夫伤寒劳复何以明之。劳为劳动之劳。复为再发也。是伤寒瘥后。因劳动再发者是也。
伤寒新瘥后。血气未平。余热未尽。劳动则真气亏。而邪热还经络。遂致复发也。此有二种。
一者因劳动外伤。二者因饮食内伤。其劳动外伤者。非止强力摇体持重行远之劳。至于梳头
洗面则动气。忧悲思虑则劳神。皆能复也。况其过用饮食者乎。其饮食内伤者。为多食则遗。
食肉则复者也。内经曰。热病已愈。而时有遗者何也。以热甚而强食之。病已衰而热有所藏
。因其谷气留搏。两阳相合。故有所遗。经曰。大病已瘥。尚微烦。设不了了者。以新虚不
胜谷气。故令微烦。损谷则愈。夫伤寒邪气之传。自表至里。有次第焉。发汗吐下。自轻至
重。有等差焉。又其劳复则不然。见其邪气之复来也。必迎夺之。不待其传也。经曰。大病
瘥后。劳复者。枳实栀子豉汤主之。若有宿食者。加大黄。黄帝曰。热病已愈。时有所遗者
何也。岐伯曰。诸遗者。热甚而强食。故有所遗也。若此者。皆病已衰而热有所藏。因谷食
相搏。两热相合。故有所遗也。帝曰善。治遗奈何。岐伯曰。视其虚实。调其逆从。可使必
已。食肉则复。多食则遗。此其禁也。且枳实栀子豉汤则吐之。岂待虚烦懊 之证。加大黄
则下之。岂待腹满谵语之后。经曰。伤寒瘥后。更发热者。小柴胡汤主之。脉浮以汗解之。
脉沉实者下之。亦是使便要析其邪也。盖伤寒之邪自外入也。劳复之邪自内发也。发汗吐下
随宜用焉。呜呼。劳复也。诸劳皆可及。御内则死矣。若男女相易。则为阴阳易。其不易自
病者。谓之女劳复。以其内损真气。外动邪热。真虚邪盛。则不可治矣。昔督邮顾子献。不
以华敷之诊为信。临死致有出舌数寸之验。由此观之。岂不与后人为鉴诫。仲景云。伤寒瘥
以后。更发热者。小柴胡汤主之。脉浮者。以汗解之。宜柴胡桂枝汤。脉实者。以下解之。
宜大柴胡汤。又大病瘥后。劳复者。枳实栀子汤主之。千金治劳复起死人参麦门冬汤。又有
食复者。大病新瘥。脾胃尚弱。谷气未复。强食过多。停积不化。因尔发热。名曰食复。大
抵新病瘥。多因伤食便作痞满。干噫食臭。腹中雷鸣下利等证。可与生姜泻心汤。仲景于枳
实栀子汤证云。若有宿食。内加大黄如博棋子五六枚。服之愈。广济疗患劳复雄鼠粪汤。许
仁则七味葱白汤。皆可选用之。饮酒劳复者。极阴变阳。寒盛生热。古人以伤寒为大病。大
病之后。不可与酒。劳复发热。食复发热。饮酒致剧。其热尤甚。伤寒已得汗解。因饮酒复
剧。烦闷。口燥干呕。呻吟妄语。不得睡。黄连解毒汤。龙胆草煎汤。或橘皮为佐。汗下后
有热。劳食复者。大汗则损气。损气则阳微。脉虚而恶寒。大下则伤血。伤血则阴弱。脉涩
而发热。误汗误下。亦犹是耳。且阴以阳为主。阳以阴为根。血。阴也。气。阳也。血非气
使不能自行令也。下之亡阳。是阳不主阴矣。阴无所主而寒气搏之。所以脉涩。寒极血虚。
所以发热。方药之剂其可轻乎。汗后阳微而恶寒。可与四逆汤。或用甘草芍药附子汤。下后
阴弱而发热。是为内热。可与葶苈苦酒汤。瘥后劳复发热。小柴胡汤。枳实栀子汤。 鼠粪
汤。即雄鼠粪两头尖者。若脉浮则汗之。用麻黄汤。葱白汤。脉实则下之。用承气汤。大柴
胡汤。证治论。瘥后余热不退。用柴胡桂枝汤。下利腹鸣痞满者。生姜泻心汤。小便不利。
麦门冬汤。交接劳复。外肾肿。腹中绞痛。橘皮汤 劳役心力复热。用枳实栀子汤。小柴胡
汤。瘥后食复发热。枳实栀子汤加大黄。粥饭伤饱。或食肉。或饼脯硬物不消。皆复热也。
伤食必有痞满。嗳气吞酸。腹鸣下利等证。可与生姜泻心汤。下后身热。而心中结痛者。栀
子汤。
方
大青散 治伤寒后劳复。壮热。肢节不利。
大青（二两） 甘草（炙微赤锉） 阿胶（杵碎炒令黄燥） 白术 陈橘皮（汤浸去白
瓤焙各
一两） 豉（三两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时。温服。
柴胡散 治伤寒后劳复。体热鼻衄。宜服。解肌退热。
柴胡（三分去苗） 木香 茯神 赤芍药 葛根 甘草（炙微赤锉） 犀角屑 生干地
黄
黄芩（各半两） 石膏（一两） 麻黄（去根节三分） 上为散。每服四钱。以水一中盏。
入生姜
半分。枣三枚。煎至六分。去滓。不计时候。温服。
栀子散（出圣惠方）治伤寒新瘥后。因食早起动多劳复。
栀子仁 桂心 麻黄（去根节） 川大黄（锉碎微炒） 甘草（炙微赤锉各一两） 豉
（二两）
上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
栀子石膏散（出圣惠方）治伤寒新瘥后起早。饮食过度劳复。
栀子仁（一两） 石膏（三两） 雄鼠粪（三七枚） 豉（二两） 川大黄（三两锉碎
微炒） 枳
壳〔二（一）两麸炒微黄去瓤〕 上为散。每服三钱。以水一中盏。煎至六分。去滓。不计
时
候。温服。
枳实散（出圣惠方）治伤寒大病已解。劳复如初。
枳实（麸炒微黄） 栀子仁 麻黄（去根节） 柴胡（去苗） 桂心（各一两） 豉（二
两） 上
为散。每服半两。以水一大盏。煎至五分。去滓。不计时候。热服。如未汗。再服。
槟榔散（出圣惠方）治伤寒瘥后。食早伤脾胃劳复。
槟榔 麦芽（炒令微黄） 白术 人参（去芦头各一两） 神曲（二两炒令微黄） 桔
梗（半
两去芦头） 上为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至五分。去滓。不
计时候。温服。
桂心散（出圣惠方）治伤寒瘥后劳复。头痛壮热。肢节烦疼。
桂心 甘草（炙微赤锉） 人参（去芦头） 赤茯苓 赤芍药 芎 浓朴（去粗皮涂
生姜
汁炙令香熟） 麻黄（去根节以上各一两） 上为散。每服五钱。以水一大盏。入生姜半分。
煎至五分。去滓。不计时候。温服。
鳖甲散（出圣惠方）治伤寒后。令病患不复发。
鳖甲（二两涂醋炙微黄去裙 ） 白术（二两半） 防风（去芦头） 栝蒌根 桔梗（去
芦头
各一两） 细辛（二分） 附子（炮裂去皮脐） 干姜（炮裂锉） 桂心（各半两） 上为
散。每服
五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治伤寒后饮食多。劳复如初。壮热心烦。
麦门冬（去心） 麻黄（去根节） 川大黄（锉碎微炒） 桔梗（去芦头各一两） 豉
（二合）
甘草（半两炙微赤锉） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温
服。
香豉散（出圣惠方）治伤寒已愈后。饮食过多复发。
豉（二合） 川芒硝（半两） 甘草（半两炙微赤锉） 白术（一两） 槟榔（一两） 川
大黄
（一两锉细） 上为散。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。以疏
利
为度
栀子仁粥（出圣惠方）治伤寒已愈。因食过多劳复。头痛壮热。
栀子仁（一两） 豉（一合） 人参（半两去芦头） 柴胡（半两去苗） 雄鼠粪〔三
（二）七
枚〕 上药。以水二大盏。煎取一大盏。去滓。纳粟米半合。煮作稀粥。不计时候。温服。
枳壳散（出圣惠方）治伤寒已愈。气未平复。劳动起早。复发。
枳壳（麸炒微黄去瓤） 人参（去芦头） 白术（各三分） 栀子仁（半两） 黄 （三
分锉）
甘草（一分炙微赤锉） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温
服。
又方（出圣惠方）
头垢〔一（二）两烧灰〕 麝香（一钱） 上都细研为散。每服不计时候。温水调下一
钱。
又方（出圣惠方）
用鸡子空壳碎之。炒令黄黑色。细罗为散。每服以热粥饮调下三钱。汗出即愈。本草方。
熬
柴胡知母汤 治伤寒瘥后。因食劳复如初。壮热头疼。
柴胡（去苗一两） 知母（焙三分） 鳖甲（去裙 醋炙一两） 石膏（捣碎一两半） 雄
鼠粪
（炒三七枚） 秦艽（去苗土半两） 上粗捣筛。每服五钱匕。水一盏半。入豉一百粒。同
煎至
八
麻黄栀子汤 治伤寒瘥后。因饮食动作。致劳复如初。
麻黄（去节一两） 山栀子（半两） 鳖甲（去裙 醋炙一两） 雄鼠粪（炒三七粒） 上
粗捣
筛。每服五钱匕。水一盏半。入葱白五寸。豉一百粒。同煎至八分。去滓。食后温服。良久
吃葱豉粥。衣被盖覆取汗。
三物汤 治伤寒及温病瘥后。或食肉。或沐浴。或嗔怒动作劳复。
山栀子仁（三七枚） 鳖甲（去裙 醋炙） 干姜（焙） 干生地黄（焙各一两） 上
咀如麻
豆大。每服五钱匕。水一盏半。入豉一百粒。同煎至八分。去滓。食后温服。日二服。
六神汤 治伤寒瘥后劳复。壮热头疼。
鳖甲（去裙 醋炙） 柴胡（去苗） 人参 知母（焙） 黄连（去须炒各一两） 乌
梅肉（炒
半两） 上 咀。每服五钱匕。水一盏半。入生姜半分。拍碎。同煎至八分。去滓。食后温
服。
知母汤 治伤寒新瘥后。劳动用力。或饮食过伤。致劳复。
知母（焙） 鳖甲（去裙 醋炙） 柴胡（去苗各一两半） 麻黄（去根节） 葛根（锉
焙各三
分） 雄鼠粪〔炒令焦一两半（三七枚）〕 上粗捣筛。每服五钱匕。水一盏半。入葱白五
寸。
豉
紫苏饮 治伤寒及温病瘥后。起早及饮食多。致劳复。
紫苏茎叶（锉一两） 生姜（切半两） 豉〔三（二）合〕 上三味。用水二盏半。煎
至一大
盏。去滓。食前温服。日二服。
石膏黄芩散 治伤寒后食肉劳发如初。壮热头痛。心烦欲吐。小便赤黄。
石膏（碎一两） 黄芩（去黑心） 山栀子仁 葛根（锉培） 人参 黄连（去须炒各
半两）
知母（焙半两） 上为细散。每服二钱匕。浓煎葱白竹叶汤调下。空心食前。日二服。以瘥
为
度。
异功汤 治伤寒天行病瘥后。食劳加热。
雄鼠粪（炒令烟出二七枚） 山栀子仁（五枚） 枳壳（麸炒去瓤一分） 上细锉。用
水一盏
半。煎至八分。去滓。食后温服。
曲 汤 治伤寒后伤食。食劳困绝者。
陈曲（捣碎炒一两） 大麦 （炒半两） 寒食干饭（半合） 雄鼠粪（三七粒炒令烟
尽为末）
上除鼠粪外。略捣过。拌令匀。分作二服。每服用水一盏半。入葱白五寸。薤白五寸。豉一
百粒。同煎至八分。去滓。入鼠粪末一半。搅匀。空心温服。
知母汤 治劳复小腹硬。卵缩痛欲死。
知母（焙） 柴胡（去苗） 麦门冬（去心焙） 甘草（炙各半两） 葱白（三茎） 上
咀如麻
豆大。都以水一盏。浸一宿。次日煎令水欲尽。下童子小便二盏。豉心半合。煎五六沸。再
下地黄汁二合。更煎微沸。去滓。空腹顿服。微利即瘥。
麦门冬汤 治伤寒后劳复气欲绝。起死人。
麦门冬（一两） 甘草（二两） 京枣（二十枚） 竹叶（切一升） 上 咀。以水七
升。煮粳
米一升令熟。去米纳诸药。煎取三升。分三服。不能服者。绵滴汤。纳口中。用之有效。
治伤寒温病后劳复。或食或饮。或动作方。
栀子仁（二十一枚） 石膏（五两） 鼠粪（尖头大者二十枚） 香豉（一升） 上
咀。以水
七升。煮取三升。分三服。
治病后劳复。或因洗手足。或梳头。或食复方。
用取洗手足汁。饮一合。又取头中垢如枣核大。吞一枚。一方。取饭烧为末。饮进一升。
治新瘥早起。及食多劳复方。
豉（五合） 鼠粪（尖头者二十一枚） 上以水二升。煮取一升。尽服之。温卧令小汗
愈。
崔氏加栀子七枚尤良。肘后方。有麻子仁。纳一升。加水一升。亦可纳枳实三枚。葱白一虎
口。
治重病新瘥后。早起劳动。及饮食多。致复发欲死方。
用烧鳖甲末。饮服方寸匕。
治食太饱不消。劳复脉实者方。
豉（一升） 鼠粪（二十一枚） 栀子仁（七枚） 大黄（三两） 上 咀。以水六升。
煮取二
升。分三服。微取汗。应小鸭溏者止。不溏者复作。外台秘要。有麻黄三两去节。
治劳复垂死方（出千金方）
用暖汤三合。洗四五岁女子阴。取汁纳口中服即愈。小男儿亦可。
治食劳复方（出千金方）
用曲二升。煮取汁服之。
又方（出千金方）
用杏子仁五十枚。以酢浆二升。煎取一升。服之取汗。
又方（出千金方）
用烧人屎灰水。服方寸匕。
欲令病患不劳复方（出千金方）
用烧头垢如梧桐子大。以酒服之。饮服亦可。一方治伤寒天行病后劳复。以头垢如枣核
大一丸。含之。
治病新瘥遇美饮食。食过多。食复者方。（出千金方）
取所食余烧灰为末。饮调服二钱匕。日三服。
紫石英散（出金匮方）治伤寒后令愈不复。
伤寒劳复该如何理解？“劳”指体力或脑力劳动，“复”指疾病复发。所谓劳复，是指伤寒病初愈后，因过度劳累而导致病情再次发作的情况。
伤寒刚刚痊愈时，人体的血气尚未平复，体内的余热也未完全清除。此时若进行劳动，会导致真气亏损，邪热重新侵入经络，从而引起疾病复发。这种情况主要有两种类型：一是因劳动导致的外伤（外感），二是因饮食不当导致的内伤。对于因劳动导致的外伤而言，不仅仅是强力举重、长途行走等体力消耗属于劳损，就连梳头、洗脸这样的小事也会扰动气机；忧愁悲伤、思虑过度则会耗伤精神。这些情况都能导致复发，更何况是饮食过量呢？至于因饮食不当导致的内伤，主要表现为多吃食物导致病情遗留（遗），吃肉导致病情复发（复）。《内经》说：“热病已经痊愈，但时常有病情遗留的现象，这是为什么呢？”这是因为热势尚盛时强行进食，虽然病症看似衰退，但余热仍潜伏体内。由于食物的谷气滞留并与邪热搏结，两阳相合，所以出现病情遗留。经文又说：“大病初愈，如果仍有轻微的心烦不适，感觉身体不爽利，这是因为新虚之体不能承受谷气的运化，所以导致轻微心烦。减少饮食即可痊愈。”
伤寒邪气的传变，是从体表到体内，有一定的次序；发汗、催吐、泻下等治法，从轻到重，也有一定的等级。但是劳复则不然，当看到邪气再次来袭时，必须立即迎头痛击，不能等待邪气传变。经文说：“大病初愈后，因劳累而复发的，用枳实栀子豉汤主治。如果有宿食停滞的，加大黄。”黄帝问：“热病已愈，但时常有病情遗留，这是为什么？”岐伯回答：“各种遗留症状，都是因为热势尚盛时强行进食，所以导致病情遗留。像这种情况，都是病势已衰但余热潜伏，因食物与邪热相互搏结，两热相合，所以导致病情遗留。”帝曰：“善。治疗遗留症状该怎么办？”岐伯曰：“观察其虚实，调理其逆顺，就可以使疾病必定痊愈。”吃肉导致复发，多吃导致遗留，这就是禁忌。况且枳实栀子豉汤具有涌吐作用，哪里一定要等到出现虚烦懊憹的症状才使用？加大黄具有泻下作用，哪里一定要等到出现腹满谵语之后才使用？经文说：“伤寒初愈后，再次发热的，用小柴胡汤主治。脉浮的，用发汗法解表；脉沉实的，用泻下法攻里。”这也是为了迅速辨析并祛除邪气。大概伤寒的邪气是从外部侵入的，而劳复的邪气是从内部发出的。发汗、催吐、泻下等方法应根据适宜的情况使用。唉！劳复这一类疾病，各种劳累都可能引发。如果房事不节，甚至会导致死亡。如果男女之间交换衣物接触，称为阴阳易。如果不发生交换而自行发病的，称为女劳复。因为这类疾病内部损伤了真气，外部引动了邪热，真元虚弱而邪气强盛，就很难治愈了。从前督邮顾子献，不相信华佗的诊断，临死时出现了舌头伸出数寸的验征。由此看来，这难道不是给后人以警戒吗？张仲景说：“伤寒初愈后，再次发热的，用小柴胡汤主治。脉浮的，用发汗法解表，宜用柴胡桂枝汤；脉实的，用泻下法解表，宜用大柴胡汤。”又说：“大病初愈，因劳累而复发的，用枳实栀子汤主治。”《千金方》治疗劳复起死回生的人参麦门冬汤。又有因饮食复发的，大病刚愈，脾胃还很虚弱，谷气未恢复，强行吃得过多，停滞积聚不消化，因此发热，名叫食复。一般来说，新病初愈，多因伤食而出现痞满、干呕带有食物臭味、肠鸣腹泻等症状，可以用生姜泻心汤。张仲景在枳实栀子汤的证治中说：“如果有宿食，加入大黄如博棋子大小的五六枚，服用后痊愈。”《广济方》治疗患劳复用雄鼠粪汤，许仁则七味葱白汤，都可以选用。饮酒导致的劳复，极阴转化为阳，寒盛而生热。古人认为伤寒是大病，大病之后，不可饮酒。劳复发热、食复发热，若再饮酒会使病情加剧，其热势尤为严重。伤寒已经通过发汗解除，又因饮酒导致病情加重，出现烦闷、口燥、干呕、呻吟妄语、无法入睡等症状，可用黄连解毒汤，或用龙胆草煎汤，或者加橘皮作为辅助。发汗或泻下后有热，因劳累或饮食复发的，大汗会损伤气，气损则阳气微弱，脉象虚弱且恶寒；大泻会损伤血，血损则阴液虚弱，脉象涩滞且发热。误用发汗或泻下，也是同样的道理。而且阴以阳为主宰，阳以阴为根本。血属于阴，气属于阳。血没有气的推动就不能自行运行。泻下导致亡阳，就是阳不能主宰阴了。阴无所主而被寒气搏击，所以脉象涩滞。寒极且血虚，所以发热。方药的使用怎么可以轻视呢？发汗后阳气微弱而恶寒，可以用四逆汤，或者用甘草芍药附子汤。泻下后阴液虚弱而发热，这是内热，可以用葶苈苦酒汤。初愈后劳复发热，用小柴胡汤、枳实栀子汤、鼠粪汤（即两头尖的雄鼠粪）。如果脉浮，则用发汗法，用麻黄汤、葱白汤；如果脉实，则用泻下法，用承气汤、大柴胡汤。《证治论》说：初愈后余热不退，用柴胡桂枝汤；腹泻、肠鸣、痞满的，用生姜泻心汤；小便不利的，用麦门冬汤；性交导致的劳复，外生殖器肿胀，腹部绞痛，用橘皮汤；劳役心力导致复热的，用枳实栀子汤、小柴胡汤。初愈后因饮食复发发热，用枳实栀子汤加大黄；粥饭吃得太饱，或者吃肉，或者饼脯等硬物不消化，都会导致复热。伤食必然有痞满、嗳气吞酸、肠鸣腹泻等症状，可以用生姜泻心汤。泻下后身热，心中结痛的，用栀子汤。
方剂：
大青散：治疗伤寒后劳复，高热，肢体关节活动不利。
大青（二两） 甘草（炙至微红切碎） 阿胶（捣碎炒至黄燥） 白术 陈橘皮（热水浸泡去白瓤焙干，各一两） 豆豉（三两） 以上研为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不分时候，温服。
柴胡散：治疗伤寒后劳复，身体发热，鼻出血，适宜服用。解肌退热。
柴胡（三分去苗） 木香 茯神 赤芍药 葛根 甘草（炙至微红切碎） 犀角屑 生干地黄 黄芩（各半两） 石膏（一两） 麻黄（去根节三分） 以上研为散剂。每次服用四钱，用水一中盏，入生姜半分，枣三枚，煎至六分，去渣。不分时候，温服。
栀子散（出自《圣惠方》）：治疗伤寒新愈后，因早起多动劳累复发的。
栀子仁 桂心 麻黄（去根节） 川大黄（切碎微炒） 甘草（炙至微红切碎，各一两） 豆豉（二两） 以上研为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不分时候，温服。
栀子石膏散（出自《圣惠方》）：治疗伤寒新愈后早起，饮食过度劳累复发的。
栀子仁（一两） 石膏（三两） 雄鼠粪（三七枚） 豆豉（二两） 川大黄（三两，切碎微炒） 枳壳〔一两，麸炒微黄去瓤〕 以上研为散剂。每次服用三钱，用水一中盏，煎至六分，去渣。不分时候，温服。
枳实散（出自《圣惠方》）：治疗伤寒大病已解，因劳累复发如初的。
枳实（麸炒微黄） 栀子仁 麻黄（去根节） 柴胡（去苗） 桂心（各一两） 豆豉（二两） 以上研为散剂。每次服用半两，用水一大盏，煎至五分，去渣。不分时候，热服。如果未出汗，再服。
槟榔散（出自《圣惠方》）：治疗伤寒初愈，早起伤脾胃劳累复发的。
槟榔 麦芽（炒至微黄） 白术 人参（去芦头，各一两） 神曲（二两，炒至微黄） 桔梗（半两，去芦头） 以上研为散剂。每次服用三钱，用水一中盏，入生姜半分，枣三枚，煎至五分，去渣。不分时候，温服。
桂心散（出自《圣惠方》）：治疗伤寒初愈劳复，头痛高热，肢体关节烦痛。
桂心 甘草（炙至微红切碎） 人参（去芦头） 赤茯苓 赤芍药 川芎 浓朴（去粗皮涂生姜汁炙至香熟） 麻黄（去根节，以上各一两） 以上研为散剂。每次服用五钱，用水一大盏，入生姜半分，煎至五分，去渣。不分时候，温服。
鳖甲散（出自《圣惠方》）：治疗伤寒后，防止病患复发。
鳖甲（二两，涂醋炙微黄去裙襕） 白术（二两半） 防风（去芦头） 栝蒌根 桔梗（去芦头，各一两） 细辛（二分） 附子（炮裂去皮脐） 干姜（炮裂切碎） 桂心（各半两） 以上研为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不分时候，温服。
麦门冬散（出自《圣惠方》）：治疗伤寒后饮食过多，劳复如初，高热心烦。
麦门冬（去心） 麻黄（去根节） 川大黄（切碎微炒） 桔梗（去芦头，各一两） 豆豉（二合） 甘草（半两，炙微红切碎） 以上研为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不分时候，温服。
香豉散（出自《圣惠方》）：治疗伤寒已愈后，饮食过多复发。
豆豉（二合） 川芒硝（半两） 甘草（半两，炙微红切碎） 白术（一两） 槟榔（一两） 川大黄（一两，锉细） 以上研为散剂。每次服用半两，用水一大盏，煎至五分，去渣。不分时候，温服。以通利为度。
栀子仁粥（出自《圣惠方》）：治疗伤寒已愈，因食过多劳复，头痛高热。
栀子仁（一两） 豆豉（一合） 人参（半两，去芦头） 柴胡（半两，去苗） 雄鼠粪〔二七枚〕 以上药物，用水二大盏，煎取一大盏，去渣。纳入粟米半合，煮成稀粥。不分时候，温服。
枳壳散（出自《圣惠方》）：治疗伤寒已愈，气未平复，劳动早起复发。
枳壳（麸炒微黄去瓤） 人参（去芦头） 白术（各三分） 栀子仁（半两） 黄芩（三分，锉） 甘草（一分，炙微红切碎） 以上研为散剂。每次服用五钱，用水一大盏，煎至五分，去渣。不分时候，温服。
又一方（出自《圣惠方》）
头垢〔一两，烧灰〕 麝香（一钱） 以上细细研磨为散剂。每次不分时候，温水调下一钱。
又一方（出自《圣惠方》）
用鸡蛋空壳弄碎，炒至黄黑色，细筛为散剂。每次用热粥饮调下三钱。出汗即愈。本草方。
熬柴胡知母汤：治疗伤寒初愈，因食劳复如初，高热头疼。
柴胡（去苗一两） 知母（焙三分） 鳖甲（去裙襕，醋炙一两） 石膏（捣碎一两半） 雄鼠粪（炒三七枚） 秦艽（去苗土半两） 以上粗捣筛。每次服用五钱匕，水一盏半，入豆豉一百粒，同煎至八分。
麻黄栀子汤：治疗伤寒初愈，因饮食动作，致劳复如初。
麻黄（去节一两） 山栀子（半两） 鳖甲（去裙襕，醋炙一两） 雄鼠粪（炒三七粒） 以上粗捣筛。每次服用五钱匕，水一盏半，入葱白五寸，豆豉一百粒，同煎至八分，去渣。食后温服。过一会儿吃葱豉粥，盖衣被取汗。
三物汤：治疗伤寒及温病初愈，或因吃肉，或沐浴，或愤怒动作劳复。
山栀子仁（三七枚） 鳖甲（去裙襕，醋炙） 干姜（焙） 干生地黄（焙，各一两） 以上切碎如麻豆大。每次服用五钱匕，水一盏半，入豆豉一百粒，同煎至八分，去渣。食后温服。日二服。
六神汤：治疗伤寒初愈劳复，高热头疼。
鳖甲（去裙襕，醋炙） 柴胡（去苗） 人参 知母（焙） 黄连（去须炒，各一两） 乌梅肉（炒半两） 以上切碎。每次服用五钱匕，水一盏半，入生姜半分，拍碎，同煎至八分，去渣。食后温服。
知母汤：治疗伤寒新愈后，劳动用力，或饮食过伤，致劳复。
知母（焙） 鳖甲（去裙襕，醋炙） 柴胡（去苗，各一两半） 麻黄（去根节） 葛根（锉焙，各三分） 雄鼠粪〔炒令焦一两半（三七枚）〕 以上粗捣筛。每次服用五钱匕，水一盏半，入葱白五寸，豆豉...（原文此处似有缺漏，依上下文补全逻辑）...同煎至八分。
紫苏饮：治疗伤寒及温病初愈，早起及饮食多，致劳复。
紫苏茎叶（锉一两） 生姜（切半两） 豆豉〔二合〕 以上三味，用水二盏半，煎至一大盏，去渣。食前温服。日二服。
石膏黄芩散：治疗伤寒后食肉劳发如初，高热头痛，心烦欲吐，小便赤黄。
石膏（碎一两） 黄芩（去黑心） 山栀子仁 葛根（锉培） 人参 黄连（去须炒，各半两） 知母（焙半两） 以上为细散。每次服用二钱匕，浓煎葱白竹叶汤调下。空心食前，日二服。以痊愈为度。
异功汤：治疗伤寒天行病初愈，食劳加热。
雄鼠粪（炒令烟出二七枚） 山栀子仁（五枚） 枳壳（麸炒去瓤一分） 以上细锉。用水一盏半，煎至八分，去渣。食后温服。
曲汤：治疗伤寒后伤食，食劳困绝者。
陈曲（捣碎炒一两） 大麦（炒半两） 寒食干饭（半合） 雄鼠粪（三七粒炒令烟尽为末） 以上除鼠粪外，略捣过，拌令匀。分作二服。每服用清水一盏半，入葱白五寸，薤白五寸，豆豉一百粒，同煎至八分，去渣。入鼠粪末一半，搅匀。空心温服。
知母汤：治疗劳复小腹硬，睾丸收缩疼痛欲死。
知母（焙） 柴胡（去苗） 麦门冬（去心焙） 甘草（炙，各半两） 葱白（三茎） 以上切碎如麻豆大。都以水一盏，浸一宿。次日煎令水欲尽，下童子小便二盏，豆豉心半合，煎五六沸。再下地黄汁二合，更煎微沸。去渣。空腹顿服。微利即愈。
麦门冬汤：治疗伤寒后劳复气欲绝，起死人。
麦门冬（一两） 甘草（二两） 京枣（二十枚） 竹叶（切一升） 以上切碎。以水七升，煮粳米一升令熟。去米纳诸药，煎取三升。分三服。不能服者，绵滴汤入口中。用之有效。
治伤寒温病后劳复，或食或饮，或动作方。
栀子仁（二十一枚） 石膏（五两） 鼠粪（尖头大者二十枚） 香豉（一升） 以上切碎。以水七升，煮取三升。分三服。
治病后劳复，或因洗手足，或梳头，或食复方。
用取洗手足汁，饮一合。又取头中垢如枣核大，吞一枚。一方，取饭烧为末，饮进一升。
治新瘥早起，及食多劳复方。
豆豉（五合） 鼠粪（尖头者二十一枚） 以上以水二升，煮取一升。尽服之。温卧令小汗愈。崔氏加栀子七枚尤良。《肘后方》有麻子仁，纳一升，加水一升，亦可纳枳实三枚，葱白一虎口。
治重病新瘥后，早起劳动，及饮食多，致复发欲死方。
用烧鳖甲末，饮服方寸匕。
治食太饱不消，劳复脉实者方。
豆豉（一升） 鼠粪（二十一枚） 栀子仁（七枚） 大黄（三两） 以上切碎。以水六升，煮取二升。分三服。微取汗。应小鸭溏者止。不溏者复作。《外台秘要》有麻黄三两去节。
治劳复垂死方（出自《千金方》）
用暖汤三合，洗四五岁女子阴，取汁纳口中服即愈。小男儿亦可。
治食劳复方（出自《千金方》）
用曲二升，煮取汁服之。
又方（出自《千金方》）
用杏子仁五十枚，以酢浆二升，煎取一升。服之取汗。
又方（出自《千金方》）
用烧人屎灰水，服方寸匕。
欲令病患不劳复方（出自《千金方》）
用烧头垢如梧桐子大，以酒服之。饮服亦可。一方治伤寒天行病后劳复，以头垢如枣核大一丸，含之。
治病新瘥遇美饮食，食过多，食复者方。（出自《千金方》）
取所食余烧灰为末，饮调服二钱匕。日三服。
How to understand labor relapse (Laofu) after Shanghan? "Labor" refers to physical or mental exertion, and "relapse" refers to the recurrence of the disease. Labor relapse refers to the situation where the condition recurs due to excessive exertion after the initial recovery from Shanghan (Cold Damage).
After Shanghan has just healed, the body's blood and qi have not yet stabilized, and residual heat has not been completely cleared. At this time, if one engages in labor, it will cause a deficiency of true qi, allowing pathogenic heat to re-enter the meridians, thereby causing the disease to recur. There are mainly two types of this situation: one is external injury caused by labor (external contraction), and the other is internal injury caused by improper diet. Regarding external injury caused by labor, it is not only strong lifting, long-distance walking, and other physical consumptions that constitute labor; even small matters like combing hair and washing the face can disturb the qi mechanism; sorrow, grief, and excessive thinking will damage the spirit. These situations can all lead to relapse, let alone excessive food intake. As for internal injury caused by improper diet, it mainly manifests as symptom retention (Yi) caused by overeating, and relapse (Fu) caused by eating meat. The *Neijing* states: "Why does heat disease sometimes leave residual symptoms after healing?" This is because when the heat intensity is still high, forced eating occurs. Although the illness seems to decline, residual heat remains latent within the body. Due to the retention of grain qi from food and its struggle with pathogenic heat, the combination of two yangs leads to symptom retention. The classic also says: "If there is slight irritability and a feeling of discomfort after a major illness has healed, it is because the newly deficient body cannot withstand the transformation of grain qi, thus causing slight irritability. Reducing food intake will lead to recovery."
The transmission of Shanghan pathogens follows a sequence from the exterior to the interior; methods such as sweating, vomiting, and purging have a hierarchy from mild to severe. However, labor relapse is different. When seeing the return of pathogens, one must strike immediately without waiting for the pathogens to transmit. The classic states: "For labor relapse after a major illness has healed, Zhishi Zhi Zi Chi Tang (Bitter Orange, Gardenia, and Fermented Soybean Decoction) is the primary treatment. If there is retained food, add Dahuang (Rhubarb)." The Yellow Emperor asked: "Why is there occasional retention after heat disease has healed?" Qibo answered: "Various retention symptoms occur because forced eating happens while heat is intense, leading to retention. In such cases, although the disease trend has declined, residual heat is latent, and the combination of food and pathogenic heat causes retention." The Emperor said: "Good. How should retention be treated?" Qibo said: "Observe its deficiency or excess, regulate its reversal or smoothness, and the disease can certainly be cured." Eating meat causes relapse, and overeating causes retention; these are taboos. Moreover, Zhishi Zhi Zi Chi Tang has an emetic effect; why wait for symptoms of empty irritability and restlessness before using it? Adding Dahuang has a purgative effect; why wait for abdominal fullness and delirium before using it? The classic states: "For fever recurring after Shanghan has healed, Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment. If the pulse is floating, use sweating to resolve the exterior; if the pulse is deep and solid, use purging." This is also to quickly analyze and eliminate pathogens. Generally, Shanghan pathogens enter from the outside, while labor relapse pathogens emerge from the inside. Sweating, vomiting, and purging methods should be used according to appropriateness. Alas! Labor relapse can be triggered by various types of exertion. Sexual indiscretion can even lead to death. Exchange of clothes between men and women is called Yin-Yang Yi (Yin-Yang Transformation). Self-onset without exchange is called Nü Laofu (Female Labor Relapse). Because these diseases internally damage true qi and externally activate pathogenic heat, when true yuan is weak and pathogens are strong, they are difficult to cure. Previously, Gu Zixian, the District Commissioner, did not trust Hua Tuo's diagnosis and exhibited the sign of tongue protrusion several inches before death. From this, is it not a warning for future generations? Zhang Zhongjing said: "For fever recurring after Shanghan has healed, Xiaochaihu Tang is the primary treatment. If the pulse is floating, use sweating to resolve the exterior, preferably Chaihu Guizhi Tang; if the pulse is solid, use purging to resolve the exterior, preferably Da Chaihu Tang." He also said: "For labor relapse after a major illness has healed, Zhishi Zhi Zi Tang is the primary treatment." *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats labor relapse reviving the dead with Renshen Maidong Tang (Ginseng and Ophiopogon Decoction). There is also food relapse: after a major illness has just healed, the spleen and stomach are still weak, and grain qi has not recovered. Forced overeating leads to stagnation and indigestion, causing fever, named Shifu (Food Relapse). Generally, new illnesses often present with epigastric fullness, dry belching with food odor, borborygmus, and diarrhea due to food injury, which can be treated with Shengjiang Xiexin Tang (Ginger Heart-Draining Decoction). Zhang Zhongjing stated regarding Zhishi Zhi Zi Tang: "If there is retained food, add Dahuang (Rhubarb) the size of five or six bo-chess pieces; take it and recover." *Guangji Fang* treats labor relapse with Xiongshufen Tang (Male Rat Feces Decoction), and Xu Renze's Qiwei Congbai Tang (Seven-Ingredient Scallion White Decoction) can also be selected. Alcohol-induced labor relapse involves extreme yin transforming into yang, cold generating heat due to excess. Ancients considered Shanghan a major illness; after a major illness, alcohol should not be consumed. Labor relapse fever and food relapse fever become worse with alcohol, with particularly severe heat. After Shanghan is resolved by sweating, if alcohol causes worsening with irritability, dry mouth, dry vomiting, groaning, delirium, and insomnia, Huanglian Jiedu Tang (Coptis Detoxification Decoction) can be used, or Longdancao Decoction (Gentian Decoction) with Chenpi (Tangerine Peel) as an adjuvant. Heat after sweating or purging due to labor or food relapse: heavy sweating damages qi, leading to weak yang, weak pulse, and aversion to cold; heavy purging damages blood, leading to weak yin, choppy pulse, and fever. Mistaken sweating or purging yields similar results. Yin is governed by yang, and yang is rooted in yin. Blood is yin, qi is yang. Blood cannot move without qi's propulsion. Purging leading to loss of yang means yang no longer governs yin. With yin having no master, cold qi attacks, resulting in a choppy pulse. Extreme cold and blood deficiency cause fever. How can prescriptions be taken lightly? After sweating, weak yang and aversion to cold can be treated with Sini Tang (Recovery Decoction) or Gancao Shaoyao Fuzi Tang (Licorice, Peony, and Aconite Decoction). After purging, weak yin and fever indicate internal heat, treatable with Tingli Kujiu Tang (Descurainia Vinegar Decoction). For fever after healing due to labor relapse, use Xiaochaihu Tang, Zhishi Zhi Zi Tang, or Shufen Tang (Rat Feces Decoction, specifically male rat feces with pointed ends). If the pulse is floating, use sweating with Mahuang Tang (Ephedra Decoction) or Congbai Tang (Scallion White Decoction); if the pulse is solid, use purging with Chengqi Tang (Order the Qi Decoction) or Da Chaihu Tang. *Zhengzhi Lun* states: For lingering residual heat after healing, use Chaihu Guizhi Tang; for diarrhea, borborygmus, and epigastric fullness, use Shengjiang Xiexin Tang; for difficult urination, use Maidong Tang; for sexual intercourse-induced labor relapse with swollen external genitalia and abdominal colic, use Chenpi Tang; for heart-mind labor-induced recurrent fever, use Zhishi Zhi Zi Tang and Xiaochaihu Tang. For food relapse fever after healing, use Zhishi Zhi Zi Tang plus Dahuang; for overeating rice/grains, meat, or hard foods like biscuits that do not digest, causing recurrent fever, food injury inevitably presents with epigastric fullness, belching, acid regurgitation, borborygmus, and diarrhea, treatable with Shengjiang Xiexin Tang. For body heat and chest pain after purging, use Zhizi Tang (Gardenia Decoction).
Prescriptions:
Daqing San (Great Blue Powder): Treats labor relapse after Shanghan with high fever and limb joint stiffness.
Daqing (2 liang), Gancao (roasted until slightly red and chopped), Ejiao (crushed and roasted until yellow and dry), Baizhu, Chenjupi (soaked in hot water, white pith removed, dried, each 1 liang), Chi (3 liang). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time.
Chaihu San (Bupleurum Powder): Treats labor relapse after Shanghan with body heat and epistaxis. Resolves muscle layer and reduces fever.
Chaihu (3 fen, remove seedlings), Muxiang, Fushen, Chishaoyao, Gegen, Gancao (roasted until slightly red and chopped), Xijiaoxie, Shenggan Dihuang, Huangqin (each 0.5 liang), Shigao (1 liang), Mahuang (remove root and joints, 3 fen). Grind into powder. Take 4 qian per dose, decoct in 1 medium cup of water with 0.5 fen of fresh ginger and 3 jujubes until reduced to 0.6 cup, remove dregs. Take warm at any time.
Zhizi San (Gardenia Powder, from *Shenghui Fang*): Treats labor relapse after new Shanghan healing due to early rising and excessive movement.
Zhiziren, Guixin, Mahuang (remove root and joints), Chuandahuang (chopped and slightly roasted), Gancao (roasted until slightly red and chopped, each 1 liang), Chi (2 liang). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time.
Zhizi Shigao San (Gardenia and Gypsum Powder, from *Shenghui Fang*): Treats labor relapse after new Shanghan healing due to early rising and excessive diet.
Zhiziren (1 liang), Shigao (3 liang), Xiongshufen (21-37 grains), Chi (2 liang), Chuandahuang (3 liang, chopped and slightly roasted), Zhike (1 liang, bran-roasted until slightly yellow, pith removed). Grind into powder. Take 3 qian per dose, decoct in 1 medium cup of water until reduced to 0.6 cup, remove dregs. Take warm at any time.
Zhishi San (Immature Bitter Orange Powder, from *Shenghui Fang*): Treats labor relapse resembling original symptoms after major Shanghan has resolved.
Zhishi (bran-roasted until slightly yellow), Zhiziren, Mahuang (remove root and joints), Chaihu (remove seedlings), Guixin (each 1 liang), Chi (2 liang). Grind into powder. Take 0.5 liang per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take hot at any time. If no sweat, take again.
Bolang San (Betel Nut Powder, from *Shenghui Fang*): Treats labor relapse after Shanghan healing due to early rising damaging spleen and stomach.
Bolang, Maiya (roasted until slightly yellow), Baizhu, Renshen (remove rhizome, each 1 liang), Shenqu (2 liang, roasted until slightly yellow), Jiegeng (0.5 liang, remove rhizome). Grind into powder. Take 3 qian per dose, decoct in 1 medium cup of water with 0.5 fen of fresh ginger and 3 jujubes until reduced to 0.5 cup, remove dregs. Take warm at any time.
Guixin San (Cinnamon Heart Powder, from *Shenghui Fang*): Treats labor relapse after Shanghan healing with headache, high fever, and limb joint pain.
Guixin, Gancao (roasted until slightly red and chopped), Renshen (remove rhizome), Chifuling, Chishaoyao, Xiong, Houpo (remove coarse bark, coat with fresh ginger juice, roast until fragrant), Mahuang (remove root and joints, each 1 liang). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water with 0.5 fen of fresh ginger until reduced to 0.5 cup, remove dregs. Take warm at any time.
Biejia San (Softshell Turtle Shell Powder, from *Shenghui Fang*): Prevents recurrence after Shanghan.
Biejia (2 liang, coated with vinegar, roasted until slightly yellow, remove skirt-like edges), Baizhu (2.5 liang), Fangfeng (remove rhizome), Gualougen, Jiegeng (remove rhizome, each 1 liang), Xixin (2 fen), Fuzi (pounded, cracked, skin and navel removed), Ganjiang (pounded, cracked), Guixin (each 0.5 liang). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time.
Maidong San (Ophiopogon Powder, from *Shenghui Fang*): Treats labor relapse after Shanghan due to excessive diet, resembling original symptoms with high fever and irritability.
Maidong (remove heart), Mahuang (remove root and joints), Chuandahuang (chopped and slightly roasted), Jiegeng (remove rhizome, each 1 liang), Chi (2 he), Gancao (0.5 liang, roasted until slightly red and chopped). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time.
Xiangchi San (Fragrant Fermented Bean Powder, from *Shenghui Fang*): Treats relapse after Shanghan healing due to excessive diet.
Chi (2 he), Chuwanxia (0.5 liang), Gancao (0.5 liang, roasted until slightly red and chopped), Baizhu (1 liang), Bolang (1 liang), Chuandahuang (1 liang, finely chopped). Grind into powder. Take 0.5 liang per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time. Regulate to achieve laxity.
Zhiziren Zhou (Gardenia Kernel Porridge, from *Shenghui Fang*): Treats labor relapse after Shanghan healing due to excessive diet, with headache and high fever.
Zhiziren (1 liang), Chi (1 he), Renshen (0.5 liang, remove rhizome), Chaihu (0.5 liang, remove seedlings), Xiongshufen (14-21 grains). Decoct herbs in 2 large cups of water to obtain 1 large cup, remove dregs. Add 0.5 he of millet, cook into thin porridge. Take warm at any time.
Zhike San (Immature Bitter Orange Powder, from *Shenghui Fang*): Treats relapse after Shanghan healing due to qi instability, early rising, and labor.
Zhike (bran-roasted until slightly yellow, pith removed), Renshen (remove rhizome), Baizhu (each 3 fen), Zhiziren (0.5 liang), Huangqin (3 fen, chopped), Gancao (1 fen, roasted until slightly red and chopped). Grind into powder. Take 5 qian per dose, decoct in 1 large cup of water until reduced to 0.5 cup, remove dregs. Take warm at any time.
Another Prescription (from *Shenghui Fang*)
Toutou (1-2 liang, burnt to ash), Shexiang (1 qian). Grind finely into powder. Take 1 qian per dose mixed with warm water at any time.
Another Prescription (from *Shenghui Fang*)
Crush empty eggshells, roast until yellow-black, sieve finely. Take 3 qian per dose mixed with hot rice gruel. Recovery occurs with sweating. Herbal Materia Medica Formula.
Ao Chaihu Zhimu Tang (Decoction of Bupleurum and Anemarrhena): Treats labor relapse after Shanghan healing due to diet, resembling original symptoms with high fever and headache.
Chaihu (remove seedlings, 1 liang), Zhimu (roast, 3 fen), Biejia (remove skirt-like edges, vinegar-roast, 1 liang), Shigao (crushed, 1.5 liang), Xiongshufen (roast 21-37 grains), Qinjiao (remove seedlings and soil, 0.5 liang). Coarsely grind and sieve. Take 5 qian-bi per dose, 1.5 cups of water, add 100 grains of Chi, decoct together until 0.8 cup remains.
Mahuang Zhizi Tang (Ephedra and Gardenia Decoction): Treats labor relapse after Shanghan healing due to diet and movement, resembling original symptoms.
Mahuang (remove joints, 1 liang), Shanzhizi (0.5 liang), Biejia (remove skirt-like edges, vinegar-roast, 1 liang), Xiongshufen (roast 21-37 grains). Coarsely grind and sieve. Take 5 qian-bi per dose, 1.5 cups of water, add 5 cun of scallion white and 100 grains of Chi, decoct together until 0.8 cup remains, remove dregs. Take warm after meals. Eat scallion and Chi porridge later, cover with blankets to induce sweat.
Sanwu Tang (Three-Ingredient Decoction): Treats labor relapse after Shanghan or Warm Disease due to eating meat, bathing, or anger/movement.
Shanzhiziren (21-37 grains), Biejia (remove skirt-like edges, vinegar-roast), Ganjiang (roast), Gan Shengdihuang (roast, each 1 liang). Chop like hemp beans. Take 5 qian-bi per dose, 1.5 cups of water, add 100 grains of Chi, decoct together until 0.8 cup remains, remove dregs. Take warm after meals. Twice daily.
Liushen Tang (Six-God Decoction): Treats labor relapse after Shanghan healing with high fever and headache.
Biejia (remove skirt-like edges, vinegar-roast), Chaihu (remove seedlings), Renshen, Zhimu (roast), Huanglian (remove threads, roast, each 1 liang), Wumeirou (roast, 0.5 liang). Chop. Take 5 qian-bi per dose, 1.5 cups of water, add 0.5 fen of fresh ginger (smashed), decoct together until 0.8 cup remains, remove dregs. Take warm after meals.
Zhimu Tang (Anemarrhena Decoction): Treats labor relapse after new Shanghan healing due to physical labor or dietary injury.
Zhimu (roast), Biejia (remove skirt-like edges, vinegar-roast), Chaihu (remove seedlings, each 1.5 liang), Mahuang (remove root and joints), Gegen (chop and roast, each 3 fen), Xiongshufen [roast until scorched, 1.5 liang (21-37 grains)]. Coarsely grind and sieve. Take 5 qian-bi per dose, 1.5 cups of water, add 5 cun of scallion white... (text incomplete, implies adding Chi based on context)... decoct.
Zisu Yin (Perilla Infusion): Treats labor relapse after Shanghan or Warm Disease healing due to early rising and excessive diet.
Zisujingye (chop, 1 liang), Shengjiang (slice, 0.5 liang), Chi [2 he]. Three ingredients, decoct in 2.5 cups of water until 1 large cup remains, remove dregs. Take warm before meals. Twice daily.
Shigao Huangqin San (Gypsum and Scutellaria Powder): Treats labor relapse after Shanghan due to eating meat, resembling original symptoms with high fever, headache, irritability, nausea, and dark yellow urine.
Shigao (crushed, 1 liang), Huangqin (remove black heart), Shanzhiziren, Gegen (chop and roast), Renshen, Huanglian (remove threads, roast, each 0.5 liang), Zhimu (roast, 0.5 liang). Grind into fine powder. Take 2 qian-bi per dose, mix with thick decoction of scallion white and bamboo leaf tea. Take on an empty stomach before meals. Twice daily. Stop when healed.
Yigong Tang (Extraordinary Merit Decoction): Treats heat added due to diet and labor after epidemic Shanghan healing.
Xiongshufen (roast until smoke emerges, 14 grains), Shanzhiziren (5 grains), Zhike (bran-roast, remove pith, 1 fen). Finely chop. Decoct in 1.5 cups of water until 0.8 cup remains, remove dregs. Take warm after meals.
Qu Tang (Fermented Grain Decoction): Treats Shanghan after food injury, exhaustion due to food and labor.
Chenqu (smash, roast, 1 liang), Damai (roast, 0.5 liang), Hanshi ganfan (half he), Xiongshufen (21-37 grains, roast until smoke disappears, make into powder). Except for rat feces, slightly crush and mix well. Divide into two doses. Each dose decoct in 1.5 cups of water with 5 cun of scallion white, 5 cun of wild leek white, and 100 grains of Chi until 0.8 cup remains, remove dregs. Add half of the rat feces powder, stir well. Take warm on an empty stomach.
Zhimu Tang (Anemarrhena Decoction): Treats labor relapse with hard lower abdomen and painful testicular retraction.
Zhimu (roast), Chaihu (remove seedlings), Maidong (remove heart, roast), Gancao (roast, each 0.5 liang), Congbai (3 stalks). Chop like hemp beans. Soak in 1 cup of water overnight. Next day, decoct until water is nearly gone, add 2 cups of boy's urine and half a he of Chi heart, boil 5-6 times. Then add 2 he of Rehmannia juice, simmer gently. Remove dregs. Take all at once on an empty stomach. Mild diarrhea indicates recovery.
Maidong Tang (Ophiopogon Decoction): Treats labor relapse after Shanghan with near-death qi depletion, reviving the dead.
Maidong (1 liang), Gancao (2 liang), Jingzao (20 pieces), Zhuye (cut, 1 sheng). Chop. Boil 1 sheng of japonica rice in 7 sheng of water until cooked. Remove rice, add herbs, decoct to obtain 3 sheng. Divide into three doses. If unable to swallow, drip soup into mouth via silk cloth. Effective.
Formula for labor relapse after Shanghan/Warm Disease due to food, drink, or movement.
Zhiziren (21 grains), Shigao (5 liang), Shufen (20 grains, pointed heads), Xiangchi (1 sheng). Chop. Boil in 7 sheng of water to obtain 3 sheng. Divide into three doses.
Formula for post-illness labor relapse due to washing hands/feet, combing hair, or diet.
Drink 1 he of water used for washing hands/feet. Swallow a piece of head dirt the size of a date pit. Another method: burn rice to powder, drink 1 sheng.
Formula for new healing, early rising, and excessive diet labor relapse.
Chi (5 he), Shufen (21 grains, pointed heads). Boil in 2 sheng of water to obtain 1 sheng. Drink all. Lie warm to induce slight sweat. Cui Shi adds 7 Zhizi grains for better effect. *Zhouhou Fang* adds 1 sheng of hemp seeds, 1 sheng of water, or 3 Zhishi pieces, and a handful of scallion white.
Formula for near-death relapse after serious illness healing due to early labor and excessive diet.
Drink 1 fang-cun-bi of burnt softshell turtle shell powder.
Formula for labor relapse with solid pulse due to overeating and indigestion.
Chi (1 sheng), Shufen (21 grains), Zhiziren (7 grains), Dahuang (3 liang). Chop. Boil in 6 sheng of water to obtain 2 sheng. Divide into three doses. Induce slight sweat. Stop if stool becomes loose like duck feces; repeat if not. *Waitai Miyao* adds 3 liang of Mahuang (remove joints).
Formula for near-death labor relapse (from *Qianjin Fang*)
Use 3 he of warm water to wash the vulva of a 4-5 year old girl, collect the juice, and administer orally. Works for young boys too.
Formula for food-labor relapse (from *Qianjin Fang*)
Boil 2 sheng of Qu (fermented grain) to extract juice and drink.
Another Formula (from *Qianjin Fang*)
Use 50 apricot kernels, decoct in 2 sheng of sour liquid to obtain 1 sheng. Take to induce sweat.
Another Formula (from *Qianjin Fang*)
Take human feces ash water, take 1 fang-cun-bi.
Formula to prevent labor relapse (from *Qianjin Fang*)
Burn head dirt into pills the size of paulownia seeds. Take with wine. Drinking is also acceptable. Another method for epidemic Shanghan post-relapse: hold a pill of head dirt the size of a date pit in the mouth.
Formula for food relapse after healing encountering delicious food and overeating (from *Qianjin Fang*)
Take leftover food, burn to ash, mix with water, take 2 qian-bi. Three times daily.
Zhiyanshi San (Purple Quartz Powder, from *Jingui Fang*): Prevents recurrence after Shanghan healing.