千金论曰∶夫咽门者。应五脏六腑。往还神气。阴阳通塞之道也。喉咙胞囊舌者。并津
液调
尺六
嘶。
又疗咽闭主胆腑。咽门伤破声嘶母姜酒方。
母姜汁（二升） 牛髓 酥 油（各一升别煎取热） 桂心 秦椒（各四分） 芎 独
活（
各五分） 防风（六分）
上九味。将五物合捣下筛为散。纳姜汁中煎取相淹濡下髓酥油等搅令调。微火上三上三
下。平旦
第六卷中）
删繁论曰∶夫六极者天气通于肺。地气通于嗌。风气应于肝。雷气动于心。 （素问作
谷）气
五
删繁论曰∶凡筋极者。主肝也。肝应筋。筋与肝合。肝有病从筋生。又曰∶以春遇病为
筋痹
虚则
其
则善
而扬
者。
九日
卵与
急。
金同
删繁疗筋实极则好怒。口干燥。好嗔。身躁不定。调筋止怒定气。黄 汤方。
黄 芎 白柘皮（无刺者各三两） 白术 通草 芍药（各四两） 甘草（炙） 桂
心（
各二两） 大枣（四十枚擘去核） 石膏（八两碎绵裹） 竹叶（切一升）
上十一味切。以水九升。煮取三升。去滓。分为三服。忌海藻菘菜生葱桃李雀肉等。
又疗筋实极则咳。咳则两胁下缩痛。痛甚则不可动转。橘皮通气汤方。
橘皮（四两） 白术 石膏（碎绵裹各五两） 桂心 细辛 当归 茯苓（各三两） 香
豉（
一升熬别裹）
上八味切。以水九升。煮取三升。去滓。分为三服。忌桃李雀肉生葱生菜酢物。（千金
同并出第八卷中）
千金疗筋实极则两脚下满而痛不得远行。脚心如割筋断折。痛不可忍。丹参煮散方。
丹参（十二分） 芎 杜仲 续断 地骨皮（各八分） 通草 当归 干地黄 麦门
冬（
去心） 禹余
姜（薄切
炒取焦燥）
上十七味捣下筛为散。以绢袋子盛散二方寸匕。以井华水二升煮。数动绢囊子。煮取一
升为一服。日再煮。忌海藻菘菜生葱芜荑。（删繁同）
又疗筋实极则手足爪甲或青或黄或黑乌黯。四肢筋急烦满。地黄煎方。
生地黄汁（三升） 生葛汁（一升澄清） 生玄参汁（一升） 大黄（二两） 栀子仁 升
麻
上一十味切。以水七升。煮取二升。去滓。下地黄汁一两沸。次下葛汁等煎取三升。分
为三服。日再。忌芜荑。（删繁肘后同并出第十一卷中）
《千金方》论述说：咽门，对应五脏六腑，是神气往来的通道，也是阴阳之气通畅或阻塞的关键所在。喉咙、喉胞、舌，都与津液的调节有关。
另外治疗咽喉闭塞，主治胆腑病变。治疗咽门受伤破损导致声音嘶哑的母姜酒方：
母姜汁（二升） 牛髓 酥 油（各一升，分别煎取热性） 桂心 秦椒（各四分） 川芎 独活（各五分） 防风（六分）
以上九味药，将其中五味药捣碎过筛成散剂，纳入姜汁中煎煮，使其相互浸透湿润后，加入牛髓、酥、油等，搅拌调和。在微火上煎煮，反复上下三次。清晨服用。（出自第六卷中）
《删繁论》说：所谓“六极”，天气通于肺，地气通于咽喉，风气应于肝，雷气动于心。（《素问》中作“谷”气……五……）
《删繁论》说：凡是筋极证，主要与肝有关。肝主管筋，筋与肝相合。肝病往往从筋的表现产生。又说：如果在春季患病称为“筋痹”。虚则……其……则善……而扬……者。九日……卵与……急。金同。
另外治疗筋实极证表现为易怒、口干燥、喜欢发怒、身体烦躁不安。用于调理筋脉、止怒定气的黄芩汤方：
黄芩 川芎 白柘皮（无刺者各三两） 白术 通草 芍药（各四两） 甘草（炙） 桂心（各二两） 大枣（四十枚，掰开去核） 石膏（八两，打碎用绵布包裹） 竹叶（切细一升）
以上十一味药切碎，用水九升，煮取三升，去除药渣。分为三份服用。忌食海藻、菘菜（白菜）、生葱、桃李、雀肉等。
另外治疗筋实极证表现为咳嗽，咳嗽时两侧胁下收缩疼痛，疼痛剧烈则无法动弹。橘皮通气汤方：
橘皮（四两） 白术 石膏（打碎用绵布包裹各五两） 桂心 细辛 当归 茯苓（各三两） 香豉（一升，熬制后单独包裹）
以上八味药切碎，用水九升，煮取三升，去除药渣。分为三份服用。忌食桃李、雀肉、生葱、生菜、醋物。（《千金方》相同，均出自第八卷中）
《千金方》治疗筋实极证表现为双脚下部胀满疼痛，不能远行，脚心感觉像被刀割，筋断折般疼痛，痛得难以忍受。丹参煮散方：
丹参（十二分） 川芎 杜仲 续断 地骨皮（各八分） 通草 当归 干地黄 麦门冬（去心） 禹余粮 生姜（薄切，炒至焦燥）
以上十七味药捣碎过筛成散剂。用绢袋盛装散剂两方寸匕的量，用井华水（清晨第一次打的井水）二升来煮。频繁晃动绢袋，煮取一升作为一次服用。每天煮两次。忌食海藻、菘菜、生葱、芜荑。（《删繁论》相同）
另外治疗筋实极证表现为手足指甲颜色或青或黄或黑乌暗，四肢筋脉拘急烦闷。地黄煎方：
生地黄汁（三升） 生葛汁（一升，澄清） 生玄参汁（一升） 大黄（二两） 栀子仁 升麻
以上十味药切碎，用水七升，煮取二升，去除药渣。加入生地黄汁煮沸一次，接着加入葛汁等再煎取三升。分为三份服用，每天两次。忌食芜荑。（《删繁论》、《肘后备急方》相同，均出自第十一卷中）
The *Qianjin Fang* (Prescriptions Worth a Thousand Gold) states: The pharyngeal gate (Yanmen, the opening of the throat) corresponds to the five zang and six fu organs. It is the pathway through which divine qi (Shenqi, vital spirit and energy) circulates back and forth, and it is the channel through which yin and yang are either unobstructed or blocked. The larynx, laryngeal sac, and tongue are all involved in the regulation of body fluids (Jinye).
Additionally, for treating throat obstruction affecting the Gallbladder Fu organ, there is the Mother Ginger Wine Prescription for injured pharyngeal gate causing hoarseness:
Mother Ginger Juice (2 sheng), Ox Marrow, Butter, Oil (each 1 sheng, separately heated until hot), Cinnamon Heart (Guixin), Sichuan Pepper (Qinjiao) (each 4 fen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Angelica Pubescens Root (Duhuo) (each 5 fen), Saposhnikovia Divaricata Root (Fangfeng) (6 fen).
Take the above nine ingredients. Pound five of them, sift into powder, mix with ginger juice, and decoct until they are thoroughly moistened. Add ox marrow, butter, and oil, stirring to blend. Simmer over low heat, lifting and lowering three times. Take in the early morning. (From Volume VI)
The *Shanfan Lun* (Discourse on Eliminating Complexity) states: Regarding the "Six Extremes" (Liuji), Heaven's Qi connects with the Lung; Earth's Qi connects with the pharynx; Wind Qi responds to the Liver; Thunder Qi moves the Heart. (The *Suwen* writes this as Grain Qi... Five...)
The *Shanfan Lun* states: Generally, tendon extremes (Jinji) are governed by the Liver. The Liver governs the tendons, and tendons combine with the Liver. When the Liver is diseased, symptoms manifest from the tendons. It is also said: Contracting disease in spring is called Tendon Bi (Jinbi). Deficiency leads to... its... then prone to... and rising... For nine days... testicles and... stiffness. Metal same.
Additionally, for treating tendon excess extreme characterized by irritability, dry mouth, frequent anger, and bodily restlessness, use Huangqin Tang (Scutellaria Decoction) to regulate tendons, stop anger, and calm qi:
Scutellaria Baicalensis Root (Huangqin), Ligusticum Chuanxiong Rhizome (Chuanxiong), Mulberry Twig Bark (Baizhepi - thornless, each 3 liang), Atractylodes Macrocephala Rhizome (Baizhu), Thunberg Fritillary Stem (Tongcao), Paeonia Lactiflora Root (Shaoyao) (each 4 liang), Licorice Root (Gancao - roasted), Cinnamon Heart (Guixin) (each 2 liang), Jujube (Dazao - 40 pieces, split and pitted), Gypsum (Shigao - 8 liang, crushed and wrapped in cotton), Bamboo Leaves (Zhuye - cut, 1 sheng).
Cut the above eleven ingredients. Decoct in 9 sheng of water until 3 sheng remain. Remove dregs. Divide into three doses. Avoid seaweed, Chinese cabbage (Songcai), raw green onion, peach/plum, sparrow meat, etc.
Additionally, for treating tendon excess extreme characterized by cough, where coughing causes contraction and pain in both hypochondriac regions, and severe pain prevents movement, use Jupi Tongqi Tang (Tangerine Peel Qi-Regulating Decoction):
Citrus Reticulata Peel (Jupi - 4 liang), Atractylodes Macrocephala Rhizome (Baizhu), Gypsum (Shigao - crushed and wrapped in cotton, each 5 liang), Cinnamon Heart (Guixin), Asarum Root (Xixin), Angelica Sinensis Root (Danggui), Poria (Fuling) (each 3 liang), Fermented Soybean (Xiangchi - 1 sheng, roasted and wrapped separately).
Cut the above eight ingredients. Decoct in 9 sheng of water until 3 sheng remain. Remove dregs. Divide into three doses. Avoid peach/plum, sparrow meat, raw green onion, raw vegetables, vinegar products. (Same as *Qianjin Fang*, from Volume VIII)
*Qianjin Fang* treats tendon excess extreme characterized by fullness and pain in the soles of the feet, inability to walk far, feeling as if the soles are being cut, tendons broken, unbearable pain. Use Danshen Zhusan (Salvia Decoction Powder):
Salvia Miltiorrhiza Root (Danshen - 12 fen), Ligusticum Chuanxiong Rhizome (Chuanxiong), Eucommia Bark (Duzhong), Dipsacus Root (Xuduan), Lycium Bark (Digupi) (each 8 fen), Thunberg Fritillary Stem (Tongcao), Angelica Sinensis Root (Danggui), Prepared Rehmannia Root (Shengdihuang), Ophiopogon Tuber (Mendong - heart removed), Yimuartite (Yuyuli), Ginger (Shengjiang - thinly sliced, stir-fried until scorched and dry).
Pound the above seventeen ingredients and sift into powder. Place two fangcun bi (measurements) of powder in a silk bag. Decoct in 2 sheng of well-water (Jinghua Shui, first drawn water at dawn). Shake the silk bag frequently. Decoct until 1 sheng remains. This is one dose. Decoct twice daily. Avoid seaweed, Chinese cabbage, raw green onion, Elsholtzia Fruit (Wuyi). (Same as *Shanfan Lun*)
Additionally, for treating tendon excess extreme characterized by fingernails and toenails turning blue, yellow, black, or dark, with stiff and vexed tendons in the four limbs, use Dihuang Jian (Rehmannia Decoction):
Fresh Rehmannia Juice (Shengdihuangzhi - 3 sheng), Fresh Kudzu Juice (ShengGezhi - clarified, 1 sheng), Fresh Scrophularia Root Juice (ShengXuanshenzhi - 1 sheng), Rheum Palmatum Root (Dahuang - 2 liang), Gardenia Seed (Zhizi Ren), Cimicifuga Rhizome (Shengma).
Cut the above ten ingredients. Decoct in 7 sheng of water until 2 sheng remain. Remove dregs. Add fresh rehmannia juice and bring to one boil. Then add kudzu juice, etc., and decoct until 3 sheng remain. Divide into three doses. Take twice daily. Avoid Elsholtzia Fruit (Wuyi). (Same as *Shanfan Lun* and *Zhouhou Beiji Fang*, from Volume XI)