治肾消两腿渐细，腰脚无力（此因中消之后，胃热入肾，消烁肾脂，令肾枯燥，故致此
疾。按∶肾消即下消，乃上消、中消之传变，饮一溲二，溲如膏油。王注曰∶肺主气，肺无
病则气能管束津液，其精微者荣养筋骨血脉，余者为溲；肺病则津液无气管摄，而精微者亦
随溲下
茯苓 黄连 花粉 萆 熟地黄 覆盆子 人参 玄参（一两） 石斛 蛇床子（七
钱五分
此足少阴药也。茯苓降心火而交肾，黄连清脾而泻心，石斛平胃热而涩肾（能壮筋骨，
疗风痹脚弱，）熟地、玄参生肾水，覆盆、蛇床固肾精，人参补气，花粉生津，萆 清热利
湿； ，鸡之脾也，能消水谷，通小肠、膀胱而止便数，善治膈消；磁石色黑入肾，补肾
益精，故假之为使也（喻嘉言曰∶友人病消渴，后渴少止，反加躁急，足膝痿弱，余主是丸
加犀角。有医曰∶肾病以黄连、犀角治心，毋乃倒乎。余曰∶肾者胃之关也，胃热下传于肾，
则关门大开，心之阳火得以直降于肾，心火灼肾，躁不能濡，余用犀角、黄连对治其下降之
阳光，宁
（许仁则）
治气嗽经久，将成肺痿，乍寒乍热，唾涕稠粘，喘息气上，唇口焦干；亦有唾血者，渐
觉瘦悴，小便赤少，色败毛耸，此亦成蒸；及久嗽成肺痈，唾悉成脓，出无多少。
桑白皮（一升） 地骨皮（三升。二味合煎，取汁三升） 生地汁（五升） 生麦冬汁
（二升）
冬、生地、葛根
枣膏，搅勿停手，煎如饴糖。夜卧时，取一
此手太阴药也。桑皮泻肺行水，麦冬补肺生津，地骨退热除蒸，竹沥清痰养血（能除阴
虚之有大热者，）生姜祛寒而温胃，枣膏补土以生金，地黄汁、葛汁甘寒以除大热，白蜜、
牛酥甘润
治疗肾消证，表现为双腿逐渐变细，腰部和脚部无力（这是因为在中消证之后，胃热传入肾脏，消耗灼烁肾中脂液，导致肾脏干燥枯槁，从而引发此病。按语：肾消即下消，是上消、中消的传变结果，表现为饮水多而小便也多，尿液像膏油一样。王冰注解说：肺主气，肺没有病则气能统摄津液，其中精微的部分用来荣养筋骨血脉，其余部分变成小便；肺有病则津液失去气的统摄，其中的精微部分也随着小便排出）。
茯苓、黄连、天花粉、萆薢、熟地黄、覆盆子、人参、玄参（各一两）、石斛、蛇床子（各七钱五分）。
这是足少阴肾经的药物。茯苓能降心火而使心肾相交，黄连清脾热并泻心火，石斛平胃热并固涩肾气（能强壮筋骨，治疗风痹和脚弱），熟地黄、玄参滋补肾水，覆盆子、蛇床子固摄肾精，人参补气，天花粉生津液，萆薢清热利湿；萆薢如同鸡的脾脏，能消化水谷，通利小肠、膀胱从而减少尿频，善于治疗膈消；磁石颜色黑入肾，补肾益精，所以借它作为引经药（喻嘉言说：我的朋友患消渴病，后来口渴稍微停止，反而增加了烦躁急迫感，足膝痿弱无力，我主张用这个丸药加入犀角。有医生说：肾病用黄连、犀角来治心，岂不是颠倒了吗？我说：肾是胃的关口，胃热下传到肾，则关门大开，心的阳火得以直接降到肾，心火灼烧肾脏，导致烦躁而不能濡润，我用犀角、黄连对治其下降的阳光……）
（许仁则方）
治疗气嗽经久不愈，即将形成肺痿，忽冷忽热，痰涕稠厚粘腻，喘息气逆，嘴唇口舌焦干；也有咳血的，逐渐觉得消瘦憔悴，小便赤色量少，面色败坏毛发耸立，这也形成了内蒸热；以及久咳形成肺痈，咳出的全是脓液，无论多少都排出。
桑白皮（一升）、地骨皮（三升。这两味合煎，取汁液三升）、生地黄汁（五升）、生麦冬汁（二升）、葛根汁、大枣膏，搅拌不要停手，煎至像饴糖一样浓稠。夜间睡觉时，取适量服用。
这是手太阴肺经的药物。桑白皮泻肺行水，麦冬补肺生津，地骨皮退热除蒸热，竹沥清痰养血（能清除阴虚有大热的情况），生姜祛寒温胃，大枣膏补脾土以生肺金，地黄汁、葛根汁甘寒以清除大热，白蜜、牛酥甘润……
Treats Kidney Xiao (Kidney Wasting-Thirst), characterized by the gradual thinning of both legs and weakness in the waist and feet (This occurs because after Zhong Xiao [Middle Wasting-Thirst], Stomach heat transmits to the Kidney, consuming and scorching the Kidney's essence/lipids, causing the Kidney to become dry and withered, thus leading to this disease. Note: Kidney Xiao is also known as Xia Xiao [Lower Wasting-Thirst], which is a progression from Shang Xiao [Upper Wasting-Thirst] and Zhong Xiao [Middle Wasting-Thirst]. It presents with drinking much and urinating much, with urine resembling paste or oil. Wang Bing's commentary states: The Lung governs Qi. When the Lung is healthy, Qi can control and manage body fluids; the refined essence nourishes sinews, bones, vessels, and blood, while the remainder becomes urine. When the Lung is diseased, body fluids lose Qi's control, and even the refined essence flows down with the urine).
Fuling (Poria), Huanglian (Coptidis Rhizoma), Huafen (Trichosanthis Radix), Bibi (Dioscoreae Hypoglaucae Rhizoma), Shudihuang (Rehmanniae Radix Praeparata), Fupenzi (Rubiae Fructus), Renshen (Ginseng Radix et Rhizoma), Xuanshen (Scrophulariae Radix) (each 1 liang); Shihu (Dendrobii Caulis), Chuangzi (Cnidii Fructus) (each 7 qian 5 fen).
These are herbs for the Foot Shaoyin [Kidney] channel. Fuling descends Heart Fire and facilitates communication between the Heart and Kidney; Huanglian clears Spleen heat and drains Heart Fire; Shihe levels Stomach heat and astringes the Kidney (it can strengthen sinews and bones, treating wind-bi and leg weakness); Shudihuang and Xuanshen generate Kidney Water; Fupenzi and Chuangzi consolidate Kidney Essence; Renshen tonifies Qi; Huafen generates fluids; Bibi clears heat and promotes dampness drainage; Bibi acts like the spleen of a chicken, capable of digesting water and grain, unblocking the Small Intestine and Bladder to stop frequent urination, and is good at treating Ge Xiao [Diaphragm Wasting-Thirst]; Cishi (Magnetite) is black and enters the Kidney, tonifying the Kidney and benefiting Essence, hence it is used as an envoy herb (Yu Jiayan said: A friend of mine suffered from Xiao Ke [Wasting-Thirst]. Later, his thirst subsided slightly, but irritability increased, and his knees and feet became weak and flaccid. I recommended this pill added with Xijiao [Rhinocerotis Cornu]. A physician said: Treating the Heart with Huanglian and Xijiao for a Kidney disease is inverted. I replied: The Kidney is the gate of the Stomach. When Stomach heat transmits downward to the Kidney, the gate opens wide, allowing the Yang fire of the Heart to descend directly into the Kidney. Heart fire scorches the Kidney, causing irritability and lack of moistening. I use Xijiao and Huanglian to counteract this descending solar fire...)
(From Xu Renze)
Treats chronic Qi cough that has persisted for a long time, about to develop into Fei Wei [Lung Atrophy], alternating chills and fever, thick and sticky sputum and nasal discharge, wheezing and upward rushing of Qi, dry and cracked lips and mouth; there may also be hemoptysis. The patient gradually feels emaciated and frail, with scanty dark red urine, poor complexion, and erect hair. This also constitutes internal steaming-heat; and if chronic cough leads to Fei Yong [Lung Abscess], all expectorated matter becomes pus, discharged in varying amounts.
Sangbaipi (Mori Cortex) (1 sheng), Digupi (Lycii Cortex) (3 sheng. These two are decocted together to obtain 3 sheng of juice), Sheng Dizhi (Fresh Juice of Rehmanniae Radix) (5 sheng), Sheng Maidongzhi (Fresh Juice of Ophiopogonis Tuber) (2 sheng), Gegen (Puerariae Lobatae Radix) juice, Zao Gao (Jujube Paste). Stir continuously without stopping, decoct until thick like maltose syrup. Take an appropriate amount before going to bed at night.
These are herbs for the Hand Taiyin [Lung] channel. Sangbaipi drains the Lung and promotes water movement; Maidong tonifies the Lung and generates fluids; Digupi reduces fever and removes steaming-heat; Zhuli (Bamboo Sap) clears phlegm and nourishes blood (it can eliminate severe heat due to Yin deficiency); Shengjiang (Zingiberis Rhizoma Recens) dispels cold and warms the Stomach; Zao Gao tonifies Earth [Spleen] to generate Metal [Lung]; Dizhi and Gegen juice are sweet and cold to clear severe heat; Baimi (Honey) and Niusu (Butyrum Bovis) are sweet and moistening...