【肝虚劳伤之症】筋挛烦闷，眼目赤涩，毛焦色夭，腹痛指甲痛，咳则胁下痛，口苦
口酸，筋骨酸疼，寒热咳逆，此肝劳之症也。
【肝虚劳伤之因】谋虑不决，或恐或怒，肝气怫郁，木火刑金，肺气有伤，而肝虚劳
【肝虚劳伤之脉】左关浮弦，肝气有损；左关沉弦，肝血不足；弦而大数，肝家实火
【肝虚劳伤之治】肝气有损，四物汤；肝血不足，有火者，调肝散，若虚火者，家秘
四物汤 见前咳嗽。
调肝散
当归 生地 白芍药 川芎 柴胡 山栀 黄芩 广皮 甘草
家秘肝肾丸 见前嗽血。
黄芩四物汤 即四物汤加黄芩。
【脾虚劳伤之症】气胀咽满，噫气，食不得下，四肢不和，面黄喘咳，肿胀脾泄，此
【脾虚劳伤之因】意外思虑，失饱伤饥，脾土之真阴受伤，中州之冲和有损，土不生
金，为喘为咳，而脾虚劳伤之症作矣。
【脾虚劳伤之脉】右关弦大，脾气损伤；右关细软，脾气不足；右关细涩，脾血不足
【脾虚劳伤之治】脾气损伤者，调中汤。脾气不足，四君子汤。脾血不足，归脾汤。
血虚有热者，知柏四物汤、知柏补血汤；女科，黄芩四物汤、黄芩补血汤。
调中汤
白术 茯苓 当归 黄 木香 广皮 甘草
四君子汤 见前咳嗽。
归脾汤 见前吐血。
知柏四物汤 即四物汤加黄柏、知母。
知柏补血汤 即当归补血汤，加黄柏、知母。
黄芩四物汤 即四物汤加黄芩。
黄芩补血汤 即当归补血汤，加黄芩。
[Symptoms of Liver Deficiency and Labor Injury] Tendon spasms, irritability, and chest oppression; redness and dryness of the eyes; withered hair and dull complexion; abdominal pain and pain in the fingernails; hypochondriac pain aggravated by coughing; bitter or sour taste in the mouth; soreness and pain in the bones and sinews; alternating chills and fever accompanied by cough and rebellious Qi. These are the symptoms of Liver Labor (chronic injury due to overwork affecting the Liver).
[Causes of Liver Deficiency and Labor Injury] Indecisiveness in planning, or excessive fear and anger, leading to stagnation of Liver Qi (Liver Qi Stagnation). Wood Fire insulting Metal (Liver Fire invading the Lungs) damages Lung Qi, resulting in Liver deficiency and labor injury.
[Pulse of Liver Deficiency and Labor Injury] A floating and wiry pulse at the Left Guan position indicates damage to Liver Qi; a deep and wiry pulse at the Left Guan position indicates insufficiency of Liver Blood; a wiry, large, and rapid pulse indicates Excess Fire in the Liver.
[Treatment of Liver Deficiency and Labor Injury] For damaged Liver Qi, use Siwu Tang (Four Substances Decoction). For insufficient Liver Blood with Fire, use Tiao Gan San (Regulate the Liver Powder); for deficient Fire, use Jia Mi Siwu Tang (Secret Home Four Substances Decoction) [see Cough section above].
Tiao Gan San
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Bai Shao Yao (Paeoniae Radix Alba), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chai Hu (Bupleuri Radix), Shan Zhi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Jia Mi Gan Shen Wan (Secret Home Liver and Kidney Pill) [see Hemoptysis section above].
Huang Qin Siwu Tang is Siwu Tang plus Huang Qin (Scutellariae Radix).
[Symptoms of Spleen Deficiency and Labor Injury] Abdominal distension and fullness in the throat, belching, inability to swallow food, disharmony of the four limbs, sallow complexion, asthma, and cough, edema, and spleen-type diarrhea. These are... [text cuts off, implying symptoms of Spleen Labor].
[Causes of Spleen Deficiency and Labor Injury] Unexpected excessive thinking, irregular eating habits (injury from overeating or hunger), damaging the True Yin of Spleen Earth and impairing the harmonious Qi of the Central Region (Middle Jiao). Earth failing to generate Metal (Spleen deficiency failing to nourish the Lungs) leads to asthma and cough, thus manifesting the symptoms of Spleen deficiency and labor injury.
[Pulse of Spleen Deficiency and Labor Injury] A wiry and large pulse at the Right Guan position indicates damage to Spleen Qi; a fine and soft pulse at the Right Guan position indicates insufficiency of Spleen Qi; a fine and choppy pulse at the Right Guan position indicates insufficiency of Spleen Blood.
[Treatment of Spleen Deficiency and Labor Injury] For damaged Spleen Qi, use Tiao Zhong Tang (Regulate the Middle Decoction). For insufficient Spleen Qi, use Sijunzi Tang (Four Gentlemen Decoction). For insufficient Spleen Blood, use Guipi Tang (Restore the Spleen Decoction). For blood deficiency with heat, use Zhi Bai Siwu Tang and Zhi Bai Buxue Tang; in gynecology, use Huang Qin Siwu Tang and Huang Qin Buxue Tang.
Tiao Zhong Tang
Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Mu Xiang (Aucklandiae Radix), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Sijunzi Tang (Four Gentlemen Decoction) [see Cough section above].
Guipi Tang (Restore the Spleen Decoction) [see Hematemesis section above].
Zhi Bai Siwu Tang is Siwu Tang plus Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma).
Zhi Bai Buxue Tang is Danggui Buxue Tang plus Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma).
Huang Qin Siwu Tang is Siwu Tang plus Huang Qin (Scutellariae Radix).
Huang Qin Buxue Tang is Danggui Buxue Tang plus Huang Qin (Scutellariae Radix).