论心惊不安 夜卧不睡 论精滑梦遗 见色倒戈
天师曰∶本治者，治心肾之法也。人非心不能宁静致远，非肾不能作强生育。故补心即当补肾，补肾
即当补心也。是二经一身之主宰，脏腑之根本也。故人病心惊不安，或夜卧不睡者，人以为心之病也；谁知
非心病也，肾病也。如人见色而思战，入门而倒戈者，或梦遗精滑者，人以为肾之病也；谁知非肾病也，
心病也。然则欲安心者当治肾，欲治肾者当
治心。治心方∶用人参三两，茯苓三两，茯神三两，远志二两，生枣仁一两，熟地三两，山茱萸三
两，当归三两，菖蒲三钱，黄连五钱，肉桂五钱，白芥子一两，麦冬三两，砂仁五钱，各为末，蜜为
丸。每日送下五钱，或酒或汤俱可。此方乃治心之惊与不寐耳，宜用参、苓、当归，麦冬足矣，即或为
火起不寐，加黄连亦足矣，何以反用熟地、山茱萸补肾之药，又加肉桂以助火。不知人之惊恐者，乃肾
气不入于心也∶不寐者，乃心气不归于肾也。今用熟地，山茱萸以补肾，则肾气有根，自然上通于心
矣；肉桂以补命门之火，则肾气既温，相火有权，则心气下行，君火相得，自然上下同心，君臣合德矣。
治肾方者，精滑梦遗与见色倒戈，则关门不守，肾无开合之权矣，谁知皆心君之虚，而相火夺权，
以致如此。方用熟地半斤，山药四两，山茱萸四两，茯苓三两，肉桂一两，附子一个，人参三两，白术四
两∶北五味一两，麦冬三两，远志一两，炒枣仁一两，鹿茸一副，巴戟天三两，肉苁蓉三两，柏子仁一
两，砂仁五钱，紫河车一副，杜仲一两，破故纸一两，各为末，蜜为丸。此方用熟地、山萸、杜仲、山药
之类，补肾也；巴戟天、苁蓉、附子、鹿茸，补肾中之火也。可以已矣∶而必加入参、苓、柏子仁、麦
冬、远志、枣仁之类者何也？盖肾中之火虚，由于心中之火先虚也。故欲补肾火者，先补心火。使心火
不补，肾火终不能益，而转增其上焦之枯竭。故必须兼补其心，心气下舒于肾中，肾气上交于心，则水火
相济，君臣和悦，民众奠安，肺气清宁，脾胃得养，通调三焦。不妨整戈矛再利，即野御亦可收功也。
张公曰∶予有一言，愿赞高深。本治责之心肾，又何疑焉；然而心不可徒补之肾，而肾不可徒
补之心也。譬如人有心惊不寐，虽是肾气不上通于心，而亦有肝气之不上生于心。故补肾之中，自
宜添入补肝之品。方中有当归、肉桂，亦是补肝之品，然终非直入肝经之药也。余意前方中，加入白
芍三两，补肾而兼补肝，相因而生心火，心有不泰然者乎。肾虚而用补心之药固是，然补心而不补肝，
肝木郁塞，心难下生。愚意补肾方中，亦宜添入白芍三两，则肝气自舒，自生心包之火，火足自生命门
之火矣，可质之岐天师，再定去留。（〔批〕雷公曰∶天师方固妙，而张公论亦佳。）
华君曰∶予曾闻之夫子矣，有方亦妙，并传于此。凡人卧不安枕，方用人参五两，远志二两，
枣仁炒二两，熟地八两，山茱萸四两，茯神三两，柏子仁一两，麦冬三两，陈皮五钱，各为末，蜜为丸。
每日白滚水送下二两，五日即安，服一料全愈，名为宁神安卧丸。人有梦遗者，用熟地一斤，山药
一斤，芡实一斤，生枣仁五两，巴戟天二两，麦冬三两，北五味三两，莲子半斤，同心用，各为末，蜜为
丸。每日白滚汤送下一两，名为益心止遗丸。前方补心中而兼补肾，后方补肾中而兼补心，与天师传
方同意。二方亦天师传也，不知何故各各不同，然而四方俱奇妙通元。甚矣，夫子之不可测也。巴戟天不特
强阳，而且止精；肾水非火不能生，亦非火不能止；若用肉桂、附子大热之味，果然助其虚火；巴戟性非
大热，不能温中，用之纯阴之中何害，反得其既济之功也。
孙真君传治心惊不安方。心惊非心病也，乃肝血虚而不能养心也。方用白芍五钱，当归五钱，熟
地五钱，生枣仁一两，远志一钱，茯神三钱，麦冬五钱，北五味一钱，人参二钱，水煎服。（〔批〕天师
云∶此方之妙在用生枣仁至一两。）此方之妙，全
不尽去治心。治肝正所以治心，治肺亦所以益心也。
又传治见色倒戈方。用人参三两，熟地八两，黄 五两。白术八两，肉桂二两，山茱萸三两，巴戟天
五两，肉苁蓉三两，麦冬五两，北五味一两，覆盆子五两，各为末，蜜为丸。（〔批〕又云∶此方
不可轻传，存之可也。）每日半饥，酒送下一两。一月后，房事即改观。但不可传与匪人耳。
天师说：本治法，是治疗心肾的方法。人如果没有心，就不能宁静致远；没有肾，就不能发挥作强之能并生育后代。所以补心的同时应当补肾，补肾的同时也应当补心。心和肾是全身的主宰，脏腑的根本。因此，当人出现心惊不安，或者夜晚无法入睡的症状时，人们通常认为是心的病证；但谁知道这并非心病，而是肾病呢？当人见到美色而思欲交合，进门却倒戈相向（指性功能异常或精神恍惚），或者梦中遗精、滑精时，人们通常认为是肾的病证；但谁知道这并非肾病，而是心病呢？既然如此，想要安心神就应当治肾，想要治肾就应当治心。
治疗心的方剂：用人参三两，茯苓三两，茯神三两，远志二两，生酸枣仁一两，熟地黄三两，山茱萸三两，当归三两，石菖蒲三钱，黄连五钱，肉桂五钱，白芥子一两，麦冬三两，砂仁五钱，各研为细末，用蜂蜜制成丸药。每天送服五钱，无论是用酒送服还是用汤水送服都可以。这个方子是治疗心受惊悸与失眠的，按理说应该只用参、苓、当归、麦冬就够了，即使是因为火旺导致失眠，加上黄连也就足够了，为什么反而使用熟地、山茱萸这些补肾的药物，又加入肉桂来助火呢？不知道人的惊恐，是因为肾气不能进入心中；失眠，是因为心气不能回归于肾。现在使用熟地、山茱萸来补肾，那么肾气就有根基，自然能够上通于心；使用肉桂来补命门之火，那么肾气既已温暖，相火有权柄，则心气下行，君火与相火相互协调，自然上下同心，君臣合德。
治疗肾的方剂：针对精滑梦遗和见色倒戈，这是因为关门不守，肾失去了开合的权柄。但谁知道这都是因为心君虚弱，导致相火夺权，才致使如此。方剂使用熟地黄半斤，山药四两，山茱萸四两，茯苓三两，肉桂一两，附子一个，人参三两，白术四两，北五味子一两，麦冬三两，远志一两，炒酸枣仁一两，鹿茸一副，巴戟天三两，肉苁蓉三两，柏子仁一两，砂仁五钱，紫河车一副，杜仲一两，破故纸（补骨脂）一两，各研为细末，用蜂蜜制成丸药。这个方子使用熟地、山萸、杜仲、山药等药物，是为了补肾；使用巴戟天、苁蓉、附子、鹿茸，是为了补肾中的命门之火。本来这样就可以停止了；但是为什么一定要加入人参、茯苓、柏子仁、麦冬、远志、枣仁等药物呢？大概是因为肾中的火虚，是由于心中的火先虚所致。所以想要补肾火，必须先补心火。如果不补心火，肾火终究不能增益，反而会增加上焦的枯竭。所以必须兼补心气，使心气下舒于肾中，肾气上交于心，这样水火就能相互济助，君臣和谐愉悦，百姓安定，肺气清宁，脾胃得到滋养，通调三焦。不妨整顿兵器使其更加锋利，即使在野外御敌也能取得成功。
张公说：我有一句话，愿意赞美其高深之处。本治法责成于心肾，又有什么可怀疑的呢？然而，心不可单纯地只靠补肾来补，肾也不可单纯地只靠补心来补。比如人有惊吓失眠，虽然是肾气不能上通于心，但也有肝气不能上生于心的情况。所以在补肾之中，自然适宜添入补肝的药物。前面的方子中有当归、肉桂，也是补肝的药物，但最终并非直接入肝经的药。我的意见是在前方的基础上，加入白芍三两，既能补肾又能补肝，相生而生成心火，心难道会有不安泰的吗？肾虚而使用补心的药物固然是对的，但是补心而不补肝，肝木郁结阻塞，心难以向下滋生。我的意见是在补肾方中也适宜加入白芍三两，那么肝气自然舒展，自然生成心包之火，火充足自然能生发命门之火了，可以以此质问岐天师，再决定保留或去除。（批注：雷公说：天师的方子固然奇妙，而张公的论述也很好。）
华君说：我曾经听老师说过，有一个方子也很奇妙，一并传述于此。凡是有人睡觉不安稳枕头的，方剂用人参五两，远志二两，炒酸枣仁二两，熟地黄八两，山茱萸四两，茯神三两，柏子仁一两，麦冬三两，陈皮五钱，各研为细末，用蜂蜜制成丸药。每天用白开水送服二两，五天即安，服用一料完全痊愈，名为宁神安卧丸。有梦遗的人，使用熟地黄一斤，山药一斤，芡实一斤，生酸枣仁五两，巴戟天二两，麦冬三两，北五味子三两，莲子半斤，同心同德地配合使用，各研为细末，用蜂蜜制成丸药。每天用白开水送服一两，名为益心止遗丸。前方的方子补心中而兼补肾，后方的方子补肾中而兼补心，与天师传授的方子意思相同。这两个方子也是天师传授的，不知道为什么各自不同，然而这四个方子都奇妙且通达元气。老师的深奥真是不可测度啊。巴戟天不仅强壮阳气，而且能止精；肾水非火不能生发，也非火不能固止；如果使用肉桂、附子等大热的药物，果然会助长虚火；巴戟天性非大热，不能温中，在纯阴的药物中使用它有什么妨害呢？反而能得到水火既济的功效。
孙真人传授治疗心惊不安的方子。心惊不是心病，而是肝血虚不能养心。方剂使用白芍五钱，当归五钱，熟地黄五钱，生酸枣仁一两，远志一钱，茯神三钱，麦冬五钱，北五味子一钱，人参二钱，水煎服。（批注：天师说：这个方子的妙处在于使用生酸枣仁达到一两。）这个方子的妙处，不全在于治心。治肝正是为了治心，治肺也是为了益心。
又传授治疗见色倒戈的方子。使用人参三两，熟地黄八两，黄柏五钱，白术八两，肉桂二两，山茱萸三两，巴戟天五两，肉苁蓉三两，麦冬五两，北五味子一两，覆盆子五两，各研为细末，用蜂蜜制成丸药。（批注：又说：这个方子不可轻易传授，保存起来就可以了。）每天在半饥状态下，用酒送服一两。一个月后，房事情况就会改观。只是不可传授给品行不端之人罢了。
On Palpitations, Restlessness, and Insomnia at Night; On Spermatorrhea, Nocturnal Emission, and Loss of Control upon Seeing Beauty
The Heavenly Master said: The "Fundamental Treatment" (Ben Zhi) refers to the method of treating the Heart and Kidney. Without the Heart, one cannot achieve tranquility and far-reaching vision; without the Kidney, one cannot perform strenuous tasks or reproduce. Therefore, tonifying the Heart must involve tonifying the Kidney, and tonifying the Kidney must involve tonifying the Heart. These two meridians are the masters of the body and the roots of the Zang-Fu organs. Thus, when a person suffers from palpitations and restlessness, or inability to sleep at night, people assume it is a disease of the Heart; but who knows that it is not a Heart disease, but a Kidney disease? When a person sees beauty and desires intercourse, yet loses control (metaphorically "turning their spear around"), or suffers from nocturnal emission and spermatorrhea, people assume it is a disease of the Kidney; but who knows that it is not a Kidney disease, but a Heart disease? Consequently, to calm the mind, one should treat the Kidney; to treat the Kidney, one should treat the Heart.
Formula for Treating the Heart: Use Ren Shen (Ginseng Root) 3 liang, Fu Ling (Poria) 3 liang, Fu Shen (Poria with Hostwood) 3 liang, Yuan Zhi (Polygala Root) 2 liang, Sheng Zao Ren (Raw Ziziphus Seed) 1 liang, Shu Di Huang (Prepared Rehmannia Root) 3 liang, Shan Zhu Yu (Cornus Fruit) 3 liang, Dang Gui (Angelica Sinensis Root) 3 liang, Chang Pu (Acorus Rhizome) 3 qian, Huang Lian (Coptis Rhizome) 5 qian, Rou Gui (Cinnamon Bark) 5 qian, Bai Jie Zi (White Mustard Seed) 1 liang, Mai Dong (Ophiopogon Tuber) 3 liang, Sha Ren (Amomum Fruit) 5 qian. Grind each into powder, and form pills with honey. Take 5 qian daily, administered with wine or decoction. This formula treats Heart palpitations and insomnia. Logically, using Ren Shen, Fu Ling, Dang Gui, and Mai Dong would suffice; even if insomnia is caused by fire, adding Huang Lian would be enough. Why use Shu Di and Shan Zhu Yu, which tonify the Kidney, and add Rou Gui to assist fire? It is unknown that palpitations occur because Kidney Qi does not enter the Heart; insomnia occurs because Heart Qi does not return to the Kidney. Now, by using Shu Di and Shan Zhu Yu to tonify the Kidney, the Kidney Qi gains a root and naturally ascends to connect with the Heart; by using Rou Gui to tonify the Fire of the Ming Men (Gate of Life), the Kidney Qi becomes warm, and the Minister Fire gains authority. Thus, Heart Qi descends, the Sovereign Fire and Minister Fire harmonize, and naturally the upper and lower parts share one heart, with Sovereign and Minister acting in virtue together.
Formula for Treating the Kidney: For spermatorrhea, nocturnal emission, and loss of control upon seeing beauty, this indicates the gate is not secure, and the Kidney has lost its power of opening and closing. However, who knows that all this stems from the deficiency of the Sovereign Heart, leading to the usurpation of power by the Minister Fire? The formula uses Shu Di Huang 8 liang, Shan Yao (Dioscorea Rhizome) 4 liang, Shan Zhu Yu 4 liang, Fu Ling 3 liang, Rou Gui 1 liang, Fu Zi (Aconite Lateral Root) 1 piece, Ren Shen 3 liang, Bai Zhu (Atractylodes Rhizome) 4 liang, Bei Wu Wei Zi (Schisandra Berry) 1 liang, Mai Dong 3 liang, Yuan Zhi 1 liang, Chao Zao Ren (Fried Ziziphus Seed) 1 liang, Lu Rong (Deer Antler Velvet) 1 pair, Ba Ji Tian (Morinda Root) 3 liang, Rou Cong Rong (Cistanche Stem) 3 liang, Bai Zi Ren (Biota Seed) 1 liang, Sha Ren 5 qian, Zi He Che (Placenta Hominis) 1 pair, Du Zhong (Eucommia Bark) 1 liang, Po Gu Zhi (Kochia Seed/Burkholdia Seed) 1 liang. Grind each into powder, and form pills with honey. This formula uses Shu Di, Shan Yu, Du Zhong, Shan Yao, etc., to tonify the Kidney; Ba Ji Tian, Rou Cong Rong, Fu Zi, Lu Rong, etc., to tonify the Fire within the Kidney. One might think this is sufficient; but why must Ren Shen, Fu Ling, Bai Zi Ren, Mai Dong, Yuan Zhi, and Zao Ren be added? It is because the deficiency of Fire in the Kidney stems from the prior deficiency of Fire in the Heart. Therefore, to tonify Kidney Fire, one must first tonify Heart Fire. If Heart Fire is not tonified, Kidney Fire cannot ultimately be benefited, and instead, the dryness of the Upper Jiao will increase. Thus, one must simultaneously tonify the Heart, allowing Heart Qi to descend comfortably into the Kidney, and Kidney Qi to ascend to the Heart. Then Water and Fire will mutually assist, Sovereign and Minister will be harmonious, the people will be secure, Lung Qi will be clear and tranquil, Spleen and Stomach will be nourished, and the Three Jiao will be regulated. One may well sharpen weapons again; even fighting in the wild can achieve success.
Lord Zhang said: I have one word to praise its profundity. The Fundamental Treatment focuses on the Heart and Kidney; what doubt is there? However, the Heart cannot be merely supplemented by tonifying the Kidney, nor the Kidney merely by tonifying the Heart. For example, in cases of palpitations and insomnia, although it is due to Kidney Qi not ascending to the Heart, it also involves Liver Qi not ascending to generate the Heart. Therefore, within tonifying the Kidney, it is appropriate to add herbs that tonify the Liver. The previous formula contains Dang Gui and Rou Gui, which are also herbs for tonifying the Liver, but they are not directly entering the Liver Meridian. My opinion is to add Bai Shao (White Peony Root) 3 liang to the previous formula. This tonifies both the Kidney and the Liver, generating Heart Fire through mutual generation. Would the Heart not then be peaceful? Although using Heart-tonifying herbs for Kidney deficiency is correct, if one tonifies the Heart without tonifying the Liver, Liver Wood becomes stagnant, making it difficult for the Heart to descend. My opinion is that Bai Shao 3 liang should also be added to the Kidney-tonifying formula. Then Liver Qi will naturally relax, generating the Fire of the Pericardium, and sufficient Fire will naturally generate the Fire of the Ming Men. This can be questioned to the Heavenly Master Qiji to decide whether to retain or remove it. [Commentary: Lei Gong said: The Heavenly Master's formula is indeed wonderful, and Lord Zhang's discussion is also excellent.]
Lord Hua said: I once heard this from my teacher. There is another wonderful formula, transmitted here as well. For anyone unable to sleep peacefully, use Ren Shen 5 liang, Yuan Zhi 2 liang, Chao Zao Ren 2 liang, Shu Di Huang 8 liang, Shan Zhu Yu 4 liang, Fu Shen 3 liang, Bai Zi Ren 1 liang, Mai Dong 3 liang, Chen Pi (Tangerine Peel) 5 qian. Grind each into powder, and form pills with honey. Take 2 liang daily with plain boiled water. Peace will be achieved in five days, and full recovery after one course. It is named Ning Shen An Wo Wan (Calming Spirit and Promoting Sleep Pill). For those with nocturnal emission, use Shu Di Huang 1 jin, Shan Yao 1 jin, Qian Shi (Euryale Seed) 1 jin, Sheng Zao Ren 5 liang, Ba Ji Tian 2 liang, Mai Dong 3 liang, Bei Wu Wei Zi 3 liang, Lian Zi (Lotus Seed) 0.5 jin. Process them together, grind into powder, and form pills with honey. Take 1 liang daily with plain boiled water. It is named Yi Xin Zhi Yi Wan (Benefit Heart and Stop Emission Pill). The former formula tonifies the Heart while supplementing the Kidney; the latter tonifies the Kidney while supplementing the Heart. This agrees with the Heavenly Master's transmitted formula. Both formulas were also transmitted by the Heavenly Master; I do not know why they differ, yet all four formulas are wondrous and connect to the Primordial Qi. The teacher's profundity is truly unfathomable. Ba Ji Tian not only strengthens Yang but also stops essence; Kidney Water cannot be generated without Fire, nor can it be secured without Fire. If one uses Da Re (greatly hot) substances like Rou Gui and Fu Zi, it will indeed assist deficient fire. Ba Ji Tian is not greatly hot; it cannot warm the interior, so what harm is there in using it among purely Yin substances? Instead, it achieves the功 of Mutual Assistance (Ji Ji).
Sun Taizhen (Sun Simiao) transmitted a formula for treating palpitations and restlessness. Palpitations are not a Heart disease, but rather Liver Blood deficiency failing to nourish the Heart. The formula uses Bai Shao 5 qian, Dang Gui 5 qian, Shu Di Huang 5 qian, Sheng Zao Ren 1 liang, Yuan Zhi 1 qian, Fu Shen 3 qian, Mai Dong 5 qian, Bei Wu Wei Zi 1 qian, Ren Shen 2 qian. Decoct in water and take orally. [Commentary: The Heavenly Master said: The wonder of this formula lies in using Sheng Zao Ren up to 1 liang.] The wonder of this formula does not lie entirely in treating the Heart. Treating the Liver is precisely how one treats the Heart; treating the Lung is also how one benefits the Heart.
Another formula transmitted for treating loss of control upon seeing beauty: Use Ren Shen 3 liang, Shu Di Huang 8 liang, Huang Bo (Phellodendron Bark) 5 liang, Bai Zhu 8 liang, Rou Gui 2 liang, Shan Zhu Yu 3 liang, Ba Ji Tian 5 liang, Rou Cong Rong 3 liang, Mai Dong 5 liang, Bei Wu Wei Zi 1 liang, Fu Pen Zi (Raspberry Fruit) 5 liang. Grind each into powder, and form pills with honey. [Commentary: Also stated: This formula should not be lightly transmitted; keeping it is sufficient.] Take 1 liang with wine when half-hungry. After one month, sexual function will improve significantly. However, do not transmit it to unworthy persons.