天门冬（去心） 麦门冬（去心） 川巴戟（去心） 人参 白术 白茯苓 川牛膝 生
地黄 熟地黄 肉苁蓉（去心） 枸杞子 菟丝子（去心） 莲须 白茯神 山药（姜汁炒）
山茱萸（去核） 沙苑疾藜（炒） 柏子仁 鹿角胶 鹿角霜（各五两） 酸枣仁 远志 五
味子 石斛（各二两）
上药共为末，蜜丸梧子大。早晨盐汤吞下百丸。
此亦广嗣之方也。
男女媾精，乃能有孕。然精得五脏之所生，而藏之肾者也，故欲藏精于肾者，必调五脏，
五脏盛而精生矣。是方也，人参、五味、天麦门冬，补肺药也。茯神、远志、柏仁、枣仁、
生地，补心药也。白术、茯苓、山药、石斛，补脾胃也。熟地、枸杞、菟丝、巴戟、牛膝、
茱萸、苁蓉、沙苑蒺藜，补肝肾也。鹿角胶，气血之属，用之所以生精，角霜、莲须，收涩
之品，用之所以固脱。如是则五脏皆有养而精日生，乃能交媾而宜子矣。
此六物者，湿热之品也，取之者何？凡人艰嗣者，多有下虚，而胃中之湿袭之，内生胞
痹、肾痹、白滞之疾，故令精寒而不嗣也。能于此数物酌而用之，则痹去而宜子矣。
世人谓精寒者不宜嗣，辛以温暖之剂主之，此不可执也。盖天地冲和而万物发育，朔方
寒胜，固令不毛。南服蒸炎，亦令焦土。明于精寒不嗣，昧于血燥不胎，非良手也。故述芩、
连
Tianmendong (Asphodelus Root, *Ophiopogonis Radix*) [remove the heart], Maimendong (Liriope Root, *Liriopes Radix*) [remove the heart], ChuanbaJi (Morinda Root, *Morindae Officinalis Radix*) [remove the heart], Renshen (Ginseng Root, *Ginseng Radix*), Baizhu (Atractylodes Rhizome, *Atractylodis Macrocephalae Rhizoma*), BaiFuling (Poria, *Poria*), ChuanNiuxi (Cyathula Root, *Cyathulae Radix*), ShengDihuang (Rehmannia Root, *Rehmanniae Radix Recens*), ShuDihuang (Prepared Rehmannia Root, *Rehmanniae Radix Preparata*), RouCongRong (Cistanche Stem, *Cistanches Herba*), Gouqizi (Goji Berry, *Lycii Fructus), Tusizi (Dodder Seed, *Cuscutae Semen*) [remove the heart], Lianxu (Lotus Stamens, *Nelumbinis Stamen), BaiFushen (Poria with Hostwood, *Poria cum Mycelium), Shanyao (Chinese Yam Rhizome, *Dioscoreae Rhizoma*) [stir-fried with ginger juice), Shanzhuyu (Cornus Fruit, *Corni Fructus*) [remove the pits), Shayuan Jili (Astragalus Complanatus Seed, *Astragali Complanati Semen*) [stir-fried), Baiziren (Biota Seed, *Biota Semen), LuJiaoJiao (Deer Antler Glue, *Corpus Cervi Cornus Gelatinum), LuJiaoShuang (Deer Antler Powder, *Corpus Cervi Cornus Pulvis)* [each five liang], Suanzaoren (Ziziphus Seed, *Zizyphi Spinosi Semen), Yuanzhi (Polygala Root, *Polygalae Radix), Wuweizi (Schisandra Fruit, *Schisandrae Chinensis Fructus), Shihu (Dendrobium Stem, *Dendrobii Caulis)* [each two liang].
Grind the above herbs into powder, and make pills with honey, sized like wu-tong seeds. Swallow one hundred pills with salt water in the morning.
This is also a formula widely used for promoting fertility.
The union of male and female essence allows for conception. However, essence is generated by the five zang organs and stored in the kidney. Therefore, to ensure sufficient essence stored in the kidney, one must regulate the five zang organs; when the five zang organs are vigorous, essence will be produced. In this formula, Renshen (Ginseng Root), Wuweizi (Schisandra Fruit), Tianmendong (Asphodelus Root), and Maimendong (Liriope Root) are herbs that tonify the lung. Fushen (Poria with Hostwood), Yuanzhi (Polygala Root), Baiziren (Biota Seed), Suanzaoren (Ziziphus Seed), and ShengDihuang (Rehmannia Root) are herbs that tonify the heart. Baizhu (Atractylodes Rhizome), Fuling (Poria), Shanyao (Chinese Yam Rhizome), and Shihu (Dendrobium Stem) tonify the spleen and stomach. ShuDihuang (Prepared Rehmannia Root), Gouqizi (Goji Berry), Tusizi (Dodder Seed), Baji (Morinda Root), Niuxi (Cyathula Root), Shanzhuyu (Cornus Fruit), RouCongRong (Cistanche Stem), and Shayuan Jili (Astragalus Complanatus Seed) tonify the liver and kidney. LuJiaoJiao (Deer Antler Glue) belongs to the category of qi and blood tonics; it is used to promote the generation of essence. LuJiaoShuang (Deer Antler Powder) and Lianxu (Lotus Stamens) are astringent substances; they are used to secure and prevent the leakage of essence. In this way, the five zang organs are all nourished, essence is generated daily, and successful intercourse leading to offspring becomes possible.
These six items (referring to heat-clearing and damp-draining herbs such as Huangqin, Huanglian, Huangbai, Zhizi mentioned later) are of a damp-heat nature. Why are they chosen? Most people who have difficulty conceiving suffer from deficiency in the lower jiao, while dampness from the stomach invades internally, causing internal blockage diseases such as Bao Bi (uterine obstruction), Shen Bi (kidney channel obstruction), and Bai Zhu (white turbidity). This results in cold essence and infertility. If these few herbs are used judiciously, the bi obstruction will be removed, and fertility will be facilitated.
People generally believe that those with cold essence cannot conceive and advocate using acrid-warm agents as the primary treatment. This view is rigid and inflexible. The harmony of heaven and earth promotes the development of all things. In the northern regions, where cold prevails, vegetation indeed fails to grow. In the southern regions, where heat steams, the soil also becomes scorched. To understand that cold essence causes infertility but remain ignorant that dry blood prevents conception indicates that one is not a skilled physician. Therefore, the discussion of Huangqin (Scutellaria Root, *Scutellariae Radix*) and Huanglian (Coptis Rhizome, *Coptidis Rhizoma*...