（附论）
内经谓病蛊弗治。肾传之心。筋脉相引而急。病名曰螈。夫精属肾。筋属肝。脉属心。
精
客淫
方
肉苁蓉丸 治螈病筋脉相引。及五劳七伤。小便数。腰疼。久立不得。坐即脚痹
。腹肚不安
肉苁蓉（酒浸切焙） 山芋 熟干地黄（焙各三两） 菟丝子（酒浸别捣） 五味子 杜
仲（去粗皮炙锉） 泽泻 复盆子 山茱萸 远志（去心） 续断 桂（去粗皮） 附子
（炮裂去皮脐） 甘草（炙锉） 白茯苓（去黑皮） 石斛（去根） 鹿茸（去毛酥炙） 蛇
床子 巴戟天（去心） 人参（各一两半） 上为末。炼蜜丸。如梧桐子大。每服二十丸。
空心日午夜卧。温酒下。
牛髓丸（出千金方）治螈病及虚羸等疾。
牛髓（研） 羊髓（研） 白蜜 酥 枣肉（各两半升） 白茯苓（去黑皮） 麦门冬
（去心焙）
姜（炮） 生干地黄（焙
术（一两一分） 上除前
五
如梧桐子大。每服三十丸。加至四十丸。酒下。日再。
五味子丸 治螈病筋脉相引。补虚损。去原脏久冷。上焦客热。健忘心忪。
五味子（一两半） 熟干地黄（焙） 肉苁蓉（酒浸切焙各四两） 牛膝（酒浸切焙） 泽
泻菟丝
粗皮） 山芋
酥五两。再捣。
丸如
建中汤（出宣明论）治螈病筋脉相引而急。及五劳七伤。小便数。腹痛难立
。
人参 甘草（炙微赤锉） 桂（去粗皮） 白茯苓（去黑皮） 当归（切焙各二两） 黄
（锉） 龙
皮脐） 浓朴（去粗
二枚擘破。煎一盏。
茯苓钟乳丸 治螈病筋脉相引。通百节。利九窍。补下焦伤竭不足。
白茯苓（去黑皮） 黄 （锉） 枳壳（去瓤麸炒） 蛇床子（各二两） 炼成钟乳粉
（六两） 牛膝
两半） 熟干地黄（焙）
服三十丸。空心酒下。
万金丸 治螈病筋脉相引。
熟干地黄（焙十两） 天门冬（去心焙七两） 巨胜子（焙去皮曝干五两） 白茯苓（去
黑皮） 甘
（去粗皮） 酸枣仁（炒） 甘草（炙锉）
蜜和。捣三千杵。丸如梧桐子大。每服三十丸
石菖蒲丸 治螈病筋脉相引。强筋力。滋血脉。\x
石菖蒲 牛膝（二味切同以酒浸一宿焙） 远志（去心） 人参 白茯苓（去黑皮） 地
骨皮 生
桐子大。每服二
（附论）
《内经》说，蛊病如果不治疗，肾脏的病邪会传变到心脏。导致筋脉相互牵引而拘急，这种病症叫做螈（抽搐痉挛）。精气归属于肾，筋归属于肝，脉归属于心。
肉苁蓉丸：治疗螈病引起的筋脉相互牵引，以及五劳七伤、小便频数、腰痛、久立困难、坐下即脚部麻木、腹部不适。
药材及剂量：肉苁蓉（酒浸后切片焙干）、山芋、熟干地黄（焙干，各三两）、菟丝子（酒浸后单独捣碎）、五味子、杜仲（去除粗皮，炙烤后切碎）、泽泻、复盆子、山茱萸、远志（去除心）、续断、桂枝（去除粗皮）、附子（炮裂后去皮和脐）、甘草（炙烤后切碎）、白茯苓（去除黑皮）、石斛（去除根）、鹿茸（去除毛，用酥油炙烤）、蛇床子、巴戟天（去除心）、人参（各一两半）。
制法与用法：将上述药物研为细末，用炼蜜制成梧桐子大小的药丸。每次服用二十丸，在空腹时，于半夜和临睡前，用温酒送服。
牛髓丸（出自《千金方》）：治疗螈病及身体虚弱消瘦等疾病。
药材及剂量：牛髓（研磨）、羊髓（研磨）、白蜜、酥、枣肉（各两半升）、白茯苓（去除黑皮）、麦门冬（去除心并焙干）、生姜（炮制）、生干地黄（焙干）、白术（一两一分）。
制法与用法：除去前述药物（注：原文此处有缺漏，依常规理解应为除前五味或特定处理），制成梧桐子大小的药丸。每次服用三十丸，可加至四十丸，用酒送服，每日两次。
五味子丸：治疗螈病引起的筋脉相互牵引，补益虚损，祛除原脏的久寒，清除上焦客热，改善健忘和心悸。
药材及剂量：五味子（一两半）、熟干地黄（焙干）、肉苁蓉（酒浸切片焙干，各四两）、牛膝（酒浸切片焙干）、泽泻、菟丝子、杜仲（去粗皮）、山芋等（原文此处有残缺，推测包含其他补益药），酥五两，再次捣碎。
制法与用法：制成梧桐子大小的药丸（原文此处有残缺）。
建中汤（出自《宣明论》）：治疗螈病引起的筋脉相互牵引而拘急，以及五劳七伤、小便频数、腹痛难以站立。
药材及剂量：人参、甘草（炙烤至微红并切碎）、桂枝（去除粗皮）、白茯苓（去除黑皮）、当归（切片焙干，各二两）、黄芪（切碎）、附子（炮裂去皮脐）、浓朴（去除粗皮）等（原文此处有残缺，如大枣二枚掰破）。
制法与用法：加水煎煮至一盏量（原文此处有残缺）。
茯苓钟乳丸：治疗螈病引起的筋脉相互牵引，疏通全身关节，通利九窍，补益下焦的损伤和不足。
药材及剂量：白茯苓（去除黑皮）、黄芪（切碎）、枳壳（去除瓤，麸炒）、蛇床子（各二两）、炼成的钟乳粉（六两）、牛膝（原文此处有残缺，如一两半）、熟干地黄（焙干）等。
制法与用法：制成梧桐子大小的药丸。每次服用三十丸，空腹时用酒送服。
万金丸：治疗螈病引起的筋脉相互牵引。
药材及剂量：熟干地黄（焙干，十两）、天门冬（去除心焙干，七两）、巨胜子（即黑芝麻，焙干去皮晒干，五两）、白茯苓（去除黑皮）、甘草（炙烤切碎）、桂枝（去除粗皮）、酸枣仁（炒制）等。
制法与用法：用蜂蜜调和，捣击三千杵，制成梧桐子大小的药丸。每次服用三十丸。
石菖蒲丸：治疗螈病引起的筋脉相互牵引，强健筋骨，滋养血脉。
药材及剂量：石菖蒲、牛膝（这两味药切碎后用酒浸泡一夜再焙干）、远志（去除心）、人参、白茯苓（去除黑皮）、地骨皮、生干地黄等（原文此处有残缺）。
制法与用法：制成梧桐子大小的药丸。每次服用二...（原文截断）
(Attached Discussion)
The *Neijing* (Classic of Internal Medicine) states that if Gu disease (parasitic or toxic accumulation disease) is not treated, the pathogenic factor from the Kidney transmits to the Heart. This causes the sinews and vessels to pull against each other and become tense, a condition named Chou (spasms and convulsions). Essence belongs to the Kidney, sinews belong to the Liver, and vessels belong to the Heart.
Rou Cong Rong Wan (Cistanche Pill): Treats Chou disease characterized by pulling tension in sinews and vessels, as well as Wu Lao Qi Shang (Five Exhaustions and Seven Injuries), frequent urination, lower back pain, difficulty standing for long periods, numbness in the feet upon sitting, and abdominal discomfort.
Ingredients: Rou Cong Rong (Cistanche Herba, soaked in wine, sliced, and baked), Shan Yu (Dioscoreae Rhizoma), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked, 3 liang each), Tu Si Zi (Cuscutae Semen, soaked in wine and pounded separately), Wu Wei Zi (Schisandrae Fructus), Du Zhong (Eucommiae Cortex, coarse bark removed, roasted and chopped), Ze Xie (Alismatis Rhizoma), Fu Pen Zi (Rubiae Fructus), Shan Zhu Yu (Corni Fructus), Yuan Zhi (Polygalae Radix, heart removed), Xu Duan (Dipsaci Radix), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Bai Fu Ling (Poria, black skin removed), Shi Hu (Dendrobii Caulis, roots removed), Lu Rong (Cervi Cornu Pantotrichum, hair removed, roasted with butter), She Chuang Zi (Cnidii Fructus), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Ren Shen (Ginseng Radix et Rhizoma, 1.5 liang each).
Preparation and Administration: Grind the above ingredients into fine powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, on an empty stomach, at midnight and before sleep, washed down with warm wine.
Niu Sui Wan (Ox Marrow Pill) (from *Qianjin Fang*): Treats Chou disease and diseases of deficiency and emaciation.
Ingredients: Niu Sui (Ox Marrow, pounded), Yang Sui (Sheep Marrow, pounded), Bai Mi (White Honey), Su (Butter), Zao Rou (Date Flesh, 2.5 sheng each), Bai Fu Ling (Poria, black skin removed), Mai Men Dong (Ophiopogonis Radix, heart removed and baked), Jiang (Zingiberis Rhizoma, fried), Sheng Gan Di Huang (Fresh Prepared Rehmanniae Radix, baked), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang 1 fen).
Preparation and Administration: [Text fragmentary]. Process into pills the size of Sophora seeds. Take 30 pills per dose, increasing up to 40 pills, washed down with wine, twice daily.
Wu Wei Zi Wan (Schisandra Pill): Treats Chou disease with pulling tension in sinews and vessels; tonifies deficiencies; removes chronic cold from the original viscera; clears exogenous heat from the Upper Jiao; improves forgetfulness and palpitations.
Ingredients: Wu Wei Zi (Schisandrae Fructus, 1.5 liang), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Rou Cong Rong (Cistanche Herba, soaked in wine, sliced, baked, 4 liang each), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, baked), Ze Xie (Alismatis Rhizoma), Tu Si Zi (Cuscutae Semen), Du Zhong (Eucommiae Cortex, coarse bark removed), Shan Yu (Dioscoreae Rhizoma), etc. [Text fragmentary], Su (Butter, 5 liang, pounded again).
Preparation and Administration: [Text fragmentary]. Form pills the size of Sophora seeds.
Jian Zhong Tang (Middle-Buildering Decoction) (from *Xuan Ming Lun*): Treats Chou disease with pulling tension and stiffness in sinews and vessels, as well as Wu Lao Qi Shang, frequent urination, and abdominal pain making it difficult to stand.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red and chopped), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Bai Fu Ling (Poria, black skin removed), Dang Gui (Angelicae Sinensis Radix, sliced and baked, 2 liang each), Huang Qi (Astragali Radix, chopped), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Hou Po (Magnoliae Officinalis Cortex, coarse bark removed), etc. [Text fragmentary, e.g., Da Zao 2 pieces broken].
Preparation and Administration: [Text fragmentary]. Decoct with water to yield one cup.
Fu Ling Zhong Ru Wan (Poria and Milky Stalactite Pill): Treats Chou disease with pulling tension in sinews and vessels; unblocks all joints; benefits the nine orifices; tonifies damage and insufficiency in the Lower Jiao.
Ingredients: Bai Fu Ling (Poria, black skin removed), Huang Qi (Astragali Radix, chopped), Zhi Ke (Aurantii Fructus, pulp removed, stir-fried with bran), She Chuang Zi (Cnidii Fructus, 2 liang each), Lian Cheng Zhong Ru Fen (Processed Milky Stalactite Powder, 6 liang), Niu Xi (Achyranthis Bidentatae Radix, [text fragmentary, e.g., 1.5 liang]), Shu Gan Di Huang (Prepared Rehmanniae Radix, baked).
Preparation and Administration: Form pills the size of Sophora seeds. Take 30 pills per dose, on an empty stomach, washed down with wine.
Wan Jin Wan (Ten Thousand Gold Pill): Treats Chou disease with pulling tension in sinews and vessels.
Ingredients: Shu Gan Di Huang (Prepared Rehmanniae Radix, baked, 10 liang), Tian Men Dong (Asparagi Radix, heart removed and baked, 7 liang), Ju Sheng Zi (Sesami Fructus, i.e., Black Sesame, baked, skin removed, dried, 5 liang), Bai Fu Ling (Poria, black skin removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried).
Preparation and Administration: Mix with honey, pound 3,000 times, form pills the size of Sophora seeds. Take 30 pills per dose.
Shi Chang Pu Wan (Acorus Pill): Treats Chou disease with pulling tension in sinews and vessels; strengthens sinews and muscles; nourishes blood and vessels.
Ingredients: Shi Chang Pu (Acori Tatarinowii Rhizoma), Niu Xi (Achyranthis Bidentatae Radix) [These two are sliced, soaked in wine overnight, then baked], Yuan Zhi (Polygalae Radix, heart removed), Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria, black skin removed), Di Gu Pi (Lycii Cortex), Sheng Gan Di Huang (Fresh Prepared Rehmanniae Radix), etc. [Text fragmentary].
Preparation and Administration: Form pills the size of Sophora seeds. Take 2... [Text cuts off]