论曰骨蒸肺痿者，由营卫虚损，蕴热熏蒸上焦，传播肓膜，使人肺热叶焦，发为肺痿，
其证咯唾脓血，胸满短气，咳嗽不止多痰，或如脓涕，或唾之不能出，时发寒热。肌体羸瘦，
是其候也。
治骨蒸肺痿，当归黄 汤方
黄 （锉） 当归（切焙） 人参 桔梗（锉炒） 芍药 甘草（炙锉各一两）
上六味，粗捣筛，每服五钱匕，水一盏半，生姜一枣大拍碎，枣二枚劈破，同煎至八分，
去滓食前温服。
治骨蒸，肺痿咳嗽，涕唾如胶，胸背烦热，白前汤方
白前 桑根白皮（炙锉） 麦门冬（去心焙各一两半） 旋复花（半两） 木通（锉炒
二两）
上六味，粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓分二服，空腹食后各一。
治骨蒸，肺痿，手足烦疼，五心热多渴，不欲饮食，芦根汤方
芦根（焙十两） 麦门冬（去心焙十四两） 白茯苓（去黑皮） 地骨皮（洗焙） 陈
橘皮（汤
浸去白焙各五两）
上五味，锉如麻豆大，每服五钱匕，水一盏半，入生姜半分切碎，煎取八分，去滓温服。
日二夜一。
治骨蒸，肺痿咳嗽，咯脓血病重者，皂荚饮方
皂荚（一挺长一尺者炙黄去皮子） 白饧（一两） 生姜（半两） 干枣（七枚去核）
上四味，除饧外，细锉入饧。以酒一升，煮取半升去滓，每食后温服二合。
治骨蒸，肺痿咳嗽，气逆喘急，唾不出唇，渐渐羸瘦，天门冬汤方
天门冬（去心焙三两） 升麻 黄芩（去黑心） 前胡（去芦头各一两半） 甘草（炙
一两）
上五味，粗捣筛，每服五钱匕，水一盏半，入芦根三茎，竹叶三片，煎至一盏，去滓分
温二服，空腹食后各一。
治骨蒸肺痿，心忪战栗，烦热善忘，精神不宁，梦寐飞扬，吐血，身体疼重或痒。多生
疮癣，并治香港脚，茯苓汤方
白茯苓（去黑皮） 人参 麦门冬（去心焙） 独活（去芦头） 槟榔（各三分） 桂
（去粗皮
壳（去瓤麸炒各四两
上一十三味，锉如麻豆大，每服五钱匕，以水一盏半，入生姜半分切碎，枣二枚劈破，
煎取八分，去滓顿服，早晚食后，各一用银器煎，尤妙。
治骨蒸肺痿，四肢烦热，不能食，口干渴，麦门冬汤方
麦门冬（去心焙） 地骨皮（各五两）
上二味，粗捣筛，每服五钱匕，先以水二盏，煎小麦一合，至一盏半，去麦入药。煎至
一盏，去滓分温二服，空腹食后各一。
治骨蒸肺痿，咳嗽方
白蜜 熟羊脂（切） 熟羊髓 熟猪脂（切） 生姜汁 地黄汁（各二升）
上六味，根据次第下于铛中，慢火煎，不住手搅，熬至四分减一，即止，贮密器中，于食
羹中着一两匙，日三四服。
治肺痿骨蒸，咳嗽上喘，呀呷有声方
青羊肺（一具煮熟去筋膜薄切焙干） 莨菪子（米醋浸日中曝干微炒）
上二味，捣罗为末，炼蜜和丸，如梧桐子大，每服七丸，空心米饮下，渐加至十丸，以
知为度。
治骨蒸劳气，润心肺，止咳嗽，天门冬丸方
天门冬（去心焙三两半） 桑根白皮（锉炒） 白茯苓（去黑皮各三分） 杏仁（汤去
皮尖双
上六味，捣罗为末，炼蜜和丸，如弹子大，每服一丸，绵裹含化咽津，煎麦门冬汤嚼下
亦得，不计时候。
论述说：骨蒸肺痿，是由于营卫之气虚损，蕴积的热邪熏蒸上焦，蔓延至肓膜，导致肺热叶焦，从而引发肺痿。其症状表现为咯吐脓血，胸部胀满、呼吸短促，咳嗽不止且痰多，或像脓涕一样，有的想咳却咳不出来，时常出现寒热交替。身体消瘦，这就是它的征候。
治疗骨蒸肺痿的当归黄耆汤方：
黄耆（锉碎）一两，当归（切后焙干）一两，人参一两，桔梗（锉碎并炒）一两，芍药一两，甘草（炙后锉碎）一两。
以上六味药，粗捣筛过，每次服用五钱匕，加水一盏半，生姜一块如枣大拍碎，大枣两枚劈破，一同煎煮至八分，去渣滓，饭前温服。
治疗骨蒸、肺痿咳嗽，鼻涕唾沫像胶液一样，胸背烦热的白前汤方：
白前一两半，桑根白皮（炙后锉碎）一两半，麦门冬（去心焙干）一两半，旋复花半两，木通（锉碎炒）二两。
以上六味药，粗捣筛过，每次服用五钱匕，加水一盏半，煎煮至一盏，去渣滓，分两次服用，空腹时和饭后各服一次。
治疗骨蒸、肺痿，手足烦疼，五心烦热且多口渴，不想饮食的芦根汤方：
芦根（焙干）十两，麦门冬（去心焙干）十四两，白茯苓（去黑皮），地骨皮（洗净焙干），陈橘皮（用汤浸泡去白瓤焙干）各五两。
以上五味药，锉碎如麻豆大小，每次服用五钱匕，加水一盏半，放入生姜半分切碎，煎取八分，去渣滓温服。早晚各一次，夜间加服一次。
治疗骨蒸、肺痿咳嗽，咯吐脓血病情严重的皂荚饮方：
皂荚（一挺长一尺的，炙黄去皮去子）一两，白饧（麦芽糖）一两，生姜半两，干枣七枚去核。
以上四味药，除饧以外，细锉后加入饧。用酒一升，煮取半升，去渣滓，每次饭后温服二合。
治疗骨蒸、肺痿咳嗽，气逆喘急，唾不出唇，逐渐消瘦的天门冬汤方：
天门冬（去心焙干）三两，升麻一两半，黄芩（去黑心）一两半，前胡（去芦头）一两半，甘草（炙）一两。
以上五味药，粗捣筛过，每次服用五钱匕，加水一盏半，放入芦根三茎，竹叶三片，煎煮至一盏，去渣滓，分两次温服，空腹时和饭后各服一次。
治疗骨蒸肺痿，心慌战栗，烦热健忘，精神不宁，梦境飞扬，吐血，身体疼痛沉重或瘙痒，多生疮癣，并治疗香港脚（足部疾患）的茯苓汤方：
白茯苓（去黑皮）三分，人参三分，麦门冬（去心焙干）三分，独活（去芦头）三分，槟榔三分，桂枝（去粗皮壳）四分，厚朴（去瓤麸炒）四分，防风（去叉）四分，羌活（去芦头）四分，枳实（麸炒）四分，川芎四分，赤芍药四分，黄芪（去芦头）四分。
以上十三味药，锉碎如麻豆大小，每次服用五钱匕，用水一盏半，放入生姜半分切碎，大枣两枚劈破，煎取八分，去渣滓顿服，早晚饭后各服一次。最好用银器煎煮，尤其好。
治疗骨蒸肺痿，四肢烦热，不能进食，口干渴的麦门冬汤方：
麦门冬（去心焙干）五两，地骨皮五两。
以上两味药，粗捣筛过，每次服用五钱匕，先用水二盏，煎小麦一合，至一盏半，去掉麦粒加入药物。煎煮至一盏，去渣滓，分两次温服，空腹时和饭后各服一次。
治疗骨蒸肺痿咳嗽的方剂：
白蜜二升，熟羊脂（切）二升，熟羊髓二升，熟猪脂（切）二升，生姜汁二升，地黄汁二升。
以上六味药，按顺序放入铛中，用慢火煎，不停地搅拌，熬至减少四分之一时停止，储存在密封容器中，吃饭喝羹时加一两匙，每天三四次服用。
治疗肺痿骨蒸，咳嗽上喘，喉间有呀呷声音的方剂：
青羊肺（一只煮熟去筋膜薄切焙干），莨菪子（米醋浸泡日晒干燥微炒）。
以上两味药，捣罗成末，炼蜜和丸，如梧桐子大小，每次服用七丸，空腹时用米饮送下，逐渐增加到十丸，以见效为度。
治疗骨蒸劳气，润心肺，止咳嗽的天门冬丸方：
天门冬（去心焙干）三两半，桑根白皮（锉碎炒）三分，白茯苓（去黑皮）三分，杏仁（汤去皮尖双仁）三分，紫菀（去土）三分，款冬花（去梗）三分。
以上六味药，捣罗成末，炼蜜和丸，如弹子大小，每次服用一丸，用绵裹含化咽津，或者煎麦门冬汤嚼服也可以，不限时候。
Discussion states: Bone-steaming Lung Atrophy (Gu Zheng Fei Wei) arises from the deficiency and damage of Ying (Nutrient Qi) and Wei (Defensive Qi), where accumulated heat steams the Upper Jiao, spreading to the Sanjiao membrane (Huang Mo). This causes lung heat with scorched lung leaves, leading to Lung Atrophy. Its manifestations include coughing up pus and blood, chest fullness and shortness of breath, incessant coughing with excessive phlegm, or sputum resembling pus-like nasal discharge; sometimes it cannot be expectorated. There are intermittent chills and fever. The body becomes emaciated. These are its signs.
Formula for Treating Bone-Steaming Lung Atrophy: Danggui Huangqi Decoction (Cinnamon Twig and Astragalus Decoction)
Huangqi (Astragali Radix, sliced) 1 liang, Danggui (Angelicae Sinensis Radix, sliced and dried) 1 liang, Renshen (Ginseng Radix) 1 liang, Jiegeng (Platycodonis Radix, sliced and stir-fried) 1 liang, Shaoyao (Paeoniae Radix) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted and sliced) 1 liang.
The above six herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi (approx. 5-10g depending on era/measure), boiled in 1.5 zhan (approx. 300ml) of water, with one piece of Shengjiang (Zingiberis Rhizoma Recens, smashed, size of a jujube) and two Zao (Jujubae Fructus, split). Simmer until reduced to 0.8 zhan. Strain and take warm before meals.
Formula for Treating Bone-Steaming, Lung Atrophy Cough, Sputum like Glue, Chest and Back Vexing Heat: Baiqian Decoction
Baiqian (Cynanchi Stauntonii Caulis et Folium) 1.5 liang, Sangbaipi (Mori Cortex, honey-roasted and sliced) 1.5 liang, Maimendong (Ophiopogonis Radix, heart removed and dried) 1.5 liang, Xuanfuhua (Inulae Flos) 0.5 liang, Mutong (Akebiae Caulis, sliced and stir-fried) 2 liang.
The above six herbs are coarsely crushed and sifted. Each dose is 5 qianbi, boiled in 1.5 zhan of water until reduced to 1 zhan. Strain and divide into two doses, taken once on an empty stomach and once after meals.
Formula for Treating Bone-Steaming, Lung Atrophy, Vexing Pain in Hands and Feet, Five-Center Heat, Thirst, and Anorexia: Lugen Decoction
Lugen (Phragmitis Rhizoma, dried) 10 liang, Maimendong (Ophiopogonis Radix, heart removed and dried) 14 liang, Baifuling (Poria, black skin removed), Digupi (Lycii Cortex, washed and dried), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, and dried) each 5 liang.
The above five herbs are sliced like hemp seeds. Each dose is 5 qianbi, boiled in 1.5 zhan of water with 0.5 fen of chopped Shengjiang (Zingiberis Rhizoma Recens). Simmer to obtain 0.8 zhan. Strain and take warm. Twice daily and once at night.
Formula for Treating Severe Cases of Bone-Steaming, Lung Atrophy Cough with Expectoration of Pus and Blood: Zhaojia Yin (Soap Pod Drink)
Zhaojia (Gleditsiae Fructus, one pod approx. 1 chi long, honey-roasted until yellow, skin and seeds removed) 1 liang, Baixing (Saccharum Stachydis, malt sugar) 1 liang, Shengjiang (Zingiberis Rhizoma Recens) 0.5 liang, Ganzao (Jujubae Fructus, seven pods, pits removed).
Except for Baixing, the above four ingredients are finely sliced and mixed with Baixing. Boil in 1 sheng of wine until reduced to 0.5 sheng. Strain. Take 2 he warm after each meal.
Formula for Treating Bone-Steaming, Lung Atrophy Cough, Rebellious Qi with Panting, Inability to Spit, and Gradual Emaciation: Tianmendong Decoction
Tianmendong (Asparagi Radix, heart removed and dried) 3 liang, Shengma ( Cimicifugae Rhizoma) 1.5 liang, Huangqin (Scutellariae Radix, black heart removed) 1.5 liang, Qianhu (Peucedani Radix, radicle removed) 1.5 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) 1 liang.
The above five herbs are coarsely crushed and sifted. Each dose is 5 qianbi, boiled in 1.5 zhan of water with three stems of Lugan (Phragmitis Rhizoma) and three leaves of Zhuye (Bambusae Folium). Simmer to 1 zhan. Strain and divide into two warm doses, taken once on an empty stomach and once after meals.
Formula for Treating Bone-Steaming Lung Atrophy, Palpitations with Trembling, Vexing Heat, Forgetfulness, Restlessness, Vivid Dreams, Hemoptysis, Body Ache and Heaviness or Itching, Frequent Sores and Tinea, and also treating Hongjiaojiao (Podagra/Foot Disease): Fuling Decoction
Baifuling (Poria, black skin removed) 3 fen, Renshen (Ginseng Radix) 3 fen, Maimendong (Ophiopogonis Radix, heart removed and dried) 3 fen, Duhuo (Angelicae Pubescentis Radix, radicle removed) 3 fen, Binglang (Arecae Semen) 3 fen, Guizhi (Cinnamomi Ramulus, coarse bark removed) 4 fen, Houpo (Magnoliae Officinalis Cortex, pulp removed, bran-fried) 4 fen, Fangfeng (Saposhnikoviae Radix, forked parts removed) 4 fen, Qianghuo (Notopterygii Rhizoma et Radix, radicle removed) 4 fen, Zhishi (Aurantii Fructus Immaturus, bran-fried) 4 fen, Chuanxiong (Ligustici Chuanxiong Rhizoma) 4 fen, ChiShaoyao (Paeoniae Radix Rubra) 4 fen, Huangqi (Astragali Radix, radicle removed) 4 fen.
The above thirteen herbs are sliced like hemp seeds. Each dose is 5 qianbi, boiled in 1.5 zhan of water with 0.5 fen of chopped Shengjiang (Zingiberis Rhizoma Recens) and two split Zao (Jujubae Fructus). Simmer to obtain 0.8 zhan. Strain and take all at once. Taken after morning and evening meals. Using silver vessels for decoction is especially excellent.
Formula for Treating Bone-Steaming Lung Atrophy, Vexing Heat in Four Limbs, Inability to Eat, Dry Mouth and Thirst: Maimendong Decoction
Maimendong (Ophiopogonis Radix, heart removed and dried) 5 liang, Digupi (Lycii Cortex) 5 liang.
The above two herbs are coarsely crushed and sifted. Each dose is 5 qianbi. First, boil 1 he of Xiaomai (Tritici Fructus) in 2 zhan of water until reduced to 1.5 zhan. Remove the wheat and add the herbs. Simmer to 1 zhan. Strain and divide into two warm doses, taken once on an empty stomach and once after meals.
Formula for Treating Bone-Steaming Lung Atrophy Cough:
Baimi (Apis Mellifera Medulla) 2 sheng, Shu Yangzhi (Rendered Sheep Fat, sliced) 2 sheng, Shu Yangsui (Sheep Marrow) 2 sheng, Shu Zhuzhi (Rendered Pig Fat, sliced) 2 sheng, Shengjiangzhi (Juice of Zingiberis Rhizoma Recens) 2 sheng, Dihuangzhi (Juice of Rehmanniae Radix Preparata) 2 sheng.
The above six ingredients are added to a pan in order. Simmer over low fire, stirring constantly, until reduced by one-quarter. Stop. Store in a sealed container. Add one or two spoons to soup or porridge when eating. Take three to four times daily.
Formula for Treating Lung Atrophy Bone-Steaming, Cough with Asthma, Noisy Breathing (Ya-Xia Sound):
Qingyangfei (Green Sheep Lung, one whole, cooked, fascia removed, thinly sliced and dried) 1 unit, Langdanszi (Daturae Semen, soaked in rice vinegar, sun-dried, lightly stir-fried).
The above two ingredients are pounded and sieved into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 7 pills each time, swallowed with rice drink on an empty stomach. Gradually increase to 10 pills, stopping when effective.
Formula for Treating Bone-Steaming Consumptive Qi, Moistening Lung and Heart, Stopping Cough: Tianmendong Pill
Tianmendong (Asparagi Radix, heart removed and dried) 3.5 liang, Sangbaipi (Mori Cortex, sliced and stir-fried) 3 fen, Baifuling (Poria, black skin removed) 3 fen, Xingren (Armeniacae Semen Amarum, blanched, skin and tip removed, double kernel) 3 fen, Ziwan (Asternatis Radix, soil removed) 3 fen, Kuandonghua (Farfarae Flos, stem removed) 3 fen.
The above six herbs are pounded and sieved into powder. Mix with refined honey to form pills the size of a marble. Take one pill each time, wrapped in silk, held in the mouth to dissolve and swallow saliva. Alternatively, chew with Maimendong Decoction. Time is not restricted.