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Generally, "Rou Ji" (Muscle Extremis Disease) is primarily associated with the Spleen. The Spleen corresponds to muscles, and muscles are formed by the integration of muscle tissue and interstitial spaces. If the Spleen is diseased, the color of the muscles changes. It is also said that when the organ of Extreme Yin encounters pathogenic factors, it results in "Ji Bi" (Muscle Bi Syndrome).
Symptoms include yellowish complexion, heaviness of the body, hidden pain, disintegration of lips and mouth, alteration of skin color, depletion of body fluids, opening of cou li (pores), and profuse sweating. This condition is named "E Feng" (Aversion to Wind). Treatment must grasp the general principles and understand the beginning and end of the disease.
Based on Yin and Yang dynamics, distinguish the deficiency and excess of muscles. For excess conditions, use draining methods; for deficiency conditions, use tonifying methods. A skilled healer must intervene and treat as soon as wind pathogens enter the exterior layers of skin, hair, muscle, and sinews. If the pathogen enters the Six Fu Organs or Five Zang Organs, the prognosis is half-life and half-death.
Bian Que stated: "Rou Jue" (Muscle Exhaustion) is incurable, leading to death within five days. How do we know this? Because the skin becomes obstructed, preventing the external release of pathogens. Generally, muscle diseases correspond to the Foot Taiyin Spleen Meridian. When the Qi of the Foot Taiyin Spleen is exhausted, the lips lose flesh. In cases of muscle deficiency, patients cannot sit comfortably on their mats, and their bodies are in a critical and unstable state. In cases of muscle excess, patients remain seated without moving and suffer from panting. The manifestation of muscle deficiency or excess is mainly governed by the Spleen. If there are pathological changes in the Zang-Fu organs, the following formulas may be used.

Dahuang Tang (Cassia Twig Decoction, from *Qianjin Fang*): Treats Rou Ji deficiency. Symptoms include heavy body, lethargy, unwillingness to lift the limbs, joint pain, anorexia, and coughing after eating.
Ingredients: Huangqi (Astragali Radix), Guixin (Cinnamomi Cortex), Bajitian (Morindae Officinalis Radix, heart removed), Shihu (Dendrobii Caulis, soaked in wine), Zexie (Alismatis Rhizoma), Fuling (Poria), Ganjiang (Zingiberis Rhizoma, processed, each 3 liang), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma, seedlings removed), Baizhu (Atractylodis Macrocephalae Rhizoma).
Decoction and Administration: Decoct in water to obtain 7/10 volume, remove dregs. Take warm before meals.

Huangqi Wan (Astragalus Pill, from *Shenghui Fang*): Treats Dan Feng (Hot Wind) caused by Rou Ji deficiency-cold. Symptoms include heavy body, lethargy, unwillingness to lift the limbs, joint pain, and anorexia.
Ingredients: Huangqi (2 liang, crushed), Bajitian (2 liang), Guixin (1 liang), Shihu (1 liang, root removed and crushed), Zexie (1 liang), Bai Fuling (1 liang), Shanzhuyu (Corni Fructus, 1 liang), Tianxiong (Aconiti Lateralis Radix Praeparata, processed), Baizhu (1 liang).
Preparation and Administration: Grind the above herbs into powder, mix with refined honey to form pills.

Shinan San (Ficus Root Powder, from *Qianjin Fang*): Treats Rou Ji excess. Symptoms include abnormal sensations in muscles like mice running, depletion of body fluids, open cou li, profuse sweating, numbness or insensitivity of limbs, and limb stiffness.
Ingredients: Shinan (Fici Radix, 1 liang 1 fen), Tianxiong (processed, skin and umbilicus removed), Shanyao (Dioscoreae Rhizoma), Shaoyao (Paeoniae Radix), Taoren (Pruni Semen, processed, fried, skin and tip removed), Ganjuhua (Chrysanthemi Flos), Gancao (Licorice Root, roasted, each ... liang), Shanzhuyu... shaped like pearls. Shaoyao may be omitted if unavailable.
Administration: Take before meals.

Gouqi Tang (Lycium Fruit Decoction): Treats Rou Ji deficiency-wasting due to cold pathogen invasion. Symptoms include heavy body, lethargy, inability to lift limbs, joint pain, reduced appetite, and restlessness in sitting or lying down.
Ingredients: Gouqizi (Lycii Fructus), Huangqi (crushed and fried), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed, each 2 liang), Xiong (Ligustici Chuanxiong Rhizoma), Renshen, Shaoyao, Bai Fushen (Poria with hostwood removed), Gancao (soaked in decoction seven times to remove slipperiness)...
Administration: ...

Duhuo Tang (Angelica Pubescens Decoction, from *Shenghui Fang*): Treats Rou Ji. Symptoms include obstructed skin, exterior excess and interior deficiency, inability to release pathogens externally, and pain in waist and knees.
Ingredients: Duhuo (1 liang), Danggui (Angelicae Sinensis Radix, 1.5 liang), Bai Fuling (without black skin, 1.5 liang), Ganjiang (cracked and crushed), Renshen (rhizome removed), Huangqi (...), Guixin, Fuzi (cracked, each ...).
Administration: Take warm.

Banxia San (Pinellia Powder, from *Shenghui Fang*): Treats Rou Ji deficiency-cold. Symptoms include dull pain under the hypochondrium radiating to shoulder and back, immobility, coughing and distension upon movement, retained fluid, and phlegm masses.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, soaked in water seven times to remove slipperiness), Baizhu (1 liang), Chi Fuling (Red Poria, 1 liang), Renshen [3 qian (fen), rhizome removed], Gancao (... white pith removed and baked), Guixin [3 qian... half, simmered using bark], Qianhu (Peucedani Radix) [2 qian (fen), ... removed], Shengjiang (Fresh Ginger, 3 pieces).
Decoction and Administration: Decoct to 6/10 volume, remove dregs. Take warm before meals. Avoid maltose.

Fuling San (Poria Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include restlessness in sitting or lying down, cold pathogen invasion, heavy body, lethargy, inability to lift limbs, joint pain, and dietary issues...
Ingredients: Bai Fuling (2 liang), Huangqi (2 liang, crushed), Baishaoyao (White Peony Root), Baizhu, Shihu (1 liang, root removed), Niuxi (Achyranthis Bidentatae Radix, 1 liang, seedlings removed), Fuzi (...).
Preparation and Administration: Grind into powder. Each dose...

Shihu San (Dendrobium Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include massive leakage of body fluids leading to Li Feng (Malignant Wind). If the Lower Jiao is extremely deficient, legs and knees become weak and flaccid. All these conditions should take this formula.
Ingredients: Shihu (1.5 liang, root removed and crushed), Niuxi (1.5 liang, seedlings removed), Wujia Pi (Acanthopanacis Cortex), Baizhu, Shanzhuyu [each 2 (1) liang], Tianma (Gastrodiae Rhizoma, 1.5 liang), Gancao (roasted until slightly red and crushed), Guixin, Fuzi (processed, skin and umbilicus removed), Yiyiren (Coicis Semen), Duhuo, Fangfeng (rhizome removed, each 1 liang).
Administration: ...

Fangfeng San (Saposhnikovia Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include muscle deformation, stiff tongue, retraction of the yin organ, and pain and weakness in waist and feet.
Ingredients: Fangfeng (rhizome removed), Duhuo, Bai Fuling (each 1.5 liang), Renshen (rhizome removed), Ganjiang (processed, cracked and crushed), Wujia Pi, Gancao (roasted until slightly...).
Administration: Each dose 4 qian bi.

Shinan San (Ficus Root Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include sensations on the body like mice running, or wind-bi causing cracking of lips and mouth, and alteration of skin color. It is suitable for taking.
Ingredients: Shinan (2.5 liang), Shuyu (Dioscoreae Rhizoma), Huangqi (crushed), Shanzhuyu [each 2 (3 fen) liang], Tianxiong (processed, skin and umbilicus removed), Taohua (Peach Blossom, each...).
Preparation and Administration: Grind the above herbs into powder. Take before meals.

Renshen Wan (Ginseng Pill, from *Shenghui Fang*): Treats Rou Ji. Symptoms include stiffness and rigidity of limbs, fullness and pain extending to hypochondrium, back, and lower abdomen, scanty diet, inability to lift hands and feet, and distress/worry/thinking...
Ingredients: Renshen [2 (3) liang, rhizome removed], Fuzi [3 liang (fen), processed, skin and umbilicus removed], Yuanzhi (Polygalae Radix, 0.5 liang, heart removed), Baizhu, Fushen (Poria with hostwood, ... 3 fen), processed and crushed).
Preparation and Administration: Form pills the size of paulownia seeds. Take 30 pills with warm wine before meals.

Yiyiren San (Coix Seed Powder, from *Shenghui Fang*): Treats Rou Ji excess. Symptoms include abnormal sensations in skin and muscles like mice running, open and leaking body fluids, numbness or insensitivity, and acute pain in limbs.
Ingredients: Yiyiren (Coicis Semen), Shigao (Gypsum Fibrosum, ...), Chuanxiong, Guixin (do not see fire), Fangfeng (rhizome removed), Han Fangji (Stephaniae Tetrandrae Radix), Lingyangjiao (Antelopi Cornu, shaved), Chi Shaoyao... Xingren...
Administration: Remove dregs and take warm. Take at any time. Avoid raw, cold, greasy, toxic, slippery fish and meat. One prescription includes Danggui 1 liang.

Banxia Tang (Pinellia Decoction, from *Yifang Dacheng*): Treats extreme muscle deficiency. Symptoms include heavy body, hypochondriac pain radiating to shoulder and back preventing movement, coughing and distension upon movement, retained fluid, and phlegm masses.
Ingredients: Banxia (soaked in water seven times), Baizhu, Fuling (skin removed), Renshen, Jupi (Tangerine Peel, white pith removed), Fuzi (processed, skin and umbilicus removed), Muxiang (Aucklandiae Radix, do not see fire)...
Decoction and Administration: ... half, 5 slices of ginger, decoct...

Xuming Tang (Continuing Life Decoction, from *Qianjin Fang*): Treats Rou Ji deficiency-heat, Ji Bi with sensations like mice running, leaking body fluids and sweating, or bi syndrome with numbness and insensitivity, and acute pain in limbs.
Ingredients: Mahuang (Ephedrae Herba, root and joints removed, 1.5 liang), Danggui (crushed and baked), Shigao (crushed, each 1 liang), Gui (Cinnamomi Ramulus, rough bark removed), Gancao (roasted and crushed), Huangqin (Scutellariae Radix, removed...)... (0.5 liang).
Preparation and Administration: Above except... Remove dregs and take warm on an empty stomach. In the evening...

Renshen Wan: Treats Rou Ji deficiency-cold. Symptoms include lethargy of limbs, cough radiating to fullness and pain below hypochondrium, cold extremities, and anorexia.
Ingredients: Renshen (1.5 liang), Fuzi [processed, skin and umbilicus removed, 3 liang (fen)], Ganjiang [processed, 3 liang (fen)], Yuanzhi (heart removed, 0.5 liang), Maidong (Ophiopogonis Radix, ... heart [5 qian (fen)]), Gancao...
Preparation and Administration: Size of... pill. Take one pill, let it dissolve in the mouth, swallow saliva slowly, feel...

Mahuang Tang (Ephedra Decoction, from *Qianjin Fang*): Treats Rou Ji heat syndrome, Ji Bi with sensations like mice running, depletion of body fluids, open cou li, profuse sweating, becoming Bi Feng.
Ingredients: Mahuang (root and joints removed), Zhishi (Immature Bitter Orange, pulp and bran removed, stir-fried), Fangfeng (alternatively Fangji), Baizhu, Xixin (seedlings and leaves removed, 1 liang), Shigao (crushed 4... beans. Each dose 5 qian bi.

Xiao Fangfeng Yin Tang (Minor Saposhnikovia Guiding Decoction): Treats Rou Ji cold syndrome. Symptoms include muscle deformation, flaccid tongue, named E Feng, and pain and weakness in waist and feet.
Ingredients: Duhuo, Fangfeng, Fuling, Gancao (roasted), Renshen (each 3 liang), Danggui, Ganjiang (each 2 liang), Fuzi (1 piece, processed), Dadou (Soybean, 2 sheng, roasted and skin removed).
Decoction and Administration: Add 1 dou of water and 3 sheng of wine to the above, boil to obtain 2 sheng, remove dregs. Divide into four doses, three times during the day and once at night. Avoid pork and cold water.

Banxia Tang: Treats Rou Ji Spleen deficiency-cold. Symptoms include pain under the right hypochondrium, dull pain radiating to shoulder and back, immobility, coughing upon movement, abdominal distension, retained fluid, and phlegm masses.
Ingredients: Banxia (soaked in water to remove slipperiness and baked, 3 liang), Baizhu, Chi Fuling (black skin removed), Renshen, Gancao (roasted and crushed), Fuzi (processed, cracked, skin and umbilicus removed)...
Decoction and Administration: 1 zhan 1.5, add half of ginger...

Banxia Tang (from *Qianjin Fang*): Treats Rou Ji excess. Symptoms include restlessness on the mat, inability to move, panting, primarily due to Spleen disease aggravated by heat qi, Guan Ge (Obstruction and Reversal).
Ingredients: Banxia, Su Jiang (Aged Ginger, each 8 liang), Xingren (Apricot Seed, 5 liang), Xixin, Jupi (Tangerine Peel, each 4 liang), Mahuang (1 liang), Shigao (7 liang), Shegan (Belamcandae Rhizoma)...
Administration: ...

Yebing Tang (Yellow Beast Decoction, from *Qianjin Fang*): Treats Rou Ji heat syndrome. Symptoms include depletion of body fluids, open cou li, profuse sweating, and weakness of the Lower Jiao.
Ingredients: Mahuang (root and joints removed, 3 fen), Shigao [3 (2) liang, crushed], Gancao (roasted and crushed, 1 liang), Fuzi [1 (2) liang, processed, cracked, skin and umbilicus removed]...
Decoction and Administration: 1 zhan, remove dregs.