陈远公曰∶有胸间生疮，因不慎酒色，致成漏窍。生数头，流血，久则形神困惫，
腰痛难伸，行同伛偻，人以为心漏也，谁知乃肾虚成漏乎！夫心肾本相通也，心气
必得肾气以相生，肾气必得心气以相闭，心漏之成，成于肾气之泄也，安可不急治肾
气之衰乎？然治肾而心气不闭，则补肾无益，盖有出气而无止气耳。或云漏疮多成
于湿热，今补肾而不闭心窍，则漏不愈，闭心窍而不去湿热，只治心肾，漏亦不能愈
也。然漏亦不同，漏在他处者，可泄其湿
热，在胸间者，不可泄湿热也。盖漏既成于肾虚，肾虚则寒而非热也。肾虚者，肾
水虚而非邪火盛也，补真阴而邪水自消，温肾寒而湿热自退耳。用温肾丹∶鹿茸二具
酥炙，附子二枚，人参、青盐各二两，瓦松二枝，红枣四两，煮枣捣丸，每空心酒
下三十丸，服半月，腰疼少减，服月余而漏愈矣。（《冰鉴》。此方奇在鹿茸，既能益肾中之水火，
更能补心中之缺陷，加以附子之辛热，则无经不达，引鹿茸直入心肾，以填其空窍。青盐者，咸以软坚也。漏
多孔窍流血必多，血得盐则止也。瓦松者消湿热于无形，心漏虽非湿热，然未可少有留存，则孔窍难塞，故兼用
之，以防其变，又恐气虚不能运化，加参以生气于心肾之间，助茸、附之力，通达上下，尤易成功也。）
冯鲁瞻曰∶胸前有一孔，常出血水，名曰心漏。用嫩鹿茸去毛酥炙，附子炮去皮
脐盐化，共为细末，枣肉为丸，每服三十丸，空心酒下。兼治肾虚腰痛如神。（《锦囊》）
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陈远公说：有人胸部生出疮疡，因为不慎节制酒色，导致形成漏管。疮口生有多个孔窍，流出血液，时间久了形体和精神都困倦疲惫，腰部疼痛难以伸展，行走姿态如同驼背，人们认为这是心漏，哪里知道这其实是肾虚导致的漏症呢！心与肾原本相互通联，心气必须得到肾气的滋生才能相生，肾气必须得到心气的固摄才能相闭。心漏的形成，是由于肾气泄漏所致，怎么可以不紧急治疗肾气的衰弱呢？然而，如果只治疗肾脏而心气不能固闭，那么补肾就没有益处，这就像只有气体排出而没有止住气体的方法一样。有人说漏疮大多由湿热引起，现在补肾而不闭锁心窍，则漏症不会痊愈；闭锁心窍而不清除湿热，只治疗心肾，漏症也不能痊愈。然而漏症也不尽相同，发生在身体其他部位的漏疮，可以泄除其湿热；发生在胸间的，则不可泄除湿热。因为漏症既然源于肾虚，肾虚则是寒证而非热证。肾虚是指肾水虚弱，而不是邪火旺盛。补益真阴则邪水自然消退，温补肾寒则湿热自然退去。使用温肾丹：鹿茸两具（用酥油炙烤），附子两枚，人参、青盐各二两，瓦松两枝，红枣四两，煮枣后捣烂制成丸药，每次空腹时饮酒送服三十丸，服用半个月，腰痛稍微减轻，服用一个多月后漏症痊愈。（出自《冰鉴》。此方奇妙之处在于鹿茸，既能补益肾中的水火，又能补益心中的缺陷，加上附子的辛热之性，则无处不到，引导鹿茸直接入心肾，以填补空窍。青盐的作用，是用咸味来软化坚结。漏症多孔窍且流血必多，血遇到盐就能停止。瓦松的作用是无形之中消除湿热，心漏虽然并非湿热所致，但不可稍有留存，否则孔窍难以闭合，所以兼用瓦松，以防病情变化，又担心气虚不能运化药力，加入人参以在心肾之间生气，辅助鹿茸、附子的力量，通达上下，更容易成功。）
冯鲁瞻说：胸前有一个孔窍，经常流出血水，名叫心漏。使用嫩鹿茸去毛后用酥油炙烤，附子炮制后去皮去脐并用盐水化处理，共同研磨成细末，用枣肉作为粘合剂制成丸药，每次服用三十丸，空腹时饮酒送服。同时也能像神效一样治疗肾虚腰痛。（出自《锦囊》）
Chen Yuangong stated: There are cases where sores arise in the chest region due to imprudence regarding alcohol and sexual activity, leading to the formation of fistulas. Multiple openings may develop, bleeding over time, eventually causing physical and mental exhaustion, severe lower back pain with difficulty extending the body, and a stooped gait resembling kyphosis (hunchback). People consider this to be Heart Fistula (Xin Lou), but little do they know it is actually caused by Kidney Deficiency (Shen Xu) manifesting as a fistula! The Heart and Kidney are originally interconnected; Heart Qi (Xin Qi) must receive nourishment from Kidney Qi (Shen Qi) to generate each other, and Kidney Qi must be secured by Heart Qi to remain closed. The formation of Heart Fistula results from the leakage of Kidney Qi; therefore, one must urgently treat the decline of Kidney Qi. However, if treatment focuses solely on the Kidneys without securing Heart Qi, tonifying the Kidneys is futile, akin to having an outlet for Qi without a mechanism to stop its escape. Some argue that fistulous sores mostly arise from Damp-Heat (Shi Re); thus, tonifying the Kidneys without closing the Heart orifice will not cure the fistula, nor will closing the Heart orifice without eliminating Damp-Heat while only treating the Heart and Kidneys. Yet, fistulas vary. Those occurring elsewhere can have their Damp-Heat drained, but those in the chest region cannot. This is because a fistula arising from Kidney Deficiency implies Cold (Han) rather than Heat (Re). Kidney Deficiency refers to a deficiency of True Water (Zhen Yin) rather than an excess of Pathogenic Fire (Xie Huo). Tonifying True Yin causes pathogenic fluids to dissipate naturally, and warming Kidney Cold causes Damp-Heat to recede naturally. Use Wen Shen Dan (Warm the Kidney Decoction): two pieces of Lu Rong (Cervus Nippon Antler, prepared with butter), two A Zi (Aconiti Lateralis Radix Praeparata), two liang each of Ren Shen (Ginseng Radix et Rhizoma) and Qing Yan (Halitum), two branches of Wa Song (Sedum Acre), and four liang of Hong Zao (Jujubae Fructus). Boil the dates, mash them, and form pills. Take thirty pills per dose with wine on an empty stomach. After half a month, lower back pain decreases slightly; after more than a month, the fistula heals. (From *Bing Jian*. The novelty of this formula lies in Lu Rong, which benefits both the Water and Fire within the Kidneys and supplements defects in the Heart. Combined with the acrid-hot nature of Fu Zi (Aconiti Lateralis Radix Praeparata), it reaches all meridians, guiding Lu Rong directly into the Heart and Kidneys to fill the hollow orifices. Qing Yan acts by using its salty flavor to soften hardness. Since fistulas with multiple orifices bleed heavily, blood coagulates upon contact with salt. Wa Song eliminates Damp-Heat invisibly; although Heart Fistula is not primarily caused by Damp-Heat, any residual dampness hinders orifice closure, hence Wa Song is added to prevent complications. Furthermore, to address potential Qi Deficiency (Qi Xu) hindering transformation, Ren Shen is added to generate Qi between the Heart and Kidneys, assisting the power of Lu Rong and Fu Zi to unblock the upper and lower jiao, facilitating success.)
Feng Luzhan stated: A single orifice on the chest frequently discharges bloody fluid, named Heart Fistula (Xin Lou). Use tender Lu Rong (Cervus Nippon Antler) de-haired and prepared with butter, and Fu Zi (Aconiti Lateralis Radix Praeparata) processed, skin and umbilicus removed, and dissolved in salt water. Grind both into fine powder, bind with Jujube flesh to form pills. Take thirty pills per dose with wine on an empty stomach. It also treats Kidney Deficiency Lower Back Pain (Shen Xu Yao Tong) with miraculous efficacy. (From *Jin Nang*)