论曰∶夫老小 羸。为和气不足，寒气独积于地，炎气独散于天，天地不交，故体成痞
，体成痞，则肌肉不润，腠理不通，胸膈气急，肠胃招满，为阴气冲阳，阳不接也，或膀胱
坚积。支足沉 ，为阳气不能下营，阴气独盛也。致大肠留拥，汤药不下，或水谷不消，更
加短
气，若不利关格，实不得其死也。
疗羸劣老弱，体性少热，因服石散而寒气盛，药伏胸膈，冷热不调，烦闷短气欲死者，
药既不行，又不能大便，作害于人，急宜吐之方。
甘草（四两生用）
上一味切，以水五升，煮取折半，去滓，令顿服之，当大吐，药亦与病俱去，便愈矣，
夫散家患心腹痛，服诸药不瘥者，服此甘草汤，诸膈即通，大便亦利，甚验。
又疗甚虚弱，去热益气力方。
竹叶（切一升） 大枣（二十枚擘） 黄 （四两） 芍药（三两） 甘草（炙） 人
参干地黄
上十二味切，以水一斗五升煮竹叶，取一斗，去竹叶入诸药煎，取三升，分温服之，忌
如常法。
又疗散发后，虚热羸乏，或脚疼腰痛，本是虚劳人并挟风，宜肾沥汤方。
羊肾（一具去脂膜切） 五味子（三两） 当归 甘草（炙） 芎 远志（去心） 芍
药麦
门冬（去心） 茯苓（各一两） 干地黄 生姜（各四两切） 黄芩 桂心（各一两） 大
枣（二十
枚擘）
上十四味切，以水一斗煮肾，取八升内诸药煎，取三升半，去滓分服，忌如常法。
又疗性热虚羸，补益方。
生地黄（二石细切蒸之极熟）
上一味，以好酒一升洒之，曝干捣，众并手丸之，每食前含一丸如胡桃大，咽令尽，日
三五度甚妙。
又疗人身体黄瘦不能食，及服药腰背拘急痛，眠卧陷床。沉重不能起行，宜秋夏中服之
方。
半夏（洗） 茵陈（各四两） 生姜 茯苓（各三两） 黄芩 土瓜根 栀子（各二两）
大黄
（一两别浸）
上八味切，以水八升，煮取三升去滓，分温服。
耆婆汤，疗人风劳虚损，补髓令人健方。
麻油（一升） 牛酥（一斤） 葱白（一握） 胡麻仁（一升研） 豉（二升以水二升
渍一枚取
汁） 蜜（一升） 上酒（二升）
上七味，先于锅中入油煎令沸，着葱白令色黄，下酥蜜豉汁麻仁，沸下酒，成煎收不津
器中盛之，日服一匙两匙，或和酒服亦妙，冷即加生姜一斤取汁，干姜末亦可用之。
论述说：老年人和儿童身体瘦弱，是因为调和之气不足，寒气独自积聚于下（地），热气独自发散于上（天），天地之气不相交合，所以身体形成痞塞。身体形成痞塞，则肌肉失去润泽，腠理不通畅，胸膈部位气机急促，肠胃胀满，这是由于阴气冲犯阳气，导致阳气无法接续，或者膀胱内有坚硬的积滞，支撑足部沉重，这是因为阳气不能下行滋养，而阴气独自旺盛所致。这导致大肠留滞壅塞，汤药无法下行，或者水谷食物无法消化，再加上呼吸短促，如果不能通利关格之证，确实难以避免死亡。
治疗身体瘦弱、年老体衰，体质偏少热，因服用石散而导致寒气盛极，药力伏留于胸膈，冷热不调，烦闷短气几乎要死去的症状，既然药力不行，又不能大便，对人体造成危害，急需使用催吐的方剂。
甘草（四两，生用）
以上一味药切碎，用水五升，煮取一半水量，去掉药渣，一次性服下，应当会大量呕吐，药物也会随着病邪一起排出，病就好了。那些服用石散的人患有心腹疼痛，服用各种药物都不见效的，服用这个甘草汤，各种膈部的阻滞就会通畅，大便也能顺利排出，效果非常显著。
又治疗极度虚弱，去除热邪并益气力的方剂。
竹叶（切一升） 大枣（二十枚，掰开） 黄芪（四两） 芍药（三两） 甘草（炙） 人参 干地黄
以上十二味药切碎，用水一斗五升煮竹叶，取汁一斗，去掉竹叶后加入其他药物煎煮，取汁三升，分次温服，忌口方法如常法。
又治疗服用石散后，出现虚热、身体瘦弱乏力，或者脚痛腰痛，原本就是虚劳病人并且夹杂风邪，适宜使用的肾沥汤方。
羊肾（一个，去掉脂膜切碎） 五味子（三两） 当归 甘草（炙） 川芎 远志（去心） 芍药 麦门冬（去心） 茯苓（各一两） 干地黄 生姜（各四两切碎） 黄芩 桂心（各一两） 大枣（二十枚，掰开）
以上十四味药切碎，用水一斗煮羊肾，取汁八升，加入其他药物煎煮，取汁三升半，去掉药渣分次服用，忌口方法如常法。
又治疗性热导致的身体瘦弱，具有补益作用的方剂。
生地黄（二石，细细切碎后蒸至极熟）
以上一味药，用好酒一升洒在上面，晒干后捣碎，众人一起用手搓成丸药，每次吃饭前含服一丸，大小如胡桃，咽下使其完全化尽，每天三到五次，效果很好。
又治疗人体色黄消瘦不能进食，以及服药后腰背拘急疼痛，睡觉时陷入床中，身体沉重不能起身行走，适宜在春秋夏三季服用的方剂。
半夏（洗） 茵陈（各四两） 生姜 茯苓（各三两） 黄芩 土瓜根 栀子（各二两） 大黄（一两，另浸泡）
以上八味药切碎，用水八升，煮取三升，去掉药渣，分次温服。
耆婆汤，治疗人体风劳虚损，填补骨髓使人健康的方剂。
麻油（一升） 牛酥（一斤） 葱白（一把） 胡麻仁（一升，研碎） 豆豉（二升，用水二升浸泡，取一枚豆豉的量取汁，此处原文“一枚”疑为衍文或特指，依常规理解为取汁） 蜂蜜（一升） 上好酒（二升）
以上七味药，先在锅中放入油煎至沸腾，加入葱白使其颜色变黄，然后加入酥、蜜、豆豉汁、麻仁，沸腾后加入酒，制成煎膏收存于不渗水的容器中，每天服用一匙或两匙，或者配合酒服用也很好，如果药液变冷，可以加生姜一斤取汁，或者使用干姜末也可以。
Discourse states: The emaciation of the elderly and children is due to a deficiency of harmonious Qi (vital energy). Cold Qi accumulates independently in the lower region (earth), while hot Qi dissipates independently in the upper region (heaven). Heaven and Earth do not interact, resulting in the formation of Pi syndrome (a condition characterized by fullness and obstruction) in the body. Once Pi syndrome forms, muscles lose moisture, and the interstices (pores and skin texture) become obstructed. This leads to urgent Qi sensation in the chest and diaphragm, and abdominal distension in the intestines and stomach. This occurs because Yin Qi attacks Yang Qi, preventing Yang Qi from connecting. Alternatively, there may be hard accumulation in the Bladder, causing heaviness in the legs, due to Yang Qi failing to descend and nourish, while Yin Qi dominates exclusively. This results in stagnation and obstruction in the large intestine, where decoctions cannot pass down, or food and water fail to digest. Additionally, shortness of breath worsens. If Guan Ge syndrome (a critical condition involving vomiting and constipation) is not unblocked, death is indeed inevitable.
This formula treats severe weakness and frailty in the elderly, where the constitution lacks heat, but excessive cold arises after taking Stone Powder (Shisan). The medicinal power lodges in the chest and diaphragm, causing disharmony between cold and heat, restlessness, shortness of breath approaching death. Since the medicinal power fails to circulate and defecation is impossible, causing harm to the person, it is urgent to induce vomiting.
Gancao (Radix Glycyrrhizae, four liang, raw):
Cut this single herb, boil in five sheng of water until reduced by half, remove the dregs, and take in one dose. Profuse vomiting should occur, and the medicine will exit along with the pathogenic factor, leading to recovery. For those suffering from heart and abdominal pain due to Stone Powder, who have failed to improve with various medicines, taking this Gancao Tang (Licorice Decoction) will clear obstructions in the diaphragm and facilitate bowel movements; it is highly effective.
Another formula for treating extreme weakness, clearing heat, and boosting Qi strength:
Zhuye (Leaf of Bambusa, cut, one sheng); Dazao (Fruit of Ziziphus Jujubae, twenty pieces, split); Huangqi (Radix Astragali, four liang); Shaoyao (Radix Paeoniae Alba, three liang); Gancao (Radix Glycyrrhizae, honey-fried); Renshen (Radix Ginseng); Shengdihuang (Radix Rehmanniae Preparata).
Cut the above twelve herbs. Boil Zhuye in fifteen sheng of water to obtain ten sheng. Remove Zhuye, add the remaining herbs, and decoct to obtain three sheng. Take warm in divided doses. Observe usual dietary restrictions.
Another formula, Shenli Tang (Kidney Liquefaction Decoction), suitable for post-Stone Powder symptoms including deficient heat, emaciation, fatigue, leg pain, and lower back pain, particularly for those with prior Xu Lao (deficiency consumption) complicated by Wind pathogens:
Yangshen (Kidney of Ovis Aries, one piece, remove fat membrane and cut); Wuweizi (Fructus Schisandrae, three liang); Danggui (Radix Angelicae Sinensis); Gancao (Radix Glycyrrhizae, honey-fried); Xiongqiong (Radix Chuanxiong); Yuanzhi (Radix Polygalae, remove core); Shaoyao (Radix Paeoniae Alba); Maidong (Rhizoma Ophiopogonis, remove core); Fuling (Sclerotium Poriae, each one liang); Shengdihuang (Radix Rehmanniae Preparata); Shengjiang (Rhizoma Zingiberis Recens, each four liang, cut); Huangqin (Radix Scutellariae); Guixin (Cortex Cinnamomi, each one liang); Dazao (Fruit of Ziziphus Jujubae, twenty pieces, split).
Cut the above fourteen herbs. Boil Yangshen in ten sheng of water to obtain eight sheng. Add the other herbs and decoct to obtain three and a half sheng. Remove dregs and take in divided doses. Observe usual dietary restrictions.
Another formula for treating emaciation caused by internal heat, serving as a tonic:
Shengdihuang (Radix Rehmanniae Recens, two shi, finely cut and steamed thoroughly):
Moisten this single herb with one sheng of fine wine, dry in the sun, and pound into powder. Roll into pills by hand. Before meals, hold one pill (size of a walnut) in the mouth until completely swallowed. Take three to five times daily; this is excellent.
Another formula for treating yellowish, emaciated bodies unable to eat, and stiffness/pain in the waist and back after taking medicine, where one sinks into the bed when lying down and is too heavy to rise or walk. Suitable for use in Spring, Summer, and Autumn:
Banxia (Rhizoma Pinelliae, washed); Yichen (Herba Artemisiae Scopariae, each four liang); Shengjiang (Rhizoma Zingiberis Recens); Fuling (Sclerotium Poriae, each three liang); Huangqin (Radix Scutellariae); Tugua Gen (Radix Trichosanthes Kirilowii); Zhizi (Fructus Gardeniae, each two liang); Dahuang (Radix et Rhizoma Rhei, one liang, soaked separately).
Cut the above eight herbs. Boil in eight sheng of water to obtain three sheng. Remove dregs and take warm in divided doses.
Qipo Tang (Bodhiraksha's Decoction), for treating Wind-Lao deficiency and damage, tonifying marrow to promote health:
Mayou (Semen Sesami Nigrum Oil, one sheng); Niusu (Butyrum Bovis, one jin); Congbai (Bulbus Allii Cepae, one handful); Humaren (Semen Sesami Nigrum, one sheng, ground); Chi (Folium Sojae Praeparatum, two sheng, soak in two sheng of water, extract juice); Mifengmi (Mel, one sheng); Shangjiu (Fine Wine, two sheng).
Place oil in a pot and boil. Add Congbai until yellow. Add Niusu, Mifengmi, Chi juice, and Humaren. When boiling, add Shangjiu. Prepare as a syrup and store in a non-porous container. Take one or two spoons daily, or mix with wine. If cold, add fresh Jiang (Zingiberis Rhizoma, one jin, extract juice); dried Jiang (Zingiberis Rhizoma Siccum) powder is also acceptable.