白虎加桂枝汤方（《金匮》方有论） 知母（六两） 甘草（二两炙） 石膏（一斤） 粳米（二合） 桂枝
（三两） 上锉，每五钱，水一盏半，煎至八分，去滓，温服，汗出愈。
蜀漆散方（《金匮》方有论） 蜀漆（洗去腥） 云母（烧二日夜） 龙骨（等分） 上三味，杵为散。未发
前，以浆水服半钱匕，温疟加蜀漆半分，临发时服一钱匕。
牡蛎汤（《外台秘要》方 《金匮》有论） 治牡疟。 牡蛎（四两熬） 麻黄（四两去节） 甘草（二两） 蜀
漆（三两） 上四味，以水八升，先煮蜀漆、麻黄，去上沫，得六升，内诸药，煮取二升，温服一升。若吐则勿更服。
柴胡去半夏加栝蒌汤方（《金匮》有论） 治疟病发渴者，亦治劳疟。 柴胡（八两） 人参（三两） 黄芩
（三两） 甘草（三两） 栝蒌根（四两） 生姜（二两） 大枣（十二枚） 上七味。以水一斗二升，煮取六升，去
滓。再煎取二升，温服一升，日二服。
柴胡桂姜汤（《金匮》有论） 治疟寒多微有热，或但寒不热。（服一剂如神） 柴胡（半斤） 桂枝（三两去
皮） 干姜（二两） 黄芩（三两） 栝蒌根（四两） 牡蛎（三两熬） 甘草（二两炙） 上七味，以水一斗二升，
煮取
六升，去滓，再煎取三升，温服一升，日三服。初服微烦，复服汗出便愈。
鳖甲煎丸方（《金匮》有论） 鳖甲（十二分炙） 乌扇（三分烧） 黄芩（三分） 柴胡（六分） 鼠妇（三
分熬） 干姜（三分） 大黄（三分） 芍药（五分） 桂枝（三分） 葶苈（一分熬） 石韦（三分去毛） 浓朴（三
分） 牡丹（五分去心） 瞿麦（二分） 紫葳（三分） 半夏（一分） 人参（一分） 虫（五分熬） 阿胶（三
分炙） 蜂窠（四分炙） 赤硝（十二分） 蜣 （六分） 桃仁（二分） 上二十三味为末， 灶下灰一斗，清
酒一斛，五斗浸灰，候酒尽一半，着鳖甲于中，煮令泥澜如胶漆，绞取汁内诸药末煎为丸，如梧桐子大。空心服七丸，
日三服。《千金方》用鳖甲十二片，又有海藻二分、大戟一分、 虫五分，无鼠妇、赤硝二味，以鳖甲煎和诸药为丸。
桂枝黄芩汤 柴胡（一两二钱） 黄芩 人参 甘草（各四钱五分） 半夏（四钱） 石膏 知母（各五钱）
桂枝（一钱） 上为粗末，每服五七钱，水煎。 昌按∶此方小柴胡汤合白虎加桂枝汤，于和法中兼解表热，遵用仲景
圣法，可喜可喜。
人参柴胡引子（《事亲》） 人参 柴胡 黄芩 甘草 大黄 当归 芍药（各等分） 上为粗末，每服三钱，
水一盏，生姜三片，煎至七分，去渣温服。 昌按∶此即小柴胡去半夏，加大黄，当归、芍药，大柴胡去半夏、枳实，
加人参、当归。于和法中略施攻里之法，深中肯綮。
柴朴汤 柴胡 独活 前胡 黄芩 苍术 浓朴 陈皮 半夏曲 白茯苓 藿香（各一钱） 甘草（三分） 水
二钟，生姜五片，煎一钟，发日五更服。气弱加人参、白术。食不克化加神曲、麦芽、山楂。 昌按∶此方治疟因起于
暑湿，及食滞者宜之。
加味香薷饮 香薷（二钱） 浓朴（制） 扁豆（炒） 白术（炒） 白芍药（炒） 陈皮 白茯苓 黄芩（各
一钱） 黄连（姜汁炒） 甘草（炙） 猪苓 泽泻（各五分） 木瓜（七分） 上生姜煎服。口渴实者，加天花粉、
葛根、知母。虚者，加五味子、麦门冬、人参。 昌按∶此方暑邪入里，外无表证者宜之。
祛疟散 黄 （蜜炙一钱六分） 人参 白术 白茯苓 砂仁 草果 陈皮（去白） 五味子（各一钱） 甘
草（七分） 乌梅（三枚去核） 水二钟，生姜三片，枣二枚，煎一钟温服。 昌按∶此方表里之邪已透，中气虚弱者
可用。
二术柴葛汤 治诸疟必用之剂。 白术 苍术 柴胡 葛根 陈皮（各七分） 甘草（五分） 若一日一发，
及午前发者，邪在阳分，加枯芩、茯苓、半夏各一钱。热甚头痛，加川芎，软石膏各一钱。口渴，加石膏、知母、麦门
冬各一钱。若间日、或三日发，午后或夜发者，邪在阴分，加川芎、当归酒炒、芍药、熟地黄酒炒、知母各一钱，酒黄
、酒红花各四分。提在阳分，可截之。若间一日，连发二日，或日夜各发者，气血俱病，加人参、黄 、白茯苓各一
钱以补气，川芎、地黄、归、芍以补血。若阳疟多汗，用黄 、人参、白术以敛之。无汗用柴胡、苍术、白术、黄芩、
葛根以发之。若阴疟多汗，用当归、白芍、熟地、黄 、黄柏以敛之。无汗用柴胡、苍术、川芎、红花、升麻以发之。
胃气弱，饮食少，或服截药伤脾胃而食少者，加人参、酒芍药、大麦芽各一钱。伤食痞闷，或有食积者，加神曲、麦芽、
枳实各一钱，黄连五分。痰盛加姜半夏、南星、枳实炒各一钱，黄连、黄芩各六分。若用截之，加槟榔、常山、青皮、
黄芩各一钱，乌梅肉三枚。日久虚疟，寒热不多，或无寒而但微热者，邪气已无，只用四君子汤合四物汤，加柴胡、黄
芩、黄 、陈皮，以滋补气血。
柴苓汤（《活人》） 治疟热多寒少，口燥心烦少睡。（即小柴胡汤合五苓散。小柴胡汤见黄胆门。五苓散见三
气门。） 昌按∶活人柴苓汤，治疟之要药也。然不敢辄入正选，姑存备用者，则以五苓散利水，恐遇木火乘胃，大耗津
液。大渴引水自救之证，反利其小水，而自犯其律也，用方者详之。
半夏散 治痰疟发作有时，热多寒少，头痛额角，并胸前肌肉 动，食才入口即吐出，面色带赤，宜服之。 半
夏（泡七次为末姜汁和调作饼晒干） 藿香 羌活 芎 （各一分） 牵牛（半两） 上为细末，每服三钱，食后白汤
调下。
露姜饮 治脾胃痰疟，发为寒热。 生姜（四两） 和皮，捣汁一碗，夜露至晓，空心冷服。
二十四味断疟饮 治久疟。 常山（酒炒） 草果 槟榔 知母（酒炒） 陈皮 青皮 川芎 枳壳 柴胡 黄
芩荆芥 白芷 人参 紫苏 苍术 白术 半夏 良姜 茯苓 桂枝 葛根 甘草 杏仁 乌梅（各等分） 上 咀，
每服一两，水二盏，姜三片，枣一枚，煎八分，发日早服。 昌按∶此方治久疟母疟，邪气散漫，表里俱乱。广其法以
求之，然仍不离小柴胡汤为主，亦可喜也。
治疟，因劳役忧思而作，汗多食少倦甚者，补中益气汤。（方见虚劳门）
小柴胡汤加常山，截疟神效。（方见黄胆门）
妇人久疟，用小柴胡，合四物汤服之。（小柴胡汤见黄胆门，四物汤见妇人门。）
小儿疟疾，有痞块，生地、芍药各一钱、陈皮、川芎、炒黄芩、半夏各一钱，甘草三分，加姜煎，调醋炙鳖甲末效。
《正传》有二男子，皆年四五十，各得 疟三年。俱发于寅申巳亥日，一人昼发，发于巳而退于申。一人夜发，发
于亥而退于寅。昼发者，乃阴中之阳，病宜补气解表，与小柴胡倍柴胡、人参，加白术、川芎、葛根、陈皮、青皮、苍
术。夜发者，为阴中之阴，病宜补血疏肝，用小柴胡汤合四物汤，加青皮，各与十帖，加姜枣煎，于未发前二时，每日
一帖。服至八帖，同日得大汗而愈。
丹溪治一人，因劳役发嗽得 疟，又服发散药，变为发热，舌短，语言不正，痰吼有声，脉洪实似滑。先用独参汤，
加竹沥二蛤壳，一服后，吐胶痰，舌本正，后用黄 人参汤，半月愈。
一妇病疟，三日一发，食少，经不行已三月，脉无，时寒，议作虚寒治。疑误，再诊见其梳洗言动如常，知果误也。
经不行，非无血，为痰所凝。脉无，非血气衰，乃积痰生热，结伏其脉而不见耳。当作实热治，与三化丸。旬日后，食
进脉出，带微弦，谓胃气既全，虽不药，疟当自愈而经行也，令淡滋味，果应。
一妇 疟月余，间日发于申酉，头与身痛，寒多喜极热辣汤，脉伏面惨晦，作实热治之，以十枣汤为末，粥丸黍米
大。服十粒津咽，日三次，令淡饭半月，大汗愈。
一妇人痢，因哭子变疟，一日五六作，汗如雨，不吐，脉微数，疲甚。无邪可治，阴虚阳散，命在旦夕，遂用参术
二两、白芍一两、黄 半两、炙甘草二钱，作四大剂，服之而愈。
Baihu Jia Guizhi Tang Formula (From *Jingui Yaolue*, with commentary) Motherwort Rhizome (Liu liang), Licorice Root (Liang liang, honey-fried), Gypsum Fibrosum (Yi jin), Rice Grain (Er he), Cinnamon Twig (San liang). The above herbs are chopped. Take five qian per dose, add one and a half zhan of water, decoct until eight fen remains, remove the dregs, and take warm. Recovery occurs with sweating.
Shuqi San Formula (From *Jingui Yaolue*, with commentary) Shuqi (washed to remove fishy odor), Cloud Mother (burned for two nights and days), Dragon Bone (equal parts). The above three ingredients are pounded into a powder. Before the onset of malaria, take half a qian bi with Jiangshui (fermented grain liquid). For Warm Malaria, add half a fen of Shuqi; take one qian bi at the time of onset.
Muli Tang (Formula from *Waitai Miyao*, discussed in *Jingui Yaolue*) Treats Mu Malaria. Oyster Shell (Si liang, roasted), Ephedrae Herba (Mahuang, Si liang, nodes removed), Licorice Root (Liang liang), Shuqi (San liang). The above four ingredients are decocted in eight sheng of water. First decoct Shuqi and Mahuang, remove the foam on top, leaving six sheng. Add the remaining herbs and decoct to obtain two sheng. Take one sheng warm. If vomiting occurs, do not take further doses.
Chaihu Qu Banxia Gua Lou Gen Tang Formula (Discussed in *Jingui Yaolue*) Treats malaria with thirst during attacks, and also treats Lao Malaria (Consumptive Malaria). Bupleuri Radix (Chaihu, Ba liang), Ginseng Radix (San liang), Scutellariae Radix (Huangqin, San liang), Licorice Root (San liang), Trichosanthis Radix (Gualougen, Si liang), Zingiberis Rhizoma Recens (Shengjiang, Er liang), Jujubae Fructus (Dazao, twelve pieces). The above seven ingredients are decocted in twelve dou of water to obtain six sheng. Remove dregs. Decoct again to obtain two sheng. Take one sheng warm, twice daily.
Chaihu Gui Gan Jiang Tang (Discussed in *Jingui Yaolue*) Treats malaria with much cold and slight heat, or only cold without heat. (One dose yields miraculous results.) Bupleuri Radix (Chaihu, Ban jin), Cinnamon Twig (Gui Zhi, San liang, bark removed), Zingiberis Rhizoma (Ganjiang, Er liang), Scutellariae Radix (Huangqin, San liang), Trichosanthis Radix (Gualougen, Si liang), Oyster Shell (Muli, San liang, roasted), Licorice Root (Gancao, Er liang, honey-fried). The above seven ingredients are decocted in twelve dou of water to obtain six sheng. Remove dregs. Decoct again to obtain three sheng. Take one sheng warm, three times daily. Mild irritability may occur after the first dose; recovery follows with sweating after subsequent doses.
Biejia Jian Wan Formula (Discussed in *Jingui Yaolue*) Turtle Carapace and Plastron (Biejia, twelve fen, fried), Belamcandae Rhizoma (Wushan, three fen, burned), Scutellariae Radix (Huangqin, three fen), Bupleuri Radix (Chaihu, six fen), Psoraleae Semen? No, Psoralea is different. Here refers to Psoraleae Fructus? Actually "Shufu" usually refers to Psoraleae Fructus or similar. Let's stick to standard: Psoraleae Fructus (Shufu, three fen, roasted), Zingiberis Rhizoma (Ganjiang, three fen), Rhei Radix et Rhizoma (Dahuang, three fen), Paeoniae Radix Alba (Shaoyao, five fen), Cinnamon Twig (Guizhi, three fen), Lepidii Semen (Tingli, one fen, roasted), Pyri Folium? No, Shiwei is Pyrrosiae Folium. Pyrrosiae Folium (Shiwei, three fen, hairs removed), Magnoliae Cortex (N Houpu, three fen), Moutan Cortex (Mudanpi, five fen, heart removed), Dianthi Herba (Qumai, two fen), Lychnidis Flos (Ziwei, three fen), Pinelliae Rhizoma Preparatum (Banxia, one fen), Ginseng Radix (Renshen, one fen), Mylabris (Chong, five fen, roasted), Colla Corii Asini (Ejiao, three fen, fried), Vespa Nidus (Fengke, four fen, fried), Natrii Sulfas (Chixiao, twelve fen), Dung Beetle (Qianga Liu, six fen), Pruni Semen (Taoren, two fen). The above twenty-three ingredients are ground into powder. Use one dou of ash from the kitchen stove and one hu of clear wine. Soak the ash in five dou of wine. When half the wine has evaporated, add the turtle shell and boil until it becomes like mud and glue. Strain and extract the juice, add the herb powders, and decoct to form pills the size of wutong seeds. Take seven pills on an empty stomach, three times daily. *Qianjin Fang* uses twelve slices of turtle shell, plus Algae (Haizao, two fen), Thlaspi Herba? No, Daji is Euphorbiae Pekinensis Radix. Euphorbiae Pekinensis Radix (Daji, one fen), Mylabris (Chong, five fen), without Shufu and Chixiao. Form pills using Biejia Jian and other herbs.
Guizhi Huangqin Tang Bupleuri Radix (Chaihu, Liang liang er qian), Scutellariae Radix (Huangqin), Ginseng Radix (Renshen), Licorice Root (Gancao, each Si qian wu fen), Pinelliae Rhizoma Preparatum (Banxia, Si qian), Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu, each Wu qian), Cinnamon Twig (Guizhi, Yi qian). The above are made into coarse powder. Take five to seven qian per dose, decoct in water. Yu Chang notes: This formula combines Xiaochaihu Tang and Baihu Jia Guizhi Tang, resolving exterior heat while harmonizing, following the sage method of Zhang Zhongjing. Most gratifying.
Renshen Chaihu Yinzi (From *Shiqin*) Ginseng Radix (Renshen), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Licorice Root (Gancao), Rhubarb (Dahuang), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Shaoyao, equal parts). The above are made into coarse powder. Take three qian per dose, with one zhan of water, three slices of ginger, decoct to seven fen, remove dregs, and take warm. Yu Chang notes: This is Xiaochaihu Tang minus Banxia, plus Dahuang, Danggui, Shaoyao; and Dachaihu Tang minus Banxia, Zhishi, plus Renshen, Danggui. It slightly employs purgation within harmonization, hitting the mark precisely.
Chaipo Tang Bupleuri Radix (Chaihu), Angelicae Dahuricae Radix? No, Duohuo is Angelicae Pubescentis Radix. Angelicae Pubescentis Radix (Duohuo), Peucedani Radix (Qianhu), Scutellariae Radix (Huangqin), Atractylodis Rhizoma Cangzhu (Cangzhu), Magnoliae Cortex (N Houpu), Citri Reticulatae Pericarpium (Chenpi), Pinelliae Fermentatum (Banxiaqu), Poria (Fuling), Pogostemonis Herba (Huoxiang, each Yi qian), Licorice Root (Gancao, San fen). Two zhong of water, five slices of ginger, decoct to one zhong. Take at fifth watch on the day of attack. Add Renshen, Baizhu for weak qi. Add Shenqu, Maiya, Shanzha for indigestion. Yu Chang notes: Suitable for malaria caused by summer-heat-dampness and food stagnation.
Jiawei Xiangru Yin Elsholtziae Herba (Xiangru, Er qian), Magnoliae Cortex (N Houpu, processed), Dolichoris Semen (Biandou, stir-fried), Atractylodis Macrocephalae Rhizoma (Baizhu, stir-fried), Paeoniae Radix Alba (Shaoyao, stir-fried), Citri Reticulatae Pericarpium (Chenpi), Poria (Fuling), Scutellariae Radix (Huangqin, each Yi qian), Coptidis Rhizoma (Huanglian, ginger-juice fried), Licorice Root (Gancao, honey-fried), Polyporus (Zuling), Alisma Rhizoma (Zexie, each Wu fen), Chaenomelis Fructus (Muqua, Qi fen). Decoct with fresh ginger. For excess thirst, add Trichosanthis Radix (Tianguafen), Puerariae Radix (Gegen), Anemarrhenae Rhizoma (Zhimu). For deficiency, add Schisandrae Fructus (Wuweizi), Ophiopogonis Radix (Maidong), Ginseng Radix (Renshen). Yu Chang notes: Suitable when summer-heat pathogen enters the interior without exterior symptoms.
Qunie San Astragali Membranacei Radix (Huangqi, honey-fried Yi qian liu fen), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Amomi Fructus (Sharen), Tsaoko Fructus (Caoguo), Citri Reticulatae Pericarpium (Chenpi, white pith removed), Schisandrae Fructus (Wuweizi, each Yi qian), Licorice Root (Gancao, Qi fen), Mume Fructus (Wumei, three pieces, pits removed). Two zhong of water, three slices of ginger, two jujubes, decoct to one zhong, take warm. Yu Chang notes: Suitable when exterior and interior pathogens have penetrated and middle qi is deficient.
Ershu Chaige Tang A necessary formula for all types of malaria. Atractylodis Macrocephalae Rhizoma (Baizhu), Atractylodis Rhizoma Cangzhu (Cangzhu), Bupleuri Radix (Chaihu), Puerariae Radix (Gegen), Citri Reticulatae Pericarpium (Chenpi, each Qi fen), Licorice Root (Gancao, Wu fen). If attacking once a day or before noon, the pathogen is in the Yang aspect; add Scutellariae Radix (Kuhuangqin), Poria (Fuling), Pinelliae Rhizoma Preparatum (Banxia), each Yi qian. For severe heat and headache, add Ligustici Chuanxiong Rhizoma (Chuanxiong), Gypsum Fibrosum (Ruanshigao), each Yi qian. For thirst, add Gypsum Fibrosum (Shigao), Anemarrhenae Rhizoma (Zhimu), Ophiopogonis Radix (Maidong), each Yi qian. If alternating day or every three days, attacking in afternoon or night, the pathogen is in the Yin aspect; add Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui, wine-fried), Paeoniae Radix Alba (Shaoyao), Rehmanniae Radix Preparata (Shudihuang, wine-fried), Anemarrhenae Rhizoma (Zhimu), each Yi qian, Polygonati Rhizoma (Jiuhuangqi), Safflower (Jiuhonghua), each Si fen. To lift to the Yang aspect, malaria can be cut off. If attacking every other day, consecutive two days, or day and night each, both qi and blood are diseased; add Ginseng Radix (Renshen), Astragali Membranacei Radix (Huangqi), Poria (Baifuling), each Yi qian to tonify qi; Ligustici Chuanxiong Rhizoma (Chuanxiong), Rehmanniae Radix (Dihuang), Angelicae Sinensis Radix (Gui), Paeoniae Radix Alba (Shaoyao) to tonify blood. For Yang malaria with much sweat, use Astragali Membranacei Radix (Huangqi), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu) to astringe. For no sweat, use Bupleuri Radix (Chaihu), Atractylodis Rhizoma Cangzhu (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Scutellariae Radix (Huangqin), Puerariae Radix (Gegen) to induce sweating. For Yin malaria with much sweat, use Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishaoyao), Rehmanniae Radix Preparata (Shudi), Astragali Membranacei Radix (Huangqi), Phellodendri Cortex (Huangbai) to astringe. For no sweat, use Bupleuri Radix (Chaihu), Atractylodis Rhizoma Cangzhu (Cangzhu), Ligustici Chuanxiong Rhizoma (Chuanxiong), Safflower (Honghua), Cimicifugae Rhizoma (Shengma) to induce sweating. For weak stomach qi, little diet, or spleen/stomach damaged by antimalarial drugs causing poor appetite, add Ginseng Radix (Renshen), Wine-fried Paeoniae Radix Alba (Jiu Shaoyao), Hordeum Vulgare Germinatum (Dayamai), each Yi qian. For food stagnation with fullness, or food accumulation, add Medicated Leaven (Shenqu), Hordeum Vulgare Germinatum (Maiya), Immature Aurantium (Zhishi), each Yi qian, Coptidis Rhizoma (Huanglian), Wu fen. For profuse phlegm, add Ginger-processed Pinelliae Rhizoma (Jiang Banxia), Arisaema Cum Bile (Nanxing), Stir-fried Immature Aurantium (Zhishi), each Yi qian, Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), each Liu fen. To use cutting methods, add Arecae Semen (Binglang), Polygalae Radix? No, Changshan is Dichroae Radix. Dichroae Radix (Changshan), Citri Reticulatae Pericarpium Viride (Qingpi), Scutellariae Radix (Huangqin), each Yi qian, Mume Fructus flesh (Wumei Rou), three pieces. For long-standing deficient malaria with little chills/fever, or only slight heat without chills, the pathogen is gone; use only Sijunzi Tang combined with Siwu Tang, plus Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Astragali Membranacei Radix (Huangqi), Citri Reticulatae Pericarpium (Chenpi) to tonify qi and blood.
Chai Ling Tang (From *Ren Shu*) Treats malaria with more heat than chills, dry mouth, vexation, and insomnia. (This is Xiaochaihu Tang combined with Wuling San. Xiaochaihu Tang see Jaundice section. Wuling San see Sanjiao section.) Yu Chang notes: Chai Ling Tang from *Ren Shu* is a key medicine for treating malaria. However, I dare not readily include it in the main selection, but keep it as backup, because Wuling San promotes urination, which might consume fluids if wood-fire overacts on the stomach. In cases of extreme thirst seeking water to save oneself, promoting urination would violate the principle. Practitioners should consider this carefully.
Banxia San Treats Phlegm-Malaria with regular onset, more heat than chills, headache in forehead/temples, twitching of chest muscles, immediate vomiting upon eating, reddish complexion. Take this. Pinelliae Rhizoma Preparatum (Banxia, soaked seven times, powdered, mixed with ginger juice to make cakes, dried), Agastache Herba (Huoxiang), Notopterygii Rhizoma et Radix (Qianghuo), Ligustici Chuanxiong Rhizoma (Xiongqiong, each Yi fen), Sinapis Semen (Qianniu, Ban liang). The above are fine powder. Take three qian per dose, taken with plain boiled water after meals.
Lujiang Yin Treats Spleen-Stomach Phlegm-Malaria presenting with chills and fever. Fresh Ginger (Shengjiang, Si liang), with skin, crushed to extract one bowl of juice. Dew-exposed overnight until dawn. Take cold on an empty stomach.
Ershi Si Wei Duan Nie Yin Treats chronic malaria. Dichroae Radix (Changshan, wine-fried), Tsaoko Fructus (Caoguo), Arecae Semen (Binglang), Anemarrhenae Rhizoma (Zhimu, wine-fried), Citri Reticulatae Pericarpium (Chenpi), Citri Reticulatae Pericarpium Viride (Qingpi), Ligustici Chuanxiong Rhizoma (Chuanxiong), Aurantii Fructus Immaturus (Zhike), Bupleuri Radix (Chaihu), Scutellariae Radix (Huangqin), Schizonepetae Herba (Jingjie), Angelicae Dahuricae Radix (Baizhi), Ginseng Radix (Renshen), Perillae Folium (Zisu), Atractylodis Rhizoma Cangzhu (Cangzhu), Atractylodis Macrocephalae Rhizoma (Baizhu), Pinelliae Rhizoma Preparatum (Banxia), Galangalis Rhizoma (Liangjiang), Poria (Fuling), Cinnamon Twig (Guizhi), Puerariae Radix (Gegen), Licorice Root (Gancao), Armeniacae Semen Amarum (Xingren), Mume Fructus (Wumei, equal parts). The above are chopped. Take one liang per dose, two zhan of water, three slices of ginger, one jujube, decoct to eight fen. Take early on the day of attack. Yu Chang notes: This formula treats chronic maternal malaria where pathogens are scattered and interior/exterior are chaotic. Expanding the method to seek cure, yet still centering on Xiaochaihu Tang, which is gratifying.
For malaria caused by labor and worry/sorrow, with much sweat, poor appetite, and severe fatigue, use Buzhong Yiqi Tang. (Formula see Xu Lao section.)
Xiaochaihu Tang plus Dichroae Radix (Changshan) cuts malaria with miraculous effect. (Formula see Jaundice section.)
For women with chronic malaria, use Xiaochaihu Tang combined with Siwu Tang. (Xiaochaihu Tang see Jaundice section, Siwu Tang see Women section.)
For children with malaria and abdominal masses, use Shengdi, Shaoyao, each Yi qian; Chenpi, Chuanxiong, Stir-fried Huangqin, Banxia, each Yi qian; Gancao, San fen. Decoct with ginger, mix with vinegar-fried Biejia powder. Effective.
*Zhengchuan* records two men, aged forty to fifty, each suffering from malaria for three years. Both attacked on Yin, Shen, Si, Hai days. One attacked by day, starting at Si hour and subsiding at Shen hour. One attacked by night, starting at Hai hour and subsiding at Yin hour. Day attacks are Yang within Yin; treatment should tonify qi and resolve exterior. Use Xiaochaihu Tang with doubled Chaihu and Renshen, plus Baizhu, Chuanxiong, Gegen, Chenpi, Qingpi, Cangzhu. Night attacks are Yin within Yin; treatment should tonify blood and soothe liver. Use Xiaochaihu Tang combined with Siwu Tang, plus Qingpi. Give ten doses each, decocted with ginger and jujube. Take one dose daily, two hours before onset. After eight doses, both recovered with heavy sweating on the same day.
Danxi treated a man who developed malaria due to labor-induced cough, then took diaphoretic drugs, leading to fever, short tongue, slurred speech, loud phlegm rattle, and surging-slippery pulse. First used Dushen Tang plus Zhulv (bamboo sap) and Geke (clam shell). After one dose, sticky phlegm was vomited, tongue normalized. Later used Huangqi Renshen Tang, cured in half a month.
A woman had malaria every three days, poor appetite, amenorrhea for three months, pulseless, intermittent chills. Proposed treating as deficiency-cold. Suspected error, re-diagnosed: she combed hair, spoke, and moved normally. Realized error. Amenorrhea was not lack of blood but phlegm obstruction. Pulselessness was not qi-blood depletion but heat from accumulated phlegm hiding the pulse. Treated as excess-heat with Sanhua Wan. After ten days, appetite improved, pulse appeared, slightly wiry. Stated that with restored stomach qi, malaria would self-resolve and menses return without medicine. Advised bland diet. Result confirmed.
A woman had malaria for over a month, alternating days at Shen/You hours, head/body pain, much chills preferring very hot soup, hidden pulse, pale/dull face. Treated as excess-heat. Used Shizao Tang powdered, pill-sized like millet grains. Took ten pills swallowed with saliva, three times daily. Ate bland rice for half a month. Recovered with heavy sweating.
A woman had dysentery, changed to malaria due to grieving for her child, attacking 5-6 times daily, sweating like rain, no vomiting, faint-rapid pulse, extreme fatigue. No pathogen to treat; yin deficiency with yang dispersion, life in danger. Used Renshen, Baizhu two liang; Shaoyao one liang; Huangqi half liang; Honey-fried Gancao two qian. Made into four large doses. Cured.