论曰内经谓内夺而厥，则为喑俳，此肾虚也，喑俳之状，舌喑不能语，足废不为用，盖
肾脉侠舌本，肾气内夺，气厥不至舌本，故不能语而为喑，肾脉循阴股循内联踝。入足下，
肾气不顺，故足废而为俳。
治肾气虚厥，语声不出，足废不用，地黄饮方
熟干地黄（焙） 巴戟天（去心） 山茱萸（炒） 肉苁蓉（酒浸切焙） 附子（炮裂
去皮脐）
石斛（去根） 五味子（炒） 桂（去粗皮） 白茯苓（去黑皮各一两） 麦门冬（去心焙）
远志（
去心） 菖蒲（各半两）
上一十二味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣二枚劈破，同煎七分，去
滓食前温服。
治肾气内夺，舌喑足废，补肾八味丸方
熟干地黄（焙八两） 山芋 山茱萸（各四两） 泽泻 牡丹皮 白茯苓（去黑皮各三
两）
桂（去粗皮） 附子（炮裂去皮脐各二两）
上八味，捣罗为末，炼蜜为丸，梧桐子大，每服二十丸。加至三十丸，空心食前温酒下。
益肾气，治喑俳。补骨脂丸方
补骨脂（炒） 肉苁蓉（酒浸切焙各一两） 麦门冬（去心焙） 菖蒲 远志（去心） 钟
乳粉
（各半两）
上六味，捣罗为末，炼蜜为丸，梧桐子大，每服三十丸，煎木通汤下，空心日午临卧服
治肾气内夺舌喑足废。菟丝子丸方
菟丝子（酒浸别捣） 白茯苓（去黑皮） 附子（炮裂去皮脐各一两） 桂（去粗皮） 菖
蒲
远志（去心各半两）
上六味，捣罗为末，炼蜜丸梧桐子大，每服三十丸，温酒或盐汤下，空心日午临卧服。
治肾气内夺厥逆喑俳。补肾石斛丸方
石斛（去根） 赤小豆 香子（炒） 羌活（去芦头） 楝实（炒去核） 乌头（炮
裂去皮脐）
马蔺子（醋炒各四两） 葫芦巴（炒） 巴戟天（去心） 蜀椒（去目并合口者炒出汗） 地
龙（
去土炒各二两） 乌药（锉） 苍术（锉炒各半斤） 青盐（一两）
上一十四味，捣罗为末，酒煮面糊，丸如梧桐子大。每服三十丸，空心温酒或盐汤下。
论述说：《内经》提到“内夺而厥，则为喑俳”，这是肾虚的表现。喑俳的症状是舌体僵硬不能言语，足部痿废无法使用。因为肾脉夹行于舌根，肾气内部亏损，气机逆乱不能到达舌根，所以不能说话而成为喑；肾脉沿着大腿内侧下行，连接脚踝，进入足底，肾气不顺，所以足部痿废而成为俳。
治疗肾气虚衰逆乱，声音不出，足部痿废不用的地黄饮方：
熟干地黄（焙干）、巴戟天（去心）、山茱萸（炒）、肉苁蓉（酒浸后切好焙干）、附子（炮裂，去皮和脐）、石斛（去根）、五味子（炒）、桂枝（去掉粗皮）、白茯苓（去掉黑皮，各一两）、麦门冬（去心焙干）、远志（去心）、石菖蒲（各半两）。
以上十二味药，锉碎如麻豆大小，每次服用三钱匕，用水一盏，生姜三片，大枣二枚劈破，一同煎煮至七分，滤去药渣，饭前温服。
治疗肾气内部亏损，舌喑足废，补肾的八味丸方：
熟干地黄（焙干八两）、山芋（即山药）、山茱萸（各四两）、泽泻、牡丹皮、白茯苓（去黑皮，各三两）、桂枝（去粗皮）、附子（炮裂，去皮和脐，各二两）。
以上八味药，捣碎过筛成粉末，用炼蜜制成丸药，大小如梧桐子，每次服用二十丸，加到三十丸，空腹饭前用温酒送服。
益肾气，治疗喑俳的补骨脂丸方：
补骨脂（炒）、肉苁蓉（酒浸切焙，各一两）、麦门冬（去心焙干）、石菖蒲、远志（去心）、钟乳粉（各半两）。
以上六味药，捣碎过筛成粉末，用炼蜜制成丸药，大小如梧桐子，每次服用三十丸，用木通汤煎服，空腹、日中、临睡前服用。
治疗肾气内部亏损，舌喑足废的菟丝子丸方：
菟丝子（酒浸后另捣）、白茯苓（去黑皮）、附子（炮裂，去皮和脐，各一两）、桂枝（去粗皮）、石菖蒲、远志（去心，各半两）。
以上六味药，捣碎过筛成粉末，用炼蜜制成丸药，大小如梧桐子，每次服用三十丸，用温酒或盐汤送服，空腹、日中、临睡前服用。
治疗肾气内部亏损，厥逆喑俳的补肾石斛丸方：
石斛（去根）、赤小豆、香子（炒）、羌活（去芦头）、楝实（炒去核）、乌头（炮裂，去皮和脐）、马蔺子（醋炒，各四两）、葫芦巴（炒）、巴戟天（去心）、蜀椒（去掉目及合口者，炒出油）、地龙（去土炒，各二两）、乌药（锉碎）、苍术（锉碎炒，各半斤）、青盐（一两）。
以上十四味药，捣碎过筛成粉末，用酒煮面糊，制成如梧桐子大小的丸药。每次服用三十丸，空腹用温酒或盐汤送服。
It is stated in the discussion: The *Neijing* (Inner Canon) mentions that "internal depletion and jue lead to yin pai," which indicates Kidney deficiency. The manifestations of yin pai are a stiff tongue unable to speak and flaccid legs unable to function. This is because the Kidney meridian runs alongside the root of the tongue; when Kidney Qi is internally depleted and Qi rebellion prevents it from reaching the root of the tongue, speech becomes impossible, resulting in yin. The Kidney meridian follows the inner thigh, connects to the ankle, and enters the sole of the foot; when Kidney Qi is obstructed, the legs become flaccid, resulting in pai.
Di Huang Yin Decoction for treating Kidney Qi deficiency with rebellion, absence of voice, and flaccidity of the legs:
Shu Gan Di Huang (Prepared Rehmanniae Radix, baked), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Shan Zhu Yu (Corni Fructus, stir-fried), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and baked), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Shi Hu (Dendrobii Caulis, roots removed), Wu Wei Zi (Schisandrae Fructus, stir-fried), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Bai Fu Ling (Poria, black skin removed, each 1 liang), Mai Men Dong (Ophiopogonis Tuber, heart removed and baked), Yuan Zhi (Polygalae Radix, heart removed), Chang Pu (Acori Tatarinowii Rhizome, each half liang).
The above twelve herbs are chopped like hemp seeds. Each dose consists of three qian bi (approx. 9-10g), boiled with one zhan (approx. 200ml) of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), and two fractured Da Zao (Jujubae Fructus), until reduced to seven-tenths. Strain and take warm before meals.
Ba Wei Wan (Eight-Ingredient Pill) for tonifying the Kidney, treating internal Kidney Qi depletion, yin (aphonia), and pai (flaccidity):
Shu Gan Di Huang (Prepared Rehmanniae Radix, baked, 8 liang), Shan Yao (Dioscoreae Rhizoma), Shan Zhu Yu (Corni Fructus, each 4 liang), Ze Xie (Alismatis Rhizoma), Mu Dan Pi (Moutan Cortex), Bai Fu Ling (Poria, black skin removed, each 3 liang), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, each 2 liang).
The above eight herbs are pounded into powder and formed into pills with refined honey, sized like wutong seeds. Take 20 pills per dose, increasing to 30 pills, taken warm with wine before meals on an empty stomach.
Bu Gu Zhi Wan (Psoraleae Fructus Pill) for benefiting Kidney Qi and treating yin pai:
Bu Gu Zhi (Psoraleae Fructus, stir-fried), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and baked, each 1 liang), Mai Men Dong (Ophiopogonis Tuber, heart removed and baked), Chang Pu (Acori Tatarinowii Rhizome), Yuan Zhi (Polygalae Radix, heart removed), Zhong Ru Fen (Halloysitum Rubrum, each half liang).
The above six herbs are pounded into powder and formed into pills with refined honey, sized like wutong seeds. Take 30 pills per dose, administered with Tong Cao (Tetrapaninis Medulla) decoction, taken on an empty stomach, at noon, and before sleep.
Tu Si Zi Wan (Cuscutae Semen Pill) for treating internal Kidney Qi depletion, yin, and pai:
Tu Si Zi (Cuscutae Semen, soaked in wine and separately pounded), Bai Fu Ling (Poria, black skin removed), Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed, each 1 liang), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Chang Pu (Acori Tatarinowii Rhizome), Yuan Zhi (Polygalae Radix, heart removed, each half liang).
The above six herbs are pounded into powder and formed into pills with refined honey, sized like wutong seeds. Take 30 pills per dose, administered with warm wine or salt water, taken on an empty stomach, at noon, and before sleep.
Bu Shen Shi Hu Wan (Kidney-Tonifying Dendrobium Pill) for treating internal Kidney Qi depletion, jue reversal, yin, and pai:
Shi Hu (Dendrobii Caulis, roots removed), Chi Xiao Dou (Phaseoli Semen Rubrum), Xiang Zi (Nigellae Semen, stir-fried), Qiang Huo (Notopterygii Rhizoma et Radix, rhizome removed), Lian Shi (Meliae Fructus, stir-fried and pitted), Wu Tou (Aconiti Radix, processed until cracked, skin and umbilicus removed), Ma Lin Zi (Iridis Tectorii Semen, vinegar-stir-fried, each 4 liang), Hu Lu Ba (Trigonellae Semen, stir-fried), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Shu Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fried until oil appears), Di Long (Pheretima, earth removed and stir-fried, each 2 liang), Wu Yao (Linderae Radix, chopped), Cang Zhu (Atractylodis Rhizoma, chopped and stir-fried, each 8 liang), Qing Yan (Natrii Chloridum, 1 liang).
The above fourteen herbs are pounded into powder, mixed with wheat paste boiled in wine, and formed into pills sized like wutong seeds. Take 30 pills per dose, administered with warm wine or salt water on an empty stomach.