论曰虚劳骨蒸者，本热劳之气，染着气血，深连骨髓，侵伤五脏，久不已，各随其脏气
之虚熏蒸而成疾也，骨蒸者，本于肾，其证早凉晚热，烦躁寝不安，食无味，小便赤细，喘
无力，腰疼脚冷，手心常热，蒸盛之时，蒸过伤内变为疳，蚀入五脏，脉蒸者，本于心，其
证日增烦闷，掷手出足，渴欲饮水，唾白沫，睡语惊恐，脉数，蒸盛之时，亦变为疳，脐下
闷，或暴利不止，皮蒸者，本于肺，其证大喘，鼻干口燥，舌上白，小便如血，蒸盛之时，
胸满两胁下胀，大嗽背胛疼，卧不安，毒伤脏则唾血，肉蒸者，本于脾，其证体热如火，烦
躁无汗，心腹臌胀，食即欲呕，小便如血，大便秘涩，蒸盛之时，身肿目赤，卧不安，血蒸
者，肝气虚也，肝虚则血无所藏，血无所藏，血亦无所养，使营气涸竭，虚阳内蓄，其证外
寒内热，亦名内蒸，按之附骨，即内热甚，骨肉自消，食无味，皮燥不泽，蒸盛之时，目暗
善怒时惊，四肢渐细，足趺肿起，凡此五蒸，与热劳之病。大同小异，其治法有不同者，盖
蒸病内着骨髓，蒸发皮肤也，昔人论蒸，有二十三证。细而推之，脏腑之病，变态多端，
万病皆生于虚，不必拘之以二十三种，说何其太略也。
治骨蒸虚劳传尸，肺痿咳嗽不止，困重羸瘦，壮热或即憎寒，腹内冷胀，四肢烦疼，饮
食无味，头疼口干，涕唾稠粘，渴不止者，猪肚黄连丸方
猪肚（一具以童子小便煮令熟细切焙干捣为末） 知母（锉焙） 芜荑仁（炒各二两）
紫菀（去苗土） 大黄（锉微炒） 鳖甲（去裙 醋浸炙） 槟榔（煨） 苍术（米泔浸切
焙） 百部
苗） 黄连（去须）
上一十九味，捣罗为末，炼蜜为丸，如梧桐子大，每服空服温酒下二十丸。
治心中烦热，唯欲露体，复之即闷烦，惊悸心忪，面无颜色，忘前失后，妇人患血风气
者，多成此疾，乃心蒸之状，麦门冬汤方
麦门冬（去心焙） 茯神（去木） 防风（去叉） 地骨皮（去土各三两） 人参 龙
齿远志
上一十一味，各锉如麻豆大，每服三钱匕，以水一盏半，入枣两枚，煎取半盏，去滓温
服，服一剂，未全安再作之，以瘥为度，甚益心力，曾经吐血者，服之尤佳，若畏石药，不
用紫石英亦佳。
治五蒸，地骨皮汤方
地骨皮 白茯苓（去黑皮） 麦门冬（去心焙） 柴胡（去苗各一两半） 赤芍药 甘
草（炙
令赤各一两）
上六味，粗捣筛，每服五钱匕，用水一盏半，煎至一盏，去滓食后分温二服。
治五蒸，葛根汤方
葛根（炙黄锉三两） 石膏（研五两） 甘草（炙令赤一两） 知母（锉焙干） 黄芩
（去黑心）
粳米（一合）
上一十味，粗捣筛，每服五钱匕，以水一盏半，入竹叶五片，煎至一盏，去滓分温二服，
亦可以小麦半升，水三升，煮取汁煎药更佳。
治骨蒸身热，手足烦，心中躁，羸瘦渐渐不能食，龙胆丸方
龙胆（一两一分） 黄连（去须） 黄柏（去粗皮炙） 大黄（锉微炒） 赤芍药 人
参山
上九味，捣罗为末，炼蜜为丸，如梧桐子大，食后米饮下十五丸，日午再服。
治骨蒸热劳，肺痿咳嗽，传尸瘦病，盗汗痿弱，四肢酸疼，鬼气癖块，青蒿丸方
青蒿（童子小便浸七日曝干三两） 天门冬（去心焙） 柴胡（去苗） 地骨皮 白茯
苓（去
壳（去瓤麸炒
生别研如膏） 天灵
砂（三分研） 麝香（一分
上一十八味，捣罗为末，炼蜜为丸，如梧桐子大，每服空腹、温水下二十丸，日午再服
治心蒸苦心惊悚栗，男子因读书损心气，伤思虑，过损心吐血，心烦多忘，失精神，或
身体痒瘙风癣，或胸中气满，茯苓汤方
白茯苓（去黑皮） 麦门冬（去心焙） 款冬花 独活（去芦头） 槟榔（锉各六两） 桂
（去
骨皮（去土十两
上一十一味，锉如麻豆大，每服五钱匕，以水二盏，先煎山泽银，取水一盏半，入药并
生姜半分切，大枣三枚劈破，同煎取一盏，去滓温服，每早晨日晚各一。
治骨蒸热羸瘦，面目萎黄，呕逆上气，烦闷短气喘急，日晚便剧，不能饮食，龙胆散方
子（各
上一十味，捣研为散，每服二钱匕，米饮调下，日三。
治虚劳骨蒸身热，手中烦疼，心胸懊 ，羸困不能下食，龙胆丸方
龙胆（一两一分） 黄柏（浓者去粗皮） 黄芩（去黑心） 人参 栀子仁 黄连（去
须） 白
上八味，捣罗为末，炼蜜和为丸，如梧桐子大，粥饮下十五丸，空心夜卧各一，以知为
度。
治心蒸，心中烦躁，手足热疼，欲露其体，惊悸怵惕，咽干虚渴，面色萎黄，失前忘后，
妇人血气衰弱，多传此疾，麦门冬饮方
麦门冬（去心焙干二两） 白茯苓（去黑皮） 人参 龙齿 远志（去心焙各三两） 甘
草（
上九味，锉如麻豆大，每用五钱匕，以水二盏，入山泽银一分，枣二枚劈破，同煎取一
盏，去滓分温二服，若大患烦热渴躁者，入淡竹沥一合煎服，若曾经吐血亦治，余如上法，
一剂无不瘥。
治男子女人，骨蒸热劳，皮肉消瘦，面色萎黄，不思饮食，夜多咳嗽，涕唾稠粘。骨节
疼痛，憎寒壮热，心腹气胀，坐卧不安，发如疟状，女人血风劳，一切劳疾，鳖甲汤方。
鳖甲（去裙 醋炙令黄三两） 秦艽（去苗土二两） 紫菀（去土一两半） 柴胡（去
苗三两）
焙） 升麻 甘草（
白皮（锉） 大黄（炒） 黄连
（各一两）
上二十四味，粗捣筛，每服三钱匕，水一盏，枣一枚劈，乌梅一个，生姜三片，同煎三
五沸，去滓稍热服，不拘时。
治骨蒸热劳，秦艽汤方
秦艽（去苗土四两） 青蒿子（用童子小便浸一宿洗晒干焙） 知母（焙） 贝母（去
心） 常
山（洗焙） 甘草（盐水浸炙黄各二两） 鳖甲（去裙 醋浸炙） 枳壳（去瓤麸炒） 柴
胡（去苗）
右一十二味，粗捣筛，每服二钱匕，水一盏，入乌梅一个拍破，生姜三片，煎七分，去
滓热服，如浑身壮热，并吃二服。
治虚劳骨蒸肌瘦，盗汗潮热，咳嗽或即唾血，肢体倦怠，饮食不入，及室女劳热。经血
不行，时发潮躁虚渴，鳖甲汤方
鳖甲（九肋大者一枚醋浸一宿去裙 脊骨更蘸醋炙令赤用二两半） 人参 柴胡（去苗
各
壳（去瓤
归（切焙） 桔
菀（洗焙） 白术 桂（去
草（炙各半两） 京三棱（一两半
上三十味，捣为粗末，每服五钱匕，水二盏，入生姜半分切，枣三枚劈破，同煎至一盏，
去滓稍热服，空心临卧。
治童男室女，骨蒸热成劳，不思饮食，食即无味，身体苦疼，阳热转盛，面色多赤，青
蒿丸方
青蒿（锉四两） 甘草（锉一两） 桃仁 杏仁（各二两去皮尖双仁）
上四味，以童子小便五升，瓷瓶盛，入药于内，砖 其底，以糠头火烧一夜，取出桃
杏仁，别研如泥，别入
芍药 知母 天灵盖（炙） 车前子 紫菀（去土） 葳蕤 当归（切焙） 枳壳（去
瓤麸炒）
柴胡（去苗） 续
上二十二味，除前四味外，捣罗为末，和桃杏仁，同捣一二千下，旋入所煎小便。湿捣
一二千杵，如硬入熟蜜一两半更捣，众手为丸，梧桐子大，不计时候，每日熟水下三十丸，
咳嗽、加贝母半两，妇人月候不通，加牡丹延胡索，各一分，五心烦躁，加地骨皮茯苓，夜
梦不祥，加茯神羚羊角，初患未传诸脏，酒下四服即愈，腹中有块，及 癖恶寒头痛，面黄
色，毛发焦枯，服毕便愈。
治骨蒸唇红颊赤，气粗口干，遍身壮热，或多虚汗，大肠秘涩，小便赤黄，饮食全少，
鳖甲猪肚丸方
鳖甲（去裙 醋炙） 柴胡（去苗） 木香 青蒿 生干地黄（焙各一两） 黄连（去
须二两）
上七味，捣罗为末，用猪肚一枚，去脂膜净洗，入药末在内，系定蒸令烂熟，入臼杵千
百下为丸，如绿豆大，每服十五丸，温水下，食前日午临卧，日三。
治骨蒸热劳，柴胡汤方
柴胡（去苗一两） 胡黄连（半两） 紫菀（去土） 知母（各三分） 鳖甲（小者半
片小便浸
仁（去皮尖双
上一十味，粗捣筛，每服二钱匕，水一盏，入青蒿少许，同煎至七分，露天处安一夜，
平旦去滓，空腹温服之。
治骨蒸疠疾温疫，寒热疟病，五尸九注，心腹绞刺，蛊毒鬼魅，一切热毒香港脚，闷乱攻
冲，烦热口中生疮，狂易叫走，及解诸毒，兼金石草药热毒，发黄躁热疼痛，一切热病，紫
雪丸方
金（一十五两） 银（一十五两） 寒水石 石膏 磁石 滑石（各三斤）
上四石药，同捣碎后，以金银共六味一处，以水一石，煮取一斗，去金银并石滓，入后
药末。
木香（一两） 犀角（镑五两） 丁香（四两） 沉香（五两） 甘草（炙八两） 升
麻玄参（
上一十三味，除前六味外，用水三斗，煮取一斗，绞去滓净，与前药汁相和，即内芒硝
五升细研，入药汁，慢火同煎，手不住搅之，可有一斗余，即投于盆器内盛，欲凝内水飞丹
砂末三两，麝香末一两一分，同研如粉，面和匀盖复之，二日成霜雪矣，曝干以新合或瓶内
密封盛贮之，有病即取，强人服一钱匕，冷水和服，以意随人强弱增损之。香港脚病，或曾服
石药发动毒闷者，水和半钱匕服之如神，凡服讫，即仰卧，以物 腰令高，使药向胸腑间，
若患眼赤及热痛者，以冷水和之，点眼大小 ，初着微痛，少时泪出自定，日三五次用，夜
亦如之，即无不效，口内生热疮，含如杏核许，令消，细细咽之乃止。
治骨蒸肿气，每至日晚，即恶寒壮热，颊色赤，不下食，日渐瘦，香豉饮方
香豉（一分） 生地黄（一两） 葱白（三茎）
上三味细锉相和，以童子小便二盏半，浸一宿，平旦煎至八分，去滓分温二服，空腹
日午服。
治男子妇人，骨蒸劳气，肌体羸瘦，四肢无力，颊赤面黄，五心烦热，困倦心忪。或多
盗汗，腹胁有块，不欲饮食，鳖甲汤方
鳖甲（去裙 醋炙） 柴胡（去苗各三两） 桔梗（炒） 甘草（炙黄各一两半） 秦
艽（去苗
上六味，粗捣筛，每服三钱匕，水一盏，入乌梅一个拍破，同煎至六分，去滓食后温服
治男子女人，一切劳疾骨蒸风气等，随四时加减，青蒿丸，此药有七名，一名杏仁丸，
能治嗽，二名木香丸，能治尸注鬼气，九种心痛，三种虫咬心痛，三名犀角丸，能治时行热
疾温疫，四名龙脑丸，治小儿无辜疳痢，五名万病丸，治一切虚损，六名丹砂丸，治毒邪
癖气等，七名青蒿丸，治男子女人一切劳气，若常带行山林旷野坑阱冢墓前后，鬼神不敢近，
若被毒蛇恶物所伤，烂嚼一丸，敷之立效。
青蒿心（三枚细切） 童子小便（三大斗） 生地黄（三梃竹刀切捣） 东引桃枝（半
握细捣
上五味，以新瓮子一口，以小便浸一七日，和小便并前件药，煮三五百沸，漉出药晒干，
捣罗为末，然后将小便清，入釜中，以桑柴火炼之，以篦搅勿住手，炼三斗小便至三升，用
不津器盛，将和后药。
杏仁 桃仁（并去双仁及皮尖炒令黄） 桔梗（炒） 葳蕤 枳壳（麸炒去瓤） 大黄
（焙）
以虎骨代） 甘
粗皮） 陈橘皮（去白焙）
茱萸（汤浸炒） 丹砂（别研） 麝
羚羊角（屑二两一分）
上二十七味，捣罗为细末，用前小便煎，都和了，入臼捣五百下，如未粘，可入炼蜜，
搜和为丸，如梧桐子大，每食后温水下三十丸，疾重日再服，通三焦，安五脏，四时常服，
永无虚劳之疾，时行瘴疟，常不能害，上气咳嗽，无问涕唾，并干嗽，嗽后有血，此名肺热，
热毒瓦斯壅，转成鼻塞声破，胸中结痛，若不速除，当成肺痿劳瘦，服此药五两，其疾乃平，
手足热如火，口生疮舌烂，夜梦惊恐口中 齿牙痛咽痹，服五两。 子根本从大肠出，如朽
筋烂肉，又如虾蟆衣，樱桃结，异腥臭者，若瘰 当发，不治根本，必攻五脏，状如藤萝绕
木，荣枯不相舍，令项颈破损必死，服此五两当效，若患时气头痛欲死，身热大小便秘涩，
复不识人，不下食，新汲水下五十丸即瘥，丈夫妇人曾服热药过度，近虽药尽，气力犹有，
往往发来冲人头面，致眼痛昏热，心胃躁烦，口臭生疮，温水下三丸，不过一二两，婴孩无
辜病，与大人劳并同，为在胎中伤精血，致令唇口焦干，或泻或痢，腹中渐结，眼中生膜，
服之可愈，若孩子渐大，准大人例服之。女人月经不匀，或前或后，多少不定，青黑杂色，
或凝或散，渐成劳瘦，服一二两当愈。
春加
龙胆 龙骨 柴胡（去苗） 黄连（去须略炒各一分）
夏加
知母 石菖蒲 麦门冬（去心） 白茯苓（去黑皮各一两）
秋加
诃黎勒（皮） 秦艽 旋复花（各一两）
冬加
紫菀（去土） 芍药 五味子 黄芩（去黑心各一两）
治骨蒸热病，诸劳瘴毒，多痰气促，头痛口干，目涩少食，渐渐羸劣，龙胆丸方
【论述】所谓虚劳骨蒸，其根源在于热劳之气，附着于气血之中，深入骨髓，侵扰损伤五脏。若久治不愈，便会随着各脏腑之气的虚弱而熏蒸形成疾病。
骨蒸，病本在肾。症状表现为早晨凉爽、傍晚发热，烦躁不安、睡眠不宁，饮食无味，小便短赤，气喘无力，腰痛脚冷，手心常热。在蒸热严重时，内伤转为疳积，侵蚀五脏。
脉蒸，病本在心。症状表现为每日加重烦闷，手足躁动，口渴想喝水，唾吐白沫，睡中说梦话且惊恐，脉搏数疾。在蒸热严重时，也转变为疳积，脐下胀闷，或暴泻不止。
皮蒸，病本在肺。症状表现为严重气喘，鼻干口燥，舌苔发白，小便如血。在蒸热严重时，胸满两胁下胀，剧烈咳嗽伴肩背疼痛，卧不安稳。毒邪损伤脏腑则唾血。
肉蒸，病本在脾。症状表现为身体热如火烧，烦躁无汗，心腹胀满，进食即欲呕吐，小便如血，大便秘结涩滞。在蒸热严重时，身体浮肿，眼睛发红，卧不安稳。
血蒸，是肝气虚弱所致。肝虚则血液无所藏，血液无所藏则无所养，导致营气枯竭，虚阳内蓄。症状表现为外寒内热，也称为内蒸。按压至骨骼处，感觉内部热势更甚，骨肉消瘦，饮食无味，皮肤干燥无光泽。在蒸热严重时，视力昏暗，易怒且时常惊恐，四肢逐渐变细，足背肿胀。
以上五种蒸病，与热劳之病大同小异，但治疗方法有所不同。因为蒸病内着骨髓，外发皮肤。古人论述蒸病有二十三证。仔细推究，脏腑病变变化多端，万病皆生于虚，不必拘泥于二十三种说法，这种说法何其简略啊。
治疗骨蒸虚劳、传尸（指具有传染性的慢性消耗性疾病）、肺痿、咳嗽不止、困重羸瘦、壮热或突然恶寒、腹内冷胀、四肢烦疼、饮食无味、头疼口干、涕唾稠粘、渴不止者，用猪肚黄连丸方。
猪肚（一个，用童子小便煮至熟透，细切后焙干，捣成末） 知母（锉碎焙干） 芜荑仁（炒，各二两） 紫菀（去苗土） 大黄（锉碎微炒） 鳖甲（去裙边，醋浸后炙） 槟榔（煨） 苍术（米泔水浸泡后切焙） 百部（去苗） 黄连（去须）。
以上十九味药，捣罗成末，炼蜜为丸，如梧桐子大小。每次空腹时，用温酒送服二十丸。
治疗心中烦热，只想裸露身体，盖上衣服就感到闷烦，惊悸心慌，面色无华，忘前失后，妇人患血风证的多会形成此疾，这是心蒸的表现，用麦门冬汤方。
麦门冬（去心焙干） 茯神（去木心） 防风（去叉枝） 地骨皮（去土，各三两） 人参 龙齿 远志。
以上十一味药，各锉如麻豆大小。每次服用三钱匕，用水一盏半，加入大枣两枚，煎取半盏，去渣温服。服一剂后，若未完全安宁，再制作服用，以痊愈为度。此方极益心力，曾经吐血者，服用效果更佳。如果畏惧金石类药物，不用紫石英也很好。
地骨皮 白茯苓（去黑皮） 麦门冬（去心焙干） 柴胡（去苗，各一两半） 赤芍药 甘草（炙至赤色，各一两）。
以上六味药，粗捣筛过。每次服用五钱匕，用水一盏半，煎至一盏，去渣，饭后分两次温服。
葛根（炙黄锉碎，三两） 石膏（研细，五两） 甘草（炙至赤色，一两） 知母（锉碎焙干） 黄芩（去黑心） 粳米（一合）。
以上十味药，粗捣筛过。每次服用五钱匕，用水一盏半，加入竹叶五片，煎至一盏，去渣分两次温服。也可以用小麦半升，水三升，煮取汁液来煎药，效果更好。
治疗骨蒸身热、手足烦热、心中烦躁、羸瘦渐渐不能进食，用龙胆丸方。
龙胆（一两一分） 黄连（去须） 黄柏（去粗皮炙） 大黄（锉碎微炒） 赤芍药 人参。
以上九味药，捣罗成末，炼蜜为丸，如梧桐子大小。饭后用米饮送服十五丸，日中时再服一次。
治疗骨蒸热劳、肺痿咳嗽、传尸瘦病、盗汗痿弱、四肢酸疼、鬼气癖块，用青蒿丸方。
青蒿（用童子小便浸泡七日，晒干，三两） 天门冬（去心焙干） 柴胡（去苗） 地骨皮 白茯苓（去壳） 桂（去粗皮麸炒） 生别研如膏） 天灵盖（三分研） 麝香（一分）。
以上十八味药，捣罗成末，炼蜜为丸，如梧桐子大小。每次空腹时，用温水送服二十丸，日中时再服一次。
治疗心蒸、苦心惊悚栗，男子因读书损伤心气，思虑过度，严重损伤心脏导致吐血，心烦多忘，丧失精神，或身体瘙痒风癣，或胸中气满，用茯苓汤方。
白茯苓（去黑皮） 麦门冬（去心焙干） 款冬花 独活（去芦头） 槟榔（锉碎，各六两） 桂（去粗皮） 地骨皮（去土，十两）。
以上十一味药，锉如麻豆大小。每次服用五钱匕，用水二盏，先煎山泽银，取水一盏半，加入药物并生姜半分切，大枣三枚劈破，同煎取一盏，去渣温服。每早晨和晚上各服一次。
治疗骨蒸热、羸瘦、面目萎黄、呕逆上气、烦闷短气喘急、日晚病情加重、不能饮食，用龙胆散方。
[原文此处药材名缺失或排版错误，仅保留“上一十味...”]
以上十味药，捣研为散剂。每次服用二钱匕，用米饮调下，每日三次。
治疗虚劳骨蒸身热、手中烦疼、心胸懊恼、羸困不能进食，用龙胆丸方。
龙胆（一两一分） 黄柏（浓者去粗皮） 黄芩（去黑心） 人参 栀子仁 黄连（去须） 白[芍药?]。
以上八味药，捣罗成末，炼蜜和为丸，如梧桐子大小。粥饮送服十五丸，空腹及睡前各服一次，以见效为度。
治疗心蒸，心中烦躁、手足热疼、想裸露身体、惊悸怵惕、咽干虚渴、面色萎黄、忘前失后，妇人血气衰弱多传此疾，用麦门冬饮方。
麦门冬（去心焙干，二两） 白茯苓（去黑皮） 人参 龙齿 远志（去心焙，各三两） 甘草[炙?]。
以上九味药，锉如麻豆大小。每次用五钱匕，用水二盏，加入山泽银一分，枣二枚劈破，同煎取一盏，去渣分两次温服。若大患烦热渴躁者，加入淡竹沥一合煎服。若曾经吐血也适用，其余同上法，一剂没有不痊愈的。
治疗男子女人，骨蒸热劳、皮肉消瘦、面色萎黄、不思饮食、夜多咳嗽、涕唾稠粘、骨节疼痛、憎寒壮热、心腹气胀、坐卧不安、发作如疟状，女人血风劳，一切劳疾，用鳖甲汤方。
鳖甲（去裙边，醋炙至黄，三两） 秦艽（去苗土，二两） 紫菀（去土，一两半） 柴胡（去苗，三两） [其他药材缺失或排版混乱] 焙） 升麻 甘草[炙?] 白皮（锉） 大黄（炒） 黄连（各一两）。
以上二十四味药，粗捣筛过。每次服用三钱匕，水一盏，枣一枚劈开，乌梅一个，生姜三片，同煎三五沸，去渣稍热服，不拘时候。
秦艽（去苗土，四两） 青蒿子（用童子小便浸泡一夜，洗晒干焙） 知母（焙） 贝母（去心） 常山（洗焙） 甘草（盐水浸炙黄，各二两） 鳖甲（去裙边，醋浸炙） 枳壳（去瓤麸炒） 柴胡（去苗）。
右十二味药，粗捣筛过。每次服用二钱匕，水一盏，加入乌梅一个拍破，生姜三片，煎至七分，去渣热服。如浑身壮热，并吃二服。
治疗虚劳骨蒸肌瘦、盗汗潮热、咳嗽或即唾血、肢体倦怠、饮食不入，及室女劳热、经血不行、时发潮躁虚渴，用鳖甲汤方。
鳖甲（九肋大者一枚，醋浸一夜去裙边，脊骨更蘸醋炙令赤，用二两半） 人参 柴胡（去苗，各[量缺]） 枳壳（去瓤） 当归（切焙） 桔梗 紫菀（洗焙） 白术 桂（去粗皮） 甘草（炙，各半两） 京三棱（一两半）。
以上三十味药，捣为粗末。每次服用五钱匕，水二盏，加入生姜半分切，枣三枚劈破，同煎至一盏，去渣稍热服，空腹及临睡前服。
治疗童男室女，骨蒸热成劳、不思饮食、食即无味、身体苦疼、阳热转盛、面色多赤，用青蒿丸方。
青蒿（锉碎，四两） 甘草（锉碎，一两） 桃仁 杏仁（各二两，去皮尖双仁）。
以上四味药，用童子小便五升，瓷瓶盛装，将药放入其中，砖垫其底，以糠头火烧一夜，取出桃仁、杏仁，另研如泥，另入[其他药材] 芍药 知母 天灵盖（炙） 车前子 紫菀（去土） 葳蕤 当归（切焙） 枳壳（去瓤麸炒） 柴胡（去苗） 续[断?]。
以上二十二味药，除前四味外，捣罗成末，和桃仁、杏仁，同捣一二千下，旋入所煎小便。湿捣一二千杵，如硬入熟蜜一两半更捣，众手为丸，梧桐子大小，不计时候，每日用熟水送下三十丸。咳嗽，加贝母半两；妇人月候不通，加牡丹、延胡索，各一分；五心烦躁，加地骨皮、茯苓；夜梦不祥，加茯神、羚羊角。初患未传诸脏，酒下四服即愈。腹中有块，及癖恶寒头痛，面黄色，毛发焦枯，服毕便愈。
治疗骨蒸唇红颊赤、气粗口干、遍身壮热、或多虚汗、大肠秘涩、小便赤黄、饮食全少，用鳖甲猪肚丸方。
鳖甲（去裙边，醋炙） 柴胡（去苗） 木香 青蒿 生干地黄（焙，各一两） 黄连（去须，二两）。
以上七味药，捣罗成末。用猪肚一个，去脂膜净洗，将药末装入在内，系定蒸令烂熟，入臼杵千百下为丸，如绿豆大小。每次服用十五丸，温水送下，食前、日午、临卧，每日三次。
柴胡（去苗，一两） 胡黄连（半两） 紫菀（去土） 知母（各三分） 鳖甲（小者半片，小便浸） 仁（去皮尖双[仁?]）。
以上十味药，粗捣筛过。每次服用二钱匕，水一盏，加入青蒿少许，同煎至七分，露天处安一夜，平旦去渣，空腹温服之。
治疗骨蒸疠疾温疫、寒热疟病、五尸九注、心腹绞刺、蛊毒鬼魅、一切热毒香港脚、闷乱攻冲、烦热口中生疮、狂易叫走，及解诸毒，兼金石草药热毒、发黄躁热疼痛、一切热病，用紫雪丸方。
金（一十五两） 银（一十五两） 寒水石 石膏 磁石 滑石（各三斤）。
以上四石药，同捣碎后，以金银共六味一处，以水一石，煮取一斗，去金银并石滓，入后药末。
木香（一两） 犀角（镑，五两） 丁香（四两） 沉香（五两） 甘草（炙，八两） 升麻 玄参（[量缺]）。
以上十三味药，除前六味外，用水三斗，煮取一斗，绞去渣净，与前药汁相和，即内芒硝五升细研，入药汁，慢火同煎，手不住搅之，可有一斗余，即投于盆器内盛。欲凝内水飞丹砂末三两，麝香末一两一分，同研如粉，面和匀盖复之，二日成霜雪矣。曝干以新合或瓶内密封盛贮之，有病即取。强人服一钱匕，冷水和服，以意随人强弱增损之。香港脚病，或曾服石药发动毒闷者，水和半钱匕服之如神。凡服讫，即仰卧，以物垫腰令高，使药向胸腑间。若患眼赤及热痛者，以冷水和之，点眼大小眦，初着微痛，少时泪出自定，日三五次用，夜亦如之，即无不效。口内生热疮，含如杏核许，令消，细细咽之乃止。
治疗骨蒸肿气，每至日晚，即恶寒壮热、颊色赤、不下食、日渐瘦，用香豉饮方。
以上三味药细锉相和，以童子小便二盏半，浸一夜，平旦煎至八分，去渣分两次温服，空腹、日午服。
治疗男子妇人，骨蒸劳气、肌体羸瘦、四肢无力、颊赤面黄、五心烦热、困倦心忪、或多盗汗、腹胁有块、不欲饮食，用鳖甲汤方。
鳖甲（去裙边，醋炙） 柴胡（去苗，各三两） 桔梗（炒） 甘草（炙黄，各一两半） 秦艽（去苗[量缺]）。
以上六味药，粗捣筛过。每次服用三钱匕，水一盏，加入乌梅一个拍破，同煎至六分，去渣食后温服。
治疗男子女人，一切劳疾骨蒸风气等，随四时加减，青蒿丸。此药有七名：一名杏仁丸，能治嗽；二名木香丸，能治尸注鬼气，九种心痛，三种虫咬心痛；三名犀角丸，能治时行热疾温疫；四名龙脑丸，治小儿无辜疳痢；五名万病丸，治一切虚损；六名丹砂丸，治毒邪癖气等；七名青蒿丸，治男子女人一切劳气。若常带行山林旷野坑阱冢墓前后，鬼神不敢近。若被毒蛇恶物所伤，烂嚼一丸，敷之立效。
青蒿心（三枚细切） 童子小便（三大斗） 生地黄（三梃竹刀切捣） 东引桃枝（半握细捣[?]）。
以上五味药，以新瓮子一口，以小便浸一七日，和小便并前件药，煮三五百沸，漉出药晒干，捣罗成末。然后将小便清，入釜中，以桑柴火炼之，以篦搅勿住手，炼三斗小便至三升，用不津器盛，将和后药。
杏仁 桃仁（并去双仁及皮尖炒令黄） 桔梗（炒） 葳蕤 枳壳（麸炒去瓤） 大黄（焙[?]） [虎骨代?] 甘[草?] 粗皮） 陈橘皮（去白焙） 茱萸（汤浸炒） 丹砂（别研） 麝[香?] 羚羊角（屑，二两一分）。
以上二十七味药，捣罗为细末，用前小便煎，都和了，入臼捣五百下，如未粘，可入炼蜜，搜和为丸，如梧桐子大。每食后温水下三十丸，疾重日再服。通三焦，安五脏，四时常服，永无虚劳之疾，时行瘴疟，常不能害。上气咳嗽，无问涕唾，并干嗽，嗽后有血，此名肺热，热毒瓦斯壅，转成鼻塞声破，胸中结痛，若不速除，当成肺痿劳瘦，服此药五两，其疾乃平。手足热如火，口生疮舌烂，夜梦惊恐口中[?]齿牙痛咽痹，服五两。子根本从大肠出，如朽筋烂肉，又如虾蟆衣，樱桃结，异腥臭者，若瘰[疬?]当发，不治根本，必攻五脏，状如藤萝绕木，荣枯不相舍，令项颈破损必死，服此五两当效。若患时气头痛欲死，身热大小便秘涩，复不识人，不下食，新汲水下五十丸即瘥。丈夫妇人曾服热药过度，近虽药尽，气力犹有，往往发来冲人头面，致眼痛昏热，心胃躁烦，口臭生疮，温水下三丸，不过一二两。婴孩无辜病，与大人劳并同，为在胎中伤精血，致令唇口焦干，或泻或痢，腹中渐结，眼中生膜，服之可愈。若孩子渐大，准大人例服之。女人月经不匀，或前或后，多少不定，青黑杂色，或凝或散，渐成劳瘦，服一二两当愈。
[Dissertation] The so-called "Xu Lao Gu Zheng" (Bone-steaming due to Deficiency and Emaciation) originates from the pathogenic qi of Heat-Lao (Chronic Febrile Disease with Emaciation), which adheres to the Qi and Blood, penetrates deeply into the Marrow, and invades and damages the Zang-Fu organs. If left untreated for a long time, it steams and boils according to the deficiency of each organ's Qi, forming the disease.
Gu Zheng (Bone-steaming) originates in the Kidney. Its symptoms include feeling cool in the morning and feverish in the evening, irritability, restless sleep, loss of taste, scanty dark urine, weak panting, lower back pain, cold feet, and constant heat in the palms. During severe steaming episodes, internal injury transforms into Gan accumulation (Pediatric malnutrition syndrome), eroding the five Zang organs.
Mai Zheng (Pulse-steaming) originates in the Heart. Symptoms include daily worsening of irritability and oppression, tossing hands and feet, thirst with desire to drink, spitting white foam, talking in sleep with fear and panic, and a rapid pulse. During severe steaming, it also transforms into Gan accumulation, with oppression below the umbilicus or violent, unceasing diarrhea.
Pi Zheng (Skin-steaming) originates in the Lung. Symptoms include severe panting, dry nose and mouth, white coating on the tongue, and blood-like urine. During severe steaming, there is chest fullness and distension under both hypochondria, severe cough with back and shoulder blade pain, and restless lying. Toxic damage to the organs causes hemoptysis.
Rou Zheng (Flesh-steaming) originates in the Spleen. Symptoms include body heat like fire, irritability without sweat, abdominal distension, nausea after eating, blood-like urine, and constipation with difficulty. During severe steaming, the body swells, eyes become red, and lying is restless.
Xue Zheng (Blood-steaming) is caused by Liver Qi deficiency. When the Liver is deficient, Blood has nowhere to store; when Blood has nowhere to store, it has nowhere to nourish. This leads to the exhaustion of Ying Qi (Nutritive Qi) and the internal accumulation of Deficient Yang. Symptoms include exterior cold and interior heat, also known as Nei Zheng (Internal steaming). Pressing to the bone reveals intense internal heat, emaciation of flesh and bone, loss of taste, and dry, lusterless skin. During severe steaming, vision dims, anger arises easily with frequent fright, limbs gradually thin, and the dorsum of the foot swells.
These five types of Zheng diseases are largely similar to but differ slightly in treatment from Heat-Lao. This is because Zheng diseases attach internally to the marrow and manifest externally on the skin. Ancients discussed twenty-three types of Zheng. Upon careful deduction, organ diseases have myriad variations. All diseases arise from deficiency; one should not rigidly adhere to twenty-three types. Such an explanation is too brief.
For Gu Zheng Xu Lao, Chuan Shi (Infectious consumption), Fei Wei (Lung atrophy), incessant cough, heaviness and emaciation, high fever or sudden aversion to cold, cold abdominal distension, painful limbs, loss of appetite, headache, dry mouth, thick sticky sputum and nasal discharge, and unquenchable thirst, use Zhu Du Huang Lian Wan (Pig Stomach and Coptis Pill).
Zhu Du (One pig stomach, boiled in child's urine until cooked, finely cut, dried, and powdered) Zhi Mu (Crushed and dried) Wuyi Ren (Stir-fried, two liang each) Zi Wan (Remove seedlings and soil) Da Huang (Crushed and lightly stir-fried) Bie Jia (Remove skirt edge, soaked in vinegar and roasted) Bing Lang (Roasted) Cang Zhu (Soaked in rice wash water, cut and dried) Bai Bu (Remove seedlings) Huang Lian (Remove whiskers).
The above nineteen ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take twenty pills per dose with warm wine on an empty stomach.
For heart heat causing irritability, desire to expose the body, oppression and irritability upon covering, palpitations, pale complexion, memory loss, and women suffering from Xue Feng (Blood wind) often developing this condition, indicating Xin Zheng (Heart steaming), use Mai Men Dong Tang (Ophiopogon Decoction).
Mai Men Dong (Remove heart and dry) Fu Shen (Remove wood core) Fang Feng (Remove forked branches) Di Gu Pi (Remove soil, three liang each) Ren Shen Long Chi Yuan Zhi.
The above eleven ingredients are crushed to the size of hemp seeds. Take three qian bi per dose with one and a half sheng of water and two dates. Decoct to half a sheng, strain, and take warm. After one dose, if not fully relieved, prepare another. Continue until cured. This formula greatly benefits heart power and is especially good for those who have previously vomited blood. If one fears mineral drugs, omitting Zi Shi Ying (Purple Quartz) is also fine.
For treating the Five Zhengs, use Di Gu Pi Tang (Cortex Lycii Decoction).
Di Gu Pi Bai Fu Ling (Remove black skin) Mai Men Dong (Remove heart and dry) Chai Hu (Remove seedlings, one and a half liang each) Chi Shao Yao Gan Cao (Roasted until red, one liang each).
The above six ingredients are coarsely crushed and sieved. Take five qian bi per dose with one and a half sheng of water. Decoct to one sheng, strain, and take warm in two divided doses after meals.
For treating the Five Zhengs, use Ge Gen Tang (Kudzu Root Decoction).
Ge Gen (Roasted yellow and crushed, three liang) Shi Gao (Ground, five liang) Gan Cao (Roasted until red, one liang) Zhi Mu (Crushed and dried) Huang Qin (Remove black heart) Jing Mi (One he).
The above ten ingredients are coarsely crushed and sieved. Take five qian bi per dose with one and a half sheng of water and five bamboo leaves. Decoct to one sheng, strain, and take warm in two divided doses. Using juice from boiling half a sheng of wheat in three sheng of water to decoct the herbs is even better.
For Gu Zheng with body heat, vexatious heat in hands and feet, mental restlessness, progressive emaciation and inability to eat, use Long Dan Wan (Gentian Pill).
Long Dan (One liang and one fen) Huang Lian (Remove whiskers) Huang Bo (Remove rough bark and roast) Da Huang (Crushed and lightly stir-fried) Chi Shao Yao Ren Shen.
The above nine ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take fifteen pills with grain drink after meals, and again at noon.
For Gu Zheng Re Lao, Fei Wei, cough, Chuan Shi emaciation, night sweats, weakness, sore limbs, Gui Qi (Ghost energy) and Pi Ku (Masses), use Qing Hao Wan (Artemisia Annua Pill).
Qing Hao (Soaked in child's urine for seven days, sun-dried, three liang) Tian Men Dong (Remove heart and dry) Chai Hu (Remove seedlings) Di Gu Pi Bai Fu Ling (Remove shell) Gui (Remove rough bark and stir-fry with bran) Sheng [Bie Jia?] Tian Ling Gai (Three fen, ground) She Xiang (One fen).
The above eighteen ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take twenty pills on an empty stomach with warm water, and again at noon.
For Xin Zheng causing distress, fear, and trembling, men damaging Heart Qi through reading and excessive thought, severe damage leading to hematemesis, mental restlessness, forgetfulness, loss of spirit, body itching with wind plaques, or chest Qi fullness, use Fu Ling Tang (Poria Decoction).
Bai Fu Ling (Remove black skin) Mai Men Dong (Remove heart and dry) Kuan Dong Hua Du Huo (Remove rhizome head) Bing Lang (Crushed, six liang each) Gui (Remove rough bark) Di Gu Pi (Remove soil, ten liang).
The above eleven ingredients are crushed to the size of hemp seeds. Take five qian bi per dose with two sheng of water. First decoct Shan Ze Yin, take one and a half sheng of liquid. Add herbs, half a slice of ginger, and three cracked dates. Decoct to one sheng, strain, and take warm. Once in the morning and once at night.
For Gu Zheng heat, emaciation, sallow complexion, vomiting and rebellious Qi, oppression, shortness of breath, worsening in the evening, and inability to eat, use Long Dan San (Gentian Powder).
[Ingredients missing in source text]
The above ten ingredients are crushed and ground into powder. Take two qian bi per dose with grain drink, three times daily.
For Xu Lao Gu Zheng with body heat, vexatious pain in hands, mental anguish, emaciation and inability to eat, use Long Dan Wan (Gentian Pill).
Long Dan (One liang and one fen) Huang Bo (Remove rough bark from thick pieces) Huang Qin (Remove black heart) Ren Shen Zhi Zi Ren Huang Lian (Remove whiskers) Bai [Shao Yao?].
The above eight ingredients are crushed and sifted into powder, mixed with refined honey to form pills the size of Sophora seeds. Take fifteen pills with porridge drink, once on an empty stomach and once before bed, until effective.
For Xin Zheng with heart irritability, hot painful hands and feet, desire to expose the body, palpitations, fear, dry throat with false thirst, sallow complexion, memory loss, and women with weak Qi and Blood often transmitting this disease, use Mai Men Dong Yin (Ophiopogon Drink).
Mai Men Dong (Remove heart and dry, two liang) Bai Fu Ling (Remove black skin) Ren Shen Long Chi Yuan Zhi (Remove heart and dry, three liang each) Gan Cao [Roasted?].
The above nine ingredients are crushed to the size of hemp seeds. Use five qian bi per dose with two sheng of water and one fen of Shan Ze Yin. Add two cracked dates. Decoct to one sheng, strain, and take warm in two divided doses. For severe heat, irritability, and thirst, add one he of Dan Zhu Li (Bamboo sap) and decoct. Also treats previous hematemesis. Follow other methods above. One dose will surely cure.
For men and women with Gu Zheng Re Lao, emaciated skin and flesh, sallow complexion, loss of appetite, nighttime cough, thick sticky sputum, joint pain, aversion to cold with high fever, abdominal Qi distension, restlessness, malaria-like attacks, women's Xue Feng Lao, and all Lao diseases, use Bie Jia Tang (Softshell Turtle Decoction).
Bie Jia (Remove skirt edge, vinegar-roasted until yellow, three liang) Qin Jiao (Remove seedlings and soil, two liang) Zi Wan (Remove soil, one and a half liang) Chai Hu (Remove seedlings, three liang) [Missing ingredients] Roast) Sheng Ma Gan Cao [Roasted?] Bai Pi (Crushed) Da Huang (Stir-fried) Huang Lian (One liang each).
The above twenty-four ingredients are coarsely crushed and sieved. Take three qian bi per dose with one sheng of water, one cracked date, one sour plum, and three slices of ginger. Decoct for three to five boils, strain, and take slightly warm at any time.
For Gu Zheng Re Lao, use Qin Jiao Tang (Qin Jiao Decoction).
Qin Jiao (Remove seedlings and soil, four liang) Qing Hao Zi (Soaked in child's urine overnight, washed, dried, and roasted) Zhi Mu (Roasted) Bei Mu (Remove heart) Chang Shan (Wash and roast) Gan Cao (Salt water-soaked and roasted yellow, two liang each) Bie Jia (Remove skirt edge, vinegar-soaked and roasted) Zhi Ke (Remove pulp and stir-fry with bran) Chai Hu (Remove seedlings).
The above twelve ingredients are coarsely crushed and sieved. Take two qian bi per dose with one sheng of water, one cracked sour plum, and three slices of ginger. Decoct to seven parts, strain, and take warm. If whole-body high fever occurs, take two doses.
For Xu Lao Gu Zheng with muscle emaciation, night sweats and tidal fever, cough possibly with hemoptysis, limb fatigue, inability to eat, and virgins with Lao Re, amenorrhea, occasional tidal irritability and false thirst, use Bie Jia Tang (Softshell Turtle Decoction).
Bie Jia (Nine-rib large one, soaked in vinegar overnight, remove skirt edge, spine dipped in vinegar and roasted red, use two and a half liang) Ren Shen Chai Hu (Remove seedlings, each [missing amount]) Zhi Ke (Remove pulp) Dang Gui (Cut and roast) Jie Geng Zi Wan (Wash and roast) Bai Zhu Gui (Remove rough bark) Gan Cao (Roasted, half liang each) Jing San Leng (One and a half liang).
The above thirty ingredients are crushed into coarse powder. Take five qian bi per dose with two sheng of water, half a slice of ginger, and three cracked dates. Decoct to one sheng, strain, and take slightly warm on an empty stomach and before bed.
For boys and virgins with Gu Zheng Re transforming into Lao, loss of appetite, tasteless food, bodily pain, increasing Yang heat, reddish face, use Qing Hao Wan (Artemisia Annua Pill).
Qing Hao (Crushed, four liang) Gan Cao (Crushed, one liang) Tao Ren Xing Ren (Two liang each, remove skins, tips, and double kernels).
The above four ingredients are placed in a porcelain bottle with five sheng of child's urine. Place bricks underneath and burn with chaff heads overnight. Remove Tao Ren and Xing Ren, grind separately into paste. Add [other herbs] Shao Yao Zhi Mu Tian Ling Gai (Roasted) Che Qian Zi Zi Wan (Remove soil) Wei Yu Dang Gui (Cut and roast) Zhi Ke (Remove pulp and stir-fry with bran) Chai Hu (Remove seedlings) Xu [Duan?].
The above twenty-two ingredients, excluding the first four, are crushed and sifted into powder. Mix with Tao Ren and Xing Ren, pound one to two thousand times. Gradually add the decocted child's urine. Pound wetly one to two thousand times. If hard, add one and a half liang of refined honey and pound more. Form pills with multiple hands, size of Sophora seeds. Take thirty pills with cooked water daily at any time. For cough, add Ban Xia half liang. For female menstrual obstruction, add Mu Dan Pi and Yan Hu Suo, one fen each. For five-center irritability, add Di Gu Pi and Fu Ling. For bad dreams, add Fu Shen and Ling Yang Jiao. For early stage not yet transmitted to organs, take four doses with wine to cure. For abdominal masses, Pi Ku, aversion to cold, headache, sallow face, and dry brittle hair, cure after taking.
For Gu Zheng with red lips and cheeks, coarse breathing, dry mouth, whole-body high fever, or excessive spontaneous sweating, constipation, dark yellow urine, and minimal diet, use Bie Jia Zhu Du Wan (Softshell Turtle and Pig Stomach Pill).
Bie Jia (Remove skirt edge, vinegar-roasted) Chai Hu (Remove seedlings) Mu Xiang Qing Hao Sheng Gan Di Huang (Roast, one liang each) Huang Lian (Remove whiskers, two liang).
The above seven ingredients are crushed and sifted into powder. Take one pig stomach, remove fat membrane, wash clean, insert herb powder inside, tie securely, and steam until soft. Pound in mortar hundreds of times to form pills the size of mung beans. Take fifteen pills with warm water before meals, at noon, and before bed, three times daily.
For Gu Zheng Re Lao, use Chai Hu Tang (Bupleurum Decoction).
Chai Hu (Remove seedlings, one liang) Hu Huang Lian (Half liang) Zi Wan (Remove soil) Zhi Mu (Three fen each) Bie Jia (Small half piece, soaked in child's urine) Ren (Remove skins, tips, double [kernels?]).
The above ten ingredients are coarsely crushed and sieved. Take two qian bi per dose with one sheng of water and a little Qing Hao. Decoct to seven parts. Leave outdoors overnight. Strain at dawn and take warm on an empty stomach.
For Gu Zheng, plague, epidemic fevers, alternating cold and heat malaria, Wu Shi (Five Corpses), Jiu Zhu (Nine Pours), stabbing abdominal pain, Gu Du (Poisonous ghosts), all heat toxins, Hong Zhang Jiao (Podagra/Gout), confusion and attacking Qi, oral ulcers from heat, mania and running away, resolving all poisons, including mineral and herbal heat toxins, jaundice, irritability, pain, and all heat diseases, use Zi Xue Wan (Purple Snow Pill).
Jin (Gold, fifteen liang) Yin (Silver, fifteen liang) Han Shui Shi Shi Gao Ci Shi Hua Shi (Each three jin).
The above four stone drugs are crushed together. With Jin and Yin, total six items, boil in one shi of water to obtain one dou. Remove Jin, Yin, and stone dregs. Add following herb powders.
Mu Xiang (One liang) Xi Jiao (Sliced, five liang) Ding Xiang (Four liang) Chen Xiang (Five liang) Gan Cao (Roasted, eight liang) Sheng Ma Xuan Shen ([Amount missing]).
The above thirteen ingredients, excluding the first six, are boiled in three dou of water to obtain one dou. Strain cleanly and mix with previous liquid. Add five sheng of finely ground Mang Xiao (Mirabilite) to the liquid. Simmer slowly, stirring constantly, until slightly over one dou remains. Pour into a vessel. To solidify, add three liang of water-flushed Dan Sha (Cinnabar) powder and one liang and one fen of She Xiang (Musk) powder. Grind together into powder, mix with dough, cover, and let stand for two days until frost-snow forms. Dry in sun, seal tightly in new jar or bottle. Take when ill. Strong adults take one qian bi mixed with cold water, adjusting dosage based on strength. For Hong Zhang Jiao or toxicity from mineral drugs, take half qian bi mixed with water like magic. After taking, lie supine with waist elevated to direct medicine to chest and abdomen. For red hot eyes, mix with cold water and apply to eye corners. Initial slight pain, then tears flow and settle. Use three to five times daily and at night, always effective. For oral heat ulcers, hold almond-sized amount in mouth to dissolve, swallow slowly until stopped.
For Gu Zheng swelling Qi, aversion to cold and high fever in the evening, red cheeks, inability to eat, and progressive emaciation, use Xiang Chi Yin (Fermented Soybean Drink).
Xiang Chi (One fen) Sheng Di Huang (One liang) Cong Bai (Three stalks).
The above three ingredients are finely crushed and mixed. Soak in two and a half sheng of child's urine overnight. Decoct at dawn to eight parts. Strain and take warm in two divided doses on an empty stomach and at noon.
For men and women with Gu Zheng Lao Qi, emaciated body, weak limbs, red cheeks and sallow face, five-center heat, fatigue and palpitations, excessive night sweats, abdominal and hypochondriac masses, and loss of appetite, use Bie Jia Tang (Softshell Turtle Decoction).
Bie Jia (Remove skirt edge, vinegar-roasted) Chai Hu (Remove seedlings, three liang each) Jie Geng (Stir-fried) Gan Cao (Roasted yellow, one and a half liang each) Qin Jiao (Remove seedlings [Amount missing]).
The above six ingredients are coarsely crushed and sieved. Take three qian bi per dose with one sheng of water and one cracked sour plum. Decoct to six parts, strain, and take warm after meals.
For men and women with all Lao diseases, Gu Zheng, Feng Qi, etc., adjust according to seasons, use Qing Hao Wan (Artemisia Annua Pill). This medicine has seven names: 1. Xing Ren Wan, treats cough; 2. Mu Xiang Wan, treats Shi Zhu (Corpse transmission) and ghost energy, nine types of heart pain, three types of insect-bitten heart pain; 3. Xi Jiao Wan, treats seasonal heat epidemics; 4. Long Nao Wan, treats children's innocent Gan dysentery; 5. Wan Bing Wan, treats all deficiencies; 6. Dan Sha Wan, treats toxic evil and Pi Qi; 7. Qing Hao Wan, treats all Lao Qi in men and women. Carrying it in forests, fields, pits, or graves keeps ghosts away. Crush one pill and apply to snake bites or harmful injuries for immediate effect.
Qing Hao Xin (Three pieces, finely cut) Tong Zi Xiao Shui (Three large dou) Sheng Di Huang (Three stalks, cut with bamboo knife and pounded) Dong Yin Tao Zhi (Half handful, finely pounded [?]).
The above five ingredients are placed in a new urn, soaked in urine for seven days. Boil urine and herbs for three to five hundred boils. Strain out herbs, dry, and crush into powder. Clarify urine, put in pot, refine with mulberry wood fire, stirring constantly with a comb. Refine three dou of urine to three sheng. Store in non-leaking vessel. Mix with following herbs.
Xing Ren Tao Ren (Remove double kernels and skins, stir-fry until yellow) Jie Geng (Stir-fried) Wei Yu Zhi Ke (Stir-fry with bran, remove pulp) Da Huang (Roast [?]) [Replace with Hu Gu?] Gan [Cao?] Rough Bark) Chen Ju Pi (Remove white part and roast) Zhu Yu (Soak in soup and stir-fry) Dan Sha (Grind separately) She [Xiang?] Ling Yang Jiao (Shreds, two liang and one fen).
The above twenty-seven ingredients are crushed to fine powder. Decoct with previous urine, mix well, pound in mortar five hundred times. If not sticky, add refined honey, knead into pills the size of Sophora seeds. Take thirty pills with warm water after meals. For severe illness, take twice daily. Unblocks San Jiao, calms five Zang. Daily use prevents Xu Lao. Seasonal miasma malaria cannot harm. For rebellious Qi, cough, regardless of sputum, dry cough, or cough with blood (named Lung Heat, heat toxin congestion causing nasal blockage, hoarse voice, chest pain), if not treated quickly, becomes Fei Wei and Lao emaciation. Take five liang of this medicine to calm the disease. For hands/feet hot as fire, oral ulcers, tongue rot, night terrors, dental pain, throat obstruction, take five liang. Roots emerge from Large Intestine like rotten tendons/flesh, frog skin, cherry knots, strange foul smell. If Lu Li (Scrofula) erupts, failing to treat root attacks five Zang, resembling vines wrapping trees, causing neck destruction and death. Taking five liang of this medicine is effective. For seasonal Qi headache wanting death, body heat, constipation, unconsciousness, inability to eat, take fifty pills with fresh drawn water to cure. Men/women who took excess hot medicines, though drug effects faded, Qi still rises to head/face causing eye pain, dizziness, heat, heart/stomach irritability, bad breath, ulcers. Take three pills with warm water, not exceeding one to two liang. Infant innocent disease is same as adult Lao, caused by prenatal essence/blood damage leading to dry lips/mouth, diarrhea/dysentery, abdominal masses, eye membranes. Taking cures it. As child grows, follow adult dosage. For women with irregular menstruation, early/late, varying amounts, green/black mixed colors, clotted/scattered, progressing to Lao emaciation, take one to two liang to cure.
Spring add: Long Dan Long Gu Chai Hu (Remove seedlings) Huang Lian (Remove whiskers, lightly stir-fried, one fen each).
Summer add: Zhi Mu Shi Chang Pu Mai Men Dong (Remove heart) Bai Fu Ling (Remove black skin, one liang each).
Autumn add: He Li Le (Skin) Qin Jiao Xuan Fu Hua (One liang each).
Winter add: Zi Wan (Remove soil) Shao Yao Wu Wei Zi Huang Qin (Remove black heart, one liang each).
For Gu Zheng heat disease, all Lao miasma toxins, excessive phlegm, shortness of breath, headache, dry mouth, dry eyes, poor appetite, progressive emaciation, use Long Dan Wan (Gentian Pill).