《病源论》云∶夫蒸病有五∶一曰骨蒸，二曰脉蒸，三曰皮蒸，四曰肉蒸，五曰内蒸。
又云∶有二十三蒸。一胞蒸；二玉房蒸；三脑蒸；四髓蒸；五骨蒸；六筋蒸；七血蒸；
八脉
胃蒸；
二十三
《玄感传尸方》云∶论曰∶凡人唯知有骨蒸名而不知亦有心肾等蒸，云云。
又云∶五蒸病者，附骨毒之气，疗之通用生地黄汁，不限日数，此方神验，云云。
又云∶一曰骨蒸者，其根在肾，旦起体凉，日晚即热，烦躁，寝不能安，食无味，小便
黄赤
食人
一服
二曰脉蒸。其根在心。日增烦闷，掷手出脚， 思水，口唾即浪言，或惊恐不安，脉
数。
苦参（二两） 青葙（二两） 艾叶（一两） 甘草（一两，炙）
切，以水四升煮取一升半，分为二分，羊胞中盛，灌下部，若不利，服芒硝方寸匕。
三曰皮蒸。其根在肺。必大喘鼻干，口中无水，舌上白，小便赤如血。蒸盛之时，胸满，
或自称得注热，两胁下胀，大嗽，彻背连脾疼，眠寐不安。或蒸毒伤脏，口内唾血。急与芒
硝一两，日不过三，服之讫，冷水浸手，以熨胁间及腋上，自下第三胁间下腋下空中七壮灸
之。
四曰肉蒸。其根在脾。体热如火，烦躁无汗，心腹臌胀，食即欲呕，小便如血，大便秘
涩。
水一
任意
五曰肉蒸，亦名血蒸。所以名内蒸者，必外寒而内热，把手附骨而肉热甚。其根在五脏
六腑
足趺
上
必
又云∶主丈夫因虚劳损，梦泄、盗汗、小便余沥、阴湿弱欲成骨蒸者，名曰劳极，黄
大补
黄 （三两） 生姜（三两） 人参（三两） 大枣（二十枚，擘） 牡蛎（二两） 夕
药（三两） 桂
两） 橘皮（三两） 磁石（三
凡十四味，切，以水一斗二升煮取三升，绞去滓，分温三四服，服如去八九里，复取微
润，
又云∶主骨蒸、肺痿、手足烦热兼汤或不能食，芦根饮方∶
芦根（切，十两） 麦门冬（十两，去皮） 地骨白皮（十两） 生姜（十两，切） 茯
苓（五两）
兼服石，人骨中寒、虚胀痛者，加吴茱萸八两。
凡六味，切，以水二斗煮取八升，绞去滓，分温五服，昼三服夜二服。忌如药法。
又云∶主骨蒸、肺痿、四体烦热不能食，口干者，麦门冬饮方∶
麦门冬（三升，去心，生者二升） 地骨白皮（二升） 小麦（一升）
凡三味，以水一斗三升，先煮小麦取一升，去麦门二味，更煮取三升，绞去滓，分温三
服，
又云∶小龙胆丸疗骨蒸身热，手足烦，心中懊 羸瘦不能食方∶
龙胆（五分） 黄连（去毛） 夕药 甘草 黄柏 大黄 黄芩 人参 栀子仁（各四
分）
凡九味，捣筛，蜜丸，饮服三丸，丸如梧子，稍加，以知为度，日二三服，忌如法。
又云∶骨蒸之病，无问男女，特忌房室、举动劳作，尤不宜食陈臭咸酸难消粘食，牛、
马、
并不
并
又云∶主骨蒸 癖气等灸方∶
两肩井、上廉、下廉，灸七壮。
又方∶夹脐两旁各相去一寸二分，两乳下一夫肋间。灸如前法。
《广济方》疗骨蒸单方∶肺气每至日晚即恶寒壮热，颜色微赤，不能下食，日渐羸瘦方∶
生地黄（三两，切） 葱白（二两，切） 香豉（二两） 童子小便（二升） 甘草（二
两，炙）
上，地黄等于小便中浸一宿，平晨煎两沸，绞去滓，澄去淀，取一升二合，分温二服。
忌食
又云∶疗瘦病方∶
灵天盖（一大两，死人顶骨） 麝香（半脐） 桃仁（一大抄，去皮） 生朱砂（一两
半，光明者）
上五味，各别捣筛讫，然后总和合调，每晨空腹以小儿小便半升，和散方寸一匕服。忌
生血
《广利方》理骨节热积渐黄瘦方∶
鳖甲（六分，炙） 知母（四支） 大黄（六分） 葱白（五茎） 豉（十二分） 桑
根白皮（八分）
切，以童子小便一大升三合煎取八合，去滓，食后良久分温三服，服相去如人行七八里。
频
又方∶大黄四分，切，以童子小便五合煎取四合，去滓，空腹分温两服，服相去如人行
四五
《诸病源候论》说：蒸病有五种：第一种叫骨蒸，第二种叫脉蒸，第三种叫皮蒸，第四种叫肉蒸，第五种叫内蒸。
又说：有二十三种蒸病。第一种是胞蒸；第二种是玉房蒸；第三种是脑蒸；第四种是髓蒸；第五种是骨蒸；第六种是筋蒸；第七种是血蒸；第八种是脉胃蒸……（原文此处有缺漏，列举至第二十三种）。
《玄感传尸方》说：论述道：世人只知道有骨蒸这个名称，却不知道还有心蒸、肾蒸等蒸病，等等。
又说：治疗五种蒸病，是因为它们附着于骨骼的毒气之气，治疗通用生地黄汁，不限天数，此方神效，等等。
又说：第一种叫骨蒸，其病根在肾，早晨起床时身体凉爽，到了傍晚就发热，烦躁不安，睡眠不能安宁，吃东西没有味道，小便黄赤……（原文此处有缺漏）吃人……一服……
第二种叫脉蒸。其病根在心。每天增加烦闷，甩手踢脚，想喝水，口吐唾液且胡言乱语，或者惊恐不安，脉搏快。
切碎，用水四升煮取一升半，分为两份，盛在羊膀胱中，灌入下部（前阴），如果不利尿，服用芒硝方寸匕。
第三种叫皮蒸。其病根在肺。必定大口喘气、鼻干，口中无水，舌上发白，小便红赤如血。蒸热严重时，胸满，或者自称得了注热（传染病热邪），两胁下胀满，剧烈咳嗽，疼痛彻背连及脾区，睡眠不安。或者蒸毒损伤脏腑，口中唾血。急用芒硝一两，每日不超过三次，服完后，用冷水浸手，熨烫胁间及腋下，从下面第三肋间隙向下至腋窝空中灸七壮。
第四种叫肉蒸。其病根在脾。身体热如火，烦躁无汗，心腹胀大，进食就想呕吐，小便如血，大便干结涩滞。
水一……任意……
第五种叫肉蒸，也叫血蒸。之所以叫内蒸，一定是外寒而内热，把手按在骨头上感觉肌肉很热。其病根在五脏六腑……足背……上……必……
又说：主治男子因虚劳损伤，梦遗、盗汗、小便余沥、阴部潮湿虚弱快要形成骨蒸的，名叫劳极，用大黄大补方……
大黄（三两） 生姜（三两） 人参（三两） 大枣（二十枚，掰开） 牡蛎（二两） 芍药（三两） 桂枝（……两） 橘皮（三两） 磁石（三……两）
共十四味药，切碎，用水一斗二升煮取三升，绞去渣滓，分三四次温服，服药间隔时间相当于步行八九里的路程，再取微润……
又说：主治骨蒸、肺痿、手足烦热兼汤饮或不能进食的，芦根饮方：
芦根（切碎，十两） 麦门冬（十两，去皮） 地骨白皮（十两） 生姜（十两，切碎） 茯苓（五两）
共六味药，切碎，用水二斗煮取八升，绞去渣滓，分五次温服，白天服三次，晚上服两次。禁忌如同一般药法。
又说：主治骨蒸、肺痿、四肢烦热不能进食，口干舌燥的，麦门冬饮方：
麦门冬（三升，去心，其中生者二升） 地骨白皮（二升） 小麦（一升）
共三味药，用水一斗三升，先煮小麦取一升，去掉小麦和麦门冬这两味（注：此处原文逻辑似有误，应为保留后煮或另有操作，依文意直译），再煮取三升，绞去渣滓，分三次温服……
又说：小龙胆丸治疗骨蒸身热，手足烦热，心中懊恼，羸瘦不能进食的方子：
龙胆（五分） 黄连（去毛） 芍药 甘草 黄柏 大黄 黄芩 人参 栀子仁（各四分）
共九味药，捣碎过筛，蜂蜜和丸，温水送服三丸，丸药大小如梧桐子，逐渐增加剂量，以见效为度，每日二三次，禁忌如法。
又说：骨蒸这种病，无论男女，特别忌讳房事、举动劳作，尤其不宜吃陈旧腐臭、咸酸难消化及粘腻的食物，牛、马……并不……并……
又一方：夹脐两旁各距离一寸二分，两乳下一夫宽的肋间。灸法如前所述。
《广济方》治疗骨蒸的单方：肺气每到傍晚就恶寒壮热，脸色微红，不能进食，日渐消瘦的方子：
生地黄（三两，切碎） 葱白（二两，切碎） 香豉（二两） 童子小便（二升） 甘草（二两，炙）
以上药物，将地黄等在童子小便中浸泡一夜，清晨煎煮两沸，绞去渣滓，澄清去除沉淀，取一升二合，分两次温服。
忌食……
又说：治疗瘦病（羸瘦）的方子：
灵天盖（一大两，死人顶骨） 麝香（半脐量） 桃仁（一大抄，去皮） 生朱砂（一两半，光明者）
以上五味药，分别捣碎过筛后，然后总和混合调和，每晨空腹用小儿小便半升，调和散剂一方寸匕服用。忌食生血……
《广利方》理骨节热积渐黄瘦的方子：
鳖甲（六分，炙） 知母（四支） 大黄（六分） 葱白（五茎） 豉（十二分） 桑根白皮（八分）
切碎，用童子小便一大升三合煎取八合，去渣滓，饭后很久分三次温服，服药间隔相当于人行走七八里的路程。
频……
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), steaming disorders consist of five types: the first is called Gu Zheng (Bone Steaming), the second Mai Zheng (Vessel Steaming), the third Pi Zheng (Skin Steaming), the fourth Rou Zheng (Flesh Steaming), and the fifth Nei Zheng (Internal Steaming).
It further states that there are twenty-three types of steaming disorders. The first is Bao Zheng (Bladder Steaming); the second is Yu Fang Zheng (Genital Steaming); the third is Nao Zheng (Brain Steaming); the fourth is Sui Zheng (Marrow Steaming); the fifth is Gu Zheng (Bone Steaming); the sixth is Jin Zheng (Tendon Steaming); the seventh is Xue Zheng (Blood Steaming); the eighth is Mai Wei Zheng (Vessel-Stomach Steaming)... [text missing up to the twenty-third].
*Xuan Gan Chuan Shi Fang* (Formulas for Infectious Corpse Transmission) states in its discussion: People generally only know the name of Gu Zheng (Bone Steaming) but are unaware of other steaming disorders such as Xin Zheng (Heart Steaming) and Shen Zheng (Kidney Steaming), etc.
It further states: To treat the five types of Zheng disorders, which are caused by toxic qi adhering to the bones, Sheng Di Huang Zhi (Raw Rehmannia Root Juice) is commonly used without limitation on the number of days; this formula is miraculous, etc.
It further states: The first type, Gu Zheng (Bone Steaming), has its root in the Kidney. The body feels cool upon waking in the morning but becomes hot in the evening. There is irritability, insomnia, loss of appetite, and yellow-red urine... [text missing] consumes people... one dose...
The second type is Mai Zheng (Vessel Steaming). Its root is in the Heart. Irritation and oppression increase daily, accompanied by flailing of hands and feet, thirst, salivation with delirious speech, or fright and restlessness, with a rapid pulse.
Ku Shen (Sophora Root, two liang), Qing Xiang (Celosia Seed, two liang), Ai Ye (Mugwort Leaf, one liang), Gan Cao (Licorice Root, one liang, honey-fried).
Cut into pieces, decoct in four sheng of water until one and a half sheng remains. Divide into two doses. Hold in the sheep bladder and irrigate the lower orifices. If urination does not improve, administer Mang Xiao (Mirabilite) using a cun bi measure.
The third type is Pi Zheng (Skin Steaming). Its root is in the Lung. There must be severe panting, dry nose, absence of saliva in the mouth, white coating on the tongue, and urine red as blood. During peak steaming heat, there is chest fullness, or self-reported "Zhure" (infectious heat), distension under both hypochondria, severe cough, pain radiating through the back to the Spleen region, and restless sleep. Or, steaming toxins damage the zang-fu organs, causing hemoptysis. Urgently administer Liang Xiao (Mirabilite), one liang, no more than three times a day. After ingestion, soak hands in cold water and apply compresses to the intercostal spaces and above the axillae. Moxibustion of seven moxa cones is applied from the third intercostal space below down to the hollow of the axilla.
The fourth type is Rou Zheng (Flesh Steaming). Its root is in the Spleen. The body feels hot as fire, with irritability and anhidrosis. There is abdominal distension, nausea after eating, urine resembling blood, and constipation with difficult defecation.
Water one... arbitrarily...
The fifth type is Rou Zheng (Flesh Steaming), also named Xue Zheng (Blood Steaming). It is called Nei Zheng (Internal Steaming) because there is external cold but internal heat; when the hand touches the bone, the flesh feels very hot. Its root lies in the five zang and six fu organs... the dorsum of the foot... above... must...
It further states: Mainly treats men suffering from deficiency-labor injury, nocturnal emission, night sweats, dribbling of urine, dampness and weakness in the yin region, approaching the formation of Gu Zheng (Bone Steaming). This condition is named Lao Ji (Extreme Exhaustion). Use Da Huang Da Bu Tang (Major Rhubarb Great Tonification Decoction)...
Da Huang (Rhubarb Root and Rhizome, three liang), Sheng Jiang (Fresh Ginger, three liang), Ren Shen (Ginseng Root, three liang), Da Zao (Jujube Fruit, twenty pieces, split open), Mu Li (Oyster Shell, two liang), Bai Shao (White Peony Root, three liang), Gui Zhi (Cinnamon Twig, ... liang), Ju Pi (Citrus Peel, three liang), Ci Shi (Magnetite, three ... liang).
Fourteen ingredients in total. Cut into pieces, decoct in twelve dou of water until three sheng remain. Strain to remove dregs. Take warm in three or four doses. The interval between doses should equal the time it takes to walk eight or nine li. Then induce slight moisture...
It further states: For Gu Zheng (Bone Steaming), Fei Wei (Lung Atrophy), vexing heat in the hands and feet, combined with inability to take soups or food, use Lu Gen Yin (Reed Root Drink):
Lu Gen (Reed Rhizome, cut, ten liang), Mai Men Dong (Ophiopogon Tuber, ten liang, peeled), Di Gu Bai Pi (Lycium Bark, ten liang), Sheng Jiang (Fresh Ginger, ten liang, cut), Fu Ling (Poria, five liang).
When taking Shi... [missing context], for those with cold in the bones and deficiency-type bloating/pain, add Wu Zhu Yu (Evodia Fruit), eight liang.
Six ingredients in total. Cut into pieces, decoct in twenty dou of water until eight sheng remain. Strain to remove dregs. Take warm in five doses: three during the day and two at night. Observe dietary restrictions as per general medicinal rules.
It further states: For Gu Zheng (Bone Steaming), Fei Wei (Lung Atrophy), vexing heat in the four limbs, inability to eat, and dry mouth, use Mai Men Dong Yin (Ophiopogon Drink):
Mai Men Dong (Ophiopogon Tuber, three sheng, heart removed, including two sheng raw), Di Gu Bai Pi (Lycium Bark, two sheng), Xiao Mai (Wheat Grain, one sheng).
Three ingredients in total. Add thirteen dou of water. First decoct the wheat until one sheng remains. Remove the wheat and Mai Men Dong [Note: Text implies retaining specific components or a procedural error in source, translated literally], then decoct again until three sheng remain. Strain to remove dregs. Take warm in three doses...
It further states: Xiao Long Dan Wan (Minor Gentian Pill) treats Gu Zheng (Bone Steaming) with body heat, vexing heat in hands and feet, mental restlessness (Ao Nu), emaciation, and inability to eat:
Long Dan (Gentian Root, five fen), Huang Lian (Coptis Rhizome, de-haired), Bai Shao (White Peony Root), Gan Cao (Licorice Root), Huang Bo (Phellodendron Bark), Da Huang (Rhubarb Root and Rhizome), Huang Qin (Scutellaria Root), Ren Shen (Ginseng Root), Zhi Zi Ren (Gardenia Seed, each four fen).
Nine ingredients in total. Pound and sieve. Form pills with honey. Administer three pills with warm water. Pills should be the size of wu zi (wukou seeds). Gradually increase the dose until efficacy is achieved. Take two or three times daily. Observe dietary restrictions as prescribed.
It further states: Regarding Gu Zheng (Bone Steaming), regardless of gender, sexual intercourse and physical exertion/labor are strictly contraindicated. One should especially avoid eating old, rancid, salty, sour, hard-to-digest, or sticky foods, as well as beef, horse meat... all... together...
It further states: Moxibustion formulas for Gu Zheng (Bone Steaming) and Pi Qi (Masses/Collective Qi):
Apply seven moxa cones to Jian Jing (GB21) on both shoulders, Shang Lian (LI13), and Xia Lian (LI9).
Another formula: Apply moxibustion as described above to points located 1.2 cun lateral to either side of the umbilicus, and in the intercostal space one fu wide below the nipples.
*Guang Ji Fang* (Broad Relief Formulas) single formula for treating Gu Zheng (Bone Steaming): When lung qi causes aversion to cold and high fever every evening, slightly flushed complexion, inability to eat, and progressive emaciation:
Sheng Di Huang (Raw Rehmannia Root, three liang, cut), Cong Bai (Scallion White, two liang, cut), Xiang Chi (Fermented Soybean, two liang), Tong Zi Xiao Bian (Boy's Urine, two sheng), Gan Cao (Licorice Root, two liang, honey-fried).
Soak the Di Huang in the boy's urine overnight. In the early morning, boil twice. Strain to remove dregs, clarify by removing sediment, and obtain one sheng and two he. Take warm in two doses.
Dietary restrictions...
It further states: Formula for treating emaciation (Lei Bing):
Ling Tian Gai (Spiritual Heaven Cover, one da liang, human skull cap from a dead person), She Xiang (Musk, half an umbilical amount), Tao Ren (Peach Seed, one large scoop, peeled), Sheng Zhu Sha (Cinnabar, one and a half liang, bright quality).
The five ingredients above are separately pounded and sieved, then thoroughly mixed. Every morning on an empty stomach, mix one cun bi of the powder with half a sheng of a child's urine and ingest. Avoid raw blood products...
*Guang Li Fang* (Broad Benefit Formulas) for resolving heat accumulation in bone joints leading to gradual yellowing and emaciation:
Bie Jia (Turtle Shell, six fen, fried), Zhi Mu (Anemarrhena Rhizome, four branches), Da Huang (Rhubarb Root and Rhizome, six fen), Cong Bai (Scallion White, five stalks), Chi (Red Fermented Soybean, twelve fen), Sang Gen Bai Pi (Mulberry Root Bark, eight fen).
Cut into pieces. Decoct in one da sheng and three he of boy's urine until eight he remain. Strain to remove dregs. Take warm in three doses long after meals. The interval between doses should equal the time it takes to walk seven or eight li.
Frequently...
Another formula: Da Huang (Rhubarb Root and Rhizome), four fen, cut. Decoct in five he of boy's urine until four he remain. Strain to remove dregs. Take warm in two doses on an empty stomach. The interval between doses should equal the time it takes to walk four or five...