病源肺病为疟者，乍来乍去，令人心寒，寒甚则热发善惊如有所见，此肺疟证也，若人
本来语声清雄，忽尔不亮，拖气用力，方得出言，而反于常人，呼共语，直视不应，虽曰未
病，势当不久，此则肺病声之候也，察病观疾，表里相应依源审疗，乃不失也。
心病为疟者，令人心烦甚，欲饮清水，多寒少热，若人本来心性和雅，而忽卒急，反于
常伦，或言未讫便住，以手剔脚爪，此人必死，祸虽未及呼曰行尸，此心病声之候也，虚则
补之，实则泻之，不可疗者明而察之。
肝病为疟者，令人色苍苍然，气息喘闷战掉，状如死者，若人本来少于悲恚，忽尔嗔怒
，出言反常，乍宽乍急，言未讫，以手向眼，如有所思，若不即病，祸必至矣，此肝病声之
候也，其人若虚，则为寒风所伤，若实则热气所损，阳则泻之，阴则补之。
脾病为疟者令人寒则腹中痛，热则肠中鸣鸣已则汗出，若其人本来少于喜怒而忽反常，
嗔喜无度，多言自笑，不答于人，此是脾病，声之候也，不盈旬日祸必至矣。
肾病为疟者，令人凄凄然，腰脊痛而宛转，大便涩，身掉不定，（素问作目 然）手
足
寒，若人本来不喜不怒，忽然謇而好嗔怒，反于常性，此肾已伤，虽未发觉，是其候也，见
人未言，而前开口笑，还闭口不声，举手爪闸极腹，此肾病声之候也，虚实表里浮沉清浊，宜
以察之，逐以疗之。
夫疟脉者自弦，弦数者多热，弦迟者多寒，弦小紧者可下之弦迟者温药已，若脉数而紧
者可发汗针灸之，脉浮大者不可针灸之，凡疟先发食顷乃可以疗之，过之则失时，足太阳之
疟，令人腰痛头重寒从背起，先寒后热， （虚娇切）KT KT 然热止汗出，难已刺
中
出血。
足少阳之疟，令人身体解 ，寒不甚，热不甚，恶见人，见人心惕惕然，热多汗出甚刺
足少阳。
足阳明之疟，令人先寒，洒洒淅淅，寒甚久乃热，热去汗出，喜见日月光火，气乃快然
，刺足阳明 上。
足太阴之疟，令人不乐，好太息不嗜食，多寒热，汗出病至则善呕，呕已乃衰，则取之
足少阴之疟，令人闷，吐呕甚多，寒热热多寒少，欲闭户而处，其病难止。
足厥阴之疟，令人腰痛少腹满，小便不利，如癃状非癃也，数小便意恐惧，气不足，腹
中悒悒，刺足厥阴。
肺疟者，令人心寒，寒甚发热，热间善惊，如有所见者，刺手太阴阳明。
心疟者令人烦心甚，欲得清水，反寒多不甚热，刺手少阴。
肝疟者。令人色苍苍然太息，其状若死者，刺足厥阴见血。
脾疟者，令人病寒则腹中痛，热则肠中鸣，鸣已汗出刺足太阴。
肾疟者令人洒洒腰脊痛，宛转大便难，目 然，手足寒刺足太阳少阴。
胃疟者，令人且病也，善饥而不能食，食即支满腹大刺足阳明太阴横脉出血。（并出第
十一卷中）
千金疗肝邪热为疟颜色苍苍，战掉气喘或热久劳动如疟积年不瘥，乌梅丸方。
乌梅肉（四分） 蜀漆（四分） 石膏（八分研） 鳖甲（四分炙） 常山（六分） 香
豉（一合
熬） 知母（四分） 甘草（三分炙） 细辛（三分） 苦参（四分） 葳蕤（五分）
上十一味捣筛，蜜和丸如梧子大，酒服十丸，日再，饮下亦得，忌苋菜生菜生葱海藻菘
菜。
又疗心疟令人烦心甚，欲得清水，多寒少热者，常山汤方。
常山（四两） 淡竹叶（切二升） 栀子仁（三七枚擘） 石膏（五两碎绵裹） 乌梅
（三七枚
擘） 鳖甲（四两炙） 甘草（一两炙） 香豉（一升绵裹） 蜀漆（三两）
上九味，以水九升，煮取三升，分温三服。忌生葱生菜菘菜人苋海藻。（删繁同）
又疗脾热，或渴或不渴，热气内伤不泄，转为脾疟，令人病寒则腹中痛，热则肠中鸣，
转汗出，常山丸方。
常山（三两） 甘草（半两炙） 知母（一两） 鳖甲（一两炙）
上四味捣筛，蜜和丸如梧子大，未发前酒服十丸，临发又一服，正发又一服。忌生葱生
菜海藻菘菜人苋等。
又疗肺热，痰聚胸中，来去不定，转为疟，其状令人心寒，甚即发热，热间善惊，如有
所见，常山汤方。
常山（三两） 秫米（三百粒） 甘草（二分炙）
上三味切，以水七升，煮取三升，分三服，至发时令三服尽。忌生葱生菜海藻菘菜等。
（删繁同）
又疗肾热发为疟，令人凄凄然腰脊痛，宛转大便难，目 然，手足寒，常山汤方。
常山（三两） 乌梅（三七枚碎） 香豉（八合熬裹） 淡竹叶（切一升） 葱白（一
握除青令
尽）
上五味切，以水九升，煮取三升，去滓，分温三服，至发令尽。忌生葱生菜等。（并出
第十卷中）
删繁疗胃腑疟者，令人善饥而不能食，四肢胀满气喘，藜芦丸方。
藜芦（一两） 皂荚（一两去皮子） 常山（一两） 巴豆（三十枚去皮熬） 牛膝（一
两）
上五味熬藜芦皂荚色令黄，合捣为末，蜜丸如小豆，旦服一丸，未发前一丸，正发一丸
，一日勿食饮。忌野猪肉芦笋生葱生菜狸肉等。（六腑唯胃有疟不可别列故附于后千金同出
第六卷中）
[Background Information]
Book: Waitai Miyao (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Six Formulas for Malaria of the Five Zang Organs and Stomach
Category: Formulas
[Translation]
**Malaria caused by Lung Disease:**
The symptoms come and go intermittently, causing coldness in the heart. When the cold is severe, fever ensues, accompanied by frequent fright and visual hallucinations ("as if seeing something"). This is the syndrome of Lung Malaria. If a person who originally spoke with a clear and vigorous voice suddenly becomes hoarse, dragging their breath and exerting effort to speak, yet behaves like a normal person by calling out to others but staring straight ahead without responding; although they appear not to be ill, their lifespan will likely be short. This is the sign of Lung disease manifested in the voice. In examining diseases and observing pathologies, one must ensure that exterior and interior correspond, and treat according to the source to avoid error.
**Malaria caused by Heart Disease:**
This causes extreme irritability in the heart, a desire to drink clear water, with more chills than fever. If a person who was originally gentle and elegant suddenly becomes irritable, behaving contrary to their usual nature, or stopping mid-sentence, picking at their toenails; such a person will surely die. Although disaster has not yet arrived, they are called "walking corpses." This is the sign of Heart disease manifested in the voice. For deficiency syndromes, use tonification; for excess syndromes, use purgation. Cases that cannot be cured should be clearly identified.
**Malaria caused by Liver Disease:**
This causes the complexion to appear bluish-green, with panting, chest tightness, trembling, and shaking, resembling a dead person. If a person who was originally rarely sad or angry suddenly becomes wrathful, speaking abnormally, alternating between relaxed and tense states, gesturing towards their eyes as if deep in thought before finishing their sentence; if illness does not occur immediately, disaster will certainly follow. This is the sign of Liver disease manifested in the voice. If the person is deficient, they are injured by cold wind; if excessive, they are damaged by hot qi. For Yang syndromes, use draining methods; for Yin syndromes, use tonifying methods.
**Malaria caused by Spleen Disease:**
This causes abdominal pain when cold, and borborygmus (intestinal rumbling) followed by sweating when hot. If a person who was originally free from extreme joy or anger suddenly becomes abnormal, displaying uncontrolled emotions, talking excessively and laughing to themselves, ignoring others; this is Spleen disease manifested in the voice. Disaster will certainly arrive within ten days.
**Malaria caused by Kidney Disease:**
This causes a desolate feeling, pain in the lower back and spine with rolling restlessness, difficult stool, body tremors, and (as stated in *Suwen*, blurred vision/dizziness), and cold hands and feet. If a person who was originally neither happy nor angry suddenly becomes stuttering and prone to anger, contrary to their normal temperament; this indicates the Kidneys have been injured. Although not yet detected, this is the sign. Seeing someone, opening one's mouth to smile before speaking, then closing the mouth silently, and raising hands to scratch the abdomen intensely; this is the sign of Kidney disease manifested in the voice. One should examine deficiency/excess, exterior/interior, floating/sinking, and clear/turbid qualities, and treat accordingly.
**General Principles of Malaria Pulse and Treatment:**
The pulse of malaria is naturally wiry (*Xian*). A wiry and rapid pulse indicates much heat; a wiry and slow pulse indicates much cold. A wiry, small, and tight pulse may be treated with purgation. A wiry and slow pulse is cured with warm medicines. If the pulse is rapid and tight, diaphoresis or acupuncture may be used. If the pulse is floating and large, acupuncture is contraindicated. Generally, malaria should be treated about the time it takes to eat before the attack begins; delaying misses the optimal timing.
**Malaria of the Foot-Taiyang Meridian:**
Causes lower back pain, heavy head, and cold rising from the back. Chills precede fever. After the heat subsides, sweat appears. It is difficult to cure. Prick [Weizhong BL-40] to bleed.
**Malaria of the Foot-Shaoyang Meridian:**
Causes flaccidity of the body, mild chills, and mild fever. The patient dislikes seeing people and feels fearful upon seeing them. There is much heat and profuse sweating. Needle the Foot-Shaoyang meridian.
**Malaria of the Foot-Yangming Meridian:**
Causes initial chills, shivering, which last a long time before fever sets in. After the heat subsides, sweat appears. The patient desires sunlight or firelight to feel comfortable. Needle the upper part of the Foot-Yangming meridian [Jugu ST-1].
**Malaria of the Foot-Taiyin Meridian:**
Causes unhappiness, frequent sighing, loss of appetite, alternating chills and fever, and sweating. Vomiting occurs during the attack, after which the condition subsides. Select points on the Foot-Taiyin meridian.
**Malaria of the Foot-Shaoyin Meridian:**
Causes chest oppression and severe vomiting. Alternating chills and fever, with more heat than chills. The patient wishes to stay behind closed doors. This disease is difficult to stop.
**Malaria of the Foot-Jueyin Meridian:**
Causes lower back pain, fullness in the lower abdomen, and dysuria resembling *Long* syndrome (urinary difficulty) but not quite so. Frequent urge to urinate accompanied by fear. Qi deficiency and abdominal depression. Needle the Foot-Jueyin meridian.
**Specific Organ Malarial Treatments via Acupuncture:**
* **Lung Malaria:** Causes coldness in the heart, severe cold followed by fever, and fright/hallucinations during fever intervals. Needle Hand-Taiyin and Hand-Yangming meridians.
* **Heart Malaria:** Causes extreme irritability, desire for clear water, more chills than light fever. Needle Hand-Shaoyin meridian.
* **Liver Malaria:** Causes bluish-green complexion, sighing, and appearance of death. Needle Foot-Jueyin meridian until blood appears.
* **Spleen Malaria:** Causes abdominal pain during chills, borborygmus and sweating during heat. Needle Foot-Taiyin meridian.
* **Kidney Malaria:** Causes shivering, lower back/spine pain, rolling restlessness, difficult defecation, blurred vision, and cold extremities. Needle Foot-Taiyang and Foot-Shaoyin meridians.
* **Stomach Malaria:** Causes hunger but inability to eat; eating leads to distension and abdominal enlargement. Bleed from the transverse vessels of the Foot-Yangming and Foot-Taiyin meridians. (All from Volume 11)
**Formulas from *Qianjin Fang*:**
**1. Wumei Wan (Mume Pill) for Liver Heat Malaria:**
Indications: Malaria caused by liver evil-heat, bluish-green complexion, trembling, panting, or chronic malaria lasting years without recovery.
Ingredients:
* Wumei Rou (Fructus Mume, 4 fen)
* Shuqi (Radix Dichroae, 4 fen)
* Shigao (Gypsum Fibrosum, 8 fen, ground)
* Biejia (Carapax et Plastrum Testudinis, 4 fen, roasted)
* Changshan (Rhizoma Dichroae, 6 fen)
* Xiangchi (Fermented Soybean, 1 he)
* Zhimu (Rhizoma Anemarrhenae, 4 fen)
* Gancao (Radix Glycyrrhizae, 3 fen, roasted)
* Xixin (Radix Asari, 3 fen)
* Kushen (Radix Sophorae Flavescentis, 4 fen)
* Weirui (Rhizoma Polygonati Odorati, 5 fen)
Preparation: Grind the eleven ingredients into powder, mix with honey to make pills the size of wutong seeds. Take 10 pills with wine, twice daily. Water administration is also acceptable.
Dietary Restrictions: Avoid Amaranth, raw vegetables, raw scallions, Kelp, and Chinese cabbage.
**2. Changshan Tang (Dichroa Decoction) for Heart Malaria:**
Indications: Extreme irritability, desire for clear water, more chills than fever.
Ingredients:
* Changshan (Rhizoma Dichroae, 4 liang)
* Danzhuye (Folium Phyllostachydis Nigrae, cut, 2 sheng)
* Zhizi Ren (Fructus Gardeniae, 37 pieces, broken)
* Shigao (Gypsum Fibrosum, 5 liang, crushed, wrapped in silk)
* Wumei (Fructus Mume, 37 pieces, broken)
* Biejia (Carapax et Plastrum Testudinis, 4 liang, roasted)
* Gancao (Radix Glycyrrhizae, 1 liang, roasted)
* Xiangchi (Fermented Soybean, 1 sheng, wrapped in silk)
* Shuqi (Radix Dichroae, 3 liang)
Preparation: Decoct the nine ingredients in 9 sheng of water to obtain 3 sheng. Divide into three warm doses.
Dietary Restrictions: Avoid raw scallions, raw vegetables, Chinese cabbage, Amaranth, and Kelp.
**3. Changshan Wan (Dichroa Pill) for Spleen Heat Malaria:**
Indications: Spleen heat, thirst or no thirst, internal injury by heat qi not dissipating, transforming into Spleen Malaria (abdominal pain with chills, borborygmus and sweating with heat).
Ingredients:
* Changshan (Rhizoma Dichroae, 3 liang)
* Gancao (Radix Glycyrrhizae, 0.5 liang, roasted)
* Zhimu (Rhizoma Anemarrhenae, 1 liang)
* Biejia (Carapax et Plastrum Testudinis, 1 liang, roasted)
Preparation: Grind into powder, mix with honey to make pills the size of wutong seeds. Take 10 pills with wine before the onset. Take another dose just before onset, and another during the attack.
Dietary Restrictions: Avoid raw scallions, raw vegetables, Kelp, Chinese cabbage, and Amaranth.
**4. Changshan Tang (Dichroa Decoction) for Lung Heat Malaria:**
Indications: Lung heat, phlegm accumulation in the chest, intermittent symptoms transforming into malaria (coldness in heart, severe cold then fever, fright/hallucinations during fever intervals).
Ingredients:
* Changshan (Rhizoma Dichroae, 3 liang)
* Shumi (Semen Sorghi Vulgaris, 300 grains)
* Gancao (Radix Glycyrrhizae, 2 fen, roasted)
Preparation: Cut the three ingredients, decoct in 7 sheng of water to obtain 3 sheng. Divide into three doses. Finish all three doses by the time of the attack.
Dietary Restrictions: Avoid raw scallions, raw vegetables, Kelp, and Chinese cabbage.
**5. Changshan Tang (Dichroa Decoction) for Kidney Heat Malaria:**
Indications: Kidney heat causing malaria (desolate feeling, lower back/spine pain, rolling restlessness, difficult defecation, blurred vision, cold extremities).
Ingredients:
* Changshan (Rhizoma Dichroae, 3 liang)
* Wumei (Fructus Mume, 37 pieces, crushed)
* Xiangchi (Fermented Soybean, 8 he, roasted and wrapped)
* Danzhuye (Folium Phyllostachydis Nigrae, cut, 1 sheng)
* Congbai (Caulis Allii Fistulosi, one handful, remove green part completely)
Preparation: Cut the five ingredients, decoct in 9 sheng of water to obtain 3 sheng. Strain and divide into three warm doses. Finish by the time of the attack.
Dietary Restrictions: Avoid raw scallions and raw vegetables. (All from Volume 10)
**6. Lilu Wan (Veratrum Pill) for Stomach Fu Malaria:**
Indications: Hunger but inability to eat, distension of four limbs, panting.
Ingredients:
* Lilu (Radix Veratri Nigri, 1 liang)
* Zhaojiao (Fructus Gleditsiae Sinensis, 1 liang, peeled and seeded)
* Changshan (Rhizoma Dichroae, 1 liang)
* Badou (Semen Crotonis Tiglii, 30 pieces, peeled and roasted)
* Niuxi (Radix Achyranthis Bidentatae, 1 liang)
Preparation: Roast Lilu and Zhaojiao until yellow, grind into powder, mix with honey to make pills the size of small beans. Take one pill in the morning, one pill one hour before onset, and one pill during the attack. Do not eat or drink for one day.
Dietary Restrictions: Avoid wild boar meat, bamboo shoots, raw scallions, raw vegetables, and civet cat meat. (Among the Six Fu organs, only the Stomach has malaria, so it is listed separately here. Same as *Qianjin Fang*, from Volume 6)