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(One treatise, thirty-one prescriptions, nineteen moxibustion and acupuncture methods, one exorcism method for malaria, two talismans)

The treatise states: All cases of malaria arise from wind pathogens. If one is injured by summer heat in the summer season, malaria will manifest in autumn. It is asked: Why does some malaria present with chills first followed by fever? The answer is: Chills belong to Yin qi, while wind belongs to Yang qi. If one is first injured by cold and subsequently by wind, chills appear first followed by fever. This disease occurs at regular intervals and is named Cold Malaria (Han Nue). It is asked: Why does some malaria present with fever first followed by chills? The answer is: If one is first injured by wind and subsequently by cold, fever appears first followed by chills. This also occurs at regular intervals and is named Warm Malaria (Wen Nue). If there is only fever without chills, it is because the Yin qi has been exhausted first, and the Yang qi acts alone in hyperactivity. This results in shortness of breath, mental restlessness, heat in the hands and feet, and a desire to vomit; this is named Dan Malaria (Dan Nue, characterized by fever without chills).

It is asked: Where do the pathogens of Warm Malaria and Cold Malaria reside, and which Zang organs do they attach to? The answer is: Warm Malaria originates from contracting wind-cold in winter. The pathogen hides within the bone marrow. When spring arrives, the Yang qi erupts alone, but the pathogen cannot exit spontaneously. If encountered with intense summer heat, the brain marrow is scorched, muscles waste away, and the Couli (pores) open. Due to physical exertion, the pathogen exits along with the sweat. This indicates that the pathogen first concealed itself in the Kidney, and its Qi moves from the interior to the exterior. In this manner, Yin deficiency and Yang excess occur; when Yang is excessive, disease ensues. When the pathogen declines, the Qi reverses and re-enters. Upon entering, Yang becomes deficient; when Yang is deficient, cold manifests. Thus, fever appears first followed by chills, named Warm Malaria.

It is asked: What about Dan Malaria? The answer is: Patients with Dan Malaria have chronic heat in the Lungs, with Qi abundant throughout the body. There is rebellious Qi rushing upward, and the Middle Jiao Qi is full but fails to vent outward. Due to physical exertion, the Couli open, and wind-cold pathogens lodge between the skin and the Fenrou (muscle interspaces). Upon onset, Yang Qi becomes excessive. If Yang Qi remains excessive without declining, disease ensues. Because the pathogen does not affect the Yin, there is only fever without chills. The Qi conceals internally in the Heart and resides externally in the muscle interspaces, causing the body to waste away and emaciate; hence it is named Dan Malaria.

When malaria attacks in the morning, it signifies the shifting of Yin and Yang Qi, which necessarily begins at the four limbs. Since Yang has already been injured and Yin follows suit, before the Qi merges, one should use a fine hemp rope to tightly bind the ten fingers of the hands and feet for the duration of one meal, prior to the attack. This prevents the pathogen from entering and the Yin Qi from exiting. After the time has passed, the binding is released.

The pulse in malaria is naturally wiry (Xian). A wiry and rapid pulse indicates mostly heat; a wiry and slow pulse indicates mostly cold. A wiry, small, and tight pulse may be treated with purgation; a wiry and slow pulse may be treated with warming methods. If the pulse is tight and rapid, diaphoresis or acupuncture/moxibustion may be used. If the pulse is floating and large, emesis may be used, and the patient will recover. A wiry and rapid pulse indicates heat caused by wind; this can be controlled through dietary management.

If malaria recurs annually for three years, or persists month after month without resolution, it is due to a mass (Pi) under the hypochondrium. Treatment should not directly attack the mass, but rather deplete the fluids. Induce sweating before the attack. After taking the decoction, if the patient feels slightly cold, cover oneself with clothing. Once sweating occurs and urination becomes smooth, the disease resolves. Patients suffering from malaria are emaciated, and their skin must exhibit gooseflesh-like papules. If malaria begins on the first day of the lunar month, it should heal within fifteen days. If it does not heal, it should resolve by the end of the month. Now, if it does not heal, what should be done? The Master says: This condition forms a fixed mass called Nu Mu (Malaria Mother), and it must be treated urgently.