治真阴虚，相火炽而发热，其热在午后子前。（属阴分，）或皮寒骨蒸。（骨髓空虚，火
焰骨
唇红颧赤，口苦舌干，（皆内热之征也。）耳鸣目眩，腰膝酸软，四肢无力，倦怠嗜卧，（皆
精血虚损内伤之故。）大便燥结小便黄赤。（内热。）六脉弦数，或虚或无力。（皆虚损的症，
不必吐血咳嗽也。故有吐血咳嗽症，而无上文之内热虚症，脉数仍非虚劳，不可不辨。）若
病久饮食少思，大便溏泄，（脾胃伤之故也。）午后洒淅恶寒，少倾发热，或至鸡鸣，寅卯时
分盗汗出而解，并以此方，或六味、左归加减治之。
熟地（三钱至一二两） 生地（二三四钱，二地补肾阴，培其根本） 麦冬（三四五钱，清
肺降
山药（蒸用，三四五钱，同茯苓以补脾） 玉竹（五六钱，治虚损寒热，一切不足，用代参、
） 鳖甲（退劳热在骨及阴虚寒热往来之上品） 龟甲（补肾阴，退骨蒸。二甲酥炙，各三钱
至一两），加桂圆肉（十枚至三十枚），入人乳牛乳（各一杯），骨蒸内热，有汗加骨皮（二钱），
无汗加丹皮（一钱五分），腰痛加枸杞（三钱至八钱）、杜仲（二钱）、余用猪腰子（一枚）、猪
脊髓（五钱至八钱），五味（一分至一钱），怔忡不寐，加枣仁倍桂圆肉。咳嗽加桑白皮（蜜炙
，
血加藕汁一杯，或童便一杯。食少加苡仁（炒，五钱至一两）。泄泻去生地天冬乳汁，加白芍
（炒，三四钱）、大枣莲肉（二三十粒）、萸肉或用石斛煎汤煎药。肺经无热，肺脉按之无力者
，量加人参。
古方有人参固本丸，人参（二两）、二地二冬（各四两）是也。固本丸、加牛膝枸杞七味
均分，即集灵膏也。
此方君以甘寒滋阴添精之品，所谓损其肾者，益其精也。臣以二冬，保金而滋其生化
之源，恐太沉阴濡润，而又佐以甘平补脾之剂，顾其中气，备加减之法，以善其用。
Treats deficiency of True Yin (True Yin), with hyperactive Ministerial Fire (Ministerial Fire) causing fever, where the heat occurs from noon to midnight. (Belongs to the Yin aspect,) or presents with cold skin and steaming bone sensation. (Empty marrow, fire flames into bones; red lips and malar flush, bitter taste in mouth and dry tongue, (all are signs of internal heat.) tinnitus and vertigo, soreness and weakness of waist and knees, weakness in four limbs, fatigue and desire to lie down, (all due to injury of essence and blood deficiency.) dry and constipated stool, yellow and red urine. (Internal heat.) Six pulses are wiry and rapid, or empty or weak. (All are definite signs of deficiency and damage, not necessarily requiring hemoptysis or cough. Therefore, if there are symptoms of hemoptysis and cough but without the aforementioned internal heat and deficiency symptoms, and the pulse is rapid, it is still not consumption disease; this must be distinguished carefully.) If the disease has lasted long, with little appetite and desire for food, loose stools, (due to damage of Spleen and Stomach.) afternoon chills and shivering, followed by fever after a while, or until cockcrow time, sweating at night during Yin-Mao hours resolving the heat, also use this formula, or treat with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) or Zuogui Wan (Left Restoring Pill) with modifications.
Shu Di Huang (Prepared Rehmanniae Radix) (3 qian to 1-2 liang) Sheng Di Huang (Raw Rehmanniae Radix) (2-4 qian, these two Rehmannies tonify Kidney Yin and cultivate the root) Mai Dong (Ophiopogonis Radix) (3-5 qian, clears Lung and descends fire) Shan Yao (Dioscoreae Rhizoma) (steamed, 3-5 qian, together with Fu Ling tonifies Spleen) Yu Zhu (Polygonati Odorati Rhizoma) (5-6 qian, treats deficiency-damage with alternating cold and heat, all insufficiencies, used to replace Ren Shen and Huang Qi) Bie Jia (Testudinis Carapax et Plastrum) (superior herb for retreating bone-steaming labor-fever and alternating cold/heat in Yin deficiency) Gui Jia (Chelonis Carapax et Plastrum) (tonifies Kidney Yin, retreats bone-steaming. Both shells roasted with butter, each 3 qian to 1 liang), add Long Yan Rou (Longan Aril) (10 to 30 pieces), add Ren Ru (Human Milk) and Niu Ru (Bovine Milk) (each 1 cup). For bone-steaming internal heat with sweating, add Gu Pi (Cortex Lycii) (2 qian); without sweating, add Dan Pi (Moutan Cortex) (1.5 qian). For waist pain, add Gou Qi Zi (Lycii Fructus) (3-8 qian), Du Zhong (Eucommiae Cortex) (2 qian). Use remaining ingredients: Zhu Yao Zi (Porcine Kidney) (1 piece), Zhu Ji Sui (Porcine Spinal Cord) (5-8 qian), Wu Wei Zi (Schisandrae Fructus) (1 fen to 1 qian). For palpitations and insomnia, add Zao Ren (Ziziphi Spinosomi Semen) and double the amount of Long Yan Rou. For cough, add Sang Bai Pi (Mori Cortex) (honey-fried). For bleeding, add Ou Zhi (Nelumbinis Rhizomatis Jus) 1 cup, or Tong Bian (Child's Urine) 1 cup. For poor appetite, add Yi Yi Ren (Coicis Semen) (stir-fried, 5 qian to 1 liang). For diarrhea, remove Sheng Di, Tian Dong, and milks; add Bai Shao (Paeoniae Radix Alba) (stir-fried, 3-4 qian), Da Zao Lian Rou (Loti Semen cum Plumula) (20-30 grains), Yu Rou (Corni Fructus) or decoct Shi Hu (Dendrobii Caulis) to decoct the medicine. If Lung channel has no heat and Lung pulse is weak upon pressure, add Ren Shen (Ginseng Radix et Rhizoma) according to measure.
Ancient formulas include Ren Shen Gu Ben Wan (Ginseng Root-Solidifying Pill), composed of Ren Shen (2 liang), Er Di (two Rehmannies) and Er Dong (two Ophiopogons) (each 4 liang). Gu Ben Wan plus Niu Xi, Gou Qi, seven ingredients divided equally, is Ji Ling Gao (Ji Ling Elixir).
This formula uses sweet-cold herbs that nourish Yin and replenish essence as the Sovereign (Jun) drugs, meaning "for those who damage the Kidney, benefit their essence." The Ministers (Chen) are the two Dongs, protecting Metal (Lung) and nourishing the source of transformation and generation. Fearing they are too heavy, yin, and moistening, they are assisted by sweet-flat Spleen-tonifying agents to protect Middle Qi, with methods for modification to perfect its application.