仁者，炒干，用纸包敲出其油） 桑白皮（二两，以真酥炙黄色） 贝母（二两，用酥醋炙令黄色） 甘草（二两，酥
醋炙三、五次，紫黄色） 蛤蚧（雌雄一时，入酥醋内浸透，慢火干，再用酥醋别炙七次，令黄色，不得焦） 人参（一
两，用酥醋炙三、五次，令黄色，不得焦） 乳酥（真者四十两，切作骰子大块，入罐内溶成汁，入极酸上好米醋半斤
和匀，用制前药，醋不宜多，多则稀不堪用）
上为末，每服二钱，水一盏，煎至七分，和渣服，忌油腻生冷毒物。久患嗽者，初服此药必斗嗽加甚，须勤服，久
则可安须自保养为妙。
治劳热，蛤蚧饮子（青囊方）
黄芩（五钱） 蛤蚧（一对，洗净，酒醋浸炙黄色） 麻黄（不去根节） 胡黄连 秦艽（去芦） 青蒿 人参 柴
胡（去芦） 甘草（生） 生地黄（酒浸洗） 熟地黄（酒洗） 知母（去毛，酒洗） 贝母 杏仁（去皮尖及双仁者
炒，另研，以上各五钱） 鳖甲（一两，酒酥炙） 桔梗 草龙胆 木香（各二钱五分）
上为细末，每服二钱，加乌梅、姜、枣，煎服。
附蒸病∶
古今录验∶五蒸汤（丹溪）
人参 知母 黄芩（各一钱） 竹叶（七片） 生地黄 干葛（各一钱五分） 茯苓（一钱） 甘草（炙，五分） 石
膏（二钱五分） 粳米（一合）
上细切，先以水三盏，煎小麦二合，至二盏，去麦煎药，至一盏，温服。随证加减于后∶
实热，加黄芩、黄连、黄柏、大黄。
虚热，加乌梅、秦艽、柴胡、蛤蚧、青蒿、牡丹皮、鳖甲。
肺蒸（鼻干），加乌梅、天门冬、麦门冬、紫菀茸。
大肠蒸（右鼻孔干痛）加大黄、芒硝。
皮蒸（舌白唾血），加石膏、桑白皮。
肤蒸（昏昧嗜卧），加牡丹皮。
气蒸（鼻干喘促，通身气热），加人参、黄芩、栀子。
心蒸（舌干），加黄连、生地黄。
小肠蒸（下唇焦），加赤茯苓、生地黄、木通。
血蒸（发焦）加生地黄、当归、桂心、童便。
脉蒸（唾白浪语，脉络溢，脉缓急不调），加当归、生地黄。
脾蒸（唇焦），加白芍药、木瓜、苦参。
胃蒸（舌下痛），加石膏、粳米、大黄、芒硝、干葛。
肉蒸（食无味而呕，烦躁不安），加白芍药。
肝蒸（眼黑），加川芎、当归、前胡。
胆蒸（眼色白），加柴胡、栝蒌。
筋蒸（甲焦），加川归、川芎。
三焦蒸（乍热乍寒），加石膏、竹叶。
肾蒸（两耳焦），加生地黄、石膏、知母、寒水石。
膀胱蒸（右耳焦），加泽泻、茯苓、滑石。
脑蒸（头眩热闷），加生地黄、防风、羌活。
髓蒸（髓沸，骨中热），加生地黄、当归、天门冬。
骨蒸（齿黑腰痛足逆，变虫食脏），加鳖甲、地骨皮、牡丹皮、当归、生地黄。
臀蒸（肢细股肿，腑脏俱热），加石膏、黄柏。
胞蒸（小便赤黄），加泽泻、茯苓、生地黄、滑石、沉香。
（丹溪活套）云∶劳极之证，五脏必归重于一经。假如足胫酸疼，腰背拘急，遗精白浊，面色黧黑，耳叶焦枯，脉
沉细数，知其邪在肾也，宜以四物汤加知母、黄柏、五味子、麦门冬、天门冬、泽泻、杜仲、肉桂之类煎，入童便、韭
汁、竹沥服。其或心神惊惕，怔忡无时，盗汗自汗，心烦热闷，口舌生疮，咯血面赤，脉洪而数，知其邪在心也，宜以
前方去杜仲、泽泻、肉桂，加茯神、胡黄连、莲心、远志、菖蒲、朱砂之类。其或咳嗽喘促，衄血嗽血，皮肤枯燥，鼻
塞声沉，时吐痰沫，脉微虚而涩数，知其邪在肺也，宜以四物汤加沙参、麦门冬、五味子、知母、贝母、桔梗、桑白皮、
地骨皮、款冬花、紫菀、马兜铃、百合、百部之类煎，入童便、竹沥、姜韭汁服。其或胁痛目赤，面青颊赤，多怒，虚
阳不敛，梦与鬼交，甚则卵缩筋急，脉弦而数，知其邪在肝也，宜以四物汤加竹茹、草龙胆、柴胡、黄芩、青皮、竹叶
之类。其或面色萎黄，唇吻焦燥，饮食无味，腹痛肠鸣泻利，四肢倦怠，脉虚濡而数，知其邪在脾也，宜以四君子汤加
酒炒白芍药、莲肉、薏苡、干山药、猪苓、泽泻、白扁豆之类。
凡骨蒸劳热，元气未脱者，灸崔氏四花六穴，无有不安者也。
灸崔氏四花穴法∶
先二穴，令患人平身正立，取一细绳（蜡之勿令展缩），于男左女右脚底贴肉坚踏之，其绳前头与大拇指端齐，后头
循当脚根中心向后引绳，从脚 肚贴肉直上，至曲 中大横纹截断（横纹即委中穴）。又令患人解发分两边，令见头缝，
自囟门平分至脑后，却平身正坐，取向所截绳一头，令与鼻端齐，引绳向上，正循头缝至脑后贴肉垂下，循脊骨引绳向
下，至绳尽处，当脊骨中，以墨点记之（墨点不是灸处）。又取一绳子，令患人合口，将绳子按于口上，两头至吻，却钩
起绳子中心至鼻柱根下如△，此便齐两吻截断，将此绳展令直，于前量脊骨上墨点处，横量取平，勿令高下（其量口绳
子，先中折，当中以墨记之，却展开绳子横量，却以中折墨点记处，按于脊骨中先点处，两头是穴也），两头以白圈记之。
以上是第一次点二穴。
次二穴，令患人平身正坐，稍缩臂膊，取一绳绕项，向前双垂，头与鸠尾齐（胸前歧骨间尽处也），双头齐截断，却
翻双绳头向后，以绳子中心按于喉咙结喉骨上，其绳两头双垂，循脊骨以墨点记之（墨点不是灸处）。又取一绳子，令患
人合口，横量齐两吻截断，还于脊骨上墨点横量如法，绳子两头以白圈记之（白圈是灸处）。
以上是第二次点二穴，通前共四穴，同时灸各三七壮，累灸至一百余壮，候灸疮将瘥，又根据后法灸二穴。
又次二穴，以第二次量口吻绳子，于第二次双绳头尽处墨点上，当脊骨直上下竖点，其绳子中心放在墨点上，于上
下绳头尽处，以白圈记之，白圈是灸处也。
以上是第三次点二穴，通前共六穴也，择取离日及火日灸之，一应虚劳发热 羸等证，灸之立愈，真济世之妙法也。
\r四花六穴人形图\p01-e27a1.bmp\r
白圈是穴，黑点不是穴。
(Apricot kernels are stir-fried until dry, wrapped in paper, and pounded to extract the oil.) Sangbaipi (Cortex Mori Radicis, 2 liang), roasted with genuine butter (Su) until yellow. Beimu (Fritillariae Bulbus, 2 liang), roasted with butter and vinegar until yellow. Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), roasted three to five times with butter and vinegar until purplish-yellow. Gejie (Gecko, one pair of male and female), soaked thoroughly in butter and vinegar, dried over slow fire, then roasted seven more times separately with butter and vinegar until yellow, taking care not to burn. Renshen (Ginseng Radix, 1 liang), roasted three to five times with butter and vinegar until yellow, taking care not to burn. Rushu (Butter, authentic quality, 40 liang), cut into dice-sized chunks, melted in a jar into liquid, mixed evenly with half a jin of very sour, high-quality rice vinegar. This mixture is used to process the aforementioned herbs; the vinegar should not be excessive, otherwise the preparation will be too thin to use.
The above herbs are ground into fine powder. Each dose consists of 2 qian, decocted with one zhan of water until reduced to 0.7 zhan. Take the decoction together with the dregs. Avoid greasy, raw, cold, and toxic foods. For those suffering from chronic cough, the initial administration of this medicine may cause a temporary exacerbation of coughing; it must be taken diligently. With prolonged use, the condition will stabilize. Self-care and preservation are most advisable.
To treat Labor Heat (Lao Re), Gejie Yinzi (Decoction of Gecko) [from Qingnang Fang]:
Huangqin (Scutellariae Radix, 5 qian). Gejie (Gecko, one pair, washed clean, soaked and roasted with wine and vinegar until yellow). Mahuang (Ephedrae Herba, roots and nodes not removed). Huhuanglian (Coptidis Rhizoma alternative: Picrorhizae Rhizoma). Qinjiao (Gentianae Macrophyllae Radix, rhizome removed). Qinghao (Artemisiae Annuae Herba). Renshen (Ginseng Radix). Chaihu (Bupleuri Radix, rhizome removed). Gancao (Glycyrrhizae Radix et Rhizoma, raw). Shengdihuang (Rehmanniae Radix, soaked and washed in wine). Shudihuang (Rehmanniae Radix Preparata, washed in wine). Zhimu (Anemarrhenae Rhizoma, hairs removed, washed in wine). Beimu (Fritillariae Bulbus). Xingren (Armeniacae Semen Amarum, skin and tips removed, twin kernels removed, stir-fried and separately ground). All of the above: 5 qian each. Biejia (Testudinis Carapax et Plastrum, 1 liang), roasted with wine and butter. Jiegeng (Platycodonis Radix). Caolongdan (Gentianae Scabrae Radix). Muxiang (Aucklandiae Radix, 2 qian 5 fen each).
The above herbs are ground into a fine powder. Each dose is 2 qian, added with Wumei (Mume Fructus), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus), decocted and taken orally.
Appendix: Discussion on Zheng Bing (Steaming Disorders):
Gu Jin Lu Yan Formula: Wu Zheng Tang (Five Steaming Decoction) [by Zhu Danxi]
Renshen (Ginseng Radix), Zhimu (Anemarrhenae Rhizoma), Huangqin (Scutellariae Radix) (each 1 qian). Zhuye (Phyllostachys Folium, 7 leaves). Shengdihuang (Rehmanniae Radix). Gange (Puerariae Radix) (each 1 qian 5 fen). Fuling (Poria, 1 qian). Gancao (Glycyrrhizae Radix et Rhizoma, prepared, 5 fen). Shigao (Gypsum Fibrosum, 2 qian 5 fen). Jingmi (Oryza Sativa, 1 he).
Cut the herbs finely. First, decoct Xiao Mai (Tritici Fructus) 2 he in 3 zhan of water until reduced to 2 zhan. Remove the wheat, then decoct the remaining herbs until reduced to 1 zhan. Take warm. Adjust according to specific syndromes as follows:
For Excess Heat (Shi Re), add Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma).
For Deficiency Heat (Xu Re), add Wumei (Mume Fructus), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), Gejie (Gecko), Qinghao (Artemisiae Annuae Herba), Mudanpi (Moutan Cortex), Biejia (Testudinis Carapax et Plastrum).
For Lung Zheng (Fei Zheng) (dry nose), add Wumei (Mume Fructus), Tianmendong (Asparagi Radix), Maidong (Ophiopogonis Radix), Ziwan Rong (Asteris Flos).
For Large Intestine Zheng (Dachang Zheng) (dry and painful right nostril), add Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas).
For Skin Zheng (Pi Zheng) (white tongue coating, spitting blood), add Shigao (Gypsum Fibrosum), Sangbaipi (Cortex Mori Radicis).
For Flesh Zheng (Fu Zheng) (mental confusion, somnolence), add Mudanpi (Moutan Cortex).
For Qi Zheng (Qi Zheng) (dry nose, panting, generalized heat sensation), add Renshen (Ginseng Radix), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus).
For Heart Zheng (Xin Zheng) (dry tongue), add Huanglian (Coptidis Rhizoma), Shengdihuang (Rehmanniae Radix).
For Small Intestine Zheng (Xiaochang Zheng) (cracked lower lip), add Chi Fuling (Poria with Red Hosta Root), Shengdihuang (Rehmanniae Radix), Mutong (Akebiae Caulis).
For Blood Zheng (Xue Zheng) (brittle hair), add Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Ramulus), Tongbian (Urine of healthy child).
For Pulse Zheng (Mai Zheng) (delirious speech, distended vessels, irregular pulse rate), add Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix).
For Spleen Zheng (Pi Zheng) (cracked lips), add Baishao (Paeoniae Radix Alba), Mugua (Chaenomelis Fructus), Kushen (Sophorae Flavescentis Radix).
For Stomach Zheng (Wei Zheng) (pain under the tongue), add Shigao (Gypsum Fibrosum), Jingmi (Oryza Sativa), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Gange (Puerariae Radix).
For Meat Zheng (Rou Zheng) (loss of taste, vomiting, restlessness), add Baishao (Paeoniae Radix Alba).
For Liver Zheng (Gan Zheng) (blurred vision), add Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Qianhu (Peucedani Radix).
For Gallbladder Zheng (Dan Zheng) (whitening of eyes), add Chaihu (Bupleuri Radix), Gualou (Trichosanthis Fructus).
For Tendon Zheng (Jin Zheng) (brittle nails), add Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma).
For Sanjiao Zheng (Sanjiao Zheng) (alternating chills and fever), add Shigao (Gypsum Fibrosum), Zhuye (Phyllostachys Folium).
For Kidney Zheng (Shen Zheng) (brittle ears), add Shengdihuang (Rehmanniae Radix), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Hanshuishi (Aqua Calcitae).
For Bladder Zheng (Pangguang Zheng) (right ear brittle), add Zexie (Alismatis Rhizoma), Fuling (Poria), Huashi (Talcum).
For Brain Zheng (Nao Zheng) (dizziness, heat and oppression), add Shengdihuang (Rehmanniae Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix).
For Marrow Zheng (Sui Zheng) (boiling marrow, heat in bones), add Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Tianmendong (Asparagi Radix).
For Bone Zheng (Gu Zheng) (black teeth, low back pain, inverted feet, progression to organ erosion by parasites), add Biejia (Testudinis Carapax et Plastrum), Digupi (Lygodii Radix), Mudanpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix).
For Buttock Zheng (Tun Zheng) (thin limbs, swollen thighs, heat in all organs), add Shigao (Gypsum Fibrosum), Huangbai (Phellodendri Cortex).
For Bladder/Urinary Bladder Zheng (Bao Zheng) (red and yellow urine), add Zexie (Alismatis Rhizoma), Fuling (Poria), Shengdihuang (Rehmanniae Radix), Huashi (Talcum), Chenxiang (Aquilariae Lignum Resinatum).
(Zhu Danxi's General Principle) states: In cases of Extreme Exhaustion (Lao Ji), the pathogenic factor of the five zang organs inevitably converges on one meridian. For instance, if there is soreness and pain in the calves, stiffness and tension in the waist and back, seminal emission and turbid leukorrhea, dark complexion, brittle and withered earlobes, and a deep, fine, and rapid pulse, the pathogen is known to be in the Kidney. It is appropriate to decoct Siwu Tang (Four Substances Decoction) with added Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), Tianmendong (Asparagi Radix), Zexie (Alismatis Rhizoma), Duzhong (Eucommiae Cortex), Rougui (Cinnamomi Cortex), etc., and administer with Tongbian (Urine of healthy child), Jiuji Zhi (Juice of Chinese Leek), and Zhuli (Bamboo Sap). If there is mental fright, palpitations without fixed timing, night sweats and spontaneous sweating, vexation and heat oppression, sores in the mouth and tongue, hemoptysis, flushed face, and a surging and rapid pulse, the pathogen is known to be in the Heart. It is appropriate to take the aforementioned formula, remove Duzhong (Eucommiae Cortex), Zexie (Alismatis Rhizoma), and Rougui (Cinnamomi Cortex), and add Fushen (Poria with Pine Root), Huhuanglian (Picrorhizae Rhizoma), Lianxin (Nelumbinis Plumula), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Zhusha (Cinnabar), etc. If there is coughing and panting, epistaxis and hemoptysis, dry and rough skin, nasal congestion and hoarse voice, frequent expectoration of frothy sputum, and a faint, deficient, choppy, and rapid pulse, the pathogen is known to be in the Lung. It is appropriate to decoct Siwu Tang (Four Substances Decoction) with added Shashen (Glehniae Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Jiegeng (Platycodonis Radix), Sangbaipi (Cortex Mori Radicis), Digupi (Lygodii Radix), Kuandonghua (Farfarae Flos), Ziwan (Asteris Flos), Madouling (Aristolochiae Radix), Baihe (Lilii Bulbus), Baibu (Stemonae Radix), etc., and administer with Tongbian (Urine of healthy child), Zhuli (Bamboo Sap), and Jiangjiu Zhi (Ginger and Leek Juice). If there is hypochondriac pain and red eyes, blue-green face with flushed cheeks, irritability, failure of deficient yang to consolidate, dreams of sexual intercourse with ghosts, and in severe cases, retraction of the testes and tendon spasms, with a wiry and rapid pulse, the pathogen is known to be in the Liver. It is appropriate to decoct Siwu Tang (Four Substances Decoction) with added Zhuru (Bambusae Caulis in Taenia), Caolongdan (Gentianae Scabrae Radix), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Zhuye (Phyllostachys Folium), etc. If there is sallow complexion, cracked and dry lips, loss of appetite, abdominal pain, borborygmus, diarrhea, limb fatigue, and a deficient, soggy, and rapid pulse, the pathogen is known to be in the Spleen. It is appropriate to decoct Sijunzi Tang (Four Gentlemen Decoction) with added Jiuchao Baishao (Paeoniae Radix Alba stir-fried with wine), Lianrou (Nelumbinis Semen), Yiyi (Coicis Semen), Gan Shanyao (Dioscoreae Rhizoma), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Baibian Dou (Phaseoli Semen), etc.
In all cases of Bone Steaming Labor Heat (Gu Zheng Lao Re) where the primordial qi has not yet collapsed, moxibustion at Cui Shi's Four Flowers and Six Acupoints will invariably bring stability.
Method for Moxibustion at Cui Shi's Four Flowers Acupoints:
First, determine two acupoints. Have the patient stand upright. Take a thin string (coated with wax to prevent stretching or shrinking). Place it firmly against the sole of the foot (left for males, right for females). Align the front end of the string with the tip of the big toe. Extend the rear end of the string backward along the center of the heel, straight up along the calf紧贴 the flesh, until the middle transverse crease of the popliteal fossa (the transverse crease is the Weizhong point BL-40). Cut the string at this point. Then, have the patient untie their hair and part it to both sides to reveal the midline of the head. From the anterior fontanelle (Xinmen GV-20 area), divide equally to the back of the head. The patient then sits upright. Take one end of the previously cut string, align it with the tip of the nose, extend it upward along the head midline to the back of the head, let it hang down紧贴 the flesh, and follow the spine downward. Mark the point on the spine where the string ends with ink (the ink mark is not the moxa site). Take another string. Have the patient close their mouth. Place the string horizontally across the mouth, extending to the corners of the lips. Lift the center of the string to the root of the nasal bridge forming a triangle shape. Cut the string at the length corresponding to the two corners of the lips. Straighten this string. Measure horizontally from the ink mark on the spine determined earlier, ensuring the measurement is level (do not measure higher or lower). (Note: The string measuring the mouth was first folded in half, marked in the middle with ink, then unfolded for horizontal measurement. Use the middle ink mark to align with the initial ink mark on the spine; the two ends of the string indicate the acupoints). Mark the two ends with white circles. These are the first two points.
Next, determine two more points. Have the patient sit upright, slightly retracting the arms. Take a string around the neck, letting it hang down in front in two strands. The ends should align with the Jiwei point CV-15 (the end between the xiphoid processes). Cut the two strands evenly. Flip the two string ends backward. Place the center of the string against the Adam's apple (laryngeal prominence). Let the two ends hang down vertically, following the spine. Mark the points on the spine with ink (the ink mark is not the moxa site). Take another string. Have the patient close their mouth. Measure horizontally across the mouth, cutting at the corners of the lips. Use this string to measure horizontally from the ink mark on the spine as before. Mark the two ends of the string with white circles (the white circles indicate the moxa sites).
These are the second two points. Together with the previous ones, there are four points. Perform moxibustion on all four simultaneously, 37 moxa cones per point. Accumulate up to over 100 cones. Wait until the moxa blisters are about to heal, then proceed to mark the next two points according to the following method.
Finally, determine the last two points. Use the string that measured the mouth corners in the second step. Place it vertically on the spine, centered on the ink mark made in the second step. Align the center of the string with the ink mark. Mark the two ends of the string with white circles (the white circles indicate the moxa sites).
These are the third two points. Together with the previous ones, there are six points in total. Choose days associated with Fire (Li Ri and Huo Ri) for moxibustion. For all conditions of deficiency labor, fever, and emaciation, moxibustion will lead to immediate recovery. This is truly a miraculous method for saving lives.
(Image Description: Diagram of Human Body Showing Six Points of Four Flowers)
White circles indicate acupoints; black dots do not indicate acupoints.