春三月青筋牵证，其源自少阴、少阳。从少阴而涉足少阳，少阳之气始发，少阴之气始衰，阴
阳怫郁于腠理皮毛之间，因生表里之 。因从足少阳发动及少阴，
则脏腑受疠而生其病。
肝腑脏阴阳毒瓦斯病，颈背双筋牵急，先寒后热，其病相反。若腑虚为阴邪所伤者，则腰强急，
脚缩不伸，腑中欲折，眼中生花，此法主之。（不可作煮散。）
柴胡地黄汤
柴胡（二两半） 生地黄（五合半） 香豉（五合） 生姜 石膏（各四两） 桂枝（半两）
大青 白术 芒硝 栀子仁（各一两半）
咀，水七升，煎三升，去滓，下芒硝，温饮一盏，日三四服，未瘥再作。
肝腑脏阴阳温毒病，颈背牵急，先寒后热，其病相反。若脏实则为阳毒所损，眼黄，颈背强直，
若欲转动，即称身回侧。（不可作煮散。）
石膏竹叶汤
淡竹叶（二升） 栀子仁 黄芩 升麻 芒硝（各一两半） 细辛 玄参（各半两） 石膏（四
两） 车前草（一升，叶）
咀，水六升，先下竹叶、车前草，煮四升，去滓，下诸药，煮二升，去滓，
下芒硝化匀，温饮一盏。
夏三月，行赤脉KT 病，其源自少阴、太阳。
心腑脏阴阳温毒瓦斯，身热，皮肉痛起，其病相反。若脏实则为阳毒所侵，口干舌破而咽塞；若
腑虚则为阴邪所伤，战掉不定而惊动。（不可作煮散。）石膏地黄汤
石膏 生葛根（各四两） 麻黄（二两） 玄参（三两） 知母（半两） 栀子仁 大青 黄芩
芒硝（各一两半） 湿地黄（半升）
咀，水九升，取四升，去滓，下芒硝烊化匀，温饮一盏，日三四服。
春季三个月出现的青筋牵证，其病源来自少阴经和少阳经。病邪从少阴经传入足少阳经，此时少阳经的气机开始生发，而少阴经的气机开始衰退，阴阳之气郁结在腠理（皮肤纹理及汗孔）与皮毛之间，从而产生表里之间的病变。如果病邪从足少阳经发动并波及少阴经，则脏腑受到疠气侵袭而发病。
这是肝脏腑脏的阴阳毒瓦斯病，表现为颈背部两条筋脉拘挛紧急，先出现恶寒随后发热，病情表现看似相反。如果是腑气虚弱被阴邪所伤，则会出现腰部僵硬强急，双脚收缩无法伸展，腹部内部感觉要折断，眼前视物模糊如见花斑，此法主治此证。（不可制成煮散剂型。）
柴胡地黄汤
柴胡（二两半） 生地黄（五合半） 香豉（五合） 生姜 石膏（各四两） 桂枝（半两）
大青叶 白术 芒硝 栀子仁（各一两半）
将药材切碎，加水七升，煎煮至三升，滤去药渣，加入芒硝，温服一盏，每日服用三四次，若未痊愈再重新制作。
肝脏腑脏的阴阳温毒病，表现为颈背部筋脉拘挛紧急，先出现恶寒随后发热，病情表现看似相反。如果是脏气实盛被阳毒所损伤，则眼睛发黄，颈背部强直僵硬，如果想要转动身体，就会感到全身扭转侧倾。（不可制成煮散剂型。）
石膏竹叶汤
淡竹叶（二升） 栀子仁 黄芩 升麻 芒硝（各一两半） 细辛 玄参（各半两） 石膏（四两） 车前草（一升，用叶片）
将药材切碎，加水六升，先放入竹叶和车前草，煮至四升，滤去药渣，加入其他药物，煮至二升，滤去药渣，加入芒硝使其完全溶解混合均匀，温服一盏。
夏季三个月，出现赤脉掣痛病，其病源来自少阴经和太阳经。
这是心脏腑脏的阴阳温毒瓦斯病，表现为身体发热，皮肉疼痛且起疹，病情表现看似相反。如果是脏气实盛被阳毒所侵袭，则口干舌破且咽喉阻塞；如果是腑气虚弱被阴邪所伤，则战栗抖动不定且惊恐躁动。（不可制成煮散剂型。）
石膏地黄汤
石膏 生葛根（各四两） 麻黄（二两） 玄参（三两） 知母（半两） 栀子仁 大青叶 黄芩 芒硝（各一两半） 湿地黄（半升）
将药材切碎，加水九升，煎取四升，滤去药渣，加入芒硝使其完全溶解混合均匀，温服一盏，每日服用三四次。
In the three months of spring, the syndrome of "Green Tendons Pulling" (Qingjin Qian) originates from the Shaoyin and Shaoyang channels. When the pathogen moves from the Shaoyin channel to involve the Foot-Shaoyang channel, the Qi of Shaoyang begins to emerge, while the Qi of Shaoyin begins to decline. Yin and Yang become constrained and depressed between the couli (interstitial spaces of the skin and hair follicles) and the body surface, leading to pathological changes involving both the exterior and interior. If the disease initiates from the Foot-Shaoyang channel and extends to the Shaoyin channel, the zang-fu organs are affected by pestilential qi, resulting in illness.
This is a disease of yin-yang toxic vapors affecting the Liver zang-fu system. Symptoms include spasmodic tension of the tendons on both sides of the neck and back, preceded by aversion to cold followed by fever, presenting an apparent contradiction in symptoms. If the fu organ is deficient and injured by yin pathogens, there will be stiffness and rigidity of the waist, retraction of the legs making extension impossible, a sensation of internal collapse in the abdomen, and visual disturbances such as seeing spots before the eyes. This formula is indicated for this condition. (It should not be prepared as a decoction powder.)
Chaihu Dihuang Tang (Bupleurum and Rehmannia Decoction)
Chai Hu (Radix Bupleuri), 2 liang 5 qian; Sheng Di Huang (Rhizoma Rehmanniae Recens), 5 he 5 cun; Xiang Chi (Semen Sojae Praeparatum), 5 he; Sheng Jiang (Rhizoma Zingiberis Recens); Shi Gao (Gypsum Fibrosum), each 4 liang; Gui Zhi (Ramulus Cinnamomi), 0.5 liang.
Da Qing Ye (Folium Isatidis); Bai Zhu (Rhizoma Atractylodis Macrocephalae); Mang Xiao (Natrii Sulfas); Zhi Zi Ren (Semen Gardeniae), each 1 liang 5 qian.
Crush the herbs, add seven sheng of water, and decoct until three sheng remain. Strain the dregs, add Mang Xiao, and take one wan of the warm liquid orally. Administer three to four times daily. If not cured, prepare again.
This is a disease of yin-yang warm toxins affecting the Liver zang-fu system. Symptoms include spasmodic tension of the tendons in the neck and back, preceded by aversion to cold followed by fever, presenting an apparent contradiction in symptoms. If the zang organ is excess and damaged by yang toxins, there will be yellowing of the eyes and rigidity of the neck and back. Attempts to turn the body may result in twisting or lateral deviation of the whole body. (It should not be prepared as a decoction powder.)
Shigao Zhuye Tang (Gypsum and Bamboo Leaf Decoction)
Dan Zhu Ye (Folium Bambusae), 2 sheng; Zhi Zi Ren (Semen Gardeniae); Huang Qin (Radix Scutellariae); Sheng Ma (Rhizoma Cimicifugae); Mang Xiao (Natrii Sulfas), each 1 liang 5 qian; Xi Xin (Herba Asari); Xuan Shen (Radix Scrophulariae), each 0.5 liang; Shi Gao (Gypsum Fibrosum), 4 liang; Che Qian Cao (Herba Plantaginis), 1 sheng (using leaves).
Crush the herbs, add six sheng of water. First decoct the Zhu Ye and Che Qian Cao until four sheng remain. Strain the dregs, add the remaining herbs, and decoct until two sheng remain. Strain the dregs again, add Mang Xiao, stir until fully dissolved, and take one wan of the warm liquid orally.
In the three months of summer, the disease of "Red Vessels Pulling Pain" (Chimai Che Tong) occurs, originating from the Shaoyin and Taiyang channels.
This is a disease of yin-yang warm toxic vapors affecting the Heart zang-fu system. Symptoms include body heat, pain in the skin and flesh with raised lesions, presenting an apparent contradiction in symptoms. If the zang organ is excess and invaded by yang toxins, there will be dry mouth, cracked tongue, and throat obstruction. If the fu organ is deficient and injured by yin pathogens, there will be uncontrollable trembling and惊动 (startle/agitation). (It should not be prepared as a decoction powder.)
Shigao Dihuang Tang (Gypsum and Rehmannia Decoction)
Shi Gao (Gypsum Fibrosum); Sheng Ge Gen (Radix Puerariae Recens), each 4 liang; Ma Huang (Herba Ephedrae), 2 liang; Xuan Shen (Radix Scrophulariae), 3 liang; Zhi Mu (Rhizoma Anemarrhenae), 0.5 liang; Zhi Zi Ren (Semen Gardeniae); Da Qing Ye (Folium Isatidis); Huang Qin (Radix Scutellariae); Mang Xiao (Natrii Sulfas), each 1 liang 5 qian; Shi Di Huang (Radix Rehmanniae Humida), 0.5 sheng.
Crush the herbs, add nine sheng of water, and decoct until four sheng remain. Strain the dregs, add Mang Xiao, stir until fully dissolved, and take one wan of the warm liquid orally. Administer three to four times daily.