凡疟疾二三发之后。方可服矣。
常山(烧酒炒) 草果仁(煨) 半夏曲(姜汁炒) 制香附 青皮(炒各四两)
又神曲十二两共为末。米饮炼丸。如弹子大。辰砂为衣。如疟轻用一丸。疟重用两丸。
红枣
治疟邪与痰血固结而成疟母。僻处胁下。若不急治。必成大害也。
鳖甲(炙十二分) 乌扇(三分烧即射干) 黄芩(三分) 柴胡(六分) 鼠妇(三
分熬) 干
姜
丹
皮
分炙) 赤
硝(
以上二十三味共末。取热灶肚下灰土一斗。清酒一斛。取五升浸灰。
俟酒渗尽一半。着鳖甲于中。煮令泛烂。如胶漆状。绞取其汁。以药粉炼丸。如梧子大。
空
鼠妇赤硝二味。
金匮云。阳气独发。阴气孤绝。则热而少气烦冤。手足热而欲呕。名曰瘅疟脉平身无寒。
但
治
治牡疟寒多者。系邪客心下。其病重也。
蜀漆(即甜茶烧去腥) 云母(烧二日夜) 龙骨(各等分)
共杵末为散。未发以前。米饮调服五分。
治牡疟。
牡蛎 麻黄(各八分) 甘草(四分) 蜀漆(炒透六分)
水煎服。如吐勿更服也。吐则邪已去矣。
治疟病发渴。亦治劳疟。
柴胡(一钱六分) 人参 黄芩 甘草(各六分) 栝蒌根(八分)加姜二钱。大枣四
枚。
治疟发寒多热微。或但寒不热。服一剂如神。
柴胡(三钱) 桂枝(一钱二分) 干姜(八分) 栝蒌根(一钱五分) 黄芩(一钱
二分) 甘草(
水煎而服。服后汗微出愈。
痢脉 候痢疾之脉大主凶。浮洪疾数势难松。沉细多神毋害怕。紧牢代散莫能容。
沉细无力。痢势宜松。疾促弦散。脉反不从。阴脉为吉。阳脉多凶。初痢见涩
久痢沉濡。益气可宗。
疟脉候 疟家脉象定然弦。如兼滑大有痰涎。有力而弦防痉厥。弦而无力定绵延。弦如
端直非为吉。沉微带小必虚迁。新弦之状为真脏。吉少凶多病气偏。弦者痰热。弦缓风连。
弦迟寒胜。弦数热缠。弦而涩小。湿与风联。但弦不缓。难许安全。
血症 吐血 咳血 咯血 鼻衄 牙宣 舌血 大便血 小便血 血淋 血崩 发泉
经云。中焦受气。取汁变化而赤。是谓血。血之流溢。
半随于冲任而行于经络。半散于脉络而充之肌腠皮毛。又云。阳络伤则血外溢
为吐血咳血咯血鼻衄牙宣舌血等症
等症。皆由阴阳两络之病也。阳络之伤
络之伤也。必有七情随之。故内伤外感
血。剖诸兽腹。心下脊膂包络中多血。
血多者。医称为胃血。谬也。叶氏谓心
此二家之论。以叶氏为最耳。余谓五脏
脏腑皆有血也。古人以心生血。肝脏血
又曰血海。况冲脉隶属阳明。阳明为宗
腑而分有血无血乎。凡人为一小天地。气
之。肺欲成痈。气必凝之。血亦随之。不过
小而至于毛发之区。皆充积于中而发散于外
乃行也。即气行血亦行。气滞血亦滞之谓也
书云。天将大雨。山川出云。可悟气能生血。气能摄血之理焉。余必以古人之心生血。
肝脏
亦
血
以
减
六
系
之
学
Whenever malaria has attacked two or three times, the medicine can then be taken.
Changshan (Stellerae Radix, stir-fried with rice wine) Caoguo Ren (Amomi Fructus, roasted in hot sand) Banxia Qu (Pinelliae Rhizoma Praeparatum, stir-fried with ginger juice) Zhi Xiangfu (Cyperi Rhizoma, processed) Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried, each four liang).
Add Shenqu (Massa Medicata Fermentata, twelve liang), grind all together into fine powder. Use rice water and honey to make pills, size like a bullet. Coat with Chen Sha (Cinnabar). For mild malaria, take one pill; for severe malaria, take two pills.
Treats "Malaria Mother" (chronic splenomegaly due to malaria) formed by the consolidation of malaria pathogens with phlegm and blood stasis. The pathogen resides eccentrically in the hypochondrium. If not treated urgently, it will surely cause great harm.
Biejia (Testudinis Carapax et Plastrum, roasted, twelve fen) Wushan (Belamcandae Rhizoma/Iris Tectorii Rhizoma, i.e., Shegan, three fen, burned) Huangqin (Scutellariae Radix, three fen) Chaihu (Bupleuri Radix, six fen) Shufu (Armadillidi Vulgaris, three fen, boiled) Ganjiang (Zingiberis Rhizoma) Danpi (Moutan Cortex, roasted) Chixiao (Natrii Sulfas Ruber, three fen).
The above twenty-three ingredients are ground into powder. Take ten dou of ash from the belly of a hot stove, and one hu of clear wine. Use five sheng of wine to soak the ash.
Wait until half of the wine has seeped away. Place Biejia in it, boil until it becomes soft and rotten, resembling glue or lacquer. Strain to obtain the juice. Mix with the medicinal powder to make pills, size like a wu zi (seed of Sophora japonica).
(Note: Original text lists only Shufu and Chixiao here, likely an excerpt error, translated as is.)
The *Jin Gui Yao Lue* states: When Yang qi emits alone and Yin qi is isolated and cut off, there will be fever with shortness of breath and vexation, heat in the hands and feet, and a desire to vomit. This is called Dan Malaria (Febrile Malaria). The pulse is calm, the body has no chills, but... [Text fragment] treat...
Treats Mu Malaria (Cold-predominant Malaria) where cold is more prominent than heat. This indicates the pathogen has lodged in the epigastrium ("heart below"), indicating a severe condition.
Shuqi (Pteridis Preparata, i.e., Tiancha, burned to remove fishy odor) Yunmu (Microlite, burned for two nights) Longgu (Fossilia Ossis Mastodi, equal parts).
Grind together into powder to make a san (powder). Before the onset of the disease, mix with rice water and take five fen.
Treats Mu Malaria.
Muli (Ostreae Concha) Mahuang (Ephedrae Herba, each eight fen) Gancao (Glycyrrhizae Radix et Rhizoma, four fen) Shuqi (Pteridis Preparata, stir-fried thoroughly, six fen).
Decoct in water and take. If vomiting occurs, do not take again. Vomiting expels the pathogen.
Treats malaria attacks accompanied by thirst, and also treats Lao Malaria (Consumptive Malaria).
Chaihu (Bupleuri Radix, one qian six fen) Renshen (Ginseng Radix) Huangqin (Scutellariae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, each six fen) Gualou Gen (Trichosanthis Radix, eight fen). Add Jiang (Zingiberis Rhizoma Recens, two qian) and Dazao (Ziziphi Jujubae Fructus, four pieces).
Treats malaria attacks where cold is much greater than heat, or only cold without heat. One dose yields miraculous results.
Chaihu (Bupleuri Radix, three qian) Guizhi (Cinnamomi Ramulus, one qian two fen) Ganjiang (Zingiberis Rhizoma, eight fen) Gualou Gen (Trichosanthis Radix, one qian five fen) Huangqin (Scutellariae Radix, one qian two fen) Gancao (Glycyrrhizae Radix et Rhizoma, dosage missing in original).
Decoct in water and take. Recovery occurs after slight sweating post-administration.
Dysentery Pulse Diagnosis: A large pulse in dysentery indicates a ominous prognosis. Floating, surging, rapid, and frequent pulses are difficult to relax. Deep and thin pulses indicate spirit presence, do not fear. Tight, firm, intermittent, and scattered pulses are intolerable (indicative of death).
Deep, thin, and forceless pulses suggest the dysentery should ease. Rapid, hurried, wiry, and scattered pulses contradict the pathology. Yin pulses are auspicious; Yang pulses are mostly ominous. In initial dysentery, a choppy pulse appears; in chronic dysentery, a deep and soggy pulse appears. Tonifying Qi is the principle to follow.
Malaria Pulse Diagnosis: The pulse of a malaria patient is invariably wiry. If accompanied by slippery and large, it indicates phlegm-fluid retention. Wiry and forceful warns of convulsions and fainting. Wiry and forceless indicates a lingering course. A wiry pulse that is straight and rigid is not auspicious; deep, minute, and small indicates deficiency and protraction. A newly appearing wiry pattern represents the True Visceral pulse; few auspicious signs, many ominous ones, indicating biased disease qi. Wiry indicates phlegm-heat; wiry and slow indicates wind connection. Wiry and slow-chilly indicates cold predominance; wiry and rapid indicates heat entanglement. Wiry, choppy, and small indicates dampness and wind linkage. Only wiry without slowness makes safety difficult to promise.
Blood Disorders: Hematemesis (Vomiting Blood) Coughing Blood Spitting Blood Epistaxis Gingival Bleeding Lingual Bleeding Hematochezia (Blood in Stool) Hematuria Blood Leukorrhea Metrorrhagia Faquan (Note: Term unclear, kept as is).
The Classics state: The Middle Jiao receives Qi, extracts juices, transforms them into red, which is called Blood. The overflow of blood,
half flows along the Chong and Ren meridians within the collaterals, half scatters into the vessels to nourish muscles, interstices, skin, and hair. It is also said: Injury to Yang collaterals causes blood to overflow externally,
manifesting as hematemesis, coughing blood, spitting blood, epistaxis, gingival bleeding, lingual bleeding, etc.
These symptoms are all caused by diseases of both Yin and Yang collaterals. Injury to Yang collaterals,
injury to Yin collaterals, must be accompanied by Seven Emotions. Thus, internal injury and external contraction both lead to bleeding. Dissecting animal abdomens, the area under the heart, along the spine and pericardium, contains much blood.
Those with abundant blood are called "Stomach Blood" by physicians, which is erroneous. Ye's school claims the Heart...
Of these two theories, Ye's is the most accurate. I hold that all Five Zang organs
and Six Fu organs possess blood. Ancients believed the Heart generates blood, the Liver stores blood,
also referred to as the Sea of Blood. Moreover, the Chong Mai belongs to the Yangming, and Yangming is the Grand
Fu organ. Can we distinguish between Fu organs with blood and those without? Humans are microcosms. Qi
acts upon it. If the Lung desires to form an abscess, Qi must stagnate there, and Blood follows. However,
from the smallest areas down to the hair follicles, everything is filled internally and dispersed externally.
This is the movement of Qi. That is, when Qi moves, Blood moves; when Qi stagnates, Blood stagnates.
Books say: When Heaven is about to rain heavily, mountains and rivers emit clouds. From this, one can comprehend the principles that Qi generates Blood and Qi controls Blood. I must adhere to the ancients' view that the Heart generates blood,
the Liver stores blood...
[Fragmented text follows: Also... Blood... To... Reduce... Six... System... Of... Study...]