此证父子、兄弟、夫妻，患病传染，相延数世，甚至灭门者，实有劳虫出死入生，群书绘形
，逐世变易，计九种，弱人切宜防避。万病解毒玉枢丹（方见蛊毒）治传尸劳，每用一锭，鸡鸣
时磨服，俟下恶物，或有形，或如乱发、红丝亦是也。次进饮食。未下，明早再服，下为度。又
榧子百枚，空心食，杀虫。
又 尸虫。雄黄（一两，水飞） 松香（一两） 溶化和丸莲子大，平旦吞一丸，七日虫尽出。
苏合香丸 用石榴皮、桃、柳、梅、桑枝、青蒿、鬼臼、赤箭煎汤服。
又 桃仁（百二十粒，泡去皮），捣、为丸，平旦水服完，饮酒至醉；未下再服，忌肉百
日。
尸虫、骨蒸∶百部（一斤，酒炒），青蒿子（八两）为末，蜜丸。每百丸，早晚米汤下。泻
，减服。
经曰∶内夺而厥，则为喑俳，皆肾虚也（俳者废也）。盖心为音声之主，肺为声音之门，肾
为音声之根。舌乃心之苗，故心绝者，舌不能转而为言也。然而又有暴感风邪咽闭者，有因争兢
叫伤者，有因歌唱损气者，风寒暑湿燥火，并可干于音声，皆为易治。惟酒色过度，肾脏亏伤，
不能纳气归元，气奔咽嗌，嗽痰喘胀，诸病杂揉，致气乏失音者，俗名哑劳是也，神人莫疗。脉
浮紧为风寒，洪大为火，滑为痰，微弱气虚，惟细数、急涩危候。
主方 桔梗 甘草 茯苓 陈皮 石菖蒲 木通 诃子（煨，取皮。各等分）加灯心捻枝
，水煎，食后服。
风寒，冬加麻黄、杏仁，少加桂枝；夏，紫苏、葛根、前胡。痰，半夏、竹沥、姜汁少许。
火加芩、连、栀、翘、玄参、薄荷。嗽加金沸草、麦冬、贝母。咽痛，山根、射干、牛蒡。热痰
壅盛，音不出，盐汤探吐之。便秘，大柴胡汤。感湿、哑，不换金正气散（并见伤寒）。诸风，
哑加防风、羌活、僵蚕。痰多，甘，桔、诃子煎汤，吞滚痰丸（痰门）。
龙脑膏 治讴歌叫伤，及痰火等诸般失音。
薄荷叶（四两） 甘草 桔梗 连翘（各二两半） 百药煎（二两，如无，用五倍子） 川
芎（两半） 诃子（皮） 砂仁 大黄（酒蒸热。各一两）
为末，鸡子清和，临睡噙化。
肃音汤 一切痰火，劳瘵失音。
麦门冬（二钱） 桔梗 茯苓（各一钱） 橘红 甘草（各七分） 杏仁（七粒，研）
取金竹刮茹一团，劈取竹衣（一钱） 竹叶（十片）水煎，加竹沥服。
杏仁煎 治咳嗽音不出。
杏仁（泡去皮尖，捣如泥） 蜂蜜 姜汁 砂糖（各一盏） 桑皮（去赤皮，炒） 木通
贝母 北五味 紫菀茸（各一两） 石菖蒲 款冬花（各五钱）
上咀，水五碗，煎半，去渣；入杏、姜、糖、蜜，微火煎至二碗，两日夜服。
风寒留滞∶桂花二钱，石菖蒲一钱，煎，细细呷。
火盛失音∶桔梗（两半） 甘草（二寸半，生、炙各半），诃子（四个取肉），分二服，水
煎，入童便服。
缠喉风闭∶靛花、薄荷叶等分为末，蜜丸噙化。
简便方 萝卜捣汁，入姜汁少许，慢呷。治痰闭，陈皮五两，水煎顿饮。
又 诃子，水煮软，入蜜煮干，常噙一个，慢咽汁，少时徐嚼咽。
这种病症在父子、兄弟、夫妻之间相互传染，延续数代，甚至导致全家死亡，确实是因为有“劳虫”（一种致病寄生虫）从死人身上生出并进入活人身体。各类医书描绘了其形态，称其每代形态变化不同，共计九种，体弱之人尤其应当防范躲避。万病解毒玉枢丹（方剂见蛊毒章节）用于治疗传尸劳（即肺结核等慢性消耗性传染病），每次服用一锭，在鸡鸣时分磨碎后服用，等待排出恶臭污物，这些污物可能有形状，或者像乱发、红丝一样。随后再进食。如果未排便，次日清晨再次服用，以排出污物为度。另外，空腹食用一百枚榧子，可以杀虫。
另有治疗尸虫的方法：雄黄（一两，用水飞法研磨）、松香（一两），熔化混合制成如莲子大小的药丸，清晨吞服一丸，七日后虫子即可全部排出。苏合香丸配合石榴皮、桃枝、柳枝、梅枝、桑枝、青蒿、鬼臼、赤箭煎汤送服。
还有用桃仁（一百二十粒，浸泡去皮），捣碎制成药丸，清晨用水送服完毕，然后饮酒至醉；若未排便可再次服用，期间忌食肉类一百天。
针对尸虫、骨蒸（结核病常见的潮热症状）：百部（一斤，酒炒制）、青蒿子（八两）研成粉末，蜂蜜炼丸。每次服用一百丸，早晚用米汤送下。如果出现腹泻，减少剂量。
经典医籍记载：“体内精气被夺且发生厥逆，就会导致失音和瘫痪，这都是肾虚所致（俳指废用/瘫痪）。心是声音的主宰，肺是声音的门户，肾是声音的根本。舌是心的外候，所以心气绝者，舌头不能转动从而无法言语。然而又有因突然感受风邪导致咽喉闭塞的，有因争吵叫喊损伤声带的，有因歌唱过度耗损元气的，风寒暑湿燥火六淫之邪，均可干扰音声，这些都容易治疗。唯有因酒色过度，肾脏亏损受伤，不能纳气归元，气机上奔至咽喉，咳嗽痰多气喘腹胀，各种病症混杂，导致气虚失音的，俗称哑劳，神仙也难以治愈。脉象浮紧表示风寒，洪大表示火邪，滑表示痰饮，微弱表示气虚，只有细数或急涩的脉象属于危重证候。
主方：桔梗、甘草、茯苓、陈皮、石菖蒲、木通、诃子（煨制，取皮，各等分），加入灯心草捻成的枝条，水煎，饭后服用。
若属风寒，冬季加麻黄、杏仁，少量桂枝；夏季加紫苏、葛根、前胡。若有痰，加半夏、竹沥、少许姜汁。若有火邪，加黄芩、黄连、栀子、连翘、玄参、薄荷。若咳嗽，加金沸草、麦冬、贝母。若咽痛，加山根（此处疑为笔误或别名，通常指山豆根或射干类，依原文保留）、射干、牛蒡。若热痰壅盛，声音不出，用盐汤催吐。若便秘，用大柴胡汤。若感湿邪致哑，用不换金正气散（均见伤寒章节）。若诸风致哑，加防风、羌活、僵蚕。若痰多，用甘草、桔梗、诃子煎汤，吞服滚痰丸（见痰门章节）。
龙脑膏：治疗唱歌叫喊损伤，以及痰火等各种原因导致的失音。薄荷叶（四两）、甘草、桔梗、连翘（各二两半）、百药煎（二两，若无可用五倍子代替）、川芎（一两半）、诃子（皮）、砂仁、大黄（酒蒸热，各一两）。研成粉末，用鸡蛋清调和，临睡前含化。
肃音汤：治疗一切痰火、劳瘵（肺结核）导致的失音。麦门冬（二钱）、桔梗、茯苓（各一钱）、橘红、甘草（各七分）、杏仁（七粒，研碎）。取金竹刮下的竹茹一团，劈取竹衣（一钱）、竹叶（十片），水煎，加入竹沥服用。
杏仁煎：治疗咳嗽声音出不来。杏仁（浸泡去皮尖，捣如泥状）、蜂蜜、姜汁、砂糖（各一盏）、桑皮（去赤皮，炒制）、木通、贝母、北五味子、紫菀茸（各一两）、石菖蒲、款冬花（各五钱）。以上药材切碎，加水五碗，煎至一半水量，去渣；加入杏仁、姜、糖、蜜，用小火煎至两碗，分两天一夜服用。
火盛失音：桔梗（一两半）、甘草（二寸半，生甘草和炙甘草各半）、诃子（四个取肉），分两次服用，水煎，加入童便服用。
This condition is contagious among fathers and sons, brothers, and husbands and wives, persisting through generations, even leading to the extinction of a family. This is truly due to "labor worms" (pathogenic parasites) emerging from the dead and entering the living. Various medical texts have depicted their forms, stating that they change with each generation, totaling nine types. Those with weak constitutions must be especially vigilant in prevention and avoidance. Wanbing Jiedu Yushu Dan (Prescription for Detoxifying All Diseases, Jade Pivot Pill; see section on Gu Poison) is used to treat Chuan Shi Lao (Transmitted Corpse Consumption, i.e., tuberculosis or similar chronic consumptive diseases). Take one pill, grind it when the rooster crows (early morning), and take it orally. Wait for the expulsion of foul matter; this matter may have shape, or resemble tangled hair or red silk. Then resume diet. If not expelled, take again early the next morning, until expulsion occurs. Additionally, eat one hundred Feizi (Chinkapin seeds) on an empty stomach to kill parasites.
Another method for corpse worms: Xionghuang (Realgar, 1 liang, prepared by water flotation) and Songxiang (Pine Rosin, 1 liang), melted and mixed into pills the size of lotus seeds. Swallow one pill at dawn; after seven days, all worms will be expelled. Suhe Xiang Wan (Styrax Pill) taken with decoction made from Shiliupi (Pomegranate Rind), Tao Zhi (Peach Twig), Liu Zhi (Willow Twig), Mei Zhi (Plum Twig), Sang Zhi (Mulberry Twig), Qinghao (Herba Artemisiae Annuae), Guijiu (Radix Paris Polyphyllae), and Chijian (Rhizoma Gastrodiae).
Another method: Taoren (Persicae Semen, 120 grains, soaked and peeled), pounded and formed into pills. Take with water at dawn until finished, then drink alcohol until drunk. If not expelled, take again. Avoid meat for one hundred days.
For corpse worms and Gu Zheng (Bone-steaming fever, typical of tuberculosis): Baibu (Stemonae Radix, 1 jin, stir-fried with wine) and Qinghaozi (Fructus Artemisiae Annuae, 8 liang) are powdered and formed into honey pills. Take one hundred pills each morning and evening with rice gruel. Reduce dosage if diarrhea occurs.
The Classics state: "When internal essence is depleted and reversal occurs, aphonia and paralysis result, all due to Kidney deficiency." (Paralysis refers to loss of function). The Heart is the master of voice/sound, the Lung is the gate of sound, and the Kidney is the root of sound. The tongue is the sprout of the Heart; thus, when Heart Qi fails, the tongue cannot move to produce speech. However, there are cases of sudden wind-pathogen invasion causing throat closure, cases of vocal cord injury from arguing and shouting, and cases of qi depletion from excessive singing. Wind, Cold, Summer-heat, Dampness, Dryness, and Fire can all interfere with voice, but these are easy to treat. Only those caused by excessive alcohol and sexual activity, damaging the Kidneys so they cannot grasp Qi and return it to its origin, causing Qi to rush to the throat, resulting in coughing, phlegm, wheezing, and distension, with various diseases mixing to cause Qi deficiency and aphonia—commonly known as "Mute Consumption"—are incurable even by divine beings. A floating-tight pulse indicates Wind-Cold; a flooding-large pulse indicates Fire; a slippery pulse indicates Phlegm; a weak pulse indicates Qi deficiency. Only a fine-rapid or rapid-choppy pulse indicates a critical prognosis.
Main Prescription: Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Shichangpu (Acori Tatarinowii Rhizoma), Mutong (Akebiae Caulis), Hezi (Chebulae Fructus, roasted, using only the peel, equal parts). Add Dengxincao (Junci Medullia) twisted branches, decoct in water, and take after meals.
If Wind-Cold: In winter, add Mahuang (Ephedrae Herba) and Xingren (Persicae Semen), with a small amount of Guizhi (Cinnamomi Ramulus); in summer, add Zisu (Perillae Folium), Gegen (Puerariae Radix), and Qianhu (Peucedani Radix). If Phlegm: add Banxia (Pinelliae Rhizoma), Zhuli (Nashi Bamboo Sap), and a little Jiangzhi (Zingiberis Rhizoma Recens Juice). If Fire: add Huangqin (Scutellariae Radix), Lianlian (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), and Bohe (Menthae Haplocalycis Herba). If Cough: add Jinfeicao (Boerhaviae Radix), Maidong (Ophiopogonis Radix), and Beimu (Fritillariae Cirrhosae Bulbus). If Sore Throat: add Shangen (likely referring to Shandougen or Shegan, kept as original text), Shegan (Belamcandae Rhizoma), and Niubang (Arctii Fructus). If Heat-Phlegm obstruction prevents voice: induce vomiting with salt water. If Constipation: use Dachaihu Tang (Major Bupleurum Decoction). If Dampness causes aphonia: use Buhuanjin Zhengqi San (Golden Exchange Upright Qi Powder; both see Shanghan section). If Wind causes aphonia: add Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Jiangcan (Bombyx Batryticatus). If excessive Phlegm: decoct Gancao, Jiegeng, and Hezi, and swallow Guntan Wan (Rolling Phlegm Pill; see Phlegm section).
Longnao Gao (Borneol Ointment): Treats aphonia due to singing/shouting injury, and various types caused by Phlegm-Fire. Boheye (Menthae Haplocalycis Folium, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus) (each 2.5 liang), Baiyaojian (Myrobalan Fermented Pill, 2 liang; if unavailable, use Wubeizi (Terminalia Chebulae Reticulata)), Chuanxiong (Ligustici Chuanxiong Rhizoma, 1.5 liang), Hezi pi (Chebulae Fructus Pericarpium), Sharen (Amomi Fructus), Dahuang (Rhei Radix et Rhizoma, steamed with wine while hot) (each 1 liang). Powder them, mix with egg white, and hold in mouth to dissolve before sleep.
Suyin Tang (Voice-Suppressing Decoction): Treats all Phlegm-Fire and Laozhai (Tuberculosis) causing aphonia. Maimendong (Ophiopogonis Radix, 2 qian), Jiegeng (Platycodonis Radix), Fuling (Poria) (each 1 qian), Juhong (Citri Reticulatae Pericarpium Rubrum), Gancao (Glycyrrhizae Radix et Rhizoma) (each 7 fen), Xingren (Persicae Semen, 7 grains, crushed). Take a ball of Jinzhugu (Bamboo Residue scraped from Golden Bamboo), Pi Quyi (Bamboo Interspace Membrane, 1 qian), Zhuye (Bambusa Leaves, 10 pieces). Decoct in water, add Zhuli (Nashi Bamboo Sap) and take.
Xingren Jian (Almond Decoction): Treats cough with inability to produce voice. Xingren (Persicae Semen, soaked, peeled, core removed, pounded to paste), Fengmi (Honey), Jiangzhi (Zingiberis Rhizoma Recens Juice), Shatang (Rock Sugar) (each 1 zhan), Sangpi (Mori Cortex, remove red skin, stir-fried), Mutong (Akebiae Caulis), Beimu (Fritillariae Cirrhosae Bulbus), Bei Wuwei (Schisandrae Chinensis Fructus), Ziwan Rong (Asteli Radix) (each 1 liang), Shichangpu (Acori Tatarinowii Rhizoma), Kuandonghua (Farfarae Flos) (each 5 qian). Cut the herbs, add five bowls of water, decoct until half remains, strain; add almond, ginger, sugar, and honey, decoct over low heat until two bowls remain. Take over two days and nights.
Wind-Cold Stagnation: Guihua (Osmanthus Flower, 2 qian), Shichangpu (Acori Tatarinowii Rhizoma, 1 qian), decoct and sip slowly.
Excessive Fire Causing Aphonia: Jiegeng (Platycodonis Radix, 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2.5 cun, half raw half roasted), Hezi rou (Chebulae Fructus Flesh, 4 fruits). Divide into two doses, decoct in water, add Tongbian (Child's Urine) and take.
Chantou Feng Bi (Throat-Winding Wind Obstruction): Dianhua (Indigo Naturalis), Boheye (Menthae Haplocalycis Folium) in equal parts, powder, form into honey pills, hold in mouth to dissolve.
Simple Prescription: Luobo juice (Radish Juice), add a little Jiangzhi (Zingiberis Rhizoma Recens Juice), sip slowly. Treats Phlegm obstruction: Chenpi (Citri Reticulatae Pericarpium, 5 liang), decoct in water and drink at once.
Another Method: Hezi (Chebulae Fructus), boil in water until soft, add Honey and boil until dry. Often hold one in mouth, slowly swallow the juice, and after a while chew and swallow slowly.