都气丸（六味丸加五味子一两，方见上厥症
归脾汤 治心脾血虚，怔忡健忘，汗多食少，大便泄溏或利，不寐，吐血、下血，妇人
经水不调等症。
人参 白术 炙黄 茯神 当归 酸枣仁（炒黑、研） 龙眼肉（各二钱） 炙草 木香 远
志（各五分，去骨
水煎服。
小半夏加茯苓汤 茯苓桂枝甘草大枣汤 桂枝加桂汤（俱见伤寒） \x真武汤 奔豚汤
虎潜丸 治痿神方，及诸虚不足，腰腿疼痛，行步无力等症。
黄柏 知母 熟地（各三两） 龟板（四两，炙） 白芍 当归 牛膝（各一两） 虎胫骨（酥炙） 锁
阳陈皮（各一两半） 干姜（五钱
研末，酒煮羯羊肉一斤，切片微火焙，研末和上诸药，燥蜜为丸，梧子大，每服五十丸
姜汤、盐汤、酒，随意送下。
封髓丹
黄柏（盐水炒） 炙甘草（七钱） 砂仁（一两
研末，炼蜜丸，如梧子大，每服三钱，淡盐汤送下。一本肉苁蓉五钱去甲，酒浸一宿，
次日以水煎三、四沸送下。
此方用黄柏为君，以其味性苦寒，苦能坚肾，肾职得坚，则阴水不虞其泛溢，寒
能清肃，秋令一至，则龙火不至于奋扬，水火交媾，精有不安其位者乎，佐以甘草，以甘草
能缓急。泻诸火与肝火之内烦，且能使水土合为一家，以妙封藏之固。尤妙以砂仁为引导，
《内经》云∶“肾火燥，急食辛以润之。”今用砂仁之辛，通三焦，达津液，能纳五脏六腑
之精而归于肾，家之气纳，肾中之髓自藏矣。
温胆汤（骆氏《内经拾遗》云∶“癫狂之由，皆是胆涎沃心，故神不守舍，理宜温胆，亦
治痫病。”）
半夏 茯苓 陈皮 炙草（各一钱） 竹茹（三钱） 枳实（八分
加姜枣水煎。
（沈芊绿云∶“心藏神，肝藏魂，肾藏精。梦中所主之心，即心之神也，梦中所见之形，
即肝之魂也，梦中所泄之精，即肾之精也。要之心为君，肝肾为相，未有君火动而相火不随
之者。当先治其心火而后及其余，宜黄连清心饮、茯神汤加减。”
黄连清心饮
黄连 生地 甘草 当归 人参 茯神 枣仁 远志 莲子
水煎服。
茯神汤
茯神 远志 菖蒲 茯苓 黄连 生地 人参 当归 甘草 莲子 枣仁
水煎服。
文蛤津脐膏（《种福堂》） 治遗精。
文蛤（研细末
以女儿津贴脐上，立止。
思仙丹（《种福堂》） 治阴虚火动，梦遗精神方。
莲须（十两） 石莲肉（十两，去内青并外皮） 芡实（十两，去壳
上为末，再以金樱子三斤，去毛子，水淘净，入大锅内水煎，滤过再煎，加饴糖，和匀
前药，丸如梧子大，每服七、八十丸。
桂枝龙骨牡蛎汤（方见《金匮》） 治男子失精，女人梦交。
（孙男心典）按∶多梦者，神气外浮，龙为天地之神，故龙骨最能补神而治妄梦，合之牡蛎
之咸寒，便能引火归原，以此汤主之。如阳遗而泄者，加莲子心一钱，生枣仁二钱，能补肾
摄精，最为神妙。
温胆汤 即二陈汤加竹茹三钱，枳实八分。
二加龙骨汤（见虚痨） 四君子汤（加减详本论。
都气丸（在六味地黄丸基础上加入一两五味子，方剂详情见上文“厥症”章节）
归脾汤：治疗心脾两虚证，症状包括怔忡（心中悸动不安）、健忘、汗出过多、食欲减退、大便稀溏或腹泻、失眠、吐血、便血，以及妇女月经不调等病症。
药材组成：人参、白术、炙黄芪、茯神、当归、酸枣仁（炒黑后研碎）、龙眼肉（各二钱），炙甘草、木香、远志（去木质心，各五分）。
用法：加水煎煮后服用。
小半夏加茯苓汤、茯苓桂枝甘草大枣汤、桂枝加桂汤（以上三方均见于《伤寒论》）、真武汤、奔豚汤。
虎潜丸：治疗痿证（肢体筋脉弛缓，软弱无力，日久因不能随意运动而致肌肉萎缩）的神效方剂，也用于治疗各种虚损不足，以及腰腿疼痛、行走无力等症状。
药材组成：黄柏、知母、熟地黄（各三两），龟板（四两，经火炙处理），白芍、当归、牛膝（各一两），虎胫骨（用酥油炙烤），锁阳、陈皮（各一两半），干姜（五钱）。
制法与用法：将上述药材研成细末；取羯羊肉一斤，用酒煮烂后切片，在微火上焙干，再研成粉末，与前药混合，用炼蜜制成梧桐子大小的丸药。每次服用五十丸，可用姜汤、盐汤或酒任意送服。
封髓丹
药材组成：黄柏（用盐水炒制）、炙甘草（七钱）、砂仁（一两）。
制法与用法：研成细末，用炼蜜制成梧桐子大小的丸药。每次服用三钱，用淡盐汤送服。另一种用法是：另取肉苁蓉五钱，去除鳞片，用酒浸泡一夜，次日加水煎煮三至四沸，以此药汁送服丸药。
方解：此方以黄柏为君药，因为其性味苦寒。苦味能坚固肾气，肾气坚固则阴水不至于泛滥；寒性能清肃火热，如同秋令到来，龙雷之火便不会亢奋上扬，从而实现水火既济，精气自然安守其位。辅以甘草，因为甘草能缓解急迫，泻除诸火及肝火引起的内烦，并使水土相合，从而巩固封藏之功。尤为巧妙的是使用砂仁作为引经药，《黄帝内经》说：“肾燥，应当急食辛味以润之。”此处利用砂仁的辛味，疏通三焦，通达津液，能使五脏六腑的精气归于肾脏，使肾纳气功能正常，肾中的精髓自然得以封藏。
温胆汤（骆氏在《内经拾遗》中记载：“癫狂的成因，都是由于胆中涎沫浸渍心脏，导致神志不守舍，因此适宜温养胆气，此方也用于治疗痫病。”）
药材组成：半夏、茯苓、陈皮、炙甘草（各一钱），竹茹（三钱），枳实（八分）。
用法：加入生姜、大枣，加水煎煮。
沈芊绿评论道：“心藏神，肝藏魂，肾藏精。梦中主宰的心，即心的神志；梦中见到的形体，即肝的魂魄；梦中泄出的精液，即肾的精气。总之，心为君主，肝肾为宰相，没有君主之火发动而宰相之火不跟随的情况。应当先治疗心火，然后再顾及其余脏腑，适宜使用黄连清心饮、茯神汤进行加减治疗。”
黄连清心饮
药材组成：黄连、生地黄、甘草、当归、人参、茯神、酸枣仁、远志、莲子。
用法：加水煎煮后服用。
茯神汤
药材组成：茯神、远志、石菖蒲、茯苓、黄连、生地黄、人参、当归、甘草、莲子、酸枣仁。
用法：加水煎煮后服用。
文蛤津脐膏（出自《种福堂经验方》）：治疗遗精。
用法：将文蛤研成细末，涂抹于女儿肚脐上，可立即止住遗精。
思仙丹（出自《种福堂经验方》）：治疗阴虚火旺导致的梦遗的精神效方。
药材组成：莲须（十两），石莲子肉（十两，去除内部青色胚芽及外皮），芡实（十两，去壳）。
制法与用法：将上述药材研成细末；再取金樱子三斤，去除毛刺和种子，用水淘洗干净，放入大锅中加水煎煮，过滤后再煎煮浓缩，加入饴糖，与前药混合均匀，制成梧桐子大小的丸药。每次服用七八十丸。
桂枝龙骨牡蛎汤（方剂详情见《金匮要略》）：治疗男子失精，女子梦交（梦中与人交合）。
孙一奎（号东宿，又号心典）按语：多梦的人，神气外浮。龙是天地间的灵物，所以龙骨最能补益神气并治疗妄梦。配合牡蛎的咸寒之性，便能引火归元，因此用此方主治。如果是阳事易举而遗精者，加一钱莲子心、二钱生酸枣仁，能补肾摄精，效果极为神妙。
Douqi Wan (Liuwei Dihuang Wan [Six-Ingredient Rehmannia Pill] with one liang of Wuweizi [Schisandrae Fructus], formula details see "Jue Syndrome" section above)
Guipi Tang (Restore the Spleen Decoction): Treats Heart and Spleen Blood Deficiency, presenting with symptoms such as Zhengchong (palpitations), Jiawang (amnesia), excessive sweating, poor appetite, loose stools or diarrhea, insomnia, hematemesis (vomiting blood), hematochezia (blood in stool), and irregular menstruation in women.
Ingredients: Renshen [Ginseng Radix], Baizhu [Atractylodis Macrocephalae Rhizoma], Zhi Huangqi [Astragali Radix (Honey-fried)], Fushen [Poria with Hostwood], Danggui [Angelicae Sinensis Radix], Suanzaoren [Ziziphi Spinosae Semen] (stir-fried until black and crushed), Longyanrou [Longan Aril] (each 2 qian); Zhicao [Glycyrrhizae Radix et Rhizoma (Honey-fried)], Muxiang [Aucklandiae Radix], Yuanzhi [Polygalae Radix] (woody core removed, each 5 fen).
Usage: Decoct in water and take orally.
Xiao Banxia Jia Fuling Tang [Minor Pinellia plus Poria Decoction], Fuling Guizhi Gancao Dazao Tang [Poria, Cinnamon Twig, Licorice, and Jujube Decoction], Guizhi Jia Gui Tang [Cinnamon Twig Decoction plus more Cinnamon Twig] (all formulas found in Shanghan Lun [Treatise on Cold Pathogenic Diseases]), Zhenwu Tang [True Warrior Decoction], Ben Tun Tang [Running Piglet Decoction].
Hujian Wan (Tiger-Knee Pill): A divine formula for treating Wei Syndrome (flaccidity syndrome characterized by muscle weakness and atrophy), and also used for various deficiencies, pain in the waist and legs, and weakness in walking.
Ingredients: Huangbai [Phellodendri Cortex], Zhimu [Anemarrhenae Rhizoma], Shudi [Rehmanniae Radix Preparata] (each 3 liang); Guiban [Testudinis Carapax et Plastrum] (4 liang, roasted); Baishao [Paeoniae Radix Alba], Danggui [Angelicae Sinensis Radix], Niuxi [Achyranthis Bidentatae Radix] (each 1 liang); Hujinggu [Tigridis Tibia] (roasted with butter); Suoyang [Cynomorii Herba], Chenpi [Citri Reticulatae Pericarpium] (each 1.5 liang); Ganjiang [Zingiberis Rhizoma] (5 qian).
Preparation and Usage: Grind all ingredients into fine powder. Boil one jin (approx. 500g) of castrated male sheep meat in wine, slice it, bake it over low heat until dry, and grind into powder. Mix with the herbal powder. Use refined honey to form pills the size of a Chinese quince seed. Take 50 pills per dose, delivered with ginger soup, salt soup, or wine as preferred.
Fengsui Dan (Seal the Marrow Pill)
Ingredients: Huangbai [Phellodendri Cortex] (salt-fried), Zhicao [Glycyrrhizae Radix et Rhizoma (Honey-fried)] (7 qian), Sharen [Amomi Fructus] (1 liang).
Preparation and Usage: Grind into powder, mix with refined honey to form pills the size of a Chinese quince seed. Take 3 qian per dose, delivered with light salt soup. Alternative method: Take Roucongrong [Cynomorii Herba] 5 qian, remove scales, soak in wine overnight. Next day, decoct in water for three to four boils, and use this liquid to deliver the pills.
Formula Analysis: Huangbai is the Sovereign herb due to its bitter and cold nature. Bitterness strengthens the Kidney; when Kidney Qi is strong, Yin fluids do not overflow. Coldness clears and purifies; like autumn arriving, Dragon Fire does not flare up excessively, allowing Water and Fire to interact, ensuring Essence remains in its proper place. Licorice assists by relieving urgency, clearing internal heat from various fires and Liver Fire, and harmonizing Earth and Water to solidify storage. Particularly ingenious is the use of Sharen as a guiding herb. As stated in Neijing [Classic of Internal Medicine]: "When Kidney Fire causes dryness, urgently consume pungent substances to moisten it." Here, the pungency of Sharen unblocks the Triple Burner, promotes fluid distribution, and guides the Essence of the Five Zang and Six Fu organs back to the Kidney, normalizing Kidney grasping of Qi, thereby naturally storing Marrow within the Kidney.
Wendan Tang [Warm the Gallbladder Decoction] (Luo Shi's Nei Jing Shi Yi [Supplement to the Classic of Internal Medicine] states: "The cause of mania and epilepsy is phlegm-fluid flooding the Heart, causing the Spirit to lose its residence; thus, warming the Gallbladder is appropriate. This formula also treats epilepsy.")
Ingredients: Banxia [Pinelliae Rhizoma], Fuling [Poria], Chenpi [Citri Reticulatae Pericarpium], Zhicao [Glycyrrhizae Radix et Rhizoma (Honey-fried)] (each 1 qian); Zhuru [Bambusae Caulis in Taenia] (3 qian); Zhishi [Aurantii Fructus Immaturus] (8 fen).
Usage: Add fresh ginger and jujubes, decoct in water, and take.
Shen Qianlü commented: "The Heart stores Shen [Spirit], the Liver stores Hun [Ethereal Soul], and the Kidneys store Jing [Essence]. The Heart governing dreams is the Heart's Shen; forms seen in dreams are the Liver's Hun; essence lost in dreams is the Kidney's Jing. Essentially, the Heart is the Monarch, and the Liver and Kidneys are the Ministers. It is impossible for the Monarch Fire to move without the Minister Fire following. One should first treat Heart Fire, then address other organs. It is advisable to modify Huanglian Qingxin Yin [Coptis Decoction to Clear the Heart] or Fushen Tang [Poria with Hostwood Decoction]."
Huanglian Qingxin Yin [Coptis Decoction to Clear the Heart]
Ingredients: Huanglian [Coptidis Rhizoma], Shengdi [Rehmanniae Radix], Gancao [Glycyrrhizae Radix et Rhizoma], Danggui [Angelicae Sinensis Radix], Renshen [Ginseng Radix], Fushen [Poria with Hostwood], Zaoren [Ziziphi Spinosae Semen], Yuanzhi [Polygalae Radix], Lianzi [Nelumbinis Semen].
Usage: Decoct in water and take orally.
Fushen Tang [Poria with Hostwood Decoction]
Ingredients: Fushen [Poria with Hostwood], Yuanzhi [Polygalae Radix], Changpu [Acori Tatarinowii Rhizoma], Fuling [Poria], Huanglian [Coptidis Rhizoma], Shengdi [Rehmanniae Radix], Renshen [Ginseng Radix], Danggui [Angelicae Sinensis Radix], Gancao [Glycyrrhizae Radix et Rhizoma], Lianzi [Nelumbinis Semen], Zaoren [Ziziphi Spinosae Semen].
Usage: Decoct in water and take orally.
Wenge Jin Qi Gao [Clam Shell Navel Paste] (from Zhongfu Tang [Hall of Bestowed Blessings]): Treats nocturnal emission.
Usage: Grind Wen Ge [Veneris Testudo] into fine powder and apply to the navel of a daughter; emission will stop immediately.
Sixian Dan [Sage Immortal Pill] (from Zhongfu Tang [Hall of Bestowed Blessings]): A divine formula for treating nocturnal emission caused by Yin deficiency with hyperactive fire.
Ingredients: Lianxu [Nelumbinis Stamen] (10 liang), Shilianrou [Nelumbinis Semen] (10 liang, remove green embryo and outer skin), Qianshi [Euryales Semen] (10 liang, remove shell).
Preparation and Usage: Grind the above into powder. Take 3 jin of Jinyingzi [Rosa Laevigatae Fructus], remove hairs and seeds, wash clean, decoct in a large pot with water, filter, and decoct again. Add Yitang [Malt Sugar], mix evenly with the herbal powder, and form pills the size of a Chinese quince seed. Take 70-80 pills per dose.
Guizhi Longgu Muli Tang [Cinnamon Twig, Dragon Bone, and Oyster Shell Decoction] (formula details found in Jin Gui Yao Lue [Essential Prescriptions from the Golden Cabinet]): Treats seminal emission in men and dream intercourse in women.
Sun Yikui (Courtesy name Xindian) annotation: Frequent dreaming indicates floating of Shen [Spirit]. Dragons are spiritual beings of heaven and earth; thus, Longgu [Dragoneos Os] best tonifies Spirit and treats delirious dreams. Combined with the salty-cold nature of Muli [Ostreum Concha], it guides Fire back to its source. Hence, this formula is used. For cases with erections leading to emission, add 1 qian of Lianzin Xin [Nelumbinis Plumula] and 2 qian of Sheng Zaoren [Raw Ziziphi Spinosae Semen] to tonify Kidney and secure Essence; this is extremely effective.
Wendan Tang [Warm the Gallbladder Decoction]: Is Erchen Tang [Two-Aged Decoction] plus 3 qian of Zhuru [Bambusae Caulis in Taenia] and 8 fen of Zhishi [Aurantii Fructus Immaturus].
Erjia Longgu Tang [Dragon Bone Decoction Plus Two] (see "Xu Lao" [Deficiency Consumption]); Sijunzi Tang [Four Gentlemen Decoction] (modification details detailed in this treatise).