（附论）
夫骨蒸 。复连尸疰、劳疰、虫疰、毒疰、热疰、冷疰、食疰、鬼疰等。皆曰传尸。
以
大略令人寒热盗汗。梦与鬼交。遗泄白浊。发干而耸。或腹中有块。或脑后两边有小结核。
或聚或散。沈沉默默。咳嗽痰涎。或吐脓血。如肺痿肺痈状。或下痢羸瘦。困乏不自胜持。
积月累年。以至于死。死后乃疰易旁人。乃至灭门者是也。更有蜚尸、寒尸、丧尸、尸疰等
。谓之五尸。乃大小附着等证。不的之其所苦无处不思以三因攻之。内非七情所忤。外非四
气所袭。虫苦丽乎不内。奈其证多端。传变迁移。难以推测。故自古及今。愈此病者十不保
一。所谓狸骨、獭肝、天灵盖等方。古有其说。未尝见效。唯善自保摄。乃能绝其病之源。
不
不
生
吐涎沫。其传在脾也。病者憎寒发热。面赤鼻白。干燥毛折。咯嗽喘急。吐涎脓血。其传在
肺也。病者憎寒发热。面黄耳叶焦枯。脚 酸痛。小便白浊。遗沥腹痛。其传在肾也。所谓
劳蒸者二十四种。随证皆可考寻。毛折发焦。肌肤甲错。其蒸在皮。外人觉热。自反恶寒。
身振肉 。其蒸在肉。发焦鼻衄。或复尿血。其蒸在血。身热烦躁。痛如针刺。其蒸在脉。
爪
其
中脘与膻中烦闷。其蒸在三焦。小便赤黄。凝浊如膏。其蒸在膀胱。传道不均。或秘或泄。
腹中雷鸣。其蒸在小肠。大腹隐痛。口舌干疼。其蒸在大肠。口鼻干燥。腹胀自汗。睡卧不
安。其蒸在胃。口苦耳聋。两胁下痛。其蒸在胆。里急后重。肛门涩秘。其蒸在回肠小腹
痛。筋脉纵缓。阴器自强。其蒸在宗筋。泪下眩晕。躁怒不常。其蒸在肝。舌焦黑气短。烦
闷洒洒淅淅。其蒸在心。唇干口疮。胸腹胀闷。畏寒不食。其蒸在脾。咳嗽喘满。咯痰吐血。
声嘶音哑。其蒸在肺。耳叶焦枯。香港脚酸疼。起居不得。其蒸在肾。情
白物绵绵而下。其蒸在右肾。心主胞络。心膈噎塞。攻击疼痛。俯仰烦
虽不同。其根多有虫啮其心肺。治之不可不绝其根也。内经曰。有病胸
病至则先闻腥臊臭。出清液。先吐血。四肢清目肿。时时前后血。病名
血。若醉入房中。气竭肝伤。故月事衰少不来也。夫肝脏血。受天乙之
经上贯膈布胁肋。今脱血失精。肝气已逆。故血枯涸而不荣。胸胁支满
妨于食。以肝病传于脾胃。病至则先闻腥臊臭。出清液。以肝病肺乘之
目眩。时时前后血。皆肝病血枯之证也。
方
河车丸（出大全良方）治劳嗽。一切劳瘵。虚损骨蒸等疾。
河车（一枚初生男子者尤良。长流水中荡洗血净。入锅熟煮炒。手辟手成小片焙干。须
在一日内更KT 成末。才经宿。即不干KT 。不成末矣。本草方于内治疗病瘵病。胞衣飘
生者尤佳。旺血气。羸瘦妇人。劳损面 皮黑。腹内诸病。渐渐瘦弱者。以五味和之。如其
治法与服之。勿令病者知。亦治天行热病之效。胞衣埋地中七八年。化成水。澄清如真水。
南方之人。以甘草、升麻诸和药罗盛埋之。三五年拨之此为药服。） 雪白茯苓（半两） 干
山药（一两） 拣参（一两） 上为细末。面糊为丸。如梧桐子大。以少麝香末为衣。每服
三五十丸。米饮
苁蓉丸 治妇人胸胁支满。闻腥臊气吐血。目眩不能饮食。泄血不已。日久血枯。
苁蓉（酒浸） 熟地黄 白茯苓 菟丝子（制） 附子（炮） 当归（炒） 白石英（研）
五味子（
炼蜜为丸。如
掌中金丸（出拔萃方）治妇人干血气。
穿山甲（炮） 甘草 苦丁香 川椒 苦葶苈 白附子 草乌头 猪牙皂角（各二钱） 巴
豆（
即白
肉苁蓉丸 治妇人胸胁支满。闻腥臊气唾血。目眩。不进饮食。泄血不已。日久使
血枯燥。
肉苁蓉（酒浸切焙） 熟地黄（焙） 白茯苓（去皮各一两） 菟丝子（酒浸别为末一
两半） 白石
如梧桐子大。每服
二次调下件药味。
朱砂（半两） 小槟榔（半两） 麝香（半两） 上三味。研令极细。分为二服。用汤
使调下。五
若黑色。
则
劳
慢
十五方。随证治之。不可以概用药。调治。三五个月。再服此取虫药。则永除根本。如取下
虫色已黑。纵服后药。亦无补也。然尚能使不传他人也。
养正膏（出大全良方）治传尸出汗。取虫避邪。
鳖甲（一两醋炙） 青蒿（一握） 淡豆豉（三七粒） 葱白（二茎） 安息香（一分
研） 桃柳桑（
隔夜。以水一
升。
将所煎
汗出后
大灵明月丹 治传尸。
雄黄 木香（各半两） 轻粉（一分） 天灵盖（炙一两） 鳖甲（醋炙一两） 兔屎
（二两）
上为
肌瘦
干地黄汤 治妇人先有所脱血。或醉中房劳伤肝致。使月事不来。血枯燥。
熟地黄 泽兰叶 白茯苓（去黑皮） 人参 五味子 附子（炮裂去皮脐） 当归（切
焙） 禹余
空心日午夜卧
磁石丸 治妇人阴气衰弱。血枯不荣。月事不来。
磁石（火上醋淬三七次） 白茯苓（去黑皮） 附子（炮裂去皮脐各一两） 人参 当
归（切炒）
丸。温酒或米饮
破经丸（出仁存方）治妇人干血。气久滞。腿脐腹冷痛。寒热往来。血块血
刺。 癖症瘕。
川大黄（一两） 砂（研） 川芎（各半两） 红娘子（四十九个） 马鸣退灰（三
钱） 当归（六
十五丸。煎红黄
加至二十丸。
乌贼鱼骨丸（出大全良方）治妇人血枯。胸胁支满。妨于食饮。病至即闻腥
臊
之气。先唾血
乌贼鱼骨（去甲四两） 如（一两） 上为末。用雀卵不拘类和成剂。令得所丸。如
小豆
大。
行经丹（出仁存方）治妇人干血气滞。腰脚脐下痛。寒热。血脉阻滞。
斑蝥（二十个去头翅） 杏仁（二十个去皮炒） 上同研。白面糊为丸。如小豆大。每
服十
丸。
治妇人干血气。
赤雹儿（七钱烧存性阴干亦可） 当归（一两炒干） 上为末。每服三二钱。空心温酒
调下。
血竭膏（出济生拔粹）治妇人干血气。
川大黄 酽醋 上二味。熬成膏子。如鸡子大。每服一丸。热酒化开。卧温服。大便利
一二
治妇人血枯（出神效方）
上用川大黄为末。醋熬成膏。就成鸡子大作饼儿。酒磨化一饼。
治妇人血气不行。上气冲心。变作干血气。
用丝瓜儿一个烧存性。每服一个。用红丝烧灰为引子。空心温酒调下。
神仙秘\x（出大全良方）
取传尸劳虫。服此药须先择良日。焚香祷祝。令病患设榻面向福德方服。即有神效。不
可使
青桑皮 杨柳枝 梅枝 桃枝 史君子 葱白（七茎） 阿魏（二分） 青蒿（一握如
无以
子代）
一
半。去
五更
及寸
(Attached Discussion)
The so-called "Bone Steaming" (Gu Zheng), along with Fu Lian Shi Zhu, Lao Zhu, Chong Zhu, Du Zhu, Re Zhu, Leng Zhu, Shi Zhu, Gui Zhu, etc., are all collectively referred to as "Chuan Shi" (a term for infectious, hereditary chronic consumptive diseases).
Generally, it manifests as aversion to cold and fever, night sweats. Dreams of intercourse with ghosts or spirits, seminal emission or white turbid discharge, dry and erect hair. Or masses in the abdomen, or small tubercles on both sides behind the head.
These symptoms gather or scatter; the patient is depressed and silent, coughing with phlegm and saliva, or spitting up pus and blood, resembling Lung Wei (Lung Atrophy) and Fei Yong (Lung Abscess). Or dysentery, emaciation, exhaustion beyond bearing.
Accumulating over months and years, leading to death. After death, the pathogenic qi transmits to others, even wiping out the entire family.
There are also Fei Shi, Han Shi, Sang Shi, Shi Zhu, etc., called the "Five Corpses." These are various attachments syndromes. It is difficult to pinpoint exactly where the patient suffers, so treatments attack based on the Three Causes (Internal, External, Non-internal/External).
Internally, it is not caused by the Seven Emotions (Joy, Anger, Worry, Pensiveness, Sorrow, Fear, Fright); externally, it is not invaded by the Four Qi (Wind, Cold, Summerheat, Dampness). The parasites seem to attach internally, but given the multifarious nature of these syndromes and their migratory transmission, they are hard to predict.
Therefore, from ancient times to the present, fewer than one in ten recover. Formulas such as Fox Bone, Otter Liver, and Tian Ling Gai (Skull Cap) have been recorded in antiquity but have rarely shown efficacy. Only through careful self-preservation and regimen can one cut off the source of the disease.
(If the pathogen) causes salivation, the disease has transmitted to the Spleen. The patient experiences aversion to cold and fever, red face with white nose, dry and broken hair, coughing and wheezing, spitting purulent bloody saliva; this indicates transmission to the Lung.
The patient experiences aversion to cold and fever, yellow face with withered earlobes, sore and painful legs, white turbid urine, enuresis with abdominal pain; this indicates transmission to the Kidney.
There are twenty-four types of "Lao Zheng" (Consumptive Steaming), which can be verified according to the syndromes.
Dry and broken hair, rough skin like scales; the steaming is in the Skin. Outsiders feel heat, but the patient feels cold internally; body tremors and muscle twitching; the steaming is in the Muscle.
Withered hair, epistaxis, or hematuria recurring; the steaming is in the Blood. Body heat and irritability, pain like needle pricks; the steaming is in the Meridians/Vessels.
Distress in Zhongwan (CV12) and Danzhong (CV17); the steaming is in the San Jiao (Triple Burner). Red and yellow urine, turbid like paste; the steaming is in the Bladder. Irregular bowel movements, either constipation or diarrhea, borborygmus in the abdomen; the steaming is in the Small Intestine.
Dull pain in the large abdomen, dry and painful mouth and tongue; the steaming is in the Large Intestine. Dry mouth and nose, abdominal distension with spontaneous sweating, restless sleep; the steaming is in the Stomach.
Bitter taste in the mouth, deafness, pain under the bilateral hypochondrium; the steaming is in the Gallbladder. Tenesmus, anal涩 (stagnant) constipation; the steaming is in the Hui Chang (Rectum). Abdominal pain, flaccid sinews and vessels, abnormal erection of the genitalia; the steaming is in the Zong Jin (Tendon Master).
Tearing, vertigo, frequent irritability and anger; the steaming is in the Liver. Blackened dry tongue, shortness of breath, distress and shivering; the steaming is in the Heart.
Dry lips and mouth ulcers, chest and abdominal distension, aversion to cold and anorexia; the steaming is in the Spleen. Coughing, wheezing, fullness, spitting phlegm and vomiting blood, hoarseness; the steaming is in the Lung.
Withered earlobes, sore and painful lower limbs (Hong Xiang Jiao/Jock Itch or Leg Qi difficulty), inability to rise and lie down; the steaming is in the Kidney.
Continuous white vaginal discharge; the steaming is in the Right Kidney. Pericardium meridian pathology, chest diaphragm obstruction, attacking pain, distress during flexion and extension.
Although the symptoms differ, the root often involves worms gnawing at the Heart and Lungs. Treatment must eliminate the root.
The *Neijing* states: There is a disease with chest fullness. Upon onset, the patient first smells a fishy and foul odor, secretes clear fluid, vomits blood first, has cold limbs, swollen eyes, and frequent bleeding from the anterior and posterior orifices. This disease is named "Xue Ku" (Blood Dryness/Withering).
If sexual activity occurs while intoxicated, depleting Qi and injuring the Liver, menstruation becomes scanty or ceases. The Liver stores Blood and receives Heavenly Yi Qi.
The meridians pass through the diaphragm and spread to the hypochondrium. Now, due to loss of blood and essence, Liver Qi has become rebellious, causing blood depletion and lack of nourishment, resulting in hypochondriac fullness and obstruction of food intake.
Because Liver disease transmits to the Spleen and Stomach, upon onset, the patient smells a fishy and foul odor and secretes clear fluid. Because Liver disease allows Lung Qi to invade, there is vertigo and frequent bleeding from the anterior and posterior orifices. These are all syndromes of Liver disease and Blood Dryness.
Formulas:
He Che Wan (River Boat Pill) (from *Da Quan Liang Fang*), treats Lao Sou (consumptive cough), all forms of Lao Zhai (consumptive disease), deficiency damage, and Gu Zheng (bone steaming).
He Che (Placenta Humanum / Zi He Che) (one placenta of a newborn male is best. Wash clean of blood in flowing water, boil until cooked, stir-fry, break into small pieces by hand, and bake dry. Must be ground into powder within one day; if left overnight, it will not dry properly nor form powder. Materia Medica records that treating Lao Zhai with placenta from a newborn is especially good. It boosts blood and Qi. For emaciated women with labor injury, dark skin, and various internal abdominal diseases leading to gradual wasting, mix with Wu Wei Zi (Schisandra) and administer as per treatment method. Do not let the patient know. Also effective for epidemic febrile diseases. Placenta buried in soil for seven to eight years turns into water, clarified like pure water. In the South, people bury it mixed with Gan Cao (Licorice) and Sheng Ma (Cimicifuga) for three to five years, then dig it up for use.) Xue Bai Fu Ling (White Poria) (ban liang / half tael), Gan Shan Yao (Dried Dioscorea Rhizome) (yi liang / one tael), Jian Shen (Selected Ginseng) (yi liang / one tael). Grind into fine powder, make pills with flour paste, size of Sophora seeds. Coat with a little Moshe (Musk) powder. Take 30-50 pills each time, washed down with rice drink.
Cong Rong Wan (Cistanche Pill), treats women with hypochondriac fullness, smelling fishy/foul odor and vomiting blood, vertigo, inability to eat, continuous bleeding, long-term blood dryness.
Rou Cong Rong (Cistanche) (soaked in wine), Shu Di Huang (Prepared Rehmannia Root), Bai Fu Ling (Poria), Tu Si Zi (Cuscuta Seed) (processed), Fu Zi (Aconite Root) (prepared), Dang Gui (Angelica Sinensis) (stir-fried), Bai Shi Ying (White Quartz) (ground), Wu Wei Zi (Schisandra)... Make pills with refined honey, size... Zhi Shang Jin Wan (Golden Palm Pill) (from *Ba Cui Fang*), treats women's Gan Xue Qi (Dry Blood Qi).
Chuan Shan Jia (Pangolin Scale) (prepared), Gan Cao (Licorice Root), Ku Ding Xiang (Sichuan Pepper Flower?), Chuan Jiao (Sichuan Pepper), Ku Ting Li (Descurainia Seed), Bai Fu Zi (Typhonii Rhizoma), Cao Wu Tou (Aconitum Carmichaelii Root) (Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit) (each 2 qian), Ba Dou (Croton Seed)... Ji Bai...
Rou Cong Rong Wan, treats women with hypochondriac fullness, smelling fishy/foul odor and spitting blood, vertigo, inability to eat, continuous bleeding, long-term blood dryness.
Rou Cong Rong (Cistanche) (soaked in wine, sliced, baked), Shu Di Huang (Prepared Rehmannia Root) (baked), Bai Fu Ling (Poria) (peeled, each 1 liang), Tu Si Zi (Cuscuta Seed) (soaked in wine, ground separately, 1.5 liang), Bai Shi... Size of Sophora seeds, take each time... Mix two doses of the above ingredients.
Zhu Sha (Cinnabar) (ban liang / half tael), Xiao Bing Lang (Areca Seed) (ban liang / half tael), Moshe (Musk) (ban liang / half tael). Grind the above three ingredients extremely fine, divide into two doses, wash down with decoction. Five... If black... Then...
Lao... Man... Fifteen formulas. Treat according to syndrome, do not use general medication indiscriminately. Regulate for three to five months, then take this vermifuge medicine again to permanently remove the root. If the expelled worms are already black, subsequent medication will have no benefit. However, it can still prevent transmission to others.
Yang Zheng Gao (Nourishing Uprightness Ointment) (from *Da Quan Liang Fang*), treats Chuan Shi sweating, expelling worms and avoiding evil.
Bie Jia (Tartar Shell) (1 liang, vinegar-fried), Qing Hao (Artemisia Annua) (one handful), Dan Dou Chi (Prepared Soybean) (37 grains), Cong Bai (Scallion White) (2 stems), An Xi Xiang (Benzoin Resin) (1 fen, ground), Tao Liu Sang (Peach, Willow, Mulberry branches)... Overnight, with one sheng of water. Decoct the prepared... After sweating...
Da Ling Ming Yue Dan (Great Spirit Bright Moon Pill), treats Chuan Shi.
Xiong Huang (Realgar), Mu Xiang (Costus Root) (each ban liang / half tael), Qing Fen (Calomel), Tian Ling Gai (Human Skull Cap) (roasted 1 liang), Bie Jia (Tartar Shell) (vinegar-fried 1 liang), Tu Shi (Rabbit Excrement) (2 liang). Grind the above... Emaciation...
Gan Di Huang Tang (Rehmannia Decoction), treats women who previously lost blood, or injured the Liver through sexual activity while intoxicated, causing amenorrhea and blood dryness.
Shu Di Huang (Prepared Rehmannia Root), Ze Lan Ye (Lycopus Leaf), Bai Fu Ling (Poria) (remove black skin), Ren Shen (Ginseng), Wu Wei Zi (Schisandra), Fu Zi (Aconite Root) (prepared, split, peel, remove umbilicus), Dang Gui (Angelica Sinensis) (slice, bake)... Empty stomach, midnight, lying down...
Ci Shi Wan (Magnetite Pill), treats women with weak Yin Qi, blood dryness and lack of nourishment, amenorrhea.
Ci Shi (Magnetite) (quench in vinegar over fire 3-7 times), Bai Fu Ling (Poria) (remove black skin), Fu Zi (Aconite Root) (prepared, split, peel, remove umbilicus, each 1 liang), Ren Shen (Ginseng), Dang Gui (Angelica Sinensis) (slice, stir-fry). Make pills. Wash down with warm wine or rice drink...
Po Jing Wan (Menstruation-Breaking Pill) (from *Ren Cun Fang*), treats women's Gan Xue (Dry Blood), long-term Qi stagnation, cold pain in legs, navel, and abdomen, alternating chills and fever, blood clots and stabbing pain, Pi Ji (accumulations), Zheng Jia (masses).
Chuan Da Huang (Rhubarb) (1 liang), Sha (Sand? likely a typo for a mineral or specific herb, possibly Sha Ren or similar, context implies grinding), Chuan Xiong (Ligusticum) (each ban liang / half tael), Hong Niang Zi (Red Ladybug) (49 individuals), Ma Ming Tui Hui (Ash of Horse Kickback?), Dang Gui (Angelica Sinensis) (6... 15 pills, decoct red/yellow... Increase to 20 pills.
Wu Mei Yu Gu Wan (Cuttlefish Bone Pill) (from *Da Quan Liang Fang*), treats women's Xue Ku (Blood Dryness), hypochondriac fullness, obstruction of food and drink, upon onset smelling fishy/foul odor, spitting blood first.
Wu Mei Yu Gu (Cuttlefish Bone) (remove shell, 4 liang), Ru (Frankincense?) (1 liang). Grind into powder, mix with Sparrow Eggs (Que Luan) without limit to form a paste, shape into pills the size of Mung Beans.
Xing Jing Dan (Menstruation-Initiating Pill) (from *Ren Cun Fang*), treats women's Gan Xue Qi Stagnation, pain in waist, legs, below navel, chills and fever, blood vessel blockage.
Ban Mao (Mustard Beetle) (20, remove head and wings), Xing Ren (Apricot Seed) (20, remove skin, stir-fry). Grind together, make pills with white flour paste, size of Mung Beans. Take 10 pills each time.
Treats women's Gan Xue Qi (Dry Blood Qi).
Chi Bao Er (Red Potato? likely a specific local herb name, possibly related to Euphorbia or similar toxic herb used cautiously) (7 qian, calcined to retain character, can be dried in shade), Dang Gui (Angelica Sinensis) (1 liang, stir-fried dry). Grind into powder, take 2-3 qian each time, wash down with warm wine on empty stomach.
Xue Jie Gao (Dragon's Blood Ointment) (from *Ji Sheng Ba Cui*), treats women's Gan Xue Qi (Dry Blood Qi).
Chuan Da Huang (Rhubarb), Yan Cu (Strong Vinegar). Simmer the above two ingredients into ointment, size of Chicken Egg. Take one pill each time, dissolve in hot wine, take warm while lying down. Promote bowel movement 1-2 times...
Treats women's Xue Ku (Blood Dryness) (from *Shen Xiao Fang*).
Use Chuan Da Huang (Rhubarb) ground into powder, simmer with vinegar into ointment, shape into cakes the size of Chicken Eggs. Dissolve one cake in wine.
Treats women's blood and Qi non-circulation, rising Qi rushing to the heart, transforming into Gan Xue Qi (Dry Blood Qi).
Use one Loofah fruit (Si Gua Er), calcined to retain character. Take one each time, use Red Silk (Hong Si) burned to ash as guide, wash down with warm wine on empty stomach.
Shen Xian Mi... (Divine Immortal Secret...) (from *Da Quan Liang Fang*)
To extract Chuan Shi Lao Chong (Transmitted Corpse Labor Worms), before taking this medicine, one must select an auspicious day, burn incense and pray. Let the patient set up a couch facing the direction of Fortune and Virtue to take it, then there will be divine efficacy. Do not let...
Qing Sang Pi (Mulberry Bark), Yang Liu Zhi (Willow Branch), Mei Zhi (Plum Branch), Tao Zhi (Peach Branch), Shi Jun Zi (Belamcanda Chinensis Seed), Cong Bai (Scallion White) (7 stems), A Wei (Asafetida) (2 fen), Qing Hao (Artemisia Annua) (one handful, substitute if unavailable)... Half. Remove... Fifth watch... And Cun...