一名肉果
辛，温。入手足阳明经。理脾暖胃，温中下气。化痰饮，消宿食，解酒毒，辟恶气。治
积冷
除心腹胀痛，涩大肠止泻痢滑泄，及小儿胃寒，伤乳吐泻。配木香，下气消胀。（脾健运，
气自下。）配补骨脂，使戊癸化火，以运谷气。勿犯铜、铁器，糯米粉裹煨熟，或面裹煨熟，
去油净用。滞下初起，及暴
注火泻者，禁用。
肉果补土中之火，制土之湿也，亦所以润土之燥。盖脾本湿，虚则燥，然其燥有二，如
夏火
灼干之燥，如秋凉清肃之燥。火盛以致燥者，当用水润之，生熟地、麦冬之类是也。寒肃以
致燥者，宜假火蒸之，肉果、附子之类是也。用寒用热，治毋混施。
一名破故纸
得胡桃、胡麻良。恶甘草。忌诸血、芸苔。辛、苦，大温。入命门、手厥阴经。暖肾脏
以壮元阳，补相火以通君火。
治肾冷精滑，带浊
遗尿，腹冷溏泄，腰膝酸疼，阴冷囊湿。得肉果、大枣为丸，治脾肾虚泄。（或加木香。）得
山栀、茯神，治上热下寒。配茴香、肉桂，治血瘀腰疼。配胡桃、杜仲，治风寒腰痛。
暖上焦，酒炒蒸。暖肾，盐水炒。恐其性燥，乳拌蒸，胡麻、胡桃拌蒸亦可。恐其热入心脏
，童便浸蒸。阴虚下陷，内热烦渴，眩运气虚，怀妊（温燥气降。）心胞热、二便结者，禁
用。
怪症∶玉茎不痿，精滑不止，时时如针刺，捏之则 ，名肾漏。配韭子各一两，每三钱，
水
煎，日服三次，至愈而止。气不归肾，动用破故纸纳之。岂知气之上泛，由精水之不足，水
虚则生火，破故纸补命门之
火，以火济火，真水益涸，虚火益炽，火有余、便是气，其气更浮于上而不下。且此动胞络
之火，君相火炽，烦而且躁，其病未有不危者矣。莫若重投熟地，佐以茯苓、磁石，加砂仁
为使，则气自归元，乃至稳至当之剂也。
【肉豆蔻】
又名肉果。
味辛，性温。归手阳明大肠经和足阳明胃经。能调理脾胃、温暖胃部，温中焦并降逆气。可化解痰饮，消除积存的食物，解除酒毒，驱除秽浊之气。用于治疗脏腑积冷，消除心腹部胀满疼痛，固涩大肠以止住泻痢及滑脱不禁，以及治疗小儿因胃寒引起的伤乳吐泻。与木香配伍，可降气消胀。（脾气健运，气机自然下行。）与补骨脂配伍，能使戊土与癸水化合为火，从而运化谷气。使用时不可接触铜、铁器具，需用糯米粉包裹煨熟，或用面粉包裹煨熟，去尽油分后使用。对于痢疾初起，以及突发暴注火泻者，禁用。
肉豆蔻能补益脾土中的阳气（命门之火），制约脾土的湿气，同时也起到滋润脾土干燥的作用。因为脾脏本性偏湿，虚弱时则表现为燥，但这种燥有两种情况：一种像夏季烈火灼烧导致的干燥，另一种像秋季清凉肃杀导致的干燥。由火热过盛导致干燥的，应当用水来滋润，如生地黄、熟地黄、麦冬之类。由寒凉肃杀导致干燥的，适宜借火力蒸润，如肉豆蔻、附子之类。使用寒药还是热药，治疗时切勿混淆施用。
【补骨脂】
又名破故纸。
与胡桃、胡麻搭配效果良好。忌与甘草同用。忌食各种肉类、芸苔（油菜）。味辛、苦，性大温。归命门经和手厥阴心包经。能温暖肾脏以壮旺元阳，补益相火以通达君火。
用于治疗肾冷引起的遗精滑泄、白带浑浊、遗尿，腹部寒冷便溏，腰膝酸软疼痛，阴部寒冷囊袋潮湿。与肉豆蔻、大枣制成丸剂，可治疗脾肾虚损引起的泄泻。（也可加入木香。）与山栀、茯神搭配，可治疗上热下寒证。与茴香、肉桂配伍，可治疗血瘀引起的腰痛。与胡桃、杜仲配伍，可治疗风寒引起的腰痛。
若要温暖上焦，用酒炒蒸；若要温暖肾脏，用盐水炒。若担心其性质过于燥烈，可用乳汁拌蒸，或与胡麻、胡桃一起拌蒸。若担心其热性入心脏，可用童便浸泡后蒸制。对于阴虚下陷、内热烦渴、眩晕且气虚者，孕妇（因其性温燥且气机下降）禁用。心包有热、大小便不通者，禁用。
怪异病症：阴茎不痿软，精液滑泄不止，时时感觉如针刺般疼痛，捏之则……，名为“肾漏”。将韭菜子各一两，每次取三钱，水煎服，每日三次，直到痊愈为止。气不归肾，动用破故纸将其纳回。哪里知道气的上泛，是由于精水不足，水虚则生火，破故纸补益命门之火，这是以火济火，导致真水更加枯竭，虚火更加炽盛，火有余便是气，这股气更加浮越于上而不能下行。况且这是动用了胞络之火，君火与相火炽盛，烦躁不安，这种病没有不危险的。不如重用熟地黄，辅以茯苓、磁石，加砂仁作为引经药，这样气自然回归本源，这才是稳妥恰当的方剂。
[Rou Dou Kou (Nutmeg)]
Also known as Rou Guo.
Pungent, warm. Enters the Hand-Yangming Large Intestine Meridian and Foot-Yangming Stomach Meridian. Regulates the Spleen and warms the Stomach, warms the Middle Jiao and directs Qi downward. Resolves phlegm-fluids, eliminates retained food, resolves alcohol toxicity, and dispels evil qi. Treats accumulation of cold in the viscera, removes abdominal distension and pain, astringes the Large Intestine to stop diarrhea, dysentery, and incontinence, and treats infant vomiting and diarrhea due to Stomach cold. Combined with Mu Xiang (Aucklandiae Radix), it directs Qi downward and reduces distension. (When the Spleen's transportation function is robust, Qi naturally descends.) Combined with Bu Gu Zhi (Psoraleae Fructus), it facilitates the transformation of Wu Earth and Gui Water into Fire, thereby transporting grain Qi. Avoid contact with copper and iron vessels. Wrap in glutinous rice flour or dough and roast until cooked, remove oil completely before use. Contraindicated in early-stage dysentery and sudden violent watery diarrhea due to fire.
Rou Dou Kou supplements the Fire within Spleen Earth, controls the dampness of Earth, and also moistens the dryness of Earth. The Spleen is inherently damp; when deficient, it manifests as dryness. However, this dryness has two types: one is like the dryness caused by scorching summer fire, and the other is like the dryness caused by autumnal coolness and clarity. For dryness caused by excessive fire, water should be used to moisten, such as Sheng Di Huang (Rehmanniae Radix) and Shu Di Huang (Prepared Rehmanniae Radix), Mai Dong (Ophiopogonis Radix). For dryness caused by cold and clarity, heat should be borrowed to steam and moisten, such as Rou Dou Kou and Fu Zi (Aconiti Lateralis Radix Praeparata). Whether using cold or hot remedies, treatment must not be mixed indiscriminately.
[Bu Gu Zhi (Psoraleae Fructus)]
Also known as Po Gu Zhi.
Works well with Hu Tao (Walnut) and Hu Ma (Sesame). Adverse reaction with Gan Cao (Glycyrrhizae Radix et Rhizoma). Contraindicated with various meats and Yun Tai (Brassica rapa var. oleifera). Pungent, bitter, very warm. Enters the Mingmen (Gate of Life) and Hand-Jueyin Pericardium Meridians. Warms the Kidneys to strengthen Yuan Yang, supplements Xiang Fire to unblock Jun Fire.
Treats Kidney cold causing spermatorrhea, turbid leukorrhea, enuresis, abdominal cold with loose stools, soreness and pain in the waist and knees, cold genitals and damp scrotum. Made into pills with Rou Dou Kou and Da Zao (Jujubae Fructus) to treat deficiency-cold diarrhea of the Spleen and Kidney. (Mu Xiang may be added.) Combined with Shan Zhi (Gardeniae Fructus) and Fu Shen (Poria with Hostwood), it treats upper heat and lower cold. Paired with Hui Xiang (Foeniculi Fructus) and Rou Gui (Cinnamomi Cortex), it treats lumbar pain due to blood stasis. Paired with Hu Tao and Du Zhong (Eucommiae Cortex), it treats lumbar pain due to wind-cold.
To warm the Upper Jiao, stir-fry with wine. To warm the Kidneys, stir-fry with salt water. If concerned about its dry nature, steam with milk, or steam with Hu Ma and Hu Tao. If concerned about its heat entering the Heart, soak in child's urine before steaming. Contraindicated in Yin deficiency with sinking, internal heat with irritability and thirst, dizziness with Qi deficiency, pregnancy (due to its warm-drying nature and descending Qi), Pericardium heat, and constipation of both bowels.
Strange Syndrome: The penis does not flaccidify, spermatorrhea continues without stopping, feeling like needle pricks at times, pain upon pinching, named "Kidney Leak." Combine Jiu Cai Zi (Allii Tuberosi Semen) in equal amounts (one liang each), take three qian per dose, decoct in water, take three times daily until cured. When Qi fails to return to the Kidneys, use Po Gu Zhi to anchor it. However, one must realize that the floating up of Qi is due to insufficiency of Essence and Water. When Water is deficient, Fire arises. Po Gu Zhi supplements the Fire of Mingmen, which is adding fire to fire, causing True Water to become further depleted and Deficient Fire to become more blazing. Excess Fire generates Qi, causing this Qi to float upward even more instead of descending. Moreover, this agitates the Fire of the Bao Luo (Pericardium Collaterals); with blazing Jun and Xiang Fires, irritability and restlessness ensue, and such conditions are invariably critical. It is better to heavily prescribe Shu Di Huang (Prepared Rehmanniae Radix), assist with Fu Ling (Poria), Ci Shi (Magnetitum), and add Sha Ren (Amomi Fructus) as a guiding herb. In this way, Qi will naturally return to its origin, making it a stable and appropriate prescription.