阴阳，断不少误。然则症既分阴阳，治法乌可合治之乎。吾以为未常不可合治也。虽阳病在
于气虚，阴病在于血少，然而无痰、无食、终不成疟，消化痰食，宁有异哉。且痰食之不消
而结成疟母，要不离乎肝气之郁结，以下克夫脾土也。疏肝以健土，则脾之气旺，而痰与食
自化，是治肝以治疟，阴阳正不可异也。
方用疏肝两消汤∶
白芍（三钱） 白术（五钱） 陈皮（一钱） 半夏（一钱） 当归（三钱） 浓朴（一钱） 柴胡（二钱） 茯
神（三钱） 白芥子（一钱）
气虚者加人参三钱，血虚者加熟地八钱，水煎服。八剂必发大汗而愈。
此方阴阳两治之法也，阴中引阳以出于阳分，而阴又不伤。阳中引阴以离于阴分，而阳
又无损。两相引而阴阳之正气日盛，自然两相制而阴阳之邪气日消。况气虚加人参以助阳，
血虚加熟地以滋阴，又阴阳之分治，何疟之不除哉。人见其治疟之神也，遂以此方能统阴阳
而治疟也，谁知单消痰食，止疏其肝气之郁结乎。
此症用散母汤亦效。
人参 何首乌 半夏 鳖甲（各三钱） 白芍 白术（各五钱） 柴胡（一钱） 青皮 神曲（各二钱）
水煎服。
人有多言伤气，咳嗽吐痰，久则气怯，肺中生热，短气嗜卧，不进饮食，骨脊拘急，疼
痛发酸，梦遗精滑，潮热出汗，脚膝无力，人以为痨怯之症也，谁知其先伤于气乎。夫伤气
者，伤肺也。肺伤则金弱不能生水，肾经无滋化之源，何能分余润以养脏腑乎。肺金生热，
则清肃之令不行，膀胱之气不化，脾胃俱失其运化之权，土亏而金益弱，金弱而水益虚，水
难养肝而木燥，水难灌心而火炎。木强则侮金，火胜则克肺，欲气之旺也得乎。气衰则不能
摄精，精涸则不能收汗，汗出则不能生力，此骨脊之所以酸疼，饮食懈怠而嗜卧也。治法必
须先补其肺，更宜兼补脾胃。盖肺气不能自生，补其脾胃，则土能生金。脾胃为肺金之母也
方用益肺丹∶
人参（三钱） 白术（三钱） 当归（三钱） 麦冬（五钱） 北五味（三分） 柴胡（五分） 荆芥（五分） 山
药
（三钱） 芡实（三钱）
水煎服。四剂而脾胃之气开，又四剂而咳嗽之病止，又服四剂酸疼之疾解，又四剂潮热
汗出之症痊，再服十剂，气旺而各恙俱愈。
或疑损其肺者益其气，未闻损其气者益其肺也。不知益肺实益气也；肺衰则气衰，肺旺
则气旺，气衰乌可不补肺哉，若补肺何能舍脾胃而他补乎。
此症亦可用壮气汤治之。
人参（三钱） 麦冬（一两） 甘草（三分） 百合（一两） 贝母（三分）
水煎服。
人有失血之后，不知节劳慎色，以致内热烦渴，目中生花见火，耳内蛙聒蝉鸣，口舌糜
烂，食不知味，鼻中干燥，呼吸不利，怠惰嗜卧，又不安贴，人以为痨瘵之渐也，谁知是伤
血而成之乎。夫肝藏血，失血者乃肝不藏血也。然其由，非大怒以动其血，即大劳以损其血
也。虽动与损不同，而补血、养血必宜合一。无如酒、色、财、气，无非动血之媒，耳、目
、口、鼻，无非损血之窍。养血者既无其方，补血者又缺其药，此失血者，往往难痊，因循
误治，不至于死亡不已也。倘一见失血，即用平肝、止血之药治之，何至于濒伤不救。但失
血成损，苟徒补其血，则血不可以骤生，而耗血之脏腑损于内，烁血之情欲损于外，亦必死
之道也。盖补血必须补气，而养血必宜益精，使阴阳两资于上下，而中焦肝脏之血已损者能
增，未损者能固也。
方用缓中汤∶
白芍（一两） 当归（一两） 人参（一两） 甘草（一钱） 熟地（一两） 山茱萸（五钱） 麦冬（五钱） 三
七根末（三钱） 荆芥（炒黑，一钱） 炒黑姜炭（五分）
水煎服。一剂睡卧安，二剂烦渴止，十剂病减半，二十剂又减半，三十剂全愈。
此方气、血、精同补之药也。然补气药少于补精血之药者，以失血之病，毕竟阴亏，吾
重补其阴，而少补其阳，则阳能生阴，阳不至于大亢，阴能制阳，阴不至于太微，自然气行
于血之中以生血，即血固于气之内以藏血也，宁尚有走失之患哉。况方中原有荆芥之引经，
姜炭、三七根之止血，又用之无不咸宜者乎。
此症用八物汤亦佳。
白芍 山药（各五钱） 当归 熟地 麦冬（各一两） 甘草（五分） 丹皮 沙参（各三钱）
水煎服。
人有入房纵欲，不知葆涩，以致形体瘦削，面色痿黄，两足乏力，膝细腿摇，皮聚毛落
，不能任劳，难起床席，盗汗淋漓，此损精而成痨症也。夫阴精足者其人寿，未有精虚而能
长年者也。然而精足者，举世绝无其人，所以肾有补而无泻，其或病或不病，亦分之于能节
与不能节耳。世人贪片刻之欢，至于死亡无论也。泄精未至于死亡，乌忍其病而不救，要不
能舍填精而别求异术也。然而填精实难，泄精既多者，不特伤肾，必且伤脾，脾伤胃亦伤矣
。胃为肾之关门，胃伤则关门必闭，虽有补精之药，安能直入于肾宫，是补肾必须补胃，胃
与脾为表里，补胃而补脾在其中，故填精之药，断宜合三经同治耳。
方用开胃填精汤∶
人参（三钱） 白术（五钱） 熟地（一两） 麦冬（三钱） 山茱萸（三钱） 北五味（一钱） 巴戟天（一两） 茯苓（三钱） 肉豆蔻（一枚）
水煎服。连服十剂，精神生，饮食知味，胃气大开，再用十剂，可以起衰。再用十剂，
前症顿愈。
此方虽非起死之方，实系填精妙药。填精而精足，精足人可不死，然则此方正起死之方
也，人亦加意而用之乎。
此症用扶弱汤亦妙。
熟地（一两） 石斛 麦冬（各五钱） 北五味子（一钱） 巴戟天 菟丝子（各三钱） 山茱萸（五钱）
水煎服。
人有行役劳苦，动作不休，以至筋缩不伸，卧床呻吟，不能举步，遍身疼痛，手臂酸麻
，人以为痿症之渐也，谁知是损筋之故乎。夫筋属肝，肝旺则筋旺，肝衰则筋衰，损筋是损
肝也，补肝其可缓乎。然肝之所以衰旺者，乃肾之故也。肾水生肝木，肾水足而肝气旺，肾
水虚而肝气衰，故筋衰者必补其肝，而肝衰者必补其肾。虽然补其肾，肝受益矣。但肝又去
生心，吾恐补肾以生肝，尚不暇养筋也。更须补其心气之不足，则肝不必去生心，肝木得肾
之滋，枝叶条达，筋有不润者乎。
方用养筋汤∶
白芍（一两） 熟地（一两） 麦冬（一两） 炒枣仁（三钱） 巴戟天（三钱）
水煎服。二剂筋少舒，四剂筋大舒，十剂疼痛酸麻之症尽痊矣。
此方心肝肾三经同治之药也。凡三经之病均可用之，非独治伤筋不足之症，在人通用之
耳。
此症用舒筋汤亦效。
白芍 熟地（各一两） 甘菊 丹皮 牛膝 秦艽（各二钱） 白术（五钱） 枸杞（二钱） 葳蕤（五钱
水煎服。
人有久立腿酸，更立而行房，则两足必然无力，久则面黄体瘦，口臭肢热，盗汗骨蒸，
人以为瘵病也，谁知起于伤骨乎。夫骨中藉髓以能坚，骨无髓则骨空矣，又何所恃而能立乎
。然而伤骨亦能耗髓，况立而行房则骨与髓两伤矣，何能不病哉。且伤骨中之髓者，即伤肾
中之精也，髓涸者，肾水先涸也。肾涸不能化髓，骨中所以空虚也。故欲补骨中之髓，必先
补肾中之精。
方用充髓丹∶
熟地（二两） 山茱萸（一两） 金钗石斛（五钱） 地骨皮（三钱） 沙参（五钱） 牛膝（三钱） 五味子（一
钱） 茯苓（三钱）
水煎服。
此方填补真阴，使肾水充足，精满髓充而骨健也。倘用冷药以损胃，或用热药以助阳，
则熬干津液，燥以益燥，必成为痨瘵而不可救矣。
此症用龟鹿饮亦效。
熟地（二两） 山茱萸（一两） 金钗石斛 牛膝 虎骨 龟膏 杜仲（各三钱） 山药 鹿角胶
菟丝子 白术（各五钱）
水煎服。
人有过于欢娱，大笑不止，遂至唾干津燥，口舌生疮，渴欲思饮，久则形容枯槁，心头
出汗，人以为阴虚火动也，谁知是阳旺火炎哉。夫心属阳火，肾属阴水，阴水遇阳火而烁干
，阳火必得阴水而灌溉。是心火非肾水相交，不能止其炎上之性，惟是心中无液则心必燥矣
。何心头偏能出汗耶。不知喜主心，而喜极反至伤心。盖喜极则心气大开，液不上行于唇口
，尽越于心头之皮肉矣。故肾中之津到于心即化为汗，何能上济于廉泉之穴，以相润于口舌
之闲乎。明是心气之伤，截流而断塞也。然则治法不必补肾水之源，仍补其心气之乏，而廉
泉之穴自通矣。
方用通泉饮∶
炒枣仁（一两） 麦冬（一两） 天门冬（三钱） 北五味（一钱） 人参（三钱） 丹参（三钱） 远志（一钱）
当归（五钱） 甘草（一钱） 柏子仁（三钱）
水煎服。一剂口润，再剂心头之汗止，三剂诸症全愈。
此方补心气之伤，又是生津、生液之药，何必补肾以通源哉。
此症用玄参莲枣饮亦佳。
玄参（三两） 丹皮 炒枣仁（各一两） 丹参（五钱） 柏子仁 莲子心（各三钱）
水煎服。
人有用心太过，思虑终宵，以至精神恍惚，语言倦怠，忽忽若有所失，腰脚沉重，肢体
困惫，人心为怯症之成也，谁知是劳心以至伤神乎。夫心藏神，神之久安于心者，因心血之
旺也。思虑无穷，劳其心矣。心劳则血必渐耗，而神无以养，恍恍惚惚，有无定之形。且神
宜静不宜动，神动则心更动，心动而血益亏，血亏而神愈动，虽有肾水之资，而血不能滋，
虽有肝木之养，而液不能入，寡弱之君，无以自立，虽有良辅而四体不能强健，此腰脚肢体
所以沉重而困惫也。治法必急救其心，而救心必以安神为主。
方用定神汤∶
人参（一两） 茯苓（五钱） 白术（五钱） 丹参（五钱） 远志（一钱） 生枣仁（五钱） 丹砂末（一钱） 柏
子仁（一钱） 巴戟天（三钱） 黄 （一两） 当归（五钱） 山药（三钱） 甘草（一钱） 白芥子（二钱）
水煎服。一剂心安，二剂神定，十剂而身健矣。
此方心、脾、胃、肺、肝同治之药也。盖心为孤主，非得心包戴护则神恐有下堂之走。
今得脾、胃、肺、肝之同治，则扶助有力，心血易生，心神自旺矣。此症用龙齿安神丹亦
人参 麦冬（各一两） 黄连（二钱） 柏子仁（三钱） 龙齿（火 ，醋 ，为末，一钱） 炒枣仁
（三钱） 甘草（五分） 北五味子（一钱）
水煎服。
人有终日劳心，经营思虑，以致心火沸腾，先则夜梦不安，久则惊悸健忘，形神憔悴，
血不华色，人以为心气之弱也，谁知是心血之亏乎。夫心宜静而不宜动，静则火不自炎，肾
水自然来济，若动则心肾两不相交矣。盖肾水非火不生，然而肾得温火而水易生，肾得烈火
而水易竭。心过劳而火动，正烈火而非温火也。肾畏避之不暇，敢来上升，以受火之威逼乎
。水不上升，心愈干燥，必且自焚，虚损之症成矣。夫五脏之损，损至心而亡。今损不由五
脏，心先自损，宜为不治之症。然而心宫宁静，原取给于各脏腑也，各脏未损，正有生机，
补各脏之气，自然虚者不虚，损者不损也。治法专补其脾、肾、肺、肝之气。
方用卫主生气汤∶
人参（三钱） 白术（五钱） 麦冬（五钱） 北五味（五分） 白芍（一两） 白芥子（二钱） 炒枣仁（三钱）
玄参（一两）
水煎服。二剂心血生，心气亦旺矣。
此方五脏兼补之药也。然而兼补五脏，又是独补心宫，所以为奇。倘止补心而不补余脏
，或单补一、二脏，而不五脏之兼补，反有偏胜之忧，非善补心伤虚损之法也。
此症用益心丹亦可治。
人参 当归（各五钱） 麦冬 炒枣仁（各一两） 天花粉 北五味 远志 神曲 丹砂（各一两）
菖蒲（五分） 菟丝子（三钱）
水煎服。
人有过于好色，入房屡战，以博欢趣，则鼓勇而斗，不易泄精，渐则阳事不刚，易于走
泄，于是骨软筋麻，饮食减少，畏寒之症生，人以为气虚之故，谁知是肾中之水火两损乎。
夫肾中相火藏于命门之中，乃水中之火也，肾中水火，不可两离。频于泄精者，似乎损水而
不损火，殊不知火在水中，水去而火亦去也。凡人火动之极，而水泄之，水泄之极，而火无
水养，则火更易动而易泄，水火两伤，欲肾之不损得乎。治法必须大补肾中之水，不可补夫
肾中之火。盖水虽生于火，而水涸之时，骤补夫火，则水不能制，而火且炎上，亦足以害之
也。惟大补夫水，使水足以制火，而火亦自生。方用六味汤大剂煎饮，服至两月，然后加入
附子、肉桂，以培补命门之真火，则水火有既济之妙，庶几两受补阴、补阳之益也。世人认
八味丸为补阳之药，然仍于水中补火，是补阳而兼补阴之药也。所以补火无亢炎之祸，补
水无寒冷之虞耳。
此症用菟丝地萸汤亦神。
熟地（一两） 山茱萸（五钱） 菟丝子（一两） 巴戟天（五钱）
水煎服。
Yin and Yang differentiation must absolutely avoid errors. Since symptoms are already distinguished into Yin and Yang, how can treatment methods be combined indiscriminately? I believe it is not necessarily impossible to treat them together. Although Yang diseases lie in Qi deficiency and Yin diseases lie in Blood insufficiency, without Phlegm (Phlegm) or Food Stagnation (Food Retention), Malaria (Malaria) would ultimately not form. Digesting Phlegm and Food Stagnation—does this differ [from treating the root]? Moreover, when Phlegm and Food do not dissipate but form a "Malaria Mother" (a mass formed by prolonged malaria), it essentially stems from Liver Qi (Liver Qi) stagnation, which then overacts on Spleen Earth (Spleen Earth). Soothing the Liver to strengthen the Earth allows Spleen Qi (Spleen Qi) to flourish, causing Phlegm and Food to transform naturally. This is treating Malaria by treating the Liver; Yin and Yang should not be treated separately.
Prescribe Shugan Liangxiao Decoction (Sothe Liver and Eliminate Two Pathogens):
Bai Shao (Radix Paeoniae Alba, 3 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Chen Pi (Pericarpium Citri Reticulatae, 1 qian), Ban Xia (Rhizoma Pinelliae Ternatae, 1 qian), Dang Gui (Radix Angelicae Sinensis, 3 qian), Hou Po (Cortex Magnoliae Officinalis, 1 qian), Chai Hu (Radix Bupleuri, 2 qian), Fu Shen (Sclerotium Poriae Cum Radice, 3 qian), Bai Jie Zi (Semen Sinapis Albæ, 1 qian).
For Qi deficiency, add Ren Shen (Radix Ginseng, 3 qian); for Blood deficiency, add Shu Di Huang (Prepared Radix Rehmanniae, 8 qian). Decoct in water and take orally. After eight doses, profuse sweating will occur, leading to recovery.
This formula employs a method of treating both Yin and Yang simultaneously. It guides Yang out of the Yang aspect within Yin nourishment, without injuring Yin. It guides Yin away from the Yin aspect within Yang tonification, without damaging Yang. The two guide each other, causing the righteous Qi of Yin and Yang to grow daily, naturally restraining each other so that the pathogenic factors of Yin and Yang diminish daily. Furthermore, adding Ren Shen aids Yang for Qi deficiency, and adding Shu Di Huang nourishes Yin for Blood deficiency; this is also a differentiated treatment of Yin and Yang. How could any Malaria not be eliminated? People see its miraculous effect in treating Malaria and assume this formula governs Yin and Yang to treat Malaria, who knows it merely eliminates Phlegm and Food Stagnation and stops the stagnation of Liver Qi?
This condition can also be effectively treated with Sanmu Tang (Disperse Mass Decoction).
Ren Shen (Radix Ginseng), He Shou Wu (Polygoni Multiflori Radix), Ban Xia (Rhizoma Pinelliae Ternatae), Bie Jia (Carapax et Plastrum Testudinis, each 3 qian), Bai Shao (Radix Paeoniae Alba), Bai Zhu (Rhizoma Atractylodis Macrocephalae, each 5 qian), Chai Hu (Radix Bupleuri, 1 qian), Qing Pi (Exocarpium Citri Reticulatae Viride), Shen Qu (Massa Medicata Fermentata, each 2 qian). Decoct in water and take orally.
Some people speak excessively, injuring Qi, resulting in coughing and expectoration. Over time, Qi becomes timid, Heat arises in the Lungs, shortness of breath occurs, there is a desire to sleep, loss of appetite, stiffness and spasm of the spine, soreness and pain, nocturnal emission and spermatorrhea, tidal fever and sweating, weakness in the feet and knees. People consider this a consumption-type deficiency syndrome, but who knows it began with Qi injury? To injure Qi is to injure the Lungs. When the Lungs are injured, Metal (Lung) weakens and cannot generate Water (Kidney). The Kidney Meridian lacks the source of nourishment and transformation; how can it distribute surplus moisture to nourish the Zang-Fu organs? Lung Metal generating Heat causes the clear and descending function to fail, Bladder Qi fails to transform, and the Spleen and Stomach lose their power of transportation and transformation. Earth deficiency makes Metal weaker, and Metal weakness makes Water more deficient. Water struggles to nourish the Liver, causing Wood to become dry; Water struggles to irrigate the Heart, causing Fire to flare up. Wood becoming strong insults Metal, and Fire winning overcomes the Lungs. How can Qi flourish under these conditions? Qi decline means it cannot control Essence; Essence depletion means it cannot retain Sweat. Sweating prevents strength generation; this is why the spine suffers soreness and pain, and why there is dietary lethargy and a desire to sleep. Treatment must first tonify the Lungs and preferably also tonify the Spleen and Stomach. Lung Qi cannot generate itself; tonifying the Spleen and Stomach allows Earth to generate Metal. The Spleen and Stomach are the mother of Lung Metal.
Prescribe Yifei Dan (Tonify Lungs Pill):
Ren Shen (Radix Ginseng, 3 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 3 qian), Dang Gui (Radix Angelicae Sinensis, 3 qian), Mai Dong (Radix Ophiopogonis Japonici, 5 qian), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 3 fen), Chai Hu (Radix Bupleuri, 5 fen), Jing Jie (Herba Schizonepetae, 5 fen), Shan Yao (Rhizoma Dioscoreae Oppositae, 3 qian), Qian Shi (Semen Nelumbinis, 3 qian). Decoct in water and take orally. After four doses, Spleen and Stomach Qi opens; after another four doses, coughing stops; after another four doses, soreness resolves; after another four doses, tidal fever and sweating cease. Take ten more doses; as Qi flourishes, all ailments recover.
One might doubt: "Injury to the Lungs benefits Qi, but I have never heard of injury to Qi benefiting the Lungs." Not knowing that tonifying the Lungs is actually benefiting Qi; Lung decline leads to Qi decline, Lung flourishing leads to Qi flourishing. If Qi declines, why not tonify the Lungs? If tonifying the Lungs, how can one abandon the Spleen and Stomach to seek tonification elsewhere?
This condition can also be treated with Zhuangqi Tang (Strengthen Qi Decoction).
Ren Shen (Radix Ginseng, 3 qian), Mai Dong (Radix Ophiopogonis Japonici, 1 liang), Gan Cao (Radix Glycyrrhizae Uralensis, 3 fen), Bai He (Bulbus Lilii, 1 liang), Bei Mu (Bulbus Fritillariae Cirrhosae, 3 fen). Decoct in water and take orally.
After blood loss, if one does not know to rest and avoid sexual indulgence, internal Heat, vexation, and thirst result. Flowers appear in the eyes, fire is seen, ears ring like frogs and cicadas, mouth and tongue ulcerate, food tastes bland, nose feels dry, breathing is difficult, lethargy and desire to sleep occur, yet restlessness persists. People think this is the onset of Consumption (Lao Zhai), but who knows it is caused by Blood injury? The Liver stores Blood; losing blood means the Liver fails to store Blood. The cause is either great anger moving the Blood or great fatigue damaging the Blood. Although movement and damage differ, tonifying and nourishing Blood must be combined. Unfortunately, wine, sex, wealth, and anger are all mediums for moving Blood; ears, eyes, mouth, and nose are all apertures for damaging Blood. Those who nourish Blood lack formulas; those who tonify Blood lack herbs. Thus, those with blood loss often fail to recover; delaying and mistreating leads inevitably to death. If upon seeing blood loss, one immediately uses Liver-pacifying and hemostatic drugs, how could it reach the point of near-death and non-rescue? However, once blood loss becomes a chronic deficit, merely tonifying Blood is insufficient because Blood cannot be generated suddenly. Organs consuming Blood are damaged internally, and desires burning Blood are damaged externally; this is also a path to death. Tonifying Blood must involve tonifying Qi, and nourishing Blood must benefit Essence, allowing Yin and Yang to nourish each other above and below, so that Liver Blood in the Middle Jiao, whether damaged or not, can increase or stabilize.
Prescribe Huanzhong Tang (Moderate Middle Decoction):
Bai Shao (Radix Paeoniae Alba, 1 liang), Dang Gui (Radix Angelicae Sinensis, 1 liang), Ren Shen (Radix Ginseng, 1 liang), Gan Cao (Radix Glycyrrhizae Uralensis, 1 qian), Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Shan Zhu Yu (Fructus Corni Officinalis, 5 qian), Mai Dong (Radix Ophiopogonis Japonici, 5 qian), San Qi Gen Mo (Powder of Radix Notoginseng, 3 qian), Jing Jie (Herba Schizonepetae, stir-fried black, 1 qian), Chao Hei Jiang Tan (Charred Ginger Rhizome, 5 fen). Decoct in water and take orally. One dose brings peaceful sleep; two doses stop vexation and thirst; ten doses reduce illness by half; twenty doses reduce it further; thirty doses bring full recovery.
This formula tonifies Qi, Blood, and Essence simultaneously. However, Qi-tonifying herbs are fewer than those tonifying Essence and Blood because blood-loss disease fundamentally involves Yin deficiency. I heavily tonify Yin and lightly tonify Yang, so Yang generates Yin without excessive hyperactivity, and Yin controls Yang without being too weak. Naturally, Qi moves within Blood to generate Blood, and Blood solidifies within Qi to store Blood. Would there still be leakage? Moreover, the formula contains Jing Jie as a guiding herb, and Jiang Tan and San Qi Gen for hemostasis; thus, its use is entirely appropriate.
This condition is also well-treated by Bayi Tang (Eight Substance Decoction).
Bai Shao (Radix Paeoniae Alba), Shan Yao (Rhizoma Dioscoreae Oppositae, each 5 qian), Dang Gui (Radix Angelicae Sinensis), Shu Di Huang (Prepared Radix Rehmanniae), Mai Dong (Radix Ophiopogonis Japonici, each 1 liang), Gan Cao (Radix Glycyrrhizae Uralensis, 5 fen), Dan Pi (Cortex Moutan), Sha Shen (Radix Glehniae, each 3 qian). Decoct in water and take orally.
Those who indulge in sexual activity without conservation become emaciated, with sallow complexion, weak legs, thin knees, shaking thighs, gathered skin, fallen hair, inability to bear labor, difficulty rising from bed, night sweats profusely. This is a consumption syndrome caused by Essence depletion. Those with sufficient Essence live long; none with deficient Essence live long. Yet, those with abundant Essence are rare worldwide; thus, the Kidney has tonification but no purgation. Whether sick or healthy depends on moderation. People greedily seek momentary pleasure, disregarding death. Even if semen loss does not lead to death, how can one bear to let them suffer without rescue? There is no way but to fill Essence. However, filling Essence is difficult. Excessive semen loss not only damages the Kidney but also the Spleen; Spleen damage leads to Stomach damage. The Stomach is the gatekeeper of the Kidney; if the Stomach is damaged, the gate closes. Even with Essence-tonifying drugs, how can they enter the Kidney Palace directly? Therefore, tonifying the Kidney requires tonifying the Stomach. Since the Stomach and Spleen are exterior-interior pairs, tonifying the Stomach includes tonifying the Spleen. Thus, Essence-filling drugs must treat all three meridians together.
Prescribe Kaiwei Tianjing Tang (Open Stomach and Fill Essence Decoction):
Ren Shen (Radix Ginseng, 3 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Mai Dong (Radix Ophiopogonis Japonici, 3 qian), Shan Zhu Yu (Fructus Corni Officinalis, 3 qian), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 1 qian), Ba Ji Tian (Radix Morindae Officinalis, 1 liang), Fu Ling (Poria, 3 qian), Rou Dou Kou (Arillus Myristicae, one piece). Decoct in water and take orally. Ten doses generate Spirit and restore taste; Stomach Qi opens greatly. Ten more doses reverse decline. Ten more doses resolve previous symptoms completely.
Although this is not a resurrection formula, it is truly a wonderful Essence-filling drug. Filling Essence leads to abundance; abundance ensures life. Thus, this is indeed a resurrection formula; people should use it attentively.
This condition is also excellently treated by Furuo Tang (Support Weakness Decoction).
Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Shi Hu (Caulis Dendrobii), Mai Dong (Radix Ophiopogonis Japonici, each 5 qian), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 1 qian), Ba Ji Tian (Radix Morindae Officinalis), Tu Si Zi (Semen Cuscutae, each 3 qian), Shan Zhu Yu (Fructus Corni Officinalis, 5 qian). Decoct in water and take orally.
Those who endure arduous travel and constant movement suffer tendon contraction and inability to extend, lying in bed groaning, unable to walk, body-wide pain, arm soreness and numbness. People think this is the onset of Flaccidity Syndrome (Wei Zheng), but who knows it is due to Tendon injury? Tendons belong to the Liver; Liver flourishing means tendons flourish, Liver declining means tendons decline. Injury to tendons is injury to the Liver; tonifying the Liver cannot be delayed. However, the reason for Liver fluctuation lies in the Kidney. Kidney Water generates Liver Wood; sufficient Kidney Water leads to vigorous Liver Qi, deficient Kidney Water leads to weak Liver Qi. Thus, declining tendons require tonifying the Liver, and declining Liver requires tonifying the Kidney. Although tonifying the Kidney benefits the Liver, the Liver also generates the Heart. I fear that tonifying the Kidney to generate the Liver leaves no time to nourish the tendons. One must also tonify Heart Qi deficiency, so the Liver need not generate the Heart. With Kidney nourishment, Liver Wood branches spread smoothly; how can tendons remain unmoistened?
Prescribe Yangjin Tang (Nourish Tendons Decoction):
Bai Shao (Radix Paeoniae Alba, 1 liang), Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Mai Dong (Radix Ophiopogonis Japonici, 1 liang), Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, 3 qian), Ba Ji Tian (Radix Morindae Officinalis, 3 qian). Decoct in water and take orally. Two doses relax tendons slightly; four doses relax them significantly; ten doses cure all pain, soreness, and numbness.
This formula treats the Heart, Liver, and Kidney meridians simultaneously. It can be used for diseases of any of these three meridians, not just for tendon injury; its utility depends on general application.
This condition is also effectively treated by Shujin Tang (Relax Tendons Decoction).
Bai Shao (Radix Paeoniae Alba), Shu Di Huang (Prepared Radix Rehmanniae, each 1 liang), Gan Ju (Flos Chrysanthemi Indici), Dan Pi (Cortex Moutan), Niu Xi (Radix Achyranthis Bidentatae), Qin Jiao (Radix Gentianae Macrophyllae, each 2 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Gou Qi (Fructus Lycii, 2 qian), Wei Rui (Rhizoma Polygonati Odorati, 5 qian). Decoct in water and take orally.
Those who stand for long periods experience leg soreness; standing further and engaging in intercourse renders legs powerless. Over time, the face becomes sallow, body thins, bad breath and limb heat occur, night sweats and bone-steaming fever arise. People think this is Consumption Disease (Zhai Bing), but who knows it originates from Bone injury? Bones rely on Marrow for firmness; bones without Marrow are empty, lacking support to stand. However, bone injury also consumes Marrow. Standing and having intercourse injures both Bone and Marrow; how can one not fall ill? Injuring Marrow in bones is injuring Essence in the Kidneys. Empty Marrow means Kidney Water dries first. Dry Kidneys cannot transform Marrow, leaving bones empty. Thus, to tonify Marrow in bones, one must first tonify Essence in Kidneys.
Prescribe Chongsui Dan (Fill Marrow Pill):
Shu Di Huang (Prepared Radix Rehmanniae, 2 liang), Shan Zhu Yu (Fructus Corni Officinalis, 1 liang), Jin Cha Shi Hu (Caulis Dendrobii Nobile, 5 qian), Di Gu Pi (Cortex Lycii, 3 qian), Sha Shen (Radix Glehniae, 5 qian), Niu Xi (Radix Achyranthis Bidentatae, 3 qian), Wu Wei Zi (Fructus Schisandrae Chinensis, 1 qian), Fu Ling (Poria, 3 qian). Decoct in water and take orally.
This formula fills True Yin, ensuring sufficient Kidney Water, full Essence, filled Marrow, and strong bones. If cold drugs are used to damage the Stomach, or hot drugs to aid Yang, fluids will be boiled dry, dryness increasing dryness, inevitably becoming incurable Consumption.
This condition is also effectively treated by Guilv Yin (Tortoise and Deer Drink).
Shu Di Huang (Prepared Radix Rehmanniae, 2 liang), Shan Zhu Yu (Fructus Corni Officinalis, 1 liang), Jin Cha Shi Hu (Caulis Dendrobii Nobile), Niu Xi (Radix Achyranthis Bidentatae), Hu Gu (Os Tigris), Gui Gao (Colla Testudinis), Du Zhong (Cortex Eucommiae Ulmoidis, each 3 qian), Shan Yao (Rhizoma Dioscoreae Oppositae), Lu Jiao Jiao (Colla Cornus Cervi), Tu Si Zi (Semen Cuscutae), Bai Zhu (Rhizoma Atractylodis Macrocephalae, each 5 qian). Decoct in water and take orally.
Those who indulge excessively in pleasure, laughing uncontrollably, eventually suffer dry saliva and parched fluids, mouth and tongue ulcers, thirst and desire to drink. Over time, appearance becomes withered, sweat appears on the heart region. People think this is Yin deficiency with Fire hyperactivity, but who knows it is Yang flourishing with Fire blazing? The Heart belongs to Yang Fire, the Kidney to Yin Water. Yin Water meets Yang Fire and is scorched; Yang Fire must be irrigated by Yin Water. Without interaction between Heart Fire and Kidney Water, the flaming nature cannot be stopped. Only when the Heart lacks fluid does it become dry. Why does sweat specifically appear on the heart region? Joy governs the Heart, but extreme joy injures the Heart. Extreme joy opens Heart Qi widely; fluids do not ascend to lips and mouth but overflow onto the skin and flesh of the heart region. Thus, Kidney fluid reaching the Heart transforms into sweat. How can it ascend to the Lianquan acupoint to moisten the mouth and tongue? Clearly, this is Heart Qi injury, blocking the flow. Therefore, treatment need not tonify the source of Kidney Water; instead, tonify the deficiency of Heart Qi, and the Lianquan acupoint will open naturally.
Prescribe Tongquan Yin (Unblock Spring Drink):
Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, 1 liang), Mai Dong (Radix Ophiopogonis Japonici, 1 liang), Tian Men Dong (Radix Asparagi, 3 qian), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 1 qian), Ren Shen (Radix Ginseng, 3 qian), Dan Shen (Radix Salviae Miltiorrhizae, 3 qian), Yuan Zhi (Radix Polygalae, 1 qian), Dang Gui (Radix Angelicae Sinensis, 5 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 1 qian), Bai Zi Ren (Semen Platycladi, 3 qian). Decoct in water and take orally. One dose moistens the mouth; two doses stop heart-region sweating; three doses cure all symptoms.
This formula tonifies Heart Qi injury and generates fluids and liquids; why bother tonifying the Kidney to open the source?
This condition is also well-treated by Xuanshen Lianzao Yin (Scrophularia, Lotus Plumule, and Jujube Drink).
Xuan Shen (Radix Scrophulariae, 3 liang), Dan Pi (Cortex Moutan), Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, each 1 liang), Dan Shen (Radix Salviae Miltiorrhizae, 5 qian), Bai Zi Ren (Semen Platycladi), Lian Zi Xin (Plumula Nelumbinis, each 3 qian). Decoct in water and take orally.
Those who overwork their minds, worrying all night, suffer vague spirit, languid speech, feeling of loss, heavy waist and legs, and weary limbs. People think this is Timidity Syndrome, but who knows it is mental labor injuring Spirit? The Heart houses Spirit; Spirit remains calm in the Heart due to flourishing Heart Blood. Endless worry labors the Heart. Heart labor gradually consumes Blood, leaving Spirit without nourishment, appearing vague and indeterminate. Spirit prefers stillness over movement; Spirit movement agitates the Heart further. Heart agitation depletes Blood more, and Blood depletion agitates Spirit more. Despite Kidney Water support, Blood cannot nourish; despite Liver Wood support, Fluids cannot enter. The weak ruler cannot stand alone; despite good ministers, the four limbs cannot be strong. This is why waist, legs, and limbs feel heavy and weary. Treatment must urgently save the Heart, and saving the Heart focuses on calming Spirit.
Prescribe Ding Shen Tang (Settle Spirit Decoction):
Ren Shen (Radix Ginseng, 1 liang), Fu Ling (Poria, 5 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Dan Shen (Radix Salviae Miltiorrhizae, 5 qian), Yuan Zhi (Radix Polygalae, 1 qian), Sheng Zao Ren (Semen Ziziphi Spinosae, 5 qian), Zhu Sha Mo (Cinnabar Powder, 1 qian), Bai Zi Ren (Semen Platycladi, 1 qian), Ba Ji Tian (Radix Morindae Officinalis, 3 qian), Huang Qi (Radix Astragali Membranacei, 1 liang), Dang Gui (Radix Angelicae Sinensis, 5 qian), Shan Yao (Rhizoma Dioscoreae Oppositae, 3 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 1 qian), Bai Jie Zi (Semen Sinapis Albæ, 2 qian). Decoct in water and take orally. One dose calms the Heart; two doses settle the Spirit; ten doses strengthen the body.
This formula treats the Heart, Spleen, Stomach, Lung, and Liver meridians simultaneously. The Heart is a solitary ruler; without protection from the Pericardium, Spirit might flee. Now, with simultaneous treatment by Spleen, Stomach, Lung, and Liver, support is powerful, Heart Blood generates easily, and Heart Spirit flourishes naturally.
This condition can also be treated with Longchi Anshen Dan (Dragon Tooth Calming Spirit Pill).
Ren Shen (Radix Ginseng), Mai Dong (Radix Ophiopogonis Japonici, each 1 liang), Huang Lian (Rhizoma Coptidis, 2 qian), Bai Zi Ren (Semen Platycladi, 3 qian), Long Chi (Dens Draconis calcined, quenched in vinegar, powdered, 1 qian), Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, 3 qian), Gan Cao (Radix Glycyrrhizae Uralensis, 5 fen), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 1 qian). Decoct in water and take orally.
Those who labor mentally all day, managing and worrying, cause Heart Fire to boil. Initially, dreams are restless; later, palpitations and forgetfulness occur, physical and spiritual emaciation ensue, Blood fails to luster the complexion. People think this is Heart Qi weakness, but who knows it is Heart Blood deficiency? The Heart prefers stillness over movement; stillness prevents Fire from flaring, and Kidney Water naturally comes to assist. Movement prevents Heart-Kidney interaction. Kidney Water is not born without Fire, but warm Fire generates Water easily, while fierce Fire exhausts Water. Mental overwork causes Fire movement, which is fierce Fire, not warm Fire. The Kidney avoids it in vain; how dare it ascend to suffer Fire's coercion? Water failing to ascend makes the Heart drier, leading to self-burning and forming deficiency syndromes. Among five-Zang injuries, injury to the Heart leads to death. Now, injury does not come from the five Zangs, but the Heart injures itself first, seemingly an untreatable condition. However, the Heart Palace seeks tranquility from other Zang-Fu organs. If other organs are undamaged, there is vitality. Tonifying Qi of other organs naturally restores deficiency and halts injury. Treatment focuses on tonifying Qi of the Spleen, Kidney, Lung, and Liver.
Prescribe Weizhu Shengqi Tang (Guard Master Generating Qi Decoction):
Ren Shen (Radix Ginseng, 3 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 5 qian), Mai Dong (Radix Ophiopogonis Japonici, 5 qian), Bei Wu Wei Zi (Fructus Schisandrae Chinensis, 5 fen), Bai Shao (Radix Paeoniae Alba, 1 liang), Bai Jie Zi (Semen Sinapis Albæ, 2 qian), Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, 3 qian), Xuan Shen (Radix Scrophulariae, 1 liang). Decoct in water and take orally. Two doses generate Heart Blood and strengthen Heart Qi.
This formula tonifies all five Zangs. However, it tonifies all five while uniquely focusing on the Heart Palace, which is remarkable. If one only tonifies the Heart without others, or tonifies only one or two Zangs without comprehensive tonification, there is risk of imbalance. This is not the proper method for tonifying Heart injury and deficiency.
This condition can also be treated with Yixin Dan (Benefit Heart Pill).
Ren Shen (Radix Ginseng), Dang Gui (Radix Angelicae Sinensis, each 5 qian), Mai Dong (Radix Ophiopogonis Japonici), Chao Zao Ren (Semen Ziziphi Spinosae Praeparatum, each 1 liang), Tian Hua Fen (Radix Trichosanthis), Bei Wu Wei Zi (Fructus Schisandrae Chinensis), Yuan Zhi (Radix Polygalae), Shen Qu (Massa Medicata Fermentata), Zhu Sha (Cinnabar, each 1 liang), Shi Chang Pu (Rhizoma Acori Tatarinowii, 5 fen), Tu Si Zi (Semen Cuscutae, 3 qian). Decoct in water and take orally.
Those overly fond of lust, engaging in frequent intercourse to seek pleasure, fight bravely but delay ejaculation. Gradually, erections become soft, leakage occurs easily. Then bones soften, tendons go numb, diet decreases, and aversion to cold arises. People think this is Qi deficiency, but who knows it is dual injury of Water and Fire in the Kidneys? Minister Fire resides in the Mingmen Gate within the Kidneys; it is Fire within Water. Kidney Water and Fire cannot be separated. Frequent semen loss seems to damage Water but not Fire, but Fire exists in Water; when Water goes, Fire goes too. When Fire moves extremely, Water leaks; when Water leaks extremely, Fire lacks nourishment, making Fire move and leak more easily. Water and Fire are both injured; how can the Kidney remain undamaged? Treatment must heavily tonify Kidney Water, not Kidney Fire. Although Water is born from Fire, when Water is depleted, suddenly tonifying Fire means Water cannot control it, and Fire flares upward, causing harm. Only by heavily tonifying Water can Water control Fire, and Fire will generate itself. Prescribe Liuwei Wan (Six-Ingredient Pill) in large doses for two months, then add Fu Zi (Radix Aconiti Lateralis Preparata) and Rou Gui (Cortex Cinnamomi), to cultivate True Fire in Mingmen. Thus, Water and Fire achieve mutual balance, receiving benefits of both Yin and Yang tonification. People regard Babai Wan (Eight-Ingredient Pill) as a Yang-tonifying drug, but it still tonifies Fire within Water, making it a Yang-tonifying drug that also tonifies Yin. Thus, tonifying Fire avoids hyperactivity disaster, and tonifying Water avoids cold danger.
This condition is also miraculously treated by Tusidiyu Tang (Cuscuta and Cornus Decoction).
Shu Di Huang (Prepared Radix Rehmanniae, 1 liang), Shan Zhu Yu (Fructus Corni Officinalis, 5 qian), Tu Si Zi (Semen Cuscutae, 1 liang), Ba Ji Tian (Radix Morindae Officinalis, 5 qian). Decoct in water and take orally.