此症大端，由其人肾水素亏，劳心过度，水亏则木燥生风；心劳则血耗，风火相煽。一
时卒
倒，不省人事，口眼歪斜，言语不清者，为类中风。治宜滋肾平肝，养血熄风，参消痰之品
。亦有寒中，须佐温热，如地黄饮子一方加减。若用开窍豁痰，散风清火，每成脱证不治。
更有兼症，随其病而治之。其半身不遂，四肢不仁，亦属类中分岐。一切方药，须于各种医
书查阅，予只论其源头，方概不录。
痨之为病，咳嗽吐血，后反无血可吐，内热形瘦，失音气急，语言不续，危如反掌。其
人患
此症者，体素弱，过用心；或好色，必善怒，三者兼之，必成痨病。何也？用心血耗，好色
精亏，善怒肝旺。肝旺则脾胃先伤，纳食欠运，大便或燥结，或溏泄，饮食不化精微，而成
痰涎。母虚子弱，不任风寒，稍受感冒，咳嗽见矣。心火不降，肾水不交于心，
兼之肝火上炎，血焉得不吐？内热焉得不作？及后无血可吐，败症尽见，临崖勒马，悔已晚矣
！其症始起，饮溲溺，更能静养，远色戒性，脱然亦不为难。若惟仗草根树皮，不能守戒，
百无一痊也。更有尸蛀，俗称百日痨，室女为多。其患干咳，不吐血，亦无痰，入暮身热，
晨起不觉，饮食渐减，初起面色娇红，绝似无病，未及半年，多已殒命。治此病，《千金方
》有此药。然是症甚少，未曾修试，虽芦扁复生，亦无所施其技。设有痨虫，谓之心疾，皆
非我所知也。凡男子欲事未必损人，欲念最损人；隔墙钗钏，隙穴髻鬟，少年常有，衽席不
施，而烁为枯腊者矣。惟童痨一症，无论男女，患咳嗽夜热者，宜于补土养金中，加银胡、
青蒿、地骨皮、鳖甲、知母等药多效。
这类病症的大致情况，是由于患者肾阴素来亏虚，加上劳心过度。肾水不足则肝木干燥而生内风；用心过度则耗伤血液，导致风火相互煽动。突然昏倒、不省人事、口眼歪斜、言语不清的，称为类中风。治疗应当滋补肾阴、平抑肝阳，养血熄风，并参酌使用消痰的药物。也有因寒邪中阻的情况，需要配合温热药物，比如对地黄饮子一方进行加减。如果使用开窍豁痰、散风清火的治法，往往会导致脱证而无法救治。此外还有兼夹症状，需根据具体病情进行治疗。至于半身不遂、四肢麻木不仁，也属于类中风的分支。所有的方药，需要查阅各种医书，我只论述其病源原理，不再罗列具体方剂。
痨病这种病症，表现为咳嗽吐血，后期反而无血可吐，伴有内热、形体消瘦、失音气急、言语断续，病情危急，生死只在顷刻之间。患此病的人，体质本来虚弱，且过度用心；或者纵欲好色，必定容易发怒，这三种情况兼具，必然形成痨病。为什么呢？因为用心过度耗伤心血，好色过度亏损肾精，易怒导致肝火旺盛。肝火旺盛则首先损伤脾胃，导致食欲不佳、运化无力，大便或干结或溏泄，饮食不能转化为精微物质，反而聚集成痰涎。母脏（脾）虚弱导致子脏（肺）衰弱，无法抵御风寒，稍微受到感冒，咳嗽就会发作。心火不能下降，肾水不能上济于心，再加上肝火上炎，血液怎么能不溢出呢？内热怎么能不产生呢？等到后来无血可吐时，败象尽显，此时再想挽救，后悔已经晚了！此病在初期，通过饮用溲溺（此处指古代一种偏方，现代已不适用，仅译原文），若能静心调养，戒除色欲、控制性情，康复并非难事。如果只依赖草药治疗，而不能遵守禁忌，那么百人中难愈一人。另外还有“尸蛀”，俗称百日痨，多见于未婚少女。表现为干咳，不吐血，也无痰，傍晚身体发热，早晨起来感觉正常，饮食逐渐减少，初起时面色娇红，看似没有生病，但不到半年，大多死亡。治疗此病，《千金方》中有相关药物。但这种病症很少见，未曾亲自修习试用过，即使是芦生、扁鹊再生，也无法施展技艺。如果有所谓的“痨虫”，被称为心疾，这些都不是我所知晓的。大凡男子的房事未必损害人体，但欲望的念头最损害人体；隔着墙听到钗钏声，从缝隙中看到发髻鬟饰，年轻人常有此类念头，即使不进行房事，也会因思虑过度而烧灼成枯骨。只有童痨这一病症，无论男女，患有咳嗽夜间发热的，应当在补益脾胃（土）、滋养肺金的方法中，加入银胡、青蒿、地骨皮、鳖甲、知母等药物，多能取得疗效。
The general aspect of this condition stems from the patient's inherent deficiency of Kidney Yin (Shen Yin, 肾阴), compounded by excessive mental labor. When Kidney Water is deficient, Liver Wood becomes dry and generates internal Wind; excessive mental effort consumes Blood, leading to a mutual incitement of Wind and Fire. Sudden collapse, loss of consciousness, deviation of the mouth and eyes, and slurred speech are classified as "Similar Stroke" (Lei Zhong Feng, 类中风). The treatment should focus on nourishing the Kidney, pacifying the Liver, nourishing Blood, extinguishing Wind, and incorporating phlegm-resolving agents. There are also cases of Cold striking the interior, which require the addition of warming and hot herbs, such as modifications of Dihuang Yinzi (Rehmannia Decoction). If opening orifices, resolving phlegm, dispersing Wind, and clearing Fire are employed, it often results in Collapse Syndrome (Tuo Zheng, 脱证) which is incurable. Furthermore, there are concurrent symptoms that must be treated according to the specific pathology. Hemiplegia and insensibility of the four limbs also belong to the branches of Similar Stroke. All formulas and drugs should be consulted in various medical texts; I only discuss the source of the disease and do not record specific formulas.
The disease of Consumption (Lao Bing, 痨病) manifests as coughing and hemoptysis, later progressing to a state where there is no blood left to expectorate, accompanied by internal heat, emaciation, aphonia, rapid breathing, and interrupted speech. The condition is critical, with life hanging in the balance. Patients suffering from this condition typically have a constitutionally weak body, engage in excessive mental work, indulge in sexual activity, and are prone to anger. The combination of these three factors inevitably leads to Consumption. Why? Because excessive mental work depletes Heart Blood, indulgence in sex depletes Kidney Essence, and frequent anger causes Liver Fire to flourish. When Liver Fire flourishes, the Spleen and Stomach are damaged first, leading to poor appetite and impaired transportation, resulting in stools that are either dry and constipated or loose and diarrheal. Food fails to transform into essence and qi, instead accumulating as phlegm and saliva. As the Mother organ (Spleen) is deficient, the Child organ (Lung) becomes weak and unable to resist Wind-Cold; upon slight exposure to cold, coughing ensues. Heart Fire fails to descend, and Kidney Water fails to ascend to communicate with the Heart; combined with Liver Fire flaming upward, how can Blood not bleed? How can internal heat not arise? By the time there is no blood left to expectorate, signs of decay are fully apparent, and attempting to rein in the horse at the cliff edge comes too late! In the early stage of this disease, drinking urine (an ancient folk remedy, not applicable today), coupled with quiet rest, abstinence from sex, and regulation of temperament, recovery is not difficult. If one relies solely on herbal roots and barks without observing dietary and behavioral restrictions, fewer than one in a hundred will recover. Additionally, there is "Corpse Borer," commonly known as Hundred-Day Consumption, which occurs mostly in unmarried young women. It presents as dry cough without hemoptysis or phlegm, fever in the evening, normal feeling in the morning, gradual reduction in appetite, and a rosy complexion initially resembling health. However, within half a year, death often occurs. The *Qianjin Fang* contains medicines for treating this disease. However, this condition is rare, and I have not personally tested it; even if Lu Dan and Bian Que were reborn, they would find it difficult to apply their skills. If there are so-called "Consumption Worms," referred to as Heart Disease, these are unknown to me. Generally, sexual intercourse itself may not harm the body, but lustful thoughts are most damaging. Hearing jewelry through walls or seeing hair ornaments through cracks are common experiences for youths; even without sexual activity, such thoughts can burn the body to a crisp. For the specific condition of Pediatric Consumption (Tong Lao, 童痨), regardless of gender, if coughing and night fever are present, adding Yinhua (Silver Flower/Chrysanthemum), Qinghao (Artemisiae Annuae Herba), Digupi (Cortex Lycii Radicis), Biejia (Carapax et Plastrum Testudinis), and Zhimu (Anemarrhenae Rhizoma) to methods that tonify Earth (Spleen) and nourish Metal (Lung) is often effective.