《病源论》云∶虚劳者，五劳六极七伤是也。五劳者，一曰志劳，二曰思劳，三曰心劳，
四
极
六精
肾（是
按∶虚劳阴痿
《千金方》云∶三人九子丸主五劳七伤补益方∶
酸枣仁 柏子仁 薏苡仁 枸杞仁 蛇床子 五味子 菟丝子 菊子 子 荆子
地肤
十五味，加苁蓉三两，余各二两，酒服如梧子二十丸，日二。
《范汪方》开心薯蓣肾气丸，治丈夫五劳七伤，髓极不耐寒，眠即胪胀，心满雷鸣，不
欲饮
不发
去冷，
肉苁蓉（一两，一方无） 山茱萸（一两，一方无） 干地黄（六分，一方代干姜） 远
志（六分）
分） 菟丝子（六分）
凡十二物，捣下筛，蜜丸如梧子，服十丸至二十丸，日二夜一。若烦心即停减之。只服
十丸
十五夜
独
寝不寒，止
服一剂。
又云∶六生散治五劳七伤五缓六急，治寒热胀满，大腹中风垂曳，消 逐血，补诸不足，
令人肥白方∶
生地黄根（二斤） 生姜（一斤） 生菖蒲根（一斤） 生枸杞根（一斤） 生乌头（一
斤） 生章
凡六物，合七斤，熟洗之，停令燥KT 切之，美酒二斗都合渍三四日，出爆之，暮辄
还着酒中
《煎药方》云∶酥蜜煎治诸渴及内补方∶
酥（一升） 蜜（一升） 地黄（煎，一升） 甘葛（煎，一升） 大枣（百枚） 茯
苓人参 薯蓣
上八物，先蜜酥入合搅，烊后甘葛煎入，烊枣膏，以绝绞入，然后茯苓、人参、薯蓣等
散入
今按∶酥蜜煎方有数首，或药种多少不同，或分两升合各异，仍取当今名医增损之法以
备俗
酥（小一升） 蜜（小一升，煎去滓沫，无用甘葛煎） 甘葛（煎，大三升） 地黄（煎，
大二合
五十枚，取肉
筛）
凡十物，先以酥入生姜煎煎之，令相得，次入蜜，次以甘葛煎和大枣，炼胡麻绞去滓入，
次
火
少
《杂酒方》枸杞石决明酒治除腰脚疾疝癣，诸风痹恶血，去目白肤翳赤膜痛眨眨泪出瞽
盲轻
石决明（干者一大斤，洗，炙） 枸杞根白皮（小一斤）
上二物，细切，盛绢袋，以清酒四斗五升渍之。春五日、夏三日、秋七日、冬十日去滓，
始
《太清经》五茄酒治五劳七伤，心痛血气乏弱，男子阴痿不起，囊下恒湿，小便余沥而
阴痒
耐老
用雄
一升
物，
渴，
四肢拘挛，膝痛，不可屈伸，伤中少气，阴消脑疼，忧患惊邪恐悸，心下结痛，烦满，咳逆，
口焦舌干，好唾，膈中痰水，水肿，阴下痒湿，小便余沥，脚中酸痛，不欲践地。身中不足
，四肢沉重，时行呕哕，折跌绝筋，积聚，五劳七伤，目暗清盲，热赤痛，补虚羸，除寒热
，益气力，长肌肉，止腰痛，充五脏，利小便，益精气，止泻精，久服耳目聪明，阴气长强
，坚筋骨，填脑髓，养神安魂，令人身轻。能跳越峰谷，不老而长生也。
枸杞根切，大一石，以水大三斛，入煮取五斗汁，去滓，加薯蓣、藕根各二大升，煮取
一大
斗，
黄煎
如糖
《录验方》生地黄煎补虚除热，将和取利也。散石痈疽疮疖痔热皆宜之方∶
生地黄根随多少舂绞取汁，复重舂绞取之，尽其汁，乃除去滓也。以新布重绞其汁，去
滓碎浊，令清净，置KT 中置釜汤上煮KT ，勿塞全边，令汤气得泄不沓也。煎地黄汁竭
减半许，后煎下，更以新布绞去粗碎结浊滓秽，去复煎竭之，令如饴糖成煎。北方地黄肥，
味浓，作煎甘美；东南地黄坚细，味薄，作煎咸苦不美，然为治同耳。能多作则美好也，少
作则易竭，
《诸病源候论》说：虚劳，就是五劳、六极、七伤。所谓五劳，一是志劳，二是思劳，三是心劳，四是……（原文此处有缺漏或错简，提及“四”、“极”、“六精”、“肾”等字，语意不全）。
按语：关于虚劳导致的阴痿（阴茎勃起功能障碍），《千金方》记载的三人九子丸是主治五劳七伤、具有补益作用的方剂：
酸枣仁、柏子仁、薏苡仁、枸杞仁、蛇床子、五味子、菟丝子、菊子、[缺失药名]子、荆子、地肤[子/草]。以上十五味药，加入肉苁蓉三两，其余各二两，用酒送服，如梧桐子大小的二十丸，每日两次。
《范汪方》中的开心薯蓣肾气丸，治疗男子五劳七伤，髓极（骨髓枯竭）不耐寒冷，睡眠时腹部胀满，心中烦闷如雷鸣般作响，不想饮水……（原文此处有缺漏）不发……去冷……
肉苁蓉（一两，另一版本无此药）、山茱萸（一两，另一版本无此药）、干地黄（六分，另一版本用干姜代替）、远志（六分）……（原文此处有缺漏）分）、菟丝子（六分）。
共十二味药，捣碎过筛，用蜂蜜制成如梧桐子大小的丸剂，每次服用十至二十丸，白天两次，夜间一次。如果感到心烦，就减少剂量或停药。只服用十丸……（原文此处有缺漏）十五夜……独……寝不寒，止……服一剂。
又记载：六生散治疗五劳七伤引起的五缓六急，治疗寒热交替、腹胀满，大风导致肢体下垂拖曳，消瘀逐血，补益各种不足，使人身体肥白。方剂如下：
生地黄根（二斤）、生姜（一斤）、生菖蒲根（一斤）、生枸杞根（一斤）、生乌头（一斤）、生章[木/某物]（原文残缺）。
共六味药，合计七斤，煮熟洗净，晾干后切碎，用美酒二斗浸泡三四天，取出爆晒，傍晚再放回酒中……（原文此处有缺漏）
《煎药方》记载的酥蜜煎，治疗各种口渴及内补方剂：
酥（一升）、蜜（一升）、地黄（煎制，一升）、甘葛（煎制，一升）、大枣（一百枚）、茯苓、人参、薯蓣。
以上八味药，先将蜜和酥放入容器中搅拌，待融化后加入甘葛煎液，再加入大枣膏，以细密的纱布绞取汁液，然后加入茯苓、人参、薯蓣等散剂……（原文此处有缺漏）
现在按语：酥蜜煎方有好几个，有的药物种类多少不同，有的分量升合各异，仍采用当今名医增减调整的方法来备查世俗使用：
酥（小一升）、蜜（小一升，煎去渣沫，不用甘葛煎）、甘葛（煎制，大三升）、地黄（煎制，大二合……）五十枚，取肉……筛）。
共十味药，先用酥加入生姜煎煮，使其相融，接着加入蜜，再用甘葛煎液调和大枣，炼胡麻绞去渣滓加入，次……火……少……（原文此处有缺漏）
《杂酒方》中的枸杞石决明酒，治疗去除腰脚疾病、疝气、癣疾，各种风痹恶血，去除眼目白翳、赤膜、疼痛、眨眼流泪、失明轻症等。
石决明（干燥者一大斤，洗净，炙烤）、枸杞根白皮（小一斤）。
以上两味药，细细切碎，装入绢袋，用清酒四斗五升浸泡。春季五天、夏季三天、秋季七天、冬季十天，去渣，开始……（原文此处有缺漏）
《太清经》中的五茄酒，治疗五劳七伤，心痛气血虚弱，男子阴痿不起，囊下常湿，小便余沥且阴部瘙痒……耐老……用雄……一升……物……渴……四肢拘挛，膝痛，不可屈伸，伤中少气，阴消脑疼，忧患惊邪恐悸，心下结痛，烦满，咳逆，口焦舌干，好唾，膈中痰水，水肿，阴下痒湿，小便余沥，脚中酸痛，不欲践地。身中不足，四肢沉重，时行呕哕，折跌绝筋，积聚，五劳七伤，目暗清盲，热赤痛，补虚羸，除寒热，益气力，长肌肉，止腰痛，充五脏，利小便，益精气，止泻精，久服耳目聪明，阴气长强，坚筋骨，填脑髓，养神安魂，令人身轻。能跳越峰谷，不老而长生也。
枸杞根切，大一石，用水大三斛，入锅煮取五斗汁，去渣，加入薯蓣、藕根各二大升，煮取一大斗……黄煎……如糖……（原文此处有缺漏）
《录验方》生地黄煎，补虚除热，将和取利也。散石痈疽疮疖痔热皆宜之方：
生地黄根随多少舂捣绞取汁，再次重舂绞取汁，榨尽汁液，乃除去渣滓。用新布再次绞取其汁，去渣碎浊，令其清净，置于釜中置汤上煮……勿塞全边，令汤气得泄不沓也。煎地黄汁竭减半许，后煎下，更以新布绞去粗碎结浊滓秽，去复煎竭之，令如饴糖成煎。北方地黄肥，味浓，作煎甘美；东南地黄坚细，味薄，作煎咸苦不美，然为治同耳。能多作则美好也，少作则易竭，
According to the *Zhubing Yuanhou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), Xu Lao (Deficiency Consumption) refers to Wu Lao (Five Exhaustions), Liu Ji (Six Extremes), and Qi Shang (Seven Injuries). The Five Exhaustions are: first, Zhi Lao (Exhaustion due to excessive will/intent); second, Si Lao (Exhaustion due to excessive thought/worry); third, Xin Lao (Exhaustion due to excessive mental activity); fourth... [The original text here is fragmented or contains scribal errors, mentioning characters such as "four," "Ji," "Liu Jing," and "Shen" without complete context].
Commentary: Regarding Yin Wei (Impotence/Erectile Dysfunction) caused by Xu Lao, the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) records the San Ren Jiu Zi Wan (Three Persons Nine Seeds Pill) as a formula for treating Wu Lao and Qi Shang with tonifying effects:
Suan Zao Ren (Ziziphus Seed), Bai Zi Ren (Platycladi Seed), Yi Yi Ren (Coix Seed), Gou Qi Ren (Lycium Seed), She Chuang Zi (Cnidium Fruit), Wu Wei Zi (Schisandra Fruit), Tu Si Zi (Cuscuta Seed), Ju Zi [Chrysanthemum Seed?], [Missing Herb Name] Zi, Jing Zi [Acanthopanacis Spinosi Fructus?], Di Fu [Zi/Cao]. These fifteen herbs, plus Rou Cong Rong (Cistanche Stem) 3 liang, and the rest each 2 liang, are taken with wine. Formed into pills the size of Sophora seeds, take 20 pills twice daily.
The Kai Xin Shu Yu Shen Qi Wan (Heart-Opening Yam Kidney Qi Pill) from the *Fan Wang Fang* treats men suffering from Wu Lao and Qi Shang, where Sui Ji (Marrow Exhaustion) makes one intolerant to cold; during sleep, the abdomen becomes distended; the heart feels full with sounds like thunder; there is no desire to drink... [Text missing] ...does not emit... removes cold...
Rou Cong Rong (Cistanche Stem) (1 liang, absent in another version), Shan Zhu Yu (Cornus Fruit) (1 liang, absent in another version), Gan Di Huang (Rehmannia Root, dried) (6 fen, replaced by Gan Jiang/Dried Ginger in another version), Yuan Zhi (Polygala Root) (6 fen)... [Text missing] ...fen), Tu Si Zi (Cuscuta Seed) (6 fen).
These twelve substances are crushed, sifted, and formed into honey pills the size of Sophora seeds. Take 10 to 20 pills, twice during the day and once at night. If heart vexation occurs, reduce the dose or stop. Only take 10 pills... [Text missing] ...fifteen nights... alone... sleep without cold, stop... take one dose.
It also states: Liu Sheng San (Six Raw Herbs Powder) treats Wu Lao and Qi Shang causing Wu Huan Liu Ji (Five Laxities and Six Tensions), chills and fever, abdominal distension and fullness, severe wind causing limbs to hang limp, eliminating blood stasis, tonifying various deficiencies, making the body plump and white. Formula:
Sheng Di Huang Gen (Fresh Rehmannia Root) (2 jin), Sheng Jiang (Fresh Ginger) (1 jin), Sheng Chang Pu Gen (Fresh Acorus Root) (1 jin), Sheng Gou Qi Gen (Fresh Lycium Root) (1 jin), Sheng Wu Tou (Fresh Aconite Root) (1 jin), Sheng Zhang [Wood/Substance?] [Text missing].
These six items, totaling 7 jin, are cooked, washed, dried, and chopped. Soak in 2 dou of fine wine for three to four days, take out and sun-dry, return to the wine in the evening... [Text missing].
The *Jian Yao Fang* (Decoction Medicine Manual) records Su Mi Jian (Butter and Honey Decoction) for treating various thirsts and internal tonification:
Su (Ghee/Butter) (1 sheng), Mi (Honey) (1 sheng), Di Huang (Rehmannia, decocted) (1 sheng), Gan Ge (Kudzu Root, decocted) (1 sheng), Da Zao (Jujube) (100 pieces), Fu Ling (Poria), Ren Shen (Ginseng), Shu Yu (Dioscorea).
These eight substances: first mix honey and ghee in a vessel until melted; add Gan Ge decoction; add Jujube paste; strain through fine cloth; then add powders of Fu Ling, Ren Shen, Shu Yu, etc.... [Text missing].
Current Commentary: There are several versions of Su Mi Jian, differing in herb quantities and measurements. We adopt the methods of modification by contemporary famous physicians for practical reference:
Su (Small 1 sheng), Mi (Small 1 sheng, boiled to remove dregs, do not use Gan Ge decoction), Gan Ge (Decocted, Large 3 sheng), Di Huang (Decocted, Large 2 he)... 50 pieces, take flesh... sieve).
Ten substances total: First, boil Su with Fresh Ginger until blended; next add Mi; then blend Da Zao with Gan Ge decoction; refine Sesame oil, strain dregs, and add; next... fire... little... [Text missing].
The Qi Shi Jue Ming Jiu (Lycium and Abalone Shell Wine) from *Za Jiu Fang* treats waist and leg ailments, hernias, tinea, wind-bi with evil blood, leukoma, red membranes, eye pain, blinking, tearing, and mild blindness.
Shi Jue Ming (Haliotidis Concha, dried, large 1 jin, washed, roasted), Gou Qi Gen Bai Pi (Bark of Lycium Root, small 1 jin).
These two substances are finely chopped, placed in a silk bag, and soaked in 4 dou 5 sheng of clear wine. Soak for 5 days in spring, 3 days in summer, 7 days in autumn, 10 days in winter. Strain, start... [Text missing].
Wu Qia Jiu (Five Acacia Wine) from *Tai Qing Jing* treats Wu Lao and Qi Shang, heart pain with weak Qi and Blood, male impotence, scrotal dampness, dribbling urine, and genital itching... anti-aging... use Xiong [Male...] 1 sheng... substance... thirst... limb spasms, knee pain, inability to flex or extend, middle injury with shortness of breath, Yin consumption with brain pain, worry, fright, evil qi, fear, palpitations, knotting pain below the heart, vexation and fullness, cough and counterflow, dry mouth and tongue, excessive saliva, phlegm-water in the diaphragm, edema, genital dampness and itching, dribbling urine, sore and painful feet unwilling to touch the ground. Body deficiency, heavy limbs, occasional vomiting and hiccups, fractured tendons, accumulations, Wu Lao and Qi Shang, dim vision and blindness, hot red pain, tonify deficiency and emaciation, remove chills and fever, boost Qi and strength, grow muscle, stop lower back pain, fill the five Zang organs, promote urination, benefit Jing and Qi, stop seminal emission, long-term use brightens ears and eyes, strengthens Yang Qi, hardens bones and sinews, fills brain marrow, nourishes spirit and calms soul, makes the body light. Capable of leaping peaks and valleys, aging not occurring, achieving longevity.
Cut Gou Qi Gen (Lycium Root) 1 dan, add 3 hu of water, boil to obtain 5 dou of juice, strain dregs, add Shu Yu (Dioscorea) and Ou Gen (Lotus Root) each 2 large sheng, boil to obtain 1 dou... Huang Jian [Yellow Decoction?]... like sugar... [Text missing].
Sheng Di Huang Jian (Fresh Rehmannia Decoction) from *Lu Yan Fang* tonifies deficiency and clears heat, harmonizing and promoting drainage. It is suitable for dispersing stone abscesses, sores, boils, hemorrhoids, and heat:
Crush and squeeze fresh Di Huang Gen (Fresh Rehmannia Root) according to quantity, crush and squeeze again to extract all juice, then remove dregs. Squeeze the juice again with new cloth to remove coarse turbidity, making it pure. Place in a vessel over boiling water to cook... do not cover completely, allowing steam to escape. Boil Di Huang juice until reduced by half, then continue boiling. Squeeze again with new cloth to remove coarse particles and turbid dregs, boil again until thickened like maltose syrup. Northern Di Huang is fleshy with strong flavor, making sweet and pleasant decoctions; Southeastern Di Huang is firm and fine with thin flavor, making salty and bitter, less pleasant decoctions, but their therapeutic effects are the same. Making more yields better results; making less dries up easily.