精(jing)氣外泄脾腎虧(kui)，面色蒼白神無力。腰酸膝軟(ruan)舌質淡，尿有蛋白虛(xu)弱(ruo)脈。滋陰(yin)助(zhu)陽健脾腎，五子衍(yan)宗腎氣宜。山藥山萸生熟(shu)地，黨參黃芪枸杞子。白術(shu)鹿霜紫肉(rou)桂，金櫻(ying)茯苓(ling)菟(tu)絲子。
方藥：
腎氣丸合五子衍宗丸加減：
生(sheng)地15g 熟地15g 山(shan)萸肉(rou)15g 生(sheng)山(shan)藥15g 生(sheng)黃芪15g 黨參(can)15g 白術10g 枸杞子(zi)15g 菟絲子(zi)15g 金櫻子(zi)15g 茯苓12g 鹿角霜20g 紫肉(rou)桂(gui)8g
注(zhu)：脾(pi)(pi)主運化水谷，為生(sheng)化精微之(zhi)源。精氣為脾(pi)(pi)所(suo)生(sheng)化，藏于腎(shen)，又靠脾(pi)(pi)腎(shen)之(zhi)功能，供(gong)養(yang)全身。脾(pi)(pi)腎(shen)雙(shuang)虛，精氣生(sheng)化，儲藏，供(gong)養(yang)之(zhi)源涸竭、體(ti)無(wu)精養(yang)，則(ze)面色蒼白無(wu)華，神疲體(ti)倦，腰酸膝(xi)軟。腎(shen)氣不固，精氣無(wu)從藏納而外泄，故尿有(you)蛋白。舌淡，脈虛弱乏力(li)為陰(yin)陽(yang)兩虛之(zhi)象(xiang)。
山(shan)藥，山(shan)萸(yu)肉，生熟(shu)地強腎固(gu)精(jing)，滋陰(yin)(yin)補(bu)血；肉桂助陽，溫煦脾(pi)腎，促(cu)生化之源；生芪(qi)、黨參、白術(shu)、茯(fu)苓健脾(pi)益氣；枸(gou)杞子，菟絲子、金櫻子、鹿角霜促(cu)陽生陰(yin)(yin)長(chang)，補(bu)腎固(gu)元(yuan)，強陰(yin)(yin)斂(lian)精(jing)，使不外泄(xie)。
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