准绳云∶劳倦所伤,用补中益气汤调治(补中益气,是治劳倦内伤之剂,乃初治法,非
久病劳瘵骨蒸所宜)。乃暴病也,失治而有发热潮热,盗汗咳嗽,诸证出焉,谓之虚劳。又复
失治,而有皮聚毛落,饮食不为肌肤,骨髓中热,经闭不行,诸证出焉,谓之瘵骨蒸热。至于
传尸之疾,别自一种,其源不起于劳欲,其流或至于灭门。余于杂病首册,则既条分而备列
矣。然男以精为主,女以血为主,其致病既殊,其施治亦异,故应别着方法(精血虽殊,而虚
劳形症不远,治亦不异,宜与杂症参看)。而陈氏《良方》,分劳瘵、骨蒸劳、血风劳、气虚劳、
风劳、冷劳、热劳、客热等门,未免惑乱,后人靡所适从,今厘正如左,医者更参杂病虚劳传
尸劳二门而用之,则无道少之患矣。(按血风劳者,肝血虚而风热成劳也;风劳、冷劳,因虚
乘袭,日久变成劳热。气虚者,气不足。热劳者,血不足至骨蒸劳瘵,大都难治矣)
保命集云∶治妇人虚劳,《局方》中谓首尾六合,如大圣散、熟地黄丸,是治无热虚劳也;
中道药,牡丹煎丸,空心食前,人参荆芥散,临卧食后,是治有热虚也。
戴氏曰∶有病后血虚者,有本体血虚者,其人往来寒热,或五心发热,言语无力,面色
萎黄,头目昏晕,变生诸疾。芎归汤加羊肉少许,或十全大补汤、四物汤、养荣汤服之,血虚
而气旺者,宜抑气汤,即香附末。
*Zhuansheng* (Standard of Medicine) states: For injuries caused by fatigue and overexertion, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for regulation (Buzhong Yiqi Tang is a formula for treating internal injury due to fatigue and overexertion; it is an initial treatment method and not suitable for chronic consumptive diseases such as Xu Lao [Deficiency Consumption] or Gu Zheng Re [Bone-steaming Fever]). This originally belongs to acute illness. If left untreated or mistreated, symptoms such as fever, tidal fever, night sweats, and cough will emerge, which is termed Xu Lao (Deficiency Consumption). If treatment is further delayed, symptoms such as dry and shriveled skin, falling hair, inability of food intake to nourish muscles, heat in the bone marrow, and amenorrhea will appear, which is termed Zhai Gu Zheng Re (Consumptive Bone-steaming Fever). As for the disease known as Chuan Shi (Transmitting Corpse), it is a distinct category. Its origin does not lie in fatigue or sexual excess, but its progression may lead to the extinction of the entire family. In the first volume of miscellaneous diseases, I have already itemized and listed them in detail. However, men take Jing (Essence) as their foundation, while women take Xue (Blood) as their foundation. Since the causes of disease differ, the therapeutic methods must also differ; therefore, specific methods should be documented separately (Although Essence and Blood differ, the manifestations and symptoms of deficiency consumption are not far apart, and the treatments are not entirely different; they should be consulted alongside the miscellaneous diseases section). Chen’s *Liangfang* (Good Prescriptions) divides Lu Zhai (Consumptive Disease), Gu Zheng Lao (Bone-steaming Consumption), Xue Feng Lao (Blood Wind Consumption), Qi Xu Lao (Qi Deficiency Consumption), Feng Lao (Wind Consumption), Leng Lao (Cold Consumption), Re Lao (Heat Consumption), and Ke Re (Guest Heat) into separate categories, which inevitably causes confusion, leaving later generations unsure of what to follow. Now, these are corrected and organized as follows. Physicians should refer to the sections on Xu Lao (Deficiency Consumption) and Chuan Shi Lao (Transmitting Corpse Consumption) in the miscellaneous diseases section when applying these methods, thus avoiding omissions. (Note: Xue Feng Lao refers to consumption resulting from Liver Blood deficiency leading to Wind-Heat; Feng Lao and Leng Lao arise when deficiency allows pathogenic invasion, gradually transforming into consumption-heat over time. Qi Xu refers to insufficiency of Qi. Re Lao refers to Blood deficiency progressing to bone-steaming consumptive disease, which is generally difficult to treat.)
*Bao Ming Ji* (Collection for Preserving Life) states: To treat female deficiency consumption, *Ju Fang* (Formulary of the Bureau) suggests that throughout the course of treatment, one may use formulas such as Da Sheng San (Great Sage Powder) and Shu Di Huang Wan (Prepared Rehmannia Pill), which are used to treat deficiency consumption without heat; for mid-course medication, Mu Dan Jian Wan (Moutan Decoction Pill) is taken on an empty stomach or before meals, and Ren Shen Jing Jie San (Ginseng and Schizonepeta Powder) is taken before sleep or after meals, which are used to treat deficiency consumption with heat.
Dai states: There are cases of Blood deficiency following illness, and cases of constitutional Blood deficiency. Patients present with alternating chills and fever, or heat in the five centers (palms, soles, and chest), weakness in speech, sallow complexion, dizziness, and vertigo, subsequently developing various diseases. One may use Xiong Gui Tang (Ligusticum and Angelica Decoction) with a small amount of mutton, or administer Shiquan Dabu Tang (Ten Complete Tonifying Decoction), Si Wu Tang (Four Substance Decoction), or Yang Rong Tang (Nourish the Vigor Decoction). In cases of Blood deficiency with vigorous Qi, Yi Qi Tang (Suppress Qi Decoction), which consists of Cyperi Rhizoma powder, is appropriate.