论曰虚劳寒热者，以腑脏久虚，阴阳交争，营卫不足所致，阳气胜则热，阴气胜则寒，
阴阳相胜，故寒热互作。
治虚劳寒热往来，不思饮食，口舌生疮，四肢劳倦，五心烦躁，肌肤不泽，木香鳖甲汤
方
木香（一分） 鳖甲（九肋者去裙 酥炙黄一两） 柴胡（去苗一两） 秦艽（去苗土
三分）
黄（一两） 知母（焙三分） 白茯苓（去黑皮三分） 人参（一两） 桔梗（炒三两） 白
术（一
两） 甘草（炙一两） 防风（去叉三分） 肉豆蔻（去壳一分） 半夏（半两生姜三两取
汁煮令汁
尽焙） 枳壳（去瓤麸炒） 芍药（各三分）
上一十六味，细锉如麻豆大，每服半两，生姜一分切碎，枣三枚，水三盏，煎至二盏，
去滓分温二服，早晨日晚各一。
治虚劳寒热，日渐羸瘦，行步艰难，饮食不进，状如疟疾，柴胡当归汤方
柴胡（去苗） 当归（切焙） 防风（去叉） 白芷 附子（炮裂去皮脐） 白术 牡
丹皮 桂
（去粗皮） 天仙藤 秦艽（去苗土） 桔梗（炒） 芍药 人参 麻黄（去根节） 木香
（各一两）
上一十七味，锉如麻豆，每服三钱匕，水一盏，生姜三片，枣一枚劈，同煎至七分，去
滓空心温服。
治虚劳寒热，羸瘦食减，肢体困，柴胡丸方
柴胡（去苗一两） 鳖甲（醋炙去裙 二两） 浓朴（去粗皮生姜汁炙焙） 山栀子仁 常
山
药枳壳（
去瓤麸炒） 白茯苓（去黑皮） 贝母（去心） 人参 熟干地黄（焙） 前胡（去芦头） 防
风（去
叉） 紫菀（去苗土） 麻黄（去根节） 黄 （细锉） 陈橘皮（去白麸炒） 桂（去粗
皮各一两）
上二十五味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下，空心日午夜卧服。
治虚劳寒热，周身疼痛，咳嗽痰壅，黄 汤方
黄 （细锉） 柴胡（去苗） 鳖甲（去裙 醋炙） 肉豆蔻（炮去壳） 白芷 秦艽
（去苗土）
苓（去黑皮） 人参
枳壳（去瓤麸炒） 甘草（炙锉） 熟干地黄（焙） 海桐皮（锉） 芍药 木香 酸枣仁
（炒） 沉
香（锉） 荆芥穗（半两） 槟榔（锉各半两）
上二十二味，粗捣筛，每服三钱匕，水一盏，生姜三片，同煎至七分，去滓温服，空心
日午近夜各一。
治寒热虚劳，四肢无力，面色枯悴，秦艽汤方
秦艽（去苗土） 前胡（去芦头） 桔梗（炒各二两） 龙胆 人参（各一两） 甘草
（炙锉一
两） 柴胡（去苗四两）
上七味，粗捣筛，每服三钱匕，水一盏，入乌梅一枚拍碎，生姜二片，煎至七分，去滓
温服不拘时。
治虚劳寒热，背胛劳倦，肢节酸疼，多困少力，饮食无味，面黄体瘦，鳖甲散方
鳖甲（去裙 醋炙黄） 柴胡（去苗） 秦艽（去苗土） 牡丹皮 附子（炮裂去皮脐
各等分）
同研细，与药相和，别用童子小便半盏，水一盏，煎沸搅令匀，盏子盖之，放温服。
治五劳七伤，气虚羸疲，骨节疼痛，人参汤方
人参 白茯苓（去黑皮） 附子（半两炮裂） 柴胡（去苗） 枳壳（去瓤麸炒） 白
术秦
艽（去苗土各一两）
上七味，锉如麻豆，每服水三盏，猪肾一枚，去脂膜切作薄片，煮熟猪肾，入药末二钱
匕，葱白一寸，乌梅半枚拍碎，生姜二片，同煎数沸，去滓温服不拘时。
治虚劳寒热，四肢羸困，不思饮食，秦艽当归汤方
秦艽（去苗土） 当归（二味醇酒浸经宿焙） 人参 干漆（炒烟出） 白茯苓（去黑
皮） 白
术（各半两） 柴胡（去苗） 鳖甲（去裙 醋炙各一两） 木香 乌头（炮裂去皮脐） 甘
草（炙
锉各半两）
上一十一味，锉如麻豆，每服三钱匕，水一盏半，小麦五十粒，同煎取一盏，去滓稍热
服。
治虚劳寒热，喘嗽烦满，夜多虚汗，不思饮食，五心烦热，鳖甲丸方
鳖甲（去裙 醋炙二两） 浓朴（去粗皮生姜汁炙锉二两） 木香 青橘皮（汤浸去白
焙）
柴胡（去苗） 人参 大黄（煨锉） 白茯苓（去黑皮各半两）
上八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，米饮下，食后临卧。
治虚劳营卫不调，寒热羸瘦，肢体烦倦，头目昏疼，饮食无味，多困少力，前胡汤方
前胡（去芦头） 柴胡（去苗） 桔梗（炒） 羌活（去芦头） 独活（去芦头） 人
参枳壳（
去瓤麸炒） 鳖甲（去裙 醋炙各一两） 旋复花（一两半） 甘草（炙锉半两） 石膏（碎
一分）
上一十一味，粗捣筛，每服二钱匕，水一盏，煎至七分，去滓温服。
治虚劳寒热心忪，骨节酸疼，胡黄连汤方
胡黄连 柴胡（去苗） 鳖甲（去裙 醋炙） 甘草（炙锉） 白蒺藜（炒） 黄 附
子（炮
裂去皮脐各半两） 威灵仙（去土一两）
上八味，锉如麻豆，每服三钱匕，水一盏，童子小便酒共半盏，乌梅一枚拍碎，同煎至
一盏，去滓不拘时候温服。
治虚劳寒热困劣，浑身疼痛无力，鳖甲丸方
鳖甲（去裙 醋炙三分） 柴胡（去苗） 肉苁蓉（酒浸切焙） 羌活（去芦头各二两）
知母
（焙） 虎骨（醋炙） 常山 牛膝（切酒浸焙） 芍药 秦艽（去苗土） 附子（炮裂去
皮脐） 豉
（炒） 黄连（去须各一两） 乌梅肉（焙） 青蒿 白术（各一两半） 桃仁（去皮尖双
仁炒黄三
两）
上一十七味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心临卧，温米饮下。
治虚劳寒热，羸瘦不下食，柴胡汤方
柴胡（去苗） 白茯苓（去黑皮各三两） 枳壳（去瓤麸炒） 白术（各二两） 人参 麦
门冬
（去心焙各一两半）
上六味，粗捣筛，每服五钱匕，水一盏半，入生姜三片，煎至八分，去滓温服，如人行
七八里再服。
Discourse states: Deficiency consumption with alternating cold and heat (Xu Lao Han Re, a syndrome of alternating chills and fever caused by deficiency consumption) results from long-term deficiency of the Zang-Fu organs, contention between Yin and Yang, and insufficiency of Ying (Nutritive Qi) and Wei (Defensive Qi). When Yang Qi prevails, there is heat; when Yin Qi prevails, there is cold. Due to the mutual victory and defeat of Yin and Yang, cold and heat alternate.
Formula for treating deficiency consumption with alternating chills and fever, loss of appetite, sores in the mouth and tongue, fatigue and weakness in the four limbs, vexation and heat in the five centers (palms, soles, and chest), and lusterless skin: Muxiang Biejia Tang (Musk and Softshell Turtle Decoction).
Herbs: Muxiang (Aucklandiae Radix, 1 fen); Biejia (Testudinis Carapax et Plastrum, nine-ribbed variety, remove skirt edge, roast with rendered fat until yellow, 1 liang); Chaihu (Bupleuri Radix, remove seedlings, 1 liang); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil, 3 fen); Huangqi (Astragali Membranacei Radix, 1 liang); Zhimu (Anemarrhenae Rhizoma, dry-roast, 3 fen); Baifuling (Poria, remove black skin, 3 fen); Renshen (Ginseng Radix, 1 liang); Jiegeng (Platycodonis Radix, stir-fry, 3 liang); Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry, 1 liang); Fangfeng (Saposhnikoviae Radix, remove forked tips, 3 fen); Roudoukou (Myristicae Semen, remove shell, 1 fen); Banxia (Pinelliae Rhizoma, 0.5 liang, decoct with juice of 3 liang fresh ginger until liquid is exhausted, then dry-roast); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Shaoyao (Paeoniae Radix Alba, each 3 fen).
The above sixteen herbs are finely chopped like hemp seeds. Each dose is 0.5 liang. Add 1 fen chopped fresh ginger and three jujubes. Decoct with three cups of water until two cups remain. Strain and divide into two warm doses, taken in the morning and evening.
Formula for treating deficiency consumption with alternating chills and fever, progressive emaciation, difficulty walking, anorexia, and symptoms resembling malaria: Chaihu Danggui Tang (Bupleurum and Angelica Decoction).
Herbs: Chaihu (Bupleuri Radix, remove seedlings); Danggui (Angelicae Sinensis Radix, slice and dry-roast); Fangfeng (Saposhnikoviae Radix, remove forked tips); Baizhi (Angelicae Dahuricae Radix); Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, remove skin and umbilicus); Baizhu (Atractylodis Macrocephalae Rhizoma); Mudanpi (Moutan Cortex); Guizhi (Cinnamomi Ramulus, remove rough bark); Tianxianteng (Akebiae Caulis); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Jiegeng (Platycodonis Radix, stir-fry); Shaoyao (Paeoniae Radix Alba); Renshen (Ginseng Radix); Mahuang (Ephedrae Herba, remove root and joints); Muxiang (Aucklandiae Radix, each 1 liang).
The above seventeen herbs are chopped like hemp seeds. Each dose is three qian bi (approx. 4.5g). Decoct with one cup of water, three slices of fresh ginger, and one split jujube until seven-tenths remains. Strain and take warm on an empty stomach.
Formula for treating deficiency consumption with alternating chills and fever, emaciation, reduced appetite, and limb fatigue: Chaihu Wan (Bupleurum Pill).
Herbs: Chaihu (Bupleuri Radix, remove seedlings, 1 liang); Biejia (Testudinis Carapax et Plastrum, vinegar-roast, remove skirt edge, 2 liang); Houpo (Magnoliae Officinalis Cortex, remove rough bark, process with ginger juice and dry-roast); Shanzhizi Ren (Gardeniae Semen, remove seed coat); Changshan (Dichroae Radix); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Baifuling (Poria, remove black skin); Beimu (Fritillariae Cirrhosae Bulbus, remove heart); Renshen (Ginseng Radix); Shugan Dihuang (Rehmanniae Radix Praeparata, dry-roast); Qianhu (Peucedani Radix, remove rhizome head); Fangfeng (Saposhnikoviae Radix, remove forked tips); Ziwan (Asternis Radix, remove seedlings and soil); Mahuang (Ephedrae Herba, remove root and joints); Huangqi (Astragali Membranacei Radix, finely chopped); Chenju Pi (Citri Reticulatae Pericarpium, remove white pith, stir-fry with bran); Guizhi (Cinnamomi Ramulus, remove rough bark, each 1 liang).
The above twenty-five herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose is thirty pills, taken with warm wine, on an empty stomach, at noon, midnight, and before sleep.
Formula for treating deficiency consumption with alternating chills and fever, generalized body pain, coughing, and phlegm obstruction: Huangqi Tang (Astragalus Decoction).
Herbs: Huangqi (Astragali Membranacei Radix, finely chopped); Chaihu (Bupleuri Radix, remove seedlings); Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast); Roudoukou (Myristicae Semen, process, remove shell); Baizhi (Angelicae Dahuricae Radix); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Fuling (Poria, remove black skin); Renshen (Ginseng Radix); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry and chop); Shugan Dihuang (Rehmanniae Radix Praeparata, dry-roast); Haitongpi (Sapiae Cortex); Shaoyao (Paeoniae Radix Alba); Muxiang (Aucklandiae Radix); Suanzaoren (Ziziphi Spinosae Semen, stir-fry); Chenxiang (Aquilariae Lignum Resinatum, chop); Jingjie Sui (Schizonepetae Spica, 0.5 liang); Binglang (Arecae Semen, chop, each 0.5 liang).
The above twenty-two herbs are coarsely crushed and sifted. Each dose is three qian bi. Decoct with one cup of water and three slices of fresh ginger until seven-tenths remains. Strain and take warm on an empty stomach, at noon, and near nightfall.
Formula for treating chills and fever due to deficiency consumption, limb weakness, and sallow, haggard complexion: Qinjiao Tang (Gentian Macrophylla Decoction).
Herbs: Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Qianhu (Peucedani Radix, remove rhizome head); Jiegeng (Platycodonis Radix, stir-fry, each 2 liang); Longdan (Gentianae Radix); Renshen (Ginseng Radix, each 1 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry and chop, 1 liang); Chaihu (Bupleuri Radix, remove seedlings, 4 liang).
The above seven herbs are coarsely crushed and sifted. Each dose is three qian bi. Decoct with one cup of water, one smashed sour plum, and two slices of fresh ginger until seven-tenths remains. Strain and take warm at any time.
Formula for treating deficiency consumption with alternating chills and fever, scapular fatigue, joint soreness, lethargy, lack of strength, anorexia, sallow face, and thin body: Biejia San (Softshell Turtle Powder).
Herbs: Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast until yellow); Chaihu (Bupleuri Radix, remove seedlings); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Mudanpi (Moutan Cortex); Fuzi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and umbilicus, equal parts).
Grind the above herbs into fine powder and mix. Separately, decoct half a cup of urine from a healthy young boy and one cup of water until boiling. Stir evenly, cover the vessel, let cool to warm, and take.
Formula for treating five labors and seven injuries, Qi deficiency with emaciation and fatigue, and joint pain: Renshen Tang (Ginseng Decoction).
Herbs: Renshen (Ginseng Radix); Baifuling (Poria, remove black skin); Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, process until cracked); Chaihu (Bupleuri Radix, remove seedlings); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Baizhu (Atractylodis Macrocephalae Rhizoma); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil, each 1 liang).
The above seven herbs are chopped like hemp seeds. For each dose, use three cups of water. Take one pig kidney, remove the fatty membrane, slice thinly, and cook thoroughly. Add two qian bi of herb powder, one cun of green onion white, half a smashed sour plum, and two slices of fresh ginger. Boil briefly, strain, and take warm at any time.
Formula for treating deficiency consumption with alternating chills and fever, emaciated and weak limbs, and anorexia: Qinjiao Danggui Tang (Gentian Macrophylla and Angelica Decoction).
Herbs: Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Danggui (Angelicae Sinensis Radix, these two herbs soaked in strong wine overnight, then dry-roast); Renshen (Ginseng Radix); Ganqi (Resina Ferulae, stir-fry until smoke appears); Baifuling (Poria, remove black skin); Baizhu (Atractylodis Macrocephalae Rhizoma, each 0.5 liang); Chaihu (Bupleuri Radix, remove seedlings); Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast, each 1 liang); Muxiang (Aucklandiae Radix); Wutou (Aconiti Radix, process until cracked, remove skin and umbilicus); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry and chop, each 0.5 liang).
The above eleven herbs are chopped like hemp seeds. Each dose is three qian bi. Decoct with one and a half cups of water and fifty wheat grains until one cup remains. Strain and take while slightly warm.
Formula for treating deficiency consumption with alternating chills and fever, wheezing and coughing, vexation and fullness, nocturnal spontaneous sweating due to deficiency, anorexia, and heat in the five centers: Biejia Wan (Softshell Turtle Pill).
Herbs: Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast, 2 liang); Houpo (Magnoliae Officinalis Cortex, remove rough bark, process with ginger juice and chop, 2 liang); Muxiang (Aucklandiae Radix); Qingju Pi (Citri Reticulatae Pericarpium, soak in hot water, remove white pith, dry-roast); Chaihu (Bupleuri Radix, remove seedlings); Renshen (Ginseng Radix); Dahuang (Rhei Radix et Rhizoma, bake and chop); Baifuling (Poria, remove black skin, each 0.5 liang).
The above eight herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose is twenty pills, taken with rice drink after meals and before bed.
Formula for treating deficiency consumption with disharmony of Ying and Wei, alternating chills and fever, emaciation, limb vexation and fatigue, dizziness and headache, anorexia, lethargy, and lack of strength: Qianhu Tang (Peucedani Radix Decoction).
Herbs: Qianhu (Peucedani Radix, remove rhizome head); Chaihu (Bupleuri Radix, remove seedlings); Jiegeng (Platycodonis Radix, stir-fry); Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head); Duhuo (Angelicae Pubescentis Radix, remove rhizome head); Renshen (Ginseng Radix); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast, each 1 liang); Xuanjinhua (Inulae Flos, 1.5 liang); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry and chop, 0.5 liang); Shigao (Gypsum Fibrosum, crushed, 1 fen).
The above eleven herbs are coarsely crushed and sifted. Each dose is two qian bi. Decoct with one cup of water until seven-tenths remains. Strain and take warm.
Formula for treating deficiency consumption with alternating chills and fever, palpitations, and joint soreness: Huhuanglian Tang (Coptidis Chinensis Rhizoma and Picrorhizae Rhizoma Decoction).
Herbs: Huhuanglian (Picrorhizae Rhizoma); Chaihu (Bupleuri Radix, remove seedlings); Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast); Gancao (Glycyrrhizae Radix et Rhizoma, honey-fry and chop); Baijili (Tribuli Fructus, stir-fry); Huangqi (Astragali Membranacei Radix); Fuzi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and umbilicus, each 0.5 liang); Weilingxian (Asparagi Radix, remove soil, 1 liang).
The above eight herbs are chopped like hemp seeds. Each dose is three qian bi. Decoct with one cup of water, half a cup of mixture of urine from a healthy young boy and wine, and one smashed sour plum until one cup remains. Strain and take warm at any time.
Formula for treating deficiency consumption with alternating chills and fever, severe condition, generalized body pain, and weakness: Biejia Wan (Softshell Turtle Pill).
Herbs: Biejia (Testudinis Carapax et Plastrum, remove skirt edge, vinegar-roast, 3 fen); Chaihu (Bupleuri Radix, remove seedlings); Roucongrong (Cynomorii Herba, soak in wine, slice and dry-roast); Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head, each 2 liang); Zhimu (Anemarrhenae Rhizoma, dry-roast); Hugutou (Ossis Tigris); Changshan (Dichroae Radix); Niuxi (Achyranthis Bidentatae Radix, slice, soak in wine and dry-roast); Shaoyao (Paeoniae Radix Alba); Qinjiao (Gentianae Macrophyllae Radix, remove seedlings and soil); Fuzi (Aconiti Lateralis Radix Praeparata, process until cracked, remove skin and umbilicus); Chishao (Sojae Semnis Preparatum, stir-fry); Huanglian (Coptidis Chinensis Rhizoma, remove roots, each 1 liang); Wumei Rou (Pruni Fructus, dry-roast); Qinghao (Artemisiae Annuae Herba); Baizhu (Atractylodis Macrocephalae Rhizoma, each 1.5 liang); Taoren (Persicae Semen, remove skin and tip, double-kernel, stir-fry until yellow, 3 liang).
The above seventeen herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of paulownia seeds. Each dose is twenty pills, taken on an empty stomach and before bed with warm rice drink.
Formula for treating deficiency consumption with alternating chills and fever, emaciation, and inability to eat: Chaihu Tang (Bupleurum Decoction).
Herbs: Chaihu (Bupleuri Radix, remove seedlings); Baifuling (Poria, remove black skin, each 3 liang); Zhike (Aurantii Fructus Immaturus, remove pith, stir-fry with bran); Baizhu (Atractylodis Macrocephalae Rhizoma, each 2 liang); Renshen (Ginseng Radix); Maidong (Ophiopogonis Radix, remove heart, dry-roast, each 1.5 liang).
The above six herbs are coarsely crushed and sifted. Each dose is five qian bi. Decoct with one and a half cups of water and three slices of fresh ginger until eight-tenths remains. Strain and take warm. Take another dose after walking about seven or eight li.