羌活 独活 防风 柴胡 白术 茯苓 黄 人参 半夏 甘草 陈皮 黄连 泽泻
白芍药
七曰∶大怒恐惧伤志。志伤则恍惚不乐，宜此方主之。
怒则气上，恐则气下，一怒一恐，拂于膻中，则志意不得舒畅，故曰伤志。志者，肾之
所主，而畅于膻中。膻中者，两乳之间，心君之分也。心者，神明之所出，故令恍惚；膻中
者，喜乐之所出，故令不乐。下者举之，郁者达之，故用羌活、独活、防风、柴胡升举之品。
气乖于中，脾胃受病，故用参、 、苓、术、橘、半、甘、芍调胃之品。方内有泽泻，则陷
下之邪可泄。方内有黄连，则膻中之逆可平。
磁石（火内 红，入醋淬七次，为末入药）
古人于肾虚腰疼方中每用磁石，时方多不用之。然磁石性能引铁，则用之者，亦是假其
引肺金之气入肾，使其子母相生尔。水得金而清，则相火不攻自去矣。呜呼！医之神妙，在
于幽微，此言可与知者道也。
熟地黄（八两） 山茱萸肉 山药（各四两） 白茯苓（去皮） 牡丹皮 泽泻（各三
两）
肾虚不能制火者，此方主之。
肾非独水也，命门之火并焉。肾不虚，则水足以制火，虚则火无所制，而热证生矣。名
之曰阴虚火动。河间氏所谓肾虚则热是也。今人足心热，阴股热，腰脊痛，率是此证。老人
得之为顺，少年得之为逆，乃咳血之渐也。熟地黄、山茱萸味浓者也。经曰∶味浓为阴中之
阴，故能滋少阴，补肾水。泽泻味甘咸寒，甘从湿化，咸从水化，寒从阴化，故能入水脏而
泻水中之火。丹皮气寒味苦辛，寒能胜热，苦能入血，辛能生水，故能益少阴，平虚热。山
药、茯苓，味甘者也，甘从土化，土能防水，故用之以制水脏之邪，且益脾胃而培万物之母
也。互考见咳嗽门。
羌活、独活、防风、柴胡、白术、茯苓、黄芩、人参、半夏、甘草、陈皮、黄连、泽泻、白芍药。
第七种情况：大怒和恐惧会损伤肾志（肾所藏的精神意识）。肾志受损，就会出现神志恍惚、心情不悦的症状，应当用这个方剂来主治。
发怒会使气机向上逆乱，恐惧会使气机向下陷下，无论是怒还是恐，都会使气机拂郁在膻中（胸中，心包所在之处），导致志意不能舒畅，所以称为“伤志”。志由肾所主，并通达于膻中。膻中位于两乳之间，是心君（心脏）所主的区域。心是神明发出的地方，所以会导致神志恍惚；膻中是喜乐发出的地方，所以会导致心情不悦。对于气机下陷的，应当升举之；对于气机郁结的，应当宣达之，因此使用羌活、独活、防风、柴胡这些具有升举作用的药物。如果气机乖逆于中焦，脾胃受到病变影响，因此使用人参、黄芩、茯苓、白术、陈皮、半夏、甘草、白芍药这些调理胃气的药物。方中含有泽泻，则可以泄除陷入下部的邪气。方中含有黄连，则可以平抑膻中部位的逆气。
磁石（在火中烧红，投入醋中淬炼七次，研成粉末入药）
古人在治疗肾虚腰痛的方子中经常使用磁石，但当时的时方大多不再使用它。然而磁石的性质能够吸引铁器，所以使用它，也是借助它引导肺金之气进入肾脏，使其母子相生（金生水）。水得到金的清肃作用而变得清澈，那么相火（寄居于肝肾的虚火）就会不攻自退。唉！医学的神妙之处在于幽深微妙，这些话只能与懂的人说。
熟地黄（八两）、山茱萸肉、山药（各四两）、白茯苓（去皮）、牡丹皮、泽泻（各三两）
肾气虚弱不能制约相火的，用这个方剂主治。
肾不仅仅主管水液，还包含命门之火（肾阳）。肾不虚损，则肾水足以制约相火；若肾虚，则火失去制约，从而产生热证。这被称为“阴虚火动”。这就是河间氏所说的肾虚则生热的情况。现在人脚心发热、大腿内侧发热、腰脊疼痛，大都是这种证候。老年人患此病为顺证，年轻人患此病为逆证，这是咳血的前兆。熟地黄、山茱萸味道浓厚。医经说：味道浓厚的属于阴中之阴，所以能滋养少阴（肾），补益肾水。泽泻味甘、咸、寒，甘味从湿化，咸味从水化，寒味从阴化，所以能进入水脏（肾）而泻除水中的火邪。牡丹皮气寒、味苦辛，寒性能胜热，苦性能入血分，辛性能生水，所以能益助少阴，平抑虚热。山药、茯苓味甘，甘味从土化，土能防水泛滥，所以使用它们来制约水脏的邪气，并且益助脾胃以培补万物之母（后天之本）。互相考证可参见咳嗽门。
Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Huanglian (Coptidis Rhizoma), Zexie (Alismatis Rhizoma), Baishao (Paeoniae Radix Alba).
The seventh condition: Great anger and fear injure the *Zhi* (Will, associated with the Kidney). When the *Zhi* is injured, one experiences mental confusion and lack of joy; this formula should be used to treat it.
Anger causes Qi to ascend upward, while fear causes Qi to sink downward. Whether due to anger or fear, the Qi becomes obstructed in the *Shanzhong* (Chest center, located between the nipples, corresponding to the Pericardium), preventing the free flow of the Will and Intent, hence termed "injuring the *Zhi*." The *Zhi* is governed by the Kidney but flows through the *Shanzhong*. The *Shanzhong* is located between the two breasts and represents the domain of the Heart Emperor. The Heart is the source of Spirit (*Shen*), thus causing mental confusion; the *Shanzhong* is the source of Joy, thus causing a lack of happiness. For Qi that has sunk, we raise it; for Qi that is depressed, we disperse it. Therefore, we use herbs with ascending properties such as Qianghuo, Duhuo, Fangfeng, and Chaihu. If Qi becomes disordered in the middle Jiao, affecting the Spleen and Stomach, we use herbs to regulate the Stomach, such as Renshen, Huangqin, Fuling, Baizhu, Chenpi, Banxia, Gancao, and Baishao. The inclusion of Zexie allows for the draining of pathogens that have sunk downward. The inclusion of Huanglian helps to calm the rebellious Qi in the *Shanzhong*.
Cishi (Magnetitum) (Heat until red-hot in fire, quench in vinegar seven times, grind into powder and add to the decoction).
Ancients frequently used Cishi in formulas for Kidney deficiency causing lower back pain, but contemporary prescriptions often omit it. However, since Cishi has the property of attracting iron, its use is intended to borrow its ability to guide Lung Metal Qi into the Kidney, facilitating the mutual generation of mother and child elements (Metal generates Water). When Water is clarified by Metal, the Ministerial Fire (Xianghuo) will recede without direct attack. Alas! The subtlety of medicine lies in its profound mysteries; these words can only be shared with those who understand.
Shudihuang (Rehmanniae Radix Praeparata) (8 liang), Shanzhuyu (Corni Fructus), Shanyao (Dioscoreae Rhizoma) (each 4 liang), BaiFuling (Poria, peeled), Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma) (each 3 liang).
For cases where Kidney deficiency fails to control Ministerial Fire, this formula is indicated.
The Kidney governs not only Water but also contains the Fire of the Gate of Vitality (Mingmen). If the Kidney is not deficient, Kidney Water is sufficient to control the Fire; if deficient, the Fire lacks control, leading to heat syndromes. This is named "Yin Deficiency with Hyperactive Fire." This corresponds to Hejian's statement that "Kidney deficiency leads to heat." Currently, symptoms such as heat in the soles of the feet, heat in the medial thighs, and pain in the lower back and spine are largely attributed to this syndrome. In the elderly, this presents as a favorable prognosis; in the young, it is unfavorable and may precede hemoptysis. Shudihuang and Shanzhuyu possess strong flavors. The Classics state: "Strong flavors belong to Yin within Yin," thus they can nourish Shaoyin (Kidney) and tonify Kidney Water. Zexie is sweet, salty, and cold. Sweet transforms via dampness, salty transforms via water, and cold transforms via Yin; therefore, it enters the Water Organ (Kidney) to drain the Fire within the Water. Mudanpi is cold in nature with bitter and acrid flavors. Cold overcomes heat, bitter enters the Blood level, and acrid generates Water; thus, it benefits Shaoyin and calms deficient heat. Shanyao and Fuling are sweet. Sweet transforms via Earth, and Earth controls Water overflow; therefore, they are used to restrain pathogens in the Water Organ and benefit the Spleen and Stomach to cultivate the Mother of All Things (the Postnatal Foundation). Cross-reference with the Cough section.