此病由七情六欲，损伤脾肾，早尚易治，迟则难愈，必用火灸，方得回生。若用温平药及黄 建中、鳖甲
饮之类，皆无益于病，反伤元气。其证始则困倦少食，额上时时汗出，或
自盗汗，口干咳嗽，四肢常冷，渐至咳吐鲜血，或咯血多痰，盖肾脉上贯肝隔，入肺中，肾既虚损，不能上荣
于肺，故有是病，治法当同阴证治之。先于关元灸二百壮，以固肾气，后服保命延寿丹，或钟乳粉，服三五两，
其病减半，一月全安。若服知、柏、地黄、当归之属，重伤脾肾，是促其死也，切忌房事。然此病须早灸，迟
则无益，丹药亦不受矣，服之反发热烦，乃真脱故也，若童男女得此病，乃胎秉怯弱，宜终身在家，若出嫁犯
房事，再发必死。
治验
一人病咳嗽，盗汗，发热，困倦，减食，四肢逆冷，六脉弦紧，乃肾气虚也。先灸关元五百壮，服保命延
寿丹二十丸，钟乳粉二钱。间日，服金液丹百丸，一月全安。
一人病咳嗽，证脉与上条同，但病患怕灸，止服延寿丹五十粒，金液丹百粒，钟乳粉二两，五日减可，十
日脉沉缓，乃真气复也。仍服前药，一月全安。盖此病早治，不灸亦可，迟必加灸，否则难治。
一幼女病咳嗽，发热，咯血，减食。先灸脐下百壮，服延寿丹、黄 建中汤而愈。戒其不可出嫁，犯房事
必死。过四年而适人，前病复作。余曰∶此女胎禀素弱，只宜固守终老。不信余言，破损天真，元气将脱，不
可救矣。强余丹药服之，竟死。
一人额上时时汗出，乃肾气虚也，不治则成痨瘵，先灸脐下百壮，服金液丹而愈。
一人夜多虚汗，亦肾气虚也，服全真丹、黄 建中汤而痊。
一妇人产后虚汗不止，乃脾肾虚也，服金液丹、全真丹、当归建中汤而愈。凡童男女秉气虚、多汗者，亦同此
治。
一人每日四五遍出汗，灸关元穴亦不止，乃房事后，饮冷伤脾气，复灸左命关百壮而愈。
一妇人伤寒瘥后转成虚劳，乃前医下冷药，损其元气故也。病患发热咳嗽、吐血少食，为灸关元二百壮，
服金液、保命、四神、钟乳粉，一月全愈。（脾肾者先后天之本与元也，虚劳之病虽有五脏之殊，其原皆由于
脾肾受病，而脾肾之治殊难见效，不知肾之元于生阳，脾之本于焦火，温温不息，元本日充，自然真水流行，
津液四布，神精内守，烟焰不生，五脏无偏颇之虞，水火有交济之益，何难治之有哉！奈何世人不察，习用寒
凉不败不已。间有知脾肾之当保者，不过玉竹、沙参、生脉、六味温平之剂而已，知先生之法者有几人哉！但
恨起石无真，钟乳多伪，合丹救济亦属徒然，惟有艾火庶可求全，人又不肯耐疼忍痛，应名数 ，此证之获愈
者，所以千百而无一二也。予具热肠，动违庸俗，明知难起之疾，勉投桂附，十中亦起一二，其终不愈者，不
免多口之来，予亦无庸置辨，彼苍者天，谅能默鉴予救世之衷也。因略举治愈数人，附记于后，以为吾党型式，
俾知温补之可以活人，而不为流俗所惑，不因谗毁缩手也。）
（友人沈荫昌兄，因患伏免疽，脓血过多，有伤元本，变为虚劳，服滋阴剂过多，喘急吐血，饮食少进。
予诊之脉弦急，有七八至，面色纯青，喘咳气急，卧难着席，身热汗出，涎沫不收，虚脱之证已悉见矣。又贫
乏无力用参，乃予建中，重投 桂，一服而喘定安眠，涎沫与血俱减大半，第病久而脾肾过伤，胃气难复，投
桂附加参钱许，月余而痊。）
（王在庭之室，病虚劳十余载，喘促吐沫，呕血不食，
形体骨立，诸医束手，延予诊视，见其平日之方，皆滋阴润肺，温平之剂。予曰∶以如是之病，而乃用如是之
药，自然日趋鬼趣，焉望生机，独不思仲景云咳者则剧，数吐涎沫，以脾虚也。又昔贤云∶肾家生阳，不能上
交于肺则喘。又云∶脾虚而肺失生化之原则喘。今脾肾败脱用药如此，焉望其生。乃重投参 姜附等二剂而喘
定，缘泄泻更甚再加萸蔻十余剂而病减十七；又灸关元，因畏痛只灸五十壮，迄今十余年而形体大健矣。）
（一中年妇，夜热咳嗽，本小疾耳，为张李二医合用滋阴退热药月余，致面青脉急，喘促，吐血呕沫日数
升，饮食不进，二医束手覆而不治，予为重用参附十余剂而安。此非其本原受亏，乃药误所致，故收功易也。）
这种病是由于七情六欲，损伤了脾肾，早期尚且容易治疗，拖延久了则难以痊愈，必须使用火灸的方法，才能挽回生命。如果只用温和平缓的药物以及黄耆建中汤、鳖甲饮之类的方剂，都对病情没有益处，反而伤害元气。其症状起初表现为困倦乏力、食欲减退，额头经常出汗，或者自汗、盗汗，口干咳嗽，四肢常常发冷，逐渐发展到咳吐鲜血，或者咯血多痰。这是因为肾脉上行贯穿肝脏和膈肌，进入肺中，肾脏既然虚损，不能向上滋养肺部，所以出现这些病症。治疗方法应当按照阴证来施治。先在关元穴艾灸二百壮，以固护肾气，然后服用保命延寿丹，或者钟乳粉，每次服用三到五两，病情可减轻一半，一个月后完全康复。如果服用知母、黄柏、地黄、当归这类药物，会严重损伤脾肾，这是加速死亡的做法，务必切忌房事。然而此病必须尽早艾灸，拖延下去就无益了，丹药也无法被身体接受，服用后反而会出现发热烦躁的症状，这是真气脱失的缘故。如果是童男童女得了此病，是因为先天禀赋怯弱，适宜终身居家静养，如果出嫁后犯忌房事，再次发作必定死亡。
治验案例：
有一人患病咳嗽、盗汗、发热、困倦、食欲减退、四肢逆冷，六脉弦紧，这是肾气虚的表现。先在关元穴艾灸五百壮，服用保命延寿丹二十丸，钟乳粉二钱。隔天服用金液丹一百丸，一个月后完全康复。
有一人患病咳嗽，症状和脉象与上一条相同，但病人害怕艾灸，只服用延寿丹五十粒，金液丹一百粒，钟乳粉二两，五天病情减轻，十天脉象变得沉缓，说明真气恢复。继续服用前面的药物，一个月后完全康复。大概此病早期治疗，不艾灸也可以，拖延后必须加用艾灸，否则难以治愈。
有一个小女孩患病咳嗽、发热、咯血、食欲减退。先在脐下艾灸一百壮，服用延寿丹、黄耆建中汤而痊愈。告诫她不可出嫁，犯忌房事必死。过了四年出嫁后，前病复发。我说：“这个女孩先天禀赋素来虚弱，只宜固守贞节终老。”她不听从我的劝告，破坏了天真元气，元气即将脱失，无法救治了。她强行要求我给她服用丹药，最终死亡。
有一人额头经常出汗，这是肾气虚的表现，不治疗则会发展成痨瘵（肺结核类疾病），先在脐下艾灸一百壮，服用金液丹而痊愈。
有一人夜间多虚汗，也是肾气虚的表现，服用全真丹、黄耆建中汤而痊愈。
有一位妇人产后虚汗不止，这是脾肾虚的表现，服用金液丹、全真丹、当归建中汤而痊愈。凡是童男女禀气虚弱、多汗的，也按此法治疗。
有一人每天出汗四五次，灸关元穴也不能止住，这是在房事后饮用冷饮伤了脾气，再灸左边的命关穴一百壮而痊愈。
一位妇人伤寒病愈后转变成虚劳，是因为之前的医生使用了寒凉攻下的药物，损伤了她的元气。病人发热咳嗽、吐血、少食，为她灸关元穴二百壮，服用金液丹、保命延寿丹、四神丹、钟乳粉，一个月完全痊愈。（脾和肾是先后天的根本和元气所在，虚劳之病虽然五脏表现不同，但其根源都在于脾肾受病，而脾肾的治疗很难见效，是因为不知道肾的元气源于生阳，脾的根本在于焦火，温煦不息，元气日渐充盈，自然真水流行，津液遍布全身，神精内守，虚火不生，五脏没有偏颇的忧虑，水火有交济的好处，有什么难治的呢！奈何世人不明察，习惯使用寒凉药物，不致败坏不已。间或有知道应当保护脾肾的，也不过是用玉竹、沙参、生脉散、六味地黄丸等温平的药剂罢了，懂得先生（指作者或古代名医）方法的人又有几个呢！只是恨起石没有真品，钟乳大多伪劣，合制丹药救济世人也是徒劳，只有艾火或许可以求得保全，人们又不肯忍耐疼痛，应验灸法的次数，这种病能获愈的，所以千百人中找不到一两个。我怀着热心肠，动辄违背庸俗之见，明知是难治的疾病，勉强投用桂枝、附子，十人中也能救活一二个，那些最终不能痊愈的，不免招来非议，我也不需要辩解，苍天谅能默默审视我救世的初衷吧。因此简要列举治愈的几个案例，附记在后面，作为我们同道者的范式，使大家知道温补之法可以救人，而不被流俗所迷惑，不因谗毁而缩手退缩。）
（友人沈荫昌兄，因为患伏兔疽，脓血过多，损伤了元气根本，转变为虚劳，服用滋阴剂过多，导致喘急吐血，饮食减少。我诊察他的脉象弦急，一息七八至，面色纯青，喘咳气急，躺卧困难，身热汗出，涎沫不收，虚脱的症状全部出现了。又因贫穷无力购买人参，于是给他建中汤，重用桂枝，一服后喘息平定安睡，涎沫和出血都减少了大半，只是因病久脾肾过度损伤，胃气难以恢复，投用桂枝加人参少许，一个多月后痊愈。）
（王在庭的妻子，患虚劳十多年，喘促吐沫，呕血不食，形体消瘦如骨立，众医束手无策，请我诊治，见她平时的处方，都是滋阴润肺、温平的药剂。我说：“像这样的病，却用这样的药，自然是日趋死亡，哪里指望生机？难道没想过张仲景说咳嗽剧烈，频繁吐涎沫，是因为脾虚。又说：肾家生阳，不能上交于肺则喘。又说：脾虚而肺失去生化之源则喘。现在脾肾败脱，用药如此，哪里指望她能活。于是重用参、姜、附等药两剂后喘息平定，因为腹泻更严重再加山茱萸、肉蔻十余剂后病情减轻了十分之七；又灸关元穴，因为怕痛只灸了五十壮，至今十多年身体非常健康了。）
（一位中年妇女，夜间发热咳嗽，本是轻微小病，被张、李两位医生合用滋阴退热药月余，导致面青脉急，喘促，吐血呕沫每天数升，饮食不进，两位医生束手无策放弃治疗，我为她重用参、附十余剂而安定。这不是她本原亏损，而是误药所致，所以收效容易。）
This disease is caused by the seven emotions and six desires, which damage the Spleen and Kidney. It is relatively easy to treat if addressed early, but difficult to cure if delayed. Moxibustion must be employed to restore life. Using only mild and neutral medicines, such as Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle) or Biejia Yin (Turtle Shell Drink), will not benefit the condition and will instead damage the Yuan Qi (Original Qi). The initial symptoms include fatigue, poor appetite, frequent sweating on the forehead, spontaneous sweating, night sweats, dry mouth, cough, and cold limbs. Gradually, it progresses to coughing up fresh blood or expectorating blood with excessive phlegm. This occurs because the Kidney meridian ascends through the Liver and diaphragm into the Lung; since the Kidney is deficient and cannot nourish the Lung from below, these symptoms arise. The treatment method should follow that of Yin syndromes. First, apply 200 moxa cones to the Guanyuan (CV4) acupoint to consolidate Kidney Qi, then administer Baoming Yanshou Dan (Life-Preserving Longevity Pill) or Zhuru Fen (Gypsum Powder), taking 3 to 5 liang per dose. The illness will reduce by half, and full recovery will occur within one month. If Zhi Mu (Anemarrhena Rhizome), Huang Bai (Phellodendron Bark), Di Huang (Rehmannia Root), Dang Gui (Angelica Sinensis), and similar herbs are used, they severely damage the Spleen and Kidney, hastening death. Sexual intercourse must be strictly avoided. However, this disease requires early moxibustion; if delayed, it becomes ineffective, and the body cannot accept the pills. Ingestion may cause fever and irritability due to the collapse of True Qi. If children or adolescents contract this disease, it is due to weak congenital constitution; they should remain at home for life. If they marry and engage in sexual activity, recurrence will inevitably lead to death.
Case Records:
One patient suffered from cough, night sweats, fever, fatigue, reduced appetite, and cold extremities. The pulse was string-taut and tight in all six positions, indicating Kidney Qi deficiency. First, 500 moxa cones were applied to Guanyuan (CV4). He took 20 pills of Baoming Yanshou Dan (Life-Preserving Longevity Pill) and 2 qian of Zhuru Fen (Gypsum Powder). Every other day, he took 100 pills of Jinye Dan (Golden Fluid Pill). Full recovery occurred within one month.
Another patient had a cough with identical symptoms and pulse as the previous case, but feared moxibustion. He took only 50 pills of Yanshou Dan (Longevity Pill), 100 pills of Jinye Dan (Golden Fluid Pill), and 2 liang of Zhuru Fen (Gypsum Powder). Symptoms improved after five days; by the tenth day, the pulse became deep and slow, indicating the restoration of True Qi. Continuing the previous medication led to full recovery within one month. Generally, early treatment allows for cure without moxibustion, but delay necessitates moxibustion; otherwise, it is difficult to treat.
A young girl presented with cough, fever, hemoptysis, and anorexia. First, 100 moxa cones were applied below the navel. She recovered after taking Yanshou Dan (Longevity Pill) and Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle). She was warned against marriage and sexual activity, as violation would be fatal. Four years later, she married, and the previous illness recurred. I stated, "This girl has a inherently weak constitution and should have remained celibate until death." Disregarding my advice, she depleted her congenital essence and Yuan Qi (Original Qi), leading to imminent collapse and incurable condition. Insisting on medicinal pills, she ultimately died.
One patient exhibited frequent sweating on the forehead, a sign of Kidney Qi deficiency. Without treatment, it would develop into Laozai (Consumption/Tuberculosis). After applying 100 moxa cones below the navel and taking Jinye Dan (Golden Fluid Pill), he recovered.
One patient suffered from nocturnal spontaneous sweating, also due to Kidney Qi deficiency. He recovered after taking Quanzhen Dan (Complete Truth Pill) and Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle).
A woman suffered from persistent postpartum spontaneous sweating due to Spleen and Kidney deficiency. She recovered after taking Jinye Dan (Golden Fluid Pill), Quanzhen Dan (Complete Truth Pill), and Danggui Jianzhong Tang (Angelica Decoction for Building the Middle). Children and adolescents with weak constitutions and excessive sweating should be treated similarly.
One patient sweated four to five times daily. Moxibustion at Guanyuan (CV4) failed to stop it. This was caused by drinking cold beverages after sexual intercourse, damaging Spleen Qi. Applying 100 moxa cones to Zuomingguan (Left Life Gate) cured him.
A woman developed Xu Lao (Deficiency Consumption) after recovering from Shanghan (Cold Damage). This resulted from previous physicians using cold purgative medicines that damaged her Yuan Qi (Original Qi). She presented with fever, cough, hemoptysis, and anorexia. Two hundred moxa cones were applied to Guanyuan (CV4), and she took Jinye Dan (Golden Fluid Pill), Baoming Yanshou Dan (Life-Preserving Longevity Pill), Sishen Dan (Four Spirits Pill), and Zhuru Fen (Gypsum Powder). Full recovery occurred within one month. (The Spleen and Kidney are the roots of the acquired and congenital foundations and the source of Yuan Qi (Original Qi). Although Xu Lao (Deficiency Consumption) manifests differently across the Five Viscera, its origin lies in Spleen and Kidney pathology. Treatment of Spleen and Kidney is often ineffective because practitioners fail to recognize that Kidney Yuan Qi (Original Qi) stems from Sheng Yang (Generating Yang), while the Spleen's root lies in Jiao Huo (Burning Fire). With continuous warmth, Yuan Qi (Original Qi) replenishes daily, allowing True Water to circulate, fluids to distribute, Shen Jing (Spiritual Essence) to remain inward, and false fire to cease. Thus, the Five Viscera remain balanced, and Water and Fire interact harmoniously, making treatment straightforward. Alas, people do not observe this, habitually using cold and cooling remedies until destruction occurs. Those who understand the need to protect Spleen and Kidney merely use mild agents like Yuzhu (Polygonatum Rhizome), Shashen (Glehnia Root), Shengmai San (Generate the Pulse Powder), or Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). How few know the methods of the ancient masters! I regret that Qishi (Arsenic Orpiment) lacks authenticity and Zhuru (Stalactite) is often fake, rendering herbal pill remedies futile. Only moxibustion can truly save lives, yet people refuse to endure pain and count the moxa cones accurately. Hence, among hundreds or thousands, only one or two recover. I possess a warm heart and often defy vulgar norms. Knowing diseases are difficult to cure, I reluctantly prescribe Guizhi (Cinnamon Twig) and Fuzi (Aconite Root), saving one or two out of ten. Those who do not recover invite criticism, but I need not defend myself. Heaven surely witnesses my sincere intent to save lives. Therefore, I briefly list several cured cases below as models for our colleagues, so they know warming and tonifying methods can save lives, avoiding confusion by popular trends or hesitation due to slander.)
(Friend Shen Yinchang contracted Futu Ju (Abscess on the Thigh), losing excessive pus and blood, which damaged his fundamental Yuan Qi (Original Qi), transforming into Xu Lao (Deficiency Consumption). Excessive use of Yin-nourishing agents caused wheezing, hemoptysis, and reduced intake. His pulse was string-taut and rapid, beating seven to eight times per breath. His complexion was pure blue. He suffered from wheezing, cough, shortness of breath, inability to lie flat, fever, sweating, and uncontrollable salivation. Signs of collapse were fully present. Due to poverty, he could not afford Ren Shen (Ginseng Root). I prescribed Jianzhong Tang (Decoction for Building the Middle) with heavy doses of Guizhi (Cinnamon Twig). After one dose, wheezing ceased, sleep returned, and salivation and bleeding decreased significantly. However, due to chronic illness and severe Spleen-Kidney damage, Stomach Qi was hard to restore. Adding a small amount of Ren Shen (Ginseng Root) to Guizhi Tang (Cinnamon Twig Decoction) led to recovery after over a month.)
(Wang Zaiting’s wife suffered from Xu Lao (Deficiency Consumption) for over ten years, presenting with wheezing, expectoration of froth, hematemesis, anorexia, and emaciation resembling bones. Physicians were helpless. Upon examination, I found her usual prescriptions consisted of Yin-nourishing, Lung-moistening, and mild neutral agents. I said, "With such a disease, using such drugs naturally leads toward death; how can you expect vitality? Have you not considered Zhang Zhongjing’s teaching: severe cough with frequent expectoration of froth indicates Spleen deficiency? Nor the ancients’ words: when Kidney Sheng Yang (Generating Yang) fails to ascend to the Lung, wheezing occurs; or when Spleen deficiency causes the Lung to lose its source of transformation and generation, wheezing results. Now, with Spleen and Kidney failing, using such medications, how can she survive?" I heavily administered Ren Shen (Ginseng Root), Sheng Jiang (Fresh Ginger), Fu Zi (Prepared Aconite Root), etc., for two doses, stopping the wheezing. Due to worsening diarrhea, I added Shan Zhu Yu (Cornus Fruit) and Dou Kou (Black Cardamom) for over ten doses, reducing the illness by seventy percent. Moxibustion was applied to Guanyuan (CV4); fearing pain, only 50 cones were used. Over the next ten-plus years, her physique became robust.)
(A middle-aged woman suffered from nighttime fever and cough, initially a minor ailment. However, after one month of combined Yin-nourishing and heat-clearing prescriptions from Doctors Zhang and Li, she developed a blue complexion, rapid pulse, wheezing, hemoptysis, vomiting of froth (several sheng daily), and anorexia. The two physicians gave up. I treated her with heavy doses of Ren Shen (Ginseng Root) and Fu Zi (Prepared Aconite Root) for over ten doses, achieving stability. This was not due to original deficiency but iatrogenic error, hence the easy recovery.)