夫五劳者。其源从脏腑所起也。鼓生死之浮沉。动百病之虚实。逆于阴阳。伤于荣卫。
皆因
阳不
止则
治肝劳虚热。两目赤涩。烦闷宛转。热气壅滞。胸里炎炎。宜服泻肝除热。柴胡散
方。
柴胡（一两去芦头） 赤茯苓（一两） 羚羊角屑（一两） 细辛（一两） 麦门冬（一
两去心）
决
（半两炙微
赤
上件药。捣筛为散。每服四钱。以水一中盏。入竹叶二七片。煎至六分。去滓。食后温
服。
治肝劳。虚寒胁痛。胀满气急。昏不思饮食。宜服鳖甲散方。
鳖甲（二两涂醋炙令黄去裙 ） 五味子（一两） 槟榔（一两） 赤茯苓（一两半） 桔
梗
（一两
两去
苗） 甘
上件药。捣筛为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温服。
忌
治肝脏风劳。两胁虚满。筋脉拘急。不得喘息。四肢烦疼。头目不利。体多青色。
宜服防风
防风（一两去芦头） 细辛（一两） 赤茯苓（一两） 柏子仁（一两） 桃仁（一两
汤浸去皮
尖双
两） 甘
草（半
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。食前温
服。
治肝劳实热。易怒。精神不守。恐畏。不能独卧。目视不明。胸中满闷。宜服半夏
散方。
半夏（一两汤洗七遍去滑） 前胡（一两去芦头） 人参（三分去芦头） 赤芍药（二
分） 枳
实（
炙微赤
锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。空腹温
服。
治肝劳热。恐畏不安。精神闷怒。不能独卧。志气错乱。宜服白茯苓丸方。
白茯苓（一两） 白龙骨（一两） 远志（一两去心） 防风（一两去芦头） 人参（一
两去芦
头）
上件药。捣罗为末。入枣肉二两。炼蜜相和捣三二百杵。丸如梧桐子大。每日空腹。以
粥饮
治肝脏风劳。筋脉拘急。头目不利。腰膝冷疼。四肢羸瘦。宜服羌活丸方。
羌活（一两半） 茯神（一两） 五加皮（一两） 鹿茸（一两去毛涂酥炙令黄） 防
风〔三
（一）两
生干
地黄（一
茱萸
（一两）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每日空心。温酒下四十丸。晚
食前
治肝脏风劳。头眩多忘。忧恚不足。面目青黄。宜服生干地黄丸方。
生干地黄（一两） 防风（一两去芦头） 薯蓣（一两） 茯神（一两） 山茱萸（一
两） 桂心
（一
目及闭口
者微
赤锉）
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服食前。以温酒下二十丸。
治肝劳。肢节疼痛。筋脉挛缩。宜服虎骨浸酒方。
虎胫骨（五两涂酥炙令黄） 羚羊角屑（一两） 酸枣仁（一两微炒） 猪椒根（一两）
五加
皮（
皮（一两）
生
上件药。细锉。以生绢袋盛。用清酒一斗五升渍之。经七日后。每于食前。暖饮一盏。
治肝劳。或生长虫。恐畏不安。眼中赤脉。宜服此方。\x
鸡子（五枚去黄） 吴茱萸根（三两东引者锉捣为末） 蜡（三两） 粳米粉（一合）
上件药。将茱萸根末。与米粉和令匀。于铜器中。以鸡子及熔蜡和丸。如小豆大。每服
空腹
The origin of the Five Exhaustions (Wu Lao) lies in the dysfunction of the Zang-Fu organs. It governs the fluctuation between life and death, and triggers the deficiency or excess patterns of myriad diseases, disrupting Yin and Yang, and damaging Ying (Nutritive Qi) and Wei (Defensive Qi).
For Liver Exhaustion (Gan Lao) presenting with Deficient-Heat: redness and dryness of both eyes, mental restlessness and irritability, stagnation of hot qi, and a burning sensation in the chest. It is appropriate to administer Xie Gan Chu Re Chai Hu San (Bupleurum Powder for Draining the Liver and Removing Heat).
Ingredients: Chai Hu (Radix Bupleuri), Chi Fu Ling (Poria with Red Wood), Ling Yang Jiao (Cornu Saigae Tataricae), Xi Xin (Radix et Rhizoma Asari), Mai Men Dong (Radix Ophiopogonis).
Preparation and Administration: Pound the above ingredients and sieve them to make a powder. Take 4 qian per dose. Add 1 zhong zhan (approx. 200ml) of water and 14 leaves of Zhu Ye (Phyllostachys nigra) to the water. Decoct until one-third remains. Strain and take warm after meals.
For Liver Exhaustion presenting with Deficient-Cold, hypochondriac pain, abdominal distension, shortness of breath, lethargy, and loss of appetite. It is appropriate to administer Bie Jia San (Turtle Shell Powder).
Ingredients: Bie Jia (Carapax et Plastrum Testudinis), Wu Wei Zi (Fructus Schisandrae), Bing Lang (Areca Seed), Chi Fu Ling (Poria with Red Wood), Jie Geng (Radix Platycodi), [Text missing], Gan Cao (Radix Glycyrrhizae).
Preparation and Administration: Pound the above ingredients and sieve them to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens). Decoct until one-third remains. Strain and take warm before meals.
Dietary Restrictions: [Text missing].
For Liver Wind-Lao presenting with fullness in the hypochondrium, tendon and vessel tension, dyspnea, vexatious pain in the four limbs, unclear head and eyes, and bluish complexion. It is appropriate to administer Fang Feng San (Saposhnikovia Powder).
Ingredients: Fang Feng (Radix Saposhnikoviae), Xi Xin (Radix et Rhizoma Asari), Chi Fu Ling (Poria with Red Wood), Bai Zi Ren (Semen Biota Orientalis), Tao Ren (Semen Persicae), Gan Cao (Radix Glycyrrhizae).
Preparation and Administration: Pound the above ingredients coarsely and sieve them to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens). Decoct until one-third remains. Strain and take warm before meals.
For Liver Exhaustion presenting with Excess-Heat: irritability, mental instability, fearfulness, inability to sleep alone, blurred vision, and chest fullness. It is appropriate to administer Ban Xia San (Pinellia Powder).
Ingredients: Ban Xia (Rhizoma Pinelliae), Qian Hu (Radix Peucedani), Ren Shen (Radix Ginseng), Chi Shao Yao (Radix Paeoniae Rubra), Zhi Shi (Fructus Aurantii Immaturus).
Preparation and Administration: Pound the above ingredients coarsely and sieve them to make a powder. Take 3 qian per dose. Add 1 zhong zhan of water and half a fen of Sheng Jiang (Rhizoma Zingiberis Recens). Decoct until one-third remains. Strain and take warm on an empty stomach.
For Liver Exhaustion Heat presenting with fearfulness, mental unrest, depression and anger, inability to sleep alone, and confused will. It is appropriate to administer Bai Fu Ling Wan (White Poria Pill).
Ingredients: Bai Fu Ling (Poria), Bai Long Gu (Os Draconis), Yuan Zhi (Radix Polygalae), Fang Feng (Radix Saposhnikoviae), Ren Shen (Radix Ginseng).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with 2 liang of jujube paste and refined honey. Beat 300-200 times. Form pills the size of Sophora japonica seeds. Take daily on an empty stomach with congee broth.
For Liver Wind-Lao presenting with tendon and vessel tension, unclear head and eyes, cold pain in waist and knees, and emaciation of the four limbs. It is appropriate to administer Qiang Huo Wan (Notopterygium Pill).
Ingredients: Qiang Huo (Rhizoma Notopterygii), Fu Shen (Poria with Pine Root), Wu Jia Pi (Cortex Acanthopanacis), Lu Rong (Cornu Cervi Pantotrichum), Fang Feng (Radix Saposhnikoviae), [Text missing], Sheng Gan Di Huang (Radix Rehmanniae Preparata), Shan Zhu Yu (Fructus Corni).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with refined honey. Beat 300-500 times. Form pills the size of Sophora japonica seeds. Take 40 pills on an empty stomach with warm wine, and again before evening meal.
For Liver Wind-Lao presenting with vertigo, forgetfulness, sorrow and resentment, and yellowish-green complexion. It is appropriate to administer Sheng Gan Di Huang Wan (Raw Prepared Rehmannia Pill).
Ingredients: Sheng Gan Di Huang (Radix Rehmanniae Preparata), Fang Feng (Radix Saposhnikoviae), Shu Yu (Rhizoma Dioscoreae), Fu Shen (Poria with Pine Root), Shan Zhu Yu (Fructus Corni), Gui Xin (Cinnamomi Cortex).
Preparation and Administration: Pound the above ingredients into fine powder. Mix with refined honey. Beat 300-500 times. Form pills the size of Sophora japonica seeds. Take 20 pills before meals with warm wine.
For Liver Exhaustion presenting with joint pain and tendon contraction. It is appropriate to administer Hu Gu Jin Jiu (Tiger Bone Infused Wine).
Ingredients: Hu Jing Gu (Os Tibiae Tigridis), Ling Yang Jiao (Cornu Saigae Tataricae), Suan Zao Ren (Semen Ziziphi Spinosae), Zhu Jiao Gen (Radix Zanthoxyli), Wu Jia Pi (Cortex Acanthopanacis), [Text missing].
Preparation and Administration: Cut the ingredients finely. Place in a raw silk bag. Soak in 1.5 dou of clear wine for seven days. Warm and drink one zhan before meals.
For Liver Exhaustion accompanied by parasitic infestation, fearfulness, mental unrest, and red veins in the eyes. It is appropriate to administer this formula.
Ingredients: Ji Zi (Ovum Gallus Domesticum - egg white), Wu Zhu Yu Gen (Radix Evodiae), La (Cera Flava), Jing Mi Fen (Amylum Oryzae Glutinosi).
Preparation and Administration: Mix Wu Zhu Yu Gen powder with Jing Mi Fen evenly. In a copper vessel, mix with egg white and melted wax. Form pills the size of Phaseolus vulgaris seeds. Take on an empty stomach.