（劳极 烦热 劳瘵）
【脉】 男子平人，脉大为劳，极虚为劳，浮大为里虚。男子脉虚弱细微者，善
盗汗。
男子脉虚沉弦，无寒热，短气里急，小便不利、面色白，时目瞑，喜衄。诸芤、动、微、紧
，
男子失精，女子梦交。脉沉小迟，名脱气。其人疾行则喘，手足寒，腹满，甚则溏泄，食不
消。脉弦而大，大则为芤，弦则为减，女子漏下，男子失精。脉微弱而涩为无子，精气清冷
。尺脉弱寸强，胃络脉伤。安卧脉盛，谓之脱血。脉举之而滑，按之而微，看在何部，以知
其脏。尺弱滑而涩，下虚也；尺滑而涩疾，为血虚。脉数，骨肉相失，声散呕血，阳事不禁
，昼凉夜热者死。脉轻手则滑，重按则平，看在何经而辨其腑。寸弱而微者，上虚也。
【因】 喜怒不节，起居不时，有所劳伤，皆伤其气。气衰则火旺，火旺则乘其
脾土，而胃气、元气散解，不能滋养百脉，灌注脏腑，卫护周身，百病皆作。
【证】 百节烦疼，胸满气短，心烦不安，耳聩鸣，眼黑眩，寒热交作，自汗飧
泄，四肢怠惰者。
外有脾痹、中风、湿痹病、伤暑、骨热不同。
【治】 法以甘寒泻火，甘温补中，温之、收之。
十全散、四物汤治血虚；四君子汤治气虚，加升麻，补中益气汤。
牛膝丸 治肾肝损，骨痿不能起床，筋缓不能收持。
川萆 （炒） 杜仲（炒） 苁蓉（酒浸） 菟丝（酒浸） 牛膝（酒浸，治肾） 蒺藜（治肝，
各等分） 桂枝（半两）
酒煮猪腰子，丸梧桐子大。空心酒下。亦治腰痛。
肾气丸 治肾脾不足，房室虚损，宜此荣养血以益肾。肾苦燥，以辛润之，致津
液，故用川芎。酸以收之，故用五味。盖神方也。
苍术（泔浸，一斤） 熟地（一斤） 五味（半斤） 川芎（冬一两，夏半两，秋七钱，春亦
七钱）
上为末，用枣肉丸，米饮下。
地黄煎丸 解劳生肌活血。
生地汁 藕汁 杏仁汁 姜汁（各五升） 薄荷汁 鹅梨汁 法酒（二升） 沙蜜（四两）
以上慢火熬成膏，入后药。
柴胡（三两，去芦） 秦艽（去芦） 桔梗（各二两） 熟地黄（四两） 木香 枳壳（炒） 柏
子仁（炒） 山药 白茯苓 远志（去心） 人参 白术（各一两） 麝香（半钱，另研）
上为末，和前药，丸如梧桐子大，甘草汤下。
辛苦劳 柴胡 人参 黄 黄柏 甘草
牡蛎散 治诸虚不足，津液不固，自汗出。
牡蛎（ 取粉） 麻黄根 黄 或加秦艽、柴胡、小麦同煎。
麦门冬汤 治大病后虚烦，则热不解，不得卧。
半夏 竹茹 陈皮 茯苓 麦门冬 人参
炙甘草汤 治虚劳不足，汗出而闷，心悸，脉结代。
酸枣仁丸 治虚劳，虚烦不得眠者。
枣仁（炒，一两） 参 桂（各一钱） 茯苓（三钱） 石膏（半两） 猪苓（三钱）
固精丸 治精滑。
牡蛎砂锅 ，醋淬七次，醋糊丸，梧子大，空心盐酒送下。
参归散 治骨蒸劳。
知母（炒） 人参（炒） 秦艽（去尖芦） 北柴胡（同术炒） 鳖甲（麦汤浸七次） 前胡（各
半两） 乌梅（三个） 地骨皮 川常山（酒浸三日） 川归（柴胡同炒） 甘草 白茯苓（各七钱
半）
水煎服。
脾虚 本经宜四君子汤。
肝乘之，胁痛口苦，往来寒热而呕，四肢满闷，淋溲便难，转筋腹痛。宜防风、独活、
川芎、桂、芍药、白术、茯苓、猪苓、泽泻、黄柏、细辛、滑石。
心乘之，宜连、芩、柏、白芍、地黄、石膏、知母。
肺受病，痰嗽短气，懒言嗜卧，洒淅寒热，宜补中益气汤。作涎清涕，肩胛腰脊痛，冷
泄，宜干姜、术、附、乌、苍术、桂、茯。
劳极
劳者，神不宁也。
肝劳实热，关格牢涩，闭寒不通，毛悴色夭。肝劳虚寒，口苦，关节疼痛，筋挛缩，烦
闷。
心劳实热，口舌生疮，大便闭塞，心满痛，小腹热。心劳虚寒，惊悸恍惚多忘，梦寐惊
魇，神志不定。
脾劳实热，四肢不和，五脏乘戾，胀满肩息，气急不安。脾劳虚寒，气胀咽满，食不下
通，噫宿食臭。
肺劳实热，气喘鼻胀，面目苦肿。肺劳虚寒，心腹冷气，气逆游气，胸胁气满，从胁达
背痛，呕逆虚乏。
肾劳实热，小腹胀满，小便赤黄，末有余沥数少，茎中痛，阴囊生疮。肾劳虚寒，恐虑
失志，伤精嘘吸短气，遗泄白浊，小便赤黄，阴下湿痒，腰脊如折。颜色枯悴。
尽力谋虑则肝劳；曲运神机则心劳；意外致思则脾劳；预事而忧则肺劳；矜持志节则肾
劳。
极者，穷极无所养也。
筋实，咳而两胁下痛，不可转动，脚下满不得远行，脚心痛不可忍，手足爪甲青黑，四
肢筋
急，烦满。筋虚，好悲思，支嘘吸，脚手俱挛，伸动缩急，腹内转痛，十指甲疼，转筋。甚
则舌卷卵缩，唇青，面色苍白，不得饮食。
脉实，气衰血焦，发落，好怒，唇舌赭。甚则言语不快，色不泽，饮食不为肌肤。脉虚
，虚则咳，咳则心痛，喉仲介介如梗，甚则咽垂。
肉实，肌脾淫淫如鼠走，津液开，腠理脱，汗大泄。或不仁，四肢急痛。或腹缓弱，唇
口坏
，皮肤变色。肉虚，体重怠惰，四肢不欲举，关节痛疼，不嗜饮食，饮食则咳，咳则胁下痛
阴引背及肩不可转动。
气实，喘息冲胸，常欲自恚，心腹满痛，内外有热，烦呕不安。甚则呕血，气短乏不欲
食，口燥咽干。气虚，皮毛焦，津液不通，力乏腹胀。甚则喘息，气短息塞，昼差夜甚。
精实，目视不明，齿焦发落，形衰，通身虚热。甚则胸中痹 痛，烦闷泄精。精虚，
羸，惊悸，梦泄遗沥，小便白浊。甚则茎弱核彻，小腹里急。
骨实，热，耳鸣，面色焦枯，隐曲膀胱不通，牙脑苦痛，手足酸疼，大小便
闭。骨虚，面肿垢黑，脊痛不能久立，气衰发落齿槁，腰背相引痛。甚则喜唾不了。
烦热
内热曰烦，外热曰热。身不觉热，头目昏痛，口干咽燥不渴，清清不寐，皆虚烦也。平
人自汗，小便频并，遗泄白浊，皆忧烦过度，大病虚后烦闷，谓之心虚烦闷。
《古今录验》五蒸汤 治五蒸病。
甘草（一两，炙） 人参 知母 黄芩（各二两） 茯苓 熟地 葛根（各三两） 竹叶（二
把） 石膏（五两，碎） 梗米（二合）
上 咀，以水九升，煮取二升半，分为三服。亦可以煎小麦水乃煎药。忌海藻、菘菜、
芜荑、大醋。
实热 黄芩 黄柏 黄连（气也） 大黄（血也）
虚热 乌梅 秦艽 柴胡（气也） 青蒿 蛤蚧 鳖甲 小麦 丹皮（血也）
肺（鼻干） 乌梅 天冬 麦冬 紫菀
皮（舌白，唾血） 桑白皮 石膏
肤（昏昧嗜唾） 牡丹皮
气（遍身虚热，喘促鼻干） 人参 黄芩 栀子
大肠（鼻右孔干痛） 大黄 芒硝
脉（唾白浪语，脉络溢，脉缓急不调） 生地黄 当归
心（舌干） 生地 黄连
血（发焦） 地黄 当归 桂心 童便
小肠（下唇焦） 赤茯苓 木通 生地
脾（唇焦） 芍药 木瓜 苦参
肉（食无味而呕，烦躁甚不安） 白芍药
胃（舌下痛） 石膏 粳米 大黄 芒硝 葛根
肝（眼黑） 川芎 当归 前胡
筋（甲焦） 川芎 当归
胆（眼白失色） 柴胡 栝蒌
三焦（乍寒乍热） 石膏 竹叶
肾（两耳焦） 生地 石膏 知母 寒水石
脑（头眩，闷热） 地黄 防风 羌活
髓（髓沸骨中，骨热） 天冬 当归 地黄
骨（齿黑，腰痛足逆） 鳖甲 地骨皮 牡丹皮归 生地黄
肉（肢细肤肿，腑脏俱热） 石膏 黄柏
胞（小便赤黄） 泽泻 茯苓 滑石 生地 沉香
膀胱（左耳焦） 苓 滑石 泽泻
外有胸中烦热，肝中寒烦闷、肝中风酒疸、中暑中风湿、心痹、脾痹、肝虚寒、精实、
五心烦热、小肠热、心虚热。足下热，酒疸、女劳疸。日晡热如疸。
劳瘵
脉虚。
【因】 痰与血病。
【证】 其病俗名传尸。虽多种不同，其病与前人相似。大略令人寒热盗汗，梦
与鬼交
，遗泄白浊，发干而耸；或腹中有块，或脑后两边有小核数个，或聚或散，沉沉默默，咳嗽
痰涎；或咯脓血，如肺痿、肺痈状；或腹下利，羸瘦困乏，不自胜持。虽不同证，其根多有
虫啮心肺一也。
【治】 青蒿（一斗半） 童便（三斗）
文武火熬至七分，去蒿。再熬至一升，入猪胆汁七个、辰砂、槟榔末。再熬数沸，以甘
草末收之。
四物汤 治虚劳痰，竹沥、姜汁、便。或加参、术。
三拗汤 治传尸劳瘵，寒热交攻，久嗽咯血羸瘦，先服此方，后服莲心散，万无
一失。
麻黄 生甘草 杏仁（不去皮尖、炙）
姜枣煎服，痰清则止。
莲心散 当归 黄 甘草（炙） 鳖甲（醋炙） 前胡 柴胡 独活 羌活 防风
防己 茯苓 半夏 黄芩陈皮 官桂 阿胶 赤芍 麻黄（去节） 杏仁 莲心（去心） 天南星
川芎 芫花（醋炒黑） 枳壳（炒）
除芫花，每服二钱半，水二盏半，姜三片，枣一枚，入芫花一抄，煎至八分服。须吐有
异物，渐减芫花及甘草，杀虫少之。
调鼎方 治传尸劳，神效。
混沌皮（一具，醋浸一宿，焙干） 炙鳖甲 桔梗 芍药 胡黄连 制大黄 甘草
豉心
苦参 贝母 秋石（另研） 草龙胆 知母 黄柏（蜜炙） 芒硝 犀角（一钱） 蓬术（一个）
上炼蜜为丸。温酒下二十丸，肠热食前，膈热食后，一月平安。
白蜡丸 治瘵。
[Lao Ji, Fan Re, Lao Zhai]
[Pulse Diagnosis]
In men who are normally healthy, a large pulse indicates *Lao* (Consumption/Exhaustion); an extremely weak pulse also indicates *Lao*; a floating and large pulse suggests internal deficiency of righteous Qi. If a man's pulse is weak, deep, fine, and minute, he is prone to night sweats (*Dao Han*).
If a man's pulse is weak, deep, and wiry, without aversion to cold or fever, accompanied by shortness of breath, epigastric tightness, dysuria, pale complexion, occasional visual obscurity, and easy epistaxis, these symptoms appear. The presence of Khong (Hollow), Dong (Agitated), Wei (Minute), and Jin (Tight) pulses in men indicate seminal emission (*Shi Jing*), while in women it indicates nocturnal emission with sexual intercourse (*Meng Jiao*).
A pulse that is deep, small, and slow is named "Tuo Qi" (Loss of Qi). The patient pants when walking quickly, has cold hands and feet, abdominal fullness, and in severe cases, loose stools and indigestion. A pulse that is wiry and large, where "large" manifests as Khong and "wiry" manifests as diminished strength, indicates metrorrhagia (*Lou Xia*) in women and seminal emission in men. A pulse that is faint and choppy indicates infertility and cold, clear essence. A weak radial pulse at the Chi position and a strong pulse at the Cun position indicate injury to the stomach collaterals. A vigorous pulse during rest is called "Tuo Xue" (Blood Loss). A pulse that is slippery on light palpation and faint on heavy pressure requires localization to determine the affected zang organ. A Chi pulse that is weak, slippery, and choppy indicates lower jiao deficiency; a Chi pulse that is slippery, choppy, and rapid indicates blood deficiency. A rapid pulse with emaciation, hoarse voice, hematemesis, uncontrolled erections, and diurnal coolness with nocturnal heat indicates a fatal prognosis. A pulse that is slippery on light touch and level on heavy pressure requires meridian differentiation to identify the affected fu organ. A weak and faint Cun pulse indicates upper jiao deficiency.
[Etiology]
Unregulated emotions (joy and anger), irregular daily routines, and various forms of overexertion all damage Qi. When Qi declines, ministerial fire flares up; excessive fire attacks the Spleen Earth, causing the Stomach Qi and Yuan Qi to dissipate. This prevents the nourishment of the hundred vessels, the infusion into the zang-fu organs, and the protection of the body surface, leading to the onset of myriad diseases.
[Symptoms]
Generalized joint pain and vexation, chest fullness, shortness of breath, mental restlessness, deafness and tinnitus, visual blackouts and vertigo, alternating chills and fever, spontaneous sweating, undigested diarrhea (*Sun Xie*), and limb lethargy characterize this condition.
Differentiations include Pi Bi (Spleen Obstruction), Wind-Stroke, Damp-Bi, Heatstroke, and Bone Heat.
[Treatment Principles]
The therapeutic method employs sweet-cold herbs to drain fire and sweet-warm herbs to tonify the middle, combined with warming and astringing methods.
Shiquan San (Perfect Ten Powder) and Siwu Tang (Four Substance Decoction) treat Blood Deficiency; Sijunzi Tang (Four Gentlemen Decoction) treats Qi Deficiency, which can be modified with Shengma or treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
Niuxi Wan (Achyranthes Pill) treats Kidney and Liver damage, bone痿 (Wei - inability to rise from bed), and tendon laxity preventing support.
Formula: Chuan Bi Xie (Stir-fried), Du Zhong (Stir-fried), Rong Rong (Wine-soaked), Tu Si Zi (Wine-soaked), Niu Xi (Wine-soaked, for Kidney), Ji Li (for Liver, equal parts), Gui Zhi (Half liang).
Boil pig kidneys in wine, form pills the size of sophora seeds. Take with wine on an empty stomach. Also treats lower back pain.
Shenqi Wan (Kidney Qi Pill) treats Kidney and Spleen insufficiency and sexual exhaustion; it nourishes blood and benefits the Kidney. Since the Kidney dislikes dryness, acrid herbs moisten it to generate fluids, hence the use of Chuan Xiong. Sour herbs astringe, hence the use of Wu Wei Zi. This is a miraculous formula.
Formula: Cang Zhu (Soaked in rice water, 1 jin), Shu Di Huang (1 jin), Wu Wei Zi (Half jin), Chuan Xiong (Winter: 1 liang, Summer: Half liang, Autumn: 7 qian, Spring: 7 qian).
Grind into powder, make pills with jujube paste, take with rice drink.
Dihuang Jian Wan (Rehmannia Paste Pill) relieves fatigue, generates flesh, and invigorates blood.
Formula: Sheng Di Huang Juice, Ou Zhi (Lotus Root Juice), Xing Ren Zhi (Almond Juice), Jiang Zhi (Ginger Juice, 5 sheng each), Bo He Zhi (Mint Juice), E Li Zhi (Goose Pear Juice, 2 sheng), Sha Mi (Sand Honey, 4 liang).
Slowly simmer into a paste, then add:
Chai Hu (3 liang, remove rhizome), Qin Jiao (remove rhizome), Jie Geng (2 liang each), Shu Di Huang (4 liang), Mu Xiang, Zhi Ke (Stir-fried), Bai Zi Ren (Stir-fried), Shan Yao, Bai Fu Ling, Yuan Zhi (Remove heart), Ren Shen, Bai Zhu (1 liang each), She Xiang (Half qian, separately ground).
Grind into powder, mix with the paste, form pills the size of sophora seeds, take with Licorice decoction.
[Xin Ku Lao (Fatigue from Hard Work)]
Formula: Chai Hu, Ren Shen, Huang Qi, Huang Bo, Gan Cao.
[Muli San]
Treats various deficiencies, insecure fluids, and spontaneous sweating.
Formula: Mu Li (Calcined powder), Ma Huang Gen, Huang Qi. Alternatively, add Qin Jiao, Chai Hu, and Xiao Mai, decoct together.
[Ma Men Dong Tang]
Treats post-illness deficiency vexation, persistent heat, and insomnia.
Formula: Ban Xia, Zhu Ru, Chen Pi, Fu Ling, Mai Men Dong, Ren Shen.
[Zhi Gan Cao Tang]
Treats deficiency-lao insufficiency, sweating with chest oppression, palpitations, and knotted/intermittent pulse.
[Suan Zao Ren Wan]
Treats deficiency-lao with deficiency vexation and inability to sleep.
Formula: Zao Ren (Stir-fried, 1 liang), Ren Shen, Gui Zhi (1 qian each), Fu Ling (3 qian), Shi Gao (Half liang), Zhu Ling (3 qian).
[Gujing Wan]
Treats seminal slipperiness.
Formula: Mu Li (Calcined in clay pot, quenched in vinegar seven times), made into pills with vinegar paste, size of sophora seeds. Take with salted wine on an empty stomach.
[Shen Gui San]
Treats bone-steaming consumption.
Formula: Zhi Mu (Stir-fried), Ren Shen (Stir-fried), Qin Jiao (Remove tips/rhizome), Bei Chai Hu (Stir-fried with Bai Zhu), Bie Jia (Soaked in wheat bran soup seven times), Qian Hu (Half liang each), W Mei (3 fruits), Di Gu Pi, Chuan Chang Shan (Wine-soaked for 3 days), Dang Gui (Stir-fried with Chai Hu), Gan Cao, Bai Fu Ling (7.5 qian each).
Decoct in water and take.
[Pi Xu (Spleen Deficiency)]
Primary treatment: Sijunzi Tang.
If Liver overacts on Spleen, causing hypochondriac pain, bitter taste, alternating chills/fever with vomiting, limb fullness/oppression, strangury/difficult urination, and convulsive abdominal pain, use: Fang Feng, Du Huo, Chuan Xiong, Gui Zhi, Shao Yao, Bai Zhu, Fu Ling, Zhu Ling, Ze Xie, Huang Bo, Xi Xin, Hua Shi.
If Heart overacts on Spleen, use: Lian Qiao/Huang Lian, Huang Qin, Huang Bo, Bai Shao, Di Huang, Shi Gao, Zhi Mu.
If Lung is diseased, causing phlegm-cough, shortness of breath, reluctance to speak, somnolence, and aversion to cold/heat, use: Buzhong Yiqi Tang. If producing clear saliva/runny nose, scapular/lumbar pain, and cold diarrhea, use: Gan Jiang, Bai Zhu, Fu Zi, Wu Tou, Cang Zhu, Gui Zhi, Fu Ling.
[Detailed Explanation of Lao Ji]
"Lao" refers to spiritual unrest.
Liver Lao Excess-Heat: Guan pulse is firm and choppy, cold obstruction without flow, hair withered, complexion sallow.
Liver Lao Deficiency-Cold: Bitter taste, joint pain, tendon contraction, vexation.
Heart Lao Excess-Heat: Mouth/tongue ulcers, fecal impaction, epigastric fullness/pain, lower abdominal heat.
Heart Lao Deficiency-Cold: Palpitations,恍惚 (absent-mindedness), forgetfulness, nightmares, unstable spirit.
Spleen Lao Excess-Heat: Limb disharmony, mutual attack of five zang, abdominal distension requiring shoulder breathing, anxious rapid breathing.
Spleen Lao Deficiency-Cold: Qi distension, throat fullness, food retention, belching with sour smell.
Lung Lao Excess-Heat: Asthma, nasal swelling, painful facial edema.
Lung Lao Deficiency-Cold: Cold qi in heart/abdomen, wandering rebellious qi, chest/hypochondriac fullness, pain radiating from ribs to back, retching, physical weakness.
Kidney Lao Excess-Heat: Lower abdominal fullness, red/yellow urine, dribbling/frequent scanty urination, penile pain, scrotal sores.
Kidney Lao Deficiency-Cold: Fear/worry, loss of will, damaged essence, shortness of breath, seminal emission/white turbidity, red/yellow urine, damp/itchy genitals, lumbar pain like breaking, sallow complexion.
Over-planning causes Liver Lao; mental exertion causes Heart Lao; unexpected thoughts cause Spleen Lao; preoccupation causes Lung Lao; rigid moral striving causes Kidney Lao.
"Ji" (Extreme) means exhaustion without nourishment.
Tendon Excess: Cough with bilateral hypochondriac pain, immobility, foot fullness preventing long walks, unbearable sole pain, blue-black nails, limb tendon tension, vexation/fullness.
Tendon Deficiency: Sadness/overthinking, shortness of breath, hand/foot contracture, limited movement, abdominal twisting pain, nail pain, convulsions. Severe cases: tongue retraction, testicular retraction, cyanotic lips, pale face, inability to eat.
Pulse Excess: Qi decline, blood scorching, hair loss, irritability, reddish-brown lips/tongue. Severe cases: slurred speech, dull complexion, poor nutrition conversion.
Pulse Deficiency: Cough due to deficiency, cough-induced heart pain, sensation of obstruction in throat, severe cases: drooping uvula.
Flesh Excess: Muscle twitching like mice running, fluid leakage, open pores, profuse sweating. Or numbness, limb pain. Or abdominal flaccidity, lip/mouth decay, skin discoloration.
Flesh Deficiency: Heavy body, lethargy, unwillingness to move limbs, joint pain, anorexia, cough after eating, hypochondriac/back/shoulder pain upon coughing.
Qi Excess: Panting rushing to chest, irritability, epigastric fullness/pain, internal/external heat, vexation/vomiting. Severe cases: hematemesis, shortness of breath, anorexia, dry mouth/throat.
Qi Deficiency: Scorched skin/hair, blocked fluids, fatigue/abdominal distension. Severe cases: panting, suffocating shortness of breath, worse at night.
Essence Excess: Blurred vision, scorched teeth/hair, emaciation, generalized deficiency-heat. Severe cases: chest bi-pain, vexation/seminal emission.
Essence Deficiency: Emaciation, palpitations, dream emission/dribbling, white turbid urine. Severe cases: weak penis, thin testes, lower abdominal tightness.
Bone Excess: Fever, tinnitus, sallow complexion, urinary retention, tooth/brain pain, limb soreness, constipation.
Bone Deficiency: Facial edema/darkness, lumbar pain preventing standing, Qi decline/hair loss/dry teeth, pulling lumbar/back pain. Severe cases: excessive salivation.
[Detailed Explanation of Fan Re]
Internal heat is "Fan" (Vexation), external heat is "Re" (Heat). Body not feeling hot, but head/eyes dizzy/painful, dry mouth/throat without thirst, wakefulness without sleep—all are deficiency-vexation. Spontaneous sweating, frequent urination, seminal emission/white turbidity in healthy people result from excessive worry/vexation or post-illness deficiency, termed Heart Deficiency Vexation.
"Gujin Lu Yan" Wu Zheng Tang: Treats Five Steaming disorders.
Formula: Gan Cao (1 liang, roasted), Ren Shen, Zhi Mu, Huang Qin (2 liang each), Fu Ling, Shu Di Huang, Ge Gen (3 liang each), Zhu Ye (2 handfuls), Shi Gao (5 liang, crushed), Geng Mi (2 he).
Cut into pieces, decoct in 9 sheng water to yield 2.5 sheng, divide into three doses. Can also decoct in wheat water. Avoid Hai Zao, Song Cai, Wu Yi, strong vinegar.
Excess-Heat Herbs: Huang Qin, Huang Bo, Huang Lian (Qi level), Da Huang (Blood level).
Deficiency-Heat Herbs: W Mei, Qin Jiao, Chai Hu (Qi level), Qing Hao, Ge Jie, Bie Jia, Xiao Mai, Dan Pi (Blood level).
Targeted Herbs:
Lung (Dry nose): W Mei, Tian Dong, Mai Dong, Zi Wan.
Skin (White tongue, spitting blood): Sang Bai Pi, Shi Gao.
Surface (Drowsiness): Mu Dan Pi.
Qi (Generalized deficiency-heat, panting, dry nose): Ren Shen, Huang Qin, Zhi Zi.
Large Intestine (Right nostril dry/painful): Da Huang, Mang Xiao.
Mai/Vessels (White saliva, delirium, vessel overflow, irregular pulse): Sheng Di Huang, Dang Gui.
Heart (Dry tongue): Sheng Di Huang, Huang Lian.
Blood (Scorched hair): Di Huang, Dang Gui, Gui Xin, Tong Bian (Child's urine).
Small Intestine (Lower lip scorched): Chi Fu Ling, Mu Tong, Sheng Di Huang.
Spleen (Scorched lips): Shao Yao, Mu Gua, Ku Shen.
Flesh (Anosmia/vomiting, extreme vexation): Bai Shao Yao.
Stomach (Sublingual pain): Shi Gao, Geng Mi, Da Huang, Mang Xiao, Ge Gen.
Liver (Visual blackouts): Chuan Xiong, Dang Gui, Qian Hu.
Tendons (Scorched nails): Chuan Xiong, Dang Gui.
Gallbladder (Pale whites of eyes): Chai Hu, Gua Lou.
San Jiao (Alternating chills/fever): Shi Gao, Zhu Ye.
Kidney (Scorched ears): Sheng Di Huang, Shi Gao, Zhi Mu, Han Shui Shi.
Brain (Vertigo, stifling heat): Di Huang, Fang Feng, Qiang Huo.
Marrow (Boiling marrow/bone heat): Tian Dong, Dang Gui, Di Huang.
Bone (Black teeth, lumbar pain, inverted feet): Bie Jia, Di Gu Pi, Mu Dan Pi, Dang Gui, Sheng Di Huang.
Flesh (Thin limbs, swollen skin, visceral heat): Shi Gao, Huang Bo.
Bao/Uterus (Red/yellow urine): Ze Xie, Fu Ling, Hua Shi, Sheng Di Huang, Chen Xiang.
Bladder (Left ear scorched): Fu Ling, Hua Shi, Ze Xie.
Additionally: Chest vexation-heat, Liver cold vexation, Liver wind-jaundice, Heatstroke/Damp-heat, Heart Bi, Spleen Bi, Liver deficiency-cold, Essence excess, Five-center heat, Small Intestine heat, Heart deficiency-heat. Foot-bottom heat, Wine Jaundice, Female Labor Jaundice. Afternoon tidal fever resembling jaundice.
[Lao Zhai (Consumption/Tuberculosis)]
Pulse: Deficient.
[Etiology]
Phlegm and Blood pathology.
[Symptoms]
Commonly known as "Chuan Shi" (Transmitting Corpse). Symptoms vary but resemble historical descriptions. Generally causes chills/fever, night sweats, dreams of sexual intercourse with spirits, seminal emission/white turbidity, dry/upright hair; abdominal masses; small nodules on both sides of the occiput, aggregating or dispersing, silent demeanor, cough with phlegm; expectoration of pus/blood resembling Fei Wei (Lung Flaccidity) or Fei Yong (Lung Abscess); lower abdominal diarrhea, emaciation/fatigue beyond endurance. Though symptoms differ, the root often involves insects eroding the Heart and Lungs.
[Treatment]
Formula: Qing Hao (1.5 dou), Tong Bian (3 dou).
Simmer on mild/strong fire to 70% volume, remove Qing Hao. Simmer further to 1 sheng, add 7 pig bile drops, Chen Sha (Cinnabar), and Bing Lang powder. Boil briefly, thicken with Gan Cao powder.
Siwu Tang: Treats deficiency-lao with phlegm; add Zhu Li (Bamboo Sap), Jiang Zhi (Ginger Juice), Tong Bian. Or add Ren Shen, Bai Zhu.
San Ao Tang: Treats Chuan Shi Lao Zhai with alternating chills/fever, chronic cough/hemoptysis/emaciation. Take first, then Lian Xin San.
Formula: Ma Huang, Sheng Gan Cao, Xing Ren (Do not remove skin/apices, roasted).
Decoct with Jiang (Ginger) and Zao (Jujube). Stop when phlegm clears.
Lian Xin San: Dang Gui, Huang Qi, Gan Cao (Roasted), Bie Jia (Vinegar-roasted), Qian Hu, Chai Hu, Du Huo, Qiang Huo, Fang Feng, Fang Ji, Fu Ling, Ban Xia, Huang Qin, Chen Pi, Guan Gui, E Jiao, Chi Shao, Ma Huang (Remove joints), Xing Ren, Lian Xin (Remove heart), Tian Nan Xing, Chuan Xiong, Yuan Hua (Vinegar-stir-fried black), Zhi Ke (Stir-fried).
Exclude Yuan Hua for standard dose: 2.5 qian, 2.5 zhan water, 3 slices ginger, 1 jujube. Add a scoop of Yuan Hua, decoct to 80%, take. Must vomit foreign matter. Gradually reduce Yuan Hua and Gan Cao to kill parasites.
Diao Ding Fang: Treats Chuan Shi Lao, miraculous effect.
Formula: Hun Dun Pi (1 piece, soak in vinegar overnight, bake dry), Zhi Bie Jia, Jie Geng, Shao Yao, Hu Huang Lian, Zhi Da Huang, Gan Cao, Chi Xin (Fermented Soybean Core), Ku Shen, Bei Mu, Qiu Shi (Separately ground), Cao Long Dan, Zhi Mu, Huang Bo (Honey-roasted), Mang Xiao, Xi Jiao (1 qian), Peng Ze (1 piece).
Make pills with refined honey. Take 20 pills with warm wine. Before meals for intestinal heat, after meals for diaphragmatic heat. Safe within one month.
Bai La Wan: Treats Lao Zhai.