徐先生 精气神者，人身之三宝也。论先天之生化，则精生气，气生神；论后天之运用，则神役气，气役
精。人身五脏，各有所藏，心藏神，肾藏精，精藏于肾，而主于心，心君泰然，肾精不动，是为平人。尊体气阴
两亏，坎离失济，心虚易动，肾虚不藏，神动于中，精驰于下，此梦遗旧恙所由起也。递进膏滋，遗泄渐减，药
能应手，未始无功。惟是补牢已晚，亡羊难复，久遗之后，肾阴大伤。肾者主骨，骨中有髓，肾之精也。腰为
肾之外候，脊乃肾之道路，肾精走失，骨髓空虚，脊痛腰酸，在所必见。肝为乙木，中寄阳魂，胆为甲木，内含相
火。肾水既亏，岂能涵木，木失所养，水走火飞，相火不能潜藏，肝阳易于上亢。清空不空，则为头眩；清窍阻
塞，则为耳鸣。阴虚于下，火浮于上，上实下虚，亦势所必然矣。症势各类，治本一途，挈要提纲，补精为重。
补精必安其神，安神必益其气，治病必求其本也。壮水以涵其木，滋阴以潜其阳，子虚补母，乃古法也。仍宗
前意，再订新方，补气安神，育阴固摄，仿乙癸同源之
治，为坎离固济之谋，复入血肉有情，填益精髓，复元精之走失，补奇脉之空虚，为日就月将之功，作一劳永逸
之计。是否有当，即正高明。
台参须（一两五钱） 潞党参（三两） 大熟地（砂仁拌，六两） 炙绵 （四两） 炒淮药（二两） ）
朱茯神（三两） 酸枣仁（三两） 炙远志肉（一两） 清炙草（六钱） 明天冬（二两） 大麦冬（二两）
浓杜仲（盐水炒，三两） 甘杞子（二两） 川断肉（盐水炒，二两） 桑椹子（三两） 制首乌（四两） 陈广皮
（一两） 仙半夏（二两） 北秫米（炒，包，三两） 宁子淡（四两） 牡蛎（四两） 紫贝齿（四两）
紫石英（三两） 胡桃肉（盐水炒，去紫衣，二十枚） 五味子（六钱） 金樱子（包，一两） 剪芡实（三两）
川黄柏（一两） 熟女贞（二两） 猪脊髓（酒洗，二十条） 红枣（四两） 鳔胶（二两，溶化收膏）
上药煎四次，取浓汁，加龟版胶四两，清阿胶四两，
均用陈酒炖烊，再将鳔胶和入，白文冰半斤溶化收成膏。每早晚各服二匙，均用开水化服。如遇伤
风停滞等症，暂缓再服可也。
罗先生 始患痔漏，继则不寐，痔漏伤阴，阴伤及气，气阴不足，气不能配阳，阴虚及阳，故为不寐。不寐
之因甚多，而大要不外乎心肾。离中一阴，是为阴根，阴根下降，是生水精。坎中一阳，是为阳根，阳根上升，
则为火母。坎离交济，水火协和，阳入于阴则为寐，阳出于阴则为寤也。肾阴不足，水不济火，心火不能下通
于肾，肾阴不能上济于心，阳精不升，水精不降，阴阳不交，则为不寐，此不寐之本也。肝为乙木，内寄阳魂，胆
为甲木，内含相火。平人夜寐，魂归于肝，阳藏于阴也。肾阴亏耗，水不涵木，肝不能藏其阳魂，胆不能秘
其相火，神惊火浮，亦为不寐，此不寐之兼见也。离处中宫，坎居下极，位乎中而职司升降者脾胃也。胃以通
为补，脾以健为运，胃失流通，中宫阻塞，不能职司升降，上下之路隔绝，欲求心肾之交，不亦难乎。故经云∶
胃不和则卧不安，胃不和者，不寐之标也。道书云∶离为中女，坎为中男，而为之媒介者坤土也，是为黄婆，其
斯之谓乎。错综各说，奇偶制方，益气以吸阳根，育阴以滋水母，升戊降己，取坎填离，益气即所以安神，育阴
亦兼能涵木，标本同治，以希弋获，是否有当，即正高明。
清炙黄 （四两） 上潞党参（四两） 仙半夏（二两） 大生地（四两） 抱茯神（朱砂拌，三两）
大熟地（四两） 炙远志肉（一两） 清炙草（六钱） 酸枣仁（三两） 北秫米（包）
（三两） 明天冬（一两五钱） 大麦冬（一两五钱） 炒淮药（二两） 甘杞子（二两） 生牡蛎（四两）
广橘白（一两） 白归身（三两） 大白芍（三两） 花龙骨（二两） 青龙齿（二两） 紫石英（三两）
炙鳖甲（三两） 川石斛（三两） 马料豆（三两） 潼蒺藜（三两） 紫丹参（二两） 川贝母（二两，去心
另研末收膏） 制首乌（六两） 合欢花（一两五钱） 莲子（二两） 红枣（六两） 鸡子黄（十枚，另打搅收膏）
上药煎四次，取浓汁，加龟版膏（四两），清阿胶（四两），均用陈酒炖化，白冰糖半斤溶化。再将川贝、鸡子黄，
根据次加入，搅和收膏。每早晚各服二匙，均用白开水冲服。如遇伤风停滞等症，暂缓再服可也。
张先生 每冬必咳，气急不平，天暖则轻，遇寒则甚，此阳虚留饮为患也。阳为天道，阴为地道，人生贱
阴而贵阳。经云∶阳气者，若天与日，失其所则折寿而不彰。素体阳虚，脾肾两病，肾虚水泛，脾虚湿聚，水湿
停留，积生痰饮，年深不化，盘踞成窠，阻塞气机，据为山险。上碍肺金右降之路，下启冲气上逆之机，不降不
纳，遂为气急。饮为阴邪，遇寒则阴从阳属，虎借风威，遇暖则阴弱阳强，邪势渐杀矣。痰饮生源于土湿，土湿
本源于水寒，欲化其痰，先燥土湿，欲燥土湿，先温水寒，书所谓外饮治脾，内饮治肾也。肺主气，胃为化气
之源，肾为纳气之窟。肺之不降，责之肾纳，肾之不纳，责之火衰。欲降其肺，先和其胃，欲纳其肾，先温其阳，
书所谓上喘治肺，下喘治肾是也。症属阳虚，药宜温补。今拟温肾纳气，温肾则所以强脾，和胃降逆，和胃
功兼肃肺。但得土温水暖，饮无由生，胃降金清，气当不逆，气平饮化，咳自愈矣。症涉根本，药非一蹴能治，
仿前贤方乃三思而定，略述病由，以便裁夺。
别直参（三两） 云茯苓（四两） 潜于术（三两） 清炙黄 （三两） 清炙草（八钱） 炙远志肉（一两）
大熟地（四两） 川桂枝（六钱） 五味子（八钱，淡干姜四钱同捣） 熟附块（一两） 川贝母（三两）
甜光杏（三两） 蛤蚧尾（酒洗，五对） 砂仁末（八钱） 范志曲（三两） 陈广皮（一两） 仙半夏（三两）
旋复花（包，一两五钱） 代赭石（ ，四两） 补骨脂（二两） 核桃肉（二十枚，二味拌炒） 炙白苏子（二两）
淮山药（三两） 山萸肉（三两） 福泽泻（一两五钱） 浓杜仲（三两） 川断肉（三两） 甘杞子（三两）
上药煎四次，取极浓汁，加鹿角胶（四两），龟版胶（四两），均用陈酒炖烊，白冰糖（半斤），溶化收膏。
每早服（三钱），临卧时服（三钱），均用开水冲服。如遇伤风停滞等，暂缓再服可也。
Mr. Xu
Essence (Jing), Qi, and Spirit (Shen) are the three treasures of the human body. Regarding the biochemical generation of congenital constitution, Essence generates Qi, and Qi generates Spirit; regarding the functional application of acquired constitution, Spirit commands Qi, and Qi commands Essence. The five Zang organs of the human body each store specific substances: the Heart stores Spirit, and the Kidney stores Essence. Essence is stored in the Kidney but is governed by the Heart. If the Heart Sovereign is tranquil and stable, and Kidney Essence remains unmoved, this constitutes a state of health and balance. Your constitution presents with deficiency of both Qi and Yin, resulting in a failure of mutual assistance between Kan (Kidney/Water) and Li (Heart/Fire). Due to Heart Qi deficiency, one is easily agitated; due to Kidney deficiency, there is a failure to secure and contain. Spirit moves restlessly within, and Essence escapes downwards; this is the origin of the old ailment of nocturnal emission. Previously, with the progressive administration of tonic paste, emissions gradually decreased, and the medicine responded effectively, which was not without merit. However, mending the pen after the sheep is lost is too late, and once lost, the sheep cannot be recovered. After prolonged emissions, Kidney Yin has been severely damaged. The Kidney governs the bones, and marrow resides within the bones; marrow is the essence of the Kidney. The waist is the external manifestation of the Kidney, and the spine is the pathway of the Kidney channel. With the loss of Kidney Essence and emptiness of bone marrow, back pain and soreness of the waist are inevitably seen. The Liver belongs to Yi Wood, housing the Yang Soul within; the Gallbladder belongs to Jia Wood, containing Ministerial Fire within. Since Kidney Water is deficient, how can it nourish Liver Wood? When Liver Wood loses its nourishment, Water fails to control Fire, Ministerial Fire fails to submerge, and Liver Yang tends to ascend. When the clear space of the head is not clear, dizziness occurs; when the orifices are obstructed, tinnitus results. Yin deficiency below and floating fire above lead to excess above and deficiency below, which is also inevitable. Although symptoms vary, treating the root is the only path. Grasping the key outline, tonifying Essence is paramount. To tonify Essence, one must calm the Spirit; to calm the Spirit, one must benefit Qi; treating disease requires seeking its root. Strengthening Water to nourish Wood, and nourishing Yin to submerge Yang, tonifying the Mother when the Child is deficient—this is an ancient method. Adhering to the previous intent, a new prescription is formulated again: benefiting Qi and calming the Spirit, nourishing Yin and securing containment. Imitating the treatment principle of "Yi-Gui Tong Yuan" (Liver-Kidney sharing the same source), planning for the solidification and mutual assistance of Kan and Li, adding substances from animals and humans (flesh-and-blood sentient beings) to fill and replenish essence and marrow, restoring lost primordial essence, and supplementing the emptiness of the Eight Extraordinary Vessels. This aims for gradual daily improvement and a permanent solution. Whether appropriate, please correct me, you who are highly knowledgeable.
Taishenxu (Ginseng Radix Tendril, 1 liang 5 qian), LuDangshen (Codonopsis Radix, 3 liang), Da Shudi (Rehmanniae Radix Preparata, mixed with Amomi Fructus, 6 liang), Zhi Huangqi (Astragali Radix Preparata, 4 liang), Chao Huaiyao (Dioscoreae Rhizoma, 2 liang), Zhu Fushen (Poria with Cinnabaris, 3 liang), Suanzaoren (Ziziphi Spinosae Semen, 3 liang), Zhi Yuanzhi Rou (Polygalae Radix Preparata, 1 liang), Qing Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 6 qian), Ming Tiandong (Asparagi Radix, 2 liang), Da Maidong (Ophiopogonis Radix, 2 liang), Nong Duzhong (Eucommiae Cortex, stir-fried with salt water, 3 liang), Gan Qizi (Lycii Fructus, 2 liang), Chuan Duanyu Rou (Drynariae Rhizoma, stir-fried with salt water, 2 liang), Sangshenzi (Mori Fructus, 3 liang), Zhi Shouwu (Polygoni Multiflori Preparata, 4 liang), Chen Guangpi (Citri Reticulatae Pericarpium, 1 liang), Xian Banxia (Pinelliae Tuber Preparata, 2 liang), Bei Shumi (Sorghum Vulgare, stir-fried, wrapped, 3 liang), Ning Mishi (Magnetitum, 4 liang), Muli (Ostreae Concha, 4 liang), Zi Beichi (Argillulae Lamella, 4 liang), Zi Shiyin (Fluorite, 3 liang), Hutaorou (Juglandis Semen, stir-fried with salt water, purple skin removed, 20 pieces), Wuweizi (Schisandrae Fructus, 6 qian), Jinyingzi (Chrysanthemi Indici Fructus, wrapped, 1 liang), Jian Qianshi (Euryales Semen, 3 liang), Chuan Huangbai (Phellodendri Cortex, 1 liang), Shu Nvzhen (Ligustri Lucidi Fructus, 2 liang), Zhu Jingsui (Porcine Medulla Spinalis, washed with wine, 20 strips), Hongzao (Jujubae Fructus, 4 liang), Biao Jiao (Colla Corii Asini, 2 liang, melted for paste).
Decoct the above herbs four times, collect the thick juice, add Guiban Jiao (Testudinis Carapax et Plastrum Gelatinum, 4 liang) and Qing Ejiao (Colla Corii Asini, 4 liang), melt them all using aged yellow wine, then mix in the Biao Jiao, and dissolve half a jin of Baiwenbing (white rock sugar) to form the paste. Take two teaspoons each morning and evening, dissolved in boiling water. If suffering from wind-cold or stagnation, suspend use temporarily.
Mr. Luo
Initially suffered from hemorrhoids and fistulas, subsequently developed insomnia. Hemorrhoids and fistulas damage Yin; Yin damage affects Qi, leading to insufficiency of Qi and Yin. Qi cannot coordinate with Yang; Yin deficiency extends to Yang, thus causing insomnia. There are many causes of insomnia, but broadly they relate to the Heart and Kidney. In the Li trigram (Heart), there is one Yin line, which is the root of Yin. When this Yin root descends, it generates Water Essence. In the Kan trigram (Kidney), there is one Yang line, which is the root of Yang. When this Yang root ascends, it becomes the mother of Fire. When Kan and Li interact mutually, and Water and Fire harmonize, Yang entering Yin leads to sleep, and Yang exiting Yin leads to waking. Insufficient Kidney Yin means Water cannot assist Fire; Heart Fire cannot descend to reach the Kidney, and Kidney Yin cannot ascend to assist the Heart. Yang Essence does not ascend, Water Essence does not descend, Yin and Yang do not intersect, thus causing insomnia. This is the root of insomnia. The Liver belongs to Yi Wood, housing the Yang Soul internally; the Gallbladder belongs to Jia Wood, containing Ministerial Fire internally. In healthy individuals during night sleep, the Soul returns to the Liver, and Yang hides within Yin. Consumption of Kidney Yin means Water cannot nourish Wood; the Liver cannot store its Yang Soul, and the Gallbladder cannot seal its Ministerial Fire. Spirit is startled, fire floats upward, also causing insomnia. This is the concurrent symptom of insomnia. Li resides in the Central Palace, Kan resides at the lower extreme. Located in the middle and responsible for ascending and descending are the Spleen and Stomach. The Stomach benefits from unblocking, and the Spleen benefits from robust transportation. If the Stomach loses flow, the Middle Jiao becomes blocked, unable to perform ascending and descending functions. The pathways between upper and lower are cut off; seeking intersection of Heart and Kidney would indeed be difficult. Thus, the Classic states: "If the Stomach is not harmonious, sleep is uneasy." Disharmony of the Stomach is the branch manifestation of insomnia. Daoist texts say: Li is the middle daughter, Kan is the middle son, and Kun Earth acts as the mediator, called the Yellow Matron. This refers to that. Complicating various theories, prescribing formulas based on odd and even numbers, benefiting Qi to absorb the Yang root, nourishing Yin to moisten the Water mother, raising Wu (Stomach Earth) and lowering Ji (Spleen Earth), taking from Kan to fill Li. Benefiting Qi serves to calm the Spirit; nourishing Yin also helps to nourish Wood. Treating both root and branch simultaneously, hoping for success. Whether appropriate, please correct me, you who are highly knowledgeable.
Qing Zhi Huangqi (Astragali Radix Preparata, 4 liang), Shang Ludangshen (Codonopsis Radix, 4 liang), Xian Banxia (Pinelliae Tuber Preparata, 2 liang), Da Shengdi (Rehmanniae Radix, 4 liang), Bao Fushen (Poria mixed with Cinnabaris, 3 liang), Da Shudi (Rehmanniae Radix Preparata, 4 liang), Zhi Yuanzhi Rou (Polygalae Radix Preparata, 1 liang), Qing Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 6 qian), Suanzaoren (Ziziphi Spinosae Semen, 3 liang), Bei Shumi (Sorghum Vulgare, wrapped) (3 liang), Ming Tiandong (Asparagi Radix, 1 liang 5 qian), Da Maidong (Ophiopogonis Radix, 1 liang 5 qian), Chao Huaiyao (Dioscoreae Rhizoma, 2 liang), Gan Qizi (Lycii Fructus, 2 liang), Sheng Muli (Ostreae Concha, 4 liang), Guang Ju Bai (Citri Reticulatae Pericarpium Album, 1 liang), Bai Guishen (Angelicae Sinensis Radix, 3 liang), Da Baishao (Paeoniae Radix Alba, 3 liang), Hua Longgu (Fossilia Ossis Mastodi, 2 liang), Qing Longchi (Fossilia Maxillaris, 2 liang), Zi Shiyin (Fluorite, 3 liang), Zhi Biejia (Trionycis Carapax, 3 liang), Chuan Shihu (Dendrobii Caulis, 3 liang), Ma Liaodou (Sojae Semen Nigrum, 3 liang), Tong Jili (Tribuli Fructus, 3 liang), Zi Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 liang), Chuan Beimu (Fritillariae Thunbergii Bulbus, 2 liang, heart removed, ground separately into powder for paste), Zhi Shouwu (Polygoni Multiflori Preparata, 6 liang), Hehuanhua (Albiziae Flore, 1 liang 5 qian), Lianzi (Nelumbinis Semen, 2 liang), Hongzao (Jujubae Fructus, 6 liang), Jizihuang (Galli Yolk, 10 pieces, beaten separately and added to paste).
Decoct the above herbs four times, collect the thick juice, add Guiban Gao (Testudinis Carapax et Plastrum Gelatin Paste, 4 liang) and Qing Ejiao (Colla Corii Asini, 4 liang), melt them all using aged yellow wine, and dissolve half a jin of white rock sugar. Then add Chuan Beimu and Jizihuang in sequence, stir and form the paste. Take two teaspoons each morning and evening, taken with plain boiled water. If suffering from wind-cold or stagnation, suspend use temporarily.
Mr. Zhang
Every winter, coughs inevitably occur, accompanied by shortness of breath and unrest. It lightens when the weather warms and worsens when encountering cold. This is caused by Yang deficiency with retained fluid retention. Yang represents the Way of Heaven, Yin represents the Way of Earth. Humans disdain Yin and honor Yang. The Classic states: "The Yang Qi of man is like the Heaven and the Sun; if it loses its proper place, longevity is shortened and brilliance is obscured." The constitution is inherently Yang deficient, with diseases in both Spleen and Kidney. Kidney deficiency leads to water flooding; Spleen deficiency leads to dampness accumulation. Water and dampness remain stagnant, accumulating over years into phlegm-fluid retention, forming nests, blocking Qi mechanism, occupying positions like mountain passes. Upward, it hinders the right-descending pathway of Lung Metal; downward, it initiates the reversal of Chong Qi. Failure to descend and fail to grasp leads to shortness of breath. Fluid retention is a Yin pathogen; encountering cold makes Yin follow Yang, like a tiger borrowing the wind's power; encountering warmth makes Yin weak and Yang strong, and the pathogenic force gradually diminishes. Phlegm-fluid originates from Earth dampness, and Earth dampness originates from Water cold. To transform phlegm, first dry Earth dampness; to dry Earth dampness, first warm Water cold. Books say: treat external fluid retention via Spleen, internal fluid retention via Kidney. The Lung governs Qi, the Stomach is the source of transforming Qi, and the Kidney is the cavity for grasping Qi. Failure of Lung descent is blamed on Kidney grasping; failure of Kidney grasping is blamed on Fire decline. To descend Lung Qi, first harmonize the Stomach; to grasp Kidney Qi, first warm Yang. Books say: treat upper asthma via Lung, lower asthma via Kidney. The syndrome belongs to Yang deficiency; medicines should be warming and tonifying. Now proposing to warm the Kidney and grasp Qi; warming the Kidney strengthens the Spleen. Harmonizing the Stomach and directing rebellion downward, harmonizing the Stomach also assists in purging the Lung. Only when Earth is warm and Water is warm can fluid retention have no source; when the Stomach descends and Metal clears, Qi will not rebel. When Qi levels and fluid transforms, cough heals itself. The syndrome involves the root; medicine cannot cure in one step. Imitating former sages' formulas after careful consideration, briefly stating the cause of illness for your decision.
Biezhishen (Panacis Ginseng Radix, 3 liang), Yun Fuling (Poria, 4 liang), Qian Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Qing Zhi Huangqi (Astragali Radix Preparata, 3 liang), Qing Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata, 8 qian), Zhi Yuanzhi Rou (Polygalae Radix Preparata, 1 liang), Da Shudi (Rehmanniae Radix Preparata, 4 liang), Chuan Guizhi (Cinnamomi Ramulus, 6 qian), Wuweizi (Schisandrae Fructus, 8 qian, pounded together with Dan Jiangjiang/Dried Ginger Preparata, 4 qian), Shu Fuku (Aconiti Lateralis Radix Preparata, 1 liang), Chuan Beimu (Fritillariae Thunbergii Bulbus, 3 liang), Tian Guangxing (Armeniacae Semen Amarum, 3 liang), Gejie Wei (Geckoi Cauda, washed with wine, 5 pairs), Sharen Mo (Amomi Fructus Powder, 8 qian), Fanzhi Qu (Medicated Leaven, 3 liang), Chen Guangpi (Citri Reticulatae Pericarpium, 1 liang), Xian Banxia (Pinelliae Tuber Preparata, 3 liang), Xuanjufuhua (Inulae Flos, wrapped, 1 liang 5 qian), Daizheshi (Haematitum, 4 liang), Buguzhi (Psoraleae Fructus, 2 liang), Hetourou (Juglandis Semen, 20 pieces, stir-fried together with the above two), Zhi Baizuizi (Perillae Fructus Preparata, 2 liang), Huai Shanyao (Dioscoreae Rhizoma, 3 liang), Shanyurou (Corni Fructus, 3 liang), Fu Zexie (Alismatis Rhizoma, 1 liang 5 qian), Nong Duzhong (Eucommiae Cortex, 3 liang), Chuan Duanyu Rou (Drynariae Rhizoma, 3 liang), Gan Qizi (Lycii Fructus, 3 liang).
Decoct the above herbs four times, collect the extremely thick juice, add Lujiao Jiao (Cervi Cornu Colla, 4 liang) and Guiban Jiao (Testudinis Carapax et Plastrum Gelatinum, 4 liang), melt them all using aged yellow wine, and dissolve half a jin of white rock sugar to form the paste. Take three qian every morning, and three qian before going to bed, all taken with boiled water. If suffering from wind-cold or stagnation, suspend use temporarily.