(附论)
夫骨蒸劳者。由积热附于骨。故谓之骨蒸也。亦曰传尸。亦谓 。亦称复连。亦名无
辜。
肤。
遂
时
梦鬼交侵。小便赤黄。肾既受已。次传于心。心既受病。往往怯悸。或喜或嗔。两颊常
赤。
唾。皮
人。常
方
人参散 治妇人骨蒸劳。身体壮热。手臂疼痛。月水不通。日渐瘦瘁。两胁气刺。
四肢羸弱
人参(二两去芦头) 地骨皮(二两) 鳖甲(三两涂醋炙令黄去裙 ) 羚羊角屑(二
两)
赤茯
(二两去
苗)
分) 桃
仁(一
枚。
煎
黄 丸(出圣惠方)治妇人骨蒸烦热。四肢羸瘦疼痛。口干心躁。不得卧
眠。
黄 麦门冬(去心) 茯神 北柴胡 甘草 生干地黄(各一两) 酸枣仁 郁李仁 杏
仁(
炒) 赤
芍
大。清
粥
天灵盖散(出圣惠方)治妇人骨蒸劳。四肢无力。每至晚间即热。两颊红
色。
饮食不下。心
天灵盖(酥炙) 安息香 地骨皮 当归 人参(去芦) 山栀子仁 贝母(去心) 黄
连
(去须)
黄赤
茯苓 麦
寸。
药四钱
青蒿鳖甲煎丸(出永类钤方)治骨蒸劳。退热解肌进食。
九肋鳖甲(一个) 北柴胡(二两) 甘草 杏仁 桔梗 当归 人参 地骨皮 赤芍
药
(各一
上为
细末。
蜜再熬
三服。
赤茯苓散(出圣惠方)治妇人骨蒸及血劳等疾。面色黄瘦。四肢无力烦疼。
痰
壅涕唾稠粘。
赤茯苓(一两) 鳖甲(二两涂醋炙令黄去裙 ) 柴胡(去苗) 麦门冬(去心各一
两) 人
参(
大黄
(一
赤
锉)
益母草丸(出圣惠方)治妇人骨蒸劳瘦。月候不通。心神烦热。四肢疼痛。
不
能饮食。
益母草 青蒿(各二斤) 桃枝(一握长一寸) 柳枝(一握长一寸) 以上四味细锉。
用童
子小
柴胡(三两去苗) 朱砂(一两细研水飞过) 天灵盖(一两涂酥炙令微黄) 鳖甲(三
分涂
醋炙
锉) 麝
香(半
七百
杵。
獭肝丸(出圣惠方)治妇人骨蒸劳热。体瘦烦疼。不欲饮食。
獭肝(一具) 鳖甲(醋炙) 北柴胡(各两半) 川升麻 桃仁(去皮尖双仁麸炒微
黄) 天
灵盖
麝香
(一
黄连散(出圣惠方)治妇人骨蒸劳热。四体昏沉。背膊疼痛。面色痿黄。渐
渐
无力。
黄连(二两去须) 知母(一两) 鳖甲(二两涂醋炙令黄去裙 ) 麦门冬(三分去
心) 龙
胆(
角屑
(各
十
七片
青蒿散(出圣惠方)治妇人骨蒸劳热。四肢烦疼。日渐羸瘦。
青蒿(二两) 龙胆(一分去芦) 栀子仁(三分) 知母(三分) 黄连(一两去苗)
鳖甲
(二两
术(一两)
甘
半分。
煎至六分。去滓不计时候温服。
柴胡散(出圣惠方)治妇人骨蒸劳热。咳嗽胸膈痰壅。腹胁妨闷。不欲饮
食。
柴胡(一两去苗) 半夏(半两汤浸七次去滑) 川大黄(三分锉碎微炒) 枳壳(三
分麸炒
微黄
艽(三
分去
分锉)
甘草(
盏。
入生
麦煎散(出圣惠方)治少男室女骨蒸。妇人血风攻疰四肢。心胸烦壅。
赤茯苓 当归 干漆(炒令烟尽) 鳖甲(醋炙) 常山 大黄(煨) 北柴胡 白术 生
干
地黄
八分
食后
肌热
金花散 治室女骨蒸热劳。
藿香 零陵香 延胡索 芍药 白芷 川芎 当归 桂心(各一分) 莲子心 晚蚕蛾
(各二
鳖甲丸(出圣惠方)治妇人骨蒸劳。月水不通。胁下 癖。往往腹痛。
鳖甲(二两涂醋炙令黄去裙 ) 土瓜根 桂心 荆三棱 牡丹 牛膝(去苗) 川大
黄
(锉碎
为
末。炼
猪肚丸(出永类钤方)治骨蒸劳。唇颊赤。气粗口干。遍身壮热。或多虚
汗。
大腹涩秘。小
青蒿 鳖甲(醋炙) 北柴胡 木香 生干地黄(各一两) 青皮(半两) 宣黄连(二
两)
上为
空
石膏散(出永类钤方)治骨蒸寒热。外寒内热。附骨蒸盛之时。四肢微瘦。
足
跌肿者。病在
用真石膏不以多少。研令极细。汲新水和服方寸匕。取身无热为度。
鳖甲丸 治男子妇人。童男室女。五劳七伤。传疰、伏连、飞尸、尸注、八极。骨
蒸肺痿。
气块肠痛。经
黄 柴胡 枳壳 知母 白茯苓 沉香 人参 附子 木香 升麻 肉桂 胡黄连
杏仁
了。各
便五升
个。拍
末。再
下。丸
子须吃
恐热。
八仙饮子
常山 白术 秦艽 洪州块臼 赤芍药 甘草 紫苏 银州柴胡 上等分洗净。为粗
末。每
滓并煎
杀鬼丸(出圣惠方)治妇人骨蒸。传尸劳瘦。鬼气伏连。
麝香(三分) 犀角屑 木香 白术(各一两) 鬼箭羽 虎胫骨(酥炙) 天灵盖(酥
炙) 桃仁
梧桐子大。温水下
牡丹汤 治妇人骨蒸。经脉不通。渐增瘦弱。
牡丹皮(一两半) 桂(去粗皮) 木通(锉炒各一两) 芍药(一两半) 土瓜根(一
两半) 鳖甲
一盏半。煎至一盏
天门冬丸(出大全良方)治伏连传注。腹中有坚硬。积气壅心胸作痹。痛引
胁
背。脘膈满闷
鬼臼 天门冬(去心各三分) 巴豆 莽草 不蚌皂角(醋炙各半两) 叶子雄黄(一
两)
上为
酌。
[Supplementary Discussion]
The condition known as "Bone Steaming" (Gu Zheng) labor is caused by accumulated heat attaching to the bones, hence the name. It is also referred to as "Passing Corpse" (Chuan Shi), "Recurrent Connection" (Fu Lian), or "Innocent" (Wu Gu).
(The following lists formulas for treating Bone Steaming Labor)
**Renshen San (Ginseng Powder):** Treats women's Bone Steaming Labor. Symptoms include high fever, arm pain, amenorrhea, progressive emaciation, stabbing qi sensation in both hypochondria, and weak, thin limbs.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 2 liang, remove rhizome head), Digupi (Cortex Lycii, 2 liang), Biejia (Carapax et Plastrum Testudinis, 3 liang, coat with vinegar, roast until yellow, remove skirt edges), Lingyangjiaoxie (Cornu Saigae Tataricae, 2 liang), Chi Fuling (Poria with Hosta Root, 2 liang, remove black heart), Taoren (Prunus Persica Seed, 1 piece, remove skin and tip, stir-fry until yellow).
Usage: Grind the above ingredients into a fine powder. Take 3 qian each time, mixed with clear porridge soup, at any time.
**Huangqi Maimendong Wan (Astragalus and Ophiopogon Pill)** (from *Shenghui Fang*): Treats women's Bone Steaming with vexatious heat, weak and painful limbs, dry mouth, restless mind, and inability to sleep.
Ingredients: Huangqi (Astragali Radix), Maimendong (Ophiopogonis Radix, remove heart), Fushen (Poria with Pine Root), Beichaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Sheng Ganshengdi (Rehmanniae Radix, fresh, each 1 liang), Szaoren (Ziziphi Spinosae Semen), Yuliren (Pruni Semen), Xingren (Armeniacae Semen Amarum, stir-fried), Chishao (Paeoniae Radix Rubra, each 1 liang).
Usage: Grind into a fine powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills each time with clear porridge soup, at any time.
**Tianlinggai San (Human Skull Cap Powder)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor. Symptoms include weakness in four limbs, fever every evening, red cheeks, difficulty eating, and mental restlessness.
Ingredients: Tianlinggai (Calvaria Humana, roasted with butter), Anxi Xiang (Benzoin Resin), Digupi (Cortex Lycii), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma, remove rhizome head), Shanzhizi Ren (Gardeniae Semen, each 1 liang), Beimu (Fritillariae Bulbus, remove heart), Huanglian (Coptidis Rhizoma, remove stamens), Chi Fuling (Poria with Hosta Root), Maimendong (Ophiopogonis Radix, remove heart, each 1 liang).
Usage: Grind into a fine powder. Take 3 qian each time, decoct with one zhan of water until reduced to 0.6 zhan, strain, and take warm at any time.
**Qinghao Biejia Jian Wan (Artemisia and Tortoise Shell Decoction Pill)** (from *Yonglei Qianfang*): Treats Bone Steaming Labor; has effects of reducing fever, releasing muscle layer, and promoting appetite.
Ingredients: Jiulei Biejia (Carapax et Plastrum Testudinis from nine-rib tortoise, one piece), Beichaihu (Bupleuri Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Xingren (Armeniacae Semen Amarum), Jiegeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix), Renshen (Ginseng Radix et Rhizoma), Digupi (Cortex Lycii), Chishao (Paeoniae Radix Rubra, each 1 liang).
Usage: Grind into a fine powder, refine honey again to make pills the size of wutong seeds. Take 30 pills each time with clear porridge soup, at any time.
**Chi Fuling San (Red Poria Powder)** (from *Shenghui Fang*): Treats women's Bone Steaming and Blood Labor diseases. Symptoms include sallow and thin complexion, weakness and painful烦 (vexation/pain) in four limbs, excessive phlegm, thick sticky nasal discharge, and saliva.
Ingredients: Chi Fuling (Poria with Hosta Root, 1 liang), Biejia (Carapax et Plastrum Testudinis, 2 liang, coat with vinegar, roast until yellow, remove skirt edges), Chaihu (Bupleuri Radix, remove seedlings), Maimendong (Ophiopogonis Radix, remove heart, each 1 liang), Renshen (Ginseng Radix et Rhizoma, remove rhizome head), Dahuang (Rhei Radix et Rhizoma, cut into pieces, slightly stir-fried).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm at any time.
**Yimucao Wan (Motherwort Pill)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor with emaciation, amenorrhea, mental restlessness and heat, limb pain, and inability to eat.
Ingredients: Yimucao (Leonuri Herba), Qinghao (Artemisiae Annuae Herba, each 2 jin), Taozhi (Persicae Ramulus, one handful, 1 cun long), Liuzhi (Salicis Ramulus, one handful, 1 cun long). The above four ingredients are finely cut, soaked and boiled in urine from an uncircumcised boy, strained, juice concentrated into paste, then mixed with other powdered ingredients to form pills the size of wutong seeds.
Additional Ingredients: Chaihu (Bupleuri Radix, 3 liang, remove seedlings), Zhusha (Cinnabar, 1 liang, finely ground and washed with water), Tianlinggai (Calvaria Humana, 1 liang, coat with butter, roast until slightly yellow), Biejia (Carapax et Plastrum Testudinis, 3 liang, coat with vinegar, roast until yellow, remove skirt edges), Shexiang (Moschus, half 1 liang).
Usage: Roast and grind the above drugs into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills each time with rice drink, at any time.
**Tagan Wan (Wild Cat Liver Pill)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor Heat, body emaciation with vexatious pain, and lack of appetite.
Ingredients: Tagan (Liver of Lynx or Wild Cat, one piece), Biejia (Carapax et Plastrum Testudinis, vinegar-roasted), Beichaihu (Bupleuri Radix, each 1.5 liang), Chuanshengma (Polygoni Cuspidati Rhizoma), Taoren (Prunus Persica Seed, remove skin and tip, double-kernel ones, bran-stir-fried until slightly yellow), Tianlinggai (Calvaria Humana, butter-roasted), Shexiang (Moschus, half 1 liang, ground).
Usage: Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 10 pills each time with rice drink, at any time.
**Huanglian San (Coptis Powder)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor Heat, heavy and lethargic limbs, back and shoulder pain, sallow complexion, and gradual weakness.
Ingredients: Huanglian (Coptidis Rhizoma, 2 liang, remove stamens), Zhimu (Anemarrhenae Rhizoma, 1 liang), Biejia (Carapax et Plastrum Testudinis, 2 liang, coat with vinegar, roast until yellow, remove skirt edges), Maimendong (Ophiopogonis Radix, 3 fen, remove heart), Longdan (Gentianae Radix, 3 fen, remove rhizome head), Lingyangjiaoxie (Cornu Saigae Tataricae, 3 fen).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with one zhan of water until reduced to 0.6 zhan, strain, and take warm at any time.
**Qinghao San (Artemisia Powder)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor Heat, vexatious pain in limbs, and progressive emaciation.
Ingredients: Qinghao (Artemisiae Annuae Herba, 2 liang), Longdan (Gentianae Radix, 1 fen, remove rhizome head), Zhizi Ren (Gardeniae Semen, 3 fen), Zhimu (Anemarrhenae Rhizoma, 3 fen), Huanglian (Coptidis Rhizoma, 1 liang, remove seedlings), Biejia (Carapax et Plastrum Testudinis, 2 liang, coat with vinegar, roast until yellow, remove skirt edges), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with one zhan of water until reduced to 0.6 zhan, strain, and take warm at any time.
**Chaihu San (Bupleurum Powder)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor Heat, cough with phlegm obstruction in chest and diaphragm, abdominal and hypochondriac fullness/stuffiness, and lack of appetite.
Ingredients: Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Banxia (Pinelliae Rhizoma, half 1 liang, soak in boiling water seven times to remove slipperiness), Chuandahuang (Rhei Radix et Rhizoma, 3 fen, cut into pieces, slightly stir-fried), Zhike (Aurantii Fructus, 3 fen, bran-stir-fried until slightly yellow), Qinjiao (Gentianae Macrophyllae Radix, 3 fen, remove seedlings), Gancao (Glycyrrhizae Radix et Rhizoma, half 1 liang, roasted).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with one zhan of water, add three slices of fresh ginger, boil until reduced to 0.6 zhan, strain, and take warm at any time.
**Maijian San (Wheat Decoction Powder)** (from *Shenghui Fang*): Treats young men and women with Bone Steaming, women's Blood Wind attacking limbs, and chest/heart vexation and obstruction.
Ingredients: Chi Fuling (Poria with Hosta Root), Danggui (Angelicae Sinensis Radix), Ganqi (Resina Toxicodendri, stir-fry until smoke ceases), Biejia (Carapax et Plastrum Testudinis, vinegar-roasted), Changshan (Dichroae Radix), Dahuang (Rhei Radix et Rhizoma, baked), Beichaihu (Bupleuri Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Sheng Ganshengdi (Rehmanniae Radix, fresh, each 1 liang).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm after meals.
**Jinhua San (Golden Flower Powder):** Treats unmarried women's Bone Steaming Heat Labor.
Ingredients: Huoxiang (Agastaches Herba), Lingling Xiang (Lysimachiae Herba), Yanhusuo (Corydalis Rhizoma), Shaoyao (Paeoniae Radix), Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex, each 1 fen), Lianzixin (Nelumbinis Plumula), Wancan'e (Bombyx Batryticatus, each 2 fen).
Usage: Grind into fine powder. Take 2 qian each time, mixed with warm wine or rice drink, at any time.
**Biejia Wan (Tortoise Shell Pill)** (from *Shenghui Fang*): Treats women's Bone Steaming Labor, amenorrhea, masses under the hypochondrium, and frequent abdominal pain.
Ingredients: Biejia (Carapax et Plastrum Testudinis, 2 liang, coat with vinegar, roast until yellow, remove skirt edges), Tugua Gen (Trichosanthes Kirilowii Root), Guixin (Cinnamomi Cortex), Jing Sanleng (Sparganii Rhizoma), Mudan (Moutan Cortex), Niuxi (Achyranthis Bidentatae Radix, remove seedlings), Chuandahuang (Rhei Radix et Rhizoma, cut into pieces).
Usage: Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 20 pills each time with rice drink, at any time.
**Zhudu Wan (Pork Stomach Pill)** (from *Yonglei Qianfang*): Treats Bone Steaming Labor, red lips and cheeks, rough breathing, dry mouth, generalized high fever, or spontaneous sweating, constipation, and scanty dark urine.
Ingredients: Qinghao (Artemisiae Annuae Herba), Biejia (Carapax et Plastrum Testudinis, vinegar-roasted), Beichaihu (Bupleuri Radix), Muxiang (Aucklandiae Radix), Sheng Ganshengdi (Rehmanniae Radix, fresh, each 1 liang), Qingpi (Citri Reticulatae Pericarpium Viride, half 1 liang), Xuan Huanglian (Coptidis Rhizoma, 2 liang).
Usage: Grind into fine powder. Use one pork stomach, insert the medicine inside, boil in water until tender, mash together with the medicine powder, mix with refined honey to form pills the size of wutong seeds. Take 30 pills each time with rice drink, at any time.
**Shigao San (Gypsum Powder)** (from *Yonglei Qianfang*): Treats Bone Steaming with alternating cold and heat, external cold and internal heat, severe Bone Steaming attachment, slight emaciation of limbs, and swelling of ankles. The disease is in the bone marrow.
Ingredients: Zhen Shigao (Gypsum Fibrosum, amount not specified), ground extremely fine.
Usage: Mix with fresh water, take one cun cube (approx. 5-10g), stop when body heat subsides.
**Biejia Wan (Tortoise Shell Pill):** Treats men and women, young men and unmarried women, Five Exhaustions and Seven Injuries, Passing Miasma (Chuan Zhu), Hidden Connection (Fu Lian), Flying Corpse (Fei Shi), Corpse Injection (Shi Zhu), Eight Extremes, Bone Steaming Lung Atrophy, Qi Mass, Intestinal Abscess, and menstrual obstruction.
Ingredients: Huangqi (Astragali Radix), Chaihu (Bupleuri Radix), Zhike (Aurantii Fructus), Zhimu (Anemarrhenae Rhizoma), Bai Fuling (Poria, 1 liang each), Chenxiang (Aquilariae Lignum Resinatum), Renshen (Ginseng Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Muxiang (Aucklandiae Radix), Shengma ( Cimicifugae Rhizoma), Rougui (Cinnamomi Cortex), Huhuanglian (Coptidis Rhizoma, 1 liang each), Xingren (Armeniacae Semen Amarum).
Usage: Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 30 pills each time with rice drink, at any time. If fearing the medicine is too hot, add a little cold water.
**Baxian Yinzi (Eight Immortals Drink):**
Ingredients: Changshan (Dichroae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Hongzhou Kuaijiu (Atractylodis Rhizoma, i.e., Cangzhu), Chishaoyao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma), Zisu (Perillae Folium), Yinzhou Chaihu (Bupleuri Radix, equal parts, cleaned, ground into coarse powder).
Usage: Take 4 qian each time, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm at any time.
**Sha Gui Wan (Ghost-Killing Pill)** (from *Shenghui Fang*): Treats women's Bone Steaming, Passing Corpse Labor Emaciation, and Ghost Qi Hidden Connection.
Ingredients: Shexiang (Moschus, 3 fen), Xijiaoxie (Cornu Rhinocerotis, 1 liang each), Muxiang (Aucklandiae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guijianyu (Sambuci Ramulus Cum Spinis), Hu Jinggu (Tibia of Tiger, butter-roasted), Tianlinggai (Calvaria Humana, butter-roasted), Taoren (Prunus Persica Seed, remove skin and tip, stir-fried).
Usage: Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 10 pills each time with warm water, at any time.
**Mudan Tang (Tree Peony Decoction):** Treats women's Bone Steaming, menstrual obstruction, and progressive emaciation.
Ingredients: Mudanpi (Moutan Cortex, 1.5 liang), Gui (Cinnamomi Cortex, remove coarse bark), Mutong (Akebiae Caulis, cut and stir-fried, 1 liang each), Shaoyao (Paeoniae Radix, 1.5 liang), Tugua Gen (Trichosanthes Kirilowii Root, 1.5 liang), Biejia (Carapax et Plastrum Testudinis, 2 liang, coat with vinegar, roast until yellow, remove skirt edges).
Usage: Grind into coarse powder. Take 4 qian each time, decoct with 1.5 zhan of water until reduced to 1 zhan, strain, and take warm at any time.
**Tianmendong Wan (Asparagus Pill)** (from *Daquan Liangfang*): Treats Hidden Connection Passing Miasma, hardness in abdomen, accumulated qi obstructing chest and heart causing Bi syndrome, pain radiating to hypochondrium and back, and fullness/stuffiness in epigastrium and diaphragm.
Ingredients: Guijiu (Podophylli Fructus), Tianmendong (Asparagi Radix, remove heart, each 3 fen), Badou (Crotonis Fructus, remove skin and heart, grind, press between paper to remove oil), Mangcao (Ephedrae Herba? Note: Mangcao usually refers to Ephedra or a specific herb, here likely distinct), Bubang Zaojiao (Gleditsiae Sinensis Fructus, vinegar-roasted, half 1 liang each), Yezi Xionghuang (Realgar, 1 liang).
Usage: Grind into fine powder, mix with refined honey to form pills the size of wutong seeds. Take 5 pills each time with rice drink, at any time.