论曰五脏六腑皆有精，腑脏调和，则精常输泻，若腑脏衰，则形体皆极，令人少气吸吸，
五脏内虚，齿焦毛发落，悲伤喜忘，目视不明，耳聋行步不正，身体重，是皆精极之候，然
精极有虚极，有实极，凡阳邪害五脏，阴邪害六腑，阳实则从阴引阳，阴虚则从阳引阴，阳
病主高，高则实热，则宜泻于内，阴病主下，下则虚寒，故体重耳聋。行步不正，若邪气入
脏则咳，咳则多涕唾面肿气逆也，此邪气逆于六腑，淫虚厥于五脏，所以精极，治法形不足
者，温之以气，精不足者，补之以味，当治其微，若甚则五阴气俱绝，绝即目系转而目精夺，
是为志先死，不可救矣。
治精极虚寒，少腹拘急，耳聋发落，行步不正，梦寐失精，人参丸方
人参 麦门冬（去心焙） 赤石脂 远志（去心） 续断（各三分） 韭子（炒一两） 鹿
茸（
去毛酥炙三分） 茯神（去木） 龙齿（研） 磁石（ 醋淬） 肉苁蓉（酒浸切焙各一两）
丹参
上一十四味，捣罗为末，炼蜜丸如梧桐子大，每日空腹温酒下二十丸。
治精极虚损，梦中失精，阴气微弱，少腹拘急，体重耳聋，鹿茸散方
鹿茸（去毛酥炙） 龙骨 露蜂房（炙各半两） 泽泻 白茯苓（去黑皮） 菟丝子（酒
浸一
宿别捣） 桂（去粗皮） 牛膝（酒浸切焙） 石龙芮 赤芍药（各一分） 韭子（炒二两）
巴戟
天（去心三分）
上一十二味，捣罗为散，每服三钱匕，空腹温酒调下，日二，或炼蜜丸如梧桐子大，空
腹温酒下二十丸，加桑螵蛸三分亦得。
治精极肾气内伤，梦泄盗汗，小便余沥，阴痿湿痒，少腹强急，黄 汤方
黄 （锉） 人参 赤芍药 桂（去粗皮） 地骨皮 五味子 白茯苓（去黑皮） 防
风（去
叉） 陈橘皮（汤浸去白焙各半两） 甘草（炙锉） 磁石（ 醋淬七遍） 牡蛎粉（各一
分）
上一十二味，粗捣筛，每服三钱匕，水一盏，生姜半枣大拍碎，枣二枚劈破，煎至七分，
去滓空腹食前温服、日三。
治精极脏腑俱损，遍身虚热，骨节烦疼，地黄饮方
生地黄（汁） 生麦门冬（汁） 蜜（各二合） 竹沥（一合） 石膏（二两半研） 人
参芎
黄芩（去黑心各一两半） 当归（切焙） 桂（去粗皮各二两） 麻黄（去根节一两） 甘
草（炙锉一两半）
上一十二味，除地黄麦门冬竹沥蜜外，并粗捣筛，每服五钱匕，水一盏半，煎至一盏，
下地黄等汁各半合，再煎一二沸，去滓分温二服，空腹食后各一。
治精极目视不明，齿焦发落，形体 痛，身体虚热，黄芩汤方
黄芩（去黑心） 赤茯苓（去黑皮各一两半） 麦门冬（去心焙） 大黄（锉炒各一两）
赤芍
上七味，粗捣筛，每服五钱匕，水一盏半，入竹叶五片，生姜一枣大拍碎，煎至一盏，
去滓食后分温二服。
治精极脏腑虚羸，骨节烦疼，精泄不止，益气养神，驻颜色，调血脉，地黄煎丸方
生地黄（五斤捣取汁） 无灰酒（一斗银石器盛入地黄汁用文武火熬成膏后入诸药） 肉
苁蓉（酒浸切焙二两） 巴戟天（去心） 鹿茸（酒炙去毛） 桑螵蛸（炒） 附子（炮裂
去皮脐） 黄 （锉） 肉豆蔻（去壳各一两） 五味子（炒） 蛇床子（炒） 石槲（去
根） 补骨脂（炒） 牛膝（酒浸切焙） 青木香 陈橘皮（汤浸去白焙各三分） 枳壳（去
瓤麸炒） 荜澄茄 沉香（各半两锉）
上一十九味，捣罗十七味为末，以地黄煎搜和，丸如梧桐子大，每服三十丸，温酒下，
加至四十丸，空心食前服。
论述说：五脏六腑都有精气，脏腑功能调和，则精气能够正常输布排泄；如果脏腑衰弱，则形体都会极度虚弱，使人气息短少、呼吸微弱，五脏内部空虚，牙齿焦枯、毛发脱落，情绪悲伤且容易遗忘，视力模糊不清，听力减退、行走不稳，身体沉重，这些都是精气极度亏损的征候。然而，精气亏损有虚极和实极之分。凡是阳邪伤害五脏，阴邪伤害六腑。阳气实证应从阴经引导至阳经治疗，阴气虚证应从阳经引导至阴经治疗。阳病主要表现于上部，上部病变多为实热，适宜采用泻法清除内热；阴病主要表现于下部，下部病变多为虚寒，所以出现身体沉重、耳聋、行走不稳等症状。如果邪气侵入脏，就会引起咳嗽，咳嗽则导致多涕唾、面部浮肿、气机上逆。这是邪气逆乱于六腑，淫溢虚厥于五脏，从而导致精气极度亏损。治疗方法是：对于形体不足者，用益气的方法温养；对于精气不足者，用厚味的药物补益。应当在病情轻微时进行治疗，如果病情严重到五脏阴气全部衰竭，衰竭则会导致目系扭转、眼球精气耗竭，这称为“志”先死，是不可救治的。
治疗精气极度亏损、虚寒，伴有小腹部拘急挛缩、耳聋、头发脱落、行走不稳、睡梦中遗精的人参丸方：
人参、麦门冬（去除心部并焙干）、赤石脂、远志（去除心部）、续断（各三分）、韭子（炒制一两）、鹿茸（去毛，用酥炙过，三分）、茯神（去除木质部分）、龙齿（研碎）、磁石（用醋淬炼）、肉苁蓉（酒浸后切片焙干，各一两）、丹参。
以上十四味药，捣碎过筛成粉末，炼制蜂蜜制成梧桐子大小的药丸。每天空腹时，用温酒送服二十丸。
治疗精气极度亏损、虚损，睡梦中遗精，阴气微弱，小腹部拘急挛缩，身体沉重、耳聋的鹿茸散方：
鹿茸（去毛，用酥炙过）、龙骨、露蜂房（炙过，各半两）、泽泻、白茯苓（去除黑皮）、菟丝子（酒浸一夜后另捣碎）、桂枝（去除粗皮）、牛膝（酒浸后切片焙干）、石龙芮、赤芍药（各一分）、韭子（炒制二两）、巴戟天（去除心部，三分）。
以上十二味药，捣碎过筛成散剂。每次服用三钱匕，空腹时用温酒调服，每日两次。或者炼制蜂蜜制成梧桐子大小的药丸，空腹时用温酒送服二十丸，加入桑螵蛸三分也可以。
治疗精气极度亏损、肾气内伤，睡梦泄精、盗汗，小便淋漓不尽，阳痿、阴部湿痒，小腹部强硬拘急的黄耆汤方：
黄耆（锉碎）、人参、赤芍药、桂枝（去除粗皮）、地骨皮、五味子、白茯苓（去除黑皮）、防风（去除叉枝）、陈橘皮（热水浸洗去除白色瓤部后焙干，各半两）、甘草（炙过锉碎）、磁石（用醋淬炼七遍）、牡蛎粉（各一分）。
以上十二味药，粗捣过筛。每次服用三钱匕，用水一盏，生姜半枣大拍碎，大枣两枚劈破，煎煮至七分水量，去渣，空腹饭前温服，每日三次。
治疗精气极度亏损、脏腑俱损，全身虚热，骨节烦痛的地黄饮方：
生地黄（取汁）、生麦门冬（取汁）、蜂蜜（各二合）、竹沥（一合）、石膏（二两半，研碎）、人参、川芎、黄芩（去除黑心，各一两半）、当归（切片焙干）、桂枝（去除粗皮，各二两）、麻黄（去除根节，一两）、甘草（炙过锉碎，一两半）。
以上十二味药，除生地黄、麦门冬、竹沥、蜂蜜外，其余药材粗捣过筛。每次服用五钱匕，用水一盏半，煎煮至一盏水量，加入生地黄等汁液各半合，再煮沸一两次，去渣，分两次温服，空腹及饭后各服一次。
治疗精气极度亏损、视力模糊不清、牙齿焦枯、头发脱落、形体疼痛、身体虚热的黄芩汤方：
黄芩（去除黑心）、赤茯苓（去除黑皮，各一两半）、麦门冬（去除心部并焙干）、大黄（锉碎炒制，各一两）、赤芍药。
以上七味药，粗捣过筛。每次服用五钱匕，用水一盏半，放入竹叶五片，生姜一块如枣大拍碎，煎煮至一盏水量，去渣，饭后分两次温服。
治疗精气极度亏损、脏腑虚弱消瘦，骨节烦痛，精气泄漏不止，具有益气养神、驻颜美容、调理血脉功效的地黄煎丸方：
生地黄（五斤捣取汁）、无灰酒（一斗，用银石器盛装，加入地黄汁，用文武火熬成膏状，后加入其他药物）、肉苁蓉（酒浸后切片焙干，二两）、巴戟天（去除心部）、鹿茸（酒炙去毛）、桑螵蛸（炒制）、附子（炮裂，去皮去脐）、黄耆（锉碎）、肉豆蔻（去壳，各一两）、五味子（炒制）、蛇床子（炒制）、石槲（去除根部）、补骨脂（炒制）、牛膝（酒浸后切片焙干）、青木香、陈橘皮（热水浸洗去除白色瓤部后焙干，各三分）、枳壳（去除瓤，麸炒）、荜澄茄、沉香（各半两，锉碎）。
以上十九味药，将十七味药（除地黄煎膏外）捣碎过筛成粉末，用地黄煎膏调和，制成梧桐子大小的药丸。每次服用三十丸，用温酒送服，可加量至四十丸，空心及饭前服用。
It is stated that the Five Zang organs and Six Fu organs all possess Jing (Essence). When the Zang and Fu organs are harmonious, Jing can be transported and excreted normally; if the Zang and Fu organs decline, the physical form becomes extremely depleted, causing shortness of breath and labored respiration. Internal deficiency of the Five Zang organs leads to scorched teeth and falling hair, sadness and forgetfulness, blurred vision, deafness, unsteady gait, and heavy body. These are all signs of extreme Jing depletion. However, extreme Jing depletion can be either extreme deficiency or extreme excess. Generally, Yang pathogens harm the Five Zang organs, while Yin pathogens harm the Six Fu organs. In cases of Yang excess, treatment should guide from the Yin meridians to the Yang meridians; in cases of Yin deficiency, treatment should guide from the Yang meridians to the Yin meridians. Yang diseases primarily manifest in the upper part; upper manifestations indicate excess heat, which is suitable for purging internal heat. Yin diseases primarily manifest in the lower part; lower manifestations indicate deficiency cold, resulting in heavy body, deafness, and unsteady gait. If pathogens enter the Zang organs, coughing occurs, leading to excessive phlegm and saliva, facial swelling, and rebellious Qi. This indicates pathogens rebelling in the Six Fu organs and flooding into the Five Zang organs with deficiency and jue (collapse), causing extreme Jing depletion. The treatment principle is: for those with insufficient physical form, warm them with Qi-tonifying methods; for those with insufficient Jing, tonify them with flavor-rich substances. Treatment should begin when the condition is mild. If it progresses to the point where the Qi of the Five Yin organs is completely exhausted, the eye tendons will turn, and the essence of the eyes will be depleted. This is called "Zhi" (Will) dying first, and it is incurable.
Formula for Ren Shen Wan (Ginseng Pill) treating extreme Jing depletion with deficiency-cold, hypochondriac tension, deafness, hair loss, unsteady gait, and nocturnal emission:
Ren Shen (Panax Ginseng Radix et Rhizoma), Mai Men Dong (Ophiopogonis Tuber, heart removed and dried), Chi Shi Zhi (Halloysit Rubra), Yuan Zhi (Polygalae Radix, heart removed), Xu Duan (Dipsaci Radix) [each 3 fen], Jiu Zi (Allii Tuberosi Semen, stir-fried, 1 liang), Lu Rong (Cervi Cornu Pantotrichum, hair removed, roasted with butter, 3 fen), Fu Shen (Poria with Hostwood, wood removed), Long Gu (Fossilia Ossis Mastodi, ground), Ci Shi (Magnetitum, quenched in vinegar), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and dried, each 1 liang), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma).
The above fourteen ingredients are crushed, sifted into powder, and mixed with refined honey to form pills the size of Sophora seeds. Take twenty pills orally with warm wine on an empty stomach daily.
Formula for Lu Rong San (Deer Antler Powder) treating extreme Jing depletion and deficiency, nocturnal emission, weak Yin Qi, hypochondriac tension, heavy body, and deafness:
Lu Rong (Cervi Cornu Pantotrichum, hair removed, roasted with butter), Long Gu (Fossilia Ossis Mastodi), Lu Feng Fang (Vespa Crabro Nidus, roasted) [each half liang], Ze Xie (Alismatis Rhizoma), Bai Fu Ling (Poria, black skin removed), Tu Si Zi (Cuscutae Semen, soaked in wine overnight and separately pounded), Gui (Cinnamomi Ramulus, rough bark removed), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and dried), Shi Long Rui (Saururi Herba), Chi Shao Yao (Paeoniae Radix Rubra) [each 1 fen], Jiu Zi (Allii Tuberosi Semen, stir-fried, 2 liang), Ba Ji Tian (Morindae Officinalis Radix, heart removed, 3 fen).
The above twelve ingredients are crushed and sifted into powder. Take three qian bi orally, mixed with warm wine on an empty stomach, twice daily. Alternatively, mix with refined honey to form pills the size of Sophora seeds, taking twenty pills orally with warm wine on an empty stomach. Adding Sang Piao Xiao (Mantis Ootheca, 3 fen) is also acceptable.
Formula for Huang Qi Tang (Astragalus Decoction) treating extreme Jing depletion with internal injury to Kidney Qi, nocturnal seminal emission, night sweats, dribbling urine, impotence, damp itching in the genital area, and rigid/tense hypochondrium:
Huang Qi (Astragali Membranacei Radix, chopped), Ren Shen (Panax Ginseng Radix et Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Gui (Cinnamomi Ramulus, rough bark removed), Di Gu Pi (Lycii Cortex), Wu Wei Zi (Schisandrae Chinensis Fructus), Bai Fu Ling (Poria, black skin removed), Fang Feng (Saposhnikoviae Radix, forked parts removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, and dried, each half liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped), Ci Shi (Magnetitum, quenched in vinegar seven times), Mu Li Fen (Ostreae Concha, powdered) [each 1 fen].
The above twelve ingredients are coarsely crushed and sifted. Take three qian bi orally, with one sheng of water, half a jujube-sized piece of fresh ginger (crushed), and two jujubes (split). Decoct until the volume reduces to 70%, strain, and take warm before meals on an empty stomach, three times daily.
Formula for Di Huang Yin (Rehmannia Infusion) treating extreme Jing depletion with damage to both Zang and Fu organs, generalized deficiency-heat, and painful joints:
Sheng Di Huang (Rehmanniae Radix, juice), Sheng Mai Men Dong (Ophiopogonis Tuber, juice), Mi (Honey) [each 2 he], Zhu Li (Bambusa Textilis Caulis, juice, 1 he), Shi Gao (Gypsum Fibrosum, 2.5 liang, ground), Ren Shen (Panax Ginseng Radix et Rhizoma), Xiong Huang (Ligustici Chuanxiong Rhizoma), Huang Qin (Scutellariae Radix, black heart removed, each 1.5 liang), Dang Gui (Angelicae Sinensis Radix, sliced and dried), Gui (Cinnamomi Ramulus, rough bark removed, each 2 liang), Ma Huang (Ephedrae Herba, roots and nodes removed, 1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted and chopped, 1.5 liang).
The above twelve ingredients, excluding Sheng Di Huang, Sheng Mai Men Dong, Zhu Li, and Mi, are coarsely crushed and sifted. Take five qian bi orally, with one and a half sheng of water. Decoct until the volume reduces to one sheng. Add half a he each of the juices from Sheng Di Huang, etc., boil for one or two more boils, strain, and divide into two warm doses. Take one dose on an empty stomach and one after meals.
Formula for Huang Qin Tang (Scutellaria Decoction) treating extreme Jing depletion with blurred vision, scorched teeth, hair loss, physical pain, and body deficiency-heat:
Huang Qin (Scutellariae Radix, black heart removed), Chi Fu Ling (Poria, black skin removed, each 1.5 liang), Mai Men Dong (Ophiopogonis Tuber, heart removed and dried), Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried, each 1 liang), Chi Shao Yao (Paeoniae Radix Rubra).
The above seven ingredients are coarsely crushed and sifted. Take five qian bi orally, with one and a half sheng of water, five leaves of Zhu Ye (Bambusa Textilis Folium), and a jujube-sized piece of fresh ginger (crushed). Decoct until the volume reduces to one sheng, strain, and divide into two warm doses to be taken after meals.
Formula for Di Huang Jian Wan (Rehmannia Paste Pill) treating extreme Jing depletion with emaciation of Zang and Fu organs, painful joints, continuous seminal leakage, having effects of benefiting Qi, nourishing Spirit, preserving complexion, and regulating blood vessels:
Sheng Di Huang (Rehmanniae Radix, 5 jin, pounded to extract juice), Wu Hui Jiu (Wine without ash, 1 dou, stored in silver or earthenware vessel, added to Di Huang juice, boiled down to paste using gentle and strong fire, then other herbs added), Rou Cong Rong (Cistanches Herba, soaked in wine, sliced, and dried, 2 liang), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Lu Rong (Cervi Cornu Pantotrichum, wine-roasted, hair removed), Sang Piao Xiao (Mantis Ootheca, stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Huang Qi (Astragali Membranacei Radix, chopped), Rou Dou Kou (Myristicae Semen, shell removed), Wu Wei Zi (Schisandrae Chinensis Fructus, stir-fried), She Chuang Zi (Cnidii Fructus, stir-fried), Shi Hu (Dendrobii Caulis, roots removed), Bu Gu Zhi (Psoraleae Fructus, stir-fried), Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, and dried), Qing Mu Xiang (Aucklandiae Radix), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, and dried, each 3 fen), Zhi Ke (Aurantii Fructus Immaturus, pulp removed, stir-fried with bran), Bi Cheng Qie (Piperis Longi Fructus), Chen Xiang (Aquilariae Lignum Resinatum, each half liang, chopped).
The above nineteen ingredients: seventeen ingredients (excluding the Di Huang paste) are crushed and sifted into powder. Mix with Di Huang paste to form pills the size of Sophora seeds. Take thirty pills orally with warm wine, increasing up to forty pills. Take on an empty stomach before meals.