论久坐 论久卧
天师曰∶劳治者，使之身劳而后治之也。如人久坐则血滞筋疏，久卧则肉痿而骨缩，必使之行走
于途中，攀援于岭上，而后以药继之也。方用当归一两，白芍三钱，黄 一两，甘草一钱，陈皮五分，
防风五分，半夏一钱，水煎服。此方原是补血汤而变之者也。盖久坐、久卧之人，其血甚滞，若再补血，
则血有余而气不足，未免血胜于气矣，似宜急以补
气之药补之。今仍补血者何也？盖气之能生，必本血之能养，吾反驱之于奔走攀援之际，而后以补血之药
继之者，使气喘则气更不足，而血愈加有余，仍以补血之药加之，则血喜气之怯，转怜其匮乏，损己之有
余，以益气之不足，则血气和平。而滞者不滞，痿者不痿矣。此劳治之所以妙也。
张公曰∶不必增。
华君曰∶余亦未传。
论过劳 论治气劳 论治血劳
天师曰∶逸者，因人之过劳，而劝其安闲，而后以汤丸之药继之者也。凡人太劳，则脉必浮大不伦，
按之无力，若不劝其安闲作息，必有吐血损症之侵，故逸治不可不讲也。或遨游于山水，或习静于房
围，或养闲于书史琴玩，或偷娱于笙箫歌板，是随地皆可言欢，而生人无非乐境，自足转火宅而清凉，
变劳心为暇豫也。后以滋补之方继之，自然开怀，饮食易于消磨矣。方用人参三两，白术五两，茯苓三
两，熟地五两，山茱四两，砂仁五钱，当归八两，白芍五两，黄 五两，麦冬三两，北五味二两，陈皮
五钱，神曲一两，各为末，蜜为丸。每日早晚服，各五钱。此方乃补气补血补精之妙品也，有斡旋之力，
可以久服滋人，不致有偏胜之祸也。逸治之方，惟此最佳，幸为留意。
张公曰∶劳逸得宜，方剂有法，吾无间然。吾方虽有。不及天师，汝言亦是有理。予再传二
方，一治气之劳，一治血之劳。劳气方∶人参三两，黄 三两，茯苓四两，白术八两，白芍三两，陈
皮一两，炙甘草八钱，麦冬二两，北五味
一两，远志一两，白芥子一两，各为末，蜜为丸，早服五钱。此方乃补气药也。人有伤气而右脉大
者，最宜服此方。倘左手脉大于右手者，乃伤血也。另立一方，用熟地八两，白芍八两，当归四两，
山茱萸四两，麦冬三两，五味子一两，远志一两，生枣仁一两，茯神三两，砂仁五钱，白芥子一两，
橘红三钱，肉桂五钱，各为末，蜜为丸。晚服一两。此方专治血之不足也。如身夜热者，加地骨皮五
两，去肉桂。无血人服之，实有奇功。可并载之，以供世人之采择。
论久坐与久卧
天师说：所谓“劳治”，就是让患者身体先经历劳作，然后再进行药物治疗。比如人如果长时间坐着，就会导致血液停滞、筋脉松弛；如果长时间躺着，就会导致肌肉萎缩、骨骼收缩。必须让他们在路途上行走，在山岭间攀爬，之后再用药物接续治疗。方剂使用当归一两，白芍三钱，黄芪一两，甘草一钱，陈皮五分，防风五分，半夏一钱，加水煎服。这个方子原本是基于补血汤变化而来的。大概是因为久坐、久卧的人，他们的血液非常瘀滞，如果再单纯补血，就会造成血有余而气不足的情况，未免出现血胜于气的局面，似乎应该急于用补气的药物来补气。现在为什么仍然使用补血药呢？大概因为气能够生成，必须以血作为滋养的根本。我们反而驱使他们奔走攀爬，之后再用补血药接续，使得气喘时气更加不足，而血相对更加有余。此时仍以补血药加之，血会喜爱气的怯弱，转而怜悯气的匮乏，于是损耗自己多余的血液，来补充气不足的亏缺，从而使气血平和。这样瘀滞的就不再瘀滞，萎缩的就不再萎缩了。这就是“劳治”的精妙之处。
张公说：不需要增加（药物）。
华君说：我也没有传授过这种方法。
天师说：“逸治”，是因人过度劳累，劝其安闲休息，然后再用汤剂或丸药接续治疗。凡人过于劳累，脉搏必然浮大无序，按压无力。如果不劝告他们安闲作息，必定会有吐血等虚损病症的侵袭，所以“逸治”不可不讲究。或者遨游于山水之间，或者在居室中修习静坐，或者在书籍史册、琴棋玩好中培养闲情，或者在笙箫歌舞中偷得娱乐，这是随时随地都可以言欢，人生无非都是乐境，自然能将如火宅般的痛苦转为清凉，将劳心劳力变为闲暇安逸。之后再以滋补的方剂接续，自然心情开朗，饮食也易于消化了。方剂用人参三两，白术五两，茯苓三两，熟地黄五两，山茱萸四两，砂仁五钱，当归八两，白芍五两，黄芪五两，麦冬三两，北五味子二两，陈皮五钱，神曲一两，各研为末，蜂蜜制成丸药。每日早晚服用，每次五钱。这个方子是补气、补血、补精的妙品，具有斡旋调和之力，可以长期服用滋养人体，不会导致偏胜的危害。“逸治”的方剂，只有这个最佳，希望留意。
张公说：劳逸得当，方剂有法度，我对这些没有异议。我的方子虽然也有，但不及天师高明，你的话也是有道理的。我再传授两个方子，一个治疗气劳，一个治疗血劳。治气劳的方子：人参三两，黄芪三两，茯苓四两，白术八两，白芍三两，陈皮一两，炙甘草八钱，麦冬二两，北五味子一两，远志一两，白芥子一两，各研为末，蜂蜜制成丸药，早晨服用五钱。这个方子是补气药。人有伤气且右脉大的，最适合服用此方。倘若左手脉大于右手脉，那是伤血了。另外设立一方，使用熟地黄八两，白芍八两，当归四两，山茱萸四两，麦冬三两，五味子一两，远志一两，生枣仁一两，茯神三两，砂仁五钱，白芥子一两，橘红三钱，肉桂五钱，各研为末，蜂蜜制成丸药，晚上服用一两。这个方子专门治疗血的不足。如果身体夜间发热，加地骨皮五两，去掉肉桂。无血之人服用它，确实有奇效。可以一并记载，以供世人选择采用。
On Sitting for Long Periods and Lying Down for Long Periods
The Heavenly Master said: "Labor treatment" (Lao Zhi) refers to making the patient's body undergo physical exertion before administering treatment. For instance, if a person sits for a long time, blood circulation stagnates and tendons become lax; if they lie down for a long time, muscles atrophy and bones shrink. It is necessary to make them walk along paths and climb up ridges, and only then follow up with herbal medicine. The prescription consists of Dang Gui (Radix Angelicae Sinensis) 1 liang, Bai Shao (Radix Paeoniae Alba) 3 qian, Huang Qi (Radix Astragali Membranacei) 1 liang, Gan Cao (Radix Glycyrrhizae Uralensis) 1 qian, Chen Pi (Pericarpium Citri Reticulatae) 5 fen, Fang Feng (Radix Saposhnikoviae) 5 fen, and Ban Xia (Rhizoma Pinelliae Ternatae) 1 qian, decocted in water and taken orally. This prescription is originally derived from Bu Xue Tang (Blood-Nourishing Decoction). Generally speaking, people who sit or lie for long periods have very stagnant blood. If one merely tonifies blood, there will be an excess of blood but a deficiency of Qi, leading to a state where blood surpasses Qi. It seems appropriate to urgently tonify Qi with Qi-tonifying herbs. Why, then, does this prescription still use blood-nourishing herbs? The reason is that Qi generation must be rooted in Blood nourishment. By driving them to run and climb first, and then following up with blood-nourishing herbs, when Qi becomes deficient due to panting, Blood becomes relatively excessive. At this point, adding blood-nourishing herbs allows Blood to appreciate the weakness of Qi and pity its scarcity. Thus, Blood uses its surplus to supplement the deficiency of Qi, achieving a harmony between Qi and Blood. Consequently, stagnation resolves, and atrophy reverses. This is the subtlety of "Labor treatment."
Master Zhang said: No additions are needed.
Lord Hua said: I have not transmitted this method either.
On Overexertion, On Treating Qi Fatigue, and On Treating Blood Fatigue
The Heavenly Master said: "Leisure treatment" (Yi Zhi) involves advising patients who are overexerted to rest peacefully, followed by the administration of decoctions or pills. When a person is overly fatigued, the pulse inevitably becomes floating, large, and irregular, feeling weak upon pressure. If they are not advised to rest and regulate their activities, they are liable to suffer from consumptive diseases such as hemoptysis. Therefore, "Leisure treatment" cannot be neglected. One may wander in mountains and rivers, practice quietude within one's residence, cultivate leisure through reading history and playing the zither, or find amusement in music and song. In this way, joy can be found everywhere, and life becomes a realm of happiness, naturally transforming the suffering of the mortal world into coolness and tranquility, and changing mental labor into leisurely ease. Subsequently, using nourishing prescriptions helps open the heart and facilitates digestion. The prescription consists of Ren Shen (Radix Ginseng) 3 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 5 liang, Fu Ling (Poria) 3 liang, Shu Di Huang (Radix Rehmanniae Preparata) 5 liang, Shan Zhu Yu (Fructus Corni Officinalis) 4 liang, Sha Ren (Fructus Amomi Rotundus) 5 qian, Dang Gui (Radix Angelicae Sinensis) 8 liang, Bai Shao (Radix Paeoniae Alba) 5 liang, Huang Qi (Radix Astragali Membranacei) 5 liang, Mai Dong (Radix Ophiopogonis Japonici) 3 liang, Bei Wu Wei Zi (Fructus Schisandrae Chinensis) 2 liang, Chen Pi (Pericarpium Citri Reticulatae) 5 qian, and Shen Qu (Massa Medicata Fermentata) 1 liang. These are ground into powder and formed into pills with honey. Take 5 qian morning and evening. This prescription is an excellent product for tonifying Qi, Blood, and Essence. It has the power to mediate and harmonize, allowing for long-term use to nourish the body without causing harm from imbalance. Among "Leisure treatment" prescriptions, this is the best; please pay attention to it.
Master Zhang said: Balancing work and rest appropriately, and having methods for prescriptions, I have no objections. Although I have my own prescriptions, they do not surpass those of the Heavenly Master, and your words are reasonable. I will transmit two more prescriptions: one for treating Qi fatigue and one for treating Blood fatigue. The prescription for Qi fatigue: Ren Shen (Radix Ginseng) 3 liang, Huang Qi (Radix Astragali Membranacei) 3 liang, Fu Ling (Poria) 4 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 8 liang, Bai Shao (Radix Paeoniae Alba) 3 liang, Chen Pi (Pericarpium Citri Reticulatae) 1 liang, Zhi Gan Cao (Radix Glycyrrhizae Preparata) 8 qian, Mai Dong (Radix Ophiopogonis Japonici) 2 liang, Bei Wu Wei Zi (Fructus Schisandrae Chinensis) 1 liang, Yuan Zhi (Radix Polygalae Tenuifoliae) 1 liang, and Bai Jie Zi (Semen Sinapis Albae) 1 liang. These are ground into powder and formed into pills with honey. Take 5 qian in the morning. This is a Qi-tonifying prescription. It is most suitable for those who have injured their Qi and present with a larger right pulse. If the left pulse is larger than the right, it indicates injury to Blood. Another prescription is established separately: Shu Di Huang (Radix Rehmanniae Preparata) 8 liang, Bai Shao (Radix Paeoniae Alba) 8 liang, Dang Gui (Radix Angelicae Sinensis) 4 liang, Shan Zhu Yu (Fructus Corni Officinalis) 4 liang, Mai Dong (Radix Ophiopogonis Japonici) 3 liang, Wu Wei Zi (Fructus Schisandrae Chinensis) 1 liang, Yuan Zhi (Radix Polygalae Tenuifoliae) 1 liang, Sheng Zao Ren (Semen Ziziphi Spinosae) 1 liang, Fu Shen (Poria cum Radice) 3 liang, Sha Ren (Fructus Amomi Rotundus) 5 qian, Bai Jie Zi (Semen Sinapis Albae) 1 liang, Ju Hong (Exocarpium Citri Reticulatae Rubrum) 3 qian, and Rou Gui (Cortex Cinnamomi) 5 qian. These are ground into powder and formed into pills with honey. Take 1 liang in the evening. This prescription specifically treats Blood deficiency. If the body feels hot at night, add Di Gu Pi (Cortex Lycii Chinensis) 5 liang and remove Rou Gui (Cortex Cinnamomi). For those lacking Blood, it indeed produces miraculous effects. It can be recorded together for others to choose from.