论曰下焦如渎，其气起于胃下脘，别回肠，注于膀胱。主出而不内以传导也，其气虚寒
，则津液不固，大小便利不止，少腹痛，不欲闻人语，治宜温之。
治下焦虚寒，津液不止，气欲绝。人参续气汤方
人参 浓朴（去粗皮姜汁炙） 陈橘皮（去白炒） 白茯苓（去黑皮） 乌梅（去核炒
干） 芎
洗三遍炒干各一
上一十二味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，日三，不拘时候。
治下焦虚冷，脐腹疼痛，手足厥逆，脉气沉短。石钟乳丸方
石钟乳（浆水煮研） 阳起石（酒煮研各一两） 附子（炮裂去皮脐一两半） 桂（去
粗皮）
上七味，捣研为末，用糯米粥为丸，如梧桐子大，每服三十丸，空心食前，生姜盐汤下
治下焦虚寒，脾肾不足，腹胁疼痛。内固丸方
香子（二两半微炒舶上者） 木香（一两） 楝实（炒一两半） 草豆蔻（去皮三分）
干姜
（炮半两） 吴茱萸（汤洗微炒） 葫芦巴（微炒） 补骨脂（微炒各一两） 甘草（炙一
分）
上九味，捣为细末，炼蜜和丸，如小弹子大，以丹砂为衣，每服一丸嚼破，以温酒下，
盐汤下亦得，空心食前服。
治下焦虚寒，脐腹 痛，小便滑数，补暖下元。椒红丸方
蜀椒（去目及闭口者炒出汗取红） 附子（炮裂去皮脐各二两） 干姜（炮一两）
上三味，捣罗为末，用猪肾三对，去脂膜薄切，摊于纸上去血。然后铺一重肾，着一重
药末，以尽为度，却以三五重湿纸裹，于 火内烧，待香熟取出，去纸烂研，若稍硬，更点
少许炼蜜，丸如梧桐子大，每日空心，以温酒下二十丸，渐加至三十丸。
治下焦不足，肾虚脾弱，上膈烦热，下元虚冷，腹内雷鸣，胸膈气滞，羸瘦无力。荜茇
丸方
荜茇 胡桃仁 干姜（炮裂锉） 人参 白茯苓（去黑皮） 诃黎勒（煨去核各一两） 桂
（
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心以温酒下二十丸，渐加至三十丸
治下焦虚冷，腰膝疼痛，肌肉消瘦，渐加无力。 香子丸方
香子（炒） 桂（去粗皮） 巴戟天（去心） 附子（炮裂去皮脐） 补骨脂（微炒）
干姜（
上六味，捣罗为末，用羊肾二对，切去筋膜，以酒二升，煮令酒尽，烂研和诸药末。更
捣三二百杵，丸如梧桐子大，每日空心生姜酒下三十丸，晚食前再服。
治下焦虚冷，便利频并，羸瘦无力，不思饮食。浓朴丸方
浓朴（去粗皮锉五两） 附子（生去皮脐） 蜀椒（去目及闭口者取红各二两）
上三味，以浆水六升，青盐三两，生姜三两切，同于银锅中，煮令水尽，焙干捣罗为末，
以水浸炊饼和丸，如梧桐子大，每日空心温酒下三十丸。
治下焦虚冷气，温脾胃，思饮食。诃黎勒丸方
诃黎勒皮 荜茇 桂（去粗皮） 胡椒 附子（炮裂去皮脐） 沉香 木香 人参 草
豆蔻
上一十味，捣罗为末，炼蜜和捣三二百杵。丸如梧桐子大，每于食前，以温酒下二十丸
治下元虚惫，逐积冷，暖脾肾。沉香荜茇丸方
沉香 荜茇 附子（炮裂去皮脐） 肉豆蔻（去壳） 木香 香子（炒） 石斛（去
根锉）
澄加 槟榔（锉
上一十五味，捣罗为末，炼蜜和捣三五百杵。丸如梧桐子大，每日空心及晚食前。温
酒下三十丸。
治下元虚冷气，温中强力暖胃。补骨脂丸方
补骨脂（微炒） 木香 附子（炮裂去皮脐） 槟榔（锉） 肉豆蔻（去壳） 青橘皮
（汤浸去
酥炙令微黄） 硫黄（细研水飞过） 腽肭脐（酒刷炙微黄） 肉苁蓉（酒浸一宿刮去皴皮
炙干） 蜀椒（去目及闭口者微炒出汗各一两）
上一十四味，除研者外，捣罗为末，入硫黄研令匀，用白羊肾五对，去筋膜细研。入前
药末相和拌了，搜白面裹， 火中烧，令面熟为度，取出药捣五七百杵，丸如梧桐子大，每
日空心以温酒下三十丸，渐加至四十丸。
治下元虚惫，小便滑数，虚损不足。韭子丸方
韭子（二两酒煮十余沸炒令干） 肉苁蓉（酒浸一宿刮去皴皮炙干） 浓朴（去粗皮涂
生姜汁炙令香熟） 龙骨 附子（炮裂去皮脐） 鹿角屑 山茱萸 桂（去粗皮） 车前子 天
雄（炮
上一十二味，捣罗为末，炼蜜和捣二三百杵。丸如梧桐子大，每日空心温酒下四十丸。
治痼冷在内，饮滞伏留，阴盛阳虚，谷气衰微，清浊不分，肠胃虚弱，寒湿相乘，下
利频并，饮食不入，怠惰嗜卧，烦闷不安，常服温益藏气，浓养肠胃。温内丸方
浓朴（姜汁制一斤） 干姜（炮） 甘草（炙） 白术 草豆蔻（去皮） 五味子 诃
黎勒皮
上八味，同捣罗为末，水煮面糊为丸，如梧桐子大，每服五十丸，不计时候。
Commentary states: The Lower Jiao (Lower Burner) is like a ditch; its Qi originates from the lower epigastrium of the Stomach, branches off into the Ileum, and pours into the Bladder. Its primary function is to expel waste without retaining essence, thereby facilitating conduction and transformation. If the Qi of the Lower Jiao is deficient and cold, it fails to secure body fluids, resulting in unceasing diarrhea and urinary incontinence, pain in the hypogastrium, and aversion to hearing human speech. The treatment should employ warming methods.
**Renshen Xuqi Tang (Ginseng Decoction for Continuation of Qi)**
Indicated for deficiency-cold of the Lower Jiao, unceasing loss of body fluids, and impending exhaustion of vital Qi.
Ingredients: Renshen (Radix Ginseng), Houpo (Cortex Magnoliae Officinalis, coarse skin removed, processed with ginger juice), Chenpi (Pericarpium Citri Reticulatae, white pith removed, stir-fried), Fuling (Poria, black skin removed), Wumei (Fructus Mume, pits removed, stir-fried dry), Xiongqiong (Rhizoma Chuanxiong, washed three times, stir-fried dry). Each ingredient weighs 1 liang.
Preparation: The above twelve ingredients are coarsely crushed and sifted. For each dose, take 3 qianbi (approx. 4-5 grams), add one zhan (approx. 200 ml) of water, decoct until reduced to 70%, strain, and take warm. Take three times daily, at any time.
**Shizhongru Wan (Lapis Flyitis Pill)**
Indicated for deficiency-cold of the Lower Jiao, pain in the umbilical and abdominal regions, cold reversal of the hands and feet, and a deep, short pulse.
Ingredients: Shizhongru (Lapis Flyitidis, boiled in fermented rice wash and ground), Yangqishi (Mineral Pyritum, boiled in wine and ground, each 1 liang), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed, 1.5 liang), Guizhi (Ramulus Cinnamomi, coarse skin removed).
Preparation: The above seven ingredients are crushed and ground into powder. Use glutinous rice porridge as a binder to form pills the size of paulownia seeds. Take 30 pills per dose before meals on an empty stomach, washed down with ginger-salt water.
**Neigu Wan (Inner Securing Pill)**
Indicated for deficiency-cold of the Lower Jiao, insufficiency of the Spleen and Kidney, and pain in the abdomen and hypochondrium.
Ingredients: Huixiangzi (Fructus Foeniculi, 2.5 liang, slightly stir-fried, imported variety), Muxiang (Radix Aucklandiae), Lianshi (Fructus Meliae Toosendan, stir-fried, 1.5 liang), Caodoukou (Semen Amomi Rotundus, skin removed, 3 fen), Ganjiang (Rhizoma Zingiberis Preparata, 0.5 liang), Wuzhuyu (Fructus Evodiae, washed in water, slightly stir-fried), Huluhaba (Semen Trigonellae, slightly stir-fried), Buguzhi (Fructus Psoraleae, slightly stir-fried, each 1 liang), Gancao (Radix Glycyrrhizae Preparata, 1 fen).
Preparation: The above nine ingredients are ground into fine powder. Mix with refined honey to form pills the size of small marbles, coated with Zhusha (Cinnabar). Chew one pill per dose and swallow with warm wine; salt water may also be used. Take before meals on an empty stomach.
**Jiaohong Wan (Red Pepper Pill)**
Indicated for deficiency-cold of the Lower Jiao, pain in the umbilical and abdominal regions, slippery and frequent urination; warms and tonifies the Lower Yuan.
Ingredients: Shujiao (Fructus Schisandrae Chinensis? Note: Text says Shujiao, typically Sichuan Pepper/Pepper Zanthoxyli, remove eyes and closed ones, stir-fry to release oil, take the red part), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed, each 2 liang), Ganjiang (Rhizoma Zingiberis Preparata, 1 liang).
Preparation: The above three ingredients are crushed and sieved into powder. Take three pairs of pig kidneys, remove the fatty membrane, slice thinly, and spread on paper to absorb blood. Layer the kidney slices and powder alternately until exhausted. Wrap in three to five layers of wet paper and roast over charcoal until fragrant and cooked. Remove, discard paper, and grind thoroughly. If too hard, add a little refined honey. Form pills the size of paulownia seeds. Take 20 pills on an empty stomach daily with warm wine, gradually increasing to 30 pills.
**Bibo Wan (Long Pepper Pill)**
Indicated for insufficiency of the Lower Jiao, deficiency of Kidney and weakness of Spleen, heat sensation in the upper diaphragm, coldness of the Lower Yuan, borborygmus in the abdomen, qi stagnation in the chest and diaphragm, emaciation, and weakness.
Ingredients: Bibo (Fructus Piperis Longi), Hutao Ren (Semen Juglandis), Ganjiang (Rhizoma Zingiberis Preparata, cracked and cut), Renshen (Radix Ginseng), Fuling (Poria, black skin removed), Helile (Fructus Chebulae, baked, pit removed, each 1 liang), Guizhi (Ramulus Cinnamomi).
Preparation: The above seven ingredients are crushed and sieved into powder. Mix with refined honey to form pills the size of paulownia seeds. Take 20 pills on an empty stomach daily with warm wine, gradually increasing to 30 pills.
**Huixiangzi Wan (Fennel Seed Pill)**
Indicated for deficiency-cold of the Lower Jiao, pain in the waist and knees, muscle emaciation, and progressive weakness.
Ingredients: Huixiangzi (Fructus Foeniculi, stir-fried), Guizhi (Ramulus Cinnamomi, coarse skin removed), Bajitian (Radix Morindae Officinalis, heart removed), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed), Buguzhi (Fructus Psoraleae, slightly stir-fried), Ganjiang (Rhizoma Zingiberis Preparata).
Preparation: The above six ingredients are crushed and sieved into powder. Take two pairs of sheep kidneys, remove fascia and membranes, boil in two sheng (approx. 400 ml) of wine until the wine is consumed, then grind thoroughly and mix with the herb powder. Pound 300-400 times more. Form pills the size of paulownia seeds. Take 30 pills on an empty stomach daily with ginger-wine, and another dose before evening meal.
**Houpo Wan (Magnolia Bark Pill)**
Indicated for deficiency-cold of the Lower Jiao, frequent defecation and urination, emaciation, weakness, and lack of appetite.
Ingredients: Houpo (Cortex Magnoliae Officinalis, coarse skin removed, cut, 5 liang), Fuzi (Radix Aconiti Lateralis, raw, skin and umbilicus removed), Shujiao (Fructus Zanthoxyli, remove eyes and closed ones, take red part, each 2 liang).
Preparation: The above three ingredients are boiled in six sheng (approx. 1200 ml) of fermented rice wash with three liang of green salt and three liang of sliced fresh ginger in a silver pot until the liquid is gone. Dry by baking, crush, and sieve into powder. Mix with steamed wheat dough soaked in water to form pills the size of paulownia seeds. Take 30 pills on an empty stomach daily with warm wine.
**Helile Wan (Chebula Pill)**
Indicated for cold qi of the Lower Jiao, warming the Spleen and Stomach, and stimulating appetite.
Ingredients: Helile Pi (Exocarpus Chebulae), Bibo (Fructus Piperis Longi), Guizhi (Ramulus Cinnamomi, coarse skin removed), Hujiao (Fructus Piperis Nigris), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed), Chenxiang (Lignum Aquilariae Resinatum), Muxiang (Radix Aucklandiae), Renshen (Radix Ginseng), Caodoukou (Semen Amomi Rotundus).
Preparation: The above ten ingredients are crushed and sieved into powder. Mix with refined honey and pound 300-400 times. Form pills the size of paulownia seeds. Take 20 pills before meals with warm wine.
**Chenxiang Bibo Wan (Aquilaria and Long Pepper Pill)**
Indicated for exhaustion of the Lower Yuan, driving out accumulated cold, and warming the Spleen and Kidney.
Ingredients: Chenxiang (Lignum Aquilariae Resinatum), Bibo (Fructus Piperis Longi), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed), Roudoukou (Semen Myristicae, shell removed), Muxiang (Radix Aucklandiae), Huixiangzi (Fructus Foeniculi, stir-fried), Shihu (Caulis Dendrobii, root removed, cut), Chengjia (Fructus Tsaoko? Note: Text likely refers to a specific spice, possibly Zanthoxylum or similar, often translated as Black Pepper or related), Binglang (Semen Arecae, cut).
Preparation: The above fifteen ingredients are crushed and sieved into powder. Mix with refined honey and pound 300-500 times. Form pills the size of paulownia seeds. Take 30 pills on an empty stomach and before evening meal with warm wine.
**Buguzhi Wan (Psoralea Pill)**
Indicated for cold qi of the Lower Yuan, warming the middle, strongly warming the Stomach.
Ingredients: Buguzhi (Fructus Psoraleae, slightly stir-fried), Muxiang (Radix Aucklandiae), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed), Binglang (Semen Arecae, cut), Roudoukou (Semen Myristicae, shell removed), Qingju Pi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, roasted with su [animal fat] until slightly yellow), Liuhuang (Sulfur, finely ground, water-floating method), Anayu (Testis Vulpis? Note: Traditionally sea otter testis, now substituted), Roucongrong (Herba Cistanches, soaked in wine overnight, scraped clean, dried), Shujiao (Fructus Zanthoxyli, remove eyes and closed ones, slightly stir-fry to release oil, each 1 liang).
Preparation: The above fourteen ingredients, except those already ground, are crushed and sieved into powder. Add sulfur and grind evenly. Take five pairs of white goat kidneys, remove fascia, and grind finely. Mix with the herb powder. Wrap in white flour dough and roast in fire until the dough is cooked. Remove, pound the medicine 500-700 times. Form pills the size of paulownia seeds. Take 30 pills on an empty stomach daily with warm wine, gradually increasing to 40 pills.
**Jiu Zi Wan (Leek Seed Pill)**
Indicated for exhaustion of the Lower Yuan, slippery and frequent urination, deficiency and insufficiency.
Ingredients: Jiu Zi (Semen Allii Tuberosi, 2 liang, boiled in wine for ten boils, stir-fried dry), Roucongrong (Herba Cistanches, soaked in wine overnight, scraped clean, dried), Houpo (Cortex Magnoliae Officinalis, coarse skin removed, brushed with ginger juice, roasted until fragrant), Longgu (Os Draconis et Mastodi), Fuzi (Radix Aconiti Lateralis Preparata, cracked by processing, skin and umbilicus removed), Lu Jiaoxie (Cornu Cervi Deglutitum), Shanzhuyu (Fructus Corni), Guizhi (Ramulus Cinnamomi, coarse skin removed), Cheqianzi (Semen Plantaginis), Tianxiong (Radix Aconiti Kusnezoffii Preparata).
Preparation: The above twelve ingredients are crushed and sieved into powder. Mix with refined honey and pound 200-300 times. Form pills the size of paulownia seeds. Take 40 pills on an empty stomach daily with warm wine.
**Wennei Wan (Interior Warming Pill)**
Indicated for entrenched cold inside, retention of stagnant fluids, excess Yin and deficiency Yang, decline of grain Qi, failure to separate clear from turbid, weakness of intestines and stomach, invasion of cold-dampness, frequent diarrhea, inability to eat, lethargy and desire to lie down, irritability and restlessness. Regular use warms and benefits the Zang organs and nourishes the intestines and stomach.
Ingredients: Houpo (Cortex Magnoliae Officinalis, processed with ginger juice, 1 jin), Ganjiang (Rhizoma Zingiberis Preparata), Gancao (Radix Glycyrrhizae Preparata), Baizhu (Rhizoma Atractylodis Macrocephalae), Caodoukou (Semen Amomi Rotundus, skin removed), Wuweizi (Fructus Schisandrae Chinensis), Helile Pi (Exocarpus Chebulae).
Preparation: The above eight ingredients are crushed and sieved together into powder. Use water-boiled wheat paste as a binder to form pills the size of paulownia seeds. Take 50 pills per dose, at any time.