《千金》湿疸之为病，始得之，一身尽疼，发热，面色黄黑，七八日后壮热，热在里，
有血当下，去之如豚肝状，其小腹满者急下之，亦一身尽黄，目黄腹满，小便不利。矾石散
方。
矾石（五两） 滑石（五两）
上二味，为散，大麦粥汁服方寸匕，日三服，当先食服，便利如血者，当汗出瘥。（《
深师》、《古今录验》并同，出第十卷中）
《古今录验》九疸秦王散方。
胃瘅，食多喜饮。（栀子仁主之）
心瘅，烦心心中热。（葛根主之）
肾瘅，其人唇干。（葶苈子主之）
脾瘅，溺赤出少，心惕惕若恐。（栝蒌主之）
肺瘅，饮少小便多。（秦椒汗、瓜蒂主之，一云膏疸）
舌瘅，渴而数便。（石钟乳主之）
肉瘅，其人小便白。（凝水石主之）
髓瘅，目眶深，多嗜卧。（牡蛎、泽泻主之）
肝瘅，胃热饮多水激肝。（白术主之）
上十一味，名秦王散，各等分，随病所在加二分，捣合下筛。饮服五分匕，日三，稍加
至方寸匕。忌桃、李、雀肉等。
膏瘅，饮少小便多。秦椒散方。
秦椒（一分汗） 瓜蒂（二分）
上二味，捣下筛。水服方寸匕，日三服。（《深师》、《千金》同，出第二十七卷中）
病源夏日伤暑，秋必病疟，疟病之发以时者，此由邪气客于风府，循膂而下，卫气一日
一夜，常大会于风府，其明日下一节，故其作也晏此先客于脊背也，每至于风府，则腠理开，
腠理开则邪气入，邪气入则病作，此所以日作稍益晏者也，其出于风府日下一节，二十五日
作日益早也。其间日发者，由邪气内搏于五脏，横连募原，其道远，其气深其行迟，不能与
卫气俱行，不得皆出，故间日蓄积乃作，夫卫气每至于风府，则腠理乃发，发则邪气入，邪
项，循膂而下者也，故虚实不同，邪中异所，则不得当其风府也，故邪中于头项者，气至头
卫气之所在，与邪气相合则病作，故风无常府，卫气之所发，必开其腠理，邪气之所合，则
其府也，风之与疟也，相与同类，而风独常在也，而疟得以时休者，何也，由风气留其处，
疟气随经络沉以内搏，故卫气应乃作，阳当陷而不陷，阴当升而不升，为邪所中，阳遇邪则
蜷，阴遇邪则紧，蜷则恶寒，紧则为栗，寒栗相搏，故名曰疟，弱则发热，浮乃汗出，旦中
旦发，晚中晚发，夫疟其人形瘦，皮必粟起，问曰，病疟以月一日发，当以十五日愈，设不
广济疗疟常山散方。
常山（五分） 升麻（二分） 蜀漆（一分）
上三味捣筛为散，一服二钱匕，和井花水煮米半合，顿服少间则吐，吐讫则瘥。忌生葱
生菜及诸果子生冷油腻等物。
又疗疟常山汤方。
常山（三两）
上一味切，以浆水三升，浸经一宿，煮取一升，欲发前顿服之，后微吐瘥止。忌生葱生
菜。（近效疗疟间日或夜发者张文仲备急同并出第一卷中）
张仲景伤寒论辨疟病师曰，夫阴气孤绝，阳气独发，而脉微者，其候必少气烦满手足热
而欲呕也，名曰 疟，若但热不寒者，邪气在心脏，外舍分肉之间，令人消瘦脱肉。又辨疟
脉，夫疟脉自弦，弦数者多热，弦迟者多寒，弦小紧者下之瘥，弦迟者温药愈，弦紧者可发
汗，
又辨疟岁岁发至三岁，发连日发不解者，以胁下有痞也，疗之不得攻其痞，但虚其津液
，先其时发汗，其服汤已，先小寒者，渐引衣自覆，汗出小便利则愈，疟者病患形瘦皮上必
粟起。
又问病疟以月一日发，当以十五日愈，设不瘥者，当月尽解也，如期不瘥当云何，师曰
，此结为症瘕名曰疟母，宜急疗之，大鳖甲煎方。
鳖甲（十二分炙） 乌扇（三分） 黄芩（三分） 柴胡（六分） 鼠妇（三分熬） 干
姜（三分） 大黄（三分） 芍药（五分） 桂心（三分） 葶苈（二分熬） 石苇（二分）
浓朴（三分炙） 牡
丹皮（五分） 瞿麦（二分） 紫葳（三分） 半夏（一分洗） 人参（一分） 虫（五
分熬） 阿胶
（三分炙） 蜂窠（四分炙） 赤硝（十二
上二十三味末之，取锻灶下土一斗，清酒一斛五升，浸土候酒尽一半，着鳖甲于中煮，
令泛烂如胶漆，绞取汁，下诸药煎为丸，如梧子大，空心服七丸，日三服。忌苋菜生葱胡荽
羊肉饧等物。（千金有海藻大戟虻虫无赤硝鼠妇用锻灶灰一斛）
又疟发渴者，与小柴胡去半夏加栝蒌汤方。
柴胡（八两） 黄芩（三两） 人参（三两） 大枣（十二枚擘） 甘草（三两炙） 生
姜（三两）
上七味切，以水一斗二升，煮取六升，去滓，更煎取三升，温服一升，日三。忌海藻菘
菜。（经心录疗劳疟并出第十五卷中）
肘后疗诸疟方。
取青蒿（一把）
上一味，以水一升渍，绞取汁，尽服之。（备急张文仲同）
又方
鳖甲（三两炙）
上一味捣末，酒服方寸匕，至发时令服，三服兼用火炙，无不断者。忌苋菜。
又方
牛膝茎叶一把切，以酒三升渍一宿，分三服，令微有酒气不即断，更作，不过三服止
。（文仲备急集验同并出第一卷中）
深师疗疟膈痰不得吐，宜吐之，常山乌梅汤方。
乌梅（半两） 桂心（半两） 芫花（半两） 豉（五合绵裹） 半夏（半两） 常山
（半两）
上六味切，以酒三升，水四升，合煮取二升，分三服，必得吐，一方取三升。忌生葱羊
肉饧生菜。（一方无半夏常山）
又疗疟丸神方。
人参（三分） 铅丹（三分） 天雄（十分熬）
上三味捣合下筛蜜和，初服二丸如梧子大，临发服二丸，中当温热，四肢淫淫痹为知，
服药忌饱饭，食疟断后食如常，万不失一。（备急文仲同）
又疗疟，撩膈汤方。
常山（三两） 甘草（三两炙） 松萝（二两） 乌梅（十四枚） 黄芩（二两） 瓜
蒂（十四枚）
上七味切，以酒二升渍一宿，明旦以水四升，煮取三升，分三服。忌海藻生葱生菜菘菜
等。
又疟结实积热，烦扰迷冒，寒热但多，绵 困笃，常山大黄汤方。
常山（三两） 甘草（三两炙） 前胡（二两） 大黄（三两）
上四味切，以水一斗，煮取三升半，下大黄，煎取三升，分澄令冷，初服七合，中服八
合，比欲发服九合，王文州大子因疟危困服此皆愈。忌海藻菘菜生葱生菜等。
又疗疟醇 汤方。
生姜（三两） 乌梅（三七枚擘一方十四枚） 甘草（三两炙） 桂心（二两） 常山
（三两）
荷根（三两）
上六味切，以水六升，煮取一升曰醇，未发时须顿服，更以水三升，煮取一升曰 ，至
发不断，复顿服甚良，别方说发日平旦服 一升，以醇着头边，若欲发便服醇，神良，二说
不同也。忌海藻菘菜生葱生菜。（出第二十二卷中）
千金麻黄汤，疗疟 发汗方。
麻黄（四两去节） 大黄（四两） 栝蒌（四两） 甘草（一两炙）
上四味切，以水七升，煮取二升半，分三服，未发前食顷服，临发更服，服后皆覆取汗
。忌海藻菘菜。（集验同出第十卷中）
千金翼疗疟病医不能救者方。
以绳量病患脚，围绕足跟及五指一匝讫，截断绳取所量得绳置项上，着反向背上当绳头
处中脊骨上灸三十壮，则定，候看复恶寒，急灸三十壮则定，比至过发一炊，久候之，虽饥
勿与食，尽日，此神验，男左足女右足。（出第十八卷中）
崔氏疗疟，会稽赖公常山汤方。
常山（三两） 石膏（八两碎绵裹） 甘竹叶（一把切） 糯米（一百粒）
上四味切，以水八升，明旦欲服，今晚渍于铜器中，露置星月下高净处，横刀其上，向
明取药，于病患房门前，于铜器里缓火煮取三升，分三服，日欲出一服，临发又一服若即定
，不须后服，取药滓石膏裹置心上，余四分置左右手足心甚验。忌生葱生菜。（出第四卷中）
备急华佗常山桂心丸，神良方。
甘草（炙） 常山 大黄 桂心（各四分）
上四味末之，蜜和，平旦服如兔屎，每欲发服六丸，饮下之，欲服药时，先进少热粥良
。忌海藻菘菜生葱生菜。（文仲同出第二卷中）
延年疗疟，常山丸方。（裴右庶送）
常山（四分） 青木香（四分南者） 蜀漆（一分） 牡蛎（二分 ） 大黄（二分） 乌
梅肉（
一分熬） 丹砂（二分研） 豉（二分熬） 知母（二分） 鳖甲（二分炙） 麻黄（一分
去节）
上十一味捣筛，蜜和为丸，丸如梧子，未发前粥饮服五丸讫，微吐后，须臾任食，至欲
发更服十丸。忌苋菜生血物生葱生菜油腻。（崔氏同）
又疗疟丸方。
常山（三两） 甘草（二分炙） 知母（四分）
上三味捣筛，蜜和为丸，丸如梧子，未发前饮服十五丸，临发服十五丸，得快吐则愈。
忌海藻生葱生菜菘菜。（并出第十五卷中）
必效疗疟，鸡子常山丸方。
取鸡子一枚，断开头，出黄及白令尽，置小铛子中，又取常山细末，量满前空壳，又倾
铛子中，又量白蜜还令满壳，复倾铛子中，三味同搅，微火煎之，勿停手，微冷可丸则停，
丸如梧子，如病患午时发，巳时服三十丸，欲至发时，又服三十丸，用饮汁下，欲吐任吐，
亦如前服讫，更不发者，不须服，服后禁脂腻油面生菜瓜果七日，此方敕赐乔将军服之立效。
（
又疗疟不瘥，虎骨常山丸方。
虎头骨（炙） 常山 甘草（炙） 鳖甲（炙） 乌梅（熬） 葳蕤 白薇 升麻 茯
苓石膏
（研） 知母 麦门冬（去心） 豆豉（熬） 地骨白皮
上十四味各等分，合捣，蜜和丸如梧子大，未发前日晚空肚服二十丸，至发日平旦服四
十丸，如人行十里，食白粥一碗，欲发时亦服三十丸，三日内慎生冷，万无一触，不吐自瘥，
魏
又疗疟，常山酒方。
常山（一两切） 独头KT （一颗去根茎横切） 糯米（一百粒） 乌豆（一百粒） 清
酒（一升）
上五味，病未发前一日，以酒浸药于碗中，以白纸一张覆之，碗上横一刀，欲发时三分
饮一分，如未吐更服一分得吐则瘥。忌生菜生葱。（并第一卷中）
古今录验疗疟豉心丸方。
香豉（五合熬令色变） 常山（二两） 大黄（三分） 附子（二分炮）
上四味捣筛，蜜和丸，服如大豆十丸，当勿食，比至发来，令服三十丸，疟不止，亦可
至四十丸，疟必止，若膈上有停痰，欲吐听之，若腹中实，欲下亦无妨，常有验。忌生葱生
菜等。（杨孔思方出第四卷中）
又乌梅丸，疗疟，无问温瘴痰疟，悉皆主之方。
乌梅肉（二两） 常山（二两） 鳖甲（二两炙） 香豉（二两） 蜀漆（二两生用） 人
参（一
两） 肉苁蓉（二两） 桂心（二两） 知母（二两） 桃仁（二两去尖皮别捣如稀饧）
上十味捣筛为末，蜜和丸如桐子，空心以酒饮任下三十丸，忌生葱生菜苋菜海藻菘菜。
（一方有升麻甘草各二两为十二味）
In the *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold), the disease known as Shidan (Damp Jaundice) begins with pain throughout the entire body, fever, and a yellowish-black complexion. After seven or eight days, high fever develops, with heat residing in the interior. Blood stasis should be purged; the expelled blood resembles pig liver. If there is fullness in the lower abdomen, urgent purgation is required. This condition may also result in generalized jaundice, yellowing of the eyes, abdominal distension, and difficult urination. Formula: Fanshi San (Alum Powder).
Fanshi (Alumen, 5 liang) Huashi (Talcum, 5 liang)
Grind the above two ingredients into powder. Administer one fangcun bi (a measure approx. 1 cubic inch) with barley porridge juice, three times daily. Take before meals. When bowel movements become smooth and bloody discharge occurs, sweating will ensue and the patient will recover. (*Shenshi Fang* and *Gujin Luyan* are identical; cited from Volume 10).
From *Gujin Luyan*, Nine Types of Dan (Jaundice/Heat-Toxin): Qinwang San (King of Qin Powder).
Wei Dan (Stomach Heat-Toxin): Excessive eating and drinking preference. (Zizhiren [Gardenia Seed] treats this.)
Xin Dan (Heart Heat-Toxin): Vexation and heat in the heart. (Gegen [Kudzu Root] treats this.)
Shen Dan (Kidney Heat-Toxin): Dry lips. (Tinglizi [Lepidium Seed] treats this.)
Pi Dan (Spleen Heat-Toxin): Red urine with low volume, palpitations and fear. (Gualou [Trichosanthes Fruit] treats this.)
Fei Dan (Lung Heat-Toxin): Low fluid intake but frequent urination. (Qinjiao Han [Pepper sweat/powder], Gudi [Momordica Seed] treat this; alternatively called Gaodan.)
She Dan (Tongue Heat-Toxin): Thirst with frequent urination. (Shizhongru [Stalactite] treats this.)
Rou Dan (Flesh Heat-Toxin): White urine. (Ningshuishi [Halloysitum Rubrum] treats this.)
Sui Dan (Marrow Heat-Toxin): Deep-set eye sockets, excessive drowsiness. (Muli [Oyster Shell], Zexie [Alisma Rhizome] treat this.)
Gan Dan (Liver Heat-Toxin): Stomach heat, excessive water intake, water qi agitating the liver. (Baizhu [Atractylodes Rhizome] treats this.)
The above eleven ingredients constitute Qinwang San. Use equal parts of each. Add two fen for the affected area. Grind, mix, and sieve. Administer five fenbi with liquid, three times daily, gradually increasing to one fangcun bi. Avoid peaches, plums, and sparrow meat.
Gaodan (Fat Jaundice): Low fluid intake but frequent urination. Formula: Qinjiao San (Pepper Powder).
Qinjiao (Zanthoxylum Pepper, 1 fen, processed), Gudi (Momordica Seed, 2 fen)
Grind and sieve the above two ingredients. Administer one fangcun bi with water, three times daily. (*Shenshi Fang*, *Qianjin Fang* are identical; cited from Volume 27).
Etiology: Summer heat injury leads to malaria in autumn. Malaria attacks at fixed times because pathogenic factors lodge in Fengfu (GV16), descending along the Du Meridian. Wei Qi (Defensive Qi) gathers at Fengfu once every day and night. The next day it descends one vertebral level, causing the attack time to delay progressively. This is because the pathogen initially invades the back. Each time it reaches Fengfu, the Couli (pores) open, allowing the pathogen to enter and trigger the disease. Hence, daily attacks occur later. Conversely, if the pathogen descends one level daily from Fengfu, after twenty-five days, attacks occur earlier. Intermittent attacks (every other day) occur because the pathogen binds internally to the Zang organs and spreads horizontally to the Mu Yuan (semi-interior/exterior space). The path is long, the qi is deep, and movement is slow; it cannot travel with Wei Qi and must accumulate to trigger an attack. When Wei Qi reaches Fengfu, Couli open, pathogen enters, and combines with the neck/back region, descending along the spine. Thus, depending on deficiency/excess and invasion site, the pathogen may not hit Fengfu directly. If it strikes the head/neck, Qi rises to the head. Disease occurs when Wei Qi meets the pathogen. Therefore, "Fengfu" is not a fixed location but wherever Wei Qi emerges and Couli open, meeting the pathogen. Wind and Malaria are similar, but wind remains constant while malaria has remissions. Why? Wind stays local; Malaria qi sinks into the meridians and binds internally. It acts when Wei Qi responds. Yang should descend but fails; Yin should ascend but fails. Pathogen invasion causes Yang to curl (chill) and Yin to tighten (shivering). The struggle between chill and shivering is named Malaria. Weakness leads to fever; floating pulse leads to sweating. Morning invasion causes morning attack; evening invasion causes evening attack. Malaria patients are emaciated with gooseflesh on the skin. Question: If malaria starts on the first day of the lunar month, it should heal by the fifteenth. If not, it should resolve by month's end.
Guangji Changshan San (Polygalae Radix Powder) for Malaria.
Changshan (Polygalae Radix, 5 fen) Shengma (Cimicifugae Rhizoma, 2 fen) Shuqi (Radix Bupleuri cum Rhamno, 1 fen)
Grind the above three into powder. Take two qianbi with well-water boiled rice (half he). Take all at once. Vomiting will follow shortly; upon completion, recovery ensues. Avoid raw scallions, raw vegetables, fruits, cold items, and greasy foods.
Another Formula for Malaria: Changshan Tang (Polygalae Radix Decoction).
Changshan (Polygalae Radix, 3 liang)
Cut the single ingredient. Soak in Jiangshui (fermented grain liquid) 3 sheng overnight. Boil to obtain 1 sheng. Take all at once before the attack. Mild vomiting indicates cure. Avoid raw scallions and vegetables. (*Jinxiao* intermittent/evening malaria formula by Zhang Wenzhong is identical; cited from Vol 1).
Zhang Zhongjing’s *Shanghan Lun* discusses Malaria: When Yin is isolated and exhausted, and Yang fires alone, with a faint pulse, symptoms include shortness of breath, vexation, fullness, hot hands/feet, and nausea. This is called Pin Malaria (Yin Malaria). If only heat without chills, the pathogen is in the Heart, lodging in the muscle spaces, causing emaciation. Pulse diagnosis: Malaria pulses are naturally Xian (Wiry). Xian-Shuo (Wiry-Rapid) indicates much heat; Xian-Chi (Wiry-Slow) indicates much cold. Xian-Xiao-Jin (Wiry-Small-Tight) benefits from purgation; Xian-Chi benefits from warming herbs; Xian-Jin (Wiry-Tight) benefits from diaphoresis.
Regarding chronic malaria lasting three years with continuous attacks: There is a Pi Mass (mass) under the hypochondrium. Do not attack the mass directly; instead, weaken the fluids/Jin-Ye. Induce sweating before the attack. If chills precede the attack after taking medicine, cover with clothes until sweating and urination normalize. Malaria patients are emaciated with gooseflesh.
Question: If malaria starts on the first day, healing by the fifteenth is expected. If not, healing by month-end is expected. If still not healed? Master says: This forms a Zheng Jia (fixed mass) named Nuomu (Malaria Mother). Treat urgently with Da Biejia Jian Wan (Large Turtle Shell Pill).
Biejia (Testudinis Carapax et Plastrum, 12 fen, roasted), Wushan (Iris Tectorii Rhizoma, 3 fen), Huangqin (Scutellariae Radix, 3 fen), Chaihu (Bupleuri Radix, 6 fen), Shufu (Psoraleae Fructus, 3 fen, roasted), Ganjiang (Zingiberis Rhizoma, 3 fen), Dahuang (Rhei Radix et Rhizoma, 3 fen), Shaoyao (Paeoniae Radix Alba, 5 fen), Guixin (Cinnamomi Cortex, 3 fen), Tingli (Descurainiae Semen, 2 fen, roasted), Shiwei (Pyrrosiae Folium, 2 fen), Houpo (Magnoliae Officinalis Cortex, 3 fen, roasted), Mudanpi (Moutan Cortex, 5 fen), Qumai (Dianthi Herba, 2 fen), Ziwei (Campsis Flower, 3 fen), Banxia (Pinelliae Rhizoma, 1 fen, washed), Renshen (Ginseng Radix, 1 fen), E Chong (Eupolyphaga Steleophaga, 5 fen, roasted), Ejiao (Colla Corii Asini, 3 fen, roasted), Fengke (Apis Nidus, 4 fen, roasted), Chixiao (Natrii Sulfas, 12 fen)
Grind the above 23 ingredients. Take 1 dou of earth from a forge stove, add 1 hu 5 sheng of clear wine. Soak earth until wine reduces by half. Add Biejia and boil until it dissolves like glue. Strain the juice. Add other medicines and decoct into pills the size of wutong seeds. Take 7 pills on an empty stomach, three times daily. Avoid amaranth, raw scallions, coriander, mutton, and maltose. (*Qianjin* includes Haizao, Daji, Mengchong; excludes Chixiao, Shufu; uses forge ash).
For Malaria with thirst, use Xiaochaihu Tang (Minor Bupleurum Decoction) removing Banxia and adding Gualou.
Chaihu (Bupleuri Radix, 8 liang), Huangqin (Scutellariae Radix, 3 liang), Renshen (Ginseng Radix, 3 liang), Dazao (Ziziphi Jujubae Fructus, 12 pieces), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, roasted), Shengjiang (Zingiberis Rhizoma Recens, 3 liang)
Cut the above seven. Boil in 12 sheng water to obtain 6 sheng. Remove dregs, re-decoct to obtain 3 sheng. Take 1 sheng warm, three times daily. Avoid Haizao, Songcai. (*Jingxin Lu* for Labor Malaria; cited from Vol 15).
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept up My Sleeve) for various Malarial fevers.
Take Qinghao (Artemisiae Annuae Herba, 1 bunch).
Soak in 1 sheng water, squeeze out juice, drink entirely. (*Beiji* by Zhang Wenzhong is identical).
Another Formula:
Biejia (Testudinis Carapax et Plastrum, 3 liang, roasted)
Grind to powder. Take one fangcun bi with wine during the attack. Three doses plus moxibustion guarantee cure. Avoid amaranth.
Another Formula:
Niuxi Jingye (Achyranthis Bidentatae Caulis et Folium, 1 bunch, cut). Soak in 3 sheng wine overnight. Divide into three doses. Aim for mild intoxication. If not cured, repeat. Max three doses. (Wenzhong *Beiji*, *Jiyuan* identical; cited from Vol 1).
*Shenshi Fang*: For Malaria with phlegm stuck in the diaphragm unable to vomit, induce vomiting. Changshan Wumei Tang (Polygalae Radix and Mume Fructus Decoction).
Wumei (Mume Fructus, 0.5 liang), Guixin (Cinnamomi Cortex, 0.5 liang), Yuanhua (Genkwa Flos, 0.5 liang), Chi (Fermented Soybean, 5 he, wrapped in silk), Banxia (Pinelliae Rhizoma, 0.5 liang), Changshan (Polygalae Radix, 0.5 liang)
Cut the above six. Boil in 3 sheng wine and 4 sheng water to obtain 2 sheng. Divide into three doses. Must induce vomiting. Alternative: use 3 sheng total liquid. Avoid raw scallions, mutton, maltose, raw vegetables. (Alternative version lacks Banxia and Changshan).
Divine Pill for Malaria:
Renshen (Ginseng Radix, 3 fen), Qiandan (Minium, 3 fen), Tianxiong (Aconiti Lateralis Radix Praeparata, 10 fen, roasted)
Grind and sieve. Mix with honey into pills. Initial dose: 2 pills (wutong seed size). Before attack: 2 pills. Warmth in the middle and mild numbness in limbs indicate efficacy. Do not take on a full stomach. Resume normal diet after malaria stops. Highly effective. (*Beiji* Wenzhong identical).
Diaoge Tang (Diaphragm-Lifting Decoction) for Malaria:
Changshan (Polygalae Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, roasted), Songsuo (Dendroliani Pilula, 2 liang), Wumei (Mume Fructus, 14 pieces), Huangqin (Scutellariae Radix, 2 liang), Gudi (Momordica Seed, 14 pieces)
Cut the above seven. Soak in 2 sheng wine overnight. Next morning, add 4 sheng water, boil to obtain 3 sheng. Divide into three doses. Avoid Haizao, raw scallions, raw vegetables, Songcai.
For Malaria with solid accumulation and accumulated heat, vexation, confusion, frequent chills/fever, severe fatigue: Changshan Dahuang Tang (Polygalae Radix and Rheum Decoction).
Changshan (Polygalae Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, roasted), Qianhu (Peucedani Radix, 2 liang), Dahuang (Rhei Radix et Rhizoma, 3 liang)
Cut the above four. Boil in 1 dou water to obtain 3.5 sheng. Add Dahuang, boil to obtain 3 sheng. Strain and cool. Initial dose: 7 he. Middle dose: 8 he. Before attack: 9 he. Wang Wenzhou’s son recovered from critical malaria with this. Avoid Haizao, Songcai, raw scallions, raw vegetables.
Chun Lao Tang (Strong Wine Decoction) for Malaria:
Shengjiang (Zingiberis Rhizoma Recens, 3 liang), Wumei (Mume Fructus, 21-30 pieces, split), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang, roasted), Guixin (Cinnamomi Cortex, 2 liang), Changshan (Polygalae Radix, 3 liang), Hegeng (Nelumbinis Rhizomatis Palmitus, 3 liang)
Cut the above six. Boil in 6 sheng water to obtain 1 sheng, called "Chun". Take all at once before attack. Re-boil residue in 3 sheng water to obtain 1 sheng, called "Lao". Take all at once at the time of attack if not cured. Very good. Another method: Take 1 sheng of "Lao" at dawn on attack day; apply "Chun" to the head. If attack imminent, take "Chun". Divine effect. Two methods differ. Avoid Haizao, Songcai, raw scallions, raw vegetables. (Cited from Vol 22).
*Qianjin Fang* Mahuang Tang (Ephedra Decoction) for Malaria Diaphoresis:
Mahuang (Ephedrae Herba, 4 liang, nodes removed), Dahuang (Rhei Radix et Rhizoma, 4 liang), Gualou (Trichosanthis Fructus, 4 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted)
Cut the above four. Boil in 7 sheng water to obtain 2.5 sheng. Divide into three doses. Take one dose before meal prior to attack, another at onset. Cover to induce sweat. Avoid Haizao, Songcai. (*Jiyuan* identical; cited from Vol 10).
*Qianjin Yi Fang*: For Malaria incurable by physicians.
Measure patient's foot with string around heel and five toes. Cut string. Place on neck, reverse direction on back over the spinous process where the string head aligns. Moxa 30 zhu. Stabilizes. If chills recur, moxa 30 zhu immediately. Wait past the attack duration (one meal time). Do not feed even if hungry. Effective for men (left foot) and women (right foot). (Cited from Vol 18).
Cui Shi’s Formula: Kuaiji Laigong Changshan Tang (Polygalae Radix Decoction of Duke Lai of Kuaiji).
Changshan (Polygalae Radix, 3 liang), Shigao (Gypsum Fibrosum, 8 liang, crushed, wrapped), Ganzhuye (Bambusa Leaves, 1 bunch, cut), Nuomi (Glutinosa Oryzae Semen, 100 grains)
Cut the above four. Boil in 8 sheng water. Soak tonight in copper vessel, place outdoors under stars/moon in clean high place, place knife across top. Retrieve medicine facing light. Boil slowly in front of patient's door to obtain 3 sheng. Divide into three doses. One dose at sunrise, one before attack. If stabilized, stop. Wrap dregs (especially Shigao) on heart; remaining placed on palms. Very effective. Avoid raw scallions/vegetables. (Cited from Vol 4).
*Beiji Fang* Hua Tuo’s Changshan Guixin Wan (Polygalae Radix and Cinnamon Pill):
Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Changshan (Polygalae Radix), Dahuang (Rhei Radix et Rhizoma), Guixin (Cinnamomi Cortex) (Each 4 fen)
Grind to powder. Mix with honey. Take rabbit-poop sized pills at dawn. Six pills before attack. Drink with water. Eat warm congee before taking medicine. Avoid Haizao, Songcai, raw scallions, raw vegetables. (Wenzhong identical; cited from Vol 2).
*Yannian Fang* Changshan Wan (Polygalae Radix Pill) for Malaria (Sent by Pei Youshu):
Changshan (Polygalae Radix, 4 fen), Qingmuxiang (Aucklandiae Radix, 4 fen, southern origin), Shuqi (Radix Bupleuri cum Rhamno, 1 fen), Muli (Ostreae Concha, 2 fen), Dahuang (Rhei Radix et Rhizoma, 2 fen), Wumei Rou (Mume Fructus Flesh, 1 fen, roasted), Dansha (Cinnabaris, 2 fen, ground), Chi (Fermented Soybean, 2 fen, roasted), Zhimu (Anemarrhenae Rhizoma, 2 fen), Biejia (Testudinis Carapax et Plastrum, 2 fen, roasted), Mahuang (Ephedrae Herba, 1 fen, nodes removed)
Grind and sieve the above eleven. Mix with honey into wutong-sized pills. Take 5 pills with congee/water before attack. After mild vomiting, eat freely. Take 10 pills before next attack. Avoid amaranth, raw blood products, raw scallions, raw vegetables, grease. (Cui Shi identical).
Another Pill for Malaria:
Changshan (Polygalae Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 fen, roasted), Zhimu (Anemarrhenae Rhizoma, 4 fen)
Grind and sieve. Mix with honey into wutong-sized pills. Take 15 pills with water before attack, 15 pills at onset. Cure upon rapid vomiting. Avoid Haizao, raw scallions, raw vegetables, Songcai. (Cited from Vol 15).
*Bixiao Fang*: Ji Zi Changshan Wan (Chicken Egg Polygalae Radix Pill) for Malaria.
Crack one egg, remove yolk/white completely. Place in small pot. Fill empty shell with fine Changshan powder. Add to pot. Fill shell with white honey. Add to pot. Stir three ingredients. Simmer gently, stirring constantly. Cool slightly, form into wutong-sized pills. If attack at Wu hour (11am-1pm), take 30 pills at Si hour (9am-11am). Take another 30 pills near attack time. Wash down with juice. Allow vomiting. If no recurrence, stop. Avoid greasy/oily/flour/raw vegetable/fruit foods for 7 days. This formula was granted to General Qiao with immediate effect.
Another Formula for Persistent Malaria: Hugu Changshan Wan (Tiger Bone Polygalae Radix Pill).
Hutougu (Tiger Skull Bone, roasted), Changshan (Polygalae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Biejia (Testudinis Carapax et Plastrum, roasted), Wumei (Mume Fructus, roasted), Weirui (Polygonati Odorati Rhizoma), Baiwei (Clehorneae Radix), Shengma (Cimicifugae Rhizoma), Fuling (Poria), Shigao (Gypsum Fibrosum, ground), Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Radix, core removed), Douchi (Fermented Soybean, roasted), Digoubai pi (Phellodendri Cortex, root bark)
Equal parts of the above 14 ingredients. Grind together. Mix with honey into wutong-sized pills. Take 20 pills on empty stomach the night before attack. Take 40 pills at dawn on attack day. Walk 10 li, eat bowl of white congee. Take 30 pills at onset. Avoid cold/raw for 3 days. No failure. Cures without vomiting.
Changshan Jiu (Polygalae Radix Wine):
Changshan (Polygalae Radix, 1 liang, cut), Dutou Suan (Single-Clove Garlic, 1 piece, roots/stems removed, sliced crosswise), Nuomi (Glutinosa Oryzae Semen, 100 grains), Wudou (Black Soybean, 100 grains), Qingjiu (Clear Wine, 1 sheng)
On the day before attack, soak medicine in wine in a bowl. Cover with white paper. Place knife across bowl. At attack time, drink 1/3. If no vomiting, drink another 1/3. Vomiting cures. Avoid raw vegetables/scallions. (Cited from Vol 1).
*Gujin Luyan* Dou Xin Wan (Fermented Bean Core Pill) for Malaria:
Xiangchi (Perillae Fructus Fermentatus, 5 he, roasted until color changes), Changshan (Polygalae Radix, 2 liang), Dahuang (Rhei Radix et Rhizoma, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, 2 fen, processed)
Grind and sieve. Mix with honey into pills. Take 10 bean-sized pills initially, do not eat. Increase to 30 pills before attack. If malaria persists, up to 40 pills. Malaria will stop. If phlegm in diaphragm induces vomiting, allow it. If abdomen is full, purgation is acceptable. Often effective. Avoid raw scallions/vegetables. (Yang Kongs’ formula; cited from Vol 4).
Another Wumei Wan (Mume Fructus Pill) for Malaria: Treats all types including warm malaria, epidemic malaria, phlegm malaria.
Wumei Rou (Mume Fructus Flesh, 2 liang), Changshan (Polygalae Radix, 2 liang), Biejia (Testudinis Carapax et Plastrum, 2 liang, roasted), Xiangchi (Perillae Fructus Fermentatus, 2 liang), Shuqi (Radix Bupleuri cum Rhamno, 2 liang, raw), Renshen (Ginseng Radix, 1 liang), Rongzhu (Cistanches Herba, 2 liang), Guixin (Cinnamomi Cortex, 2 liang), Zhimu (Anemarrhenae Rhizoma, 2 liang), Taoren (Pruni Semen, 2 liang, tip/skin removed, pounded like syrup)
Grind and sieve the above ten. Mix with honey into paulownia-sized pills. Take 30 pills with wine on empty stomach. Avoid raw scallions, raw vegetables, amaranth, Haizao, Songcai. (Alternative version adds Shengma and Gancao, 2 liang each, totaling 12 ingredients).