The first inspiration point is asthenia, which generally leads to spleen dysfunction, and this spleen dysfunction leads to the inability of acquired constitution to nourish innate constitution, which is very similar to some problems in modern men’s diseases. Have you noticed a problem? When you obviously have sore waist and knees, you feel uncomfortable or your stool becomes looser when you use Liuwei Dihuang Pills to nourish your body. This is a problem of spleen dysfunction, but it seems that it doesn’t work when you use Sijunzi Decoction together. Among Ye Tianshi’s prescriptions for treating asthenia, there is a method of using Yigongsan combined with kidney-strengthening drugs for reference, which is to use ginseng, white atractylodes, poria, roasted licorice, tangerine peel, dodder seed, schizonepeta alpiniae, and raspberry. Sijunzi Decoction plus tangerine peel can strengthen the spleen and replenish qi to help the spleen transport and transform, while dodder seed, schizonepeta alpiniae, and raspberry can consolidate kidney essence and reduce urine, so that the essence and qi can be transformed by themselves, instead of using tonic drugs such as cooked rehmannia and cornus fruit to increase the burden of spleen transportation and transformation. If the spleen is severely deficient, the kidney essence is deficient, and the essence cannot nourish the spleen, using white atractylodes will warm and dry it, so remove white atractylodes and tangerine peel, and use ginseng, poria, roasted licorice plus dodder seed, raspberry, etc., so that the spleen essence can be consolidated.
The second inspiration point is vomiting blood. There are many methods to replenish kidney essence and absorb qi. I will give an example of Ye Tianshi’s use. Ye Tianshi has a method that liver qi rushes up and heart qi rushes up and cannot be restrained. Liver qi rushes up because the kidney root is not solid and kidney yin does not restrain liver yang. Ye Tianshi often uses ginseng, rehmannia (cooked or raw), schisandra, poria, and white peony. This is to use ginseng and schisandra to hold the heart qi, schisandra with cooked or raw rehmannia to nourish yin and absorb qi, white peony with rehmannia to nourish yin and calm the liver, poria calms the heart, the heart is a fire organ, and reckless movement will generate fire. Here, after calming the heart, the heart does not move recklessly and does not generate fire. This method can be applied to the treatment of male problems. Generally, some male diseases will have wheezing problems over time. On this basis, agarwood and psoralea can be added to absorb qi and calm wheezing. Ophiopogon japonicus is not used. Ginseng and rehmannia are used to produce essence together. The meaning of being born from below is that if the liver yin is sufficient, the liver can control the liver yang. Many male diseases are like this, and the virtual yang floats up, but using cinnamon will lead to fire. This method of using ginseng, rehmannia root and schisandra chinensis can absorb floating yang and sink it, and it can also calm the mind and soothe the nerves. White peony root can restrain yin and calm the liver, and combined with the method of absorbing qi, it is quite appropriate. I have used this method to solve impotence in clinical practice, and the results are indeed gratifying.
In summary, many of the applications of non-andrological diseases in Ye Tianshi’s “Clinical Guide Medical Cases” are kidney-tonifying methods, but not only kidney-tonifying. It can be used as a reference for some male diseases of the sperm-injury type. The liver is responsible for opening and the kidney is responsible for closing. Don’t just know about tonifying when you see men’s medicine. At the same time, you should pay attention to regulating the liver. In these two cases, the latter is to pay attention to the liver. When the liver and kidney yin are sufficient, the yang qi can sink, rather than just calming the liver and suppressing yang.
