论曰虚劳之人,营卫已虚,肠胃久弱,冷热之气,易为伤动,或客于肠间,则饮食不化,
虚则多泄,故令下痢。
治冷劳下痢,脐腹疼痛,附子丸方
附子(炮裂去皮脐) 人参 枳壳(去瓤麸炒) 干姜(炮) 甘草(炙锉) 当归(切
焙) 陈
橘皮(汤浸去白焙) 浓朴(去粗皮姜汁炙熟各一两) 荜茇 杏仁(汤浸去皮尖双仁炒) 桂
(
去粗皮) 吴茱萸(汤洗七遍焙干炒) 诃黎勒(微炒去核) 柴胡(去苗各半两)
上一十四味,捣罗为末,别用 猪肝一具,头醋五升,煮令醋尽,细切晒干,捣为末,
与药相和,炼蜜为丸,梧桐子大,每日空心煎诃黎勒汤,下二十丸,服尽觉手脚冷麻,是劳
气散也。
治虚劳脾胃挟冷,肠滑下痢,不思饮食,白豆蔻丸方
白豆蔻(去皮) 人参 白茯苓(去黑皮) 诃黎勒(煨去核) 桂(去粗皮) 浓朴
(去粗
皮姜汁炙熟) 陈橘皮(汤浸去白焙各一两) 丁香 荜茇 附子(炮裂去皮脐) 槟榔(锉)
当归(切焙) 缩砂仁 干姜(炮各半两) 肉豆蔻仁(五枚)
上一十五味,捣罗为末,炼蜜和捣五百下,丸如梧桐子大,每服二十丸,食前米饮下。
治脾肾虚劳滑泄不止,饮食不进,肌体羸瘦,益气散方
附子(二两大者炮裂去皮脐片切如纸浓用生姜四两取汁以慢火煮附子令汁尽焙干) 缩
砂
(去皮半两微炒) 肉豆蔻(去皮一分) 蜀椒(去目并闭口炒去汗一分) 香子(半钱
微炒)
药令匀,用竹杖子串,于猛火上炙令香熟,就热吃,以温酒一盏送下,空心服。
治积年冷劳泻痢,眼黄面黑,渐渐瘦弱,诃黎勒丸方
诃黎勒(煨去核) 木香 赤茯苓(去黑皮) 桂(去粗皮) 附子(炮裂去皮脐) 胡
椒肉
豆蔻(去壳) 白术 蓬莪术(煨锉) 干姜(炮裂各半两) 人参 荜茇(各一两)
上一十二味,捣罗为末,炼蜜和丸,如梧桐子大,每服空心生姜枣汤、下三十丸。
治虚劳风寒冷毒,休息下痢,垂命欲死,服之便瘥,人参散方
人参(三分) 桔梗(炒一两) 桂(去粗皮一两半) 秦艽(去苗土一两) 牡蛎(烧
令通赤
半两) 黄芩(去黑心半两) 白术(一两) 干姜(炮一两) 白茯苓(去黑皮一两) 附
子(炮
裂去皮脐三分) 细辛(去苗叶半两) 防风(去叉一两半) 蜀椒(去目及闭口炒出汗一
两)
上一十三味,捣罗为细散,每服三钱匕,空腹温酒调下。
治虚劳瘦弱,泄痢不止,气虚羸劣,丈夫妇人,并宜服之,茵陈散方
茵陈蒿 当归(切焙) 浓朴(去粗皮姜汁炙熟) 陈橘皮(去白焙) 牛膝(去苗酒
浸切焙)
麸炒) 白芷 干
姜(炮) 赤芍药 芜荑 本(去土) 木香 柴胡(去苗) 桔梗(炒) 桂(去粗皮)
石槲(
去根) 青橘皮(汤浸去白焙)
上二十一味等分,捣罗为散,每用一两,以白面和作 子,烧熟食之,米饮送下。
治虚劳脾泄,久泻不止,冷气攻心,神效,内炙丸方
硫黄 阳起石 硝石 太阴玄精石(各半两)
上四味,同杵碎,入瓷碗内,慢火炒如麦饭相似即住,就冷地上,用纸摊匀,以盆覆一
夜,次日细研,糯粥为丸,如梧桐子大,每服五丸,浓煎艾汤下。
治虚劳大便泄泻,附子散方
附子(半两炮裂去皮脐) 木香(一分)
上二味为细散,每服四钱匕,用猪肾一对,去筋膜批开,渗药并葱白盐各少许在内。湿
纸裹,慢火煨熟,细嚼米饮下,空心服。
治虚劳里寒,下痢不止,及肛边生肉如鼠乳,谷道时有脓血,变成牡痔,鳖甲丸方
鳖甲(醋炙去裙 ) 黄连(去须) 连翘(各一两三分) 栝蒌根 黄 (锉炒) 干
姜(炮
各一两半) 蛴螬(炒) 皮(炙) 续断(各一两一分) 附子(炮裂去皮脐) 槐子
(炒) 矾
石(烧令汁尽各一两)
上一十二味,捣罗为末,炼蜜丸如梧桐子,每空腹暖酒下二十丸。
治冷劳泄痢,及妇人产后带下,白头翁丸方
白头翁(去芦头半两) 艾叶(二两微炒)
上二味为末,用米醋一升,入药一半,先熬成煎,入余药末和丸,梧桐子大,每服三十
丸,空心食前米饮下。
治冷劳脐腹疼痛,或时下痢,兼治妇人冷病带下,艾叶煎丸方
艾叶(四两炒) 当归(一两切焙) 干姜(一两炮)
上三味,捣罗为末,用米醋二升,药末一半,熬成煎,入余药末相和,丸如梧桐子大,
每服三十丸,温粥饮下,空心食前服。
治冷劳气痢等疾,干姜丸方
干姜(炮二两)
上一味,捣罗为末,熔黄蜡拌和为丸,梧桐子大,每服空腹粥饮下二十丸,未瘥日再服
Commentary states: Individuals suffering from Xu Lao (Deficiency Consumption) have depleted Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi), and their intestines and stomach have been weak for a long time. Cold and Heat pathogens are easily stirred up; if they lodge in the intestinal region, digestion of food will fail. Due to deficiency, frequent diarrhea occurs, thus leading to Li Ji (Dysentery).
Formula for Fuzi Pill (Aconite Pill) treating cold Xu Lao with dysentery and pain in the umbilical and abdominal regions:
Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and hilum removed), Renshen (Radix Ginseng), Zhike (Fructus Aurantii Immaturus, pulp removed, stir-fried with bran), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Gancao (Radix Glycyrrhizae Preparata, roasted and crushed), Danggui (Radix Angelicae Sinensis, sliced and dried), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, processed with ginger juice), Bibo (Fructus Piperis Longi), Xingren (Semen Pruni Armeniacae, soaked in water, skin and pointed end removed, double-kernel ones stir-fried), Guizhi (Ramulus Cinnamomi, coarse bark removed), Wuzhuyu (Fructus Evodiae, washed seven times with water, dried and stir-fried), Helile (Fructus Chebulae, lightly stir-fried, core removed), Chaihu (Radix Bupleuri, radix removed; each of the above half liang).
The above fourteen ingredients are pounded and sifted into powder. Separately, take one liver of pig, five sheng of rice vinegar, boil until the vinegar is exhausted, slice finely, dry, and pound into powder. Mix with the medicinal powder, combine with refined honey to make pills the size of paulownia seeds. Each day, decoct Helile Tang (Chebula Decoction) on an empty stomach, and administer twenty pills. After taking the medicine, if one feels coldness and numbness in the hands and feet, this indicates that the pathogenic qi of consumption is dissipating.
Formula for Baidoukou Pill (White Cardamom Pill) treating Xu Lao with spleen and stomach harboring cold, intestinal slipping with dysentery, and loss of appetite:
Baidoukou (Fructus Cardamomi Albi, skin removed), Renshen (Radix Ginseng), Baifuling (Poria with Black Skin Removed, Poria), Helile (Fructus Chebulae, baked, core removed), Guizhi (Ramulus Cinnamomi, coarse bark removed), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, processed with ginger juice), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried; each of the above one liang), Dingxiang (Flos Caryophyllati), Bibo (Fructus Piperis Longi), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and hilum removed), Binglang (Semen Arecae, crushed), Danggui (Radix Angelicae Sinensis, sliced and dried), Suosharen (Fructus Amomi Rotundus, skin removed), Ganjiang (Rhizoma Zingiberis Preparatum, processed; each of the above half liang), Roudoukou Ren (Semen Myristicae, five pieces).
The above fifteen ingredients are pounded and sifted into powder. Combine with refined honey, pound five hundred times, and form pills the size of paulownia seeds. Take twenty pills each time before meals, administered with rice drink.
Formula for Yiqi San (Qi-Boosting Powder) treating spleen and kidney Xu Lao with unceasing slippery diarrhea, inability to eat, and emaciated body:
Fuzi (Radix Aconiti Lateralis Preparata, two liang, large ones processed until cracked, skin and hilum removed, sliced paper-thin; use four liang of fresh ginger to extract juice, slowly boil the Fuzi until the juice is absorbed, then dry), Suosharen (Fructus Amomi Rotundus, skin removed, half liang, lightly stir-fried), Roudoukou (Semen Myristicae, skin removed, one fen), Shujiao (Fructus Piperis, remove eyes and closed-mouth ones, stir-fry to remove moisture, one fen), Xiangzi (Semen Ligustici Wallichii, half qian, lightly stir-fried).
Mix the herbs evenly, skewer them with a bamboo stick, roast over a fierce fire until fragrant and cooked. Eat while hot, sending down with one cup of warm wine. Take on an empty stomach.
Formula for Helile Pill (Chebula Pill) treating chronic cold Xu Lao with diarrhea and dysentery, yellow eyes, dark complexion, and gradual emaciation:
Helile (Fructus Chebulae, baked, core removed), Muxiang (Radix Aucklandiae), Chifuling (Poria with Reddish Hue, black skin removed), Guizhi (Ramulus Cinnamomi, coarse bark removed), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and hilum removed), HuJiao (Fructus Piperis Nigris), Roudoukou (Semen Myristicae, shell removed), Baizhu (Rhizoma Atractylodis Macrocephalae), Peng'Ezhu (Rhizoma Curcumae Phaeocaulis, baked and crushed), Ganjiang (Rhizoma Zingiberis Preparatum, processed until cracked; each of the above half liang), Renshen (Radix Ginseng), Bibo (Fructus Piperis Longi; each of the above one liang).
The above twelve ingredients are pounded and sifted into powder. Combine with refined honey to make pills the size of paulownia seeds. Take thirty pills each time on an empty stomach, administered with ginger and jujube tea.
Formula for Renshen San (Ginseng Powder) treating Xu Lao with wind-cold-toxic pathogens, Xiuxi Li Ji (Intermittent Dysentery), critical condition nearing death, which improves upon administration:
Renshen (Radix Ginseng, three qian), Jiegeng (Radix Platycodonis, stir-fried, one liang), Guizhi (Ramulus Cinnamomi, coarse bark removed, one and a half liang), Qinjiao (Radix Gentianae Macrophyllae, remove seedlings and soil, one liang), Muli (Concha Ostreae, burned until thoroughly red, half liang), Huangqin (Radix Scutellariae, remove black heart, half liang), Baizhu (Rhizoma Atractylodis Macrocephalae, one liang), Ganjiang (Rhizoma Zingiberis Preparatum, processed, one liang), Baifuling (Poria with Black Skin Removed, Poria, one liang), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and hilum removed, three qian), Xixin (Herba Asari, remove seedlings and leaves, half liang), Fangfeng (Radix Saposhnikoviae, remove forked parts, one and a half liang), Shujiao (Fructus Piperis, remove eyes and closed-mouth ones, stir-fry to remove moisture, one liang).
The above thirteen ingredients are pounded and sifted into fine powder. Take three qian bi (spoonfuls) each time, mixed with warm wine on an empty stomach.
Formula for Yinchen San (Artemisia Capillaris Powder) treating Xu Lao with emaciation, unceasing diarrhea and dysentery, qi deficiency and weakness, suitable for both men and women:
Yinchenhao (Herba Artemisiae Scopariae), Danggui (Radix Angelicae Sinensis, sliced and dried), Houpo (Cortex Magnoliae Officinalis, coarse bark removed, processed with ginger juice), Chenpi (Pericarpium Citri Reticulatae, white pith removed, dried), Niuxi (Radix Achyranthis Bidentatae, remove seedlings, soak in wine, slice and dry), Fuchao Baizhi (Angelicae Dahuricae Radix stir-fried with bran), Ganjiang (Rhizoma Zingiberis Preparatum, processed), Chishaoyao (Radix Paeoniae Rubra), Wuyi (Fructus Terminaliae Chebulae var. chebulae? Note: Usually refers to Fructus Terminaliae or similar, here likely specific herb context), Ben (Rhizoma Ligustici Chuanxiong? Or Libanotis? Context suggests Ligusticum or similar aromatic root, remove soil), Muxiang (Radix Aucklandiae), Chaihu (Radix Bupleuri, remove seedlings), Jiegeng (Radix Platycodonis, stir-fried), Guizhi (Ramulus Cinnamomi, coarse bark removed), Shihu (Stem Dendrobii? Note: Text says Shi Hu but character looks like 槲, likely Quercus stem or specific local herb, keep as Shi Hu/Quercus Stem), Qingju pi (Pericarpium Citri Reticulatae Viride, soaked in water, white pith removed, dried).
The above twenty-one ingredients in equal proportions are pounded and sifted into powder. Use one liang each time, mix with white flour to form cakes, bake and eat, send down with rice drink.
Formula for Neizhi Pill (Internal Roasted Pill) treating Xu Lao spleen diarrhea, chronic unceasing diarrhea, cold qi attacking the heart, with miraculous effect:
Liuhuang (Sulfur), Yangqishi (Lepidolite), Xiaoshi (Natrii Sulfas), Taiyin Xuanjingshi (Tainian Xuanjing Stone; each half liang).
The above four ingredients are pounded together until crushed, placed in a porcelain bowl, and stir-fried over slow fire until resembling millet rice, then stop. Place on cold ground, spread evenly on paper, cover with a basin overnight. The next day, grind finely, and form pills with glutinous rice porridge the size of paulownia seeds. Take five pills each time, administered with strongly decocted mugwort tea.
Formula for Fuzi San (Aconite Powder) treating Xu Lao with loose stools:
Fuzi (Radix Aconiti Lateralis Preparata, half liang, processed until cracked, skin and hilum removed), Muxiang (Radix Aucklandiae, one fen).
The above two ingredients become fine powder. Take four qian bi each time. Use one pair of pig kidneys, remove fascia, slice open, insert medicinal powder and a little scallion white and salt inside. Wrap in wet paper, simmer over slow fire until cooked. Chew finely and send down with rice drink. Take on an empty stomach.
Formula for Biejia Pill (Softshell Turtle Shell Pill) treating Xu Lao with interior cold, unceasing dysentery, flesh growing around the anus like mouse teats, occasional pus and blood from the anal opening, transforming into Mu Zhi (Male Hemorrhoids):
Biejia (Carapax et Plastrum Testudinis, vinegar-roasted, skirt removed), Huanglian (Rhizoma Coptidis, remove whiskers), Lianqiao (Fructus Forsythiae; each one liang and three fen), Gualougen (Radix Trichosanthis), Huangqi (Radix Astragali, crushed and stir-fried), Ganjiang (Rhizoma Zingiberis Preparatum, processed; each one liang and a half), Qicao (Mole Cricket, stir-fried), Pitu (Snake Slough, roasted), Xuduan (Radix Dipsaci; each one liang and one fen), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and hilum removed), Huaizi (Fructus Sophorae, stir-fried), Fanshi (Alumen, burned until liquid runs out; each one liang).
The above twelve ingredients are pounded and sifted into powder. Combine with refined honey to make pills the size of paulownia seeds. Take twenty pills each time on an empty stomach with warm wine.
Formula for Botouweng Pill (Pulsatilla Pill) treating cold Xu Lao with diarrhea and dysentery, and leukorrhea after childbirth in women:
Botouweng (Radix Pulsatillae, remove rhizome head, half liang), Aiye (Folium Artemisiae Argyi, two liang, lightly stir-fried).
The above two ingredients become powder. Use one sheng of rice vinegar, add half the medicinal powder, first boil into a paste, then add the remaining powder and mix to form pills the size of paulownia seeds. Take thirty pills each time on an empty stomach before meals, administered with rice drink.
Formula for Aiye Jian Pill (Mugwort Decoction Pill) treating cold Xu Lao with umbilical and abdominal pain, occasional dysentery, and also treating female cold disease with leukorrhea:
Aiye (Folium Artemisiae Argyi, four liang, stir-fried), Danggui (Radix Angelicae Sinensis, one liang, sliced and dried), Ganjiang (Rhizoma Zingiberis Preparatum, one liang, processed).
The above three ingredients are pounded and sifted into powder. Use two sheng of rice vinegar, add half the medicinal powder, boil into a paste, add the remaining powder and mix to form pills the size of paulownia seeds. Take thirty pills each time, sent down with warm porridge drink. Take on an empty stomach before meals.
Formula for Ganjiang Pill (Dried Ginger Pill) treating cold Xu Lao with qi-type dysentery and other diseases:
Ganjiang (Rhizoma Zingiberis Preparatum, processed, two liang).
The above single ingredient is pounded and sifted into powder. Melt beeswax, mix and form pills the size of paulownia seeds. Take twenty pills each time on an empty stomach with porridge drink. If not cured, take again daily.