夫肝含于血。而主于筋。肝血既虚。不能荣养。致风邪所侵。搏于筋脉。荣卫虚弱。气
血不行。故令筋脉抽掣疼痛也。
治肝脏风毒流注。筋脉抽掣。急痛。头目眩闷。四肢无力。宜服薏苡仁散方。
薏苡仁（一两） 羌活（一两） 防风（一两去芦头） 汉防己（一两） 桑根白皮（一
两锉）
桂心
归（一两锉
微炒）
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。忌
生冷猪鸡肉毒鱼温（湿）面。
治肝脏风。筋脉抽掣。口眼偏斜。四肢疼痛。宜服羌活散方。
羌活（三分） 白术（三分） 麻黄（三分去根节） 侧子（三分炮裂去皮脐） 丹参
（三分）
当归
防风
（二分
上为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
治肝脏风。上焦虚热。腹下坚满。关节疼痛。筋脉抽掣。宜服柏子仁散方。
柏子仁（一两） 羌活（一两） 枳实（一两麸炒微黄） 前胡（一两去芦头） 赤茯
苓（一两）
甘
两微炒去
刺）
上为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。温服。
治肝脏风。筋脉抽掣。背膊疼痛。宜服芎 散方。
芎 （三分） 麻黄（三分去根节） 丹参（三分） 酸枣仁（一两微炒） 侧子（三
分炮裂去
皮脐） 茯神（三分） 防风（三分去芦头） 甘菊花（三分） 甘草（三分炙微赤锉）
上为末。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。忌猪肉毒鱼大蒜
等。
治肝脏风。心神烦。四肢拘急。筋脉抽掣。疼痛。宜服麻黄散方。
麻黄（二两去根节） 石膏（二两） 芎 （一两） 天雄（一两炮裂去皮脐） 当归
（一两锉
微炒）
风（一两去
芦头）
上为末。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候。温服。
治肝脏风。筋脉拘急。抽掣疼痛。不得睡卧。宜服羚羊角散方。
羚羊角屑（一两） 防风（一两去芦头） 赤茯苓（一两） 白蔹（一两） 独活（一
两） 附子
（一两炮裂去皮脐） 桂心（一两） 麻黄（一两去根节） 酸枣仁（三分微炒）
上为细末。每服。不计时候。温酒调下一钱。
治肝脏风。四肢筋脉抽掣疼痛。不欲饮食。宜服酸枣仁散方。
酸枣仁（三分微炒） 薏苡仁（三分） 人参（三分去芦头） 黄松节（三分锉） 五
加皮（三
分） 茯神（三分） 桂心（三分） 羌活（三分） 枳壳（半两麸炒微黄去瓤）
上为细末。每服不计时候。温酒调下一钱。
治肝脏风。筋脉抽掣。疼痛不止。宜服侧子散方。
侧子（一两炮裂去皮脐） 赤箭（一两） 酸枣仁（一两微炒） 海桐皮（一两） 芎
（三分）
漏
香（三分）
枳
上为细末。每服一钱。以温酒调下。不计时候。
治肝脏风。筋脉抽掣疼痛。身强语涩。肢节不利。天麻丸方。
天麻（二两） 芎 〔一（二）两〕 天南星（三分炮裂） 附子（三分炮裂去皮脐） 乌
蛇（
二两酒
两微炒）
麝
朱砂
（半两微研）
上为末。炼蜜和捣三二百杵。丸如绿豆大。每服不计时候。以薄荷热酒下十丸。
The Liver stores blood and governs the sinews. If Liver blood is deficient, it fails to nourish the sinews, allowing Wind pathogen to invade and contend with the sinews and vessels; combined with deficiency of Ying (Nutritive) and Wei (Defensive) Qi and impaired circulation of Qi and Blood, this results in spasmodic twitching and pain of the sinews and vessels.
For treatment of Liver Wind-toxin flowing and accumulating, causing spasmodic twitching and acute pain of the sinews and vessels, accompanied by dizziness and vertigo of the head and eyes, and weakness of the four limbs, Yi Yi Ren San (Coix Seed Powder) is indicated.
Ingredients: Yi Yi Ren (Coicis Semen, 1 liang), Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Fang Feng (Saposhnikoviae Radix, 1 liang, remove radix tip), Han Fang Ji (Stephaniae Tetrandrae Radix, 1 liang), Sang Gen Bai Pi (Mori Cortex, 1 liang, sliced), Gui Xin (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced, slightly stir-fried).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until 0.6 zhong remains, strain, and take warm at any time. Avoid raw/cold foods, pork, chicken, toxic fish, and wet noodles.
For treatment of Liver Wind causing spasmodic twitching of the sinews and vessels, deviation of the mouth and eye, and pain in the four limbs, Qiang Huo San (Notopterygium Powder) is indicated.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix, 3 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Ma Huang (Ephedrae Herba, 3 fen, remove root nodes), Ce Zi (Aconiti Lateralis Radix Preparata, 3 fen, processed until cracked, remove skin and umbilicus), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 3 fen), Dang Gui (Angelicae Sinensis Radix), Fang Feng (Saposhnikoviae Radix, 2 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), decoct together until 0.6 zhong remains, strain, and take warm at any time.
For treatment of Liver Wind with deficiency-heat in the Upper Jiao, hardness and fullness below the abdomen, joint pain, and spasmodic twitching of the sinews and vessels, Bai Zi Ren San (Biota Seed Powder) is indicated.
Ingredients: Bai Zi Ren (Biotae Semen, 1 liang), Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Zhi Shi (Immaturus Fortunellae Fructus, 1 liang, bran-fried until slightly yellow), Qian Hu (Peucedani Radix, 1 liang, remove radix tip), Chi Fu Ling (Poria with Red Hosta Root, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 liang, slightly stir-fried, remove thorns).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until 0.6 zhong remains, strain, and take warm at any time.
For treatment of Liver Wind causing spasmodic twitching of the sinews and vessels and pain in the back and shoulders, Xiong Cu San (Ligusticum and Chuanxiong Powder) is indicated.
Ingredients: Xiong Cu (Ligustici Chuanxiong Rhizoma, 3 fen), Ma Huang (Ephedrae Herba, 3 fen, remove root nodes), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, 3 fen), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, slightly stir-fried), Ce Zi (Aconiti Lateralis Radix Preparata, 3 fen, processed until cracked, remove skin and umbilicus), Fu Shen (Poria with Pinus Root, 3 fen), Fang Feng (Saposhnikoviae Radix, 3 fen, remove radix tip), Gan Ju Hua (Chrysanthemi Flos, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried until slightly red, sliced).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 3 qian per dose, add 1 zhong of water, decoct until 0.6 zhong remains, strain, and take warm at any time. Avoid pork, toxic fish, garlic, etc.
For treatment of Liver Wind causing mental restlessness, spasticity and urgency of the four limbs, and spasmodic twitching and pain of the sinews and vessels, Ma Huang San (Ephedra Powder) is indicated.
Ingredients: Ma Huang (Ephedrae Herba, 2 liang, remove root nodes), Shi Gao (Gypsum Fibrosum, 2 liang), Xiong Cu (Ligustici Chuanxiong Rhizoma, 1 liang), Tian Xiong (Aconiti Kusnezoffii Radix, 1 liang, processed until cracked, remove skin and umbilicus), Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced, slightly stir-fried), Fang Feng (Saposhnikoviae Radix, 1 liang, remove radix tip).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of Sheng Jiang (Zingiberis Rhizoma Recens), decoct together until 0.6 zhong remains, strain, and take warm at any time.
For treatment of Liver Wind causing spasticity and urgency of the sinews and vessels, spasmodic twitching and pain, and inability to sleep or lie down, Ling Yang Jiao San (Antelope Horn Powder) is indicated.
Ingredients: Ling Yang Jiao Xie (Saiga Tatarica Cornu, 1 liang), Fang Feng (Saposhnikoviae Radix, 1 liang, remove radix tip), Chi Fu Ling (Poria with Red Hosta Root, 1 liang), Bai Lian (Puerariae Lobatae Radix, 1 liang), Du Huo (Angelicae Pubescentis Radix, 1 liang), Fu Zi (Aconiti Lateralis Radix Preparata, 1 liang, processed until cracked, remove skin and umbilicus), Gui Xin (Cinnamomi Ramulus, 1 liang), Ma Huang (Ephedrae Herba, 1 liang, remove root nodes), Suan Zao Ren (Ziziphi Spinosae Semen, 3 fen, slightly stir-fried).
Preparation and Administration: Grind the above ingredients into a fine powder. Take one dose at any time, mix with warm wine and take 1 qian.
For treatment of Liver Wind causing spasmodic twitching and pain of the sinews and vessels in the four limbs, and loss of appetite, Suan Zao Ren San (Ziziphus Seed Powder) is indicated.
Ingredients: Suan Zao Ren (Ziziphi Spinosae Semen, 3 fen, slightly stir-fried), Yi Yi Ren (Coicis Semen, 3 fen), Ren Shen (Ginseng Radix, 3 fen, remove radix tip), Huang Song Jie (Pinus Massoniana Node, 3 fen, sliced), Wu Jia Pi (Acanthopanacis Cortex, 3 fen), Fu Shen (Poria with Pinus Root, 3 fen), Gui Xin (Cinnamomi Ramulus, 3 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 3 fen), Zhi Ke (Aurantii Fructus Immaturus, half liang, bran-fried until slightly yellow, remove pith).
Preparation and Administration: Grind the above ingredients into a fine powder. Take one dose at any time, mix with warm wine and take 1 qian.
For treatment of Liver Wind causing spasmodic twitching and unremitting pain of the sinews and vessels, Ce Zi San (Processed Aconite Lateral Root Powder) is indicated.
Ingredients: Ce Zi (Aconiti Lateralis Radix Preparata, 1 liang, processed until cracked, remove skin and umbilicus), Chi Jian (Gastrodiae Rhizoma, 1 liang), Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, slightly stir-fried), Hai Tong Pi (Sarcandae Cortex, 1 liang), Xiong Cu (Ligustici Chuanxiong Rhizoma, 3 fen), Lou Xiang (Olibanum, 3 fen), Zhi Ke (Aurantii Fructus Immaturus).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 1 qian per dose, mix with warm wine and swallow. At any time.
For treatment of Liver Wind causing spasmodic twitching and pain of the sinews and vessels, stiffness of the body, slurred speech, and dysfunction of joints, Tian Ma Wan (Gastrodia Pill) is indicated.
Ingredients: Tian Ma (Gastrodiae Rhizoma, 2 liang), Xiong Cu (Ligustici Chuanxiong Rhizoma, 1 or 2 liang), Tian Nan Xing (Arisaematis Rhizoma, 3 fen, processed), Fu Zi (Aconiti Lateralis Radix Preparata, 3 fen, processed until cracked, remove skin and umbilicus), Wu She (Bungarus multicinctus, 2 liang, soaked in wine), She Xiang (Moschus), Zhu Sha (Cinnabar, half liang, finely ground).
Preparation and Administration: Grind the above ingredients into a powder, mix with refined honey, and pound for three to two hundred strokes to form pills the size of mung beans. Take ten pills at any time, washed down with hot wine infused with Bo He (Menthae Haplocalycis Herba).