治人素有劳根，苦作便发，则身百节皮肤，无处不疼痛，或热筋急方。
取白柘，东南行根一尺，刮去上皮，取中间皮以烧屑，亦可细切捣之。以酒服三方寸匕
，浓覆取汗，日三服，无酒以浆服之。白柘是柘之无刺者也。
治卒连时不得眠方。
暮以新布火炙以熨目，并蒸大豆，更番囊贮枕，枕冷复更易热，终夜常枕热豆，即立愈
也。
此二条本在杂治中，并皆虚劳，患此疾，虽非乃 急不即治。亦渐瘵人，后方劳救，为
力数倍，今故略载诸法。
凡男女因积劳虚损，或大病后不复，常若四体沉滞，骨肉疼酸。吸吸少气，行动喘 ，
或小腹拘急，腰背强痛，心中虚悸，咽干唇燥，面体少色，或饮食无味，阴阳废弱，悲忧惨
戚，多卧少起。久者积年，轻者才百日，渐至瘦削，五脏气竭，则难可复振，治之汤方。
甘草二两，桂三两，芍药四两，生姜五两，无者亦可用干姜，大枣二七枚，以水九升，
煮取三升，去滓。纳饴八两，分三服，间日复作。一剂复可，将诸丸散耳，黄 加二两，人
参二两，为佳。若患痰满，及溏泄，可除饴耳，姚同。
又方，乌雌鸡一头，治如食法，以生地黄一斤，切，饴糖二升，纳腹内，急缚，铜器贮
甑中，蒸五升米久，须臾，取出食肉，饮汁，勿啖盐，三月三度作之，姚云神良，并止盗汗
。
又方，甘草一两，白术四两，麦门冬四两，牡蛎二两，大枣二十枚，胶三两，水八升，
煮取二升，再服。
又方，黄 ，枸杞根，白皮，生姜三两，甘草，麦门冬，桂各二两，生米三合，水九升
，煮取三升，分四服。
又方，羊肾一枚，切，术一升，以水一斗，煮取九升。服一升，日二三服，一日尽，冬
月分二日服，日可再服。
又有建中肾沥汤法诸丸方。
干地黄四两，茯苓，薯蓣，桂，牡丹，山茱萸各二两，附子，泽泻一两，捣蜜丸，如梧
子，服七丸，日三，加至十丸。
此是张仲景八味肾气丸方，疗虚劳不足，大伤饮水，腰痛，小腹急，小便不利，又云长
服，即去附子，加五味子，治大风冷。
又方，苦参，黄连，菖蒲，车前子，忍冬，枸杞子各一升，捣蜜丸，如梧子大，服十丸
，日三服。
有肾气大丸法诸散方。
术一斤，桂半斤，干地黄，泽泻，茯苓各四两，捣，筛，饮服方寸匕，日三两服，佳。
又方，生地黄二斤，面一斤，捣，炒，干，筛，酒服方寸匕，日三服。
附方
枸杞子酒主补虚，长肌肉，益颜色，肥健人，能去劳热，用生枸杞子五升，好酒二斗。
研，搦，匀碎，浸七日，漉去滓，饮之。初以三合为始，后即任意饮之，《外台秘要》
同。
《食疗》，补虚劳，治肺劳，止渴，去热风。
用天门冬去皮心，入蜜煮之，食后服之，若曝干入蜜丸尤佳，亦用洗面甚佳。
又方，雀卵白，和天雄末，菟丝子末，为丸，空心酒下五丸，主男子阴痿不起，女子带
下，便溺不利，除疝瘕，决痈肿，续五脏气。
《经验方》，暖精气，益元阳。
白龙骨，远志等分，为末，炼蜜丸如梧桐子大，空心卧时，冷水下三十丸。
又方，除盗汗，及阴汗。
牡蛎为末，有汗处粉之。
《经验后方》，治五劳七伤，阳气衰弱，腰脚无力，羊肾苁蓉羹法。
羊肾一对，去脂膜，细切，肉苁蓉一两，酒浸一宿，刮去皴皮，细切，相和作羹，葱白
盐五味等。如常法事治，空腹食之。
又方，治男子女人，五劳七伤，下元久冷，乌髭鬓，一切风病，四肢疼痛，驻颜壮气。
补骨脂一斤，酒浸一宿，放干，却用乌油麻一升，和炒，令麻子声绝，即播去，只取补
骨脂为末，醋煮面糊，丸如梧桐子大，早晨温酒，盐汤下二十丸。
又方，固阳丹。
菟丝子二两，酒浸十日，水淘焙干为末。更入杜仲一两，蜜炙，捣，用薯蓣末，酒煮为
糊，
丸如梧桐子大，空心用酒下五十丸。
《食医心镜》，益丈夫，兴阳，理腿膝冷。
淫羊藿一斤，酒一斗，浸经三日，饮之佳。
御药院，治脚膝风湿，虚汗少力，多疼痛及阴汗。
烧矾作灰，细研末，一匙头，沸汤投之，淋洗痛处。
《外台秘要》，补虚劳益髓，长肌悦颜色，令人肥健。
鹿角胶，炙，捣，为末，以酒服方寸匕，日三服。
又治骨蒸。
桃仁一百二十枚，去皮双仁留尖，杵和为丸，平旦井花水顿服，令尽服讫，量性饮酒，
令醉，仍须吃水，能多最精，隔日又服一剂，百日不得食肉。
又骨蒸亦曰内蒸，所以言内者，必外寒内热附骨也，其根在五脏六腑之中，或皮燥而无
光。蒸作之时，四肢渐细，足 肿者。
石膏十分研如乳法，和水服方寸匕，日再，以体凉为度。
崔元亮《海上方》，疗骨蒸鬼气。
取童子小便五大斗，澄过，青蒿五斗，八月九月采，带子者最好，细锉，二物相和，纳
好大釜中，以猛火煎取三大斗，去滓，净洗釜，令干，再泻汁，安釜中，以微火煎可二大斗
。即取猪胆十枚，相和煎一大斗半，除火待冷，以新瓷器贮，每欲服时，取甘草二三两，热
熟
炙，捣末，以煎和，捣一千杵为丸，空心粥饮下二十丸，渐增至三十丸止。
Translation of the text into academic English based on the WHO International Standard Terminologies on Traditional Medicine.
To treat individuals who have a chronic root of labor injury (Xulao), where symptoms flare up upon slight exertion, causing pain throughout all joints and skin, or presenting with tendon stiffness and heat.
Take Bai Zhe (Bark of *Celtis sinensis*), specifically the root growing towards the southeast for one chi in length. Scrape off the outer bark and use the inner bark, burning it to fine ash, or alternatively, finely cut and pound it. Administer three Fang Cun Bi (a traditional measuring spoon) with wine to induce sweating under thick covers. Take three times daily; if wine is unavailable, administer with rice gruel. Bai Zhe refers to the thornless variety of Zhe tree.
To treat sudden onset of continuous insomnia.
In the evening, wrap new cloth and heat it over fire to compress the eyes. Simultaneously, steam soybeans, place them in alternating bags as pillows. Replace with hot bags when they cool down, keeping the head warm with hot bean bags throughout the night, which will lead to immediate recovery.
These two prescriptions were originally listed among miscellaneous treatments, both pertaining to Xu Lao (Deficiency-Labor). Although these conditions are not immediately life-threatening emergencies, they gradually consume the body. Treating them later requires several times more effort; therefore, these methods are briefly recorded here.
For men and women suffering from deficiency due to accumulated labor, or failure to recover after severe illness, often experiencing heaviness and stagnation in the four limbs, soreness and pain in bones and muscles, shortness of breath, panting upon movement, tightness in the lower abdomen, stiffness and pain in the waist and back, palpitations with a feeling of emptiness in the heart, dry throat and lips, lackluster complexion, loss of taste, weakness of Yin and Yang, sadness and worry, excessive sleeping with little rising. Long-standing cases may last years, while mild cases may persist for a hundred days, leading to emaciation and exhaustion of the Qi of the Five Zang Organs, making recovery difficult. This is the decoction formula for treatment.
Gan Cao (Radix Glycyrrhizae Preparata) 2 liang, Gui Zhi (Ramulus Cinnamomi) 3 liang, Shao Yao (Radix Paeoniae Rubra) 4 liang, Sheng Jiang (Rhizoma Zingiberis Recens) 5 liang (if unavailable, Gan Jiang (Rhizoma Zingiberis Secatum) may be used), Da Zao (Fructus Jujubae) 21 pieces. Boil in 9 sheng of water until 3 sheng remain, discard the dregs. Add Yi Tang (Malt Sugar) 8 liang, divide into three doses, prepare every other day. If combined with various pills and powders, adding Huang Qi (Radix Astragali) 2 liang and Ren Shen (Radix Ginseng) 2 liang is preferred. If the patient has phlegm-fullness or loose stools, remove the Yi Tang; this view is shared by Yao.
Another prescription: One female black chicken, prepared for eating. Place 1 jin of fresh Di Huang (Radix Rehmanniae) sliced, and 2 sheng of Yi Tang (Malt Sugar) inside the abdominal cavity. Tie tightly, place in a bronze steamer basket, and steam for the duration required to cook 5 sheng of rice. Remove shortly after, eat the meat, drink the juice, avoid salt. Perform this three times over three months. Yao states this is miraculous and effective, also stopping nocturnal sweating.
Another prescription: Gan Cao (Radix Glycyrrhizae Preparata) 1 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 4 liang, Mai Men Dong (Tuber Ophiopogonis) 4 liang, Mu Li (Concha Ostreae) 2 liang, Da Zao (Fructus Jujubae) 20 pieces, E Jiao (Colla Corii Asini) 3 liang. Boil in 8 sheng of water until 2 sheng remain, take in two doses.
Another prescription: Huang Qi (Radix Astragali), Gou Qi Gen Bai Pi (Cortex Radicis Lycii), Sheng Jiang (Rhizoma Zingiberis Recens) 3 liang, Gan Cao (Radix Glycyrrhizae Preparata), Mai Men Dong (Tuber Ophiopogonis), Gui Zhi (Ramulus Cinnamomi) each 2 liang, Jing Mi (Semen Oryzae Sativum) 3 he. Boil in 9 sheng of water until 3 sheng remain, divide into four doses.
Another prescription: One Sheep Kidney (Ren), sliced, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 1 sheng. Boil in 1 dou of water until 9 sheng remain. Take 1 sheng per dose, two to three times daily, finish within one day. In winter, divide over two days, can take twice daily.
There are also methods for Jian Zhong Shen Li Tang (Middle-Building Kidney-Drip Decoction) and various pill formulas.
Shu Di Huang (Radix Rehmanniae Praeparata) 4 liang, Fu Ling (Poria), Shu Yu (Radix Dioscoreae Hypoglaucae), Gui Zhi (Ramulus Cinnamomi), Mu Dan Pi (Cortex Moutan), Shan Zhu Yu (Fructus Corni) each 2 liang, Fu Zi (Radix Aconiti Lateralis Preparata), Ze Xie (Rhizoma Alismatis) each 1 liang. Pound and mix with honey to make pills the size of Wutong seeds. Take 7 pills, three times daily, increasing to 10 pills.
This is Zhang Zhongjing's Ba Wei Shen Qi Wan (Eight-Ingredient Kidney-Qi Pill) formula, treating deficiency-labor insufficiency, severe damage causing polydipsia, lower back pain, lower abdominal urgency, and dysuria. It is also stated that long-term use involves removing Fu Zi (Radix Aconiti Lateralis Preparata) and adding Wu Wei Zi (Fructus Schisandrae Chinensis) to treat severe wind-cold.
Another prescription: Ku Shen (Radix Sophorae Flavescentis), Huang Lian (Rhizoma Coptidis), Chang Pu (Rhizoma Acori Tatarinowii), Che Qian Zi (Semen Plantaginis), Jin Yin Hua (Flos Lonicerae Japonicae), Gou Qi Zi (Fructus Lycii) each 1 sheng. Pound and mix with honey to make pills the size of Wutong seeds. Take 10 pills, three times daily.
There are methods for Shen Qi Da Wan (Great Kidney-Qi Pill) and various powder formulas.
Bai Zhu (Rhizoma Atractylodis Macrocephalae) 1 jin, Gui Zhi (Ramulus Cinnamomi) 0.5 jin, Shu Di Huang (Radix Rehmanniae Praeparata), Ze Xie (Rhizoma Alismatis), Fu Ling (Poria) each 4 liang. Pound, sieve, and take 1 Fang Cun Bi with wine, two to three times daily, which is optimal.
Another prescription: Sheng Di Huang (Radix Rehmanniae Recens) 2 jin, Flour 1 jin. Pound, stir-fry, dry, sieve, and take 1 Fang Cun Bi with wine, three times daily.
Supplementary Formulas
Gou Qi Zi Jiu (Lycium Berry Wine) mainly tonifies deficiency, promotes muscle growth, improves complexion, strengthens the body, and removes labor-heat. Use 5 sheng of fresh Gou Qi Zi (Fructus Lycii) and 2 dou of good wine. Grind, crush evenly, soak for seven days, filter out dregs, and drink. Start with 3 he, then drink as desired. Same as recorded in *Waitai Miyao*.
*Shiliao* (Dietary Therapy): Tonifies deficiency-labor, treats Lung Labor, stops thirst, removes wind-heat.
Use Tian Men Dong (Radix Asparagi) peeled and cored, boiled with honey, taken after meals. If dried and made into honey pills, it is even better; also excellent for washing the face.
Another prescription: Sparrow egg white mixed with Tian Xiong (Radix Aconiti Kusnezoffii) powder and Tu Si Zi (Semen Cuscutae) powder, made into pills. Take 5 pills with wine on an empty stomach. Mainly treats male impotence, female leukorrhea, difficulty in urination, eliminates hernia and masses, resolves abscesses, and reconnects the Qi of the Five Zang Organs.
*Jingyan Fang* (Experience Formula): Warms essence and Qi, benefits Yuan Yang.
Bai Long Gu (Os Draconis et Mammutis) and Yuan Zhi (Radix Polygalae) in equal parts, made into powder, refined honey pills the size of Wutong seeds. Take 30 pills with cold water on an empty stomach and before sleep.
Another prescription: Removes nocturnal sweating and genital sweating.
Mu Li (Concha Ostreae) powdered, applied as dust to sweaty areas.
*Jingyan Hou Fang* (Later Experience Formulas): Treats Wu Lao Qi Shang (Five Labors and Seven Injuries), weak Yang Qi, weak waist and legs. Method for Yang Shen Cong Rong Geng (Sheep Kidney and Cistanche Soup).
One pair of sheep kidneys, remove fat membrane, finely chop. 1 liang of Rou Cong Rong (Herba Cistanches) soaked in wine overnight, scraped clean, finely chopped. Mix and make into soup with scallion whites, salt, and Wu Wei Zi (Fructus Schisandrae Chinensis). Prepare as usual, eat on an empty stomach.
Another prescription: Treats men and women with Wu Lao Qi Shang (Five Labors and Seven Injuries), chronic cold in the Lower Yuan, darkens hair and temples, treats all wind diseases, limb pain, preserves youth and strengthens Qi.
Bu Gu Zhi (Fructus Psoraleae) 1 jin, soaked in wine overnight, dried. Stir-fry with 1 sheng of black sesame oil until the sound of sesame ceases, winnow away sesame seeds, keep Bu Gu Zhi powder. Cook with vinegar and flour paste, make pills the size of Wutong seeds. Take 20 pills in the morning with warm wine or salt water.
Another prescription: Gu Yang Dan (Solidify Yang Pill).
Tu Si Zi (Semen Cuscutae) 2 liang, soaked in wine for ten days, washed, dried, and powdered. Add Du Zhong (Cortex Eucommiae) 1 liang, honey-fried, pounded. Use Shu Yu (Radix Dioscoreae Hypoglaucae) powder, cooked with wine into a paste, make pills the size of Wutong seeds. Take 50 pills with wine on an empty stomach.
*Shiyi Xinjing* (Mirror of Food Doctors): Benefits men, stimulates Yang, regulates cold in legs and knees.
Yin Yang Huo (Herba Epimedii) 1 jin, 1 dou of wine, soak for three days, drink for best results.
Imperial Medical Academy: Treats wind-dampness in feet and knees, deficiency sweating, weakness, pain, and genital sweating.
Burn Ming Fan (Alumen) to ash, grind finely. Take one spoonful, dissolve in boiling water, and wash/rinse painful areas.
*Waitai Miyao*: Tonifies deficiency-labor, benefits marrow, promotes muscle growth, improves complexion, makes one robust.
Lu Jiao Jiao (Colla Cornus Cervi) roasted, pounded, powdered. Take 1 Fang Cun Bi with wine, three times daily.
Also treats Gu Zheng (Bone Steaming).
Tao Ren (Semen Persicae) 120 kernels, peel skin, keep double kernels with tips, pound and mix into pills. Take at dawn with well-water in one go, drink enough to become drunk, still need to drink water; drinking more is best. Take another dose every other day, abstain from meat for 100 days.
Bone Steaming is also called Internal Steaming. The term "internal" implies external cold and internal heat attaching to the bone. Its root lies within the Five Zang and Six Fu Organs, manifesting as dry, lusterless skin. During steaming episodes, limbs gradually thin, and feet may swell.
Shi Gao (Gypsum Fibrosum) 10 fen, ground fine like milk powder, mixed with water, take 1 Fang Cun Bi, twice daily, stop when the body feels cool.
Cui Yuanliang's *Haishang Fang*: Treats Bone Steaming and Ghost Qi.
Take 5 dou of urine from a young boy, clarify. 5 dou of Qing Hao (Herba Artemisiae Annuae), harvested in August/September, preferably with seeds, finely chopped. Mix both, put in a large pot, boil fiercely until 3 dou remain, discard dregs. Clean pot thoroughly, dry, pour liquid back in, simmer gently until about 2 dou remain. Take 10 pig gallbladders, mix and boil until 1.5 dou remains. Remove from fire, let cool, store in new porcelain. When ready to take, use 2-3 liang of Gan Cao (Radix Glycyrrhizae Preparata), roast hot, powder, mix with the decoction, pound 1000 times to make pills. Take 20 pills with porridge drink on an empty stomach, gradually increase to 30 pills.