脉∶疟脉多弦。弦而数者多热，宜汗之；弦而迟者多寒，宜温之；弦而紧实者，宜下之；弦而虚细者，宜补
之；弦而实大者，宜吐之。弦短者多食；弦滑者多痰。疟脉迟缓者，病自愈，久疟不愈者，脉必虚，宜养正祛邪。
夫疟者，因外感风寒暑湿，内伤饮食劳倦，或饥饱色欲过度，以致脾胃不和，痰留中脘。然无痰不成疟。脾
胃属土，有信来去，不失其时。若移时，或早或晚者，是邪无容地，疟将好也。疟疾来时，呵欠怕寒、手足冷、发
寒战、大热口渴、头痛、腰胯骨节酸疼，或先寒后热，或先热后寒，或单寒单热，或寒多热少，或热多寒少，一日
一发，受病浅也，容易治。间日发者，或二日连发，住一日者，皆难痊。治宜在表无汗者，散邪汤为主；有汗者，
正气汤为主；在半表半里者，柴苓汤为主；分利阴阳而未已者，人参养胃汤加减，后方可截之；若用截药吐出黄胶
水者，疟自愈也。不可一二日早截，早则邪气闭塞而成坏症；又不可迟截，迟则元气衰惫而成虚怯；当在三四日就
截为好。须待热退身凉，方可饮食也。切不可带热饮食，恐不消而成痞，一名疟母，痞散成鼓者有之矣。
大凡疟初起者，散邪正气为先也。无汗要有汗，散邪为主。
散邪汤 治疟疾初发，憎寒壮热、头疼身痛无汗。
川芎 白芷 麻黄 白芍 防风（去芦） 荆芥 紫苏 羌活（各一钱） 甘草（三分）
上锉一剂，生姜三片、葱白三根，水煎去渣，露一宿，次早温服。有痰加陈皮；有湿加苍术；夹食加香附。
有汗要无汗，正气为主。
正气汤 治疟疾初发，憎寒壮热，头疼口干有汗。
柴胡 前胡 川芎 白芷 半夏（姜炒） 麦门冬（去心） 槟榔 草果（去壳） 青皮（去穣） 茯苓
（去皮。各一钱） 桂枝 甘草（各三分）
上锉一剂，生姜三片、枣一枚，水煎，预先热服。
疟发寒热作渴者，宜分利阴阳也。
柴苓汤 治疟发寒热，病在半表半里，阴阳不分。
柴胡 黄芩 人参 半夏 猪苓 泽泻 白术 茯苓 肉桂 甘草
上锉一剂，生姜三片、枣一枚，水煎服。无汗加麻黄；有汗加桂枝；寒多加官桂；热多加黄芩。
虚人患疟者，养正邪自除也。
人参养胃汤 治暴疟初起，服二帖后，用人参截疟饮加减截之。
人参 茯苓（去皮） 陈皮 半夏（姜汁炒） 浓朴（姜汁炒） 苍术（米泔浸） 藿香 当归 川芎
草果（去壳，各八分） 甘草（三分） 乌梅（一个）
上锉一剂，生姜三片、大枣一枚，水煎温服。寒多加官桂；热多加柴胡；汗多去苍术、藿香、川芎，加白术、
黄；饱闷加青皮、砂仁，去人参；渴加麦门冬、知母，去半夏，泻加炒白术、芍药，泻不止加肉豆蔻，去浓朴
、草果；呕哕加白术、山药、炒砂仁、炒米，去草果、浓朴、苍术；痰多加贝母、竹沥，去半夏、草果；内热盛
加炒黄芩，去半夏；
长夏暑热盛加香薷、扁豆，去半夏、藿香。
人参竹沥饮 治虚疟昏倦，汗多痰盛、舌大，语言混杂不清、脉虚大无力。
人参（去芦） 白术（去芦） 茯苓（去皮） 当归 生地黄 酸枣仁（炒） 麦门冬（去心） 知母 陈皮
芍药（各一钱） 乌梅（一个） 甘草（三分）
上锉一剂，生姜三片，枣一枚，水煎，入竹沥半盏、姜汁少许同服。
风暑入阴在脏者，喑疟也。
柴胡芎归汤 治夜间阴疟，引出阳分则散，后服人参截疟饮止之。
柴胡 桔梗（去芦） 当归 川芎 芍药 人参 浓朴（姜汁炒） 白术（去芦） 干葛 茯苓（去皮） 陈皮
（各一钱） 红花 甘草（各三分）
上锉一剂，生姜一片、枣二枚、乌梅一个，水煎，食远服。
人虚者，截补兼用也。
人参截疟饮 治虚人截疟，一切疟疾并可截之。
人参 白术（去芦） 茯苓（去皮） 当归 青皮（去穣，麸炒） 浓朴（姜汁炒） 柴胡 黄芩 知母（去毛。各
八分） 桂枝（三分） 常山（酒浸） 草果（去壳。各八分） 鳖甲（醋炙，八分） 乌梅（一个） 甘草（三分）
上锉一剂，生姜一片、枣二枚、桃脑七个，水煎，露一宿。临发日五更，空心温服。渣待日午再煎服，糖拌乌梅下
药。切忌鸡、鱼、豆腐、面食及房劳、怒气，戒之即痊。此方俱照前人参养胃汤后开治，加减法相同，截疟饮加酒少许
尤妙。
人壮盛者，宜单截也。
不二饮 治一切新久寒热疟疾，一剂截住，神效。
常山 槟榔（要一雄一雌者重二钱余药。各二钱） 知母 贝母（各等分）
上锉，每八钱酒一钟，煎至八分，不可过熟，熟则不效。露一宿；临服日，五更温服，勿令妇人煎药。
常山七宝饮 治壮健人疟疾可截之。
常山 草果（去壳） 槟榔 青皮（去穣） 浓朴（姜汁炒） 知母 苍术（米泔制。各一钱） 鳖甲
（一钱） 乌梅（一个） 甘草（三分）
上锉一剂，生姜一片、桃脑七个，水煎入酒少许，露一宿，临发日，五更温服，午间渣再煎服。汗多加白
术，去苍术；热多加柴胡、黄芩；寒多加桂枝，口渴加麦门冬、天花粉；痰多加贝母。
疟久不止者，先截而后补也。
如圣散 人参（三钱） 常山（三钱） 丁香（二十四个） 甘草（二分）
上为细末，用好酒一钟、乌梅一个，煎熟露一宿。临发日，五更温服，用糖拌乌梅下药，时时可食之。
雄黄截疟丸
人言（一钱） 雄黄（三钱） 辰砂（三钱） 甘草（二钱） 绿豆粉（一两五钱）
上药各为细末，用绿豆粉打糊为丸，如白豆大，外用朱砂为衣。临发日五更，井花水吞服二丸，小儿一丸，
勿多服。
疟以后者，须调养血气也。
参归养荣丸 治疟疾截住后，用此汤药调养血气。
人参 当归 茯苓（去皮） 白术（去芦） 陈皮 砂仁 浓朴（姜汁炒） 山药（炒） 莲肉（炒）
芍药（酒炒） 熟地黄 甘草（炙。各等分）
上锉一剂，大枣二枚，水煎，温服。疟热虚汗加黄 ，去砂仁。
腹中有块者，疟母也。凡疟发时，切不可带热饮食，恐不消而成痞块，痞散成鼓者有之矣。
参归鳖甲汤 治老疟，腹胁有块成疟母。
人参（五分） 青皮（去穣） 黄 （蜜水炒） 鳖甲（醋炙） 当归（酒洗） 茯苓 白术（去芦）
浓朴（姜汁炒） 香附 抚芎（各八分） 砂仁 山楂（去子） 枳实（麸炒。各五分） 甘草（三分）
上锉一剂，生姜一片、枣二枚、乌梅一个，水煎，食前温服。如制丸药，加阿魏醋煮化，和前药末，再用
水醋少许打糊为丸，如梧桐子大。每服三十丸，空心米汤吞下。
十将军丸 治久疟不瘥，有疟母者。
三棱（炮） 莪术（生） 青皮（去穣） 陈皮（去白） 草果（去壳） 砂仁 槟榔 乌梅肉 半夏（泡七
次。各一两） 常山（酒蒸，二两）
上先将常山、草果二味锉，用好酒、醋各一碗入瓦器内，先浸一宿，后入八味药同浸至晚，入瓦铫内炭火煮
，取出晒干。若无日色，用火焙干为末，半酒半醋打糊为丸，如梧桐子大。每服三四十丸，白汤吞下，日进三服
。忌生冷、
鱼腥、酸咸、油腻、面食、炙爆、诸死毒物。服至四两至八两即除根。凡有积聚及烟瘴湿地方，更宜服之。一方加
苍术、香附醋炒各一两。
一平素虚弱，兼以劳役内伤夹感寒暑，以致疟疾寒热交作、肢体倦怠、乏力少气，用补中益气汤加黄芩、芍药、半
夏。有汗及寒重加桂枝，倍黄 ，热盛倍柴胡、黄芩；渴加麦门冬、天花粉。
大凡久疟多属元气虚寒。盖气虚则寒，血虚则热。胃虚则恶寒，脾虚则发热。阴火下流则寒热交作，或吐涎不食、
战栗泄泻、手足厥冷，皆脾胃虚弱，但服补中益气汤，其诸证悉愈。（方见补益。）
大抵久疟，气血俱虚而三日一发者，用十全大补汤。盖邪气在阳分者，浅而易治；邪气在阴分者，深而难治，
（方见
补益。）
一妇人，疟后形体骨立、发热恶寒、自汗盗汗、胸膈痞满，日饮米汤少许，服参术药益胀，卧床半年矣。余
以为阳气虚寒，用大剂补中益气加附子一钱。二剂诸症渐退，饮食渐进，又二剂痊愈。（方见补益。）
Pulse: The pulse in malaria is mostly wiry (Xian, 弦). If wiry and rapid (Shu, 数), it indicates more heat; sweating method (Han fa, 汗法) is suitable. If wiry and slow (Chi, 迟), it indicates more cold; warming method (Wen fa, 温法) is suitable. If wiry, tight, and solid, purgation method (Xia fa, 下法) is suitable. If wiry, deficient, and thin, tonification method (Bu fa, 补法) is suitable. If wiry, excess, and large, emesis method (Tu fa, 吐法) is suitable. A short pulse indicates food retention; a slippery (Hua, 滑) pulse indicates phlegm-dampness. If the malaria pulse is slow and relaxed, the disease will heal itself. In chronic malaria that does not heal, the pulse must be deficient; supporting healthy qi to expel pathogenic factors (Yang zheng qu xie, 养正祛邪) is suitable.
Malaria arises from external contraction of wind-cold, summer-heat, and dampness, internal injury from diet and overwork, or excessive hunger/fullness and sexual desire, leading to disharmony of the Spleen and Stomach and phlegm stagnating in the Middle Jiao (Zhong Wan, 中脘). However, without phlegm, there is no malaria. The Spleen and Stomach belong to Earth; their Qi movement has regularity and does not lose its timing. If the timing shifts, being either early or late, it means the pathogen has no place to reside, and the malaria is about to heal. When malaria attacks, symptoms include yawning, aversion to cold, cold hands and feet, chills, high fever with thirst, headache, soreness and pain in the waist, hips, and joints. Some have cold first then heat, some heat first then cold, some only cold or only heat, some more cold than heat, some more heat than cold. Attacks once a day indicate shallow disease location, which is easy to treat. Attacks every other day, or two days consecutively followed by one day off, are difficult to cure. Treatment: if on the exterior with no sweat, use San Xie Tang (Scatter Pathogen Decoction) as the main formula; if with sweat, use Zheng Qi Tang (Upright Qi Decoction) as the main formula; if at half-exterior half-interior, use Chai Ling Tang (Bupleurum and Polyporus Decoction) as the main formula; if Yin and Yang separation is not yet resolved, use Ren Shen Yang Wei Tang (Ginseng Stomach-Nourishing Decoction) with modifications, after which malaria-stopping drugs can be used. If using malaria-stopping drugs causes vomiting of yellow, sticky mucus, the malaria will heal itself. Do not stop malaria too early (within one or two days); doing so causes pathogenic factors to block and become complicated syndromes. Do not stop malaria too late; doing so exhausts Yuan Qi (Original Qi) and leads to deficiency and timidity syndromes. It is best to stop malaria around the third or fourth day. One must wait until fever subsides and body cools before eating. Do not eat while still having residual heat, lest indigestion form a mass called "Malaria Mother" (Nu Mu, 疟母); if this mass dissipates, it may become drum distension (Gu Zhang, 鼓胀).
Generally, for initial malaria, scattering pathogen and supporting upright Qi come first. For no sweat, induce sweat; focus on scattering pathogen.
San Xie Tang (Scatter Pathogen Decoction): Treats initial malaria with aversion to cold, severe fever, headache, body ache, and no sweat.
Chuanxiong Rhizome (Chuanxiong Radix), Angelica Dahurica Root (Baizhi Radix), Ephedra Stem (Mahuang Herba), White Peony Root (Baishao Radix), Saposhnikovia Root (Fangfeng Radix, remove radicle), Schizonepeta Spike (Jingjie Herba), Perilla Leaf (Zisu Ye), Notopterygium Rhizome (Qianghuo Rhizoma) (each 1 qian), Licorice Root (Gancao Radix) (0.3 qian).
Crush these into one dose, add three slices of fresh ginger and three roots of green onion white, decoct in water, strain, leave overnight, and take warm the next morning. Add Tangerine Peel (Chenpi Fructus Citri Reticulatae) for phlegm; add Atractylodes Macrocephala Rhizome (Cangzhu Rhizoma) for dampness; add Cyperus Rhizome (Xiangfu Rhizoma) for food retention.
For sweat, aim to stop sweat; focus on supporting upright Qi.
Zheng Qi Tang (Upright Qi Decoction): Treats initial malaria with aversion to cold, severe fever, headache, dry mouth, and sweat.
Bupleurum Root (Chaihu Radix), Peucedanum Root (Qianhu Radix), Chuanxiong Rhizome (Chuanxiong Radix), Angelica Dahurica Root (Baizhi Radix), Pinellia Tuber (Banxia Rhizoma, stir-fried with ginger juice), Ophiopogon Tuber (Mendong Tuber, remove heart), Areca Seed (Binglang Semen), Tsaoko Cardamom Fruit (Caoguo Fructus, remove shell), Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride, remove pith), Poria (Fuling Sclerotium, remove skin) (each 1 qian), Cinnamon Twig (Guizhi Ramulus), Licorice Root (Gancao Radix) (each 0.3 qian).
Crush these into one dose, add three slices of fresh ginger and one jujube, decoct in water, and take hot in advance.
When malaria presents with alternating cold and heat and thirst, separating Yin and Yang is suitable.
Chai Ling Tang (Bupleurum and Polyporus Decoction): Treats malaria with alternating cold and heat, disease at half-exterior half-interior, with Yin and Yang not separated.
Bupleurum Root (Chaihu Radix), Scutellaria Root (Huangqin Radix), Ginseng Root (Renshen Radix), Pinellia Tuber (Banxia Rhizoma), Polyporus (Zuling Sclerotium), Alisma Rhizome (Zexie Rhizoma), Atractodis Rhizoma (Baizhu Rhizoma), Poria (Fuling Sclerotium), Cinnamon Bark (Rougui Cortex), Licorice Root (Gancao Radix).
Crush these into one dose, add three slices of fresh ginger and one jujube, decoct in water and take. Add Ephedra Stem (Mahuang Herba) for no sweat; add Cinnamon Twig (Guizhi Ramulus) for sweat; add Cassia Twig (Guizhi Ramulus/Guigui) for more cold; add Scutellaria Root (Huangqin Radix) for more heat.
For deficient persons suffering from malaria, supporting upright Qi removes pathogens naturally.
Ren Shen Yang Wei Tang (Ginseng Stomach-Nourishing Decoction): Treats acute malaria onset; after taking two doses, use Ren Shen Jie Nue Yin (Ginseng Malaria-Stopping Drink) with modifications to stop malaria.
Ginseng Root (Renshen Radix), Poria (Fuling Sclerotium, remove skin), Tangerine Peel (Chenpi Fructus Citri Reticulatae), Pinellia Tuber (Banxia Rhizoma, stir-fried with ginger juice), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Atractylodes Rhizome (Cangzhu Rhizoma, soaked in rice wash water), Agastache Herb (Huoxiang Herba), Angelica Sinensis Root (Danggui Radix), Chuanxiong Rhizome (Chuanxiong Radix), Tsaoko Cardamom Fruit (Caoguo Fructus, remove shell) (each 0.8 qian), Licorice Root (Gancao Radix) (0.3 qian), Mume Fruit (Wumei Fructus) (one).
Crush these into one dose, add three slices of fresh ginger and one large jujube, decoct in water and take warm. Add Cassia Twig (Guizhi Ramulus) for more cold; add Bupleurum Root (Chaihu Radix) for more heat; if sweating excessively, remove Atractylodes Rhizome (Cangzhu Rhizoma), Agastache Herb (Huoxiang Herba), Chuanxiong Rhizome (Chuanxiong Radix), add Atractodis Rhizoma (Baizhu Rhizoma) and Astragalus Root (Huangqi Radix); for fullness, add Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride) and Amomum Fruit (Sharen Fructus), remove Ginseng Root (Renshen Radix); for thirst, add Ophiopogon Tuber (Mendong Tuber) and Anemarrhena Rhizome (Zhimu Rhizoma), remove Pinellia Tuber (Banxia Rhizoma); for diarrhea, add stir-fried Atractodis Rhizoma (Baizhu Rhizoma) and White Peony Root (Baishao Radix); if diarrhea persists, add Myristica Seed (Roudoukou Semen), remove Magnolia Bark (N Hou Po Cortex) and Tsaoko Cardamom Fruit (Caoguo Fructus); for vomiting/hiccups, add Atractodis Rhizoma (Baizhu Rhizoma), Chinese Yam Rhizome (Shanyao Rhizoma), stir-fried Amomum Fruit (Sharen Fructus), and stir-fried rice, remove Tsaoko Cardamom Fruit (Caoguo Fructus), Magnolia Bark (N Hou Po Cortex), Atractylodes Rhizome (Cangzhu Rhizoma); for more phlegm, add Fritillaria Bulb (Beimu Bulbus) and Bamboo Sap (Zhuli), remove Pinellia Tuber (Banxia Rhizoma) and Tsaoko Cardamom Fruit (Caoguo Fructus); for intense internal heat, add stir-fried Scutellaria Root (Huangqin Radix), remove Pinellia Tuber (Banxia Rhizoma); for intense summer-heat in late summer, add Elsholtzia Herb (Xiangru Herba) and Lablab Bean (Bidou Legumen), remove Pinellia Tuber (Banxia Rhizoma) and Agastache Herb (Huoxiang Herba).
Ren Shen Zhu Li Yin (Ginseng Bamboo Sap Drink): Treats deficient malaria with drowsiness, excessive sweating, abundant phlegm, enlarged tongue, confused speech, and deficient-large powerless pulse.
Ginseng Root (Renshen Radix, remove radicle), Atractodis Rhizoma (Baizhu Rhizoma, remove radicle), Poria (Fuling Sclerotium, remove skin), Angelica Sinensis Root (Danggui Radix), Rehmannia Root (Sheng Dihuang Radix), Sour Jujube Seed (Suanzaoren Semen, stir-fried), Ophiopogon Tuber (Mendong Tuber, remove heart), Anemarrhena Rhizome (Zhimu Rhizoma), Tangerine Peel (Chenpi Fructus Citri Reticulatae), White Peony Root (Baishao Radix) (each 1 qian), Mume Fruit (Wumei Fructus) (one), Licorice Root (Gancao Radix) (0.3 qian).
Crush these into one dose, add three slices of fresh ginger and one jujube, decoct in water, add half a cup of bamboo sap (Zhuli) and a little ginger juice, and take together.
When wind and summer-heat enter Yin and affect the Zang organs, it is called An Malaria (Yin Nue, 喑疟).
Chai Hu Xiong Gui Tang (Bupleurum, Chuanxiong, and Angelica Decoction): Treats nighttime Yin malaria; drawing it out to Yang level disperses it, then follow with Ren Shen Jie Nue Yin to stop attacks.
Bupleurum Root (Chaihu Radix), Platycodon Root (Jiegeng Radix, remove radicle), Angelica Sinensis Root (Danggui Radix), Chuanxiong Rhizome (Chuanxiong Radix), White Peony Root (Baishao Radix), Ginseng Root (Renshen Radix), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Atractodis Rhizoma (Baizhu Rhizoma, remove radicle), Kudzu Root (Gegen Radix), Poria (Fuling Sclerotium, remove skin), Tangerine Peel (Chenpi Fructus Citri Reticulatae) (each 1 qian), Safflower Flower (Honghua Flos), Licorice Root (Gancao Radix) (each 0.3 qian).
Crush these into one dose, add one slice of fresh ginger, two jujubes, and one Mume fruit, decoct in water, and take long after meals.
For deficient persons, stopping malaria and tonifying should be used together.
Ren Shen Jie Nue Yin (Ginseng Malaria-Stopping Drink): Treats deficient persons stopping malaria; applicable to all types of malaria.
Ginseng Root (Renshen Radix), Atractodis Rhizoma (Baizhu Rhizoma, remove radicle), Poria (Fuling Sclerotium, remove skin), Angelica Sinensis Root (Danggui Radix), Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride, remove pith, stir-fried with bran), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Bupleurum Root (Chaihu Radix), Scutellaria Root (Huangqin Radix), Anemarrhena Rhizome (Zhimu Rhizoma, remove hairs) (each 0.8 qian), Cinnamon Twig (Guizhi Ramulus) (0.3 qian), Dichroa Root (Changshan Radix, soaked in wine), Tsaoko Cardamom Fruit (Caoguo Fructus, remove shell) (each 0.8 qian), Turtle Shell (Biejia Carapax, stir-fried with vinegar, 0.8 qian), Mume Fruit (Wumei Fructus) (one), Licorice Root (Gancao Radix) (0.3 qian).
Crush these into one dose, add one slice of fresh ginger, two jujubes, and seven peach brain kernels (Taonao), decoct in water, leave overnight. On the day of attack, take warm on an empty stomach at Wugeng time (3-5 AM). Boil the dregs again at noon and take, swallowing medicine with sugar-mixed Mume fruit. Strictly avoid chicken, fish, tofu, wheat/noodle products, sexual intercourse, and anger. Abstinence leads to recovery. This formula follows the modification rules of Ren Shen Yang Wei Tang mentioned earlier; the methods are the same. Adding a little wine to the malaria-stopping drink is especially good.
For robust persons, single malaria-stopping is suitable.
Bu Er Yin (Two-Unmatched Drink): Treats all new and old cold-heat malaria; one dose stops it, miraculous effect.
Dichroa Root (Changshan Radix), Areca Seed (Binglang Semen) (must select one male and one female weighing over 2 qian; other herbs each 2 qian), Anemarrhena Rhizome (Zhimu Rhizoma), Fritillaria Bulb (Beimu Bulbus) (equal parts).
Crush these. For every 8 qian, use one cup of wine, decoct to 8 fen. Do not over-cook, or efficacy is lost. Leave overnight. On the day of administration, take warm at Wugeng time. Do not let women prepare the medicine.
Changshan Qibao Yin (Dichroa Seven-Treasures Drink): Treats robust persons' malaria that can be stopped.
Dichroa Root (Changshan Radix), Tsaoko Cardamom Fruit (Caoguo Fructus, remove shell), Areca Seed (Binglang Semen), Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride, remove pith), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Anemarrhena Rhizome (Zhimu Rhizoma), Atractylodes Rhizome (Cangzhu Rhizoma, prepared with rice wash water) (each 1 qian), Turtle Shell (Biejia Carapax) (1 qian), Mume Fruit (Wumei Fructus) (one), Licorice Root (Gancao Radix) (0.3 qian).
Crush these into one dose, add one slice of fresh ginger and seven peach brain kernels, decoct in water with a little wine, leave overnight. On the day of attack, take warm at Wugeng time, boil dregs again at noon and take. Add Atractodis Rhizoma (Baizhu Rhizoma) and remove Atractylodes Rhizome (Cangzhu Rhizoma) for excessive sweat; add Bupleurum Root (Chaihu Radix) and Scutellaria Root (Huangqin Radix) for more heat; add Cinnamon Twig (Guizhi Ramulus) for more cold; add Ophiopogon Tuber (Mendong Tuber) and Trichosanthes Root (Tianhuafen Radix) for thirst; add Fritillaria Bulb (Beimu Bulbus) for more phlegm.
For prolonged malaria that does not stop, stop malaria first, then tonify.
Ru Sheng San (Like-Sage Powder): Ginseng Root (Renshen Radix) (3 qian), Dichroa Root (Changshan Radix) (3 qian), Clove (Dingxiang Flos) (24 pieces), Licorice Root (Gancao Radix) (0.2 fen).
Grind into fine powder. Use one cup of good wine and one Mume fruit, decoct until cooked, leave overnight. On the day of attack, take warm at Wugeng time, swallow powder with sugar-mixed Mume fruit. Can be eaten frequently.
Xionghuang Jie Nue Wan (Realgar Malaria-Stopping Pill):
Arsenic Trioxide (Renyan, i.e., Piyanshi) (1 qian), Realgar (Xionghuang Mineral) (3 qian), Cinnabar (Chensha Mineral) (3 qian), Licorice Root (Gancao Radix) (2 qian), Mung Bean Flour (Lvdou Fen) (1 liang 5 qian).
Grind each herb into fine powder. Use mung bean flour paste to make pills, size of white beans. Coat externally with cinnabar. On the day of attack, take two pills swallowed with well water at Wugeng time; children take one pill. Do not overdose.
After malaria, blood and Qi must be nourished.
Shen Gui Yang Rong Wan (Ginseng and Angelica Nourishing Nutrient Pill): Treats post-malaria stage, using this decoction to nourish blood and Qi.
Ginseng Root (Renshen Radix), Angelica Sinensis Root (Danggui Radix), Poria (Fuling Sclerotium, remove skin), Atractodis Rhizoma (Baizhu Rhizoma, remove radicle), Tangerine Peel (Chenpi Fructus Citri Reticulatae), Amomum Fruit (Sharen Fructus), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Chinese Yam Rhizome (Shanyao Rhizoma, stir-fried), Lotus Seed (Lianrou Semen, stir-fried), White Peony Root (Baishao Radix, stir-fried with wine), Prepared Rehmannia Root (Shudihuang Radix), Licorice Root (Gancao Radix, honey-fried) (equal parts).
Crush these into one dose, add two jujubes, decoct in water, and take warm. For malaria fever and deficiency sweat, add Astragalus Root (Huangqi Radix), remove Amomum Fruit (Sharen Fructus).
Masses in the abdomen are "Malaria Mother" (Nu Mu). During malaria attacks, never eat/drink while still hot, lest indigestion form masses; if masses dissipate, they may become drum distension.
Shen Gui Biejia Tang (Ginseng, Angelica, and Turtle Shell Decoction): Treats chronic malaria with masses in abdomen/flanks forming Malaria Mother.
Ginseng Root (Renshen Radix) (0.5 fen), Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride, remove pith), Astragalus Root (Huangqi Radix, stir-fried with honey water), Turtle Shell (Biejia Carapax, stir-fried with vinegar), Angelica Sinensis Root (Danggui Radix, washed with wine), Poria (Fuling Sclerotium), Atractodis Rhizoma (Baizhu Rhizoma, remove radicle), Magnolia Bark (N Hou Po Cortex, stir-fried with ginger juice), Cyperus Rhizome (Xiangfu Rhizoma),抚芎 (Fuxiong, a type of Chuanxiong) (each 0.8 fen), Amomum Fruit (Sharen Fructus), Hawthorn Fruit (Shanzha Fructus, remove seeds), Immature Bitter Orange (Zhishi Fructus, stir-fried with bran) (each 0.5 fen), Licorice Root (Gancao Radix) (0.3 qian).
Crush these into one dose, add one slice of fresh ginger, two jujubes, and one Mume fruit, decoct in water, and take warm before meals. To make pills, add Asafoetida Resin (Wei E Resina) dissolved in vinegar, mix with previous powder, add a little water and vinegar to make paste pills, size of paulownia seeds. Take 30 pills each time, swallowed with rice soup on an empty stomach.
Shi Jiangjun Wan (Ten Generals Pill): Treats prolonged malaria not healing, with Malaria Mother.
Samanga Rhizome (Sanleng Rhizoma, processed), Curcuma Zedoaria Rhizome (Ezhu Rhizoma, raw), Green Tangerine Peel (Qingpi Pericarpium Citri Reticulatae Viride, remove pith), Tangerine Peel (Chenpi Fructus Citri Reticulatae, remove white pith), Tsaoko Cardamom Fruit (Caoguo Fructus, remove shell), Amomum Fruit (Sharen Fructus), Areca Seed (Binglang Semen), Mume Flesh (Wumei Rou), Pinellia Tuber (Banxia Rhizoma, soaked seven times) (each 1 liang), Dichroa Root (Changshan Radix, steamed with wine) (2 liang).
First crush Dichroa Root and Tsaoko Cardamom Fruit. Soak in one bowl of good wine and one bowl of vinegar in a clay vessel overnight. Then add the other eight herbs and soak until evening. Boil in a clay pot over charcoal fire, take out and dry. If no sun, bake dry and grind to powder. Make pills with half wine and half vinegar paste, size of paulownia seeds. Take 30-40 pills each time, swallowed with plain water, three times daily. Avoid raw/cold, fishy/smelly, sour/salty, greasy, wheat/noodle, roasted/fried foods, and various toxic dead substances. Taking 4-8 liang eliminates the root cause. Suitable for those with accumulations and those in smoky/miasma/damp areas. Another prescription adds Atractylodes Rhizome (Cangzhu Rhizoma) and Cyperus Rhizome (Xiangfu Rhizoma), both stir-fried with vinegar, 1 liang each.
One case: A person constitutionally weak, compounded by labor injury and internal damage mixed with wind-cold/summer-heat contraction, resulting in alternating cold and heat malaria, limb fatigue, weakness, and shortness of Qi. Use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Scutellaria Root (Huangqin Radix), White Peony Root (Baishao Radix), Pinellia Tuber (Banxia Rhizoma). With sweat and heavy cold, add Cinnamon Twig (Guizhi Ramulus), double Astragalus Root (Huangqi Radix); with intense heat, double Bupleurum Root (Chaihu Radix) and Scutellaria Root (Huangqin Radix); with thirst, add Ophiopogon Tuber (Mendong Tuber) and Trichosanthes Root (Tianhuafen Radix).
Generally, prolonged malaria belongs to Original Qi deficiency and cold. Qi deficiency leads to cold; Blood deficiency leads to heat. Stomach deficiency leads to aversion to cold; Spleen deficiency leads to fever. Yin fire flowing downward causes alternating cold and heat; spitting saliva, anorexia, shivering, diarrhea, and cold extremities are all due to Spleen/Stomach deficiency. Simply taking Bu Zhong Yi Qi Tang will resolve all symptoms. (Formula see Tonification section.)
Generally, prolonged malaria with both Qi and Blood deficiency and attacks every three days uses Shi Quan Da Bu Tang (Great Tonification Decoction of Ten Ingredients). Pathogens in Yang level are shallow and easy to treat; pathogens in Yin level are deep and difficult to treat. (Formula see Tonification section.)
A woman, after malaria, body emaciated like bones, fever with aversion to cold, spontaneous and night sweats, chest/diaphragm fullness, drinking only a little rice soup daily, taking Ginseng/Atractodis medicines increased bloating, bedridden for half a year. I considered this Yang Qi deficiency and cold, using large dose Bu Zhong Yi Qi Tang plus one qian of Aconite Root (Fuzi Radix Preparata). After two doses, symptoms gradually receded, diet gradually improved. After two more doses, fully recovered. (Formula see Tonification section.)