夫肝脏。血与筋合。肝气和。则气血强盛。以行于筋膜。故骨正筋柔。气血皆从。若肝
脏气
以
方
独活汤（圣济总录）治肝气虚弱。风邪外侵。搏于筋脉。流入经络。筋脉抽
掣疼痛。
独活（去芦头） 萆 细辛（去苗叶） 人参 酸枣仁（微炒） 牛膝（去苗切酒浸
焙） 附
子（
根节煎掠
去沫焙） 防己 桂（去粗皮） 甘草（微炙锉各一两） 上锉如麻豆。每服三钱。水一盏。
生
姜三片。枣三枚。煎至五六分。去滓。入竹沥一合。煎两沸。温服。不拘时候。
天麻丸（圣惠方）治肝脏风。筋脉抽掣疼痛。身强。语涩。肢节不利。
天麻（二两） 芎 （一两） 天南星（三钱炮制） 附子（三钱炮裂去皮脐） 酸枣
仁（一两
微炒）
两） 麝
香（一
研） 荆子（
一两） 上为末。炼蜜和。捣三二百杵。丸如绿豆大。每服。薄荷热酒下十丸。不拘时。
薏苡仁散（圣惠方）治肝脏风毒流注。筋脉抽掣急痛。头目眩闷。四肢无力。
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）
当归
两） 酸枣
仁（
滓。
不
柏子仁散（圣惠方）治肝脏风。上焦虚热。胁下坚满。关节疼痛。筋脉抽掣
。
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）
细
蒺藜
（一
六分。
去
麻黄散（圣惠方）治肝脏心神烦。四肢拘急。筋脉抽掣疼痛。
麻黄（二两去根节） 石膏（二两） 芎 （二两） 天雄（二两炮裂去皮脐） 当归
（一两锉
微炒）
风（一两去
芦头）
水一
盏
侧子散（圣惠方）治肝脏风。筋脉抽掣。疼痛不止。
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
（三钱）
漏
香（三钱）
枳壳（半两麸炒微黄去瓤） 上为细末。每服一钱。温酒调下。不拘时候。
升秀丸（圣济总录）治肝受风邪。筋脉抽掣疼痛。
乌喙（炮裂去皮脐五两） 槟榔（三两） 防葵 槐胶（酒化为膏） 牛膝（酒浸焙各
三钱）
萆
续随
子。捣
天麻汤（圣济总录）治肝脏风毒流注。四肢拘急。筋脉抽掣。百节麻。身体
疼痛。头目昏眩
天麻 独活（去芦头） 酸枣仁（炒） 薏苡仁 防风（去叉各一两） 赤茯苓（去黑
皮） 芎
粗捣筛。
每服
枸杞子汤（圣济总录）治肝气攻注。遍身筋脉抽掣疼痛。四肢无力。
枸杞子 海桐皮 白芷 苦参 防风（去叉） 甘草（炙锉） 桂（去粗皮） 麻黄（去
根节
煎掠
一盏。
生
牛膝酒（一名薏苡仁浸酒方）治肝风。筋脉抽掣疼痛。肢节不利。（方见薏
苡仁浸酒方）
茯神丸（圣济总录）治肝风。筋脉抽掣疼痛，不得屈伸。恍惚多忘。或者恐
怖。
茯神（去木一两） 远志（去心） 人参 白僵蚕（微炒各三分） 白附子（微炮） 乳
香（别
研一
不
拘时
芎 散（圣惠方）治肝脏风。筋脉抽掣。背膊疼痛。
芎 （三钱） 麻黄（三钱去根节） 丹参（三钱） 酸枣仁（一两微炒） 侧子（三
钱炮裂去
皮脐）
为末。
每服三
羚羊角散（圣惠方）治肝脏风。筋脉抽掣疼痛。不得睡卧。
羚羊角屑（一两） 防风（一两去芦头） 赤茯神（一两） 白蔹（一两） 独活（一
两） 附子
（一
末。每服
不拘
酸枣仁散（圣惠方）治肝脏风。四肢筋脉抽掣疼痛。不欲食。
酸枣仁（三钱微炒） 薏苡仁（三钱） 人参（三钱去芦头） 黄松节（三钱锉） 五
加皮（三
钱）
末。每服
不拘时
补骨脂汤（圣济总录）治肝脏风冷。毒瓦斯攻注。筋脉抽掣疼痛。及一切筋寒
之病。\x
补骨脂（炒） 莽草 桂（去粗皮） 附子（炮裂去皮脐） 干姜（炮各一两） 干蝎
（去土微
炒一
去滓
The Liver is associated with blood and sinews. When Liver Qi is harmonious, Qi and Blood become robust and circulate through the sinew membranes, resulting in straight bones and flexible sinews, allowing Qi and Blood to flow smoothly. If Liver Qi is deficient, external Wind pathogens invade, knotting within the sinews and meridians, leading to spasmodic pain and twitching of the sinews and meridians.
Duhuo Tang (Angelica Pubescens Decoction) [from *Shengji Zonglu*]: Treats deficiency of Liver Qi with external invasion of Wind pathogens, which knot in the sinews and meridians and flow into the collaterals, causing spasmodic pain and twitching of the sinews and meridians.
Ingredients: Duhuo (*Radix Angelicae Pubescentis*, removed rhizome), Bixie (*Rhizoma Dioscoreae Hypoglaucae*), Xixin (*Herba Asari*, removed seedlings and leaves), Renshen (*Radix Ginseng*), Suanzaoren (*Semen Ziziphi Spinosae*, lightly stir-fried), Niuxi (*Radix Achyranthis Bidentatae*, removed seedlings, sliced, soaked in wine and baked), Fuzi (*Radix Aconiti Lateralis Preparata*, removed root nodes, boiled while skimming foam then baked), Fangji (*Radix Stephaniae Tetrandrae*), Guizhi (*Cortex Cinnamomi*, removed rough bark), Gancao (*Radix Glycyrrhizae Preparata*, lightly roasted and chopped; each 1 liang). Chop the herbs into pieces the size of hemp seeds. Take 3 qian per dose, add one zhan of water, three slices of Shengjiang (*Rhizoma Zingiberis Recens*), and three dates (Zao). Decoct until five or six parts remain, strain, add one he of Zhuli (*Natrii Carbonas Efflorescens* / Bamboo Sap - note: Zhuli usually refers to bamboo sap in this context, but chemically Natrii Carbonas is also possible; WHO standard for Zhuli is often Bamboo Juice/Sap), boil twice more, and take warm. Take at any time.
Tianma Wan (Gastrodia Pill) [from *Huibu Fang*]: Treats Liver Wind causing spasmodic pain and twitching of sinews and meridians, stiffness of the body, slurred speech, and impaired movement of joints.
Ingredients: Tianma (*Rhizoma Gastrodiae*, 2 liang), Xiong (*Radix Chuanxiong*, 1 liang), Tiannanxing (*Rhizoma Arisaematis Preparatum*, 3 qian, processed), Fuzi (*Radix Aconiti Lateralis Preparata*, 3 qian, cracked by heat, skin and umbilicus removed), Suanzaoren (*Semen Ziziphi Spinosae*, 1 liang, lightly stir-fried), [Text missing], [Text missing], Shexiang (*Moschus*, finely ground), Jingjie (*Fructus Schizonepetae*, 1 liang). Grind into powder, mix with refined honey, pound 300-200 times, and form pills the size of mung beans. Take 10 pills per dose with hot wine infused with Bohe (*Herba Menthae*). Take at any time.
Yiyiren San (Coix Seed Powder) [from *Huibu Fang*]: Treats Liver Wind-Toxin flowing and accumulating, causing acute spasmodic pain of sinews and meridians, dizziness and heaviness of the head and eyes, and weakness in the four limbs.
Ingredients: Yiyiren (*Semen Coicis*, 1 liang), Qianghuo (*Rhizoma et Radix Notopterygii*, 1 liang), Fangfeng (*Radix Saposhnikoviae*, 1 liang, removed rhizome), Hanfangji (*Radix Stephaniae Tetrandrae*, 1 liang), Sangbaipi (*Cortex Mori Radicis*, 1 liang, chopped), Danggui (*Radix Angelicae Sinensis*, [missing quantity]), Suanzaoren (*Semen Ziziphi Spinosae*, [missing quantity]), [Text missing]. [Text incomplete, typically decocted, strained, taken at any time].
Baiziren San (Platycladi Seed Powder) [from *Huibu Fang*]: Treats Liver Wind with deficiency-heat in the Upper Jiao, hardness and fullness under the ribs, joint pain, and spasmodic twitching of sinews and meridians.
Ingredients: Baiziren (*Semen Platycladi*, 1 liang), Qianghuo (*Rhizoma et Radix Notopterygii*, 1 liang), Zhishi (*Fructus Aurantii Immaturus*, 1 liang, bran-fried until slightly yellow), Qianhu (*Radix Peucedani*, 1 liang, removed rhizome), Chifuling (*Poria cum Ligno Rubra*, 1 liang), [Text missing], Xi [Text missing], Jili (*Fructus Tribuli*, [missing quantity]). [Text incomplete, typically decocted to five or six parts, strained, taken at any time].
Mahuang San (Ephedra Powder) [from *Huibu Fang*]: Treats Liver Wind causing mental restlessness, spasticity and tightness of the four limbs, and spasmodic pain and twitching of sinews and meridians.
Ingredients: Mahuang (*Herba Ephedrae*, 2 liang, removed roots and nodes), Shigao (*Gypsum Fibrosum*, 2 liang), Xiong (*Radix Chuanxiong*, 2 liang), Tianxiong (*Radix Aconiti Kusnezoffii Preparata*, 2 liang, cracked by heat, skin and umbilicus removed), Danggui (*Radix Angelicae Sinensis*, 1 liang, chopped and lightly stir-fried), [Text missing, likely Fangfeng] (*Radix Saposhnikoviae*, 1 liang, removed rhizome). [Text incomplete, typically decocted with one zhan of water, taken at any time].
Cizi San (Lateralis Aconitum Root Powder) [from *Huibu Fang*]: Treats Liver Wind causing spasmodic twitching of sinews and meridians and unceasing pain.
Ingredients: Cizi (*Radix Aconiti Lateralis Preparata*, 1 liang, cracked by heat, skin and umbilicus removed), Chijian (*Rhizoma Gastrodiae*, 1 liang), Suanzaoren (*Semen Ziziphi Spinosae*, 1 liang, lightly stir-fried), Haitongpi (*Cortex Erythrinae*, 1 liang), Xiong (*Radix Chuanxiong*, 3 qian), Lou [Text missing] xiang (*Moschus*, 3 qian), Zhiqiao (*Fructus Aurantii*, half liang, bran-fried until slightly yellow, placenta removed). Grind into fine powder. Take 1 qian per dose mixed with warm wine. Take at any time.
Shengxiu Wan (Shengxiu Pill) [from *Shengji Zonglu*]: Treats Liver affected by Wind pathogen, causing spasmodic pain and twitching of sinews and meridians.
Ingredients: Wuhui (*Radix Aconiti Kusnezoffii Preparata*, cracked by heat, skin and umbilicus removed, 5 liang), Binglang (*Semen Arecae*, 3 liang), Fangkui (*Radix Anemones Raddeanae*), Huaijiao (*Gummi Acaciae Catharticae*, dissolved in wine to make a paste), Niuxi (*Radix Achyranthis Bidentatae*, soaked in wine and baked, 3 qian each), [Text missing, likely Bixie], Xuisui Zi (*Semen Euphorbiae Lathyridis*, pounded). [Text incomplete, typically formed into pills].
Tianma Tang (Gastrodia Decoction) [from *Shengji Zonglu*]: Treats Liver Wind-Toxin flowing and accumulating, causing spasticity and tightness of the four limbs, spasmodic twitching of sinews and meridians, numbness in all joints, body pain, and dizziness/heaviness of the head and eyes.
Ingredients: Tianma (*Rhizoma Gastrodiae*), Duhuo (*Radix Angelicae Pubescentis*, removed rhizome), Suanzaoren (*Semen Ziziphi Spinosae*, fried), Yiyiren (*Semen Coicis*), Fangfeng (*Radix Saposhnikoviae*, removed forked branches, 1 liang each), Chifuling (*Poria cum Ligno Rubra*, removed black skin), Xiong (*Radix Chuanxiong*). Coarsely crush and sieve. [Text incomplete, typically specific dosage and decoction method follow].
Gouqizi Tang (Goji Berry Decoction) [from *Shengji Zonglu*]: Treats Liver Qi attacking and flowing, causing spasmodic pain and twitching of sinews and meridians throughout the body, and weakness in the four limbs.
Ingredients: Gouqizi (*Fructus Lycii*), Haitongpi (*Cortex Erythrinae*), Baizhi (*Radix Angelicae Dahuricae*), Kushen (*Radix Sophorae Flavescentis*), Fangfeng (*Radix Saposhnikoviae*, removed forked branches), Gancao (*Radix Glycyrrhizae Preparata*, roasted and chopped), Guizhi (*Cortex Cinnamomi*, removed rough bark), Mahuang (*Herba Ephedrae*, removed roots and nodes). [Text incomplete, typically skim foam, add one zhan of water, Shengjiang, taken at any time].
Niuxi Jiu (Achyranthes Wine), also known as Yiyiren Jin Jiu Fang (Coix Seed Infused Wine): Treats Liver Wind causing spasmodic pain and twitching of sinews and meridians, and impaired movement of joints. (Formula details see Yiyiren Jin Jiu Fang).
Fushen Wan (Poria Pill) [from *Shengji Zonglu*]: Treats Liver Wind causing spasmodic pain and twitching of sinews and meridians, inability to flex and extend, mental vagueness and forgetfulness, or fearfulness.
Ingredients: Fushen (*Poria Cum Radice Pinelli*, removed wood core, 1 liang), Yuanzhi (*Radix Polygalae*, removed heart), Renshen (*Radix Ginseng*), Baijiangcan (*Bombyx Batryticatus*, lightly stir-fried, 3 fen each), Baifuzi (*Rhizoma Typhonii Preparatum*, lightly roasted), Rushiangu (*Resina Incensi*, separately ground, [missing quantity]). [Text incomplete, typically formed into pills, taken at any time].
Xiong San (Chuanxiong Powder) [from *Huibu Fang*]: Treats Liver Wind causing spasmodic twitching of sinews and meridians, and pain in the back and shoulders.
Ingredients: Xiong (*Radix Chuanxiong*, 3 qian), Mahuang (*Herba Ephedrae*, 3 qian, removed roots and nodes), Danshen (*Radix Salviae Miltiorrhizae*, 3 qian), Suanzaoren (*Semen Ziziphi Spinosae*, 1 liang, lightly stir-fried), Cizi (*Radix Aconiti Lateralis Preparata*, 3 qian, cracked by heat, skin and umbilicus removed). [Text incomplete, typically ground into powder, take 3 qian per dose, taken at any time].
Lingyangjiao San (Antelope Horn Powder) [from *Huibu Fang*]: Treats Liver Wind causing spasmodic pain and twitching of sinews and meridians, and inability to sleep or lie down.
Ingredients: Lingyangjiaoxie (*Cornu Saigae Tataricae*, 1 liang), Fangfeng (*Radix Saposhnikoviae*, 1 liang, removed rhizome), Chifushen (*Poria Cum Radice Pinelli Rubra*, 1 liang), Bailian (*Radix Paeoniae Albæ*, 1 liang), Duhuo (*Radix Angelicae Pubescentis*, 1 liang), Fuzi (*Radix Aconiti Lateralis Preparata*, [missing quantity]). [Text incomplete, typically ground into powder, specific dosage not listed, taken at any time].
Suanzaoren San (Ziziphus Seed Powder) [from *Huibu Fang*]: Treats Liver Wind causing spasmodic pain and twitching of sinews and meridians in the four limbs, and loss of appetite.
Ingredients: Suanzaoren (*Semen Ziziphi Spinosae*, 3 qian, lightly stir-fried), Yiyiren (*Semen Coicis*, 3 qian), Renshen (*Radix Ginseng*, 3 qian, removed rhizome), Huangsongjie (*Ramulus Pinus Massoniana*, 3 qian, chopped), Wujiaopi (*Cortex Acanthopanacis Senticosi*, 3 qian). [Text incomplete, typically ground into powder, specific dosage not listed, taken at any time].
Buguzhi Tang (Psoralea Decoction) [from *Shengji Zonglu*]: Treats Liver Wind-Cold, toxic vapors attacking and flowing, causing spasmodic pain and twitching of sinews and meridians, and all diseases related to cold in the sinews.
Ingredients: Buguzhi (*Fructus Psoraleae*, fried), Mangcao (*Herba Vetiveriae*), Guizhi (*Cortex Cinnamomi*, removed rough bark), Fuzi (*Radix Aconiti Lateralis Preparata*, cracked by heat, skin and umbilicus removed), Ganjiang (*Rhizoma Zingiberis Preparatum*, roasted, 1 liang each), Ganxie (*Scorpio*, removed soil, lightly stir-fried, [missing quantity]). [Text incomplete, typically strain, taken at any time].