此由斫丧过度,肾水亏竭,相火独炽,不能摄精,易于倾泄。或吐泻大病后;或伤寒证新瘥
,交接
狂纵,忽致脱绝。其证四肢厥冷,小腹急痛,外肾吊缩,短气不续,冷汗神昏。急宜捣姜、葱炒
熨脐腹。煎独参汤或五积散,或理中汤(方见中寒)。更以姜汁、好酒热灌,根据中寒门灸法。
(附∶传尸)
经曰∶有所劳倦,形气衰少, 气不盛,上焦不行,下脘不通,胃气热,热气熏胸中故内热
。又曰∶阴气者,静则神藏,躁则消亡。又曰∶神静则阴生,形役则阳亢,阴虚生内热,阳虚生
外寒。夫虚劳者,五劳、七伤、六极是也。五劳者,心劳则悸惕善忘,口舌生疮;肝劳则面黑目
昏,精神不守;脾劳则舌本若直,不得咽唾;肺劳则短气面浮,不闻香臭;肾劳则背难俯仰,余
沥茎痛,囊湿生疮,小腹满急。七伤者,大饱伤脾,脾伤善噫,倦卧面黄;大怒伤肝,肝伤失血
,目暗不明;强力举重,久坐湿地伤肾,肾伤少精,腰脊强痛,厥逆下冷;形寒饮冷伤肺,肺伤
少气,咳嗽鼻鸣;忧愁思虑伤心,心伤苦惊,怔忡健忘;风湿寒暑伤形,形伤则发肤枯槁,恐惧
不节伤志,志伤则恍惚不乐。六极者,气极令人内虚,五脏不足,不欲多言;血极令人无颜色,
眉发落坠;筋极令人数转筋,指爪甲痛,苦倦不能立久;骨极令人瘦削齿痛,手足烦疼,立不欲
行;肌极令人羸疲无泽,不生肌肉;精极令人少气,翕翕然内虚。感病之始必因形体虚弱,劳损
心神。七情六欲,妄动阳火;房劳斫丧,致耗真阴。或风寒疟痢,咳嗽痰饮,日久变成。渐至朝
凉夜热,盗汗遗精,咯吐脓血,烦躁咽干。病机不可胜言,无出阴虚阳盛,火邪燔灼,最宜绝欲
藏言,澄心静虑,内观自养,乃得阳伏阴生。若至音哑肉削,女子血枯经闭,卢扁莫疗。凡脉
洪大者犹可治,细数急涩者难调,宜滋阴抑阳,壮水制火,养血益气,和胃健脾。药忌寒凉,食
戒生冷。
主方 当归 白芍 生地 天冬 麦冬 黄柏(盐炒) 知母(生) 白术 陈皮(等分)
甘草(减半) 加姜、枣煎,入竹沥、童便各半盏,姜汁二匙服。
夜热加骨皮、秦艽;昼热加丹皮;血痰加天冬、紫菀、阿胶;肺火,玄参、片芩、枇杷叶、
石膏;肾虚,山萸、枸杞;胸满加枳壳、桔梗;腰痛膝软加牛膝、杜仲、破故纸、石斛、山药;
泄泻加莲肉、扁豆、山药、苡仁;小便不利,石莲、车前、滑石;咽痛,甘草、桔梗、山豆根;
音不出,诃子(浸软,蜜煮,噙)。加减法与虚损参用。
抑阳丸 虚劳初甚,形肉未脱,最宜退热为急务。虽有泄泻等证,皆由热致,热除泻止。
若病者迁延,药力怠缓,其热昼夜煎熬,故血涸水枯,津液干竭,真阴顿绝,内热愈炽,何异烈
焰!肺金受害尤剧,痰涎壅盛,喉音渐哑,肌肉瘦削,必不起矣。热退止服。
人中黄 人中白(研细) 鳖甲(童便或醋炙,研极细)。青蒿(秋冬用子) 当归(各二
两) 麦门冬 地骨皮(各两半)
上为末,猪胆十个,取汁和水叠丸绿豆大,每服百丸, 白汤送下,日三服。鳖甲同龟甲煎
胶,入猪胆和丸尤妙。
黄 益损汤 男、妇、童男、女诸虚不足,五劳七劳,骨蒸盗汗,咽干痰嗽,咯吐血丝,
寒热颊赤,神昏不食。服热药烦躁、冲满;寒药膈塞、腹痛。
黄 人参 石斛 白术 当归 茯苓 川芎 白芍 熟地 山药 丹皮 麦冬(各六分)
木香(另磨) 肉桂 甘草(各二分) 五味子(五粒)
上咀,水盏半,姜三片,枣一枚,小麦五十粒,乌梅一个,煎七分服。
鳖甲散 虚劳客热,肌肉消瘦,烦热心悸,盗汗食少,多渴嗽血。
鳖甲 黄 青蒿(净叶) 知母 秦艽 紫菀 地骨皮 银柴胡 怀生地 赤芍药 桔梗
甘草(等分)
上加枇杷叶(三片,去毛),水煎服。虚加人参、天门冬、五味、茯苓。
太平丸 治阴虚咳嗽,吐呕咯血,骨蒸虚劳诸证(白汤调服亦可)。
天门冬 麦门冬 知母 贝母 冬花 杏仁(各二两) 生地黄 熟地黄 当归 黄连 阿
胶(各两半) 蒲黄(炒黑) 京墨(火 ) 桔梗 薄荷(各一两) 麝香(不用亦可)
为末,蜜和丸龙眼大,噙化服。
犀角丸 治骨蒸劳热等证效。
犀角屑 鳖甲(打) 枳壳 黄连(各一两) 龙胆草 贝母 升麻(各三钱) 乌梅肉(三
两) 秦艽(二两) 软柴胡(一两五钱)
上末,乌梅蒸,捣入猪胆汁(二合),炼蜜和捣,丸桐子大,每服三十丸,不时米汤下。忌
猪肉、苋。
坎离膏 治劳瘵发热,阴虚火动,咳嗽吐衄,咳、咯血,喘急盗汗。
黄柏(炒) 知母(各四两) 生地黄 熟地黄 天冬 麦冬(各二两) 杏仁(净,研,
七钱) 胡桃肉(去衣) 蜂蜜(各四两)
先将柏、知,童便八碗,添侧柏叶(二两) 煎四碗,去渣;次将二冬、地入汁,添水二碗,
煎二碗;将众渣捣细,水二碗,煎一碗,共三碗;杏、桃捣如泥,同蜜入汁,慢火熬成膏。瓷器
盛贮,坐水内一日出火毒。每服数匙,扁柏汤下。
生津止嗽膏 悉尼汁(十钟) 藕汁 鲜地黄汁 茅根汁(各五钟) 麦门冬汁 萝卜汁(
各二钟半) 滤净,入新砂锅煎减半,入白蜜(八两),饴糖(四两),姜汁(少许)。有血加扁柏
(入童便捣,)韭汁、茜根汁各半钟熬膏,每半钟温服。
简便方 除骨蒸,祛鬼气。童便五碗,青蒿汁五碗,砂锅煎至三碗,滤净,慢火熬至二碗
;入猪胆汁三枚,煎至半碗许,入甘草末,捣千下,丸如桐子大,每五十丸,空心米汤下。
又 童便二钟,无灰酒一钟,新瓷器盛,入猪腰子一对,重汤煮过夜。五更,腰、汁同食,多
乃效。煮鸡子亦可。
又 胡黄连末(一钱),蜜汤下。或羚羊角末(一钱),温水下。
又 生地黄汁一斤,蜜四两熬稠,频服。或苦参末(一两),芒硝(三钱),蜜丸汤下。
虚劳不眠,酸枣仁(一两,炒、研),水二盏,绞汁,地黄汁一合,米(二合)煮粥食。
这是由于过度耗损,导致肾水枯竭,相火(寄居于肝肾的命门之火)独旺,无法固摄精液,容易滑泄。或者在大吐、大泻等重病之后;或者是伤寒病刚痊愈时,行房事放纵无度,突然导致阳气脱绝。其症状表现为四肢冰冷,小腹部拘急疼痛,外生殖器收缩上吊,呼吸短促接不上气,出冷汗且神志昏迷。此时应立即捣碎生姜和葱白炒热后熨烫脐部及腹部。煎服独参汤或五积散,或者理中汤(方剂见中寒章节)。再用姜汁和好酒加热灌服,并参照中寒门的灸法治疗。
(附:传尸劳瘵)
经典记载:凡是因劳累疲倦,导致形体衰弱、正气不足,宗气不盛,上焦之气不通畅,下脘闭塞不通,胃气郁而化热,热气熏蒸胸中,所以产生内热。又说:阴气主静,静则神气内藏,躁动则神气消亡。又说:神志宁静则阴气生,形体过劳则阳气亢盛,阴虚则生内热,阳虚则生外寒。所谓虚劳,就是指五劳、七伤、六极。五劳是指:心劳则心悸惊恐、健忘,口舌生疮;肝劳则面色发黑、目视昏花,精神不能守舍;脾劳则舌根僵硬,吞咽唾液困难;肺劳则气短面浮,嗅觉失灵;肾劳则背部难以俯仰,小便余沥不尽、阴茎疼痛,阴囊潮湿生疮,小腹胀满急迫。七伤是指:吃得太饱损伤脾胃,脾伤则容易嗳气,倦怠嗜卧、面色发黄;大怒损伤肝脏,肝伤则失血,视力昏暗不明;强力举重、久坐湿地损伤肾脏,肾伤则精气减少,腰脊强痛,下肢厥冷;身体受寒、饮食生冷损伤肺脏,肺伤则气少,咳嗽、鼻鸣;忧愁思虑损伤心脏,心伤则苦于惊悸,怔忡健忘;风湿寒暑损伤形体,形体受伤则皮肤毛发枯槁;恐惧无度损伤意志,意志受伤则神情恍惚不乐。六极是指:气极使人内脏虚弱,五脏不足,不想多说话;血极使人面无血色,眉毛头发脱落;筋极使人频繁转筋,指甲疼痛,极度疲倦不能久立;骨极使人消瘦齿痛,手足烦疼,站立都不想行走;肌极使人瘦弱疲惫无光泽,不长肌肉;精极使人气短,感觉体内空虚发热。感病之初必定是因为形体虚弱,劳损心神。七情六欲妄动,引动阳火;房事过度耗损,致使真阴亏损。或者是风寒疟疾痢疾、咳嗽痰饮,日久演变而成。逐渐出现早晨凉晚上热,盗汗遗精,咯吐脓血,烦躁咽干。病机复杂不可胜言,无非是阴虚阳盛,火邪焚烧灼伤,最应当断绝性欲、少说话,使心境澄澈、思虑安静,向内观照自我修养,才能使阳气潜伏、阴气滋生。如果发展到声音嘶哑、肌肉削瘦,女子血枯经闭,即使是卢医(扁鹊)也无力医治。凡是脉象洪大的还可以治疗,脉象细数急涩的就难调理,适宜滋阴抑阳,壮水制火,养血益气,和胃健脾。药物忌用寒凉,食物戒除生冷。
主方:当归、白芍、生地、天冬、麦冬、黄柏(盐炒)、知母(生用)、白术、陈皮(以上等分),甘草(减半量)。加入生姜、大枣煎煮,兑入竹沥、童便各半盏,姜汁两匙服用。
夜间发热加地骨皮、秦艽;白天发热加牡丹皮;痰中带血加天冬、紫菀、阿胶;肺火加玄参、黄芩片、枇杷叶、石膏;肾虚加山茱萸、枸杞;胸膈胀满加枳壳、桔梗;腰痛膝软加牛膝、杜仲、补骨脂、石斛、山药;腹泻加莲子肉、扁豆、山药、薏苡仁;小便不利加石莲子、车前子、滑石;咽痛加甘草、桔梗、山豆根;失音加诃子(浸软后用蜜煮,含服)。加减法与虚损病症参考使用。
抑阳丸:适用于虚劳初起严重,但形体肌肉尚未脱失的情况,最紧急的任务是退热。即使有腹泻等症状,也都是由热引起的,热除则泻止。如果病人病情迁延,药效迟缓,热邪昼夜煎熬,导致血液枯竭、津液干竭,真阴骤然断绝,内热更加炽盛,这难道不像烈火一样吗!肺金受到的伤害尤为严重,痰涎壅盛,喉音逐渐嘶哑,肌肉瘦削,必然无法治愈。热退后停止服用此药。
人中黄、人中白(研细)、鳖甲(用童便或醋炙后研极细)、青蒿(秋冬季节用种子)、当归(以上各二两)、麦门冬、地骨皮(以上各一两半)。
以上研为末,取十个猪胆的汁,和水叠丸如绿豆大小,每次服用一百丸,白开水送下,每日三次。鳖甲同龟甲煎胶,加入猪胆汁和丸尤其奇妙。
黄芪益损汤:适用于男、女、童男、童女各种虚损不足,五劳七劳,骨蒸盗汗,咽干痰嗽,咯吐血丝,寒热往来脸颊发红,神志昏迷不思饮食。服用热药则烦躁、冲逆胀满;服用寒药则膈塞、腹痛。
黄芪、人参、石斛、白术、当归、茯苓、川芎、白芍、熟地黄、山药、丹皮、麦冬(以上各六分),木香(另磨粉),肉桂、甘草(以上各二分),五味子(五粒)。
以上切碎,用水一盏半,生姜三片,大枣一枚,小麦五十粒,乌梅一个,煎至七分服。
鳖甲散:适用于虚劳客热,肌肉消瘦,烦热心悸,盗汗食少,多渴咳嗽吐血。
鳖甲、黄芪、青蒿(净叶)、知母、秦艽、紫菀、地骨皮、银柴胡、怀地黄、赤芍药、桔梗、甘草(以上等分)。
上面加上枇杷叶(三片,去毛),水煎服。虚证加人参、天门冬、五味子、茯苓。
太平丸:治疗阴虚咳嗽,吐呕咯血,骨蒸虚劳等各种症状(也可用白开水调服)。
天门冬、麦门冬、知母、贝母、款冬花、杏仁(以上各二两),生地黄、熟地黄、当归、黄连、阿胶(以上各一两半),蒲黄(炒黑)、京墨(火烧)、桔梗、薄荷(以上各一两),麝香(不用也可以)。
研为末,蜂蜜和丸如龙眼大小,含化服用。
犀角丸:治疗骨蒸劳热等症状有效。
犀角屑、鳖甲(打碎)、枳壳、黄连(以上各一两),龙胆草、贝母、升麻(以上各三钱),乌梅肉(三两),秦艽(二两),软柴胡(一两五钱)。
以上研末,将乌梅蒸熟,捣烂加入猪胆汁(二合),炼蜜和捣,制成梧桐子大小的丸药,每次服用三十丸,随时用米汤送下。忌食猪肉、苋菜。
坎离膏:治疗劳瘵发热,阴虚火动,咳嗽吐血衄血,咳血,喘急盗汗。
黄柏(炒)、知母(以上各四两),生地黄、熟地黄、天冬、麦冬(以上各二两),杏仁(去皮尖,研碎,七钱),胡桃肉(去皮衣)、蜂蜜(以上各四两)。
先将黄柏、知母,用八碗童便,加入侧柏叶(二两),煎至四碗,去渣;然后将天冬、麦冬、地黄放入药汁中,加水二碗,煎至二碗;将剩下的药渣捣细,加水二碗,煎至一碗,共得三碗药汁;将杏仁、桃肉捣成泥状,连同蜂蜜加入药汁中,用慢火熬成膏。用瓷器盛装,放在水中浸泡一天以去除火毒。每次服用几匙,用侧柏叶汤送下。
生津止嗽膏:雪梨汁(十钟),藕汁、鲜地黄汁、茅根汁(以上各五钟),麦门冬汁、萝卜汁(以上各二钟半)。滤净,放入新砂锅煎至减半,加入白蜜(八两),饴糖(四两),姜汁(少许)。有血者加侧柏叶(用童便捣汁)、韭汁、茜根汁各半钟熬膏,每次半钟温服。
简便方:去除骨蒸,祛除鬼气。童便五碗,青蒿汁五碗,砂锅煎至三碗,滤净,慢火熬至二碗;加入三个猪胆汁,煎至半碗左右,加入甘草末,捣一千下,制成梧桐子大小的丸药,每次五十丸,空腹米汤送下。
又方:童便二钟,无灰酒一钟,装入新瓷器中,放入一对猪腰子,隔水煮熟过夜。五更天时,将腰子和汁一起食用,多吃见效。煮鸡蛋也可以。
又方:胡黄连末(一钱),蜜汤送下。或者羚羊角末(一钱),温水送下。
又方:生地黄汁一斤,蜂蜜四两熬稠,频频服用。或者苦参末(一两),芒硝(三钱),蜜丸汤送下。
虚劳失眠,酸枣仁(一两,炒、研碎),水二盏,绞取汁液,加入地黄汁一合,大米(二合)煮粥食用。
This condition arises from excessive depletion, leading to the exhaustion of Kidney Water (Jing-Yin), with Ministerial Fire (Xiang Huo, the fire of the Mingmen residing in the Liver and Kidneys) blazing independently. It fails to secure the essence, making it prone to leakage. Alternatively, it may occur after severe vomiting or diarrhea; or when sexual intercourse is indulged recklessly shortly after a new recovery from a Cold Damage syndrome, suddenly causing the collapse of Yang Qi. Symptoms include cold limbs, acute pain and tension in the lower abdomen, retraction and contraction of the external genitalia, shortness of breath that cannot be sustained, cold sweating, and confusion of spirit. Immediate treatment should involve crushing fresh ginger and scallions, stir-frying them until hot, and applying them as a warm compress to the navel and abdomen. Decoct and administer Gushen Tang (Single Ginseng Decoction) or Wuji San (Five Accumulations Powder), or Lizhong Tang (Regulate the Middle Decoction). Additionally, administer hot ginger juice and fine wine orally, and apply moxibustion methods as described in the chapter on Cold Damage to the Middle Jiao.
(Attachment: Chuan Shao - Transmitted Corpse Consumption)
The Classics state: "When there is fatigue and overwork, the physical form weakens and Qi becomes deficient. The Zong Qi (Gathering Qi) is not abundant, the Upper Jiao does not circulate freely, and the Lower Wan (stomach outlet) is blocked. Stomach Qi stagnates and generates heat, which steams upward into the chest, thus causing internal heat." It also states: "Yin Qi is tranquil; when tranquil, the Spirit is stored within; when agitated, the Spirit dissipates." Furthermore: "When the Spirit is tranquil, Yin is generated; when the body is overworked, Yang becomes hyperactive. Yin deficiency generates internal heat, while Yang deficiency generates external cold."
What is referred to as Xu Lao (Deficiency Consumption) encompasses Wu Lao (Five Fatigues), Qi Shang (Seven Injuries), and Liu Ji (Six Extremes).
Wu Lao refers to: Heart fatigue causes palpitations, fearfulness, and forgetfulness, with sores on the mouth and tongue; Liver fatigue causes dark complexion and blurred vision, with the spirit failing to remain anchored; Spleen fatigue causes stiffness at the root of the tongue and difficulty swallowing saliva; Lung fatigue causes shortness of breath and facial edema, with loss of smell; Kidney fatigue causes difficulty bending and extending the back, dribbling urine, penile pain, dampness and sores in the scrotum, and fullness and urgency in the lower abdomen.
Qi Shang refers to: Overeating injures the Spleen, causing belching, lethargy, yellowish complexion; Extreme anger injures the Liver, causing blood loss and dim vision; Lifting heavy weights or sitting long on damp ground injures the Kidney, causing seminal emission, lower back and spine stiffness, and coldness in the lower extremities; Exposure to cold and consumption of cold drinks injure the Lung, causing shortness of breath, cough, and nasal congestion; Worry and excessive thinking injure the Heart, causing distress, palpitations, and forgetfulness; Wind-dampness, cold, and summer-heat injure the physical form, causing withered skin and hair; Unrestrained fear injures the Will (Zhi), causing mental confusion and unhappiness.
Liu Ji refers to: Qi extreme leads to internal emptiness, insufficiency of the Five Zang organs, and reluctance to speak; Blood extreme leads to lack of luster, falling eyebrows and hair; Sinew extreme leads to frequent muscle cramps, pain in fingernails and toenails, and profound fatigue preventing prolonged standing; Bone extreme leads to emaciation, toothache, painful heat in hands and feet, and reluctance to walk; Flesh extreme leads to emaciation, fatigue, lack of luster, and failure to generate flesh; Essence extreme leads to shortness of breath and a sensation of internal emptiness and heat.
The onset of illness must stem from physical weakness and mental exhaustion. Wild movements of the Seven Emotions and Six Desires stir up Yang Fire; sexual excess depletes True Yin. Alternatively, it may evolve from wind-cold, malaria, dysentery, cough, and phlegm-fluid retention over a long period. Gradually, morning chills and night fevers, night sweats, seminal emission, hemoptysis, irritability, and dry throat appear. The pathogenesis is too complex to enumerate fully, but essentially involves Yin deficiency with Yang hyperactivity, where Fire Evil burns and scorches. It is most crucial to abstain from sexual desire, minimize speech, clarify the mind, calm thoughts, and practice introspective self-nourishment, so that Yang can subside and Yin can grow. If the condition progresses to hoarseness and muscle wasting, or amenorrhea due to blood exhaustion in women, even Lu Yi (Bian Que) cannot treat it. If the pulse is洪大 (Hóng Dà, large and forceful), it is still treatable; if the pulse is细数急涩 (Xì Shù Jí Sè, thready, rapid, urgent, and choppy), it is difficult to regulate. Treatment should focus on nourishing Yin to suppress Yang, strengthening Water to control Fire, tonifying Blood and benefiting Qi, and harmonizing the Stomach and strengthening the Spleen. Medicines should avoid cold and cool properties, and diet should exclude raw and cold foods.
Main Formula: Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Sheng Di Huang (Rehmanniae Radix), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Huang Bo (Phellodendri Cortex, salt-fried), Zhi Mu (Anemarrhenae Rhizoma, raw), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium) are used in equal parts. Gan Cao (Licorice Root) is used in half quantity. Add Sheng Jiang (Zingiberis Rhizoma Recens) and Da Zao (Jujubae Fructus), decoct, and administer with Zhu Li (Bambusae Caulis in Taeniae Succus) and Tong Bian (Urine of healthy child), each half cup, plus two spoons of Jiang Zhi (Ginger Juice).
For night fever, add Gu Pi (Cortex Lycii Radicis) and Qin Jiao (Gentianae Macrophyllae Radix); for day fever, add Dan Pi (Moutan Cortex); for bloody sputum, add Tian Dong, Zi Wan (Asteris Radix), and E Jiao (Colla Corii Asini); for Lung Fire, add Xuan Shen (Scrophulariae Radix), Pian Qin (Scutellariae Radix), Pi Pa Ye (Loquat Leaf), and Shi Gao (Gypsum Fibrosum); for Kidney deficiency, add Shan Yu Rou (Corni Fructus) and Gou Qi Zi (Lycii Fructus); for chest fullness, add Zhi Ke (Aurantii Fructus Immaturus) and Jie Geng (Platycodonis Radix); for lower back pain and weak knees, add Niu Xi (Achyranthis Bidentatae Radix), Du Zhong (Eucommiae Cortex), Po Gu Zhi (Psoraleae Fructus), Shi Hu (Dendrobii Caulis), and Shan Yao (Dioscoreae Rhizoma); for diarrhea, add Lian Rou (Nelumbinis Semen), Bian Dou (Vigna Semen), Shan Yao, and Yi Yi Ren (Coicis Semen); for difficult urination, add Shi Lian Zi (Nelumbinis Plumula), Che Qian Zi (Plantaginis Semen), and Hua Shi (Talcum); for sore throat, add Gan Cao, Jie Geng, and Shan Dou Gen (Sophorae Tonkinensis Radix); for loss of voice, use He Zi (Terminalia Chebulae Fructus, soaked soft, boiled with honey, held in mouth). These modifications should be used in conjunction with treatments for deficiency consumptions.
Yiyang Wan (Suppress Yang Pill): Suitable for early-stage severe Xu Lao where physical flesh has not yet wasted away. The urgent task is to reduce fever. Even if symptoms like diarrhea exist, they are caused by heat; once heat is removed, diarrhea stops. If the disease persists and drug efficacy slows, heat torments day and night, causing blood depletion, water drying, fluid exhaustion, sudden loss of True Yin, and intensified internal heat—akin to a fierce flame! The Metal of the Lung suffers severely, with profuse phlegm-saliva, gradually hoarse voice, and muscle wasting, leading to inevitable death. Stop taking this pill once fever subsides.
Ren Zhong Huang (Human Waste Yellow), Ren Zhong Bai (Human Waste White, finely ground), Bie Jia (Trionycis Carapax, prepared with child's urine or vinegar and ground extremely fine), Qing Hao (Artemisiae Annuae Herba, seeds used in autumn/winter), Dang Gui (each 2 liang), Mai Men Dong (Ophiopogonis Tuber), Di Gu Pi (Cortex Lycii Radicis, each 1.5 liang).
Grind all into powder. Take juice from ten pig gallbladders, mix with water, and make pills the size of mung beans. Take 100 pills per dose, washed down with plain warm water, three times daily. Combining Bie Jia with Gui Jia (Testudinis Carapax et Plastrum) to make glue, mixed with pig bile for pills, is especially excellent.
Huang Qi Yi Sun Tang (Astragalus Benefit Loss Decoction): For various deficiencies in men, women, boys, and girls; Wu Lao and Qi Shang; bone-steaming night sweats; dry throat with cough; spitting blood streaks; alternating chills and fever with red cheeks; confusion and anorexia. Taking hot medicines causes irritability and distension; taking cold medicines causes diaphragmatic blockage and abdominal pain.
Huang Qi (Astragali Radix), Ren Shen (Ginseng Radix), Shi Hu (Dendrobii Caulis), Bai Zhu, Dang Gui, Fu Ling (Poria), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao, Shu Di Huang (Rehmanniae Radix Preparata), Shan Yao, Dan Pi (Moutan Cortex), Mai Dong (each 6 fen), Mu Xiang (Aucklandiae Radix, ground separately), Rou Gui (Cinnamomi Cortex), Gan Cao (each 2 fen), Wu Wei Zi (Schisandrae Fructus, 5 berries).
Chop ingredients. Decoct with 1.5 cups of water, 3 slices of ginger, 1 jujube, 50 grains of wheat, and 1 dried plum. Decoct to 0.7 portion and take.
Bie Jia San (Softshell Turtle Powder): For deficiency consumption with exogenous heat, muscle wasting, irritability, palpitations, night sweats, poor appetite, excessive thirst, cough, and hemoptysis.
Bie Jia, Huang Qi, Qing Hao (clean leaves), Zhi Mu, Qin Jiao, Zi Wan, Di Gu Pi, Yin Chai Hu (Stellariae Radix), Huai Sheng Di Huang, Chi Shao Yao (Paeoniae Radix Rubra), Jie Geng, Gan Cao (equal parts).
Add 3 loquat leaves (de-haired), decoct in water and take. For deficiency, add Ren Shen, Tian Men Dong (Asparagi Radix), Wu Wei Zi, and Fu Ling.
Taiping Wan (Peaceful World Pill): Treats Yin deficiency cough, vomiting, hemoptysis, bone-steaming deficiency consumption, etc. (Can also be taken mixed with plain warm water).
Tian Men Dong, Mai Men Dong, Zhi Mu, Bei Mu (Fritillariae Bulbus), Dong Hua Hua (Kalanchoes Flos), Xing Ren (Pruni Armeniaci Semen Amarum, each 2 liang), Sheng Di Huang, Shu Di Huang, Dang Gui, Huang Lian (Coptidis Rhizoma), E Jiao (each 1.5 liang), Pu Huang (Typhae Pollen, charred), Jing Mo (Chinese Ink, burnt), Jie Geng, Bo He (Menthae Haplocalycis Herba, each 1 liang), She Xiang (Moschus, optional).
Grind into powder, mix with honey, and make pills the size of a dragon eye. Hold in mouth to dissolve slowly.
Xi Jiao Wan (Rhinoceros Horn Pill): Effective for bone-steaming consumption fever.
Xi Jiao Xie (Rhinoceris Cornu Fragment), Bie Jia (crushed), Zhi Ke, Huang Lian (each 1 liang), Long Dan Cao (Gentianae Radix), Bei Mu, Sheng Ma (Bupleuri Radix, each 3 qian), Wu Mei Rou (Pruni Mume Carnositas, 3 liang), Qin Jiao (2 liang), Ruan Chai Hu (Bupleuri Radix, 1.5 liang).
Grind into powder. Steam Wu Mei until soft, pound into paste, add pig bile (2 he), refine honey, pound together, and make pills the size of paulownia seeds. Take 30 pills per dose, washed down with rice water at any time. Avoid pork and amaranth.
Kan Li Gao (Kan-Li Paste): Treats consumption fever, Yin deficiency with fire movement, cough with hematemesis and epistaxis, hemoptysis, wheezing, and night sweats.
Huang Bo (fried), Zhi Mu (each 4 liang), Sheng Di Huang, Shu Di Huang, Tian Dong, Mai Dong (each 2 liang), Xing Ren (cleaned, pounded, 7 qian), Hu Tao Rou (Walnut Kernel, peeled), Feng Mi (Honey, each 4 liang).
First, decoct Huang Bo and Zhi Mu in 8 bowls of child's urine with Ce Bai Ye (Platycladi Cacumen, 2 liang) until reduced to 4 bowls; strain. Then add Tian Dong, Mai Dong, and Di Huang to the liquid, add 2 bowls of water, and decoct to 2 bowls. Pound the remaining dregs finely, add 2 bowls of water, and decoct to 1 bowl. Total liquid obtained: 3 bowls. Pound Xing Ren and Hu Tao Rou into a paste, mix with honey and the liquid, and simmer slowly over low heat until it becomes a paste. Store in porcelain vessels and soak in water for one day to remove fire toxicity. Take several spoons per dose, washed down with Platycladus tea.
Sheng Jin Zhi Sou Gao (Generate Fluids and Stop Cough Paste): Xi Li Zhi (Pear Juice, 10 zhong), Ou Zhi (Lotus Root Juice), Xian Di Huang Zhi (Fresh Rehmannia Juice), Mao Gen Zhi (Imperatae Rhizoma Juice, each 5 zhong), Mai Men Dong Zhi (Ophiopogon Juice), Luo Bo Zhi (Radish Juice, each 2.5 zhong). Filter cleanly, boil in a new clay pot until reduced by half. Add Bai Mi (White Honey, 8 liang), Yi Tang (Malt Sugar, 4 liang), and Jiang Zhi (Ginger Juice, small amount). If blood is present, add Ce Bai Ye (pounded with child's urine), Jiu Zhi (Leek Juice), and Qian Gen Zhi (Rubiae Radix Juice, each half zhong), and boil into a paste. Take half zhong warm per dose.
Simple Prescription: Removes bone-steaming and dispels evil qi. 5 bowls of child's urine, 5 bowls of Qing Hao juice. Boil in a clay pot to 3 bowls, filter, and simmer slowly to 2 bowls. Add 3 pig gallbladders, boil to about half a bowl. Add Gan Cao powder, pound 1000 times, and make pills the size of paulownia seeds. Take 50 pills per dose on an empty stomach with rice water.
Another prescription: 2 zhong of child's urine, 1 zhong of pure wine. Place in a new porcelain vessel with a pair of pig kidneys. Cook overnight in a double boiler. At dawn (fifth watch), eat the kidneys and drink the juice together; more is better. Cooking chicken eggs is also acceptable.
Another: Hu Huang Lian powder (1 qian), taken with honey water. Or Ling Yang Jiao powder (1 qian), taken with warm water.
Another: 1 jin of Sheng Di Huang juice, 4 liang of honey, boiled until thick. Take frequently. Or Ku Shen powder (1 liang), Mang Xiao (Natrii Sulfas, 3 qian), made into honey pills and taken with water.
For insomnia due to deficiency consumption: Suan Zao Ren (Ziziphi Spinosae Semen, 1 liang, fried and pounded), 2 cups of water, squeeze out juice. Add 1 he of Di Huang juice and 2 he of rice. Cook into porridge and eat.