凡男子之劳，起于伤精，女子之劳，由于经闭，小儿之劳，得于母胎，无不始于阴虚生热。然其源流，宜
条列施治焉。有杂病久不愈，因积损成劳者，宜调营养卫汤。有思虑太过，郁损心脾而成劳者，宜归脾汤。
有房劳伤肾，遗淋痿弱而成劳者，宜鹿胎丸。有饥饱伤脾而成劳者，宜补中汤加柴胡、山药。有积劳疲瘦，
嗜卧寒热而成劳者，宜十四味建中汤。有负重致伤而成劳者，宜补中汤。有伤暑咯血而成劳者，清暑益气汤
加减。有纵酒伤脾而成劳者，宜葛花解酲汤。有童年禀赋怯弱，骨蒸黄瘦而成劳者，宜麦煎散。有妇女经闭，
由血热血枯而成劳者，宜逍遥散、补血养阴丸。有情窦初开，积想在心，真阴煎耗而成劳者。宜清离滋坎丸。
其为劳热也，有气虚热，必兼少气自汗，体倦心烦，八珍汤加减。有血虚热，必兼燥渴，睡卧不安，圣愈汤、参
人中白丸。有往来潮热，必兼膝软骨节痛，参苓建中汤。有骨蒸热，必兼肌瘦颊红，鳖甲丸、河车丸、二仙胶。
有五心热，必兼体痛口干，逍遥散参生脉散。有遍体热，必兼神困肌削，十四味建中汤。有病久结痰注络，腹胁常
热，惟头面手足于寅卯时乍凉。六君子汤加姜汁、竹沥。其为劳嗽也，或由阴伤阳浮，金燥喉痒致嗽，宜甘
润养肺，清安膏。或由肾水虚涸，火烁肺金致嗽，宜壮水滋液，六味丸加麦、味，或噙化丸。或由脾土先虚，
不能制水，水泛为痰致嗽，立效方加陈皮、白术。或由元阳下亏，痰涎喘促，虚寒致嗽。六味回阳饮、理中汤、
八味丸。至劳嗽失音，会厌伤
也。猪脂和白蜜膏。肺痿吐脓，形肉脱也。太平丸，白凤膏。劳嗽兼喘，肾不纳气也。都气丸加参、 、
牛膝、蛤蚧或杏仁膏。其见为血症也，嗽血出于肺，忧悲所致也。宜二冬、二母、白芨、百合、桔梗、阿胶、
或润肺膏。痰血出于脾，思虑所致也。宜苓、 、地、斛、丹、陈、甘草，或酸枣仁汤。吐血出于心，惊
恐所致也。宜丹参、山药、茯神、当归、地黄、麦冬、或养心汤。血成块出于肝，恚怒所致也。宜柴、芍、丹、
栀、生地、枣仁、沉香，或柴胡疏肝散。咯血出于肾，房欲所致也。宜地、膝、丹、苓、远志、童便、阿胶，
或坎离既济丹。呕血出于胃，中气失调，火迫络伤也。宜犀角地黄汤。凡积劳失血，久病吐血，并宜独参
汤。若夫尸疰瘵症，由瘵久生虫，食人脏腑，其症蒸热呛嗽，胸闷背痛，或面色 白，两颊时红，亦有面色不
衰，肌肉不损，名桃花疰。宜紫金锭，苏合香丸。又有尸鬼作祟，其症沉沉默默，不知所苦，累月经时，羸
顿至死，同气连枝，多遭传染，名传尸劳。当补虚以复其元，养营汤、八味丸。杀虫以绝其根。十疰丸、桃奴
丸。凡诊视者，不宜空腹，宜饱食，或佩安息香及麝香，则虫鬼不敢侵也。
凡是男子的虚劳，起因于精气损伤；女子的虚劳，起因于月经闭止；小儿的虚劳，得自母体胎元不足。这些情况没有不是从阴虚生内热开始的。然而其病因源流，应当分条列出以指导治疗。
有因杂病久治不愈，因长期损耗而成为虚劳的，适宜用调营养卫汤。
有因思虑过度，郁结损伤心脾而成为虚劳的，适宜用归脾汤（Guipi Tang, Spleen-Restoring Decoction）。
有因房事过度损伤肾脏，出现遗精、淋浊、阳痿、虚弱而成为虚劳的，适宜用鹿胎丸（Lutai Wan, Deer Fetus Pill）。
有因饥饱失常损伤脾胃而成为虚劳的，适宜用补中益气汤（Buzhong Yiqi Tang, Tonify the Middle and Augment Qi Decoction）加柴胡、山药。
有因积劳导致疲乏消瘦，嗜睡且忽冷忽热而成为虚劳的，适宜用十四味建中汤（Shisiwei Jianzhong Tang, Fourteen-Ingredient Center-Building Decoction）。
有因负重劳累致伤而成为虚劳的，适宜用补中益气汤。
有因伤暑导致咯血而成为虚劳的，用清暑益气汤（Qingshu Yiqi Tang, Clear Summerheat and Augment Qi Decoction）加减。
有因纵酒无度损伤脾胃而成为虚劳的，适宜用葛花解酲汤（Ge Hua Jie Cheng Tang, Kudzu Flower Decoction to Resolve Alcohol Intoxication）。
有因童年禀赋怯弱，出现骨蒸潮热、面色萎黄消瘦而成为虚劳的，适宜用麦煎散（Maijian San, Wheat Powder）。
有因妇女月经闭止，由血热或血枯而成为虚劳的，适宜用逍遥散（Xiaoyao San, Free Wanderer Powder）、补血养阴丸（Buxue Yangyin Wan, Nourish Blood and Yin Pill）。
有因情窦初开，积想在心中，耗损真阴而成为虚劳的，适宜用清离滋坎丸（Qingli Zikan Wan, Clear Li and Nourish Kan Pill）。
至于虚劳发热的症状：
有气虚发热，必然兼见少气懒言、自汗、身体疲倦、心烦，用八珍汤（Bazhen Tang, Eight-Treasure Decoction）加减。
有血虚发热，必然兼见口干燥渴、睡眠不安，用圣愈汤（Shengyu Tang, Sacred Recovery Decoction）、参人中白丸（Shenzhong Renzhu Wan, Ginseng and Urine Sediment Pill）。
有往来潮热，必然兼见膝部软骨及关节疼痛，用参苓建中汤（Shenling Jianzhong Tang, Ginseng and Atractylodes Center-Building Decoction）。
有骨蒸热，必然兼见肌肉消瘦、两颊发红，用鳖甲丸（Biejia Wan, Turtle Shell Pill）、河车丸（Heche Wan, Placenta Pill）、二仙胶（Erxian Jiao, Two Immortals Gelatin）。
有五心烦热（手心、脚心及心胸烦热），必然兼见身体疼痛、口干，用逍遥散合生脉散（Shengmai San, Generate Pulse Powder）。
有遍体发热，必然兼见精神困倦、肌肉削瘦，用十四味建中汤。
有病久痰浊凝结经络，腹部和胁肋常觉发热，只有头面手足在寅时、卯时（凌晨3点至7点）暂时发凉，用六君子汤（Liujunzi Tang, Six-Gentleman Decoction）加姜汁、竹沥。
至于虚劳咳嗽的症状：
或由阴液损伤、阳气浮越，肺金干燥、咽喉发痒所致咳嗽，适宜甘润养肺，用清安膏（Qing'an Gao, Clear and Peaceful Ointment）。
或由肾水枯竭，虚火灼烧肺金所致咳嗽，适宜壮水滋阴，用六味地黄丸（Liuwei Dihuang Wan, Six-Ingredient Rehmannia Pill）加麦冬、五味子，或噙化丸（Qinhuawan, Lozenge Pill）。
或由脾土先虚，不能制约水湿，水泛为痰所致咳嗽，用立效方（Lixiao Fang, Immediate Effect Formula）加陈皮、白术。
或由元阳下亏，痰涎上涌、气喘急促，属虚寒所致咳嗽，用六味回阳饮（Liuli Huiyang Yin, Six-Ingredient Return-Yang Decoction）、理中汤（Lizhong Tang, Regulate the Middle Decoction）、八味丸（Bawei Wan, Eight-Ingredient Pill，即金匮肾气丸）。
至于虚劳失音，是会厌受伤所致，用猪脂和白蜜制成的膏剂。
肺痿吐脓，是形体肌肉脱失所致，用太平丸（Taiping Wan, Great Peace Pill）、白凤膏（Baifeng Gao, White Phoenix Ointment）。
虚劳咳嗽兼见气喘，是肾不纳气所致，用都气丸（Duqi Wan, Duqi Pill）加人参、[缺字，通常为山茱萸或熟地等，此处依原文留空或推测为药名]、牛膝、蛤蚧，或杏仁膏。
至于虚劳血症的表现：
咳血出于肺，是由忧悲情绪所致，适宜用天冬、麦冬、知母、贝母、白芨、百合、桔梗、阿胶，或润肺膏（Runfei Gao, Moisten Lung Ointment）。
痰中带血出于脾，是由思虑过度所致，适宜用茯苓、[缺字]、地黄、石斛、丹皮、陈仓米、甘草，或酸枣仁汤（Suanzaoren Tang, Sour Jujube Seed Decoction）。
吐血出于心，是由惊恐所致，适宜用丹参、山药、茯神、当归、地黄、麦冬，或养心汤（Yangxin Tang, Nourish Heart Decoction）。
血成块而出于肝，是由愤怒所致，适宜用柴胡、白芍、丹皮、栀子、生地、枣仁、沉香，或柴胡疏肝散（Chaihu Shugan San, Bupleurum Powder to Soothe the Liver）。
咯血出于肾，是由房事欲望所致，适宜用地黄、牛膝、丹皮、茯苓、远志、童便、阿胶，或坎离既济丹（Kanli Jiji Dan, Kan and Li Mutual Completion Elixir）。
呕血出于胃，是中气失调，火热逼迫脉络受损所致，适宜用犀角地黄汤（Xijiao Dihuang Tang, Rhinoceros Horn and Rehmannia Decoction）。
凡是积劳导致的失血，久病吐血，都适宜用独参汤（Dushen Tang, Single Ginseng Decoction）。
至于尸疰瘵症，是由于痨虫日久滋生，侵蚀人体脏腑，症状表现为蒸热呛咳、胸闷背痛，或者面色㿠白、两颊时常发红，也有面色不衰、肌肉不损的，名为桃花疰（Taohua Zhu, Peach Blossom Transmission Disease）。适宜用紫金锭（Zijin Ding, Purple Gold Pellet）、苏合香丸（Suhe Xiang Wan, Storax Pill）。
又有尸鬼作祟，症状表现为神情抑郁沉默，不知痛苦所在，经年累月，极度消瘦直至死亡，同气连枝者多遭传染，名为传尸劳（Chuanshi Lao, Transmissive Corpse Consumption）。应当补虚以恢复元气，用养营汤（Yangying Tang, Nourish Ying Decoction）、八味丸。杀虫以断绝病根，用十疰丸（Shizhu Wan, Ten-Zhu Pill）、桃奴丸（Taonuo Wan, Peach Slave Pill）。
凡诊治此类疾病的人，不宜空腹就诊，宜饱食后前往，或者佩戴安息香及麝香，则虫鬼不敢侵犯。
In general, male consumptive disease (Laolao) originates from damage to essence; female consumptive disease originates from amenorrhea; pediatric consumptive disease is acquired from the maternal womb. None of these do not begin with yin deficiency generating internal heat. However, their etiological sources should be listed item by item for treatment guidance.
For those who develop consumptive disease due to chronic unresolved miscellaneous diseases resulting from long-term depletion, Tiaoying Yangwei Tang (Nourish and Protect Decoction) is appropriate.
For those who develop consumptive disease due to excessive mental worry causing depression and damage to the Heart and Spleen, Guipi Tang (Spleen-Restoring Decoction) is appropriate.
For those who develop consumptive disease due to sexual excess damaging the Kidney, manifesting as spermatorrhea, strangury, impotence, and weakness, Lutai Wan (Deer Fetus Pill) is appropriate.
For those who develop consumptive disease due to irregular eating habits damaging the Spleen and Stomach, Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) added with Chai Hu (Bupleuri Radix) and Shan Yao (Dioscoreae Rhizoma) is appropriate.
For those who develop consumptive disease due to accumulated labor leading to fatigue and emaciation, lethargy, and alternating chills and fever, Shisiwei Jianzhong Tang (Fourteen-Ingredient Center-Building Decoction) is appropriate.
For those who develop consumptive disease due to injury from carrying heavy loads, Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) is appropriate.
For those who develop consumptive disease due to summerheat injury causing hemoptysis, Qingshu Yiqi Tang (Clear Summerheat and Augment Qi Decoction) modified is appropriate.
For those who develop consumptive disease due to alcohol abuse damaging the Spleen, Gehua Jiecheng Tang (Kudzu Flower Decoction to Resolve Alcohol Intoxication) is appropriate.
For those with weak congenital constitution in childhood, manifesting as bone-steaming fever, sallow complexion, and emaciation, Maijian San (Wheat Powder) is appropriate.
For women with amenorrhea developing consumptive disease due to blood heat or blood exhaustion, Xiaoyao San (Free Wanderer Powder) and Buxue Yangyin Wan (Nourish Blood and Yin Pill) are appropriate.
For those whose emotional desires first awaken, with lingering thoughts in the heart consuming true yin, Qingli Zikan Wan (Clear Li and Nourish Kan Pill) is appropriate.
Regarding consumptive fever:
Qi deficiency fever must be accompanied by shortness of breath, spontaneous sweating, body fatigue, and irritability; Bazhen Tang (Eight-Treasure Decoction) modified is appropriate.
Blood deficiency fever must be accompanied by dry thirst and restless sleep; Shengyu Tang (Sacred Recovery Decoction) and Shenzhong Renzhu Wan (Ginseng and Urine Sediment Pill) are appropriate.
Alternating tidal fever must be accompanied by pain in the knee cartilage and joints; Shenling Jianzhong Tang (Ginseng and Atractylodes Center-Building Decoction) is appropriate.
Bone-steaming fever must be accompanied by muscle emaciation and red malar flush; Biejia Wan (Turtle Shell Pill), Heche Wan (Placenta Pill), and Erxian Jiao (Two Immortals Gelatin) are appropriate.
Five-center heat (palms, soles, and chest) must be accompanied by body pain and dry mouth; Xiaoyao San combined with Shengmai San (Generate Pulse Powder) is appropriate.
Generalized body heat must be accompanied by mental fatigue and muscle wasting; Shisiwei Jianzhong Tang (Fourteen-Ingredient Center-Building Decoction) is appropriate.
When illness persists with phlegm-turbidity condensing in the collaterals, causing constant heat in the abdomen and hypochondrium, but only the head, face, hands, and feet feel temporarily cool during Yin and Mao hours (3 AM - 7 AM), Liu Junzi Tang (Six-Gentleman Decoction) added with ginger juice and bamboo sap is appropriate.
Regarding consumptive cough:
It may result from yin injury and yang floating, causing lung dryness and throat itching leading to cough; sweet and moistening methods to nourish the lung are appropriate, using Qing'an Gao (Clear and Peaceful Ointment).
It may result from kidney water exhaustion, where fire scorches lung metal leading to cough; methods to strengthen water and nourish fluids are appropriate, using Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Mai Dong (Ophiopogonis Radix) and Wu Wei Zi (Schisandrae Fructus), or Qinhuawan (Lozenge Pill).
It may result from initial spleen earth deficiency, failing to control water, causing water overflow into phlegm leading to cough; Lixiao Fang (Immediate Effect Formula) added with Chen Pi (Citri Reticulatae Pericarpium) and Bai Zhu (Atractodis Rhizoma) is appropriate.
It may result from lower deficiency of primordial yang, with phlegm-saliva rising and panting, constituting a cold-type cough; Liuli Huiyang Yin (Six-Ingredient Return-Yang Decoction), Lizhong Tang (Regulate the Middle Decoction), and Bawei Wan (Eight-Ingredient Pill) are appropriate.
Regarding consumptive aphonia, it is caused by injury to the epiglottis; pig fat mixed with white honey ointment is used.
Lung atrophy with pus expectoration indicates severe emaciation; Taiping Wan (Great Peace Pill) and Baifeng Gao (White Phoenix Ointment) are used.
Consumptive cough with panting indicates the Kidney's failure to grasp qi; Duqi Wan (Duqi Pill) added with Ren Shen (Ginseng Radix), [missing character], Niu Xi (Achyranthis Bidentatae Radix), Ge Jie (Gecko), or Xingren Gao (Apricot Kernel Ointment) is used.
Regarding consumptive hemorrhage:
Hemoptysis originating from the Lung is caused by sorrow and grief; Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Bulbus), Bai Ji (Bletillae Rhizoma), Bai He (Lilii Bulbus), Jie Geng (Platycodonis Radix), and E Jiao (Colla Corii Asini) or Runfei Gao (Moisten Lung Ointment) are appropriate.
Blood-streaked sputum originating from the Spleen is caused by excessive thinking; Fu Ling (Poria), [missing character], Di Huang (Rehmanniae Radix), Shi Hu (Dendrobii Caulis), Dan Pi (Moutan Cortex), Chen Cang Mi (Stagnant Rice), and Gan Cao (Glycyrrhizae Radix) or Suanzaoren Tang (Sour Jujube Seed Decoction) are appropriate.
Hematemesis originating from the Heart is caused by fright and terror; Dan Shen (Salviae Miltiorrhizae Radix), Shan Yao (Dioscoreae Rhizoma), Fu Shen (Poria with Hostwood), Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix), and Mai Dong (Ophiopogonis Radix) or Yangxin Tang (Nourish Heart Decoction) are appropriate.
Clotted blood originating from the Liver is caused by anger; Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba), Dan Pi (Moutan Cortex), Zhi Zi (Gardeniae Fructus), Sheng Di Huang (Rehmanniae Radix Preparata), Zao Ren (Ziziphi Spinosae Semen), and Chen Xiang (Aquilariae Lignum) or Chaihu Shugan San (Bupleurum Powder to Soothe the Liver) are appropriate.
Spitting blood originating from the Kidney is caused by sexual desire; Di Huang (Rehmanniae Radix), Niu Xi (Achyranthis Bidentatae Radix), Dan Pi (Moutan Cortex), Fu Ling (Poria), Yuan Zhi (Polygalae Radix), Tong Bian (Child's Urine), and E Jiao (Colla Corii Asini) or Kanli Jiji Dan (Kan and Li Mutual Completion Elixir) are appropriate.
Vomiting blood originating from the Stomach is due to disharmony of middle qi, where fire forces damage to collaterals; Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is appropriate.
For all cases of accumulated labor causing blood loss, or chronic hematemesis, Dushen Tang (Single Ginseng Decoction) is appropriate.
Regarding Shizhu Zhai Syndrome (Transmission Disease of Corpse Consumption), it arises from parasites generated over time by consumption, feeding on the viscera. Symptoms include steaming fever, choking cough, chest tightness, back pain, or sallow complexion with intermittent malar redness. Some have unchanged complexion and undamaged muscles, named Taohua Zhu (Peach Blossom Transmission Disease). Zijin Ding (Purple Gold Pellet) and Suhe Xiang Wan (Storax Pill) are appropriate.
There is also "Corpse Ghost" interference, characterized by deep depression and silence, unknown suffering, progressing over months to extreme emaciation and death. It spreads easily among close contacts, named Chuanshi Lao (Transmissive Corpse Consumption). Treatment should tonify deficiency to restore yuan qi, using Yangying Tang (Nourish Ying Decoction) and Bawei Wan (Eight-Ingredient Pill). To kill parasites and cut off the root, Shizhu Wan (Ten-Zhu Pill) and Taonuo Wan (Peach Slave Pill) are used.
Physicians diagnosing and treating this condition should not see patients on an empty stomach; they should eat fully before visiting, or wear Anxi Xiang (Benzoin) and She Xiang (Moschus), so that worms and ghosts dare not invade.