删繁论曰∶凡精极者。通主五脏六腑之病候也。若五脏六腑衰则形体皆极。目视无明。
齿焦而发落。身重则肾水生。耳聋。行步不正。邪风逆于六腑。淫虚厥于五脏。故曰精极也。
凡
实
虚。虚
逆。所以
五脏。若
为志先
知彼。
千金疗精极实热。眼视无明。齿焦发落。形衰体痛。通身虚热。竹叶黄芩汤方。
竹叶（切三升） 黄芩 茯苓（各三两） 生姜（六两） 麦门冬（去心） 甘草（炙）
大黄（
各二两） 芍药（四两） 生地黄（切一升）
上九味切。以水九升。煮取三升。去滓。分为三服。忌酢物海藻菘菜芜荑。（删繁同）
又疗精极。五藏六腑俱损伤。虚热遍身烦疼。骨中 痛烦闷方。
生地黄（汁二升） 生麦门冬（汁） 赤蜜 竹沥（各一升） 石膏（八两碎） 人参
（三两）
芎（三两） 甘草（一两炙） 黄芩（三两） 当归（四两） 桂心（四两） 麻黄（二
两去节）
上十二味切。以水七升。先煮八物。取二升。去滓。下地黄汁等煮取四升。分四服。日
三夜一。忌海藻菘菜生葱芜荑。（删繁桂三两删繁同并出第十九卷中）
病源肾气虚损。不能藏精。故精漏失。其病少腹弦急。阴头寒。目眶痛。发落。诊其脉
数而散者。失精脉也。凡脉芤动微紧。男子失精。（出第四卷中）
深师人参丸。疗虚劳失精方。
人参（二两） 桂心 牡蛎（熬） 薯蓣 黄柏 细辛 附子（炮） 苦参（各三分） 泽
泻（
五分） 麦门冬（去心） 干姜 干地黄（各四分） 菟丝子（二分）
上十三味捣合下筛。和以白蜜为丸。酒服如梧子大三丸。痹加附子一分炮。妇人血崩。
加干地黄好者二分。一本云黄柏四分。忌猪肉冷水生葱生菜芜荑。（出第三卷中）
范汪疗男子虚失精。三物天雄散方。
天雄（三两炮） 白术（八分） 桂心（六分）
上药捣下筛。服半钱匕。日三稍稍增之。忌猪肉冷水桃李雀肉生葱。（张仲景方有龙骨
文仲同出第六十八卷中）
千金疗男子虚劳失精阴缩灸法。
灸中封五十壮
又男子虚劳失精阴上缩。茎中痛方。
灸大赫三十壮。穴在夹屈骨端三寸。（并出第十九卷中）
（以上灸穴尺寸远近具在第三十九卷中）
古今录验疗虚损失精。黄 汤方。
黄 当归 甘草（炙各二两） 桂心（六两） 苁蓉 石斛（各三两） 干枣（百三
十枚） 白蜜（二升）
上八味切。以水一斗。煮取四升。纳蜜。煎取三升。分为四服。日三夜一。以食相间。
忌海藻菘菜生葱。（范汪同出第三卷中）
《删繁论》说：凡是精极证，统管五脏六腑的病候。如果五脏六腑功能衰退，形体就会极度虚弱，视物不明，牙齿枯焦，头发脱落，身体沉重则肾水泛溢（水肿），耳聋，行走不稳。邪风逆乱于六腑，虚邪厥逆于五脏，所以称为精极。
凡病有实、虚之分，虚证与逆证，影响五脏。如果……作为志气先……知道那些情况。
《千金方》治疗精极实证热证，眼睛视物不明，牙齿枯焦，头发脱落，形体衰败，身体疼痛，全身虚热。竹叶黄芩汤方：
竹叶（切三升） 黄芩 茯苓（各三两） 生姜（六两） 麦门冬（去心） 甘草（炙）
大黄（各二两） 芍药（四两） 生地黄（切一升）
以上九味药切碎，用水九升，煮取三升，去掉药渣，分三次服用。忌食醋、海藻、菘菜、芜荑。（《删繁论》相同）
又治疗精极，五脏六腑都受损，全身虚热烦痛，骨中疼痛烦闷的方子：
生地黄（汁二升） 生麦门冬（汁） 赤蜜 竹沥（各一升） 石膏（八两碎） 人参
（三两）
川芎（三两） 甘草（一两炙） 黄芩（三两） 当归（四两） 桂心（四两） 麻黄（二两去节）
以上十二味药切碎，用水七升，先煮前八味药，取二升，去掉药渣，加入地黄汁等再煮取四升，分四次服用。白天服三次，夜间服一次。忌食海藻、菘菜、生葱、芜荑。（《删繁论》中桂心三两，《删繁论》相同，均出自第十九卷）
《病源》说：肾气虚损，不能固藏精气，所以精气漏失。病症表现为少腹弦急，阴头寒冷，眼眶疼痛，头发脱落。诊察其脉象数而散的，是失精的脉象。凡是脉象芤动微紧，男子出现失精症状。（出自第四卷）
《深师方》人参丸，治疗虚劳失精的方子：
人参（二两） 桂心 牡蛎（熬） 薯蓣 黄柏 细辛 附子（炮） 苦参（各三分） 泽泻
（五分） 麦门冬（去心） 干姜 干地黄（各四分） 菟丝子（二分）
以上十三味药捣碎混合过筛，用白蜜调和做成丸药。酒送服，如梧桐子大小，每次三丸。若有痹症，加附子一分并炮制；妇人血崩，加好的干地黄二分。另一版本说黄柏四分。忌食猪肉、冷水、生葱、生菜、芜荑。（出自第三卷）
范汪治疗男子虚证失精，三物天雄散方：
天雄（三两炮） 白术（八分） 桂心（六分）
以上药物捣碎过筛。服用半钱匕的量，每天三次，逐渐增加剂量。忌食猪肉、冷水、桃李、雀肉、生葱。（张仲景的方中有龙骨，文仲相同，出自第六十八卷）
《千金方》治疗男子虚劳失精导致阴囊收缩的灸法：
灸中封穴五十壮。
又男子虚劳失精，阴茎上缩，茎中疼痛的方子：
灸大赫穴三十壮。穴位在夹屈骨端三寸处。（均出自第十九卷）
（以上灸穴的尺寸远近均在第三十九卷中记载）
《古今录验》治疗虚损失精的黄耆汤方：
黄耆 当归 甘草（炙各二两） 桂心（六两） 苁蓉 石斛（各三两） 干枣（一百三十枚） 白蜜（二升）
以上八味药切碎，用水一斗，煮取四升，加入蜂蜜，煎取三升，分四次服用。白天三次，夜间一次，与进食间隔服用。忌食海藻、菘菜、生葱。（范汪相同，出自第三卷）
The *Shanfan Lun* (Treatise on Eliminating Redundancy) states: In cases of Jing Ji (Exhaustion of Essence), the pathological manifestations involve all five Zang and six Fu organs. If the functions of the five Zang and six Fu organs decline, the physical form becomes extremely exhausted; vision is blurred; teeth become dry and brittle, and hair falls out; the body feels heavy due to Kidney Water overflowing (edema); deafness occurs; and gait is unsteady. Pathogenic wind reverses in the six Fu organs, and deficient pathogenic factors cause Jue (reversal/collapse) in the five Zang organs. Therefore, it is called Jing Ji.
Diseases are categorized into Excess (Shi) and Deficiency (Xu). Deficient and reversed conditions affect the five Zang organs. If... as the will first... knowing those situations.
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) treats Excess-Heat type Jing Ji, characterized by blurred vision, dry/brittle teeth, hair loss, physical emaciation, body pain, and generalized deficiency heat. The formula is Zhuye Huangqin Tang (Bamboo Leaf and Scutellaria Decoction):
Zhuye (Cut Bamboo Leaf, 3 Sheng cut) Huangqin (Scutellariae Radix) Fuling (Poria) [each 3 Liang] Shengjiang (Fresh Ginger, 6 Liang) Maimendong (Ophiopogonis Radix, heart removed) Gancao (Licorice Root, roasted)
Dahuang (Rhei Radix et Rhizoma) [each 2 Liang] Shaoyao (Paeoniae Radix, 4 Liang) Shengdihuang (Rehmanniae Radix, 1 Sheng cut)
Chop the above nine ingredients. Add 9 Sheng of water, decoct to obtain 3 Sheng. Remove the dregs. Divide into three doses. Avoid vinegar, Haizao (Sargassum), Songcai (Chinese Cabbage), and Wuyi (Coriander). (Same as *Shanfan*).
Another prescription for Jing Ji, where all five Zang and six Fu organs are damaged, presenting with generalized deficiency heat, vexation, pain, and bone-deep pain/vexation:
Shengdihuang (Juice of Rehmanniae Radix, 2 Sheng) Sheng Maimendong (Juice of Ophiopogonis Radix) Chi Mi (Red Honey) Zhuli (Bamboo Juice) [each 1 Sheng] Shigao (Gypsum Fibrosum, 8 Liang crushed) Renshen (Ginseng Radix, 3 Liang)
Xiong (Ligustici Chuanxiong Rhizoma, 3 Liang) Gancao (Licorice Root, roasted, 1 Liang) Huangqin (Scutellariae Radix, 3 Liang) Danggui (Angelicae Sinensis Radix, 4 Liang) Guixin (Cinnamomi Ramulus, 4 Liang) Mahuang (Ephedrae Herba, de-stemmed, 2 Liang)
Chop the above twelve ingredients. Add 7 Sheng of water. First decoct the first eight ingredients to obtain 2 Sheng. Remove the dregs. Add the juices of Shengdihuang etc., and decoct again to obtain 4 Sheng. Divide into four doses. Take three times during the day and once at night. Avoid Haizao, Songcai, raw Cong (Scallion), and Wuyi. (Guixin 3 Liang in *Shanfan*, same as *Shanfan*; both from Volume 19).
*Bingyuan* (Source of Diseases) states: When Kidney Qi is deficient and impaired, it cannot store essence, leading to leakage of essence. Symptoms include tension and urgency in the lower abdomen, coldness at the glans penis, pain in the eye sockets, and hair loss. Palpating a rapid and scattered pulse indicates the pulse pattern of lost essence. Generally, a Kou (cunni) moving, faint, and tight pulse in men indicates lost essence. (From Volume 4).
*Shenshi Fang* (Deep Master's Prescriptions) Renshen Wan (Ginseng Pill) treats Xu Lao (Consumptive Disease) with lost essence:
Renshen (Ginseng Radix, 2 Liang) Guixin (Cinnamomi Ramulus) Liumoli (Ostreae Concha, calcined) Shuyu (Dioscoreae Rhizoma) Huangbai (Phellodendri Cortex) Xixin (Asari Radix et Rhizoma) Fuzi (Aconiti Lateralis Radix Praeparata, processed) Kushen (Sophorae Flavescentis Radix) [each 3 Fen] Zexie (Alismatis Rhizoma, 5 Fen) Maimendong (Ophiopogonis Radix, heart removed) Ganjiang (Zingiberis Rhizoma Recens) Gany Dihuang (Dry Rehmanniae Radix) [each 4 Fen] Tusizi (Cuscutae Semen, 2 Fen)
Pulverize and mix the above thirteen ingredients, passing through a sieve. Blend with white honey to form pills. Administer with wine, size of Wuzi (Wu-tzu seeds/loquat seeds), three pills per dose. For Bi syndrome (obstruction/pain), add 1 Fen of processed Fuzi. For women with blood flooding (metrorrhagia), add 2 Fen of high-quality Gany Dihuang. Another version states Huangbai 4 Fen. Avoid pork, cold water, raw Cong, raw vegetables, and Wuyi. (From Volume 3).
Fan Wang treats male deficiency-type lost essence with Sanwu Tianxiong San (Three-Ingredient Tianxiong Powder):
Tianxiong (Aconiti Kusnezoffii Radix, 3 Liang, processed) Baizhu (Atractylodis Macrocephalae Rhizoma, 8 Fen) Guixin (Cinnamomi Ramulus, 6 Fen)
Pulverize the above herbs and pass through a sieve. Administer half a Qianbi (coin-sized measure). Three times daily, gradually increasing the dose. Avoid pork, cold water, peaches, plums, sparrow meat, and raw Cong. (Zhang Zhongjing's formula includes Longgu; Wen Zhong is the same; from Volume 68).
*Qianjin Fang* (Prescriptions Worth a Thousand Gold) moxibustion method for male Xu Lao with lost essence causing Yin retraction:
Moxa Zhongfeng (KI9) 50 Zhu (moxa cones).
Another case of male Xu Lao with lost essence, penile retraction, and pain in the urethra:
Moxa Dahe (KI12) 30 Zhu. The acupoint is located 3 Cun from the end of the flexed bone. (Both from Volume 19).
(The dimensions and distances of the above moxa points are detailed in Volume 39).
*Gujin Luyan* (Ancient and Modern Verified Records) treats deficiency loss of essence with Huangqi Tang (Astragalus Decoction):
Huangqi (Astragali Radix) Danggui (Angelicae Sinensis Radix) Gancao (Licorice Root, roasted, each 2 Liang) Guixin (Cinnamomi Ramulus, 6 Liang) Congrong (Cynomorii Herba) Shihu (Dendrobii Caulis) [each 3 Liang] Ganzao (Jujubae Fructus, 130 pieces) Baimi (White Honey, 2 Sheng)
Chop the above eight ingredients. Add 1 Dou of water, decoct to obtain 4 Sheng. Add honey, simmer to obtain 3 Sheng. Divide into four doses. Take three times during the day and once at night, alternating with meals. Avoid Haizao, Songcai, and raw Cong. (Same as Fan Wang; from Volume 3).