治元脏气虚不足，梦寐阴人，走失精气。
阳起石 木香 乳香（研） 青盐（各一分） 白龙骨（一两，紧者捶碎，绢袋盛，大
豆蒸
两） 黄狗肾（
上为细末，酒煮面糊为丸，如皂子大，每服二丸，空心用温酒送下。忌房事。
治肾气虚乏，下元冷惫，心火炎上，渴欲饮水。或肾水不能摄养
能克制肾水，亦吐痰唾，而不咳者，脐腹疼痛，夜多漩溺，尺脉缓弱，
或黧黑，及虚劳不足，渴欲饮水，腰重疼痛，小便不利，香港脚上攻，小
小便反多，妇人转胞，小便不通，并皆治之。久服壮元阳，益精髓，活
脾恶湿，肾恶燥，如硫黄附子盅乳丹砂之类，皆刚剂也，用以肋阳、补
肾，则正肾所恶者。古人制方益肾皆滋肾之药，故仲景八味元，本谓之
正补肾经也，用附子为佐，以助脾元也。
熟地黄（八两） 山茱萸（去核） 山药（各四两） 白茯苓（去皮） 牡丹皮 泽
泻（各三
上为细末，炼蜜和丸，如梧桐子大，每服五十丸至七十丸，空心食前用温酒或盐汤送下
，妇人用淡醋汤下。阳衰阴痿，根据全方，夏减桂附一半，春秋三停减一。痰去精走，全减桂
附，只服六味地黄丸。血虚阴衰，熟地黄为君。精滑山茱萸为君。小便或多或少，或赤或黄
，白茯苓为君。小便淋沥，泽泻为君。心虚肠间热，积热心火盛，心气不足，牡丹皮为君
。皮肤燥涩，干山药为君以上但言为君者，其分两用熟地黄分两，其干地黄却根据立为君，分
两同。或曰八味丸，久服可为地仙，今老者服之而腹痛，少者服之而发疮，或小便频数，或
大便结涩，或眼昏，或精滑泄，其故何哉？盖八味修事失制度，非方之罪，今货地黄以绿矾
豆豉浸蒸，欲其易干也，地黄本性凉，加以矾性冷，此老人所以腹痛。附子多是重三四钱
，此是漏蓝侧子，大热有毒，此少者所以发疮。小便频数，泽泻生也，小便结涩，山茱萸不
去核也。今具八味修事于后。
地黄（生者，去土，水中浮者为天黄，中者为人黄，沉者为地黄，先将地黄蒸良久，天
黄人黄捣汁，取蒸地黄投其汁中，候冷，如此者三，曝干，以酒浸一宿，蒸曝干）
山药（竹刀刮去皮，布巾揩净，切作片子，曝干） 茯苓（为末，水飞过，掠去筋膜，
曝
二两） 黑附子（紧实、重七钱者，热炭火内炮裂，去皮脐） 牡丹皮（去心及粗皮，以酒
浸一宿）
上捣为末，勿犯铜器，如此修合，服之而仙，复何疑哉！久服去附子，以拣净五味子代
之。
治疗元脏气虚不足，梦中与女子交合，精气外泄走失。
阳起石、木香、乳香（研碎）、青盐（各一分），白龙骨（一两，质地紧密的需捶碎，用绢袋盛装，与大豆同蒸两小时），黄狗肾（二两）。
以上药物研成细末，用酒煮面糊制作成丸药，大小如皂角子，每次服用两丸，空腹时用温酒送服。禁止房事。
治疗肾气虚弱匮乏，下元寒冷疲惫，心火炎上，口渴想喝水。或者肾水不能制约心火，导致呕吐痰唾但不咳嗽，脐腹疼痛，夜间多尿，尺脉缓弱，面色黧黑，以及虚劳不足，口渴想喝水，腰部沉重疼痛，小便不利，脚气病邪气上攻，小便反而增多，妇人胞转（膀胱受压导致排尿困难），小便不通，这些病症都予以治疗。长期服用可壮元阳，益精髓，活血。脾恶湿，肾恶燥，像硫黄、附子、钟乳石、丹砂这类药物，都属于刚剂，用来辅助阳气、补肾，但这正是肾脏所厌恶的。古人配制补益肾脏的方剂，多用滋补肾阴的药物，所以张仲景的八味地黄丸，被称为正补肾经之方，使用附子作为佐药，以辅助脾元。
熟地黄（八两），山茱萸（去核），山药（各四两），白茯苓（去皮），牡丹皮，泽泻（各三两）。
以上药物研成细末，用炼蜜调和制成丸药，大小如梧桐子，每次服用五十至七十丸，空腹饭前用温酒或盐汤送服，妇人用淡醋汤送服。若阳气衰弱、阳痿，根据全方剂量；夏季减去桂枝和附子的一半；春秋季节减少三分之一。若痰去精走，完全减去桂枝和附子，只服用六味地黄丸。若血虚阴衰，以熟地黄为君药。若精滑，以山茱萸为君药。若小便或多或少，或赤或黄，以白茯苓为君药。若小便淋沥，以泽泻为君药。若心虚肠间有热，积热心火盛，心气不足，以牡丹皮为君药。若皮肤干燥涩滞，以干山药为君药。以上所说的“为君”，其分量参照熟地黄的分量；若是干地黄作为君药，则分量相同。有人问：八味丸长期服用可以成为地仙，现在老年人服用却腹痛，年轻人服用却发疮，或者小便频数，或者大便结涩，或者眼睛昏花，或者精滑遗泄，这是什么原因呢？这是因为八味丸的制作失去了法度，不是方剂的过错。现在市售的地黄是用绿矾和豆豉浸泡蒸制，为了使其容易干燥，地黄本性凉，加上矾性冷，这就是老人服用后腹痛的原因。附子多是重三四钱的，这是漏蓝侧子，大热有毒，这就是年轻人服用后发疮的原因。小便频数，是因为泽泻未炮制；小便结涩，是因为山茱萸未去核。现将八味丸的制作工艺列于后面。
地黄（生者，去土，水中浮起的称为天黄，中间的为人黄，沉底的为地黄，先将地黄蒸很长时间，将天黄、人黄捣汁，取蒸好的地黄投入其汁中，冷却后如此操作三次，晒干，再用酒浸泡一夜，蒸晒至干）。
山药（用竹刀刮去皮，布巾擦净，切成片，晒干）。
茯苓（研成末，水飞法处理，撇去筋膜，晒干，三两）。
黑附子（紧实、重七钱的，在热炭火中炮裂，去皮和脐）。
牡丹皮（去心及粗皮，用酒浸泡一夜）。
以上捣成细末，不要接触铜器，这样制作配合，服用后可成仙，还有什么可疑虑的呢！长期服用去掉附子，用拣选干净的五味子代替。
Treats deficiency of the primordial organ's qi, nocturnal emissions during dreams involving sexual intercourse, and loss of essence.
Yangqishi (Quartzite), Muxiang (Aucklandiae Radix), Ruxiang (Olibanum, ground), Qingyan (Halitum, each 1 fen), Bailonggu (Os Draconis, 1 liang; use dense ones, crush them, place in a silk bag, and steam with soybeans for two dou). Huanggoushen (Canis Testis, 2 liang).
Grind the above into fine powder, mix with flour paste boiled in wine to make pills the size of soap seeds. Take two pills per dose, swallowed with warm wine on an empty stomach. Avoid sexual activity.
Treats deficiency and exhaustion of kidney qi, coldness and fatigue in the lower yuan, flaming up of heart fire, thirst with desire to drink water. Or when kidney water fails to control [heart fire], leading to vomiting of phlegm and saliva without coughing, pain in the umbilical and abdominal regions, frequent urination at night, slow and weak chi pulse, dark complexion, as well as deficiency labor and insufficiency, thirst with desire to drink water, heavy and painful waist, difficult urination, ascending attack of Hongxiangjiao (Gouty Arthritis/Foot Qi), excessive urination, women's zhuanbao (cystoptosis/difficulty in urination due to bladder compression), and obstruction of urination; all are treated by this formula. Long-term use strengthens the primordial yang, benefits essence and marrow, and invigorates blood. The spleen dislikes dampness, and the kidney dislikes dryness. Substances such as Liuhuang (Sulfur), Fuzi (Aconiti Lateralis Radix Praeparata), Zhongru (Margarita), and Dansha (Cinnabaris) are all rigid agents. Using them to assist yang and tonify the kidney utilizes what the kidney dislikes. In ancient times, formulas for tonifying the kidney mostly used herbs that nourish kidney yin. Therefore, Zhang Zhongjing's Bawei Yuan (Eight-Ingredient Pill), also known as Zhengbu Shen Jing (Correctly Tonifying the Kidney Meridian), uses Fuzi as an assistant herb to support the spleen's primordial qi.
Shudihuang (Rehmanniae Radix Praeparata, 8 liang), Shanzhuyu (Corni Fructus, pitted), Shanyao (Dioscoreae Rhizoma, each 4 liang), BaiFuling (Poria, peeled), Mudanpi (Moutan Cortex), Zexie (Alismatis Rhizoma, each 3 liang).
Grind the above into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 50 to 70 pills per dose, before meals on an empty stomach, swallowed with warm wine or salted water. Women should swallow with light vinegar water. For yang deficiency and impotence, follow the full prescription dosage. In summer, reduce Guizhi (Cinnamomi Ramulus) and Fuzi by half. In spring and autumn, reduce by one-third. If phlegm is resolved and essence leaks, completely remove Guizhi and Fuzi, and take only Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). For blood deficiency and yin decline, Shudihuang is the sovereign herb. For seminal emission, Shanzhuyu is the sovereign herb. For variable urine volume, red or yellow urine, Baifuling is the sovereign herb. For dribbling urination, Zexie is the sovereign herb. For heart deficiency and heat in the intestines, accumulation of heart fire, and insufficient heart qi, Mudanpi is the sovereign herb. For dry and rough skin, Ganshanyao (Dried Dioscoreae Rhizoma) is the sovereign herb. Regarding the aforementioned "sovereign" herbs, their dosage refers to that of Shudihuang; if Ganshijadihuang (Raw Rehmanniae Radix) is used as the sovereign, the dosage is the same. One might ask: Taking Bawei Wan (Eight-Ingredient Pill) for a long time can lead to becoming an immortal. Why do some elderly people experience abdominal pain after taking it, while young people develop sores? Or why frequent urination, constipation, blurred vision, or seminal emission? This is because the preparation of Bawei Wan has lost its proper method; it is not the fault of the formula. Currently, market-available Rehmannia is soaked and steamed with Lüfan (Green Vitriol) and Douchi (Fermented Soybeans) to facilitate drying. Since Rehmannia is naturally cool, and vitriol is cold, this causes abdominal pain in the elderly. Fuzi often weighs three to four qian; this is Loulan Cizi (a type of Aconite lateral root), which is extremely hot and toxic, causing sores in the young. Frequent urination occurs because Zexie is raw; urinary retention occurs because Shanzhuyu pits are not removed. The preparation methods for the eight ingredients are listed below.
Dihuang (Raw: remove soil. Those floating in water are Tianhuang (Heaven Yellow), those in the middle are Renhuang (Human Yellow), and those sinking are Dihuang (Earth Yellow). First, steam the Dihuang for a long time. Crush Tianhuang and Renhuang to extract juice, pour the steamed Dihuang into the juice, let it cool, and repeat this process three times. Sun-dry, then soak in wine overnight, steam, and sun-dry again).
Shanyao (Scrape off skin with a bamboo knife, wipe clean with a cloth, slice, and sun-dry).
Fuling (Grind into powder, process by water flotation, skim off fibrous membranes, sun-dry, 2 liang).
Heifuzi (Black Prepared Aconite: tight and solid, weighing 7 qian. Crack open in hot charcoal fire, remove skin and navel).
Mudanpi (Remove heart and coarse bark, soak in wine overnight).
Grind the above into powder. Do not allow contact with copper vessels. With such preparation and combination, who would doubt that one may become immortal upon long-term use! When using for a long time, remove Fuzi and replace it with carefully selected Wuweizi (Schisandrae Fructus).