Source: Jinggue Quanshu (Complete Works of Zhang Jingyue).

Ingredients:
No.1  Shudihuang (Rhizoma Rehmanniae Praeparatae) 240 g
No.2  Chaoshanyao (Rhizoma Dioscoreae Praeparatae) 120 g
No.3  Shanzhuyu (Fructus Corni) 90 g
No.4  Gouqizi (Fructus Lycii) 120 g
No.5  Tusizi (Semen Cuscutae) 120 g
No.6  Lujiaojiao (Colla Cornus Cervi) (parched into pearls) 120 g
No.7  Duzhong (Cortex Eucommiae) 120 g
No.8  Danggui (Radix Angelicae Sinensis) 90 g
No.9  Rougui (Cortex Cinnamomi) 60 g
No.10  Zhifuzi (Radix Aconiti Praeparatae) 60 g

Administration:
Make the first ingredient into paste after steamed and grind the rest into fine powder; then make the powder into boluses by mixing it with honey; take 9 g each time and twice daily with warm boiled water or with light salty water. Or make into decoction with dosages in proportion to the original recipe.

Actions:
Warming and enriching kidney-yang, and replenishing essence and marrow.

Clinical Application:
This recipe is indicated for syndrome of insufficient kidney-yang and decline of fire in mingmen, marked by qi deficiency and mental fatigue from senility or protracted diseases, aversion to cold and cold limbs, soreness and weakness of the waist and knees, or infertility due to yang deficiency, pale tongue with whitish fur, deep and slow pulse. It is applicable to nephrotic syndrome, senile osteoporosis, infertility from spermacrasia, anemia, leukopenia and others, which belong to kidney-yang deficiency. If concomitant with seminal emission, add Buguzhi (Fructus Psoraleae) and Yizhiren (Fructus Alpiniae Oxyphyllae) to consolidate the kidney and prevent emission.

In case of sexual impotence, add Bajitian (Radix Morindae Officinalis) and Yinyanghuo (Herba Epimedii) to activate kidney-yang. In case of mental fatigue due to qi deficiency, add Renshen (Radix Ginseng) to reinforce the primordial qi. If concomitant with poor appetite and loose stool due to deficiency of the spleen and stomach, add Ganjiang (Rhizoma Zingiberis) and Baizhu (Rhizoma Atractylodis Macrocephalae) to warm the middle-energizer and improve the function of the spleen.

Elucidation:
The syndrome is caused by kidney-yang deficiency and decline of fire in mingmen, and should be treated by warming and activating kidney-yang and replenishing kidney essence. Ingredients No. 10, No. 9 and No. 6 can greatly invigorate kidney-yang and function as monarch drugs. Ingredients No. 1, No. 3, No. 4 and No. 2 act as minister drugs, which nourish kidney-yin, reinforce the liver and spleen, and replenish kidney essence. Used as adjuvant drugs, ingredients No. 5 and No.7 bear the effects of invigorating kidney-yang and strengthening waist and knees, while No. 8 has the function of nourishing and regulating blood. All in compatibility achieves tonic effect without any purgative effect, and activates kidney-yang while nourishing kidney-yin. This recipe possesses a drastic effect of activating kidney-yang and replenishing kidney essence.
    
Cautions:
This recipe is very likely to generate dampness, and therefore should not be used by patients with kidney deficiency and dampness.