历节风者，血气衰弱，风寒袭入关节，不得流通，真邪相攻，所历之节，悉皆疼痛，故
谓历
历节肿痛，的是湿病。由饮酒当风，或汗出入水所致。经云∶湿流关节是也。挟寒者，
其痛
没药散
没药（研，半两） 虎胫骨（酥炙，三两）
二味捣末，每服二钱，温酒调下，日三。
大枣汤
大枣（十五枚） 附子（一枚） 甘草（一尺） 黄 （四两） 麻黄（五两） 生姜（二
水七升，煮取三升，每服一升，日三。
白头翁酒 治诸风攻痛四肢百节。
白头翁草一握，捣，以醇酒投之，顿服。
又方
黑豆（炒，半升） 威灵仙（二两） 桑根白皮（一两）
三味用醇酒一升半，煎取八合，去滓，顿服之。桑皮换桑枝佳。张杲尝患两臂痛，服诸
药无效。一医教取桑枝一小升，切细，炒香，以水三大升，煎取二升，一日服尽无时，数剂而愈
犀角汤 治热毒流入四肢，历节肿痛。（《千金》）
犀角（二两） 羚羊角（一两） 前胡 黄芩 栀子仁 射干（各三两） 大黄
升麻（各四两） 豆豉（一两）
水九升，煮取三升，去滓分三服。一方有独活一两半，元参、生干地黄各一两，牛蒡根
半两
至于攻走骨节，则独活、牛蒡根尤有专长也。
白花蛇散
白花蛇（酒浸，去皮骨，二两） 何首乌（去黑皮） 蔓荆实 牛膝（酒浸，各四两）
威灵仙 荆芥穗 旋复花（各二两）
上七味捣末，每服一钱，温酒调下，空心临卧服。
牛膝汤
牛膝（酒浸） 当归 赤芍（各一两） 虎骨（酥炙令黄，二两） 芒硝（别研） 芎
（各半两） 桃仁（去皮光，双仁勿用，二两）
上七味为散，每服空心温酒调下一钱至二钱。
抵圣散
虎胫骨（不计多少，打破，酒浸，蘸酒旋炙令黄脆为度。）
上一味为散，每服半钱，入薄荷末一钱，人参末半钱，煎乳香酒调下。
仁斋云∶虎骨酥炙黄捶碎如米，每骨一升，以酒三升，浸五日，空心服一盏，冷则暖之
麝香丸 治白虎历节，诸风疼痛，游走无定，状如虫啮，昼静夜剧，及一切手足
大川乌（八角者三个，生用） 全蝎（三十一个，生用） 黑豆（二十一粒，生用） 地龙
上为细末，入麝香半字约三分，同研匀，糯米饮糊丸，如绿豆大，每服七丸，甚者十丸
，夜卧令膈空，温酒下，微出冷汗一身便瘥。
许叔微云∶予得此方，凡是历节及不测疼痛，一二服便瘥。在歙州日，有一贵家妇人，
遍身走注疼痛，至夜则发，如虫啮其肌，多作鬼邪治。予曰∶此正历节痛，三服愈。
历节风，是由于血气衰弱，风寒之邪侵袭关节，导致气血不能流通，正气与邪气相互抗争，凡是受邪经过的关节，全都疼痛，所以称为历节。
历节肿痛，确切地说是湿病。多由饮酒时当风，或出汗后入水所致。《内经》说：“湿气流注于关节”就是指的这种情况。
若兼挟寒邪者，其疼痛剧烈，可用没药散治疗。
没药散方：
没药（研细，半两） 虎胫骨（用酥炙，三两）
将这两味药捣成粉末，每次服用二钱，用温酒调服，每日三次。
大枣汤方：
大枣（十五枚） 附子（一枚） 甘草（一尺） 黄芪（四两） 麻黄（五两） 生姜（二两）
用水七升，煮取三升，每次服用一升，每日三次。
白头翁酒：治疗各种风邪攻注引起的四肢百节疼痛。
白头翁草一握，捣碎，用醇酒浸泡，一次性服下。
又一方：
黑豆（炒，半升） 威灵仙（二两） 桑根白皮（一两）
这三味药用醇酒一升半，煎取八合，去渣，一次性服下。其中桑根白皮换成桑枝效果更好。张杲曾经患双臂疼痛，服用各种药物无效。一位医生教他取桑枝一小升，切碎，炒香，用水三大升，煎取二升，不分时候在一日内服完，服用几剂后痊愈。
犀角汤：治疗热毒流入四肢，引起历节肿痛。（出自《千金方》）
犀角（二两） 羚羊角（一两） 前胡 黄芩 栀子仁 射干（各三两） 大黄 升麻（各四两） 豆豉（一两）
用水九升，煮取三升，去渣分三次服用。另一版本方中有独活一两半，玄参、生干地黄各一两，牛蒡根半两。至于风邪攻走骨节，独活和牛蒡根尤其有专长。
白花蛇散方：
白花蛇（酒浸，去皮骨，二两） 何首乌（去黑皮） 蔓荆实 牛膝（酒浸，各四两） 威灵仙 荆芥穗 旋复花（各二两）
以上七味药捣成粉末，每次服用一钱，用温酒调服，空腹及睡前服用。
牛膝汤方：
牛膝（酒浸） 当归 赤芍（各一两） 虎骨（酥炙令变黄，二两） 芒硝（另研细） 川芎（各半两） 桃仁（去皮尖，双仁勿用，二两）
以上七味药制成散剂，每次空腹用温酒调服一钱至二钱。
抵圣散方：
虎胫骨（数量不限，打破，用酒浸，蘸酒旋转炙烤至黄脆为度。）
将这一味药制成散剂，每次服用半钱，加入薄荷末一钱，人参末半钱，用煎好的乳香酒调服。
仁斋说：虎骨用酥炙黄后捶碎如米粒大小，每骨一升，用酒三升，浸泡五日，空腹服一盏，若酒冷则加热后再服。
麝香丸：治疗白虎历节风，各种风邪疼痛，游走不定，状如虫咬，白天安静夜晚加剧，以及一切手足疼痛。
大川乌（八角形者三个，生用） 全蝎（三十一个，生用） 黑豆（二十一粒，生用） 地龙（适量）
以上药研为细末，加入麝香半字（约三分），一同研匀，用糯米饮糊制作成丸，如绿豆大小，每次服用七丸，严重者十丸。夜间睡觉时让胃脘部空虚，用温酒送服，全身微微出冷汗即可痊愈。
许叔微说：我得到这个方子，凡是历节风及不明原因的疼痛，一二服就能痊愈。在歙州时，有一位富贵人家的妇人，遍身游走性疼痛，到了夜间发作，像虫子咬她的肌肉一样，人们多当作鬼邪来治疗。我说：这正是历节痛，服用三剂就好了。
Li Jie Feng (Lime Disease / Polyarthralgia) is caused by the decline of blood and qi, where wind-cold pathogens invade the joints, preventing smooth circulation. The righteous qi and pathogenic factors clash, causing pain in all joints traversed by the pathogen; hence it is called Li Jie (passing through joints).
Li Jie swelling and pain are precisely dampness diseases. They are caused by drinking alcohol while exposed to wind, or entering water while sweating. The Classics state: "Dampness flows into the joints."
If accompanied by cold pathogens, the pain is severe; treat with Moyao San (Myrrh Powder).
Moyao San Prescription:
Myrrha (ground, half tael) Hu Jing Gu (Tiger Tibia Bone, roasted with butter, three taels)
Grind these two ingredients into powder. Take two qian per dose, mixed with warm wine, three times a day.
Dazao Tang (Jujube Decoction):
Zaoren (Jujube Fruit, fifteen pieces) Fuzi (Prepared Aconite Root, one piece) Gancao (Licorice Root, one chi) Huangqi (Astragalus Root, four taels) Mahuang (Ephedra Herb, five taels) Shengjiang (Fresh Ginger, two taels)
Boil in seven sheng of water until three sheng remain. Take one sheng per dose, three times a day.
Baitouweng Jiu (Peony Root Wine): Treats various wind pathogens attacking the limbs and hundreds of joints.
Take a handful of Baitouweng Cao (Pulsatilla Herb), crush it, steep it in strong wine, and take it in one dose.
Another Prescription:
Heidou (Black Soybean, stir-fried, half sheng) Weilingxian (Clematis Root, two taels) Sanggen Baipi (Mulberry Root Bark, one tael)
Decoct these three ingredients in one and a half sheng of strong wine until eight he remain. Strain and take in one dose. Replacing Sanggen Baipi with Sangzhi (Mulberry Twig) is better. Zhang Gao once suffered from arm pain and was ineffective with various medicines. A physician advised him to take a small sheng of Sangzhi, cut finely, stir-fry until fragrant, decoct in three large sheng of water until two sheng remain, and drink it all within one day at any time. After several doses, he recovered.
Xijiao Tang (Rhinoceros Horn Decoction): Treats heat-toxin flowing into the four limbs, causing Li Jie swelling and pain. (From *Qianjin Fang*)
Xijiao (Rhinoceros Horn, two taels) Lingyangjiao (Saiga Antelope Horn, one tael) Qianhu (Peucedanum Root), Huangqin (Scutellaria Root), Zhizi Ren (Gardenia Seed), Shegan (Belamcanda Rhizome) (each three taels) Dahuang (Rhubarb Root), Shengma (Cimicifuga Rhizome) (each four taels) Chidouchi (Fermented Soybean, one tael)
Boil in nine sheng of water until three sheng remain. Strain and divide into three doses. Another version includes Duhuo (Angelica Pubescens Root, one and a half taels), Xuanshen (Scrophularia Root), Sheng Gan Dihuang (Fresh Rehmannia Root, each one tael), and Niubang Gen (Arctium Root, half tael). Regarding wind pathogens attacking the bone joints, Duhuo and Niubang Gen have particular expertise.
Baihua She San (White-Flowered Snake Powder):
Baihua She (White-Flowered Snake, soaked in wine, skin and bones removed, two taels) Heshouwu (Polygonum Multiflorum Root, remove black skin) Manjingzi (Vittex Seed), Nixi (Achyranthes Root, soaked in wine, each four taels) Weilingxian (Clematis Root), Jingjie Sui (Schizonepeta Spike, each two taels) Xuanfuhua (Inula Flower, two taels)
Grind the above seven ingredients into powder. Take one qian per dose, mixed with warm wine, taken on an empty stomach and before sleep.
Nixi Tang (Achyranthes Decoction):
Nixi (Achyranthes Root, soaked in wine) Danggui (Angelica Sinensis Root) Chishao (Red Peony Root) (each one tael) Hugutou (Tiger Bone, roasted with butter until yellow, two taels) Mangxiao (Mirabilite, separately ground fine) Xiong (Ligusticum Rhizome) (each half tael) Taoren (Peach Kernel, skin and tip removed, non-double kernels only, two taels)
Make the above seven ingredients into a powder. Take one to two qian per dose on an empty stomach, mixed with warm wine.
Diseng San (Sage-Resisting Powder):
Hu Jing Gu (Tiger Tibia Bone, quantity unspecified, broken, soaked in wine, roasted with wine rotationally until yellow and brittle)
Grind this single ingredient into powder. Take half a qian per dose, add one qian of Bohe Mo (Mint Powder) and half a qian of Renshen Mo (Ginseng Powder), and mix with decocted Rushen Jiu (Frankincense Wine).
Ren Zhai stated: Roast Tiger Bone with butter until yellow, crush it like rice grains. For every sheng of bone, soak in three sheng of wine for five days. Take one zhan on an empty stomach; if cold, warm it up.
Shexiang Wan (Musk Pill): Treats Bai Hu Li Jie (White Tiger Li Jie), various wind pains that wander without fixed location, feeling like insect bites, quiet during the day and severe at night, as well as all hand and foot pains.
Da Chuanwu (Large Sichuan Aconite, octagonal shape, three pieces, raw use) Quanxie (Whole Scorpion, thirty-one pieces, raw use) Heidou (Black Soybean, twenty-one grains, raw use) Dilong (Earthworm, appropriate amount)
Grind the above into fine powder, add Ban Zi (half zi, approx. three fen) of Shexiang (Musk), grind uniformly together. Use Nuomi Yin (Rice Porridge Drink) paste to make pills the size of mung beans. Take seven pills per dose, ten for severe cases. Ensure the epigastrium is empty before sleep, take with warm wine. Recovery occurs when slight cold sweat covers the body.
Xu Shumi said: I obtained this prescription. For any Li Jie or unexplained pain, one or two doses bring recovery. While in Shizhou, there was a noblewoman who suffered from wandering pain all over her body, which flared up at night, feeling like insects biting her muscles. People mostly treated it as ghostly evil. I said: This is exactly Li Jie pain; three doses cured it.