脉沉微而不数，谓之寒厥，乃纵欲于秋冬，阳夺于内，精气下溢，阳衰阴气独行。
脉沉数，谓之热厥 ，乃醉饱入房，阴气虚，阳气入，肾气衰，阳独胜。
气虚 四君子主之。
血虚 四物主之。
热 用承气下之。
痰 用白术竹沥。
由肾衰水不能制火，火削肺金则生痿 不能用，因色欲之过，宜降火补虚。
清暑益气汤 治肺被火烁成痿。
黄 （一钱） 人参（五分） 甘草（三分，以上补气虚） 白术 苍术 泽泻（除湿）
升麻 黄芩 葛根（解肌热，风胜湿也） 五味 麦冬（救被金侮） 川归 陈皮 知母（补水）
青皮 黄柏
建步丸 治湿热成痿。
羌活 防风 柴胡 活石 甘草 蒌根 泽泻（半两） 防己（一两酒制） 苦参（酒）
川乌 桂（一钱） 愈风汤下。
气虚 四君子加苍术、白术、黄芩、黄柏。
有痰加竹沥。
血虚 四物汤加苍术、黄柏，下补阴丸。
湿痰 二陈汤加四君子下。
风寒湿三气合而成之。寒气胜为痛痹，寒则阴受之，故痛而夜甚。湿气胜者为
着痹，着于肌肉不去。风气胜者为行痹，风则阳受之，走经而且甚。脉迟则寒，
数则热，浮则风，濡则湿，滑则虚。治法各随其宜。
附子汤 治风寒痹。
附子（去皮脐，炮。） 桂枝 芍药 甘草 茯苓 人参（三分） 白术（一两）
上，行痹加升麻桂枝汤；痛痹加附子茯苓干姜汤。
忍冬 膏 治五痹拘挛。
After the fourth day, if delirium (谵语), dry mouth, tidal fever (潮热), loss of vision, and incontinence of urine and stool occur, death is inevitable.
A pulse that is deep, faint, and not rapid is called Cold Jue (Cold Reversal Syndrome) [Han Jue (Cold Reversal)], which results from excessive sexual indulgence during autumn and winter, causing Yang Qi to be depleted internally, essence and Qi to leak downward, leading to Yang deficiency and the solitary dominance of Yin Qi.
A pulse that is deep and rapid is called Heat Jue (Heat Reversal Syndrome) [Re Jue (Heat Reversal)], which results from sexual intercourse after overeating and drinking, causing Yin Qi to be deficient, Yang Qi to enter internally, Kidney Qi to decline, and Yang to dominate exclusively.
For cases of Qi Deficiency [Qi Xu], Si Jun Zi Tang (Four Gentlemen Decoction) is the primary formula.
For cases of Blood Deficiency [Xue Xu], Si Wu Tang (Four Substance Decoction) is the primary formula.
For Heat syndromes, Cheng Qi Tang (Order the Qi Decoction) is used to purge downwards.
For Phlegm syndromes, Bai Zhu (Atractylodis Rhizoma) and Zhu Li (Bamboo Sap) are used.
Due to Kidney Qi decline, Water fails to control Fire; Fire scorches Lung Metal, leading to Wei Syndrome (Flaccidity Syndrome) [Wei Zheng], characterized by inability to use the limbs. This is caused by excess sexual desire, and treatment should focus on purging fire and tonifying deficiency.
Qing Shu Yi Qi Tang (Clear Summerheat and Boost Qi Decoction) treats Wei Syndrome caused by the Lung being scorched by Fire.
Ingredients: Huang Qi (Astragali Radix) (1 qian), Ren Shen (Ginseng Radix) (5 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen, above for tonifying Qi deficiency), Bai Zhu (Atractylodis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Ze Xie (Alismatis Rhizoma) (for draining dampness), Sheng Ma (Cimicifugae Rhizoma), Huang Qin (Scutellariae Radix), Ge Gen (Puerariae Lobatae Radix) (for resolving muscle heat, as wind overcomes dampness), Wu Wei Zi (Schisandrae Fructus), Mai Dong (Ophiopogonis Tuber) (to rescue the Metal/Lung from being insulted by Fire), Chuan Gui Dang Gui (Angelicae Sinensis Radix), Chen Pi (Citri Reticulatae Pericarpium), Zhi Mu (Anemarrhenae Rhizoma) (to nourish Water), Qing Pi (Citri Reticulatae Pericarpium Viride), Huang Bo (Phellodendri Cortex).
Jian Bu Wan (Build Step Pill) treats Wei Syndrome caused by Damp-Heat.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Chai Hu (Bupleuri Radix), Shi Hu (Dendrobii Caulis - *Note: Text says 'Huo Shi', likely typo for Shi Hu or similar mineral/herb, kept as literal translation context*), Gan Cao (Glycyrrhizae Radix et Rhizoma), Gua Lou Gen (Trichosanthis Radix), Ze Xie (Alismatis Rhizoma) (0.5 liang), Fang Ji (Stephaniae Tetrandrae Radix) (1 liang, wine-processed), Ku Shen (Sophorae Flavescentis Radix) (wine-processed), Chuan Wu (Aconiti Radix Preparata), Gui Zhi (Cinnamomi Ramulus) (1 qian). Take with Yu Feng Tang (Wind-Penetrating Decoction).
For Qi Deficiency, Si Jun Zi Tang (Four Gentlemen Decoction) is added with Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Rhizoma), Huang Qin (Scutellariae Radix), and Huang Bo (Phellodendri Cortex).
If there is Phlegm, add Zhu Li (Bamboo Sap).
For Blood Deficiency, Si Wu Tang (Four Substance Decoction) is added with Cang Zhu (Atractylodis Rhizoma) and Huang Bo (Phellodendri Cortex), taken with Bu Yin Wan (Tonify Yin Pill).
For Damp-Phlegm, Er Chen Tang (Two Aged Decoction) is added with Si Jun Zi Tang (Four Gentlemen Decoction).
Bi Syndrome (Arthralgia) [Bi Zheng] is formed by the combination of Wind, Cold, and Dampness. When Cold Qi dominates, it is Painful Bi [Tong Bi]; Cold is Yin, so pain is severe at night. When Dampness dominates, it is Fixed Bi [Zhuo Bi]; the pathogen remains fixed in the muscles. When Wind dominates, it is Wandering Bi [Xing Bi]; Wind is Yang, so it travels through the meridians and symptoms worsen. A slow pulse indicates Cold, a rapid pulse indicates Heat, a floating pulse indicates Wind, a soggy pulse indicates Dampness, and a slippery pulse indicates Deficiency. Treatment methods should be chosen according to suitability.
Fu Zi Tang (Aconite Decoction) treats Wind-Cold Bi Syndrome.
Ingredients: Fu Zi (Aconiti Lateralis Radix Preparata) (skin and umbilicus removed, processed), Gui Zhi (Cinnamomi Ramulus), Shao Yao (Paeoniae Radix Alba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), Ren Shen (Ginseng Radix) (3 fen), Bai Zhu (Atractylodis Rhizoma) (1 liang).
For Wandering Bi, add Sheng Ma Gui Zhi Tang (Cimicifuga and Cinnamon Twig Decoction); for Painful Bi, add Fu Zi Fu Ling Gan Jiang Tang (Aconite, Poria, and Dried Ginger Decoction).
Ren Dong Gao (Lonicera Paste) treats spasms and contractures caused by the Five BIs.