方
丹参散(出千金方)治筋实极。则两脚下满。满而痛不得远行。脚心如割。
筋断折痛。不可
丹参(三两) 芎 杜仲 续断 地骨皮(二两) 干地黄 当归 通草 升麻 麦
门冬
禹
二两半)
上为散。以绢袋子盛二方寸匕。以井花冷水二升煮。数动袋子。煮取一升。顿服。日二。
地黄煎(出千金方)治足厥阴经有余。筋实极。足下满痛。四肢筋急。
地黄(生取汁六升) 天门冬(生取汁三升) 醇酒(一升) 生姜(取汁) 白蜜 鹿
髓牛
膝
壳
(炒去
慢火
煎减
于铜
空心
地黄煎(出千金方)治筋实极。手足爪甲。或青或黄。或黑乌黯。四肢筋急
。闷满。
生地黄(汁三升) 生葛(汁) 生玄参(汁各一升) 大黄 升麻(各二两) 麻黄 栀
子仁
犀角
去滓。
次下
黄 汤 治筋实极。多怒。口干。烦燥不定。调筋止怒。定气极。
黄 (锉) 芎 白柘皮(无刺者锉一两半) 白术 木通(锉炒黄) 芍药(各二
两) 桂
(去
去核。
竹
羚羊角汤 治筋实极。头项强急。多怒。嗌干。爪甲青。胁肋胀痛。
羚羊角(镑屑) 五加皮(锉) 酸枣仁(炒各一两) 防风(去叉) 赤茯苓(去黑
皮) 芎
当
(麸炒黄)
甘草(炙锉各半两) 上捣筛。每服三钱。水一盏。生姜三片。煎至七分。去滓温服。不拘
时
候。
犀角地黄汤(出三因方)治筋实极。咳而两胁下痛。不可转动。脚下满。不
得远行。脚心痛
生地黄 犀角(镑各一两) 干葛 玄参 栀子仁 升麻(各三分) 大黄(蒸半两) 芍
药
(一
黄。
头疼加石膏半两。
五加皮汤(济生方)治筋实极。咳则两胁下痛。不可转动。脚下满。不得远
行。脚心痛不可
羌活(去芦头) 羚羊角(锉) 赤芍药 防风(去叉) 五加皮(洗) 秦艽(去芦)
枳实
(去瓤
温服
。不拘时候。
橘皮通气汤(出千金方)治筋实极则咳。咳则两胁下缩痛。痛甚则不可转动。\x
橘皮(四两) 白术 石膏(五两) 细辛 当归 桂心 茯苓(各三两) 香豉(一
升) 上 咀
。以水九升。煮取三升。去滓。分三分。
【方剂】
丹参散(出自《千金方》):治疗筋实极证。症状表现为双下肢胀满,胀满且疼痛,无法远行,脚心感觉如刀割般疼痛,筋脉断裂折断样疼痛,不可忍受。
药材及用量:丹参(三两)、川芎、杜仲、续断、地骨皮(各二两)、干地黄、当归、通草、升麻、麦门冬、禹余粮(二两半)。
制法与服法:将上述药物研为散剂。用绢袋盛装两方寸匕的药量,放入两升井花冷水中煮沸。期间多次晃动药袋,煮至药液剩下一升时,一次性服用。每日服用两次。
地黄煎(出自《千金方》):治疗足厥阴经气有余导致的筋实极证。症状表现为足下胀满疼痛,四肢筋脉拘急。
药材及用量:生地黄(取汁六升)、天门冬(取汁三升)、醇酒(一升)、生姜(取汁)、白蜜、鹿髓、牛膝、枳壳(炒后去瓤)。
制法与服法:慢火煎煮,使药液减少,装入铜器中。空腹温服。
地黄煎(出自《千金方》):治疗筋实极证。症状表现为手足爪甲颜色或青、或黄、或黑黯,四肢筋脉拘急,胸闷胀满。
药材及用量:生地黄(取汁三升)、生葛根(取汁)、生玄参(取汁,各一升)、大黄、升麻(各二两)、麻黄、栀子仁、犀角。
制法与服法:去除药渣后,加入其他药物,用汤剂煎煮。
黄汤(注:原文此处似有脱漏,据上下文推测可能指某含“黄”字方剂,但仅依原文提取实体):治疗筋实极证。症状表现为易怒,口干,烦躁不安。功效为调理筋脉,平息怒气,安定气机至极点。
药材及用量:黄芩(锉碎)、川芎、白柘皮(无刺者锉一两半)、白术、木通(锉碎炒黄)、芍药(各二两)、桂枝(去皮)、大枣(去核)、竹茹、羚羊角。
羚羊角汤:治疗筋实极证。症状表现为头项强直紧急,易怒,咽喉干燥,爪甲发青,胁肋胀痛。
药材及用量:羚羊角(镑成屑)、五加皮(锉碎)、酸枣仁(炒,各一两)、防风(去叉)、赤茯苓(去黑皮)、川芎、当归(麸炒黄)、甘草(炙,锉,各半两)。
制法与服法:将药物捣碎筛细。每次服用三钱,加水一盏,生姜三片,煎至七分,去渣温服。不拘时间。
犀角地黄汤(出自《三因方》):治疗筋实极证。症状表现为咳嗽且两胁下疼痛,身体不可转动,脚下胀满,无法远行,脚心痛。
药材及用量:生地黄、犀角(镑成屑,各一两)、干葛、玄参、栀子仁、升麻(各三分)、大黄(蒸,半两)、芍药。
加减法:若头痛,加石膏半两。
五加皮汤(出自《济生方》):治疗筋实极证。症状表现为咳嗽时两胁下疼痛,身体不可转动,脚下胀满,无法远行,脚心痛不可忍。
药材及用量:羌活(去芦头)、羚羊角(锉碎)、赤芍药、防风(去叉)、五加皮(洗)、秦艽(去芦)、枳实(去瓤)。
制法与服法:温服,不拘时间。
橘皮通气汤(出自《千金方》):治疗筋实极证则出现咳嗽,咳嗽时两胁下收缩疼痛,疼痛剧烈时身体不可转动。
药材及用量:橘皮(四两)、白术、石膏(五两)、细辛、当归、桂心、茯苓(各三两)、香豉(一升)。
制法与服法:将药物切碎。用水九升,煮取三升,去渣。分三次服用。
[Formulas]
Danshen San (Salvia Powder, from *Qianjin Fang*): Treats the extreme condition of excess in sinews (Jin Shi Ji). Symptoms include fullness and distension in both lower limbs, accompanied by pain that prevents long-distance walking. The soles of the feet feel as if cut by a knife, with tearing pain in the sinews that is unbearable.
Ingredients: Danshen Radix et Rhizoma (3 liang), Chuanxiong Rhizoma, Eucommiae Cortex, Dipsaci Radix, Lycii Cortex (2 liang each), Rehmanniae Radix Preparata, Angelicae Sinensis Radix, Tetsii Herba, Cimicifugae Rhizoma, Ophiopogonis Radix, Yuyuli Fructus (2.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Place two "fang cun bi" (a traditional measure) of the powder in a silk bag. Boil the bag in 2 sheng of well water (cold initially). Shake the bag frequently during boiling until the liquid reduces to 1 sheng. Take the decoction in one dose. Administer twice daily.
Dihuang Jian (Rehmannia Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews caused by excess Qi in the Foot Jueyin Meridian. Symptoms include fullness and pain in the soles of the feet, and spasms/tightness of sinews in the four limbs.
Ingredients: Fresh Rehmanniae Radix Juice (6 sheng), Asparagi Radix Juice (3 sheng), Pure Wine (1 sheng), Fresh Zingiberis Rhizoma Juice, White Honey, Cervi Cornu Degelatinatum, Achyranthis Bidentatae Radix, Aurantii Fructus Pericarpium (stir-fried, pith removed).
Preparation and Administration: Slowly simmer to reduce the volume, store in a copper vessel. Take warm on an empty stomach.
Dihuang Jian (Rehmannia Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews. Symptoms include discoloration of fingernails and toenails (blue, yellow, or dark black), spasms/tightness of sinews in the four limbs, and chest stuffiness/distension.
Ingredients: Fresh Rehmanniae Radix Juice (3 sheng), Fresh Puerariae Radix Juice, Fresh Scrophulariae Radix Juice (1 sheng each), Rhei Radix et Rhizoma, Cimicifugae Rhizoma (2 liang each), Ephedrae Herba, Gossampini Semen, Rhinocerotis Cornu.
Preparation and Administration: Strain the dregs, then add remaining ingredients and decoct with soup/water.
Huang Tang (Yellow Soup/Decoction): Treats the extreme condition of excess in sinews. Symptoms include irritability, dry mouth, and restlessness. Its therapeutic method is to regulate sinews, calm anger, and stabilize Qi to the utmost degree.
Ingredients: Huangqin Cortex (crushed), Chuanxiong Rhizoma, Broussonetiae Cortex (thornless variety, crushed 1.5 liang), Atractodis Macrocephalae Rhizoma, Akebiae Caulis (crushed, stir-fried yellow), Paeoniae Radix Alba (2 liang each), Cinnamomi Ramulus (bark removed), Ziziphi Jujubae Fructus (pits removed), Bambusae Folium, Saigae Tataricae Cornu.
Lingyangjiao Tang (Saiga Horn Decoction): Treats the extreme condition of excess in sinews. Symptoms include stiffness and tension of the head and neck, irritability, dry throat, blue nails, and distending pain in the hypochondrium.
Ingredients: Saigae Tataricae Cornu (shaved into flakes), Acanthopanacis Cortex (crushed), Ziziphi Spinosae Semen (stir-fried, 1 liang each), Saposhnikoviae Radix (forks removed), Polyporus (red variety, black skin removed), Chuanxiong Rhizoma, Angelicae Sinensis Radix (stir-fried with bran until yellow), Glycyrrhizae Radix et Rhizoma (roasted, crushed, 0.5 liang each).
Preparation and Administration: Pound and sieve the herbs. Take 3 qian per dose with 1 lamp of water and 3 slices of fresh Zingiberis Rhizoma. Decoct until 70% remains, strain, and take warm. No specific time restriction.
Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction, from *San Yin Fang*): Treats the extreme condition of excess in sinews. Symptoms include cough with pain under both hypochondria, inability to turn the body, fullness in the soles of the feet, inability to walk far, and pain in the soles of the feet.
Ingredients: Fresh Rehmanniae Radix, Rhinocerotis Cornu (shaved into flakes, 1 liang each), Puerariae Radix, Scrophulariae Radix, Gossampini Semen, Cimicifugae Rhizoma (3 fen each), Rhei Radix et Rhizoma (steamed, 0.5 liang), Paeoniae Radix Alba.
Modification: If headache occurs, add Gypsum Fibrosum 0.5 liang.
Wujiapi Tang (Acanthopanacis Cortex Decoction, from *Jisheng Fang*): Treats the extreme condition of excess in sinews. Symptoms include pain under both hypochondria when coughing, inability to turn the body, fullness in the soles of the feet, inability to walk far, and unbearable pain in the soles of the feet.
Ingredients: Notopterygii Rhizoma et Radix (rhizome removed), Saigae Tataricae Cornu (crushed), Paeoniae Radix Rubra, Saposhnikoviae Radix (forks removed), Acanthopanacis Cortex (washed), Gentianae Macrophyllae Radix (rhizome removed), Aurantii Fructus Immaturus (pith removed).
Preparation and Administration: Take warm. No specific time restriction.
Jupi Tongqi Tang (Tangerine Peel Qi-Regulating Decoction, from *Qianjin Fang*): Treats the extreme condition of excess in sinews manifesting as cough. When coughing, there is contracting pain under both hypochondria; severe pain renders the body immobile.
Ingredients: Citri Reticulatae Pericarpium (4 liang), Atractodis Macrocephalae Rhizoma, Gypsum Fibrosum (5 liang), Asari Radix et Rhizoma, Angelicae Sinensis Radix, Cinnamomi Cortex, Polyporus (3 liang each), Fermented Soybean (1 sheng).
Preparation and Administration: Cut the herbs into small pieces. Decoct in 9 sheng of water until 3 sheng remain. Strain. Divide into three doses.