（旧名离济膏又名温肾固真膏专补命门之火制水以生土较散阴膏多补涩
可作暖脐膏用并可与温肺温胃健脾膏参用寒痧抽吊盖文中药末贴少年火旺勿用）
治元阳衰耗
脐眼对脐）或脾寒便溏。泄泻浮肿作胀。（贴脐眼对脐参用健脾膏）或肾气虚寒。腰脊重痛。（
贴腰脊） 腹脐腿足常冷。（贴脐眼及膝盖）或肾气衰败。茎痿精寒。（贴脐下）或精滑随触随
泄。（贴对脐及脐下）或夜多漩溺。（气虚膀胱不藏）甚则脬冷遗尿不禁。（水衰火实则二便不
通火衰火实则二便不禁○亦贴对脐脐下）或冷淋。（寒战后溲贴脐下）或寒疝。（寒湿为病囊冷
如冰者贴脐下参用散阴膏）或脱精脱神之症。（面色白而不泽悲愁如欲哭者贴心背脐眼及对脐
）○妇人子宫冷。（子宫胞之所居即丹田也亦白血海月水所停止积满则溢在脐下三寸胞寒则无
子膏即贴此）或大崩不止。身冷气微阳欲脱者。（贴胸口背心脐眼对脐脐下非危症勿全贴）或
冲任虚寒。带下纯白者。或久带下脐腹冷痛。腰以下如坐冰雪中。三阳真气俱衰者。（贴腰
脐及脐下）○小儿慢脾风。（久泻虚寒者贴脐眼对脐参用健脾膏）○心（火位）脐（火所生）对脐
。（命门火生之原）脐下。（水中火亦生气之原）
生鹿角屑一斤。（鹿茸更佳）高丽参（四两）用油
生附子（四两） 川乌 天雄（各三两） 白附子 益智仁 茅山术 桂枝 生半夏 补骨
吴茱萸 巴戟天 胡芦巴 肉苁蓉（各二两） 党参 白术 黄 熟地 川芎 酒当归 酒
白芍 山萸肉 淮山药 仙茅 蛇床子 菟丝饼 陈皮 南星 北细辛 覆盆子 羌活 独
活香白芷 防风 草乌 肉蔻仁 草蔻仁 远志肉 荜澄茄 炙甘草 砂仁 浓朴（制）
杏仁 香附 乌药 良姜 黑丑（盐水炒黑） 杜仲（炒） 续断 牛膝（炒） 延胡索（炒） 灵
脂（炒） 秦皮（炒） 五味子 五倍子 诃子肉 草果仁 大茴 红花 川萆 车前子 金
毛狗脊 金樱子 甘遂 黄连 黄芩 木鳖仁 蓖麻仁 龙骨 牡蛎 山甲（各一两） 炒蚕
砂（三两） 发团（一两六钱）
生姜 大蒜头 川椒 韭子 葱子 棉花子 核桃仁（连皮）
干艾（各四两） 凤仙（全株） 干姜 炮姜 白芥子 胡椒 石菖蒲 木瓜 乌梅（各一两）
槐枝 柳枝 桑枝（各八两） 茴香（二两）○两共享油二十四斤。分熬再合鹿角油并熬丹收。
○再入净松香陀僧 赤脂（各四两） 阳起石（ 二两） 雄黄 枯矾 木香 檀香 丁香 官
桂乳香（制） 没药（制各一两） 牛胶（四两酒蒸化如清阳膏下法）○一加倭硫黄（用浮萍煮
过者）
（此方旧名为离济膏，又名温肾固真膏，专门补益命门之火，通过制水来生土，其补涩作用较散阴膏更多。可用作暖脐膏，并可与温肺、温胃、健脾膏配合使用。寒痧引起的抽吊症状，可用文中提到的药末贴敷。少年火旺者禁用。）
治疗元阳衰耗：
若脾寒导致大便溏薄、泄泻、浮肿、腹胀。（贴于脐眼对侧的肚脐位置，并配合使用健脾膏）；
若肾气虚寒，导致腰脊沉重疼痛。（贴于腰脊部位）；
腹部、肚脐、腿部及足部经常发冷。（贴于脐眼及膝盖部位）；
若肾气衰败，导致阴茎痿软、精液寒冷。（贴于脐下部位）；
若遗精滑泄，稍受触动即泄出。（贴于对脐位置及脐下部位）；
若夜间多尿。（因气虚导致膀胱不能固摄），严重时出现膀胱寒冷、遗尿失禁。（因水衰火实则二便不通，火衰火实则二便不禁○也可贴于对脐及脐下部位）；
若患冷淋。（寒战之后小便不利，贴于脐下）；
若患寒疝。（因寒湿致病，阴囊冰冷如冰者，贴于脐下，并配合使用散阴膏）；
若出现脱精、脱神的症状。（面色苍白无光泽，悲伤忧愁如同要哭泣的人，贴于心口、背心、脐眼及对脐位置）○
妇人子宫寒冷。（子宫是胞宫所在之处，即丹田，也是血海和月经停止积聚满溢的地方，位于脐下三寸。胞宫寒冷则不孕，此膏即贴于此穴）；
若出现大崩漏不止，身体寒冷、气息微弱、阳气欲脱的情况。（贴于胸口、背心、脐眼、对脐、脐下，非危重病症不要全部贴上）；
或冲任二脉虚寒，白带纯白者；
或久患带下病，脐腹冷痛，腰部以下感觉如同坐在冰雪中，三阳真气都衰弱的人。（贴于腰、脐及脐下部位）○
小儿慢脾风。（因久泻导致虚寒者，贴于脐眼对侧肚脐位置，并配合使用健脾膏）○
心（属火之位）、脐（火所生之地）、对脐（命门火产生的根源）、脐下（水中的火，也是生气之源）。
药材用量：
生鹿角屑一斤。（鹿茸更佳）高丽参四两，用油熬；
生附子四两，川乌、天雄各三两，白附子、益智仁、茅山术、桂枝、生半夏、补骨脂、吴茱萸、巴戟天、胡芦巴、肉苁蓉各二两；
党参、白术、黄芪、熟地黄、川芎、酒当归、酒白芍、山萸肉、淮山药、仙茅、蛇床子、菟丝饼、陈皮、南星、北细辛、覆盆子、羌活、独活、香白芷、防风、草乌、肉蔻仁、草蔻仁、远志肉、荜澄茄、炙甘草、砂仁、浓朴（制）、杏仁、香附、乌药、良姜、黑丑（盐水炒黑）、杜仲（炒）、续断、牛膝（炒）、延胡索（炒）、灵脂（炒）、秦皮（炒）、五味子、五倍子、诃子肉、草果仁、大茴香、红花、川萆薢、车前子、金毛狗脊、金樱子、甘遂、黄连、黄芩、木鳖仁、蓖麻仁、龙骨、牡蛎、穿山甲各一两；
炒蚕砂三两，发团一两六钱。
辅料：
生姜、大蒜头、川椒、韭子、葱子、棉花子、核桃仁（连皮）、干艾各四两；
凤仙花（全株）、干姜、炮姜、白芥子、胡椒、石菖蒲、木瓜、乌梅各一两；
槐枝、柳枝、桑枝各八两；
茴香二两。
制作说明：
以上药物共用油二十四斤，分次熬煮后再合并鹿角油一起熬制，直至成丹收膏。
再加入净松香、陀僧、赤脂各四两，阳起石二两，雄黄、枯矾、木香、檀香、丁香、官桂乳香（制）、没药（制）各一两，牛胶四两（用酒蒸化，方法同清阳膏）。
另外加入倭硫黄（用浮萍煮过者）。
(This prescription was formerly known as Li Ji Gao, also called Wen Shen Gu Zhen Gao. It specifically tonifies the Fire of the Mingmen (Gate of Vitality), controls Water to generate Earth, and has more astringent and tonifying effects than San Yin Gao. It can be used as Nuan Qi Gao (Navel-Warming Plaster) and may be used in conjunction with Wen Fei Gao (Lung-Warming Plaster), Wen Wei Gao (Stomach-Warming Plaster), and Jian Pi Gao (Spleen-Strengthening Plaster). For cold sha (cold pathogenic factor causing spasms), apply the herbal powder mentioned in the text to the navel. It is contraindicated for youths with excessive internal fire.)
Indications: Deficiency and exhaustion of Yuan Yang (Primal Yang):
If Spleen Cold causes loose stools, diarrhea, edema, and abdominal distension: Apply opposite the navel (to the corresponding point on the abdomen) and use in conjunction with Jian Pi Gao.
If Kidney Qi deficiency and cold cause heaviness and pain in the lower back and spine: Apply to the lumbar and spinal region.
Frequent coldness in the abdomen, navel, legs, and feet: Apply to the navel and knees.
If Kidney Qi failure leads to impotence and cold seminal fluid: Apply below the navel.
Nocturnal emission or spermatorrhea occurring upon slight stimulation: Apply to the point opposite the navel and below the navel.
Frequent nocturia due to Qi deficiency causing the Bladder's inability to store urine; in severe cases, cold bladder and involuntary urination occur (due to Water deficiency and Fire excess leading to constipation/incontinence of both bowels and urine, or Fire deficiency and Fire excess leading to incontinence): Also applicable to the point opposite the navel and below the navel.
Cold Lin syndrome (painful urinary dysfunction due to cold): Apply below the navel after chills.
Cold Han syndrome (abdominal pain due to cold-dampness, where the scrotum feels cold as ice): Apply below the navel and use in conjunction with San Yin Gao.
Symptoms of loss of Jing (Essence) and Shen (Spirit): Pale complexion lacking luster, sorrowful mood resembling weeping: Apply to the chest, back, navel, and the point opposite the navel.
○ Uterine cold in women: The uterus is the residence of the Bao Gong (Womb), which is the Dantian (Elixir Field), and also where the Blood Sea and menstrual blood accumulate before overflowing. Located three cun below the navel. If the womb is cold, infertility results. This plaster should be applied here.
Profuse metrorrhagia (heavy bleeding) not stopping, accompanied by cold body, faint breath, and impending collapse of Yang: Apply to the chest, back, navel, point opposite the navel, and below the navel. Do not apply to all sites unless it is a critical condition.
Deficiency-cold of the Chong and Ren meridians, presenting with pure white leukorrhea.
Chronic leukorrhea with cold pain in the navel and abdomen, feeling as if sitting in ice and snow from the waist down, with decline of True Qi in the Three Yang meridians: Apply to the waist, navel, and below the navel.
○ Slow Spleen Wind in children (due to chronic diarrhea causing deficiency-cold): Apply opposite the navel and use in conjunction with Jian Pi Gao.
○ Heart (Fire position), Navel (generated by Fire), Point opposite the navel (origin of Mingmen Fire generation), Below the navel (Fire within Water, origin of Qi generation).
Ingredients:
Sheng Lu Jiao Xie (Raw Deer Antler Shavings) 1 jin (better if using Lu Rong/Deer Antler Tip). Gao Li Shen (Korean Ginseng) 4 liang, processed with oil.
Sheng Fu Zi (Raw Aconite Lateralis Radix Preparata) 4 liang. Chuan Wu (Aconitum carmichaelii Debx. Radix) and Tian Xiong (Aconitum kusnezoffii Reichb. Radix) each 3 liang. Bai Fu Zi (Typhonii Rhizoma) Yi Zhi Ren (Alpiniae Oxyphyllae Fructus) Mao Shan Zhu (Atractylodis Macrocephalae Rhizoma) Gui Zhi (Cinnamomi Ramulus) Sheng Ban Xia (Pinelliae Tuber) Bu Gu Zhi (Psoraleae Fructus) Wu Zhu Yu (Evodiae Fructus) Ba Ji Tian (Morindae Officinalis Radix) Hu Lu Ba (Trigonellae Semen) Rou Cong Rong (Cistanche Deserticolae Herba) each 2 liang.
Dang Shen (Codonopsis Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Huang Qi (Astragali Radix) Shu Di Huang (Rehmanniae Radix Praeparata) Chuan Xiong (Ligustici Chuanxiong Rhizoma) Jiu Dang Gui (Angelicae Sinensis Radix prepared with wine) Jiu Bai Shao (Paeoniae Radix Alba prepared with wine) Shan Yu Rou (Corni Fructus) Huai Shan Yao (Dioscoreae Oppositae Rhizoma) Xian Mao (Curculiginis Rhizoma) She Chuang Zi (Cnidii Fructus) Tu Si Bing (Cuscutae Semen) Chen Pi (Citri Reticulatae Pericarpium) Nan Xing (Arisaematis Rhizoma) Bei Xi Xin (Asari Radix et Rhizoma) Fu Pen Zi (Rubi Fructus) Qiang Huo (Notopterygii Rhizoma et Radix) Du Huo (Angelicae Pubescentis Radix) Xiang Bai Zhi (Angelicae Dahuricae Radix) Fang Feng (Saposhnikoviae Radix) Cao Wu (Aconiti Kusnezoffii Radix) Rou Kou Ren (Myristicae Semen) Cao Kou Ren (Amomi Fructus Rotundus) Yuan Zhi Rou (Polygalae Radix) Bi Cheng Qie (Litseae Fructus) Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) Sha Ren (Amomi Fructus) Nong Po (Magnoliae Officinalis Cortex) Xing Ren (Armeniacae Semen Amarum) Xiang Fu (Cyperi Rhizoma) Wu Yao (Linderae Radix) Liang Jiang (Alpiniae Katsumadai Rhizoma) Hei Chou (Pharbitidis Semen stir-fried with salt water until black) Du Zhong (Eucommiae Cortex stir-fried) Xu Duan (Dipsaci Radix) Niu Xi (Achyranthis Bidentatae Radix stir-fried) Yan Hu Suo (Corydalis Rhizoma stir-fried) Ling Zhi (Pulsatillae Radix stir-fried) Qin Pi (Fraxini Cortex stir-fried) Wu Wei Zi (Schisandrae Chinensis Fructus) Wu Bei Zi (Galla Chinensis) He Zi Rou (Terminalia Chebulae Fructus) Cao Guo Ren (Tsaoko Fructus) Da Hui (Foeniculi Fructus) Hong Hua (Carthami Flos) Chuan Bi (Dioscoreae Hypoglaucae Rhizoma) Che Qian Zi (Plantaginis Semen) Jin Mao Gou Ji (Polypodii Rhizoma) Jin Ying Zi (Chrysanthemi Indici Fructus) Gan Suan (Kansui Radix) Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Mu Bie Ren (Strychni Semen) Bi Ma Ren (Ricini Semen) Long Gu (Fossilia Ossis Mastodi et Scapulae) Mu Li (Ostreae Concha) Shan Jia (Manis Squama) each 1 liang.
Chao Can Sha (Bombyx Batryticatus stir-fried) 3 liang. Fa Tuan (Human Hair) 1 liang 6 qian.
Adjuvants:
Sheng Jiang (Zingiberis Rhizoma Recens) Da Suan (Allii Sativi Bulbus) Chuan Jiao (Zanthoxyli Pericarpium) Jiu Zi (Allii Tuberosi Semen) Cong Zi (Allii Fistulosi Semen) Mian Hua Zi (Gossypii Semen) He Tao Ren (Juglandis Semen cum testa) each 4 liang.
Feng Xian (Impatiens balsamina whole plant) Gan Jiang (Zingiberis Rhizoma) Pao Jiang (Zingiberis Rhizoma Praeparatum) Bai Jie Zi (Sinapis Semen) Hu Jiao (Piperis Longi Fructus) Shi Chang Pu (Acori Tatarinowii Rhizoma) Mu Gua (Chaenomelis Fructus) Wu Mei (Mume Fructus) each 1 liang.
Huai Zhi (Ramulus Sophorae) Liu Zhi (Ramulus Salicis) Sang Zhi (Ramulus Mori) each 8 liang.
Hui Xiang (Foeniculi Fructus) 2 liang.
Preparation Instructions:
Use 24 jin of oil for all the above ingredients. Boil separately, then combine with Deer Antler oil and continue boiling until the paste reaches the proper consistency (Dan stage).
Then add Jing Song Xiang (Pini Resina), Tuo Seng (Calamina), Chi Zhi (Red Wax) each 4 liang; Yang Qi Shi (Leucogynae Ore) 2 liang; Xiong Huang (Realgar), Ku Fan (Alumen Exsiccatum), Mu Xiang (Aucklandiae Radix), Tan Xiang (Santalum Album Lignum), Ding Xiang (Caryophylli Flos), Guan Gui (Cinnamomi Cortex), Ru Xiang (Olibanum prepared), Mo Yao (Myrrha prepared) each 1 liang; Niu Jiao (Bovis Colla) 4 liang (steamed with wine until dissolved, following the method for Qing Yang Gao).
Additionally, add Wo Liu Huang (Sulfur boiled with Spirodela polyrrhiza).