（自制） 治虚劳等症。功在六味左归之上，不可忽者也。
熟地（八两） 萸肉（四两） 枸杞（四两） 菟丝子（四两） 牛膝（补肾，酒蒸，四两）
山药（
芡实（略炒，四两） 砂仁（略炒，四两） 麦冬（去心，八两） 枣仁（略炒，六两） 北五味（
敛肺，蜜水拌蒸，焙干，四两） 圆眼肉（养心，炙干，六两，煎膏倍用） 莲须（涩精，固肠，四
两） 麋角胶（补真阴，四两） 龟胶（八两） 龟甲胶（退骨蒸，四两，俱用地黄汁溶化，用甲酥
炙，六两） 虎骨胶（壮筋骨，四两，煎浓，麦冬汤溶化亦可） 鳔胶（牡蛎粉炒，八两） 黄牛肉（
补脾胃，去油膜，十斤，熬膏） 猪脊髓（填精髓，三十条，去筋膜，捣烂蜜熬） 紫河车膏（峻补气
血，吴球制大造丸用此，以其有夺造化之权，极夸其功效也。八两，制法∶泔水洗净，隔汤煮熟，捣烂
，干药拌匀，晒干）
共二十四味，诸膏髓，丸如桐子大，空心圆眼汤下，或淡盐汤下，每服三四五钱。脾
胃弱而
亦可也。若兼咳嗽者，不时兼服噙化丸，或清宁膏。有血兼饮自便。（用麦冬、米仁煎汤，
多饮小便自清白。）此方补肾理脾保肺，兼而有之，补肾用熟地、萸肉、枸杞、菟丝子、牛
膝，有理肺药以佐之，则不嫌其滋润。理脾用山药、茯苓、白芍、莲肉、芡实、砂仁者，以
其无香燥伤阴之患，兼能入肾经也。砂仁似燥，然辛能润肾，且肾虚不能纳气归原，非此向
导不济，更得滋阴药以君之，用之无虞矣。麦冬清肺，五味敛肺，皆所以保肺也。保肺金正
以生肾水，理脾土亦为生金以生水也。枣仁、圆肉养心，一恐水虚而火旺耗血，一恐心虚而
下不交肾。莲须涩精固肠，糜角补真阴，龟鳖二甲退骨蒸，猪脊鳔胶填精髓，牛补脾胃，虎
壮筋骨，河车峻补精血，是以血肉之物，补血肉之躯也，功效甚速也。嘉言云∶虚劳之疾，
百脉空虚，非粘腻之物，不能填实；精血枯涸，非滋阴之物，不能濡润。是以治虚劳，纵遇
能消丸药之人，亦必兼膏服之，若脾弱者，尤为定法。内热甚重，加除蒸之品一二味，此方
凡男妇阴虚欲成虚劳者，急宜服之。
熟地黄（八两） 山茱萸（四两） 枸杞子（四两） 菟丝子（四两） 牛膝（补肾用，酒蒸制，四两）
山药（此处原文缺省剂量或描述，依上下文推测为常规用量，但严格按原文翻译则留白或略过具体数值，此处依原文结构处理：山药）
芡实（略炒，四两） 砂仁（略炒，四两） 麦冬（去心，八两） 酸枣仁（略炒，六两） 北五味子（收敛肺气，蜜水拌蒸后焙干，四两） 桂圆肉（滋养心神，炙干，六两，煎膏时加倍使用） 莲须（固涩精气，坚固肠道，四两） 鹿角胶（补益真阴，四两） 龟板胶（八两） 龟甲胶（退除骨蒸潮热，四两，均用地黄汁溶化，并用甲酥炙过，六两注：原文此处“龟胶”与“龟甲胶”并列且剂量不同，可能指代不同部位或炮制品，按原文列出） 虎骨胶（强壮筋骨，四两，煎浓后用麦冬汤溶化亦可） 鱼鳔胶（用牡蛎粉炒制，八两） 黄牛肉（补益脾胃，去除油膜，十斤，熬成膏） 猪脊髓（填补精髓，三十条，去除筋膜，捣烂后用蜂蜜熬制） 紫河车膏（峻补气血，吴球在制作大造丸时使用此药，因其有夺造化之权，极力夸耀其功效。八两，制法：用淘米水洗净，隔水煮熟，捣烂，与干药拌匀，晒干）
共二十四味药，将各种膏、髓类药材混合，制成如梧桐子大小的丸药。空腹时用桂圆肉汤送服，或用淡盐汤送服，每次服用三至五钱。若脾胃虚弱者，也可（配合其他调理方法/或指减量服用，原文此处语意稍断，依文意译为：脾胃弱者亦可适用）。如果兼有咳嗽症状，可不时兼服噙化丸，或清宁膏。若有血证兼有水饮内停，使小便自利。（可用麦冬、薏苡仁煎汤，多饮用，小便自然清白。）此方兼具补肾、理脾、保肺之功。补肾使用熟地黄、山茱萸、枸杞子、菟丝子、牛膝，配有理肺药物以辅助，便不嫌其滋腻碍胃。理脾使用山药、茯苓、白芍、莲子肉、芡实、砂仁，是因为它们没有香燥伤阴的弊端，且能入肾经。砂仁看似燥烈，但辛味能润肾，且肾虚不能纳气归根，非此药引导不可济事，再加上滋阴药物作为主君药，使用就没有忧虑了。麦冬清肺，五味子收敛肺气，都是用来保肺的。保肺金正气正是为了生肾水，理脾土也是为了生金以生水。酸枣仁、桂圆肉滋养心神，一是担心肾水虚而心火旺耗伤血液，二是担心心虚而不能下交于肾。莲须固涩精气、坚固肠道，鹿角胶补益真阴，龟板与鳖甲二胶退除骨蒸潮热，猪脊髓和鱼鳔胶填补精髓，牛肉补益脾胃，虎骨强壮筋骨，紫河车峻补精血，因此使用血肉有情之品，来补益血肉之躯，功效非常迅速。嘉言说：虚劳的疾病，百脉空虚，不是粘腻的药物，不能填实；精血枯涸，不是滋阴的药物，不能濡润。因此治疗虚劳，即使遇到擅长服用消导丸药的人，也必须兼服膏剂，若是脾胃虚弱者，这更是确定的法则。如果内热很重，加入一两味除蒸的药物，此方凡男女阴虚将要发展成虚劳者，急宜服用。
(Self-made prescription) Treats deficiency consumption (Xu Lao) and other syndromes. Its efficacy surpasses that of Liuwei Zuogui Wan (Six-Ingredient Rehmannia Tonifying the Left Decoction), and it should not be neglected.
Shu Di Huang (Prepared Rehmanniae Radix, eight taels) Shan Zhu Yu (Corni Fructus, four taels) Gou Qi Zi (Lycii Fructus, four taels) Tu Si Zi (Cuscutae Semen, four taels) Niu Xi (Achyranthis Bidentatae Radix, for tonifying the Kidney, steamed with wine, four taels)
Shan Yao (Dioscoreae Rhizoma, dosage omitted in original text contextually implied) Qian Shi (Euryales Semen, lightly stir-fried, four taels) Sha Ren (Amomi Fructus Rotundus, lightly stir-fried, four taels) Mai Dong (Ophiopogonis Radix, heart removed, eight taels) Zao Ren (Ziziphi Spinosae Semen, lightly stir-fried, six taels) Bei Wu Wei Zi (Schisandrae Chinensis Fructus, to astringe Lung Qi, mixed with honey water, steamed, dried in shade, four taels) Yuan Yan Rou (Longan Aril, to nourish Heart Shen, roasted dry, six taels; double amount when preparing paste) Lian Xu (Nelumbinis Plumula, to secure essence and strengthen intestines, four taels) Lu Jiao Jiao (Cervi Cornu Colla, to tonify True Yin, four taels) Gui Ban Jiao (Testudinis Carapax et Plastrum Colla, eight taels) Gui Jia Jiao (Testudinis Carapax et Plastrum Colla, specifically from the plastrum or different preparation, to retreat bone-steaming fever, four taels; both dissolved using Shu Di Huang juice, and roasted with "Jia Su" [shell butter], six taels note: original lists Gui Jiao and Gui Jia Jiao separately with different dosages) Hu Gu Jiao (Pantheris Ossis Colla, to strengthen sinews and bones, four taels; concentrated decoction dissolved in Mai Dong soup is also acceptable) Biao Jiao (Ichthyosbladderae Colla, fried with Oyster Shell powder, eight taels) Huang Niu Rou (Yellow Beef, to tonify Spleen and Stomach, remove oil membrane, ten jin, boiled into paste) Zhu Ji Sui (Porcine Medulla Spinalis, to fill essence and marrow, thirty strips, remove fascia, pounded and boiled with honey) Zi He Che Gao (Placenta Hominis Paste, to vigorously tonify Qi and Blood; Wu Qiu used this in Da Zao Wan [Great Creation Pill] because it possesses the power of usurping creation, greatly praising its efficacy. Eight taels; Preparation method: Wash clean with rice-washing water, cook thoroughly by steaming over water, pound into pulp, mix evenly with dry herbs, dry in the sun).
Total of twenty-four ingredients. Mix all pastes and medullas, form pills the size of paulownia seeds. Take on an empty stomach with Longan Aril decoction, or with light salt water. Dosage: three to five qian per administration. For those with weak Spleen and Stomach, it can also be used (context implies suitability or adjustment). If accompanied by cough, intermittently take Qin Hua Wan (Holding-and-Melting Pill) or Qing Ning Gao (Clearing Peacefulness Paste). If blood stasis is combined with fluid retention leading to spontaneous urination: (Decoct Mai Dong and Yi Yi Ren [Coicis Semen], drink abundantly so urine becomes naturally clear). This formula combines tonifying the Kidney, regulating the Spleen, and protecting the Lung. To tonify the Kidney, use Shu Di Huang, Shan Zhu Yu, Gou Qi Zi, Tu Si Zi, and Niu Xi; assisted by Lung-regulating herbs, its moistening nature is not considered cloying. To regulate the Spleen, use Shan Yao, Fu Ling [Poria], Bai Shao [White Peony Root], Lian Rou [Lotus Seed Meat], Qian Shi, and Sha Ren, because they lack the risk of aromatic-dryness injuring Yin, and can enter the Kidney meridian. Although Sha Ren appears drying, its pungency can moisten the Kidney. Moreover, Kidney deficiency failing to grasp Qi and return it to its source cannot be remedied without this guiding herb. When paired with Yin-nourishing herbs as the sovereign drug, there is no cause for worry. Mai Dong clears the Lung, and Wu Wei Zi astringes Lung Qi; both serve to protect the Lung. Protecting Lung Metal generates Kidney Water; regulating Spleen Earth also generates Metal to generate Water. Zao Ren and Yuan Rou nourish the Heart Shen: one fears that deficient Kidney Water leads to hyperactive Heart Fire consuming Blood; the other fears Heart deficiency preventing downward interaction with the Kidney. Lian Xu secures essence and strengthens intestines; Lu Jiao Jiao tonifies True Yin; Gui Ban and Bie Jia (Turtle Shell and Soft-shell Turtle Shell collas) retreat bone-steaming fever; Zhu Ji Sui and Biao Jiao fill essence and marrow; Niu Rou tonifies Spleen and Stomach; Hu Gu strengthens sinews and bones; Zi He Che vigorously tonifies Essence and Blood. Thus, substances of flesh and blood are used to tonify the body of flesh and blood, yielding rapid efficacy. Jiayan stated: In deficiency consumption diseases, the hundred vessels are empty; only viscous and sticky substances can fill them. Essence and Blood are withered and dry; only Yin-nourishing substances can moisten them. Therefore, in treating deficiency consumption, even if encountering individuals skilled at taking digestion-promoting pills, one must necessarily combine them with paste preparations. For those with weak Spleen, this is a definitive method. If internal heat is severe, add one or two items to clear steaming fever. This formula is urgently suitable for men and women whose Yin deficiency is about to develop into deficiency consumption.