故曰青筋牵病（方在伤寒上卷）。
扁鹊曰∶灸肝肺二俞，主治丹毒牵病，当根据源处治，调其阳，理其阴，脏腑之疾不生矣。
（脉四条，方十一首，灸法一首）
肝实热∶
左手关上脉阴实者，足厥阴经也，病苦心下坚满，常两胁痛，息忿忿如怒状，名曰肝实
热也。
治肝实热，阳气伏邪热，喘逆闷恐，目视物无明，狂悸非意而言，竹沥泄热汤方。
竹沥（一升） 麻黄（三分） 石膏（八分） 生姜 芍药（各四分） 大青 栀子仁 升
麻
茯苓 玄参 知母（各三分） 生葛（八分）
上十二味 咀，以水九升，煮取二升半，去滓，下竹沥，煮两三沸，分三服。须利，下
芒硝三分，去芍药，加生地黄五分（《删繁方》无石膏、生姜、芍
治肝实热、目痛、胸满、气急塞，泻肝。
前胡 秦皮 细辛 栀子仁 黄芩 升麻 蕤仁 决明子（各三两） 苦竹叶（切，一
升）
车前叶（切，一升） 芒硝（三两）
上十一味 咀，以水九升，煮取三升，去滓，下芒消，分三服。（又一方有柴胡三两，
共十二味。
治肝实热，梦怒虚惊。
防风 茯苓 葳蕤 白术 橘皮 丹参（各一两三分） 细辛（二两） 甘草（一两） 升
麻
黄芩（各一两半） 大枣（三七枚） 射干（一两） 酸枣仁（三分）
上十三味治下筛，为粗散，以方寸两匕帛裹，以井花水二升煮，时时动裹子，煎取一升，
分服之，日二。
所以说，青筋牵病（该方剂记载在《伤寒论》上卷）。
扁鹊说：灸治肝俞和肺俞穴，主要治疗丹毒引起的牵痛病症，应当根据病因源头进行治疗，调和阳气，理顺阴气，脏腑的疾病就不会产生了。
（本节共有脉诊条文四条，方剂十一首，灸法一首）
肝脏实热证：
左手关部脉象阴实者，属于足厥阴肝经病变，症状表现为心中苦痛、心下坚硬胀满，经常两侧胁肋疼痛，呼吸急促且神情愤懑如同发怒的样子，这叫做肝实热证。
治疗肝实热证，清除潜伏的阳邪热气，缓解气喘逆乱、胸闷恐惧，视力模糊不清，无故狂躁心悸及胡言乱语，使用竹沥泄热汤方。
药材组成：竹沥（一升）、麻黄（三分）、石膏（八分）、生姜、芍药（各四分）、大青、栀子仁、升麻、茯苓、玄参、知母（各三分）、生葛（八分）。
以上十二味药，切碎，用水九升，煎煮至二升半，滤去药渣，加入竹沥，再煮沸两三次，分三次服用。如果患者需要通便，可加入芒硝三分，去掉芍药，增加生地黄五分（《删繁方》中没有石膏、生姜、芍药）。
治疗肝实热证引起的目痛、胸满、气急堵塞，以泻肝火。
药材组成：前胡、秦皮、细辛、栀子仁、黄芩、升麻、蕤仁、决明子（各三两）、苦竹叶（切碎，一升）、车前叶（切碎，一升）、芒硝（三两）。
以上十一味药，切碎，用水九升，煎煮至三升，滤去药渣，加入芒硝，分三次服用。（另一个方子含有柴胡三两，共十二味药。）
治疗肝实热证引起的梦中愤怒、虚惊。
药材组成：防风、茯苓、葳蕤、白术、橘皮、丹参（各一两三分）、细辛（二两）、甘草（一两）、升麻、黄芩（各一两半）、大枣（三十枚）、射干（一两）、酸枣仁（三分）。
以上十三味药，捣碎过筛，制成粗散，用一方寸匕的药量装入丝布袋中，用井花水二升煎煮，不时晃动药袋，煎取一升药液，分次服用，每日两次。
Therefore, it is said that the disease of "green tendons pulling" (the prescription is recorded in the Upper Volume of *Shanghan Lun*).
Bian Que stated: Moxibustion on Ganshu (Liver Shu) and Feishu (Lung Shu) acupoints primarily treats pain and pulling sensations caused by erysipelas. One should treat according to the root cause, harmonize Yang Qi, and regulate Yin Qi, so that diseases of the Zang-Fu organs will not arise.
(Four pulse patterns, eleven prescriptions, one moxibustion method are included in this section.)
Liver Excess-Heat Syndrome:
When the Yin pulse at the Guan position on the left hand is solid/excessive, it indicates a pathology of the Foot-Jueyin Liver Meridian. The symptoms include bitter pain in the heart region, hardness and fullness below the heart, frequent pain in both hypochondriac regions, shortness of breath, and a resentful demeanor resembling anger. This is termed Liver Excess-Heat.
To treat Liver Excess-Heat, clear latent pathogenic heat from Yang, relieve panting and counterflow qi, chest oppression, fearfulness, blurred vision, unprovoked mania, palpitations, and incoherent speech, use Zhuli Xi Re Tang (Bamboo Sap Decoction to Drain Heat).
Ingredients: Zhuli (Bamboo Sap, 1 sheng), Mahuang (Ephedrae Herba, 3 fen), Shigao (Gypsum Fibrosum, 8 fen), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix Alba, each 4 fen), Daqing (Arnebiae Radix seu Lithospermi Radix), Zhizi Ren (Gardeniae Fructus), Shengma (Cimicifugae Rhizoma), Fuling (Poria, each 3 fen), Xuanshen (Scrophulariae Radix), Zhimu (Anemarrhenae Rhizoma, each 3 fen), Shengge (Puerariae Radix, 8 fen).
The above twelve ingredients are coarsely crushed. Boil in 9 sheng of water until reduced to 2.5 sheng. Strain the dregs, add Zhuli (Bamboo Sap), and boil for two or three boils. Divide into three doses. If purgation is required, add Mangxiao (Natrii Sulfas, 3 fen), remove Shaoyao (Paeoniae Radix Alba), and increase Shengdihuang (Rehmanniae Radix, 5 fen). (Note: The prescription in *Shanfan Fang* does not contain Shigao, Shengjiang, or Shaoyao.)
To treat eye pain, chest fullness, and obstructive shortness of breath caused by Liver Excess-Heat, thereby draining the Liver.
Ingredients: Qianhu (Peucedani Radix), Qinpi (Fraxini Cortex), Xixin (Asari Radix et Rhizoma), Zhizi Ren (Gardeniae Fructus), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Ruiren (Pruni Semen Persicae? Note: Usually refers to Prunus mume seed or similar, here likely Ruiren/Prunus seed or specific herb context), Juemingzi (Cassiae Semen), each 3 liang; Ku Zhuye (Bitter Bamboo Leaf, chopped, 1 sheng); Cheqian Ye (Plantaginis Leaf, chopped, 1 sheng); Mangxiao (Natrii Sulfas, 3 liang).
The above eleven ingredients are coarsely crushed. Boil in 9 sheng of water until reduced to 3 sheng. Strain the dregs, add Mangxiao (Natrii Sulfas), and divide into three doses. (Another variation includes Chaihu (Bupleuri Radix, 3 liang), totaling twelve ingredients.)
To treat dreams of anger and fright due to Liver Excess-Heat.
Ingredients: Fangfeng (Saposhnikoviae Radix), Fuling (Poria), Wei Rui (Polygonati Odorati Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Jupi (Citri Reticulatae Pericarpium), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), each 1 liang 3 fen; Xixin (Asari Radix et Rhizoma, 2 liang); Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang); Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), each 1 liang 5 fen; Dazao (Jujubae Fructus, 30 pieces); Shegan (Belamcandae Rhizoma, 1 liang); Suanzaoren (Ziziphi Spinosae Semen, 3 fen).
The above thirteen ingredients are processed and sifted to make a coarse powder. Place one fangcun li (a measure approximating a square inch) of the powder in a silk bag. Boil in 2 sheng of well-water (Jinghua Shui), occasionally agitating the bag. Simmer until reduced to 1 sheng. Take in divided doses, twice daily.