劳瘵主乎阴虚，痰与血病。虚劳渐瘦属火，阴火销烁，即是积热做成。始健，
可用子和法，后若羸瘦，四物汤加减，送消积丸，不做肠虚。蒸蒸发热，积病最多，劳病，
四物汤加炒柏、竹沥、人尿姜汁，大补为上。肉脱热甚者难治。
入方
青蒿一斗五升，童便三斗，文武火熬，约童便减至二斗，去蒿再熬。至一斗，入猪胆汁
七枚，再熬数沸。甘草末收之。每用一匙，白汤调服。
〔附录〕劳瘵之证，非止一端。其始也，未有不因气体虚弱，劳伤心肾而得之，以心主血
，肾主精，精竭血燥，则劳生焉。故传变不同，骨蒸
，复连尸疰。夫疰者，注也，自上至下，相传骨肉，乃至灭门者有之。其证脏中有虫
啮心肺间
，名曰瘵疾，难以医治。传尸劳瘵，寒热交攻，久嗽咯血，日见羸瘦，先以三拗汤与莲心
散煎，万不一失。
附方
莲心散 治虚劳或大病后，心虚脾弱，盗汗遗精。
人参 白茯苓 莲肉（各二两） 白术 甘草 白扁豆（炒） 薏苡（炒） 桔梗（炒） 干葛（
炒） 黄 （各一两，炒） 当归（各半两） 桑皮 半夏曲 百合 干姜（炮） 山药（炒） 五味
木香 丁香 杏仁（炒） 白芷 神曲（炒，各一两）
上锉。每服五钱，生姜三片，枣同煎，空心温服。
乐令建中汤 治脏腑虚损，身体消瘦，潮热自汗，将成劳瘵。此药退虚热，生血气。
前胡（一两） 细辛 黄 人参 橘皮 麦门冬 桂心 当归 白芍 茯苓 甘草（炙，一
两） 半夏（七钱）
上锉。每服四钱，姜三片，枣一枚，水煎服。
黄 鳖甲散 治虚劳客热，肌肉消瘦，四肢烦热，心悸盗汗，减食多渴，咳嗽有血。
生地黄（三两） 桑白 半夏（三两半） 天门冬（五两） 鳖甲（醋煮，五两） 紫菀（二两半） 秦艽（三
两三钱） 知母 赤芍 黄 （各三两半）人参 肉桂 桔梗（二两六钱半） 白茯苓 地骨皮
柴胡（三两三钱） 甘草（二两半）
上锉。每服三钱，水煎服。
清骨散 治男子妇人五心烦热，欲成劳瘵。
北柴胡 生地黄（各二两） 人参 防风 熟地黄 秦艽（各一两） 赤苓（一两） 胡黄连（半两）
薄荷（七钱半）
上每服四钱，水煎温服。
三拗汤 见喘类。
〔附录〕葛可久先生劳症《十药神书》内，摘书七方。夫人之生也，禀天地氤氲之气，在
真元，固守根本，则万病不生，四体康健。若曰不养真元，不固根本，疾病由是生焉。且
真元根本，则气血精液也。余尝闻先师有言曰∶万病莫若劳症最为难治。盖劳之由，因人之
壮年，气血完聚，精液充满之际，不能保养性命，酒色是贪，日夜耽嗜，无有休息，以致耗散
真元，虚败精液，则呕血吐痰，以致骨蒸体热，肾虚精竭，面白颊红，口干咽燥，白浊遗精盗
汗，饮食艰难，气力全无，谓之火盛金衰。重则半年而毙，轻则一载而亡。况医者不穷其
源，不穷其本，或投之以大寒之剂，或疗之以大热之药，妄为施治，绝不取效。殊不知大寒
则愈虚其中，大热则愈竭其内，所以世之医劳者，万无一人焉。先师用药治劳，如羿之射，
不中的。今开用药次第于后。用药之法，如呕吐咯嗽血者，先以十灰散遏住，如甚者，须以
花蕊石散止之。
大抵血热则行，血冷则凝，见黑必止，理之必然。止血之后，其人必倦其体，次用独参
汤一补，令其熟睡一觉，不要惊动。睡起，病去五六分，后服诸药。
保和汤止嗽宁肺，保真汤补虚除热，太平丸润肺除痿，消化丸下痰消气。
保和汤内，分血盛、痰盛、喘盛、热盛、风盛、寒盛六事，加味和之。保真汤内，分惊
悸、淋浊、便
涩、遗精、燥热、盗汗六事，加味用之，余无加用。服药之法，每日仍浓煎薄荷汤灌嗽喉
用太平丸先嚼一丸，徐徐咽下，次噙一丸，缓缓溶化。至上床时，亦如此用之。夜则肺窍
，药必流入窍中，此诀要紧。如痰壅却先用饴糖拌消化丸一百丸吞下，次又根据前噙嚼太平
丸，令其仰面卧而睡。服前七药后，若肺有嗽，可煮润肺丸食之。如常七药之前有余暇，
煮此服之，亦可续煮白凤膏食之，固其根源，完其根本。病可之后，方可合十珍丸服之，此为
收功起身之妙用也。
十灰散 治劳症呕血、咯血、嗽血，先用此遏之。
大蓟 小蓟 柏叶 荷叶 茅根 茜根 大黄 山栀 牡丹皮 棕榈灰
上等分，烧灰存性，研细，用纸包碗盖地上一夕，出火毒。用时先以白藕捣碎绞汁，或
萝卜
又方
花蕊石（烧过存性研如粉）
上用童子小便一盏煎。醋调末三钱，极甚者五钱，食后服。如男子病则和酒一半，妇人
病则和醋一半。一处调药立止。其瘀血化为黄水，服此药后，其人必疏解其病体，却用后药而
独参汤 治劳症后，以此补之。
人参（一两，去芦）
上 咀。水二钟，枣五个煎，不拘时，细细服之。
保和汤 治劳嗽肺燥成痿者，服之决效。
知母 贝母 天门冬 麦门冬 款花（各三钱） 天花粉 薏苡 杏仁（炒，各二钱） 五味
粉草（炙） 兜铃 紫菀 百合 桔梗（各一钱） 阿胶（炒） 当归 生地黄 紫苏 薄荷（各半
钱） 一方无地黄有百部
上以水煎，生姜三片，入饴糖一匙，入药内服之，每日三服，食后。进加减于后
血盛，加蒲黄、茜根、藕节、大蓟、茅花；痰盛，加南星、半夏、橘红、茯苓、枳壳、
枳实、栝蒌实（炒）；喘盛，加桑皮、陈皮、大腹皮、萝卜子、葶苈、苏子；热盛，加山栀子、炒黄连
黄柏、连翘；风盛，加防风、荆芥、金沸草、甘菊、细辛、香附；寒盛，加人参、芍药、桂
皮、五味、蜡片。
保真汤 治劳症体虚骨蒸，服之决补。
当归 生地黄 熟地黄 黄 人参 白术 赤苓 白苓（各半钱） 天门 麦门 赤芍
知母 黄柏（炒） 五味 白芍 柴胡 地骨 甘草 陈皮（各二钱） 莲心（半钱）
上以水煎，生姜三片，枣一枚。食后服。
惊悸，加茯神、远志、柏子仁、酸枣仁；淋浊，加萆 、台乌药、猪苓、泽泻；便涩，
加木通、石
苇、 蓄；遗精，加龙骨、牡蛎、莲须、莲子；燥热，加滑石、石膏、青蒿、鳖甲；盗汗，
加浮麦子、炒牡蛎、黄 、麻黄根。
太平丸 治劳症咳嗽日久，肺痿肺壅。考宜噙服。
天门 麦门 知母 贝母 款花 杏仁（各二钱） 当归 生地黄 黄连 阿胶（炮，各两半
蒲黄 京墨 桔梗 薄荷（各一两） 北蜜（四两） 麝香（少许，一方有熟地黄）
上将蜜炼和丸，如弹子大。食后浓煎薄荷汤，先灌漱喉中，细嚼一丸，津唾送下。上床
时再
消化丸
白茯（二两） 枳实（一两半） 青礞石（ 黄金色二两） 白矾（枯） 橘红（二两） 牙皂（二两火炙） 半
夏
（二两）
上为末，以神曲打糊丸，如梧桐子大。每服一百丸，上床时，饴糖拌吞，次噙嚼太平丸
。二药相攻，痰嗽扫迹除根。
润肺膏
羊肺（一具） 杏仁（一两，净研） 柿霜 真酥 蛤粉（各一两） 白蜜（二两）
上先将羊肺洗净，次将五味入水搅粘，灌入肺中，白水煮熟，如常服食。与前七药相间
服之，亦佳。
劳瘵（慢性消耗性疾病，类似肺结核）的根本在于阴虚，病理变化涉及痰和血。虚劳逐渐消瘦属于火证，阴火消烁津液，即是积热所致。疾病初期身体尚健，可用张子和的攻邪法；后期若身体羸弱消瘦，用四物汤加减，送服消积丸，以免损伤肠道正气。出现蒸蒸发热（如蒸汽般持续发热），多因积病引起，对于劳病，用四物汤加炒黄柏、竹沥、人尿及姜汁，以大补元气为上策。肌肉脱失且高热严重的难以治疗。
入方：
青蒿一斗五升，童便（儿童尿液）三斗，用文武火熬煮，约至童便减少到二斗时，去掉青蒿再熬。至剩一斗时，加入猪胆汁七枚，再煮沸数次。最后加入甘草末收膏。每次服用一匙，用白开水调服。
〔附录〕劳瘵的病证，不止一种类型。其起始，无不因为体质虚弱，劳累损伤心肾而得病。因为心主血，肾主精，精竭血燥，则产生劳病。所以传变不同，有骨蒸（感觉热气从骨缝里透发出来）、复连尸疰（指具有传染性的痨病）。所谓“疰”，即注也，病气自上而下，相传于骨肉，甚至导致全家灭门的都有。其症状是脏中有虫啮食心肺之间，名叫瘵疾，难以医治。对于传尸劳瘵，寒热交替发作，久咳咯血，日渐消瘦，先用三拗汤与莲心散煎服，万无一失。
附方：
莲心散 治疗虚劳或大病后，心虚脾弱，盗汗遗精。
人参、白茯苓、莲肉（各二两）、白术、甘草、白扁豆（炒）、薏苡仁（炒）、桔梗（炒）、干葛（炒）、黄芪（各一两，炒）、当归（各半两）、桑白皮、半夏曲、百合、干姜（炮制）、山药（炒）、五味子、木香、丁香、杏仁（炒）、白芷、神曲（炒，各一两）。
以上药材切碎。每次服用五钱，生姜三片，大枣同煎，空腹温服。
乐令建中汤 治疗脏腑虚损，身体消瘦，潮热自汗，即将形成劳瘵。此药退虚热，生血气。
前胡（一两）、细辛、黄芪、人参、橘皮、麦门冬、桂心、当归、白芍、茯苓、甘草（炙，一两）、半夏（七钱）。
以上药材切碎。每次服用四钱，生姜三片，大枣一枚，水煎服。
黄芪鳖甲散 治疗虚劳客热，肌肉消瘦，四肢烦热，心悸盗汗，食欲减退多渴，咳嗽有血。
生地黄（三两）、桑白皮、半夏（三两半）、天门冬（五两）、鳖甲（醋煮，五两）、紫菀（二两半）、秦艽（三两三钱）、知母、赤芍、黄芪（各三两半）、人参、肉桂、桔梗（二两六钱半）、白茯苓、地骨皮、柴胡（三两三钱）、甘草（二两半）。
以上药材切碎。每次服用三钱，水煎服。
清骨散 治疗男女五心烦热（手心、脚心及心胸烦热），欲成劳瘵。
北柴胡、生地黄（各二两）、人参、防风、熟地黄、秦艽（各一两）、赤茯苓（一两）、胡黄连（半两）、薄荷（七钱半）。
以上每次服用四钱，水煎温服。
三拗汤 见喘类章节。
〔附录〕葛可久先生劳症《十药神书》内，摘录了七个方子。人的生存，禀受天地氤氲之气，在真元，固守根本，则万病不生，四肢康健。如果说不能保养真元，不固守根本，疾病由此而生。况且真元根本，就是气血精液。我曾听先师说：“万病之中，没有比劳症更难治疗的。”大概劳症的成因，在于人在壮年，气血完聚，精液充满之际，不能保养性命，贪恋酒色，日夜沉溺，没有休息，以致耗散真元，虚败精液，从而呕血吐痰，导致骨蒸体热，肾虚精竭，面白颊红，口干咽燥，白浊遗精盗汗，饮食艰难，气力全无，这叫做火盛金衰（肺金被心火克制）。重的半年而死，轻的一年而亡。何况医者不穷究其源头，不探究其根本，有的投以大寒之剂，有的疗以大热之药，妄为施治，绝不取效。殊不知大寒则更虚其中焦，大热则更竭其内里，所以世上治疗劳病的医生，万无一人能成功。先师用药治劳，像后羿射箭一样，不射不中。现在将用药次第列在后面。用药的方法，如果有呕吐咯嗽血者，先用十灰散遏制住，如果严重的，须用花蕊石散止之。
大体上血热则行，血冷则凝，见黑必止，这是必然的道理。止血之后，其人必定身体疲倦，其次用独参汤一补，令其熟睡一觉，不要惊动。睡醒后，病去五六分，然后再服其他药物。
保和汤止嗽宁肺，保真汤补虚除热，太平丸润肺除痿，消化丸下痰消气。
保和汤内，分血盛、痰盛、喘盛、热盛、风盛、寒盛六事，加味调和。保真汤内，分惊悸、淋浊、便涩、遗精、燥热、盗汗六事，加味使用，其余不加用。服药的方法，每日仍浓煎薄荷汤灌漱喉部。用太平丸先嚼一丸，徐徐咽下，次噙一丸，缓缓溶化。至上床时，也如此使用。夜间则肺窍开放，药必流入窍中，此诀要紧。如果痰壅塞，却先用饴糖拌消化丸一百丸吞下，其次又根据前面方法噙嚼太平丸，令其仰面卧而睡。服用前七药后，如果肺有咳嗽，可煮润肺丸食用。如果在常服七药之前有余暇，煮此服用，也可以续煮白凤膏食用，以固其根源，完其根本。病可之后，方可合十珍丸服用，此为收功起身之妙用也。
十灰散 治疗劳症呕血、咯血、嗽血，先用此药遏制。
大蓟、小蓟、柏叶、荷叶、茅根、茜根、大黄、山栀、牡丹皮、棕榈灰。
以上等分，烧灰存性，研细，用纸包碗盖在地上放置一夜，出火毒。用时先以白藕捣碎绞汁，或萝卜汁调服。
又方：
花蕊石（烧过存性研如粉）。
上用童子小便一盏煎。醋调末三钱，极甚者五钱，食后服。如男子病则和酒一半，妇人病则和醋一半。一处调药立止。其瘀血化为黄水，服此药后，其人必疏解其病体，却用后药而
独参汤 治疗劳症后，以此补之。
人参（一两，去芦）。
以上切碎。水二钟，枣五个煎，不拘时，细细服之。
保和汤 治疗劳嗽肺燥成痿者，服之决效。
知母、贝母、天门冬、麦门冬、款冬花（各三钱）、天花粉、薏苡仁、杏仁（炒，各二钱）、五味子、粉草（炙）、兜铃、紫菀、百合、桔梗（各一钱）、阿胶（炒）、当归、生地黄、紫苏、薄荷（各半钱）。一方无地黄有百部。
以上以水煎，生姜三片，入饴糖一匙，入药内服之，每日三服，食后。进加减于后：
血盛，加蒲黄、茜根、藕节、大蓟、茅花；痰盛，加南星、半夏、橘红、茯苓、枳壳、枳实、栝蒌实（炒）；喘盛，加桑白皮、陈皮、大腹皮、萝卜子、葶苈子、苏子；热盛，加山栀子、炒黄连、黄柏、连翘；风盛，加防风、荆芥、金沸草、甘菊、细辛、香附；寒盛，加人参、芍药、桂皮、五味子、蜡片。
保真汤 治疗劳症体虚骨蒸，服之决补。
当归、生地黄、熟地黄、黄芪、人参、白术、赤苓、白茯苓（各半钱）、天门冬、麦门冬、赤芍、知母、黄柏（炒）、五味子、白芍、柴胡、地骨皮、甘草、陈皮（各二钱）、莲心（半钱）。
以上以水煎，生姜三片，枣一枚。食后服。
惊悸，加茯神、远志、柏子仁、酸枣仁；淋浊，加萆薢、台乌药、猪苓、泽泻；便涩，加木通、石苇、蓄草；遗精，加龙骨、牡蛎、莲须、莲子；燥热，加滑石、石膏、青蒿、鳖甲；盗汗，加浮小麦、炒牡蛎、黄芪、麻黄根。
太平丸 治疗劳症咳嗽日久，肺痿肺壅。考宜噙服。
天门冬、麦门冬、知母、贝母、款冬花、杏仁（各二钱）、当归、生地黄、黄连、阿胶（炮，各一两半）、蒲黄、京墨、桔梗、薄荷（各一两）、北蜜（四两）、麝香（少许，一方有熟地黄）。
上将蜜炼和丸，如弹子大。食后浓煎薄荷汤，先灌漱喉中，细嚼一丸，津唾送下。上床时再服。
消化丸
白茯苓（二两）、枳实（一两半）、青礞石（煅黄金色二两）、白矾（枯）、橘红（二两）、牙皂（二两火炙）、半夏（二两）。
以上为末，以神曲打糊丸，如梧桐子大。每服一百丸，上床时，饴糖拌吞，次噙嚼太平丸。二药相攻，痰嗽扫迹除根。
润肺膏
羊肺（一具）、杏仁（一两，净研）、柿霜、真酥、蛤粉（各一两）、白蜜（二两）。
上先将羊肺洗净，次将五味入水搅粘，灌入肺中，白水煮熟，如常服食。与前七药相间服之，亦佳。
Lao Zhai (chronic consumptive disease, similar to pulmonary tuberculosis) is primarily due to Yin deficiency, with pathological changes involving phlegm and blood. The gradual emaciation of Xu Lao (deficiency fatigue) belongs to Fire syndrome; the Yin fire consumes and melts fluids, which is caused by accumulated heat. In the initial stage when the body is still robust, He Zihe's method of attacking pathogens can be used; in the later stage, if the body becomes emaciated and weak, Si Wu Tang (Four Substance Decoction) should be modified and taken with Xiao Ji Wan (Accumulation-Dissolving Pill) to avoid damaging intestinal Qi. The occurrence of zheng zheng fa re (steaming fever, a continuous fever like steam) is mostly due to accumulation diseases; for Lao Bing (consumptive disease), Si Wu Tang (Four Substance Decoction) should be added with Chao Bai (Stir-fried Phellodendri Cortex), Zhu Li (Bamboo Sap), Ren Nao (Human Urine), and Jiang Zhi (Ginger Juice), with great tonification as the superior approach. Cases with muscle wasting and severe high fever are difficult to treat.
Prescription:
Qing Hao (Artemisiae Annuae Herba) one dou five sheng, Tong Bian (Child's Urine) three dou. Boil over moderate and strong fire until the Tong Bian reduces to two dou. Remove Qing Hao and continue boiling until it reduces to one dou. Add seven Pig Gallbladders (Suis Dan), boil a few more times. Finally, add Gan Cao Mo (Licorice Root Powder) to form a paste. Take one spoonful each time, mixed with warm water.
[Appendix] The syndromes of Lao Zhai are not limited to one type. Its onset is invariably due to physical weakness and labor injuring the Heart and Kidney. Since the Heart governs Blood and the Kidney governs Essence, exhaustion of Essence and dryness of Blood lead to Lao Bing. Therefore, transmission varies, including Gu Zheng (Bone-steaming sensation) and Fu Lian Shi Zhu (Contagious Corpse-Transmitting Disease). "Zhu" means to transmit; pathogenic factors move from top to bottom, spreading through bones and flesh, sometimes leading to the extinction of an entire family. The symptoms involve worms biting between the Zang organs, Heart, and Lung, named Zhai Ji (Tuberculous Disease), which is difficult to cure. For Chuan Shui Lao Zhai (Transmitted Corpse Consumptive Disease) with alternating chills and fever, chronic cough with hemoptysis, and progressive emaciation, San Ao Tang (Three Unrestrained Decoction) combined with Lian Xin San (Lotus Plumule Powder) decocted together should be administered first, ensuring success without failure.
Attached Prescriptions:
Lian Xin San treats Xu Lao (deficiency fatigue) or post-severe illness conditions characterized by Heart deficiency and Spleen weakness, night sweats, and spermatorrhea.
Ren Shen (Ginseng Radix et Rhizoma), Bai Fu Ling (Poria), Lian Rou (Lotus Seed), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gan Cao (Licorice Root), Bai Bian Dou (Lablab Seed, stir-fried), Yi Yi (Coicis Semen, stir-fried), Jie Geng (Platycodonis Radix, stir-fried), Gan Ge (Puerariae Radix, stir-fried), Huang Qi (Astragali Radix, stir-fried, each 1 liang), Dang Gui (Angelicae Sinensis Radix, each half liang), Sang Pi (Mori Cortex), Ban Xia Qu (Pinelliae Fermentatum), Bai He (Lilii Bulbus), Gan Jiang (Zingiberis Rhizoma, processed), Shan Yao (Dioscoreae Rhizoma, stir-fried), Wu Wei Zi (Schisandrae Fructus), Mu Xiang (Aucklandiae Radix), Ding Xiang (Caryophylli Flos), Xing Ren (Armeniacae Semen Amarum, stir-fried), Bai Zhi (Angelicae Dahuricae Radix), Shen Qu (Massae Medicatae Fermentatae, stir-fried, each 1 liang).
Crush the herbs. Take 5 qian per dose, with 3 slices of fresh ginger and dates, decocted together, taken warm on an empty stomach.
Le Ling Jian Zhong Tang treats Zang-Fu deficiency damage, body emaciation, tidal fever, spontaneous sweating, and impending Lao Zhai. This medicine clears deficient heat and generates Blood and Qi.
Qian Hu (Peucedani Radix, 1 liang), Xi Xin (Asari Radix et Rhizoma), Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix et Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Mai Men Dong (Ophiopogonis Tuber), Gui Xin (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Fu Ling (Poria), Gan Cao (Licorice Root, honey-fried, 1 liang), Ban Xia (Pinelliae Tuber, 7 qian).
Crush the herbs. Take 4 qian per dose, with 3 slices of fresh ginger and one date, decocted in water.
Huang Qi Bie Jia San treats Xu Lao (deficiency fatigue) with exogenous heat, muscle emaciation, vexing heat in the four limbs, palpitations, night sweats, reduced appetite with excessive thirst, cough with blood.
Sheng Di Huang (Rehmanniae Radix, 3 liang), Sang Bai Pi (Mori Cortex), Ban Xia (Pinelliae Tuber, 3.5 liang), Tian Men Dong (Asparagi Tuber, 5 liang), Bie Jia (Testudinis et Carapacis et Plastrum, vinegar-boiled, 5 liang), Zi Wan (Asteris Radix, 2.5 liang), Qin Jiao (Gentianae Macrophyllae Radix, 3.3 liang), Zhi Mu (Anemarrhenae Rhizoma), Chi Shao (Paeoniae Radix Rubra), Huang Qi (Astragali Radix, each 3.5 liang), Ren Shen (Ginseng Radix et Rhizoma), Rou Gui (Cinnamomi Cortex), Jie Geng (Platycodonis Radix, 2.65 liang), Bai Fu Ling (Poria), Di Gu Pi (Lycii Cortex), Chai Hu (Bupleuri Radix, 3.3 liang), Gan Cao (Licorice Root, 2.5 liang).
Crush the herbs. Take 3 qian per dose, decocted in water.
Qing Gu San treats men and women with five-palm heat (vexing heat in palms, soles, and chest), approaching Lao Zhai.
Bei Chai Hu (Bupleuri Radix), Sheng Di Huang (Rehmanniae Radix, each 2 liang), Ren Shen (Ginseng Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Shu Di Huang (Prepared Rehmanniae Radix), Qin Jiao (Gentianae Macrophyllae Radix, each 1 liang), Chi Ling (Red Poria, 1 liang), Hu Huang Lian (Coptidis Rhizoma alternative/Huttoneae Rhizoma, half liang), Bo He (Menthae Haplocalycis Herba, 7.5 qian).
Take 4 qian per dose, decocted in water and taken warm.
San Ao Tang see Asthma category.
[Appendix] From Mr. Ge Kejiu's *Ten Medicines Divine Book* on Lao Syndromes, seven prescriptions are excerpted. Human life relies on inheriting the chaotic Qi of Heaven and Earth. If one guards the True Yuan (Original Qi) and consolidates the root, ten thousand diseases will not arise, and the four limbs will be healthy. If one fails to nourish the True Yuan and consolidate the root, diseases arise from this. The True Yuan and root are essentially Qi, Blood, Essence, and Fluids. I once heard my master say: "Among all diseases, none is harder to treat than Lao Syndromes." The cause of Lao lies in people during their prime, when Qi and Blood are complete and Essence and Fluids are full, failing to preserve their life, indulging in wine and lust, day and night without rest, thereby dissipating the True Yuan and ruining the Essence. This leads to vomiting blood and spitting phlegm, resulting in bone-steaming and body heat, Kidney deficiency with essence exhaustion, pale face with red cheeks, dry mouth and throat, white turbidity, spermatorrhea, and night sweats, difficulty eating, and total loss of strength. This is called Fire Excess and Metal Deficiency (Heart Fire overwhelming Lung Metal). Severe cases die within half a year; mild cases within a year. Moreover, physicians who do not exhaustively investigate the source and root may administer overly cold formulas or overly hot medicines, treating recklessly without effect. It is unknown that excessive cold further empties the middle jiao, and excessive heat further depletes the interior. Thus, among physicians treating Lao diseases today, not one in ten thousand succeeds. My master's use of medicine for Lao was like Hou Yi shooting arrows—never missing the target. The following outlines the sequence of medication. If there is vomiting or coughing up blood, first use Shi Hui San (Ten Charcoals Powder) to arrest it. If severe, use Hua Rui Shi San (Flower Ochre Stone Powder) to stop bleeding.
Generally, Heat in Blood causes flow, Cold in Blood causes coagulation, and seeing black stops bleeding; this is inevitable. After stopping bleeding, the patient will likely feel fatigued. Next, use Du Shen Tang (Single Ginseng Decoction) to tonify, allowing them to sleep soundly without disturbance. Upon waking, the disease will have receded by 50-60%, then other medicines can be administered.
Bao He Tang stops cough and calms the Lung; Bao Zhen Tang tonifies deficiency and clears heat; Tai Ping Wan (Peaceful Pill) moistens the Lung and eliminates flaccidity; Xiao Hua Wan (Digestion Pill) resolves phlegm and moves Qi.
In Bao He Tang, six aspects are distinguished: Blood Excess, Phlegm Excess, Asthma Excess, Heat Excess, Wind Excess, and Cold Excess, with added ingredients to harmonize. In Bao Zhen Tang, six aspects are distinguished: Palpitations/Fright, Dysuria/Turbidity, Difficult Urination, Spermatorrhea, Dry Heat, and Night Sweats, with added ingredients for use; no other additions are made. The method of taking medicine: daily, decoct thick Bo He (Mint) soup to gargle the throat. With Tai Ping Wan, chew one pill slowly and swallow, then hold another pill in the mouth to dissolve slowly. When going to bed, use it similarly. At night, the Lung orifices open, and the medicine must flow into the orifices; this secret is crucial. If Phlegm is obstructing, first take 100 Xiao Hua Wan pills mixed with Yi Tang (Maltose) swallowed, then follow the previous method of holding and chewing Tai Ping Wan, lying on the back to sleep. After taking the first seven medicines, if there is Lung cough, Lu Run Wan (Lung-Moistening Pill) can be boiled and eaten. If there is spare time before taking the usual seven medicines, this can be boiled and taken; alternatively, Bai Feng Gao (White Phoenix Paste) can be continuously boiled and eaten to solidify the root and complete the foundation. After the disease subsides, Shi Zhen Wan (Ten Treasures Pill) can be compounded and taken; this is the wonderful application for concluding treatment and recovery.
Shi Hui San treats Lao syndrome vomiting blood, hemoptysis, and coughing blood; use this first to arrest bleeding.
Da Ji (Great Thistle Root), Xiao Ji (Small Thistle Root), Bai Ye (Thuja Leaf), He Ye (Lotus Leaf), Mao Gen (Imperatae Rhizoma), Qian Gen (Rubiae Radix), Da Huang (Rhei Radix et Rhizoma), Shan Zhi (Gardeniae Fructus), Mu Dan Pi (Moutan Cortex), Zong Lv Hui (Palma Ash).
Equal parts, charred but retaining nature, ground fine, wrapped in paper under a bowl placed on the ground overnight to remove fire toxicity. When using, first crush fresh White Lotus Root (Ou) and squeeze juice, or Radish Juice, to mix with the powder.
Another Prescription:
Hua Rui Shi (Flower Ochre Stone, charred, retained nature, ground to powder).
Decoct one cup of Tong Bian (Child's Urine). Mix 3 qian of powder with Vinegar; for extreme cases, 5 qian. Take after meals. For male patients, mix with half wine; for female patients, mix with half vinegar. Mix medicine and liquid together to stop bleeding immediately. The stasis transforms into yellow fluid; after taking this medicine, the patient's condition will relieve, then use the following medicine...
Du Shen Tang treats post-Lao syndrome, using this to tonify.
Ren Shen (Ginseng Radix et Rhizoma, 1 liang, remove rhizome).
Crush. Decoct in 2 zhong of water with 5 dates. Take at any time, sipping slowly.
Bao He Tang treats Lao cough with Lung dryness leading to flaccidity; taking this ensures efficacy.
Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Bulbus), Tian Men Dong (Asparagi Tuber), Mai Men Dong (Ophiopogonis Tuber, Kuan Dong Hua (Kalanchoes Herba), each 3 qian), Tian Hua Fen (Trichosanthis Radix), Yi Yi (Coicis Semen), Xing Ren (Armeniacae Semen Amarum, stir-fried, each 2 qian), Wu Wei Zi (Schisandrae Fructus), Fen Cao (Licorice Root, honey-fried), Dou Ling (Campanulae Fructus), Zi Wan (Asteris Radix), Bai He (Lilii Bulbus), Jie Geng (Platycodonis Radix, each 1 qian), E Jiao (Colla Corii Asini, stir-fried), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Zi Su (Perillae Folium), Bo He (Menthae Haplocalycis Herba, each half qian). One formula has no Sheng Di Huang but has Bai Bu (Stemonae Radix).
Decoct in water with 3 slices of fresh ginger, add one spoonful of Yi Tang (Maltose), mix with medicine and take. Three doses daily, after meals. Modifications follow:
Blood Excess, add Pu Huang (Typhae Pollen), Qian Gen (Rubiae Radix), Ou Jie (Lotus Node), Da Ji (Great Thistle Root), Mao Hua (Imperata Flower); Phlegm Excess, add Nan Xing (Arisaematis Cum Bile), Ban Xia (Pinelliae Tuber), Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Zhi Shi (Aurantii Fructus), Gua Lou Shi (Trichosanthis Fructus, stir-fried); Asthma Excess, add Sang Pi (Mori Cortex), Chen Pi (Citri Reticulatae Pericarpium), Da Fu Pi (Arecae Pericarpium), Luo Bo Zi (Raphani Semen), Ting Li (Lepidii et Descurainiae Semen), Su Zi (Perillae Fructus); Heat Excess, add Shan Zhi Zi (Gardeniae Fructus), Chao Huang Lian (Coptidis Rhizoma, stir-fried), Huang Bo (Phellodendri Cortex), Lian Qiao (Forsythiae Fructus); Wind Excess, add Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Jin Fei Cao (Boehmeriae Caulis et Folium), Gan Ju (Chrysanthemi Indici Flos), Xi Xin (Asari Radix et Rhizoma), Xiang Fu (Cyperi Rhizoma); Cold Excess, add Ren Shen (Ginseng Radix et Rhizoma), Shao Yao (Paeoniae Radix), Gui Pi (Cinnamomi Cortex), Wu Wei Zi (Schisandrae Fructus), La Pian (Beeswax).
Bao Zhen Tang treats Lao syndrome with body deficiency and bone-steaming; taking this ensures tonification.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Prepared Rehmanniae Radix), Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chi Ling (Red Poria), Bai Ling (White Poria, each half qian), Tian Men Dong (Asparagi Tuber), Mai Men Dong (Ophiopogonis Tuber), Chi Shao (Paeoniae Radix Rubra), Zhi Mu (Anemarrhenae Rhizoma), Huang Bo (Phellodendri Cortex, stir-fried), Wu Wei Zi (Schisandrae Fructus), Bai Shao (Paeoniae Radix Alba), Chai Hu (Bupleuri Radix), Di Gu Pi (Lycii Cortex), Gan Cao (Licorice Root), Chen Pi (Citri Reticulatae Pericarpium, each 2 qian), Lian Xin (Nelumbinis Plumula, half qian).
Decoct in water with 3 slices of fresh ginger and one date. Take after meals.
Palpitations/Fright, add Fu Shen (Poria with Hostwood), Yuan Zhi (Polygalae Radix), Bai Zi Ren (Biota Semen), Suan Zao Ren (Ziziphi Spinosae Semen); Dysuria/Turbidity, add Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Tai Wu Yao (Linderae Radix), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma); Difficult Urination, add Mu Tong (Akebiae Caulis), Shi Wei (Pyrrosiae Folium), Xu Zhong (Polygoni Avicularis Herba); Spermatorrhea, add Long Gu (Fossilia Ossis Mastodi et Scapulae), Mu Li (Ostreae Concha), Lian Xu (Nelumbinis Stamen), Lian Zi (Nelumbinis Semen); Dry Heat, add Hua Shi (Talcum), Shi Gao (Gypsum Fibrosum), Qing Hao (Artemisiae Annuae Herba), Bie Jia (Testudinis et Carapacis et Plastrum); Night Sweats, add Fu Xiao Mai (Tritici Fructus Immaturus), Chao Mu Li (Ostreae Concha, stir-fried), Huang Qi (Astragali Radix), Ma Huang Gen (Ephedrae Radix et Rhizoma).
Tai Ping Wan treats Lao syndrome with long-term cough, Lung flaccidity, and Lung obstruction. It is suitable for holding in the mouth.
Tian Men Dong (Asparagi Tuber), Mai Men Dong (Ophiopogonis Tuber), Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Bulbus), Kuan Dong Hua (Kalanchoes Herba), Xing Ren (Armeniacae Semen Amarum, each 2 qian), Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Huang Lian (Coptidis Rhizoma), E Jiao (Colla Corii Asini, processed, each 1.5 liang), Pu Huang (Typhae Pollen), Jing Mo (Chinese Ink), Jie Geng (Platycodonis Radix), Bo He (Menthae Haplocalycis Herba, each 1 liang), Bei Mi (Northern Honey, 4 liang), She Xiang (Moschus, a little; one formula has Shu Di Huang).
Refine honey and mix into pills the size of bullet seeds. After meals, decoct thick Bo He (Mint) soup, gargle the throat first, chew one pill finely, and swallow with saliva. Take again when going to bed.
Xiao Hua Wan
Bai Fu Ling (Poria, 2 liang), Zhi Shi (Aurantii Fructus, 1.5 liang), Qing Meng Shi (Calamine, calcined to golden color, 2 liang), Bai Fan (Alumen, calcined), Ju Hong (Citri Reticulatae Pericarpium, 2 liang), Ya Zao (Gleditsiae Spina, fire-roasted, 2 liang), Ban Xia (Pinelliae Tuber, 2 liang).
Grind into powder, make pills with Shen Qu (Massa Medicata Fermentata) paste, size of Sophora seeds. Take 100 pills each time, when going to bed, swallow mixed with Yi Tang (Maltose), then hold and chew Tai Ping Wan. The two medicines attack together, sweeping away phlegm and cough traces to remove the root.
Lu Run Gao (Lung-Moistening Paste)
Yang Fei (Sheep Lung, one), Xing Ren (Armeniacae Semen Amarum, 1 liang, cleaned and ground), Shi Shuang (Persimmois Frost), Zhen Su (True Butter), Ha Fen (Concha Meretricis, each 1 liang), Bai Mi (White Honey, 2 liang).
First clean the sheep lung thoroughly. Then mix the five ingredients with water until sticky, inject into the lung, cook in plain water, and eat as usual. Take alternately with the previous seven medicines; this is also good.