【 Key points of syndrome differentiation 】 Limb joints are sore, vacillating, joint flexion and extension is unfavorable, or fever due to wind aversion, thin and white fur and floating pulse.

[Treatment] Expelling wind and dredging collaterals, dispelling cold and removing dampness.

Fangfeng decoction: Fangfeng 12g, Ephedra 6g, Angelica sinensis 12g, Gentiana macrophylla 12g, Cinnamomum cassia 6g, Poria cocos 12g, Glycyrrhrizae Radix 6g, Ginger 6g and Jujube 6g.

Radix Saposhnikoviae and Herba Ephedrae are used to dispel wind and cold; Angelica sinensis, Gentiana macrophylla and Cinnamomum cassia promote blood circulation, dredge collaterals and relieve pain, which means treating wind and blood first, and the blood circulation will go out by itself; Poria cocos can strengthen the spleen and promote diuresis, and ginger, jujube, licorice and Chinese herbs can be used for regulating the diet.

For patients with severe upper limb pain, Notopterygium Rhizoma 12g, Radix Angelicae Dahuricae 9g, Radix Clematidis 12g, Curcuma rhizome 9g and Rhizoma Chuanxiong 9g are added.

For patients with severe lower limb pain, Radix Angelicae Pubescentis 12g, Radix Achyranthis Bidentatae 9g and Rhizoma Smilacis 12g are added.

For patients with severe lumbago, Eucommia ulmoides Oliv. 12g, Taxilli 30g, Epimedium 12g, Morinda officinalis how 9g, and Dipsacus Radix 9g are added.

For patients with joint swelling and fever, Guizhi Shaoyao Mu Zhi Decoction is used: 9 grams of Guizhi, 9 grams of Paeonia lactiflora, 9 grams of Radix Glycyrrhizae Preparata, 3 grams of Herba Ephedrae, 9 grams of Atractylodis Macrocephalae, 9 grams of Rhizoma Anemarrhenae, 9 grams of Radix Saposhnikoviae, 6 grams of Radix Aconiti Lateralis Preparata and 6 grams of ginger.

(2) Pain and joint pain

【 Key points of syndrome differentiation 】 The pain in joints of limbs is severe, and the pain is localized, while the heat is relieved and the cold is aggravated. The joints can't flex, the local skin color is not red, the touch is not hot, the moss is thin and white, and the pulse is tight.

[Treatment] Warming meridians to dispel cold, expelling wind and removing dampness.

[Prescription] Add and subtract Fuzi Decoction: Radix Aconiti Lateralis 12g, Herba Ephedrae 3g, Radix Paeoniae Alba 12g, Radix Glycyrrhizae 9g, Radix Astragali 9g, Ramulus Cinnamomi 6g and Asari 3g.

Radix Aconiti Lateralis Preparata and Herba Ephedrae are used for warming channels, dispelling cold, removing dampness and relieving pain. Paeonia lactiflora and licorice. Astragalus membranaceus strengthens qi and consolidates exterior; Guizhi and Asari dispel cold and wind, promote blood circulation and dredge veins.

Arthralgia aggravates scorpion and centipede, promoting blood circulation and dredging collaterals to relieve pain; Joint swelling, add Alisma orientalis, Polyporus, Rhizoma Atractylodis and Coicis Semen to remove dampness and reduce swelling; Joint deformity should be supplemented by psoralea corylifolia and aspergillus officinalis how to tonify kidney and strengthen tendons?

(3) Obstruction of arthralgia

【 Key points of syndrome differentiation 】 Limb joints are heavy, sore or swollen, pain is limited, hands and feet are heavy, mobility is inconvenient, skin feels dull, fur is white and greasy, and pulse is slippery.

[Treatment] Eliminating dampness and dredging collaterals, expelling wind and dispelling cold.

[Prescription] Coix seed soup: 30g of Coix seed, 0/2g of Rhizoma Atractylodis, 0/2g of Notopterygii Rhizoma, 0/2g of Radix Angelicae Pubescentis, 9g of Radix Saposhnikoviae, 9g of Radix Aconiti Preparata, 3g of Herba Ephedrae, 6g of Ramulus Cinnamomi, 9g of Radix Angelicae Sinensis, 9g of Rhizoma Chuanxiong and 6g of Radix Glycyrrhizae.

In the prescription, coix seed and atractylodes rhizome are used to strengthen the spleen and eliminate dampness; Notopterygii Rhizoma, Radix Angelicae Pubescentis, Radix Saposhnikoviae, and expelling wind and dampness; Radix Aconiti, Herba Ephedrae, and Ramulus Cinnamomi warm meridians, dispel cold and remove dampness; Angelica sinensis and Ligusticum chuanxiong nourish blood and promote blood circulation; Glycyrrhiza uralensis Fisch strengthens spleen and neutralizes qi.

Rhizoma Dioscoreae Septemlobae 12g and Rhizoma Curcumae 12g are added for joint swelling, and Cortex Erythrinae 12g and Herba Siegesbeckiae 12g are added for rough skin.

Rheumatic rheumatism

【 Key points of syndrome differentiation 】 Arthralgia, local burning pain and swelling, slightly cold and comfortable, and the pain is untouchable. It can involve one or more joints, and most of them have systemic symptoms such as fever, bad wind, thirst and boredom. The fur is yellow and dry, and the pulse is slippery.

[Treatment] Clearing heat and dredging collaterals, expelling wind and removing dampness.

[Prescription] Baihu Guizhi Decoction: gypsum 30g, Rhizoma Anemarrhenae 12g, Radix Glycyrrhizae 9g, japonica rice 9g, Ramulus Cinnamomi 6g, Caulis Lonicerae 30g, Fructus Forsythiae 12g, Cortex Phellodendri 12g, Curcuma longa 9g, Radix Clematidis 9g, Ramulus Mori 30g, and Cortex Erythrinae 12g.

In the prescription, white tiger soup is used to clear away heat and trouble, nourish the stomach and produce fluid; Guizhi Shufeng Tongluo; Adding Caulis Lonicerae, Fructus Forsythiae and Cortex Phellodendri for clearing away heat and toxic materials; Curcuma longa, Radix Clematidis, Ramulus Mori, and Cortex Erythrinae promote blood circulation, dredge collaterals, dispel wind and remove dampness.

Cortex moutan 12g, Radix Rehmanniae 12g, Kochia scoparia 12g and Radix Paeoniae Rubra 12g are added to the skin with erythema.

Rhinoceros horn powder for fire victims is flavored: 50 mg of buffalo horn, 0/2g of coptis root/kloc, 0/2g of gardenia, 6 g of rehmannia root12g of cimicifugae Rhizoma, 0/2g of turmeric/kloc-0, 20g of oriental wormwood, 0/2g of erythrina bark/kloc-0, 2g of oriental wormwood.

(5) Refractory joint pain

【 Key points of syndrome differentiation 】 It develops from various chronic arthralgia syndromes. The pain is sometimes light and heavy, the joints are swollen and deformed, and the flexion and extension are unfavorable. The tongue is purple and dark, the coating is white and greasy, and the pulse is fine and astringent.

[Treatment] Resolving phlegm and removing blood stasis, searching wind and dredging collaterals.

[Prescription] Jiawei Taohong Drink: peach kernel 12g, safflower 12g, angelica sinensis 12g, Paeonia lactiflora 12g, Chuanxiong 9g, Clematis chinensis 12g, pangolin 9g, earthworm 12g.

In the prescription, Taohong Siwu decoction is used to nourish blood and promote blood circulation, remove blood stasis and dredge collaterals; Pangolin, Pheretima, Eupolyphaga Seu Steleophaga, Scorpio and Zaocys; White mustard seed and Arisaema cum bile can resolve phlegm and dispel wind.

For patients with long-term deficiency of both qi and blood and discomfort of liver and kidney, products for nourishing qi and blood and liver and kidney are added: Eucommia ulmoides 12g, Achyranthes bidentata 9g, Ginseng 6g, Poria cocos 12g, Rhizoma Cibotii 9g, Chinese yam 12g, etc.