夫肝藏血而主于筋。今虚劳损血。则不能荣养于筋。致使筋气极虚。又为寒邪所侵。故
筋脉
治虚劳筋脉拘挛。腰膝疼痛。宜服防风散方。
防风（一两去芦头） 五加皮（一两） 萆 （一两锉） 薏苡仁（一两） 杜仲（一
两半去粗
皮炙
黄去瓤）
赤
羊角屑
（三
上件药。捣细罗为散。每服。以温酒调下二钱。日三四服。忌生冷。油腻。毒滑鱼肉。
治虚劳气弱。四肢少力。筋脉拘挛。骨节疼痛。不欲饮食。宜服熟干地黄散方。
熟干地黄（一两） 酸枣仁（三分微炒） 黄 （一两锉） 当归（三分） 牛膝（一
两去苗）
桂心
头） 薏苡
仁（
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食前
温服
治虚劳筋脉拘挛。四肢疼痛。心神烦热。不得睡卧。宜服麦门冬散方。
麦门冬（一两去心） 防风（三分去芦头） 羚羊角屑（三分） 茯神（一两）
赤芍药（三分） 柴胡（一两去苗） 枳壳（三分麸炒微黄去瓤） 白术（一两） 黄 （一
两锉）
芎（三分） 甘草（半两炙微赤锉） 酸枣仁（三分微炒）
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候
温服
治虚劳伤筋。风引筋脉拘挛疼痛。或时肢节浮肿。手指不可拳。宜服蔓荆子散方。
蔓荆子（一两） 酸枣仁（一两微炒） 防风（一两去芦头） 百合（二两） 枳实（一
两麸炒
微黄）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温
服。
治虚劳风引筋脉拘挛。不可屈伸。宜服羚羊角散方。
羚羊角屑（三分） 薏苡仁（二两） 桂心（三分） 牛膝（三分去苗） 防风（三分
去芦头）
附子
上件药。捣粗罗为散。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
治虚劳胃闷。筋脉拘挛。皮肤不仁。宜服防风丸方。
防风（一两去芦头） 酸枣仁（一两微炒） 蔓荆子（半两） 槟榔（半两） 晚蚕砂
（半两微
炒）
（一两去
苗） 芎
半） 熟干
地黄（一
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。以温酒下三十丸。日二
三服
治虚劳四肢羸瘦。心神虚烦。筋脉拘挛。疼痛。少得睡卧。宜服黄 丸方。
黄 （一两锉） 防风（半两去芦头） 人参（一两去芦头） 远志〔三（半）两去心〕
酸枣
仁（
羊角屑
（三分）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下三十
丸
治虚劳筋脉拘挛。牵引颈面。眼口 动。胸中气逆。不多思饮食。宜服羚羊角丸
方。
羚羊角屑（一两） 酸枣仁（一两微炒） 防风（一两去芦头） 晚蚕砂（一两微炒） 附
子
（一两
芍药（一
两）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒下三十丸。日三
四服
肝脏贮藏血液并主管筋脉。如今因虚劳导致血液亏损，则不能滋养濡润筋脉，致使筋气极度虚弱，又受到寒邪侵袭，所以出现筋脉拘挛的症状。治疗虚劳引起的筋脉拘挛、腰膝疼痛，适宜服用防风散方。
防风（一两，去芦头） 五加皮（一两） 萆薢（一两，锉碎） 薏苡仁（一两） 杜仲（一两半，去粗皮，炙黄） 赤芍药（一两） 羊角屑（三两）
以上药材，捣碎过细罗成为散剂。每次服用二钱，用温酒调服，每日三至四次。忌食生冷、油腻、毒滑及鱼肉食物。
治疗虚劳导致的气弱、四肢无力、筋脉拘挛、骨节疼痛、食欲不振，适宜服用熟干地黄散方。
熟干地黄（一两） 酸枣仁（三分，微炒） 黄芪（一两，锉碎） 当归（三分） 牛膝（一两，去苗） 桂心（三分） 薏苡仁（一两）
以上药材，捣碎筛成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。每次在饭前温服。
治疗虚劳引起的筋脉拘挛、四肢疼痛、心神烦热、无法安睡，适宜服用麦门冬散方。
麦门冬（一两，去心） 防风（三分，去芦头） 羚羊角屑（三分） 茯神（一两） 赤芍药（三分） 柴胡（一两，去苗） 枳壳（三分，麸炒至微黄，去瓤） 白术（一两） 黄芪（一两，锉碎） 川芎（三分） 甘草（半两，炙至微赤，锉碎） 酸枣仁（三分，微炒）
以上药材，捣碎筛成散剂。每次服用四钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。不拘时候，温服。
治疗虚劳损伤筋脉，风邪引动导致筋脉拘挛疼痛，有时肢体关节浮肿，手指不能握拳，适宜服用蔓荆子散方。
蔓荆子（一两） 酸枣仁（一两，微炒） 防风（一两，去芦头） 百合（二两） 枳实（一两，麸炒至微黄）
以上药材，捣碎过粗罗成为散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。饭前温服。
治疗虚劳风邪引动导致筋脉拘挛，关节不可屈伸，适宜服用羚羊角散方。
羚羊角屑（三分） 薏苡仁（二两） 桂心（三分） 牛膝（三分，去苗） 防风（三分，去芦头） 附子（一分，炮裂，去皮脐）
以上药材，捣碎过粗罗成为散剂。每次服用三钱，用水一中盏，加入生姜半分，煎煮至六分，滤去药渣。每次在饭前温服。
治疗虚劳导致的胃脘闷胀、筋脉拘挛、皮肤麻木不仁，适宜服用防风丸方。
防风（一两，去芦头） 酸枣仁（一两，微炒） 蔓荆子（半两） 槟榔（半两） 晚蚕砂（半两，微炒） 秦艽（一两，去苗） 川芎（半两） 熟干地黄（一两）
以上药材，捣碎过罗成为末，炼蜜调和，捣杵三五百下，制成如梧桐子大小的丸剂。每次服用三十丸，用温酒送下，每日二至三次。
治疗虚劳导致的四肢消瘦、心神虚烦、筋脉拘挛疼痛、睡眠少，适宜服用黄芪丸方。
黄芪（一两，锉碎） 防风（半两，去芦头） 人参（一两，去芦头） 远志（半两，去心） 酸枣仁（一两，微炒） 羚羊角屑（三分）
以上药材，捣碎过罗成为末，炼蜜调和，捣杵三二百下，制成如梧桐子大小的丸剂。每次服用不拘时候，用温酒送下三十丸。
治疗虚劳引起的筋脉拘挛，牵引颈部和面部，眼口抽动，胸中气逆，不思饮食，适宜服用羚羊角丸方。
羚羊角屑（一两） 酸枣仁（一两，微炒） 防风（一两，去芦头） 晚蚕砂（一两，微炒） 附子（一两，炮裂，去皮脐） 芍药（一两）
以上药材，捣碎过罗成为末，炼蜜调和，捣杵三二百下，制成如梧桐子大小的丸剂。每次服用三十丸，用温酒送下，每日三至四次。
The Liver stores blood and governs the sinews (tendons). Now, due to deficiency consumption (Xu Lao) causing blood damage, it cannot nourish and moisten the sinews, resulting in extreme deficiency of Qi in the sinews. Furthermore, invaded by cold pathogenic factors, symptoms such as stiffness and spasms of the sinews and vessels occur. For treating deficiency consumption with stiffness and spasms of the sinews and vessels, accompanied by pain in the lower back and knees, Fangfeng San (Saposhnikovia Powder) is suitable.
Fangfeng (Radix Saposhnikoviae, 1 liang, remove the rhizome head) Wujia Pi (Cortex Acanthopanacis, 1 liang) Bibi (Rhizoma Dioscoreae Hypoglaucae, 1 liang, chopped) Yiyiren (Semen Coicis, 1 liang) Duzhong (Cortex Eucommiae, 1.5 liang, remove coarse bark, stir-bake until yellow) Chishao Yao (Radix Paeoniae Rubra, 1 liang) Yangjiao Xie (Cornu Saigae Tataricae, 3 liang)
Crush the above ingredients finely and sift through a fine sieve to make a powder. Take 2 qian per dose, mixed with warm wine. Take 3-4 times daily. Avoid raw, cold, greasy, toxic, slippery foods, and fish/meat.
For treating deficiency consumption leading to Qi weakness, lack of strength in the four limbs, stiffness and spasms of the sinews and vessels, joint pain, and loss of appetite, Shugan Dihuang San (Prepared Rehmannia Powder) is suitable.
Shugan Dihuang (Radix Rehmanniae Praeparata, 1 liang) Suanzaoren (Semen Ziziphi Spinosae, 3 fen, lightly stir-fried) Huangqi (Radix Astragali Membranacei, 1 liang, chopped) Danggui (Radix Angelicae Sinensis, 3 fen) Niuxi (Radix Achyranthis Bidentatae, 1 liang, remove the rootlet) Guixin (Cinnamomi Cortex, 3 fen) Yiyiren (Semen Coicis, 1 liang)
Crush and sift the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 ban of fresh ginger (Zingiberis Rhizoma Recens), decoct until reduced to 0.6 zhong. Strain and take warm before meals.
For treating deficiency consumption with stiffness and spasms of the sinews and vessels, pain in the four limbs, mental restlessness and heat, and inability to sleep, Maidong San (Ophiopogon Powder) is suitable.
Maidong (Radix Ophiopogonis, 1 liang, remove the heart) Fangfeng (Radix Saposhnikoviae, 3 fen, remove the rhizome head) Lingyangjiao Xie (Cornu Saigae Tataricae, 3 fen) Fushen (Poria Cum Radix Pinelliae, 1 liang) Chishao Yao (Radix Paeoniae Rubra, 3 fen) Chaihu (Radix Bupleuri, 1 liang, remove the rootlet) Zhike (Fructus Aurantii, 3 fen, stir-bake with bran until slightly yellow, remove the pith) Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang) Huangqi (Radix Astragali Membranacei, 1 liang, chopped) Xiong (Radix Chuanxiong, 3 fen) Gancao (Radix Glycyrrhizae, 0.5 liang, stir-bake until slightly red, chopped) Suanzaoren (Semen Ziziphi Spinosae, 3 fen, lightly stir-fried)
Crush and sift the above ingredients to make a powder. Take 4 qian per dose. Add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain and take warm at any time.
For treating deficiency consumption damaging the sinews, wind pathogens inducing stiffness, spasms, and pain in the sinews and vessels, occasional swelling of limbs and joints, and inability to clench the fingers into a fist, Manjingzi San (Vitex Fruit Powder) is suitable.
Manjingzi (Fructus Viticis Trifoliae, 1 liang) Suanzaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-fried) Fangfeng (Radix Saposhnikoviae, 1 liang, remove the rhizome head) Baihe (Bulbus Lilii, 2 liang) Zhishi (Fructus Aurantii Immaturus, 1 liang, stir-bake with bran until slightly yellow)
Crush coarsely and sift through a coarse sieve to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain and take warm before meals.
For treating deficiency consumption where wind pathogens induce stiffness and spasms of the sinews and vessels, making flexion and extension impossible, Lingyangjiao San (Saiga Ant Horn Powder) is suitable.
Lingyangjiao Xie (Cornu Saigae Tataricae, 3 fen) Yiyiren (Semen Coicis, 2 liang) Guixin (Cinnamomi Cortex, 3 fen) Niuxi (Radix Achyranthis Bidentatae, 3 fen, remove the rootlet) Fangfeng (Radix Saposhnikoviae, 3 fen, remove the rhizome head) Fuzi (Radix Aconiti Lateralis Preparata, 1 fen, cracked, remove skin and umbilicus)
Crush coarsely and sift through a coarse sieve to make a powder. Take 3 qian per dose. Add 1 zhong of water and 0.5 ban of fresh ginger, decoct until reduced to 0.6 zhong. Strain and take warm before meals.
For treating deficiency consumption causing epigastric fullness, stiffness and spasms of the sinews and vessels, and insensitivity/numbness of the skin, Fangfeng Wan (Saposhnikovia Pill) is suitable.
Fangfeng (Radix Saposhnikoviae, 1 liang, remove the rhizome head) Suanzaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-fried) Manjingzi (Fructus Viticis Trifoliae, 0.5 liang) Binglang (Semen Arecae, 0.5 liang) Wancansha (Semen Bombycis Batryticatum, 0.5 liang, lightly stir-fried) Qinjiao (Radix Gentiana Macrophyllae, 1 liang, remove the rootlet) Xiong (Radix Chuanxiong, 0.5 liang) Shugan Dihuang (Radix Rehmanniae Praeparata, 1 liang)
Grind the above ingredients into powder. Mix with refined honey and pound 300-500 times. Shape into pills the size of Sophora seeds. Take 30 pills per dose with warm wine, 2-3 times daily.
For treating deficiency consumption leading to emaciation of the four limbs, mental deficiency and restlessness, stiffness and spasms of the sinews and vessels with pain, and little sleep, Huangqi Wan (Astragalus Pill) is suitable.
Huangqi (Radix Astragali Membranacei, 1 liang, chopped) Fangfeng (Radix Saposhnikoviae, 0.5 liang, remove the rhizome head) Renshen (Radix Ginseng, 1 liang, remove the rhizome head) Yuanzhi (Radix Polygalae, 0.5 liang, remove the heart) Suanzaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-fried) Lingyangjiao Xie (Cornu Saigae Tataricae, 3 fen)
Grind the above ingredients into powder. Mix with refined honey and pound 200-300 times. Shape into pills the size of Sophora seeds. Take 30 pills per dose with warm wine at any time.
For treating deficiency consumption causing stiffness and spasms of the sinews and vessels, pulling on the neck and face, twitching of eyes and mouth, rebellious Qi in the chest, and poor appetite, Lingyangjiao Wan (Saiga Ant Horn Pill) is suitable.
Lingyangjiao Xie (Cornu Saigae Tataricae, 1 liang) Suanzaoren (Semen Ziziphi Spinosae, 1 liang, lightly stir-fried) Fangfeng (Radix Saposhnikoviae, 1 liang, remove the rhizome head) Wancansha (Semen Bombycis Batryticatum, 1 liang, lightly stir-fried) Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, cracked, remove skin and umbilicus) Shaoyao (Radix Paeoniae Alba/Lactiflora, 1 liang)
Grind the above ingredients into powder. Mix with refined honey and pound 200-300 times. Shape into pills the size of Sophora seeds. Take 30 pills per dose with warm wine, 3-4 times daily.