治大病后虚烦不得眠，此胆寒故也，此药主之。又治惊悸。
半夏(汤洗七次) 竹茹 枳实(麸炒，去瓤，各二两） 陈皮（三两） 甘草（一两，炙) 茯苓（一两半）
上为锉散。每服四大钱，水一盏半，姜五片，枣一枚，煎七分，去滓，食前服。
治霍乱，吐下增剧，虚劳烦扰，奔气在胸中，不得眠，或发寒热，头疼晕闷。
酸枣仁(炒，一两三分） 人参 桂心（各一分） 知母 茯苓（各三钱三字) 石膏( ，半两）
甘草(炙，二钱)
上锉散。每服四钱，水一盏半，姜三片，枣一枚，煎七分，去滓，食前服。
夫人身之有皮毛、血脉、筋膜、肌肉、骨髓以成形，内则有肝、心、脾、肺、肾以主之
，若随情妄用，喜怒不节，劳佚兼并，致五内精血虚耗，荣卫失度，发为寒热，使皮血、筋
骨、肌肉痿弱，无力以运动，故致痿 。状与柔风脚弱皆相类，以脉证并所因别之，不
可混滥。柔风香港脚，皆外所因；痿 则属五内气不足之所为也，审之。
病者肺热，皮虚弱薄着，足痿 ，其色白而毛败，名曰皮痿，由肺热叶焦使然也。
肺为五脏长，有所失亡，所求不得，则发肺鸣，肺鸣则肺叶焦。论曰∶五脏因肺热焦，发为
痿。
病者心下热，膝腕枢纽如折去而不相提挈，胫筋纵缓，不能任其地，其色赤而络脉溢，
名曰脉痿。由悲哀太甚，阳气内动，数溲血。故本病论曰∶大经空虚，发为肌痹，传为脉痿。
病者肝热，口苦，筋膜干，筋急而挛，其色苍而爪枯，名曰筋痿。由思想无穷，所愿不
得，意淫于外，入房太甚，宗筋弛纵，及为白淫。故《下经》曰∶筋痿者，生于肝，使内也。
病者脾热，胃干而渴，肌肉不仁。其色黄而肉蠕动，名曰肉痿。由渐于湿地，以水为事
，居处下泽，濡渍，痹而不仁。故《下经》曰∶肉痿者，得之湿地也。
病者肾热，腰脊不举，骨枯而髓减，其色黑而齿槁，名曰骨痿。因有所远行劳倦，遇大
热而渴，阳气内乏，热舍于肾，致水不胜火，则骨枯而髓虚。故《下经》曰∶骨痿者，生
于大热也。
治疗大病之后出现虚烦、无法入睡的症状，这是由于胆寒所致，此药主治。又用于治疗惊悸。
半夏（用汤水洗七次） 竹茹 枳实（麸炒，去瓤，各二两） 陈皮（三两） 甘草（一两，炙烤） 茯苓（一两半）
以上药材切碎成散剂。每次服用四大钱，加水一盏半，生姜五片，大枣一枚，煎至七分满，滤去药渣，饭前服用。
治疗霍乱，呕吐腹泻加重，虚劳烦扰，奔气在胸中，无法入睡，或者发作寒热，头痛头晕闷胀。
酸枣仁（炒，一两三分） 人参 桂心（各一分） 知母 茯苓（各三钱三分） 石膏（半两）
甘草（炙烤，二钱）
以上药材切碎成散剂。每次服用四钱，加水一盏半，生姜三片，大枣一枚，煎至七分满，滤去药渣，饭前服用。
大人身体的皮毛、血脉、筋膜、肌肉、骨髓构成形体，内部则有肝、心、脾、肺、肾来主宰它们。如果随情欲妄为，喜怒没有节制，劳累与安逸兼并，导致五脏精血虚耗，营卫失去常度，引发寒热，使皮、血、筋、骨、肌肉痿弱，无力运动，因此导致痿证。其症状与柔风、脚弱都相似，通过脉象和证候以及病因来辨别，不可混淆。柔风和香港脚，都属于外因；痿证则属于五脏内气不足所导致的，务必仔细审察。
患者肺热，皮肤虚弱变薄，足部痿弱，面色白而毛发败坏，称为皮痿，这是由肺热叶焦造成的。
肺是五脏之长，如果有失亡之事，所求不得，就会引发肺鸣，肺鸣则肺叶焦枯。论述说：五脏因肺热焦枯，发为痿证。
患者心下热，膝腕关节像折断离开一样不能提挈，小腿筋脉纵缓，不能支撑身体站立，面色赤而络脉充盈溢出，称为脉痿。这是由于悲哀太过，阳气在内扰动，多次小便出血。所以《本病论》说：大经空虚，发为肌痹，传变为脉痿。
患者肝热，口苦，筋膜干燥，筋脉拘急挛缩，面色苍青而指甲枯槁，称为筋痿。这是由于思虑无穷，愿望不得实现，意念淫逸于外，房事过度，宗筋弛缓纵弛，以及发生白淫。所以《下经》说：筋痿，生于肝，由于房事过度。
患者脾热，胃干口渴，肌肉麻木不仁。面色黄而肌肉蠕动，称为肉痿。这是由于逐渐处于湿地，以水为事，居住在下湿之地，湿气浸渍，痹阻而不仁。所以《下经》说：肉痿，得之于湿地。
患者肾热，腰脊不能抬起，骨骼枯槁而髓液减少，面色黑而牙齿枯槁，称为骨痿。这是因为有所远行劳累，遇到大热而口渴，阳气内乏，热邪留舍于肾，导致水不胜火，从而骨骼枯槁而髓虚。所以《下经》说：骨痿，产生于大热。
Treats deficiency vexation and insomnia following a major illness, which is caused by gallbladder cold; this formula governs it. It also treats palpitations due to fright.
Pinelliae Rhizoma Preparatum (washed seven times with decoction), Bamboo Shavings, Immature Bitter Orange (bran-fried, pith removed, each 2 liang), Tangerine Peel (3 liang), Licorice Root (1 liang, honey-fried), Poria (1.5 liang).
Crush the above into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 5 slices of fresh ginger, and 1 jujube. Decoct until reduced to 0.7 portion, strain, and take before meals.
Treats cholera with worsening vomiting and diarrhea, deficiency labor with vexation, rushing qi in the chest, insomnia, or alternating chills and fever, headache, dizziness, and oppression.
Sour Jujube Seed (fried, 1 liang 3 fen), Ginseng Root, Cinnamon Twig Heart (each 1 fen), Anemarrhena Rhizome, Poria (each 3 qian 3 fen), Gypsum Fibrosum (0.5 liang), Licorice Root (fried, 2 qian).
Crush the above into coarse powder. Take 4 qian per dose, add 1.5 zhan of water, 3 slices of fresh ginger, and 1 jujube. Decoct until reduced to 0.7 portion, strain, and take before meals.
The human body forms its structure through skin and hair, blood vessels, sinews, muscles, and bones, while internally governed by the Liver, Heart, Spleen, Lung, and Kidney. If one indulges emotions recklessly, lacks moderation in joy and anger, or combines overexertion with excessive rest, it leads to depletion of essence and blood in the five zang organs, disruption of Ying and Wei (nutritive and defensive qi) regulation, manifesting as chills and fever. This causes the skin, blood, sinews, bones, and muscles to become flaccid and weak, unable to move, thus resulting in Flaccidity Syndrome (Wei Zheng). Its presentation resembles Soft Wind (Rou Feng) and Hong Kong Foot (Gouty Arthritis/Chronic Arthritis), but must be distinguished by pulse, symptoms, and etiology; they should not be confused. Soft Wind and Hong Kong Foot are external causes; Flaccidity Syndrome belongs to insufficiency of qi within the five zang organs. Careful examination is required.
When the patient has Lung Heat, the skin is weak and thin, the feet are flaccid, the complexion is white, and hair is ruined, it is named Skin Flaccidity (Pi Wei). This is caused by Lung Heat leading to withering of lung leaves. The Lung is the leader of the five zang organs. If there is loss or unfulfilled desires, Lung Ming (lung resonance/sound) occurs; when Lung Ming arises, the lung leaves wither. The treatise states: When the five zang organs suffer from Lung Heat and withering, Flaccidity develops.
When the patient has heat below the heart, the knee and ankle joints feel as if broken and disconnected, the calf sinews are relaxed and slack, unable to support the body, the complexion is red, and collateral vessels are full and overflowing, it is named Vessel Flaccidity (Mai Wei). This is due to excessive sorrow causing internal movement of Yang Qi and frequent bleeding from urination. Thus, the *Ben Bing Lun* states: When the large channels are empty, Muscle Bi syndrome develops, transmitting to Vessel Flaccidity.
When the patient has Liver Heat, the mouth is bitter, sinews are dry, tendons are tight and contracted, the complexion is dark green, and nails are withered, it is named Sinew Flaccidity (Jin Wei). This is due to endless thinking, unfulfilled wishes, mental wandering, excessive sexual intercourse, leading to relaxation of the Zong Jin (convergence of sinews) and occurrence of Bai Yin (white discharge). Thus, the *Xia Jing* states: Sinew Flaccidity originates in the Liver, caused by sexual activity.
When the patient has Spleen Heat, the stomach is dry with thirst, and muscles are insensible. The complexion is yellow, and muscles twitch, it is named Flesh Flaccidity (Rou Wei). This results from gradual exposure to damp ground, working with water, dwelling in low and marshy areas, where dampness infiltrates, causing obstruction and insensibility. Thus, the *Xia Jing* states: Flesh Flaccidity is acquired from damp places.
When the patient has Kidney Heat, the waist and spine cannot lift, bones are withered, and marrow is diminished, the complexion is black, and teeth are decayed, it is named Bone Flaccidity (Gu Wei). This is due to long journeys and fatigue, encountering intense heat and thirst, leading to internal deficiency of Yang Qi. Heat lodges in the Kidney, causing Water to fail to control Fire, resulting in withered bones and deficient marrow. Thus, the *Xia Jing* states: Bone Flaccidity originates from intense heat.