夫五脏六腑皆有精。脏腑调和则精常输泻。若脏腑衰则形体皆极。令人少气。五脏内虚。
齿黑焦。毛发落。悲伤喜怒。目视不明。耳聋。行步不正。身体重。皆精极之候。然精极。
有
高则实。实则热。则宜泻。阴病主下。下则虚寒。故体重耳聋。行步不正。若邪气入脏。则
咳多唾。面肿气逆也。此邪气逆于六腑。厥于五脏。所以精极治法。形不足者。温之以气。
精不足者。补之以味。当治其微。若肾绝则五气俱绝。即目转而睛夺。是为志先死。不可救
矣。
方
地黄煎丸 治精极脏腑虚。骨节烦疼不止。益气养神。驻颜调血脉。
生地黄（五斤捣取汁） 苁蓉（酒浸切焙二两） 无灰酒（一斗银石器盛入地黄汁用文
武火
熬成膏入后药味） 巴戟（去心） 鹿茸（酒浸） 桑螵蛸（炒） 附子（炮去皮脐） 黄
肉豆
蔻（去壳各一两） 沉香（五钱） 五味子 蛇床子（炒） 石斛（去根） 补骨脂（炒） 牛
膝（酒
浸） 青木香 枳壳（麸炒） 陈皮（去白各三钱） 毕澄茄（五钱） 上为末。以地黄煎
和丸如
梧桐子
地黄煎丸（圣惠方）治精极五脏六腑虚羸。骨节烦痛。精常漏泄。宜服此。益
气养神。驻颜
生地黄（五斤取汁） 无灰酒（一斗以上二味于银锅中慢火熬成膏入后药末为丸巴戟一
两）
肉苁蓉（二两酒浸一宿去皮炙干用） 鹿茸（二两去毛酥炙） 桑螵蛸（一两微炒） 五味
子（一
两） 蛇床子（一两） 石斛（一两去根） 附子（二两炮去皮脐） 补骨脂（二两炒） 枳
壳（一两
麸炒） 黄 （一两） 牛膝（一两） 菟丝子（一两酒浸一宿曝干别捣为末） 石龙芮（一
两）
陈皮（一两去白） 沉香（一两） 鹿茸（一两捣研炒） 上为末。用地黄煎和捣三百杵。
丸如梧
桐
牛膝煎丸（出圣惠方）治精极。及百病虚羸瘦损。
牛髓（一斤半） 羊髓（一斤） 白蜜（一斤） 枣肉（一斤以上四味同于银石锅熬成
膏入后
药） 茯苓（一两） 芎 （一两） 天门冬（一两去心） 当归（一两） 牛膝（一两） 人
参（一
两） 防风（一两） 肉苁蓉（二两浸酒内一宿刮去皮炙） 五味子（一两） 熟地（二两）
鹿角
胶（一两捣碎炒） 菟丝子（一两酒浸三宿为末） 上为末。入前二髓煎中更熬令稠。可丸
如梧
桐子大。每日空心及晚食前温酒下三十丸。忌鲤鱼。
人参丸（一名磁石千金方）治精极虚寒。小腹拘急。耳聋。发落。行步不正。
梦寐失精。惊
人参 麦门冬（去心） 赤石脂 远志（去心） 续断（各三钱） 韭子（一两炒） 鹿
茸（酥
炙三钱） 茯苓 龙齿（研） 磁石（醋 ） 苁蓉（酒浸各一两） 丹参 柏子仁（炒研
各二两）
熟
磁石丸（济生方）治精虚极。惊悸羸瘦。梦中遗泄。尿后便遗白浊。甚则阴
痿。小腹里急。
磁石（醋 二两） 肉苁蓉（酒浸） 鹿茸（酒浸） 续断（酒浸） 杜仲（炒去丝） 柏
子仁
（炒研） 赤石脂（火 ） 熟地（酒蒸） 山茱萸（取肉） 菟丝子（酒浸） 巴戟（去
心） 韭子
（炒各一
丸。
生地黄汤（千金方）治精极五脏六腑俱损伤。虚热。遍身烦痛。骨中酸痛。烦
闷。
生地黄汁（二升） 麦门冬汁 赤蜜（各一升） 竹沥（一合） 石膏（八两） 人参 芎
桂心 甘草 黄芩 麻黄（各三两） 当归（四两） 上 咀。以水七升。先煮八味取二升。
去
滓。下地黄等汁取四升。分四服。日三夜一。
黄 汤 治精极肾气内伤。梦泄盗汗。小便余沥。阴痿湿痒。小腹强急。
黄 人参 赤芍药 桂 地骨皮 五味子（各一两） 白茯苓 防风 陈皮（去白各
半
两） 甘草（炙） 磁石（醋 ） 牡蛎粉（各一钱） 上粗捣筛。每服三钱。水一盏。生
姜五片。
枣二
鹿茸散 治精极虚损。梦中失精。阴气微弱。小腹拘急。体重耳鸣。
鹿茸（酒浸） 龙骨 露蜂房（炙各半两） 泽泻 白茯苓 菟丝子（酒浸一宿） 桂
（去皮）
牛膝（酒浸切焙） 石龙芮 赤芍药（各一钱） 韭子（炒二钱） 巴戟（去心三钱） 上
为散。每
服
天门冬散 治精极五脏六腑俱虚。偏身及骨髓烦疼。宜服。
天门冬（二两去心） 羚羊角屑（一两） 人参（一两） 黄 （一两） 枸杞子（一
两） 酸枣
仁（
上为末
。每服四钱。水一盏。煎至六分去滓。入竹沥半合。蜜一茶匙。同煎三两沸。不计时候。忌
鲤鱼。
鹿茸丸 治精极。上焦热下焦冷。补十二经脉。添髓养血。宜服。
鹿茸（四两去毛酥炙） 朱砂（二两细研水飞过） 野鸡胫骨（二两） 天门冬（二两）
车前
子（
皮三两）
熟干地黄（三两） 上为末。炼蜜与羊胫髓拌和。捣三二百杵。丸如梧桐子大。每服空
心
及晚
羌活补髓丸（一名羌活丸）治精极髓虚空。中伤脏腑。（方见羌活丸）
茯神散 治精极实热。勇悍多惊。壮热。
茯神（一两） 柴胡（二两去芦） 黄 （三两锉） 远志（一两去心） 天门冬（二两去
心） 人参
（一两） 泽泻（二两） 生地黄（二两） 甘草（一两炙） 上为散。每服三钱。以水一
钟。入淡
竹叶七片。煎至六分去滓。不计时候。温服。
竹叶黄芩汤 治精极实热。眼视不明。齿焦发落。形体疼痛。通身虚热。
竹叶（切二两） 黄芩 茯苓（各三两） 麦门冬 大黄（各二两） 甘草（二两） 生
地黄
（六两） 芍药（四两） 生姜（六两） 上诸药以水九升。煮取三升。去滓。分三服。
石斛汤 治精极实热。眼视不明。齿焦发落。形衰。通身虚热。甚则胸中烦闷。夜
梦泄精。
小草 石斛（去根） 黄 麦门冬（去心） 生地黄（酒洗） 白茯苓 玄参（各一
两） 甘
草（
竹叶汤 治精极实热。眼视不明。齿焦发落。形衰。通身虚热。甚则胸中烦闷。泄
精。
生地黄（五两） 芍药（四两） 黄 茯苓 泽泻 甘草 麦门冬（去心各三两） 上
锉
散。每
生地黄煎 治精极。补骨髓。
生地黄（十斤捣绞取汁） 牛酥 白蜜（各一斤） 上先以慢火煎地黄汁减半。纳牛酥
更煎
良久
补益鹿茸煎 治精极骨髓虚竭。\x
用鹿茸五两去毛。涂酥炙令微黄为末。以清酒二升。于银锅中慢火煎膏。盛于瓷器中。
每服
[Background Information]
Book: Puji Fang (General Repository of Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Jing Ji (Appendix on Discussion)
Category: Formulas
[English Translation]
The five zang organs and six fu organs all contain jing essence. When the functions of the zang and fu organs are harmonious, jing essence is distributed and excreted normally. If the zang and fu organs decline, the physical form becomes extremely debilitated, causing shortness of breath. Internal emptiness of the five zang organs manifests as black and scorched teeth, falling hair, sadness or mood swings, blurred vision, deafness, unsteady gait, and heaviness of the body. These are all signs of "Jing Ji" (Extreme Exhaustion of Essence). However, regarding the syndrome of Jing Ji, if it presents as excess in the upper part, there is heat, and purging methods are appropriate; if it presents as deficiency-cold in the lower part, symptoms include heaviness, deafness, and unsteady gait. If pathogenic qi invades the zang organs, coughing with excessive saliva, facial edema, and rebellious qi occur. This is due to pathogenic qi reversing in the six fu organs and jue-ni (rebellious cold/heat) affecting the five zang organs. Therefore, the treatment method for Jing Ji is: for insufficiency of the physical form, warm and tonify with qi; for insufficiency of jing essence, tonify with flavor-rich substances. Treatment should be initiated when the condition is mild. If kidney qi fails, the qi of all five zang organs will fail, manifesting as abnormal eye movement and loss of spirit in the eyes. This indicates the death of Zhi (Will/Fear) first, and is incurable.
Formulas:
Dihuang Jian Wan (Rehmannia Paste Pill): Treats Jing Ji causing deficiency of the zang and fu organs, incessant painful distension in bone joints. It benefits qi, nourishes shen (spirit), preserves youthfulness, and regulates blood vessels.
Ingredients: Sheng Dihuang (Fresh Rehmanniae Radix, 5 jin, crushed to extract juice), Rongrong (Cistanche Deserticola, 2 liang, soaked in wine, sliced, baked), Wuhui Jiu (Pure wine without sediment, 1 dou, placed in a silver or earthenware vessel with Rehmannia juice, boiled with moderate to strong fire into a paste, then other herbs added), Bajitian (Morinda officinalis, heart removed), Lurong (Deer Antler, soaked in wine), Sangpiaoxiao (Mantis Egg-case, stir-fried), Fuzi (Aconite Root lateralitatis preparata, processed, skin and umbilicus removed), Rou Doukou (Nutmeg, shell removed, each 1 liang), Chenxiang (Aquilaria Wood, 5 qian), Wuweizi (Schisandra Fruit), Chuangzi (Cnidium Fruit, stir-fried), Shihu (Dendrobium Stem, roots removed), Buguzhi (Psoralea Fruit, stir-fried), Niuxi (Achyranthes Root, soaked in wine), Qingmuxiang (Aucklandiae Radix), Zhike (Bitter Orange Pericarp, bran-stir-fried), Chenpi (Tangerine Peel, white pith removed, each 3 qian), Bichengqie (Long Pepper Fruit, 5 qian). The above are ground into powder, mixed with Dihuang paste to form pills the size of paulownia seeds.
Dihuang Jian Wan (from *Shenghui Fang*): Treats Jing Ji causing emaciation and weakness of the five zang and six fu organs, painful distension in bone joints, and frequent leakage of jing essence. Suitable for this formula. It benefits qi, nourishes shen, and preserves youthfulness.
Ingredients: Sheng Dihuang (Fresh Rehmanniae Radix, 5 jin, extracted juice), Wuhui Jiu (Pure wine, over 1 dou). These two are slowly boiled in a silver pot into a paste, then mixed with the following powdered herbs to form pills: Bajitian (1 liang), Rongrong (Cistanche Deserticola, 2 liang, soaked in wine overnight, skin removed, roasted dry), Lurong (Deer Antler, 2 liang, hair removed, roasted with butter), Sangpiaoxiao (Mantis Egg-case, 1 liang, lightly stir-fried), Wuweizi (Schisandra Fruit, 1 liang), Chuangzi (Cnidium Fruit, 1 liang), Shihu (Dendrobium Stem, 1 liang, roots removed), Fuzi (Aconite Root lateralitatis preparata, 2 liang, processed, skin and umbilicus removed), Buguzhi (Psoralea Fruit, 2 liang, stir-fried), Zhike (Bitter Orange Pericarp, 1 liang, bran-stir-fried), Huangqi (Astragali Radix, 1 liang), Niuxi (Achyranthes Root, 1 liang), Tusizi (Cuscutae Semen, 1 liang, soaked in wine overnight, dried, separately ground into powder), Shilongrui (Ranunculus Ternatus, 1 liang), Chenpi (Tangerine Peel, 1 liang, white pith removed), Chenxiang (Aquilaria Wood, 1 liang), Lurong (Deer Antler, 1 liang, ground and roasted). The above are ground into powder, mixed with Dihuang paste and pounded three hundred times, formed into pills the size of paulownia seeds.
Niuxi Jian Wan (from *Shenghui Fang*): Treats Jing Ji, as well as emaciation and wasting from various diseases.
Ingredients: Niusui (Ox Marrow, 1.5 jin), Yangsui (Sheep Marrow, 1 jin), Baimi (White Honey, 1 jin), Zaorou (Date Flesh, 1 jin). The above four are boiled together in a silver or earthenware pot into a paste, then the following herbs are added: Fuling (Poria, 1 liang), Xiong (Ligusticum Chuanxiong, 1 liang), Tianmendong (Asparagi Radix, 1 liang, heart removed), Danggui (Angelicae Sinensis Radix, 1 liang), Niuxi (Achyranthes Root, 1 liang), Renshen (Ginseng Radix, 1 liang), Fangfeng (Saposhnikoviae Radix, 1 liang), Rongrong (Cistanche Deserticola, 2 liang, soaked in wine overnight, scraped, skin removed, roasted), Wuweizi (Schisandra Fruit, 1 liang), Shudi (Prepared Rehmanniae Radix, 2 liang), Lu Jiao Jiao (Deer-Horn Glue, 1 liang, crushed and roasted), Tusizi (Cuscutae Semen, 1 liang, soaked in wine for three nights, ground into powder). The above are ground into powder, added to the previous marrow decoction, and boiled until thick enough to form pills the size of paulownia seeds. Take thirty pills orally with warm wine on an empty stomach in the morning and before evening meal. Avoid carp.
Renshen Wan (also known as Cishi Qianjin Fang): Treats Jing Ji with deficiency-cold, tightness and urgency in the lower abdomen, deafness, falling hair, unsteady gait, nocturnal seminal emission, and palpitations/fright.
Ingredients: Renshen (Ginseng Radix), Maidong (Ophiopogonis Radix, heart removed), Chishizhi (Halloysitum Rubrum), Yuanzhi (Polygalae Radix, heart removed), Xuduan (Dipsaci Radix, each 3 qian), Jiu Zi (Allii Tuberosi Semen, 1 liang, stir-fried), Lurong (Deer Antler, roasted with butter, 3 qian), Fuling (Poria), Longchi (Dragon Bone, ground), Cishi (Magnetitum, quenched in vinegar), Rongrong (Cistanche Deserticola, soaked in wine, each 1 liang), Danshen (Salviae Miltiorrhizae Radix), Baiziren (Biota Seed, stir-fried and ground, each 2 liang), Shudi (Prepared Rehmanniae Radix).
Cishi Wan (from *Jisheng Fang*): Treats extreme deficiency of jing, palpitations, emaciation, nocturnal emission, post-urination leakage of turbid urine, impotence, and tightness/urgency in the lower abdomen.
Ingredients: Cishi (Magnetitum, quenched in vinegar, 2 liang), Rongrong (Cistanche Deserticola, soaked in wine), Lurong (Deer Antler, soaked in wine), Xuduan (Dipsaci Radix, soaked in wine), Duzhong (Eucommiae Cortex, stir-fried to remove silk fibers), Baiziren (Biota Seed, stir-fried and ground), Chishizhi (Halloysitum Rubrum, calcined), Shudi (Prepared Rehmanniae Radix, steamed with wine), Shanzhuyu (Corni Fructus, flesh taken), Tusizi (Cuscutae Semen, soaked in wine), Bajitian (Morinda officinalis, heart removed), Jiu Zi (Allii Tuberosi Semen, stir-fried, each 1 liang).
Shengdi Huang Tang (from *Qianjin Fang*): Treats Jing Ji causing damage to the five zang and six fu organs, deficient heat, painful distension throughout the body, soreness and pain in the bones, and irritability.
Ingredients: Sheng Di Huang Zhi (Juice of Fresh Rehmanniae Radix, 2 sheng), Maidong Zhi (Juice of Ophiopogonis Radix), Chi Mi (Red Honey, each 1 sheng), Zhu Li (Bamboo Sap, 1 he), Shigao (Gypsum Fibrosum, 8 liang), Renshen (Ginseng Radix), Xiong (Ligusticum Chuanxiong), Guixin (Cinnamon Twig), Gancao (Licorice Root), Huangqin (Scutellariae Radix), Mahuang (Ephedrae Herba, each 3 liang), Danggui (Angelicae Sinensis Radix, 4 liang). The above herbs are cut into pieces. Boil with seven sheng of water, first decocting eight herbs to obtain two sheng. Strain, add the juices of Rehmannia etc., and boil to obtain four sheng. Divide into four doses, taken three times during the day and once at night.
Huangqi Tang: Treats Jing Ji with internal injury to kidney qi, nocturnal emission, spontaneous sweating, dribbling after urination, impotence with damp itching, and tightness/urgency in the lower abdomen.
Ingredients: Huangqi (Astragali Radix), Renshen (Ginseng Radix), Chishaoyao (Red Peony Root), Guizhi (Cinnamon Twig), Digupi (Lycii Cortex), Wuweizi (Schisandra Fruit, each 1 liang), Bai Fuling (Poria, half liang), Fangfeng (Saposhnikoviae Radix, half liang), Chenpi (Tangerine Peel, white pith removed, half liang), Gancao (Licorice Root, honey-roasted), Cishi (Magnetitum, quenched in vinegar), Mumufen (Oyster Shell Powder, each 1 qian). Coarsely grind and sieve. Take three qian per dose, with one盏 of water, five slices of fresh ginger, and two dates.
Lurong San: Treats Jing Ji with deficiency and damage, nocturnal seminal emission, weak yin qi, tightness/urgency in the lower abdomen, heaviness of the body, and tinnitus.
Ingredients: Lurong (Deer Antler, soaked in wine), Longgu (Dragon Bone), Lubifang (Honeycomb, roasted, each half liang), Zexie (Alisma Rhizome), Bai Fuling (Poria), Tusizi (Cuscutae Semen, soaked in wine overnight), Guizhi (Cinnamon Twig, bark removed), Niuxi (Achyranthes Root, soaked in wine, sliced and baked), Shilongrui (Ranunculus Ternatus), Chishaoyao (Red Peony Root, each 1 qian), Jiu Zi (Allii Tuberosi Semen, stir-fried, 2 qian), Bajitian (Morinda officinalis, heart removed, 3 qian). Grind into powder. Take ... (text cuts off).
Tianmendong San: Treats Jing Ji causing deficiency of the five zang and six fu organs, painful distension in the limbs and bone marrow. Suitable for this formula.
Ingredients: Tianmendong (Asparagi Radix, 2 liang, heart removed), Lingyangjiao Xie (Antelope Horn Shavings, 1 liang), Renshen (Ginseng Radix, 1 liang), Huangqi (Astragali Radix, 1 liang), Gouqizi (Lycii Fructus, 1 liang), Szaoren (Ziziphus Jujuba Seed, ... text cuts off). Grind into powder. Take four qian per dose, with one盏 of water, decoct to six parts, strain, add half he of bamboo sap and one teaspoon of honey, boil for three boils. Take at any time. Avoid carp.
Lurong Wan: Treats Jing Ji, heat in the upper jiao and cold in the lower jiao, tonifies the twelve meridians, generates marrow and nourishes blood. Suitable for this formula.
Ingredients: Lurong (Deer Antler, 4 liang, hair removed, roasted with butter), Zhusha (Cinnabar, 2 liang, finely ground and washed with water), Yeji Jinggu (Wild Pheasant Tibia Bone, 2 liang), Tianmendong (Asparagi Radix, 2 liang), Cheqianzi (Plantaginis Semen, ... text cuts off), ... (text cuts off), Shugan Dihuang (Prepared Dried Rehmanniae Radix, 3 liang). Grind into powder. Mix refined honey with sheep tibial marrow, pound three to two hundred times, form pills the size of paulownia seeds. Take ... (text cuts off).
Qianghuo Bumie Wan (also known as Qianghuo Wan): Treats Jing Ji with empty marrow and injury to the zang and fu organs. (See Qianghuo Wan formula).
Fushen San: Treats Jing Ji with excess heat, boldness and fright, high fever.
Ingredients: Fushen (Poria with Hostwood, 1 liang), Chaihu (Bupleuri Radix, 2 liang, radicles removed), Huangqi (Astragali Radix, 3 liang, cut), Yuanzhi (Polygalae Radix, 1 liang, heart removed), Tianmendong (Asparagi Radix, 2 liang, heart removed), Renshen (Ginseng Radix, 1 liang), Zexie (Alisma Rhizome, 2 liang), Sheng Dihuang (Fresh Rehmanniae Radix, 2 liang), Gancao (Licorice Root, 1 liang, honey-roasted). Grind into powder. Take three qian per dose, with one zhong of water, add seven leaves of Danzhuye (Light Bamboo Leaf), decoct to six parts, strain. Take warm at any time.
Zhuye Huangqin Tang: Treats Jing Ji with excess heat, blurred vision, scorched teeth and falling hair, body pain, generalized deficient heat.
Ingredients: Zhuye (Bamboo Leaf, cut, 2 liang), Huangqin (Scutellariae Radix), Fuling (Poria, each 3 liang), Maidong (Ophiopogonis Radix), Dahuang (Rhei Radix et Rhizoma, each 2 liang), Gancao (Licorice Root, 2 liang), Sheng Dihuang (Fresh Rehmanniae Radix, 6 liang), Shaoyao (Peony Root, 4 liang), Shengjiang (Fresh Ginger, 6 liang). Decoct the above herbs in nine sheng of water to obtain three sheng. Strain, divide into three doses.
Shihu Tang: Treats Jing Ji with excess heat, blurred vision, scorched teeth and falling hair, physical decline, generalized deficient heat, severe cases involving chest irritability and nocturnal seminal emission.
Ingredients: Xiaocao (Herba Glehniae? Or similar small herb), Shihu (Dendrobium Stem, roots removed), Huangqi (Astragali Radix), Maidong (Ophiopogonis Radix, heart removed), Sheng Dihuang (Fresh Rehmanniae Radix, wine-washed), Bai Fuling (Poria), Xuanshen (Scrophulariae Radix, each 1 liang), Gancao (Licorice Root, ... text cuts off).
Zhuye Tang: Treats Jing Ji with excess heat, blurred vision, scorched teeth and falling hair, physical decline, generalized deficient heat, severe cases involving chest irritability and seminal emission.
Ingredients: Sheng Dihuang (Fresh Rehmanniae Radix, 5 liang), Shaoyao (Peony Root, 4 liang), Huangqi (Astragali Radix), Fuling (Poria), Zexie (Alisma Rhizome), Gancao (Licorice Root), Maidong (Ophiopogonis Radix, heart removed, each 3 liang). Cut into pieces. ... (text cuts off).
Sheng Dihuang Jian: Treats Jing Ji, tonifies bone marrow.
Ingredients: Sheng Dihuang (Fresh Rehmanniae Radix, 10 jin, crushed and pressed to extract juice), Niusu (Ox Butter), Baimi (White Honey, each 1 jin). First, slowly boil the Rehmannia juice until reduced by half, add ox butter, and boil for a long time ... (text cuts off).
Buyi Lurong Jian: Treats Jing Ji with exhaustion of bone marrow.
Use Lurong (Deer Antler) 5 liang, remove hair, coat with butter, roast until slightly yellow, and grind into powder. With 2 sheng of clear wine, slowly boil in a silver pot into a paste. Store in a porcelain vessel. Take ... (text cuts off).