（此津液不足而血滞于经脉之间也，血盛则热。亦有风暑内灼者，其证兼见昏厥。）
热劳由心肺壅热，伤于气血，以致心神烦躁，颊赤头疼，眼涩唇干，口舌生疮，神思困
倦，四肢壮热，饮食无味，肢体酸痛，怔忡盗汗，肌肤作疼，或寒热往来，当审其所因，调补气
血其症自减。
立斋云∶前症乃壮火食气，煎熬真阴所致也。王太仆云∶如大寒而甚，热之不热，是无
火也，当治其心；大热而甚，寒之不寒，是无水也，当助其肾。心盛则生热，肾盛则生寒。然心
虚则热收于内，肾虚则虚寒动于中。窃谓前症，若肝脾血虚，四物、参、术；肝脾郁热，小
柴胡合四物，脾胃气虚，补中益气汤；肝经血虚，加味
逍遥散；肝经风热，小柴胡汤；心经血虚，加味四物汤。午前热，属气分，清心莲子饮；午
后热，属血分，四物、参、术、丹皮。热从左边起，肝火也，实则四物、龙胆、山栀，虚则
四物、参、术、黄 ；热从脐下起，阴火也，四物、参、术、酒拌炒黑黄柏、知母、五味、
麦冬、肉桂，如不应，急用加减八味丸。不时面热，或无定处，或从脚心起，此无根虚火也
，用加减八味丸及十全大补加麦冬、五味子主之。以上多出自立斋《妇人良方》帙中，但男
女五脏相同，间有少异，其为劳则一也。
（这是由于津液不足，导致血液在经脉之间运行不畅而停滞，血液充盈则产生热象。也有因风邪和暑邪在内灼烧的情况，其症状兼见昏厥。）
热劳是由于心肺壅滞有热，损伤了气血，从而导致心神烦躁，两颊发红，头痛，眼睛干涩，嘴唇干燥，口腔和舌头生疮，精神困倦乏力，四肢壮热，饮食没有味道，肢体酸痛，心悸怔忡，盗汗，肌肤疼痛，或者寒热往来。应当审查其病因，调理补益气血，这些症状自然会减轻。
薛立斋说：前面的病症是由于“壮火”消耗元气，煎熬真阴所导致的。王太仆说：如果非常寒冷且用热药治疗却不回暖，这是无火（肾阳虚衰），应当治心；如果非常炎热且用寒药治疗却不退热，这是无水（肾阴亏虚），应当助肾。心气盛则产生热，肾气盛则产生寒。然而心气虚则热邪收束于内，肾气虚则虚寒动于中。我认为前面的病症，如果是肝脾血虚，用四物汤、人参、白术；肝脾郁热，用小柴胡汤合四物汤；脾胃气虚，用补中益气汤；肝经血虚，用加味逍遥散；肝经风热，用小柴胡汤；心经血虚，用加味四物汤。午前发热，属于气分问题，用清心莲子饮；午后发热，属于血分问题，用四物汤、人参、白术、牡丹皮。热从左边发起，是肝火，实证用四物汤、龙胆草、山栀，虚证用四物汤、人参、白术、黄芪；热从脐下发起，是阴火，用四物汤、人参、白术、酒拌炒黑黄柏、知母、五味子、麦冬、肉桂，如果无效，急用加减八味丸。不时面部发热，或位置不定，或从脚心发起，这是无根虚火，用加减八味丸及十全大补汤加麦冬、五味子主治。以上大多出自薛立斋《妇人良方》卷帙中，但男女五脏相同，间或有少许差异，其为劳损这一本质是一样的。
(This is due to insufficient body fluids, causing blood stagnation within the meridians; abundant blood generates heat. There are also cases where wind and summerheat scorch internally, presenting with symptoms such as fainting and convulsions.)
Heat consumption (Re Lao) arises from heat accumulation in the Heart and Lung, damaging Qi and Blood, leading to mental restlessness, flushed cheeks, headache, dry eyes, dry lips, sores in the mouth and tongue, mental fatigue, robust heat in the four limbs, loss of appetite, limb soreness and pain, palpitations, night sweats, skin pain, or alternating chills and fever. One should investigate the etiology, regulate and tonify Qi and Blood, and the symptoms will naturally subside.
Xue Lizhai stated: The aforementioned conditions are caused by "vigorous fire" consuming Qi and boiling down True Yin. Wang Taipu stated: If there is extreme cold that does not warm up despite hot treatment, it indicates a lack of Fire (Kidney Yang deficiency), and one should treat the Heart; if there is extreme heat that does not cool down despite cold treatment, it indicates a lack of Water (Kidney Yin deficiency), and one should assist the Kidney. Excess in the Heart generates heat, while excess in the Kidney generates cold. However, deficiency in the Heart causes heat to be retained internally, and deficiency in the Kidney causes vacuous cold to move within. I believe that for the aforementioned conditions: if Liver and Spleen Blood are deficient, use Siwu Tang (Four Substance Decoction), Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome); if Liver and Spleen have constrained heat, use Xiaochaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang; if Spleen and Stomach Qi are deficient, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); if Liver Meridian Blood is deficient, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder); if Liver Meridian has wind-heat, use Xiaochaihu Tang; if Heart Meridian Blood is deficient, use Jiawei Siwu Tang (Modified Four Substance Decoction). Heat occurring before noon belongs to the Qi level, treated with Qingxin Lianzi Yin (Clear the Heart and Lotus Seed Decoction); heat occurring after noon belongs to the Blood level, treated with Siwu Tang, Renshen, Baizhu, and Mudanpi (Moutan Cortex). Heat arising from the left side indicates Liver Fire; in excess patterns, use Siwu Tang, Longdancao (Gentiana Root), Shanzhi (Gardenia Fruit); in deficiency patterns, use Siwu Tang, Renshen, Baizhu, and Huangqi (Astragalus Root). Heat arising from below the navel indicates Yin Fire, treated with Siwu Tang, Renshen, Baizhu, Jiu Ban Chao Hei Huangbai (Rhizoma Coptidis processed with wine and charred), Zhimu (Anemarrhena Rhizome), Wuweizi (Schisandra Fruit), Maidong (Ophiopogon Tuber), and Rougui (Cinnamon Bark); if ineffective, urgently use Jiawei Bawei Wan (Modified Eight-Ingredient Pill). Occasional facial flushing, or heat without fixed location, or rising from the soles of the feet, indicates rootless vacuous fire, treated with Jiawei Bawei Wan and Shiquan Dabu Tang (Complete Great Tonifying Decoction) plus Maidong and Wuweizi. Most of the above are derived from Xue Lizhai's *Furen Liangfang* (Good Prescriptions for Women), but although the five Zang organs are the same in men and women, with minor differences, the nature of consumption remains the same.