治血痹阴阳俱微。寸口关上微。尺中小紧。外证身体不仁。如风痹状。
黄 芍药 桂枝（各三两。） 生姜（六两。） 大枣（十二枚。）
上五味。以水六升。煮取二升。温服七合。日三服。
歌曰 血痹如风体不仁。桂枝三两芍 均。枣枚十二生姜六。须令阳通效自神。
元犀按。内经云。邪入于阴则为痹。然血中之邪。以阳气伤而得入。亦必以阳气通而后
出。
之缓。加黄 之强有力者。于气分中调其血。更妙倍用生姜以宣发其气。气行则血不滞而痹
除。此夫倡妇随之理也。
治失精家少腹弦急。阴头寒。目眩发落。脉极虚芤迟。为清谷亡血失精
紧。男子失精。女子梦交。此汤主之。
桂枝 芍药 生姜（各三两。） 甘草（二两。） 大枣（十二枚。） 龙骨 牡蛎（各
三两。
上七味。以水七升。煮取三升。分温三服。
歌曰 男子失精女梦交。坎离救治在中爻。桂枝汤内加龙牡。三两相匀要细敲。
短剧云。虚弱浮热汗出者。除桂加白薇一两五钱。附子一两。名曰二加龙骨汤。
徐氏云。桂枝汤。外证得之能解肌去邪气。内证得之能补虚调阴阳。加龙骨、牡蛎者。
以失精梦交为神精间病。非此不足以敛其浮越也。
元犀按。徐忠可以龙骨、牡蛎敛其浮越四字括之。未免以二味为涩药。犹有人之见存也。
吾
蛎
也
治疗血痹证，表现为阴阳脉象均微弱。寸口脉和关脉微细，尺部脉略紧。外在症状为身体麻木不仁，类似风痹的样子。
以上五味药，用水六升，煎煮至二升，温服七合，每日三次。
歌诀说：血痹症见身体麻木不仁，用桂枝三两、芍药三两剂量相同，大枣十二枚、生姜六两。必须使阳气通畅，疗效自然神奇。
元犀按语：《内经》说，邪气侵入阴分则形成痹证。然而，血中的邪气是因为阳气受损才得以侵入，也必然要通过阳气的通畅才能排出。
对于脉象缓弱的情况，加入黄耆以增强其力量，在调气分的药物中调理血液，更为巧妙；加倍使用生姜来宣发气机，气行则血不瘀滞，痹证自除。这是如同夫唱妇随的道理。
治疗失精患者，出现少腹拘急紧绷，阴头寒冷，头晕目眩，头发脱落。脉象极虚、芤或迟，伴有下利清谷、亡血、失精等症状。男子滑精，女子梦交，此汤主治。
桂枝、芍药、生姜（各三两），甘草（二两），大枣（十二枚），龙骨、牡蛎（各三两）。
以上七味药，用水七升，煎煮至三升，分三次温服。
歌诀说：男子失精女子梦交，救治关键在于调和坎离（心肾）。在桂枝汤中加入龙骨和牡蛎，各三两剂量均匀，需要仔细斟酌推敲。
张仲景（短剧指代《金匮要略》作者张仲景）云：虚弱且有浮热汗出者，去掉桂枝，加白薇一两五钱、附子一两，名为二加龙骨汤。
徐氏云：桂枝汤，外感病证服用能解肌祛邪，内伤杂病服用能补虚调和阴阳。加入龙骨、牡蛎，是因为失精和梦交属于神志与精气之间的病变，不用这两味药不足以收敛浮越的阳气。
元犀按语：徐忠可认为龙骨、牡蛎能“敛其浮越”，这四点概括得不错，但未免将这两味药视为单纯的涩药，仍存有世俗之见。我……（原文此处中断）
Treats Blood Bi (Blood Obstruction) syndrome, characterized by both Yin and Yang pulse positions being faint. The Cun (Inch) and Guan (Bar) pulses are faint, while the Chi (Cubit) position is slightly tight. External symptoms include numbness of the body, resembling Wind-Bi (Wind Obstruction).
Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix Alba), Guizhi (Cinnamomi Ramulus) (each 3 liang), Shengjiang (Zingiberis Rhizoma Recens) (6 liang), Dazao (Jujubae Fructus) (12 pieces).
Take the above five herbs. Add six sheng of water, decoct to obtain two sheng. Take seven ge warm, three times a day.
Song verse: Blood Bi presents with body numbness like wind obstruction; use Guizhi 3 liang and Shaoyao equal amount. Twelve Dazao and six Shengjiang suffice; once Yang Qi flows freely, efficacy becomes miraculous.
Yuanni's commentary: The *Neijing* states that when pathogenic factors enter the Yin aspect, Bi syndrome forms. However, pathogens in the blood enter due to injury of Yang Qi, and they must exit only after Yang Qi is unblocked.
For cases with slow pulse, adding Huangqi strengthens the formula. Regulating blood within the Qi aspect is particularly effective. Doubling the dosage of Shengjiang to disseminate Qi ensures that when Qi moves, blood does not stagnate, and Bi is eliminated. This follows the principle of husband and wife following each other.
Treats individuals prone to seminal emission, presenting with tension and urgency in the lower abdomen, coldness at the glans penis, dizziness, and hair loss. The pulse is extremely deficient, knotted (Kou), or slow, accompanied by diarrhea with undigested food, blood loss, and seminal emission. For men with seminal emission and women with nocturnal emissions involving sexual dreams, this decoction is indicated.
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix Alba), Shengjiang (Zingiberis Rhizoma Recens) (each 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang), Dazao (Jujubae Fructus) (12 pieces), Longgu (Fossilia Ossis Mastodi et Scapulae), Muli (Concha Ostreae) (each 3 liang).
Take the above seven herbs. Add seven sheng of water, decoct to obtain three sheng. Divide into three warm doses.
Song verse: Men with seminal emission and women with dream intercourse; salvation lies in balancing Kan and Li (Water and Fire). Add Longgu and Muli to Guizhi Tang; three liang each requires careful consideration.
Zhang Zhongjing (referred to as 'Short Drama' likely a textual corruption or specific reference style) states: For those who are weak with floating heat and sweating, remove Guizhi and add Baiwei (Anemarrhenae Rhizoma) 1.5 liang and Fuzi (Aconiti Lateralis Radix Praeparata) 1 liang, named Erjia Longgu Tang (Double-Added Dragon Bone Decoction).
Xu's commentary: Guizhi Tang, when applied to external syndromes, can resolve the muscle layer and expel pathogenic factors; when applied to internal disorders, it can tonify deficiency and harmonize Yin and Yang. Adding Longgu and Muli is because seminal emission and dream intercourse are disorders between spirit and essence; without these two, one cannot sufficiently anchor floating and hyperactive Qi.
Yuanni's commentary: Xu Zhongke’s summary that Longgu and Muli "anchor floating hyperactivity" is adequate, but it is reductive to view them merely as astringent herbs, retaining a limited perspective. I... [Text cuts off]