人有交感之时，忽然阴痿不举，百计引之，终不能鼓勇而战，人以为命门火衰，谁知是
心气之不足乎。凡入房久战不衰，乃相火充其力也。阴痿不举，自是命门火衰，何谓是心气
不足？不知君火一动，相火翕然随之，君火旺而相火又复不衰，故能久战不泄。否则君火先
衰，不能自主，相火即怂恿于其旁，而心中无刚强之意，
包络亦何能自振乎。故治阴痿之病，必须上补心而下补肾，心肾两旺，后补命门之相火，始
能起痿。方用起阴汤∶
人参（五钱） 白术（一两） 巴戟天（一两） 黄 （五钱） 北五味子（一钱） 熟
地（一两） 肉桂（一钱） 远志（一钱） 柏子仁（一钱） 山茱萸（三钱）水煎服。连
服四剂而阳举矣，再服四剂而阳旺矣，再服四剂，必能久战不败，苟能长服至三月，如另换
一人，不啻重坚一番骨，再造一人身也。
此方大补心肾之气，不十分去温命门之火，而火气自旺。世人不识补心以生火，则心气
既衰，火旺则焚心矣。不识补肾以生火，则肾水既亏，而火旺则损肾矣。心焚而肾损，虽火旺
何益乎？及足以烧干阴血，势必阳旺阴消，而不可救耳。
此症用济阳丸亦妙。
人参（六两） 黄 （半斤） 鹿茸（一个，酒浸切片，又切作小块，粉炒） 龟膏（
半斤） 人胞（一个，火焙） 麦冬（四两） 北五味（一两） 炒枣仁（三两） 远志（二
两） 巴戟天（半斤） 肉桂（三两） 白术（八两） 菟丝子（一斤） 半夏（一两） 砂
仁（五钱） 黄连（八钱） 神曲（一两）
各为末，蜜为丸，每日白滚水送下五钱，服一月
阳举矣，且能善战。
人有精薄、精冷，虽亦能交接，然半途而废，或临门即泄，人以为命门之火衰，谁知是
脾胃之阳气不旺乎。夫脾胃属土，土生于火，脾胃之阳气不旺，仍是命门之火衰。盖命门之
火乃先天之火，脾胃之土乃后天之土也。后天之土，本生于先天之火，先天之火不旺，则后
天之土不能生。然脾胃之土虽属后天，而其中未常无先天之气，命门之火寒，则脾胃先天之
气，何能生哉？命门既不能生脾胃先天之气，而脾胃后天之气益加衰微，欲其气旺而能固，精
浓而不薄，乌可得乎。治法必须补先天命门之火，更补后天脾胃之土，则土气既旺，火又不
衰，庶几气温精浓乎。方用火土既济丹∶
人参（一两） 白术（一两） 山茱萸（一两） 菟丝子（一两） 山药（五钱） 巴戟
天（一两） 肉桂（一钱）水煎服。连服十剂而精浓矣，再服十剂而精温矣，再服三月永不
再弱。
是方健脾胃之土，仍是补命门之火，湿气去而精纯，寒气去而精暖，寒湿既除，除气消亡
而阳气健旺，何至成怯弱之病哉。
此症用旺土丹亦甚佳。
人参（六两） 白术 黄 （各一斤） 巴戟（一斤） 茯苓（五两） 山萸肉（半
斤） 菟丝子（八两） 肉豆蔻（二两） 北五味（一两） 肉
桂（三两） 破故纸（四两） 杜仲（八两） 山药（八两） 芡实（八两） 神曲（
三两）各为末，蜜为丸，每日白滚水送下五钱，服一月，阳事改观，而精亦不薄冷矣。
人有年少之时因事体未遂，抑郁忧闷，遂至阳痿不振，举而不刚，人以为命门火衰，谁知
是心火之闭塞乎。夫肾为作强之官，技巧出焉，藏精与志者也。志意不遂，则阳气不舒。阳
气者，即肾中之真火也，肾中真火，原奉令于心，心火动而肾火应之，心火抑郁而不开，则
肾火虽旺而不能应，有似于弱而实非弱也。治法不可助命门之火，如助命门之火，则火旺于下，
而郁勃之气不能宣，必有阳旺阴消之祸，变生痈疽而不可救，宜宣通其心中之抑郁，使志意舒
泄，阳气开而阴痿立起也。方用宣志汤∶
茯苓（五钱） 菖蒲（一钱） 甘草（一钱） 白术（三钱） 生枣仁（五钱） 远志（
一钱） 柴胡（一钱） 当归（三钱） 人参（一钱） 山药（五钱） 巴戟天（三钱）水
煎服。二剂而心志舒矣，再服二剂而阳事举矣，不必多剂也。
盖此病原因火闭而闷其气，非因火寒而绝其烬也，故一升火而阳痿立起矣。
此症用启阳娱心丹甚佳。
人参（二两） 远志（四两） 茯神（五两） 菖蒲（一两） 甘草 橘红 砂仁 柴
胡（各一两） 菟丝子 白术（各八两） 生枣仁 当归（各四两） 白芍 山药（各六
两） 神曲（三两）各为末，蜜为丸，每日白滚水送下五钱，服一月，阳不闭塞矣。
人有天分最薄，无风而寒，未秋而冷，遇严冬冰雪，虽披重裘，其身不温，一遇交感，
数合之后，即望门而流，此命门之火太微也。夫命门虽是先天之火气，而后天功用实可重培。
第命门藏于肾中，乃无形之火也。有形之火，宜以火引火；无形之火，宜以水引火。以火
引火，而火反不旺；以水引火，而火自难衰，此补命门之火，与补他火实不同也。方用扶命
生火丹∶
人参（六两） 巴戟天（一斤） 山茱萸（一斤） 熟地（二斤） 附子（二个） 肉
桂（六两） 黄 （二斤） 鹿茸（二个） 龙骨（醋 ，一两） 生枣仁（三两） 白术（
一斤） 北五味（四两） 肉苁蓉（八两） 杜仲（六两）各为细末，蜜为丸，每日早晚各
用五钱。服三月，自然坚而且久。
此方填精者，补水以补火也。何加入气分之药？不知气旺而精始生，使但补火而不补气，
则无根之火，止能博旦夕之欢，不能邀久长之乐。惟气旺则精更旺，精旺则火既有根，自能
生生于不已。况气乃无形之象，以无形之气，补无形之火，则
更为相宜，所以精又易生，火亦易长耳。
此症用壮火丹亦甚佳。
人参（五两） 巴戟天（八两） 白术（炒） 熟地（各一斤） 山茱萸（八两） 肉苁
蓉枸杞（各八两） 附子（一个，用甘草三钱煎汁泡过，切片，炒熟） 肉桂（三两） 破
故纸（炒） 茯苓（各四两） 北五味（一两） 炒枣仁（三两） 柏子仁（二两） 山药
芡实（各五两） 龙骨（醋 ，为末，一两）各为末，蜜为丸。服二月，坚而且久。
人有中年之时阳事不举，虽妇女扪弄而如故，即或振兴，旋即衰败，此心包之火气大衰
也。夫心包之火相火也。心包火旺，力能代君行事；若心包火衰，心火虽动，如相臣卧病，
气息奄奄，欲其奋身勤王，其可得乎。且心包之火，与命门之火正相通也，未有心包寒而命
门能独热者，所以心包之火微有扶之而不起者。治法温其心包，不必温其命门也。方用∶
人参（一两） 巴戟天（一两） 肉桂（三钱） 炒枣仁（五钱） 远志（二钱） 茯
神（一钱） 良姜（一钱） 附子（一钱） 柏子仁（二钱） 黄 （五钱） 当归（三钱）
菟丝子（二钱）水煎服。连服十剂，兴趣自生，服二十剂，阳旺不倒矣。
此方名为救相汤，专治心包虚寒之症，不止振举其阳也。方中虽治心包，实皆
统治心者。盖补其心君，则君王富足，而相臣自强，相助为理矣。
此症用辅相振阳丸亦佳。
人参（五两） 巴戟天（十两） 炒枣仁 麦冬（各五两） 菟丝子（十两） 远志 柏
子仁 肉桂（各二两） 茯神 枸杞（各三两） 黄 （八两） 当归 仙茅（各四两） 白
术（六两） 人胞（一个） 陈皮（五钱） 阳起石（火 ，醋 ，一两）各为末，蜜为丸，每日早
晚各服四钱，滚水下。三月阳事振发。
In the moment of sexual intercourse, sudden flaccidity (Yin Wei) and inability to erect occur. Despite trying every method to stimulate arousal, one ultimately fails to summon the courage to engage in coitus. People attribute this to the decline of Mingmen Fire (Fire of the Gate of Life), but who would know that it is actually due to insufficient Heart Qi? Those who can engage in prolonged sexual activity without fatigue do so because Xianghuo (Ministerial Fire) is abundant and provides strength. Flaccidity and inability to erect naturally belong to the decline of Mingmen Fire; why is it said to be insufficient Heart Qi? One must understand that when Junhuo (Monarch Fire, i.e., Heart Fire) moves, Xianghuo responds swiftly. If Junhuo is vigorous and Xianghuo does not decline, one can engage in prolonged intercourse without ejaculation. Otherwise, if Junhuo declines first and loses autonomy, Xianghuo will incite from the side. Without a resolute intention in the heart, how can the Pericardium (Baoluo) rouse itself? Therefore, treating flaccidity requires tonifying the Heart above and the Kidney below. Only when both Heart and Kidney are vigorous, followed by tonifying the Ministerial Fire of Mingmen, can flaccidity be cured. The prescription is Qi Yin Tang (Rise Yin Decoction):
Ren Shen (Panax Ginseng Radix et Rhizoma, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Ba Ji Tian (Morinda Officinalis Radix, 1 liang), Huang Qi (Astragali Membranacei Radix, 5 qian), Bei Wu Wei Zi (Schisandrae Chinensis Fructus, 1 qian), Shu Di Huang (Rehmanniae Radix Praeparata, 1 liang), Rou Gui (Cinnamomi Cortex, 1 qian), Yuan Zhi (Polygalae Radix, 1 qian), Bai Zi Ren (Platycladi Semen, 1 qian), Shan Zhu Yu (Corni Fructus, 3 qian). Decoct in water and take orally. After four doses, erection occurs; after another four doses, Yang energy becomes vigorous; after another four doses, prolonged intercourse without defeat is achieved. If taken continuously for three months, one feels like a new person, as if bones have been re-solidified and the body reborn.
This formula greatly tonifies Heart and Kidney Qi. It does not excessively warm Mingmen Fire, yet the fire naturally becomes vigorous. People of the world do not understand that tonifying the Heart generates fire; if Heart Qi declines and fire becomes too strong, it will burn the Heart. They do not understand that tonifying the Kidney generates fire; if Kidney Water is depleted and fire becomes too strong, it will damage the Kidney. If the Heart burns and the Kidney is damaged, what benefit is there in strong fire? When Yin Blood is eventually dried up, Yang will prevail and Yin will diminish, leading to an incurable state.
For this syndrome, Ji Yang Wan (Relieve Yang Pill) is also excellent.
Ren Shen (6 liang), Huang Qi (0.5 jin), Lu Rong (one piece, soaked in wine, sliced, cut into small pieces, stir-fried with rice flour), Gui Gao (Testudinis Carapacis et Plastratis Colla, 0.5 jin), Ren Bao (one piece, roasted dry), Mai Dong (Ophiopogonis Radix, 4 liang), Bei Wu Wei (Schisandrae Chinensis Fructus, 1 liang), Chao Zao Ren (Ziziphi Spinosae Semen, 3 liang), Yuan Zhi (2 liang), Ba Ji Tian (0.5 jin), Rou Gui (3 liang), Bai Zhu (8 liang), Tu Si Zi (Cuscutae Semen, 1 jin), Ban Xia (Pinelliae Rhizoma, 1 liang), Sha Ren (Amomi Fructus Rotundus, 5 qian), Huang Lian (Coptidis Rhizoma, 8 qian), Shen Qu (Medicated Leaven, 1 liang).
Grind each herb into powder, form pills with honey. Take 5 qian daily with plain boiled water. After one month, erection occurs, and sexual prowess improves.
Some individuals have thin and cold semen. Although they can engage in intercourse, they fail midway or ejaculate immediately upon approach. People attribute this to Mingmen Fire decline, but who knows it is actually due to weak Spleen and Stomach Yang? The Spleen and Stomach belong to Earth, and Earth is born from Fire. Weak Spleen and Stomach Yang ultimately stems from Mingmen Fire decline. Mingmen Fire is the congenital fire, while Spleen and Stomach Earth is the acquired Earth. Acquired Earth originates from congenital fire; if congenital fire is weak, acquired Earth cannot generate. However, although Spleen and Stomach Earth is acquired, it contains congenital Qi. If Mingmen Fire is cold, how can the congenital Qi within the Spleen and Stomach arise? Since Mingmen cannot generate the congenital Qi of the Spleen and Stomach, the acquired Qi of the Spleen and Stomach becomes increasingly weak. How can it be strong enough to secure essence and make it thick rather than thin? The treatment must tonify the congenital Mingmen Fire and simultaneously tonify the acquired Spleen and Stomach Earth. When Earth Qi is strong and fire does not decline, warmth and thick essence can be achieved. The prescription is Huo Tu Ji Ji Dan (Fire-Earth Mutual Completion Elixir):
Ren Shen (1 liang), Bai Zhu (1 liang), Shan Zhu Yu (1 liang), Tu Si Zi (1 liang), Shan Yao (Dioscoreae Rhizoma, 5 qian), Ba Ji Tian (1 liang), Rou Gui (1 qian). Decoct in water and take orally. After ten doses, semen becomes thick; after another ten doses, semen becomes warm; after three months of continued use, weakness never returns.
This formula strengthens Spleen and Stomach Earth, which still relies on tonifying Mingmen Fire. Dampness removal purifies essence; cold removal warms essence. With cold-dampness eliminated and vital Qi preserved, Yang energy becomes vigorous, preventing timidity and weakness.
For this syndrome, Wang Tu Dan (Strengthen Earth Pill) is also very good.
Ren Shen (6 liang), Bai Zhu, Huang Qi (each 1 jin), Ba Ji Tian (1 jin), Fu Ling (Poria, 5 liang), Shan Yu Rou (Corni Fructus, 0.5 jin), Tu Si Zi (8 liang), Rou Dou Kou (Myristicae Semen, 2 liang), Bei Wu Wei (1 liang), Rou Gui (3 liang), Po Gu Zhi (Psoraleae Fructus, 4 liang), Du Zhong (Eucommiae Cortex, 8 liang), Shan Yao (8 liang), Qian Shi (Euryales Semen, 8 liang), Shen Qu (3 liang). Grind into powder, form pills with honey. Take 5 qian daily with plain boiled water. After one month, sexual function improves, and semen is no longer thin or cold.
Some young people suffer from depression and frustration due to unfulfilled desires, leading to impotence and weak erections. People attribute this to Mingmen Fire decline, but who knows it is due to obstruction of Heart Fire? The Kidney is the official of strength, producing skill and storing essence and Zhi (Will). Unfulfilled Zhi leads to stagnant Yang Qi. Yang Qi is the True Fire within the Kidney. This True Fire obeys the command of the Heart; when Heart Fire moves, Kidney Fire responds. If Heart Fire is depressed and obstructed, Kidney Fire, though potentially vigorous, cannot respond, appearing weak when it is not truly weak. Treatment should not boost Mingmen Fire directly; doing so would cause fire to flare at the lower jiao while stagnant Qi remains unvented, leading to Yang excess and Yin depletion, potentially causing abscesses and ulcers that are incurable. Instead, one should vent the depression in the heart, allowing Zhi to relax and Yang Qi to open, thereby curing impotence immediately. The prescription is Xuan Zhi Tang (Vent Will Decoction):
Fu Ling (5 qian), Chang Pu (Acori Tatarinowii Rhizoma, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 qian), Bai Zhu (3 qian), Sheng Zao Ren (Ziziphi Spinosae Semen, 5 qian), Yuan Zhi (1 qian), Chai Hu (Bupleuri Radix, 1 qian), Dang Gui (Angelicae Sinensis Radix, 3 qian), Ren Shen (1 qian), Shan Yao (5 qian), Ba Ji Tian (3 qian). Decoct in water and take orally. After two doses, heart-mind relaxes; after another two doses, erection occurs. No need for many doses.
The root cause of this disease is fire obstruction stifling Qi, not fire cold extinguishing embers. Thus, lifting fire immediately cures impotence.
For this syndrome, Qi Yang Yu Xin Dan (Raise Yang and Entertain Heart Mind Pill) is excellent.
Ren Shen (2 liang), Yuan Zhi (4 liang), Fu Shen (Poria with Hostwood, 5 liang), Chang Pu (1 liang), Gan Cao, Ju Hong, Sha Ren, Chai Hu (each 1 liang), Tu Si Zi, Bai Zhu (each 8 liang), Sheng Zao Ren, Dang Gui (each 4 liang), Bai Shao, Shan Yao (each 6 liang), Shen Qu (3 liang). Grind into powder, form pills with honey. Take 5 qian daily with plain boiled water. After one month, Yang obstruction resolves.
Some individuals have the weakest constitution, feeling cold without wind and chilly before autumn. Even in severe winter snow, wearing heavy fur does not warm them. Upon sexual contact, after a few thrusts, they ejaculate prematurely. This indicates extremely weak Mingmen Fire. Although Mingmen is congenital fire, its acquired functions can be heavily cultivated. Mingmen resides in the Kidney and is formless fire. Formless fire should be guided by water, whereas formed fire is guided by fire. Guiding fire with fire makes fire less vigorous; guiding fire with water prevents fire from declining. Thus, tonifying Mingmen Fire differs significantly from tonifying other fires. The prescription is Fu Ming Sheng Huo Dan (Support Life Generate Fire Elixir):
Ren Shen (6 liang), Ba Ji Tian (1 jin), Shan Zhu Yu (1 jin), Shu Di Huang (2 jin), Fu Zi (Aconiti Lateralis Radix Praeparata, 2 pieces), Rou Gui (6 liang), Huang Qi (2 jin), Lu Rong (2 pieces), Long Gu (Fossilia Ossis Mastodi, vinegar-processed, 1 liang), Sheng Zao Ren (3 liang), Bai Zhu (1 jin), Bei Wu Wei (4 liang), Rou Cong Rong (Cistanches Herba, 8 liang), Du Zhong (6 liang). Grind into fine powder, form pills with honey. Take 5 qian morning and evening. After three months, hardness and endurance are natural.
This formula fills essence by supplementing water to tonify fire. Why add Qi-tonifying herbs? Because Qi must be strong for essence to generate. If only fire is tonified without Qi, the rootless fire only brings fleeting pleasure, not lasting joy. Only when Qi is strong is essence abundant; when essence is abundant, fire has roots and generates endlessly. Moreover, Qi is formless; using formless Qi to tonify formless fire is most appropriate, facilitating easy generation of essence and growth of fire.
For this syndrome, Zhuang Huo Dan (Strengthen Fire Pill) is also very good.
Ren Shen (5 liang), Ba Ji Tian (8 liang), Bai Zhu (stir-fried), Shu Di Huang (each 1 jin), Shan Zhu Yu (8 liang), Rou Cong Rong, Gou Qi Zi (Lycii Fructus, each 8 liang), Fu Zi (one piece, soaked in decoction of 3 qian Gan Cao, sliced, stir-fried cooked), Rou Gui (3 liang), Po Gu Zhi (stir-fried), Fu Ling (each 4 liang), Bei Wu Wei (1 liang), Chao Zao Ren (3 liang), Bai Zi Ren (2 liang), Shan Yao, Qian Shi (each 5 liang), Long Gu (vinegar-processed, powdered, 1 liang). Grind into powder, form pills with honey. Take for two months; hardness and endurance are achieved.
Middle-aged individuals may experience impotence where even manual stimulation yields no change, or if erection occurs, it quickly fades. This is due to significant decline of Pericardium Fire. Pericardium Fire is Ministerial Fire. When Pericardium Fire is strong, it assists the Monarch (Heart); if weak, even if Heart Fire moves, it is like a sick minister, breathless and unable to serve diligently. Furthermore, Pericardium Fire communicates directly with Mingmen Fire; it is unheard of for Pericardium to be cold while Mingmen is hot. Thus, slight support is needed for weak Pericardium Fire. Treatment should warm the Pericardium, not necessarily Mingmen. The prescription is:
Ren Shen (1 liang), Ba Ji Tian (1 liang), Rou Gui (3 qian), Chao Zao Ren (5 qian), Yuan Zhi (2 qian), Fu Shen (1 qian), Liang Jiang (Alpiniae Officinarum Rhizoma, 1 qian), Fu Zi (1 qian), Bai Zi Ren (2 qian), Huang Qi (5 qian), Dang Gui (3 qian), Tu Si Zi (2 qian). Decoct in water and take orally. After ten doses, interest arises spontaneously; after twenty doses, Yang stands firm.
This formula, named Jiu Xiang Tang (Save Minister Decoction), specifically treats Pericardium deficiency-cold, not just promoting erection. Although it treats the Pericardium, it essentially governs the Heart. Tonifying the Heart Monarch enriches the ruler, strengthening the minister to assist in governance.
For this syndrome, Fu Xiang Zhen Yang Wan (Assist Minister Raise Yang Pill) is also good.
Ren Shen (5 liang), Ba Ji Tian (10 liang), Chao Zao Ren, Mai Dong (each 5 liang), Tu Si Zi (10 liang), Yuan Zhi, Bai Zi Ren, Rou Gui (each 2 liang), Fu Shen, Gou Qi Zi (each 3 liang), Huang Qi (8 liang), Dang Gui, Xian Mao (Curculiginis Rhizoma, each 4 liang), Bai Zhu (6 liang), Ren Bao (one piece), Chen Pi (Citri Reticulatae Pericarpium, 5 qian), Yang Qi Shi (Activating Stone, calcined, vinegar-processed, 1 liang). Grind into powder, form pills with honey. Take 4 qian morning and evening with boiling water. After three months, sexual function revives.