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3. The treatment of the acquired constitution (Hou Tian) focuses on regulating Qi and Blood, while the treatment of the innate constitution (Xian Tian) is based on harmonizing Yin and Yang. The treatments for deficiency and damage of the Kidney, Liver, Heart, and Lung are listed later, whereas the treatment for Spleen deficiency and damage is the same as that for internal injury (Nei Shang).
[Note] The acquired Spleen and Stomach transform food and water into Ying and Wei Qi; therefore, the treatment method is based on Qi and Blood. The innate Kidney essence and Qi are the source of transformation; therefore, the treatment method is based on Yin and Yang. The treatment methods for the deficiency and damage of the five Zang organs are all listed subsequently, and since the treatment for Spleen deficiency and damage has already been recorded in the "Internal Injury" section, it is said to be the same as internal injury.

Zhengyin Lilao Decoction (Rescuing Yin to Regulate Labor Decoction)
4. For Yin deficiency with hyperactive fire, use Zhengyin Lilao Decoction. Symptoms include cold skin, bone-steaming fever, cough, reduced appetite, excessive phlegm, irritability, and shortness of breath. Formula composition: Ren Shen (Ginseng Radix), Mai Dong (Ophiopogonis Tuber), Wu Wei Zi (Schisandrae Fructus), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Gui Ban (Testudinis Carapax et Plastrum), Nv Zhen Zi (Ligustri Lucidi Fructus), Yi Yi Ren (Coicis Semen), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Dan Pi (Moutan Cortex), Lian Zi (Nelumbinis Semen), Bai He (Lilii Bulbus), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma). If sweating is profuse and insomnia occurs, add Suan Zao Ren (Ziziphi Spinosae Semen); for dry phlegm, add Sang Bai Pi (Mori Cortex) and Bei Mu (Fritillariae Bulbus); for damp phlegm, add Fu Ling (Poria) and Ban Xia (Pinelliae Rhizoma); for hemoptysis and deep bone-steaming heat, add E Jiao (Colla Corii Asini).
[Note] This formula consists of Ren Shen, Mai Dong, Wu Wei Zi, Dang Gui, Bai Shao, Sheng Di Huang, Gui Ban, Nv Zhen Zi, Yi Yi Ren, Ju Hong, Dan Pi, Lian Zi, Bai He, and Zhi Gan Cao. For profuse sweating and insomnia, add Suan Zao Ren. For cough with phlegm, add Sang Bai Pi and Bei Mu. For cough with damp phlegm, add Fu Ling and Ban Xia. For cough and hemoptysis, add E Jiao. For severe bone-steaming heat, add Gu Pi (Lycii Cortex).

Zhengyang Lilao Decoction (Rescuing Yang to Regulate Labor Decoction)
5. For Yang deficiency and weak Qi, use Zhengyang Lilao Decoction. Symptoms include fatigue, aversion to mental or physical exertion (leading to panting and exhaustion upon movement), exterior heat, spontaneous sweating, and body aches. The base formula excludes Sheng Ma (Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix), incorporating principles from Buzhong Yiqi Tang; if further modified with Rou Gui (Cinnamomi Cortex), add Fu Zi (Aconiti Lateralis Radix Praeparata) for cold syndromes; for diarrhea, add Sheng Ma, Chai Hu, He Zi (Terminalia Chebulae Fructus), Rou Kou (Myristicae Semen), and Mu Xiang (Aucklandiae Radix). In summer, for cough, reduce Rou Gui and add Mai Dong and Wu Wei Zi; in winter, do not reduce Rou Gui, and add Wu Wei Zi and Gan Jiang (Zingiberis Rhizoma).
[Note] This decoction consists of Ren Shen, Huang Qi (Astragali Radix), Zhi Gan Cao, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Rou Gui, Dang Gui, and Wu Wei Zi. Fatigue refers to laziness in movement; aversion to exertion leads to Qi distension, panting, and exhaustion. For aversion to cold, add Fu Zi; for diarrhea, retain Sheng Ma and Chai Hu, and add He Zi, Rou Kou, and Mu Xiang. In summer, for cough, reduce Rou Gui and add Mai Dong and Wu Wei Zi; in winter, for cough, do not reduce Rou Gui, and add Wu Wei Zi and Gan Jiang.

Liujunzi Dihuang Wan (Six-Ingredient Rehmannia Pill), Duqi Tang, Qiwei Dihuang Tang, Shengmai Dihuang Tang, Guifu Dihuang Tang, Zhibai Dihuang Tang, Jin Gui Shenqi Tang
6. Kidney deficiency presents with afternoon fever, emaciation, water overflowing to form phlegm, fluid injury, cough, night sweats, seminal emission, blood deficiency, Xiao Ke (Wasting-Thirst), Lin (Dysuria), Zhuo (Cloudy Urine), and sores in the mouth and throat. Base herbs: Shu Di Huang (Prepared Rehmanniae Radix), Shan Yao (Dioscoreae Rhizoma), Shan Zhu Yu (Corni Fructus), Mu Dan Pi (Moutan Cortex), Fu Ling, Ze Xie (Alismatis Rhizoma). Modifications: For labor-induced cough, adding Wu Wei Zi creates Duqi Tang; to guide fire back to its source, add Rou Gui to create Qiwei Dihuang Tang; for fire overacting on Metal (Lung), add Sheng Mai San to create Shengmai Dihuang Tang; Gui Fu (Rou Gui and Fu Zi) tonifies fire to dissipate yin shadows; Zhi Bai (Zhi Mu and Huang Bai) nourishes water to control yang flare-up; Che Qian Zi, Niu Xi, Rou Gui, and Fu Zi constitute Shenqi Tang, a formula for Yang deficiency edema and dysuria/cloudy urine.
[Note] Wuhre (Afternoon Fever) refers to fever occurring after noon. Water overflowing to form phlegm means that fluids transformed from daily diet, due to Kidney deficiency failing to control water, overflow upward to become phlegm. Daohan (Night Sweating) refers to sweating during sleep that stops upon waking. Shijing (Loss of Essence) refers to nocturnal emission. Xiaoke (Wasting-Thirst) refers to drinking water that is quickly consumed but thirst persists. Lin (Dysuria) refers to dribbling and difficult urination. Zhuo (Cloudy Urine) refers to turbid fluid before or after urination. Sores in the mouth and throat indicate deficient fire flaring up. All these should be treated with Liujunzi Dihuang Wan. Modifying for labor cough by adding Wu Wei Zi creates Duqi Tang. Guiding fire back to its source by adding Rou Gui creates Qiwei Dihuang Tang. Fire overacting on Metal by adding Sheng Mai San creates Shengmai Dihuang Tang. Gui Fu refers to adding Rou Gui and Fu Zi. Zhi Bai refers to adding Zhi Mu and Huang Bai. Che Qian, Niu Xi, Rou Gui, and Fu Zi constitute Guifu and Zhibai Shenqi Tangs.

Dabu Yin Wan (Great Supplement Yin Pill), Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction)
7. Dabu Yin Wan controls vigorous fire and nourishes Yin to descend fire, rescuing the injured Metal (Lung). Formula: Gui Ban, Zhi Mu (Anemarrhenae Rhizoma), Huang Bai (Phellodendri Cortex), Shu Di Huang, processed with pig spinal cord and refined honey into pills. If fire is uncontrolled and injures Metal causing lung phlegm and cough, use Ziyin Jianghuo Tang. This formula is Dabu Yin Wan plus Mai Dong, Tian Dong (Asparagi Radix), Dang Gui, Bai Shao, Zhi Gan Cao, and Suo Sha (Amomi Fructus Rotundus). For severe cough, add Bai He and Wu Wei Zi; for night sweats, add Gu Pi; for hemoptysis, add Yu Jin (Curcumae Radix); for excessive phlegm, add Chuan Bei Mu (Fritillariae Cirrhosae Bulbus); for Qi deficiency, add Ren Shen and Huang Qi. Deficient heat feeling like burning hands without sweat indicates fire constraint, suitable for Shengyang Sanhuo Tang; with sweat indicating bone-steaming, suitable for Dabu Yin Wan and Ziyin Liu Huang Tang.
[Note] Yin deficiency with hyperactive fire, lacking water to control it, requires Dabu Yin Wan to nourish water and control fire. The formula is Gui Ban, Zhi Mu, Huang Bai, Sheng Di Huang, powdered, mixed with pig spinal cord and refined honey into pills. If fire is hyperactive and uncontrolled, acting recklessly to injure Metal, causing lung phlegm and cough, use Ziyin Jianghuo Tang to rescue the injured Metal. The formula is Dabu Yin Wan plus Mai Dong, Tian Dong, Dang Gui, Bai Shao, Zhi Gan Cao, and Suo Sha. For severe cough, add Bai He and Wu Wei Zi; for night sweats, add Gu Pi; for hemoptysis, add Yu Jin; for excessive phlegm, add Chuan Bei Mu; for Qi deficiency, add Ren Shen and Huang Qi. Generally, deficient heat feeling like burning hands without sweat indicates fire constraint, suitable for Shengyang Sanhuo Tang; with sweat indicating bone-steaming, suitable for Dabu Yin Wan and Ziyin Liu Huang Tang.

Baoyuan Tang (Preserve Origin Decoction)
8. For all Qi deficiency conditions, use Baoyuan Tang. Formula: Huang Qi tonifies exterior Qi, Ren Shen tonifies interior Qi, Zhi Gan Cao tonifies middle Qi. Adding Rou Gui can warm the True Qi of the Mingmen (Gate of Life). It also treats infantile smallpox presenting as gray-white, depressed tops, or clear serum.
[Note] Baoyuan Tang consists of Ren Shen, Huang Qi, and Zhi Gan Cao. Huang Qi tonifies exterior Qi, Ren Shen tonifies interior Qi, Zhi Gan Cao tonifies middle Qi. Adding Rou Gui warms the True Qi of the Mingmen and treats infantile smallpox presenting as gray-white, depressed tops, or clear serum.

Sijunzi Tang (Four Gentlemen Decoction), Siwu Yigong San (Five-Agent Extraordinary Power Powder), Liujunzi Tang (Six Gentlemen Decoction), Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder), Six Beast Yin
9. For Spleen and Stomach Qi deficiency, use Sijunzi Tang. Symptoms include soft pulse, physical decline, pale/yellow complexion, fatigue, reluctance to speak, poor appetite, and shortness of breath. Formula: Ren Shen, Fu Ling, Bai Zhu, Gan Cao, Da Zao (Jujubae Fructus), Sheng Jiang (Zingiberis Rhizoma Recens). For Qi stagnation, add Chen Pi to create Yi Gong San (Extraordinary Power Powder); for phlegm, add Ju Hong and Ban Xia to create Liujunzi Tang; for muscle heat, diarrhea, and thirst, add Huo Xiang (Pogostemonis Herba), Mu Xiang, and Ge Gen (Puerariae Lobatae Radix) to create Qiwei Baizhu San; for chronic malaria due to Qi deficiency, use Liujunzi Tang with Cao Guo (Tsaoko Fructus), Wu Mei (Mume Fructus), and Sheng Jiang as chief ingredients to create Six Beast Yin.
[Note] To treat Qi deficiency accompanied by Qi stagnation and discomfort, add Chen Pi to Sijunzi Tang, named Siwu Yigong San. To treat Qi deficiency accompanied by phlegm-fluid retention, add Ju Hong and Ban Xia to Sijunzi Tang, named Liujunzi Tang. To treat Qi deficiency with muscle heat, thirst, and diarrhea, add Huo Xiang, Mu Xiang, and Ge Gen to this formula, named Qiwei Baizhu San. To treat chronic malaria lingering due to Qi deficiency, use Liujunzi Tang with Cao Guo, Wu Mei, and Sheng Jiang as the chief ingredients, named Six Beast Yin.

Xiong Gui Tang (Chuanxiong and Angelica Decoction), Kaigu San (Bone-Opening Powder)
10. For all blood disorders, use Xiong Gui Tang, a must-use formula for postpartum and prenatal conditions. For Qi deficiency causing difficult labor, double the dose of Ren Shen; for difficulty in opening the intersection bones (pubic symphysis), adding Gui Ban (Tortoise Shell) and human hair is effective.
[Note] Xiong Gui Tang consists of Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui, also known as Foshou San. For difficult labor due to Qi deficiency or prolonged labor injuring Qi, double the Ren Shen in this formula. For difficulty in opening the intersection bones at delivery, add one whole Gui Ban and a tuft of the parturient's own cut hair (hair from others may also be used), named Kaigu San.

Siwu Tang (Four Substances Decoction), Shengyu Tang (Succeeding Vitality Decoction), Liuwu Tang (Six Substances Decoction), Jiawei Siwu Tang (Modified Four Substances Decoction), Digupi Yin (Lycium Bark Drink)
11. To regulate the Liver and nourish Blood, use Siwu Tang, adjusting Dang Gui, Chuan Xiong, Bai Shao, and Shu Di Huang appropriately. For Qi deficiency and blood scarcity, add Ren Shen and Huang Qi to tonify; for Qi dryness and blood heat, add Zhi Mu and Huang Bai to clear. For alternating chills and fever, add Chai Hu, Dan Pi, and Chao Zhi Zi (Stir-fried Gardenia Fruit); for fever only without chills, use Digupi to calm; for severe heat, add Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma); for severe cold, add Rou Gui and Fu Zi; to break blood stasis, add Tao Ren (Persicae Semen) and Hong Hua (Carthami Flos); to stop bleeding, add Mao Gen (Imperatae Rhizoma) and Pu Huang (Typhae Pollen stir-fried black).
[Note] To regulate the Liver and nourish Blood, use Siwu Tang, consisting of Dang Gui, Chuan Xiong, Bai Shao, and Shu Di Huang. Appropriate adjustment means using Bai Shao and Shu Di Huang to tonify blood, Chi Shao (Paeoniae Radix Rubra) to break blood, and Sheng Di Huang to cool blood. For Qi deficiency and blood scarcity, add Ren Shen and Huang Qi, named Shengyu Tang. For Qi dryness and blood heat, add Zhi Mu and Huang Bai, named Liuwu Tang. For blood deficiency with alternating chills and fever, use Jiawei Siwu Tang, which is this formula plus Chai Hu, Dan Pi, and Chao Zhi Zi. For blood deficiency with fever only and no aversion to cold, use Digupi Yin, which is this formula plus Digupi (Lycii Cortex) and Mu Dan Pi. For severe heat in the blood level, add Huang Qin and Huang Lian to this formula. For severe cold, add Rou Gui and Fu Zi; to break blood stasis, add Tao Ren and Hong Hua; to stop bleeding, add Mao Gen and stir-fried black Pu Huang.

Bazhen Tang (Eight Treasures Decoction), Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction), Renshen Yangrong Tang (Ginseng Nourishing Vigor Decoction)
12. For all conditions of dual Qi and Blood deficiency, use Bazhen Tang (combination of Siwu Tang and Sijunzi Tang). Symptoms include Qi exhaustion, withered complexion, hair loss, spontaneous sweating, night sweats, palpitations, forgetfulness, fever, cough, hematemesis, epistaxis, poor appetite, emaciation, and frequent diarrhea. If these symptoms are present, use Shiquan Dabu Tang, which is Bazhen Tang plus Huang Qi and Rou Gui. Renshen Yangrong Tang is Shiquan Dabu Tang minus Chuan Xiong, plus Yuan Zhi (Polygalae Radix), Wu Wei Zi, and Chen Pi.
[Note] Qi deficiency: Sijunzi Tang. Blood deficiency: Siwu Tang. Dual Qi and Blood deficiency: Bazhen Tang. Bazhen Tang consists of Sijunzi Tang and Siwu Tang. If there are symptoms such as Qi exhaustion, withered complexion, hair loss, spontaneous and night sweats, palpitations, forgetfulness, fever, cough, hematemesis, epistaxis, poor appetite, emaciation, and diarrhea, then use Shiquan Dabu Tang, which is Bazhen Tang plus Huang Qi and Rou Gui. Renshen Yangrong Tang is Shiquan Dabu Tang minus Chuan Xiong, plus Yuan Zhi, Wu Wei Zi, and Chen Pi.

Xiao Jianzhong Tang (Minor Construct the Middle Decoction), Huangqi Jianzhong Tang, Danggui Jianzhong Tang, Shuanghe Yin (Double Harmony Drink)
13. For deficiency-labor abdominal pain, use Xiao Jianzhong Tang. It also treats palpitations, epistaxis, nocturnal seminal emission, frequent heat in hands and feet, limb soreness and aching. Formula: Bai Shao, Gan Cao, Yi Tang (Maltose), Rou Gui, Da Zao, Sheng Jiang combined. For Wei Qi deficiency, add Huang Qi to name Huangqi Jianzhong Tang; for Ying Blood deficiency, it is named Danggui Jianzhong Tang. To warm and nourish Qi and Blood, use Shuanghe Yin, which is these three formulas minus Yi Tang, plus Shu Di Huang and Chuan Xiong.
[Note] For extreme deficiencies and labor, with urgency and abdominal pain, use Xiao Jianzhong Tang to gently warm the Spleen and Stomach. It also treats interior deficiency with palpitations, loss of blood from epistaxis, nocturnal seminal emission, frequent heat in hands and feet, soreness and aching of limbs, and blood depletion. This formula consists of Bai Shao Yao, Gan Cao, Yi Tang, Zhong Gui (Rou Gui), Da Zao, and Sheng Jiang. For Wei Qi deficiency, add Huang Qi, named Huangqi Jianzhong Tang. If there is no interior urgency or abdominal pain but other symptoms exist, use Shuanghe Yin to warm and nourish Qi and Blood, which is these three formulas minus Yi Tang, plus Shu Di Huang and Chuan Xiong. This is essentially Bazhen Tang minus Ren Shen, Bai Zhu, and Fu Ling, plus Huang Qi and Zhong Gui, primarily focusing on tonifying Yin Blood.

Bu Gan Tang (Tonify Liver Decoction)
14. Bu Gan Tang treats Liver deficiency and damage, characterized by lax tendons unable to hold themselves, dim vision, and inability to see. Formula: Siwu Tang plus Suan Zao Ren, Gan Cao, and Mu Gua (Chaenomelis Fructus).
[Note] Bu Gan Tang consists of Dang Gui, Chuan Xiong, Bai Shao, Shu Di Huang, Suan Zao Ren, Zhi Gan Cao, and Mu Gua.

Jiawei Jiufei Yin (Modified Rescue Lung Drink)
15. Jiawei Jiufei Yin treats Lung damage, characterized by coughing blood, where Metal is punished by Fire. Formula: Dang Gui, Bai Shao, Mai Dong, Wu Wei Zi, Ren Shen, Huang Qi, Gan Cao, Bai He, Zi Wan (Asteris Radix), and Lou Lu (Aristolochiae Radix).
[Note] Jiawei Jiufei Yin consists of Dang Gui, Bai Shao, Mai Dong, Wu Wei Zi, Ren Shen, Huang Qi, Zhi Gan Cao, Bai He, Kua Dong Hua (Kalanchoe Flos), Zi Wan, and Lou Lu.

Tianwang Buxin Dan (Emperor of Heaven’s Special Pill for Nourishing the Heart)
16. Tianwang Buxin Dan treats Heart deficiency and damage, characterized by forgetfulness, Spirit deficiency, irritability, and insomnia. Formula: Bai Zi Ren (Biota Seed), Wu Wei Zi, Fu Ling, Dang Gui, Sheng Di Huang, Jie Geng (Platycodonis Radix), Dan Shen (Salviae Miltiorrhizae Radix), Ren Shen, Xuan Shen (Scrophulariae Radix), Tian Dong, Mai Dong, Yuan Zhi, Zhu Sha (Cinnabar), and Suan Zao Ren.
[Note] This formula consists of Bai Zi Ren, Wu Wei Zi, Fu Ling, Dang Gui, Sheng Di Huang, Jie Geng, Dan Shen, Ren Shen, Xuan Shen, Tian Dong, Mai Dong, Yuan Zhi, Zhu Sha, and Suan Zao Ren.

Guipi Tang (Restore the Spleen Decoction)
17. Guipi Tang treats Heart and Spleen damage caused by overthinking. Symptoms include heat and irritability, night sweats, palpitations, fright, forgetfulness, palpitation (Zhen Chong), and mental confusion. Formula: Sijunzi Tang plus Suan Zao Ren, Yuan Zhi, Mu Xiang, Dang Gui, and Huang Qi.
[Note] Ji (Palpitation) refers to the heart beating spontaneously. Jing (Fright) refers to being startled by external objects. Jianwang (Forgetfulness) refers to easily forgetting matters. Zhengchong (Palpitation/Anxiety) refers to intense heart throbbing. Huanghu (Confusion) refers to intermittent mental clarity. The formula is Sijunzi Tang plus Suan Zao Ren, Yuan Zhi, Mu Xiang, Dang Gui, and Huang Qi.

Renshen Guben Tang/Wan (Ginseng Solidify Root Decoction/Pill), Baoyuan Shengmai Guben Tang
18. Guben treats dual deficiency of Lung and Kidney, such as Fei Wei (Flaccidity of Lung) with hemoptysis progressing to labor. Formula: Tian Dong, Mai Dong, Sheng Di Huang, Shu Di Huang, and Ren Shen together. Baoyuan Shengmai Guben Tang combines Baoyuan Tang, Sheng Mai San, and this formula to simultaneously regulate the deficiency of the Spleen, Lung, and Kidney meridians.
[Note] Renshen Guben Tang/Wan consists of Ren Shen, Tian Dong, Mai Dong, Sheng Di Huang, and Shu Di Huang. Based on this formula, add Huang Qi and Zhi Gan Cao from Baoyuan Tang, and Wu Wei Zi from Sheng Mai San, combining three formulas into one, named Baoyuan Shengmai Guben Tang. Tongtiao means simultaneously regulating the deficiency of the Spleen, Lung, and Kidney meridians.

Xiaoyao San (Free and Easy Wanderer Powder)
19. Xiaoyao San regulates the Spleen and clears the Liver, treating blood deficiency with bone-steaming, irritable cough with phlegm, alternating chills and fever, red cheeks, rib discomfort, women's menstrual pain, and deficient/wiry pulse. Formula: Bai Zhu, Huang Qin (Scutellariae Radix), Dang Gui, Bai Shao, Chai Hu, Bo He (Menthae Haplocalyx), and Gan Cao. For Liver heat, add Chao Zhi Zi and Dan Pi to create Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). For Liver Qi stagnation, add Chen Pi; for Liver Qi depression, add Fu Xiong (Chuanxiong) and Xiang Fu (Cyperi Rhizoma). For Liver Qi depression with heat, add Wu Zhu Yu (Evodiae Fructus) and Chao Huang Lian (Stir-fried Coptidis Rhizoma). Only a small amount of Bo He should be used as a guiding herb; it should not be used in large quantities.
[Note] This formula consists of Bai Zhu, Fu Ling, Dang Gui, Bai Shao, Chai Hu, Bo He, and Gan Cao. For Liver Qi heat, add Chao Zhi Zi and Dan Pi to this formula, named Jiawei Xiaoyao San. For Liver Qi stagnation, add Chen Pi; for Liver Qi depression, add Fu Xiong and Xiang Fu. For Liver Qi depression with heat, add Wu Zhu Yu and Chao Huang Lian. Only a small amount of Bo He should be used as a guide; it is not suitable for heavy use.