论曰急劳之病,其证与热劳相似,而得之差暴也,缘禀受不足,忧思气结,营卫俱虚,
心肺壅热,金火相刑,脏气传克,或感外邪,故烦躁体热,颊赤心忪,头痛盗汗,咳嗽咽干,
骨节酸疼,久则肌肤销铄咯涎唾血者,皆其候也。
治急劳四肢烦疼,手足心热,憎寒,饮食不得,口干心躁,退热汤方
柴胡(去苗) 青蒿(干者) 甘草(炙锉) 知母(焙) 龙胆(去苗) 麦门冬(去
心焙各一两)
上六味,粗捣筛,每服五钱匕,用童子小便一盏半,葱白三寸,薤白三茎,桃柳心各五
枚,同浸经一宿,平旦煎至一盏,去滓空心顿服之,至夜再服。
治急劳肌瘦壮热,心忪战掉,鳖甲饮方
鳖甲(去裙 醋炙半分) 豉(去皮一分) 甘草(量病患中指长用) 青蒿(干者一
握) 桃
上六味细锉,每服五钱匕,以童子小便二盏,煎至一盏,去滓空心温服,避风取汗。
治急劳心肺积热,鼻口焦干,饮食无味,神昏欲睡,心胸胀满,两目多涩,四肢无力,
足胫酸疼,腰脚拘急,青蒿煎丸方
青蒿 生地黄 薄荷(各取汁一升) 童子小便(二升半) 麝香(一分研) 鳖甲(去
裙醋炙三两) 柴胡(去苗) 甘草(炙锉各二两) 地骨皮(一两四味为末) 桃仁(去
皮尖双仁研
上一十味,取青蒿等汁,并小便,先煎令稠,下诸捣研药末,以文武火熬令可丸,即丸
如梧桐子大,每服二十丸,麦门冬汤下,不拘时。
治急劳烦躁壮热,四肢无力酸痛,青蒿饮方
青蒿(干者三两) 地骨皮(一两) 嫩柳枝(一两半) 嫩桃枝(二两) 栀子仁 甘
草(炙锉各半两)
上六味,锉如麻豆,每服三钱匕,水一盏,乌梅一枚,同煎至八分,去滓食后临卧温服
治急劳瘦瘁,日晚即寒热,惊悸不宁,常若烦渴,猪肝丸方
猪肝(二具细切如柳叶) 甘草(十五两生捣末)
上二味,于铛中布猪肝一重,即渗甘草末一重,以尽为度,取童子小便五升,文武火煮,
小便尽即细研,众手为丸,如梧桐子大,每服二十丸,空心米饮下,渐加至三十丸。
治急劳发热,肌体羸瘦,天灵盖汤方
天灵盖(酥炙黄) 柴胡(去苗) 鳖甲(去裙 醋炙) 桑根白皮(细锉) 知母(切
焙) 青
蒿(干者各一两) 甘草(炙锉) 阿魏(炒研各二两)
上八味,粗捣筛七味,与阿魏和匀,每服五钱匕,童子小便一盏半,豉心四十粒,桃李
心各七枚,葱薤白各二茎细切,同浸一宿,平明煎取一盏,去滓空腹顿服,微利为效。
治急劳寒热,潮发肌热,心烦不安,参连散方
人参 胡黄连 黄连(去须各半两) 丹砂(研) 雄黄(研各一两)
上五味,捣研为散,用猪胆一枚,取汁和药,却入胆中,挂于风道,一月取下,去胆皮,
再研极细,每服一钱匕,人参汤调下,不拘时。
治急劳烦躁羸瘦,面色萎黄,头痛眼涩,多困少力,金花丸方
黄芩(去黑心) 黄连(去须) 大黄(锉炒)
上三味等分为末,炼蜜丸如梧桐子大,每服十五丸,至二十丸,温水下,不拘时。
治急劳寒热进退,渐将羸瘦,黄柏饮方
黄柏(去粗皮三两) 乌梅(二十一枚焙干)
上二味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓露一宿,平旦空心服。
治急劳,潮热盗汗,肌肉消瘦,葱白饮方
葱白(切) 薤白(切) 甘草(炙锉各七寸) 青蒿心(七枚切) 杏仁(去皮尖双
仁七粒)
上六味,用童子小便量多少浸之,每服一盏,空心温服。
治急劳发热羸瘦,颊赤口干,心神烦躁,胡黄连散方
胡黄连 黄连(去须) 龙胆(各二两) 桑螵蛸 知母 秦艽(去苗土) 柴胡 枳
壳(去
瓤) 人参 桔梗 射干 白术(各一两)
上一十二味,洗锉炒黄,捣罗为散,每服三钱匕,以葱薤白槐柳心乌梅肉,浸童子小便
调下,或只用槐枝小麦煎亦得,空心日午夜卧各一。
治急劳骨节手足烦热,身体酸疼,饮食不得,三安散方
柴胡(去苗) 秦艽(去苗土各二两) 甘草
上三味,捣罗为散,每服三钱匕,熟水调下,不拘时。
治急劳心膈烦满,骨节壮热,唇干心烦,小便赤色,头痛痰嗽,并热毒风攻注,犀角汤
方
犀角(镑) 防风(去叉) 柴胡(去苗) 知母(焙) 桔梗(炒) 人参 黄芩(去
黑心) 木
上一十三味,粗捣筛,每服五钱匕,水一盏半,入生姜一枣大切碎,煎至一盏,去滓空
心顿服,日晚再服。
治暴急劳疾,痰嗽喘满,黄 汤方
黄 (锉) 款冬花 贝母(去心焙一两半) 麻黄(去节) 柴胡(去苗) 甘草(炙
锉) 桂
(去粗皮) 麦门冬(去心焙) 人参 生干地黄(焙) 桑根白皮(锉) 紫菀(去苗土)
白茯
苓(去黑皮) 杏仁(去皮尖双仁炒各一两)
上一十四味,粗捣筛,每服五钱匕,水一盏半,入生姜七片,同煎至八分,去滓温服,
食后服。
治男子妇人暴急成劳,速服此,天灵盖饮方
天灵盖(酥炙黄) 柴胡(去苗) 鳖甲(醋炙去裙 ) 贝母(去心) 桑根白皮 知
母(炒
各一两) 桃枝柳枝(各一握) 青蒿(一握) 豉心(一合炒) 甘草(三分炙) 葱白 薤
白(
各七茎) 阿魏(半两研炒)
上一十四味,除阿魏外,锉如麻豆大,拌匀,每服五钱匕,童子小便一盏半,浸隔宿,
煎取六分,去滓空心顿服。
治暴急成劳,痰盛喘嗽,前胡饮方
前胡(去芦头) 人参 白茯苓(去黑皮) 桂(去粗皮) 柴胡(去苗) 桔梗(炒)
生干地
黄(焙) 黄芩(去黑心) 玄参 旋复花 甘草(炙锉各一两) 浓朴(去粗皮生姜汁炙
锉二两)
上一十五味,粗捣筛,每服四钱匕,水一盏半,入生姜七片,同煎至七分,去滓温服不
拘时。
治急热劳麻黄汤方
麻黄(去根节半斤) 甘草(锉) 杏仁(汤去皮尖双仁各一两) 蛤粉(一两半青色
者为上
如无青色者白亦得)
上四味,粗捣筛作二服,每服以水三盏,同于银石器内,煎熬成膏,绞汁一盏,临卧温
服,睡至二更汗出,次日无力可思饮食为效,亦治产后血风搐却腰脚者,或腰脚不疼,即不
疗。
治男子妇人急劳,咳嗽上气,饮食减少,痰涎壅盛,手足酸疼,唇口干燥,心虚惊悸,
气乏羸劣等,柴胡汤方
柴胡(去苗) 当归(切焙) 麦门冬(去心焙) 半夏(汤洗去滑焙各一两半) 人
参白茯
苓(去黑皮) 防风(去叉) 细辛(去苗叶) 浓朴(去粗皮生姜汁炙锉) 陈橘皮(去
白炒) 甘
草(炙锉) 杏仁(去皮尖双仁炒) 大腹(锉各一两) 黄 (锉二两)
上一十四味,粗捣筛,每服五钱匕,水一盏半,入生姜五片,同煎七分,去滓温服不拘
时。
治急劳,皂荚丸方
猪牙皂荚(去皮子一两) 虾蟆(一枚要青黄色胁畔有斑纹如金色者去肚肠阴干炙为末)
麝香(研一钱)
上三味,捣研为末拌匀,用大羊肠盛药末令尽,两头系定,于碗内用大麦麸衬,安饭甑
内,蒸一炊久,取出研细为丸,约分作二百余粒,每服一丸至二丸,空心熟水下,服讫、盖
衣被,良久泻出血,并汗出瘥,即去衣被将息,合此药时,不得令人见知。
论述说:急劳这种病,其症状与热劳相似,但发病更为急骤。这是由于先天禀赋不足,加上忧思导致气机郁结,营气和卫气都虚弱,心肺蕴积热邪,金(肺)火(心)相互刑克,脏腑之气相互传变克制,或者感受了外邪,所以出现烦躁、身体发热、两颊发红、心悸、头痛、盗汗、咳嗽、咽喉干燥、骨节酸痛等症状;时间久了则肌肤消瘦枯槁、咯出涎沫或带血,这些都是急劳的征候。
治疗急劳引起的四肢烦痛、手足心发热、怕冷、无法进食、口干心烦,使用退热汤方:
柴胡(去苗)、青蒿(干品)、甘草(炙后锉碎)、知母(焙干)、龙胆(去苗)、麦门冬(去心焙干),各一两。
以上六味药,粗捣筛过,每次服用五钱匕,用童子小便一盏半,葱白三寸,薤白三茎,桃枝心和柳枝心各五枚,一同浸泡过夜,清晨煎煮至一盏量,滤去药渣,空腹一次性服下,到了晚上再服一次。
治疗急劳引起的肌肉消瘦、壮热、心悸颤抖,使用鳖甲饮方:
鳖甲(去裙边,醋炙,半分)、豉(去皮,一分)、甘草(根据患者中指长度取用量)、青蒿(干品一握)、桃枝(原文此处似有缺漏,依上下文推测为桃枝或桃仁类,保留原意)。
以上六味药细切,每次服用五钱匕,用童子小便二盏,煎煮至一盏量,滤去药渣,空腹温服,避风以取汗。
治疗急劳引起的心肺积热、鼻口焦干、饮食无味、神志昏沉想睡觉、心胸胀满、双眼多涩、四肢无力、小腿酸痛、腰脚拘急,使用青蒿煎丸方:
青蒿、生地黄、薄荷(各取汁一升)、童子小便(二升半)、麝香(一分,研细)、鳖甲(去裙边,醋炙三两)、柴胡(去苗)、甘草(炙锉,各二两)、地骨皮(一两,以上四味为末)、桃仁(去皮尖,双仁者,研)。
以上十味药,取青蒿等药的汁液和童子小便,先煎煮至浓稠,加入其他捣碎的药末,用文武火熬制成可丸状,制成梧桐子大小的药丸。每次服用二十丸,用麦门冬汤送下,不限时间。
治疗急劳引起的烦躁壮热、四肢无力酸痛,使用青蒿饮方:
青蒿(干品三两)、地骨皮(一两)、嫩柳枝(一两半)、嫩桃枝(二两)、栀子仁、甘草(炙锉,各半两)。
以上六味药,锉如麻豆大小,每次服用三钱匕,用水一盏,乌梅一枚,同煎至八分,滤去药渣,饭后临睡前温服。
治疗急劳引起的形体瘦弱憔悴、傍晚即发寒热、惊悸不安、常感烦渴,使用猪肝丸方:
猪肝(二具,细切如柳叶状)、甘草(十五两,生捣成末)。
以上两味药,在铛中铺一层猪肝,再渗一层甘草末,以此类推直到用完。取童子小便五升,用文武火煮,待小便煮尽后,将药细细研磨,众人合力搓丸,如梧桐子大。每次服用二十丸,空腹米饮送下,逐渐增加至三十丸。
治疗急劳引起的发热、肌体羸瘦,使用天灵盖汤方:
天灵盖(酥炙黄)、柴胡(去苗)、鳖甲(去裙边,醋炙)、桑根白皮(细锉)、知母(切焙)、青蒿(干品,各一两)、甘草(炙锉)、阿魏(炒研,各二两)。
以上八味药,将前七味粗捣筛,与阿魏混合均匀。每次服用五钱匕,用童子小便一盏半,豉心四十粒,桃李心各七枚,葱白和薤白各二茎细切,一同浸泡过夜,清晨煎取一盏量,滤去药渣,空腹一次性服下,轻微腹泻为有效。
治疗急劳引起的寒热往来、定时发作的肌热、心烦不安,使用参连散方:
人参、胡黄连、黄连(去须,各半两)、丹砂(研)、雄黄(研,各一两)。
以上五味药,捣研成散剂。用猪胆一枚,取汁调和药粉,重新装入胆中,挂在通风处,一个月后取下,去掉胆皮,再次研至极细。每次服用一钱匕,用人参汤调下,不限时间。
治疗急劳引起的烦躁羸瘦、面色萎黄、头痛眼涩、多困少力,使用金花丸方:
黄芩(去黑心)、黄连(去须)、大黄(锉炒)。
以上三味药等分为末,炼蜜制成梧桐子大小的药丸。每次服用十五至二十丸,温水送下,不限时间。
治疗急劳引起的寒热进退、逐渐消瘦,使用黄柏饮方:
黄柏(去粗皮三两)、乌梅(二十一枚,焙干)。
以上两味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎煮至一盏量,滤去药渣,露天放置一夜,清晨空腹服用。
治疗急劳引起的潮热盗汗、肌肉消瘦,使用葱白饮方:
葱白(切)、薤白(切)、甘草(炙锉,各七寸)、青蒿心(七枚,切)、杏仁(去皮尖,双仁,七粒)。
以上六味药,用童子小便适量浸泡,每次服用一盏,空腹温服。
治疗急劳引起的发热羸瘦、两颊发红口干、心神烦躁,使用胡黄连散方:
胡黄连、黄连(去须)、龙胆(各二两)、桑螵蛸、知母、秦艽(去苗土)、柴胡、枳壳(去瓤)、人参、桔梗、射干、白术(各一两)。
以上十二味药,洗锉炒黄,捣罗成散剂。每次服用三钱匕,用葱、薤白、槐柳心、乌梅肉浸泡童子小便调下,或者只用槐枝和小麦煎汤调下也可,空腹、日中、午夜、卧时各服一次。
治疗急劳引起的骨节手足烦热、身体酸痛、无法进食,使用三安散方:
柴胡(去苗)、秦艽(去苗土,各二两)、甘草。
以上三味药,捣罗成散剂,每次服用三钱匕,用熟水调下,不限时间。
治疗急劳引起的心膈烦满、骨节壮热、唇干心烦、小便赤色、头痛痰嗽,以及热毒风攻注,使用犀角汤方:
犀角(镑片)、防风(去叉)、柴胡(去苗)、知母(焙)、桔梗(炒)、人参、黄芩(去黑心)、木...(原文此处似有缺漏,依常见配伍可能为木通或类似,保留原意)。
以上十三味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜一块枣大切碎,煎煮至一盏量,滤去药渣,空腹一次性服下,傍晚再服一次。
治疗暴发性急劳疾,痰嗽喘满,使用黄...汤方(原文方名残缺,据内容推测可能含黄芪等,保留原意):
黄...(锉)、款冬花、贝母(去心焙,一两半)、麻黄(去节)、柴胡(去苗)、甘草(炙锉)、桂...(去粗皮)、麦门冬(去心焙)、人参、生干地黄(焙)、桑根白皮(锉)、紫菀(去苗土)、白茯苓(去黑皮)、杏仁(去皮尖双仁炒,各一两)。
以上十四味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜七片,同煎至八分,滤去药渣温服,饭后服用。
治疗男子妇人暴急成劳,速服此方,使用天灵盖饮方:
天灵盖(酥炙黄)、柴胡(去苗)、鳖甲(醋炙去裙边)、贝母(去心)、桑根白皮、知母(炒,各一两)、桃枝柳枝(各一握)、青蒿(一握)、豉心(一合,炒)、甘草(三分,炙)、葱白、薤白(各七茎)、阿魏(半两,研炒)。
以上十四味药,除阿魏外,锉如麻豆大小,拌匀。每次服用五钱匕,用童子小便一盏半,浸泡过夜,煎取六分,滤去药渣,空腹一次性服下。
治疗暴急成劳,痰盛喘嗽,使用前胡饮方:
前胡(去芦头)、人参、白茯苓(去黑皮)、桂(去粗皮)、柴胡(去苗)、桔梗(炒)、生干地黄(焙)、黄芩(去黑心)、玄参、旋复花、甘草(炙锉,各一两)、浓朴(去粗皮,生姜汁炙锉,二两)。
以上十五味药,粗捣筛过,每次服用四钱匕,用水一盏半,加入生姜七片,同煎至七分,滤去药渣温服,不限时间。
治疗急热劳,使用麻黄汤方:
麻黄(去根节,半斤)、甘草(锉)、杏仁(汤去皮尖双仁,各一两)、蛤粉(一两半,青色者为上品,如无青色者白色亦可)。
以上四味药,粗捣筛作两次服用量。每次用水三盏,同在银石器内,煎熬成膏,绞取汁液一盏,临睡前温服,睡到二更天时出汗,次日感到无力且思食为有效。此方也治疗产后血风抽搐导致的腰脚疼痛,如果腰脚不疼,则不适用。
治疗男子妇人急劳,咳嗽上气、饮食减少、痰涎壅盛、手足酸痛、唇口干燥、心虚惊悸、气乏羸劣等症,使用柴胡汤方:
柴胡(去苗)、当归(切焙)、麦门冬(去心焙)、半夏(汤洗去滑焙,各一两半)、人参、白茯苓(去黑皮)、防风(去叉)、细辛(去苗叶)、浓朴(去粗皮,生姜汁炙锉)、陈橘皮(去白炒)、甘草(炙锉)、杏仁(去皮尖双仁炒)、大腹(锉,各一两)、黄...(锉,二两)。
以上十四味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜五片,同煎七分,滤去药渣温服,不限时间。
治疗急劳,使用皂荚丸方:
猪牙皂荚(去皮子,一两)、虾蟆(一枚,要青黄色胁畔有斑纹如金色者,去肚肠阴干炙为末)、麝香(研,一钱)。
以上三味药,捣研成末拌匀,用大羊肠盛装药末直至装满,两头系定,在碗内用大麦麸衬垫,放入饭甑内,蒸一顿饭的时间,取出研细制成药丸,约分作二百余粒。每次服用一至二丸,空腹熟水送下。服完后盖上衣被,很久之后泻出血并出汗即痊愈,然后去掉衣被静养。配制此药时,不得让人看见知晓。
Discussion states: The disease of Ji Lao (Acute Consumption) has symptoms similar to Re Lao (Heat Consumption), but the onset is more sudden. This is due to insufficient congenital endowment, combined with emotional worry and thinking leading to Qi stagnation, resulting in deficiency of both Ying (Nutritive Qi) and Wei (Defensive Qi). There is heat accumulation in the Heart and Lungs, where Metal (Lung) and Fire (Heart) mutually penalize each other, causing transmission and restriction among Zang organs, or it may be caused by external pathogenic factors. Consequently, symptoms such as irritability, body heat, flushed cheeks, palpitations, headache, night sweats, cough, dry throat, and soreness and pain in bone joints appear. Over time, the skin and muscles become emaciated and wasted, with expectoration of saliva or blood-streaked sputum; these are all signs of Ji Lao.
For treating Ji Lao characterized by vexing pain in the four limbs, heat in the palms and soles, aversion to cold, inability to eat, dry mouth, and mental restlessness, use the Tuire Tang (Fever-Reducing Decoction):
Chai Hu (Bupleuri Radix, remove seedlings), Qing Hao (Artemisiae Annuae Herba, dried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Zhi Mu (Anemarrhenae Rhizoma, baked), Long Dan (Gentianae Radix, remove seedlings), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), each 1 liang.
Crush and sieve the above six ingredients coarsely. For each dose, take 5 qian bi (approx. 5-10g depending on measure), soak in 1.5 zhan of urine from a young boy, 3 cun of scallion white (Cong Bai), 3 stems of shallot white (Xie Bai), and 5 pieces each of peach branch heart (Tao Xin) and willow branch heart (Liu Xin) overnight. Decoct in the morning until 1 zhan remains, strain, and take on an empty stomach in one dose. Take again at night.
For treating Ji Lao characterized by muscle emaciation, high fever, palpitations with trembling, use the Bie Jia Yin (Turtle Shell Drink):
Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried, 0.5 fen), Chi (Sojae Preparata, remove skin, 1 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, amount based on patient's middle finger length), Qing Hao (Artemisiae Annuae Herba, dried, one handful), Tao [branch/heart] (Peach part).
Finely cut the above six ingredients. For each dose, take 5 qian bi, decoct in 2 zhan of urine from a young boy until 1 zhan remains, strain, and take warm on an empty stomach. Avoid wind to induce sweating.
For treating Ji Lao characterized by heat accumulation in the Heart and Lungs, dry and scorched nose and mouth, loss of taste for food, drowsiness with mental confusion, chest and epigastric fullness, dry and gritty eyes, weakness in the four limbs, soreness and pain in the calves, and stiffness and cramping of the waist and legs, use the Qing Hao Jian Wan (Green Wormwood Decoction Pills):
Qing Hao (Artemisiae Annuae Herba), Sheng Di Huang (Rehmanniae Radix, fresh), Bo He (Menthae Haplocalycis Herba) [extract juice, 1 sheng each], Tong Zi Xiao Bian (Urine of a Young Boy, 2.5 sheng), She Xiang (Moschus, 1 fen, ground), Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried, 3 liang), Chai Hu (Bupleuri Radix, remove seedlings), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 2 liang each), Di Gu Pi (Lycii Cortex, 1 liang) [the above four made into powder], Tao Ren (Persicae Semen, remove skin and pointed ends, double-kernel ones, ground).
Take the juices of Qing Hao etc. and the urine, first decoct until thick. Add the powdered medicines, and simmer over moderate fire until pillable. Make pills the size of paulownia seeds. Take 20 pills per dose, washed down with Mai Men Dong Tang (Ophiopogon Decoction), at any time.
For treating Ji Lao characterized by irritability and high fever, weakness and soreness/pain in the four limbs, use the Qing Hao Yin (Green Wormwood Drink):
Qing Hao (Artemisiae Annuae Herba, dried, 3 liang), Di Gu Pi (Lycii Cortex, 1 liang), Nen Liu Zhi (Young Willow Branch, 1.5 liang), Nen Tao Zhi (Young Peach Branch, 2 liang), Zhi Zi Ren (Gardeniae Semen, processed), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 0.5 liang each).
Cut the above six ingredients like hemp seeds. For each dose, take 3 qian bi, add 1 zhan of water and 1 Wu Mei (Mume Fructus), decoct until 0.8 zhan remains, strain, and take warm after meals and before bed.
For treating Ji Lao characterized by emaciation and deterioration, alternating chills and fever starting in the evening, palpitations and unrest, and constant feeling of thirst, use the Zhu Gan Wan (Pig Liver Pills):
Zhu Gan (Porcine Liver, 2 pieces, finely cut like willow leaves), Gan Cao (Glycyrrhizae Radix et Rhizoma, 15 liang, raw and ground to powder).
Layer the pig liver and Gan Cao powder in a pan, alternating layers until finished. Add 5 sheng of urine from a young boy, cook over moderate fire until the urine is exhausted. Grind finely, and have multiple people roll into pills the size of paulownia seeds. Take 20 pills per dose, washed down with rice drink on an empty stomach, gradually increasing to 30 pills.
For treating Ji Lao characterized by fever and emaciation, use the Tian Ling Gai Tang (Human Skull Cap Decoction):
Tian Ling Gai (Cranii Humanum, fried in butter until yellow), Chai Hu (Bupleuri Radix, remove seedlings), Bie Jia (Testudinis Carapax et Plastrum, remove skirt, vinegar-fried), Sang Gen Bai Pi (Mori Cortex, finely cut), Zhi Mu (Anemarrhenae Rhizoma, sliced and baked), Qing Hao (Artemisiae Annuae Herba, dried, 1 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), A Wei (Ferulae Resina, stir-fried and ground, 2 liang).
Coarsely crush and sieve the first seven ingredients, mix evenly with A Wei. For each dose, take 5 qian bi, soak in 1.5 zhan of urine from a young boy, 40 Chi Xin (Hearts of Sojae Preparata), 7 pieces each of Tao Li Xin (Hearts of Peach and Plum branches), and 2 stems each of Cong Bai (Scallion White) and Xie Bai (Shallot White), finely cut. Soak overnight, decoct in the morning until 1 zhan remains, strain, and take on an empty stomach in one dose. Mild diarrhea indicates efficacy.
For treating Ji Lao characterized by alternating chills and fever, periodic muscle heat, and mental restlessness, use the Shen Lian San (Ginseng and Coptis Powder):
Ren Shen (Panacis Ginseng Radix), Hu Huang Lian (Picrorhizae Rhizoma), Huang Lian (Coptidis Rhizoma, remove stamens, 0.5 liang each), Dan Sha (Cinnabar, ground), Xiong Huang (Realgar, ground, 1 liang each).
Grind the above five ingredients into a powder. Use 1 pig gallbladder, extract the juice to mix with the medicine, put back into the gallbladder, hang in a ventilated place for one month. Remove, discard the gallbladder skin, and grind extremely fine. Take 1 qian bi per dose, mixed with Ren Shen Tang (Ginseng Decoction), at any time.
For treating Ji Lao characterized by irritability, emaciation, sallow complexion, headache, dry eyes, lethargy, and weakness, use the Jin Hua Wan (Golden Flower Pills):
Huang Qin (Scutellariae Radix, remove black heart), Huang Lian (Coptidis Rhizoma, remove stamens), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried).
Make equal parts into powder, refine with honey to make pills the size of paulownia seeds. Take 15-20 pills per dose, washed down with warm water, at any time.
For treating Ji Lao characterized by alternating chills and fever and gradual emaciation, use the Huang Bai Yin (Phellodendron Drink):
Huang Bai (Phellodendri Cortex, remove rough bark, 3 liang), Wu Mei (Mume Fructus, 21 pieces, baked dry).
Coarsely crush and sieve the above two ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water, decoct until 1 zhan remains, strain, and leave exposed overnight. Take on an empty stomach in the morning.
For treating Ji Lao characterized by tidal fever, night sweats, and muscle wasting, use the Cong Bai Yin (Scallion White Drink):
Cong Bai (Scallion White, cut), Xie Bai (Shallot White, cut), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 7 cun each), Qing Hao Xin (Hearts of Artemisiae Annuae Herba, 7 pieces, cut), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, 7 grains).
Soak the above six ingredients in an appropriate amount of urine from a young boy. For each dose, take 1 zhan, take warm on an empty stomach.
For treating Ji Lao characterized by fever, emaciation, flushed cheeks, dry mouth, and mental restlessness, use the Hu Huang Lian San (Picrorhiza Powder):
Hu Huang Lian (Picrorhizae Rhizoma), Huang Lian (Coptidis Rhizoma, remove stamens), Long Dan (Gentianae Radix, 2 liang each), Sang Piao Xiao (Mantis Ootheca), Zhi Mu (Anemarrhenae Rhizoma), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil), Chai Hu (Bupleuri Radix), Zhi Ke (Aurantii Fructus Immaturus, remove pith), Ren Shen (Panacis Ginseng Radix), Jie Geng (Platycodonis Radix), She Gan (Belamcandae Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang each).
Wash, cut, and stir-fry the above twelve ingredients to yellow, then grind into a powder. Take 3 qian bi per dose, mixed with Tong Zi Xiao Bian (urine of a young boy) soaked with Cong Bai, Xie Bai, Huai Liu Xin (Hearts of Locust and Willow branches), and Wu Mei Rou (flesh of Mume Fructus). Alternatively, decoct Huai Zhi (Locust Branch) and Xiao Mai (Triticum Semen) alone. Take once on an empty stomach, at noon, midnight, and before bed.
For treating Ji Lao characterized by vexing heat in bone joints and extremities, body soreness, and inability to eat, use the San An San (Three Peace Powders):
Chai Hu (Bupleuri Radix, remove seedlings), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil, 2 liang each), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Grind the above three ingredients into a powder. Take 3 qian bi per dose, mixed with boiled water, at any time.
For treating Ji Lao characterized by chest and diaphragm fullness and vexation, high fever in bone joints, dry lips, mental restlessness, red urine, headache, phlegm-cough, and invasion by heat-toxic wind, use the Xi Jiao Tang (Rhinoceros Horn Decoction):
Xi Jiao (Rhinocerotis Cornu, shaved), Fang Feng (Saposhnikoviae Radix, remove forked root), Chai Hu (Bupleuri Radix, remove seedlings), Zhi Mu (Anemarrhenae Rhizoma, baked), Jie Geng (Platycodonis Radix, stir-fried), Ren Shen (Panacis Ginseng Radix), Huang Qin (Scutellariae Radix, remove black heart), Mu [Tong] (Uncertain herb, likely Magnoliae Officinalis Cortex or similar contextually, text incomplete).
Coarsely crush and sieve the above thirteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 1 date-sized piece of shredded fresh ginger, decoct until 1 zhan remains, strain, and take on an empty stomach in one dose. Take again in the evening.
For treating acute severe Lao disease with phlegm-cough, wheezing, and fullness, use the Huang [Qi] Tang (Astragalus Decoction - name partially missing):
Huang [Qi] (Astragali Radix, cut), Kuan Dong Hua (Farfarae Flos), Bei Mu (Fritillariae Cirrhosae Bulbus, remove heart and bake, 1.5 liang), Ma Huang (Ephedrae Herba, remove joints), Chai Hu (Bupleuri Radix, remove seedlings), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed), Gui [Zhi] (Cinnamomi Ramulus, remove rough bark), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), Ren Shen (Panacis Ginseng Radix), Sheng Gan Di Huang (Rehmanniae Radix Praeparata, baked), Sang Gen Bai Pi (Mori Cortex, cut), Zi Wan (Adenophorae Radix, remove seedlings and soil), Bai Fu Ling (Poria, remove black skin), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, stir-fried, 1 liang each).
Coarsely crush and sieve the above fourteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 7 slices of fresh ginger, decoct until 0.8 zhan remains, strain, and take warm after meals.
For men and women suffering from acute rapid consumption, take this immediately: Tian Ling Gai Yin (Human Skull Cap Drink):
Tian Ling Gai (Cranii Humanum, fried in butter until yellow), Chai Hu (Bupleuri Radix, remove seedlings), Bie Jia (Testudinis Carapax et Plastrum, vinegar-fried, remove skirt), Bei Mu (Fritillariae Cirrhosae Bulbus, remove heart), Sang Gen Bai Pi (Mori Cortex), Zhi Mu (Anemarrhenae Rhizoma, stir-fried, 1 liang each), Tao Zhi Liu Zhi (Peach and Willow Branches, one handful each), Qing Hao (Artemisiae Annuae Herba, one handful), Chi Xin (Hearts of Sojae Preparata, 1 he, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen, honey-fried), Cong Bai (Scallion White), Xie Bai (Shallot White, 7 stems each), A Wei (Ferulae Resina, 0.5 liang, ground and stir-fried).
Except for A Wei, cut the above fourteen ingredients like hemp seeds and mix well. For each dose, take 5 qian bi, soak in 1.5 zhan of urine from a young boy overnight, decoct until 0.6 zhan remains, strain, and take on an empty stomach in one dose.
For acute rapid consumption with abundant phlegm and wheezing cough, use the Qian Hu Yin (Peucedani Radix Drink):
Qian Hu (Peucedani Radix, remove rhizome head), Ren Shen (Panacis Ginseng Radix), Bai Fu Ling (Poria, remove black skin), Gui [Zhi] (Cinnamomi Ramulus, remove rough bark), Chai Hu (Bupleuri Radix, remove seedlings), Jie Geng (Platycodonis Radix, stir-fried), Sheng Gan Di Huang (Rehmanniae Radix Praeparata, baked), Huang Qin (Scutellariae Radix, remove black heart), Xuan Shen (Scrophulariae Radix), Xuan Fu Hua (Inulae Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang each), Nong Po (Magnoliae Officinalis Cortex, remove rough bark, ginger-juice fried and cut, 2 liang).
Coarsely crush and sieve the above fifteen ingredients. For each dose, take 4 qian bi, add 1.5 zhan of water and 7 slices of fresh ginger, decoct until 0.7 zhan remains, strain, and take warm, at any time.
For acute Heat Lao, use the Ma Huang Tang (Ephedra Decoction):
Ma Huang (Ephedrae Herba, remove roots and joints, 0.5 jin), Gan Cao (Glycyrrhizae Radix et Rhizoma, cut), Xing Ren (Pruni Semen, blanched to remove skin and pointed ends, double-kernel, 1 liang each), Ha Fen (Calcium Carbonatum, 1.5 liang, green color is superior, white is acceptable if green is unavailable).
Coarsely crush and sieve the above four ingredients to make two doses. For each dose, add 3 zhan of water, decoct in a silver or ceramic vessel until it becomes a paste, squeeze out 1 zhan of juice, and take warm before bed. Sweating during the second watch of the night is expected; weakness and desire for food the next day indicate efficacy. This also treats postpartum blood-wind spasms causing leg and foot pain; if there is no pain in the legs and feet, do not treat.
For men and women with acute Lao, cough with upward rushing Qi, reduced appetite, abundant phlegm-saliva, soreness and pain in hands and feet, dry lips and mouth, heart-deficiency palpitations, and Qi deficiency with emaciation, use the Chai Hu Tang (Bupleurum Decoction):
Chai Hu (Bupleuri Radix, remove seedlings), Dang Gui (Angelicae Sinensis Radix, slice and bake), Mai Men Dong (Ophiopogonis Radix, remove heart and bake), Ban Xia (Pinelliae Rhizoma Praeparatum, blanched to remove slipperiness and bake, 1.5 liang each), Ren Shen (Panacis Ginseng Radix), Bai Fu Ling (Poria, remove black skin), Fang Feng (Saposhnikoviae Radix, remove forked root), Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves), Nong Po (Magnoliae Officinalis Cortex, remove rough bark, ginger-juice fried and cut), Chen Pi (Citri Reticulatae Pericarpium, remove white pith and stir-fry), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and cut), Xing Ren (Pruni Semen, remove skin and pointed ends, double-kernel, stir-fried), Da Fu (Arecae Semen, cut, 1 liang each), Huang [Qi] (Astragali Radix, cut, 2 liang).
Coarsely crush and sieve the above fourteen ingredients. For each dose, take 5 qian bi, add 1.5 zhan of water and 5 slices of fresh ginger, decoct until 0.7 zhan remains, strain, and take warm, at any time.
For treating acute Lao, use the Zao Jia Wan (Soap Pod Pill):
Zhu Ya Zao Jia (Gleditsiae Sinensis Fructus, remove skin and seeds, 1 liang), Xia Wa (Toad, one piece, must be green-yellow with golden spots on sides, remove guts, dry in shade and fry into powder), She Xiang (Moschus, 1 qian, ground).
Grind the above three ingredients into powder and mix well. Fill a large sheep intestine completely with the powder, tie both ends securely. Place in a bowl lined with barley bran, set in a steamer, and steam for the duration of one meal. Remove, grind finely, and make pills. Divide into over 200 pills. Take 1-2 pills per dose, washed down with boiled water on an empty stomach. After taking, cover with blankets. After a long time, bleeding and sweating will occur, indicating recovery. Then remove blankets and rest. When preparing this medicine, ensure no one sees it.