（杂证男女一也。此二卷方论，出女科书，多杂病书所遗，故存之耳。）
劳倦所伤，用补中益气汤证治，乃暴病也。失治而有发热、潮热、盗汗、咳嗽诸证
出焉，谓之虚劳。又复失治而有皮聚毛落，饮食不为肌肤，骨髓中热，经闭不行诸证出焉，
谓之瘵。骨蒸热至于传尸之疾，别自一种，其源不起于劳HT ，其流或至于灭门。余于杂病
首册，则既条分而备列矣。然男以精为主，女以血为主，其致病既殊，其施治亦异，故应
别着方法。而陈氏《良方》分劳瘵、骨蒸劳、血风劳、气虚风劳、冷劳、热劳、客热等门，
未免惑乱后人，靡所适从。今厘正如下，医者更参杂病虚劳、传尸劳二门而用之，则无
道少之患矣。
〔初病大法〕
〔《保》〕治妇人虚劳，《局方》中谓首尾六合，如大圣散、熟地黄丸，是治无热虚
劳也，中道药牡丹煎丸，空心食前，人参荆芥散临卧食后，是治有热虚劳也。
〔戴〕有病后血虚者，有本体血虚者。其人往来寒热，或五心发热，言语无力，面
色痿黄，头目昏晕，变生诸疾，芎归汤加羊肉少许；或十全大补汤、四物汤、养荣汤服
之；血虚而气旺者，宜抑气汤，即香附末。
增损四物汤 （《易简方》）治妇人气血不足，四肢惰怠，乏力少气。兼治产后下血过多，荣
冲虚损，阴阳不和，乍寒乍热。
当归 川芎 人参 干姜（炮） 甘草（炙） 白芍药（各等分）
上 咀，每服四钱，水一盏，煎至六分，去滓热服。
六神汤 （《御药院方》）治脾气不和，荣卫不足，怠惰困倦，不嗜饮食。服之补养真气，
进美饮食，充泽肌肤。
当归 熟地黄 白芍药 川芎 黄 地骨皮（各等分）
上为粗末，每服五钱，水一盏半，煎至八分，去滓，空心温服。
加减大建中汤 （《普济》）治妇人胎前产后一切虚损，月水不调，脐腹 痛，往来寒热，
自汗口干烦渴。
芍药（二两） 当归 川芎 黄 桂（各一两） 甘草（炙） 白术（各七钱半）
上为末，每服二钱半，水一盏半，姜枣煎六分，去滓温服，食前。
清气汤 （《普济》）治肌热骨瘦者，阴衰阳盛也。是气弱而血热，则外蒸肌肉，内蒸骨
髓，烦渴口干，颊赤头疼，饮食无味，心神惊悸，肢体酸疼，或时盗汗，或时咳嗽，或
月家断绝，或经极少，俗谓血劳，产后白蓐劳，及羸瘦之人，与清气汤、羊乳丸治之。
紫苏子 五味子 大腹子 枳壳 桑白皮（微炒） 菖蒲 地骨皮 白术 柴胡 秦艽
独活 干葛 甘草（炙，各等分）
上 咀，每服五钱，水一盏，入紫苏七片，乌梅一个，煎至七分，温服。
黄 散（一名防风汤） 治劳气食后身疼倦，夜间盗汗。此因失血，荣卫损也。
黄 （一两） 白芍药 防风 当归 干地黄（各七钱五分） 甘草（半两）
上 咀，每服五钱，水一盏，姜三片，枣一枚，煎至七分，去滓温服，食前。
四白散 治男子妇人血虚发热，夜多盗汗，不进饮食，四肢羸瘦，骨节拘挛，脚痛
不能行。
黄 浓朴 益智仁 藿香 白术 白扁豆 陈皮（各一两） 半夏 白茯苓 人参
白豆蔻仁 天台乌药 甘草（各半两） 京南芍药 檀香 沉香（各一两）
上为细末，每服四钱，水一盏，姜三片，枣一个，煎至七分，温服。
桔梗饮子 （《大全良方》）治心气不足，解劳倦，益血。
黄 人参 麦门冬 苦梗 甘草（各一两） 青皮（半两）
上为末，每服三钱，水一盏，煎至七分，温服。
如圣散 （《大全良方》）治妇人所禀血气不足，不耐寒暑，易冒疾伤，月水不调，久而
心虚，状若心劳，四肢倦怠，筋骨少力，盗汗易惊。或时不宁，五心烦热，肌肤不长，间
作头昏，饮食无味，胸膈不利。或产前产后受病，并可服之。
北柴胡 白茯苓 甘草 熟地黄 人参 当归（各一两） 鳖甲 胡黄连 沉香 知母
（各半两） 桑寄生 干葛（各七钱半）
上为细末，每服二钱，水一盏，乌梅一个，枣二枚，麦门冬数粒，煎至八分，服无时。
劫劳散 治心肾俱虚，劳嗽二三声，无痰。遇夜发热，热过即冷，时有盗汗，四肢
倦怠，体劣黄瘦，饮食减少，夜卧恍惚，神气不宁，睡多异梦。此药能治微嗽有唾，唾
中有红线，名曰肺痿，失治便成羸劣之疾。
白芍药（六两） 绵黄 （蜜炙，四两） 甘草（炙） 人参（去芦，酒洗） 当归（去芦）
半夏 白茯苓（去皮） 熟地黄（洗净，焙干） 五味子 阿胶（各二两，炒）
上 咀，每服三钱，水一盏，生姜七片，枣三枚，煎至九分，温服，无时，日三。
筒骨煎 （《大全良方》）治诸虚疾羸瘦乏力，腰背引痛，心烦喘嗽，唾脓呕血，顽涎壅盛，
睡卧有妨，胸满气促，夜多盗汗，发焦耳鸣，皮寒骨热，一切五劳七伤，骨蒸等候，并皆
疗治。
地骨皮 粉草 北柴胡 前胡 乌药 麻黄（不去节） 干葛 青蒿 苦梗 知母 天
仙藤 条黄芩（各一两） 人参 生干地黄 秦艽 鳖甲 黄 （各半两）
上 咀，每服三钱，水一盏，酒一分，猪筒骨一茎，炙焦，分为四服，桃柳枝各七寸，
杏仁五粒，去皮尖、捶碎，煎至七分，去滓温服。加乌梅半个尤妙。一方，加当归、芍药。
滋血汤 治妇人经候不通，或血聚肢体麻木，肌热身重，倦怠少力，将成劳瘵。不
可妄行破血，宜滋养润利。（见经闭。）
补中丸 （《余居士选方》）治妇人虚损诸疾。
白术 地黄（各一两） 川芎 白芍药 当归 黄 人参 陈皮（各半两）
上为细末，炼蜜丸如梧桐子大，每服五七十丸，温水下。
温中丸 （《普济》）治冲任虚损，血气亏伤，月水断续，来不应期，或多或少，腹中 痛
不实，寒热烦壅，咽燥舌干，心神松悸，头目眩晕，肢体倦怠，腰背引痛，筋脉拘急，带
下赤白，饮食进退，或发寒热。
生地黄 生姜（二味各一斤，切碎，各研取汁，将姜汁炒地黄滓，却将地黄汁炒生姜滓）
白芍药（二两） 人参（去芦） 蒲黄（炒） 当归（酒洗） 琥珀（另研） 白茯苓（去皮）
黄（蜜炙） 延胡索（炒） 麦门冬（去心） 乌梅肉（焙，各一两）
上为末，别用白艾叶一斤，水一斗，煎取浓汁，熬成膏，和前药丸如梧桐子大。每
服五十丸，温米饮下，空心食前。
人参丸 （《十便良方》）养阴生血补虚。
人参 鹿角胶（炒） 熟地黄 芍药 当归 白术 川芎（各等分）
上为末，炼蜜丸如梧桐子大。每服三十丸，空心米饮下。
秘方十补丸 治妇人诸虚百损，荣卫不调，形体羸瘦，面黄背倦，口苦舌干，心忪
多汗，血衰气盛，寒热往来，一切血崩带下，坠胎落孕，此药皆治。孕妇服之，尤有神效。
熟干地黄（净洗，酒浸蒸过，焙干，秤重四两） 肉苁蓉（酒浸，焙干） 人参
绵黄 （去芦，蜜炙） 川芎 当归（去芦，酒浸焙） 白芍药（洗） 白茯苓
白术（去芦，洗净炒，各二两） 甘草（炙，半两） 肉桂（一两，去皮）
上为细末，用好酒调山药末打糊为丸，如梧桐子大。每服六七十丸，食前米汤或温酒下。
五圣丸 调益荣卫，滋养气血。治冲任虚损，月水不调，脐腹 痛，崩中漏下，血
瘕块硬，发渴疼痛，妊娠宿冷，将理失宜，胎动不安，血下不止，及产后乘虚风寒内搏，恶
露不下，结生瘕聚，小腹坚痛，时作寒热。
当归 川芎 白芍药 熟干地黄（各一两） 生干地黄（二两）
上为细末，酒煮面糊为丸，如梧桐子大。每服六七十丸，食前温酒下。
七补丸 （《十便良方》）治妇人气血虚弱，冲任不和，腹中经结，状若怀孕，月候尚来，未
分经脉，宜服此方。
当归 芍药 川芎（各三分） 白芷 白术 熟地黄 阿胶（炒，各二分）
上为细末，炼蜜丸如梧桐子大。每服五六十丸。空心米饮下。
羊乳丸 治虚劳羸瘦。
秦艽 柴胡 地骨皮 山茱萸肉 黄 （蜜炙） 地黄（酒浸蒸过，各等分）
上为末，炼蜜丸如梧桐子大。每服五十丸，煎人参汤下，不拘时候，日进三服。
人参鳖甲丸 （《普济》）治妇人一切虚损，肌肉瘦瘁，盗汗心忪，咳嗽上气，经脉不调，
或作寒热，不思饮食。
杏仁（汤浸，去皮尖，炒） 人参 当归 赤芍药 甘草（炙） 柴胡 桔梗（去芦，各一两）
地骨皮 宣黄连（去须） 胡黄连（各七钱半） 肉桂（去粗皮） 木香（各半两） 麝香（另研，半钱）
鳖甲（一枚，重二两者，醋炙黄色）
上为细末，用青蒿一斤，研烂绞汁，童子小便五升，酒五升，同熬至二升，次入真
酥三两，白沙蜜三两，再熬成膏，冷方下众药末，搜和令匀，丸如梧桐子大。每服五十
丸，温酒送下，无时。
艾前丸 （东垣） 治妇人诸虚。
北艾叶 大当归（各二两） 香附子（四两）
上醋煮半日，焙干为末，再用醋煮糊丸，艾醋汤下。
味丸 （东垣） 补虚败。
黄 （四两，盐水浸，火炙） 北五味（二两）
上为末，秫米糊丸，空心盐酒下。
〔无热虚劳〕
〔大〕妇人冷劳，属血气不足，脏腑虚寒，以致脐下冷痛，手足时寒，月经失常，饮
食不消，或时呕吐，恶寒发热，骨节酸疼，肌肤羸瘦，面色痿黄也。
〔薛〕前证有内外真寒，然有内外真热，亦有内真热而外假寒者，又有内真寒而外假
热者。若饮食难化，大便不实，肠鸣腹痛，饮食畏寒，手足逆冷，面黄呕吐，畏见风寒，此
内外真寒之证也。宜用附子理中汤以回阳，八味地黄丸以壮火。若饮食如常，大便坚实，胸
腹痞胀，饮食喜冷，手足烦热，面赤呕吐，不畏风寒，此内外真热之证也。宜用黄连解毒
汤以消阳，六味丸以壮水。若饮食如常，大便坚实，胸腹痞胀，饮食喜寒，手足逆冷，面
黄呕吐，畏见风寒，此内真热而外假寒也。亦用解毒汤、六味丸。若饮食少思，大便不实，
吞酸嗳气，胸腹痞满，手足逆冷，面赤呕吐，畏见风寒，此内真寒而外假热也。亦用附子
理中汤与八味丸。当求其属而治之。经曰∶益火之源，以消阴翳，壮水之主，以制阳光。使
不知真水火之不足，泛以寒热药治之，则旧疾未去，新病复生矣。夫所谓属者，犹主也，
谓心肾也。求其属也者，言水火不足而求之于心肾也。火之源者，阳气之根，即心是也。
水之主者，阴气之根，即肾是也。非谓火为心，原为肝，水为肾，主为肺也。 一妇食
少作呕，口吐痰涎，面黄腹痛，月经不调，手足逆冷。此内外俱寒之证，以六君加附子、木
香治之而愈。一妇忽呕吐酸水，内热作渴，饮食不进，惟喜冷水，面色青赤，投之以药，
入口即吐。此内外真热之证，积十余日，以黄连一味，煎汤饮之。徐加白术、茯苓，仍
加陈皮、当归、炙甘草。至月余始进米饮稀粥，调理而愈。一妇内热作渴，大便秘结，
畏恶风寒，手足逆冷。此内真热而外假寒，先用黄连解毒汤，后用六味丸而愈。一妇初
患痰喘热渴，医以降火散气治之，肌日削而气日索，延至甲辰，木旺痰盛，身热口腐，腹
胀神昏，绝食几死，此虚热无火，投以壮水生土之剂，随服随效。越数岁夏初，坐则头
坠不能起视，卧则背冷觉风透体，烦热晕眩，咳呕痰涌，手足麻冷。此内真寒外假热之证
也，遂以大补姜附之剂投之，不三四服而大势已平，仍以前药加减而愈。
韩懋治其嫂年三十余，十八胎九殒八夭，会家难作，惊忧过甚，遂昏昏不省人事，口
唇舌皆疮，或至封喉，下部虚脱，白带如注。如此四十余日，或时少苏，至欲自缢，悲不
能堪。医或投凉剂解其上，则下部疾愈甚；或投热剂，及以汤药熏蒸其下，则热晕欲绝。此
亡阳证也，急以盐煮大附子九钱为君，制以薄荷、防风，佐以姜、桂、芎、归之属，水
煎入井，冰冷与之，未尽剂鼾睡通宵，觉即能识人。或曰∶此何谓也？曰∶方书有之，假
对假，真对真尔。上乃假热，故以假冷之药从之，下乃真冷，故以真热之药反之，斯上
下和而病解矣。续以女金丹错综以三二方，不但去其疾，且调治元气。无何，连生二子。（以
上论及治验，有无当于虚劳者，而实治寒热变通之大法，不可不察也。）
〔局〕大圣散 治妇人血海虚冷，久无子息，及产后败血冲心，中风口噤，子死腹
中，掰开口灌药，须臾生下，便得无恙。治坠胎腹中攻刺疼痛，横生逆产，胎衣不下，血
运血癖，血滞血崩，血入四肢，应血脏有患，及诸种风气。或伤寒吐逆咳嗽，寒热往来，遍
身生疮，头痛恶心，经脉不调，赤白带下，乳生恶气，胎脏虚冷，数曾坠胎，崩中不定，因
此成疾。室女经脉不通，并宜服之。常服暖子宫，和血气，悦颜色，退风冷，消除万病，
兼疗丈夫五劳七伤虚损等病。
泽兰叶 石膏（研，各二两） 卷柏（去根） 白茯苓（去皮） 防风（去芦） 浓朴（去
(The treatment principles for miscellaneous diseases in men and women are the same. The formulas and theories in these two volumes, although originating from gynecological texts, contain content omitted by many miscellaneous disease texts; therefore, they are preserved.)
Injuries caused by fatigue and overexertion are treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); this constitutes an acute onset of disease. If mismanaged, symptoms such as fever, tidal fever, night sweats, and cough may arise, which is termed Xu Lao (Deficiency Consumption). If further mismanaged, symptoms such as dry skin and falling hair, inability of food to transform into muscle tissue, heat in the bone marrow, and amenorrhea may appear, which is termed Zhai (Tuberculous Disease). Bone-steaming fever progressing to Chuan Shi Lao (Transmissible Consumption) represents a distinct category; its origin does not lie in fatigue, but its progression can lead to familial extinction. I have already detailed and listed these in the first volume of miscellaneous diseases. However, since men primarily govern Jing (Essence) and women primarily govern Xue (Blood), the causes of disease differ, and thus treatments must also differ; therefore, specific methods should be established separately. Chen's *Liangfang* (Excellent Prescriptions) categorizes Lao Zhai, Gu Zheng Lao, Xue Feng Lao, Qi Xu Feng Lao, Leng Lao, Re Lao, and Ke Re into separate sections, which inevitably confuses later practitioners, leaving them without a clear direction. These are now corrected as follows. Physicians should refer to the Xu Lao and Chuan Shi Lao sections in miscellaneous diseases when applying these, thereby avoiding omissions.
[Principles for Early-Stage Disease]
[Bao Ming Ji] In treating female Xu Lao, Ju Fang states there are six formulas used throughout the course of treatment. For example, Da Sheng San and Shu Di Huang Wan are used to treat Xu Lao without heat; midway through treatment, Mu Dan Jian Wan is administered on an empty stomach before meals, and Ren Shen Jing Jie San is taken after meals before sleep to treat Xu Lao with heat.
[Dai Yuanli] There are cases of blood deficiency following illness and cases of constitutional blood deficiency. Patients present with alternating chills and fever, or heat in the five centers (palms, soles, and chest), weakness in speech, sallow complexion, dizziness, and various other ailments. Use Xiong Gui Tang (Szechwan Lovage and Angelica Decoction) with a small amount of mutton; or administer Shiquan Dabu Tang (Ten Significant Tonifying Decoction), Siwu Tang (Four Substances Decoction), or Yangrong Tang (Nourish the Ying Decoction). For those with blood deficiency but vigorous Qi, Yi Qi Tang (Suppress Qi Decoction), consisting of Cyperi Rhizoma powder, is appropriate.
Zengsun Siwu Tang (Modified Four Substances Decoction) [Yijian Fang]: Treats female Qi and Blood insufficiency, leading to lethargy in the four limbs, fatigue, and shortness of breath. Also treats excessive postpartum bleeding, damage to the Ying and Chong vessels, disharmony of Yin and Yang, and alternating chills and fever.
Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Ginseng Radix (Renshen), Zingiberis Rhizoma Preparatum (Ganjiang - prepared), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Paeoniae Radix Alba (Baishao) (equal parts).
Cut into pieces. Take 4 qian per dose, decoct with one sheng of water until reduced to 6 fen, remove dregs, and take hot.
Liushen Tang (Six Spirits Decoction) [Yuyao Yuanfang]: Treats spleen Qi disharmony, insufficient Ying and Wei, lethargy, fatigue, and poor appetite. It tonifies True Qi, improves diet, and nourishes the skin.
Angelicae Sinensis Radix (Danggui), Rehmanniae Radix Preparata (Shudihuang), Paeoniae Radix Alba (Baishao), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Astragali Membranacei Radix (Huangqi), Lycii Cortex (Digupi) (equal parts).
Make into coarse powder. Take 5 qian per dose, decoct with 1.5 sheng of water until reduced to 8 fen, remove dregs, and take warm on an empty stomach.
Jiajian Dajianzhong Tang (Modified Great Construct the Middle Decoction) [Puji Fang]: Treats all deficiencies before and after childbirth in women, irregular menstruation, umbilical and abdominal pain, alternating chills and fever, spontaneous sweating, dry mouth, and irritability/thirst.
Paeoniae Radix (2 liang), Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Astragali Membranacei Radix (Huangqi), Cinnamomi Ramulus (Guizhi) (each 1 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Atractylodis Macrocephalae Rhizoma (Baizhu) (each 7.5 qian).
Grind into powder. Take 2.5 qian per dose, decoct with 1.5 sheng of water plus ginger and jujube until reduced to 6 fen, remove dregs, and take warm before meals.
Qingqi Tang (Clear Qi Decoction) [Puji Fang]: Treats muscular heat and emaciation, indicating Yin deficiency and Yang excess. This condition involves weak Qi and hot Blood, causing external steaming of muscles and internal steaming of bone marrow, resulting in irritability, thirst, dry mouth, red cheeks, headache, loss of taste, palpitations, limb soreness, occasional night sweats, occasional cough, amenorrhea, or very scant menstruation. Commonly known as Xue Lao (Blood Consumption), postpartum Bai Ru Lao, and emaciation in thin individuals; treat with Qingqi Tang and Yangru Wan.
Perillae Fructus (Zisuzi), Schisandrae Fructus (Wuweizi), Arecae Semen (Dafuzi), Aurantii Fructus (Zhiqiao), Morus Cortex (Sangbaipi - lightly fried), Acori Tatarinowii Rhizoma (Changpu), Lycii Cortex (Digupi), Atractylodis Macrocephalae Rhizoma (Baizhu), Bupleuri Radix (Chaihu), Gentianae Macrophyllae Radix (Qinjiao), Angelicae Pubescentis Radix (Duohuo), Puerariae Radix (Gegen), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried) (equal parts).
Cut into pieces. Take 5 qian per dose, decoct with one sheng of water, add seven slices of Perilla folium and one Mume Fructus, boil until reduced to 7 fen, and take warm.
Huangqi San (Astragalus Powder, also known as Fangfeng Tang): Treats body pain and fatigue after eating due to Labor Qi, and night sweats. This results from blood loss damaging Ying and Wei.
Astragali Membranacei Radix (Huangqi) (1 liang), Paeoniae Radix Alba (Baishao), Saposhnikoviae Radix (Fangfeng), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix (Di Huang) (each 7.5 qian), Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 liang).
Cut into pieces. Take 5 qian per dose, decoct with one sheng of water, three slices of ginger, and one jujube, boil until reduced to 7 fen, remove dregs, and take warm before meals.
Sibai San (Four Whites Powder): Treats blood deficiency fever in men and women, frequent night sweats, loss of appetite, emaciation of the four limbs, joint contracture, and foot pain preventing walking.
Astragali Membranacei Radix (Huangqi), Magnoliae Officinalis Cortex (Houpo), Alpiniae Oxyphyllae Fructus (Yizhiren), Agastache Herba (Huoxiang), Atractylodis Macrocephalae Rhizoma (Baizhu), Dolichos Lablab Semen Album (Baibiandou), Citri Reticulatae Pericarpium (Chenpi) (each 1 liang), Pinelliae Rhizoma (Banxia), Poria (Fuling), Ginseng Radix (Renshen), Amomi Fructus Rotundus (Baidoukouren), Lardizablae Seed (Tiantai Wuyao), Glycyrrhizae Radix et Rhizoma (Gancao) (each 0.5 liang), Paeoniae Radix Rubra (Jingshaoyao), Santalum Album (Tanxiang), Aquilariae Lignum Resinatum (Chenxiang) (each 1 liang).
Grind into fine powder. Take 4 qian per dose, decoct with one sheng of water, three slices of ginger, and one jujube, boil until reduced to 7 fen, and take warm.
Jiegeng Yinzi (Platycodon Infusion) [Daquan Liangfang]: Treats insufficient Heart Qi, relieves fatigue, and benefits Blood.
Astragali Membranacei Radix (Huangqi), Ginseng Radix (Renshen), Ophiopogonis Tuber (Maimendong), Platycodonis Radix (Kugeng), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 liang), Citri Reticulatae Pericarpium (Qingpi) (0.5 liang).
Grind into powder. Take 3 qian per dose, decoct with one sheng of water until reduced to 7 fen, and take warm.
Rusheng San (Like-Saint Powder) [Daquan Liangfang]: Treats women with congenital insufficiency of Qi and Blood, intolerance to cold and heat, susceptibility to injury, irregular menstruation, long-term Heart deficiency resembling Heart labor, limb fatigue, weak sinews and bones, night sweats, and easy fright. Occasional restlessness, heat in the five centers, lack of flesh on skin, intermittent dizziness, loss of taste, and chest diaphragm discomfort. Applicable for illnesses contracted before or after childbirth.
Bupleuri Radix (Chaichaihu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Rehmanniae Radix Preparata (Shudihuang), Ginseng Radix (Renshen), Angelicae Sinensis Radix (Danggui) (each 1 liang), Testudinis et Carapax et Plastrum (Biejia), Scutellariae Barbatae Herba (Huhuanglian), Aquilariae Lignum Resinatum (Chenxiang), Anemarrhenae Rhizoma (Zhimu) (each 0.5 liang), Taxilli Herba (Sangjisheng), Puerariae Radix (Gegen) (each 7.5 qian).
Grind into fine powder. Take 2 qian per dose, decoct with one sheng of water, one Mume Fructus, two jujubes, and several Ophiopogonis Tubers, boil until reduced to 8 fen, and take at any time.
Jielao San (Seize Labor Powder): Treats simultaneous deficiency of Heart and Kidney, labor-induced coughing (2-3 times) without phlegm. Fever at night, followed by cold once the fever subsides, occasional night sweats, limb fatigue, weak sallow emaciation, reduced diet, vague sleep, restless spirit, vivid dreams. This medicine treats mild cough with sputum containing red threads, named Fei Wei (Lung Atrophy); if mismanaged, it becomes a debilitating disease.
Paeoniae Radix Alba (Baishao) (6 liang), Astragali Membranacei Radix (Mian Huangqi - honey-fried) (4 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Ginseng Radix (Renshen - remove rhizome, wash with wine), Angelicae Sinensis Radix (Danggui - remove rhizome), Pinelliae Rhizoma (Banxia), Poria (Fuling - peel), Rehmanniae Radix Preparata (Shudihuang - wash clean, bake dry), Schisandrae Fructus (Wuweizi), Ecolae (Ejiao) (each 2 liang, stir-fried).
Cut into pieces. Take 3 qian per dose, decoct with one sheng of water, seven slices of ginger, and three jujubes, boil until reduced to 9 fen, take warm at any time, three times daily.
Tonggu Jian (Bone Marrow Decoction) [Daquan Liangfang]: Treats various deficiency diseases with emaciation and fatigue, pulling pain in waist and back, vexation, panting, cough, vomiting pus and blood, accumulation of stubborn phlegm, disturbed sleep, chest fullness, shortness of breath, frequent night sweats, dry brittle hair, tinnitus, cold skin and hot bones. Treats all Five Labors and Seven Injuries, bone-steaming conditions, etc.
Lycii Cortex (Digupi), Glycyrrhizae Radix et Rhizoma (Fengcao), Bupleuri Radix (Beichaichaihu), Peucedani Radix (Qianhu), Linderae Radix (Wuyao), Ephedrae Herba (Mahuang - do not remove joints), Puerariae Radix (Gegen), Artemisiae Annuae Herba (Qinghao), Platycodonis Radix (Kugeng), Anemarrhenae Rhizoma (Zhimu), Aristolochiae Caulis (Tianxianteng), Scutellariae Radix (Tiaohuangqin) (each 1 liang), Ginseng Radix (Renshen), Rehmanniae Radix Recens (Sheng Di Huang), Gentianae Macrophyllae Radix (Qinjiao), Testudinis et Carapax et Plastrum (Biejia), Astragali Membranacei Radix (Huangqi) (each 0.5 liang).
Cut into pieces. Take 3 qian per dose, decoct with one sheng of water, one fen of wine, one pig spinal bone (roasted until charred, divided into four doses), seven-inch branches of peach and willow, and five apricot kernels (peeled, cored, crushed). Boil until reduced to 7 fen, remove dregs, and take warm. Adding half a Mume Fructus is excellent. Another prescription adds Angelicae Sinensis Radix and Paeoniae Radix.
Zixue Tang (Nourish Blood Decoction): Treats blocked menstruation in women, or numbness in limbs due to blood stasis, muscular heat, heavy body, fatigue, and weakness, potentially developing into Lao Zhai. Do not recklessly use blood-breaking herbs; instead, nourish and moisten. (See Amenorrhea.)
Buzhong Wan (Tonify Middle Pill) [Yu Jushi Xuanfang]: Treats various deficiency diseases in women.
Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix (Dihuang) (each 1 liang), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Angelicae Sinensis Radix (Danggui), Astragali Membranacei Radix (Huangqi), Ginseng Radix (Renshen), Citri Reticulatae Pericarpium (Chenpi) (each 0.5 liang).
Grind into fine powder, make pills with refined honey like wutong seeds. Take 50-70 pills per dose with warm water.
Wenzhong Wan (Warm Middle Pill) [Puji Fang]: Treats deficiency and damage to Chong and Ren vessels,亏损 of Qi and Blood, interrupted menstruation, irregular timing, varying amounts, dull abdominal pain, alternating chills and fever, vexation and fullness, dry throat and tongue, palpitations, dizziness, limb fatigue, pulling pain in waist and back, tendon contraction, leukorrhea (red and white), fluctuating appetite, or alternating chills and fever.
Rehmanniae Radix Recens (Sheng Dihuang), Zingiberis Rhizoma Recens (Shengjiang) (each 1 jin, chopped, juiced separately; stir-fry Dreg of Rehmanniae with Juice of Ginger, then stir-fry Dreg of Ginger with Juice of Rehmanniae), Paeoniae Radix Alba (Baishao) (2 liang), Ginseng Radix (Renshen - remove rhizome), Pteridis Spora (Puhuang - stir-fried), Angelicae Sinensis Radix (Danggui - wash with wine), Electuari Amber (Hupo - grind separately), Poria (Fuling - peel), Astragali Membranacei Radix (Huangqi - honey-fried), Corydalis Rhizoma (Yanhusuo - stir-fried), Ophiopogonis Tuber (Maimendong - remove heart), Mume Fructus Flesh (Wumei Rou - baked) (each 1 liang).
Grind into powder. Separately decoct 1 jin of Artemisia argyi Folium (Aiye) in 1 dou of water to obtain thick juice, boil down to paste, mix with the powder to make pills like wutong seeds. Take 50 pills per dose with warm rice drink on an empty stomach before meals.
Renshen Wan (Ginseng Pill) [Shibian Liangfang]: Nourishes Yin, generates Blood, and tonifies deficiency.
Ginseng Radix (Renshen), Cornu Cervi Colla Preparatum (Lu Jiao Jiao - stir-fried), Rehmanniae Radix Preparata (Shudihuang), Paeoniae Radix (Shaoyao), Angelicae Sinensis Radix (Danggui), Atractylodis Macrocephalae Rhizoma (Baizhu), Ligusticum Chuanxiong Rhizoma (Chuanxiong) (equal parts).
Grind into powder, make pills with refined honey like wutong seeds. Take 30 pills per dose with rice drink on an empty stomach.
Mifang Shibu Wan (Secret Formula Ten Tonics Pill): Treats various deficiencies and hundred damages in women, disharmony of Ying and Wei, emaciation, sallow face and tired back, bitter taste, dry tongue, palpitations, excessive sweating, blood deficiency with vigorous Qi, alternating chills and fever, all types of metrorrhagia and leukorrhea, miscarriage, and abortion. This medicine treats all these conditions. Especially effective for pregnant women.
Prepared Rehmanniae Radix (Shu Dihuang - washed, soaked in wine, steamed, baked dry, weighed 4 liang), Cistanche Deserticolae Caulis (Roucongrong - soaked in wine, baked dry), Ginseng Radix (Renshen), Astragali Membranacei Radix (Mian Huangqi - remove rhizome, honey-fried), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui - remove rhizome, soak in wine, bake dry), Paeoniae Radix Alba (Baishao - wash), Poria (Fuling), Atractylodis Macrocephalae Rhizoma (Baizhu - remove rhizome, wash, stir-fry) (each 2 liang), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried) (0.5 liang), Cinnamomi Cortex (Rougui) (1 liang, remove bark).
Grind into fine powder. Mix with Yam powder using good wine to form a paste for pills, like wutong seeds. Take 60-70 pills per dose before meals with rice soup or warm wine.
Wusheng Wan (Five Saints Pill): Harmonizes Ying and Wei, nourishes Qi and Blood. Treats deficiency of Chong and Ren, irregular menstruation, umbilical/abdominal pain, metrorrhagia and dripping, blood masses hard to touch, thirst and pain, chronic cold in pregnancy, improper care, restless fetus, continuous bleeding, and postpartum invasion of wind-cold due to deficiency, lochia retention, formation of masses, lower abdominal hardness/pain, and alternating chills/fever.
Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Alba (Baishao), Prepared Rehmanniae Radix (Shu Dihuang) (each 1 liang), Raw Rehmanniae Radix (Sheng Dihuang) (2 liang).
Grind into powder. Make pills with flour paste boiled in wine, like wutong seeds. Take 60-70 pills per dose before meals with warm wine.
Qibu Wan (Seven Tonics Pill) [Shibian Liangfang]: Treats female Qi and Blood weakness, disharmony of Chong and Ren, menstrual knots in abdomen resembling pregnancy, menstruation not yet arrived, meridians undivided. Suitable to take this formula.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix (Shaoyao), Ligusticum Chuanxiong Rhizoma (Chuanxiong) (each 3 fen), Angelicae Dahuricae Radix (Baizhi), Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix Preparata (Shudihuang), Ecolae (Ejiao - stir-fried) (each 2 fen).
Grind into powder, make pills with refined honey like wutong seeds. Take 50-60 pills per dose with rice drink on an empty stomach.
Yangru Wan (Sheep Milk Pill): Treats Xu Lao and emaciation.
Gentianae Macrophyllae Radix (Qinjiao), Bupleuri Radix (Chaichaihu), Lycii Cortex (Digupi), Corni Fructus (Shanzhuyu Rou), Astragali Membranacei Radix (Huangqi - honey-fried), Rehmanniae Radix (Dihuang - soaked in wine, steamed) (equal parts).
Grind into powder, make pills with refined honey like wutong seeds. Take 50 pills per dose with Ginseng decoction, anytime, three times daily.
Renshen Biejia Wan (Ginseng and Turtle Shell Pill) [Puji Fang]: Treats all deficiencies in women, emaciated muscles, night sweats, palpitations, cough with rebellious Qi, irregular menstruation, or alternating chills/fever, loss of appetite.
Prunus Armeniaca Semen (Xingren - soak in water, remove skin and tips, stir-fry), Ginseng Radix (Renshen), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Rubra (Chishaoyao), Glycyrrhizae Radix et Rhizoma Preparatum (Gancao - honey-fried), Bupleuri Radix (Chaichaihu), Platycodonis Radix (Jiegeng - remove rhizome) (each 1 liang), Lycii Cortex (Digupi), Isodontiae Radix (Xuan Huanglian - remove whiskers), Scutellariae Barbatae Herba (Huhuanglian) (each 7.5 qian), Cinnamomi Cortex (Rougui - remove rough bark), Aucklandiae Radix (Muxiang) (each 0.5 liang), Moschus (Shexiang - grind separately) (0.5 qian), Testudinis et Carapax et Plastrum (Biejia) (one piece, weighing 2 liang, vinegar-roasted to yellow).
Grind into fine powder. Use 1 jin of Artemisia annua Herba (Qinghao), crush and squeeze juice. Combine with 5 sheng of urine from an uncircumcised boy and 5 sheng of wine. Simmer until reduced to 2 sheng. Add 3 liang of real butter (Su) and 3 liang of white sand honey, simmer again into a paste. Only after cooling, add the herbal powders, mix evenly, and make pills like wutong seeds. Take 50 pills per dose with warm wine, anytime.
Ai Qian Wan (Artemisia and Cyperus Pill) [Dongyuan]: Treats various deficiencies in women.
Artemisia argyi Folium (Bei Aiye), Large Angelicae Sinensis Radix (Da Danggui) (each 2 liang), Cyperi Rhizoma (Xiangfu) (4 liang).
Boil in vinegar for half a day, bake dry, grind into powder. Make pills with vinegar paste. Take with Armoise-Vinegar decoction.
Wuwei Wan (Five Flavor Pill) [Dongyuan]: Tonifies deficiency and defeats decay.
Astragali Membranacei Radix (Huangqi) (4 liang, soak in salt water, roast over fire), Schisandrae Fructus (Beiwuweizi) (2 liang).
Grind into powder, make pills with millet paste. Take with salt wine on an empty stomach.
[Xu Lao Without Heat]
[Li Gao] Female Leng Lao (Cold Consumption) belongs to insufficiency of Qi and Blood, deficiency-cold of Zang-Fu, leading to cold pain below the umbilicus, cold hands and feet, irregular menstruation, indigestion, occasional vomiting, aversion to cold with fever, joint soreness, emaciated skin, and sallow complexion.
[Xue Ji] The aforementioned symptoms include true cold internally and externally, but there are also true heat internally and externally, true heat internally with false cold externally, and true cold internally with false heat externally. If digestion is difficult, stool is loose, borborygmus and abdominal pain occur, food is feared as cold, hands and feet are reversed cold, face is sallow, vomiting occurs, and wind-cold is feared, this is true cold internally and externally. Use Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) to restore Yang, and Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) to strengthen Fire. If diet is normal, stool is firm, chest/abdomen are distended, food is preferred cold, hands/feet are vexed-hot, face is red, vomiting occurs, and wind-cold is not feared, this is true heat internally and externally. Use Huanglian Jiedu Tang (Coptis Detoxification Decoction) to eliminate Yang, and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to strengthen Water. If diet is normal, stool is firm, chest/abdomen are distended, food is preferred cold, hands/feet are reversed cold, face is sallow, vomiting occurs, and wind-cold is feared, this is true heat internally with false cold externally. Also use Jiedu Tang and Liuwei Wan. If appetite is low, stool is loose, acid regurgitation and belching occur, chest/abdomen are full, hands/feet are reversed cold, face is red, vomiting occurs, and wind-cold is feared, this is true cold internally with false heat externally. Also use Fuzi Lizhong Tang and Bawei Wan. Seek the root cause to treat. The Classic says: "Benefit the source of Fire to dissipate Yin shadows; strengthen the master of Water to control Solar flare." If one does not understand the insufficiency of True Water and Fire, and indiscriminately uses cold/hot medicines, old diseases will not leave, and new ones will arise. "Shu" refers to the Master, i.e., Heart and Kidney. Seeking Shu means seeking Heart and Kidney for Water/Fire insufficiency. Source of Fire is the root of Yang Qi, which is the Heart. Master of Water is the root of Yin Qi, which is the Kidney. It does not mean Fire is Heart, Origin is Liver, Water is Kidney, Master is Lung. One woman ate little, vomited, spat phlegm, had sallow face, abdominal pain, irregular menstruation, and reversed cold hands/feet. This was true cold internally and externally; treated with Liujun Zi Tang (Six Gentlemen Decoction) plus Fuzi and Muxiang, cured. One woman suddenly vomited sour water, felt internal heat and thirst, refused food, desired only cold water, had green-red face, and rejected medicine immediately upon entry. This was true heat internally and externally. After ten days, she drank a decoction of single Huanglian. Gradually added Baizhu, Fuling, Chenpi, Danggui, and Gancao. After a month, she could consume rice water/congee, and recovered with regulation. One woman had internal heat/thirst, constipation, fear of wind-cold, and reversed cold hands/feet. This was true heat internally with false cold externally. First treated with Huanglian Jiedu Tang, then Liuwei Dihuang Wan, cured. One woman initially suffered from phlegm-panting, heat, and thirst. Doctors used Fire-descending and Qi-scattering methods, causing daily emaciation and Qi depletion. By Jiachen year, Wood was vigorous, Phlegm abundant, body hot, mouth rotting, abdominal distension, coma, near death from starvation. This was deficiency-heat without Fire; treated with formulas strengthening Water to generate Earth, effective immediately. Years later, early summer, head drooped when sitting, back felt cold/windy when lying, vexed heat/dizziness, cough/vomit/phlegm, numb/cold hands/feet. This was true cold internally with false heat externally. Administered large tonifying Jiang/Fu formulas. Within 3-4 doses, major symptoms subsided; continued with modified previous prescription, cured.
Han Mao treated his sister-in-law, 30+ years old, who had 18 pregnancies, 9 losses, 8 stillbirths/infant deaths. During a family crisis, excessive shock and worry led to unconsciousness, ulcers on lips/tongue/throat, lower body collapse, profuse leukorrhea. For 40+ days, occasionally conscious, suicidal despair. Doctors cooling the upper body worsened lower symptoms; heating the lower body caused fainting. This was Wang Yang (Collapse of Yang). Urgently used Yan Zhu Da Fuzi (Salt-boiled Large Aconite) 9 qian as sovereign, paired with Bohe and Fangfeng, assisted by Jiang, Gui, Xiong, Dang. Decocted, cooled in well water, and given. Before finishing the dose, she slept soundly all night and recognized people upon waking. Asked why? Answered: Formulas state "False against False, True against True." Upper is false heat, so use false cold medicine to follow it; Lower is true cold, so use true heat medicine to oppose it. Thus upper/lower harmonized and disease resolved. Followed with Nv Jin Dan combining 2-3 formulas, removing disease and regulating Yuan Qi. Soon, gave birth to two sons. (The above discussions and verified treatments may or may not directly correspond to Xu Lao, but they represent the great principles of treating cold/heat variations, which must be examined.)
[Ju Fang] Da Sheng San: Treats female Xue Hai (Blood Sea) deficiency-cold, infertility, postpartum敗血 (rotten blood) rushing to Heart, stroke with jaw lock, dead fetus in womb. Force open mouth, pour medicine, deliver quickly, safe. Treats miscarriage stabbing pain, malposition, retained placenta, blood syncope/stasis, hemorrhage, blood entering limbs, blood organ disorders, wind pathogens. Or Shanghan vomiting/cough, alternating chills/fever, body sores, headache/nausea, irregular menstruation, leukorrhea, breast odor, uterine cold, repeated miscarriages, unstable metrorrhagia, resulting illness. Virgin amenorrhea. All suitable. Regular use warms uterus, harmonizes Qi/Blood, beautifies complexion, dispels wind-cold, eliminates myriad diseases, also treats male Five Labors/Seven Injuries deficiencies.
Agrimoniae Herba (Zelan Ye), Gypsum Fibrosum (Shigao - ground) (each 2 liang), Serissae Herba (Juanbai - remove roots), Poria (Fuling - peel), Saposhnikoviae Radix (Fangfeng - remove rhizome), Magnoliae Officinalis Cortex (Houpo - remove