《衍义》云∶柴胡，《本经》并无一字治劳。今人治劳方中鲜有不用者，凡此误世甚多
。斯言也，谓病原不同，不可一概而施之尔！故又继之曰∶如经验方中治劳热青蒿煎丸，用
柴胡正合宜耳。又尾之曰∶服之无有不效。世人因前言而概不用柴胡，虽当用者亦必不用。
呜呼！藏器一言，举世割股。丹溪一出，众口滋阴。《衍义》片词，柴胡未弃，更不求其证
脉而可否之。此之谓侏儒观场，随众喧喝尔，求其真知则未也。
黄芩（酒炒，春四、夏秋六、冬三两） 黄连（酒炒，春四、夏五、秋三、冬一两） 大
黄
（酒浸，九蒸晒、春三、秋二、夏一、冬五两）
消渴羸瘦，不生肌肉，其人善谷者，此方主之。
上件皆火证也。火炎则水干，故令消渴。燥万物者，莫 乎火，故令羸瘦，不生肌肉。
火甚则速于传化，故善谷。芩、连、大黄，苦寒物也。寒能胜热，苦能泻火，火去而阴自生，
阴
鳖甲（醋炙） 柴胡 生地黄 大黄（煨） 常山 当归 赤茯苓 干漆（炒焦） 石
膏（各
一两） 白术 甘草（各半两） 小麦（五十粒）
有汗加麻黄根一两，共为末，每服三钱。
少男、室女、孀妇郁劳，骨蒸内热，风血攻疰四肢者，此方主之。
此攻郁劳之方也。少男思其女而不得，则有留精。室女思其男而不得，则有留血。孀妇
有所思，则气结而有留瘀。其理一而已。谓之留者，精血已离其位，但留于经脉关要之区，
阴寒气血留行之道也。气、阳也，阻而塞之，则积阳为热，故令蒸蒸骨热。血阴也，阻而
之，则积阴为疰，故令四肢攻疰。曰风血攻疰四肢者，风血内搏，四肢无力，而倦怠浮肿
也。鳖甲、干漆，攻坚削积之品也，所以治精血之留结。柴胡、石膏，解肌清热之药也，所
以去骨蒸之内热。思则火结于心包，故用常山以开其结；郁则气留于六腑，故用大黄以推其
陈；当归、生地，生新血也。白术、甘草，致新气也。赤茯苓所以导丙丁之邪。浮小麦所以
止骨蒸之汗。而麻黄根之加，乃以其形中闭，为止汗之最捷尔。东坡云∶此黄州吴判官之方
也，疗骨蒸肌热盗汗极效。吴君宝之，不肯妄传也。虽然，此攻击之剂，惟少男、室女、孀
妇真气完固，始可用之。若男妇交接气弱者，犹禁与也。
《衍义》中说：柴胡在《神农本草经》中没有任何一个字提到它能治疗劳损。如今人们治疗劳损的方剂中，很少有不使用柴胡的，这种误导世人的情况非常多。这句话的意思是说，疾病的根源不同，不能一概而论地施用！所以接着又说：像经验方中治疗劳热的青蒿煎丸，使用柴胡正是合适的。最后又说：服用它没有不有效的。世人因为前面的话而一概不用柴胡，即使是应当使用的情况也一定不用。唉！陈藏器的一句话，让全世界的人都割舍了柴胡（不再使用）。朱丹溪一出，众人都在谈论滋阴。《衍义》中的只言片语，虽然柴胡没有被完全抛弃，但更不去考察其证候和脉象来判断是否可用。这叫做侏儒看戏场，跟着众人喧哗喝彩罢了，想要寻求真正的知识却做不到。
黄芩（酒炒，春季四两、夏秋季六两、冬季三两） 黄连（酒炒，春季四两、夏季五两、秋季三两、冬季一两） 大黄（酒浸，九次蒸晒，春季三两、秋季二两、夏季一两、冬季五两）
主治消渴、身体消瘦虚弱、肌肉不生，且此人食欲旺盛能多吃谷物，此方主治。
以上症状都属于火证。火气炎上则津液干枯，所以导致消渴。使万物干燥的，没有比火更厉害的了，所以导致身体消瘦虚弱，肌肉不生。火气盛则传变迅速，消化快，所以食欲旺盛能多吃谷物。黄芩、黄连、大黄，都是苦寒性质的药物。寒能胜热，苦能泻火，火邪去除后阴液自然生成，阴液
鳖甲（醋炙） 柴胡 生地黄 大黄（煨制） 常山 当归 赤茯苓 干漆（炒焦） 石膏（各一两） 白术 甘草（各半两） 小麦（五十粒）
如果有汗出，加麻黄根一两，共研为细末，每次服用三钱。
主治少年男子、少女、寡妇因情志郁结导致的劳损，骨蒸内热，风血攻注四肢者，此方主治。
这是治疗郁结劳损的方剂。少年男子思念女子而不能得到，就会有留精。少女思念男子而不能得到，就会有留血。寡妇有所思念，就会气机郁结而有留瘀。其中的道理是一样的。所谓“留”，是指精血已经离开了正常位置，只是停留在经脉关要的区域，那是阴寒气血运行的通道。气属阳，被阻滞堵塞，则积阳化为热，所以导致蒸蒸骨热。血属阴，被阻滞，则积阴化为疰邪，所以导致四肢攻疰。所说的“风血攻注四肢”，是指风血在内搏结，四肢无力，且倦怠浮肿。鳖甲、干漆，是攻坚削积的药物，用来治疗精血的留结。柴胡、石膏，是解肌清热的药物，用来去除骨蒸的内热。思虑过度则火结于心包，所以用常山来开其郁结；郁滞则气留在六腑，所以用大黄来推荡其陈积；当归、生地，是用来生新血的。白术、甘草，是用来滋生新气的。赤茯苓用来引导丙丁（心火）之邪。浮小麦用来止住骨蒸引起的盗汗。而加入麻黄根，是因为它的形状中间闭合，是止汗最快捷的药物。苏轼说：这是黄州吴判官的方子，治疗骨蒸肌热盗汗极其有效。吴君珍视它，不肯随意传授。虽然如此，这是攻击性的药剂，只有少年男子、少女、寡妇真气完固，才可以服用。如果是男女交接后气弱的，仍然禁止服用。
According to *Yanyi* (Elucidation of Meanings): Chai Hu (Bupleuri Radix) is not mentioned even once in *Ben Jing* (Shennong's Classic of Materia Medica) for treating Lao (consumptive disease). Nowadays, few formulas for treating Lao do not include it; such errors mislead the world greatly. This statement means that the origins of diseases differ and cannot be treated uniformly! Therefore, it continues: In empirical formulas for treating heat from Lao, such as Qing Hao Jian Wan (Artemisiae Annuae Decoction Pill), using Chai Hu is indeed appropriate. It concludes by saying: There is no case where taking it fails to be effective. Because of the previous statement, people generally avoid using Chai Hu, even when it should be used. Alas! One remark by Chen Cangqi led the whole world to discard Chai Hu. Once Zhu Danxi appeared, everyone spoke of nourishing Yin. A few words from *Yanyi*, although Chai Hu was not entirely abandoned, its indications and pulses were not examined to determine its applicability. This is like a dwarf watching a performance, joining in the general clamor, seeking true knowledge is impossible.
Huang Qin (Scutellariae Radix, stir-fried with wine: 4 liang in Spring, 6 liang in Summer/Autumn, 3 liang in Winter) Huang Lian (Coptidis Rhizoma, stir-fried with wine: 4 liang in Spring, 5 liang in Summer, 3 liang in Autumn, 1 liang in Winter) Da Huang (Rhei Radix et Rhizoma, soaked in wine, steamed and dried nine times: 3 liang in Spring, 2 liang in Autumn, 1 liang in Summer, 5 liang in Winter)
Indicated for Xiao Ke (wasting-thirst syndrome), emaciation, failure of muscles to grow, and individuals who have a good appetite and can eat large amounts of grain. This formula governs these conditions.
The above symptoms are all due to Fire syndromes. When Fire flares up, body fluids dry up, causing Xiao Ke. Nothing dries things more than Fire, hence causing emaciation and failure of muscle growth. When Fire is excessive, transmission and transformation occur rapidly, leading to a good appetite. Huang Qin, Huang Lian, and Da Huang are bitter-cold substances. Cold overcomes Heat, Bitter drains Fire. Once Fire is eliminated, Yin naturally generates.
Bie Jia (Testudinis Carapax et Plastrum, processed with vinegar) Chai Hu (Bupleuri Radix) Sheng Di Huang (Rehmanniae Radix) Da Huang (Rhei Radix et Rhizoma, baked) Chang Shan (Dichroae Radix) Dang Gui (Angelicae Sinensis Radix) Chi Fu Ling (Poria with Red Hosta Root) Gan Qi (Dryobalanops camphora resin, stir-fried until charred) Shi Gao (Gypsum Fibrosum, each 1 liang) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma, each half liang) Xiao Mai (Tritici Levis Fructus, 50 grains)
If sweating occurs, add Ma Huang Gen (Ephedrae Herbae Radix) 1 liang. Grind all into powder. Take 3 qian per dose.
Indicated for young men, young women, and widows suffering from emotional stagnation-induced Lao, bone-steaming internal heat, and wind-blood attacking the limbs. This formula governs these conditions.
This is a formula for attacking stagnation-induced Lao. Young men desiring women but unable to obtain them will have retained essence. Young women desiring men but unable to obtain them will have retained blood. Widows with lingering thoughts will have qi stagnation and retained stasis. The principle is the same. What is called "retention" means that essence and blood have left their proper positions but remain in key areas of the meridians, which are pathways for yin-cold qi and blood circulation. Qi belongs to Yang; if obstructed, accumulated Yang transforms into Heat, causing bone-steaming heat. Blood belongs to Yin; if obstructed, accumulated Yin transforms into Zhu (infectious/stagnant pathogen), causing attacks on the limbs. "Wind-blood attacking the limbs" refers to wind-blood struggling internally, resulting in limb weakness, fatigue, and edema. Bie Jia and Gan Qi are substances for breaking hardness and reducing accumulation, used to treat the retention and knotting of essence and blood. Chai Hu and Shi Gao are herbs for resolving the muscle layer and clearing Heat, used to eliminate the internal heat of bone-steaming. Excessive thinking causes Fire to knot in the Pericardium, so Chang Shan is used to open the knot; Stagnation causes Qi to remain in the Six Fu Organs, so Da Huang is used to push out old accumulations; Dang Gui and Sheng Di Huang generate new blood. Bai Zhu and Gan Cao generate new Qi. Chi Fu Ling guides away the evil of Bing Ding (Heart Fire). Floating Wheat stops sweating from bone-steaming. The addition of Ma Huang Gen is because its shape is closed in the middle, making it the most rapid herb for stopping sweat. Su Dongpo said: This is a formula from Wu Panguan of Huangzhou, extremely effective for treating bone-steaming, muscle heat, and night sweats. Master Wu treasured it and refused to pass it on casually. Nevertheless, this is an attacking agent; it can only be used when the True Qi of young men, young women, and widows is complete and solid. If men or women have weak Qi after sexual intercourse, it is still prohibited to use.