治吐血衄血。（阳乘于阴，血热妄行，此方甚良，然但可暂用而已。）
生荷叶 生艾叶 生地黄 生侧柏叶 四件烂捣，丸如鸡子大，每服一丸，滚汤化。统
而论
于阴，火去则血归经而吐衄愈矣。
治阴虚有火，盗汗，发热。（心之所藏在内者为血，发于外为汗，汗乃心之液。脏腑表
里之阳，皆心主之以行其变化，随其阳气所在之处而生津，亦随其火扰之处泄而为汗。汗者
心之阳，寝者肾之阴。阴虚睡熟，阳必凑之，故汗出也。有火者，谓有面赤口干唇燥便赤音
重脉数诸证。）
当归 生地黄 熟地黄 黄芩 黄柏 黄连（等分） 黄 （加倍） 加麻黄根（本汤
加麻黄根
阴虚有火，睡去则卫外之阳，乘虚陷入阴中，表液失其固卫，故 然而汗出。及觉则
阳用事，卫气复出于表，表实而汗即止。归地所以养阴，芩连所以去火，生地黄柏可以养阴，
亦可以去火。而倍用黄 ，所以补卫固表也。（准绳曰∶阴虚阳必凑，故发热盗汗，宜当归
六黄汤加地骨皮。阳虚阴必乘，故发厥自汗，宜黄 建中汤。甚者加附子，或 附汤。）
（金匮） 治命门火衰，不能生土，以致脾胃虚寒，饮食少思，泄泻腹胀。〔（仲景云∶）
气虚有痰，宜肾气丸补而逐之。）吴茭山云∶八味丸，治痰之本也。〕或元阳虚惫，阳痿精寒，
脐腹疼痛，夜多漩溺，膝酸腰软，目昏等证。王冰所谓益火之原，以消阴翳也，尺脉弱者宜
之。（亦有假有力者，服之亦效。）
熟地黄（用怀生地。水洗去砂土，柳木甑砂锅上蒸一日，晒干，再蒸再晒，九次为度，
临用捣膏，八两。） 山萸肉（陈者酒润） 怀山药（四两） 茯苓（乳拌） 丹皮 泽泻
（三两） 肉桂（去皮） 熟附子（一两） 蜜丸。（洛谓蜜性甘缓，易猪肾煮烂为丸，似
更得。） 空心盐汤下。
吴鹤皋曰∶肾中水火俱亏者，此方主之。加五味鹿茸，名十补丸。治两尺微弱，阴阳俱
虚。
（景岳） 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，或反胃噎膈，或欲寒畏冷，或脐腹疼痛，或大便不实，泻痢
频作，或小水自遗。虚淋寒疝，或寒侵溪谷，而肢节痛痹。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，或四肢不收，或眼见邪祟，或阳衰无子等证。速宜
益火之原，以培右肾之元阳，而神气自强矣。八味丸治之不愈者，宜服此，或用右归饮。（
凡八味右归用桂附等方，唯肺阴有余者宜之，否则助火烁金，反生肺病。）
大怀熟（八两） 山药 山萸肉 枸杞 菟丝（制） 杜仲（姜汤炒） 鹿角胶（炒珠
四两） 当归（三两便溏勿用） 附子（制） 肉桂（二两）上丸法如前，或丸如弹子大。
每嚼服二三丸，白汤下，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。
治疗吐血、鼻出血。（阳气乘袭阴分，导致血热妄行，此方效果很好，但只能暂时使用。）
生荷叶、生艾叶、生地黄、生侧柏叶，四味药材捣烂，制成如鸡蛋大小的丸剂，每次服用一丸，用滚开水化开服用。
综合而言，针对阴分病变，火邪去除后血液回归经脉，吐血和鼻出血即可痊愈。
治疗阴虚伴有内火，盗汗，发热。（心所藏于体内的称为血，发于体外的称为汗，汗是心的体液。脏腑表里的阳气，都由心主司以推动其变化，随着阳气所在之处而生津液，也随着火邪扰动之处而泄出成为汗。汗属于心之阳，睡眠属于肾之阴。阴虚时入睡，阳气必会凑合其上，所以出汗。所谓“有火”，是指伴有面红、口干、唇燥、小便赤、声音重浊、脉数等症状。）
当归、生地黄、熟地黄、黄芩、黄柏、黄连（各等分），黄芪（加倍用量），加麻黄根。（本汤剂加麻黄根）
阴虚伴有内火，入睡时卫外之阳气，趁虚陷入阴分，体表津液失去固护，所以睡中出汗。醒来后阳气当令，卫气重新出于体表，体表充实而汗即停止。当归、地黄用来滋养阴液，黄芩、黄连用来清除火邪，生地黄、黄柏既可以滋养阴液，也可以清除火邪。而加倍使用黄芪，是为了补益卫气、固护肌表。（《准绳》说：阴虚则阳气必凑合，所以出现发热盗汗，适宜用当归六黄汤加地骨皮。阳虚则阴气必乘袭，所以出现四肢厥冷、自汗，适宜用黄芪建中汤。病情严重的加附子，或者使用附子汤。）
（出自《金匮要略》）治疗命门火衰，不能温煦脾土，导致脾胃虚寒，饮食减少，腹泻腹胀。〔张仲景说：气虚有痰，适宜用肾气丸补益并驱逐痰邪。〕吴茭山说：八味丸，是治疗痰的根本原因的方法。〕或者元阳虚惫，阳痿精冷，脐腹疼痛，夜间多尿，膝盖酸软腰部无力，视力模糊等症状。王冰所说的“益火之源，以消阴翳”，尺脉虚弱者适宜服用。（也有脉象看似有力者，服用此方也有效。）
熟地黄（选用怀庆产的地黄。水洗去砂土，在柳木蒸笼和砂锅上蒸一天，晒干，再蒸再晒，重复九次为度，临用时捣成膏状，八两。）山萸肉（陈年的用酒润湿）怀山药（四两）茯苓（用乳汁拌）牡丹皮、泽泻（三两）肉桂（去皮）熟附子（一两）蜂蜜制丸。（吴仪洛认为蜂蜜性味甘缓，改用猪肾煮烂后制丸，似乎更得当。）空腹时用盐汤送服。
吴鹤皋说：肾中水火俱亏的，以此方为主治。加入五味子、鹿茸，名为十补丸。治疗两尺脉微弱，阴阳俱虚。
（张景岳说）治疗元阳不足，或者先天禀赋衰弱，或者劳伤过度，导致命门火衰不能温煦脾土。从而造成脾胃虚寒，饮食减少，或者呕吐恶心胀满，或者反胃噎膈，或者怕冷畏寒，或者脐腹疼痛，或者大便不成形，腹泻痢疾频繁发作，或者小便失禁。虚淋寒疝，或者寒气侵袭溪谷，导致肢节疼痛痹阻。或者寒气在下焦，导致水邪浮肿。总之真阳不足的人，必定精神疲倦、气息怯弱。或者心跳不安，或者四肢无力收摄，或者眼前看到邪祟幻象，或者阳衰无子等症状。应当迅速益火之源，以培补右肾的元阳，从而使神气自强。八味丸治疗无效的，适宜服用此方，或者使用右归饮。（凡是八味丸、右归饮使用肉桂、附子等方剂，只有肺阴有余者适宜，否则助火灼伤肺金，反而产生肺病。）
大怀熟地黄（八两）山药、山萸肉、枸杞子、菟丝子（炮制）、杜仲（姜汤炒）、鹿角胶（炒至珠状，四两）、当归（三两，便溏者勿用）、附子（炮制）、肉桂（二两）。制丸方法同上，或者制成如弹子大小的丸剂。每次咀嚼服用二三丸，用白开水送下，疗效尤其迅速。如果阳衰气虚，必须加入人参作为主药，或者二三两，或者五六两，根据人的虚实情况增减。大概人参的功效，跟随阳药则进入阳分，跟随阴药则进入阴分。想要补益命门的阳气，如果不加人参，就不能取得迅速疗效。如果阳虚精关不固，或者白带浑浊大便溏薄，加补骨脂酒炒三两。如果是完谷不化的飧泄或肾泄不止，加五味子三两，肉豆蔻三两，面粉炒后去油使用。如果饮食减少，或者不易消化，或者呕吐恶心吞酸，都是脾胃虚寒的症状，加干姜三四两，炒黄使用。如果腹痛不止，加吴茱萸二两，汤泡半天，炒后使用。如果腰膝酸痛，加带皮核桃肉四两。如果阴虚阳痿，加巴戟天肉四两，肉苁蓉三两，或者加黄狗的外生殖器一二副，用酒煮烂捣入其中。
Treats hematemesis (vomiting blood) and epistaxis (nosebleed). (When Yang invades Yin, causing blood heat to move recklessly, this formula is very effective, but it should only be used temporarily.)
Fresh lotus leaf (He Ye), fresh mugwort leaf (Ai Ye), fresh Rehmannia root (Sheng Di Huang), and fresh biota topside leaf (Ce Bai Ye), four ingredients are pounded until mushy, formed into pills the size of a chicken egg. Take one pill per dose, dissolved in boiling water.
In general, regarding Yin disorders, once the fire pathogen is eliminated, the blood returns to its vessels, and hematemesis and epistaxis will heal.
Treats Yin deficiency with internal fire, night sweats, and fever. (What the Heart stores internally is Blood; what emerges externally is Sweat. Sweat is the fluid of the Heart. The Yang of the Zang-Fu organs and the interior/exterior are all governed by the Heart to facilitate their transformations. Fluids are generated where Yang Qi resides, and sweat is excreted where Fire disturbs. Sweat belongs to the Yang of the Heart, while sleep belongs to the Yin of the Kidney. When Yin is deficient and one falls asleep, Yang inevitably congregates there, causing sweating. "Having fire" refers to accompanying symptoms such as flushed face, dry mouth, dry lips, dark urine, heavy voice, and rapid pulse.)
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Recens), Shu Di Huang (Rehmanniae Radix Praeparata), Huang Qin (Scutellariae Radix), Huang Bo (Phellodendri Cortex), Huang Lian (Coptidis Rhizoma) [equal parts], Huang Qi (Astragali Radix) [doubled dose], plus Ma Huang Gen (Ephedrae Herba Caudex).
In cases of Yin deficiency with internal fire, upon falling asleep, the Wei Qi (Defensive Qi) that guards the exterior sinks into the Yin due to deficiency. The fluids at the body surface lose their protective control, resulting in nocturnal sweating. Upon waking, Yang becomes dominant, and Wei Qi returns to the exterior; the exterior becomes solid, and sweating stops. Dang Gui and Di Huang nourish Yin; Huang Qin and Huang Lian clear Fire; Sheng Di Huang and Huang Bo both nourish Yin and clear Fire. Doubling the use of Huang Qi serves to tonify Wei Qi and secure the exterior. (*Zhun Sheng* states: "Yin deficiency causes Yang to congregate, leading to fever and night sweats; Dang Gui Liu Huang Tang plus Gu Pi (Bark of Dogwood Fruit) is suitable. Yang deficiency causes Yin to invade, leading to cold limbs and spontaneous sweating; Huang Qi Jian Zhong Tang is suitable. For severe cases, add Fu Zi (Prepared Aconite Root), or use Fu Zi Tang.")
(From *Jin Gui Yao Lue*) Treats failure of the Ming Men (Gate of Life) fire to warm the Earth (Spleen/Stomach), resulting in Spleen-Stomach deficiency-cold, poor appetite, diarrhea, and abdominal distension. [(Zhang Zhongjing said: For Qi deficiency with phlegm, Shen Qi Wan is suitable to tonify and expel.] Wu Jiaoshan said: Ba Wei Wan treats the root cause of phlegm.] Or for Yuan Yang deficiency and exhaustion, impotence, cold essence, pain in the umbilical and abdominal regions, frequent urination at night, soreness of the knees and weakness of the waist, blurred vision, etc. As Wang Bing stated, "Benefit the source of Fire to eliminate Yin shadows," this is suitable for those with a weak Chi (Cun Cun) pulse. [(It may also be effective for those whose pulse appears forceful but is actually false.)]
Shu Di Huang (Use Huai Di Huang from Huaiqing. Wash to remove sand and soil, steam for one day in a willow-wood steamer over a clay pot, sun-dry, then steam and dry again, repeating nine times. Before use, pound into a paste, 8 liang.) Shan Yu Rou (Corni Fructus, aged ones moistened with wine), Huai Shan Yao (Dioscoreae Rhizoma, 4 liang), Fu Ling (Poria, mixed with milk), Dan Pi (Moutan Cortex), Ze Xie (Alismatis Rhizoma, 3 liang), Rou Gui (Cinnamomi Cortex, peeled), Shu Fu Zi (Prepared Aconiti Lateralis Radix, 1 liang). Honey pills. (Wu Yiluo noted: Honey has a sweet and slow nature; using pig kidneys boiled until soft to make pills seems more appropriate.) Take on an empty stomach with salt water.
Wu Hegao said: For deficiency of both Water and Fire in the Kidney, this formula is indicated. Adding Wu Wei Zi (Schisandrae Fructus) and Lu Rong (Deer Antler without Bone), named Shi Bu Wan, treats weak Chi pulses in both wrists indicating dual deficiency of Yin and Yang.
(Zhang Jingyue said) Treats insufficiency of Yuan Yang, congenital weakness, or excessive labor injury, leading to failure of Ming Men fire to warm the Earth, resulting in Spleen-Stomach deficiency-cold, reduced food intake, nausea, bloating, regurgitation, dysphagia, aversion to cold, abdominal pain, loose stools, frequent diarrhea/dysentery, or urinary incontinence. Deficient strangury, cold hernia, or cold invading the muscle spaces causing joint pain and bi-syndrome. Or cold in the Lower Jiao causing edema due to water retention. In summary, those with true Yang insufficiency must exhibit mental fatigue and timid breath. Or palpitations, inability to hold the limbs, visual hallucinations, or infertility due to Yang decline. One should quickly benefit the source of Fire to cultivate the Yuan Yang of the Right Kidney, thereby strengthening the Spirit and Qi. If Ba Wei Wan fails, take this formula, or use You Gui Yin. ([Formulas containing Gui and Fu like Ba Wei Wan and You Gui Yin are suitable only for those with excess Lung Yin; otherwise, they assist Fire and scorch Metal, potentially causing Lung disease.])
Da Huai Shu Di Huang (8 liang), Shan Yao (Dioscoreae Rhizoma), Shan Yu Rou (Corni Fructus), Gou Qi Zi (Lycii Fructus), Tu Si Zi (Cuscutae Semen, processed), Du Zhong (Eucommiae Cortex, stir-fried with ginger juice), Lu Jiao Jiao (Colla Cornus Cervi, fried until bubbly, 4 liang), Dang Gui (Angelicae Sinensis Radix, 3 liang, avoid if stool is loose), Fu Zi (Prepared Aconiti Radix), Rou Gui (Cinnamomi Cortex, 2 liang). Pill preparation as above, or form into pills the size of a bullet. Chew 2-3 pills per dose, swallow with plain water; efficacy is particularly rapid. If Yang deficiency and Qi deficiency exist, Ren Shen (Ginseng Radix) must be added as the principal herb, either 2-3 liang or 5-6 liang, adjusted according to the patient's deficiency or excess. Generally, Ren Shen’s function enters the Yang aspect when combined with Yang herbs, and the Yin aspect when combined with Yin herbs. To rapidly tonify the Yang of the Ming Men, adding Ren Shen is essential. If Yang deficiency leads to seminal emission, turbid leukorrhea, or loose stools, add Bu Gu Zhi (Psoraleae Fructus) wine-fried, 3 liang. If unsifted diarrhea or kidney diarrhea persists, add Wu Wei Zi (Schisandrae Fructus) 3 liang, and Dou Kou (Myristicae Semen) 3 liang, stir-fried with flour to remove oil. If appetite decreases or digestion is difficult, accompanied by nausea, acid regurgitation (signs of Spleen-Stomach deficiency-cold), add Gan Jiang (Zingiberis Rhizoma) 3-4 liang, stir-fried until yellow. If abdominal pain persists, add Wu Zhu Yu (Evodiae Fructus) 2 liang, soaked in hot water for half a day, then stir-fried. If lower back and knee soreness/pain occur, add He Tao Rou (Walnut Seed) with skin, 4 liang. If Yin deficiency with impotence occurs, add Ba Ji Tian (Morindae Officinalis Radix) 4 liang, and Cong Rong (Cynomorii Herba) 3 liang, or add 1-2 pairs of Yellow Dog testes, boiled in wine until soft and pounded into the mixture.