大病瘥后劳复者，枳实栀子豉汤主之。
枳实（四枚，炒） 栀子（十四枚） 豉（一两）
上三味，以清浆水二盏，空煮退一盏，内枳实、栀子，煮取八分，下豉更煮五六沸，去渣温服，覆令取微
汗。若有宿食，内大黄，量虚实加减。
伤寒瘥后更发热者，小柴胡汤主之。脉浮者，以汗解之；沉实者，以下解之。
大病瘥后，从腰以下有水气者，牡蛎泽泻散主之。
牡蛎（熬） 泽泻 蜀漆（洗去腥） 商陆（熬） 海藻（洗） 栝蒌根 葶苈（各等分）
上为散，水服方寸匕。小便利，止后服，日二。
大病瘥后，喜睡，久不了了者，胃上有寒，当以丸药温之，宜理中丸。
伤寒解后，虚羸少气，气逆欲吐者，竹叶石膏汤主之。
淡竹叶（二把） 石膏（半斤，捶碎） 半夏（三两） 人参（三两） 麦门冬（四两，去心） 甘草（一两，
炙） 呕者加生姜（一两半）
上 咀，每服五钱，水一盏半，入粳米百余粒，煮取八分，米熟汤成。去渣温服。
风家表解而不了了者，十二日愈。
〔海〕大抵劳者动也，动非一种，有内外血气之异焉。若劳乎气，则无力与精神者，法宜微举之。若劳乎
血与筋骨者，以四物之类补之。若劳在脾内，为中州，调中可已。此为有形病也。但见外证，则谓之复病。非
为劳也，如再感风寒是已。
〔《本》〕记有人患伤寒得汗，数日，忽身热自汗，脉弦数，心不得宁，真劳复也。予诊之曰∶劳心之所
致。神之所舍，未复其初，而又劳伤其神，荣卫失度，当补其子，益其脾，解其劳，庶几得愈。授以补脾汤，
佐以小柴胡汤解之。或者难曰∶虚则补其母，今补其子何也？予曰∶子不知虚劳之异乎？《难经》曰∶虚则补其
母，实则泻其子。此虚当补母，人所共知也。《千金》曰∶心劳甚者，补脾气以益之，脾王则感之于心矣。此劳
则当补子，人所未闻也。盖母生我者也，子继我而助我者也。方治其虚，则补其生我者，与《锦囊》所谓本骸
得气，遗体受荫同义。方治其劳，则补其助我者，与荀子言未有子富而父贫同义。此治虚与劳所以异也。
补脾汤 治伤寒得汗瘥后，脾胃伤冷物，胸膈不快，寻常血气不和。
人参 白术 甘草 橘皮（去白皮） 青皮（去白皮） 干姜（各等分）
上为末，每服三钱，水一盏，煎数沸，热服。入盐点亦得。
〔海〕治劳复，麦门冬汤。气欲绝者，用之有效，能起死回生。
麦门冬（一两） 甘草（二两炙） 粳米（十合）
上麦门冬去心，为细末，水二盏，煎粳米令熟，去米，约汤一小盏半，入药五钱匕，枣二枚，去核，新竹
叶一十五片，同煎至一盏，去渣温服。不能服者，绵滴口中。又治小儿不能灌药者，宜用此绵滴法。此方不
用石膏，以其三焦无火热也，兼自欲死之人阳气将绝者，故不用石膏。若加人参，大妙。
〔《外》〕大病后不足，病虚劳，补虚。取七岁以下、五岁以上黄牛乳一升，水四升，煎至一升。如人饥，
稍稍饮，不得多，期十日服不住，佳。
〔《肘》〕治笃病新起早劳，食饮多，致劳复，欲死。烧鳖甲，服方寸匕。
〔《活》〕雄鼠屎汤 治劳复。
栀子（十四个） 雄鼠屎（二七枚，两头尖者是） 枳壳（三枚，炒）
上为细末，每服四钱，水一盏半，入葱白二寸，香豉三十粒，同煎一盏，分二服。勿令病患知鼠屎。
七味葱白汤 治伤寒或因起动劳复，或因吃食稍多，皆成此候。若复甚者，一如伤寒。初有此证，宜服此方。
葱白（连须） 干葛 新豉（半合） 生姜（切，一合） 麦门冬（去心） 熟地（三钱）
流水四升，以杓扬之。
上七味，用清水煎三分减二，去渣，分二服，渐渐服之取汗。
上伤寒劳复，莫若仍用丹溪以参、 、归、术，加发散之剂汗之为的当也。
大病初愈后因劳累而复发者，用枳实栀子豉汤主治。
枳实（四枚，炒制） 栀子（十四枚） 豆豉（一两）
以上三味药，用清浆水两盏，先空煮至剩下一盏，加入枳实、栀子，煮取八分量，再放入豆豉，继续煮沸五六次，滤去药渣，温服，服药后覆盖衣被令其微微出汗。如果有积食，加入大黄，根据患者虚实情况加减用量。
伤寒病愈后又出现发热者，用小柴胡汤主治。脉象浮的，用发汗法解除表邪；脉象沉实的，用泻下法解除里实。
大病初愈后，腰部以下有水气停留者，用牡蛎泽泻散主治。
牡蛎（煅制） 泽泻 蜀漆（洗去腥味） 商陆（煅制） 海藻（清洗） 瓜蒌根 葶苈子（各等分）
以上药物研为散剂，用水送服一方寸匕。小便通利后，停止服用，每日两次。
大病初愈后，喜欢睡觉，长时间不能清醒者，是胃上有寒，应当用丸药温补，适宜用理中丸。
伤寒病解之后，身体虚弱消瘦、气息短少、气逆想呕吐者，用竹叶石膏汤主治。
淡竹叶（两把） 石膏（半斤，捣碎） 半夏（三两） 人参（三两） 麦门冬（四两，去心） 甘草（一两，炙制） 呕吐者加生姜（一两半）
以上药物切碎，每次服用五钱，加水一盏半，放入粳米一百多粒，煮取八分量，米熟汤成。滤去药渣，温服。
风家（外感风邪患者）表证已解但身体仍不适者，十二日后自愈。
〔海藏〕大抵“劳”是指活动，活动不是一种，有内伤气血与外感劳损的区别。如果是气劳，表现为无力、精神萎靡，治法宜轻微升举。如果是血与筋骨劳损，用四物汤之类补益。如果劳在脾脏内部，属于中焦，调理中焦即可痊愈。这是有形之病。只见到外在症状，则称为复病，并非劳损，如再次感受风寒即是此类。
〔《本草》/注：此处指引用文献〕记载有人患伤寒得汗后，数日，忽然身热自汗，脉弦数，心中不安，这是真正的劳复。我诊察后说：这是用心过度所致。神志所居之处，尚未恢复如初，又因劳损伤及神志，营卫失调，应当补其子脏，益养脾土，解除劳损，或许能愈。给予补脾汤，佐以小柴胡汤以和解。有人责难道：虚证应补其母，现在补其子为什么呢？我说：您不知道虚劳与普通虚证的区别吗？《难经》说：虚则补其母，实则泻其子。这虚证当补母，是人所共知的。《千金方》说：心劳严重的人，补脾气以益之，脾旺则能感应于心。这种劳损应当补子，是人所未闻的。大概母亲生我，儿子继承我并帮助我。治疗虚证时，补生我的母亲，与《锦囊》所说的本骸得气，遗体受荫意义相同。治疗劳损时，补帮助我的儿子，与荀子说的没有儿子富有而父亲贫穷的道理相同。这就是治疗虚与劳所以不同的原因。
补脾汤 治疗伤寒得汗病愈后，脾胃因吃冷物受伤，胸膈不快，寻常气血不和。
人参 白术 甘草 橘皮（去白皮） 青皮（去白皮） 干姜（各等分）
以上药物研为末，每次服用三钱，加水一盏，煎煮数沸，热服。加盐点服也可以。
〔海藏〕治疗劳复，用麦门冬汤。气欲绝者，使用此方有效，能起死回生。
麦门冬（一两） 甘草（二两，炙制） 粳米（十合）
以上麦门冬去心，研为细末，用水两盏，煎粳米至熟，去掉米粒，约剩汤一小盏半，加入药末五钱匕，红枣两枚，去核，新竹叶十五片，同煎至一盏，滤去药渣，温服。不能服药者，用棉絮蘸药汁滴入口中。又治疗小儿不能灌药者，适宜用此棉滴法。此方不用石膏，因为其三焦无火热，兼之病人阳气将绝，故不用石膏。如果加入人参，效果更佳。
〔《外台秘要》〕大病后正气不足，病属虚劳，补虚。取七岁以下、五岁以上黄牛乳一升，加水四升，煎至一升。如果人感到饥饿，慢慢饮用，不可多喝，期望十日内连续服用，效果佳。
〔《肘后备急方》〕治疗重病初愈过早劳作，饮食过多，导致劳复，危及生命。烧鳖甲，服用一方寸匕。
〔《活人书》〕雄鼠屎汤 治疗劳复。
栀子（十四个） 雄鼠屎（十四枚，两头尖的是真品） 枳壳（三枚，炒制）
以上研为细末，每次服用四钱，加水一盏半，放入葱白二寸，香豉三十粒，同煎至一盏，分两次服用。不要让病患知道里面有鼠屎。
七味葱白汤 治疗伤寒或因起身活动劳复，或因吃得稍多，都形成此证候。如果劳复严重，一如伤寒症状。初有此证，适宜服用此方。
葱白（带须） 干葛 新豆豉（半合） 生姜（切，一合） 麦门冬（去心） 熟地黄（三钱）
流水四升，用勺子扬之。
以上七味药，用清水煎煮至减少三分之二，滤去药渣，分两次服用，慢慢服用以取汗。
上述伤寒劳复，不如仍采用丹溪先生用参、[缺字，推测为芪或术]、归、术，加上发散药剂发汗的方法最为恰当。
For recurrence of illness due to overexertion after a major disease has subsided, Zhishi Zhizi Chitang (Bitter Orange, Gardenia, and Fermented Soybean Decoction) is the primary treatment.
Zhishi (Immature Bitter Orange, four pieces, stir-fried), Zhizi (Gardenia Fruit, fourteen pieces), Chitang (Fermented Soybean, one tael).
Take the above three ingredients, add two cups of clear sour rice water, boil empty first until reduced to one cup, then add Zhishi and Zhizi, boil until eight-tenths remains, add Chitang, boil for five or six more boils, remove dregs, take warm, cover with blankets to induce slight sweating. If there is retained food, add Dahuang (Rhubarb Root), adjusting dosage according to deficiency or excess.
For fever recurring after the resolution of Cold Damage (Shanghan), Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment. If the pulse is floating, resolve it by inducing sweating; if deep and solid, resolve it by purging.
For edema/water qi accumulation below the waist after a major disease has subsided, Musi Zexie San (Oyster Shell and Alisma Powder) is the primary treatment.
Musi (Oyster Shell, calcined), Zexie (Alisma Rhizome), Shuqi (Prepared Aconite Lateral Root, washed to remove fishy smell), Shanglu (Phytolacca Root, calcined), Haizao (Sargassum Thallus, washed), Gualougen (Trichosanthes Root), Tinglizi (Descurainia Seed, each in equal parts).
Grind into powder, administer with water using a square-inch measure. Stop administration when urination becomes smooth, twice daily.
For lethargy and prolonged unresponsiveness after a major disease has subsided, caused by cold in the stomach, warm with pills, Lizhong Wan (Regulate the Middle Pill) is suitable.
For emaciation, shortness of breath, and nausea with desire to vomit after the resolution of Cold Damage, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) is the primary treatment.
Danzhuye (Lophatherum Herb, two handfuls), Shigao (Gypsum Fibrosum, half a jin, crushed), Banxia (Pinellia Tuber, three taels), Renshen (Ginseng Root, three taels), Maimendong (Ophiopogon Tuber, four taels, heart removed), Gancao (Licorice Root, one tael, honey-fried). Add Shengjiang (Fresh Ginger Rhizome, one and a half taels) if vomiting occurs.
Chop the herbs, take five qian per dose, add one and a half cups of water, add over one hundred grains of Jingmi (Rice Grain), boil until eight-tenths remains and rice is cooked. Remove dregs, take warm.
For patients with wind-pathogen exterior syndrome who have resolved the exterior but remain unwell, recovery is expected in twelve days.
[Hai Zang]: Generally, "overexertion" refers to activity. Activity varies; there are differences between internal Qi/Blood exhaustion and external strain. If it is Qi overexertion, manifesting as weakness and mental fatigue, the method should be mild lifting/supporting. If it is Blood and sinew/bone overexertion, tonify with formulas like Siwu Tang (Four Substance Decoction). If the overexertion affects the Spleen internally, belonging to the Middle Jiao, regulating the middle can cure it. This is a tangible disease. Only observing external symptoms classifies it as recurrence, not true overexertion, such as re-contracting wind-cold.
[Ben Cao Reference]: Records a case where a patient suffered from Cold Damage, sweated, and after several days suddenly developed fever, spontaneous sweating, wiry-rapid pulse, and mental restlessness. This was true recurrence due to overexertion. I diagnosed: this resulted from excessive mental labor. The Spirit resides here; having not returned to its original state, further mental labor injured the Spirit, causing disharmony of Ying and Wei. One should tonify the Son organ, benefit the Spleen, and relieve the overexertion, hopefully leading to recovery. Prescribed Bupi Tang (Spleen-Tonifying Decoction), assisted by Xiaochaihu Tang to harmonize. Someone questioned: "Deficiency should tonify the Mother, why tonify the Son now?" I said: "Do you not know the difference between deficiency and overexertion? Nan Jing states: Deficiency tonifies the Mother, Excess drains the Son. Everyone knows deficiency requires tonifying the Mother. Qian Jin Fang states: For severe Heart overexertion, tonify Spleen Qi to benefit it; when Spleen prospers, it influences the Heart. For overexertion, one should tonify the Son, which is unheard of. The Mother generates me; the Son succeeds me and assists me. When treating deficiency, we tonify the one who generated us, consistent with Jin Nang's principle that if the root receives Qi, the branches receive shade. When treating overexertion, we tonify the one who assists us, consistent with Xunzi's saying that a son cannot be rich while the father is poor. This is why treating deficiency and overexertion differs."
Bupi Tang treats post-sweating recovery from Cold Damage where the Spleen/Stomach are injured by cold foods, causing chest/diaphragm discomfort and general Qi/Blood disharmony.
Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Gancao (Licorice Root), Chuanpi (Tangerine Peel, white part removed), Qingpi (Green Tangerine Peel, white part removed), Ganjiang (Dried Ginger Rhizome, each in equal parts).
Grind into powder, take three qian per dose, add one cup of water, boil briefly, take hot. Adding salt is also acceptable.
[Hai Zang]: To treat recurrence due to overexertion, use Maimendong Tang (Ophiopogon Decoction). It is effective for those whose Qi is about to fail, capable of reviving the dying.
Maimendong (Ophiopogon Tuber, one tael), Gancao (Licorice Root, two taels, honey-fried), Jingmi (Rice Grain, ten he).
Remove the heart of Maimendong, grind into fine powder. Add two cups of water, cook Jingmi until soft, remove rice grains, retain about one and a half cups of decoction, add five qian of medicine, two dates (pitted), fifteen fresh Zhu Ye (Bamboo Leaves), simmer to one cup, remove dregs, take warm. For those unable to swallow, drip slowly into the mouth with cotton. Also suitable for infants who cannot be force-fed. This formula does not use Shigao because there is no heat in the Triple Burner, and for those near death with failing Yang, Shigao is contraindicated. Adding Renshen is highly beneficial.
[Wai Tai Mi Yao]: For insufficiency after major disease, classified as deficiency consumption, to tonify deficiency. Take one sheng of milk from a yellow cow aged five to seven years, add four sheng of water, boil down to one sheng. If hungry, drink slowly, do not drink too much. Ideally, continue taking it within ten days for best results.
[Zhou Hou Bei Ji Fang]: Treats critical illness newly recovered, early overexertion, excessive eating/drinking leading to recurrence, nearing death. Calcinate Biejia (Tartaric Turtle Carapace), take one square-inch measure.
[Huo Ren Shu]: Xiong Shoushi Tang (Male Rat Feces Decoction) treats recurrence due to overexertion.
Zhizi (Gardenia Fruit, fourteen pieces), Xiong Shoushi (Male Rat Feces, fourteen pieces, those pointed at both ends are authentic), Zhike (Bitter Orange Fruit, three pieces, stir-fried).
Grind into fine powder, take four qian per dose, add one and a half cups of water, add two cun of Congbai (Scallion White), thirty grains of Xiangchi (Fragrant Fermented Bean), simmer to one cup, divide into two doses. Do not let the patient know it contains rat feces.
Qiwei Congbai Tang (Seven-Ingredient Scallion White Decoction) treats Cold Damage recurrence due to movement/exertion or slightly excessive eating. If recurrence is severe, it resembles initial Cold Damage. For early signs, this formula is suitable.
Congbai (Scallion White, with roots), Gegen (Kudzu Root), Xinchi (New Fermented Bean, half he), Shengjiang (Fresh Ginger Rhizome, sliced, one he), Maimendong (Ophiopogon Tuber, heart removed), Shudi (Rehmannia Root, prepared, three qian).
Use flowing water, four sheng, agitate with a ladle.
Boil the above seven ingredients in clear water until reduced by two-thirds, remove dregs, divide into two doses, take gradually to induce sweating.
Regarding Cold Damage recurrence, it is most appropriate to follow Danxi's method of using Renshen, [missing character, likely Huangqi or Baizhu], Danggui (Angelica Sinensis), Baizhu, combined with diaphoretic agents to induce sweating.