男子脾肾虚寒,饮食少思,发热盗汗,遗精白浊,真气亏损,肌体瘦弱等证。宜还少丹。
还少丹
熟地黄(四两) 山药 山茱萸 杜仲(姜汁制) 枸杞子(各二两) 牛膝(酒浸) 远志(姜汁浸炒)
肉苁蓉(酒浸) 北五味 川续断 楮实子 舶茴香 菟丝子(制) 巴戟肉(各一两)
上为末,蜜丸。每服五十丸,空心淡盐汤下。
男子年迈乏嗣,阳痿精衰,不能酣战,以动女之欢心,或临炉而兴已兰,或对垒而戈忽倒。女子之春心正浓,
而男子之浩欢顿起,何以玉种蓝田耶?宜赞育丹。
赞育丹
熟地黄(八两,蒸捣) 白术(蜜炙,八两) 当归 枸杞子(各六两) 杜仲(酒炒) 仙茅(酒蒸一日)
巴朝肉(甘草汤炒) 山茱萸(去核) 淫羊藿(羊脂拌炒) 肉苁蓉(酒洗去甲) 韭子(炒黄,各四两)
蛇床子(微炒) 附子(制熟) 肉桂(各二两)
上为末,蜜丸服,或加人参、鹿茸更妙。
男子元阳不足,或先天禀衰,或劳伤过度,以致命门火衰,不能生土,而为脾胃虚寒,饮食少进,或呕恶
膨胀,或反胃噎膈,或怯寒畏冷,或脐腹疼痛,或大便不实、泻利频作,或小水自遗、虚淋寒疝,或寒侵
谷而肢节痹痛,或寒在下焦而水邪浮肿。总之真阳不足者,必神疲气怯,或心跳不宁,或四体不收,或眼见
邪崇,或阳衰无子,皆宜速培右肾之元阳。宜右归丸。
右归丸
熟地黄(八两,捣膏) 山药(姜汁炒) 枸杞子(微炒) 鹿角胶(炒珠) 菟丝子(制) 杜仲(姜汁
炒,各四两) 当归 山萸肉(各三两) 肉桂 附子(制熟,各二两)
上为末,蜜丸弹子大。每早嚼服二丸,白汤下。
如阳衰气虚,加人参五六两;阳虚精滑、或带浊便溏,去当归,加补骨脂(炒)三两;飧泄不止加北五味、
肉豆蔻(面炒、去油)各三两;饮食减少,或不易化,或呕恶吞酸,皆脾胃虚寒之证,加干姜(炒黄)三两;
腹痛不止加吴茱萸(汤泡炒)二两;腰膝酸痛加胡桃肉(连皮)四两;阴虚阳痿加巴戟肉四两、肉苁蓉(酒浸)
三两,或加黄狗外肾一副(酒煮烂捣入)。
In men, deficiency-cold of the Spleen and Kidney manifests as reduced appetite, fever with night sweats, spermatorrhea or leukorrhea (white discharge from the urethra), depletion of True Qi, and emaciation. The Huan Shao Dan (Revitalize Young Pill) is indicated.
Huan Shao Dan (Revitalize Young Pill)
Shu Di Huang (Prepared Rehmannia Root, 4 liang) Shan Yao (Chinese Yam) Shan Zhu Yu (Cornus Fruit) Du Zhong (Eucommia Bark, processed with ginger juice) Gou Qi Zi (Goji Berry, each 2 liang) Niu Xi (Achyranthes Root, soaked in wine) Yuan Zhi (Polygala Root, soaked in ginger juice and stir-fried) Rou Cong Rong (Cistanche Stem, soaked in wine) Bei Wu Wei Zi (Schisandra Berry, Northern variety) Chuan Xu Duan (Dipsacus Root) Chu Shi Zi (Broussonetia Fruit) Bo Hui Xiang (Fennel Seed imported from overseas) Tu Si Zi (Cuscuta Seed, processed) Ba Ji Rou (Morinda Root, each 1 liang)
Grind all ingredients into fine powder, mix with honey to form pills. Take 50 pills per dose, swallowed with light salt water on an empty stomach.
In elderly men who are infertile due to impotence and seminal decline, inability to maintain sufficient erection to satisfy the partner, or rapid loss of potency upon contact ("rising like a furnace fire that quickly fades" or "dropping weapons mid-battle"), while the female partner's desire is high but the male's interest suddenly wanes, conception becomes difficult. The Zan Yu Dan (Assist Fertility Pill) is indicated.
Zan Yu Dan (Assist Fertility Pill)
Shu Di Huang (Prepared Rehmannia Root, 8 liang, steamed and mashed) Bai Zhu (Atractylodes Macrocephala Rhizome, honey-processed, 8 liang) Dang Gui (Angelica Sinensis Root) Gou Qi Zi (Goji Berry, each 6 liang) Du Zhong (Eucommia Bark, wine-stir-fried) Xian Mao (Curculigo Rhizome, steamed in wine for one day) Ba Ji Rou (Morinda Root, stir-fried with licorice decoction) Shan Zhu Yu (Cornus Fruit, pitted) Yin Yang Huo (Epimedium Herb, stir-fried with sheep fat) Rou Cong Rong (Cistanche Stem, washed with wine to remove scales) Jiu Zi (Leek Seed, stir-fried until yellow, each 4 liang) She Chuang Zi (Cnidium Fruit, lightly stir-fried) Fu Zi (Prepared Aconite Root, fully processed) Rou Gui (Cinnamon Bark, each 2 liang)
Grind all ingredients into fine powder, mix with honey to form pills. For better efficacy, Ginseng and Deer Antler may be added.
Men with insufficient Primordial Yang, congenital weakness, or excessive labor injury may suffer from decline of the Fire of the Gate of Vitality (Mingmen), failing to warm the Earth (Spleen/Stomach), resulting in Spleen-Stomach deficiency-cold. Symptoms include poor appetite, nausea/vomiting, abdominal distension, regurgitation or dysphagia, aversion to cold, umbilical/abdominal pain, loose stools or frequent diarrhea, urinary incontinence, deficiency-type strangury, cold hernia, bi-syndrome (painful obstruction) of joints due to cold invasion, or edema due to water retention in the Lower Jiao caused by lower-jiao cold. In summary, those with deficient True Yang invariably present with mental fatigue, shortness of breath and timidity, palpitations, inability to control the limbs, visual hallucinations (seeing evil spirits), or infertility due to yang decline. These conditions require prompt tonification of the Primordial Yang of the Right Kidney. The You Gui Wan (Right Restoration Pill) is indicated.
You Gui Wan (Right Restoration Pill)
Shu Di Huang (Prepared Rehmannia Root, 8 liang, mashed into paste) Shan Yao (Chinese Yam, stir-fried with ginger juice) Gou Qi Zi (Goji Berry, lightly stir-fried) Lu Jiao Jiao (Deer Antler Glue, stir-fried into beads) Tu Si Zi (Cuscuta Seed, processed) Du Zhong (Eucommia Bark, stir-fried with ginger juice, each 4 liang) Dang Gui (Angelica Sinensis Root) Shan Yu Rou (Cornus Fruit flesh, each 3 liang) Rou Gui (Cinnamon Bark) Fu Zi (Prepared Aconite Root, fully processed, each 2 liang)
Grind all ingredients into fine powder, mix with honey to form pills the size of bullet seeds. Chew two pills every morning, swallow with plain boiled water.
If there is yang decline with qi deficiency, add Ren Shen (Ginseng Root) 5–6 liang; if there is yang deficiency with seminal emission, turbid leukorrhea, or loose stools, remove Dang Gui and add Bu Gu Zhi (Psoralea Fruit, stir-fried) 3 liang; if there is undigested food in stool with persistent diarrhea, add Bei Wu Wei Zi (Schisandra Berry) and Dou Kou (Nutmeg, flour-processed and de-oiled) each 3 liang; if there is reduced appetite, indigestion, nausea, vomiting, or acid regurgitation—signs of Spleen-Stomach deficiency-cold—add Gan Jiang (Dried Ginger, stir-fried until yellow) 3 liang; if abdominal pain persists, add Wu Zhu Yu (Evodia Fruit, soaked in water and stir-fried) 2 liang; if there is soreness and pain in the waist and knees, add Hu Tao Rou (Walnut Kernel, with skin) 4 liang; if there is impotence due to yin deficiency, add Ba Ji Rou (Morinda Root) 4 liang and Rou Cong Rong (Cistanche Stem, soaked in wine) 3 liang, or add one pair of Yellow Dog Testicles (Jiu Zhu Lan Dao Ru, boiled in wine until soft and mashed into the preparation).