妇人有瘦怯身躯，久不孕育，一交男子，卧病终朝，人以为气虚之故也，谁知血虚之故
乎?夫血藏肝中，精涵肾内，若肝气不开，则精不能泄，及精既泄，肝气益虚，以肾为肝之
母，母既泄精，不能分润以养肝木之子，而肝燥无水，则火且暗动以烁精，肾愈虚矣。况
瘦人多火，又加泄精，则水益少而火益炽，水难制火，腰肾空虚，所以倦怠而卧也。此等之
妇，偏易动火，然而此火出于肝木之中，又是雷火，而非真火，不交合则已，交则偏易走泄
，阴虚火旺，不能受胎。即偶尔受胎，逼干男子之精，有随种而随消者也。治法必须大补肾水
，平其肝木，水旺而血亦旺，血旺而火亦减也。方用养阴种玉汤∶
熟地（五钱） 白芍（五钱） 当归（五钱） 茯苓（二钱） 山茱萸（五钱） 甘菊花（一钱） 丹皮（二钱） 山
药（三钱） 杜仲（二钱） 牛膝（一钱）
水煎服。服一月便可受孕，服三月身健，断断可以种子。
此方不特补血，纯于填精，精满则子宫易于摄精，血足则子宫易于容物，皆有子之道也
。惟是世人贪欲者多，节欲者少，服此药必保守者二月，定然坐孕，否止可身健，勿咎药品
之未灵也。
此症用五美丹亦效。
熟地（一两） 当归 山茱萸 麦冬 山药（各五钱）
水煎服。十剂可以受胎矣。
妇人有饮食少思，饱闷倦怠，惟思睡眠，一行房事，呻吟不已，人以为脾胃之气虚也，
谁知肾气之不足乎?夫气宜升腾，不宜降陷。升腾于上焦，则脾胃易于分消，降陷于下焦，
则脾胃难于运化。人无水谷之养，则精神自然倦怠。惟是脾胃之气，实生于两肾之内，无肾
中之水气，则胃气不能腾；无肾中之火气，则脾气不能化，故宜亟补肾中水火之气。然仅补
肾而不用补脾胃之药，则肾中水火二气不能提于至阳之上也。方用兼提汤∶
人参（五钱） 白术（一两） 熟地（一两） 山茱萸（三钱） 黄 （五钱） 枸杞（二钱） 柴胡（五分） 巴
戟天（一两）
水煎服。服一月肾气大旺，再服一月，未有不可受孕者。
此方补气之药多于补精，似乎以补脾胃为主，孰知脾胃健而生精自易，是补脾胃正所以
补肾也。脾胃既旺，又加补精之味，则阴气既生，阳气易升，不必升提，气自腾越于上焦，
况原有升提之药乎。阳气不下降，无非大地之阳春，随遇皆是生机，安得不受育哉。
此症用旺肾汤亦甚效。
熟地（一两） 山茱萸 巴戟天（各四钱） 白术 人参（各五钱） 茯苓（三钱） 砂仁（二粒）
水煎服。服一月自可受孕。
妇人有下体冰冷，非火不暖，交感之时，阴中绝不见有温热之气，人以为天分之薄也，
谁知胞胎之寒乎?夫寒冰之地，不生草木，重阴之渊，不长鱼龙，胞胎寒冷，何能受孕哉!即
茹之于暂，不能不吐之于久也。盖胞胎居于心肾之间，上系于心，下系于肾，胞胎之寒冷，
乃心火之微，肾火之衰也。故治胞胎者，仍须补心肾之二火。方用温胞散∶
人参（三钱） 白术（一两） 巴戟天（一两） 破故纸（二钱） 杜仲（三钱） 菟丝子（三钱） 芡实（三钱）
山药（三钱） 肉桂（二钱） 附子（三分）
水煎服。连服一月，胞胎热矣。
此方补心即补肾，温肾即温心，心肾气旺，则心肾之火自生，心肾火生，则胞胎之寒自
散。原因胞胎之寒，以致茹而即吐，胞胎既热，岂尚有施而不受者乎!倘改方为丸。朝夕吞
服，则尤能摄精，断不至悲伯道无儿之叹也。
此症用春温汤亦佳。
人参 巴戟天 白术 杜仲（各五钱） 破故纸（三钱） 肉桂（一钱） 菟丝子（五钱）
水煎服。服十剂自然温和，可以受胎矣。
妇人有素性恬澹，饮食用少，多则难受，作呕作泻，胸饱闷胀，人以为天分之薄也，谁
知是脾胃之虚寒乎?夫脾胃虚寒，亦是心肾之虚寒也。胃土非心火不生，脾土非肾火不化，
心肾之二火衰，则脾胃失其生化之权，即不能传化水谷，以化精微矣。脾胃既失生化之权，
不能化水谷之精微，自无津液以灌注于胞胎，欲胞胎有温暖之气，以养胎气，必不得之数也
。总能受胎，而带脉之间，断然无力，亦必坠落者也。然则治法，可不亟温补其脾胃乎。然
脾之母在于肾之命门，胃之母在于心之包络，温补脾胃，必须温补二级之火，盖母旺而子不
弱，母热而子不寒也。方用温土毓麟汤∶
巴戟天（一两） 覆盆子（一两） 白术（五钱） 人参（三钱） 神曲（一钱） 山药（五钱）
水煎服。连服一月，可以种子。
盖所用之药，既能温命门之火，又能温心包之火，火旺则脾胃无寒冷之虞，自然饮食多
而善化，气血日盛而带脉有力，可以胜任愉快，安有不玉麟之毓哉!
此症用培土散亦效。
肉桂（一钱） 茯苓（三钱） 蛇床子（二钱） 肉豆蔻（一枚） 北五味子（一钱） 陈皮（五分） 神曲（一
钱
人参 白术（各五钱） 肉苁蓉（三钱）
水煎服。
妇人有小腹之间，自觉有紧迫之状，急而不舒，断难生子，乃带脉太急，由于腰脐之不
利也。腰脐之不利者，又由于脾胃之不足。脾胃虚而腰脐之气闭，使带脉拘急，胞胎牵动，
精虽直射于胞胎，胞胎虽能茹纳，力难载负，必有小产之虞。且人又不能节欲，安保不坠乎
。治法必须利其腰脐之气，而又大补脾肾，则带脉可宽也。方用宽带汤∶
白术（一两） 巴戟天（五钱） 补骨脂（一钱） 肉苁蓉（三钱） 人参（三钱） 麦冬（三钱） 五味子（三
分） 杜仲（三钱） 莲肉（二十个，不可去心） 熟地（五钱） 当归（二钱） 白芍（三钱）
水煎服。连服四剂，腹无紧迫之状，服一月，未有不受胎者。
此方脾肾双补，又利其腰脐之气，自然带脉宽舒，可以载物胜任。或疑方中用五味、白
芍之类酸以收之，不增带脉之急乎?不知带脉之急，因于气血之虚。血虚则缩而不伸，气虚
则挛而不达。芍药酸以平肝，则肝不克脾，五味酸以生肾，则肾能益带，似乎相碍而实能相
此症用宽带汤亦效。
白术（二两） 杜仲（一两） 甘草（二钱）
水煎服。服四剂无急迫之状矣。
妇人有怀抱素恶，不能生子，乃肝气之郁结也。夫有子之心脉必流利而滑，肝脉必舒徐
而和，肾脉必旺大鼓指，未有三部脉郁结而能生子者。即心肾二部之脉不郁不结，而肝部之
脉独郁独结，即非喜脉矣。肝气不舒，必下克脾土，脾土之气塞，而腰脐之气不利，何能通
任脉而达带脉乎?带脉之气闭，而胞胎之口不开，精到门亦不受。治法必须开其胞胎之口，
但舍开郁，无第二法也。方用开郁种子汤∶
香附（三钱） 白芍（一两） 当归（五钱） 丹皮（三钱） 陈皮（五分） 白术（五钱） 茯苓（三钱） 天
花粉（一钱）
水煎服。连服一月则郁结之气尽开，无非喜气之盈腹，自然两相好合，结胎于顷刻矣。
此方解肝气之郁，宣脾气之困，腰脐气利，不必通任脉而任脉自通，不必达带脉而带脉
自达，不必启胞胎而胞胎自启也。
此症用郁金舒和散∶
白芍（一两） 当归（五钱） 郁金 香附 神曲（各一钱） 枳壳（三分） 白术（三钱） 川芎（二钱）
水煎服。郁开自易得子矣。
妇人身体肥胖，痰多，不能受孕，湿盛之故耳。夫湿从下受，乃言外邪之湿也。妇之湿
，实非外邪，乃脾土内病也。因气衰肉胜，外似健旺，内实虚损，不能行水，而湿停于肠胃
，不化精而化涎矣。且肥胖之妇，内肉必满，遮隔子宫，难以受精，何况又多水湿，亦随入
而随流出矣。治法必须以泻水化痰为主。但不急补脾土，则阳气不旺，湿痰未必去，人先病
矣。方用补中益气汤加味治之。
人参（三钱） 当归（三钱） 黄 （三钱） 白术（一两） 陈皮（五分） 甘草（一钱） 柴胡（一钱） 半
夏（三钱） 升麻（四分） 茯苓（五钱）
水煎服。连服八剂而痰气尽消，再服十剂而水亦利，子宫涸出，易于受精。
此方提脾气而升于上，则水湿反利于下行，助胃气而消于下，则痰涎转易于上化，不必
用消克之药以损其肌，不必用浚决之味以开其窍。阳气旺，自足以摄精；邪湿散，自可以受
此症用敦浓散亦佳。
白术（一两） 半夏 人参（各二钱） 益智仁（一钱） 茯苓（五钱） 砂仁（二粒）
水煎服。十剂痰消，易于得子。
妇人口干舌燥，骨蒸夜热，遍体火焦，咳嗽吐沫，断难生子，人以为阴虚火动也，谁知
骨髓之内热乎?夫寒阴之地，不能生物，而火燥旱田之内，何能望禾黍之油油也。然骨髓与
胞胎何相关切，而能使人无嗣?盖胞胎为五脏外之脏，因其不阴不阳，所以不列入于五脏之
中。不阴不阳者，以其上系于心包，下系于命门。系心包者，通于心；系命门者，通于肾也
。阴中有阳，阳中有阴，所以善于变化，生男生女，俱从此出。然必阴阳两平，不偏不枯，
始能变化生人，否则正不能生人也。且骨髓者，肾之所化也，骨髓热而肾热，肾热而胞胎亦
热矣。况胞胎无骨髓之养，则婴儿何以生，骨髓热而骨中空虚，惟存火气，何能成胎而作骨
哉?!治法必须清骨中之热。然骨热由于水虚，补肾中之阴，骨热自除，胞胎无干烁之虞矣。
方用清骨汤∶
地骨皮（一两） 丹皮（五钱） 沙参（五钱） 麦冬（五钱） 玄参（五钱） 北五味子（五分） 金钗石斛（二
钱） 白术（三钱）
水煎服。连服一月而骨中之热自解，再服二月，自可受孕矣。
此方补肾中之精，凉骨中之髓，不清胞胎，胞胎无太热之患矣。阴虚内热之人，原易受
胎，今因骨髓过热，所以受精变燥，以致难于育子，本非胎之不能受精也。所以少调其肾，
以杀其火之有余，况又益其水之不足，更易种子耳。
此症用解氛散亦效。
地骨皮（一两） 丹皮 沙参（各五钱） 白芥子（三钱） 山药（一两）
水煎服。服一月骨蒸自退，便可望子矣。
妇人有腰酸背楚，胸中胀闷，腹内生瘕，日日思寝，朝朝欲卧，百计求子，不能如
愿，人以腰肾之虚，谁知任、督之困乎。夫任脉行于前，督脉行于后，然皆从带脉上下而行
也。故任、督脉虚，而带脉坠于前后，虽受男子之精，必多小产。况任、督之间有疝瘕之症
，则外多障碍，胞胎缩入于疝瘕之内，往往精不能施。治法必去其疝瘕之病，而补其任、督
之脉，则提挈有力，足以胜任无虞。外无所障，内有可容，安得不受孕乎。方用升带汤∶
白术（一两） 人参（三钱） 沙参（五钱） 肉桂（一钱） 荸荠粉（三钱） 鳖甲（炒，三钱） 神曲（二钱）
茯苓（三钱） 半夏（一钱）
水煎服。连服一月，任督之气旺，再服一月，疝瘕亦尽消也。
此方利腰脐之气，正升补任、督之气也。任、督之气升，而疝瘕有难存之势。况方中有
肉桂之散寒，有荸荠之祛积，有鳖甲之攻坚，有茯苓之利湿，有形自化于无形，无非升腾之
气，何至受精而再坠乎。
此症亦可用任督两滋汤∶
白术（一两） 人参（五钱） 肉桂（一钱） 茯苓（三钱） 白果（十个） 黑豆（一大把） 杜仲（五钱） 巴
戟
天（五钱）
水煎服。十剂而任、督之脉气旺，可以摄精而受孕也。
妇人有小水艰涩，腹中作胀，两腿虚浮，不能坐孕，乃膀胱之气不能化也。夫膀胱与胞
胎相近，水湿之气必走膀胱，然而膀胱不能自己分消，必得肾气相通，始能化水从阴器以泄
。倘膀胱无肾气之通，则气化不行，水湿必且渗入于胞胎，汪洋之田，何能生物哉?治法必
须分消胞胎之湿。然肾气不旺，胞胎之水气何从而化，故须治肾中之火，使火气达于膀胱也
。方用化水种玉丹∶
人参（三钱） 白术（一两） 巴戟天（一两） 肉桂（二钱） 菟丝子（五钱） 茯苓（五钱） 车前子（二钱）
芡实（五钱）
水煎服。二剂，膀胱之气化矣；四剂，艰涩之症去；又服十剂，虚胀之形尽消，连服二
月，肾气大旺，易于受胎。
此方利膀胱之水，全在补肾中之气。然而补肾之药，多是濡润之品，不以湿而益助其湿
乎。方中所用之药补肾之火，非益肾之水。补火无燥烈之虞，利水非荡涤之甚，所以膀胱气
化，胞胎不至于过湿，安有布种而难于发育者乎。
此症用参术加桂汤亦效。
茯苓（一两） 白术（一两） 肉桂（一钱） 人参（五钱） 水煎服。十剂而膀胱通利，腹亦不胀，可以受娠矣。
有一位身体瘦弱的女性，长期无法怀孕，一旦与丈夫同房，就会卧床病倒一整天。人们都认为是气虚导致的，却不知这是血虚的缘故。血液储藏于肝脏之中，精气涵藏于肾脏之内。如果肝气不能疏泄通畅，那么精气就无法排出；等到精气已经排出，肝气就更加虚弱。因为肾是肝的母亲，母亲既然耗泄了精气，就不能分润滋养作为“肝木之子”的肝脏，导致肝脏干燥缺水，于是虚火暗中躁动来煎熬精气，使得肾脏更加虚弱。况且瘦人容易生内火，再加上泄精，就会导致阴水更加减少而虚火更加炽盛，阴水难以制约虚火，造成腰肾空虚，所以感到疲倦而想躺卧。这类女性特别容易产生内火，然而这种火源于肝木之中，属于“雷火”，而非真火。如果不交合则罢，一交合就容易走泄精气，导致阴虚火旺，无法受孕。即使偶尔受孕，也会因火旺逼迫而干涸男子的精气，出现刚种下就消散的情况。治疗方法必须大补肾中阴水，平抑肝木之气，使水旺则血亦旺，血旺则火自减。方用养阴种玉汤：熟地黄（五钱）、白芍（五钱）、当归（五钱）、茯苓（二钱）、山茱萸（五钱）、甘菊花（一钱）、牡丹皮（二钱）、山药（三钱）、杜仲（二钱）、牛膝（一钱）。水煎服。服用一个月便可受孕，服用三个月身体健壮，一定可以生育。此方不仅补血，更专注于填精，精满则子宫易于摄纳精子，血足则子宫易于容纳胎元，这都是孕育子女的道理。只是世人贪恋欲望的多，节制欲望的少，服用此药必须保守禁欲两个月，定然能怀孕，否则只能身体健壮，不要责怪药物不灵验。此症用五美丹也有效。熟地黄（一两）、当归、山茱萸、麦冬、山药（各五钱）。水煎服。十剂就可以受孕了。
有一位女性饮食减少，饱胀闷痛且疲倦，只想睡觉，一旦行房事，就呻吟不止。人们以为是脾胃之气虚弱，却不知是肾气不足所致。气宜升腾，不宜降陷。气升腾于上焦，则脾胃易于消化分解；气降陷于下焦，则脾胃难于运化。人如果没有水谷精微的滋养，精神自然倦怠。然而脾胃之气，实际上产生于两肾之内，没有肾中的阴水之气，胃气就不能升腾；没有肾中的阳火之气，脾气就不能运化，因此应当急切地补肾中的水火之气。然而如果只补肾而不使用补脾胃的药物，那么肾中的水火二气就不能提至最高的阳气部位。方用兼提汤：人参（五钱）、白术（一两）、熟地黄（一两）、山茱萸（三钱）、黄芪（五钱）、枸杞子（二钱）、柴胡（五分）、巴戟天（一两）。水煎服。服用一个月肾气大旺，再服用一个月，没有不能受孕的。此方补气药多于补精药，似乎以补脾胃为主，殊不知脾胃健运则生精自然容易，补脾胃正是为了补肾。脾胃既已旺盛，又加上补精的药物，则阴气既生，阳气易升，不必刻意升提，气自然升腾于上焦，何况方中原本就有升提的药物呢？阳气不下降，就像大地的阳春之气，随处都是生机，怎么能不受育呢？此症用旺肾汤也很有效。熟地黄（一两）、山茱萸、巴戟天（各四钱）、白术、人参（各五钱）、茯苓（三钱）、砂仁（两粒）。水煎服。服用一个月自然可以受孕。
有一位女性下身冰冷，不用火烤就不暖和，性交时，阴道里完全没有温热之气。人们以为是先天禀赋薄弱，却不知是胞胎寒冷所致。寒冰之地，不长草木；重阴之渊，不长鱼龙。胞胎寒冷，怎么能受孕呢？即使暂时接受，长久后也必然吐出。大概胞胎位于心肾之间，上连于心，下系于肾。胞胎寒冷，是因为心火微弱，肾火衰败。所以治疗胞胎，仍须补益心肾的二火。方用温胞散：人参（三钱）、白术（一两）、巴戟天（一两）、破故纸（二钱）、杜仲（三钱）、菟丝子（三钱）、芡实（三钱）、山药（三钱）、肉桂（二钱）、附子（三分）。水煎服。连续服用一个月，胞胎就热了。此方补心即补肾，温肾即温心，心肾之气旺盛，则心肾之火自然产生，心肾火生，则胞胎之寒自然消散。原本因为胞胎寒冷，导致接受后即吐出，胞胎既热，哪里还有施予而不接受的道理呢！如果把方剂改为丸药，早晚吞服，则更能摄纳精气，绝不会悲叹伯道无儿（指无子）的叹息。此症用春温汤也很好。人参、巴戟天、白术、杜仲（各五钱）、破故纸（三钱）、肉桂（一钱）、菟丝子（五钱）。水煎服。服用十剂自然温和，可以受孕了。
有一位女性天性恬淡安静，饮食量少，吃多了就难受，作呕腹泻，胸腹饱闷胀满。人们以为是先天禀赋薄弱，却不知是脾胃虚寒所致。脾胃虚寒，也是心肾虚寒的表现。胃土非心火不生，脾土非肾火不化。心肾二火衰弱，则脾胃失去生化之权，就不能传化水谷，将其化为精微物质。脾胃既失生化之权，不能将水谷化为精微，自然就没有津液灌注于胞胎，想要胞胎有温暖之气来养胎气，是不可能的。即使能受孕，带脉之间也必然无力，胎儿也一定会坠落。既然如此，治疗方法能不急切温补脾胃吗？然而脾之母在于肾之命门，胃之母在于心之包络。温补脾胃，必须温补这两级的火，因为母旺则子不弱，母热则子不寒。方用温土毓麟汤：巴戟天（一两）、覆盆子（一两）、白术（五钱）、人参（三钱）、神曲（一钱）、山药（五钱）。水煎服。连续服用一个月，可以生育。所用的药物，既能温命门之火，又能温心包之火，火旺则脾胃无寒冷之虞，自然饮食增多且善于消化，气血日益强盛而带脉有力，可以胜任愉快，怎么会不养育麒麟子呢！此症用培土散也有效。肉桂（一钱）、茯苓（三钱）、蛇床子（二钱）、肉豆蔻（一枚）、北五味子（一钱）、陈皮（五分）、神曲（一钱）、人参、白术（各五钱）、肉苁蓉（三钱）。水煎服。
有一位女性小腹之间，自觉有紧迫之感，急迫而不舒展，很难生子，这是因为带脉太紧，由于腰脐部气机不利所致。腰脐部不利，又由于脾胃不足。脾胃虚弱导致腰脐之气闭塞，使带脉拘急，牵动胞胎，虽然精子直射入胞胎，胞胎虽能接纳，但力量难以承载，必有小产之虞。况且人又不能节制欲望，怎能保证不流产呢？治疗方法必须疏通腰脐之气，而又大补脾肾，则带脉可松弛。方用宽带汤：白术（一两）、巴戟天（五钱）、补骨脂（一钱）、肉苁蓉（三钱）、人参（三钱）、麦冬（三钱）、五味子（三分）、杜仲（三钱）、莲肉（二十个，不可去心）、熟地黄（五钱）、当归（二钱）、白芍（三钱）。水煎服。连续服用四剂，腹部无紧迫之感，服用一个月，没有不受孕的。此方脾肾双补，又利其腰脐之气，自然带脉宽舒，可以承载胎元。有人怀疑方中使用五味子、白芍等酸味收敛之药，不是会增加带脉之急吗？不知道带脉之急，是由于气血虚弱。血虚则收缩而不能伸展，气虚则挛缩而不能通达。芍药酸以平肝，则肝不克伐脾土；五味子酸以生肾，则肾能益助带脉，看似相碍实则相辅相成。此症用宽带汤也有效。白术（二两）、杜仲（一两）、甘草（二钱）。水煎服。服用四剂无急迫之感了。
有一位女性平素心情抑郁，不能生子，这是肝气郁结所致。有子之心脉必流利而滑，肝脉必舒缓而和，肾脉必旺大鼓指，没有三部脉象都郁结而能生子的。即使心肾两部脉象不郁不结，而肝部脉象独独郁结，也不是喜脉。肝气不舒，必定向下克制脾土，脾土之气壅塞，而腰脐之气不利，怎么能通任脉而达带脉呢？带脉之气闭塞，而胞胎之门不开，精子到了门口也不受纳。治疗方法必须打开胞胎之门，除了开郁，没有第二法。方用开郁种子汤：香附（三钱）、白芍（一两）、当归（五钱）、牡丹皮（三钱）、陈皮（五分）、白术（五钱）、茯苓（三钱）、天花粉（一钱）。水煎服。连续服用一个月则郁结之气尽开，无非喜气充盈腹部，自然两情相悦，顷刻间结胎。此方解肝气之郁，宣脾气之困，腰脐气利，不必通任脉而任脉自通，不必达带脉而带脉自达，不必启胞胎而胞胎自启。此症用郁金舒和散：白芍（一两）、当归（五钱）、郁金、香附、神曲（各一钱）、枳壳（三分）、白术（三钱）、川芎（二钱）。水煎服。郁结解开自然容易得子。
女性身体肥胖，痰多，不能受孕，这是湿盛的原因。湿从下受，是说外邪之湿。女性的湿，实在不是外邪，而是脾土内部的病变。因为气衰肉胜，外表看似健旺，内里实则虚损，不能行水，而湿气停聚于肠胃，不化精而化涎。而且肥胖的女性，体内脂肪必满，遮隔子宫，难以受精，何况又多水湿，也随入随流出。治疗方法必须以泻水化痰为主。但不急切补脾土，则阳气不旺，湿痰未必去除，人先病了。方用补中益气汤加味治疗：人参（三钱）、当归（三钱）、黄芪（三钱）、白术（一两）、陈皮（五分）、甘草（一钱）、柴胡（一钱）、半夏（三钱）、升麻（四分）、茯苓（五钱）。水煎服。连续服用八剂而痰气尽消，再服十剂而水湿亦利，子宫显露出来，易于受精。此方提升脾气而升于上，则水湿反利于下行，助胃气而消于下，则痰涎转易于上化，不必用消克之药以损伤肌肉，不必用浚决之味以开通窍道。阳气旺，自然足以摄精；邪湿散，自然可以受孕。此症用敦浓散也很好。白术（一两）、半夏、人参（各二钱）、益智仁（一钱）、茯苓（五钱）、砂仁（两粒）。水煎服。十剂痰消，易于得子。
女性口干舌燥，骨蒸夜热，遍体如火焦灼，咳嗽吐沫，很难生子。人们以为是阴虚火动，却不知是骨髓之内热所致。寒冷的阴地，不能生物，而火燥旱田之内，怎么能指望禾黍茂盛呢？然而骨髓与胞胎有什么关系密切，而能使人无嗣？大概胞胎是五脏之外的脏，因其不阴不阳，所以不列入于五脏之中。不阴不阳，是因为其上系于心包，下系于命门。系心包者，通于心；系命门者，通于肾。阴中有阳，阳中有阴，所以善于变化，生男生女，俱从此出。然而必须阴阳两平，不偏不枯，始能变化生人，否则正不能生人。且骨髓者，是肾所化生的，骨髓热则肾热，肾热则胞胎亦热。况且胞胎没有骨髓的滋养，婴儿怎么出生？骨髓热而骨中空虚，只存火气，怎么能成胎而作骨呢？治疗方法必须清骨中之热。然而骨热由于水虚，补肾中之阴，骨热自除，胞胎无干灼之虞。方用清骨汤：地骨皮（一两）、牡丹皮（五钱）、沙参（五钱）、麦冬（五钱）、玄参（五钱）、北五味子（五分）、金钗石斛（二钱）、白术（三钱）。水煎服。连续服用一个月而骨中之热自解，再服二月，自然可以受孕。此方补肾中之精，凉骨中之髓，不清胞胎，胞胎无太热之患。阴虚内热之人，原易受孕，今因骨髓过热，所以受精变燥，以致难于育子，本非胎之不能受精。所以稍调其肾，以杀其火之有余，况又益其水之不足，更易种子。此症用解氛散也有效。地骨皮（一两）、牡丹皮、沙参（各五钱）、白芥子（三钱）、山药（一两）。水煎服。服用一月骨蒸自退，便可望子。
女性腰酸背楚，胸中胀闷，腹内生瘕块，日日思睡，朝朝欲卧，百计求子，不能如愿。人们以为腰肾之虚，却不知是任脉、督脉之困。任脉行于前，督脉行于后，然皆从带脉上下而行。故任、督脉虚，而带脉坠于前后，虽受男子之精，必多小产。况且任、督之间有疝瘕之症，则外多障碍，胞胎缩入于疝瘕之内，往往精不能施。治疗方法必去其疝瘕之病，而补其任、督之脉，则提挈有力，足以胜任无虞。外无所障，内有可容，怎么能不受孕呢？方用升带汤：白术（一两）、人参（三钱）、沙参（五钱）、肉桂（一钱）、荸荠粉（三钱）、鳖甲（炒，三钱）、神曲（二钱）、茯苓（三钱）、半夏（一钱）。水煎服。连续服用一个月，任督之气旺，再服一个月，疝瘕亦尽消。此方利腰脐之气，正升补任、督之气。任、督之气升，而疝瘕有难存之势。况方中有肉桂之散寒，有荸荠之祛积，有鳖甲之攻坚，有茯苓之利湿，有形自化于无形，无非升腾之气，何至受精而再坠？此症亦可用任督两滋汤：白术（一两）、人参（五钱）、肉桂（一钱）、茯苓（三钱）、白果（十个）、黑豆（一大把）、杜仲（五钱）、巴戟天（五钱）。水煎服。十剂而任、督之脉气旺，可以摄精而受孕。
女性小便艰涩，腹中作胀，两腿虚浮，不能坐孕，这是膀胱之气不能气化所致。膀胱与胞胎相近，水湿之气必走膀胱，然而膀胱不能自己分消，必得肾气相通，始能化水从阴器以排泄。倘若膀胱无肾气之通，则气化不行，水湿必且渗入于胞胎，汪洋之田，怎么能生物呢？治疗方法必须分消胞胎之湿。然而肾气不旺，胞胎之水气何从而化，故须治肾中之火，使火气达于膀胱。方用化水种玉丹：人参（三钱）、白术（一两）、巴戟天（一两）、肉桂（二钱）、菟丝子（五钱）、茯苓（五钱）、车前子（二钱）、芡实（五钱）。水煎服。二剂，膀胱之气化矣；四剂，艰涩之症去；又服十剂，虚胀之形尽消，连服二月，肾气大旺，易于受胎。此方利膀胱之水，全在补肾中之气。然而补肾之药，多是濡润之品，不以湿而益助其湿乎？方中所用之药补肾之火，非益肾之水。补火无燥烈之虞，利水非荡涤之甚，所以膀胱气化，胞胎不至于过湿，哪里有布种而难于发育的呢？此症用参术加桂汤也有效。茯苓（一两）、白术（一两）、肉桂（一钱）、人参（五钱）。水煎服。十剂而膀胱通利，腹亦不胀，可以受娠。
A woman with a frail and thin physique has been unable to conceive for a long time. After intercourse, she falls ill and stays in bed all day. People attribute this to Qi deficiency, but little do they know it is due to Blood deficiency. Blood is stored in the Liver, and Essence is contained within the Kidneys. If Liver Qi fails to flow freely, Essence cannot be discharged. Once Essence is discharged, Liver Qi becomes even more deficient. Since the Kidney is the mother of the Liver, when the "mother" (Kidney) depletes Essence, it cannot nourish its "child" (Liver Wood), leading to Liver dryness and lack of Yin fluid. Consequently, deficient fire stirs internally to scorch Essence, further weakening the Kidneys. Moreover, thin individuals tend to have internal heat; combined with the loss of Essence, Yin water decreases while fire flares up. With insufficient water to control fire, the lower back and Kidneys become empty, causing fatigue and a desire to lie down. Such women are prone to generating internal fire, yet this fire originates from Liver Wood and is termed "Thunder Fire" rather than true fire. Without intercourse, nothing happens; with intercourse, Essence easily leaks out. This results in Yin deficiency with hyperactive fire, making conception impossible. Even if conception occasionally occurs, the excessive fire may dry up the male's Essence, causing the embryo to dissipate immediately after implantation. The treatment method must focus on greatly tonifying Kidney Yin water and soothing Liver Wood. When Water is abundant, Blood also becomes abundant; when Blood is abundant, fire subsides. Use Yang Yin Zhong Yu Tang: Shu Di Huang (Prepared Rehmannia Root, 5 qian), Bai Shao (White Peony Root, 5 qian), Dang Gui (Angelica Sinensis, 5 qian), Fu Ling (Poria, 2 qian), Shan Zhu Yu (Cornus Fruit, 5 qian), Gan Ju Hua (Chrysanthemum Flower, 1 qian), Dan Pi (Moutan Cortex, 2 qian), Shan Yao (Dioscorea Rhizome, 3 qian), Du Zhong (Eucommia Bark, 2 qian), Niu Xi (Achyranthes Root, 1 qian). Decoct in water and take orally. Conception can occur after one month of use; after three months, the body becomes robust, ensuring fertility. This formula not only tonifies Blood but primarily fills Essence. When Essence is full, the uterus easily receives sperm; when Blood is sufficient, the uterus easily accommodates the fetus. These are the principles of conception. However, many people indulge in desires while few practice moderation. One must observe sexual abstinence for two months while taking this medicine to ensure pregnancy; otherwise, only general health will improve, and one should not blame the medicine for being ineffective. Wu Mei Dan is also effective for this condition. Shu Di Huang (1 liang), Dang Gui, Shan Zhu Yu, Mai Dong (Ophiopogon Tuber), Shan Yao (each 5 qian). Decoct in water and take orally. Conception can occur after ten doses.
Another woman has reduced appetite, feels bloated and fatigued after eating, and desires sleep constantly. After intercourse, she groans incessantly. People attribute this to Spleen and Stomach Qi deficiency, but it is actually due to Kidney Qi insufficiency. Qi should ascend and rise, not sink and fall. When Qi ascends to the Upper Jiao, the Spleen and Stomach digest food easily; when Qi sinks to the Lower Jiao, Spleen and Stomach transportation is difficult. Without nourishment from food and drink, spirit naturally becomes fatigued. However, Spleen and Stomach Qi is generated within the two Kidneys. Without Kidney Yin water, Stomach Qi cannot ascend; without Kidney Yang fire, Spleen Qi cannot transform. Therefore, it is urgent to tonify the Water and Fire of the Kidneys. Yet, if one only tonifies the Kidneys without using herbs that tonify the Spleen and Stomach, the Water and Fire of the Kidneys cannot be lifted to the highest Yang level. Use Jian Ti Tang: Ren Shen (Ginseng Root, 5 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 1 liang), Shu Di Huang (1 liang), Shan Zhu Yu (3 qian), Huang Qi (Astragalus Root, 5 qian), Gou Qi Zi (Goji Berry, 2 qian), Chai Hu (Bupleurum Root, 5 fen), Ba Ji Tian (Morinda Root, 1 liang). Decoct in water and take orally. After one month, Kidney Qi becomes strong; after another month, conception is highly likely. This formula contains more Qi-tonifying herbs than Essence-tonifying ones, seemingly focusing on the Spleen and Stomach. However, a healthy Spleen and Stomach generates Essence easily; thus, tonifying the Spleen and Stomach is essentially tonifying the Kidneys. Once the Spleen and Stomach are strong and supplemented with Essence-tonifying herbs, Yin Qi grows, and Yang Qi rises easily. There is no need for specific lifting actions as Qi naturally ascends to the Upper Jiao, especially since the formula already contains lifting herbs. Yang Qi does not sink, resembling the spring warmth of the earth, bringing vitality everywhere, so why would conception fail? Wang Shen Tang is also very effective for this condition. Shu Di Huang (1 liang), Shan Zhu Yu, Ba Ji Tian (each 4 qian), Bai Zhu, Ren Shen (each 5 qian), Fu Ling (3 qian), Sha Ren (Amomum Fruit, 2 grains). Decoct in water and take orally. Conception can occur naturally after one month.
A woman has cold lower extremities that require external heat to warm up. During intercourse, there is absolutely no sense of warmth in the vagina. People attribute this to weak congenital constitution, but it is actually due to a cold Uterus (Bao Gong). In icy lands, plants do not grow; in deep, yin-heavy abysses, fish and dragons do not thrive. How can a cold Uterus conceive? Even if it temporarily accepts the seed, it will eventually reject it. The Uterus is located between the Heart and Kidneys, connected above to the Heart and below to the Kidneys. Coldness of the Uterus indicates weak Heart Fire and declining Kidney Fire. Therefore, treating the Uterus requires tonifying the Fire of both the Heart and Kidneys. Use Wen Bao San: Ren Shen (3 qian), Bai Zhu (1 liang), Ba Ji Tian (1 liang), Po Gu Zhi (Cibotium Rhizome, 2 qian), Du Zhong (3 qian), Tu Si Zi (Dodder Seed, 3 qian), Qian Shi (Euryale Seed, 3 qian), Shan Yao (3 qian), Rou Gui (Cinnamon Bark, 2 qian), Fu Zi (Aconite Root, 3 fen). Decoct in water and take orally. After one month of continuous use, the Uterus becomes warm. This formula tonifies the Heart by tonifying the Kidney and warms the Kidney by warming the Heart. When Heart and Kidney Qi are strong, their Fire generates naturally, dispersing Uterine cold. Originally, coldness caused rejection; now that it is warm, acceptance is guaranteed. If prepared as pills and taken morning and evening, it enhances sperm retention, preventing childlessness. Chun Wen Tang is also excellent for this condition. Ren Shen, Ba Ji Tian, Bai Zhu, Du Zhong (each 5 qian), Po Gu Zhi (3 qian), Rou Gui (1 qian), Tu Si Zi (5 qian). Decoct in water and take orally. After ten doses, warmth returns, facilitating conception.
A woman is naturally calm and eats little; overeating causes nausea and diarrhea, along with chest and abdominal distension. People think it is weak congenital constitution, but it is actually Spleen and Stomach deficiency-cold. Spleen and Stomach deficiency-cold stems from Heart and Kidney deficiency-cold. Stomach Earth is not born without Heart Fire, and Spleen Earth is not transformed without Kidney Fire. When Heart and Kidney Fire decline, the Spleen and Stomach lose their transformative power, failing to convert food into essence. Without this essence, fluids cannot nourish the Uterus, making it impossible for the Uterus to maintain warmth for fetal development. Even if conception occurs, the Dai Mai (Penis Belt Vessel) lacks strength, leading to miscarriage. Thus, treatment must urgently warm and tonify the Spleen and Stomach. Since the Spleen’s mother is the Ming Men (Gate of Life) of the Kidney, and the Stomach’s mother is the Xin Bao (Pericardium) of the Heart, warming the Spleen and Stomach requires warming these two levels of Fire. When the mother is strong and hot, the child is not weak or cold. Use Wen Tu Yu Lin Tang: Ba Ji Tian (1 liang), Fu Pen Zi (Raspberry Fruit, 1 liang), Bai Zhu (5 qian), Ren Shen (3 qian), Shen Qu (Medicated Leaven, 1 qian), Shan Yao (5 qian). Decoct in water and take orally. After one month, fertility is achieved. The herbs used warm both Ming Men and Xin Bao Fire. Strong fire prevents Spleen and Stomach cold, increasing appetite and digestion. As Qi and Blood strengthen and Dai Mai gains force, conception succeeds. Pei Tu San is also effective. Rou Gui (1 qian), Fu Ling (3 qian), She Chuang Zi (Cnidium Fruit, 2 qian), Rou Dou Kou (Nutmeg, 1 piece), Bei Wu Wei Zi (Schisandra Berry, 1 qian), Chen Pi (Tangerine Peel, 5 fen), Shen Qu (1 qian), Ren Shen, Bai Zhu (each 5 qian), Rou Cong Rong (Cistanche Stem, 3 qian). Decoct in water and take orally.
A woman feels tightness and discomfort in the lower abdomen, making conception difficult. This is due to tension in the Dai Mai caused by obstruction in the waist and umbilical region. Obstruction here stems from Spleen and Stomach deficiency. Weak Spleen and Stomach closes Qi in the waist and umbilicus, causing Dai Mai spasm and pulling on the Uterus. Although sperm enters the Uterus, the Uterus lacks the strength to carry the fetus, risking miscarriage. If sexual activity is not moderated, abortion is likely. Treatment must unblock Qi in the waist and umbilicus while greatly tonifying the Spleen and Kidneys to relax the Dai Mai. Use Kuan Dai Tang: Bai Zhu (1 liang), Ba Ji Tian (5 qian), Bu Gu Zhi (Psoralea Fruit, 1 qian), Rou Cong Rong (3 qian), Ren Shen (3 qian), Mai Dong (3 qian), Wu Wei Zi (Schisandra Berry, 3 fen), Du Zhong (3 qian), Lian Rou (Lotus Seed, 20 pieces, keep the plumule), Shu Di Huang (5 qian), Dang Gui (2 qian), Bai Shao (3 qian). Decoct in water and take orally. After four doses, abdominal tightness resolves; after one month, conception is assured. This formula tonifies both Spleen and Kidney and benefits waist Qi, relaxing the Dai Mai. Some may question the use of sour astringents like Wu Wei Zi and Bai Shao, fearing they increase Dai Mai tension. However, Dai Mai tension arises from Qi and Blood deficiency. Blood deficiency causes contraction; Qi deficiency causes spasms. Bai Shao soothes the Liver, preventing it from attacking the Spleen; Wu Wei Zi generates Kidney Yin, benefiting the Dai Mai. They appear contradictory but work synergistically. Kuan Dai Tang is also effective. Bai Zhu (2 liang), Du Zhong (1 liang), Gan Cao (Licorice Root, 2 qian). Decoct in water and take orally. After four doses, urgency disappears.
A woman with a depressive temperament cannot conceive due to Liver Qi stagnation. A pulse indicating pregnancy must be slippery and smooth in the Heart position, relaxed and harmonious in the Liver position, and vigorous in the Kidney position. If all three positions are stagnant, conception is impossible. Even if Heart and Kidney pulses are normal, a stagnant Liver pulse rules out pregnancy. Unfree Liver Qi attacks Spleen Earth, blocking Qi in the waist and umbilicus, preventing flow through the Ren Mai (Conception Vessel) and Dai Mai. With Dai Mai blocked, the Uterus mouth remains closed, rejecting sperm. Treatment must open the Uterus by resolving stagnation. Use Kai Yu Zhong Zi Tang: Xiang Fu (Cyperus Rhizome, 3 qian), Bai Shao (1 liang), Dang Gui (5 qian), Dan Pi (3 qian), Chen Pi (5 fen), Bai Zhu (5 qian), Fu Ling (3 qian), Tian Hua Fen (Trichosanthes Root, 1 qian). Decoct in water and take orally. After one month, stagnation clears, joy fills the abdomen, and conception occurs quickly. This formula resolves Liver stagnation and relieves Spleen distress. With free waist Qi, Ren Mai and Dai Mai open spontaneously, and the Uterus opens without forced intervention. Yu Jin Shu He San is also effective. Bai Shao (1 liang), Dang Gui (5 qian), Yu Jin (Curcuma Radix), Xiang Fu, Shen Qu (each 1 qian), Zhi Ke (Aurantii Fructus, 3 fen), Bai Zhu (3 qian), Chuan Xiong (Ligusticum Rhizome, 2 qian). Decoct in water and take orally. Resolving stagnation facilitates conception.
An obese woman with excessive phlegm cannot conceive due to dampness abundance. Dampness entering from below usually refers to external pathogens, but in women, it is an internal Spleen Earth pathology. Due to weak Qi and excess flesh, she appears robust but is internally deficient, unable to move fluids. Dampness stagnates in the intestines and stomach, transforming into saliva instead of essence. Obesity implies fatty tissue filling the abdomen, obstructing the Uterus and hindering fertilization. Excess dampness flows in and out. Treatment must drain water and resolve phlegm. However, without urgently tonifying Spleen Earth, Yang Qi remains weak, damp-phlegm persists, and the patient suffers. Use Bu Zhong Yi Qi Tang modified: Ren Shen (3 qian), Dang Gui (3 qian), Huang Qi (3 qian), Bai Zhu (1 liang), Chen Pi (5 fen), Gan Cao (1 qian), Chai Hu (1 qian), Ban Xia (Pinellia Tuber, 3 qian), Sheng Ma (Cimicifuga Rhizome, 4 fen), Fu Ling (5 qian). Decoct in water and take orally. After eight doses, phlegm and Qi stagnation clear; after ten more doses, water metabolism improves, exposing the Uterus for easier fertilization. This formula lifts Spleen Qi upward, aiding downward drainage of dampness, and assists Stomach Qi to transform phlegm. It avoids damaging muscles with harsh draining herbs. Strong Yang Qi captures sperm; dispersed dampness allows conception. Dun Nong San is also good. Bai Zhu (1 liang), Ban Xia, Ren Shen (each 2 qian), Yi Zhi Ren (Alpinia Oxyphylla Fruit, 1 qian), Fu Ling (5 qian), Sha Ren (2 grains). Decoct in water and take orally. After ten doses, phlegm clears, facilitating conception.
A woman with dry mouth, bone-steaming night fever, burning sensation throughout the body, coughing with frothy sputum, cannot conceive. People attribute this to Yin deficiency with fire movement, but it is actually heat within the Bone Marrow. Cold yin lands do not produce life; dry, hot fields cannot yield crops. What is the connection between Bone Marrow and the Uterus causing infertility? The Uterus is an organ outside the Five Zang, neither purely Yin nor Yang, hence not classified among them. It connects above to the Xin Bao (Pericardium) and below to the Ming Men. Connection to Xin Bao links to the Heart; connection to Ming Men links to the Kidney. Yin contains Yang, and Yang contains Yin, allowing transformation for male or female offspring. Balance of Yin and Yang is essential; otherwise, conception fails. Bone Marrow is transformed by the Kidney. Heat in Bone Marrow means Heat in the Kidney, which heats the Uterus. Without Bone Marrow nourishment, how can an infant form? Empty bones with only fire cannot create a fetus. Treatment must clear heat from the bones. Since bone heat stems from Yin deficiency, tonifying Kidney Yin removes bone heat, protecting the Uterus from drying. Use Qing Gu Tang: Di Gu Pi (Lycium Bark, 1 liang), Dan Pi (5 qian), Sha Shen (Glehnia Root, 5 qian), Mai Dong (5 qian), Xuan Shen (Scrophularia Root, 5 qian), Bei Wu Wei Zi (Schisandra Berry, 5 fen), Jin Cha Shi Hu (Dendrobium Stem, 2 qian), Bai Zhu (3 qian). Decoct in water and take orally. After one month, bone heat resolves; after two more months, conception occurs. This formula tonifies Kidney Essence and cools Bone Marrow, indirectly cooling the Uterus. While Yin-deficient individuals often conceive easily, excessive marrow heat dries the seed, hindering development. Adjusting the Kidney reduces excess fire and supplements insufficient water, aiding conception. Jie Fen San is also effective. Di Gu Pi (1 liang), Dan Pi, Sha Shen (each 5 qian), Bai Jie Zi (White Mustard Seed, 3 qian), Shan Yao (1 liang). Decoct in water and take orally. After one month, bone-steaming fever recedes, offering hope for children.
A woman with sore back, chest oppression, abdominal masses, constant sleepiness, and failed attempts at conception is often thought to have Kidney deficiency, but it is actually a blockage in the Ren Mai and Du Mai. The Ren Mai runs anteriorly, and the Du Mai runs posteriorly, both traversing via the Dai Mai. Deficiency in Ren and Du Mai causes the Dai Mai to sag front and back. Even if sperm is received, miscarriage is common. Additionally, hernias or masses between Ren and Du Mai obstruct the Uterus, preventing sperm entry. Treatment must remove masses and tonify Ren and Du Mai to provide support. With no external obstruction and internal capacity, conception is possible. Use Sheng Dai Tang: Bai Zhu (1 liang), Ren Shen (3 qian), Sha Shen (5 qian), Rou Gui (1 qian), Bi Qi Fen (Water Chestnut Powder, 3 qian), Bie Jia (Turtle Shell, stir-fried, 3 qian), Shen Qu (2 qian), Fu Ling (3 qian), Ban Xia (1 qian). Decoct in water and take orally. After one month, Ren and Du Qi strengthens; after another month, masses disappear. This formula benefits waist Qi and lifts Ren and Du Qi. Rising Qi makes masses hard to sustain. Rou Gui dispels cold, Bi Qi removes accumulation, Bie Jia breaks hardness, and Fu Ling drains dampness. Form transforms into non-form through ascending Qi, preventing post-conception loss. Ren Du Liang Zi Tang is also usable. Bai Zhu (1 liang), Ren Shen (5 qian), Rou Gui (1 qian), Fu Ling (3 qian), Bai Guo (Ginkgo Nut, 10 pieces), Hei Dou (Black Soybean, a large handful), Du Zhong (5 qian), Ba Ji Tian (5 qian). Decoct in water and take orally. After ten doses, Ren and Du Qi strengthens, enabling sperm retention and conception.
A woman with difficult urination, abdominal distension, and puffy legs cannot conceive because Bladder Qi fails to transform. The Bladder is near the Uterus; water-dampness flows to the Bladder. However, the Bladder cannot self-transform without Kidney Qi communication to excrete water via the genital opening. Without Kidney Qi, Qi transformation fails, and dampness seeps into the Uterus, creating a swampy field where life cannot grow. Treatment must drain dampness from the Uterus. But without strong Kidney Qi, Uterine water cannot transform. Thus, treat Kidney Fire to reach the Bladder. Use Hua Shui Zhong Yu Dan: Ren Shen (3 qian), Bai Zhu (1 liang), Ba Ji Tian (1 liang), Rou Gui (2 qian), Tu Si Zi (5 qian), Fu Ling (5 qian), Che Qian Zi (Plantago Seed, 2 qian), Qian Shi (5 qian). Decoct in water and take orally. After two doses, Bladder Qi transforms; after four doses, difficulty resolves; after ten more doses, distension vanishes. Two months of use strengthens Kidney Qi, facilitating conception. This formula benefits Bladder water by tonifying Kidney Qi. Although Kidney tonics are often moistening, this formula tonifies Kidney Fire, not Water. Tonifying Fire avoids dryness; draining water avoids harsh purging. Thus, Bladder Qi transforms, Uterus is not overly wet, and conception succeeds. Shen Zhu Jia Gui Tang is also effective. Fu Ling (1 liang), Bai Zhu (1 liang), Rou Gui (1 qian), Ren Shen (5 qian). Decoct in water and take orally. After ten doses, Bladder flows freely, distension ceases, and pregnancy is possible.