论曰内经曰肾者主蛰，封藏之本，精之处也，盖肾受五脏六腑之精而藏之，气盛则输泻
有常，虚劳之人，精气已亏，邪气乘之，则藏者不固，或于梦寐，或于便溺，而漏失无常也，
其证少腹强急，阴头寒，目痛，发落，其脉数而散，芤动微紧者是也。
治虚劳伤损，小便失精及梦泄，韭子散方
韭子（炒） 麦门冬（去心焙） 菟丝子（酒浸一宿别捣各一两） 车前子（一合） 芎
白
上六味，捣罗为散，每服二钱匕，温酒调下，日二服，不知稍稍加之，甚者夜加一服。
治虚劳喜梦失精，桂枝牡蛎汤方
桂（去粗皮） 牡蛎（烧） 芍药 龙骨 甘草（炙各三分）
上五味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，枣二枚劈，煎至七分。去滓
空心温服，日晚再服。
治虚劳失精多睡，目视 ，羊骨汤方
羊骨（三两锉碎） 白术（一两） 桂（去粗皮二两） 麦门冬（去心焙） 人参 芍
药（各三
桑根白皮（各
上一十一味，除羊骨外，粗捣筛，每服三钱匕，先以水三盏，煎羊骨至一盏半，去骨下
药，并生地黄一分，生姜一分拍碎，枣两枚劈，煎至八分，去滓下饴糖少许，再煎令沸，空
心温服，夜卧再服。
治虚劳失精，便溺白浊，形体枯瘦，腰脚疼重，人参汤方
人参 芍药 桂（去粗皮各三分） 黄 （锉） 甘草（锉） 白茯苓（去黑皮） 白
龙骨 牡
上一十一味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍碎，煎至七分，去滓空腹温
服。
治虚劳漏精，韭子丸方
韭子（炒一两） 鹿茸（去毛酒浸炙） 桑螵蛸（炙各三分） 龙骨 车前子 天雄（炮
裂去
上八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空腹用黄 汤下。
治虚劳元气虚弱，精滑不禁，腰脊疼痛，白龙骨丸方
白龙骨（一两） 韭子（炒半两） 补骨脂（炒） 肉苁蓉（酒浸切焙各一两） 菟丝
子（酒浸
上五味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十丸，至三十丸，空心食前温酒
下。
治虚劳肾脏衰惫，梦寐失精，补骨脂散方
补骨脂（炒一两） 香子（舶上者炒三分）
上二味，捣罗为散，每服二钱匕，温酒或盐汤调下，空心食前服。兼治肾虚腰疼。
治阳气虚损，下元冷极，精泄不禁，小便频数，腰脚无力，饮食减少，正阳丸方
鹿茸（去毛酥炙二两） 肉苁蓉（酒浸切焙） 石楠（各一两） 五味子 葫芦巴（炒
各三分）
天（去心） 附子
上一十二味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，食前温酒或盐汤下。
治虚劳漏精，补益附子丸方
附子（炮裂去皮脐） 龙骨 牛膝（酒浸切焙） 肉苁蓉（酒浸切焙） 巴戟天（去心
等分）
上五味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心日午温酒盐汤任下，以知为
度。
治虚劳失精，补骨髓，去肾邪，金 丸方
巴戟天（去心二两） 龙骨 山茱萸（各一两） 韭子（炒四两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，至三十丸，空心温酒下。
治肾脏虚惫，小便遗精，阴痿湿痒，茎中痛， 砂丸方
砂（一两细研汤浸滤清） 附子（五两炮裂去皮脐为末） 生姜（一斤半取汁入前二
味慢
火煎熬成煎） 肉苁蓉（酒浸二两） 远志（去心） 沉香（锉） 山茱萸 巴戟天（去心）
鹿茸
（酒炙去毛） 石槲（去根各一两） 香子（炒） 石亭脂（别研各半两）
上一十二味，除煎外，捣罗为末，用前煎和丸，如梧桐子大，每服三十丸，温酒下。加
至四十丸。
治虚劳元脏衰弱，精气滑泄，或梦中遗沥。固气不二丸方
干柿（切焙） 鸡头舌（焙干鸡头纂上尖也） 金樱子（焙干状似黄蔷薇子） 莲花蕊
（焙干）
上四味等分，捣罗为末，以乌鸡于汁和丸，如梧桐子大，每服十丸，温酒下。
治五劳七伤失精，腰痛少气，面目萎黄。手足 冷，不思饮食，龙骨散方
龙骨 人参 远志（去心各一两一分） 白茯苓（去黑皮） 肉苁蓉（酒浸切焙各一两
半）
各一两）
上一十味，捣罗为散，每服三钱匕，温酒调下，日三服。
治虚劳梦泄，日渐羸劣，韭子丸方
韭子（炒一合） 大枣（去核焙五枚） 黄 （锉） 人参 干姜（焙） 当归（切焙）
白龙骨
上一十味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，暖酒下，空心日午服。
治虚劳失精，小腹弦急，隐隐头冷，目痛发落，人参丸方
人参 菟丝子（酒浸一宿捣末各一两半） 桂（去粗皮） 牡蛎粉 山芋 黄柏（去粗
皮）
姜（炮） 熟干
上一十三味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，暖酒下，空心日午服。
治虚劳肾气乏弱失精，腰脚无力，小便数，鹿茸丸方
鹿茸（去毛酥炙） 补骨脂（微炒各二两） 牛膝（酒浸切焙） 杜仲（去粗皮炙锉） 菟
丝
裂去皮脐） 熟干地黄（焙各一两） 牡蛎粉 泽泻 防风（去叉） 干姜（炮） 龙骨（研
各三分） 肉苁蓉（酒浸去皴皮切焙） 远志（去心各一两）
上一十八味，捣罗为末，炼蜜和丸，如梧桐子大，每服空心温酒下二十丸。
治虚劳失精，天雄散方
天雄（炮裂去皮脐一两） 白术（四两） 桂（去粗皮一两）
上三味，捣罗为散，每服二钱匕，空心煨酒调下。
[Discussion] The *Neijing* (Yellow Emperor's Inner Canon) states that the Kidney governs hibernation (storage), is the root of sealing and storing, and is the residence of Essence. Generally, the Kidney receives and stores the Essence of the Five Zang and Six Fu organs. When Qi is abundant, the distribution and excretion of Essence follow regular patterns. However, in patients with Xu Lao (Deficiency Consumption), Essence and Qi are already depleted. Pathogenic factors take advantage of this deficiency, causing the storage function to become unstable. Consequently, Essence may leak out irregularly during dreams or urination/defecation. Clinical manifestations include stiffness and tension in the lower abdomen, coldness at the glans penis, eye pain, and hair loss. The pulse is rapid and scattered, or presents as Kou (hollow), Dong (surging/moving), or slightly Jin (tight).
**Formula: Jiu Zi San (Leek Seed Powder)**
Indications: Deficiency consumption with injury, spermatorrhea during urination, and nocturnal emission.
Ingredients: Jiu Zi (Fructus Allii Tuberosi, stir-fried); Mai Men Dong (Radix Ophiopogonis, core removed and baked); Tu Si Zi (Semen Cuscutae, soaked in wine overnight and pounded separately, each 1 liang); Che Qian Zi (Semen Plantaginis, 1 he); Xiong [Qiong] (Rhizoma Chuanxiong); Bai [Zhi] (Radix Angelicae Dahuricae - *Note: Text implies two herbs here*).
Preparation: Pounded and sifted into a powder.
Dosage: Take 2 qian bi per dose, mixed with warm wine. Twice daily. If ineffective, gradually increase the dose. For severe cases, add one dose at night.
**Formula: Gui Zhi Mu Li Tang (Cinnamon Twig and Oyster Shell Decoction)**
Indications: Deficiency consumption prone to dreams and spermatorrhea.
Ingredients: Gui Zhi (Ramulus Cinnamomi, bark removed); Mu Li (Concha Ostreae, calcined); Shao Yao (Radix Paeoniae Alba); Long Gu (Os Draconis); Zhi Gan Cao (Radix Glycyrrhizae Preparata, each 3 fen).
Preparation: Coarsely crushed and sifted.
Dosage: Take 3 qian bi per dose. Add 1 sheng of water, half a piece of smashed Sheng Jiang (Rhizoma Zingiberis Recens), and two split Da Zao (Fructus Jujubae). Decoct until 0.7 sheng remains. Strain and take warm on an empty stomach. Take again in the evening.
**Formula: Yang Gu Tang (Sheep Bone Decoction)**
Indications: Deficiency consumption with spermatorrhea, hypersomnia, and visual disturbances.
Ingredients: Yang Gu (Ossum Ovile, 3 liang, crushed); Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang); Gui Zhi (Ramulus Cinnamomi, bark removed, 2 liang); Mai Men Dong (Radix Ophiopogonis, core removed and baked); Ren Shen (Radix Ginseng); Shao Yao (Radix Paeoniae Alba); Sang Bai Pi (Cortex Morii Radicis). (*Note: Original text has missing quantities for some ingredients*).
Preparation: Except for Sheep Bone, coarsely crush and sift.
Dosage: Take 3 qian bi per dose. First, decoct Sheep Bone in 3 sheng of water until 1.5 sheng remains. Remove bones, add other herbs, 1 fen of Sheng Di Huang (Radix Rehmanniae Preparata), 1 fen of smashed Sheng Jiang, and two split Da Zao. Decoct until 0.8 sheng remains. Strain, add a small amount of Yi Tang (Malt Sugar), boil again. Take warm on an empty stomach and before bed.
**Formula: Ren Shen Tang (Ginseng Decoction)**
Indications: Deficiency consumption with spermatorrhea, turbid urine (leukorrhea-like), emaciation, and heavy/painful waist and legs.
Ingredients: Ren Shen (Radix Ginseng); Shao Yao (Radix Paeoniae Alba); Gui Zhi (Ramulus Cinnamomi, bark removed, each 3 fen); Huang Qi (Radix Astragali, crushed); Gan Cao (Radix Glycyrrhizae, crushed); Bai Fu Ling (Poria, black skin removed); Bai Long Gu (Os Draconis); Mu Li (Concha Ostreae). (*Note: Text incomplete*).
Preparation: Coarsely crush and sift.
Dosage: Take 3 qian bi per dose. Add 1 sheng of water and half a piece of smashed Sheng Jiang. Decoct until 0.7 sheng remains. Strain and take warm on an empty stomach.
**Formula: Jiu Zi Wan (Leek Seed Pill)**
Indications: Deficiency consumption with leakage of essence.
Ingredients: Jiu Zi (Fructus Allii Tuberosi, stir-fried, 1 liang); Lu Rong (Cornu Cervi Pantotrichum, hair removed, soaked in wine and roasted); Sang Piao Xiao (Oötheca Mantidis, roasted, each 3 fen); Long Gu (Os Draconis); Che Qian Zi (Semen Plantaginis); Tian Xiong (Radix Aconiti Lateralis Preparata, processed). (*Note: Text incomplete*).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 20 pills per dose, with Huang Qi (Astragalus) decoction on an empty stomach.
**Formula: Bai Long Gu Wan (White Dragon Bone Pill)**
Indications: Deficiency consumption with weak Yuan Qi, uncontrollable seminal emission, and back/spine pain.
Ingredients: Bai Long Gu (Os Draconis, 1 liang); Jiu Zi (Fructus Allii Tuberosi, stir-fried, 0.5 liang); Bu Gu Zhi (Fructus Psoraleae, stir-fried); Rou Cong Rong (Herba Cistanches, soaked in wine, sliced, and baked, each 1 liang); Tu Si Zi (Semen Cuscutae, soaked in wine). (*Note: Text incomplete*).
Preparation: Pounded and sifted into powder. Use wine-boiled flour paste to make pills the size of Sophora seeds.
Dosage: Take 20-30 pills per dose, with warm wine before meals on an empty stomach.
**Formula: Bu Gu Zhi San (Psoralea Powder)**
Indications: Deficiency consumption with kidney exhaustion and nocturnal emission. Also treats kidney-deficiency lumbar pain.
Ingredients: Bu Gu Zhi (Fructus Psoraleae, stir-fried, 1 liang); Xiang Zi (Fructus Amomi Rotundus, imported variety, stir-fried, 3 fen).
Preparation: Pounded and sifted into powder.
Dosage: Take 2 qian bi per dose, mixed with warm wine or salt water. Take before meals on an empty stomach.
**Formula: Zheng Yang Wan (Upright Yang Pill)**
Indications: Yang Qi deficiency, extreme cold in the Lower Yuan, uncontrollable seminal emission, frequent urination, weakness in waist/legs, and reduced appetite.
Ingredients: Lu Rong (Cornu Cervi Pantotrichum, hair removed,酥 roasted, 2 liang); Rou Cong Rong (Herba Cistanches, soaked in wine, sliced, and baked); Shi Nan Ye (Folium Rhododendri Daurici), each 1 liang; Wu Wei Zi (Fructus Schisandrae); Hu Lu Ba (Semen Trigonellae, stir-fried, each 3 fen); Yuan Zhi (Radix Polygalae, core removed); Fu Zi (Radix Aconiti Lateralis Preparata). (*Note: Text incomplete*).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 20 pills per dose, before meals with warm wine or salt water.
**Formula: Bu Yi Fu Zi Wan (Tonifying Aconite Pill)**
Indications: Deficiency consumption with leakage of essence; tonifying properties.
Ingredients: Fu Zi (Radix Aconiti Lateralis Preparata, processed, skin and umbilicus removed); Long Gu (Os Draconis); Niu Xi (Radix Achyranthis Bidentatae, soaked in wine, sliced, and baked); Rou Cong Rong (Herba Cistanches, soaked in wine, sliced, and baked); Ba Ji Tian (Radix Morindae Officinalis, core removed, equal parts).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 20 pills per dose, on an empty stomach or at noon, with warm wine or salt water as desired. Stop when effective.
**Formula: Jin [Ying Zi] Wan (Golden [Rose Hip/Smyrnium] Pill)**
Indications: Deficiency consumption with spermatorrhea; tonifies marrow; expels kidney pathogens.
Ingredients: Ba Ji Tian (Radix Morindae Officinalis, core removed, 2 liang); Long Gu (Os Draconis); Shan Zhu Yu (Fructus Corni), each 1 liang; Jiu Zi (Fructus Allii Tuberosi, stir-fried, 4 liang).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 20-30 pills per dose, with warm wine on an empty stomach.
**Formula: ...Sha Wan (...Sand Pill)**
Indications: Kidney deficiency/exhaustion, spermatorrhea, impotence with damp itching, and penile pain.
Ingredients: Sha [Mineral] (1 liang, finely ground, soaked in liquid and filtered); Fu Zi (Radix Aconiti Lateralis Preparata, 5 liang, processed, skin and umbilicus removed, powdered); Sheng Jiang (Rhizoma Zingiberis Recens, 1.5 jin, juice extracted and slow-cooked with the first two ingredients into a paste); Rou Cong Rong (Herba Cistanches, soaked in wine, 2 liang); Yuan Zhi (Radix Polygalae, core removed); Chen Xiang (Lignum Aquilariae Resinatum, crushed); Shan Zhu Yu (Fructus Corni); Ba Ji Tian (Radix Morindae Officinalis, core removed); Lu Rong (Cornu Cervi Pantotrichum, wine-roasted, hair removed); Shi Hu (Stem Dendrobii, roots removed), each 1 liang; Xiang Zi (Fructus Amomi Rotundus, stir-fried); Shi Ting Zhi (Resina Lithospermi, separately ground), each 0.5 liang.
Preparation: Except for the paste, pound and sift the remaining eleven herbs into powder. Mix with the prepared paste to make pills the size of Sophora seeds.
Dosage: Take 30 pills per dose, with warm wine. Can increase to 40 pills.
**Formula: Gu Qi Bu Er Wan (Consolidate Qi Non-Two Pill)**
Indications: Deficiency consumption with weak Yuan Zang, sliding essence, or dripping seminal emission in dreams.
Ingredients: Gan Shi (Dry Persimmon, sliced and baked); Ji Tou She (Tip of Euryale Seed/Qian Shi, baked dry); Jin Ying Zi (Fructus Rosae Laevigatae, baked dry); Lian Hua Rui (Stamen Nelumbinis, baked dry).
Preparation: Equal parts, pounded and sifted into powder. Mix with blood from a black chicken to make pills the size of Sophora seeds.
Dosage: Take 10 pills per dose, with warm wine.
**Formula: Long Gu San (Dragon Bone Powder)**
Indications: Wu Lao Qi Shang (Five Exhaustions and Seven Injuries) with spermatorrhea, lumbar pain, shortness of breath, sallow complexion, cold hands/feet, and anorexia.
Ingredients: Long Gu (Os Draconis); Ren Shen (Radix Ginseng); Yuan Zhi (Radix Polygalae, core removed, each 1 liang 1 fen); Bai Fu Ling (Poria, black skin removed); Rou Cong Rong (Herba Cistanches, soaked in wine, sliced, and baked, each 1.5 liang); [Missing Herb] (1 liang). (*Note: Text incomplete*).
Preparation: Pounded and sifted into powder.
Dosage: Take 3 qian bi per dose, mixed with warm wine. Three times daily.
**Formula: Jiu Zi Wan (Leek Seed Pill)**
Indications: Deficiency consumption with nocturnal emission, gradual emaciation.
Ingredients: Jiu Zi (Fructus Allii Tuberosi, stir-fried, 1 he); Da Zao (Fructus Jujubae, pitted and baked, 5 pieces); Huang Qi (Radix Astragali, crushed); Ren Shen (Radix Ginseng); Gan Jiang (Rhizoma Zingiberis Secatum, baked); Dang Gui (Radix Angelicae Sinensis, sliced and baked); Bai Long Gu (Os Draconis). (*Note: Text lists fewer than ten items explicitly but claims ten*).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 30 pills per dose, with warm wine. Take on an empty stomach or at noon.
**Formula: Ren Shen Wan (Ginseng Pill)**
Indications: Deficiency consumption with spermatorrhea, tense lower abdomen, cold head, eye pain, and hair loss.
Ingredients: Ren Shen (Radix Ginseng); Tu Si Zi (Semen Cuscutae, soaked in wine overnight, pounded, each 1.5 liang); Gui Zhi (Ramulus Cinnamomi, bark removed); Mu Li Fen (Powdered Concha Ostreae); Shan Yu (Fructus Dioscoreae); Huang Bo (Cortex Phellodendri, bark removed); Pao Jiang (Rhizoma Zingiberis Preparatum); Shu Di Huang (Radix Rehmanniae Preparata). (*Note: Text incomplete*).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 30 pills per dose, with warm wine. Take on an empty stomach or at noon.
**Formula: Lu Rong Wan (Deer Antler Pill)**
Indications: Deficiency consumption with weak Kidney Qi, spermatorrhea, weakness in waist/legs, and frequent urination.
Ingredients: Lu Rong (Cornu Cervi Pantotrichum, hair removed,酥 roasted); Bu Gu Zhi (Fructus Psoraleae, lightly stir-fried, each 2 liang); Niu Xi (Radix Achyranthis Bidentatae, soaked in wine, sliced, and baked); Du Zhong (Cortex Eucommiae, bark removed, roasted, crushed); Tu Si Zi (Semen Cuscutae); [Fu Zi] (processed, skin and umbilicus removed); Shu Di Huang (Radix Rehmanniae Preparata, baked, each 1 liang); Mu Li Fen (Powdered Concha Ostreae); Ze Xie (Radix Alismatis); Fang Feng (Radix Saposhnikoviae, forked parts removed); Gan Jiang (Rhizoma Zingiberis Secatum, processed); Long Gu (Os Draconis, ground, each 3 fen); Rou Cong Rong (Herba Cistanches, soaked, wrinkled skin removed, sliced, and baked); Yuan Zhi (Radix Polygalae, core removed, each 1 liang).
Preparation: Pounded and sifted into powder. Mix with refined honey to make pills the size of Sophora seeds.
Dosage: Take 20 pills per dose, with warm wine on an empty stomach.
**Formula: Tian Xiong San (Heavenly Male Powder)**
Indications: Deficiency consumption with spermatorrhea.
Ingredients: Tian Xiong (Radix Aconiti Lateralis Preparata, processed, skin and umbilicus removed, 1 liang); Bai Zhu (Rhizoma Atractylodis Macrocephalae, 4 liang); Gui Zhi (Ramulus Cinnamomi, bark removed, 1 liang).
Preparation: Pounded and sifted into powder.
Dosage: Take 2 qian bi per dose, mixed with roasted wine on an empty stomach.