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Discussion states: When the Chong vessel (Penetrating Vessel) is diseased, it manifests as counterflow of Qi and abdominal tension with pain. Furthermore, the Chong vessel originates at Qichong (ST30), ascends alongside the umbilicus, and disperses in the chest. In individuals suffering from Xu Lao (Deficiency Emaciation), if Kidney Qi is insufficient and the Chong vessel is injured, the symptoms include internal abdominal cramping and urgency, pulling pain from above the umbilicus to the epigastrium, inability to eat, coldness of the body, and tremors.

For treating Xu Lao with abdominal tension and pain, pain in the lower abdomen, Qi pulling sensation in the chest and hypochondrium, or heart pain and shortness of breath, use Shaoyao Decoction.

Shaoyao (Radix Paeoniae Alba) (3 liang), Huangqi (Radix Astragali Membranacei) (remove rhizome head), Ganjiang (Rhizoma Zingiberis Preparatum) (prepared until cracked, 2 liang each), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed), Guizhi (Ramulus Cinnamomi) (remove coarse bark, 1 liang each), Danggui (Radix Angelicae Sinensis).

The above six herbs are coarsely pounded and sifted. For each dose, take 3 qianbi (approx. 9-15g depending on era/measure), add one zhan (cup) of water, one fen of crushed fresh ginger, and two jujubes pitted. Decoct until reduced to seven-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep.

For treating Xu Lao with abdominal tension and various deficiencies, use Huangqi Jianzhong Decoction.

Huangqi (Radix Astragali Membranacei) (crushed), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed, 3 liang each), Guizhi (Ramulus Cinnamomi) (remove coarse bark, 2 liang), Shaoyao (Radix Paeoniae Alba) (5 liang).

The above four herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add one and a half zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to eight-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep. If vomiting occurs, add fresh ginger; if abdominal fullness occurs, remove jujube and add Baifuling (Poria Cum Radix Pini) (1 liang).

For treating Xu Lao with abdominal tension, abdominal pain, nocturnal seminal emission, soreness and pain in the four limbs, vexatious heat in hands and feet, dry throat and mouth, as well as lower abdominal pain in women, use Xiao Jianzhong Decoction.

Guizhi (Ramulus Cinnamomi) (remove coarse bark, 1.5 liang), Shaoyao (Radix Paeoniae Alba) (3 liang), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed, 0.5 liang).

The above three herbs are coarsely pounded and sifted. For each dose, take 5 qianbi, add one and a half zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to eight-tenths. Strain the dregs, add one part Yi Tang (Malt Sugar), and boil again until boiling. Take warm on an empty stomach, and administer again at midnight and before sleep.

For treating Xu Lao with abdominal tension, food failing to nourish muscles, dark and yellow complexion, pain in hands and feet, and difficult urination, use Shihu Powder.

Shihu (Herba Dendrobii) (remove slightly black parts, 1 liang), Shanzhuyu (Fructus Corni Officinalis), Wuweizi (Fructus Schisandrae Chinensis), Bixie (Rhizoma Dioscoreae Hypoglaucae) (1 liang each), Rongrong (Cortex Cibotii / Rhizoma Cibotii - *Note: Text says Roucongrong but header says Shihu San, context implies Cistanche*) (Roucongrong (Caulis Cistanches) (wine-washed, remove wrinkled skin, sliced, prepared, 1 liang)), Qinjiao (Radix Gentianae Macrophyllae) (remove seedlings and soil)... [Text fragment missing].

The above twelve herbs are pounded, sieved into powder. For each dose, take 2 qianbi, mix with warm wine on an empty stomach, and administer again at midnight and before sleep.

For treating Xu Lao causing deficiency damage to the five Zang and six Fu organs, intestinal borborygmus, and wind-dampness causing disharmony of Ying and Wei, use Huangqi Decoction.

Huangqi (Radix Astragali Membranacei) (crushed), Chenju Pi (Pericarpium Citri Reticulatae) (soaked in water, white pith removed, dried), Danggui (Radix Angelicae Sinensis) (sliced and dried), Guizhi (Ramulus Cinnamomi) (remove coarse bark), Qianhu (Radix Peucedani), Shaoyao (Radix Paeoniae Alba)... [Text fragment missing], Xixin (Herba Asari) ... [Text fragment missing].

The above twelve herbs are coarsely pounded and sifted. For each dose, take 3 qianbi, add one zhan of water, one fen of crushed fresh ginger, and two jujubes split open. Decoct until reduced to seven-tenths. Strain the dregs and take warm on an empty stomach, administering again at midnight and before sleep.

For treating Xu Lao causing insufficiency of Kidney Qi, internal abdominal tension, dim vision and tinnitus, fatigue and weakness in the four limbs, difficulty walking, heaviness in legs like stones, emaciated muscles, sallow complexion, tight pain below the umbilicus, palpitations and night sweats, slippery and frequent urination, use Rongrong Pills.

Rongrong (Caulis Cistanches) (soaked in wine overnight, sliced and dried, 2 liang), Cishi (Magnetitum) (3 liang, calcined and quenched in vinegar seven times, ground), Lurong (Cornu Cervi Pantotrichum) (prepared with butter/fat, hair removed), Guixin (Cortex Cinnamomi), Digupi (Cortex Lycii), Fuling (Sclerotium Poriae) (remove black skin, 1 liang each)... [Text fragment missing].

The above fourteen herbs, except for Cishi, are pounded, sieved into fine powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 20 pills with warm wine before meals on an empty stomach.

For treating Xu Lao with abdominal tension, numbness and bi-syndrome in waist and legs, pain in sinews and bones, or stabbing pain in the hypochondrium, long-term use can moisten muscles, fill marrow, and expel wind-pathogens, use Lu Jiao Pills.

Lu Jiao (Cornu Cervi) (1 jin, cleaned, prepared with butter/fat until fragrant), Bajitian (Radix Morindae Officinalis) (remove heart, 2 liang), Shudihuang (Radix Rehmanniae Preparata) (dried, 4 liang), Huangqi (Radix Astragali Membranacei) (crushed), Niuxi (Radix Achyranthis Bidentatae)... [Text fragment missing], Rongrong (Caulis Cistanches) (soaked in wine, remove wrinkled skin, sliced and dried), Fuzi (Radix Aconiti Lateralis Preparata) (prepared until cracked, skin and navel removed), Zexie (Rhizoma Alismatis), Xuduan (Radix Dipsaci), Xiong (Rhizoma Chuanxiong), Binglang (Semen Arecae) (crushed), Fangfeng (Radix Saposhnikoviae) (remove forked tips), Gancao (Radix Glycyrrhizae Preparata) (roasted and crushed), Qinjiao (Radix Gentianae Macrophyllae) (remove seedlings and soil), Xixin (Herba Asari) (remove seedlings and leaves), Danggui (Radix Angelicae Sinensis) (sliced and dried), Shaoyao (Radix Paeoniae Alba), Bajieli (Fructus Tribuli) (stir-fried, thorns removed), Zhike (Fructus Aurantii) (remove pulp, stir-fried with bran), Renshen (Radix Ginseng), Lu Jiao Jiao (Corpus Cervi Colla) (prepared until dry), Xingren (Semen Pruni Armeniacae) (soaked in water, peel and pointed end removed, double-kernel, stir-fried and ground, 0.5 liang each).

The above twenty-six herbs, except for Xingren which is ground separately, are pounded, sieved into powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 20 pills with warm wine on an empty stomach.