论曰肝病筋急者，肝与筋合也。盖足厥阴之经不足，则脉弗营，脉弗营则风邪易侵。搏
于筋脉，故令筋急而挛缩也。
治肝脏风毒瓦斯注，手臂头项、肩 腰足，筋脉拳急，攻刺疼痛，或四肢虚肿，头目旋运
，黑花昏暗，呕逆减食。天麻汤方
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（炮） 牛膝（去苗酒浸切焙） 麻黄（去根节） 白花蛇酒浸去皮骨炙焦） 枸
杞白芷 人参 萆 海桐皮 防风（去叉） 桂（去粗皮） 酸枣仁（炒） 白蒺藜（炒）
当归（切焙） 甘草（炙各一两） 乳香（研一两半）
上二十一味。除研者外，锉如麻豆，每服五钱匕，水一盏半，生姜三片，煎取八分，
去滓温服，其煎药水，每用桃柳桑枝嫩者各一两，净洗细锉，甘菊叶半两，如无叶以花代，
用水二升，煎取一升去滓，若冬月十日为一料，夏月逐日修事服之。
治肝脏风毒流注，脚膝筋脉，拘急疼痛，行履不得。石南丸方
石南 乌蛇（酒浸去皮骨炙各一两） 牛膝（去苗酒浸切焙） 防风（去叉） 石斛（去
根） 桂（去粗皮） 萆 麻黄（去根节） 羌活（去芦头） 海桐皮 赤茯苓（去黑皮）
茵芋（去粗茎） 独活（去芦头） 天麻（酒炙） 当归（切焙） 附子（炮裂去皮脐各半
两） 黑豆（一升净淘以醇酒五升煮去豆滓熬成膏和诸药）
上一十七味。除黑豆膏外，捣罗为细末，以豆膏和丸，如梧桐子大，每服二十丸至三十
丸，早晚食前温酒下。
治肝虚血不足，肢节拘急，筋脉挛痛。地黄丸方
生干地黄（切焙） 熟干地黄（切焙各一斤） 杏仁（去皮尖双仁麸炒细研半斤） 防
风（去叉） 石斛（
上七味。除杏仁外，捣罗为细末，入杏仁和匀，炼蜜和丸，如梧桐子大。每服三十丸，
炒黑豆淋酒下，日三不计时。
治肝元虚风上攻，头目昏闷，及背项紧急，筋脉拘挛。羚羊角散方
羚羊角（镑） 芎 （各半两） 羌活（去芦头） 独活（去芦头各三分） 人参 防
风（去叉） 白蒺藜（炒
上七味。捣罗为细散，每服二钱匕，温酒调下不拘时。
治肝虚劳损，关节疼痛，筋脉挛急。虎骨酒方
虎骨（酒涂炙三两） 干姜（炮二两） 芎 地骨皮 白术（锉） 猪椒根（锉洗） 五
加皮（各二两）
上一十味。粗捣筛，用生绢袋贮，以清酒三斗浸四宿，每日空腹服一盏，加至二盏。
治肝脏风气，四肢筋脉挛急，身体强直。薏苡仁汤方
薏苡仁 芎 石膏（碎研各一两） 羌活（去芦头三分） 柏子仁（研） 酸枣仁（炒
各一两） 附子（炮裂去皮脐三分）
上七味。除研者，锉如麻豆，每服三钱匕，水一盏，生姜三片，煎至七分，去滓温服
，不计时候。
治肝脏风气攻注四肢，筋急疼痛，及脚膝少力，行步艰难。木瓜丸方
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（炮裂去皮脐二两）
上五味。捣罗为末，炼蜜丸如梧桐子大。每服三十丸，煎牛膝酒下，渐加丸数，空心食
前。
治肝风筋脉拘急，背 劳倦，及头昏项颈紧急疼痛。独活汤方
独活（去芦头） 甘菊花（择） 蔓荆实 芎 （各一两）
上四味。粗捣筛，每服三钱匕，水一盏，入酸枣仁恶实各五十粒研碎，同煎至七分，去
滓温服，不计时。
治筋急转筋，舒展不能。乌头丸方
草乌头（半斤用盐水浸三日取出洗切麸炒麸焦为度去麸用） 荆芥穗（半斤）
上二味。捣罗为细末，别用宣州木瓜二枚，炒熟去皮瓤，入前件药，杵令匀，用酒煮面
糊和丸，如梧桐子大。每服三十丸，加至五十丸，食前木瓜汤下，日三。
Commentary states: Liver disease causing tendon tightness occurs because the liver corresponds to the tendons. When the Qi of the Foot Jueyin Liver Meridian is insufficient, the vessels fail to nourish [the tissues]. When vessels fail to nourish, wind pathogens easily invade. The wind pathogens contend with the tendons and vessels, thus causing tendon tightness and spasms.
Tianma Decoction (Gastrodia Decoction) for treating Liver organ wind-toxic qi flowing into the arms, head, neck, shoulders, waist, and feet, causing curled and tight tendons, piercing pain, or flaccid swelling of the four limbs, dizziness, visual obscurations (black spots), vomiting, nausea, and reduced appetite.
Ingredients: Gastrodiae Rhizoma (prepared with wine), Aconiti Lateralis Radix Praeparata (processed, peeled, and umbilicus removed, 1.5 liang each), Scorpio (dried, cleaned of soil and stir-fried), Notopterygii Rhizoma et Radix (rhizome tips removed), Ligustici Chuanxiong Rhizoma, Hydrastis Rhizoma (processed), Achyranthis Bidentatae Radix (sprouts removed, soaked in wine, sliced, and dried over fire), Ephedrae Herba (roots and joints removed), Dry snake (soaked in wine, skin and bones removed, roasted until scorched), Lycii Fructus, Angelicae Dahuricae Radix, Ginseng Radix et Rhizoma, Dioscoreae Hypoglaucae Rhizoma, Phellodendri Cortex, Saposhnikoviae Radix (forks removed), Cinnamomi Ramulus (bark removed), Ziziphi Spinosae Semen (stir-fried), Tribuli Fructus (stir-fried), Angelicae Sinensis Radix (sliced and dried), Glycyrrhizae Radix et Rhizoma (honey-fried, 1 liang each), Incensum (ground, 1.5 liang).
Total twenty-one ingredients. Except for those to be ground, chop them like hemp seeds. Take five qianbi per dose, add one dan of water and three slices of fresh ginger, decoct until eight parts remain, remove dregs, and take warm. For the decoction water, use tender branches of Peach, Willow, and Mulberry trees, one liang each, washed clean and finely chopped, along with half a liang of Matricariae Flos (use flowers if leaves are unavailable). Add two sheng of water, decoct until one sheng remains, and remove dregs. In winter, prepare one batch every ten days; in summer, prepare and take daily.
Shinan Wan (Pieris Pill) for treating Liver organ wind-toxic flow affecting the legs and knees, causing tight and painful tendons, making walking difficult.
Ingredients: Pieridis Folium, Tropidonotus (soaked in wine, skin and bones removed, roasted, 1 liang each), Achyranthis Bidentatae Radix (sprouts removed, soaked in wine, sliced, and dried over fire), Saposhnikoviae Radix (forks removed), Dendrobii Caulis (roots removed), Cinnamomi Ramulus (bark removed), Dioscoreae Hypoglaucae Rhizoma, Ephedrae Herba (roots and joints removed), Notopterygii Rhizoma et Radix (rhizome tips removed), Phellodendri Cortex, Poria Cocos (black skin removed), Ilicis Cornuti Caulis (coarse stems removed), Notopterygii Rhizoma et Radix (rhizome tips removed), Gastrodiae Rhizoma (prepared with wine), Angelicae Sinensis Radix (sliced and dried), Aconiti Lateralis Radix Praeparata (processed, peeled, and umbilicus removed, 0.5 liang each), Phaseoli Sojae Semen Nigrum (one sheng, washed clean, boiled in five sheng of strong wine, beans removed, boiled down to a paste to mix with other herbs).
Total seventeen ingredients. Except for the black bean paste, grind into fine powder. Mix with the bean paste to form pills the size of Sophora japonica seeds. Take 20-30 pills per dose, morning and evening before meals, with warm wine.
Dihuang Wan (Rehmannia Pill) for treating Liver deficiency with blood insufficiency, joint stiffness, and tendon spasms/pain.
Ingredients: Rehmanniae Radix Recens (sliced and dried), Rehmanniae Radix Praeparata (sliced and dried, 1 jin each), Armeniacae Semen Amarum (skin and pointed ends removed, double-kernel, bran-roasted, finely ground, 0.5 jin), Saposhnikoviae Radix (forks removed), Dendrobii Caulis (roots removed), Eucommiae Cortex (stir-fried with ginger juice until breaking fibers), Dipsaci Radix (rhizome tips removed).
Total seven ingredients. Except for the apricot seeds, grind into fine powder. Mix evenly with the apricot seeds. Combine with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, with wine poured over stir-fried black soybeans. Take three times daily, at any time.
Lingyangjiao San (Antelope Horn Powder) for treating Liver origin deficiency wind attacking upwards, causing dizziness and heaviness of the head and eyes, as well as tightness of the back and neck, and tendon spasms.
Ingredients: Antelopis Cornu (shaved), Ligustici Chuanxiong Rhizoma (0.5 liang each), Notopterygii Rhizoma et Radix (rhizome tips removed), Notopterygii Rhizoma et Radix (rhizome tips removed, 0.3 fen each), Ginseng Radix et Rhizoma, Saposhnikoviae Radix (forks removed), Tribuli Fructus (stir-fried).
Total seven ingredients. Grind into fine powder. Take two qianbi per dose, mixed with warm wine, at any time.
Hugu Jiu (Tiger Bone Wine) for treating Liver deficiency with consumptive damage, joint pain, and tendon tightness.
Ingredients: Tigris Os (painted with wine and roasted, 3 liang), Zingiberis Rhizoma Siccum (processed, 2 liang), Ligustici Chuanxiong Rhizoma, Lycii Cortex Radicis, Atractylodis Macrocephalae Rhizoma (chopped), Zanthoxyli Radix (chopped and washed), Acanthopanacis Cortex (2 liang each).
Total ten ingredients. Coarsely crush and sieve. Store in a raw silk bag. Soak in three dou of clear wine for four nights. Take one cup on an empty stomach daily, gradually increasing to two cups.
Yiyiren Tang (Coix Seed Decoction) for treating Liver organ wind affecting the four limbs, causing tendon spasms and body rigidity.
Ingredients: Coicis Semen, Ligustici Chuanxiong Rhizoma, Gypsum Fibrosum (crushed and ground, 1 liang each), Notopterygii Rhizoma et Radix (rhizome tips removed, 0.3 fen), Platycladi Semen, Ziziphi Spinosae Semen (stir-fried, 1 liang each), Aconiti Lateralis Radix Praeparata (processed, peeled, and umbilicus removed, 0.3 fen).
Total seven ingredients. Except for those to be ground, chop like hemp seeds. Take three qianbi per dose, add one dan of water and three slices of fresh ginger, decoct until seven parts remain, remove dregs, and take warm, at any time.
Mugua Wan (Papaya Pill) for treating Liver organ wind attacking the four limbs, causing tendon tightness and pain, weakness in the legs and knees, and difficulty walking.
Ingredients: Chaenomelis Fructus (skin and seeds removed, thinly sliced, dried over fire, 2 liang), Achyranthis Bidentatae Radix (sprouts removed, soaked in wine, sliced, and dried over fire), Ligustici Chuanxiong Rhizoma, Notopterygii Rhizoma et Radix (rhizome tips removed, 1.5 liang each), Aconiti Lateralis Radix Praeparata (processed, peeled, and umbilicus removed, 2 liang).
Total five ingredients. Grind into powder. Combine with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose, with decocted Achyranthis Bidentatae Radix wine. Gradually increase the number of pills. Take on an empty stomach before meals.
Duhuo Tang (Notopterygium Decoction) for treating Liver wind causing tendon spasms, back and waist fatigue, dizziness, and tight/painful neck.
Ingredients: Notopterygii Rhizoma et Radix (rhizome tips removed), Matricariae Flos (selected), Viticis Fructus, Ligustici Chuanxiong Rhizoma (1 liang each).
Total four ingredients. Coarsely crush and sieve. Take three qianbi per dose, add one dan of water, fifty grains of Ziziphi Spinosae Semen and fifty grains of Echinops Fructus (ground), decoct together until seven parts remain, remove dregs, and take warm, at any time.
Wutou Wan (Aconite Pill) for treating tendon tightness and spasms, inability to stretch.
Ingredients: Aconiti Kusnezoffii Radix (half a jin, soaked in salt water for three days, taken out, washed, sliced, stir-fried with bran until bran is scorched, bran removed), Schizonepetae Spica (half a jin).
Total two ingredients. Grind into fine powder. Separately take two Papayas from Xuanzhou, roast until cooked, remove skin and pulp. Mix with the above powders, pound until uniform. Use wine-boiled wheat paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, increasing to 50 pills. Take before meals with Papaya Decoction, three times daily.