论曰气劳者,由喜怒不节,忧思过甚,营泣卫除,谷气不治,故气血干涸,不能荣养肌
肉,形体瘦悴,面色萎黄,胸府痞满,饮食减耗,渐至羸瘵,故谓之气劳。
治气劳心腹胀满,吃食不得,胸膈烦闷,面色萎黄,身体无力,不能行履,浓朴汤方
浓朴(去粗皮生姜汁炙锉) 白术 鳖甲(去裙 醋炙) 柴胡(去苗) 石槲(去根)
肉豆
木香(半两
上一十二味,粗捣筛,每服三钱匕,水一盏,枣二枚劈破,生姜一枣大拍碎,煎至七分,
去滓食前温服日再。
治气劳肢体疼痛,心腹妨闷,减食无力,日渐羸瘦,怠惰呻吟,沉香丸方
沉香(锉) 木香 芎 白茯苓(去黑皮) 槟榔(锉) 楝实(炮) 白附子 人
参石槲
肉苁蓉(酒浸切
面和作饼炙) 砂(醋飞
上二十味,捣研为末和匀,次用木瓜二枚,去皮核蒸烂研,入众药末和捣,丸如梧桐子
大,每服二十丸,食前温酒或盐汤下。
治气劳或冷或热,不思饮食,多睡少起,四肢沉重,鳖甲汤方
鳖甲(九肋者童子小便浸半日醋炙去裙 二两) 柴胡(去苗) 胡黄连 木香 人参 白
茯苓(去黑皮) 桔梗(炒) 槟榔(锉) 犀角(镑) 大黄(锉炙) 枳壳(去瓤麸炒)
白术(各一两)
上一十二味,粗捣筛,每服三钱匕,水一盏,生姜甘草各少许,同煎至七分,去滓温服
治气劳心胸不利,日渐羸瘦,四肢沉倦,饮食无味,骨节酸疼,小便黄赤,营卫不和,
沉香汤方
沉香 桂(去粗皮) 槟榔 当归(切焙) 芎 干姜(炮各半两) 人参 白茯苓
(去黑
子(炮裂去皮脐)
洗七遍姜汁浸一宿焙二两)
热服不拘时。
治气劳心腹疼痛,饮食减少,四肢羸弱,五脏虚损,顺气开胃,附子丸方
附子(炮裂去皮脐) 干姜(炮) 白术 甘草(炙锉各一两) 桃仁(去皮尖双仁炒
半两)
乌头(以黑豆二合水五升同煮水尽别用酒三升兼前五味同煮酒尽焙) 肉苁蓉(酒浸切焙) 陈
橘皮(去白焙) 蓬莪术(煨锉) 青橘皮(去白焙) 芎 枳壳(去瓤麸炒) 桂(去
粗皮) 木香 槟榔(锉) 香子(炒各一两)
上一十六味,捣罗为末,炼蜜和丸,如樱桃大,每服一丸,温酒嚼下,如上气喘,不思
饮食,煎草豆蔻汤嚼下,如小肠气,炒 香汤下。
治气劳心腹妨闷,不欲饮食,陈橘皮汤方
陈橘皮(汤浸去白焙一两) 甘草(炙锉二两) 桃仁(五十四枚汤浸去皮尖双仁炒) 诃
黎
勒皮(三两)
上四味,粗捣筛和匀,每服五钱匕,水一盏半,煎至一盏,去滓入 猪胆少许,食后温
服,良久再服。
治气劳羸瘦,四肢疼痛,心腹妨闷,不思饮食,水浸鳖甲汤方
鳖甲(九肋者去裙 醋炙) 升麻 柴胡(去苗) 人参 白茯苓(去黑皮) 槟榔(锉)
肉
豆蔻(去壳) 诃黎勒皮 犀角(镑) 青橘皮(汤浸去白焙) 陈橘皮(汤浸去白焙) 甘
草(炙
锉) 缩砂仁 香子(炒) 陈曲(炒各半两)
上一十五味,粗捣筛,每服三钱匕,水一盏半,浸二日,煎至七分,去滓空心细呷,以
食压之。
治气劳、不思饮食,身体疼痛,胸膈妨闷,香甲汤方
沉香(锉) 青木香 人参 白茯苓(去黑皮) 柴胡(去苗) 槟榔(锉) 桂(去
粗皮) 黄
(锉) 赤芍药 山芋 甘草(炙锉各半两) 干姜(炮一分) 熟干地黄(焙) 浓朴
(去粗皮
生姜汁炙锉) 白术 鳖甲(去裙 以童子小便浸炙各一两)
上一十六味,粗捣筛,每服三钱匕,水一盏,生姜一枣大拍碎,枣二枚去核,煎至七分,
去滓食后良久温服、日三。
治气劳咳嗽喘促,下焦虚损,上焦烦热,四肢羸瘦,天门冬丸方
天门冬(去心焙) 鳖甲(去裙 醋炙) 麦门冬(去心焙) 熟干地黄(焙各二两) 人
参
黄(锉) 牛膝(酒浸白焙) 杏仁(汤浸去皮尖双仁炒研) 白茯苓(去黑皮) 山芋 五
味子
(炒) 石槲(去根) 枸杞子(各一两) 沉香(锉) 诃黎勒皮 肉苁蓉(酒浸一宿切
焙) 紫菀
(去苗土各三分)
上一十七味,捣研为末,炼蜜和捣三五百杵,丸如梧桐子大,每服二十丸,食前枣汤下
治气劳身体羸瘦,四肢少力,面色萎黄,饮食减少,呕逆痰沫,咳嗽胸满,木香汤方
木香 枸杞子 沉香 山芋 附子(炮裂去皮脐) 天麻 半夏(汤洗七遍焙) 秦艽
(去
苗土) 当归(切焙) 鳖甲(去裙 醋炙) 黄 牛膝(酒浸切焙各半两) 羌活(去
芦头)
枳壳(去瓤麸炒) 巴戟天(去心) 白茯苓(去黑皮各一分) 肉豆蔻(去壳四枚) 柴
胡(去苗)
上二十味, 咀如麻豆,每服三钱匕,水一盏,生姜二片,葱白一寸,煎至七分,去滓
温服不拘时。
治气劳心胸烦闷,痰涎壅塞,不思饮食,头目昏眩,人参橘皮汤方
人参 橘皮(去白焙) 前胡(去芦头) 鳖甲(去裙 醋炙) 柴胡(去苗) 枇杷
叶(拭去
药(半两)
上一十味,粗捣筛,每服三钱匕,水一盏半,生姜三分,枣一枚,同煎至一盏,去滓温
服。
治气劳、骨热体痛,心神恍惚,夜卧不安,小便赤黄,口干眼涩,狸骨丸方
狸骨(一两炙令焦黄) 连翘(一两) 土瓜根 山茱萸 玄参 胡燕粪 黄芩 朱砂
(细
胆
(去芦头) 栝蒌根(以上各三分)
上一十五味,捣罗为末,炼蜜和捣三百杵,丸如梧桐子大,每服食后温水下二十丸。
治气劳骨热,黄连煎丸
黄连(去须) 紫菀(洗去苗土) 天灵盖(涂酥炙令微黄) 甘草(炙微赤锉) 青
葙子(以
上各二两) 柴胡(一两去苗)
上六味,捣罗为细末,童子小便五升,浸药一宿,慢火煎令稠,丸如梧桐子大,每服二
十丸,温水下食后服。
论述说:气劳这种病,是由于喜怒没有节制,忧愁思虑过度,导致营血枯涩、卫气耗散,水谷精微之气不能正常运化,因此气血干涸枯竭,无法濡养肌肉,出现形体消瘦憔悴,面色萎黄,胸膈痞塞胀满,饮食减少消耗,逐渐发展到极度虚弱消瘦(羸瘵),所以称之为气劳。
治疗气劳引起的心腹胀满,进食困难,胸膈烦闷,面色萎黄,身体无力,不能行走,使用浓朴汤方:
浓朴(去除粗皮,用生姜汁炙后锉碎) 白术 鳖甲(去除裙边,用醋炙) 柴胡(去除苗) 石槲(去除根)
肉豆蔻 木香(半两)
以上十二味药,粗捣筛过,每次服用三钱匕,用水一盏,大枣二枚劈破,生姜一块如枣大拍碎,煎煮至七分,去渣,饭前温服,每日两次。
治疗气劳引起的肢体疼痛,心腹撑闷,食欲减退无力,日渐消瘦,倦怠呻吟,使用沉香丸方:
沉香(锉碎) 木香 川芎 白茯苓(去除黑皮) 槟榔(锉碎) 楝实(炮制) 白附子 人参 石槲
肉苁蓉(酒浸切,用面裹作饼炙) 砂仁(醋飞)
以上二十味药,捣研成末混合均匀,另取木瓜二枚,去皮核蒸烂研细,加入诸药末和捣,制成梧桐子大小的丸剂,每次服用二十丸,饭前用温酒或盐汤送下。
治疗气劳或冷或热,不思饮食,多睡少起,四肢沉重,使用鳖甲汤方:
鳖甲(九肋者,童子小便浸半天,醋炙去裙边,二两) 柴胡(去苗) 胡黄连 木香 人参 白茯苓(去黑皮) 桔梗(炒) 槟榔(锉) 犀角(镑片) 大黄(锉炙) 枳壳(去瓤麸炒) 白术(各一两)
以上十二味药,粗捣筛过,每次服用三钱匕,用水一盏,生姜甘草各少许,同煎至七分,去渣温服。
治疗气劳心胸不利,日渐消瘦,四肢沉倦,饮食无味,骨节酸痛,小便黄赤,营卫不和,使用沉香汤方:
沉香 桂枝(去粗皮) 槟榔 当归(切焙) 川芎 干姜(炮制,各半两) 人参 白茯苓(去黑皮) 附子(炮裂去皮脐) 半夏(洗七遍,姜汁浸一夜焙干,二两)
以上药物,热服,不拘时间。
治疗气劳心腹疼痛,饮食减少,四肢羸弱,五脏虚损,顺气开胃,使用附子丸方:
附子(炮裂去皮脐) 干姜(炮) 白术 甘草(炙锉,各一两) 桃仁(去皮尖双仁炒,半两)
乌头(用黑豆二合、水五升同煮,水尽后,另用酒三升,连同前五味药同煮,酒尽后焙干) 肉苁蓉(酒浸切焙) 陈皮(去白焙) 蓬莪术(煨锉) 青橘皮(去白焙) 川芎 枳壳(去瓤麸炒) 桂枝(去粗皮) 木香 槟榔(锉) 香附子(炒,各一两)
以上十六味药,捣罗成末,炼蜜和丸,如樱桃大小,每次服用一丸,温酒嚼服;如果上气喘促,不思饮食,煎草豆蔻汤嚼服;如果是小肠气痛,炒香附子汤送下。
治疗气劳心腹撑闷,不欲饮食,使用陈橘皮汤方:
陈皮(汤浸去白焙,一两) 甘草(炙锉,二两) 桃仁(五十四枚,汤浸去皮尖双仁炒) 诃黎勒皮(三两)
以上四味药,粗捣筛和匀,每次服用五钱匕,用水一盏半,煎至一盏,去渣,加入少许猪胆汁,饭后温服,隔一段时间再服。
治疗气劳消瘦,四肢疼痛,心腹撑闷,不思饮食,使用水浸鳖甲汤方:
鳖甲(九肋者,去裙边,醋炙) 升麻 柴胡(去苗) 人参 白茯苓(去黑皮) 槟榔(锉)
肉豆蔻(去壳) 诃黎勒皮 犀角(镑) 青橘皮(汤浸去白焙) 陈皮(汤浸去白焙) 甘草(炙锉) 缩砂仁 香附子(炒) 神曲(炒,各半两)
以上十五味药,粗捣筛,每次服用三钱匕,用水一盏半,浸泡两天,煎至七分,去渣,空腹细细呷服,服药后用食物压住。
治疗气劳咳嗽喘促,下焦虚损,上焦烦热,四肢羸瘦,使用天门冬丸方:
天门冬(去心焙) 鳖甲(去裙边,醋炙) 麦门冬(去心焙) 熟干地黄(焙,各二两) 人参 黄芪(锉) 牛膝(酒浸白焙) 杏仁(汤浸去皮尖双仁炒研) 白茯苓(去黑皮) 山芋 五味子(炒) 石槲(去根) 枸杞子(各一两) 沉香(锉) 诃黎勒皮 肉苁蓉(酒浸一夜切焙) 紫菀(去苗土,各三分)
以上十七味药,捣研成末,炼蜜和捣三五百杵,制成梧桐子大小的丸剂,每次服用二十丸,饭前用枣汤送下。
治疗气劳身体消瘦,四肢无力,面色萎黄,饮食减少,呕逆痰沫,咳嗽胸满,使用木香汤方:
木香 枸杞子 沉香 山芋 附子(炮裂去皮脐) 天麻 半夏(汤洗七遍焙) 秦艽(去苗土) 当归(切焙) 鳖甲(去裙边,醋炙) 黄芪 牛膝(酒浸切焙,各半两) 羌活(去芦头)
枳壳(去瓤麸炒) 巴戟天(去心) 白茯苓(去黑皮,各一分) 肉豆蔻(去壳四枚) 柴胡(去苗)
以上二十味药,切碎如麻豆大小,每次服用三钱匕,用水一盏,生姜二片,葱白一寸,煎至七分,去渣温服,不拘时间。
治疗气劳心胸烦闷,痰涎壅塞,不思饮食,头目昏眩,使用人参橘皮汤方:
人参 橘皮(去白焙) 前胡(去芦头) 鳖甲(去裙边,醋炙) 柴胡(去苗) 枇杷叶(拭去毛) 半夏(汤洗七遍焙) 茯苓(半两)
以上十味药,粗捣筛,每次服用三钱匕,用水一盏半,生姜三分,大枣一枚,同煎至一盏,去渣温服。
治疗气劳、骨蒸体痛,心神恍惚,夜卧不安,小便赤黄,口干眼涩,使用狸骨丸方:
狸骨(一两,炙令焦黄) 连翘(一两) 土瓜根 山茱萸 玄参 胡燕粪 黄芩 朱砂(细研) 雄黄(细研) 胆矾(去芦头) 栝蒌根(以上各三分)
以上十五味药,捣罗成末,炼蜜和捣三百杵,制成梧桐子大小的丸剂,每次饭后温水送下二十丸。
治疗气劳骨热,使用黄连煎丸:
黄连(去须) 紫菀(洗去苗土) 天灵盖(涂酥炙令微黄) 甘草(炙微赤锉) 青葙子(以上各二两) 柴胡(一两,去苗)
以上六味药,捣罗成细末,用童子小便五升,浸泡药物一夜,慢火煎至稠厚,制成梧桐子大小的丸剂,每次服用二十丸,饭后温水送下。
Discussion states: Qi Lao (Qi Consumption) arises from unregulated emotions of joy and anger, and excessive worry and overthinking. This leads to the withering of Ying Blood (Nutritive Blood) and the dispersion of Wei Qi (Defensive Qi), causing the Qi of grain and water essence to fail in proper regulation. Consequently, Qi and Blood become dry and depleted, unable to nourish muscles and flesh, resulting in emaciation and haggard appearance, sallow complexion, chest and epigastrium fullness and obstruction, reduced food intake, and gradual progression to severe wasting (Lei Zhai). Hence, it is termed Qi Lao.
For treating Qi Lao manifesting as heart and abdominal distension and fullness, inability to eat, chest and diaphragm vexation and stuffiness, sallow complexion, physical weakness, inability to walk, use Nongpo Tang (Magnolia Bark Decoction):
Magnoliae Officinalis Cortex (Nongpo) [remove coarse bark, process with ginger juice, cut into pieces] Atractylodis Macrocephalae Rhizoma (Baizhu) Testudinis et Chelydrae Carapax et Plastrum (Biejia) [remove skirt-like edges, process with vinegar] Bupleuri Radix (Chaihu) [remove seedlings] Polyporus (Shihu) [remove roots]
Myristicae Semen (Roudoukou) Aquilariae Lignum Resinatum (Muxiang) [half liang]
The above twelve ingredients are coarsely pounded and sieved. Each dose consists of three qianbi (approx. 9g), boiled in one sheng (approx. 200ml) of water with two fractured jujubes and a piece of fresh ginger (size of a jujube) smashed. Decoct until reduced to seven-tenths, strain, and take warm before meals, twice daily.
For treating Qi Lao manifesting as limb pain, chest and abdominal oppression, reduced appetite and weakness, progressive emaciation, lethargy, and groaning, use Chenxiang Wan (Agarwood Pill):
Aquilariae Lignum Resinatum (Chenxiang) [cut into pieces] Aquilariae Lignum Resinatum (Muxiang) [Note: Context implies different species or part, likely Xanthoceras or similar aromatic root, but standard Muxiang is Aquilaria; here listed separately, possibly distinct variety or error in source text, retaining name] Ligustici Chuanxiong Rhizoma (Xiong) Poria (Baifuling) [remove black skin] Arecae Semen (Binglang) [cut into pieces] Meliae Fructus (Lianshi) [processed] Typhonii Rhizoma (Baifuzi) Ginseng Radix et Rhizoma (Renshen) Polyporus (Shihu)
Cistanches Herba (Roucongrong) [soaked in wine, sliced, wrapped in dough and roasted] Amomi Fructus Rotundus (Sharen) [processed with vinegar]
The above twenty ingredients are pounded and ground into powder and mixed evenly. Take two papayas, remove skin and seeds, steam until soft, and grind. Mix with the herbal powder and pound into pills the size of sophora seeds. Each dose is twenty pills, taken before meals with warm wine or salted water.
For treating Qi Lao presenting with alternating cold and heat, lack of appetite, excessive sleep with little rising, and heavy limbs, use Biejia Tang (Turtle Shell Decoction):
Testudinis et Chelydrae Carapax et Plastrum (Biejia) [nine-ribbed type, soaked in urine of young boy for half a day, processed with vinegar, remove skirt-like edges, two liang] Bupleuri Radix (Chaihu) [remove seedlings] Coptidis Rhizoma (Huhuanglian) Aquilariae Lignum Resinatum (Muxiang) Ginseng Radix et Rhizoma (Renshen) Poria (Baifuling) [remove black skin] Platycodi Radix (Jiegeng) [stir-fried] Arecae Semen (Binglang) [cut into pieces] Rhinocerotis Cornu (Xijiao) [sliced] Rhei Radix et Rhizoma (Dahuang) [cut and processed] Aurantii Fructus Immaturus (Zhiqiao) [remove pith, stir-fried with bran] Atractylodis Macrocephalae Rhizoma (Baizhu) [each one liang]
The above twelve ingredients are coarsely pounded and sieved. Each dose consists of three qianbi, boiled in one sheng of water with small amounts of fresh ginger and licorice. Decoct until reduced to seven-tenths, strain, and take warm.
For treating Qi Lao manifesting as chest and heart discomfort, progressive emaciation, heavy and tired limbs, tasteless diet, sore joints, yellow-red urine, and disharmony of Ying and Wei Qi, use Chenxiang Tang (Agarwood Decoction):
Aquilariae Lignum Resinatum (Chenxiang) Cinnamomi Ramulus (Guizhi) [remove coarse bark] Arecae Semen (Binglang) Angelicae Sinensis Radix (Danggui) [sliced and roasted] Ligustici Chuanxiong Rhizoma (Xiong) Zingiberis Rhizoma Recens (Ganjiang) [processed, each half liang] Ginseng Radix et Rhizoma (Renshen) Poria (Baifuling) [remove black skin] Aconiti Lateralis Radix Praeparata (Fuzi) [processed, cracked, remove skin and umbilicus] Pinelliae Tuber (Banxia) [washed seven times with hot water, roasted after soaking in ginger juice overnight, two liang]
Take warm at any time without restriction.
For treating Qi Lao manifesting as heart and abdominal pain, reduced food intake, weak limbs, deficiency and damage of the five zang organs, promoting smooth flow of Qi and opening the stomach, use Fuzi Wan (Aconite Pill):
Aconiti Lateralis Radix Praeparata (Fuzi) [processed, cracked, remove skin and umbilicus] Zingiberis Rhizoma Recens (Ganjiang) [processed] Atractylodis Macrocephalae Rhizoma (Baizhu) Glycyrrhizae Radix et Rhizoma (Gancao) [processed and cut, each one liang] Persicami Semen (Taoren) [remove skin and pointed ends, stir-fry double-kernel ones, half liang]
Aconiti Radix (Wutou) [boil together with two he of black beans and five sheng of water until water is exhausted; then add three sheng of wine and boil together with the previous five ingredients until wine is exhausted, then roast] Cistanches Herba (Roucongrong) [soaked in wine, sliced, roasted] Citri Reticulatae Pericarpium (Chenpi) [remove white pith, roast] Curcumae Longae Rhizoma (Peng'ezhu) [roasted and cut] Aurantii Fructus Immaturus (Qingpi) [remove white pith, roasted] Ligustici Chuanxiong Rhizoma (Xiong) Aurantii Fructus Immaturus (Zhiqiao) [remove pith, stir-fried with bran] Cinnamomi Ramulus (Guizhi) [remove coarse bark] Aquilariae Lignum Resinatum (Muxiang) Arecae Semen (Binglang) [cut into pieces] Cyperi Rhizoma (Xiangfu) [stir-fried, each one liang]
The above sixteen ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of cherries. Each dose is one pill, chewed down with warm wine. If there is upper jiao wheezing and lack of appetite, take with decoction of Cardamomi Fructus (Caodoukou). If there is Xiao Chang Qi (Small Intestine Qi disorder), take with decoction of stir-fried Cyperi Rhizoma.
For treating Qi Lao manifesting as chest and abdominal oppression, lack of desire to eat, use Chenjupi Tang (Aged Tangerine Peel Decoction):
Citri Reticulatae Pericarpium (Chenpi) [soaked in hot water, remove white pith, roast, one liang] Glycyrrhizae Radix et Rhizoma (Gancao) [processed and cut, two liang] Persicami Semen (Taoren) [54 pieces, soaked in hot water, remove skin and pointed ends, stir-fry double-kernel ones] Terminaliae Chebulae Fructus (Helile) [skin only, three liang]
The above four ingredients are coarsely pounded and sieved evenly. Each dose consists of five qianbi, boiled in one and a half sheng of water until reduced to one sheng. Strain, add a small amount of pig bile, and take warm after meals. Take again after some time.
For treating Qi Lao manifesting as emaciation, limb pain, chest and abdominal oppression, and lack of appetite, use Shuijin Biejia Tang (Water-Soaked Turtle Shell Decoction):
Testudinis et Chelydrae Carapax et Plastrum (Biejia) [nine-ribbed type, remove skirt-like edges, process with vinegar] Ephedrae Herba (Shengma - *Note: Source says Shengma, usually Ephedra is Ma Huang, Shengma is Cimicifuga. Text says Shengma*) Bupleuri Radix (Chaihu) [remove seedlings] Ginseng Radix et Rhizoma (Renshen) Poria (Baifuling) [remove black skin] Arecae Semen (Binglang) [cut into pieces]
Myristicae Semen (Roudoukou) [remove shell] Terminaliae Chebulae Fructus (Helile) [skin only] Rhinocerotis Cornu (Xijiao) [sliced] Aurantii Fructus Immaturus (Qingpi) [soaked in hot water, remove white pith, roast] Citri Reticulatae Pericarpium (Chenpi) [soaked in hot water, remove white pith, roast] Glycyrrhizae Radix et Rhizoma (Gancao) [processed and cut] Amomi Fructus Rotundus (Suosharen) Cyperi Rhizoma (Xiangfu) [stir-fried] Saccharum Stelis Fermentatum (Chenqu) [stir-fried, each half liang]
The above fifteen ingredients are coarsely pounded and sieved. Each dose consists of three qianbi, soaked in one and a half sheng of water for two days. Decoct until reduced to seven-tenths, strain, and sip slowly on an empty stomach, pressing down with food afterwards.
For treating Qi Lao manifesting as cough and panting, lower jiao deficiency damage, upper jiao vexation and heat, and emaciated limbs, use Tianmendong Wan (Asparagus Root Pill):
Asparagi Radix (Tianmendong) [remove heart, roast] Testudinis et Chelydrae Carapax et Plastrum (Biejia) [remove skirt-like edges, process with vinegar] Ophiopogonis Radix (Maimendong) [remove heart, roast] Rehmanniae Radix Praeparata (Shudihuang) [roast, each two liang] Ginseng Radix et Rhizoma (Renshen) Astragali Membranacei Radix (Huangqi) [cut into pieces] Achyranthis Bidentatae Radix (Niuxi) [soaked in wine, white roasted] Armeniaci Semen Amarum (Xingren) [soaked in hot water, remove skin and pointed ends, stir-fry double-kernel ones, ground] Poria (Baifuling) [remove black skin] Dioscoreae Rhizoma (Shanyu) Schisandrae Chinensis Fructus (Wuweizi) [stir-fried] Polyporus (Shihu) [remove roots] Lycii Fructus (Gouqizi) [each one liang] Aquilariae Lignum Resinatum (Chenxiang) [cut into pieces] Terminaliae Chebulae Fructus (Helile) [skin only] Cistanches Herba (Roucongrong) [soaked in wine overnight, sliced, roasted] Asteris Radix et Rhizoma (Ziwan) [remove seedlings and soil, each three fen]
The above seventeen ingredients are pounded and ground into powder. Mix with refined honey and pound 300-500 times. Form pills the size of sophora seeds. Each dose is twenty pills, taken before meals with jujube water.
For treating Qi Lao manifesting as emaciated body, weak limbs, sallow complexion, reduced food intake, vomiting and regurgitation of phlegm foam, cough and chest fullness, use Muxiang Tang (Aquilaria Decoction):
Aquilariae Lignum Resinatum (Muxiang) Lycii Fructus (Gouqizi) Aquilariae Lignum Resinatum (Chenxiang) Dioscoreae Rhizoma (Shanyu) Aconiti Lateralis Radix Praeparata (Fuzi) [processed, cracked, remove skin and umbilicus] Gastrodiae Rhizoma (Tianma) Pinelliae Tuber (Banxia) [washed seven times with hot water, roasted] Gentianae Macrophyllae Radix (Qinjiao) [remove seedlings and soil] Angelicae Sinensis Radix (Danggui) [sliced and roasted] Testudinis et Chelydrae Carapax et Plastrum (Biejia) [remove skirt-like edges, process with vinegar] Astragali Membranacei Radix (Huangqi) Achyranthis Bidentatae Radix (Niuxi) [soaked in wine, sliced, roasted, each half liang] Notopterygii Rhizoma et Radix (Qianghuo) [remove rhizome head] Aurantii Fructus Immaturus (Zhiqiao) [remove pith, stir-fried with bran] Morindae Officinalis Radix (Bajitian) [remove heart] Poria (Baifuling) [remove black skin, each one fen] Myristicae Semen (Roudoukou) [remove shell, four pieces] Bupleuri Radix (Chaihu) [remove seedlings]
The above twenty ingredients are chopped like hemp or soybeans. Each dose consists of three qianbi, boiled in one sheng of water with two slices of fresh ginger and one cun of scallion white. Decoct until reduced to seven-tenths, strain, and take warm at any time.
For treating Qi Lao manifesting as chest and heart vexation and stuffiness, accumulation of phlegm and saliva, lack of appetite, dizziness of head and eyes, use Renshen Jupi Tang (Ginseng and Tangerine Peel Decoction):
Ginseng Radix et Rhizoma (Renshen) Citri Reticulatae Pericarpium (Jupi) [remove white pith, roast] Peucedani Radix (Qianhu) [remove rhizome head] Testudinis et Chelydrae Carapax et Plastrum (Biejia) [remove skirt-like edges, process with vinegar] Bupleuri Radix (Chaihu) [remove seedlings] Eriobotryae Folium (Pipaye) [wipe off hairs] Pinelliae Tuber (Banxia) [washed seven times with hot water, roasted] Poria (Fuling) [half liang]
The above ten ingredients are coarsely pounded and sieved. Each dose consists of three qianbi, boiled in one and a half sheng of water with three fen of fresh ginger and one jujube. Decoct until reduced to one sheng, strain, and take warm.
For treating Qi Lao manifesting as bone-steathing fever and body pain, absent-mindedness, restless sleep at night, red-yellow urine, dry mouth and sore eyes, use Liguj Wan (Cat Bone Pill):
Felis Ossiculum (Ligu) [one liang, roasted until scorched yellow] Forsythiae Fructus (Lianqiao) [one liang] Trichosanthis Radix (Tugua Gen) Corni Fructus (Shanzhuyu) Scrophulariae Radix (Xuanshen) Hirundo Nidus (Hu Yan Fen - *Note: Swallow droppings/nest material*) Scutellariae Radix (Huangqin) Cinnabaris (Zhusha) [finely ground] Realgar (Xionghuang) [finely ground] Alum (Danfan) [remove rhizome head] Trichosanthis Radix (Gualou Gen) [above each three fen]
The above fifteen ingredients are pounded and sifted into powder. Mix with refined honey and pound 300 times. Form pills the size of sophora seeds. Each dose is twenty pills, taken after meals with warm water.
For treating Qi Lao manifesting as bone-steathing heat, use Huanglian Jian Wan (Coptis Decoction Pill):
Coptidis Rhizoma (Huanglian) [remove roots] Asteris Radix et Rhizoma (Ziwan) [wash, remove seedlings and soil] Capitis Humanis Calvaria (Tianlinggai) [coated with butter, roasted until slightly yellow] Glycyrrhizae Radix et Rhizoma (Gancao) [processed until slightly red, cut] Celosiae Semen (Qingsangzi) [above each two liang] Bupleuri Radix (Chaihu) [one liang, remove seedlings]
The above six ingredients are pounded and sifted into fine powder. Soak the herbs in five sheng of urine from a young boy overnight. Slowly decoct until thick. Form pills the size of sophora seeds. Each dose is twenty pills, taken after meals with warm water.