热劳者，因虚生热，因热而转虚也。其证心神烦躁，面赤唇焦，身热气短，或口舌生疮
是也。《明医杂着》云∶人之一身，阳常有余，阴常不足，况节欲者少，过欲者多，精血既亏，
相火必旺，火旺则阴愈消，而劳瘵咳嗽，咯血吐血等证见矣。故宜常补其阴，使阴与阳齐，
则水能制火，而水升火降，斯无病矣。
补阴丸方
黄柏（去皮，酒炒褐色） 知母（去皮毛，酒炒） 龟板（酥炙透，各三两） 杞子 锁
阳（酥炙干） 白芍（酒炒） 天冬（去心，各二两） 熟地（酒蒸，五两） 五味（一两） 干姜（
炒紫色，三钱，冬用五钱）
上为末，入炼蜜及猪脊髓三条，和匀杵丸桐子大，每服八九十丸，空心淡盐汤送下。寒
月可用温酒下。丹溪原方，有陈皮、牛膝、当归、虎骨、无杞子、天冬、五味、干姜，用酒煮羊
琼玉膏 治虚劳干咳。
生地黄（四斤） 茯苓（十二两） 人参（六两） 白蜜（一斤）
上先将生地黄熬汁去滓，入蜜炼稠，再将参苓细末和入瓷罐封，水煮半日，白汤化服。
按∶虚劳之人，气血多有郁聚之处，故虽形衰气少，而胁下迫塞，不得左右卧者，虚中
有实
获效，是岂徒参、地、苓、蜜之力哉。
大造丸
紫河车（一具，米泔水洗净，少加酒蒸极烂，以山药末捣和焙干） 败龟板（酥炙，一两）
天冬 麦冬（各一两二钱） 熟地（二两半） 夏加五味（七钱）
上除熟地另杵外，共为末，用酒煮米糊，同熟地捣膏丸桐子大，或蜜丸亦可，每服八九
十丸，空心临卧盐汤下，冬月酒下。妇人去龟板，加当归二两。
大补天丸 治劳妇虚损劳伤，形体羸瘦，腰痛疼痛，遗精带浊。
紫河车（初胎者一具，米泔浸净，入小砂罐内，加水一碗，煮沸候冷取起放竹篮中，四
围用纸糊蜜烘干为末） 知母（乳炒） 龟板（酥炙，各三两） 黄柏（蜜炙，三两） 熟地（
五两，捣） 肉苁蓉 牛膝 麦冬 山药（炒） 虎胫骨（酥炙） 黄 （蜜炙） 茯神（各一两半）
杜仲 何首乌 人参
冬加干姜（半两炒焦。）
上为细末，用猪脊髓三条蒸熟，加炼蜜和捣为丸，桐子大，每服八十丸，空心淡盐汤下
治骨蒸便溏口渴方
青蒿 乌梅 秦艽 甘草 小麦 水煎服。
草还丹 治阴虚骨蒸。
青蒿（一斗五升） 童便（三斗）
文武火煎，约童便减至二斗，去青蒿，再煎至一升，入猪胆七个，再熬数沸，用甘草末
，收和为丸，梧子大，每服五十丸。
又方
鲜地骨皮（三钱） 红枣（七枚） 煎汤代茶，日一剂。治骨蒸神效。若治童劳，加燕窝（
黄 鳖甲煎 治虚劳客热，肌肉消瘦，四肢倦怠，五心烦热，口燥咽干，颊赤心
忪，日晡潮热，夜有盗汗，胸胁不利，减食多浊，咳唾稠粘，时有脓血。
黄 知母 桑白皮 炙甘草 赤芍药 紫菀（各五钱半） 地骨皮
胡（各六钱六分） 肉桂 人参 苦桔梗（各三钱三分） 鳖甲（酥炙） 天冬（各一
上为粗末，每服三钱，水一盏，煎至七分，去滓，食后温服。一名人参黄 散。
Re Lao (Heat Consumption) arises from deficiency generating heat, and the heat further exacerbating the deficiency. Its manifestations include mental restlessness and irritability, flushed face, dry and scorched lips, feverish body with shortness of breath, or sores in the mouth and tongue. *Ming Yi Za Zhu* states: In the human body, Yang is often in excess, while Yin is often insufficient. Moreover, those who restrain desires are few, while those who indulge excessively are many. Once Essence and Blood are depleted, Minister Fire (Xiang Huo, the fire of the Mingmen residing in the Liver and Kidneys) must become hyperactive. When Fire is hyperactive, Yin is further consumed, leading to symptoms such as Lao Zhai (chronic consumptive diseases like tuberculosis), cough, hemoptysis, and hematemesis. Therefore, it is advisable to frequently tonify Yin, allowing Yin and Yang to reach equilibrium. Thus, Water can control Fire, achieving the state where Water ascends and Fire descends, resulting in health.
Bu Yin Wan Formula
Huang Bo (Phellodendri Cortex, peeled and stir-fried with wine until brown) Zhi Mu (Anemarrhenae Rhizoma, peeled and stir-fried with wine) Gui Ban (Testudinis Carapax et Plastrum, roasted with rendered fat until thorough, each 3 liang) Gou Qi Zi (Lycii Fructus) Suo Yang (Cynomorii Herba, roasted with rendered fat until dry) Bai Shao (Paeoniae Radix Alba, stir-fried with wine) Tian Dong (Asparagi Radix, heart removed, each 2 liang) Shu Di Huang (Prepared Rehmanniae Radix, steamed with wine, 5 liang) Wu Wei Zi (Schisandrae Fructus, 1 liang) Gan Jiang (Zingiberis Rhizoma, stir-fried until purple, 3 qian; use 5 qian in winter)
Grind the above into fine powder. Add refined honey and three pig spinal cords, mix evenly, and pound into pills the size of tung tree seeds. Take 80-90 pills per dose, administered on an empty stomach with light salt water. In cold months, warm wine may be used for delivery. The original formula by Danxi contains Chen Pi (Citri Reticulatae Pericarpium), Niu Xi (Achyranthis Bidentatae Radix), Dang Gui (Angelicae Sinensis Radix), and Hu Gu (Tigris Ossis), but lacks Gou Qi Zi, Tian Dong, Wu Wei Zi, and Gan Jiang, and is prepared by boiling mutton in wine.
Qiong Yu Gao Treats dry cough due to Xu Lao (Deficiency Consumption).
Sheng Di Huang (Rehmanniae Radix Recens, 4 jin) Fu Ling (Poria, 12 liang) Ren Shen (Ginseng Radix, 6 liang) Bai Mi (White Honey, 1 jin)
First, decoct Sheng Di Huang to extract the juice and filter out the dregs. Add honey and refine until thick. Then, mix in the fine powders of Ren Shen and Fu Ling, seal in a porcelain jar, and boil in water for half a day. Dissolve in white boiled water before taking.
Note: Patients with Xu Lao often have areas where Qi and Blood are stagnant. Although their physique is emaciated and Qi is deficient, they may experience oppression and fullness under the ribs, preventing them from lying on either side. This is a case of "deficiency containing excess." Achieving efficacy with this formula suggests that it is not merely the power of Ren Shen, Di Huang, Fu Ling, and Honey at work.
Da Zao Wan
Zi He Che (Placenta Humana, one unit, washed clean with rice wash water, steamed thoroughly with a little wine until very soft, mixed with Shan Yao powder, pounded, and dried) Bai Gui Ban (Testudinis Carapax et Plastrum, roasted with rendered fat, 1 liang) Tian Dong (Asparagi Radix) Mai Dong (Ophiopogonis Radix, each 1 liang 2 qian) Shu Di Huang (Prepared Rehmanniae Radix, 2 liang 5 qian) In summer, add Wu Wei Zi (Schisandrae Fructus, 7 qian)
Except for Shu Di Huang which is pounded separately, grind the rest into fine powder. Use wine-boiled rice paste to bind, mix with pounded Shu Di Huang to form a paste, and make into pills the size of tung tree seeds, or honey pills. Take 80-90 pills per dose, on an empty stomach or before bed, with salt water. In winter, use wine. For women, remove Gui Ban and add Dang Gui (Angelicae Sinensis Radix, 2 liang).
Da Bu Tian Wan Treats female consumption and injury due to overwork, emaciation, lower back pain, seminal emission, and turbid leukorrhea.
Zi He Che (Placenta Humana, from first pregnancy, one unit, soaked clean in rice wash water, placed in a small clay pot with one bowl of water, boiled, cooled, taken out, placed in a bamboo basket, dried around with paper pasted with honey, then powdered) Zhi Mu (Anemarrhenae Rhizoma, stir-fried with milk) Gui Ban (Testudinis Carapax et Plastrum, roasted with rendered fat, each 3 liang) Huang Bo (Phellodendri Cortex, honey-roasted, 3 liang) Shu Di Huang (Prepared Rehmanniae Radix, 5 liang, pounded) Rou Cong Rong (Cistanches Herba) Niu Xi (Achyranthis Bidentatae Radix) Mai Dong (Ophiopogonis Radix) Shan Yao (Dioscoreae Rhizoma, stir-fried) Hu Jing Gu (Tibetiae Tibia, roasted with rendered fat) Huang Qi (Astragali Radix, honey-roasted) Fu Shen (Poria with Hostwood, each 1 liang 5 qian) Du Zhong (Eucommiae Cortex) He Shou Wu (Polygoni Multiflori Radix) Ren Shen (Ginseng Radix)
In winter, add Gan Jiang (Zingiberis Rhizoma, half a liang, stir-fried until scorched).
Grind all into fine powder. Steam three pig spinal cords until cooked, add refined honey, mix and pound into pills the size of tung tree seeds. Take 80 pills per dose, on an empty stomach with light salt water.
Formula for Treating Bone Steaming, Loose Stools, and Thirst
Qing Hao (Artemisiae Annuae Herba) Wu Mei (Mume Fructus) Qin Jiao (Gentianae Macrophyllae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma) Xiao Mai (Tritici Fructus) Decoct in water and take.
Cao Huan Dan Treats Yin Deficiency Bone Steaming.
Qing Hao (Artemisiae Annuae Herba, 1 dou 5 sheng) Tong Bian (Child's Urine, 3 dou)
Decoct using moderate and strong fire. When the urine reduces to about 2 dou, remove Qing Hao. Continue decocting until it reduces to 1 sheng. Add seven pig gallbladders, boil briefly. Use Gan Cao powder to bind and form pills the size of walnut seeds. Take 50 pills per dose.
Another Prescription
Xian Di Gu Pi (Periplocae Radix, fresh, 3 qian) Hong Zao (Jujubae Fructus, 7 pieces) Decoct in water to replace tea, one dose per day. Highly effective for treating bone steaming. If treating childhood consumption, add Yan Wo (Swallow's Nest).
Huang Qi Die Jia Jian Treats Consumptive Disease with Guest Heat, emaciation, limb fatigue, five-palm heat, dry mouth and throat, flushed cheeks, palpitations, tidal fever in the late afternoon (Ribu Chao Re), night sweats, chest and hypochondriac discomfort, reduced appetite with excessive phlegm, thick sticky sputum, and occasional pus and blood in sputum.
Huang Qi (Astragali Radix) Zhi Mu (Anemarrhenae Rhizoma) Sang Bai Pi (Mori Cortex) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) Chi Shao Yao (Paeoniae Radix Rubra) Zi Wan (Asteris Radix, each 5 qian 5 fen) Di Gu Pi (Lycii Cortex) Hu Lian (Hydrastis Rhizoma, each 6 qian 6 fen) Rou Gui (Cinnamomi Cortex) Ren Shen (Ginseng Radix) Ku Jie Geng (Platycodonis Radix, each 3 qian 3 fen) Bie Jia (Testudinis Carapax et Plastrum, roasted with rendered fat) Tian Dong (Asparagi Radix, each 1 liang)
Grind into coarse powder. Take 3 qian per dose, decoct with one cup of water until reduced to 70%. Filter and take warm after meals. Also known as Ren Shen Huang Qi San.