内经谓内夺而厥则为喑俳。此肾虚也。喑俳之状舌疮不能语。足疼不为用。盖肾脉挟舌
本。肾气内夺。气厥。舌本。至不能语而为喑。肾脉入阴股。循髓骨内踝入足下。肾气不足。
故
方
地黄饮 治肾气厥语声不出。足废不用。
熟地 巴戟 茱萸（炒） 苁蓉（酒浸） 附子（炮去皮脐） 石斛（去根） 五味子 桂
白
茯苓（各一两） 麦门冬（去心） 远志（去心） 菖蒲（各半两） 上为粗散。每服三钱。
水一盏。
生
八味丸 治肾气内夺舌喑足废。
菟丝子丸 治肾气内夺舌喑足废。
菟丝子（酒浸） 白茯苓 附子（炮去皮脐） 桂 菖蒲 远志（去心） 上为末。炼
蜜和丸
如
补骨脂丸 益肾气。治喑俳。
补骨脂（一两炒） 远志（去心） 钟乳粉（各半两） 菖蒲（半两） 肉苁蓉（酒浸
一两） 麦
门
石斛丸 治肾气内夺厥逆。喑俳。补肾。（方见诸虚门补益诸虚）
（案原方∶川椒去目微炒出汗。葫芦巴炒。地龙去土炒各四两。苍术去浮皮。乌药各十
六两。川乌炮去皮脐。羌活去芦头。茴香炒。赤小豆。马蔺子醋炒一方用花。金铃子麸炒。
石斛去根各八两。青盐二两。巴戟天去心四两。上为细末。酒煮面糊为丸。如梧桐子大。每
服二十丸。温酒下。或盐汤亦得。空心食前服。一方石斛赤小豆 香子羌活楝实乌头马蔺子
各
《黄帝内经》中说，肾气内夺而厥逆就会造成喑俳。这是肾虚的表现。喑俳的症状是舌生疮疡不能说话，足部疼痛无法使用。因为肾脉夹持舌根，肾气内夺导致气机厥逆，影响舌根，以至于不能说话而成为喑。肾脉进入阴股，沿着骨髓、内踝进入足底。肾气不足，所以……
地黄饮：治疗肾气厥逆，语声不出，足废不用。
熟地黄、巴戟天、山茱萸（炒）、肉苁蓉（酒浸）、附子（炮制，去皮脐）、石斛（去根）、五味子、桂枝、白茯苓（各一两）、麦门冬（去心）、远志（去心）、石菖蒲（各半两）。以上药物捣成粗散。每次服用三钱，用水一盏煎服。
菟丝子丸：治疗肾气内夺，舌喑足废。
菟丝子（酒浸）、白茯苓、附子（炮制，去皮脐）、桂枝、石菖蒲、远志（去心）。以上药物研为细末，用炼蜜和丸。
补骨脂丸：益肾气。治疗喑俳。
补骨脂（一两，炒）、远志（去心）、钟乳粉（各半两）、石菖蒲（半两）、肉苁蓉（酒浸一两）、麦门冬、石斛。
石斛丸：治疗肾气内夺厥逆，喑俳。补肾。（方剂见“诸虚门·补益诸虚”）
（按原方：川椒去目微炒出汗，葫芦巴炒，地龙去土炒各四两，苍术去浮皮，乌药各十六两，川乌炮制去皮脐，羌活去芦头，茴香炒，赤小豆，马蔺子醋炒一方用花，金铃子麸炒，石斛去根各八两，青盐二两，巴戟天去心四两。以上药物研为细末，用酒煮面糊为丸，如梧桐子大。每次服用二十丸，温酒送下，或用盐汤送下亦可。空腹食前服用。另一方：石斛、赤小豆、香子、羌活、楝实、乌头、马蔺子各……）
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states that if kidney qi is internally depleted and leads to jue-ni (reversal of qi flow), it results in yin pai (aphasia and paraplegia). This is due to kidney deficiency. The manifestations of yin pai include sores on the tongue, inability to speak, pain in the feet, and loss of function in the lower limbs. This is because the Kidney Meridian flanks the root of the tongue; when kidney qi is internally depleted, qi reversal affects the tongue root, leading to aphasia. The Kidney Meridian enters the popliteal fossa, runs along the inner aspect of the leg and ankle, and enters the sole of the foot. Due to insufficient kidney qi...
**Dihuang Yin (Rehmannia Decoction):** Treats jue-ni of kidney qi, with inability to produce voice and paralysis of the legs.
Prepared Rehmannia Root (*Shu Dihuang*), Morinda Officinalis Root (*Baji Ji*), Cornus Fruit (*Zhuyu*), Cistanche Stem (*Rongshou*, soaked in wine), Prepared Aconite Root (*Fuzi*, peeled and de-navelled), Dendrobium Stem (*Shihu*, roots removed), Schisandra Berry (*Wuweizi*), Cinnamon Twig (*Guizhi*), Poria (*Fuling*) — each 1 liang; Ophiopogon Tuber (*Maimendong*, heart removed), Polygala Tuber (*Yuanzhi*, heart removed), Acorus Rhizome (*Changpu*) — each 0.5 liang. The above are processed into a coarse powder. Take 3 qian per dose, decocted in one cup of water.
**Bawei Wan (Eight-Ingredient Pill):** Treats internal depletion of kidney qi, resulting in aphasia and leg paralysis.
**Tusizi Wan (Cuscuta Seed Pill):** Treats internal depletion of kidney qi, resulting in aphasia and leg paralysis.
Cuscuta Seed (*Tusizi*, soaked in wine), Poria (*Fuling*), Prepared Aconite Root (*Fuzi*, peeled and de-navelled), Cinnamon Twig (*Guizhi*), Acorus Rhizome (*Changpu*), Polygala Tuber (*Yuanzhi*, heart removed). The above are ground into fine powder and mixed with refined honey to form pills.
**Buguzhi Wan:** Tonifies kidney qi. Treats yin pai.
Psoralea Fruit (*Buguzhi*, 1 liang, stir-fried), Polygala Tuber (*Yuanzhi*, heart removed), Speleothem Powder (*Zhongru Fen*), Acorus Rhizome (*Changpu*) — each 0.5 liang; Cistanche Stem (*Rongshou*, 1 liang, soaked in wine), Ophiopogon Tuber (*Maimendong*), Dendrobium Stem (*Shihu*).
**Shihu Wan:** Treats jue-ni due to internal depletion of kidney qi, and yin pai. Tonifies the kidney. (Formula see "Men of Various Deficiencies · Tonifying Various Deficiencies")
(Note: Original formula: Sichuan Pepper (*Chuanjiao*, remove eyes, lightly stir-fried until sweat appears), Trigonella Foenum-graecum Seed (*Huluba*, stir-fried), Earthworm (*Dilong*, cleaned of soil, stir-fried) — each 4 liang; Atractylodes Rhizome (*Cangzhu*, remove floating skin), Lindera Root (*Wuyao*) — each 16 liang; Prepared Sichuan Aconite (*Chuanwu*, peeled and de-navelled), Notopterygium Rhizome (*Qianghuo*, remove rhizome head), Fennel Seed (*Huixiang*, stir-fried), Adzuki Bean (*Chixiaodou*), Calystegia Sepal (*Malinzi*, vinegar-fried; one prescription uses flower), Prunus Mume Fruit (*Jinlingzi*, bran-fried), Dendrobium Stem (*Shihu*, roots removed) — each 8 liang; Green Salt (*Qingyan*) 2 liang; Morinda Officinalis Root (*Bajitian*, remove heart) 4 liang. The above are ground into fine powder, mixed with flour paste boiled in wine to form pills, sized like paulownia seeds. Take 20 pills per dose, washed down with warm wine, or salt water is also acceptable. Take on an empty stomach before meals. Another prescription: Dendrobium Stem, Adzuki Bean, Fangchi Seed, Notopterygium Rhizome, Chinese Medlar Fruit, Sichuan Aconite, Calystegia Sepal — each...)