（虽云通治，亦当细切病情，不得笼统施用也。）
六味地黄
（丸 钱仲阳因仲景肾气丸，减去桂、附，以治小儿，今通治大小证。）平补剂，（六味
不寒不热，为平补足三阴之剂。）酸苦甘辛咸淡比，（六味之名以此。曰“地黄”者，重补肾
也。）地黄（八两味苦）萸（山萸四两味酸）药（山药四两味甘）苓（茯苓三两味淡）泻（泽
泻三两味咸）丹，（丹皮三两味辛）肝肾阴亏洵堪倚。（治肝肾阴亏火浮诸证）腰膝酸疼仲（杜
仲）膝（牛膝）添，（名六味加杜仲牛膝丸）溲数去泻（泽泻）加益智。（名六味去泽泻加益
智丸，治小便频数。）崔氏八味（丸）加附（子）桂（肉桂），阳虚益火消阴翳。（“益火之源，
以消阴翳”，尺
主，以制阳光”，
磁（石）牡（蛎）柴胡寄
除冬（麦冬）名为都气丸。（二方均
六味（丸）
原从肾气（丸）裁，肾气（丸）即是热八味。《金匮》肾气（丸）治转胞，妇人转胞系
了
戾”与“缭戾”同，胞中之气不顺也。）饮食如故不得眠，烦热倚息溺不利。（《
人杂病篇》云∶“妇人病，饮食如故，烦热不得卧，而反倚息者，此名转胞，
气丸主之。”）又治消渴饮水多，饮一溲一病之谛。（《金匮要略·消渴篇》云
小便反多，以饮一斗，小便亦一斗，肾气丸主之。”《素问·气厥论》云∶
消，肺消者饮一溲二，死不治。”此饮一溲一，故犹可救。喻嘉言《医门
趋则消，肾水不上腾则渴，舍肾气丸安从治哉。”旭高按∶消渴本为火
便反多，知其肾中阳虚，邪水反胜，故用肾气丸蒸动肾阳，以驱水邪。
气即阴气，少腹不仁即冲心之渐，用肾气丸以逐阴邪也。）虚劳腰痛
痹虚劳篇》云∶“虚劳腰痛，少腹拘急，小便不利者，肾气丸主之
“肾气丸专利小便，水去而阴不伤，扶阳而火不升，制方之妙
方治天下之病，则又大失此方之义也。”）《济生》肾气（丸严用
（前），（于《金匮》肾气丸中加牛膝、车前。）阳虚蛊胀功堪诣
土）喘满痰鸣（水泛为痰）脉沉细。（阳衰水盛）或君附子或茯苓，
言《医
门法律》曰∶“按此方《济生》以附子为君，薛新甫以茯苓
子回阳，蒸动肾气，其关始开，胃中积水始下，以阳主开故
前，而水亦下。关闭即茯苓、车前用至无算，亦莫如之何矣
苓乎？”）
七宝美髯（丹）
补精血，首乌（赤白各一斤，去皮切，黑豆拌蒸晒。）当归（酒洗）茯（苓乳拌）牛
（酒浸），菟（丝子酒浸）杞（子酒浸蒸）故纸（黑脂麻拌炒）蜜为丸，（各半斤。一方破故
纸用
黑地黄丸
（治脾肾不足，房室虚损，形瘦无力，面色青黄。此补肾健脾之剂也。）术（苍术
一两六钱，炒黑。熟地一两六钱，炒黑存性。）味（五味子八钱）姜，（淡干姜炒，春七分
夏五
分，秋七分，冬一钱。）燥脾滋肾并臻长。（经言“脾寒则湿，肾热则燥”，故治脾恶
治肾恶燥剂。许学士云“用术则有碍于肾，用地则有碍于脾”，今以二者炒黑，乃去
其气，庶可两擅其长。）上咳下利称良剂，（治上咳下利，脉至细数者，颇有效。）脱
真圣方。（汪 庵《医方集解》引张洁古云∶“此血虚久痔之圣药。”徐灵胎《兰台
“此脱血脾寒之圣方也。”）
还少丹方出杨氏，脾肾虚寒功颇着。
地黄（二两）山药肉苁蓉，仲（杜仲）膝（牛膝）杞（枸杞）萸
（香）巴戟（天）五味子，楮实茯苓（各一两）石菖蒲（五钱）。一加续断苓易
茯神）方名打老儿丸是。丹溪滋阴大补丸，还少丹中除去楮（实），或云此剂交心
平调不偏倚。（汪 庵《医方集解》曰∶“此阴阳平补之剂。”）
虎潜丸
治筋骨痿，（治肾阴不足，筋骨痿弱，不能步履，及骨蒸劳热。）知（母）柏（黄柏）地
黄
膝三两半）陈皮
干姜五钱。羊肉味
精。）痿 多因脏热起，潜阳壮水此方推。（《素问·痿论》曰∶“五脏因肺热叶焦，发
。”王晋三《古方选注》曰∶“脏阴不藏，内热生痿者，就本脏分理，以伏藏其阴。
按∶此方治脏热生痿，最为合度。盖痿证皆属于热，经有明文，后人以温补治痿，则
然痿证又有属痰湿风寒外邪者，此方又非所宜。）龙虎济阴丹即此，惟加龙骨泄精
骨固涩精窍）补益丸亦治痿弱，虎潜（方中）再加混沌皮，（即紫河车）苓（茯苓）术（
术）姜（干姜）甘（草）菟（丝子）五味（子），阴虚湿热痿相宜。（按∶补益丸丹溪所加者，
阴虚湿
三才丹用天
（冬二两）地（黄二两）人，（人参一两）能补三焦精气神。封髓丹中砂（仁一两半）
柏
食辛
（滋阴
而不燥。喻嘉言《医门法律》曰∶“于三才丹中，加黄柏入肾滋阴，砂仁入脾行滞
少变天冬、黄柏之苦，俾人参创建中气，以伸参两之权。”）
大造丸方吴球造，晋三加减尤臻奥，上滋金水下肾肝，潜阳固阴颇周到。
（王晋三《古方选
未
臻玄奥，余即参丹溪
原方。夫是谓之大造
一两半。）肉苁蓉，（
（子一两半）归（身七钱）锁（阳
车捣。（河车一具，
用米泔浸一夜，再用
丹溪补天丸意同，
膝、陈皮，冬加干
冬、人参、熟地
青出于蓝，后来居
人参固本（丸）
治虚劳，肺肾阴亏火热 ，二地（生地熟地）二冬（麦冬天冬）丸以蜜，（人参二
余各
四两。）或加介属或阿胶。（此方金水同治，尤借人参固其元气，洵为肺肾阴亏，发
良图。每见叶氏案中，或加龟甲、牡蛎以潜阳，或加阿胶、甘菊以熄风，借治阴液
阳上扰之证，甚有道理，并附及之。）
《道藏》天王补心丹
《其方有四，惟此《道藏》者通。）补心之用神自安，（补心者，补心
而神之所用者，魂魄意智精志也。补其用而心能任物矣。）静宁补魄味（五
麦，（麦冬各一两）流动补魂归（当归一两）柏（子仁一两）丹，（丹参五钱）参（人参
茯（苓神五钱）调中补意馁，地（生地四两）玄（参五钱）填下补精残，远（志肉五钱）桔
（梗
心血不足。
一例看。（心血
方有菖蒲，通窍
餐。（蜜丸，朱砂为
孔圣枕中（丹）
治善忘，龙骨龟板远（志）菖蒲。（各等分）镇肝（龙骨）补肾（龟板）通心窍，（菖
远志）久
服聪明记忆强。（借二物之阴阳，以补吾身之阴阳，假二物之灵气，以助吾身之灵
志通肾交心，菖蒲利窍除痰，则聪明开而记忆强矣。）
大补阴丸知
（母盐水炒四两）柏（黄柏盐水炒四两）地，（熟地酒蒸六两）败龟板（六两酥炙）与
猪
火也
济。（知柏苦寒，直折相火，临时调济之法。）肾肝虚呃用此丸，参术汤吞崇胃气。（朱
《丹溪心法》曰∶“呃逆属于肝肾之虚者，其气必从脐下直冲，上出于口，而作声也。
肾之气，在下相凌，左肾属水，不能自逆，而右肾为相火所寓，相火炎上，挟其冲气
上逆为呃，经言“逆气而里急，冲脉为病”也。用此丸直折相火，以滋化源，伏藏冲
则呃自止。以参术汤下之者，人之阴气，根据胃为养，胃土损伤，则木挟相火，直冲
此土败于相火之贼，当崇土以制龙雷之火也。旭高按∶此丸治虚火呃逆甚为至
寒呃，又大非所宜。）世谓丹溪善补阴，立法不无偏执弊，苦寒久服反伤阴，
议。（丹溪谓“阳常有余，阴常不足”，故立此丸。孰知苦寒久服，反伤阴气
谆訾议丹溪之偏，不为过也。）
通关丸
（又名滋肾丸）着东垣氏，为治关阴因制此。（关阴者，不得小便也。）下焦热壅肾膀虚
口不渴而小便秘。（热在下焦血分，故不渴而便秘。）阴火上冲为格阳，（阴火者，冲任相
也。格阳者，吐逆也。）呃喘咽痛皆堪饵。足心如烙胫股疼，热伏阴中亦足理。（叶天士
用此搜阴中伏热，甚为有见。）知（母酒炒一两）柏（黄柏酒炒二两）味浓大苦寒，寒因热
用桂（
为治。（
李东垣《兰室秘藏》曰∶“关则不得小便。”小便者膀胱所主，而肺为水之上源，若肺有伏
热，口渴而小便不通者，宜用气薄淡渗之药，泻火而清肺，滋水之化源也。若热在下焦血分
，不渴而小便不通者，是塞其流也，须用气味俱浓，阴中之阴药治之。王善夫病小便不通，
渐成中满，腹坚如石，腿裂出水，夜不得眠，不能饮食。请余延医。因思《素问》云∶“无
阳则阴无以生，无阴则阳无以化”也。又∶“上为呕哕”，内关外格之证悉具，死在旦夕矣
。遂处此方与服，须臾前阴如刀刺火烧，溺如瀑泉，肿胀遂消。此证一在上焦气分而渴，一
在下焦血分而不渴，二者治各不同，不可不辨。”汪 庵曰∶“若膀胱阳虚，阴无以化，又
当用肾气丸治之。”）
斑龙（丸）
鹿角胶（八两）霜（鹿角霜八两）柏，（柏子仁八两）熟地（八两）菟（丝子八两）苓
（茯苓
兼补骨。（补骨脂四两）搬运精髓填骨空，归就肾膀通督脉。（凡入房竭精，耗散其真，
俱去，虽温之以气，补之以味，不能复也。故以有情之品，专走督脉；复以少阴、太阳
治其合，乃能搬运精髓，填于骨空，大会于督脉之囟会，而髓海充盈；使以茯苓，性
功下降，用以接引诸药，归就少阴、太阳，达于督脉，上朝髓海，而成搬运封固之功
囊原方无茯苓，（茯苓王晋三加入，其义颇通，当遵之。）澹寮方有阳起石，鹿茸附子
归（当归） （黄 ）酸枣（仁）辰砂入。（亦名斑龙丸）
龟鹿二仙（膏）
治精极，（五劳之外，又有六极，谓气极、血极、精极、筋极、骨极、肌极六
羸少气梦遗泄。（皆精气两虚）人参（一斤）枸杞（二斤）共熬膏，（先将鹿角十斤，龟
斤，
桑柴火熬胶，再将参杞膏和服。）气血精神交补益。（李时珍《本草纲目》曰∶“龟
腹，能通任脉，故取其甲，以补心补肾补血以养阴也。鹿首常返向尾，能通督脉，
以补命补精补气以养阳也。”同用可以补神者，精气足则神自旺也。）
青娥丸治虚腰痛
（《素问·脉要精微论》曰∶“腰者肾之府，转摇不能，肾将惫矣。”）故
胡桃（二十两去皮研）蒜（四两）姜（四两）仲。（杜仲一斤）虚寒喘嗽郑相（国）方，
肾虚寒，为喘为嗽。）除蒜姜仲（除去三味）加蜜送。（破故与胡桃同用，补养气血，有水
相生之妙。气
足则肺不虚寒，血足则肾不枯燥，久服利益甚多，不独上疗喘嗽，下强腰脚
柏无知母，破故无胡桃，犹水母之无虾也。”按∶水母，海 也。）又有
钱）胡桃（紫衣胡桃一两，连皮、鬲。）连皮用。乳子痰喘一服效，（溧
将危，凡五日不乳食，此方一服即愈，盖以乳汁凝于膈间也。）食酸苦
方选注》曰∶“《日华子本草》云∶“食酸齿 ，细嚼胡桃即解
病有多食梅子，敛痰饮于膈，酸寒之性，搏激于肺，令人苦咳声哑，惟胡桃可解膈内之
痰饮
但润
二至（丸）女贞（子）
旱莲草，强阴补肾乌须好。
扶桑丸（一名桑麻丸）即桑叶（一斤）麻，（黑脂麻四两）泽血疏风颜不老。（炼蜜丸。
除风湿，
资生丸取坤元义
（《易》曰∶“至哉坤元，万物资生。”）四君（人参三两，茯苓二两，云
两。）扁（豆一两半）药（山药二两）芡（实一两半）连（黄连四钱）苡，（薏苡仁一
蔻（仁八钱）砂（仁一两半）藿（香一两）曲（神曲二两）桔（梗一两）楂（肉一两半）陈，
（陈皮
气阻或滑胎
用兼消兼补
外科牙漏（牙漏由胃中湿热而成，加苦参服效。）幼科疳，（疳积多由脾虚积
之。）易饥易饱俱堪使。（饥能使饱，饱能使饥，神妙难述。徐灵胎《兰台规
不论何因，为总治脾胃之药，则失制方之义矣。药味太杂，全无法度，姑存
旭高按∶三焦五脏生生之气，全资脾胃而输化。此方补脾胃而仍分理三焦，
者颇宜，正未可轻讥之也。）
无比山药
（丸 孙思邈《千金要方》）摄肾气，（此收摄肾气之方，最为稳妥。）都气丸中重五
（五味子六两，熟地、茯苓、山萸、泽泻各三两，山药二两。）减去丹皮（都气丸去丹皮）
加石脂，（赤石脂三两）苁蓉（四两）菟（丝子三两）仲（杜仲三两）膝（牛膝三两）巴（戟
肉三两）汇
驻颜健体响音声，（诸药炼蜜丸，服一钱，加至钱半，温酒下。服后令人身健体润，面光
响为验也。）久虚百损劳伤慰。（孙思邈《千金要方》云∶“丈夫久虚百损，五劳七伤，头
目眩、支厥，或烦热，或脾疼，腰 不随，饮食不生肌肉，或少食而胀满，体无膏泽，阳
衰绝，阴气不行，无比山药丸主之。”）此药通中入脑门，脑鼻酸疼慎勿畏。
羊肾（丸）
地（熟地） （黄 ）仲（杜仲）膝（牛膝）丝（菟丝），斛（石斛）断山药五加皮，
沉香肉桂
肾气（此降
肾劳也。）
元精丹专补肾血
（诸品皆色黑，专补肾血。）首乌（同黑豆拌蒸九次一斤）血余（四两）生熟地
（虽然称为通治方，但也应当仔细辨别病情，不能笼统地使用。）
六味地黄丸
（这是钱乙在张仲景的肾气丸基础上，减去桂枝、附子，用于治疗小儿而创制的，现在通用治疗成人和儿童的各类证候。）属于平补剂，（六味药性不寒不热，是平和地补足肝、脾、肾三阴经的方剂。）酸、苦、甘、辛、咸、淡六种味道兼备，（六味药的名称依据其性味而来。称“地黄”是因为重在补肾。）地黄（八两，味苦）、山茱萸（四两，味酸）、山药（四两，味甘）、茯苓（三两，味淡）、泽泻（三两，味咸）、牡丹皮（三两，味辛），肝肾阴亏虚损确实可以信赖此方。（治疗肝肾阴亏导致虚火上浮的各种证候。）若加入杜仲、牛膝，名为六味加杜仲牛膝丸；若去掉泽泻，加入益智仁，名为六味去泽泻加益智丸，治疗小便频数。崔氏八味丸（即金匮肾气丸）加入附子、肉桂，用于阳虚者，通过益火之源来消除阴翳（“益火之源，以消阴翳”，指温补肾阳以驱散阴寒之邪）。若加入磁石、牡蛎、柴胡，去除麦冬，则名为都气丸。（这两方均源自六味地黄丸。）六味地黄丸原是从肾气丸化裁而来，肾气丸即是加了附子和肉桂的八味丸。《金匮要略》中的肾气丸治疗转胞证，妇人转胞是由于胞气不顺所致。“戾”与“缭戾”同义，指胞中之气逆乱不顺。（饮食正常但无法安睡，烦热且需倚靠呼吸，小便不利。《金匮要略·妇人杂病篇》说：“妇人患病，饮食如常，烦热不得卧，反而倚息者，这名叫转胞，用肾气丸主治。”）又治疗消渴症饮水多，喝一斗尿一斗的病证确凿无疑。（《金匮要略·消渴篇》说：“小便反多，如果喝一斗水，小便也排出一斗，用肾气丸主治。”《素问·气厥论》说：“肺消者，喝一斗尿二斗，死不治。”这里喝一斗尿一斗，所以还可以救治。喻嘉言在《医门法律》中说：“上焦有热则消，肾水不上腾则渴，除了肾气丸还能怎么治呢？”旭高按：消渴本为火旺，但小便反多，可知肾中阳虚，邪水反胜，所以用肾气丸蒸动肾阳，以驱除水邪。气即阴气，少腹麻木不仁即是冲脉之气上逆的先兆，用肾气丸以驱逐阴邪。）治疗虚劳腰痛，《金匮要略·血痹虚劳篇》说：“虚劳腰痛，少腹拘急，小便不利者，用肾气丸主治。”（“肾气丸专门利小便，水去而阴液不伤，扶阳而相火不升，制方的妙处在于此。如果用它来治疗天下所有的病，那就大大失掉了这个方的本义了。”）《济生方》的肾气丸（由严用和编撰，即在《金匮》肾气丸中加入牛膝、车前子。）阳虚导致的蛊胀功效显著，伴有喘满、痰鸣（水饮泛溢为痰）、脉沉细（阳气衰微，水湿盛极）。或者以附子为君药，或者以茯苓为君药，李东垣在《兰室秘藏》中说：“按此方，《济生方》以附子为君，薛己以茯苓为君。附子回阳，蒸动肾气，关窍才开，胃中积水才能下行，因为阳主开通，所以能行水；茯苓淡渗利水，车前子引导水下行，即使大量使用茯苓、车前子，如果没有阳气推动，也无能为力，难道不是依靠茯苓吗？”
七宝美髯丹
补益精血，何首乌（赤白各一斤，去皮切片，用黑豆拌蒸晒）、当归（酒洗）、茯苓（乳汁拌）、牛膝（酒浸）、菟丝子（酒浸）、枸杞子（酒浸蒸）、破故纸（黑脂麻拌炒），蜂蜜为丸，（每味药半斤。另一说法破故纸用一两六钱。）
黑地黄丸
（治疗脾肾不足，房事过度导致的虚损，形体消瘦无力，面色青黄。这是补肾健脾的方剂。）苍术（一两六钱，炒黑）、熟地黄（一两六钱，炒黑存性）、五味子（八钱）、干姜（淡干姜炒，春季七分，夏季五分，秋季七分，冬季一钱）。燥脾滋肾两者兼得。（经文说“脾寒则湿，肾热则燥”，所以治疗脾脏厌恶燥，治疗肾脏厌恶湿。许学士说“用苍术则有碍于肾，用地黄则有碍于脾”，现在将二者炒黑，是去其气味，从而可以两全其美。）治疗上咳下利称为良剂，（治疗上咳下利，脉象细数的患者，颇有疗效。）脱肛痔疮是真圣方。（汪昂《医方集解》引用张洁古的话说：“这是血虚久患痔疮的圣药。”徐灵胎《兰台轨范》说：“这是脱血脾寒的圣方啊。”）
还少丹方出自杨氏，治疗脾肾虚寒功效显著。
地黄（二两）、山药、肉苁蓉、杜仲、牛膝、枸杞子、山茱萸、小茴香、巴戟天、五味子、楮实子、茯苓（各一两）、石菖蒲（五钱）。再加续断，将茯苓改为茯神，方名改为打老儿丸。丹溪滋阴大补丸，是在还少丹中去掉楮实子，有人说此方能交通心肾，阴阳平调不偏倚。（汪昂《医方集解》说：“这是阴阳平补的方剂。”）
虎潜丸
治疗筋骨痿弱，（治疗肾阴不足，筋骨痿弱，不能行走，以及骨蒸劳热。）知母、黄柏、地黄、牛膝（三两半）、陈皮、干姜（五钱）。羊肉炖服以补精髓。（痿证多因脏腑内热而起，此方推崇潜阳壮水之法。《素问·痿论》说：“五脏因肺热叶焦，发为痿躄。”王晋三《古方选注》说：“脏阴不藏，内热生痿者，就本脏分理，以伏藏其阴。”按：此方治疗脏热生痿，最为合度。盖痿证皆属于热，经文有明文规定，后人用温补治疗痿证，则是错误的。但痿证又有属于痰湿风寒外邪的，此方又不适宜。）龙虎济阴丹即此方，只加上龙骨以固涩泄精（龙骨固涩精窍）。补益丸也治疗痿弱，虎潜丸中再加紫河车（即混沌皮）、茯苓、苍术、干姜、甘草、菟丝子、五味子，适用于阴虚湿热引起的痿证。（按：补益丸是丹溪所加的，针对阴虚湿热。）
三才丹用天冬（二两）、地黄（二两）、人参（一两），能补三焦精气神。封髓丹中加砂仁（一两半）、黄柏，（滋阴而不燥。喻嘉言《医门法律》说：“在三才丹中，加黄柏入肾滋阴，砂仁入脾行滞，稍微改变天冬、黄柏的苦味，使人参建立中气，以伸张参、两药的权柄。”）
大造丸方由吴球创制，王晋三加减后尤为深奥，上滋金水，下补肾肝，潜阳固阴颇为周到。
（王晋三《古方选注》未臻玄奥，其余即参考丹溪原方。夫是大造丸的意思。紫河车一具，用米泔水浸泡一夜，再用童便和酒捣烂。鹿角胶一两半，肉苁蓉一两半，当归身七钱，锁阳一两半，龟板一两半，牛膝、陈皮，冬季加干姜、天冬、人参、熟地黄。青出于蓝，后来居上。）
人参固本丸
治疗虚劳，肺肾阴亏火热内生，生地黄、熟地黄、麦冬、天冬，蜂蜜为丸，（人参二两，其余各四两。）或者加入介类药材或阿胶。（此方金水同治，尤其借人参固护元气，确实是肺肾阴亏的发越良图。常见叶天士案中，或加龟甲、牡蛎以潜阳，或加阿胶、甘菊以熄风，借治阴液不足、阳气上扰的证候，很有道理，一并附上提及。）
《道藏》天王补心丹
（其方有四，只有这个《道藏》版本通用。）补心之用则神自安，（补心，是指补心的功能，而神的作用，包括魂、魄、意、智、精、志。补其用而心能任物矣。）静宁补魄用五味子、麦冬（麦冬各一两），流动补魂用当归（一两）、柏子仁（一两）、丹参（五钱），参（人参）、茯苓、茯神（五钱）调中补意馁，生地（四两）、玄参（五钱）填下补精残，远志肉（五钱）、桔梗（通窍），（心血不足。一例看。（心血方有菖蒲，通窍餐。（蜜丸，朱砂为衣。）
孔圣枕中丹
治疗善忘，龙骨、龟板、远志、石菖蒲。（各等分）镇肝（龙骨）、补肾（龟板）、通心窍，（石菖蒲、远志）久服聪明记忆强。（借二物的阴阳，以补吾身的阴阳，假二物的灵气，以助吾身的灵性。志通肾交心，菖蒲利窍除痰，则聪明开而记忆强矣。）
大补阴丸
知母（盐水炒四两）、黄柏（盐水炒四两）、熟地黄（酒蒸六两）、败龟板（六两酥炙）与猪脊髓（蒸熟和丸，炼蜜为丸，空心盐汤送下，忌口食辛辣食物。（滋阴降火也。）知母、黄柏苦寒，直折相火，临时调济之法。）肾肝虚呃用此丸，参术汤吞以崇胃气。（朱震亨《丹溪心法》说：“呃逆属于肝肾之虚者，其气必从脐下直冲，上出于口，而作声也。肾之气，在下相凌，左肾属水，不能自逆，而右肾为相火所寓，相火炎上，挟其冲气上逆为呃，经言‘逆气而里急，冲脉为病’也。用此丸直折相火，以滋化源，伏藏冲气则呃自止。以参术汤下之者，人之阴气，根据胃为养，胃土损伤，则木挟相火，直冲此土败于相火之贼，当崇土以制龙雷之火也。旭高按：此丸治虚火呃逆甚为至当，若是寒呃，又大非所宜。）世谓丹溪善补阴，立法不无偏执弊，苦寒久服反伤阴，（丹溪谓“阳常有余，阴常不足”，故立此丸。孰知苦寒久服，反伤阴气，谆谆訾议丹溪之偏，不为过也。）
通关丸
（又名滋肾丸）着东垣氏，为治关格阴闭因制此。（关阴者，不得小便也。）下焦热壅肾膀虚，口不渴而小便秘。（热在下焦血分，故不渴而便秘。）阴火上冲为格阳，（阴火者，冲任相火也。格阳者，吐逆也。）呃喘咽痛皆堪饵。足心如烙胫股疼，热伏阴中亦足理。（叶天士用此搜阴中伏热，甚为有见。）知母（酒炒一两）、黄柏（酒炒二两）、五味子（浓大苦寒，寒因热用，佐以桂枝少许，为治。（李东垣《兰室秘藏》说：“关则不得小便。”小便者膀胱所主，而肺为水之上源，若肺有伏热，口渴而小便不通者，宜用气薄淡渗之药，泻火而清肺，滋水之化源也。若热在下焦血分，不渴而小便不通者，是塞其流也，须用气味俱浓，阴中之阴药治之。王善夫病小便不通，渐成中满，腹坚如石，腿裂出水，夜不得眠，不能饮食。请余延医。因思《素问》云：“无阳则阴无以生，无阴则阳无以化”也。又：“上为呕哕”，内关外格之证悉具，死在旦夕矣。遂处此方与服，须臾前阴如刀刺火烧，溺如瀑泉，肿胀遂消。此证一在上焦气分而渴，一在下焦血分而不渴，二者治各不同，不可不辨。”汪昂曰：“若膀胱阳虚，阴无以化，又当用肾气丸治之。”）
斑龙丸
鹿角胶（八两）、鹿角霜（八两）、柏子仁（八两）、熟地黄（八两）、菟丝子（八两）、茯苓（八两）、补骨脂（四两）。搬运精髓填骨空，归就肾膀通督脉。（凡入房竭精，耗散其真，虽去，虽温之以气，补之以味，不能复也。故以有情之品，专走督脉；复以少阴、太阳治其合，乃能搬运精髓，填于骨空，大会于督脉之囟会，而髓海充盈；使以茯苓，性功下降，用以接引诸药，归就少阴、太阳，达于督脉，上朝髓海，而成搬运封固之功。原方无茯苓，（茯苓王晋三加入，其义颇通，当遵之。）澹寮方有阳起石，鹿茸、附子、当归、黄芪、酸枣仁、辰砂入。（亦名斑龙丸）
龟鹿二仙膏
治精极，（五劳之外，又有六极，谓气极、血极、精极、筋极、骨极、肌极六者，皆精气两虚。）羸少气梦遗泄。（人参（一斤）、枸杞（二斤）共熬膏，（先将鹿角十斤，龟板十斤，桑柴火熬胶，再将参杞膏和服。）气血精神交补益。（李时珍《本草纲目》说：“龟腹，能通任脉，故取其甲，以补心补肾补血以养阴也。鹿首常返向尾，能通督脉，故取其角，以补命补精补气以养阳也。”同用可以补神者，精气足则神自旺也。）
青娥丸治虚腰痛
（《素问·脉要精微论》说：“腰者肾之府，转摇不能，肾将惫矣。”）破故纸、胡桃（二十两去皮研）、蒜（四两）、姜（四两）、杜仲（一斤）。虚寒喘嗽郑相国方，（肾虚寒，为喘为嗽。）除蒜姜杜仲，加蜜送。（破故纸与胡桃同用，补养气血，有水生木相生之妙。气足则肺不虚寒，血足则肾不枯燥，久服利益甚多，不独上疗喘嗽，下强腰脚。柏无知母，破故无胡桃，犹水母之无虾也。”按：水母，海蜇也。）又有溧阳方，胡桃（紫衣胡桃一两，连皮、鬲。）连皮用。乳子痰喘一服效，（溧阳某家，将危，凡五日不乳食，此方一服即愈，盖以乳汁凝于膈间也。）食酸苦齿软，方选注》说：“《日华子本草》说：“食酸齿软，细嚼胡桃即解。”病有多食梅子，敛痰饮于膈，酸寒之性，搏激于肺，令人苦咳声哑，惟胡桃可解膈内之痰饮，但润二至丸女贞子、旱莲草，强阴补肾乌须好。
扶桑丸（一名桑麻丸）即桑叶（一斤）、黑芝麻（四两），泽血疏风颜不老。（炼蜜丸。除风湿，资生丸取坤元义（《易》说：“至哉坤元，万物资生。”）四君子汤（人参三两，茯苓二两，白术二两。）扁豆（一两半）、山药（二两）、芡实（一两半）、黄连（四钱）、薏苡仁（一两）、蔻仁（八钱）、砂仁（一两半）、藿香（一两）、神曲（二两）、桔梗（一两）、山楂肉（一两半）、陈皮（一两）。气阻或滑胎用兼消兼补外科牙漏（牙漏由胃中湿热而成，加苦参服效。）幼科疳积，（疳积多由脾虚积滞之。）易饥易饱俱堪使。（饥能使饱，饱能使饥，神妙难述。徐灵胎《兰台轨范》说：“不论何因，为总治脾胃之药，则失制方之义矣。药味太杂，全无法度，姑存之。旭高按：三焦五脏生生之气，全资脾胃而输化。此方补脾胃而仍分理三焦，虚实者颇宜，正未可轻讥之也。）
无比山药丸
（丸 孙思邈《千金要方》）摄肾气，（此收摄肾气之方，最为稳妥。）都气丸中重五味子（五味子六两，熟地、茯苓、山茱萸、泽泻各三两，山药二两。）减去丹皮（都气丸去丹皮）加赤石脂，（赤石脂三两）、肉苁蓉（四两）、菟丝子（三两）、杜仲（三两）、牛膝（三两）、巴戟天（三两）汇驻颜健体响音声，（诸药炼蜜丸，服一钱，加至钱半，温酒下。服后令人身健体润，面光响亮为验也。）久虚百损劳伤慰。（孙思邈《千金要方》说：“丈夫久虚百损，五劳七伤，头目眩、支厥，或烦热，或脾疼，腰脚不随，饮食不生肌肉，或少食而胀满，体无膏泽，阳气衰绝，阴气不行，无比山药丸主之。”）此药通中入脑门，脑鼻酸疼慎勿畏。
羊肾丸
熟地黄、黄柏、杜仲、牛膝、菟丝子、石斛、续断、山药、五加皮、沉香、肉桂、肾气（此降元精丹专补肾血
（诸品皆色黑，专补肾血。）何首乌（同黑豆拌蒸九次一斤）、血余（四两）、生地黄、熟地黄
(Although termed a "general treatment formula," one must carefully differentiate the specific condition and not apply it indiscriminately.)
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill)
(Qian Yi created this pill by removing Cinnamon Twig and Aconite from Zhang Zhongjing's Shenqi Wan to treat pediatric cases; it is now commonly used for both adult and pediatric conditions.) It belongs to the category of **Pingbu Ji** (Mild Tonifying Formulas). The six ingredients possess balanced properties, neither cold nor hot, serving as a mild tonic to nourish the Yin of the Liver, Spleen, and Kidney meridians. They encompass the flavors of Sour, Bitter, Sweet, Pungent, Salty, and Bland. The name "Dihuang" emphasizes its primary function of tonifying the Kidney.
* Shudi (Prepared Rehmanniae Radix), 8 liang, Bitter
* Shanzhuyu (Corni Fructus), 4 liang, Sour
* Shanyao (Dioscoreae Rhizoma), 4 liang, Sweet
* Fuling (Poria), 3 liang, Bland
* Zexie (Alismatis Rhizoma), 3 liang, Salty
* Mudanpi (Moutan Cortex), 3 liang, Pungent
This formula is reliable for treating **Ganshen Yin Kui** (Liver-Kidney Yin Deficiency) with floating fire. It treats various syndromes of Liver-Kidney Yin deficiency with hyperactive fire.
Modifications:
* Adding Duzhong (Eucommiae Cortex) and Niuxi (Achyranthis Bidentatae Radix) creates Liuwei Jia Duzhong Niuxi Wan.
* Removing Zexie and adding Yizhi Ren (Alpiniae Oxyphyllae Fructus) creates Liuwei Qu Zexie Jia Yizhi Wan, used for frequent urination (**Xiao Shu Pin Shu**).
Cuishi Bawei Wan (Eight-Ingredient Pill of Cuishi), which adds Fuzi (Aconiti Lateralis Radix Praeparata) and Rougui (Cinnamomi Cortex), is used for Yang deficiency to "benefit the source of fire to eliminate yin shadows" (Yi Huo Zhi Yuan, Yi Xiao Yin Yi).
Adding Cishi (Magnetitum), Muli (Ostreae Concha), and Chaihu (Bupleuri Radix), while removing Maidong (Ophiopogonis Radix), creates Duqi Wan. Both formulas are derived from Liuwei Dihuang Wan.
Liuwei Dihuang Wan was originally modified from Shenqi Wan. Shenqi Wan is essentially the Eight-Ingredient Pill (with Fuzi and Rougui).
In *Jingui Yaolue*, Shenqi Wan treats **Zhuan Bao** (Displacement of the Bladder/Uterus). In women, Zhuan Bao is caused by Qi stagnation in the bladder/uterus. "Li" is synonymous with "Liao Li," indicating disordered Qi in the Bao (uterus/bladder).
Symptoms include normal appetite but inability to sleep, irritability, heat sensation, orthopnea (leaning forward to breathe), and difficult urination. *Jingui Yaolue·Furen Zabing Pian* states: "When a woman suffers from illness, eats normally, feels irritable and hot, cannot lie flat, but must lean forward to breathe, this is called Zhuan Bao, treated with Shenqi Wan."
It also treats **Xiao Ke** (Wasting-Thirst) with excessive drinking and urination (drinking one dou, urinating one dou). *Jingui Yaolue·Xiao Ke Pian* states: "If urination is excessive, and for every dou drunk, a dou is urinated, use Shenqi Wan." *Suwen·Qi Jue Lun* states: "Fei Xiao (Lung Wasting) involves drinking one dou and urinating two dou, which is incurable." Here, drinking one and urinating one indicates it is still salvageable. Yu Jiayan in *Yimen Falü* stated: "Heat in the upper jiao causes wasting; if Kidney Water does not ascend, thirst occurs. Besides Shenqi Wan, what other treatment exists?" Xu Gao notes: Wasting-thirst is fundamentally due to Fire, but excessive urination indicates Kidney Yang deficiency with pathogenic water dominance. Thus, Shenqi Wan steams and moves Kidney Yang to expel pathogenic water. Qi refers to Yin; numbness in the lower abdomen indicates impending Chong Mai rebellion; Shenqi Wan expels Yin pathogens.
For **Xu Lao Yao Tong** (Deficiency-Labor Lower Back Pain), *Jingui Yaolue·Xueli Xulao Pian* states: "For deficiency-labor lower back pain, abdominal tightness and urgency, and difficult urination, use Shenqi Wan."
Commentary: "Shenqi Wan specifically promotes diuresis; water leaves without injuring Yin, Yang is supported without raising Fire. This is the subtlety of its formulation. Using it for all diseases under heaven would greatly miss its true meaning."
*Jisheng Fang*'s Shenqi Wan (compiled by Yan Yonghe) adds Niuxi and Cheqiancao to *Jingui*'s Shenqi Wan. It is effective for Yang deficiency causing Gu Zhang (abdominal distension like a蛊 insect), accompanied by wheezing, fullness, phlegm rales (Water overflowing transforming into Phlegm), and a deep, fine pulse (Yang decline, Water abundance). One may use Fuzi or Fuling as the sovereign herb. Li Dongyuan in *Lanshi Micang* stated: "Regarding this formula, *Jisheng* uses Fuzi as sovereign, while Xue Xinpu uses Fuling. Fuzi restores Yang, steaming Kidney Qi so the gates open, allowing stomach water to drain, because Yang governs opening. Fuling drains dampness, Cheqian guides water down. Even with massive doses of Fuling and Cheqian, without Yang movement, they are ineffective. Is it not relying on Fuling?"
Qibao Meiran Dan (Seven-Treasure Beard-Beautifying Pill)
Tonifies Essence and Blood.
* Heshouwu (Polygoni Multiflori Radix) [Red and White, 1 jin each, peeled, sliced, steamed and dried with Black Soybeans]
* Danggui (Angelicae Sinensis Radix) [Washed in wine]
* Fuling (Poria) [Mixed with milk]
* Niuxi (Achyranthis Bidentatae Radix) [Soaked in wine]
* Tusizi (Cuscutae Semen) [Soaked in wine]
* Gouqizi (Lycii Fructus) [Soaked in wine and steamed]
* Pogu Zhi (Psoraleae Fructus) [Stir-fried with Black Sesame]
Honey as pill binder. (Each ingredient half a jin. Another prescription uses Pogu Zhi 1.6 qian.)
Hei Dihuang Wan (Black Rehmannia Pill)
Treats Spleen-Kidney insufficiency and sexual excess leading to emaciation, weakness, and sallow complexion. This is a Kidney-tonifying and Spleen-strengthening formula.
* Cangzhu (Atractylodis Rhizoma) 1.6 qian, stir-fried black
* Shudi (Prepared Rehmanniae Radix) 1.6 qian, stir-fried black until carbonized but retaining nature
* Wuweizi (Schisandrae Fructus) 8 qian
* Gan Jiang (Zingiberis Rhizoma) [Light dried ginger, stir-fried: Spring/Autumn 0.7 qian, Summer 0.5 qian, Winter 0.1 qian]
It dries the Spleen and nourishes the Kidney simultaneously. The classics state: "Spleen cold leads to dampness; Kidney heat leads to dryness." Therefore, treating the Spleen avoids dryness, and treating the Kidney avoids dampness. Xu Xueshi said, "Using Cangzhu harms the Kidney; using Dihuang harms the Spleen." By stir-frying both until black, their harsh qualities are removed, allowing them to excel in both functions. It is an excellent formula for upper cough and lower diarrhea, especially when the pulse is fine and rapid. It is also a sacred formula for prolapse and hemorrhoids. Wang Ang (*Yifang Jijie*) cites Zhang Jiegu: "This is the sacred medicine for chronic hemorrhoids due to Blood deficiency." Xu Lingtai (*Lantai Gui Fan*) says: "This is the sacred formula for blood loss and Spleen cold."
Huanshao Dan (Return-to-Youth Pill) originates from Master Yang, famous for treating Spleen-Kidney Cold Deficiency.
* Dihuang (Rehmanniae Radix) 2 liang
* Shanyao (Dioscoreae Rhizoma)
* Rongrong (Cynomorii Rhizoma)
* Duzhong (Eucommiae Cortex)
* Niuxi (Achyranthis Bidentatae Radix)
* Gouqizi (Lycii Fructus)
* Shanzhuyu (Corni Fructus)
* Xiangfu (Cyperi Rhizoma) - *Note: Text says 'Xiang', likely referring to a warming aromatic or specific herb context, often associated with small amounts or specific preparations in variations, but standard Huanshao Dan includes Ba Ji Tian.* Correction based on text: Ba Ji Tian (Morindae Officinalis Radix)
* Wuweizi (Schisandrae Fructus)
* Chushizi (Celastrus Semen)
* Fuling (Poria)
* Shichangpu (Acori Tatarinowii Rhizoma) 5 qian
Adding Xuduan (Dianthi Herba) and changing Fuling to Fushen (Poria with Hostwood) changes the name to Dalao'er Wan.
Danxi's Ziyin Dabu Wan is Huanshao Dan minus Chushizi. Some say this formula communicates Heart and Kidney, balancing Yin and Yang without bias. Wang Ang (*Yifang Jijie*) states: "This is a balanced Yin-Yang tonifying formula."
Hujian Wan (Tiger-Hiding Pill)
Treats **Wu** (Atrophy Syndrome) of tendons and bones. Specifically for Kidney Yin deficiency causing weak tendons/bones, inability to walk, and bone-steaming tidal fever.
* Zhimu (Anemarrhenae Rhizoma)
* Huangbai (Phellodendri Cortex)
* Dihuang (Rehmanniae Radix)
* Niuxi (Achyranthis Bidentatae Radix) 3.5 liang
* Chenpi (Citri Reticulatae Pericarpium)
* Ganjiang (Zingiberis Rhizoma) 5 qian
Stewed with mutton to essence.
Atrophy syndrome often arises from internal organ heat. This formula is recommended for subduing Yang and strengthening Water. *Suwen·Wei Lun* states: "Five Zang organs, due to Lung heat scorching the leaves, develop Wei Atrophy." Wang Jinshan (*Gufang Xuanzhu*) states: "When Zang Yin does not hide, internal heat generates atrophy; one must address the specific Zang to conceal its Yin." Note: This formula is most appropriate for atrophy due to Zang heat. Classics state atrophy belongs to Heat. Later practitioners using warm tonics are mistaken. However, atrophy due to Phlegm-Dampness or Wind-Cold external pathogens is not suitable for this formula.
Longmu Jiyin Dan is this formula plus Longgu (Os Draconis et Mammutis) to secure Essence.
Buyi Wan also treats atrophy weakness. It adds Ziheche (Placenta Human), Fuling, Baizhu, Ganjiang, Gancao, Tusizi, and Wuweizi to Hujian Wan, suitable for Yin deficiency with Damp-Heat atrophy. (Buyi Wan was added by Danxi for Yin deficiency with Damp-Heat.)
Sancai Dan (Three Powers Pill) uses Tiantong (Asparagi Radix) 2 liang, Dihuang (Rehmanniae Radix) 2 liang, and Renshen (Ginseng Radix) 1 liang. It tonifies Qi, Essence, and Spirit of the Three Jiao.
Fengsui Dan adds Shaoren (Amomi Fructus) 1.5 liang and Huangbai (Phellodendri Cortex) to Sancai Dan. (Nourishes Yin without drying. Yu Jiayan *Yimen Falü* states: "Adding Huangbai to nourish Kidney Yin and Shaoren to move stagnation in the Spleen slightly modifies the bitterness of Tiantong and Huangbai, allowing Renshen to establish Middle Qi and exert its authority.")
Dazao Wan (Great Creation Pill) was created by Wu Qiu. Wang Jinshan's modifications are particularly profound, nourishing Metal above and Kidney/Liver below, subduing Yang and securing Yin thoroughly.
(Wang Jinshan *Gufang Xuanzhu*: Not reaching profound mystery, I refer to Danxi's original formula. This is Dazao Wan. Heche (Placenta) 1 unit, soaked in rice water overnight, pounded with child's urine and wine. Lujiaojiao (Deer Antler Glue) 1.5 liang. Rongrong (Cynomorii Rhizoma) 1.5 liang. Danggui (Angelicae Sinensis Radix) 7 qian. Suoyang (Cynomorii Herba) 1.5 liang. Guiban (Testudinis Carapax et Plastrum) 1.5 liang. Niuxi (Achyranthis Bidentatae Radix), Chenpi (Citri Reticulatae Pericarpium). Winter adds Ganjiang (Zingiberis Rhizoma), Tiantong (Asparagi Radix), Renshen (Ginseng Radix), Shudi (Prepared Rehmanniae Radix). Blue comes from indigo but is bluer; later generations surpass earlier ones.)
Renshen Guben Wan (Ginseng Root-Solidifying Pill)
Treats **Xu Lao** (Deficiency-Labor), Lung-Kidney Yin deficiency with Fire. Uses Shengdi (Raw Rehmanniae Radix) and Shudi (Prepared Rehmanniae Radix), Maidong (Ophiopogonis Radix) and Tiantong (Asparagi Radix), honey-binded pills. Renshen 2 liang, others 4 liang each. Can add shellfish-type herbs (Guiban, Muli) or Ejiao (Colla Corii Asini). This formula treats Metal and Water together, relying on Renshen to solidify Yuan Qi. It is indeed a good formula for Lung-Kidney Yin deficiency with rising Fire. Ye Tianshi's cases often add Guiban/Muli to subdue Yang, or Ejiao/Ganju (Chrysanthemi Flos) to extinguish Wind, treating Yin fluid deficiency with Yang disturbance.
*Taoist Canon* Tianwang Buxin Dan (Heavenly King Heart-Nourishing Pill)
(There are four versions; only this *Taoist Canon* version is general.) Nourishing the Function of the Heart calms the Spirit. Nourishing the Heart refers to nourishing its functions, while the Spirit's uses include Hun, Po, Yi, Zhi, Jing, and Shi. Nourishing the function allows the Heart to manage affairs.
* Jingning Bu Po (Calming Po): Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix) 1 liang each.
* Liudong Bu Hun (Flowing Hun): Danggui (Angelicae Sinensis Radix) 1 liang, Baiziren (Biota Semen) 1 liang, Danshen (Salviae Miltiorrhizae Radix) 5 qian.
* Renshen (Ginseng Radix), Fuling (Poria), Fushen (Poria with Hostwood) 5 qian each: Tiao Zhong Bu Yi (Regulate Middle, Nourish Yi).
* Shengdi (Raw Rehmanniae Radix) 4 liang, Xuanshen (Scrophulariae Radix) 5 qian: Tian Xia Bu Jing (Fill Lower, Nourish Jing).
* Yuanzhi (Polygalae Radix) 5 qian, Jiegeng (Platycodonis Radix) [Text cuts off, implies Tong Qiao/Promoting Orifices].
(Xin Xue Bu Zu - Heart Blood Insufficiency. One example: Heart Blood... Formula has Changpu... Promotes orifices... Honey pill, Cinnabar coating.)
Kongsheng Zhenzhong Dan (Confucius' Sacred Pillow Central Treasure Pill)
Treats forgetfulness (**Shan Wang**).
* Longgu (Os Draconis et Mammutis)
* Guiban (Testudinis Carapax et Plastrum)
* Yuanzhi (Polygalae Radix)
* Shichangpu (Acori Tatarinowii Rhizoma)
(Equal parts) Calves Liver (Longgu), Tonifies Kidney (Guiban), Opens Heart Orifices (Shichangpu, Yuanzhi). Long-term use enhances intelligence and memory. Borrowing the Yin-Yang of these two substances to supplement our body's Yin-Yang, and borrowing their spiritual energy to assist our body's spirituality. Yuanzhi connects Kidney to Heart; Shichangpu benefits orifices and removes Phlegm, thus opening intelligence and strengthening memory.
Dabu Yin Wan (Great Supplement Yin Pill)
* Zhimu (Anemarrhenae Rhizoma) Salt-water fried 4 liang
* Huangbai (Phellodendri Cortex) Salt-water fried 4 liang
* Shudi (Prepared Rehmanniae Radix) Wine-steamed 6 liang
* Baiguiban (Old Testudinis Carapax et Plastrum) Bone-fried 6 liang
* Zhu Suizhu (Porci Medulla) Steamed and mixed with Honey pills, taken empty stomach with Salt broth. Avoid spicy food.
(Nourishes Yin and descends Fire.) Zhimu and Huangbai are bitter-cold, directly suppressing Ministerial Fire, a method for temporary regulation. For **E Ni** (Hiccups) due to Liver-Kidney deficiency, take with Renshen-Baizhu Tang to support Stomach Qi. Zhu Zhenheng *Danxi Xin Fa* states: "Hiccups belonging to Liver-Kidney deficiency involve Qi rushing straight up from below the navel to the mouth. Kidney Qi is suppressed below; Left Kidney is Water and cannot rebel alone, but Right Kidney houses Ministerial Fire. Ministerial Fire flares up, carrying Chong Qi upward. Classics say 'Rebellious Qi with interior tension, Chong Mai disease.' Use this pill to suppress Ministerial Fire and nourish the source, hiding Chong Qi so hiccups stop. Taking with Renshen-Baizhu Tang: Human Yin relies on Stomach for nourishment. If Stomach Earth is damaged, Wood carries Ministerial Fire to attack this Earth. When Earth fails to Ministerial Fire's thief, one must strengthen Earth to control Dragon-Leopard Fire." Xu Gao notes: This pill is very appropriate for deficiency-Fire hiccups, but strictly contraindicated for Cold hiccups. The world says Danxi excelled at nourishing Yin, but his legislation had biases. Long-term use of bitter-cold damages Yin. Criticizing Danxi's bias is justified. Danxi proposed "Yang is often in excess, Yin is often deficient," hence this pill. Who knew long-term bitter-cold damages Yin?
Tongguan Wan (Pass-the-Gate Pill)
Also known as Zishen Wan, created by Li Dongyuan to treat Guan Yin (closure of Yin/urinary retention). Guan Yin means inability to urinate. Lower Jiao Heat congestion with Kidney/Bladder deficiency. Mouth not thirsty but urinary retention difficult. (Heat in Lower Jiao Blood division causes no thirst but retention.) Yin Fire rushing up causes Ge Yang (opposition Yang). Hiccups, wheezing, sore throat can all be treated. Soles of feet feel like burning, calf/thigh pain; Heat hidden in Yin can also be managed. (Ye Tianshi used this to search for hidden heat in Yin, showing great insight.)
* Zhimu (Anemarrhenae Rhizoma) Wine-fried 1 liang
* Huangbai (Phellodendri Cortex) Wine-fried 2 liang
* Wuweizi (Schisandrae Fructus) [Strong, large, bitter-cold. Use cold for heat, aided by a little Gui Zhi (Cinnamon Twig) for treatment.]
Li Dongyuan *Lanshi Micang* states: "Guan means inability to urinate." Urination is governed by Bladder, but Lung is the upper source of Water. If Lung has hidden heat, causing thirst and urinary obstruction, use thin-air, bland-draining herbs to drain fire, clear Lung, and nourish Water's source. If Heat is in Lower Jiao Blood division, causing no thirst and urinary obstruction, this is blocking the flow. Must use thick-aroma, heavy Yin-of-Yin herbs. Wang Shanfu suffered urinary obstruction, developing middle-fullness, hard abdomen like stone, leg skin cracking with water leakage, insomnia, inability to eat/drink. I recalled *Suwen*: "Without Yang, Yin cannot generate; without Yin, Yang cannot transform." Also: "Upper vomiting/regurgitation," signs of Nei Guan/Wai Ge appeared, death imminent. Prescribed this pill. Soon, anterior urethra felt like knife-stabbing/burning, urine flowed like a waterfall, swelling subsided. This case: Upper Jiao Qi division with thirst vs. Lower Jiao Blood division without thirst. Treatments differ; must distinguish. Wang Ang says: "If Bladder Yang deficiency, Yin cannot transform, use Shenqi Wan."
Banlong Wan (Spotted Dragon Pill)
* Lujiaojiao (Colla Cornu Cervi) 8 liang
* Lujiaoshuang (Deer Antler Frost) 8 liang
* Baiziren (Biota Semen) 8 liang
* Shudi (Prepared Rehmanniae Radix) 8 liang
* Tusizi (Cuscutae Semen) 8 liang
* Fuling (Poria) 8 liang
* Buguzhi (Psoraleae Fructus) 4 liang
Moves Essence and Marrow to fill bone voids, returning to Kidney/Bladder and connecting Du Mai. (Sexual exhaustion depletes True Essence. Although warming Qi and tonifying Flavor helps, recovery is impossible. Thus, using "有情之品" (Sentient/Substantial substances) specifically targeting Du Mai; combined with Shaoyin/Taiyang coordination, Essence/Marrow is moved to fill bone voids, gathering at Du Mai's Xinhui point, filling Marrow Sea. Fuling guides drugs downward to connect Shaoyin/Taiyang to Du Mai, ascending to Marrow Sea, achieving moving and sealing function. Original formula lacked Fuling; Wang Jinshan added it, reasoning is sound, follow it.)
Danliao Fang adds Yangqishi (Leucogynopsidis Semen), Lurong (Cervi Cornu Pantotrichum), Fuzi, Danggui, Huangqi, Suanzaoren, Zhusha. (Also named Banlong Wan.)
Guilu Erxian Gao (Turtle-Deer Two Immortals Paste)
Treats Jing Ji (Extreme Essence Deficiency). Beyond Five Exhaustions, there are Six Extremes: Qi, Blood, Essence, Tendons, Bones, Muscle. All indicate Essence-Qi dual deficiency. Emaciation, shortness of breath, nocturnal emission.
* Renshen (Ginseng Radix) 1 jin
* Gouqizi (Lycii Fructus) 2 jin
Boil paste. First boil Deer Antler (10 jin) and Turtle Shell (10 jin) over Mulberry wood fire to make glue, then mix with Ginseng/Cocklebur paste.
Tonifies Qi, Blood, Spirit, and Essence mutually. Li Shizhen *Bencao Gangmu* states: "Turtle belly connects Ren Mai; use its shell to nourish Heart/Kidney/Blood to tonify Yin. Deer head turns toward tail, connecting Du Mai; use its horn to tonify Mingmen/Essence/Qi to tonify Yang." Used together, they nourish Spirit; sufficient Essence/Qi naturally strengthens Spirit.
Qing'e Wan (Green Adamant Pill) treats Deficiency-Labor Lower Back Pain.
*Suwen·Ma Yao Jingwei Lun* states: "The waist is the mansion of the Kidney; inability to twist/turn indicates Kidney exhaustion."
* Pogu Zhi (Psoraleae Fructus)
* Hutao (Juglandis Semen) 20 liang, peeled and ground
* Suan (Allii Sativi Bulbus) 4 liang
* Jiang (Zingiberis Rhizoma Recens) 4 liang
* Duzhong (Eucommiae Cortex) 1 jin
Deficiency-Cold Wheezing/Cough by Zheng Guo. (Kidney deficiency-cold causes wheezing/cough.) Remove Garlic, Ginger, Duzhong, take with Honey. Pogu Zhi and Hutao tonify Qi and Blood, creating a Water generating Wood synergy. Sufficient Qi prevents Lung cold; sufficient Blood prevents Kidney dryness. Long-term use benefits greatly, treating upper wheezing/cough and lower strengthening waist/legs. "Without Huangbai/Zhimu, Pogu Zhi is useless without Hutao, like a Jellyfish without a Shrimp." Note: Jellyfish is Hai Mu.
Another Lilin Prescription: Hutao (Purple-skin Walnut 1 liang, with skin and partition). Use with skin. One dose cures infant phlegm-wheezing. (In Lili, a case near death, infant unable to nurse/eat for 5 days, one dose cured it, as milk coagulated in the diaphragm.) Eating sour/bitter softens teeth. *Fangxuan Zhuzhu* cites *Rihua Bencao*: "Eating sour softens teeth; chewing Hutao resolves it." Illness from eating too many plums gathers Phlegm-Fluid in diaphragm; sour-cold nature agitates Lung, causing bitter cough/silent voice. Only Hutao can resolve diaphragmatic Phlegm-Fluid, moistening...
Erzhi Wan (Two Solstices Pill)
* Nvzhenzi (Ligustri Lucidi Fructus)
* Hanliancao (Ecliptae Herba)
Strengthens Yin, tonifies Kidney, blackens hair well.
Fusang Wan (Mulberry Tree Pill), also known as Sangma Wan.
* Sangye (Mori Folium) 1 jin
* Mahua (Sesami Fructus Niger) 4 liang
Nourishes Blood, disperses Wind, keeps face youthful. Honey pill. Removes Wind-Dampness.
Zisheng Wan takes meaning from Kun Yuan (*I Ching*: "Great is Kun Yuan, all things rely on it for birth").
* Sijun Zi Tang base: Renshen 3 liang, Fuling 2 liang, Baizhu 2 liang.
* Bian Dou (Vigna Semen) 1.5 liang
* Shanyao (Dioscoreae Rhizoma) 2 liang
* Qianshi (Nelumbinis Semen) 1.5 liang
* Huanglian (Coptidis Rhizoma) 4 qian
* Yiyiren (Coicis Semen) 1 liang
* Houren (Amomi Fructus Rotundus) 8 qian
* Sharen (Amomi Fructus) 1.5 liang
* Huoxiang (Pogostemonis Herba) 1 liang
* Shenqu (Massa Medicata Fermentata) 2 liang
* Jiegeng (Platycodonis Radix) 1 liang
* Zhara Rou (Crataegi Fructus) 1.5 liang
* Chenpi (Citri Reticulatae Pericarpium) 1 liang
For Qi blockage or slippery fetus, use concurrent elimination and tonification.
External Surgery: Tooth Fistula (caused by Stomach Damp-Heat, add Kushen for efficacy). Pediatrics: Gan Accumulation (caused by Spleen deficiency and accumulation). Easy hunger/fullness alternation makes it suitable. (Hunger makes full, full makes hungry, miraculous and indescribable. Xu Lingtai *Lantai Gui Fan* states: "Regardless of cause, if used as a general Spleen-Stomach formula, it misses the formulation's meaning. Ingredients are too mixed, lacking method. Keep it for reference." Xu Gao notes: The vital Qi of Three Jiao and Five Zang relies entirely on Spleen-Stomach for transformation. This formula tonifies Spleen-Stomach while regulating Three Jiao. Suitable for deficiency-excess patterns; do not lightly criticize.)
Wubi Shanyao Wan (Peerless Yam Pill)
From Sun Simiao *Qianjin Yaofang*. Secures Kidney Qi. (This formula for securing Kidney Qi is most stable.)
Duqi Wan emphasizes Wuweizi (6 liang), Shudi, Fuling, Shanzhuyu, Zexie (3 liang each), Shanyao (2 liang). Remove Mudanpi (from Duqi Wan), add Chishizhi (Red Halloysitum) 3 liang, Rongrong (Cynomorii Rhizoma) 4 liang, Tusizi (Cuscutae Semen) 3 liang, Duzhong (Eucommiae Cortex) 3 liang, Niuxi (Achyranthis Bidentatae Radix) 3 liang, Bajitian (Morindae Officinalis Radix) 3 liang.
Preserves youth, strengthens body, improves voice. (Honey pills, take 1 qian, increase to 1.5 qian, with warm wine. Results in healthy body, smooth skin, bright face, resonant voice as verification.) Comforts long-term deficiency, hundred damages, labor injuries. Sun Simiao *Qianjin Yaofang* states: "For men with long-term deficiency, hundred damages, Five Labors, Seven Injuries, dizzy eyes, limb cold, irritability/heat, spleen pain, stiff waist/legs, failure to gain muscle from diet, bloating after little food, lack of body luster, Yang Qi decline/extinction, Yin Qi non-movement, use Wubi Shanyao Wan." This medicine enters the brain gate; do not fear nasal/head acid-pain.
Yangshen Wan (Sheep Kidney Pill)
* Shudi (Prepared Rehmanniae Radix)
* Huangbo (Phellodendri Cortex)
* Duzhong (Eucommiae Cortex)
* Niuxi (Achyranthis Bidentatae Radix)
* Tusizi (Cuscutae Semen)
* Shihu (Dendrobii Caulis)
* Xuduan (Dianthi Herba)
* Shanyao (Dioscoreae Rhizoma)
* Wujia Pi (Acanthopanacis Cortex)
* Chenxiang (Aquilariae Lignum Resinatum)
* Rougui (Cinnamomi Cortex)
* Shenqi (Kidney Qi) [Descends...]
Yuanjing Dan (Origin-Essence Pill) specializes in tonifying Kidney Blood.
(All ingredients are black, specializing in tonifying Kidney Blood.)
* Heshouwu (Polygoni Multiflori Radix) Steamed 9 times with Black Soybean, 1 jin
* Xuyure (Capillis Humanis Carbonized) 4 liang
* Shengdi (Raw Rehmanniae Radix)
* Shudi (Prepared Rehmanniae Radix)