一名河车。其色有红有绿有紫。紫者良。 置酒内覆者。男胎也。首胎重十五两以上。
气味甘咸温。 主治男女一切虚损劳极。（其形质得男女坎离之气而成。故阴阳两虚者
服之。有返本还元之功。）癫痫失志恍惚。安心养血。益气补精。 凡虚劳羸瘦。形脏化薄
者。宜以人身之本元。补助人身之血气。投之女子。更育胎孕。凡无子。或多生女。或难产
小产者。服之无不捷效。 以侧柏叶乌药叶俱酒晒。九蒸九曝。同之为丸。大能补益。名补
肾丸。（丹溪） 大造丸。（吴球）用首生男胎人胞。米泔洗净。淡酒蒸熟。捣晒研末。败龟
板童便浸三日。酥炙黄二两。黄柏杜仲各一两半。牛膝一两二钱。地黄二两半。入砂仁六钱。
白茯苓二两。绢袋盛。入瓦罐。酒煮七次。去茯苓砂仁不用。杵地黄为膏。听用。天冬麦冬
人参各一两二钱。夏月加五味子七钱。俱忌铁器。为细末。地黄膏加酒。米糊丸小豆大。每
服八九十丸。空心盐汤下。女人去龟板。加当归二两。以乳煮糊为丸。若男子遗精。女人漏
下。并加牡蛎粉一两。去人参。（世医用阳药补益。往往为害。盖邪火只能动欲。不能生物。
龟板黄柏为河车之佐。加以杜仲牛膝。通为足少阴经药。古方加陈皮。即名补肾丸也。地黄
凉血滋阴。得茯苓砂仁黄柏则走少阴。白飞霞以此为天一生水丸也。二冬保肺。不为火炎。
使肺气下行生水。然其性有降无升。得人参则鼓动元气。有升有降。故同地黄。即为固本丸
也。又参麦五味名生脉散。皆为肺药。此方配合。大抵以金水二脏为生化之源。加河车以成
大造之功也。）
补天大造丸。专培元气。延年益嗣。壮阳光。温坎水。降离火。为天地交泰。若房劳过
度人五心烦热。服之神效。常人四十以后。常宜服此。接补真元以跻上寿。 紫河车一具。
取首生男胎者。如无得壮盛妇人者亦好。先用鲜米泔将河车轻轻摆开。换米泔洗五次。不动
筋膜。只洗净。有草屑轻轻取去。将竹器盛于长流水中浸一刻以取生气。提回。小瓦盆盛于
木甑内。用文火缓缓蒸至六时止。极烂如糊。取出。先倾自然汁在药末内。略和匀。后置河
车石臼内。木杵擂千下。如糊样。连前药汁末和匀。再杵千余。集众手为丸。此法全天元真
气。世所少知。若用火焙酒煮去筋膜。大误。入龟板。尤误。（此语必有所见。不用便为稳
妥。）外用浓川黄柏去粗皮酒炒一两。川杜仲去粗皮酥炙断丝一两五钱。川牛膝去芦酒浸一
两五钱。当归身酒洗一两。怀熟地酒蒸九次二两。天冬去皮心一两半。怀生地酒浸一两半。
枸杞一两。麦冬一两五钱。以上四味。另用酒煮烂。捣膏。陈皮去白七钱半。白术炒一两。
五味子七钱。小茴香炒七钱。干姜炮黑二钱。侧柏叶取嫩枝隔纸炒干二两。骨热。加丹皮地
骨皮皆去心。知母酒炒。各一两。血虚。加当归地黄倍用。气虚。加人参黄 蜜炙各一两。
妇人去黄柏。加川芎香附条芩。俱酒炒。各一两。上药精制。称净末。不犯铁器。用前蒸河
车捣烂并汁和为丸。若河车肥大。量加药末。不必用蜜。丸如梧子大。每服百丸。空心米汤
下。有病。一日二服。（此比古方更效。若禀气虚。或斫丧太过太早者。尤宜。） 种子三益
膏。治斫丧真元。中年无子。妇人血虚不孕。制一料夫妇齐服。服尽即孕。（如妇人经准气
血壮而无病者不宜服）大肉苁蓉（酒洗去浮甲）何首乌（用竹刀切黑豆上九蒸九晒）怀生地
（切片酒拌九蒸九晒）山萸肉枸杞子沙苑蒺藜（真者炒香）菟丝子（酒浸一宿捣成饼晒干炒）
杜仲（去皮盐酒炒断丝）麦冬各四两。柏子仁白茯苓（人乳拌晒）补骨脂（盐水炒）川牛膝
（与何首乌同蒸）各二两。以上药取净末。用鲜紫河车一具。头胎者佳。白酒洗净。隔瓶煮
烂。捣和前末。加龟胶鹿角胶各八两。以酒化开。同前药和匀。如干。加蜜为丸。如梧子大。
每服三钱。好酒下。气虚加人参二两。忌葱蒜萝卜煎爆等物。合时宜二三九十月。静室精修。
心
胞脉者属心。而络于胞中。则以此味补心血。诚为中肯。夫胞为男子藏精。女子蓄血之地。
又属命门之真气所摄。人生命门既成。即生心。心与命门一气。即可知其又补心气矣。）
〔论〕 经云。命门者。男子藏精。女子系胞。即此胞也。其元始自心下。系贯七节之
旁。其系则屈曲下行。接两肾之系。（两肾之系接心下。系以系胞。故经曰。胞之络系于肾。
又曰。胞脉者属心。而络于胞中。）下尾闾。附直肠之右。通二阴之间。前与膀胱下口溲溺
处并行而出。乃精气所泄之道路。若女子则子户胞门。亦自直肠之右。胞外与膀胱下口相并
。此受胎处也。又脉经以右肾为命门。其府则胞门子户。介宾曰。子户胞门。男女之通称也。
特男子以藏精。女子以蓄血。男女交会之际。男子施由此出。女子摄由此入。故即在此中结
胎。胎元既足。亦复由此而出尔。夫肾中之元阳。即为命门。原与脐对。而胞宫子户。乃在
直肠之前膀胱之后者。固经所谓相火之下。水气承之也。（水是三才之祖。精为元气之根。）
人身一点元灵。聚于脐下。自为呼吸。呼则接乎天根。吸则接乎地根。此即命门真气。自有
命门真气。便且下际下蟠。况于最初之协议而化者乎。又按天一生水。配丁之阴火而生内。
为命门。然后生心。是则心与命门一气也。经既云胞脉属心。又安能外于命门乎。然则女子
结胎在胞宫。而实受气于命门。方胎孕时。儿之脐系于胞。胞系母脊。（实为督之命门）以
气食儿。呼吸胎息。辘轳任督。真元气之所钟也。其色红黑相间。红属火为阳。黑属水为阴。
阴
儿离母腹。则气尽于形。之颐故谓先天之郛廓。主培后天形脏。而丹溪谓气虚则加气药。血
虚则加血药。诚善于用河车者也。
缪氏云。此补阴阳两虚之药。若阴虚精涸。水不制火。发为咳嗽吐血。骨蒸盗汗等证。
此属阳盛阴虚。法当壮水以制之。不宜阴阳并补。以耗将竭之阴也。胃火齿痛。亦忌之。
〔修治〕 最好如补天大造丸制法。（惟取极烂如糊）然必得河车时。恰有诸药合之乃
可。若欲预制待用。宜照前法蒸。以熟为度。不必极烂。便置铜旋内。重汤 干可也。此不
用酒煮火焙。又可留贮。亦妙。
又名河车。其颜色有红色、绿色和紫色之分。其中紫色的品质最佳。将其置于酒中浸泡，若胎儿头部朝下则为男胎。第一胎的男胎重量在十五两以上。
气味甘甜、咸平，性温。主治男女各种虚损及极度疲劳劳伤。（因为其形质禀受了男女坎离之气而成，所以阴阳两虚者服用它，具有返本还元的功效。）可用于治疗癫痫、神志丧失、精神恍惚等症。能安心养血，益气补精。凡是因虚劳导致的身体消瘦、脏腑功能薄弱的人，适宜用人体的本源之物来补助人体的血气。给女子服用，更能促进孕育胎孕。凡是无子嗣、多生女儿、或难产、小产的女子，服用此药无不迅速见效。用侧柏叶和乌药叶共同用酒晒干，经过九次蒸制和九次曝晒，混合制成丸剂，大能补益，名为补肾丸。（出自朱丹溪）大造丸。（出自吴球）使用初生的男胎人胞，用米泔水洗净，淡酒蒸熟，捣碎晒干研成粉末。败龟板用童便浸泡三天，用酥炙至黄色，用量为二两；黄柏、杜仲各一两半；牛膝一两二钱；地黄二两半；加入砂仁六钱；白茯苓二两。装入绢袋，放入瓦罐中，用酒煮七次，去掉茯苓和砂仁不用。将地黄杵烂成膏备用。天冬、麦冬、人参各一两二钱。夏季加五味子七钱。制作过程中均忌用铁器。将药材研成细末，用地黄膏加酒调和，用米糊做成如小豆大小的丸剂。每次服用八九十丸，空腹时用盐汤送服。女子服用时去掉龟板，加入当归二两，用乳汁煮糊制成丸剂。如果是男子遗精，女子漏下（非经期阴道出血），都加入牡蛎粉一两，去掉人参。（世间的医生常用阳热药物进行补益，往往造成危害。因为邪火只能扰动欲望，不能化生万物。龟板和黄柏作为河车的辅佐，加上杜仲和牛膝，均为足少阴肾经的药物。古方中加入陈皮，就命名为补肾丸。地黄能凉血滋阴，得到茯苓、砂仁、黄柏的引导则入少阴经，白飞霞将此方称为“天一生水丸”。天冬和麦冬保护肺脏，防止火炎上扰，使肺气下行以生水。然而它们的药性只有下降没有上升，得到人参的鼓动元气作用后，就有升有降，所以与人参、地黄同用，就构成了固本丸。另外，人参、麦冬、五味子合用名为生脉散，都是治肺的药。这个方剂的配合，大体是以金（肺）和水（肾）两脏作为生化之源，加入河车来完成大造之功。）
补天大造丸。专门培补元气，延年益嗣，壮阳光，温坎水，降离火，达到天地交泰的境界。如果是房事过度导致五心烦热的人，服用此药有神效。常人四十岁以后，常宜服用此药，接补真元以达到高寿。紫河车一具，取初生男胎的。如果没有，强壮妇人的也可以。先用鲜米泔水轻轻将河车摆开，换米泔水洗五次，不要触动筋膜，只洗净即可。如有草屑轻轻去除。将竹器盛放于长流水中浸泡一刻钟以摄取生气。提回后，用小瓦盆盛放于木甑内，用文火缓缓蒸六个时辰为止，极烂如糊状。取出后，先将自然汁倒入药末中，略加调和。然后将河车放入石臼内，用木杵捣一千下，呈糊样。连同之前的药汁药末一起调和，再捣一千多下。集合众人的手搓成丸剂。这种方法能保全天元真气，世间很少知晓。如果用火焙干或用酒煮去筋膜，是大错特错的。加入龟板更是错误。（这句话必定有所见地。如果不使用龟板，更为稳妥。）外用浓川黄柏（去粗皮，酒炒）一两，川杜仲（去粗皮，酥炙断丝）一两五钱，川牛膝（去芦，酒浸）一两五钱，当归身（酒洗）一两，怀熟地（酒蒸九次）二两，天冬（去皮心）一两半，怀生地（酒浸）一两半，枸杞一两，麦冬一两五钱。以上四味药，另用酒煮烂，捣成膏。陈皮（去白）七钱半，白术（炒）一两，五味子七钱，小茴香（炒）七钱，干姜（炮黑）二钱，侧柏叶（取嫩枝隔纸炒干）二两。如果有骨热，加丹皮、地骨皮（皆去心）、知母（酒炒），各一两。如果血虚，加倍使用当归和地黄。如果气虚，加入人参和黄耆（蜜炙），各一两。妇人服用时去掉黄柏，加入川芎、香附、条芩，俱用酒炒，各一两。上述药物精制后，称取净药末，不犯铁器。用前面蒸熟捣烂的河车及其汁液调和制成丸剂。如果河车肥大，酌情增加药末量，不必用蜂蜜。丸剂如梧桐子大。每次服用一百丸，空腹时用米汤送服。有病者，一日服用两次。（此法比古方更有效。如果是禀赋虚弱，或斫丧太过、太早的人，尤其适宜。）种子三益膏。治疗斫丧真元，中年无子，妇人血虚不孕。制作一料，夫妇同时服用，服完即能怀孕。（如果妇人月经准时，气血壮实且无病者，不宜服用）。大肉苁蓉（酒洗去浮甲），何首乌（用竹刀切，黑豆上九蒸九晒），怀生地（切片酒拌九蒸九晒），山萸肉，枸杞子，沙苑蒺藜（真品炒香），菟丝子（酒浸一夜捣成饼晒干炒），杜仲（去皮盐酒炒断丝），麦冬各四两。柏子仁，白茯苓（人乳拌晒），补骨脂（盐水炒），川牛膝（与何首乌同蒸）各二两。以上药物取净药末，用鲜紫河车一具，头胎者佳。白酒洗净，隔瓶煮烂，捣碎与前药末混合。加入龟胶、鹿角胶各八两，用酒化开，与前药和匀。如果太干，加蜂蜜制成丸剂，如梧桐子大。每次服用三钱，好酒送服。气虚加人参二两。忌食葱、蒜、萝卜、煎炸爆炒等物。合药时间宜选在农历二三九月十月，在静室中精心修制。
心包络的经脉属于心，并联络于胞宫，因此用这味药补心血，确实切中肯綮。夫胞宫是男子藏精、女子蓄血的地方，又受命门真气的摄纳。人的生命形成命门之后，即产生心。心与命门一气相通，由此可知它也能补心气。）
〔论〕 经典记载：命门者，男子藏精，女子系胞。指的就是这个胞宫。它的起源始于心下，贯穿第七节脊椎之旁。其脉络屈曲下行，连接两肾的脉络。（两肾的脉络连接心下，通过脉络联系胞宫，所以经典说：胞宫的络脉系于肾。又说：胞脉属于心，并联络于胞中。）向下经过尾闾，附着在直肠右侧，通向二阴之间，前方与膀胱下口排尿处并行而出，这是精气排泄的道路。如果是女子，则是子户胞门，也从直肠右侧出发，在胞宫外侧与膀胱下口相并。这是受孕之处。又有《脉经》以右肾为命门，其府则为胞门子户。介宾说：子户胞门，是男女的通称。只是男子用它藏精，女子用它蓄血。男女交会之际，男子施精由此出，女子摄精由此入。所以就在其中结胎。胎元既已充足，也由此而出。夫肾中的元阳，即为命门，原本与脐相对，而胞宫子户，则在直肠之前、膀胱之后的位置，这固然是经典所说的“相火之下，水气承之”的意思。（水是三界之祖，精是元气的根本。）人身的一点元灵，聚集在脐下，自成呼吸。呼气则接乎天根，吸气则接乎地根。这就是命门真气。自有命门真气，便且下际下蟠，何况是最初协议而化生的呢？又按“天一生水”，配丁之阴火而生内，为命门，然后生心，这样心与命门就是一气了。经典既然说胞脉属心，又怎能外于命门呢？然而女子结胎在胞宫，而实际受气于命门。在胎孕期间，婴儿的脐带系于胞，胞系于母脊。（实为督脉之命门）以气供养婴儿，呼吸胎息，辘轳运转任督二脉，是真元气汇聚的地方。其色红黑相间，红属火为阳，黑属水为阴。婴儿离开母腹，则气尽于形。故谓先天之郛廓，主培后天形脏。而朱丹溪说气虚则加气药，血虚则加血药，确实是善于使用河车的人。
缪氏说：这是补阴阳两虚的药。如果是阴虚精涸，水不制火，发为咳嗽吐血、骨蒸盗汗等症状，这属于阳盛阴虚，治法应当壮水以制之，不宜阴阳并补，以免耗竭将尽之阴。胃火齿痛，也应忌用。
〔修治〕 最好的方法如同补天大造丸的制法。（只要取得极烂如糊的状态即可）但必须得到河车的时候，恰好有诸药配合才可以。如果想要预先制备等待使用，应该照前面的方法蒸，以煮熟为度，不必极烂。然后放入铜旋（一种容器）内，重汤炖干即可。这种方法不用酒煮火焙，又可以留贮，也很巧妙。
Also known as Heche (Placenta). Its color varies, appearing red, green, or purple. The purple variety is of the best quality. When soaked in wine, if the fetus is positioned head-down, it is a male fetus. The first-born male placenta weighs more than fifteen taels.
The flavor is sweet and salty, and the nature is warm. It treats all kinds of deficiency syndromes and extreme fatigue in both men and women. (Since its physical form is derived from the Qi of Kan and Li of men and women, it has the effect of returning to the origin and restoring the primordial state when taken by those with dual deficiency of Yin and Yang.) It can be used to treat epilepsy, loss of will, and mental confusion. It calms the mind, nourishes blood, tonifies Qi, and supplements essence. For those suffering from chronic deficiency consumption leading to emaciation and thinning of the viscera, it is suitable to use the fundamental substance of the human body to supplement the blood and Qi of the human body. When administered to women, it further promotes conception. For women who are infertile, frequently give birth to daughters, or suffer from difficult labor or spontaneous abortion, taking this medicine yields swift and effective results. Using Cinnamomi Ramulus (Cassiae Leaf) and Linderae Cortex (Wuweiyao Leaf), both sun-dried with wine, subjected to nine steaming and nine drying cycles, mixed and formed into pills, greatly tonifies and benefits, named Bushen Wan (Kidney Tonifying Pill). (From Zhu Danxi) Dazao Wan (Great Creation Pill). (From Wu Qiu) Use the placenta of a first-born male fetus, wash clean with rice water, steam ripe with light wine, pound, dry, and grind into powder. Testudo Plastrum et Carapax (Tortoise Shell) soaked in child's urine for three days, roasted with suet until yellow, two taels; Phellodendri Cortex (Huangbai) and Eucommiae Cortex (Duzhong) one tael and a half each; Achyranthis Bidentatae Radix (Niuxi) one tael and two qian; Rehmanniae Radix (Dihuang) two taels and a half; add Amomi Fructus (Sharen) six qian; Poria (Fuling) two taels. Place in a silk bag, put into a pottery jar, boil seven times in wine, remove Fuling and Sharen and discard. Pound Dihuang into a paste for later use. Asparagi Radix (Tiandong) and Ophiopogonis Radix (Maidong) one tael and two qian each. In summer, add Schisandrae Fructus (Wuweizi) seven qian. Avoid iron vessels throughout the process. Grind the medicinal materials into fine powder, mix with Dihuang paste and wine, use rice paste to form pills the size of small beans. Take eighty to ninety pills per dose, on an empty stomach with salt water. For women, remove Testudo Plastrum et Carapax, add Angelicae Sinensis Radix (Danggui) two taels, cook with milk to form pills. If for male spermatorrhea or female metrorrhagia, add Ostreae Concha (Muli) powder one tael, remove Renshen (Ginseng). (Doctors of the world often use Yang-tonifying drugs for supplementation, which often causes harm. Because pathogenic fire only stirs desire but cannot generate life. Testudo Plastrum et Carapax and Phellodendri Cortex serve as assistants to Heche, along with Eucommiae Cortex and Achyranthis Bidentatae Radix, all entering the Foot Shaoyin Kidney Meridian. Adding Chenpi (Citrus Peel) to ancient formulas creates Bushen Wan. Rehmanniae Radix cools blood and nourishes Yin; guided by Poria, Amomi Fructus, and Phellodendri Cortex, it enters the Shaoyin meridian. Bai Feixia called this formula "Tian Yi Sheng Shui Wan" (Heaven One Generates Water Pill). Tiandong and Maidong protect the Lung, preventing Fire from flaring up, allowing Lung Qi to descend to generate Water. However, their nature is descending without ascending; aided by Renshen's stirring of Yuan Qi, they have both ascending and descending actions. Thus, combined with Dihuang, they form Guben Wan (Root-Firming Pill). Additionally, Renshen, Maidong, and Wuweizi form Shengmai San (Generate Pulse Powder), all treating the Lung. This formula's combination generally uses Metal (Lung) and Water (Kidney) as the source of generation and transformation, adding Heche to achieve the Great Creation function.)
Butian Dazao Wan (Sky-Replenishing Great Creation Pill). Specifically tonifies Yuan Qi, extends life and lineage, strengthens Yang Light, warms Kan Water, descends Li Fire, achieving the harmony of Heaven and Earth. For those suffering from five-palm heat due to excessive sexual activity, this pill is miraculously effective. People after the age of forty should often take this pill to replenish True Yuan and reach old age. One piece of Ziheche (Human Placenta), preferably from a first-born male fetus. If unavailable, that from a robust woman is also good. First, gently spread the fresh Heche using fresh rice water, washing five times with changed rice water, without disturbing the fascia, just cleaning it. Remove any grass debris gently. Place in a bamboo vessel and soak in running water for one quarter-hour to absorb vital energy. Retrieve and place in a small clay pot inside a wooden steamer. Steam slowly over gentle fire for six shichen (twelve hours) until extremely soft like paste. Remove. Pour the natural juice into the medicinal powder first, mix slightly. Then place the Heche in a stone mortar, pound with a wooden pestle one thousand times until pasty. Mix thoroughly with the previous juice and powder, then pound another thousand times. Form pills collectively by hand. This method preserves the Primordial Qi of Heaven and Earth, rarely known in the world. Using fire baking or wine boiling to remove fascia is a major error. Adding Testudo Plastrum et Carapax is even more erroneous. (This statement must have insight. Not using it is safer.) External ingredients: Nong Chuan Huangbai (Phellodendri Cortex, coarse skin removed, wine-fried) one tael; Chuan Duzhong (Eucommiae Cortex, coarse skin removed, roasted with suet until fibers break) one tael and five qian; Chuan Niuxi (Achyranthis Bidentatae Radix, rhizome removed, wine-soaked) one tael and five qian; Danggui Shen (Angelicae Sinensis Radix, wine-washed) one tael; Huai Shudi (Rehmanniae Radix Praeparata, wine-steamed nine times) two taels; Tiandong (Asparagi Radix, skin and heart removed) one tael and a half; Huai Shengdi (Rehmanniae Radix, wine-soaked) one tael and a half; Gouqi (Lycii Fructus) one tael; Maidong (Ophiopogonis Radix) one tael and five qian. These four items are separately boiled in wine until soft, pounded into paste. Chenpi (Citrus Reticulata Pericarpium, white pith removed) seven qian and a half; Baizhu (Atractylodis Macrocephalae Rhizoma, fried) one tael; Wuweizi (Schisandrae Fructus) seven qian; Xiaohuixiang (Foeniculi Fructus, fried) seven qian; Ganjiang (Zingiberis Rhizoma, charred) two qian; Cebeiye (Platycladi Cacumen, tender branches fried between paper until dry) two taels. For bone heat, add Mudanpi (Moutan Cortex) and Digupi (Bark of Groundcherry Root), both heart-removed, and Zhimu (Anemarrhenae Rhizoma, wine-fried), one tael each. For blood deficiency, double the dosage of Danggui and Dihuang. For Qi deficiency, add Renshen (Ginseng) and Huangqi (Astragali Radix, honey-fried), one tael each. For women, remove Huangbai, add Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma), and Tiaoqin (Scutellariae Radix), all wine-fried, one tael each. Refine the above medicines, weigh the clean powder, avoid iron vessels. Mix with the previously steamed and pounded Heche and its juice to form pills. If the Heche is large, increase the powder amount accordingly, no need for honey. Pills the size of wutong seeds. Take one hundred pills per dose, on an empty stomach with rice soup. If ill, take twice a day. (This method is more effective than ancient formulas. Especially suitable for those with weak constitution or excessive/early depletion.) Zhongzi Sanyi Gao (Seed-Planting Three-Benefits Paste). Treats depletion of True Yuan, middle-aged infertility, and female blood-deficiency sterility. Prepare one batch for both husband and wife to take together; pregnancy occurs upon completion. (Not suitable for women with regular menstruation, strong Qi and Blood, and no disease.) Roucongrong (Cistanche Deserticola, washed in wine to remove floating scales), Heshouwu (Polygoni Multiflori Radix, sliced with bamboo knife, steamed nine times and dried nine times over black soybeans), Huai Shengdi (Rehmanniae Radix, sliced and mixed with wine, steamed nine times and dried nine times), Shanzhuyu (Corni Fructus), Gouqi (Lycii Fructus), Shayuanjili (Astragali Complanati Semen, authentic ones fried until fragrant), Tusizi (Cuscutae Semen, soaked in wine overnight, pounded into cakes, dried, and fried), Duzhong (Eucommiae Cortex, skin removed, salted and wine-fried until fibers break), Maidong (Ophiopogonis Radix) four taels each. Baiziren (Biota Seed), Fuling (Poria, mixed with human milk and dried), Buguzhi (Psoraleae Fructus, salt-water fried), Chuan Niuxi (Achyranthis Bidentatae Radix, steamed together with Heshouwu) two taels each. Take the clean powder of the above medicines. Use one fresh Ziheche (Human Placenta), preferably first-born. Wash clean with white wine, boil in a sealed bottle until soft, pound and mix with the previous powder. Add Guijiao (Colla Testudinis) and Lujiaojiao (Colla Cornu Cervi) eight taels each, dissolve in wine, mix evenly with the previous medicine. If too dry, add honey to form pills the size of wutong seeds. Take three qian per dose, with good wine. For Qi deficiency, add Renshen two taels. Avoid scallions, garlic, radishes, fried and roasted foods. Preparation time should be in lunar months 2, 3, 9, or 10, in a quiet room with careful refinement.
The Pericardium Meridian belongs to the Heart and connects to the Bao (Uterus/Womb), thus using this ingredient to tonify Heart Blood is indeed pertinent. The Bao is where men store Essence and women store Blood, and it is also governed by the True Qi of Mingmen (Gate of Life). Once the Mingmen is formed in human life, the Heart is generated. Since the Heart and Mingmen share one Qi, it can be known that it also tonifies Heart Qi.
[Discussion] The Classics state: Mingmen is where men store Essence and women connect to the Bao. This refers to this Bao. Its origin starts below the Heart, passing through beside the seventh vertebra. Its connection curves downward, connecting to the meridians of the two Kidneys. (The meridians of the two Kidneys connect to below the Heart, linking via the Bao, hence the Classics say: The Luo vessels of the Bao connect to the Kidneys. Also: The Bao Mai belongs to the Heart and connects to the Bao.) Descending through the Weilu point, attaching to the right side of the rectum, passing between the two yin openings, running parallel anteriorly with the lower opening of the Bladder for urination, this is the pathway for the discharge of Essence and Qi. For women, the Zihu (Child Chamber) and Baomen (Womb Gate) also start from the right side of the rectum, adjacent outside the Bao to the lower opening of the Bladder. This is the site of conception. The Maijing (Classic of Pulse Diagnosis) considers the Right Kidney as Mingmen, whose Fu organ is the Baomen and Zihu. Jiebin said: Zihu and Baomen are general terms for both men and women. Men use it to store Essence, women to store Blood. During sexual intercourse, male semen exits from here, and female receives essence entering from here. Thus, conception forms within. Once the fetal Yuan is sufficient, it also exits from here. The Original Yang in the Kidney is Mingmen, originally opposite the navel, while the Baogong (Womb) and Zihu are located anterior to the rectum and posterior to the bladder. This is indeed what the Classics mean by "Below the Ministerial Fire, Water Qi supports it." (Water is the ancestor of the Three Realms, Essence is the root of Yuan Qi.) A spark of primal spirit in the human body gathers below the navel, breathing independently. Exhaling connects to the Heavenly Root, inhaling connects to the Earthly Root. This is the True Qi of Mingmen. With the True Qi of Mingmen present, it naturally descends and coils below, let alone the initial agreement and transformation. Furthermore, according to "Heaven One Generates Water," paired with Ding's Yin Fire to generate internally, it becomes Mingmen, then generates the Heart. Thus, the Heart and Mingmen are one Qi. Since the Classics state the Bao Mai belongs to the Heart, how can it be external to Mingmen? Therefore, although women conceive in the Baogong, they actually receive Qi from Mingmen. During pregnancy, the infant's umbilical cord attaches to the Bao, and the Bao attaches to the mother's spine. (Actually the Mingmen of the Du Meridian) feeding the infant with Qi, breathing fetal breath, turning the Ren and Du meridians, this is where True Yuan Qi concentrates. Its color is intermixed red and black; red belongs to Fire and is Yang, black belongs to Water and is Yin. When the infant leaves the maternal womb, Qi exhausts into form. Hence it is called the shell of the Pre-Heaven, governing the cultivation of Post-Heaven physical viscera. And Zhu Danxi said that for Qi deficiency, add Qi-tonifying herbs; for Blood deficiency, add Blood-nourishing herbs. This is truly skilled use of Heche.
Miao Shi said: This is a medicine for tonifying dual deficiency of Yin and Yang. If there is Yin deficiency with Essence exhaustion, Water failing to control Fire, manifesting as cough, hemoptysis, bone-steaming tidal fever, and night sweats, this belongs to Excess Yang and Deficient Yin. The treatment method should be to strengthen Water to control it, not to tonify both Yin and Yang simultaneously, which would consume the nearly exhausted Yin. Toothache due to Stomach Fire should also avoid it.
[Processing] The best method is like the processing of Butian Dazao Wan. (Only requiring it to be extremely soft like paste) But one must obtain Heche at the time when all other medicines are available to combine. If one wishes to prepare it in advance for later use, steam it according to the previous method until cooked, it does not need to be extremely soft. Then place it in a copper vessel, steam over hot water until dry. This method avoids wine boiling and fire baking, allowing for storage, which is also excellent.