病者憎寒发热,自汗面白,目干口苦,精神不守,恐畏不能独卧,其传在肝;病者憎寒
发热,面黑鼻燥,忽忽喜忘,大便苦难,或复泄泻口疮,其传在心;病者憎寒发热,面青唇
黄,舌本强,不能咽,饮食无味,四肢羸瘦,吐涎沫,传在脾;病者憎寒发热,面赤鼻白,
干燥毛折,咯嗽喘急,时吐白涎,或有血线,传在肺;病者憎寒发热,面黄,耳叶焦枯,
骨酸痛,小便白浊遗沥,胸痛,传在肾。所谓劳蒸者,二十四种,随证皆可考寻。毛折
发焦,肌肤甲错,其蒸在皮;外人觉热,自反恶寒,身振 剧,其蒸在肉;发焦鼻衄,
或复尿血,其蒸在血;身热烦躁,痛如针刺,其蒸在脉;爪甲焦枯,眼昏,两胁急痛,其蒸
在筋;板齿黑燥,大杼酸疼,其蒸在骨;背膂疼痛, 骨酸 ,其蒸在髓;头眩热
闷,口吐浊涎,眼多眵泪,其蒸在脑;男子失精,女子白淫,其蒸在玉房;乍寒乍热,中脘
与膻中烦闷,其蒸在三焦;小便赤黄,凝浊如膏,其蒸在膀胱;传道不均,或秘或泄,腹中
雷鸣,其蒸在小肠;大腹隐痛,右鼻干疼,其蒸在大肠;口鼻干燥,腹胀,睡卧不安,白汗
出,其蒸在胃;口苦耳聋,胁下痛,其蒸在胆;里急后重,肛门涩闭,其蒸在回肠;小腹
痛,筋脉纵缓,阴器自强,其蒸在宗筋;眼昏泪下,时复眩晕,躁怒不常,其蒸在肝;舌焦
黑,气短烦闷,洒洒淅淅,其蒸在心;唇干口疮,胸腹胀闷,畏寒不食,其蒸在脾;咳嗽喘
满,咯痰吐血,声嘶音远,其蒸在肺;耳叶焦枯,香港脚酸疼,起居不得,其蒸在肾;情想不
宁,无故精泄,白物绵绵而下,其蒸在右肾;心主胞络,心膈噎塞,攻击疼痛,俯仰烦冤,
其蒸在膈。诸证虽曰不同,其根多有虫啮其心肺,治之不可不绝其根也。
患者出现怕冷发热、自汗、面色苍白、眼睛干涩、口苦、精神恍惚不能守舍、恐惧害怕不敢独自睡觉,这是病邪传变到了肝;患者出现怕冷发热、面色发黑、鼻子干燥、神情恍惚容易遗忘、大便困难或反而腹泻并伴有口腔溃疡,这是病邪传变到了心;患者出现怕冷发热、面色青紫嘴唇发黄、舌根僵硬、无法吞咽、饮食无味、四肢消瘦、吐涎沫,这是病邪传变到了脾;患者出现怕冷发热、面色红赤鼻子色白、皮肤干燥毛发折断、咳嗽气喘急促、时常吐出白色涎沫,或有血丝,这是病邪传变到了肺;患者出现怕冷发热、面色黄、耳廓焦枯、骨骼酸痛、小便浑浊淋漓不尽、胸痛,这是病邪传变到了肾。所谓的“劳蒸”(虚劳发热),共有二十四种情况,可以根据症状逐一查证。毛发折断头发焦枯、肌肤粗糙如鳞甲,这种发热在皮;外人感觉身体热,自己反而觉得恶寒、身体剧烈颤抖,这种发热在肉;头发焦枯流鼻血,或者尿血,这种发热在血;身体发热烦躁、疼痛像针刺一样,这种发热在脉;指甲焦枯、眼花、两胁拘急疼痛,这种发热在筋;牙齿黑燥、大杼穴酸疼,这种发热在骨;背部脊柱疼痛、髋骨酸痛,这种发热在髓;头晕目眩闷热、口中吐出浑浊涎沫、眼睛多分泌物和泪水,这种发热在脑;男子遗精、女子白带过多,这种发热在玉房(生殖器);忽冷忽热、中脘穴与膻中穴处烦闷,这种发热在三焦;小便赤黄、凝浊如膏脂,这种发热在膀胱;传导功能不均,或便秘或腹泻、腹中肠鸣,这种发热在小肠;腹部隐痛、右侧鼻子干疼,这种发热在大肠;口鼻干燥、腹胀、睡眠不安、出冷汗,这种发热在胃;口苦耳聋、胁下疼痛,这种发热在胆;里急后重、肛门涩滞闭塞,这种发热在回肠;小腹痛、筋脉松弛、生殖器异常勃起,这种发热在宗筋;眼花流泪、时常眩晕、急躁易怒无常,这种发热在肝;舌头焦黑、气短烦闷、畏寒战栗,这种发热在心;嘴唇干裂口腔溃疡、胸腹胀闷、怕冷不想吃东西,这种发热在脾;咳嗽气喘胸闷、咯痰吐血、声音嘶哑气息微弱,这种发热在肺;耳廓焦枯、脚气酸痛、起居不便,这种发热在肾;情志不宁、无故精液外泄、白色分泌物连绵不断,这种发热在右肾;心包络受累、心膈部噎塞感、攻击性疼痛、俯仰之间烦冤痛苦,这种发热在膈。虽然这些证候各不相同,但其根源大多是因为有虫蛀蚀心肺,治疗时不可不切断其病根。
The patient experiences aversion to cold and fever, spontaneous sweating, pale complexion, dry eyes, bitter taste in the mouth, mental restlessness with inability to maintain focus, fearfulness preventing solitary sleeping; this indicates transmission to the Liver (Gan). The patient experiences aversion to cold and fever, dark complexion, dry nose, absent-mindedness and forgetfulness, difficult defecation or alternatively diarrhea accompanied by oral ulcers; this indicates transmission to the Heart (Xin). The patient experiences aversion to cold and fever, bluish-green complexion with yellow lips, stiffness of the tongue root, dysphagia, loss of taste, emaciation of the four limbs, spitting of saliva; this indicates transmission to the Spleen (Pi). The patient experiences aversion to cold and fever, reddish complexion with white nose, dry skin and broken hair, coughing and wheezing with urgency, frequent expectoration of white saliva, or presence of blood streaks; this indicates transmission to the Lung (Fei). The patient experiences aversion to cold and fever, yellow complexion, scorched and withered earlobes, bone soreness, turbid and dribbling urine, chest pain; this indicates transmission to the Kidney (Shen). These are referred to as "Lao Zheng" (Consumptive Fever), comprising twenty-four types, which can be identified according to symptoms. Broken hair and scorched scalp, rough skin resembling fish scales; this fever resides in the Skin (Pi). Others feel heat on the body, while the patient feels aversion to cold internally, accompanied by severe tremors; this fever resides in the Flesh (Rou). Scorched hair and epistaxis, or hematuria; this fever resides in the Blood (Xue). Body heat with irritability, pain like needle pricks; this fever resides in the Vessels (Mai). Scorched and withered fingernails, blurred vision, acute pain in both hypochondria; this fever resides in the Sinews (Jin). Black and dry teeth, soreness at Dazhu (BL11); this fever resides in the Bone (Gu). Pain in the back and spine, soreness in the sacrum; this fever resides in the Marrow (Sui). Dizziness, heat and oppression, expectoration of turbid saliva, excessive eye discharge and tears; this fever resides in the Brain (Nao). Seminal emission in men, leukorrhea in women; this fever resides in the Yu Fang (Genitals). Alternating chills and fever, oppression and irritability at Zhongwan (CV12) and Shanzhong (CV17); this fever resides in the San Jiao (Triple Burner). Red and yellow urine, turbid and paste-like; this fever resides in the Bladder (Pang Guang). Uneven transportation and transformation, either constipation or diarrhea, borborygmus in the abdomen; this fever resides in the Small Intestine (Xiao Chang). Dull abdominal pain, dry and painful right nostril; this fever resides in the Large Intestine (Da Chang). Dry mouth and nose, abdominal distension, restless sleep, cold sweat; this fever resides in the Stomach (Wei). Bitter taste, deafness, hypochondriac pain; this fever resides in the Gallbladder (Dan). Tenesmus,涩闭 (astringency and obstruction) of the anus; this fever resides in the Hui Chang (Rectum). Lower abdominal pain, flaccidity of sinews and vessels, involuntary erection of the penis; this fever resides in the Zong Jin (Major Sinews). Blurred vision, tearing, recurrent dizziness, irregular irritability and anger; this fever resides in the Liver (Gan). Scorched black tongue, shortness of breath, irritability, shivering; this fever resides in the Heart (Xin). Dry lips, oral ulcers, chest and abdominal fullness, aversion to cold and anorexia; this fever resides in the Spleen (Pi). Cough, wheezing, chest fullness, expectoration of phlegm and hemoptysis, hoarseness and weak voice; this fever resides in the Lung (Fei). Scorched earlobes, soreness from gout (Hong Xia Jiao), difficulty in daily activities; this fever resides in the Kidney (Shen). Restless mind, involuntary seminal emission, continuous discharge of white matter; this fever resides in the Right Kidney. Involvement of the Pericardium Collateral (Bao Luo), sensation of blockage in the heart and diaphragm, attacking pain, distress during flexion and extension; this fever resides in the Diaphragm (Ge). Although these syndromes differ, their root cause is often attributed to worms gnawing at the Heart and Lungs. Treatment must not fail to eradicate the root cause.