治下元虚败,脚手沉重,夜多盗汗,纵欲所致。
补骨脂(四两,炒香) 菟丝子(四两,酒蒸) 胡桃肉(去皮,一两) 沉香(一钱五分,
研细) 蜜丸,桐子大,每服三十丸,空心盐汤温酒任下。中气大虚者,参汤送之。
夏至日服起,冬至日止,日进一服。唐宣宗时张寿太尉知广州得方于南番,诗云∶三年
时节向边隅,人信方知药力殊,夺得春光来在手,青娥休笑白髭须。
治脾肾虚寒,血气羸乏,不思饮食,发热盗汗,遗精白浊,肌体瘦弱,牙齿浮肿等
症。肾为先天之根本,脾为后天之根本,二本有伤,则见上项诸症。故未老而先衰,二
本既固,则老可还少矣。
熟地黄(二两) 山药 牛膝(酒浸) 枸杞子(酒浸,两半) 山茱 茯苓(乳拌)
杜仲(姜汁炒断丝) 远志(去心) 五味子(炒) 枳实(酒蒸) 肉苁蓉(酒浸,
一两) 小茴香(炒) 巴戟天(酒浸) 石菖蒲(五钱) 加枣肉蜜丸,盐汤或酒下。一
方茯苓换茯神加川续断,名打老儿丸。因妇人年过百岁,打其老儿子,不肯服此丸故名。
此手足少阴太阴药也。两肾中间有命火,乃先天之真阳,人之日用云为皆此火
也。此火衰微,则无以熏蒸脾胃,饮食减少,而精气日衰矣。苁蓉,巴戟能入肾经血
分,茴香能入肾经气分,同补命门之不足,火旺则土强而脾能健运矣。熟地、枸杞补水
之药,水足则有以济火,而不亢不害矣。杜仲、牛膝补腰膝以助肾,茯苓、山药渗湿热
以助脾,山茱、五味生肺液而固精,远志菖蒲通心气以交肾,大枣补气益血润肺强
脾,枳实助阳补虚,充肌壮骨,此水火平调,脾肾交补之剂也。
Treats deficiency and decline of the lower origin (Lower Yuan, referring to Kidney essence and Yang), heavy sensation in hands and feet, night sweats, caused by excessive sexual indulgence.
Burmese Psoralea Fruit (Pouzoliae Fructus, 4 liang, stir-fried until fragrant) Chinese Dodder Seed (Cuscutae Semen, 4 liang, steamed with wine) Walnut Kernel (Juglandis Semen, peeled, 1 liang) Agarwood (Aquilariae Lignum, 1.5 qian, ground into fine powder) Form pills with honey, size of *Clerodendrum* seeds, take 30 pills per dose, swallow with warm salt water or warm wine on an empty stomach. For those with severe deficiency of Middle Qi (Middle Jiao Qi), take with Ginseng Decoction. Start taking from the Summer Solstice, stop at the Winter Solstice, one dose per day. During the reign of Emperor Xuanzong of Tang, Grand Marshal Zhang Shou obtained this prescription while serving as Prefect of Guangzhou from the Southern Barbarians. The poem reads: "Three years' seasons towards the frontier corners, / Only when people believe do they know the medicine's power is unique; / Seizing the spring light to hold in hand, / Young beauties, do not laugh at my white beard and mustache."
Treats Spleen-Kidney Yang Deficiency Cold, emaciation and deficiency of Blood and Qi, loss of appetite, fever and night sweats, spermatorrhea, leukorrhea (white turbidity), physical emaciation, swollen teeth, etc. The Kidney is the root of congenital constitution (Pre-heaven), and the Spleen is the root of acquired constitution (Post-heaven). If these two roots are damaged, the aforementioned symptoms will appear. Hence, premature aging occurs; if these two roots are consolidated, old age can be returned to youth.
Prepared Rehmannia Root (Rehmanniae Radix Praeparata, 2 liang) Chinese Yam (Dioscoreae Rhizoma) Achyranthes Root (Achyranthis Bidentatae Radix, soaked in wine) Lycium Fruit (Lycii Fructus, soaked in wine, 1.5 liang) Cornus Fruit (Corni Fructus) Poria (Poria, mixed with milk) Eucommia Bark (Eucommiae Cortex, stir-fried with ginger juice until fibers break) Polygala Root (Polygalae Radix, remove heart) Schisandra Fruit (Schisandrae Fructus, stir-fried) Immature Bitter Orange (Aurantii Fructus Immaturus, steamed with wine) Cistanche Stem (Cistanches Herba, soaked in wine, 1 liang) Fennel Fruit (Foeniculi Fructus, stir-fried) Morinda Root (Morindae Officinalis Radix, soaked in wine) Acorus Tuber (Acori Tatarinowii Rhizoma, 5 qian) Add date pulp and honey to form pills, swallow with salt water or wine. In another formula, replace Poria with Spirit of Poria (Poria cum Ramo Quercus) and add Dipsacus Root (Cynanchi Stauntonii Radix), named "Da Lao Er Wan" (Old Beater Pill). It is so named because a woman over a hundred years old beat her old son who refused to take this pill. This consists of herbs for the Hand-Foot Shaoyin (Heart-Kidney) and Taiyin (Spleen-Lung) meridians. Between the two kidneys lies the Fire of the Gate of Vitality (Mingmen), which is the True Yang of the congenital constitution. All daily human activities rely on this fire. If this fire is weak, it cannot steam and warm the Spleen and Stomach, leading to reduced food intake and daily decline of Essence and Qi. Cistanche and Morinda can enter the Blood aspect of the Kidney Meridian, Fennel enters the Qi aspect of the Kidney Meridian; together they supplement the insufficiency of the Gate of Vitality. When the fire is vigorous, the Earth element becomes strong, and the Spleen can transport and transform effectively. Prepared Rehmannia and Lycium are herbs that nourish Water; sufficient Water can balance the Fire, preventing it from becoming hyperactive and harmful. Eucommia and Achyranthes tonify the waist and knees to assist the Kidneys; Poria and Chinese Yam drain damp-heat to assist the Spleen; Cornus and Schisandra generate Lung fluids and consolidate Essence; Polygala and Acorus unblock Heart Qi to interact with the Kidney; Dates tonify Qi and nourish Blood, moisten the Lungs, and strengthen the Spleen; Immature Bitter Orange assists Yang and tonifies deficiency, fills muscles, and strengthens bones. This is a formula that balances Water and Fire and simultaneously tonifies the Spleen and Kidney.