十全大补汤，治男子妇人诸虚不足，五劳七伤，不进饮食，久病虚损，时发潮热，气攻骨脊，拘急疼痛，
夜梦遗精，面色痿黄，脚膝无力。一切病后，气不如旧，忧愁思虑，伤动气血，喘嗽中满，脾肾气弱，五心烦闷，
并皆治之。此药性温不热，平补有效，养气育神，醒脾止渴，顺正辟邪，温暖脾胃，其效不可具述。
白茯苓（焙） 白术（焙） 人参（去芦） 熟干地黄（酒洗蒸焙）
白芍药 粉草（炙） 黄 （去芦） 肉桂（去粗皮不见火） 川当归（去芦洗） 川芎（各等分）
上十味锉为粗散，每服二大钱，水一盏，生姜三片，枣子二个，同煎至七分，不拘时候温服。此药补虚损，
大有神效。（《和剂》）《易简》名十补汤，曰∶若骨蒸发热，饮食自若者，用十补汤加锉柴胡二两，合匀服
之。《魏氏》人参散，治虚劳少气，四肢疼痛，心闷烦热，睡卧不得，饮食减小，于本方去茯苓、肉桂、川芎，
加酸枣仁、麦门冬。
养荣汤，治积劳虚损，四肢沉滞，骨肉酸疼。吸吸少气，行动喘咳，小腹拘急，腰背强痛，心虚惊悸，咽
干唇燥，饮食无味，阴阳衰弱，悲忧惨戚，多卧少起，久者积年，急者百日，渐至瘦削，五脏气竭，难可振复。
又治肺与大肠俱虚，咳嗽下利，喘乏少气，呕吐痰涎。
黄 当归 桂心 甘草（炙） 橘皮 白术 人参（各一两） 白芍药（三两） 熟地黄 五味子 茯苓
（各三分） 远志（去心炒半两）
上 咀，每服四大钱，水一盏半，姜三片，枣二个，煎七分，去滓空心服。遗精便泄，加龙骨一两。咳嗽，
加阿胶。（《三因》）《和剂》名人参养荣汤。
黄 劫劳汤（按∶《活人事证方后集》汤作散），治妇人心肾俱虚，劳嗽痰血，遇夜发热，热过即冷，时
有盗汗，四肢倦怠，体劣黄瘦，饮食减少，夜卧恍惚，神气不宁，睡多异梦。此药能除微嗽有唾，唾中有红线，
名曰肺痿。若上件疾不治，便成羸劣之疾。
白芍药（六两） 绵黄 （二两去根蜜炙） 甘草（二两炙秤） 人参（二两去芦头） 白茯苓（二两去皮）
当归（二两去芦净洗） 五味子（二两拣去枝条） 熟干地黄（二两净洗焙干） 半夏（二两，
拣大者，汤洗七遍，焙秤碾为末，以生姜自然汁和饼子，焙干。）
阿胶（二两，拣明净好者，锉成小块子，先以蛤粉炒令热，方可下阿胶，急以物搅，候胶皆成珠子，却倾
出筛去粉不用。）（地黄以下修治法，原文多脱，今据《事证方后集》补。）
上件药，须是炮制拣择干净者，方根据分两秤□并为粗末，每服三大钱，水一盏半，生姜十二片，枣三枚去
核，同煎至九分，去滓温服，不拘时候，日三服。乡人有女及笄，病证甚危，近岁余，百药俱服不效，亦尝从
余求治法，未尝有应效。偶遇名医传得此方，合服一料，病根顿除。（《选奇方后集》）
治诸虚，神仙琼玉膏。
茯苓（三斤杵一千下为细末，用白者） 人参（二十四两杵一千下为细末，用新罗者） 地黄（一秤九月
采之研取自然汁，按一秤即百斤）
上取地黄滓，先入法酒三升，再研绞汁，汁尽弃滓。别用白沙蜜十斤，与先研地黄自然汁及参苓末作一处
拌和，入瓷银石器内，物小分两三处不妨。以油蜡纸数重密封用之，勿令泄气。重汤内，用桑木柴煮三日三夜。
如不能夜煮，即煮六日，卯时之暮。日数定，然后入井中一周时，出火毒。须用蜡纸，如法封闭，候一周肘后，
再入汤中煮二三十沸，去其阴气了，方开封抄取。（《卫生家宝》）每晨朝以二匙，温酒化服。若不饮者，白
汤化之。（《事证方》）好色人，色白，脉洪大无力，咳嗽者，琼玉膏最捷。（《六要》）（按∶《 仙》于
本方加沉香、琥珀，殆属赘设，而《金匮翼》殊赞扬之，今不敢从。）《景岳》两仪膏，治精气大亏，诸药不
应，或以克伐太过，耗损真阴。凡虚在阳分而气不化精者，宜参术膏；若虚在阴分而精不化气者，莫妙于
此。其有未至大病而素觉阴虚者，用以调元，尤称神妙。于本方去茯苓、法酒。（分量修制不同，今省。）
清火润肺诸方 （互见《骨蒸》中，宜参。） 滋阴降火汤，治心肾不交，上盛下虚，降邪火，滋阴水。
地黄（凉血用生，补血用熟。） 川归身（酒洗） 白芍药（薄酒炒） 天门冬（去心） 白术（各一两）
麦门冬（去心） 炙甘草（各五分） 知母 黄柏（俱蜜水蒸） 川芎（各六分久病去之）
水二钟，姜三片，煎服。如久病，加远志、陈皮各五分。郁痰，加栝蒌仁、贝母各六分。咳嗽，加五味子、
阿胶各七分。梦遗，加芡实、土石莲各七分。有热，加秦艽、地骨皮各一两。唾血咯血，加茜根、藕汁、玄参
各一两。气虚血少，加人参、黄 各四分。（《诸证辨疑》）（按∶《明医杂着》曰∶今制一方，治色欲证，
先见潮热盗汗，咳嗽倦怠，趁早服之。其方参之本方，无麦门，有干姜、陈皮，地黄生熟俱用，盖是吴氏所本。
而《古今医鉴》以杂着一方名滋阴降火汤，更有加减法。）《济世全书》治阴虚火动失血，发热盗汗，咳嗽痰
喘，心慌口干，于本方去天门冬，加陈皮、牡丹皮、玄参、犀角、阿胶、山栀子（地黄用生）。又治阴虚火动，
发热咳嗽，吐痰喘急，于本方去归身、甘草、黄柏，加百部、贝母、茯苓、黄 、地骨皮（地黄生熟并用）。
四阴煎，此保肺清金之剂，故曰四阴，治阴虚劳损，相火炽盛，津枯烦渴，咳嗽吐衄多热等证。
生地（二三钱） 麦冬（二钱） 白芍药（二钱） 百合（二钱） 沙参（二钱） 生甘草（一钱）
茯苓（一钱半）
水二钟，煎七分，食远服。（《景岳》）
《方脉正宗》治阴虚火炎，日晡寒热，骨蒸夜热，咳嗽
无痰，大便结燥，小水短赤，或癃闭不通，淋沥白浊等证。用玄参四两，沙参、白芍、怀山药、生地、银柴胡、
地骨皮各三两，黄柏、知母各二两，甘草一两。分撮作二十剂，水煎服。（《汇言》）又《方脉本草》治骨蒸
内热，或虚劳寒热，于本方去玄参、柴胡、甘草，加黄芩、花粉、麦门冬、当归。
加味逍遥散，六极之外，又有七伤，一曰大怒，逆气伤肝，肝伤则少血目暗，宜此方主之。（《医方考》）
（按∶此系加丹皮、山栀者，逍遥散方见《妇人》中。）
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，空腹薄荷汤下二钱。瘀在心包，不时惊悸，面赤神昏者，加真郁金
三钱（皮色如梧桐子纹绉者真）。瘀在胃，吐血成盆者，犀角地黄汤送下。（《医通》）（按∶此亦属清凉，
仍附于斯。）
灸法 脏气虚惫，真气不足，一切气疾久不瘥者，宜灸气海。（《铜》）腑脏虚乏，下元冷惫等疾，
宜灸丹田。阳气虚惫，失精绝子，宜灸中极。肾俞治虚劳羸瘦，肾虚水藏久冷，小便浊出精，阴中疼，五劳七
伤，虚惫，足寒如冰，身肿如水。（《铜》）曲骨主失精，五脏虚竭，灸五十壮。（《千》）《明·下》云∶
但是虚乏冷极，皆宜灸。膏肓俞主无所不疗，羸瘦虚损，梦中失精，上气咳逆，发狂健忘等疾。（《资生经》）
灸劳法，膏肓二穴，可以回生，或肚脐相对取背脊骨对正，灸亦有验，艾柱亦不可多。（《直指》）
虚中有热治验∶建康道案察副使奥屯周卿子，年二十有三，至元戊寅三月间，病发热，肌肉消瘦，四肢困
倦，嗜卧
盗汗，大便溏多，肠鸣，不思饮食，舌不知味，懒言语，时来时去，约半载余，请予治之。诊其脉浮数，按之
无力，正应王叔和浮脉歌云∶脏中积冷荣中热，欲得生精要补虚。先灸中脘，乃胃之纪也，使引清气上行肥腠
理。又灸气海，乃生发元气，滋荣百脉，长养肌肉。又灸三里，乃胃之合穴，亦助胃气，撤上热，使下于阴分。
以甘寒之剂，泻热火。佐以甘温，养其中气。又食粳米、羊肉之类，固其胃气。戒以慎言语，节饮食，惩忿窒
欲，病气日减，数月气得平复，逮二年，肥盛倍常。（《宝鉴》）
调摄法 诸虚百损，莫不自心肾而然，病既至此，尚有不能守节，或孳孳于财利，或恋恋于色欲，伤
动坎离，渐致沉羸，去生远矣。养生之士闻此，自当恻然有感于斯，谨起居，节饮食，静室自处，勿贪富贵，
勿怨贫贱，勿嗜酒色，专心服药。治法当以宁心凝神为先，次则涩精补肾，则疾无不愈矣。（《治病活法秘方》）
世有患此者，急绝房欲以养精，内观以养神，毋怒劳以耗气，则其真阴之水自充，而五内之火自息，又何
不治之有。惟其嗜欲无节，起居不时，食饮自倍，使神散而精竭，血涸而气亡，直至发热不休，形骸骨立而死
，良可叹哉。（《订补明医指掌》）
十全大补汤，治疗男子和女子各种虚弱不足、五劳七伤、饮食不进、久病导致的虚损、时常发作的潮热、气攻骨脊、拘挛急迫疼痛、夜间梦遗精滑、面色萎黄、脚膝无力。凡是病后元气不如从前、忧愁思虑损伤气血、气喘咳嗽胸中胀满、脾肾气弱、五心烦闷等症状，都予以治疗。此药性质温和而不燥热，平补有效，能养气安神、醒脾止渴、顺正气辟邪气、温暖脾胃，其疗效无法详尽描述。
白茯苓（焙干） 白术（焙干） 人参（去芦头） 熟干地黄（酒洗后蒸焙）
白芍药 粉草（炙烤） 黄芪（去芦头） 肉桂（去粗皮，忌见火） 川当归（去芦头洗净） 川芎（各等分）
以上十味药切碎成粗散，每次服用两大钱，用水一盏，生姜三片，枣子二个，同煎至七分水量，不拘时候温服。此药补益虚损，大有神效。（出自《和剂局方》）《易简方》称为十补汤，说：如果是骨蒸发热、饮食如常的人，用十补汤加上锉碎的柴胡二两，混合均匀服用。《魏氏家藏方》的人参散，治疗虚劳少气、四肢疼痛、心闷烦热、睡卧不安、饮食减少，在本方中去掉茯苓、肉桂、川芎，加入酸枣仁、麦门冬。
养荣汤，治疗积劳虚损、四肢沉重滞涩、骨肉酸痛、呼吸短促少气、行动时气喘咳嗽、小腹拘急、腰背强痛、心虚惊悸、咽干唇燥、饮食无味、阴阳衰弱、悲伤忧郁、多卧少起、病程长的达数年、短的百日，逐渐消瘦，五脏气竭，难以恢复。又治疗肺与大肠俱虚，咳嗽下利、喘乏少气、呕吐痰涎。
黄芪 当归 桂心 甘草（炙烤） 橘皮 白术 人参（各一两） 白芍药（三两） 熟地黄 五味子 茯苓（各三分） 远志（去心炒半两）
以上药材切碎，每次服用四大钱，用水一盏半，姜三片，枣二个，煎至七分，去渣空腹服用。若有遗精便泄，加龙骨一两。若有咳嗽，加阿胶。（出自《三因极一病证方论》）《和剂局方》称其为“人参养荣汤”。
黄芪劫劳汤（按：《活人事证方后集》中汤作散），治疗妇人心肾俱虚、劳嗽痰血、夜间发热、热退即冷、时有盗汗、四肢倦怠、身体瘦黄、饮食减少、夜卧恍惚、神气不宁、睡多异梦。此药能消除微嗽有唾沫、唾中有红线，名为肺痿。如果上述疾病不治疗，就会变成羸弱的疾病。
白芍药（六两） 绵黄芪（二两去根蜜炙） 甘草（二两炙秤） 人参（二两去芦头） 白茯苓（二两去皮）
当归（二两去芦净洗） 五味子（二两拣去枝条） 熟干地黄（二两净洗焙干） 半夏（二两，拣大者，汤洗七遍，焙秤碾为末，以生姜自然汁和饼子，焙干。）
阿胶（二两，拣明净好者，锉成小块子，先以蛤粉炒令热，方可下阿胶，急以物搅，候胶皆成珠子，却倾出筛去粉不用。）（地黄以下修治法，原文多有脱漏，今据《事证方后集》补。）
以上药物，必须炮制拣择干净，才按规定分量称重并捣为粗末，每次服用三大钱，用水一盏半，生姜十二片，枣三枚去核，同煎至九分，去渣温服，不拘时候，每日三次。乡里有位及笄之女，病情危重，近一年多来，百药俱服无效，也曾向我求治法，未曾见效。偶然遇到名医传授此方，合服一料，病根顿除。（出自《选奇方后集》）
治疗各种虚损的神仙琼玉膏。
茯苓（三斤杵一千下为细末，用白色的） 人参（二十四两杵一千下为细末，用新罗产的） 地黄（一秤九月采之研取自然汁，按一秤即百斤）
以上取地黄滓，先入法酒三升，再研绞汁，汁尽弃滓。另用白沙蜜十斤，与先研地黄自然汁及参苓末作一处拌和，入瓷银石器内，物小分两三处不妨。以油蜡纸数重密封用之，勿令泄气。重汤内，用桑木柴煮三日三夜。如不能夜煮，即煮六日，卯时之暮。日数定，然后入井中一周时，出火毒。须用蜡纸，如法封闭，候一周肘后，再入汤中煮二三十沸，去其阴气了，方开封抄取。（出自《卫生家宝》）每晨朝以二匙，温酒化服。若不饮者，白汤化之。（出自《事证方》）好色人，色白，脉洪大无力，咳嗽者，琼玉膏最捷。（出自《六要》）（按：《仙》于本方加沉香、琥珀，殆属赘设，而《金匮翼》殊赞扬之，今不敢从。）《景岳全书》中的两仪膏，治疗精气大亏、诸药不应、或以克伐太过、耗损真阴。凡虚在阳分而气不化精者，宜参术膏；若虚在阴分而精不化气者，莫妙于此。其有未至大病而素觉阴虚者，用以调元，尤称神妙。于本方去茯苓、法酒。（分量修制不同，今省。）
清火润肺诸方 （互见《骨蒸》中，宜参。） 滋阴降火汤，治疗心肾不交、上盛下虚、降邪火、滋阴水。
地黄（凉血用生，补血用熟。） 川归身（酒洗） 白芍药（薄酒炒） 天门冬（去心） 白术（各一两）
麦门冬（去心） 炙甘草（各五分） 知母 黄柏（俱蜜水蒸） 川芎（各六分久病去之）
水二钟，姜三片，煎服。如久病，加远志、陈皮各五分。郁痰，加栝蒌仁、贝母各六分。咳嗽，加五味子、阿胶各七分。梦遗，加芡实、土石莲各七分。有热，加秦艽、地骨皮各一两。唾血咯血，加茜根、藕汁、玄参各一两。气虚血少，加人参、黄芪各四分。（出自《诸证辨疑》）（按：《明医杂着》曰：今制一方，治色欲证，先见潮热盗汗，咳嗽倦怠，趁早服之。其方参之本方，无麦门，有干姜、陈皮，地黄生熟俱用，盖是吴氏所本。而《古今医鉴》以杂着一方名滋阴降火汤，更有加减法。）《济世全书》治疗阴虚火动失血、发热盗汗、咳嗽痰喘、心慌口干，于本方去天门冬，加陈皮、牡丹皮、玄参、犀角、阿胶、山栀子（地黄用生）。又治疗阴虚火动，发热咳嗽，吐痰喘急，于本方去归身、甘草、黄柏，加百部、贝母、茯苓、黄芪、地骨皮（地黄生熟并用）。
四阴煎，这是保肺清金的药剂，故曰四阴，治疗阴虚劳损、相火炽盛、津枯烦渴、咳嗽吐衄多热等证。
生地（二三钱） 麦冬（二钱） 白芍药（二钱） 百合（二钱） 沙参（二钱） 生甘草（一钱）
茯苓（一钱半）
水二钟，煎七分，食远服。（出自《景岳全书》）
《方脉正宗》治疗阴虚火炎、日晡寒热、骨蒸夜热、咳嗽无痰、大便结燥、小水短赤、或癃闭不通、淋沥白浊等证。用玄参四两，沙参、白芍、怀山药、生地、银柴胡、地骨皮各三两，黄柏、知母各二两，甘草一两。分撮作二十剂，水煎服。（出自《汇言》）又《方脉本草》治疗骨蒸内热，或虚劳寒热，于本方去玄参、柴胡、甘草，加黄芩、花粉、麦门冬、当归。
加味逍遥散，六极之外，又有七伤，一曰大怒，逆气伤肝，肝伤则少血目暗，宜此方主之。（出自《医方考》）（按：此系加丹皮、山栀者，逍遥散方见《妇人》中。）
瑞金丹，治疗虚劳吐红瘀结者。
川大黄（酒拌炒黑至黄烟起为度） 真秋石（各一两）
以上杵为细末，煮红枣肉为丸，小豆大，空腹薄荷汤下二钱。瘀在心包，不时惊悸，面赤神昏者，加真郁金三钱（皮色如梧桐子纹绉者真）。瘀在胃，吐血成盆者，犀角地黄汤送下。（出自《医宗金鉴》）（按：此亦属清凉，仍附于斯。）
灸法 脏气虚惫，真气不足，一切气疾久不瘥者，宜灸气海。（出自《铜人腧穴针灸图经》）腑脏虚乏，下元冷惫等疾，宜灸丹田。阳气虚惫，失精绝子，宜灸中极。肾俞治虚劳羸瘦，肾虚水藏久冷，小便浊出精，阴中疼，五劳七伤，虚惫，足寒如冰，身肿如水。（出自《铜人腧穴针灸图经》）曲骨主失精，五脏虚竭，灸五十壮。（出自《千金方》）《明·下》云：但是虚乏冷极，皆宜灸。膏肓俞主无所不疗，羸瘦虚损，梦中失精，上气咳逆，发狂健忘等疾。（出自《资生经》）灸劳法，膏肓二穴，可以回生，或肚脐相对取背脊骨对正，灸亦有验，艾柱亦不可多。（出自《直指方》）
虚中有热治验∶建康道案察副使奥屯周卿子，年二十有三，至元戊寅三月间，病发热，肌肉消瘦，四肢困倦，嗜卧盗汗，大便溏多，肠鸣，不思饮食，舌不知味，懒言语，时来时去，约半载余，请予治之。诊其脉浮数，按之无力，正应王叔和浮脉歌云：脏中积冷荣中热，欲得生精要补虚。先灸中脘，乃胃之纪也，使引清气上行肥腠理。又灸气海，乃生发元气，滋荣百脉，长养肌肉。又灸三里，乃胃之合穴，亦助胃气，撤上热，使下于阴分。以甘寒之剂，泻热火。佐以甘温，养其中气。又食粳米、羊肉之类，固其胃气。戒以慎言语，节饮食，惩忿窒欲，病气日减，数月气得平复，逮二年，肥盛倍常。（出自《宝鉴》）
调摄法 诸虚百损，莫不自心肾而然，病既至此，尚有不能守节，或孳孳于财利，或恋恋于色欲，伤动坎离，渐致沉羸，去生远矣。养生之士闻此，自当恻然有感于斯，谨起居，节饮食，静室自处，勿贪富贵，勿怨贫贱，勿嗜酒色，专心服药。治法当以宁心凝神为先，次则涩精补肾，则疾无不愈矣。（出自《治病活法秘方》）
世有患此者，急绝房欲以养精，内观以养神，毋怒劳以耗气，则其真阴之水自充，而五内之火自息，又何不治之有。惟其嗜欲无节，起居不时，食饮自倍，使神散而精竭，血涸而气亡，直至发热不休，形骸骨立而死，良可叹哉。（出自《订补明医指掌》）
Quanshen Dabu Decoction (Complete Ten-Ingredient Great Tonifying Decoction) treats various deficiencies and insufficiencies in men and women, five labors and seven injuries, loss of appetite, chronic illness leading to deficiency damage, periodic tidal fever, qi attacking the spine, spasmodic pain, nocturnal emission during dreams, sallow complexion, and weakness in the legs and knees. It treats all conditions following illness where vitality is not as before, sorrow and worry damaging qi and blood, wheezing and coughing with chest fullness, weak spleen and kidney qi, five-palm heat and restlessness. This medicine has a warm but not hot nature, effectively tonifies in a balanced manner, nourishes qi and calms the spirit, awakens the spleen and stops thirst, promotes righteousness and repels evil, warms the spleen and stomach; its effects cannot be fully described.
Bai Fuling (Poria Cocos, roasted), Bai Zhu (Atractylodis Macrocephalae Rhizoma, roasted), Renshen (Ginseng Radix et Rhizoma, removed rhizome), Shu Dihuang (Prepared Rehmanniae Radix, washed in wine then steamed and roasted), Baishao Yao (Paeoniae Radix Alba), Fencao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqi (Astragali Membranacei Radix, removed rhizome), Rougui (Cinnamomi Cortex, removed rough bark, avoid fire), Chuan Danggui (Angelicae Sinensis Radix, removed rhizome and washed), Chuanxiong (Ligusticum Chuanxiong Rhizoma). All in equal parts.
The above ten herbs are coarsely crushed. Take two large qian per dose, add one sheng of water, three slices of fresh ginger, and two jujubes. Decoct until reduced to 70%. Take warm at any time. This medicine greatly benefits deficiency damage with miraculous efficacy. (*Heji Jufang*) *Yijian Fang* calls it Shibu Tang (Ten-Tonifying Decoction): For bone-steaming fever with normal diet, add two liang of chopped Chaihu (Bupleuri Radix) to Shibu Tang, mix well, and take. *Wei Shi's* Renshen San (Ginseng Powder) treats consumptive disease with shortness of qi, limb pain, chest oppression and irritability, insomnia, and reduced diet. Remove Fuling, Rougui, and Chuanxiong from this formula, and add Suanzaoren (Ziziphi Spinosae Semen) and Maimendong (Ophiopogonis Radix).
Yangrong Tang (Nourishing Glory Decoction) treats accumulated labor and deficiency damage, heaviness and stagnation in limbs, soreness and pain in bones and flesh, shallow breathing and shortness of qi, wheezing and coughing upon movement, spasm and urgency in the lower abdomen, stiffness and pain in the waist and back, heart deficiency with palpitations and fright, dry throat and lips, tasteless food, decline of yin and yang, sadness and grief, sleeping much and rising little. Long-term cases last years, acute ones last a hundred days, gradually leading to emaciation, exhaustion of the five zang organs' qi, which is hard to recover. It also treats simultaneous deficiency of the Lung and Large Intestine, coughing with diarrhea, panting and shortness of qi, vomiting of phlegm-saliva.
Huangqi (Astragali Membranacei Radix), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Jupi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) - each 1 liang; Baishao Yao (Paeoniae Radix Alba) - 3 liang; Shudihuang (Prepared Rehmanniae Radix), Wuweizi (Schisandrae Chinensis Fructus), Fuling (Poria Cocos) - each 3 fen; Yuanzhi (Polygalae Radix, removed core, stir-fried) - 0.5 liang.
Chop the herbs. Take four large qian per dose, add one and a half sheng of water, three slices of ginger, and two jujubes. Decoct until reduced to 70%, strain, and take on an empty stomach. Add 1 liang of Longgu (Fossilia Ossis Mastodi) for nocturnal emission and loose stools. Add Ejiao (Colla Corii Asini) for coughing. (*San Yin Fang*) *Heji Jufang* names it Ren Shen Yang Rong Tang.
Huangqi Ji Lao Tang (Astragalus Depleting Labor Decoction) [Note: In *Huoshi Zhengfang Houji*, "Tang" is written as "San"]. Treats women with simultaneous deficiency of Heart and Kidney, consumptive cough with blood in sputum, night fever followed by cold, occasional night sweats, limb fatigue, emaciated and yellow skin, reduced diet, vague sleep with strange dreams, unsettled spirit, and excessive dreaming. This medicine removes slight cough with sputum containing red threads, known as Fei Fei (Lung Withering). If untreated, these diseases become severe wasting conditions.
Baishao Yao (Paeoniae Radix Alba) - 6 liang; Mian Huangqi (Astragali Membranacei Radix, root removed, honey-fried) - 2 liang; Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried weighed) - 2 liang; Renshen (Ginseng Radix et Rhizoma, removed rhizome) - 2 liang; Bai Fuling (Poria Cocos, peeled) - 2 liang; Danggui (Angelicae Sinensis Radix, removed rhizome and washed) - 2 liang; Wuweizi (Schisandrae Chinensis Fructus, twigs removed) - 2 liang; Shu Gadihuang (Prepared Rehmanniae Radix, washed and dried) - 2 liang; Banxia (Pinelliae Rhizoma, select large ones, wash seven times in boiling water, dry, grind to powder, mix with fresh ginger juice to make cakes, dry).
Ejiao (Colla Corii Asini, select clear and good pieces, chop into small cubes, first stir-fry with Gegefen (Tridacnidae Concha Powder) until hot, then add Ejiao, stir quickly until it forms beads, pour out and sieve off the powder.) [The processing methods below Dihuang are missing in the original text, supplemented here from *Shizheng Fang Houji*.]
The above herbs must be processed and selected cleanly. Weigh according to dosage, crush into coarse powder. Take three large qian per dose, add one and a half sheng of water, twelve slices of ginger, and three pitted jujubes. Decoct until reduced to 90%, strain, and take warm at any time, three times a day. A villager's daughter of marriageable age had a critical condition lasting over a year, unresponsive to hundreds of medicines. She sought my treatment without success.偶然ly encountering a famous doctor who passed down this formula, she took one dose, and the root of the disease was instantly removed. (*Xuanqi Fang Houji*)
Shenxian Qiongyu Gao (Immortal Jade Paste) treats various deficiencies.
Fuling (Poria Cocos, 3 jin, pounded 1000 times into fine powder, use white variety); Renshen (Ginseng Radix et Rhizoma, 24 liang, pounded 1000 times into fine powder, use Korean variety); Dihuang (Rehmanniae Radix, 1 cheng [approx. 100 jin], harvested in September, ground to extract natural juice).
Take the dregs of Dihuang, add 3 sheng of Fa Jiu (Medicated Wine), grind and squeeze again until juice is exhausted, discard dregs. Use 10 jin of Baisha Mi (White Sand Honey), mix with the extracted Dihuang juice and the powders of Renshen and Fuling. Place in porcelain, silver, or earthenware vessels. Seal tightly with multiple layers of oiled wax paper to prevent leakage. Cook in a double boiler using mulberry wood fire for three days and nights. If night cooking is not possible, cook for six days until dusk of Mao hour. Once the time is set, immerse in a well for one Zhou hour (approx. 2 hours) to remove fire toxicity. Seal again with wax paper. After one Zhou hour, return to the pot and boil 20-30 times to remove yin energy. Only then open and scoop out. (*Weisheng Jiabao*) Take two spoons every morning, dissolved in warm wine. If not drinking wine, dissolve in plain water. (*Shizheng Fang*) For those indulging in lust, with pale complexion, forceful yet powerless pulse, and cough, Qiongyu Gao is most effective. (*Liuyao*) [Note: *Xian* adds Chenxiang (Aquilariae Lignum Resinatum) and Hupo (Succinum) to this formula, which seems superfluous, though *Jinkui Yi* praises it highly; I dare not follow.] *Jingyue Quanshu*'s Liangyi Gao (Two-Polarity Paste) treats severe depletion of essence and qi, unresponsive to other medicines, or due to excessive purgation damaging true yin. For deficiency in the Yang aspect where qi fails to transform into essence, Can Shu Gao (Ginseng and Atractylodes Paste) is suitable; for deficiency in the Yin aspect where essence fails to transform into qi, nothing is better than this. For those not yet critically ill but feeling chronic yin deficiency, used to regulate primal qi, it is particularly miraculous. Remove Fuling and Fa Jiu from this formula. (Dosages and processing differ, omitted here.)
Qing Huo Run Fei Formulas (See *Gu Zheng* chapter for details). Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction) treats non-interaction between Heart and Kidney, excess above and deficiency below, descending pathogenic fire, and nourishing yin water.
Dihuang (Raw for cooling blood, Prepared for tonifying blood); Chuan Guishen (Angelicae Sinensis Radix, washed in wine); Baishao Yao (Paeoniae Radix Alba, stir-fried in thin wine); Tianmendong (Asparagi Radix, removed core); Baizhu (Atractylodis Macrocephalae Rhizoma) - each 1 liang; Maimendong (Ophiopogonis Radix, removed core); Zhigancao (Glycyrrhizae Radix et Rhizoma, honey-fried) - each 5 fen; Zhimu (Anemarrhenae Rhizoma); Huangbai (Phellodendri Cortex, both steamed in honey-water); Chuanxiong (Ligusticum Chuanxiong Rhizoma) - each 6 fen (remove if chronic).
Add two zhong of water and three slices of ginger. Decoct and take. For chronic illness, add Yuanzhi (Polygalae Radix) and Chenpi (Citri Reticulatae Pericarpium) 5 fen each. For stagnant phlegm, add Gualouren (Trichosanthis Semen) and Beimu (Fritillariae Cirrhosae Bulbus) 6 fen each. For cough, add Wuweizi (Schisandrae Chinensis Fructus) and Ejiao (Colla Corii Asini) 7 fen each. For nocturnal emission, add Qianshi (Nelumbinis Semen) and Tushilian (Nelumbinis Plumula) 7 fen each. For heat, add Qinjiao (Gentianae Macrophyllae Radix) and Digupi (Lycii Cortex) 1 liang each. For hemoptysis, add Qiangengen (Rubiae Radix), Oujiang (Nymphaeae Nelumbinis Rhizomatis Sucus), and Xuanshen (Scrophulariae Radix) 1 liang each. For qi deficiency and blood shortage, add Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Membranacei Radix) 4 fen each. (*Zhuzheng Bianyi*) [Note: *Mingyi Zazhuo* states: A modern formula treats lust-induced syndrome, presenting early with tidal fever, night sweats, cough, and fatigue. Compare with this formula: no Maimendong, but contains Ganjiang (Zingiberis Rhizoma) and Chenpi (Citri Reticulatae Pericarpium), using both raw and prepared Dihuang. This is likely based on Wu's work. *Gujin Yijian* names a mixed formula Ziyin Jianghuo Tang with further modifications.] *Jishi Quanshu* treats yin deficiency with fire hyperactivity causing bleeding, fever, night sweats, cough with phlegm-wheezing, palpitations, and dry mouth. Remove Tianmendong from this formula, add Chenpi (Citri Reticulatae Pericarpium), Mudanpi (Moutan Cortex), Xuanshen (Scrophulariae Radix), Xijiao (Rhinocerotis Cornu), Ejiao (Colla Corii Asini), and Shanzhizi (Gardeniae Fructus) [use raw Dihuang]. Also treats yin deficiency with fire hyperactivity, fever, cough, expectoration, and urgent wheezing. Remove Guishen, Gancao, and Huangbai, add Baibu (Stemonae Radix), Beimu (Fritillariae Cirrhosae Bulbus), Fuling (Poria Cocos), Huangqi (Astragali Membranacei Radix), and Digupi (Lycii Cortex) [use both raw and prepared Dihuang].
Si Yin Jian (Four-Yin Decoction) is a formula for protecting the lung and clearing metal (Lung), hence named Si Yin. It treats yin deficiency consumptive damage, flourishing ministerial fire, fluid exhaustion with thirst, coughing, hematemesis, epistaxis, and excessive heat.
Shengdi (Rehmanniae Radix Recens) - 2-3 qian; Maidong (Ophiopogonis Radix) - 2 qian; Baishao Yao (Paeoniae Radix Alba) - 2 qian; Baihe (Lilii Bulbus) - 2 qian; Shashen (Glehniae Radix) - 2 qian; Sheng Gancao (Glycyrrhizae Radix et Rhizoma, raw) - 1 qian; Fuling (Poria Cocos) - 1.5 qian.
Add two zhong of water, decoct until reduced to 70%, take long after meals. (*Jingyue Quanshu*)
*Fangmai Zhengzong* treats yin deficiency with flaming fire, afternoon chills and fever, bone-steaming night fever, cough without phlegm, constipation, scanty dark urine, or urinary retention/dribbling with white turbidity. Use Xuanshen (Scrophulariae Radix) 4 liang, Shashen (Glehniae Radix), Baishao (Paeoniae Radix Alba), Huaishanyao (Dioscoreae Hypoglaucae Rhizoma), Shengdi (Rehmanniae Radix Recens), Yinchaihu (Cynanchi Stauntonii Radix), Digupi (Lycii Cortex) - each 3 liang; Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma) - each 2 liang; Gancao (Glycyrrhizae Radix et Rhizoma) 1 liang. Divide into 20 doses, decoct in water and take. (*Huiyan*) Also *Fangmai Bencao* treats bone-steaming internal heat or consumptive chills and fever. Remove Xuanshen, Chaihu, and Gancao from this formula, add Huangqin (Scutellariae Radix), Huafen (Puerariae Lobatae Radix), Maimendong (Ophiopogonis Radix), and Danggui (Angelicae Sinensis Radix).
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). Beyond the Six Extremes, there are Seven Injuries. The first is great anger, where rebellious qi damages the Liver. Liver damage leads to blood deficiency and dim vision; this formula should govern. (*Yifang Kao*) [Note: This refers to adding Mudanpi (Moutan Cortex) and Shanzhi (Gardeniae Fructus). Xiaoyao San is found in the *Furen* chapter.]
Ruijin Dan (Auspicious Gold Pill) treats consumptive disease with hemoptysis and blood stasis.
Chuan Dahuang (Rhei Radix et Rhizoma, mixed with wine, stir-fried black until yellow smoke rises); Zhen Qiushi (Urinal Stone) - each 1 liang.
Grind into fine powder. Boil red jujube flesh to form pills the size of mung beans. Take two qian on an empty stomach with mint soup. If stasis is in the Pericardium with frequent palpitations, flushed face, and confusion, add 3 qian of real Yujin (Curcumae Radix) [authentic if skin color resembles wu-tong seed wrinkles]. If stasis is in the Stomach with massive hematemesis, send down with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). (*Yitong*) [Note: This is also cooling, so still attached here.]
Moxibustion Method. For visceral qi deficiency and exhaustion, insufficient true qi, and all qi disorders lingering without cure, moxa Qihai (CV6). (*Tongren*) For fu-zang deficiency, cold exhaustion of the lower origin, etc., moxa Dantian (CV8). For yang qi deficiency and exhaustion, seminal emission and infertility, moxa Zhongji (CV3). Shenshu (BL23) treats consumptive emaciation, long-standing cold in the Kidney water organ, turbid urine with sperm, pain in the yin, five labors and seven injuries, exhaustion, cold feet like ice, and edema like water. (*Tongren*) Qugu (CV2) governs seminal emission and exhaustion of the five zang organs; moxa 50 moxa-cones. (*Qianjin*) *Ming Xia* states: For all deficiency, exhaustion, and extreme cold, moxibustion is suitable. Gaohuangshu (BL43) treats everything, emaciation and deficiency damage, nocturnal seminal emission, upward qi with cough and reversal, mania, and forgetfulness. (*Zisheng Jing*) Moxa Labor Method: The two Gaohuang points can restore life. Alternatively, align opposite the navel on the spinal column; moxibustion is also effective, but do not use too many moxa cones. (*Zhizhi Fang*)
Case of Deficiency with Heat: The son of Otun Zhouqing, Vice Commissioner of Jiankang Dao, aged twenty-three, in March of Wuyin year of Zhiyuan, suffered from fever, muscle emaciation, limb fatigue, lethargy, night sweats, loose frequent stools, borborygmus, loss of appetite, insensitivity of taste on the tongue, reluctance to speak, intermittent symptoms for about half a year. He asked me to treat him. His pulse was floating and rapid, but forceless upon pressure. This corresponds to Wang Shuhe's Floating Pulse Song: "Cold accumulates in the zang, heat resides in the Ying; to generate essence, one must tonify deficiency." First, moxa Zhongwan (CV12), the hub of the Stomach, to guide clear qi upward to nourish the muscles and skin. Then moxa Qihai (CV6) to generate primal qi, nourish the hundred vessels, and grow muscles. Then moxa Zusanli (ST36), the He-sea point of the Stomach, to assist stomach qi, withdraw upper heat, and direct it downward to the yin aspect. Use sweet-cold agents to drain fierce fire. Assist with sweet-warm agents to nourish middle qi. Eat rice and mutton to consolidate stomach qi. Advise caution in speech, moderation in diet, restraining anger, and curbing desires. The disease qi decreased daily. Within months, qi recovered. By the second year, he was twice as robust as usual. (*Baojian*)
Regulation Method. Various deficiencies and hundred damages all originate from the Heart and Kidney. Once the disease reaches this stage, if one cannot maintain discipline, pursuing wealth/profit or clinging to lust, damaging Kan and Li (Water and Fire), gradually leading to deep emaciation, moving far from life. Those interested in health preservation should feel compassion, strictly regulate daily routine, moderate diet, dwell in quiet rooms, not covet wealth/nobility, not complain of poverty/humility, not indulge in alcohol/lust, and focus on taking medicine. Treatment should prioritize calming the mind and concentrating the spirit, then astringing essence and tonifying the Kidney, and the disease will surely heal. (*Zhibing Huofang Mifang*)
For those suffering from this, urgently abstain from sexual desire to nourish essence, practice inner observation to nourish spirit, avoid anger and overwork to conserve qi, then true yin water will naturally fill, and internal fire will naturally subside. How could it not be cured? Only because of unregulated desires, irregular routine, excessive eating and drinking, scattering the spirit and exhausting essence, drying up blood and losing qi, until unremitting fever, skeletal emaciation, and death occur. Truly lamentable. (*Dingbu Mingyi Zhizhang*)