豆大，酒送五丸，日三服。〕
比方破血行瘀，乃世俗所称干血劳之良方也。内有干血，瘀积之久，牢不可破，新生之血，不可周
灌，与日俱积，决无生理。仲景施活人手眼，以润药润其血之干，以蠕动啖血之物，行其死血，峻药缓
图，陆续渐除，俾瘀积去而虚劳庶几可复，真死里求生之方也。嘉言云∶有劳之极，血痹不行，日就干
枯，皮鲜滑泽，面无荣润，于是气之所过，血不为动，徒蒸血为热，或日哺，或子午，始必干热，候
蒸气散，微汗而热解，日复一日，热蒸不已，阴尽血枯，不死何待。甚有热久则蒸其所瘀之血，化而为
虫，遂成传尸劳症。又云∶尝观童子脏腑脆嫩，才有寒热积滞，易于结癖成疳，待其血痹不行，气蒸发
热，即不可为。女子血干经闭，发热不止，痨瘵之候更多，待其势成，纵有良法，治之无及。倘能服
膺仲景机先之哲，于男子、女子瘵病，将成未成之际，胃
气尚可胜药，宜急导其血，同人参以行之，如琼玉膏中加桃仁泥、大黄末之属，或用此丸，以琼玉
膏润补之药送之，行瘀退热，全生保命，所关甚大，第牵常者，弗能用耳。愚按此方，乃攻击之剂，因
干血而设，非虚劳常用之方，若见之不真而误投，多速之毙矣。
獭肝散 治传尸劳瘵。〔必有恶虫，须用乳香，熏病患手背，以帛复之，良久出毛长寸许，白
而黄者可治，红者少难，青黑者即死。若熏之良久无毛者，属寻常虚劳瘵。又法病患吸安息香烟不嗽
者，非传尸也。〕
獭肝〔一具，炙干。为末，水服二钱，每日三服，以痘为度。外用炙干桃树头、柳树头捣烂，
入麝香、雄黄末拌匀烘热，擦脊骨四肢关骨之处。更用百部一斤，桃叶四两，煎汤。四周蜜围，不使有
风，中生炭火一盆，热后洗浴，早晚洗，而房中常烧玉枢丹，鼻闻此气，可以杀虫。〕
此杀虫之剂也。虚劳热蒸，积久则生恶虫，食人脏腑，同气连枝，多遭传染，甚至灭门。法当补
虚，以复其元，杀虫以绝其根。能杀其虫，虽病者不生，亦可绝其传疰。《金匮》之于虚劳门后，附獭
肝散一方，岂无意哉。他如獭爪、雄黄、桃仁、雷丸、青蒿、百部，皆虚劳症杀虫应用药物，不可不
考。刘氏云∶凡童子室女，不生欢笑，及鳏、寡、僧、尼，情志抑郁，郁则热蒸，久而生虫，虫侵脏腑
骨髓之中，遂难疗治。此症初起，只宜畅达情志，恬淡静养，内服宣发郁热，如逍遥散之剂，不使内
热，外用擦洗之法，以图万一之侥幸。凡近视此病者，不宜饥饿，虚者须服补药，宜
佩安息香及麝香，则虫鬼不敢侵也。
长春广嗣丹 大补真阴壮肾阳，固精、填髓、骨筋强，百龄老人当
益壮，此是人间第一方。〔余于都门，见壁贴驴肾长龟丸，心奇此方，重
价相购，终秘不传。后遇一异士，于无意中得之。据云∶系禄山进献，明
皇服之有效，因御制此赞，其说虽近荒唐，然就方观之，洵足珍也。修
合服之者，固有大效，因刊之当世，以公诸同好。〕
生地〔八两，砂仁细末一两，酒拌，九蒸九晒。〕萸肉〔蒸，
晒干。〕枸杞〔晒干。〕菟丝〔自制。〕牛膝〔酒蒸晒干。〕
无冬〔去心，晒干。〕麦冬〔去心，晒干。〕杜仲〔补肾，盐
水炒。〕山药〔蒸晒。〕茯苓〔补脾。〕人参〔量加。〕
北五味〔补肺，焙干。〕柏仁〔焙干。〕归身〔补心。酒
洗，晒干。〕补骨脂〔黄柏青盐，煎浓汁，浸三日夜，晒干，胡桃油
拌炒。〕巴戟天〔酒浸，焙。〕肉苁蓉〔助其真阳，酒洗，去甲。
切片晒干。〕莲须 覆盆子 沙苑蒺藜〔固其元精。炒。以上各晒
干，净药四两。〕鹿角胶 龟甲胶〔各一斤。〕虎骨胶〔半斤，
俱酒顿膏。〕鳔胶〔炒，净一斤。〕猪脊髓〔四十条。〕黄牛
肉精羊肉 黑狗肉〔各十斤，煎膏。各加砂仁末一两。〕紫河
车〔皆气血之属，补精之效捷。十具以上。制法同前法。〕狗阴茎〔
治阴痿不起，令坚强热大。白马阴茎，驴阴茎，功用相同。此三物，房术方
中每用之。四十条，一百条止。连骨打扁，蛇床子二两，蒸酒涂炙，子不用。〕驴阴茎〔四条，制法同上。〕雄晚
蚕蛾〔强阳不痿，止精不泄。晚蚕取其敏于生育。炒。去足翅，四
两。以上三味如无，不用亦可。〕
〔共三十二味。诸胶髓丸如桐子大。空心淡盐汤，饥时陈酒各送下四、五钱，
美食压之。〕若肥人肉多湿痰，用七宝美髯丹全方，赤、白何首乌〔黑豆拌，蒸晒九次。各一
斤。〕赤、白茯苓〔各半斤。〕枸杞、菟丝、牛膝、当归、补骨脂〔各半斤，此原方只四两。〕仍用
人参，再加茅术，〔一斤。〕沉香、砂仁〔各四两。〕后龟、鹿等药同上。
此方峻补其肾为主，而兼调其五脏为佐。经曰∶肾者主蛰，封藏之本，聚精之处也。为真阴之脏，乃
先天之本，性命之根。故肾之精，贵欲其藏，然精又化生于五脏，肾持受而藏之耳。故五脏和而精自生，
肾得补而封藏称职，所谓精盈则气盛，气盛则神全，神全则身健，身健则无病而可长春广嗣矣。凡丈夫中
年，觉阳衰精薄，便可服饵。药虽三十二味，俱同类有情之剂，并无错杂之品，譬如韩信之兵，多多
益善耳。相火易动，及阴虚内热者，切不可服，服之则反生别病也。按此方非为治虚劳而设，而仍附于后
者，以人之致虚，皆由于欲，故虚而火旺者，既有保阴、六味、左归、回生之属以治之，虚而火衰者，如
八味、右归之属，皆可选用。若阳事短小，易痿易泄，精薄精寒，因无子嗣者，此方服之，不惟无损，且
有大益。润而不燥，温而不热，较房术方，一派辛热杂伯之剂，相去天渊矣。
劳症脉见虚数难治，若六至以上必死。结脉代脉见者死。身热死，而脉涩小者死。〔涩小为精血俱
伤，外内俱热，立耗亡矣。〕两手脉弦，木克土败。若左手脉细，右手浮大劲急，亦木克土败而主死。失
血诸症，身凉脉缓小者可
治，身热脉数大者难治，〔阳盛阴衰故也。〕更见咳逆气上气，不得卧必死。
虚劳不能服参、 ，为不受补者死。〔阴虚补阳，则阳愈亢而阴愈虚，咳频咽痛、痰红、上焦诸
热悉加。〕劳嗽声喑者死。一边不能睡者，〔皆肺败之症。〕劳症久泄者死。大肉去者死、〔皆脾败之
症。〕咳不止而白血出者死。〔金受火刑，伤极则白沫出。盖血竭于肺，乃为白涎白液，涎液虽白，实
血所化。一谓白血，浅红色，而似肉似肺者。〕劳症久而嗽血，咽疼无声，此为下传上；若不咳不
疼，久而溺浊脱精，此谓上传下，皆死。
（每次服用）豆粒大小，用酒送服五丸，每日三次。
这方子旨在破除瘀血、运行瘀滞，是世俗所称治疗“干血劳”的良方。体内若有干结之血，因瘀积日久，牢固难以攻破，新产生的血液无法周流灌溉全身，随着时间推移不断积聚，必然导致死亡。张仲景施展起死回生的手段，用滋润的药物来润泽干枯的血液，用具有蠕动特性且能食血的生物药来推动死血运行，使用峻猛药物但采取缓慢图治的策略，陆续逐渐消除瘀积，使得瘀积去除后，虚劳症或许可以恢复，这真是从死里求生的方剂。
嘉言（戴麟郊）说：有极度劳损的情况，导致血痹不通，日渐干枯，皮肤虽然鲜亮滑泽，但面色没有荣华润泽之气，于是气经过的地方，血液不再流动，只能徒然蒸灼血液产生热象，有时在下午（日哺），有时在半夜或中午（子午），起初一定是干燥发热，等到蒸腾之气消散，微微出汗而热退，日复一日，热势蒸腾不止，阴液耗尽，血液枯竭，不死还等待什么？更有甚者，热久则蒸灼所瘀积的血液，化生为虫，于是形成“传尸劳”症。他又说：我曾观察童子的脏腑脆嫩，只要有寒热积滞，就容易结成癖块、形成疳积，等到血痹不通，气机蒸发发热时，就已经不可救治了。女子因血枯导致经闭，发热不止，患痨瘵征候的更多，等到病势已成，纵然有良法，治疗也来不及了。倘若能信奉张仲景见微知著的智慧，在男子、女子的痨病将成未成之际，胃气尚可胜任药力时，应当急迫地引导血液运行，同人参一起行气活血，如在琼玉膏中加入桃仁泥、大黄末之类的药物，或者使用此丸，用琼玉膏这种润补的药物送服，以行瘀退热，保全生命，关系非常重大，只是拘泥于常规的人，不能运用罢了。我按语认为：此方属于攻伐性质的药剂，是针对干血而设的，并非虚劳常用的方剂，如果见解不真切而误用投药，大多会加速死亡。
獭肝散：治疗传尸劳瘵。（必须确认有恶虫，需用乳香熏烤病患手背，用布覆盖，很久之后长出毛发长约一寸许，白色偏黄的可治，红色的较少能治，青黑色的即死。如果熏烤很久没有长毛的，属于寻常的虚劳瘵。另一种方法：让病患吸入安息香的烟雾而不咳嗽的，不是传尸病。）
獭肝（一具，炙干。研为细末，用水送服二钱，每日三次，以排出痘状物为度。外用炙干的桃树头、柳树头捣烂，加入麝香、雄黄末拌匀烘热，擦拭脊骨及四肢关节之处。再用百部一斤，桃叶四两，煎汤。四周用蜂蜜围住，不让有风进入，中间放一盆炭火，待热后洗浴，早晚各洗一次，同时房中常燃烧玉枢丹，鼻闻此气味，可以杀虫。）
这是杀虫的药剂。虚劳热势蒸腾，积久则生出恶虫，吞噬人的脏腑，同气连枝，多遭传染，甚至灭门。治法应当补虚，以恢复元气，杀虫以断绝病根。如果能杀死这些虫，即使病人不能存活，也可以断绝传染。《金匮要略》在虚劳门后附载獭肝散一方，难道没有深意吗？其他如獭爪、雄黄、桃仁、雷丸、青蒿、百部，都是虚劳症杀虫应使用的药物，不可不考察。刘氏说：凡是童子、处女，不生欢笑，以及鳏夫、寡妇、僧人、尼姑，情志抑郁，郁结则热势蒸腾，久而生虫，虫侵入脏腑骨髓之中，于是难以治疗。此症初起，只宜舒畅情志，恬淡静养，内服宣发郁热的药物，如逍遥散之类的方剂，不让内热产生，外用擦洗的方法，以求万一的侥幸。凡接近此病患者的人，不宜饥饿，虚者须服用补药，宜佩戴安息香及麝香，则虫鬼不敢侵犯。
长春广嗣丹：大补真阴壮肾阳，固精、填髓、筋骨强健，百岁老人服用当更加强壮，这是人间第一方。（我在京城，见墙上贴有驴肾长龟丸，心中对此方感到惊奇，重金购买，最终秘密不传。后来遇到一位异士，无意中得到了它。据说是安禄山进献，明皇服用有效，因此御制此赞，其说法虽近荒唐，但从方子来看，确实值得珍视。按照此方修合服用的人，确实有大效，因此刊印于当世，以公诸同好。）
生地（八两，砂仁细末一两，酒拌，九蒸九晒。）山茱萸（蒸，晒干。）枸杞（晒干。）菟丝子（自制。）牛膝（酒蒸晒干。）天冬（去心，晒干。）麦冬（去心，晒干。）杜仲（补肾，盐水炒。）山药（蒸晒。）茯苓（补脾。）人参（适量添加。）北五味子（补肺，焙干。）柏子仁（焙干。）当归身（补心。酒洗，晒干。）补骨脂（黄柏青盐，煎浓汁，浸三日夜，晒干，胡桃油拌炒。）巴戟天（酒浸，焙。）肉苁蓉（助其真阳，酒洗，去甲。切片晒干。）莲须 覆盆子 沙苑蒺藜（固其元精。炒。以上各晒干，净药四两。）鹿角胶 龟甲胶（各一斤。）虎骨胶（半斤，俱酒熬成膏。）鳔胶（炒，净一斤。）猪脊髓（四十条。）黄牛精羊肉 黑狗肉（各十斤，煎膏。各加砂仁末一两。）紫河车（皆气血之属，补精之效捷。十具以上。制法同前法。）狗阴茎（治阴痿不起，令坚强热大。白马阴茎，驴阴茎，功用相同。此三物，房术方中每用之。四十条，一百条止。连骨打扁，蛇床子二两，蒸酒涂炙，子不用。）驴阴茎（四条，制法同上。）雄晚蚕蛾（强阳不痿，止精不泄。晚蚕取其敏于生育。炒。去足翅，四两。以上三味如无，不用亦可。）
（共三十二味。诸胶髓丸制成梧桐子大小。空腹时淡盐汤，饥时陈酒各送下四、五钱，吃美食压住药力。）如果是肥人多湿痰的人，用七宝美髯丹全方，赤、白何首乌（黑豆拌，蒸晒九次。各一斤。）赤、白茯苓（各半斤。）枸杞、菟丝、牛膝、当归、补骨脂（各半斤，此原方只四两。）仍用人参，再加苍术（一斤。）沉香、砂仁（各四两。）后面龟、鹿等药同上。
此方以峻补肾为主，兼调五脏为辅。经书说：肾主蛰伏，是封藏的根本，聚精的地方。是真阴之脏，乃先天之本，性命的根。所以肾的精气，贵在能够封藏，然而精又化生于五脏，肾承受并收藏它罢了。所以五脏调和而精自然生成，肾得到补益而封藏职责履行得当，所谓精满则气盛，气盛则神全，神全则身体健壮，身体健壮则无病而可长寿且繁衍后代。凡是中年男子，觉得阳气衰弱、精液稀薄，就可以服用。药虽有三十二味，都是同类有情之剂，并无错杂之品，譬如韩信的军队，越多越好。相火易动，及阴虚内热者，切不可服用，服用则反而生出别的疾病。按语认为：此方并非为治疗虚劳而设，而仍附在后面，是因为人之所以致虚，都由于欲望，所以虚而火旺者，既有保阴、六味地黄丸、左归丸、回生丹之类的来治疗，虚而火衰者，如八味地黄丸、右归丸之类的，都可以选用。若阳事短小，易痿易泄，精薄精寒，因为没有子嗣的人，服用此方，不仅无损，而且大有益处。润而不燥，温而不热，较之房中术方中一派辛热杂驳的药剂，相差如天地之别。
劳症脉象见虚数难治，如果六至以上必死。出现结脉、代脉者死。身体发热者死，而脉象涩小者也死。（涩小表示精血俱伤，外内俱热，立刻耗亡。）两手脉弦，是木克土败。如果左手脉细，右手浮大劲急，也是木克土败而主死。失血诸症，身体凉快、脉缓小者可治，身体发热、脉数大者难治，（阳盛阴衰的缘故。）更见咳逆气上，不能卧倒必死。
虚劳不能服用人参、黄芪，为不受补者死。（阴虚补阳，则阳愈亢奋而阴愈虚弱，咳嗽频繁、咽痛、痰中带红、上焦诸热悉增。）劳嗽声音嘶哑者死。一边不能睡者，（都是肺败的症候。）劳症久泻者死。大肉消脱者死、（都是脾败的症候。）咳嗽不止而吐出白血者死。（金受火刑，损伤极重则白沫出。盖血竭于肺，乃成为白涎白液，涎液虽白，实由血所化。一说白血，浅红色，而似肉似肺者。）劳症久而咳血，咽疼无声，此为下传上；若不咳不疼，久而溺浊脱精，此谓上传下，皆死。
(Each dose is) the size of a bean, taken with wine, five pills at a time, three times daily.
This prescription aims to break blood stasis and promote blood circulation; it is an excellent formula for "Dry Blood Consumption" (Ganxue Lao) as commonly known in secular medicine. If there is dry blood within the body, due to long-standing accumulation, it becomes firm and difficult to break. The newly generated blood cannot circulate and irrigate the whole body. As it accumulates day by day, death is inevitable. Zhang Zhongjing employed miraculous skills to revive the dead: using moistening medicines to lubricate the dry blood, and using creatures that move like worms and feed on blood to move the dead blood. It employs potent drugs but adopts a slow strategy, gradually eliminating the accumulation over time. Once the stasis is removed, consumption may be restored. This is truly a formula that seeks life from death.
Jiayan (Dai Linjiao) stated: In cases of extreme consumption, blood bi (obstruction) occurs, leading to gradual dryness. Although the skin may appear fresh and smooth, the face lacks luster and vitality. Wherever Qi passes, blood no longer moves, merely steaming the blood to generate heat. Sometimes this occurs in the afternoon (Ribu), or at midnight/noon (Ziwu). Initially, there is dry heat. When the steaming qi dissipates, slight sweating occurs, and the heat resolves. Day after day, the steaming heat continues unabated until Yin is exhausted and blood is dried up. What else can one wait for but death? Even worse, prolonged heat steams the accumulated blood, transforming it into parasites, thus forming "Chuan Shi Lao" (Transmitting Corpse Consumption). He further said: I have observed that children's Zang-Fu organs are fragile and tender. Any accumulation of cold-heat easily forms masses or malnutrition syndromes. By the time blood bi occurs and Qi evaporation generates heat, it is already incurable. Women with blood dryness leading to amenorrhea, accompanied by continuous fever, show more signs of tuberculosis (Laozai). Once the condition has progressed, even with good methods, treatment is futile. If one could follow Zhang Zhongjing's foresight, during the incipient stage of tuberculosis in men and women, when Stomach Qi can still withstand medication, one should urgently guide blood circulation, administering it together with Renshen (Ginseng Root) to promote Qi and blood movement. For example, adding Tao Ren (Peach Seed) paste and Dahuang (Rhubarb Rhizome) powder to Qiongyu Gao (Jade Dew Elixir), or using this pill delivered with Qiongyu Gao, a moistening and tonifying medicine, to move stasis and reduce heat, thereby preserving life. This is of great importance, yet those who stick to conventions cannot utilize it. My commentary notes: This formula belongs to attacking agents, designed specifically for dry blood, not a common formula for general consumption. If applied without clear diagnosis, it often accelerates death.
Tale Liver Powder (Tagan San): Treats Transmitting Corpse Consumption. (One must confirm the presence of evil parasites. Use Xurxiang (Frankincense) to smoke the patient's dorsal hand, cover with cloth, and after a long time, hairs about one cun long will grow. White-yellowish ones are treatable; reddish ones are less likely to heal; bluish-black ones indicate death. If smoking for a long time yields no hair, it belongs to ordinary consumption. Another method: If the patient inhales Anxi Xiang (Benzoin) smoke without coughing, it is not Transmitting Corpse Disease.)
Tale Liver (One piece, roasted dry. Pulverized. Take 2 qian with water, three times daily, until acne-like spots appear. Externally: Roast dry peach tree heads and willow tree heads, pound into a paste, mix with Shexiang (Musk) and Xionghuang (Realgar) powder, warm it, and rub onto the spine and limb joints. Additionally, decoct 1 jin of Baibu (Stemona Root) and 4 liang of Tao Ye (Peach Leaf). Surround the area with honey to prevent wind exposure. Place a basin of charcoal fire in the center. After heating, bathe morning and evening. Burn Yushu Dan (Jade Pivot Pill) in the room; inhaling its aroma can kill parasites.)
This is an antiparasitic agent. In consumption with steaming heat, long-standing accumulation generates evil parasites that devour the Zang-Fu organs. Sharing the same Qi and connected branches, they spread easily, even causing family extinction. The treatment method should tonify deficiency to restore Yuan Qi, and kill parasites to cut off the root. If the parasites are killed, even if the patient does not survive, transmission can be prevented. *Jin Gui Yao Lue* attaches Tale Liver Powder after the Consumption chapter; surely there is a profound meaning. Others such as Tale Claws, Xionghuang, Tao Ren, Leiwan (Albizzia Seed), Qinghao (Artemisia Annua), and Baibu are all drugs used for killing parasites in consumption and must be studied. Mr. Liu stated: Whenever children or unmarried girls do not laugh, or widows/widowers, monks, and nuns suffer from emotional depression, stagnation generates heat, which eventually breeds parasites invading the Zang-Fu and bone marrow, making them hard to treat. At the onset, one should only soothe emotions, maintain tranquility, internally administer formulas that vent stagnant heat, such as Xiaoyao San (Free and Easy Wanderer Powder), to prevent internal heat. Externally, use rubbing methods for a slim chance of success. Those close to patients should avoid hunger; deficient individuals must take tonics. Wearing Anxi Xiang and Shexiang prevents parasite invasion.
Changchun Guangsi Dan: Greatly tonifies True Yin and strengthens Kidney Yang, secures Essence, fills Marrow, and strengthens bones and tendons. A hundred-year-old man taking this will become stronger. It is the number one formula in the human world. (In the capital, I saw a poster for Donkey Kidney Long Turtle Pill, wondered about this formula, bought it at a high price, but it remained secret. Later, I met an eccentric scholar and obtained it inadvertently. It was said to be presented by An Lushan, effective when taken by Emperor Minghuang, hence the imperial praise. Though the story seems absurd, the formula itself is indeed precious. Those who prepare and take it according to this formula achieve great effects. Therefore, I publish it for enthusiasts.)
Shengdi Huang (Rehmanniae Radix Preparata, 8 liang, mixed with 1 liang fine powder of Sharen (Amomum Fruit), soaked in wine, nine steamed and nine sun-dried.) Shanyuzhuyu (Cornus Officinalis Fruit, steamed, sun-dried.) Gouqi Zi (Lycium Fruit, sun-dried.) Tusizi (Cuscutae Semen, homemade.) Niuxi (Achyranthis Bidentatae Radix, steamed in wine, sun-dried.) Tiantong (Asparagi Radix, remove heart, sun-dried.) Maidong (Ophiopogonis Radix, remove heart, sun-dried.) Duzhong (Eucommiae Cortex, tonifies Kidney, stir-fried with salt water.) Shanyao (Dioscoreae Rhizoma, steamed and sun-dried.) Fuling (Poria, tonifies Spleen.) Renshen (Panax Ginseng Root, add appropriately.) Bei Wuweizi (Schisandrae Fructus, tonifies Lung, roasted dry.) Bairén (Platycladi Semen, roasted dry.) Guishen (Angelicae Sinensis Radix, tonifies Heart, washed in wine, sun-dried.) Buguzhi (Psoraleae Fructus, steeped in concentrated decoction of Huangbai (Phellodendri Cortex) and Qingyan (Halitum) for three days and nights, sun-dried, stir-fried with Walnut Oil.) Bajitian (Morinda Officinalis Radix, soaked in wine, roasted.) Roucongrong (Cistanche Deserticola, assists True Yang, washed in wine, remove scales. Slice and sun-dry.) Lianxu (Nelumbinis Stamen) Fupenzi (Rubiae Fructus) Shayuan Jili (Astragali Complanati Semen, secures primal Essence. Stir-fried. All above sun-dried, net weight 4 liang.) Lujiaojiao (Deer Antler Glue) Guijiajiao (Tortoise Shell Glue, each 1 jin.) Hugujiao (Tiger Bone Glue, half jin, all made into paste with wine.) Biaojiao (Fish Maw Glue, fried, net 1 jin.) Zhujingsui (Porcine Spinal Cord, 40 strips.) Huangniujingyangrou (Yellow Cow Essence Mutton) Heigourou (Black Dog Meat, each 10 jin, made into paste. Add 1 liang Sharen powder to each.) Zihache (Human Placenta, belongs to Qi and Blood, rapid effect in tonifying Essence. More than 10 pieces. Preparation same as above.) Gouyinxing (Canine Penis, treats impotence, makes it strong and hot. White Horse Penis, Donkey Penis have similar functions. These three are often used in sexual arts formulas. 40 to 100 pieces. Flatten with bone, steam with 2 liang Chuangzi (Cnidii Fructus) coated in wine and roast, seeds not used.) Lv yinxing (Donkey Penis, 4 pieces, preparation same as above.) Xiong Wan Can'e (Male Late Silkworm Moth, strengthens Yang preventing flaccidity, stops sperm leakage. Late silkworm is chosen for fertility sensitivity. Fried. Remove feet and wings, 4 liang. If the above three are unavailable, they may be omitted.)
(Total 32 ingredients. Make pills the size of tung tree seeds. Take 4-5 qian with light salt water on an empty stomach, or aged wine when hungry, followed by rich food to settle the medicine.) For obese people with much flesh and damp-phlegm, use the complete formula of Qibao Meiran Dan: Chi Heshouwu (Polygoni Multiflori Radix, red) and Bai Heshouwu (white, mixed with black beans, steamed and sun-dried nine times, each 1 jin.) Chi Fuling (Red Poria) and Bai Fuling (White Poria, each half jin.) Gouqi, Tusizi, Niuxi, Danggui, Buguzhi (each half jin, original formula uses only 4 liang.) Still use Renshen, plus Cangzhu (Atractylodis Rhizoma, 1 jin.) Chenxiang (Aquilariae Lignum Resinatum) and Sharen (each 4 liang.) Then Gui and Lu glues as above.
This formula primarily tonifies the Kidney severely, assisting with regulating the Five Zang organs. The Classics state: The Kidney governs hibernation, is the root of sealing and storing, and the gathering place of Essence. It is the organ of True Yin, the foundation of congenital constitution, and the root of life. Thus, Kidney Essence values storage. However, Essence is also transformed from the Five Zang organs, and the Kidney receives and stores it. Therefore, when the Five Zang harmonize, Essence naturally generates; when the Kidney is tonified, sealing and storing function properly. As stated: Full Essence leads to abundant Qi; abundant Qi leads to complete Shen (Spirit); complete Shen leads to physical health; physical health means no disease, allowing for longevity and progeny. Middle-aged men feeling Yang decline and thin Essence can take this. Although there are 32 ingredients, they are all similar有情 (sentient/nature-connected) agents, without miscellaneous items. Like Han Xin's army, the more, the better. Those with easily activated Ministerial Fire and Yin deficiency with internal heat must absolutely not take it, as it will cause other diseases. Commentary: This formula is not set for treating consumption per se, but attached afterwards because human deficiency arises from desire. For deficiency with hyperactive fire, formulas like Baoyin, Liuwei Dihuang Wan, Zuogui Wan, Huisheng Dan are available. For deficiency with declining fire, Babei Dihuang Wan, Yougui Wan are selectable. For those with small genitalia, easy flaccidity and emission, thin and cold Essence, and infertility, taking this formula causes no harm and brings great benefit. It is moistening but not drying, warming but not hot. Compared to sexual arts formulas full of acrid-hot and mixed agents, the difference is vast.
In consumption syndromes, a void and rapid pulse indicates difficult treatment; six beats per breath and above indicate certain death. Appearance of Jie Mai (Knotted Pulse) or Dai Mai (Intermittent Pulse) indicates death. Body heat indicates death; a choppy and small pulse also indicates death. (Choppy-small indicates injury to both Essence and Blood, external and internal heat, leading to immediate exhaustion.) String-taut pulse in both hands indicates Wood overcoming Earth failure. If the left hand pulse is fine and the right hand pulse is floating, large, and forceful, it also indicates Wood overcoming Earth failure and death. In various hemorrhagic syndromes, cool body with slow/small pulse is treatable; hot body with rapid/large pulse is difficult to treat (due to Yang excess and Yin deficiency). Further appearance of coughing with rebellious Qi, inability to lie down indicates death.
Consumption patients unable to tolerate Renshen (Ginseng) and Huangqi (Astragalus Root) die from inability to accept tonification. (Tonifying Yang in Yin deficiency makes Yang hyperactive and Yin more deficient, increasing frequent cough, sore throat, bloody sputum, and upper Jiao heat.) Consumption cough with hoarseness indicates death. Inability to sleep on one side indicates Lung failure. Chronic diarrhea in consumption indicates death. Emaciation of large muscles indicates Spleen failure. Coughing incessantly with white blood indicates death. (Metal suffering from Fire punishment, severe damage produces white foam. Blood exhausted in the Lung becomes white saliva/fluid. Though white, it is transformed from blood. Some call it white blood, pale red, resembling meat or lung tissue.) Consumption with long-term hemoptysis and silent sore throat is lower transmitting to upper; non-coughing, non-painful, but long-term turbid urine and spermatorrhea is upper transmitting to lower. Both indicate death.