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(One treatise, eighteen prescriptions, twelve moxibustion methods)
The treatise states: In cases of Jing Ji (Essence Exhaustion), the pathological manifestations involve all five Zang organs and six Fu organs. If the functions of the five Zang organs and six Fu organs decline, the physical form becomes extremely exhausted; vision is blurred, teeth become dry and brittle, and hair falls out. Heaviness of the body indicates Kidney water overflowing (referring to fluid retention due to Kidney deficiency or dampness excess); deafness and unsteady gait occur. Generally, Yang pathogens damage the five Zang organs, while Yin pathogens injure the six Fu organs. When Yang is excessive, it draws from the Yin meridians to the Yang meridians; when Yin is deficient, it draws from the Yang meridians to the Yin meridians. In Yang diseases, symptoms primarily manifest in the upper part; the upper part tends toward excess, and excess generates heat. Symptoms include blurred vision, dry and brittle teeth, hair loss, abdominal fullness, and subsequently joint pain (Li Jie Tong). In such cases, purgation (Xie Fa) should be used to drain internal excess. In Yin diseases, symptoms primarily manifest in the lower part; the lower part tends toward deficiency, and deficiency generates cold. Symptoms include heaviness of the body, Kidney water overflowing, deafness, and unsteady gait. When pathogens enter the interior and move through the five Zang organs, they cause coughing; coughing leads to excessive phlegm and saliva, facial edema, and rebellious Qi. When pathogens rebel in the six Fu organs and overflow into deficiency and syncope affecting the five Zang organs, this condition is called Jing Ji (Essence Exhaustion). Therefore, for insufficiency of the physical form (Yang deficiency), one should warm with Qi-tonifying agents; for insufficiency of essence (Yin/Blood deficiency), one should tonify with substances of strong flavor. A skilled practitioner treating Jing Ji first treats the skin, muscles, sinews, and vessels, and subsequently treats the six Fu organs. If pathogens have already reached the five Zang organs, the condition is half-dead and difficult to cure. Bian Que said: If the Yin Qi of the five Zang organs is completely exhausted, the condition is incurable. Exhaustion causes the eye tendons to twist; twisting leads to the depletion of eyeball essence and the premature death of the Shen (Spirit). Death may occur within a day and a half at most, which is beyond the reach of medical intervention. One must carefully study and apply methods such as treating the exterior and interior simultaneously, treating the left side for right-sided ailments, and treating the right side for left-sided ailments. By understanding oneself to understand the patient, all diseases can be cured.

Prescription for treating Jing Ji with Excess-Heat, characterized by blurred vision, dry and brittle teeth, hair loss, physical exhaustion, body pain, and generalized deficiency-heat:
Zhu Ye (Bamboo Leaf, *Phyllostachys heterocycla* var. *pubescens*) (2 sheng, cut), Huang Qin (Scutellaria Root, *Scutellaria baicalensis*), Fu Ling (Poria, *Poria cocos*) (each 3 liang), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Mai Dong (Ophiopogon Tuber, *Ophiopogon japonicus*), Da Huang (Rhubarb Root and Rhizome, *Rheum palmatum*) (each 2 liang), Sheng Jiang (Fresh Ginger, *Zingiber officinale*) (6 liang), Shao Yao (Peony Root, *Paeonia lactiflora*) (4 liang).
The above nine herbs are chopped, boiled in 9 sheng of water until reduced to 3 sheng, strained, and divided into three doses.

Prescription for treating Jing Ji where both Zang and Fu organs are damaged, presenting with deficiency-heat, generalized vexatious pain, bone pain, and mental restlessness:
Sheng Di Huang Zhi (Juice of Rehmannia Root, *Rehmannia glutinosa*) (2 sheng), Mai Dong Zhi (Juice of Ophiopogon Tuber, *Ophiopogon japonicus*), Chi Mi (Red Honey, *Apis cerana* honey) (each 1 sheng), Zhu Li (Bamboo Sap, *Phyllostachys heterocycla* var. *pubescens*), Shi Gao (Gypsum Fibrosum, *Gypsum*) (8 liang), Ren Shen (Ginseng Root, *Panax ginseng*), Chuan Xiong (Szechwan Lovage Rhizome, *Ligusticum chuanxiong*), Gui Xin (Cinnamon Twig Heart, *Cinnamomum cassia*), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Huang Qin (Scutellaria Root, *Scutellaria baicalensis*), Ma Huang (Ephedra Herb, *Ephedra sinica*) (each 3 liang), Dang Gui (Angelica Sinensis Root, *Angelica sinensis*) (4 liang).
The above twelve herbs are chopped. Boil eight of them in 7 sheng of water until reduced to 2 sheng, strain, then add the juices of Di Huang and others, and boil again until reduced to 4 sheng. Divide into four doses; take three times during the day and once at night.

Prescription for treating Wu Lao Liu Ji (Five Labors and Six Extremes), emaciation, palpitations, weak Yang, and frequent nightmares leading to Yang collapse:
Fu Ling (Poria, *Poria cocos*) (4 liang), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Shao Yao (Peony Root, *Paeonia lactiflora*), Gui Xin (Cinnamon Twig Heart, *Cinnamomum cassia*), Gan Jiang (Dried Ginger, *Zingiber officinale*) (each 3 liang), Yuan Zhi (Polygala Root, *Polygala tenuifolia*), Ren Shen (Ginseng Root, *Panax ginseng*) (each 2 liang), Da Zao (Jujube Fruit, *Ziziphus jujuba*) (5 pieces).
The above eight herbs are chopped, boiled in 8 sheng of water until reduced to 3 sheng, and divided into three doses.

Prescription for treating Xu Lao (Deficiency Consumption) with scanty essence:
Lu Jiao (Deer Antler, *Cervus nippon*) ground into powder, mixed with Bai Mi (White Honey, *Apis mellifera* honey) to form pills the size of wu zi (wheat seeds). Take seven pills per dose, three times daily, for ten days. Highly effective.
Another prescription: Cook Ji Li Zi (Tribulus Fruit, *Tribulus terrestris*) in Jiang Shui (Fermented Rice Water) until cooked. Use the juice to wash the genital area for twenty days. Highly effective.