人有纵欲伤精，两胫酸痛，腰背拘急，行立足弱，夜卧遗泄，阴汗痿靡，精神倦怠，饮
食减少，而耳飕飕如听风声，人以为传尸之痨瘵也，谁知是自伤于肾，为初起之痨瘵乎。夫
人之贪色，或立而行房，或劳而纵送，或一泄未已而再泄，或已劳未息而再劳，或兴未来而
黾勉强合，或力已竭而带乏图欢，或天分浓薄，服春药而快志，或材具本小，学展龟以娱心
，或行疫辛苦犹然交会，或思虑困穷借以忘忧，一宵之欢遂成终身之疾，原不在妇女之众，
与泄精之多也，不知节便即成痨矣。必致失血，兼之吐痰咳嗽，夜热盗汗，畏寒畏热，似疟
非疟，胸中似饥非饥，似痛非痛，饮馔之类，既不能多，复不能化。失情失绪，骨蒸火动，
又思色以泄其火，见色而动其意，鬼交梦遗而不可止，于是发寒发热，骨髓之中遂生痨虫，
因循至死，深可伤也。治法补真精之乏，开胃气之衰，加之杀虫之药，安在将死者之不可救
乎。
方用救瘵汤∶
熟地（五钱） 白芍（二钱） 山药（二钱） 沙参（三钱） 地骨皮（五钱） 麦冬（二钱） 北五味（十粒） 人
参（五分） 白薇（五分） 白芥子（一钱） 鳖甲（一钱） 茯苓（一钱）
水煎服。十剂虫死，二十剂胃气大开，连服二月，精神渐旺。服一年而愈，然必须断色
欲也。
此方补阴居多，少加人参以助胃气，则补阴而无腻滞之忧。即所用杀虫之药，非野狼虎毒
味可比，消弭于无形，所以有益无损也。此方看其平常，配合精良，以治初起之痨，实有神
功耳。
此症用救败汤治之。
地骨皮 丹皮（各五钱） 人参（三分） 白芍（三钱） 山药（一两） 甘草（二分）
水煎服。
前病用前方妙矣，然伤肾以成前病者，世人颇多，恐一方不足以概治也。我更受异人之
传，尚有一方以治前病甚效，因并志之。异人谓伤肾以致生痨虫者，必须先杀其虫，后用补
肾之药，则肾经受益，否则徒补其精也。盖虫不去，则所生之精，仅足以供虫之用，虫得精
之旺，虫之势愈大，与其于补中杀虫，不若先杀其虫，后补其阴之为胜。惟是杀虫之药，未
有不更伤其阴者。吾方则不然，虽死其虫，而于阴仍未有损，且能开胃。
方名祛祟丹∶
鳗鱼（一条，重六两） 怀山药（三两） 芡实（一两）
水煮极烂，少加青盐同食，食完不必吃饭，一日必须食完，连汤汁饮之。一次之后，隔
七日再照前食之。三次则骨中之虫无不死者，然后另用起瘵汤∶
人参（一钱） 茯苓（三钱） 麦冬（三钱） 北五味子（十粒） 生枣仁（二钱） 熟地（五钱） 山茱萸（二
钱） 巴戟天（二钱） 白芍（一钱） 白芥子（五分） 沙参（一钱）
水煎服。服一月精渐旺矣。再服一月全愈。
此方平中有奇，前方奇中实平，皆异人所传，余不敢隐，愿与世共之，以救初起肾痨之
病云。
人有夜卧常惊，或多恐怖，心悬悬未安，气吸吸欲尽，淫梦时作，盗汗日多，饮食无味
，口内生疮，胸中烦热，终朝无力，惟思睡眠，唇似朱涂，颧如脂抹，手足心热，液燥津
干，人以为肾经之痨瘵，谁知肾传于心，而心初受病乎。夫心宫宁静，邪不可侵，邪侵于心
，则神必越出于外，肾痨生虫，无形之邪气犯心，尚不可救，乌容有形之虫深入哉。不知虫
虽有形，而虫之气亦无形，肾气既交于心，而肾中之虫气，乌得不上交哉。虫之气与肾之气
自是不同，肾气交心，而心受益，虫气交心，而心受损，何必虫入心而心始病乎。然则治法
不必治心，仍治肾可也。然而徒治肾而虫在，则虫之气仍在肾，心仍受虫之害也。故救心必
须滋肾，而滋肾必须杀虫。
方用起瘵至神汤∶
熟地（一两） 山茱萸（五钱） 麦冬（一两） 茯苓（五钱） 山药（五钱） 芡实（三钱） 肉桂（三分） 白
术
（三钱） 杜仲（一钱） 鳖甲（五钱） 百部（二钱）
水煎服。连服十剂，痨虫死矣。再服一月，肾气旺而心气安。再服一月全愈。
此方全是
补肾安心之剂，惟鳖甲、百部乃杀虫之药，鳖甲深攻，引百部直入于至阴之内，又是补阴而
不伤于髓，虫以为养身之味，讵知是杀身之味耶。虫死而肾无异气，则心气受益，而又有麦
冬、茯苓、白术之相扶，自然庆安奠于宫中，喜敉宁于殿上也。
此症用安养汤亦效。
人参 百部（各一钱） 山药（一两） 甘草（三分） 麦冬（五钱） 北五味十粒 白术（二钱） 茯神（三
水煎服。
人有咳嗽吐痰，气逆作喘，卧倒更甚，鼻口干燥不闻香臭，时偶有闻，即芬郁之味，尽
是朽腐之气，恶心欲吐，肌肤枯燥，时作疼痛，肺管之内，恍似虫行，干皮细起，状如麸
片，人以为肺经痨瘵也，谁知是心痨而传之肺乎。夫肺为娇脏，最恶心气之克，心以正火刑
肺，肺尚受病，况以尸虫病气移而刑肺，肺安得而不病乎。然而肺气之伤者，伤于心之火气
也。心受虫气之伤，心自顾不遑，何能分其虫气以克肺，不知心嫌虫气之侵，乃不自受，即
以虫气移入于肺，而自避其毒也。况肺为肾之母，肺原能自交于肾，而肾之虫气，何独不交
于肺乎。此心肾交侵，痨瘵之势，倍重于肾之传心矣。治法消心中之虫气，不若仍消肾中之
虫气出。然而心肾两伤，又消两经之虫，药必先经于胃，虫未必杀而胃气先亡，则肺金大失
化源，非治之善也。法宜健胃，则分布精液，心肾有益，胃又无损，则虫可得而诛矣。
方用健土杀虫汤∶
白术（五钱） 人参（二钱） 白薇（二钱） 万年青（一片） 熟地（一两） 麦冬（一两） 山茱萸（三钱） 生
枣仁（三钱） 车前子（二钱） 贝母（一钱）
水煎服。二剂气喘少平，又二剂咳嗽渐轻，又二剂知香臭，又二剂疼痛渐止，服三月全
愈。
此方补胃气又不助阳，消虫气又不损液，肾足以制心，而心不至于刑肺，实治痨传肺之
妙法也。
此症用护肺饮亦佳。
白术 人参 百合（各二钱） 白薇 天冬（各一钱） 麦冬（三钱） 款冬花（五分） 天花粉 桔梗
（各六分）
水煎服。
人有两目KT KT ，面无血色，两胁隐隐作痛，热则吞酸，寒则发呕，痰如鼻涕，或清
或黄，臭气难闻，泪干 涩，尝欲合眼，睡卧不安，多惊善怖，人以为肝经之痨瘵也，谁知
是肺痨次传于肝乎。夫肺金克肝木者也，使肝木本旺，肺何能克之。无如肾痨之后，久不生
肝，则肝木无滋润之气，肝弱可知。肺即乘其弱，将虫气交于肝，肝欲拒之而无力，不得已
顺受其虫气矣。肝为肾之子，肾见肝子已受虫气，惟恐肝气不敌，乃移其肾气以生肝，而虫
气即因肾气之移，而同移入于肝矣，虫蚀肝血，肝又何养乎。治法仍须救肾以生肝，兼之生
肝以杀虫也。
方用援瘵汤∶
白芍（一两） 当归（一两） 熟地（一两） 山茱萸（五钱） 茯苓（五钱） 鳖甲（五钱） 白薇（二钱）
水煎服。十剂少痊，二十剂更痊，服三月乃愈。
此方肝肾两治之汤也。止鳖甲、白薇乃杀虫之味，不寒不热，既无偏胜之虞，能补能攻
，又是两全之道。杀虫于无形，起死于将绝者也。或谓痰色青黄，方中消痰逐秽之品似不可
少。不知虫入肾肝，非直救二经，何能夺命，况消痰逐秽之品，用之益伤脾胃，肝既受虫之
侵，正欲移传于脾，倘再伤之，不引虫入于中州乎。故宁大补肾肝，使二脏受益，其痰自化
，断不敢轻用消痰逐秽之品，以再伤脾胃耳。
此症用疗瘵汤亦佳。
白芍 熟地（各五钱） 当归（四钱） 鳖甲（三钱） 鳗鱼骨（烧黑灰，三分） 北五味（十粒） 水煎
人有胸前饱闷，食不消化，吐痰不已，时时溏泻，肚痛腹胀，空则雷鸣，唇口焦干，毛
发干耸，面色黄黑，微微短气怯难接续，便如黑汁，痰似绿涕，人以为脾经之劳瘵也，谁知
是肝痨而传于脾乎。夫五脏之痨，传入于脾，本不可救，不必更立救脾痨之法也。虽然人有
胃气一线未绝，无不可接续于须臾，脾与胃为表里，胃绝则脾绝，万无生理，脾绝而胃未绝
尚有生机，正不可因其肝虫之入脾，即诿于天命之绝也。余自行医以来，曾救一妇人得此症
，脉又细数，众医皆以痨病传脾，为必死之症，其夫亦弃之不治。余见饮食知味，谓其夫曰
∶尊正尚有一线可救，何忍看其死而不一援乎。其夫曰∶众医皆弃而不治，非我不欲生之也
。余劝其单服二白散，用∶
山药 芡实（各等分，约各四斤） 万年青（四大片）
各炒、磨为细末，入白糖一斤，滚水调服。
遇饥即用，无论数次。其妇闻之如法喜吞，头一日即服五大碗。约五月，每日如此，脾
气渐服渐愈，竟得不死。问其前后所服几何?约百斤也。后见余称谢。因备志之，以助行医
方法之穷。二味既能健脾，尤能补肾，肾脾兼治，所以奏功。况万年青杀虫于无形，入之于
二味之中，虫亦不知其何以消灭于无踪也。此方不特单治脾痨，但不可责其近功耳。若加入
人参二两以助胃气，则胃气更健，脾气尤易援耳。
此症用援怯汤亦妙。
白术 山药（各一两） 茯苓（三钱） 人参（三钱） 芡实（五钱） 白薇（一钱） 鳗鱼骨末（五分） 肉桂
（三分）
水煎调服。
人有阴虚火动，每夜发热如火，至五更身凉，时而有汗，时而无汗，觉骨髓中内炎，饮
食渐少，吐痰如白沫，人以为骨蒸之痨瘵也，谁知是肾水不能制火乎。夫肾中水火，必须两
平，火之有余，水之不足也。水不足，火始有余。骨蒸之病，正坐于火旺水亏耳。治法不必
泻肾中之火，但补其肾中之水，则水足济火，肾既不热，骨髓之内外何能热乎。
方用凉髓丹∶
地骨皮（一两） 丹皮（一两） 麦冬（五钱） 金钗石斛（三钱） 牛膝（二钱） 茯苓（二钱）
水煎服。连服四剂而内热轻，再服四剂内热尽除，服一月而前症尽愈。
此方用地骨、丹皮，不特补肾中之水，且取其能凉骨中之髓，与消骨外之血也。夫骨中
髓热，必耗其骨外之血，骨外血热，必烁其骨中之髓。故兼用二味，则髓与血两治，无太热
之虞，肾中宁独热哉。况石斛、牛膝，无非补肾阴之味。阴旺则阳平，水胜则火退，骨蒸不
蒸，而痨瘵何能成哉。
此症用纯阴汤亦佳。
玄参 麦冬 丹皮 地骨皮 熟地（各三钱）
水煎服。
人有气虚，气息短促不足以息，与劳役形体气急促者迥殊，懒于语言，饮食无味，身体
困倦，人以为气痨也，谁知是阳虚下陷，由于内伤其元气乎。夫元气藏于关元之中，上通肺
而下通肾。元气不伤，则肾中真阳自升于肺而肺气始旺，行其清肃之令，分布于五脏七腑之
间。若元气一伤，不特真阳不能上升，且下陷于至阴之中以生热矣。此热乃虚热，非实热也
。实热可泻，虚热宜补，故必用甘温之药以退其虚热。然而单用甘温以退其热，不用升提之
味以挈其下陷之阳，则阳沉于阴，而气不能举，虽补气亦无益也。即升提其气矣。不用补气
之味，则升提力弱，终难轻举其气也。
方用补中益气汤∶
人参（五钱） 白术（五钱） 炙黄 （三钱） 当归（三钱） 陈皮（五分） 甘草（五分） 升麻（二分） 柴
胡
（三分） 加贝母（一钱）
水煎服。一剂气升，二剂气旺，十剂生力，胃气大开，前病顿失。
补中益气汤乃李东垣一生学问全注于此方，妙在用柴胡、升麻于参、术、 、归之内，
一从左旋而升心、肝、肾之气，一从右旋而升肺、脾、胃、命门之气，非仅升举上、中二焦
之气也。
此症用提陷汤亦效。
黄 麦冬（各五钱） 白术 人参（各二钱） 甘草（三分） 桔梗（一钱） 神曲（五分）
水煎服。
人有血虚者，面无色泽，肌肉焦枯，大肠干燥，心多怔忡，健忘不寐，饮食少思，羸瘠
不堪，夜热无汗，人以为血痨也，谁知是肝燥而生火乎。夫肝中火盛，往往自焚，终由于肾
水之不能生木，非失血吐于外，即耗血燥于内耳。肝既自燥，火生木中，正可火生木外，似
乎心火得肝木之火而旺矣。无如木中有水，则肝可生心，木中有火，则肝能焚心。故火在心
中可取给于肝，而火在肝中则自顾之不暇耳。然则治法必先治肾，而治肾必先补水也。
方用∶
玄参（一两） 丹皮（五钱） 沙参（五钱） 白芍（一两） 当归（五钱） 甘菊花（三钱） 茯苓（三钱） 麦
冬
（五钱）
水煎服。十剂夜热除，二十剂燥症解，三十剂各病均愈。
此方名为滋肝饮，实补肾以滋肝也。肝得肾水之滋，则肝木之火不发，何致自焚而成痨
哉。
此症用加减四物汤∶
白芍 当归 生地（各五钱） 熟地（一两） 丹皮（三钱）
水煎服。
人有过于贪饕燔熬烹炙之物，馨香甘肥之品，尽情恣食，以至食不能化，胸中饱闷，久
【背景信息】
书名：辨证录 作者：陈士铎 朝代：清 章节：痨瘵门（十七则）(1/3) 类别：综合
【原文翻译】
有人因纵欲过度损伤肾精，导致两小腿酸痛，腰背部拘挛紧急，行走站立时双腿无力，夜间睡眠时发生遗精滑泄，阴部出汗且阴茎痿软萎靡，精神疲倦懈怠，饮食减少，耳朵里发出飕飕声如同听到风声。人们认为这是“传尸”（一种具有传染性的慢性消耗性疾病）所致的痨瘵病，哪里知道这是自己伤害了肾脏，属于初起阶段的痨瘵病呢？
大凡人们贪恋美色，有的站着行房事，有的在劳累后放纵情欲，有的是一次射精未止又进行第二次，有的是已经劳累却未休息又再次劳累，有的是性欲尚未到来却勉强交合，有的是精力已竭却带着疲乏之躯寻求欢愉，有的是天资禀赋浓厚或薄弱，服用春药以快意，有的是性能力本来不足，却学习某些技巧来娱乐心神，有的是在经历瘟疫或辛苦劳作之后仍然进行房事，有的是思虑困顿穷尽借以忘却忧愁。仅仅一晚上的欢愉，就成就了终身的疾病，这原本不在于妇女众多，也不在于射精次数多，只是不知道节制就会立刻形成痨病。必然会导致失血，兼有吐痰、咳嗽、夜间发热盗汗、怕冷又怕热、症状像疟疾又不是疟疾、胸中感觉似饥饿又不是饥饿、似疼痛又不是疼痛，对于饮食，既不能多吃，也不能消化。情绪失常，思绪紊乱，出现骨蒸（感觉热量从骨头里透发出来）、虚火内动，又想着通过色欲来宣泄火势，见到美色就心动，出现鬼交（梦中性交）和梦遗且无法控制，于是出现发冷发热，骨髓之中便生出痨虫，拖延至死，实在令人悲伤。
治疗方法应补充真精的匮乏，开胃气的衰弱，再加上杀虫的药物，哪里有将死之人不可救治的呢？
方用救瘵汤：
熟地黄（五钱） 白芍（二钱） 山药（二钱） 沙参（三钱） 地骨皮（五钱） 麦冬（二钱） 北五味子（十粒） 人参（五分） 白薇（五分） 白芥子（一钱） 鳖甲（一钱） 茯苓（一钱）
水煎服。服用十剂后虫子死亡，二十剂后胃气大开，连续服用两个月，精神逐渐旺盛。服用一年而痊愈，然而必须断绝色欲。
这个方子补阴的药居多，少量加入人参以辅助胃气，那么补阴就没有腻滞的担忧。即使所用杀虫的药物，也不是野狼虎等有毒味的药物可以比拟的，它们在无形中消弭了害虫，所以只有益处没有损害。这个方子看起来平常，但配合精良，用来治疗初起的痨病，确实有神奇的功效。
此症也可以用救败汤治疗。
地骨皮 牡丹皮（各五钱） 人参（三分） 白芍（三钱） 山药（一两） 甘草（二分）
水煎服。
前面的病用前面的方子很妙，然而因为伤肾而成为前面所述病症的人，世间很多，恐怕一个方子不足以概括所有治法。我另外受到异人的传授，还有一个方子治疗前面的病非常有效，因此一并记录下来。异人说伤肾导致生痨虫的，必须先杀死虫子，然后再用补肾的药，这样肾经才能受益，否则只是徒劳地补充精气罢了。因为虫子不去，所产生的精气，仅足以供虫子使用，虫子得到精气的滋养，气势更加强大，与其在补益的过程中杀虫，不如先杀死虫子，再补阴来得优胜。只是那些杀虫的药物，没有不进一步损伤阴液的。我的方子却不是这样，虽然杀死了虫子，但对阴液并没有损害，而且能开胃。
方名祛祟丹：
鳗鱼（一条，重六两） 怀山药（三两） 芡实（一两）
用水煮至极烂，稍加青盐一同食用，吃完不必再吃饭，一天必须吃完，连同汤汁一起喝下。一次之后，间隔七天再按照前法食用。三次之后，骨头中的虫子没有不死的，然后另外用起瘵汤：
人参（一钱） 茯苓（三钱） 麦冬（三钱） 北五味子（十粒） 生酸枣仁（二钱） 熟地黄（五钱） 山茱萸（二钱） 巴戟天（二钱） 白芍（一钱） 白芥子（五分） 沙参（一钱）
水煎服。服用一个月精气逐渐旺盛。再服用一个月完全痊愈。
这个方子平淡中有奇妙之处，前面的方子奇妙中其实平淡，都是异人传授的，我不敢隐瞒，愿意与世人共享，以拯救初起肾痨的病人。
有人夜间睡觉经常惊醒，或者多有恐惧感，心中悬悬不安，气息微弱似乎要耗尽，淫梦时常发作，盗汗日益增多，饮食无味，口中生疮，胸中烦热，整天没有力气，只想睡觉，嘴唇像涂了朱砂，颧骨像抹了脂粉，手足心发热，津液干燥，人们认为是肾经的痨瘵病，哪里知道是肾病传给了心，而心刚开始受病呢？
心宫宁静，邪气不可侵犯，邪气侵犯于心，那么神志必定越出于体外。肾痨生虫，无形的邪气犯心，尚且不可救治，何况是有形的虫子深入呢？不知道虫子虽然有形，但虫子的气也是无形的。肾气既然上交于心，那么肾中的虫气，怎么能不上交于心呢？虫气与肾气自然是不同的，肾气交于心，心受益；虫气交于心，心受损。何必虫子进入心脏心脏才生病呢？然而治疗方法不必治心，仍然治肾就可以了。然而如果只治肾而虫子还在，那么虫气仍在肾，心仍然受虫子的危害。所以救心必须滋肾，而滋肾必须杀虫。
方用起瘵至神汤：
熟地黄（一两） 山茱萸（五钱） 麦冬（一两） 茯苓（五钱） 山药（五钱） 芡实（三钱） 肉桂（三分） 白术（三钱） 杜仲（一钱） 鳖甲（五钱） 百部（二钱）
水煎服。连续服用十剂，痨虫死亡。再服用一个月，肾气旺盛而心气安宁。再服用一个月完全痊愈。
这个方子全是补肾安心的药剂，只有鳖甲、百部是杀虫的药物，鳖甲深入攻伐，引导百部直接进入至阴之内，又是补阴而不损伤骨髓，虫子把它当作养身的味道，哪里知道这是杀身的味道呢？虫子死后肾中没有异气，那么心气受益，又有麦冬、茯苓、白术的扶持，自然庆贺安宁于宫中，喜悦平定于殿上。
此症用安养汤也有效。
人参 百部（各一钱） 山药（一两） 甘草（三分） 麦冬（五钱） 北五味子十粒 白术（二钱） 茯神（三钱）
水煎服。
有人咳嗽吐痰，气逆作喘，躺下时更严重，鼻口干燥闻不到香味和臭味，偶尔能闻到，即使是芬芳郁香的气味，全部是腐朽之气，恶心欲吐，肌肤枯燥，时常疼痛，肺管之内，恍惚感觉有虫子爬行，干皮细起，形状像麸片，人们认为是肺经的痨瘵病，哪里知道是心痨传给了肺呢？
肺为娇脏，最厌恶气机的克制，心以正火刑克肺，肺尚且受病，何况是尸虫病气转移来刑克肺，肺怎么能不受病呢？然而肺气受伤，是伤心之火气所致。心受虫气伤害，心自顾不暇，怎么能分出虫气来克肺？不知道心嫌弃虫气的侵入，不愿自己承受，就将虫气移入于肺，从而躲避其毒性。况且肺为肾之母，肺原本能与肾相交，那么肾中的虫气，为什么唯独不与肺相交呢？这是心肾互相侵扰，痨瘵的形势，比肾传心更加严重。治疗方法消除心中的虫气，不如消除肾中的虫气根源。然而心肾两伤，又要消除两经的虫子，药物必须先经过胃，虫子未必杀死而胃气先亡，那么肺金大大失去化源，不是好的治法。法度应当健胃，那么分布精液，心肾有益，胃又不受损，那么虫子就可以诛灭了。
方用健土杀虫汤：
白术（五钱） 人参（二钱） 白薇（二钱） 万年青（一片） 熟地黄（一两） 麦冬（一两） 山茱萸（三钱） 生酸枣仁（三钱） 车前子（二钱） 贝母（一钱）
水煎服。服用两剂气喘稍微平稳，又两剂咳嗽渐渐减轻，又两剂能闻香臭，又两剂疼痛渐渐停止，服用三个月完全痊愈。
这个方子补胃气又不助阳，消虫气又不损液，肾足以制心，而心不至于刑克肺，确实是治疗痨病传肺的妙法。
此症用护肺饮也很好。
白术 人参 百合（各二钱） 白薇 天冬（各一钱） 麦冬（三钱） 款冬花（五分） 天花粉 桔梗（各六分）
水煎服。
有人两眼昏暗不明，面无血色，两胁隐隐作痛，热时吞酸，寒时呕吐，痰像鼻涕，或清或黄，气味难闻，泪干涩，常常想闭眼，睡卧不安，多惊惧易恐怖，人们认为是肝经的痨瘵病，哪里知道是肺痨依次传给了肝呢？
肺金克肝木，如果肝木本旺，肺怎么能克它？无奈肾痨之后，长久不生肝木，则肝木没有滋润之气，肝弱可知。肺就乘其虚弱，将虫气交给肝，肝想拒绝却无力，不得已顺受了虫气。肝为肾之子，肾见肝子已受虫气，唯恐肝气不敌，于是移其肾气以生肝，而虫气就借着肾气移动的机会，一同移入于肝了，虫子侵蚀肝血，肝又怎么滋养呢？治疗方法仍须救肾以生肝，兼之生肝以杀虫。
方用援瘵汤：
白芍（一两） 当归（一两） 熟地黄（一两） 山茱萸（五钱） 茯苓（五钱） 鳖甲（五钱） 白薇（二钱）
水煎服。服用十剂稍微痊愈，二十剂更加痊愈，服用三个月乃痊愈。
这个方子是肝肾两治的汤剂。只有鳖甲、白薇是杀虫的味道，不寒不热，既没有偏胜的忧虑，既能补又能攻，又是两全之道。在无形中杀虫，使将绝者起死回生。有人说痰色青黄，方中消痰逐秽的物品似乎不可少。不知道虫子进入肾肝，如果不直接救这两经，怎么能夺命？况且消痰逐秽的物品，使用会进一步损伤脾胃，肝既然受虫子的侵袭，正想转移传给脾，如果再损伤它，不是引虫子进入中州（脾胃）吗？所以宁可大补肾肝，使两脏受益，痰自然化解，绝不敢轻用消痰逐秽的物品，以再次损伤脾胃。
此症用疗瘵汤也很好。
白芍 熟地黄（各五钱） 当归（四钱） 鳖甲（三钱） 鳗鱼骨（烧成黑灰，三分） 北五味子（十粒）
水煎服。
有人胸前饱闷，食物不消化，吐痰不停，时时溏泻，肚痛腹胀，空腹时肠鸣如雷，唇口焦干，毛发干枯耸立，面色黄黑，微微短气怯懦难以接续，大便像黑汁，痰像绿涕，人们认为是脾经的劳瘵病，哪里知道是肝痨传给了脾呢？
五脏的痨病，传入于脾，本来不可救，不必再设立救脾痨的方法。虽然人有胃气一线未绝，没有不可以瞬间接续的，脾与胃为表里，胃绝则脾绝，万无生理，脾绝而胃未绝尚有生机，正不可因为肝虫进入脾，就推诿于天命已绝。我自己从行医以来，曾救过一个妇人得此症，脉象又细数，众医生都认为是痨病传脾，是必死的症候，她的丈夫也放弃不治。我看见她饮食知味，对她的丈夫说：“尊夫人还有一线可救，怎么忍心看她死而不一救呢？”她的丈夫说：“众医生都放弃不治，不是我不想让她活。”我劝他单服二白散，用：
山药 芡实（各等分，约各四斤） 万年青（四大片）
分别炒制、磨为细末，加入白糖一斤，滚水调服。
遇到饥饿就用，无论多少次。那妇人听了按方法欢喜吞服，第一天就服了五大碗。大约五个月，每天如此，脾气渐渐恢复痊愈，竟然得以不死。问她前后服用了多少？大约一百斤。后来见我称谢。因此详细记录，以辅助行医方法的穷尽。两味药既能健脾，尤能补肾，肾脾兼治，所以奏效。况且万年青在无形中杀虫，放入这两味药中，虫子也不知道它如何消灭于无踪。这个方子不仅单独治疗脾痨，只是不能要求它迅速见效。如果加入人参二两以辅助胃气，那么胃气更健，脾气更容易挽救。
此症用援怯汤也很妙。
白术 山药（各一两） 茯苓（三钱） 人参（三钱） 芡实（五钱） 白薇（一钱） 鳗鱼骨末（五分） 肉桂（三分）
水煎调服。
有人阴虚火动，每晚发热如火，到五更身凉，时而出汗，时而不出汗，感觉骨髓内部发炎，饮食渐渐减少，吐痰像白沫，人们认为是骨蒸的痨瘵病，哪里知道是肾水不能制火呢？
肾中水火，必须两平，火有余，是水不足。水不足，火始有余。骨蒸的病，正是由于火旺水亏。治疗方法不必泻肾中之火，只要补其肾中之水，那么水足济火，肾既不热，骨髓的内外怎么能热呢？
方用凉髓丹：
地骨皮（一两） 丹皮（一两） 麦冬（五钱） 金钗石斛（三钱） 牛膝（二钱） 茯苓（二钱）
水煎服。连续服用四剂内热减轻，再服四剂内热尽除，服用一个月前症尽愈。
这个方子用地骨皮、丹皮，不仅补肾中之水，而且取其能凉骨中之髓，以及消骨外之血。骨中髓热，必耗其骨外之血，骨外血热，必烁其骨中之髓。所以兼用这两味，则髓与血两治，没有太热的忧虑，肾中难道独热吗？况且石斛、牛膝，无非是补肾阴的味道。阴旺则阳平，水胜则火退，骨蒸不蒸，而痨瘵怎么能形成呢？
此症用纯阴汤也很好。
玄参 麦冬 丹皮 地骨皮 熟地黄（各三钱）
水煎服。
有人气虚，气息短促不足以呼吸，与劳役形体气急促者截然不同，懒于语言，饮食无味，身体困倦，人们认为是气痨，哪里知道是阳虚下陷，由于内伤其元气呢？
元气藏于关元穴中，上通肺而下通肾。元气不伤，则肾中真阳自然上升于肺而肺气始旺，行其清肃之令，分布于五脏七腑之间。若元气一伤，不仅真阳不能上升，而且下陷于至阴之中产生热。此热乃虚热，非实热。实热可泻，虚热宜补，所以必用甘温的药以退其虚热。然而单用甘温以退热，不用升提的药以挈其下陷之阳，则阳沉于阴，而气不能举，虽补气也无益。即使用了升提的气，不用补气的药，则升提力弱，终难轻举其气。
方用补中益气汤：
人参（五钱） 白术（五钱） 炙黄芪（三钱） 当归（三钱） 陈皮（五分） 甘草（五分） 升麻（二分） 柴胡（三分） 加贝母（一钱）
水煎服。一剂气升，二剂气旺，十剂生力，胃气大开，前病顿失。
补中益气汤是李东垣一生学问全注于此方，妙在用柴胡、升麻于参、术、芪、归之内，一从左旋而升心、肝、肾之气，一从右旋而升肺、脾、胃、命门之气，并非仅升举上、中二焦之气。
此症用提陷汤也有效。
黄芪 麦冬（各五钱） 白术 人参（各二钱） 甘草（三分） 桔梗（一钱） 神曲（五分）
水煎服。
有人血虚，面无色泽，肌肉焦枯，大肠干燥，心多怔忡，健忘不寐，饮食少思，羸瘦不堪，夜热无汗，人们认为是血痨，哪里知道是肝燥而生火呢？
肝中火盛，往往自焚，最终由于肾水之不能生木，不是失血吐于外，就是耗血燥于内。肝既自燥，火生木中，正可火生木外，似乎心火得肝木之火而旺。无奈木中有水，则肝可生心，木中有火，则肝能焚心。故火在心中可取给于肝，而火在肝中则自顾不暇。然则治疗方法必先治肾，而治肾必先补水。
方用：
玄参（一两） 丹皮（五钱） 沙参（五钱） 白芍（一两） 当归（五钱） 甘菊花（三钱） 茯苓（三钱） 麦冬（五钱）
水煎服。十剂夜热除，二十剂燥症解，三十剂各病均愈。
这个方子名为滋肝饮，实则是补肾以滋肝。肝得肾水之滋，则肝木之火不发，何致自焚而成痨哉。
此症用加减四物汤：
白芍 当归 生地黄（各五钱） 熟地黄（一两） 丹皮（三钱）
水煎服。
有人过于贪吃烧烤烹炸之物，馨香甘肥之品，尽情恣食，以至食不能化，胸中饱闷，久
[Background Information]
Book: Bian Zheng Lu (Record of Syndrome Differentiation)
Author: Chen Shiduo
Dynasty: Qing
Chapter: Lao Zhai Men (Diseases of Consumption and Tuberculosis, 17 Cases) (1/3)
Category: Comprehensive
[English Translation]
There are cases where excessive indulgence in sexual activity damages the Kidney essence, leading to soreness and pain in both calves, stiffness and tightness in the waist and back, weakness when walking and standing, nocturnal emission during sleep, sweating in the genital area with flaccidity and impotence, mental fatigue and lassitude, reduced appetite, and a whistling sound in the ears as if hearing the wind. People consider this to be "Chuan Shi" (a contagious chronic wasting disease) causing Lao Zhai (consumption/tuberculosis), but who would know that this is self-injury to the Kidney, representing the initial stage of Lao Zhai?
Generally, people's greed for lust involves various improper practices: engaging in intercourse while standing, indulging after labor, continuing ejaculation before the first has ceased, exerting oneself again without rest after fatigue, forcing union when desire has not yet arisen, seeking pleasure despite exhaustion, taking aphrodisiacs due to varying constitutions, learning techniques to entertain the mind despite inadequate sexual capacity, engaging in intercourse after suffering from epidemics or hard labor, or using sex to forget worries caused by mental exhaustion. A single night of joy can result in a lifelong illness. This originates not from having many partners or frequent emissions, but from a lack of moderation, which immediately leads to consumption. It inevitably results in blood loss, accompanied by expectoration, cough, night sweats with fever, aversion to cold and heat, symptoms resembling malaria but not being malaria, a sensation in the chest that feels like hunger but is not, and pain that feels real but is not. Regarding diet, one cannot eat much, nor can one digest food properly. Emotional instability and disordered thoughts lead to bone-steaming fever (heat emanating from the bones) and internal fire movement. The patient may seek to vent the fire through sexual desire, becoming aroused by sights, experiencing nocturnal emissions with dreams of sexual intercourse with spirits ("Gui Jiao"), and losing control. Thus, chills and fever occur, and "Lao worms" (pathogenic factors associated with tuberculosis) are generated within the bone marrow. Procrastination leads to death, which is deeply sorrowful.
The treatment method should replenish the deficiency of true essence, strengthen the decline of Stomach Qi, and add herbs that kill parasites. How could a dying person not be curable?
Prescription: Jiu Zhai Tang (Rescue Consumption Decoction)
Prepared Rehmannia Root (Shu Di Huang) - 5 qian
White Peony Root (Bai Shao) - 2 qian
Chinese Yam (Shan Yao) - 2 qian
Glehnia Root (Sha Shen) - 3 qian
Lycium Bark (Di Gu Pi) - 5 qian
Ophiopogon Tuber (Mai Dong) - 2 qian
Schisandra Berry (Bei Wu Wei Zi) - 10 berries
Codonopsis Root (Ren Shen) - 5 fen
Anemone Root (Bai Wei) - 5 fen
White Mustard Seed (Bai Jie Zi) - 1 qian
Tartar Shell (Bie Jia) - 1 qian
Poria (Fu Ling) - 1 qian
Decoct in water and take orally. After ten doses, the worms die; after twenty doses, Stomach Qi opens significantly. Continuous administration for two months gradually restores vitality. Cure is achieved after one year of use, provided sexual desires are completely abstained from.
This formula primarily nourishes Yin, with a small amount of Codonopsis to assist Stomach Qi, thus avoiding the cloying nature of Yin-nourishing herbs. Even the anti-parasitic herbs used are not comparable to toxic substances like wolf or tiger parts; they eliminate pathogens invisibly, offering benefit without harm. Although the formula appears ordinary, its combination is exquisite, possessing miraculous efficacy for treating initial-stage consumption.
For this syndrome, Jiu Bai Tang (Rescue Failure Decoction) is also effective.
Lycium Bark (Di Gu Pi)
Moutan Cortex (Dan Pi) - 5 qian each
Codonopsis Root (Ren Shen) - 3 fen
White Peony Root (Bai Shao) - 3 qian
Chinese Yam (Shan Yao) - 1 liang
Licorice Root (Gan Cao) - 2 fen
Decoct in water and take orally.
While the previous formula is excellent for the prior condition, many people suffer from kidney injury leading to such diseases. One formula may not suffice for all cases. I have received transmission from an unusual master, who provided another highly effective formula for these conditions, which I record here. The master stated that for kidney injury causing Lao worms, one must first kill the worms, then use kidney-tonifying herbs. Otherwise, merely tonifying essence is futile. If the worms remain, the generated essence only serves the worms, enhancing their power. Therefore, killing worms first and then nourishing Yin is superior. However, most anti-parasitic herbs damage Yin further. My formula differs: it kills worms without damaging Yin and aids the stomach.
Formula Name: Qu Sui Dan (Expel Evil Spirits Pill)
Eel (one piece, weighing 6 liang)
Huai Chinese Yam (Huai Shan Yao) - 3 liang
Euryale Seed (Qian Shi) - 1 liang
Boil in water until extremely soft. Add a little green salt and consume. Do not eat rice afterward. Finish the entire portion in one day, including the broth. After one course, repeat every seven days according to the same method. After three courses, worms in the bones will die. Then, use Qi Zhai Tang (Rise Consumption Decoction):
Codonopsis Root (Ren Shen) - 1 qian
Poria (Fu Ling) - 3 qian
Ophiopogon Tuber (Mai Dong) - 3 qian
Schisandra Berry (Bei Wu Wei Zi) - 10 berries
Raw Sour Jujube Seed (Sheng Zao Ren) - 2 qian
Prepared Rehmannia Root (Shu Di Huang) - 5 qian
Cornus Fruit (Shan Zhu Yu) - 2 qian
Morinda Root (Ba Ji Tian) - 2 qian
White Peony Root (Bai Shao) - 1 qian
White Mustard Seed (Bai Jie Zi) - 5 fen
Glehnia Root (Sha Shen) - 1 qian
Decoct in water and take orally. After one month, essence gradually strengthens. After another month, full recovery occurs.
This formula is plain yet extraordinary. The previous formula was extraordinary yet plain. Both were transmitted by the unusual master. I dare not conceal them and wish to share them with the world to save those with initial kidney consumption.
Some patients experience frequent waking with fright at night, constant fear, a feeling of insecurity in the heart, weak breathing as if about to cease, frequent erotic dreams, increasing night sweats, tasteless food, mouth ulcers, chest irritability, general weakness, desire for sleep, lips appearing red like vermilion, malar flush like rouge, hot palms and soles, dry fluids and parched saliva. People believe this is Kidney Meridian consumption, but who knows it is Kidney disease transmitting to the Heart, where the Heart initially suffers?
When the Heart Palace is tranquil, evil cannot invade. If evil invades the Heart, the Spirit escapes outward. Kidney consumption generates worms; invisible evil qi invading the Heart is incurable, let alone有形 (tangible) worms penetrating deeply. Although worms are tangible, their Qi is intangible. Since Kidney Qi communicates with the Heart, how can Kidney worm Qi not ascend to the Heart? Worm Qi differs from Kidney Qi. Kidney Qi benefiting the Heart brings advantage; Worm Qi harming the Heart brings damage. Why must worms enter the Heart for it to become diseased? Treatment need not focus on the Heart; treating the Kidney suffices. However, if only the Kidney is treated while worms remain, Worm Qi persists in the Kidney, and the Heart still suffers. Thus, saving the Heart requires nourishing the Kidney, and nourishing the Kidney requires killing worms.
Prescription: Qi Zhai Zhi Shen Tang (Extraordinary Efficacy Decoction for Rising Consumption)
Prepared Rehmannia Root (Shu Di Huang) - 1 liang
Cornus Fruit (Shan Zhu Yu) - 5 qian
Ophiopogon Tuber (Mai Dong) - 1 liang
Poria (Fu Ling) - 5 qian
Chinese Yam (Shan Yao) - 5 qian
Euryale Seed (Qian Shi) - 3 qian
Cinnamon Twig (Rou Gui) - 3 fen
Atractylodes Macrocephala Rhizome (Bai Zhu) - 3 qian
Eucommia Bark (Du Zhong) - 1 qian
Tartar Shell (Bie Jia) - 5 qian
Stemona Root (Bai Bu) - 2 qian
Decoct in water and take orally. After ten consecutive doses, Lao worms die. After one more month, Kidney Qi flourishes and Heart Qi calms. After another month, full recovery is achieved.
This formula entirely tonifies the Kidney and calms the Heart. Only Tartar Shell and Stemona Root kill worms. Tartar Shell penetrates deeply, guiding Stemona into the deepest Yin levels. It nourishes Yin without damaging marrow. Worms perceive it as nourishment, unaware it is lethal. Once worms die, no abnormal Qi remains in the Kidney, benefiting the Heart. Supported by Ophiopogon, Poria, and Atractylodes, peace and stability are established in the Heart Palace.
For this syndrome, An Yang Tang (Peace and Nourish Decoction) is also effective.
Codonopsis Root (Ren Shen)
Stemona Root (Bai Bu) - 1 qian each
Chinese Yam (Shan Yao) - 1 liang
Licorice Root (Gan Cao) - 3 fen
Ophiopogon Tuber (Mai Dong) - 5 qian
Schisandra Berry (Bei Wu Wei Zi) - 10 berries
Atractylodes Macrocephala Rhizome (Bai Zhu) - 2 qian
Poria with Hostwood (Fu Shen) - 3 qian
Decoct in water and take orally.
Some patients suffer from coughing with phlegm, rebellious Qi causing asthma, worsening when lying down, dry nose and mouth unable to detect odors, occasional detection of even fragrant smells as putrid, nausea, dry skin, intermittent pain, sensation of worms crawling in lung tubes, fine scaling skin resembling bran. People believe this is Lung Meridian consumption, but who knows it is Heart consumption transmitting to the Lung?
The Lung is a delicate organ, most averse to Qi restriction. If Heart Fire normally restricts the Lung, the Lung suffers; how much more so if corpse-worm Qi transfers to restrict the Lung? Lung Qi injury stems from Heart Fire. When the Heart is injured by Worm Qi, it cannot spare Worm Qi to attack the Lung. Instead, despising Worm Qi invasion, the Heart transfers Worm Qi to the Lung to avoid toxicity. Furthermore, the Lung is the Mother of the Kidney; since Lung naturally communicates with the Kidney, why shouldn't Kidney Worm Qi communicate with the Lung? This mutual invasion between Heart and Kidney makes consumption more severe than Kidney-to-Heart transmission. Eliminating Worm Qi in the Heart is less effective than eliminating it at its source in the Kidney. However, with both Heart and Kidney injured, eliminating worms in both meridians requires medicine passing through the Stomach first. If Stomach Qi fails before worms are killed, Lung Metal loses its source of transformation, which is poor treatment. The method should strengthen the Stomach to distribute fluids, benefiting Heart and Kidney without harming the Stomach, allowing worms to be eradicated.
Prescription: Jian Tu Sha Chong Tang (Strengthen Earth Kill Worms Decoction)
Atractylodes Macrocephala Rhizome (Bai Zhu) - 5 qian
Codonopsis Root (Ren Shen) - 2 qian
Anemone Root (Bai Wei) - 2 qian
Wannianqing (Periwinkle/Vinca herb) - 1 slice
Prepared Rehmannia Root (Shu Di Huang) - 1 liang
Ophiopogon Tuber (Mai Dong) - 1 liang
Cornus Fruit (Shan Zhu Yu) - 3 qian
Raw Sour Jujube Seed (Sheng Zao Ren) - 3 qian
Plantago Seed (Che Qian Zi) - 2 qian
Fritillaria Bulb (Bei Mu) - 1 qian
Decoct in water and take orally. After two doses, asthma stabilizes slightly. After two more doses, cough lightens. After two more doses, sense of smell returns. After two more doses, pain stops. Full recovery after three months.
This formula tonifies Stomach Qi without aiding Yang, eliminates Worm Qi without damaging fluids. Kidney controls Heart, preventing Heart Fire from attacking the Lung. It is a superb method for treating consumption transmitting to the Lung.
For this syndrome, Hu Fei Yin (Protect Lung Infusion) is also good.
Atractylodes Macrocephala Rhizome (Bai Zhu)
Codonopsis Root (Ren Shen)
Lily Bulb (Bai He) - 2 qian each
Anemone Root (Bai Wei)
Asparagus Tuber (Tian Dong) - 1 qian each
Ophiopogon Tuber (Mai Dong) - 3 qian
Winter Flower Bud (Kuan Dong Hua) - 5 fen
Trichosanthes Root (Tian Hua Fen)
Platycodon Root (Jie Geng) - 6 fen each
Decoct in water and take orally.
Some patients have dim vision, pale complexion, dull pain in both hypochondriac regions, acid regurgitation when hot, vomiting when cold, phlegm resembling nasal discharge (clear or yellow) with foul odor, dry and gritty eyes, desire to keep eyes closed, restless sleep, frequent fright and terror. People believe this is Liver Meridian consumption, but who knows it is Lung consumption transmitting sequentially to the Liver?
Metal restricts Wood. If Liver Wood is strong, Lung Metal cannot restrict it. However, after Kidney consumption, Liver Wood lacks nourishment and becomes weak. Lung takes advantage of this weakness, transferring Worm Qi to the Liver. Unable to resist, the Liver accepts the Worm Qi. As the Child of the Kidney, when the Kidney sees its child infected, fearing Liver Qi insufficiency, it transfers Kidney Qi to generate Liver Qi. Worm Qi follows this transfer into the Liver. Worms erode Liver Blood, leaving the Liver unable to nourish itself. Treatment must rescue the Kidney to generate the Liver, and generate the Liver to kill worms.
Prescription: Yuan Zhai Tang (Support Consumption Decoction)
White Peony Root (Bai Shao) - 1 liang
Angelica Sinensis Root (Dang Gui) - 1 liang
Prepared Rehmannia Root (Shu Di Huang) - 1 liang
Cornus Fruit (Shan Zhu Yu) - 5 qian
Poria (Fu Ling) - 5 qian
Tartar Shell (Bie Jia) - 5 qian
Anemone Root (Bai Wei) - 2 qian
Decoct in water and take orally. After ten doses, slight recovery. After twenty doses, greater recovery. Full recovery after three months.
This is a formula treating both Liver and Kidney. Only Tartar Shell and Anemone Root kill worms; they are neither cold nor hot, avoiding bias, capable of tonification and attack, achieving completeness. They kill worms invisibly, reviving the nearly dead. Some argue that green-yellow phlegm requires expectorants. However, if worms enter Kidney and Liver, merely rescuing these meridians is insufficient to save life. Moreover, expectorants damage Spleen and Stomach. With Liver already invaded by worms, intending to transmit to Spleen, further damage invites worms into the Middle Jiao (Spleen/Stomach). Therefore, it is better to strongly tonify Liver and Kidney, allowing phlegm to resolve naturally, rather than lightly using expectorants to re-injure the Spleen and Stomach.
For this syndrome, Liao Zhai Tang (Treat Consumption Decoction) is also good.
White Peony Root (Bai Shao)
Prepared Rehmannia Root (Shu Di Huang) - 5 qian each
Angelica Sinensis Root (Dang Gui) - 4 qian
Tartar Shell (Bie Jia) - 3 qian
Eel Bone (burned to ash) - 3 fen
Schisandra Berry (Bei Wu Wei Zi) - 10 berries
Decoct in water and take orally.
Some patients experience chest fullness and oppression, indigestion, continuous phlegm production, frequent loose stools, abdominal pain and distension, borborygmus when empty, dry and cracked lips and mouth, dry and bristly hair, yellow-black complexion, slight shortness of breath with difficulty continuing, black stool resembling juice, green phlegm resembling nasal discharge. People believe this is Spleen Meridian consumption, but who knows it is Liver consumption transmitting to the Spleen?
Consumption transmitting to the Spleen among the five Zang organs is generally incurable, and no specific method for Spleen consumption is usually established. However, if a thread of Stomach Qi remains, survival is possible in an instant. Spleen and Stomach are exterior-interior pairs; Stomach failure means Spleen failure, leaving no hope. But if Spleen fails while Stomach remains, there is still vitality. One should not attribute this to fate just because Liver worms enter the Spleen. Since beginning practice, I saved a woman with this syndrome. Her pulse was thready and rapid. Doctors deemed it terminal consumption transmitting to Spleen. Her husband abandoned her. Seeing she could still taste food, I told her husband: "Your wife has a thread of hope; how can you bear to watch her die without helping?" He replied: "Doctors gave up; it is not that I do not want her to live." I advised single administration of Er Bai San (Two Whites Powder):
Chinese Yam (Shan Yao)
Euryale Seed (Qian Shi) - equal parts, approx. 4 jin each
Wannianqing (Periwinkle/Vinca herb) - 4 large slices
Stir-fry separately, grind to fine powder, mix with 1 jin white sugar, and take with boiling water.
Use whenever hungry, regardless of frequency. The woman happily followed the method, consuming five large bowls on the first day. For about five months, daily usage restored Spleen Qi gradually, resulting in survival. Asked total consumption, it was approx. 100 jin. She later thanked me. I recorded this to aid medical methods. These two herbs strengthen Spleen and especially Kidney. Treating both yields success. Wannianqing kills worms invisibly; mixed with them, worms perish unknowingly. This formula treats Spleen consumption specifically but requires patience for delayed results. Adding 2 liang Codonopsis to boost Stomach Qi would make Stomach Qi stronger and Spleen Qi easier to rescue.
For this syndrome, Yuan Que Tang (Support Timidity Decoction) is also wonderful.
Atractylodes Macrocephala Rhizome (Bai Zhu)
Chinese Yam (Shan Yao) - 1 liang each
Poria (Fu Ling) - 3 qian
Codonopsis Root (Ren Shen) - 3 qian
Euryale Seed (Qian Shi) - 5 qian
Anemone Root (Bai Wei) - 1 qian
Eel Bone Powder - 5 fen
Cinnamon Twig (Rou Gui) - 3 fen
Decoct and take mixed.
Some patients with Yin deficiency and fire movement experience nightly fever like fire, cooling by dawn, intermittent sweating, sensation of internal inflammation in bone marrow, reduced appetite, frothy white phlegm. People believe this is bone-steaming consumption, but who knows it is Kidney Water failing to control Fire?
Water and Fire in the Kidney must be balanced. Excess Fire indicates Insufficient Water. Bone-steaming disease arises precisely from Fire flourishing and Water declining. Treatment need not drain Kidney Fire; simply tonify Kidney Water. When Water is sufficient to balance Fire, the Kidney is not hot, and bone marrow内外 (inside and outside) cannot be hot.
Prescription: Liang Sui Dan (Cool Marrow Pill)
Lycium Bark (Di Gu Pi) - 1 liang
Moutan Cortex (Dan Pi) - 1 liang
Ophiopogon Tuber (Mai Dong) - 5 qian
Dendrobium Stem (Jin Cha Shi Hu) - 3 qian
Achyranthes Root (Niu Xi) - 2 qian
Poria (Fu Ling) - 2 qian
Decoct in water and take orally. After four consecutive doses, internal heat lightens. After four more doses, internal heat disappears. Full recovery after one month.
This formula uses Lycium Bark and Moutan Cortex not only to tonify Kidney Water but also to cool bone marrow and clear bone-external blood. Heat in bone marrow consumes external blood; heat in external blood scorches bone marrow. Using both treats marrow and blood simultaneously, avoiding excessive heat. Dendrobium and Achyranthes tonify Kidney Yin. When Yin flourishes, Yang balances; when Water prevails, Fire retreats. Bone-steaming ceases, and consumption cannot form.
For this syndrome, Chun Yin Tang (Pure Yin Decoction) is also good.
Scrophularia Root (Xuan Shen)
Ophiopogon Tuber (Mai Dong)
Moutan Cortex (Dan Pi)
Lycium Bark (Di Gu Pi)
Prepared Rehmannia Root (Shu Di Huang) - 3 qian each
Decoct in water and take orally.
Some patients with Qi deficiency experience shortness of breath insufficient for respiration, distinct from physical exertion-induced急促 (rapid breathing). They are reluctant to speak, find food tasteless, feel body heaviness and fatigue. People believe this is Qi consumption, but who knows it is Yang deficiency sinking due to internal injury to Primordial Qi?
Primordial Qi resides in Guan Yuan, connecting upward to the Lung and downward to the Kidney. If uninjured, True Yang rises to the Lung, strengthening Lung Qi, executing clearing and descending functions, distributing among Five Zang and Seven Fu organs. If injured, True Yang cannot rise and sinks into extreme Yin, generating heat. This is Deficiency Heat, not Excess Heat. Excess Heat is purged; Deficiency Heat is tonified. Thus, sweet-warm herbs are used to reduce deficiency heat. However, using only sweet-warm herbs without lifting herbs to raise sinking Yang causes Yang to sink into Yin, making Qi unlifted; tonifying Qi is useless. Even with lifting herbs, without tonifying Qi, lifting force is weak, and Qi cannot be easily raised.
Prescription: Bu Zhong Yi Qi Tang (Tonify Middle and Augment Qi Decoction)
Codonopsis Root (Ren Shen) - 5 qian
Atractylodes Macrocephala Rhizome (Bai Zhu) - 5 qian
Prepared Astragalus Root (Zhi Huang Qi) - 3 qian
Angelica Sinensis Root (Dang Gui) - 3 qian
Tangerine Peel (Chen Pi) - 5 fen
Licorice Root (Gan Cao) - 5 fen
Cimicifuga Rhizome (Sheng Ma) - 2 fen
Bupleurum Root (Chai Hu) - 3 fen
Add Fritillaria Bulb (Bei Mu) - 1 qian
Decoct in water and take orally. After one dose, Qi rises. After two doses, Qi flourishes. After ten doses, strength returns, Stomach Qi opens, and previous illness vanishes instantly.
Bu Zhong Yi Qi Tang embodies Li Dongyuan's lifelong scholarship. Its brilliance lies in using Bupleurum and Cimicifuga within Codonopsis, Atractylodes, Astragalus, and Angelica. One rotates left to lift Heart, Liver, and Kidney Qi; one rotates right to lift Lung, Spleen, Stomach, and Mingmen Qi. It does not merely lift Upper and Middle Jiao Qi.
For this syndrome, Ti Xian Tang (Raise Sunken Decoction) is also effective.
Astragalus Root (Huang Qi)
Ophiopogon Tuber (Mai Dong) - 5 qian each
Atractylodes Macrocephala Rhizome (Bai Zhu)
Codonopsis Root (Ren Shen) - 2 qian each
Licorice Root (Gan Cao) - 3 fen
Platycodon Root (Jie Geng) - 1 qian
Medicated Leaven (Shen Qu) - 5 fen
Decoct in water and take orally.
Some patients with Blood deficiency present with pale complexion, burnt/dried muscles, dry large intestine, palpitations, forgetfulness, insomnia, poor appetite, emaciation, night fever without sweat. People believe this is Blood consumption, but who knows it is Liver dryness generating Fire?
Liver Fire flourishing often leads to self-burning, ultimately due to Kidney Water failing to generate Wood. It is either blood loss externally or blood consumption internally. Liver dryness generates Fire within Wood. While Fire in Heart benefits from Liver Wood, Fire in Liver burns itself. Thus, Fire in Heart draws support from Liver, but Fire in Liver is preoccupied with self-preservation. Treatment must first address the Kidney, and addressing the Kidney requires tonifying Water.
Prescription:
Scrophularia Root (Xuan Shen) - 1 liang
Moutan Cortex (Dan Pi) - 5 qian
Glehnia Root (Sha Shen) - 5 qian
White Peony Root (Bai Shao) - 1 liang
Angelica Sinensis Root (Dang Gui) - 5 qian
Chrysanthemum Flower (Gan Ju Hua) - 3 qian
Poria (Fu Ling) - 3 qian
Ophiopogon Tuber (Mai Dong) - 5 qian
Decoct in water and take orally. After ten doses, night fever resolves. After twenty doses, dryness clears. After thirty doses, all illnesses heal.
Named Zi Gan Yin (Nourish Liver Infusion), it actually tonifies Kidney to nourish Liver. With Kidney Water nourishment, Liver Wood Fire does not flare, preventing self-burning and consumption.
For this syndrome, Jia Jian Si Wu Tang (Modified Four Substances Decoction) is used:
White Peony Root (Bai Shao)
Angelica Sinensis Root (Dang Gui)
Rehmannia Root (Sheng Di Huang) - 5 qian each
Prepared Rehmannia Root (Shu Di Huang) - 1 liang
Moutan Cortex (Dan Pi) - 3 qian
Decoct in water and take orally.
Some patients excessively indulge in roasted, fried, and grilled foods, fragrant and fatty items, eating indiscriminately, leading to indigestion, chest fullness, prolonged...