黄芪、白芍、当归、茯苓（各五钱）、陈皮（五分）、半夏、羌活、甘草（各一钱）、柴胡（二钱）、桔梗（五分），水煎服。
有人肌肉热极，身体上像老鼠跑动，嘴唇口角反裂，久则缩入，遍身皮毛尽发红黑，人们以为是热痹。夫风寒湿三者合而成痹，没听说过三者之中更添入热痹的说法。这是热极生风，似乎痹证，而实在不是痹证。治疗方法解其阳明经的热，而少散其风就可以了，不必再治其湿。至于寒邪，更不必顾及。因为寒则不热，而热则不寒。方剂用化炎汤：玄参（一两）、甘菊花（五钱）、麦冬（五钱）、升麻（三钱）、羚羊角（镑，五分）、生地（五钱）、荆芥（炒，三钱），水煎服。连续服用二剂而热稍解，再服用四剂而各种症状全愈。
方中用玄参、菊花、生地、麦冬解其阳明之火，而更退其肺金之炎的，因为肺主皮毛。然而仅治其胃与肺，恐怕只散其在内之热，而不能散其在外之热。所以又多使用升麻、荆芥引导其外出，而不使其内留扰乱心君的神明。外既清凉而内有不快然的吗。至于羚羊角，虽然取其散火之毒，也借其上引而入于唇口之间，使缩者不缩，而裂者不裂。有人说既然是阳明火毒，为何不用石膏、知母寒凉药物来泻之？不知道火热而外现于皮毛、唇口、肌肉之处，一用大寒大凉药物，则直攻其火，必从下泄，不能随升麻、荆芥之类而外泄。所以不用石膏、知母，而用玄参、菊花于补中表火为得当。
这种病症用凉肢散也有效。茯苓、薏苡仁、玄参（各五钱）、甘草、升麻（各一钱）、炒荆芥（一钱）、甘菊（三钱）、麦冬（三钱）、天花粉（二钱），水煎服。
有人脚膝疼痛，行走艰难，自己按其皮肉直凉至骨，人们以为是冷痹。夫痹而曰冷，正合风寒湿三者之意。这种病，虽三邪相合，而寒为重。大概挟北方寒水之势，侵入骨髓，乃是至阴之寒，非至阳之热不能战胜它。然而至阳之热，又虑过于猛烈，恐至寒之邪未及祛除，而至阴之水先已熬干。真水涸而邪水必然泛滥，邪水盛而寒风助之，怎么治愈痹证呢。方剂用真火汤治疗。白术（五钱）、巴戟天（一两）、附子（一钱）、防风（一钱）、牛膝（三钱）、石斛（三钱）、萆薢（二钱）、茯苓（三钱），水煎服。连续服用四剂而皮肉温了，又服用四剂而骨髓热了，再服用四剂脚膝之痛去，再服用四剂而步履无艰难之态了。
方中用巴戟天为君药，补火仍是补水药，而辅佐之味，又彼此得宜，不用肉桂、当归之品温其血分，实有意义。盖补气则生精最快，生精既快，则温髓也快。若一入血分之药，则沾濡迟滞，欲速而不达。萆薢原忌防风，使之相畏而相使，更复相宜，所以同群而共济。
有人肝气常逆，胸膈牵引疼痛，睡卧多惊，饮食不思，吞酸作呕，筋脉挛急，人们以为这是肝痹症。夫肝痹是了，而肝之所以成痹的原因，人们知道吗？虽风寒湿三者造成，但也因气血不足而造成。肝之血不足而湿邪乘之，肝之气不足而风邪乘之，肝之气血不足而寒邪乘之。有此三邪，直入于肝经，而后肝之血益亏，肝之气益耗，于是肝之魂不能藏于肝之中，乃越出而作惊。肝经既病，何能生心，心无血养，安能生胃气哉。胃气不生，自难消化饮食，不能消化饮食，而强饮强食焉，必至吞酸作呕。夫饮食所以养脏腑者也，饮食既不消化，不能变精以分布于筋脉，则筋脉无所养，安得而不拘挛。然则治疗方法，岂可只治风寒湿三者之邪，而不顾肝经之气血。方剂用肝痹散：人参（三钱）、当归（一两）、川芎（五钱）、代赭石末（二钱）、羌活（五分）、肉桂（一钱）、茯苓（五钱）、酸枣仁（三钱），水煎，调丹砂、代赭石末同服。服用一剂而惊止，服用二剂而胸膈不痛，肝气不逆，再服用四剂而吞酸呕吐之病痊，筋脉亦不挛急。
方中用当归、川芎以生血，加入人参益气以开血，引代赭石去通肝气，以佐川芎、当归之不逮，气开血通，而后邪可引出。又加肉桂以辟寒，加茯苓以利湿，加羌活以除风，则邪自难留，而魂自不乱，所以益之枣仁、丹砂收惊特速。
这种病症用二术救痹饮也有效。白术、白芍、茯神（各五钱）、陈皮、肉桂、柴胡（各一钱）、枳壳（五分）、远志、白芥子、苍术（各三钱），水煎服。
有人咳嗽不安，心膈窒塞，吐痰不已，上气满胀，不能下通，人们以为是肺痹。肺痹之成于气虚，尽人而不知。夫肺为相傅之官，治节出焉，统辖一身之气，无经不达，无脏不转，是气乃肺之充，而肺乃气之主。肺病则气病，而气病则肺亦病。然则肺痹即气痹，肺痹既为气痹，治肺痹者岂可舍气而不治？但肺虽主气，而补气之药，不能直入于肺，必须补脾胃之气以生肺气。然而生肺气者，止有脾胃之土。而克肺者有心；仇肺者有肝；耗肺者有肾。一脏腑之生，不敌众脏腑之克，此气之所以易衰，而邪之所以易入。且脾胃之土，又能暗伤肺金。盖饮食入胃，必由脾胃之气以转入于肺，今脾胃既受风寒湿之邪，则邪亦随脾胃之气，而输之于肺，而肺乃受伤。况多怒而肝之气逆于肺，多欲而肾之气逆于肺，肺气受伤，而风寒湿之邪遂填塞肺窍而成痹。方剂用肺痹汤治疗。人参（三钱）、茯苓（三钱）、白术（五钱）、白芍（五钱）、苏叶（二钱）、半夏（一钱）、陈皮（一钱）、枳壳（三钱），水煎服。连用二剂而咳嗽安，再用二剂而窒塞开，用十剂而诸症全愈。
有人说人参助气是对的，但多用恐助邪气，何以用之咸宜？不知道肺气之虚以成痹，非肺气之实以成痹。人参畏实不畏虚，况又有苏叶以治风，半夏以消湿，肉桂以祛寒，则邪何能...
A person suffers from pain in both legs that pulls and tethers them, accompanied by slight diarrhea in the abdomen. The person cannot sleep; when lying down, the feet curl up and cannot extend, and extension causes increased pain. People consider this to be Bi syndrome (Bi Syndrome: obstruction of meridians causing pain) caused by cold-dampness. Who would know that it is actually wind-cold-dampness jointly knotting in the Large Intestine? When wind pathogen enters the Large Intestine, it causes frequent bowel movements daily; the pathogen seems easy to evacuate, and even if dampness is present, it should dissipate together. Why does it remain firmly knotted inside, causing pain manifesting in the two legs? It is unknown that cold pathogen enters the abdomen and stays in the Large Intestine, and combined with the struggle between wind and dampness, it often refuses to disperse quickly, thus forming Bi syndrome. The treatment method must eliminate these three pathogens—wind, cold, and dampness—so they do not remain in the Large Intestine, then the Bi disease can be cured. However, merely treating the pathogens in the Large Intestine makes it difficult to dispel wind-cold-dampness; one should also tonify the Qi of the Large Intestine, making the Qi vigorous within the intestine so that transportation and transformation accelerate, thereby facilitating the expulsion of wind-cold-dampness. Use the formula Zhubi Dan (Dispel Bi Decoction): Renshen (Ginseng Radix et Rhizoma, 1 qian), Fuling (Poria, 5 qian), Rougui (Cinnamon Twig, 3 fen), Shengma (Cimicifugae Rhizoma, 5 fen), Gancao (Licorice Root, 1 qian), Yiren (Coix Seed, 1 liang), Shenqu (Medicated Leaven, 5 fen), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian). Decoct in water and take orally. After one dose, dampness is removed; after two doses, wind and cold are dispersed.
This formula treats dampness predominantly, while treating wind and cold lightly. This is because water-dampness is the hardest to separate and dissipate; treating the difficult aspect makes the easy aspect easier to treat. Moreover, by treating dampness without damaging the Original Qi (Yuan Qi: Primordial Energy), the Large Intestine naturally possesses the miraculous power of transmission and transformation, enabling wind-cold to resolve along with the dampness.
This condition can also be treated with Yiren Lingzhu Tang (Coix and Poria-Atractylodes Decoction): Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome) (each 5 qian), Yiren (Coix Seed, 1 liang), Rougui (Cinnamon Twig, 3 fen), Chao Jingjie (Fried Schizonepeta Spike, 3 qian). Decoct in water and take orally.
A person experiences restless vomiting, fullness and oppression in the chest and diaphragm, acid regurgitation with pain, which subsequently causes pain in both legs. People assume this is cold in the stomach opening. Who knows that it is wind-cold-dampness knotting in the Stomach to form Bi syndrome? The Stomach prefers heat and dislikes cold. Once the stomach opening becomes cold, pathogens invade accordingly. Wind pathogen enters the Stomach but does not disperse; dampness stagnates in the Stomach but does not move. The combination of these three factors forms the Bi syndrome. The treatment method is to expel these three pathogens while regulating Stomach Qi. When Stomach Qi is robust, wind-cold-dampness will resolve spontaneously. Use Liu Junzi Tang (Six Gentlemen Decoction) with modifications. Renshen (Ginseng Radix et Rhizoma, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Shengjiang (Fresh Ginger, 5 slices), Chenpi (Citrus Reticulata Pericarp, 5 fen), Gancao (Licorice Root, 5 fen), Rougui (Cinnamon Twig, 5 fen), Jingjie (Schizonepeta Spike, 3 qian), Fuling (Poria, 3 qian), Banxia (Pinellia Tuber, 1 qian). Decoct in water and take orally. Symptoms lighten after one dose, further after two doses, and again after three doses. Continuous administration for ten doses eliminates all symptoms of fullness, oppression, soreness, and pain.
This formula opens the Stomach and effectively separates and dissipates dampness. Added with Shengjiang (Fresh Ginger) and Jingjie (Schizonepeta Spike), it excels at dispersing wind-cold, scattering the pathogen's allies, thus achieving remarkable efficacy.
This condition can also use Wenwei Xiaoshi Dan (Warm Stomach and Eliminate Dampness Pill): Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragalus Root), Fushen (Poria with Hostwood) (each 3 qian), Bajitian (Morinda Officinalis Root, 3 qian), Yuanzhi (Polygala Root, 1 qian), Rougui (Cinnamon Twig, 3 fen), Roudoukou (Nutmeg, 1 piece), Yizhiren (Bitter Almond, 5 fen), Gancao (Licorice Root), Fangfeng (Saposhnikovia Root) (each 5 fen). Decoct in water and take orally.
A person feels cold and pain in the epigastrium, experiences palpitations and fearfulness, lacks appetite for food, and upon manual pressure, hears a sound resembling fluid retention. People assume this is fluid stagnating below the heart. Who knows that it is wind-cold-dampness knotting in the Pericardium (Pericardium: the membrane surrounding the heart)? Fluid pathogen invading the Heart causes pain; Wind pathogen attacking the Heart causes pain; Cold pathogen entering the Heart causes pain. Regardless of whether the pathogen is wind, cold, or damp, it can cause disease. Severe cases invariably lead to death. Now, only cold sensation and pain exist without fatal consequences; this is precisely because the Pericardium protects the Heart. Since the Pericardium shields the Heart and bears the brunt alone, how can it not hurt? The treatment method should urgently expel the wind-cold-dampness pathogens to prevent them from invading the Pericardium, allowing the Heart Sovereign to remain peaceful, thus avoiding epigastric pain. Nevertheless, merely expelling wind-cold-dampness without tonifying Pericardium Qi leaves the Pericardium too weak, causing external support forces to be bullied, potentially leading to disaster. Therefore, one must tonify the Pericardium while simultaneously treating wind-cold-dampness. Use Sanbi Tang (Dispel Bi Decoction): Bajitian (Morinda Officinalis Root, 5 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Tusizi (Cuscuta Seed, 3 qian), Chao Zaoren (Fried Ziziphus Jujuba Seed, 3 qian), Yuanzhi (Polygala Root, 8 fen), Shanyao (Dioscorea Rhizome, 5 qian), Lianzi (Lotus Seed, 5 qian), Fuling (Poria, 3 qian), Gancao (Licorice Root, 3 fen), Chaihu (Bupleurum Root, 1 qian), Banxia (Pinellia Tuber, 1 qian). Decoct in water and take orally. Palpitations cease after one dose; Stomach Qi opens after two doses; the fluid sound stops after three doses; epigastric pain resolves completely after ten doses.
The herbs in this formula appear to treat only the Heart, but since the Pericardium is the ministerial officer of the Heart, treating the Heart is indeed treating the Pericardium. Just as a clear-sighted ruler ensures diligent ministers, peace can be restored instantly.
This condition can use Bajitian Tang (Morinda Decoction): Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodes Macrocephala Rhizome), Fushen (Poria with Hostwood), Bajitian (Morinda Officinalis Root), Cheqianzi (Plantago Seed) (each 3 qian), Shanyao (Dioscorea Rhizome, 1 liang), Banxia (Pinellia Tuber), Rougui (Cinnamon Twig) (each 1 qian). Decoct in water and take orally.
A person experiences difficult and obstructed urination, feeling like strangury (Strangury: painful, frequent, scanty urination), with lower body pain, and sometimes a sensation rising upward resembling hernia (Hernia: pain radiating from the hypochondrium to the testicles or groin). People diagnose hernia or strangury, but this is incorrect. It is likely wind-cold-dampness entering the Small Intestine, forming Bi syndrome. The Small Intestine governs the separation of fluids; why does water entering the Small Intestine stop flowing instead of evacuating? Cold and wind are the culprits. The treatment must scatter wind-cold in the Small Intestine, making dampness easy to remove. However, treating the Small Intestine requires treating the Bladder (Bladder: organ responsible for urine storage and excretion) for optimal results; if the Bladder is unobstructed, the Small Intestine will also be unobstructed. Although the Bladder can have Bi syndrome, it differs little from Small Intestine Bi. Thus, treating Small Intestine Bi requires using methods for Bladder Bi. Use Gongbi San (Attack Bi Powder): Cheqianzi (Plantago Seed, 3 qian), Fuling (Poria, 3 qian), Yiren (Coix Seed, 1 liang), Rougui (Cinnamon Twig, 5 fen), Mutong (Akebia Stem, 2 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Wangbuliuxing (Vaccaria Seed, 1 qian). Decoct in water and take orally for several consecutive doses. The strangury-like symptoms cease; the hernia-like sensations disappear. Further doses eliminate the pain entirely.
This formula promotes dampness drainage without depleting Qi, dispels cold while naturally scattering wind, hence its excellence. There is no need to use wind-dispelling drugs that damage the Zang-Fu organs.
This condition can use Jinu Tang (Liu Jisu Decoction): Baizhu (Atractylodes Macrocephala Rhizome, 1 liang), Fuling (Poria, 3 qian), Rougui (Cinnamon Twig, 1 qian), Chaihu (Bupleurum Root, 1 qian), Liuji Nu (Artemisia Annua Herb, 2 qian). Decoct in water and take orally.
A person suffers from widespread pain throughout the upper and lower body, which sometimes stops. Phlegm-Qi is turbid, desire to cough exists but cannot produce sputum, throat feels stifled, chest and diaphragm are full and distended, and urination and defecation are difficult. People attribute this to Lung Qi stagnation. Who knows that it is wind-cold-dampness invading the Triple Burner (Triple Burner: functional system dividing the torso into three zones governing Qi and fluid metabolism)? The Triple Burner governs Qi, circulating through the Upper, Middle, and Lower Jiao. Contracting any of the wind-cold-damp pathogens impedes Qi circulation. With three pathogens struggling together, how can they relax? No wonder the pathways of clarity and turbidity are blocked, causing pain. If wind-cold-dampness are not urgently expelled, how can the Triple Burner circulate freely? However, the Triple Burner cannot be treated directly. Treating the Triple Burner requires treating the Kidney (Kidney: organ storing essence and governing water); when Kidney Qi is vigorous, Lower Jiao Qi flows. It is also necessary to treat the Lung (Lung: organ governing Qi and respiration); when Lung Qi descends, Upper Jiao Qi lowers. Especially, treat the Spleen and Stomach (Spleen and Stomach: central organs of digestion and Qi production); when robust, Middle Jiao Qi transforms. Regulating Lung, Kidney, and Spleen-Stomach Qi, combined with pathogen-dispersing herbs, allows the Triple Burner to function properly, making wind-cold-dampness easy to remove. Use Liben Tang (Regulate Root Decoction): Renshen (Ginseng Radix et Rhizoma, 1 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Maidong (Ophiopogon Tuber, 3 qian), Shanyao (Dioscorea Rhizome, 5 qian), Qianshi (Euryale Seed, 5 qian), Bajitian (Morinda Officinalis Root, 3 qian), Rougui (Cinnamon Twig, 1 qian), Jiegeng (Platycodon Root, 5 fen), Beimu (Fritillaria Bulb, 5 fen), Baijiezi (White Mustard Seed, 2 qian), Fangji (Stephania Root, 3 fen), Fuling (Poria, 3 qian), Gancao (Licorice Root, 1 qian). Decoct in water and take orally. After four doses, Upper, Middle, and Lower Jiao Qi connect, and whole-body illness resolves. Four more doses cure all symptoms.
This formula fully supports Lung, Kidney, and Spleen-Stomach Qi, while lightly addressing wind-cold-dampness, which correctly addresses the root, with branch treatment included internally. Moreover, it contains herbs that purge pathogens, hence its miraculous efficacy.
This condition can also use Fanggui Shuling San (Wind-Dispelling Cinnamon-Poria Powder): Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Fangfeng (Saposhnikovia Root) (each 5 qian), Bajitian (Morinda Officinalis Root, 3 qian), Rougui (Cinnamon Twig, 1 qian), Guizhi (Cinnamon Twig, 8 fen), Tianhuafen (Trichosanthes Root), Huangqi (Astragalus Root) (each 2 qian). Decoct in water and take orally.
A person experiences wandering pain in the chest, back, hands, feet, waist, and spine, coming and going. The head feels heavy and cannot be lifted. Sputum is thick and sticky, saliva drools from the mouth corner, and there is noise in the throat when lying down. People consider this Bi syndrome and suggest Kongyan Dan (Control Phlegm-Detoxification Pill), but this is incorrect. Although Bi syndrome combines wind-cold-dampness, if a person's Qi and Blood are not deficient, how can these pathogens enter? Their entry exploits Qi-Blood deficiency. One cannot merely treat the pathogen without tonifying the healthy Qi. Kongyan Dan uses Gansui (Kansui Root) and Daji (Euphorbia Root) to expel pathogens but lacks Qi-Blood tonics. Using it for Bi often fails or worsens the condition due to this flaw. The method should tonify healthy Qi while assisting pathogen expulsion, ensuring victory. Use Buzheng Zhuxie Tang (Tonify Righteousness Expel Pathogen Decoction): Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Yiren (Coix Seed, 5 qian), Renshen (Ginseng Radix et Rhizoma, 1 qian), Guizhi (Cinnamon Twig, 3 fen), Fuling (Poria, 1 liang), Baijiezi (White Mustard Seed, 3 qian). Decoct in water and take orally. Lightens after two doses, cures after ten doses.
Baizhu, Yiren, Renshen, and Fuling are herbs that strengthen the Spleen, tonify Qi, and promote water drainage to remove dampness. Although Bi syndrome involves wind-cold-dampness, dampness is usually predominant. Dampness in meridians and intestines is hardest to differentiate; expelling dampness causes wind-cold to disperse naturally, requiring only a small amount of Guizhi (Cinnamon Twig). Since Shen, Zhu, Yi, and Ling strengthen Earth and drain dampness, phlegm concern is alleviated. However, wind-cold-dampness often relies on phlegm for support, so treating Bi requires treating phlegm. Using Baijiezi (White Mustard Seed) clears phlegm in the diaphragm and elsewhere. Once phlegm is cleared, wind-cold-dampness has no hiding place and cannot gather. As righteous Qi grows daily, recovery follows. Some ask: Since Bi stems from Qi-Blood deficiency, why not tonify both? Why only Qi-tonifying herbs and no Blood-tonics? Because abundant Qi generates Blood. Blood is substantial and slow to regenerate; waiting hinders rapid Qi generation. Tonifying Qi exclusively to dispel wind-cold-dampness is faster.
This condition can also use Zishi Tang (Self-Comfort Decoction): Huangqi (Astragalus Root), Baishao (White Peony Root), Danggui (Angelica Sinensis Root), Fuling (Poria) (each 5 qian), Chenpi (Citrus Reticulata Pericarp, 5 fen), Banxia (Pinellia Tuber), Qianghuo (Notopterygium Rhizome), Gancao (Licorice Root) (each 1 qian), Chaihu (Bupleurum Root, 2 qian), Jiegeng (Platycodon Root, 5 fen). Decoct in water and take orally.
A person has extremely hot muscles, a sensation of mice running on the body, cracked lips and mouth that retract over time, and entire body skin/hair turning red-black. People diagnose Heat Bi (Heat Bi: Bi syndrome characterized by heat signs). However, Bi syndrome is formed by wind-cold-dampness; "Heat Bi" is not an addition to these three. This is extreme heat generating wind, resembling Bi but not being Bi. Treatment should clear Yangming (Yangming: Stomach and Large Intestine channels/organ systems) heat and slightly disperse wind; dampness need not be treated. Cold is irrelevant as heat excludes cold. Use Huayan Tang (Transform Inflammation Decoction): Xuanshen (Scrophularia Root, 1 liang), Ganjuhua (Chrysanthemum Flower, 5 qian), Maidong (Ophiopogon Tuber, 5 qian), Shengma (Cimicifugae Rhizoma, 3 qian), Lingyangjiao (Antelope Horn, 5 fen, sliced), Shengdi (Rehmannia Root, 5 qian), Jingjie (Schizonepeta Spike, 3 qian, fried). Decoct in water and take orally. Two doses reduce heat; four more doses cure all symptoms.
Xuanshen, Ju Hua, Sheng Di, and Mai Dong clear Yangming fire and cool Lung Metal heat, as the Lung governs skin and hair. Treating only Stomach and Lung might clear internal heat but not external heat. Thus, Shengma and Jingjie guide heat outward, preventing internal disturbance of the Heart Spirit. External cooling ensures internal comfort. Lingyangjiao (Antelope Horn) disperses fire toxicity and guides herbs to the lips/mouth, preventing retraction and cracking. Some ask: Why not use Shigao (Gypsum) and Zhimu (Anemarrhena Rhizome) to purge Yangming fire? Because heat manifesting externally on skin/lips/muscles requires guiding it out. Strong cold herbs would drive heat downward, preventing expulsion via Shengma/Jingjie. Hence, Xuanshen and Ju Hua are preferred to supplement and release exterior fire.
This condition can also use Liangzhi San (Cool Limbs Powder): Fuling (Poria), Yiren (Coix Seed), Xuanshen (Scrophularia Root) (each 5 qian), Gancao (Licorice Root), Shengma (Cimicifugae Rhizoma) (each 1 qian), Chao Jingjie (Fried Schizonepeta Spike, 1 qian), Ganju (Chrysanthemum Flower, 3 qian), Maidong (Ophiopogon Tuber, 3 qian), Tianhuafen (Trichosanthes Root, 2 qian). Decoct in water and take orally.
A person suffers from knee and foot pain, difficulty walking, and skin/flesh feeling cold down to the bone. People diagnose Cold Bi (Cold Bi: Bi syndrome characterized by cold pain). Calling it Cold Bi aligns with wind-cold-dampness principles. Among these three pathogens, cold is severe here. Inviting Northern Cold Water energy, it invades the marrow, representing extreme Yin cold, which only extreme Yang heat can overcome. However, extreme Yang heat risks drying up extreme Yin water before cold is expelled. If True Water dries, Evil Water floods; with Evil Water盛 and Cold Wind aiding, Bi cannot heal. Use Zhenhuo Tang (True Fire Decoction): Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Bajitian (Morinda Officinalis Root, 1 liang), Fuzi (Prepared Aconite Root, 1 qian), Fangfeng (Saposhnikovia Root, 1 qian), Niuxi (Achyranthes Root, 3 qian), Shihu (Dendrobium Stem, 3 qian), Biba (Dioscorea Hypoglauca Rhizome, 2 qian), Fuling (Poria, 3 qian). Decoct in water and take orally. Four doses warm skin/flesh; four more heat the marrow; four more relieve knee/foot pain; four more restore normal gait.
Bajitian (Morinda Officinalis Root) is the sovereign herb; tonifying Fire is also tonifying Water. Assistive herbs complement each other. Avoiding Rougui (Cinnamon Twig) and Danggui (Angelica Sinensis Root) to warm Blood is meaningful. Tonifying Qi generates Essence fastest; rapid Essence generation warms Marrow quickly. Blood-warming herbs are sluggish and hinder speed. Biba (Dioscorea Hypoglauca Rhizome) traditionally opposes Fangfeng (Saposhnikovia Root), but their mutual inhibition creates synergy, working together harmoniously.
A person has rebellious Liver Qi, pulling pain in the chest/diaphragm, frequent fright during sleep, loss of appetite, acid regurgitation with vomiting, and tendon/spasm contraction. People diagnose Liver Bi (Liver Bi: Bi syndrome affecting the Liver channel). While it is Liver Bi, do people understand why the Liver forms Bi? Although caused by wind-cold-dampness, it also results from Qi-Blood deficiency. Liver Blood deficiency invites Dampness; Liver Qi deficiency invites Wind; Liver Qi-Blood deficiency invites Cold. These pathogens enter the Liver Channel, worsening Blood deficiency and Qi depletion. Consequently, Liver Hun (Ethereal Soul) cannot reside in the Liver, escaping to cause fright. Diseased Liver Channel cannot generate Heart Qi; Heart lacking Blood nourishment cannot generate Stomach Qi. Without Stomach Qi, digestion fails. Forcing food/drink leads to acid regurgitation and vomiting. Food nourishes Zang-Fu; undigested food cannot transform into Essence to nourish tendons, causing spasms. Treatment must not just expel wind-cold-dampness but address Liver Channel Qi-Blood. Use Ganbi San (Liver Bi Powder): Renshen (Ginseng Radix et Rhizoma, 3 qian), Danggui (Angelica Sinensis Root, 1 liang), Chuanxiong (Ligusticum Rhizome, 5 qian), Daizheshi (Hematitum, 2 qian powder), Qianghuo (Notopterygium Rhizome, 5 fen), Rougui (Cinnamon Twig, 1 qian), Fuling (Poria, 5 qian), Suanzaoren (Ziziphus Jujuba Seed, 3 qian). Decoct in water, mix with Dansha (Cinnabar) and Daizheshi powder, and take orally. One dose stops fright; two doses relieve chest pain and reverse Liver Qi rebellion; four more doses cure acid regurgitation/vomiting and relax tendons.
Danggui and Chuanxiong generate Blood; Renshen tonifies Qi to open Blood; Daizheshi guides Liver Qi, assisting Chuanxiong/Danggui. With Qi opened and Blood flowing, pathogens exit. Rougui repels cold; Fuling drains dampness; Qianghuo removes wind, preventing pathogen retention and Hun disorder. Suanzaoren (Ziziphus Jujuba Seed) and Dansha (Cinnabar) rapidly calm fright.
This condition can also use Ershu Jiubi Yin (Two Atractylodes Rescue Bi Drink): Baizhu (Atractylodes Macrocephala Rhizome), Baishao (White Peony Root), Fushen (Poria with Hostwood) (each 5 qian), Chenpi (Citrus Reticulata Pericarp), Rougui (Cinnamon Twig), Chaihu (Bupleurum Root) (each 1 qian), Zhike (Aurantii Fructus Immaturus, 5 fen), Yuanzhi (Polygala Root), Baijiezi (White Mustard Seed), Cangzhu (Atractylodes Lancea Rhizome) (each 3 qian). Decoct in water and take orally.
A person experiences restless cough, chest/diaphragm blockage, incessant sputum, upper Qi fullness/distension, inability to descend. People diagnose Lung Bi (Lung Bi: Bi syndrome affecting the Lung). Everyone ignores that Lung Bi stems from Qi deficiency. The Lung is the Minister Official, governing regulation, commanding all Qi in the body, reaching every meridian and organ. Qi fills the Lung, and the Lung masters Qi. Lung disease causes Qi disease, and Qi disease causes Lung disease. Thus, Lung Bi is Qi Bi. Treating Lung Bi without treating Qi is impossible. Although the Lung governs Qi, Qi-tonifying herbs cannot enter the Lung directly; one must tonify Spleen-Stomach Qi to generate Lung Qi. Only Spleen-Stomach Earth generates Lung Qi. However, the Heart controls the Lung; the Liver opposes the Lung; the Kidney consumes Lung Qi. One organ generating Qi cannot counter multiple organs consuming it, explaining why Qi easily declines and pathogens easily enter. Furthermore, Spleen-Stomach Earth can secretly injure Lung Metal. Food entering the Stomach relies on Spleen-Stomach Qi to transfer to the Lung. If Spleen-Stomach contracts wind-cold-dampness, pathogens follow Qi to the Lung, injuring it. Anger causes Liver Qi to rebel against the Lung; excessive desire causes Kidney Qi to rebel against the Lung. Lung Qi injury allows wind-cold-dampness to fill Lung orifices, forming Bi. Use Feibi Tang (Lung Bi Decoction): Renshen (Ginseng Radix et Rhizoma, 3 qian), Fuling (Poria, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 5 qian), Baishao (White Peony Root, 5 qian), Zi Su Ye (Perilla Leaf, 2 qian), Banxia (Pinellia Tuber, 1 qian), Chenpi (Citrus Reticulata Pericarp, 1 qian), Zhike (Aurantii Fructus Immaturus, 3 qian). Decoct in water and take orally. Two doses calm cough; two more open blockage; ten doses cure all symptoms.
Some argue: Renshen tonifies Qi, but excessive use may aid pathogens. Why is it suitable? Lung Bi stems from Qi deficiency, not excess. Renshen fears excess but not deficiency. Additionally, Zi Su Ye treats wind, Banxia eliminates dampness, and Rougui dispels cold, leaving no room for pathogens.