删繁疗脉极虚寒则咳。咳则心痛。喉仲介介如哽。甚则咽肿喉痹。半夏消痛止极。益气
汤方。
半夏（一升洗四破） 宿姜（八两） 芎 细辛 附子（炮） 玄参 当归（各三两）
桂心
甘草（炙） 茯苓（各二两） 杏仁（六十枚去两仁皮尖碎）
上十一味切。以水一斗。煮取三升。去滓。分温三服。忌羊肉饧生葱菜猪肉冷水菘菜海
藻酢物等。
又疗脉极虚寒。鬓发堕落。安发润生。桑白皮沐头方。
桑白皮（二升细切）
上一味。以水淹渍。煮五六沸。去滓。洗沐鬓发。数数为之。自不复落。
又方
麻子（三升研） 白桐叶（切一把）
上二味。以淘米甘汁二斗。煮取五六沸。去滓。以洗沐头。则鬓发不落而长。
又疗发堕落方。
生柏叶（一升） 附子（四枚炮） 猪膏（三斤）
上三味末。以膏三斤。和为三十丸。用布裹一丸。纳煎沐头汁中。令发长不复落也。（
并出第八卷中）
删繁论曰∶凡脾劳病者。补肺气以益之。肺旺则感脾。是以圣人春夏养阳。秋冬养阴。
以顺
万物
删繁疗脾劳热。身体眼目口唇悉痿黄。舌木强直。不能得咽唾。生地黄煎方。
生地黄汁（三升） 赤蜜 石膏（各一升碎绵裹） 升麻 射干 子芩（各三两） 生
玄参（
八两） 栀子仁 葳蕤（各四两） 甘草（二两炙）
上十味切。以水七升。先煮石膏等取二升。去滓。下生地黄汁。更煎取四升。绵捩。分
为四服。若须利泄。加芒硝三两。分为三服。余一服停下芒硝。留晚。若热不止。更进服之。
得
又疗脾劳热。有白虫长一寸。在脾为病。令人好呕。胸中塞。呕而不出。前胡吐热汤方
前胡 白术 赤茯苓 枳实（炙） 细辛 旋复花 龙胆 杏仁（去尖皮双仁） 常山 松
萝（各三两） 竹叶（切一升）
上十一味切。以水一斗。煮取三升。去滓。分为三服。若腹中热满。加芒硝。山栀子仁
。黄芩各三两。苦参二两。加水二升。忌酢物桃李雀肉生葱生菜。
又疗脾劳热。有白虫在脾中为病。令人好呕。茱萸根下虫酒方。
东行茱萸根（大者一尺） 大麻子（八升） 橘皮（二两切）
上三味。锉茱萸根。捣麻子。并和以酒一斗渍一宿。微火上薄暖之。三上三下。绞去滓
平
便
千金疗脾劳实热。四肢不用。五脏乖。皮胀满。肩息气急不安。承气泄实热。半夏汤方
半夏（洗） 宿姜（各八两） 橘皮 芍药（各八两） 茯苓 白术 杏仁（各三两去
皮尖两
仁研） 大枣（二十枚擘） 竹叶（切一升）
上九味切。以水一斗。煮取三升。去滓。分为三服。忌羊肉饧大酢桃李雀肉等。（删繁
同出第十五卷中）
【治疗脉象极虚寒的方剂四首】
若脉象极虚且寒，则会出现咳嗽。咳嗽时伴有心痛，咽喉中有异物感，仿佛被卡住一样；严重时会导致咽喉肿痛、喉痹（咽喉闭塞不通）。
**益气汤方**
药材：半夏（一升，洗净后剖成四块）、干姜（八两）、川芎、细辛、附子（炮制）、玄参、当归（各三两）、桂心、甘草（炙）、茯苓（各二两）、杏仁（六十枚，去皮尖及双仁，捣碎）。
以上十一味药切碎，用水一斗，煎煮至三升，滤去药渣。分三次温服。忌食羊肉、饴糖、生葱、蔬菜、猪肉、冷水、白菜、海藻、醋制品等。
又治脉象极虚寒导致的鬓发脱落，使头发安固润泽生长。
**桑白皮沐头方**
药材：桑白皮（二升，细切）。
以上一味药，用水浸泡，煮沸五六次，滤去药渣，用来清洗洗头发动鬓发。多次使用，头发自然不再脱落。
**又方**
药材：麻子（三升，研磨）、白桐叶（切一把）。
以上两味药，用淘米水二斗，煮沸五六次，滤去药渣，用来洗头。这样鬓发就不会脱落并能生长。
又治头发脱落的方子。
药材：生柏叶（一升）、附子（四枚，炮制）、猪脂油（三斤）。
将以上三味药研成末，用三斤猪脂油调和，制成三十丸。用布包裹一丸，放入煎好的洗头药汁中，可使头发生长且不再脱落。（以上均出自第八卷）
【脾劳论一首】
《删繁》论述说：凡是患有脾劳病的人，应当补益肺气来滋养它。肺功能旺盛就能感应并滋养脾脏。所以圣人主张春夏养阳，秋冬养阴，以顺应万物的规律。
【治疗脾劳实热的方剂四首】
**治疗脾劳热证**
症状：身体、眼睛、口唇全部呈现萎黄之色，舌头僵硬强直，无法吞咽唾液。
**生地黄煎方**
药材：生地黄汁（三升）、赤蜜、石膏（各一升，捣碎后用绵布包裹）、升麻、射干、黄芩（各三两）、生玄参（八两）、栀子仁、玉竹（葳蕤，各四两）、甘草（二两，炙）。
以上十味药切碎，用水七升，先煮石膏等药，取二升药液，滤去药渣，加入生地黄汁，再煎煮至四升，用绵布绞取汁液。分为四次服用。如果需要通泄大便，加芒硝三两，分为三次服用，剩下一服暂停，待晚上服用芒硝。如果热势不退，继续服用。
又治脾劳热证，体内有长一寸的白色寄生虫，在脾脏致病，使人容易呕吐，胸中堵塞，想吐却吐不出来。
**前胡吐热汤方**
药材：前胡、白术、赤茯苓、枳实（炙）、细辛、旋覆花、龙胆草、杏仁（去尖、皮及双仁）、常山、松萝（各三两）、竹叶（切一升）。
以上十一味药切碎，用水一斗，煎煮至三升，滤去药渣，分为三次服用。如果腹中热胀满，加芒硝、山栀子仁、黄芩各三两，苦参二两，加水二升。忌食醋制品、李子、桃子、雀肉、生葱、生菜。
又治脾劳热证，脾中有白色寄生虫致病，使人容易呕吐。
**茱萸根下虫酒方**
药材：向东生长的吴茱萸根（大者一尺）、大麻子（八升）、橘皮（二两，切）。
以上三味药，锉碎吴茱萸根，捣碎麻子，混合在一斗酒中浸泡一夜，在微火上加热，反复上下三次，绞去药渣，平饮。
千金方治疗脾劳实热证
症状：四肢不能活动，五脏功能紊乱，皮肤胀满，抬肩呼吸，气急不安。
**承气泄实热半夏汤方**
药材：半夏（洗）、干姜（各八两）、橘皮、芍药（各八两）、茯苓、白术、杏仁（各三两，去皮尖及双仁，研磨）、大枣（二十枚，掰开）、竹叶（切一升）。
以上九味药切碎，用水一斗，煎煮至三升，滤去药渣，分为三次服用。忌食羊肉、饴糖、大量醋、李子、桃子、雀肉等。（《删繁》同出第十五卷）
[Four Formulas for Treating Extremely Deficient and Cold Pulse]
When the pulse is extremely deficient and cold, coughing occurs. Coughing is accompanied by heart pain, a sensation of obstruction in the throat as if something were stuck; in severe cases, it leads to sore throat and throat bi (obstruction of the throat).
**Yi Qi Tang (Qi-Supplementing Decoction)**
Ingredients: Banxia (Pinelliae Rhizoma, 1 sheng, washed and cut into four pieces), Sujiang (Zingiberis Rhizoma Recens/Dried Ginger, 8 liang), Xiong (Chuanxiong Rhizoma), Xixin (Asari Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Xuanshen (Scrophulariae Radix), Danggui (Angelicae Sinensis Radix) (each 3 liang), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Fuling (Poria) (each 2 liang), Xingren (Armeniacae Semen, 60 seeds, skin and tips removed, double kernels removed, crushed).
Cut the above eleven ingredients. Boil in 1 dou of water until reduced to 3 sheng. Strain the dregs. Divide into three warm doses. Avoid mutton, malt sugar, raw green onions, vegetables, pork, cold water, Chinese cabbage, seaweed, vinegar products, etc.
Another formula for treating hair loss at the temples due to extremely deficient and cold pulse, to stabilize and nourish hair growth.
**Sangbaipi Touxi Fang (Mulberry Root Bark Hair-Washing Formula)**
Ingredients: Sangbaipi (Mori Cortex, 2 sheng, finely cut).
Take the above single ingredient, soak in water, boil for five or six boils, strain the dregs, and wash the hair and temples. Repeat frequently; hair will naturally stop falling out.
**Another Formula**
Ingredients: Maziren (Cannabis Fructus, 3 sheng, ground), Baitongye (Tiliaceae Folium, one handful, cut).
Take the above two ingredients, boil in 2 dou of rice-washing water for five or six boils, strain the dregs, and use to wash the head. This prevents hair loss and promotes growth.
Another formula for treating hair loss.
Ingredients: Shengbaiye (Platycladi Cacumen, 1 sheng), Fuzi (Aconiti Lateralis Radix Praeparata, 4 pieces, processed), Zhugao (Suill Fat, 3 jin).
Grind the above three ingredients into powder. Mix with 3 jin of fat to make thirty pills. Wrap one pill in cloth, place it in the decoction used for washing the head, to promote hair growth and prevent falling out. (All from Volume 8)
[One Treatise on Pi Lao (Spleen Exhaustion)]
The *Shanfan* states: For patients suffering from Pi Lao (Spleen Exhaustion), tonify Lung Qi to benefit them. When Lung function is robust, it influences and nourishes the Spleen. Therefore, the sages advocate nourishing Yang in spring and summer, and Yin in autumn and winter, to align with the laws of all things.
[Four Formulas for Treating Excess Heat of Pi Lao]
**Treating Pi Lao Heat Syndrome**
Symptoms: The body, eyes, mouth, and lips appear withered and yellow; the tongue is stiff and rigid, unable to swallow saliva.
**Sheng Dihuang Jian (Fresh Rehmannia Decoction)**
Ingredients: Shengdihuang Zhi (Jujube of Fresh Rehmanniae Radix, 3 sheng), Chi Mi (Red Honey), Shigao (Gypsum Fibrosum, each 1 sheng, crushed and wrapped in cotton), Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Huangqin (Scutellariae Radix) (each 3 liang), Sheng Xuanshen (Scrophulariae Radix, fresh, 8 liang), Zhizi Ren (Gardeniae Semen, 4 liang), Weirui (Polygonati Odorati Rhizoma, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 2 liang).
Cut the above ten ingredients. Boil in 7 sheng of water. First boil Shigao and others to obtain 2 sheng, strain the dregs. Add Shengdihuang Zhi, boil again to obtain 4 sheng. Strain through cotton cloth. Divide into four doses. If purgation is needed, add Mangxiao (Natrii Sulfas, 3 liang), divide into three doses, leaving one dose to be taken later in the evening with Mangxiao. If heat persists, continue administration.
Another treatment for Pi Lao Heat syndrome, characterized by white worms one inch long residing in the Spleen, causing frequent vomiting, chest fullness, and inability to vomit despite the urge.
**Qianhu Tu Re Tang (Peucedanum Vomiting-Heat Decoction)**
Ingredients: Qianhu (Peucedani Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chi Fuling (Poria with Red Hosta), Zhishi (Aurantii Fructus Immaturus, roasted), Xixin (Asari Radix et Rhizoma), Xuanjinhua (Inulae Flos), Longdan (Gentianae Radix), Xingren (Armeniacae Semen, remove tips, skins, and double kernels), Changshan (Dichroae Radix), Songluo (Usnea, each 3 liang), Zhuye (Bambusae Folium, cut, 1 sheng).
Cut the above eleven ingredients. Boil in 1 dou of water until reduced to 3 sheng. Strain the dregs. Divide into three doses. If there is abdominal heat and fullness, add Mangxiao (Natrii Sulfas), Zhizi Ren (Gardeniae Semen), and Huangqin (Scutellariae Radix) (each 3 liang), plus Kushen (Sophorae Flavescentis Radix, 2 liang), and add 2 sheng of water. Avoid vinegar products, plums, peaches, sparrow meat, raw green onions, and raw vegetables.
Another treatment for Pi Lao Heat syndrome, where white worms in the Spleen cause frequent vomiting.
**Zhuyu Gen Xia Chong Jiu (Euodia Root Worm-Expelling Wine)**
Ingredients: Dongxing Zhuyu Gen (Radix Euodiae growing eastward, large ones, 1 chi), Dama Zi (Cannabis Fructus, 8 sheng), Ju Pi (Citri Reticulatae Pericarpium, 2 liang, cut).
Crush the Zhuyu Gen, grind the Ma Zi, mix together, and steep in 1 dou of wine overnight. Warm gently over low fire, heating and cooling three times. Strain the dregs and drink evenly.
Qianjin Fang treats Pi Lao Excess Heat Syndrome
Symptoms: Limbs are unusable, Five Viscera are disordered, skin is distended and full, breathing requires raising shoulders, shortness of breath, and restlessness.
**Chengqi Xie Shi Re Banxia Tang (Chengqi Draining-Excess-Heat Pinellia Decoction)**
Ingredients: Banxia (Pinelliae Rhizoma, washed), Sujiang (Zingiberis Rhizoma Recens/Dried Ginger, each 8 liang), Ju Pi (Citri Reticulatae Pericarpium), Shaoyao (Paeoniae Radix Alba/Rubra, each 8 liang), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Xingren (Armeniacae Semen, each 3 liang, remove skins, tips, and double kernels, grind), Dazao (Jujubae Fructus, 20 pieces, split), Zhuye (Bambusae Folium, cut, 1 sheng).
Cut the above nine ingredients. Boil in 1 dou of water until reduced to 3 sheng. Strain the dregs. Divide into three doses. Avoid mutton, malt sugar, excessive vinegar, plums, peaches, and sparrow meat. (Same as Shanfan, from Volume 15)