烟为辛热之魁，酒为湿热之最。凡姜、椒、芥、蒜及一切辛辣热物，极能伤阴，断不可用，并一应
生冷滑肠坚硬之物，亦宜戒食，恐伤脾胃也。又当远房帷，戒恼怒，释忧思，免劳碌，为第一义。经言肾
主闭藏，肝主疏泄，二脏俱有相火，而其系上属于心。故欲心一动，则相火翕然而起，虽不交会，精已
暗耗，况近色而有不精伤肾惫者乎？经云∶怒则气逆，甚则呕血及飧泄。又曰∶忧愁则气闭塞而不行。
又曰∶怒则气结。又曰∶阳气者，烦劳则气张精绝。言烦劳太过，则气张于外，而精绝于内，阳扰阴亏
之故也。如上种种，虚劳最宜痛戒，切忌火灸。仲景曰∶微数之脉，慎不可灸，火气虽微，内攻有力，
焦骨伤筋，血难复也。而疗治者，尤重择医。病之虚者，譬之国内空虚，民众离散，镇抚为难，非委任
贤智，安静休养生息，难保无事。故医非明
哲，孰能镇之以静，久而弗摇，卒收成功哉。
保阴煎〔自制。〕治真阴虚衰，相火炽盛而发热，其热在于午后子前。〔自午至亥属阴，故也。〕
或但皮寒骨蒸，〔骨髓空虚，火陷骨中，则热蒸不已。有汗者，乃三焦相火为病，无汗者，乃心包
相火为病。〕五心常热，鼻中干燥，唇红颧赤，口苦舌干，〔皆内热之征。〕耳鸣目眩，腰膝酸软，
四肢无力，倦怠嗜卧，〔皆精血虚损之故。〕大便燥结，小便黄赤，〔内热所致。〕六脉弦数，或虚数无
力。〔皆虚劳的症，不必有吐血咳嗽也。故有吐血症，咳嗽症，而无上文之内热虚症数脉，仍非虚劳，
不可不辨。〕若病日久，饮食少思，大便溏泄，〔脾胃亦伤也。〕午后洒浙恶寒，少顷发热，或热至鸡鸣
寅卯时分，盗汗身凉，并以此方，或六味、左归加减治之。
熟地〔三钱至一两。〕生地〔二地补肾益阴，培其根本。〕麦冬〔各二、三钱。〕天
冬〔二冬清肺降火，全其母气。二钱。〕牛膝〔酒蒸，二、三钱。〕茯苓〔导火下行，二
钱。〕山药〔同茯苓以补脾，蒸，二、三钱。便溏，去生地、天冬。〕玉竹〔治虚损寒热，一切
不足，用代参、 。〕鳖甲〔退劳热在骨，及阴虚往来寒热之上品。〕龟甲〔补肾阴，退骨蒸，
酥炙，各四、五钱。〕
加圆肉〔十枚。〕骨蒸内热有汗，加骨皮。〔二钱。〕无汗加丹皮。〔一钱。〕腰痛加枸
杞∶〔三、五钱。〕杜仲〔二钱。〕余尝用猪腰子〔一枚。〕脊髓〔四、五条。〕煎汤煎药，治腰
脊酸痛如神。盗汗加枣仁〔炒研细二钱至八钱。〕五味〔二分至一钱。〕咳嗽加鲜百合∶〔一、二两。〕
款冬花〔二、三钱。〕枇杷叶〔三大片。〕有痰加贝母。〔二、三
钱。〕有血加藕汁、童便。〔各一杯。〕食少加米仁。〔炒。五钱至一两。〕肺经无热，肺脉按之无力
者，量加人参。
此方君以甘寒滋水添精之品，《难经》所谓损其肾者，益其精也。肾脉从肾上贯肝膈，入肺中，循喉
咙，挟舌本，肾火一动，肝火乘之；便入肺中。臣以二冬，保金而滋生化之源，恐太沉阴濡润，而又佐
以甘平补脾之剂，因其中气，备加减之法，以善其用。阴虚火旺者，投之神效。譬如溽暑伊芳郁之时，而
商一动，炎敌如失矣。
六味地黄丸〔若作汤饮，则小其剂。〕治肾水不足，〔下症皆阴虚之故。〕发热作渴，〔阴虚
则发热，津少则作渴。气壅痰嗽，〔肾虚不能纳气归根，故气壅于上，火蒸津液，凝结为痰。咳者水虚
而火刑金也。〕头目眩晕，眼花耳聋，〔龙火炎、则雷火亦发，肝血虚而为眩为花，阴虚痰火上升，故
耳聋。〕咽燥舌痛，齿牙不固，〔喉咙舌本。皆肾脉之所过。肾主骨，牙者、骨之余，牙之标也，精髓枯
而龈骨失润，则齿动摇，譬之几败本枯则笋宽摇动，湿则坚固矣。〕腰脊腿胫酸痛，〔腰为肾之府，肾脉
循内踝上 内，至股内，后廉贯脊，精髓内竭，故酸软疼痛。〕齿衄便红吐血，〔丹溪曰∶诸见血为热
症，由君火相火亢甚、煎迫而越出诸窍。〕盗汗失音，〔寤属阳、寐属阴，阴虚则汗从寐时盗出、闭藏失
职也。肾虚脉不上循喉咙、挟舌本，故失音。〕水泛为痰，〔阴虚火动，则水沸泛上为痰。〕小便淋闭，
〔淋者，淋涩而痛，闭者，不通也。肾司开合，虚则失职矣。又《金匮》云∶热在下焦者，则尿血亦令淋
闭不通。〕梦遗精滑，〔阴虚而君火妄动也。〕足心干热，脚跟作痛，
〔肾脉走足心，入跟中故也。〕经水不调，血枯闭绝等症。〔冲任二脉伤损之故也。〕熟地〔补髓填
精，八两。〕萸肉〔补肾气，固元精；四两。〕山药〔入手太阴肺，能润皮肤，清虚热，补
水之上源，以金为水母故也。四两。〕丹皮〔治手、足少阴、厥阴伏火，三两。〕茯苓〔淡渗
以降阴中之阳。〕 泽泻〔咸渗以降阴中之阴，各三钱。〕加麦冬〔润燥金而清水源。六两。〕五
味〔上能收耗散之肺气，下能滋不足之肾水，三两。〕名八仙长寿丸，再加人参，是合生脉散也。〔金
为水源，凡水虚者，宜合生脉散，以滋其化源。蜜丸桐子大，空心淡盐滚汤下，四、五钱，〕发热作渴，
加鳖甲、花粉、二冬。气壅加沉香、砂仁、麦冬。痰嗽加贝母、百合、麦冬。咽燥舌痛、加生鸡子、元
参、二冬。齿牙不固，八仙加鹿茸、猪髓、龙齿、牡蛎。腿胫酸痛，加牛膝、杜仲、枸杞、龟甲。齿缝牙
龈出血，加麦冬、童便，或再加人中白、麦冬，煎汤频频服之。溺血若痛者为血淋，去山萸加二冬、牛
膝、藕汁、甘草梢。如阴茎时举，溺管胀痛者，再加黄柏、知母。不痛者为尿血，八仙加白芍、莲
须、藕汁、早莲草。失音加麦冬、生鸡子。足心干热加二冬、牛膝、龟甲。以上加减诸法，保阴、左归仿此。
此纯阴重味，润下之方也。纯阴肾之气，重味肾之质，润下肾之性，宋钱仲阳用此方治小儿齿迟、
语迟、脚软、行迟、囱门不合，阴虚发热诸病，以皆属肾虚，缘小儿稚阳纯
气，故以仲景八味丸去桂、附，而但补其真阴，随手辄效。明薛立斋因之悟大方阴虚，用丹溪补阴
方不验者，以此代之，立应。薛氏加减之法甚多，即如本方去泽泻，加黄 、当归，以合养血之
奇。盖为发热作渴，小便不调，理无再竭，故去泽泻，又入生脉散，以生金滋水，虚则补母之义。复合
异功散，以崇土生金，兼母之外家而补之，更其方名曰人参补气汤。加减变化无穷，真如游龙戏
海之妙。举以为例，学人当善悟其法，而以意通之，则不可胜用矣。赵养葵《医贯》一书，得力于薛
氏医案，而并阐其义，触处旁通，外邪杂病，无不贯摄，而六味之用益广。试举其阴虚发热诸症所
用。如云∶世人真阴虚而发热者，十常六、七，亦与外感无异。余于阴虚发热者，见其大热面赤，口
渴烦躁，与大剂六味汤服之而愈。又云∶阴虚火动，则水沸上为痰，其痰重浊白沫，与火衰水泛为痰纯
是清水者不同。动于肾者，犹龙火之出于海，龙兴而水附，动于肝者，犹雷火之出于地，雷发而雨
随。用六味汤以滋阴降火，〔宜倍茯苓，可加贝母、天冬、牛膝。〕此不治痰之标，而治痰之本；既治
其本，复宜补脾以制水，方为良法。又云∶咳嗽必责之肺，治之之法，不在肺而在脾，而又归重于肾。
人有咳嗽暴重，动引百骸，自觉气从脐下逆冲而上者，此肾虚不能纳气归原，当以六味汤主之。〔可加
百合、麦冬，用辰砂少许引导。〕毋徒从事于肺。以肺司出气，为气之主，肾司纳气，为气之本。又肾为
肺之子，虚则补其子也。大凡阴虚咳嗽，起于房劳亏损真阴，阴虚火上刑金，咳则肺金必伤，预先以六
味之类壮其水，使水升而火降，然后以参、 救被伤之肺，兼有虚则补其土母之义，一举两得之法。若
不先壮水以镇火，而遂投参、 以补阳，反使阳火愈旺，而金益受仿，岂药之罪哉，此所谓不识先后
着者也。如火不降，则参、 始终难用，治阴虚之所以难也。又云∶肾水虚故有火，有火则有痰，有
痰则咳嗽，咳嗽之甚则喘，宜六味加麦冬、五味、牛膝〔贝母、枇杷叶。〕之属，大剂并饮。盖阴虚
发喘，去死不远，幸几希一线，牵带在命门之根，尚尔留连。善治者，惟以助元接真镇坠之药，俾其返
本归元，或可回生，然亦不可骤峻也。又云∶阴虚喉痛，属少阴之病。少阴之火，直如奔马逆冲而上，到
此咽喉紧要处，气郁结而不得舒，故或痛肿。其症必内热口干面赤，痰涎涌上，其尺脉必数而无力，须
六味。加麦冬、五味，〔或同生鸡子玄参。〕大剂作汤饮之，褚氏所谓上病疗下也。又云∶阴虚失血一症，
分而言之，则有呕血、吐血，或出胃经，或出肝经。咯血出于肾经，或出心经。咳血出于肺经，唾血出
于肾经，或出胃经。衄血出于肺经，或出胃经，痰涎血者，出于脾经。合而言之，皆属于肾。盖肾中之
真水干，则真火炎，血亦随火沸腾，故错经而妄行，越出诸窍。褚氏谓服寒凉，百不一生，饮溲溺百不一
死。愚谓六味汤独补肾水，性不寒凉，不损脾胃，久服则水升火降而愈。又须人参救肺
补胃药以收功。盖初时忌用人参者，不欲其补助阳气也，及火已归原，人参又所不禁，然亦宜同滋阴药
中用之则善，又云∶阴虚小便不通，因汗多五内枯燥，膀胱原无水积，强欲通之，如向乞人而求食，岂
能得乎？惟六味滋水，则小水自来，切忌淡味渗泄之药。又云∶阴虚之人，大便秘结者，是因肾之津液
亏少，惟六味加二冬、人乳、牛乳，滋阴润燥，而便自如常，又云∶肾为阴，主藏精，阴虚则精不藏；
肝为阳，主疏泄，阳强则火不秘。以不秘之火，加不藏之精，故梦交即泄。惟用六味补水，总有相火，
水能滋木，水升而木火自熄。沈氏谓因心若一动，相火随之，则成梦境，而气摇精泻。治法总不越补肾
水，敛元精，安心神，清相火为主。余因世人喜用六味之方而未能尽明用方之旨，故详及之。
左归丸 治症同六味丸。
熟地〔自制，八两。〕萸肉〔蒸。四两，〕枸杞菟丝子〔酒煮，焙干。〕牛膝〔
酒蒸，各三两。〕山药〔人乳拌蒸。〕龟甲胶〔各四两。〕鹿角胶〔鹿角补阳，右肾精气不
足者宜之，麋角补阴，左肾血液不足者宜之。此味则兼补阳矣。节斋云∶左尺常虚，右尺常旺，若左右
兼补，依旧火胜于水，只补其左，制其右，庶得水火相平。余治真阴不足之症，每以糜角胶代之。三
两俱酒化，共八味丸如梧桐子大，空心服，煎膏服亦可。〕如真阴失守，虚火炎上者，〔宜用纯阴至静
之剂。〕去枸杞、鹿角胶，加
女贞子、麦冬。〔各三两。〕火灼肺金，干枯多嗽者，加百合。〔三两。〕夜热骨蒸加骨皮。〔三
两。〕小水不利加白茯苓。〔三两。〕大便燥涩去菟丝子，加肉苁蓉。〔四两。〕血虚有滞者加当
归。〔四两。〕
此方壮水之主，以培左肾之元阴。凡精气大损，年力俱衰，真阴内乏，不能滋溉荣卫，渐至衰
羸，即从纯补，犹嫌不足，若加苓、泽、渗利，未免减去补力，奏功为难。故群队补阴药中，更加
龟、鹿二胶，取其为血气之属，补之效捷耳。景岳云∶余及中年，方悟补阴之理，因推展其义，而制
左归丸饮，但用六味之义，而不用六味之方，活人应手之效，不能尽述。凡五液皆主肾，故凡属阴分
之药，亦无不皆能走肾，有谓必须引导者，皆属不明耳。
左归饮 治症同六味丸。
熟地〔三钱至二两。〕萸肉〔一、二钱，畏酸者少用之。〕枸杞〔二钱，相火盛者
去之。〕山药〔二钱。〕茯苓〔一钱五分。〕甘草〔妙在此味，经所谓调以甘药也。一
钱。〕肺热而烦者，加麦冬，〔三钱。〕肺热多嗽者，加百合。〔二钱。〕血少者，加当归。〔二
钱。〕血滞而热者，加丹皮。〔二钱。〕阴虚不宁者，加女贞子。〔二钱。〕血热妄动者，加生地。〔
三、五钱。〕脾热易饥，及多汗伤阴者，加白芍。〔二钱。〕心热多燥者，加玄参。〔二钱。〕肾热
骨蒸者，加骨皮。〔二钱。〕津枯热渴者，加天花粉。〔二钱。〕上实下虚者，加牛膝。〔二钱。〕本
方加人参、当归，即大补元煎。
此壮水之剂，凡命门之阴衰阳胜者，宜用此饮，加减治之。
回生丸〔自制。〕治男妇阴虚内热，久服自效。
地黄〔十二两。一半制。〕萸肉〔蒸晒。〕枸杞〔晒干。〕菟丝子〔自
制。〕牛膝〔补肾，酒蒸晒干。〕山药〔蒸。〕茯苓〔人乳拌，蒸晒至加倍重。〕
白芍〔酒炒。〕莲肉〔理脾。去心炒。〕麦冬〔去心晒干。〕天冬〔清肺，去心晒
干。〕北五味〔敛肺。蜜水拌蒸焙干。〕枣仁〔炒。〕圆肉〔养心。炙干。〕莲
须〔固精。〕玄参〔蒸。〕骨皮 女贞子〔酒蒸晒。以上各四两。〕龟甲胶 鳖甲胶〔退
骨热，八两。俱地黄汁溶化。〕鳔胶〔牡蛎 粉拌炒。净八两。〕猪脊髓〔填精髓。三十条，去
筋膜。捣烂入炼蜜熬。〕 黄牛肉〔补脾消痰。去油，十斤，熬膏。〕紫河车膏〔峻补精血。
烟是辛热之性的代表，酒是湿热之性的极致。凡是生姜、花椒、芥末、大蒜以及一切辛辣热性的食物，极容易损伤阴液，绝对不可食用；同时所有生冷、滑肠、坚硬的食物，也应当戒除，以免伤害脾胃。此外，应当远离房事，戒除恼怒，放下忧思，避免过度劳累，这是首要原则。《内经》说肾主闭藏，肝主疏泄，这两脏都含有相火，且其经络上属于心。所以只要欲念一动，相火就会随之兴起，即使没有进行性交，精气也在暗中消耗，何况亲近女色而不导致精伤肾惫的呢？《内经》说：愤怒会导致气机逆乱，严重时会出现呕血和完谷不化的腹泻。又说：忧愁会导致气机闭塞而不运行。又说：愤怒会导致气机郁结。又说：阳气在烦劳过度时会外张而内竭。意思是烦劳太过，则气张于外，而精绝于内，这是阳扰阴亏的缘故。像上述种种情况，虚劳病患者最应该严厉戒除，切忌使用火灸疗法。张仲景说：脉象微数者，千万不可施以艾灸，火气虽然微弱，但内攻之力强大，会焦骨伤筋，血液难以恢复。而在治疗方面，尤其重要的是选择医生。身体虚弱的人，好比国家内部空虚，民众离散，安抚治理非常困难，如果不委任贤能智慧之人，让患者安静休养，很难保证不出事端。所以医生如果不是明哲之士，谁能用静定来镇抚病情，长久不动摇，最终取得成功呢？
保阴煎（自制方）。治疗真阴虚衰，相火炽盛而发热，这种热发生在午时之前。（从午时到亥时属阴，所以如此。）或者只是皮肤寒冷而骨髓蒸热，（骨髓空虚，火陷于骨中，则热蒸不止。有汗的，是三焦相火致病；无汗的，是心包相火致病。）五心（两手心、两足心和心口）常觉发热，鼻中干燥，嘴唇红颧骨赤，口苦舌干，（这些都是内热的征象。）耳鸣目眩，腰膝酸软，四肢无力，倦怠嗜卧，（这都是精血虚损的缘故。）大便燥结，小便黄赤，（由内热所致。）六脉弦数，或虚数无力。（都是虚劳的确切症状，不一定非要有吐血咳嗽的症状。所以如果有吐血症、咳嗽症，而没有上文所说的内热虚症和数脉，仍然不是虚劳，不可不辨别。）如果病程日久，饮食减少，大便溏泄，（说明脾胃也受伤了。）午后洒浙恶寒，片刻后发热，或者热至鸡鸣寅卯时分，盗汗身凉，都用此方，或者用六味地黄丸、左归丸加减治疗。
熟地（三钱至一两）。生地（二地补肾益阴，培补根本。）麦冬（各二、三钱。）天冬（二冬清肺降火，保全母气。二钱。）牛膝（酒蒸，二、三钱。）茯苓（导引火气下行，二钱。）山药（同茯苓一起补脾，蒸，二、三钱。若便溏，去掉生地、天冬。）玉竹（治疗虚损寒热，一切不足，可用它代替人参、黄芪。）鳖甲（退除骨中的劳热，以及阴虚往来寒热的上品。）龟甲（补肾阴，退除骨蒸，酥炙，各四、五钱。）
加圆肉（十枚）。骨蒸内热有汗，加地骨皮（二钱）。无汗加牡丹皮（一钱）。腰痛加枸杞（三、五钱）、杜仲（二钱）。我曾用猪腰子（一枚）、脊髓（四、五条）煎汤煎药，治疗腰脊酸痛如神效。盗汗加炒研细的枣仁（二钱至八钱）、五味子（二分至一钱）。咳嗽加鲜百合（一、二两）、款冬花（二、三钱）、枇杷叶（三大片）。有痰加贝母（二、三钱）。有血加藕汁、童便（各一杯）。食少加炒米仁（五钱至一两）。肺经无热，肺脉按之无力者，酌情加人参。
此方以甘寒滋水添精的药物为君药，《难经》所谓“损其肾者，益其精”。肾脉从肾上行贯穿肝膈，入肺中，循喉咙，挟舌本，肾火一动，肝火乘势而上；便入肺中。臣药以二冬（麦冬、天冬），保护肺金并滋生化之源，恐怕过于沉阴濡润，又佐以甘平补脾的药物，因为其中气，备有加减之法，以完善其功效。阴虚火旺者，投以此方神效。譬如潮湿闷热之时，商风（西风/秋风）一动，炎热敌意如同消失。
六味地黄丸（若作汤剂服用，则减小剂量）。治疗肾水不足，（以下症状皆因阴虚所致。）发热作渴，（阴虚则发热，津液少则作渴。）气壅痰嗽，（肾虚不能纳气归根，故气壅于上，火蒸津液，凝结为痰。咳者是水虚而火刑金。）头目眩晕，眼花耳聋，（龙火炎上，则雷火亦发，肝血虚而为眩为花，阴虚痰火上升，故耳聋。）咽燥舌痛，齿牙不固，（喉咙舌本，皆是肾脉所经过的地方。肾主骨，牙是骨之余，牙之标也，精髓枯而龈骨失润，则齿动摇，譬如根基败坏枯朽则笋宽摇动，湿润则坚固矣。）腰脊腿胫酸痛，（腰为肾之府，肾脉循内踝上至股内后廉贯脊，精髓内竭，故酸软疼痛。）齿衄便红吐血，（丹溪说：诸见血为热症，由君火相火亢甚，煎迫而越出诸窍。）盗汗失音，（醒属阳，睡属阴，阴虚则汗从寐时盗出，闭藏失职也。肾虚脉不上循喉咙、挟舌本，故失音。）水泛为痰，（阴虚火动，则水沸泛上为痰。）小便淋闭，（淋者，淋涩而痛，闭者，不通也。肾司开合，虚则失职矣。又《金匮要略》说：热在下焦者，则尿血亦令淋闭不通。）梦遗精滑，（阴虚而君火妄动也。）足心干热，脚跟作痛，（肾脉走足心，入跟中故也。）经水不调，血枯闭绝等症。（冲任二脉伤损之故也。）熟地（补髓填精，八两。）萸肉（补肾气，固元精；四两。）山药（入手太阴肺，能润皮肤，清虚热，补水之上源，以金为水母故也。四两。）丹皮（治手、足少阴、厥阴伏火，三两。）茯苓（淡渗以降阴中之阳。）泽泻（咸渗以降阴中之阴，各三钱。）加麦冬（润燥金而清水源。六两。）五味子（上能收耗散之肺气，下能滋不足之肾水，三两。）名为八仙长寿丸，再加人参，就是合生脉散。（金为水源，凡水虚者，宜合生脉散，以滋其化源。蜜丸桐子大，空心淡盐滚汤下，四、五钱，）发热作渴，加鳖甲、花粉、二冬。气壅加沉香、砂仁、麦冬。痰嗽加贝母、百合、麦冬。咽燥舌痛、加生鸡蛋、玄参、二冬。齿牙不固，八仙加鹿茸、猪髓、龙齿、牡蛎。腿胫酸痛，加牛膝、杜仲、枸杞、龟甲。齿缝牙龈出血，加麦冬、童便，或再加人中白、麦冬，煎汤频频服之。溺血若痛者为血淋，去山萸肉加二冬、牛膝、藕汁、甘草梢。如阴茎时举，溺管胀痛者，再加黄柏、知母。不痛者为尿血，八仙加白芍、莲须、藕汁、早莲草。失音加麦冬、生鸡蛋。足心干热加二冬、牛膝、龟甲。以上加减诸法，保阴煎、左归丸仿照此例。
此方纯阴重味，润下之方也。纯阴肾之气，重味肾之质，润下肾之性，宋钱仲阳用此方治疗小儿齿迟、语迟、脚软、行迟、囟门不合，阴虚发热诸病，因为都属于肾虚，缘于小儿稚阳纯气，所以用张仲景八味丸去掉桂枝、附子，而只补其真阴，随手辄效。明代薛立斋因此悟到大方阴虚，用丹溪补阴方不验者，以此方替代，立即见效。薛氏加减之法甚多，就比如本方去掉泽泻，加黄芪、当归，以合养血之奇。盖因为发热作渴，小便不调，理无再竭，故去泽泻，又入生脉散，以生金滋水，虚则补母之义。复合异功散，以崇土生金，兼母之外家而补之，更其方名曰人参补气汤。加减变化无穷，真如游龙戏海之妙。举以为例，学人当善于领悟其法，而以意通之，则不可胜用矣。赵养葵《医贯》一书，得力于薛氏医案，而并阐发其义，触处旁通，外邪杂病，无不贯摄，而六味地黄丸之用益广。试举其阴虚发热诸症所用。如说：世人真阴虚而发热者，十常六、七，也与外感无异。我在阴虚发热者，见其大热面赤，口渴烦躁，与大剂六味汤服之而愈。又说：阴虚火动，则水沸上为痰，其痰重浊白沫，与火衰水泛为痰纯是清水者不同。动于肾者，犹龙火之出于海，龙兴而水附，动于肝者，犹雷火之出于地，雷发而雨随。用六味汤以滋阴降火，（宜倍茯苓，可加贝母、天冬、牛膝。）此不治痰之标，而治痰之本；既治其本，复宜补脾以制水，方为良法。又说：咳嗽必责之肺，治之之法，不在肺而在脾，而又归重于肾。人有咳嗽暴重，动引百骸，自觉气从脐下逆冲而上者，此肾虚不能纳气归原，当以六味汤主之。（可加百合、麦冬，用辰砂少许引导。）毋徒从事于肺。以肺司出气，为气之主，肾司纳气，为气之本。又肾为肺之子，虚则补其子也。大凡阴虚咳嗽，起于房劳亏损真阴，阴虚火上刑金，咳则肺金必伤，预先以六味之类壮其水，使水升而火降，然后以人参、黄芪救被伤之肺，兼有虚则补其土母之义，一举两得之法。若不先壮水以镇火，而遂投人参、黄芪以补阳，反使阳火愈旺，而金益受仿，岂药之罪哉，此所谓不识先后着者也。如火不降，则人参、黄芪始终难用，治阴虚之所以难也。又说：肾水虚故有火，有火则有痰，有痰则咳嗽，咳嗽之甚则喘，宜六味加麦冬、五味、牛膝（贝母、枇杷叶。）之属，大剂并饮。盖阴虚发喘，去死不远，幸几希一线，牵带在命门之根，尚尔留连。善治者，惟以助元接真镇坠之药，俾其返本归元，或可回生，然亦不可骤峻也。又说：阴虚喉痛，属少阴之病。少阴之火，直如奔马逆冲而上，到此咽喉紧要处，气郁结而不得舒，故或痛肿。其症必内热口干面赤，痰涎涌上，其尺脉必数而无力，须六味加麦冬、五味，（或同生鸡蛋玄参。）大剂作汤饮之，褚氏所谓上病疗下也。又说：阴虚失血一症，分而言之，则有呕血、吐血，或出胃经，或出肝经。咯血出于肾经，或出心经。咳血出于肺经，唾血出于肾经，或出胃经。衄血出于肺经，或出胃经，痰涎血者，出于脾经。合而言之，皆属于肾。盖肾中之真水干，则真火炎，血亦随火沸腾，故错经而妄行，越出诸窍。褚氏谓服寒凉，百不一生，饮溲溺百不一死。愚谓六味汤独补肾水，性不寒凉，不损脾胃，久服则水升火降而愈。又须人参救肺补胃药以收功。盖初时忌用人参者，不欲其补助阳气也，及火已归原，人参又所不禁，然亦宜同滋阴药中用之则善，又说：阴虚小便不通，因汗多五内枯燥，膀胱原无水积，强欲通之，如向乞人而求食，岂能得乎？惟六味滋水，则小水自来，切忌淡味渗泄之药。又说：阴虚之人，大便秘结者，是因肾之津液亏少，惟六味加二冬、人乳、牛乳，滋阴润燥，而便自如常，又说：肾为阴，主藏精，阴虚则精不藏；肝为阳，主疏泄，阳强则火不秘。以不秘之火，加不藏之精，故梦交即泄。惟用六味补水，总有相火，水能滋木，水升而木火自熄。沈氏谓因心若一动，相火随之，则成梦境，而气摇精泻。治法总不越补肾水，敛元精，安心神，清相火为主。余因世人喜用六味之方而未能尽明用方之旨，故详及之。
左归丸 治疗症状同六味地黄丸。
熟地（自制，八两。）萸肉（蒸。四两，）枸杞菟丝子（酒煮，焙干。）牛膝（酒蒸，各三两。）山药（人乳拌蒸。）龟甲胶（各四两。）鹿角胶（鹿角补阳，右肾精气不足者宜之，麋角补阴，左肾血液不足者宜之。此味则兼补阳矣。节斋云：左尺常虚，右尺常旺，若左右兼补，依旧火胜于水，只补其左，制其右，庶得水火相平。余治真阴不足之症，每以糜角胶代之。三两俱酒化，共八味丸如梧桐子大，空心服，煎膏服亦可。）如真阴失守，虚火炎上者，（宜用纯阴至静之剂。）去枸杞、鹿角胶，加女贞子、麦冬。（各三两。）火灼肺金，干枯多嗽者，加百合。（三两。）夜热骨蒸加地骨皮。（三两。）小水不利加白茯苓。（三两。）大便燥涩去菟丝子，加肉苁蓉。（四两。）血虚有滞者加当归。（四两。）
此方壮水之主，以培左肾之元阴。凡精气大损，年力俱衰，真阴内乏，不能滋溉荣卫，渐至衰羸，即从纯补，犹嫌不足，若加苓、泽、渗利，未免减去补力，奏功为难。故群队补阴药中，更加龟、鹿二胶，取其为血气之属，补之效捷耳。景岳云：我及中年，方悟补阴之理，因推展其义，而制左归丸饮，但用六味地黄丸之义，而不用六味地黄丸之方，活人应手之效，不能尽述。凡五液皆主肾，故凡属阴分之药，亦无不皆能走肾，有谓必须引导者，皆属不明耳。
左归饮 治疗症状同六味地黄丸。
熟地（三钱至二两。）萸肉（一、二钱，畏酸者少用之。）枸杞（二钱，相火盛者去之。）山药（二钱。）茯苓（一钱五分。）甘草（妙在此味，经所谓调以甘药也。一钱。）肺热而烦者，加麦冬，（三钱。）肺热多嗽者，加百合。（二钱。）血少者，加当归。（二钱。）血滞而热者，加牡丹皮。（二钱。）阴虚不宁者，加女贞子。（二钱。）血热妄动者，加生地。（三、五钱。）脾热易饥，及多汗伤阴者，加白芍。（二钱。）心热多燥者，加玄参。（二钱。）肾热骨蒸者，加地骨皮。（二钱。）津枯热渴者，加天花粉。（二钱。）上实下虚者，加牛膝。（二钱。）本方加人参、当归，即大补元煎。
此壮水之剂，凡命门之阴衰阳胜者，宜用此饮，加减治之。
回生丸（自制）。治疗男女阴虚内热，久服自效。
地黄（十二两。一半制。）萸肉（蒸晒。）枸杞（晒干。）菟丝子（自制。）牛膝（补肾，酒蒸晒干。）山药（蒸。）茯苓（人乳拌，蒸晒至加倍重。）白芍（酒炒。）莲肉（理脾。去心炒。）麦冬（去心晒干。）天冬（清肺，去心晒干。）北五味子（敛肺。蜜水拌蒸焙干。）枣仁（炒。）圆肉（养心。炙干。）莲须（固精。）玄参（蒸。）地骨皮 女贞子（酒蒸晒。以上各四两。）龟甲胶 鳖甲胶（退骨热，八两。俱地黄汁溶化。）鳔胶（牡蛎粉拌炒。净八两。）猪脊髓（填精髓。三十条，去筋膜。捣烂入炼蜜熬。）黄牛肉（补脾消痰。去油，十斤，熬膏。）紫河车膏（峻补精血。
Smoke is the foremost of pungent and hot substances, and wine is the ultimate of damp-heat. All things such as ginger, pepper, mustard, garlic, and all other pungent, spicy, and hot foods can severely damage Yin fluids and must absolutely be avoided. Similarly, all cold, raw, slippery-intestine-inducing, and hard foods should also be abstained from to prevent injury to the Spleen and Stomach. Furthermore, one should stay away from sexual activities, avoid anger, release worries and thoughts, and avoid overwork; this is the primary principle. The Classics state that the Kidney governs closure and storage, while the Liver governs dispersion and excretion. Both organs contain Ministerial Fire (Xiang Huo), and their meridians connect upwards to the Heart. Therefore, whenever desire arises, Ministerial Fire rises abruptly. Even without sexual intercourse, essence is secretly consumed, let alone when engaging in sexual activity which leads to essence depletion and Kidney exhaustion. The Classics say: "Anger causes Qi to rebel; in severe cases, it leads to vomiting blood or diarrhea with undigested food." It also says: "Worry causes Qi to become blocked and cease to flow." It further states: "Anger causes Qi to knot." And again: "When Yang Qi is subjected to excessive mental and physical labor, it flares outward while Essence is exhausted inward." This means that excessive labor causes Qi to flare externally and Essence to deplete internally, resulting in Yang disturbance and Yin deficiency. As mentioned above, patients with Xu Lao (Consumptive Disease) should strictly avoid these factors and absolutely contraindicate moxibustion. Zhang Zhongjing said: "In cases of a faint and rapid pulse, moxibustion must be慎 (carefully avoided). Although the fire energy is slight, its internal attacking power is strong; it can scorch bones and injure sinews, making blood difficult to restore." In treatment, selecting a physician is particularly important. A patient with deficiency is like a nation with empty reserves and scattered populace, making pacification and governance difficult. Without appointing wise and virtuous individuals to allow for quiet rest and recuperation, it is hard to ensure safety. Thus, if a physician is not enlightened, who can calm the condition with stillness, maintain stability over time, and ultimately achieve success?
Baoyin Decoction (Self-made formula). Treats True Yin deficiency with flourishing Ministerial Fire causing fever, specifically occurring before noon. (From Wu hour to Hai hour belongs to Yin.) Or presenting only with cold skin but steaming bone sensation. (Empty marrow allows fire to sink into bones, causing continuous steaming heat. Those with sweat indicate San Jiao Ministerial Fire pathology; those without sweat indicate Pericardium Ministerial Fire pathology.) Constant heat in the five centers (palms, soles, and chest), dry nose, red lips, and malar flush, bitter taste in mouth and dry tongue (all signs of internal heat). Tinnitus, vertigo, soreness and weakness of waist and knees, limb weakness, fatigue, and desire to lie down (all due to essence and blood deficiency). Dry stool and yellow-red urine (caused by internal heat). Wiry and rapid pulse, or deficient and rapid with weak force (these are definitive symptoms of Xu Lao; hematemesis or coughing blood are not necessarily present. Therefore, if there are symptoms of bleeding or coughing but without the aforementioned internal heat, deficiency signs, and rapid pulse, it is still not Xu Lao; differentiation is essential). If the disease has lasted long, with poor appetite and loose stools (indicating Spleen and Stomach injury), chills followed by fever in the afternoon, or fever extending until the hours of Mao and Chen (3-7 AM), night sweats with cool body temperature, use this formula, or modify Liuwei Dihuang Wan or Zuogui Wan.
Shu Di Huang (Prepared Rehmannia Root) [3 qian to 1 liang]. Sheng Di Huang (Raw Rehmannia Root) [Both Rehmannias tonify Kidney and benefit Yin, cultivating the root.] Mai Dong (Ophiopogon Tuber) [2-3 qian each]. Tian Dong (Asparagus Tuber) [The two Dong herbs clear Lung and descend fire, preserving the Mother element. 2 qian.] Niu Xi (Achyranthes Root) [Steeped in wine, 2-3 qian.] Fu Ling (Poria) [Guides fire downward, 2 qian.] Shan Yao (Chinese Yam) [Together with Poria to tonify Spleen, steamed, 2-3 qian. If loose stools, remove Sheng Di Huang and Tian Dong.] Yu Zhu (Polygonatum Odoratum Rhizome) [Treats deficiency-related alternating chills and fever, and all insufficiencies; used as a substitute for Ren Shen and Huang Qi.] Bie Jia (Turtle Carapace) [Superior herb for retreating labor-fever in bones and yin-deficiency alternating chills and fever.] Gui Jia (Turtle Plastron) [Tonifies Kidney Yin, retreats bone-steaming heat, roasted with酥 (crisp texture), 4-5 qian each.]
Add Yuan Rou (Longan Aril) [10 pieces]. For bone-steaming internal heat with sweat, add Gu Pi (Cortex Lycii) [2 qian]. Without sweat, add Dan Pi (Moutan Cortex) [1 qian]. For lower back pain, add Gou Qi Zi (Goji Berry) [3-5 qian] and Du Zhong (Eucommia Bark) [2 qian]. I once used pig kidney (one piece) and spinal cord (4-5 strips) decocted in water to boil the medicine, treating lumbar and spinal soreness with miraculous effect. For night sweats, add Zao Ren (Semen Ziziphi Spinosae) [Stir-fried and finely ground, 2-8 qian] and Wu Wei Zi (Schisandra Fruit) [2 fen to 1 qian]. For cough, add fresh Bai He (Lily Bulb) [1-2 liang], Kuan Dong Hua (Flos Farfarae) [2-3 qian], and Pi Pa Ye (Loquat Leaf) [3 large slices]. With phlegm, add Bei Mu (Fritillaria Bulb) [2-3 qian]. With blood, add Ou Zhi (Lotus Rhizome Juice) and Tong Bian (Child's Urine) [1 cup each]. With poor appetite, add Yi Yi Ren (Coix Seed) [Stir-fried, 5 qian to 1 liang]. If Lung channel has no heat and Lung pulse is weak upon pressure, add Ren Shen (Ginseng Root) according to dosage.
This formula uses sweet and cold herbs that nourish Water and replenish Essence as the Sovereign drug, consistent with the Nan Jing saying: "For damage to the Kidney, benefit the Essence." The Kidney meridian ascends from the Kidney, passes through the Liver and Diaphragm, enters the Lung, follows the throat, and flanks the root of the tongue. When Kidney Fire moves, Liver Fire attacks it; then it enters the Lung. The Ministers include the two Dong herbs to protect Metal (Lung) and nourish the source of generation. To prevent being too heavy and cloying, they are assisted by sweet and neutral Spleen-tonifying agents. Because of the Middle Jiao, methods for modification are prepared to perfect its function. For Yin deficiency with fire hyperactivity, this formula yields divine effects. Like the humid summer heat, when the Shang wind blows, the intense heat vanishes.
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) [If made into a decoction, reduce the dosage]. Treats insufficient Kidney Water. (All subsequent symptoms are due to Yin deficiency.) Fever and thirst. (Yin deficiency causes fever; fluid scarcity causes thirst.) Qi stagnation with phlegm and cough. (Kidney deficiency fails to grasp Qi and return it to its root, causing Qi to stagnate upward; fire steams fluids, condensing into phlegm. Coughing indicates Water deficiency where Fire insults Metal.) Vertigo and blurred vision, deafness. (Dragon Fire flares, triggering Thunder Fire; Liver Blood deficiency causes dizziness and blurred vision; Yin deficiency with phlegm-fire rising causes deafness.) Dry throat and painful tongue, loose teeth. (Throat and tongue root are pathways of the Kidney meridian. Kidney governs bones; teeth are the surplus of bones. Withered essence and loss of moisture in gums cause tooth mobility, like bamboo shoots loosening when the root rots, but firm when wet.) Soreness and pain in waist, spine, legs, and calves. (Waist is the residence of the Kidney; the meridian runs up the inner ankle, along the medial thigh, through the spine. Exhausted essence causes soreness and pain.) Epistaxis, bright red stool, hematemesis. (Danxi said: All bleeding indicates heat syndromes caused by excessive Imperial and Ministerial Fire forcing blood out through orifices.) Night sweats and aphonia. (Awake is Yang, asleep is Yin; Yin deficiency causes sweat during sleep, indicating failure of closure. Kidney meridian does not ascend to throat/tongue, causing aphonia.) Water overflowing into phlegm. (Yin deficiency with fire movement causes boiling water to rise as phlegm.) Dysuria and retention. (Lin syndrome involves painful, dribbling urination; Bi syndrome is obstruction. Kidney controls opening and closing; deficiency leads to dysfunction. Also, Jin Gui says: Heat in Lower Jiao causes hematuria and dysuria.) Nocturnal emission and spermatorrhea. (Yin deficiency with reckless movement of Imperial Fire.) Dry and hot soles, heel pain. (Kidney meridian travels to sole and enters heel.) Irregular menstruation, amenorrhea due to blood exhaustion. (Damage to Chong and Ren vessels.) Shu Di Huang (Replenishes marrow and fills essence, 8 liang.) Yu Rou (Cornus Fruit) [Tonifies Kidney Qi, secures primordial essence; 4 liang.] Shan Yao (Enters Hand Taiyin Lung, moistens skin, clears deficient heat, supplements upper source of Water, as Metal is Mother of Water; 4 liang.) Dan Pi (Treats latent fire in Hand/Foot Shaoyin and Jueyin, 3 liang.) Fu Ling [Lightly leaching to descend Yang within Yin.] Ze Xie [Salty and leaching to descend Yin within Yin, 3 qian each.] Add Mai Dong [Moistens dry Metal and clears Water source. 6 liang.] Wu Wei Zi [Upper gathers dissipating Lung Qi, lower nourishes deficient Kidney Water, 3 liang.] Named Baxian Changshou Wan (Eight Immortals Longevity Pill); adding Ren Shen makes it a combination with Shengmai San. (Metal is source of Water; for Water deficiency, combine with Shengmai San to nourish the source of transformation. Honey pills sized like paulownia seeds, taken on an empty stomach with warm light salt water, 4-5 qian.) For fever and thirst, add Bie Jia, Hua Fen, and Er Dong. For Qi stagnation, add Chen Xiang, Sha Ren, Mai Dong. For phlegm-cough, add Bei Mu, Bai He, Mai Dong. For dry throat/painful tongue, add raw egg, Xuan Shen, Er Dong. For loose teeth, add Baxian plus Lu Rong, Pig Marrow, Long Chi, Mu Li. For leg/calf soreness, add Niu Xi, Du Zhong, Gou Qi, Gui Jia. For gum bleeding, add Mai Dong, Tong Bian, or add Ren Zhong Bai, Mai Dong, decoct and take frequently. For painful hematuria (Blood Lin), remove Yu Rou, add Er Dong, Niu Xi, Ou Zhi, Gan Cao Shao. For frequent erections and painful urethra, add Huang Bo, Zhi Mu. For painless hematuria, add Baxian plus Bai Shao, Lian Xu, Ou Zhi, Zao Lian Cao. For aphonia, add Mai Dong, raw egg. For hot soles, add Er Dong, Niu Xi, Gui Jia. The above modifications apply similarly to Baoyin Jian and Zuogui Wan.
This is a purely Yin, heavy-tasting, descending-moistening formula. Pure Yin corresponds to Kidney Qi, heavy taste to Kidney Substance, and descending-moistening to Kidney Nature. Song Dynasty Qian Zhongyang used this for children with delayed dentition, speech, walking, soft limbs, and unclosed fontanelles, and various Yin-deficiency fevers, as all belong to Kidney deficiency. Since children have tender Yang and pure Qi, he removed Gui Zhi and Fu Zi from Zhang Zhongjing's Babai Wan to solely tonify True Yin, achieving immediate results. Ming Dynasty Xue Lizhai realized that for large-formula Yin deficiency, Danxi's Bu Yin Fang was ineffective, so he substituted this, yielding immediate results. Xue's modifications were numerous; for example, removing Ze Xie and adding Huang Qi and Dang Gui to harmonize blood-nourishing properties. Because fever/thirst and urinary issues imply no further depletion, Ze Xie is removed. Adding Shengmai San generates Metal to nourish Water, following the principle of tonifying the Mother when deficient. Combining with Yigong San strengthens Earth to generate Metal, supplementing the Mother's external home, renamed Renshen Buqi Tang. Modifications are infinite, like a dragon playing in the sea. Students should understand the method and apply it creatively for endless utility. Zhao Yangkui's *Yi Guan* benefited from Xue's case records, expounding principles, connecting内外 (internal/external) and miscellaneous diseases, broadening the use of Liuwei. Examples of Yin-deficiency fever usage: Most people with True Yin deficiency fever resemble exterior patterns. Seeing high fever, red face, thirst, irritability, I treated with large doses of Liuwei Tang successfully. Yin-deficiency fire movement boils water into phlegm (heavy, turbid white foam), different from Fire-decay water overflow (clear water). Kidney-originating fire is like Dragon Fire from the sea; Liver-originating is like Thunder Fire from earth. Use Liuwei Tang to nourish Yin and descend fire (double Fu Ling, add Bei Mu, Tian Dong, Niu Xi). This treats the root of phlegm, not the branch; after treating the root, tonify Spleen to control Water. Cough is blamed on Lung, treated via Spleen, ultimately returning to Kidney. Violent cough with Qi rushing up from below navel indicates Kidney failing to grasp Qi; treat with Liuwei Tang (add Bai He, Mai Dong,少许 Chen Sha). Do not merely treat Lung. Lung governs exhalation (Master of Qi); Kidney governs inhalation (Root of Qi). Kidney is Child of Lung; tonify Child when deficient. Yin-deficiency cough starts from sexual excess damaging True Yin; Fire insults Metal. Preemptively strengthen Water with Liuwei to raise Water and descend Fire, then use Ren Shen/Huang Qi to rescue damaged Lung, combining tonification of Earth Mother. If Water is not strengthened first to suppress Fire, using Ren Shen/Huang Qi to tonify Yang will worsen Fire and damage Metal further. This is ignorance of priority. If Fire does not descend, Ren Shen/Huang Qi cannot be used, explaining the difficulty of treating Yin deficiency. Kidney Water deficiency creates Fire, creating Phlegm, creating Cough, creating Asthma. Use Liuwei with Mai Dong, Wu Wei, Niu Bei (Bei Mu, Pi Pa Ye) in large doses. Yin-deficiency asthma is near death; hope lies in Mingmen root. Good treatment uses Yuan-supporting, Zhen-connecting, settling drugs to return to origin, but not abruptly. Yin-deficiency sore throat belongs to Shaoyin disease. Shaoyin Fire rushes up like a galloping horse, blocking throat Qi, causing pain/swelling. Symptoms: internal heat, dry mouth, red face, surging saliva, wiry-rapid-weak chi pulse. Use Liuwei with Mai Dong, Wu Wei (or raw egg, Xuan Shen) in large doses. This is Chu Shi's "treat upper disease by lowering." Bleeding syndromes: Hematemesis/vomiting blood from Stomach/Liver; spitting blood from Kidney/Heart; coughing blood from Lung; saliva blood from Kidney/Stomach; epistaxis from Lung/Stomach; phlegm-blood from Spleen. Collectively, all belong to Kidney. Dry True Water causes True Fire to flare, boiling blood, causing erratic flow from orifices. Chu Shi said cold-bitter herbs kill; drinking urine saves. I believe Liuwei Tang uniquely tonifies Kidney Water, is not cold/bitter, does not damage Spleen/Stomach; long-term use raises Water and descends Fire to cure. Then use Ren Shen to rescue Lung/Stomach. Initially avoid Ren Shen to prevent aiding Yang; once Fire returns to origin, Ren Shen is permissible, especially with Yin-nourishing herbs. Yin-deficiency urinary retention: Excessive sweating dries interior; Bladder has no water. Forcing diuresis is like begging for food. Only Liuwei nourishes Water, allowing natural urination; avoid bland leaching herbs. Yin-deficiency constipation: Due to scant Kidney fluids. Use Liuwei with Er Dong, human milk, cow milk to nourish Yin and moisten dryness. Kidney is Yin, stores Essence; Yin deficiency fails to store. Liver is Yang, disperses; Yang excess fails to seal. Unsealed Fire + unstored Essence = dream emission. Use Liuwei to nourish Water; Water nourishes Wood, raising Water extinguishes Wood-Fire. Shen Shi said heart movement triggers Ministerial Fire, causing dreams and essence leakage. Treatment focuses on tonifying Kidney Water, securing Essence, calming Spirit, clearing Ministerial Fire. I detail this because people use Liuwei without understanding its purpose.
Zuogui Wan (Left-Restoring Pill). Symptoms same as Liuwei.
Shu Di Huang (Self-made, 8 liang.) Yu Rou (Steamed, 4 liang.) Gou Qi Zi, Tu Si Zi (Wine-boiled, dried.) Niu Xi (Wine-steamed, 3 liang each.) Shan Yao (Steamed with human milk.) Gui Jia Jiao (4 liang each.) Lu Jiao Jiao (Deer horn tonifies Yang, suitable for Right Kidney Qi/Essence deficiency; Elk horn tonifies Yin, suitable for Left Kidney Blood deficiency. This ingredient tonifies both. Jiezai said: Left Chi is often deficient, Right Chi often vigorous. Tonifying both keeps Fire > Water. Tonify Left, restrain Right to balance Water/Fire. I treat True Yin deficiency with Elk Horn Gel instead. 3 liang dissolved in wine. Make pills size of paulownia seeds, take on empty stomach, or make paste.) For True Yin loss with floating deficient fire (use pure Yin, tranquil agents), remove Gou Qi Zi, Lu Jiao Jiao, add Nu Zhen Zi, Mai Dong (3 liang each.). For Fire insulting Lung Metal causing dry cough, add Bai He (3 liang.). For night fever/bone steaming, add Gu Pi (3 liang.). For difficult urination, add Fu Ling (3 liang.). For dry constipation, remove Tu Si Zi, add Rong Zhong (4 liang.). For Blood deficiency with stasis, add Dang Gui (4 liang.).
This formula strengthens the Master of Water to cultivate Left Kidney Primordial Yin. For severe essence/Qi damage, aging, internal lack of True Yin failing to nourish Ying/Wei, leading to emaciation, even pure tonification may seem insufficient. Adding Fu Ling/Ze Xie (leaching) reduces tonifying power. Thus, in a group of Yin-tonics, add Gui/Luo jiao (blood/qi substances) for swift effect. Jing Yue said: I understood Yin tonification theory in middle age, expanded its meaning, created Zuogui Wan, using Liuwei's principle but not its formula, achieving immediate results. All five fluids are governed by Kidney; thus all Yin herbs can reach Kidney. Claims requiring guiding herbs show misunderstanding.
Zuogui Yin (Left-Restoring Decoction). Symptoms same as Liuwei.
Shu Di Huang (3 qian to 2 liang.) Yu Rou (1-2 qian, use less if acid-sensitive.) Gou Qi Zi (2 qian, remove if Ministerial Fire is vigorous.) Shan Yao (2 qian.) Fu Ling (1.5 qian.) Gan Cao (Crucial here, as Classics say "harmonize with sweet herbs." 1 qian.) For Lung heat with irritability, add Mai Dong (3 qian.). For Lung heat with cough, add Bai He (2 qian.). For low Blood, add Dang Gui (2 qian.). For Blood stasis with heat, add Dan Pi (2 qian.). For Yin deficiency with unrest, add Nu Zhen Zi (2 qian.). for Blood heat with reckless movement, add Sheng Di Huang (3-5 qian.). For Spleen heat with hunger/sweat damaging Yin, add Bai Shao (2 qian.). for Heart heat with dryness, add Xuan Shen (2 qian.). for Kidney heat/bone steaming, add Gu Pi (2 qian.). for fluid exhaustion/thirst, add Tian Hua Fen (2 qian.). for Upper Excess/Lower Deficiency, add Niu Xi (2 qian.). Adding Ren Shen and Dang Gui to this formula creates Dabu Yuan Jian.
This is a Water-strengthening agent. For Mingmen Yin decline and Yang excess, use this decoction with modifications.
Huisheng Wan (Life-Returning Pill) (Self-made). Treats male/female Yin deficiency with internal heat; effective with long-term use.
Di Huang (12 liang. Half processed.) Yu Rou (Steam/dry.) Gou Qi Zi (Sun-dry.) Tu Si Zi (Self-made.) Niu Xi (Tonify Kidney, wine-steam/dry.) Shan Yao (Steam.) Fu Ling (Mix with human milk, steam/dry to double weight.) Bai Shao (Wine-fry.) Lian Rou (Regulate Spleen. Remove heart, fry.) Mai Dong (Remove heart, sun-dry.) Tian Dong (Clear Lung, remove heart, sun-dry.) Bei Wu Wei Zi (Astringe Lung. Mix with honey water, steam/dry.) Zao Ren (Fry.) Yuan Rou (Nourish Heart. Roast dry.) Lian Xu (Secure Essence.) Xuan Shen (Steam.) Gu Pi, Nu Zhen Zi (Wine-steam/dry. Above each 4 liang.) Gui Jia Jiao, Bie Jia Jiao (Retreat bone heat, 8 liang. Dissolved in Di Huang juice.) Biao Jiao (Mixed with Mu Li powder, stir-fry. Net weight 8 liang.) Zhu Ji Sui (Fill essence/marrow. 30 strips, remove fascia, mash, add refined honey, simmer.) Huang Niu Rou (Tonify Spleen, resolve phlegm. Remove fat, 10 jin, simmer into paste.) Zi He Che Gao (Severely tonify essence/blood.