夫骨蒸而烦热者。是阴气不足。阳气有余。故内外生于热。非邪从外来乘也。
治骨蒸虚烦。翕翕发热。骨节酸疼。宜服麦门冬散方。
麦门冬（一两半去心焙） 枳壳（三分麸炒微黄去瓤） 川升麻（三分） 赤芍药（三
分） 黄
芩（
子仁
（三分
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
后温
治骨蒸。心肺烦热。喘促息。唾不去唇。渐加羸瘦。宜服天门冬散方。
天门冬（一两半去心焙） 前胡（三分去芦头） 赤茯苓（一两） 甘草（三分炙微赤
锉） 川
升麻
（三）分汤
浸去
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
后温
治骨蒸。手足烦热。多渴。不能饮食。宜服芦根散方。
芦根（二两锉） 赤茯苓（一两） 知母（一两） 麦门冬（一两半去心焙） 黄芩（三
分） 地
骨皮
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
后温
治骨蒸烦热。四肢疼痛。背膊壅闷。宜服赤茯苓散方。
赤茯苓（一两） 柴胡（一两半去苗） 地骨皮（三分） 鳖甲（一两半涂醋炙微黄去
裙）
桑根
川朴
硝（
上件药。捣粗罗为散。每服四（三）钱。以水一中盏。入生姜半分。煎至六分。去滓。
不
计时
治骨蒸。五心烦热。眼目昏涩。肢节酸疼。不能饮食。宜服升麻散方。
川升麻（一两） 黄连（一两去须） 枳壳（一两麸炒微黄去瓤） 栀子仁（三分） 生
干地黄
（一
微赤锉）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。每于食
后温
治骨蒸烦热。日月久远。渐加羸瘦。宜服獭肝丸方。
獭肝（一具炙令黄） 柴胡（一两半去苗） 玄参（一两） 知母（一两） 大麻仁（二
两） 子
芩（
灵盖（一两
涂酥
上件药。捣罗为末。炼蜜和捣三五百杵。丸如梧桐子大。每服。以童子小便浸豉一合。
经一
治骨蒸劳气烦热。四肢无力。夜卧虚汗。唇口干焦。面无血色。日渐羸瘦。丈夫妇
\x人并宜服
胡黄连（二两） 柴胡（二两去苗） 鳖甲（二两生用）
上件药。捣细罗为散。每服。用生姜酒调一钱。每日早晨。日午。临卧。各一服。
骨蒸病出现烦热症状的，是由于阴气不足、阳气偏盛，因此体内内外都产生热象，并非外邪从体表侵入所致。
治疗骨蒸引起的虚烦、身体如羽毛覆盖般的发热（翕翕发热）、骨节酸痛，适宜服用麦门冬散方。
药材：麦门冬（一两半，去心，焙干），枳壳（三分，麸炒至微黄，去瓤），川升麻（三分），赤芍药（三分），黄芩（三分），子仁（三分）。
以上药材，捣碎并过粗筛制成散剂。每次服用四钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。饭后温服。
治疗骨蒸引起的心肺烦热、呼吸急促、唾沫粘滞不去、嘴唇干燥、逐渐消瘦，适宜服用天门冬散方。
药材：天门冬（一两半，去心，焙干），前胡（三分，去芦头），赤茯苓（一两），甘草（三分，炙至微红，锉碎），川升麻（三分）。
以上药材，捣碎并过粗筛制成散剂。每次服用四钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。饭后温服。
治疗骨蒸引起的手足烦热、口渴多饮、食欲不振，适宜服用芦根散方。
药材：芦根（二两，锉碎），赤茯苓（一两），知母（一两），麦门冬（一两半，去心，焙干），黄芩（三分），地骨皮（三分）。
以上药材，捣碎并过粗筛制成散剂。每次服用四钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。饭后温服。
治疗骨蒸烦热、四肢疼痛、背部壅闷不适，适宜服用赤茯苓散方。
药材：赤茯苓（一两），柴胡（一两半，去苗），地骨皮（三分），鳖甲（一两半，涂醋炙至微黄，去裙边），桑根白皮（三分），川朴硝（三分）。
以上药材，捣碎并过粗筛制成散剂。每次服用三至四钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。不拘时间温服。
治疗骨蒸、五心烦热、眼目昏涩、肢节酸痛、无法进食，适宜服用升麻散方。
药材：川升麻（一两），黄连（一两，去须），枳壳（一两，麸炒至微黄，去瓤），栀子仁（三分），生干地黄（一两，微红，锉碎）。
以上药材，捣碎并过粗筛制成散剂。每次服用三钱，加水一中盏，放入生姜半分，煎煮至剩余六分药液，滤去药渣。饭后温服。
治疗骨蒸烦热日久、逐渐消瘦，适宜服用獭肝丸方。
药材：獭肝（一具，炙至黄色），柴胡（一两半，去苗），玄参（一两），知母（一两），大麻仁（二两），子芩（一两），灵盖（一两，涂酥炙）。
以上药材，捣罗成细末，用炼蜜调和，捣杵三五百下，制成梧桐子大小的丸药。每次服用时，用童子小便浸泡豆豉一合，经一夜后，取汁送服丸药。
治疗骨蒸劳气烦热、四肢无力、夜间盗汗、唇口干焦、面色无血色、日渐消瘦，男女皆适宜服用此方。
药材：胡黄连（二两），柴胡（二两，去苗），鳖甲（二两，生用）。
以上药材，捣细罗成细散。每次服用一钱，用生姜酒调匀。每日早晨、中午、睡前各服一次。
When bone-steaming (Gu Zheng, a condition characterized by deep-seated heat feeling as if steaming the bones) presents with vexation and heat, it is due to insufficiency of Yin Qi and excess of Yang Qi. Consequently, heat arises both internally and externally; this is not caused by pathogenic factors invading from the exterior.
For treating bone-steaming with deficiency-induced vexation, mild fever resembling feathers covering the body (Xi Xi Fa Re), and soreness and pain in the bone joints, the Maidong San Decoction is indicated.
Ingredients: Ophiopogonis Radix (Maidong, 1.5 liang, heart removed, baked); Aurantii Fructus Immaturus (Zhike, 3 fen, stir-baked with bran until slightly yellow, pith removed); Cimicifugae Rhizoma (Chuan Shengma, 3 fen); Paeoniae Radix Rubra (Chishao, 3 fen); Scutellariae Radix (Huangqin, 3 fen); Sesami Semen Nigrum (Ziren, 3 fen).
Preparation: The above ingredients are coarsely ground and sieved to make a powder. Each dose consists of 4 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and take warm after meals.
For treating bone-steaming with vexation and heat in the Heart and Lungs, rapid breathing, sticky saliva that does not clear, dry lips, and progressive emaciation, the Tiandong San Decoction is indicated.
Ingredients: Asparagi Radix (Tiandong, 1.5 liang, heart removed, baked); Peucedani Radix (Qianhu, 3 fen, radix removed); Poria Cocos with Red Bark (Chifuling, 1 liang); Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen, honey-fried until slightly red, cut into small pieces); Cimicifugae Rhizoma (Chuan Shengma, 3 fen).
Preparation: The above ingredients are coarsely ground and sieved to make a powder. Each dose consists of 4 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and take warm after meals.
For treating bone-steaming with vexation and heat in the hands and feet, excessive thirst, and anorexia, the Lugen San Decoction is indicated.
Ingredients: Phragmitis Rhizoma (Lugen, 2 liang, cut into pieces); Poria Cocos with Red Bark (Chifuling, 1 liang); Anemarrhenae Rhizoma (Zhimu, 1 liang); Ophiopogonis Radix (Maidong, 1.5 liang, heart removed, baked); Scutellariae Radix (Huangqin, 3 fen); Cortex Lycii (Digupi, 3 fen).
Preparation: The above ingredients are coarsely ground and sieved to make a powder. Each dose consists of 4 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and take warm after meals.
For treating bone-steaming with vexation and heat, pain in the four limbs, and oppression/stuffiness in the back and shoulders, the Chifuling San Decoction is indicated.
Ingredients: Poria Cocos with Red Bark (Chifuling, 1 liang); Bupleuri Radix (Chaihu, 1.5 liang, stems removed); Cortex Lycii (Digupi, 3 fen); Testudinis Carapax et Plastrum (Biejia, 1.5 liang, coated with vinegar and fried until slightly yellow, skirt edges removed); Mori Cortex (Sangbaipi, 3 fen); Natrii Sulfas (Puxiao, 3 fen).
Preparation: The above ingredients are coarsely ground and sieved to make a powder. Each dose consists of 3-4 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and take warm at any time.
For treating bone-steaming with vexation and heat in the five centers (palms, soles, and chest), blurred vision, soreness and pain in the joints, and inability to eat, the Shengma San Decoction is indicated.
Ingredients: Cimicifugae Rhizoma (Chuan Shengma, 1 liang); Coptidis Rhizoma (Huanglian, 1 liang, fibrous roots removed); Aurantii Fructus Immaturus (Zhike, 1 liang, stir-baked with bran until slightly yellow, pith removed); Gardeniae Fructus (Zhizi, 3 fen); Rehmanniae Radix Preparata (Sheng Dihuang, 1 liang, slightly red, cut into pieces).
Preparation: The above ingredients are coarsely ground and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhong of water and half a qian of fresh ginger until reduced to six-tenths of the original volume. Strain and take warm after meals.
For treating long-standing bone-steaming with vexation and heat leading to progressive emaciation, the Tai Gan Wan Pill is indicated.
Ingredients: Hystricis Cor (Tailan, one piece, roasted until yellow); Bupleuri Radix (Chaihu, 1.5 liang, stems removed); Scrophulariae Radix (Xuanshen, 1 liang); Anemarrhenae Rhizoma (Zhimu, 1 liang); Cannabis Fructus (Damaoren, 2 liang); Scutellariae Radix (Ziqin, 1 liang); Lingzhi (Lingcai, 1 liang, coated with butter and roasted).
Preparation: The above ingredients are finely ground into powder. Honey is added, and the mixture is pounded three to five hundred times. Form pills the size of paulownia seeds. For each dose, soak one he of fermented soybeans (Chidou) in urine of a young boy overnight, then use the liquid to swallow the pills.
For treating bone-steaming labor qi with vexation and heat, weakness in the four limbs, night sweats, dry and cracked lips, lack of color in the face, and daily emaciation, this formula is suitable for both men and women.
Ingredients: Picrorhizae Rhizoma (Huhuanglian, 2 liang); Bupleuri Radix (Chaihu, 2 liang, stems removed); Testudinis Carapax et Plastrum (Biejia, 2 liang, used raw).
Preparation: The above ingredients are finely ground and sieved to make a powder. Each dose is 1 qian, mixed with ginger-infused wine. Take once each morning, noon, and before bed.