治虚弱骨蒸体虚。
当归 生地黄 白术 黄 人参（各三钱） 赤茯苓 陈皮 赤芍药 白茯苓 甘草
浓朴
钱）
每服水二盏、姜三片、枣五枚，煎，与保和汤间服，每日一服。
惊悸，加茯神、远志、柏子仁、酸枣仁。
淋浊，加萆 、乌药、猪苓、泽泻。
便涩，加石苇、 蓄、木通、赤苓。
遗精，加龙骨、牡蛎、莲心、莲须。
燥热，加石膏、滑石、鳖甲、青蒿。
盗汗，加浮小麦、牡蛎、黄 、麻黄根。
参 归地术三钱，赤白茯苓朴草兼。赤芍陈皮钱半等，味柴白芍二冬编。骨皮熟地和知
柏，各一钱加姜枣煎。
骨蒸又见悸和惊，枣远茯神柏子仁。淋浊萆乌猪泽入，遗精龙牡莲须心。小便涩要加石
苇， 蓄木通共赤苓。燥热青蒿石滑鳖，麻根盗汗蛎浮 。
一名保和者。因失血之后，气血未调，率难把握。然调血者，以气为主。调气者，实肺
为司
其所以为保矣！至保真则气血之味俱等，大旨以甘温为主，甘凉佐之，而苦寒又佐之，未常
禁用苦寒也，而与今日之用寒凉者异矣。曰保真者，大辅其正，兼泻其邪，使生机活泼，油
油然而不已也。两方如法大备，然非尽用，亦姑列之，以伺去取耳。学人须知。
陈修园按∶此方即十全大补汤，去川芎、肉桂，加赤苓、赤芍、生地、天冬、麦冬、五
味子
，肝火即雷火也。知母、黄柏以降肾火，肾火即龙火也。又合麦冬、五味子为生脉散，俾水
天一气。又合天门冬为三才汤，以位育一身。最妙是陈皮、浓朴、甘草入胃，宽中行滞，导
诸药各尽其运动之力，而协和共济，且药品轻重得宜，大有法度。但芍药以花之赤白别之，
其根则不可辨也。药肆中另有一草，叶小根大，与芍药无异，余家山中亲见采药人握取盈囊
，问之，则曰药铺所备赤芍，皆此种也。始信《本草崇原》注云∶赤芍不知何草之根，今外
科小儿科习用害人之说，非虚语也，方中当去之。
治疗虚弱引起的骨蒸潮热、身体消瘦。
当归、生地黄、白术、黄芪、人参（各三钱）、赤茯苓、陈皮、赤芍药、白茯苓、甘草、厚朴（各一钱）。
每次服用时加水两盏、生姜三片、大枣五枚，煎煮后，与保和汤交替服用，每日一剂。
若伴有惊悸症状，加入茯神、远志、柏子仁、酸枣仁。
若出现淋证、尿浊，加入萆薢、乌药、猪苓、泽泻。
若小便涩滞不畅，加入石苇、瞿麦、木通、赤茯苓。
若出现遗精，加入龙骨、牡蛎、莲心、莲须。
若感到燥热，加入石膏、滑石、鳖甲、青蒿。
若出现盗汗，加入浮小麦、牡蛎、黄芪、麻黄根。
参归地术三钱重，赤白茯苓厚朴草兼用。
赤芍陈皮半钱等，味柴白芍二冬编入方。
地骨皮熟地和知母，黄柏各一钱加姜枣煎。
骨蒸潮热又见心悸惊恐，加入枣仁、远志、茯神、柏子仁。
淋浊加入萆薢、乌药、猪苓、泽泻，
遗精加入龙骨、牡蛎、莲须、莲心。
小便涩滞要加石苇，
瞿麦、木通共配赤茯苓。
燥热加入青蒿、石膏、滑石、鳖甲，
麻黄根治盗汗配牡蛎、浮小麦。
其中一方名为“保和”。因为在失血之后，气血尚未调和，往往难以把握病情。然而调理血液，以调气为主；调理气机，实则由肺所主管。这就是它被称为“保和”的原因！至于“保真”，则气血药物的分量相等，大旨以甘温药物为主，甘凉药物佐助，苦寒药物又作为佐使，并非完全禁用苦寒药物，这与今日使用寒凉药物的方法不同。称为“保真”，是大力扶助正气，同时兼泻邪气，使生机活泼，自然而然地不断生长。两方如果依法配制已很完备，但并非全部使用，也姑且列出它们，以供学者参考取舍罢了。学习中医的人必须知晓这一点。
陈修园按语：此方即是十全大补汤，去掉川芎、肉桂，加入赤茯苓、赤芍药、生地黄、天冬、麦冬、五味子。肝火即是雷火。知母、黄柏用来降肾火，肾火即是龙火。又合麦冬、五味子组成生脉散，使天水之气合一。又合天门冬组成三才汤，以安顿养育全身。最妙的是陈皮、厚朴、甘草入胃，宽中行滞，引导诸药各自发挥运动之力，从而协和共济，而且药品轻重得当，大有法度。只是芍药可以通过花的赤白来辨别，但其根部则无法分辨。药铺中另有一种草，叶子小根部大，与芍药无异，我家在山中亲眼见到采药人抓取装满口袋，询问他们，他们说药铺所备的赤芍，都是这种草药。这才相信《本草崇原》注释中说：赤芍不知是什么草根，如今外科、小儿科习惯使用这种伤害人的说法，并非虚言，方中应当去掉赤芍。
Treats deficiency-induced bone-steaming fever and emaciation.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Recens (Shengdihuang), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Membranacei Radix (Huangqi), Ginseng Radix et Rhizoma (Renshen) (each 3 qian), Red Poria (Chifuling), Tangerine Peel (Chenpi), Red Peony Root (Chishaoyao), White Poria (Bailing), Licorice Root (Gancao), Magnolia Bark (Houpo) (each 1 qian).
For each dose, add two cups of water, three slices of ginger, and five jujubes. Decoct and take alternately with Baohe Tang, once daily.
If palpitations and fright are present, add Fushen (Poria with Hostwood), Polygalae Radix (Yuanzhi), Biota Seed (Baiziren), and Ziziphus Seed (Suanzaoren).
If stranguria and turbid urine occur, add Dioscoreae Hypoglaucae Rhizome (Bixie), Linderae Cortex (Wuyao), Polyporus (Zhuling), and Alisma Rhizome (Zexie).
If urination is difficult and painful, add Pyri Folium (Shiwei), Polygoni Avicularis Herba (Qumai), Akebia Caulis (Mutong), and Red Poria (Chiling).
If seminal emission occurs, add Dragon Bone (Longgu), Oyster Shell (Muli), Lotus Plumule (Lianxin), and Lotus Stamen (Lianxu).
If dryness-heat is felt, add Gypsum Fibrosum (Shigao), Talcum (Huashi), Turtle Carapax (Biejia), and Artemisiae Annuae Herba (Qinghao).
If night sweats occur, add Triticum Levis Fructus (Fuxiaomai), Oyster Shell (Muli), Astragali Membranacei Radix (Huangqi), and Ephedrae Radix et Rhizoma Caudicis (Mahuanggen).
Ginseng, Angelica, Rehmannia, and Atractylodes at 3 qian;
Red and White Poria, Magnolia Bark, and Licorice are also used.
Red Peony and Tangerine Peel at half a qian equal parts;
Schisandra, Bupleurum, White Peony, and the Two Asparagi are woven in.
With Cortex Phellodendri (Digupi), Prepared Rehmannia (Shudi), Anemarrhenae Rhizoma (Zhimu),
and Phellodendri Chinensis Cortex (Huangbai), each 1 qian, decoct with ginger and jujube.
Bone-steaming accompanied by palpitations and fright:
Add Jujube Seed (Zaoren), Polygalae Radix (Yuanzhi), Fushen, and Biota Seed (Baiziren).
For stranguria and turbid urine:
Add Dioscoreae Hypoglaucae Rhizome (Bixie), Linderae Cortex (Wuyao), Polyporus (Zhuling), and Alisma Rhizome (Zexie).
For seminal emission:
Add Dragon Bone (Longgu), Oyster Shell (Muli), Lotus Stamen (Lianxu), and Lotus Plumule (Lianxin).
For difficult urination:
Add Pyri Folium (Shiwei);
Polygoni Avicularis Herba (Qumai), Akebia Caulis (Mutong), and Red Poria (Chiling) together.
For dryness-heat:
Add Artemisiae Annuae Herba (Qinghao), Gypsum Fibrosum (Shigao), Talcum (Huashi), and Turtle Carapax (Biejia).
For night sweats:
Ephedrae Radix et Rhizoma Caudicis (Mahuanggen), Oyster Shell (Muli), and Triticum Levis Fructus (Fuxiaomai).
One of these formulas is named "Baohe" (Preserve Harmony). This is because after hemorrhage, qi and blood are not yet harmonized, making it difficult to grasp the condition. However, regulating blood primarily involves regulating qi; regulating qi is actually governed by the Lung. This is why it is called "Preserve Harmony"! As for "Baozhen" (Preserve Truth), the ingredients for qi and blood are balanced in weight. The main principle relies on sweet-warm herbs, assisted by sweet-cool herbs, and bitter-cold herbs are also used as assistants, without completely banning bitter-cold herbs. This differs from the modern use of cold-cooling herbs. It is called "Preserve Truth" because it greatly assists the righteous qi while simultaneously draining pathogenic factors, allowing vital energy to be lively and growing naturally and continuously. Both formulas are fully prepared according to method, but they are not all used; they are listed here tentatively for scholars to select or discard as appropriate. Students must understand this.
Chen Xiuyuan's commentary: This formula is essentially Shiquan Dabu Tang (Ten Significant Tonifying Decoction), removing Chuanxiong Rhizoma (Chuanxiong) and Cinnamomi Cortex (Rougui), and adding Red Poria (Chifuling), Red Peony Root (Chishaoyao), Rehmanniae Radix Recens (Shengdihuang), Asparagi Cochinchinensis Rhizoma (Tiandong), Ophiopogonis Radix (Maidong), and Schisandrae Fructus (Wuweizi). Liver fire is thunder fire. Anemarrhenae Rhizoma (Zhimu) and Phellodendri Chinensis Cortex (Huangbai) descend kidney fire, which is dragon fire. Combined with Ophiopogonis Radix (Maidong) and Schisandrae Fructus (Wuweizi), they form Shengmai San (Generate Pulse Powder), unifying heaven and water qi. Combined with Asparagi Cochinchinensis Rhizoma (Tiandong), they form Santang Tang (Three Powers Decoction) to nourish and regulate the whole body. The most ingenious aspect is that Tangerine Peel (Chenpi), Magnolia Bark (Houpo), and Licorice Root (Gancao) enter the stomach, widening the middle and moving stagnation, guiding each herb to exert its movement power, thereby coordinating and assisting each other. Moreover, the weights of the herbs are appropriate, demonstrating great methodology. However, Peony Root can be distinguished by the red or white color of its flower, but its root cannot be distinguished. In medicine shops, there is another herb with small leaves and large roots, indistinguishable from Peony Root. I personally saw collectors filling bags with it in the mountains. When asked, they said that the Red Peony Root prepared by the shop was all this kind. Only then did I believe the annotation in *Bencao Chongyuan* stating: "It is unknown what root constitutes Red Peony Root." The current habitual use of this in surgery and pediatrics, which harms people, is not an empty statement; Red Peony Root should be removed from this formula.