夫转筋者。肝脏气虚。风冷搏于筋故也。手足三阴三阳之筋。皆起于手足指。而并络于
身。
方
木瓜丸 治肝风冷。转筋入腹。手足厥冷。
木瓜(五颗大者) 附子(炮裂一两去皮脐) 熟地(锉炒) 木香(各半两) 桂心
(一两)
诃黎
姜汁炙)
白
瓤。内
诸
梧桐子大。每服不计时。以生姜下三十丸。
白豆蔻散 治肝风冷转筋。四肢厥冷。
白豆蔻(一两去皮) 高良姜(一两锉) 青橘皮(三钱汤浸去白瓤焙) 木瓜(一两)
沉香
(一
水一盏。
煎至六分。去滓。不计时。热服。忌鸡猪鱼蒜。
鸡舌香散 治肝风冷。两脚转筋。挛急疼痛。
鸡舌香(一两) 白豆蔻(半两去皮) 木香(半两) 木瓜(一两) 吴茱萸(一钱
汤浸七遍
焙干
六
分。
桂心散 治肝脏风冷。转筋不止。
桂心(一两) 草豆蔻(一两去皮) 附子(一两炮裂去皮脐) 丁香(半两) 槟榔
(半两)
木瓜
热
服。
高良姜汤淋蘸方 治肝虚冷。转筋不止。
高良姜(三两) 木瓜(二枚) 杉木节(五两) 川椒(一两去目) 蒴 (五两) 蓼
叶(五
两)
淋蘸两
椒桂汤 治肝虚转筋。入腹。胸闷绝体冷。(一名木瓜散)
鸡粪(一合微炒) 肉豆蔻(一钱去壳) 胡椒(一钱) 桂心(半两) 木瓜(三钱)
上为粗
散。
附子散 治肝虚。风冷所搏。转筋不止。
附子(炮裂去脐皮) 沉香 桂心(各一两) 木瓜 高良姜(各一两半) 上为散。
每服四
钱。
治肝风虚转筋入腹方(圣惠方)
上以鸡粪白者。为末。每服一钱。以热酒调下。
食盐 治肝脏气虚。风冷搏于筋。遍体转筋。入腹不可忍。
上以热汤三斗。入盐半斤。稍热渍之。极效。
刘禹锡传信方(出本草)甘少府。治脚转筋。兼暴风。通身冰冷。如瘫痪者
。取蜡半斤。以旧帛净绢。并得阔五六寸。看所患大小。加减阔狭。先销蜡涂于帛上。
看冷热。但不可过烧人。便乘热缠脚。仍须当脚心便袜裹脚。得冷即更易之云。治心
燥惊悸。如觉是风毒。兼裹两脚心。
治脚转筋
用独头蒜一个。口嚼一半。于所患腿脚上揉擦。一半用水送下。一服即愈。
转筋这种病证,是由于肝脏气虚,风邪与寒邪搏结于筋脉所致。手足三阴经和三阳经的筋脉,都起始于手足的指端,并且相互联络分布于全身。
木瓜丸:治疗肝经受风冷侵袭,导致转筋牵引至腹部,手足厥冷。
配方:大个木瓜五颗;附子一两(炮制至裂开,去皮和脐);熟地黄(切碎并炒制);木香半两;桂心一两;诃黎勒半两(用姜汁炙烤)。以上药物研为细末,炼蜜为丸,如梧桐子大小。每次服用三十丸,不限时间,用生姜汤送服。
白豆蔻散:治疗肝经受风冷侵袭引起的转筋,四肢厥冷。
配方:白豆蔻一两(去皮);高良姜一两(切碎);青橘皮三钱(用汤浸泡后去掉白色内瓤,焙干);木瓜一两;沉香一钱。以上药物捣碎过筛。每次取三钱药末,加水一盏,煎煮至六分,去渣,不限时间,热服。忌食鸡、猪、鱼、蒜。
鸡舌香散:治疗肝经受风冷侵袭,双脚转筋,拘挛紧急且疼痛。
配方:鸡舌香一两;白豆蔻半两(去皮);木香半两;木瓜一两;吴茱萸一钱(用汤浸泡七遍,焙干)。以上药物捣碎过筛。每次取三钱药末,加水一盏,煎煮至六分,去渣,不限时间,热服。
桂心散:治疗肝脏受风冷侵袭,转筋不止。
配方:桂心一两;草豆蔻一两(去皮);附子一两(炮制至裂开,去皮和脐);丁香半两;槟榔半两;木瓜一两。以上药物捣碎过筛。每次取三钱药末,加水一盏,煎煮至六分,去渣,不限时间,热服。
高良姜汤淋蘸方:治疗肝脏虚冷,转筋不止。
配方:高良姜三两;木瓜二枚;杉木节五两;川椒一两(去目);蒴藋五两;蓼叶五两。以上药物用水煎煮,趁热淋洗或蘸敷患处。
椒桂汤:治疗肝脏虚寒引起的转筋,牵引至腹部,胸闷欲绝,身体寒冷。(又名木瓜散)
配方:鸡粪一合(微炒);肉豆蔻一钱(去壳);胡椒一钱;桂心半两;木瓜三钱。以上药物捣碎成粗散。每次取适量,用水煎服。
附子散:治疗肝脏虚损,风冷邪气搏结,转筋不止。
配方:附子(炮制至裂开,去脐皮);沉香;桂心(各一两);木瓜;高良姜(各一两半)。以上药物研为散剂。每次服用四钱,用水煎服。
治肝风虚转筋入腹方(出自《圣惠方》):
取白色的鸡粪,研为细末。每次服用一钱,用热酒调服。
食盐:治疗肝脏气虚,风冷邪气搏结于筋脉,全身转筋,牵引至腹部难以忍受。
用法:用热水三斗,加入盐半斤,待水温稍热时浸泡患处。效果极佳。
刘禹锡《传信方》(出自《本草》记载):甘少府治疗脚部转筋,兼有暴风侵袭,全身冰冷,如同瘫痪一样。
方法:取蜡半斤,用旧的干净绢帛裁剪成宽五六寸的布条,根据患处的具体情况调整宽窄。先将蜡熔化涂在绢帛上,注意温度不可烫伤人,然后趁热缠绕脚部。必须紧贴脚心,并用袜子包裹脚部,冷却后即更换新的蜡帛。此法也可治疗心燥惊悸,如果感觉是风毒侵袭,可一并包裹双脚脚心。
Tendon spasm (Zhuanjin) is a condition caused by deficiency of Qi in the Liver, where Wind and Cold pathogens contend with the tendons. The tendons of the three Yin and three Yang meridities of the hand and foot all originate from the fingers and toes and are interconnected throughout the body.
Mu Gua Wan (Quince Pill): Treats Liver Wind-Cold, tendon spasms radiating to the abdomen, and cold extremities.
Ingredients: Five large Quinces (Chaenomeles speciosa); one tael of Prepared Aconite Root (Aconiti Lateralis Radix Praeparata), cracked by processing, peel and umbilicus removed; prepared Rehmannia Root (Rehmanniae Radix Praeparata), chopped and stir-fried; half a tael of Costus Root (Aucklandiae Radix); one tael of Cinnamon Twig Bark (Cinnamomi Cortex). Half a tael of Chebula Fruit (Terminaliae chebulae Fructus), processed with ginger juice. These herbs are ground into fine powder, mixed with honey to form pills the size of tung tree seeds. Take thirty pills each time, at any time, washed down with ginger decoction.
Bai Dou Kou San (White Cardamom Powder): Treats Liver Wind-Cold causing tendon spasms and cold limbs.
Ingredients: One tael of White Cardamom Seed (Amomi Fructus Rotundus), peeled; one tael of Galangal Rhizome (Alpiniae Officinarum Rhizoma), chopped; three qian of Green Tangerine Peel (Citri Reticulatae Pericarpium Viride), soaked in water, white pith removed, and dried; one tael of Quince (Chaenomeles speciosa); one qian of Agarwood (Aquilariae Lignum Resinatum). These herbs are crushed and sieved. Take three qian of powder per dose, add one cup of water, boil until reduced to 60%, strain, and take hot at any time. Avoid chicken, pork, fish, and garlic.
Ji She Xiang San (Clove Powder): Treats Liver Wind-Cold causing bilateral foot tendon spasms, stiffness, urgency, and pain.
Ingredients: One tael of Clove (Syzygii Armati Flos); half a tael of White Cardamom Seed (Amomi Fructus Rotundus), peeled; half a tael of Costus Root (Aucklandiae Radix); one tael of Quince (Chaenomeles speciosa); one qian of Evodia Fruit (Evodiae Fructus), soaked in water seven times, then dried. These herbs are crushed and sieved. Take three qian of powder per dose, add one cup of water, boil until reduced to 60%, strain, and take hot at any time.
Gui Xin San (Cinnamon Heart Powder): Treats Liver Wind-Cold causing persistent tendon spasms.
Ingredients: One tael of Cinnamon Twig Bark (Cinnamomi Cortex); one tael of Round Cardamom Seed (Amomi Fructus), peeled; one tael of Prepared Aconite Root (Aconiti Lateralis Radix Praeparata), cracked by processing, peel and umbilicus removed; half a tael of Clove (Syzygii Armati Flos); half a tael of Areca Seed (Arecae Semen); one tael of Quince (Chaenomeles speciosa). These herbs are crushed and sieved. Take three qian of powder per dose, add one cup of water, boil until reduced to 60%, strain, and take hot at any time.
Gao Liang Jiang Tang Lin Zhan Fang (Galangal Decoction for Washing and Compressing): Treats Liver deficiency-cold causing persistent tendon spasms.
Ingredients: Three taels of Galangal Rhizome (Alpiniae Officinarum Rhizoma); two Quinces (Chaenomeles speciosa); five taels of Chinese Fir Node (Cupressi Cacumen); one tael of Sichuan Pepper (Zanthoxyli Pericarpium), eyes removed; five taels of Dodder Seed (Cuscutae Semen); five taels of Smartweed Leaf (Polygoni Hydropiperis Folium). Boil these herbs in water and use the hot liquid to wash or compress the affected area.
Jiao Gui Tang (Pepper and Cinnamon Decoction): Treats Liver deficiency-cold causing tendon spasms radiating to the abdomen, chest tightness with a sensation of impending death, and cold body. (Also known as Mu Gua San).
Ingredients: One he of Chicken Manure (Galli Stercus), lightly fried; one qian of Nutmeg Seed (Myristicae Semen), shell removed; one qian of Black Pepper (Piperis Nigris Fructus); half a tael of Cinnamon Twig Bark (Cinnamomi Cortex); three qian of Quince (Chaenomeles speciosa). These herbs are crushed into coarse powder. Take an appropriate amount and decoct in water.
Fu Zi San (Aconite Powder): Treats Liver deficiency contended by Wind-Cold, causing persistent tendon spasms.
Ingredients: Prepared Aconite Root (Aconiti Lateralis Radix Praeparata), cracked by processing, peel and umbilicus removed; Agarwood (Aquilariae Lignum Resinatum); Cinnamon Twig Bark (Cinnamomi Cortex) (one tael each); Quince (Chaenomeles speciosa); Galangal Rhizome (Alpiniae Officinarum Rhizoma) (one tael and a half each). These herbs are ground into powder. Take four qian per dose, decoct in water.
Formula for Treating Liver Wind-Deficiency Tendon Spasms Radiating to the Abdomen (from *Sheng Hui Fang*):
Take white chicken manure, grind it into powder. Take one qian per dose, mix with hot wine and swallow.
Edible Salt: Treats Liver Qi deficiency with Wind-Cold contending in the tendons, causing generalized tendon spasms radiating to the abdomen that are unbearable.
Method: Use three dou of hot water, add half a jin of salt, and soak the affected area when the temperature is slightly warm. This is extremely effective.
Liu Yuxi's *Chuan Xin Fang* (cited in *Ben Cao*): Gan Shaofu treated foot tendon spasms accompanied by sudden wind invasion, resulting in whole-body coldness resembling paralysis.
Method: Take half a jin of beeswax, cut old clean silk gauze into strips about five to six cun wide, adjusting width based on the lesion size. Melt the wax and apply it onto the gauze. Ensure the temperature is not too hot to burn the skin. Wrap the feet while hot. It must be applied directly to the sole of the foot and wrapped with socks. Replace with fresh wax gauze once it cools. This method can also treat heart restlessness and palpitations; if wind-toxin is suspected, wrap both soles of the feet.
Treatment for Foot Tendon Spasms:
Use one single-clove garlic. Chew half and rub it on the affected leg or foot. Swallow the other half with water. One dose results in cure.