手太阴脉之脉。起于大指端。出于少商。大指内侧也。去爪甲角如韭叶为井。其支者出
次指内 出其端。
手阳明大肠之脉。起于大指次指之端。入次指内侧。去爪甲如韭叶为井。（一呼）
足
足太阴脾之脉。起于足大指端。循指内侧去爪甲角如韭叶为井。隐白也。
手少阴心之脉。起于小指内出其端。循指内 之端。去爪甲角如韭叶为井。
手太阳小肠之脉起于小指之端。去爪甲下一分陷中为井。
足太阳膀胱之脉。出于至阴。小指外侧。去爪甲角如韭叶为井金。足小指之端也。
足少阴肾之脉。起于小指之下为井。涌泉穴也。手厥阴心包之脉。其直者循中指出其端
。去爪甲角如韭叶陷中为井。中冲穴也。其支者。别掌中循小指次指出其端。
手少阳三焦之脉。起于小指次指之端。去爪甲角如韭叶为井。
足少阳胆之脉。出于窍阴。足小指次指之端。如韭叶为井。其支者。上入大指岐骨内
出其端。还贯爪甲出三毛。
足厥阴肝之脉。起于大指之端。入聚毛之际。去爪甲如韭叶为井。大敦及三毛中。（六
呼）
凡此大接经从阴引阳。从阳引阴。
东垣二十五论后录
阳明头痛。自汗发
热。白芷。 少阳头痛。脉弦（往来）寒热。柴胡。太阳头痛。恶风恶寒。川芎。太阴头痛。
痰物理重腹痛。半夏。少阴头痛手三阴三阳经不流行。而足寒逆为寒厥头痛。细辛。厥阴头
痛。项痛脉微浮缓。欲入太阳其疾痊矣。然而亦当用川芎。气虚头痛。黄 。血虚头痛。当
归。诸气血俱虚头痛。黄 当归。伤寒头痛。〔无汗（麻黄汤）。有汗（桂枝汤）〕太阳经所发
阳明头痛。白虎汤。少阳头痛柴胡汤。太阴头痛〔脉浮（桂枝汤）。脉沉（理中汤）〕少阴头痛
。（脉沉微热。麻黄附子细辛汤）厥阴头痛。外伤本经（桂枝麻黄各半汤）。
呕而微吐水。（吴茱萸汤。内亦病也）
易老曰。非白术不能去湿。非枳实不能消痞。非天雄不能补上焦之阳虚。非附子不能补
下焦之阳虚。治目不能远视能近视或亦妨近视或脉风成疠。（地芝丸）主之。
生地黄（爆干四两） 天门冬（汤炮去心） 枳壳（面炒去穣二两） 甘菊花（未开者秤二两）
上为细末。炼蜜丸如梧桐子大。如能饮食茶。清汤下。不能饮食。温酒下。食后改熟地
黄亦可。（此说亦见病 气直目门下亦有）
治目不能近视。反能远视。服（局方定志丸）。
目能远视。责其有火。不能近视。责其无水。法当补肾。目能近视。责其有水。不能远
视。
责其无火。法当补心。补肾补足少阴。补心补手少阴。补肾。（六味地黄丸）加牡蛎。补心。
（定志丸）加茯苓。
不能近视。晨服（地黄丸）。
不能远视。卧服（定志丸）。 治精滑久不愈。（固真丸）。
手足少阴经
不能远视。卧服（定志丸）。
单牡蛎不以多少。砂锅子内 醋淬七遍为末。醋糊为丸。如梧桐子大。每服五十丸。空
心盐汤下。
六脉俱弦。指下又虚。脾胃虚弱痛也。食少而渴不已。心下痞腹中痛。或腹中狭窄如绳
束之
急。小便不利。大便不调。精神短少。此药专治大渴不止。腹中窄狭。所食减少。大有神效
。
白茯苓（去皮） 陈皮（去白） 人参
生姜（先用滚汤掠过焙干各秤一两）秋时减姜一
上同为末。炼蜜为丸。如弹子大。每服一丸。白
汤化下。食前空心细嚼。白汤送下亦可。忌生冷硬物。及怒发思虑过节。
六脉沉紧。按之不鼓。膀胱胜小肠也。或泻利不止而腹胀。或纯便血赤血。或杂脓血。
便虽多
而不渴。精神短少。或面白脱色。此失血之故。或面黄而气短。此元气损少之故。且小肠者
。手太阳经丙火也。膀胱者。足太阳经壬水也。是壬水来丙小肠之位。小肠为壬所克而外走
也。诸手经短。而足经长。兼以五行相克论之。俱是足经。此火投于水大寒之证。宜温之
则愈。其与难经一证寒热相反。亦名曰小肠泻。亦作泄。海藏云。此杂病火投于水。变为寒
证。又外伤足太阳膀胱经。左脉俱浮为表阳之候也。忽变为内寒。亦旺火投盛水。而屈丙就
壬化。脉反不浮而微沉。此内病与外病俱有此。火投水例。非精于脉诊者。孰能知之。（姜
附赤石脂朱砂丹）
生附子（半两） 生干姜（半两不泡） 朱砂（一两另研） 赤石脂（一两半水飞）
上为细末。酒
糊丸如黑豆大。每服十五丸至二三十丸。米饮汤下。茯苓煎汤下尤妙。
东垣云。因看卢氏
医镜。见此一药味数分两同。惟丹砂用伏火者。及治病有瘥。所治者小便数而不禁。怔忡多
忘。魇梦不已不同耳。见其不同审而详之乃得此之治法不瘥且泛举之。经言肾主大小便。肝
主小便淋溲。难经云。小肠为赤肠是面赤色。及便溺赤色者。皆出心与小肠。南方赤色。
显于外也。经言。下焦如渎者。正谓大小便也。大便为阴为有形。乃下焦之下者也。肾脏
病
为肾主大便不言大肠者。明子行父之道。小便为气所化。乃下之高者也。谓肝主小便淋溲。
亦是子行父道。为腑病。诸气化者皆腑。诸有形血化者皆脏病所主。此腑言膀胱病二证俱在
下焦则同染有形无形及在腑在脏有殊。俱是丹田衰败。不言及心火者。以其相火化行君之令
故也。细分之。则膀胱壬水胜丙小肠者。是不传入阴故泄血。泄血利不禁为有形质病。且不
传阴则阴不病。何为有形病。此为阴之体也。为腑之用也。天地阴阳互为体用。以斯可见。
是明五脏者。为六腑所用。六腑为五脏所用明矣。是有形皆为传阴也。夫小便不禁是膀胱不
约为遗溺。此不传阴也。是丹田胞络受寒。为壬所克。大抵诸腑皆盛有形物。有形病者。在
腑责其所来皆在脏也。用伏火丹砂者。去其寒性耳。治法同者。以其俱在下焦。补诸形火同
在胞络耳。以其胞与肾相对有渠相通故也。肾主大便。肝主小便。所治安得不殊。经曰肾肝
同
归一治。经又云。少阳主骨所生病。膀胱却主节所生病。亦可知也。小便不禁茯苓汤下。大
便有病米饮汤送下。凡脏腑之秘。不可一例治。有虚秘有实秘。实秘者。能饮食。小便赤。
麻仁丸七宣丸之类主之。胃虚而秘者。不能饮食。小便清。（浓朴汤）主之。
浓朴（生姜制）
白术（五两） 枳实（麦皮炒一两） 陈皮（三两） 甘草（炙三两） 半夏曲（三两）上为粗末
。每服五钱。水一盏半。生姜五片。枣三枚煎至一盏空心服。
实秘者物也。虚秘者气也。
脉中少有力。浮则似止。胸中元气不及也。加人参 五味子 麦门冬 益智仁 沉香
丁香 川芎 白豆蔻 气血弱者。不可服枳壳以损其气也。
气血盛者不可服丁香以盛其益气也。
脉弦而虚。不可损气。脉大而实。不可益气。
气虚则（生脉散）气实则（三才丸）
地之湿气。感则害人皮肉筋脉（内托散）主之。以其外受也膏粱之变足生大丁。辛甘之过
也。（七圣散）主之。以其内发也（去桂加当归）疮肿消者。生姜自然汁。调轻粉涂之。
诸疮有恶肉者。膏药内入巴豆雄黄少许。不伤艮肉止去恶肉。不惟恶疮若痈疽有死肉不
能去者。巴豆霜上之。深则 之浅则干掺之。以膏药外护之大效。
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栀子黄经云无阳则阴无以芩黄连生。无阴则阳无以化。芍药黄又云。膀胱者。津液之柏大黄府。气化
则能出矣。陈皮浓朴藿香白芷 有一身尽热 干姜丁香肉 有一身尽寒 桂附子沉香有
手太阴肺经的脉气，起始于大拇指末端。出于少商穴（位于拇指桡侧指甲角旁），在拇指内侧。距离指甲角如韭菜叶宽处为井穴。其分支从腕后分出，走向食指内侧端。
手阳明大肠经的脉气，起始于食指末端。进入食指内侧。距离指甲角如韭菜叶宽处为井穴。（一呼）
足太阴脾经的脉气，起始于足大趾末端。沿脚趾内侧，距离指甲角如韭菜叶宽处为井穴，即隐白穴。
手少阴心经的脉气，起始于小指内侧端。沿手指内侧端。距离指甲角如韭菜叶宽处为井穴。
手太阳小肠经的脉气起始于小指末端。距离指甲下一分凹陷处为井穴。
足太阳膀胱经的脉气，出于至阴穴（位于足小趾外侧）。距离指甲角如韭菜叶宽处为井穴（属金）。即足小趾末端。
手厥阴心包经的脉气，其直行者沿中指中端。距离指甲角如韭菜叶凹陷处为井穴，即中冲穴。其分支，从掌中分出，沿无名指末端出。
手少阳三焦经的脉气，起始于无名指末端。距离指甲角如韭菜叶宽处为井穴。
足少阳胆经的脉气，出于窍阴穴（位于足第四趾末端）。距离指甲角如韭菜叶宽处为井穴。其分支，上行进入足大趾歧骨内，出其端，回绕穿过指甲，出于丛毛处。
足厥阴肝经的脉气，起始于足大趾末端。进入丛毛之际。距离指甲角如韭菜叶宽处为井穴，即大敦穴及丛毛中。（六呼）
以上这些是“大接经”法，通过从阴引阳、从阳引阴来调节经脉气血。
摘自李东垣《二十五论》之后录。
阳明头痛，伴有自汗、发热，用白芷治疗。
少阳头痛，脉弦，往来寒热，用柴胡治疗。
太阳头痛，恶风、恶寒，用川芎治疗。
太阴头痛，痰多、身体沉重、腹痛，用半夏治疗。
少阴头痛，手足三阴三阳经气血不流通，导致足部寒冷逆上，形成寒厥头痛，用细辛治疗。
厥阴头痛，项部疼痛，脉微浮缓，病势欲转入太阳经则疾病将愈。但也应当使用川芎。
气虚头痛，用黄芪治疗。
血虚头痛，用当归治疗。
气血俱虚头痛，用黄芪、当归治疗。
伤寒头痛，无汗者用麻黄汤，有汗者用桂枝汤。
太阳经所发的头痛，若转为阳明头痛，用白虎汤；少阳头痛用柴胡汤；太阴头痛，脉浮用桂枝汤，脉沉用理中汤；少阴头痛，脉沉微且发热，用麻黄附子细辛汤；厥阴头痛，外伤本经用桂枝麻黄各半汤。
呕吐且轻微吐清水，用吴茱萸汤（说明体内也有病变）。
易老说：非白术不能祛湿，非枳实不能消痞，非天雄不能补上焦之阳虚，非附子不能补下焦之阳虚。治疗眼睛不能远视但能近视，或者反而妨碍近视，或者因风邪成为疠疾，用地芝丸主治。
生地黄（爆干四两）、天门冬（汤泡去心）、枳壳（面炒去瓤二两）、甘菊花（未开的称二两）。
以上研为细末，炼蜜制成梧桐子大小的丸药。如果能进食喝茶，用清茶送下；如果不能进食，用温酒送下。饭后也可改用熟地黄。（此说法也见于《兰室秘藏》眼目门）
治疗眼睛不能近视，反而能远视，服用《局方》定志丸。
眼睛能远视，责之于有火；不能近视，责之于无水。治法应当补肾。
眼睛能近视，责之于有水；不能远视，责之于无火。治法应当补心。
补肾补足少阴经，补心补手少阴经。
补肾用六味地黄丸加牡蛎。补心用定志丸加茯苓。
不能近视，早晨服用地黄丸。
不能远视，睡前服用定志丸。
治疗遗精滑泄日久不愈，用固真丸。
手足少阴经相关论述：
不能远视，睡前服用定志丸。
单用牡蛎，不限多少，在砂锅内用醋淬七遍，研为细末，醋糊为丸，如梧桐子大。每服五十丸，空腹盐汤送下。
六脉皆弦，指下感觉虚弱，这是脾胃虚弱引起的疼痛。食少且口渴不止，心下痞满腹中痛，或腹中狭窄如绳索束紧般急迫，小便不利，大便不调，精神短少。此药专门治疗大渴不止、腹中窄狭、饮食减少，大有神效。
白茯苓（去皮）、陈皮（去白）、人参、生姜（先用滚汤掠过焙干，各称一两，秋季时减少姜的量）。
以上同为细末，炼蜜为丸，如弹子大小。每服一丸，用白开水化开送下。饭前空腹细嚼，白开水送下亦可。忌食生冷硬物，以及避免大怒和过度思虑。
六脉沉紧，按之不应指（不鼓动），这是膀胱胜小肠的表现。或者泻利不止而腹胀，或者纯便血赤血，或夹杂脓血。大便虽多但不渴，精神短少，或者面色苍白脱色，这是失血的原因。或者面色黄而气短，这是元气亏损的原因。小肠属于手太阳经，属丙火；膀胱属于足太阳经，属壬水。这是壬水克制丙火，小肠受壬水克制而外走。诸手经脉短，而足经脉长。兼以五行相克理论来看，都是足经的问题。这是火投入水中，属于大寒证，宜用温法治疗则痊愈。这与《难经》中提到的寒热相反的一证不同，也称为小肠泻，也作泄治。海藏（张元素）说：这是杂病中火投入水，变为寒证。又外伤足太阳膀胱经，左脉皆浮为表阳之候。忽然变为内寒，也是旺火投入盛水，使丙火屈就壬水而化。脉反不浮而微沉。这是内病与外病都有这种情况，属于火投水的例子。不是精通脉诊的人，谁能知道呢？用姜附赤石脂朱砂丹。
生附子（半两）、生干姜（半两不泡）、朱砂（一两另研）、赤石脂（一两半水飞）。
以上研为细末，酒糊丸如黑豆大。每服十五丸至二三十丸，米饮汤送下。用茯苓煎汤送下尤其好。
李东垣说：因为看卢氏《医镜》，见到这一药味数分量相同，只有丹砂用伏火者，以及治病有疗效。所治疗的病症是小便频数不禁、怔忡多忘、魇梦不已等不同罢了。看到其中的不同，审慎详细研究后才得到这种治法。如果无效且泛泛列举，经言肾主大小便，肝主小便淋溲。《难经》说：小肠为赤肠，面色赤色，以及便溺赤色者，都出自心与小肠。南方赤色，显于外。经言：下焦如渎，正是指大小便。大便为阴，为有形之物，乃下焦之下部。肾脏病，肾主大便而不提大肠，是因为儿子代行父亲之道（土克水，脾为肾之子，实则此处逻辑较为复杂，原文意指脏腑配合关系）。小便为气所化，乃下焦之上部。谓肝主小便淋溲，也是子行父道。腑病由气化主导，脏病由形质主导。此言膀胱病，二证都在下焦，同染有形无形，但在腑在脏有所不同。都是丹田衰败。不言及心火，是因为相火执行君王的命令。细分来说，膀胱壬水胜丙小肠，是不传入阴经故泄血。泄血利不禁为有形质病，且不传阴则阴不病，何为有形病？此为阴之体，为腑之用。天地阴阳互为体用，由此可见。这说明五脏被六腑所用，六腑被五脏所用，是很明显的。有形病皆为传阴。夫小便不禁是膀胱不约导致遗溺，这不传阴。是丹田胞络受寒，被壬水克制。大抵诸腑都盛有形物。有形病者，在腑责其所来皆在脏。用伏火丹砂，是为了去除其寒性。治法相同，是因为都在下焦，补诸形火同在胞络。因为胞与肾相对有渠相通。肾主大便，肝主小便，所安得不殊。经曰：肝肾同归一治。经又云：少阳主骨所生病，膀胱却主节所生病，也可知。小便不禁用茯苓汤送下，大便有病用米饮汤送下。凡脏腑之秘，不可一例治。有虚秘有实秘。实秘者，能饮食，小便赤，用麻仁丸、七宣丸之类主治。胃虚而秘者，不能饮食，小便清，用浓朴汤主治。
浓朴（生姜制）、白术（五两）、枳实（麦皮炒一两）、陈皮（三两）、甘草（炙三两）、半夏曲（三两）。以上为粗末。每服五钱，水一盏半，生姜五片，枣三枚，煎至一盏，空心服。
实秘者是物（积滞），虚秘者是气。
脉中少有力，浮则似止，是胸中元气不足。加人参、五味子、麦门冬、益智仁、沉香、丁香、川芎、白豆蔻。气血弱者，不可服枳壳以损其气。气血盛者，不可服丁香以盛其益气。脉弦而虚，不可损气。脉大而实，不可益气。气虚则用生脉散，气实则用三才丸。
地的湿气，感之则害人皮肉筋脉，用内托散主治，因为外受所致。膏粱之变，足生大丁，是辛甘之过，用七圣散主治，因为内发所致（去桂加当归）。疮肿消者，用生姜自然汁调轻粉涂之。
诸疮有恶肉者，膏药内入巴豆、雄黄少许。不伤好肉，只去恶肉。不仅恶疮，若痈疽有死肉不能去者，用巴豆霜。深则敷之，浅则干掺之，以膏药外护，大效。
栀子、黄芩、黄连生用。黄柏、大黄、陈皮、浓朴、藿香、白芷。有一身尽热者，用干姜、丁香、肉桂、附子、沉香。有一身尽寒者，用...
The pulse of the Hand-Taiyin Lung Meridian originates at the tip of the thumb. It emerges at Shaoshang (Shao Shang, Well Point), on the medial side of the thumb. The Well point is located at a distance from the corner of the nail like the width of a leek leaf. Its branch diverges from behind the wrist and leads to the medial end of the index finger.
The pulse of the Hand-Yangming Large Intestine Meridian originates at the tip of the index finger. It enters the medial side of the index finger. The Well point is located at a distance from the nail corner like the width of a leek leaf. (One exhalation)
The pulse of the Foot-Taiyin Spleen Meridian originates at the tip of the great toe. It follows the medial side of the toe. The Well point, Yinbai (Yin Bai), is located at a distance from the nail corner like the width of a leek leaf.
The pulse of the Hand-Shaoyin Heart Meridian originates at the medial end of the little finger. It follows the medial end of the finger. The Well point is located at a distance from the nail corner like the width of a leek leaf.
The pulse of the Hand-Taiyang Small Intestine Meridian originates at the tip of the little finger. The Well point is located in the depression one fen below the nail.
The pulse of the Foot-Taiyang Bladder Meridian emerges at Zhiyin (Zhi Yin), on the lateral side of the little toe. The Well point (Metal element) is located at a distance from the nail corner like the width of a leek leaf. This is the tip of the foot's little toe.
The pulse of the Foot-Shaoyin Kidney Meridian originates below the little toe as the Well point, Yongquan (Yong Quan).
The pulse of the Hand-Jueyin Pericardium Meridian: its straight course runs along the middle finger to its end. The Well point, Zhongchong (Zhong Chong), is located in the depression at a distance from the nail corner like the width of a leek leaf. Its branch diverges from the palm and leads to the end of the ring finger.
The pulse of the Hand-Shaoyang Sanjiao Meridian originates at the tip of the ring finger. The Well point is located at a distance from the nail corner like the width of a leek leaf.
The pulse of the Foot-Shaoyang Gallbladder Meridian emerges at Qiaoyin (Qiao Yin), at the tip of the fourth toe. The Well point is located like the width of a leek leaf. Its branch ascends into the space between the bones of the great toe, emerges at its end, returns to pass through the nail, and emerges among the hairs.
The pulse of the Foot-Jueyin Liver Meridian originates at the tip of the great toe. It enters the area where the hairs gather. The Well point, Dadun (Da Dun), and the area among the hairs are located at a distance from the nail corner like the width of a leek leaf. (Six exhalations)
These constitute the "Great Connecting Meridians" method, drawing Yang from Yin and Yin from Yang.
Excerpted from the postscript to Li Dongyuan's "Twenty-Five Discourses".
Yangming headache, accompanied by spontaneous sweating and fever, is treated with Baizhi (Angelicae Dahuricae Radix).
Shaoyang headache, with a wiry pulse and alternating chills and fever, is treated with Chaihu (Bupleuri Radix).
Taiyang headache, with aversion to wind and cold, is treated with Chuanxiong (Ligustici Chuanxiong Rhizoma).
Taiyin headache, with phlegm, heaviness of the body, and abdominal pain, is treated with Banxia (Pinelliae Rhizoma).
Shaoyin headache, where the qi and blood of the three Yin and three Yang meridians of the hand do not circulate smoothly, leading to cold feet and counterflow, resulting in cold jue headache, is treated with Xixin (Asari Radix et Rhizoma).
Jueyin headache, with neck pain and a slightly floating and slow pulse, indicates the disease is about to transfer to the Taiyang meridian, at which point it will recover. However, Chuanxiong (Ligustici Chuanxiong Rhizoma) should also be used.
Qi deficiency headache is treated with Huangqi (Astragali Radix).
Blood deficiency headache is treated with Danggui (Angelicae Sinensis Radix).
Headache due to combined Qi and Blood deficiency is treated with Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix).
Headache due to Cold Damage: for those without sweat, use Mahuang Tang (Ephedra Decoction); for those with sweat, use Guizhi Tang (Cinnamon Twig Decoction).
Headache originating from the Taiyang meridian: if it transforms into Yangming headache, use Baihu Tang (White Tiger Decoction); Shaoyang headache uses Chaihu Tang (Bupleuri Decoction); Taiyin headache, if the pulse is floating, uses Guizhi Tang (Cinnamon Twig Decoction); if the pulse is deep, uses Lizhong Tang (Regulate the Middle Decoction); Shaoyin headache, with a deep, faint pulse and fever, uses Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asari Decoction); Jueyin headache due to external injury to its own meridian uses Guizhi Mahuang Ge Ban Tang (Half Cinnamon Twig and Half Ephedra Decoction).
Vomiting with slight spitting of clear water is treated with Wuzhuyu Tang (Evodia Decoction), indicating internal pathology.
Master Yi said: Without Baizhu (Atractylodis Macrocephalae Rhizoma), dampness cannot be removed; without Zhishi (Aurantii Fructus Immaturus), stagnation cannot be resolved; without Tianxiong (Aconiti Lateralis Radix Preparata), upper Jiao Yang deficiency cannot be tonified; without Fuzi (Aconiti Lateralis Radix Preparata), lower Jiao Yang deficiency cannot be tonified. For treating inability to see far but ability to see near, or conversely, inability to see near, or leprosy caused by wind pathogen, Dizhi Wan (Dizhi Pill) is the primary treatment.
Sheng Dihuang (Prepared Rehmanniae Radix, dried by explosion, 4 liang), Tianmendong (Asparagi Radix, boiled and heart removed), Zhike (Immature Bitter Orange Fruit, stir-fried with flour, rind removed, 2 liang), Gan Juhua (Chrysanthemi Flos, unopened, weighed 2 liang).
Grind these into fine powder, mix with refined honey to form pills the size of paulownia seeds. If able to eat and drink tea, take with clear tea water; if unable to eat, take with warm wine. After meals, Prepared Shu Dihuang (Prepared Rehmanniae Radix) may also be used. (This theory is also found in the Eye Section of *Lan Shi Mi Cang*).
To treat inability to see near but ability to see far, take Ju Fang Dingzhi Wan (Official Formulation Dingzhi Pill).
Ability to see far is attributed to Fire; inability to see near is attributed to lack of Water. The treatment method should tonify the Kidney.
Ability to see near is attributed to having Water; inability to see far is attributed to lack of Fire. The treatment method should tonify the Heart.
Tonifying the Kidney involves tonifying the Foot-Shaoyin meridian; tonifying the Heart involves tonifying the Hand-Shaoyin meridian.
To tonify the Kidney, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Muli (Ostreae Concha). To tonify the Heart, use Dingzhi Wan (Dingzhi Pill) plus Fuling (Poria).
For inability to see near, take Dihuang Wan (Rehmannia Pill) in the morning.
For inability to see far, take Dingzhi Wan (Dingzhi Pill) before bed.
To treat chronic seminal emission and slipping that does not heal, use Guzhen Wan (Guzhen Pill).
Foot and Hand Shaoyin Meridians:
Inability to see far: take Dingzhi Wan (Dingzhi Pill) before bed.
Use only Muli (Ostreae Concha), quantity unspecified. Quench seven times in vinegar inside a clay pot, grind into powder, make pills with vinegar paste the size of paulownia seeds. Take 50 pills per dose, with salt water on an empty stomach.
If all six pulses are wiry and feel deficient under the fingers, this is pain due to Spleen and Stomach weakness. Symptoms include decreased appetite and incessant thirst, epigastric fullness and abdominal pain, or a sensation of tightness in the abdomen like a rope binding it urgently, difficult urination, irregular bowel movements, and shortness of spirit. This medicine specifically treats incessant severe thirst, narrowness in the abdomen, and reduced food intake, showing great efficacy.
Baifuling (Poria, peeled), Chenpi (Tangerine Peel, white pith removed), Renshen (Ginseng Radix et Rhizoma), Shengjiang (Fresh Ginger Rhizome, blanched with boiling water and dried, each weighed 1 liang; reduce ginger in autumn).
Grind together into powder, make pills with refined honey the size of a bullet. Take one pill per dose, dissolve in white water. Chew finely on an empty stomach before meals, or swallow with white water. Avoid raw, cold, hard foods, and prevent excessive anger and overthinking.
If the six pulses are deep and tight, and do not throb upon pressure, this indicates the Bladder overcoming the Small Intestine. Symptoms may include incessant diarrhea and abdominal distension, or pure red blood in stool, or pus and blood mixed. Although there is much stool, there is no thirst, spirit is short, or complexion is pale and washed out; this is due to blood loss. Or, yellow complexion with shortness of breath, this is due to damage to Yuan Qi. The Small Intestine belongs to the Hand-Taiyang meridian and is Bing Fire; the Bladder belongs to the Foot-Taiyang meridian and is Ren Water. This is Ren Water overcoming Bing Fire, causing the Small Intestine to be overcome by Ren Water and move outward. All hand meridians are short, while foot meridians are long. Considering the Five Elements mutual overcoming, this involves foot meridians. This is Fire entering Water, a syndrome of extreme cold, suitable for warming treatment to cure. This differs from the cold-heat opposite syndrome mentioned in *Nan Jing*, also called Small Intestine Diarrhea or Loose Stools. Haizang (Zhang Yuansu) said: This is miscellaneous diseases where Fire enters Water, transforming into a cold syndrome. Also, external injury to the Foot-Taiyang Bladder meridian, left pulses all floating indicate exterior Yang signs. Suddenly transforming into interior cold is also Wang Fire entering Sheng Water, causing Bing Fire to submit to Ren Water and transform. The pulse reverses from floating to slightly deep. Both interior and exterior diseases have this situation, the example of Fire entering Water. Only those proficient in pulse diagnosis can know this. Use Jiang Fu Chishizhi Zhusha Dan (Ginger, Aconite, Red Clay, Cinnabar Pill).
Sheng Fuzi (Raw Prepared Aconite Lateralis Radix, half liang), Sheng Ganjiang (Dried Ginger Rhizome, half liang, not soaked), Zhusha (Cinnabar, one liang, ground separately), Chishizhi (Red Kaolin, one and a half liang, water-flown).
Grind into powder, make pills with wine paste the size of black beans. Take 15 to 20-30 pills per dose, with rice water decoction. Taking with Poria decoction is especially good.
Li Dongyuan said: Because I read Lu Shi's *Yi Jing* (Medical Mirror), I saw this prescription had the same number of ingredients and dosages, except using Fu Huo Dan Sha (Fixed Fire Cinnabar). And the treatment was effective. The conditions treated were frequent and incontinent urination, palpitations and forgetfulness, and endless nightmares, which were different. Seeing these differences and examining them carefully led to this treatment method. If ineffective and listed generally: The Classics state the Kidney governs large and small intestines; the Liver governs urinary dribbling. *Nan Jing* states: The Small Intestine is the Red Intestine; a red face and red urine/feces come from the Heart and Small Intestine. Southern Red color manifests externally. The Classics state: The Lower Jiao is like a ditch, referring precisely to large and small intestines. Large stool is Yin, has form, and is the lower part of the Lower Jiao. Kidney disease: The Kidney governs large stool but does not mention the Large Intestine, clearly indicating the son performing the father's function. Small stool is transformed by Qi, and is the upper part of the Lower Jiao. Saying the Liver governs urinary dribbling is also the son performing the father's function. Fu diseases are governed by Qi transformation; Zang diseases are governed by form/blood transformation. This discusses Bladder disease; both syndromes are in the Lower Jiao, differing in whether they involve form or Qi, and Fu or Zang. Both are due to Dantian decline. It does not mention Heart Fire because Xiang Fire executes the Jun King's order. Finely divided, Bladder Ren Water overcoming Bing Small Intestine means it does not transmit to Yin, hence bleeding stool. Bleeding stool and incontinence are form/pathology diseases, and not transmitting to Yin means Yin is not diseased. Why is it a form disease? It is the substance of Yin, the function of Fu. Heaven and Earth Yin and Yang are mutually substance and function, visible here. This clarifies that Six Fu are used by Five Zang, and Five Zang are used by Six Fu. Form diseases all transmit to Yin. Urinary incontinence is Bladder failing to constrain, leading to enuresis; this does not transmit to Yin. It is Dantian and Bao Luo (Uterus/Bladder network) receiving cold, overcome by Ren Water. Generally, all Fu contain form substances. Form diseases, when in Fu, trace their origin to Zang. Using Fu Huo Dan Sha (Fixed Fire Cinnabar) removes its cold nature. Treatments are similar because they are both in the Lower Jiao, tonifying various forms of Fire residing in the Bao Luo. Because the Bao and Kidney are opposite and connected by channels. Kidney governs large stool, Liver governs small stool, how could their governance not differ? The Classics say: Kidney and Liver share one treatment. The Classics also say: Shaoyang governs bone diseases; Bladder governs joint diseases. This can also be known. Urinary incontinence taken with Poria decoction; large stool diseases sent down with rice water. Secretions of all Zang and Fu cannot be treated uniformly. There are deficiency constipation and excess constipation. Excess constipation: able to eat, red urine, treated with Mahren Wan (Hemp Seed Pill), Qixuan Wan (Seven-Circulation Pill) etc. Stomach deficiency constipation: unable to eat, clear urine, treated with Nongpo Tang (Magnolia Bark Decoction).
Nongpo (Magnolia Bark, prepared with Ginger), Baizhu (Atractylodis Macrocephalae Rhizoma, five liang), Zhishi (Immature Bitter Orange Fruit, stir-fried with wheat bran, one liang), Chenpi (Tangerine Peel, three liang), Gancao (Licorice Root, roasted, three liang), Banxiaqu (Pinelliae Fermented Paste, three liang). Make coarse powder. Take 5 qian per dose, 1.5 cups of water, 5 slices of Ginger, 3 Jujubes, decoct to 1 cup, take on an empty stomach.
Excess constipation is matter (accumulation); deficiency constipation is Qi.
If the pulse lacks strength, and floating seems to stop, it is insufficient Yuan Qi in the chest. Add Renshen (Ginseng), Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), Yizhiren (Alpiniae Oxyphyllae Semen), Chenxiang (Aquilariae Lignum), Dingxiang (Caryophylli Flos), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bidoukou (Amomi Fructus Rotundus). Those with weak Qi and Blood cannot take Zhike (Immature Bitter Orange Fruit) as it damages Qi. Those with abundant Qi and Blood cannot take Dingxiang (Clove) as it increases Qi excessively.
Wiry and deficient pulse: do not damage Qi. Large and excess pulse: do not tonify Qi.
Qi deficiency uses Shengmai San (Generate Pulse Powder); Qi excess uses Sancai Wan (Three Talents Pill).
Earth's dampness, when felt, harms skin, flesh, sinews, and vessels; Neituo San (Internal Support Powder) treats it, because it is externally contracted. Rich food changes produce large carbuncles on the feet; this is the excess of pungent and sweet flavors; Qisheng San (Seven Sages Powder) treats it, because it arises internally (remove Gui, add Danggui). For reducing swelling and sores, apply Qingfen (Calamina) mixed with fresh Ginger juice.
For sores with foul flesh, add a little Badou (Crotonis Fructus) and Xionghuang (Realgar) to the plaster. It does not harm healthy flesh, only removes foul flesh. Not only for foul sores, if abscesses have dead flesh that cannot be removed, apply Badoushuang (Croton Frost). Deep wounds: apply paste; shallow wounds: sprinkle dry powder. Protect externally with plaster for great effect.
Zhizi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) used raw. Huangbo (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma), Chenpi (Tangerine Peel), Nongpo (Magnolia Bark), Huoxiang (Agastaches Herba), Baizhi (Angelicae Dahuricae Radix). One with heat throughout the body uses Ganjiang (Dried Ginger Rhizome), Dingxiang (Clove), Rougui (Cinnamon Bark), Fuzi (Aconite), Chenxiang (Aquilaria Wood). One with cold throughout the body uses...