崔知悌序云、骨蒸病者、亦名传尸。亦谓 。亦称复连。亦曰无辜。丈夫以精气为根
。女人以血气为本。无问老少。多染此疾。予尝三十日灸活十三人。前后瘥者。数逾二百。非
止
凡取四花穴。以稻秆心量口缝如何阔。断其长多少。以如此长裁纸四方。当中剪小孔。
别用
秆止处。即以前小孔纸当中安分为四花。盖灸纸四角也。又一医传一法。先横量口吻取长
。以所量草就背上三椎骨下直量至草尽处。两头用笔点了。再量中指长短为准。却将量中指
草横直量两头。用笔圈四角。其圈者是穴。（不圈不是穴。）可灸七七壮止。
（传尸 骨蒸 羸瘦）
中 、治丈夫五劳七伤六极。腰痛。大便难。小便淋沥。腹胀下利食泄。（铜）三里、
劳羸瘦。七伤虚乏。明下云、五劳虚乏。四肢羸瘦。肩井、治五劳七伤。大椎、治五劳
七伤。温疟 疟。气疰背膊急。颈项强。（明上下同。）风劳食气。肺俞、治寒热喘满。虚
烦口干。传尸骨蒸劳。肺痿咳嗽。明云、疗肉痛皮痒。传尸骨蒸。肺嗽。魄户、治虚劳
肺痿。（明云劳损痿黄。）五尸走疰项强。明下云、疗劳损虚乏。秦承祖云、支正、疗五劳
四肢力弱虚乏等。（明下）议嘻、疗劳损虚乏。不得睡。下焦俞、疗背痛身热。曲骨、
但是虚乏冷极皆灸。气海、疗冷病。面黑肌体羸瘦。四肢力弱。小腹气积聚贲豚。腹弱脱
阳欲死不知人。五脏气逆上攻。膏肓俞、治羸瘦虚损。梦中失精。无所不疗。（铜）肾俞
、治虚劳羸瘦。耳聋。肾虚水脏久冷。（明有腰痛。）心腹膨胀。胁满引小腹痛。目视KT KT 。
少气溺血。小便浊、出精。阴疼。五劳七伤虚惫。脚膝拘急。（明有好独卧。）足寒如冰。头
重身热振栗。腰中四肢淫泺。洞泄食不化。身肿如水。明下云、疗身寒热。食多身羸瘦。面
黄黑目KT KT 。女久积冷气成劳。脑空、治劳疾羸瘦。体热。颈项强。章门、治伤饱、身
黄羸瘦。漏谷、治食不为肌肤。下管、治日渐羸瘦。（见 癖。）下管、（见腹胀。）胃俞
、（见虚损。）脾俞、下廉、（见飧泄。）治羸瘦。小儿羸瘦。食饮少、不生肌肤。灸胃俞一
壮。（明下）灸劳法。其状手足心热。多盗汗、精神困顿。骨节疼寒。初发咳嗽。渐吐脓血。
肌瘦面黄。减食少力。令身正直。用草子、男左女右、自脚中指尖量过脚心下。向上至曲秋
大纹处截断。却将此草自鼻尖量。从头正中（须分开头心发贴肉量。）至脊。以草尽处用墨点
记。别用草一条。令病患自然合口量阔狭截断。却将此草于墨点上平折两头尽处量穴。灸时
随年多灸一壮。（如年三十。灸三十一。）累效。（集效）
羸瘦固瘵疾。自有寒热等证。宜随证医治。若素来清 者。非有疾也。惟病后瘦甚。久
不复
常。谓之形脱。与夫平昔充肥。忽尔羸瘦。饮食减少者。或有他疾乘之。则难救疗。须辨之
于早。而着艾可也。然仲景论六极。必曰、精极令人气少无力。渐渐内虚。身无润泽。翕
翕羸瘦。眼无精光。且云八味肾气差六极。而差五劳则是八味丸所当服。（仲景常服或常服
去附子加五味子。）而肾俞等穴。尤所当灸也。
脾俞、大肠俞、主腹中气胀。引脊痛。食多身羸瘦。名曰食晦。先取脾俞。后取季肋。
五脏六腑心腹满。腰背痛。饮食吐逆。寒热往来。小便不利。羸瘦少气。灸三焦俞随年。（
千）
崔知悌在序言中说：骨蒸病，又名传尸。也称为劳瘵。也称为复连。也称为无辜。男子以精气为根本，女子以血气为本。无论老少，大多感染此病。我曾通过艾灸治愈了十三人，前后痊愈的人数超过两百。
不仅仅是取四花穴（膈俞、胆俞），用稻草芯测量口缝有多宽，截断相应长度，用同样长度的纸裁成方形，中间剪一个小孔。另取一根稻草，止处即为前文小孔纸的中心，将其分为四份，即四花穴的位置，也就是灸纸的四个角。
又有一位医生传授一种方法：先横向测量口吻的长度，用这根草在背部第三椎骨下直量至草尽之处，两头用笔点记。再测量中指长短作为标准，将量中指的草横向和纵向在两头量出，用笔画圈标记四个角，这个圈就是穴位。（不圈的则不是穴位）。可灸四十九壮为止。
（传尸、骨蒸、羸瘦）
中脘穴，治疗男子五劳七伤六极。腰痛，大便困难，小便淋漓不尽，腹胀腹泻食泄。（《铜人腧穴针灸图经》）足三里穴，治疗劳损羸瘦，七伤虚乏。《明堂经》下文说：五劳虚乏，四肢羸瘦。肩井穴，治疗五劳七伤。大椎穴，治疗五劳七伤。温疟，疟疾。气疰导致背膊拘急，颈项强直。（《明堂经》上卷和下卷相同。）风劳、食气，肺俞穴，治疗寒热喘满，虚烦口干，传尸骨蒸劳，肺痿咳嗽。《明堂经》说：治疗肌肉疼痛皮肤瘙痒，传尸骨蒸，肺嗽。魄户穴，治疗虚劳肺痿。（《明堂经》说：劳损痿黄。）五尸走疰项强。《明堂经》下文说：治疗劳损虚乏。秦承祖说：支正穴，治疗五劳四肢无力虚乏等。（《明堂经》下文）意嘻穴（注：原文“议嘻”疑为“意嘻”或特定穴位名，此处保留原意），治疗劳损虚乏，不能入睡。下焦俞穴，治疗背痛身热。曲骨穴，凡是虚乏冷极都宜艾灸。气海穴，治疗冷病，面色黑，身体羸瘦，四肢无力，小腹气积聚奔豚，腹部虚弱脱阳欲死不知人事，五脏之气逆上攻冲。膏肓俞穴，治疗羸瘦虚损，梦中遗精，无所不疗。（《铜人腧穴针灸图经》）肾俞穴，治疗虚劳羸瘦，耳聋，肾虚水脏久冷。（《明堂经》有腰痛记载。）心腹膨胀，胁肋胀满牵引小腹痛，目视模糊不清，少气溺血，小便浑浊，流出精液，阴部疼痛，五劳七伤虚惫，脚膝拘急。（《明堂经》有喜好独卧记载。）足寒如冰，头重身热战栗，腰中及四肢酸软无力，洞泄食物不化，身体浮肿如水状。《明堂经》下文说：治疗身体寒热，吃得多身体却羸瘦，面色黄黑，目视模糊不清。女子久积冷气成劳。脑空穴，治疗劳疾羸瘦，体热，颈项强直。章门穴，治疗伤饱，身体发黄羸瘦。漏谷穴，治疗饮食不能化为肌肤。下管穴（注：疑为下脘），治疗日渐羸瘦。（见癖块。）下管穴（注：疑为下脘），（见腹胀。）胃俞穴，（见虚损。）脾俞穴，下廉穴，（见飧泄。）治疗羸瘦。小儿羸瘦，饮食少，不生肌肤。灸胃俞一壮。（《明堂经》下文）灸劳法。其症状表现为手足心热，多盗汗，精神困顿，骨节疼寒，初发咳嗽，逐渐吐脓血，肌肉消瘦面色黄，食欲减退力气减少。令患者身体正直，用草籽，男左女右，从脚中指尖量过脚心下，向上至腘窝大纹处截断。再将此草从鼻尖量，从头正中（必须分开头顶头发贴肉量），至脊背，以草尽处用墨点标记。另取一条草，让患者自然合口测量宽窄截断。再用此草在墨点上平折，两头尽处量取穴位。灸时随年龄每岁加灸一壮。（如三十岁，灸三十一壮）。屡获奇效。（《集效方》）
羸瘦确实是劳瘵疾病，自有寒热等症状，应当随证医治。如果素来清瘦的人，并非有病。只有病后瘦得厉害，久久不能恢复常态，称为形脱。以及平时丰满，忽然变得羸瘦，饮食减少的人，或许有其他疾病乘虚而入，则难以救治。必须尽早辨别，并施以艾灸。然而张仲景论述六极，必定说：精极令人气少无力，渐渐内虚，身体无润泽，微微羸瘦，眼睛无神光。并且说八味肾气丸能治六极，而治五劳则是八味丸所应当服用的。（张仲景常服方或常服方去掉附子加五味子。）而肾俞等穴位，尤其应当艾灸。
脾俞穴、大肠俞穴，主治腹中气胀，牵引脊痛，吃得多身体却羸瘦，名叫食晦。先取脾俞穴，后取季肋穴。五脏六腑心腹满闷，腰背痛，饮食呕吐逆反，寒热往来，小便不利，羸瘦少气，灸三焦俞穴随年壮数。（《千金方》）
Cui Zhiti stated in the preface: Gu Zheng (Bone Steaming Disease), also known as Chuan Shi (Transmitting Corpse Disease). It is also called Lao Zhai (Consumptive Disease). It is also called Fu Lian. It is also called Wu Gu. Men take Jing Qi (Essence and Qi) as their root, and women take Xue Qi (Blood and Qi) as their foundation. Regardless of age, many are infected with this disease. I once cured thirteen people through moxibustion, and the number of those healed before and after exceeded two hundred.
It is not limited to taking Si Hua Xue (Four Flower Acupoints [Geshu, Dushu]), using a rice straw core to measure how wide the mouth seam is, cutting it to that length, and cutting paper into a square of such length with a small hole in the center. Take another piece of straw; the end point corresponds to the center of the previous small-hole paper, dividing it into four parts, which are the locations of the Four Flower acupoints, i.e., the four corners of the paper for moxibustion.
Another doctor transmitted a method: first measure horizontally across the mouth corners to get the length. Use this measured straw to measure vertically from below the third thoracic vertebra on the back until the straw ends, marking both ends with a pen. Then measure the length of the middle finger as a standard. Use the straw measuring the middle finger to measure horizontally and vertically at the two ends, circling four corners with a pen. The circled points are the acupoints. (Points not circled are not acupoints.) Moxibustion can be performed up to 49 cones.
(Chuan Shi, Gu Zheng, Lei Shou [Emaciation])
Zhongwan (CV12) treats men's Wu Lao Qi Shang Liu Ji (Five Labors, Seven Injuries, Six Extremes). Lower back pain, difficult defecation, dribbling urination, abdominal distension, diarrhea, and food leakage. (*Tongren* [Manual of Acupuncture Points and Meridians]) Zusanli (ST36) treats consumptive emaciation and Qi deficiency from Seven Injuries. The lower part of *Mingtang* states: Wu Lao Xu Fa (Five Labors causing deficiency), emaciation of the four limbs. Jianjing (GB21) treats Wu Lao Qi Shang. Dazhui (GV14) treats Wu Lao Qi Shang. Wen Nue (Warm Malaria), Nue (Malaria). Qi Zhu causes stiffness and urgency in the back and shoulders, and stiffness of the neck and nape. (*Mingtang* upper and lower volumes are identical.) Feng Lao (Wind Labor), Shi Qi (Food Qi), Feishu (BL13) treats chills and fever, wheezing and fullness, empty irritability, dry mouth, Chuan Shi Gu Zheng Lao (Consumptive Bone Steaming Labor), Fei Wei (Lung Flaccidity) and cough. *Mingtang* says: treats muscle pain and skin itching, Chuan Shi Gu Zheng, Lung Cough. Pohu (BL42) treats Xu Lao Fei Wei (Deficiency Labor and Lung Flaccidity). (*Mingtang* says: Labor damage leading to flaccidity and sallow complexion.) Wu Shi Zou Zhu (Five Corpses Wandering Injection) with neck stiffness. The lower part of *Mingtang* says: treats labor damage and deficiency. Qin Chengzu said: Zhengzheng (SI7) treats Wu Lao, weakness and deficiency of the four limbs. (*Mingtang* lower volume) Yixi (ST42) treats labor damage and deficiency, insomnia. Xiajiaoshu (BL22) treats back pain and body heat. Qugu (CV2) is suitable for moxibustion whenever there is deficiency, cold extremity, or extreme cold. Qihai (CV6) treats Cold Diseases, dark complexion, emaciated body, weak four limbs, accumulation of Qi in the lower abdomen with Ben Tun (Rushing Pig) sensation, abdominal weakness, Yang collapse with near-death unconsciousness, reversal of Qi from the five Zang organs attacking upwards. Gaohuangshu (BL43) treats emaciation and deficiency, nocturnal emission, and is effective for all ailments. (*Tongren*) Shenshu (BL23) treats Xu Lao Lei Shou (Deficiency Labor Emaciation), deafness, long-standing cold in the Kidney Water Organ. (*Mingtang* mentions lower back pain). Heart and abdominal distension, hypochondriac fullness radiating to lower abdominal pain, blurred vision, shortness of breath, hematuria, turbid urine, seminal emission, genital pain, Wu Lao Qi Shang Xu Bei (Wu Labor, Qi Injury, Deficiency and Exhaustion), stiff and cramped knees and feet. (*Mingtang* mentions preference for sleeping alone). Feet cold as ice, heavy head, body heat with shivering, soreness and weakness in the waist and four limbs, profuse diarrhea with undigested food, edema like water. The lower part of *Mingtang* says: treats body chills and fever, eating much but becoming emaciated, sallow and dark complexion, blurred vision. Long-standing cold Qi accumulation in women leads to labor. Naokong (GB13) treats labor diseases, emaciation, body heat, and neck stiffness. Zhangmen (LR13) treats overeating injury, yellowing of the body, and emaciation. Lougu (SP9) treats inability of food and drink to nourish the flesh. Xiaguan (ST67 - Note: Text likely refers to Xiawan/Xiaguan confusion or specific local term, literal translation used) treats gradual emaciation. (See Pi Mass). Xiaguan, (See Abdominal Distension). Weishu (BL21), (See Deficiency). Pishu (BL20), Xialian (BL39), (See Sun Xie [Undigested Food Diarrhea]). Treats emaciation. Pediatric emaciation, little food intake, failure to gain flesh. Moxibustion on Weishu for one cone. (*Mingtang* lower volume) Moxibustion Method for Labor. Symptoms include heat in palms and soles, night sweats, mental exhaustion, bone and joint pain with cold, initial cough, gradually expectorating pus and blood, muscular emaciation, sallow face, reduced appetite and strength. Have the patient sit upright. Use a grass seed/straw: for men left, for women right, measure from the tip of the middle toe across the sole upward to the popliteal crease, then cut. Take this straw and measure from the nose tip, starting from the center of the head parting hair against the skin, down to the spine. Mark the end of the straw with ink. Take another strip of straw, have the patient close their mouth naturally to measure width, then cut. Use this straw to fold flat at the ink mark, measuring the acupoint at the ends. During moxibustion, add one cone per year of age. (e.g., if thirty years old, moxa thirty-one cones). Repeatedly effective. (*Jixiao Fang*)
Emaciation is indeed a symptom of Lao Zhai (Consumptive Disease), presenting with symptoms such as chills and fever. Treatment should follow the syndrome differentiation. If one was naturally thin, it is not necessarily a disease. Only when severe emaciation occurs after illness and does not recover to normal state for a long time, it is called Xing Tuo (Form Depletion). And when one was previously plump but suddenly becomes emaciated with reduced diet, other diseases may have taken advantage, making it difficult to save. Early differentiation is necessary, and moxibustion should be applied. However, Zhang Zhongjing discussed Liu Ji (Six Extremes), stating: Jing Ji (Extreme Essence depletion) causes people to have little Qi and no strength, gradually becoming internally deficient, lacking luster, slightly emaciated, eyes lacking spirit. He also stated that Bawei Shenqi Wan (Eight-Ingredient Rehmannia Pill) can treat Liu Ji, and treating Wu Lao is what Bawei Wan should be taken for. (Zhang Zhongjing's commonly used formula or removing Aconite and adding Schisandra). The Shenshu acupoints and others especially require moxibustion.
Pishu (BL20) and Dachangshu (BL25) govern abdominal Qi distension, pain radiating to the spine, eating much but becoming emaciated, named Shi Hui (Food Obscurity). First select Pishu, then select the costal margin acupoints. Fullness of heart and abdomen from the five Zang and six Fu organs, lower back and back pain, vomiting and regurgitation of food, alternating chills and fever, difficult urination, emaciation and shortness of breath. Moxibustion on Sanjiaoshu (BL22) according to age cones. (*Qianjin*)