删繁论曰∶凡肉极者。主脾也。脾应肉。肉与脾合。若脾病则肉变色。又曰∶至阴遇病
为肌
鼻
之
下
鼠
始
即
外
肉
终不可疗。（千金同出第八卷中）
删繁疗肉极热。肌痹淫淫如鼠走身上。津液脱。腠理开。汗大泄为脾风。风气藏于皮肤
肉色则败。鼻见黄色。麻黄止汗通肉解风痹汤方。
麻黄（去节） 枳实（炙） 防风 白术 细辛（各三两） 石膏（八两碎绵裹） 生
姜附子（炮各四
两） 甘草（炙） 桂心（各二两）
上十味切。以水九升。先煮麻黄。去沫。下诸药煮取三升。分三服。忌猪肉海藻菘菜生
葱生菜桃李雀肉等。（千金同）
又疗肉极热。则体上如鼠走。或风痹。唇口坏。皮肤色变。石南散方。
石南（炙五分） 薯蓣 天雄（炮） 桃花 菊花 甘草（炙各四分） 黄 （三分） 山
茱萸
（七分） 真珠（二分） 石膏（八分碎） 升麻 葳蕤（各六分）
上十二味捣筛为散。服方寸匕。食后服。日再。温清酒进之。忌猪肉海藻菘菜。（千金
同并出第八卷中）
千金疗肉极热。则身体津液脱。腠理开。汗大泄。厉风气。下焦脚弱。越婢汤方。
麻黄（六两去节） 石膏（八两碎绵裹） 生姜（二两） 甘草（炙二两） 附子（炮
一枚） 大
枣（十五枚擘）
上六味切。以水七升。煮取二升五合。去滓。分为三服。一名起脾汤。忌猪肉海藻菘菜
（本方无附子删繁同出第七卷中）
又疗肉极虚热。肌肤淫淫如鼠走。津液脱。腠理开。汗大泄。或痹不仁。四肢急痛。西
州续命汤方。
麻黄（去节） 生姜（各三两） 当归 石膏（碎绵裹各二两） 芎 桂心 甘草（炙）
黄
芩防风 芍药（各一两） 杏仁（四十枚熬去尖皮两仁）
上十一味切。以水九升。先煮麻黄。去上沫。下诸药。煮取二升。去滓。分为四服。
日再。忌海藻菘菜生葱。（删繁同出第八卷中）
《删繁》一书中论述道：凡是肉极证，主要责之于脾。脾与肌肉相应，肌肉与脾相合。如果脾发生病变，则肌肉颜色会发生改变。又说：至阴之体遭遇疾病，表现为肌肉、鼻子下方出现鼠瘰（一种颈部淋巴结结核类疾病），起始于外部，最终无法治愈。（此内容在《千金方》中同样出自第八卷）
另外，《删繁》治疗肉极热证。症状表现为肌肤麻木不适，感觉像老鼠在身上爬行，津液耗脱，腠理疏松，大汗淋漓，这称为脾风。风气潜伏在皮肤肌肉之间，导致肌肉颜色败坏，鼻部呈现黄色。使用麻黄止汗通肉解风痹汤方。
药材：麻黄（去节）、枳实（炙）、防风、白术、细辛（各三两）、石膏（八两，捣碎后用绵布包裹）、生姜、附子（炮制，各四两）、甘草（炙）、桂心（各二两）。
以上十味药切碎，用水九升，先煮麻黄，去掉浮沫，再加入其他药物，煎煮取汁三升，分三次服用。忌食猪肉、海藻、菘菜（白菜）、生葱、生菜、李子、桃子、雀肉等。（《千金方》记载相同）
又用于治疗肉极热证。症状为身体上感觉像老鼠爬行，或者患有风痹，嘴唇口腔溃烂，皮肤颜色改变。使用石南散方。
药材：石南（炙，五分）、薯蓣、天雄（炮制）、桃花、菊花、甘草（炙，各四分）、黄芪（三分）、山茱萸（七分）、真珠（二分）、石膏（八分，捣碎）、升麻、葳蕤（各六分）。
以上十二味药捣碎过筛制成散剂。每次服用一方寸匕，饭后服用，每日两次。用温酒或清酒送服。忌食猪肉、海藻、菘菜。（《千金方》记载相同，并均出自第八卷）
《千金方》治疗肉极热证。症状为身体津液耗脱，腠理疏松，大汗淋漓，厉风气侵袭，下焦虚弱导致腿部无力。使用越婢汤方。
药材：麻黄（六两，去节）、石膏（八两，捣碎后用绵布包裹）、生姜（二两）、甘草（炙，二两）、附子（炮制，一枚）、大枣（十五枚，掰开）。
以上六味药切碎，用水七升，煎煮取汁二升五合，滤去药渣，分为三次服用。此方又名起脾汤。忌食猪肉、海藻、菘菜。（本方原无附子，《删繁》中有附子，均出自第七卷）
又用于治疗肉极虚热证。症状为肌肤麻木不适，感觉像老鼠爬行，津液耗脱，腠理疏松，大汗淋漓，或者出现痹症导致肢体麻木不仁，四肢拘急疼痛。使用西州续命汤方。
药材：麻黄（去节）、生姜（各三两）、当归、石膏（捣碎后用绵布包裹，各二两）、川芎、桂心、甘草（炙）、黄芪、黄芩、防风、芍药（各一两）、杏仁（四十枚，熬制后去掉尖皮和双仁部分）。
以上十一味药切碎，用水九升，先煮麻黄，去掉上面的浮沫，再加入其他药物，煎煮取汁二升，滤去药渣，分为四次服用，每日两次。忌食海藻、菘菜、生葱。（《删繁》记载相同，均出自第八卷）
The *Shanfan* text states: In cases of "Rou Ji" (Extreme Muscle Disorder), the pathology is primarily located in the Spleen. The Spleen corresponds to the muscles, and the muscles are harmonized with the Spleen. If the Spleen becomes diseased, the color of the muscles will change. It is also stated: When a body at the extreme of Yin encounters disease, it manifests as muscle issues and scrofula-like lumps below the nose, starting externally but ultimately becoming incurable. (This content appears identically in Volume 8 of the *Qianjin Fang*).
Furthermore, *Shanfan* treats "Rou Ji Re" (Heat-type Extreme Muscle Disorder). Symptoms include a numb sensation in the skin and muscles, feeling as if mice are crawling on the body, depletion of body fluids, open interstices (pores), and profuse sweating; this condition is termed "Pi Feng" (Spleen Wind). Pathogenic wind hides within the skin and muscles, causing the discoloration of the flesh and a yellowish hue on the nose. The formula used is Mahuang Zhihan Tongrou Jiefengbi Tang (Ephedra Decoction for Stopping Sweat, Unblocking Flesh, and Resolving Wind-Bi).
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [nodes removed], Immature Bitter Orange Fructus (Zhishi, 枳实) [processed with bran], Saposhnikoviae Radix (Fangfeng, 防风), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Asari Radix et Rhizoma (Xixin, 细辛) [each 3 liang], Gypsum Fibrosum (Shigao, 石膏) [8 liang, crushed and wrapped in silk], Zingiberis Rhizoma Recens (Shengjiang, 生姜), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed] [each 4 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [processed], Cinnamomi Ramulum (Guixin, 桂心) [each 2 liang].
Chop the above ten ingredients. Add nine sheng of water. First boil Mahuang, skim off the foam, then add the remaining herbs. Boil until three sheng remain. Divide into three doses. Avoid pork, seaweed, Brassica rapa var. pekinensis (Songcai, 菘菜), raw green onions, raw vegetables, plums, peaches, and sparrow meat. (Identical to *Qianjin Fang*).
Another treatment for "Rou Ji Re": Symptoms include a crawling sensation on the body, or Wind-Bi, ulceration of the lips and mouth, and changes in skin color. The formula used is Shinan San (Shinan Powder).
Ingredients: Aristolochiae Herb (Shinan, 石南) [processed, 5 fen], Dioscoreae Rhizoma (Shuyu, 薯蓣), Aconiti Radix (Tianxiong, 天雄) [processed], Peach Flower (Taohua, 桃花), Chrysanthemi Flos (Juhua, 菊花), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [processed] [each 4 fen], Astragali Radix (Huangqi, 黄芪) [3 fen], Corni Fructus (Shanzhuyu, 山茱萸) [7 fen], Margarita (Zhenzhu, 真珠) [2 fen], Gypsum Fibrosum (Shigao, 石膏) [8 fen, crushed], Cimicifugae Rhizoma (Shengma, 升麻), Polygonati Rhizoma (Weirui, 葳蕤) [each 6 fen].
Pulverize the above twelve ingredients into a powder. Take one fangcun bi (approx. 1 cubic inch) per dose. Administer after meals, twice daily. Take with warm clear wine. Avoid pork, seaweed, and Songcai. (Identical to *Qianjin Fang*, both from Volume 8).
*Qianjin Fang* treats "Rou Ji Re": Symptoms include depletion of body fluids, open interstices, profuse sweating, invasion by severe wind pathogens, weakness in the lower jiao leading to weak legs. The formula used is Yuebi Tang (Yuebi Decoction).
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [6 liang, nodes removed], Gypsum Fibrosum (Shigao, 石膏) [8 liang, crushed and wrapped in silk], Zingiberis Rhizoma Recens (Shengjiang, 生姜) [2 liang], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [processed, 2 liang], Aconiti Lateralis Radix Praeparata (Fuzi, 附子) [processed, 1 piece], Jujubae Fructus (Dazao, 大枣) [15 pieces, split].
Chop the above six ingredients. Add seven sheng of water. Boil until two sheng and five he remain. Strain the dregs. Divide into three doses. This formula is also known as Qipi Tang (Splee-Raising Decoction). Avoid pork, seaweed, and Songcai. (Original formula lacks Fuzi; Shanfan includes it. Both from Volume 7).
Another treatment for "Rou Ji Xu Re" (Deficiency-Heat type Extreme Muscle Disorder): Symptoms include a creeping sensation in the skin and muscles, depletion of body fluids, open interstices, profuse sweating, Bi syndrome resulting in numbness, and acute pain and stiffness in the four limbs. The formula used is Xizhou Xuming Tang (Xizhou Reviving Life Decoction).
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [nodes removed], Zingiberis Rhizoma Recens (Shengjiang, 生姜) [each 3 liang], Angelicae Sinensis Radix (Danggui, 当归), Gypsum Fibrosum (Shigao, 石膏) [crushed and wrapped in silk, each 2 liang], Ligustici Chuanxiong Rhizoma (Xiong, 芎), Cinnamomi Ramulum (Guixin, 桂心), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [processed], Astragali Radix (Huangqi, 黄芪), Scutellariae Radix (Huangqin, 黄芩), Saposhnikoviae Radix (Fangfeng, 防风), Paeoniae Radix Alba (Shaoyao, 芍药) [each 1 liang], Pruni Semen Armeniacae Amarum (Xingren, 杏仁) [40 seeds, roasted, tips and skins removed, single kernel].
Chop the above eleven ingredients. Add nine sheng of water. First boil Mahuang, remove the foam on top, then add the other herbs. Boil until two sheng remain. Strain the dregs. Divide into four doses. Take twice daily. Avoid seaweed, Songcai, and raw green onions. (Identical to Shanfan, both from Volume 8).