四肢百节走痛∶风热,风湿,血虚,有痰。
大法主方∶苍术、南星、川芎、白芷、当归、酒黄芩。
在上者加羌活、桂枝、桔梗、威灵仙。
在下者加牛膝、防己、木通、黄柏。
血虚者,多用川芎、当归,佐以桃仁、红花。
薄桂治痛风。无味而薄者,独此能横行手臂。领南星、苍术等治之。
上中下痛风方∶
威灵仙(三钱) 南星(二两) 苔芎(二两) 桃仁(五钱) 白芷(五钱) 桂枝(三钱) 防己
(半钱) 苍术(二两) 黄柏(二两,酒浸炒) 红花(一钱半) 羌活(三钱) 神曲(一两,炒)
草龙胆(五分)
张子元气血虚有痰浊阴火痛风
人参(一两) 白术(二两) 黄柏(二两,炒黑色) 山药(一两) 海石(一两) 锁阳(五钱)
干姜(五钱,烧灰) 南星(一两) 败龟板(二两,酒炙) 熟地黄(二两) 粥为丸。
治臂痛
半夏(一钱) 陈皮(五分) 茯苓(五分) 苍术(一钱半) 酒芩(一钱) 威灵仙(三分) 白术
(一钱) 甘草(少许,炒) 南星(一钱) 香附(一钱)
(其主在乎阴虚,痰与血病。)
青蒿(一斗五升) 童便(三斗) 文武火熬,约童便减二斗,去蒿,熬至一斗,入猪胆汁七个,再熬数
沸,甘草末收之。
虚劳身瘦属火。因火烧烁。
劳病,四物汤加人尿、姜汁。
四肢百节游走性疼痛:多由风热、风湿、血虚或痰湿引起。
治疗的大法与主方:使用苍术、天南星、川芎、白芷、当归、酒制黄芩。
病位在上肢的,加用羌活、桂枝、桔梗、威灵仙。
病位在下肢的,加用牛膝、防己、木通、黄柏。
属于血虚的,多用川芎、当归,佐以桃仁、红花。
薄桂(质地较薄的肉桂)可治疗痛风。气味淡薄而质地轻薄的肉桂,唯独它能横行于手臂经络之中。配合天南星、苍术等药物来治疗。
上中下通用痛风方:
威灵仙(三钱)、天南星(二两)、川芎(二两)、桃仁(五钱)、白芷(五钱)、桂枝(三钱)、防己(半钱)、苍术(二两)、黄柏(二两,酒浸后炒)、红花(一钱半)、羌活(三钱)、神曲(一两,炒)、草龙胆(五分)。
张子元患气血虚弱兼有痰浊阴火导致的痛风:
人参(一两)、白术(二两)、黄柏(二两,炒至黑色)、山药(一两)、海浮石(一两)、锁阳(五钱)、干姜(五钱,烧成炭灰)、天南星(一两)、败龟板(二两,酒炙)、熟地黄(二两)。以上药物制成粥糊为丸。
治疗臂痛:
半夏(一钱)、陈皮(五分)、茯苓(五分)、苍术(一钱半)、酒制黄芩(一钱)、威灵仙(三分)、白术(一钱)、甘草(少许,炒)、天南星(一钱)、香附(一钱)。
(其病机关键在于阴虚,兼有痰湿与血瘀病变。)
青蒿(一斗五升)、童便(三斗)。用文武火熬煮,直到童便减少二斗,去掉青蒿渣,继续熬煮至剩下一斗,加入七个猪胆汁,再煮沸数次,最后用甘草末收膏。
Wandering pain in the four limbs and all joints: Caused by wind-heat, wind-dampness, blood deficiency, or phlegm.
General principle and main formula: Rhizoma Atractylodis Macrocephalae (Cangzhu), Rhizoma Arisaematis (Nanxing), Radix Chuanxiong (Chuanxiong), Radix Angelicae Dahuricae (Baizhi), Radix Angelicae Sinensis (Danggui), Scutellariae Radix processed with wine (Jiu Huangqin).
For lesions in the upper part, add Notopterygii Rhizoma et Radix (Qianghuo), Ramulus Cinnamomi (Guizhi), Fructus Platycodonis (Jiegeng), and Herba Clematidis (Weilingxian).
For lesions in the lower part, add Achyranthis Bidentatae Radix (Niuxi), Stephaniae Tetrandrae Radix (Fangji), and Stemona Root? No, Tong Cao (Mutong), Phellodendri Cortex (Huangbai).
For blood deficiency, use more Chuanxiong and Danggui, assisted by Persicae Semen (Taoren) and Carthami Flos (Honghua).
Thin Cinnamon Twig (Bo Gui) treats gout. Among those that are odorless and thin, only this one can traverse the arms. It is treated with Nanxing, Cangzhu, etc.
Formula for Gout affecting Upper, Middle, and Lower Jiao:
Herba Clematidis (Weilingxian, 3 qian), Rhizoma Arisaematis (Nanxing, 2 liang), Radix Chuanxiong (Chuanxiong, 2 liang), Persicae Semen (Taoren, 5 qian), Radix Angelicae Dahuricae (Baizhi, 5 qian), Ramulus Cinnamomi (Guizhi, 3 qian), Stephaniae Tetrandrae Radix (Fangji, half qian), Rhizoma Atractylodis Macrocephalae (Cangzhu, 2 liang), Phellodendri Cortex (Huangbai, 2 liang, soaked in wine and stir-fried), Carthami Flos (Honghua, 1.5 qian), Notopterygii Rhizoma et Radix (Qianghuo, 3 qian), Massa Medicata Fermentata Chinensis (Shenqu, 1 liang, stir-fried), Radix Gentianae (Caolongdan, 5 fen).
Zhang Ziyuan's case of gout due to Qi and Blood deficiency with turbid phlegm and Yin fire:
Ginseng Radix et Rhizoma (Renshen, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 2 liang), Phellodendri Cortex (Huangbai, 2 liang, stir-fried until black), Dioscoreae Rhizoma (Shanyao, 1 liang), Lapis Calcitae (Haishi), Curculiginis Rhizoma (Suoyang, 5 qian), Zingiberis Rhizoma (Ganjiang, 5 qian, burnt to ash), Rhizoma Arisaematis (Nanxing, 1 liang), Testudinis et Plastrum (Baiguiban, 2 liang, wine-roasted), Rehmanniae Radix Praeparata (Shu Dihuang). Made into pills using rice congee as a binder.
Treatment for Arm Pain:
Pinelliae Rhizoma Preparatum (Banxia, 1 qian), Citri Reticulatae Pericarpium (Chenpi, 5 fen), Poria (Fuling, 5 fen), Rhizoma Atractylodis Macrocephalae (Cangzhu, 1.5 qian), Scutellariae Radix processed with wine (Jiu Huangqin, 1 qian), Herba Clematidis (Weilingxian, 3 fen), Atractylodis Rhizoma (Baizhu, 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, a little, stir-fried), Rhizoma Arisaematis (Nanxing, 1 qian), Cyperi Rhizoma (Xiangfu, 1 qian).
(The key pathology lies in Yin deficiency, with complications of phlegm and blood disorders.)
Artemisiae Annuae Herba (Qinghao, 1 dou 5 sheng), Ur pueri (Tongbian). Decoct over mild and strong heat until the urine reduces by 2 dou, remove the Qinghao dregs, continue decocting until 1 dou remains, add seven pig gallbladders, boil a few times more, and collect with powder of Glycyrrhizae Radix et Rhizoma (Gancao).
Consumptive disease with emaciation belongs to Fire syndrome. Caused by the scorching effect of fire.
For consumptive diseases, use Siwu Tang added with Ur pueri and Ginger juice.