(寒热往来,一日一发,或间日一发者,疟母之夹也。左胁下如覆杯者,乃瘀血夹湿痰,清肝汤主之)
加味清肝汤(左胁属肝,肝经湿热,夹瘀血而结成疟母)
柴胡 山栀子(炒) 川芎 当归 白芍药(酒炒) 鳖甲(醋炒,各七分) 玄胡索(五分) 槟榔 青皮 甘
草(各三分)
上服二、三帖,以瘥为度。而三帖无效,又服可也。
如气弱,加人参二、三分。
柴胡二陈汤(治右胁下覆杯,如痰饮成疟者也)
柴胡 陈皮 半夏(炮干,炒) 赤茯苓 鳖甲(各七分) 玄胡索(五分) 槟榔 青皮 甘草(各五分)
如气弱,加人参二、三分。
如痰癖,加何首乌五分。
一方∶朱砂、槟榔、石雄各三分为末,牟甘酒调和,当日饮之则神效。(此方治鳖疟)
一方∶患疟母黄瘦,地鼠肉或炙或烹食之。
一方∶小儿老疟,松寄生一、二钱煎服之。
一方∶丁香一钱半,草果(面炮煨)一钱,巴豆霜一分许。(小儿疟疾久不瘥者,服此极验)年壮疟疾,材倍入,
更加干姜五片可也。(此名丁香散)
窃观俗人轻视此症,先试章门针灸,次饮杂药,颇多得效。第章门近于血幕,而不能明知穴处,误加针刺,血流如
射,则欲为止血而艾灸其上,则血不得外流而内涌聚结,仍
成内肿,曾多见之。或章门灸处触风成疮,终未完合,仍为致夭者,间亦有之。或饮峻毒单方,渐至戍削骨立,不至成
长,亦或有之。此保幼之家,所当深戒,须忌针灸及毒药,制此和平之药(如丁香散之类),久服则万无不效之理,且
切禁生冷之饮可也。
(Alternating chills and fever, occurring once daily or every other day, are complications of Maimu (Spleen Enlargement due to Malaria). A sensation of hardness in the left hypochondrium resembling an inverted cup indicates blood stasis complicated by damp-phlegm; Qinggan Tang (Clear the Liver Decoction) is the primary formula.)
Jiawei Qinggan Tang (Modified Clear the Liver Decoction) [Indication: The left hypochondrium belongs to the Liver; damp-heat in the Liver channel, complicated by blood stasis, forms Maimu.]
Chai Hu (Bupleuri Radix), Shanzhizi (Gardeniae Fructus, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao Yao (Paeoniae Radix Alba, wine-fried), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, each 0.7 fen), Yanhusuo (Corydalis Rhizoma, 0.5 fen), Binglang (Arecae Semen), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.3 fen).
Take two to three doses above, stopping when recovered. If ineffective after three doses, continue administration.
If Qi deficiency exists, add Renshen (Ginseng Radix) 0.2–0.3 fen.
Chaihu Erchen Tang (Bupleurum and Two-Aged Decoction) [Indication: Treats hardness in the right hypochondrium resembling an inverted cup, caused by phlegm-fluid retention manifesting as malaria-like symptoms.]
Chai Hu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, processed dry and stir-fried), Chi Fuling (Poria with Red Mycelium), Biejia (Testudinis Carapax et Plastrum, each 0.7 fen), Yanhusuo (Corydalis Rhizoma, 0.5 fen), Binglang (Arecae Semen), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.5 fen).
If Qi deficiency exists, add Renshen (Ginseng Radix) 0.2–0.3 fen.
If Tanpi (phlegm accumulation forming a mass) is present, add Heshouwu (Polygoni Multiflori Radix) 0.5 fen.
Another prescription: Zhusha (Cinnabaris), Binglang (Arecae Semen), Shixiong (Realgar) each ground into powder (3 fen), mixed with sweet wine, drunk on the same day for miraculous effect. (This formula treats Biemie [Malaria with splenic enlargement].)
Another prescription: For patients with Maimu presenting with jaundice and emaciation, eat Ge Shu Rou (Meat of the Ground Rat), either roasted or boiled.
Another prescription: For chronic malaria in children, decoct Song Jisheng (Taxilli Herba) 1–2 qian and drink.
Another prescription: Dingxiang (Caryophylli Flos) 1.5 qian, Caoguo (Tsaoko Fructus, wrapped in flour and baked/roasted) 1 qian, Badoushuang (Euphorbiae Seminis Preparatum, approximately 1 fen). (For pediatric malaria persisting for a long time without recovery, this formula is highly effective.) For malaria in robust adults, double the dosage of ingredients, and additionally add five slices of Ganjiang (Zingiberis Rhizoma). (This is named Dingxiang San [Clove Powder].)
I observe that laypeople often underestimate this condition, first attempting acupuncture at Zhangmen (LR13), then drinking various miscellaneous medicines, achieving some success. However, Zhangmen is located near vascular plexuses ("blood curtains"); if the acupoint location is not accurately known and needle insertion causes bleeding like a spray, applying moxibustion to stop the bleeding may cause blood to pool internally rather than flow externally, leading to internal swelling, which I have seen frequently. Alternatively, sores formed by wind exposure at moxa sites may fail to heal, occasionally leading to premature death. Or, consuming harsh toxic single-herb prescriptions may gradually lead to severe emaciation and failure to thrive. These are matters that those caring for infants must strictly warn against. Acupuncture and toxic drugs should be avoided; instead, prepare mild formulas (such as Dingxiang San). Long-term consumption will surely be effective, and one must strictly avoid cold and raw foods.