脉∶骨蒸劳热，脉数而虚；热而涩小，必殒其躯。加汗加嗽，非药可除。
虚怯症者，皆因元气不足，心肾有亏，或劳伤气血，或酒色过度，渐至真阴亏损，相火
随旺。火旺则消灼真阴，而为嗽、为喘、为痰、为热，为吐血衄血，为盗汗遗精，为上盛下
虚。脚手心热、皮焦、午后怕寒、夜间发热，或日夜不退，或嘈杂怔忡、呕哕烦躁、胸腹作
痛、饱闷作泻、痞块虚惊、面白唇红、头目眩晕、腰背酸疼、四肢困倦无力、小水赤色、脉
来数大或虚细弦急。怪症多端，犯此难治。虚劳不受补者，难治；咽喉声哑生疮者，难治；
久卧生眠疮者，难治。皆是阴虚火动，俱用滋阴降火汤加减，或清离滋坎汤，后服滋阴清化
膏、六味地黄丸之类；愈后用坎离既济丸，乃收功保后之药也。劳症者，元是虚损之极，痰
与血病。先起于阴怯，已后成劳，治药一同。劳脉数大而虚，又有传尸劳瘵之症，乃脏中有
虫嚼心肺者，名曰瘵。此是传尸疰骨劳。疰者，注也。自上疰下，骨肉相传，乃至灭
门者，亦有之矣。
虚劳者，阴虚而相火动也（阴虚火动者难治；虚劳不受补者，难治）。
滋阴降火汤 治阴虚火动，发热咳嗽，吐痰喘急，盗汗口干。此方与六味地黄丸相兼
服之，大补虚劳，神效。
当归（酒洗，一钱二分） 白芍（酒洗，二钱三分） 生地黄（八分） 熟地黄（姜汁炒） 天门冬（
去心） 麦门冬（去心） 白术（去芦，各一钱） 陈皮（七分） 黄柏（去皮，蜜水炒） 知母（各五分
甘草（炙，五分）
上锉一剂。生姜三片，大枣一枚，水煎。临服入竹沥、童便、姜汁少许，同服。骨蒸劳
热者，阴虚火动也，加地骨皮、柴胡；如服药数剂热不退，加炒黑干姜三分；盗汗不止者，
气血衰也，加黄 、酸枣仁（炒）；痰火咳嗽、气急生痰，加桑白皮、紫菀、片芩、竹沥；咳
嗽痰中带血者，难治也，加片芩、牡丹皮、阿胶、栀子、紫菀、犀角、竹沥；干咳嗽无痰及
喉痛生疮、声哑者，难治也，加片芩、瓜萎仁、贝母、五味子、杏仁、桑白皮、紫菀、栀子
；咳嗽痰多，津液生痰不生血也，加贝母、款冬花、桑白皮；喉痛生疮，声音不清，或咽干
燥，虚火盛也，用山豆根磨水噙之，再用吹喉散、噙化丸；若见咽喉痰火壅喉热肿下者，同
治；痰火作热，烦躁不安，气随火升也，并痰火怔忡嘈杂，加酸枣仁、黄芩、炒黄连、竹茹
、辰砂、竹沥；痰火惊惕，同治；血虚腰痛，加牛膝、杜仲；血虚，脚腿枯细无力、痿弱，
加黄 、牛膝、防己、杜仲，去天门冬；梦遗泄精者，虚火动也，加山药、牡蛎、杜仲、
故纸、牛膝，去天门冬；小便淋浊，加车前、瞿麦、萆解、 蓄、牛膝、山栀，去芍药
；阴虚火动，小腹痛者，加茴香、木香（少许），去麦门冬。
论阴虚火盛，脾虚者，宜滋阴降火健脾也。
清离滋坎汤 治阴虚火动，咳嗽发热、盗汗痰喘心慌，肾虚脾弱等症。
生地黄 熟地黄 天门冬 麦门冬（俱去心） 当归（酒洗） 白芍（酒炒） 干山药 山茱
萸（酒蒸，去核） 白茯苓（去皮） 牡丹皮 白术（去芦） 泽泻 黄柏 知母 甘草（炙）盗
汗，加酸枣仁、牡蛎；嗽盛，加五味子、款冬花；痰盛，加贝母、瓜萎仁；热盛，加地骨皮
、玄参；心慌，加远志、酸枣仁；遗精，加龙骨、牡蛎（ ）；胸中不快，加陈皮；泄泻，加
莲肉、陈皮，去知母、黄柏。上锉剂。水一碗半，煎至一碗。空心温服。痰盛，加竹沥一盏
，姜汁一、二匙；热，加童便一盏，入药同服；如吐血咳血，加鲜生地黄（捣）汁一盏同服
。此病阴血太虚，每日五更饮人乳汁一钟，甚妙；与汤药相间服之，久久奏效。
阴虚火动为诸症者，宜丸药兼而济之也。
六味地黄丸 治形骸瘦弱，无力多困，肾气久虚，寝汗发热，五脏齐损，遗精便血，消
渴淋浊等症。此药不燥不温，专补左尺肾水，兼理脾胃。少年水亏火旺阴虚之症，最宜服之
。
怀熟地黄（姜汁浸，焙干，八两） 干山药（四两） 山茱萸（酒浸，去核，四两） 白茯苓（去皮
，三两） 牡丹皮（三两） 泽泻（三两） 治心肾不交，消渴引饮，加五味子二两，麦门冬三两，名肾
气八味丸；虚劳，加紫河车一具；兼补右尺相火，加附子、官桂各二两，名八味丸；如遇伤
于阴，致相火盛者，加黄柏（酒炒）三两，知母（盐水炒）三两。上为细末，炼蜜为丸，如梧桐
子大。每服七、八十九，空心淡盐汤下。肾水不能摄脾土，多吐痰唾，姜汤下。凡年幼被诱
欲太早者，根本受伤及禀赋薄者，又斫丧之过，隐讳不敢实告，以致元气虚惫，或遗精盗汗
，神疲力怯，饮食不生肌肉，面白、五心发热，夏先畏热，冬先怕寒，腰疼膝重，头晕目眩
，故曰水一亏则火必胜，火旺则肺金受克而痰嗽矣。或劳汗当风，面出粉刺。已上症见，虚
损成矣。宜以此药服之，可保无虞矣。
咳嗽痰喘不绝声者，急则治其标也。
玄霜悉尼膏 生津止渴，除咯血、吐血、嗽血久不止，及治劳心动火、劳嗽久不愈。消
痰止嗽，清血归经。
悉尼（六十个，去心、皮，取汁二十钟。酸者不用） 藕汁（十钟） 鲜生地黄（捣取汁，十钟）
麦门冬（捣烂煎汁，五钟） 萝卜汁（五钟） 茅根汁（十钟）
上六汁再重滤去滓，将清汁再入火熬炼，入蜜十六两，饴糖八两，姜汁半酒盏，入火再
熬如稀糊，则成膏矣。如血不止，咳嗽，加侧柏叶（捣）汁一钟，韭白汁半钟，茜根汁半钟（
俱去滓），入前汁内煎成膏服之。
阴虚火动而后嗽者，缓则治其本也。
滋阴清化膏 清痰火、滋化源。肺肾乃人身之化源。
生地黄（酒洗） 熟地黄（酒浸） 天门冬（去心） 麦门冬（去心，各一两） 白茯苓（去皮，一
两） 山药（炒，一两） 枸杞子 白芍药（酒炒，各一两） 五味子（七钱） 黄柏（盐酒炒，一两） 知母
（盐水炒） 玄参 薏苡仁（炒，各一两） 甘草（生，五钱）
上为细末，炼蜜为丸，如弹子大。每服一丸，空心津液噙化咽下。有盗汗，加黄 （蜜
炙）七钱；痰嗽甚，加陈皮、贝母各一两。
阴虚发热、嗽血、大便结者，此虚火盛也。
坎离膏 治劳瘵发热，阴虚火动，咳嗽吐血、唾血、咯血、咳血、衄血、心慌、喘急、
盗汗。
黄柏 知母（四两） 生地黄 熟地黄 天门冬（去心） 麦门冬（去心，各二两） 杏仁（去皮）
七钱 胡桃仁（去皮尖，净仁，四两） 蜂蜜（四两）
先将黄柏、知母，童便三碗，侧柏叶一把，煎至四碗去渣；又将天、麦门冬，生、熟地
黄入汁内，添水二碗，煎汁去渣，再捣烂如泥；另用水一、二碗熬熟，绞汁，入前汁。将杏
仁、桃仁，用水擂烂再滤，勿留渣，同蜜入前汁内。用文武火熬成膏，瓷罐收贮封口，入水
内去火毒。每服三、五匙，侧柏叶汤调，空心服。忌铜铁器。
咳嗽吐血、喘急不能食者，脾肺虚损也。
宁嗽膏 治阴虚咳嗽，火动发热，咯血吐血，大敛肺气。
天门冬（去心，八两） 杏仁（去皮） 贝母（去心） 百部 百合（各四两） 款冬花蕊（五两） 紫
菀（三两） 雪白术（去芦油，八两）
上俱为粗末，长流水煎三次，取汁三次，去渣；入饴糖八两，蜜十六两，再熬；又入阿
胶四两，白茯苓四两为末（水飞过，晒干）；三味入前汁内，和匀如糊，成膏。每服三、五匙
。
痰嗽喘热而泄泻者，此脾惫也。参苓白术散主之（方见泄泻）。
瑞莲丸 治元气大虚，脾胃怯弱，泄泻不止，不思饮食。
干山药（炒） 莲肉（去心皮） 白术（去芦油，土炒） 芡实（去壳，各二两） 楝参（去芦，
五钱） 白茯苓（去皮） 橘红 白芍（酒炒，各一两） 甘草（炙，五钱）
上为末，用 猪肚一个，洗令净煮烂，捣和药末为丸，如梧桐子大。每服百丸，空
心米汤送下。再兼服白雪膏（方见内伤）。
咳嗽喘热而痢疾者，脾肾俱惫也。
和中汤 治虚劳赤白痢疾，或腹痛里急后重。
当归身（酒洗，上） 白芍（酒炒，上） 白术（去芦，上） 茯苓（去皮，中） 陈皮（中）
黄连（有红多者，加） 黄芩（炒，中） 甘草 木香少许红痢，加阿胶（炒，上）； 白痢，
加干姜（炒黑，下）。上锉一剂。水煎，食前温服。如久不止，再兼服实肠散（方见痢疾）。
驻车丸 治下利赤白，腹痛甚者及休息痢。驻者，止也，言药止痢如车之驻也。予每用
此治阴虚劳嗽而为痢者，殊效。
川黄连（炒，三两） 真阿胶（蛤粉炒，一两半） 当归（一两半） 干姜（炒黑，一两） 赤茯苓（去
皮，一两）
上为细末，醋打稀面糊为丸，如梧桐子大。每服三、五十丸，米汤送下。
痰嗽喘热、脾虚饱闷发肿者，难治也。分消汤主之（方见臌胀）。
病后调理者，乃收功保后之剂也。
坎离既济丸 治阴虚火动、劳瘵之疾。
当归（酒洗，六两） 南川芎（一两） 白芍（酒炒，三两） 熟地黄（酒蒸） 生地黄（酒洗） 天门
冬（去心） 麦门冬（去心，各四两） 五味子（三两） 山药（二两） 山茱萸（酒蒸，去核，四两） 牛膝
（去芦，酒洗，四两） 黄柏（去粗皮，九两，酒炒三两，蜜水炒三两、盐水炒三两） 知母（去毛
，酒浸二两，盐水浸二两） 龟版（去边，酥炙脆，微黄色，三两，用卜者钻过多）
上为末，忌铁器，炼蜜为丸，如梧桐子大。每服五、六十丸，空心盐汤送下。
补遗方
噙化仙方 治五劳七伤，吐脓吐血吐痰，咳嗽喘急。
甜梨汁 白萝卜汁 生姜汁 白糖（各二两） 辽五味子（去梗，一两） 款冬花（二两） 紫菀（二
两） 桔梗（二两）
上共熬成膏，后入人参一钱为末，入前汁内和匀为丸，如弹子大。至晚噙化一丸，不过
十丸，其病可痊。
世人唯知百病生于心，而不知百病生于肾。饮酒食肉，醉饱入房，不节欲，恣意妄为，
伤其精，肾水空虚，不能平其心火；心火纵炎，伤其肺金，是绝肾水之源。金水衰亏，不能
胜其肝木，肝木盛则克脾土而反生火；火独旺而不生化，故阳有余而阴不足。其病独热而不
久矣。
警世二绝∶酒色财气伤人贼，多少英雄被他惑；若能摆脱这尘凡，便是九霄云外客。浮
生何事多偏性，酷贪花酒伤生命；一朝卧病悔噬脐，使尽黄金药不应。
太学刘诚庵乃郎，年十八岁，患虚劳热嗽痰喘，面赤自汗，昼夜不能倒卧，痰不绝口。
如此旬日，命在须臾，一家傍徨，诸医措手。召予诊视，六脉微数，乃阴虚火动之症。予令
其五更将壮盛妇人乳汁一钟，重汤煮温，作三、四十口服之，至天明服河车地黄丸一服，
少顷，将大小米入山药、莲肉、红枣、核桃仁数个，煮稀粥食之；半晌，又煎清离滋坎汤二
剂，加竹沥、童便、姜汁少许，频频服之。服至午，又进前粥碗许，加白雪糕食之，过半
晌，又照前药二剂频服至尽。将晚，又进前粥碗许，又煎前药二剂，夜间睡则药止，醒则即
服。如此三昼夜，药不住口，火乃渐息，方得卧倒。以后减却前药一半，过半月，病减十之
六、七。每日止服汤药一剂，调理数月而愈。此症危急至甚，非予用此法救之，若照寻常，
日服一、二剂者，几乎不起。夫一杯之水，不能救舆薪之火，正此之谓也。令后患此症者，
当照此服药，医者当照此治之，未有不愈者也。其有脾胃弱而作泻者，不在此限。
Pulse: In cases of bone-steaming consumption fever (a sensation of heat emanating from the deep marrow due to Yin deficiency), the pulse is rapid and deficient; if the pulse is hot, choppy, and small, death is inevitable. If accompanied by sweating and coughing, it cannot be cured by medicine alone.
The syndrome of deficiency and timidity arises from insufficient primordial Qi, deficiency of the Heart and Kidney, or damage to Qi and Blood due to overwork, or excess in alcohol and sexual activity, gradually leading to depletion of True Yin and hyperactivity of Ministerial Fire. When Fire is excessive, it consumes True Yin, resulting in cough, asthma, phlegm, fever, hematemesis and epistaxis, night sweats, seminal emission, upper excess and lower deficiency. Symptoms include heat in the palms and soles, dry skin, aversion to cold in the afternoon, fever at night, or continuous day and night; gastric discomfort, palpitations, vomiting and hiccups, irritability, chest and abdominal pain, fullness and diarrhea, palpitations with fright, pale face with red lips, dizziness, soreness and pain in the waist and back, fatigue and weakness in the four limbs, dark red urine, and a pulse that is rapid and large, or deficient, fine, wiry, and urgent. There are many bizarre symptoms; this condition is difficult to treat. Consumption that cannot tolerate tonification is difficult to treat; hoarseness with ulcers in the throat is difficult to treat; bedsores developing after prolonged bed rest are difficult to treat. All these are caused by Yin deficiency with Fire hyperactivity. They should be treated with Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction) modified, or Qingli Zikan Tang (Clear Li and Nourish Kan Decoction), followed by Ziyin Qinghua Gao (Nourish Yin and Clear Transformation Paste) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia). After recovery, Kanli Jiji Wan (Kan and Li Mutual Completion Pill) should be taken as a post-recovery maintenance remedy. The "Lao" syndrome is essentially extreme deficiency involving Phlegm and Blood disorders. It begins as Yin deficiency and timidity, later developing into Lao; the treatment is the same. The pulse for Lao is rapid, large, and deficient. There is also the syndrome of Chuan Shi Lao Zhai (Infectious Consumption Disease), where insects in the viscera gnaw on the Heart and Lungs, named "Zhai". This is Chuan Shi Zhu Gu Lao (Infectious Bone-Consuming Consumption). "Zhu" means to transmit. It transmits from top to bottom, passing through flesh and bone, even leading to family extinction in some cases.
Xu Lao (Deficiency Consumption) is characterized by Yin deficiency and hyperactivity of Ministerial Fire (Yin deficiency with Fire hyperactivity is difficult to treat; Xu Lao that cannot tolerate tonification is difficult to treat).
Ziyin Jianghuo Tang (Nourish Yin and Descend Fire Decoction): Treats Yin deficiency with Fire hyperactivity, fever and cough, expectoration with asthma and urgency, night sweats, and dry mouth. Taking this formula alternately with Liuwei Dihuang Wan greatly tonifies Xu Lao with miraculous effects.
Dang Gui (Washed in wine, 1.2 qian) Bai Shao (Washed in wine, 2.3 qian) Sheng Di Huang (0.8 qian) Shu Di Huang (Stir-fried with ginger juice) Tian Men Dong (Remove heart) Mai Men Dong (Remove heart) Bai Zhu (Remove rhizome head, each 1 qian) Chen Pi (0.7 qian) Huang Bo (Remove bark, stir-fried with honey water) Zhi Mu (each 0.5 qian) Gan Cao (Roasted, 0.5 qian)
Decoct one dose with three slices of fresh ginger and one jujube in water. Before taking, add a small amount of Zhu Li (Bamboo Sap), Tong Bian (Child's Urine), and Jiang Zhi (Ginger Juice), and take together. For bone-steaming consumption fever, which is Yin deficiency with Fire hyperactivity, add Gu Pi (Cortex Lycii) and Chai Hu (Radix Bupleuri); if fever persists after several doses, add Chao Hei Gan Jiang (Charred Dried Ginger, 0.3 qian); for incessant night sweats, indicating decline of Qi and Blood, add Huang Qi (Astragalus) and Suan Zao Ren (Roasted Semen Ziziphi Spinosae); for Phlegm-Fire cough with urgency and phlegm production, add Sang Bai Pi (Cortex Mori Radicis), Zi Wan (Asteris Radix), Pian Qin (Scutellariae Radix), and Zhu Li; for cough with blood-streaked sputum, which is difficult to treat, add Pian Qin, Mu Dan Pi (Moutan Cortex), E Jiao (Colla Corii Asini), Zhi Zi (Gardeniae Fructus), Zi Wan, Xi Jiao (Rhinocerotis Cornu), and Zhu Li; for dry cough without phlegm, sore throat with ulcers, and hoarseness, which is difficult to treat, add Pian Qin, Gua Lou Ren (Trichosanthis Semen), Bei Mu (Fritillariae Bulbus), Wu Wei Zi (Schisandrae Fructus), Xing Ren (Armeniacae Semen), Sang Bai Pi, Zi Wan, and Zhi Zi; for cough with abundant phlegm, indicating fluid transforming into phlegm rather than blood, add Bei Mu, Kuan Dong Hua (Farfarae Flos), and Sang Bai Pi; for sore throat with ulcers, unclear voice, or dry throat due to severe deficient Fire, use Shan Dou Gen (Sophorae Tonkinensis Radix) ground in water to gargle, then apply Chui Hou San (Throat Blowing Powder) and Qin Hua Wan (Holding Melt Pill); if there is Phlegm-Fire obstruction in the throat with heat and swelling, treat similarly; for Phlegm-Fire causing heat, irritability, Qi rising with Fire, and Phlegm-Fire-induced palpitations and gastric discomfort, add Suan Zao Ren, Huang Qin (Scutellariae Radix), Chao Huang Lian (Roasted Coptidis Rhizoma), Zhu Ru (Bambusae Caulis in Taeniam), Chen Sha (Cinnabar), and Zhu Li; for Phlegm-Fire-induced fright, treat similarly; for Blood deficiency causing lower back pain, add Niu Xi (Achyranthis Bidentatae Radix) and Du Zhong (Eucommiae Cortex); for Blood deficiency causing thin and weak legs and feet with flaccidity, add Huang Qi, Niu Xi, Fang Ji (Stephaniae Tetrandrae Radix), and Du Zhong, removing Tian Men Dong; for nocturnal emission and seminal leakage due to deficient Fire, add Shan Yao (Dioscoreae Rhizoma), Mu Li (Ostreae Concha), Du Zhong, Gu Zhi (Psoraleae Fructus), and Niu Xi, removing Tian Men Dong; for dysuria and turbid urine, add Che Qian Zi (Plantaginis Semen), Qu Mai (Polygalae Herba), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Xu Zhong (Polygoni Avicularis Herba), Niu Xi, and Shan Zhi (Gardeniae Fructus), removing Shao Yao; for Yin deficiency with Fire hyperactivity causing lower abdominal pain, add Hui Xiang (Foeniculi Fructus) and Mu Xiang (Aucklandiae Radix) (small amount), removing Mai Men Dong.
Regarding Yin deficiency with Fire hyperactivity and Spleen deficiency, one should Nourish Yin, Descend Fire, and strengthen the Spleen.
Qingli Zikan Tang (Clear Li and Nourish Kan Decoction): Treats Yin deficiency with Fire hyperactivity, cough and fever, night sweats, phlegm-asthma, palpitations, Kidney deficiency, and Spleen weakness.
Sheng Di Huang Shu Di Huang Tian Men Dong Mai Men Dong (All remove heart) Dang Gui (Washed in wine) Bai Shao (Stir-fried in wine) Gan Shan Yao Shan Zhu Yu (Steamed in wine, remove pit) Bai Fu Ling (Remove peel) Mu Dan Pi Bai Zhu (Remove rhizome head) Ze Xie Huang Bo Zhi Mu Gan Cao (Roasted)
For night sweats, add Suan Zao Ren and Mu Li; for severe cough, add Wu Wei Zi and Kuan Dong Hua; for abundant phlegm, add Bei Mu and Gua Lou Ren; for severe heat, add Gu Pi and Xuan Shen; for palpitations, add Yuan Zhi (Polygalae Radix) and Suan Zao Ren; for seminal emission, add Long Gu (Fossilia Ossis Mastodi) and Mu Li; for chest discomfort, add Chen Pi; for diarrhea, add Lian Rou (Nelumbinis Semen) and Chen Pi, removing Zhi Mu and Huang Bo. Decoct one dose in 1.5 bowls of water until reduced to one bowl. Take warm on an empty stomach. For abundant phlegm, add one cup of Zhu Li and one or two spoons of Jiang Zhi; for heat, add one cup of Tong Bian and take with the medicine; for hematemesis or hemoptysis, add one cup of juice from fresh Sheng Di Huang (crushed) and take together. Since Yin and Blood are extremely deficient, drinking one cup of human milk at dawn (Wu Geng) is excellent; alternate with herbal decoctions for long-term efficacy.
For various syndromes caused by Yin deficiency with Fire hyperactivity, pills should be used concurrently.
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia): Treats emaciation, weakness and fatigue, chronic Kidney Qi deficiency, night sweats and fever, damage to all five Zang organs, seminal emission and bloody stool, Xiao Ke (Wasting-Thirst) with dysuria and turbid urine. This formula is neither drying nor warming; it specifically tonifies the Left Chi (Kidney Water) and regulates the Spleen and Stomach. It is most suitable for young people with Water deficiency, Fire hyperactivity, and Yin deficiency.
Huai Shu Di Huang (Soaked in ginger juice, dried, 8 liang) Gan Shan Yao (4 liang) Shan Zhu Yu (Soaked in wine, remove pit, 4 liang) Bai Fu Ling (Remove peel, 3 liang) Mu Dan Pi (3 liang) Ze Xie (3 liang)
To treat Heart-Kidney non-interaction and Wasting-Thirst with thirst, add Wu Wei Zi (2 liang) and Mai Men Dong (3 liang), named Shen Qi Ba Wei Wan (Eight-Ingredient Pill for Kidney Qi); for Xu Lao, add one Zijie Che (Placenta Humanis); to additionally tonify the Right Chi (Ministerial Fire), add Fu Zi (Aconiti Lateralis Radix Praeparata) and Guan Gui (Cinnamomi Cortex) each 2 liang, named Ba Wei Wan (Eight-Ingredient Pill); if injured by Yin leading to Ministerial Fire excess, add Huang Bo (wine-fried, 3 liang) and Zhi Mu (salt-water fried, 3 liang). Grind into fine powder, make pills with refined honey, size of Sophora seeds. Take 70-80 pills per dose with light salt water on an empty stomach. If Kidney Water fails to control Spleen Earth causing much phlegm and saliva, take with Ginger Soup. For those whose desires were awakened too early in childhood, damaging the root, or those with weak constitution who have overindulged and hide it, leading to exhaustion of Primordial Qi, night sweats, seminal emission, mental fatigue, poor muscle formation, pale face, heat in the five centers, fear of heat in summer and cold in winter, lower back pain and heavy knees, dizziness, and blurred vision—thus saying when Water is deficient, Fire prevails; when Fire is excessive, Metal (Lung) is controlled, leading to phlegm and cough. Or wind entering sweat pores causes acne. Once these symptoms appear, deficiency is established. Taking this medicine can ensure safety.
When cough and phlegm-asthma are incessant, treat the branch urgently.
Xuang Suang Xi Ni Gao (Xuan Shuang Xi Ni Paste): Generates fluids and relieves thirst, stops persistent hemoptysis, hematemesis, and coughing blood; treats Heart Fire from consumption and chronic consumption cough. Resolves phlegm, stops cough, clears blood, and returns it to its vessels.
Xi Ni (60 fruits, remove heart and peel, extract 20 zhong juice. Do not use sour ones) Ou Zhi (Lotus Root Juice, 10 zhong) Xian Sheng Di Huang (Fresh Rehmannia, crushed for juice, 10 zhong) Mai Men Dong (Crushed and decocted for juice, 5 zhong) Luo Bo Zhi (Radish Juice, 5 zhong) Mao Gen Zhi (Imperatae Rhizoma Juice, 10 zhong)
Filter the six juices twice to remove dregs. Re-boil the clear juice, add 16 liang of honey and 8 liang of Yi Tang (Malt Sugar), and half a wine cup of Jiang Zhi. Boil again until like thin paste, then the paste is ready. If bleeding does not stop and cough persists, add Ce Bai Ye (Biota Tops) juice (crushed, 1 zhong), Jiu Bai Zhi (Garlic Sprout Juice, 0.5 zhong), and Qian Gen Zhi (Rubiae Radix Juice, 0.5 zhong) (all filtered), and boil with the previous juice to form the paste.
For cough following Yin deficiency with Fire hyperactivity, treat the root slowly.
Ziyin Qinghua Gao (Nourish Yin and Clear Transformation Paste): Clears Phlegm-Fire and nourishes the Source of Transformation. The Lung and Kidney are the Source of Transformation in the body.
Sheng Di Huang (Washed in wine) Shu Di Huang (Soaked in wine) Tian Men Dong (Remove heart) Mai Men Dong (Remove heart, each 1 liang) Bai Fu Ling (Remove peel, 1 liang) Shan Yao (Stir-fried, 1 liang) Gou Qi Zi (Fructus Lycii) Bai Shao Yao (Stir-fried in wine, each 1 liang) Wu Wei Zi (7 qian) Huang Bo (Salt and wine fried, 1 liang) Zhi Mu (Salt-water fried) Xuan Shen (Scrophulariae Radix) Yi Yi Ren (Coix Seed, roasted, each 1 liang) Gan Cao (Raw, 5 qian)
Grind into fine powder, make pills with refined honey, size of a bullet. Take one pill per dose, holding it in the mouth to melt and swallow on an empty stomach. For night sweats, add Huang Qi (Honey-roasted, 7 qian); for severe phlegm-cough, add Chen Pi and Bei Mu each 1 liang.
For Yin deficiency causing fever, coughing blood, and constipation, this is due to severe deficient Fire.
Kanli Gao (Kan-Li Paste): Treats consumption fever, Yin deficiency with Fire hyperactivity, cough with hematemesis, spitting blood, hemoptysis, epistaxis, palpitations, asthma, and night sweats.
Huang Bo Zhi Mu (Each 4 liang) Sheng Di Huang Shu Di Huang Tian Men Dong (Remove heart) Mai Men Dong (Remove heart, each 2 liang) Xing Ren (Remove skin, 7 qian) Hu Tao Ren (Walnut Kernel, peeled and cleaned, 4 liang) Feng Mi (Honey, 4 liang)
First, decoct Huang Bo and Zhi Mu in three bowls of Tong Bian with a handful of Ce Bai Ye until reduced to four bowls, then strain. Add Tian Men Dong, Mai Men Dong, Sheng Di Huang, and Shu Di Huang to the liquid, add two bowls of water, decoct, strain, and pound into mud. Separately, boil one or two bowls of water, squeeze out juice, and add to the previous liquid. Pound Xing Ren and Tao Ren (Peach Kernel) with water, filter thoroughly to remove residue, and mix with honey into the liquid. Boil over moderate fire into a paste, store in a porcelain jar, seal, and place in water to remove fire toxicity. Take 3-5 spoons per dose, mixed with Ce Bai Ye Tea, on an empty stomach. Avoid copper and iron vessels.
For cough with hematemesis, asthma, and inability to eat, this is Spleen and Lung deficiency.
Ningsou Gao (Calming Cough Paste): Treats Yin deficiency cough, Fire hyperactivity with fever, hemoptysis and hematemesis, greatly consolidating Lung Qi.
Tian Men Dong (Remove heart, 8 liang) Xing Ren (Remove skin) Bei Mu (Remove heart) Bai Bu (Stemona Radix) Bai He (Lilii Bulbus, each 4 liang) Kuan Dong Hua Rui (Farfarae Flos stamen, 5 liang) Zi Wan (Asteris Radix, 3 liang) Xue Bai Zhu (Remove rhizome head and oil, 8 liang)
Grind into coarse powder. Decoct three times in flowing water, collect the juice three times, and strain. Add 8 liang of Yi Tang and 16 liang of honey, and boil again. Then add Si E Jiao (Donkey-Hide Gelatin, 4 liang) and Bai Fu Ling (Poria, 4 liang) ground into powder (washed in water and dried). Mix the three ingredients into the previous liquid until uniform like paste, forming the final paste. Take 3-5 spoons per dose.
For phlegm-cough, asthma, heat, and diarrhea, this is Spleen exhaustion. Can Ling Bai Zhu San (Can Ling Bai Zhu Powder) is the main prescription (see Diarrhea).
Ruilian Wan (Ruilian Pill): Treats severe Primordial Qi deficiency, weak Spleen and Stomach, incessant diarrhea, and loss of appetite.
Gan Shan Yao (Stir-fried) Lian Rou (Lotus Seed, remove heart and skin) Bai Zhu (Remove rhizome head and oil, earth-fried) Qian Shi (Euryales Semen, remove shell, each 2 liang) Shen Shen (Codonopsis Radix, remove rhizome head, 5 qian) Bai Fu Ling (Remove peel) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Bai Shao (Stir-fried in wine, each 1 liang) Gan Cao (Roasted, 5 qian)
Grind into powder. Use one pig stomach, wash clean, boil until tender, pound together with the powder to make pills, size of Sophora seeds. Take 100 pills per dose with rice soup on an empty stomach. Also take Baixue Gao (Snow White Paste) (see Internal Injury).
For cough, asthma, heat, and dysentery, both Spleen and Kidney are exhausted.
Hezhong Tang (Harmonizing Middle Decoction): Treats Xu Lao with red and white dysentery, or abdominal pain with tenesmus.
Dang Gui Shen (Washed in wine, Upper dosage) Bai Shao (Stir-fried in wine, Upper dosage) Bai Zhu (Remove rhizome head, Upper dosage) Fu Ling (Remove peel, Medium dosage) Chen Pi (Medium dosage) Huang Lian (Add if red stools predominate) Huang Qin (Stir-fried, Medium dosage) Gan Cao Mu Xiang (Small amount)
For red dysentery, add E Jiao (Roasted, Upper dosage); for white dysentery, add Gan Jiang (Charred black, Lower dosage). Decoct one dose in water. Take warm before meals. If it persists for a long time, also take Shichang San (Intestinal Solidifying Powder) (see Dysentery).
Zhuche Wan (Zhuche Pill): Treats passage of red and white stool, severe abdominal pain, and intermittent dysentery. "Zhu" means to stop; the name implies the medicine stops dysentery like a parked cart. I often use this to treat Yin deficiency consumption cough complicated by dysentery with great effect.
Chuan Huang Lian (Roasted, 3 liang) Zhen E Jiao (Fried with clam powder, 1.5 liang) Dang Gui (1.5 liang) Gan Jiang (Charred black, 1 liang) Chi Fu Ling (Remove peel, 1 liang)
Grind into fine powder, make pills with vinegar and thin flour paste, size of Sophora seeds. Take 30-50 pills per dose with rice soup.
For phlegm-cough, asthma, heat, Spleen deficiency with fullness and edema, it is difficult to treat. Fenxiao Tang (Dispersing Accumulation Decoction) is the main prescription (see Ascites).
Post-illness regulation formulas are for concluding treatment and post-recovery maintenance.
Kanli Jiji Wan (Kan and Li Mutual Completion Pill): Treats Yin deficiency with Fire hyperactivity and consumption diseases.
Dang Gui (Washed in wine, 6 liang) Nan Chuan Xiong (Angelicae Sinensis Radix, 1 liang) Bai Shao (Stir-fried in wine, 3 liang) Shu Di Huang (Steamed in wine) Sheng Di Huang (Washed in wine) Tian Men Dong (Remove heart) Mai Men Dong (Remove heart, each 4 liang) Wu Wei Zi (3 liang) Shan Yao (2 liang) Shan Zhu Yu (Steamed in wine, remove pit, 4 liang) Niu Xi (Remove rhizome head, washed in wine, 4 liang) Huang Bo (Remove rough bark, 9 liang total: 3 liang wine-fried, 3 liang honey-fried, 3 liang salt-water fried) Zhi Mu (Remove hairs, soaked in wine 2 liang, soaked in salt water 2 liang) Gui Ban (Tortoise Shell, remove edges, fried with butter until crisp and slightly yellow, 3 liang, preferably from shells drilled by diviners)
Grind into powder, avoid iron vessels, make pills with refined honey, size of Sophora seeds. Take 50-60 pills per dose with salt water on an empty stomach.
Supplementary Formulas
Qinhua Xianfang (Holding Melt Immortal Formula): Treats Five Labors and Seven Injuries, expectoration of pus, blood, and phlegm, cough, and asthma.
Tian Li Zhi (Pear Juice) Bai Luo Bo Zhi (White Radish Juice) Sheng Jiang Zhi (Ginger Juice) Bai Tang (Sugar, each 2 liang) Liao Wu Wei Zi (Schisandra, remove stem, 1 liang) Kuan Dong Hua (Farfarae Flos, 2 liang) Zi Wan (Asteris Radix, 2 liang) Jie Geng (Platycodonis Radix, 2 liang)
Boil together into a paste, then add Ren Shen (Ginseng Radix, 1 qian) ground into powder, mix with the previous juice to make pills, size of a bullet. Hold one pill in the mouth late at night to melt; within ten pills, the disease can be cured.
People only know that hundred diseases arise from the Heart, but do not know that hundred diseases arise from the Kidney. Drinking alcohol and eating meat, having sex while drunk and full, lacking restraint in desire, acting recklessly, damages Essence. Kidney Water becomes empty and cannot calm Heart Fire; Heart Fire blazes unchecked, damaging Lung Metal, cutting off the source of Kidney Water. With Metal and Water depleted, they cannot control Liver Wood; Liver Wood becomes excessive, controlling Spleen Earth and generating Fire. Fire burns alone without transformation, so Yang is in excess and Yin is deficient. The disease manifests as isolated heat and does not last long.
Two Warning Verses: Alcohol, lust, wealth, and anger are thieves harming people; how many heroes have been bewitched by them? If one can shake off this mortal dust, one becomes a guest beyond the nine heavens. What matters in floating life cause bias? Cruelly craving flowers and wine harms life; once bedridden with illness, regretting too late, spending all gold cannot cure it.
Liu Cheng'an, son of the Imperial Academy scholar, aged eighteen, suffered from Xu Lao with hot cough, phlegm, and asthma, red face, spontaneous sweating, unable to lie down day or night, with incessant phlegm. After ten days, life was imminent, the family anxious, doctors helpless. I was summoned to diagnose; the six pulses were slightly rapid, indicating Yin deficiency with Fire hyperactivity. I instructed him to drink one cup of milk from a vigorous woman at dawn (Wu Geng), warmed in hot water, taken in 30-40 small sips. By morning, he took one dose of Heche Dihuang Wan (Placenta Rehmannia Pill). Shortly after, he ate a thin porridge made with millet, rice, Shan Yao, Lian Rou, red dates, and walnuts. Half a day later, he took two doses of Qingli Zikan Tang with a little Zhu Li, Tong Bian, and Jiang Zhi, taken frequently. By noon, he ate another bowl of the porridge plus Baixue Gao (Snow White Cake). Half a day later, he finished two more doses of the previous medicine. In the evening, he ate another bowl of porridge and two more doses of the medicine. At night, he stopped taking medicine when sleeping and resumed immediately upon waking. For three days and nights, medicine was constantly taken, Fire gradually subsided, and he could finally lie down. Afterwards, the dosage was halved. After half a month, the illness reduced by 60-70%. He took only one dose of decoction daily and recovered after months of regulation. This case was critically dangerous; without my method, if treated normally with one or two doses daily, he would hardly have survived. A cup of water cannot extinguish a cartload of burning wood; this is exactly what is meant. Those suffering from this illness thereafter should take medicine as described, and doctors should treat accordingly; none will fail to recover. Those with weak Spleen and Stomach causing diarrhea are excluded from this rule.