痨病之宜分上下也五脏过劳皆能成痨何以止分上下不知五脏成痨非由上以损下即由下以
损上
也故言上下而五脏之痨症已不外于此也又何必逐脏以细别之乎由上而损下者何如大约先损其心
而后伤于肺肺传之肝肝传之脾脾传之肾而后死也其症之外见者若何心惊不寐咳嗽吐痰饮食少
思两
胁微闷梦遗不休身发潮热足膝无力此等之症初起之时补其阳虚而少佐之滋阴之品自易奏效无
如世人不知治法妄用消痰降气克削之剂不至于成痨不已其已成痨又不用杀虫之药于大补气血
之中无怪乎奄奄垂绝也吾今悯惜世人特传奇丹于初病之时于已病之时急用吾方皆可回春方名
补上救痨丹此方之妙平平无奇而实有奇效乎补之中而寓以剿杀之计所以奏功如响也由下而上
损者如何因房劳而起也先损其肾肾传之心心乃传之肺肺传之肝肝传之脾脾仍传之肾其症身先
发热骨蒸多汗以致梦寐恍惚吐痰不已似饥非饥似痛非痛胁胀心跳腹泻肠鸣不可劳役力难胜任
久则奄奄卧床难于起立者是也若误认作阳虚误用参 必致阳愈旺而阴愈消咳嗽吐血唾血衄血
而不能止梦遗精滑强阳不倒骨髓作酸头晕眼花恶症种种不可枚举谁知皆是不慎女色而然也必
须大用补阴而加之化虫之味始能夺命返魂重登寿域否则行尸坐鬼不过旦夕为世上之人而已
吾今传一奇方专治下痨实见奇功方名重春夺命丹此方妙在地骨皮同鳖甲地栗同用盖痨病未有
不骨髓内热者地骨入于骨中以清其虚热鳖甲无孔不钻与地栗粉相济有虫则杀有隙则填阴虚则
补阳旺则衰三者并用实有至理况各品又纯是补阴制阳之味阴足而阳有不平者乎此方之所以神
而肆也
补上救痨丹
麦冬（三两） 生枣仁（三两） 炒枣仁（三两） 山药（六两） 芡实（六两） 地骨皮（六两） 丹皮
（六
两） 当归（六两） 白芍（一斤） 人参（三两） 北五味（二两） 橘红（八钱） 白薇（三两） 神曲（三
两） 茯神（三两） 万年青（三片） 薏仁（五两） 天门冬（六两）各为细末蜜为丸每日空腹服五钱
早晚各一服
重春夺命丹
熟地（一两） 山茱萸（五钱） 麦冬（五钱） 北五味（一钱） 薏仁（五钱） 芡实（五钱） 山药（
五钱
）地骨皮（一两） 丹皮（五钱） 地栗粉（五钱） 鳖甲末（三钱） 生何首乌（三钱） 菟丝子（三钱）
砂仁（一粒） 人参（三分）水煎服
治疗痨病（慢性消耗性疾病，多指肺结核等）应当区分病变在上部还是下部。五脏因过度劳累都能导致痨病，为什么只分为上下两类呢？这是因为五脏形成痨病，不是由上焦损伤波及下焦，就是由下焦损伤波及上焦。所以谈论上下之分，五脏的痨病症状就不超出这个范围了，又何必逐一按脏腑来细致区分呢？
由上焦向下焦传变的情况是怎样的呢？大抵是先损伤心脏，然后伤及肺脏；肺脏的病传给肝脏；肝脏的病传给脾脏；脾脏的病传给肾脏，最后导致死亡。其外在表现的症状如何呢？如心惊、失眠、咳嗽、吐痰、饮食减少、两胁轻微胀闷、梦遗不止、身体出现潮热、足膝无力。这些症状在初起之时，补益阳气虚损并稍加滋阴的药物，自然容易见效。无奈世人不懂治疗方法，胡乱使用消痰降气、攻伐克削的药物，不到形成痨病的地步不罢休。如果已经形成痨病，又不使用杀虫的药物，在大补气血之中不加杀虫之品，难怪病人奄奄一息、濒临绝境。我如今怜悯世人，特意传承“补上救痨丹”一方。在初病之时或已病之时，急用此方都可以使病人起死回生。此方名为“补上救痨丹”。此方的奥妙看似平平无奇，实则具有奇效。它在补益之中寓含剿杀（杀虫/祛邪）的策略，所以奏效迅速。
由下焦向上焦传变的情况是怎样的呢？这是由于房劳过度引起的。先损伤肾脏，肾脏的病传给心脏；心脏的病再传给肺脏；肺脏的病传给肝脏；肝脏的病传给脾脏；脾脏的病仍然传给肾脏。其症状是身体先发热、骨蒸（阴虚内热，感觉热自骨髓透出）、多汗，以致于睡梦中神志恍惚、吐痰不停、似饥非饥、似痛非痛、胁肋胀满、心跳、腹泻、肠鸣，不能从事体力劳动，力不从心。时间久了，就会奄奄一息卧床不起，难以站立。如果误认为是阳虚而误用人参，必然导致阳气更旺而阴液更消，出现咳嗽吐血、唾血、鼻衄（流鼻血）而不能止住，梦遗精滑、强阳不倒、骨髓酸痛、头晕眼花等种种恶症，不可胜数。谁知道这都是因为不慎于女色而导致的呢？必须大量使用补阴药物，并加入化虫（杀虫）的成分，才能挽救生命，重返健康领域。否则，不过是行尸走肉，早晚成为世上的死人罢了。我如今传授一个奇方，专门治疗下焦痨病，确实见到奇功，方名“重春夺命丹”。此方的奥妙在于地骨皮同鳖甲、地栗（荸荠）粉同用。大概痨病没有不伴有骨髓内热的。地骨皮进入骨骼中以清退虚热；鳖甲无孔不入，与地栗粉相辅相成，有虫则杀，有隙则填（修复），阴虚则补，阳旺则衰。三者并用，实在有至深的道理。况且各味药又纯粹是补阴制阳的药味，阴液充足，阳气还有不平的吗？这就是此方神奇的原因。
补上救痨丹：麦冬（三两）、生枣仁（三两）、炒枣仁（三两）、山药（六两）、芡实（六两）、地骨皮（六两）、丹皮（六两）、当归（六两）、白芍（一斤）、人参（三两）、北五味（二两）、橘红（八钱）、白薇（三两）、神曲（三两）、茯神（三两）、万年青（三片）、薏仁（五两）、天门冬（六两）。以上各药研为细末，用蜂蜜制成丸药。每日空腹服用五钱，早晚各服一次。
重春夺命丹：熟地（一两）、山茱萸（五钱）、麦冬（五钱）、北五味（一钱）、薏仁（五钱）、芡实（五钱）、山药（五钱）、地骨皮（一两）、丹皮（五钱）、地栗粉（五钱）、鳖甲末（三钱）、生何首乌（三钱）、菟丝子（三钱）、砂仁（一粒）、人参（三分）。水煎服。
The treatment of Lao disease (chronic consumptive disease, often referring to pulmonary tuberculosis) should distinguish between lesions in the upper and lower parts. Overwork of the five Zang organs can all lead to Lao disease; why is it only divided into upper and lower categories? This is because when the five Zang organs develop Lao disease, it is either damage from the upper Jiao affecting the lower Jiao, or damage from the lower Jiao affecting the upper Jiao. Therefore, speaking of upper and lower divisions covers the symptoms of Lao disease in the five Zang organs, so there is no need to distinguish them meticulously by each organ.
What is the pattern of transmission from the upper to the lower part? Generally, it first damages the Heart, then injures the Lung; the Lung's condition transmits to the Liver; the Liver's condition transmits to the Spleen; the Spleen's condition transmits to the Kidney, leading to death. The external symptoms are as follows: palpitations, insomnia, coughing, expectoration, poor appetite, slight distension in the hypochondrium, continuous nocturnal emissions, tidal fever, and weakness in the feet and knees. When these symptoms first appear, tonifying Yang deficiency with a small addition of Yin-nourishing herbs will naturally yield effective results. Unfortunately, people do not know the correct treatment methods and recklessly use phlegm-resolving, Qi-descending, and harshly draining agents, stopping only when Lao disease is formed. If Lao disease has already formed, they fail to use anti-parasitic drugs within the context of major Qi and Blood tonification. No wonder patients become critically weak and near death. Out of pity for the world, I specially transmit the formula "Bu Shang Jiu Lao Dan" (Tonify Upper Rescue Lao Pill). Whether used at the onset or when the disease is established, urgent application of this formula can bring patients back to life. The name of this formula is "Bu Shang Jiu Lao Dan". Its subtlety seems ordinary but possesses miraculous efficacy. It incorporates a strategy of suppression and elimination (anti-parasitic/removal of pathogens) within tonification, thus achieving rapid results.
What is the pattern of transmission from the lower to the upper part? This arises from sexual exhaustion. It first damages the Kidney; the Kidney's condition transmits to the Heart; the Heart's condition transmits to the Lung; the Lung's condition transmits to the Liver; the Liver's condition transmits to the Spleen; the Spleen's condition still transmits back to the Kidney. The symptoms include initial body heat, bone-steaming fever (a sensation of heat emanating from the bones due to Yin deficiency), excessive sweating, leading to vague dreams and恍惚 (mental confusion), incessant expectoration, a sensation of hunger without actual desire to eat, pain that is not quite pain, hypochondriac distension, palpitations, diarrhea, borborygmus, inability to perform physical labor, and lack of strength. Over time, the patient becomes critically weak, bedridden, and unable to stand. If mistakenly diagnosed as Yang deficiency and Ren Shen (Ginseng Root) is wrongly used, it will inevitably cause Yang to flare up further while Yin is consumed, resulting in uncontrollable coughing with hemoptysis, spitting blood, epistaxis, continuous nocturnal emissions and spermatorrhea, persistent erection, soreness in the bone marrow, dizziness, and blurred vision. Various severe symptoms cannot be enumerated. Who knows that all these are caused by indiscretion in sexual activity? One must heavily employ Yin-nourishing herbs combined with vermifuge (anti-parasitic) ingredients to save the life and restore health. Otherwise, the patient is merely a walking corpse, destined to die soon. I now transmit a miraculous formula specifically for treating lower Lao disease, which indeed shows remarkable results, named "Zhong Chun Duo Ming Dan" (Revive Spring Snatch Life Pill). The subtlety of this formula lies in using Di Gu Pi (Lycium Bark) together with Bie Jia (Turtle Shell) and Di Li Fen (Dioscorea Hypoglauca Powder/Bamboo Potato Powder). Generally, Lao disease is never without internal heat in the bone marrow. Di Gu Pi enters the bones to clear deficient heat; Bie Jia penetrates every crevice; combined with Di Li Fen powder, it kills parasites where present, fills gaps where damaged, nourishes Yin when deficient, and subdues excess Yang. The combination of these three has profound rationale. Moreover, each ingredient is purely Yin-nourishing and Yang-restraining. When Yin is sufficient, how can Yang be unbalanced? This is why the formula is divine and versatile.
**Bu Shang Jiu Lao Dan (Tonify Upper Rescue Lao Pill):**
Mai Dong (Ophiopogon Tuber, 3 liang), Sheng Zao Ren (Raw Ziziphus Seed, 3 liang), Chao Zao Ren (Stir-fried Ziziphus Seed, 3 liang), Shan Yao (Dioscorea Rhizome, 6 liang), Qian Shi (Euryale Seed, 6 liang), Di Gu Pi (Lycium Bark, 6 liang), Dan Pi (Moutan Cortex, 6 liang), Dang Gui (Angelica Sinensis Root, 6 liang), Bai Shao (White Peony Root, 1 jin), Ren Shen (Ginseng Root, 3 liang), Bei Wu Wei (Schisandra Berry, 2 liang), Ju Hong (Citrus Reticulata Peel, 8 qian), Bai Wei (Cynanchum Atratum Root, 3 liang), Shen Qu (Medicated Leaven, 3 liang), Fu Shen (Poria with Hostwood, 3 liang), Wan Nian Qing (Rhododendron Dauricum, 3 slices), Yi Ren (Coix Seed, 5 liang), Tian Men Dong (Asparagus Tuber, 6 liang). Grind each herb into fine powder, mix with honey to make pills. Take 5 qian on an empty stomach daily, once in the morning and once in the evening.
**Zhong Chun Duo Ming Dan (Revive Spring Snatch Life Pill):**
Shu Di (Prepared Rehmannia Root, 1 liang), Shan Zhu Yu (Cornus Fruit, 5 qian), Mai Dong (Ophiopogon Tuber, 5 qian), Bei Wu Wei (Schisandra Berry, 1 qian), Yi Ren (Coix Seed, 5 qian), Qian Shi (Euryale Seed, 5 qian), Shan Yao (Dioscorea Rhizome, 5 qian), Di Gu Pi (Lycium Bark, 1 liang), Dan Pi (Moutan Cortex, 5 qian), Di Li Fen (Dioscorea Hypoglauca Powder, 5 qian), Bie Jia Mo (Turtle Shell Powder, 3 qian), Sheng He Shou Wu (Polygonum Multiflorum Root, 3 qian), Tu Si Zi (Cuscuta Seed, 3 qian), Sha Ren (Amomum Fruit, 1 grain), Ren Shen (Ginseng Root, 3 fen). Decoct in water and take orally.