夫疟久不瘥者。则表里俱虚。客邪未散。气血虚弱。真气不复。因其寒热不止。食饮渐
少。肌肤羸瘦。颜色萎黄。四肢无力。故名劳疟也。
治劳疟。四肢羸瘦。不思饮食。恒山饮子方。
恒山（三分） 乌梅肉（七枚微炒） 豉心（半两） 桃枝（一握） 鳖甲（三分涂醋
炙令黄去
裙） 虎头骨（三
〔二（三）
七枚汤浸去皮尖双仁
上件药。细锉。都以酒四大盏。浸一宿。明旦煎取二盏。去滓。空心分为三服。
治劳疟。发歇不恒。日渐羸瘦。豉心饮子方。
豉心（一合） 雄鼠粪（一分烧灰细研后入） 童子小便（二大盏） 甘草（半两炙令
微赤）
鳖甲（一两涂醋炙令黄去裙 ） 柴胡（一两去苗） 栀子仁（二分） 乌梅肉（七枚微炒）
桃心
（一握） 柳心
上件药。细锉。投入小便内浸一宿。明旦煎取一盏二分。去滓。下鼠粪灰。地黄汁。搅
令匀。分为三服。空心一服。食后一服。近晚一服。
又方。
蜀漆（半两） 甘草（半两） 天灵盖（一两涂酥炙令黄） 生黑豆（一合） 桃仁（半
两汤浸
去皮尖双仁） 乌梅肉 竹叶
上件药。细锉。都以水三大盏。煎取一盏半。去滓。分为三服。空心一服。未发前一服
发时一服。
治劳疟。连年不瘥。乌梅丸方。
乌梅肉（一两微炒） 鳖甲（一两涂醋炙令黄去裙 ） 虎头骨（一两涂酥炙令黄） 天
灵盖
（一
两） 川
升
枳壳
（一两麸炒微黄去
皮（一
两） 木香（一两） 槟榔（一两）
两细研）
桃仁（四十九枚汤浸去皮尖双仁麸
上件药。捣罗为末。入麝香研匀。炼蜜和捣五七百杵。丸如梧桐子大。每日空心。煎桑
根白皮汤下三十丸。晚食前再服。
治劳疟。寒热发作无时者。蜀漆丸方。
蜀漆（半两） 乌梅肉（半两微炒） 川升麻（半两） 石膏（一两细研） 知母（半
两） 白薇
（半两） 甘草（半两炙微赤锉） 恒山（半两锉） 鳖甲（半两涂醋炙令黄去裙 ） 葳
蕤（半两）
麦门冬（
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以
粥饮下二十丸。日再服。稍加至三十丸。此方神效。
治劳疟发歇。寒热体瘦。四肢疼痛。或时烦渴。宜用此方。
砒霜（半两） 朱砂（一分） 雄黄（一分） 阿魏（一分） 麝香（三分以上并细研）
虎头骨
（一分涂酥炙黄） 蛇骨（一分酒浸炙微黄） 恒山（一分锉） 猢狲头骨（一分炙黄） 天
灵盖
（一枚烧令白色
上件药。初夜都去一茶床上安排。用香一炉。净水一盏。于北斗下露之。才明收之。候
五月
带之
治劳疟痰滞。发歇不定。鳖甲酒方。
鳖甲（一两涂醋炙令黄去裙 ） 恒山〔三分（两）锉〕 川升麻（一两） 附子（一
两炮裂
去皮脐） 乌贼鱼骨（一两）
上件药。细锉。以绢袋盛。用酒六升。浸三五日。每服一中盏。暖令温。空心服之。或
吐即瘥。未吐再服。
治劳疟极效。红英丹方。
雄黄（一分细研） 朱砂（一分细研） 硫黄（一分细研） 天雄（一分生用去皮脐） 丁
香（
一分） 虎头骨（一分生用） 黄丹（一分） 赤小豆（一升） 麝香（一钱细研）
上件药。捣罗为末。入研了药令匀。取甲子日合。用粟米饭和丸。如小豆大。男左女右
以
治劳疟。及瘴鬼等疟。悉治之。乌梅丸方。
乌梅肉（一两微炒） 肉苁蓉（一两酒浸一宿锉去皱皮炙干） 恒山〔三（二）分锉〕 川
升
麻（三
微赤锉）
知
心（三
分）
上件药。捣罗为末。入麝香研匀。炼蜜和捣三二百杵。丸如梧桐子大。每未发前。
空心
治劳疟久不瘥。桃仁丸方。
桃仁（二两和皮尖生捣） 恒山末（二两） 豉（三两新好者）
上件药相和。捣五七百杵。如干未丸得。即入少许酒。和丸如梧桐子大。每服。空腹。
以温酒下五丸。食后候腹空时。再服之。如渴。即煎乌梅汤冷呷。勿杂食物。
又方。
砒霜（一钱） 阿魏（一钱） 天灵盖（一钱炙微黄）
上件药。捣罗为末。以粳米饭和丸。如小豆大。发前。以温水下五丸立效。忌食热物。
治久患劳疟瘴等。宜服此方。
寒水石（三分细研） 砒霜（一两细研）
上以浓纸两重。糊粘于铫子底。将砒安中。次以寒水石盖上。以匙紧按。将一瓷盏子盖
又
于
将
又方。
恒山（一两末） 朱砂（一两细研）
上件药。都研令匀。以炼蜜和丸。如梧桐子大。未发前。以温水下三丸。临发时又服三
丸。以瘥为度。
又方。
鳖甲（三两涂醋炙令黄去裙 ）
上捣细罗为散。未发时。以温酒调下二钱。临发时再服。
治劳疟时久不断。宜服此方。
牛膝（二握去芦头）
上以水二大盏。煮取一盏。去滓。分为二服。未发前服。临欲发再一服。
又方。
马鞭草汁（五合）
上以酒一小盏相和。暖令温。欲发前顿服。
又方。
鼠尾草（一握） 车前叶（一握）
上件药。并锉。以水二大盏。煎取一盏。去滓。分为二服。欲发前服之。
又方。
瓜蒂（二七枚）
上捣碎。以水一小盏。浸一宿取汁。欲发前顿服。吐之即效。
又方。
桃花（一两）
上捣细罗为散。食前。以水调服二钱。日二服瘥。
又方。
八月上寅日。采取麻花。
上捣细罗为散。每食前。以温酒调下一钱。
又方。
白狗粪（烧为灰）
上研令极细。每于发前。以水调二钱服之。
又方。
燕子粪（一合末之）
上候发日平旦。以酒半碗浸。搅起。令患人两手把当鼻下嗅取气。便不发。神验。瘥后
未得饮水。
又方。
豉心（一两炒干） 生砒（一钱）
上件药。都研令匀。入炼蜜和丸。如麻子大。每服。发时。先以温豉汤下三丸。立定。
又方。
野狐肝（一具阴干）
上于重五日更初。往北斗下受气。捣罗为末。以粳米饭和丸。如绿豆大。用绯帛子裹一
丸。于男左女右手。中指上系之。
When malaria persists for a long time without healing, both the exterior and interior are deficient. The pathogenic factors have not dispersed, Qi and Blood are weak, and the True Qi fails to recover. Due to unceasing chills and fever, food and drink intake gradually decrease, muscles become emaciated, complexion becomes sallow, and the four limbs lack strength; thus it is called "Labor Malaria" (Lao Nüe).
To treat Labor Malaria with emaciation of the four limbs and loss of appetite, use Hengshan Yinzi Decoction.
Hengshan (Dichroa Radix) (3 fen), Wu Mei (Fructus Mume) (7 pieces, slightly stir-fried), Chi Xin (Fermented Soybean Paste Core) (0.5 liang), Tao Zhi (Peach Twig) (1 wo), Bie Jia (Carapax et Plastrum Testudinis) (3 fen, coated with vinegar and roasted until yellow, remove the skirt), Hu Tou Gu (Os Tigris Cranii) (3 pieces, soaked in decoction, remove skin and tips, double kernels).
The above herbs are finely chopped, placed in 4 large cups of wine, and soaked overnight. On the next morning, decoct to obtain 2 cups, filter the dregs. Divide into three doses and take on an empty stomach.
To treat Labor Malaria with irregular paroxysms and progressive emaciation, use Chi Xin Yinzi Decoction.
Chi Xin (Fermented Soybean Paste Core) (1 he), Xiong Shu Fen (Stercus Mus Melli) (1 fen, burnt to ash and finely ground, added later), Tong Zi Xiao Nian (Urine of a Young Boy) (2 large cups), Gan Cao (Radix Glycyrrhizae) (0.5 liang, roasted until slightly red).
Bie Jia (Carapax et Plastrum Testudinis) (1 liang, coated with vinegar and roasted until yellow, remove the skirt), Chai Hu (Radix Bupleuri) (1 liang, remove the crown), Zhi Zi Ren (Semen Gardeniae) (2 fen), Wu Mei (Fructus Mume) (7 pieces, slightly stir-fried), Tao Xin (Peach Heart) (1 wo), Liu Xin (Willow Heart) [Note: Text implies specific part].
The above herbs are finely chopped, immersed in urine overnight. On the next morning, decoct to obtain 1 cup and 2 fen, filter the dregs, add Shu Fen Hui (Ash of Mouse Feces) and Di Huang Zhi (Juice of Rehmannia Root), mix evenly, and divide into three doses. Take one dose on an empty stomach, one dose after meals, and one dose near evening.
Another prescription.
Shu Qi (Herba Dichroae) (0.5 liang), Gan Cao (Radix Glycyrrhizae) (0.5 liang), Tian Ling Gai (Cranium Humanum) (1 liang, coated with lard and roasted until yellow), Sheng Hei Dou (Semen Sojae Nigrae) (1 he), Tao Ren (Semen Persicae) (0.5 liang, soaked in decoction, remove skin and tips, double kernels), Wu Mei (Fructus Mume), Zhu Ye (Bamboo Leaf).
The above herbs are finely chopped, decocted in 3 large cups of water to obtain 1.5 cups, filter the dregs, and divide into three doses. Take one dose on an empty stomach, one dose before onset, and one dose during onset.
To treat Labor Malaria persisting for years without healing, use Wumei Wan Pill.
Wu Mei (Fructus Mume) (1 liang, slightly stir-fried), Bie Jia (Carapax et Plastrum Testudinis) (1 liang, coated with vinegar and roasted until yellow, remove the skirt), Hu Tou Gu (Os Tigris Cranii) (1 liang, coated with lard and roasted until yellow), Tian Ling Gai (Cranium Humanum) (1 liang), Chuan Sheng Ma (Rhizoma Cimicifugae) (1 liang, stir-fried with bran until slightly yellow, remove skin), Zhi Ke (Fructus Aurantii) (1 liang, stir-fried with bran until slightly yellow, remove pith), Mu Xiang (Radix Aucklandiae) (1 liang), Bing Lang (Semen Arecae) (1 liang, finely ground), Tao Ren (Semen Persicae) (49 pieces, soaked in decoction, remove skin and tips, double kernels, stir-fried with bran).
The above herbs are crushed, sifted into powder, mixed with She Xiang (Moschus) until uniform, combined with refined honey, and pounded 500-700 times. Form pills the size of paulownia seeds. Take 30 pills daily on an empty stomach with decoction of Sang Gen Bai Pi (Cortex Mor radicis), and repeat before evening meal.
To treat Labor Malaria with chills and fever occurring at any time, use Shu Qi Wan Pill.
Shu Qi (Herba Dichroae) (0.5 liang), Wu Mei (Fructus Mume) (0.5 liang, slightly stir-fried), Chuan Sheng Ma (Rhizoma Cimicifugae) (0.5 liang), Shi Gao (Gypsum Fibrosum) (1 liang, finely ground), Zhi Mu (Rhizoma Anemarrhenae) (0.5 liang), Bai Wei (Radix Cynanchi Atrati) (0.5 liang), Gan Cao (Radix Glycyrrhizae) (0.5 liang, roasted until slightly red and chopped), Hengshan (Dichroa Radix) (0.5 liang, chopped), Bie Jia (Carapax et Plastrum Testudinis) (0.5 liang, coated with vinegar and roasted until yellow, remove the skirt), Wei Yu (Rhizoma Polygonati Odorati) (0.5 liang), Mai Men Dong (Radix Ophiopogonis) (0.5 liang).
The above herbs are crushed, sifted into powder, mixed with previously ground ingredients until uniform, combined with refined honey, and pounded 300-200 times. Form pills the size of paulownia seeds. Take 20 pills before meals with porridge drink, twice daily, gradually increasing to 30 pills. This prescription is miraculous.
For Labor Malaria with irregular paroxysms, chills, fever, emaciation, limb pain, and occasional thirst, use this prescription.
Pi Shuang (Arsenic Trioxide) (0.5 liang), Zhu Sha (Cinnabaris) (1 fen), Xiong Huang (Realgar) (1 fen), A Wei (Resina Ferulae) (1 fen), She Xiang (Moschus) (3 fen, all finely ground), Hu Tou Gu (Os Tigris Cranii) (1 fen, coated with lard and roasted yellow), She Gu (Snake Bone) (1 fen, soaked in wine and roasted until slightly yellow), Hengshan (Dichroa Radix) (1 fen, chopped), Hu Sun Tou Gu (Monkey Skull Bone) (1 fen, roasted yellow), Tian Ling Gai (Cranium Humanum) (1 piece, burnt until white).
Place all herbs on a tea table early at night. Burn one incense stick, place one cup of clean water, and expose under the Big Dipper. Collect at dawn. Wear it in May.
To treat Labor Malaria with phlegm stagnation and irregular paroxysms, use Bie Jia Jiu Wine Preparation.
Bie Jia (Carapax et Plastrum Testudinis) (1 liang, coated with vinegar and roasted until yellow, remove the skirt), Hengshan (Dichroa Radix) (3 fen, chopped), Chuan Sheng Ma (Rhizoma Cimicifugae) (1 liang), Fu Zi (Radix Aconiti Lateralis Preparata) (1 liang, processed cracked, remove skin and navel), Ou Zei Gu (Endoconcha Sepiae) (1 liang).
Finely chop the above herbs, place in a silk bag, soak in 6 sheng of wine for 3-5 days. Take 1 medium cup per dose, warm it, and take on an empty stomach. If vomiting occurs, it heals; if not, take again.
Extremely effective for Labor Malaria, use Hong Ying Dan Pill.
Xiong Huang (Realgar) (1 fen, finely ground), Zhu Sha (Cinnabaris) (1 fen, finely ground), Liu Huang (Sulfur) (1 fen, finely ground), Tian Xiong (Radix Aconiti Kusnezoffii) (1 fen, raw, remove skin and navel), Ding Xiang (Flos Caryophylli) (1 fen), Hu Tou Gu (Os Tigris Cranii) (1 fen, raw), Huang Dan (Lithargyrum) (1 fen), Chi Xiao Dou (Semen Phaseoli Uradis) (1 sheng), She Xiang (Moschus) (1 qian, finely ground).
Crush and sift into powder, mix with previously ground ingredients until uniform. Prepare on a Jia Zi day. Combine with millet rice flour to form pills the size of small beans. For men, left hand; for women, right hand...
To treat Labor Malaria and miasma ghosts/malaria, use Wumei Wan Pill.
Wu Mei (Fructus Mume) (1 liang, slightly stir-fried), Rou Cong Rong (Herba Cistanches) (1 liang, soaked in wine overnight, chopped, remove wrinkled skin, roasted dry), Hengshan (Dichroa Radix) (3 fen, chopped), Chuan Sheng Ma (Rhizoma Cimicifugae) (3 liang, slightly red, chopped), Zhi Mu (Rhizoma Anemarrhenae) (3 liang).
Crush and sift into powder, mix with She Xiang (Moschus) until uniform, combine with refined honey, and pound 300-200 times. Form pills the size of paulownia seeds. Take before onset on an empty stomach...
To treat Labor Malaria persisting for a long time, use Tao Ren Wan Pill.
Tao Ren (Semen Persicae) (2 liang, raw with skin and tips, crushed), Hengshan Mo (Powder of Dichroa Radix) (2 liang), Chi (Fermented Soybean Paste) (3 liang, fresh and good).
Mix the above herbs, pound 500-700 times. If too dry to form pills, add a little wine. Form pills the size of paulownia seeds. Take 5 pills on an empty stomach with warm wine. Take again after meals when the stomach is empty. If thirsty, drink cold Wumei Tang (Mume Decoction); do not mix with other foods.
Another prescription.
Pi Shuang (Arsenic Trioxide) (1 qian), A Wei (Resina Ferulae) (1 qian), Tian Ling Gai (Cranium Humanum) (1 qian, roasted until slightly yellow).
Crush and sift into powder, combine with Jing Mi Fan (Rice Porridge) to form pills the size of small beans. Take 5 pills with warm water before onset for immediate effect. Avoid hot foods.
For chronic Labor Malaria and miasma, take this prescription.
Han Shui Shi (Alumen) (3 fen, finely ground), Pi Shuang (Arsenic Trioxide) (1 liang, finely ground).
Paste two layers of thick paper onto the bottom of a ding pot. Place Pi Shuang in the middle, cover with Han Shui Shi, press tightly with a spoon, and cover with a porcelain bowl...
Another prescription.
Hengshan (Dichroa Radix) (1 liang, powder), Zhu Sha (Cinnabaris) (1 liang, finely ground).
Grind uniformly, combine with refined honey to form pills the size of paulownia seeds. Take 3 pills with warm water before onset, and another 3 pills at the time of onset. Continue until healed.
Another prescription.
Bie Jia (Carapax et Plastrum Testudinis) (3 liang, coated with vinegar and roasted until yellow, remove the skirt).
Crush and sift into powder. Before onset, take 2 qian mixed with warm wine. Take again at the time of onset.
For Labor Malaria lasting a long time without cessation, take this prescription.
Niu Xi (Radix Achyranthis Bidentatae) (2 wo, remove root crown).
Decoct in 2 large cups of water to obtain 1 cup, filter dregs, divide into two doses. Take before onset. Take again just before onset.
Another prescription.
Ma Bian Cao Zhi (Juice of Verbena Officinalis) (5 he).
Mix with 1 small cup of wine, warm, and take in one dose before onset.
Another prescription.
Shu Wei Cao (Salvia Miltiorrhiza? Or distinct herb?) (1 wo), Che Qian Ye (Leaf of Plantago Asiatica) (1 wo).
Chop the above herbs, decoct in 2 large cups of water to obtain 1 cup, filter dregs, divide into two doses. Take before onset.
Another prescription.
Gua Di (Fructus Trichosanthis) (14 pieces).
Crush, soak in 1 small cup of water overnight, extract juice. Take in one dose before onset. Vomiting brings efficacy.
Another prescription.
Tao Hua (Flos Persicae) (1 liang).
Crush and sift into powder. Take 2 qian mixed with water before meals, twice daily until healed.
Another prescription.
On the Yin day of the eighth month, collect Ma Hua (Hemp Flower).
Crush and sift into powder. Take 1 qian mixed with warm wine before each meal.
Another prescription.
Bai Gou Fen (White Dog Excrement) (burnt to ash).
Grind extremely fine. Take 2 qian mixed with water before onset.
Another prescription.
Yan Zi Fen (Swallow Excrement) (1 he, powdered).
On the day of onset at dawn, soak in half a bowl of wine, stir up. Let the patient hold it under the nose to inhale the vapor; the attack will not occur. Miraculous. Do not drink water immediately after healing.
Another prescription.
Chi Xin (Fermented Soybean Paste Core) (1 liang, stir-fried dry), Sheng Pi (Raw Arsenic) (1 qian).
Grind uniformly, combine with refined honey to form pills the size of sesame seeds. At the time of onset, first take 3 pills with warm Chi Tang (Soybean Decoction) to stabilize immediately.
Another prescription.
Ye Hu Gan (Wild Fox Liver) (1 piece, dried in shade).
At the beginning of the second watch on the fifth day of the fifth month, go under the Big Dipper to receive qi. Crush and sift into powder, combine with Jing Mi Fan (Rice Porridge) to form pills the size of mung beans. Wrap one pill in red silk, tie it to the middle finger of the left hand for men or right hand for women.