（论一首 方十八首 灸法十二首）
论曰∶凡精极者，通主五脏六腑之病候也。若五脏六腑衰，则形体皆极，眼视而无明，
齿焦而发落。身体重则肾水生，耳聋行步不正。凡阳邪害五脏，阴邪损六腑。阳实则从阴引
阳，阴虚则从阳引阴。若阳病者主高，高则实，实则热，眼视不明，齿焦发脱，腹中满满，
则历节痛痛，则宜泻于内。若阴病者主下，下则虚，虚则寒，体重则肾水生，耳聋行步不正。
邪气入内，行于五脏则咳，咳则多涕唾，面肿气逆，邪气逆于六腑，淫虚厥于五脏，故曰精
极也。所以形不足温之以气，精不足补之以味。善治精者，先治肌肤筋脉，次治六腑。若邪
至五脏，已半死矣。扁鹊曰∶五阴气俱绝不可治，绝则目系转，转则目精夺，为志先死，远
至一日半日，非医所及矣。宜须精研以表治里，以左治右，以右治左，以我知彼，疾皆瘥矣。
治精极实热，眼视无明，齿焦发落，形衰体痛，通身虚热方。
竹叶（切二升） 黄芩 茯苓（各三两） 甘草 麦冬 大黄（各二两） 生姜（六两）
芍药
（四
上九味 咀，以水九升，煮取三升，去滓，分三服。
治精极，五脏六腑俱损伤虚热，遍身烦疼，骨中 痛烦闷方∶
生地汁（二升） 麦冬汁 赤蜜（各一升） 竹沥（一合） 石膏（八两） 人参 川
芎桂心
甘草 黄芩 麻黄（各三两） 当归（四两）
上十二味 咀，以水七升，煮八味取二升，去滓，下地黄等汁，煮取四升，分四服，日
三夜一。
治五劳六极，虚羸心惊， 弱多魇亡阳方∶
茯苓（四两） 甘草 芍药 桂心 干姜（各三两） 远志 人参（各二两） 大枣（五
枚）
上八味 咀，以水八升，煮取三升，分三服。
治虚劳少精方∶
鹿角为末，白蜜和丸如梧子大，每服七丸，日三服，十日。大效。
又方 浆水煮蒺藜子令熟，取汁洗阴二十日，大效。
（一篇论述，十八首方剂，十二种灸法）
论述说：凡是精极病，统管五脏六腑的病候。如果五脏六腑功能衰退，那么形体就会极度虚弱，眼睛视物不清，牙齿枯焦且头发脱落。身体沉重则肾水泛溢（指肾虚水泛或湿盛），耳聋且行走不稳。大凡阳邪伤害五脏，阴邪损伤六腑。阳气实盛则从阴经引动至阳经，阴气虚衰则从阳经引动至阴经。如果是阳病，主要表现于上部，上部多实，实则生热，表现为视物不明，牙齿枯焦头发脱落，腹部胀满，进而出现历节疼痛，此时适宜采用泻法治疗内部实邪。如果是阴病，主要表现于下部，下部多虚，虚则生寒，身体沉重肾水泛溢，耳聋且行走不稳。邪气侵入体内，运行于五脏则引起咳嗽，咳嗽则多涕唾，面部浮肿气逆；邪气逆乱于六腑，淫溢虚厥于五脏，所以称为精极。因此，对于形体不足（阳气虚），要用气分药来温补；对于精气不足（阴血虚），要用味厚之品来滋补。善于治疗精极病的医生，先治疗肌肤筋脉，其次治疗六腑。如果邪气已经深入五脏，病情就已经半死难治了。扁鹊说：如果五脏的阴气全部衰竭，就无法治疗了。阴气衰竭会导致目系扭转，目系扭转则眼球精气被夺，神志先亡，最远过一天半就死亡了，这就不是医生所能挽救的了。应当精心研究，运用表里同治、左病右治、右病左治的方法，以我知彼，疾病都能痊愈。
治疗精极实热证，眼睛视物不清，牙齿枯焦头发脱落，形体衰弱身体疼痛，全身虚热的方剂。
竹叶（切二升） 黄芩 茯苓（各三两） 甘草 麦冬 大黄（各二两） 生姜（六两） 芍药（四两）
以上九味药，切碎，用水九升，煮取三升，去渣，分三次服用。
治疗精极，五脏六腑俱受损出现的虚热，遍身烦痛，骨中疼痛烦闷的方剂：
生地汁（二升） 麦冬汁 赤蜜（各一升） 竹沥（一合） 石膏（八两） 人参 川芎 桂心 甘草 黄芩 麻黄（各三两） 当归（四两）
以上十二味药，切碎，用水七升，煮其中八味药取二升，去渣，加入地黄等汁液，再煮取四升，分四次服用，白天服三次，夜间服一次。
治疗五劳六极，身体消瘦虚弱心惊，阳气微弱多梦亡阳的方剂：
茯苓（四两） 甘草 芍药 桂心 干姜（各三两） 远志 人参（各二两） 大枣（五枚）
以上八味药，切碎，用水八升，煮取三升，分三次服用。
治疗虚劳少精的方剂：
鹿角研为末，用白蜜调和制成梧桐子大小的丸药，每次服用七丸，每天三次，连续服用十天。效果显著。
又一方：用浆水煮蒺藜子至熟，取汁液清洗阴部二十天，效果显著。
(One treatise, eighteen prescriptions, twelve moxibustion methods)
The treatise states: In cases of Jing Ji (Essence Exhaustion), the pathological manifestations involve all five Zang organs and six Fu organs. If the functions of the five Zang organs and six Fu organs decline, the physical form becomes extremely exhausted; vision is blurred, teeth become dry and brittle, and hair falls out. Heaviness of the body indicates Kidney water overflowing (referring to fluid retention due to Kidney deficiency or dampness excess); deafness and unsteady gait occur. Generally, Yang pathogens damage the five Zang organs, while Yin pathogens injure the six Fu organs. When Yang is excessive, it draws from the Yin meridians to the Yang meridians; when Yin is deficient, it draws from the Yang meridians to the Yin meridians. In Yang diseases, symptoms primarily manifest in the upper part; the upper part tends toward excess, and excess generates heat. Symptoms include blurred vision, dry and brittle teeth, hair loss, abdominal fullness, and subsequently joint pain (Li Jie Tong). In such cases, purgation (Xie Fa) should be used to drain internal excess. In Yin diseases, symptoms primarily manifest in the lower part; the lower part tends toward deficiency, and deficiency generates cold. Symptoms include heaviness of the body, Kidney water overflowing, deafness, and unsteady gait. When pathogens enter the interior and move through the five Zang organs, they cause coughing; coughing leads to excessive phlegm and saliva, facial edema, and rebellious Qi. When pathogens rebel in the six Fu organs and overflow into deficiency and syncope affecting the five Zang organs, this condition is called Jing Ji (Essence Exhaustion). Therefore, for insufficiency of the physical form (Yang deficiency), one should warm with Qi-tonifying agents; for insufficiency of essence (Yin/Blood deficiency), one should tonify with substances of strong flavor. A skilled practitioner treating Jing Ji first treats the skin, muscles, sinews, and vessels, and subsequently treats the six Fu organs. If pathogens have already reached the five Zang organs, the condition is half-dead and difficult to cure. Bian Que said: If the Yin Qi of the five Zang organs is completely exhausted, the condition is incurable. Exhaustion causes the eye tendons to twist; twisting leads to the depletion of eyeball essence and the premature death of the Shen (Spirit). Death may occur within a day and a half at most, which is beyond the reach of medical intervention. One must carefully study and apply methods such as treating the exterior and interior simultaneously, treating the left side for right-sided ailments, and treating the right side for left-sided ailments. By understanding oneself to understand the patient, all diseases can be cured.
Prescription for treating Jing Ji with Excess-Heat, characterized by blurred vision, dry and brittle teeth, hair loss, physical exhaustion, body pain, and generalized deficiency-heat:
Zhu Ye (Bamboo Leaf, *Phyllostachys heterocycla* var. *pubescens*) (2 sheng, cut), Huang Qin (Scutellaria Root, *Scutellaria baicalensis*), Fu Ling (Poria, *Poria cocos*) (each 3 liang), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Mai Dong (Ophiopogon Tuber, *Ophiopogon japonicus*), Da Huang (Rhubarb Root and Rhizome, *Rheum palmatum*) (each 2 liang), Sheng Jiang (Fresh Ginger, *Zingiber officinale*) (6 liang), Shao Yao (Peony Root, *Paeonia lactiflora*) (4 liang).
The above nine herbs are chopped, boiled in 9 sheng of water until reduced to 3 sheng, strained, and divided into three doses.
Prescription for treating Jing Ji where both Zang and Fu organs are damaged, presenting with deficiency-heat, generalized vexatious pain, bone pain, and mental restlessness:
Sheng Di Huang Zhi (Juice of Rehmannia Root, *Rehmannia glutinosa*) (2 sheng), Mai Dong Zhi (Juice of Ophiopogon Tuber, *Ophiopogon japonicus*), Chi Mi (Red Honey, *Apis cerana* honey) (each 1 sheng), Zhu Li (Bamboo Sap, *Phyllostachys heterocycla* var. *pubescens*), Shi Gao (Gypsum Fibrosum, *Gypsum*) (8 liang), Ren Shen (Ginseng Root, *Panax ginseng*), Chuan Xiong (Szechwan Lovage Rhizome, *Ligusticum chuanxiong*), Gui Xin (Cinnamon Twig Heart, *Cinnamomum cassia*), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Huang Qin (Scutellaria Root, *Scutellaria baicalensis*), Ma Huang (Ephedra Herb, *Ephedra sinica*) (each 3 liang), Dang Gui (Angelica Sinensis Root, *Angelica sinensis*) (4 liang).
The above twelve herbs are chopped. Boil eight of them in 7 sheng of water until reduced to 2 sheng, strain, then add the juices of Di Huang and others, and boil again until reduced to 4 sheng. Divide into four doses; take three times during the day and once at night.
Prescription for treating Wu Lao Liu Ji (Five Labors and Six Extremes), emaciation, palpitations, weak Yang, and frequent nightmares leading to Yang collapse:
Fu Ling (Poria, *Poria cocos*) (4 liang), Gan Cao (Licorice Root, *Glycyrrhiza uralensis*), Shao Yao (Peony Root, *Paeonia lactiflora*), Gui Xin (Cinnamon Twig Heart, *Cinnamomum cassia*), Gan Jiang (Dried Ginger, *Zingiber officinale*) (each 3 liang), Yuan Zhi (Polygala Root, *Polygala tenuifolia*), Ren Shen (Ginseng Root, *Panax ginseng*) (each 2 liang), Da Zao (Jujube Fruit, *Ziziphus jujuba*) (5 pieces).
The above eight herbs are chopped, boiled in 8 sheng of water until reduced to 3 sheng, and divided into three doses.
Prescription for treating Xu Lao (Deficiency Consumption) with scanty essence:
Lu Jiao (Deer Antler, *Cervus nippon*) ground into powder, mixed with Bai Mi (White Honey, *Apis mellifera* honey) to form pills the size of wu zi (wheat seeds). Take seven pills per dose, three times daily, for ten days. Highly effective.
Another prescription: Cook Ji Li Zi (Tribulus Fruit, *Tribulus terrestris*) in Jiang Shui (Fermented Rice Water) until cooked. Use the juice to wash the genital area for twenty days. Highly effective.