女人虚劳,有得之郁抑伤阴者,有得之蓐劳者,有得之崩带者。其郁抑伤阴,虽以调肝
为急
以为治也。蓐劳非即是劳嗽,蓐劳重,然后伤肺而劳嗽以成。治当以归脾、养荣,兼清金主
之。别有气极一种,短气不能言者,却不在阳虚例,乃肺病也。此症虽陈皮,亦在所忌。
夫劳极之候,血虚血少,艰于流布,甚至血不脱于外,而但蓄于内,蓄之日久,周身血
走之
虫,遂成尸疰瘵症。其或因湿火蒸化,或因死痰渗入清 而成,皆是类也。自此竭人之神气,养
虫之神气,人死则虫亦死,其游魂之不死者,传亲近之一脉,附入血隧,似有如无,其后虫日荣
长,人日凋瘁,而命随以毙。故传尸劳又与尸疰症不同,尸疰因虚损而成,若传尸则在素无虚损
之人,一传染,即现出劳怯候,或发热、骨蒸,或咳嗽、吐血、唇红、面青等症者是。所传亦
分五脏,在脾肠 ,在心吐血,在肝与肺则咳嗽也。治尸疰以清金养荣为本,其杀虫断祟,当
以獭肝、獭爪、熊指、啄木等丹治之。至犯传尸者,一见其外症唇红、面青、骨蒸、内热,饮
食健啖,而人渐瘦不已者,必有虫也,治以獭爪百部丸主之。
患虚劳者,若待其已成而后治之,病虽愈,亦是不经风浪,不堪辛苦的人,在富贵者犹
有生
之,令其善为调摄,随用汤液十数剂,或用丸剂胶剂二三斤,以断其根,岂非先事之善策哉
。
妇女虚劳病,有的是因情志抑郁损伤阴血所致,有的是因产后过度劳累(蓐劳)所致,有的是因崩漏或带下病所致。其中因情志抑郁损伤阴血的,治疗应以调理肝脏为当务之急。产后劳损并不等同于肺痨咳嗽,只有当产后劳损严重时,才会进而损伤肺脏,从而形成肺痨咳嗽。对此类病症的治疗,应当以归脾汤、养荣汤为主,兼用清润肺金(肺脏)的药物来主治。另有“气极”这一种病症,表现为呼吸短促、不能多言,这不属于阳虚的范畴,而是肺部的病变。此症虽然看似轻微,但陈皮也在禁忌之列。
至于劳极(极度疲劳衰竭)的证候,由于血虚且血量少,血液运行流通困难,甚至出现血液不向外流失,反而淤积在体内的情况。淤积日久,体内滋生“血虫”,遂形成尸疰瘵症。这些病症或是因为湿热火邪蒸腾化生,或是因为死痰渗入经络而成,都属于此类。这种病耗竭人的神气,却滋养虫子的神气;人死后虫子也随之死亡,而那些游荡不散的“鬼魂”(指致病因子),会传染给亲近之人,附着进入血脉通道,似有似无。此后虫子日益繁荣生长,人体日渐凋敝衰弱,最终导致死亡。因此,“传尸劳”与“尸疰症”有所不同:尸疰是因虚损而形成的;而传尸劳则是在原本没有虚损的人身上,一旦受到传染,立即显现出劳怯的症状,如发热、骨蒸潮热,或咳嗽、吐血、嘴唇红赤、面色青暗等表现。所传之邪也分属五脏:在脾肠间则表现为腹泻或便血,在心则表现为吐血,在肝与肺则表现为咳嗽。治疗尸疰以清润肺金、养血荣身为根本,其杀虫驱邪的作用,应当使用獭肝、獭爪、熊指、啄木等丹药来治疗。至于感染传尸劳的患者,一见其外症表现为唇红、面青、骨蒸、内热,饮食健旺,但身体逐渐消瘦不止的,必定是有虫存在,治疗应以獭爪百部丸为主方。
患虚劳病的人,如果等到病症已经形成后才去治疗,即使病愈了,也会成为经不起风雨、不堪忍受辛劳的人。对于富贵人家,尚且有办法使其生存下来,让他们善于调养摄生,随即服用汤药十几剂,或者使用丸剂、胶剂二三斤,以断绝病根,这难道不是事前的良策吗?
In women, deficiency consumption (Xu Lao) may arise from emotional depression damaging Yin blood, from postpartum overexertion (Ru Lao), or from metrorrhagia and leukorrhea. For cases caused by emotional depression damaging Yin blood, the priority in treatment is to regulate the Liver. Postpartum overexposure (Ru Lao) is not identical to pulmonary tuberculosis cough; only when Ru Lao is severe does it damage the Lung, thereby forming pulmonary tuberculosis cough. Treatment for this should primarily employ Guipi Tang (Restore the Spleen Decoction) and Yangrong Tang (Nourish the Vigor Decoction), combined with herbs that clear and moisten Metal (the Lung). There is another condition known as "Qi Ji" (Extreme Qi Deficiency), characterized by shortness of breath and inability to speak; this does not fall under the category of Yang deficiency but is a disease of the Lung. Although this condition appears mild, Chenpi (Dried Tangerine Peel) is among the contraindicated substances.
Regarding the state of extreme exhaustion (Lao Ji), due to blood deficiency and scantiness, the flow and distribution of blood become difficult. In severe cases, blood does not leak externally but accumulates internally. After prolonged accumulation, "blood worms" (pathogenic factors) emerge throughout the body, leading to the formation of Shizhu Zhai (Corpse-Infesting Tuberculosis). These conditions arise either from steaming transformation by damp-heat fire or from the infiltration of stale phlegm into the meridians, all belonging to this category. This pathology depletes the spirit and Qi of the human body while nourishing the spirit and Qi of the parasites; when the person dies, the parasites also die. However, those wandering spirits (pathogenic agents) that do not perish will transmit to close contacts, attaching themselves to the blood vessels, appearing present yet absent. Subsequently, the parasites flourish daily while the human body withers and declines, ultimately leading to death. Therefore, Chuanshi Lao (Transmitting Corpse Consumption) differs from Shizhu Zheng (Corpse-Infesting Syndrome): Shizhu arises from deficiency and damage, whereas Chuanshi occurs in individuals who previously had no deficiency; upon transmission, symptoms of consumption and timidity immediately appear, such as fever, bone-steaming heat, cough, hemoptysis, red lips, and cyanotic complexion. The transmitted pathogen also affects the Five Zang organs: affecting the Spleen and Intestines leads to diarrhea or bloody stools; affecting the Heart leads to hemoptysis; affecting the Liver and Lung leads to cough. The treatment of Shizhu takes clearing and moistening Metal (Lung) and nourishing blood and vigor as the root principle. To kill parasites and dispel malign influences, Dan medicines made from Otter Liver (Tiegan), Otter Claws (Tiezha), Bear Fingers (Xiongzhi), and Woodpecker (Zhuomu) should be used. As for those infected with Chuanshi, if external signs such as red lips, cyanotic complexion, bone-steaming heat, and internal heat are observed, along with robust appetite but progressive emaciation, it indicates the presence of parasites. Treatment should be directed with Tazha Baibu Wan (Otter Claw and Stemona Pill).
For patients suffering from deficiency consumption, if treatment is delayed until the disease has already manifested, even if cured, the patient will remain frail, unable to withstand wind, rain, or hard labor. Among the wealthy, there are still methods to sustain life, allowing them to properly care for their health. By administering several doses of decoctions, or two to three jin of pills and gelatin preparations, the root of the disease can be eradicated. Is this not an excellent preventive strategy?