（旧名坎济膏○世人知百病生于心而不知百病生于肾饮酒食肉醉饱入房
嗜欲妄为伤精则肾水空虚不能平其心火心火纵炎伤其肺金是绝水之源金水衰亏不能胜其肝木
肝木盛则克脾土而反生火火独旺而不生化故阳有余阴不足独热而不久矣○左肾属水右尺洪大
或数用此补阴降火○此方滋肾而兼五脏与清肺清胃清肝三膏可参用）
治男子阴虚火旺。午后
惊
悸喘息。眼花耳鸣。两颧发赤。喉舌生疮。盗汗梦遗。（梦遗属相火所迫不梦而遗乃心肾虚
弱文中有五倍涂脐法可糁）腰痛脊酸。（肾虚也有臀尖痛者阴虚膀胱有火）足痿。（痛为痹不痛
为痿火盛制金不能生水以致肝木乘肚中土受伤骨软筋弛状若瘫痪者古用 术熟地归芍杜仲生
膝知柏等药治之膏贴膝盖并三里穴以痿属阳明胃也外加痿药敷）妇人骨蒸潮热。或经水不调
或少腹热痛。及一切阴虚有火之症。（肾有补无泻然实则泻其子百祥用大戟是也又相火宜清
治梦遗用甘遂是也滋阴方中亦有用木香官桂者膏内戟遂等药本此）○上贴心背。中贴脐眼。
下贴丹田。○阴无骤补之法。膏以久贴见效。故不多加药。
生龟板（一斤腹黑者佳黄色及汤板不可用）用小磨麻油三斤浸熬去渣听用。或下黄丹收亦
可。
元参（四两） 生地 天冬（各三两） 丹参 熟地 萸肉 黄柏 知母 麦冬 当归
白芍 丹皮 地骨皮（各二两） 党参 白术 生黄 川芎 柴胡 连翘 桑白皮 杜仲
（炒断丝） 熟牛膝 南薄荷 川郁金 羌活 防风 香附 蒲黄 秦艽 枳壳 杏仁 贝母
青皮 橘皮 半夏 胆星 黑荆穗 桔梗 天花粉 远志肉（炒） 女贞子 柏子仁 熟枣
仁紫菀 菟丝饼 钗石斛 淮山药 续断 巴戟天 黑山栀 茜草 红花 黄芩 黄连
泽泻 车前子 木通 生甘遂 红芽大戟 生大黄 五味子（炒） 五倍子 金樱子 炒延胡
炒灵脂 生甘草 木鳖仁 蓖麻仁 炮山甲 羚羊角 镑犀角 生龙骨 生牡蛎 吴萸（
各一两） 飞滑石（四两）
生姜 干姜（炒各一两） 葱白 韭白 大蒜头（各二两） 槐枝
柳枝 桑枝 枸杞根 冬青枝（各八两） 凤仙草 旱莲草 益母草（各一株） 冬霜叶 白菊
花侧柏叶（各四两） 菖蒲 小茴香 川椒（各两） 发团（二两）○两共享油二十四斤分熬去
渣合龟板油并熬丹收○再加铅粉（炒一斤） 生石膏（四两） 青黛 轻粉（各一两） 灵磁石（
醋二两） 官桂 砂仁 木香（各一两） 牛胶（四两酒蒸化如清阳膏下法） 朱砂（五钱）
（旧称坎济膏。世人只知道百病生于心，却不知道百病也生于肾。饮酒、吃肉、醉饱后行房事，或嗜欲妄为损伤精气，导致肾水空虚，无法制约心火；心火亢盛进而灼伤肺金，这是断绝了水源。肺金与肾水衰亏，不能制约肝木；肝木过盛则克制脾土，并反过来生火。火势独旺而不能生化万物，因此出现阳有余而阴不足，只有燥热而不能持久的情况。○左肾属水，若右尺脉洪大或数，使用此方以补阴降火。○此方滋补肾阴兼调五脏，可与清肺、清胃、清肝三膏配合使用。）
治疗男子阴虚火旺。午后惊悸、喘息、眼花耳鸣、两颧发红、喉舌生疮、盗汗梦遗。（梦遗属相火逼迫所致，不梦而遗则是心肾虚弱的表现，文中另有五倍子涂脐法可掺入药中）腰痛脊酸。（肾虚所致，也有臀部尖端疼痛者，属阴虚膀胱有火）足痿。（痛为痹证，不痛为痿证。火盛制金，不能生水，致使肝木乘虚侵犯脾胃，骨软筋弛，状若瘫痪。古时用苍术、熟地、当归、白芍、杜仲、生膝、知母、黄柏等药物治疗，膏药贴于膝盖及足三里穴，因痿证属于阳明胃经，外加治疗痿证的药物敷贴）妇人骨蒸潮热。或月经不调或少腹热痛，以及一切阴虚有火的病症。（肾脏宜补不宜泻，但实证可通过泻其子脏来治疗，如百祥丸用大戟即是此理。相火宜清，治疗梦遗用甘遂即是此理。滋阴方剂中也有使用木香、官桂的，膏药内含有大戟、甘遂等药，本于此理）○上贴心部背部。中部贴脐眼。下部贴丹田。○阴精没有快速滋补的方法，膏药需久贴才能见效，所以不加过多药物。
生龟板（一斤，以腹黑者为佳，黄色及烫板不可用），用小磨麻油三斤浸泡熬制，去渣备用。也可加入黄丹收膏。
元参（四两）、生地、天冬（各三两）、丹参、熟地、萸肉、黄柏、知母、麦冬、当归、白芍、丹皮、地骨皮（各二两）、党参、白术、生黄芪、川芎、柴胡、连翘、桑白皮、杜仲（炒断丝）、熟牛膝、南薄荷、川郁金、羌活、防风、香附、蒲黄、秦艽、枳壳、杏仁、贝母、青皮、橘皮、半夏、胆星、黑荆穗、桔梗、天花粉、远志肉（炒）、女贞子、柏子仁、熟枣仁、紫菀、菟丝饼、钗石斛、淮山药、续断、巴戟天、黑山栀、茜草、红花、黄芩、黄连、泽泻、车前子、木通、生甘遂、红芽大戟、生大黄、五味子（炒）、五倍子、金樱子、炒延胡索、炒灵脂、生甘草、木鳖仁、蓖麻仁、炮山甲、羚羊角、镑犀角、生龙骨、生牡蛎、吴茱萸（各一两）、飞滑石（四两）。
生姜、干姜（炒，各一两）、葱白、韭白、大蒜头（各二两）、槐枝、柳枝、桑枝、枸杞根、冬青枝（各八两）、凤仙草、旱莲草、益母草（各一株）、冬霜叶、白菊花、侧柏叶（各四两）、菖蒲、小茴香、川椒（各一两）、发团（二两）。○以上药材共用油二十四斤，分次熬制去渣，合并龟板油再熬，加丹石收膏。○再加铅粉（炒，一斤）、生石膏（四两）、青黛、轻粉（各一两）、灵磁石（醋淬，二两）、官桂、砂仁、木香（各一两）、牛胶（四两，酒蒸化，方法同清阳膏）、朱砂（五钱）。
(Formerly known as Kanji Paste. People know that hundred diseases arise from the Heart, but do not know that they also arise from the Kidney. Drinking alcohol, eating meat, indulging in overeating and sexual intercourse, or acting recklessly with desires damages essence (Jing), causing Kidney Water to be empty and unable to calm Heart Fire. When Heart Fire flares up, it injures Lung Metal, which is severing the source of Water. With the decline of Lung Metal and Kidney Water, Liver Wood cannot be controlled; when Liver Wood becomes excessive, it overacts on Spleen Earth and generates Fire. Fire alone flourishes without generating and transforming, resulting in excess Yang and insufficient Yin, characterized by dry heat that does not last long. ○ The Left Kidney belongs to Water. If the Right Chi pulse is surging or rapid, use this formula to tonify Yin and descend Fire. ○ This formula nourishes Kidney Yin and harmonizes the Five Zang organs; it can be used in conjunction with Lung-Clearing, Stomach-Clearing, and Liver-Clearing pastes.)
Treats men with Yin deficiency and hyperactive Fire. Palpitations, panting, blurred vision, tinnitus, redness of both malar regions, sores in the throat and tongue, night sweats, and nocturnal emission after dreaming. (Nocturnal emission forced by Ministerial Fire; emission without dreaming indicates deficiency of Heart and Kidney. The text mentions a method of applying Chinese Gall to the navel, which can be mixed in.) Lower back pain and spinal soreness. (Caused by Kidney deficiency; some have pain at the tip of the buttocks, indicating Yin deficiency with Fire in the Bladder.) Flaccidity of the legs. (Pain indicates Bi syndrome; lack of pain indicates Wei syndrome. Excessive Fire controls Metal, failing to generate Water, allowing Liver Wood to invade the Middle Jiao (Spleen/Stomach). Bones become soft and sinews lax, resembling paralysis. Ancient treatments used herbs such as Atractylodis Rhizoma (Cangzhu), Rehmanniae Radix Preparata (Shudi), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Eucommiae Cortex (Duzhong), Achyranthis Bidentatae Radix (Niuxi), Anemarrhenae Rhizoma (Zhimu), Phellodendri Cortex (Huangbai), etc., applied as paste to the knees and Zusanli (ST36) acupoint, as Wei syndrome belongs to the Yangming Stomach meridian, supplemented with external application of Wei-specific medicines.) Women with bone-steaming tidal fever. Irregular menstruation or heat and pain in the lower abdomen, and all symptoms of Yin deficiency with Fire. (The Kidney is suited for tonification rather than purging, but excess conditions are treated by purging its child organ, as seen in Baixiang Wan using Euphorbiae Humifusae Herba (Daji). Ministerial Fire should be cleared; treating nocturnal emission with Kansui Radix (Gansui) follows this logic. Some Yin-nourishing formulas also use Aucklandiae Radix (Muxiang) and Cinnamomi Cortex (Guigui); the inclusion of Daji and Gansui in this paste derives from this principle.) ○ Apply to the upper chest and back. Apply to the middle of the navel. Apply to the lower Dantian. ○ There is no rapid method to tonify Yin; pastes require prolonged application to show effects, hence fewer herbs are added.
Testudinis Carapax et Plastrum (Gui Ban) (1 jin, preferably black belly; yellow or boiled shells are unusable). Soak in 3 jin of small-grind sesame oil, decoct, remove dregs, and set aside. Can also add Minium (Huangdan) to form the paste.
Scrophulariae Radix (Yuanshen) (4 liang), Rehmanniae Radix (Shengdi), Asparagi Radix (Tiandong) (each 3 liang), Salviae Miltiorrhizae Radix (Danshen), Rehmanniae Radix Preparata (Shudi), Corni Fructus (Yurou), Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), Ophiopogonis Radix (Maidong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Moutan Cortex (Danpi), Lycii Cortex (Digupi) (each 2 liang), Codonopsis Radix (Dangshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Radix (Sheng Huang), Chuanxiong Rhizome (Chuanxiong), Bupleuri Radix (Chaihu), Forsythiae Fructus (Lianqiao), Morus Albae Cortex (Sangbaipi), Eucommiae Cortex (Duzhong, stir-fried until fibers break), Achyranthis Bidentatae Radix (Shu Niuxi), Mentha Haplocalycis Herba (Nan Bohe), Curcumae Radix (Chuan Yujin), Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Cyperi Rhizoma (Xiangfu), Polygoni Multiflori Caulis (Puhuang), Gentianae Macrophyllae Radix (Qinjiao), Aurantii Fructus Immaturus (Zhike), Armeniacae Semen Amarum (Xingren), Fritillariae Bulbus (Beimu), Tangerine Peel (Qingpi), Citri Reticulatae Pericarpium (Juapi), Pinelliae Rhizoma Preparatum (Banxia), Arisaematis Cum Bile (Danning), Black Schizonepeta Spike (Hei Jingsui), Platycodonis Radix (Jiegeng), Trichosanthis Radix (Tianhuafen), Polygalae Radix (Yuanzhi Rou, stir-fried), Ligustri Lucidi Fructus (Nvzhenzi), Biota Seed (Baizi Ren), Ziziphus Jujuba Seed Preparata (Shu Zaoren), Aster Tataricus Root (Ziwan), Cuscutae Semen (Tusibing), Dendrobii Caulis (Chai Shihu), Dioscoreae Hypoglauca Rhizoma (Huai Shanyao), Dipsaci Radix (Xuduan), Morinda Officinalis Root (Bajitian), Gardeniae Fructus (Hei Shanzhi), Rubia Cordifolia Root (Qiancao), Carthami Flos (Honghua), Scutellariae Radix (Huangqin), Coptidis Rhizoma (Huanglian), Alismatis Rhizoma (Zexie), Plantaginis Semen (Cheqianzi), Kansui Radix (Sheng Gansui), Euphorbiae Humifusae Herba (Hongya Daji), Rheum Palmatum Radix (Sheng Dahuang), Schisandrae Fructus (Wuweizi, stir-fried), Chinese Gall (Wubeizi), Rosa Laevigata Fruit (Jinyingzi), Corydalis Rhizoma (Chao Yanhusuo), Lithospermi Radix et Rhizoma (Chao Lingzhi), Glycyrrhizae Radix et Rhizoma (Sheng Gancao), Elaeococca Semen (Mubie Ren), Ricini Semen (Bimaren), Pangolin Scale (Paoshanjia), Antelope Horn (Lingyangjiao), Rhinoceros Horn (Bang Xijiao), Longgu (Sheng Longgu), Ostrea Concha (Sheng Muli), Evodiae Fructus (Wuyu) (each 1 liang), Calcined Talcum (Fei Huashi) (4 liang).
Zingiberis Rhizoma Recens (Shengjiang), Zingiberis Rhizoma (Ganjiang, stir-fried) (each 1 liang), Allii Fistulosi Bulbus (Congbai), Allii Tuberosi Bulbus (Jiubai), Allii Sativi Bulbus (Dasuantou) (each 2 liang), Cemmali Ramulus (Huai Zhi), Salicis Ramulus (Liu Zhi), Mori Ramulus (Sang Zhi), Lycii Radix Cortex (Gouqigen), Ilicis Roxburghii Ramulus (Dongqing Zhi) (each 8 liang), Impatiens Balsamina Herb (Fengxiancao), Ecliptae Herba (Hanliancao), Leonurus Herba (Yimucao) (each 1 plant), Winter Frost Leaves (Dongshuangye), Chrysanthemi Flos (Baijuhua), Platycladi Cacumen (Ce Baiye) (each 4 liang), Acori Tatarinowii Rhizoma (Changpu), Foeniculi Fructus (Xiaohuixiang), Zanthoxyli Pericarpium (Chuanjiao) (each 1 liang), Human Hair Knot (Fatuan) (2 liang). ○ Use 24 jin of oil for all above ingredients, decoct in batches, remove dregs, combine with Gui Ban oil, decoct further, and add Minium to form paste. ○ Add Lead Powder (Qianfen, stir-fried, 1 jin), Gypsum Fibrosum (Sheng Shigao) (4 liang), Indigo Naturalis (Qingdai), Calomelas (Qingfen) (each 1 liang), Magnetitum (Ling Cishi, vinegar-processed, 2 liang), Cinnamomi Cortex (Guigui), Amomi Fructus (Sharen), Aucklandiae Radix (Muxiang) (each 1 liang), Bovis Colla (Niu Jiao) (4 liang, melted in wine, method same as Qingyang Paste), Cinnabaris (Zhusha) (5 qian).