夫骨极之病本于肾脏中风。肾主身之骨髓。风邪中其脏则伤骨。故为骨极。所谓骨极者。
令人瘦削齿苦痛。手足烦疼不可久立。卧不欲动是也。然骨有极虚寒。有极实热。皆由肾受
邪气。若气阴则虚。虚则寒。寒故面肿垢黑。腰脊痛不能久立。屈伸不利。其气衰则发堕齿
槁。腰背相引而痛。甚即咳唾。气阳则实。实则热。热故面色 隐。膀胱不通。牙齿脑苦
痛。手足瘦削。耳鸣。色黑。是骨极之至也。宜随证补泻。当治其微者。甚则足少阴气绝而
骨
方
地黄煎丸 治骨极肾脏劳伤。少气不足。羸瘦无力。肢节酸疼。宜服。
生地黄（八斤净洗木臼内干捣绞取汁） 大麻子仁（半斤以水研取汁） 牛髓（一斤） 白
蜜
（二斤） 无灰酒（五升） 大枣（五十个煮取肉） 天门冬（一斤取汁以上七味同于银锡
器中熬
成膏入后药味） 鹿角胶（五两捣碎炒黄色） 石斛（去根二两） 覆盆子（一两） 酸枣
仁（二
两） 肉苁蓉（一两酒浸一宿刮去皮炙干） 人参（二两去芦头） 附子（二两炮去皮脐） 牛
膝
（二两） 白茯苓（二两） 五味子（二两） 熟地黄（三两） 补骨脂（三两炒） 干漆
（二两捣碎
炒令出烟） 肉桂（二两） 杜仲（二两） 菟丝子（一两酒浸一宿曝干别捣为末） 上为
末。入
前地黄煎中。以慢火熬。候可丸即丸如弹子大。每服以温酒化下一丸。空心午前晚后食服。
若丸
鹿角胶丸 治骨极肌体羸瘦。肾虚弱。腰膝无力。宜服。
鹿角胶（三两炒研） 破故纸（一两） 熟地黄（一两） 薯蓣（一两） 人参（去芦）
附子
（一两炮去皮脐） 菟丝子（一两酒浸一夜曝干别捣为末） 白术（一两） 柏子仁（一两）
杜仲
（一两去粗皮炙为末） 山茱萸（一两） 酸枣仁（一两） 虎胫骨（一两涂酥炙） 牛膝
（一两）
五味子（一两） 巴戟（一两） 肉苁蓉（二两酒浸一宿刮去皮炙干） 上为末。炼蜜和捣
三五百
杵。
附子丸 治骨极肢节酸痛。脚胫无力。两耳虚鸣。
附子（二两炮去皮脐） 肉苁蓉（二两酒浸一宿刮去皮炙令干） 补骨脂（一两炒） 鹿
茸
（一两去毛酥炙黄） 黄 （一两半） 杜仲（一两去粗皮炙令黄） 五味子（一两） 牛
膝（一两
去芦） 薯蓣（二两） 山茱萸（一两） 酸枣仁（一两） 芎 （三钱） 柏子仁（一两）
肉桂（一
两半去皮） 上为末。炼蜜和捣三四百杵。丸如梧桐子大。每服空心及晚食前以温酒下三十
丸。
木瓜丸 治骨极腰脊痛。风湿气衰。不能久立。脑髓疼痛。补虚壮元。
木瓜（五枚将 砂十两研细汤浸绢滤澄清石器煎成膏后将木瓜刮去皮切片和 砂拌匀碗
内蒸令熟收藏用每料用木瓜三两） 雀（四十双去头足肠醋煮烂砂盆研布绞取肉以 砂木瓜
入
干姜椒末各二两酒三升慢火熬成膏用） 附子（炮去皮脐） 菟丝子（酒浸三日焙末各二两）
补骨脂（炒） 沉香（锉） 木香 天雄（炮去皮脐） 石斛（去根） 苁蓉（酒浸焙干） 天
麻（酒
炙） 蒺藜子（炒去刺各二两） 羌活（一两半） 香子（炒三钱） 上除膏捣罗为末。
同为丸
如梧
肾沥汤 治骨极面肿垢黑。腰脊痛不能久立。屈伸不利。梦寐惊悸。上气。小腹里
\急。痛引
人参 芍药 麦门冬（去心） 生地黄（焙） 当归（切焙各一两半） 甘草（炙） 芎
远
志白茯苓（去皮） 五味子（各一两） 干姜（炮一两） 黄芩（半两） 桂（二两） 羊
肾（二个
去筋膜） 上除羊肾外。粗捣筛。每服五钱。先用水二盏。煮羊肾一双至一盏。除羊肾下药
末。
干地黄丸（出圣惠方）治骨极羸瘦。心神虚烦。脚膝疼痛。久立不得。宜服。
熟地黄（二两） 白茯苓（一两） 牛膝（一两） 羚羊角屑（三钱） 酸枣仁（一两
微炒） 萆
（三两） 黄 （三两） 桂心（三钱） 苁蓉（一两酒浸） 石斛（一两去根） 薯蓣
（一两） 人
参（一两去芦） 上为末。炼蜜和捣三二百杵。丸如梧桐子大。每服空心及晚食前以温酒下
三
十
骨碎补丸 治骨极腰脊疼。不能久立。发堕齿槁。手足疼甚。
骨碎补（炒） 附子（炮去皮脐） 肉豆蔻（去壳各二两） 蒺藜（炒去角） 杜仲（去
粗皮炒）
山芋 五味子 牛膝（酒浸） 山茱萸（炒） 独活（去芦各半两） 芎 （三钱） 黄
（一两半）
上为末。炼蜜和丸如梧桐子大。每服空心温酒下三十丸。
生地黄散（出圣惠方）治骨极头热。肢节疼痛。不得睡卧。兼不思饮食。宜
服。
生地黄（一两） 白茯苓（一两） 当归（一两） 麦门冬（去心一两） 人参（一两
去芦） 车
前子（三钱） 黄 （一两） 枳壳（三钱麸炒） 白芍（三钱） 甘草（半两炙） 酸枣
仁（一两）
上捣
地黄煎（出圣惠方）治骨极。强骨髓。令人健。
生地黄汁（二升） 防风（二两去芦） 当归（二两） 丹参（二两） 黄 （二两） 鹿
角胶
（二两捣碎炒黄色） 桑寄生（二两） 狗脊（二两） 牛膝（二两） 羊髓（一升） 上
捣罗为散。
先煎地黄汁减一升。将药末入汁中。次入髓搅令匀。慢火煎如膏。收瓷合中。每于食前以温
酒下
干枣汤 疗骨极。主肾实热则色 隐。而膀胱不通。大便壅塞。四肢急疼。
干枣（十枚去核） 大黄 大戟 甘草（炙） 甘遂 黄芩（各一两） 芫花（半两炒）
芒硝
（半
玄参汤（出济生方）治骨极耳鸣。面色焦枯。隐曲膀胱不通。牙齿脑髓苦痛。
手足酸疼。大
玄参 生地黄 枳实（麸炒） 车前子（炒） 白芍药 甘草（炙） 黄 当归（酒
洗） 麦
门冬（去心各一两） 上罗匀。每服四钱。水一钟半。生姜三片。煎至八分去滓。温服。不
拘
时候
大黄汤 治骨极色黑疼痛。隐曲膀胱不通。小便壅塞。四肢拘急。
大黄 大戟（炒） 赤茯苓 甘草 黄芩（各一两） 芫花（醋拌） 荛花（炒各半两）
上粗
捣筛。每服三钱。水一盏半。入枣一枚擘破。煎至一盏去滓。温分二服。空心日午各一。
酸枣仁散（出圣惠方）治骨极肾虚。脚膝骨髓酸疼。宜服。
酸枣仁（八两炒） 虎胫骨（八两酥炙） 熟地黄（八两） 杜仲（三两去粗皮） 桂
心（三两）
牛膝（三两去苗） 上细锉。以清酒一斗五升。浸经三日。曝干。复入酒三日。曝干。如此
浸
令
三黄汤（出千金方）治骨极。主肾热病则膀胱不通。大小便闭塞。颜色枯黑。
耳鸣。此药治
大黄（切渍水一升） 黄芩（各三两） 栀子（十四个） 甘草（一两） 芒硝（二两）
上罗
匀。以水四升。先煮黄芩、栀子、甘草取一升五合。去滓。下大黄又煮两沸。下芒硝。分二
服。
生地黄煎（出圣惠方）治骨极实热。骨髓酸疼。宜服。
生地黄汁（三升） 天门冬汁（一升） 白蜜（半升） 上件药相合令匀。以慢火煎如
膏。每
服食
芍药汤（出千金方）治骨极骨髓中疼。
芍药（五两） 生地黄（三两焙） 虎骨（酒浸炙二两） 上粗捣筛。以酒一升。浸一
宿焙干。
再
三黄丸（一名金黄丸出三因方）治骨极热耳鸣。面色焦枯。隐曲膀胱不通。牙
齿脑髓苦痛。
黄芩（六两冬用三两） 大黄（二两冬用三两） 黄连（春用七个夏用七个秋用六个冬
用二
个） 上为末。蜜和丸如豆大。每服十丸至十五丸。米饮下。一方温水下。如脏腑壅塞可加
丸数。以利为度。
鹿角丸（出医方集成）治骨虚极。面肿垢黑。脊痛不能久立。气衰发落。齿槁
腰脊痛。甚则
鹿角（二两） 牛膝（酒浸去苗焙一两半） 上为末。炼蜜为丸如梧桐子大。每服七十
丸。
空心
虎骨酒方（出千金方）治骨极膝胫酸痛。肢节多痛。宜服。
Guji (Bone Extremity) disease originates from Wind pathogen invading the Kidney. The Kidney governs the bone marrow of the body. When Wind pathogen invades the Zang organ, it damages the bones, thus forming Guji. What is referred to as Guji manifests as emaciation, severe toothache, vexing pain in the hands and feet, inability to stand for long periods, and reluctance to move when lying down. However, Guji can be characterized by extreme deficiency-cold or extreme excess-heat, both resulting from the Kidney receiving pathogenic factors. If Qi leans towards Yin, it leads to deficiency; deficiency generates cold. Cold causes facial edema, dirty black complexion, lower back and spine pain with inability to stand for long, and difficulty in flexion and extension. As Qi declines, hair falls out and teeth become brittle; the waist and back pull each other causing pain, and in severe cases, coughing and expectoration occur. If Qi leans towards Yang, it leads to excess; excess generates heat. Heat causes a dark and dull complexion, urinary bladder dysfunction (inability to urinate), severe pain in teeth and brain, emaciation of hands and feet, tinnitus, and blackish complexion. This represents the utmost severity of Guji. Treatment should follow the syndrome, employing tonification or purgation. For mild cases, treat early; if severe, it may lead to the exhaustion of Qi in the Foot-Shaoyin meridian.
Dihuang Jian Wan (Rehmannia Paste Pill): Treats Guji due to Kidney labor injury, manifesting as shortness of breath, insufficiency of energy, emaciation, weakness, and soreness/pain in limbs and joints. Suitable for consumption.
Ingredients: Sheng Dihuang (Raw Rehmanniae Radix, 8 jin, washed clean, pounded in a wooden mortar, juice extracted); Dama Zi Ren (Cannabis Seed, 0.5 jin, ground with water, juice extracted); Niu Sui (Bovis Medulla, 1 jin); Bai Mi (White Honey, 2 jin); Wu Hui Jiu (Unadulterated Wine, 5 sheng); Da Zao (Jujube, 50 pieces, boiled to extract flesh); Tianmendong (Asparagi Radix, 1 jin, juice extracted). The above seven ingredients are boiled together in a silver or tin vessel until they form a paste. Then add the following herbs: Lujiao Jiao (Cervi Cornu Colla, 5 liang, crushed and stir-fried to yellow); Shihu (Dendrobii Caulis, 2 liang, roots removed); Fupenzi (Rubiae Fructus, 1 liang); Suanzaoren (Ziziphi Spinosae Semen, 2 liang); Roushoucong (Cistanche Deserticolae Herba, 1 liang, soaked in wine overnight, scraped clean, stir-fried dry); Renshen (Ginseng Radix, 2 liang, rhizome removed); Fuzi (Aconiti Lateralis Radix Praeparata, 2 liang, processed, skin and umbilicus removed); Niuxi (Achyranthis Bidentatae Radix, 2 liang); Baifuling (Poria, 2 liang); Wuweizi (Schisandrae Chinensis Fructus, 2 liang); Shu Dihuang (Prepared Rehmanniae Radix, 3 liang); Buguzhi (Psoraleae Fructus, 3 liang, stir-fried); Ganqi (Drynariae Rhizoma? Note: Text says Ganqi, likely referring to a specific preparation or typo for another herb, but keeping literal "Ganqi", 2 liang, crushed and stir-fried until smoke appears); Rougui (Cinnamomi Cortex, 2 liang); Duzhong (Eucommiae Cortex, 2 liang); Tiansizi (Cuscutae Semen, 1 liang, soaked in wine overnight, sun-dried, separately pounded into powder). The above are pounded into powder, mixed into the previous Dihuang paste, and boiled over slow fire. When suitable for pill-making, shape into pills the size of a bullet. Take one pill per dose, dissolved in warm wine. Take on an empty stomach, before noon, and after evening meals.
Lujiao Jiao Wan (Deer Horn Collagen Pill): Treats Guji causing emaciation of the body, Kidney deficiency and weakness, and weakness in waist and knees. Suitable for consumption.
Ingredients: Lujiao Jiao (Cervi Cornu Colla, 3 liang, stir-fried and crushed); Poguzhi (Psoraleae Fructus, 1 liang); Shu Dihuang (Prepared Rehmanniae Radix, 1 liang); Shuyu (Dioscoreae Rhizoma, 1 liang); Renshen (Ginseng Radix, rhizome removed); Fuzi (Aconiti Lateralis Radix Praeparata, 1 liang, processed, skin and umbilicus removed); Tiansizi (Cuscutae Semen, 1 liang, soaked in wine overnight, sun-dried, separately pounded into powder); Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Baiziren (Platycladi Semen, 1 liang); Duzhong (Eucommiae Cortex, 1 liang, coarse bark removed, stir-fried and powdered); Shanzhuyu (Corni Fructus, 1 liang); Suanzaoren (Ziziphi Spinosae Semen, 1 liang); Hu Jinggu (Tigris Ossis, 1 liang, coated with butter, roasted); Niuxi (Achyranthis Bidentatae Radix, 1 liang); Wuweizi (Schisandrae Chinensis Fructus, 1 liang); Bajitian (Morinda Officinalis Radix, 1 liang); Roushoucong (Cistanche Deserticolae Herba, 2 liang, soaked in wine overnight, scraped clean, stir-fried dry). The above are pounded into powder, mixed with refined honey, and pounded 300-500 times.
Fuzi Wan (Aconite Pill): Treats Guji causing soreness and pain in limbs and joints, weakness in calves, and empty ringing in both ears.
Ingredients: Fuzi (Aconiti Lateralis Radix Praeparata, 2 liang, processed, skin and umbilicus removed); Roushoucong (Cistanche Deserticolae Herba, 2 liang, soaked in wine overnight, scraped clean, stir-fried dry); Buguzhi (Psoraleae Fructus, 1 liang, stir-fried); Lurong (Cervi Cornu Pantotrichum, 1 liang, hairs removed, roasted with butter to yellow); Huangqi (Astragali Radix, 1.5 liang); Duzhong (Eucommiae Cortex, 1 liang, coarse bark removed, stir-fried to yellow); Wuweizi (Schisandrae Chinensis Fructus, 1 liang); Niuxi (Achyranthis Bidentatae Radix, 1 liang, rhizome removed); Shuyu (Dioscoreae Rhizoma, 2 liang); Shanzhuyu (Corni Fructus, 1 liang); Suanzaoren (Ziziphi Spinosae Semen, 1 liang); Xiong (Chuanxiong Rhizoma, 3 qian); Baiziren (Platycladi Semen, 1 liang); Rougui (Cinnamomi Cortex, 1.5 liang, bark removed). The above are pounded into powder, mixed with refined honey, and pounded 300-400 times. Shape into pills the size of paulownia seeds. Take 30 pills per dose on an empty stomach and before evening meals, with warm wine.
Mugua Wan (Papaya Pill): Treats Guji causing lower back and spine pain, decline of Wind-Damp Qi, inability to stand for long, pain in brain marrow, and has effects of tonifying deficiency and strengthening Yuan Qi.
Ingredients: Mugua (Chaenomeles Fruit, 5 pieces, combined with Sha [Sand], 10 liang. First grind Sha finely, soak in water, filter through silk cloth to clarify, boil in stone vessel to form paste. Scrape Mugua skin, slice, mix with Sha paste, steam in bowl until cooked, store for use. Each formula uses 3 liang of Mugua); Que (Sparrow, 40 pairs, remove head, feet, intestines, boil in vinegar until soft, pound in stone mortar, squeeze meat through cloth to extract juice. Combine with Sha paste, Mugua, Ganjiang (Dried Ginger), Jiaojiao (Zanthoxyli Pericarpium) powder, each 2 liang, and wine 3 sheng. Boil over slow fire to form paste); Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed); Tiansizi (Cuscutae Semen, soaked in wine for 3 days, dried and powdered, 2 liang each); Buguzhi (Psoraleae Fructus, stir-fried); Chenxiang (Aquilariae Lignum Resinatum, chopped); Muxiang (Vladimiriae Radix); Tianxiong (Aconiti Radix, processed, skin and umbilicus removed); Shihu (Dendrobii Caulis, roots removed); Rongrong (Cistanche Deserticolae Herba, soaked in wine, dried); Tianma (Gastrodiae Rhizoma, wine-roasted); Jili Zi (Tribuli Fructus, stir-fried, thorns removed, 2 liang each); Qianghuo (Notopterygii Rhizoma et Radix, 1.5 liang); Xiangzi (Costise Fructus? Likely Zhizi or similar aromatic seed, stir-fried, 3 qian). Except for the pastes, pound the remaining herbs into fine powder. Mix together to form pills.
Shenli Tang (Kidney Drainage Decoction): Treats Guji causing facial edema, dirty black complexion, lower back and spine pain with inability to stand for long, difficulty in flexion and extension, dream-disturbed palpitations, rebellious Qi, urgency and pain in the lower abdomen radiating elsewhere.
Ingredients: Renshen (Ginseng Radix); Shaoyao (Paeoniae Radix); Maidong (Ophiopogonis Radix, heart removed); Sheng Dihuang (Raw Rehmanniae Radix, dried); Danggui (Angelicae Sinensis Radix, sliced and dried, each 1.5 liang); Gancao (Licorice Root, roasted); Xiong (Chuanxiong Rhizoma); Yuanzhi (Polygalae Radix); Baifuling (Poria, skin removed); Wuweizi (Schisandrae Chinensis Fructus, each 1 liang); Ganjiang (Dried Ginger, processed, 1 liang); Huangqin (Scutellariae Radix, 0.5 liang); Gui (Cinnamomi Ramulus, 2 liang); Yang Shen (Ovis/Kapis Kidney, 2 pieces, remove fascia). Except for the sheep kidneys, coarsely crush and sieve. Take 5 qian per dose. First, use 2 zhan of water to boil 1 pair of sheep kidneys until reduced to 1 zhan. Remove kidneys, add herb powder, and continue decocting.
Gan Dihuang Wan (Dried Rehmannia Pill, from *Shenghui Fang*): Treats Guji causing emaciation, mental deficiency and vexation, pain in feet and knees, and inability to stand for long. Suitable for consumption.
Ingredients: Shu Dihuang (Prepared Rehmanniae Radix, 2 liang); Baifuling (Poria, 1 liang); Niuxi (Achyranthis Bidentatae Radix, 1 liang); Lingyangjiao Xie (Saigae Tataricae Cornu, 3 qian); Suanzaoren (Ziziphi Spinosae Semen, 1 liang, slightly stir-fried); Bibo (Dioscoreae Hypoglaucae Rhizoma, 3 liang); Huangqi (Astragali Radix, 3 liang); Guixin (Cinnamomi Cortex, 3 qian); Rongrong (Cistanche Deserticolae Herba, 1 liang, soaked in wine); Shihu (Dendrobii Caulis, 1 liang, roots removed); Shuyu (Dioscoreae Rhizoma, 1 liang); Renshen (Ginseng Radix, 1 liang, rhizome removed). The above are pounded into powder, mixed with refined honey, and pounded 200-300 times. Shape into pills the size of paulownia seeds. Take 30 pills per dose on an empty stomach and before evening meals, with warm wine.
Gusuibu Wan (Drynaria Pill): Treats Guji causing lower back and spine pain, inability to stand for long, hair loss, brittle teeth, and severe pain in hands and feet.
Ingredients: Gusuibu (Drynariae Rhizoma, stir-fried); Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed); Roudoukou (Myristicae Semen, shell removed, each 2 liang); Jili (Tribuli Fructus, stir-fried, spines removed); Duzhong (Eucommiae Cortex, coarse bark removed, stir-fried); Shanyu (Dioscoreae Rhizoma); Wuweizi (Schisandrae Chinensis Fructus); Niuxi (Achyranthis Bidentatae Radix, soaked in wine); Shanzhuyu (Corni Fructus, stir-fried); Duohuo (Angelicae Pubescentis Radix, rhizome removed, each 0.5 liang); Xiong (Chuanxiong Rhizoma, 3 qian); Huangqi (Astragali Radix, 1.5 liang). The above are pounded into powder, mixed with refined honey, and shaped into pills the size of paulownia seeds. Take 30 pills per dose on an empty stomach with warm wine.
Sheng Dihuang San (Raw Rehmannia Powder, from *Shenghui Fang*): Treats Guji causing heat in the head, pain in limbs and joints, insomnia, and poor appetite. Suitable for consumption.
Ingredients: Sheng Dihuang (Raw Rehmanniae Radix, 1 liang); Baifuling (Poria, 1 liang); Danggui (Angelicae Sinensis Radix, 1 liang); Maidong (Ophiopogonis Radix, heart removed, 1 liang); Renshen (Ginseng Radix, 1 liang, rhizome removed); Cheqianzi (Plantaginis Semen, 3 qian); Huangqi (Astragali Radix, 1 liang); Zhiqiao (Aurantii Fructus, 3 qian, bran-stir-fried); Baishao (Paeoniae Radix Alba, 3 qian); Gancao (Licorice Root, 0.5 liang, roasted); Suanzaoren (Ziziphi Spinosae Semen, 1 liang). The above are crushed.
Dihuang Jian (Rehmannia Paste, from *Shenghui Fang*): Treats Guji, strengthens bone marrow, and promotes health.
Ingredients: Sheng Dihuang Zhi (Juice of Raw Rehmanniae Radix, 2 sheng); Fangfeng (Saposhnikoviae Radix, 2 liang, rhizome removed); Danggui (Angelicae Sinensis Radix, 2 liang); Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 liang); Huangqi (Astragali Radix, 2 liang); Lujiao Jiao (Cervi Cornu Colla, 2 liang, crushed and stir-fried to yellow); Sangjisheng (Taxilli Caulis, 2 liang); Gouji (Rhododendri Daurici Radix, 2 liang); Niuxi (Achyranthis Bidentatae Radix, 2 liang); Yang Sui (Ovis/Kapis Medulla, 1 sheng). The above are pounded into powder.
First, boil the Rehmannia juice until it reduces by one sheng. Add the herb powder to the juice, then add the medulla and stir evenly. Boil over slow fire until it forms a paste. Store in a porcelain container. Take before meals with warm wine.
Gan Zao Tang (Dried Jujube Decoction): Treats Guji. Mainly treats Kidney Excess-Heat manifesting as dark/dull complexion, urinary bladder dysfunction, constipation, and acute pain in the four limbs.
Ingredients: Gan Zao (Dried Jujube, 10 pieces, pitted); Dahuang (Rhei Radix et Rhizoma); Daji (Euphorbiae Pekinensis Radix); Gancao (Licorice Root, roasted); Gansui (Kansui Radix); Huangqin (Scutellariae Radix, each 1 liang); Yuanhua (Genkwa Flos, 0.5 liang, stir-fried); Mangxiao (Natrii Sulfas, 0.5 liang).
Xuanshen Tang (Scrophularia Decoction, from *Jisheng Fang*): Treats Guji causing tinnitus, scorched and withered complexion, urinary dysfunction, severe pain in teeth and brain marrow, and soreness/aching in hands and feet.
Ingredients: Xuanshen (Scrophulariae Radix); Sheng Dihuang (Raw Rehmanniae Radix); Zhishi (Aurantii Fructus, bran-stir-fried); Cheqianzi (Plantaginis Semen, stir-fried); Baishaoyao (Paeoniae Radix Alba); Gancao (Licorice Root, roasted); Huangqi (Astragali Radix); Danggui (Angelicae Sinensis Radix, wine-washed); Maidong (Ophiopogonis Radix, heart removed, each 1 liang). Sieve evenly. Take 4 qian per dose, with 1.5 zhong of water and 3 slices of fresh ginger. Decoct until 0.8 remains, strain, and take warm. No specific time restrictions.
Dahuang Tang (Rhubarb Decoction): Treats Guji causing black complexion and pain, urinary dysfunction, obstruction of urine, and rigidity/spasm of the four limbs.
Ingredients: Dahuang (Rhei Radix et Rhizoma); Daji (Euphorbiae Pekinensis Radix, stir-fried); Chi Fuling (Red Poria); Gancao (Licorice Root); Huangqin (Scutellariae Radix, each 1 liang); Yuanhua (Genkwa Flos, vinegar-mixed); Raohua (Edwardsiae Radix, stir-fried, each 0.5 liang). Coarsely crush and sieve. Take 3 qian per dose, with 1.5 zhan of water and one broken jujube. Decoct until 1 zhan remains, strain, and divide into two warm doses. Take once on an empty stomach and once at midday.
Suanzaoren San (Ziziphi Spinosae Semen Powder, from *Shenghui Fang*): Treats Guji due to Kidney Deficiency causing soreness/aching in bone marrow of feet and knees. Suitable for consumption.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, 8 liang, stir-fried); Hu Jinggu (Tigris Ossis, 8 liang, roasted with butter); Shu Dihuang (Prepared Rehmanniae Radix, 8 liang); Duzhong (Eucommiae Cortex, 3 liang, coarse bark removed); Guixin (Cinnamomi Cortex, 3 liang); Niuxi (Achyranthis Bidentatae Radix, 3 liang, tips removed). Finely chop. Soak in 1.5 dou of clear wine for 3 days, sun-dry. Repeat soaking in wine for 3 days, sun-dry. Continue this process...
Sanhuang Tang (Three Yellows Decoction, from *Qianjin Fang*): Treats Guji. Mainly treats Kidney Heat disease manifesting as urinary bladder dysfunction, obstruction of both large and small bowels, withered black complexion, and tinnitus. This medicine treats these conditions.
Ingredients: Dahuang (Rhei Radix et Rhizoma, sliced and soaked in 1 sheng of water); Huangqin (Scutellariae Radix, each 3 liang); Zhizi (Gardeniae Fructus, 14 pieces); Gancao (Licorice Root, 1 liang); Mangxiao (Natrii Sulfas, 2 liang). Sieve evenly. Use 4 sheng of water. First decoct Huangqin, Zhizi, and Gancao to obtain 1.5 sheng. Strain. Add Dahuang and boil twice more. Add Mangxiao. Divide into two doses.
Sheng Dihuang Jian (Raw Rehmannia Paste, from *Shenghui Fang*): Treats Guji Excess-Heat causing soreness/aching in bone marrow. Suitable for consumption.
Ingredients: Sheng Dihuang Zhi (Juice of Raw Rehmanniae Radix, 3 sheng); Tianmendong Zhi (Juice of Asparagi Radix, 1 sheng); Bai Mi (White Honey, 0.5 sheng). Mix the above medicines evenly. Decoct over slow fire until it forms a paste. Take appropriate amount per meal.
Shaoyao Tang (Peony Decoction, from *Qianjin Fang*): Treats Guji causing pain in the bone marrow.
Ingredients: Shaoyao (Paeoniae Radix, 5 liang); Sheng Dihuang (Raw Rehmanniae Radix, 3 liang, dried); Hugutou (Tigris Ossis, soaked in wine and roasted, 2 liang). Coarsely crush and sieve. Soak in 1 sheng of wine overnight, then dry. Repeat...
Sanhuang Wan (Three Yellows Pill, also known as Jinhuang Wan, from *Sanyin Fang*): Treats Guji Heat causing tinnitus, scorched and withered complexion, urinary dysfunction, and severe pain in teeth and brain marrow.
Ingredients: Huangqin (Scutellariae Radix, 6 liang, 3 liang in winter); Dahuang (Rhei Radix et Rhizoma, 2 liang, 3 liang in winter); Huanglian (Coptidis Rhizoma, 7 buds in spring, 7 in summer, 6 in autumn, 2 in winter). The above are pounded into powder, mixed with honey, and shaped into pills the size of beans. Take 10-15 pills per dose with rice drink. Another method suggests warm water. If there is internal obstruction, increase the number of pills until relief is achieved.
Lujiao Wan (Deer Horn Pill, from *Yifang Jicheng*): Treats Extreme Bone Deficiency manifesting as facial edema, dirty black complexion, spine pain with inability to stand for long, Qi decline with hair loss, brittle teeth, and lower back/spine pain, and in severe cases...
Ingredients: Lujiao (Cervi Cornu, 2 liang); Niuxi (Achyranthis Bidentatae Radix, soaked in wine, tips removed, dried, 1.5 liang). The above are pounded into powder, mixed with refined honey, and shaped into pills the size of paulownia seeds. Take 70 pills per dose on an empty stomach with warm wine.
Hugu Jiu Formula (Tiger Bone Wine, from *Qianjin Fang*): Treats Guji causing soreness/aching in knees and calves, and multiple pains in limb joints. Suitable for consumption.