一 一人善酒，卧床褥者三年。仲淳诊之，知其酒病也。夫酒本湿热之物，多饮者则阳明湿热甚，
下客于肾而为骨痿。昔人治痿病取阳明，五味子为君，以黄连为臣，麦
冬、干葛、白扁豆、为佐。服之立起。
二 一少年新娶后，得脚软病，且疼甚，此肾虚也。《本经》言∶杜仲益精气，坚筋骨，用一
两，水酒各半煎服，取速奏效。果三日能行，又三日痊愈。
痹症无不由风、寒、湿三气杂感而成。故经曰∶风、寒、湿三气杂至，合而为痹也。其风气胜者
为行痹，寒气胜者为痛痹，湿气胜者为着痹。盖痹者，闭也，三气杂至，则经络闭塞，血气不流，而痹
斯作矣。三气之中，但分邪有轻重。经言风胜、寒胜、湿胜者，指病之因；行痹、痛痹、着痹者，言病
之状。其论肺痹、心痹、脾痹、肝痹、肾痹者，病之所属，皮痹、脉痹、肌痹、筋痹、骨痹者，病之所
在。故昔人云∶风寒湿气所为行痹、痛痹、着痹，又以所遇之时，
所客之处，而命其名，非行、痛、着之外，别有皮、脉五痹也。近惟王损庵论痹，为最有见。先以
痹字提纲，后复条分，直断之曰∶行痹者，行而不定，世称走注疼痛之类，俗名流火是也，痛痹者，疼
痛苦楚，世称痛风，白虎历节是也，着痹者，重着不移，世称麻木不仁之类是也。至于治痹之要，如
李士材云∶治行痹者，散风为主，御寒利湿，仍不可废，大抵参以补血之剂。盖治风先治血，血
行风自灭也。治痛痹者，散寒为主，疏风燥湿，仍不可缺，大抵参以补火之剂。非大辛大温，不能释
其凝寒为害也。治着痹者，利湿为主，祛风解寒，仍不可缺，大抵参以补脾补气之剂。盖土强可以胜
湿，而气足自无顽麻也。此其推本内经，立说甚善。但痹而果因三气者，治之宜然，若邪。郁病久，风
变为火，寒变为热，湿变为痛，又当易辙寻之，宜通经活血，疏散邪滞剂中，而参以降火清热豁痰之
品，勿徒泥士材治法，此义丹溪得之。在《内经》原有热痹之症，非凿说也。大抵痹而知痛知痒者易
治，不痛不仁者难医。又宜图之于早，迟则必至如经所谓皮痹不已，复感于邪，内舍于肺而为肺痹，烦
满喘呕。脉痹不已，复感于邪，内舍于心，而为心痹，烦心上气，嗌干善噫。肌痹不已，复感于邪，内
舍于脾而为脾痹，四肢懈惰，呕汗痞塞。筋痹不已，复感于邪，内舍于肝，而为肝痹，夜卧则惊，多饮数
溲。骨痹不已，复感于邪，内舍于肾，而为肾痹，足挛不能伸，而尻以代踵，身偻
不能直，而脊以代头。五脏痹显，而难治矣。故经曰∶其入脏者死，其留连筋骨间者疼久，其留皮
肤间者易已。治痹者，所宜审焉。
行痹主方 治风气胜者为行痹，不拘肢体，上下左右，骨节走痛。或痛三、五日，又移换一
处，〔风性属阳，善行数变。〕日轻夜重。〔昼交阳分，卫气行表，故痛缓；夜交阴分，气运营分，营
气稽留，卫气归阴，其脉闭塞，故痛重也。〕或红或肿，按之极热，〔风化为热。〕甚而恶寒喜
温。〔温则痹气散而痛缓，寒则痹气凝滞而痛甚，非真内有寒也。〕
秦艽〔祛除风湿。〕续断〔通宣血脉。〕当归〔活血止痛。〕没药〔破血止
痛。〕威灵仙〔其性好走，亦可横行，痛风上下皆良。各二钱。〕松节〔搜骨内之风，祛血中
之湿。〕晚蚕砂〔性燥能胜湿祛风。〕虎骨〔入骨而祛风定痛。各四钱。〕羌活 防风〔治
周身骨节疼痛，乃治风祛湿之要药。各一钱。〕桑枝〔通利关节。三、四两。炒。〕煎汤煎药。头
目痛，加甘菊、川芎，肩背痛，加桔梗，倍羌活，手臂痛，加片姜黄，腰膝脚痛，加牛膝、杜仲、川萆
，筋脉挛急，加羚羊角、〔锉屑。〕羊胫骨〔 末。〕红肿疼痛，加生地黄、黄芩。〔酒炒。〕
痛痹主方 治寒气胜者为痛痹。不拘肢体，上下左右，只在一处，疼痛异常。
前方加桂枝，倍当归，宜酒煎服。〔久则不宜。〕外用蚕砂，〔炒热，绢包熨之。〕或用牛皮胶
同姜汁化贴之。
着痹主方 治湿气胜者，为着痹，肢体重着，不能移动，疼痛麻木。
前方加苍术〔燥湿。〕茯苓 泽泻〔渗湿。〕天麻〔主治湿痹麻木。〕甚者加
白藓皮，〔清湿热，疗死肌。〕脚膝肿痛，〔湿郁为热也。〕加黄柏、防己。〔专祛下焦湿热。〕
此症总以通经活血，疏散邪滞之品为主，随所感三气，邪之轻重，及见症之寒热虚实，而加以
对症之的药。其痛痹症，若初感寒即痛者，可用桂枝及酒煎熨贴，久则寒化为热，戒用。虽云痛无补
法，然病久痛伤元气，非补气血不可。参、 、白术、地黄之属，随宜用之。凡治病用药，审明何
症，即投何药，须活泼泼地，不必拘定本门方药也。
《金匮》栝蒌薤白汤 治胸痹不得卧，心痛彻背者。〔胸中气闭，则前后俱痛。〕
栝蒌实〔开胸中之燥痹。半枚。〕薤白〔辛温宣通阳气，一两。〕半夏〔胸中如
天，阳气用事，痹则阳气虚而不运，津液凝而为痰，故以半夏同栝蒌降痰。钱许。〕白酒煎
服。〔取其宣通荣卫。〕此仲景治胸痹之神剂。按嘉言云∶胸中如太空，其阳气所过，如离照当
空，旷然无外，设地气一上，则窒塞有加，故治胸痹者，阳不主事，阴气在上之候也，故以薤白、
白酒，通阳消阴为治，不取补也。
一、有一位嗜酒之人，卧床不起长达三年。张仲淳诊断后，认为这是饮酒过度导致的疾病。酒本是湿热性质的物质，多饮者会导致阳明经湿热壅盛，湿热下行侵犯肾脏，从而形成骨痿（骨骼萎弱无力）。古人治疗痿病常选取阳明经穴位或药物，以五味子为君药，黄连为臣药，麦冬、干葛（葛根）、白扁豆为佐药。服用此方后，患者立刻好转。
二、有一位少年新婚之后，患上双腿软弱无力的病症，且疼痛剧烈，这是肾虚所致。《神农本草经》记载：杜仲能补益精气，强健筋骨，使用一两，用水和酒各半煎服，以求迅速见效。果然三天后能行走，又过三天便痊愈了。
痹症没有不是由风、寒、湿三种邪气混杂侵袭而形成的。所以《内经》说：风、寒、湿三气杂至，合而为痹。其中风气偏胜的称为行痹（疼痛游走不定），寒气偏胜的称为痛痹（疼痛剧烈固定），湿气偏胜的称为着痹（肢体沉重麻木）。所谓“痹”，就是闭塞的意思，三气混杂侵入，导致经络闭塞，气血运行不畅，痹症因此产生。在三气之中，只是区分邪气的轻重程度。经文所说的风胜、寒胜、湿胜，是指病因；行痹、痛痹、着痹，是指病症表现。文中论述肺痹、心痹、脾痹、肝痹、肾痹，是指病变所属的脏腑；皮痹、脉痹、肌痹、筋痹、骨痹，是指病变所在的部位。所以古人说：风寒湿气所致的行痹、痛痹、着痹，是根据受邪的时间和停留的部位来命名的，并非在行、痛、着之外，另有皮、脉等五痹。近代只有王损庵论痹最有见地。先以“痹”字作为总纲，然后分条阐述，直接断定说：行痹，表现为疼痛游走不定，世人称之为走注疼痛之类，俗称流火；痛痹，表现为疼痛痛苦楚烈，世人称之为痛风、白虎历节；着痹，表现为身体沉重固定不移，世人称之为麻木不仁之类。至于治疗痹症的关键，如李士材所说：治疗行痹，以祛风为主，散寒利湿也不可废弃，大抵参用补血药剂。因为治风先治血，血行风自灭。治疗痛痹，以散寒为主，疏风燥湿也不可缺少，大抵参用补火（温阳）药剂。非大辛大温之药，不能解除凝滞的寒邪危害。治疗着痹，以利湿为主，祛风解寒也不可缺少，大抵参用补脾补气药剂。因为土强可以胜湿，气足自然没有顽固性麻木。这是推究《内经》原意，立论很好。但如果痹症确实因三气引起，治疗应当如此；若邪气郁结日久，风变为火，寒变为热，湿变为痛，又应当改变治疗方法，宜用通经活血、疏散邪滞的药剂，并参用降火清热、豁痰的药物，不要死板拘泥于李士材的治疗方法，这一观点朱丹溪已经领悟。在《内经》中原本就有热痹的症状，并非穿凿附会之说。大抵痹症如果知道疼痛、知道瘙痒的容易治疗，不痛不仁的难医。又宜尽早图谋治疗，迟则必然达到《内经》所说的：皮痹不已，复感于邪，内舍于肺而为肺痹，出现烦闷喘呕；脉痹不已，复感于邪，内舍于心，而为心痹，出现心烦上气、咽干善噫；肌痹不已，复感于邪，内舍于脾，而为脾痹，出现四肢懈怠懒惰、呕吐汗出痞塞；筋痹不已，复感于邪，内舍于肝，而为肝痹，夜间睡眠则惊悸、多饮数尿；骨痹不已，复感于邪，内舍于肾，而为肾痹，出现足部挛缩不能伸展，臀部代替脚跟站立，身体弯曲不能直立，脊背代替头部前倾。五脏痹显现出来，就难以治疗了。所以经文说：邪气入脏者死，邪气留连筋骨间者疼痛持久，邪气停留在皮肤间者容易治愈。治疗痹症的人，应当仔细审察。
行痹主方：治疗风气偏胜的行痹，不拘限于肢体哪个部位，上下左右，骨节疼痛游走。有时疼痛三、五天，又转移到另一处。（风性属阳，善于运行变化。）白天轻晚上重。（白天阳气交于阳分，卫气行于体表，所以疼痛缓解；夜晚阳气交于阴分，营气运行于脉中，营气稽留，卫气归入阴分，经脉闭塞，所以疼痛加重。）或者发红或者肿胀，按压时极热，（风化为热。）严重时恶寒喜温。（温暖则痹气消散而疼痛缓解，寒冷则痹气凝滞而疼痛加剧，并非体内真有寒邪。）
秦艽（祛除风湿）、续断（通宣血脉）、当归（活血止痛）、没药（破血止痛）、威灵仙（其性好走，亦可横行，痛风上下皆良，各二钱）、松节（搜骨内之风，祛血中之湿）、晚蚕砂（性燥能胜湿祛风）、虎骨（入骨而祛风定痛，各四钱）、羌活、防风（治周身骨节疼痛，乃治风祛湿之要药，各一钱）、桑枝（通利关节，三、四两，炒）。用汤剂煎药。头目痛，加甘菊、川芎；肩背痛，加桔梗，倍用羌活；手臂痛，加片姜黄；腰膝脚痛，加牛膝、杜仲、川萆薢；筋脉挛急，加羚羊角（锉屑）、羊胫骨（末）；红肿疼痛，加生地黄、黄芩（酒炒）。
痛痹主方：治疗寒气偏胜的痛痹。不拘限于肢体哪个部位，上下左右，只在一处，疼痛异常剧烈。
前方加入桂枝，倍用当归，宜用酒煎服。（久病不宜。）外用蚕砂（炒热，绢包熨烫），或用牛皮胶同姜汁化开贴敷。
着痹主方：治疗湿气偏胜的着痹，肢体沉重固定，不能移动，疼痛麻木。
前方加入苍术（燥湿）、茯苓、泽泻（渗湿）、天麻（主治湿痹麻木）。严重者加白鲜皮（清湿热，疗死肌）；脚膝肿痛（湿郁为热也），加黄柏、防己（专祛下焦湿热）。
此症总以通经活血、疏散邪滞的药物为主，根据所感受的三气、邪气的轻重，以及症状的寒热虚实，加上对症的药物。对于痛痹症，如果是初感寒即痛的，可用桂枝及酒煎熨贴，但久病后寒化为热，应戒除使用。虽然常说痛无补法，然而病久疼痛损伤元气，非补气血不可。人参、[空缺]、白术、地黄之类的药物，酌情使用。凡治病用药，审明何种病症，就投用什么药，必须灵活变通，不必拘泥于本门的固定方药。
《金匮要略》栝蒌薤白汤：治疗胸痹不能平卧，心痛放射至背部者。（胸中气闭，则前后俱痛。）
栝蒌实（开胸中之燥痹，半枚）、薤白（辛温宣通阳气，一两）、半夏（胸中如天空，阳气用事，痹则阳气虚而不运，津液凝而为痰，故以半夏同栝蒌降痰，钱许）。用白酒煎服。（取其宣通荣卫。）这是张仲景治疗胸痹的神妙方剂。按徐嘉言说：胸中如同太空，阳气经过的地方，像太阳当空照耀，空旷无外，假如地气一上升，则窒塞更加严重，所以治疗胸痹，是阳气不主事，阴气在上的证候，所以用薤白、白酒，通阳消阴作为治疗，不取补益之法。
1. There was a person fond of drinking alcohol who had been bedridden for three years. Zhang Zhongchun diagnosed him and determined it was an illness caused by excessive alcohol consumption. Alcohol is inherently a substance of damp-heat; excessive drinking leads to severe damp-heat in the Yangming channel. This pathogen descends to affect the Kidney, resulting in Gu Wei (Bone Atrophy). In ancient times, treating Wei syndrome often involved selecting Yangming channel points or herbs, using Wuweizi (Schisandra Berry) as the Sovereign herb, Huanglian (Coptis Rhizome) as the Minister herb, Maidong (Ophiopogon Tuber), Gange (Kudzu Root), and Baibian Dou (White Hyacinth Bean) as Assistant herbs. Upon taking this prescription, the patient improved immediately.
2. A young man developed softness and weakness in his legs after his recent marriage, accompanied by severe pain. This was identified as Kidney Deficiency. The *Shennong Bencao Jing* states: Duzhong (Eucommia Bark) benefits Essence and Qi, and strengthens sinews and bones. Using one liang, decocted with half water and half wine, rapid efficacy can be achieved. Indeed, he could walk after three days and recovered fully after another three days.
Bi syndrome arises inevitably from the mixed invasion of Wind, Cold, and Dampness. Thus, the Classics state: "When Wind, Cold, and Dampness combine, they form Bi." When Wind predominates, it is called Xing Bi (Wandering Bi); when Cold predominates, it is called Tong Bi (Painful Bi); when Dampness predominates, it is called Zhuo Bi (Fixed Bi). "Bi" means obstruction. When the three pathogens mix and invade, meridians become blocked, and Qi and Blood fail to flow, causing Bi syndrome. Among the three pathogens, only the severity of the evil differs. The Classics' mention of Wind predominance, Cold predominance, and Dampness predominance refers to the etiology; Xing Bi, Tong Bi, and Zhuo Bi refer to the clinical manifestations. Discussions on Fei Bi (Lung Bi), Xin Bi (Heart Bi), Pi Bi (Spleen Bi), Gan Bi (Liver Bi), and Shen Bi (Kidney Bi) refer to the affected Zang organs; Pi Bi (Skin Bi), Mai Bi (Vessel Bi), Ji Bi (Muscle Bi), Jin Bi (Tendon Bi), and Gu Bi (Bone Bi) refer to the location of the disease. Therefore, ancients said: Xing Bi, Tong Bi, and Zhuo Bi caused by Wind, Cold, and Dampness are named based on the time of exposure and the location of the pathogen; there are no additional Pi, Mai, etc., Five Bies outside of Wandering, Painful, and Fixed Bi. Only Wang Sun'an's discussion on Bi in recent times shows profound insight. He first uses "Bi" as a general outline, then categorizes them, stating directly: Xing Bi presents as wandering and unstable pain, known in the world as moving injection pain, commonly called Liu Huo (Flowing Fire); Tong Bi presents as severe pain and suffering, known as Tong Feng (Gout) or Bai Hu Li Jie (White Tiger Joint); Zhuo Bi presents as heaviness and immobility, known as numbness and insensitivity. Regarding the key to treating Bi, as Li Shicai stated: To treat Xing Bi, dispelling Wind is primary, but dispersing Cold and draining Dampness cannot be abandoned; generally, blood-nourishing agents should be added. Because treating Wind requires treating Blood first; when Blood flows, Wind extinguishes itself. To treat Tong Bi, dispersing Cold is primary, but dispersing Wind and drying Dampness cannot be lacking; generally, Fire-tonifying (Yang-warming) agents should be added. Only large acrid and warm herbs can release the harm of coagulated Cold. To treat Zhuo Bi, draining Dampness is primary, but dispelling Wind and resolving Cold cannot be lacking; generally, Spleen-tonifying and Qi-nourishing agents should be added. Because strong Earth overcomes Dampness, and sufficient Qi eliminates stubborn numbness. This reasoning traces back to the *Neijing*, and the theory is excellent. However, if Bi is indeed caused by the three pathogens, treatment should proceed as described; but if pathogens stagnate for a long time, Wind transforms into Fire, Cold transforms into Heat, and Dampness transforms into Pain, the treatment approach must change. One should use formulas that unblock meridians and invigorate Blood, disperse pathogenic stagnation, and add herbs that clear Fire, drain Heat, and resolve Phlegm. Do not rigidly adhere to Li Shicai's methods; this principle was understood by Zhu Danxi. The *Neijing* originally describes Re Bi (Heat Bi), so this is not a forced interpretation. Generally, Bi syndromes where the patient feels pain and itching are easier to treat; those without pain or sensation are difficult to cure. Early intervention is advisable; delay may lead to the condition described in the Classics: If Pi Bi persists and re-exposure to pathogens occurs, the pathogen enters internally to lodge in the Lung, forming Fei Bi, with symptoms of irritability, fullness, wheezing, and vomiting. If Mai Bi persists and re-exposure occurs, the pathogen lodges in the Heart, forming Xin Bi, with symptoms of irritability, rising Qi, dry throat, and frequent belching. If Ji Bi persists and re-exposure occurs, the pathogen lodges in the Spleen, forming Pi Bi, with symptoms of four-limb flaccidity, vomiting, sweating, and abdominal fullness. If Jin Bi persists and re-exposure occurs, the pathogen lodges in the Liver, forming Gan Bi, with symptoms of fright during sleep, increased thirst, and frequent urination. If Gu Bi persists and re-exposure occurs, the pathogen lodges in the Kidney, forming Shen Bi, with symptoms of leg contracture unable to extend, sitting on the buttocks instead of standing on heels, body curvature unable to straighten, and leaning forward with the spine instead of the head. Once Zang Bi manifests, it becomes difficult to treat. Thus, the Classics state: Pathogens entering the Zang organs result in death; those lingering between sinews and bones cause prolonged pain; those remaining in the skin are easily cured. Practitioners treating Bi must examine carefully.
Main Prescription for Xing Bi: Treats Xing Bi caused by Wind predominance, regardless of limb location, upper or lower, left or right, with wandering bone-joint pain. Pain may last three to five days and then shift to another area. [Wind nature belongs to Yang, is good at movement and change.] Pain is lighter during the day and heavier at night. [During the day, Yang qi interacts with Yang aspects, Wei Qi circulates on the exterior, so pain alleviates; at night, Yang qi interacts with Yin aspects, Ying Qi circulates within vessels, Ying Qi stagnates, Wei Qi returns to Yin, meridians block, so pain intensifies.] Or redness or swelling, extreme heat upon pressing. [Wind transforms into Heat.] Severe cases may show aversion to cold and preference for warmth. [Warmth disperses Bi Qi and alleviates pain; Cold causes Bi Qi to coagulate and worsens pain; this is not true internal Cold.]
Qin Jiao (Gentiana Macrophylla Root) [Dispels Wind-Damp], Xu Duan (Dipsacus Root) [Unblocks and circulates Blood vessels], Dang Gui (Angelica Sinensis Root) [Invigorates Blood and stops pain], Moyao (Myrrh) [Breaks Blood stasis and stops pain], Weilingshen (Clematis Root) [Its nature is mobile, also moves horizontally, good for Gout above and below, each 2 qian], Songjie (Pine Node) [Searches out Wind in bones, removes Dampness in Blood], Wancansha (Silkworm Feces) [Dry nature overcomes Dampness and dispels Wind], Hugu (Tiger Bone) [Enters bones to dispel Wind and stop pain, each 4 qian], Qianghuo (Notopterygium Rhizome), Fangfeng (Saposhnikovia Root) [Treats whole-body joint pain, essential herbs for dispelling Wind and removing Dampness, each 1 qian], Sangzhi (Mulberry Twig) [Unblocks and benefits joints, 3-4 liang, stir-fried]. Decoct in soup to cook the medicine. For headache and eye pain, add Ganju (Chrysanthemum Flower), Chuanxiong (Ligusticum Rhizome); for shoulder and back pain, add Jiegeng (Platycodon Root), double Qianghuo; for arm and hand pain, add Pian Jianghuang (Turmeric Rhizome); for waist, knee, and foot pain, add Niuxi (Achyranthes Root), Duzhong (Eucommia Bark), Chuanbi Xie (Dioscorea Hypoglauca Rhizome); for tendon and vessel spasm, add Lingyangjiao (Antelope Horn, ground powder), Yangjinggu (Sheep Tibia Bone, powder); for redness, swelling, and pain, add Shengdihuang (Rehmannia Root), Huangqin (Scutellaria Root, wine-fried).
Main Prescription for Tong Bi: Treats Tong Bi caused by Cold predominance. Regardless of limb location, upper or lower, left or right, pain is fixed in one spot and extremely severe.
Add Guizhi (Cinnamon Twig) to the previous formula, double Dang Gui, suitable for decoction with wine. [Not suitable for long-term use.] External application: Cansha (Silkworm Feces, stir-fried hot, wrapped in silk and ironed) or Niu Pi Jiao (Ox Hide Glue melted with Ginger Juice applied topically).
Main Prescription for Zhuo Bi: Treats Zhuo Bi caused by Dampness predominance, characterized by heavy limbs unable to move, pain, and numbness.
Add Cangzhu (Atractylodes Rhizome) [Dries Dampness], Fuling (Poria), Zexie (Alisma Rhizome) [Leaches out Dampness], Tianma (Gastrodia Rhizome) [Mainly treats Damp-Bi numbness] to the previous formula. For severe cases, add Baixianpi (Dictamnus Bark) [Clears Damp-Heat, treats dead flesh]; for swollen and painful feet and knees [Dampness stagnates transforming into Heat], add Huangbai (Phellodendron Bark), Fangji (Stephania Root) [Specifically dispels Lower Jiao Damp-Heat].
This syndrome generally relies on herbs that unblock meridians, invigorate Blood, and disperse pathogenic stagnation as the mainstay. Based on the three invaded pathogens, the severity of the evil, and the cold/heat and deficiency/excess of symptoms, appropriate symptomatic herbs are added. For Tong Bi, if pain occurs immediately upon initial Cold contraction, Guizhi and wine decoctions/ironing can be used, but once Cold transforms into Heat due to duration, these must be avoided. Although it is said that pain has no tonification method, prolonged pain damages Yuan Qi, requiring Qi and Blood tonification. Renshen (Ginseng Root), [missing text], Baizhu (Atractylodes Macrocephala Rhizome), Dihuang (Rehmannia Root) and similar herbs should be used as appropriate. In treating diseases and prescribing herbs, once the syndrome is clearly identified, the corresponding medicine should be administered flexibly; one need not be confined to the fixed formulas of this specific category.
*Jinkui Yaolue* Gualou Xiebai Tang: Treats Xiong Bi (Chest Bi) where the patient cannot lie flat, and heart pain radiates to the back. [Qi closure in the chest causes pain in both front and back.]
Gualou Shi (Trichosanthes Fruit, half fruit), Xiebai (Allium Macrostemon Bulb, 1 liang, Acrid-Warm to promote Yang circulation), Banxia (Pinellia Tuber, [description: Chest is like the sky, Yang Qi functions; Bi implies Yang Qi deficiency and failure to transport, fluids condense into Phlegm, thus Banxia combined with Gualou descends Phlegm, a small amount]). Decoct with Baijiu (White Wine). [To promote circulation of Ying and Wei Qi.] This is Zhang Zhongjing's divine formula for treating Xiong Bi. According to Xu Jiayan: The chest is like the vast sky; where Yang Qi passes, it is like the sun shining in the sky, open and boundless. If Earth Qi rises even slightly, obstruction increases. Therefore, treating Xiong Bi addresses the condition where Yang Qi does not govern and Yin Qi is above. Treatment uses Xiebai and Baijiu to promote Yang and dissipate Yin, not relying on tonification.