夫骨蒸劳者，由于积热附于骨而名也。亦曰传尸、 ，复连、无辜，其名不一，此病皆由
肺胃亏损所致。其形羸瘦、泄痢、肢体无力。传于肾，则盗汗不止，腰膝痛，梦鬼交侵，小
便赤黄；传于心，则心神怯悸，喜怒不时，颊唇赤色，乍热乍寒；传于肺，则胸满短气，咳
嗽吐痰，皮肤甲错；传于肝，则两目昏暗，胁下妨痛，闭户忿怒，五脏既病，则难治疗。立
斋云∶前症多因经行胎产，或饮食七情而伤脾胃之所致，又或病后失于调摄而成也。
东垣云∶发热之症，肺热者轻手乃得，微按全无，日西尤甚。其证咳嗽、寒热，轻者用
泻白
中大甚。其症心烦心痛，掌中热而哕，用黄连泻心汤、导赤散、朱砂安神丸。脾热者，轻手
扪之不热，重手按至筋骨又不热，不轻不重，在轻重之间，在肌肉也，遇夜尤甚，其症怠
惰嗜卧，四肢不收，无气以动，用泻黄散。肝热者，按之肌肉之下，至骨之上，寅卯时为甚，
其症四肢满闷，便难转筋，多怒，多惊，筋痿不能起于床，用泻青柴胡汤饮。肾热者，按至骨
分。甚热蒸手，其症骨酥如虫蚀，困热不能起于床，用滋阴丸，此治实热之法也。（蒸无实
热，即郁极化实，亦宜宣清滋化并用，诸方未可专恃。）
薛立斋云∶肺经虚热者，用人参补肺汤；脾虚不能生肺者，用六君子汤；脾热移于肺者
，用三黄丸；心经虚热者，用补心汤；命门火衰不能生土者，用八味丸；肝虚不能生心者，用补
肝散；肾克心者，用附子理中汤；脾经虚热者，用人参黄 散；土克水者，用承气汤；肾虚
不能培肝者，俱用六味丸。
所谓骨蒸劳，是因为积热附着在骨骼上而得名。它也被称为传尸、（注：原文此处缺字，通常指“鬼疰”或类似病名）、复连、无辜，名称不一，但这些病都是由肺胃亏损所导致的。其症状表现为形体消瘦、腹泻痢疾、肢体无力。如果病邪传至肾脏，则出现盗汗不止、腰膝疼痛、梦见鬼神交合侵扰、小便赤黄；如果病邪传至心脏，则心神怯弱惊悸、喜怒无常、脸颊嘴唇发红、忽冷忽热；如果病邪传至肺部，则胸中胀满、呼吸短促、咳嗽吐痰、皮肤粗糙如鳞甲；如果病邪传至肝脏，则两眼昏花、胁肋下胀痛、关起门来容易发怒，五脏既然都已受病，就很难治疗了。
薛立斋说：上述病症多因月经期间、怀孕生产，或者饮食不节、七情内伤而损伤脾胃所致，又或者是病后缺乏调养护理而形成的。
李东垣说：发热这类病症，如果是肺热，轻手触摸就能感觉到热度，稍微用力按压热度就消失，傍晚时分尤其严重。其症状为咳嗽、寒热往来，轻症用泻白散，重症加重使用。如果是心热，其症状为心烦心痛、手掌发热且呃逆，可用黄连泻心汤、导赤散、朱砂安神丸。如果是脾热，轻手抚摸不觉得热，重手按到筋骨也不觉得热，热度位于不轻不重的中间层次，即在肌肉层，夜间尤其严重，其症状为倦怠懒惰嗜睡、四肢松弛无力、没有力气活动，可用泻黄散。如果是肝热，按压在肌肉之下、骨骼之上，寅时卯时（凌晨3-7点）最为严重，其症状为四肢胀闷、大便困难且筋脉拘挛抽搐、易怒、易惊、筋痿软无法起床，可用泻青柴胡汤饮。如果是肾热，按至骨分，感觉热气蒸腾灼手，其症状为骨骼酥软如同被虫蛀蚀、困倦发热无法起床，可用滋阴丸，这是治疗实热的方法。（如果没有实热，就是郁结至极转化为实热，也应当宣通清利与滋阴化源并用，各种方剂不可专门依赖。）
薛立斋说：肺经虚热的，用人参补肺汤；脾虚不能生养肺金的，用六君子汤；脾热移于肺的，用三黄丸；心经虚热的，用补心汤；命门火衰不能生养脾土的，用八味丸；肝虚不能生养心火的，用补肝散；肾水克制心火的，用附子理中汤；脾经虚热的，用人参黄芪散；土气克制水气的，用承气汤；肾虚不能培补肝木的，都用六味丸。
The condition known as "Bone-steaming Consumption" (Gu Zheng Lao) derives its name from accumulated heat attaching to the bones. It is also referred to as "Chuan Shi" (Transmitting Corpse), [missing character in original text, likely referring to Ghost Stagnation], "Fu Lian", and "Wu Gu". Although names vary, these diseases are all caused by deficiency and damage of the Lung and Stomach. The physical presentation includes emaciation, diarrhea and dysentery, and limb weakness. If the pathogen transmits to the Kidney, symptoms include unremitting night sweats, pain in the lower back and knees, dreams of sexual intercourse with spirits, and dark yellow urine. If it transmits to the Heart, symptoms include a timid and palpitating spirit, irregular emotions of anger and joy, redness of the cheeks and lips, and alternating sensations of heat and cold. If it transmits to the Lung, symptoms include chest fullness, shortness of breath, coughing with expectoration, and skin resembling fish scales (Jia Cuo). If it transmits to the Liver, symptoms include dim vision, painful obstruction under the costal margin, irritability when behind closed doors; once the Five Zang organs are diseased, treatment becomes difficult.
Xue Lizhai stated: These preceding conditions are mostly caused by injury to the Spleen and Stomach due to menstruation, pregnancy, childbirth, improper diet, or emotional disturbances, or they arise from lack of proper care after illness.
Li Dongyuan stated: Regarding feverish conditions, if it is Lung Heat, heat can be felt with light touch but disappears upon slight pressure, worsening in the late afternoon. Symptoms include cough and alternating chills and fever; for mild cases, Xie Bai San (White Powder Decoction to Drain the Lung) is used, increasing dosage for severe cases. If it is Heart Heat, symptoms include mental restlessness and heart pain, heat in the palms, and hiccups; Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart), Dao Chi San (Guide Out Redness Powder), and Zhusha Anshen Wan (Cinnabar Calming Spirit Pill) are used. If it is Spleen Heat, light touch does not reveal heat, nor does heavy pressure reaching the sinews and bone; the heat lies in the intermediate layer of the muscles, worsening at night. Symptoms include lethargy, drowsiness, flaccidity of the four limbs, and lack of energy to move; Xie Huang San (Yellow Powder Decoction to Drain the Spleen) is used. If it is Liver Heat, pressure between the muscles and bones reveals heat, peaking during Yin and Mao hours (3:00-7:00 AM). Symptoms include distension and stuffiness in the four limbs, difficulty in defecation with tendon spasms, irritability, fright, and tendon flaccidity preventing one from rising from bed; Xie Qing Chaihu Tang Yin (Green Draining Bupleurum Decoction Drink) is used. If it is Kidney Heat, pressure reaches the bone level, feeling steaming and burning hot. Symptoms include bone fragility as if eaten by insects, and inability to rise from bed due to fatigue and heat; Zi Yin Wan (Nourish Yin Pill) is used. This is the method for treating Excess Heat. (If there is no Excess Heat, it implies stagnation has transformed into excess; both clearing/dispersing and nourishing yin should be combined; one cannot rely solely on specific formulas.)
Xue Lizhai stated: For Deficient Heat of the Lung Meridian, use Renshen Bufei Tang (Ginseng Tonifying Lung Decoction); for Spleen Deficiency failing to generate Lung Metal, use Liu Junzi Tang (Six Gentlemen Decoction); for Spleen Heat transferring to the Lung, use Sanhuang Wan (Three Yellows Pill); for Deficient Heat of the Heart Meridian, use Buxin Tang (Tonify Heart Decoction); for Decline of Mingmen Fire failing to generate Earth, use Ba Wei Wan (Eight Flavor Pill); for Liver Deficiency failing to generate Heart Fire, use Bukgan San (Tonify Liver Powder); for Kidney Water overacting on Heart Fire, use Fuzi Lizhong Tang (Aconite Regulate Middle Decoction); for Deficient Heat of the Spleen Meridian, use Renshen Huangqi San (Ginseng and Astragalus Powder); for Earth overacting on Water, use Chengqi Tang (Assist Qi Decoction); for Kidney Deficiency failing to nurture Liver Wood, use Liuwei Wan (Six Flavor Pill).