下焦痿 。先有遗泄湿疡。频进渗利。阴阳更伤。虽有参 术。养脾肺以益
气。未能救下。即如畏冷阳微。几日饭后吐食。乃胃阳顿衰。应乎外阳失职。但下
焦之病。多属精血受伤。两投柔剂温通之补。以肾脏恶燥。久病宜通任瞀。通摄
兼施。亦与古贤四斤金刚健步诸法互参。至于胃药。必须另用。夫胃腑主乎气。
气得下行为顺。东垣有升阳益胃之条。似乎相悖。然芩连非苦降之气味乎。凡
吐后一二日。暂停下焦血分药。即用扶阳理胃二日。俾中下两固。经旨谓阳明
之脉。束筋骨以利机关。谅本病必有合矣。
鹿茸 淡苁蓉 当归 杞子 补骨脂 巴戟尖 牛膝 柏子仁 茯苓 川斛
长夏湿热。经脉流行气钝。兼以下元络脉已虚。痿弱不耐步趋。常似酸楚。
大便或结或溏。都属肝肾为病。然益下必佐宣通脉络。乃正治之法。徜徒呆补。
恐季夏后湿热还扰。须为预理。
鹿角霜 当归 生茅术 熟地 茯苓 桑椹子 苁蓉 巴戟 远志 小茴 金毛狗脊
酒蒸水熬膏和丸淡盐汤送下
痿 在下。肝肾病多。但素饮必有湿热。热瘀湿滞。气血不行。筋缩。肌肉不
仁。体质重者难移。无非湿邪之深沉也。若论阳虚。不该大发疮痍。但久病非速
攻。莫计效迟。方可愈疾。
细生地 咸苁蓉 当归须 牛膝 黄柏 生刺藜 川斛 萆
色苍脉实。体质坚壮。虽年逾四旬。气元充旺。询知平日喜啖酒醴甘肥。此
酿成湿火。蕴结下焦。今少腹微肿硬。二便带涩。自觉少腹气胀下冲。两足沉重。
艰于步履。腿股皮中甚热。即内经所云。湿热不攘。大筋 短。小筋弛长。 短为
拘。弛长为痿也。更述曾因熬炼膏药。中有 虫蜈蚣等物。吸受秽浊毒瓦斯。未始
非与湿热纠蓄。沉伏下焦。前议苦辛寒燥。兹再佐以搜逐络隧。然此病从口而
入。必茹素戒饮一二年之久。
绵茵 黄柏 川萆 茯苓皮 金铃子 穿山甲 大槟榔汁
金疮去血。乃经脉营络之伤。若损及脏腑。倏忽莫救。后此嗔怒动肝。属五
志中阳气逆。迸与客邪化火两途。苦辛泄气。频服既多。阳遂发泄。形虽若丰盈。
而收藏固摄失职。少腹约束。阳道不举。背脊喜靠。步履无力。皆是痿弱症端。渐
至痿废。议以通纳之法。专事涵养生真。冀下元之阳。八脉之气。收者收。通者通。
庶乎近理。
鹿角霜 淡苁蓉干 生菟丝粉 生杜仲粉 归身 五味 大茴香 远志 家韭子
覆盆子 云茯苓 蒜汁泛丸
五旬又四。阳气日薄。阳明脉络空乏。不司束筋骨。以流利机关。肩痛痹麻。
头目如蒙。行动痿弱无力。此下虚上实。络热内风沸起。当入夏阳升为甚。燥湿
利痰。必不应病。议清营热。以熄内风。
犀角 鲜生地 元参心 连翘心 冬桑叶 丹皮 钩藤 明天麻
勉强摇精。致阳缩囊纵。不但形质伛偻。肛门脐窍。皆为收引。咽喉牵绊。自
此食物渐渐减少。由精血之伤有形。最难自复。少厥两阴。脉循喉咙。开窍于二
阴。既遭损伤。其气不及充注于八脉。见症皆拘束之状。上年进柔剂阳药。服后
头巅经脉皆胀。耳窍愈鸣。想是藏阴宜静。试以乘舆身怖。必加局促不安。宜乎
升阳之动药不灵矣。夫少阴内藏。原有温蒸诸法。厥阴相火内寄。恶寒喜凉。仿
丹溪潜阳法。仍候高明定议。
元武板 知母 茯苓 秋石 生地 阿胶 远志炭 柏子仁
又 交四之气。热胜元虚。则气候不耐久坐。舌心腐碎。吸短。气似不接续。中焦
喜按。始得畅安。目胞欲垂难舒。四肢微冷失和。从前调理见长。每以温养足三
阴。兼进血气充形之品。病减。今当长夏脾胃主气。气泄中虚。最防客气之侵。是
质重之补宜缓。而养胃生津。宁神敛液。仍不可少。俟秋深天气下降。仍用前法
为稳。拟逐日调理方法。
人参 麦冬 知母 天冬 茯神 甘草 川斛 建莲
当夏季反复变幻。因天地气机大泄。体气久虚。无以主持。故见病治病则
无功。而安中纳下。每每获效。入秋常服附子七味丸颇安。秋分节。天气降。地气
收。缘火热气伤。虚体未能收肃。是以肢节时寒。头巅欲冷。无非病久诸气皆馁。
斯外卫之阳少护。液髓暗枯。则血脉不营。而阴乏内守。凡此皆生气之渐鲜也。
急当温养益气。填补元形。使秋令助其收藏。预为来春生发之用。按内经有四
气调神法。即今投药。亦当宗此旨。
鹿胎 熟地 五味子 麦冬 人乳粉 苁蓉 黄狗肾 柏子仁 青盐
交冬宜藏。老年下虚。二气少续。忽然右痪舌喑。面亮戴阳。呵欠吸气短。欲
呛。此非外来客邪。皆根本先怯。平昔眩晕。肝藏虚风显然。水不生木。坎中真阳
内寓。必温理其下。凡阳主乎通。阴主乎摄。扶过七日。少阳主气再振。望其偏废
延永。倘攻风劫痰之治。非本气自病法则。
人参 熟附 远志 茯神 鲜菖蒲捣汁冲
高年液涸风动。酒湿气蒸。足趾曾经腐疡。经年来或麻痹。或牵掣。不能转
侧。已成筋骨之痿。兼之火升眩晕。头面清窍。常似不爽。大便艰涩。四五日始一
更衣。阳气不能潜伏。阴液日就枯槁。老来痿 。原无复元之法。诊得脉数动疾。
温燥之补。无益反害。仿丹溪虎潜之制。稍为加减。冀得津液少存。亦安闲永年
之算。非攻病也。
大生地 淡天冬 肉苁蓉 淮牛膝 生白芍 虎骨胶 柏子仁 肥知母 川黄柏
下焦痿证。此前有遗精滑泄及湿疮溃烂病史。频繁使用渗湿利水药物，导致阴阳两伤。虽然使用了人参、白术等药物来补益脾肺之气，但未能挽救下焦的亏损。例如出现畏寒肢冷、阳气微弱，几天后在饭后呕吐食物，这是胃阳突然衰败的表现，对应于体表阳气功能失职。然而下焦的疾病，多属于精血受损。两次投用柔润温通的补益药剂，因为肾脏厌恶燥热，久病应当疏通任脉与督脉（此处指代奇经八脉中的关键脉络，亦含通摄之意），通补兼施。这也参考了古代贤人使用的四斤丸、金刚健步丸等方法。至于治疗胃部的药物，必须另外选用。因为胃腑主要主管气机，气以下行为顺。李东垣有升阳益胃的论述，似乎与此相悖。然而黄芩、黄连难道不是苦降的气味吗？凡是呕吐后的一两天内，暂停使用下焦血分药，改用扶阳理胃的药物两天，使中焦和下焦都得到巩固。《内经》说阳明经脉能束筋骨以利关节，想必本病也符合这一原理。
鹿茸、淡苁蓉、当归、枸杞子、补骨脂、巴戟天尖、牛膝、柏子仁、茯苓、川石斛。
长夏时节湿热盛行，经脉流行之气滞钝，加之肾元络脉已虚，导致肢体痿弱，不耐行走。常感觉酸痛楚痛。大便有时干结有时稀溏，都属于肝肾病变。但是补益下焦必须佐以宣通脉络，这才是正治之法。如果单纯呆补，恐怕季夏之后湿热还会扰乱身体，需要预先调理。
鹿角霜、当归、生茅术、熟地黄、茯苓、桑椹子、肉苁蓉、巴戟天、远志、小茴香、金毛狗脊。
用酒蒸制后水煎熬膏，和药粉制成丸剂，用淡盐汤送服。
痿证在下部，多由肝肾疾病引起。但患者平素饮酒，必然体内有湿热。热邪瘀滞，湿气停滞，气血运行不畅。筋脉收缩，肌肉麻木不仁。体质沉重者难以移动，无非是湿邪深沉所致。若论阳虚，不该出现大面积疮疡溃烂。但久病不能速攻，不要计较见效慢，才能治愈疾病。
面色苍老而脉象实大，体质坚壮。虽然年过四十，元气充旺。询问得知平日喜欢饮用美酒和食用甘甜肥腻食物。这酿成了湿火，蕴结在下焦。现在少腹微肿且硬，大小便带有涩感。自觉少腹气胀向下冲逆，两足沉重，行走困难。大腿和小腿皮肤内部非常热。这就是《内经》所说的：湿热不除，大筋缩短，小筋弛长。缩短为拘挛，弛长为痿软。又陈述曾因熬制膏药，其中含有全蝎、蜈蚣等物，吸入秽浊毒气，未尝不是与湿热纠结蓄积，沉伏在下焦。前议采用苦辛寒燥的方法，现在再佐以搜逐络隧之品。然而此病从口而入，必须吃素戒酒一两年之久。
金创出血，是损伤了经脉营络。如果损伤到脏腑，瞬间无法救治。此后因嗔怒动肝，属于五志中阳气上逆，迸发与客邪化火两条途径。苦辛泄气的药物，频繁服用过多，阳气遂发泄。形体虽然看似丰盈，但收藏固摄功能失职。少腹约束无力，阳道不能勃起，背部喜欢依靠支撑，步履无力，这些都是痿弱的症端。逐渐发展到痿废。建议采用通纳的方法，专门从事涵养生真之气，希望下元的阳气、八脉的气机，该收的收，该通的通，这样才接近医理。
鹿角霜、淡苁蓉干、生菟丝子粉、生杜仲粉、归身、五味子、大茴香、远志、家韭子、覆盆子、云茯苓。用蒜汁泛丸。
五十四岁，阳气日渐薄弱。阳明脉络空乏，不能束筋骨以流利机关。肩痛痹麻，头目如蒙蔽，行动痿弱无力。这是下虚上实，络热内风沸起。到了夏天阳气升发时更为严重。燥湿利痰的方法，必定不对症。建议清营热，以熄内风。
勉强摇动精气，导致阴茎萎缩、阴囊松弛。不但形体弯曲佝偻，肛门和脐窍都为之收引，咽喉牵绊，从此食物渐渐减少。由于精血损伤有形之物，最难自行恢复。足少阴和足厥阴两经，脉循喉咙，开窍于二阴。既然遭受损伤，其气不足以充注于八脉。所见症状都是拘束的状态。去年进用柔剂阳药，服用后头巅经脉皆胀，耳窍更加鸣响。想是脏阴宜静，尝试乘坐车舆身体受惊怖，必加局促不安。因此升阳的动药不灵验了。夫少阴内藏，原有温蒸诸法；厥阴相火内寄，恶寒喜凉。仿照朱丹溪潜阳法，仍等候高明者定夺。
元武板（龟板）、知母、茯苓、秋石、生地、阿胶、远志炭、柏子仁。
又诊：交四之气（指四季交替之时），热胜而元气虚弱，则气候不耐久坐。舌心腐碎，吸气短促，气似不接续。中焦喜欢按压，始得舒畅安宁。眼睑欲垂难舒，四肢微冷失和。从前调理见长，每以温养足三阴，兼进血气充形之品，病减。现在正值长夏脾胃主气，气泄中虚，最防客气之侵。所以质重之补宜缓，而养胃生津、宁神敛液，仍不可少。等到秋深天气下降，仍用前法为稳。拟逐日调理方法。
当夏季反复变幻，因天地气机大泄，体气久虚，无以主持。故见病治病则无功，而安中纳下，每每获效。入秋常服附子七味丸颇安。秋分节，天气降，地气收。缘火热气伤，虚体未能收肃，是以肢节时寒，头巅欲冷。无非病久诸气皆馁，斯外卫之阳少护，液髓暗枯，则血脉不营，而阴乏内守。凡此皆生气之渐鲜也。急当温养益气，填补元形，使秋令助其收藏，预为来春生发之用。按《内经》有四气调神法，即今投药，亦当宗此旨。
鹿胎、熟地黄、五味子、麦冬、人乳粉、肉苁蓉、黄狗肾、柏子仁、青盐。
交冬宜藏。老年下虚，二气少续。忽然右半身瘫痪、舌强语謇，面亮戴阳，呵欠吸气短，欲呛。此非外来客邪，皆根本先怯。平昔眩晕，肝藏虚风显然。水不生木，坎中真阳内寓，必温理其下。凡阳主乎通，阴主乎摄。扶过七日，少阳主气再振，望其偏废延永。倘攻风劫痰之治，非本气自病法则。
高年液涸风动，酒湿气蒸。足趾曾经腐疡，经年来或麻痹，或牵掣，不能转侧，已成筋骨之痿。兼之火升眩晕，头面清窍，常似不爽。大便艰涩，四五日始一更衣。阳气不能潜伏，阴液日就枯槁。老来痿证，原无复元之法。诊得脉数动疾，温燥之补，无益反害。仿丹溪虎潜之制，稍为加减，冀得津液少存，亦安闲永年之算。非攻病也。
Wei Syndrome of the Lower Jiao. Previously, there was a history of seminal emission and wet sores. Frequent use of diaphoretic and draining agents injured both Yin and Yang. Although Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) were used to nourish the Spleen and Lung to benefit Qi, they failed to rescue the Lower Jiao. For instance, aversion to cold and weak Yang manifested; several days later, vomiting occurred after meals. This indicates a sudden decline of Stomach Yang, corresponding to the failure of exterior Yang functions. However, diseases of the Lower Jiao mostly belong to injury of Essence and Blood. Two courses of soft and warming unblocking tonics were administered. Since the Kidney dislikes dryness, chronic illness requires unblocking the Ren and Du vessels (referring to key meridians of the Eight Extraordinary Vessels, implying both unblocking and securing). Unblocking and securing are applied simultaneously. This also references methods used by ancient sages such as Si Jin Wan (Four-Jin Pill) and Jin Gang Jian Bu Wan (Golden Cudgel Walking-Strong Pill). As for medicines for the Stomach, they must be prescribed separately. The Stomach organ primarily governs Qi; Qi should descend smoothly. Li Dongyuan's theory of raising Yang to benefit the Stomast seems contradictory. However, are Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian) not bitter and descending in nature? For one or two days after vomiting, blood-nourishing medicines for the Lower Jiao should be suspended, and Yang-supporting and Stomach-regulating medicines should be used for two days, ensuring both the Middle and Lower Jiao are secured. The *Neijing* states that the Maiyang Meridian binds sinews and bones to facilitate joint movement; presumably, this disease aligns with this principle.
Lu Rong (Cervus Nippon Antler Gelatin), Dan Congrong (Cistanche Deserticola), Dang Gui (Angelica Sinensis), Gouqi Zi (Lycium Barbarum Fruit), Buguzhi (Psoralea Corylifolia), Bajiji Jian (Bacopa Monnieri Tip), Niuxi (Achyranthes Bidentata), Baizi Ren (Biota Seed), Fuling (Poria), Chuan Hu (Dendrobium Officinale).
During the late summer, damp-heat prevails, causing stagnation in the flow of Qi through the meridians. Coupled with deficiency in the Yuan source collaterals of the Kidney, the limbs become weak and unable to bear walking. There is often a sensation of soreness and pain. Stool may be either constipated or loose, all belonging to Liver and Kidney pathology. However, tonifying the Lower Jiao must be assisted by promoting the circulation of collaterals; this is the correct treatment method. If merely static tonification is used, it is feared that damp-heat will disturb the body again after the late summer, so preventive regulation is necessary.
Lujiaoshuang (Deer Horn Frost), Dang Gui (Angelica Sinensis), Sheng Maoyu (Raw Atractylodes Chinensis), Shudi (Prepared Rehmannia Root), Fuling (Poria), Sangshenzi (Mulberry Fruit), Congrong (Cistanche Deserticola), Bajitian (Morinda Officinalis), Yuanzhi (Polygala Root), Xiaohui (Fennel), Jinmao Gouji (Dryopteris Crassirhizoma Rhizome).
Steeped in wine, decocted in water to make a paste, mixed with powder to form pills, taken with light salt water.
Wei Syndrome located in the lower part is mostly caused by Liver and Kidney diseases. However, due to habitual alcohol consumption, there is inevitably damp-heat in the body. Heat stasis and damp obstruction lead to non-circulation of Qi and Blood. Sinews contract, muscles become insensible. Those with heavy constitutions find it difficult to move; this is nothing but deep-seated pathogenic dampness. If discussing Yang deficiency, widespread sores and ulcers should not occur. But chronic illness cannot be attacked rapidly; do not worry about slow efficacy, only then can the disease be cured.
Xi Shengdi (Fresh Rehmannia Root), Xian Congrong (Fresh Cistanche), Dangguixu (Angelica Sinensis Tail), Niuxi (Achyranthes Bidentata), Huangbai (Phellodendron Bark), Sheng Cilii (Tribulus Terrestris), Chuan Hu (Dendrobium Officinale), Biexie (Dioscorea Hypoglauca Rhizome).
The complexion is dark, pulse is excess, and the constitution is robust. Although over forty years old, the primal Qi is abundant. It is learned that he usually enjoys drinking sweet wines and eating rich, fatty foods. This has brewed damp-fire, accumulating in the Lower Jiao. Currently, the lower abdomen is slightly swollen and hard, urination and defecation are obstructed. He feels distension in the lower abdomen with Qi rushing downward, heaviness in both legs, and difficulty walking. The skin of the thighs and calves feels very hot. This is what the *Neijing* says: "When damp-heat is not removed, the large sinews shorten, and the small sinews relax. Shortening leads to spasm; relaxation leads to Wei." He further recounted that while preparing herbal plasters containing scorpions and centipedes, he inhaled foul toxic vapors, which likely combined with damp-heat, sinking and storing in the Lower Jiao. The previous discussion proposed bitter, acrid, cold, and drying methods; now, assisting with herbs that search out and expel pathogens from the collaterals is added. However, since this disease entered via the mouth, one must adhere to a vegetarian diet and abstain from alcohol for one to two years.
Mian Yinyang (Artemisia Capillaris), Huangbai (Phellodendron Bark), Chuan Biexie (Dioscorea Hypoglauca Rhizome), Fulingpi (Poria Peel), Jinlingzi (Melia Toosendan Fruit), Chuanshanjia (Pangolin Scale), Da Binglang Zhi (Areca Seed Juice).
Traumatic bleeding injures the meridians and Ying collaterals. If organs and viscera are damaged, it is suddenly incurable. Later, anger moves the Liver, belonging to the upward reversal of Yang Qi among the Five Emotions, bursting forth and transforming into fire along with external pathogens. Bitter and acrid Qi-draining medicines, taken frequently and in excess, cause Yang to dissipate. Although the physique appears full, the storage and securing functions fail. The lower abdomen lacks constraint, the Yang pathway does not erect, the back prefers leaning, and walking is powerless; these are all signs of Wei weakness, gradually progressing to paralysis. It is proposed to use the method of unblocking and receiving, specifically nurturing and generating True Qi, hoping that the Yang of the Lower Yuan and the Qi of the Eight Extraordinary Vessels will be properly stored and circulated, thus approaching reason.
Lujiaoshuang (Deer Horn Frost), Dan Congrong Gan (Dried Cistanche), Sheng Tusifen (Raw Cuscuta Seed Powder), Sheng Duzhong Fen (Raw Eucommia Bark Powder), Guishen (Angelica Sinensis Body), Wuweizi (Schisandra Berry), Dahui (Star Anise), Yuanzhi (Polygala Root), Jiajiuzi (Allium Tuberosum Seed), Fupenzi (Rubus Chingii Fruit), Yun Fuling (Poria). Formed into pills using garlic juice.
At fifty-four, Yang Qi is daily declining. The Maiyang meridians are empty and deficient, unable to bind sinews and bones to facilitate joint movement. Shoulder pain and numbness, head and eyes feel covered, movement is weak and powerless. This is deficiency below and excess above, with heat in the collaterals and internal wind boiling up. It becomes severe when entering summer and Yang rises. Methods of drying dampness and draining phlegm will certainly not match the disease. It is proposed to clear Ying-level heat to extinguish internal wind.
Xijiao (Rhinoceros Horn - note: substitute with Buffalo Horn in modern practice), Xian Shengdi (Fresh Rehmannia Root), Yuanshenxin (Scrophulariae Radix Heart), Linqiaoxin (Lonicerae Japonicae Flos Heart), Dong Sangye (Mulberry Leaf), Danpi (Moutan Cortex), Gouteng (Uncaria Rhynchophylla), Ming Tianma (Gastrodia Elata).
Forcing semen emission causes penile retraction and scrotal laxity. Not only does the body become hunched, but the anus and umbilicus also contract. The throat feels tied. Food intake gradually decreases. Because Jing and Blood are tangible substances that are hardest to regenerate spontaneously. The Foot Shaoyin and Foot Jueyin meridians follow the throat and open into the two yin orifices. Having suffered damage, their Qi is insufficient to fill the Eight Extraordinary Vessels. All observed symptoms are those of constraint. Last year, soft Yang-tonifying medicines were administered; afterwards, the meridians at the vertex swelled, and tinnitus worsened. It is thought that Zang Yin prefers stillness. Trying riding in a carriage and experiencing bodily fright adds to restlessness and unease. Therefore, ascending and moving Yang medicines are ineffective. The Shaoyin internally stores, originally having warming and steaming methods; the Jueyin houses Ministerial Fire internally, disliking cold and preferring coolness. Imitating Zhu Danxi's method of subduing Yang, awaiting determination by higher authorities.
Wuanban (Testudo Plastron), Zhimu (Anemarrhena Rhizome), Fuling (Poria), Qiushi (Urea Stone), Shengdi (Rehmannia Glutinosa Root), Ejiao (Donkey-Hide Gelatin), Yuanzhitan (Charred Polygala Root), Baizi Ren (Biota Seed).
Another consultation: During the transition of the four seasons, heat exceeds and primal Qi is deficient, making one unable to sit for long periods. The center of the tongue is ulcerated, inhalation is short, Qi seems discontinuous. The Middle Jiao likes pressure, bringing relief. Eyelids droop and are hard to open, limbs are slightly cold and disharmonious. Previous regulation showed improvement, often using warming and nourishing of the Three Yin Meridians of the Foot, combined with products filling the form with Qi and Blood, reducing the disease. Now, during the late summer when the Spleen and Stomach dominate the Qi, Qi leaks and the Middle becomes deficient, most fearing invasion by external pathogens. Therefore, heavy tonics should be slowed down, while nourishing the Stomach, generating fluids, calming the Spirit, and astringing fluids remain indispensable. When late autumn arrives and Heaven's Qi descends, using the previous method is stable. Proposed daily regulation method:
Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogon Japonicus Tuber), Zhimu (Anemarrhena Rhizome), Tiandong (Asparagus Cochinchinensis Tuber), Fushen (Poria with Hostwood), Gancao (Licorice Root), Chuan Hu (Dendrobium Officinale), Jianlian (Nelumbinis Semen).
When summer fluctuates repeatedly, due to the great leakage of Heaven and Earth's Qi mechanism, the body's Qi has been deficient for a long time, lacking the ability to govern. Thus, treating the disease upon seeing it yields no merit, whereas calming the Middle and receiving downwards often achieves effect. Taking Autumn, taking Fuzi Qiwei Wan (Aconite Seven-Ingredient Pill) regularly brings peace. At the Autumn Equinox, Heaven's Qi descends, Earth's Qi gathers. Due to injury by fire-heat Qi, the deficient body fails to gather and肃ify. Hence, joints are sometimes cold, the vertex feels cold. This is nothing but various Qi becoming depleted due to long-standing illness, leading to less protection by exterior-warding Yang, dark withering of fluids and marrow, non-nourishment of blood vessels, and lack of internal guarding by Yin. All these indicate the gradual fading of Sheng Qi (Vital Qi). Urgently need to warm, nourish, benefit Qi, and fill the primal form, allowing the Autumn command to assist in storage and gathering, preparing for the sprouting and generation of next Spring. According to the *Neijing*, there is the method of adjusting the spirit according to the four seasons; even the current medication should follow this principle.
Lutai (Deer Fetus), Shudi (Prepared Rehmannia Root), Wuweizi (Schisandra Berry), Maidong (Ophiopogon Japonicus Tuber), Renru Fen (Human Milk Powder), Congrong (Cistanche Deserticola), Huang Goushen (Yellow Dog Kidney), Baizi Ren (Biota Seed), Qingyan (Green Salt).
Entering Winter, storage is appropriate. In the elderly, Lower deficiency causes the two Qi to barely continue. Suddenly, right-sided hemiplegia and aphasia occur, face shines with floating Yang (Daiyang), yawning and short inhalation, desire to choke. This is not an external pathogen, but rather the root being initially weak. Historically dizzy, Liver storing deficient wind is obvious. Water failing to generate Wood, True Yang within Kan (Kidney) is hidden; the Lower must be warmed and regulated. Generally, Yang governs unblocking, Yin governs securing. After supporting for seven days, Shaoyang governing Qi revives again, hoping the paralysis extends indefinitely. If attacking wind and劫ting phlegm treatments are used, it is not the law for self-disease of the original Qi.
Renshen (Ginseng Radix et Rhizoma), Shu Fu (Prepared Aconite Caralis Lateralis Radix), Yuanzhi (Polygala Root), Fushen (Poria with Hostwood), Xian Changpu (Acorus Tatarinowii Rhizome) crushed and juice squeezed for flushing.
In advanced age, fluids are depleted and wind moves; alcohol and dampness steam. The toes once had ulceration. Over the years, there has been numbness or pulling, inability to turn or side, already becoming Wei of sinews and bones. Combined with fire rising causing dizziness, the clear orifices of the head and face often feel unsatisfactory. Defecation is difficult, only once every four or five days. Yang Qi cannot hide, Yin fluids daily wither. For Wei syndrome in old age, there is originally no method of complete recovery. The pulse is rapid, moving, and swift. Warming and drying tonics are useless and harmful. Imitating Danxi's Tiger Hidden prescription, slightly modified, hoping to retain some fluids, also calculating for peaceful longevity. This is not attacking the disease.
Da Shengdi (Large Fresh Rehmannia Root), Dan Tiandong (Light Asparagus Cochinchinensis Tuber), Rou Congrong (Meat Cistanche), Huai Niuxi (Huai Achyranthes Bidentata), Sheng Baishao (Raw White Peony Root), Hugu Jiao (Tiger Bone Gelatin - note: substitute in modern practice), Baizi Ren (Biota Seed), Fei Zhimu (Fat Anemarrhena Rhizome), Chuan Huangbai (Sichuan Phellodendron Bark).