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This is the first prescription for educating children.
*Shichangpu* (Acori Tatarinowii Rhizoma) [remove hairs], *Yuanzhi* (Polygalae Radix) [boil in Licorice Decoction, remove heart, each 1 liang], *Baifushen* (Poria with Hostwood), *Bajitian* (Morindae Officinalis Radix) [boil in water, remove heart, each 5 qian], *Renshen* (Ginseng Radix et Rhizoma), *Digupi* (Lycii Cortex) [each 3 qian]. Grind into powder. Use 2 liang of *Baifuling* (Poria Cocos) and 2 liang of glutinous rice, grind together into powder. Use 3 qian of *Shichangpu* to decoct a thick soup, remove dregs, use this liquid to make paste for pills. Take 30-50 pills after each meal, at noon, and before sleep.

Has the effect of calming the mind and stabilizing the will, harmonizing blood, and treating forgetfulness.
*Shudi* (Rehmanniae Radix Preparata), *Tiangong* (Asparagi Radix), *Danshen* (Salviae Miltiorrhizae Radix et Rhizoma) [each 1.5 liang], *Fuling* (Poria Cocos), *Gancao* (Glycyrrhizae Radix et Rhizoma) [each 1 liang], *Yuanzhi* (Polygalae Radix), *Renshen* (Ginseng Radix et Rhizoma) [each 5 qian], *Maidong* (Ophiopogonis Radix) [2 liang]. Grind into powder, make honey pills the size of paulownia seeds, coat with *Zhusha* (Cinnabaris). Take 50 pills each time, swallow with warm water.

Malaria (*Nue*), referred to as "Nue" in the *Neijing* (Classic of Internal Medicine), and named "Suilu" in the *Lingshu* (Spiritual Pivot). There are various types such as Cold Malaria, Warm Malaria, and Dan Malaria. The *Jing* (Classic) states: "All malaria arises from wind," which only mentions one aspect. However, pathogenic factors of wind, cold, summerheat, and dampness invade from outside, while improper diet and living habits cause pathogens to arise from within. At the onset, hair stands erect, the body feels stiff and cramped, chills occur with jaw clattering. Shortly after the cold subsides, both interior and exterior become hot, headache feels like bursting, thirst desires cold drinks. This is what the *Jing* refers to as the shifting of Yin and Yang. Some cases result from summerheat injury in summer, where intense heat hides inside the skin and resides within the Ying (Nutritive) Qi. Upon encountering autumn air, sweating followed by wind exposure causes the summerheat to lie dormant in the Ying level, while wind-cold occupies the Wei (Defensive) level. This closes the pores, preventing sweat from exiting. Since Ying Qi moves exclusively internally without an outlet to emerge, and Wei Qi moves externally, these two pathogens enter and exit accordingly. Wei Qi travels through the Yang levels during the day; when pathogens follow it outward, malaria attacks. At night, it travels through the Yin levels; when pathogens follow it inward, malaria accumulates. Generally, Yin and Yang cannot be separated. Only in disease does Yang Qi move upward and Yin Qi downward. When movement reaches its extreme, it reverses, causing Yin and Yang to meet and contend. Thus, the *Jing* says: "Yin and Yang contend above and below." At the start of malaria, Yang merges into Yin. When Yin is excess, the Three Yang meridians are deficient; Yang deficiency leads to external cold. When Yin is excess, there is internal cold. Hence, chills and jaw clattering occur, with cold throughout the interior and exterior. Yang fire cannot warm the bones, causing pain. Consequently, Yin Qi rebels to its extreme and merges with Yang. Thus, external Yang becomes excess and internal Yin becomes deficient. Yang excess leads to external heat, Yin deficiency leads to internal heat, resulting in heat throughout interior and exterior. This causes panting and thirst, urgently desiring cold drinks, even ice water fails to cool. Some attack every other day because pathogens press inward against the Zang organs, spreading horizontally to the Mu Yuan (Sea of Origin). The distance to Wei Qi is far, and its movement is slow. Wei Qi emits outward daily alone, while Yin pathogens adhere internally. The emitting ones move fast, the adhering ones manifest slowly, hence the every-other-day attack. After onset, attacks occur later each day until eventually earlier each day. This is because initially, pathogens lodge in Fengfu (GV16), descending along the spine one segment per day. Fengfu is located above the neck; there are three vertebrae in the neck down to the coccyx, totaling twenty-four segments. Wei Qi completes fifty circuits in one day and night, then re-emerges from Jingming (BL1) of the Foot-Taiyang Bladder Meridian, ascends to the vertex, turns back to the posterior neck, and converges at Fengfu, marking the start of malaria. When pathogens are at Fengfu and Wei Qi arrives there, pathogens exit with Wei Qi, causing illness. Later, pathogens descend one segment daily from Fengfu, becoming distant from it, unable to act simultaneously with Wei Qi. When Wei Qi reaches the pathogen's residence, pathogens act with Wei Qi. Thus, attacks occur later each day. By the twenty-fifth day, pathogens have reached the coccyx and completed their course, entering the spine, pouring into the Fulu vessels, ascending from the Kidney through the Liver and Diaphragm, reaching the Clavicular region. Their energy rises daily, allowing them to exit with Wei Qi, thus attacks occur earlier than before. Some attack after several days, with or without thirst. This indicates pathogens are deeply lodged internally, unable to exit with Wei Qi, hence the delay. Thirst occurs when Yin merges into Yang, making Yang excess and heat severe. No thirst occurs when Yang merges into Yin, making Yin excess and heat mild. Daily regular attacks that suddenly become irregular or vary in timing indicate recovering Zheng Qi (Upright Qi), leaving no room for pathogens, signaling impending recovery. However, the *Jing* states: "Summerheat injury in summer leads to malaria in autumn," and "this corresponds to the four seasons." Winter malaria involves severe winter Qi, latent Yang not contending with cold, so cold is mild. Autumn malaria features cooling clear Qi, descending Yang, heat stored in skin/muscle, extreme heat generating cold, so cold is severe. Spring malaria has mild spring Qi, outward-releasing Yang, open pores, leading to aversion to wind. Summer malaria has steaming summerheat, leaking fluids, leading to profuse sweating. Attacks starting with cold then heat result from initial cold injury followed by wind injury. Cold is Yin, Wind is Yang. Feeling Yin first then Yang causes cold then heat; named Cold Malaria due to cold being the mechanism. Attacks starting with heat then cold result from initial wind injury followed by cold injury. Feeling Yang first then Yin causes heat then cold; named Warm Malaria due to wind being the mechanism. Heat only without cold indicates Yang excess acting alone; named Dan Malaria due to interior-exterior heat wasting muscles. Phlegm Malaria results from cooling off, drinking cold, irregular eating, lying in wind/dampness, causing Spleen-Stomach disharmony transforming into phlegm, accumulating in Zhongwan (CV12), manifesting upon stimulation; also called Damp Malaria. Pin Malaria features much cold, slight heat, or only cold without heat. Zhang Malaria features alternating cold/heat, appearing/disappearing intermittently. Yi Malaria affects all ages similarly in a year. Gui Malaria involves bad dreams and fear, originally due to Spleen deficiency inviting pathogens, not ghosts. Healing via talismans works because Spleen governs trust; wearing talismans gives the Heart reliance and Spleen trust, strengthening Middle Qi and resolving external pathogens. Lao Malaria persists for years, recurring, forming masses known as Nuomu (Malaria Mother), due to improper treatment damaging Ying/Wei, pathogens lodging in Liver meridian causing hypochondriac masses. Treatment must prioritize tonifying deficiency; attacking masses alone often leads to death. Xu Malaria involves extreme Zheng Qi deficiency invaded by pathogens. Must use Renshen and Baizhu to support Zheng Qi preventing collapse. Although classics mention Five Zang Malaria and Gallbladder/Stomach/Bladder Malaria, all belong to the Half-Exterior Half-Interior stage of the Shaoyang Meridian, governed by Spleen-Stomach. Qi deficiency attacks by day; Blood deficiency by night; both by day and night if both deficient. General treatment principles: For no sweat, induce sweat, dispersing pathogens with tonification; for sweat, stop sweat, supporting Zheng Qi with dispersion. Excessive sweating depletes fluids causing other diseases. Observe pathogen depth and Yin/Yang nature, guiding from Yin to Yang, Zang to Fu, late to early, dispersing and venting. Once pathogens leave, peace returns. Chronic malaria attacking at night indicates pathogens in Yin division; use Blood-level herbs with lifting agents to draw pathogens to Yang level for dispersal/cutting. Yang-level cases are easy; Yin-level difficult. Aversion to dry food suggests dietary origin; use digestion-promoting methods. Stomach injury with aversion to food and weak pulse requires warming/tonifying. Excess drains, deficiency tonifies. The *Jing* states: "Treat when pathogen is strong destroys true Qi; treat when pathogen wanes ensures success." Treating strong pathogens with draining harms Qi; tonifying meridians when pathogens wane allows natural retreat. Danxi noted: Every 3 days = 1 year illness; Every 2 days = 6 months; Daily = 1 month. Shallow pathogens affect Three Yang, moving with Wei Qi (daily); deep pathogens affect Three Yin, not moving with Wei Qi (every 2-3 days). Slower onset means deeper disease. Most summer-onset cases involve superficial Qi deficiency, fluid/grain retention turning to phlegm-fluid in chest/hypochondrium, wind-summerheat entering, blood stasis in collaterals. Summer pores open prevent disease; autumn contraction traps pathogens, causing alternating chills/fever. Ying/Wei travel Yang (spine/back) by day, Yin (chest/abdomen) by night. Blockage at disease site causes chills (internal cold); post-chill heat is external pathogenic fire. More cold than heat: resolve phlegm, open depression, disperse. More heat than cold: clear heat, tonify deficiency, disperse. Prioritize regulating Spleen/protecting Earth; avoid prolonged Qingpi/Binglang use. Onset after Summer Solstice before End of Heat involves Three Yang (shallow/sudden). Onset after End of Heat before Winter Solstice involves Three Yin (deep/heavy). Zi-Si hours are Yang; Wu-Hai hours are Yin. Wei deficiency causes initial cold; Ying deficiency causes initial heat. Malaria is summerheat pathogen; method should release muscle layer. "No phlegm, no malaria; no food stagnation, no malaria." Digestion may be needed, but root is Middle Qi deficiency. Mistakenly using Qi-breaking drugs in deficient patients worsens Middle Qi, causing internal collapse, pus/blood in stool, abdominal distension, death. Many mimic malaria but aren't. Seeing alternating chills/fever and forcibly cutting with Jiemie Dan repeatedly causes exhaustion or death. The *Jing* states: Yang deficiency causes aversion to cold; Yin deficiency causes aversion to heat. Yin invading Yang causes cold; Yang sinking into Yin causes heat. Post-typhoid, major illness, postpartum, consumption cases with alternating chills/fever are treated as deficiency. Yang deficiency: tonify Yang ( Lizhong Tang, Liujunzi Tang, Buzhong Yiqi Tang + Ginger/Cinnamon, possibly Aconite). Must use Shengma/Chaihu to lift Yang from Yin, balancing Water/Fire. Yin deficiency: similar symptoms but distinct True Yin/True Yang issues. "Day active/Night dormant,按时发作" indicates Water deficiency; treat with Liuwei Wan. "Day active/Night dormant, erratic" indicates Fire deficiency; treat with Bajia Wan. Long-term malaria non-resolution is due to improper treatment, not incurability. Wind/Summerheat are Yang pathogens; Cold/Water are Yin. Wind is coolness in Yang; Summerheat is coldness in heat. Collectively considered Cold, hence "Spleen Cold Disease." Cold lodges in muscle (Spleen governs flesh). Pre-malaria cold extremities reflect Spleen governing limbs. *Jing* uses "Summerheat" for seasonal Qi, "Cold" for pathological Qi. Though pathogens deepen and cold transforms to heat, Cold remains root, Heat branch. Prolonged unresolved cases turn from excess to deficiency; require major tonification of True Qi and strengthening Spleen/Stomach. Malaria always has chills/fever because pathogens hide in Half-Exterior Half-Interior (Shaoyang domain). Emerging contends with Yang (Yin excess=cold); entering contends with Yin (Yang excess=heat). Pure heat is Dan/Warm Malaria; pure cold is Pin Malaria. All stem from Shaoyang extremes; correction must return to Shaoyang harmony. Shaoyang represents Wood (Jia); pulse is always Wiry (Xian). Malaria离不开 Shaoyang just as cough离不开 Lung. Malaria can stem from Fluid retention or Blood stasis. Fluid causes chills/fever; Stasis causes aversion to chills/fever. Changshan removes fluid. For blood stasis, add Danggui/Taoren. Day attacks relate to Qi; Night attacks to Blood. *Baoming Ji* says night attacks mean deep pathogens in Blood/Yin meridians; add Taoren to Guizhi Mahuang Tang to disperse wind-cold in blood. Li Shicai notes: Raw Changshan causes vomiting, especially with Gancao. Wine-steamed/fried Changshan (1 qian) works wonders without vomiting. Ignoring this due to old-age taboos is foolish. Li Shizhen notes: Changshan/Shuqi cut phlegm/malaria only after releasing exterior/lifting to Yang. Best taken at dusk, dewed overnight, warm at dawn (dew disperses summerheat). *Yiguan* case: Severe thirst with continuous drinking treated with Liuwei Wan + Rougui (cold decoction) stopped thirst/heat. Case of cold/heat aversion, red face, little thirst, profuse phlegm, upper body hot, lower legs cold indicates floating True Yang/extreme Kidney deficiency. Treat urgently with Fuzi Bajia Dihuang Tang (cold drink), then Renshen Jianzhong Tang. "Cutting" means blocking. Only possible when robust and malaria subsides slightly after 3-4 attacks. Weak patients cannot be cut. Mistaken cutting causes distension. Timing matters: block incoming, chase outgoing. Fighting peak malaria is futile. Persistent heat implies Yin deficiency; treat by nourishing Yin/clearing heat (Sheng Biejia/Niuxi). Persistent cold implies Yang deficiency; treat by tonifying Yang (Renshen/Baizhu/Guifu). Chronic malaria indicates Yuan Qi deficiency/cold. Qi deficiency=cold; Blood deficiency=heat; Stomach deficiency=aversion to cold; Spleen deficiency=fever. Yin fire flowing down causes alternating chills/fever, salivation, anorexia, diarrhea, cold limbs. Using Qingpi/Jiemie drinks is dangerous. Ren Shen + Roasted Ginger (1 liang each) decocted, taken 3 hours before attack or at dawn on attack day cures all. Substitute Baizhu for Renshen if Qi deficient; Danggui if Blood deficient. Or stir-fry Renshen/Changshan (5 qian each), remove Changshan, decoct Renshen, take before attack. Principle: Excess pulse/symptoms drain pathogens (branch); Deficient pulse/symptoms tonify Zheng Qi (root). Malaria is external contraction of Three Yang meridians by Wind/Cold/Summerheat/Damp. Yan's theory "No phlegm, no malaria" is flawed. Phlegm is body fluids following pathogens. If phlegm is root and malaria is branch, then curing malaria leaves phlegm无处 (nowhere); if phlegm originates from malaria, it doesn't cause malaria. Clearly, phlegm results from malaria, not vice versa. As *Jing* states: Malaria is alternating Yin/Yang victory. Yin excess=cold; Yang excess=heat. Yang excess=heat; Yang deficiency=cold. Malaria ("Nue") sounds like "Abuse" ("Nue"). With失调 Yin/Yang, the body suffers abuse. Especially with extreme Spleen/Stomach deficiency, Wood insulting Earth, or long-term malaria injuring Yin with persistent high fever, treating based on phlegm with drying/draining/vomiting/cutting methods leads to immediate danger.