夫肝主筋。而藏血。脏腑和平。荣卫调适。表里充实。则邪不能侵也。若肝气久虚。肾
脏衰
方
海桐皮散(圣惠方)治肝脏风毒。流注脚膝。筋脉拘急。疼痛不可忍。
海桐皮(一两锉) 附子(炮裂去皮脐) 赤箭 桂心 牛膝(去苗) 防风(去芦头)
石斛
(去
木
草(一
钱炙赤
蒜等物
酸枣仁散(圣惠方)治肝脏风。流注腰脚。疼痛。筋脉不利。行立无力。
酸枣仁(一两半微炒) 独活(半两) 牛膝(一两去苗) 萆 (半两) 桂心(一
两) 仙灵
脾(
两) 虎胫
骨(
寄生
(半两) 木香(半两) 麝香(一钱细研入) 上为细散。研入麝香令匀。每服二钱。温
酒调下
。食
豆淋酒侧子丸(圣惠方)治肝脏风毒。流注脚膝。筋脉拘急。疼痛。及四肢
缓弱无力。行履
黑豆(一升炒微熟入酒五升煎二三十沸滤过去滓煎令稠) 侧子(三分炮裂去脐皮) 石
南
牛
根节) 羌
活
去皮
骨
十
野葛膏(圣惠方)治肝脏风。流注脚膝。筋脉挛急疼痛。
野葛(锉) 蛇衔 犀角屑 川乌头(去皮脐) 桔梗(去芦头) 茵芋 防风(去芦
头) 川
椒(
羌活
川大黄 雄黄(研如粉各二两) 上药细锉。以酒五升。渍药一宿。以不水猪膏五斤。以前
药
同于铛中。炭火上煎之。令药色变黄。又勿令焦黑。膏成绞去滓。下雄黄。候冷。入瓷器中
盛之。旋取摩病处。令极热。密室避风。日三度摩之。效。
槟榔散(圣惠方)治肝脏风毒。流注脚膝。筋脉拘急。疼痛。大便秘涩。心
胸壅闷。宜服此
槟榔(一两) 枳实(三钱麸炒微黄去瓤) 肉桂(半两去皱皮) 防风(三钱去芦头)
川大
黄(
芎
(三钱
锉) 羚羊
角屑(
羚羊角散(圣惠方)治肝脏风毒。流注脚膝。筋脉拘急疼痛。
羚羊角屑(半两) 槟榔 木香 海桐皮 酸枣仁 防风(去芦头) 当归(锉) 独
活薏
苡仁
每
服三
薏苡仁散(圣惠方)治肝脏风毒。流注脚膝。筋脉拘急疼痛。行履不得。
薏苡仁(二两)
芎
附子(炮裂去
服三
钱。水一中盏
五加皮散(圣惠方)治肝脏风毒。流注脚膝。疼痛。心神烦闷。筋脉拘急。
五加皮 羌活 芎 黄芩 防风(去芦头) 酸枣仁(微炒) 羚羊角屑 当归(锉
微炒)
威
食
前
四蒸木瓜丸 治肝肾脾虚。受风寒暑湿之气。流注经络。脚膝疼痛。憎寒壮热。
或肿或痹
茯神木(半两) 威灵仙 苦葶苈 黄 续断 苍术 橘皮 乌药(各半两) 上为
末。
以大
十丸
天麻虎骨散(王氏博济方)治肝元风气。上攻头目昏疼。下注腰膝无力。行
步不能。或多肿
虎胫骨(二两酥炙令黄) 天麻 木香 羌活 川芎 黄 (去土) 白蒺藜(微炒去
刺)
青橘
苓(去
皮)
苁
蓉(一
细锉。
慢火
一钱
一方(护命方)治肝脏风壅。顽涎老血。致生积聚。与滞气相交。发为气疾
。其病在两胁下沉重。相次转入胃脘。牵引腰背。卷曲不安。忽时仍却消散。吃酒吃醋
吃暖物。其病愈重
荆芥穗 连翘子(各半两) 薄荷 木香 栀子 羌活 独活 干葛 牡丹皮(去心) 麻
黄
罗为末。
每服二钱。食后热酒调下。和滓煮。
石南丸(圣济总录)治肝脏风毒。流注脚膝。筋脉拘急。疼痛。行步不得。
石南 乌蛇(酒浸去皮骨各一两) 牛膝(去苗酒浸切焙) 防风(去叉) 石斛(去
根) 桂
(去粗皮) 萆 麻黄(去根节) 羌活(去芦头) 天麻(酒浸) 当归(切焙) 海
桐皮 赤茯
苓(去黑
(炮裂
去皮脐各
二
十丸。至
一方(出本草)治人服贝母。误食丹龙精。令人筋脉永不收。以黄精和小盐
汁。服之立愈。
The Liver governs the sinews and stores blood. When the zang-fu organs are harmonious and peaceful, and Ying (Nutritive) and Wei (Defensive) Qi are regulated and balanced, with the interior and exterior being full and robust, pathogenic factors cannot invade. If Liver Qi is deficient for a long time, and Kidney function declines...
Haitongpi San (Sea Poplar Bark Powder, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms and stiffness, and unbearable pain.
Ingredients: Haitongpi (Tiliacora Radix, 1 liang, crushed), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Chijian (Atractylodis Rhizoma), Guixin (Cinnamomi Cortex), Niuxi (Achyranthis Bidentatae Radix, seedlings removed), Fangfeng (Saposhnikoviae Radix, radix tip removed), Shihu (Dendrobii Caulis, woody parts removed), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian, honey-fried to reddish color), Suan (Garlic), etc.
Suanzaoren San (Ziziphi Spinosae Semen Powder, from *Shenghui Fang*): Treats Liver wind flowing into the waist and feet, causing pain, tendon dysfunction, and weakness in walking and standing.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, 1.5 liang, lightly stir-fried), Duhuo (Angelicae Pubescentis Radix, 0.5 liang), Niuxi (Achyranthis Bidentatae Radix, 1 liang, seedlings removed), Bibo (Dioscoreae Hypoglaucae Rhizoma, 0.5 liang), Guixin (Cinnamomi Cortex, 1 liang), Xianlingpi (Epimedii Folium, 2 liang), Hu Jinggu (Pantheris Os, 2 liang), Sangjisheng (Taxilli Caulis, 0.5 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Shexiang (Moschus, 1 qian, finely ground and added). The above herbs are made into a fine powder; mix in the ground Moschus evenly. Take 2 qian each time, mixed with warm wine. Take after meals.
Doulin Jiu Cezhi Wan (Black Bean Wine Cezhi Pills, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms, pain, and flaccid weakness in the four limbs, making walking difficult.
Ingredients: Heidou (Sojae Semen Nigrum, 1 sheng, stir-fried until slightly cooked, added to 5 sheng of wine, boiled for 20-30 boils, filtered to remove dregs, then boiled until thick); Cezhi (Aconiti Kusnezoffii Radix, 3 fen, processed until cracked, umbilicus and skin removed); Shinan (Rhododendri Daurici Caulis); Niuxi Genjie (Achyranthis Bidentatae Radix nodes); Qianghuo (Notopterygii Rhizoma et Radix); Chuanyutou (Aconiti Radix); Gusuibu (Drynariae Rhizoma); Shijiang (Zingiberis Rhizoma Recens); Yegegao (Wild Kadsura Paste, from *Shenghui Fang*): Treats Liver wind flowing into the feet and knees, causing tendon spasms and pain.
Ingredients: Yege (Kadsurae Longipedunculati Fructus, crushed); Sheyan (Patriniae Herba); Xijiaoxie (Rhinocerotis Cornu, shaved); Chuanyutou (Aconiti Radix, skin and umbilicus removed); Jiegeng (Platycodonis Radix, radix tip removed); Yinyu (Ilicis Cornei Cortex); Fangfeng (Saposhnikoviae Radix, radix tip removed); Chuanjiao (Zanthoxyli Pericarpium); Qianghuo (Notopterygii Rhizoma et Radix); Chuadahuang (Rhei Radix et Rhizoma); Xionghuang (Realgar, ground to powder, each 2 liang). Finely crush the herbs, soak in 5 sheng of wine overnight. Add 5 jin of rendered pork lard (free of water) to the previous medicine in a pan. Simmer over charcoal fire until the medicine turns yellow, but do not let it burn black. Strain out the dregs when the paste is ready, add Realgar, cool, and store in porcelain vessels. Apply to the affected area as needed, ensuring it becomes very hot. Avoid wind in a closed room. Rub three times a day. Effective.
Binglang San (Areca Seed Powder, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms, pain, constipation, and chest/epigastric oppression. This formula is suitable.
Ingredients: Binglang (Arecae Semen, 1 liang); Zhishi (Aurantii Fructus Immaturus, 3 qian, bran-fried until slightly yellow, pith removed); Rougui (Cinnamomi Cortex, 0.5 liang, wrinkled skin removed); Fangfeng (Saposhnikoviae Radix, 3 qian, radix tip removed); Chuadahuang (Rhei Radix et Rhizoma); Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 qian, crushed); Lingyangjiaoxie (Saigae Tataricae Cornu, shaved).
Lingyangjiao San (Saiga Horn Powder, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms and pain.
Ingredients: Lingyangjiaoxie (Saigae Tataricae Cornu, shaved, 0.5 liang); Binglang (Arecae Semen); Muxiang (Aucklandiae Radix); Haitongpi (Tiliacora Radix); Suanzaoren (Ziziphi Spinosae Semen); Fangfeng (Saposhnikoviae Radix, radix tip removed); Danggui (Angelicae Sinensis Radix, crushed); Duhuo (Angelicae Pubescentis Radix); Yiyiren (Coicis Semen). Take 3 qian each time.
Yiyiren San (Coix Seed Powder, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms, pain, and inability to walk.
Ingredients: Yiyiren (Coicis Semen, 2 liang); Chuanxiong (Ligustici Chuanxiong Rhizoma); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, umbilicus removed). Take 3 qian each time, decocted with one zhong of water.
Wujia Pi San (Eucommia Bark Powder, from *Shenghui Fang*): Treats Liver wind-toxin flowing into the feet and knees, causing pain, mental restlessness, and tendon spasms.
Ingredients: Wujia Pi (Eucommiae Cortex); Qianghuo (Notopterygii Rhizoma et Radix); Chuanxiong (Ligustici Chuanxiong Rhizoma); Huangqin (Scutellariae Radix); Fangfeng (Saposhnikoviae Radix, radix tip removed); Suanzaoren (Ziziphi Spinosae Semen, lightly fried); Lingyangjiaoxie (Saigae Tataricae Cornu, shaved); Danggui (Angelicae Sinensis Radix, crushed, lightly fried). Take before meals.
Si Zheng Mugua Wan (Four-Steamed Papaya Pills): Treats deficiency of Liver, Kidney, and Spleen, invasion by Wind-Cold-Damp-Heat pathogens flowing into the meridians, causing foot and knee pain, aversion to cold with high fever, swelling, or numbness/obstruction.
Ingredients: Fushenmu (Poria Cum Ramus, 0.5 liang); Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma? Note: Usually Salviae Miltiorrhizae is Danshen, Weilingxian is Asari Radix et Rhizoma or Saposhnikoviae Radix depending on context, here likely Saposhnikoviae or related herb often confused, but standard is Saposhnikoviae or Asarum. Given "Weilingxian", it is usually Saposhnikoviae Radix or sometimes listed as distinct. In modern TCM, Weilingxian is Saposhnikoviae Radix. Wait, standard Weilingxian is Saposhnikoviae Radix. Let's stick to Saposhnikoviae Radix.); Kutingsli (Descurainiae Semen seu Lepidii Semen); Huangqi (Astragali Radix); Xuduan (Dipsaci Radix); Cangzhu (Atractylodis Rhizoma); Juapi (Citri Reticulatae Pericarpium); Wuyao (Linderae Radix) (each 0.5 liang). Make into powder, use barley flour paste to form pills the size of tung tree seeds. Take 10 pills each time.
Tianma Huguo San (Gastrodia and Tiger Bone Powder, from *Wangshi Boji Fang*): Treats Liver origin wind qi attacking upwards causing dizziness and headache, sinking downwards causing waist and knee weakness and inability to walk, or multiple swellings.
Ingredients: Hu Jinggu (Pantheris Os, 2 liang, roasted with butter until yellow); Tianma (Gastrodiae Rhizoma); Muxiang (Aucklandiae Radix); Qianghuo (Notopterygii Rhizoma et Radix); Chuanxiong (Ligustici Chuanxiong Rhizoma); Huangqi (Astragali Radix, cleaned); Baijili (Tribuli Fructus, lightly fried, thorns removed); Qingju pi (Citri Reticulatae Pericarpium); Fuling (Poria, skin removed); Rongrong (Cynomorii Herba, 1 liang, finely crushed, slow-fire dried). Take 1 qian each time.
One Formula (from *Huming Fang*): Treats Liver wind congestion, stubborn phlegm and old blood causing accumulations, interacting with stagnant Qi, manifesting as Qi disorders. Symptoms include heaviness under both hypochondria, spreading to the epigastrium, pulling the back and waist, curling up in discomfort, suddenly dissipating. Eating alcohol, vinegar, or warm foods aggravates the condition.
Ingredients: Jingjisui (Schizonepetae Spica); Lianqiao Zi (Forsythiae Fructus) (each 0.5 liang); Bohe (Menthae Haplocalycis Herba); Muxiang (Aucklandiae Radix); Zhizi (Gardeniae Fructus); Qianghuo (Notopterygii Rhizoma et Radix); Duhuo (Angelicae Pubescentis Radix); Gange (Puerariae Lobatae Radix); Mudanpi (Moutan Cortex, heart removed); Mahuang (Ephedrae Herba). Sieve into powder. Take 2 qian each time, mixed with hot wine after meals, including the dregs boiled together.
Shinan Wan (Rhododendron Pills, from *Shengji Zonglu*): Treats Liver wind-toxin flowing into the feet and knees, causing tendon spasms, pain, and inability to walk.
Ingredients: Shinan (Rhododendri Daurici Caulis); Wushe (Bungarus multicinctus, soaked in wine, skin and bones removed, 1 liang each); Niuxi (Achyranthis Bidentatae Radix, seedlings removed, soaked in wine, cut, dried); Fangfeng (Saposhnikoviae Radix, forked roots removed); Shihu (Dendrobii Caulis, roots removed); Guizhi (Cinnamomi Ramulus, rough bark removed); Bibo (Dioscoreae Hypoglaucae Rhizoma); Mahuang (Ephedrae Herba, roots and nodes removed); Qianghuo (Notopterygii Rhizoma et Radix, radix tip removed); Tianma (Gastrodiae Rhizoma, soaked in wine); Danggui (Angelicae Sinensis Radix, cut, dried); Haitongpi (Tiliacora Radix); Chifuling (Poria cum Mycelium, black skin removed); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, each 20 liang). Form pills. Take 20 pills each time until cured.
One Formula (from *Bencao*): Treats cases where ingestion of Beimu (Fritillariae Bulbus) is mistaken for Danlongjing, causing permanent inability of tendons to contract. Take Huangjing (Polygonati Rhizoma) with small amounts of salt juice; recovery is immediate.