论曰∶《内经》谓人身非衣寒也，中非有寒气也，寒从中生者何？是人多痹气也。阳气
少，
阴气多，故身寒如从水中出。夫阳虚生外寒，阴盛生内寒，人身阴阳偏胜，则自生寒热，不
必外伤于邪气也。痹气内寒者，以气痹而血不能运，阳虚而阴自胜也。血凝泣而脉不通，故
其证身寒如从水中出也。
治阳气虚，阴气盛，痹气内寒，如从水中出。温补鹿茸丸方。
鹿茸（去毛，酥炙四两） 人参 天雄（炮裂，去皮脐） 五加皮（锉） 五味子 牛
膝（酒
浸，切，焙） 防风（去叉） 远志（去心） 石斛（去根） 山芋 狗脊（去毛各一两） 肉
苁蓉（
去皴皮，酒浸，切，焙） 熟干地黄（焙各三两） 白茯苓（去黑皮） 菟丝子（酒浸，别
捣各
一两一分） 覆盆子 石龙芮（各二两） 萆 石南 蛇床子（炒去皮） 白术（各三分）
巴
戟天（去心，酒浸，焙） 天门冬（去心，焙） 杜仲（锉，炒各一两半） 干姜（炮裂） 桂
（去
粗皮） 吴茱萸（炒） 附子（炮裂，去皮脐） 细辛（去苗叶） 蜀椒（去目及闭口者，
炒出汗各
三分）
上三十味，除菟丝子别捣外，捣罗为末，再拌匀炼蜜，丸如梧桐子大。每服温酒下二十
丸，稍加至三十丸，空心食前，日三。
治阳衰阴盛痹气，身寒。补益巴戟天丸方。
巴戟天（去心，酒浸，焙） 肉苁蓉（去皴皮，酒浸，切，焙） 白龙骨 五味子 鹿
茸（
去毛，酥炙） 白茯苓（去黑皮） 天雄（炮裂，去皮脐） 续断 山芋 白石英（各二两）
覆
盆子 菟丝子（酒浸，别捣各三两） 熟干地黄（焙二两） 蛇床子（炒去皮一两） 远志
（去心）
干姜（炮裂各一两半）
上一十六味，除菟丝子别捣外，同捣罗为末，入菟丝子拌匀再罗，炼蜜丸如梧桐子大。
每服空心温酒下二十丸，加至三十丸，日再。
治阴盛阳虚痹气，身寒如从水中出。补益黄 丸方。
黄 （锉） 鹿茸（去毛，酥炙） 白茯苓（去黑皮） 乌头（炮裂，去皮脐） 干姜
（炮裂各
三分） 桂（去粗皮） 芎 当归（切，焙） 熟干地黄（焙各一两） 白术 菟丝子（酒
浸一
宿，别捣） 五味子 柏子仁 枸杞根皮（锉各一两半） 大枣（去核二十枚焙）
上一十五味，除菟丝子别捣外，同捣罗，再拌匀，炼蜜丸如梧桐子大。每服空心温酒下
十五丸，日三。
治阳虚阴盛痹气，身寒如从水中。肉苁蓉丸方。
肉苁蓉（去皴皮，酒浸，切，焙） 天雄（炮裂，去皮脐） 石斛（锉） 当归（切，
焙） 桂
（去粗皮各一两） 蜀椒（去目及闭口，炒出汗） 牛膝（锉，酒浸，焙） 陈橘皮（汤浸
去白）
干姜（炮裂各一两半）
上九味，捣罗为末，炼蜜丸如梧桐子大。每服三十丸，空服食前温酒下，日三。
治阳虚阴盛痹气，身寒如从水中出。天雄丸方。
天雄（炮裂，去皮脐） 乌头（炮裂，去皮脐） 石龙芮 王孙 王不留行 蜀椒（去
目及
闭口者，炒出汗各一两） 肉苁蓉（去皴皮，酒浸，切，焙） 当归（切，焙） 天麻（锉）
各二
两蛇床子（炒半两）
上一十味，捣罗为末，炼蜜丸如梧桐子大。每服空心温酒下三十丸，日再。
治痹气中寒，阳虚阴盛，身寒如水中出。附子丸方。
附子（炮裂，去皮脐） 乌头（炮裂，去皮脐） 桂（去粗皮） 蜀椒（去目及闭口者，
炒出
汗） 菖蒲（去须，锉） 甘草（炙各一两） 天麻 补骨脂（炒） 白术（各二两）
上九味，捣罗为末，炼蜜丸如梧桐子大。每服空心温酒下三十丸，日再。
Discourse states: The *Huangdi Neijing* (Yellow Emperor's Inner Canon) mentions that the human body is not cold due to insufficient clothing, nor is there external cold qi within. Why does cold arise from within? This is because the person has much Bi Qi (pathogenic factor causing obstruction of meridians and qi-blood). With deficient Yang qi and excessive Yin qi, the body feels cold as if emerging from water. Deficiency of Yang generates external cold; excess of Yin generates internal cold. When the Yin and Yang in the human body are imbalanced, cold and heat arise spontaneously, without necessarily being caused by external pathogenic factors. In cases of internal cold due to Bi Qi, it is because qi obstruction prevents blood from circulating normally, and Yang deficiency allows Yin to prevail naturally. Blood coagulates and becomes stagnant, and the vessels become blocked; thus, the symptom is a sensation of bodily coldness as if emerging from water.
Treatment for Yang deficiency, Yin excess, internal cold due to Bi Qi, with symptoms like emerging from water. Warming and Tonifying Deer Antler Pill Formula.
Lu Rong (Deer Antler, without hair, roasted with butter, 4 liang) Ren Shen (Ginseng Root) Tian Xiong (Aconitum Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Wu Jia Pi (Acanthopanacis Cortex) Wu Wei Zi (Schisandrae Fructus) Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, dried) Fang Feng (Saposhnikoviae Radix, forked parts removed) Yuan Zhi (Polygalae Radix, heart removed) Shi Hu (Dendrobii Caulis) Shan Yu (Corni Fructus) Gou Ji (Cibotii Rhizoma, without hair, each 1 liang) Rou Cong Rong (Cistanches Herba, wrinkled skin removed, soaked in wine, sliced, dried) Shu Gan Di Huang (Prepared Rehmanniae Radix, dried, each 3 liang) Bai Fu Ling (Poria, black skin removed) Tu Si Zi (Cuscutae Semen, soaked in wine, separately pounded, each 1 liang 1 fen) Fu Pen Zi (Rubiae Fructus) Shi Long Rui (Ranunculi Ternati Radix, each 2 liang) Bi Xie (Dioscoreae Hypoglaucae Rhizoma) Shi Nan (Acanthopanacis Trifoliati Caulis) She Chuang Zi (Cnidii Fructus, stir-fried, skin removed, each 3 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Ba Ji Tian (Morindae Officinalis Radix, heart removed, soaked in wine, dried) Tian Men Dong (Asparagi Radix, heart removed, dried) Du Zhong (Eucommiae Cortex, chopped, stir-fried, each 1.5 liang) Gan Jiang (Zingiberis Rhizoma, processed until cracked) Gui Zhi (Cinnamomi Ramulus, coarse bark removed) Wu Zhu Yu (Evodiae Fructus, stir-fried) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Xi Xin (Asari Radix et Rhizoma, seedlings and leaves removed) Shu Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until sweat appears, each 3 qian)
The above thirty ingredients, except for Tu Si Zi which is separately pounded, are all pounded and sifted into powder. They are then mixed evenly with refined honey and formed into pills the size of paulownia seeds. Take 20 pills per dose with warm wine, gradually increasing to 30 pills. Take on an empty stomach before meals, three times daily.
Treatment for Yang decline, Yin excess, Bi Qi, and bodily cold. Tonifying Morinda Pill Formula.
Ba Ji Tian (Morindae Officinalis Radix, heart removed, soaked in wine, dried) Rou Cong Rong (Cistanches Herba, wrinkled skin removed, soaked in wine, sliced, dried) Bai Long Gu (Fossilia Ossis Mastodi, white) Wu Wei Zi (Schisandrae Fructus) Lu Rong (Deer Antler, without hair, roasted with butter) Bai Fu Ling (Poria, black skin removed) Tian Xiong (Aconitum Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Xu Duan (Dipsaci Radix) Shan Yu (Corni Fructus) Bai Shi Ying (Quartz, white, each 2 liang) Fu Pen Zi (Rubiae Fructus) Tu Si Zi (Cuscutae Semen, soaked in wine, separately pounded, each 3 liang) Shu Gan Di Huang (Prepared Rehmanniae Radix, dried, 2 liang) She Chuang Zi (Cnidii Fructus, stir-fried, skin removed, 1 liang) Yuan Zhi (Polygalae Radix, heart removed) Gan Jiang (Zingiberis Rhizoma, processed until cracked, each 1.5 liang)
The above sixteen ingredients, except for Tu Si Zi which is separately pounded, are all pounded and sifted into powder. Add Tu Si Zi, mix evenly, and sift again. Mix with refined honey and form into pills the size of paulownia seeds. Take 20 pills per dose with warm wine on an empty stomach, increasing to 30 pills. Take twice daily.
Treatment for Yin excess, Yang deficiency, Bi Qi, and bodily cold as if emerging from water. Tonicking Astragalus Pill Formula.
Huang Qi (Astragali Radix, chopped) Lu Rong (Deer Antler, without hair, roasted with butter) Bai Fu Ling (Poria, black skin removed) Wu Tou (Aconiti Radix, processed until cracked, skin and navel removed) Gan Jiang (Zingiberis Rhizoma, processed until cracked, each 3 qian) Gui Zhi (Cinnamomi Ramulus, coarse bark removed) Xiong Qiong (Chuanxiong Rhizome) Dang Gui (Angelicae Sinensis Radix, sliced, dried) Shu Gan Di Huang (Prepared Rehmanniae Radix, dried, each 1 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Tu Si Zi (Cuscutae Semen, soaked in wine overnight, separately pounded) Wu Wei Zi (Schisandrae Fructus) Bai Zi Ren (Biota Semen) Gou Qi Gen Pi (Lycii Cortex, chopped, each 1.5 liang) Da Zao (Jujubae Fructus, pitted, 20 pieces, dried)
The above fifteen ingredients, except for Tu Si Zi which is separately pounded, are all pounded and sifted together, mixed evenly, and combined with refined honey to form pills the size of paulownia seeds. Take 15 pills per dose with warm wine on an empty stomach, three times daily.
Treatment for Yang deficiency, Yin excess, Bi Qi, and bodily cold as if emerging from water. Cistanche Pill Formula.
Rou Cong Rong (Cistanches Herba, wrinkled skin removed, soaked in wine, sliced, dried) Tian Xiong (Aconitum Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Shi Hu (Dendrobii Caulis, chopped) Dang Gui (Angelicae Sinensis Radix, sliced, dried) Gui Zhi (Cinnamomi Ramulus, coarse bark removed, each 1 liang) Shu Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until sweat appears) Niu Xi (Achyranthis Bidentatae Radix, chopped, soaked in wine, dried) Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed) Gan Jiang (Zingiberis Rhizoma, processed until cracked, each 1.5 liang)
The above nine ingredients are pounded and sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills per dose with warm wine on an empty stomach before meals, three times daily.
Treatment for Yang deficiency, Yin excess, Bi Qi, and bodily cold as if emerging from water. Tianxiong Pill Formula.
Tian Xiong (Aconitum Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Wu Tou (Aconiti Radix, processed until cracked, skin and navel removed) Shi Long Rui (Ranunculi Ternati Radix) Wang Sun (Polygoni Miqueliani Caulis) Wang Bu Liu Xing (Vaccariae Semen) Shu Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until sweat appears, each 1 liang) Rou Cong Rong (Cistanches Herba, wrinkled skin removed, soaked in wine, sliced, dried) Dang Gui (Angelicae Sinensis Radix, sliced, dried) Tian Ma (Gastrodiae Rhizoma, chopped, each 2 liang) She Chuang Zi (Cnidii Fructus, stir-fried, 0.5 liang)
The above ten ingredients are pounded and sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills per dose with warm wine on an empty stomach, twice daily.
Treatment for Bi Qi with internal cold, Yang deficiency, Yin excess, and bodily cold as if emerging from water. Aconite Pill Formula.
Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and navel removed) Wu Tou (Aconiti Radix, processed until cracked, skin and navel removed) Gui Zhi (Cinnamomi Ramulus, coarse bark removed) Shu Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until sweat appears) Chang Pu (Acori Tatarinowii Rhizoma, whiskers removed, chopped) Gan Cao (Licorice Root, honey-roasted, each 1 liang) Tian Ma (Gastrodiae Rhizoma) Bu Gu Zhi (Psoraleae Fructus, stir-fried) Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 2 liang)
The above nine ingredients are pounded and sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills per dose with warm wine on an empty stomach, twice daily.