方
丹参散(出千金方)治筋实极。则两脚下满。满而痛不得远行。脚心如割。
筋断折痛。不可
丹参(三两) 芎 杜仲 续断 地骨皮(二两) 干地黄 当归 通草 升麻 麦
门冬
禹
二两半)
上为散。以绢袋子盛二方寸匕。以井花冷水二升煮。数动袋子。煮取一升。顿服。日二。
地黄煎(出千金方)治足厥阴经有余。筋实极。足下满痛。四肢筋急。
地黄(生取汁六升) 天门冬(生取汁三升) 醇酒(一升) 生姜(取汁) 白蜜 鹿
髓牛
膝
壳
(炒去
慢火
煎减
于铜
空心
地黄煎(出千金方)治筋实极。手足爪甲。或青或黄。或黑乌黯。四肢筋急
。闷满。
生地黄(汁三升) 生葛(汁) 生玄参(汁各一升) 大黄 升麻(各二两) 麻黄 栀
子仁
犀角
去滓。
次下
黄 汤 治筋实极。多怒。口干。烦燥不定。调筋止怒。定气极。
黄 (锉) 芎 白柘皮(无刺者锉一两半) 白术 木通(锉炒黄) 芍药(各二
两) 桂
(去
去核。
竹
羚羊角汤 治筋实极。头项强急。多怒。嗌干。爪甲青。胁肋胀痛。
羚羊角(镑屑) 五加皮(锉) 酸枣仁(炒各一两) 防风(去叉) 赤茯苓(去黑
皮) 芎
当
(麸炒黄)
甘草(炙锉各半两) 上捣筛。每服三钱。水一盏。生姜三片。煎至七分。去滓温服。不拘
时
候。
犀角地黄汤(出三因方)治筋实极。咳而两胁下痛。不可转动。脚下满。不
得远行。脚心痛
生地黄 犀角(镑各一两) 干葛 玄参 栀子仁 升麻(各三分) 大黄(蒸半两) 芍
药
(一
黄。
头疼加石膏半两。
五加皮汤(济生方)治筋实极。咳则两胁下痛。不可转动。脚下满。不得远
行。脚心痛不可
羌活(去芦头) 羚羊角(锉) 赤芍药 防风(去叉) 五加皮(洗) 秦艽(去芦)
枳实
(去瓤
温服
。不拘时候。
橘皮通气汤(出千金方)治筋实极则咳。咳则两胁下缩痛。痛甚则不可转动。\x
橘皮(四两) 白术 石膏(五两) 细辛 当归 桂心 茯苓(各三两) 香豉(一
升) 上 咀
。以水九升。煮取三升。去滓。分三分。
[Formulas]
Danshen San (Salvia Powder, from *Qianjin Fang*): Treats the extreme condition of excess in sinews (Jin Shi Ji). Symptoms include fullness and distension in both lower limbs, accompanied by pain that prevents long-distance walking. The soles of the feet feel as if cut by a knife, with tearing pain in the sinews that is unbearable.
Ingredients: Danshen Radix et Rhizoma (3 liang), Chuanxiong Rhizoma, Eucommiae Cortex, Dipsaci Radix, Lycii Cortex (2 liang each), Rehmanniae Radix Preparata, Angelicae Sinensis Radix, Tetsii Herba, Cimicifugae Rhizoma, Ophiopogonis Radix, Yuyuli Fructus (2.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Place two "fang cun bi" (a traditional measure) of the powder in a silk bag. Boil the bag in 2 sheng of well water (cold initially). Shake the bag frequently during boiling until the liquid reduces to 1 sheng. Take the decoction in one dose. Administer twice daily.
Dihuang Jian (Rehmannia Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews caused by excess Qi in the Foot Jueyin Meridian. Symptoms include fullness and pain in the soles of the feet, and spasms/tightness of sinews in the four limbs.
Ingredients: Fresh Rehmanniae Radix Juice (6 sheng), Asparagi Radix Juice (3 sheng), Pure Wine (1 sheng), Fresh Zingiberis Rhizoma Juice, White Honey, Cervi Cornu Degelatinatum, Achyranthis Bidentatae Radix, Aurantii Fructus Pericarpium (stir-fried, pith removed).
Preparation and Administration: Slowly simmer to reduce the volume, store in a copper vessel. Take warm on an empty stomach.
Dihuang Jian (Rehmannia Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews. Symptoms include discoloration of fingernails and toenails (blue, yellow, or dark black), spasms/tightness of sinews in the four limbs, and chest stuffiness/distension.
Ingredients: Fresh Rehmanniae Radix Juice (3 sheng), Fresh Puerariae Radix Juice, Fresh Scrophulariae Radix Juice (1 sheng each), Rhei Radix et Rhizoma, Cimicifugae Rhizoma (2 liang each), Ephedrae Herba, Gossampini Semen, Rhinocerotis Cornu.
Preparation and Administration: Strain the dregs, then add remaining ingredients and decoct with soup/water.
Huang Tang (Yellow Soup/Decoction): Treats the extreme condition of excess in sinews. Symptoms include irritability, dry mouth, and restlessness. Its therapeutic method is to regulate sinews, calm anger, and stabilize Qi to the utmost degree.
Ingredients: Huangqin Cortex (crushed), Chuanxiong Rhizoma, Broussonetiae Cortex (thornless variety, crushed 1.5 liang), Atractodis Macrocephalae Rhizoma, Akebiae Caulis (crushed, stir-fried yellow), Paeoniae Radix Alba (2 liang each), Cinnamomi Ramulus (bark removed), Ziziphi Jujubae Fructus (pits removed), Bambusae Folium, Saigae Tataricae Cornu.
Lingyangjiao Tang (Saiga Horn Decoction): Treats the extreme condition of excess in sinews. Symptoms include stiffness and tension of the head and neck, irritability, dry throat, blue nails, and distending pain in the hypochondrium.
Ingredients: Saigae Tataricae Cornu (shaved into flakes), Acanthopanacis Cortex (crushed), Ziziphi Spinosae Semen (stir-fried, 1 liang each), Saposhnikoviae Radix (forks removed), Polyporus (red variety, black skin removed), Chuanxiong Rhizoma, Angelicae Sinensis Radix (stir-fried with bran until yellow), Glycyrrhizae Radix et Rhizoma (roasted, crushed, 0.5 liang each).
Preparation and Administration: Pound and sieve the herbs. Take 3 qian per dose with 1 lamp of water and 3 slices of fresh Zingiberis Rhizoma. Decoct until 70% remains, strain, and take warm. No specific time restriction.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction, from *San Yin Fang*): Treats the extreme condition of excess in sinews. Symptoms include cough with pain under both hypochondria, inability to turn the body, fullness in the soles of the feet, inability to walk far, and pain in the soles of the feet.
Ingredients: Fresh Rehmanniae Radix, Rhinocerotis Cornu (shaved into flakes, 1 liang each), Puerariae Radix, Scrophulariae Radix, Gossampini Semen, Cimicifugae Rhizoma (3 fen each), Rhei Radix et Rhizoma (steamed, 0.5 liang), Paeoniae Radix Alba.
Modification: If headache occurs, add Gypsum Fibrosum 0.5 liang.
Wujiapi Tang (Acanthopanacis Cortex Decoction, from *Jisheng Fang*): Treats the extreme condition of excess in sinews. Symptoms include pain under both hypochondria when coughing, inability to turn the body, fullness in the soles of the feet, inability to walk far, and unbearable pain in the soles of the feet.
Ingredients: Notopterygii Rhizoma et Radix (rhizome removed), Saigae Tataricae Cornu (crushed), Paeoniae Radix Rubra, Saposhnikoviae Radix (forks removed), Acanthopanacis Cortex (washed), Gentianae Macrophyllae Radix (rhizome removed), Aurantii Fructus Immaturus (pith removed).
Preparation and Administration: Take warm. No specific time restriction.
Jupi Tongqi Tang (Tangerine Peel Qi-Regulating Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews manifesting as cough. When coughing, there is contracting pain under both hypochondria; severe pain renders the body immobile.
Ingredients: Citri Reticulatae Pericarpium (4 liang), Atractodis Macrocephalae Rhizoma, Gypsum Fibrosum (5 liang), Asari Radix et Rhizoma, Angelicae Sinensis Radix, Cinnamomi Cortex, Polyporus (3 liang each), Fermented Soybean (1 sheng).
Preparation and Administration: Cut the herbs into small pieces. Decoct in 9 sheng of water until 3 sheng remain. Strain. Divide into three doses.