此阴虚之极，痰与血病，多有虫者。虚劳身瘦属火，因火烧烁故也。肉脱甚者，难治；不受补者，亦难治。治
法以大补为主，四物汤加竹沥、童便、姜汁。一加炒檗。阳虚者，四君子加麦冬、五味、陈皮、炒檗、竹沥、童便、
姜汁。虚劳即积热做成，始健可用子和法；后羸惫四物加减送消积丸。热助气，不做阳虚，蒸蒸发热，积病最多。
调鼎方，紫河车丸治传尸劳瘵；青蒿煎治劳瘵（二方俱见《医要》）。传尸劳瘵寒热交攻，久嗽咯血，日见羸瘦，先以
三拗汤，次以连心散。一男子劳弱，潮热往来，咳嗽痰血，日轻夜重，形容枯瘦，饮食不美，肾脏虚甚∶参 白
术鳖甲（各一钱） 当归 五味 炒芩 炒柏 软柴 地骨 秦艽 炒连 茯苓 半夏（各五分） 麦冬（七分半）
姜煎服就送下三补丸。一妇人劳瘵，四物加参、 、柴胡、黄芩、鳖甲、地骨、甘葛、五味、甘草，水煎服。虚劳大热
之人，服芩、连寒药不得者，用参、 、归、术、柴胡、地骨、麦冬、五味、秦艽、芍药、青蒿、半夏、甘草、胡连，
上用生姜、乌梅煎服。一人年三十五，患虚损，朝寒暮热，四君子汤加软柴胡、黄芩、当归、芍药、川芎、地骨皮、秦
艽。一人气血两虚，骨蒸寒热交作，大便如常，脉细数，少食，八物汤加柴胡、知母、黄柏。
这是阴虚到了极点，伴有痰和血的病变，体内多有虫邪。虚劳导致身体消瘦属于火证，是因为火热煎熬消耗的缘故。肌肉严重脱失的，难以治疗；不能耐受补益药物的，也难以治疗。治疗方法以大补为主，使用四物汤加入竹沥、童便、姜汁。另一种加用炒黄柏。阳虚的患者，使用四君子汤加入麦冬、五味子、陈皮、炒黄柏、竹沥、童便、姜汁。虚劳是由积热形成的，初期身体尚健壮的，可以使用张子和的方法；后期身体虚弱疲惫的，用四物汤加减配合送服消积丸。热邪助长气机，不会导致阳虚，而是出现蒸蒸发热的症状，这类积病最为多见。调鼎方中的紫河车丸用于治疗传尸劳瘵；青蒿煎也用于治疗劳瘵（这两个方剂均见于《医要》）。传尸劳瘵表现为寒热交替发作，长期咳嗽咯血，日渐消瘦，先用三拗汤，接着用连心散。有一个男子患劳弱症，潮热往来，咳嗽痰中带血，白天轻晚上重，形体枯瘦，饮食不佳，肾脏虚损严重：人参、白术、鳖甲（各一钱），当归，五味子，炒黄芩，炒黄柏，软柴胡，地骨皮，秦艽，炒黄连，茯苓，半夏（各五分），麦冬（七分半），用生姜煎水送服，同时送下三补丸。有一个妇人患劳瘵，用四物汤加入人参、[原文缺字，推测为黄芪或类似补气药]、柴胡、黄芩、鳖甲、地骨皮、甘葛根、五味子、甘草，水煎服用。虚劳大热的患者，如果无法服用黄芩、黄连等寒凉药物，则用人参、[原文缺字]、当归、白术、柴胡、地骨皮、麦冬、五味子、秦艽、芍药、青蒿、半夏、甘草、胡黄连，上面加上生姜、乌梅煎水服用。一个人三十五岁，患虚损病，早晨怕冷傍晚发热，用四君子汤加入软柴胡、黄芩、当归、芍药、川芎、地骨皮、秦艽。一个人气血两虚，骨蒸寒热交替发作，大便正常，脉象细数，食欲少，用八物汤加入柴胡、知母、黄柏。
This is extreme Yin deficiency, involving phlegm and blood pathologies, often accompanied by parasites. Consumption leading to emaciation belongs to Fire syndrome, caused by the scorching and consuming action of Fire. When muscle wasting is severe, it is difficult to treat; when the patient cannot tolerate tonification, it is also difficult to treat. The treatment principle focuses on major tonification, using Siwu Tang (Four Substances Decoction) added with Zhuli (Bamboo Sap), Tongbian (Child's Urine), and Jiangzhi (Ginger Juice). Another variation adds Chao Bo (Stir-fried Phellodendri Cortex). For Yang deficiency cases, Sijunzi Tang (Four Gentlemen Decoction) is used with Maidong (Ophiopogonis Radix), Wuwei Zi (Schisandrae Fructus), Chenpi (Citri Reticulatae Pericarpium), Chao Bo (Stir-fried Phellodendri Cortex), Zhuli (Bamboo Sap), Tongbian (Child's Urine), and Jiangzhi (Ginger Juice). Consumption is formed by accumulated heat; if the constitution was initially robust, Zhang Hezi's methods can be applied; later, when emaciated and exhausted, Siwu Tang (Four Substances Decoction) modified is used to deliver Xiaoji Wan (Accumulation-Dissolving Pill). Heat assists Qi movement, preventing Yang deficiency but causing steaming-hot fever sensations; such accumulation diseases are most common. The Diaoding Fang (Dialing Cauldron Formula) contains Zihewan (Placenta Pill) for treating Chuanshi Laozai (Infectious Consumption); Qinghao Jian (Artemisia Annua Decoction) also treats Laozai (Consumption) (both formulas are recorded in *Yi Yao*). Chuanshi Laozai (Infectious Consumption) presents with alternating chills and fever, chronic cough with hemoptysis, and progressive emaciation; first use San'ao Tang (Three Unblocking Decoction), followed by Lianxin San (Connected Heart Powder). A male patient suffered from consumption weakness, tidal fever, cough with bloody sputum, symptoms lighter during the day and heavier at night, withered appearance, poor appetite, and severe Kidney deficiency: Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Biejia (Trionycis Carapax) (each 1 qian), Danggui (Angelicae Sinensis Radix), Wuwei Zi (Schisandrae Fructus), Chao Huangqin (Stir-fried Scutellariae Radix), Chao Baihuangbo (Stir-fried Phellodendri Cortex), Ruan Chaihu (Soft Bupleuri Radix), Diguxu (Lycii Cortex), Qinjiao (Gentianae Macrophyllae Radix), Chao Lianqin (Stir-fried Coptidis Rhizoma), Fuling (Poria), Banxia (Pinelliae Rhizoma) (each 5 fen), Maidong (Ophiopogonis Radix) (7.5 fen); decoct with Shengjiang (Zingiberis Rhizoma Recens) and take orally, simultaneously administering Sanbu Wan (Three Tonifying Pill). A female patient with consumption was treated with Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix et Rhizoma), [missing character], Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Biejia (Trionycis Carapax), Diguxu (Lycii Cortex), Gange (Puerariae Radix), Wuwei Zi (Schisandrae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), decocted in water and taken orally. For patients with consumption and high fever who cannot tolerate cold herbs like Huangqin (Scutellariae Radix) and Lianqin (Coptidis Rhizoma), use Renshen (Ginseng Radix et Rhizoma), [missing character], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chaihu (Bupleuri Radix), Diguxu (Lycii Cortex), Maidong (Ophiopogonis Radix), Wuwei Zi (Schisandrae Fructus), Qinjiao (Gentianae Macrophyllae Radix), Shaoyao (Paeoniae Radix), Qinghao (Artemisiae Annuae Herba), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Hulanlian (Hydrastis Rhizoma); decoct with Shengjiang (Zingiberis Rhizoma Recens) and Wumei (Mume Fructus) and take orally. A 35-year-old man suffered from deficiency damage, morning chills and evening fever, treated with Sijunzi Tang (Four Gentlemen Decoction) added with Ruan Chaihu (Soft Bupleuri Radix), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Diguxu (Lycii Cortex), Qinjiao (Gentianae Macrophyllae Radix). A person with both Qi and Blood deficiency experienced bone-steaming chills and fever alternately, normal bowel movements, fine and rapid pulse, and poor appetite, treated with Bawu Tang (Eight Substances Decoction) added with Chaihu (Bupleuri Radix), Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex).