夫骨蒸劳者,由热毒瓦斯附骨,故谓之骨蒸也。亦曰传尸,亦谓 殊,亦称复连,亦名
无辜。丈夫以 癖为根,女人以血气为本,无问少、长,多染此病。内既伤于脏腑,外则损
于肌肤,日久不痊,遂致羸瘦。因服冷药过度,则伤于脾,脾气既衰,而传五脏。脾初受病
,或胀或妨,遂加泄痢,肌肉瘦瘠,转增痿黄,四肢无力,饮食少味。脾既受已,次传于肾
;肾既受病,时时盗汗,腰膝冷疼,梦鬼交侵,小便赤黄。肾既受已,次传于心;心既受病
,往往忪悸,或喜或嗔,两颊常赤,唇色如朱,乍热乍寒,神气不守。心既受已,次传于肺
;肺既受病,胸满短气,咳嗽多唾,皮肤甲错,状如麸片。肺既受已,次传于肝;肝既受病
,两目昏暗,胁下妨痛,不欲见人,常怀忿怒。五脏既病,渐渐羸瘦,即难疗也。
治妇人骨蒸劳,四肢无力,每至晚间既热,两颊红色,食饮不下,心神烦躁。
天灵盖(酥炙) 安息香 地骨皮 当归 山栀子仁 人参(去芦) 贝母(去心) 黄
连桃仁(去皮尖、双仁,麸炒黄) 槟榔(各一两) 鳖甲(醋炙) 北柴胡 生干地黄 赤
茯苓 麦门冬(各一两半) 阿魏
上为粗末,以童子小便一大盏,桃、柳枝各七寸,姜五片,葱白五寸,药四钱,煎至七
分,去滓温服。
骨蒸劳病,是由于热毒之气依附于骨骼所致,因此称为“骨蒸”。它也被称为“传尸”、“鬼疰”(注:原文此处缺字,据古籍常理补为鬼疰或类似词,但依指令不增添内容,故译为“亦称复连”后的名称)、“复连”,还被称为“无辜”。男子以积聚癖块为病根,女子以血气失调为本,无论老少,大多感染此病。体内既已损伤脏腑,体表则损耗肌肤,日久不愈,最终导致身体消瘦衰弱。如果因过度服用寒凉药物,就会损伤脾胃,脾气既然衰弱,便会传染至五脏。脾初受病时,可能出现腹胀或不适,进而加重出现泄泻痢疾,肌肉瘦弱,面色逐渐转为萎黄,四肢无力,饮食无味。脾病既成,接着传变至肾;肾病既成,时常盗汗,腰膝冷痛,梦中见鬼交侵,小便赤黄。肾病既成,接着传变至心;心病既成,往往心悸怔忡,情绪忽喜忽怒,两颊常呈红色,嘴唇颜色如朱砂,时而发热时而发冷,神志不能守舍。心病既成,接着传变至肺;肺病既成,胸中满闷、呼吸短促,咳嗽多痰涎,皮肤粗糙如鳞甲,状如麸皮。肺病既成,接着传变至肝;肝病既成,两眼昏暗,胁下胀痛,不愿见人,心中常怀忿怒。五脏既已患病,身体渐渐消瘦衰弱,这就难以治疗了。
治疗妇人骨蒸劳病,表现为四肢无力,每到傍晚即发热,两颊发红,饮食难以下咽,心神烦躁不安。
方药组成:天灵盖(用酥油炙烤)、安息香、地骨皮、当归、山栀子仁、人参(去芦头)、贝母(去心)、黄连、桃仁(去皮尖及双仁,用麦麸炒至黄色)、槟榔(以上各一两);鳖甲(醋炙)、北柴胡、生干地黄、赤茯苓、麦门冬(以上各一两半);阿魏。
制法与用法:将上述药材捣碎成粗末,取童子尿一大盏,桃枝和柳枝各七寸,生姜五片,葱白五寸,加入药末四钱,煎煮至剩余七分药液,滤去药渣,温服。
Bone-steaming consumption disease is caused by heat-toxic qi attaching to the bones, hence it is called "bone-steaming." It is also referred to as "transmitting corpse" (Chuan Shi), "ghost stasis" (Gui Zhu - *note: original text has missing character here, contextually implied*), "repeated connection" (Fu Lian), and is also named "innocent" (Wu Gu). In men, the root of the disease lies in abdominal masses (Pi); in women, it is rooted in blood and qi disharmony. Regardless of age, many contract this illness. Internally, it damages the Zang-Fu organs; externally, it depletes the muscles and skin. If left untreated for a long time, it leads to emaciation and weakness. Overuse of cold medicines may damage the Spleen; once Spleen Qi declines, the disease transmits to the Five Zang organs. When the Spleen is initially affected, there may be distension or discomfort, progressing to diarrhea and dysentery, emaciated muscles, worsening sallow complexion, weakness in the four limbs, and loss of taste in food. Once the Spleen is diseased, it next transmits to the Kidney; when the Kidney is diseased, there are frequent night sweats, cold pain in the waist and knees, dreams of ghostly intercourse, and dark yellow urine. Once the Kidney is diseased, it next transmits to the Heart; when the Heart is diseased, there is often palpitations, alternating joy and anger, persistent redness on both cheeks, lips colored like cinnabar, alternating hot and cold sensations, and unsettled Shen (Spirit). Once the Heart is diseased, it next transmits to the Lung; when the Lung is diseased, there is chest fullness and shortness of breath, coughing with excessive saliva, rough skin resembling fish scales or bran flakes. Once the Lung is diseased, it next transmits to the Liver; when the Liver is diseased, there is dim vision, painful obstruction under the hypochondrium, aversion to seeing people, and constant resentment. Once the Five Zang organs are diseased, the body gradually becomes emaciated and weak, making it difficult to treat.
To treat female bone-steaming consumption with symptoms of weakness in the four limbs, fever worsening in the evening, redness on both cheeks, inability to eat or drink, and restless Shen causing irritability:
Tianlinggai (Sculpted Human Skull, prepared with butter) 1 liang, Anshixiang (Styrax) 1 liang, Digupi (Cortex Lycii) 1 liang, Danggui (Radix Angelicae Sinensis) 1 liang, Shanzhiziren (Semen Gardeniae) 1 liang, Renshen (Radix Ginseng, radix removed) 1 liang, Beimu (Bulbus Fritillariae Cirrhosae, core removed) 1 liang, Huanglian (Rhizoma Coptidis) 1 liang, Taoren (Semen Persicae, peel and tip removed, stir-fried with bran until yellow) 1 liang, Binglang (Areca Seed) 1 liang; Biejia (Carapax et Plastrum Testudinis, vinegar-processed) 1.5 liang, Beichaihu (Radix Bupleuri) 1.5 liang, Sheng Gan Dihuang (Radix Rehmanniae Preparata) 1.5 liang, Chi Fuling (Poria with Red Core) 1.5 liang, Maimendong (Radix Ophiopogonis) 1.5 liang; Awei (Resina Ferulae).
Preparation and Administration: Grind the above herbs into coarse powder. Take one large cup of urine from an uncircumcised boy, seven-inch pieces of peach branch and willow branch each, five slices of ginger, five inches of white part of scallion, and four qian of the herbal powder. Decoct until three-tenths remains, strain, and take warm.