夫消肾者。是肾脏虚惫。膀胱冷损。脾胃气衰。客邪热毒转炽。纵然食物。不作肌肤。
腿胫
极
过
渴
治消肾。小便滑数。口干心烦。皮肤干燥。腿膝消细。渐至无力。熟干地黄散方。
熟干地黄（一两） 鸡 （一两微炒） 黄 （一两锉） 白茯苓（一两） 麦门冬
（三分去
心） 龙
膝（一两去
苗） 枸
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候温服。
治消肾。肾气虚损。发渴。小便数。腰膝痛。肾沥丸方。
鸡 （一两微炒） 远志（一两去心） 人参（一两去芦头） 黄 （一两锉） 桑
螵蛸（一
两微炒）
甘草（半
两炙微赤
茯苓（一
两） 芎 （二两）
上件药。捣筛为散。每服。用羊肾一对。切去脂膜。先以水一大盏（半）。煮羊肾至一
盏。
去
治消肾。因消中之后。胃热入肾。消烁肾脂。令肾枯燥。遂致此疾。即两腿渐
细。腰脚
白茯苓（一两） 覆盆子（一两） 黄连（一两去须） 人参（一两去芦头） 栝蒌根
（一两）
熟干
去根锉）
蛇床
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。煎磁石汤下三十丸
治消肾。小便滑数。四肢羸瘦。脚膝乏力。肉苁蓉丸方。
肉苁蓉（一两酒浸一宿刮去皱皮炙干） 熟干地黄（一两半） 麦门冬（二两去心焙） 泽
泻
（半两） 五味子
磁石（一两
烧醋淬七遍捣碎
石脂
（半两） 韭子（半两） 白
三遍研如
粉） 牡丹（半两） 桑螵蛸（一
上件药。捣罗为末。入研了药令匀。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以
清粥饮下三十丸。
治消肾。心神虚烦。小便无度。四肢羸瘦。不思饮食。唇口干燥。脚膝乏力。黄
丸方
黄 （三分锉） 熟干地黄（一两） 麦门冬（二两去心焙） 鸡 （一两微炙） 山
茱萸（
三分） 人参
骨皮
（半两） 白茯
茸（一两去
毛涂酥炙令黄）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
治消肾烦渴。小便数多。味如饧糖。脚弱阴萎。唇干眼涩。身体乏力。干地黄丸
方。
熟干地黄（二两） 五味子（半两） 黄 （三分锉） 枸杞子（三分） 肉苁蓉（三
分酒浸一
宿刮
去心）
菟丝
桑螵
蛸（
两去芦头）
附子（半两炮裂去皮脐） 牡丹〔三分（两）〕 甘
上件药。捣罗为末。入石英。研令匀。炼蜜和捣五七百杵。丸如梧桐子大。每于食前。
以温酒下三十丸。粥饮下亦得。
治消肾。气虚羸瘦。四肢无力。小便色白。滑数不禁。不思饮食。心神虚烦。鹿茸
丸方
鹿茸（二两去毛涂酥炙微黄） 人参（三分去芦头） 泽泻〔五（三）分〕 赤石脂（三
分） 石
斛（
（三
分锉
芩（半
两） 龙骨（三分） 桂
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每日空心及晚食前。以清粥饮
下二十丸。
治消肾。肾虚。小便滑数。腿膝消细。无力渐瘦。宜服此方。
黄 （三分锉） 五味子（半两） 泽泻（三分） 生干地黄（一两） 菟丝子（一两
酒浸三日
曝干别捣为
螵
蛸（半两微炒
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下三十丸。
治消肾。小便数。栝蒌根丸方。
栝蒌根（一两） 甘草（半两炙微赤锉） 黄连（一两去须） 泽泻（一两） 赤石脂
（半两）
熟干地黄（一两） 石膏（半两细研） 黄 （三分锉） 黄丹（三分） 桑螵蛸（二七枚
微炒） 子
芩（一两） 龙骨
上件药。捣罗为末。入研了药令匀。炼蜜和捣五七百杵。丸如梧桐子大。每服。不计时
候。以清粥饮下三十丸。
治消肾。小便滑数。虚极羸瘦。牡蛎丸方。
牡蛎（一两烧为粉） 鹿茸（二两去毛涂酥炙令微黄） 黄 （一两半锉） 土瓜根（一
两）
人参
甘草
（半两
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心及晚食前。以清粥饮
下三十丸。
治消肾。久渴不瘥。困乏。小便滑数。心神虚烦。枸杞子丸方。
枸杞子（一两） 白茯苓（一两） 黄 （一两锉） 鸡 （一两半微炙） 栝蒌根
（三分）
泽泻（半两）
为粉） 桑
螵蛸（三分微
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
治消肾。小便滑数。四肢少力。羸瘦困乏。全不思食。薯蓣丸方。
薯蓣（一两） 鸡 （一两微炙） 牡丹（半两） 黄 （半两锉） 栝蒌根（半两）
白龙骨
（半两） 白茯苓（半两） 山茱萸（半两） 麦门冬〔一（二）两去心焙〕 熟干地黄（一
两） 桂
心（半两） 泽泻（
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每于食前。以清粥饮下三十丸。
治消肾。下元虚损。发渴不止方。\x
牛膝（一斤去皮） 生地黄汁（五升）
上件药。将牛膝夜间入地黄汁中。浸至晓。即将出曝干。逐日如此。候汁尽为度。如天
阴。即焙干。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每日空心。以粥饮下三十丸。
晚食前再服。
Xiao Shen (Wasting-Thirst of the Kidney) is caused by deficiency and exhaustion of the Kidney, cold damage to the Bladder, decline of Spleen and Stomach Qi, and intensification of exogenous pathogenic heat and toxins. Even if food is consumed, it fails to transform into muscle and flesh.
To treat Xiao Shen, characterized by frequent and slippery urination, dry mouth with mental restlessness, dry skin, emaciation of the legs and knees leading to gradual weakness: Shu Gan Di Huang San (Prepared Rehmannia Powder).
Shu Gan Di Huang (Prepared Radix Rehmanniae, 1 liang), Ji Nei Jin (Gizzard Lining, 1 liang, lightly stir-fried), Huang Qi (Radix Astragali, 1 liang, sliced), Bai Fu Ling (Poria, 1 liang), Mai Men Dong (Radix Ophiopogonis, 3 fen, core removed), Niu Xi (Radix Achyranthis Bidentatae, 1 liang, stems removed), Gou Qi Zi (Fructus Lycii).
The above herbs are crushed, sifted, and made into a powder. Take 3 qian per dose. Decoct with one zhong zhan (approx. 200-300ml) of water until reduced to 6 fen. Strain and take warm at any time.
To treat Xiao Shen due to Kidney Qi deficiency, manifesting as thirst, frequent urination, and pain in the lower back and knees: Shen Li Wan (Kidney Drip Pill).
Ji Nei Jin (Gizzard Lining, 1 liang, lightly stir-fried), Yuan Zhi (Radix Polygalae, 1 liang, core removed), Ren Shen (Radix Ginseng, 1 liang, rhizome removed), Huang Qi (Radix Astragali, 1 liang, sliced), Sang Piao Xiao (Ootheca Mantidis, 1 liang, lightly stir-fried), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red), Bai Fu Ling (Poria, 1 liang), Xiong Qiong (Rhizoma Chuanxiong, 2 liang).
The above herbs are crushed, sifted, and made into a powder. For each dose, use one pair of Sheep Kidneys, remove the fat membrane. First, boil the sheep kidneys in one da zhan (approx. 400-500ml) of water (half volume initially) until reduced to one zhan. [Note: The text implies combining the powder with the cooked kidney or broth].
To treat Xiao Shen resulting from Xiao Zhong (Middle Wasting-Thirst), where Stomach Heat enters the Kidney, consuming Kidney essence, causing Kidney dryness. Symptoms include gradual thinning of the legs and soreness/weakness of the waist and feet. Ingredients include: Bai Fu Ling (Poria, 1 liang), Fu Pen Zi (Fructus Rubi, 1 liang), Huang Lian (Rhizoma Coptidis, 1 liang, roots removed), Ren Shen (Radix Ginseng, 1 liang, rhizome removed), Gua Lou Gen (Radix Trichosanthis, 1 liang), Shu Gan Di Huang (Prepared Radix Rehmanniae), She Chuang Zi (Fructus Cnidii).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with decoction of Ci Shi (Magnetite).
To treat Xiao Shen, characterized by slippery frequent urination, emaciation of the four limbs, and weakness of the feet and knees: Rou Cong Rong Wan (Cistanche Pill).
Rou Cong Rong (Herba Cistanches, 1 liang, soaked in wine overnight, scraped clean, dried and fried), Shu Gan Di Huang (Prepared Radix Rehmanniae, 1.5 liang), Mai Men Dong (Radix Ophiopogonis, 2 liang, core removed and baked), Ze Xie (Rhizoma Alismatis, 0.5 liang), Wu Wei Zi (Fructus Schisandrae), Ci Shi (Magnetite, 1 liang, calcined and quenched in vinegar seven times, crushed), Chi Shi Zhi (Halloysitum Rubrum, 0.5 liang), Jiu Zi (Semen Allii Tuberosi, 0.5 liang), Bai Gu Long (Os Draconis, ground three times into powder), Mu Dan Pi (Cortex Moutan, 0.5 liang), Sang Piao Xiao (Ootheca Mantidis, 1 liang).
The above herbs are pounded into fine powder, mixed with previously ground ingredients, combined with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with clear rice gruel drink.
To treat Xiao Shen, characterized by mental deficiency and irritability, uncontrolled urination, emaciation of the four limbs, loss of appetite, dry lips and mouth, and weakness of the feet and knees: Huang Qi Wan (Astragalus Pill).
Huang Qi (Radix Astragali, 3 fen, sliced), Shu Gan Di Huang (Prepared Radix Rehmanniae, 1 liang), Mai Men Dong (Radix Ophiopogonis, 2 liang, core removed and baked), Ji Nei Jin (Gizzard Lining, 1 liang, lightly fried), Shan Zhu Yu (Fructus Corni, 3 fen), Ren Shen (Radix Ginseng), Gu Pi (Cortex Phellodendri, 0.5 liang), Bai Fu Ling (Poria), Lu Rong (Cornu Cervi Pantotrichum, 1 liang, hair removed, coated with butter, fried until yellow).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with rice gruel drink.
To treat Xiao Shen with vexation and thirst, frequent urination with sweet taste like maltose, weak legs, impotence, dry lips, gritty eyes, and body fatigue: Gan Di Huang Wan (Rehmannia Pill).
Shu Gan Di Huang (Prepared Radix Rehmanniae, 2 liang), Wu Wei Zi (Fructus Schisandrae, 0.5 liang), Huang Qi (Radix Astragali, 3 fen, sliced), Gou Qi Zi (Fructus Lycii, 3 fen), Rou Cong Rong (Herba Cistanches, 3 fen, soaked in wine overnight, scraped clean), Mai Men Dong (Radix Ophiopogonis, 2 liang, core removed), Tu Si Zi (Semen Cuscutae), Sang Piao Xiao (Ootheca Mantidis), Ren Shen (Radix Ginseng, 1 liang, rhizome removed), Fu Zi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, peel and navel removed), Mu Dan Pi (Cortex Moutan, 3 fen), Gan Cao (Radix Glycyrrhizae).
The above herbs are pounded into fine powder, mixed with Yan Ying Shi (Quartz), ground evenly, combined with refined honey, and pounded 500-700 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with warm wine; rice gruel drink is also acceptable.
To treat Xiao Shen, characterized by Qi deficiency, emaciation, weakness of the four limbs, white urine, slippery frequent urination incontinence, loss of appetite, and mental deficiency with irritability: Lu Rong Wan (Deer Horn Pill).
Lu Rong (Cornu Cervi Pantotrichum, 2 liang, hair removed, coated with butter, fried until slightly yellow), Ren Shen (Radix Ginseng, 3 fen, rhizome removed), Ze Xie (Rhizoma Alismatis, 3 fen), Chi Shi Zhi (Halloysitum Rubrum, 3 fen), Shi Hu (Herba Dendrobii, 3 fen), Huang Qi (Radix Astragali, 3 fen, sliced), Huang Qin (Radix Scutellariae, 0.5 liang), Long Gu (Os Mastodi seu Ossis Femoris, 3 fen), Gui Xin (Cinnamomi Cortex Ramulus, heartwood).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 500-700 times to form pills the size of paulownia seeds. Take 20 pills daily on an empty stomach and before evening meal, washed down with clear rice gruel drink.
To treat Xiao Shen, Kidney deficiency, slippery frequent urination, emaciation of legs and knees, gradual weakness and thinning:
Huang Qi (Radix Astragali, 3 fen, sliced), Wu Wei Zi (Fructus Schisandrae, 0.5 liang), Ze Xie (Rhizoma Alismatis, 3 fen), Sheng Gan Di Huang (Fresh/Unprepared Radix Rehmanniae, 1 liang), Tu Si Zi (Semen Cuscutae, 1 liang, soaked in wine for three days, sun-dried and separately pounded), Sang Piao Xiao (Ootheca Mantidis, 0.5 liang, lightly stir-fried).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 200-300 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with warm wine.
To treat Xiao Shen with frequent urination: Gua Lou Gen Wan (Trichosanthes Root Pill).
Gua Lou Gen (Radix Trichosanthis, 1 liang), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red and sliced), Huang Lian (Rhizoma Coptidis, 1 liang, roots removed), Ze Xie (Rhizoma Alismatis, 1 liang), Chi Shi Zhi (Halloysitum Rubrum, 0.5 liang), Shu Gan Di Huang (Prepared Radix Rehmanniae, 1 liang), Shi Gao (Gypsum Fibrosum, 0.5 liang, finely ground), Huang Qi (Radix Astragali, 3 fen, sliced), Huang Dan (Lithargyrum, 3 fen), Sang Piao Xiao (Ootheca Mantidis, 14 pieces, lightly stir-fried), Huang Qin (Radix Scutellariae, 1 liang), Long Gu (Os Mastodi seu Ossis Femoris).
The above herbs are pounded into fine powder, mixed with previously ground ingredients, combined with refined honey, and pounded 500-700 times to form pills the size of paulownia seeds. Take 30 pills at any time, washed down with clear rice gruel drink.
To treat Xiao Shen, slippery frequent urination, extreme deficiency and emaciation: Mu Li Wan (Oyster Shell Pill).
Mu Li (Concha Ostreae, 1 liang, calcined into powder), Lu Rong (Cornu Cervi Pantotrichum, 2 liang, hair removed, coated with butter, fried until slightly yellow), Huang Qi (Radix Astragali, 1.5 liang, sliced), Tu Gua Gen (Radix Trichosanthis Thunbergii, 1 liang), Ren Shen (Radix Ginseng), Gan Cao (Radix Glycyrrhizae, 0.5 liang).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 200-300 times to form pills the size of paulownia seeds. Take 30 pills daily on an empty stomach and before evening meal, washed down with clear rice gruel drink.
To treat Xiao Shen with prolonged thirst not resolving, fatigue, slippery frequent urination, and mental deficiency with irritability: Gou Qi Zi Wan (Lycium Fruit Pill).
Gou Qi Zi (Fructus Lycii, 1 liang), Bai Fu Ling (Poria, 1 liang), Huang Qi (Radix Astragali, 1 liang, sliced), Ji Nei Jin (Gizzard Lining, 1.5 liang, lightly fried), Gua Lou Gen (Radix Trichosanthis, 3 fen), Ze Xie (Rhizoma Alismatis, 0.5 liang), Bai Gu Long (Os Draconis, ground into powder), Sang Piao Xiao (Ootheca Mantidis, 3 fen, lightly stir-fried).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 200-300 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with rice gruel drink.
To treat Xiao Shen, slippery frequent urination, weakness of the four limbs, emaciation and fatigue, complete loss of appetite: Shu Yao Wan (Dioscorea Pill).
Shu Yao (Rhizoma Dioscoreae, 1 liang), Ji Nei Jin (Gizzard Lining, 1 liang, lightly fried), Mu Dan Pi (Cortex Moutan, 0.5 liang), Huang Qi (Radix Astragali, 0.5 liang, sliced), Gua Lou Gen (Radix Trichosanthis, 0.5 liang), Bai Gu Long (Os Draconis, 0.5 liang), Bai Fu Ling (Poria, 0.5 liang), Shan Zhu Yu (Fructus Corni, 0.5 liang), Mai Men Dong (Radix Ophiopogonis, 2 liang, core removed and baked), Shu Gan Di Huang (Prepared Radix Rehmanniae, 1 liang), Gui Xin (Cinnamomi Cortex Ramulus, 0.5 liang), Ze Xie (Rhizoma Alismatis).
The above herbs are pounded into fine powder, mixed with refined honey, and pounded 300-500 times to form pills the size of paulownia seeds. Take 30 pills before meals, washed down with clear rice gruel drink.
To treat Xiao Shen, deficiency of the Lower Origin, persistent thirst:
Niu Xi (Radix Achyranthis Bidentatae, 1 jin, peeled), Sheng Di Huang Zhi (Juice of Fresh Radix Rehmanniae, 5 sheng).
Place the Niu Xi in the Sheng Di Huang Zhi overnight. Remove and sun-dry. Repeat daily until the juice is exhausted. If the weather is cloudy, bake dry. Pound into fine powder, mix with refined honey, and pound 300-500 times to form pills the size of paulownia seeds. Take 30 pills on an empty stomach daily, washed down with rice gruel drink, and repeat before the evening meal.