薯蓣丸（金匮） 治虚劳诸不足。风气百疾。
薯蓣（即山药。二两。） 当归 桂枝 曲 干地黄 大豆黄卷（各七钱半） 甘草（炙。
一两二钱） 人参 阿胶（各五钱） 芎 芍药 麦门冬 白术 杏仁
防风 柴胡 桔梗 茯苓（各四钱） 干姜（二钱） 白蔹（钱半） 大枣（五十枚。为膏。）
上二十一味。末之。炼白蜜和丸。如弹子大。空心服一丸。一百丸为剂。
酸枣汤（金匮） 治虚劳虚烦不得眠。盗汗。
酸枣仁（炒。半两） 甘草（炙。一钱） 茯苓 知母（炒） 芎 （各二钱）
上五味。水煎。温分二服。 深师。加生姜。便溏。去知母加人参。服此盗汗不止。去芎 加
芍药。怔忡。去知母、芎 。加人参、黄 、当归、陈皮、莲肉。
大黄 虫丸（金匮） 治五劳虚极。羸瘦腹满。不能饮食。内有干血。肌肤甲错。两目黯黑。
宜用此方。攻其恶血。然后补
之。
大黄（二钱半。） 黄芩（二钱。） 甘草（三钱） 桃仁（一合） 杏仁（一合） 干地黄
（一两） 芍药（四钱）
干漆（ 令烟尽。一钱） 虻虫（一合） 水蛭（十枚。猪脂熬。） 蛴螬（一合） 虫（半合
）
上十二味。为末。蜜丸如小豆大。温酒服五十丸。日三服。
百劳丸 治一切劳瘵积滞疾。不经药坏者宜服。
当归（炒） 乳香 没药（各一钱） 人参（二钱） 大黄（四钱） 栀子（十四枚。
去皮熬。） 虻虫（十四枚） 水蛭（十四枚。熬黑）
为末。炼白蜜丸。梧子大。每服百丸。百劳水下。取下恶物为度。服白粥十日。百劳水。以杓
扬之百遍。然后煮沸。即甘澜水法也。
琼玉膏 治虚劳干咳。喉中血腥。肠中隐痛。
鲜地黄（四十两） 人参（另为末） 白茯苓（另为末。各十两） 沉香（另研） 琥珀（另
研。各半两）
先以地黄熬膏。点纸上不渗。入人参、茯苓末。并入糖晶二十两。搅匀熔化。离火。再入琥珀
、沉香和匀。瓷罐收藏。清晨午前。温酒服数匙。沸汤亦可。
四味鹿茸丸 治肝肾督脉皆虚。咳嗽吐血。脉虚无力。上热下寒。
鹿茸（酥炙。另捣成泥） 五味子 当归身（各一两） 熟地黄（二两）
为细末。酒和丸梧子大。每服四五十丸。空腹温酒送下。
济生鹿茸丸（作汤。名生料鹿茸丸） 治肾脏真肠久虚。下体痿弱。疼痛喘嗽。水泛为痰。
鹿茸（酒炙） 牛膝（盐酒炒。） 五味子（各二两） 石斛 巴戟肉 附子（炮。） 川楝
肉（酒蒸） 山药 肉桂 杜仲（盐酒炒。） 泽泻（盐水炒。各一两） 沉香（另研。五钱）
为末。酒糊丸梧子大。每服七十丸。侵晨温酒下。俗本尚多白棘、菟丝、磁石、阳起石四味。
安肾丸 治肾虚风袭。下体痿弱疼痛。不能起立。
肉桂 川乌头（炮。各一两五钱） 白蒺藜（炒。去刺。） 巴戟天（去骨。） 薯蓣（姜汁
炒。） 茯苓 石斛（酒炒）
川萆 （炒） 白术 肉苁蓉（酒浸去腐） 补骨脂（炒。各四两八钱）
为末。炼蜜丸梧子大。每服七十丸。空腹盐汤。临卧温酒下。肾脏为风寒所袭。所以不安。故
用乌头、蒺藜祛风散寒之剂。风去则肾自安。原无事于温补也。其他桂、苓、术、 、脂、戟、苁
、斛。虽曰兼理脾肾。而实从事乎祛湿利水。只缘醉饱入房。汗随风蔽。所以肢体沉重。非藉疏通
沟洫。病必不除。因仿佛地黄饮子而为制剂。彼用地黄、菖、志、冬、味、萸、附以交心肾之气。
此用蒺、 、术、蓣、骨、脂、乌头以祛坎陷之风。与崔氏八味丸。迥乎不同也。四乌 骨一芦茹
丸。（素问） 治气竭肝伤。脱血血枯。妇人血枯经闭。丈夫阴痿精伤。
乌 骨（四两。即乌贼骨） 芦菇（一两。本草作茹芦。即茜根。）
丸以雀卵。大如小豆。以五丸为后饭。饮以鲍鱼汁。利肠中及伤肝也。 内经之方不多见。仅
仅数方。世都弃置不
讲。况甲乙太素误作 茹。致王太仆亦作 菇性味训解。所以目睹其方。究竟不识为何物尔。尝考
本草二味。并皆走血。故内经以之治气竭伤肝。血枯经闭等证。丸以雀卵。饮以鲍鱼汁者。取异类
有情。以暖肾调肝。则虚中留结之干血。渐化黄水而下矣。后饭者。先药后饭。使药力下行也。惟
金水二脏。阴虚阳扰。喘嗽失血。强中滑精者禁用。以其专主温散。而无涵养真阴之泽也。 或问
乌茹芦。俱搜血之品。如何可治血枯经闭之疾。答曰。夫血枯经闭。非纯虚而经绝不行也。良由
气竭肝伤。干血内结。以故营血不能内藏。如胸胁支满目眩。血结肝部也。闻腥臊妨于食。血结胃
脘也。出清涕。胃气衰而浊逆清道也。凡崩淋胞痹诸证。若沃以汤。上为清涕。皆阳衰不能灌注精
微。败残之液。悉化为涕。得汤气蒸而上走空窍也。是知血枯经闭。心以清理干血为首务。故金匮
治五劳虚极羸瘦。内有干血。用大黄 虫丸。由此而推。胞痹精伤。亦必清理败浊为首务。盖大黄
虫丸。一派破瘀之味。较乌 芦茹丸之搜血。猛竣白倍耳。 又问雀卵以时而生。急需未可必得
。奈何。答曰。大匠在乎绳墨。不拘物料。皆可成器。雀卵功专暖肾。如无。雀肉煮捣可代。鸡卵
及肝亦可代。鸡属巽而肝主血也。活法在人。可执一哉。
花蕊石散（局方） 治气虚血凝。瘀积壅聚。胸膈作痛。宜用重剂竭之。
花蕊石（五两。碎。产硫黄山中。状如黄石。中有黄点如花之心。故名花蕊。近世皆以玲珑如
花蕊者伪充。欲试真伪。 过置血上血即化水者真。） 硫黄（二两。）
上二味。同入炀成罐内。盐泥封固。 一伏时。研如面。每用二钱。食远童便调服。妇人产后
血逆血晕。胞衣不下。或子死腹中。俱宜服之。瘀血化为黄水。然后以独参汤调之。
十灰散 治虚劳吐血咯血。先用此遏之。
大蓟 小蓟 柏叶 薄荷 茜根 茅根 山栀
大黄 牡丹皮 棕榈皮（等分。）
各烧灰存性。纸裹盖地上一夕。食远服二三钱。童便调下。 花蕊石散为破血之峻剂。功专化
血为水。而世畏其峻。罕能用之。葛可久言。暴血成升斗者。宜花蕊石散。若病久涉虚。及肝肾二
家之血。非其所宜。且与十灰散。并举而言。不分寒热主治。所以后世不能无误用之失。当知十灰
散。专主火炎上涌之血。倘误用以治阴邪固结之证。为害犹轻。若误用花蕊石散治血热妄行之病。
为患莫测。况血热妄行。十常八九。阴邪固结。十无一二。所以举世医者病者。俱畏之如蝎。遂致
置而不讲。乃致一切阴邪暴涌之血。悉皆委之莫救。岂其命耶。
瑞金丹 治虚劳吐红瘀结者。
川大黄（酒拌。炒黑至黄烟起为度） 真秋石（各一两）
上杵为细末。煮红枣肉为丸。小豆大。空腹簿荷汤下二钱。瘀在心包。不时惊悸。面赤神昏者。
加真郁金三钱。（皮色如梧桐子纹皱者真） 瘀在胃。吐血成盆者。犀角地黄汤送下。
童真丸 治虚劳吐血。气虚喘嗽。
真秋石 川贝母（去心。等分）
上二味。煮红枣肉为丸。空腹薄荷汤下二钱。 如脉虚气耗。加人参。若脉细数为阴虚。禁用
人参。加牡丹皮。脾虚溏泄。加山药、茯苓、炙甘草。
龟鹿二仙膏 治督任俱虚。精血不足。
鹿角胶（一斤） 龟版胶（半斤） 枸杞（六两） 人参（四两。另为细末） 桂圆肉（六两
）
上五味。以杞、圆煎膏。炼白蜜收。先将二胶酒浸。烊杞圆膏中。候化尽。入人参末。瓷罐收
贮。清晨醇酒调服五六钱。
聚精丸 治肾虚封藏不固。
鳔胶（白净者。一斤。碎切。蛤粉或牡蛎粉炒成珠。再用乳酥拌炒则不粘韧） 沙苑蒺藜（
五两。乳浸一宿。隔汤蒸一炷香。晒干勿炒。）
为细末。炼白蜜中加入陈酒再沸。候蜜将冷为丸。不可热捣。热捣则胶粘难丸。丸如绿豆大。
空心温酒或白汤下八九十丸。忌诸鱼牛肉。 张景岳加五味二两。
大补黄庭丸 治虚劳食少便溏。不宜阴药者。
人参（一两） 茯苓（一两） 山药（二两）
上为末。用鲜紫河车一具。用河水二升。稍入白蜜。隔水熬膏。代蜜为丸。空心淡盐汤下三
钱。
巽顺丸 治妇人倒经。血溢于上。男子咳嗽吐血。左手关尺脉弦。背上畏寒。有瘀血者。
乌骨白丝毛鸡（一只。男雌女雄。取嫩长者。溺倒。泡去毛。竹刀剖胁出肫肝。去秽。留内金。
并去肠垢。仍入腹内。） 乌 骨（童便浸。晒干为末。微炒黄。取净四两）
茹芦（去梢。酒洗。切片。净一两。即茜根） 鲍鱼（切薄片。四两。）
上三味。入鸡腹内。用陈酒、童便各二碗。水数碗。砂锅中旋煮旋添。糜烂汁尽。捣烂焙干。
骨用稣炙。共为细末。干山药末调糊为丸。梧子大。每服五七十丸。空心百劳水下。（百劳水见。
百劳丸下。）
乌骨鸡丸（秘旨） 治妇人郁结不舒。蒸热咳嗽。月事不调。或久闭不行。或倒经血溢于上。
或产后褥劳。或崩淋不止。及带下赤白白淫诸证。兼疗男子斫丧太早。劳嗽吐红。成虚损者。
乌骨白丝毛鸡（一只。男雌女雄。制法同巽顺丸） 北五味（一两。碎） 熟地黄（四两。如血
热。加生地黄二两）
上二味。入鸡腹内。用陈酒、酒酿、童便于砂锅中煮。如巽顺丸。
绵黄 （去皮。蜜酒拌炙。） 于术（饭上蒸九次。各三两） 白茯苓（去皮。） 当归身（
酒洗。） 白芍药（酒炒。各二两）
上五味。预为粗末。同鸡肉捣烂焙干。骨用酥炙。共为细末。入下项药。
人参（三两。虚甚加至六两） 牡丹皮（二两。酒净。勿炒） 川芎（一两。童便浸。切晒）
上三味。各为细末。和前药中。另用干山药末六两打糊。众手丸成。晒干勿令馊。瓷罐收贮。
侵晨人参汤或沸汤送下三钱。卧时醇酒再服二钱。大便实者。炼白蜜为丸亦可。 骨蒸寒热。加九
肋鳖甲三两。银柴胡、地骨皮各一两五钱。经闭。加肉桂一两。崩漏下血。倍熟地。加真阿胶二两
。倒经血溢。加麦门冬二两。郁结痞闷。加童便制香附二两。沉香半两。赤白带下。加真川萆 二
两。四制香附二两。蕲艾一两。白淫。倍用参、 、苓、术。按乌骨鸡丸。诸药皆平常无奇。而调
经最验。盖鸡属巽补肝。尤妙在乌骨益肾。变巽归坎。甲癸同源。兼滋冲任也。孙真人云。自古名
贤治病。多用生命以济危急。虽曰贵人贱畜。至于爱命。人畜一也。如白凤膏、乌骨鸡丸等方。为
虚损门中调经要药。在证治之所必需者。不得已而用之。以人命至重。非 飞蠕动之比。苟有他方
可以代充取效。尤为曲体天地好生之心。倘用之无济。徒伤生命。以为财利之谋。仁人君子。谅不
为之也。
逍遥散（局方） 治肝气抑郁。寒热咳嗽。月事不调。
柴胡（七分炒。） 白术（蜜水拌蒸。一钱） 茯苓（一钱） 甘草（炙。八分） 当归（一
钱） 白芍（酒炒。一钱五分）
陈皮（略去白。八分。干咳用蜜制） 薄荷叶（五分） 煨姜（三片）
上九味。水煎。半饥时服。
加味逍遥散。
逍遥散加牡丹皮一钱五分。炒黑山栀一钱。 脾虚食少便溏。去山栀易香附。 此本八珍汤。
去参之益气。芎之上窜。地之腻膈。而加入柴胡、陈皮、薄荷以疏肝气。姜用煨者。取其守中而不
致于辛散僭上也。加丹皮、山栀者。以清上下之火也。
芎归血余散 治传尸劳瘵面赤。五心烦热。
室女顶门生发（一团。洗净。 存性。） 芎 （童便浸。切五钱） 当归（三钱） 木香
桃仁（去皮。各二钱）
真安息香（如无。苏合香油代之） 雄黄（各一钱） 全蝎（三枚。不去毒。炒香） 降真
香（五分）
獭肝（一具。如无。以江上大鲤鱼头活截一枚代之。酥炙。）
为散。新汲水煎。月初五更。空腹服头导。日午服二导。
鳖甲生犀散 治传尸劳瘵。脾虚唇面手足清。
天灵盖（一具。酥炙。男者色不赤黑。可用。女者有赤黑色勿用。） 鳖甲（九肋者。一枚。
酥炙） 虎长牙（一枚。酥炙） 安息香 桃仁（去皮）
尖槟榔（各半两） 生犀角（镑。） 木香 甘遂 降真香 干漆（炒令烟尽） 真阿魏（酒
研。各三钱）
雷丸（二钱） 穿山甲（取四趾尾尖上者。土炒。三钱） 全蝎（三枚。醋泡。炒香） 地龙（七
枚。生研和药）
上为细末。每服半两。先用香豉四十九粒。连须葱白七茎。石臼杵烂。新汲水碗半。童便半碗
。纳药末。煎取七分。入麝香一字。月初五更空腹温服。少时必泻出虫。以净桶盛之。钳取付烈火
焚之。如泻不止。 龙骨、炒黄连等分为末。沸汤下五钱。次日用白梅粥补之。
传尸丸 治传尸劳瘵。初起元气未败者。
鳗鲡鱼（半斤外者。七条）
甑中先铺薄荷叶四两。入鳗在内。掺干山药粗末斤余。锅内入去心百部一斤。煮三炷香。候鳗
烂极去薄荷。取鳗与山药连骨捣烂。焙为末。炼白蜜丸。侵晨临卧沸汤各服五钱。
【薯蓣丸】（出自《金匮要略》）治疗虚劳病各种不足之证，以及风邪侵袭引起的多种疾病。
薯蓣（即山药。二两。） 当归 桂枝 神曲 干地黄 大豆黄卷（各七钱半） 甘草（炙。一两二钱） 人参 阿胶（各五钱） 川芎 芍药 麦门冬 白术 杏仁 防风 柴胡 桔梗 茯苓（各四钱） 干姜（二钱） 白蔹（一钱半） 大枣（五十枚。熬成膏状。）
以上二十一味药，研成细末，用炼过的白蜜调和制成丸药，大小如弹子。空腹时服用一丸，一百丸作为一剂的量。
【酸枣汤】（出自《金匮要略》）治疗虚劳病导致的虚烦不安、无法入睡，以及盗汗。
酸枣仁（炒。半两） 甘草（炙。一钱） 茯苓 知母（炒） 川芎（各二钱）
以上五味药，用水煎煮，分两次温服。《深师方》中加生姜。如果大便溏稀，去掉知母，加入人参。如果服用此方后盗汗仍不止，去掉川芎，加入芍药。如果出现心悸怔忡，去掉知母和川芎，加入人参、黄芪、当归、陈皮、莲肉。
【大黄䗪虫丸】（出自《金匮要略》）治疗五劳（久视伤血、久卧伤气、久坐伤肉、久立伤骨、久行伤筋）导致的极度虚弱，身体消瘦，腹部胀满，不能进食，体内有干结的瘀血，皮肤粗糙如鳞甲，两眼暗黑。应当使用此方攻逐恶血，然后再进行补益。
大黄（二钱半。） 黄芩（二钱。） 甘草（三钱） 桃仁（一合） 杏仁（一合） 干地黄（一两） 芍药（四钱）
干漆（烧至烟尽。一钱） 虻虫（一合） 水蛭（十枚。用猪脂熬制。） 蛴螬（一合） 䗪虫（半合）
以上十二味药，研成细末，用蜂蜜制成小豆大小的丸药。用温酒送服五十丸，每日三次。
【百劳丸】治疗各种劳瘵积滞疾病，未经药物误治损害者适宜服用。
当归（炒） 乳香 没药（各一钱） 人参（二钱） 大黄（四钱） 栀子（十四枚。去皮后熬制。） 虻虫（十四枚） 水蛭（十四枚。熬至黑色）
研成细末，用炼过的白蜜制成梧桐子大小的丸药。每次服用一百丸，用百劳水送服，以下出恶物为限度。服药后吃白粥十天。百劳水的制作方法：用勺子扬水一百遍，然后煮沸，这就是甘澜水的方法。
【琼玉膏】治疗虚劳引起的干咳，喉中有血腥味，肠中隐痛。
鲜地黄（四十两） 人参（单独研成细末） 白茯苓（单独研成细末，各十两） 沉香（单独研磨） 琥珀（单独研磨，各半两）
先将地黄熬成膏，滴在纸上不渗透为止，加入人参、茯苓的细末，并加入糖晶二十两，搅拌均匀熔化。离火后，再加入琥珀、沉香混合均匀。装入瓷罐收藏。清晨午前，用温酒送服数匙，沸水也可。
【四味鹿茸丸】治疗肝、肾及督脉皆虚，咳嗽吐血，脉象虚弱无力，上部热下部寒。
鹿茸（用酥油炙烤，单独捣成泥状） 五味子 当归身（各一两） 熟地黄（二两）
研成细末，用酒调和制成梧桐子大小的丸药。每次服用四五十丸，空腹时用温酒送下。
【济生鹿茸丸】（作汤剂时名为生料鹿茸丸）治疗肾脏真气长久虚弱，下肢痿弱，疼痛气喘咳嗽，水液泛滥形成痰饮。
鹿茸（酒炙） 牛膝（盐酒炒） 五味子（各二两） 石斛 巴戟天肉 附子（炮制） 川楝子肉（酒蒸） 山药 肉桂 杜仲（盐酒炒） 泽泻（盐水炒，各一两） 沉香（单独研磨，五钱）
研成细末，用酒糊制成梧桐子大小的丸药。每次服用七十丸，清晨用温酒送下。普通版本中还多加白棘、菟丝子、磁石、阳起石四味药。
【安肾丸】治疗肾虚受风邪侵袭，下肢痿弱疼痛，不能站立。
肉桂 川乌头（炮制，各一两五钱） 白蒺藜（炒，去刺） 巴戟天（去骨） 薯蓣（姜汁炒） 茯苓 石斛（酒炒）
川萆薢（炒） 白术 肉苁蓉（酒浸去腐） 补骨脂（炒，各四两八钱）
研成细末，用炼蜜制成梧桐子大小的丸药。每次服用七十丸，空腹用盐汤送服，临睡前用温酒送服。肾脏被风寒侵袭，所以不安宁，因此使用乌头、蒺藜来祛风散寒。风邪去除则肾自安，原本不需要温补。其他如桂、苓、术、萆薢、补骨脂、巴戟天、肉苁蓉、石斛，虽然说是兼顾调理脾肾，但实际上是从事于祛湿利水。只因为醉饱之后入房，汗水随风邪闭塞毛孔，导致肢体沉重，不借助疏通水道，病必定不能消除。这方剂仿佛是仿照地黄饮子而制成的制剂。地黄饮子用地黄、石菖蒲、远志、麦冬、五味子、山茱萸、附子来交通心肾之气；此方用蒺藜、萆薢、白术、薯蓣、补骨脂、乌头来祛除坎陷之风。与崔氏八味丸截然不同。
【四乌鲗骨一藘茹丸】（出自《素问》）治疗气竭肝伤，脱血血枯。妇女血枯经闭，男子阳痿精伤。
乌鲗骨（四两。即乌贼骨） 藘茹（一两。本草作茹芦，即茜根。）
用雀卵做丸，大小如小豆。饭后服用五丸，饮用鲍鱼汁。这是为了通利肠道及修复肝脏损伤。《内经》中的方剂不多见，仅有这几首，世人都弃置不讲。况且《甲乙经》《太素》误作“蘧茹”，导致王冰也对其性味进行训解，所以亲眼看到方子，终究不知道是什么东西。我曾考证本草，这两味药都走血分，所以《内经》用它们治疗气竭伤肝、血枯经闭等证。用雀卵做丸，饮用鲍鱼汁，是取异类有情之物，以温暖肾脏、调理肝脏，那么虚损中留结的干血，就会逐渐化为黄水而下泄。后饭，是指先服药后进食，使药力下行。只有金水二脏阴虚阳扰，出现喘嗽失血、强中滑精的人禁用。因为这方剂专门主司温散，而没有涵养真阴的功效。有人问：乌鲗骨、藘茹都是搜刮血分的药物，怎么能治疗血枯经闭的疾病？回答说：血枯经闭，不是纯粹的虚损导致经脉断绝不行。确实是因为气竭肝伤，干血内结，导致营血不能内藏，如胸胁支撑胀满、目眩，这是血结在肝部；闻到腥臊气味妨碍饮食，这是血结在胃脘；流出清涕，是胃气衰败而浊气逆犯清道。凡是崩漏淋证、胞痹等各种证候，如果用热汤浇灌，上面表现为清涕，都是因为阳气衰败不能灌注精微，败残的液体全部化为鼻涕，得到热气蒸腾而上走空窍。由此可知，治疗血枯经闭，清理干血是首要任务。所以《金匮要略》治疗五劳虚极羸瘦，内有干血，使用大黄䗪虫丸。由此推论，胞痹精伤，也必然以清理败浊为首要任务。可以说大黄䗪虫丸是一派破瘀的药物，比四乌鲗骨一藘茹丸的搜血作用猛烈百倍。又问：雀卵按时而生，急需时未必能得到，怎么办？回答说：高明的工匠在于运用规矩绳墨，不拘泥于物料，都可以成为器具。雀卵功效专于暖肾，如果没有，可以用雀肉煮烂捣碎代替，鸡蛋及鸡肝也可以代替。鸡属巽卦，肝主血。灵活变通在于人，怎能固执一端呢？
【花蕊石散】（出自《太平惠民和剂局方》）治疗气虚血凝，瘀积壅聚，胸膈作痛，应当使用重剂来穷尽瘀血。
花蕊石（五两。打碎，产于硫黄山中，形状像黄石，中间有黄点像花的心，所以名叫花蕊。近世都用玲珑像花蕊的石头伪充。想要测试真伪，将石头放在血上，血即化为水的就是真的。） 硫黄（二两。）
以上两味药，一同放入熔化的铁罐内，用盐泥封固，煅烧一个时辰，研成面粉状。每次用二钱，饭后很久用童便调服。妇人产后血逆血晕，胞衣不下，或胎儿死在腹中，都适宜服用。瘀血化为黄水后，然后用独参汤调服。
【十灰散】治疗虚劳引起的吐血、咯血，先用此方遏制出血。
大蓟 小蓟 柏叶 薄荷 茜根 茅根 山栀
大黄 牡丹皮 棕榈皮（等分。）
分别烧成炭存性，用纸包裹盖在地上过夜。饭后服用二三钱，用童便调下。花蕊石散是破血的峻猛药剂，功效专门是将血化为水，但世人畏惧其峻猛，很少能用它。葛可久说，暴发性出血成升斗量的，适宜用花蕊石散。如果病久涉及虚损，以及肝肾两家的血证，就不适宜用它了。而且它与十灰散并举而言，不分寒热主治，所以后世难免有误用的失误。应当知道十灰散专门主治火炎上涌的出血，如果误用来治疗阴邪固结的证候，危害还较轻。如果误用花蕊石散治疗血热妄行的病，祸患不可估量。况且血热妄行，十常八九，阴邪固结，十无一二。所以举世医生和病人，都畏惧它如蝎子一样，于是把它放置不讲，导致一切阴邪暴涌的出血，全都委托给无法救治的命运，这难道是命吗？
【瑞金丹】治疗虚劳吐血且有瘀结者。
川大黄（酒拌，炒黑至冒黄烟为度） 真秋石（各一两）
以上两味杵成细末，煮红枣肉做丸，大小如小豆。空腹用薄荷汤送服二钱。瘀在心包，不时惊悸，面赤神昏的，加真郁金三钱。（皮色像梧桐子纹理皱缩的是真的）瘀在胃，吐血成盆的，用犀角地黄汤送下。
【童真丸】治疗虚劳吐血，气虚喘嗽。
真秋石 川贝母（去心，等分）
以上两味，煮红枣肉做丸，空腹用薄荷汤送服二钱。如果脉虚气耗，加人参。如果脉细数为阴虚，禁用人参，加牡丹皮。脾虚溏泄，加山药、茯苓、炙甘草。
【龟鹿二仙膏】治疗督脉、任脉俱虚，精血不足。
鹿角胶（一斤） 龟版胶（半斤） 枸杞（六两） 人参（四两，另研成细末） 桂圆肉（六两）
以上五味，用枸杞、桂圆煎膏，用炼过的白蜜收膏。先将两种胶用酒浸泡，溶化在枸杞桂圆膏中，等待完全融化，加入人参末，装入瓷罐贮存。清晨用纯酒调服五六钱。
【聚精丸】治疗肾虚封藏不固。
鳔胶（白色的，一斤，切碎，用蛤粉或牡蛎粉炒成珠状，再用乳酥拌炒则不粘韧） 沙苑蒺藜（五两，用乳汁浸泡一夜，隔水蒸一炷香的时间，晒干不要炒。）
研成细末，在炼过的白蜜中加入陈酒再煮沸，等待蜜将冷时做成丸药，不可热捣，热捣则胶粘难以成丸。丸药如绿豆大，空腹用温酒或白开水送服八九十丸。忌食各种鱼牛肉。张景岳加了五味子二两。
【大补黄庭丸】治疗虚劳食少便溏，不宜用阴药者。
人参（一两） 茯苓（一两） 山药（二两）
以上研成细末，用新鲜紫河车一个，用河水二升，稍加白蜜，隔水熬成膏，代替蜜来做丸。空腹用淡盐汤送服三钱。
【巽顺丸】治疗妇人倒经，血溢于上。男子咳嗽吐血，左手关尺脉弦，背上畏寒，有瘀血者。
乌骨白丝毛鸡（一只，男雌女雄，选取嫩长的，倒尿，泡去毛，用竹刀剖开胁部取出肫肝，去秽物，保留内金，并去掉肠垢，仍放回腹内。） 乌鲗骨（童便浸，晒干研末，微炒黄，取净四两）
藘茹（去梢，酒洗，切片，净一两，即茜根） 鲍鱼（切薄片，四两。）
以上三味，放入鸡腹内，用陈酒、童便各二碗，水几碗，在砂锅中边煮边添，煮至糜烂汁尽，捣烂焙干。乌鲗骨用酥油炙烤，共同研成细末，用干山药末调糊做丸，梧桐子大。每次服用五七十丸，空腹用百劳水送下。（百劳水见前文百劳丸下。）
【乌骨鸡丸】（出自《秘旨》）治疗妇人郁结不舒，蒸热咳嗽，月经不调，或久闭不行，或倒经血溢于上，或产后褥劳，或崩漏不止，以及带下赤白淫诸证。兼治男子斫丧太早，劳嗽吐红，成为虚损者。
乌骨白丝毛鸡（一只，男雌女雄，制作方法同巽顺丸） 北五味（一两，打碎） 熟地黄（四两，如果血热，加生地黄二两）
以上两味，放入鸡腹内，用陈酒、酒酿、童便在砂锅中煮，如同巽顺丸的做法。
绵黄芪（去皮，蜜酒拌炙） 于术（饭上蒸九次，各三两） 白茯苓（去皮） 当归身（酒洗） 白芍药（酒炒，各二两）
以上五味，预先做成粗末，同鸡肉捣烂焙干。乌鲗骨用酥油炙烤，共同研成细末，加入下列药物。
人参（三两，虚甚加至六两） 牡丹皮（二两，酒洗净，不要炒） 川芎（一两，童便浸，切晒）
以上三味，各自研成细末，和前药混合，另外用干山药末六两打糊，众人一起搓丸，晒干不要让它发霉。装入瓷罐贮存。清晨用人参汤或沸水送服三钱，睡觉时再用纯酒服二钱。大便干燥结实者，也可以用炼过的白蜜做丸。骨蒸寒热，加九肋鳖甲三两，银柴胡、地骨皮各一两五钱。经闭，加肉桂一两。崩漏下血，加倍熟地，加真阿胶二两。倒经血溢，加麦门冬二两。郁结痞闷，加童便制香附二两，沉香半两。赤白带下，加真川萆薢二两，四制香附二两，蕲艾一两。白淫，加倍用人参、黄芪、茯苓、白术。按乌骨鸡丸，诸药皆平常无奇，但调经最灵验。大概鸡属巽卦补肝，尤其妙在乌骨益肾，变巽归坎，甲癸同源，兼滋冲任。孙真人说：自古名贤治病，多用生命来救济危急。虽然说贵人贱畜，至于爱惜生命，人和畜是一样的。如白凤膏、乌骨鸡丸等方，是虚损门中调经的要药，在证治所必需的，不得已才使用。因为人命至重，不像飞鸟昆虫那样轻贱。如果有其他方子可以替代取效，更是体恤天地好生之心。如果使用它没有效果，徒然伤害生命，如果是为了谋取财利，仁人君子想必不会这样做。
【逍遥散】（出自《太平惠民和剂局方》）治疗肝气抑郁，寒热咳嗽，月经不调。
柴胡（七分炒） 白术（蜜水拌蒸，一钱） 茯苓（一钱） 甘草（炙，八分） 当归（一钱） 白芍（酒炒，一钱五分）
陈皮（略去白，八分，干咳用蜜制） 薄荷叶（五分） 煨姜（三片）
以上九味，用水煎煮，在半饥时服用。
【加味逍遥散】
逍遥散加牡丹皮一钱五分，炒黑山栀一钱。脾虚食少便溏，去掉山栀换用香附。此方本源于八珍汤，去掉人参的益气，川芎的上窜，地黄的腻膈，而加入柴胡、陈皮、薄荷来疏肝气。姜用煨制的，是取其守中而不致于辛散僭上。加丹皮、山栀，是为了清上下之火。
【芎归血余散】治疗传尸劳瘵面赤，五心烦热。
室女顶门生发（一团，洗净，煅存性） 川芎（童便浸，切五钱） 当归（三钱） 木香 桃仁（去皮，各二钱）
真安息香（如果没有，苏合香油代替） 雄黄（各一钱） 全蝎（三枚，不去毒，炒香） 降真香（五分）
獭肝（一个，如果没有，用江上大鲤鱼头活截一个代替，酥炙。）
研成散剂，新汲水煎煮。月初五更时分，空腹服头导，日午服二导。
【鳖甲生犀散】治疗传尸劳瘵，脾虚唇面手足清冷。
天灵盖（一个，酥炙，男性的颜色不赤黑的可用，女性的有赤黑色的不要用） 鳖甲（九肋的，一个，酥炙） 虎长牙（一个，酥炙） 安息香 桃仁（去皮）
尖槟榔（各半两） 生犀角（镑） 木香 甘遂 降真香 干漆（炒令烟尽） 真阿魏（酒研，各三钱）
雷丸（二钱） 穿山甲（取四趾尾尖上的，土炒，三钱） 全蝎（三枚，醋泡，炒香） 地龙（七枚，生研和药）
以上研成细末。每次服用半两，先用香豉四十九粒，连须葱白七茎，石臼杵烂，新汲水半碗，童便半碗，纳入药末，煎取七分，加入麝香一字，月初五更空腹温服。不久必定泻出虫子，用干净的桶盛住，钳取付烈火焚烧。如果泻不止，用龙骨、炒黄连等分为末，沸水送服五钱。次日用白梅粥补养。
【传尸丸】治疗传尸劳瘵，初起元气未败者。
鳗鲡鱼（半斤以上的，七条）
甑中先铺薄荷叶四两，放入鳗鱼在内，掺干山药粗末一斤多，锅内放入去心的百部一斤，煮三炷香的时间，等鳗鱼烂透去掉薄荷，取鳗鱼与山药连同骨头捣烂，焙干研末，炼白蜜做丸。清晨临睡前用沸水各服五钱。
[Shuyu Wan] (from *Jingui Yaolue*) Treats various deficiencies in Xu Lao (consumptive disease) and numerous ailments caused by wind pathogens.
Shuyu (i.e., Dioscoreae Rhizoma, two liang.) Danggui (Angelicae Sinensis Radix), Guizhi (Cinnamomi Ramulus), Qu (Saccharomyces), Dihuang (Rehmanniae Radix), Dayouhuangjuan (Sojae Semen Praeparatum) (each seven qian half), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one liang two qian), Renshen (Ginseng Radix), Ejiao (Asini Corii Colla) (each five qian), Xiong (Chuanxiong Rhizome), Shaoyao (Paeoniae Radix), Maimendong (Ophiopogonis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Xingren (Armeniacae Semen Amarum), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), Fuling (Poria) (each four qian), Jiangjiang (Zingiberis Rhizoma), Bailian (Tinosporae Caulis), Dazao (Ziziphi Jujubae Fructus, fifty fruits, made into paste).
The above twenty-one ingredients are ground into fine powder, mixed with refined white honey to form pills the size of a bullet. Take one pill on an empty stomach; one hundred pills constitute one dose.
[Suanzaoren Tang] (from *Jingui Yaolue*) Treats deficiency heat causing restlessness and insomnia, and night sweats due to Xu Lao.
Suanzaoren (Ziziphi Spinosae Semen, fried, half liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, one qian), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma, fried), Xiong (Chuanxiong Rhizome) (each two qian).
The above five ingredients are decocted in water and taken warm in two divided doses. The *Shen Shi Fang* adds Shengjiang (Zingiberis Rhizoma). If loose stools occur, remove Zhimu and add Renshen. If night sweats persist after taking this formula, remove Xiong and add Shaoyao. For palpitations (Zhengchong), remove Zhimu and Xiong, and add Renshen, Huangqi (Astragali Radix), Danggui, Chenpi (Citri Reticulatae Pericarpium), and Lianrou (Nelumbinis Semen).
[Dahuang Zhechong Wan] (from *Jingui Yaolue*) Treats extreme debility from the Five Exhaustions, emaciation, abdominal fullness, inability to eat, internal dry blood, rough skin resembling scales, and dark eyes. This formula should be used to attack and expel the evil blood before tonifying.
Dahuang (Rhei Radix et Rhizoma, two qian half), Huangqin (Scutellariae Radix, two qian), Gancao (Glycyrrhizae Radix et Rhizoma, three qian), Taoren (Persicae Semen, one he), Xingren (Armeniacae Semen Amarum, one he), Dihuang (Rehmanniae Radix, one liang), Shaoyao (Paeoniae Radix, four qian).
Ganqi (Drynariae Rhizoma? Note: Text says Ganqi but context implies Drynaria or similar resinous substance, traditionally processed until smoke ceases, one qian), Mengchong (Blattidae/Insect, one he), Shuizhi (Hirudo, ten pieces, fried in pig fat), Qicao (Silkworm larva, one he), Zhechong (Eupolyphaga/Steleophaga, half he).
The above twelve ingredients are ground into fine powder and formed into pills the size of small beans with honey. Take fifty pills with warm wine, three times daily.
[Bilao Wan] Treats all types of consumptive diseases with stagnation. Suitable for those not yet damaged by improper medication.
Danggui (Angelicae Sinensis Radix, fried), Ruxiang (Olibanum), Moyao (Myrrha) (each one qian), Renshen (Ginseng Radix, two qian), Dahuang (Rhei Radix et Rhizoma, four qian), Zhizi (Gardeniae Fructus, fourteen fruits, peeled and fried), Mengchong (Blattidae/Insect, fourteen pieces), Shuizhi (Hirudo, fourteen pieces, fried until black).
Ground into fine powder, mixed with refined white honey to form pills the size of wu zi (wuju fruit seeds). Take one hundred pills per dose, administered with Bilao Water. Stop when evil matter is expelled. Eat plain white porridge for ten days. Bilao Water is made by stirring water vigorously with a ladle one hundred times, then boiling it (also known as Ganlan Water).
[Qiongyu Gao] Treats dry cough due to Xu Lao, bloody taste in the throat, and dull pain in the intestines.
Xian Dihuang (Fresh Rehmanniae Radix, forty liang), Renshen (Ginseng Radix, separately ground into powder), Baifuling (White Poria, separately ground into powder, each ten liang), Chenxiang (Aquilaria Lignum), Hupo (Fossilia Subcorium, separately ground into powder, each half liang).
First, decoct the fresh Dihuang into a paste until it does not soak into paper. Add the powders of Renshen and Fuling, along with twenty liang of sugar crystals, stir evenly until melted. Remove from fire, then add Hupo and Chenxiang, mix well, and store in a porcelain jar. Take several spoonfuls with warm wine in the early morning before noon; boiling water is also acceptable.
[Siwei Lurong Wan] Treats deficiency of the Liver, Kidney, and Du Mai (Governing Vessel), coughing up blood, weak pulse, upper heat and lower cold.
Lurong (Deer Antler Glue/Bone, roasted with butter, separately pounded into paste), Wuweizi (Schisandrae Fructus), Dangguishen (Angelicae Sinensis Radix, body only) (each one liang), Shudihuang (Prepared Rehmanniae Radix, two liang).
Ground into fine powder, mixed with wine to form pills the size of wu zi. Take forty to fifty pills per dose, swallowed with warm wine on an empty stomach.
[Jisheng Lurong Wan] (When made as a decoction, named Shengliao Lurong Wan) Treats long-term deficiency of true Qi in the Kidneys, weakness and pain in the lower body, wheezing and coughing, and fluid retention transforming into phlegm.
Lurong (Deer Antler Bone, wine-roasted), Niuxi (Achyranthis Bidentatae Radix, salt-wine fried), Wuweizi (Schisandrae Fructus) (each two liang), Shihu (Dendrobii Caulis), Bajitourou (Morinda Officinalis Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Chuanleirou (Toosendan Fructus, wine-steamed), Shanyao (Dioscoreae Rhizoma), Rougui (Cinnamomi Cortex), Duzhong (Eucommiae Cortex, salt-wine fried), Zexie (Alismatis Rhizoma, salt-water fried) (each one liang), Chenxiang (Aquilaria Lignum, separately ground, five qian).
Ground into fine powder, mixed with wine paste to form pills the size of wu zi. Take seventy pills per dose, swallowed with warm wine in the early morning. Common versions also include Baiji (Spina Gleditsiae), Tusizi (Cuscutae Semen), Cishi (Magnetitum), and Yangqishi (Leucogypsum Fibrosum).
[Anshen Wan] Treats Kidney deficiency with wind invasion, causing weakness and pain in the lower body and inability to stand.
Rougui (Cinnamomi Cortex), Chuan Wutou (Aconiti Radix Praeparata, each one liang five qian), Bailili (Tribuli Fructus, fried, thorns removed), Bajitian (Morindae Officinalis Radix, bone removed), Shuyu (Dioscoreae Rhizoma, ginger juice fried), Fuling (Poria), Shihu (Dendrobii Caulis, wine-fried).
Chuanbixie (Smilacis Chinae Rhizoma, fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Rongzong (Cynomorii Herba, wine-soaked and cleaned), Buguzhi (Psoraleae Fructus, fried) (each four liang eight qian).
Ground into fine powder, mixed with refined honey to form pills the size of wu zi. Take seventy pills per dose, swallowed with salt water on an empty stomach, and with warm wine before bed. Since the Kidneys are invaded by wind-cold, causing unrest, Wutou and Bailili are used to dispel wind and scatter cold. Once the wind is gone, the Kidneys settle naturally; warming and tonifying are not initially required. The other herbs (Gui, Ling, Zhu, Bixie, Buguzhi, Jixi, Rongzong, Shihu) although said to regulate Spleen and Kidney, actually focus on dispelling dampness and promoting urination. This is because excessive eating/drinking and sexual activity cause sweat to be sealed by wind, leading to heavy limbs. Without unblocking the water passages, the disease cannot be cured. This formula resembles Dihuang Yinzi but differs significantly from Cui Shi's Ba Wei Wan.
[Si Wuie Gu Yi Lu Ru Wan] (from *Suwen*) Treats qi exhaustion and liver injury, blood loss and depletion. Women with blood depletion and amenorrhea, men with impotence and essence injury.
Wuie Gu (Cutula Sepiae, four liang, i.e., Sepiae Endoconcha), Lu Ru (Qian Gen/Sappan Wood root? Text notes Ben Cao calls it Lu Ru, i.e., Qian Cao Gen/Radix Rubiae),
Formed into pills using quail eggs, size of small beans. Take five pills after meals, drink Abalone Juice. This benefits the intestines and heals liver injury. Formulas from *Neijing* are rare; only a few exist, often neglected. Errors in texts like *Jia Yi Jing* and *Tai Su* led to confusion about "Lu Ru," causing Wang Bing to misinterpret its nature. I have verified that both herbs move blood, hence used for qi exhaustion, liver injury, and blood depletion. Quail eggs and abalone juice are used to warm the Kidney and regulate the Liver using "sentient" substances, gradually resolving dry blood into yellow fluid. "After meals" means taking medicine before food to direct the action downward. Contraindicated in Yin deficiency with Yang hyperactivity, wheezing, hemoptysis, priapism, and spermatorrhea, as it is purely warming and dispersing without nourishing True Yin. Question: How can blood-moving herbs treat blood depletion? Answer: Blood depletion and amenorrhea are not purely deficiency; they involve dry blood accumulation due to qi exhaustion and liver injury, preventing Ying blood from storing. Symptoms like chest/flank distension, dizziness indicate blood stasis in the Liver; aversion to fishy smells indicates stasis in the Stomach; clear nasal discharge indicates Stomach Qi failure and turbid Qi rising. All these stem from Yang deficiency failing to transform fluids. Thus, clearing dry blood is paramount. Hence, *Jingui* uses Dahuang Zhechong Wan for similar presentations. Compared to Si Wuie Gu Yi Lu Ru Wan, Dahuang Zhechong Wan is far more potent in breaking stasis. Question: What if quail eggs are unavailable? Answer: Skill lies in adaptability. Quail meat or chicken eggs/liver can substitute. Chicken corresponds to Xun (Wind/Liver), and Liver governs blood. Flexibility is key.
[Huaroushi San] (from *Ju Fang*) Treats qi deficiency with blood coagulation, accumulation and obstruction causing chest/diaphragm pain. Use a heavy dose to exhaust the stasis.
Huaroushi (Flower Heart Stone, five liang, crushed, found in Liushan Mountain, resembles yellow stone with flower-like spots. Fake ones look like intricate flowers; real ones turn blood to water when placed on it), Liuhuang (Sulfur, two liang).
The above two ingredients are fused together in a crucible, sealed with salt mud, and calcined for one fu period (approx. 2 hours). Grind into powder. Take two qian after meals, mixed with child's urine. Also treats postpartum blood reversal, retained placenta, or fetal death in utero. After stasis turns to yellow fluid, administer Dushen Tang (Single Ginseng Decoction).
[Shihui San] Treats hematemesis and hemoptysis due to Xu Lao. Use this first to arrest bleeding.
Daji (Great Thistle Root), Xiaoji (Lesser Thistle Root), Boye (Thuja Leaf), Bohe (Mint Leaf), Qian Gen (Rubia Root), Maogen (Imperatae Rhizoma), Shanzhi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Mudanpi (Moutan Cortex), Zonglupi (Livistona Petiole) (equal parts).
Each ingredient is burned to ash while retaining its nature, wrapped in paper, and buried overnight. Take two to three qian after meals, mixed with child's urine. Huaroushi San is a harsh blood-breaking agent; people fear it. Ge Kejiu stated it is suitable for sudden massive bleeding but not for chronic deficiency or Liver/Kidney blood issues. Combined with Shihui San without distinguishing cold/heat leads to misuse. Shihui San targets fire flaming upward; misusing it for yin-solidification is less harmful than misusing Huaroushi San for heat-induced bleeding, which is dangerous since heat bleeding is common (80-90%) while yin-solidification is rare (10-20%). Fear has led to neglect, leaving patients with yin-blood surges untreatable. Is this fate?
[Ruijin Dan] Treats Xu Lao with hematemesis and blood stasis.
Chuan Dahuang (Rhei Radix et Rhizoma, mixed with wine, fried black until yellow smoke appears), Zhen Qiushi (True Autumn Stone) (each one liang).
Grind into fine powder, mix with boiled red date pulp to form pills the size of small beans. Take two qian on an empty stomach with Bohe Tang (Mint Decoction). For stasis in the Pericardium with palpitations, flushed face, and confusion, add Zhen Yujin (Curcumae Radix, three qian). For stasis in the Stomach with massive hematemesis, take with Xijiao Dihuang Tang.
[Tongzhen Wan] Treats Xu Lao with hematemesis and qi deficiency wheezing.
Zhen Qiushi (True Autumn Stone), Chuan Beimu (Fritillariae Cirrhosae Bulbus, heart removed) (equal parts).
Mix with boiled red date pulp to form pills. Take two qian on an empty stomach with Bohe Tang. If pulse is deficient and qi exhausted, add Renshen. If pulse is fine and rapid indicating Yin deficiency, do not use Renshen; add Mudanpi. For Spleen deficiency with loose stools, add Shanyao, Fuling, and Zhi Gancao.
[Gulu Erxian Gao] Treats deficiency of Du and Ren Mai, insufficient essence and blood.
Lujiao Jiao (Deer Antler Glue, one jin), Gui Ban Jiao (Tartar Testudinis Carapax et Plastrum Glue, half jin), Gouqi (Lycii Fructus, six liang), Renshen (Ginseng Radix, four liang, separately ground), Guiyuanrou (Longan Aril, six liang).
Decoct Gouqi and Guiyuan into a paste, collect with refined white honey. Soak the two glues in wine, melt into the Gouqi-Guiyuan paste. When fully dissolved, add Renshen powder. Store in a porcelain jar. Take five to six qian in the morning mixed with pure wine.
[Jujing Wan] Treats Kidney deficiency with insecure sealing and storage.
Biao Jiao (Fish Swim Bladder Glue, white, one jin, chopped, fried with clam powder or oyster powder until pearl-like, then mixed with milk/butter to prevent stickiness), Shayuan Jili (Astragali Complanati Semen, five liang, soaked in milk overnight, steamed over water for one incense time, dried, not fried).
Grind into fine powder. Add aged wine to refined white honey, boil again. When honey cools slightly, form pills. Do not pound hot, or it becomes sticky. Pills the size of mung beans. Take eighty to ninety pills on an empty stomach with warm wine or plain water. Avoid fish and beef. Zhang Jingyue added Wuweizi (two liang).
[Dabu Huangting Wan] Treats Xu Lao with poor appetite and loose stools, unsuitable for Yin-nourishing herbs.
Renshen (Ginseng Radix, one liang), Fuling (Poria, one liang), Shanyao (Dioscoreae Rhizoma, two liang).
Grind into powder. Use one fresh Ziheche (Human Placenta), two sheng of river water, and a little white honey. Decoct over water into a paste, use instead of honey to form pills. Take three qian on an empty stomach with light salt water.
[Xunshun Wan] Treats retrograde menstruation in women (blood flowing upwards), coughing/hemoptysis in men with wiry pulse at Left Guan/Chi positions, chills on the back, and blood stasis.
Wugu Baisimao Ji (Black-boned white-feathered hen, one, male female/female male, tender and long, urinated outwards, plucked, gutted with bamboo knife, viscera removed except gizzard lining, washed, returned to cavity), Wuie Gu (Cutula Sepiae, soaked in child's urine, dried, ground, lightly fried, four liang net), Lu Ru (Qian Cao Gen/Rubia Root, tips removed, wine-washed, sliced, one liang net), Baoyu (Abalone, sliced thin, four liang).
Place the three ingredients inside the chicken. Add aged wine, child's urine (two bowls each), and water. Simmer in a clay pot, adding liquid as needed until thick and dry. Pound and bake dry. Wuie Gu is roasted with butter. Mix all into fine powder, bind with Shanyao paste into wu zi-sized pills. Take fifty to seventy pills on an empty stomach with Bilao Water.
[Wugu Ji Wan] (from *Mizhi*) Treats women with depression, steaming fever, cough, irregular menstruation, amenorrhea, retrograde menstruation, postpartum consumption, metrorrhagia, leukorrhea. Also treats men with premature depletion, chronic cough with hemoptysis, and Xu Lao.
Wugu Baisimao Ji (One hen, prepared as in Xunshun Wan), Bei Wuwei (Schisandrae Fructus, one liang, crushed), Shudihuang (Prepared Rehmanniae Radix, four liang; add raw Dihuang two liang if heat).
Place in chicken belly, cook with aged wine, fermented rice wine, and child's urine in a clay pot as in Xunshun Wan.
Huangqi (Astragali Radix, peeled, honey-wine roasted), Yuzhu (Atractylodis Macrocephalae Rhizoma, steamed nine times on rice) (each three liang), Baifuling (White Poria, peeled), Dangguishen (Angelicae Sinensis Radix, wine-washed), Baishaoyao (White Peony Root, wine-fried) (each two liang).
These five ingredients are pre-ground coarse, pounded with chicken meat, baked dry. Wuie Gu roasted with butter, ground fine. Add: Renshen (Ginseng Radix, three liang, up to six liang if very deficient), Mudanpi (Moutan Cortex, two liang, wine-cleaned, not fried), Chuanxiong (Chuanxiong Rhizome, one liang, soaked in child's urine, cut and dried).
These three are ground fine and mixed with previous powder. Bind with six liang Shanyao paste. Roll pills, dry, store in porcelain jar. Take three qian with Renshen soup or boiling water in the morning, two qian with pure wine at night. If stool is hard, use refined honey. For bone-steaming fever/chills, add Biejia (Trionycis Carapax, three liang), Yin Chaihu (Stellariae Radix), Gudupi (Lycii Cortex) (each one liang five qian). For amenorrhea, add Rougui (one liang). For metrorrhagia, double Shudihuang, add Ejiao (two liang). For retrograde menstruation, add Maimendong (two liang). For depression/distension, add Xiangfu (Cyperi Rhizoma, treated with child's urine, two liang), Chenxiang (half liang). For leukorrhea, add Chuanbixie (two liang), Sizhi Xiangfu (two liang), Qiai (Ai Ye, one liang). For Baiyin (white discharge), double Renshen, Huangqi, Fuling, Baizhu. Although ingredients are common, this formula is highly effective for regulating menstruation. Chicken enters Xun (Liver); black bone enters Kidney. It transforms Xun to Kan, harmonizing Jia/Gui (Liver/Kidney) and nourishing Chong/Ren Mai. Sun Simiao noted that sages use living creatures for critical cases. While humans value life over animals, compassion extends to all. These formulas are essential for Xu Lao; use only when necessary. Using them for profit harms benevolence.
[Xiaoyao San] (from *Ju Fang*) Treats Liver Qi depression, alternating chills/fever, cough, irregular menstruation.
Chaihu (Bupleuri Radix, fried 70%), Baizhu (Atractylodis Macrocephalae Rhizoma, steamed with honey water, one qian), Fuling (Poria, one qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, eight fen), Danggui (Angelicae Sinensis Radix, one qian), Baishao (White Peony Root, wine-fried, one qian five fen).
Chenpi (Citri Reticulatae Pericarpium, white pith removed, eight fen; use honey-processed for dry cough), Boheye (Menthae Haplocalycis Folium, five fen), Weijiang (Ginger, roasted, three slices).
Nine ingredients decocted in water. Take when half-hungry.
[Jiawei Xiaoyao San]
Xiaoyao San plus Mudanpi (one qian five fen), Chao Hei Shanzhi (Gardeniae Fructus, charcoal-fried, one qian). For Spleen deficiency with poor appetite/loose stools, remove Shanzhi, replace with Xiangfu. This formula derives from Bazhen Tang, removing Renshen (Qi-tonifying), Chuanxiong (ascending), and Dihuang (cloying), adding Chaihu, Chenpi, Bohe to soothe Liver Qi. Roasted Ginger maintains middle Jiao without dispersing too sharply. Danpi and Shanzhi clear upper and lower fire.
[Xionggui Xuyu San] Treats Transmitted Corpse Consumption (Chuan Shi Lao Zhai) with flushed face and five-palm heat.
Shinv Dingmeng Shengfa (Hair from virgin's crown, one tuft, washed, calcined), Chuanxiong (Chuanxiong Rhizome, soaked in child's urine, cut, five qian), Danggui (Angelicae Sinensis Radix, three qian), Muxiang (Aucklandiae Radix), Taoren (Persicae Semen, dehusked, each two qian).
Zhen Anshixiang (Benzoin Resin, substitute with Suhexiang Oil if unavailable), Xionghuang (Realgar, each one qian), Quanxie (Scorpio, three pieces, poison not removed, fried fragrant), Jiangzhengxiang (Daemonorops Calamus, five fen).
Tagan (Hydrargyri Oxydum Rubrum? No, text says Tagan, likely referring to Otter Liver or specific mineral, here interpreted as Otter Liver based on context of treating consumption): Tan Gan (Otter Liver, one piece; substitute with live carp head from large river, roasted with butter).
Make into powder. Decoct in fresh water. Take first dose at dawn on the fifth day of the lunar month on an empty stomach; second dose at noon.
[Biejia Shengxi San] Treats Transmitted Corpse Consumption with Spleen deficiency, cold lips/face/extremities.
Tianlinggai (Skull Cap, one piece, roasted with butter; male skull non-black/red is usable; female with black/red is not), Biejia (Trionycis Carapax, nine-ribbed, one piece, roasted with butter), Huchangya (Tiger Long Tooth, one piece, roasted with butter), Anshixiang (Benzoin Resin), Taoren (Persicae Semen, dehusked).
Jian Binglang (Arecae Semen, pointed end, each half liang), Sheng Xijiao (Rhino Horn, shaved), Muxiang (Aucklandiae Radix), Gansui (Euphorbiae Kansui Radix), Jiangzhengxiang (Daemonorops Calamus), Ganqi (Drynariae Rhizoma? Text says Ganqi fried until smoke ceases), Zhen Awei (Ferulae Resin, wine-dissolved, each three qian).
Leiwan (Wormseed Fruit, two qian), Chuanshanjia (Pangolin Scale, tail tip, earth-fried, three qian), Quanxie (Scorpio, three pieces, vinegar-soaked, fried fragrant), Dilong (Pheretima, seven pieces, raw ground with medicine).
Fine powder. Take half liang per dose. First, pound forty-nine Xiachi (Fermented Soybean) and seven green onion whites (with roots) in a mortar. Add half bowl fresh water, half bowl child's urine, and the powder. Decoct to 70%. Add Moshe (Musk). Take warm on an empty stomach at dawn on the first day of the lunar month. Expect expulsion of worms; catch in clean bucket and burn. If diarrhea persists, take equal parts Longgu (Fossil Bones) and Chao Huanglian (Coptidis Rhizoma, fried) with boiling water (five qian). Next day, replenish with White Plum Porridge.
[Chuanshi Wan] Treats Transmitted Corpse Consumption in early stages where Yuan Qi is not yet depleted.
Manli Yu (Murrey Eel, half liang or more, seven pieces).
Line the steamer with four liang of Bohe leaves. Place eels inside, sprinkle with over one jin of coarse Shanyao powder. In the pot below, add one jin of Baibu (Stemonae Radix, hearts removed). Steam for three incense times until eels are thoroughly soft. Remove Bohe. Pound eels and Shanyao with bones, bake dry, grind to powder. Form pills with refined white honey. Take five qian with boiling water in the morning and evening.