痿症之不起床也人以为两足之无力非下病而何殊不知痿症不同有上下之分焉上痿者非手
痿之
论乃肺气与阳明之病也虽痿症皆属之阳明治痿不治阳明终难起废然而阳明有兼肺经而痿者实
是上病而非下痿之可比其症必咳嗽吐脓吐痰而双足无力则与下痿之症颇同而治法不可与下痿
之病同治也吾今立一方治上痿者神妙名为起痿上清丹此方仍是治阳明之药而妙在用金银花以
治肺中之痿清其肺气自然下生肾水肾水生而骨中之髓自生又何必更补肾哉况方中俱是轻清散
火之味轻清则上升以散其肺中胃中之火则阳明火焰自然不上冲于肺而肺气安宁又可不辨而自
知也至于下痿之症虽治法不能离于阳明然必竟以补肾为主盖两足之无力本是骨中无髓而髓乃
肾
中之精也不补其精则髓从何出况阳明胃经乃肾之关门补肾正所以补胃耳其症能食而饥面红如
火
昼轻夜重吐痰如水者是也方用坚骨起痿丹此方妙在补肾而兼补胃也可统治下痿之症无不神效
但痿病非一二剂可以奏功愿人遵守吾方朝夕吞咽断无久卧床席之人也
起痿上清丹
麦冬（五钱） 金银花（二两） 玄参（一两） 北五味（一钱） 薏仁（一两） 生地（五钱） 天门冬
（五钱） 天花粉（三钱） 甘菊花（三钱） 黄 （三钱） 陈皮（一钱） 人参（五钱）水煎服
坚骨起痿丹
熟地（三两） 山茱萸（二两） 牛膝（五钱） 金钗石斛（五钱） 薏仁（二两） 山药（一两） 白术
（五钱） 玄参（五钱） 麦冬（五钱） 丹皮（五钱） 地骨皮（五钱） 白芥子（三钱）水煎服
痿症患者无法下床，人们通常认为是双足无力，这难道不是下肢的疾病吗？殊不知，痿症并非如此简单，它分为上部和下部。所谓的“上痿”，并非指手部痿弱，而是肺脏与阳明经的病变。虽然所有痿症都归属于阳明经治疗范畴，但若治疗痿症而不从阳明经入手，终究难以使废弛的身体恢复功能。然而，阳明经也有兼涉肺经而导致痿症的，这实际上是上部病变，不能与下部痿症相提并论。其症状必然伴有咳嗽、吐脓痰或普通痰液，且双足无力，这与下部痿症的症状颇为相似，但治疗方法绝不能与下部痿症相同。
现在我制定一方来治疗上痿，疗效神妙，名为“起痿上清丹”。此方本质上仍是治疗阳明经的药物，但其精妙之处在于使用金银花来治疗肺中的痿证，清除肺气，自然能促使肾水下行。肾水滋生，则骨骼中的骨髓自然生成，又何必额外补肾呢？况且方中全是轻清散火的药材，轻清之性则药力上升，以疏散肺中与胃中的火邪，那么阳明经的火气自然不再上冲于肺，肺气得以安宁，这一点无需辨析即可知晓。
至于下部痿症，虽然治疗方法离不开阳明经，但毕竟以补肾为主。因为双足无力本质上是骨中没有骨髓，而骨髓乃肾脏中的精气所化。不补充精气，骨髓从何而出？况且阳明胃经是肾脏的门户（关门），补肾正是为了补胃。其症状表现为：食欲旺盛易饥，面色红赤如火，白天症状较轻夜晚加重，咳吐痰液如水样。此时方用“坚骨起痿丹”。此方的精妙之处在于补肾兼补胃，可以统管下部痿症，无不神效。但是，痿病并非一两剂药就能见效，希望人们遵守我的方子，早晚服用，断没有长期卧床不起的人。
起痿上清丹
麦冬（五钱） 金银花（二两） 玄参（一两） 北五味子（一钱） 薏苡仁（一两） 生地（五钱） 天门冬（五钱） 天花粉（三钱） 甘菊花（三钱） 黄芪（三钱） 陈皮（一钱） 人参（五钱） 水煎服
坚骨起痿丹
熟地黄（三两） 山茱萸（二两） 牛膝（五钱） 金钗石斛（五钱） 薏苡仁（二两） 山药（一两） 白术（五钱） 玄参（五钱） 麦冬（五钱） 牡丹皮（五钱） 地骨皮（五钱） 白芥子（三钱） 水煎服
In cases of Wei syndrome (Flaccidity Syndrome) where patients cannot get out of bed, people generally attribute the inability to move their lower limbs to a disease in the lower body. However, it is not so simple; Wei syndrome is divided into upper and lower types. The so-called "Upper Wei" does not refer to flaccidity of the hands, but rather involves pathology of the Lung and the Yangming channels. Although all Wei syndromes are treated via the Yangming channel, failing to treat the Yangming channel makes it difficult to restore function. Nevertheless, there are cases where Yangming pathology involves the Lung meridian, constituting an upper-body condition that cannot be compared to lower-body Wei syndrome. Such cases inevitably present with coughing, expectoration of purulent sputum or ordinary phlegm, and weakness in both legs. While these symptoms resemble those of lower Wei syndrome, the treatment method must not be the same.
I now prescribe a formula for treating Upper Wei, which is miraculous and named *Qiwei Shangqing Dan* (Rising Flaccidity Upper-Clearing Elixir). This formula essentially treats the Yangming channel, but its brilliance lies in using Honeysuckle Flower (*Jinyinhua*, *Lonicerae Japonicae Flos*) to treat flaccidity within the Lung, clearing Lung Qi, which naturally generates Kidney Water downward. Once Kidney Water is generated, marrow within the bones is naturally produced; why is it necessary to tonify the Kidney further? Moreover, the ingredients in this formula are light and clear, dispersing fire. Their light nature allows them to ascend and dissipate fire in the Lung and Stomach, causing the flame of the Yangming channel to no longer rush upward to the Lung, thereby calming Lung Qi. This principle is self-evident without need for complex analysis.
As for Lower Wei syndrome, although treatment cannot depart from the Yangming channel, it fundamentally focuses on tonifying the Kidney. Weakness in both legs is essentially due to a lack of marrow in the bones, and marrow is refined essence from the Kidney. Without tonifying essence, where would marrow come from? Furthermore, the Yangming Stomach channel serves as the "gate" for the Kidney; tonifying the Kidney is precisely how one tonifies the Stomach. Symptoms include: strong appetite with frequent hunger, face red as fire, symptoms lighter during the day and heavier at night, and expectoration of watery phlegm. For this, use *Jianggu Qiwei Dan* (Bone-Solidifying Rising Flaccidity Elixir). The brilliance of this formula lies in tonifying the Kidney while simultaneously supporting the Stomach, making it universally effective for Lower Wei syndrome. However, Wei disease does not respond to just one or two doses. I hope patients adhere to my prescription, taking it morning and evening, ensuring that no one remains bedridden for long.
**Qiwei Shangqing Dan** (Rising Flaccidity Upper-Clearing Elixir)
Ophiopogon Tuber (*Maidong*, *Ophiopogonis Radix*) (5 qian), Honeysuckle Flower (*Jinyinhua*, *Lonicerae Japonicae Flos*) (2 liang), Scrophularia Root (*Xuanshen*, *Scrophulariae Radix*) (1 liang), Schisandra Berry (*Bei Wuwei Zi*, *Schisandrae Chinensis Fructus*) (1 qian), Coix Seed (*Yiren*, *Coicis Semen*), Rehmannia Root (*Shengdi*, *Rehmanniae Radix*) (5 qian), Asparagus Tuber (*Tianmendong*, *Asparagi Radix*) (5 qian), Trichosanthes Root (*Tianhuafen*, *Trichosanthis Radix*) (3 qian), Chrysanthemum Flower (*Gan Juhua*, *Chrysanthemi Flos*), Astragalus Root (*Huangqi*, *Astragali Radix*) (3 qian), Tangerine Peel (*Chenpi*, *Citri Reticulatae Pericarpium*) (1 qian), Ginseng Root (*Renshen*, *Ginseng Radix et Rhizoma*) (5 qian). Decoct in water and take orally.
**Jianggu Qiwei Dan** (Bone-Solidifying Rising Flaccidity Elixir)
Prepared Rehmannia Root (*Shudi*, *Rehmanniae Radix Praeparata*) (3 liang), Cornus Fruit (*Shanzhuyu*, *Corni Fructus*), Achyranthes Root (*Niuxi*, *Achyranthis Bidentatae Radix*) (5 qian), Dendrobium Stem (*Jinchai Shihu*, *Dendrobii Caulis*), Coix Seed (*Yiren*, *Coicis Semen*) (2 liang), Chinese Yam (*Shanyao*, *Dioscoreae Rhizoma*) (1 liang), Atractylodes Macrocephala Rhizome (*Baizhu*, *Atractylodis Macrocephalae Rhizoma*) (5 qian), Scrophularia Root (*Xuanshen*, *Scrophulariae Radix*) (5 qian), Ophiopogon Tuber (*Maidong*, *Ophiopogonis Radix*) (5 qian), Moutan Bark (*Danpi*, *Paeoniae Radix Rubra*), Cortex Lycii (*Digupi*, *Lycii Cortex*), White Mustard Seed (*Baijiezi*, *Sinapis Semen*). Decoct in water and take orally.