虚痨病 从何起 咳嗽、吐血、五心烦热、目花、耳鸣、口烂、鼻干、气急、食不知味
、羸瘦、惊悸、梦遗、往来寒热、怠惰、嗜卧、疲倦、骨蒸、不寐、女子不月等症，皆成痨病。
七情伤 上损是 扁鹊谓损其阳自上而下，一损肺、二损心、三损胃，过于胃则不可
治。其说本于《内经》∶二阳之病发心脾，有不得隐曲，为女子不月。按心脾上也，至
不得隐曲，女子不月，则上极而下矣。
归脾汤 二阳旨 即《内经》二阳之病发心脾之旨也。此方为养神法，六味丸为补精法
，高鼓峰并用之。
下损由 房帏迩 扁鹊谓损其阴自下而上，一损肾、二损肝、三损脾，过于脾则不可
治。其说本于《内经》∶五脏主藏精也，不可伤，伤则失守而无气，无气则死矣。按精生
于五脏而统司于肾，如色欲过度，则积伤而下损；至于失守无气，则下极而上矣。
伤元阳 亏肾水 肾气，即元阳也。元阳伤，为困倦、食少、便溏、腰痛、阳痿等症。
肾水，即元阴也。元阴亏，为蒸热、咳嗽、吐血、便血、遗精、喉痛、口疮、齿牙浮动等症。
肾水亏 六味拟 六味地黄丸为补肾水之主方，景岳左归饮、左归丸亦妙。推之三才汤
、八仙长寿丸、都气丸、天王补心丹，皆可因症互服。
元阳伤 八味使 崔氏肾气丸，后人为八味地黄丸。立方之意，原为暖肾逐水，非补养
元气。明·薛立斋及赵养葵始用以温补命火，时医遂奉为温补肾命之主方。景岳右归饮、右
归丸皆本诸此。如火未大衰者，以还少丹代之；阳虚极者宜近效白术汤。
各医书 伎止此 苦寒败胃及辛热耗阴，固无论已。即六味、归脾，何尝非流俗之套法。
甘药调 回生理 扁鹊云∶针药莫治者，调以甘药。仲景因之。喻嘉言曰∶寿命之本
，积精自刚；然精生于谷，谷入少则不能生血，血少则不能化精。《内经》云∶精不足者，
补之以味。味者，五谷之味也，补以味而节其劳，则积贮渐富，大命不倾也。
建中汤 金匮轨 小建中汤及加黄 、加人参、加当归、加白术等汤，皆急建其中气，
俾饮食增而津液旺，以至充血生精，而复其真阴之不足。但用稼穑作甘之本味，而酸辛苦咸
在所不用，盖舍此别无良法也。按炙甘草汤即此汤化为润剂，喻氏清燥汤即此汤化为凉剂。
薯蓣丸 风气弭 《金匮》薯蓣丸。自注云∶治虚痨诸不足，风气百疾。
虫丸 干血已 《金匮》大黄 虫丸。自注∶治五痨诸伤，内有干血，肌肤甲错。
二神方 能起死 尤在泾云∶风气不去，则足以贼正气而生长不荣，以薯蓣丸为要方。
干血不去，则足以留新血而灌溉不周，以 虫丸为上剂。今之医辈，能梦见此二方否?
Xu Lao Disease (Consumptive Disease), where does it originate? Cough, hemoptysis (coughing up blood), five-palm heat (heat sensation in the palms, soles, and chest), blurred vision, tinnitus, oral ulcers, nasal dryness, shortness of breath, loss of taste, emaciation, palpitations with fright, nocturnal emission, alternating chills and fever, lethargy, somnolence, fatigue, bone-steaming tidal fever (a sensation of heat emanating from the bones), insomnia, amenorrhea in women, and other symptoms all constitute Lao disease (consumptive disease).
Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) injury leads to Upper Damage. Bian Que stated that damage to Yang Qi proceeds from top to bottom: first damaging the Lung, second the Heart, third the Stomach; if it exceeds the Stomach, it is incurable. This theory originates from the *Huangdi Neijing* (Yellow Emperor's Inner Canon): "Diseases of the Two Yangs originate in the Heart and Spleen." If there are unspoken difficulties or repressed desires, it results in amenorrhea for women. Conceptually, the Heart and Spleen are upper organs, but when it reaches the stage of "unspoken difficulties" and "amenorrhea," it signifies that the extreme of the upper has affected the lower.
Guipi Tang (Restore the Spleen Decoction) embodies the principle of the "Two Yangs." It refers to the principle in the *Huangdi Neijing*: "Diseases of the Two Yangs originate in the Heart and Spleen." This formula is a method for nourishing the Spirit (Shen); Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) is a method for tonifying Essence (Jing); Gao Gufeng used them together.
Lower Damage arises from sexual excess. Bian Que stated that damage to Yin Qi proceeds from bottom to top: first damaging the Kidney, second the Liver, third the Spleen; if it exceeds the Spleen, it is incurable. This theory originates from the *Huangdi Neijing*: "The Five Zang Organs store Essence; they must not be damaged. If damaged, they lose their hold and become devoid of Qi; devoid of Qi means death." Conceptually, Essence is generated by the Five Zang Organs but controlled by the Kidney. Excessive sexual indulgence causes accumulated injury leading to Lower Damage; whereas losing hold and becoming devoid of Qi indicates that the extreme of the lower has affected the upper.
Damage to Yuan Yang (Primal Yang), deficiency of Kidney Water. Kidney Qi is Yuan Yang. When Yuan Yang is damaged, symptoms include lassitude, poor appetite, loose stools, lower back pain, and impotence. Kidney Water is Yuan Yin (Primal Yin). When Yuan Yin is deficient, symptoms include steaming heat, cough, hemoptysis, hematochezia (blood in stool), nocturnal emission, sore throat, mouth ulcers, and loose teeth.
Kidney Water deficiency is addressed with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Liuwei Dihuang Wan is the primary formula for tonifying Kidney Water; Zhang Jingyue's Zuogui Yin (Left Restoring Decoction) and Zuogui Wan (Left Restoring Pill) are also excellent. Extending this, Sancai Tang (Three Powers Decoction), Baxian Changshou Wan (Eight Immortals Longevity Pill), Duqi Wan (Duqi Pill), and Tianwang Buxin Dan (Emperor of Heaven Tonifying the Heart Pill) can all be administered interchangeably based on symptoms.
Yuan Yang damage is treated with Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill). Cuishi Shenqi Wan (Cui Shi Kidney Qi Pill) was later called Bawei Dihuang Wan by descendants. The original intent of its formulation was to warm the Kidney and expel water, not to tonify Primal Qi. In the Ming Dynasty, Xue Lizhai and Zhao Yangkui began using it to warm and tonify Mingmen Fire (Fire of the Gate of Life), and contemporary physicians subsequently revered it as the primary formula for warming and tonifying the Kidney and Mingmen. Zhang Jingyue's Yougui Yin (Right Restoring Decoction) and Yougui Wan (Right Restoring Pill) are both based on this. If the fire decline is not severe, Huanshao Dan (Return to Youth Pill) may substitute; for extreme Yang deficiency, Jinxiao Baizhu Tang (Near-Efficacy Atractylodes Macrocephala Decoction) is appropriate.
Various medical books' techniques stop here. Bitter-cold herbs that damage the Stomach and acrid-hot herbs that consume Yin are obviously out of the question. Even Liuwei Dihuang Wan and Guipi Tang, are they not merely conventional formulas of the vulgar practice?
Using Sweet Herbs to regulate restores physiological life. Bian Que said: "For cases untreatable by acupuncture and herbs, regulate with sweet medicines." Zhang Zhongjing followed this. Yu Jiayan said: "The root of life lies in accumulating Essence to achieve firmness; however, Essence is generated from Grain. If Grain intake is insufficient, Blood cannot be generated; if Blood is insufficient, Essence cannot be transformed." The *Huangdi Neijing* states: "For insufficiency of Essence, tonify with flavor." Flavor refers to the taste of the five grains. Tonifying with flavor while regulating labor leads to gradual accumulation and richness, ensuring that the Great Life does not collapse.
Xiao Jianzhong Tang (Minor Construct the Middle Decoction) follows the standard of the *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet). Xiao Jianzhong Tang, along with modifications adding Huangqi (Astragalus), Renshen (Ginseng), Danggui (Angelica Sinensis), and Baizhu (Atractylodes Macrocephala), all urgently construct Middle Qi, thereby increasing food intake and flourishing Body Fluids, leading to the generation of Blood and Essence, thus restoring the insufficiency of True Yin. Only the fundamental sweet taste derived from agriculture (Jase) is used, while Sour, Bitter, Acrid, and Salty flavors are excluded, as there is no other good method. Note: Zhigancao Tang (Licorice Decoction) is this decoction transformed into a moistening agent; Yu Shi Qingzao Tang (Yu's Clear Dryness Decoction) is this decoction transformed into a cooling agent.
Shuyu Wan (Dioscorea Pill) extinguishes Wind Pathogens. From the *Jingui Yaolue*. The self-note states: "Treats various deficiencies of Xu Lao (Consumptive Disease) and hundred diseases caused by Wind Pathogens."
Echinospermum Pill (Da Huang Zhe Chong Wan) eliminates Dry Blood. From the *Jingui Yaolue*. The self-note states: "Treats injuries from the Five Labors, with Dry Blood inside, causing skin resembling scales (Kefu Jiacuo)."
These two divine formulas can revive the dead. You Zaijing said: "If Wind Pathogens are not removed, they will sufficiently harm Righteous Qi and hinder growth and prosperity; Shuyu Wan is the essential formula. If Dry Blood is not removed, it will sufficiently retain new Blood and hinder thorough irrigation; Da Huang Zhe Chong Wan is the superior preparation." Do contemporary physicians even dream of these two formulas?