Library

Background Information:
Book: *Puji Fang* (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Consumption with Bone-Steaming Fever (With Discussion)
Category: Formulas

[Translation]

The so-called consumption with bone-steaming fever is one of the five labors and seven injuries. It arises from yin deficiency and yang hyperactivity, where heat-toxins attack upward to the Heart and Lungs and flow into the marrow, resulting in high fever. If men frequently experience this condition, the following formulas may be used:

**Huhuanglian Wan (Picrorhiza Pill)**
Indications: Consumption with bone-steaming fever. Symptoms include emaciation and weakness of the four limbs, and loss of appetite.
Ingredients: Huhuanglian (*Picrorhizae Rhizoma*), Tianlinggai (Human skull cap, coated with vinegar and roasted until slightly yellow), Chifuling (Red Poria), Chuanshengma (Cimicifugae Rhizoma), Chuandahuang (Rhei Radix et Rhizoma, sliced and roasted until slightly yellow), Digupi (Lycii Cortex), Zhimu (Anemarrhenae Rhizoma), Xijiao (Rhinocerotis Cornu), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix, removed seedlings), Fangfeng (Saposhnikoviae Radix, removed radix head).
Usage: The above ingredients are powdered, mixed with honey, and formed into pills the size of tung tree seeds. Take thirty pills at a time, on an empty stomach and before bed, with warm rice water.

**Dansha Wan (Cinnabar Pill)**
Indications: Consumption with bone-steaming fever. Symptoms include irritability in the four limbs, as well as mental restlessness and spontaneous sweating.
Ingredients: Zhusha (Cinnabaris, finely ground and washed with water), Shuyu (Dioscoreae Rhizoma), Xijiao xie (Rhinocerotis Cornu slices), Huangqi (Astragali Radix), Rourongrong (Cynomorii Herba, soaked in wine for one night, scraped clean of coarse skin, and roasted dry), Chuanshengma (Cimicifugae Rhizoma), Muli (Ostreae Concha, coated with vinegar and roasted), Longgu (Fossilized mammal bones).
Usage: The above ingredients are powdered, mixed with honey, and formed into pills the size of tung tree seeds. Take twenty pills at a time, on an empty stomach and before bed, with warm rice water.

**Xijiao Wan (Rhinoceros Horn Pill)**
Indications: Consumption with bone-steaming fever. Symptoms include painful irritability in the four limbs, dark yellow urine, dry skin, and insomnia.
Ingredients: Xijiao xie (Rhinocerotis Cornu slices), Huhuanglian (*Picrorhizae Rhizoma*), Zhimu (Anemarrhenae Rhizoma), Chishao (Paeoniae Radix Rubra), Beimu (Fritillariae Bulbus, roasted until slightly yellow), Huangbai (Phellodendri Cortex), Digupi (Lycii Cortex), Huangqin (Scutellariae Radix), Binglang (Arecae Semen), Ziwan (Adenophorae Radix, washed to remove seedlings and soil).
Usage: The above ingredients are powdered, mixed with honey, and formed into pills the size of tung tree seeds. Take thirty pills at a time, on an empty stomach and before bed, with warm rice water.

**Huhuanglian San (Picrorhiza Powder)**
Indications: Consumption with bone-steaming fever. Symptoms include painful irritability in the four limbs, dry mouth, and mental restlessness.
Ingredients: Huhuanglian (*Picrorhizae Rhizoma*, 1 liang), Renshen (Ginseng Radix, 3 qian, removed radix head), Chifuling (Red Poria), Chaihu (Bupleuri Radix, removed seedlings), Biejia (Trionycis Carapax, coated with vinegar, roasted until slightly yellow, removed skirt, quenched in vinegar, and sliced), Jiegeng (Platycodonis Radix, removed radix head, roasted), Chuandahuang (Rhei Radix et Rhizoma, sliced and slightly roasted).
Usage: The above ingredients are made into a powder. Take 3 qian per dose, add 1.5 cups of water, boil down to 1 cup, strain, and take warm on an empty stomach and before bed.

**Chuandahuang Wan (Rhubarb Pill)**
Indications: Consumption with bone-steaming fever. Symptoms include mental restlessness, difficulty in urination and defecation, and pain in the four limbs.
Ingredients: Qingju pi (Green Tangerine Peel, white pith removed and roasted), Caodoukou (Cardamomi Fructus, husk removed, each 0.5 liang).
Usage: The above ingredients are made into a powder. For each dose, use 4 liang of pig liver, slice thinly, sprinkle with 5 qian of the medicine. Roast the liver until cooked, eat on an empty stomach and before meals, and swallow with rice water.

**Shao Gan San (Roasted Liver Powder)**
Indications: Cold consumption. Functions: Tonify the Five Viscera, unblock meridians, harmonize Spleen and Stomach, stop diarrhea and dysentery.
Ingredients: Shanyinchen (Artemisiae Scopariae Herba), Shihu (Dendrobii Caulis, removed roots), Danggui (Angelicae Sinensis Radix, cut and roasted, each 1.5 liang), Muxiang (Aucklandiae Radix), Gui (Cinnamomi Cortex, removed coarse bark), Renshen (Ginseng Radix), Ziwan (Adenophorae Radix, removed seedlings and soil), Jiegeng (Platycodonis Radix, removed radix head, roasted), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried).
Usage: The above ingredients are made into a powder. Take 3 qian per dose, mix evenly with pig liver, divide into three doses. Wrap each dose in lotus leaves, then wrap again with 3-5 layers of wet paper. Slowly roast the liver until thoroughly cooked. Eat on an empty stomach and before meals, swallowing with rice water. If suffering from cold consumption with sallow complexion, recovery can be expected within ten doses.

**Chenxiang Wan (Agarwood Pill)** (From *Shenghui Fang*)
Indications: Cold consumption. Symptoms include pain in the four limbs, emaciation, weakness, and loss of appetite.
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, 1 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 qian), Chaihu (Bupleuri Radix, 2 liang, removed seedlings), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma, each 3 qian, processed and sliced), Helile (Terminalia Chebulae Fructus, roasted, using the peel), Biejia (Trionycis Carapax, coated with vinegar, roasted, removed skirt, quenched in vinegar, and sliced).
Usage: The above ingredients are powdered, mixed with honey, and pounded for over a thousand strokes to form pills the size of tung tree seeds. Take twenty pills at a time, on an empty stomach and before bed, with warm rice water.

**Muxiang Wan (Aucklandia Pill)**
Indications: Cold consumption. Symptoms include irregular bowel movements, abdominal distension, vomiting, emaciation, and weakness.
Ingredients: Muxiang (Aucklandiae Radix), Roudoukou (Myristicae Semen, husk removed), Chenju pi (Aged Tangerine Peel, soaked in water, white pith removed, roasted), Ganjiang (Zingiberis Rhizoma, processed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peeled, and navel removed), Yuliren (Pruni Semen, husk removed, stir-fried), Chaihu (Bupleuri Radix, removed seedlings, each 0.5 liang).
Usage: The above ingredients are powdered, mixed with honey, and formed into pills the size of tung tree seeds. Take twenty pills at a time, on an empty stomach and before bed, with warm rice water.

**Huzhang Yin (Polygoni Cuspidati Decoction)**
Indications: Cold consumption in men and women. Symptoms include emaciation.
Ingredients: Huzhang (Polygoni Cuspidati Rhizoma et Radix), Chaihu (Bupleuri Radix, removed seedlings), Wuweizi (Schisandrae Fructus, stir-fried), Shudigan dihuang (Rehmanniae Radix Praeparata, roasted), Bai fuling (White Poria, removed black skin), Chenju pi (Aged Tangerine Peel, white pith removed), Maimendong (Ophiopogonis Tuber, heart removed, roasted), Huanglian (Coptidis Rhizoma, removed whiskers, crushed and slightly roasted), Zhishi (Immature Bitter Orange Fruit, bran-stir-fried).
Usage: The above ingredients are made into a powder. Take 3 qian per dose, add 1.5 cups of water, boil down to 1 cup, strain, and take warm on an empty stomach and before bed.

**Chure Sanhuang Wan (Heat-Removing Three-Yellow Pill)**
Indications: Bone-steaming. Symptoms include numerous sores on the body, scrofula, and carbuncles.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma), Shaoyao (Paeoniae Radix), Zhizi (Gardeniae Fructus, 24 pods, split), Chaihu (Bupleuri Radix, each 3 qian).
Usage: The above ingredients are powdered, mixed with honey, and formed into pills the size of tung tree seeds. Take twenty pills at a time, on an empty stomach and before bed, with warm rice water. Long-term use is beneficial.

**Zhimu San (Anemarrhena Powder)** (From *Shenghui Fang*)
Indications: Consumption with bone-steaming fever. Symptoms include painful irritability in the four limbs, gradual emaciation, dry mouth in the evening, and red cheeks.
Ingredients: Zhimu (Anemarrhenae Rhizoma, 3 liang), Qianhu (Peucedani Radix, 1 liang, removed radix head), Digupi (Lycii Cortex, 2 liang), Xijiao xie (Rhinocerotis Cornu slices, 1.5 liang), Baixianpi (Dictamni Cortex), Longgu (Fossilized mammal bones), Mangxiao (Natrii Sulfas).
Usage: The above ingredients are made into a powder. Take 3 qian per dose, add 1.5 cups of water, boil down to 1 cup, strain, and take warm on an empty stomach and before bed.

**Another Formula**
Indications: Bone heat. Symptoms include numerous sores on the body, scrofula, and carbuncles.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix, each 1 liang), Mangxiao (Natrii Sulfas, 1 liang).
Usage: The above ingredients are pounded and sifted, mixed with honey to form pills. Start with five pills per dose, gradually increasing until therapeutic effect is achieved.
Contraindications: Avoid raw, cold, greasy, and spicy foods.

**Zhugu Jian (Pig Bone Decoction)** (From *Yifang Dacheng*)
Indications: Fever in men and women of various types. If the fever is due to consumption and originates from the spinal bone, this formula is highly effective. One should carefully assess the symptoms before administration.
Ingredients: Pig spinal bone (one piece, 5 chi 5 cun, finely sliced), good Fa wine (5 sheng), fresh Qinghao (one handful), Wumei (Ten fruits), Chaihu (1 liang, removed radix head), Qinjiao (10 liang, removed radix head), Chuanxiong (Ligustici Chuanxiong Rhizoma), Rourongrong (Cynomorii Herba), Gushi (Psoraleae Fructus, stir-fried, each 1 liang).
Usage: The above ingredients are made into a fine powder. Take at any time, mixed with warm wine.