治骨蒸劳热，虚羸瘦悴，自汗盗汗，咳嗽诸血等证，脉来浮而芤濡虚大，弱细无力者，
宜此主之。
人参（高丽者，一钱，补阳生阴） 黄 （蜜炒，一钱，泻阴火，温能除大热之味） 甘
草（炙，五分，主骨蒸劳热自汗） 知母（去毛，蜜炒，一钱，忌铁，主骨蒸盗汗） 秦艽（去
芦，一钱，主传尸骨蒸） 玄参（忌铁，治传尸邪气，骨蒸） 地骨皮（一钱，治骨蒸烦热）
酸枣仁（盐炒，一钱，治骨蒸劳热） 鳖甲（醋炒，一钱，治瘦骨间劳热，实补气补阴） 乌
梅（三个，治虚劳骨蒸） 牡丹皮（去骨，一钱）
上十二味，前证之专品，证若参差，又复如证增损，不可拘泥，作一剂，水煎熟时，入
童便一盅和服。
若自汗多者，入浮小麦一撮。
若素有传尸者，入青蒿煎同服。若脉证不受补者，减参、 ，加归芍、生地、二冬，
咳嗽加贝母、栝蒌、北五味。
若骨蒸热甚而渴者，加火煨石膏一钱。
牡丹皮，手厥阴、足少阴经药，故治无汗之骨蒸。地骨皮，足少阴手少阳药，故治有
汗之骨蒸。
经验五蒸饮 治骨蒸热神效。
茯苓（洁白者，去皮，八分） 葛根（五分） 竹叶（五分，水洗） 人参（清河者佳，五分
，童便浸过） 生黄（砂仁拌蒸，一钱） 知母（童便炒，八分） 黄芩（酒炒，一钱） 石膏（火
煨，七分）
用粳米二合，以水三盅，煎小麦二合，至二盅，去麦以麦汤药至一盅温服，随证加减
于后，忌海藻、松菜、芜荑、米醋。
如实热，加黄芩、黄连、黄柏、大黄之类。
如虚热气虚，加乌梅、秦艽、柴胡。
如血虚，加青蒿、鳖甲、蛤蚧、小麦、牡丹皮。
如髓蒸，（髓枯骨中热。）加生地黄、当归、天门冬
如骨蒸，（齿黑，手足逆冷，疳食五脏。）加鳖甲、地骨皮、生地黄、当归、牡丹皮。
如臀蒸，（肢细趺踵，腑脏皆热。）加石膏、黄柏。
如胞蒸，（小便赤黄。）加泽泻、茯苓、生地黄、沉香、滑石。
凡此诸证，皆热病后食肥甘油腻，房事饮酒，犯之而成，久蒸成疳，死期迫矣。
滋阴至宝汤 治妇人骨蒸潮热，或喘嗽盗汗，或泄泻腹痛，体疼，或烦渴肢瘦。
当归（酒洗，八分） 白术（土炒，八分） 白芍（火煨，八分） 白苓（乳蒸，八分） 陈皮
（八分） 知母（蜜水炒，八分） 贝母（去心，七分） 香附（童便炒，七分） 地骨皮（去骨，
八分） 薄荷（五分） 麦门冬（去心，八分） 柴胡（酒炒，五分） 甘草（三分）
煨姜三片同煎。
To treat bone-steaming consumptive fever (Gu Zheng Lao Re), emaciation and weakness, spontaneous sweating and night sweats, cough, and various types of bleeding syndromes, where the pulse is floating and knotted (Kou), soft (Ru), deficient and large, or weak, thin, and powerless, this main prescription is suitable.
Ren Shen (Ginseng Radix et Rhizoma; use Korean Ginseng, 1 qian, to tonify Yang and generate Yin) Huang Qi (Astragali Radix; honey-fried, 1 qian, to drain Yin-fire, a warm herb capable of removing great heat) Gan Cao (Licorice Radix et Rhizoma; roasted, 0.5 qian, to treat bone-steaming consumptive fever and spontaneous sweating) Zhi Mu (Anemarrhenae Rhizoma; remove hairs, honey-fried, 1 qian, avoid iron vessels, to treat bone-steaming night sweats) Qin Jiao (Gentianae Macrophyllae Radix; remove rhizome, 1 qian, to treat transmissive corpse bone-steaming) Xuan Shen (Scrophulariae Radix; avoid iron vessels, to treat transmissive pathogenic qi and bone-steaming) Di Gu Pi (Lycii Cortex; 1 qian, to treat bone-steaming vexing heat) Suan Zao Ren (Ziziphi Spinosae Semen; salt-fried, 1 qian, to treat bone-steaming consumptive fever) Bie Jia (Testudinis Carapax et Plastrum; vinegar-fried, 1 qian, to treat labor-heat between emaciated bones, to solidify Qi and tonify Yin) Wu Mei (Mume Fructus; three pieces, to treat deficiency-consumption bone-steaming) Mu Dan Pi (Moutan Cortex; remove woody core, 1 qian).
The above twelve herbs are specific agents for the aforementioned syndromes. If symptoms vary, adjust the prescription according to the specific condition; do not adhere rigidly to a fixed formula. Prepare as one dose, decoct with water until cooked, add one cup of Tong Bian (Child's Urine), mix, and take.
If spontaneous sweating is excessive, add Fu Xiao Mai (Tritici Levis Fructus) a pinch.
If there is a pre-existing history of Chuan Shi Lao (Transmissive Consumptive Disease), add Qing Hao (Artemisiae Annuae Herba) decoction to take together. If the pulse and syndrome indicate intolerance to tonification, reduce the dosage of Ren Shen and Huang Qi, add Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Dong Tian (Asparagi Radix), and Dong Hai (Ophiopogonis Radix). If cough is present, add Bei Mu (Fritillariae Cirrhosae Bulbus), Gua Lou (Trichosanthis Fructus), and Bei Wu Wei Zi (Schisandrae Chinensis Fructus).
If bone-steaming heat is severe accompanied by thirst, add Huo Wei Shi Gao (Calcitum prepared by fire-roasting) 1 qian.
Mu Dan Pi enters the Hand-Jueyin (Pericardium) and Foot-Shaoyin (Kidney) meridians; therefore, it treats bone-steaming without sweat. Di Gu Pi enters the Foot-Shaoyin (Kidney) and Hand-Shaoyang (Sanjiao) meridians; therefore, it treats bone-steaming with sweat.
Experience Five Steams Decoction (Jing Yan Wu Zheng Yin): Highly effective for treating bone-steaming heat.
Fu Ling (Poria; select white ones, peel off skin, 0.8 fen) Ge Gen (Puerariae Lobatae Radix; 0.5 fen) Zhu Ye (Bambusae Folium; 0.5 fen, wash with water) Ren Shen (Ginseng Radix et Rhizoma; Qinghe origin is best, 0.5 fen, soaked in Tong Bian) Sheng Huang Qi (Astragali Radix; steamed mixed with Sha Ren (Amomi Fructus Rotundus), 1 qian) Zhi Mu (Anemarrhenae Rhizoma; fried with Tong Bian, 0.8 fen) Huang Qin (Scutellariae Radix; wine-fried, 1 qian) Shi Gao (Calcitum; fire-roasted, 0.7 fen).
Use Jing Mi (Oryza Sativa Japonica Group) 2 he, water 3 zhong. Decoct Xiao Mai (Tritici Levis Fructus) 2 he until reduced to 2 zhong. Remove the wheat grains, keep the wheat decoction, and continue to decoct the medicinal herbs until 1 zhong remains. Take warm. Adjust according to syndrome: Avoid Hai Zao (Sargassum Herba), Song Cai, Wu Yi (Myrobalani Fructus), and Mi Cu (Vinegar).
For excess heat, add Huang Qin, Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Da Huang (Rhei Radix et Rhizoma), etc.
For deficiency-heat with Qi deficiency, add Wu Mei, Qin Jiao, Chai Hu (Bupleuri Radix).
For Blood deficiency, add Qing Hao, Bie Jia, Ge Jie (Geckus), Xiao Mai, Mu Dan Pi.
For Marrow Steaming (Sui Zheng - dryness of marrow, heat in bones), add Sheng Di Huang, Dang Gui, Tian Men Dong (Asparagi Radix).
For Bone Steaming (Gu Zheng - black teeth, cold extremities, Gan accumulation affecting five zang organs), add Bie Jia, Di Gu Pi, Sheng Di Huang, Dang Gui, Mu Dan Pi.
For Buttock Steaming (Tun Zheng - thin limbs, pain in dorsum of foot and heel, heat in all fu-zang), add Shi Gao, Huang Bo.
For Bladder Steaming (Bao Zheng - red and yellow urine), add Ze Xie (Alismatis Rhizoma), Fu Ling, Sheng Di Huang, Chen Xiang (Aquilariae Lignum Resinatum), Hua Shi (Talcum).
All these syndromes arise from consuming rich, sweet, greasy foods after febrile diseases, engaging in sexual intercourse, or drinking alcohol, violating taboos. Prolonged steaming leads to Gan accumulation, and death approaches swiftly.
Zi Yin Zhi Bao Tang (Nourishing Yin Precious Treasure Decoction): Treats women with bone-steaming tidal fever, or wheezing/cough/night sweats, or diarrhea/abdominal pain, body pain, or vexation/thirst/emaciation.
Dang Gui (Angelicae Sinensis Radix; washed with wine, 0.8 fen) Bai Zhu (Atractylodis Macrocephalae Rhizoma; soil-fried, 0.8 fen) Bai Shao (Paeoniae Radix Alba; fire-roasted, 0.8 fen) Bai Ling (Poria; steamed with milk, 0.8 fen) Chen Pi (Citri Reticulatae Pericarpium; 0.8 fen) Zhi Mu (Anemarrhenae Rhizoma; fried with honey-water, 0.8 fen) Bei Mu (Fritillariae Cirrhosae Bulbus; remove heart, 0.7 fen) Xiang Fu (Cyperi Rhizoma; fried with Tong Bian, 0.7 fen) Di Gu Pi (Lycii Cortex; remove woody core, 0.8 fen) Bo He (Menthae Haplocalycis Herba; 0.5 fen) Mai Men Dong (Ophiopogonis Radix; remove heart, 0.8 fen) Chai Hu (Bupleuri Radix; wine-fried, 0.5 fen) Gan Cao (Licorice Radix et Rhizoma; 0.3 fen).
Decoct together with San Pian (three slices of Ginger prepared by roasting).