夫劳瘵一证，为人之大患。凡受此病者，传变不一，积年染疰，甚至灭门，可胜叹哉！
大抵合而言之，曰传尸，别而言之，曰骨蒸， 复连、尸疰、劳疰、蛊疰、毒疰、热疰、
冷疰、食疰、鬼疰是也。夫疰者注也，自上注下，病源无异，是之谓疰。又其变则有二十二
种，或三十六种，或九十九种。又有所谓五尸者，曰蜚尸、遁尸、寒尸、丧尸、尸注是也。
其名不同，传变尤不一，感此疾而获安者，十无一二也。大抵五脏所传，皆令人憎寒发热，
其证状各异。有如传之于肝，则面白目枯，口苦自汗，心烦惊怖；传之于心，则面黑鼻干，
口疮喜忘，大便或秘或泄；传之于脾，则面青唇黄，舌强喉梗，吐涎体瘦，饮食无味；传之
于肺，则面赤鼻白，吐痰咯血，喘嗽毛枯；传之于肾，则面黄耳枯，胸满 痛，白浊遗沥。
又有二十四种劳蒸者，亦可因证验之。蒸在心也，少气烦闷，舌必焦黑；蒸在小肠也，腹内
雷鸣，大肠或秘或泄；蒸在肝也，目昏眩晕，躁怒无时；蒸在胆也，耳聋口苦，胁下坚痛；
蒸在肾也，耳叶焦枯，腰脚酸痛；蒸在右肾也，情意不定，泄精白絮；蒸在肺也，喘嗽咯血，
声音嘶远；蒸在大肠也，右鼻干疼，大肠隐痛；蒸在脾也，唇口干燥，腹胁胀满，畏寒不食；
蒸在胃也，鼻口干燥，腹膨自汗，睡卧不宁；蒸在膀胱也，小便黄赤，凝浊如膏；蒸在三焦
也，或寒或热，中脘膻中时觉烦闷；蒸在膈也，心胸噎塞，疼痛不舒；蒸在宗筋也，筋脉纵
缓，小腹隐痛，阴器自强；蒸在回肠也，肛门秘涩，传导之时，里急后重；蒸在玉房也，男
子遗精，女子白淫；蒸在脑也，眼眵头眩，口吐浊涎；蒸在皮也，肌肤鳞起，毛折发黑；蒸
在骨也，版齿黑燥，大杼酸疼；蒸在髓也，肩背疼倦， 骨酸痛；蒸在筋也，眼昏胁痛，爪
甲焦枯；蒸在脉也，心烦体热，痛刺如针；蒸在肉也，自觉身热多不奈何，四肢 动；蒸在
血也，毛发焦枯，有时鼻衄，或复尿血。评诸病证，大略如斯。若究其根，惟心肺受虫啮，
祸之甚也。治法先宜去根，次须摄养调治，亦有早灸膏肓俞，崔氏穴而得愈者。若待其根深
蒂固而治之，则无及
劳瘵这一病证，是人们的重大祸患。凡是感染此病的人，病情传变不一，长年累月相互传染，甚至导致全家死亡，真是令人叹息啊！
大体上合起来说，称为“传尸”；分别来说，有骨蒸、复连、尸疰、劳疰、蛊疰、毒疰、热疰、冷疰、食疰、鬼疰等。所谓“疰”，就是“注”的意思，指病气自上而下注染，病源相同，这就叫做疰。其变化又有二十二种、三十六种或九十九种之多。还有所谓的“五尸”，即蜚尸、遁尸、寒尸、丧尸、尸注。名称虽然不同，但传变更加复杂，感染这种疾病而能痊愈的，十中无一二。大体上五脏受邪传变，都会让人憎恶寒冷并发热，但具体症状各异。如果病传于肝，则面色苍白、双目干枯、口苦、自汗、心烦惊恐；病传于心，则面色发黑、鼻干、口腔溃疡、健忘，大便或便秘或泄泻；病传于脾，则面色发青、嘴唇发黄、舌体僵硬、咽喉梗塞、吐涎沫、身体消瘦、饮食无味；病传于肺，则面色发红、鼻部色白、咳痰咯血、气喘咳嗽、毛发枯槁；病传于肾，则面色发黄、耳廓干枯、胸满疼痛、小便浑浊淋漓。
另外还有二十四种“劳蒸”之证，也可以根据症状来验证。劳蒸在心，表现为少气烦闷，舌苔必定焦黑；劳蒸在小肠，表现为腹内雷鸣，大肠或便秘或泄泻；劳蒸在肝，表现为目昏眩晕，烦躁易怒无定时；劳蒸在胆，表现为耳聋口苦，胁下坚硬疼痛；劳蒸在肾，表现为耳叶焦枯，腰脚酸痛；劳蒸在右肾，表现为情意不定，遗精流出白色絮状物；劳蒸在肺，表现为气喘咳嗽咯血，声音嘶哑遥远；劳蒸在大肠，表现为右侧鼻孔干燥疼痛，大肠隐痛；劳蒸在脾，表现为唇口干燥，腹胁胀满，畏寒不想进食；劳蒸在胃，表现为鼻口干燥，腹部膨隆自汗，睡眠不安；劳蒸在膀胱，表现为小便黄赤，浑浊如膏脂；劳蒸在三焦，表现为忽冷忽热，中脘穴和膻中穴处时常感到烦闷；劳蒸在膈，表现为心胸噎塞，疼痛不适；劳蒸在宗筋，表现为筋脉松弛，小腹隐痛，阴茎异常勃起；劳蒸在回肠，表现为肛门秘涩，排便时里急后重；劳蒸在玉房（生殖系统），表现为男子遗精，女子白带过多；劳蒸在脑，表现为眼屎多头晕，口吐浊唾；劳蒸在皮，表现为肌肤起鳞屑，毛发折断变黑；劳蒸在骨，表现为门齿黑燥，大杼穴处酸痛；劳蒸在髓，表现为肩背疼痛疲倦，骨骼酸痛；劳蒸在筋，表现为眼昏胁痛，指甲焦枯；劳蒸在脉，表现为心烦体热，疼痛如针刺；劳蒸在肉，表现为自觉身热难以忍受，四肢颤动；劳蒸在血，表现为毛发焦枯，有时鼻出血，或者再次尿血。评估这些病症，大致如此。如果追究根源，只有心肺受到虫蚀，祸害最为严重。治疗方法首先应当去除病根，其次需要摄生调养治疗，也有早期艾灸膏肓俞穴、崔氏穴而痊愈的。如果等到病根深蒂固再去治疗，那就来不及了。
Lao Zhai (Consumptive Disease) is a major affliction for humans. Those who contract this disease undergo various transformations; it spreads over years through infection, even wiping out entire families—how lamentable!
Generally speaking, when combined, it is called Chuan Shi (Transmitting Corpse); when distinguished individually, it includes Gu Zheng (Bone-Steaming), Fu Lian (Repeating Link), Shi Zhu (Corpse Infection), Lao Zhu (Consumptive Infection), Gu Zhu (Gourd Infection), Du Zhu (Toxic Infection), Re Zhu (Heat Infection), Leng Zhu (Cold Infection), Shi Zhu (Food Infection), and Gui Zhu (Ghost Infection). The term "Zhu" implies "Zhu" (to pour/transfer), meaning the pathogen transfers from above to below with identical origins, hence termed Zhu. Its variations number twenty-two, thirty-six, or even ninety-nine types. Additionally, there are the so-called "Five Corpses": Fei Shi (Flying Corpse), Dun Shi (Escaping Corpse), Han Shi (Cold Corpse), Sang Shi (Mourning Corpse), and Shi Zhu (Corpse Transmission). Although names differ, transmission patterns vary greatly; fewer than one or two in ten infected recover. Generally, transmission among the Five Viscera causes aversion to cold and fever, yet symptoms differ. If transmitted to the Liver, the face becomes pale, eyes dry, mouth bitter, spontaneous sweating occurs, and mental restlessness with fright arises. If transmitted to the Heart, the face turns black, nose dries, oral ulcers appear, memory fails, and stool alternates between constipation and diarrhea. If transmitted to the Spleen, the face turns greenish-yellow, lips yellow, tongue stiffens, throat feels blocked, saliva is expelled, body emaciates, and food loses flavor. If transmitted to the Lungs, the face reddens, nose appears white, phlegm is coughed up with blood, wheezing and coughing occur, and hair becomes brittle. If transmitted to the Kidneys, the face yellows, ears dry, chest distends with pain, and urine becomes turbid and dribbling.
Furthermore, there are twenty-four types of "Lao Zheng" (Consumptive Steaming), which can also be verified by symptoms. Steaming in the Heart manifests as shortness of breath and oppression, with a scorched-black tongue coating. Steaming in the Small Intestine manifests as borborygmus within the abdomen, with large intestine alternating between constipation and diarrhea. Steaming in the Liver manifests as blurred vision and vertigo, with intermittent irritability and anger. Steaming in the Gallbladder manifests as deafness and bitter taste, with hardness and pain under the ribs. Steaming in the Kidney manifests with scorched earlobes and soreness/pain in the waist and legs. Steaming in the Right Kidney manifests as emotional instability and seminal emission of white flocculent matter. Steaming in the Lungs manifests as wheezing, coughing, hemoptysis, and hoarse, distant voice. Steaming in the Large Intestine manifests as dryness and pain in the right nostril, with dull pain in the large intestine. Steaming in the Spleen manifests as dryness of lips and mouth, abdominal and hypochondriac fullness, aversion to cold, and anorexia. Steaming in the Stomach manifests as dryness of nose and mouth, abdominal distension with spontaneous sweating, and restless sleep. Steaming in the Bladder manifests as yellow-red urine, turbid like paste. Steaming in the San Jiao (Triple Burner) manifests as alternating chills and fever, with frequent oppression in the Zhongwan (CV12) and Danzhong (CV17) regions. Steaming in the Diaphragm manifests as chest and heart blockage with discomfort and pain. Steaming in the Zong Jin (Major Sinews/Penis) manifests as flaccid sinews, dull lower abdominal pain, and spontaneous erection of the penis. Steaming in the Hui Chang (Looping Intestine) manifests as anal constipation and tenesmus during defecation. Steaming in the Yu Fang (Genital Organ) manifests as nocturnal emission in men and leukorrhea in women. Steaming in the Brain manifests as excessive eye discharge, vertigo, and expulsion of turbid saliva. Steaming in the Skin manifests as scaly skin, broken hairs, and blackened hair. Steaming in the Bone manifests as blackening and drying of incisors, and soreness at Dazhu (BL11). Steaming in the Marrow manifests as shoulder and back pain/fatigue, and bone soreness. Steaming in the Tendons manifests as blurred vision, hypochondriac pain, and brittle nails. Steaming in the Vessels manifests as mental restlessness, body heat, and stabbing pain like needles. Steaming in the Flesh manifests as subjective feeling of heat that is hard to bear, and tremors of the four limbs. Steaming in the Blood manifests as brittle hair, occasional epistaxis, or recurrent hematuria. Evaluating these syndromes, they are roughly as described. Investigating the root cause, only when the Heart and Lungs are eroded by parasites is the disaster most severe. Treatment should first aim to eliminate the root, followed by nursing care and regulation. Some have recovered by early moxibustion on Gaohuangshu (BL43) and Cuishi points. If treatment is delayed until the root is deeply established, it will be too late.