（参汤下。如吝，龙眼汤亦好）
枸杞（一斤） 补骨脂（八两） 白术（四两） 胡椒（二两） 久蒸，晒，极纯为妙。
春阳，指木政而言。回令，回其生发之令也。夫木得水则荣，失水则枯。气满则荣，血失则枯。荣则引风，
枯则惹火。动之如雷电，发之如风雨，独出独入，无敢禁御。五脏之最难得其平者，莫肝若也。故属肝之病居多，
而治肝之法极博焉。若乃血脱、洞泄，因成阴风暴盲，此脾、肾、肝虚极，脏中阳气下陷所致。是方枸杞子味甘
质润，濡血者也。补骨脂色黑气腐，暖水者也。水以生之，血以养之，木荣弗枯
耳。胡椒之辛热以回阳，白术之辛温以补土，阳回则花叶自繁，土浓而根干始劲。用人参者，洪钓一气，无地不
周。所谓一息不运则机缄穷，一毫不续则霄壤判，使其木令回春，土、火、金、水次第而生生矣。或者不达此理，
见其血竭，而主以纯阴之四物，切恐大地否塞，万物不生。亿其精耗，而进以壮水之六味，不免怀山襄陵，水泛
木浮。故曰四物、六味，有时禁弗与者，盖此类也。余撰兹丸，敢谓救今人之失，实所以补古方所不及。高明之
士，幸教我焉。
诗曰∶杞术补骨脂，参椒回春令，会得暴盲人，诚求乐施应。
干姜 附子 葱白（去葱入甘草即四逆汤）
少阴下利，目暴盲，两手脉俱沉濡，此方主之。
少阴肾，冬令也，主天地闭藏。寒邪客之，则阴道不固而下利，利下阳气暗泄，故脉沉濡，目盲。乃用葱白
以通阳气，干姜、附子以散阴寒。寒散阳复，通者塞而塞者通矣。可即葱而名白通。
向治某甲，投此汤，利不止，渐厥逆无脉，干呕而噎呃。或据伤寒论云∶此寒盛格阳，不能下达少阴，反逆
乱于上故也。须加人尿、猪胆汁以导之。切思暴盲系肾阳虚极，方悔用葱过表，更与大寒奇苦之尿、胆，则落井
下石。所谓不死于病，死于药矣。乃以柿蒂、丁香、干姜浓煎一大杯，下咽呃逆即止。随进八物回生饮五六剂，
身温脉续，而目亦能睹。可见印板书在人活读，印板方其可死用乎哉？又太阴自利不渴，阴症脉沉身痛，与夫厥
逆不利，脉不至，用四逆
汤，煎成凉服。吴注∶太阴主水谷，内有真寒，故自利不渴。阴症举三阴而言，病在里故脉沉。里寒，则血脉凝
涩，不能宣布手足，故身痛，四肢厥逆，脉不至而下利。经曰∶寒淫于内，治以甘热。故用炙草、姜、附申发阳
气。又心凉服者，经曰治寒以热，凉而行之是也。否则戴阳者，反增上燥，口目耳鼻皆血，甚矣。药之难用如此。
按∶姜，辛温无毒，不特散寒，兼能通神明，去秽恶。故圣人日食不彻。甘草，固敦浓和平，寒热皆理，药
师目为国老。四逆汤除此，只附子一味。附性虽较姜加烈，如阴症、厥逆、自利、脉不至，再甚热品补剂，煎成
急进无害，何必凉服。鹤皋曾注内经，顾如是饶舌，市医几人明达。果见面红七窍流血，决谓此属假寒，误投姜
附而致。定改用知柏四物，或六味地黄，下咽随毙。学人讲论至此，当起立敬听。
诗曰∶少阴利后脉沉濡，两目随盲白通治。白通姜附加葱白，去葱入草四逆为。四逆不谐病或变，温经九转
可平施。
（用参汤送服。如果吝啬人参，龙眼汤也很好）
枸杞子（一斤） 补骨脂（八两） 白术（四两） 胡椒（二两） 经过长时间蒸制，晒干，以极其纯净为妙。
“春阳”，指的是木气（肝气）的政令。“回令”，是使其生发之气回归。树木得到水则繁荣，失去水则枯萎。气充足则繁荣，血亏损则枯萎。繁荣则引动风邪，枯萎则招致火邪。发作时如雷电般猛烈，爆发时如风雨般急骤，独自出入，无人敢阻挡。五脏之中，最难达到平衡的，没有比肝脏更甚的了。所以属于肝脏的疾病居多，而治疗肝脏的方法也非常广泛。如果是血脱、洞泄（严重腹泻），因而形成阴风暴盲（突然失明），这是脾、肾、肝极度虚弱，脏腑中的阳气下陷所致。此方中，枸杞子味甘质地滋润，能濡养血液。补骨脂色黑气味腐臭，能温暖肾水。用水来滋生它，用血来滋养它，使木气繁荣而不枯萎。胡椒的辛热之性用来回阳，白术的辛温之性用来补益脾胃（土），阳气回复则花叶自然繁茂，土壤深厚则根干始得强劲。用人参的原因在于，元气充沛，无处不到。所谓一息不运则生机穷尽，一毫不续则天地判然分离，借此使木令回归春天，土、火、金、水依次而生生不息。或许有人不通晓此理，见到其血枯竭，就主张使用纯阴的四物汤，切恐导致大地闭塞，万物不生。估计其精气耗损，就进用壮水的六味地黄丸，不免导致山洪暴发，水泛木浮（水湿泛滥，肝木漂浮）。所以说四物汤、六味地黄丸，有时禁止使用，大概就是指这类情况。我撰写这个药丸，敢说纠正今人的失误，实在是补充古方所不及之处。高明的人士，希望教导我。
干姜 附子 葱白（去掉葱加入甘草即为四逆汤）
少阴病出现下利，眼睛突然失明，两手脉象都沉濡，此方主治。
少阴肾，对应冬季的政令，主管天地的闭藏。寒邪侵袭，则阴经不固而下利，下利导致阳气暗中泄露，所以脉象沉濡，眼睛失明。于是用葱白来通阳，干姜、附子来散除阴寒。寒邪散去，阳气回复，通畅的变得堵塞，堵塞的变得通畅了。可以随即以葱命名方剂为白通汤。
曾经治疗某甲，服用此汤后，腹泻不止，逐渐四肢厥冷无脉，干呕且呃逆。有人根据《伤寒论》说：这是寒盛格阳（寒邪太盛，排斥阳气于外），不能下达少阴，反而逆乱于上。必须加入人尿、猪胆汁来引导。仔细思考暴盲是由于肾阳虚极，后悔用了过多的葱白（过于发散表气），再给予大寒奇苦的人尿、猪胆，则是落井下石。所谓不是死于疾病，而是死于药物。于是用柿蒂、丁香、干姜浓煎一大杯，咽下后呃逆即止。随后进服八物回生饮五六剂，身体变暖，脉搏恢复，眼睛也能看见了。可见死板的书本在于人灵活地阅读，死板的方剂怎么可以死板地使用呢？又有太阴自利不渴，阴证脉沉身痛，以及厥逆不利，脉不至，使用四逆汤，煎成后凉服。吴谦注解说：太阴主司水谷，内有真寒，所以自利不渴。阴证举三阴经而言，病在里所以脉沉。里有寒，则血脉凝涩，不能宣通布达于手足，所以身痛，四肢厥逆，脉不至而下利。经文说：寒淫于内，治以甘热。所以用炙甘草、干姜、附子申发阳气。又说心凉服者，经文说治寒以热，凉而行之（热药凉服）是也。否则对于戴阳证（虚阳上浮），反而增加上部燥热，口目耳鼻皆出血，这就严重了。药物的难用如此。
按语：生姜，辛温无毒，不仅散寒，兼能通神明，去秽恶。所以圣人饮食不过夜。甘草，确实敦厚平和，寒热都能调理，药师称其为国老。四逆汤除去甘草，只剩附子一味。附子的药性虽然比干姜猛烈，但如果是阴证、厥逆、自利、脉不至，再用甚热的补剂，煎成后急进服用无害，何必凉服。鹤皋曾注释《内经》，却如此饶舌，市井医生几人能明达。如果真的见面红七窍流血，必定认为这属于假寒，误投姜附所致。定会改用知柏四物汤，或六味地黄丸，咽下随即死亡。学人在此讨论时，应当起立恭敬聆听。
(Administered with Ginseng Decoction. If Ginseng is sparingly used, Longan Fruit Decoction is also good.)
Gouqi (Cortex Lycii Fructus, 1 jin) Bugu Zhi (Fructus Psoraleae, 8 liang) Baizhu (Rhizoma Atractylodis Macrocephalae, 4 liang) Hujiao (Piperis Fructus, 2 liang). Steam for a long time, sun-dry; extreme purity is desirable.
"Chun Yang" (Spring Sun) refers to the administration of Wood Qi (Liver Qi). "Hui Ling" means returning its generating command. Trees flourish when they receive Water and wither when they lose it. Qi being full leads to flourishing, while Blood loss leads to withering. Flourishing attracts Wind Pathogen, while withering invites Fire Pathogen. Its movement is like thunder and lightning, its eruption like wind and rain, entering and exiting alone, unpreventable. Among the Five Viscera, none is harder to balance than the Liver. Therefore, diseases belonging to the Liver are numerous, and methods for treating the Liver are extremely broad. If blood depletion and severe diarrhea occur, resulting in Yin Storm Blindness (sudden blindness), this is caused by extreme deficiency of the Spleen, Kidney, and Liver, leading to the sinking of Yang Qi within the viscera. In this formula, Gouqi is sweet in taste and moist in nature, nourishing the Blood. Bugu Zhi is black in color and has a fermented odor, warming the Kidney Water. Water generates it, Blood nourishes it, so that Wood flourishes without withering. The pungent heat of Hujiao returns Yang, while the pungent warmth of Baizhu tonifies Earth (Spleen/Stomach). When Yang returns, flowers and leaves naturally flourish; when Earth is thick, roots and trunks become strong. The use of Renshen (Ginseng) is because vital Qi is abundant and reaches everywhere. As stated, if one breath does not move, the mechanism is exhausted; if even a tiny bit is not continued, heaven and earth are separated. This allows the Wood command to return to spring, and Earth, Fire, Metal, and Water generate each other in sequence. Some who do not understand this principle, seeing blood exhaustion, may advocate using pure Yin Siwu Tang (Four Substance Decoction), fearing it will cause the earth to be blocked and all things to fail to grow. Estimating essence consumption, they may advance Liuyi Dihuang Wan (Six-Ingredient Pill with Rehmannia), inevitably causing mountains to swell and floods to rise, with water overflowing and Wood floating. Thus, it is said that Siwu Tang and Liuyi Dihuang Wan are sometimes prohibited from use, which covers such cases. I composed this pill, daring to correct the mistakes of modern people, truly supplementing what ancient formulas could not cover. Those of high wisdom, please instruct me.
Poem says: Gouqi, Baizhu, and Bugu Zhi, Renshen and Hujiao restore the Spring Command. Understand sudden blindness, sincerely seek and generously apply the response.
Ganjiang (Dried Ginger Rhizome) Fuzi (Prepared Aconite Root) Congbai (Scallion White) (Remove Congbai and add Gancao to form Sini Tang).
Shaoyin disease presents with diarrhea and sudden blindness; both hands have deep and soggy pulses. This formula governs.
The Shaoyin Kidney corresponds to the Winter command, governing the closure and storage of Heaven and Earth. When Cold Pathogen invades, the Yin channels are not secure, leading to diarrhea. Diarrhea causes Yang Qi to leak secretly, hence the pulse is deep and soggy, and blindness occurs. Therefore, Congbai is used to unblock Yang Qi, while Ganjiang and Fuzi disperse Yin Cold. When Cold disperses and Yang recovers, the blocked becomes unblocked, and the unblocked remains open. It can be named Baotong (White Connecting) based on the scallion.
I once treated a certain Mr. Jia. After administering this decoction, diarrhea did not stop, gradually leading to cold limbs, absence of pulse, dry retching, and hiccups. Someone cited the *Shanghan Lun* saying: This is Cold excess repelling Yang (Cold Pathogen is too severe, rejecting Yang Qi outward), unable to descend to Shaoyin, instead reversing chaotically upwards. One must add Human Urine and Pig Bile to guide it. Upon careful thought, sudden blindness is due to extreme Kidney Yang deficiency. Regretting the use of too much Congbai (which is too dispersing for the exterior), adding the extremely cold and bitter urine and bile would be kicking someone when they are down. So-called not dying from the disease, but dying from the medicine. Instead, I used Persimmon Calyx, Clove, and Dried Ginger, decocted strongly into a large cup. After swallowing, hiccups stopped immediately. Then administered Bawu Huisheng Yin (Eight-Ingredient Revival Decoction) for five or six doses. The body warmed, pulse resumed, and vision was restored. This shows that printed books require living reading by humans; how can printed formulas be used rigidly? Furthermore, Taiyin spontaneous diarrhea without thirst, Yin syndrome with deep pulse and body pain, as well as cold limbs with no diarrhea and absent pulse, use Sini Tang, taken cool after decoction. Wu Qian's commentary states: Taiyin governs water and grain, containing true Cold, hence spontaneous diarrhea without thirst. Yin syndrome refers to the Three Yin channels; since the disease is interior, the pulse is deep. Interior Cold causes blood vessels to coagulate and stagnate, unable to distribute to the hands and feet, hence body pain, cold limbs, absent pulse, and diarrhea. The Classic says: Cold rampant inside, treat with Sweet and Hot. Hence, use Roasted Licorice, Ginger, and Aconite to promote Yang Qi. Also, taking it cool: the Classic says treat Cold with Heat, administer hot remedies in a cool manner. Otherwise, for Daiyang syndrome (Floating Yang), it would increase upper dryness, causing bleeding from mouth, eyes, ears, and nose, which is severe. The difficulty of using medicines is thus.
Note: Ginger is pungent, warm, and non-toxic. Not only does it dispel Cold, but it also connects the Spirit and removes filth. Hence, sages do not eat food left overnight. Licorice is indeed thick, honest, peaceful, and harmonious, regulating both Cold and Heat; pharmacists call it the "Old Man of the State." Besides Licorice, Sini Tang contains only Aconite. Although Aconite's nature is more intense than Ginger, for Yin syndrome, cold limbs, spontaneous diarrhea, and absent pulse, using another intensely hot tonic, decocted and rapidly administered, is harmless. Why take it cool? Hegao annotated the *Neijing*, yet speaks so much. How many city physicians are truly enlightened? If one actually sees red face and bleeding from seven orifices, one would surely claim this is false Cold, caused by mistakenly investing Ginger and Aconite. One would definitely switch to Zhibai Siwu Tang or Liuyi Dihuang Wan, leading to death upon swallowing. Students discussing this should stand up and listen respectfully.
Poem says: After Shaoyin diarrhea, the pulse is deep and soggy; both eyes follow blindness, treated with Baotong. Baotong adds Ginger and Aconite to Scallion White; remove Scallion, add Licorice to form Sini. If Sini does not harmonize and the disease changes, warming the meridians nine times can be applied peacefully.