脉
疟脉自弦。弦数者多热，宜汗之；弦迟者多寒，宜温之；弦紧
宜下；浮大宜吐；弦短者伤食；弦滑者多痰；虚微无力为久病；洪数无力为虚；代散则死。
证
夫疟有风疟、暑疟、湿疟、食疟、痰疟、疟母，诸疟之不同，不过风、寒、暑、湿之外感，七情、五
味之内伤之所致也。然内外失守，真邪不分，阴阳偏胜，寒热交攻，乃成疟也。有一日一发，有二日一发，
有三日一发，有间一日连二日发，气血俱受病。有夜与日各发，有发于午前，有发于午后。其始发之时，欠
伸，畏寒战栗，头痛，或渴，或先寒后热，或先热后寒，或单寒不热，或单热不寒，或寒少热多，或寒多热少。
治
治疗之法，当先发散外邪。有有汗，有无汗。无汗者要有汗，散邪为主；有汗者要无汗，扶正为主。然
散邪扶正，病不退者，又须分利阴阳，以柴苓汤最效。甚者或以截药而除之，不二饮、胜金
丸之类截之。不愈，乃气血大虚，要扶胃气为本，露姜养胃汤、养胃丹之类。又有绵延不休，弥 越岁，汗、
吐、下过，荣卫亏损，邪气伏藏胁间，结为症癖，谓之疟母， 疟饮，黄甲丸之类。盖疟有新久浅深，治有
缓急次序，宜以脉症参验，量其虚实而疗之。《机要》谓太阳经为寒疟，治多汗之；阳明经为热疟，治多下之；少
阳经为风疟，治多和之。此三阳受病，谓之暴疟。在夏至后，处暑前，乃伤之浅者。在三阳经则总之为寒疟。
在处暑后，冬至前，乃伤之重者。其三阴经疟，作于子午卯酉日者，少阴疟；作于寅申巳
亥日者，厥阴疟；作于辰戌丑未日者，太阴疟也。
一凡疟方来，正发不可服药，服药在于未发两时之先。不则药病交争，转为深害，当戒之。
一平素虚弱，兼以劳役内伤，挟感外邪；以致疟疾。寒热交作，肢体倦怠，乏力少气，以补中益气汤
加黄芩、芍药、半夏。有汗及寒重，加桂枝，倍黄 ；热甚加柴胡、黄 ；渴加麦门冬、天花粉。
一久疟，乃属元气虚弱。盖气虚则寒，血虚则热，胃虚则恶寒，脾虚则发热。阴火下流，则寒热交作，
或吐涎不食，泄泻腹痛，手足逆冷，寒栗鼓颔。若误投以清脾截疟二饮，多致不起。
一疟后饮食少进，四肢无力，面色萎黄，身体虚弱，以四君子汤合二陈汤，加姜炒黄连、麸炒枳实，煎服。
一凡疟后，大汗出者，乃荣血不足之候，以人参养荣汤主之。
方
散邪汤（三山陈氏传）〔批〕（按此方治疟无汗，当发汗散邪为主）
治三阳经疟，头痛无汗，发热恶寒，当发汗散邪。
川芎（一钱） 白芷（一钱） 麻黄（去节，一钱） 防风（一钱） 紫苏（一钱） 羌活
（一钱） 甘草（五分） 白芍药（酒炒，一钱）
上锉一剂，生姜三片，葱白三茎，水煎，露一宿，次日温服。有痰，加陈皮、半夏。宿食不消，吞
酸恶食，加麸炒枳实，姜汁炒浓朴、山楂、莱菔子。湿，加苍术。挟气，加青皮、苏梗、香附。
正气汤（三山陈氏传）〔批〕（按此方治疟有汗，当止汗正气为主）
治虚弱人疟，头疼自汗；寒热往来，当扶正散邪。
柴胡（一钱） 前胡（一钱） 川芎（一钱） 白芷（一钱） 半夏（姜制，一钱） 麦冬
（去心，八分） 槟榔（一钱） 草果（一钱） 青皮（炒，一钱） 茯苓（八分） 桂枝（一钱）
甘草（炙，八分） 白芍（炒，一钱） 陈皮（八分）
上锉一剂，生姜三片，大枣二枚，水煎，预先热服。
柴苓汤〔批〕（按此方治疟，分利阴阳，和解表里之剂） 此药分利阴阳，和解表里之剂。
柴胡（八分） 黄芩（炒，一钱） 人参（去芦，一钱） 半夏（姜制，一钱） 甘草（六
分） 猪苓（一钱） 泽泻（一钱） 白术（炒，一钱） 茯苓（八分） 肉桂（七分）
上锉一剂，生姜三片，大枣二枚，水煎温服。无汗加麻黄。
有汗加桂枝。寒多倍肉桂。热多加黄芩。胸膈满闷加枳壳、桔梗。
不二饮（秘方） 治一切寒热疟疾，一服即止如神。
常山（二钱） 槟榔（雌，一钱；雄，一钱。尖锐者为雄，平秃者为雌） 知母（一钱
五分） 贝母（一钱五分）
上锉一剂，酒一钟，煎至八分。不可过熟，熟则不效。露一宿，临发日，五更温服。勿令女人煎药。
胜金丸 治一切寒热疟疾，胸膈停痰，一服立效。
常山（四两，好酒浸一宿，晒干） 槟榔（二两） 苍术（二两，米泔浸一宿，晒干） 草果（二两）
上为细末，将前所浸常山余酒，煮糊为丸，如梧桐子大。每服五十丸，未发前一日，临卧时冷酒送下，
即卧，不可言语，直至鸡鸣时，再进七十丸。忌食生冷热物，及鸡鱼麸面之类，不则不效矣。
疟灵丹（秘方） 治一切疟，服药不愈，以此截之。
雄鸡豆（拣圆者为雄，四十九粒，先一日以水泡去皮，研烂） 人言末（一钱） 雄黄（一钱，为衣）
上于五月五日午时，同捣为丸，如芡实大，阴干收贮。临发日
早晨，面东，无根水下一丸。忌热酒热物，超时，禁生冷、鱼腥三
日，此方百发百中。
龙虎汤〔批〕（按此方治热疟，清火之剂） 治热疟，火盛舌卷焦黑，鼻
如烟煤，六脉洪数弦紧，此乃阳毒入深所致。先以青布折叠数重，新汲水渍之，搭于心胸之上，须臾再易。
如此三次，热势稍退，即服此药，无有不效。
柴胡（一钱五分） 黄芩（一钱五分） 半夏（姜制，七分） 石膏（二钱五分） 黄连
（一钱五分） 黄柏（一钱二分） 知母（一钱，去毛） 山栀仁（一钱） 粳米（一撮）
上锉一剂，生姜一片，大枣二枚，水煎温服。
露姜养胃汤 治久疟不愈，三五日一发。
苍术（米泔浸一宿，晒干，一钱） 浓朴（姜炒，一钱） 陈皮（一钱） 草果（一钱）
半夏（姜制，一钱） 人参（一钱五分） 茯苓（一钱） 藿香（一钱） 甘草（炙，七分）
上锉一剂，乌梅一个，黑枣一个，水煎。先以生姜四两，捣汁露一宿，次日合入煎药，通口服。
养胃丹〔批〕（按此方治久疟，补虚之剂） 治久疟经年累月，虚弱之症，宜此补之。
人参（一两，去芦） 苍术（二两，炒） 白茯苓（一两） 半夏（泡，二两五钱） 陈
皮（一两五钱） 藿香（一两） 草果（一两） 浓朴（姜炒，一两五钱） 常山（酒蒸，二两） 甘
草（炙，五钱） 乌梅（四十九个，去核）
上为末，淡姜汤打糊为丸，如梧桐子大。每服七十丸，仍用淡姜汤送下。
疟饮 治疟久不能愈，名曰 疟，又曰老疟。
苍术（泔浸，五钱） 草果（五钱） 桔梗（五钱） 青皮（五钱） 陈皮（五钱） 良姜
（五钱） 白芷（二钱） 白茯苓（二钱） 半夏（汤泡，二钱） 枳壳（麸炒，二钱） 甘草（二
钱） 桂心（二钱） 干姜（泡，二钱） 苏叶（二钱） 川芎（二钱）
上锉，每剂五钱，水煎，入盐少许，空心温服。
黄甲丸〔批〕（按此方治疟母，消块之剂） 治疟母成块，久不能愈。
朱砂（一两） 阿魏（一两） 槟榔（一两） 山甲（一两，酥，炙，炒） 雄黄（五钱） 木香（五钱）
上为细末，泡黑豆去皮，捣成泥为丸，如梧桐子大。每服五十
丸，淡姜汤送下，忌生冷、鱼腥三日。
Pulse
The pulse of malaria (Malaria) naturally presents as a string-like pulse (Xian Mai, String-taut Pulse). A string-like and rapid pulse indicates heat syndrome, suitable for diaphoresis (Diaphoresis); a string-like and slow pulse indicates cold syndrome, suitable for warming therapy (Warming Therapy); a string-like and tight pulse is suitable for purgation (Purgation); a floating and large pulse is suitable for emesis (Emesis); a string-like and short pulse suggests food stagnation (Food Stagnation); a string-like and slippery pulse suggests phlegm (Phlegm); a deficient, minute, and forceless pulse indicates chronic illness; a flooding, rapid, and forceless pulse indicates deficiency; the appearance of a intermittent pulse (Dai Mai, Intermittent Pulse) or a scattered pulse (San Mai, Scattered Pulse) indicates a fatal prognosis.
Symptoms
Malaria is classified into wind malaria (Wind Malaria), summerheat malaria (Summerheat Malaria), dampness malaria (Dampness Malaria), food malaria (Food Malaria), phlegm malaria (Phlegm Malaria), and malaria mass (Malaria Mass). The differences among various types of malaria are merely caused by external contraction of wind, cold, summerheat, and dampness, and internal injury from the seven emotions (Seven Emotions) and improper diet (Five Flavors). However, when internal and external defenses fail, true qi and pathogenic factors mix indistinguishably, yin and yang become imbalanced with excess, and cold and heat attack each other, resulting in malaria. It may occur once daily, every other day, every three days, or after an interval of one day followed by two consecutive days of发作, indicating that both qi and blood are affected. It may occur at night and day, before noon, or after noon. At the onset, there are yawning and stretching, aversion to cold with shivering, headache, thirst, or alternating chills and fever (Chills and Fever), or chills preceding fever, or fever preceding chills, or only chills without fever, or only fever without chills, or less chills with more fever, or more chills with less fever.
Treatment Principles
The treatment method should first focus on dispersing external pathogenic factors. Patients may have sweating or no sweating. For those without sweating, inducing sweating to disperse pathogens is primary; for those with sweating, stopping sweating and supporting healthy qi (Zheng Qi, Healthy Qi) is primary. However, if the disease does not recede after dispersing pathogens and supporting healthy qi, it is necessary to differentiate yin and yang, using Chai Ling Tang (Bupleurum and Poria Decoction) which is most effective. For severe cases, antimalarial drugs can be used to eliminate the disease, such as Bu Er Yin (Two-Not Decoction) and Sheng Jin Wan (Win Gold Pill). If still unhealed, it indicates severe deficiency of qi and blood, so supporting stomach qi (Stomach Qi) becomes fundamental, using Lu Jiang Yang Wei Tang (Dew Ginger Stomach-Nourishing Decoction) and Yang Wei Dan (Stomach-Nourishing Pill). For lingering malaria lasting over a year, after excessive use of sweating, vomiting, and purging methods, leading to depletion of Ying (Nutritive) and Wei (Defensive) qi, with pathogenic factors hiding between the hypochondrium and forming masses called malaria mass (Malaria Mass), use Nie Yin (Malaria Drink) and Huang Jia Wan (Yellow Shell Pill). Generally, malaria has new/old and shallow/deep distinctions, and treatment has urgency and sequence. One must combine pulse and symptom analysis, assess deficiency and excess, and treat accordingly. *Ji Yao* states: Taiyang channel involvement causes cold malaria, treated mostly with diaphoresis; Yangming channel involvement causes heat malaria, treated mostly with purgation; Shaoyang channel involvement causes wind malaria, treated mostly with harmonization. These three yang channels involved are called acute malaria (Acute Malaria). Onset after Summer Solstice and before Limit of Heat indicates shallow infection. Involvement of the three yang channels is generally termed cold malaria. Onset after Limit of Heat and before Winter Solstice indicates heavy infection. Malaria of the three yin channels occurring on Zi, Wu, Mao, You days is Shaoyin malaria; on Yin, Shen, Si, Hai days is Jueyin malaria; on Chen, Xu, Chou, Wei days is Taiyin malaria.
Precautions I: When malaria is about to发作, do not administer medicine during the active phase. Medication should be taken two hours before the expected发作. Otherwise, medicine and pathogen will contend, causing deeper harm. This must be avoided.
Precautions II: For those constitutionally weak, compounded by labor-induced internal injury and external pathogenic contraction leading to malaria, with alternating chills and fever, limb fatigue, weakness, and shortness of breath, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Huang Qin (Scutellaria Root), Shao Yao (Peony Root), and Ban Xia (Pinellia Tuber). If sweating and severe aversion to cold, add Gui Zhi (Cinnamon Twig) and double Huang Qi (Astragalus Root); if severe heat, add Chai Hu (Bupleurum Root) and Huang Qin; if thirsty, add Mai Men Dong (Ophiopogon Tuber) and Tian Hua Fen (Trichosanthes Root).
Precautions III: Chronic malaria belongs to yuan qi (Primal Qi) deficiency. Qi deficiency generates cold, blood deficiency generates heat, stomach deficiency causes aversion to cold, spleen deficiency causes fever. Yin fire flowing downward causes alternating chills and fever, or spitting saliva and anorexia, diarrhea, abdominal pain, cold extremities, and chattering teeth. Misusing Qing Pi Yin (Clear Spleen Decoction) or Jie Nue Yin (Antimalarial Decoction) often leads to death.
Precautions IV: After malaria, with reduced appetite, limb weakness, sallow complexion, and body debility, use Si Jun Zi Tang (Four Gentlemen Decoction) combined with Er Chen Tang (Two-Cured Decoction), added with Ginger-fried Huang Lian (Coptis Rhizome) and Bran-fried Zhi Shi (Immature Bitter Orange), decocted and taken orally.
Precautions V: After malaria, profuse sweating indicates deficiency of Ying blood (Ying Blood), treated primarily with Ren Shen Yang Rong Tang (Ginseng Nourishing Ying Decoction).
Formulas
San Xie Tang (Dispersing Pathogens Decoction) [Commentary] (This formula treats malaria without sweating, focusing on diaphoresis to disperse pathogens.)
Treats Taiyang, Yangming, and Shaoyang malaria with headache, no sweating, fever, and aversion to cold, requiring diaphoresis to disperse pathogens.
Chuan Xiong (Ligusticum Rhizome, 1 qian) Bai Zhi (Angelica Dahurica Root, 1 qian) Ma Huang (Ephedrae Herba, de-stemmed, 1 qian) Fang Feng (Saposhnikovia Root, 1 qian) Zi Su (Perilla Leaf, 1 qian) Qiang Huo (Notopterygium Rhizome, 1 qian) Gan Cao (Licorice Root, 0.5 qian) Bai Shao Yao (White Peony Root, wine-fried, 1 qian)
Crush into one dose, add 3 slices of Sheng Jiang (Fresh Ginger) and 3 stalks of Cong Bai (Scallion White), decoct in water, leave exposed overnight, take warm the next day. If phlegm, add Chen Pi (Tangerine Peel) and Ban Xia. If food stagnation with acid regurgitation and aversion to food, add Bran-fried Zhi Shi, Ginger-processed Hou Po (Magnolia Bark), Shan Zha (Hawthorn Fruit), and Lai Fu Zi (Radish Seed). If dampness, add Cang Zhu (Atractylodes Rhizome). If qi stagnation, add Qing Pi (Green Tangerine Peel), Su Geng (Perilla Stem), and Xiang Fu (Cyperus Rhizome).
Zheng Qi Tang (Supporting Healthy Qi Decoction) [Commentary] (This formula treats malaria with sweating, focusing on stopping sweating and supporting healthy qi.)
Treats malaria in weak individuals with headache and spontaneous sweating; alternating chills and fever, requiring support of healthy qi and dispersal of pathogens.
Chai Hu (Bupleurum Root, 1 qian) Qian Hu (Peucedani Radix, 1 qian) Chuan Xiong (Ligusticum Rhizome, 1 qian) Bai Zhi (Angelica Dahurica Root, 1 qian) Ban Xia (Pinellia Tuber, ginger-processed, 1 qian) Mai Dong (Ophiopogon Tuber, heart removed, 0.8 qian) Bing Lang (Areca Seed, 1 qian) Cao Guo (Black Cardamom Fruit, 1 qian) Qing Pi (Green Tangerine Peel, fried, 1 qian) Fu Ling (Poria, 0.8 qian) Gui Zhi (Cinnamon Twig, 1 qian) Gan Cao (Licorice Root, honey-fried, 0.8 qian) Bai Shao (White Peony Root, fried, 1 qian) Chen Pi (Tangerine Peel, 0.8 qian)
Crush into one dose, add 3 slices of Sheng Jiang and 2 dates (Da Zao), decoct in water, take hot in advance.
Chai Ling Tang (Bupleurum and Poria Decoction) [Commentary] (This formula treats malaria by differentiating yin and yang, harmonizing exterior and interior.) This formula differentiates yin and yang, harmonizing exterior and interior.
Chai Hu (Bupleurum Root, 0.8 fen) Huang Qin (Scutellaria Root, fried, 1 qian) Ren Shen (Ginseng Root, rhizome removed, 1 qian) Ban Xia (Pinellia Tuber, ginger-processed, 1 qian) Gan Cao (Licorice Root, 0.6 qian) Zhu Ling (Polyporus, 1 qian) Ze Xie (Alisma Rhizome, 1 qian) Bai Zhu (Atractylodes Macrocephala Rhizome, fried, 1 qian) Fu Ling (Poria, 0.8 qian) Rou Gui (Cinnamon Bark, 0.7 qian)
Crush into one dose, add 3 slices of Sheng Jiang and 2 dates, decoct in water, take warm. If no sweating, add Ma Huang. If sweating, add Gui Zhi. If more chills, double Rou Gui. If more heat, add Huang Qin. If chest and epigastrium fullness/stuffiness, add Zhi Ke (Aurantii Fructus) and Jie Geng (Platycodon Root).
Bu Er Yin (Two-Not Decoction) Secret Recipe. Treats all kinds of chills-and-fever malaria, stopping effectively after one dose.
Chang Shan (Dichroa Root, 2 qian) Bing Lang (Areca Seed, female 1 qian; male 1 qian. Sharp ones are male, flat/blunt ones are female) Zhi Mu (Anemarrhenae Rhizoma, 1.5 qian) Bei Mu (Fritillariae Bulbus, 1.5 qian)
Crush into one dose, add one cup of wine, decoct until 0.8 cup remains. Do not over-cook, or it loses efficacy. Leave exposed overnight, take warm at 5 AM on the day of发作. Do not let women prepare the medicine.
Sheng Jin Wan (Win Gold Pill) Treats all kinds of chills-and-fever malaria with phlegm retention in chest and epigastrium, effective immediately after one dose.
Chang Shan (Dichroa Root, 4 liang, soaked in good wine overnight, dried) Bing Lang (Areca Seed, 2 liang) Cang Zhu (Atractylodes Rhizome, 2 liang, soaked in rice wash water overnight, dried) Cao Guo (Black Cardamom Fruit, 2 liang)
Grind into fine powder. Use the remaining wine from soaking Chang Shan to make paste pills, size of Sophora seeds. Take 50 pills one day before发作, swallow with cold wine before sleep, lie down immediately, do not speak, until rooster crow, then take another 70 pills. Avoid raw, cold, and hot foods, and chicken, fish, bran, and wheat, otherwise ineffective.
Nie Ling Dan (Malaria Spirit Pill) Secret Recipe. Treats all malaria unresponsive to other medicines, using this to cut off the发作.
Xiong Ji Dou (Male Chicken Bean, select round ones as male, 49 grains, soak in water one day prior to peel, grind to paste) Ren Yan (Arsenic Trioxide Powder, 1 qian) Xiong Huang (Realgar, 1 qian, used as coating)
On the noon hour of the fifth day of the fifth lunar month, pound together into pills size of Euryale Seed, dry in shade and store. On the day of发作, in the morning, face east, swallow one pill with "rootless water" (rainwater/snowmelt). Avoid hot wine and hot foods. Afterward, avoid raw/cold foods and fishy smells for three days. This formula is 100% effective.
Long Hu Tang (Dragon and Tiger Decoction) [Commentary] (This formula treats heat malaria, a fire-clearing agent.) Treats heat malaria with fire excess causing curled, scorched black tongue, nose like soot, and six pulses flooding, rapid, string-like, and tight. This is due to deep penetration of yang toxin. First, fold blue cloth several layers, soak in fresh well water, apply to chest and heart area, replace after a moment. Do this three times until heat subsides slightly, then take this medicine, always effective.
Chai Hu (Bupleurum Root, 1.5 qian) Huang Qin (Scutellaria Root, 1.5 qian) Ban Xia (Pinellia Tuber, ginger-processed, 0.7 qian) Shi Gao (Gypsum Fibrosum, 2.5 qian) Huang Lian (Coptis Rhizome, 1.5 qian) Huang Bo (Phellodendri Cortex, 1.2 qian) Zhi Mu (Anemarrhenae Rhizoma, de-hair, 1 qian) Shan Zhi Ren (Gardeniae Semen, 1 qian) Jing Mi (Oryza Sativa Germ, a pinch)
Crush into one dose, add one slice of Sheng Jiang and two dates, decoct in water, take warm.
Lu Jiang Yang Wei Tang (Dew Ginger Stomach-Nourishing Decoction) Treats chronic malaria unhealed,发作 every 3-5 days.
Cang Zhu (Atractylodes Rhizome, soaked in rice wash water overnight, dried, 1 qian) Hou Po (Magnolia Bark, ginger-fried, 1 qian) Chen Pi (Tangerine Peel, 1 qian) Cao Guo (Black Cardamom Fruit, 1 qian) Ban Xia (Pinellia Tuber, ginger-processed, 1 qian) Ren Shen (Ginseng Root, 1.5 qian) Fu Ling (Poria, 1 qian) Huo Xiang (Patchouli Herb, 1 qian) Gan Cao (Licorice Root, honey-fried, 0.7 qian)
Crush into one dose, add one Wumei (Chinese Plum) and one Hei Zao (Black Date), decoct in water. First, take 4 liang of Sheng Jiang, crush to juice, expose overnight. Next day, mix into the decoction, take orally.
Yang Wei Dan (Stomach-Nourishing Pill) [Commentary] (This formula treats chronic malaria, a tonifying deficiency agent.) Treats chronic malaria lasting years, debility symptoms, suitable for tonification.
Ren Shen (Ginseng Root, rhizome removed, 1 liang) Cang Zhu (Atractylodes Rhizome, fried, 2 liang) Bai Fu Ling (Poria, 1 liang) Ban Xia (Pinellia Tuber, soaked, 2.5 liang) Chen Pi (Tangerine Peel, 1.5 liang) Huo Xiang (Patchouli Herb, 1 liang) Cao Guo (Black Cardamom Fruit, 1 liang) Hou Po (Magnolia Bark, ginger-fried, 1.5 liang) Chang Shan (Dichroa Root, wine-steamed, 2 liang) Gan Cao (Licorice Root, honey-fried, 0.5 liang) Wumei (Chinese Plum, 49 grains, pitted)
Grind into powder. Use light ginger soup to make paste pills, size of Sophora seeds. Take 70 pills, swallowed with light ginger soup.
Nie Yin (Malaria Drink) Treats malaria unhealed for long time, named Nie Yin, also called Old Malaria.
Cang Zhu (Atractylodes Rhizome, rice wash soaked, 5 qian) Cao Guo (Black Cardamom Fruit, 5 qian) Jie Geng (Platycodon Root, 5 qian) Qing Pi (Green Tangerine Peel, 5 qian) Chen Pi (Tangerine Peel, 5 qian) Liang Jiang (Galangal Rhizome, 5 qian) Bai Zhi (Angelica Dahurica Root, 2 qian) Bai Fu Ling (Poria, 2 qian) Ban Xia (Pinellia Tuber, boiled water soaked, 2 qian) Zhi Ke (Aurantii Fructus, bran-fried, 2 qian) Gan Cao (Licorice Root, 2 qian) Gui Xin (Cinnamon Heart, 2 qian) Gan Jiang (Dried Ginger, soaked, 2 qian) Su Ye (Perilla Leaf, 2 qian) Chuan Xiong (Ligusticum Rhizome, 2 qian)
Crush. Each dose 5 qian, decoct in water, add little salt, take warm on empty stomach.
Huang Jia Wan (Yellow Shell Pill) [Commentary] (This formula treats malaria mass, a mass-resolving agent.) Treats malaria mass formed into lumps, unhealed for long time.
Zhu Sha (Cinnabar, 1 liang) A Wei (Asafoetida, 1 liang) Bing Lang (Areca Seed, 1 liang) Shan Jia (Tartar Testudo Carapax, butter-fried, stir-fried, 1 liang) Xiong Huang (Realgar, 0.5 liang) Mu Xiang (Costus Root, 0.5 liang)
Grind into fine powder. Soak black soybeans, peel, grind to paste to make pills, size of Sophora seeds. Take 50 pills, swallowed with light ginger soup. Avoid raw/cold foods and fishy smells for three days.