千金疗奔豚腹肿法。
灸章门。一名长平。二穴在大横外直脐季肋端。百壮。
又主奔豚冲心不得息。
灸中极。一名玉泉。在脐下四寸。五十壮。
又主奔豚上下。腹中与腰相引痛者法。
炙中府二穴。在云门下一寸。乳上三肋间动脉是。百壮。一云百五十壮。
又主奔豚上下者法。
灸四满夹丹田旁。相去三寸。七壮。
又主奔豚法。
灸气海。在脐下一寸半。百壮。
又法
灸关元。在脐下三寸五十壮。亦可百壮。（并出第十七卷中）
病源夫蒸病有五。一曰骨蒸。其根在肾。旦起体凉日晚即热。烦躁。寝不能安。食都无
味。小便赤黄。忽忽烦乱。细喘无力。腰疼。两足逆冷。手心常热。蒸盛伤内。即变为疳。
食人五脏。二曰脉蒸。其根在心日增烦闷。掷手出足。翕翕思水。口唾白沫。卧即浪言。或
惊恐不定。脉数。蒸盛之时。或变为疳。脐下闷。或暴痢不止。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。或自称得疰热。两胁下胀。大
咳彻背连胛疼。眠寐不安。或蒸毒伤脏。口内唾血。四曰肉蒸。其根在脾。体热如火。烦躁
无汗。心腹鼓胀。食即欲呕。小便如血。大便秘涩。蒸盛之时。或体肿目赤。寝卧不安。五
曰内蒸。亦名血蒸。所以名内蒸者。必外寒而内热。把手附骨而热。是其根在五脏六腑。其
人必因患后得之。骨肉自消。饮食无味。或皮燥而无光。蒸盛之时。四肢渐细。足趺肿起。
又有二十三蒸。一胞蒸。小便黄赤。二玉房蒸男子则遗沥漏精。女则月候不调。三脑蒸。头
眩闷热。四
或急或缓
两耳焦。十四膀胱蒸。右耳偏焦。十五胆蒸。眼白失色。十六胃蒸。舌下痛。十七小肠蒸。
下唇焦。十八大肠蒸。鼻右孔干痛。十九三焦蒸。亦杂病乍热乍寒。二十肉蒸。二十一肤蒸。
二十二
或房。触犯而成此疾。久蒸不除。多变成疳。必须先防下部。不得轻妄疗之。（出第四卷中）
崔氏疗五蒸。夫蒸者是附骨热毒之气。皆是死之端渐。庸医及田野之夫。不识热蒸体形
状。
蒸。早起体凉。日晚便热。烦躁不安。食都无味。小便赤黄。忽忽烦乱。细喘无力。或时腰
痛
可服芒硝。一服一方寸匕。日再服。亦可捣苦参蜜和为丸如梧子大。一服七丸。日再。
以饮送之。无忌。以体轻凉为度。
二曰脉蒸。其根在心。日增烦闷。掷手出足。翕翕思水。口唾白沫。卧便浪语。或惊恐
不安。其脉又数。此蒸若盛。亦变为疳旁脐时闷。或痢不止方。
苦参 青葙（各二两） 艾叶 甘草（各一两炙）
上四味切。以水四升。煮取一升半。分为三分。用羊胞盛之。以苇灌下部中。若不利。
取芒硝一方寸匕。和冷水合和服之。日再服。忌海藻菘菜。
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。胸中
满闷。或自称得疰。手掩两胁。不得大咳。彻背连胛疼。眠寐不安。此蒸毒伤五脏。口便唾
血方。
急与芒硝一两。以水一升半。和分为三服。三日服止讫。以冷水浸手。以熨胁间及腋下
。并胸上及痛处亦可举臂指灸侧腋下第三肋间腋下空中七壮。立止
四曰肉蒸。其根在脾。体热如
血。大便秘涩。蒸盛之时。或体肿目赤。不得安寐方。
大黄一两半切。如小豆大。以水一升浸一宿。明旦绞取汁。一服五合许。微利即止。若
热不定。亦可服芒硝一方寸匕。日三以体凉为度。
五曰内蒸。所以言内蒸者。必外寒内热。把手附骨而热也。其根在五脏六腑之中。其人
必因患后得之。骨肉自消。食饮无味。或皮燥而无光。蒸盛之时。四肢渐细。足趺肿起方。
石膏十两研如乳粉。法水和服方寸匕。日再。以体凉为度。（出第七卷中）
古今录验解五蒸汤方。
甘草（一两炙） 茯苓（三两） 人参（二两） 竹叶（二把） 葛根 干地黄（各三
两） 知母
上十味切。以水九升。煮取二升半。分为三服。亦可以水三升煮小麦一升。乃煮药。忌
海藻菘菜芜荑火醋。（范汪同一方无甘草茯苓人参竹叶止六味）
又五蒸丸方。
乌梅 鸡骨（一本是鹳骨） 紫菀 芍药 大黄 黄芩 细辛（各五分） 知母（四分）
矾
石（炼） 栝蒌（各一分） 桂心（二分）
上十一味末之。蜜和丸如梧子。饮服十丸。日二。忌生葱生菜。（并出第五卷中一方无
桂心）
《千金方》治疗奔豚气腹部肿胀的方法。
灸章门穴。又名长平穴。两穴位于大横穴外侧，与肚脐水平，季肋端处。每穴灸一百壮。
又主治奔豚气上冲心胸导致呼吸急促困难。
灸中极穴。又名玉泉穴。位于肚脐下四寸处。灸五十壮。
又主治奔豚气上下攻冲，腹部与腰部相互牵引疼痛的方法。
灸中府穴两穴。位于云门穴下一寸，乳房上方第三肋间动脉搏动处。灸一百壮。另一种说法是灸一百五十壮。
又主治奔豚气上下攻冲的方法。
灸四满穴，夹在丹田穴旁侧，相距三寸。灸七壮。
又主治奔豚气的方法。
灸气海穴。位于肚脐下一寸半处。灸一百壮。
又一种方法
灸关元穴。位于肚脐下三寸处，灸五十壮。也可以灸一百壮。（以上均出自第十七卷）
《诸病源候论》论述：蒸病有五种。第一种叫骨蒸。其病根在肾。早晨起床时身体凉爽，到了晚上就发热。烦躁不安，睡眠不能安宁。吃东西完全没有味道。小便颜色深黄。精神恍惚烦乱。气息微弱喘息且无力。腰痛。两脚逆冷。手心经常发热。蒸热严重损伤内脏，就会转变为疳积。侵蚀五脏。第二种叫脉蒸。其病根在心。日渐增加烦闷感。甩手踢脚。微微想喝水。口吐白沫。躺下就说胡话。或者惊恐不定。脉搏快。蒸热严重时，有时会转变为疳积。脐下胀闷。或者突然痢疾不止。第三种叫皮蒸。其病根在肺。一定有大喘气、鼻干的症状。口中无津液。舌苔发白。小便赤红如血。蒸热严重时，胸部胀满。或者自述得了注病热邪。两胁下胀满。剧烈咳嗽，痛彻背部连及肩胛骨。睡眠不安稳。或者蒸毒损伤脏腑，口中唾血。第四种叫肉蒸。其病根在脾。身体发热如火。烦躁无汗。心腹胀满如鼓。进食就想呕吐。小便如血。大便干结难解。蒸热严重时，或者身体浮肿眼睛发红。睡眠卧息不安。第五种叫内蒸。也叫血蒸。之所以叫内蒸，一定是外寒内热。把手贴在骨头上感觉发热。其病根在五脏六腑。这种人一定是因为患病后得的。骨肉自行消瘦。饮食无味。或者皮肤干燥没有光泽。蒸热严重时，四肢逐渐变细。足背浮肿隆起。
又有二十三蒸。第一胞蒸。小便黄赤。第二玉房蒸（生殖系统蒸热），男子则遗精漏精，女子则月经不调。第三脑蒸。头晕闷热。第四或急或缓，两耳焦枯。第十四膀胱蒸。右耳偏侧焦枯。第十五胆蒸。眼白发白失去血色。第十六胃蒸。舌下疼痛。第十七小肠蒸。下唇焦裂。第十八大肠蒸。鼻孔右侧干燥疼痛。第十九三焦蒸。也是杂病忽冷忽热。第二十肉蒸。第二十一肤蒸。第二十二或房（此处原文可能有缺漏或错简，指房劳所致）。触犯而成此疾。长期蒸热不除，多变成疳积。必须先预防下部病变，不得轻率胡乱治疗。（出自第四卷）
崔氏治疗五蒸的方法。所谓蒸病，是附着在骨头上的热毒之气。都是死亡的开端渐显。庸医和乡野之人，不认识热蒸病的体形症状。
第一种骨蒸。早起身体凉爽，到了晚上便发热。烦躁不安。吃东西完全没有味道。小便深黄。精神恍惚烦乱。气息微弱喘息无力。有时腰痛。可以服用芒硝。一次服用一方寸匕的量。每天服两次。也可以捣碎苦参用蜂蜜调和做成梧桐子大小的丸药。一次服用七丸。每天两次。用温水送服。没有禁忌。以身体感到清凉为度。
第二种脉蒸。其病根在心。日渐增加烦闷。甩手踢脚。微微想喝水。口吐白沫。躺下就说胡话。或者惊恐不安。脉搏又快。这种蒸热如果严重，也会转变为疳积，旁边脐部胀闷。或者痢疾不止。方剂：
苦参、青葙（各二两）、艾叶、甘草（各一两，炙过）。
以上四味药切碎。用水四升，煮取一升半。分为三份。用羊膀胱盛装药液，用芦苇管灌入下部（肛门）。如果不通利。取芒硝一方寸匕，和冷水混合服用。每天服两次。忌食海藻、菘菜（白菜类）。
第三种皮蒸。其病根在肺。一定有大喘气、鼻干的症状。口中无津液。舌苔发白。小便赤红如血。蒸热严重时。胸中胀闷。或者自述得了注病。手捂住两胁。剧烈咳嗽，痛彻背部连及肩胛骨。睡眠不安稳。这种蒸毒损伤五脏，口中唾血。方剂：
立即给予芒硝一两。用水一升半，和匀分为三次服用。三天服完为止。用冷水浸手，熨烫胁间及腋下。以及胸部和疼痛处。也可以举起手臂，在侧腋下第三肋间腋下的空处灸七壮。立刻停止。
第四种肉蒸。其病根在脾。身体发热如火。大便干结难解。蒸热严重时，或者身体浮肿眼睛发红。不能安睡。方剂：
大黄一两半，切碎，如小豆大小。用水一升浸泡一夜。第二天早上绞取汁液。一次服用五合左右。轻微腹泻就停止。如果热势不退，也可以服用芒硝一方寸匕。每天三次。以身体感到清凉为度。
第五种内蒸。之所以称为内蒸，一定是外寒内热。把手贴在骨头上感觉发热。其病根在五脏六腑之中。这种人一定是因为患病后得的。骨肉自行消瘦。饮食无味。或者皮肤干燥没有光泽。蒸热严重时，四肢逐渐变细。足背浮肿隆起。方剂：
石膏十两，研磨如乳粉状。依法用水调和服用一方寸匕。每天两次。以身体感到清凉为度。（出自第七卷）
《古今录验》解五蒸汤方。
甘草（一两，炙）、茯苓（三两）、人参（二两）、竹叶（两把）、葛根、干地黄（各三两）、知母。
以上十味药切碎。用水九升，煮取二升半。分为三次服用。也可以用三升水煮一升小麦，然后再煮药。忌食海藻、菘菜、芜荑、火醋。（范汪的方子与此相同，但没有甘草、茯苓、人参、竹叶，只有六味药）
又五蒸丸方。
乌梅、鸡骨（另一版本是鹳骨）、紫菀、芍药、大黄、黄芩、细辛（各五分）、知母（四分）、矾石（炼过的）、栝蒌（各一分）、桂心（二分）。
以上十一味药研成末。用蜂蜜调和做成梧桐子大小的丸药。用温水送服十丸。每天两次。忌食生葱、生菜。（以上均出自第五卷，其中一方没有桂心）
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) method for treating Ben Tun (Rushing Pig Qi) with abdominal swelling.
Moxibustion on Zhangmen (LR13, Gate of the Rib). Also known as Changping. The two points are located outside Dahuang (SP15), directly level with the umbilicus, at the end of the costal margin. One hundred Zhu (moxa cones).
It also primarily treats Ben Tun rushing to the heart and chest, causing inability to breathe.
Moxibustion on Zhongji (CV3), also known as Yuquan. Located four cun below the umbilicus. Fifty Zhu.
Another method for treating Ben Tun attacking up and down, with pain in the abdomen and waist pulling each other.
Moxibustion on the two Zhongfu (LU1) points. Located one cun below Yunmen (LU2), in the third intercostal space above the breast where the artery beats. One hundred Zhu. Another saying is one hundred and fifty Zhu.
Another method for treating Ben Tun attacking up and down.
Moxibustion on Siman (KI04), flanking Tiandan (CV17), three cun apart. Seven Zhu.
Another method for treating Ben Tun.
Moxibustion on Qihai (CV6). Located one and a half cun below the umbilicus. One hundred Zhu.
Another method:
Moxibustion on Guanyuan (CV4). Located three cun below the umbilicus, fifty Zhu. It can also be one hundred Zhu. (All from Volume 17)
*Zhubing Yuanhou Lun* (Source Book of Diseases and Etiologies) states: There are five types of Zheng Bing (Steaming Disorders). The first is called Gu Zheng (Bone Steaming). Its root is in the Kidney. The body is cool in the morning but hot in the evening. Irritability and restlessness, unable to sleep peacefully. Food has no taste. Urine is dark yellow. Mental confusion and agitation. Weak breathing and lack of strength. Lower back pain. Coldness extending up from the feet. Palms are often hot. When the steaming heat severely damages the interior, it transforms into Gan Ji (Childhood Malnutrition Syndrome). It consumes the Five Viscera. The second is called Mai Zheng (Pulse Steaming). Its root is in the Heart. Increasing irritability and oppression day by day. Throwing hands and kicking feet. A slight desire for water. Spitting white foam. Talking nonsense when lying down. Or fear and panic without calmness. The pulse is rapid. When the steaming heat is severe, it may transform into Gan Ji. Oppression below the umbilicus. Or sudden continuous dysentery. The third is called Pi Zheng (Skin Steaming). Its root is in the Lung. There must be severe panting and dry nose. No moisture in the mouth. White coating on the tongue. Urine red like blood. When the steaming heat is severe, chest fullness. Or self-reporting of Zhu Re (Infectious Heat). Distension under both hypochondria. Severe coughing, pain penetrating the back and connecting to the scapula. Restless sleep. Or steaming toxins damaging the viscera, spitting blood from the mouth. The fourth is called Rou Zheng (Flesh Steaming). Its root is in the Spleen. Body heat like fire. Irritability without sweat. Abdominal distension like a drum. Vomiting after eating. Urine like blood. Constipation and difficulty in defecation. When the steaming heat is severe, or body swelling and red eyes. Restless sleep. The fifth is called Nei Zheng (Internal Steaming), also named Xue Zheng (Blood Steaming). It is called Internal Steaming because there is external cold and internal heat. Placing the hand against the bone feels hot. Its root is in the Five Zang and Six Fu organs. This person likely contracted it after suffering from an illness. Flesh and bones waste away. Food and drink have no taste. Or skin is dry and lusterless. When the steaming heat is severe, limbs gradually become thin. Dorsum of the foot swells.
There are also twenty-three Zhengs. First, Bao Zheng (Bladder Steaming). Yellow-red urine. Second, Yufang Zheng (Reproductive Organ Steaming). In men, seminal leakage; in women, irregular menstruation. Third, Nao Zheng (Brain Steaming). Dizziness and muggy heat. Fourth, [text missing/corrupted] or urgent or slow, ears become scorched. Fourteenth, Pangguang Zheng (Bladder Steaming). Right ear becomes scorched. Fifteenth, Dan Zheng (Gallbladder Steaming). Whites of the eyes lose color. Sixteenth, Wei Zheng (Stomach Steaming). Pain under the tongue. Seventeenth, Xiaochang Zheng (Small Intestine Steaming). Scorched lower lip. Eighteenth, Dachang Zheng (Large Intestine Steaming). Dry and painful right nostril. Nineteenth, Sanjiao Zheng (Triple Burner Steaming). Also miscellaneous diseases with alternating hot and cold. Twentieth, Rou Zheng (Flesh Steaming). Twenty-first, Fu Zheng (Skin Steaming). Twenty-second, [text corrupted/missing], possibly related to sexual activity. Contracted through violation. Long-standing steaming not removed often transforms into Gan Ji. Must first prevent lower part pathology, do not treat lightly or recklessly. (From Volume 4)
Cui Shi's method for treating the Five Zhengs. The so-called Zheng disease is the toxic heat qi attached to the bones. It is the gradual beginning of death. Quack doctors and country folk do not recognize the physical signs of hot steaming disorders.
First, Gu Zheng (Bone Steaming). Body cool in the morning, hot in the evening. Irritability and restlessness. Food has no taste. Urine dark yellow. Mental confusion and agitation. Weak breathing and lack of strength. Sometimes lower back pain. Can take Mang Xiao (Mirabilite). One dose is one Fang Cun Bi (measure). Take twice a day. Alternatively, crush Kushen (Sophora Root) and mix with honey to make pills the size of Wu Zi (Chinese quince seeds). Take seven pills per dose. Twice a day. Take with warm water. No dietary restrictions. Stop when the body feels cool.
Second, Mai Zheng (Pulse Steaming). Root in the Heart. Increasing irritability day by day. Throwing hands and kicking feet. Slight desire for water. Spitting white foam. Talking nonsense when lying down. Or fear and panic without calmness. The pulse is rapid. If this steaming is severe, it also transforms into Gan Ji. Oppression beside the umbilicus. Or dysentery that does not stop. Formula:
Kushen (Sophorae Flavescentis Radix), Qingxiangzi (Celosiae Semen) (each two liang); Ai Ye (Artemisiae Argyi Folium), Gancao (Glycyrrhizae Radix et Rhizoma, prepared) (each one liang).
Cut the above four herbs. Boil in four sheng of water until one and a half sheng remains. Divide into three parts. Hold the liquid in a sheep bladder, and use a reed tube to enema into the lower orifice. If there is no relief, take one Fang Cun Bi of Mang Xiao (Natrii Sulfas), mix with cold water, and take orally. Take twice a day. Avoid Haizao (Sargassum) and Songcai (Brassica vegetables).
Third, Pi Zheng (Skin Steaming). Root in the Lung. Severe panting and dry nose. No moisture in the mouth. White tongue coating. Urine red like blood. When steaming heat is severe. Chest fullness. Or self-reporting Zhu disease. Hands covering the hypochondria. Severe coughing, pain penetrating the back and scapula. Restless sleep. This steaming toxin damages the Five Zang, spitting blood from the mouth. Formula:
Immediately give one liang of Mang Xiao (Natrii Sulfas). Mix with one and a half sheng of water, divide into three doses. Finish taking within three days. Soak hands in cold water, and apply compresses to the hypochondrium, axilla, chest, and painful areas. Alternatively, raise the arm and moxa the empty space in the third intercostal space of the lateral axilla, seven Zhu. It stops immediately.
Fourth, Rou Zheng (Flesh Steaming). Root in the Spleen. Body heat like fire. Constipation and difficulty in defecation. When steaming heat is severe, or body swelling and red eyes. Unable to sleep peacefully. Formula:
Dahuang (Rhei Radix et Rhizoma) one and a half liang, cut into pieces the size of small beans. Soak in one sheng of water overnight. Squeeze out the juice the next morning. Take about five he per dose. Stop if mild diarrhea occurs. If heat is not controlled, can also take one Fang Cun Bi of Mang Xiao (Natrii Sulfas). Three times a day. Stop when the body feels cool.
Fifth, Nei Zheng (Internal Steaming). It is called Internal Steaming because there is external cold and internal heat. Placing the hand against the bone feels hot. Its root is within the Five Zang and Six Fu organs. This person likely contracted it after an illness. Flesh and bones waste away. Food and drink have no taste. Or skin is dry and lusterless. When steaming heat is severe, limbs gradually become thin. Dorsum of the foot swells. Formula:
Shigao (Gypsum Fibrosum) ten liang, ground fine like milk powder. Mix with water according to method and take one Fang Cun Bi. Twice a day. Stop when the body feels cool. (From Volume 7)
*Gujin Luyan* Jie Wu Zheng Tang (Decoction to Resolve the Five Steaming Disorders) Formula:
Gancao (Glycyrrhizae Radix et Rhizoma, prepared) (one liang), Fuling (Poria), Renshen (Panacis Ginseng Radix) (two liang), Zhuye (Phyllostachidis Folium) (two handfuls), Gegen (Puerariae Radix), Dihuang (Rehmanniae Radix Preparata) (each three liang), Zhimu (Anemarrhenae Rhizoma).
Cut the above ten herbs. Boil in nine sheng of water until two and a half sheng remains. Divide into three doses. Alternatively, boil one sheng of Xiaomai (Tritici Semen) in three sheng of water, then add the herbs. Avoid Haizao (Sargassum), Songcai (Brassica vegetables), Wuyi (Myrobalan), and Huocu (Fire Vinegar). (Fan Wang's formula is the same but lacks Gancao, Fuling, Renshen, and Zhuye, having only six ingredients.)
Another Wu Zheng Wan (Pill for Five Steaming Disorders) Formula:
Wumei (Mume Fructus), Jigu (Galli Osseum) (another version is Guan Gu, Ciconiae Os), Ziwan (Asteris Radix), Shaoyao (Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma) (each five fen), Zhimu (Anemarrhenae Rhizoma) (four fen), Fanshi (Alumen Ustums, calcined), Gualou (Trichosanthis Fructus) (each one fen), Guixin (Cinnamomi Ramulus) (two fen).
Grind the above eleven herbs into powder. Mix with honey to make pills the size of Wu Zi (Chinese quince seeds). Take ten pills with warm water. Twice a day. Avoid raw green onions and raw vegetables. (All from Volume 5, one formula lacks Guixin.)