论筋病 论脉病
天师曰∶筋脉者，一身之筋，通体之脉，不可有病。病则筋缩而身痛，脉涩而体重矣。然筋之舒，
在于血和，而脉之平，在于气足。故治筋必须治血。而治脉必须补气，人若筋急蜷缩，伛偻而不能立，俯
仰而不能直者；皆筋病也。方用当归一两，白芍五钱，薏仁五钱，生地五钱，元参五钱，柴胡一钱，水
煎服。此方之奇，在用柴胡一味入于补血药之中。盖血亏则筋病，用补血药以治筋，宜矣。何以又用
柴胡以舒散之？不知筋乃肝之余，肝气不顺，筋乃缩急，甚而伛偻。今用柴胡舒其肝脉之郁。郁气既除，
而又济之以大剂补血之品，则筋得其养而宽，筋宽则诸症悉愈矣。
血脉不足之症，任、督、阴阳各 经络不足，或毛发之干枯，发鬓之凋落，或色泽之不润，或相
貌之憔悴是也。此
等之症，人以为气之衰也，谁知血之竭乎，法当补其血。而血不可骤补也，须缓缓补之。当归一钱，白
芍三钱，川芎一钱，熟地四钱，白果五个，何首乌三钱，桑叶七片，水煎服。此汤即四物汤。妙在用白
果以引至唇齿，用桑皮以引至皮毛。用何首乌以引至发鬓，则色泽自然生华，而相貌自然发彩矣。此治脉
之法，人亦宜知。
张公曰∶筋脉之治，予尚有二奇方传世。用当归三钱，芍药一两，熟地二两，柴胡一钱，白术五
钱，肉桂一钱，白芥子一钱，水煎服。（〔批〕滋筋舒肝汤。）此方乃肾肝同治之法。筋虽属肝，而滋肝
必责之肾。今大补其肾，又加之舒肝之药，而筋有不快然以养者耶。
脉治法，当归一两，白芍三钱，生地三钱，麦冬三钱，熟地一两，万年青三分，枸杞子二钱，旱
莲草一钱，花椒三分，天冬三钱，水煎服。此方药味俱是补血之品，而又上走于面。久服自然两鬓变黑，
容颜润泽矣，可与天师法并传也。
华君曰∶无方。乌须我有绝奇之方，世间方甚多，皆不能取效于旦夕。我之奇方，不须十天，保汝
重为乌黑。熟地三两，何首乌三两，用生不用熟，用红不用白，用圆不用长，黑芝麻一两，炒，万年
青二片，桑叶二两，山药三两，白果三十个，桔梗三钱，各为细末。不可经铁器，为丸。每日早饭后服一
两，十日包须乌黑。乃余自立之方，治人亲验者也。
岐天师∶加花椒一钱。此方奇绝，华君不畏泄天机耶。
天师说：全身的筋，贯通体表的脉，是不可以有病的。一旦生病，就会出现筋脉收缩而身体疼痛，脉象涩滞而身体沉重的症状。然而，筋的舒展，在于血液调和；脉的平和，在于气机充足。所以治疗筋病必须调理血液，而治疗脉病必须补益气机。如果一个人筋脉拘急蜷缩，弯腰驼背不能站立，低头抬头都不能挺直，这些都是筋病。方剂用当归一两，白芍五钱，薏苡仁五钱，生地黄五钱，玄参五钱，柴胡一钱，用水煎服。这个方子的奇妙之处，在于使用柴胡这一味药融入补血药物之中。大概是因为血虚则导致筋病，使用补血药来治疗筋病，是适宜的。为什么又要用柴胡来舒散呢？不知道筋是肝之余气所化，肝气不顺，筋就会收缩紧急，甚至出现弯腰驼背的情况。现在用柴胡疏通肝脉的郁结。郁结之气既然消除，又辅以大剂量的补血药物，那么筋得到滋养而宽松，筋宽松了各种症状就都痊愈了。
血脉不足的病症，表现为任脉、督脉、阴经、阳经各条经络气血不足，或者是毛发干枯，鬓角头发脱落，或者是面色光泽不润泽，或者是容貌憔悴。这种病症，人们以为是气衰导致的，谁知道其实是血枯竭了呢？治法应当补血。但是血不可以骤然进补，必须缓慢地补充。方用当归一钱，白芍三钱，川芎一钱，熟地黄四钱，白果五个，何首乌三钱，桑叶七片，用水煎服。这个汤剂就是四物汤（由当归、川芎、白芍、熟地黄组成的补血基础方）。其妙处在于用白果引导药力到达唇齿，用桑皮（此处原文作桑叶，但后文解释为引至皮毛，且桑皮更常用作引经，然依原文翻译）引导药力到达皮毛，用何首乌引导药力到达鬓发，那么色泽自然产生光华，容貌自然焕发神采。这也是治疗脉的方法，人们也应该知晓。
张公说：关于筋脉的治疗，我还有两个奇特的方子流传于世。用当归三钱，芍药一两，熟地黄二两，柴胡一钱，白术五钱，肉桂一钱，白芥子一钱，用水煎服。（批注：滋筋舒肝汤。）这个方子是肾肝同治的方法。筋虽然属于肝，但滋养肝必须归责于肾。现在大补肾精，再加上疏肝的药物，筋哪有不被滋养而舒适的道理呢？
脉的治疗法，用当归一两，白芍三钱，生地黄三钱，麦冬三钱，熟地黄一两，万年青三分，枸杞子二钱，旱莲草一钱，花椒三分，天冬三钱，用水煎服。这个方子的药物都是补血之品，而且药性向上走达面部。长期服用自然两鬓变黑，容颜润泽，可以与天师的治法一并传承。
华君说：没有方子。至于黑发我有极其奇妙的方子，世间的方子很多，都不能在短期内见效。我的奇方，不需要十天，保证你重新变得乌黑。熟地黄三两，何首乌三两，用生的不用熟的，用红色的不用白色的，用圆形的不用长形的，黑芝麻一两（炒制），万年青两片，桑叶二两，山药三两，白果三十个，桔梗三钱，各自研成细末。不可经过铁器，制成丸药。每天早饭后服用一两，十天内保证头发乌黑。这是我自立方的方子，亲自验证过能治愈他人的。
On Tendon Diseases and Vessel Diseases
The Heavenly Master said: The tendons of the whole body and the vessels penetrating the entire frame should not be diseased. If disease occurs, the tendons will contract causing body pain, and the vessels will become choppy (Se) resulting in a heavy sensation in the body. However, the relaxation of tendons depends on the harmony of Blood, while the tranquility of vessels depends on the sufficiency of Qi. Therefore, treating tendon diseases requires regulating Blood, and treating vessel diseases requires tonifying Qi. If a person suffers from tense and curled tendons, stooping posture unable to stand upright, or inability to bend forward or extend backward straightly, these are all tendon diseases. The prescription consists of Dang Gui (Radix Angelicae Sinensis) 1 liang, Bai Shao (Radix Paeoniae Alba) 5 qian, Yi Ren (Semen Coicis) 5 qian, Sheng Di Huang (Radix Rehmanniae Preparata) 5 qian, Yuan Shen (Radix Scrophulariae) 5 qian, and Chai Hu (Radix Bupleuri) 1 qian, decocted in water and taken orally. The novelty of this prescription lies in the use of Chai Hu within blood-tonifying herbs. Generally, when Blood is deficient, tendon diseases arise; thus, using blood-tonifying herbs to treat tendons is appropriate. Why then use Chai Hu for dispersing? One must understand that tendons are the surplus of Liver Qi. When Liver Qi is stagnant, tendons contract and tighten, even leading to stooping. Now, by using Chai Hu to soothe the stagnation of Liver vessels, once the stagnant Qi is removed, and aided by large doses of blood-nourishing substances, the tendons receive nourishment and become loose. Once the tendons are loose, all symptoms will resolve.
Symptoms of insufficient Blood vessels manifest as deficiency in the Ren Mai (Conception Vessel), Du Mai (Governing Vowel), and Yin and Yang meridians, or dryness of hair, loss of temple hair, lack of luster in complexion, or haggard appearance. People often attribute such symptoms to declining Qi, but who knows it is actually the exhaustion of Blood? The method should be to tonify Blood. However, Blood cannot be tonified abruptly; it must be done gradually. The prescription uses Dang Gui 1 qian, Bai Shao 3 qian, Chuan Xiong (Rhizoma Chuanxiong) 1 qian, Shu Di Huang (Radix Rehmanniae Praeparata) 4 qian, Bai Guo (Semen Ginkgo) 5 pieces, He Shou Wu (Caulis Polygoni Multiflori) 3 qian, and Sang Ye (Folium Mori) 7 leaves, decocted in water and taken orally. This decoction is essentially Si Wu Tang (Four Substances Decoction). Its brilliance lies in using Bai Guo to guide the medicine to the lips and teeth, Sang Pi (Pericarpium Citri Reticulatae - *Note: Text says Sang Ye but explanation implies guiding to skin/hair, traditionally Sang Bai Pi guides to skin, but strictly translating text*) to guide it to the skin and hair, and He Shou Wu to guide it to the temples and hair. Consequently, luster naturally arises, and the countenance naturally glows. This is the method for treating vessels, which people should also know.
Master Zhang said: Regarding the treatment of tendons and vessels, I have two more unique prescriptions to pass down. Use Dang Gui 3 qian, Shao Yao (Radix Paeoniae Rubra/Alba) 1 liang, Shu Di Huang 2 liang, Chai Hu 1 qian, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 5 qian, Rou Gui (Cortex Cinnamomi) 1 qian, and Bai Jie Zi (Semen Mustardae) 1 qian, decocted in water and taken orally. [Commentary: Zi Jin Shu Gan Tang (Nourish Tendons and Soothe Liver Decoction)]. This prescription employs the method of simultaneously treating Kidney and Liver. Although tendons belong to the Liver, nourishing the Liver necessarily involves the Kidney. By greatly tonifying the Kidney now, and adding herbs that soothe the Liver, how could the tendons fail to be nourished and feel comfortable?
For treating vessels, use Dang Gui 1 liang, Bai Shao 3 qian, Sheng Di Huang 3 qian, Mai Dong (Radix Ophiopogonis) 3 qian, Shu Di Huang 1 liang, Wan Nian Qing (Hemionitis arifolia) 3 fen, Gou Qi Zi (Fructus Lycii) 2 qian, Han Lian Cao (Herba Ecliptae) 1 qian, Hua Jiao (Pericarpium Zanthoxyli) 3 fen, and Tian Dong (Radix Asparagi) 3 qian, decocted in water and taken orally. All ingredients in this prescription are blood-tonifying substances, and they ascend to the face. Long-term consumption will naturally turn the temples black and moisten the complexion. It can be transmitted alongside the Heavenly Master's method.
Master Hua said: I have no prescription [for general ailments]. But for darkening hair, I have an extremely unique prescription. There are many prescriptions in the world, yet none yield results overnight. My unique prescription guarantees your hair will turn black again within ten days. Use Shu Di Huang 3 liang, He Shou Wu 3 liang (use raw, not processed; use red, not white; use round, not long), Chao Hei Zhi Ma (Fried Sesame Seed) 1 liang, Wan Nian Qing 2 pieces, Sang Ye 2 liang, Shan Yao (Rhizoma Dioscoreae) 3 liang, Bai Guo 30 pieces, and Jie Geng (Radix Platycodi) 3 qian. Grind each into fine powder. Do not let them touch iron vessels. Form into pills. Take 1 liang daily after breakfast. Within ten days, your hair will surely be black. This is my self-created prescription, personally verified to cure others.
Qi Tian Shi said: Add Hua Jiao 1 qian. This prescription is extraordinarily unique. Is Master Hua not afraid of leaking heavenly secrets?