病源肾开窍于阴。若劳伤于肾。肾虚不能荣于阴气。故痿弱也。诊其脉瞥瞥如羹上肥者
阳
养生云∶水银不得令近阴。令消缩。(出第四卷中)
广济疗阴痿不起。滴沥精清。钟乳酒方。
钟乳(三两研绢袋盛) 附子(二两炮) 甘草(二两炙) 当归(二两) 石斛(二
两) 前胡
(二两) 薯蓣(三两) 五味子(三两) 人参(二两) 生姜屑(二两) 牡蛎(二两
熬) 桂心(一两) 菟丝子(五合)
上十五味切。以绢袋盛。清酒二斗渍之。春夏三日。秋冬七日。量性饮之效。忌海藻菘
菜猪肉冷水生葱芜荑生冷粘食等。(出第四卷中)
范汪疗男子虚劳。阴痿不起。无子方。
杜仲(十分) 蛇床子(八分) 菟丝子(五分酒渍) 远志(五分去心) 茯苓(四
分) 天雄(五分炮) 泽
上十味捣筛为散。酒服方寸匕。日再效。忌猪肉冷水酢物。(出第七卷中)
备急苁蓉丸。疗痿弱。益精气。男子服之外充。妇人服之内补。百病瘥方。
钟乳粉(三分) 萆 (三分) 苁蓉(三分) 干地黄(六分) 薏苡仁(三分) 菟
丝子(四分)
上六味捣筛。以鸡子黄枣膏和丸如梧子。酒服十丸。渐至二十丸。日再服。忌芜荑。
又远志丸。疗男子痿弱丸。
续断(二两) 薯蓣(二两) 远志(二两去心) 蛇床子(二两) 肉苁蓉(二两)
上五味捣筛。以雀卵和丸如小豆。以酒下七丸至十丸。百日知之。神良。
文仲疗阴下湿痒。又痿弱。粉散方。
白粉 干姜 牡蛎(各三分熬)
上三味捣筛为散。欲卧时粉阴下。至起亦粉。粉盛疏布袋中扑之佳。此大验。又方。加
麻黄根三两。
又方
矾石(熬令汁尽) 蛇床子 黄连(各三分)
上三味为散。粉之同前。
经心录雄鹅散。疗五劳七伤阴痿。十年阳不起。皆繇少小房多损阳。神女养母得道方。
雄鹅(十分熬) 石斛(三分) 巴戟天(二分) 天雄(二分炮) 五味子(二分) 蛇
床子
(二分) 薯蓣(二分) 菟丝子(二分) 牛膝(二分) 远志(二分去心) 苁蓉(五
分)
上十一味。捣筛为散。以酒服方寸匕。亦可丸服。日三。忌猪肉冷水。(出第四卷中)
病因学说认为,肾开窍于前阴。如果因劳损而伤及肾脏,导致肾虚,无法滋养宗筋(阴茎),因此会出现痿弱不举的症状。诊察其脉象,若脉来轻浮软弱,如同羹汤表面漂浮的油脂,这是阳气虚弱的表现。
《养生方》记载:水银不得靠近阴部,否则会导致生殖器萎缩消缩。(出自第四卷)
《广济方》治疗阳痿不起、排尿滴沥不尽、精液清稀的钟乳酒方。
药材:钟乳粉(三两,用绢袋盛装)、附子(二两,炮制)、甘草(二两,炙烤)、当归(二两)、石斛(二两)、前胡(二两)、薯蓣(三两)、五味子(三两)、人参(二两)、生姜屑(二两)、牡蛎(二两,熬制)、桂心(一两)、菟丝子(五合)。
以上十五味药切碎,装入绢袋中,用清酒二斗浸泡。春夏季节浸泡三天,秋冬季节浸泡七天。根据体质适量饮用,效果显著。忌食海藻、白菜、猪肉、冷水、生葱、芜荑、生冷食物及粘性食物等。(出自第四卷)
范汪治疗男子虚劳、阳痿不起、无子的方剂。
药材:杜仲(十分)、蛇床子(八分)、菟丝子(五分,酒浸)、远志(五分,去心)、茯苓(四分)、天雄(五分,炮制)、泽泻(四分,原文此处似有缺字或排版错误,依上下文补全为泽泻或仅列前六味,但后文称“上十味”,故推测漏掉四味,此处仅翻译可见部分)、...(原文此处中断,后续列出“上十味”,但未完全展示所有药材,仅能翻译可见部分及服用法)。
以上十味药捣碎过筛制成散剂。用酒送服一方寸匕,每日两次,有效。忌食猪肉、冷水、醋制食品。(出自第七卷)
备急苁蓉丸,治疗痿弱,补益精气。男子服用可充实外体,女子服用可内补身体。出自《百病瘥方》。
药材:钟乳粉(三分)、萆薢(三分)、肉苁蓉(三分)、干地黄(六分)、薏苡仁(三分)、菟丝子(四分)。
以上六味药捣碎过筛,用鸡蛋黄和枣膏调和,制成梧桐子大小的丸药。用酒送服十丸,逐渐增加至二十丸,每日两次服用。忌食芜荑。
又方:远志丸,治疗男子痿弱。
药材:续断(二两)、薯蓣(二两)、远志(二两,去心)、蛇床子(二两)、肉苁蓉(二两)。
以上五味药捣碎过筛,用麻雀卵调和,制成小豆大小的丸药。用酒送服七丸至十丸,服用百日可见效,疗效神奇良好。
文仲治疗阴部潮湿瘙痒,以及痿弱的粉散方。
药材:白粉、干姜、牡蛎(各三分,熬制)。
以上三味药捣碎过筛制成散剂。睡前将药粉扑在前阴下部,起床时再扑一次。最好将药粉盛在稀疏的布袋中扑洒,此法非常灵验。
又一方:加麻黄根三两。
又一方:
药材:矾石(熬至汁液尽)、蛇床子、黄连(各三分)。
以上三味药制成散剂,扑粉方法同上。
《经心录》雄鹅散,治疗五劳七伤导致的阳痿,十年阳事不举。这都是因为年少时房事过多损伤阳气所致。出自神女养母得道方。
药材:雄鹅(十分,熬制)、石斛(三分)、巴戟天(二分)、天雄(二分,炮制)、五味子(二分)、蛇床子(二分)、薯蓣(二分)、菟丝子(二分)、牛膝(二分)、远志(二分,去心)、肉苁蓉(五分)。
以上十一味药捣碎过筛制成散剂。用酒送服一方寸匕,也可以制成丸药服用,每日三次。忌食猪肉、冷水。(出自第四卷)
The etiology states that the Kidney opens into the external genitalia. If labor and damage injure the Kidney, causing Kidney deficiency which fails to nourish the genitals (penis), flaccidity and weakness result. Upon pulse diagnosis, if the pulse is fleeting and weak, like fat floating on soup broth, this indicates Yang deficiency.
*Yangsheng Fang* records: Mercury should not be allowed near the genitals, as it causes shrinkage and atrophy. (From Volume IV)
*Guangji Fang* treats impotence with inability to erect, dribbling urine, and clear semen. The Zhuru Wine Formula:
Zhuru (Sanlao, Ground Hematite, 3 liang, placed in a silk bag), Fuzi (Erliang, Prepared Aconite Root, 2 liang), Gancao (Erliang, Prepared Licorice Root, 2 liang), Danggui (Erliang, Angelicae Radix, 2 liang), Shihu (Erliang, Dendrobii Caulis, 2 liang), Qianhu (Erliang, Peucedani Radix, 2 liang), Shuyu (Sanliang, Dioscoreae Rhizoma, 3 liang), Wuweizi (Sanliang, Schisandrae Fructus, 3 liang), Renshen (Erliang, Ginseng Radix, 2 liang), Jiangxiexie (Erliang, Ginger Pulp, 2 liang), Muli (Erliang, Calcined Oyster Shell, 2 liang), Guixin (Yiliang, Cinnamon Twig Heart, 1 liang), Tusizi (Wuhe, Cuscutae Semen, 5 he).
Chop the above fifteen ingredients, place them in a silk bag, and soak in 2 dou of clear wine. Soak for three days in spring and summer, seven days in autumn and winter. Drink according to one's tolerance; it is effective. Avoid eating seaweed, Chinese cabbage, pork, cold water, raw green onions, Xuyi, cold/raw foods, and sticky foods. (From Volume IV)
Fan Wang’s formula for treating men with deficiency consumption, impotence with inability to erect, and infertility:
Duzhong (Shifen, Eucommiae Cortex, 10 fen), Shechuangzi (Bafen, Cnidii Fructus, 8 fen), Tusizi (Wufen, Cuscutae Semen, 5 fen, soaked in wine), Yuanzhi (Wufen, Polygalae Radix, 5 fen, heart removed), Fuling (Sifen, Poria, 4 fen), Tianxiong (Wufen, Prepared Aconitum Lateralis Radix Preparata, 5 fen), Zexie (Sifen, Alismatis Rhizoma, 4 fen)... [Text implies ten ingredients total but lists fewer explicitly before summarizing].
Pulverize the above ten ingredients into a powder. Take one fangcun bi (a measure equivalent to a square inch spoonful) with wine, twice daily; it is effective. Avoid pork, cold water, and vinegar-preserved foods. (From Volume VII)
Beiji Congrong Wan (Emergency Cistanche Pill), treats flaccidity and weakness, benefiting essence and qi. Men taking it will fill their exterior; women taking it will tonify their interior. From *Baibing Chai Fang*:
Zhuru Fen (Sanfen, Ground Hematite Powder, 3 fen), Bixie (Sanfen, Smilacis Glabrae Rhizoma, 3 fen), Congrong (Sanfen, Cistanches Herba, 3 fen), Gadihuang (Liu fen, Prepared Rehmanniae Radix, 6 fen), Yiyiren (Sanfen, Coicis Semen, 3 fen), Tusizi (Sifen, Cuscutae Semen, 4 fen).
Pulverize the above six ingredients. Mix with egg yolk and jujube paste to form pills the size of wutong seeds. Take ten pills with wine, gradually increasing to twenty pills, twice daily. Avoid Xuyi.
Another formula: Yuanzhi Wan (Polygala Pill), treats male flaccidity and weakness:
Xuduan (Erliang, Dipsaci Radix, 2 liang), Shuyu (Erliang, Dioscoreae Rhizoma, 2 liang), Yuanzhi (Erliang, Polygalae Radix, 2 liang, heart removed), Shechuangzi (Erliang, Cnidii Fructus, 2 liang), Roucongroung (Erliang, Cistanches Herba, 2 liang).
Pulverize the above five ingredients. Mix with sparrow eggs to form pills the size of small beans. Take seven to ten pills with wine. After one hundred days, efficacy will be known. It is divine and excellent.
Wen Zhong’s powder formula for dampness and itching in the genitals, as well as flaccidity and weakness:
Baifen (White Powder), Ganjiang (Dried Ginger), Muli (Each Sanfen, Calcined Oyster Shell, 3 fen each).
Pulverize the above three ingredients into a powder. Apply the powder to the external genitalia before lying down, and again upon rising. It is best to apply by dusting from a sparse cloth bag. This method is highly effective.
Another formula: Add Mahuanggen (Hemp Root) 3 liang.
Another formula:
Fanshi (Alum, calcined until juice is exhausted), Shechuangzi, Huanglian (Each Sanfen, 3 fen each).
Pulverize the above three ingredients into a powder. Apply as described above.
*Xijing Lu* Xionge San (Male Goose Powder), treats impotence caused by the Five Exhaustions and Seven Injuries, where yang function does not return for ten years. This is due to excessive sexual activity in youth damaging yang qi. From the formula of Goddess Nüyang who attained the Dao:
Xionge (Shifen, Male Goose, 10 fen, roasted), Shihu (Sanfen, Dendrobii Caulis, 3 fen), Bajitian (Bafen, Morindae Officinalis Radix, 2 fen), Tianxiong (Bafen, Prepared Aconitum Lateralis Radix Preparata, 2 fen), Wuweizi (Bafen, Schisandrae Fructus, 2 fen), Shechuangzi (Bafen, Cnidii Fructus, 2 fen), Shuyu (Bafen, Dioscoreae Rhizoma, 2 fen), Tusizi (Bafen, Cuscutae Semen, 2 fen), Niuxi (Bafen, Achyranthis Bidentatae Radix, 2 fen), Yuanzhi (Bafen, Polygalae Radix, 2 fen, heart removed), Congrong (Wufen, Cistanches Herba, 5 fen).
Pulverize the above eleven ingredients into a powder. Take one fangcun bi with wine, or take as pills, three times daily. Avoid pork and cold water. (From Volume IV)