夫五指挛急者。是筋急挛缩。不得屈伸也。筋得风热则弛纵。得风冷则挛急也。
治手五指挛急疼痛。连臂膊拘急。羚羊角散方。
羚羊角屑（三分） 羌活（三分） 桂心（半两） 附子（一两炮裂去皮脐） 防风（三
分去芦
头） 当归（三分锉微炒） 麻黄〔一两去根（节）锉〕 薏苡仁（一两） 细辛（半两） 芎
（三
分） 天
上件药。捣细罗为散。每服不计时候。以温酒调下二钱。
治五指挛急。淋蘸手指。附子汤方。
附子（半两去皮脐生用） 防风（半两去芦头） 枳壳（半两去瓤） 羌活（半两） 白
芷（半
两） 甘草（半两锉生用） 蜂房（半两） 川椒（二两去目）
上件药。捣筛为散。每用一两。以水三大碗。入生姜一两。生桑枝一握。黑豆一协议煎
。令豆熟去滓。着冷暖得所。避风淋蘸手指。水冷重暖用之。
治手指伤风冷。筋脉挛急。宜用此方。
川椒（半两去目） 芎 （半两） 白芷（一分） 防风（一分去芦头） 干姜（一分）
上件药。都锉。以水二大盏。煎令浓。滤去滓。涂之日五七度。瘥。
治手指风冷所伤。挛急。淋蘸防风汤方。
防风（去芦头） 附子（去皮脐生用） 枳壳（去瓤） 柳 末 杉木 桂心 羌活 蜂
房
川椒 木鳖仁 白芷 白矾（以上各半两） 细辛（三分）
上件药。细锉。每用一两。以水二大碗。入生姜一两。煎至一碗。去滓。温蘸手指。冷
即重暖用之。
Contraction and spasm of the five fingers refers to the tension and shortening of tendons, resulting in the inability to flex and extend. When tendons are affected by Wind-Heat, they become flaccid and relaxed; when affected by Wind-Cold, they become contracted and spasmodic.
Prescription for treating contraction, pain, and stiffness of the five fingers of the hand, extending to the arm: Lingyangjiao San (Antelope Horn Powder).
Lingyangjiao (Horn of Saiga Antelope) [3 fen], Qianghuo (Notopterygii Rhizoma et Radix) [3 fen], Guixin (Cinnamomi Cortex) [0.5 liang], Fuzi (Radix Aconiti Lateralis Preparata) [1 liang, processed until cracked, skin and umbilicus removed], Fangfeng (Saposhnikoviae Radix) [3 fen, radix tip removed], Danggui (Angelicae Sinensis Radix) [3 fen, cut into pieces, lightly stir-fried], Mahuang (Ephedrae Herba) [1 liang, roots and nodes removed, cut into pieces], Yiyiren (Coicis Semen) [1 liang], Xixin (Asari Radix et Rhizoma) [0.5 liang], Chuanxiong (Chuanxiong Rhizoma) [3 fen].
Crush the above herbs and sieve them through a fine mesh to make a powder. Take 2 qian each time, at any time, mixed with warm wine.
Prescription for treating contraction of the five fingers, using washing and dipping methods on the fingers: Fuzi Tang (Aconite Decoction).
Fuzi (Radix Aconiti Lateralis Preparata) [0.5 liang, skin and umbilicus removed, raw use], Fangfeng (Saposhnikoviae Radix) [0.5 liang, radix tip removed], Zhike (Aurantii Fructus Immaturus) [0.5 liang, pith removed], Qianghuo (Notopterygii Rhizoma et Radix) [0.5 liang], Baizhi (Angelicae Dahuricae Radix) [0.5 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [0.5 liang, cut into pieces, raw use], Fengfang (Vespa Nidus) [0.5 liang], Chuanjiao (Zanthoxyli Pericarpium) [2 liang, eyes removed].
Crush and sieve the above herbs to make a powder. Take 1 liang each time, add to 3 large bowls of water, along with 1 liang of fresh ginger, one handful of fresh mulberry branches, and a pinch of black beans. Boil together until the beans are cooked, then strain off the dregs. Adjust the temperature to be comfortable. Avoid wind while washing and dipping the fingers. Reheat if the water cools down.
For treating fingers injured by Wind-Cold, causing tendon and vessel contraction and spasm, this prescription is suitable.
Chuanjiao (Zanthoxyli Pericarpium) [0.5 liang, eyes removed], Chuanxiong (Chuanxiong Rhizoma) [0.5 liang], Baizhi (Angelicae Dahuricae Radix) [1 fen], Fangfeng (Saposhnikoviae Radix) [1 fen, radix tip removed], Jiangjiang (Zingiberis Rhizoma Precipitatum) [1 fen].
Cut all the above herbs into pieces. Add 2 large ladles of water and boil until concentrated. Strain off the dregs. Apply to the affected area 5 to 7 times a day until recovery.
Prescription for treating contraction and spasm of fingers caused by Wind-Cold injury, using washing and dipping methods: Fangfeng Tang (Saposhnikovia Decoction).
Fangfeng (Saposhnikoviae Radix) [radix tip removed], Fuzi (Radix Aconiti Lateralis Preparata) [skin and umbilicus removed, raw use], Zhike (Aurantii Fructus Immaturus) [pith removed], Liuzhimu (Powdered Willow Branch), Shanmu (Cupressi Lignum), Guixin (Cinnamomi Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Fengfang (Vespa Nidus), Chuanjiao (Zanthoxyli Pericarpium), Mubieren (Mumie Semen), Baizhi (Angelicae Dahuricae Radix), Baijian (Alumen) [each 0.5 liang], Xixin (Asari Radix et Rhizoma) [3 fen].
Finely cut the above herbs. Take 1 liang each time, add to 2 large bowls of water, along with 1 liang of fresh ginger. Boil until reduced to 1 bowl. Strain off the dregs. Dip the fingers in the warm liquid. Reheat if it cools down.