范（二八） 往来寒热，经月不解，舌赤胁痛，微咳，脉来虚大，病在血分。
小生地（一钱五分） 归身（八分） 柴胡（七分） 地骨皮（一钱五分） 黄芩（一钱五分）
青蒿（一钱） 桑叶（一钱）
因有盗汗，加姜、枣。
陆（二十） 日发寒热数次，入夜单热，口苦发渴，头目俱痛。诊脉左弦右长，胸闷背板
。此正秋分以后，伏邪欲泄，为新寒束缚，似疟非疟，属三阳合病，汇而治之。
柴胡（一钱） 葛根（一钱） 紫苏（一钱） 羌活（一钱） 黄芩（一钱五分） 橘皮（一钱）
甘草（四分） 老姜（二片） 大枣（二枚）
服下汗出如蒸，诸病俱松；再服汗如前，外症尽退。尚有微热，口苦而渴，此汗泄太过
。
生地（四钱） 麦冬（三钱） 黄芩（一钱五分） 花粉（一钱五分） 川斛（三钱） 青蒿（一
钱） 甘草（四分） 南枣（两枚） 浮小麦（二钱）
两服痊愈。
僧（五八）倏寒倏热，咳呛气急冷汗。前医误作虚治，投人参、熟地，反见神昏谵语。
时有
客僧见源师，知余医理明确，放舟相邀。才按六部，即欲予决生死。切其脉浮弦，此风邪客
肺，气不得泄，以致气急冷汗。自述初起吐泻发渴，小便短涩，自宜分利，如何遽补；若证
候果虚，参、地何反添病邪。宜用轻剂，疏通肺气。
杏仁 香豉 薄荷 前胡 连翘 山栀 橘红 通草
两服而愈。
盛（三一）齿痛颈肿，舌绛寒热，属风邪血热。
柴胡 薄荷 甘菊 蔓荆子 归身 小生地 芍药 丹皮 香附 甘草
三服痊愈。
张（十五） 仲夏倏寒倏热，脉浮大，自汗，舌白便赤，头重肢软。病在上焦，清疏为宜
。
杏仁 淡豆豉 橘红 通草 连翘 黄芩 薄荷 甘草
一服起咳嗽，再剂身起红点，连服而愈。前症温邪客于肺，所以邪欲泄而现咳嗽发疹也
。
陆（三六） 纳少形消，寒热无时，脉数而软，舌白便赤，少寐口臭。此伏火证，当立春
后，惊蛰前，阳气升发，伏邪欲泄也，宜清疏。
川连 条芩 川柏 杏仁 香豉 紫苏 防风
王女（六岁） 日发寒热，两月不痊。当病作时，腹痛难禁，牙肉与指甲惨淡无华，神
气潦
倒。此症俗名胎疟，从前屡次更医，或补或清，总无定见。以余观之，先贤治疟，从少阳居
多，此又邪缠募原，太阴受病，腹痛可验。或曰∶少阳亦有腹痛。余曰∶少阳腹痛，南阳论
有明条，但此症脉小而软，略无弦象，所以医贵变通。请以予药投之，即明言之不妄矣。
人参（六分） 白术（一钱） 归身（一钱） 草果（五分） 白芍（一钱） 柴胡（四分） 半夏
曲（一钱五分） 橘皮（八分） 炙草（四分） 煨姜（三片） 大枣（二枚）
一服愈。
僧达禅 病发热，胸烦呕吐，背痛不恶风，脉来弦而有力。症俱温疟，用小柴胡去参，
加竹
茹、栝蒌皮，以除胸中烦热。一服不应，呕逆转甚，加石膏五钱。一服亦无进退，怔忡复发
，心摇不已。即构思一方，以怔忡为君，事主昏乱。由于包络少外护之能，邪热乘虚，侵犯
城郭，主亦为之动摇，岂可投补，但宜泻其丁火。
川连（八分） 小生地（三钱） 木通（一钱） 甘草梢（四分） 连翘（一钱五分） 山栀（一钱五
分）
服下心病渐安。
下日又诊，脉仍弦大，病势逐增，神昏谵语。细询其体中不安处，徐以手按其腹，至脐左旁
，身为歉仄。此因有痛惧按之象，邪已入里明矣。因悟不头痛恶风，即呕吐心烦，不欲饮食
，亦属少阳标证，舍大柴胡法，无剂可施。
大黄（四钱迟入） 石膏（五钱） 芒硝（一钱五分） 柴胡（一钱） 黄芩（一钱五分） 半夏（
一钱五分） 橘皮（一钱） 甘草（四分）
僧有至亲侍奉汤药，见立方猛峻，不敢轻服。因住家枫溪，有乩仙特灵，即往叩问，乩
伏
一方，与予方药味分两均符，惟加浓朴八分，竹叶十片。归即煎服，两剂诸症悉平而愈。
俞氏（四四） 两脉弦大，恶风，寒热，舌黄齿燥，发渴，暑疟之重也。小柴胡去参，加
石膏、杏仁、滑石，两帖愈。
王（二二） 疟疾初起，当和清少阳，何得见胆怯心跳，与朱砂、琥珀、龙齿，何益于病
！可
知少阳经属胆乎？一月来非但邪不能泄，反以肥浓为补，致痰涎胶固胃中，寒热更甚，神昏
谵语，病邪兼入阳明，拟两和法。
半夏 橘皮 浓朴 栝蒌皮 茯苓 柴胡 黄芩 甘草
两服愈。
伍（三二） 发热浃旬，干咳不止，舌苔白腐，大便日泄数回，两脉不浮不沉，弦而有力
。此肺疟也。
杏仁（三钱） 橘皮（一钱五分） 桔梗（五分） 青蒿（一钱） 连翘（一钱五分） 栝蒌仁（
二钱） 猪苓（一钱） 茯苓（二钱）
两服汗出，热退嗽止。二仁虽滑，所谓有病则病当之。
张（二八） 发热咳嗽，日轻夜重，脉浮弦而数。此手太阴疟也，当从肺治。
杏仁（三钱） 前胡（一钱五分） 橘红（一钱） 黄芩（一钱五分） 柴胡（八分） 半夏（一钱五
分） 甘草（四分）
方（二四）三疟年余，寒来束缚，热发炙肌，当和营卫。
柴胡（一钱） 桂枝（四分） 黄芩（一钱五分） 半夏（一钱五分） 橘皮（一钱） 归身（一钱
五分） 浓朴（一钱） 白术（一钱五分） 炙草（四分） 老姜（三片） 大枣（二枚）
三服寒热俱轻，饮食觉快。当补营卫，补中益气汤加减，此遵立斋法。
党参（二钱） 制白术（二钱） 黄 （二钱） 归身（一钱五分） 橘皮（一钱） 茯苓（一钱
五分） 半夏（一钱三分） 柴胡（四分） 炙草（五分） 老姜（三片） 大枣（二枚）
四服病当来日而不知矣。
王氏（五六）三疟经年，临发头痛，将解汗泄，纳食膨胀，时兼腹痛咳呛。病久气血两亏
，营卫失调，若非多服补剂，病魇终是难驱，酷信师巫，不信医药故言。
人参（或间服党参） 于术 黄 归身 橘皮 柴胡 葛根 红花 半夏 神曲 益智仁
白芍 砂仁壳 炙草 姜 枣
屠（四一） 微寒壮热，口臭发渴，头疼体酸，小便短赤，脉来弦实。此为温疟，小柴胡
加石膏治之而愈。
僧（四四） 疟变单热，夜不欲寐，口苦作呕，相延匝月，不思纳食。症是沉重，脉象有
根无妨，作疟邪入血分治。
小生地 归身 滑石 柴胡 黄芩 半夏 橘皮 甘草 姜皮
一服热即退，呕仍然。因胃虚，糯米饮合人乳各半盏，服下即安。此系华仙方。
沈（十九） 疟（即三阴疟。）初起，脉来沉涩，寒热俱重。盖此症农人最多，大半起于
三秋
。某因内有伏暑，外感风寒，饮食入胃，运化失常，多生痰涎，以成此症。治法须分感之偏
胜，体之浓薄，以权药之轻重。更察国中末邪之浅深，元气之虚实，以权药之彻补。（彻邪
补正。）久发不止，必致传于五脏，尤当细心切脉问因。一遵先贤，分别施治，何患病魔之
缠绵难愈哉！世俗以此症为徒罪病，言其二三年不肯愈也。
石膏（三钱） 知母（一钱五分） 黄芩（一钱五分。以上三味内清暑热） 柴胡（一钱） 苏叶（
一钱
五分） 防风（一钱五分。以上三味除风寒） 橘皮（一钱） 浓朴（一钱） 半夏（一钱五分） 山楂
（二钱。以上四味荡涤胃中痰涎） 甘草（四分） 姜皮（四分） 大枣（二枚，以和营卫）
四服而愈。此方治体实邪重者，可见立方治病，全要用意精切，则药无虚发矣。
戊（二二） 日疟缠绵，五旬不愈，多痰口苦，舌光而渴，脉细而数。良由暑邪内伏，胃
失运
行，平素虽阴亏体质，又兼久热，归、地养血，似乎对症，路实分岐。盖暑邪从鼻吸受，是
无形，滋之补之，不见其利，反见其害。
杏仁 香豉 橘红 通草 连翘 滑石 青蒿 甘草 西瓜翠
服后汗泄，小便利，诸患俱平。惟余微热痰气未清，按脉浮大，是宜清补肺气。
北沙参 麦冬 半夏曲 茯神 草 橘红 连翘
一服其病如失，加参条数剂而康。
戴（十四） 日疟历两月不止，兼有咳呛，舌白脉细而数。此属正虚邪浅。
柴胡 桂枝 青蒿 党参 生地 冬术 归身 白芍 杏仁 橘红 小麦 大枣
六服疟咳皆愈。
徐（三九）冷雨侵肌，营卫不调，三日疟初起。
柴胡（一钱） 桂枝（五分） 石膏（三钱） 橘皮（一钱） 半夏（一钱） 黄芩（一钱五分） 甘
草（四分） 姜枣
四服寒剩些微，小柴胡去参，加知母、苍术、蔻仁，又数剂而愈。
许（二八） 三疟经年，寒轻热重，津津汗出，腿跨酸楚，补中益气加生地、茯苓、半夏
，六服减其大半；去升麻，又加牛膝，不数剂而痊。其效在阴阳并补，升降得宜。
许（三八） 三疟年半，阴阳俱虚，大小腹常痛，宜益先天之真，遵仲景八味丸而愈。
秦（二二） 疟脉沉细，寒热俱猛，病作入夜必有梦遗，当作邪盛治。其法以升阳散寒
，清暑除热，香燥理胃，用猪苓意在乎其阴阳使不得交错。治病当寻源头，其精关不禁，系
水火不交而致，固摄之药，闭遏邪气，反能益病。但使调和阴阳，诸症皆得而愈矣。
柴胡 升麻 葛根 防风 黄芩 知母 橘皮 浓朴 半夏 猪苓
四服寒退什九，热退其七，梦遗一服就无，改轻升阳之品，去浓朴，加党参钱半。
姜（三四） 三疟住后，遇劳复发，足酸腰痛，当补营卫。
生地 归身 白芍 党参 黄 半夏 橘皮 升麻 柴胡 炙草
王（三一） 日发单寒不热，古称牝疟，此卫阳郁滞所致。中秋后虽值天气微寒，却不宜
桂枝温表，缘内有暑邪故也。凡阳陷入阴为寒，用升阳可以止寒，温肌无益。
柴胡 升麻 葛根 防风 黄芩 半夏 橘皮 枳壳 姜皮
李（三二） 暑邪被凉风所遏。日疟以散风清暑涤痰，三法并用，治风寒暑热如神。
柴胡 葛根 黄芩 知母 枳实 半夏 橘皮 甘草 姜皮
任（二四） 日疟最重，吐泻并作，勺水难下。此乃湿热满布三焦，营卫不通，似为险候
。以
予观之，一条直路，并无屈曲难行；其症虽重，可汗应手效也。柴苓汤去参，加浓朴、黄连
。果一服而愈。
钟（四九） 三疟愈后，继热病，旋变小便不禁，茎痛如割。责之久病肾虚。
熟地 萸肉 山药 菟丝子 覆盆子 五味子 枸杞子
四服如风扫尘。
徐氏（四四） 痹热咳嗽，经月不解，此肺疟也。
柴胡 黄芩 半夏 橘红 杏仁 防风 苏叶 连翘 甘草
两服疟愈，咳嗽未除，清金养胃而痊。
徐（二六） 疟疾夜发，胸痛纳胀，已历四旬。
柴胡 当归 丹皮 白芍 黄芩 灸鳖甲 橘皮 乌梅肉 炙草
三服痊愈。
马女（十七） 疟后腹痛呕黄水，不思纳食，或纳旋即吐出，两脉沉细而数，口苦而渴。
按∶寒热虽除，邪终未泄，宜理少阳阳明。
柴胡 黄芩 白芍 半夏 橘皮 浓朴 益智仁 炙草 姜皮
赵氏（二八） 日疟兼旬不止，腹块纳胀，舌苔干黄，脉虚。此正弱邪踞，先宜清疏。
柴胡 炙鳖甲 橘皮 半夏 黄芩 谷芽 浓朴 白芍
夏（十八） 寒热后，胸闷不思纳，盗汗腰痛，经月不愈。此疟邪盘踞募原。
小生地 丹皮 黄芩 青蒿 鳖甲 知母 橘皮 半夏 神曲 炙草 浮小麦
[Case 28] Patient Fan, aged sixteen. Alternating chills and fever (Wanglai Hanre), persisting for a month without resolution; red tongue body (She Chi); hypochondriac pain (Xietong); slight cough (Wei Ke); pulse is deficient and large (Mai Lai Xu Da). The disease resides in the blood level (Xuefen).
Prescription: Xiao Sheng Di (Rehmanniae Radix Preparata, 1.5 qian), Gui Shen (Angelicae Sinensis Radix, 0.8 qian), Chai Hu (Bupleuri Radix, 0.7 qian), Di Gu Pi (Lycii Cortex, 1.5 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Qing Hao (Artemisiae Annuae Herba, 1 qian), Sang Ye (Mori Folium, 1 qian).
Due to night sweats (Daohan), add Jiang (Zingiberis Rhizoma) and Zao (Jujubae Fructus).
[Case 29] Patient Lu, aged twenty. Chills and fever occur several times daily; at night, only fever occurs; bitter taste in mouth (Kouku) and thirst (Fake); headache and eye pain (Toumu Ju Tong). Pulse diagnosis: left wiry (Zuo Xian), right long (You Chang); chest fullness (Xiongmen) and back stiffness (Bei Ban). This is after the Autumn Equinox, with latent pathogen (Fuxie) attempting to vent, but bound by new cold (Xinhan). It resembles malaria but is not malaria, belonging to the combined disease of the three yang meridians (Sanyang Hebing), thus treated comprehensively.
Prescription: Chai Hu (Bupleuri Radix, 1 qian), Ge Gen (Puerariae Lobatae Radix, 1 qian), Zi Su (Perillae Folium, 1 qian), Qiang Huo (Notopterygii Rhizoma et Radix, 1 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian), Lao Jiang (Zingiberis Rhizoma Recens, 2 slices), Da Zao (Jujubae Fructus, 2 pieces).
After taking the medicine, sweat poured out like steaming, and all symptoms relaxed; upon re-taking, sweat was similar, and external symptoms completely receded. Slight residual fever remained, with bitter taste and thirst, due to excessive sweating (Hanxie Taiguo).
Prescription: Sheng Di (Rehmanniae Radix, 4 qian), Mai Dong (Ophiopogonis Tuber, 3 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Hua Fen (Trichosanthis Radix, 1.5 qian), Chuan Hu (Dendrobii Caulis, 3 qian), Qing Hao (Artemisiae Annuae Herba, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian), Nan Zao (Jujubae Fructus, 2 pieces), Fu Xiao Mai (Tritici Fructus Immaturus, 2 qian).
Cured after two doses.
[Case 30] Monk, aged fifty-eight. Sudden chills and sudden heat (Shu Han Shu Re); coughing and wheezing with shortness of breath (Keqiang Qiji); cold sweat (Lenghan). Previous physicians mistakenly treated it as deficiency, administering Ren Shen (Ginseng Radix) and Shu Di (Rehmanniae Radix Preparata), resulting in coma and delirium (Shenhun Zhanyu).
A visiting monk, Master Jianyuan, knowing my medical principles were clear, invited me by boat. Upon palpating the six positions (Liubu), he wished to determine life or death immediately. The pulse was floating and wiry (Fu Xian), indicating wind pathogen lodging in the lung (Fengxie Ke Fei), causing qi stagnation and inability to vent, leading to shortness of breath and cold sweat. The patient stated that initially there was vomiting, diarrhea, fever, and thirst, with scanty and difficult urination (Xiaobian Duanse). It should have been treated with diuresis and separation (Fenli), why rush to tonify? If the condition were truly deficient, why did Ren Shen and Shu Di exacerbate the pathogen? Light agents should be used to unblock lung qi.
Prescription: Xing Ren (Armeniacae Semen Amarum), Xiang Chi (Sojae Semnis Praeparatum), Bo He (Menthae Haplocalycis Herba), Qian Hu (Peucedani Radix), Lian Qiao (Forsythiae Fructus), Shan Zhi (Gardeniae Fructus), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Tong Cao (Tetrapanacis Medulla).
Cured after two doses.
[Case 31] Patient Sheng, aged thirty-one. Toothache and neck swelling (Chitong Jingshong); crimson tongue (She Jiang); alternating chills and fever. Belongs to wind pathogen and blood heat (Fengxie Xure).
Prescription: Chai Hu (Bupleuri Radix), Bo He (Menthae Haplocalycis Herba), Gan Ju (Chrysanthemi Flos), Man Jing Zi (Viticis Semen), Gui Shen (Angelicae Sinensis Radix), Xiao Sheng Di (Rehmanniae Radix Preparata), Shao Yao (Paeoniae Radix), Dan Pi (Moutan Cortex), Xiang Fu (Cyperi Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Cured after three doses.
[Case 32] Patient Zhang, aged fifteen. In mid-summer, sudden chills and heat; pulse floating and large (Mai Fuda); spontaneous sweating (Zihan); white tongue coating (She Bai); reddish stool (Bian Chi); heavy head and weak limbs (Touzhong ZhiRuan). Disease is in the upper jiao (Shangjiao), suitable for clearing and dispersing (Qingshu).
Prescription: Xing Ren (Armeniacae Semen Amarum), Dan Dou Chi (Sojae Semnis Preparatus), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Tong Cao (Tetrapanacis Medulla), Lian Qiao (Forsythiae Fructus), Huang Qin (Scutellariae Radix), Bo He (Menthae Haplocalycis Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma).
After one dose, cough started; after two doses, red spots appeared on the body; cured after continuous administration. The previous condition was warm pathogen lodging in the lung, so when the pathogen attempted to vent, it manifested as cough and rash.
[Case 33] Patient Lu, aged thirty-six. Poor appetite and emaciation (Na Shao Xing Xiao); irregular chills and fever (Hanre Wu Shi); rapid and soft pulse (Mai Shu Er Ruan); white tongue coating (She Bai); reddish stool (Bian Chi); insomnia and bad breath (Shaomei Kouhao). This is latent fire syndrome (Fuhuo Zheng). It should be treated after Li Chun (Start of Spring) and before Jingzhe (Awakening of Insects), when yang qi rises and latent pathogen attempts to vent, suitable for clearing and dispersing.
Prescription: Chuan Lian (Coptidis Rhizoma), Tiao Qin (Scutellariae Radix), Chuan Bai (Phellodendri Cortex), Xing Ren (Armeniacae Semen Amarum), Xiang Chi (Sojae Semnis Praeparatum), Zi Su (Perillae Folium), Fang Feng (Saposhnikoviae Radix).
[Case 34] Female Patient Wang, aged six. Daily chills and fever for two months without cure. During attacks, severe abdominal pain (Futong Nanjin); gums and nails pale and lusterless (Yarou Yu Zhijia Candan Wuhua); spirit listless (Shenqi Liaodao). This is commonly known as fetal malaria (Taimie). Previous doctors alternated between tonifying and clearing, lacking consistent judgment. In my view, ancient sages mostly treated malaria from the Shaoyang perspective, but this case involves pathogen entangling the Mu Yuan (Sea of Origin) and Taiyin suffering, evidenced by abdominal pain. Some say: Shaoyang also has abdominal pain. I say: Shaoyang abdominal pain has clear discussions in Zhang Zhongjing's works, but this pulse is small and soft, lacking any wiry quality, so medical skill requires flexibility. Please let me prescribe, and it will prove true.
Prescription: Ren Shen (Ginseng Radix, 0.6 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 qian), Gui Shen (Angelicae Sinensis Radix, 1 qian), Cao Guo (Tsaoko Fructus, 0.5 qian), Bai Shao (Paeoniae Radix Alba, 1 qian), Chai Hu (Bupleuri Radix, 0.4 qian), Ban Xia Qu (Pinelliae Rhizoma Fermentatum, 1.5 qian), Ju Pi (Citri Reticulatae Pericarpium, 0.8 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.4 qian), Wei Jiang (Prepared Zingiberis Rhizoma, 3 slices), Da Zao (Jujubae Fructus, 2 pieces).
Cured after one dose.
[Case 35] Monk Dachan. Fever, chest irritability and vomiting (Xiongfan Outu), back pain without aversion to wind (Beitong Bu E Feng), pulse wiry and forceful (Mai Lai Xian Er Youli). Symptoms all belong to warm malaria (Wen Nue). Used Xiao Chai Hu Tang removing Ren Shen, adding Zhu Ru (Bambusae Sap) and Gua Lou Pi (Trichosanthis Pericarpium) to remove chest irritability and heat. One dose ineffective, vomiting worsened, added Shi Gao (Gypsum Fibrosum, 5 qian). One dose no progress, palpitations (Zhengchong) recurred, heart shaking incessantly. Immediately conceived a formula, treating palpitations as the primary symptom, causing mental confusion. Due to lack of protective function of the Pericardium (Baoluo), pathogenic heat invaded the citadel (Heart) via deficiency, disturbing the Sovereign. Tonification is contraindicated; only clearing Ding Fire (Heart Fire) is appropriate.
Prescription: Chuan Lian (Coptidis Rhizoma, 0.8 qian), Xiao Sheng Di (Rehmanniae Radix Preparata, 3 qian), Mu Tong (Akebiae Caulis, 1 qian), Gan Cao Shao (Glycyrrhizae Radix et Rhizoma Tip, 0.4 qian), Lian Qiao (Forsythiae Fructus, 1.5 qian), Shan Zhi (Gardeniae Fructus, 1.5 qian).
Heart condition gradually stabilized after taking.
Next day examination, pulse still wiry and large, disease worsening, coma and delirium. Carefully asked about discomfort, gently pressed abdomen, reaching left side of umbilicus, body showed resistance. This indicates pain and fear of pressure, clearly pathogen has entered interior (Ru Li). Realized that absence of headache and aversion to wind, yet presence of vomiting, irritability, and anorexia, also belongs to Shaoyang marginal symptoms. Abandoning Da Chai Hu Tang method, no other prescription available.
Prescription: Da Huang (Rhei Radix et Rhizoma, 4 qian, added late), Shi Gao (Gypsum Fibrosum, 5 qian), Mang Xiao (Natrii Sulfas, 1.5 qian), Chai Hu (Bupleuri Radix, 1 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Ban Xia (Pinelliae Rhizoma, 1.5 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian).
Monk's relative serving medicine saw the harsh prescription and dared not take it lightly. Living in Fengxi, where a spirit-writing medium was very effective, they consulted. The medium produced a formula matching mine in herbs and dosages, except adding Hou Po (Magnoliae Officinalis Cortex, 0.8 fen) and Zhu Ye (Bambusae Folium, 10 leaves). Returned home, decocted and took, cured after two doses.
[Case 36] Yu, aged forty-four. Both pulses wiry and large (Liang Mai Xian Da), aversion to wind (E Feng), chills and fever, yellow tongue and dry teeth (She Huang Chi Zao), thirst. Severe summerheat malaria (Shu Nue). Xiao Chai Hu Tang removing Ren Shen, adding Shi Gao (Gypsum Fibrosum), Xing Ren (Armeniacae Semen Amarum), Hua Shi (Talcum), cured in two patches.
[Case 37] Wang, aged twenty-two. Early malaria should harmonize and clear Shaoyang. Why give Zhu Sha (Cinnabar), Hu Po (Amber), Long Chi (Dragon's Teeth) for gallbladder fear and heart palpitations? What benefit to the disease! Does one not know Shaoyang meridian belongs to Gallbladder? For a month, not only pathogen not vented, but rich food taken as tonification, causing phlegm-saliva solidifying in stomach, chills and fever worse, coma and delirium, pathogen entering Yangming. Proposed dual harmonization method.
Prescription: Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Gua Lou Pi (Trichosanthis Pericarpium), Fu Ling (Poria), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Cured in two doses.
[Case 38] Wu, aged thirty-two. Fever for ten days, dry cough incessant, white and rotten tongue coating (She Tai Bai Fu), frequent loose stools, pulse neither floating nor sinking, wiry and forceful. This is Lung Malaria (Fei Nue).
Prescription: Xing Ren (Armeniacae Semen Amarum, 3 qian), Ju Pi (Citri Reticulatae Pericarpium, 1.5 qian), Jie Geng (Platycodonis Radix, 0.5 qian), Qing Hao (Artemisiae Annuae Herba, 1 qian), Lian Qiao (Forsythiae Fructus, 1.5 qian), Gua Lou Ren (Trichosanthis Semen, 2 qian), Zhu Ling (Polyporus, 1 qian), Fu Ling (Poria, 2 qian).
Two doses caused sweating, fever subsided, cough stopped. Although the two seeds are slippery, "when there is disease, the disease bears it."
[Case 39] Zhang, aged twenty-eight. Fever and cough, lighter during day, heavier at night, pulse floating, wiry, and rapid (Mai Fu Xian Er Shu). This is Hand-Taiyin Malaria (Shou Taiyin Nue), should treat from Lung.
Prescription: Xing Ren (Armeniacae Semen Amarum, 3 qian), Qian Hu (Peucedani Radix, 1.5 qian), Ju Hong (Citri Reticulatae Pericarpium Rubrum, 1 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Chai Hu (Bupleuri Radix, 0.8 qian), Ban Xia (Pinelliae Rhizoma, 1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian).
[Case 40] Fang, aged twenty-four. Triadic malaria for over a year, cold binds, heat scorches muscles, should harmonize Ying and Wei (Yingwei).
Prescription: Chai Hu (Bupleuri Radix, 1 qian), Gui Zhi (Cinnamomi Ramulus, 0.4 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Ban Xia (Pinelliae Rhizoma, 1.5 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Gui Shen (Angelicae Sinensis Radix, 1.5 qian), Hou Po (Magnoliae Officinalis Cortex, 1 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1.5 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.4 qian), Lao Jiang (Zingiberis Rhizoma Recens, 3 slices), Da Zao (Jujubae Fructus, 2 pieces).
Three doses reduced chills and fever, appetite improved. Should tonify Ying and Wei, use Bu Zhong Yi Qi Tang modified, following Lizhai's method.
Prescription: Dang Shen (Codonopsis Radix, 2 qian), Zhi Bai Zhu (Prepared Atractylodis Macrocephalae Rhizoma, 2 qian), Huang Qi (Astragali Radix, 2 qian), Gui Shen (Angelicae Sinensis Radix, 1.5 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Fu Ling (Poria, 1.5 qian), Ban Xia (Pinelliae Rhizoma, 1.3 qian), Chai Hu (Bupleuri Radix, 0.4 qian), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 qian), Lao Jiang (Zingiberis Rhizoma Recens, 3 slices), Da Zao (Jujubae Fructus, 2 pieces).
Four doses, disease disappeared unknowingly.
[Case 41] Wang, aged fifty-six. Triadic malaria for years, headache before onset, sweating during resolution, abdominal distension after eating, occasional abdominal pain and cough. Long illness causes Qi and Blood deficiency, Ying-Wei disharmony. Without multiple tonics, the disease demon is hard to dispel. Superstitious belief in shamans, disbelief in medicine.
Prescription: Ren Shen (or intermittent Dang Shen), Yu Zhu (Atractylodis Rhizoma), Huang Qi (Astragali Radix), Gui Shen (Angelicae Sinensis Radix), Ju Pi (Citri Reticulatae Pericarpium), Chai Hu (Bupleuri Radix), Ge Gen (Puerariae Lobatae Radix), Hong Hua (Carthami Flos), Ban Xia (Pinelliae Rhizoma), Shen Qu (Massa Medicata Fermentata), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Bai Shao (Paeoniae Radix Alba), Sha Ren Ke (Amomi Fructus Shell), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus).
[Case 42] Tu, aged forty-one. Slight chills, high fever, bad breath and thirst, headache and body ache, scanty reddish urine, pulse wiry and solid. This is Warm Malaria (Wen Nue), treated with Xiao Chai Hu Tang adding Shi Gao (Gypsum Fibrosum), cured.
[Case 43] Monk, aged forty-four. Malaria changed to single fever, insomnia at night, bitter taste and vomiting, lasting a month, no appetite. Condition is heavy, but pulse has root, no worry. Treat as malaria pathogen entering blood level.
Prescription: Xiao Sheng Di (Rehmanniae Radix Preparata), Gui Shen (Angelicae Sinensis Radix), Hua Shi (Talcum), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jiang Pi (Zingiberis Pericarpium).
One dose fever subsided, vomiting continued. Due to stomach deficiency, Mi Yin (Rice Decoction) mixed with Ren Ru (Human Milk) half cup each, taken and settled. This is Hua Xian's formula.
[Case 44] Shen, aged nineteen. Malaria (i.e., San Yin Nue/Triad Malaria). Onset, pulse deep and choppy (Chen Se), severe chills and fever. This condition is most common among farmers, mostly starting in late autumn. Due to latent summerheat inside, exterior wind-cold, food intake causing spleen-stomach dysfunction, generating phlegm-saliva, forming this condition. Treatment must distinguish predominant pathogen, body constitution thickness, to weigh herb strength. Observe depth of pathogen and deficiency/excess of Yuan Qi to weigh thorough clearing and tonification. Long-term recurrence transmits to five zang organs, requiring careful pulse and history. Follow ancient sages, treat separately, why suffer lingering disease? Secular view calls it incurable for two or three years.
Prescription: Shi Gao (Gypsum Fibrosum, 3 qian), Zhi Mu (Anemarrhenae Rhizoma, 1.5 qian), Huang Qin (Scutellariae Radix, 1.5 qian. These three clear internal summerheat), Chai Hu (Bupleuri Radix, 1 qian), Su Ye (Perillae Folium, 1.5 qian), Fang Feng (Saposhnikoviae Radix, 1.5 qian. These three remove wind-cold), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Hou Po (Magnoliae Officinalis Cortex, 1 qian), Ban Xia (Pinelliae Rhizoma, 1.5 qian), Shan Zha (Crataegi Fructus, 2 qian. These four cleanse stomach phlegm), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian), Jiang Pi (Zingiberis Pericarpium, 0.4 qian), Da Zao (Jujubae Fructus, 2 pieces, to harmonize Ying-Wei).
Cured in four doses. This formula treats excess pathogen in strong constitution, showing precise formulation avoids empty prescriptions.
[Case 45] Wu, aged twenty-two. Daily malaria lingering, fifty days uncured, much phlegm, bitter taste, glossy tongue and thirst, fine and rapid pulse. Caused by latent summerheat, stomach loss of transport. Normally yin-deficient constitution, plus long fever. Gui and Di nourishing blood seems correct, but path is divergent. Summerheat enters via nose, is formless; tonifying/nourishing brings no benefit, only harm.
Prescription: Xing Ren (Armeniacae Semen Amarum), Xiang Chi (Sojae Semnis Praeparatum), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Tong Cao (Tetrapanacis Medulla), Lian Qiao (Forsythiae Fructus), Hua Shi (Talcum), Qing Hao (Artemisiae Annuae Herba), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xi Gua Cui (Watermelon Rind).
After taking, sweating and urination smooth, all ailments flat. Only slight residual fever and phlegm-qi unclear, pulse floating and large, suitable for clearing and tonifying Lung Qi.
Prescription: Bei Sha Shen (Glehniae Radix), Mai Dong (Ophiopogonis Tuber), Ban Xia Qu (Pinelliae Rhizoma Fermentatum), Fu Shen (Poria with Hostwood), Cao (?), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Lian Qiao (Forsythiae Fructus).
One dose disease lost, added Ginseng strips for several doses, recovered.
[Case 46] Dai, aged fourteen. Daily malaria for two months, with cough. White tongue, fine and rapid pulse. This is righteous deficiency and shallow pathogen.
Prescription: Chai Hu (Bupleuri Radix), Gui Zhi (Cinnamoni Ramulus), Qing Hao (Artemisiae Annuae Herba), Dang Shen (Codonopsis Radix), Sheng Di (Rehmanniae Radix), Dong Zhu (Atractylodis Rhizoma), Gui Shen (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Xing Ren (Armeniacae Semen Amarum), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Xiao Mai (Tritici Fructus), Da Zao (Jujubae Fructus).
Six doses malaria and cough both cured.
[Case 47] Xu, aged thirty-nine. Cold rain invading skin, Ying-Wei disharmony, early triadic malaria.
Prescription: Chai Hu (Bupleuri Radix, 1 qian), Gui Zhi (Cinnamoni Ramulus, 0.5 qian), Shi Gao (Gypsum Fibrosum, 3 qian), Ju Pi (Citri Reticulatae Pericarpium, 1 qian), Ban Xia (Pinelliae Rhizoma, 1 qian), Huang Qin (Scutellariae Radix, 1.5 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 0.4 qian), Jiang Zao (Jiang and Zao).
Four doses slight chills remaining, Xiao Chai Hu Tang removing Ren Shen, adding Zhi Mu (Anemarrhenae Rhizoma), Cang Zhu (Atractylodis Rhizoma), Kou Ren (Amomi Fructus Rotundus), several more doses cured.
[Case 48] Xu, aged twenty-eight. Triadic malaria for years, light chills, heavy fever, profuse sweating, sore legs and crotch. Bu Zhong Yi Qi Tang adding Sheng Di (Rehmanniae Radix), Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), six doses reduced by half; remove Sheng Ma (Ephedrae Caulis? No, Cimicifugae Rhizoma), add Niu Xi (Achyranthis Bidentatae Radix), few doses cured. Effect lies in simultaneous tonification of Yin and Yang, proper ascending and descending.
[Case 49] Xu, aged thirty-eight. Triadic malaria for one and a half years, Yin and Yang both deficient, constant lower and upper abdominal pain. Should tonify primordial essence of Kidney, follow Zhang Zhongjing's Ba Wei Wan (Eight-Ingredient Pill), cured.
[Case 50] Qin, aged twenty-two. Malaria pulse deep and fine, severe chills and fever, nocturnal emissions during attacks. Treat as excess pathogen. Method: raise Yang and scatter cold, clear summerheat and remove heat, aromatic-dry regulate stomach. Use Zhu Ling (Polyporus) intent to prevent Yin-Yang intermixing. Seek source of disease: emission due to Water-Fire non-interaction. Astringents close pathogen, worsening disease. Harmonize Yin-Yang, all symptoms heal.
Prescription: Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Ban Xia (Pinelliae Rhizoma), Zhu Ling (Polyporus).
Four doses chills reduced 90%, fever 70%, emission stopped after one dose. Changed to mild Yang-raising, removed Hou Po, added Dang Shen (Codonopsis Radix, 1.5 qian).
[Case 51] Jiang, aged thirty-four. After triadic malaria stops, relapses with labor, sore feet and waist. Should tonify Ying and Wei.
Prescription: Sheng Di (Rehmanniae Radix), Gui Shen (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Dang Shen (Codonopsis Radix), Huang Qi (Astragali Radix), Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma).
[Case 52] Wang, aged thirty-one. Daily single chills without fever, anciently called Pin Nue (Female Malaria), caused by Wei Yang stagnation. After Mid-Autumn, though slightly cold, Gui Zhi (Cinnamon Twig) warming exterior is unsuitable due to internal summerheat. Yang sinking into Yin causes cold; raising Yang stops cold, warming muscle is useless.
Prescription: Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Ge Gen (Puerariae Lobatae Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Zhi Ke (Aurantii Fructus), Jiang Pi (Zingiberis Pericarpium).
[Case 53] Li, aged thirty-two. Summerheat suppressed by cool wind. Daily malaria uses dispersing wind, clearing summerheat, eliminating phlegm, three methods combined, treating wind-cold-summerheat-hot like magic.
Prescription: Chai Hu (Bupleuri Radix), Ge Gen (Puerariae Lobatae Radix), Huang Qin (Scutellariae Radix), Zhi Mu (Anemarrhenae Rhizoma), Zhi Shi (Immature Aurantii Fructus), Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jiang Pi (Zingiberis Pericarpium).
[Case 54] Ren, aged twenty-four. Severe daily malaria, vomiting and diarrhea together, unable to swallow water. Damp-heat fills San Jiao, Ying-Wei blocked, seemingly dangerous. To me, it's a straight road, not difficult; though severe, sweating yields immediate effect. Chai Ling Tang removing Ren Shen, adding Hou Po (Magnoliae Officinalis Cortex), Huang Lian (Coptidis Rhizoma). Indeed cured in one dose.
[Case 55] Zhong, aged forty-nine. After triadic malaria cured, followed by febrile disease, suddenly urinary incontinence, penile pain like cutting. Blame long illness Kidney deficiency.
Prescription: Shu Di (Rehmanniae Radix Preparata), Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma), Tu Si Zi (Cuscutae Semen), Fu Pen Zi (Rubi Fructus), Wu Wei Zi (Schisandrae Fructus), Gou Qi Zi (Lycii Fructus).
Four doses like wind sweeping dust.
[Case 56] Xu, aged forty-four. Bi-reverse fever and cough, unresolved for a month, this is Lung Malaria.
Prescription: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Xing Ren (Armeniacae Semen Amarum), Fang Feng (Saposhnikoviae Radix), Su Ye (Perillae Folium), Lian Qiao (Forsythiae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Two doses malaria cured, cough remained, cleared Metal and nourished Stomach, healed.
[Case 57] Xu, aged twenty-six. Malaria night onset, chest pain and abdominal distension, lasting forty days.
Prescription: Chai Hu (Bupleuri Radix), Dang Gui (Angelicae Sinensis Radix), Dan Pi (Moutan Cortex), Bai Shao (Paeoniae Radix Alba), Huang Qin (Scutellariae Radix), Jiu Bie Jia (Testudinis Carapax et Plastrum Prepared), Ju Pi (Citri Reticulatae Pericarpium), Wu Mei Rou (Mume Fructus), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma).
Three doses cured.
[Case 58] Female Ma, aged seventeen. Post-malaria abdominal pain, vomiting yellow water, no appetite, or vomits immediately after eating, pulse deep, fine, and rapid, bitter taste and thirst.
Commentary: Though chills and fever removed, pathogen not fully vented, should regulate Shaoyang and Yangming.
Prescription: Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Bai Shao (Paeoniae Radix Alba), Ban Xia (Pinelliae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Hou Po (Magnoliae Officinalis Cortex), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jiang Pi (Zingiberis Pericarpium).
[Case 59] Zhao, aged twenty-eight. Daily malaria for ten days, abdominal mass and distension, dry yellow tongue coating, deficient pulse. Righteous weak, pathogen entrenched, first suitable for clearing and dispersing.
Prescription: Chai Hu (Bupleuri Radix), Jiu Bie Jia (Testudinis Carapax et Plastrum Prepared), Ju Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Huang Qin (Scutellariae Radix), Gu Ya (Hordei Fructus Germinatus), Hou Po (Magnoliae Officinalis Cortex), Bai Shao (Paeoniae Radix Alba).
[Case 60] Xia, aged eighteen. Post-chills and fever, chest fullness, no appetite, night sweats, lower back pain, unresolved for a month. Malaria pathogen entrenched in Mu Yuan.
Prescription: Xiao Sheng Di (Rehmanniae Radix Preparata), Dan Pi (Moutan Cortex), Huang Qin (Scutellariae Radix), Qing Hao (Artemisiae Annuae Herba), Bie Jia (Testudinis Carapax et Plastrum), Zhi Mu (Anemarrhenae Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Shen Qu (Massa Medicata Fermentata), Zhi Cao (Prepared Glycyrrhizae Radix et Rhizoma), Fu Xiao Mai (Tritici Fructus Immaturus).