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Commentary states: Patients suffering from "Gu Zheng" (Bone Steaming, a type of consumption fever) present with emaciated and haggard skin and muscles, deficient Ying and Wei (Nutritive and Defensive Qi), and internal depletion of True Yang. The water they drink cannot be transformed and metabolized, remaining stagnant in the hypochondriac region. This leads to an entrenched disease characterized by hard, indigestible masses. It may arise from dietary injury or agitation, emotional worry causing Qi stagnation, or inhalation of wind-cold pathogens, triggering the onset of the disease. The pathology originates below the ribs and on both sides of the umbilicus, resembling a transverse arm, which is tender to pressure. It interferes with eating and causes pain due to accumulation and retention; hence it is called "Gu Zheng Pi" (Bone Steaming Mass).

Treatment for Gu Zheng Labor, cold pain of masses in the abdomen, gradually leading to emaciation: Muxiang Tang Formula.
Muxiang (Costus Root), Binglang (Areca Seed, crushed), Renshen (Ginseng Root) [each 1 liang], Shaoyao (Peony Root), Jiegeng (Platycodon Root, crushed), Chifuling (Red Poria, black skin removed), Helile (Chebula Fruit, processed and pitted).
The above eight ingredients are coarsely crushed and sieved. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain the dregs and divide into two warm doses. Take one dose on an empty stomach and one after meals.

Treatment for Gu Zheng abdominal masses, palpable upon pressing, inability to eat, emaciation and weakness: Biejia Wan Formula.
Biejia (Tartaric Turtle Shell, skirt removed, vinegar-processed, 2 liang), Muxiang (1 liang), Jingsanleng (Chinese Safflower Rhizome, roasted, 1.5 liang), Shaoyao (1.5 liang), Chenjupi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried), Cangzhu (Atractylodes Rhizome, soaked in rice wash water, sliced, dried, each 1 liang), Binglang (2 liang), Yuliren (Bush Cherry Kernel, skin removed, pounded, 1.5 liang).
The above eight ingredients are pounded and sifted into fine powder. Add Yuliren and grind again until uniform. Mix with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose, washed down with Chenjupi decoction, before meals.

Treatment for Gu Zheng hypochondriac masses, and amenorrhea in women: Biejia Wan Formula.
Biejia (Tartaric Turtle Shell, skirt removed, vinegar-soaked and processed, 2 liang), Gui (Cinnamon Bark, coarse bark removed), Tugua Gen (Trichosanthes Thunbergiana Root, sliced and dried), Jingsanleng (Chinese Safflower Rhizome, roasted and crushed), Mudanpi (Tree Peony Bark), Niuxi (Achyranthes Root, tips removed, wine-soaked, sliced, dried), Dahuang (Rhubarb Root, crushed and stir-fried, each 1.5 liang), Helile (Chebula Fruit, roasted, peel used), Hupo (Amber, each 2 liang), Taoren (Peach Kernel, hot water-soaked, skin and tip removed, non-double kernels separately pounded, 3 liang).
The above ten ingredients are pounded and ground into powder, mixed uniformly. Combine with refined honey to make pills the size of paulownia seeds. Take 20 pills per dose, washed down with Taoren decoction after meals.

Treatment for Gu Zheng abdominal accumulations and masses, hypochondriac obstruction and pain, gradually worsening emaciation: Dafu Tang Formula.
Dafu (Betel Nut Stem), Shaoyao, Chifuling (Red Poria, black skin removed), Jiegeng (Platycodon Root, crushed and stir-fried, each 1.5 liang), Muxiang, Helile Pi (Chebula Peel, each 1 liang).
The above seven ingredients are coarsely crushed and sieved. Each dose consists of 5 qianbi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain the dregs and divide into two warm doses. Take one dose on an empty stomach and one in the evening.

Treatment for Gu Zheng accumulations and masses, Gui Qi Zhu Wu (Ghost Qi and Infectious Pathogens), deficiency and damage in men and women, vexing heat and pain in hands and feet, soreness and heaviness in the back and shoulders, worsening at night, emaciation of limbs, sallow complexion, cold pain in knees, borborygmus in the abdomen, frequent diarrhea, loss of taste for food, inability to walk. This formula treats all types of Five Zang deficiency labor. Qisheng San Formula.
Huangji (Yellow Hen, one, prepared for eating, feathers removed, do not let touch water, make a small incision under the abdomen, remove intestines thoroughly, then refill with heart and liver), Shujiao (Sichuan Pepper, remove eyes and closed ones, 1 fen), Shengdihuang (Fresh Rehmannia Root, 1 sheng, wash large ones), Shengjiang (Fresh Ginger, peeled, 1 liang), Huangqi (Astragalus Root, crushed), Chenjupi (Aged Tangerine Peel, soaked in hot water).
The above seven ingredients, excluding the chicken, are crushed like hemp beans, mixed uniformly, and placed inside the chicken belly. Sew it up, place in a silver or ceramic vessel, cover with new cloth, and steam in a steamer. Place a bowl containing rice and half a sheng of water on one side of the steamer. Cover tightly to prevent air leakage. Steam until the rice in the bowl and the chicken are thoroughly cooked. Remove the medicine, dry it separately, pound and sift into powder. Take 1 qianbi per dose, mixed with rice drink, three times a day. The chicken should be chopped, sprinkled with a little salt, and allowed to be eaten freely by the patient until full. After some time, wear thick clothes and cover warmly to induce sweating. If sweating is excessive, apply powder made from calcined Osmunda (Muli) to the body. Avoid exposure to wind and cold.

Treatment for Chuanshi Feishi (Transmitted Corpse and Flying Corpse diseases), Zhu Qi masses and Qi accumulation, asthma and edema, Hongxiangjiao (Beriberi/Ghost Injection), Gu Du (Poison), undigested food, abdomen feeling like an inverted cup, presence of nine worms, leukorrhea (red and white discharge) in women, malignant skin sores, distended abdomen with emaciation, jaundice, and other diseases. It prolongs life, nourishes nature, darkens beard and hair. Chenqi Wan Formula.
Chenqi (Old Lacquer, 2 sheng, strain through silk to remove dregs), Dahuang (Rhubarb Root, 6 liang, powdered), Yiyiren (Coix Seed, 5 liang, powdered), Wuhui Jiu (Pure Wine without Ash, 5 sheng), Manjingzi (Vitex Fruit).
The above five ingredients: First, mix Manjingzi powder with clear wine and decoct, stirring constantly for about half a day. Filter out the dregs. Place in a silver or ceramic vessel and boil over a double boiler. Stir constantly with a bamboo spatula for one shichen (two hours). Then add the powders of Chenqi, Dahuang, and Yiyiren. Boil for another shichen. When ready to form pills, make them the size of paulownia seeds. Store in a non-porous container and seal tightly. For patients, fast overnight. On the next morning, take 10 pills on an empty stomach with warm wine. For the elderly or those with cold conditions, increase to 15 pills. After 100 days of administration, hair and beard will become black as lacquer, and old scars will disappear. During the initial 4-7 days of taking the medicine, expect evacuation of retained food, fish-like mucus, pus, blood, stasis, and foul matter. Do not doubt this reaction.

Treatment for Chuanshi Gu Zheng (Transmitted Bone Steaming), accumulation masses and cold Qi, weak waist and legs, wind-itch in the body, various sores, leprosy, malignant sores, scabies, and tinea. This medicine cuts off the root cause. Songzhi Wan Formula.
Songzhi (Pine Resin, 20 jin, refine using ash lye from mulberry wood fire, remove bitter juice, pour into water basin, solidify and collect), Baifuling (White Poria, black skin removed, 1 jin), Baizhu (Atractylodes Macrocephala Rhizome), Xuduan (Dipsacus Root, each 0.5 jin), Baimi (White Honey), Niusu (Cow Butter), Maimendong (Ophiopogon Tuber, heart removed, dried), Shenggandihuang (Dried Fresh Rehmannia Root, dried, each 2 liang).
The above eight ingredients: Pound and sift five ingredients into fine powder. First, refine honey slowly over low heat, melt and skim off foam. Next, add Niusu. Then add Songzhi. Once melted, add the powder. Stir constantly with a bamboo spatula. When ready to form pills, make them the size of paulownia seeds. Take 20 pills per dose with warm wine or rice drink, twice daily. Gradually increase to 50 pills.

Treatment for Labor Damage, Emaciation, Wind Deficiency, Zhu Qi, Accumulation Masses, Cold Qi, Heart Pain Formula.
Taoren (Peach Kernel, skin and tip removed, non-double kernels, 1200 pieces).
One ingredient: Grind finely. Use 5 sheng of good wine. First, use 2 sheng to mix and grind, filter to obtain juice. Then add 2 sheng, grind again until extremely smooth, filter to obtain juice. Finally, use 1 sheng to mix, grind, and filter completely to extract white juice. Store in a dry ceramic vessel and seal tightly. Boil over a double boiler with slow fire for one shichen. Cool down. Take one spoonful per dose, mixed with wine or rice drink, twice daily. Especially effective for women.

Treatment for Gu Zheng, Accumulation Masses, Emaciation, etc. Formula.
Suan (Garlic, peeled, seven cloves, pounded), Xionghuang (Realgar, apricot pit size, pounded).
Two ingredients: Pound until smooth and mix well. Take with clear wine. Within a short time, hairs should appear on the fingertips as a sign of efficacy.

Treatment for Gu Zheng, Mass Accumulation, various diseases, to cut off the root cause: Immersion Bath Formula.
Kuxiu Gu (Decayed Bones, smashed, 2 dou, any cattle, sheep, or pig bones), Lanjici Ci (Rotten Thorn Needles, 3 dou), Suo (Polygonum Sieboldii, stems, leaves, roots crushed, 1 dou), Nenliuzhi (Young Willow Branches, crushed).
Four ingredients: Decoct in 12 dou of water until reduced to 7 dou. Strain out dregs. Add 3 sheng of coarse salt. Wait until salt is completely dissolved. Pour into a large basin or ceramic vessel. Wait until the temperature is suitable for immersion. Warm the surroundings of the basin with horse manure fire to keep the water at a constant warm temperature, ensuring it does not cool down. If feeling cold, consume some thin hot porridge. Immerse the body for the duration of cooking a meal. Upon exiting, wipe the body dry. If sweating excessively, dust with white rice flour. Remain in a sealed room, calm mind, sit or lie down, avoid wind exposure. Bathe once every three days, for three sessions total. Restrain the medicinal liquid for 3-5 days in Spring/Autumn/Winter, and 1-2 days in Summer, reheat before use. For itching, add Mangxiao (Mirabilite) and Baifan (Alum) powder, 1 sheng each, which is optimal. Immersion must reach below the neck to receive the full medicinal power.

Another Immersion Bath Formula:
Take branches and leaves of Tao (Peach), Liu (Willow), Suo (Polygonum), and Li (Plum), four types, crush each to 1 dou. In winter, use only roots. Decoct in 8-9 dou of water until reduced to 5-6 dou. Strain dregs, add 2 large sheng of salt, and immerse. Follow the same method as above.

Treatment for Gu Zheng, abdominal masses causing obstruction and pain, accompanied by diarrhea dozens of times a day and night: Cangzhu Wan Formula.
Cangzhu (Atractylodes Rhizome), Helile Pi (Chebula Peel, each 1.5 liang), Chenjupi (Aged Tangerine Peel, hot water-soaked, white pith removed, dried), Muxiang, Shaoyao, Qingjupi (Green Tangerine Peel, hot water-soaked, white pith removed, dried).
Eight ingredients: Pound and sift into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 30 pills per dose, washed down with Renshen decoction before meals, twice daily.

Treatment for Zheng Pi (Fixed Masses), Qi with high fever, cough, and Gu Zheng: Chaihu Fuling Tang Formula.
Chaihu (Bupleurum Root, tips removed, 2 liang), Baifuling (White Poria, black skin removed), Baizhu (Atractylodes Macrocephala Rhizome), Zhike (Bitter Orange Fruit, pulp removed, bran-fried, each 1.5 liang).
Four ingredients: Coarsely crush and sieve. Each dose consists of 3 qianbi, boiled in 1 sheng of water until reduced to 70%. Strain dregs. Take warm after meals, twice daily.