夫精极者。通主五脏六腑之病候也。若五脏六腑衰。则形体皆极。眼视无明。齿焦而发
落。
以气
六腑
落。
聋行
转。转
治精极。五脏六腑俱伤。虚热遍身。及骨髓烦疼。宜服天门冬散方。
天门冬（一两去心） 羚羊角屑（一两） 人参（一两去芦头） 黄 （一两锉） 枸
杞子（一
两）
泽泻（一
两）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。入竹沥半合。蜜一茶匙。
同
治精极。实热勇悍。多惊壮热。茯神散方。
茯神（二两） 柴胡（二两去苗） 黄 （二两锉） 远志（一两去心） 天门冬〔一
（二）两去
心〕
上件药。捣筛为散。每服三钱。以水一中盏。入淡竹叶二七片。煎至六分。去滓。不计
时候
治精极。五脏六腑虚羸。骨节烦疼。精常漏泄。宜服此益气养神。驻颜色。调血
脉。久服令
生地黄（五斤拣择好者捣绞取汁） 无灰酒（一斗与上一味于银锅中以慢火熬成膏入后
药
末）
微黄）
桑螵蛸
两炮裂去
皮脐）
去苗）
菟丝子（
香
（一两）
上件药。捣罗为末。用地黄煎和。捣三五百杵。丸如梧桐子大。每服。空心及晚食前。
以温
治精极。髓虚。脑中痛。胆腑寒。羌活补髓丸方。
羌活（二两） 芎 （二两） 当归（二两） 桂心（一两） 人参（三两去芦头） 酥
（二合）
枣肉
上件药。前五味先捣罗为末。入酥以下五味和匀。于银锅内。以重汤煮之。候硬软得所。
放
治精极。及百病。虚瘠羸瘦。牛髓煎丸方。
牛髓（一斤） 羊髓（一斤） 白蜜（一斤） 酥（一斤） 枣肉（一斤以上五味同于
银锅内熬
令成
归（一
两） 牛膝（一两
风
（一两去芦头）
丝子（一
两酒浸三宿曝干
上件药。捣罗为末。入前牛髓煎中。更熬令稠可丸。即丸如梧桐子大。每日空心及晚食
前。
治精极。上焦热。下焦冷。补十二经脉。添髓养血。四时宜服。鹿茸丸方。
鹿茸（四两去毛涂酥炙令黄） 朱砂（二两细研水飞过） 野鸡胫骨（二两） 天门冬
（二两
去
酥煎令
黄）
上件药。捣罗为末。炼蜜与羊胫髓。拌和令匀。捣三二百杵。丸如梧桐子大。每日空心
及晚
治精极。填骨髓地黄煎方。
生地黄〔一（十）斤捣绞取汁〕 牛酥（一斤） 白蜜（二斤）
上件药。先以慢火煎地黄汁减半。内牛酥更煎。良久。次下蜜。搅令匀。候稀稠得所。
于瓷
治精极。骨髓虚竭。补益麋茸煎方。\x
麋茸（五两去毛涂酥炙令微黄）
上捣罗为末。以清酒二升。于银锅中慢火煎成膏。盛于瓷器中。每服。空腹及晚食前。
以温
Jingji (Essence Exhaustion) disease generally refers to severe deficiency syndromes caused by pathological changes in the Five Zang and Six Fu organs. If the functions of the Five Zang and Six Fu organs decline, the physical body becomes extremely emaciated, vision becomes blurred, teeth become dry and brittle, and hair falls out.
Treatment for Jingji: When both the Five Zang and Six Fu organs are injured, presenting with generalized deficiency-heat throughout the body and vexing pain in the bone marrow, it is appropriate to administer Tianmendong San (Asparagus Root Powder).
Ingredients: Asparagi Radix (Tianmendong, 1 liang, heart removed), Cornu Saigae Tataricae (Lingyangjiao, 1 liang, sliced), Ginseng Radix et Rhizoma (Renshen, 1 liang, radix tip removed), Astragali Radix (Huangqi, 1 liang, sliced), Lycii Fructus (Gouqizi, 1 liang), Alismatis Rhizoma (Zexie, 1 liang).
Preparation and Administration: The aforementioned herbs are crushed, sifted, and processed into a powder. Each dose consists of 4 qian, boiled with one zhong of water until reduced to six parts. The dregs are filtered out, and half he of Bamboo Juice (Zhuli) and one teaspoon of Honey (Fengmi) are added. Mix well and take warm.
Treatment for Jingji: When presenting with excess-heat, aggressive temperament, susceptibility to fright, and high fever, it is appropriate to administer Fushen San (Poria Powder).
Ingredients: Poria Cum Radix Xylomi (Fushen, 2 liang), Bupleuri Radix (Chaihu, 2 liang, radix tip removed), Astragali Radix (Huangqi, 2 liang, sliced), Polygalae Radix (Yuanzhi, 1 liang, heart removed), Asparagi Radix (Tianmendong, 1 liang, heart removed).
Preparation and Administration: The aforementioned herbs are crushed, sifted, and processed into a powder. Each dose consists of 3 qian, boiled with one zhong of water along with fourteen leaves of Lophatheri Herba (Dan Zhuye). Reduce to six parts, filter out the dregs, and take at any time.
Treatment for Jingji: When the Five Zang and Six Fu organs are weak and emaciated, joints present with vexing pain, and essence frequently leaks, it is appropriate to use this formula to tonify Qi and nourish the Spirit, preserve complexion, regulate blood vessels, and strengthen the body with long-term use.
Ingredients: Rehmanniae Radix Praeparata (Sheng Dihuang, 5 jin, selected high-quality roots crushed and juiced), Wine without Ash (Wuhui Jiu, 1 dou; boiled with the above ingredient in a silver pot over slow fire until it becomes a paste, then mixed with the following powdered herbs), Mantis Ootheca (Sangpiaoxiao, 1 liang, roasted, skin and navel removed), Cuscutae Semen (Tusizi, 1 liang, soaked in wine), Polygalae Radix (Yuanzhi, 1 liang, heart removed), Schisandrae Fructus (Wuweizi, 1 liang, slightly yellow).
Preparation and Administration: The aforementioned herbs are ground into fine powder, mixed with the decoction of Rehmanniae Radix Praeparata, and pounded three to five hundred times. Form pills the size of Sophora seeds (Wutongzi). Take each dose on an empty stomach and before evening dinner with warm water.
Treatment for Jingji: When the Marrow Sea is deficient, causing headache, and the Gallbladder Fu organ is cold, it is appropriate to administer Qianghuo Busui Wan (Notopterygium Pill to Tonify Marrow).
Ingredients: Notopterygii Rhizoma et Radix (Qianghuo, 2 liang), Ligustici Chuanxiong Rhizoma (Xiong, 2 liang), Angelicae Sinensis Radix (Danggui, 2 liang), Cinnamomi Cortex (Guixin, 1 liang), Ginseng Radix et Rhizoma (Renshen, 3 liang, radix tip removed), Butter/Suet (Su, 2 he), Date Flesh (Zaorou, appropriate amount).
Preparation and Administration: First, grind the initial five herbs into fine powder. Mix with the remaining five ingredients (Butter/Suet and Date Flesh). Place in a silver pot and cook using a double-boiling method (water bath) until the consistency is appropriate.
Treatment for Jingji and various diseases: When the body is weak and emaciated, it is appropriate to administer Niudui Jian Wan (Ox Marrow Decoction Pill).
Ingredients: Ox Medulla (Niudui, 1 jin), Sheep Medulla (Yangdui, 1 jin), White Honey (Baimi, 1 jin), Butter/Suet (Su, 1 jin), Date Flesh (Zaorou, 1 jin; the above five ingredients are first boiled in a silver pot until forming a paste), Angelicae Sinensis Radix (Danggui, 1 liang), Achyranthis Bidentatae Radix (Niuxi, 1 liang), Saposhnikoviae Radix (Fangfeng, 1 liang, radix tip removed), Cuscutae Semen (Tusizi, 1 liang, soaked in wine for three nights and sun-dried).
Preparation and Administration: Grind the aforementioned herbs into fine powder, add to the previously prepared Ox Medulla paste, and boil again until thick enough to form pills. Form pills the size of Sophora seeds. Take daily on an empty stomach and before evening dinner.
Treatment for Jingji: When there is heat in the Upper Jiao and cold in the Lower Jiao, aiming to benefit the Twelve Meridians, replenish marrow, and nourish blood, it is suitable for year-round use. It is appropriate to administer Lurong Wan (Deer Antler Pill).
Ingredients: Cornu Cervi Degelatinatum (Lurong, 4 liang, hair removed, coated with butter and roasted until yellow), Cinnabaris (Zhusha, 2 liang, finely ground and washed with water), Os Perdicis Tibiale (Yeji Jinggu, 2 liang), Asparagi Radix (Tianmendong, 2 liang, heart removed), Ophiopogonis Radix (Maidong, 2 liang, heart removed), Rehmanniae Radix Praeparata (Shudihuang, 2 liang, soaked in wine, fried with butter until yellow).
Preparation and Administration: Grind the aforementioned herbs into fine powder. Mix with refined honey and Medulla Cruris Bovis (Sheep Shank Marrow). Blend evenly and pound three to two hundred times. Form pills the size of Sophora seeds. Take daily on an empty stomach and before evening dinner.
Treatment for Jingji: To fill the marrow, use Dihuang Jian (Rehmannia Decoction).
Ingredients: Rehmanniae Radix Recens (Sheng Dihuang, 10 jin, crushed and juiced), Beef Medulla/Butter (Niusu, 1 jin), White Honey (Baimi, 2 jin).
Preparation and Administration: First, boil the juice of Rehmanniae Radix Recens over slow fire until reduced by half. Add Beef Medulla/Butter and continue boiling for a while. Then add Honey, stir until uniform. When the consistency is appropriate, store in a porcelain vessel.
Treatment for Jingji: For exhaustion of bone marrow, use Mirui Jian (Elk Antler Decoction) to tonify.
Ingredients: Cornu Elaphi Verum (Mirui, 5 liang, hair removed, coated with butter and roasted until slightly yellow).
Preparation and Administration: Grind the Elk Antler into fine powder. Use two sheng of clear wine, boil in a silver pot over slow fire until it becomes a paste. Store in a porcelain vessel. Take each dose on an empty stomach and before evening dinner with warm water.