妇人因情欲房室，以致经脉不调者，其病皆在肾经。此证最多，所当辨而治之。
凡欲念不遂，沉思积郁，心脾气结，致伤冲任之源，而肾气日消，轻则或早或迟，重则渐成枯闭。此宜
兼治心、脾、肾，以逍遥饮、秘元煎之类主之。
逍遥饮（见《新方八阵·因阵》）治妇人思郁过度，致伤心脾冲任之源，血气日枯，渐至经脉不
调者。
当归（二、三钱） 芍药（钱半） 熟地（三、五钱） 枣仁（二钱炒） 茯神（钱半） 远志（制三五分）
陈皮（八分） 炙甘草（一钱）
水二钟，煎七分，食远温服。如气虚者，加人参一二钱，如经水过期兼痛滞者，加酒炒香附一二钱。
秘元煎（见血虚经乱）
若或欲火炽盛，以致真阴日溃者，宜保阴煎、秘元
煎之类主之。
保阴煎（见血热经早）
秘元煎（见血虚经乱）
若房室纵肆不慎者，必伤冲任之流，而肾气不守，治须扃固命门，宜固阴煎、秘元煎之类主之。
固阴煎（见《新方八阵·固阵》）治阴虚滑泄，带浊淋遗，及经水因虚不固等证。此方专主肝肾。
人参（随宜） 熟地（三、五钱） 山药（炒二钱） 山茱萸（一钱半） 远志（七分炒）
炙甘草（一、二钱） 五味（十四粒） 菟丝子（炒香二、三钱）
水二钟，煎七分，食远温服。如虚滑遗甚者，加金樱子肉二三钱，或醋炒文蛤一钱，或乌梅二个。
如阴虚微热而经血不固者，加续断二钱。如下焦阳气不足而兼腹痛溏泄者，加补骨脂、吴茱萸之类，随
宜用之。如
肝肾血虚，小腹痛而血不归经者，加当归二三钱。如脾虚多湿或兼呕恶者，加白术一二钱。如气陷不固者，
加炒升麻一钱。如兼心虚不眠或多汗者，加枣仁二钱炒用。
秘元煎（见血虚经乱）
若左肾真阴不足，而经脉不调者，宜左归饮、左归丸、六味地黄丸之类主之。
左归饮（见《新方八阵·补阵》）此壮水之剂也。凡命门之阴衰阳胜者，宜此方加减主之。此一阴
煎、四阴煎之主方也。
熟地（二、三钱或加至一、二两） 山药（二钱） 枸杞（二钱） 炙甘草（一钱） 茯苓（一钱半）
山茱萸（一、二钱。畏酸者少用之）
水二钟，煎七分，食远服。如肺热而烦者，加麦冬二钱，血滞者，加丹皮二钱；心热而躁者，加玄参二
钱；脾热易饥者，加芍药二钱；肾热骨蒸多汗者，加地骨皮二钱。血热妄动者，加生地二三钱；阴虚不宁者，
加女贞子二钱，上实下虚者，加牛膝二钱以导之；血虚
而燥滞者，加当归二钱。
左归丸（见《新方八阵·补阵》）治真阴肾水不足，不能滋养营卫，渐至衰弱，或虚热往来，
自汗盗汗，或神不守舍，血不归源，或虚损伤阴，或遗淋不禁，或气虚昏运，或眼花耳聋，或口燥舌干，
或腰酸腿软。凡精髓内亏，津液枯涸等证，俱速宜壮水之主，以培左肾之元阴，而精血自充矣，宜此方主之。
大怀熟（地）（八两） 山药（炒四两） 枸杞（四两） 山茱萸肉（四两） 川牛膝（酒洗蒸熟三两
精滑者不用） 菟丝子（制四两） 鹿胶（敲碎炒珠四两） 龟胶（切碎炒珠四两无火者不必用）
上先将熟地蒸烂杵膏，加炼蜜丸桐子大，每食前用滚汤或淡盐汤送下百余丸。
如真阴失守，虚火炎上者，宜用纯阴至静之剂，于本方去枸杞、鹿胶，加女贞子三两，麦冬三两。如火烁
肺金，干枯多嗽者，加百合三两。如夜热骨蒸，加地骨皮三两。如小水不利不清，加茯苓三两。如大便燥结，
去菟丝，加肉苁蓉三两。如气虚者，加人参三四两。如血虚微滞，加当归四两。如腰膝酸痛，加杜仲三两，盐
水炒用。如脏平无火而肾气不充者，加破故纸三两、去心莲肉、胡桃肉各四两，龟胶不必用。凡五液皆主于
肾，故凡属阴分之药，无不皆能走肾，有谓必须导引者，皆见之不明耳。
六味地黄丸（见经不调）
若右肾真阳不足，而经有不调者，宜右归饮、右归丸、八味地黄丸之类主之。
右归饮（见《新方八阵·补阵》）此益火之剂也。凡命门之阳衰阴胜者，宜此方加减主之。此方
与大补元煎出入互用，如治阴盛格阳，真寒假热等证，宜加泽泻二钱，煎成用凉水浸冷，服之尤妙。
熟地（二、三钱或加至一、二两） 山药（炒二钱） 山茱萸（一钱） 枸杞（二钱） 甘草（炙一、二钱）
杜仲（姜制二钱） 肉桂（一、二钱） 制附子（一、二、三钱）
水二钟，煎七分，食远温服。如气虚血脱，或厥或昏或汗或运（同晕），或虚狂或短气者，必大加人参、
白术，随宜用之。如火衰不能生土，为呕哕吞酸者，加炮姜二、三钱；如阳衰中寒，泄泻腹痛，加人参、肉豆
蔻，随宜用之；如小腹多痛者，加吴茱萸五、七分；如淋带不止，加破故纸一钱。如血少血滞，腰膝软痛
者，加当归二、三钱。
右归丸（见《新方八阵·补阵》）治元阳不足，或先天禀衰，或劳伤过度，以致命门火衰，不能
生土，而为脾胃虚寒，饮食少进，或呕恶膨胀，或翻胃噎膈，或怯寒畏冷，或脐腹多痛，或大便不实，泻
痢频作，或小水自遗，虚淋寒疝，或寒侵溪谷而肢节痹痛，或寒在下焦而水邪浮肿。总之，真阳不足者，必
神疲气怯，或心跳不宁，或四体不收，或眼见邪祟，或阳衰无子等证，俱速宜益火之源，以培右肾之元阳，
而神气自强矣。此方主之。
大怀熟（地）（八两） 山药（炒四两） 山茱萸（微炒三两） 枸杞（微炒四两） 鹿角胶（炒珠四两）
菟丝子（制四两） 杜仲（姜汤炒四两） 当归（三两便溏勿用） 肉桂（二两渐可加至四两）
制附子（自二两渐可加至五、六两）
上先将熟地蒸烂捣膏，加炼蜜丸如弹子大，每嚼服二三丸，以滚白汤（刚开的开水）送下，其效尤速。
如阳衰气虚，必加人参以为之主，或二三两，或五六两，随人虚实以为增减，盖人参之功，随阳药则入阳
分，随阴药则入阴分，欲补命门之阳，非加人参不能捷
效。如阳虚精滑，或带浊便溏，加补骨脂酒炒三两；如飧泄肾泄不止，加北五味子三两，肉豆蔻三两，面炒去
油用。如饮食减少或不易化，或呕恶吞酸，皆脾、胃虚寒之证，加干姜三四两，炒黄用；如腹痛不止，加吴茱
萸二两，汤泡半日，炒用。如腰膝酸痛，加胡桃肉连皮四两。如阴虚阳痿，加巴戟肉四两、肉苁蓉三两，
或加黄狗外肾一二副，以酒煮烂，捣入之。
八味地黄丸（即八味丸。见经不调）
若思郁不解致病者，非得情舒愿遂，多难取效；房室不慎致病者，使非勇于节欲，亦难全恃药饵也。
妇人因情欲或房事不节，导致月经失调的，病位都在肾经。这种证候最为常见，应当仔细辨别并治疗。
凡是欲望得不到满足，深思积郁，导致心脾气机结滞，从而损伤冲任二脉的根本，致使肾气日渐消损，轻则月经或提前或推后，重则逐渐形成经血枯竭、闭经。这种情况应当兼顾治疗心、脾、肾三脏，以逍遥饮、秘元煎等方剂为主进行治疗。
逍遥饮（见《新方八阵·因阵》）用于治疗妇人思虑忧郁过度，导致伤心脾及冲任之源，气血日渐枯槁，逐渐出现月经不调的情况。
当归（二至三钱） 芍药（一钱半） 熟地黄（三至五钱） 酸枣仁（二钱，炒） 茯神（一钱半） 远志（制，三至五分）
陈皮（八分） 炙甘草（一钱）
加水两钟，煎至七分，饭后稍久温服。如果气虚者，加人参一至二钱；如果月经过期且伴有疼痛阻滞者，加酒炒香附一至二钱。
秘元煎（见血虚经乱章节）
如果有性欲旺盛炽盛，导致真阴日渐耗损溃败的，适宜用保阴煎、秘元煎等方剂为主治疗。
如果房事放纵不慎，必然损伤冲任之流，导致肾气不固，治疗必须扃固命门，适宜用固阴煎、秘元煎等方剂为主治疗。
固阴煎（见《新方八阵·固阵》）用于治疗阴虚滑泄、白带浑浊、淋证遗尿，以及因虚导致经血不固等证候。此方专门主治肝肾。
人参（随病情适宜用量） 熟地黄（三至五钱） 山药（炒，二钱） 山茱萸（一钱半） 远志（七分，炒）
炙甘草（一至二钱） 五味子（十四粒） 菟丝子（炒香，二至三钱）
加水两钟，煎至七分，饭后稍久温服。如果虚滑遗精严重者，加金樱子肉二至三钱，或醋炒文蛤一钱，或乌梅二个。
如果阴虚有微热且经血不固者，加续断二钱。如果下焦阳气不足且伴有腹痛便溏者，加补骨脂、吴茱萸等，随宜使用。如果肝肾血虚，小腹痛且经血不归经者，加当归二至三钱。如果脾虚多湿或兼有呕吐恶心者，加白术一至二钱。如果气陷不固者，加炒升麻一钱。如果兼有心虚失眠或多汗者，加炒酸枣仁二钱。
秘元煎（见血虚经乱章节）
如果左肾真阴不足，导致经脉不调的，适宜用左归饮、左归丸、六味地黄丸等方剂为主治疗。
左归饮（见《新方八阵·补阵》）这是壮水（滋阴）的方剂。凡是命门阴衰阳胜的，适宜用此方加减治疗。这是一阴煎、四阴煎的主方。
熟地黄（二至三钱，或加至一至二两） 山药（二钱） 枸杞（二钱） 炙甘草（一钱） 茯苓（一钱半）
山茱萸（一至二钱。畏酸者少用）
加水两钟，煎至七分，饭后稍久服用。如果肺热而烦躁者，加麦冬二钱；血滞者，加牡丹皮二钱；心热而躁动者，加玄参二钱；脾热易饥者，加芍药二钱；肾热骨蒸多汗者，加地骨皮二钱。血热妄动者，加生地黄二至三钱；阴虚不宁者，加女贞子二钱；上实下虚者，加牛膝二钱以引导下行；血虚而燥滞者，加当归二钱。
左归丸（见《新方八阵·补阵》）用于治疗真阴肾水不足，不能滋养营卫，逐渐导致衰弱，或有虚热往来，自汗盗汗，或神不守舍，血不归源，或虚损伤阴，或遗尿淋沥不禁，或气虚头晕，或眼花耳聋，或口燥舌干，或腰酸腿软。凡是精髓内亏，津液枯涸等证候，都应当迅速采用壮水之主的方法，来培补左肾的元阴，那么精血自然充足，适宜用此方为主治疗。
大怀熟地黄（八两） 山药（炒，四两） 枸杞（四两） 山茱萸肉（四两） 川牛膝（酒洗蒸熟，三两，精滑者不用） 菟丝子（制，四两） 鹿角胶（敲碎炒珠，四两） 龟板胶（切碎炒珠，四两，无火者不必用）
先将熟地黄蒸烂捣成膏，加入炼蜜制成梧桐子大小的丸药，每餐前用滚开水或淡盐汤送服百余丸。
如果真阴失守，虚火炎上的，适宜用纯阴至静的方剂，在本方中去掉枸杞、鹿角胶，加女贞子三两，麦冬三两。如果火烁肺金，干枯多咳嗽者，加百合三两。如果夜热骨蒸，加地骨皮三两。如果小便不利不清，加茯苓三两。如果大便燥结，去掉菟丝子，加肉苁蓉三两。如果气虚者，加人参三至四两。如果血虚微滞，加当归四两。如果腰膝酸痛，加杜仲三两，盐水炒用。如果脏腑平和无火但肾气不充者，加破故纸三两、去心莲肉、胡桃肉各四两，龟板胶不必用。凡五液皆由肾主司，所以凡是属于阴分的药物，无不都能入肾，有人说必须用导引法，都是见识不明罢了。
六味地黄丸（见经不调章节）
如果右肾真阳不足，导致月经不调的，适宜用右归饮、右归丸、八味地黄丸等方剂为主治疗。
右归饮（见《新方八阵·补阵》）这是益火（温阳）的方剂。凡是命门阳衰阴胜的，适宜用此方加减治疗。此方与大补元煎出入互用，如治疗阴盛格阳、真寒假热等证候，适宜加泽泻二钱，煎好后用凉水浸冷，服用尤其奇妙。
熟地黄（二至三钱，或加至一至二两） 山药（炒，二钱） 山茱萸（一钱） 枸杞（二钱） 甘草（炙，一至二钱）
杜仲（姜制，二钱） 肉桂（一至二钱） 制附子（一至三钱）
加水两钟，煎至七分，饭后稍久温服。如果气虚血脱，或厥逆或昏沉或出汗或眩晕，或虚狂或短气的，必须大量加入人参、白术，随宜使用。如果火衰不能生土，导致呕吐呃逆吞酸的，加炮姜二至三钱；如果阳衰中寒，泄泻腹痛，加人参、肉豆蔻，随宜使用；如果小腹多痛者，加吴茱萸五至七分；如果淋浊带下不止，加破故纸一钱。如果血少血滞，腰膝软痛者，加当归二至三钱。
右归丸（见《新方八阵·补阵》）用于治疗元阳不足，或先天禀赋衰弱，或劳伤过度，导致命门火衰，不能生土，而为脾胃虚寒，饮食减少，或呕吐恶心胀满，或翻胃噎膈，或怯寒畏冷，或脐腹多痛，或大便不实，泻痢频发，或小便自遗，虚淋寒疝，或寒邪侵袭溪谷导致肢节痹痛，或寒在下焦导致水邪浮肿。总之，真阳不足的，必定精神疲倦气怯，或心跳不宁，或四肢无力收持，或眼见邪祟，或阳衰无子等证候，都应当迅速采用益火之源的方法，来培补右肾的元阳，那么神气自然强盛，此方为主治疗。
大怀熟地黄（八两） 山药（炒，四两） 山茱萸（微炒，三两） 枸杞（微炒，四两） 鹿角胶（炒珠，四两）
菟丝子（制，四两） 杜仲（姜汤炒，四两） 当归（三两，便溏者勿用） 肉桂（二两，渐可加至四两）
制附子（自二两渐可加至五至六两）
先将熟地黄蒸烂捣成膏，加入炼蜜制成弹子大小的丸药，每次嚼服二三丸，用刚开的白开水送下，其效果尤其迅速。
如果阳衰气虚，必须加入人参作为主药，或二三两，或五六两，随人的虚实情况增减，因为人参的功效，随阳药则入阳分，随阴药则入阴分，想要补益命门的阳气，非加人参不能取得捷效。如果阳虚精滑，或带下浑浊便溏，加补骨脂酒炒三两；如果飧泄肾泄不止，加北五味子三两，肉豆蔻三两，面炒去油用。如果饮食减少或不易消化，或呕吐恶心吞酸，都是脾胃虚寒的证候，加干姜三至四两，炒黄用；如果腹痛不止，加吴茱萸二两，汤泡半天，炒用。如果腰膝酸痛，加连皮胡桃肉四两。如果阴虚阳痿，加巴戟天肉四两、肉苁蓉三两，或加黄狗外肾一二副，用酒煮烂，捣入其中。
八味地黄丸（即八味丸。见经不调章节）
如果是思虑忧郁不解导致的疾病，如果不使心情舒畅愿望达成，大多难以取效；如果是房事不慎导致的疾病，如果不勇于节制欲望，也难以完全依赖药物治愈。
Women whose menstruation is irregular due to sexual desire or improper sexual conduct have their pathology located in the Kidney Meridian. This syndrome is most common and should be carefully differentiated and treated.
Whenever desires are unfulfilled, leading to deep contemplation and accumulated depression, causing Qi stagnation in the Heart and Spleen, thereby damaging the source of the Chong and Ren vessels, the Kidney Qi will gradually diminish. Mild cases may present with menstruation occurring either early or late; severe cases may gradually develop into amenorrhea due to blood exhaustion. In such cases, treatment should simultaneously address the Heart, Spleen, and Kidney, primarily using formulas such as Xiaoyao Yin (Dissatisfaction Decoction) and Mi Yuan Jian (Secret Origin Decoction).
Xiaoyao Yin (see *New Formulas Eight Arrays · Array of Causes*) treats women who suffer from excessive worry and depression, injuring the source of the Heart, Spleen, Chong, and Ren vessels, causing daily depletion of Qi and Blood, gradually leading to menstrual irregularities.
Dang Gui (Angelicae Sinensis Radix) (2-3 qian), Bai Shao (Paeoniae Radix Alba) (1.5 qian), Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian), Zao Ren (Ziziphi Spinosae Semen) (2 qian, stir-fried), Fu Shen (Poria Cum Radix Pini) (1.5 qian), Yuan Zhi (Polygalae Radix) (processed, 0.3-0.5 qian), Chen Pi (Citri Reticulatae Pericarpium) (0.8 fen), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian).
Add two zhong of water, decoct until seven-tenths remain, take warm after meals. If Qi deficiency exists, add Ren Shen (Panacis Ginseng Radix) 1-2 qian; if menstruation is overdue accompanied by pain and stagnation, add Jiu Chao Xiang Fu (Cyperi Rhizoma prepared with wine) 1-2 qian.
Mi Yuan Jian (see section on Blood Deficiency Menstrual Irregularity).
If sexual fire is blazing, causing daily erosion of True Yin, Bao Yin Jian (Protect Yin Decoction) or Mi Yuan Jian should be used primarily.
Bao Yin Jian (see section on Heat in Blood Early Menstruation).
Mi Yuan Jian (see section on Blood Deficiency Menstrual Irregularity).
If sexual conduct is unrestrained and careless, it must damage the flow of the Chong and Ren vessels, causing Kidney Qi to fail to secure itself. Treatment must secure the Mingmen (Gate of Life), primarily using Gu Yin Jian (Secure Yin Decoction) or Mi Yuan Jian.
Gu Yin Jian (see *New Formulas Eight Arrays · Array of Security*) treats syndromes of Yin deficiency with slippery discharge, leukorrhea turbidity, stranguria with enuresis, and menstrual blood insecurity due to deficiency. This formula specifically targets the Liver and Kidney.
Ren Shen (Panacis Ginseng Radix) (dose according to suitability), Shu Di Huang (Rehmanniae Radix Praeparata) (3-5 qian), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 2 qian), Shan Zhu Yu (Corni Fructus) (1.5 qian), Yuan Zhi (Polygalae Radix) (0.7 fen, stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1-2 qian), Wu Wei Zi (Schisandrae Chinensis Fructus) (14 grains), Tu Si Zi (Cuscutae Semen) (stir-fried until fragrant, 2-3 qian).
Add two zhong of water, decoct until seven-tenths remain, take warm after meals. If deficiency slipperiness and seminal emission are severe, add Jin Ying Zi (Chrysobalani Fructus) flesh 2-3 qian, or Cu Chao Wen Ge (Meretrix Shell prepared with vinegar) 1 qian, or Wu Mei (Mume Fructus) 2 pieces.
If Yin deficiency with slight heat and insecure menstrual blood exist, add Xu Duan (Dipsaci Radix) 2 qian. If lower Jiao Yang deficiency is accompanied by abdominal pain and loose stools, add Bu Gu Zhi (Psoraleae Fructus) and Wu Zhu Yu (Evodiae Fructus) as suitable. If Liver-Kidney Blood deficiency causes lower abdominal pain and blood not returning to its vessel, add Dang Gui (Angelicae Sinensis Radix) 2-3 qian. If Spleen deficiency with dampness or accompanying nausea/vomiting exists, add Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1-2 qian. If Qi sinking and insecurity exist, add Chao Sheng Ma (Ephedrae Caulis stir-fried) 1 qian. If accompanied by Heart deficiency insomnia or excessive sweating, add stir-fried Zao Ren (Ziziphi Spinosae Semen) 2 qian.
Mi Yuan Jian (see section on Blood Deficiency Menstrual Irregularity).
If Left Kidney True Yin is insufficient, causing menstrual irregularities, Zuo Gui Yin (Left Return Decoction), Zuo Gui Wan (Left Return Pill), or Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used primarily.
Zuo Gui Yin (see *New Formulas Eight Arrays · Array of Tonification*) is a formula for strengthening Water (nourishing Yin). For any case where Mingmen Yin declines and Yang prevails, this formula should be modified and used. It is the main formula for Yi Yin Jian (One-Yin Decoction) and Si Yin Jian (Four-Yin Decoction).
Shu Di Huang (Rehmanniae Radix Praeparata) (2-3 qian, or increased to 1-2 liang), Shan Yao (Dioscoreae Rhizoma) (2 qian), Gou Qi (Lycii Fructus) (2 qian), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) (1 qian), Fu Ling (Poria) (1.5 qian), Shan Zhu Yu (Corni Fructus) (1-2 qian. Use less if sensitive to sour taste).
Add two zhong of water, decoct until seven-tenths remain, take after meals. If Lung heat with irritability exists, add Mai Dong (Ophiopogonis Radix) 2 qian; if Blood stagnation exists, add Dan Pi (Moutan Cortex) 2 qian; if Heart heat with restlessness exists, add Xuan Shen (Scrophulariae Radix) 2 qian; if Spleen heat with easy hunger exists, add Shao Yao (Paeoniae Radix) 2 qian; if Kidney heat with bone-steaming and sweating exists, add Di Gu Pi (Lycii Cortex) 2 qian. If Heat in Blood acts recklessly, add Sheng Di Huang (Rehmanniae Radix) 2-3 qian; if Yin deficiency with unrest exists, add Nv Zhen Zi (Ligustri Lucidi Fructus) 2 qian; if Upper Excess and Lower Deficiency exist, add Niu Xi (Achyranthis Bidentatae Radix) 2 qian to guide downward; if Blood deficiency with dryness and stagnation exists, add Dang Gui (Angelicae Sinensis Radix) 2 qian.
Zuo Gui Wan (see *New Formulas Eight Arrays · Array of Tonification*) treats insufficiency of True Yin and Kidney Water, failing to nourish Ying and Wei, gradually leading to weakness, or alternating deficiency heat, spontaneous sweating, night sweats, or Spirit not residing in its house, Blood not returning to its source, or deficiency injury damaging Yin, or involuntary seminal emission and stranguria, or Qi deficiency with dizziness, or blurred vision and deafness, or dry mouth and tongue, or soreness and weakness of waist and legs. For all syndromes of internal depletion of essence and fluids, it is urgent to strengthen the master of Water to cultivate the Original Yin of the Left Kidney, so that Essence and Blood will naturally fill up. This formula should be used primarily.
Da Huai Shu Di Huang (Rehmanniae Radix Praeparata) (8 liang), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 4 liang), Gou Qi (Lycii Fructus) (4 liang), Shan Zhu Yu Rou (Corni Fructus Flesh) (4 liang), Chuan Niu Xi (Achyranthis Bidentatae Radix) (wine-washed and steamed, 3 liang, do not use for seminal emission), Tu Si Zi (Cuscutae Semen) (processed, 4 liang), Lu Jiao Jiao (Corvi Cornus Colla) (broken and stir-fried into beads, 4 liang), Gui Jiao Jiao (Testudinis Carapacis et Plastratis Colla) (chopped and stir-fried into beads, 4 liang, not needed if no fire).
First steam the Shu Di Huang until soft and mash into paste, add refined honey to make pills the size of paulownia seeds. Take over one hundred pills before meals with boiling water or light salt water.
If True Yin fails to secure and deficient Fire flares upward, use a pure Yin and extremely quiet formula. Remove Gou Qi and Lu Jiao Jiao from this base formula, add Nv Zhen Zi (Ligustri Lucidi Fructus) 3 liang and Mai Dong (Ophiopogonis Radix) 3 liang. If Fire scorches Lung Metal causing dryness and cough, add Bai He (Lilii Bulbus) 3 liang. If night heat with bone-steaming, add Di Gu Pi (Lycii Cortex) 3 liang. If urination is difficult and unclear, add Fu Ling (Poria) 3 liang. If stool is dry and constipated, remove Tu Si Zi and add Cong Rong (Cistanches Herba) 3 liang. If Qi deficiency, add Ren Shen (Panacis Ginseng Radix) 3-4 liang. If Blood deficiency with slight stagnation, add Dang Gui (Angelicae Sinensis Radix) 4 liang. If waist and knee soreness/pain, add Du Zhong (Eucommiae Cortex) 3 liang, stir-fried with salt water. If Zang-Fu are peaceful without fire but Kidney Qi is not filled, add Po Gu Zhi (Psoraleae Fructus) 3 liang, Qu Xin Lian Rou (Nelumbinis Semen without heart) and Hu Tao Rou (Juglandis Semen) each 4 liang; Gui Jiao Jiao is not needed. Since the Five Fluids are governed by the Kidney, all Yin-natured herbs can enter the Kidney. Those who say guidance techniques are necessary show poor understanding.
Liu Wei Di Huang Wan (see section on Menstrual Irregularity).
If Right Kidney True Yang is insufficient, causing menstrual irregularities, You Gui Yin (Right Return Decoction), You Gui Wan (Right Return Pill), or Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) should be used primarily.
You Gui Yin (see *New Formulas Eight Arrays · Array of Tonification*) is a formula for benefiting Fire (warming Yang). For any case where Mingmen Yang declines and Yin prevails, this formula should be modified and used. This formula interacts with Da Bu Yuan Jian (Great Tonify Origin Decoction). For treating Yin excess repelling Yang, True Cold False Heat, etc., add Ze Xie (Alismatis Rhizoma) 2 qian. After decoction, immerse in cold water before taking; this is especially excellent.
Shu Di Huang (Rehmanniae Radix Praeparata) (2-3 qian, or increased to 1-2 liang), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 2 qian), Shan Zhu Yu (Corni Fructus) (1 qian), Gou Qi (Lycii Fructus) (2 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma) (prepared with honey, 1-2 qian), Du Zhong (Eucommiae Cortex) (ginger-processed, 2 qian), Rou Gui (Cinnamomi Cortex) (1-2 qian), Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) (1-3 qian).
Add two zhong of water, decoct until seven-tenths remain, take warm after meals. If Qi deficiency and Blood collapse occur, or there is Jue (cold extremities), coma, sweating, vertigo, false mania, or shortness of breath, large doses of Ren Shen (Panacis Ginseng Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) must be added as suitable. If Fire decline fails to generate Earth, causing vomiting, hiccup, and acid regurgitation, add Pao Jiang (Zingiberis Rhizoma Praeparatum) 2-3 qian; if Yang decline with Middle Cold, diarrhea, and abdominal pain, add Ren Shen (Panacis Ginseng Radix) and Rou Dou Kou (Myristicae Semen) as suitable. If frequent lower abdominal pain, add Wu Zhu Yu (Evodiae Fructus) 0.5-0.7 qian. If stranguria and leukorrhea persist, add Po Gu Zhi (Psoraleae Fructus) 1 qian. If Blood scarcity with stagnation, soft and painful waist/knees, add Dang Gui (Angelicae Sinensis Radix) 2-3 qian.
You Gui Wan (see *New Formulas Eight Arrays · Array of Tonification*) treats insufficiency of Original Yang, congenital weakness, or excessive labor/injury leading to Mingmen Fire decline, failing to generate Earth, resulting in Spleen-Stomach deficiency cold, reduced appetite, vomiting/nausea/bloating, fan wei (regurgitation) or ye ge (dysphagia), aversion to cold, frequent umbilical/abdominal pain, loose stools, frequent dysentery/diarrhea, involuntary urination, deficiency stranguria/cold hernia, cold invading xigu (valleys) causing joint bi-pain, or cold in Lower Jiao causing water retention edema. In summary, for True Yang insufficiency presenting with mental fatigue and Qi timidity, restless heartbeat, inability to control limbs, seeing evil spirits, or infertility due to Yang decline, it is urgent to benefit the source of Fire to cultivate the Original Yang of the Right Kidney, so that Spirit and Qi will naturally strengthen. This formula is primary.
Da Huai Shu Di Huang (Rehmanniae Radix Praeparata) (8 liang), Shan Yao (Dioscoreae Rhizoma) (stir-fried, 4 liang), Shan Zhu Yu (Corni Fructus) (lightly stir-fried, 3 liang), Gou Qi (Lycii Fructus) (lightly stir-fried, 4 liang), Lu Jiao Jiao (Corvi Cornus Colla) (stir-fried into beads, 4 liang), Tu Si Zi (Cuscutae Semen) (processed, 4 liang), Du Zhong (Eucommiae Cortex) (ginger-water stir-fried, 4 liang), Dang Gui (Angelicae Sinensis Radix) (3 liang, avoid if loose stools), Rou Gui (Cinnamomi Cortex) (2 liang, gradually increase to 4 liang), Zhi Fu Zi (Aconiti Lateralis Radix Praeparata) (gradually increase from 2 liang to 5-6 liang).
First steam the Shu Di Huang until soft, mash into paste, add refined honey to make pills the size of bullet seeds. Chew 2-3 pills at a time, swallow with freshly boiled white water; the effect is particularly rapid.
If Yang decline and Qi deficiency, Ren Shen (Panacis Ginseng Radix) must be added as the principal agent, either 2-3 liang or 5-6 liang, increasing or decreasing according to the person's deficiency/excess. The merit of Ren Shen enters the Yang aspect when combined with Yang herbs, and the Yin aspect when combined with Yin herbs. To tonify Mingmen Yang, adding Ren Shen is essential for swift efficacy. If Yang deficiency with seminal emission, or turbid leukorrhea and loose stools, add Jiu Chao Bu Gu Zhi (Psoraleae Fructus prepared with wine) 3 liang. If sun-xie (undigested food in stool) or Kidney-xie persists, add Bei Wu Wei Zi (Schisandrae Chinensis Fructus) 3 liang and Rou Dou Kou (Myristicae Semen) 3 liang, stir-fried with flour to remove oil. If reduced diet or indigestion, or vomiting/nausea/acid regurgitation, these are Spleen-Stomach deficiency cold syndromes; add Gan Jiang (Zingiberis Rhizoma) 3-4 liang, stir-fried yellow. If abdominal pain persists, add Wu Zhu Yu (Evodiae Fructus) 2 liang, soaked in water for half a day, then stir-fried. If waist/knee soreness/pain, add Hu Tao Rou (Juglandis Semen) with skin 4 liang. If Yin deficiency with impotence, add Ba Ji Rou (Morindae Officinalis Radix) 4 liang and Cong Rong (Cistanches Herba) 3 liang, or add 1-2 pairs of Huang Gou Wai Shen (Canis Testis) boiled in wine until soft, then mashed into the formula.
Ba Wei Di Huang Wan (i.e., Ba Wei Wan. See section on Menstrual Irregularity).
If diseases are caused by unresolved worry/depression, unless mood is relaxed and wishes fulfilled, efficacy is hard to achieve; if diseases are caused by careless sexual conduct, unless one bravely restricts desire, relying solely on medicine is difficult to fully cure.