即合上二方。
血气俱虚者，进此方。
生人所倚赖者，气血而已。气血固百骸父母，曷可使其
俱虚。须四君四物合剂平补。形气既舒，妖氛不入。故人、珍斯八者曰八珍。
八珍加黄 、肉桂，姜、枣佐煎。
肌瘦色枯，睛陷视昏，此虚损肉极，欲成痨瘵，急宜大补气血。经曰∶气主煦之。血主濡之，故于八珍中加
甘温之黄 以助阳固卫，加辛温之肉桂以暖阴益荣。荣卫充实，邪不攻自退矣。再进而论，十物虽大补，必虚劳
血微燥，有痰饮，煎投乃得。若只肉极睛昏，而无别弊，须五味、附子、鹿茸易茯苓、芎、芍，庶药真十全，而
病万不一失。《金匮》曰∶虚者十补，勿一泻之，其斯之谓乎。
诗曰∶四物四君，时呼八珍，再添 桂，十补全真。
人参 白术 茯苓 甘草 黄 （剂片蜜拌炒） 橘皮 肉桂 当归 芍药 地黄 远志（缓火 去梗） 五味子
脉极肉 ，惊悸健忘，寝汗发热，食少气短，肌瘦目枯，毛发堕落，此方主之。
经曰∶脾气散精，上输于肺。此地气上升也。肺主治节，通调水道，下输膀胱，此天气下降也。肺脾虚，则
上下不交，荣血无所借以生。是故肺虚则气短，毛发堕落。脾虚则食少，肌瘦目枯。脾肺两虚，自无血以养心，
则百脉惫极，寝汗发热，惊悸健忘，筋肉不时振惕。上方黄 、白术、苓、草、橘皮、远志养气之荣也，当归、
芍药、地黄、
五味、桂心养血之荣也。题曰人参，擢其渠魁耳。薛立斋曰∶气血两虚，莫能名状，勿论其病，勿论其脉，但用此
汤，是可以言医已矣。
诗曰∶养荣即十全，出芎入五味，再加陈橘皮，肾强藏远志。
这就将前两个方剂合并。
气血都虚弱的人，服用这个方剂。
人所依赖的，不过是气和血罢了。气血是身体的根本，怎么能让它们都虚弱呢？必须用四君子汤和四物汤合方进行平和的补益。形体和气机既然舒展，邪气就不能侵入。所以把人参、茯苓等八味药称为“八珍”。
在八珍汤基础上加入黄芪、肉桂，用生姜、大枣辅助煎煮。
肌肉消瘦、面色枯槁、眼睛凹陷、视力昏花，这是虚损到了极点，快要形成痨瘵（慢性消耗性疾病），急需大补气血。医经说：气主要起温煦作用，血主要起濡润作用。所以在八珍汤中加入甘温的黄芪来助阳固表，加入辛温的肉桂来暖阴养血。营卫之气充实，邪气自然退去。再进一步论述，虽然这十味药是大补之剂，但如果是虚劳导致血微燥，或者有痰饮，才适合煎服投用。如果只是肌肉极度消瘦、眼睛昏花，而没有其他弊病，需要用五味子、附子、鹿茸替换掉茯苓、川芎、芍药，这样药物才算真正十全，治病万无一失。《金匮要略》说：虚证应当十次补益，不要一次泻下，说的就是这个意思吧。
诗云：四物四君，当时称为八珍，再添黄芪肉桂，十味补全真元。
人参、白术、茯苓、甘草、黄芪（切片，用蜜拌炒）、橘皮、肉桂、当归、芍药、地黄、远志（慢火焙干，去掉梗）、五味子。
脉象极弱、肌肉消瘦、惊悸健忘、盗汗发热、食欲少、气短、肌肉消瘦、眼睛枯槁、毛发脱落，这个方剂主治这些症状。
医经说：脾气散布精微物质，向上输送给肺。这是地气上升。肺主治节，通调水道，向下输送到膀胱，这是天气下降。肺脾两虚，则上下不交，营血没有来源生成。所以肺虚就会气短、毛发脱落。脾虚就会食欲少、肌肉消瘦、眼睛枯槁。脾肺两虚，自然没有血来养心，就会导致百脉疲惫至极，出现盗汗发热、惊悸健忘、筋肉不时抽搐震颤。上方中黄芪、白术、茯苓、甘草、橘皮、远志是滋养气的营分；当归、芍药、地黄、五味子、桂心是滋养血的营分。题目叫“人参”，是推崇它的领袖地位罢了。薛立斋说：气血两虚，无法形容其状，不论是什么病，不论是什么脉象，只要用这个汤剂，就可以说是懂医了。
诗云：养荣就是十全，去掉川芎加入五味子，再加陈皮，肾强藏远志。
This combines the previous two formulas.
For those with both Qi and Blood deficiency, this formula is advanced.
What humans rely upon are nothing but Qi and Blood. Since Qi and Blood are the parents of the hundred bones (the whole body), how can we allow them to be deficient? It is necessary to use a combined preparation of Sijunzi Tang (Four Gentlemen Decoction) and Siwu Tang (Four Substances Decoction) for balanced tonification. Once the form and Qi are relaxed, pathogenic factors will not enter. Hence, these eight herbs—Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), etc.—are called Bazhen (Eight Treasures).
Add Huang Qi (Astragali Radix) and Rou Gui (Cinnamon Cortex) to Bazhen Tang, decocted with Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus) as assistants.
When muscles are emaciated, complexion is withered, eyes are sunken, and vision is dim, this indicates deficiency damage reaching its extreme, likely developing into Laozai (consumptive disease). Urgent large-scale tonification of Qi and Blood is required. The Classics state: "Qi primarily provides warmth; Blood primarily provides moistening." Therefore, within Bazhen Tang, add sweet-warm Huang Qi to assist Yang and secure the defensive exterior, and add pungent-warm Rou Gui to warm Yin and nourish Ying (Nutritive Qi). When Ying and Wei (Defensive Qi) are substantial, pathogens retreat spontaneously. Further discussion reveals that although these ten substances provide strong tonification, they should only be decocted and administered if the patient suffers from consumptive fatigue with slightly dry Blood or has Phlegm-Fluid retention. If there is only extreme muscle emaciation and dim vision without other complications, one must substitute Wu Wei Zi (Schisandrae Fructus), Fu Zi (Aconiti Lateralis Radix Praeparata), and Lu Rong (Cervi Cornu Pantotrichum) for Fu Ling, Xiong Diao (Ligustici Chuanxiong Rhizoma), and Bai Shao (Paeoniae Radix Alba). This ensures the medicine is truly perfect in its ten components, making treatment infallible. The *Jin Gui Yao Lue* states: "For deficiency, tonify ten times; do not purge even once." This is precisely what it refers to.
The poem says: Siwu and Sijunzi are often called Bazhen; adding Huang Qi and Rou Gui completes the Ten Tonics to restore true Yuan Qi.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qi (Astragali Radix - sliced and stir-fried with honey), Ju Pi (Citri Reticulatae Pericarpium), Rou Gui (Cinnamon Cortex), Dang Gui (Angelicae Sinensis Radix), Shao Yao (Paeoniae Radix), Di Huang (Rehmanniae Radix), Yuan Zhi (Polygalae Radix - slow-fire dried and stems removed), Wu Wei Zi (Schisandrae Fructus).
For extremely weak pulse, emaciated muscles, palpitations, amnesia, night sweats, fever, poor appetite, shortness of breath, emaciated muscles, withered eyes, and falling hair, this formula is indicated.
The Classics state: "Spleen Qi scatters essence and transports it upward to the Lung. This is Earth Qi ascending." The Lung governs regulation, unblocks water passages, and transports downward to the Bladder; this is Heaven Qi descending. When Lung and Spleen are deficient, upper and lower do not interact, and Ying Blood lacks the source to generate. Thus, Lung deficiency leads to shortness of breath and falling hair. Spleen deficiency leads to poor appetite, emaciated muscles, and withered eyes. With dual deficiency of Spleen and Lung, there is naturally no Blood to nourish the Heart, leading to exhaustion of all vessels, night sweats, fever, palpitations, amnesia, and occasional twitching/trembling of muscles and tendons. In the above formula, Huang Qi, Bai Zhu, Fu Ling, Gan Cao, Ju Pi, and Yuan Zhi nourish the Ying aspect of Qi; Dang Gui, Shao Yao, Di Huang, Wu Wei Zi, and Gui Xin (Cortex Cinnamomi) nourish the Ying aspect of Blood. The title "Ren Shen" elevates its status as the chief ingredient. Xue Lizhai said: "When Qi and Blood are both deficient, beyond description, regardless of the disease or pulse, simply using this decoction suffices to claim medical knowledge."
The poem says: Yangrong is essentially Shiquan, removing Xiong Diao and adding Wu Wei Zi, plus Chen Pi (aged Tangerine Peel); Kidney strengthens by storing Yuan Zhi.