论曰痰疟之状，胸中不利，头痛，振寒 栗而不能食。食即呕，寒去则内外皆热。寒热
更作，心下支满，痰积胸中，气逆烦呕，故谓之痰疟。
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。半夏散方
半夏（汤洗去滑为末生姜汁和作饼曝干） 藿香（去梗） 羌活（去芦头） 芎 牵
牛（各
半两）
上五味。捣罗为细散，每服三钱匕，食后白汤调下，以吐为度，未吐再服。
治一切痰疟。石膏饮方
石膏（碎） 淡竹叶（各三两） 常山 甘草（生锉） 乌梅（各二两） 粳米（半合）
上六味。粗捣筛，每服五钱匕，水一盏半，煎至一盏，去滓温服，吐痰即瘥，如热盛加
大黄一两。
治一切疟，及吐一切痰疾。胡粉丸方
胡粉（研） 砒霜（研） 寒水石（ 研各一两）
上三味。合研匀，滴水丸如鸡头大，发前新汲水吞下一丸，即大吐，至来日困睡为验。
治痰疟吐膈。细辛汤方
细辛（去苗叶） 松萝 犀角屑 甘草（生各三分） 常山 升麻（各一两一分） 栀
子仁
玄参（各一两）
上八味。粗捣筛，每服三钱匕，水一盏，煎七分，去滓温服，以吐为度。
治痰疟吐痰。犀角饮方
犀角屑（镑） 升麻 玄参 常山（各半两） 松萝 甘草（生锉） 细辛（去苗叶） 山
栀子
仁（各一分）
上八味。粗捣筛，每服五钱匕，水一盏半，煎至八分去滓，空心徐徐温服，取吐为度。
治痰疟，寒热瘟疫等。防葵饮方
防葵 鳖甲（醋炙去裙 ） 松萝 甘草（生各半两） 常山（三分）
上五味。粗捣筛，每服五钱匕，水一盏半，煎至八分去滓，未发前徐徐温服，取吐为度
治痰疟。豉心丸方
豉（微炒一合） 大黄（生用一两半） 常山（三分） 升麻（半两） 附子（小者炮
裂去皮脐
一枚）
上五味。捣罗为细末，炼蜜丸如梧桐子大，每服七丸，发前米饮下，吐后更干咽七丸。
治痰逆多时，久疟不瘥，及面目四肢黄肿。蜀漆丸方
蜀漆叶 牡蛎（烧赤） 黄芩（去黑心各一两） 大黄（生锉） 甘草（炙锉） 犀角
屑（各三
分） 知母（焙半两）
上七味。捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心温水下。
治痰实疟，发歇不止。常山酒方
常山（三分） 乌梅肉（生用） 甘草（生用各半两）
上三味。细锉，以酒二盏，浸一宿，早晨去滓煎，温服一盏，良久以箸入喉中引之，吐
痰即瘥。
治痰疟发作无时。升黄常山汤方
升麻（一两） 常山（二两） 蜀漆叶（一两半）
上三味。粗捣筛，每服四钱匕，井华水一盏半，煎至一盏，空心顿服，良久即吐，吐定
，食浆水粥和之。
治痰疟吐不出。乌头汤方
乌头（炮裂去皮脐） 半夏（汤洗去滑焙） 桂（去粗皮） 芫花（醋炒） 常山（各
半两） 豉
（炒一合）
上六味。锉如麻豆，每服三钱匕，酒一盏，煎至七分，去滓发前温服，相次再服，取
吐为度。
治痰疟寒热。常山甘草饮方
常山 甘草（炙锉） 大黄（锉炒各一两） 桑根白皮（锉一两半） 乌梅（五枚去核）
杏仁
（汤去皮尖双仁炒十枚） 黄连（去须一两） 羌活（去芦头一两半） 黄芩（去黑心半两）
芎
半） 附子（
炮裂去皮脐一两） 牵牛子（炒一两半） 桂（去粗皮一两） 虎头骨牙齿（酥炙苗一两半）
上一十八味。锉如麻豆，每服五钱匕，水一盏半，煎至八分，去滓温服。
Discussion: The manifestations of Phlegm Malaria (Tan Nue) include a sensation of obstruction in the chest, headache, chills and shivering with an inability to eat. Upon eating, vomiting occurs; after the cold subsides, both interior and exterior become hot. Alternating chills and fever, distension and fullness below the heart, accumulation of phlegm in the chest, rebellious Qi causing irritability and vomiting—thus it is called Phlegm Malaria.
For Phlegm Malaria with regular paroxysms, where heat predominates over cold, accompanied by headache, twitching of the muscles at the forehead angle and anterior chest, immediate vomiting upon food intake, and a reddish complexion. Banxia San Formula: Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness, ground into powder, mixed with fresh Ginger Juice [Shengjiang Zhi], formed into cakes, and dried), Huoxiang (Agastaches Herba, stems removed), Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed), Xiongqiong [Note: Text likely implies Chuanxiong or similar, but strictly translating as written 'Xiong' usually refers to Chuanxiong in this context or is a typo for Chuanxiong/Qiong, here treated as Chuanxiong based on common pairing, but sticking to text 'Xiong' -> Xiong (likely Chuanxiong)], Qianniu [Note: Text says 'Qiong Qianniu', likely 'Chuanxiong, Qianniu']. *Correction based on standard text analysis*: The text lists "Xiong" then "Qianniu". In Song dynasty texts, "Xiong" often abbreviates Chuanxiong. Let's list them as they appear: Banxia, Huoxiang, Qianghuo, Xiong (Chuanxiong), Qianniu (each half liang). These five herbs are pounded and sifted into a fine powder. Take three qianbi per dose, mixed with white boiled water after meals. Stop when vomiting occurs; if no vomiting, take again.
To treat all types of Phlegm Malaria. Shigao Yin Formula: Shigao (Gypsum Fibrosum, crushed), Danzhuye (Lophatheri Herba, each 3 liang), Changshan (Dichroae Radix), Gancao (Licorice Root, raw and cut), Wumei (Mume Fructus, each 2 liang), Jingsmi (Oryzae Fructus, half he). These six ingredients are coarsely pounded and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct until one zhan remains, strain and take warm. Vomiting the phlegm indicates cure. If heat is severe, add Dahuang (Rhei Radix et Rhizoma) one liang.
To treat all malaria and vomiting from all phlegm disorders. Hufen Wan Formula: Hufen (Cerussa, ground), Pishuang (Arsenicum Rubrum, ground), Hanshuishi (Aqua Marina, ground, each 1 liang). These three ingredients are mixed and ground uniformly. Add drops of water to form pills the size of a cockspur wheat. Swallow one pill with newly drawn cool water before the paroxysm. Profuse vomiting will follow; drowsiness the next day is the sign of efficacy.
To treat Phlegm Malaria with diaphragmatic obstruction. Xixin Tang Formula: Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Songluo (Usnea, Ramuli), Xijiaoxie (Rhino Cerios Horn, shaved), Gancao (Licorice Root, raw, each 3 fen), Changshan (Dichroae Radix), Shengma (Cimicifugae Rhizoma, each 1 liang 1 fen), Zhizi Ren (Gardeniae Semen, Xuan Shen (Scrophulariae Radix, each 1 liang). These eight ingredients are coarsely pounded and sifted. Take three qianbi per dose, add one zhan of water, decoct to seven-tenths, strain and take warm. Stop when vomiting occurs.
To treat Phlegm Malaria with expectoration. Xijiao Yin Formula: Xijiaoxie (Rhino Cerios Horn, shaved), Shengma (Cimicifugae Rhizoma), Xuan Shen (Scrophulariae Radix), Changshan (Dichroae Radix, each half liang), Songluo (Usnea, Ramuli), Gancao (Licorice Root, raw and cut), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Shanzhizi Ren (Gardeniae Semen, each 1 fen). These eight ingredients are coarsely pounded and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct to eight-tenths, strain, and take slowly while warm on an empty stomach. Stop when vomiting occurs.
To treat Phlegm Malaria, alternating chills and fever, and pestilential fevers. Fangkui Yin Formula: Fangkui (Convolvuli Radix), Biejia (Testudinis Carapax et Plastrum, vinegar-fried and skirt removed), Songluo (Usnea, Ramuli), Gancao (Licorice Root, raw, each half liang), Changshan (Dichroae Radix, 3 fen). These five ingredients are coarsely pounded and sifted. Take five qianbi per dose, add one and a half zhan of water, decoct to eight-tenths, strain, and take slowly while warm before the paroxysm. Stop when vomiting occurs.
To treat Phlegm Malaria. Shixin Wan Formula: Chi (Sojae Semen Praeparatum, slightly fried, 1 he), Dahuang (Rhei Radix et Rhizoma, raw, 1.5 liang), Changshan (Dichroae Radix, 3 fen), Shengma (Cimicifugae Rhizoma, half liang), Fuzi (Aconiti Lateralis Radix Praeparata, small one, fried until cracked, skin and umbilicus removed). These five ingredients are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of wutong seeds. Take seven pills per dose with rice drink before the paroxysm. After vomiting, swallow seven more pills dry.
To treat prolonged rebellious Qi due to phlegm, chronic malaria not healing, and yellow swelling of the face, eyes, and limbs. Shuqi Wan Formula: Shuqiye (Perillae Folium, young shoots), Muli (Concha Ostreae, calcined until red), Huangqin (Scutellariae Radix, black heart removed, each 1 liang), Dahuang (Rhei Radix et Rhizoma, raw and cut), Gancao (Licorice Root, honey-fried and cut), Xijiaoxie (Rhino Cerios Horn, shaved, each 3 fen), Zhimu (Anemarrhenae Rhizoma, baked, half liang). These seven ingredients are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of wutong seeds. Take twenty pills per dose with warm water on an empty stomach.
To treat Phlegm-Excess Malaria with continuous paroxysms and remissions. Changshan Jiu Formula: Changshan (Dichroae Radix, 3 fen), Wumei Rou (Mume Fructus pulp, raw), Gancao (Licorice Root, raw, each half liang). These three ingredients are finely cut. Soak in two zhan of wine overnight. In the morning, strain and decoct. Take one zhan warm. After a while, insert a chopstick into the throat to induce gagging. Vomiting the phlegm indicates cure.
To treat Phlegm Malaria with irregular paroxysms. Shenghuang Changshan Tang Formula: Shengma (Cimicifugae Rhizoma, 1 liang), Changshan (Dichroae Radix, 2 liang), Shuqiye (Perillae Folium, young shoots, 1.5 liang). These three ingredients are coarsely pounded and sifted. Take four qianbi per dose, add one and a half zhan of well-water (Jinghua Shui), decoct until one zhan remains. Take all at once on an empty stomach. After a while, vomiting will occur. Once vomiting settles, consume Jiangshui Zhou (fermented grain porridge) to harmonize the stomach.
To treat Phlegm Malaria where vomiting cannot be induced. Wutou Tang Formula: Wutou (Aconiti Radix, fried until cracked, skin and umbilicus removed), Banxia (Pinelliae Rhizoma, washed with hot water to remove slipperiness and baked), Gui (Cinnamomi Cortex, coarse bark removed), Yuanhua (Genkwa Flos, vinegar-fried), Changshan (Dichroae Radix, each half liang), Chi (Sojae Semen Praeparatum, fried, 1 he). These six ingredients are cut like hemp seeds. Take three qianbi per dose, add one zhan of wine, decoct to seven-tenths, strain and take warm before the paroxysm. Take again subsequently. Stop when vomiting occurs.
To treat Phlegm Malaria with alternating chills and fever. Changshan Gancao Yin Formula: Changshan (Dichroae Radix), Gancao (Licorice Root, honey-fried and cut), Dahuang (Rhei Radix et Rhizoma, cut and fried, each 1 liang), Sanggen Baipi (Mori Cortex, cut, 1.5 liang), Wumei (Mume Fructus, five pieces, pitted), Xingren (Pruni Semen, blanched, skin and tip removed, double kernel, fried, ten pieces), Huanglian (Coptidis Rhizoma, whiskers removed, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, rhizome head removed, 1.5 liang), Huangqin (Scutellariae Radix, black heart removed, half liang), Xiongqiong [Chuanxiong] (half liang), Fuzi (Aconiti Lateralis Radix Praeparata, fried until cracked, skin and umbilicus removed, 1 liang), Qianniuzi (Pharbitidis Semen, fried, 1.5 liang), Gui (Cinnamomi Cortex, coarse bark removed, 1 liang), Huto Gu Yachi (Tigris Ossis Dentarium, butter-fried, 1.5 liang). These eighteen ingredients are cut like hemp seeds. Take five qianbi per dose, add one and a half zhan of water, decoct to eight-tenths, strain and take warm.