论曰肝藏血，与筋合，肝气和，则气血强盛，以行于筋膜，故骨正筋柔，气血皆从，若
肝脏气虚，不能荣养，则为风邪所侵，搏于筋脉，营卫凝泣，关节不通，令人筋脉抽掣疼痛
，以至眩闷口眼偏斜，皆其证也。
治肝气虚弱，风邪外侵，搏于筋脉，流入经络。筋脉抽掣疼痛。独活汤方
独活（去芦头） 萆 细辛（去苗叶） 人参 牛膝（去苗切酒浸焙） 酸枣仁（微
炒） 附子（炮裂去皮脐） 羚羊角（镑） 赤芍药 黄芩（去黑心） 茵芋（去粗茎） 麻
黄（去根节煎掠去沫焙） 防己 桂（
上一十五味。锉如麻豆，每服三钱匕，水一盏，生姜三片，枣三枚劈破，煎至五分，
去滓入竹沥一合，煎两沸温服，不拘时候。
治肝受风邪，筋脉抽掣疼痛。升秀丸方
乌喙（炮裂去皮脐五两） 槟榔（三两） 防葵 槐胶（酒化为膏） 牛膝（酒浸焙各
二两） 萆 （微炒） 泽漆 木瓜（去皮子切焙） 续随子（去皮别研如膏各一分）
上九味。除槐胶续随子外，捣罗末再拌匀，炼蜜和丸，如梧桐子大，空心食前，温酒下
三十丸，以知为度。
治肝脏风毒流注，四肢拘急，筋脉抽掣，百节麻木，身体疼痛，头目昏眩。天麻汤方
天麻 独活（去芦头） 酸枣仁（炒） 薏苡仁 防风（去叉各一两） 赤茯苓（去黑
皮） 芎 羚羊角（镑） 甘草（微炒锉） 桂（去粗皮） 麻黄（去节煎掠去沫焙各半
两）
上一十一味。粗捣筛，每服三钱匕，水一盏，入薄荷少许，同煎至六分，去滓食后温服
治肝气攻注，遍身筋脉，抽掣疼痛，四肢无力。枸杞汤方
枸杞子 海桐皮（锉） 白芷 苦参 防风（去叉） 甘草（炙锉） 麻黄（去根节煎
掠去沫焙） 牛膝
上一十味。粗捣筛，每服三钱匕，水一盏，入生姜二片，同煎至七分，去滓温服，不拘
时候。
治肝风，筋脉抽掣疼痛，不得屈伸，恍惚多忘，或时恐怖。茯神丸方
茯神（去木一两） 远志（去心） 人参 白僵蚕（微炒各三分） 白附子（微炮） 乳
香（别研一两） 当
上七味。捣研为末，炼蜜丸如梧桐子大，每服二十丸，温酒下，不计时候，渐加丸数。
治肝脏风冷，毒瓦斯攻注，筋脉抽掣疼痛，及一切筋寒之病。补骨脂汤方
补骨脂（炒） 芥草 桂（去粗皮） 附子（炮裂去皮脐） 干姜（炮各一两） 干蝎
（去土微炒一分）
上六味。锉如麻豆，每服二钱匕，水半盏，入酒半盏，葱白二寸，盐少许，同煎至六
分，去滓食前热服，猝转筋者，热酒煎服。
治肝风筋脉抽掣疼痛，肢节不利。牛膝酒方
牛膝（去苗锉） 薏苡仁（各半斤） 酸枣仁（微炒） 赤芍药 附子（炮裂去皮脐） 干
姜（炮） 柏子
上九味。细锉和匀，用生绢袋盛，以好酒二斗浸七日，不拘时温饮一盏，旋添酒渍药
，至味薄即止。
Commentary states: The Liver stores Blood and is associated with the sinews (tendons). When Liver Qi is harmonious, Qi and Blood are robust and circulate through the fascia, resulting in straight bones and flexible sinews, allowing Qi and Blood to flow smoothly. If Liver Qi is deficient and fails to nourish the sinews, Wind pathogen may invade, combusting with the sinews and vessels. This causes stagnation of Ying (Nutritive) and Wei (Defensive) Qi, obstruction of joints, leading to symptoms such as twitching and pain of the sinews and vessels. It may progress to dizziness, faintness, and deviation of the mouth and eyes; these are all corresponding manifestations.
Treatment for deficiency of Liver Qi, external invasion of Wind pathogen, combustion with sinews and vessels, flowing into collaterals, causing twitching and pain of sinews and vessels. Duhuo Decoction (Angelicae Pubescentis Decoction):
Duhuo (Radix Angelicae Pubescentis), Bixie (Rhizoma Dioscoreae Hypoglaucae), Xixin (Herba Asari), Renshen (Radix Ginseng), Niuxi (Radix Achyranthis Bidentatae), Suanzaoren (Semen Ziziphi Spinosae), Fuzi (Radix Aconiti Lateralis Preparata), Lingyangjiao (Cornu Saigae Tataricae), Chishaoyao (Radix Paeoniae Rubra), Huangqin (Radix Scutellariae), Yinyu (Fructus Berberidis), Mahuang (Herba Ephedrae), Fangji (Radix Stephaniae Tetrandrae), Guizhi (Ramulus Cinnamomi).
The above fifteen ingredients. Crushed to the size of hemp seeds. Each dose consists of three qianbi (approx. 9g), boiled with one sheng (approx. 200ml) of water, three slices of Shengjiang (Rhizoma Zingiberis Recens), and three fractured Zao (Fructus Jujubae), until five fen (approx. 100ml) remains. Strain the dregs, add one he (approx. 20ml) of Zhuli (Nodus Bambusae in Taenia), boil twice more, and take warm at any time.
Treatment for Liver affected by Wind pathogen, causing twitching and pain of sinews and vessels. Shengxiu Pill (Shengxiu Wan):
Wuhui (Radix Aconiti Kusnezoffii Preparata), Binglang (Semen Arecae), Fangkui (Radix Adenophorae), Huaijiao (Gummi Sophorae), Niuxi (Radix Achyranthis Bidentatae), Bixie (Rhizoma Dioscoreae Hypoglaucae), Zeqi (Herba Euphorbiae Helioscopiae), Mugua (Fructus Chaenomelis), Xuisui Zi (Semen Euphorbiae Lathyridis).
The above nine ingredients. Except for Huaijiao and Xuisui Zi, grind the rest into powder, mix well, and bind with refined honey to form pills the size of Sophora seeds. Take thirty pills on an empty stomach before meals with warm wine, adjusting dosage until efficacy is achieved.
Treatment for Wind-toxin flowing and depositing in the Liver, causing spasm and tightness of the four limbs, twitching of sinews, numbness of all joints, body pain, and dizziness of head and eyes. Tianma Decoction (Gastrodiae Decoction):
Tianma (Rhizoma Gastrodiae), Duhuo (Radix Angelicae Pubescentis), Suanzaoren (Semen Ziziphi Spinosae), Yiyiren (Semen Coicis), Fangfeng (Radix Saposhnikoviae), Chifuling (Poria cum Rhizomo Polypori), Xiong (Rhizoma Chuanxiong), Lingyangjiao (Cornu Saigae Tataricae), Gancao (Radix Glycyrrhizae Preparata), Guizhi (Ramulus Cinnamomi), Mahuang (Herba Ephedrae).
The above eleven ingredients. Coarsely crushed and sieved. Each dose consists of three qianbi, boiled with one sheng of water and a small amount of Bohe (Herba Menthae), until six fen remains. Strain and take warm after meals.
Treatment for Liver Qi attacking and depositing, causing widespread twitching and pain of sinews and vessels, and weakness of the four limbs. Gouqi Decoction (Lycii Decoction):
Gouqizi (Fructus Lycii), Haitongpi (Cortex Erythrinae), Baizhi (Radix Angelicae Dahuricae), Kushen (Radix Sophorae Flavescentis), Fangfeng (Radix Saposhnikoviae), Gancao (Radix Glycyrrhizae Preparata), Mahuang (Herba Ephedrae), Niuxi (Radix Achyranthis Bidentatae).
The above ten ingredients. Coarsely crushed and sieved. Each dose consists of three qianbi, boiled with one sheng of water and two slices of Shengjiang, until seven fen remains. Strain and take warm at any time.
Treatment for Liver Wind, causing twitching and pain of sinews and vessels, inability to flex and extend, mental confusion and forgetfulness, or occasional fear. Fushen Pill (Fushen Wan):
Fushen (Poria cum Radice Pinelliae), Yuanzhi (Radix Polygalae), Renshen (Radix Ginseng), Baijiangcan (Bombyx Batryticatus), Baifuzi (Rhizoma Typhonii), Ruxiang (Resina Frankincense), Danggui (Radix Angelicae Sinensis).
The above seven ingredients. Grind into powder, bind with refined honey to form pills the size of Sophora seeds. Take twenty pills with warm wine at any time, gradually increasing the number of pills.
Treatment for Cold-Wind in the Liver, toxic vapors attacking and depositing, causing twitching and pain of sinews and vessels, and all diseases related to cold in the sinews. Buguzhi Decoction (Psoraleae Decoction):
Buguzhi (Fructus Psoraleae), Jiecao (Herba Siegesbeckiae), Guizhi (Ramulus Cinnamomi), Fuzi (Radix Aconiti Lateralis Preparata), Ganjiang (Rhizoma Zingiberis Preparata), Ganxie (Scorpio).
The above six ingredients. Crushed to the size of hemp seeds. Each dose consists of two qianbi, boiled with half a sheng of water, half a sheng of wine, two cun (approx. 6cm) of Congbai (Bulbus Allii Cepae), and a little salt, until six fen remains. Strain and take hot before meals. For sudden muscle cramps (Zhuanjin), decoct and take with hot wine.
Treatment for Liver Wind causing twitching and pain of sinews and vessels, and impairment of joint movement. Niuxi Wine (Achyranthis Infusion):
Niuxi (Radix Achyranthis Bidentatae), Yiyiren (Semen Coicis), Suanzaoren (Semen Ziziphi Spinosae), Chishaoyao (Radix Paeoniae Rubra), Fuzi (Radix Aconiti Lateralis Preparata), Ganjiang (Rhizoma Zingiberis Preparata), Baizi (Semen Platycladi).
The above nine ingredients. Finely crushed and mixed evenly. Place in a raw silk bag, soak in two dou (approx. 20 liters) of good wine for seven days. Drink one zhan (approx. 200ml) warm at any time. Add wine as needed to soak the herbs until the flavor becomes weak, then stop.