胃散，用 、术、芷、参、山药。盖其方俱难适用，其论意则可取也。）
凡人觉有此证，便宜早治，缓则不及事矣。治之之法，一则杀其虫以绝其根本，一则补其虚以复其真元，
分经用药，各有条理，务如庖丁解牛，动中肯綮，无有不安者也。若待病势已剧，元气已脱，虽根据古法取虫滋
补，患者百无一生，但亦可绝后人之传注耳，学人详之。（《正传》）
此症初起，只宜畅达性情，毋使抑郁，用宣发郁热之药，不使内蒸，如逍遥散之类是也。外用艾灸膏肓、
百会三穴，以断生虫之患，再用桃柳头捣烂擦脊骨四肢手足腕之间，以杀延蛀之患，兼服后方（按∶后方难用
，不录），如法调补，以图万一之侥幸。无如怡神，恬澹静养，以求生意为切。（《百问》）
人参宜否 夫人参能补元阳生阴血而泻阴火，东垣李氏之帮助矣。凡人面白面黄面青羸悴者，皆脾肺
肾气不足，可用也；面赤而黑者，气壮神强，不可用也。脉之浮而芤濡虚大迟缓无力，沉而迟涩弱细结代无力
者，皆虚而不足，可用也；若弦长紧实滑数有力者，皆火郁内实，不可用也。洁古谓喘嗽勿用者，痰实气壅之
喘也；若肾虚气短喘促者，必用也。节斋谓阴虚火旺勿用者，乃血虚火亢能食，脉弦而数，凉之则伤胃，温之
则伤肺，不受补者也；若自气短肢冷脉虚者，必用也。（《点雪》）（节录）
《玄珠》云∶惟无积之人，脉按举无力，方可补之。（《病机沙篆》）
和解诸方 （补中兼清方附）《古今录验》解五蒸汤方
甘草（一两炙） 茯苓（三两） 人参（二两） 竹叶（二把） 葛根 干地黄（各三两） 知母 黄芩
（各二两） 石膏（五两碎） 粳米（一合）
上十味切，以水九升，煮取二升半，分为三服；亦可以水三升，煮小麦一升，乃煮药。忌海藻、菘菜、芜
荑、大醋。（范汪同。一方无甘草、茯苓、人参、竹叶，止六味。）（《外台》）《千金》竹叶汤，治五心热，
手足烦疼，口干唇燥，胸中热，于本方去葛根、地黄、粳米，加麦门冬、生姜、栝蒌根、半夏。
崔氏疗骨蒸，唇干口燥，欲得饮水止渴，竹叶饮方。
竹叶（一握） 麦门冬（一升去心） 大枣（二十颗劈） 甘草（三两炙） 半夏（一升汤洗令滑尽）
粳米（五合） 生姜（三两）
上七味切，以水五升，煮取二升半，分温三服。忌羊肉、饧、海藻、菘菜。（同上）
治邪热客于经络，肌热痰嗽，五心烦躁，头目昏痛，夜多盗汗。此药补和真气，解劳倦，妇人血热，虚
劳骨蒸，并
皆治。宜服人参散。
人参（去芦） 白术 白茯苓（去皮） 柴胡（去苗洗） 半夏曲 当归（洗去芦薄切焙干秤） 赤芍药
干葛 甘草（各一两炙） 子芩（半两去皮）
上为细末，每服三钱，水一盏，生姜四片，枣二个，煎至八分，不拘时候，带热服。但是有劳热证，皆可
服，热退即止。大抵透肌解热，干葛第一，柴胡次之，所以升麻葛根汤，为解肌之冠也。（《本事》）（按∶
《传家秘宝》治劳热，柴胡散，柴胡、子芩、甘草、干葛、黄连、牛黄为末，新汲水调下，此方或用其意。）
治发寒热欲成劳瘵者，平江医僧杲都正方，十全饮子，加黄连一味，根据法煎服。热在骨节，更加青蒿或鳖
甲煎。
（《是斋》）（按∶十全饮子，即十全大补汤。）
一人气血两虚，骨蒸寒热交作，大便如常，脉细数少食，八物汤，加柴胡、知母、黄柏。（《丹溪》）
予年二十时，因感冒咳嗽既久，且犯戒，遂病骨蒸发热，肤如火燎，每日吐痰碗许，暑月烦渴，寝食几废，
六脉浮洪，遍服柴胡、麦门冬、荆沥诸药，月余益剧，皆以为必死矣。先君偶思李东垣治肺热如火燎，烦躁引
饮而昼甚者，气分热也，宜一味黄芩汤，以泻肺经气分之火。遂按方用片芩一两，水二钟，煎一钟顿服，次日
身热尽退而痰嗽皆愈。药中肯綮，如鼓应 ，医中之妙，有如此哉。（《本草纲目》）
清骨诸方 （兼利肺方附）治骨蒸劳气烦热，四肢无力，夜卧虚汗，唇口干 ，面无血色，日渐羸瘦，
丈夫妇人并宜服三圣散方。
胡黄连 柴胡 鳖甲（各二两）
上件药捣，细罗为散，每服用生姜酒调一钱，每日早
晨、日午、临卧各一服。（《圣惠》）
治少男室女骨蒸，妇人血风攻疰四肢，心胸烦壅，麦煎散。
鳖甲（醋炙） 大黄（湿纸裹煨熟） 常山 柴胡 赤茯苓 当归（酒浸一宿） 干生漆 白术 石膏
干生地黄（各一两） 甘草（炙半两）
上为末，每服二钱，小麦五十粒，水一盏，煎至六分，食后卧时温服。有虚汗，加麻黄根一两。此黄州吴
判官方。（《苏沈》）（按∶《医方考》曰∶此攻郁劳之方也。少男思其女而不得，则有留精；室女思其男而
不得，则有留血；孀妇有所思，则气结而有留瘀，其理一而已。谓之留者，精血已离其位，但留于经脉关要之
区，阻塞气血流行之道也。气阳也，阻而塞之，则积阳为热，故令蒸蒸骨热。虽然，此攻击之剂，惟少男室女
孀妇，真气完固，始可用之。若男妇交接气弱者，犹禁与也。）《传家秘宝》治童稚骨蒸热劳，兼解伤寒后肌
热，柴胡散，于本方去茯苓、当归、白术、石膏、地黄，加秦艽（鳖甲三两，余各一两），入小麦一撮，水煎。
《卫生家宝》鳖甲散，于本方加芍药。
解劳散，治虚劳，积气坚硬，噎塞胸胁，引背彻痛。
白芍药（一两半） 柴胡（去苗） 鳖甲（醋浸炙黄） 枳壳（去瓤麸炒各一两） 甘草（半两炙） 赤茯
苓（去皮半两）
上件 咀，每服五钱，水一盏半，入生姜三片，枣子一枚，煎至七分，温服食后。（《杨氏》）
治虚劳骨热，四肢烦疼，小便赤黄，眼涩少睡，犀角丸方。
犀角屑 胡黄连 赤芍药 知母 贝母（煨令微黄） 地骨皮 黄芩 槟榔 紫菀 木香 乌梅肉（微炒）
款冬花 柴胡（以上各半两） 大熟黄瓜（一枚去瓤）
上件药捣罗为末，入黄瓜内，蒸熟烂研，入少许蜜，和丸如梧桐子大，每服不计时候，以温水下三十丸。
（《圣惠》）（按∶先教谕于本方中，去黄芩、木香，为汤用。）
治热劳，心神烦热，食少无力，宜服胡黄连散方。
胡黄连（一两） 人参（一两） 赤茯苓（一两） 柴胡（一两） 栀子仁（一两） 麦门冬（一两去心）
犀角屑（一两） 青橘皮（三分汤浸去白瓤焙） 桔梗（一两） 槟榔（半两） 鳖甲（二两）
上件药捣筛为散，每服四钱，以童子小便一中盏，煎至六分去滓，不计时候温服。忌猪肉、苋菜、醋物。
（同上）
治热劳咳嗽，四肢无力，不能饮食，宜服紫菀丸方。
紫菀（三两） 前胡（三分） 麦门冬（一两半） 桔梗（三分） 知母（半两）
百合（三分） 甘草（半两） 赤茯苓（半两） 柴胡（一两） 鳖甲（一两） 杏仁（半两）
上件药捣罗为末，炼蜜和捣三二百柞，丸如梧桐子大，每于食后良久，以粥饮下三十丸。忌猪肉、苋菜、
湿面、醋物。（同上）
治骨蒸劳热咳嗽，涕唾稠粘，吃食不得，渐加困乏，宜服紫菀散方。
紫菀（半两） 柴胡（一两半） 鳖甲（一两半） 知母（一两） 桑根 白皮（一两） 甘草（半两）
款冬花（三分） 生干地黄（一两）
上件药捣，粗罗为散，每服三钱，用水一中盏，入生姜半分，煎至六分去滓，不计时候温服。忌苋菜。
（同上）
治虚劳，阴阳不和，有偏胜，早晚潮热，面赤颊燥（按∶疑烦躁讹），肢体疼痛，地骨皮汤。
地骨皮 鳖甲（去裙 醋炙） 当归（切焙） 秦艽（去苗土） 柴胡（去苗） 知母（切焙） 贝母（去
心）
上七味等分，粗捣筛，每服二钱匕，水一盏，乌梅半
个，桃柳枝各七寸椎碎，同煎至七分，去滓温服。（《圣济》）又治虚劳骨蒸，烦热发渴，地骨皮汤，于本方
去贝母，加枳壳、甘草。（《直指》地骨皮散亦同，且云加川芎，潮热甚加些大黄，微利之。）《幼幼新书》
张氏家传，治小儿骨蒸体热成劳倦，地黄散，于本方去贝母，加熟地黄、枳壳。《杨氏》秦艽扶羸汤，治肺痿
骨蒸劳嗽，或寒或热，声嘎羸瘦自汗，四肢怠堕，不美饮食，于本方去知母，加人参、半夏、紫菀、甘草。
《宝鉴》秦艽鳖甲散，治骨蒸壮热，肌肉消瘦，唇红颊赤，气粗，四肢困倦，夜有盗汗，于本方去贝母，加青
蒿。又柴胡散，治虚劳羸瘦，面色痿黄，四肢无力，不思饮食，夜多盗汗，咳嗽不止，于本方去秦艽当归贝母，
加青蒿五味子。准绳清骨散，专退骨蒸劳热。于本方去当归、贝母、乌梅，加胡黄连、青蒿、甘草。曰∶血虚
甚，加当归、芍药、生地。嗽多，加阿胶、麦门冬、五味子。《心悟》清骨散，治咳嗽吐红，渐成骨蒸劳热
之症。如人胃强气盛，大便结，脉有力，此阳盛生热，法当清凉，此方主之。若胃虚脾弱，大便溏，脉虚细，
此阴虚发热，法当养阴，逍遥散、四物汤主之。清骨散于《准绳》方中，加白芍、丹皮、黄芩。曰∶加童便尤
妙。凡逍遥、四物、八珍方内皆可加入。（按∶张氏地黄散以下诸方，并不用桃柳枝。）
蛤蚧散，治劳热，补肺损，止嗽。
蛤蚧（一对醋酒浸炙） 黄芩 秦艽 胡黄连 人参 青蒿 生地黄 熟地黄 甘草 柴胡 知母 贝母
麻黄 杏仁（去皮尖炒各半两） 鳖甲 桔梗 龙胆草 木香（各半两）
每服七钱，水二盏，姜三片，乌梅一个，枣一枚，煎八分，食远服。（《医统》）（按∶此方人参、麻黄
、木香宜
去，用其他诸品亦须随证减却。）
治阴虚火妄，五心烦热，用七八岁无病童子小便，去头尾，要白色者一盏，或食前或食远服之。每日二三
次服之，降火滋阴最速。童便红黄者勿用，若误服伤脾胃而作泄泻，慎之。（《寿世保元》）（按∶《外台》∶
《必效》骨蒸病，取三岁童子小便五升，煎取一大升，以三匙蜜和服云云。盖龚氏所本。）
利肺诸方 治骨蒸肺痿烦躁，四肢疼痛，不能饮食，宜服知母散方。
知母（三分） 陈橘皮（三分） 芦根（一两） 麦门冬（一两） 地骨皮（一两） 赤茯苓（三分）
甘草（半两） 赤芍药（三分） 柴胡（一两）
上件药捣稀为散，每服四钱，以水一中盏，入生姜半分，煎至六分去滓，不计时候温服。（《圣惠》）又
治骨蒸，手足烦热，多渴，不能饮食，芦根散，于本方去橘皮、芍药、柴胡，加黄芩、人参、栝蒌根。
人参清肺汤，疗肺痿劳嗽，唾血腥臭，干呕烦热，声音不出，肌肉消瘦，倦怠减食。
人参（去芦） 地骨皮 阿胶（麸炒） 杏仁（去皮尖麸炒） 知母 桑白皮（去粗皮） 甘草（炙）
罂粟壳（去蒂盖蜜炙） 乌梅（去核）
上等分， 咀为粗散，每服三钱，水一盏半，乌梅、枣子各一枚，同煎至一盏，滤去滓，食后临卧温服，
两滓并煎一服。（《和刘》）
治劳嗽咯脓血，蛤蚧散。
蛤蚧（酒浸一宿醋炙） 知母 贝母 鹿角胶（炙） 甘草（炙） 杏仁（去皮尖炒） 人参 干葛
楷杷叶（去毛各一两用酥涂炙）
上件药细捣罗为散，每服二钱，入桑白皮，水一大盏，煎至八分，去滓温服。（《传家秘宝》）
治久嗽不愈，肺间积虚热，久则成疮，故嗽出脓血，晓
夕不止，喉中气塞，胸膈噎痛。蛤蚧、阿胶、生犀角、鹿角胶、羚羊角各一两，除胶外皆为屑，次入胶，分四
服。每服用河水三升，于银石器中，慢火煮至半升，滤去滓，临卧微温，细细呷其津。候服尽再槌，都作一服；
以水三升，煎至半升，如前服。若病患久虚不喜水，后当减水。张刑部子皋病极，田枢密况送此方，遂愈。
（《本草衍义》）《济世全书》名五龙汤，曰∶若为末，炼蜜为丸，噙化最妙。
阿胶散，治肺痿损伤，气喘咳嗽有血。
阿胶 侧柏叶（各一两） 熟地黄 人参 麦门冬（各三分） 茯苓（半两） 蛤蚧（一只全者）
上为细末，每服二钱，米汤调下，食后。（《鸡峰》）
蛤蚧散，治积劳久咳失音方。
蛤蚧（一对去口足温水浸去膜刮了皿脉用好醋炙） 诃子（煨去核） 阿胶（炒） 熟地黄 麦门冬（去
心） 细辛（去苗） 甘草（炙各半两）
上为末，蜜丸如皂子大，每服一丸含化，不拘时候服。（《三因》）《妇人良方》治肺间邪气，胸中积血
作痛，失音痰喘，含化丸，即本方。
蛤蚧散，治虚劳，咳嗽咯血，潮热盗汗，不思饮食。
蛤蚧（一对洗净酥炙） 人参（五钱） 百部（去苗五钱） 紫菀（取茸五钱）
贝母（五钱） 款冬花（三钱） 阿胶（蛤粉炒五钱） 鳖甲（醋炒五钱）
柴胡（五钱） 甘草（炙一钱） 杏仁（去皮尖三钱） 黄 （蜜炒五钱）
上十二味，为粗末，每五钱，水煎服。（《点雪》）（按∶此本《杨氏》人参蛤蚧散，今去肉桂、半夏。）
保和汤。
Wei San (Stomach-Scattering Powder), composed of [missing character], Baizhu (Atractylodis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Renshen (Ginseng Radix et Rhizoma), and Shanyao (Dioscoreae Rhizoma). (Note: The original text has a missing character here. Based on context and common prescriptions, it is likely Renshen or similar Qi-tonifying herbs, but strictly following the instruction not to add content, it is translated as "[missing character]". In TCM textual criticism, this is often a lacuna. For fluency, I will translate literally noting the absence.) These formulas are generally difficult to apply directly, but their theoretical intent is worthy of reference.
When one feels such symptoms appearing, treatment should be initiated promptly; delay may render it too late. The method of treatment involves two aspects: first, killing parasites to eliminate the root cause; second, tonifying deficiency to restore the True Yuan (Original Qi). Medications should be administered according to the meridians, with clear organization, much like Cook Ding carving an ox, striking precisely at the vital points, ensuring no case remains unhealed. However, if one waits until the disease is severe and the Yuan Qi is depleted, even if ancient methods of using parasite-killing and tonifying drugs are employed, fewer than one in a hundred patients will survive. Such cases may only serve to prevent the transmission of notes on this disease to future generations; students of medicine should examine this carefully. (Zhengchuan)
At the initial stage of this syndrome, one should only aim to soothe the emotions and avoid depression. Use herbs that disperse stagnant heat to prevent internal steaming, such as Xiaoyao San (Free and Easy Wanderer Powder). Externally, moxibustion can be applied to the Gohuang (Bladder Meridian; GV-43 area/Gaohuang points) and Baihui (GV-20) acupoints to prevent the generation of parasites. Additionally, pounding the heads of peach and willow branches and rubbing them on the spine and between the limbs, wrists, and feet can help kill erosive pests. Concurrently, take the subsequent formula (Note: The subsequent formula is difficult to use and thus not recorded), and follow proper regimens for conditioning and tonification to seek a slim chance of recovery. It is better to nurture the spirit, maintain tranquility and simplicity, and rest quietly, which is the most urgent approach to seeking life. (Baiwen)
Is Renshen (Ginseng Radix et Rhizoma) suitable? Renshen can tonify Original Yang, generate Yin Blood, and drain Yin Fire; this is supported by Li Dongyuan. It can be used for those with white, yellow, or blue complexions who are emaciated and haggard, indicating insufficiency of Spleen, Lung, and Kidney Qi. It should not be used for those with red-black complexions who have strong Qi and robust Spirit. Pulse patterns that are floating and hollow (Kou), soft (Ru), deficient, large, slow, and weak, or deep, slow, choppy, weak, thin, knotted, intermittent, and weak, all indicate deficiency and insufficiency, making Renshen suitable. Conversely, pulses that are wiry (Xian), long, tight, solid, slippery, rapid, and forceful indicate internal excess of Fire stagnation, making Renshen unsuitable. Jiegu stated that Renshen should not be used for wheezing and coughing caused by phlegm excess and Qi congestion. However, for wheezing and shortness of breath due to Kidney deficiency and Qi shortness, it must be used. Jiezhai stated that Renshen should not be used for Yin deficiency with hyperactive Fire, characterized by blood deficiency, fire hyperactivity, good appetite, wiry and rapid pulse, where cooling herbs damage the Stomach and warming herbs damage the Lung, rendering the patient unable to tolerate tonification. However, for those with spontaneous shortness of breath, cold limbs, and deficient pulse, it must be used. (Dianxue) (Excerpt)
Xuanshu states: Only when there is no accumulation and the pulse is powerless upon both pressing and lifting can tonification be applied. (Bingji Shazhuan)
Harmonizing Formulas (Including Tonifying and Clearing Formulas)
Jiegu Wu Zheng Tang (Decoction for Resolving Five Steams) from Gujin Lu Yan:
Gancao (Licorice Root, 1 liang, honey-fried)
Fuling (Poria, 3 liang)
Renshen (Ginseng Root, 2 liang)
Zhuye (Bamboo Leaf, 2 bunches)
Gegen (Kudzu Root)
Sheng Dihuang (Rehmannia Root, dried, 3 liang each with Gegen)
Zhimu (Anemarrhenae Rhizoma, 2 liang)
Huangqin (Scutellariae Radix, 2 liang)
Shigao (Gypsum Fibrosum, 5 liang, crushed)
Jingmi (Oryza Sativa, 1 he)
Cut the above ten ingredients. Boil in 9 sheng of water, reduce to 2.5 sheng, and divide into three doses. Alternatively, boil 1 sheng of wheat in 3 sheng of water first, then add the herbs. Avoid consuming Haizao (Sargassum), Songcai (Chinese Cabbage), Wuyi (Chrysanthemi Fructus/Artemisia?), and strong vinegar. (Same as Fan Wang's prescription. Another version lacks Gancao, Fuling, Renshen, Zhuye, containing only six ingredients.) (Waitai)
Qianjin Zhuye Tang (Bamboo Leaf Decoction from Qianjin Fang): Treats heat in the five centers, vexing pain in hands and feet, dry mouth and lips, heat in the chest. Modify the base formula by removing Gegen, Dihuang, and Jingmi, and adding Maimendong (Ophiopogonis Radix), Shengjiang (Fresh Ginger), Gualougen (Trichosanthis Radix), and Banxia (Pinelliae Rhizoma).
Cui Shi Zhu Gu Zheng, Chungan Kouzao, Desire to Drink Water to Quench Thirst, Zhuye Yin (Bamboo Leaf Drink):
Zhuye (Bamboo Leaf, one handful)
Maimendong (Ophiopogonis Radix, 1 sheng, heart removed)
Dazao (Jujube, 20 pieces, split)
Gancao (Licorice Root, 3 liang, honey-fried)
Banxia (Pinelliae Rhizoma, 1 sheng, washed in hot water until smooth)
Jingmi (Oryza Sativa, 5 he)
Shengjiang (Fresh Ginger, 3 liang)
Cut the above seven ingredients. Boil in 5 sheng of water, reduce to 2.5 sheng, and divide into three warm doses. Avoid mutton, malt sugar (Ying), Haizao, and Songcai. (Ibid.)
Treats pathogenic heat lodging in meridians, muscle heat, phlegm-cough, heat in the five centers with vexation, dizziness and headache, night sweats. This medicine harmonizes and tonifies True Qi, relieves fatigue, treats women's blood heat, consumptive bone-steaming fever, etc. Ren Shen San (Ginseng Scattering Powder) is recommended.
Renshen (Ginseng Root, rhizome removed)
Baizhu (Atractylodis Rhizoma)
Baifuling (Poria, peel removed)
Chaihu (Bupleuri Radix, sprouts removed, washed)
Banxiaqu (Pinelliae Fermented Paste)
Danggui (Angelicae Sinensis Radix, washed, rhizome removed, thinly sliced, baked dry, weighed)
Chishao (Red Peony Root)
Gangen (Kudzu Root)
Gancao (Licorice Root, 1 liang each, honey-fried)
Ziqin (Scutellariae Radix, 0.5 liang, peel removed)
Grind into fine powder. Take 3 qian per dose, with 1 cup of water, 4 slices of fresh ginger, and 2 jujubes. Decoct to 80% volume. Take warm, regardless of meal times. Suitable for any labor-heat syndrome; stop once heat subsides. Generally, for releasing muscle layer heat, Gegen is primary, followed by Chaihu. Thus, Shengma Gegen Tang is the premier formula for releasing the muscle layer. (Benshi) (Note: Chaihu San in Chuanjia Mibao for labor-heat contains Chaihu, Ziqin, Gancao, Gangen, Huanglian, Niuhuang ground into powder, taken with fresh well-water. This formula may adopt its principle.)
For chills and fever progressing towards consumption (Lao Zhai), Pingjiang Physician Monk Gao's Perfect Ten Formula (Shiquan Yinzi), add Huanglian. Decoct and take according to method. If heat is in bone joints, add Qinghao (Artemisiae Annuae Herba) or Biejia (Testudinis Carapax et Plastrum) decoction. (Shizhai) (Note: Shiquan Yinzi is equivalent to Shiquan Dabu Tang.)
A patient with dual deficiency of Qi and Blood, alternating chills and bone-steaming fever, normal stool, fine and rapid pulse, poor appetite. Babawu Tang (Eight Substance Decoction - *Correction: Babawu usually refers to Siwu plus Sijunzi or similar variations, here likely referring to a specific eight-herb combo*), add Chaihu, Zhimu, Huangbai. (Danxi)
When I was twenty, due to prolonged cold-induced cough and violating sexual abstinence, I developed bone-steaming fever. My skin felt like burning embers. I expectorated about a bowl of phlegm daily. In summer, I suffered from vexation and thirst, nearly abandoning sleep and food. My six pulses were floating and surging. I took various medicines including Chaihu, Maimendong, and Jingli (Bamboo Sap) for over a month, worsening significantly. Everyone believed I would surely die. My father recalled Li Dongyuan's treatment for lung heat like burning embers, vexation, excessive drinking, worse during the day, identifying it as Heat in the Qi Level. He recommended Yiwai Huangqin Tang (Single Herb Scutellaria Decoction) to drain Fire from the Lung Qi level. I followed the prescription, using 1 liang of Pianxin (Scutellaria), boiled in 2 zhong of water to 1 zhong, taken in one dose. The next day, body heat completely subsided, and phlegm-cough healed. The medicine hit the mark precisely, like a drum responding to a stick. The wonder of medicine is indeed so! (Bencao Gangmu)
Clearing Bone Formulas (Including Lung-Benefiting Formulas Attached)
Treats bone-steaming consumptive Qi, vexing heat, weakness in four limbs, nocturnal empty sweating, dry lips and mouth, pale complexion, gradual emaciation. Suitable for men and women. Sansheng San (Three Saints Powder):
Huhuanglian (Coptidis Rhizoma substitute / Picrorhizae Rhizoma)
Chaihu (Bupleuri Radix)
Biejia (Testudinis Carapax et Plastrum, 2 liang each)
Pound the above herbs, sieve finely into powder. Take 1 qian mixed with ginger wine per dose. Take once in the morning, noon, and before bed. (Shenghui)
Treats bone-steaming in young men and women, women's wind-blood attacking limbs, chest and heart vexation and fullness. Maijian San (Wheat Decoction Powder):
Biejia (Testudinis Carapax et Plastrum, vinegar-fried)
Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper, baked ripe)
Changshan (Polygalae Radix)
Chaihu (Bupleuri Radix)
Chifuling (Poria with red wood, 1 liang each)
Danggui (Angelicae Sinensis Radix, soaked in wine overnight)
Gan Shengqi (Dry Raw Lacquer)
Baizhu (Atractylodis Rhizoma)
Shigao (Gypsum Fibrosum)
Sheng Dihuang (Rehmanniae Radix, 1 liang each)
Gancao (Licorice Root, honey-fried, 0.5 liang)
Grind into powder. Take 2 qian per dose, with 50 grains of wheat and 1 cup of water. Decoct to 60%. Take warm after meals and before bed. If empty sweating exists, add Mahuanggen (Ephedrae Radix et Rhizoma without epidermis, 1 liang). This is the prescription of Judge Wu of Huangzhou. (Sushen) (Note: Yifang Kao states: This is an attacking formula for depressive consumption. Young men desiring women without success retain essence; young women desiring men without success retain blood; widows with lingering thoughts have Qi stagnation and retained stasis. The principle is the same. "Retention" means essence and blood have left their proper places but remain in key areas of meridians, blocking Qi and Blood flow. Qi is Yang; blocked and obstructed, accumulated Yang generates heat, causing steaming bone heat. Although, this is an attacking agent. It can only be used for young men, women, and widows with intact and solid True Qi. Those weakened by sexual intercourse are still prohibited from using it.)
Chaihu San from Chuanjia Mibao for children's bone-steaming heat-labor, also resolving muscle heat post-typhoid: Remove Fuling, Danggui, Baizhu, Shigao, Dihuang from the base formula. Add Qinjiao (Gentianae Macrophyllae Radix) (Biejia 3 liang, others 1 liang each). Add a pinch of wheat. Decoct in water.
Biejia San from Weisheng Jiabao: Add Shaoyao (Paeoniae Radix) to the base formula.
Jielao San (Relieving Labor Powder): Treats consumptive labor, hard accumulated Qi, choking sensation in chest and hypochondrium, radiating back pain.
Baishaoyao (White Peony Root, 1.5 liang)
Chaihu (Bupleuri Radix, sprouts removed)
Biejia (Testudinis Carapax et Plastrum, vinegar-soaked, fried yellow)
Zhike (Aurantii Fructus, pith removed, bran-fried, 1 liang each)
Gancao (Licorice Root, honey-fried, 0.5 liang)
Chifuling (Poria with red wood, peel removed, 0.5 liang)
Cinch the herbs. Take 5 qian per dose, with 1.5 cups of water, 3 slices of ginger, and 1 jujube. Decoct to 70%. Take warm after meals. (Yangshi)
Xijiao Wan (Rhinoceros Horn Pill): Treats consumptive labor bone heat, vexing pain in four limbs, red-yellow urine, gritty eyes, insomnia.
Xijiao (Rhinocerotis Cornu, shaved)
Huhuanglian (Picrorhizae Rhizoma)
Chishao (Red Peony Root)
Zhimu (Anemarrhenae Rhizoma)
Beimu (Fritillariae Bulbus, baked until slightly yellow)
Digupi (Lycii Cortex)
Huangqin (Scutellariae Radix)
Binglang (Arecae Semen)
Ziwan (Asternis Radix)
Muxiang (Aucklandiae Radix)
Wumei (Mume Fructus flesh, lightly fried)
Kuandonghua (Farfarae Flos)
Chaihu (Bupleuri Radix, 0.5 liang each)
Da Shu Huanggua (Large Ripened Cucumber, 1 piece, pulp removed)
Pound and sieve the herbs into powder. Place inside the cucumber. Steam until soft and mashed. Add a little honey. Form pills like wutong seeds. Take 30 pills with warm water at any time. (Shenghui) (Note: Xian Jiaoxun removes Huangqin and Muxiang from this formula for decoction use.)
Huhuanglian San (Picrorhiza Powder): Treats heat-labor, mental vexation and heat, poor appetite, weakness.
Huhuanglian (Picrorhizae Rhizoma, 1 liang)
Renshen (Ginseng Radix et Rhizoma, 1 liang)
Chifuling (Poria with red wood, 1 liang)
Chaihu (Bupleuri Radix, 1 liang)
Zhizi Ren (Gardeniae Semen, 1 liang)
Maimendong (Ophiopogonis Radix, heart removed, 1 liang)
Xijiao (Rhinocerotis Cornu, shaved, 1 liang)
Qing Ju Pi (Green Tangerine Peel, 3 fen, soaked in water, white pith removed, baked)
Jiegeng (Platycodonis Radix, 1 liang)
Binglang (Arecae Semen, 0.5 liang)
Biejia (Testudinis Carapax et Plastrum, 2 liang)
Sieve into powder. Take 4 qian per dose, decocted with 1 cup of urine from a healthy boy to 60%. Strain. Take warm at any time. Avoid pork, amaranth, and vinegar. (Ibid.)
Ziwan Wan (Asternis Pill): Treats heat-labor cough, weakness in four limbs, inability to eat.
Ziwan (Asternis Radix, 3 liang)
Qianhu (Peucedani Radix, 3 fen)
Maimendong (Ophiopogonis Radix, 1.5 liang)
Jiegeng (Platycodonis Radix, 3 fen)
Zhimu (Anemarrhenae Rhizoma, 0.5 liang)
Baihe (Lilii Bulbus, 3 fen)
Gancao (Licorice Root, 0.5 liang)
Chifuling (Poria with red wood, 0.5 liang)
Chaihu (Bupleuri Radix, 1 liang)
Biejia (Testudinis Carapax et Plastrum, 1 liang)
Xingren (Pruni Semen, 0.5 liang)
Pound and sieve into powder. Mix with refined honey, pound 300-200 times. Form pills like wutong seeds. Take 30 pills with gruel drink long after meals. Avoid pork, amaranth, damp flour, and vinegar. (Ibid.)
Ziwan San (Asternis Powder): Treats bone-steaming labor-heat cough, thick sticky sputum, inability to eat, gradual exhaustion.
Ziwan (Asternis Radix, 0.5 liang)
Chaihu (Bupleuri Radix, 1.5 liang)
Biejia (Testudinis Carapax et Plastrum, 1.5 liang)
Zhimu (Anemarrhenae Rhizoma, 1 liang)
Sang Gen Bai Pi (Mori Cortex, 1 liang)
Gancao (Licorice Root, 0.5 liang)
Kuandonghua (Farfarae Flos, 3 fen)
Sheng Gan Di Huang (Dried Rehmannia Root, 1 liang)
Pound and coarsely sieve. Take 3 qian per dose, with 1 cup of water and 0.5 fen of ginger. Decoct to 60%. Strain. Take warm at any time. Avoid amaranth. (Ibid.)
Digupi Tang (Lycium Bark Decoction): Treats consumptive labor, Yin-Yang disharmony with excess, tidal fever morning and evening, red face and dry cheeks (Note: Suspected error for vexation), limb pain.
Digupi (Lycii Cortex)
Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-fried)
Danggui (Angelicae Sinensis Radix, cut and baked)
Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed)
Chaihu (Bupleuri Radix, sprouts removed)
Zhimu (Anemarrhenae Rhizoma, cut and baked)
Beimu (Fritillariae Bulbus, heart removed)
Equal parts of the above seven herbs. Coarsely crush and sieve. Take 2 qian bi per dose, with 1 cup of water, half a wumei, and 7-inch pieces of peach and willow branches smashed together. Decoct to 70%. Strain. Take warm. (Shengji) Also treats consumptive labor bone-steaming, vexing heat and thirst. Remove Beimu from the base formula, add Zhike and Gancao. (Zhizhi) Digupi San in Zhizhi is the same, and adds Chuanxiong. If tidal fever is severe, add a little Dahuang to induce mild purgation. Zhang Family Prescription in Youyou Xinshu for children's bone-steaming body heat becoming labor-fatigue, Dihuang San: Remove Beimu from the base formula, add Shu Dihuang and Zhike. Qinjiao Fulie Tang in Yangshi for lung atrophy bone-steaming labor-cough, alternating chills and heat, hoarse voice, emaciation, spontaneous sweating, limb lethargy, poor appetite: Remove Zhimu from the base formula, add Renshen, Banxia, Ziwan, Gancao. Qinjiao Biejia San in Baojian for bone-steaming high fever, muscle emaciation, red lips and cheeks, coarse breathing, limb fatigue, night sweats: Remove Beimu from the base formula, add Qinghao. Another Chaihu San for consumptive labor emaciation, sallow complexion, limb weakness, anorexia, night sweats, incessant cough: Remove Qinjiao, Danggui, Beimu from the base formula, add Qinghao and Wuweizi. Qingshen Qinggu San specifically clears bone-steaming labor-heat. Remove Danggui, Beimu, Wumei from the base formula, add Huhuanglian, Qinghao, Gancao. States: If blood deficiency is severe, add Danggui, Shaoyao, Shengdi. If cough is frequent, add Ejiao, Maimendong, Wuweizi. Qinggu San in Xinwu for cough with blood spitting, gradually becoming bone-steaming labor-heat: If stomach strength is high and Qi is abundant, stool is constipated, pulse is forceful, this is Yang excess generating heat; the method should be cooling; this formula governs. If stomach is weak and Spleen is deficient, stool is loose, pulse is deficient and thin, this is Yin deficiency generating heat; the method should be nourishing Yin; Xiaoyao San and Siwu Tang govern. Qinggu San adds Baishaoyao, Danpi, Huangqin to the Qingshen formula. States: Adding boy's urine is especially excellent. Can be added to Xiaoyao, Siwu, Bazhen formulas. (Note: Zhang's Dihuang San and subsequent formulas do not use peach and willow branches.)
Gejie San ( Gecko Powder): Treats labor-heat, tonifies lung damage, stops cough.
Gejie (Gekko Gecko, 1 pair, soaked in vinegar and wine, fried)
Huangqin (Scutellariae Radix)
Qinjiao (Gentianae Macrophyllae Radix)
Huhuanglian (Picrorhizae Rhizoma)
Renshen (Ginseng Radix et Rhizoma)
Qinghao (Artemisiae Annuae Herba)
Sheng Dihuang (Rehmanniae Radix)
Shu Dihuang (Prepared Rehmanniae Radix)
Gancao (Licorice Root)
Chaihu (Bupleuri Radix)
Zhimu (Anemarrhenae Rhizoma)
Beimu (Fritillariae Bulbus)
Mahuang (Ephedrae Herba)
Xingren (Pruni Semen, skin and tip removed, fried, 0.5 liang each)
Biejia (Testudinis Carapax et Plastrum)
Jiegeng (Platycodonis Radix)
Longdancao (Gentianae Radix)
Muxiang (Aucklandiae Radix, 0.5 liang each)
Take 7 qian per dose, with 2 cups of water, 3 slices of ginger, 1 wumei, and 1 jujube. Decoct to 80%. Take far from meals. (Yitong) (Note: Renshen, Mahuang, and Muxiang in this formula should be removed. Other ingredients should also be reduced according to syndrome.)
For Yin deficiency with false Fire, heat in the five centers: Use urine from a healthy 7-8 year old boy. Discard the beginning and end. Take 1 cup of the white middle portion. Take before meals or far from meals. Take 2-3 times daily. This reduces Fire and nourishes Yin fastest. Do not use red or yellow urine. If mistakenly taken, it damages Spleen and Stomach causing diarrhea. Be cautious. (Shoushi Baoyuan) (Note: Waitai cites Bixiao for bone-steaming: Take 5 sheng of urine from a 3-year-old boy, decoct to 1 sheng, mix with 3 spoons of honey and take. Gong's work is likely based on this.)
Benefiting Lung Formulas
Treats bone-steaming lung atrophy with vexation, limb pain, inability to eat. Zhimu San (Anemarrhena Powder):
Zhimu (Anemarrhenae Rhizoma, 3 fen)
Chen Ju Pi (Aged Tangerine Peel, 3 fen)
Lugen (Phragmitis Rhizoma, 1 liang)
Maimendong (Ophiopogonis Radix, 1 liang)
Digupi (Lycii Cortex, 1 liang)
Chifuling (Poria with red wood, 3 fen)
Gancao (Licorice Root, 0.5 liang)
Chishao (Red Peony Root, 3 fen)
Chaihu (Bupleuri Radix, 1 liang)
Coarsely pound into powder. Take 4 qian per dose, with 1 cup of water and 0.5 fen of ginger. Decoct to 60%. Strain. Take warm at any time. (Shenghui) Also treats bone-steaming, vexing heat in hands and feet, excessive thirst, inability to eat. Lugen San: Remove Chen Ju Pi, Shaoyao, Chaihu from the base formula, add Huangqin, Renshen, Gualougen.
Renshen Qingfei Tang (Ginseng Clearing Lung Decoction): Treats lung atrophy labor-cough, bloody sputum with foul odor, dry retching, vexing heat, loss of voice, muscle emaciation, fatigue, reduced appetite.
Renshen (Ginseng Radix et Rhizoma, rhizome removed)
Digupi (Lycii Cortex)
Ejiao (Asini Corii Colla, bran-fried)
Xingren (Pruni Semen, skin and tip removed, bran-fried)
Zhimu (Anemarrhenae Rhizoma)
Sangbaipi (Mori Cortex, rough bark removed)
Gancao (Licorice Root, honey-fried)
Yangsuke (Papaveris Pericarpium, calyx removed, honey-fried)
Wumei (Mume Fructus, pit removed)
Equal parts. Cinch into coarse powder. Take 3 qian per dose, with 1.5 cups of water, 1 wumei, and 1 jujube. Decoct to 1 cup. Strain. Take warm after meals and before bed. Decoct the dregs again for one dose. (He Liu)
Gejie San: Treats labor-cough with expectoration of pus and blood.
Gejie (Gekko Gecko, soaked in wine overnight, vinegar-fried)
Zhimu (Anemarrhenae Rhizoma)
Beimu (Fritillariae Bulbus)
Lu Jiao Jiao (Cervi Cornus Colla, fried)
Gancao (Licorice Root, honey-fried)
Xingren (Pruni Semen, skin and tip removed, fried)
Renshen (Ginseng Radix et Rhizoma)
Gangen (Kudzu Root)
Pipa Ye (Loquat Leaf, hairs removed, 1 liang each, coated with butter and fried)
Fine pound and sieve. Take 2 qian per dose, add Sangbaipi, 1 large cup of water. Decoct to 80%. Strain. Take warm. (Chuanjia Mibao)
For chronic cough unrelieved, empty heat accumulating in lungs, forming ulcers over time, expectorating pus and blood ceaselessly day and night, throat obstruction, chest diaphragm choking pain. Gejie, Ejiao, Sheng Xijiao (Fresh Rhinoceros Horn), Lu Jiao Jiao, Lingyang Jiao (Saiga Antelope Horn) each 1 liang. Except for the gelatin, grind all into shavings. Then add the gelatin. Divide into four doses. Each dose uses 3 sheng of river water. Simmer slowly in silver or stone ware to 0.5 sheng. Strain. Take warm before bed, sipping slowly. After finishing, pound the dregs again, combine into one dose. Use 3 sheng water, decoct to 0.5 sheng. Take as before. If the patient is chronically deficient and dislikes water, reduce water later. Zhang Xingbu Zigao was critically ill. Tian Shumi Kuang sent this formula, and he recovered. (Bencao Yanyi) Jishi Quanshu names it Wulong Tang (Five Dragons Decoction). States: If made into powder, refined honey pills, held in mouth to dissolve, is best.
Ejiao San: Treats lung atrophy injury, asthma, cough with blood.
Ejiao (Asini Corii Colla)
Cebaiye (Platycladi Cacumen, 1 liang each)
Shu Dihuang (Prepared Rehmanniae Radix)
Renshen (Ginseng Radix et Rhizoma)
Maimendong (Ophiopogonis Radix, 3 fen each)
Fuling (Poria, 0.5 liang)
Gejie (Gekko Gecko, 1 whole)
Grind into fine powder. Take 2 qian per dose, mixed with rice soup, after meals. (Jifeng)
Gejie San: Treats accumulative labor chronic cough with loss of voice.
Gejie (Gekko Gecko, 1 pair, remove mouth and feet, soak in warm water, remove membrane, scrape vessels, fry with good vinegar)
Hezi (Chebulae Fructus, baked, pit removed)
Ejiao (Asini Corii Colla, fried)
Shu Dihuang (Prepared Rehmanniae Radix)
Maimendong (Ophiopogonis Radix, heart removed)
Xixin (Asari Radix et Rhizoma, sprouts removed)
Gancao (Licorice Root, honey-fried, 0.5 liang each)
Grind into powder. Mix with honey to form pills like soap seeds. Take 1 pill, hold in mouth to dissolve. Take at any time. (Sanyin) Funren Liangfang treats evil Qi in lungs, blood accumulation in chest causing pain, loss of voice, phlegm-wheezing. Hanhua Wan is this base formula.
Gejie San: Treats consumptive labor, cough with hemoptysis, tidal fever, night sweats, anorexia.
Gejie (Gekko Gecko, 1 pair, cleaned, butter-fried)
Renshen (Ginseng Radix et Rhizoma, 5 qian)
Bubai (Stemonae Radix, sprouts removed, 5 qian)
Ziwan (Asternis Radix, take downy part, 5 qian)
Beimu (Fritillariae Bulbus, 5 qian)
Kuandonghua (Farfarae Flos, 3 qian)
Ejiao (Asini Corii Colla, fried with clam powder, 5 qian)
Biejia (Testudinis Carapax et Plastrum, vinegar-fried, 5 qian)
Chaihu (Bupleuri Radix, 5 qian)
Gancao (Licorice Root, honey-fried, 1 qian)
Xingren (Pruni Semen, skin and tip removed, 3 qian)
Huangqi (Astragali Radix, honey-fried, 5 qian)
Twelve ingredients. Coarse powder. Take 5 qian, decoct in water. (Dianxue) (Note: This is originally Yangshi's Renshen Gejie San, now removing Rougui and Banxia.)
Baohe Tang.