删繁疗筋虚极则筋痹好悲思颜色苍白。四肢嘘嗡。脚手拘挛伸动缩急腹中转痛。五加皮
酒方。
五加皮(一斤) 枳刺(二升 咀炙) 猪椒根皮 丹参(各八两) 桂心 当归 甘
草(炙
各三两) 天雄
苡仁(半
升) 大麻仁(
上十五味 咀。以绢袋贮酒四斗渍。春夏四宿。秋冬六七宿。初服六七合。稍稍加之。
以知为度。忌生葱猪肉冷水海藻菘菜。
又疗筋虚极伤风。为风所伤。入筋缩挛。腰背不伸。强直苦痛。或为香港脚牛膝汤方。
牛膝 防风 甘李根皮 丹参 前胡(各四两) 石斛(五两) 杜仲 秦艽 续断 鳖
甲
(炙各三两) 陈橘皮(二两) 大麻仁(二升熬研)
上十二味切。以水一斗。四升。煮取五升去滓。下麻仁。更煎取二升。分三服。忌苋菜
。(并出第八卷中)
删繁疗筋虚实暴损绝极。或因霍乱转筋腹满痛。或因服药吐利过度。脚手虚转。肠胞转
痛。人参汤方。
人参 浓朴(炙各二两) 葱白(一虎口) 白术(四两) 蓼(一把长三升)
上五味切。以水五升。煮取二升。去滓。分再服。忌桃李雀肉等。
又疗胞转筋急方。
白术 通草(各四两) 栀子仁 子芩 茯苓(各三两) 榆白皮(三两) 香豉(一
升熬绵
裹)
上七味切。以水七升。煮取三升。去滓。分三服。忌酢物桃李雀肉等。(并出第八卷中
一方无香豉)
【删繁】治疗筋虚极导致的筋痹,患者喜好悲伤思虑,面色苍白。四肢出现嘘嗡声(肢体震颤或异常感觉),手脚拘挛,伸展时牵动收缩急痛,腹部转动疼痛。
五加皮酒方:
五加皮(一斤)、枳刺(二升,切碎后炙烤)、猪椒根皮、丹参(各八两)、桂心、当归、甘草(炙,各三两)、天雄、薏苡仁(半升)、大麻仁(若干,原文此处似有缺漏,依上下文推断为药材之一)。
以上十五味药,切碎。用绢袋装好,浸泡在四斗酒中。春夏季节浸泡四个夜晚,秋冬季节浸泡六七个夜晚。初次服用六七合,逐渐增加剂量。以见效为度。忌食生葱、猪肉、冷水、海藻、菘菜(白菜)。
又治疗筋虚极伤风,因受风邪损伤,导致筋脉收缩拘挛,腰背不能伸展,僵硬强直且痛苦疼痛,或者演变为香港脚(脚气病)。牛膝汤方:
牛膝、防风、甘李根皮、丹参、前胡(各四两)、石斛(五两)、杜仲、秦艽、续断、鳖甲(炙,各三两)、陈橘皮(二两)、大麻仁(二升,熬熟研碎)。
以上十二味药切碎。用水一斗四升,煮取五升,去渣。加入麻仁,再煎取二升。分三次服用。忌食苋菜。(均出自第八卷)
【删繁】治疗筋虚实突然受损至极,或者因为霍乱转筋、腹部胀满疼痛;或者因为服药导致吐泻过度,手脚虚弱转动,肠胞扭转疼痛。人参汤方:
人参、浓朴(炙,各二两)、葱白(一把,约虎口大小)、白术(四两)、蓼(一把,长三升)。
以上五味药切碎。用水五升,煮取二升,去渣。分两次服用。忌食桃李、雀肉等。
又治疗胞转筋急方:
白术、通草(各四两)、栀子仁、子芩(黄芩)、茯苓(各三两)、榆白皮(三两)、香豉(一升,熬熟后用绵布包裹)。
以上七味药切碎。用水七升,煮取三升,去渣。分三次服用。忌食醋物、桃李、雀肉等。(均出自第八卷,一方无香豉)
[Shanfan] Treats extreme deficiency of sinews leading to Sinew Bi (painful obstruction syndrome of the sinews), where the patient is prone to sadness and overthinking, with a pale complexion. The four limbs exhibit tremors or abnormal sensations (Xu-Weng), and the hands and feet are spasmodic; extension causes pulling and contraction pain, accompanied by twisting pain in the abdomen.
Wujia Pi Wine Formula:
Radix Acanthopanacis Senticosi (Wujia Pi) (one jin), Spina Gleditsiae (Zhici) (two sheng, cut and stir-fried), Cortex Radicis Porri (Zhu Jiao Gen Pi), Radix Salviae Miltiorrhizae (Danshen) (each eight liang), Cinnamomi Ramulus (Guixin), Radix Angelicae Sinensis (Danggui), Radix Glycyrrhizae Preparata (Gancao, stir-fried) (each three liang), Rhizoma Aconiti Lateralis Preparatum (Tianxiong), Semen Coicis (Yiren), Semen Cannabis Sativae (Dama Ren). [Note: Original text lists fifteen flavors but enumerates fewer explicitly; translated based on provided list].
Cut the above fifteen ingredients. Store them in a silk bag and soak in four dou of wine. Soak for four nights in spring and summer, and six to seven nights in autumn and winter. Initially take six or seven he. Gradually increase the dose. Stop when effective. Avoid raw green onions, pork, cold water, seaweed, and Chinese cabbage.
Another formula treats extreme sinew deficiency complicated by wind invasion. Due to wind pathogen injury, the sinews contract and spasm, the waist and back cannot extend, resulting in stiffness, rigidity, and severe pain, or it develops into Hongxiangjiao (Foot Qi / Beriberi). Niuxi Decoction Formula:
Radix Achyranthis Bidentatae (Niuxi), Radix Saposhnikoviae (Fangfeng), Cortex Radicis Pruni Spinosa (Gan Li Gen Pi), Radix Salviae Miltiorrhizae (Danshen), Radix Peucedani (Qianhu) (each four liang), Radix Dendrobii (Shihu) (five liang), Cortex Eucommiae (Duzhong), Radix Gentianae Macrophyllae (Qinjiao), Radix Dipsaci (Xuduan), Carapax et Plastrum Testudinis (Biejia, stir-fried) (each three liang), Pericarpium Citri Reticulatae Chenpi (Chen Jupi) (two liang), Semen Cannabis Sativae (Dama Ren) (two sheng, cooked and ground).
Cut the above twelve ingredients. Add ten sheng and four sheng of water, decoct to obtain five sheng, discard the dregs. Add the hemp seeds, decoct again to obtain two sheng. Divide into three doses. Avoid amaranth vegetables. (Both formulas are from Volume 8).
[Shanfan] Treats sudden and extreme damage to the sinews due to excess or deficiency, or due to Huoluan (cholera-like disease) with sinew cramping and abdominal fullness/pain; or due to excessive vomiting and diarrhea caused by medication, leading to weak and turning movements of the hands and feet, and twisting pain in the intestines and bladder (Baopao). Renshen Decoction Formula:
Radix Ginseng (Renshen), Cortex Magnoliae Officinalis (Noupu, stir-fried) (each two liang), Bulbus Allii Fistulosi (Congbai) (one tiger's mouth grip), Radix Atractylodis Macrocephalae (Baizhu) (four liang), Herba Polygoni Avicularis (Liao) (one handful, three sheng long).
Cut the above five ingredients. Add five sheng of water, decoct to obtain two sheng, discard the dregs. Divide into two doses. Avoid peaches, plums, and sparrow meat.
Another formula treats Baopao Zhuan (retention of urine with twisting pain) and acute sinew tension:
Radix Atractylodis Macrocephalae (Baizhu), Herba Tetraspidii (Tongcao) (each four liang), Fructus Gardeniae Jasminoidis (Zhizi Ren), Radix Scutellariae (Ziqin/Huangqin), Poria (Fuling) (each three liang), Cortex Ulmi (Yu Bai Pi) (three liang), Fermented Soybean (Xiangchi) (one sheng, cooked and wrapped in cotton).
Cut the above seven ingredients. Add seven sheng of water, decoct to obtain three sheng, discard the dregs. Divide into three doses. Avoid vinegar, peaches, plums, and sparrow meat. (From Volume 8; one variation lacks Xiangchi).