此阴虚之极，痰与血病，多有虫者。虚劳身瘦属火，因火烧烁故也。肉脱甚者，难治；不受补者，亦难治。治
法以大补为主，四物汤加竹沥、童便、姜汁。一加炒檗。阳虚者，四君子加麦冬、五味、陈皮、炒檗、竹沥、童便、
姜汁。虚劳即积热做成，始健可用子和法；后羸惫四物加减送消积丸。热助气，不做阳虚，蒸蒸发热，积病最多。
调鼎方，紫河车丸治传尸劳瘵；青蒿煎治劳瘵（二方俱见《医要》）。传尸劳瘵寒热交攻，久嗽咯血，日见羸瘦，先以
三拗汤，次以连心散。一男子劳弱，潮热往来，咳嗽痰血，日轻夜重，形容枯瘦，饮食不美，肾脏虚甚∶参 白
术鳖甲（各一钱） 当归 五味 炒芩 炒柏 软柴 地骨 秦艽 炒连 茯苓 半夏（各五分） 麦冬（七分半）
姜煎服就送下三补丸。一妇人劳瘵，四物加参、 、柴胡、黄芩、鳖甲、地骨、甘葛、五味、甘草，水煎服。虚劳大热
之人，服芩、连寒药不得者，用参、 、归、术、柴胡、地骨、麦冬、五味、秦艽、芍药、青蒿、半夏、甘草、胡连，
上用生姜、乌梅煎服。一人年三十五，患虚损，朝寒暮热，四君子汤加软柴胡、黄芩、当归、芍药、川芎、地骨皮、秦
艽。一人气血两虚，骨蒸寒热交作，大便如常，脉细数，少食，八物汤加柴胡、知母、黄柏。
This is extreme Yin deficiency, involving phlegm and blood pathologies, often accompanied by parasites. Consumption leading to emaciation belongs to Fire syndrome, caused by the scorching and consuming action of Fire. When muscle wasting is severe, it is difficult to treat; when the patient cannot tolerate tonification, it is also difficult to treat. The treatment principle focuses on major tonification, using Siwu Tang (Four Substances Decoction) added with Zhuli (Bamboo Sap), Tongbian (Child's Urine), and Jiangzhi (Ginger Juice). Another variation adds Chao Bo (Stir-fried Phellodendri Cortex). For Yang deficiency cases, Sijunzi Tang (Four Gentlemen Decoction) is used with Maidong (Ophiopogonis Radix), Wuwei Zi (Schisandrae Fructus), Chenpi (Citri Reticulatae Pericarpium), Chao Bo (Stir-fried Phellodendri Cortex), Zhuli (Bamboo Sap), Tongbian (Child's Urine), and Jiangzhi (Ginger Juice). Consumption is formed by accumulated heat; if the constitution was initially robust, Zhang Hezi's methods can be applied; later, when emaciated and exhausted, Siwu Tang (Four Substances Decoction) modified is used to deliver Xiaoji Wan (Accumulation-Dissolving Pill). Heat assists Qi movement, preventing Yang deficiency but causing steaming-hot fever sensations; such accumulation diseases are most common. The Diaoding Fang (Dialing Cauldron Formula) contains Zihewan (Placenta Pill) for treating Chuanshi Laozai (Infectious Consumption); Qinghao Jian (Artemisia Annua Decoction) also treats Laozai (Consumption) (both formulas are recorded in *Yi Yao*). Chuanshi Laozai (Infectious Consumption) presents with alternating chills and fever, chronic cough with hemoptysis, and progressive emaciation; first use San'ao Tang (Three Unblocking Decoction), followed by Lianxin San (Connected Heart Powder). A male patient suffered from consumption weakness, tidal fever, cough with bloody sputum, symptoms lighter during the day and heavier at night, withered appearance, poor appetite, and severe Kidney deficiency: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Biejia (Trionycis Carapax) (each 1 qian), Danggui (Angelicae Sinensis Radix), Wuwei Zi (Schisandrae Fructus), Chao Huangqin (Stir-fried Scutellariae Radix), Chao Baihuangbo (Stir-fried Phellodendri Cortex), Ruan Chaihu (Soft Bupleuri Radix), Diguxu (Lycii Cortex), Qinjiao (Gentianae Macrophyllae Radix), Chao Lianqin (Stir-fried Coptidis Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma) (each 5 fen), Maidong (Ophiopogonis Radix) (7.5 fen); decoct with Shengjiang (Zingiberis Rhizoma Recens) and take orally, simultaneously administering Sanbu Wan (Three Tonifying Pill). A female patient with consumption was treated with Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix et Rhizoma), [missing character], Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Biejia (Trionycis Carapax), Diguxu (Lycii Cortex), Gange (Puerariae Radix), Wuwei Zi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), decocted in water and taken orally. For patients with consumption and high fever who cannot tolerate cold herbs like Huangqin (Scutellariae Radix) and Lianqin (Coptidis Rhizoma), use Renshen (Ginseng Radix et Rhizoma), [missing character], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chaihu (Bupleuri Radix), Diguxu (Lycii Cortex), Maidong (Ophiopogonis Radix), Wuwei Zi (Schisandrae Fructus), Qinjiao (Gentianae Macrophyllae Radix), Shaoyao (Paeoniae Radix), Qinghao (Artemisiae Annuae Herba), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Hulanlian (Hydrastis Rhizoma); decoct with Shengjiang (Zingiberis Rhizoma Recens) and Wumei (Mume Fructus) and take orally. A 35-year-old man suffered from deficiency damage, morning chills and evening fever, treated with Sijunzi Tang (Four Gentlemen Decoction) added with Ruan Chaihu (Soft Bupleuri Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Diguxu (Lycii Cortex), Qinjiao (Gentianae Macrophyllae Radix). A person with both Qi and Blood deficiency experienced bone-steaming chills and fever alternately, normal bowel movements, fine and rapid pulse, and poor appetite, treated with Bawu Tang (Eight Substances Decoction) added with Chaihu (Bupleuri Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex).