治虚劳瘦损，潮汗遗嗽，失血诸证全具，脉浮而芤濡虚大，缓迟无力，或沉而迟涩，弱细
结代无力，皆虚而不足，可补者，当此主之。
人参（取上品高丽者，五分） 黄 （外白内黄绵软者，蜜炒，一钱） 大甘草（炙，五分）
生
煨，一钱） 玄参（忌铁，木槌槌碎，一钱） 北五味（十五粒） 沙参（一钱） 天门冬（去心、
皮，一钱） 麦门冬（去心，一钱）
上十二味，皆详考《本草纲目》，及素所经验，于内伤火病最切者，一味不可遗之。若
有遗证，必如前症之增减，乃可中隙，况前之增减之法，未必一一括尽病情，更当于后之药
性中互参之，则无不中其肯綮矣。
按∶古制治痨诸方，鲜有不用参、 者，盖亦得其病情之旨，第今者惑于王氏之论，一
目而畏之如蛇蝎，遂为废典矣，愚谓古人之立方也，必神于监制，素所经验者，乃以示人。
之术庸识浅辈，不能神其神，而反妄议雌黄，致病家亦以其言横之胸中，至死而不悟也。
迨以剂中诸品，考之《本草》，则无一不中病情者，但于中间有一二味，性稍不纯，有妨阴
，姑摘之。如乐氏建中汤之细辛，黄 鳖甲散、黄 扶羸汤、人参黄 散、蛤蚧散等剂之半
夏，华盖散之白矾，太平丸之麝香等味，性稍峻燥，彼则得而妄议之，予故摘之。详考《本
云∶细辛固有益肝之能，然以气味辛香，恐炽阴火，半夏固能调和脾胃之气，亦以辛温气燥
，恐不利肺。白矾固可劫痰，而气寒，味且酸涩不平，又属金石之品。麝香固能通窍，然
以气窜恐走真气有妨。余固不敏，不能为先哲之忠臣，惟持一得之见，而删订之意，后者或
可沾泽于万一耳。谨将诸方附后，以俟后之君子而采择焉。
治疗虚劳消瘦损伤，潮热盗汗、遗精咳嗽，以及失血等各种症状全部具备，脉象浮大而中空如葱管（芤脉）、软弱无力或虚大，缓慢迟滞且无力，或者沉取时迟涩、微弱细小、结代且无力，这些都属于正气虚弱不足、可以通过补益来治疗的证候，应当使用本方主治。
人参（选用上品高丽参，五分） 黄芪（外皮白色内里黄色、质地绵软者，用蜜炒制，一钱） 大甘草（炙烤，五分） 熟地黄（煨制，一钱） 玄参（忌用铁器，用木槌敲碎，一钱） 北五味子（十五粒） 沙参（一钱） 天门冬（去心、皮，一钱） 麦门冬（去心，一钱）
以上十二味药，都详细考证过《本草纲目》，并结合了平日所验证的经验，是对于内伤火病最为贴切的，一味药都不可以遗漏。如果有遗留的症状，必然要根据前述病症进行增减，才能切中病机，况且前面的增减方法，未必能一一概括尽所有的病情，更应当在后面关于药性的论述中互相参考，这样就没有不切中要害的了。
按语：古代制定治疗痨病（慢性消耗性疾病）的各种方剂，很少有不用人参、黄芪的，大概也是掌握了病情的宗旨。只是现在的人被王好古等人的理论所迷惑，一见人参、黄芪就害怕它们像蛇蝎一样，于是废弃了这些经典用法。我认为古人制定方剂，必定精通监制配伍之法，都是经过自己长期验证后，才展示给世人。那些见识浅薄的庸医，不能理解其中的深意，反而胡乱妄议，导致医生们也将这些话横亘在心中，至死都不醒悟。等到拿方剂中的各种药物，对照《本草》考证时，发现没有一味不是切合病情的，只是在中间有一两味药，药性稍不纯正，有妨碍阴液之弊，姑且将其剔除。比如乐氏建中汤中的细辛，黄芪鳖甲散、黄芪扶羸汤、人参黄芪散、蛤蚧散等方剂中的半夏，华盖散中的白矾，太平丸中的麝香等药物，药性稍微峻烈燥热，他们却因此妄加议论，所以我将其摘除。详细考证《本草》可知：细辛固然有益肝的功能，但其气味辛香，恐怕会助长阴火；半夏固然能调和脾胃之气，但也因辛温气燥，恐怕不利于肺。白矾固然可祛除痰饮，但其气寒，味道酸涩不平，又属于金石类药材。麝香固然能通窍，但因其气味走窜，恐怕会耗散真气而有妨害。我虽然不敏，不能做先哲的忠臣，只坚持自己的一点见解，而删订的意图，或许后世之人能从中得到万一的益处。谨将各方附在后面，以等待后来的君子们采纳选择。
To treat consumptive disease (Xulao) with emaciation and damage, tidal fever with night sweats, seminal emission, cough, and all symptoms of hemorrhage fully present; where the pulse is floating and hollow (Kou), soft, deficient, and large, slow and迟 (Chi) with no force, or deep, slow, choppy, weak, thin, knotted, intermittent, and without force—all indicating deficiency and insufficiency that can be tonified—this main prescription should be used.
Ren Shen (Ginseng Radix et Rhizoma, select high-grade Korean Ginseng, 5 fen) Huang Qi (Astragali Radix, outer skin white, inner flesh yellow, soft and fibrous, stir-fried with honey, 1 qian) Da Gan Cao (Licorice Root, roasted, 5 fen) Shu Di Huang (Prepared Rehmanniae Radix, baked, 1 qian) Xuan Shen (Scrophulariae Radix, avoid iron, crush with wooden pestle, 1 qian) Bei Wu Wei Zi (Schisandrae Fructus, 15 grains) Sha Shen (Glehniae Radix, 1 qian) Tian Men Dong (Asparagi Radix, remove heart and peel, 1 qian) Mai Men Dong (Ophiopogonis Radix, remove heart, 1 qian)
The above twelve herbs are all carefully verified against *Bencao Gangmu* (Compendium of Materia Medica) and based on personal experience; they are most pertinent to internal injury and fire diseases. Not a single herb should be omitted. If there are residual symptoms, modifications must be made according to the aforementioned conditions to hit the mark precisely. Moreover, the previous methods of modification may not cover every aspect of the pathology; one should cross-reference them with the subsequent discussion on herb properties, ensuring accuracy in targeting the root cause.
Note: Ancient prescriptions for treating tuberculosis-like consumption rarely omitted Ren Shen (Ginseng) and Huang Qi (Astragalus), likely because they grasped the essence of the pathology. However, modern practitioners, confused by the theories of Wang Haogu and others, fear these herbs as if they were snakes and scorpions, leading to their abandonment as classic treatments. I believe that ancient physicians formulated prescriptions with mastery over mutual restraint and compatibility, sharing only those proven through experience. Mediocre doctors with shallow knowledge cannot comprehend this subtlety but instead rashly criticize, causing physicians to harbor these misconceptions until death. Upon verifying the ingredients in these formulas against *Bencao*, one finds that none fail to address the pathology. However, one or two herbs in some formulas have slightly impure properties that may hinder Yin fluids, so I have tentatively excluded them. For example, Xi Xin (Asari Radix et Rhizoma) in Le Shi Jian Zhong Tang; Ban Xia (Pinelliae Tuber) in Huang Qi Bie Jia San, Huang Qi Fu Lei Tang, Ren Shen Huang Qi San, and Ge Jie San; Bai Fan (Alumen) in Hua Gai San; and She Xiang (Moschus) in Tai Ping Wan. These herbs are slightly harsh and drying. Critics use this to disparage them, so I have excluded them. Detailed study of *Bencao* reveals: Xi Xin benefits the Liver, but its pungent and aromatic nature may exacerbate Yin fire; Ban Xia harmonizes Spleen and Stomach Qi, but its pungent-warm and dry nature may disadvantage the Lungs; Bai Fan can劫痰 (forcefully resolve phlegm), but its cold nature and sour/astringent taste, being a mineral substance, are unbalanced; She Xiang opens orifices, but its penetrating nature may scatter True Qi. Though I am not talented enough to be a loyal minister to the sages, I hold my own insights. The intent of deletion and revision is that future generations might benefit from it. I hereby attach the various formulas below, awaiting selection by later scholars.