（出《明医杂着》）
春秋时月，人感山岚瘴雾毒瓦斯，发寒热，胁膈饱闷，不思饮食。此毒瓦斯从鼻口入内也。
治当清上焦，解内毒，行气降痰，不宜发汗。
黄连（一钱，姜水洗） 升麻 苍术（各一钱半，米泔浸，盐水炒） 黄芩（酒拌，炒）
木香 浓朴（姜制） 枳实（麸炒） 半夏（汤泡七次） 桔梗（去芦） 川芎 柴胡 木
通（各一钱） 生甘草（七分）
生姜五片，水一钟半，煎七分，食前，热服，滓煎四分，继服。
寒温不节，汗身脱衣巾，感冒风寒之气，气闭发热头疼，此伤寒类也。但岭南气温，易
出汗，故多类疟，重则寒热不退，轻则为疟。南方气升，故岭南人得此病者，猝皆胸满，痰
涎壅塞，饮食不进，与北方伤寒只伤表而里自和者不同。治当解表清热，降气行痰。此方用
于寒凉时月及虽在温暖时而感冒风寒者。
羌活（一钱半） 苍术（泔浸） 柴胡 黄芩 橘红（去白） 半夏（汤洗） 枳实 甘
草（炙） 川芎（各一钱）
生姜五片，水一钟半，煎七分，食前，温服，渣煎四分，随服，取汗出止服。
瘴疟、时疟，寒热往来。
柴胡 知母（炒） 半夏（汤洗。各一钱半） 苍术（泔洗） 黄芩（酒炒） 干葛 陈
皮川芎（
生姜三大片，乌梅肉二个，水一钟半，煎七分，食前，清晨服；滓煎四分，午前服。
疟久者加人参（一钱半）、 当归（一钱）；汗多者去苍术，换白术，加酒炒白芍药（各
一钱半。）
后变成痢疾。疟后之痢从虚治，用补脾胃药。
黄连（炒） 木香 缩砂 黄芩（炒） 橘皮 当归（酒洗。各一钱） 白术（一钱半）
白芍药（炒，二钱） 甘草（炙，五分）
生姜三片，水二钟，煎八分，食前，热服。
温暑之月，民病天行瘟疫热病，治宜清热解毒，兼治内外。
枯黄芩（酒炒） 知母（酒炒） 干葛（各一钱） 石膏 白芍药（酒炒） 人参（各
一钱半） 黄连（酒炒） 生地黄（酒洗。各五分） 升麻（一钱） 生甘草（七分） 羌
活（三钱）
生姜三片，水钟半，煎七分，食前热服，滓煎四分，继服。若胸膈痞满，痰涎壅塞者，
加枳
时气发热，变为黄病。所谓瘟黄也，宜治内泻湿热。
茵陈 黄连（姜水炒） 山栀仁 白术 白茯苓（去皮） 浓朴（姜水炒） 木通（去
皮） 人参（
生姜三大片，水二钟，煎七分，食前温服。渣煎四分，继服。
(From *Mingyi Zazhuo*)
During the spring and autumn seasons, people may contract mountain miasma, pestilential fog, and toxic vapors, resulting in alternating chills and fever, fullness and oppression in the hypochondrium and diaphragm, and loss of appetite. This occurs because the toxic vapors enter the body through the nose and mouth.
Treatment should focus on clearing the Upper Jiao (Upper Burner), resolving internal toxins, moving Qi to reduce phlegm, and avoiding sweating methods.
*Huanglian* (Coptidis Rhizoma, 1 qian, washed with ginger water), *Shengma* (Cimicifugae Rhizoma), *Cangzhu* (Atractylodis Rhizoma, each 1.5 qian, soaked in rice wash water, stir-fried with salt water), *Huangqin* (Scutellariae Radix, mixed with wine, stir-fried), *Muxiang* (Aucklandiae Radix), *Nongpo* (Magnoliae Officinalis Cortex, processed with ginger juice), *Zhishi* (Immature Bitter Orange, stir-bran fried), *Banxia* (Pinelliae Tuber, soaked in boiling water seven times), *Jiegeng* (Platycodonis Radix, remove rhizome), *Chuanxiong* (Ligusticum Chuanxiong Rhizome), *Chaihu* (Bupleuri Radix), *Mutong* (Akebiae Caulis, each 1 qian), *Sheng Gancao* (Raw Glycyrrhizae Radix et Rhizoma, 0.7 qian).
Add five slices of *Shengjiang* (Zingiberis Rhizoma Recens), one and a half zhong of water, decoct until one-seventh remains. Take hot before meals. Decoct the dregs with another portion of water until four-tenths remain, then take subsequently.
If climate regulation is improper, such as removing clothing or head coverings while sweating, one may contract wind-cold qi, leading to qi obstruction, fever, and headache; this belongs to the category of Shanghan (Cold Damage) diseases. However, due to the warmer temperatures in Lingnan, sweating occurs easily, so these conditions often resemble Nue (Malaria). Severe cases present with persistent chills and fever, while mild cases manifest as malaria. The southern atmospheric qi rises; thus, patients in Lingnan suffering from this condition suddenly experience chest fullness, phlegm-saliva congestion, and inability to eat. This differs from Northern Shanghan, which only damages the exterior while the interior remains harmonious. Treatment should resolve the exterior, clear heat, descend Qi, and move phlegm. This formula is suitable for cold seasons, or for those contracting wind-cold even during warm seasons.
*Qianghuo* (Notopterygii Rhizoma et Radix, 1.5 qian), *Cangzhu* (soaked in rice wash water), *Chaihu*, *Huangqin*, *Juhong* (Citri Reticulatae Pericarpium Rubrum, remove white pith), *Banxia* (washed with boiling water), *Zhishi*, *Gancao* (roasted honey-fried), *Chuanxiong* (each 1 qian).
Add five slices of *Shengjiang*, one and a half zhong of water, decoct until one-seventh remains. Take warm before meals. Decoct the dregs until four-tenths remain, take subsequently. Stop taking when sweating occurs.
Zhang Nue (Pestilential Malaria) and Shi Nue (Seasonal Malaria), characterized by alternating chills and fever.
*Chaihu*, *Zhimu* (Anemarrhenae Rhizoma, stir-fried), *Banxia* (washed with boiling water, each 1.5 qian), *Cangzhu* (washed in rice wash water), *Huangqin* (stir-fried with wine), *Gange* (Puerariae Radix), *Chenpi* (Citri Reticulatae Pericarpium), *Chuanxiong*.
Add three large slices of *Shengjiang* and two pieces of *Wumei Rou* (Mume Fructus Flesh), one and a half zhong of water, decoct until one-seventh remains. Take early in the morning before meals. Decoct the dregs until four-tenths remain, take before noon.
For chronic cases, add *Renshen* (Ginseng Radix et Rhizoma, 1.5 qian) and *Danggui* (Angelicae Sinensis Radix, 1 qian). For excessive sweating, remove *Cangzhu*, replace with *Baizhu* (Atractylodis Macrocephalae Rhizoma), and add *Baishao Yao* (Paeoniae Radix Alba, wine-stir-fried, each 1.5 qian).
This may subsequently transform into Li Ji (Dysentery). Dysentery following malaria should be treated based on deficiency, using herbs that tonify the Spleen and Stomach.
*Huanglian* (stir-fried), *Muxiang*, *Suosha* (Amomi Fructus Rotundus), *Huangqin* (stir-fried), *Chenpi*, *Danggui* (wine-washed, each 1 qian), *Baizhu* (1.5 qian), *Baishao Yao* (stir-fried, 2 qian), *Gancao* (roasted honey-fried, 0.5 qian).
Add three slices of *Shengjiang*, two zhong of water, decoct until eight-tenths remain. Take hot before meals.
In months of warm heat and summer heat, the populace suffers from epidemic febrile diseases caused by heavenly pathogens. Treatment should prioritize clearing heat and detoxifying, addressing both interior and exterior.
*Ku Huangqin* (dried Scutellariae Radix, wine-stir-fried), *Zhimu* (wine-stir-fried), *Gange* (each 1 qian), *Shigao* (Gypsum Fibrosum), *Baishao Yao* (wine-stir-fried), *Renshen* (each 1.5 qian), *Huanglian* (wine-stir-fried), *Sheng Dihu* (Rehmanniae Radix, wine-washed, each 0.5 qian), *Shengma* (1 qian), *Sheng Gancao* (0.7 qian), *Qianghuo* (3 qian).
Add three slices of *Shengjiang*, one and a half zhong of water, decoct until one-seventh remains. Take hot before meals. Decoct the dregs until four-tenths remain, take subsequently. If there is chest and diaphragm stuffiness with phlegm-saliva congestion, add Zhishi (text implies addition here but cuts off).
Seasonal qi causing fever transforms into Huang Bing (Jaundice Disease). Known as Wen Huang (Pestilential Jaundice), treatment should address the interior by purging damp-heat.
*Yinchen* (Artemisiae Scopariae Herba), *Huanglian* (stir-fried with ginger water), *Shanzhiren* (Gardeniae Semen), *Baizhu*, *Baifuling* (Poria, remove skin), *Nongpo* (stir-fried with ginger water), *Mutong* (remove skin), *Renshen*.
Add three large slices of *Shengjiang*, two zhong of water, decoct until one-seventh remains. Take warm before meals. Decoct the dregs until four-tenths remain, take subsequently.