似疟，一名疟状，作止有时，非若寒热往来无定也。
太阳似疟，脉浮洪，桂枝汤；清便自可，不呕，一日二三度发，桂枝麻黄各半汤。
阳明似疟，烦热汗出，日晡发热，脉浮，桂枝汤；脉实，承气汤。
妇人热入血室，其血必结，亦如疟状，小柴胡汤。
热多寒少，阳乘阴也。若尺脉迟，为血少，先以黄 建中汤养其荣卫。脉不迟，却以小柴胡汤、
桂枝汤、越婢汤选用之。
厥阴脉浮缓，囊不缩，必发热恶寒，似疟，为欲愈，桂枝麻黄各半汤。
温疟，其脉如平，身无寒但热，骨节烦疼，时呕，白虎汤加桂；渴者，柴胡加人参栝蒌汤。
无汗，寒邪中经，腠理闭密，津液内渗而无汗也。若风、暑、湿干之，则自汗出矣。当汗之证，
与麻黄汤三剂而不得汗者，此又不可疗也。
太阳当热，无汗头痛，麻黄汤。项背强，兀兀无汗，葛根汤。刚 ，发热恶寒，无汗，葛根汤
或小续命汤。
脉浮发热，无汗，表不解者，麻黄汤；汗不止，白虎汤。渴欲饮水，无表证者，
白虎加人参。
阳明反无汗，脉浮而喘者，麻黄汤。若无汗，小便不利，心中懊 ，身必发黄，五苓散加茵陈。
卫气者，所以肥腠理而固津液者也。卫为邪所干，不能卫护于外，由是而汗出焉。且自汗者，
有表里虚实之分。若自汗出，恶风寒，为表未解，当解肌，以致汗泄恶风，与汗后恶寒，皆为表虚，
必用温剂。若汗出，不恶风寒，则为表解里未和，从下之。设或汗出发润，如油如珠，凝而不流，
皆不可治也。
太阳中风，自汗，脉浮缓，桂枝汤。汗出而渴，小便难，五苓散；不渴者，茯苓甘草汤。自汗
出，小便难，而用桂枝，惟加芍药、甘草。自汗出，小便不数，心烦微恶寒，脚挛急，桂枝附子。
阳明汗多而渴，发热谵语，大便硬，调胃承气汤。
太阳病，发汗，遂漏不止，恶风寒，桂枝附子汤。若小便自利而汗出，为津液
少，不可攻利，宜蜜导煎通之。若汗多者，胃汁干，急下之，大承气汤。
汗多而渴，勿用五苓散。汗不止，无他证者，温粉扑之。
服桂枝汤，大汗出，烦渴不解，脉洪大者，白虎加人参。下后不可更用桂枝汤。若汗而喘，无
大热者，麻黄杏仁甘草石膏汤。
Similar to malaria, also known as "malaria-like syndrome," refers to symptoms that occur and cease at regular intervals, unlike the alternating chills and fever which have no fixed pattern.
In Taiyang disease presenting with a malaria-like syndrome, if the pulse is floating and surging, Guizhi Tang (Cinnamon Twig Decoction) is indicated; if urination and defecation are normal, there is no vomiting, and the episodes occur two or three times a day, Guizhi Mahuang Ge Ban Tang (Half-Half Decoction of Cinnamon Twig and Ephedra) is indicated.
In Yangming disease presenting with a malaria-like syndrome, if there is irritability, heat, sweating, afternoon tidal fever, and a floating pulse, Guizhi Tang (Cinnamon Twig Decoction) is indicated; if the pulse is excess/solid, Chengqi Tang (Gut-Draining Decoction) is indicated.
When pathogenic heat enters the Blood Chamber (uterus and related meridians) in women, the blood must congeal, resulting in symptoms similar to malaria; Xiaochaihu Tang (Minor Bupleurum Decoction) is indicated.
When heat predominates over cold, it indicates Yang pathogen invading Yin. If the Chi (cun-guan-chi) pulse is slow, it indicates blood deficiency; Huangqi Jianzhong Tang (Astragalus Middle-Jiao-Sustaining Decoction) should be administered first to nourish Ying (Nutrient) and Wei (Defensive) Qi. If the pulse is not slow, one may select from Xiaochaihu Tang (Minor Bupleurum Decoction), Guizhi Tang (Cinnamon Twig Decoction), or Yuespi Tang (Yue Bi Decoction).
In Jueyin disease, if the pulse is floating and moderate, the scrotum does not retract, and there is fever with aversion to cold resembling malaria, this indicates the disease is about to resolve; Guizhi Mahuang Ge Ban Tang (Half-Half Decoction of Cinnamon Twig and Ephedra) is indicated.
For Wenre (Warm Malaria), the pulse appears like that of a healthy person, the body has heat but no chills, the joints are painful and vexed, and there is occasional vomiting; Baihu Tang (White Tiger Decoction) added with Guizhi (Cinnamon Twig) is indicated. If there is thirst, Chaihu Jiaren Shen Gualou Tang (Bupleurum Plus Ginseng and Trichosanthes Root Decoction) is indicated.
Anhidrosis (absence of sweat) occurs when Cold pathogen penetrates the meridians, causing the Couli (skin pores) to close tightly, leading to body fluids seeping inward rather than being excreted as sweat. If Wind, Summerheat, or Dampness interfere, spontaneous sweating will occur. For conditions requiring diaphoresis, if three doses of Mahuang Tang (Ephedra Decoction) fail to induce sweating, the condition is considered incurable.
In Taiyang disease where fever is expected, anhidrosis accompanied by headache is treated with Mahuang Tang (Ephedra Decoction). Stiffness in the neck and back with persistent anhidrosis is treated with Gegen Tang (Kudzu Decoction). Gangjing (Rigid Spasm), characterized by fever, aversion to cold, and anhidrosis, is treated with Gegen Tang (Kudzu Decoction) or Xiao Xuming Tang (Minor Rescue Life Decoction).
If the pulse is floating, there is fever and anhidrosis, indicating the Exterior syndrome is unresolved, Mahuang Tang (Ephedra Decoction) is indicated; if sweating persists uncontrollably, Baihu Tang (White Tiger Decoction) is indicated. If there is thirst for water without Exterior signs, Baihu Jiaren Tang (White Tiger Plus Ginseng Decoction) is indicated.
Yangming disease presenting with anhidrosis, a floating pulse, and wheezing is treated with Mahuang Tang (Ephedra Decoction). If there is anhidrosis, difficulty in urination, and mental restlessness (Ao Nu), jaundice will likely develop; Wuling San (Five-Ingredient Powder with Poria) plus Yinchen (Artemisiae Scopariae Herba) is indicated.
Wei Qi (Defensive Qi) functions to fill the Couli (skin pores) and secure body fluids. When Wei Qi is disturbed by pathogens and fails to protect the exterior, sweating results. Spontaneous sweating must be differentiated by Exterior/Interior and Deficiency/Excess. If spontaneous sweating occurs with aversion to wind and cold, the Exterior is unresolved; muscle-releasing methods should be used to induce sweating and relieve wind aversion. Sweating followed by aversion to cold also indicates Exterior Deficiency, requiring warm tonifying agents. If sweating occurs without aversion to wind and cold, the Exterior is resolved but the Interior is disharmonious, warranting purgative treatment. However, if sweating causes hair to become moist like oil or beads that coagulate and do not flow, these are untreatable fatal signs.
In Taiyang Wind Strike, spontaneous sweating with a floating and moderate pulse is treated with Guizhi Tang (Cinnamon Twig Decoction). If sweating is accompanied by thirst and difficult urination, Wuling San (Five-Ingredient Powder with Poria) is indicated; if there is no thirst, Lingjian Gancao Tang (Poria and Licorice Decoction) is indicated. For spontaneous sweating with difficult urition using Guizhi Tang, Shaoyao (Peony Root) and Gancao (Licorice Root) should only be added. For spontaneous sweating, infrequent urination, mental irritability, slight aversion to cold, and leg cramps, Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction) is indicated.
In Yangming disease, excessive sweating with thirst, fever, delirium, and hard stool is treated with Tiaowei Chengqi Tang (Stomach-Regulating Gut-Draining Decoction).
After treating Taiyang disease with diaphoresis, if sweating leaks continuously with aversion to wind and cold, Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction) is indicated. If urination is normal but sweating occurs, it indicates fluid deficiency; purgatives or diuretics should not be used. Instead, honey suppositories (Mi Dao) should be used to promote bowel movement. If sweating is excessive, stomach fluids are dried up, requiring urgent purgation with Dachengqi Tang (Major Gut-Draining Decoction).
For excessive sweating with thirst, Wuling San (Five-Ingredient Powder with Poria) should not be used. For persistent sweating without other symptoms, apply warming powder externally.
After taking Guizhi Tang (Cinnamon Twig Decoction), if massive sweating occurs with unrelenting irritability and thirst, and the pulse is surging, Baihu Jiaren Tang (White Tiger Plus Ginseng Decoction) is indicated. After purgation, Guizhi Tang (Cinnamon Twig Decoction) must not be used again. If sweating is accompanied by wheezing without high fever, Mahuang Xingren Gancao Shigao Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) is indicated.