地黄 当归 甘草 干姜 肉桂
此理中汤之变方也。凡人真阴不足，或素多劳役，忽感天行赤热，虽现火症，但便清恶寒，脉见沉小无力，
便是假热。速以姜、草佐归、地、肉桂温补阴分，托散表邪。不效再进，使阴气渐充，则邪从内散，赤热自退。
若以寒苦攻之，病变决不能治。吾于此症，尽得领教，特表而出，以为世警。
人参 肉桂 附子 白术 甘草 干姜 橘皮 吴茱萸 芍药 益智仁 草豆蔻（湿纸浓包煨，不可去油）
客寒犯胃，胃脘当心而痛，目无所见，脉来沉迟，主此方。
胃，戊土也。乙肝窍通于目。邪在胃中，土木争胜，不见固理也。脉来沉迟，客寒可知，故用附子、干姜、
肉桂、吴萸、草蔻、益智辛热之物以扶阳，邪气既实，正气必虚，故用人参、白术、甘草甘温之品以助胃。其橘
皮、芍药，非取其酸辛，一泻土中之木，一利腹中之气欤。虚肿如球，别无病苦，服此亦效。
诗曰∶桂附理中加芍药、吴茱萸广陈橘壳，再益智仁草蔻煎，客寒犯胃咸除却。
（一名硫磺挺生丸）
硫磺（十两） 故纸（四两） 白术（五两） 胡巴盐（酒炒） 附子（三两） 小茴 肉豆蔻（蒸熟，不可去油
各一两五钱） 木香（一两） 沉香（一两五钱） 白胡椒（五钱蒸过） 丁香（二两） 山药（打糊为丸）
凡人之身，有真火焉，寄于命门，会于肝，出入于艮、坤。所以温百骸，养脏腑，皆此火也。此火一息、则
肉衰而瘠，血衰而枯，骨衰而齿落，筋衰而肢倦，气衰而言微矣。硫磺，火之精也，倍用之能驱邪归正，挺拔元
阳。经曰∶阳旺则阴生。一举而阴阳两得之也。但其性热而不燥，得附子、白椒之辛烈，则上行下效，捷如影响，
乃所以发生。以故火盛自生土，白术、丁香、山药以助之。土盛恐制水，胡巴、故纸、豆蔻以养之。其沉、木、
小茴三香，气升味降，非惟坚肾益脾，同寅协理，并假渠为介绍，引火归经，不致孤阴困守耳。阳气暴绝目盲，
慢惊上视，阴厥直视，厥阴头痛，痰晕目暗，暨一切冷劳、阳痿、小便频数、小腹冷痛、奔豚、风痹、连年不愈
疟、吐泻不止、寒积不消、胸膈饱闷、大病后肿胀、脱气脱血等症，救急扶危，其功十倍人参。若人强力入房，
因而骨极腰脊酸削。不欲行动，是丸虽似对症，一粒不可轻投。所以然者，水亏火益盛，又以硫磺济之，肾精消
烁耳。市医用以杀人，群喙毁为毒药，得毋过此类也。呵呵。
硫磺取极松、极黄、碎如米者，置广锅内，炉炭熔化，用桑枝不住手搅。预备陈米醋若干，豆浆水一盆。如
烟浓欲焰，急以醋沃之。复熔复搅，极清，倾入瓷盆。俟冷再打
碎、熔搅如前。至九次，则丹成矣，故谓之九转。泉水漂十余日，去火毒。澄新黄泥水及绿豆、甘草片煮一昼夜，
淘净晒干。
肉豆蔻与丁香、肉桂大同小异，其性味妙在香油面裹煨，或水润湿，饭上蒸一二餐可矣，市医纸包火熨，千
百不休，香味顿失。至有以苞粟子炒，碾粉，渍其油伪货人者，可笑可恨。
此丸原名挺生，诸书无有，不知始自谁氏。今江闽盛行，向人乞得其方，按法精制，对症者与服皆效。但元
方硫磺一斤，似觉过多，减去六两。又每进此，大便泄无了局，增入肉豆蔻、白椒二味，由一钱至五钱，久之肠
胃适然，精力倍胜，真神品也。备注以广其传。
诗曰∶挺生不独檀硫磺，妙附丁沉术木香，椒蔻胡巴小茴药，骨脂既补寿弥长。
Rehmanniae Radix (Dihuang), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao), Zingiberis Rhizoma (Ganjiang), Cinnamomi Cortex (Rougui).
This is a modified formula of Lizhong Decoction (Cinnamon and Atractylodes Macrocephala Decoction). Whenever the body's True Yin (Kidney Yin) is insufficient, or due to chronic overwork, one suddenly contracts epidemic heat-toxin causing red eyes. Although fire symptoms appear, if there is clear stool, aversion to cold, and a deep, small, and forceless pulse, this is False Heat. Quickly use Ginger (Zingiberis Rhizoma) and Licorice (Glycyrrhizae Radix et Rhizoma) to assist Rehmannia (Rehmanniae Radix), Dong Quai (Angelicae Sinensis Radix), and Cinnamon Bark (Cinnamomi Cortex) to warm and tonify the Yin aspect, and expel/disperse exterior pathogens. If ineffective, continue administration until Yin Qi gradually replenishes, then pathogens dissipate from within, and redness/heat naturally recedes. If cold-bitter purgatives are used to attack, the pathology will certainly be incurable. I have fully grasped the essence of this syndrome; I specifically present it to warn the world.
Ginseng Radix (Renshen), Cinnamomi Cortex (Rougui), Aconiti Lateralis Radix Praeparata (Fuzi), Atractylodis Macrocephalae Rhizoma (Baizhu), Glycyrrhizae Radix et Rhizoma (Gancao), Zingiberis Rhizoma (Ganjiang), Citri Reticulatae Pericarpium (Jupi), Evodiae Fructus (Wuzhuyu), Paeoniae Radix Alba (Shaoyao), Alpiniae Oxyphyllae Fructus (Yizhiren), Cardamomi Fructus (Caodoukou - roasted in thick wet paper, do not remove oil).
Exogenous Cold invading the Stomach causes pain in the epigastrium at the heart point, blindness, and a deep, slow pulse; this formula is indicated.
The Stomach belongs to Yang Earth. The Liver opens into the eyes. When pathogens are in the Stomach, Wood and Earth contend, making vision loss logical. A deep, slow pulse indicates Exogenous Cold; thus, Aconite (Aconiti Lateralis Radix Praeparata), Dried Ginger (Zingiberis Rhizoma), Cinnamon Bark (Cinnamomi Cortex), Evodia (Evodiae Fructus), Cardamom (Cardamomi Fructus), and Alpinia (Alpiniae Oxyphyllae Fructus) are used—acrid-hot substances to support Yang Qi. Since pathogenic Qi is excess, Healthy Qi must be deficient; therefore, Ginseng (Ginseng Radix), Atractylodes (Atractylodis Macrocephalae Rhizoma), and Licorice (Glycyrrhizae Radix et Rhizoma)—sweet-warm substances—are used to assist Stomach Qi. As for Tangerine Peel (Citri Reticulatae Pericarpium) and White Peony Root (Paeoniae Radix Alba), their acrid-sour properties are not primarily sought; rather, they drain Wood from Earth and promote Qi flow in the abdomen, do they not? Generalized edema like a ball, without other discomforts, also responds to this formula.
Poem: Add Shaoyao, Wuzhuyu, and aged Chenpi to Guizhi Fuzi Lizhong Tang; decoct with Yizhiren and Caodoukou to completely eliminate Exogenous Cold invading the Stomach.
(Also known as Liuhuang Tingsheng Pill)
Sulfur (10 liang), Psoraleae Fructus (Guzhi/Bu Gu Zhi, 4 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 5 liang), Foeniculi Fructus Salt (Huba Yan, stir-fried with wine), Aconiti Lateralis Radix Praeparata (Fuzi, 3 liang), Foeniculi Fructus (Xiaohui), Myristicae Semen (Roudoukou, steamed, do not remove oil, each 1.5 liang), Aucklandiae Radix (Muxiang, 1 liang), Aquilariae Lignum Resinatum (Chenxiang, 1.5 liang), Piperis Longi Fructus Bai (Baihujiao, 5 qian, steamed), Caryophylli Flos (Dingxiang, 2 liang), Dioscoreae Rhizoma (Shanyao, made into pills with paste).
In the human body, there exists True Fire, residing in the Gate of Vitality (Mingmen), converging in the Liver, entering and exiting Gen (Northeast/Mountain) and Kun (Southwest/Earth). This fire warms the hundred bones and nourishes the zang-fu organs. If this fire ceases, flesh wastes, blood dries, bones decline leading to tooth loss, sinews decline leading to limb fatigue, and Qi declines leading to faint voice. Sulfur is the essence of Fire; using double doses can drive away pathogens and restore righteousness, uplifting Yuan Yang. The Classics state: When Yang is prosperous, Yin generates. Thus, both Yin and Yang are benefited simultaneously. Its nature is hot but not drying; combined with the acrid-intense properties of Aconite (Aconiti Lateralis Radix Praeparata) and White Pepper (Piperis Longi Fructus Bai), it acts swiftly up and down, like shadow following form, thereby promoting life generation. Therefore, when Fire is abundant, it generates Earth; Atractylodes (Atractylodis Macrocephalae Rhizoma), Clove (Caryophylli Flos), and Yam (Dioscoreae Rhizoma) assist it. When Earth is abundant, it fears controlling Water; Fennel (Foeniculi Fructus), Psoralea (Psoraleae Fructus), and Nutmeg (Myristicae Semen) nourish it. The three aromatic herbs—Agarwood (Aquilariae Lignum Resinatum), Costus Root (Aucklandiae Radix), and Fennel (Foeniculi Fructus)—have ascending qi and descending flavor. They not only consolidate the Kidney and benefit the Spleen, cooperating harmoniously, but also serve as intermediaries to guide Fire back to its meridians, preventing isolated Yin from being trapped. In cases of sudden collapse of Yang Qi causing blindness, slow convulsions with upward gaze, Yin-Jue with fixed staring, Jueyin headache, phlegm-dizziness with dim vision, and all conditions of Cold-Lao, impotence, frequent urination, cold pain in the lower abdomen, Running Piglet (Ben Tun), wind-bi, intractable malaria, persistent vomiting and diarrhea, indigestion of cold accumulation, chest fullness, post-illness edema, Qi depletion, and Blood depletion, for emergency rescue and critical care, its efficacy is ten times that of Ginseng (Ginseng Radix). However, if a person engages in excessive sexual activity, resulting in extreme bone marrow depletion, soreness/shrinking of waist and spine, and reluctance to move, although this pill seems symptomatic, not even one grain should be taken lightly. The reason is that when Water is deficient, Fire becomes more prosperous; adding Sulfur further depletes Kidney Essence. Market physicians kill people with it, and crowds slander it as poison; is this not such a case? Hehe.
Select Sulfur that is extremely loose, extremely yellow, and broken like rice grains. Place it in a wide pot, melt over charcoal stove fire, and stir constantly with mulberry branches. Prepare sufficient aged rice vinegar and a basin of soy milk water. If smoke becomes dense and flames threaten, urgently pour vinegar to extinguish. Melt and stir again until extremely clear, then pour into a porcelain basin. Wait for cooling, then crush, melt, and stir as before. After nine cycles, the pill is complete, hence called "Nine Turns". Float in spring water for over ten days to remove fire toxicity. Clarify with new yellow mud water, mung beans, and Licorice slices (Glycyrrhizae Radix et Rhizoma), boil for one day and night, wash clean, and dry in the sun.
Nutmeg (Myristicae Semen) is largely similar to Clove (Caryophylli Flos) and Cinnamon Bark (Cinnamomi Cortex); its subtle nature/flavor lies in roasting wrapped in sesame oil dough, or moistening with water and steaming on rice for one or two meals. Market physicians roast in paper over fire endlessly, losing fragrance instantly. Some even roast corn kernels, grind to powder, soak in oil to pass off as fake goods—laughable and hateful.
This pill was originally named Tingsheng, not recorded in other books, origin unknown. It is now prevalent in Jiangxi and Fujian. I obtained the prescription, refined it according to method, and those with matching symptoms respond effectively. However, the original formula uses one jin of Sulfur, which seems excessive; I reduced it by six liang. Also, taking this caused endless diarrhea; I added Nutmeg (Myristicae Semen) and White Pepper (Piperis Longi Fructus Bai), dosing from one qian to five qian. Over time, the intestines and stomach became comfortable, and energy doubled. Truly a divine product. Note this to spread its transmission.
Poem: Tingsheng relies not only on Sandalwood and Sulfur; skillfully combining Aconite, Clove, Agarwood, Atractylodes, and Costus Root; Pepper, Cardamom, Fennel, and Psoralea; supplementing Bone Marrow extends longevity.