【感热劳伤之症】内热躁闷，喘咳气逆，唇焦口渴，小便赤涩，此久蒸成劳，因疳成
劳之症也。
【感热劳伤之因】《机要》云，劳损之疾，因虚而感，如远行劳倦，逢大热而渴，则
热舍于肾，水不胜火，则骨枯髓虚，而成感热劳伤之症。
【感热劳伤之脉】脉多洪数，左脉浮数，气分感热；左脉沉数，血分感热；右脉浮数
，气分感热；右脉沉数，血分感热。
【感热劳伤之治】左脉浮数，血分感热者，柴胡归芍汤，加生地、丹皮。右脉浮数，
气分感热者，柴胡地骨皮散，加紫苏、广皮以治之。
柴胡归芍汤 治血分感热。
柴胡 黄芩 山栀 甘草 当归 白芍药 生地 丹皮
柴胡地骨皮散 治气分感热。
柴胡 地骨皮 知母 甘草 紫苏 广皮 干葛
【心虚劳伤之症】惊悸恍惚，神志不定，心痛咽肿，喉仲介介如梗，实则毛焦发落，
唇裂舌赤，烦热咳逆，此心劳之症也。
【心虚劳伤之因】曲运神机，耗散心血，内而欲心妄动，外而起居如惊，则诸念动处
皆是火，火旺伤金，咳逆气急，则心劳之症作矣。
【心虚劳伤之脉】左脉多浮，左寸浮缓，心气不足，左寸浮数，心血不足。
【心虚劳伤之治】心气不足，虚寒者，归脾汤；虚热者，天王补心丹。心血不足，虚
热者，门冬安神丸；实热者，导赤各半汤。
归脾汤 见前吐血。
天王补心丹 见前嗽衄血。
门冬安神丸
拣麦冬 川黄连 生地 白茯神 远志 朱砂 甘草
导赤各半汤 见前咳嗽。
[Symptoms of Heat-Induced Labor Injury] Internal heat, restlessness, and oppression; panting, coughing, and rebellious qi; dry and cracked lips with thirst; dark and scanty or painful urination. These are symptoms of labor injury caused by long-term steaming from heat, or labor injury resulting from gan (nutritional deficiency syndrome in children).
[Etiology of Heat-Induced Labor Injury] The *Jiyao* (Essential Principles) states that diseases of labor damage arise from deficiency leading to pathogenic invasion. For instance, fatigue from long-distance travel combined with thirst induced by extreme heat causes heat to lodge in the Kidney. When Kidney Water fails to control Heart Fire, it results in dry bones and empty marrow, thereby forming the condition of heat-induced labor injury.
[Pulse Patterns of Heat-Induced Labor Injury] The pulse is often surging (Hong) and rapid (Shu). A floating and rapid pulse on the left indicates heat in the Qi level; a deep and rapid pulse on the left indicates heat in the Blood level. A floating and rapid pulse on the right indicates heat in the Qi level; a deep and rapid pulse on the right indicates heat in the Blood level.
[Therapeutic Methods for Heat-Induced Labor Injury] For patients with a floating and rapid pulse on the left, indicating heat in the Blood level, use Chaihu Guishao Tang (Bupleurum and Peony Decoction) with added Shengdi Huang (Rehmanniae Radix) and Dan Pi (Moutan Cortex). For patients with a floating and rapid pulse on the right, indicating heat in the Qi level, use Chaihu Digupi San (Bupleurum and Phellodendron Powder) with added Zi Su (Perilla Leaf) and Guang Pi (Citri Reticulatae Pericarpium).
Chaihu Guishao Tang: Treats heat in the Blood level.
Ingredients: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Shan Zhi (Gardeniae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Bai Shao Yao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex).
Chaihu Digupi San: Treats heat in the Qi level.
Ingredients: Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zi Su (Perillae Folium), Guang Pi (Citri Reticulatae Pericarpium), Gan Ge (Puerariae Radix).
[Symptoms of Heart Deficiency Labor Injury] Palpitations due to fright, mental confusion and instability, heart pain, and throat swelling. There is a sensation of obstruction in the throat as if something were stuck. In severe cases, hair becomes brittle and falls out, lips crack, and the tongue is red. Accompanied by irritability, heat, coughing, and rebellious qi, these constitute the symptoms of heart labor injury.
[Etiology of Heart Deficiency Labor Injury] Excessive mental exertion dissipates Heart Blood. Internally, desires move recklessly; externally, daily activities resemble a state of fright. Wherever thoughts arise, fire is generated. Excessive fire damages Metal (the Lung), causing coughing and急促 breathing, thus triggering heart labor injury.
[Pulse Patterns of Heart Deficiency Labor Injury] The left pulse is often floating. A floating and moderate (Huan) pulse at the left Cun position indicates insufficient Heart Qi; a floating and rapid (Shu) pulse at the left Cun position indicates insufficient Heart Blood.
[Therapeutic Methods for Heart Deficiency Labor Injury] For insufficient Heart Qi presenting as deficiency-cold, use Guipi Tang (Restore the Spleen Decoction); for deficiency-heat, use Tianwang Buxin Dan (Emperor of Heaven's Special Pill to Nourish the Heart). For insufficient Heart Blood presenting as deficiency-heat, use Mendong Anshen Wan (Ophiopogon Pill to Calm the Spirit); for excess-heat, use Daochi Geban Tang (Half-and-Half Decoction for Directing Redness).
Guipi Tang: See previous section on hematemesis.
Tianwang Buxin Dan: See previous section on cough with epistaxis/hemoptysis.
Mendong Anshen Wan:
Ingredients: Jiao Maidong (Ophiopogonis Tuber, selected), Chuan Huanglian (Coptidis Rhizoma), Sheng Di Huang (Rehmanniae Radix), Bai Fushen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Zhu Sha (Cinnabaris), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Daochi Geban Tang: See previous section on cough.