脉 形大力薄。为虚损。浮大无力为阳虚。细数无力为阴虚。寸脉浮软而弱为上虚。尺短涩
而微为下虚。左尺短涩不均。为血虚。右寸沉微为气虚。六脉细微者盗汗。六脉细数者。潮
热。右关脉弦大。为脾虚。又男子右尺脉细微如丝者。为阳衰精竭。女人左尺细微如丝者。
为阴衰经闭。皆不治也。
症 按集成云∶虚损之症。皆由色欲过度。喜怒不节。起居不时。饮食失宜有所劳伤。皆损
其气血。盖气衰则火旺。火旺则乘其脾土。而胃气散解。不能滋营百脉。灌溉脏腑。卫护周
身。故虚损之症生焉。病则百脉烦疼。腰痛脚软。胸满短气。心烦不安。耳鸣目眩。咳嗽。
寒热交作。自汗盗汗。遗精白浊。飧泄食少。食亦无味。不长肌肤。或睡中惊悸。午后发
热。倦怠无力。女子则崩漏带下。经闭不行。咳嗽。吐血。发热。皆虚损之候也
治 经云∶虚者补之。损者益之。又云∶形不足者温之以气。参术茸附之类。精不足者。补
之以味。鹿角胶地黄之类。气虚则补气。普用四君子汤。血虚则补血。兼用四物汤。气血俱
虚。十全大补汤。痰嗽者清肺。麦门冬黄芩贝母之类。阴虚发热者。滋阴降火。黄柏知母地
骨皮之类。用者详之。
方 十全大补汤治气血虚损。随症轻重加减。
人参（二钱五分） 白术（三钱） 黄 （一钱五分蜜炙） 甘草（四分） 白茯苓（一钱二分）
川芎（七分） 当归（一钱五分） 熟地黄（一钱） 白芍药（一钱二分） 桂（三分） 如虚甚者。
加熟附（一钱） 以行参 之功。
上用姜枣煎。食远服。
老人但觉小水短少。即是病进。本方。去黄 、熟地、甘草，加牛膝、陈皮、春。倍川芎、
夏。加麦门冬（一钱）、黄芩（八分）、秋冬。加炒黑干姜（五分）、倍当归（此丹溪先
生养母之法也）
男妇大病后。气血虚损。脾胃不足。本方去芎桂，加山药、陈皮、麦门冬（各等分）。
男子真阴虚损。加黄柏、知母、麦门冬、地骨皮（各等分）。
妇人胎产虚损。本方去桂，加香附（一钱五分） 煎调鹿角胶服。
大吐血后虚损。加麦门冬、侧柏叶（各一钱）、去黄 、川芎、桂。
男子遗精白浊。或梦遗精滑。加黄柏、知母（俱童便浸炒各一钱）、山药、芡实。
鹿角霜（各一钱五分）、龙骨（五分）。
妇人赤白带下。日久。或湛浊黄瘦潮热。加升麻、柴胡（各五分）。
男妇心虚手振。加麦门冬、酸枣仁、天麻（各一钱）、白芷（五分）、去桂。
心脾血虚。昼则怠堕嗜卧。夜不能寐加麦门冬、酸枣仁、山药（各等分）、远志（减半）、
圆眼肉（五个）、去芎、桂。
健忘、怔忡。加麦门冬、陈皮、竹茹（各等分）、去芎、桂、脚软无力。加牛膝、黄柏、木瓜、防己、
去川芎（各等分）
脾胃虚弱。畏寒易泄。加陈皮（一钱）、干姜（五分）、倍白术，去川芎、当归、地
黄。
肝虚眼目昏暗。加黄连、扁豆、甘菊花（各等分）、去 桂。
男子左尺既虚。右尺亦微。命门火衰。阳事不举。加熟附子（一钱）、沉香（五分）。
气血两虚。眩运。加半夏、天麻（各一钱）。
自汗盗汗。加麻黄根（一钱五分）、去桂、妇人胎产有汗。加同上。
疮疡溃后。或平后气血俱虚。用本方。加防风（八分）、去桂、妇人产后诸疾。加黑干姜、
（八分）、去芍药。
产后恶露不行。腹疼。加牡丹皮、红花、干姜（炒各八分）、去参、 。
产后恶露不止。加赤石脂、续断、地榆（各等分）。
妇人胎动。或痛或漏。加黄芩、枳壳、阿胶、艾叶、砂仁（各等分）、去桂。
妇人经水涩少。或行。或作痛。气血虚也。用本方。
小儿诸疳。加胡黄连、使君肉、山楂、芦会（各等分）、去黄 、桂、川芎、或丸或散皆可
。（此十全大补汤加减法也）。
又方 加减人参固本丸养心补脾。清肺滋肾。
天门冬（去心二两） 麦门冬（去心二两） 生地黄（二两） 山药（一两五钱） 枸杞子（一两去
梗） 五味子 （去梗五钱） 熟地黄（二两四钱另用酒煮） 人参（一两去芦上五味正方） 黄
柏（四制一两五钱） 知母（同上制一两五钱）
上为末。炼蜜为丸。如梧桐子大。每服九十丸。空心白汤送下。兼有他症。根据后加减。
有汗。加黄 、知母（各一两）。
有痰火。加贝母、黄芩（各一两二钱）。
遗精。白浊。梦遗。加鹿角胶、鹿角霜、菟丝子（各一两）、山茱萸（一两五钱）、龙骨、
（五钱）。
上热下寒。加附子（制一两）、干姜（五钱炮）、沉香（三钱）。
阴虚火动。加知母、龟板（各一两五钱）、虎胫骨、牛膝（各一两）。
咳嗽。加知母、贝母、当归（各一两五钱）、阿胶、杏仁（各一两俱妙）。
吐血。加牡丹皮、紫菀、薏苡仁（各一两）。
腰痛。加杜仲、破故纸、肉苁蓉（各一两）。
下元虚冷。阴痿。加熟附子（一两）、桂（五钱）。
脚膝无力。加牛膝。木瓜、虎胫骨（各一钱）。
眼暗。或翳膜失明。加白芍药、当归、
甘菊花（各一两五钱）、川芎、黄连（各一两）、生甘草（四钱）。一方加犀角。羚羊角（各
八钱）、决明子、青葙子、菟丝子、石斛、枳壳（各一两）名固本还睛丸。治肝肾虚损眼
疾有效。
命门火衰。阳事不举。精气虚竭。加熟附（一两五钱）、鹿茸（一两）、沉香（五钱）
男妇上盛下虚。久无孕育。加熟附、鹿茸、巴戟、牛膝（各一两）、海狗肾（一副）、妇人
。再加当归、蕲艾、香附（各一两五钱）。
又方 六味地黄丸治男妇肾虚。寝汗潮热。烦蒸骨痿。妇人经水不调。赤白带下。
山药（二两） 山茱萸（去核二两） 白茯苓（去皮） 牡丹皮（去木） 泽泻（各一两五钱） 淮庆
熟地黄（四两酒煮捣烂）
上为末。蜜丸梧了大。每服九十丸。空心清米汤送下。下焦虚寒。加熟附（一两）、桂心、
（一钱）名八味丸。
上焦热。加麦门冬（一两五钱去心）、五味（八钱）。
下部湿热。加木瓜、黄柏、苍术（各一两五钱）。
又方 大造丸治男妇诸虚百损。五劳七伤。此身衰以类补之义也。夫紫河车者。即胎衣也。
一名混沌皮。盖儿在胞中。脐系于胞。受胞之养。胞系母腰。受母之阴。丹经云∶父精母血
。相合而成。乃受造化生成之物。真元气也。人从此生。用以补人。固非草木金石所可比也。
古方治虚劳。甚者用之。良有以也。但非常得之物。或者有所嫌忌。故世人不知用耳。一族
兄其虚弱仅存形迹面色痿黄。以此味配诸药为方。名大造丸。服之不二料。而体貌 异。后
连生四子。一妇人年仅六十。时以衰惫因病。合此丸。加血药服之而强健。自此每自制服紫
河车。殆有百余料。寿至九十。胜中年人物。且以其药散诸亲属。取济甚众。一人大病愈后
。久不作呼声。服此药不久。而呼声出矣。一人足不能履地。服此药半年。而能行矣。大抵
此药用于女人尤妙。岂紫河车本自出。而各从其类焉者耶。若女人月事不调。兼小产难产。
及多生女。少生男者。夫妇服之。而生子者历历可数。制方又另有法。又有只用紫河车一味
为丸。治失心风膈症。无不应验。临危将绝气者。紫河车首经二味为丸。一服可更活二三日。
盖此补益之功。极其至妙。用之百法百中。有不期然而然者矣。久
服耳聪目明。鬓乌发黑。延年益寿。有夺造化之功。岂但小补已哉。故曰大造丸。合诸药。
亦有至理。详注于后。
紫河车一具 须男用女胎。女用男胎。初产甚妙。其次壮盛妇人亦可用。米泔水洗净。新
瓦上焙干。
败龟板 用大的。年久自死者佳。以童便浸三七。将酥炙黄色。净用板二两。此药大有补阴
之功。又能补心。
黄柏 用盐酒炒褐色。净用一两五钱。盖邪火止能动物。不能生物。欲用阳药滋补。非徒无
益。而为害匪轻。此药能滋肾水。配前药。滋阴补肾之最者也。用为紫河车之佐。不亦宜乎
牛膝 去芦。酒浸晒干。净用一两三钱。此下部药引诸药下行为使者也。合前四味足少阴肾
经药也。古方加陈皮。名滋肾丸。加紫河车。名补天丸。是也。
地黄 用肥大沉水。怀庆出者佳。蒸熟焙干净。用二两五钱。入砂仁末六钱。白茯苓二两。
作一块。用稀绢包入银罐内。用好酒煮七次。去砂仁茯苓。只用地黄。盖地黄得砂仁茯苓及
黄柏。则入少阴肾。此四味。名天一生水丸。秘而不传。如无银罐。瓦罐代之。
天门冬 去心。一两二钱。
麦门冬 去心。一两二钱。（夏加）。
五味子 去梗七钱
人参 去芦一两。前四味入手太阴。肺经药也。二门冬。保肺气不令火邪侵。降肺下行。
生肾源。其性有降无升。得人参则补而降。本草云多主生子此也。古方加生地黄名固本丸。
又麦门冬五味子三味名生脉散。
此方配合之道。专以补元气为主。要得首经二盏。最为生化之源。用补肺肾二经。得人参补
气。地黄补血。紫河车以成大造也。凡药须择新鲜真正道地者。而制药又须如法。不则无效
。
上药除地黄。另用木臼捣之。各药共为细末。酒打米糊为丸。共捣千余下。丸如梧桐子大。
每服八九十丸。空心及卧时。用清米汤。或姜汤。白汤。盐酒。送下。妇人服之。加当归二
两。去龟板。若男女患怯症者。去人参。如有遗精白浊。并妇人赤白带下。加牡砺 粉一两
五钱。
又方 斑龙丸治真阴虚损。老人虚弱。尤宜常服。
鹿角胶（十两） 鹿角霜（十两） 白茯苓（去皮五两） 柏子仁（去壳净炒十两） 菟丝子（酒浸
蒸捣为饼晒干净用十两） 熟地黄（十两怀庆肥大者酒煮捣膏） 补骨脂（炒五两）
上为末。以鹿角胶用好酒二大碗。洋化。为丸。如梧桐子大。每服七十丸。渐加至九十丸。
空心清米汤送下。盐汤亦可。熬鹿角胶霜法
用新鹿角三对。重十斤。
将角锯二寸长一段。于长流水内浸三日。刷去尘垢。如无长流水。
以大钵头浸。日三次换水亦可。每角十斤。用黄蜡五两。桑白皮十两。楮实子二十两。新汲
水四十碗。共入瓦坛内。用桑柴一百二十斤。熬炼三昼夜。水干旋添熟水。勿令露角。三日
后取出。将细布绞净。其角汁用文火收之。滴水成珠。即成胶。其枯角晒干磨为末。即成霜
也。大病后。极虚之人。用人参一两。鹿角胶五钱。煎服。亦大补益。产后加当归同煎亦
妙。老人加白茯苓亦效。一法每角十斤。制如前。装入铅坛内。放入釜中。着水浸过坛口下
五六寸。封盖令密。用桑柴煮七昼夜。每日添熟水一次。待七日满。取出滤去渣。将清汁另
放一处。再用人参十两。甘州枸杞二十两。另用水二十碗。同熬。约干。将药渣绞净。复将渣
舂碎。再用水十五碗。又熬干滤净。将二汁和前鹿角汁一处。以白炭火缓缓熬。至滴水成珠
不散。用瓷罐收贮。每服一二钱。空心白汤点服。治虚劳损极效。
【脉象】
脉象形体盛大但按之无力，属于虚损。脉浮大且无力，是阳虚的表现。脉细数且无力，是阴虚的表现。寸口脉浮软而弱，为上焦虚损。尺部脉短涩且微弱，为下焦虚损。左手尺部脉短涩且不均匀，为血虚。右手寸部脉沉微，为气虚。六部脉均细微的，会出现盗汗。六部脉均细数的，会出现潮热。右关脉弦大，为脾虚。另外，男子右手尺部脉细微如丝线，为阳气衰败、精液枯竭；女子左手尺部脉细微如丝线，为阴气衰败、月经闭止。这些情况都属于难治之症。
【症状】
根据《医宗集成》记载：虚损这类病症，都是由房事过度、喜怒情绪没有节制、起居作息不规律、饮食不当以及劳倦损伤引起的，都会损耗人体的气血。大概是因为气衰弱则相火偏旺，火旺则克制脾土，导致胃气涣散，不能滋养营气和全身血脉，也不能灌溉脏腑、护卫周身。所以虚损的病症就产生了。患病后会出现全身经脉烦痛、腰痛脚软、胸中胀满呼吸短促、心烦不安、耳鸣目眩、咳嗽、寒热交替发作、自汗和盗汗、遗精和白浊、完谷不化的泄泻、食欲减退、吃东西没味道、身体不长肌肉、或者睡觉时惊悸、午后发热、疲倦无力等症状。女子则会出现崩漏（非经期大量出血或淋漓不尽）、带下病、月经闭止不行、咳嗽、吐血、发热等，这些都是虚损的征候。
【治疗原则】
经典医籍说：虚证要用补法，损证要加以增益。又说：形体不足的，用气分药来温养，如人参、白术、鹿茸、附子之类的药物；精髓不足的，用味厚之物来填补，如鹿角胶、地黄之类的药物。气虚就补气，普遍使用四君子汤；血虚就补血，兼用四物汤；气血都虚，使用十全大补汤。有痰嗽症状的，清肺化痰，用麦门冬、黄芩、贝母之类的药物；阴虚发热的，滋阴降火，用黄柏、知母、地骨皮之类的药物。具体应用请详细斟酌。
【方剂】
十全大补汤：治疗气血虚损，根据症状轻重进行加减。
配方：人参（二钱五分）、白术（三钱）、黄芪（一钱五分，蜜炙）、甘草（四分）、白茯苓（一钱二分）、川芎（七分）、当归（一钱五分）、熟地黄（一钱）、白芍药（一钱二分）、肉桂（三分）。如果虚损严重的，加熟附子（一钱），以通行参、芪的功效。
用法：上面药物用生姜、大枣煎煮，饭后服用。
老年人只要觉得小便短少，就是病情进展的迹象。用本方，去掉黄芪、熟地黄、甘草，加牛膝、陈皮。春季加春砂仁，倍用川芎；夏季加麦门冬（一钱）、黄芩（八分）；秋冬季节加炒黑干姜（五分），倍用当归。（这是朱丹溪先生奉养母亲的方法。）
男女大病之后，气血虚损，脾胃不足。用本方去掉川芎、肉桂，加山药、陈皮、麦门冬（各等分）。
妇人胎产后的虚损，用本方去掉肉桂，加香附（一钱五分），煎好后调服鹿角胶。
大吐血后的虚损，加麦门冬、侧柏叶（各一钱），去掉黄芪、川芎、肉桂。
男子遗精白浊，或者梦遗滑精，加黄柏、知母（都用童便浸炒，各一钱）、山药、芡实、鹿角霜（各一钱五分）、龙骨（五分）。
妇人赤白带下日久，或者身体消瘦、潮热，加升麻、柴胡（各五分）。
男女心虚手抖，加麦门冬、酸枣仁、天麻（各一钱）、白芷（五分），去掉肉桂。
心脾血虚，白天怠惰嗜睡，晚上不能入睡，加麦门冬、酸枣仁、山药（各等分）、远志（减半用量）、桂圆肉（五个），去掉川芎、肉桂。
健忘、怔忡（心慌），加麦门冬、陈皮、竹茹（各等分），去掉川芎、肉桂。脚软无力，加牛膝、黄柏、木瓜、防己、去掉川芎（各等分）。
脾胃虚弱，怕冷容易腹泻，加陈皮（一钱）、干姜（五分），倍用白术，去掉川芎、当归、地黄。
肝虚导致眼目昏暗，加黄连、扁豆、甘菊花（各等分），去掉肉桂。
男子左尺脉既虚，右尺脉也微弱，命门火衰，阳痿不举，加熟附子（一钱）、沉香（五分）。
自汗盗汗，加麻黄根（一钱五分），去掉肉桂。妇人产后出汗，加同样的药。
疮疡溃破后，或者平复后气血俱虚，用本方加防风（八分），去掉肉桂。妇人产后各种疾病，加黑干姜（八分），去掉芍药。
产后恶露不行，腹痛，加牡丹皮、红花、干姜（炒，各八分），去掉人参、黄芪。
妇人胎动不安，或者疼痛或者漏红，加黄芩、枳壳、阿胶、艾叶、砂仁（各等分），去掉肉桂。
妇人经水涩少，或者行经不畅，或者作痛，这是气血虚的原因。用本方。
小儿各种疳积，加胡黄连、使君子肉、山楂、芦荟（各等分），去掉黄芪、肉桂、川芎。可以做成丸剂也可以做成散剂。（这是十全大补汤的加减法。）
又一方：加减人参固本丸，养心补脾，清肺滋肾。
配方：天门冬（去心二两）、麦门冬（去心二两）、生地黄（二两）、山药（一两五钱）、枸杞子（一两，去梗）、五味子（去梗五钱）、熟地黄（二两四钱，另用酒煮）、人参（一两，去芦）。以上五味为正方的基础。黄柏（四制一两五钱）、知母（同上法制一两五钱）。
用法：上面药物研成末，炼蜜做成丸，大小如梧桐子。每次服用九十丸，空腹时用白开水送服。兼有其他症状的，根据后面的方法进行加减。
有汗，加黄芪、知母（各一两）。
有痰火，加贝母、黄芩（各一两二钱）。
遗精、白浊、梦遗，加鹿角胶、鹿角霜、菟丝子（各一两）、山茱萸（一两五钱）、龙骨（五钱）。
上热下寒，加附子（制一两）、干姜（五钱，炮）、沉香（三钱）。
阴虚火动，加知母、龟板（各一两五钱）、虎胫骨、牛膝（各一两）。
咳嗽，加知母、贝母、当归（各一两五钱）、阿胶、杏仁（各一两，效果很好）。
吐血，加牡丹皮、紫菀、薏苡仁（各一两）。
腰痛，加杜仲、破故纸、肉苁蓉（各一两）。
下元虚冷，阳痿，加熟附子（一两）、肉桂（五钱）。
脚膝无力，加牛膝、木瓜、虎胫骨（各一钱）。
眼暗，或者翳膜失明，加白芍药、当归、甘菊花（各一两五钱）、川芎、黄连（各一两）、生甘草（四钱）。另一方案加犀角、羚羊角（各八钱）、决明子、青葙子、菟丝子、石斛、枳壳（各一两），名叫固本还睛丸，治疗肝肾虚损的眼疾有效。
命门火衰，阳痿不举，精气虚竭，加熟附子（一两五钱）、鹿茸（一两）、沉香（五钱）。
男女上盛下虚，久无生育，加熟附子、鹿茸、巴戟天、牛膝（各一两）、海狗肾（一副）。妇人再加当归、蕲艾、香附（各一两五钱）。
又一方：六味地黄丸，治疗男女肾虚，夜间盗汗潮热，烦躁蒸热，骨痿。妇人月经不调，赤白带下。
配方：山药（二两）、山茱萸（去核二两）、白茯苓（去皮）、牡丹皮（去木）、泽泻（各一两五钱）、淮庆熟地黄（四两，酒煮捣烂）。
用法：上面药物研成末，蜜丸如梧子大。每次服用九十丸，空腹用清米汤送服。下焦虚寒，加熟附子（一两）、肉桂心（一钱），名叫八味丸。
上焦热，加麦门冬（一两五钱，去心）、五味子（八钱）。
下部湿热，加木瓜、黄柏、苍术（各一两五钱）。
又一方：大造丸，治疗男女各种虚损，五劳七伤。这是“以形补形”的道理。所谓紫河车，就是胎盘，又名混沌皮。因为婴儿在胞宫中，脐带系于胞宫，接受胞宫的滋养，胞宫系于母亲的腰部，接受母亲的阴气。道家经典说：父亲的精子和母亲的血液相结合而成，是承受造化生成的物体，是真元气。人从此出生，用它来补人，本来就不是草木金石所能比拟的。古方治疗虚劳重症时使用它，确实是有道理的。但这不是经常能得到的东西，或许有人有所忌讳，所以世人不知道使用它。我的一位族兄，身体虚弱仅存形迹，面色萎黄，用这味药配合其他药物制成方剂，名叫大造丸。服用不到两料，体貌就发生了奇异的变化，后来接连生了四个儿子。有一位妇人年仅六十岁，当时因为衰老疲惫而生病，合制此丸，加入补血药服用后变得强健。从此她自制服用紫河车，大概有一百多料，寿命到了九十岁，胜过中年人的体态。并且她把药散给亲属，救济了很多人。一个人大病痊愈后，很久不出声音，服用此药不久，声音就出来了。一个人脚不能踩地，服用此药半年，就能行走了。大抵这个药用于女人尤其奇妙，难道紫河车本就出自人体，而各从其类吗？如果女人月经不调，兼有小产难产，以及多生女儿、少生儿子的情况，夫妇一起服用，而生子的案例历历可数。制药又有另外方法，还有只用紫河车一味药做成丸剂，治疗失心风、膈症，没有不灵验的。临危将绝气的人，用紫河车首经两次乳汁洗过的做成丸剂，一服可以多活两三天。大概这种补益之功，极其奇妙，使用百发百中，有不期然而然的效果。长期服用耳聪目明，鬓发乌黑，延年益寿，有夺造化之功，岂只是小补而已呢。所以叫做大造丸。配合其他药物，也有至理，详细注解在后面。
紫河车一具：必须男用女胎，女用男胎，初产的非常好，其次壮盛的妇人也可以用。用米泔水洗净，在新瓦上焙干。
败龟板：用大的，年久自然死去的为佳。用童便浸泡三十天，将酥油炙烤至黄色，净用板二两。这药大有补阴之功，又能补心。
黄柏：用盐酒炒至褐色，净用一两五钱。邪火只能扰动万物，不能生化万物，想要用阳药滋补，不仅无益，反而危害不小。这药能滋肾水，配合前面的药，是滋阴补肾最好的。作为紫河车的佐药，不是很合适吗？
牛膝：去芦头，酒浸晒干，净用一两三钱。这是引诸药下行到达下部的使者。配合前四味，是足少阴肾经的药。古方加陈皮，名叫滋肾丸；加紫河车，名叫补天丸，就是这个。
地黄：用肥大沉水的，怀庆出产的最好。蒸熟焙干，用二两五钱。加入砂仁末六钱、白茯苓二两，做成一块，用稀绢包好放入银罐内，用好酒煮七次，去掉砂仁茯苓，只用地黄。盖地黄得到砂仁、茯苓及黄柏，则入少阴肾。这四味药，名叫天一生水丸，秘而不传。如果没有银罐，用瓦罐代替。
天门冬：去心，一两二钱。
麦门冬：去心，一两二钱。（夏季加量）。
五味子：去梗七钱。
人参：去芦一两。前四味药入手太阴肺经。二门冬，保护肺气不让火邪侵犯，降肺下行，生肾源。其性只有降没有升，得到人参则补而降。本草说多主生子，就是这个原因。古方加生地黄名叫固本丸。另外麦门冬、五味子三味药名叫生脉散。
此方配合的道理，专门以补元气为主。要得到首经（第一次分娩）的两盏（指紫河车），最为生化之源。用来补肺肾二经，得人参补气，地黄补血，紫河车来完成大造之功。凡药必须选择新鲜真正道地的药材，而且制药必须合乎法度，否则无效。
上面药物除地黄外，另外用木臼捣碎。各药共研为细末，用酒打米糊做丸，共捣一千多下，丸如梧桐子大。每次服用八九十丸，空腹及睡觉时，用清米汤、姜汤、白开水、盐酒送服。妇人服用，加当归二两，去掉龟板。如果男女患怯症者，去掉人参。如果有遗精白浊，并妇人赤白带下，加牡蛎粉一两五钱。
又一方：斑龙丸，治疗真阴虚损，老人虚弱，尤其适宜常服。
配方：鹿角胶（十两）、鹿角霜（十两）、白茯苓（去皮五两）、柏子仁（去壳净炒十两）、菟丝子（酒浸蒸捣为饼晒干净用十两）、熟地黄（十两，怀庆肥大者酒煮捣膏）、补骨脂（炒五两）。
用法：上面药物研成末，用鹿角胶用好酒两大碗烊化，做丸如梧桐子大。每次服用七十丸，逐渐增加到九十丸。空腹用清米汤送服，盐汤也可以。
熬鹿角胶霜的方法：
用新鹿角三对，重十斤。
将角锯成二寸长的一段，在长流水内浸泡三天，刷去尘垢。如果没有长流水，
用大钵头浸泡，每天换三次水也可以。每角十斤，用黄蜡五两、桑白皮十两、楮实子二十两、新汲水四十碗，共同放入瓦坛内，用桑柴一百二十斤，熬炼三个昼夜，水干了随时添加熟水，不要让角露出水面。三天后取出，用细布绞净汁液。其角汁用文火收之，滴水成珠，就成为胶。其枯角晒干磨为末，就成为霜。
大病后，极虚之人，用人参一两、鹿角胶五钱，煎服，也是大补益。产后加当归同煎也很好。老人加白茯苓也有效。
另一种方法：每角十斤，制作如前所述，装入铅坛内，放入釜中，加水浸过坛口下五六寸，封盖使其严密，用桑柴煮七个昼夜，每天添加熟水一次。待七日满，取出滤去渣，将清汁另放一处。再用人参十两、甘州枸杞二十两，另外用水二十碗，一同熬煮，约干时，将药渣绞净，再把药渣舂碎，再用十五碗水，又熬干滤净。将两种汁液和前鹿角汁放在一起，用白炭火缓缓熬，直到滴水成珠不散，用瓷罐收贮。每次服用一二钱，空腹用白开水点服。治疗虚劳损非常有效。
[Pulse Diagnosis]
A pulse that feels large in shape but weak upon pressure indicates deficiency and damage (Xu Sun). A floating, large, and weak pulse indicates Yang deficiency. A fine, rapid, and weak pulse indicates Yin deficiency. A floating, soft, and weak pulse at the Cun position (distal) indicates Upper Jiao deficiency. A short, choppy, and faint pulse at the Chi position (proximal) indicates Lower Jiao deficiency. A short, choppy, and uneven pulse at the left Chi position indicates Blood deficiency. A deep and faint pulse at the right Cun position indicates Qi deficiency. A fine and minute pulse in all six positions is associated with night sweats. A fine and rapid pulse in all six positions is associated with tidal fever. A wiry and large pulse at the right Guan position (middle) indicates Spleen deficiency. Additionally, a fine, minute, thread-like pulse at the man's right Chi position indicates Yang decline and exhaustion of essence. A fine, minute, thread-like pulse at the woman's left Chi position indicates Yin decline and amenorrhea. These conditions are considered difficult to treat.
[Symptoms]
According to *Yi Zong Ji Cheng*: Deficiency and damage syndromes arise from excessive sexual activity, unregulated emotions of joy and anger, irregular daily routines, improper diet, and labor injuries, all of which deplete Qi and Blood. Generally, when Qi declines, ministerial fire flares up; when fire flares, it overacts on Spleen Earth, causing Stomach Qi to scatter. This prevents the nourishment of Ying (Nutritive) Qi and the hundred vessels, as well as the irrigation of Zang-Fu organs and protection of the whole body. Thus, deficiency and damage syndromes arise. Symptoms include vexatious pain in the hundred vessels, lower back pain and weak legs, chest fullness and shortness of breath, mental restlessness, tinnitus and vertigo, cough, alternating chills and fever, spontaneous sweating and night sweats, spermatorrhea and leukorrhea, undigested food diarrhea, loss of appetite, lack of flavor in food, failure to gain muscle mass, or palpitations during sleep, afternoon fever, fatigue, and weakness. In women, symptoms include metrorrhagia and metrostaxis (Beng Lou), leukorrhea, amenorrhea, cough, hemoptysis, and fever. All these are signs of deficiency and damage.
[Treatment Principles]
Classics state: "Deficient conditions require tonification; damaged conditions require replenishment." It also states: "For insufficiency of form, warm with Qi-tonifying herbs such as Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala), Lu Rong (Deer Antler Velvet), and Fu Zi (Aconite Lateralis Radix Praeparata); for insufficiency of essence, tonify with substance-rich herbs such as Lu Jiao Jiao (Deer Antler Glue) and Di Huang (Rehmannia Root)." For Qi deficiency, tonify Qi using Si Jun Zi Tang (Four Gentlemen Decoction); for Blood deficiency, tonify Blood using Si Wu Tang (Four Substance Decoction); for both Qi and Blood deficiency, use Shi Quan Da Bu Tang (Comprehensive Great Tonic Decoction). For phlegm-cough, clear the Lung using Mai Dong (Ophiopogon Root), Huang Qin (Scutellaria Root), and Bei Mu (Fritillaria Bulb). For Yin deficiency with fever, nourish Yin and descend fire using Huang Bo (Phellodendron Bark), Zhi Mu (Anemarrhena Rhizome), and Di Gu Pi (Cortex Lycii). Apply with careful consideration.
[Formulas]
**Shi Quan Da Bu Tang (Comprehensive Great Tonic Decoction)**: Treats Qi and Blood deficiency and damage. Modify according to symptom severity.
Ingredients: Ren Shen (Ginseng) (2.5 qian), Bai Zhu (Atractylodes Macrocephala) (3 qian), Huang Qi (Astragalus Root) (1.5 qian, honey-fried), Gan Cao (Licorice Root) (0.4 qian), Bai Fu Ling (Poria) (1.2 qian), Chuan Xiong (Ligusticum Chuanxiong) (0.7 qian), Dang Gui (Angelica Sinensis) (1.5 qian), Shu Di Huang (Prepared Rehmannia Root) (1 qian), Bai Shao Yao (White Peony Root) (1.2 qian), Gui Zhi (Cinnamon Twig) (0.3 qian). If deficiency is severe, add Shu Fu Zi (Prepared Aconite Lateralis Radix) (1 qian) to facilitate the action of Ren Shen and Huang Qi.
Administration: Decoct the above ingredients with Sheng Jiang (Fresh Ginger) and Da Zao (Jujube). Take after meals.
For the elderly, if urine output decreases, it indicates disease progression. Use this formula, removing Huang Qi, Shu Di Huang, and Gan Cao. Add Niu Xi (Achyranthes Root) and Chen Pi (Citrus Peel). In Spring, add Chun Sha Ren (Amomum Villosum Fruit) and double Chuan Xiong; in Summer, add Mai Dong (1 qian) and Huang Qin (0.8 qian); in Autumn/Winter, add Chao Hei Gan Jiang (Charred Dried Ginger) (0.5 qian) and double Dang Gui. (This is the method used by Mr. Zhu Danxi to nourish his mother.)
For men and women after severe illness, with Qi and Blood deficiency and insufficient Spleen/Stomach: Use this formula, removing Chuan Xiong and Gui Zhi. Add Shan Yao (Dioscorea Rhizome), Chen Pi, and Mai Dong (equal parts).
For men with True Yin deficiency and damage: Add Huang Bo, Zhi Mu, Mai Dong, and Di Gu Pi (equal parts).
For women with postpartum deficiency and damage: Use this formula, removing Gui Zhi. Add Xiang Fu (Cyperus Rhizome) (1.5 qian). Decoct and take with Lu Jiao Jiao (Deer Antler Glue).
For deficiency and damage after massive hematemesis: Add Mai Dong and Ce Bai Ye (Biota Tops) (1 qian each). Remove Huang Qi, Chuan Xiong, and Gui Zhi.
For men with spermatorrhea, leukorrhea, or nocturnal emission with seminal slipperiness: Add Huang Bo and Zhi Mu (both soaked in child's urine and stir-fried, 1 qian each), Shan Yao, Qian Shi (Euryale Seed), Lu Jiao Shuang (Deer Antler Frost) (1.5 qian each), and Long Gu (Fossilized Bones) (0.5 qian).
For women with chronic red and white leukorrhea, or emaciation with tidal fever: Add Sheng Ma (Cimicifuga Rhizome) and Chai Hu (Bupleurum Root) (0.5 qian each).
For men and women with Heart deficiency and hand tremors: Add Mai Dong, Suan Zao Ren (Ziziphus Seed), Tian Ma (Gastrodia Rhizome) (1 qian each), and Bai Zhi (Angelica Dahurica) (0.5 qian). Remove Gui Zhi.
For Heart and Spleen Blood deficiency, with daytime lethargy and sleepiness, and nighttime insomnia: Add Mai Dong, Suan Zao Ren, Shan Yao (equal parts), Yuan Zhi (Polygala Root, half dose), and Yuan Yan Rou (Longan Aril) (5 pieces). Remove Chuan Xiong and Gui Zhi.
For forgetfulness and Zheng Chong (palpitations/anxiety): Add Mai Dong, Chen Pi, Zhu Ru (Bamboo Shavings) (equal parts). Remove Chuan Xiong and Gui Zhi.
For weak and powerless legs: Add Niu Xi, Huang Bo, Mu Gua (Chaenomeles Fruit), Fang Ji (Stephania Root). Remove Chuan Xiong (equal parts).
For Spleen/Stomach weakness, aversion to cold, and easy diarrhea: Add Chen Pi (1 qian), Gan Jiang (Dried Ginger) (0.5 qian). Double Bai Zhu. Remove Chuan Xiong, Dang Gui, and Di Huang.
For Liver deficiency causing dim vision: Add Huang Lian (Coptis Rhizome), Bian Dou (Lablab Bean), Gan Ju Hua (Chrysanthemum Flower) (equal parts). Remove Gui Zhi.
For men with deficient left Chi pulse and faint right Chi pulse, indicating Ming Men Fire decline and impotence: Add Shu Fu Zi (1 qian) and Chen Xiang (Aquilaria Wood) (0.5 qian).
For dizziness due to dual Qi and Blood deficiency: Add Ban Xia (Pinellia Tuber) and Tian Ma (1 qian each).
For spontaneous and night sweats: Add Ma Huang Gen (Ephedra Root) (1.5 qian). Remove Gui Zhi. For women with postpartum sweating, add the same.
For sores and ulcers after ulceration or healing, with dual Qi and Blood deficiency: Use this formula, adding Fang Feng (Saposhnikovia Root) (0.8 qian). Remove Gui Zhi. For various postpartum conditions in women: Add Hei Gan Jiang (Blackened Dried Ginger) (0.8 qian). Remove Shao Yao.
For postpartum lochia retention with abdominal pain: Add Mu Dan Pi (Moutan Cortex), Hong Hua (Carthamus Flower), Gan Jiang (Stir-fried, 0.8 qian each). Remove Ren Shen and Huang Qi.
For postpartum lochia non-stop: Add Chi Shi Zhi (Halloysitum Rubrum), Xu Duan (Dipsacus Root), Di Yu (Sanguisorba Root) (equal parts).
For fetal movement in women, with pain or bleeding: Add Huang Qin, Zhi Ke (Aurantii Fructus), E Jiao (Donkey-Hide Glue), Ai Ye (Artemisia Leaf), Sha Ren (Amomum Fruit) (equal parts). Remove Gui Zhi.
For scanty or obstructed menstruation, or painful menstruation due to Qi and Blood deficiency: Use this formula.
For various pediatric Gan syndromes (malnutrition): Add Hu Huang Lian (Picrorhiza Rhizome), Shi Jun Zi (Quisqualis Seed), Shan Zha (Hawthorn Fruit), Lu Hui (Aloe) (equal parts). Remove Huang Qi, Gui Zhi, and Chuan Xiong. Can be made into pills or powder. (This is the modification method for Shi Quan Da Bu Tang.)
**Another Formula: Modified Ren Shen Gu Ben Wan (Ren Shen Solidify the Root Pill)**: Nourishes the Heart and tonifies the Spleen, clears the Lung and moistens the Kidney.
Ingredients: Tian Men Dong (Asparagus Tuber, heart removed, 2 liang), Mai Dong (Ophiopogon Root, heart removed, 2 liang), Sheng Di Huang (Raw Rehmannia Root, 2 liang), Shan Yao (Dioscorea Rhizome, 1.5 liang), Gou Qi Zi (Goji Berry, stem removed, 1 liang), Wu Wei Zi (Schisandra Fruit, stem removed, 0.5 qian), Shu Di Huang (Prepared Rehmannia Root, 2.4 liang, separately boiled in wine), Ren Shen (Ginseng, rhizome removed, 1 liang). The first five constitute the main formula. Huang Bo (Phellodendron Bark, four-processed, 1.5 liang), Zhi Mu (Anemarrhena Rhizome, similarly processed, 1.5 liang).
Administration: Grind into powder, make pills with refined honey, size of Sophora seeds. Take 90 pills per dose, fasting, with plain water. For concurrent symptoms, modify as follows:
With sweating: Add Huang Qi and Zhi Mu (1 liang each).
With phlegm-fire: Add Bei Mu and Huang Qin (1.2 liang each).
With spermatorrhea, leukorrhea, nocturnal emission: Add Lu Jiao Jiao, Lu Jiao Shuang, Tu Si Zi (Cuscuta Seed) (1 liang each), Shan Zhu Yu (Cornus Fruit) (1.5 liang), Long Gu (0.5 qian).
With upper heat and lower cold: Add Fu Zi (Processed, 1 liang), Gan Jiang (Pounded, 0.5 liang), Chen Xiang (3 qian).
With Yin deficiency and fire agitation: Add Zhi Mu and Gui Ban (Tortoise Plastron) (1.5 liang each), Hu Jing Gu (Tiger Tibia Bone - *Note: Substitute legally*), Niu Xi (1 liang each).
With cough: Add Zhi Mu, Bei Mu, Dang Gui (1.5 liang each), E Jiao, Xing Ren (Apricot Seed) (1 liang each, excellent effect).
With hemoptysis: Add Mu Dan Pi, Zi Wan (Aster Root), Yi Yi Ren (Coix Seed) (1 liang each).
With lower back pain: Add Du Zhong (Eucommia Bark), Po Gu Zhi (Cibotium Rhizome), Rou Cong Rong (Cistanche Stem) (1 liang each).
With lower origin cold and impotence: Add Shu Fu Zi (1 liang), Gui Zhi (5 qian).
With weak feet and knees: Add Niu Xi, Mu Gua, Hu Jing Gu (1 qian each).
With dim vision or corneal opacity/blindness: Add Bai Shao Yao, Dang Gui, Gan Ju Hua (1.5 liang each), Chuan Xiong, Huang Lian (1 liang each), Sheng Gan Cao (Raw Licorice Root) (4 qian). Another prescription adds Xi Jiao (Rhinoceros Horn - *Substitute*), Ling Yang Jiao (Antelope Horn) (0.8 qian each), Jue Ming Zi (Cassia Seed), Qing Xi Zi (Phalaris Seed), Tu Si Zi, Shi Hu (Dendrobium Stem), Zhi Ke (1 liang each). Named Gu Ben Huan Jing Wan (Solidify Root Restore Vision Pill), effective for Liver/Kidney deficiency eye diseases.
For Ming Men fire decline, impotence, and essence exhaustion: Add Shu Fu Zi (1.5 liang), Lu Rong (Deer Antler Velvet) (1 liang), Chen Xiang (0.5 qian).
For men and women with upper excess and lower deficiency, infertility: Add Shu Fu Zi, Lu Rong, Ba Ji Tian (Morinda Root), Niu Xi (1 liang each), Hai Gou Shen (Sea Dog Kidney - *Substitute*) (one pair). For women, additionally add Dang Gui, Qi Ai (Artemisia Argyi), Xiang Fu (1.5 liang each).
**Another Formula: Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill)**: Treats Kidney deficiency in men and women, night sweats, tidal fever, irritability, steaming bone disorder, and osteomalacia. Also treats irregular menstruation, red/white leukorrhea in women.
Ingredients: Shan Yao (2 liang), Shan Zhu Yu (Cornus Fruit, pitted, 2 liang), Bai Fu Ling (Poria, peeled), Mu Dan Pi (Moutan Cortex, wood removed), Ze Xie (Alisma Rhizome) (1.5 liang each), Huai Qing Shu Di Huang (Huaiqing Prepared Rehmannia Root, 4 liang, boiled in wine and mashed).
Administration: Grind into powder, make pills with honey, size of Sophora seeds. Take 90 pills per dose, fasting, with clear rice soup.
For lower Jiao deficiency cold: Add Shu Fu Zi (1 liang), Gui Xin (Cinnamon Bark Center) (0.1 qian). Named Ba Wei Di Huang Wan (Eight-Ingredient Pill).
For upper Jiao heat: Add Mai Dong (1.5 liang, heart removed), Wu Wei Zi (0.8 qian).
For damp-heat in the lower part: Add Mu Gua, Huang Bo, Cang Zhu (Atractylodes Lancea) (1.5 liang each).
**Another Formula: Da Zao Wan (Great Creation Pill)**: Treats various deficiencies and damages in men and women, Five Labors and Seven Injuries. This follows the principle of "tonifying deficiency with similar forms." Zi He Che (Placenta Hominis), also known as Hun Dun Pi (Chaos Skin), is the placenta. The fetus is in the womb, connected by the umbilical cord, receiving nourishment from the womb. The womb connects to the mother's waist, receiving maternal Yin energy. Daoist classics state: Father's essence and Mother's blood combine to form life, a product of creation, containing True Yuan Qi. Humans are born from this; using it to tonify humans surpasses herbs, grasses, metals, and stones. Ancient formulas used it for severe consumptive diseases, rightly so. However, it is not commonly available, and some may have reservations, hence its obscurity. My cousin was extremely weak, only skin and bones, with sallow complexion. Using this herb combined with others to form Da Zao Wan, he took less than two doses and his appearance transformed miraculously, later fathering four sons. A sixty-year-old woman, frail and ill, took this pill with blood-tonifying herbs and became strong. She subsequently prepared and consumed Zi He Che herself, about one hundred doses, living to ninety, appearing younger than middle-aged. She distributed the medicine to relatives, helping many. A person who lost their voice after severe illness regained it shortly after taking this medicine. A person unable to walk walked again after six months of taking it. This medicine is especially wonderful for women. Is it because Zi He Che originates from the human body and follows its own kind? For women with irregular menstruation, miscarriage, difficult labor, or having more daughters than sons, if both husband and wife take it, pregnancies are numerous. There are other preparation methods. Using only Zi He Che as a pill treats "Loss of Heart Wind" and Ge Syndrome (diaphragmatic obstruction) effectively. For those near death, Zi He Che washed twice with colostrum, made into pills, can extend life by two to three days with one dose. Its tonifying power is exquisite, working perfectly every time, often beyond expectation. Long-term use brings sharp hearing and vision, black hair, longevity, and powers rivaling creation, far exceeding minor tonification. Hence the name Da Zao Wan. The combination with other herbs has profound logic, detailed below.
Zi He Che (Placenta Hominis): One piece. Men should use female placentas, women male placentas. Primipara placentas are best; vigorous multipara placentas are also usable. Wash with rice water, dry on new tiles.
Bai Gui Ban (Testudo Plastrum): Use large pieces, preferably from turtles that died naturally of old age. Soak in child's urine for 30 days, fry with su (clarified butter) until yellow. Net weight 2 liang. This herb greatly tonifies Yin and benefits the Heart.
Huang Bo (Phellodendron Bark): Stir-fry with salt and wine until brown. Net weight 1.5 liang. Evil fire agitates but does not generate. To tonify with Yang herbs without balancing Yin is harmful. This herb nourishes Kidney Water. Paired with previous herbs, it is the best for nourishing Yin and tonifying the Kidney. As an assistant to Zi He Che, is it not appropriate?
Niu Xi (Achyranthes Root): Remove rhizome, soak in wine, dry. Net weight 1.3 liang. This guides herbs downward to the lower body. Combined with the previous four, it enters the Foot-Shaoyin Kidney Meridian. Ancient formula adding Chen Pi is named Zi Shen Wan (Nourish Kidney Pill); adding Zi He Che is named Bu Tian Wan (Tonify Heaven Pill).
Di Huang (Rehmannia Root): Use plump, heavy ones sinking in water, preferably from Huaiqing. Steam, cook, dry. Weight 2.5 liang. Add Sha Ren (Amomum Fruit) powder (0.6 liang) and Bai Fu Ling (2 liang). Form into a block, wrap in thin silk, place in silver jar, boil in good wine seven times. Remove Sha Ren and Fu Ling, keep only Di Huang. Di Huang, with Sha Ren, Fu Ling, and Huang Bo, enters the Shaoyin Kidney. These four herbs are named Tian Yi Sheng Shui Wan (Heaven One Generates Water Pill), kept secret. If no silver jar, use clay.
Tian Men Dong (Asparagus Tuber): Remove heart, 1.2 liang.
Mai Dong (Ophiopogon Root): Remove heart, 1.2 liang. (Increase in summer).
Wu Wei Zi (Schisandra Fruit): Remove stems, 0.7 qian.
Ren Shen (Ginseng): Remove rhizome, 1 liang. The first four herbs enter the Hand-Taiyin Lung Meridian. The two Men Dong protect Lung Qi from fire, direct Lung Qi downward, and generate Kidney source. Their nature is descending, not ascending. With Ren Shen, they tonify and descend. Materia Medica says they promote conception, which is why. Ancient formula adding Sheng Di Huang is named Gu Ben Wan (Solidify Root Pill). The three herbs Mai Dong, Wu Wei Zi, and Ren Shen are named Sheng Mai San (Generate Pulse Powder).
The combination of this formula focuses on tonifying Yuan Qi. Using the first-born placenta is the most vital source of generation and transformation. It tonifies Lung and Kidney meridians. Ren Shen tonifies Qi, Di Huang tonifies Blood, and Zi He Che completes the Great Creation. Herbs must be fresh, authentic, and geographically indicated. Preparation must follow proper methods, otherwise ineffective.
Except for Di Huang, grind other herbs in a wooden mortar. Mix all powders finely. Make pills with wine and rice paste, pounding over a thousand times. Size of Sophora seeds. Take 80-90 pills fasting and before bed, with clear rice soup, ginger soup, plain water, or salted wine. Women add Dang Gui (2 liang), remove Gui Ban. For men/women with deficiency syndromes, remove Ren Shen. For spermatorrhea/leukorrhea and women's red/white leukorrhea, add Mu Li Fen (Oyster Shell Powder) (1.5 liang).
**Another Formula: Ban Long Wan (Spotted Dragon Pill)**: Treats True Yin deficiency and elderly weakness, suitable for regular use.
Ingredients: Lu Jiao Jiao (Deer Antler Glue, 10 liang), Lu Jiao Shuang (Deer Antler Frost, 10 liang), Bai Fu Ling (Poria, peeled, 5 liang), Bai Zi Ren (Biota Seed, shelled, stir-fried, 10 liang), Tu Si Zi (Cuscuta Seed, soaked in wine, steamed, pounded into cake, dried, 10 liang), Shu Di Huang (Prepared Rehmannia Root, 10 liang, Huaiqing plump, boiled in wine and mashed), Bu Gu Zhi (Psoralea Fruit, stir-fried, 5 liang).
Administration: Grind into powder. Melt Lu Jiao Jiao in two large bowls of good wine. Make pills size of Sophora seeds. Take 70 pills initially, gradually increasing to 90. Fasting, with clear rice soup or salted water.
Method for boiling Deer Antler Glue/Frost:
Use three pairs of new deer antlers, weighing 10 jin.
Saw antlers into 2-cun segments. Soak in flowing water for three days, scrubbing off dirt. If no flowing water, soak in a large bowl, changing water three times daily. For every 10 jin of antlers, use 5 liang of yellow wax, 10 liang of Sang Bai Pi (Mulberry Root Bark), 20 liang of Chu Shi Zi (Cudrania Fruit), and 40 bowls of fresh water. Place in a clay jar. Burn 120 jin of mulberry firewood. Boil for three days and nights. Add hot water as needed, ensuring antlers remain submerged. After three days, remove, squeeze juice through fine cloth. Reduce antler juice over low heat until drops form pearls (glue). Dry remaining antlers and grind into powder (frost).
For extreme deficiency after severe illness: Decoct Ren Shen (1 liang) and Lu Jiao Jiao (0.5 qian). Highly tonifying. Add Dang Gui for postpartum. Add Bai Fu Ling for elderly.
Alternative method: Process 10 jin of antlers as above. Place in lead jar, submerge in pot 5-6 cun below rim. Seal tightly. Boil with mulberry fire for seven days. Add hot water daily. After seven days, filter residue. Set clear liquid aside. Add Ren Shen (10 liang) and Gansu Gou Qi (Goji Berry) (20 liang) with 20 bowls of water. Boil until nearly dry. Squeeze residue, pound residue, add 15 bowls of water, boil dry, filter. Combine juices with deer antler juice. Slowly reduce over white charcoal fire until drops form pearls. Store in porcelain jar. Take 1-2 qian fasting with plain water. Extremely effective for consumptive disease.