Library

Discussion states: The disease of Ji Lao (Acute Consumption) has symptoms similar to Re Lao (Heat Consumption), but the onset is more sudden. This is due to insufficient congenital endowment, combined with emotional worry and thinking leading to Qi stagnation, resulting in deficiency of both Ying (Nutritive Qi) and Wei (Defensive Qi). There is heat accumulation in the Heart and Lungs, where Metal (Lung) and Fire (Heart) mutually penalize each other, causing transmission and restriction among Zang organs, or it may be caused by external pathogenic factors. Consequently, symptoms such as irritability, body heat, flushed cheeks, palpitations, headache, night sweats, cough, dry throat, and soreness and pain in bone joints appear. Over time, the skin and muscles become emaciated and wasted, with expectoration of saliva or blood-streaked sputum; these are all signs of Ji Lao.

For treating Ji Lao characterized by vexing pain in the four limbs, heat in the palms and soles, aversion to cold, inability to eat, dry mouth, and mental restlessness, use the Tuire Tang (Fever-Reducing Decoction):
Chai Hu (Bupleuri Radix, remove seedlings), Qing Hao (Artemisiae Annuae Herba, dried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Zhi Mu (Anemarrhenae Rhizoma, baked), Long Dan (Gentianae Radix, remove seedlings), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), each 1 liang.
Crush and sieve the above six ingredients coarsely. For each dose, take 5 qian bi (approx. 5-10g depending on measure), soak in 1.5 zhan of urine from a young boy, 3 cun of scallion white (Cong Bai), 3 stems of shallot white (Xie Bai), and 5 pieces each of peach branch heart (Tao Xin) and willow branch heart (Liu Xin) overnight. Decoct in the morning until 1 zhan remains, strain, and take on an empty stomach in one dose. Take again at night.

For treating Ji Lao characterized by muscle emaciation, high fever, palpitations with trembling, use the Bie Jia Yin (Turtle Shell Drink):
Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried, 0.5 fen), Chi (Sojae Preparata, remove skin, 1 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, amount based on patient's middle finger length), Qing Hao (Artemisiae Annuae Herba, dried, one handful), Tao [branch/heart] (Peach part).
Finely cut the above six ingredients. For each dose, take 5 qian bi, decoct in 2 zhan of urine from a young boy until 1 zhan remains, strain, and take warm on an empty stomach. Avoid wind to induce sweating.

For treating Ji Lao characterized by heat accumulation in the Heart and Lungs, dry and scorched nose and mouth, loss of taste for food, drowsiness with mental confusion, chest and epigastric fullness, dry and gritty eyes, weakness in the four limbs, soreness and pain in the calves, and stiffness and cramping of the waist and legs, use the Qing Hao Jian Wan (Green Wormwood Decoction Pills):
Qing Hao (Artemisiae Annuae Herba), Sheng Di Huang (Rehmanniae Radix, fresh), Bo He (Menthae Haplocalycis Herba) [extract juice, 1 sheng each], Tong Zi Xiao Bian (Urine of a Young Boy, 2.5 sheng), She Xiang (Moschus, 1 fen, ground), Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried, 3 liang), Chai Hu (Bupleuri Radix, remove seedlings), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 2 liang each), Di Gu Pi (Lycii Cortex, 1 liang) [the above four made into powder], Tao Ren (Persicae Semen, remove skin and pointed ends, double-kernel ones, ground).
Take the juices of Qing Hao etc. and the urine, first decoct until thick. Add the powdered medicines, and simmer over moderate fire until pillable. Make pills the size of paulownia seeds. Take 20 pills per dose, washed down with Mai Men Dong Tang (Ophiopogon Decoction), at any time.

For treating Ji Lao characterized by irritability and high fever, weakness and soreness/pain in the four limbs, use the Qing Hao Yin (Green Wormwood Drink):
Qing Hao (Artemisiae Annuae Herba, dried, 3 liang), Di Gu Pi (Lycii Cortex, 1 liang), Nen Liu Zhi (Young Willow Branch, 1.5 liang), Nen Tao Zhi (Young Peach Branch, 2 liang), Zhi Zi Ren (Gardeniae Semen, processed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 0.5 liang each).
Cut the above six ingredients like hemp seeds. For each dose, take 3 qian bi, add 1 zhan of water and 1 Wu Mei (Mume Fructus), decoct until 0.8 zhan remains, strain, and take warm after meals and before bed.

For treating Ji Lao characterized by emaciation and deterioration, alternating chills and fever starting in the evening, palpitations and unrest, and constant feeling of thirst, use the Zhu Gan Wan (Pig Liver Pills):
Zhu Gan (Porcine Liver, 2 pieces, finely cut like willow leaves), Gan Cao (Glycyrrhizae Radix et Rhizoma, 15 liang, raw and ground to powder).
Layer the pig liver and Gan Cao powder in a pan, alternating layers until finished. Add 5 sheng of urine from a young boy, cook over moderate fire until the urine is exhausted. Grind finely, and have multiple people roll into pills the size of paulownia seeds. Take 20 pills per dose, washed down with rice drink on an empty stomach, gradually increasing to 30 pills.

For treating Ji Lao characterized by fever and emaciation, use the Tian Ling Gai Tang (Human Skull Cap Decoction):
Tian Ling Gai (Cranii Humanum, fried in butter until yellow), Chai Hu (Bupleuri Radix, remove seedlings), Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried), Sang Gen Bai Pi (Mori Cortex, finely cut), Zhi Mu (Anemarrhenae Rhizoma, sliced and baked), Qing Hao (Artemisiae Annuae Herba, dried, 1 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), A Wei (Ferulae Resina, stir-fried and ground, 2 liang).
Coarsely crush and sieve the first seven ingredients, mix evenly with A Wei. For each dose, take 5 qian bi, soak in 1.5 zhan of urine from a young boy, 40 Chi Xin (Hearts of Sojae Preparata), 7 pieces each of Tao Li Xin (Hearts of Peach and Plum branches), and 2 stems each of Cong Bai (Scallion White) and Xie Bai (Shallot White), finely cut. Soak overnight, decoct in the morning until 1 zhan remains, strain, and take on an empty stomach in one dose. Mild diarrhea indicates efficacy.

For treating Ji Lao characterized by alternating chills and fever, periodic muscle heat, and mental restlessness, use the Shen Lian San (Ginseng and Coptis Powder):
Ren Shen (Panacis Ginseng Radix), Hu Huang Lian (Picrorhizae Rhizoma), Huang Lian (Coptidis Rhizoma, remove stamens, 0.5 liang each), Dan Sha (Cinnabar, ground), Xiong Huang (Realgar, ground, 1 liang each).
Grind the above five ingredients into a powder. Use 1 pig gallbladder, extract the juice to mix with the medicine, put back into the gallbladder, hang in a ventilated place for one month. Remove, discard the gallbladder skin, and grind extremely fine. Take 1 qian bi per dose, mixed with Ren Shen Tang (Ginseng Decoction), at any time.

For treating Ji Lao characterized by irritability, emaciation, sallow complexion, headache, dry eyes, lethargy, and weakness, use the Jin Hua Wan (Golden Flower Pills):
Huang Qin (Scutellariae Radix, remove black heart), Huang Lian (Coptidis Rhizoma, remove stamens), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried).
Make equal parts into powder, refine with honey to make pills the size of paulownia seeds. Take 15-20 pills per dose, washed down with warm water, at any time.

For treating Ji Lao characterized by alternating chills and fever and gradual emaciation, use the Huang Bai Yin (Phellodendron Drink):
Huang Bai (Phellodendri Cortex, remove rough bark, 3 liang), Wu Mei (Mume Fructus, 21 pieces, baked dry).
Coarsely crush and sieve the above two ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and leave exposed overnight. Take on an empty stomach in the morning.

For treating Ji Lao characterized by tidal fever, night sweats, and muscle wasting, use the Cong Bai Yin (Scallion White Drink):
Cong Bai (Scallion White, cut), Xie Bai (Shallot White, cut), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 7 cun each), Qing Hao Xin (Hearts of Artemisiae Annuae Herba, 7 pieces, cut), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, 7 grains).
Soak the above six ingredients in an appropriate amount of urine from a young boy. For each dose, take 1 zhan, take warm on an empty stomach.

For treating Ji Lao characterized by fever, emaciation, flushed cheeks, dry mouth, and mental restlessness, use the Hu Huang Lian San (Picrorhiza Powder):
Hu Huang Lian (Picrorhizae Rhizoma), Huang Lian (Coptidis Rhizoma, remove stamens), Long Dan (Gentianae Radix, 2 liang each), Sang Piao Xiao (Mantis Ootheca), Zhi Mu (Anemarrhenae Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Chai Hu (Bupleuri Radix), Zhi Ke (Aurantii Fructus Immaturus, remove pith), Ren Shen (Panacis Ginseng Radix), Jie Geng (Platycodonis Radix), She Gan (Belamcandae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang each).
Wash, cut, and stir-fry the above twelve ingredients to yellow, then grind into a powder. Take 3 qian bi per dose, mixed with Tong Zi Xiao Bian (urine of a young boy) soaked with Cong Bai, Xie Bai, Huai Liu Xin (Hearts of Locust and Willow branches), and Wu Mei Rou (flesh of Mume Fructus). Alternatively, decoct Huai Zhi (Locust Branch) and Xiao Mai (Triticum Semen) alone. Take once on an empty stomach, at noon, midnight, and before bed.

For treating Ji Lao characterized by vexing heat in bone joints and extremities, body soreness, and inability to eat, use the San An San (Three Peace Powders):
Chai Hu (Bupleuri Radix, remove seedlings), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil, 2 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Grind the above three ingredients into a powder. Take 3 qian bi per dose, mixed with boiled water, at any time.

For treating Ji Lao characterized by chest and diaphragm fullness and vexation, high fever in bone joints, dry lips, mental restlessness, red urine, headache, phlegm-cough, and invasion by heat-toxic wind, use the Xi Jiao Tang (Rhinoceros Horn Decoction):
Xi Jiao (Rhinocerotis Cornu, shaved), Fang Feng (Saposhnikoviae Radix, remove forked root), Chai Hu (Bupleuri Radix, remove seedlings), Zhi Mu (Anemarrhenae Rhizoma, baked), Jie Geng (Platycodonis Radix, stir-fried), Ren Shen (Panacis Ginseng Radix), Huang Qin (Scutellariae Radix, remove black heart), Mu [Tong] (Uncertain herb, likely Magnoliae Officinalis Cortex or similar contextually, text incomplete).
Coarsely crush and sieve the above thirteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 1 date-sized piece of shredded fresh ginger, decoct until 1 zhan remains, strain, and take on an empty stomach in one dose. Take again in the evening.

For treating acute severe Lao disease with phlegm-cough, wheezing, and fullness, use the Huang [Qi] Tang (Astragalus Decoction - name partially missing):
Huang [Qi] (Astragali Radix, cut), Kuan Dong Hua (Farfarae Flos), Bei Mu (Fritillariae Cirrhosae Bulbus, remove heart and bake, 1.5 liang), Ma Huang (Ephedrae Herba, remove joints), Chai Hu (Bupleuri Radix, remove seedlings), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Gui [Zhi] (Cinnamomi Ramulus, remove rough bark), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), Ren Shen (Panacis Ginseng Radix), Sheng Gan Di Huang (Rehmanniae Radix Praeparata, baked), Sang Gen Bai Pi (Mori Cortex, cut), Zi Wan (Adenophorae Radix, remove seedlings and soil), Bai Fu Ling (Poria, remove black skin), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, stir-fried, 1 liang each).
Coarsely crush and sieve the above fourteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 7 slices of fresh ginger, decoct until 0.8 zhan remains, strain, and take warm after meals.

For men and women suffering from acute rapid consumption, take this immediately: Tian Ling Gai Yin (Human Skull Cap Drink):
Tian Ling Gai (Cranii Humanum, fried in butter until yellow), Chai Hu (Bupleuri Radix, remove seedlings), Bie Jia (Testudinis Carapax et Plastrum, vinegar-fried, remove skirt), Bei Mu (Fritillariae Cirrhosae Bulbus, remove heart), Sang Gen Bai Pi (Mori Cortex), Zhi Mu (Anemarrhenae Rhizoma, stir-fried, 1 liang each), Tao Zhi Liu Zhi (Peach and Willow Branches, one handful each), Qing Hao (Artemisiae Annuae Herba, one handful), Chi Xin (Hearts of Sojae Preparata, 1 he, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried), Cong Bai (Scallion White), Xie Bai (Shallot White, 7 stems each), A Wei (Ferulae Resina, 0.5 liang, ground and stir-fried).
Except for A Wei, cut the above fourteen ingredients like hemp seeds and mix well. For each dose, take 5 qian bi, soak in 1.5 zhan of urine from a young boy overnight, decoct until 0.6 zhan remains, strain, and take on an empty stomach in one dose.

For acute rapid consumption with abundant phlegm and wheezing cough, use the Qian Hu Yin (Peucedani Radix Drink):
Qian Hu (Peucedani Radix, remove rhizome head), Ren Shen (Panacis Ginseng Radix), Bai Fu Ling (Poria, remove black skin), Gui [Zhi] (Cinnamomi Ramulus, remove rough bark), Chai Hu (Bupleuri Radix, remove seedlings), Jie Geng (Platycodonis Radix, stir-fried), Sheng Gan Di Huang (Rehmanniae Radix Praeparata, baked), Huang Qin (Scutellariae Radix, remove black heart), Xuan Shen (Scrophulariae Radix), Xuan Fu Hua (Inulae Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang each), Nong Po (Magnoliae Officinalis Cortex, remove rough bark, ginger-juice fried and cut, 2 liang).
Coarsely crush and sieve the above fifteen ingredients. For each dose, take 4 qian bi, add 1.5 zhan of water and 7 slices of fresh ginger, decoct until 0.7 zhan remains, strain, and take warm, at any time.

For acute Heat Lao, use the Ma Huang Tang (Ephedra Decoction):
Ma Huang (Ephedrae Herba, remove roots and joints, 0.5 jin), Gan Cao (Glycyrrhizae Radix et Rhizoma, cut), Xing Ren (Pruni Semen, blanched to remove skin and pointed ends, double-kernel, 1 liang each), Ha Fen (Calcium Carbonatum, 1.5 liang, green color is superior, white is acceptable if green is unavailable).
Coarsely crush and sieve the above four ingredients to make two doses. For each dose, add 3 zhan of water, decoct in a silver or ceramic vessel until it becomes a paste, squeeze out 1 zhan of juice, and take warm before bed. Sweating during the second watch of the night is expected; weakness and desire for food the next day indicate efficacy. This also treats postpartum blood-wind spasms causing leg and foot pain; if there is no pain in the legs and feet, do not treat.

For men and women with acute Lao, cough with upward rushing Qi, reduced appetite, abundant phlegm-saliva, soreness and pain in hands and feet, dry lips and mouth, heart-deficiency palpitations, and Qi deficiency with emaciation, use the Chai Hu Tang (Bupleurum Decoction):
Chai Hu (Bupleuri Radix, remove seedlings), Dang Gui (Angelicae Sinensis Radix, slice and bake), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), Ban Xia (Pinelliae Rhizoma Praeparatum, blanched to remove slipperiness and bake, 1.5 liang each), Ren Shen (Panacis Ginseng Radix), Bai Fu Ling (Poria, remove black skin), Fang Feng (Saposhnikoviae Radix, remove forked root), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Nong Po (Magnoliae Officinalis Cortex, remove rough bark, ginger-juice fried and cut), Chen Pi (Citri Reticulatae Pericarpium, remove white pith and stir-fry), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, stir-fried), Da Fu (Arecae Semen, cut, 1 liang each), Huang [Qi] (Astragali Radix, cut, 2 liang).
Coarsely crush and sieve the above fourteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until 0.7 zhan remains, strain, and take warm, at any time.

For treating acute Lao, use the Zao Jia Wan (Soap Pod Pill):
Zhu Ya Zao Jia (Gleditsiae Sinensis Fructus, remove skin and seeds, 1 liang), Xia Wa (Toad, one piece, must be green-yellow with golden spots on sides, remove guts, dry in shade and fry into powder), She Xiang (Moschus, 1 qian, ground).
Grind the above three ingredients into powder and mix well. Fill a large sheep intestine completely with the powder, tie both ends securely. Place in a bowl lined with barley bran, set in a steamer, and steam for the duration of one meal. Remove, grind finely, and make pills. Divide into over 200 pills. Take 1-2 pills per dose, washed down with boiled water on an empty stomach. After taking, cover with blankets. After a long time, bleeding and sweating will occur, indicating recovery. Then remove blankets and rest. When preparing this medicine, ensure no one sees it.