愚意艰子之家。非妇人阴血乖羸。则男子精气衰惫。在妇人久媾不孕。盒饭广置外家媵。
择其
气血充盛者代举。至男子则须调适心身。久饵善剂。直待功深行满。亦可什一期许。若论男
子不是左肾血燥精枯便由右肾气寒神馁。夫曰血燥则阳盛不能滋阴。曰精枯。则水竭不能制
阳也。曰气寒。则阴凝不能温精。曰神馁。则力疲不能直射子宫也。生来根本之亏。故致华
实之稀。肯施下手工夫。全在此处作用。滋左肾当润以纯甘壮水之剂扶右肾宜暖以甘温益火
之品。总要六味为主。莫失化源之资存熟地石枣。怀山茯苓。通益两肾之精气。去散血丹皮
。利水泽泻。直补一元之神机。在左尚佐以人参当归龟胶杜仲枸杞之属。在右亦侑以人参当
归鹿胶巴戟熟附之属。盖左肾阴虚而非人参长阳不能生阴也。右肾阳衰而非熟附化阴不能
益阳也。倘阴精浮涣。而不沉坚。则又益以沙苑蒺藜菟丝之属。抑阳气沉陷而不升发。则莫
外乎箭梗黄 白术之品。龙火焱动。黄柏知母。断不敢需神光寂静。蛇床葫巴。岂其所宜
。一味之炙甘草。能除假热。半匕之宜州桂。最起沉寒。精薄每见陷遗。五味当先。气消不
能握固。骨脂勿后。若其神形两衰。精气俱微。此固不必分以属左属右。为阴为阳。而人胞
之峻补真元。肭脐之急疗虚竭。不能缓也。虽然人胞固为以人补人。精得其精。即龚云林亦
云草木无情。惟血气之属可以补人。若人乳人胞阿胶鹿胶之类是也。二论诚不诬。岂知用一
人胞。便损一孩命。艰子之夫。宜存阴 。不如代以鹿茸鹿髓。则尤滋益无比。鹿寿千龄气
通督脉茸髓。最珍可广瓜瓞世人罕识也。此余方论抒自生平积想。而非胶柱古方。然特大
法
耳。当详诊脉证。再为加减。则全善也。至若妇人虽专主血。亦有气虚不能摄精。气寒不能
温精气壅不能通精者。与男子治法不甚悬殊。推求脉症。庶无混投。
我认为，难以生育的家庭，如果不是妇人阴血虚弱亏损，就是男子精气衰败疲惫。对于妇人久婚不孕的情况，应当广泛安置妾室，选择其中气血充盛的人代替正妻承担生育重任。至于男子，则必须调适身心，长期服用良好的药剂，直到功力深厚、行气圆满，也可以期望有一定期限的成效。如果论述男子不育的原因，并非仅仅是左肾血燥精枯，便归咎于右肾气寒神馁。所谓血燥，则是阳气偏盛不能滋养阴液；所谓精枯，则是肾水枯竭不能制约阳气；所谓气寒，则是阴气凝滞不能温煦精液；所谓神馁，则是精力疲乏不能使精气直达子宫。这是由于先天根本的亏虚，导致花果稀少。要想施以下手治疗的功夫，全在于此处的作用。滋补左肾，应当用纯甘壮水的药剂来滋润；扶助右肾，适宜用甘温益火的药品来温暖。总要以六味地黄丸为主方，不要失去化生之源的资助。保留熟地黄、石枣（推测为枸杞子或类似补益药，此处依原文保留）、怀山药、茯苓，以通补两肾的精气；去掉散血的丹皮、利水的泽泻，以直接补益一元之神机。在左肾阴虚时，尚且佐以人参、当归、龟胶、杜仲、枸杞等药物；在右肾阳衰时，也辅以人参、当归、鹿胶、巴戟天、熟附子等药物。大概左肾阴虚，若非人参补气助阳就不能生阴；右肾阳衰，若非熟附子化阴助阳就不能益阳。倘若阴精浮散涣漫，而不能沉坚，则又增加沙苑蒺藜、菟丝子等药物；抑止阳气沉陷而不能升发，则莫过于桔梗、黄芩（原文“黄”后缺字，结合语境及常用配伍，疑为黄芩或黄芪，此处依音近或常见搭配暂译意，但实体提取保留原文“黄”字所指代的可能药材，通常指黄芩或黄芪，鉴于前文有“箭梗”，此处可能漏字，按原文处理）、白术等药品。若龙火炎动，黄柏、知母断不敢使用；若神光寂静，蛇床子、葫芦巴岂是其所宜？一味炙甘草，能除假热；半匕之宜州桂（肉桂），最能起沉寒。精液稀薄每每出现滑脱遗精，五味子应当先用；气消不能固摄握固，骨脂（骨碎补）勿要后置。如果其神形两衰，精气俱微，这固然不必区分属于左还是右，属阴还是属阳，而人胞（胎盘）峻补真元，肭脐（海狗肾）急疗虚竭，是不能延缓的。虽然人胞确实是以人补人，得其精华，就连龚云林也说草木无情，只有血气之类才可以补人，如人乳、人胞、阿胶、鹿胶之类。这两种理论确实没有错误。怎知使用一个人胞，就损害一个孩子的性命。难以生育的丈夫，应当存养阴德，不如用鹿茸、鹿髓代替，则更加滋益无比。鹿寿千龄，气通督脉，茸髓最为珍贵，可以广传后世，世人很少认识这一点。这是我方论抒发自生平积累的构想，而不是拘泥于古方。但这只是大法的纲领罢了。应当详细诊察脉证，再为之加减，才是完全完善的。至于妇人虽然主要主血，也有气虚不能摄精、气寒不能温煦、气壅不能通精的情况，与男子的治法并不悬殊。推求脉症，才不会有混投药物的错误。
I believe that in families facing difficulty conceiving, it is either due to the woman's Yin blood being weak and depleted, or the man's essence and Qi being exhausted. For women who have been married for a long time without conceiving, one should widely arrange for concubines, selecting those with robust Qi and blood to bear children on behalf of the principal wife. As for men, they must regulate their mind and body, and take effective medicines for an extended period until their internal energy is profound and complete; only then can they expect results within a certain timeframe. Regarding male infertility, it is not merely attributed to dryness of blood and depletion of essence in the Left Kidney, nor solely to cold Qi and deficient Shen (Spirit) in the Right Kidney. "Blood dryness" implies excessive Yang failing to nourish Yin; "Essence depletion" implies exhaustion of Water failing to control Yang; "Qi cold" implies Yin stagnation failing to warm the essence; "Shen deficiency" implies fatigue failing to direct the essence to the uterus. This stems from congenital constitutional deficiency, resulting in sparse fruits and flowers. The key to treatment lies precisely here. To tonify the Left Kidney, one should use purely sweet agents that strengthen Water to moisten; to support the Right Kidney, one should employ sweet-warm agents that benefit Fire to warm. The primary formula should be Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), ensuring the source of transformation is maintained. Retain Shudi Huang (Prepared Rehmanniae Radix), Shizao (likely Gouqizi/Lycium fruit or similar, kept as per text), Huaishan (Dioscoreae Rhizoma), and Fuling (Poria) to benefit the essence and Qi of both kidneys; remove Danpi (Moutan Cortex) which disperses blood, and Zexie (Alismatis Rhizoma) which promotes urination, to directly supplement the divine mechanism of the One Origin. In cases of Left Kidney Yin deficiency, add Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Guijiao (Tortoise Shell Glue), Duzhong (Eucommiae Cortex), and Gouqi (Lycii Fructus). In cases of Right Kidney Yang decline, assist with Ren Shen, Dang Gui, Lu Jiao Jiao (Deer Antler Glue), Bajiji (Morinda Officinalis Radix), and Shu Fuzi (Prepared Aconiti Lateralis Radix). Generally, if Left Kidney Yin is deficient, without Ren Shen boosting Yang to generate Yin, it cannot work; if Right Kidney Yang is declining, without Shu Fuzi transforming Yin to benefit Yang, it cannot enhance Yang. If Yin essence floats and scatters rather than sinking firmly, add Shayuanjili (Astragali Complanati Semen) and Tusizi (Cuscutae Semen). If Yang Qi sinks and fails to ascend, Jiejie (Platycodonis Radix), Huang [missing character, likely Huangqi or Huangbai], and Baizhu (Atractylodis Macrocephalae Rhizoma) are essential. If Dragon Fire flares up, Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma) must absolutely not be used; if Shen Light is quiet, Shechuangzi (Cnidii Fructus) and Huba (Pyrenariae Semen) are certainly inappropriate. A single dose of Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) can eliminate false heat; half a spoonful of Yizhou Gui (Cinnamomi Cortex from Yizhou) best raises deep cold. When essence is thin and leakage occurs, Wuweizi (Schisandrae Fructus) should be used first; when Qi dissipates and fails to consolidate, Guzhi (Drynariae Rhizoma) should not be delayed. If both spirit and form are declined, and essence and Qi are minute, there is no need to distinguish between Left/Right or Yin/Yang. However, Renbao (Human Placenta) strongly tonifies True Yuan, and Aqu (Fossa Nasalis Canis Marini) urgently treats deficiency exhaustion; these cannot be delayed. Although Renbao represents "using human to tonify human," obtaining its essence, even Gong Yunlin stated that plants and trees are emotionless, only substances with Qi and Blood can tonify humans, such as Renru (Human Milk), Renbao, Ejiao (Colla Corii Asini), and Lu Jiao Jiao. Both theories are indeed correct. But who knows that using one human placenta costs one child's life? Husbands facing infertility should preserve Yin virtue; instead, using Lurong (Cornu Cervi Pantotrichum) and Lusui (Medulla Cervi) provides unparalleled nourishment. Deer live for a thousand years, their Qi connects to the Du Mai (Governing Vessel); their antler and marrow are most precious and can be widely disseminated, though few people recognize this. This treatise expresses my accumulated thoughts over a lifetime, not rigid adherence to ancient formulas. It outlines general principles. Detailed diagnosis of pulse and symptoms is required for further modification to achieve perfection. As for women, although primarily governed by Blood, there are also cases of Qi deficiency failing to grasp essence, Qi cold failing to warm, or Qi stagnation failing to unblock essence. These treatments are not vastly different from those for men. By deducing from pulse and symptoms, one avoids indiscriminate medication.