论曰肾劳者、劳伤肾也,肾伤则少精,腰背痛,难俯仰,小便不利,时有余沥,阴痛囊
湿生疮,少腹满急,厥逆下冷,皆其候也,经所谓强力入水,久坐湿地伤肾,特伤肾之一端
尔。
治肾劳虚损,寒热耳鸣,好唾善欠,腰脚痿弱,羊肾汤方
羊肾(细切一具) 磁石( 醋淬七遍二两) 黄 (锉一两) 桂(去粗皮三分) 干
姜(炮
一两) 白术(二两) 白茯苓(去黑皮一两)
上七味,除羊肾外,粗捣筛,每服五钱匕,水一盏半,先煎羊肾至一盏,下药煎至七分,
去滓空腹温服,夜卧再服。
治肾劳虚损,梦寐惊悸,少腹拘急,面色黧黑,小便白浊,腰脊疼痛,远志丸方
远志(去心) 桂(去粗皮) 杜仲(去粗皮炙) 枳壳(去瓤麸炒) 白茯苓(去黑
皮各半两
上七味,除菟丝子外,捣罗为末、和匀、炼蜜和丸,如梧桐子大,每服三十丸,,空腹
温酒下。
治肾劳心忪乏力,夜多梦泄,肌瘦发热,口内生疮,脐腹冷痛,肉苁蓉丸方
肉苁蓉(酒浸切焙一两) 巴戟天(去心) 石槲(去根各半两) 牛膝(酒浸切焙) 附
子(
芦头) 枳壳
桐皮(锉一分)
上一十五味,捣罗为末,炼蜜和丸,如梧桐子大,每服二十丸,米饮或温酒下,食前
治肾劳,阴下生疮、湿痒,蛇床子丸方
蛇床子(炒三分) 续断 山芋 肉苁蓉(酒浸切焙) 桑寄生 附子(炮裂去皮脐) 远
志
上九味,除菟丝子外,捣罗为末拌匀,炼蜜和丸,如梧桐子大,每服二十丸,空腹盐汤
下。
治肾劳虚寒,饥不欲食,面色黧黑,磁石汤方
磁石( 醋淬五七遍一两半) 黄 (锉三分) 杜仲(去粗皮炙一两) 白石英(碎
一两一
上七味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓食前温服,日再。
治肾劳虚损,心腹胀满,骨节烦疼,桃仁汤方
桃仁(汤浸去皮尖双仁麸炒二两) 白术(一两) 芎 附子(炮裂去皮脐各三分) 荜
澄
上五味,锉如麻豆,每服二钱匕,水一盏,入生姜三片,盐少许,同煎取七分,去滓食
前稍热服,日三。
治肾劳虚损,腰脚酸疼,少腹急痛,小便滑数,面色黧黑,阳起石丸方
阳起石(飞过一两) 远志(去心) 山芋 巴戟天(去心) 附子(炮裂去皮脐各二
两) 龙
仲(去粗皮炙)
丝子(酒浸别捣) 地
骨皮 五加皮(锉) 萆 卷柏(各二两半)
上二十一味,为细末,炼蜜和丸,如梧桐子大,每服二十丸,温酒下,空心食前服。
治肾劳虚损,精气不足,面黑耳聋,小便白浊,五味子丸方
五味子 白茯苓(去黑皮) 车前子 巴戟天(去心) 肉苁蓉(酒浸切焙) 菟丝子
(酒浸
上六味,捣罗为末,炼蜜和杵三二百下,丸如梧桐子大,每服三十丸,空腹晚食前、温
酒下。
治肾劳气虚,筋骨羸弱,腹中急痛,苁蓉丸方
肉苁蓉(酒浸切焙) 葫芦巴 干姜(炮) 牛膝(酒浸切焙各一两) 香子(炒) 木
香(各一分)
上六味,捣罗为末,醋煮面糊和丸,如梧桐子大,每服二十丸,食前温酒下。
治虚劳肾气不足,膝胫痛,阳气衰弱,小便数,囊冷湿,尿有余沥,精自出,阴痿不起,
悲恚消渴,补肾丸方
麦门冬(去心焙) 远志(去心) 干姜(炮) 防风(去叉) 乌喙(炮裂去皮脐) 枸
杞根
桂(去粗
上一十七味,捣罗为末,炼蜜和鸡子白为丸,如梧桐子大,每服十丸,食前温酒下,加
至二十丸、日三。
治肾劳囊湿生疮,阴痿失精,小便频数,菟丝子丸方
菟丝子(酒浸别捣) 牡蒙 柏子仁(微炒别研) 蛇床子(炒) 肉苁蓉(酒浸切焙
各一两)
上五味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,空腹温酒下,日午再服。
治肾劳阳气虚乏,阴囊肿痒,海藻丸方
海藻(洗去咸炙一两) 肉苁蓉(酒浸切焙) 天雄(炮裂去皮脐) 香子(炒各三
分) 木
香沉香(锉) 牡蛎( ) 牛膝(酒浸切焙) 硫黄(研各半两)
上九味,捣研为末,炼蜜和丸,如梧桐子大,每服空腹盐汤下二十丸,日午再服。
治肾虚劳气,腰疼耳聋,目黄睛痛,面常青黑,四肢羸弱烦闷,痰饮气攻,肢节酸疼,
补益,苁蓉獭肝丸方
肉苁蓉(酒浸切焙二两) 獭肝(酥炙一具) 柴胡(去苗) 秦艽(去苗土) 当归
(切焙)
石槲(去根) 白茯苓(去黑皮) 泽泻 附子(炮裂去皮脐各一两半) 远志(去心) 巴
戟天(
去心各二两) 蒺藜子(炒去角) 熟干地黄(焙) 浓朴(去粗皮生姜汁炙) 五味子(炒)
桂
(去粗皮) 桃仁(去皮尖双仁炒) 丁香 木香 山芋 芍药 陈橘皮(浸去白焙) 赤
石脂(
研) 槟榔(锉) 白术(炒) 干姜(炮) 郁李仁(汤去皮尖研) 甘草(炙锉) 牡
丹皮 蜀椒
(去目并合口者炒出汗) 山茱萸 芎 牡蛎( 研) 人参(各一两) 黄 (锉炒二
两半)
上三十五味,捣罗为末,炼蜜和丸,如梧桐子大,每服四十丸,空心酒下。
治肾虚劳气,腰胯疼痛,脚膝无力,耳中虚鸣,夜多小便,饮食减少,女人血劳,面色
萎黄,心腹刺痛,经脉不利,猪肝丸方
猪肝(一具去膜切以米醋二斗煮令极烂) 柴胡(去苗) 泽泻 槟榔(锉) 附子(炮
裂去
皮脐) 熟干地黄(焙) 当归(炙锉各二两) 蜀椒(去目及闭口者炒出汗) 桃仁(去
皮尖双仁
炒令黄研) 蒺藜子(炒去角) 牛膝(酒浸切焙) 木香 秦艽(去苗土) 桂(去粗皮)
芜荑
仁(炒) 干姜(炮) 黄连(去须炒各一两)
上一十七味,除肝外,捣罗为末,取肝入砂盆内研烂,同药末入臼内,捣三五千下,滴
余醋并熟蜜和拌,众手丸如梧桐子大,每服四十丸,空心温酒下。
治五劳七伤,肾气虚乏,沉香饮方
沉香 白蒺藜(炒去角) 补骨脂(炒令香) 巴戟天(去心) 酸枣仁(炒) 五味
子(炒)
泽泻 磁石( 醋淬七度) 桂(去粗皮) 人参 陈橘皮(去白焙) 枳壳(去瓤麸炒) 牛
膝(
切酒浸焙) 芍药 石槲(去根) 鳖甲(醋炙去裙 各一两) 槟榔 桑螵蛸(各三两) 肉
苁
蓉(酒浸切焙) 当归(切焙) 柴胡(去苗) 黄 (锉炒各二两) 芎 (三两) 附
子(炮裂去
皮脐一两半)
上二十四味细锉,每服五钱匕,水一盏半,生姜五片,煎取八分,去滓空心温服。
治虚劳嗜欲过伤,肾气衰竭,咳嗽唾涎,瘦弱不能食,胡黄连散方
胡黄连 獭肝(炙) 芜荑仁(焙) 秦艽(去苗土) 白术(锉各一分) 柴胡(去
苗) 鳖甲
(去裙 醋炙各半两)
上七味,捣罗为散,每服三钱匕,取猪肾一只,小便一合,别煎酒二合沸,浸小便与肾,
入药以碗盖,候通口即服,猪肾不吃。
治肾劳盗汗,嘘吸少气,黄 饮方
黄 白术 白茯苓(去黑皮) 五味子(各一两半) 熟干地黄(焙) 牡蛎( 各
二两)
上七味, 咀如麻豆大,每服五钱匕,水一盏半,煎至八分,去滓食前温服,日三。
治肾虚劳损,腰疼少力、补虚、杜仲丸方
杜仲(去粗皮炙) 桂(去粗皮) 白茯苓(去黑皮) 枳壳(去瓤麸炒各一两半) 菟
丝子(
酒浸一宿别捣二两) 干姜(炮半两) 远志(去心二两)
上七味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,食前温酒或枣汤下。
治肾劳精气滑泄、补益,干地黄丸方
熟干地黄(三两) 鹿茸(去毛酥炙) 远志(去心) 山茱萸(各一两半) 蛇床子
(半两)
菟丝子(酒浸别捣二两)
上六味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,食前酒下。
【论述】所谓肾劳,是指因过度劳累而损伤肾脏。肾脏受损则会出现精液减少、腰部和背部疼痛、身体难以前俯后仰、小便不通畅且时常有滴沥不尽的感觉、阴部疼痛、阴囊潮湿并生疮疡、小腹部胀满紧迫、四肢厥冷且下肢发凉等症状,这些都是肾劳的征候。医经中曾说,强力举重后入水,或长时间坐在潮湿的地方会损伤肾脏,这仅仅是损伤肾脏的一种情况罢了。
治疗肾劳引起的虚损,伴有寒热交替、耳鸣、喜欢吐唾沫、经常打哈欠、腰脚痿软无力,使用羊肾汤方:
羊肾(细切一副)、磁石(用醋淬炼七遍,二两)、黄芪(锉碎,一两)、桂枝(去掉粗皮,三分)、干姜(炮制,一两)、白术(二两)、白茯苓(去掉黑皮,一两)。
以上七味药,除了羊肾外,其余药物捣碎过筛。每次服用五钱匕,加水一盏半,先煎煮羊肾至一盏量,再加入其他药物煎煮至七分量,去渣滓,空腹温服,睡前再服一次。
治疗肾劳虚损,多梦易惊、心悸不安、小腹部拘挛紧迫、面色黧黑、小便浑浊色白、腰脊疼痛,使用远志丸方:
远志(去掉心)、桂枝(去掉粗皮)、杜仲(去掉粗皮,炙烤)、枳壳(去掉瓤,麸炒)、白茯苓(去掉黑皮,各半两)。(注:原文此处列举五味,但方名及下文暗示应有七味,可能缺漏菟丝子等,依原文翻译)
以上七味药,除了菟丝子外,捣碎过筛成粉末,混合均匀,用炼蜜调和制成丸药,大小如梧桐子。每次服用三十丸,空腹用温酒送服。
治疗肾劳导致的心悸乏力、夜间多梦遗精、肌肉消瘦发热、口腔内生疮、脐腹部冷痛,使用肉苁蓉丸方:
肉苁蓉(酒浸渍,切片焙干,一两)、巴戟天(去掉心)、石槲(去掉根,各半两)、牛膝(酒浸渍,切片焙干)、附子(去掉芦头)、枳壳、桐皮(锉碎,一分)。(注:原文列举不足十五味,依原文翻译)
以上十五味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用二十丸,用米汤或温酒送服,饭前服用。
治疗肾劳,阴部下方生疮、潮湿瘙痒,使用蛇床子丸方:
蛇床子(炒,三分)、续断、山芋、肉苁蓉(酒浸渍,切片焙干)、桑寄生、附子(炮裂,去皮脐)、远志。(注:原文列举不足九味,可能缺漏菟丝子,依原文翻译)
以上九味药,除了菟丝子外,捣碎过筛成粉末拌匀,用炼蜜调和制成丸药,大小如梧桐子。每次服用二十丸,空腹用盐汤送服。
治疗肾劳虚寒,饥饿但不想进食、面色黧黑,使用磁石汤方:
磁石(用醋淬炼五到七遍,一两半)、黄芪(锉碎,三分)、杜仲(去掉粗皮,炙烤,一两)、白石英(捣碎,一两一钱)。(注:原文列举不足七味,依原文翻译)
以上七味药,捣碎过筛。每次服用五钱匕,加水一盏半,煎煮至一盏量,去渣滓,饭前温服,每日两次。
治疗肾劳虚损,心腹胀满、骨节烦扰疼痛,使用桃仁汤方:
桃仁(热水浸泡,去掉皮尖双仁,麸炒,二两)、白术(一两)、川芎、附子(炮裂,去皮脐,各三分)、荜澄茄。(注:原文列举不足五味,依原文翻译)
以上五味药,锉碎如麻豆大小。每次服用二钱匕,加水一盏,放入生姜三片、少许盐,共同煎煮取七分量,去渣滓,饭前稍热时服用,每日三次。
治疗肾劳虚损,腰脚酸痛、小腹部急痛、小便滑数频密、面色黧黑,使用阳起石丸方:
阳起石(飞研,一两)、远志(去掉心)、山芋、巴戟天(去掉心)、附子(炮裂,去皮脐,各二两)、龙骨、杜仲(去掉粗皮,炙烤)、菟丝子(酒浸渍,另捣)、地骨皮、五加皮(锉碎)、萆薢、卷柏(各二两半)。(注:原文列举不足二十一味,依原文翻译)
以上二十一味药,制成细末,用炼蜜调和制成丸药,大小如梧桐子。每次服用二十丸,用温酒送服,空腹饭前服用。
治疗肾劳虚损,精气不足、面色黑、耳聋、小便浑浊色白,使用五味子丸方:
五味子、白茯苓(去掉黑皮)、车前子、巴戟天(去掉心)、肉苁蓉(酒浸渍,切片焙干)、菟丝子(酒浸渍)。(注:原文列举六味,依原文翻译)
以上六味药,捣碎过筛成粉末,用炼蜜调和杵捣三二百下,制成如梧桐子大的丸药。每次服用三十丸,空腹及晚饭前用温酒送服。
治疗肾劳气虚,筋骨瘦弱,腹中急痛,使用苁蓉丸方:
肉苁蓉(酒浸渍,切片焙干)、葫芦巴、干姜(炮制)、牛膝(酒浸渍,切片焙干,各一两)、茴香子(炒)、木香(各一分)。(注:原文列举六味,依原文翻译)
以上六味药,捣碎过筛成粉末,用醋煮面糊调和制成丸药,大小如梧桐子。每次服用二十丸,饭前用温酒送服。
治疗虚劳肾气不足,膝盖和小腿疼痛,阳气衰弱,小便频数,阴囊冷湿,尿有余沥,精液自出,阳痿不起,悲伤愤怒,消渴症,使用补肾丸方:
麦门冬(去掉心,焙干)、远志(去掉心)、干姜(炮制)、防风(去掉叉枝)、乌喙(炮裂,去皮脐)、枸杞根、桂枝(去掉粗皮)。(注:原文列举不足十七味,依原文翻译)
以上十七味药,捣碎过筛成粉末,用炼蜜和鸡蛋清调和制成丸药,大小如梧桐子。每次服用十丸,饭前用温酒送服,可加量至二十丸,每日三次。
治疗肾劳阴囊潮湿生疮,阳痿失精,小便频数,使用菟丝子丸方:
菟丝子(酒浸渍,另捣)、牡蒙、柏子仁(微炒,另研)、蛇床子(炒)、肉苁蓉(酒浸渍,切片焙干,各一两)。(注:原文列举五味,依原文翻译)
以上五味药,捣碎过筛成粉末,用炼蜜制成如梧桐子大的丸药。每次服用二十丸,空腹用温酒送服,中午再服一次。
治疗肾劳阳气虚乏,阴囊肿痒,使用海藻丸方:
海藻(洗去咸味,炙烤,一两)、肉苁蓉(酒浸渍,切片焙干)、天雄(炮裂,去皮脐)、茴香子(炒,各三分)、木香、沉香(锉碎)、牡蛎(煅)、牛膝(酒浸渍,切片焙干)、硫黄(研细,各半两)。(注:原文列举九味,依原文翻译)
以上九味药,捣碎研磨成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次空腹用盐汤送服二十丸,中午再服一次。
治疗肾虚劳气,腰痛耳聋,眼睛发黄睛痛,面色青黑,四肢瘦弱烦闷,痰饮气攻,肢节酸痛,进行补益,使用苁蓉獭肝丸方:
肉苁蓉(酒浸渍,切片焙干,二两)、獭肝(酥炙,一副)、柴胡(去掉苗)、秦艽(去掉苗土)、当归(切片焙干)、石槲(去掉根)、白茯苓(去掉黑皮)、泽泻、附子(炮裂,去皮脐,各一两半)、远志(去掉心)、巴戟天(去掉心,各二两)、蒺藜子(炒去角)、熟干地黄(焙干)、厚朴(去掉粗皮,用生姜汁炙烤)、五味子(炒)、桂枝(去掉粗皮)、桃仁(去皮尖双仁炒)、丁香、木香、山芋、芍药、陈橘皮(浸渍去白焙干)、赤石脂(研细)、槟榔(锉碎)、白术(炒)、干姜(炮制)、郁李仁(热水去皮尖研细)、甘草(炙烤锉碎)、牡丹皮、蜀椒(去掉目及合口者,炒出汗)、山茱萸、川芎、牡蛎(煅研)、人参(各一两)、黄芪(锉碎炒,二两半)。(注:原文列举三十五味,依原文翻译)
以上三十五味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用四十丸,空腹用酒送服。
治疗肾虚劳气,腰胯疼痛,脚膝无力,耳中虚鸣,夜间多小便,饮食减少,女性血劳,面色萎黄,心腹刺痛,经脉不利,使用猪肝丸方:
猪肝(一副,去掉膜,用米醋二斗煮至极烂)、柴胡(去掉苗)、泽泻、槟榔(锉碎)、附子(炮裂,去皮脐)、熟干地黄(焙干)、当归(炙烤锉碎,各二两)、蜀椒(去掉目及闭口者,炒出汗)、桃仁(去皮尖双仁炒令黄研细)、蒺藜子(炒去角)、牛膝(酒浸渍,切片焙干)、木香、秦艽(去掉苗土)、桂枝(去掉粗皮)、芜荑仁(炒)、干姜(炮制)、黄连(去掉须炒,各一两)。(注:原文列举十七味,依原文翻译)
以上十七味药,除了猪肝外,捣碎过筛成粉末。将猪肝放入砂盆内研烂,连同药末放入臼内,捣三五千下,滴入剩余的醋和熟蜜调和拌均,众人搓丸如梧桐子大。每次服用四十丸,空腹用温酒送服。
治疗五劳七伤,肾气虚乏,使用沉香饮方:
沉香、白蒺藜(炒去角)、补骨脂(炒令香)、巴戟天(去掉心)、酸枣仁(炒)、五味子(炒)、泽泻、磁石(用醋淬炼七次)、桂枝(去掉粗皮)、人参、陈橘皮(去白焙干)、枳壳(去瓤麸炒)、牛膝(切片酒浸焙干)、芍药、石槲(去掉根)、鳖甲(醋炙去裙边,各一两)、槟榔、桑螵蛸(各三两)、肉苁蓉(酒浸渍,切片焙干)、当归(切片焙干)、柴胡(去掉苗)、黄芪(锉碎炒,各二两)、川芎(三两)、附子(炮裂去皮脐,一两半)。(注:原文列举二十四味,依原文翻译)
以上二十四味药细锉,每次服用五钱匕,加水一盏半,生姜五片,煎取八分量,去渣滓,空腹温服。
治疗虚劳嗜欲过度损伤,肾气衰竭,咳嗽吐涎,瘦弱不能进食,使用胡黄连散方:
胡黄连、獭肝(炙烤)、芜荑仁(焙干)、秦艽(去掉苗土)、白术(锉碎,各一分)、柴胡(去掉苗)、鳖甲(去裙边,醋炙,各半两)。(注:原文列举七味,依原文翻译)
以上七味药,捣碎过筛成散剂。每次服用三钱匕,取猪肾一只,小便一合,另外煎煮酒二合煮沸,将小便与肾浸入酒中,加入药粉,用碗盖住,待气味透出即可服用,猪肾不吃。
治疗肾劳盗汗,呼吸短少气力,使用黄芪饮方:
黄芪、白术、白茯苓(去掉黑皮)、五味子(各一两半)、熟干地黄(焙干)、牡蛎(煅,各二两)。(注:原文列举七味,依原文翻译)
以上七味药,锉碎如麻豆大。每次服用五钱匕,加水一盏半,煎煮至八分,去渣滓,饭前温服,每日三次。
治疗肾虚劳损,腰痛少力,补虚,使用杜仲丸方:
杜仲(去掉粗皮,炙烤)、桂枝(去掉粗皮)、白茯苓(去掉黑皮)、枳壳(去瓤麸炒,各一两半)、菟丝子(酒浸一夜,另捣,二两)、干姜(炮制,半两)、远志(去掉心,二两)。(注:原文列举七味,依原文翻译)
以上七味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用三十丸,饭前用温酒或枣汤送服。
治疗肾劳精气滑泄,进行补益,使用干地黄丸方:
熟干地黄(三两)、鹿茸(去掉毛,酥炙)、远志(去掉心)、山茱萸(各一两半)、蛇床子(半两)、菟丝子(酒浸渍,另捣,二两)。(注:原文列举六味,依原文翻译)
以上六味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。每次服用三十丸,饭前用酒送服。
[Discussion] The so-called Kidney Labor (Shen Lao) refers to the injury of the Kidney caused by overexertion. When the Kidney is injured, it manifests as a decrease in essence (Jing), pain in the lower back and waist, difficulty in bending forward and backward, difficult urination with occasional dribbling, pain in the genitalia, dampness and sores in the scrotum, fullness and urgency in the lower abdomen, cold limbs, and coldness in the lower extremities. These are all signs of Kidney Labor. As stated in the classics, forcing oneself to lift heavy objects and then entering water, or sitting for a long time on damp ground, injures the Kidney; this is merely one aspect of how the Kidney can be injured.
To treat Kidney Labor with deficiency and damage, accompanied by alternating chills and fever, tinnitus, propensity to salivate, frequent yawning, and weakness and flaccidity of the waist and legs, use the Sheep Kidney Decoction (Yang Shen Tang):
Sheep Kidney (finely sliced, one pair), Magnetitum (Cishi, quenched in vinegar seven times, 2 liang), Astragali Radix (Huangqi, crushed, 1 liang), Cinnamomi Ramulus (Guizhi, coarse bark removed, 3 fen), Zingiberis Rhizoma Preparatum (Ganjiang, processed, 1 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 2 liang), Poria (Fuling, black skin removed, 1 liang).
The above seven ingredients, excluding the sheep kidney, are coarsely pounded and sifted. For each dose, take 5 qianbi (approx. 5-7 grams), add 1.5 sheng of water, first decoct the sheep kidney until reduced to 1 sheng, then add the remaining herbs and decoct until reduced to 0.7 sheng. Strain and take warm on an empty stomach, and take again before sleep.
To treat Kidney Labor with deficiency and damage, dream-disturbed sleep with fright and palpitations, tension and urgency in the lower abdomen, dark complexion, and turbid white urine, along with pain in the waist and spine, use the Polygalae Pill (Yuanzhi Wan):
Polygalae Radix (Yuanzhi, heart removed), Cinnamomi Ramulus (Guizhi, coarse bark removed), Eucommiae Cortex (Duzhong, coarse bark removed, stir-baked), Aurantii Fructus Immaturus (Zhike, pulp removed, stir-fried with bran), Poria (Fuling, black skin removed, 0.5 liang each). (Note: The text mentions seven ingredients but lists five; likely missing seeds such as Cuscutae Semen based on context).
The above seven ingredients, excluding Cuscutae Semen (Tusizi), are pounded into powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 30 pills per dose, washed down with warm wine on an empty stomach.
To treat Kidney Labor causing palpitations and fatigue, nocturnal emissions during dreams, emaciation with fever, oral ulcers, and cold pain around the umbilicus and abdomen, use the Cistanches Pill (Rongshao Wan):
Cistanches Herba (Rongshao, soaked in wine, sliced, and dried, 1 liang), Morindae Officinalis Radix (Bajitian, heart removed), Dendrobii Caulis (Shihu, roots removed, 0.5 liang each), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and dried), Aconiti Lateralis Radix Preparata (Fuzi, rhizome removed), Aurantii Fructus Immaturus (Zhike), Phellodendri Cortex (Tongpi, crushed, 1 fen). (Note: Text mentions fifteen ingredients but lists fewer; translated as per text).
The above fifteen ingredients are pounded into powder, bound with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with rice drink or warm wine before meals.
To treat Kidney Labor with sores growing below the genitals, dampness, and itching, use the Cnidii Fructus Pill (Shechuangzi Wan):
Cnidii Fructus (Shechuangzi, stir-fried, 3 fen), Dipsaci Radix (Xuduan), Dioscoreae Rhizoma (Shanyu), Cistanches Herba (Rongshao, soaked in wine, sliced, and dried), Taxilli Herba (Sangjisheng), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed), Polygalae Radix (Yuanzhi). (Note: Text mentions nine ingredients but lists fewer; likely missing Cuscutae Semen based on context).
The above nine ingredients, excluding Cuscutae Semen (Tusizi), are pounded into powder, mixed evenly, and bound with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with salt water on an empty stomach.
To treat Kidney Labor with deficiency-cold, hunger without desire to eat, and dark complexion, use the Magnetitum Decoction (Cishi Tang):
Magnetitum (Cishi, quenched in vinegar five to seven times, 1.5 liang), Astragali Radix (Huangqi, crushed, 3 fen), Eucommiae Cortex (Duzhong, coarse bark removed, stir-baked, 1 liang), Alumen Rubrum (Baishiyin, crushed, 1 liang 1 qian). (Note: Text mentions seven ingredients but lists fewer; translated as per text).
The above seven ingredients are coarsely pounded and sifted. For each dose, take 5 qianbi, add 1.5 sheng of water, decoct until reduced to 1 sheng. Strain and take warm before meals, twice daily.
To treat Kidney Labor with deficiency and damage, abdominal distension and fullness, and vexatious pain in bone joints, use the Persicae Semen Decoction (Taoren Tang):
Persicae Semen (Taoren, soaked in hot water, skin and pointed end removed, double-kernel, stir-fried with bran, 2 liang), Atractylodis Macrocephalae Rhizoma (Baizhu, 1 liang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed, 3 fen each), Schizonepetae Spica (Jingjie) / Bi Cheng Qie? (Text says Bi Cheng, likely Bi Cheng Qie or similar; translated as listed). (Note: Text mentions five ingredients but lists fewer; translated as per text).
The above five ingredients are crushed like hemp or bean seeds. For each dose, take 2 qianbi, add 1 sheng of water, three slices of Zingiberis Rhizoma Recens (Shengjiang), and a little salt. Decoct together until reduced to 0.7 sheng. Strain and take slightly warm before meals, three times daily.
To treat Kidney Labor with deficiency and damage, soreness and pain in the waist and legs, urgent pain in the lower abdomen, frequent and slippery urination, and dark complexion, use the Yangqishi Pill (Yangqishi Wan):
Yangqishi (Yangqishi, flown/washed, 1 liang), Polygalae Radix (Yuanzhi, heart removed), Dioscoreae Rhizoma (Shanyu), Morindae Officinalis Radix (Bajitian, heart removed), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed, 2 liang each), Longgu (Dragon Bone), Eucommiae Cortex (Duzhong, coarse bark removed, stir-baked), Cuscutae Semen (Tusizi, soaked in wine, pounded separately), Lycii Cortex Radicis (Digupi), Acanthopanacis Senticosi Cortex (Wujiaopi, crushed), Rhizoma Smilacis Glabrae (Bixie), Selaginellae Tamariscinae Herba (Juanbai, 2.5 liang each). (Note: Text mentions twenty-one ingredients but lists fewer; translated as per text).
The above twenty-one ingredients are made into fine powder, bound with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with warm wine, taken on an empty stomach before meals.
To treat Kidney Labor with deficiency and damage, insufficiency of essence and qi, dark face, deafness, and turbid white urine, use the Schisandrae Fructus Pill (Wuweizi Wan):
Schisandrae Fructus (Wuweizi), Poria (Fuling, black skin removed), Plantaginis Semen (Cheqianzi), Morindae Officinalis Radix (Bajitian, heart removed), Cistanches Herba (Rongshao, soaked in wine, sliced, and dried), Cuscutae Semen (Tusizi, soaked in wine). (Note: Six ingredients listed).
The above six ingredients are pounded into powder, bound with refined honey, and pounded 300-200 times. Make into pills the size of Sophora seeds. Take 30 pills per dose, washed down with warm wine on an empty stomach and before evening meal.
To treat Kidney Labor with qi deficiency, emaciated and weak sinews and bones, and urgent pain in the abdomen, use the Cistanches Pill (Rongshao Wan):
Cistanches Herba (Rongshao, soaked in wine, sliced, and dried), Trigonellae Semen (Huluba), Zingiberis Rhizoma Preparatum (Ganjiang, processed), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and dried, 1 liang each), Foetida Seed (Xiangzi, stir-fried), Costi Radix (Muxiang, 1 fen each). (Note: Six ingredients listed).
The above six ingredients are pounded into powder, bound with vinegar-boiled wheat paste into pills the size of Sophora seeds. Take 20 pills per dose, washed down with warm wine before meals.
To treat deficiency labor with insufficient Kidney qi, pain in knees and shins, weak yang qi, frequent urination, cold and damp scrotum, dribbling after urination, spontaneous emission, impotence, sorrow and anger, and Xiao Ke (wasting-thirst syndrome), use the Tonify Kidney Pill (Bushen Wan):
Ophiopogonis Tuber (Maidong, heart removed, dried), Polygalae Radix (Yuanzhi, heart removed), Zingiberis Rhizoma Preparatum (Ganjiang, processed), Saposhnikoviae Radix (Fangfeng, forked parts removed), Aconiti Radix (Wuhui, cracked, skin and navel removed), Lycii Cortex Radicis (Gouqigen), Cinnamomi Ramulus (Guizhi, coarse bark removed). (Note: Text mentions seventeen ingredients but lists fewer; translated as per text).
The above seventeen ingredients are pounded into powder, bound with refined honey and egg white into pills the size of Sophora seeds. Take 10 pills per dose, washed down with warm wine before meals. Dosage may increase to 20 pills, three times daily.
To treat Kidney Labor with damp scrotum and sores, impotence and loss of essence, and frequent urination, use the Cuscutae Semen Pill (Tusizi Wan):
Cuscutae Semen (Tusizi, soaked in wine, pounded separately), Mumen (Mumen), Biota Semen (Baiziren, lightly stir-fried and pounded separately), Cnidii Fructus (Shechuangzi, stir-fried), Cistanches Herba (Rongshao, soaked in wine, sliced, and dried, 1 liang each). (Note: Five ingredients listed).
The above five ingredients are pounded into powder, bound with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with warm wine on an empty stomach, and take again at noon.
To treat Kidney Labor with deficiency and exhaustion of yang qi, swollen and itchy scrotum, use the Sargassum Pill (Haizao Wan):
Sargassum (Haizao, washed to remove salt, stir-baked, 1 liang), Cistanches Herba (Rongshao, soaked in wine, sliced, and dried), Tianxiong (Tianxiong, cracked, skin and navel removed), Foetida Seed (Xiangzi, stir-fried, 3 fen each), Costi Radix (Muxiang), Aquilariae Lignum Resinatum (Chenxiang, crushed), Concha Ostreae (Muli, calcined), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and dried), Sulfur (Liuhuang, pounded, 0.5 liang each). (Note: Nine ingredients listed).
The above nine ingredients are pounded and ground into powder, bound with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with salt water on an empty stomach, and take again at noon.
To treat Kidney deficiency labor with qi, lower back pain, deafness, yellow eyes with eye pain, dark green-black complexion, emaciated and weak limbs with vexation, phlegm-fluid attacking qi, and soreness and pain in joints, for tonification and benefit, use the Cistanches Hyrax Liver Pill (Rongshao Da Gan Wan):
Cistanches Herba (Rongshao, soaked in wine, sliced, and dried, 2 liang), Hyrax Liver (Da Gan, roasted with butter, one piece), Bupleuri Radix (Chaihu, sprouts removed), Gentianae Macrophyllae Radix (Qinjiao, sprouts and soil removed), Angelicae Sinensis Radix (Danggui, sliced and dried), Dendrobii Caulis (Shihu, roots removed), Poria (Fuling, black skin removed), Alismatis Rhizoma (Zexie), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed, 1.5 liang each), Polygalae Radix (Yuanzhi, heart removed), Morindae Officinalis Radix (Bajitian, heart removed, 2 liang each), Tribuli Fructus (Jili Zi, stir-fried, spines removed), Prepared Rehmanniae Radix (Shu Dihuang, dried), Magnoliae Officinalis Cortex (Houpo, coarse bark removed, stir-baked with ginger juice), Schisandrae Fructus (Wuweizi, stir-fried), Cinnamomi Ramulus (Guizhi, coarse bark removed), Persicae Semen (Taoren, skin and pointed end removed, double-kernel, stir-fried), Syzygii Arillatus Flos (Dingxiang), Costi Radix (Muxiang), Dioscoreae Rhizoma (Shanyu), Paeoniae Radix Alba (Shaoyao), Citri Reticulatae Pericarpium (Chenpi, soaked, white pith removed, dried), Halloysit Rubra (Chishizhi, pounded), Arecae Semen (Binglang, crushed), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried), Zingiberis Rhizoma Preparatum (Ganjiang, processed), Prunus Armeniaca Semen Amarum (Yuliren, hot water skin and pointed end removed, pounded), Glycyrrhizae Radix et Rhizoma (Gancao, stir-baked and crushed), Moutan Cortex (Mudanpi), Zanthoxyli Pericarpium (Shujiao, remove eyes and closed ones, stir-fry until sweat appears), Corni Fructus (Shanzhuyu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Concha Ostreae (Muli, calcined and pounded), Ginseng Radix et Rhizoma (Renshen, 1 liang each), Astragali Radix (Huangqi, crushed and stir-fried, 2.5 liang). (Note: Thirty-five ingredients listed).
The above thirty-five ingredients are pounded into powder, bound with refined honey into pills the size of Sophora seeds. Take 40 pills per dose, washed down with wine on an empty stomach.
To treat Kidney deficiency labor with qi, pain in waist and hips, weakness in feet and knees, empty ringing in ears, frequent nocturia, decreased appetite, women's blood labor, sallow complexion, stabbing pain in heart and abdomen, and unsmooth menstruation, use the Pig Liver Pill (Zhugan Wan):
Pig Liver (Zhugan, one piece, membrane removed, sliced, boiled in 2 dou of rice vinegar until very soft), Bupleuri Radix (Chaihu, sprouts removed), Alismatis Rhizoma (Zexie), Arecae Semen (Binglang, crushed), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed), Prepared Rehmanniae Radix (Shu Dihuang, dried), Angelicae Sinensis Radix (Danggui, stir-baked and crushed, 2 liang each), Zanthoxyli Pericarpium (Shujiao, remove eyes and closed ones, stir-fry until sweat appears), Persicae Semen (Taoren, skin and pointed end removed, double-kernel, stir-fry until yellow and pound), Tribuli Fructus (Jili Zi, stir-fried, spines removed), Achyranthis Bidentatae Radix (Niuxi, soaked in wine, sliced, and dried), Costi Radix (Muxiang), Gentianae Macrophyllae Radix (Qinjiao, sprouts and soil removed), Cinnamomi Ramulus (Guizhi, coarse bark removed), Myrobalani Fructus (Wuyi Ren, stir-fried), Zingiberis Rhizoma Preparatum (Ganjiang, processed), Coptidis Rhizoma (Huanglian, remove whiskers, stir-fried, 1 liang each). (Note: Seventeen ingredients listed).
The above seventeen ingredients, excluding the liver, are pounded into powder. Place the liver in a clay mortar and pound until smooth. Mix with the herb powder in a stone mortar, pound 3,000-5,000 times, add remaining vinegar and refined honey, mix well, and form pills the size of Sophora seeds by hand. Take 40 pills per dose, washed down with warm wine on an empty stomach.
To treat Five Labors and Seven Injuries with deficiency and exhaustion of Kidney qi, use the Aquilariae Decoction (Chenxiang Yin):
Aquilariae Lignum Resinatum (Chenxiang), Tribuli Fructus (Jili Zi, stir-fried, spines removed), Psoraleae Fructus (Buguzhi, stir-fry until fragrant), Morindae Officinalis Radix (Bajitian, heart removed), Ziziphi Spinosae Semen (Szaoren, stir-fried), Schisandrae Fructus (Wuweizi, stir-fried), Alismatis Rhizoma (Zexie), Magnetitum (Cishi, quenched in vinegar seven times), Cinnamomi Ramulus (Guizhi, coarse bark removed), Ginseng Radix et Rhizoma (Renshen), Citri Reticulatae Pericarpium (Chenpi, white pith removed, dried), Aurantii Fructus Immaturus (Zhike, pulp removed, stir-fried with bran), Achyranthis Bidentatae Radix (Niuxi, sliced, soaked in wine, dried), Paeoniae Radix Alba (Shaoyao), Dendrobii Caulis (Shihu, roots removed), Testudinis Carapax et Plastrum (Biejia, vinegar-roasted, skirt removed, 1 liang each), Arecae Semen (Binglang), Mantidis Oötheca (Sangpiaoxiao, 3 liang each), Cistanches Herba (Rongshao, soaked in wine, sliced, and dried), Angelicae Sinensis Radix (Danggui, sliced and dried), Bupleuri Radix (Chaihu, sprouts removed), Astragali Radix (Huangqi, crushed and stir-fried, 2 liang each), Ligustici Chuanxiong Rhizoma (Chuanxiong, 3 liang), Aconiti Lateralis Radix Preparata (Fuzi, cracked, skin and navel removed, 1.5 liang). (Note: Twenty-four ingredients listed).
The above twenty-four ingredients are finely crushed. For each dose, take 5 qianbi, add 1.5 sheng of water and five slices of Zingiberis Rhizoma Recens (Shengjiang). Decoct until reduced to 0.8 sheng. Strain and take warm on an empty stomach.
To treat deficiency labor from excessive lust causing injury, exhaustion of Kidney qi, coughing with saliva, emaciation and inability to eat, use the Picrorhizae Powder (Huhuanglian San):
Picrorhizae Rhizoma (Huhuanglian), Hyrax Liver (Da Gan, roasted), Myrobalani Fructus (Wuyi Ren, dried), Gentianae Macrophyllae Radix (Qinjiao, sprouts and soil removed), Atractylodis Macrocephalae Rhizoma (Baizhu, crushed, 1 fen each), Bupleuri Radix (Chaihu, sprouts removed), Testudinis Carapax et Plastrum (Biejia, skirt removed, vinegar-roasted, 0.5 liang each). (Note: Seven ingredients listed).
The above seven ingredients are pounded into powder. For each dose, take 3 qianbi. Take one pig kidney, one he of urine, and separately boil two he of wine until boiling. Soak the urine and kidney in the wine, add the medicine, cover with a bowl, and take when the aroma permeates. Do not eat the pig kidney.
To treat Kidney Labor with night sweats, shortness of breath, use the Astragali Decoction (Huangqi Yin):
Astragali Radix (Huangqi), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling, black skin removed), Schisandrae Fructus (Wuweizi, 1.5 liang each), Prepared Rehmanniae Radix (Shu Dihuang, dried), Concha Ostreae (Muli, calcined, 2 liang each). (Note: Seven ingredients listed).
The above seven ingredients are crushed like hemp or bean seeds. For each dose, take 5 qianbi, add 1.5 sheng of water, decoct until reduced to 0.8 sheng. Strain and take warm before meals, three times daily.
To treat Kidney deficiency labor with lower back pain and lack of strength, for tonifying deficiency, use the Eucommiae Pill (Duzhong Wan):
Eucommiae Cortex (Duzhong, coarse bark removed, stir-baked), Cinnamomi Ramulus (Guizhi, coarse bark removed), Poria (Fuling, black skin removed), Aurantii Fructus Immaturus (Zhike, pulp removed, stir-fried with bran, 1.5 liang each), Cuscutae Semen (Tusizi, soaked in wine overnight, pounded separately, 2 liang), Zingiberis Rhizoma Preparatum (Ganjiang, processed, 0.5 liang), Polygalae Radix (Yuanzhi, heart removed, 2 liang). (Note: Seven ingredients listed).
The above seven ingredients are pounded into powder, bound with refined honey into pills the size of Sophora seeds. Take 30 pills per dose, washed down with warm wine or jujube soup before meals.
To treat Kidney Labor with slipping and leakage of essence and qi, for tonification, use the Rehmanniae Pill (Dihuang Wan):
Prepared Rehmanniae Radix (Shu Dihuang, 3 liang), Cervi Cornu Pantotrichum (Lurong, hair removed, roasted with butter), Polygalae Radix (Yuanzhi, heart removed), Corni Fructus (Shanzhuyu, 1.5 liang each), Cnidii Fructus (Shechuangzi, 0.5 liang), Cuscutae Semen (Tusizi, soaked in wine, pounded separately, 2 liang). (Note: Six ingredients listed).
The above six ingredients are pounded into powder, bound with refined honey into pills the size of Sophora seeds. Take 30 pills per dose, washed down with wine before meals.