治久风邪入肝脾二经,言语不传。
汉防己 防风(去钗股) 桂心(不见火) 附子(炮裂,去皮,各半两) 威灵仙(去
苗,
洗,三分) 麻黄(半两,去节)
上为粗末。每服四钱,水一盏,引子半盏,煎至七分,去滓温服,日三四。引子用竹沥
、荆沥、地黄汁各一盏,姜汁半盏,和匀用。
上四方庞先生传。
治筋急项强不可转侧。
宣州木瓜(二个,取盖去穣) 没药(二两,研) 乳香(一分,乳钵坐水盆中,研)
上二味,纳木瓜中,用盖子合了,竹签定之,饭上蒸三四次,烂研成膏子。每服三五匙
,地黄酒化下,生地黄汁半盏,无灰上酝二盏和之,用八分一盏,热暖化膏。
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
有筋,惟足少阴之筋,自足至顶,大抵筋者肝之合也。日中至黄昏,天之阳,阳中之阴也。
又曰∶阳中之阴,肺也,自离至兑,阴旺阳弱之时。故《灵宝毕法》云∶离至干,肾气绝而
肝气弱,肝肾二脏受阴气,故发于是时。予授此方,三服而愈。
同官歙丞张德操,常言其内子昔患筋挛,脚不能屈伸者逾年,动则令人持抱,求医于泗
水杨吉老。吉老云∶此筋病也,宜服下三方,服一年而愈。
治筋极。(春夏服之)
熟干地黄(酒洒,九蒸九曝,焙干,秤,十分) 顽荆(一分) 山茱萸(五分,连核)
地
肤子 黑狗脊(炙,去毛净,焙,锉) 白术 干漆(炒令烟出) 蛴螬(干炒) 天雄(炮,
去
皮) 车前子(各三分) 萆 山芋 泽泻 牛膝(酒浸,水洗,焙干,各一两)
上为细末,炼蜜和杵,丸如梧子大。每服五十丸,温酒下,空心夜卧服。
治疗久风之邪侵入肝、脾两经,导致言语不利(语言謇涩)。
汉防己 防风(去除木质茎心) 桂心(不经过火烤) 附子(炮制至裂开,去皮,各半两) 威灵仙(去苗,洗净,三分) 麻黄(半两,去节)
以上药物捣成粗末。每次服用四钱,加水一盏,药引半盏,煎煮至七分,滤去药渣,温服,每日三到四次。药引使用竹沥、荆沥、地黄汁各一盏,姜汁半盏,混合均匀后使用。
以上四方由庞先生传授。
治疗筋脉拘急、项部僵硬,无法转头侧身。
宣州木瓜(两个,取盖去瓤) 没药(二两,研碎) 乳香(一分,在乳钵中置于水盆上研磨)
以上两味药,放入木瓜中,用盖子合好,用竹签固定,在饭上蒸三四次,烂熟后研成膏状。每次服用三到五匙,用地黄酒化开送服,加入生地黄汁半盏,无灰上好米酒二盏调和,取八分之一盏的量,加热暖化膏剂服用。
有人患此病,从午后发作,黄昏时缓解。我说:这个患者必定先从足部开始发病。《内经》说:十二经络各有筋,只有足少阴之筋,从足至头顶,大抵筋是肝的外合。中午到黄昏,是天中的阳气,属于阳中之阴。又说:阳中之阴对应肺,从午时(离卦)到酉时(兑卦),是阴气旺盛、阳气衰弱的时候。所以《灵宝毕法》说:从离到干(此处指时间或卦象转换,意指阴阳交替之际),肾气绝而肝气弱,肝肾两脏受阴气影响,所以在这些时候发病。我给予此方,服用三次而痊愈。
同官县歙县丞张德操,常说他妻子过去患筋挛,脚不能屈伸超过一年,活动时让人抱着,向泗水杨吉老求医。杨吉老说:这是筋病,适宜服用下面三方,服用一年而痊愈。
治疗筋极度虚弱。(春夏季节服用)
熟干地黄(洒酒,九蒸九晒,焙干,称量,十分) 顽荆(一分) 山茱萸(五分,带核) 地肤子 黑狗脊(炙,去毛净,焙,锉碎) 白术 干漆(炒至烟出) 蛴螬(干炒) 天雄(炮,去皮) 车前子(各三分) 萆薢 山芋 泽泻 牛膝(酒浸,水洗,焙干,各一两)
以上药物捣成细末,炼蜜调和并杵捣,制成梧桐子大小的丸剂。每次服用五十丸,温酒送下,空腹及睡前服用。
Treats long-standing wind-pathogen invading the Liver and Spleen meridians, resulting in speech impediment (slurred speech).
Han Fangji (Stephaniae Tetrandrae Radix), Fangfeng (Saposhnikoviae Radix) [removed woody core], Guixin (Cinnamomi Cortex), Fuzi (Aconiti Lateralis Radix Praeparata) [processed until cracked, peel removed, each half tael], Weilingxian (Clematidis Radix et Rhizoma) [seedlings removed, washed, 3 qian], Mahuang (Ephedrae Herba) [half tael, nodes removed].
The above ingredients are crushed into coarse powder. Each dose is four qian, boiled with one *zhan* of water and half a *zhan* of decoction vehicle, simmered until reduced to seven-tenths, strained, and taken warm. Taken three to four times daily. The decoction vehicle consists of Zhuli (Bambusae Caulis Succus), Jingli (Viticipolygani Caulis Succus), and Dihuang Zhi (Rehmanniae Radix Juice), each one *zhan*, mixed evenly with Banjiang Zhi (Zingiberis Rhizoma Recens Juice) half a *zhan*.
The above four formulas were transmitted by Mr. Pang.
Treats tendon tension and neck stiffness, making it impossible to turn or tilt the head.
Xuanzhou Mugua (Chaenomelis Fructus) [two fruits, lid removed, pulp discarded], Moyao (Myrrha), Ruxiang (Olibanum) [1 fen, ground in a mortar placed in a basin of water].
The above two ingredients are placed inside the Mugua. The lid is replaced and secured with bamboo pins. It is steamed over rice three to four times until soft, then ground into a paste. Each dose is three to five spoons, dissolved in Di Huang Jiu (Rehmanniae Radix Wine) for administration. Add Ban Sheng Dihuang Zhi (Juice of Rehmanniae Radix Recens) half a *zhan* and Wuhui Shangyun (Superior Rice Wine without ash) two *zhan* to mix. Take one-eighth of a *zhan*, heat and warm to dissolve the paste.
A patient suffered from this condition, starting in the afternoon and resolving at dusk. I said: This patient must have started symptoms from the feet. The *Classic* states: The twelve meridians each have tendons; only the Foot-Shaoyin tendon runs from the foot to the vertex. Generally, tendons are the external correspondence of the Liver. From midday to dusk is the Yang of heaven, which is Yin within Yang. Furthermore, Yin within Yang corresponds to the Lung. From Li (Wu hour/noon) to Dui (You hour/dusk) is the time when Yin is prosperous and Yang is weak. Thus, the *Lingbao Bi Fa* states: From Li to Qian, Kidney Qi is exhausted and Liver Qi is weak; the Liver and Kidney organs are affected by Yin Qi, hence the onset occurs at these times. I prescribed this formula, and after three doses, the patient was cured.
Zhang Decao, Vice Magistrate of She County, Tongguan Prefecture, often stated that his wife previously suffered from tendon spasms, unable to flex or extend her legs for over a year, requiring others to carry her when moving. She sought medical treatment from Yang Jilao of Sishui. Yang Jilao said: This is a tendon disease, suitable for treating with the following three formulas. After one year of medication, she was cured.
Treats extreme tendon deficiency. (To be taken in Spring and Summer.)
Shu Gan Dihuang (Prepared Rehmanniae Radix) [sprinkled with wine, steamed nine times, sun-dried nine times, dried by baking, weighed, 10 fen], Wan Jing (Viticis Fructus), Shanzhuyu (Corni Fructus) [5 fen, with seeds], Difuzi (Kochiae Fructus), Hei Gouji (Cibotii Rhizoma) [roasted, cleaned of hairs, baked, sliced], Baizhu (Atractylodis Macrocephalae Rhizoma), Ganqi (Resina Dammaris), Qicao (Melandri Larva) [dry-fried], Tianxiong (Aconiti Kusnezoffii Radix) [processed, peel removed], Cheqianzi (Plantaginis Semen), Bixie (Dioscoreae Hypoglaucae Rhizoma), Shanyu (Dioscoreae Rhizoma), Zexie (Alismatis Rhizoma), Niuxi (Achyranthis Bidentatae Radix) [soaked in wine, washed, baked, each 1 liang].
The above ingredients are ground into fine powder, mixed with refined honey, pounded, and formed into pills the size of mulberry seeds. Each dose is fifty pills, taken with warm wine, on an empty stomach and before sleep.