夫筋极者。主肝也。肝应于筋。筋与肝合。肝有病从筋而生。又曰以春遇风为筋痹。痹
不已
则喜
日伤风
不可转
不息者
本。脉
也。
治筋极。则筋急多怒。口干。燥热不已。宜调脉解烦。黄 散方。
黄 （二两锉） 酸枣仁（二两微炒） 桂心〔二（一）两〕 石膏（三两） 木通（二
两锉） 赤
芍
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治筋极。四肢拘急。头项强直。爪甲多青。胁肋胀痛。宜服羚羊角散方。
羚羊角屑（一两） 五加皮（一两） 防风（三分去芦头） 酸枣仁（一两微炒） 赤
茯苓（三
分）
麸炒微
黄） 芎
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治筋极。面青多怒。两胁下急痛。手足筋脉拘挛。宜服薏苡仁散方。
薏苡仁（一两） 酸枣仁（一两微炒） 赤茯苓（三分） 桂心（三分） 柏子仁（一
两） 羚羊
角屑
芍药（三分）
槟
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治筋极。风冷所伤。挛痹不仁。宜服羌活散方。
羌活（一两） 天麻（一两） 芎 （三分） 酸枣仁（一两微炒） 鹿角胶（一两捣
碎炒令黄
燥）
屑（三分）
人参
肉（一两
酒浸
皮脐）
地骨
上件药。捣细罗为散。每日空腹及晚食前。以豆淋酒调下一钱。
治筋极。肢节拘急。挛缩疼痹。五加皮散方。
五加皮（一两） 茵芋（一两） 防风（一两去芦头） 天南星（半两炮裂） 白花蛇
（三两酒
浸炙
儿（半两
微炒
（半两炙微
赤锉
上件药。捣细罗为散。每于食前。以暖酒调下一钱。
治筋极。身体拘急。四肢痛疼。行立不得。宜服桑枝酸枣仁煎方。
酸枣仁（三两一两半炒令香熟一两半生用） 羚羊角屑（一两） 海桐皮（二两锉） 羌
活
（二两）
锉） 虎
胫骨（一
苗） 巴
戟（一两
酥（一两）
桑枝（一
上件药。除酥蜜桑枝外。捣罗为散。用清酒七升。先煎桑枝。令色微黄。去桑枝后下药
末。
茶匙
治筋极。身体拘急。胁下多痛。不可转动。肢节筋脉不利。宜服天雄丸方。
天雄（一两炮裂去皮脐） 桂心（二两） 羌活（二两） 当归〔三（二）两锉微炒〕 五
加皮
（二
焙） 续
断（一两）
仁（一两）
牛膝（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空心及晚食前。以荆芥酒
下三
治筋极。益筋骨。除四肢疼痛。干地黄丸方。
熟干地黄（二两） 柏子仁（一两） 山茱萸（一两） 牛膝（一两去苗） 肉桂（二
两去皱皮）
酸
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
筋极，主要与肝脏有关。肝与筋相应，筋与肝相合。肝病往往从筋脉表现出来。另外又说，在春季感受风邪会导致筋痹。如果筋痹久治不愈，就容易反复遭受风邪侵袭，导致身体僵硬不能转动，这种病症的根本在于脉象异常。
治疗筋极证，症状表现为筋脉拘急、容易发怒、口干、燥热持续不退。适宜采用调和血脉、解除烦热的治疗方法，使用黄散方。
药材：黄（二两，锉碎）、酸枣仁（二两，微炒）、桂心（二两）、石膏（三两）、木通（二两，锉碎）、赤芍药（二两）。
制法与用法：将上述药物捣碎并过粗罗筛制成散剂。每次服用四钱，用水一中盏，煎煮至六分，滤去药渣。不分时候，温服。
治疗筋极证，症状表现为四肢拘挛紧急、头项强直、指甲颜色发青、胁肋部胀痛。适宜服用羚羊角散方。
药材：羚羊角屑（一两）、五加皮（一两）、防风（三分，去芦头）、酸枣仁（一两，微炒）、赤茯苓（三分）、麸炒微黄的甘草（三分）、川芎（三分）。
制法与用法：将上述药物捣碎并过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。
治疗筋极证，症状表现为面色发青、容易发怒、两侧胁下拘急疼痛、手足筋脉拘挛。适宜服用薏苡仁散方。
药材：薏苡仁（一两）、酸枣仁（一两，微炒）、赤茯苓（三分）、桂心（三分）、柏子仁（一两）、羚羊角屑（一两）、芍药（三分）、槟榔（三分）。
制法与用法：将上述药物捣碎并过筛制成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不分时候，温服。
治疗筋极证，因风冷所伤，导致筋脉拘挛麻痹、感觉迟钝。适宜服用羌活散方。
药材：羌活（一两）、天麻（一两）、川芎（三分）、酸枣仁（一两，微炒）、鹿角胶（一两，捣碎炒至干燥）、羚羊角屑（三分）、人参（一两）、陈皮（一两，酒浸，去白及脐）、地骨皮（一两）。
制法与用法：将上述药物捣细并过罗筛制成散剂。每日空腹及晚饭前，用豆淋酒调服一钱。
治疗筋极证，症状表现为肢节拘挛紧急、收缩疼痛麻痹。使用五加皮散方。
药材：五加皮（一两）、茵芋（一两）、防风（一两，去芦头）、天南星（半两，炮裂）、白花蛇（三两，酒浸后炙干）、桑螵蛸（半两，微炒）、附子（半两，炙微红并锉碎）。
制法与用法：将上述药物捣细并过罗筛制成散剂。每次在饭前，用温酒调服一钱。
治疗筋极证，症状表现为身体拘挛紧急、四肢疼痛、行走站立困难。适宜服用桑枝酸枣仁煎方。
药材：酸枣仁（三两，其中一两半炒香熟，一两半生用）、羚羊角屑（一两）、海桐皮（二两，锉碎）、羌活（二两）、虎胫骨（一两，锉碎）、巴戟天（一两）、酥（一两）、桑枝（一握）。
制法与用法：除酥和蜂蜜、桑枝外，将其他药物捣罗制成散剂。用清酒七升，先煎煮桑枝，使其颜色微黄，取出桑枝后，再下入药末。
*注：原文此处有缺失，通常需加入蜜等辅料熬制成膏或煎剂，具体依古法而定。*
治疗筋极证，症状表现为身体拘挛紧急、胁下多痛、无法转动、肢节筋脉不利。适宜服用天雄丸方。
药材：天雄（一两，炮裂去皮脐）、桂心（二两）、羌活（二两）、当归（二两，锉碎微炒）、五加皮（二两，焙干）、续断（一两）、牛膝（一两）、杜仲（一两，去粗皮炙微黄）。
制法与用法：将上述药物捣罗成粉末，用炼蜜调和并捣三二百杵，制成如梧桐子大小的丸剂。每次在空心及晚饭前，用荆芥酒送服三丸。
治疗筋极证，旨在补益筋骨、消除四肢疼痛。使用干地黄丸方。
药材：熟干地黄（二两）、柏子仁（一两）、山茱萸（一两）、牛膝（一两，去苗）、肉桂（二两，去皱皮）、酸枣仁（一两）。
制法与用法：将上述药物捣罗成粉末，用炼蜜调和并捣三二百杵，制成如梧桐子大小的丸剂。每次在饭前，用温酒送服三十丸。
Jin Ji (Tendon Extremity Disorder) is primarily associated with the Liver. The Liver corresponds to the tendons, and the tendons harmonize with the Liver. Liver pathology often manifests through the tendons. It is also stated that encountering wind in spring leads to Jin Bi (Tendon Bi Syndrome). If Jin Bi persists untreated, it predisposes the body to recurrent wind invasion, resulting in stiffness and inability to turn; the root of this condition lies in the pulse abnormalities.
For treating Jin Ji characterized by tendon tension, irritability, dry mouth, and persistent heat, the appropriate method is to regulate the blood vessels and relieve vexation. Use Huang San Powder.
Ingredients: Huang (2 liang, crushed), Suan Zao Ren (Ziziphi Spinosae Semen, 2 liang, lightly stir-fried), Gui Xin (Cinnamomi Cortex, 2 liang), Shi Gao (Gypsum Fibrosum, 3 liang), Mu Tong (Akebiae Caulis, 2 liang, crushed), Chi Shao Yao (Paeoniae Radix Rubra, 2 liang).
Preparation and Administration: Pound the above ingredients into a coarse powder and sieve. Take 4 qian per dose. Add one zhong zhan of water, decoct until reduced to six parts, remove the dregs, and take warm at any time.
For treating Jin Ji characterized by limb spasms, neck and head stiffness, cyanotic nails, and distending pain in the hypochondrium, use Ling Yang Jiao San Powder.
Ingredients: Ling Yang Jiao Xie (Saiga Tatarica Cornu, 1 liang), Wu Jia Pi (Acanthopanacis Cortex, 1 liang), Fang Feng (Saposhnikoviae Radix, 3 fen, remove radicle), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, lightly stir-fried), Chi Fu Ling (Poria with Red Hosta Root, 3 fen), Gan Cao (Licorice Root, stir-baked with bran until slightly yellow, 3 fen), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 3 fen).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 4 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger, decoct until reduced to six parts, remove the dregs, and take warm at any time.
For treating Jin Ji characterized by bluish complexion, irritability, tight painful hypochondrium, and spastic tendons in hands and feet, use Yi Yi Ren San Powder.
Ingredients: Yi Yi Ren (Coicis Semen, 1 liang), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, lightly stir-fried), Chi Fu Ling (Poria with Red Hosta Root, 3 fen), Gui Xin (Cinnamomi Cortex, 3 fen), Bai Zi Ren (Platycladi Semen, 1 liang), Ling Yang Jiao Xie (Saiga Tatarica Cornu, 1 liang), Shao Yao (Paeoniae Radix, 3 fen), Bing Lang (Arecae Semen, 3 fen).
Preparation and Administration: Pound and sieve the above ingredients into a powder. Take 4 qian per dose. Add one zhong zhan of water and half a fen of fresh ginger, decoct until reduced to six parts, remove the dregs, and take warm at any time.
For treating Jin Ji caused by wind-cold injury, resulting in spastic bi-syndrome and numbness, use Qiang Huo San Powder.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Tian Ma (Gastrodiae Rhizoma, 1 liang), Xiong Qiong (Ligustici Chuanxiong Rhizoma, 3 fen), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, lightly stir-fried), Lu Jiao Jiao (Colla Cornus Cervi, 1 liang, crushed and stir-fried until dry), Ling Yang Jiao Xie (Saiga Tatarica Cornu, 3 fen), Ren Shen (Ginseng Radix, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, soaked in wine, remove white pith and navel, 1 liang), Di Gu Pi (Lycii Cortex, 1 liang).
Preparation and Administration: Pound finely and sieve the above ingredients into a powder. Take 1 qian mixed with Dou Lin Jiu (Bean-Infused Wine) on an empty stomach and before evening meals daily.
For treating Jin Ji characterized by joint spasms, contraction, pain, and numbness, use Wu Jia Pi San Powder.
Ingredients: Wu Jia Pi (Acanthopanacis Cortex, 1 liang), Yin Yu (Illicii Anisi Fructus or related herb, 1 liang), Fang Feng (Saposhnikoviae Radix, 1 liang, remove radicle), Tian Nan Xing (Arisaematis Rhizoma, 0.5 liang, processed until cracked), Bai Hua She (Bungarus multicinctus, 3 liang, soaked in wine and roasted), Sang Piao Xiao (Ovi Mantidis, 0.5 liang, lightly stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, 0.5 liang, roasted until slightly red and crushed).
Preparation and Administration: Pound finely and sieve the above ingredients into a powder. Take 1 qian mixed with warm wine before meals.
For treating Jin Ji characterized by bodily stiffness, limb pain, and inability to walk or stand, use Sang Zhi Suan Zao Ren Jian Decoction.
Ingredients: Suan Zao Ren (Ziziphi Spinosae Semen, 3 liang total: 1.5 liang stir-fried until fragrant and ripe, 1.5 liang raw), Ling Yang Jiao Xie (Saiga Tatarica Cornu, 1 liang), Hai Tong Pi (Sarcandae Cortex, 2 liang, crushed), Qiang Huo (Notopterygii Rhizoma et Radix, 2 liang), Hu Jing Gu (Tigris Ossis Tibia, 1 liang, crushed), Ba Ji Tian (Morindae Officinalis Radix, 1 liang), Su (Butyrum, 1 liang), Sang Zhi (Mori Ramulus, one handful).
Preparation and Administration: Except for butter, honey, and Sang Zhi, pound the other ingredients into a powder. Use seven sheng of clear wine. First decoct Sang Zhi until the color turns slightly yellow, remove the branches, then add the powdered herbs.
*Note: The original text here is incomplete; traditionally, honey and butter would be added to form a paste or decoction.*
For treating Jin Ji characterized by bodily stiffness, hypochondriac pain, immobility, and dysfunction of joints and tendons, use Tian Xiong Wan Pill.
Ingredients: Tian Xiong (Aconiti Radix, 1 liang, processed, peel and navel removed), Gui Xin (Cinnamomi Cortex, 2 liang), Qiang Huo (Notopterygii Rhizoma et Radix, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang, crushed and lightly stir-fried), Wu Jia Pi (Acanthopanacis Cortex, 2 liang, baked), Xu Duan (Dipsaci Radix, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, 1 liang), Du Zhong (Eucommiae Cortex, 1 liang, scraped and roasted until slightly yellow).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with refined honey and pound 200-300 times to form pills the size of tung tree seeds. Take three pills with Jing Jie Jiu (Schizonepeta-infused Wine) on an empty stomach and before evening meals.
For treating Jin Ji to benefit sinews and bones and eliminate limb pain, use Gan Di Huang Wan Pill.
Ingredients: Shu Gan Di Huang (Rehmanniae Radix Praeparata, 2 liang), Bai Zi Ren (Platycladi Semen, 1 liang), Shan Zhu Yu (Corni Fructus, 1 liang), Niu Xi (Achyranthis Bidentatae Radix, 1 liang, remove sprout), Rou Gui (Cinnamomi Cortex, 2 liang, remove wrinkled bark), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with refined honey and pound 200-300 times to form pills the size of tung tree seeds. Take thirty pills with warm wine before meals.