夫肝病筋急者。肝与筋合也。盖足厥阴之经不足。则脉弗营而风邪易侵。搏于筋脉。故
令筋
夫
腹
其
方
天麻汤(一名天麻煮散)治肝脏风毒瓦斯。注于臂头项肩膊腰足。筋脉拳急。
攻刺疼痛。或四
天麻(酒炙) 附子(炮裂去皮脐各一两半) 干蝎(去土炒) 羌活(去芦头) 芎
白附
子
参白
芷
焙) 甘
草
姜三
片
如
薏苡仁汤(圣济总录)治肝脏风气。四肢筋脉挛急。身体强直。
薏苡仁 芎 石膏(碎研各四两) 羌活(去芦头三分) 柏子仁(研) 酸枣仁(炒
各一
两)
煎
至七分
地黄丸 治肝虚血不足。肢节拘急。筋脉挛痛。(方见眼目门肝虚类)
(案原方∶黄连。决明子各两。没药。甘菊花。防风。羌活。桂心。光明朱砂各半两。
熟干
木瓜丸(圣济总录)治肝脏风气。攻注四肢。筋脉疼痛。脚膝少力。行步艰
难。
木瓜(去皮子薄切焙干二两) 牛膝(去苗酒浸切焙) 芎 羌活(去芦头各一两半)
附
子(
空
心
独活汤(圣济总录)治肝风。筋脉拘急。背膊劳倦。及头昏项颈紧急疼痛。
独活(去芦头) 甘菊花(择) 蔓荆实 芎 (各一两) 上粗捣筛。每服三钱。水
一盏。
入酸
木瓜煎(医方大成)治肝肾二脏受风。筋急项强。不可转侧。
宣州木瓜(二个取盖去瓤) 没药(二两研) 乳香(一分研) 上二味内瓜中。用盖
子合
了。竹
上酿二
本事方云。有人患此病。自午后发。黄昏时定。予曰。此患必先从足起。经言十二经络
各有
也。
气弱
乌头丸(圣济总录)治筋急转筋。舒展不能。
草乌头(用盐水浸三日取出洗切麸炒麸焦为度去麸) 荆芥穗(各八两) 上为细末。
别用
宣州
加
薏苡仁汤 治肝虚。筋脉不利。腹急筋见。胁肋胀满。
薏苡仁 防风(去叉) 桂(去粗皮) 当归(切焙各一两) 酸枣仁(炒二两) 白
茯苓(去黑
皮)
分。
去
治筋骨挛急(本草)
用秫米一石。曲三十斤和。地黄一斤。茵陈蒿一斤。炙令黄。根据酿酒法。服之。
柏子仁丸(圣惠方)治肝虚寒。筋急腹满。胁胀。面色青黄。背膊酸疼。羸
瘦无力。
柏子仁 黄 (锉) 白茯苓(去黑皮) 楮实 复盆子 五味子 附子(炮裂去皮脐)
石
斛(
(麸炒) 熟
干
晚
食
羌活汤(一名白茯苓散)治肝脏风。筋脉或疹。腹肋急痛。口眼偏斜。四肢
疼痛。(圣惠方)
羌活(去芦头) 白术 麻黄(去根节煮掠去沫焙) 侧子(炮裂去皮脐) 丹参 当
归(锉
炒)
两) 上
锉为麻
茯苓汤 治肝气不足。筋脉急见。心腹壅滞。左胁妨胀。不思饮食。
白茯苓(去黑皮) 前胡(去芦头) 白术 鳖甲(涂醋炙黄去裙 ) 沉香(锉) 黄
(锉
各一
每服
三钱
搓滚舒筋法
用大筒长一尺许。两头通一杖子。穿过。以绳系两头于坐椅上。每坐。则以脚踏竹筒上。
以
治结筋(本草)以杓打人身上结筋二下。筋散矣。\x
肝病导致筋脉拘急,是因为肝与筋相合。足厥阴肝经气血不足,则血脉不能濡养筋脉,风邪容易侵袭,搏结于筋脉,从而导致筋脉拘急。
天麻汤(又名天麻煮散):治疗肝脏风毒之气,注于臂、头、项、肩、膊、腰、足等部位,引起筋脉拳曲拘急,攻冲刺痛疼痛。
药材:天麻(酒炙)、附子(炮裂,去皮脐,各一两半)、干蝎(去土,炒)、羌活(去芦头)、川芎、白附子、人参、白芷(焙)、甘草、生姜(三片)。用法:如前法煎服。
薏苡仁汤(出自《圣济总录》):治疗肝脏风气,四肢筋脉挛急,身体强直。
药材:薏苡仁、川芎、石膏(碎研,各四两)、羌活(去芦头,三分)、柏子仁(研)、酸枣仁(炒,各一两)。用法:煎至七分。
地黄丸:治疗肝虚血不足,肢节拘急,筋脉挛痛。(方剂见眼目门肝虚类)
原方组成:黄连、决明子各一两,没药、甘菊花、防风、羌活、桂心、光明朱砂各半两,熟干地黄。
木瓜丸(出自《圣济总录》):治疗肝脏风气,攻注四肢,筋脉疼痛,脚膝无力,行走艰难。
药材:木瓜(去皮子,薄切,焙干,二两)、牛膝(去苗,酒浸,切,焙)、川芎、羌活(去芦头,各一两半)、附子(炮裂,去皮脐)。
独活汤(出自《圣济总录》):治疗肝风,筋脉拘急,背膊劳倦,以及头昏、项颈紧急疼痛。
药材:独活(去芦头)、甘菊花(择净)、蔓荆实、川芎(各一两)。上药粗捣筛匀。每服三钱,水一盏,入生姜三片,同煎至七分,去滓温服。
木瓜煎(出自《医方大成》):治疗肝肾二脏受风,筋急项强,不可转侧。
药材:宣州木瓜(二个,取盖去瓤)、没药(二两,研)、乳香(一分,研)。将后二味药纳入瓜中,用盖子合定,竹签钉住,蒸令烂熟。
《本事方》记载:有人患此病,自午后发作,黄昏时缓解。我说:此病必定先从足部开始。经文说十二经络各有虚实。气弱则风邪易侵。
乌头丸(出自《圣济总录》):治疗筋急转筋,舒展不能。
药材:草乌头(用盐水浸三日,取出洗切,麸炒至麸焦为度,去麸)、荆芥穗(各八两)。上药为细末,别用宣州木瓜汁和丸。
加味薏苡仁汤:治疗肝虚,筋脉不利,腹部拘急筋脉显露,胁肋胀满。
药材:薏苡仁、防风(去叉)、桂枝(去粗皮)、当归(切焙,各一两)、酸枣仁(炒,二两)、白茯苓(去黑皮)。
治筋骨挛急(出自《本草》):用秫米一石,曲三十斤混合,加入地黄一斤,茵陈蒿一斤,炙令黄色,按照酿酒法制作,服用之。
柏子仁丸(出自《太平惠民和剂局方》):治疗肝虚寒,筋急腹满,胁胀,面色青黄,背膊酸疼,羸瘦无力。
药材:柏子仁、黄芪(锉)、白茯苓(去黑皮)、楮实、复盆子、五味子、附子(炮裂,去皮脐)、石斛(酒浸,炙)、麦冬(去心,麸炒)、熟干地黄、晚蚕蛾(微炒)。
羌活汤(又名白茯苓散):治疗肝脏风,筋脉或出疹,腹肋急痛,口眼歪斜,四肢疼痛。(出自《太平惠民和剂局方》)
药材:羌活(去芦头)、白术、麻黄(去根节,煮掠去沫,焙)、侧子(炮裂,去皮脐)、丹参、当归(锉炒,各一两)。上药锉为粗末。每服三钱,水一盏,入生姜三片,同煎至七分,去滓温服。
茯苓汤:治疗肝气不足,筋脉急见,心腹壅滞,左胁妨胀,不思饮食。
药材:白茯苓(去黑皮)、前胡(去芦头)、白术、鳖甲(涂醋炙黄,去裙襕)、沉香(锉)、黄芪(锉,各一两)。上药粗捣筛。每服三钱,水一盏,入生姜三片,同煎至七分,去滓温服。
搓滚舒筋法:用大竹筒长一尺许,两头通透,穿入一杖子,以绳系两头于坐椅上。每次坐下时,则以脚踏竹筒上,来回搓滚以舒展筋脉。
Liver disease causing tendon tightness occurs because the Liver corresponds to the tendons. When the Foot Jueyin (Liver) meridian is deficient, the vessels fail to nourish, and wind pathogens easily invade, combusting with the tendons and vessels, thus causing tendon tightness.
Tianma Tang (also known as Tianma Zhusan): Treats liver wind-toxic qi pouring into the arms, head, neck, shoulders, back, waist, and feet, causing tendons to curl and tighten, with stabbing pain.
Herbs: Gastrodiae Rhizoma (Gastrodia elata) (prepared with wine), Aconiti Lateralis Radix Preparata (Aconitum carmichaelii) (processed, peel and placenta removed, 1.5 liang each), Scorpio (Scorpio) (earth removed, fried), Notopterygii Rhizoma et Radix (Notopterygium incisum) (rhizome removed), Ligustici Chuanxiong Rhizoma (Chuanxiong), Typhonii Rhizoma (Typhonium giganteum), Ginseng Radix et Rhizoma (Ginseng), Angelicae Dahuricae Radix (Baizhi) (roasted), Glycyrrhizae Radix et Rhizoma (Licorice), Zingiberis Rhizoma Recens (Fresh Ginger) (3 slices). Method: Decoct as usual.
Yiyiren Tang (from *Shengji Zonglu*): Treats liver wind affecting the four limbs, causing tendon spasms and body stiffness.
Herbs: Coicis Semen (Job's tears), Ligustici Chuanxiong Rhizoma (Chuanxiong), Gypsum Fibrosum (Gypsum) (crushed, 4 liang each), Notopterygii Rhizoma et Radix (Notopterygium incisum) (rhizome removed, 3 fen), Platycodoni Semen (Platycodon seed), Ziziphi Spinosae Semen (Jujube seed) (fried, 1 liang each). Method: Decoct until 70% remains.
Dihuang Wan: Treats liver deficiency and blood insufficiency, causing joint stiffness and tendon spasms/pain. (Formula see Eye Section, Liver Deficiency Category)
Original Formula Composition: Coptidis Rhizoma (Coptis), Cassiae Semen (Cassia seed) (1 liang each), Myrrha (Myrrh), Chrysanthemi Indici Flos (Chrysanthemum), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Notopterygium incisum), Cinnamomi Ramulus (Guixin), Zhu Sha (Cinnabar) (0.5 liang each), Rehmanniae Radix Preparata (Prepared Rehmannia Root).
Mugua Wan (from *Shengji Zonglu*): Treats liver wind attacking the four limbs, causing tendon pain, weak knees and ankles, and difficulty walking.
Herbs: Chaenomelis Fructus (Quince) (peel and seeds removed, thinly sliced, dried, 2 liang), Achyranthis Bidentatae Radix (Achyranthes root) (sprouts removed, soaked in wine, sliced, dried), Ligustici Chuanxiong Rhizoma (Chuanxiong), Notopterygii Rhizoma et Radix (Notopterygium incisum) (rhizome removed, 1.5 liang each), Aconiti Lateralis Radix Preparata (Aconitum carmichaelii) (processed, peel and placenta removed).
Duhuo Tang (from *Shengji Zonglu*): Treats liver wind, tendon tightness, fatigue of the back and shoulders, dizziness, and stiff/painful neck.
Herbs: Angelicae Pubescentis Radix (Du Huo), Chrysanthemi Indici Flos (Chrysanthemum), Viticis Fructus (Vitis fruit), Ligustici Chuanxiong Rhizoma (Chuanxiong) (1 liang each). The above herbs are coarsely crushed and sifted. Take 3 qian per dose, add 1 cup of water, 3 slices of fresh ginger, decoct until 70% remains, strain and take warm.
Mugua Jian (from *Yifang Dacheng*): Treats liver and kidney affected by wind, causing tendon tightness, stiff neck, and inability to turn the head.
Herbs: Xuanzhou Chaenomelis Fructus (Xuanzhou Quince) (2 fruits, lid removed, pulp removed), Myrrha (Myrrh) (2 liang, ground), Boswelliae Resina (Frankincense) (1 fen, ground). Place the latter two ingredients inside the quince, cover with the lid, secure with bamboo pins, and steam until soft.
*Ben Shi Fang* records: A patient suffered from this condition, starting in the afternoon and resolving at dusk. I said: This illness must begin in the feet. The classics state that the twelve meridians have their own deficiencies and excesses. Qi weakness allows wind pathogens to invade.
Wutou Wan (from *Shengji Zonglu*): Treats tendon tightness and spasms, inability to extend.
Herbs: Aconiti Kusnezoffii Radix (Caowutou) (soaked in salt water for three days, taken out, washed, sliced, fried with bran until bran is scorched, bran removed), Schizonepetae Spica (Schizonepeta) (8 liang each). The above herbs are ground into fine powder, mixed with juice from Xuanzhou Quince to form pills.
Modified Yiyiren Tang: Treats liver deficiency, unsmooth tendons/vessels, abdominal tightness with visible tendons, and hypochondriac fullness.
Herbs: Coicis Semen (Job's tears), Saposhnikoviae Radix (Fangfeng) (forks removed), Cinnamomi Ramulus (Guizhi) (bark removed), Angelicae Sinensis Radix (Danggui) (sliced and roasted, 1 liang each), Ziziphi Spinosae Semen (Jujube seed) (fried, 2 liang), Poria (Fuling) (black skin removed).
Treating Tendon and Bone Spasms (from *Bencao*): Use 1 dan of Sorghum (Shumi), 30 jin of yeast (Qu), mix with 1 jin of Rehmanniae Radix Preparata (Rehmannia root) and 1 jin of Artemisiae Scopariae Herba (Yinchenhao), roast until yellow, brew according to wine-making methods, and consume.
Baiziren Wan (from *Tai Ping Hui Min He Ji Ju Fang*): Treats liver deficiency-cold, tendon tightness, abdominal fullness, hypochondriac distension, green-yellow complexion, back/shoulder soreness, emaciation, and weakness.
Herbs: Platycodoni Semen (Platycodon seed), Astragali Radix (Huangqi) (cut), Poria (Fuling) (black skin removed), Torreya Seed (Chushi), Rubi Fructus (Fupenzi), Schisandrae Chinensis Fructus (Wuweizi), Aconiti Lateralis Radix Preparata (Aconitum carmichaelii) (processed, peel and placenta removed), Dendrobii Caulis (Shihu) (wine-soaked, roasted), Oryzae Fructus Germinatus (Maiya) (bran-fried), Rehmanniae Radix Preparata (Prepared Rehmannia Root), Bombyx Batryticatus (Wancang'e) (lightly fried).
Qianghuo Tang (also known as Baifuling San): Treats liver wind, skin rashes on tendons/vessels, acute abdominal/hypochondriac pain, facial paralysis (deviated mouth and eyes), and limb pain. (From *Tai Ping Hui Min He Ji Ju Fang*)
Herbs: Notopterygii Rhizoma et Radix (Notopterygium incisum) (rhizome removed), Atractylodis Macrocephalae Rhizoma (Baizhu), Ephedrae Herba (Mahuang) (roots and joints removed, boiled, scum removed, roasted), Aconiti Lateralis Radix Preparata (Side Aconite) (processed, peel and placenta removed), Salviae Miltiorrhizae Radix (Danshen), Angelicae Sinensis Radix (Danggui) (cut and fried, 1 liang each). The above herbs are cut into coarse pieces. Take 3 qian per dose, add 1 cup of water, 3 slices of fresh ginger, decoct until 70% remains, strain and take warm.
Fuling Tang: Treats liver qi deficiency, visible tendon tightness, heart/abdominal stagnation, left hypochondriac distension, and loss of appetite.
Herbs: Poria (Fuling) (black skin removed), Peucedani Radix (Qianhu) (rhizome removed), Atractylodis Macrocephalae Rhizoma (Baizhu), Testudinis et Carapax et Plastrum (Biejia) (coated with vinegar, roasted yellow, apron removed), Aquilariae Lignum Resinatum (Chenxiang) (cut), Astragali Radix (Huangqi) (cut, 1 liang each). The above herbs are coarsely crushed and sifted. Take 3 qian per dose, add 1 cup of water, 3 slices of fresh ginger, decoct until 70% remains, strain and take warm.
Rolling and Rubbing Method for Relaxing Tendons: Use a large bamboo tube about one chi long, open at both ends, insert a stick through it, tie ropes to both ends and attach to a chair. When sitting, step on the bamboo tube with your feet and roll back and forth to relax the tendons.
Treating Knots in Tendons (from *Bencao*): Strike the knots in the tendons on the person's body twice with a ladle, and the knots will disperse.