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Jingui Yaolue · Essentials from the Golden Cabinet
5. Wind-Strike and Lijie Joint Disease · Pulses, Signs and Treatment
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Wind illness should cause failure of movement in half the body. If only an arm fails, this is impediment. A faint, rapid pulse indicates wind-strike as the cause.
A floating, tight cunkou pulse: tightness means cold, floating deficiency. Cold and deficiency contend; the pathogen is in skin. Floating means deficient blood and empty network vessels. The thief pathogen is not discharged, on either left or right. Pathogenic qi instead relaxes while upright qi becomes tight; upright qi pulls the pathogen, causing crooked deviation and failed movement. In networks it causes numb skin; in channels heaviness beyond support; in bowels failure to recognize people; in viscera difficulty speaking and saliva from the mouth.
Hou Family Black Powder: for great wind, vexing heaviness of all four limbs, aversion to cold and insufficiency in the Heart region. Outer Terrace uses it for wind madness.
Juhua 40 fen; Baizhu 10 fen; Xixin 3 fen; Fuling 3 fen; Muli 3 fen; Jiegeng 8 fen; Fangfeng 10 fen; Renshen 3 fen; Fanshi 3 fen; Huangqin 5 fen; Danggui 3 fen; Ganjiang 3 fen; Xiongqiong 3 fen; Guizhi 3 fen.
Pound the fourteen ingredients to powder. Take a fangcunbi with wine once daily. For the initial twenty days mix with warm wine. Prohibit all fish, meat and garlic; cold food is always suitable. Stop at sixty days: the medicine has accumulated in the abdomen without descending. Hot food makes it descend; cold food supports its action, according to the source.
A slow, relaxed cunkou pulse: slowness means cold, relaxation deficiency. Relaxed nutritive qi means lost blood; relaxed defensive qi wind-strike. A pathogen entering channels gives itching and hidden rash. With insufficient Heart qi, a pathogen entering the center causes chest fullness and short qi.
Fengyin Tang: removes heat with paralysis and convulsive disorder.
Dahuang, Ganjiang and Longgu 4 liang each; Guizhi 3 liang; Gancao and Muli 2 liang each; Hanshuishi, Huashi, Chishizhi, Baishizhi, Zishiying and Shigao 6 liang each.
Pound the twelve, sieve coarsely and keep in a leather bag. Take a three-finger pinch, boil in 3 sheng jinghua well water for three boils, and take 1 sheng warm. The note calls it a heat-removing formula for adults' wind-pulling and children's fright-convulsions and spasms, dozens of attacks daily, beyond physicians' treatment. Master Chao says foot-qi suits Fengyin Tang.
Fangji Dihuang Tang: for a state like madness, reckless walking and incessant solitary speech, without cold or heat, pulse floating.
Fangji 1 qian; Guizhi 3 qian; Fangfeng 3 qian; Gancao 2 qian.
Soak these four overnight in 1 cup wine and squeeze out the liquid. Coarsely pound fresh Dihuang 2 jin and steam for the time needed to cook 1 dou rice. Collect its juice in a copper vessel, squeeze out further Dihuang juice, mix and divide into two doses.
Head-Wind Rubbing Powder Formula
Large Fuzi 1 piece, heat-processed; salt, an equal portion.
Powder the two. After washing the head, use a fangcunbi to rub over the affected place so the medicine's action moves. This is a topical formula.
A deep, weak cunkou pulse: depth governs bones and Kidney; weakness sinews and Liver. Entering water while sweating, as water injures Heart, produces lijie with yellow sweat; hence the name lijie.
A floating, slippery fuyang pulse: slipperiness means grain qi in repletion, floating spontaneous sweat.
A floating, weak Lesser Yin pulse: weakness means insufficient blood, floating wind. Wind and blood contending give pulling pain.
A robust person with a rough, small pulse, short qi, spontaneous sweating, painful lijie and inability to bend or extend has suffered wine drinking, sweating and exposure to wind.
Painful limb joints, a body described with the large-and-emaciated graphs, feet swollen as if detaching, dizziness, short qi and a warm-unsettled desire to vomit are governed by Guizhi Shaoyao Zhimu Tang.
Guizhi Shaoyao Zhimu Tang Formula
Guizhi 4 liang; Shaoyao 3 liang; Gancao 2 liang; Mahuang 2 liang; Shengjiang 5 liang; Baizhu 5 liang; Zhimu 4 liang; Fangfeng 4 liang; Fuzi 2 pieces, heat-processed.
Boil the nine ingredients in 7 sheng water to obtain 2 sheng. Take 7 he warm three times daily.
Sour flavor injures sinews, making them slack, named discharge. Salty injures bones, making them wilt, named withering. Withering and discharge contending are named severed discharge. Nutritive qi does not communicate, defensive qi cannot move alone. Both faint, the Triple Burner has no control; Four Connections are cut off. Body wastes, feet alone swell greatly, yellow sweat emerges, shins are cold. If fever occurs, it becomes lijie.
Painful lijie with inability to bend or extend is governed by Wutou Tang.
Wutou Tang Formula: for painful foot-qi with inability to bend or extend.
Mahuang, Shaoyao and Huangqi 3 liang each; Gancao 3 liang, roasted; Chuanwu 5 pieces, coarsely pounded and cooked in honey 2 sheng to obtain 1 sheng, then removed.
These are five ingredients. Coarsely pound the four others and boil in 3 sheng water to obtain 1 sheng. Strain, add to the honey preparation and cook further. Take 7 he; if no effect is perceived, the historical formula says to finish the remainder.
Fanshi Tang: for foot-qi rushing into Heart.
Fanshi 2 liang.
Boil this single ingredient in fermented-grain water 1 dou and 5 sheng for three to five boils. Soaking the feet is called favorable.
Supplement · Formula 18
Supplement: Xuming Tang from Records of Ancient and Present Verified Remedies, for wind-strike with fei paralysis, inability to control the body, inability to speak, clouded awareness of painful places, or contraction preventing turning. Yao says it is the same as Great Xuming and also treats postpartum bleeding, the old and children.
Mahuang, Guizhi, Danggui, Renshen, Shigao, Ganjiang and Gancao 3 liang each; Xiongqiong 1 liang; Xingren 40 kernels.
Boil the nine ingredients in 1 dou water to obtain 4 sheng. Take 1 sheng warm, expecting slight sweat. Cover the back lightly and sit supported by a small table. Sweat brings recovery; without sweat take another dose. There are no other prohibitions, but do not face wind. It also treats inability to lie except face-down, counterflow cough with upward qi, and swollen face and eyes.
Supplement · Formula 19
Supplement: Sanhuang Tang from Thousand Gold, for wind-strike with contracted hands and feet, painful joints throughout, vexing heat, disturbed Heart, aversion to cold and no desire for food or drink all day.
Mahuang 5 fen; Duhuo 4 fen; Xixin 2 fen; Huangqi 2 fen; Huangqin 3 fen.
Boil the five ingredients in 6 sheng water to obtain 2 sheng, divided into three warm doses. One gives slight sweat, two great sweat. For Heart heat add Dahuang 2 fen; abdominal fullness Zhishi 1 fruit; counterflow qi Renshen 3 fen; palpitations Muli 3 fen; thirst Gualou root 3 fen; preexisting cold Fuzi 1 piece.
Supplement · Formula 20
Supplement: Zhu Fu Tang from Recently Effective Formulas, for wind deficiency with heavy, dizzy head, extreme suffering and no taste for food. It warms flesh, supplements the center and benefits essence and qi.
Baizhu 2 liang; Gancao 1 liang, roasted; Fuzi 1.5 pieces, heat-processed and peeled.
Chop the three. For each 5 qianbi add ginger 5 slices, jujube 1 fruit and water 1.5 zhan. Boil to seven tenths of a zhan, strain and take warm.
Supplement · Formula 21
Supplement: Cui Family Eight-Ingredient Pills, for foot-qi entering upward and numb lower abdomen.
Dry Dihuang 8 liang; Shanzhuyu 4 liang; Shuyu 4 liang; Zexie, Fuling and Mudanpi 3 liang each; Guizhi 1 liang; Fuzi 1 liang, heat-processed.
Powder the eight and combine with refined honey into wutong-seed-sized pills. Take fifteen with wine, twice daily.
Supplement · Formula 22
Supplement: Yuebi Jia Zhu Tang from Thousand Gold Formulas, for Flesh Extreme: heat drains bodily fluids, couli opens and sweat greatly escapes, with injurious wind qi and weak feet in the Lower Burner.
Mahuang 6 liang; Shigao half a jin; Shengjiang 2 liang; Gancao 2 liang; Baizhu 4 liang; Dazao 15 fruits.
With 6 sheng water first boil Mahuang and remove foam. Add the others and boil to obtain 3 sheng, divided into three warm doses. For aversion to wind add Fuzi 1 piece, heat-processed.
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