论曰虚劳之人，气血久耗，寒邪僭热，伏结上焦，内伤心肺，残贼营卫，心主血，血为
营。肺主气，气为卫，营卫不调，金火相克，其病难治，则因咳嗽间有脓血者，津液腐化也，
宜润养上焦，滋益营卫，则病缓而可已。
治五劳咳嗽，咯唾脓血，言语声嗄，日渐羸劣，不欲饮食，鳖甲汤方
鳖甲（去裙 酒浸炙一两半） 柴胡（去苗一两） 人参 白术 知母（焙） 半夏（汤
洗去
分） 芍药
（炙） 桂（去粗皮各三分） 虎头骨（酒浸炙一两） 生干地黄（焙） 赤茯苓（去黑皮）
槟榔（煨） 附子（炮裂去皮脐各一两半）
上二十一味，锉如麻豆，每服三钱匕，水一盏，入生姜一枣大拍碎，煎至七分，去滓空
腹食前温服，日三，如有寒热，小便赤涩者，更加葱白一茎，豉四十粒。
治五劳七伤，四肢少力，肌瘦盗汗，遗精心忪，不思饮食，咳嗽唾脓血，柴胡汤方
柴胡（去苗一两半） 鳖甲（去裙 醋炙） 秦艽（去苗土） 知母（焙） 桂（去粗
皮） 人参 白茯苓（去黑皮） 附子（炮裂去皮脐） 黄 五味子 羌活（去芦头） 木
香沉
上一十六味，锉如麻豆，每服三钱匕，水一盏，煎至六分，去滓温服，不拘时候。
治虚劳烦躁，羸瘦发热，面红颊赤，咳吐脓血，鳖甲汤方
鳖甲（醋炙黄） 桑根白皮（锉） 甘草（炙锉） 贝母（去心炒） 麦门冬（去心焙）
白术
黑心） 百部
上一十八味，粗捣筛，每服三钱匕，水一盏半，煎至八分，入杏仁七枚去皮尖，再同煎
至六分，去滓临卧温服，如嗽止，不用杏仁，只用生姜少许同煎。
治虚劳咳嗽，咯唾脓血，葳蕤汤方
葳蕤 百部（各一分） 麦门冬（去心焙） 阿胶（炒令燥） 马兜铃（各半两） 白
茯苓（去
上九味，粗捣筛，每服三钱匕，水一盏，入乌梅一个，生姜二片，同煎至六分，去滓不
拘时候温服。
治虚劳心肺俱伤，咳唾脓血，如圣黄 汤方
黄 （锉） 乌梅（去核） 知母（焙） 甘草（炙锉） 款冬花 秦艽（去苗土） 贝
母（去心
麸炒） 鳖甲（去
上一十四味，粗捣筛，每服三钱匕，水一盏半，入生姜三片，桃柳枝葱白薤白各少许，
同煎至六分，不拘时候，去滓温服。
治虚劳咳嗽，咯唾脓血，蛤蚧汤方
蛤蚧（酒浸一宿酥炙） 知母（焙） 贝母（去心炒） 鹿角胶（炙燥） 甘草（炙锉）
杏仁（
（炙锉三分）
上一十味，捣罗为末，每服二钱匕，水一盏，煎至八分，去滓温服。
治虚劳气胸膈不利，咳唾稠粘，五味子散方
五味子（一两） 诃黎勒皮（一两） 人参（三分去芦头） 枳壳（二分麸炒微黄去瓤）
前胡
（三分）
上十一味，捣筛为散，每服四钱匕，水一中盏，入生姜半分，煎至六分，去滓不计时候
温服，日二。
治虚劳咳唾稠粘，咽喉不利，茯苓散方
赤茯苓（一两去皮） 麦门冬（一两去心） 生干地黄（一两） 人参（一两去芦头） 前
胡（
干（一两）
上九味，捣筛为散，每服三钱匕，水一中盏，煎至六分，去滓不计时候温服。
治虚劳上焦浮热，咳唾稠粘，黄 散方
黄 （一两锉） 赤茯苓（三分） 麦门冬（三分去心） 枳壳（三分麸炒微黄去瓤） 桑
白皮
上八味，捣筛为散，每服四钱匕，水一中盏，生姜半分，煎至六分，去滓不计时候温服
治虚劳冷气，心腹痞满，不思饮食，四肢少力，白术散方
白术（一两） 人参（三分去芦头） 诃黎勒（一两煨去核） 陈橘皮（一两汤浸去白
焙） 草
上六味，捣筛为末，每服四钱匕，水一中盏，入生姜半分，枣三枚，煎至六分，去滓不
计时候，稍热服。
治虚劳体热，消瘦骨蒸，阿胶散方
阿胶（碎炒） 人参（去芦头） 茯苓（去皮） 玄参（去苗） 丹参（去芦头） 防
风（去叉）
苗土） 黄连（去须）
甲（去裙 醋炙） 甜葶苈（隔
桔梗（炒） 知母（焙） 贝母（去心
（炙锉） 黄芩（去黑心） 白药子 杏仁（去
上三十六味， 咀如麻豆大，和匀，每服三钱匕，水一盏半，入青蒿七枝切，同煎至
七分，去滓温服，食后临卧服。
治虚劳咳嗽，上气壅热，咯吐脓血，白前饮方
白前（二两半） 桑根白皮（炙） 桔梗（炒各三两） 白茯苓（去黑皮三分） 杏仁
（去双仁
上六味，各锉如麻豆大，拌匀，每服三钱匕，水一盏半，煎取七分，去滓食后温服，日
二。
治虚劳咳嗽不止，肺气损伤，咯吐脓血，日渐痿瘦，通神汤方
土马鬃（焙干二两） 枳实（去瓤麸炒） 白茯苓（去黑皮） 秦艽（去苗土） 甘草
（炙锉）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食后温服。
Commentary states: Individuals suffering from deficiency consumption (Xu Lao) have long exhausted their Qi and Blood. Cold pathogens overstep and transform into heat, lodging in the Upper Jiao, internally damaging the Heart and Lungs, and depleting Ying and Wei. The Heart governs Blood, which constitutes Ying; the Lung governs Qi, which constitutes Wei. When Ying and Wei are disharmonious, Metal (Lung) and Fire (Heart) mutually overcome each other, making the condition difficult to treat. Consequently, coughing may intermittently produce pus and blood, which is the result of fluids rotting and transforming. It is appropriate to moisten and nourish the Upper Jiao, and tonify Ying and Wei, so that the illness will ease and resolve.
Biejia Tang Decoction for treating five types of exhaustion with coughing, expectoration of pus and blood, hoarseness of voice, gradual emaciation and weakness, and loss of appetite:
Biejiia (Tartaric Testudinis Carapax et Plastrum, remove skirt, soak in wine, roast, 1 liang 5 qian), Chaihu (Bupleuri Radix, remove seedlings, 1 liang), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Zhimu (Anemarrhenae Rhizoma, bake), Banxia (Pinelliae Rhizoma, wash in water to remove slipperiness), Shaoyao (Paeoniae Radix, roast), Guizhi (Cinnamomi Ramulus, remove rough bark, each 3 fen), Hutougu (Tigridis Os, soak in wine, roast, 1 liang), Shengdihuang (Rehmanniae Radix, bake), Chifuling (Poria cum Rubro, remove black skin), Binglang (Arecae Semen, bake), Fuzi (Aconiti Lateralis Radix Praeparata, crack by frying, remove skin and umbilicus, each 1 liang 5 qian).
The above twenty-one ingredients are chopped like hemp or beans. Each dose consists of 3 qianbi, decocted with one zhan of water and a piece of fresh ginger the size of a date (crushed), until reduced to seven-tenths. Strain and take warm on an empty stomach before meals, three times daily. If there are alternating chills and fever, or red and scanty urination, add one stem of Congbai (Allii Fistulosi Bulbus) and forty grains of Chidouchi (Sojae Semnis Preparatum).
Chaihu Tang Decoction for treating five exhaustions and seven injuries, weakness in the four limbs, emaciated muscles with night sweats, spermatorrhea and palpitations, loss of appetite, and coughing with expectoration of pus and blood:
Chaihu (Bupleuri Radix, remove seedlings, 1 liang 5 qian), Biejia (Testudinis Carapax et Plastrum, remove skirt, roast with vinegar), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Zhimu (Anemarrhenae Rhizoma, bake), Guizhi (Cinnamomi Ramulus, remove rough bark), Renshen (Ginseng Radix), Baifuling (Poria, remove black skin), Fuzi (Aconiti Lateralis Radix Praeparata, crack by frying, remove skin and umbilicus), Huangqi (Astragali Radix), Wuweizi (Schisandrae Chinensis Fructus), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum).
The above sixteen ingredients are chopped like hemp or beans. Each dose consists of 3 qianbi, decocted with one zhan of water until reduced to six-tenths. Strain and take warm at any time.
Biejia Tang Decoction for treating deficiency consumption with irritability, emaciation and fever, red face and cheeks, and coughing up pus and blood:
Biejia (Testudinis Carapax et Plastrum, roast with vinegar until yellow), Sangbaipi (Mori Cortex, chop), Gancao (Glycyrrhizae Radix et Rhizoma, roast and chop), Beimu (Fritillariae Cirrhosae Bulbus, remove heart, stir-fry), Maidong (Ophiopogonis Radix, remove heart, bake), Baizhu (Atractylodis Macrocephalae Rhizoma), Bobai (Stemonae Radix).
The above eighteen ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, decocted with one and a half zhan of water until reduced to eight-tenths. Add seven Xingren (Armeniacae Semen Amarum, peeled and removed pits), and decoct together until reduced to six-tenths. Strain and take warm before retiring. If the cough stops, do not use Xingren, but only a small amount of Shengjiang (Zingiberis Rhizoma Recens) for decoction.
Weirui Tang Decoction for treating deficiency consumption with coughing and expectoration of pus and blood:
Weirui (Polygonati Odorati Rhizoma), Bobai (Stemonae Radix, each 1 fen), Maidong (Ophiopogonis Radix, remove heart, bake), Ejiao (Asini Corii Colla, stir-fry until dry), Madouling (Aristolochiae Radix, each half liang), Baifuling (Poria, remove black skin).
The above nine ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, decocted with one zhan of water, one Wumei (Mume Fructus), and two slices of Shengjiang (Zingiberis Rhizoma Recens), until reduced to six-tenths. Strain and take warm at any time.
Rusheng Huangqi Tang Decoction for treating deficiency consumption with simultaneous injury to Heart and Lung, and coughing up pus and blood:
Huangqi (Astragali Radix, chop), Wumei (Mume Fructus, remove pit), Zhimu (Anemarrhenae Rhizoma, bake), Gancao (Glycyrrhizae Radix et Rhizoma, roast and chop), Kuandonghua (Farfarae Flos), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Beimu (Fritillariae Cirrhosae Bulbus, remove heart, stir-fry with bran), Biejia (Testudinis Carapax et Plastrum, remove skirt).
The above fourteen ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, decocted with one and a half zhan of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), and small amounts of Taoliuzhi (Sakura Ramulus et Salicis Ramulus), Congbai (Allii Fistulosi Bulbus), and Xiebai (Allii Macrostemonis Bulbus), until reduced to six-tenths. Strain and take warm at any time.
Gejie Tang Decoction for treating deficiency consumption with coughing and expectoration of pus and blood:
Gejie (Gekkonis Sanguis, soak in wine overnight, roast with butter), Zhimu (Anemarrhenae Rhizoma, bake), Beimu (Fritillariae Cirrhosae Bulbus, remove heart, stir-fry), Luanjiaojiao (Cervi Cornus Colla, roast until dry), Gancao (Glycyrrhizae Radix et Rhizoma, roast and chop), Xingren (Armeniacae Semen Amarum, peel and remove pits, stir-fry with bran), Rougui (Cinnamomi Cortex, roast and chop, 3 fen).
The above ten ingredients are pounded and sieved into powder. Each dose consists of 2 qianbi, decocted with one zhan of water until reduced to eight-tenths. Strain and take warm.
Wuweizi San Powder for treating deficiency consumption with chest and diaphragm discomfort, and thick sticky expectoration:
Wuweizi (Schisandrae Chinensis Fructus, 1 liang), Helilepi (Terminaliae Chebulae Pericarpium, 1 liang), Renshen (Ginseng Radix, 3 fen, remove rhizome head), Zhike (Aurantii Fructus Immaturus, 2 fen, stir-fry with bran until slightly yellow, remove pith), Qianhu (Peucedani Radix, 3 fen).
The above eleven ingredients are pounded and sifted into a powder. Each dose consists of 4 qianbi, decocted with one zhongzhan of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens), until reduced to six-tenths. Strain and take warm at any time, twice daily.
Fuling San Powder for treating deficiency consumption with thick sticky expectoration and throat discomfort:
Chifuling (Poria cum Rubro, 1 liang, peel), Maidong (Ophiopogonis Radix, 1 liang, remove heart), Shengdihuang (Rehmanniae Radix, 1 liang), Renshen (Ginseng Radix, 1 liang, remove rhizome head), Qianhu (Peucedani Radix, 1 liang).
The above nine ingredients are pounded and sifted into a powder. Each dose consists of 3 qianbi, decocted with one zhongzhan of water until reduced to six-tenths. Strain and take warm at any time.
Huangqi San Powder for treating deficiency consumption with floating heat in the Upper Jiao and thick sticky expectoration:
Huangqi (Astragali Radix, 1 liang, chop), Chifuling (Poria cum Rubro, 3 fen), Maidong (Ophiopogonis Radix, 3 fen, remove heart), Zhike (Aurantii Fructus Immaturus, 3 fen, stir-fry with bran until slightly yellow, remove pith), Sangbaipi (Mori Cortex).
The above eight ingredients are pounded and sifted into a powder. Each dose consists of 4 qianbi, decocted with one zhongzhan of water and half a fen of Shengjiang (Zingiberis Rhizoma Recens), until reduced to six-tenths. Strain and take warm at any time.
Baizhu San Powder for treating deficiency consumption with cold qi, epigastric and abdominal fullness, loss of appetite, and weakness in the four limbs:
Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Renshen (Ginseng Radix, 3 fen, remove rhizome head), Helile (Terminaliae Chebulae Fructus, 1 liang, bake and remove pit), Chenjuapi (Citri Reticulatae Pericarpium, 1 liang, soak in water, remove white pith, bake), Caoguo (Amomi Fructus).
The above six ingredients are pounded and sifted into powder. Each dose consists of 4 qianbi, decocted with one zhongzhan of water, half a fen of Shengjiang (Zingiberis Rhizoma Recens), and three dates, until reduced to six-tenths. Strain and take warm while slightly hot at any time.
Ejiao San Powder for treating deficiency consumption with body heat, emaciation, and bone-steaming fever:
Ejiao (Asini Corii Colla, crush and stir-fry), Renshen (Ginseng Radix, remove rhizome head), Fuling (Poria, peel), Xuanshen (Scrophulariae Radix), Danshen (Salviae Miltiorrhizae Radix), Fangfeng (Saposhnikoviae Radix, remove forked roots), Chaihu (Bupleuri Radix, remove seedlings and soil), Huanglian (Coptidis Rhizoma, remove whiskers), Biejia (Testudinis Carapax et Plastrum, remove skirt, roast with vinegar), Tiantingli (Semen Lepidii et Descurainiae, stir-fry between papers), Jiegeng (Platycodonis Radix, stir-fry), Zhimu (Anemarrhenae Rhizoma, bake), Beimu (Fritillariae Cirrhosae Bulbus, remove heart, roast and chop), Huangqin (Scutellariae Radix, remove black heart), Baiyaozi (Radix Stemonae Tuberosae), Xingren (Armeniacae Semen Amarum, peel and remove pits).
The above thirty-six ingredients are chopped like hemp or beans, mixed evenly. Each dose consists of 3 qianbi, decocted with one and a half zhan of water and seven cut branches of Qinghao (Artemisiae Annuae Herba), until reduced to seven-tenths. Strain and take warm after meals and before retiring.
Baiqian Yin Decoction for treating deficiency consumption with incessant cough, upward rushing of Qi with stagnation and heat, and expectoration of pus and blood:
Baiqian (Cynanchi Stauntonii Caulis et Folium, 2 liang 5 qian), Sangbaipi (Mori Cortex, roast), Jiegeng (Platycodonis Radix, stir-fry, each 3 liang), Baifuling (Poria, remove black skin, 3 fen), Xingren (Armeniacae Semen Amarum, remove double kernels, stir-fry with bran).
The above six ingredients are each chopped like hemp or beans, mixed evenly. Each dose consists of 3 qianbi, decocted with one and a half zhan of water until seven-tenths remain. Strain and take warm after meals, twice daily.
Tongshen Tang Decoction for treating deficiency consumption with incessant cough, damage to Lung Qi, expectoration of pus and blood, and gradual emaciation and weakness:
Tumazong (Equi Caballi Spina Dorsalis, bake until dry, 2 liang), Zhishi (Aurantii Fructus Immaturus, remove pith, stir-fry with bran), Baifuling (Poria, remove black skin), Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Gancao (Glycyrrhizae Radix et Rhizoma, roast and chop).
The above eight ingredients are coarsely pounded and sifted. Each dose consists of 3 qianbi, decocted with one zhan of water until seven-tenths remain. Strain and take warm after meals.