鹿茸（酥炙黄，燎去毛） 熟干地黄（酒洒，九蒸九曝，焙干，秤，各二两） 苁蓉（酒
浸
，水洗，焙干） 破故纸（炒香） 附子（炮，去皮脐） 当归（洗去芦，薄切，焙干秤，
各一两
）麝香（一钱） 沉香（半两）
上为末，入麝研匀，炼蜜杵，丸如梧子大。每服三五十丸，空心用盐汤下。
又方
鹿茸（二两，酥炙黄，燎去毛） 沉香 白芍药 人参（去芦） 熟干地黄（酒洒，九
蒸九
曝，焙干，秤） 苁蓉（酒浸，水洗，焙干） 牛膝（酒浸，水洗，焙干） 泽泻 大附子
（炮，
去皮脐） 当归（洗去芦，薄切，焙干，秤，各一两） 生干地黄（一两） 麝香（一钱）
上为细末，酒糊丸如梧子大。每服五十丸，盐酒盐汤下。
又方
熟干地黄（酒洒，九蒸九曝，焙干，秤，五两） 菟丝子（四两，酒浸，曝干，用纸条
子
同碾，别末） 鹿茸（三两，酥炙黄，燎去毛） 附子（二两，炮，去皮脐） 沉香（一两）
上为细末，入麝香半钱，炼蜜杵，丸如梧子大。每服三十丸至五十丸，盐酒或盐汤下。
治肾气上攻，项背不能转侧。
大附子（一枚，六钱以上者，炮，去皮脐，末之）
上每末二大钱，好川椒二十粒，用白面填满，水一盏半，生姜七片，同煎至七分，去椒
入盐，通口空心服。一亲患项筋痛，连及背胛不可转，服诸风药皆不效。予尝忆千金髓有肾
气攻背项强一证，予处此方与之，两服顿瘥。自尔与人皆有验。盖肾气自腰夹脊上至曹 穴
，然后入泥丸宫。曹 一穴，非精于般运者不能透，今逆行至此不得通，用椒以引归经则安
矣。萧气上达，椒下达。诗言∶椒聊且，贻我握椒。皆是此意也。
曹 穴，即风府穴是也，在项发际上一寸大筋内宛宛中。治头痛颈项急，不得回顾，针
入三分，禁不可灸，不幸使人失音。道家般运有夹脊双关图，令精气逆流，朝会于泥丸宫，
泥丸即顶心是也，名百会穴，是第一。
鹿茸（用酥油炙烤至黄色，燎去绒毛） 熟干地黄（洒上酒，经过九次蒸制和九次暴晒，焙干后称量，各二两） 肉苁蓉（用酒浸泡，水洗，焙干） 补骨脂（炒香） 附子（炮制，去皮和脐） 当归（洗净去除芦头，薄切，焙干后称量，各一两） 麝香（一钱） 沉香（半两）
以上药材研成细末，加入麝香研磨均匀，用炼蜜捣杵，制成梧桐子大小的丸药。每次服用三五十丸，空腹时用盐汤送服。
又一方：
鹿茸（二两，用酥油炙烤至黄色，燎去绒毛） 沉香 白芍药 人参（去除芦头） 熟干地黄（洒上酒，经过九次蒸制和九次暴晒，焙干后称量） 肉苁蓉（用酒浸泡，水洗，焙干） 牛膝（用酒浸泡，水洗，焙干） 泽泻 大附子（炮制，去皮和脐） 当归（洗净去除芦头，薄切，焙干后称量，各一两） 生干地黄（一两） 麝香（一钱）
以上药材研成细末，用酒糊制作成梧桐子大小的丸药。每次服用五十丸，用盐酒或盐汤送服。
又一方：
熟干地黄（洒上酒，经过九次蒸制和九次暴晒，焙干后称量，五两） 菟丝子（四两，用酒浸泡，晒干，用纸条一同碾碎，另研为末） 鹿茸（三两，用酥油炙烤至黄色，燎去绒毛） 附子（二两，炮制，去皮和脐） 沉香（一两）
以上药材研成细末，加入半钱麝香，用炼蜜捣杵，制成梧桐子大小的丸药。每次服用三十丸至五十丸，用盐酒或盐汤送服。
治疗肾气向上攻冲，导致项部和背部僵硬不能转动。
大附子（一枚，重量在六钱以上的，炮制，去皮和脐，研成粉末）
以上每取两大钱附子末，配好川椒二十粒，用白面将花椒填满，加水一盏半，生姜七片，共同煎煮至七分水量，去掉花椒，加入盐，空腹时通口服下。我的一个亲戚患有项部筋脉疼痛，牵连到背胛部无法转动，服用各种治风药均无效。我曾回忆《千金方》中有肾气攻冲导致背项强硬的证候，于是开出此方给他服用，两次服药后立刻痊愈。从此以后给其他人使用都有疗效。这是因为肾气从腰部夹脊上行至曹溪穴，然后进入泥丸宫。曹溪这一穴位，不是精通内丹修炼的人不能通达，如今肾气逆行至此却不得通畅，用花椒来引导其回归经脉就能安宁了。萧（肃）气向上达，花椒向下行。《诗经》说：“椒聊且，贻我握椒。”都是这个意思。
曹溪穴，就是风府穴，位于项部发际上一寸，大筋内的凹陷处。治疗头痛颈项拘急，不能回头回顾，针刺入三分深，禁止艾灸，否则不幸会导致失音。道家内丹修炼有夹脊双关图，令精气逆流，朝会于泥丸宫，泥丸即头顶心，名为百会穴，是第一位的。
Deer Antler Glue (Lu Rong, processed with butter until yellow, hair removed by burning) Prepared Rehmannia Root (Shu Dihuang Huang, sprinkled with wine, steamed and sun-dried nine times, baked dry, weighed, two liang each) Cistanche Stem (Rong Rong, soaked in wine, washed, baked dry) Psoralea Fruit (Po Gu Zhi, fried until fragrant) Aconite Root (Fu Zi, processed, skin and navel removed) Angelica Sinensis Root (Dang Gui, washed to remove the rhizome, thinly sliced, baked dry, weighed, one liang each) Musk (She Xiang, one qian) Agarwood (Chen Xiang, half a liang)
Grind the above ingredients into powder, add musk and grind evenly, mix with refined honey and pound into pills the size of mulberry seeds. Take thirty to fifty pills per dose, administered on an empty stomach with salt water.
Another prescription:
Deer Antler Glue (Lu Rong, two liang, processed with butter until yellow, hair removed by burning) Agarwood (Chen Xiang) White Peony Root (Bai Shao Yao) Ginseng Root (Ren Shen, rhizome removed) Prepared Rehmannia Root (Shu Di Huang Huang, sprinkled with wine, steamed and sun-dried nine times, baked dry, weighed) Cistanche Stem (Rong Rong, soaked in wine, washed, baked dry) Achyranthes Root (Niu Xi, soaked in wine, washed, baked dry) Alisma Rhizome (Ze Xie) Large Aconite Root (Da Fu Zi, processed, skin and navel removed) Angelica Sinensis Root (Dang Gui, washed to remove the rhizome, thinly sliced, baked dry, weighed, one liang each each) Dried Rehmannia Root (Sheng Gan Di Huang Huang, one liang) Musk (She Xiang, one qian)
Grind the above ingredients into fine powder, bind with wine paste into pills the size of mulberry seeds. Take fifty pills per dose, administered with salted wine or salt water.
Another prescription:
Prepared Rehmannia Root (Shu Di Huang Huang, sprinkled with wine, steamed and sun-dried nine times, baked dry, weighed, five liang) Dodder Seed (Tu Si Zi, four liang, soaked in wine, dried, ground together with paper strips, reserved separately as powder) Deer Antler Glue (Lu Rong, three liang, processed with butter until yellow, hair removed by burning) Aconite Root (Fu Zi, two liang, processed, skin and navel removed) Agarwood (Chen Xiang, one liang)
Grind the above ingredients into fine powder, add half a qian of musk, mix with refined honey and pound into pills the size of mulberry seeds. Take thirty to fifty pills per dose, administered with salted wine or salt water.
Treats Kidney Qi attacking upwards, causing stiffness in the neck and back preventing turning.
Large Aconite Root (Da Fu Zi, one piece, weighing more than six qian, processed, skin and navel removed, ground into powder)
Take two large qian of the above powder for each dose, combine with twenty grains of Sichuan Pepper (Hao Chuan Jiao), fill with white flour, add one and a half bowls of water and seven slices of fresh ginger, decoct until reduced to seventy percent volume, remove the pepper, add salt, and take orally on an empty stomach. A relative of mine suffered from pain in the neck tendons extending to the shoulder blade, unable to turn; various wind-dispelling medicines were ineffective. I recalled a syndrome in *Qian Jin Fang* where Kidney Qi attacks causing stiffness in the back and neck, so I prescribed this formula to him. After two doses, he recovered instantly. Since then, it has been effective for others. This is because Kidney Qi ascends from the waist along the spine to the Caoxi acupoint, then enters the Niwang Palace. The Caoxi acupoint cannot be penetrated unless one is proficient in internal alchemy transport. Now, with retrograde flow blocked here, using pepper to guide the Qi back to its meridian brings peace. Xiao (Solemn) Qi reaches upward, while pepper directs downward. The *Classic of Poetry* states: "Jiao liao qie, yi wo wo jiao" (The pepper bush is lush, offering me a handful of peppers). All these refer to this meaning.
The Caoxi acupoint is the Fengfu acupoint (Fengfu, GV16), located one cun above the posterior hairline within the depression of the major tendon. It treats headache and neck stiffness, inability to look back. Needle insertion depth is three fen; moxibustion is strictly contraindicated, as improper use may unfortunately cause loss of voice. In Daoist internal alchemy, there is a diagram of the Double Passes of the Spine, directing essence and Qi in reverse flow to converge at the Niwang Palace. The Niwang Palace is the crown of the head, named Baihui acupoint (Baihui, GV20), which is the first [of the upper orifices].