【 Key points of syndrome differentiation 】 Pale complexion, limb spasm, or pain, severe cold, or heavy head, pale tongue with white fur and tight pulse.

[Treatment] Expelling wind, dispelling cold and removing dampness, dredging channels and activating collaterals, and relieving spasm.

[Prescription] Notopterygii Rhizoma Shi Sheng Decoction: Notopterygii Rhizoma 6g, Radix Angelicae Pubescentis 6g, Rhizoma Ligustici 3 g, Radix Saposhnikoviae 3g, Rhizoma Chuanxiong 1.5g, Radix Glycyrrhizae Preparata 3g, Radix Puerariae 6g, Ramulus Cinnamomi 6g, Fructus Chaenomelis 15g, Lumbricus 10g, Scorpio 3g and Scolopendra 3g.

In the prescription, Notopterygium Rhizoma and Radix Angelicae Pubescentis are used for expelling wind and removing dampness, Radix Puerariae, Ramulus Cinnamomi and Rhizoma Ligustici are used for invigorating yang and relaxing muscles, and Radix Saposhnikoviae, Rhizoma Chuanxiong, Lumbricus, Scorpio and Scolopendra are used for promoting blood circulation, expelling wind and relieving spasm. Papaya has the effect of eliminating dampness and relieving spasm. Glycyrrhiza uralensis Fisch blends various drugs.

(2) Phlegm fire blocking collaterals

【 Key points of syndrome differentiation 】 Thin red face, dry throat and mouth, limb spasm, dry stool, red tongue with little or yellow fur, and slippery pulse.

[Treatment] Nourishing yin and clearing fire, dredging meridians, resolving phlegm and relieving spasm.

[Prescription] Ditan Decoction: 7.5g of Arisaema cum bile, 7.5g of Rhizoma Pinelliae Preparata, 6g of fried Fructus Aurantii Immaturus, 6g of Poria, 6g of Rhizoma Acori Graminei, 6g of bamboo shavings, 30g of Radix Paeoniae Alba, 6g of Cortex Moutan, 6g of Radix Scrophulariae10g, 3g of earthworm10g, 3g of scorpion and 3g of centipede.

The combination of Arisaema cum bile, Pinellia ternata, Fructus Aurantii Immaturus, Poria, Bamboo shavings and Acorus gramineus can regulate qi and resolve phlegm. Peony bark and Scrophularia root nourish yin and reduce fire. Peony is preferred. Lumbricus promoting blood circulation and dredging veins. Scorpion and centipede dispel wind and relieve spasm.

(3) Liver wind moving internally

【 Key points of syndrome differentiation 】 Headache, dizziness, impatience, irritability, blurred vision, limb spasm, numbness and paralysis, dry and red tongue and rapid pulse.

[Treatment] Nourishing yin and softening liver, expelling wind and relieving spasm.

[Prescription] Siwu Decoction combined with Shaoyao Gancao Decoction is modified: angelica 9g, Ligusticum Chuanxiong 6g, Paeonia lactiflora 30g, Radix Rehmanniae Preparata 12g, Scorpio 3g, Scolopendra 3g, Lumbricus 10g, Papaya 15g, Gastrodia elata 10g, Uncaria rhynchophylla1.

Radix Angelicae Sinensis, Rhizoma Chuanxiong, Radix Paeoniae Alba, Cortex Moutan and Radix Rehmanniae Preparata nourish blood and yin. Radix Paeoniae Alba and Radix Glycyrrhizae soften the liver. Gastrodia elata and Uncaria rhynchophylla are used for calming the liver.

Scorpion, centipede and earthworm dispel wind, dredge collaterals and relieve spasm. Papaya can dispel dampness and relieve spasm.

Deficiency of both qi and blood

【 Key points of syndrome differentiation 】 Pale complexion, palpitation, lack of sleep, weakness and spasm of limbs, pale tongue and weak pulse.

[Treatment] tonify qi and blood, relax muscles and relieve spasm.

[Prescription] Bazhen Decoction: Ginseng 6g, Atractylodes macrocephala 6g, Poria 6g, Angelica 6g, Chuanxiong 6g, Paeonia lactiflora 6g, Radix Rehmanniae Preparata 6g, Glycyrrhiza 6g, Wangjiangnan 15g and Mume 10g.

Ginseng, Atractylodes macrocephala, Poria and Glycyrrhiza are used for invigorating qi, while Angelica, Chuanxiong and Radix Rehmanniae are used for enriching blood. Assisted by Wang Jiangnan, Mume Fructus and Radix Paeoniae Alba to relieve spasm.

(5) Du meridian injury

【 Key points of syndrome differentiation 】 Du meridian trauma, limb paralysis, spasm and even rigidity, irregular stool, pale tongue or ecchymosis, white fur, deep and thin pulse or sluggish pulse.

[Treatment] dredging Du meridian, strengthening Yuanyang and relieving spasm.

[Prescription] Gui You Pill: Radix Rehmanniae Preparata 10g, Rhizoma Dioscoreae 6g, Fructus Corni 6g, Fructus Lycii 6g, Semen Cuscutae 10g, Colla cornus Cervi 6g, Eucommiae Cortex 6g, Cortex Cinnamomi 3g, Radix Angelicae Sinensis 6g, Radix Aconiti Lateralis lateralis Preparata 6g, Radix Paeoniae Alba 30g, Wangjiangnan 15g, Fructus Chaenomelis 15g, Radix Aconiti

In the prescription, Radix Aconiti Lateralis Preparata, Colla cornus Cervi and Cortex Cinnamomi warm and tonify kidney, Rhizoma Dioscoreae, Fructus Lycii and Fructus Corni nourish yin, Semen Cuscutae tonify yang and nourish yin, Cortex Eucommiae tonify liver and kidney, Radix Angelicae Sinensis tonify blood and nourish liver, Radix Paeoniae Alba, Xu Changqing and Fructus Chaenomelis should be slowly harvested and sweet, and Radix Glycyrrhizae should be blended.

Radix Paeoniae Rubra 10g, Xu Changqing 10g, Carthami Flos 10g, and Rhizoma Chuanxiong 10g are added for patients with blood stasis.