一论年高之人。阴虚筋骨柔弱无力。面无光泽。或暗淡。食少痰多。或喘或咳。或便溺
数涩
阳痿。足膝无力者。并治形体瘦弱无力。多因肾气久虚。憔悴盗汗。发热作渴。并皆治之
八仙长寿丸
大怀生地黄（酒拌入砂锅内蒸一日黑掐断慢火焙干八两） 山茱萸（酒拌蒸去核四两） 白
茯
神（去皮木筋膜） 牡丹皮（去骨各三两） 辽五味子（去梗二两） 麦门冬（水润去心二两） 干
山药 益智仁（去壳盐水炒各二两）
上忌铁器。为细末。炼蜜为丸。如梧桐子大。空心温酒调下。或炒盐汤调服。夏秋滚汤
调服
腰痛。加木瓜、续断、鹿茸、当归。消渴。加五味子、麦门冬各二两。老人下元冷。胞转
不得小便。膨急切痛四五日。困笃欲死者。用泽泻。去益智。诸淋沥。数起不通。倍茯苓。
用泽泻。去益智。夜多小便。加益智一两。减茯苓一半。治虚火牙齿痛浮。治耳聩及肾虚耳
鸣。另用全蝎四十九枚。炒微黄色为末。每服三钱。酒调送下。早晨空心服。
一论此膏填精补髓。坚骨强筋。万神具足。五脏盈溢。髓实血满。神识高迈。夜无梦想
琼玉膏
人参（拣好者去芦十二两） 真怀生地黄（十斤洗净捣取其汁） 白茯苓（坚白者去皮及筋
膜二十四两最佳） 白沙蜜（五斤）
上将参、苓为细末。忌铁器。蜜用生绢滤过。地黄取自然汁。去渣。同药一处。拌和
匀
入瓷器内封固。净纸二十余重密封。入重汤内煮。用桑柴火煮六日。如连夜火即三日夜。
取
出用蜡纸数重。包瓶口。入井内。去火毒。一伏时久。再入旧汤内煮一日。出水气。取三匙
作三盏。每晨以二匙温酒调服。不饮者白汤化下。
仙曰。予所制此方。加沉香、琥珀各五钱。其功效异于世传之方。干咳嗽者。有声无
痰者
也。火乘于肺。喉咙隐隐而痒。故令人咳。病原于脾者。有痰。病不由脾。故无痰。易曰。
燥万物者莫 乎火。相火一 。则五液皆涸。此干咳嗽之由也。生地黄能滋阴降火。蜜能
润
燥生津。损其肺者益其气。故用人参。虚则补其母。故用茯苓。又地黄、白蜜皆润燥。而人
参、茯苓。甘而属土。用之以佐二物。此水位之下。土气乘之之义。乃立方之道也。
一论阳春白雪糕。（方见内伤）凡年老之人。当以养元气健脾胃为主。每日三餐。不可缺
此糕也。王道之品。最益老人。
论述年高之人。若出现阴虚、筋骨柔弱无力、面色无光泽或暗淡、食少痰多、或喘或咳、或小便频数涩痛、阳痿、足膝无力等症状，均属于形体瘦弱无力，多因肾气长期亏虚所致；若伴有憔悴、盗汗、发热作渴等症，也一并治疗。
八仙长寿丸
大怀生地黄（用酒拌匀放入砂锅内蒸一天至黑，掐断后用慢火焙干，八两） 山茱萸（用酒拌匀蒸后去核，四两） 白茯神（去皮木筋膜） 牡丹皮（去骨，各三两） 辽五味子（去梗，二两） 麦门冬（水润后去心，二两） 干山药 益智仁（去壳，用盐水炒，各二两）
以上药材忌用铁器加工，研为细末。用炼蜜制成丸药，大小如梧桐子。空腹时用温酒送服，或用炒盐汤调服。夏秋季节用滚开水调服。
若腰痛，加木瓜、续断、鹿茸、当归。若消渴，加五味子、麦门冬各二两。老人下元寒冷，导致胞转不得小便，腹部膨隆急切疼痛四五日，困顿危急欲死者，用泽泻，去掉益智仁。各种淋沥不尽、次数多但排尿不通畅者，加倍使用茯苓，加入泽泻，去掉益智仁。夜间小便多者，加益智仁一两，减少茯苓一半。治疗虚火引起的牙齿浮痛，治疗耳聋及肾虚耳鸣。另取全蝎四十九枚，炒至微黄色研为末，每次服用三钱，用酒调送下。早晨空腹服用。
论述此膏能填精补髓、坚固骨骼强壮筋骨，使万神具足，五脏充盈，髓实血满，神识高远超迈，夜间无多梦。
琼玉膏
人参（挑选好的，去芦头，十二两） 真怀生地黄（十斤洗净捣碎取其汁液） 白茯苓（质地坚白的，去皮及筋膜，二十四两最佳） 白沙蜜（五斤）
先将参、苓研为细末，忌用铁器。蜂蜜用生绢过滤。地黄取自然汁，去渣。与药粉混合均匀，装入瓷器内封固，用净纸二十多层密封，放入重汤中煮。如果用连夜的火候则煮三天三夜。取出后用蜡纸多层包裹瓶口，放入井中，去除火毒，放置一个伏时（约24小时）之久。再放入旧汤中煮一天，去除水汽。每次取三匙分为三盏，每晨用两匙温酒调服。不饮酒者用白开水化开服用。
仙人说：我所制作的这个方子，加上沉香、琥珀各五钱，其功效异于世间流传的方剂。干咳嗽，是有声无痰的症状。火邪侵犯肺部，喉咙隐隐发痒，所以令人咳嗽。病源在脾的，有痰；病不在脾的，所以无痰。《易经》说：使万物干燥没有比火更厉害的了。相火一动，则五液皆枯竭，这就是干咳嗽的原因。生地黄能滋阴降火，蜂蜜能润燥生津。损伤肺脏的要益其气，所以用人参。虚证要补其母脏，所以用茯苓。另外地黄、白蜜都润燥，而人参、茯苓甘味属土，用来辅助这两味药，这是“水位之下，土气乘之”的含义，这正是立方的道理。
论述阳春白雪糕。（方剂见内伤章节）凡是年老之人，应当以养元气、健脾胃为主。每日三餐，不可缺少此糕。这是王道的食品，最有益于老人。
Discusses elderly individuals. If they present with Yin deficiency, weak and powerless bones and tendons, lusterless or dull complexion, poor appetite with excessive phlegm, wheezing or coughing, frequent or difficult urination, impotence, and weakness in the feet and knees, these conditions all belong to emaciation and weakness of the body, mostly caused by long-term deficiency of Kidney Qi. If accompanied by emaciation, night sweats, fever, and thirst, they are also treated together.
Baxian Changshou Wan (Eight Immortals Longevity Pill)
Shu Di Huang (Prepared Rehmanniae Radix, eight liang, steamed in a clay pot with wine for one day until black, broken, and dried over slow fire) Shan Zhu Yu (Corni Fructus, four liang, steamed with wine, pitted) Bai Fu Shen (Poria with Hostwood, skin and woody core removed) Mu Dan Pi (Moutan Cortex, woody core removed, three liang each) Liao Wu Wei Zi (Schisandrae Fructus, two liang, stems removed) Mai Men Dong (Ophiopogonis Radix, two liang, moistened and heart removed) Gan Shan Yao (Dioscoreae Rhizoma) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, two liang each, shelled and stir-fried with salt water)
Avoid iron vessels during processing. Grind into fine powder. Form pills with refined honey, size of Sophora japonica seeds. Take on an empty stomach with warm wine, or mix with stir-fried salt water. In summer and autumn, take with boiling water.
For lower back pain, add Mu Gua (Chaenomelis Fructus), Xu Duan (Dipsaci Radix), Lu Rong (Cervi Cornu Pantotrichum), and Dang Gui (Angelicae Sinensis Radix). For Xiao Ke (Wasting-Thirst Syndrome), add Wu Wei Zi (Schisandrae Fructus) and Mai Men Dong (Ophiopogonis Radix), two liang each. For elderly individuals with coldness in the Lower Yuan causing Bao Zhuan (bladder torsion/dysfunction) leading to inability to urinate, abdominal distension, urgent pain for four to five days, and critical condition approaching death, use Ze Xie (Alismatis Rhizoma), remove Yi Zhi Ren (Alpiniae Oxyphyllae Fructus). For various types of Lin syndrome (dysuria) with dribbling, frequent urges but obstruction, double the amount of Fu Ling (Poria) and add Ze Xie (Alismatis Rhizoma), removing Yi Zhi Ren (Alpiniae Oxyphyllae Fructus). For frequent nocturnal urination, add Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) one liang, reduce Fu Ling (Poria) by half. To treat floating toothache due to deficient fire, tinnitus, and deafness due to Kidney deficiency: separately take Quan Xie (Scorpio), forty-nine pieces, stir-fry until slightly yellow, grind into powder. Take three qian per dose, delivered with wine. Take in the morning on an empty stomach.
This paste fills essence and supplements marrow, strengthens bones and tendons, ensures the presence of all spirits, overflows the Five Zang organs, fills marrow and blood, elevates consciousness and spirit, and prevents vivid dreams at night.
Qiongyu Gao (Jade Essence Paste)
Ren Shen (Ginseng Radix et Rhizoma, twelve liang, select good quality, remove rhizome) Zhen Huai Sheng Di Huang (Raw Rehmanniae Radix, ten jin, washed and crushed to extract juice) Bai Fu Ling (Poria, twenty-four liang, best if firm and white, remove skin and fascia) Bai Sha Mi (White Sand Honey, five jin)
First, grind Ren Shen (Ginseng Radix et Rhizoma) and Fu Ling (Poria) into fine powder, avoiding iron vessels. Filter honey through raw silk. Extract natural juice from Sheng Di Huang (Raw Rehmanniae Radix), remove dregs. Mix evenly with the medicinal powder, seal in a porcelain jar, wrap tightly with more than twenty layers of clean paper, and boil in a double boiler. If boiled continuously overnight, cook for three days and nights. Remove, wrap the bottle mouth with multiple layers of wax paper, and submerge in a well to remove "fire toxicity" for one Fu period (approximately 24 hours). Then boil again in old water for one day to remove moisture. Take three spoons divided into three servings. Each morning, mix two spoons with warm wine. Those who do not drink alcohol may dissolve it in plain water.
The Immortal said: The formula I created, adding Chen Xiang (Aquilariae Lignum Resinatum) and Hu Po (Fossilized Amber), each five qian, has effects different from those circulated in the world. Dry cough is characterized by sound without phlegm. Fire pathogen attacks the Lung, causing itching in the throat, thus inducing cough. If the disease originates in the Spleen, there is phlegm; if not originating in the Spleen, there is no phlegm. The I Ching states: Nothing dries the myriad things like fire. When Ministerial Fire moves, the five fluids dry up; this is the cause of dry cough. Sheng Di Huang (Raw Rehmanniae Radix) can nourish Yin and descend fire; honey can moisten dryness and generate fluids. To benefit Qi when the Lung is damaged, Ren Shen (Ginseng Radix et Rhizoma) is used. To tonify the mother organ when deficient, Fu Ling (Poria) is used. Furthermore, Sheng Di Huang (Raw Rehmanniae Radix) and white honey both moisten dryness, while Ren Shen (Ginseng Radix et Rhizoma) and Fu Ling (Poria) are sweet and belong to Earth, used to assist the former two. This embodies the principle of "Earth qi overcoming below Water position," which is the way of formulating prescriptions.
Discusses Yang Chun Bai Xue Gao (Spring White Snow Cake). (Formula see Internal Injury chapter) For elderly individuals, the primary approach should be nourishing Original Qi and strengthening the Spleen and Stomach. Daily meals must not lack this cake. It is a gentle therapeutic product, most beneficial for the elderly.