凡治骨蒸，热深在里，一切轻扬之药，皆在所禁。若用以升散之，反引热势外出，而
增其炽灼，干涸津液，肌肉枯槁，求其止在内热，且不可得，安望其热除病止乎？水亏血燥
，阴火沸腾，宜加减一阴煎加青蒿主之。若精血留于经脉，阻阳为热，积阴为疰，蒸久血干，
速宜去瘀，麦煎散主之。又风附于骨，亦令蒸热盗汗，宜秦艽鳖甲散，或柴胡梅连丸。又有
阳邪入骨，不能泄越，而先寒后热，脉长有汗者，宜用石膏。
虚损而兼遗泄者，如实漏卮，最难调治也。或缘君火之摇，或缘相火之盛，或缘玉门
，或缘心肾之不交，又或气不摄精，而滑脱不禁，或元阳衰惫，而关开乱流，急须反观内养
，而以药饵调剂，必使痛断根株，然后本病可得瘳也。
君火不清，神摇于上，精摇于下。火甚者，宜先以二阴煎之类，清去心火；火不甚者
以柏子养心丸、天王补心丹之类，收养心气，然后用药固之。相火易动，肝肾多热，而易于
疏泄者，惟经验猪肚丸为最，或用固精丸之类。然须察其火之微甚，宜清者，亦当先清其火
。玉门不固者，宜苓术菟丝丸，或水陆二仙丹，金锁正元丹、金锁思仙丹之类。心肾不交者
，宜坎离交济丹。气不摄精者，宜秘元煎，或举元煎、寿脾煎，或十全大补汤。元阳不足者
，宜右归丸、八味丸、家韭子丸，或固肾丸之类。
凡是治疗骨蒸（一种以骨骼深处发热为特征的虚劳病证），热邪深伏于体内，所有性质轻扬升散的药物，都在禁忌之列。如果误用这些具有升散作用的药物，反而会引导热势向外发散，从而增加体内的炽热灼烧感，耗干津液，导致肌肉枯槁消瘦，想要止住内在的热邪尚且不可能，又怎能指望热退病愈呢？若是肾水亏虚、血液燥热，导致阴火（阴虚产生的虚火）沸腾，适宜使用加减一阴煎并加入青蒿来主治。如果是精血滞留于经脉之中，阻碍阳气运行而产生热邪，积聚阴气形成疰病（一种慢性消耗性传染病或虚弱病症），长期蒸灼导致血液干枯，应当迅速去除瘀血，由麦煎散主治。又有风邪依附于骨骼，也会导致蒸热和盗汗，适宜使用秦艽鳖甲散，或者柴胡梅连丸。还有阳邪侵入骨骼，无法宣泄透发，表现为先恶寒后发热，脉象长且有汗出的情况，适宜使用石膏。
虚损病兼有遗精滑泄症状的，就像漏底的酒器一样，最难调理治疗。这或者是由于君火（心火）动摇所致，或者是由于相火（肝肾之火）旺盛所致，或者是由于玉门（指前阴/生殖器部位）不固，或者是由于心肾不交（心与肾的功能协调失常），又或者是因为气虚不能摄持精液，导致滑脱不禁；或者是元阳（人体根本之阳气）衰败，导致关窍失守、精液乱流。此时必须紧急转向反观内养，并用药物进行调剂，务必彻底断绝病根，然后本病才能得以痊愈。
若因君火不清，导致心神在上摇动，精室在下动摇。火邪严重的，适宜先用二阴煎之类的方剂，清除心火；火邪不严重的，则用柏子养心丸、天王补心丹之类的方剂，收养心气，然后再用药固涩精气。相火容易妄动，肝肾多热，且易于疏泄失控的，只有经验猪肚丸最为适宜，或者使用固精丸之类的方剂。然而必须观察火势的轻重，适宜清热的，也应当先清除其火邪。若是玉门不固的，适宜使用苓术菟丝丸，或者水陆二仙丹、金锁正元丹、金锁思仙丹之类的方剂。若是心肾不交的，适宜使用坎离交济丹。若是气虚不能摄持精液的，适宜使用秘元煎，或者举元煎、寿脾煎，或者十全大补汤。若是元阳不足的，适宜使用右归丸、八味丸、家韭子丸，或者固肾丸之类的方剂。
In the treatment of *Gu Zheng* (Bone-steaming, a type of consumptive disease characterized by deep-seated heat in the bones), when the pathogenic heat is deeply rooted within the interior, all medicines with light and ascending properties are strictly contraindicated. If such ascending and dispersing agents are used, they will instead guide the heat outward, exacerbating the intense burning sensation, depleting body fluids, and causing emaciation of muscles. Under such circumstances, it is impossible even to stop the internal heat, let alone expect the fever to subside and the disease to cease. In cases of Kidney Water deficiency and Blood dryness, leading to the boiling of Yin Fire (deficiency fire generated from Yin deficiency), *Jiajian Yiyin Jian* (Modified One-Yin Decoction) added with *Qinghao* (Artemisiae Annuae Herba) is indicated. If essence and blood remain stagnant in the meridians, obstructing Yang Qi and generating heat, while accumulating Yin Qi to form *Zhu* disease (a chronic wasting condition), prolonged steaming leads to dried blood; in such cases, stasis should be removed promptly, and *Maijian San* (Wheat Powder Decoction) is indicated. Furthermore, Wind pathogens attaching to the bones can also cause steaming heat and night sweats; *Qinjiao Biejia San* (Gentian and Turtle Shell Powder) or *Chaihu Meilian Wan* (Bupleurum, Plum, and Coptis Pill) are indicated. Additionally, when Yang pathogens enter the bones and cannot be vented, presenting with initial chills followed by fever, a long pulse, and sweating, *Shigao* (Gypsum Fibrosum) is indicated.
Consumptive diseases complicated by spermatorrhea or seminal emission are like vessels with holes at the bottom, making them extremely difficult to regulate and treat. This may be due to the agitation of Jun Fire (Heart Fire), the exuberance of Xiang Fire (Ministerial Fire), insecurity of the Yu Men (external genitalia), disharmony between Heart and Kidney, Qi failing to secure the essence leading to involuntary sliding and loss, or exhaustion of Yuan Yang (Original Yang) causing the closure mechanisms to fail and chaotic flow of fluids. Urgent introspection and internal nourishment are required, combined with herbal regulation. Only by completely eradicating the root cause can the primary disease be cured.
When Jun Fire is unclear, the Spirit agitates above and the Essence agitates below. In cases of severe Fire, *Er Yin Jian* (Two-Yin Decoction) or similar formulas should be used first to clear Heart Fire. In cases where Fire is not severe, *Baizi Yangxin Wan* (Seed-of-Arborvitae Pill for Nourishing the Heart) or *Tianwang Buxin Dan* (Emperor of Heaven’s Heart-Nourishing Pill) should be used to nourish and gather Heart Qi, followed by astringent medications to secure the essence. Xiang Fire is prone to movement, often associated with Heat in the Liver and Kidneys, leading to easy leakage; *Jingyan Zhudu Wan* (Experience Pig-Stomach Pill) is considered the most effective, or *Gu Jing Wan* (Sperm-Consolidating Pill). However, one must assess the severity of the Fire; if clearing is appropriate, the Fire must be cleared first. For insecurity of the Yu Men, *Lingzhu Tusisi Wan* (Poria, Atractylodes, and Dodder Seed Pill), *Shuilu Erxian Dan* (Land-and-Water Two-Immortal Pellet), *Jinsuo Zhengyuan Dan* (Golden Lock Preserving-Origin Pellet), or *Jinsuo Sixian Dan* (Golden Lock Thinking-Immortal Pellet) are indicated. For disharmony between Heart and Kidney, *Kanli Jiaoji Dan* (Kan-Li Mutual-Interaction Pellet) is indicated. For Qi failing to secure the essence, *Mi Yuan Jian* (Secret-Origin Decoction), *Juyuan Jian* (Raise-Origin Decoction), *Shoupi Jian* (Spleen-Sustaining Decoction), or *Shiquan Dabu Tang* (Complete Ten-Tonifying Decoction) are indicated. For insufficiency of Yuan Yang, *Yougui Wan* (Right-Restoring Pill), *Bawei Wan* (Eight-Ingredient Pill), *Jiajiuzi Wan* (Chinese Chive Seed Pill), or *Gushen Wan* (Kidney-Fortifying Pill) are indicated.