夫骨蒸 ，半卧半起之谓复连，内传五脏之谓尸注、劳注、虫注、热注、冷注、食注
、鬼注。疰者，注也。自上注下，与前人相似，故曰注，（注、疰皆蛀也，如虫之蛀，即谷飞为
虫之义也。注易之说本于巢氏，似为协。）言其变有二十二种，或三十六种，或九十八种，
令人沉沉默默，寒热盗汗，梦与鬼交，遗泄白浊，或腹中有块，或脑后两边有结核，咳嗽脓
血，下痢羸瘦，死而传注，甚至灭门。更有飞尸、遁尸、寒尸、丧尸、尸疰，谓之五尸。人
为其疰者，不自知所苦，虽有狸骨、獭肝、天灵盖等方，未尝效也。惟崔氏灸法，早用有济
。
若寒热自汗，面白目干，口苦，神昏，善恐，不能独卧，传在肝也。若寒热面黑，鼻燥
，善忘，大便秘泻，口舌生疮，传在心也。若寒热面青，唇黄，舌本硬强，言语不出，饮食无味
，羸瘦吐涎，传在脾也。若寒热面赤，鼻白，干燥毛折，咯嗽喘急，吐涎脓血，传在肺也。
若寒热面黄，耳焦，脚 酸痛，小便白浊遗沥，腹痛，传在肾也。以上陈临川先生，未有治
法。
立斋云∶前证诚然有之，故葛仙翁用獭肝一具，阴干，杵末，水下方寸匕，日三服，未
愈再服。宋宣和间，一法师善考讯鬼怪，时一妇以疾投状，既而如有鬼
祟所附曰∶非我为患，乃病患命自衰耳，渠今已成虫食肺，
故令吐血、声嘶。又屡讯彼所畏何物，云以獭爪为末，酒服之，则去矣。患家如其言，则愈
。獭爪即獭肝之类与？元珠云∶虫瘵多有互相传染，甚至绝户，此乃冤业相缠及风水所致，
虽有符文法水下虫之方，虫去而人亦亡。但能平素保养，或可希免。《救生微旨》云∶益气
补肺，益精补肾，皆资其化源也。盖人之精血常不足，加之数夺其精，资化失常，则胃气不
固，精气滑脱，不能上接阳气，故头重，或气弱食少，元气下陷，脉微外散欲绝而虚洪，或
见损脉，总属元气不足，非有外感贼邪之证也。
立斋尝治一妇，素勤苦，因丧子（肺病），饮食少思（脾病，）忽吐血甚多（心病）而自止，此后
每劳则吐数口。瘵症已具，形体甚倦。午前以补中益气汤滋其脾肺，午后以归脾汤养其心脾
，送地黄丸滋肾而愈。（肺病、脾病、心病六字原注。）
又一女子患前症，反其唇，视有白点，此虫蚀肺也。余曰∶急寻獭肝治之。不相信，果
咯脓而殁。反闻其兄弟三人皆夭于此症。大凡久嗽，当视其两唇，若上唇有点，虫蚀上部，下唇
有点，虫蚀下部。
Regarding bone-steaming (a consumptive disease characterized by heat sensation in the bones), the state of lying half-upright is called "Fu Lian" (Repeating Link). When the pathogenic factor transmits internally to the Five Zang Organs, it is referred to as Shi Zhu (Corpse Transmission), Lao Zhu (Consumptive Transmission), Chong Zhu (Worm Transmission), Re Zhu (Heat Transmission), Leng Zhu (Cold Transmission), Shi Zhu (Food Transmission), and Gui Zhu (Ghost Transmission). The term "Zhu" (Transmission) implies "Zhu" (to pour/transfer). The pathogenic qi transfers from above downwards, and the symptoms resemble those of previous sufferers, hence it is called "Zhu". (Note: Both Zhu and Diao imply a boring or corroding action, similar to insects boring into objects, which relates to the meaning of grain transforming into insects. The theory of transmission originates from Chao Yuanfang, which seems appropriate.) This refers to its variations, which may number twenty-two, thirty-six, or ninety-eight types, causing the patient to become listless and silent, experiencing alternating chills and fever, night sweats, dreams of sexual intercourse with ghosts, seminal emission with turbid urine, abdominal masses, or lymph node swellings on both sides of the back of the head, coughing up pus and blood, dysentery, emaciation, and even transmitting after death, potentially wiping out an entire family. There are also Fei Shi (Flying Corpse), Dun Shi (Escaping Corpse), Han Shi (Cold Corpse), Sang Shi (Dead Corpse), and Shi Zhu (Corpse Transmission), collectively known as the "Five Corpses." Those afflicted by this transmission do not realize their own suffering; although formulas using fox bone, otter liver, and human skull cap are employed, they have never been effective. Only Cui's moxibustion method, if applied early, can be beneficial.
If the presentation includes alternating chills and fever, spontaneous sweating, pale complexion, dry eyes, bitter taste in the mouth, mental confusion, excessive fearfulness, and inability to sleep alone, the transmission has reached the Liver. If it presents with alternating chills and fever, dark complexion, dry nose, forgetfulness, constipation or diarrhea, sores on the mouth and tongue, the transmission has reached the Heart. If it presents with alternating chills and fever, greenish complexion, yellow lips, stiff tongue root, aphasia, loss of appetite, emaciation, and drooling, the transmission has reached the Spleen. If it presents with alternating chills and fever, red complexion, white nasal color, dry and brittle hair, coughing up pus and blood, and wheezing, the transmission has reached the Lung. If it presents with alternating chills and fever, sallow complexion, scorched ears, soreness and pain in the legs, turbid urine with dribbling, and abdominal pain, the transmission has reached the Kidney. These descriptions are from Mr. Chen Linchuan, but no treatment methods were provided.
Xue Lizhai stated: The aforementioned conditions indeed exist. Therefore, Ge Xianweng used one whole otter liver, dried in the shade, pounded into powder, administered with water as one cubic inch spoonful, three times a day. If not cured, continue administration. During the Xuanhe era of the Song Dynasty, a monk skilled in interrogating spirits was consulted when a woman filed a complaint due to illness. Later, it seemed as if possessed by a spirit who said, "It is not me causing harm, but the patient's life force naturally declining. He has already become worms eating his lungs, thus causing hemoptysis and hoarseness." Upon repeatedly asking what the spirit feared, it replied that consuming powdered otter claws with wine would drive it away. The patient's family followed this advice, and she recovered. Are otter claws similar to otter liver? Yuanzhu stated: Worm consumption often spreads contagiously, even leading to the extinction of households, caused by karmic entanglement and wind-water factors. Although there are talismans and ritual waters to expel worms, once the worms are gone, the person also dies. However, if one maintains proper preservation and care, one might escape this fate. *Jiusheng Weizhi* states: Tonifying Qi and benefiting the Lung, tonifying Essence and benefiting the Kidney, all serve to nourish the source of transformation. Generally, human Essence and Blood are often insufficient; compounded by frequent depletion of Essence, the mechanism of transformation becomes abnormal. Consequently, Stomach Qi fails to consolidate, Essence and Qi slip and leak, failing to connect upward with Yang Qi. This results in heavy head, weak Qi, poor appetite, sinking of Yuan Qi, pulse appearing faint, scattered, nearly absent yet falsely full and large, or showing Sun pulses. All these belong to insufficiency of Yuan Qi, not evidence of external pathogenic thieves.
Xue Lizhai once treated a woman who was diligent and hardworking since youth. After losing her child (Lung disease), she had little desire for food (Spleen disease) and suddenly experienced severe hemoptysis (Heart disease) which stopped spontaneously. Afterwards, every time she exerted herself, she would cough up a few mouthfuls of blood. The consumptive symptoms were fully present, and her physical form was extremely fatigued. In the morning, she took Buzhong Yiqi Tang to nourish the Spleen and Lung; in the afternoon, she took Guipi Tang to nurture the Heart and Spleen, followed by Dihuang Wan to nourish the Kidneys, and she recovered. (The characters Lung disease, Spleen disease, Heart disease are original annotations.)
Another young woman suffered from the aforementioned condition, with her lips everted, revealing white spots upon observation, indicating worms eroding the Lung. I said: urgently seek otter liver for treatment. She did not believe it, and indeed died after coughing up pus. It was later heard that her three brothers also perished from this same condition. Generally, for chronic cough, one should observe the lips. If there are spots on the upper lip, it indicates worms eroding the upper part; if there are spots on the lower lip, it indicates worms eroding the lower part.