阳痿者，宗筋纵弛也。有因肾寒精冷而痿者，以赞育丹主之。有因惊恐伤肾而痿者，以桂枝龙骨
牡蛎汤主之。
赞育丹
人参（四两） 冬术（四两） 当归 枸杞 杜仲（酒蒸一日） 巴戟肉（甘草汤炒） 山茱
萸淫羊藿（羊脂炒拌） 肉苁蓉（酒洗去皮） 韭子（炒黄各四两） 蛇床子（微炒） 附子（制） 肉桂
（各二两） 上炼蜜丸，服。
桂枝龙骨牡蛎汤
（方见虚劳）
赤白浊者，湿热之病也。湿胜热则为白，热胜湿则为赤，而要病源，总在于脾。脾湿不升，而木
气沉郁于下，瘀为湿热，化生赤白，流溢而为浊也。如纯属湿热者，以二陈汤加味主之。如因肾元不固而
为浊者，以萆 厘清饮主之。如因心气不固而为浊者，以四君子加远志汤主之。如因相火炽盛而为浊者，
以封髓丹主之。如因色欲过度而为浊者，以龙牡菟韭丸主之。
二陈汤
（方见眩晕）
加苍术、白术、黄柏、萆 ，赤浊再加丹参。
萆 厘清饮
川萆 （三钱） 石菖蒲（一钱） 乌药（一钱） 益智仁（一钱） 甘草梢（一钱） 水煎入
盐三分，空心服，日三服。
四君子加远志汤
人参（三钱） 白术（三钱） 茯苓（三钱） 甘草（二钱） 远志（二钱） 水煎大半杯，温服。
封髓丹
黄柏（三两盐水炒） 甘草七钱（炙） 砂仁（一两） 研末，炼蜜丸如梧子大，每服
三钱，淡盐汤送下。
龙牡菟韭丸
生龙骨（水飞） 生牡蛎（水飞） 生菟丝粉
生韭子粉 各等分，不见火，研细末，干面冷水调浆为丸，每服一钱，或至三钱，晚上陈酒送下，
清晨服亦可。
Impotence refers to the flaccidity and weakness of the Zongjin (tendons of the genitals). In cases caused by Kidney coldness and cold essence, Zanyu Dan (Zan Yu Pill) is the primary formula. In cases where impotence results from fright injuring the Kidney, Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction) is the primary formula.
Zanyu Zan (Zan Yu Pill)
Renshen (Ginseng Radix et Rhizoma, 4 liang) Dongzhu (Atractylodis Macrocephalae Rhizoma, 4 liang) Danggui (Angelicae Sinensis Radix) Gouqi (Lycii Fructus) Duzhong (Eucommiae Cortex, steamed in wine for one day) Bajirou (Morindae Officinalis Radix, stir-fried with Licorice decoction) Shanzhuyu (Corni Fructus) Yinyanghuo (Epimedii Folium, mixed and stir-fried with sheep fat) Rongcongrou (Cistanche Deserticola, washed in wine and peeled) Jiuizi (Allii Tuberosi Semen, stir-fried until yellow, each 4 liang) Chuangzi (Cnidii Fruit, lightly stir-fried) Fuzi (Prepared Aconiti Lateralis Radix) Rougui (Cinnamomi Cortex, each 2 liang). Process these into pills using refined honey for administration.
Guizhi Longgu Muli Tang (Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction)
(See formula under "Xu Lao" / Deficiency Consumption)
Chi Bai Zhuo (Red and White Turbid Urine) constitutes a disease pattern of damp-heat. When dampness exceeds heat, it manifests as white turbidity; when heat exceeds dampness, it manifests as red turbidity. However, the root cause always lies in the Spleen. When Spleen dampness fails to ascend, Liver Qi sinks and stagnates in the lower jiao, transforming into damp-heat through stasis, which generates red and white substances that flow out as turbid urine. If the condition is purely due to damp-heat, Erchen Tang (Two-Aged Decoction) with modifications is used. If turbidity arises from insecurity of Kidney Yuan (Original Qi), Bixie Fenqing Yin (Dioscorea Hypoglauca Decoction for Separating Clear and Turbid) is used. If turbidity arises from insecurity of Heart Qi, Sijunzi Tang (Four Gentlemen Decoction) with Yuanzhi (Polygalae Radix) is used. If turbidity arises from flourishing Xianghuo (Ministerial Fire), Fengsui Dan (Feng Sui Pill) is used. If turbidity arises from excessive sexual indulgence, Longmu Tujiu Wan (Dragon Bone, Oyster Shell, Dodder Seed, and Leek Seed Pill) is used.
Erchen Tang (Two-Aged Decoction)
(See formula under "Xuan Yun" / Vertigo)
Add Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Huangbai (Phellodendri Cortex), Bixie (Dioscoreae Hypoglaucae Rhizoma); if red turbidity, add Danshen (Salviae Miltiorrhizae Radix et Rhizoma).
Bixie Fenqing Yin (Dioscorea Hypoglauca Decoction for Separating Clear and Turbid)
Chuanbixie (Dioscoreae Hypoglaucae Rhizoma, 3 qian) Shichangpu (Acori Tatarinowii Rhizoma, 1 qian) Wuyao (Linderae Radix, 1 qian) Yizhiren (Alpiniae Oxyphyllae Fructus, 1 qian) Gancao Shao (Licorice Radix et Rhizoma tip, 1 qian). Decoct in water, add 3 fen of salt, take on an empty stomach, three times daily.
Sijunzi Tang with Yuanzhi (Four Gentlemen Decoction with Polygalae Radix)
Renshen (Ginseng Radix et Rhizoma, 3 qian) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian) Fuling (Poria, 3 qian) Gancao (Licorice Radix et Rhizoma, 2 qian) Yuanzhi (Polygalae Radix, 2 qian). Decoct in water to obtain slightly more than half a cup, take warm.
Fengsui Dan (Feng Sui Pill)
Huangbai (Phellodendri Cortex, 3 liang, stir-fried with salt water) Gancao (Licorice Radix et Rhizoma, 7 qian, roasted) Sharen (Amomi Fructus, 1 liang). Grind into powder, process into pills the size of wutong seeds using refined honey. Take 3 qian per dose, delivered with light salt water.
Longmu Tujiu Wan (Dragon Bone, Oyster Shell, Dodder Seed, and Leek Seed Pill)
Sheng Longgu (Raw Os Draconis et Oste Mamillae, water-floating method) Sheng Muli (Raw Ostreae Testa, water-floating method) Sheng Tusifen (Raw Cuscutae Semen powder) Sheng Jiu Zi Fen (Raw Allii Tuberosi Semen powder). Use equal parts, avoid fire processing, grind into fine powder. Mix with dry flour and cold water to form a paste for making pills. Take 1 qian per dose, up to 3 qian. Take at night with aged yellow wine, or in the early morning.