论曰人有尺脉数甚筋急而见，病名疹筋，是人腹必急，白色黑色见则病甚。夫热则筋缓
，寒则筋急。今肝气内虚，虚则生寒，故筋急而见。其尺脉数甚者，盖尺里以候腹中。其人
腹急，则尺脉见数，数亦为虚，以腹内气虚故也，其证筋急而见，为疹筋。视其色白黑为病
甚者，气既寒而筋急，其色又见白黑，是为寒甚之证。
治肝虚筋脉不利，腹急筋见，胁肋胀满。薏苡仁汤方
薏苡仁 防风（去叉） 桂（去粗皮） 当归（切焙各一两） 酸枣仁（炒三分） 白
茯苓（去黑皮） 海桐皮 萆 （各半两） 芎 （三分）
上九味。 咀如麻豆大，每服三钱匕，水一盏半，煎取八分，去滓温服，不拘时候。
治肝气虚寒，筋脉急见于外，成疹不已。补肝汤方
防风（去叉二两） 细辛（去苗叶半两） 白茯苓（去黑皮二两） 柏子仁（一两） 桃
仁（去皮尖双仁炒半两） 桂（去粗皮） 甘草（炙锉） 山茱萸 蔓荆实（各一两）
上九味。粗捣筛，每服五钱匕，水一盏半，大枣三枚劈破，煎至一盏，去滓空心顿服，
晚食前再煎服。
治肝虚生寒，脉数筋急，腹胁妨闷，筋见于外。柏子仁饮方
柏子仁 茯苓（去黑皮） 防风（去叉） 细辛（去苗叶各三分） 当归（锉微炒） 槟
榔（各半两锉） 白术 桂（去粗皮各三分） 附子（炮裂去脐皮半两） 芎 枳壳（去
瓤麸炒各三分）
上一十一味。锉如麻豆大，每服三钱匕，水一盏，入生姜三片，枣二枚，同煎至七分
，去滓温服，不计时候。
治肝虚寒筋急，腹满 胀。柏子仁丸方
柏子仁 黄 （锉） 白茯苓（去黑皮） 楮实 覆盆子 五味子 附子（炮裂去皮脐）
石斛（去根） 酸枣仁（炒） 鹿茸（酥炙去毛） 桂（去粗皮） 白术 沉香（锉） 枳
实（麸炒） 熟干地黄（焙各一两）
上一十五味。捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大。每服三十丸，温酒下，空
心及晚食前服。
治肝风筋脉成疹，腹肋急痛。羌活汤方
羌活（去芦头） 白术 麻黄（去根节煮掠去沫焙） 侧子（炮裂去皮脐） 丹参 当
归（锉炒） 防风（去叉） 羚羊角（镑屑各三分） 白茯苓（去黑皮） 萆 桂（去粗
皮各半两）
上一十一味。锉如麻豆，每服三钱匕，以水一盏，入生姜三片，煎至七分，去滓温服
，不拘时候。
治肝气不足，筋脉急见，心腹壅滞，左肋妨胀，不思饮食。茯苓汤方
白茯苓（去黑皮） 前胡（去芦头） 白术 鳖甲（涂醋炙黄去裙 ） 沉香（锉） 黄
（锉各一两） 桂
上一十味。粗捣筛，每服三钱匕，以水一盏，入生姜三片，煎至七分，去滓温服，不拘
时。
论述说：如果人尺部脉象数而有力，同时筋脉拘急显露于外，这种病称为疹筋。此时患者腹部必然拘急，若面色出现白色或黑色，则病情加重。一般来说，热邪会导致筋脉松弛，寒邪会导致筋脉拘急。如今肝气内部虚弱，虚则生寒，所以筋脉拘急并显露出来。尺脉数而有力的原因，是因为尺部脉候应腹中。当腹部拘急时，尺脉就会表现为数脉，这里的“数”也代表虚证，是由于腹内气虚的缘故。其症状表现为筋脉拘急显露，这就是疹筋。观察面色若见白黑，说明病情严重，因为气已寒且筋脉拘急，加之面色呈现白黑，这是寒邪极盛的证候。
治疗肝虚导致筋脉不利，腹部拘急、筋脉显露，以及胁肋胀满的薏苡仁汤方：
薏苡仁、防风（去叉）、桂枝（去粗皮）、当归（切后焙干）各一两，酸枣仁（炒制三分），白茯苓（去黑皮），海桐皮，萆薢（各半两），川芎（三分）。
以上九味药。捣碎如麻豆大小，每次服用三钱匕，用水一盏半，煎取八分，去渣后温服，不拘泥于具体时间。
治疗肝气虚寒，筋脉拘急显露于外，形成疹筋久不痊愈的补肝汤方：
防风（去叉二两）、细辛（去苗叶半两）、白茯苓（去黑皮二两）、柏子仁（一两）、桃仁（去皮尖及双仁者，炒制半两）、桂枝（去粗皮）、甘草（炙后锉碎）、山茱萸、蔓荆实（各一两）。
以上九味药。粗捣筛过，每次服用五钱匕，用水一盏半，大枣三枚劈破，煎至一盏，去渣后空腹顿服，晚食前再煎一次服用。
治疗肝虚生寒，脉数筋急，腹部胁肋闷塞不适，筋脉显露于外的柏子仁饮方：
柏子仁、茯苓（去黑皮）、防风（去叉）、细辛（去苗叶各三分）、当归（锉碎微炒）、槟榔（各半两锉碎）、白术、桂枝（去粗皮各三分）、附子（炮裂去脐皮半两）、川芎、枳壳（去瓤麸炒各三分）。
以上十一味药。锉碎如麻豆大小，每次服用三钱匕，用水一盏，加入生姜三片、大枣二枚，同煎至七分，去渣后温服，不拘泥于具体时间。
治疗肝虚寒导致的筋脉拘急，腹部胀满的柏子仁丸方：
柏子仁、黄芪（锉碎）、白茯苓（去黑皮）、楮实、覆盆子、五味子、附子（炮裂去皮脐）、石斛（去根）、酸枣仁（炒制）、鹿茸（酥炙去毛）、桂枝（去粗皮）、白术、沉香（锉碎）、枳实（麸炒）、熟干地黄（焙干各一两）。
以上十五味药。捣碎过筛成末，用炼蜜调和并捣击三二百下，制成梧桐子大小的丸剂。每次服用三十丸，用温酒送下，空腹及晚食前服用。
治疗肝风导致筋脉形成疹状，腹部胁肋拘急疼痛的羌活汤方：
羌活（去芦头）、白术、麻黄（去根节，煮后掠去浮沫，焙干）、侧子（炮裂去皮脐）、丹参、当归（锉碎炒制）、防风（去叉）、羚羊角（镑屑各三分）、白茯苓（去黑皮）、萆薢、桂枝（去粗皮各半两）。
以上十一味药。锉碎如麻豆大小，每次服用三钱匕，用水一盏，加入生姜三片，煎至七分，去渣后温服，不拘泥于具体时间。
治疗肝气不足，筋脉拘急显露，心腹壅滞不通，左胁肋闷胀，不思饮食的茯苓汤方：
白茯苓（去黑皮）、前胡（去芦头）、白术、鳖甲（涂醋炙黄去裙襕）、沉香（锉碎）、黄芪（锉碎各一两）、桂枝。
以上十味药。粗捣筛过，每次服用三钱匕，用水一盏，加入生姜三片，煎至七分，去渣后温服，不拘泥于时间。
It is discussed that if a person's Chi pulse (pulse position at the wrist corresponding to the lower jiao/kidneys) is rapid and forceful, accompanied by taut tendons visible on the surface, the disease is named "Zhen Jin" (Rash Tendons). In this condition, the abdomen must be tense. If white or black color appears in the complexion, the disease becomes severe. Generally, heat causes tendons to relax, while cold causes tendons to contract. Currently, Liver Qi is internally deficient; deficiency generates cold, thus causing tendons to contract and become visible. The reason for the rapid Chi pulse is that the Chi position monitors the interior of the abdomen. When the abdomen is tense, the Chi pulse manifests as rapid; here, "rapid" also indicates deficiency, due to Qi deficiency within the abdomen. The symptoms involve taut tendons becoming visible, which constitutes Zhen Jin. Observing the complexion showing white or black indicates severe disease; since Qi is cold and tendons are contracted, and the complexion shows white or black, this is a syndrome of extreme cold.
Yiyiren Tang (Coix Seed Decoction) for treating Liver deficiency leading to unbeneficial tendons and vessels, abdominal tension with visible tendons, and distension/fullness in the hypochondrium.
Ingredients: Yiyiren (Coicis Semen), Fangfeng (Saposhnikoviae Radix, remove cross-branches), Guizhi (Cinnamomi Ramulus, remove coarse bark), Danggui (Angelicae Sinensis Radix, sliced and roasted) each 1 liang; Suanzaoren (Ziziphi Spinosae Semen, stir-fried) 3 fen; Baifuling (Poria, remove black skin); Haitongpi (Erythrinae Cortex); Bibi (Dioscoreae Hypoglaucae Rhizoma) each 0.5 liang; Xiong (Ligustici Chuanxiong Rhizoma) 3 fen.
Preparation: The above nine herbs are crushed to the size of hemp seeds. Each dose consists of 3 qianbi (approx. 9 grams), decocted in 1.5 sheng (approx. 300 ml) of water until 0.8 sheng remains. Strain and take warm, without restriction on time.
Bugan Tang (Tonify Liver Decoction) for treating Liver Qi deficiency and cold, with tendons contracting and visible externally, forming persistent rash-like tendon conditions.
Ingredients: Fangfeng (Saposhnikoviae Radix, remove cross-branches) 2 liang; Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) 0.5 liang; Baifuling (Poria, remove black skin) 2 liang; Baiziren (Platycladi Semen) 1 liang; Taoren (Persicae Semen, remove skin and tips, double-kernel removed, stir-fried) 0.5 liang; Guizhi (Cinnamomi Ramulus, remove coarse bark); Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and crushed); Shanzhuyu (Corni Fructus); Manjingshi (Vittadiniae Fructus) each 1 liang.
Preparation: The above nine herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, decocted in 1.5 sheng of water with 3 broken Jujubae Fructus (Red Date) until 1 sheng remains. Strain and take in one draught on an empty stomach; decoct again and take before evening meal.
Baiziren Yin (Baiziren Drink) for treating Liver deficiency generating cold, rapid pulse, taut tendons, stuffiness in abdomen and hypochondrium, and visible tendons.
Ingredients: Baiziren (Platycladi Semen); Fuling (Poria, remove black skin); Fangfeng (Saposhnikoviae Radix, remove cross-branches); Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) each 3 fen; Danggui (Angelicae Sinensis Radix, crushed and slightly stir-fried); Binglang (Arecae Semen, crushed) each 0.5 liang; Baizhu (Atractylodis Macrocephalae Rhizoma); Guizhi (Cinnamomi Ramulus, remove coarse bark) each 3 fen; Fuzi (Aconiti Lateralis Radix Praeparata, roasted, split, navel and skin removed) 0.5 liang; Xiong (Ligustici Chuanxiong Rhizoma); Zhike (Aurantii Fructus, remove pith, bran-fried) each 3 fen.
Preparation: The above eleven herbs are crushed to the size of hemp seeds. Each dose consists of 3 qianbi, decocted in 1 sheng of water with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 2 Jujubae Fructus until 0.7 sheng remains. Strain and take warm, without restriction on time.
Baiziren Wan (Baiziren Pill) for treating Liver deficiency and cold causing taut tendons and abdominal fullness/distension.
Ingredients: Baiziren (Platycladi Semen); Huangqi (Astragali Radix, crushed); Baifuling (Poria, remove black skin); Chushi (Celtidis Fructus); Fupenzi (Rubi Caulis Fructus); Wuweizi (Schisandrae Chinensis Fructus); Fuzi (Aconiti Lateralis Radix Praeparata, roasted, split, navel and skin removed); Shihu (Dendrobii Caulis, remove roots); Suanzaoren (Ziziphi Spinosae Semen, stir-fried); Lurong (Cervi Cornu Pantotrichum, roasted with butter, hair removed); Guizhi (Cinnamomi Ramulus, remove coarse bark); Baizhu (Atractylodis Macrocephalae Rhizoma); Chenxiang (Aquilariae Lignum Resinatum, crushed); Zhishi (Aurantii Fructus, bran-fried); Shudihuang (Rehmanniae Radix Praeparata, roasted) each 1 liang.
Preparation: The above fifteen herbs are pounded into powder. Mix with refined honey and pound 200-300 times to form pills the size of paulownia seeds. Take 30 pills with warm wine, on an empty stomach and before the evening meal.
Qianghuo Tang (Notopterygii Rhizoma et Radix Decoction) for treating Liver wind causing tendons to form rash-like conditions, and urgent pain in abdomen and hypochondrium.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head); Baizhu (Atractylodis Macrocephalae Rhizoma); Mahuang (Ephedrae Herba, remove root nodes, boil and skim foam, roast); Cizi (Aconiti Radix Lateralis Preparata, roasted, split, navel and skin removed); Danshen (Salviae Miltiorrhizae Radix et Rhizoma); Danggui (Angelicae Sinensis Radix, crushed and stir-fried); Fangfeng (Saposhnikoviae Radix, remove cross-branches); Lingyangjiao (Saigae Tataricae Cornu, shaved powder) each 3 fen; Baifuling (Poria, remove black skin); Bibi (Dioscoreae Hypoglaucae Rhizoma); Guizhi (Cinnamomi Ramulus, remove coarse bark) each 0.5 liang.
Preparation: The above eleven herbs are crushed to the size of hemp seeds. Each dose consists of 3 qianbi, decocted in 1 sheng of water with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) until 0.7 sheng remains. Strain and take warm, without restriction on time.
Fuling Tang (Poria Decoction) for treating Liver Qi insufficiency, taut tendons visible, stagnation in heart and abdomen, distension in left hypochondrium, and loss of appetite.
Ingredients: Baifuling (Poria, remove black skin); Qianhu (Peucedani Radix, remove rhizome head); Baizhu (Atractylodis Macrocephalae Rhizoma); Biejia (Testudinis et Carapax et Plastrum, coated with vinegar, roasted yellow, remove skirt); Chenxiang (Aquilariae Lignum Resinatum, crushed); Huangqi (Astragali Radix, crushed) each 1 liang; Guizhi (Cinnamomi Ramulus).
Preparation: The above ten herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in 1 sheng of water with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) until 0.7 sheng remains. Strain and take warm, without restriction on time.