论曰劳疟者，以久疟不瘥，气血俱虚，病虽间歇，劳动则发，故谓之劳疟，邪气日深，
真气愈耗，表里既虚，故食减肌瘦，色悴力劣，而寒热如故也。
治劳疟毛发枯焦，寒热不定，饮食减少，肌肉消瘦，面色青黑，两足无力，非时足冷，
小便频数，大便不调，夜梦泄精。鳖甲煮散方
鳖甲（去裙 醋炙半两） 羌活（去芦头） 独活（去芦头） 柴胡（去苗各一分） 黄
（锉
半两） 赤茯苓（去黑皮） 生干地黄（焙） 木香（各一分） 牛膝（酒浸切焙） 天灵
盖（酥炙）
茱萸（各一两）
上一十七味。捣罗为散，每服三钱匕，水一盏，入盐少许，同煎七分，空心和滓服，或
炼蜜丸如梧桐子大，空心盐汤下四十丸，亦得。
治劳疟。秦艽酒方
秦艽（去苗土） 柴胡（去苗） 甘草（炙） 鳖甲（去裙 醋炙各半两） 常山 葱
白（各二
两） 豉（一分）
上七味。锉如麻豆，用无灰酒三升浸一宿，于近火处安顿，常令微温，每服一盏，未发
时，不拘时服，既服又添酒一盏于药中，添至三升即止。
治劳疟久作不已，日致憔悴，势渐危困。鳖甲散方
鳖甲（去裙 醋浸炙） 常山锉 蜀漆叶 乌贼鱼骨（去甲） 附子（炮裂去皮脐各半
两）
知母（切焙） 蜀椒（去目及闭口炒出汗各一分） 黄 （锉） 柴胡（去苗各三分）
上九味。捣罗为散，每服三钱匕，以酒一盏，渍一宿，平旦温服，未发前再一服。
治劳疟。柴胡汤方
柴胡（去苗一两） 人参 栝蒌根 黄芩（去黑心） 甘草（炙锉） 黄 （锉各半两）
上六味。粗捣筛，每服五钱匕，水一盏半，生姜半分切，枣两枚去核，煎至一盏，去滓
温服，空腹欲发前各一服。
治劳疟经年不瘥，寒热痿瘦。祛劳汤方
柴胡（去苗） 常山（锉） 鳖甲（去裙 醋浸炙） 知母（切焙） 青蒿（干者） 甘
草（炙锉）
上九味。粗捣筛，每服五钱匕，水一盏半，入柳枝心七枚，葱白三寸，煎至一盏，去滓
空腹温服。
治劳疟寒热萎黄，渴燥烦闷。甘草汤方
甘草（炙三分） 蜀漆叶（半两） 天灵盖（酥炙一两） 黑豆（生） 桃仁（汤浸去
皮尖研）
乌梅肉（炒各一分）
上六味。粗捣筛，每服三钱匕，水一盏，入竹叶三片，煎至七分去滓，空腹未发前一服
，临发时再服。
治劳疟久不瘥， 发热，骨节痛，不下食，小便赤，渐加瘦弱。柴胡枳壳汤方
柴胡（去苗） 枳壳（去瓤麸炒） 升麻 麦门冬（去心焙） 鳖甲（醋浸炙令黄去裙
） 甘
草（炙锉） 桃仁（汤浸去皮尖双仁别研各三分）
上七味。粗捣筛，每服三钱匕，水一盏，煎至七分去滓，未发前不拘时温服。
治劳疟，热多寒少。知母汤方
知母（切焙） 常山（细锉） 松萝 桔梗（去芦头切炒） 柴胡（去苗） 鳖甲（醋
浸锉令黄
去裙 ） 橘叶（各三分）
上七味。粗捣筛，每服五钱匕，水一盏，柳枝心七枚，童子小便半盏，煎至七分去滓，
未发前温服。
治劳疟。豉心饮方
豉心（五十粒） 甘草（生用一分） 鳖甲（去裙 醋浸炙黄） 柴胡（去苗各半两） 栀
子（
去皮一分） 乌梅肉（七枚） 桃枝心（七枚） 柳枝心（七枚） 生地黄汁（一合） 雄
鼠粪（炒
为末半钱）
上一十味。除地黄鼠粪外，粗捣筛，即用童子小便一盏半浸药一宿，明旦煎取一盏，去
滓下鼠粪末半钱，地黄汁一合，生姜汁一合，分为两服，空心一服，欲发前一服。
治劳疟，并积劳寒热。常山丸方
常山（细锉三分） 乌梅肉（炒） 甘草（炙锉） 鳖甲（去裙 醋浸炙） 葳蕤（各
半两） 石
膏（碎一两） 知母（焙） 蜀漆叶 白薇 升麻 地骨皮 麦门冬（去心焙各三分） 豉
（炒一
合）
上一十三味。捣罗为末，炼蜜丸如绿豆大，每服十丸，空腹米饮下，未发前再服，渐加
丸数，以瘥为度。
治远年劳疟。雄黄丸方
雄黄（研） 丹砂（研） 麝香（研各半两） 木香 鳖甲（去裙 醋浸炙） 虎头骨
（酥炙）
根节） 龙胆
牡蛎（熬） 猪苓（去黑皮） 柴胡（去苗） 茯神（去木） 升麻 槟榔（微煨锉） 地
骨皮 赤芍
药栀子仁 黄连（去须） 乌梅肉（炒） 桃仁（汤浸去皮尖双仁炒别研） 阿魏（醋研
化入面
调作饼炙） 安息香（入胡桃仁研） 葳蕤 龙齿（各三分）
上三十二味。除研药外，捣罗为末，再同研匀，炼蜜丸如梧桐子大，每服二十丸，空腹
白粥饮下，发前再服。
治积年劳疟不瘥，颜色羸瘦无力。乌梅丸方
乌梅肉（炒） 甘草（炙锉） 升麻 人参 桂（去粗皮各半两） 肉苁蓉（酒浸切焙）
桃仁
（汤浸去皮尖炒别研） 常山（锉各三分） 豉（微炒一合）
上九味。除桃仁外，捣罗为末，入桃仁再研匀，炼蜜丸如梧桐子大，每服二十丸，空腹
温米饮下，发前再服，渐加至三十丸。
治劳疟。人参丸方
人参 乌梅肉（炒） 桃仁（汤浸去皮尖双仁别研） 常山（锉） 肉苁蓉（酒浸切焙）
升麻（各三分） 杏仁（汤浸去皮尖双仁别研） 桂（去粗皮各半两） 鳖甲（去裙 醋浸
炙） 甘草（炙各三分） 丹砂（研）
上一十三味。捣研为末，炼蜜丸如梧桐子大，每服二十丸，空腹米饮下，未发时并两服
治劳疟。桂参丸方
桂（去粗皮一两） 肉苁蓉（酒浸切焙半两） 豉（微炒一合） 麝香（研一钱） 桃
仁（汤浸去皮尖别研
上八味。捣研为末，炼蜜丸如梧桐子大，每服空腹米饮下十丸，未发时再服，渐加至二
十丸。
治劳疟。豆桂丸方
巴豆（去皮生研） 桂（去粗皮） 淀花（研） 阿魏（醋化面调作饼炙） 安息香
（入胡桃仁研各一分
上六味。除研药外，捣罗为末，再研匀，用面糊丸，如梧桐子大，每用绵裹一丸，香烟
上度七遍，安耳内，男左女右，又带之。
治劳疟瘴疟，积年不瘥。乌梅丹砂丸方
乌梅肉（炒半两） 丹砂（研） 鳖甲（去裙 醋浸炙各半两） 知母（焙） 常山（锉）
石膏（碎） 甘草（炙） 升麻 蜀漆叶 白薇 地骨皮 葳蕤（各一分） 牛黄（研半分）
豉（炒一合） 麦门冬（去心焙半两） 青蒿干者（半两） 麝香（研半分）
上一十七味。除研药外，捣罗为末，研匀炼蜜，丸如梧桐子大，每服空心温酒下二十丸
，未发前再服，渐加至三十丸，或吐出痰即安。
治劳疟积时不断，众治不效。牛膝饮方
牛膝（生者一两锉细）
上一味，用水二盏，煎取一盏，去滓分为二服，未发前一服，临发再服。
治劳疟经年不瘥。常山汤方
常山 鳖甲（去裙 醋炙黄） 知母（焙） 柴胡（去苗） 青蒿（焙） 甘草（炙锉）
枳壳（去瓤麸炒） 桂（
上一十味。粗捣筛，每服五钱匕，水一盏半，入葱白薤白各三寸切，同煎至八分，去滓
温服，不拘时。
治劳疟累服药不瘥，经年羸劣，状如劳疾。乌梅五补丸方
乌梅肉（熬二两） 肉苁蓉（去皴皮酒浸切焙） 黄 （锉） 桂（去粗皮各二两） 生
干地黄（焙） 柴胡（去苗） 常山 桃仁（去皮尖双仁炒研） 升麻 当归（切焙） 人
参赤茯苓（去黑皮各一两） 甘草（炙锉一两半） 豉心（一合炒） 麝香（别研半两）
上一十五味。除研外，捣罗为末，入麝香桃仁合研匀，炼蜜和丸，如梧桐子大，每服空
心酒下二十丸，加至三十丸。
治劳疟久疟，连延不瘥。阿魏丸方
阿魏 麝香 雄黄 丹砂（四味并研各半分） 鼠骨 牛骨 虎骨 兔骨 龙骨 蛇骨
马
上一十六味。捣研为末和匀，取人日于北斗下，以阿魏水煮糊，丸如小豆大，每服十五
丸，温酒下，空心服。
治久患劳疟瘴疟等。胜金丸方
寒水石（三分细研） 砒霜（一两细研）
上二味。以浓纸两重，糊粘于铫子底，将砒安下，次寒水石盖上，以匙紧按，将盏子盖
，又以糊纸数重，粘四畔，令缝不得通气，以竹柴火烧，令下面纸黄焦为候，待冷再研于地
上，出火毒一周时，以粟米为丸，如大麻子大，发日以冷醋汤下五丸，如年深者先以五丸，
将热茶下，吐却痰后，再以冷醋汤下三丸，兼治积年心痛，发时冷姜醋汤下七丸，立瘥。
治劳疟食减肌瘦。二物汤方
童子小便（一升） 蜜（三匙头许）
上二味。相和，分作三服，每于银石器内，煎两沸温服，空心食前。
[Discussion] The so-called "Lao Nue" (Chronic Malaria due to Exhaustion) occurs when malaria persists for a long time without resolution, leading to deficiency of both Qi and Blood. Although the disease has intermittent periods, it is triggered by physical exertion, hence the name. At this stage, pathogenic factors deepen daily, while True Qi (Zhen Qi) is increasingly depleted. With both exterior and interior deficient, symptoms such as reduced appetite, emaciation, sallow complexion, and weakness manifest, while chills and fever persist as before.
For treating Lao Nue with symptoms of dry and brittle hair, irregular chills and fever, reduced diet, muscle wasting, bluish-black complexion, weakness in both legs, cold feet at abnormal times, frequent urination, irregular bowel movements, and nocturnal seminal emission, use Biejia Zhu San Formula:
Bie Jia (Turtle Shell, remove skirt edge, vinegar-fried, Ban Liang) Qiang Huo (Notopterygii Rhizoma et Radix, remove radicle) Du Huo (Angelicae Pubescentis Radix, remove radicle) Chai Hu (Bupleuri Radix, remove sprouts, each Yi Fen) Huang Qi (Astragali Radix, sliced, Ban Liang) Chi Fu Ling (Poria Cocos with Red Hosta Root, remove black skin) Sheng Gan Di Huang (Rehmanniae Radix, dried, baked) Mu Xiang (Aucklandiae Radix, each Yi Fen) Niu Xi (Achyranthis Bidentatae Radix, soaked in wine, sliced, baked) Tian Ling Gai (Human Cranium, fried with butter) Wu Zhu Yu (Evodiae Fructus, each Yi Liang).
The above seventeen ingredients are crushed, sieved into powder. Each dose is San Qian Bi (approx. 4.5g), boiled with one Jian (approx. 200ml) of water with a little salt until reduced to seven-tenths. Take warm with dregs on an empty stomach; or refine honey to make pills the size of paulownia seeds, take forty pills with salted water on an empty stomach.
For treating Lao Nue, use Qinjiao Jiu Formula:
Qin Jiao (Gentianae Macrophyllae Radix, remove sprouts and soil) Chai Hu (Bupleuri Radix, remove sprouts) Gan Cao (Licorice Root, fried) Bie Jia (Turtle Shell, remove skirt edge, vinegar-fried, each Ban Liang) Chang Shan (Dichroae Radix) Cong Bai (Scallion White, each Er Liang) Chi (Soaked Soybean, Yi Fen).
The above seven ingredients are chopped like hemp seeds, soaked overnight in three Sheng (approx. 600ml) of unadulterated wine. Place near fire to keep slightly warm. Take one Zhan (approx. 200ml) per dose, at any time before onset. After taking, add one Zhan of wine to the medicinal residue, continuing until three Sheng are added, then stop.
For treating Lao Nue that persists indefinitely, causing gradual emaciation and critical condition, use Biejia San Formula:
Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried) Chang Shan (Dichroae Radix, chopped) Shu Qi Ye (Leaves of Dichroa) Hai Piao Xiao (Cuttlefish Bone, remove shell) Fu Zi (Prepared Aconite Lateralis Radix, cracked, peel and navel removed, each Ban Liang) Zhi Mu (Anemarrhenae Rhizoma, sliced, baked) Shu Jiao (Sichuan Pepper, remove eyes and closed ones, stir-fry until oil appears, each Yi Fen) Huang Qi (Astragali Radix, sliced) Chai Hu (Bupleuri Radix, remove sprouts, each San Fen).
The above nine ingredients are crushed, sieved into powder. Each dose is San Qian Bi, soaked overnight in one Zhan of wine. Take warm at dawn, and another dose before onset.
For treating Lao Nue, use Chai Hu Tang Formula:
Chai Hu (Bupleuri Radix, remove sprouts, Yi Liang) Ren Shen (Ginseng Radix et Rhizoma) Gua Lou Gen (Trichosanthis Radix) Huang Qin (Scutellariae Radix, remove black heart) Gan Cao (Licorice Root, fried, sliced) Huang Qi (Astragali Radix, sliced, each Ban Liang).
The above six ingredients are coarsely crushed and sieved. Each dose is Wu Qian Bi (approx. 7.5g), boiled with one and a half Zhan of water, half piece of sliced ginger, and two dates pitted, until reduced to one Zhan. Strain and take warm. One dose on an empty stomach, one dose before onset.
For treating Lao Nue persisting for years with chills, fever, flaccidity, and emaciation, use Qulao Tang Formula:
Chai Hu (Bupleuri Radix, remove sprouts) Chang Shan (Dichroae Radix, chopped) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried) Zhi Mu (Anemarrhenae Rhizoma, sliced, baked) Qing Hao (Artemisiae Annuae Herba, dried) Gan Cao (Licorice Root, fried, sliced).
The above nine ingredients are coarsely crushed and sieved. Each dose is Wu Qian Bi, boiled with one and a half Zhan of water, seven willow branch hearts, and three cun of scallion white, until reduced to one Zhan. Strain and take warm on an empty stomach.
For treating Lao Nue with chills, fever, sallow complexion, thirst, dryness, and irritability, use Gancao Tang Formula:
Gan Cao (Licorice Root, fried, San Fen) Shu Qi Ye (Leaves of Dichroa, Ban Liang) Tian Ling Gai (Human Cranium, fried with butter, Yi Liang) Hei Dou (Black Soybean, raw) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, ground) Wu Mei Rou (Mume Fruit Flesh, fried, each Yi Fen).
The above six ingredients are coarsely crushed and sieved. Each dose is San Qian Bi, boiled with one Zhan of water and three bamboo leaves until reduced to seven-tenths. Strain. Take one dose before onset on an empty stomach, and another dose just before onset.
For treating Lao Nue persisting long-term with fever, joint pain, inability to eat, red urine, and progressive weakness, use Chaihu Zhike Tang Formula:
Chai Hu (Bupleuri Radix, remove sprouts) Zhi Ke (Aurantii Fructus, remove pulp and bran-fried) Sheng Ma (Cimicifugae Rhizoma) Mai Men Dong (Ophiopogonis Tuber, remove heart, baked) Bie Jia (Turtle Shell, vinegar-soaked and fried until yellow, remove skirt) Gan Cao (Licorice Root, fried, sliced) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, double-kernel separately ground, each San Fen).
The above seven ingredients are coarsely crushed and sieved. Each dose is San Qian Bi, boiled with one Zhan of water until reduced to seven-tenths. Strain and take warm at any time before onset.
For treating Lao Nue with more heat than chills, use Zhimu Tang Formula:
Zhi Mu (Anemarrhenae Rhizoma, sliced, baked) Chang Shan (Dichroae Radix, finely chopped) Song Luo (Usnea) Jie Geng (Platycodonis Radix, remove radicle, slice, fry) Chai Hu (Bupleuri Radix, remove sprouts) Bie Jia (Turtle Shell, vinegar-soaked, chopped until yellow, remove skirt) Ju Ye (Citrus Reticulata Leaf, each San Fen).
The above seven ingredients are coarsely crushed and sieved. Each dose is Wu Qian Bi, boiled with one Zhan of water, seven willow branch hearts, and half a Zhan of child's urine until reduced to seven-tenths. Strain and take warm before onset.
For treating Lao Nue, use Dixin Yin Formula:
Dixin (Heart of Soaked Soybean, Fifty Grains) Gan Cao (Licorice Root, raw, Yi Fen) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried until yellow) Chai Hu (Bupleuri Radix, remove sprouts, each Ban Liang) Zhi Zi (Gardeniae Fructus, peel removed, Yi Fen) Wu Mei Rou (Mume Fruit Flesh, Seven Grains) Tao Zhi Xin (Seven Willow Branch Hearts) Liu Zhi Xin (Seven Willow Branch Hearts) Sheng Di Huang Zhi (Fresh Rehmanniae Juice, Yi He) Xiong Shu Fen (Male Rat Feces, fried to powder, Ban Qian).
The above ten ingredients. Except for Di Huang and Shu Fen, coarsely crush and sieve. Immediately soak in one and a half Zhan of child's urine overnight. Next morning, boil to obtain one Zhan, strain, add Ban Qian of Shu Fen powder, Yi He of Di Huang juice, and Yi He of Ginger juice. Divide into two doses: one on an empty stomach, one before onset.
For treating Lao Nue and chronic exhaustion-induced chills and fever, use Changshan Wan Formula:
Chang Shan (Dichroae Radix, finely chopped, San Fen) Wu Mei Rou (Mume Fruit Flesh, fried) Gan Cao (Licorice Root, fried, sliced) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried) Wei Rui (Polygonati Odorati Rhizoma, each Ban Liang) Shi Gao (Gypsum Fibrosum, crushed, Yi Liang) Zhi Mu (Anemarrhenae Rhizoma, baked) Shu Qi Ye (Leaves of Dichroa) Bai Wei (Cynanchi Atrati Radix) Sheng Ma (Cimicifugae Rhizoma) Di Gu Pi (Lycii Cortex) Mai Men Dong (Ophiopogonis Tuber, remove heart, baked, each San Fen) Chi (Soaked Soybean, fried, Yi He).
The above thirteen ingredients are crushed, sieved into powder, refined honey to make pills the size of mung beans. Take ten pills per dose, with rice drink on an empty stomach, and another dose before onset. Gradually increase dosage until cured.
For treating distant-year Lao Nue, use Xionghuang Wan Formula:
Xiong Huang (Realgar, ground) Dan Sha (Cinnabar, ground) She Xiang (Moschus, ground, each Ban Liang) Mu Xiang (Aucklandiae Radix) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried) Hu Tou Gu (Tiger Skull Bone, fried with butter) Ge Gen (Puerariae Lobatae Radix, nodes) Long Dan (Gentianae Radix) Mu Li (Ostreae Concha, calcined) Zhu Ling (Polyporus, remove black skin) Chai Hu (Bupleuri Radix, remove sprouts) Fu Shen (Poria Cocos with Pine Root, remove wood) Sheng Ma (Cimicifugae Rhizoma) Bing Lang (Arecae Semen, lightly roasted, chopped) Di Gu Pi (Lycii Cortex) Chi Shao Yao (Paeoniae Radix Rubra) Zhi Zi Ren (Gardeniae Semen) Huang Lian (Coptidis Rhizoma, remove stamens) Wu Mei Rou (Mume Fruit Flesh, fried) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, double-kernel fried and separately ground) A Wei (Asafetida, dissolved in vinegar, mixed with flour to make cake and fried) An Xi Xiang (Styrax, ground with Walnut Kernel) Wei Rui (Polygonati Odorati Rhizoma) Long Chi (Dinosaur Bone, each San Fen).
The above thirty-two ingredients. Except for ground drugs, crush, sieve into powder, mix thoroughly, refine honey to make pills the size of paulownia seeds. Take twenty pills per dose, with white porridge drink on an empty stomach, and another dose before onset.
For treating accumulated-year Lao Nue not resolving, with emaciated complexion and weakness, use Wumei Wan Formula:
Wu Mei Rou (Mume Fruit Flesh, fried) Gan Cao (Licorice Root, fried, sliced) Sheng Ma (Cimicifugae Rhizoma) Ren Shen (Ginseng Radix et Rhizoma) Gui (Cinnamon Twig, remove rough bark, each Ban Liang) Rou Cong Rong (Cistanche Deserticolae Scapus, soaked in wine, sliced, baked) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, fried and separately ground) Chang Shan (Dichroae Radix, chopped, each San Fen) Chi (Soaked Soybean, lightly fried, Yi He).
The above nine ingredients. Except for Tao Ren, crush, sieve into powder, add Tao Ren and grind evenly, refine honey to make pills the size of paulownia seeds. Take twenty pills per dose, with warm rice drink on an empty stomach, and another dose before onset. Gradually increase to thirty pills.
For treating Lao Nue, use Renshen Wan Formula:
Ren Shen (Ginseng Radix et Rhizoma) Wu Mei Rou (Mume Fruit Flesh, fried) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, double-kernel separately ground) Chang Shan (Dichroae Radix, chopped) Rou Cong Rong (Cistanche Deserticolae Scapus, soaked in wine, sliced, baked) Sheng Ma (Cimicifugae Rhizoma, each San Fen) Xing Ren (Pruni Semen, soaked in hot water, peel and tip removed, double-kernel separately ground) Gui (Cinnamon Twig, remove rough bark, each Ban Liang) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried) Gan Cao (Licorice Root, fried, each San Fen) Dan Sha (Cinnabar, ground).
The above thirteen ingredients are crushed, ground into powder, refined honey to make pills the size of paulownia seeds. Take twenty pills per dose, with rice drink on an empty stomach, and two doses together before onset.
For treating Lao Nue, use Guishen Wan Formula:
Gui (Cinnamon Twig, remove rough bark, Yi Liang) Rou Cong Rong (Cistanche Deserticolae Scapus, soaked in wine, sliced, baked, Ban Liang) Chi (Soaked Soybean, lightly fried, Yi He) She Xiang (Moschus, ground, Yi Qian) Tao Ren (Pruni Semen, soaked in hot water, peel and tip removed, separately ground).
The above eight ingredients are crushed, ground into powder, refined honey to make pills the size of paulownia seeds. Take ten pills per dose with rice drink on an empty stomach, and another dose before onset. Gradually increase to twenty pills.
For treating Lao Nue, use Dougui Wan Formula:
Ba Dou (Crotonis Fructus, remove peel, raw ground) Gui (Cinnamon Twig, remove rough bark) Dian Hua (Indigo Naturalis, ground) A Wei (Asafetida, dissolved in vinegar, mixed with flour to make cake and fried) An Xi Xiang (Styrax, ground with Walnut Kernel, each Yi Fen).
The above six ingredients. Except for ground drugs, crush, sieve into powder, mix evenly, use flour paste to make pills the size of paulownia seeds. Wrap one pill in cotton, expose to smoke seven times, insert into ear (left for males, right for females), or carry with oneself.
For treating Lao Nue and Zhang Nue (Miasma Malaria) persisting for years, use Wumei Dansha Wan Formula:
Wu Mei Rou (Mume Fruit Flesh, fried, Ban Liang) Dan Sha (Cinnabar, ground) Bie Jia (Turtle Shell, remove skirt edge, vinegar-soaked and fried, each Ban Liang) Zhi Mu (Anemarrhenae Rhizoma, baked) Chang Shan (Dichroae Radix, chopped) Shi Gao (Gypsum Fibrosum, crushed) Gan Cao (Licorice Root, fried) Sheng Ma (Cimicifugae Rhizoma) Shu Qi Ye (Leaves of Dichroa) Bai Wei (Cynanchi Atrati Radix) Di Gu Pi (Lycii Cortex) Wei Rui (Polygonati Odorati Rhizoma, each Yi Fen) Niu Huang (Calculus Bovis, ground, Ban Fen) Chi (Soaked Soybean, fried, Yi He) Mai Men Dong (Ophiopogonis Tuber, remove heart, baked, Ban Liang) Qing Hao (Artemisiae Annuae Herba, dried, Ban Liang) She Xiang (Moschus, ground, Ban Fen).
The above seventeen ingredients. Except for ground drugs, crush, sieve into powder, mix evenly, refine honey to make pills the size of paulownia seeds. Take twenty pills per dose with warm wine on an empty stomach, and another dose before onset. Gradually increase to thirty pills. If phlegm is vomited, relief follows.
For treating Lao Nue persisting long-term where other treatments fail, use Niuxi Yin Formula:
Niu Xi (Achyranthis Bidentatae Radix, raw, Yi Liang, finely chopped).
The above single ingredient is boiled with two Zhan of water to obtain one Zhan. Strain and divide into two doses. One dose before onset, one dose just before onset.
For treating Lao Nue persisting for years, use Changshan Tang Formula:
Chang Shan (Dichroae Radix) Bie Jia (Turtle Shell, remove skirt edge, vinegar-fried until yellow) Zhi Mu (Anemarrhenae Rhizoma, baked) Chai Hu (Bupleuri Radix, remove sprouts) Qing Hao (Artemisiae Annuae Herba, baked) Gan Cao (Licorice Root, fried, sliced) Zhi Ke (Aurantii Fructus, remove pulp and bran-fried) Gui (Cinnamon Twig, remove rough bark).
The above ten ingredients are coarsely crushed and sieved. Each dose is Wu Qian Bi, boiled with one and a half Zhan of water, three cun of scallion white and three cun of Allium macrostemon bulb, until reduced to eight-tenths. Strain and take warm at any time.
For treating Lao Nue persisting despite repeated medication, with year-long emaciation resembling consumptive disease, use Wumei Wubu Wan Formula:
Wu Mei Rou (Mume Fruit Flesh, stewed, Er Liang) Rou Cong Rong (Cistanche Deserticolae Scapus, remove wrinkled skin, soaked in wine, sliced, baked) Huang Qi (Astragali Radix, sliced) Gui (Cinnamon Twig, remove rough bark, each Er Liang) Sheng Gan Di Huang (Rehmanniae Radix, dried, baked) Chai Hu (Bupleuri Radix, remove sprouts) Chang Shan (Dichroae Radix) Tao Ren (Pruni Semen, peel and tip removed, double-kernel fried and ground) Sheng Ma (Cimicifugae Rhizoma) Dang Gui (Angelicae Sinensis Radix, sliced, baked) Ren Shen (Ginseng Radix et Rhizoma) Chi Fu Ling (Poria Cocos with Red Hosta Root, remove black skin, each Yi Liang) Gan Cao (Licorice Root, fried, sliced, Yi Liang Ban) Dixin (Heart of Soaked Soybean, Yi He, fried) She Xiang (Moschus, separately ground, Ban Liang).
The above fifteen ingredients. Except for ground drugs, crush, sieve into powder, add She Xiang and Tao Ren, grind evenly, mix with refined honey to make pills the size of paulownia seeds. Take twenty pills per dose with wine on an empty stomach, increasing to thirty pills.
For treating Lao Nue and chronic malaria persisting, useawei Wan Formula:
A Wei (Asafetida) She Xiang (Moschus) Xiong Huang (Realgar) Dan Sha (Cinnabar, four ingredients ground, each Ban Fen) Shu Gu (Rat Bone) Niu Gu (Ox Bone) Hu Gu (Tiger Bone) Tu Gu (Rabbit Bone) Long Gu (Fossilized Bones) She Gu (Snake Bone) Ma Gu (Horse Bone).
The above sixteen ingredients are crushed, ground into powder and mixed evenly. On the Day of Humanity, under the Big Dipper, use A Wei water to make paste, form pills the size of small beans. Take fifteen pills per dose with warm wine on an empty stomach.
For treating long-standing Lao Nue and Zhang Nue, use Shengjin Wan Formula:
Han Shui Shi (Calcitum, San Fen, finely ground) Pi Shuang (Arsenic Trioxide, Yi Liang, finely ground).
The above two ingredients. Paste two layers of thick paper to the bottom of a crucible, place Pi Shuang below, cover with Han Shui Shi, press tightly with a spoon, cover with a bowl, seal edges with multiple layers of pasted paper to prevent air leakage. Burn with bamboo fire until the bottom paper turns yellow and scorched. Cool down, grind on the ground to eliminate fire toxicity for one week. Form pills the size of hemp seeds using millet. On the day of onset, take five pills with cold vinegar water. For long-standing cases, start with five pills taken with hot tea; after vomiting phlegm, take three pills with cold vinegar water. Also treats chronic heart pain; take seven pills with cold ginger vinegar water upon onset for immediate cure.
For treating Lao Nue with reduced appetite and emaciation, use Erwu Tang Formula:
Tongzi Xiao Nian (Child's Urine, Yi Sheng) Mi (Honey, approx. three spoons).
The above two ingredients are mixed, divided into three doses. Boil twice in silver or ceramic vessel, take warm on an empty stomach before meals.