人参酒（一名乌麻酒）治筋虚极。则筋不能转。十指爪皆痛。数转筋。房劳
。或病未平复。入房伤气。筋绝。舌卷。唇青。阴缩。 脉疼急。腹中绞痛。或便欲绝
。不能饮食。好悲思。四肢嘘吸。脚手拘挛。（出千金方）
人参 防风 茯神 细辛 秦椒 黄 当归 牛膝 桔梗（各一两半） 干地黄 丹
参
薯
（三十
枚）
盛。清
酒二
苁蓉丸 治肝经风虚。筋极急痛。壮筋骨。
肉苁蓉（酒浸焙切） 菟丝子（酒浸焙切） 牛膝（酒浸焙切） 白术 细辛（去苗叶）
何首
乌（
远
每
服
天雄丸 治筋虚极。善悲。色青。感于寒湿。则筋不能动。十指皆痛。
天雄（炮裂去皮脐一两） 桂（去粗皮） 羌活（去芦头） 当归（切焙） 五加皮（锉）
天麻
芎
黑皮）
鹿
和。杵
三
五加皮酒（出千金方）治筋虚极。筋痹。好悲思。颜色苍白。四肢嘘吸。脚
手拘挛。伸动缩
五加皮（一斤） 薏苡仁（半斤） 枳刺（二斤） 大麻仁（三斤） 猪椒根皮 丹参
（八两）
干姜
咀。
以绢袋盛。清酒四斗。渍。春夏四日。秋冬六七日。初服六七合。稍稍加。以知为度。
牛膝汤 治虚极。筋缩不能转。腰脊不能伸。苦痛。或为香港脚者。
牛膝（酒浸切焙） 防风（去叉） 甘李根皮（炙锉） 丹参 前胡（去芦头） 石斛
（去根各
二两
橘
皮（汤
水一
盏半
木瓜散（医方大成）治筋虚极。好悲思。脚手拘挛。伸动缩急。腹内转痛。
十指甲痛。数转
木瓜（去瓤） 虎胫骨（酥炙） 五加皮（洗） 当归（去芦酒浸） 桑寄生 人参 酸
枣仁
（炒）
盏半。姜
五片。
干地黄丸（出圣惠方）治筋虚极。益筋骨。除四肢疼痛。
熟地黄（二两焙） 酸枣仁（炒研一两） 柏子仁（研） 山茱萸 牛膝（酒浸切焙各
一两）
上为
没药散 治筋虚极。骨冷。干冒邪气。走注疼痛。
没药（研） 虎骨 踯躅花（各一两） 附子（炮裂去皮脐） 草乌头（锉炒各半两） 乌
头
（炮制
并没
白术汤 治筋虚。胞转急满。
白术 木通（细锉炒各二两） 栀子仁 黄芩（去黑心） 赤茯苓（去黑皮各一两） 榆
白皮
（炙
食
后
人参汤 治筋虚极。胞转脐下急痛。或因霍乱。或因服药。吐利过度而得者。
人参 浓朴（去粗皮生姜汁炙各一两半） 白术（二两） 蓼子（一握茎叶干者） 上
粗捣
筛。每
服。
治筋绝 上熬蟹脑足髓。内疮中。筋即续。
[Ren Shen Jiu (Ginseng Wine)] (Also known as Wu Ma Jiu) treats extreme deficiency of tendons and sinews. Symptoms include inability to move the tendons, pain in all ten fingers and nails, frequent tendon spasms. This is often caused by excessive sexual activity or engaging in intercourse before recovery from illness, damaging Qi and leading to tendon exhaustion. Manifestations include tongue retraction, cyanosis of the lips, retraction of the genitals, painful and tense pulse, colicky abdominal pain, difficulty defecating, anorexia, frequent sadness and longing, rapid breathing of the four limbs, and contracture of hands and feet. (From *Qian Jin Fang*)
Ingredients: Ren Shen (*Panax ginseng*), Fang Feng (*Saposhnikoviae Radix*), Fu Shen (*Poria cum Radice Xylomi*), Xi Xin (*Asari Radix et Rhizoma*), Qin Jiao (*Gentianae Macrophyllae Radix*), Huang Qi (*Astragali Radix*), Dang Gui (*Angelicae Sinensis Radix*), Niu Xi (*Achyranthis Bidentatae Radix*), Jie Geng (*Platycodonis Radix*) (each 1.5 liang), Gan Di Huang (*Rehmanniae Radix*), Dan Shen (*Salviae Miltiorrhizae Radix*), Shu Yu (*Dioscoreae Rhizoma*) (30 pieces). Place ingredients in a silk bag, steep in 2 dou of clear wine.
[Rong Rong Wan (Cistanche Pill)] Treats wind-deficiency of the Liver channel, extreme urgency and pain of tendons, strengthens bones and sinews.
Ingredients: Rou Cong Rong (*Cistanches Herba*) (soaked in wine, baked, sliced), Tu Si Zi (*Cuscutae Semen*) (soaked in wine, baked, sliced), Niu Xi (*Achyranthis Bidentatae Radix*) (soaked in wine, baked, sliced), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Xi Xin (*Asari Radix et Rhizoma*) (remove seedlings and leaves), He Shou Wu (*Polygoni Multiflori Radix*), Yuan Zhi (*Polygalae Radix*), Tian Xiong (*Aconiti Kusnezoffii Radix praeparata*) (cracked by frying, remove skin and umbilicus, 1 liang), Gui Zhi (*Cinnamomi Ramulus*), Qiang Huo (*Notopterygii Rhizoma et Radix*), Dang Gui (*Angelicae Sinensis Radix*) (sliced and baked), Wu Jia Pi (*Acanthopanacis Cortex*), Tian Ma (*Gastrodiae Rhizoma*), Chuan Xiong (*Ligustici Chuanxiong Rhizoma*) (remove black skin), Lu Jiao Jiao (*Cornu Cervi Corium Praeparatum*). Mix and pound into pills.
[Tian Xiong Wan] Treats extreme deficiency of tendons, propensity for sadness, bluish complexion, stiffness of tendons upon exposure to cold-dampness, pain in all ten fingers.
Ingredients: Tian Xiong (*Aconiti Kusnezoffii Radix praeparata*) (cracked by frying, remove skin and umbilicus, 1 liang), Gui Zhi (*Cinnamomi Ramulus*), Qiang Huo (*Notopterygii Rhizoma et Radix*), Dang Gui (*Angelicae Sinensis Radix*) (sliced and baked), Wu Jia Pi (*Acanthopanacis Cortex*), Tian Ma (*Gastrodiae Rhizoma*), Chuan Xiong (*Ligustici Chuanxiong Rhizoma*) (remove black skin), Lu Jiao Jiao (*Cornu Cervi Corium Praeparatum*). Mix and pound into pills.
[Wu Jia Pi Jiu (Eucommia Bark Wine)] (From *Qian Jin Fang*) Treats extreme deficiency of tendons, tendon-bi syndrome, frequent sadness, pale complexion, rapid breathing of the four limbs, contracture of hands and feet with extension pulling inward.
Ingredients: Wu Jia Pi (*Acanthopanacis Cortex*) (1 jin), Yi Yi Ren (*Coicis Semen*) (0.5 jin), Zhi Ci (*Zanthoxyli Spina*) (2 jin), Da Ma Ren (*Cannabis Fructus*) (3 jin), Zhu Jiao Gen Pi (*Zanthoxyli Radicis Cortex*), Dan Shen (*Salviae Miltiorrhizae Radix*) (8 liang), Gan Jiang (*Zingiberis Rhizoma*). Chop ingredients, place in a silk bag, steep in 4 dou of clear wine. Soak for 4 days in spring/summer, 6-7 days in autumn/winter. Initial dose: 6-7 he; gradually increase until effective.
[Niu Xi Tang (Achyranthes Decoction)] Treats extreme deficiency of tendons, tendon contraction preventing movement, inability to extend waist and spine, severe pain, or development of Hong Kong foot (swelling and pain of lower legs).
Ingredients: Niu Xi (*Achyranthis Bidentatae Radix*) (soaked in wine, sliced, baked), Fang Feng (*Saposhnikoviae Radix* (remove branches), Gan Li Gen Pi (*Pruni Spinosae Cortex*) (roasted and chopped), Dan Shen (*Salviae Miltiorrhizae Radix*), Qian Hu (*Peucedani Radix*) (remove rhizome head), Shi Hu (*Dendrobii Caulis*) (remove roots, each 2 liang), Ju Pi (*Citri Reticulatae Pericarpium*) (soaked in water). Add 1.5 zhan of water and decoct.
[Mu Gua San (Quince Powder)] (From *Yi Fang Da Cheng*) Treats extreme deficiency of tendons, frequent sadness, contracture of hands and feet, extension pulling inward, abdominal twisting pain, pain in fingernails, frequent tendon spasms.
Ingredients: Mu Gua (*Chaenomelis Fructus*) (remove pulp), Hu Jing Gu (*Tigris Ossis*), Wu Jia Pi (*Acanthopanacis Cortex*) (wash), Dang Gui (*Angelicae Sinensis Radix*) (remove rhizome head, soak in wine), Sang Ji Sheng (*Taxilli Herba*), Ren Shen (*Panax ginseng*), Suan Zao Ren (*Ziziphi Spinosae Semen*) (stir-fried). Pound and sieve; take 1 zhan per dose with 5 slices of ginger.
[Gan Di Huang Wan (Rehmannia Pill)] (From *Sheng Hui Fang*) Treats extreme deficiency of tendons, benefits bones and sinews, eliminates limb pain.
Ingredients: Shu Di Huang (*Rehmanniae Radix Praeparata*) (2 liang, baked), Suan Zao Ren (*Ziziphi Spinosae Semen*) (stir-fried, ground, 1 liang), Bai Zi Ren (*Platycladi Semen*), Shan Zhu Yu (*Corni Fructus*), Niu Xi (*Achyranthis Bidentatae Radix*) (soaked in wine, sliced, baked, each 1 liang). Make into pills.
[Mo Yao San (Myrrh Powder)] Treats extreme deficiency of tendons, cold bones, invasion by pathogenic qi, wandering pain.
Ingredients: Mo Yao (*Myrrha*), Hu Gu (*Tigris Os*), Zhi Zhu Hua (*Rhododendri Mollis Flos*) (each 1 liang), Fu Zi (*Aconiti Lateralis Radix Praeparata*) (cracked by frying, remove skin and umbilicus), Cao Wu Tou (*Aconiti Kusnezoffii Radix*) (chopped and fried, each 0.5 liang), Wu Tou (*Aconiti Radix*) (prepared). Mix and pound.
[Bai Zhu Tang (Atractylodes Decoction)] Treats deficiency of tendons, bladder torsion causing acute fullness.
Ingredients: Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Mu Tong (*Akebiae Caulis*) (finely chopped and fried, each 2 liang), Zhi Zi Ren (*Gardeniae Semen*), Huang Qin (*Scutellariae Radix*) (remove black heart), Chi Fu Ling (*Poria Coccos* (red interior, remove black skin, each 1 liang), Yu Bai Pi (*Ulmus Cortex*) (roasted). Decoct and take after meals.
[Ren Shen Tang (Ginseng Decoction)] Treats extreme deficiency of tendons, bladder torsion causing acute pain below the navel. Caused by cholera, medication side effects, or excessive vomiting and diarrhea.
Ingredients: Ren Shen (*Panax ginseng*), Hou Po (*Magnoliae Officinalis Cortex*) (remove rough bark, stir-fry with ginger juice, each 1.5 liang), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*) (2 liang), Liao Zi (*Polygoni Avicularis Herba*) (one handful of dried stems and leaves). Coarsely chop and sieve; take appropriate dose.
[Treatment for Severed Tendons] Fry crab brain and marrow from legs, apply to the wound; tendons will reconnect.