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肉极 · 普济方 · 医典·华经

普济方

肉极153 / 2015

普济方 · 肉极 · 明

古文

（附论）
夫凡肉极者。主脾也。脾应肉。肉多肌合。若脾病则肉变色。又曰。至阴遇病为肌痹。
肌痹
色黄
多
隐
唇口坏。皮肤色变。身体津液脱。腠理开。汗大泄。名曰恶风。而须决其纲纪。知其终始。
阴阳动静。肉之虚实。实则泻之。虚则补之。善疗病者。风始入肉皮毛肌肤筋脉之间。即须
决之。若入六腑五脏。则半生半死。
扁鹊曰。肉绝不治。五日死。何以知之。皮肤不通。外不得泄。凡肉应足太阴。足太阴
气绝
则唇
肉虚者。坐不安席。身危变动。肉实者。坐席不动。喘气。肉虚实之应主于脾。若其腑
脏有
方
大黄汤（出千金方）治肉极虚。体重怠惰。四肢不欲举。关节疼痛。不嗜
饮食。食则咳。
黄桂心巴戟（去心）石斛（酒浸）泽泻茯苓干姜（炮各三两）防风独
活人参
辛（去苗）白术
煎七分。去滓。食前
黄丸（出圣惠方）治肉极虚寒为瘅风。体重怠惰。四肢不欲举。关节疼痛
。不嗜饮食。
黄（二两锉）巴戟（二两）桂心（一两）石斛（一两去根锉）泽泻（一两）白
茯苓（一两）
茱萸（一两）天雄（
术（一两）上为末。炼
蜜和
石楠散（出千金方）治肉实极。肌淫淫如鼠走。津液脱。腠理开。汗大泄。
或不仁。四肢急
石楠（一两一分）天雄（炮去皮脐）山药芍药桃仁（制炒去皮尖）干菊花甘
草（炙各
两）山茱
砂作真珠。无芍药。
枸杞汤治肉极虚劳。寒气所加。体重怠惰。四肢不举。肢节疼痛。饮食减少。
坐卧不安。
枸杞黄（锉炒）附子（炮裂去皮脐各二两）芎人参芍药白茯神（去木）
甘草
（汤浸七次去滑
独活汤（出圣惠方）治肉极。皮肤不通。表实里虚。外不得泄。腰膝疼痛。
独活（一两）当归（一两半）白茯苓（去黑皮一两半）干姜（炮裂锉）人参（去
芦）黄（
桂心附子（炮裂各
温服。
半夏散（出圣惠方）治肉极虚寒。则胁下隐隐引肩背痛。不可以动。动则咳
嗽胀满。留饮痰
半夏（一两汤浸七遍去滑）白术（一两）赤茯苓（一两）人参〔三钱（分）去芦
头〕甘草（
去白瓤焙〕桂心〔三钱
半煨用皮）前胡〔二钱（分）去
三枚。煎六分。去滓。食前温服。忌饴糖
茯苓散（出圣惠方）治肉极。坐卧不安。寒气所加。体重怠惰。四肢不举。
关节疼痛。饮食
白茯苓（二两）黄（二两锉）白芍药白术石斛（一两去根）牛膝（一两去
苗）附子（
为散。每服
石斛散（出圣惠方）治肉极。身体津液大泄为厉风。若下焦虚极。则脚膝缓
弱。并宜服。
石斛（一两半去根锉）牛膝（一两半去苗）五加皮白术山茱萸〔各二（一）两〕
天麻（一两半）甘草（炙微赤锉）桂心附子（炮裂去皮脐）薏苡仁独活防风（去
芦头各一两）
防风散（出圣惠方）治肉极。肌肉变。舌强阴缩。及腰脚疼弱。
防风（去芦）独活白茯苓（各一两半）人参（去芦）干姜（炮裂锉）五加皮甘
草（炙微
每服四钱匕
石楠散（出圣惠方）治肉极。则身上如鼠走。或风痹唇口坼。皮肤色变。宜
服。
石楠（二两半）薯蓣黄（锉）山茱萸〔各二（三分）两〕天雄（炮裂去皮脐）
桃花（各
上为散。
食前
人参丸（出圣惠方）治肉极。四肢急强。连胁肋背心下满痛。饮食不多。手
足不举。忧恚思
人参〔二（三）两去芦头〕附子〔三两（分）炮裂去皮脐〕远志（半两去心）白
术茯神
（三分）炮裂锉）
如梧桐子大。食前温酒下三十丸
薏苡仁散（出圣惠方）治肉实极。肌肤淫淫如鼠走。津液开泄。或麻痹不仁
。四肢急痛。
薏苡仁石膏（）川芎桂心（不见火）防风（去芦）汉防己羚羊角（镑）赤
芍药
杏
去
滓温服。不拘时服。忌生冷油腻毒滑鱼肉。一方有当归一两。
半夏汤（出医方大成）治肉虚极。体重。胁引肩背不可以动。动则咳嗽胀满
。留饮痰癖。大
半夏（汤浸七次）白术茯苓（去皮）人参橘皮（去白）附子（炮去皮脐）木
香（不见火）
半。姜五片。煎
续命汤（出千金方）治肉极虚热。肌痹淫淫如鼠走。津液开泄汗出。或痹不
仁。四肢急痛。
麻黄（去根节一两半）当归（锉焙）石膏（碎各一两）桂（去粗皮）甘草（炙
锉）黄芩（去
（半两）上除
去滓空心温服。日晚
人参丸治肉极虚寒。四肢怠惰。咳引胁肋下满痛。手足厥冷不嗜食。
人参（一两五钱）附子〔炮去皮脐三两（分）〕干姜〔炮三两（分）〕远志（去心
半两）麦
心〔五钱（分）〕甘
子大。每一丸含化。细细咽津。觉
麻黄汤（出千金方）治肉极热。肌痹淫淫如鼠走。身上津液脱。腠理开。汗
大泄。为痹风。
麻黄（去根节）枳实（去瓤麸炒）防风（一作防己）白术细辛（去苗叶一两）石
膏（碎四
豆。每服五钱匕
小防风引汤疗肉极寒。肌肉变。舌痿。名曰恶风。腰脚疼弱。
独活防风茯苓甘草（炙）人参（各三两）当归干姜（各二两）附子（一
枚炮）大豆（二升熬去皮）上以水一斗。酒三升。煮取二升。去滓。分四服。日三夜一。
忌猪肉、冷水
半夏汤治肉极脾虚寒。右胁下痛。阴阴引肩背痛。不可以动。动则咳。腹胀满
。留饮痰癖
半夏（汤浸去滑焙三两）白术赤茯苓（去黑皮）人参甘草（炙锉）附子（炮
裂去皮脐）
一盏半。入生姜半
半夏汤（出千金方）治肉极实。坐席不安。不能动作。喘气主脾病。热气所
加。关格。
半夏宿姜（各八两）杏仁（五两）细辛橘皮（各四两）麻黄（一两）石膏
（七两）射干
越婢汤（出千金方）治肉极热。身体津液脱。腠理开。汗大泄。下焦痿弱。\x
麻黄（去根节三分）石膏〔三（二）两碎〕甘草（炙锉一两）附子〔一（二）两
炮裂去皮脐〕
一盏。去滓。

白话

（附论）
凡是肉极这种病，主要与脾脏有关。脾对应肌肉，肌肉由肌腠相合而成。如果脾脏生病，肌肉的颜色就会发生改变。又说，至阴之脏遇到邪气致病称为肌痹。
症状表现为面色发黄、身体沉重、隐痛不适、口唇溃烂、皮肤颜色改变、身体津液耗脱、腠理开泄、大汗淋漓，这叫做恶风。治疗必须把握纲领，了解疾病的始终。
根据阴阳动静，辨别肌肉的虚实。实证用泻法，虚证用补法。善于治病的人，在风邪刚刚侵入皮毛肌肤筋脉之间时，就必须决断并治疗它。如果病邪进入六腑五脏，则病情半生半死，难以治愈。
扁鹊说：肉绝症无法治疗，五天后死亡。怎么知道的呢？因为皮肤闭塞不通，邪气外不得宣泄。凡肌肉的病应归属于足太阴脾经。足太阴脾气绝，则嘴唇萎缩无肉；肌肉虚弱的，坐卧不安，身体危险且变动不定；肌肉实盛的，坐席不动，气喘吁吁。肌肉虚实的变化主要反映在脾脏。如果脏腑有病变，可用以下方剂治疗。

大黄汤（出自《千金方》）：治疗肉极虚证。症状为体重倦怠懒惰，四肢不想抬起，关节疼痛，食欲不振，进食后咳嗽。
组成：黄芪、桂心、巴戟天（去心）、石斛（酒浸）、泽泻、茯苓、干姜（炮制，各三两）、防风、独活、人参、细辛（去苗）、白术。
煎服法：水煎取七分汁，去渣滓。饭前温服。

黄芪丸（出自《圣惠方》）：治疗肉极虚寒引起的瘅风。症状为体重倦怠懒惰，四肢不想抬起，关节疼痛，食欲不振。
组成：黄芪（二两，锉碎）、巴戟天（二两）、桂心（一两）、石斛（一两，去根锉碎）、泽泻（一两）、白茯苓（一两）、山茱萸（一两）、天雄（炮制）、白术（一两）。
制作与服用：上药研为末，炼蜜和丸。

石楠散（出自《千金方》）：治疗肉极实证。症状为肌肉感觉异常如鼠走窜，津液耗脱，腠理开泄，大汗淋漓，或肢体麻木不仁，四肢拘急。
组成：石楠（一两一分）、天雄（炮制去皮脐）、山药、芍药、桃仁（制炒去皮尖）、干菊花、甘草（炙，各...两）、山茱萸...砂作真珠状。若无芍药亦可。
服用：食前服。

枸杞汤：治疗肉极虚劳，寒气侵袭。症状为体重倦怠懒惰，四肢不能抬起，肢节疼痛，饮食减少，坐卧不安。
组成：枸杞子、黄芪（锉炒）、附子（炮裂去皮脐，各二两）、川芎、人参、芍药、白茯神（去木）、甘草（汤浸七次去滑...）。
服用：...

独活汤（出自《圣惠方》）：治疗肉极。症状为皮肤闭塞不通，表实里虚，邪气外不得宣泄，腰膝疼痛。
组成：独活（一两）、当归（一两半）、白茯苓（去黑皮一两半）、干姜（炮裂锉碎）、人参（去芦）、黄芪（...）、桂心、附子（炮裂，各...）。
服用：温服。

半夏散（出自《圣惠方》）：治疗肉极虚寒。症状为胁下隐隐作痛牵引肩背，不能活动，活动则咳嗽胀满，留饮痰癖。
组成：半夏（一两，汤浸七遍去滑）、白术（一两）、赤茯苓（一两）、人参〔三钱（分），去芦头〕、甘草（...去白瓤焙）、桂心〔三钱...半煨用皮〕、前胡〔二钱（分），去...〕、生姜三枚。
煎服法：水煎六分汁，去渣滓。饭前温服。忌饴糖。

茯苓散（出自《圣惠方》）：治疗肉极。症状为坐卧不安，寒气侵袭，体重倦怠懒惰，四肢不能抬起，关节疼痛，饮食...
组成：白茯苓（二两）、黄芪（二两，锉碎）、白芍药、白术、石斛（一两，去根）、牛膝（一两，去苗）、附子（...）。
制作与服用：研为散剂。每服...

石斛散（出自《圣惠方》）：治疗肉极。症状为身体津液大量泄出导致厉风。若下焦虚极，则脚膝软弱无力，均宜服用。
组成：石斛（一两半，去根锉碎）、牛膝（一两半，去苗）、五加皮、白术、山茱萸〔各二（一）两〕、天麻（一两半）、甘草（炙微赤锉）、桂心、附子（炮裂去皮脐）、薏苡仁、独活、防风（去芦头，各一两）。
服用：...

防风散（出自《圣惠方》）：治疗肉极。症状为肌肉变形，舌强直，阴器收缩，以及腰脚疼痛软弱。
组成：防风（去芦）、独活、白茯苓（各一两半）、人参（去芦）、干姜（炮裂锉碎）、五加皮、甘草（炙微...）。
服用：每服四钱匕。

石楠散（出自《圣惠方》）：治疗肉极。症状为身上感觉如鼠走窜，或风痹致口唇开裂，皮肤颜色改变，宜服用。
组成：石楠（二两半）、薯蓣、黄芪（锉）、山茱萸〔各二（三分）两〕、天雄（炮裂去皮脐）、桃花（各...）。
制作与服用：上药研为散剂。食前服。

人参丸（出自《圣惠方》）：治疗肉极。症状为四肢拘急强直，连及胁肋背心下部满痛，饮食不多，手足不能抬起，忧恚思虑...
组成：人参〔二（三）两，去芦头〕、附子〔三两（分），炮裂去皮脐〕、远志（半两，去心）、白术、茯神（...三分），炮裂锉）。
制作与服用：如梧桐子大。饭前温酒送下三十丸。

薏苡仁散（出自《圣惠方》）：治疗肉极实证。症状为肌肤感觉异常如鼠走窜，津液开泄，或麻痹不仁，四肢急痛。
组成：薏苡仁、石膏（...）、川芎、桂心（不见火）、防风（去芦）、汉防己、羚羊角（镑）、赤芍药...杏仁...
服用：去渣滓温服。不拘时候服用。忌生冷油腻毒滑鱼肉。一方中有当归一两。

半夏汤（出自《医方大成》）：治疗肉虚极。症状为体重，胁部牵引肩背不可活动，活动则咳嗽胀满，留饮痰癖。
组成：半夏（汤浸七次）、白术、茯苓（去皮）、人参、橘皮（去白）、附子（炮去皮脐）、木香（不见火）...
煎服法：...半，姜五片，煎...

续命汤（出自《千金方》）：治疗肉极虚热，肌痹感觉如鼠走窜，津液开泄出汗，或痹症麻木不仁，四肢急痛。
组成：麻黄（去根节一两半）、当归（锉焙）、石膏（碎，各一两）、桂（去粗皮）、甘草（炙锉）、黄芩（去...）...（半两）。
制作与服用：上除...去渣滓，空心温服。日晚...

人参丸：治疗肉极虚寒。症状为四肢倦怠懒惰，咳嗽牵引胁肋下满痛，手足厥冷，食欲不振。
组成：人参（一两五钱）、附子〔炮去皮脐三两（分）〕、干姜〔炮三两（分）〕、远志（去心半两）、麦门冬（...心〔五钱（分）〕、甘草...
制作与服用：如...子大。每一丸含化，细细咽津，觉...

麻黄汤（出自《千金方》）：治疗肉极热证，肌痹感觉如鼠走窜，身上津液耗脱，腠理开泄，大汗淋漓，成为痹风。
组成：麻黄（去根节）、枳实（去瓤麸炒）、防风（一作防己）、白术、细辛（去苗叶一两）、石膏（碎四...豆。每服五钱匕。

小防风引汤：治疗肉极寒证。症状为肌肉变形，舌痿软，名叫恶风，腰脚疼痛软弱。
组成：独活、防风、茯苓、甘草（炙）、人参（各三两）、当归、干姜（各二两）、附子（一枚，炮）、大豆（二升，熬去皮）。
煎服法：上以水一斗，酒三升，煮取二升，去渣滓。分四服，日三夜一。忌猪肉、冷水。

半夏汤：治疗肉极脾虚寒。症状为右胁下痛，隐隐牵引肩背痛，不可活动，活动则咳嗽，腹胀满，留饮痰癖。
组成：半夏（汤浸去滑焙三两）、白术、赤茯苓（去黑皮）、人参、甘草（炙锉）、附子（炮裂去皮脐）...
煎服法：一盏半，入生姜半...

半夏汤（出自《千金方》）：治疗肉极实证。症状为坐席不安，不能动作，气喘，主因脾病，热气所加，关格。
组成：半夏、宿姜（各八两）、杏仁（五两）、细辛、橘皮（各四两）、麻黄（一两）、石膏（七两）、射干...
服用：...

越婢汤（出自《千金方》）：治疗肉极热证。症状为身体津液耗脱，腠理开泄，大汗淋漓，下焦痿弱。
组成：麻黄（去根节三分）、石膏〔三（二）两，碎〕、甘草（炙锉一两）、附子〔一（二）两，炮裂去皮脐〕...
煎服法：一盏，去渣滓。

英文

(Attached Discussion)
Generally, "Rou Ji" (Muscle Extremis Disease) is primarily associated with the Spleen. The Spleen corresponds to muscles, and muscles are formed by the integration of muscle tissue and interstitial spaces. If the Spleen is diseased, the color of the muscles changes. It is also said that when the organ of Extreme Yin encounters pathogenic factors, it results in "Ji Bi" (Muscle Bi Syndrome).
Symptoms include yellowish complexion, heaviness of the body, hidden pain, disintegration of lips and mouth, alteration of skin color, depletion of body fluids, opening of cou li (pores), and profuse sweating. This condition is named "E Feng" (Aversion to Wind). Treatment must grasp the general principles and understand the beginning and end of the disease.
Based on Yin and Yang dynamics, distinguish the deficiency and excess of muscles. For excess conditions, use draining methods; for deficiency conditions, use tonifying methods. A skilled healer must intervene and treat as soon as wind pathogens enter the exterior layers of skin, hair, muscle, and sinews. If the pathogen enters the Six Fu Organs or Five Zang Organs, the prognosis is half-life and half-death.
Bian Que stated: "Rou Jue" (Muscle Exhaustion) is incurable, leading to death within five days. How do we know this? Because the skin becomes obstructed, preventing the external release of pathogens. Generally, muscle diseases correspond to the Foot Taiyin Spleen Meridian. When the Qi of the Foot Taiyin Spleen is exhausted, the lips lose flesh. In cases of muscle deficiency, patients cannot sit comfortably on their mats, and their bodies are in a critical and unstable state. In cases of muscle excess, patients remain seated without moving and suffer from panting. The manifestation of muscle deficiency or excess is mainly governed by the Spleen. If there are pathological changes in the Zang-Fu organs, the following formulas may be used.

Dahuang Tang (Cassia Twig Decoction, from *Qianjin Fang*): Treats Rou Ji deficiency. Symptoms include heavy body, lethargy, unwillingness to lift the limbs, joint pain, anorexia, and coughing after eating.
Ingredients: Huangqi (Astragali Radix), Guixin (Cinnamomi Cortex), Bajitian (Morindae Officinalis Radix, heart removed), Shihu (Dendrobii Caulis, soaked in wine), Zexie (Alismatis Rhizoma), Fuling (Poria), Ganjiang (Zingiberis Rhizoma, processed, each 3 liang), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Renshen (Ginseng Radix), Xixin (Asari Radix et Rhizoma, seedlings removed), Baizhu (Atractylodis Macrocephalae Rhizoma).
Decoction and Administration: Decoct in water to obtain 7/10 volume, remove dregs. Take warm before meals.

Huangqi Wan (Astragalus Pill, from *Shenghui Fang*): Treats Dan Feng (Hot Wind) caused by Rou Ji deficiency-cold. Symptoms include heavy body, lethargy, unwillingness to lift the limbs, joint pain, and anorexia.
Ingredients: Huangqi (2 liang, crushed), Bajitian (2 liang), Guixin (1 liang), Shihu (1 liang, root removed and crushed), Zexie (1 liang), Bai Fuling (1 liang), Shanzhuyu (Corni Fructus, 1 liang), Tianxiong (Aconiti Lateralis Radix Praeparata, processed), Baizhu (1 liang).
Preparation and Administration: Grind the above herbs into powder, mix with refined honey to form pills.

Shinan San (Ficus Root Powder, from *Qianjin Fang*): Treats Rou Ji excess. Symptoms include abnormal sensations in muscles like mice running, depletion of body fluids, open cou li, profuse sweating, numbness or insensitivity of limbs, and limb stiffness.
Ingredients: Shinan (Fici Radix, 1 liang 1 fen), Tianxiong (processed, skin and umbilicus removed), Shanyao (Dioscoreae Rhizoma), Shaoyao (Paeoniae Radix), Taoren (Pruni Semen, processed, fried, skin and tip removed), Ganjuhua (Chrysanthemi Flos), Gancao (Licorice Root, roasted, each ... liang), Shanzhuyu... shaped like pearls. Shaoyao may be omitted if unavailable.
Administration: Take before meals.

Gouqi Tang (Lycium Fruit Decoction): Treats Rou Ji deficiency-wasting due to cold pathogen invasion. Symptoms include heavy body, lethargy, inability to lift limbs, joint pain, reduced appetite, and restlessness in sitting or lying down.
Ingredients: Gouqizi (Lycii Fructus), Huangqi (crushed and fried), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed, each 2 liang), Xiong (Ligustici Chuanxiong Rhizoma), Renshen, Shaoyao, Bai Fushen (Poria with hostwood removed), Gancao (soaked in decoction seven times to remove slipperiness)...
Administration: ...

Duhuo Tang (Angelica Pubescens Decoction, from *Shenghui Fang*): Treats Rou Ji. Symptoms include obstructed skin, exterior excess and interior deficiency, inability to release pathogens externally, and pain in waist and knees.
Ingredients: Duhuo (1 liang), Danggui (Angelicae Sinensis Radix, 1.5 liang), Bai Fuling (without black skin, 1.5 liang), Ganjiang (cracked and crushed), Renshen (rhizome removed), Huangqi (...), Guixin, Fuzi (cracked, each ...).
Administration: Take warm.

Banxia San (Pinellia Powder, from *Shenghui Fang*): Treats Rou Ji deficiency-cold. Symptoms include dull pain under the hypochondrium radiating to shoulder and back, immobility, coughing and distension upon movement, retained fluid, and phlegm masses.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, soaked in water seven times to remove slipperiness), Baizhu (1 liang), Chi Fuling (Red Poria, 1 liang), Renshen [3 qian (fen), rhizome removed], Gancao (... white pith removed and baked), Guixin [3 qian... half, simmered using bark], Qianhu (Peucedani Radix) [2 qian (fen), ... removed], Shengjiang (Fresh Ginger, 3 pieces).
Decoction and Administration: Decoct to 6/10 volume, remove dregs. Take warm before meals. Avoid maltose.

Fuling San (Poria Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include restlessness in sitting or lying down, cold pathogen invasion, heavy body, lethargy, inability to lift limbs, joint pain, and dietary issues...
Ingredients: Bai Fuling (2 liang), Huangqi (2 liang, crushed), Baishaoyao (White Peony Root), Baizhu, Shihu (1 liang, root removed), Niuxi (Achyranthis Bidentatae Radix, 1 liang, seedlings removed), Fuzi (...).
Preparation and Administration: Grind into powder. Each dose...

Shihu San (Dendrobium Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include massive leakage of body fluids leading to Li Feng (Malignant Wind). If the Lower Jiao is extremely deficient, legs and knees become weak and flaccid. All these conditions should take this formula.
Ingredients: Shihu (1.5 liang, root removed and crushed), Niuxi (1.5 liang, seedlings removed), Wujia Pi (Acanthopanacis Cortex), Baizhu, Shanzhuyu [each 2 (1) liang], Tianma (Gastrodiae Rhizoma, 1.5 liang), Gancao (roasted until slightly red and crushed), Guixin, Fuzi (processed, skin and umbilicus removed), Yiyiren (Coicis Semen), Duhuo, Fangfeng (rhizome removed, each 1 liang).
Administration: ...

Fangfeng San (Saposhnikovia Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include muscle deformation, stiff tongue, retraction of the yin organ, and pain and weakness in waist and feet.
Ingredients: Fangfeng (rhizome removed), Duhuo, Bai Fuling (each 1.5 liang), Renshen (rhizome removed), Ganjiang (processed, cracked and crushed), Wujia Pi, Gancao (roasted until slightly...).
Administration: Each dose 4 qian bi.

Shinan San (Ficus Root Powder, from *Shenghui Fang*): Treats Rou Ji. Symptoms include sensations on the body like mice running, or wind-bi causing cracking of lips and mouth, and alteration of skin color. It is suitable for taking.
Ingredients: Shinan (2.5 liang), Shuyu (Dioscoreae Rhizoma), Huangqi (crushed), Shanzhuyu [each 2 (3 fen) liang], Tianxiong (processed, skin and umbilicus removed), Taohua (Peach Blossom, each...).
Preparation and Administration: Grind the above herbs into powder. Take before meals.

Renshen Wan (Ginseng Pill, from *Shenghui Fang*): Treats Rou Ji. Symptoms include stiffness and rigidity of limbs, fullness and pain extending to hypochondrium, back, and lower abdomen, scanty diet, inability to lift hands and feet, and distress/worry/thinking...
Ingredients: Renshen [2 (3) liang, rhizome removed], Fuzi [3 liang (fen), processed, skin and umbilicus removed], Yuanzhi (Polygalae Radix, 0.5 liang, heart removed), Baizhu, Fushen (Poria with hostwood, ... 3 fen), processed and crushed).
Preparation and Administration: Form pills the size of paulownia seeds. Take 30 pills with warm wine before meals.

Yiyiren San (Coix Seed Powder, from *Shenghui Fang*): Treats Rou Ji excess. Symptoms include abnormal sensations in skin and muscles like mice running, open and leaking body fluids, numbness or insensitivity, and acute pain in limbs.
Ingredients: Yiyiren (Coicis Semen), Shigao (Gypsum Fibrosum, ...), Chuanxiong, Guixin (do not see fire), Fangfeng (rhizome removed), Han Fangji (Stephaniae Tetrandrae Radix), Lingyangjiao (Antelopi Cornu, shaved), Chi Shaoyao... Xingren...
Administration: Remove dregs and take warm. Take at any time. Avoid raw, cold, greasy, toxic, slippery fish and meat. One prescription includes Danggui 1 liang.

Banxia Tang (Pinellia Decoction, from *Yifang Dacheng*): Treats extreme muscle deficiency. Symptoms include heavy body, hypochondriac pain radiating to shoulder and back preventing movement, coughing and distension upon movement, retained fluid, and phlegm masses.
Ingredients: Banxia (soaked in water seven times), Baizhu, Fuling (skin removed), Renshen, Jupi (Tangerine Peel, white pith removed), Fuzi (processed, skin and umbilicus removed), Muxiang (Aucklandiae Radix, do not see fire)...
Decoction and Administration: ... half, 5 slices of ginger, decoct...

Xuming Tang (Continuing Life Decoction, from *Qianjin Fang*): Treats Rou Ji deficiency-heat, Ji Bi with sensations like mice running, leaking body fluids and sweating, or bi syndrome with numbness and insensitivity, and acute pain in limbs.
Ingredients: Mahuang (Ephedrae Herba, root and joints removed, 1.5 liang), Danggui (crushed and baked), Shigao (crushed, each 1 liang), Gui (Cinnamomi Ramulus, rough bark removed), Gancao (roasted and crushed), Huangqin (Scutellariae Radix, removed...)... (0.5 liang).
Preparation and Administration: Above except... Remove dregs and take warm on an empty stomach. In the evening...

Renshen Wan: Treats Rou Ji deficiency-cold. Symptoms include lethargy of limbs, cough radiating to fullness and pain below hypochondrium, cold extremities, and anorexia.
Ingredients: Renshen (1.5 liang), Fuzi [processed, skin and umbilicus removed, 3 liang (fen)], Ganjiang [processed, 3 liang (fen)], Yuanzhi (heart removed, 0.5 liang), Maidong (Ophiopogonis Radix, ... heart [5 qian (fen)]), Gancao...
Preparation and Administration: Size of... pill. Take one pill, let it dissolve in the mouth, swallow saliva slowly, feel...

Mahuang Tang (Ephedra Decoction, from *Qianjin Fang*): Treats Rou Ji heat syndrome, Ji Bi with sensations like mice running, depletion of body fluids, open cou li, profuse sweating, becoming Bi Feng.
Ingredients: Mahuang (root and joints removed), Zhishi (Immature Bitter Orange, pulp and bran removed, stir-fried), Fangfeng (alternatively Fangji), Baizhu, Xixin (seedlings and leaves removed, 1 liang), Shigao (crushed 4... beans. Each dose 5 qian bi.

Xiao Fangfeng Yin Tang (Minor Saposhnikovia Guiding Decoction): Treats Rou Ji cold syndrome. Symptoms include muscle deformation, flaccid tongue, named E Feng, and pain and weakness in waist and feet.
Ingredients: Duhuo, Fangfeng, Fuling, Gancao (roasted), Renshen (each 3 liang), Danggui, Ganjiang (each 2 liang), Fuzi (1 piece, processed), Dadou (Soybean, 2 sheng, roasted and skin removed).
Decoction and Administration: Add 1 dou of water and 3 sheng of wine to the above, boil to obtain 2 sheng, remove dregs. Divide into four doses, three times during the day and once at night. Avoid pork and cold water.

Banxia Tang: Treats Rou Ji Spleen deficiency-cold. Symptoms include pain under the right hypochondrium, dull pain radiating to shoulder and back, immobility, coughing upon movement, abdominal distension, retained fluid, and phlegm masses.
Ingredients: Banxia (soaked in water to remove slipperiness and baked, 3 liang), Baizhu, Chi Fuling (black skin removed), Renshen, Gancao (roasted and crushed), Fuzi (processed, cracked, skin and umbilicus removed)...
Decoction and Administration: 1 zhan 1.5, add half of ginger...

Banxia Tang (from *Qianjin Fang*): Treats Rou Ji excess. Symptoms include restlessness on the mat, inability to move, panting, primarily due to Spleen disease aggravated by heat qi, Guan Ge (Obstruction and Reversal).
Ingredients: Banxia, Su Jiang (Aged Ginger, each 8 liang), Xingren (Apricot Seed, 5 liang), Xixin, Jupi (Tangerine Peel, each 4 liang), Mahuang (1 liang), Shigao (7 liang), Shegan (Belamcandae Rhizoma)...
Administration: ...

Yebing Tang (Yellow Beast Decoction, from *Qianjin Fang*): Treats Rou Ji heat syndrome. Symptoms include depletion of body fluids, open cou li, profuse sweating, and weakness of the Lower Jiao.
Ingredients: Mahuang (root and joints removed, 3 fen), Shigao [3 (2) liang, crushed], Gancao (roasted and crushed, 1 liang), Fuzi [1 (2) liang, processed, cracked, skin and umbilicus removed]...
Decoction and Administration: 1 zhan, remove dregs.