加味四物汤 治妇人骨蒸。
当归 白芍药（炒） 川芎 生地 地骨皮 牡丹皮（各等分）
上 咀，每服六钱，水煎服。一方加白术。（此方以四物生四脏之阴，以地骨、牡丹解
骨蒸之热，其加白术者，以土为万物之母也，大意如此）
黄连散 治妇人骨蒸劳热，四肢昏沉，背膊疼痛，面色萎黄，渐渐无力。
黄连（去须） 知母（各一两） 鳖甲（醋炙，二两） 柴胡 木通（各一两半） 麦门冬（去心）
白术 地骨皮 黄芩 犀角屑（各七钱半） 龙胆草（去芦） 甘草（炙微赤，各半两）
上为粗散，每服四钱，以水一中盏，生姜一钱，淡竹叶二七片，煎至六分，去滓，温服无
时。（夫肾之余气，结而成骨，心火上烁，久则为蒸，此方以黄连、木通、犀角、麦门导心热，
柴、鳖、地骨清骨热，知、芩救肾之母，龙胆泻心，知母、白术、甘草和诸药而保脾，如是则壮
火去而少火生，水日旺而骨蒸去矣，又何劳热之有）
青蒿散 治妇人骨蒸劳热，四肢烦疼，日渐羸瘦。
青蒿 鳖甲（醋炙，各二两） 柴胡（一两半） 黄连（去须） 黄 桑白皮 白术（各一两）
栀子仁 知母（各七钱半） 地骨皮 甘草（炙，各半两） 龙胆草（二钱半）
上为粗散，每服四钱，以水一中盏，入生姜一钱三分，煎至六分，去滓温服。（前方有
芩、通、犀、麦，此方有 、蒿、桑、栀，此又何也？然栀、连、龙胆，所以清水火之热，桑、地、
知母，所以泻肺金之热，柴胡、鳖甲、青蒿，解骨蒸劳热，然肺泻则气伤于上，火去则土无以
生，故用黄 、白术、甘草者，所以发巨桥之粟，以保赤子于干戈之地也）
柴胡散 治妇人骨蒸劳热咳嗽，胸膈痰壅，腹胁妨闷，不欲饮食。
柴胡 桑白皮 麦门冬（去心） 赤茯苓（各一两） 川大黄（锉碎，微炒） 枳壳（去穣麸炒） 百合
秦艽 紫菀（洗） 黄芩 赤芍药 知母 木通（各七钱半） 半夏（汤洗七次去滑） 甘草（炙，各半两）
鳖甲（醋炙，二两）
上为粗末，每服三钱，以水一中盏，入生
姜一钱三分，煎至六分，去滓，温服无时。（此方重在咳嗽痰壅，腹胁妨闷上，故用大黄、半
夏，然大黄、半夏为今人所摈，岂古人之不如今人欤？善用者，当自得之。嗟乎！阅古人之
方，我于今人之病，深有慨焉）
河车丸 治劳嗽，一切劳瘵虚蒸等疾。
紫河车（一枚，初生男胎者尤良，长流水中荡洗血净，入瓷器内，重汤煮极烂，汁入药） 拣参（一两）
白茯苓（雪白者，半两） 干山药（二两）
上为细末，入河车汁，加面糊为丸，如桐子大，以少麝香末为衣，每服三五十丸，米饮温酒
盐汤任下，空心服。嗽甚者，五味子煎汤下。
黄 丸 治妇人骨蒸烦热，四肢羸瘦，疼痛，口干心躁，不得眠卧。
黄 麦门冬（去心） 茯神（去木） 北柴胡 生地黄 甘草（各一两） 酸枣仁（炒） 郁李仁
枸杞子 杏仁（去皮尖麸炒黄） 人参（去芦） 黄芩（各七钱半） 百合 枳壳（去穣麸炒） 赤芍药
知母 秦艽（各半两） 鳖甲（制，二两）
上为细末，炼蜜丸，如桐子大，清粥吞下三十丸，无时。（此方补气益精，养血安神，清
肺热，解劳热，宽胸膈为主，而郁李、杏仁虽能润燥，然大便滑者不宜）
地黄煎丸 解劳生肌，进食，活血养心。
生地黄汁 杏仁汁 生姜汁 藕汁（各五升） 薄荷汁 鹅梨汁（各一升） 法酒（二升） 沙蜜
（四升）
上共合一处，慢火熬成膏，入后药∶
北柴胡（三两） 木香 人参 茯苓 柏子仁（去皮尖，研） 山药 远志肉 枳实（麸炒） 白术
（各一两） 秦艽 苦梗（各二两） 麝香（半两，研） 熟地黄（洗焙酒蒸，四两）
上为细末，以前膏和丸，如桐子大，食后甘草汤下二三十丸。（按骨蒸方中，未有不用
柴胡、鳖甲者，而此方以诸汁熬膏，以润肺除热消痰为主，然恐滞膈损脾，故又佐以参、术、
山药、茯苓、麝香之类，以疏启中气，而柏子、远志，又所以养脾之母，而润心也。如肌肤燥
涩，而气血两虚者，请尝试之，何如）
Jiawei Siwu Tang (Modified Four Substances Decoction) treats bone-steaming consumption in women.
Danggui (Radix Angelicae Sinensis), Baishao Yao (Fried Radix Paeoniae Alba), Chuanxiong (Rhizoma Chuanxiong), Shengdi (Radix Rehmanniae Preparata), Digupi (Cortex Lycii), Mudanpi (Cortex Moutan) (all in equal proportions).
The above herbs are chopped. Take six qian per dose, decoct with water, and take orally. Another prescription adds Baizhu (Rhizoma Atractylodis Macrocephalae). (This formula uses Siwu Tang to nourish the Yin of the Heart, Liver, Spleen, and Kidney; Digupi and Mudanpi clear the heat of bone-steaming. The reason for adding Baizhu is that Earth is the mother of all things; this is the general idea.)
Huanglian San (Coptis Powder) treats bone-steaming consumption-heat in women, characterized by heavy and lethargic limbs, pain in the back and shoulders, sallow complexion, and progressive weakness.
Huanglian (Radix Coptidis, remove roots), Zhimu (Rhizoma Anemarrhenae) (each 1 liang), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, 2 liang), Chaihu (Radix Bupleuri), Mutong (Herba Akebiae Trifolatae) (each 1.5 liang), Maimendong (Radix Ophiopogonis, remove heart), Baizhu (Rhizoma Atractylodis Macrocephalae), Digupi (Cortex Lycii), Huangqin (Radix Scutellariae), Xijiao Xie (Hornis Rhinocerotis, sliced) (each 7.5 qian), Longdancao (Radix Gentianae, remove rhizome), Gancao (Radix Glycyrrhizae, roasted until slightly red, each 0.5 liang).
Grind into a coarse powder. Take four qian per dose, with one zhongzhan (unit of volume) of water, 1 qian of Shengjiang (Rhizoma Zingiberis Recens), and fourteen leaves of Danzhuyez (Ramulus et Folium Bambusae in Taeniis). Decoct until reduced to 60% of the original volume, strain, and take warm at any time. (The residual Qi of the Kidney condenses to form bones. If Heart Fire scorches upwards for a long time, it results in steaming heat. This formula uses Huanglian, Mutong, Xijiao, and Maimendong to guide Heart Heat downward; Chaihu, Biejia, and Digupi clear Bone Heat; Zhimu and Huangqin rescue the Mother of the Kidney (Lung Metal); Longdancao drains Heart Fire; Zhimu, Baizhu, and Gancao harmonize the various herbs to protect the Spleen. In this way, excessive Zhuohuo (Blazing Fire) is removed, and Shaohuo (Lesser Fire) is generated; Kidney Water becomes prosperous daily, and bone-steaming dissipates. How could there be consumption-heat?)
Qinghao San (Artemisia Powder) treats bone-steaming consumption-heat in women, characterized by vexatious pain in the limbs and progressive emaciation.
Qinghao (Herba Artemisiae Annuae), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, each 2 liang), Chaihu (Radix Bupleuri, 1.5 liang), Huanglian (Radix Coptidis, remove roots), Huangbo (Cortex Phellodendri), Sangbaipi (Cortex Mori), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang), Zhizi Ren (Semen Gossypii Herbacei preparations? Note: Zhizi is Fructus Gardeniae, here likely refers to Fructus Gardeniae prepared seeds/pulp), Zhimu (Rhizoma Anemarrhenae) (each 7.5 qian), Digupi (Cortex Lycii), Gancao (Radix Glycyrrhizae, roasted, each 0.5 liang), Longdancao (Radix Gentianae, 2.5 qian).
Grind into a coarse powder. Take four qian per dose, with one zhongzhan of water and 1.3 qian of Shengjiang (Rhizoma Zingiberis Recens). Decoct until reduced to 60%, strain, and take warm. (The previous formula contained Huangqin, Mutong, Xijiao, and Maimendong; this formula contains Huangbo, Qinghao, Sangbaipi, and Zhizi. Why? Zhizi, Huanglian, and Longdanqing clear the heat of Water and Fire; Sangbaipi, Digupi, and Zhimu drain Lung Metal Heat; Chaihu, Biejia, and Qinghao resolve bone-steaming consumption-heat. However, draining Lung Qi damages the Upper Jiao, and removing Fire deprives Earth of its source. Therefore, Huangbo, Baizhu, and Gancao are used to provide sustenance like grain from the Juqiao granary, protecting the fragile body amidst turmoil.)
Chaihu San (Bupleurum Powder) treats bone-steaming consumption-heat in women accompanied by cough, phlegm obstruction in the chest and diaphragm, abdominal and hypochondriac fullness and oppression, and loss of appetite.
Chaihu (Radix Bupleuri), Sangbaipi (Cortex Mori), Maimendong (Radix Ophiopogonis, remove heart), Chi Fuling (Poria with Red Wood, each 1 liang), Chuan Dahuang (Radix et Rhizoma Rhei, crushed, lightly fried), Zhike (Fructus Aurantii, remove pith, bran-fried), Baihe (Bulbus Lilii), Qinjiao (Radix Gentianae Macrophyllae), Ziwan (Herba Asteris Tatarici, washed), Huangqin (Radix Scutellariae), Chi Shaoyao (Radix Paeoniae Rubra), Zhimu (Rhizoma Anemarrhenae), Mutong (Herba Akebiae Trifolatae) (each 7.5 qian), Banxia (Rhizoma Pinelliae, washed seven times in hot water to remove slipperiness), Gancao (Radix Glycyrrhizae, roasted, each 0.5 liang), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, 2 liang).
Grind into a coarse powder. Take three qian per dose, with one zhongzhan of water and 1.3 qian of fresh Shengjiang (Rhizoma Zingiberis Recens). Decoct until reduced to 60%, strain, and take warm at any time. (This formula focuses on treating cough and phlegm obstruction, and abdominal/hypochondriac fullness, hence the use of Dahuang and Banxia. However, Dahuang and Banxia are rejected by modern practitioners. Does ancient medicine surpass modern medicine? Those who master their use will understand naturally. Alas! Reading ancient formulas, I have deep reflections on the diseases of today's physicians.)
Heche Wan (Placenta Pill) treats laborious cough and all types of consumption, deficiency-steaming, and related disorders.
Ziheche (Human Placenta, one piece; male fetus at birth is best. Wash clean of blood in flowing water, place in a porcelain vessel, steam until extremely soft, use the juice in the medicine), Ren Shen (Radix Ginseng, selected, 1 liang), Bai Fuling (Poria, snow-white variety, 0.5 liang), Gan Shanyao (Rhizoma Dioscoreae, dried, 2 liang).
Grind into a fine powder. Add Heche juice and wheat paste to form pills, sized like paulownia seeds. Coat with a small amount of Moshiang (Musk). Take 30-50 pills per dose, swallowed with rice drink, warm wine, or salted soup, on an empty stomach. For severe cough, swallow with Wuweizi (Fructus Schisandrae) decoction.
Huangqi Wan (Astragalus Pill) treats bone-steaming vexatious heat in women, emaciated and painful limbs, dry mouth, mental restlessness, and insomnia.
Huangqi (Radix Astragali), Maimendong (Radix Ophiopogonis, remove heart), Fushen (Poria with Pine Root, remove wood), Bei Chaihu (Radix Bupleuri), Sheng Dihuang (Radix Rehmanniae), Gancao (Radix Glycyrrhizae) (each 1 liang), Suanzaoren (Semen Ziziphi Spinosae, fried), Yuliren (Semen Pruni Armeniacae), Gouqizi (Fructus Lycii), Xingren (Semen Pruni Armeniacae, skin and tip removed, bran-fried until yellow), Ren Shen (Radix Ginseng, remove rhizome), Huangqin (Radix Scutellariae) (each 7.5 qian), Baihe (Bulbus Lilii), Zhike (Fructus Aurantii, remove pith, bran-fried), Chi Shaoyao (Radix Paeoniae Rubra), Zhimu (Rhizoma Anemarrhenae), Qinjiao (Radix Gentianae Macrophyllae) (each 0.5 liang), Biejia (Testudinis Carapax et Plastrum, processed, 2 liang).
Grind into a fine powder. Form pills with refined honey, sized like paulownia seeds. Swallow 30 pills with clear congee broth at any time. (This formula primarily tonifies Qi and essence, nourishes Blood and calms the Spirit, clears Lung Heat, resolves consumption-heat, and opens the chest and diaphragm. Although Yuliren and Xingren can moisten dryness, they are not suitable for those with loose stools.)
Dihuang Jian Wan (Rehmannia Decoction Pill) resolves consumption, promotes muscle growth, stimulates appetite, invigorates Blood, and nourishes the Heart.
Sheng Dihuang Zhi (Juice of Radix Rehmanniae), Xingren Zhi (Juice of Semen Pruni Armeniacae), Shengjiang Zhi (Juice of Rhizoma Zingiberis Recens), Ou Zhi (Juice of Rhizoma Nelumbinis), Bohe Zhi (Juice of Herba Menthae), E Li Zhi (Juice of Pyri Communis) (each 5 sheng for the first four, 1 sheng for the latter two), Fa Jiu (Prepared Wine, 2 sheng), Sha Mi (Sand Honey, 4 sheng).
Combine all juices and slowly simmer into a paste. Add the following herbs:
Bei Chaihu (Radix Bupleuri, 3 liang), Muxiang (Radix Aucklandiae), Ren Shen (Radix Ginseng), Fuling (Poria), Baiziren (Semen Platycladi, remove skin and tip, grind), Shanyao (Rhizoma Dioscoreae), Yuanzhi Rou (Medullus Polygalae), Zhishi (Fructus Aurantii Immaturus, bran-fried), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang), Qinjiao (Radix Gentianae Macrophyllae), Kujie/Ganjie (Radix Platycodonis, each 2 liang), Moshiang (Musk, 0.5 liang, grind), Shu Dihuang (Radix Rehmanniae Preparata, washed, dried, steamed with wine, 4 liang).
Grind into a fine powder. Mix with the aforementioned paste to form pills, sized like paulownia seeds. Take 20-30 pills after meals with Gancao (Radix Glycyrrhizae) decoction. (Note: In formulas for bone-steaming, Chaihu and Biejia are invariably used. This formula uses various juices to make a paste, focusing on moistening the Lung, clearing heat, and resolving phlegm. However, fearing it may obstruct the diaphragm and damage the Spleen, it is assisted by Ren Shen, Baizhu, Shanyao, Fuling, and Moshiang to unblock and open the Middle Jiao Qi. Baiziren and Yuanzhi further nourish the Mother of the Spleen (Fire) and moisten the Heart. For those with dry, rough skin and dual deficiency of Qi and Blood, please try this. What do you think?)