夫骨蒸病有五种。一曰骨蒸。其根在肾。早起则体凉。日晚则热燥。四肢不安。饮食无
味。小便赤黄。忽忽烦乱。喘促无力。腰背多疼。两足逆冷。手心长热。蒸盛过伤。则内变
为疳。蚀人五脏。二曰脉蒸。其根在心。日增烦闷。掷手出足。翕翕思水。多唾白沫。睡即
浪言。惊恐不安。其脉浮数。蒸盛之时。或变为疳。脐下胀痛。或利不止。三曰皮蒸。其根
在肺。大喘短气。鼻口俱干。舌上色白。小便如血。蒸盛之时。胸满注热。两胁下胀。咳嗽
胸背疼痛。眠卧不安。蒸毒伤肺。即唾血也。四曰肉蒸。其根在脾。体热如火。烦躁无汗。
心腹胀臌。食即欲呕。小便如血。大便秘涩。蒸盛之时。或身肿目赤。眠卧不安。五曰内蒸。
亦名血蒸。所名内蒸者。必外寒而内热。以手拊骨。而内热者。其根在五脏六腑。其人必因
热病后得之。骨肉自消。饮食无味。或皮燥而无光。蒸盛之时。四肢无力。足踵肿起。又有
二十三蒸者。一胞蒸。小便黄赤。二玉房蒸。男则遗沥漏精。女则月候不调。三脑蒸。头眩
闷热。四髓蒸。髓沸热。心昏。五骨蒸。齿黑。六筋蒸。甲焦。七血潜。发焦。八脉蒸。缓
急罔顾。九肝蒸。或时饥前昏眩。十心蒸。舌干。十一脾蒸。肉焦。十二肺蒸。鼻干。十三
肾蒸。两耳干焦。十四膀胱蒸。右耳偏焦。十五胆蒸。眼白色。无事常惊。十六胃蒸。舌下
痛。十七小肠蒸。下焦热。尿即痛。十八大肠蒸。鼻右孔痛。十九三焦蒸。生病乍热乍寒。
二十肉蒸。肌肉消瘦。二十一气蒸。即喘息气。二十二皮蒸。在筋皮。蒸即筋皮挛缩。二十
三遍身蒸。体气热。凡语诸蒸患。多因热病后食牛羊肉油腻。或酒或房事触犯而成。此疾久
蒸不除。多致危笃。必须早疗也。
方
治五蒸方。夫蒸者。乃附蒸热毒之气。皆是死之渐。庸医不识。热毒形状。或妄称神祟。
以相疑惑。致使蒸盛变为疳。而致毙者。今具各方于后。
一曰骨蒸（出千金方）
用芒硝水服。早晚每日再服。亦可捣苦参蜜和为丸。如梧子大。一服七丸。日再。以米
饮送之。无忌。以体轻凉为度。
二曰脉蒸
苦参 青葙（各二两） 艾叶 甘草（各一两炙） 上切。以水四升。煮取一升半。分
为三
分。用羊胞盛之。以苇筒灌下部中。若不利。取芒硝一两许。和冷水合和服之。再服。忌海
藻菘
三曰皮蒸
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。
四曰肉蒸
用大黄一两半。切如小豆大。以水一升。浸一宿。明旦绞取汁。服五合许。微利即止。
若热不定。亦可服芒硝一两许。每日三。以凉体为度。
五曰内蒸（出肘后方） 所以言内者。以外寒内热附骨也。其根在五脏六腑之中必因患
后
得之。骨肉自消。饮食无味。或皮燥而无光。蒸作之时。四肢渐细。足踵肿者。
用石膏十两。研如乳粉。法用和服。早晚每日再。以体凉为度。
加减青蒿丸。治男子女人。一切劳疾骨蒸风气。此药有七名。一名杏仁丸。治瘦。
二名木香丸。能治尸注鬼气。九种心痛。三种虫咬心痛。三名犀角丸。治时行热疾瘟
疫。四名龙脑丸。治小儿无辜痞痢。五名万病丸。治一切虚伤。六名丹砂丸。治毒邪
癖气等。七名青蒿丸。治男子女人一切劳气。若常带行山林旷野。坑阱冢墓前后。鬼神
不敢近。若被毒蛇恶物所
青蒿心（三枚细切） 童子小便（三大斗） 生地黄（三挺竹刀切捣） 东引桃枝（半
握细捣碎
一二两） 甘草（四两炙） 以上五味。用新瓮子一口。以小便浸七日。和小便并前件药煮
三
五百沸。漉出药。晒干捣罗为末。然后将小便清入釜中。以桑柴火炼之。以篦搅勿住手。三
斗小便炼至三升。用不津器盛。将和后药。
杏仁 桃仁（并去双仁及皮尖炒令黄） 桔梗 葳蕤 枳壳（麸炒去瓤） 大黄（焙） 升
麻
苍术（炒一方用白术） 白茯苓（去黑皮） 地骨皮 甘草（炙） 天灵盖（酥炙一两无虎
骨代）
贝母（去心） 芜荑（炒） 当归（切焙） 黄 （锉） 桂（去粗皮） 橘皮（去白焙） 浓
朴（去粗
皮姜汁炙） 防风（去瓤） 槟榔（不得近铁器） 吴茱萸（汤浸炒） 丹砂（别研） 麝
香（别研各
一两） 木香（二两半） 犀角屑（一两半） 羚羊角屑（二两一分） 上为细末。用前小
便煎和
匀。入臼捣五百下。如末粘。可入炼蜜和丸。如梧桐子大。每食后温水下三十丸。疾重。日
再服。通三焦安五脏。四时常服。永无虚劳之疾。时行瘴疟。常不能害。上气咳嗽。无问涕
唾并干嗽。嗽后有血。此名肺热。热毒壅转。成鼻塞声破。胸中结痛。若不速除。当成肺痿
劳瘦。服此药五两。其病乃平。手足热如火。口生疮舌烂。夜梦不祥。口中 齿。牙痛咽痹。
服五
上瘰 当法不治。根本必攻五脏。状如藤萝绕木。荣枯。不相舍。令颈项破损。必死。
服此八两当效。若患时气头痛欲死。身热大小便秘涩。复不识人。不下食。新汲水下五十丸。
即瘥丈夫妇人曾服热药过度。近虽药尽。气力犹有。往往发来冲人头面。致眼痛昏热。心胃
燥烦。口臭生疮。温水下二丸。不过一二两。婴孩无辜病。与大人劳病。同为在胎中伤精血
。致令唇口焦干。或泻或利。腹中渐结。眼中生膜。服之可愈。若孩子渐不。准大人例服之
。女人月经不均。或前或后。多少不定。青色杂。或凝或散。渐成劳瘦。服一二两。当愈。
春加 龙胆 龙骨 柴胡（去苗） 黄连（去须略炒各一分） 夏加 知母 石菖蒲 麦
门冬（去心） 白茯苓（去黑皮各一两） 秋加 诃黎勒皮 秦艽 旋复花（各一两）
龙胆丸 治骨蒸热病。诸劳瘴毒。多痰气促。头痛口干。目涩少食。渐渐羸瘦。
龙胆（三两） 柴胡（去苗） 秦艽（去苗土） 葳蕤 升麻 百部 枳实（去瓤麸炒）
玄
胡旋复花 马兜铃 百合 紫菀 射干 木香 防风（去皮） 黄芩（去黑心） 栀子仁 大
黄（锉炒） 栝蒌实 沙参 贝母（去心） 硝石（研） 凝水石 茵陈蒿 石膏 知母（切
焙）
青蒿 款冬花 麦门冬（去心各一两焙） 上为末。炼蜜丸。如梧桐子大。每服三十丸。米
饮或酒下亦得。
生地黄煎丸（出圣惠方）治骨蒸劳疾烦热。口干颊赤。咳嗽寒热。盗汗。四肢
干瘦。宜服。
牛膝（四两去苗） 生干地黄汁（一升） 青蒿（一升汁） 生姜汁（一合） 童子小
便（三升）
生干地黄（四两） 桃仁（三两去皮尖研如膏同煎药六味于石锅子内慢火熬令烂研取汁去滓
入
蜜半斤更熬如膏） 川大黄（一两锉碎微炒） 鳖甲（二两涂醋炙令熬黄去裙 ） 赤茯苓
（三
分） 胡黄连（三分） 犀角屑 知母 枳壳（麸炒微黄去瓤） 龙胆（去芦头） 木香 黄
芩
地骨皮 桔梗（去芦头） 桑根白皮（锉） 赤芍药 当归（各二分） 麝香（半两细研） 秦
艽
（一两去苗）柴胡（一两去苗） 上为末。入麝香令匀。用前捣和。五七百杵。丸如桐子大。
每
服食前以温酒下三十丸。清粥饮下亦得。忌炙爆油腻面苋菜。
鳖甲汤 治男子女人。骨蒸皮肉消瘦。面色痿黄。不思饮食。夜多咳嗽。涕唾稠
粘。骨节疼
鳖甲（去裙 醋炙令黄三两） 秦艽（去苗土三两） 紫菀（去土两半） 柴胡（去苗
三两）
诃黎勒皮（煨一两半） 牡蛎（ ） 麻黄（去根节） 犀角屑 知母（切焙） 升麻 甘
草（炙）
栀子仁 槟榔（锉） 木香 当归（切焙） 桔梗（炒） 桑根白皮（锉） 大黄（炒） 黄
连（去须）
桃仁（炒） 人参 桂（去粗皮） 葳蕤 芎 （各一两） 上粗捣筛。每服三钱。水一盏。
枣
一枚擘。乌梅一个。生姜三片。同煎。三五沸。去滓。稍热服。不拘时候。
獭肝丸（出圣惠方）治骨蒸劳热。体瘦烦疼。宜服。
獭肝（一两微炙） 麝香（一两细研） 犀角屑（半两） 牛黄（一分细研） 鳖甲（一
两涂酥
炙微黄去裙 ） 天灵盖（三分涂酥炙令微黄） 阿魏（一两麸裹煨面熟为度） 雄黄（三
分细
研） 木香（半两） 龙胆（半两去芦头） 黄连（三分） 知母（三分） 柴胡（一两去
苗） 地骨
皮（三分） 赤芍药（半两） 麦门冬（一两半去心焙） 甘草（半两生用） 白术（半两）
黄芩
（半两） 赤茯苓（三分） 川升麻（半两） 朱砂（三分细研） 槟榔（三分） 上为末。
研了药令
均。炼蜜和捣二三百杵。丸如梧桐子大。每服不计时候。以清粥饮下三十丸。忌苋菜。
青蒿丸 治童子室女。骨蒸热。成劳。不思饮食。食即无味。身体苦疼。阳热传
盛。面色多
青蒿（锉四两） 甘草（锉一两） 桃仁 杏仁（各二两去皮尖双仁） 以上用童子小
便五
升。瓷瓶盛入药于内。砖支其底。以糠头火。烧一夜取出。桃杏仁别研如泥。别入。
芍药 知母 天灵盖（炙） 车前子 紫菀（去土各一分） 葳蕤 当归（切焙） 枳
壳（去
瓤麸炒） 生地黄（焙） 槟榔（锉） 黄连（去须） 秦艽（去苗土） 京三棱（煨锉） 柴
胡（去
苗） 续断（各一分） 獭肝（炙半两） 麝香 犀角（生用屑一两） 上除前四味外。为
末。和
桃杏仁同捣一二十下。旋入所煎小便。湿捣一二千杵。如硬入熟蜜一两半。更捣。众手为丸。
如梧桐子大。不计时候。每日熟水下三十丸。咳嗽加贝母半两。妇人月候不通。加牡丹延胡
索各一分。五心烦躁加地骨皮茯神羚羊角。初患未传诸藏。酒下。四服即愈。腹中有块。及
癖恶寒头痛。面黄色。毛发焦枯。服毕便愈。
猪肚黄连丸（出圣济总录）治骨蒸虚劳。传尸肺痿。咳嗽不止。困重羸瘦。壮
热。或即憎寒。腹内冷腹。四肢烦疼。饮食无味。头疼口干。涕稠唾粘。渴不止者。
猪肚（一具童子小便煮令熟细切捣为末） 知母 芜荑仁（炒各二两） 紫菀（去苗
二两）
百
甲（去裙
醋浸炙） 黄芩（去黑心） 人参 贝母（去心） 柴胡（去苗） 地骨皮 龙胆（去芦头）
白茯
苓（去黑皮） 黄 （锉各一两） 黄连（去须） 上一十九味捣罗为末。炼蜜为丸。如梧
桐子大。
每服空腹温酒送下二十丸。
加减黄 建中汤（出经效方）治男子妇人五劳骨蒸者。试用神效。
白术 白茯苓 桔梗（各三钱） 人参（钱半） 秦艽 北柴胡 防风 白芍药 甘草
当归（去尾） 泽泻 生地黄 熟地黄 地骨皮 肉豆蔻（煨） 槟榔 缩砂仁（各五钱） 猪
苓（四钱） 黄 上为散。每服三钱。水一盏半煎。温服。不拘时候。老人更加黄 一两。
或为
鳖甲煎丸（一名青蒿鳖甲煎丸出王氏博济方）治虚劳骨蒸。早晚烦热。寝食不
安。五心热闷
鳖甲（去裙 醋炙） 柴胡（去苗各二两） 甘草（炙锉） 杏仁（去皮尖双仁炒） 桔
梗
当归（切焙） 地骨皮 人参 赤芍药（各一两） 木香 桂（去粗皮各半两） 黄连 胡
黄连
（各一分） 麝香（另研二钱） 酥（三两） 蜜（三两） 上一十六味。除麝香酥蜜外。
捣罗为末。
用青蒿一斤。童子小便五升。好酒一升。熬青蒿至二升。去蒿入酥蜜再熬成膏。候冷入药末
麝香同和丸。如梧桐子大。每服十五丸至二十丸。温酒或米饮下。日三服。
治骨蒸疠疾瘟疫（出圣济总录）寒热疟病。五尸九注。心腹绞如刺。尽毒鬼
魅。一切热毒。香港脚闷乱。攻冲烦热。口中生疮。狂易叫走。及解诸毒。兼金石草药热
毒。发黄燥热。疼
金（十五两） 银（十五两） 寒水石 石膏 磁石 滑石（各三斤） 以上四石药同
捣
碎后
木香（一两） 犀角（镑五两） 丁香（四两） 沉香（五两） 甘草（炙八两） 升
麻玄参
（各一两） 上除前六味外。用水三斗煮取一斗。绞去滓净。与前药汁相合。即纳蜀硝五升。
细研入药汁。慢火同煎。手不住搅之。可有一斗余。即投于盆器内盛。欲凝。纳水飞丹朱末
三两。麝香末一两一分。同研如粉。和均盖覆之。二日成霜雪。曝干。以新合或瓶内。密封
盛贮之。有病即取。强人服一钱。冷水和服。以意随人强弱增损之。香港脚病或曾服金石药发
动毒闷者。水和服半钱。服讫即仰卧。以物垫腰。令高。使药向胸腹间。若患眼赤热痛者。
以冷水和之。点于大小 。初着微微痛。少时泪出自定。日三五次。夜用亦如之。无不效。
口内生热疮。含如杏核许。令消。细细咽之。乃止。
治骨蒸有虫相传不绝。宜服此方。（出圣惠方）
蓬莪术（三分） 鳖甲（三两涂酥炙微黄去裙） 柴胡（一两半去苗） 紫菀（三分去
苗土）
骨蒸病有五种。第一种叫骨蒸，病根在肾。早晨起床时身体凉爽，到了傍晚则感觉燥热。四肢不适，饮食没有味道，小便颜色深黄，精神恍惚烦躁混乱，气喘急促且无力，腰背部经常疼痛，两脚逆冷，手心长期发热。如果骨蒸严重过度损伤，就会内部转变为疳积，侵蚀人的五脏。第二种叫脉蒸，病根在心。每天增加烦闷感，甩手踢脚，微微想喝水，多吐白色泡沫，睡觉时说胡话，惊恐不安，脉搏浮而快。在骨蒸严重时，可能转变为疳积，脐下胀痛，或者腹泻不止。第三种叫皮蒸，病根在肺。大口喘气、呼吸短促，鼻子和嘴巴都干燥，舌色发白，小便像血一样。在骨蒸严重时，胸部胀满热气灌注，两胁下胀满，咳嗽并伴有胸背疼痛，睡眠躺卧不安。蒸毒伤害肺部，就会咳血。第四种叫肉蒸，病根在脾。身体发热像火一样，烦躁不出汗，心腹部胀大如鼓，吃东西就想呕吐，小便像血一样，大便秘结涩滞。在骨蒸严重时，可能出现全身浮肿、眼睛发红，睡眠躺卧不安。第五种叫内蒸，也叫血蒸。之所以叫内蒸，是因为一定表现为外寒内热，用手触摸骨头感觉到内部发热。其病根在五脏六腑。这种人一定是因为患过热病之后才得的。骨肉自行消瘦，饮食没有味道，或者皮肤干燥而没有光泽。在骨蒸发作时，四肢逐渐无力，脚后跟肿胀起包。另外还有二十三蒸：一胞蒸，小便黄赤；二玉房蒸，男性遗精漏精，女性月经不调；三脑蒸，头晕闷热；四髓蒸，骨髓沸腾发热，心神昏乱；五骨蒸，牙齿变黑；六筋蒸，指甲干枯；七血潜（血蒸），头发干枯；八脉蒸，肢体缓急失常不顾忌；九肝蒸，有时饥饿前头晕目眩；十心蒸，舌头干燥；十一脾蒸，肌肉干枯；十二肺蒸，鼻子干燥；十三肾蒸，两耳干燥焦枯；十四膀胱蒸，右耳偏侧焦枯；十五胆蒸，眼白发黄，没事常受惊吓；十六胃蒸，舌下疼痛；十七小肠蒸，下焦热，排尿即痛；十八大肠蒸，鼻右孔疼痛；十九三焦蒸，生病忽冷忽热；二十肉蒸，肌肉消瘦；二十一气蒸，就是喘息气短；二十二皮蒸，在筋皮，蒸则筋皮挛缩；二十三遍身蒸，身体气息发热。凡是谈论各种蒸患，大多是因为热病之后吃了牛羊肉油腻食物，或者饮酒、房事触犯而成。这种病长久蒸腾不除，多导致危重笃疾。必须尽早治疗。
方剂
治疗五蒸的方子。所谓“蒸”，是附着蒸腾的热毒之气，都是死亡的征兆。庸医不认识，不知道热毒的形状，有的胡乱称为鬼神作祟，以此使人疑惑。致使骨蒸严重转变为疳积，而导致死亡的人很多。现在列出各个方子在后面。
第一，骨蒸（出自《千金方》）
用芒硝用水送服。早晚每天服用两次。也可以捣碎苦参，用蜂蜜调和做成丸药，大小如梧桐子。每次服用七丸，每天两次，用米汤送下。没有禁忌。以身体变得轻凉为度。
第二，脉蒸
苦参、青葙（各二两），艾叶、甘草（各一两，炙）。以上药材切碎。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（肛门或阴道）。如果不利尿，取芒硝约一两，与冷水混合服用。再服用。忌食海藻、菘菜（白菜）。
第三，皮蒸
立即给予芒硝一两，用水一升半，分三次服用。三天服完。停止后，用冷水浸手，熨烫胁间及腋下。
第四，肉蒸
用大黄一两半，切碎如小豆大小。用水一升，浸泡一夜。第二天早上绞取汁液。服用约五合。微微腹泻就停止。如果热势不定，也可以服用芒硝约一两，每天三次。以身体变凉为度。
第五，内蒸（出自《肘后方》）
之所以叫内蒸，是因为外寒内热附着在骨头上。其病根在五脏六腑之中，一定是患病后得的。骨肉自行消瘦，饮食无味，或者皮肤干燥无光泽。蒸作之时，四肢逐渐变细，脚后跟肿胀。
用石膏十两，研得像乳粉一样。用法是和服。早晚每天两次。以身体变凉为度。
加减青蒿丸。治疗男女一切劳疾骨蒸风气。此药有七个名字。一名杏仁丸，治疗消瘦。二名木香丸，能治疗尸注鬼气，九种心痛，三种虫咬心痛。三名犀角丸，治疗时行热疾瘟疫。四名龙脑丸，治疗小儿无辜痞痢。五名万病丸，治疗一切虚伤。六名丹砂丸，治疗毒邪癖气等。七名青蒿丸，治疗男女一切劳气。如果常带在身上行走于山林旷野、坑阱坟墓前后，鬼神不敢靠近。如果被毒蛇恶物所伤……
青蒿心（三枚，细切），童子小便（三大斗），生地黄（三挺，用竹刀切捣），东引桃枝（半握，细捣碎一二两），甘草（四两，炙）。以上五味药，用一个新瓮子，用小便浸泡七天，连同小便和前件药一起煮五百沸。滤出药渣，晒干捣罗成末。然后将澄清的小便倒入釜中，用桑柴火炼制，用篦子搅拌不要停手。三斗小便炼至三升，用不透水的容器盛装，用来和后药。
杏仁、桃仁（都去掉双仁和皮尖，炒至黄色），桔梗，葳蕤，枳壳（麸炒去瓤），大黄（焙），苍术（炒，一方用白术），白茯苓（去黑皮），地骨皮，甘草（炙），天灵盖（酥炙一两，无虎骨可用虎骨代替），贝母（去心），芜荑（炒），当归（切焙），黄芪（锉），桂（去粗皮），橘皮（去白焙），浓朴（去粗皮，姜汁炙），防风（去瓤），槟榔（不得接近铁器），吴茱萸（汤浸炒），丹砂（别研），麝香（别研，各一两），木香（二两半），犀角屑（一两半），羚羊角屑（二两一分）。以上药物制成细末，用前面煎好的小便调和均匀，放入臼中捣五百下。如果粉末粘，可以加入炼蜜和丸，如梧桐子大。每餐饭后温水送下三十丸。病重者，每天再服一次。通三焦安五脏。四季常服，永远没有虚劳疾病。时行瘴疟，常不能侵害。上气咳嗽，无论鼻涕唾沫还是干咳，咳后有血，这叫肺热。热毒壅滞转甚，形成鼻塞声破，胸中结痛。如果不迅速去除，会发展成肺痿劳瘦。服用此药五两，病情才能平复。手足热如火，口生疮舌烂，夜梦不祥，口中龋齿，牙痛咽痹，服用五两。上瘰疬，应当依法治疗不治，根本必攻五脏，形状如藤萝绕木，荣枯不相舍，令颈项破损，必死。服用此药八两当有效。如果患时气头痛欲死，身热大小便秘涩，又不认识人，不下食，用新汲水下五十丸，即痊愈。丈夫妇人曾服热药过度，近来虽然药尽，气力犹有，往往发来冲人头面，致眼痛昏热，心胃燥烦，口臭生疮，温水下二丸。不过一二两。婴孩无辜病，与大人劳病，同为在胎中伤精血，致令唇口焦干，或泻或利，腹中渐结，眼中生膜，服之可愈。如果孩子渐渐不好，准大人例服之。女人月经不均，或前或后，多少不定，青色杂，或凝或散，渐成劳瘦，服一二两，当愈。春季加龙胆、龙骨、柴胡（去苗）、黄连（去须略炒，各一分）。夏季加知母、石菖蒲、麦门冬（去心）、白茯苓（去黑皮，各一两）。秋季加诃黎勒皮、秦艽、旋复花（各一两）。
龙胆丸。治疗骨蒸热病，诸劳瘴毒，多痰气促，头痛口干，目涩少食，渐渐羸瘦。
龙胆（三两），柴胡（去苗），秦艽（去苗土），葳蕤，升麻，百部，枳实（去瓤麸炒），玄胡，旋复花，马兜铃，百合，紫菀，射干，木香，防风（去皮），黄芩（去黑心），栀子仁，大黄（锉炒），栝蒌实，沙参，贝母（去心），硝石（研），凝水石，茵陈蒿，石膏，知母（切焙），青蒿，款冬花，麦门冬（去心，各一两焙）。以上药物制成末，炼蜜丸，如梧桐子大。每次服用三十丸，米饮或酒送下也可以。
生地黄煎丸（出自《圣惠方》）。治疗骨蒸劳疾烦热，口干颊赤，咳嗽寒热，盗汗，四肢干瘦。宜服。
牛膝（四两，去苗），生干地黄汁（一升），青蒿（一升汁），生姜汁（一合），童子小便（三升），生干地黄（四两），桃仁（三两，去皮尖研如膏同煎药六味于石锅子内慢火熬令烂研取汁去滓入蜜半斤更熬如膏），川大黄（一两，锉碎微炒），鳖甲（二两，涂醋炙令熬黄去裙襕），赤茯苓（三分），胡黄连（三分），犀角屑，知母，枳壳（麸炒微黄去瓤），龙胆（去芦头），木香，黄芩，地骨皮，桔梗（去芦头），桑根白皮（锉），赤芍药，当归（各二分），麝香（半两，细研），秦艽（一两，去苗），柴胡（一两，去苗）。以上药物制成末，加入麝香令匀，用前面捣和，五七百杵，丸如桐子大。每次服药前以温酒送下三十丸，清粥饮下也可以。忌炙爆油腻面苋菜。
鳖甲汤。治疗男女，骨蒸皮肉消瘦，面色痿黄，不思饮食，夜多咳嗽，涕唾稠粘，骨节疼。
鳖甲（去裙襕，醋炙令黄，三两），秦艽（去苗土，三两），紫菀（去土，两半），柴胡（去苗，三两），诃黎勒皮（煨，一两半），牡蛎，麻黄（去根节），犀角屑，知母（切焙），升麻，甘草（炙），栀子仁，槟榔（锉），木香，当归（切焙），桔梗（炒），桑根白皮（锉），大黄（炒），黄连（去须），桃仁（炒），人参，桂（去粗皮），葳蕤，川芎（各一两）。以上粗捣筛。每次服用三钱，水一盏，枣一枚掰开，乌梅一个，生姜三片，同煎，三五沸，去滓，稍热服。不拘时候。
獭肝丸（出自《圣惠方》）。治疗骨蒸劳热，体瘦烦疼。宜服。
獭肝（一两，微炙），麝香（一两，细研），犀角屑（半两），牛黄（一分，细研），鳖甲（一两，涂酥炙微黄去裙襕），天灵盖（三分，涂酥炙令微黄），阿魏（一两，麸裹煨面熟为度），雄黄（三分，细研），木香（半两），龙胆（半两，去芦头），黄连（三分），知母（三分），柴胡（一两，去苗），地骨皮（三分），赤芍药（半两），麦门冬（一两半，去心焙），甘草（半两，生用），白术（半两），黄芩（半两），赤茯苓（三分），川升麻（半两），朱砂（三分，细研），槟榔（三分）。以上药物制成末，研了药令均，炼蜜和捣二三百杵，丸如梧桐子大。每次服用不计时候，以清粥饮下三十丸。忌苋菜。
青蒿丸。治疗童子室女，骨蒸热，成劳，不思饮食，食即无味，身体苦疼，阳热传盛，面色多青。
青蒿（锉，四两），甘草（锉，一两），桃仁、杏仁（各二两，去皮尖双仁）。以上用童子小便五升，瓷瓶盛入药于内，砖支其底，以糠头火，烧一夜取出。桃杏仁别研如泥，别入。
芍药，知母，天灵盖（炙），车前子，紫菀（去土，各一分），葳蕤，当归（切焙），枳壳（去瓤麸炒），生地黄（焙），槟榔（锉），黄连（去须），秦艽（去苗土），京三棱（煨锉），柴胡（去苗），续断（各一分），獭肝（炙，半两），麝香，犀角（生用屑，一两）。以上除前四味外，为末，和桃杏仁同捣一二十下，旋入所煎小便，湿捣一二千杵。如硬入熟蜜一两半，更捣。众手为丸，如梧桐子大。不计时候，每日熟水下三十丸。咳嗽加贝母半两。妇人月候不通，加牡丹延胡索各一分。五心烦躁加地骨皮茯神羚羊角。初患未传诸藏，酒下，四服即愈。腹中有块，及癖恶寒头痛，面黄色，毛发焦枯，服毕便愈。
猪肚黄连丸（出自《圣济总录》）。治疗骨蒸虚劳，传尸肺痿，咳嗽不止，困重羸瘦，壮热，或即憎寒，腹内冷腹，四肢烦疼，饮食无味，头疼口干，涕稠唾粘，渴不止者。
猪肚（一具，童子小便煮令熟细切捣为末），知母，芜荑仁（炒，各二两），紫菀（去苗，二两），百部，鳖甲（去裙襕，醋浸炙），黄芩（去黑心），人参，贝母（去心），柴胡（去苗），地骨皮，龙胆（去芦头），白茯苓（去黑皮），黄芪（锉，各一两），黄连（去须）。上一十九味捣罗为末，炼蜜为丸，如梧桐子大。每次空腹温酒送下二十丸。
加减黄芪建中汤（出自《经效方》）。治疗男子妇人五劳骨蒸者，试用神效。
白术，白茯苓，桔梗（各三钱），人参（钱半），秦艽，北柴胡，防风，白芍药，甘草，当归（去尾），泽泻，生地黄，熟地黄，地骨皮，肉豆蔻（煨），槟榔，缩砂仁（各五钱），猪苓（四钱），黄芪。以上为散。每次服用三钱，水一盏半煎，温服。不拘时候。老人更加黄芪一两。
或为鳖甲煎丸（一名青蒿鳖甲煎丸，出自《王氏博济方》）。治疗虚劳骨蒸，早晚烦热，寝食不安，五心热闷。
鳖甲（去裙襕，醋炙），柴胡（去苗，各二两），甘草（炙锉），杏仁（去皮尖双仁炒），桔梗，当归（切焙），地骨皮，人参，赤芍药（各一两），木香，桂（去粗皮，各半两），黄连，胡黄连（各一分），麝香（另研，二钱），酥（三两），蜜（三两）。以上十六味，除麝香酥蜜外，捣罗为末。用青蒿一斤，童子小便五升，好酒一升，熬青蒿至二升，去蒿入酥蜜再熬成膏。候冷入药末麝香同和丸，如梧桐子大。每次服用十五丸至二十丸，温酒或米饮下。日三服。
治骨蒸疠疾瘟疫（出自《圣济总录》）。寒热疟病，五尸九注，心腹绞如刺，尽毒鬼魅，一切热毒，香港脚闷乱，攻冲烦热，口中生疮，狂易叫走，及解诸毒，兼金石草药热毒，发黄燥热，疼。
金（十五两），银（十五两），寒水石，石膏，磁石，滑石（各三斤）。以上四石药同捣碎后……
木香（一两），犀角（镑，五两），丁香（四两），沉香（五两），甘草（炙，八两），升麻，玄参（各一两）。以上除前六味外，用水三斗煮取一斗，绞去滓净。与前药汁相合，即纳蜀硝五升，细研入药汁，慢火同煎，手不住搅之。可有一斗余，即投于盆器内盛。欲凝，纳水飞丹朱末三两，麝香末一两一分，同研如粉，和均盖覆之。二日成霜雪，曝干，以新合或瓶内，密封盛贮之。有病即取，强人服一钱，冷水和服。以意随人强弱增损之。香港脚病或曾服金石药发动毒闷者，水和服半钱。服讫即仰卧，以物垫腰，令高，使药向胸腹间。若患眼赤热痛者，以冷水和之，点于大小眦。初着微微痛，少时泪出自定。日三五次，夜用亦如之，无不效。口内生热疮，含如杏核许，令消，细细咽之，乃止。
治骨蒸有虫相传不绝，宜服此方。（出自《圣惠方》）
蓬莪术（三分），鳖甲（三两，涂酥炙微黄去裙襕），柴胡（一两半，去苗），紫菀（三分，去苗土）
Bone steaming disease has five types. The first is called bone steaming, with its root in the Kidney. In the morning upon waking, the body feels cool; by evening, there is a sensation of dry heat. The four limbs are uncomfortable, food and drink have no taste, urine is dark yellow, the spirit is恍惚 (trance-like) and irritable/confused, breathing is rapid and weak, the lower back and back often hurt, the two feet feel cold upwards, and the palms of the hands are constantly hot. If bone steaming becomes severe and causes excessive damage, it internally transforms into *gan* (wasting-and-thirsting syndrome), eroding the five zang organs. The second is called pulse steaming, with its root in the Heart. There is increasing irritability and oppression daily, flinging hands and kicking feet, a slight desire for water, excessive spitting of white foam, talking wildly during sleep, fear and restlessness. The pulse is floating and rapid. During severe steaming, it may transform into *gan*, with distension and pain below the umbilicus, or incessant diarrhea. The third is called skin steaming, with its root in the Lung. There is heavy panting and shortness of breath, dryness in the nose and mouth, a white tongue color, and urine resembling blood. During severe steaming, chest fullness with heat pouring in, distension under both hypochondria, coughing with chest and back pain, and restless sleep occur. Steaming toxins injuring the lung leads to hemoptysis. The fourth is called flesh steaming, with its root in the Spleen. The body is hot like fire, irritable without sweating, abdominal distension like a drum, nausea after eating, urine resembling blood, and constipation with difficulty. During severe steaming, general edema and red eyes may appear, along with restless sleep. The fifth is called internal steaming, also known as blood steaming. It is called internal steaming because it necessarily presents with external cold and internal heat; touching the bones reveals internal heat. Its root lies within the five zang and six fu organs. This condition arises after suffering from a febrile disease. The flesh and bones waste away, food and drink have no taste, or the skin is dry and lusterless. During steaming episodes, the four limbs gradually become weak, and the heels swell. There are additionally twenty-three types of steaming: 1. Bladder steaming, yellow-red urine; 2. Jade Chamber steaming, seminal emission and leakage in men, irregular menstruation in women; 3. Brain steaming, dizziness and stifling heat; 4. Marrow steaming, boiling heat in marrow, mental confusion; 5. Bone steaming, black teeth; 6. Tendon steaming, brittle nails; 7. Blood latent (Blood steaming), brittle hair; 8. Pulse steaming, laxity or stiffness disregarding propriety; 9. Liver steaming, dizziness before hunger; 10. Heart steaming, dry tongue; 11. Spleen steaming, wasted flesh; 12. Lung steaming, dry nose; 13. Kidney steaming, dry and scorched ears; 14. Bladder steaming, right ear scorched; 15. Gallbladder steaming, white sclera, frequent fright; 16. Stomach steaming, pain under the tongue; 17. Small Intestine steaming, heat in the lower jiao, painful urination; 18. Large Intestine steaming, pain in the right nostril; 19. Sanjiao steaming, alternating fever and chills; 20. Flesh steaming, muscle emaciation; 21. Qi steaming, panting and shortness of breath; 22. Skin steaming, affecting tendons and skin, causing contraction; 23. Whole-body steaming, hot body qi. Generally, various steaming ailments arise from consuming beef, mutton, or greasy foods after a febrile disease, or from violating dietary/sexual restrictions. If this disease persists with long-term steaming, it often leads to critical conditions. Early treatment is essential.
Formulas
Treating the Five Steamings. "Steaming" refers to the qi of attached and steaming toxic heat, which is a gradual approach to death. Quack doctors do not recognize it, failing to understand the shape of toxic heat, and sometimes falsely attribute it to spirits, causing confusion. This leads to severe steaming transforming into *gan*, resulting in death. The following formulas are provided.
First, Bone Steaming (from *Qianjin Fang*).
Use Mangxiao (Natrii Sulfas) taken with water. Take twice daily, morning and evening. Alternatively, crush Kushen (Sophorae Flavescentis Radix), mix with honey, and make pills the size of Wu-tong seeds. Take seven pills per dose, twice daily, with rice water. No dietary restrictions. Stop when the body feels light and cool.
Second, Pulse Steaming.
Kushen (Sophorae Flavescentis Radix) and Qingxiangzi (Celosiae Semen) (each 2 liang); Aiye (Artemisiae Argyi Folium) and Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 liang, prepared). Cut the herbs. Boil in 4 sheng of water until 1.5 sheng remains. Divide into three parts. Hold the decoction in a sheep bladder and enema via a reed tube into the lower orifice. If urination does not improve, take approximately 1 liang of Mangxiao (Natrii Sulfas) mixed with cold water. Repeat doses. Avoid Haizao (Sargassum) and Songcai (Brassica rapa var. pekinensis).
Third, Skin Steaming.
Immediately administer 1 liang of Mangxiao (Natrii Sulfas) in 1.5 sheng of water, divided into three doses over three days. After stopping, soak hands in cold water and apply compresses to the hypochondrium and axillae.
Fourth, Flesh Steaming.
Use Dahuang (Rhei Radix et Rhizoma) 1.5 liang, cut like small beans. Soak in 1 sheng of water overnight. Squeeze out the juice the next morning. Take about 5 he. Stop if mild diarrhea occurs. If heat is uncontrolled, take approximately 1 liang of Mangxiao (Natrii Sulfas) three times daily. Stop when the body cools.
Fifth, Internal Steaming (from *Zhouhou Fang*).
It is called internal steaming because external cold and internal heat attach to the bones. The root is in the five zang and six fu organs, occurring after illness. Flesh and bones waste, food tastes bland, or skin is dry and dull. During steaming, limbs thin, and heels swell.
Use Shigao (Gypsum Fibrosum) 10 liang, ground like milk powder. Mix and take orally. Twice daily, morning and evening. Stop when the body cools.
Modified Qinghao Wan (Artemisia Annua Pill). Treats all labor diseases and bone steaming wind-qi in men and women. This medicine has seven names. 1. Xingren Wan (Apricot Seed Pill), treats emaciation. 2. Muxiang Wan (Costus Pill), treats corpse transmission and ghost qi, nine types of heart pain, and three types of insect-bite heart pain. 3. Xijiao Wan (Rhinoceros Horn Pill), treats epidemic febrile diseases. 4. Longnao Wan (Borneol Pill), treats infantile innocent dysentery. 5. Wanbing Wan (Myriad Diseases Pill), treats all deficiency injuries. 6. Dansha Wan (Cinnabar Pill), treats toxic evil and mass qi. 7. Qinghao Wan, treats all labor qi in men and women. Carry it when walking in mountains, forests, open fields, pits, or near tombs; ghosts will not approach. If bitten by venomous snakes or harmful creatures...
Qinghao xin (Artemisiae Annuae Herba tip) (3 pieces, finely cut), Tongzi Xiaoshui (Child's Urine) (3 dou), Shengdihuang (Rehmanniae Radix Recens) (3 stalks, cut and crushed with bamboo knife), Dongyin Taozhi (Peach Twig from East-facing Branch) (half a handful, finely crushed 1-2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (4 liang, prepared). Place these five ingredients in a new urn, soak in child's urine for seven days, then boil together with the urine and herbs for 500 boils. Strain the herbs, dry, and grind into powder. Pour clarified child's urine into a cauldron, refine using mulberry wood fire, stirring continuously with a comb. Refine 3 dou of urine down to 3 sheng. Store in a non-leaking vessel. Mix with the subsequent herbs.
Xingren (Apricomi Semen), Taoren (Persicae Semen) (remove double kernels and skins/spices, stir-fry until yellow), Jiegeng (Platycodonis Radix), Weirui (Polygonati Odorati Rhizoma), Zhike (Aurantii Fructus Immaturus) (bran-fried, remove pith), Dahuang (Rhei Radix et Rhizoma) (baked), Cangzhu (Atractylodis Rhizoma) (stir-fried; one formula uses Baizhu), Baifuling (Poria) (remove black skin), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared), Tianlinggai (Human Skull Cap) (fried with butter, 1 liang; substitute Tiger Bone if unavailable), Beimu (Fritillariae Bulbus) (remove heart), Wuyi (Chaulmoograe Semen), Danggui (Angelicae Sinensis Radix) (cut and baked), Huangqi (Astragali Radix) (chopped), Gui (Cinnamomi Ramulus) (remove rough bark), Jupi (Citri Reticulatae Pericarpium) (remove white pith and bake), Houpo (Magnoliae Officinalis Cortex) (remove rough bark, ginger juice fried), Fangfeng (Saposhnikoviae Radix) (remove pith), Binglang (Arecae Semen) (avoid iron), Wuzhuyu (Evodiae Fructus) (soaked in water, fried), Dansha (Cinnabaris) (separately ground), Shexiang (Moschus) (separately ground, each 1 liang), Muxiang (Aucklandiae Radix) (2.5 liang), Xijiaoxie (Rhinocerotis Cornu) (1.5 liang), Lingyangjiaoxie (Saigae Tataricae Cornu) (2.1 liang). Grind all into fine powder. Mix evenly with the previously boiled child's urine. Pound in a mortar 500 times. If sticky, add refined honey and form pills the size of Wu-tong seeds. Take 30 pills with warm water after meals. For severe cases, take again. Unblocks the Sanjiao, calms the five zang. Take regularly in all seasons to prevent labor deficiency. Epidemic miasma malaria cannot harm. For upper jiao cough, whether with sputum or dry cough, especially with blood after coughing (indicating Lung Heat), where toxic heat congestion causes nasal obstruction, hoarseness, and chest pain, preventing progression to Lung萎 (Lung Atrophy) and emaciation. Take 5 liang of this medicine to calm the disease. For burning hands and feet, mouth sores, rotten tongue, bad dreams, dental caries, toothache, and throat bi, take 5 liang. For scrofula (Luoli), if untreated according to method, attacking the five zang roots like vines around trees, causing neck destruction and death, take 8 liang for effect. For epidemic headache nearly fatal, body heat, constipation/urinary difficulty, delirium, anorexia, take 50 pills with fresh drawn water for recovery. For men/women who took too much hot medicine, now exhausted but residual qi causes attacks rushing to head/face, eye pain, dizziness, heat, heart/stomach irritability, foul breath, mouth sores, take 2 pills with warm water. Within 1-2 liang. Infantile innocent disease and adult labor disease stem from prenatal essence/blood injury, causing dry lips/mouth, diarrhea, abdominal masses, eye membranes. This cures them. For children not improving, follow adult dosage. For women with irregular menstruation (early/late, variable amount, greenish, clotted/dispersed) progressing to labor emaciation, take 1-2 liang for cure. Spring: add Longdan (Gentianae Radix), Longgu (Fossilia Ossis Mastodi et Cornus), Chaihu (Bupleuri Radix) (remove seedlings), Huanglian (Coptidis Rhizoma) (remove whiskers, lightly fried, each 1 fen). Summer: add Zhimu (Anemarrhenae Rhizoma), Shichangpu (Acori Tatarinowii Rhizoma), Maidong (Ophiopogonis Radix) (remove heart), Baifuling (Poria) (remove black skin, each 1 liang). Autumn: add Helilepi (Terminaliae Fructus Pericarpium), Qinjiao (Gentianae Macrophyllae Radix), Xuanjinhua (Inulae Flos) (each 1 liang).
Longdan Wan (Gentian Pill). Treats bone steaming febrile disease, various labor miasma toxins, excessive phlegm, shortness of breath, headache, dry mouth, bitter eyes, poor appetite, gradual emaciation.
Longdan (Gentianae Radix) (3 liang), Chaihu (Bupleuri Radix) (remove seedlings), Qinjiao (Gentianae Macrophyllae Radix) (remove seedlings and soil), Weirui (Polygonati Odorati Rhizoma), Shengma ( Cimicifugae Rhizoma), Baibu (Stemonae Radix), Zhishi (Aurantii Fructus Immaturus) (remove pith, bran-fried), Yanzhusu (Cyperi Rhizoma - *Note: Text says 'Xuan Hu Xuan Jin Hua', likely typo for Yan Hu Suo or similar, but text reads 'Xuan Hu Xuan Jin Hua' -> treating as listed*), Xuanjinhua (Inulae Flos), Madouling (Aristolochiae Manshuriensis Radix), Baihe (Lilii Bulbus), Ziwan (Adenophorae Radix), Shegan (Belamcandae Rhizoma), Muxiang (Aucklandiae Radix), Fangfeng (Saposhnikoviae Radix) (remove skin), Huangqin (Scutellariae Radix) (remove black heart), Zhizi Ren (Gardeniae Semen), Dahuang (Rhei Radix et Rhizoma) (chopped and fried), Gualou Shi (Trichosanthis Fructus), Shashen (Glehniae Radix), Beimu (Fritillariae Bulbus) (remove heart), Xiaoshi (Natrii Nitratis Crystal), Ningshuishi (Natron), Yinchenhao (Artemisiae Scopariae Herba), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma) (cut and baked), Qinghao (Artemisiae Annuae Herba), Kuandonghua (Farfarae Flos), Maidong (Ophiopogonis Radix) (remove heart, each 1 liang, baked). Grind into powder, refine honey, form pills size of Wu-tong seeds. Take 30 pills per dose with rice water or wine.
Shengdihuang Jian Wan (Fresh Rehmannia Decoction Pill) (from *Shenghui Fang*). Treats bone steaming labor disease with irritability/heat, dry mouth, red cheeks, cough with chills/fever, night sweats, dry/thin limbs. Suitable for use.
Niuxi (Achyranthis Bidentatae Radix) (4 liang, remove seedlings), Shenggandihuang Zhi (Juice of Fresh Rehmannia Root) (1 sheng), Qinghao (Artemisiae Annuae Herba) juice (1 sheng), Shengjiang Zhi (Ginger Juice) (1 he), Tongzi Xiaoshui (Child's Urine) (3 sheng), Shenggandihuang (Dried Rehmannia Root) (4 liang), Taoren (Persicae Semen) (3 liang, remove skins/spices, grind to paste, cook with other 6 herbs in stone pot over slow fire until soft, grind, extract juice, strain, add half 1 jin of honey, refine to paste), Chuan Dahuang (Rhei Radix et Rhizoma) (1 liang, chopped, slightly fried), Biejia (Testudinis Carapax et Plastrum) (2 liang, coated with vinegar, fried until yellow, remove skirt), Chi Fuling (Red Poria) (3 fen), Huhuanglian (Coptidis Rhizoma alternative/Tinosporae Radix? Text says Hu Huanglian, likely Coptis or related bitter herb) (3 fen), Xijiaoxie (Rhinocerotis Cornu) (powder), Zhimu (Anemarrhenae Rhizoma), Zhike (Aurantii Fructus Immaturus) (bran-fried, slightly yellow, remove pith), Longdan (Gentianae Radix) (remove stub), Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix), Digupi (Lycii Cortex), Jiegeng (Platycodonis Radix) (remove stub), Sangbaipipi (Mori Cortex) (chopped), Chi Shaoyao (Red Peony Root), Danggui (Angelicae Sinensis Radix) (each 2 fen), Shexiang (Moschus) (0.5 liang, finely ground), Qinjiao (Gentianae Macrophyllae Radix) (1 liang, remove seedlings), Chaihu (Bupleuri Radix) (1 liang, remove seedlings). Grind into powder, mix in Shexiang evenly. Use previous pounding method, 500-700 strikes. Form pills size of Tung seeds. Take 30 pills with warm wine before meals, or clear porridge drink. Avoid fried/greasy foods, noodles, amaranth.
Biejia Tang (Turtle Shell Decoction). Treats men and women with bone steaming, wasting of skin/flesh, sallow complexion, anorexia, nighttime cough, thick/sticky sputum, joint pain.
Biejia (Testudinis Carapax et Plastrum) (remove skirt, vinegar-fried yellow, 3 liang), Qinjiao (Gentianae Macrophyllae Radix) (remove seedlings/soil, 3 liang), Ziwan (Adenophorae Radix) (remove soil, 1.5 liang), Chaihu (Bupleuri Radix) (remove seedlings, 3 liang), Helilepi (Terminaliae Fructus Pericarpium) (baked, 1.5 liang), Muli (Concha Ostreae), Mahuang (Ephedrae Herba) (remove roots/joints), Xijiaoxie (Rhinocerotis Cornu), Zhimu (Anemarrhenae Rhizoma) (cut/baked), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared), Zhizi Ren (Gardeniae Semen), Binglang (Arecae Semen) (chopped), Muxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix) (cut/baked), Jiegeng (Platycodonis Radix) (fried), Sangbaipipi (Mori Cortex) (chopped), Dahuang (Rhei Radix et Rhizoma) (fried), Huanglian (Coptidis Rhizoma) (remove whiskers), Taoren (Persicae Semen) (fried), Renshen (Ginseng Radix et Rhizoma), Gui (Cinnamomi Ramulus) (remove rough bark), Weirui (Polygonati Odorati Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang). Coarsely grind and sieve. Take 3 qian per dose with 1 sheng of water, 1 jujube (split), 1 wumei (smoked plum), 3 slices of ginger. Boil 3-5 times, strain, drink slightly warm. Any time.
Tagan Wan (Wild Cat Liver Pill) (from *Shenghui Fang*). Treats bone steaming labor heat, emaciation, irritability/pain. Suitable for use.
Tagan (Wild Cat Liver) (1 liang, slightly fried), Shexiang (Moschus) (1 liang, finely ground), Xijiaoxie (Rhinocerotis Cornu) (0.5 liang), Niuhuang (Calculus Bovis) (1 fen, finely ground), Biejia (Testudinis Carapax et Plastrum) (1 liang, butter-coated, fried slightly yellow, remove skirt), Tianlinggai (Human Skull Cap) (3 fen, butter-coated, fried slightly yellow), Awei (Asafoetida) (1 liang, bran-wrapped, baked until dough is cooked), Xionghuang (Realgar) (3 fen, finely ground), Muxiang (Aucklandiae Radix) (0.5 liang), Longdan (Gentianae Radix) (0.5 liang, remove stub), Huanglian (Coptidis Rhizoma) (3 fen), Zhimu (Anemarrhenae Rhizoma) (3 fen), Chaihu (Bupleuri Radix) (1 liang, remove seedlings), Digupi (Lycii Cortex) (3 fen), Chi Shaoyao (Red Peony Root) (0.5 liang), Maidong (Ophiopogonis Radix) (1.5 liang, remove heart/bake), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang, raw), Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang), Huangqin (Scutellariae Radix) (0.5 liang), Chi Fuling (Red Poria) (3 fen), Chuanshengma ( Cimicifugae Rhizoma) (0.5 liang), Zhusha (Cinnabaris) (3 fen, finely ground), Binglang (Arecae Semen) (3 fen). Grind into powder, ensure uniformity. Mix with refined honey, pound 200-300 times. Form pills size of Wu-tong seeds. Take 30 pills with clear porridge drink at any time. Avoid amaranth.
Qinghao Wan (Artemisia Annua Pill). Treats boys and girls with bone steaming heat progressing to labor, anorexia, bland taste, body pain, spreading yang heat, bluish complexion.
Qinghao (Artemisiae Annuae Herba) (chopped, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (chopped, 1 liang), Taoren (Persicae Semen), Xingren (Apricomi Semen) (each 2 liang, remove skins/spices/double kernels). Place in 5 sheng of child's urine in a porcelain bottle, support bottom with bricks, burn with chaff fire overnight, then remove. Grind peach/apricot seeds separately into paste and add later.
Shaoyao (Paeoniae Radix), Zhimu (Anemarrhenae Rhizoma), Tianlinggai (Human Skull Cap) (fried), Cheqianzi (Plantaginis Semen), Ziwan (Adenophorae Radix) (remove soil, each 1 fen), Weirui (Polygonati Odorati Rhizoma), Danggui (Angelicae Sinensis Radix) (cut/baked), Zhike (Aurantii Fructus Immaturus) (remove pith, bran-fried), Shengdihuang (Rehmanniae Radix Recens) (baked), Binglang (Arecae Semen) (chopped), Huanglian (Coptidis Rhizoma) (remove whiskers), Qinjiao (Gentianae Macrophyllae Radix) (remove seedlings/soil), Jingsanleng (Sparganii Rhizoma) (baked/chopped), Chaihu (Bupleuri Radix) (remove seedlings), Xuduan (Dipsaci Radix) (each 1 fen), Tagan (Wild Cat Liver) (fried, 0.5 liang), Shexiang (Moschus), Xijiao (Rhinocerotis Cornu) (raw powder, 1 liang). Except for the first four, grind into powder. Mix with peach/apricot paste, pound 10-20 times. Gradually add the boiled child's urine, wet-pound 1000-2000 times. If hard, add 1.5 liang of mature honey, pound more. Form pills size of Wu-tong seeds. Take 30 pills daily with cooked water at any time. Add 0.5 liang Beimu (Fritillariae Bulbus) for cough. For women with amenorrhea, add Mudan (Moutan Cortex) and Yanhusuo (Corydalis Rhizoma) each 1 fen. For five-center irritability, add Digupi (Lycii Cortex), Fushen (Poria with Hostwood), Lingyangjiao (Saigae Tataricae Cornu). For early stage not yet transmitted to organs, take with wine; cured in 4 doses. For abdominal masses, aversion to cold/headache, sallow face, brittle hair, cured after taking.
Zhudu Huanglian Wan (Pork Stomach Coptis Pill) (from *Shengji Zonglu*). Treats bone steaming deficiency labor, infectious pulmonary atrophy, incessant cough, severe emaciation, high fever, or aversion to cold, cold abdomen, limb irritability/pain, anorexia, headache/dry mouth, thick sputum, unquenchable thirst.
Zhudu (Pork Stomach) (1 unit, boiled in child's urine until cooked, finely cut and ground to powder), Zhimu (Anemarrhenae Rhizoma), Wuyiren (Chaulmoagrae Semen) (fried, each 2 liang), Ziwan (Adenophorae Radix) (remove seedlings, 2 liang), Baibu (Stemonae Radix), Biejia (Testudinis Carapax et Plastrum) (remove skirt, vinegar-soaked/fried), Huangqin (Scutellariae Radix) (remove black heart), Renshen (Ginseng Radix et Rhizoma), Beimu (Fritillariae Bulbus) (remove heart), Chaihu (Bupleuri Radix) (remove seedlings), Digupi (Lycii Cortex), Longdan (Gentianae Radix) (remove stub), Baifuling (Poria) (remove black skin), Huangqi (Astragali Radix) (chopped, each 1 liang), Huanglian (Coptidis Rhizoma) (remove whiskers). Nineteen ingredients ground to powder. Refined honey pills size of Wu-tong seeds. Take 20 pills with warm wine on empty stomach.
Modified Huangqi Jianzhong Tang (Astragalus Middle-Building Decoction) (from *Jingxiao Fang*). Treats five labors and bone steaming in men/women. Trial shows miraculous effect.
Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Jiegeng (Platycodonis Radix) (each 3 qian), Renshen (Ginseng Radix et Rhizoma) (1.5 qian), Qinjiao (Gentianae Macrophyllae Radix), Bei Chaihu (Bupleuri Radix), Fangfeng (Saposhnikoviae Radix), Baishaoyao (White Peony Root), Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (remove tail), Zexie (Alismatis Rhizoma), Shengdihuang (Rehmanniae Radix Recens), Shudihuang (Rehmanniae Radix Preparata), Digupi (Lycii Cortex), Roudoukou (Myristicae Semen) (baked), Binglang (Arecae Semen), Suosharen (Amomi Fructus Rotundus) (each 5 qian), Zhuling (Polyporus) (4 qian), Huangqi (Astragali Radix). Make into powder. Take 3 qian per dose with 1.5 sheng of water, simmer, drink warm. Any time. Elderly add 1 liang Huangqi (Astragali Radix).
Or Biejia Jian Wan (Turtle Shell Decoction Pill) (also named Qinghao Biejia Jian Wan, from *Wangshi Boji Fang*). Treats deficiency labor bone steaming, evening/morning irritability/heat, restless sleep/appetite, five-center heat/oppression.
Biejia (Testudinis Carapax et Plastrum) (remove skirt, vinegar-fried), Chaihu (Bupleuri Radix) (remove seedlings, each 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared/chopped), Xingren (Apricomi Semen) (remove skins/spices/double kernels, fried), Jiegeng (Platycodonis Radix), Danggui (Angelicae Sinensis Radix) (cut/baked), Digupi (Lycii Cortex), Renshen (Ginseng Radix et Rhizoma), Chi Shaoyao (Red Peony Root) (each 1 liang), Muxiang (Aucklandiae Radix), Gui (Cinnamomi Ramulus) (remove rough bark, each 0.5 liang), Huanglian (Coptidis Rhizoma), Huhuanglian (Coptidis Rhizoma variant) (each 1 fen), Shexiang (Moschus) (separately ground, 2 qian), Su (Butyrum) (3 liang), Mi (Honey) (3 liang). Sixteen ingredients. Except Shexiang, Su, Mi, grind to powder. Boil 1 jin Qinghao (Artemisiae Annuae Herba) in 5 sheng child's urine and 1 sheng good wine until 2 sheng remains. Remove herbs, add Su and Mi, refine to paste. Cool, add powder and Shexiang, mix and form pills size of Wu-tong seeds. Take 15-20 pills with warm wine or rice water. Three times daily.
Treating Bone Steaming Leprosy/Epidemic (from *Shengji Zonglu*). Chills/fever malaria, five corpses/nine annotations, heart/abdominal cramping like stabbing, all toxic ghosts/evil, all heat toxins, beriberi confusion, attacking irritability, mouth sores, madness/wandering, resolving all poisons, including mineral/herb heat toxins, jaundice/dry heat, pain.
Jin (Gold) (15 liang), Yin (Silver) (15 liang), Hanshuishi (Aqua Mineralis), Shigao (Gypsum Fibrosum), Cishi (Magnetitum), Huashi (Talcum) (each 3 jin). These four minerals ground together...
Muxiang (Aucklandiae Radix) (1 liang), Xijiao (Rhinocerotis Cornu) (sliced, 5 liang), Dingxiang (Caryophylli Flos) (4 liang), Chenxiang (Aquilariae Lignum Resinatum) (5 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (prepared, 8 liang), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix) (each 1 liang). Except the first six, boil in 3 dou water until 1 dou remains. Strain clean. Mix with previous decoction. Add 5 sheng Shuniao (Potassium Nitrate/Niter), finely ground into liquid. Slow-fire boil, stirring constantly. Reduce to slightly over 1 dou. Pour into basin/vessel. As it congeals, add 3 liang Fei Zhusha (Water-ground Cinnabar) and 1.1 liang Shexiang (Moschus) powder, grind to powder, mix evenly. Cover. In two days, forms like frost/snow. Dry in sun. Store in new jar/bottle, seal tightly. Take when sick. Strong adults take 1 qian with cold water. Adjust dosage based on strength. For beriberi or toxicity from mineral drugs, take 0.5 qian with water. Lie supine after taking, pad waist high, directing medicine to chest/abdomen. For red/hot/painful eyes, mix with cold water, drop into inner/outer canthus. Initial slight pain, then tears flow and settle. 3-5 times daily, same at night. Effective. For heat sores in mouth, hold like apricot pit size, let dissolve, swallow slowly.
Treating Bone Steaming with Infectious Worms (from *Shenghui Fang*).
Peng Ezhu (Curcumae Rhizoma) (3 fen), Biejia (Testudinis Carapax et Plastrum) (3 liang, butter-coated, fried slightly yellow, remove skirt), Chaihu (Bupleuri Radix) (1.5 liang, remove seedlings), Ziwan (Adenophorae Radix) (3 fen, remove seedlings/soil)