谷劳者，胃受水谷，其气虚弱，不能传化，谷盛气虚，则令人怠惰嗜卧，肢体烦重，腹
满善饥而不能食，食已则发，谷气不行使然也。
沉香汤
沉香 白术（土炒） 人参 白茯苓 紫浓朴（姜汁炒，各一两） 半夏（姜制）
干姜
生姜、大枣水煎三钱，温服，日二。
《肘后》云∶饱食便卧，得谷劳病，令人四肢烦重，嘿默欲卧，食毕辄甚，用大麦 一
升，椒一两，并炒，干姜三两捣末，每服方寸匕，日三。
内经曰∶大肠移热于胃，善食而瘦，谓之食亦。夫胃为水谷之海，所以化气味而为营卫
。胃气和，饮食有节，气血盛而肤革充盈。若乃胃受邪热，消烁谷气，不能变化精血，故善
食而瘦也。病名食亦，言虽食亦若饥也。又胃移热于胆，亦名食亦。以胆为阳木，热气乘之
甘露饮 治胃热善食，不生肌肉。
生地 熟地 天冬 麦门冬 片芩 石斛 枇杷叶 甘草 枳壳 茵陈（各一两）
上十味，水煎三钱服。
失血诸证，妄行于上则吐衄。衰涸于内则虚劳。妄返于下则便红。积热膀胱则癃闭、尿
渗透肠间，则为肠风。阴虚阳搏，则为崩中。湿蒸热瘀、则为滞下。热极腐化，则为脓血。
火极似水，则血色紫黑。热胜于阴，则发为疡。湿滞于血，则发为痛痹。瘾疹皮肤，则为冷
痹。蓄之在上，其人喜狂。蓄之在下，其人喜忘。
血出上七窍为血溢，大小便下血为血泄，然《内经》云∶溢则后血，是血下出，亦可云
溢，正不必拘也。
先见血，后见痰嗽，多是阴虚。先见痰嗽，后见血，多是痰火积热。
凡吐衄血太甚不止，当防其血晕，用茅根烧烟将醋洒之，令鼻嗅气以遏其势，或蓦然以
血虚眩晕卒倒，不可艾灸，惊哭叫动，动则乘虚而死矣。须以当归、川芎、白芍、熟地
黄、人参、白术、茯苓、陈皮、荆芥穗、甘草各七分，枣二枚，乌梅一个，同煎服之。
凡用血药，不可单行单止，又不可纯用寒凉，必加辛温升药。如用寒凉药，用酒煎、酒炒之
类，乃寒因热用也。久患血证，血不归元，久服药而无效者，以川芎为君则效。（丹溪。）
凡呕吐血，若出未多，必有瘀于胸膈者，当先消而去之。骤用补法，血成瘀而热，多致
业师薛一瓢先生治陆元宾劳伤吐血，后日渐消瘦，有时发寒热，饮食减少，微有干咳，四肢
无力，语亦懒。师用大当归一只，重二两者，木器捶松、陈酒煎，令服三剂。以其人素不饮
酒，改用酒水各半煎，果三服而诸病皆愈。
谷劳病，是指胃受纳水谷后，因胃气虚弱，无法正常运化传导。当谷物积聚而正气亏虚时，会导致人体倦怠懒惰、嗜睡，肢体沉重烦闷，腹部胀满且容易感到饥饿却无法进食，进食后症状加重，这是谷气运行不畅所致。
沉香汤
药材：沉香、白术（用土炒制）、人参、白茯苓、紫浓朴（用姜汁炒制，以上各一两）、半夏（用姜炮制）、干姜。
用法：加生姜、大枣，用水煎煮，取药液三钱，温服，每日两次。
《肘后备急方》记载：饱食后立即躺卧，会患上谷劳病，导致四肢沉重烦闷，沉默寡言想睡觉，吃完饭后症状加剧。治疗方法是用大麦一升、花椒一两，一起炒制，再加干姜三两捣成粉末，每次服用一方寸匕，每日三次。
《黄帝内经》说：大肠的热邪转移至胃，使人食欲旺盛但身体消瘦，这称为“食亦”病。胃是水谷之海，负责将饮食转化为气味（精微物质），进而生成营气和卫气。如果胃气调和，饮食有节制，气血就会充盛，皮肤肌肉也会丰满充盈。如果是胃受到邪热侵袭，消烁谷气，不能将食物变化为精血，所以会出现吃得多却消瘦的症状。“食亦”这个病名，意思是虽然吃了东西，感觉却像没吃一样饥饿。另外，胃的热邪转移至胆，也称为“食亦”。因为胆属阳木，热气侵犯它……
甘露饮 治疗胃热导致的食欲亢进及肌肉不生。
药材：生地、熟地、天冬、麦门冬、黄芩、石斛、枇杷叶、甘草、枳壳、茵陈（以上各一两）。
用法：以上十味药，用水煎煮，取药液三钱服用。
各种失血病症，血液妄行于上部则出现吐血、鼻衄；亏损枯竭于内部则形成虚劳；血液逆行于下部则出现便血；热邪积聚在膀胱则导致小便不通或尿中带血；热邪渗透肠间，则成为肠风；阴虚而阳脉搏动有力，则导致崩中（妇女非经期大量出血）；湿热蒸腾瘀滞，则成为痢疾；热极导致血肉腐化，则出现脓血；火极似水，则血色呈现紫黑色；热邪胜过阴液，则发为疮疡；湿邪阻滞于血脉，则发为痛痹；瘾疹出现在皮肤，则成为冷痹；瘀血蓄积在上部，患者喜欢发狂；瘀血蓄积在下部，患者容易健忘。
血液从上七窍流出称为“血溢”，从大小便下血称为“血泄”，然而《内经》说：“溢则后血”，即血液从下部排出，也可以称为“溢”，不必拘泥于字面意思。
先出现出血，随后出现痰嗽，多是阴虚所致；先出现痰嗽，随后出现出血，多是痰火积热所致。
凡是吐血、衄血量太大且不止，应当防止血晕，可以用茅根烧烟，同时喷洒醋，让患者嗅闻其气味以遏制出血势头，或者突然因血虚导致眩晕昏倒，此时不可艾灸，也不能惊哭叫喊扰动神志，否则会因为乘虚而入而导致死亡。需要用当归、川芎、白芍、熟地黄、人参、白术、茯苓、陈皮、荆芥穗、甘草各七分，红枣两枚，乌梅一个，共同煎服。
凡是使用治血的药物，不可单独使用止血或活血药，也不可以纯用寒凉药，必须加入辛温升提的药物。如果使用寒凉药，应用酒煎或酒炒等方式，这就是“寒因热用”的方法。长期患有血证，血液不归元，长期服药无效的人，以川芎为主药则会见效。（朱丹溪。）
凡是呕吐出的血，如果量不多，胸膈中必有瘀血，应当先消除瘀血。如果骤然使用补法，血液会变成瘀血并产生热邪，往往导致不良后果。我的老师薛一瓢先生治疗陆元宾因劳伤引起的吐血，后来日渐消瘦，有时发寒热，饮食减少，轻微干咳，四肢无力，说话懒倦。老师用大当归一只，重二两，用木器捶松，用陈酒煎煮，令其服用三剂。因为此人平时不喝酒，改用酒和水各一半煎煮，果然服用三剂后所有疾病都痊愈了。
Gu Lao (Grain Fatigue) refers to a condition where the Stomach receives food and water, but due to deficient Qi, it fails to transform and transport. When grain accumulates while Qi is deficient, it causes lethargy, drowsiness, heaviness and discomfort in the limbs, abdominal fullness, frequent hunger, yet an inability to eat; symptoms worsen after eating. This is caused by the stagnation of Grain Qi.
Chenxiang Tang (Agarwood Decoction)
Herbs: Chen Xiang (Aquilariae Lignum Resinatum), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Renshen (Ginseng Radix et Rhizoma), Baifuling (Poria, white part), Zinongpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice, each 1 liang), Banxia (Pinelliae Rhizoma, processed with ginger), Ganjiang (Zingiberis Rhizoma).
Usage: Add Shengjiang (Zingiberis Recens Rhizoma) and Dazao (Jujubae Fructus), decoct with water, take 3 qian of the liquid, warm administration, twice daily.
The *Zhou Hou Bei Ji Fang* states: Lying down immediately after a full meal leads to Gu Lao disease, causing heaviness and discomfort in the four limbs, silence, and desire to sleep; symptoms intensify after eating. The treatment uses one sheng of Damai (Hordei Fructus Germinatus), one liang of Jiaojiao (Zanthoxyli Pericarpium), stir-fried together, plus three liang of Ganjiang (Zingiberis Rhizoma), pounded into powder. Each dose is one fangcun bi (a square-inch scoop), taken three times daily.
The *Nei Jing* says: When heat from the Large Intestine transfers to the Stomach, causing excessive appetite with emaciation, it is called Shi Yi (Eating Similarly). The Stomach is the sea of water and grain, responsible for transforming food into qi essence to generate Ying (Nutritive Qi) and Wei (Defensive Qi). If Stomach Qi is harmonious and diet is regulated, blood and qi will be abundant, and skin and flesh will be plump. However, if the Stomach is invaded by pathogenic heat, consuming grain qi and failing to transform food into essence and blood, it results in excessive eating with emaciation. The name "Shi Yi" implies that although one eats, one feels as if hungry. Furthermore, when heat from the Stomach transfers to the Gallbladder, it is also named Shi Yi. Since the Gallbladder belongs to Yang Wood, when heat invades it...
Ganlu Yin (Sweet Dew Decoction) treats Stomach heat causing excessive appetite and failure to generate muscle tissue.
Herbs: Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Tiantong (Asparagi Radix), Maimendong (Ophiopogonis Radix), Pianqin (Scutellariae Radix), Shihu (Dendrobii Caulis), Pipaye (Loquat Leaf), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus), Yichen (Artemisiae Scopariae Herba, each 1 liang).
Usage: Decoct these ten herbs with water, take 3 qian of the liquid.
Various hemorrhagic syndromes: If blood rebels upward, it manifests as hematemesis or epistaxis; if depleted internally, it forms Xu Lao (Deficiency Consumption); if flowing backward downward, it presents as hematochezia or hematuria; if heat accumulates in the Bladder, it causes stranguria or bloody urine; if heat penetrates the intestines, it becomes Chang Feng (Intestinal Wind); if Yin deficiency with vigorous Yang pulse, it causes Beng Zhong (Metrorrhagia); if damp-heat steams and stasis occurs, it becomes Li Xia (Dysentery); if extreme heat causes putrefaction, pus and blood appear; if fire reaches its extremity resembling water, the blood color becomes purple-black; if heat surpasses Yin, sores and ulcers develop; if dampness obstructs the blood vessels, painful Bi syndrome occurs; if urticaria appears on the skin, it becomes Cold Bi; if blood stasis accumulates in the upper body, the person tends toward mania; if blood stasis accumulates in the lower body, the person tends toward forgetfulness.
Bleeding from the seven orifices above is called Xue Yi (Blood Overflow); bleeding from the large and small intestines is called Xue Xie (Blood Leakage). However, the *Nei Jing* states: "Overflow leads to posterior blood," meaning blood exiting from below can also be termed "Yi"; one should not be rigidly bound by terminology.
If bleeding appears first, followed by phlegm-cough, it is mostly due to Yin deficiency. If phlegm-cough appears first, followed by bleeding, it is mostly due to Phlegm-Fire accumulation and heat.
For severe hematemesis or epistaxis that does not stop, one must prevent syncope due to blood loss. Burn Maogen (Imperatae Rhizoma) to produce smoke, sprinkle vinegar, and let the patient inhale the vapor to curb the flow. Or, if sudden syncope occurs due to blood deficiency and vertigo, moxibustion is contraindicated, nor should the patient be startled or cry out, as agitation will exploit the deficiency and lead to death. One should decoct Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishao (Paeoniae Radix Alba), Shudihuang (Rehmanniae Radix Preparata), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Jingjiesui (Schizonepetae Spica), Gancao (Glycyrrhizae Radix et Rhizoma) each 7 fen, two dates, and one Wumei (Mume Fructus), decoct together and administer.
When using blood-regulating herbs, do not use them singly for stopping or moving blood, nor use purely cold-natured herbs. One must add acrid-warm ascending herbs. If cold herbs are used, they should be decocted or stir-fried with wine, which is the method of "using cold with heat." For chronic hemorrhagic conditions where blood fails to return to its source and long-term medication is ineffective, using Chuanxiong (Ligustici Chuanxiong Rhizoma) as the chief herb yields efficacy. (Danxi.)
For vomiting blood, if the volume is small, there is likely blood stasis in the chest and diaphragm, which should be eliminated first. Sudden use of tonification methods causes blood to become stagnant and hot, often leading to adverse outcomes. My teacher, Mr. Xue Yupiao, treated Lu Yuanbin for hematemesis due to labor injury. Later, the patient became increasingly emaciated, experienced intermittent chills and fever, reduced appetite, slight dry cough, weakness in the four limbs, and reluctance to speak. The teacher prescribed one large Danggui (Angelicae Sinensis Radix), weighing 2 liang, pounded loose with a wooden tool, decocted with aged wine, administered for three doses. Since the patient did not usually drink alcohol, the teacher changed to a half-wine, half-water decoction. Indeed, after three doses, all diseases were cured.