此益火之剂也。凡命门之阳衰阴胜者，宜此方加减主之。此方与大补元煎出
入互用，如治阴盛格阳，真寒假热等证，宜加泽泻二钱，煎成用凉水浸冷，服之尤妙。
熟地（用如前） 山药（二钱，炒） 山萸（一钱） 枸杞（二钱） 甘草（一二钱，炙） 杜
仲（二钱，盐制） 肉桂（一二钱） 附子（一二三钱）
水二盅，煎七分，食远温服。如气虚血脱，或厥或昏，或汗或运，或虚狂，或短气者
参、白术，随宜用之。如火衰不能生土，为呕哕吞酸者，加炮姜二三钱。如阳衰中寒，泄泻
腹痛，加人参，肉豆蔻，随宜用之。如小腹多痛者，加吴茱萸五七分。如淋带不止，加破故
纸一钱。如血少血滞，腰膝软痛者，加当归二三钱。
治真阴肾水不足，不能滋养营卫，渐至衰弱，或虚热往来，自汗盗汗，或神
，血不归原，或虚损伤阴，或遗淋不禁，或气虚昏运，或眼花耳聋，或口燥舌干，或腰酸腿
软。凡精髓内亏，津液枯涸等症，俱速宜壮水之主，以培左肾之元阴，而精血自充矣，宜此
方主之。
大怀熟（八两） 山药（四两，炒） 枸杞子（四两，制） 山茱萸（四两） 川牛膝（酒洗蒸
熟，
上先将熟地蒸烂杵膏，加炼蜜丸桐子大，每食前用滚汤或淡盐汤送下百余丸。如真阴
虚火炎上者，宜用纯阴至静之剂，于本方去枸杞、鹿胶，加女贞子三两，麦冬三两。如火烁
肺金，干枯多嗽者，加百合三两。如夜热骨蒸，加地骨皮三两。如小水不利不清，加茯苓三
两。如大便燥结，去菟丝，加肉苁蓉三两。如气虚者，加人参三四两。如血虚微滞，加当归
四两。如腰膝酸痛，加盐水炒杜仲三两。如脏平无火而肾气不充者，加破故纸三两，去心莲
肉、胡桃肉各四两，龟胶不必用。五液皆主于肾，凡属阴分之药，皆能走肾，有谓必须导引
者，皆见之不明耳。
这是温补命门之火（益火之源）的方剂。凡是命门阳气衰弱、阴寒偏盛的病症，适宜用此方加减治疗。此方与大补元煎配合使用，如治疗阴寒内盛格拒阳气、真寒假热等证候，宜加泽泻二钱，药液煎好后用凉水浸冷服用，效果更佳。
熟地黄（用法同上） 山药（二钱，炒制） 山茱萸（一钱） 枸杞子（二钱） 甘草（一二钱，炙烤） 杜仲（二钱，盐制） 肉桂（一二钱） 附子（一二三钱）
用水两盅，煎至七分，饭后稍久温热服用。如果气虚血脱，出现四肢厥冷或昏厥，或出汗或眩晕，或虚性狂躁，或短气的症状，加入人参、白术，根据具体情况选用。如果火衰不能温煦脾土，导致呕吐呃逆吞酸的症状，加炮姜二三钱。如果阳衰中寒，出现泄泻腹痛，加入人参、肉豆蔻，根据具体情况选用。如果小腹部多痛，加吴茱萸五七分。如果淋浊带下不止，加破故纸（补骨脂）一钱。如果血少血滞，腰膝软弱疼痛，加当归二三钱。
治疗真阴肾水不足，不能滋养营卫，逐渐导致身体衰弱，或虚热往来，自汗盗汗，或神志恍惚，血液不能归藏于原处，或虚损损伤阴液，或遗精滑泄小便不禁，或气虚昏晕，或眼花耳聋，或口燥舌干，或腰酸腿软。凡是精髓内部亏损，津液枯涸等症状，都应当迅速采用壮水之主（滋补肾阴）的方法，以培补左肾的元阴，那么精血自然就会充盈，适宜用此方主治。
大怀熟地黄（八两） 山药（四两，炒制） 枸杞子（四两，制过） 山茱萸（四两） 川牛膝（酒洗后蒸熟） 菟丝子（酒浸蒸熟） 鹿角胶（捣碎） 龟板胶（捣碎）
先将熟地黄蒸烂捣成膏状，加入炼蜜制成梧桐子大小的丸药，每次饭前用滚开水或淡盐水送服一百多丸。如果真阴虚损导致虚火上炎，适宜使用纯阴至静的方剂，在本方中去掉枸杞、鹿角胶，加入女贞子三两，麦冬三两。如果火邪灼伤肺金，导致干枯多咳嗽，加入百合三两。如果夜间发热骨蒸，加入地骨皮三两。如果小便不利不清，加入茯苓三两。如果大便干燥结硬，去掉菟丝子，加入肉苁蓉三两。如果气虚，加入人参三四两。如果血虚且有轻微瘀滞，加入当归四两。如果腰膝酸痛，加入盐水炒制的杜仲三两。如果脏腑平和无火但肾气不充，加入破故纸三两，去心莲肉、胡桃肉各四两，龟板胶不必使用。五脏之液皆由肾主司，凡是属于滋阴的药，都能入肾，有人说必须配合导引疗法，这都是见识不明罢了。
This is a formula for benefiting the source of fire (Yi Huo Zhi Ji). For conditions where Mingmen Yang Qi is deficient and Yin Cold prevails, this formula with modifications is appropriate. This formula can be used interchangeably with Da Bu Yuan Jian; for instance, in treating conditions such as Yin excess repelling Yang or true cold with false heat, it is advisable to add Ze Xie (Alisma Rhizome) two qian. After decoction, cool the liquid by immersing it in cold water before administration, which yields excellent results.
Shu Di Huang (Prepared Rehmannia Root), usage as above; Shan Yao (Chinese Yam) two qian, stir-fried; Shan Zhu Yu (Cornus Fruit) one qian; Gou Qi Zi (Goji Berry) two qian; Gan Cao (Licorice Root) one to two qian, honey-fried; Du Zhong (Eucommia Bark) two qian, salt-processed; Rou Gui (Cinnamon Bark) one to two qian; Fu Zi (Aconite Lateral Root) one to three qian.
Decoct with two cups of water until reduced to seven-tenths. Take warm, well after meals. If there is Qi deficiency and blood collapse, manifesting as cold limbs or coma, sweating or dizziness, or false mania or shortness of breath, add Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Macrocephala Rhizome), selecting according to circumstances. If Fire deficiency fails to warm Earth (Spleen/Stomach), leading to vomiting, hiccupping, or acid regurgitation, add Pao Jiang (Charred Ginger) two to three qian. If Yang deficiency with middle Jiao cold causes diarrhea and abdominal pain, add Ren Shen (Ginseng Root) and Rou Dou Kou (Nutmeg Seed), selecting according to circumstances. If there is frequent pain in the lower abdomen, add Wu Zhu Yu (Evodia Fruit) five to seven fen. If dribbling urine and leukorrhea persist, add Po Gu Zhi (Psoralea Fruit) one qian. If blood deficiency and blood stasis cause softness and pain in the waist and knees, add Dang Gui (Angelica Sinensis Root) two to three qian.
This treats insufficiency of True Yin and Kidney Water, which fails to nourish Ying and Wei (Nutritive and Defensive Qi), gradually leading to physical decline. Symptoms may include alternating deficiency fever, spontaneous sweating or night sweats, mental confusion, blood failing to return to its origin, injury to Yin from deficiency, enuresis or involuntary urination, Qi deficiency causing faintness, blurred vision or deafness, dry mouth and tongue, or soreness and weakness of the waist and legs. For all conditions involving internal depletion of essence and marrow, and withered and dried-up body fluids, it is urgent to employ the method of strengthening the master of water (nourishing Kidney Yin) to cultivate the primal Yin of the left Kidney, thereby ensuring the natural sufficiency of essence and blood. This formula is indicated.
Da Huai Shu Di Huang (Large Huai Prepared Rehmannia Root) eight liang; Shan Yao (Chinese Yam) four liang, stir-fried; Gou Qi Zi (Goji Berry) four liang, processed; Shan Zhu Yu (Cornus Fruit) four liang; Chuan Niu Xi (Cyathula Root) washed in wine and steamed until cooked; Tu Si Zi (Cuscuta Seed) soaked in wine and steamed until cooked; Lu Jiao Jiao (Deer Antler Glue) crushed; Gui Ban Jiao (Tortoise Shell Glue) crushed.
First, steam the Shu Di Huang until soft and mash it into a paste. Add refined honey and form pills the size of paulownia seeds. Take more than one hundred pills before each meal, delivered with boiling water or light salt water. If True Yin deficiency leads to flaring of deficient fire upward, a pure Yin and extremely tranquil formula is suitable; remove Gou Qi Zi (Goji Berry) and Lu Jiao Jiao (Deer Antler Glue) from this base formula, and add Nu Zhen Zi (Ligustrum Fruit) three liang and Mai Dong (Ophiopogon Tuber) three liang. If fire scorches Lung Metal, causing dryness and frequent coughing, add Bai He (Lily Bulb) three liang. If night fever with bone-steaming sensation occurs, add Di Gu Pi (Lycium Bark) three liang. If urination is difficult and unclear, add Fu Ling (Poria) three liang. If stool is dry and constipated, remove Tu Si Zi (Cuscuta Seed) and add Rou Cong Rong (Cistanche Stem) three liang. If Qi is deficient, add Ren Shen (Ginseng Root) three to four liang. If blood is deficient with slight stagnation, add Dang Gui (Angelica Sinensis Root) four liang. If there is soreness and pain in the waist and knees, add Du Zhong (Eucommia Bark) stir-fried with salt water three liang. If the zang organs are peaceful without fire but Kidney Qi is insufficient, add Po Gu Zhi (Psoralea Fruit) three liang, Qu Xin Lian Rou (Lotus Seed without plumule) and Hu Tao Rou (Walnut Kernel) four liang each, and Gui Ban Jiao (Tortoise Shell Glue) need not be used. The five fluids are governed by the Kidney; any medicine belonging to the category of nourishing Yin can enter the Kidney. Those who claim that guidance exercises (Dao Yin) are strictly necessary demonstrate a lack of clear understanding.