论曰骨蒸烦渴者,营卫乏竭,肌肉消瘦,虚阳之气,熏发于上,令津液枯燥,胸中烦热,
咽嗌焦干,故烦渴而引饮。
治骨蒸疼烦, 发热,骨节酸痛,口干烦渴,麦门冬汤方
麦门冬(去心焙二两) 黄芩(去黑心) 柴胡(去苗) 升麻 芍药 甘草(炙锉各
一两)
上六味,粗捣筛,每五钱匕,水一盏半,入苦竹叶三片,煎至一盏,去滓温分二服,空
腹食后、各一服。
治骨蒸唇干口燥,止渴,麦门冬饮方
麦门冬(去心三两) 枸杞根(五两) 小麦(一合)
上三味,细锉如麻豆大,每服五钱匕,水一盏半,煎至小麦熟,去滓温服,食后日二。
治骨蒸烦渴,呕不下食,四肢发热,葛根汤方
葛根(锉) 赤茯苓(去黑皮) 麦门冬(去心焙) 甘草(炙锉) 黄 (各半两) 人
参(三
上六味,粗捣筛,每服五钱匕,水一盏半,入芦根五枝,竹三叶,煎至一盏,去滓分温
二服,空腹食后,各一服。
治骨蒸消渴消中,热中渴利,心热,风虚热、传尸,苦参丸方
苦参(五两) 黄连(去须) 知母(锉焙) 栝蒌根 牡蛎粉 麦门冬(去心焙各三
两)
上六味,捣罗为末,以生牛乳和丸,如梧桐子大,曝干,每服十五丸,或二十丸。食后
浆水下。
治骨蒸,唇干口燥、止渴,麦门冬汤方
麦门冬(去心焙三两) 甘草(炙锉二两) 半夏(汤洗去滑炒干三两)
上三味,粗捣筛,每服三钱匕,水一盏,入生姜半分拍碎,枣三枚去核,竹叶三片。粳
米四十九粒,煎至七分,去滓空腹温服,日午夜卧再服。
治骨蒸,热烦渴,呕逆不下食,葛根汤方
葛根(炙一两) 赤茯苓(去黑皮) 麦门冬(去心焙各一两半) 甘草(炙锉一两)
上四味,粗捣筛,每用五钱匕,水一盏半,竹叶三片,生芦根三枚,煎至一盏,去滓分
温二服,空腹食后各一服。
治虚劳骨蒸,烦热发渴,地骨皮汤方
地骨皮 知母(焙) 柴胡(去苗) 当归(切焙) 秦艽(去苗土) 鳖甲(醋炙去
裙) 甘
上八味,粗捣筛,每服二钱匕,水一盏,入乌梅生姜桃柳枝小麦各少许,煎至七分。去
滓温服。
治骨蒸,潮热,烦渴引饮,不思饮食,秦艽散方
秦艽(去苗土) 柴胡(去苗) 甘草(炙锉) 乌梅(取肉焙各二两)
上四味,捣罗为散,每服一钱匕,沸汤调下,食后临卧服。
治骨蒸虚劳,热气上熏,咽嗌焦干,津液枯燥,烦渴引饮,阿胶汤方
阿胶(炒燥) 人参 白茯苓(去黑皮) 玄参 丹参 防风(去叉) 黄 生干地
黄(焙) 葛根 柴胡(去苗) 秦艽(去苗土) 黄连(去须) 龙胆 枳壳(去瓤麸炒)
地骨皮 百合 鳖甲(去裙 醋炙) 甘草(炙) 桔梗(炒) 知母(焙) 贝母(去心)
款冬花 石膏(碎)
蒌根 马兜铃 大黄(炒)
尖双仁炒各一两) 槟榔(五枚)
论述说:骨蒸烦渴这一病症,是由于营气和卫气衰竭枯竭,导致肌肉消瘦。虚弱的阳气熏蒸于上部,致使津液干枯,胸中烦闷发热,咽喉干燥焦枯,因此出现心烦口渴而想要饮水的症状。
治疗骨蒸疼痛烦扰、发热、骨节酸痛、口干烦渴的麦门冬汤方:
麦门冬(去除心部,焙干,二两) 黄芩(去除黑色中心部分) 柴胡(去除苗茎) 升麻 芍药 甘草(炙烤后切碎,各一两)
以上六味药,粗捣筛碎,每次取五钱匕,加水一盏半,放入苦竹叶三片,煎煮至一盏量,滤去药渣,温服,分两次服用,分别在空腹时和饭后各服一次。
治疗骨蒸引起的嘴唇干燥、口燥、止渴的麦门冬饮方:
麦门冬(去除心部,三两) 枸杞根(五两) 小麦(一合)
以上三味药,细切如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至小麦熟透,滤去药渣,温服,饭后每日服用两次。
治疗骨蒸烦渴、呕吐不能进食、四肢发热的葛根汤方:
葛根(切碎) 赤茯苓(去除黑色外皮) 麦门冬(去除心部,焙干) 甘草(炙烤后切碎) 黄芪(原文缺字,据语境补为黄芪或类似补气药,此处依原文“黄”处理,通常指黄芪或黄芩,结合方义多为黄芪,但严格按原文提取实体为“黄”) 人参(三两,原文断句有误,应为“人参(三两)”)
以上六味药,粗捣筛碎,每次服用五钱匕,加水一盏半,放入芦根五枝,竹三叶(原文漏字,推测为淡竹或青竹),煎煮至一盏量,滤去药渣,分两次温服,空腹时和饭后各服一次。
治疗骨蒸消渴、消中、热中渴利、心热、风虚热、传尸病的苦参丸方:
苦参(五两) 黄连(去除须根) 知母(切碎焙干) 栝蒌根 牡蛎粉 麦门冬(去除心部,焙干,各三两)
以上六味药,捣碎过罗成粉末,用生牛乳调和制成丸药,如梧桐子大小,晒干,每次服用十五丸或二十丸。饭后用米浆送服。
治疗骨蒸,嘴唇干燥口燥、止渴的麦门冬汤方:
麦门冬(去除心部,焙干,三两) 甘草(炙烤后切碎,二两) 半夏(汤洗去滑腻,炒干,三两)
以上三味药,粗捣筛碎,每次服用三钱匕,加水一盏,放入生姜半分拍碎,大枣三枚去核,竹叶三片,粳米四十九粒,煎煮至七分量,滤去药渣,空腹温服,夜间午夜卧床前再服一次。
治疗骨蒸,热烦渴,呕吐逆气不能进食的葛根汤方:
葛根(炙烤,一两) 赤茯苓(去除黑色外皮) 麦门冬(去除心部,焙干,各一两半) 甘草(炙烤后切碎,一两)
以上四味药,粗捣筛碎,每次取五钱匕,加水一盏半,竹叶三片,生芦根三枚,煎煮至一盏量,滤去药渣,分两次温服,空腹时和饭后各服一次。
治疗虚劳骨蒸,烦热发渴的地骨皮汤方:
地骨皮 知母(焙干) 柴胡(去除苗茎) 当归(切片焙干) 秦艽(去除苗土) 鳖甲(醋炙后去除裙边) 甘草(原文缺字,结合上下文及常见配伍,此处可能缺“炙”或其他修饰,依原文提取实体)
以上八味药,粗捣筛碎,每次服用二钱匕,加水一盏,放入乌梅、生姜、桃柳枝、小麦各少许,煎煮至七分量。滤去药渣,温服。
治疗骨蒸,潮热,烦渴引饮,不思饮食的秦艽散方:
秦艽(去除苗土) 柴胡(去除苗茎) 甘草(炙烤后切碎) 乌梅(取肉焙干,各二两)
以上四味药,捣碎过罗成散剂,每次服用一钱匕,用沸水调下,饭后临睡前服用。
治疗骨蒸虚劳,热气上熏,咽喉焦干,津液干枯,烦渴引饮的阿胶汤方:
阿胶(炒燥) 人参 白茯苓(去除黑色外皮) 玄参 丹参 防风(去除叉状分支) 黄芪(原文“黄”,同上) 生干地黄(焙干) 葛根 柴胡(去除苗茎) 秦艽(去除苗土) 黄连(去除须根) 龙胆 枳壳(去除瓤麸炒) 地骨皮 百合 鳖甲(去除裙边,醋炙) 甘草(炙烤) 桔梗(炒制) 知母(焙干) 贝母(去除心部) 款冬花 石膏(打碎) 栝蒌根(原文“蒌根”) 马兜铃 大黄(炒制) 槟榔(五枚)
Commentary states: Bone-steaming with vexation and thirst is caused by the exhaustion of Ying (Nutrient) Qi and Wei (Defensive) Qi, leading to emaciation. Deficient Yang Qi steams upward, causing dryness of body fluids, vexation and heat in the chest, and scorching dryness of the throat and pharynx, thus resulting in vexation, thirst, and a desire to drink.
Maidong Tang (Ophiopogon Decoction) for treating bone-steaming pain and vexation, fever, soreness and pain in bone joints, dry mouth, and vexatious thirst:
* Maidong (Ophiopogonis Radix, heart removed, roasted, 2 liang)
* Huangqin (Scutellariae Radix, black center removed)
* Chaihu (Bupleuri Radix, sprouts removed)
* Shengma (Cimicifugae Rhizoma)
* Shaoyao (Paeoniae Radix)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, 1 liang each)
The above six herbs are coarsely pounded and sifted. Each dose consists of 5 qianbi (approx. 15-20g depending on era/measure), boiled in 1.5 zhan (approx. 300ml) of water with 3 slices of Ku Zhu Ye (Bitter Bamboo Leaf). Decoct until 1 zhan remains. Strain and take warm, divided into two doses. Take one dose on an empty stomach and one dose after meals.
Maidong Yin (Ophiopogon Drink) for treating bone-steaming with dry lips and mouth, stopping thirst:
* Maidong (Ophiopogonis Radix, heart removed, 3 liang)
* Gouqi Gen (Lycii Cortex or Lycium Root Bark, 5 liang)
* Xiaomai (Tritici Fructus, 1 he)
The above three herbs are finely chopped like hemp seeds. Each dose is 5 qianbi, boiled in 1.5 zhan of water until the wheat is cooked. Strain and take warm, twice daily after meals.
Gegen Tang (Kudzu Decoction) for treating bone-steaming with vexation and thirst, vomiting, inability to eat, and heat in the four limbs:
* Gegen (Puerariae Radix, chopped)
* Chi Fuling (Polyporus with red skin, black peel removed)
* Maidong (Ophiopogonis Radix, heart removed, roasted)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped)
* Huang [Qi] (Astragali Radix or Scutellariae Radix - text says "Huang", context suggests Astragalus for deficiency but formula name matches Gegen Tang variants often using Huangqi; strictly extracted as "Huang")
* Renshen (Panacis Ginseng Radix, 3 liang)
The above six herbs are coarsely pounded and sifted. Each dose is 5 qianbi, boiled in 1.5 zhan of water with 5 stalks of Lu Gen (Phragmitis Rhizoma) and 3 leaves of Zhu Ye (Bamboo Leaf). Decoct until 1 zhan remains. Strain and take warm, divided into two doses. Take one dose on an empty stomach and one dose after meals.
Kushen Wan (Sophora Pill) for treating bone-steaming, Xiao Ke (Wasting-Thirst), Xiao Zhong (Middle Wasting), Re Zhong (Middle Heat) with thirst and diarrhea, Heart Heat, Wind-Deficiency Heat, and Chuan Shi (Transmitted Corpse Disease/Tuberculosis):
* Kushen (Sophorae Flavescentis Radix, 5 liang)
* Huanglian (Coptidis Rhizoma, whiskers removed)
* Zhimu (Anemarrhenae Rhizoma, chopped and roasted)
* Gualou Gen (Trichosanthis Radix)
* Muli Fen (Concha Ostreae powder)
* Maidong (Ophiopogonis Radix, heart removed, roasted, 3 liang each)
The above six herbs are pounded and sieved into powder. Mix with raw cow's milk to form pills the size of paulownia seeds. Dry in the sun. Each dose is 15 or 20 pills. Take after meals with Jiang Shui (gruel water).
Maidong Tang (Ophiopogon Decoction) for treating bone-steaming, dry lips and mouth, stopping thirst:
* Maidong (Ophiopogonis Radix, heart removed, roasted, 3 liang)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, 2 liang)
* Banxia (Pinelliae Rhizoma, washed in water to remove slipperiness, dried by frying, 3 liang)
The above three herbs are coarsely pounded and sifted. Each dose is 3 qianbi, boiled in 1 zhan of water with 0.5 fen of crushed Shengjiang (Zingiberis Rhizoma Recens), 3 Jujubae Fructus (Jujube) without pits, 3 Zhu Ye (Bamboo Leaves), and 49 Jing Mi (Oryzae Semen Japonicum). Decoct until 70% remains. Strain and take warm on an empty stomach. Take another dose at midnight before sleep.
Gegen Tang (Kudzu Decoction) for treating bone-steaming, heat with vexation and thirst, vomiting, regurgitation, and inability to eat:
* Gegen (Puerariae Radix, honey-fried, 1 liang)
* Chi Fuling (Polyporus with red skin, black peel removed)
* Maidong (Ophiopogonis Radix, heart removed, roasted, 1.5 liang each)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped, 1 liang)
The above four herbs are coarsely pounded and sifted. Each dose is 5 qianbi, boiled in 1.5 zhan of water with 3 Zhu Ye (Bamboo Leaves) and 3 fresh Lu Gen (Phragmitis Rhizoma). Decoct until 1 zhan remains. Strain and take warm, divided into two doses. Take one dose on an empty stomach and one dose after meals.
Digupi Tang (Dogwood Root Bark Decoction) for treating deficiency consumptive bone-steaming, vexatious heat and thirst:
* Digupi (Corni Officinalis Cortex)
* Zhimu (Anemarrhenae Rhizoma, roasted)
* Chaihu (Bupleuri Radix, sprouts removed)
* Danggui (Angelicae Sinensis Radix, sliced and roasted)
* Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed)
* Biejia (Carapax et Plastrum Testudinis, vinegar-fried, skirt removed)
* Gancao (Glycyrrhizae Radix et Rhizoma)
The above eight herbs are coarsely pounded and sifted. Each dose is 2 qianbi, boiled in 1 zhan of water with a small amount of Wumei (Communes Fructus), Shengjiang (Zingiberis Rhizoma Recens), Tao Liu Zhi (Peach and Willow Branches), and Xiaomai (Tritici Fructus). Decoct until 70% remains. Strain and take warm.
Qinjiao San (Gentian Powder) for treating bone-steaming, tidal fever, vexation and thirst with desire to drink, and loss of appetite:
* Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed)
* Chaihu (Bupleuri Radix, sprouts removed)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped)
* Wumei (Communes Fructus, flesh taken and roasted, 2 liang each)
The above four herbs are pounded and sieved into powder. Each dose is 1 qianbi, mixed with boiling water and taken. Take after meals and before going to bed.
Ejiao Tang (Donkey-Hide Gelatin Decoction) for treating bone-steaming deficiency consumptive disease, hot qi steaming upward, scorching dryness of the throat and pharynx, dryness of body fluids, vexation and thirst with desire to drink:
* Ejiao (Colla Corii Asini, fried until dry)
* Renshen (Panacis Ginseng Radix)
* Bai Fuling (Polyporus, black peel removed)
* Xuanshen (Scrophulariae Radix)
* Danshen (Salviae Miltiorrhizae Radix)
* Fangfeng (Saposhnikoviae Radix, forked parts removed)
* Huang [Qi] (Astragali Radix or Scutellariae Radix - text says "Huang")
* Sheng Gan Dihuang (Rehmanniae Radix Preparata, roasted)
* Gegen (Puerariae Radix)
* Chaihu (Bupleuri Radix, sprouts removed)
* Qinjiao (Gentianae Macrophyllae Radix, sprouts and soil removed)
* Huanglian (Coptidis Rhizoma, whiskers removed)
* Longdan (Genturae Radix et Rhizoma)
* Zhike (Aurantii Fructus, pith removed, bran-fried)
* Digupi (Corni Officinalis Cortex)
* Baihe (Lilii Bulbus)
* Biejia (Carapax et Plastrum Testudinis, skirt removed, vinegar-fried)
* Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried)
* Jiegeng (Platycodonis Radix, fried)
* Zhimu (Anemarrhenae Rhizoma, roasted)
* Beimu (Fritillariae Cirrhosae Bulbus, heart removed)
* Kuandonghua (Farfarae Flos)
* Shigao (Gypsum Fibrosum, crushed)
* Lou Gen (Trichosanthis Radix)
* Madouling (Aristolochiae Radix)
* Dahuang (Rhei Radix et Rhizoma, fried)
* Binglang (Arecae Semen, 5 pieces)