论曰传言瘴者山川厉毒之气，又云江山雾气多瘴，凡以其气郁蒸而然也。诸家方论治瘴
之法不一，或谓其证与伤寒相类，有在表可汗者，有在里可下者，有在膈可吐者，又或以治
疟之法治之者，今原广南山川地形瘴气所生之因，及春夏之交，瘴气所起之时，与夫人染瘴
气而拯治之法。悉着于篇，庶可考焉。且阳生于子盛于巳，阴生于午盛于亥，阳不极则阴不
萌，阴不极则阳不芽，而广南位当巳午，则阴阳之气，蕴积于此可知矣。天不满西北，地不
满东南，西北方阴也，土地高浓，东南方阳也，土地卑下，而广南方属东南，则土地之卑下
可知矣，以其土地卑下，而阴阳二气之所蕴积，是以四围之山，崇高回环，百川之流，悉皆
归赴，及秋草木不凋瘁。当冬蛰虫不伏藏，寒热之毒，蕴积不散，雾露之气，易以伤人，此
正岐伯所谓南方其地下，水土弱，雾露之所聚者也，故瘴气独盛于广南。然瘴气所起，其名
有二，孟夏之时，瘴名芳草，而终于秋。孟冬之时，瘴名黄芒，而终于春。四时皆能伤人，
而七八月之间，山岚烟雾蛇虺郁毒之气尤甚，故当是时，瘴疾大作，不论壮老，或因饥饱过
伤，或因荣卫虚弱，或冲烟雾，或涉溪涧，但呼吸斯气，皆成瘴疾，其状头疼体痛，胸膈烦
满，寒热往来，咳逆多痰，全不思食，发渴引饮，或身黄肿胀眉须脱落，是皆毒疠郁蒸所致
。夫生于陵者，安于陵，其土人宜无所虑矣，然且日食槟榔，盖槟榔之为性，破坚毒除蕴积
故耳，治法当先以磁石下收其阴，次以丹砂上正其阳，阴阳气正，中满自消，然后以槟榔解
其余蕴。
治瘴收阴。磁石丸方
磁石（三两 醋淬一七遍）
上一味。捣罗为末，醋煮面糊，丸如梧桐子大，每服三十丸，新汲水咽下，临卧一服。
治瘴正阳。丹砂散方
丹砂（三两水飞研）
上一味，飞研取细，每服半钱匕，温蜜水调下，平旦一服。
治瘴气解蕴毒。槟榔汤方
槟榔（三两生锉）
上一味。粗捣筛，每服二钱匕，水一盏，煎至七分，日午一服，凡服此药，隔夜先服磁
石丸，次早服丹砂散，当日午服槟榔汤，至夜再根据此次第服之，三日后病势减，药减半，病
势尽药即止。
治山岚瘴气，安心脏。丹砂丸方
丹砂（研半两） 阿魏（一分米醋浸令软研以醋为糊用） 白术 人参 白茯苓（去黑
皮） 当归（切焙各半两）
上六味。捣研五味为末，用阿魏醋煮面糊，丸如梧桐子大。如常服，空心温酒嚼下七丸
，遇患者空心桃仁汤，嚼下十丸，槟榔汤亦得。
治山岚瘴气如疟。秦艽汤方
秦艽（去苗土） 柴胡（去苗各半分） 常山（一分） 乌梅肉（三枚） 糯米（一撮）
上五味。锉如麻豆，即用水二盏，煎至一盏半，去滓分温二服，未发前服之，取吐利。
治山岚气。炒桃仁方
桃仁（一斤） 吴茱萸 青盐（各四两）
上三味。同入锅内炒，候桃仁熟为度，以瓷瓶贮密封，七日后取出，去茱萸并盐，只将
桃仁去皮尖，时嚼一二十枚，大辟山岚毒瓦斯。
治山岚瘴气，令不着人。草豆蔻饮方
草豆蔻（去皮） 高良姜 甘草（炙各半两）
上三味。粗捣筛，每服五钱匕，煎作熟水，频饮之。
治山岚瘴气，有黑雾起处急服。却毒散方
麻黄（去根节） 蜀椒（去目并合口炒出汗各一两） 乌头（炮裂去皮脐） 白术（各
半两） 防风（去叉
上八味。捣罗为散，每服一钱匕，温酒调下，每日食前常服。
治山岚瘴气，面黄力劣，寒热往来，心胸烦闷。常山饮方
常山（二两） 干漆（炒烟出三分） 甘草（炙锉一两） 豉（生用一合）
上四味。粗捣筛，每服五钱匕，水一盏半，同煎八分，去滓空心温服，吐出黄痰效。
治山岚瘴气，痰滞呕逆，时发寒热。荷叶散汤
干荷叶（大者一片） 砒霜（研一分） 绿豆（半两） 甘草（一分炙）
上四味。捣罗为散，每服半钱匕，冷水调下，吐出痰效。
治岚瘴鬼疟等。辟邪丸方
绿豆（四十粒为末） 黑豆（三十粒为末） 砒霜（半钱研细） 丹砂（两粒如豆大研）
铅丹（一钱研留
上五味。同入乳钵内，滴冷水，丸如梧桐子大。每服一丸，以东南桃心七枚，取井华水
研，向日咽下，醋水亦得。
治瘴气数日寒热不定。鳖甲丸方
鳖甲（去裙 醋浸炙） 常山（炒） 豉（炒各半两）
上三味。捣罗为末，入麝香少许，再研匀炼蜜，丸如梧桐子大。每服十丸至二十丸，空
心临卧温米饮下，于发前服，慎热物一时久，即不吐泻。
治岭南瘴气，头疼体痛，寒热往来，胸满腹胀，烦渴呕逆，咳嗽多痰，心躁狂言，大便
难，小便赤。露宿汤方
常山（炒一两） 秦艽（去苗土） 栀子仁 柴胡（去苗） 青蒿子 槟榔（生锉） 甘
草（炙锉各半两）
上八味。粗捣筛，每服三钱匕，水三盏，入乌梅二枚，黑豆二十粒，煎至一盏半，去滓
，露一宿，五更初再温服，其滓再入水二盏，煎至一盏去滓，当夜临卧时服。
治瘴气虚弱，面色萎黄，不思饮食，或困或省，心腹胀满，痞气耳鸣，补元气。十补丸
方
巴戟（去心） 肉苁蓉（酒浸切焙） 白术米（泔浸一宿切焙） 五加皮（锉） 石斛
（去根各一两） 鹿茸（去毛酥炙半两） 人参 菟丝子（酒浸一宿别捣） 柏子仁（研） 菊
花（各三分）
上一十味。等分，捣罗为末，炼蜜丸如梧桐子大。每服二十丸，空心临卧温酒下，盐汤
亦得。
治岭南诸瘴。豫固丸方
丹砂 雄黄（各一两并水飞过令干） 鬼臼（半两为末） 阿魏（一分法酒半升熬成膏）
上四味。再研匀，阿魏膏和丸，如鸡头大，绯绢袋贮十丸，常执手中频嗅，瘴气内行不
着人，遇瘴病者，并华水嚼下三丸，五服可瘥。
治瘴气恶心，四肢疼痛，口吐酸水，不思饮食，憎寒壮热，发过引饮，二广七闽，多山
岚烟雾蛇虺郁毒之气，当秋七八月之间，芒华发时，此疾大作，谓之黄芒瘴，又谓黄茅瘴是
也。盖人或因饥饱，或由虚怯，或冲烟雾，或涉溪涧，遂得此疾，谓之黑脚瘴，虾蟆瘴，哑
瘴，其名不一，并皆疗之。香椿散方
香椿嫩叶（酒浸焙三两） 甘草（炙） 南壁土（向日者） 腊茶（各一两）
上四味捣罗为散，每服二钱匕，用酒调下，如患久者，更入甘遂柴胡各半两，空心临卧
服。
治瘴疫时气瘟黄，若徒岭表行，此药常带随身。茵陈蒿丸方
茵陈蒿（四两） 大黄（五两） 豉（五合熬） 常山 栀子仁（熬） 芒硝（研） 杏
仁（去皮尖双仁炒研各
上九味。捣研为末，炼蜜丸如梧桐子大。初得时气三日，旦服五丸，至半时许，或吐或
利或汗为效，如不吐利不汗，更服一二丸，即以热饮投之，老小加减，凡黄病痰癖时气伤寒
疟痢，小儿热欲发痫，服之皆瘥，治瘴气尤妙。
治瘴气久治不瘥者。菖蒲散方
菖蒲（干者） 白术（锉炒） 苍术（锉焙） 栀子仁 荆芥穗 芎 （各一两） 甘
草（炙锉） 干薄荷 侧柏（炒黄色） 吴茱萸（汤洗焙干） 硝石（研各半两）
上一十一味。捣罗为散，用薄荷汤调下二钱匕，如患热疾，水一盏，入生姜五片，枣二
枚劈破，煎至七分温服。
治岚瘴。煮豆丸方
白术 贯众（去土） 苍术（去皮） 甘草（炙等分）
上四味捣罗为末，炼蜜丸如弹子大，每一丸，先用黑豆一盏，铫子内铺面令平，于豆中
心，安药丸，在豆内添水，高豆一指许，慢火煮水干，取豆曝干，以绢袋盛豆，每服二十粒
，新水下，有瘴处空心一服，如涉远遇饥，新水下五十粒至一百粒，可充饥馁。
治瘴。木香槟榔丸方
槟榔（鸡心者） 陈橘皮（汤去白焙各二两） 木香 附子（大者炮裂去皮脐） 人参 浓
朴（去粗皮生姜汁炙） 桂（去粗皮） 羌活（去芦头） 京三棱（炮） 独活（去芦头） 干
姜（炮） 甘草（炙锉） 芎 大黄（锉炒） 芍药（各半两） 牵牛子（一斤捣取末四
两） 肉豆蔻（六枚去壳）
上一十七味。捣罗为末，瓷器盛密封，临服再用牵牛末二两，药末一两，同研令匀，炼
蜜为丸，如梧桐子大，心腹胀满，一切风劳冷气，脐下刺痛，口吐清水白沫，醋心痰癖气块
，男子肾脏风毒，攻刺四肢，及阳毒香港脚，目昏头痛呕逆，及两胁坚满，临卧橘皮汤下三十
丸，以利为度，妇人血痢、下血刺痛，积年血块，胃逆手足心烦热，不思饮食，生姜汤下三
十丸取利，小儿五岁以上，疳气腹胀气喘，空心温汤下五七丸，小者减丸数服，凡胸腹饱闷
不消，脾泄不止，临卧温酒下取利，热毒痈疽发背，山岚瘴气，才觉头痛背膊拘紧，便宜服
之，快利为度，常服可以不染瘴疾，凡瘴疾皆因脾胃实热所致，常以凉药解膈上壅热，并以
此药通利弥善，此药本治岚瘴及瘟疟大效，昔人尝刻石于大庾岭，蒙效者不可胜数，皆以快
利为度。
治瘴气。乌药汤方
乌药（锉焙一斤） 半夏（半斤生姜绞汁浸参宿焙干） 桂（去粗皮一两） 马鞭草（焙
半斤） 荆芥穗 陈橘皮（去白焙干各四两） 甘草（炙锉二两）
上七味。粗捣筛，每服二钱匕，水一盏，入生姜五片，煎七分去滓，不拘时温服。
治初得瘟黄瘴气，憎寒壮热，速宜通转。茵陈丸方
茵陈蒿（一两） 大黄（锉） 鳖甲（去裙 醋浸炙黄） 常山 杏仁汤（去皮尖双仁
炒令黄） 栀子仁（各半两） 巴豆（去皮心膜研出油尽） 芒硝（研各一分）
上八味。捣研为末，以豉汁和丸，如梧桐子大，每服空心茶下五丸，得快利，以冷粥止
之。
Discussion states: It is rumored that "Zhang" (miasma) refers to the fierce and toxic qi of mountains and rivers. It is also said that the mist and fog of rivers and mountains often contain miasma, generally because the qi is stagnant and steaming. Various schools have different methods for treating Zhang disease in their prescriptions and theories. Some believe its symptoms are similar to Shanghan (Cold Damage), with exterior syndromes treatable by sweating, interior syndromes treatable by purging, and upper diaphragm syndromes treatable by vomiting. Others use methods for treating Malaria (Nue). Here, we trace the causes of miasma generation in the mountainous terrain of Guangnan, the time when miasma arises during the transition between spring and summer, and the methods for rescuing and treating people infected with miasma. All these are recorded in this chapter for reference.
Yang qi is born at Zi hour (midnight) and peaks at Si hour (9-11 AM); Yin qi is born at Wu hour (noon) and peaks at Hai hour (9-11 PM). If Yang does not reach its extreme, Yin will not sprout; if Yin does not reach its extreme, Yang will not bud. Guangnan is located in the Si-Wu direction, so it can be understood that the Qi of Yin and Yang accumulates here. Heaven is deficient in the northwest, and earth is incomplete in the southeast. The northwest belongs to Yin, with high and thick land; the southeast belongs to Yang, with low and shallow land. Since Guangnan belongs to the southeast, the lowliness of the land can be known. Due to the low land and the accumulation of Yin and Yang Qi, the surrounding mountains are high and winding, and all hundred rivers flow towards them. In autumn, grass and trees do not wither; in winter, hibernating insects do not hide. The toxicity of cold and heat accumulates and does not dissipate, and the qi of fog and dew easily harms people. This is exactly what Qibo said: "The south has low ground, weak water and soil, and is where fog and dew gather." Therefore, miasma is particularly abundant in Guangnan.
However, there are two names for arising miasma: In Mengxia (early summer), the miasma is called Fangcao (Fragrant Grass) miasma, ending in autumn. In Mengdong (early winter), the miasma is called Huangmang (Yellow芒) miasma, ending in spring. It can harm people in all four seasons, but between July and August, the toxic qi of mountain mist, smoke, snakes, and scorpions is especially severe. Thus, at this time, Zhang diseases break out on a large scale. Regardless of age, whether due to overeating or fasting, weakness of Ying and Wei (Nutritive and Defensive Qi), exposure to smoke and mist, or wading through streams, breathing this air leads to Zhang disease. Symptoms include headache, body pain, chest and diaphragm fullness and distress, alternating chills and fever, cough with excessive phlegm, complete loss of appetite, thirst with desire to drink, yellowing of the body, swelling, and falling out of eyebrows and beard. These are all caused by the stagnation and steaming of toxic pestilence qi. People living in hilly areas are accustomed to it, and locals should have no worries. Yet they eat Betel Nut daily, likely because Betel Nut breaks hard toxins and removes accumulation. The treatment method should first use Magnetite (Cishi) to descend and collect Yin Qi, then use Cinnabar (Dansha) to ascend and rectify Yang Qi. Once Yin and Yang Qi are rectified, middle jiao fullness naturally disappears, and then Areca Nut (Binglang) is used to resolve remaining accumulation.
**Prescription for Collecting Yin Qi in Treating Zhang: Cishi Wan (Magnetite Pill)**
Magnetite (3 liang, quenched in vinegar seven times).
One ingredient. Pound and sieve into powder, make pills with vinegar-cooked wheat paste, size of Sophora japonica seeds. Take 30 pills each time, swallow with fresh well water, once before bed.
**Prescription for Rectifying Yang Qi in Treating Zhang: Dansha San (Cinnabar Powder)**
Cinnabar (3 liang, washed with water and ground).
One ingredient. Wash, grind, and take fine powder. Take half a qian bi (measure) each time, mix with warm honey water, once in the morning.
**Prescription for Resolving Accumulated Toxicity in Treating Miasma: Binglang Tang (Areca Nut Decoction)**
Areca Nut (3 liang, raw and sliced).
One ingredient. Coarsely crush and sieve. Take 2 qian bi each time, add one zhan (measure) of water, decoct to 7 fen. Take at noon. When taking this medicine, take Cishi Wan the night before, Dansha San the next morning, and Binglang Tang at noon on the same day. Repeat this sequence at night. After three days, if the condition subsides, halve the dose. Stop medication when the disease is gone.
**Prescription for Mountain Mist Miasma, Calming the Heart: Dansha Wan (Cinnabar Pill)**
Cinnabar (ground, half liang), Asafoetida (1 fen, soaked in rice vinegar until soft, ground, using vinegar as binder), Atractylodes Macrocephala (Baizhu), Ginseng, Poria (Baifuling, black skin removed), Angelica Sinensis (Danggui, sliced and dried, half liang each).
Six ingredients. Pound and grind five ingredients into powder (note: text says five, lists six, implies mixing), use Asafoetida vinegar-wheat paste to make pills size of Sophora japonica seeds. For routine use, chew 7 pills with warm wine on an empty stomach. For patients, chew 10 pills with Peach Kernel Decoction on an empty stomach; Binglang Tang is also acceptable.
**Prescription for Mountain Mist Miasma resembling Malaria: Qinjiao Tang (Gentiana Macrophylla Decoction)**
Gentiana Macrophylla (Qinjiao, remove seedlings and soil), Bupleurum (Chaihu, remove seedlings, half fen each), Dichroa Febrifuga (Changshan, 1 fen), Dried Plum Flesh (Wumei Rou, 3 pieces), Glutinous Rice (1 pinch).
Five ingredients. Cut like hemp seeds. Add 2 zhan of water, decoct to 1.5 zhan. Remove dregs, divide into two warm doses. Take before onset to induce vomiting or diarrhea.
**Prescription for Mountain Mist Miasma: Fried Peach Kernel Formula**
Peach Kernel (1 jin), Evodia (Wuzhuyu), Green Salt (4 liang each).
Three ingredients. Stir-fry together in a pot until peach kernels are cooked. Store in a porcelain bottle, sealed tightly. After seven days, take out, remove Evodia and salt, only keep peach kernels, remove skin and tips. Chew 10-20 pieces occasionally to greatly repel mountain mist toxicity.
**Prescription for Mountain Mist Miasma, Preventing Infection: Caodoukou Yin (Cardamom Drink)**
Grass Cardamom (Caodoukou, peeled), Galangal (Gaoliangjiang), Licorice (Gancao, roasted, half liang each).
Three ingredients. Coarsely crush and sieve. Take 5 qian bi each time, decoct into cooked water, drink frequently.
**Prescription for Emergency Use in Black Fog Areas of Mountain Mist Miasma: Quadu San (Toxin-Repelling Powder)**
Ephedra (Mahuang, remove root nodes), Sichuan Pepper (Shujiao, remove eyes and closed ends, stir-fry until sweat appears, 1 liang each), Aconite (Wutou, processed until cracked, remove skin and navel), Atractylodes Macrocephala (Baizhu, half liang each), Saposhnikovia (Fangfeng, remove forked roots).
Eight ingredients (text lists fewer explicitly but says eight). Pound and sieve into powder. Take 1 qian bi each time, mix with warm wine. Take regularly before meals daily.
**Prescription for Mountain Mist Miasma with Yellow Face, Weakness, Alternating Chills/Fever, Chest Distress: Changshan Yin (Dichroa Drink)**
Dichroa Febrifuga (Changshan, 2 liang), Dry Lacquer (Ganqi, stir-fry until smoke appears, 3 fen), Licorice (Gancao, roasted and cut, 1 liang), Fermented Soybean (Chi, raw, 1 he).
Four ingredients. Coarsely crush and sieve. Take 5 qian bi each time, add 1.5 zhan of water, decoct together to 8 fen. Remove dregs, take warm on an empty stomach. Effective when yellow phlegm is vomited.
**Prescription for Mountain Mist Miasma with Phlegm Stagnation, Vomiting, Intermittent Chills/Fever: Heluye San Tang (Lotus Leaf Powder Decoction)**
Dried Lotus Leaf (Heluye, one large piece), Arsenic Trioxide (Pishuang, ground, 1 fen), Mung Bean (Lvdou, half liang), Licorice (Gancao, roasted, 1 fen).
Four ingredients. Pound and sieve into powder. Take half a qian bi each time, mix with cold water. Effective when phlegm is vomited.
**Prescription for Lan Zhang, Gui Nue (Ghost Malaria), etc.: Pixie Wan (Evil-Repelling Pill)**
Mung Bean (40 grains, ground), Black Bean (30 grains, ground), Arsenic Trioxide (Pishuang, half qian, ground fine), Cinnabar (Dansha, 2 grains bean-sized, ground), Lead Tetroxide (Qiandan, 1 qian, ground and reserved).
Five ingredients. Put in a mortar, add cold water drops, make pills size of Sophora japonica seeds. Take 1 pill each time. Take 7 heart-shaped pieces of peach wood from the southeast, grind with well water drawn at dawn, face the sun and swallow. Vinegar water is also acceptable.
**Prescription for Indeterminate Chills/Fever from Miasma for Several Days: Biejia Wan (Softshell Turtle Pill)**
Softshell Turtle Shell (Biejia, remove skirt, soak in vinegar and roast), Dichroa Febrifuga (Changshan, roasted), Fermented Soybean (Chi, roasted, half liang each).
Three ingredients. Pound and sieve into powder, add a little Musk (Shexiang), grind evenly, mix with refined honey to make pills size of Sophora japonica seeds. Take 10-20 pills each time, on an empty stomach or before bed with warm rice drink. Take before onset. Avoid hot food for one shichen (2 hours) to prevent vomiting/diarrhea.
**Prescription for Lingnan Miasma with Headache, Body Pain, Alternating Chills/Fever, Chest/Abdominal Fullness, Thirst/Vomiting, Cough/Phlegm, Restlessness/Mad Speech, Constipation, Red Urine: Lusu Tang (Open-Air Overnight Decoction)**
Dichroa Febrifuga (Changshan, roasted, 1 liang), Gentiana Macrophylla (Qinjiao, remove seedlings/soil), Gardenia Seed (Zhizi Ren), Bupleurum (Chaihu, remove seedlings), Artemisia Annua Seed (Qinghaozi), Areca Nut (Binglang, raw cut), Licorice (Gancao, roasted/cut, half liang each).
Eight ingredients. Coarsely crush and sieve. Take 3 qian bi each time, add 3 zhan of water, put in 2 dried plums (Wumei) and 20 black beans. Decoct to 1.5 zhan. Remove dregs, leave exposed overnight. Warm and take at Wugeng (3-5 AM). Re-decoct dregs with 2 zhan water to 1 zhan, remove dregs, take at bedtime.
**Prescription for Miasma-induced Weakness, Sallow Complexion, Anorexia, Fatigue/Clarity, Abdominal Fullness, Epigastric Distension, Tinnitus, Tonifying Yuan Qi: Shibu Wan (Ten-Tonification Pill)**
Morinda Officinalis (Bajitian, remove heart), Cistanche (Roucongrong, wine-soaked/sliced/dried), Atractylodes Macrocephala Rice (Baizhum, soaked in starch water overnight/sliced/dried), Acanthopanax (Wujiapi, cut), Dendrobium (Shihu, remove roots, 1 liang each), Deer Antler (Lurong, remove hair, roast with butter, half liang), Ginseng (Renshen), Dodder Seed (Tusizi, wine-soaked overnight/separately pounded), Biota Seed (Baiziren, ground), Chrysanthemum (Juhua, 3 fen each).
Ten ingredients. Equal parts, pound and sieve into powder, refine honey to make pills size of Sophora japonica seeds. Take 20 pills each time, on an empty stomach or before bed with warm wine. Salt water is also acceptable.
**Prescription for Various Lingnan Miasmas: Yuggu Wan (Yugu Pill)**
Cinnabar (Dansha), Realgar (Xionghuang, 1 liang each, washed with water and dried), Podophyllum (Guijiu, half liang, ground), Asafoetida (Awei, 1 fen, boiled with half sheng of wine into paste).
Four ingredients. Grind evenly, mix with Asafoetida paste to make pills size of cocklebur. Store 10 pills in a red silk bag. Hold in hand and sniff frequently; miasma will not affect the person. For patients, chew 3 pills with clear water. Three doses can cure.
**Prescription for Miasma with Nausea, Limb Pain, Sour Vomiting, Anorexia, Aversion to Cold/High Fever, Thirst after Fever: Xiangchun San (Toona Powder)**
Young Leaves of Toona Sinensis (Xiangchun, wine-soaked/dried, 3 liang), Licorice (Gancao, roasted), South Wall Earth (Nanbitu, sun-facing), Winter Tea (Lacha, 1 liang each).
Four ingredients. Pound and sieve into powder. Take 2 qian bi each time, mix with wine. For chronic cases, add Kansui (Gansui) and Bupleurum (Chaihu) half liang each, take on empty stomach/before bed.
**Prescription for Miasma Epidemic, Seasonal Qi, Plague Jaundice; Carry随身 when traveling in Lingnan: Yinchenhao Wan (Artemisia Capillaris Pill)**
Artemisia Capillaris (Yinchenhao, 4 liang), Rhubarb (Dahuang, 5 liang), Fermented Soybean (Chi, 5 he, roasted), Dichroa Febrifuga (Changshan), Gardenia Seed (Zhizi Ren, roasted), Mirabilite (Mangxiao, ground), Apricot Kernel (Xingren, remove skin/tips/double kernel, roast/grind...).
Nine ingredients. Pound and grind into powder, refine honey to make pills size of Sophora japonica seeds. At onset of seasonal qi within 3 days, take 5 pills in the morning. After half an hour, vomiting, diarrhea, or sweating indicates efficacy. If none, take 1-2 more pills, followed by hot drink. Adjust for age. Effective for jaundice, phlegm-stasis, seasonal qi, Shanghan, malaria, dysentery, pediatric fever/epilepsy. Especially wonderful for miasma.
**Prescription for Chronic Miasma Not Healing: Changpu San (Acorus Powder)**
Acorus (Changpu, dried), Atractylodes Macrocephala (Baizhu, cut/roasted), Atractylodes Lancea (Cangzhu, cut/roasted), Gardenia Seed (Zhizi Ren), Schizonepeta Spike (Jingjie Sui), Ligusticum Wallichii (Xiongqiong, 1 liang each), Licorice (Gancao, roasted/cut), Dried Mint (Gan Bohe), Biota Twig (Cebai, roasted yellow), Evodia (Wuzhuyu, washed in water/dried), Niter (Xiaoshi, ground, half liang each).
Eleven ingredients. Pound and sieve into powder. Mix with Mint Decoction, take 2 qian bi. For heat diseases, use 1 zhan water, add 5 slices ginger, 2 broken dates, decoct to 7 fen, take warm.
**Prescription for Lan Zhang: Zhudou Wan (Boiled Bean Pill)**
Atractylodes Macrocephala (Baizhu), Cyathula Root (Guanzhong, remove soil), Atractylodes Lancea (Cangzhu, peel), Licorice (Gancao, roasted, equal parts).
Four ingredients. Pound and sieve into powder, refine honey to make pills size of bullet. For each pill, place 1 zhan of black beans in a pot, spread flour flat, place pill in center of beans, add water 1 finger-width above beans. Slow fire boil until water dry. Sun-dry beans. Store in silk bag. Take 20 grains each time with fresh water. Empty stomach in miasma areas. For long travel/hunger, take 50-100 grains with fresh water to satisfy hunger.
**Prescription for Miasma: Muxiang Binglang Wan (Costus and Areca Nut Pill)**
Areca Nut (Binglang, chicken-heart type), Aged Tangerine Peel (Chenju pi, wash white off/dry, 2 liang each), Costus Root (Muxiang), Aconite (Fuzi, large, processed/skin/navel removed), Ginseng (Renshen), Magnolia Bark (Houpo, remove rough bark/roast with ginger juice), Cinnamon (Gui, remove rough bark), Notopterygium (Qianghuo, remove rhizome), Burrel (Sanleng, processed), Angelica Pubescens (Duhuo, remove rhizome), Ginger (Ganjiang, processed), Licorice (Gancao, roasted/cut), Ligusticum (Xiongqiong), Rhubarb (Dahuang, cut/roasted), Peony (Shaoyao, half liang each), Morning Glory Seed (Qianniu zi, 1 jin, grind to get 4 liang powder), Nutmeg (Roudoukou, 6 pieces, shell removed).
Seventeen ingredients. Pound and sieve into powder, store in porcelain jar sealed. Before use, mix 2 liang Qianniu powder with 1 liang medicine powder, grind evenly, refine honey to make pills size of Sophora japonica seeds. Treats abdominal fullness, wind-cold-labor, umbilical stabbing pain, clear saliva/white foam vomiting, acid-regurgitation/phlegm-stasis/qi-masses, male kidney wind-toxicity attacking limbs, Yang Du Hongjiao (Beriberi), blurry vision/headache/vomiting, hypochondriac hardness/fullness. Take 30 pills with Tangerine Peel Decoction at bedtime, stop when loose stools occur. For women: blood dysentery, bleeding/stabbing pain, chronic blood masses, stomach rebellion/hand-foot heat/anorexia, take 30 pills with Ginger Decoction to induce loose stools. For children >5 years: malnutrition/abdominal distension/wheezing, take 5-7 pills with warm water on empty stomach, reduce for smaller children. For chest/abdominal bloating not resolving, spleen diarrhea unceasing, take 30 pills with warm wine at bedtime to induce loose stools. For heat-toxic carbuncles/back abscesses, mountain mist miasma, early headache/back stiffness, take immediately, stop when loose stools occur. Regular use prevents miasma infection. Miasma is caused by spleen/stomach excess-heat. Usually cool herbs clear upper jiao heat, but this herb promotes unblocking and is better. Originally for Lan Zhang and plague malaria, very effective. Stones carved at Dayu Ridge testify to countless successes, all stopping at loose stools.
**Prescription for Miasma: Wuyao Tang (Lindera Decoction)**
Lindera Root (Wuyao, cut/roast, 1 jin), Pinellia (Banxia, half jin, soak in ginger juice/dry), Cinnamon (Gui, remove rough bark, 1 liang), Verbena (Mabiancao, roast, half jin), Schizonepeta Spike (Jingjie Sui), Aged Tangerine Peel (Chenju pi, remove white/dry, 4 liang each), Licorice (Gancao, roasted/cut, 2 liang).
Seven ingredients. Coarsely crush and sieve. Take 2 qian bi each time, add 1 zhan water, 5 slices ginger, decoct to 7 fen, remove dregs. Take warm anytime.
**Prescription for Early Plague Jaundice Miasma with Aversion to Cold/High Fever, Quick Unblocking: Yinchun Wan (Artemisia Pill)**
Artemisia Capillaris (Yinchenhao, 1 liang), Rhubarb (Dahuang, cut), Softshell Turtle Shell (Biejia, remove skirt/soak vinegar/roast yellow), Dichroa Febrifuga (Changshan), Apricot Kernel (Xingren, remove skin/tips/double kernel/roast yellow), Gardenia Seed (Zhizi Ren, half liang each), Croton Seed (Badou, remove skin/heart/membrane/grind oil out), Mirabilite (Mangxiao, ground, 1 fen each).
Eight ingredients. Pound and grind into powder, mix with Fermented Soybean Juice to make pills size of Sophora japonica seeds. Take 5 pills with tea on empty stomach. Get rapid loose stools, stop with cold porridge.