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治肝脏风毒流注脚膝筋脉疼痛诸方 · 太平圣惠方 · 医典·华经

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治肝脏风毒流注脚膝筋脉疼痛诸方45 / 1538

太平圣惠方 · 治肝脏风毒流注脚膝筋脉疼痛诸方 · 宋

古文

夫肝主于筋。而藏于血。脏腑和平。荣卫调适。表里充实。则邪不能侵也。若肝气久虚
。肾脏寒（衰）冷。则风邪乘虚。乃攻搏于筋脉。流注脚膝。故令疼痛也。
治肝脏风毒流注脚膝。筋脉拘急。疼痛不可忍。宜服海桐皮散方。
海桐皮（一两锉）附子（半两炮裂去皮脐）赤箭（半两）桂心（半两）牛膝（半
两去苗）
防风（半两去芦头）石斛（半两去根节锉）独活（半两）当归（三分锉微炒）仙
灵脾（五两
）
两）赤芍
药（
赤锉）
上件药。捣筛为散。每服四钱。以水酒各半中盏。煎至六分。去滓。每于食前温服。忌
猪肉毒鱼酒蒜等。
治肝脏风毒。流注脚膝。筋脉拘急。疼痛。宜服羚羊角散方。
羚羊角屑（半两）槟榔（半两）木香（半两）海桐皮（半两）酸枣仁（半两）防
风（半
两去
两）赤
芍药
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。每于食
前温服。忌炙爆鸡猪等。
治肝脏风毒。流注脚膝。筋脉拘急。疼痛。大便秘涩。心胸壅闷。宜服疏风调气
利四肢
槟榔（一两）枳壳（三分麸炒微黄去瓤）防风（三分去芦头）川大黄（一两锉碎
微炒）
羌活
两）芎
（三
锉）羚羊
角
上捣筛为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。每于食前温服
治肝脏风毒。流注脚膝。疼痛。心神烦闷。筋脉拘急。宜服五加皮散方。
五加皮（一两）羌活（一两）芎（一两）黄芩（一两）防风（一两去芦头）酸
枣仁（
一两微炒）羚羊角屑（一两）当归（一两锉微炒）威灵仙（一两）赤茯苓（一两）
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食前
温服。忌炙爆鱼毒物等。
治肝脏风毒。流注脚膝。筋脉拘急。疼痛。行履不得。宜服薏苡仁散方。
薏苡仁（二两）羌活（一两）五加皮（一两）海桐皮（一两锉）当归（一两锉
微炒）虎
胫骨（一两涂酥炙令黄）芎（一两）附子（一两炮裂去皮脐）赤芍药（一两）牛
膝（一两
去苗）
上捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食前温服。
治肝脏风。流注脚膝疼痛。筋脉不利。行立无力。宜服酸枣仁散方。
酸枣仁（一两半微炒）独活（半两）牛膝（一两去苗）仙灵脾（一两）山茱萸
（半两）
芎
黄）羚羊
角屑
木香
（半两）
上捣细罗为散。研入麝香合匀。每服二钱。以温酒调下。食前服。
治肝脏风毒。流注脚膝。筋脉疼痛。及四肢缓弱无力。宜服豆淋酒煎附（侧）子丸
方
。
黑豆（一升炒令熟入酒五升煎二三十沸滤去滓煎令稠）附（侧）子（二分炮裂去皮脐）
石
南（半
去皱皮）
萆
茵芋（半
两）独活（半两）天麻（半两）当归（半两锉微炒）乌蛇（一两酒浸去皮骨炙令微
黄）
上捣细罗为散。以黑豆煎。和捣一二百杵。丸如梧桐子大。每于食前。温酒下三十丸。
忌猪肉毒鱼等。
治肝脏风毒。流注脚膝。筋脉挛急。疼痛。宜用野葛膏摩之方。
野葛（二两锉）蛇衔（二两）犀角屑（一两）川乌头（一两去皮脐）桔梗（二
两去芦）
茵芋
去壳）川
升麻（
黄（二两）
雄黄
上件药。细锉。以酒五升。渍药一宿。以不中水猪膏五斤。以前药同于铛中。炭火上煎
之。
令

白话

肝脏主管筋脉，并贮藏血液。当脏腑功能平和，营卫之气调和适宜，表里充实时，邪气便无法侵入。如果肝气长期虚弱，肾脏寒气（衰退寒冷），风邪便会乘虚而入，攻击搏结于筋脉，流注于脚膝，从而导致疼痛。

治疗肝脏风毒流注于脚膝，导致筋脉拘挛紧急，疼痛难以忍受的情况，适宜服用海桐皮散方。
药材：海桐皮（一两，锉碎）、附子（半两，炮裂后去皮和脐）、赤箭（半两）、桂心（半两）、牛膝（半两，去苗）。
防风（半两，去芦头）、石斛（半两，去根节并锉碎）、独活（半两）、当归（三分，锉碎后微炒）、仙灵脾（五两）。
[注：原文此处有缺漏或排版错误，根据上下文及常见配伍，推测可能涉及赤芍药等，但依原文仅列出上述明确项]
以上药材，捣碎过筛制成散剂。每次服用四钱，用水和酒各半盏，煎至六分满，滤去药渣。每次在饭前温服。忌食猪肉、毒鱼、酒、蒜等。

治疗肝脏风毒，流注于脚膝，导致筋脉拘挛紧急，疼痛的情况，适宜服用羚羊角散方。
药材：羚羊角屑（半两）、槟榔（半两）、木香（半两）、海桐皮（半两）、酸枣仁（半两）、防风（半两，去芦头）、[原文此处有缺漏，似指其他药材如赤芍药等，依原文结构补全逻辑] 赤芍药。
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一盏，加入生姜半分，同煎至六分满，滤去药渣。每次在饭前温服。忌食烤炸的鸡、猪等肉。

治疗肝脏风毒，流注于脚膝，导致筋脉拘挛紧急，疼痛，大便秘结涩滞，心胸壅闷的情况，适宜服用疏风调气利四肢[方名残缺，据下文推测为某散剂]。
药材：槟榔（一两）、枳壳（三分，麸炒至微黄，去瓤）、防风（三分，去芦头）、川大黄（一两，锉碎后微炒）、羌活（[量词缺失，通常为半两或一两]）、芎藭（[量词缺失]）、羚羊角[屑]。
以上药材捣碎过筛制成散剂。每次服用三钱，用水一盏，加入生姜半分，同煎至六分满，滤去药渣。每次在饭前温服。

治疗肝脏风毒，流注于脚膝，导致疼痛，心神烦闷，筋脉拘挛紧急的情况，适宜服用五加皮散方。
药材：五加皮（一两）、羌活（一两）、芎藭（一两）、黄芩（一两）、防风（一两，去芦头）、酸枣仁（一两，微炒）、羚羊角屑（一两）、当归（一两，锉碎后微炒）、威灵仙（一两）、赤茯苓（一两）。
以上药材，捣碎过筛制成散剂。每次服用三钱，用水一盏，加入生姜半分，煎至六分满，滤去药渣。每次在饭前温服。忌食烤炸的鱼及有毒食物等。

治疗肝脏风毒，流注于脚膝，导致筋脉拘挛紧急，疼痛，行走困难的情况，适宜服用薏苡仁散方。
药材：薏苡仁（二两）、羌活（一两）、五加皮（一两）、海桐皮（一两，锉碎）、当归（一两，锉碎后微炒）、虎胫骨（一两，涂酥炙至黄色）、芎藭（一两）、附子（一两，炮裂后去皮和脐）、赤芍药（一两）、牛膝（一两，去苗）。
以上药材捣碎过筛制成散剂。每次服用三钱，用水一盏，加入生姜半分，煎至六分满，滤去药渣。每次在饭前温服。

治疗肝脏风，流注于脚膝导致疼痛，筋脉不利，站立行走无力，适宜服用酸枣仁散方。
药材：酸枣仁（一两半，微炒）、独活（半两）、牛膝（一两，去苗）、仙灵脾（一两）、山茱萸（半两）、芎藭（[量词缺失]）、黄[耆?]（[量词缺失]）、羚羊角屑（[量词缺失]）、木香（半两）。
以上药材捣细罗制成散剂，研入麝香混合均匀。每次服用二钱，用温酒调服。饭前服用。

治疗肝脏风毒，流注于脚膝，导致筋脉疼痛，以及四肢松弛软弱无力，适宜服用豆淋酒煎附（侧）子丸方。
药材：黑豆（一升，炒熟后入酒五升，煎煮二三十沸，滤去药渣，再煎至浓稠）、附（侧）子（二分，炮裂后去皮和脐）、石南（[量词缺失]，去皱皮）、萆薢（[量词缺失]）、茵芋（半两）、独活（半两）、天麻（半两）、当归（半两，锉碎后微炒）、乌蛇（一两，酒浸后去皮骨，炙至微黄）。
以上药材捣细罗制成散剂，用黑豆煎液和合，捣击一二百下，制成梧桐子大小的丸药。每次在饭前，用温酒送服三十丸。忌食猪肉、毒鱼等。

治疗肝脏风毒，流注于脚膝，导致筋脉挛急，疼痛，适宜使用野葛膏外摩的方法。
药材：野葛（二两，锉碎）、蛇衔（二两）、犀角屑（一两）、川乌头（一两，去皮和脐）、桔梗（二两，去芦）、茵芋（[量词缺失]，去壳）、川升麻（[量词缺失]）、黄[连/柏?]（二两）、雄黄[量词缺失]。
以上药材，细细锉碎，用酒五升浸泡药材一夜，再用不混入污水的猪脂膏五斤，将上述药材一同放入铛中，在炭火上煎制。令……

英文

The Liver governs the sinews and stores blood. When the zang-fu organs are harmonious, Ying (Nutritive) and Wei (Defensive) Qi are balanced, and the interior and exterior are full, pathogenic factors cannot invade. If Liver Qi is deficient for a long time, and Kidney Yang is cold (declining), Wind pathogens will take advantage of the deficiency to attack and knot with the sinews and collaterals, flowing into the feet and knees, thus causing pain.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing spasmodic tension in the sinews and collaterals, and unbearable pain, it is suitable to take Haitongpi San (Haitongpi Powder).
Herbs: Tiliacora Radix Cortex (Haitongpi, 海桐皮) [1 liang, crushed]; Aconitum Lateralis Radix Preparata (Fuzi, 附子) [0.5 liang, processed until cracked, peel removed, umbilicus removed]; Gastrodiae Rhizoma (Chijian, 赤箭); Cinnamomi Ramulus (Guixin, 桂心); Achyranthis Bidentatae Radix (Niuxi, 牛膝) [0.5 liang, radix tip removed]; Saposhnikoviae Radix (Fangfeng, 防风) [0.5 liang, root head removed]; Dendrobii Caulis (Shihu, 石斛) [0.5 liang, root nodes removed and crushed]; Angelicae Pubescentis Radix (Duhuo, 独活); Angelicae Sinensis Radix (Danggui, 当归) [3 qian, crushed and lightly stir-fried]; Epimedii Folium (Xianlingpi, 仙灵脾) [5 liang].
Process the above herbs by pounding and sieving to make a powder. Take 4 qian per dose. Decoct with half a cup of water and half a cup of wine until reduced to 60%. Strain the dregs. Take warm before meals. Avoid pork, toxic fish, alcohol, garlic, etc.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing spasmodic tension in the sinews and collaterals and pain, it is suitable to take Lingyangjiao San (Lingyangjiao Powder).
Herbs: Rhinocerotis Cornu (Lingyangjiao, 羚羊角) [0.5 liang, shaved]; Arecae Semen (Binglang, 槟榔); Costi Radix (Muxiang, 木香); Tiliacora Radix Cortex (Haitongpi, 海桐皮); Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁); Saposhnikoviae Radix (Fangfeng, 防风); Paeoniae Radix Rubra (Chishaoyao, 赤芍药).
Process the above herbs by pounding and sieving to make a powder. Take 3 qian per dose. Decoct with one cup of water and half a piece of fresh ginger until reduced to 60%. Strain the dregs. Take warm before meals. Avoid roasted or fried chicken and pork.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing spasmodic tension in the sinews and collaterals, pain, constipation with dryness, and chest oppression/stuffiness, it is suitable to take Shufeng Tiaoqi Lizhisi Si [Formula Name Incomplete] (Wind-Dispersing and Qi-Regulating Formula for Limbs).
Herbs: Arecae Semen (Binglang, 槟榔); Aurantii Fructus Pericarpium (Zhike, 枳壳); Saposhnikoviae Radix (Fangfeng, 防风); Rheum Palmatum Radix et Rhizoma (Chuan Dahuang, 川大黄); Notopterygii Rhizoma et Radix (Qianghuo, 羌活); Ligustici Chuanxiong Rhizoma (Xiong, 芎藭); Rhinocerotis Cornu (Lingyangjiao, 羚羊角).
Process the above herbs by pounding and sieving to make a powder. Take 3 qian per dose. Decoct with one cup of water and half a piece of fresh ginger until reduced to 60%. Strain the dregs. Take warm before meals.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing pain, mental restlessness, and spasmodic tension in the sinews and collaterals, it is suitable to take Wujia Pi San (Wujia Pi Powder).
Herbs: Acanthopanacis Cortex (Wujia pi, 五加皮); Notopterygii Rhizoma et Radix (Qianghuo, 羌活); Ligustici Chuanxiong Rhizoma (Xiong, 芎藭); Scutellariae Radix (Huangqin, 黄芩); Saposhnikoviae Radix (Fangfeng, 防风); Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁); Rhinocerotis Cornu (Lingyangjiao, 羚羊角); Angelicae Sinensis Radix (Danggui, 当归); Cirrhiphylli Herba (Weilingxian, 威灵仙); Poria Cum Ligno Pinus (Chifuling, 赤茯苓).
Process the above herbs by pounding and sieving to make a powder. Take 3 qian per dose. Decoct with one cup of water and half a piece of fresh ginger until reduced to 60%. Strain the dregs. Take warm before meals. Avoid roasted/fried fish and toxic foods.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing spasmodic tension in the sinews and collaterals, pain, and inability to walk, it is suitable to take Yiyiren San (Yiyiren Powder).
Herbs: Coicis Semen (Yiyiren, 薏苡仁); Notopterygii Rhizoma et Radix (Qianghuo, 羌活); Acanthopanacis Cortex (Wujia pi, 五加皮); Tiliacora Radix Cortex (Haitongpi, 海桐皮); Angelicae Sinensis Radix (Danggui, 当归); Pantheris Os (Hu Jinggu, 虎胫骨); Ligustici Chuanxiong Rhizoma (Xiong, 芎藭); Aconitum Lateralis Radix Preparata (Fuzi, 附子); Paeoniae Radix Rubra (Chishaoyao, 赤芍药); Achyranthis Bidentatae Radix (Niuxi, 牛膝).
Process the above herbs by pounding and sieving to make a powder. Take 3 qian per dose. Decoct with one cup of water and half a piece of fresh ginger until reduced to 60%. Strain the dregs. Take warm before meals.

For treating Liver Wind flowing into the feet and knees causing pain, dysfunction of sinews and collaterals, and weakness in standing and walking, it is suitable to take Suanzaoren San (Suanzaoren Powder).
Herbs: Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁); Angelicae Pubescentis Radix (Duhuo, 独活); Achyranthis Bidentatae Radix (Niuxi, 牛膝); Epimedii Folium (Xianlingpi, 仙灵脾); Corni Fructus (Shanzhuyu, 山茱萸); Ligustici Chuanxiong Rhizoma (Xiong, 芎藭); [Missing Herb]; Rhinocerotis Cornu (Lingyangjiao, 羚羊角); Costi Radix (Muxiang, 木香).
Process the above herbs finely through a sieve to make a powder, mix in Moschus (Shexiang, 麝香). Take 2 qian per dose, mixed with warm wine. Take before meals.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing pain in sinews and collaterals, and flaccid weakness in the four limbs, it is suitable to take Doulin Jiu Jian Fuzi Wan (Black Bean Wine-Decocted Fuzi Pills).
Herbs: Sojae Semen Nigrum (Heidou, 黑豆); Aconitum Lateralis Radix Preparata (Fuzi, 附子); Pyrolae Herba (Shinan, 石南); Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢); Hyperici Japonici Herba (Yinyu, 茵芋); Angelicae Pubescentis Radix (Duhuo, 独活); Gastrodiae Rhizoma (Tianma, 天麻); Angelicae Sinensis Radix (Danggui, 当归); Bungarus Parvus (Wushe, 乌蛇).
Process the above herbs finely through a sieve to make a powder. Mix with the decoction of black beans, pound 100-200 times, and form pills the size of paulownia seeds. Take 30 pills before meals with warm wine. Avoid pork and toxic fish.

For treating Liver Wind-Toxicity flowing into the feet and knees, causing spasmodic tension in sinews and collaterals and pain, it is suitable to apply Yege Gao (Yege Ointment) externally by massage.
Herbs: Aristolochiae Radix (Ye Ge, 野葛); Patriniae Radix (She Xian, 蛇衔); Rhinocerotis Cornu (Xi Jiao, 犀角); Aconiti Radix (Chuan Wutou, 川乌头); Platycodonis Radix (Jiegeng, 桔梗); Hyperici Japonici Herba (Yinyu, 茵芋); Cimicifugae Rhizoma (Chuan Shengma, 川升麻); [Missing Herb]; Realgar (Xionghuang, 雄黄).
Finely crush the above herbs. Soak in five sheng of wine overnight. Add five jin of lard (pig fat) that has not been contaminated with water. Simmer together in a cauldron over charcoal fire. Let...