肺痿者，取人尿无时呷之，良于诸药。盖天一生水，地二生火。人尿润下咸寒，人身之
天地一也，故可以交吾身之坎离，济吾身之水火。或者因其秽而拒之。悲夫！未闻道者也。
黄连 黄芩 黄柏（等分，为丸）
心气热，下脉厥而上，色赤，络脉满溢，枢纽折挈，胫纵而不任地者，名曰脉痿，宜此
方主之。
心者，君主之官也。《内经》曰∶君火以名，相火以位。言君火正其名而无为，相火守
其位以听命。故心气热，下脉厥而上者，此相火听命于君也。色赤者，心病而色自见也。络
脉满溢者，孙络充满而溢于表，炎上作火之象也。枢纽折挈者，言肢节折挈而不便，乃阳光
用事，邪居百节故耳。胫纵不任地者，脉溢于上则下脉空虚而痿弱，故胫纵而不任地也。脉
空而痿，故曰脉痿。是方也，黄连泻心火，黄柏泻相火，黄芩泻五脏之游火，火去则脉不厥
逆，各循其经，而手足用矣。正考见火门。
柴胡（一钱） 人参 知母 麦门冬 天门冬 草龙胆 山栀子 生甘草 黄连（各
五分） 黄芩（七分） 五味子（七粒）
肝气热，色青爪枯口苦，筋膜干而挛急者，名曰筋痿，宜此方主之。
肝者，东方木也。色青者，肝病而色自见也。肝主筋，爪者筋之余，肝热故令爪枯也。
口苦者，胆为肝之腑，咽为之使，胆热则汁上溢于咽，故令口苦也。肝主筋膜，筋膜干则燥
而挛，挛急则手足不用，故曰筋痿。是方也，黄芩、黄连、山栀、胆草，皆足以泻肝火。君
之以柴胡，则能条达乎肝胆矣。木盛而兼燥金之化，故令挛急。天麦门冬、知母、五味，味
浓而润者也，故足以养筋而润燥。若生甘草、人参者，所以养乎阳气也。经曰阳气者，精则
养神，柔则养筋，是故用之。互考见火门。
肺痿病，随时饮用人的尿液，效果优于其他药物。因为天一生水，地二生火。人尿性质润下、味咸性寒，人身的小天地与大天地是相通的，所以可以调和人体内的坎离（心肾），平衡体内的水火。有人因为嫌弃它肮脏而拒绝使用，真是可悲啊！这是没有领悟大道的人。
黄连、黄芩、黄柏（等分，制成丸剂）
心气有热，导致下部经脉之气厥逆而上行，面色发红，络脉充满溢满，关节枢纽折断牵引不利，小腿松弛无法支撑身体着地的，称为脉痿，适宜用此方主治。
心，是君主之官。《内经》说：君火以名位确立，相火以职能守位。意思是君火端正其名而无为而治，相火守住其位以听命行事。所以心气有热，导致下部经脉之气厥逆上行的，这是相火听命于君火的表现。面色赤红，是心脏有病而面色自然显现。络脉满溢，是指孙络充满并向体表溢出，这是炎上作火的征象。枢纽折挈，是指肢体关节折断牵引而不便，这是因为阳气过盛，邪气居于百节所致。小腿松弛无法支撑身体着地，是因为脉气溢于上部则下部经脉空虚而痿弱，所以小腿松弛无法着地。经脉空虚而痿弱，所以称为脉痿。这个方子中，黄连泻心火，黄柏泻相火，黄芩泻五脏的游移之火，火邪去除后经脉不再厥逆，各自循行于其经络，手足就能正常使用了。详细考证见“火门”。
柴胡（一钱）、人参、知母、麦门冬、天门冬、草龙胆、山栀子、生甘草、黄连（各五分）、黄芩（七分）、五味子（七粒）
肝气有热，面色发青，指甲枯槁，口苦，筋膜干燥而拘挛急迫的，称为筋痿，适宜用此方主治。
肝，属于东方的木行。面色发青，是肝脏有病而面色自然显现。肝主管筋，指甲是筋的余气，肝热所以使指甲枯槁。口苦，是因为胆为肝的腑，咽部为其通道，胆热则胆汁上溢于咽喉，所以导致口苦。肝主管筋膜，筋膜干燥则燥而拘挛，拘挛急迫则手足不能活动，所以称为筋痿。这个方子中，黄芩、黄连、山栀、龙胆草，都足以泻肝火。以柴胡为君药，则能疏达肝胆的气机。木气旺盛而兼受燥金的化育影响，所以导致拘挛急迫。天门冬、麦门冬、知母、五味子，味道浓厚且滋润，所以足以滋养筋膜并润泽干燥。至于生甘草、人参，是用来养护阳气的。经书说：阳气，精微则养神，柔和则养筋，因此使用它们。互相考证见“火门”。
For Fei Wei (Lung Atrophy), drinking human urine at any time is superior to other medicines. This is because Heaven generates Water with One, and Earth generates Fire with Two. Human urine is moistening, descending, salty, and cold in nature. The microcosm of the human body is one with the macrocosm of Heaven and Earth; therefore, it can harmonize Kan and Li (Kidney and Heart) within the body, and balance the Water and Fire within the body. Some reject it due to its perceived filth. How sad! These are those who have not heard of the Dao.
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Phellodendri Cortex (Huangbai) (equal parts, made into pills).
When the Heart Qi is hot, causing the meridians below to revolt and ascend, with a red complexion, full and overflowing collateral vessels, dislocation or traction at the joint hinges, and flaccid shins unable to bear weight, this is called Mai Wei (Vessel Flaccidity Syndrome). This formula is suitable for treating it.
The Heart is the Official of the Sovereign. The *Neijing* states: "The Ministerial Fire establishes its name, while the Ministerial Fire guards its position." This means the Sovereign Fire corrects its name and acts without exertion, while the Ministerial Fire guards its position to obey orders. Thus, when Heart Qi is hot and causes the lower meridians to revolt and ascend, it is because the Ministerial Fire obeys the Sovereign Fire. A red complexion indicates Heart disease manifesting in the color. Full and overflowing collaterals indicate that the Luo Collaterals are filled and overflow to the surface, which is the image of fire blazing upward. Dislocation at the joints refers to limbs being disjointed and difficult to move, caused by excessive Yang energy and pathogenic factors residing in the hundred joints. Flaccid shins unable to bear weight occur because when vessel qi overflows upward, the lower vessels become empty and weak, leading to flaccidity and inability to stand. Because the vessels are empty and flaccid, it is called Mai Wei (Vessel Flaccidity). In this formula, Coptidis Rhizoma (Huanglian) drains Heart Fire, Phellodendri Cortex (Huangbai) drains Ministerial Fire, and Scutellariae Radix (Huangqin) drains wandering Fire from the five Zang organs. When the Fire is eliminated, the vessels no longer revolt but follow their channels, allowing the hands and feet to function properly. For detailed examination, see the "Fire Section".
Bupleuri Radix (Chaihu) (1 qian), Ginseng Radix et Rhizoma (Renshen), Anemarrhenae Rhizoma (Zhimu), Ophiopogonis Tuber (Maidong), Asparagi Tuber (Tianmendong), Gentianae Radix (Longdancao), Gardeniae Fructus (Shanzhizi), Glycyrrhizae Radix et Rhizoma Preparata cum Melle (Sheng Gancao), Coptidis Rhizoma (Huanglian) (each 0.5 qian), Scutellariae Radix (Huangqin) (0.7 qian), Schisandrae Fructus (Wuweizi) (7 grains).
When Liver Qi is hot, with a bluish complexion, withered nails, bitter taste in the mouth, dry fascia, and spasmodic contraction, this is called Jin Wei (Sinew Flaccidity Syndrome). This formula is suitable for treating it.
The Liver belongs to Wood in the East. A bluish complexion indicates Liver disease manifesting in the color. The Liver governs the sinews, and the nails are the surplus of the sinews; Liver heat causes the nails to wither. Bitter taste in the mouth occurs because the Gallbladder is the Fu organ of the Liver, and the pharynx is its passage; Gallbladder heat causes bile to overflow into the pharynx, resulting in a bitter taste. The Liver governs the fascia; when the fascia is dry, it becomes rigid and contracts; severe contraction renders the hands and feet unusable, hence it is called Jin Wei (Sinew Flaccidity). In this formula, Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Gardeniae Fructus (Shanzhizi), and Gentianae Radix (Longdancao) are sufficient to drain Liver Fire. With Bupleuri Radix (Chaihu) as the sovereign herb, it can soothe and unblock the Liver and Gallbladder. When Wood is excessive and influenced by the transformation of Dry Metal, it leads to contraction and spasm. Tianmen Dong (Asparagi Tuber), Maidong (Ophiopogonis Tuber), Zhimu (Anemarrhenae Rhizoma), and Wuweizi (Schisandrae Fructus) have rich flavors and are moistening, thus sufficient to nourish the sinews and moisten dryness. Sheng Gancao (Raw Licorice Root) and Renshen (Ginseng) are used to nourish Yang Qi. The Classics state: "Yang Qi, if refined, nourishes the Spirit; if soft, nourishes the sinews." Therefore, they are used. For cross-reference, see the "Fire Section".