论曰筋虚极者，肝虚中风，以春甲乙日得之也，盖肝合筋，为足厥阴之经，今风邪内舍
于肝，则令肝虚，肝虚则筋虚，故曰筋虚极也，其状善悲，色青苍白，见于目下，遇寒则筋
不能动，指爪皆痛，常苦转筋，昔人谓之肝虚风者如此，筋实极者，使人善怒嗌干，感于热
则咳，咳则胁下痛，不能转侧，或足下满痛是也，盖肝与筋合，风邪伤于肝，则阳气内胜，
阳胜则肝实，肝实则筋实，故曰筋实极也。
治筋虚极，善悲色青，感于寒湿，则筋不能动，十指爪皆痛，天雄丸方
天雄（炮裂去皮脐一两） 桂（去粗皮） 羌活（去芦头） 当归（切焙） 五加皮（锉）
天麻
茯苓（去黑
上一十七味，捣罗为末，炼蜜和杵三五百下，丸如梧桐子大，每服三十丸，荆芥温酒下，
空心食前。
治筋虚极善悲，颜色苍白，手足拘挛，举动缩急，腹中转痛，五加皮酒方
五加皮（五两） 枳刺（二两） 猪椒根皮（去土） 丹参（各三两） 桂（去粗皮） 当
归（切
藓皮 木
上一十五味细锉，以生绢袋贮之，以酒一斗浸，春夏四宿，秋冬六宿，空腹温服半盏，
渐加至一盏，以瘥为度。
治肝经风虚，筋极急痛，壮筋骨，苁蓉丸方
肉苁蓉（酒浸切焙） 菟丝子（酒浸别捣） 牛膝（酒浸切焙） 白术 细辛（去苗叶）
何首乌（去黑皮炒） 续断 枸杞子 山芋 菖蒲 车前子 巴戟天（去心） 菊花 补骨
脂（炒）
上一十八味等分，捣罗为末，炼蜜和丸，如梧桐子大，每服三十丸，温酒下，空心食前
治筋虚极，筋缩不能转，腰背不伸苦痛，或为香港脚者，牛膝汤方
牛膝（酒浸切焙） 防风（去叉） 甘李根皮（炙锉） 丹参 前胡（去芦头） 石槲
（去根各二
各一两半） 陈橘
上一十二味，除麻仁外，粗捣筛，每以五钱匕，用水一盏半，煎五七沸，去滓下麻仁少
许，更煎至一盏，分温二服，空腹一服，食后再服。
治筋虚极，益筋骨，除四肢疼痛，干地黄丸方
熟干地黄（焙二两） 柏子仁（研） 山茱萸 牛膝（酒浸切焙各一两） 桂（去粗皮
二两）
上六味，捣研为末，炼蜜和杵三二百下，丸如梧桐子大，每服三十丸，空心食前温酒下
治筋虚极骨冷，干冒邪气，走注疼痛，没药散方
没药（研） 虎骨 踯躅花（各一两） 附子（炮裂去皮脐） 乌头（炮裂去皮脐） 草
乌头（
上六味，除没药研外，用酒一升，浸一宿焙干，将虎骨以酥别炙，同捣罗为末，并没药
和匀，每服一钱匕，温酒调下。
治筋虚极，胞转脐下急痛，或因霍乱，或因服药吐利过度而得者，人参汤方
人参 浓朴（去粗皮生姜汁炙各一两） 白术（二两） 蓼子（一握茎叶干者）
上四味，粗捣筛，每服五钱匕，以水一盏半，入葱白一寸，煎至一盏，去滓分温二服，
空腹一服，日晚再服。
治筋虚极，胞转急满，白术汤方
白术 木通（细锉炒各二两） 栀子仁 黄芩（去黑心） 赤茯苓（去黑皮各一两） 榆
白皮
上六味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓分温二服，空腹一服。食
后再服。
治筋实极，头项强急，多怒嗌干，爪甲或青，胁肋胀痛，羚羊角汤方
羚羊角（镑屑） 五加皮（锉） 酸枣仁（微炒各一两） 防风（去叉） 赤茯苓（去
黑皮） 当
各三分） 枳实（麸
上一十二味，粗捣筛，每服三钱匕，水一盏，入生姜三片，煎至七分，去滓温服不计时
治筋实极，多怒口干烦躁，不定，调筋止怒定气，黄 汤方
黄 （锉） 芎 白柘皮（无刺者锉各一两半） 白术 木通（锉炒令黄） 芍药（各
二两）
上九味，粗捣筛，每服三钱匕，用水一盏，入枣两枚去核，竹叶七片，煎至七分，去滓
温服，空腹一服，日晚再服。
治筋实极，伤热则咳，咳则两胁下牵痛，不可动转，橘皮通气汤方
陈橘皮（汤浸去白焙二两） 白术 石膏（碎） 当归（切焙各二两半） 细辛（去苗
叶） 赤
上八味，粗捣筛，每服三钱匕，用水一盏，煎至七分，去滓温服，空腹一服，食后再服
治筋实极，两脚下肿满而痛，不得远行，脚心如割筋断折，痛不可忍者，丹参汤方
丹参 木通（锉炒） 当归（切焙） 生干地黄（焙） 麦门冬（去心焙） 禹余粮（烧
令赤醋
地骨皮
赤一两一分）
上一十五味，粗捣筛，每服五钱匕，用水一盏半，入生姜半分拍碎，煎至一盏，去滓温
服，空心日晚各一。
治筋实极，手足爪甲，或青或黑，四肢筋急烦满，生地黄汤方
生地黄（取汁） 生葛（取汁） 生玄参（取汁） 大黄（锉炒） 芍药（各二两） 栀
子仁 升
上一十味，除地黄生葛玄参外，粗捣筛，每服三钱匕，除地黄生葛玄参外粗捣筛每服三
钱匕，用水一盏，煎至七分，去滓下地黄汁少许，又煎一沸，下玄参汁葛汁各少许。又煎两
沸温服，每早晚食后良久，各一服，三药汁、每服共享一合许。
治足厥阴经有余，筋实极，足下满痛，四肢筋急，地黄煎丸方
地黄（生取汁六升） 天门冬（生取汁三升） 醇酒（一升） 生姜（取汁） 白蜜鹿
髓牛酥 枣（煮去皮研取膏各三合） 石槲（去根） 黄 （锉各一两） 茯神（去末一
分半） 枳壳（去瓤麸炒） 芎 （各三分） 甘草（一两微炙以上六味并捣罗为末）
上一十四味，先将地黄门冬酒三物，用慢火煎减半，次下姜汁酥髓，再煎又减半，次下
枣膏蜜，煎如稠糖，候小冷，内石槲等六味药末，于铜器中，重汤上熬，勿住手搅候可丸，
即取出，丸如梧桐子大，每服三十丸，温酒下，空心食前日三服，煎药须用银石器。
论述说：筋虚极证，是由于肝虚受风邪侵袭所致，多在春季甲乙日发生。因为肝与筋相合，属于足厥阴经。如今风邪内侵肝脏，导致肝虚；肝虚则筋亦虚，所以称为“筋虚极”。其症状表现为容易悲伤，面色青白相间，显现于眼下；遇寒冷时筋脉不能活动，手指和指甲都疼痛，常苦于肌肉痉挛（转筋）。古人将这种情况称为“肝虚风”。
筋实极证，使人容易发怒、咽喉干燥，感受热邪则咳嗽，咳嗽时胁下疼痛，身体不能转动侧身，或者足底胀满疼痛。这是因为肝与筋相合，风邪伤及肝脏，导致阳气在内亢盛；阳胜则肝实，肝实则筋实，所以称为“筋实极”。
治疗筋虚极，症见易悲伤、面色青，因感寒湿而致筋脉不能活动，十指指甲皆痛，用天雄丸方：
天雄（炮制裂开，去皮脐，一两） 桂枝（去掉粗皮） 羌活（去掉芦头） 当归（切片焙干） 五加皮（锉碎） 天麻 茯苓（去掉黑皮） [原文此处似有缺漏，依上下文推测为其他药材] 上一十七味药，捣碎过筛成粉末，用炼蜜调和并杵捣三五百下，制成梧桐子大小的丸剂。每次服用三十丸，用荆芥煎温酒送服，空腹或饭前服用。
治疗筋虚极，症见易悲伤、面色苍白，手足拘挛紧缩，动作受限，腹部转动疼痛，用五加皮酒方：
五加皮（五两） 枳刺（二两） 猪椒根皮（去土） 丹参（各三两） 桂枝（去掉粗皮） 当归（切片） [原文此处似有缺漏] 藓皮 木 [原文此处似有缺漏] 上一十五味药细锉，用生绢袋装好，用一斗酒浸泡，春夏季四天四夜，秋冬季六天六夜，空腹温服半盏，逐渐增加至一盏，以病愈为度。
治疗肝经风虚，筋极急痛，强壮筋骨，用苁蓉丸方：
肉苁蓉（酒浸后切片焙干） 菟丝子（酒浸后单独捣碎） 牛膝（酒浸后切片焙干） 白术 细辛（去掉苗叶） 何首乌（去掉黑皮炒） 续断 枸杞子 山芋 石菖蒲 车前子 巴戟天（去掉心） 菊花 补骨脂（炒） 上一十八味药等分，捣碎过筛成粉末，用炼蜜调和制成丸剂，如梧桐子大小。每次服用三十丸，温酒送服，空腹或饭前服用。
治疗筋虚极，筋脉收缩不能转动，腰背伸展困难且痛苦，或者发展为香港脚（足部肿痛），用牛膝汤方：
牛膝（酒浸后切片焙干） 防风（去掉叉枝） 甘李根皮（炙后锉碎） 丹参 前胡（去掉芦头） 石槲 [原文似指某种树皮] （去掉根，各二... 各一两半） 陈橘皮 [原文似指陈皮] 上一十二味药，除火麻仁外，粗捣筛碎。每次取五钱匕，用水一盏半，煎煮五七沸，去渣后加入少许火麻仁，再煎至一盏，分两次温服，空腹服一次，饭后服一次。
治疗筋虚极，补益筋骨，消除四肢疼痛，用干地黄丸方：
熟干地黄（焙干，二两） 柏子仁（研碎） 山茱萸 牛膝（酒浸后切片焙干，各一两） 桂枝（去掉粗皮，二两） 上一六味药，捣研成粉末，用炼蜜调和并杵捣三二百下，制成梧桐子大小的丸剂。每次服用三十丸，空腹或饭前温酒送服。
治疗筋虚极，骨骼寒冷，冒犯邪气，疼痛游走不定，没用药散方：
没药（研碎） 虎骨 踯躅花（各一两） 附子（炮制裂开，去皮脐） 乌头（炮制裂开，去皮脐） 草乌头 [原文似指川乌或类似药物] 上六味药，除没药已研碎外，用一升酒浸泡一夜后焙干，将虎骨用酥油单独炙烤，与其他药一起捣碎过筛成粉末，混合没药拌匀。每次服用一钱匕，温酒调下。
治疗筋虚极，膀胱扭转致脐下急痛，或因霍乱，或因服药吐泻过度而得者，用人参汤方：
人参 厚朴（去掉粗皮，用生姜汁炙，各一两） 白术（二两） 蓼子（一把茎叶干燥者） 上四味药，粗捣筛碎。每次取五钱匕，用水一盏半，加入葱白一寸，煎至一盏，去渣分两次温服，空腹服一次，傍晚再服一次。
治疗筋虚极，膀胱扭转急满，用白术汤方：
白术 木通（细锉炒，各二两） 栀子仁 黄芩（去掉黑心） 赤茯苓（去掉黑皮，各一两） 榆白皮 [原文似指榆树皮] 上六味药，粗捣筛碎。每次取五钱匕，用水一盏半，煎至一盏，去渣分两次温服，空腹服一次，饭后服一次。
治疗筋实极，头项强直紧急，多怒、咽喉干燥，爪甲或呈青色，胁肋胀痛，用羚羊角汤方：
羚羊角（镑成屑） 五加皮（锉碎） 酸枣仁（微炒，各一两） 防风（去掉叉枝） 赤茯苓（去掉黑皮） 当归 [原文似指当归] （各三分） 枳实（麸炒） 上一十二味药，粗捣筛碎。每次取三钱匕，用水一盏，加入生姜三片，煎至七分，去渣温服，不拘时间。
治疗筋实极，多怒、口干烦躁，情绪不定，调理筋脉，止怒定气，用黄芪汤方：
黄芪（锉碎） 川芎 白柘皮（无刺者锉碎，各一两半） 白术 木通（锉炒至黄色） 芍药（各二两） 上九味药，粗捣筛碎。每次取三钱匕，用水一盏，加入去核大枣两枚，竹叶七片，煎至七分，去渣温服，空腹服一次，傍晚再服一次。
治疗筋实极，伤热则咳嗽，咳嗽时两胁下牵引疼痛，不可动弹，用橘皮通气汤方：
陈皮（汤浸去白焙干，二两） 白术 石膏（捣碎） 当归（切片焙干，各二两半） 细辛（去掉苗叶） 赤 [原文似指赤芍或赤茯苓] 上八味药，粗捣筛碎。每次取三钱匕，用水一盏，煎至七分，去渣温服，空腹服一次，饭后服一次。
治疗筋实极，双脚肿胀满痛，不能远行，脚心感觉像割断筋骨折断一样，疼痛难忍，用丹参汤方：
丹参 木通（锉炒） 当归（切片焙干） 生干地黄（焙干） 麦门冬（去心焙干） 禹余粮（烧红后用醋淬） 地骨皮 [原文似指地骨皮] 赤 [原文似指赤芍] 一两一分） 上一十五味药，粗捣筛碎。每次取五钱匕，用水一盏半，加入拍碎的生姜半分，煎至一盏，去渣温服，空腹和傍晚各服一次。
治疗筋实极，手足爪甲或青或黑，四肢筋脉紧急烦闷，用生地黄汤方：
生地黄（取汁） 生葛根（取汁） 生玄参（取汁） 大黄（锉炒） 芍药（各二两） 栀子仁 升麻 [原文似指升麻] 上一十味药，除生地黄、生葛根、生玄参外，其余粗捣筛碎。每次取三钱匕，用水一盏，煎至七分，去渣后加入少许生地黄汁，再煎一沸，再加入少许玄参汁、葛根汁。又煎两沸后温服。早晚饭后良久各服一次，三种药汁每服共用约一合许。
治疗足厥阴经有余，筋实极，足底满痛，四肢筋脉紧急，用地黄煎丸方：
地黄（生取汁六升） 天门冬（生取汁三升） 醇酒（一升） 生姜（取汁） 白蜜 鹿髓 牛酥 枣（煮后去皮研取膏，各三合） 石槲 [原文似指某种树皮] （去根） 黄芪（锉碎，各一两） 茯神（去掉木质部分，一分半） 枳壳（去瓤麸炒） 川芎（各三分） 甘草（一两微炙以上六味并捣罗为末） 上一十四味药，先将地黄、天门冬、酒三物，用慢火煎至减半，次加入姜汁、酥、髓，再煎又减半，次加入枣膏、蜜，煎至稠糖状，稍冷后，加入石槲等六味药末，在铜器中，隔水熬煮，不停手搅拌，待可丸时，取出，制成梧桐子大小的丸剂。每次服用三十丸，温酒送服，空腹或饭前，每日三次。煎药必须使用银器或石器。
Discourse states: The condition of extreme tendon deficiency arises from liver deficiency with wind pathogen invasion, typically occurring on Jia and Yi days in spring. This is because the Liver governs the tendons and belongs to the Foot Jueyin Meridian. When wind pathogen invades internally and resides in the Liver, it causes Liver deficiency; Liver deficiency leads to tendon deficiency, hence termed "extreme tendon deficiency." Symptoms include predisposition to sadness, a complexion that is greenish-white appearing under the eyes, inability of tendons to move when exposed to cold, pain in fingers and nails, and frequent suffering from muscle spasms (tendon twisting). Ancients referred to this as "Liver deficiency wind."
The condition of extreme tendon excess causes irritability, dry throat, cough upon exposure to heat pathogens, hypochondriac pain during coughing, inability to turn or shift the body, or fullness and pain in the soles of the feet. This is because the Liver governs the tendons; wind pathogen injuring the Liver causes Yang qi to prevail internally. Yang prevalence leads to Liver excess, and Liver excess leads to tendon excess, hence termed "extreme tendon excess."
To treat extreme tendon deficiency with symptoms of sadness, greenish complexion, immobility of tendons due to cold-dampness, and pain in all ten fingernails, use Tianxiong Wan Formula:
Tianxiong (Paeoniae Radix Alba processed by cracking, skin and umbilicus removed, 1 liang) Guizhi (Cinnamomi Ramulus, bark removed) Qianghuo (Notopterygii Rhizoma et Radix, radix removed) Danggui (Angelicae Sinensis Radix, sliced and baked) Wujia Pi (Acanthopanacis Cortex, crushed) Tianma (Gastrodiae Rhizoma) Fuling (Poria, black skin removed) [Text implies missing ingredients based on count] Seventeen ingredients are pounded and sifted into powder, mixed with refined honey, and pounded three to five hundred times until pills the size of paulownia seeds can be formed. Take thirty pills each time, washed down with warm wine infused with Jingjie (Schizonepetae Herba), taken on an empty stomach or before meals.
To treat extreme tendon deficiency with sadness, pale complexion, spasticity and contraction of hands and feet, restricted movement, and abdominal pain upon turning, use Wujia Pi Wine Formula:
Wujia Pi (Acanthopanacis Cortex, 5 liang) Zhici (Acanthopanacis Spinosi Fructus, 2 liang) Zhu Jiao Gen Pi (Bark of Zanthoxylum root, soil removed) Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 3 liang each) Guizhi (Cinnamomi Ramulus, bark removed) Danggui (Angelicae Sinensis Radix, sliced) [Text implies missing ingredients] Xian Pi (Moss bark) Mu [Text implies missing ingredient] Fifteen ingredients are finely chopped, stored in a raw silk bag, and soaked in one dou of wine for four nights in spring/summer and six nights in autumn/winter. Take half a cup warm on an empty stomach, gradually increasing to one cup until cured.
To treat Liver meridian wind-deficiency, extreme tendon urgency and pain, and to strengthen bones and tendons, use Congrong Wan Formula:
Rou Cong Rong (Cistanche Deserticola, soaked in wine, sliced, and baked) Tusizi (Cuscutae Semen, soaked in wine and separately pounded) Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and baked) Baizhu (Atractylodis Macrocephalae Rhizoma) Xixin (Asari Radix et Rhizoma, seedlings and leaves removed) Heshouwu (Polygoni Multiflori Radix, black skin removed and fried) Xuduan (Dipsaci Radix) Gouqizi (Lycii Fructus) Shanyu (Dioscoreae Rhizoma) Changpu (Acori Tatarinowii Rhizoma) Cheqianzi (Plantaginis Semen) Bajitian (Morindae Officinalis Radix, heart removed) Juhua (Chrysanthemi Flos) Buguzhi (Psoraleae Fructus, fried) Eighteen ingredients in equal parts are pounded and sifted into powder, mixed with refined honey to form pills the size of paulownia seeds. Take thirty pills each time, washed down with warm wine, on an empty stomach or before meals.
To treat extreme tendon deficiency with tendon contraction preventing movement, painful stiffness of waist and back, or development of Hongxiangjiao (Hong Kong foot/gout-like swelling), use Niuxi Tang Formula:
Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and baked) Fangfeng (Saposhnikoviae Radix, forked branches removed) Gan Li Gen Pi (Bark of Prunus salicina root, roasted and crushed) Danshen (Salviae Miltiorrhizae Radix et Rhizoma) Qianhu (Peucedani Radix, radix removed) Shi Hu [Text likely refers to a bark] (root removed, each ... 1.5 liang) Chen Ju Pi (Citri Reticulatae Pericarpium) Twelve ingredients, excluding Mahongren (Hemp seed), are coarsely crushed and sieved. Take five qian bi per dose, decoct with one and a half zhan of water for five to seven boils, remove dregs, add a little Mahongren, decoct again until one zhan remains. Divide into two warm doses, one on an empty stomach, one after meal.
To treat extreme tendon deficiency, benefit bones and tendons, and eliminate limb pain, use Gan Dihuang Wan Formula:
Shu Gan Dihuang (Prepared Rehmanniae Radix, baked, 2 liang) Baiziren (Biota Orientalis Seed, ground) Shanzhuyu (Corni Fructus) Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and baked, 1 liang each) Guizhi (Cinnamomi Ramulus, bark removed, 2 liang) Six ingredients are pounded and ground into powder, mixed with refined honey, pounded three to two hundred times, and formed into pills the size of paulownia seeds. Take thirty pills each time, washed down with warm wine on an empty stomach or before meals.
To treat extreme tendon deficiency with bone cold, invasion of evil qi, and wandering pain, use Moyao San Formula:
Moyao (Myrrha, ground) Hubo (Tiger Bone) Zhizhu Hua (Daphne Odora Flower, 1 liang each) Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed) Wutou (Aconiti Radix, cracked, skin and umbilicus removed) Caowutou [Likely Chuanwu/Caowu] Six ingredients, except Moyao which is already ground, are soaked in one sheng of wine overnight, then baked. Tiger bone is separately roasted with su (animal fat/butter). All are pounded and sifted into powder, mixed evenly with Moyao. Take one qian bi each time, mixed with warm wine.
To treat extreme tendon deficiency causing bladder inversion with urgent pain below the navel, or resulting from Huoluan (cholera-like vomiting/diarrhea) or excessive vomiting/diarrhea from medication, use Renshen Tang Formula:
Renshen (Ginseng Radix et Rhizoma) Houpo (Magnoliae Officinalis Cortex, bark removed, roasted with ginger juice, 1 liang each) Baizhu (Atractylodis Macrocephalae Rhizoma, 2 liang) Liaozhi (Polygoni Avicularis Fructus/Herb, dried stems and leaves, one handful) Four ingredients are coarsely crushed and sieved. Take five qian bi per dose, decoct with one and a half zhan of water and one cun of scallion white until one zhan remains. Remove dregs, divide into two warm doses, one on an empty stomach, one in the evening.
To treat extreme tendon deficiency with urgent bladder fullness, use Baizhu Tang Formula:
Baizhu (Atractylodis Macrocephalae Rhizoma) Mutong (Akebiae Caulis, finely crushed and fried, 2 liang each) Zhizi Ren (Gardeniae Fructus Seed) Huangqin (Scutellariae Radix, black heart removed) Chi Fuling (Poria with red skin, black skin removed, 1 liang each) Yu Bai Pi (Ulmus Bark) Six ingredients are coarsely crushed and sieved. Take five qian bi per dose, decoct with one and a half zhan of water until one zhan remains. Remove dregs, divide into two warm doses, one on an empty stomach, one after meal.
To treat extreme tendon excess with stiff neck and head, irritability, dry throat, bluish nails, and distending pain in hypochondrium, use Lingyangjiao Tang Formula:
Lingyangjiao (Saigae Tataricae Cornu, shaved into flakes) Wujia Pi (Acanthopanacis Cortex, crushed) Suanzaoren (Ziziphi Spinosae Semen, lightly fried, 1 liang each) Fangfeng (Saposhnikoviae Radix, forked branches removed) Chi Fuling (Poria with red skin, black skin removed) Danggui (Angelicae Sinensis Radix, 3 fen each) Zhishi (Aurantii Fructus Immaturus, bran-fried) Twelve ingredients are coarsely crushed and sieved. Take three qian bi per dose, decoct with one zhan of water and three slices of fresh ginger until seven-tenths remain. Remove dregs, take warm at any time.
To treat extreme tendon excess with irritability, dry mouth, restlessness, irregular emotions, regulating tendons, stopping anger, and calming qi, use Huangqi Tang Formula:
Huangqi (Astragali Radix, crushed) Xiong (Chuanxiong Rhizoma) Baizhe Pi (Bark of Mulberry tree without thorns, crushed, 1.5 liang each) Baizhu (Atractylodis Macrocephalae Rhizoma) Mutong (Akebiae Caulis, crushed and fried until yellow) Shaoyao (Paeoniae Radix, 2 liang each) Nine ingredients are coarsely crushed and sieved. Take three qian bi per dose, decoct with one zhan of water, two pitted dates, and seven bamboo leaves until seven-tenths remain. Remove dregs, take warm, one dose on empty stomach, one in evening.
To treat extreme tendon excess where heat injury causes cough, pulling pain in both hypochondria during cough, and immobility, use Jupi Tongqi Tang Formula:
Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, baked, 2 liang) Baizhu (Atractylodis Macrocephalae Rhizoma) Shigao (Gypsum Fibrosum, crushed) Danggui (Angelicae Sinensis Radix, sliced and baked, 2.5 liang each) Xixin (Asari Radix et Rhizoma, seedlings and leaves removed) Chi [Likely Chi Shao or Chi Fu Ling] Eight ingredients are coarsely crushed and sieved. Take three qian bi per dose, decoct with one zhan of water until seven-tenths remain. Remove dregs, take warm, one dose on empty stomach, one after meal.
To treat extreme tendon excess with swollen, full, and painful feet, inability to walk far, and sensation of cut tendons or broken bones in soles, unbearable pain, use Danshen Tang Formula:
Danshen (Salviae Miltiorrhizae Radix et Rhizoma) Mutong (Akebiae Caulis, crushed and fried) Danggui (Angelicae Sinensis Radix, sliced and baked) Sheng Gan Di Huang (Dried Raw Rehmanniae Radix, baked) Maidong (Ophiopogonis Radix, heart removed, baked) Yuyuliang (Haematitum, fired red and quenched in vinegar) Digupi (Lycii Cortex, 1.1 liang) Fifteen ingredients are coarsely crushed and sieved. Take five qian bi per dose, decoct with one and a half zhan of water and half a piece of smashed fresh ginger until one zhan remains. Remove dregs, take warm, one dose on empty stomach, one in evening.
To treat extreme tendon excess with bluish or blackish fingernails/toenails, urgent and烦满 (fullness/distress) of limb tendons, use Sheng Dihuang Tang Formula:
Sheng Dihuang (Raw Rehmanniae Radix, juice extracted) Sheng Ge (Puerariae Lobatae Radix, juice extracted) Sheng Xuanshen (Scrophulariae Radix, juice extracted) Dahuang (Rhei Radix et Rhizoma, crushed and fried) Shaoyao (Paeoniae Radix, 2 liang each) Zhizi Ren (Gardeniae Fructus Seed) Shengma (Cimicifugae Rhizoma) Ten ingredients, excluding Sheng Dihuang, Sheng Ge, and Sheng Xuanshen, are coarsely crushed and sieved. Take three qian bi per dose, decoct with one zhan of water until seven-tenths remain. Remove dregs, add a little Sheng Dihuang juice, boil once, then add a little Xuanshen juice and Ge juice. Boil two more times, take warm. Take long after morning and evening meals, one dose each time. Total usage of the three juices per dose is about one he.
To treat Foot Jueyin Meridian excess, extreme tendon excess, fullness and pain in soles, and urgent limb tendons, use Dihuang Jian Wan Formula:
Dihuang (Raw Rehmanniae Radix, juice extracted 6 sheng) Tiandong (Asparagi Radix, juice extracted 3 sheng) Chunjiu (Pure wine, 1 sheng) Jiangjiang (Fresh ginger juice) Baimi (White honey) Lusui (Deer marrow) Niusu (Cow butter) Zao (Jujube, boiled, skin removed, paste extracted, 3 he each) Shi Hu [Likely a bark] (root removed) Huangqi (Astragali Radix, crushed, 1 liang each) Fushen (Poria with hostwood, woody part removed, 1.5 fen) Zhike (Aurantii Fructus, pulp removed, bran-fried) Xiong (Chuanxiong Rhizoma, 3 fen each) Gancao (Licorice Root, lightly roasted, 1 liang) The above six ingredients [referring to Huangqi, Fushen, Zhike, Xiong, Gancao, and Shi Hu group] are pounded and sifted into powder. First, decoct Dihuang, Tiandong, and wine slowly until reduced by half. Add ginger juice, su, and marrow, decoct again until reduced by half. Add jujube paste and honey, decoct until thick like syrup. Cool slightly, add the six powdered herbs, and simmer in a copper vessel over boiling water, stirring constantly until pillable. Form pills the size of paulownia seeds. Take thirty pills each time, washed down with warm wine, on empty stomach or before meals, three times daily. Decoction must be done in silver or stone vessels.