治脾元久冷。上实下虚。胸中痰饮。或上攻头目。及奔豚上气。两脚膨胀。并阴阳气不
升
镇纳浮阳黑锡丹。硫黄入锡结成团。葫芦故纸茴沉木。桂附金铃肉蔻丸。（黑锡硫黄各
三两同炒结砂研至无声为度。胡芦巴沉香熟附子肉桂各半两。茴香破故纸肉豆蔻金铃子去核
木香各一两。研末酒煮。曲糊为丸梧子大。阴干。以布袋擦令光莹。每服四十丸。姜汤下。）
陈修园曰。此方一派辛温之中。杂以金铃子之苦寒为导。妙不可言。
喻嘉言曰。凡遇阴火逆冲。真阳暴脱。气喘痰鸣之急证。舍此丹别无方法。即痘疹各种
坏症。服之无不回生。予每用小囊。佩带随身。恐遇急症不及取药。且欲吾身元气温养其药。
借手效灵。厥功历历可纪。
徐灵胎曰。镇纳元气。为治喘必备之药。当蓄在平时。非一时所能骤合也。既备此丹。
如灵砂丹养正丹之类。可不再备。
滋阴降火之神方。
即生脉散。（方见寒剂）加熟地五七钱或一两。白术三钱。牛膝附子各二钱。水煎服。
陈修园曰。此冯氏锦囊得意之方。无症不用。俱云神效。其实大言欺人。修园不信也。
方以熟地滋肾水之干。麦冬五味润肺金之燥。人参白术补中宫土气。俾上能散津于肺。下能
输精于肾。附子性温以补火。牛膝引火气下行。不为食气之壮火而为生气之少火。从桂附地
黄丸套来。与景岳镇阴煎同意。然驳杂浅陋。不可以治大病。惟痘科之逆症相宜。以诸药皆
多液之品。添浆最速也。
治疗脾脏元气长期寒冷。上实下虚（上部邪气盛而正气虚，下部正气虚）。胸中有痰饮停滞。或者痰饮向上攻冲头目。以及奔豚病（一种自觉有气从少腹上冲胸咽的病症）引起的上气喘息。两脚肿胀膨胀。以及阴阳之气不能正常升发。
【镇纳浮阳黑锡丹】配方：硫黄与锡结合结成团块。加入葫芦巴、补骨脂、小茴香、沉香、木香、肉桂、附子、金铃子、肉豆蔻制成丸药。（制作方法：黑锡和硫黄各三两，共同炒制直到结成砂状并研磨至没有声音为止。葫芦巴、沉香、熟附子、肉桂各半两；小茴香、破故纸（补骨脂）、肉豆蔻、金铃子（去核）、木香各一两。将上述药材研成粉末，用酒煮糊，曲糊作为粘合剂制成梧桐子大小的丸药。在阴凉处晾干，用布袋擦拭使其光亮莹润。每次服用四十丸，用姜汤送服。）
陈修园说：这个方子全是辛温性质的药物中，混杂了金铃子的苦寒之性作为引导，其妙处不可言喻。
喻嘉言说：凡是遇到阴火逆冲、真阳突然暴脱、气喘痰鸣的急症，除了这个丹药外别无他法。即使是痘疹各种坏证，服用后无不能起死回生。我平时常佩戴一个小囊随身携带，担心遇到急症时来不及取药，并且希望我身体的元气能够温养这些药物，借我的手发挥灵验的功效，其功劳历历可数。
徐灵胎说：镇纳元气，是治疗喘证的必备药物。应当在平时储备好，不是一时之间就能迅速配齐的。既然备有了这个丹药，像灵砂丹、养正丹之类的，就可以不再准备了。
【滋阴降火的神方】
即生脉散（方剂见寒剂章节），加入熟地黄五到七钱或一两，白术三钱，牛膝、附子各二钱，用水煎服。
陈修园说：这是冯氏《锦囊》中得意的方子，声称没有哪种症状不能用，都说神效。其实是大话欺人，我不相信。
这个方子用熟地黄滋补肾水的干枯，麦冬、五味子润肺金的燥热，人参、白术补益中宫脾胃之气，使得上面能散布津液于肺，下面能输送精气于肾。附子性温以补火，牛膝引火气下行，使壮火变为生气之少火。此方源自桂附地黄丸的套路，与张景岳的镇阴煎意思相同。然而此方驳杂浅陋，不可以用来治疗大病。只适合痘科中的逆症，因为诸药都是多汁液的药材，添加水分最快。
Treats chronic coldness of the Spleen Yuan Qi (Primordial Qi of the Spleen). Upper excess and lower deficiency (pathogenic factors are excessive in the upper body while healthy qi is deficient in the lower body). Phlegm-fluid retention in the chest. Or phlegm-fluid attacking upward to the head and eyes. Also for Ben Tun disease (a condition characterized by a sensation of gas rushing from the lower abdomen up to the chest and throat) causing upward rebellious Qi and panting. Swelling and distension of both legs. And the failure of Yin and Yang Qi to ascend properly.
[He Xi Dan (Black Lead Pill) to Suppress and Anchor Floating Yang] Formula: Cinnabar Tin (He Xi, lead-tin alloy) combined with Realgar (Liu Huang) into lumps. Added are: Tribulus Fruit (Hu Lu Ba), Psoralea Fruit (Po Gu Zhi/Bu Gu Zhi), Fennel Seed (Hui Xiang), Agarwood (Chen Xiang), Sandalwood (Mu Xiang), Cinnamon Twig (Rou Gui), Aconite Root (Fu Zi), Belladonna Fruit (Jin Ling Zi), and Myristica Seed (Rou Dou Kou) made into pills. (Preparation: Black Lead and Realgar, each 3 liang, are stir-fried together until they form a granular powder and grinding continues until no sound is produced. Tribulus Fruit, Agarwood, Prepared Aconite Root, and Cinnamon Twig, each 0.5 liang; Fennel Seed, Psoralea Fruit, Myristica Seed, Belladonna Fruit (pits removed), and Sandalwood, each 1 liang. Grind all into powder. Use wine to make a paste, mixed with malt glue to form pills the size of a Chinese quince seed. Dry in the shade. Rub with a cloth bag to make them smooth and glossy. Take 40 pills per dose, washed down with Ginger Decoction.)
Chen Xiuyuan said: This formula consists entirely of acrid-warm herbs, mixed with the bitter-cold nature of Belladonna Fruit as a guide. Its subtlety is beyond words.
Yu Jiayan said: Whenever encountering urgent conditions such as counterflow of Yin Fire, sudden collapse of True Yang, panting, and rattling phlegm, there is no other method besides this pill. Even for various severe cases of smallpox/variolous diseases, taking it can bring the dying back to life. I usually carry a small pouch on my person, fearing that urgent symptoms may arise without time to prepare medicine. Moreover, I wish my body's primordial Qi could warm-nourish these medicines, allowing them to work effectively through my hands. Their merit is clearly recordable.
Xu Lingtai said: Suppressing and anchoring Primordial Qi is an essential medicine for treating panting. It should be prepared in advance during normal times, not something that can be hastily assembled when needed. Since one has prepared this pill, similar formulas like Lingsha Dan (Cinnabar Mercury Pill) and Yangzheng Dan (Nourishing Righteousness Pill) need not be prepared further.
[A Divine Formula for Nourishing Yin and Descending Fire]
This is Sheng Mai San (Pulse-Nourishing Powder) (see Cold Agents chapter), added with Prepared Rehmannia Root (Shu Di Huang) 5-7 qian or 1 liang, Atractylodes Macrocephala Rhizome (Bai Zhu) 3 qian, Achyranthes Bidentata Root (Niu Xi) and Aconite Root (Fu Zi) each 2 qian. Decoct in water and take orally.
Chen Xiuyuan said: This is a favored formula from Feng’s *Jin Nang* (Brocade Pouch), claiming efficacy for every symptom, stating it is miraculous. In reality, it is empty talk deceiving people; I do not believe it.
The formula uses Prepared Rehmannia Root to nourish the dryness of Kidney Water, Ophiopogon Tuber (Mai Dong) and Schisandra Berry (Wu Wei Zi) to moisten the dryness of Lung Metal, Ginseng Root (Ren Shen) and Atractylodes Macrocephala Rhizome to tonify the Qi of the Central Palace (Spleen/Stomach), so that fluids can be distributed upward to the Lungs and essence transported downward to the Kidneys. Aconite Root is warm to tonify Fire, and Achyranthes Bidentata Root guides Fire Qi downward, transforming destructive Fire into generating mild Fire. This follows the pattern of Gui Fu Di Huang Wan (Cinnamon and Aconite Rehmannia Pill) and shares the same intent as Zhang Jingyue’s Zhen Yin Jian (Settling Yin Decoction). However, it is eclectic and shallow, unsuitable for treating major illnesses. It is only suitable for adverse conditions in dermatology/pox treatment, because all the herbs are juicy substances, adding moisture most rapidly.