夫江东岭南。土地卑湿。春夏之间。风毒弥盛。又山水湿蒸。致多瘴毒。风湿之气。从
地而
微肿。小腹不仁。以热憎寒。四肢缓弱。精神昏愦。大小便不通。毒瓦斯攻心。死不旋踵。此
皆瘴
治江东岭南。春夏不免暑湿郁蒸。脏腑虚羸。瘴毒攻击。香港脚发动。两脚枯疼。
或即浮热肿满。或即皮肉干焦。不能久立。筋急抽痛。或气冲心闷乱。胸膈痰逆。四
肢不仁。腹胀壅闷
五加皮（一两） 薏苡仁（一两半微炒） 防风（半两去芦头） 牛膝（二分去苗） 赤
茯苓
（二分）
黄（一两
去根节）
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治江东岭南。瘴毒香港脚。或其中即脚膝肿满。心神闷乱。寒热痰逆。头痛口干。
肩背拘急。
鳖甲（二两涂醋炙微黄去裙 ） 杏仁（半两汤浸去皮尖双仁麸炒微黄） 吴茱萸（半
两汤
浸七遍焙干微炒） 陈橘皮（半两汤浸去白瓤焙） 防风（一两去芦头） 麻黄（半两去根
节）
白术
（半两）
犀
门冬（一
两
两）
葳
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。薤白二茎。赤小豆三十粒。
枣
治瘴毒香港脚。身体肤胀。胸心痞涩。或时壮热。小腹不仁。两脚全弱。宜服小鳖
甲汤方。
鳖甲（二两涂醋炙微黄去裙 ） 杏仁（一两汤浸去皮尖双仁麸炒微黄） 川升麻（一
两）
黄芩
两） 乌梅
（七
上件药。捣筛为散。每服四钱。以水一中盏。入生姜半分。薤白二茎。煎至六分。去滓。
不
治瘴毒香港脚。初觉呕逆烦闷。头昏不食。宜服此方。
木香（半两） 槟榔（一两） 半夏（半两汤洗七遍去滑） 犀角屑（半两） 旋复花
（半两）
赤茯
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。香豉一百粒。煎至六分。
去滓
治瘴毒香港脚发动。心胸躁热闷乱。气急口干。舌焦烦渴。大小肠不利。宜服升麻
散方。
川升麻（一两） 黄芩（一两） 赤茯苓（一两） 木香（半两） 犀角屑（半两） 川
朴硝（一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。青竹茹二分。煎至六分。
去滓
治瘴毒香港脚。憎寒壮热。头痛。脚膝烦疼。腹中妨闷。不能饮食。食则无味。口
干多渴。宜
知母（二分） 川升麻（三分） 木香（半两） 赤茯苓（三两） 黄芩（三分） 鳖
甲（一两涂
醋炙
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治瘴毒香港脚初发。心中壅闷。四肢烦热。时时恶寒。脚膝疼痛。不欲饮食。宜服
此猪苓散方
猪苓（一两去黑皮） 赤茯苓（一两） 知母（一两） 柴胡（一两去苗） 吴茱萸（一
分汤浸
七遍
榔（一
两）
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治瘴毒香港脚。胸膈气不通。乍寒乍热。头痛心闷。不下饮食。宜服此方。
赤茯苓（一两） 川升麻（一两） 甘草（三分炙微赤锉） 知母（一两） 犀角屑（三
分） 木
香（
紫苏茎
叶
上件药。捣粗罗为散。每服四钱。以水一中盏。入姜汁半分。煎六分。去滓。不计时
候。
治岭南瘴毒香港脚。头面及脚肿。乍寒乍热。有似疟状。或气上逼心。烦闷喘嗽。
宜服大麻仁
大麻仁（一两炒令黄） 川大黄（一两锉碎微炒） 射干（一两） 菖蒲（一两） 甘
草（半两
炙微
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。豉一百粒。煎至六分。去
滓。
治瘴毒香港脚。心神闷乱。宜服犀角散方。
犀角屑（一两） 木香（半两） 射干（一两） 川升麻（一两） 麦门冬（一两去心）
柴胡
（一两
上件药。捣粗罗为散。每服四钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治瘴毒香港脚。热毒风盛。心神烦闷。脚膝酸疼。宜服生干地黄浸酒方。
生干地黄（三两） 独活（一两） 黑豆（半升炒热） 海桐皮（二两） 生牛蒡根（一
斤去皮）
桂
上件药。细锉。以生绢袋盛。用无灰酒二斗。浸三两日。每于食前。暖饮一小盏。
治瘴毒香港脚。烦热。心闷气促。宜服此方。
香豉（一合） 栀子仁（二分） 川升麻（半两）
上件药。以水一大盏半。煮取一盏。去滓。分温三服。
治瘴毒香港脚。及利腰脚。除湿痹。去心神烦闷。岭南常服。极熟豉酒方。\x
香豉（三升）
上以酒一斗。渍三宿后。每日随性暖饮之。效。
Jiangdong and Lingnan regions are characterized by low-lying, damp terrain. During spring and summer, wind-toxin (Fengdu) is rampant. Furthermore, the steaming of mountain waters and humidity leads to a prevalence of miasma-toxin (Zhangdu). The wind-damp qi invades from the ground, causing slight swelling. The lower abdomen feels numb and insensible. There is aversion to heat and fear of cold. The four limbs are flaccid and weak. Mental spirit is confused and lethargic. Urination and defecation are obstructed. Toxin attacks the heart, leading to rapid death. These are all caused by miasma-toxin.
In Jiangdong and Lingnan, summer heat and dampness stagnate and steam during spring and summer. The zang-fu organs are deficient and emaciated. Miasma-toxin attacks, triggering Hongjiaojiao (a disease characterized by swelling and pain in the feet and shins). The two legs become withered and painful. Alternatively, floating heat and swelling may occur immediately, or the skin and flesh may become dry and scorched. Standing for long periods is impossible. Tendons become tense with cramping pain. Qi may rush to the heart causing chest oppression and mental confusion. Phlegm rebels in the chest and diaphragm. The four limbs feel numb. The abdomen is distended, blocked, and stifling.
Wujiapi (Acanthopanacis Cortex, 1 liang), Yiyiren (Coicis Semen, 1.5 liang, slightly stir-fried), Fangfeng (Saposhnikoviae Radix, 0.5 liang, remove radicle), Niuxi (Achyranthis Bidentatae Radix, 2 fen, remove sprouts), Chifuling (Polypori Cum Poria, 2 fen), Huangqi (Astragali Membranacei Radix, 1 liang, remove root nodes).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao in Jiangdong and Lingnan. Or where foot and knee swelling and fullness occur immediately. Mental spirit is stifled and chaotic. Alternating chills and fever with phlegm rebellion. Headache and dry mouth. Shoulder and back stiffness and tension.
Biejia (Testudinis Carapax et Plastrum, 2 liang, vinegar-brushed and stir-fried until slightly yellow, remove skirt-like edges), Xingren (Armeniacae Semen Amarum, 0.5 liang, soaked in hot water, peel and remove sharp tips, double-kernel, bran-stir-fried until slightly yellow), Wuzhuyu (Evodiae Fructus, 0.5 liang, soaked in hot water seven times, dried and stir-fried until slightly yellow), Chenjupi (Citri Reticulatae Pericarpium, 0.5 liang, soaked in hot water, white pith removed, dried), Fangfeng (Saposhnikoviae Radix, 1 liang, remove radicle), Mahuang (Ephedrae Herba, 0.5 liang, remove root nodes), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Xijiao (Rhinocerotis Cornu, 0.5 liang), Maidong (Ophiopogonis Radix, 1 liang, remove heart).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, 2 stalks of Xiebai, 30 Chi Xiaodou, and 3 dates. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Body and skin swelling. Chest and heart痞涩 (stifling sensation). Occasional high fever. Lower abdomen feels numb and insensible. Both legs are completely weak. It is advisable to take Xiao Biejia Tang formula.
Biejia (Testudinis Carapax et Plastrum, 2 liang, vinegar-brushed and stir-fried until slightly yellow, remove skirt-like edges), Xingren (Armeniacae Semen Amarum, 1 liang, soaked in hot water, peel and remove sharp tips, double-kernel, bran-stir-fried until slightly yellow), Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Wumei (Mume Fructus, 7 pieces, roasted).
The above medicines are pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, and 2 stalks of Xiebai. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Initial feeling of nausea, vomiting, restlessness, and stifling. Dizziness and loss of appetite. It is advisable to take this formula.
Muxiang (Aucklandiae Radix, 0.5 liang), Binglang (Arecae Semen, 1 liang), Banxia (Pinelliae Rhizoma, 0.5 liang, washed seven times in hot water to remove slipperiness), Xijiao (Rhinocerotis Cornu, 0.5 liang),uanxuehua (Inulae Flos, 0.5 liang, wrapped in cotton), Chifuling (Polypori Cum Poria, 1 liang).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, and 100 Xiachi. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats onset of miasma-toxin Hongjiaojiao. Restless heat and stifling chaos in the chest and heart. Rapid breathing, dry mouth. Scorched tongue with thirst. Dysfunction of large and small intestines. It is advisable to take Shengma San formula.
Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Chifuling (Polypori Cum Poria, 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Xijiao (Rhinocerotis Cornu, 0.5 liang), Chuanponxiao (Natrii Sulfas, 1 liang).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, and 2 fen of Qingzhuru. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Aversion to cold with high fever. Headache. Restless pain in feet and knees. Abdominal obstruction and stifling. Inability to eat. Food tastes bland. Dry mouth with excessive thirst. It is advisable to take this formula.
Zhimu (Anemarrhenae Rhizoma, 2 fen), Chuanshengma (Polygoni Sibirici Rhizoma, 3 fen), Muxiang (Aucklandiae Radix, 0.5 liang), Chifuling (Polypori Cum Poria, 3 liang), Huangqin (Scutellariae Radix, 3 fen), Biejia (Testudinis Carapax et Plastrum, 1 liang, vinegar-brushed and stir-fried until slightly yellow, remove skirt-like edges), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, stir-fried until slightly red and cut).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats initial onset of miasma-toxin Hongjiaojiao. Stifling sensation in the heart. Restless heat in the four limbs. Frequent aversion to cold. Pain in feet and knees. Loss of appetite. It is advisable to take this Zhuling San formula.
Zhuling (Polyporus, 1 liang, remove black skin), Chifuling (Polypori Cum Poria, 1 liang), Zhimu (Anemarrhenae Rhizoma, 1 liang), Chaihu (Bupleuri Radix, 1 liang, remove sprouts), Wuzhuyu (Evodiae Fructus, 1 fen, soaked in hot water seven times, dried and stir-fried until slightly yellow), Binglang (Arecae Semen, 1 liang).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Qi blockage in the chest and diaphragm. Alternating chills and fever. Headache and heart stifling. Inability to eat. It is advisable to take this formula.
Chifuling (Polypori Cum Poria, 1 liang), Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, stir-fried until slightly red and cut), Zhimu (Anemarrhenae Rhizoma, 1 liang), Xijiao (Rhinocerotis Cornu, 3 fen), Muxiang (Aucklandiae Radix, 0.5 liang), Zisu Jingye (Perillae Caulis et Folium, 0.5 liang).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of ginger juice. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats Lingnan miasma-toxin Hongjiaojiao. Swelling of head, face, and feet. Alternating chills and fever, resembling malaria. Or Qi rushing up to press against the heart. Restlessness, panting, and coughing. It is advisable to take Dama Ren San formula.
Dama Ren (Cannabis Semen, 1 liang, stir-fried until yellow), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut into pieces and slightly stir-fried), Shegan (Belamcandae Rhizoma, 1 liang), Changpu (Acori Tatarinowii Rhizoma, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, stir-fried until slightly red and cut).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water, 0.5 fen of fresh ginger, and 100 chi. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Mental spirit is restless and chaotic. It is advisable to take Xijiao San formula.
Xijiao (Rhinocerotis Cornu, 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Shegan (Belamcandae Rhizoma, 1 liang), Chuanshengma (Polygoni Sibirici Rhizoma, 1 liang), Maidong (Ophiopogonis Radix, 1 liang, remove heart), Chaihu (Bupleuri Radix, 1 liang, remove sprouts).
The above medicines are coarsely pounded and sieved into a powder. Each dose is 4 qian. Add 1 zhong of water and 0.5 fen of fresh ginger. Decoct until 6 fen remains. Remove the dregs. Take at any time.
Treats miasma-toxin Hongjiaojiao. Prevalence of heat-toxin and wind. Mental spirit is restless and stifled. Soreness and pain in feet and knees. It is advisable to take Sheng Gan Dihuang Infused Wine formula.
Sheng Gan Dihuang (Rehmanniae Radix Preparata, 3 liang), Du Huo (Angelicae Pubescentis Radix, 1 liang), Heidou (Sojae Semen Nigrum, half sheng, stir-fried until hot), Haitongpi (Cryptocarya Cortex, 2 liang), Sheng Niubang Gen (Arctii Radix, 1 jin, peeled), Guixin (Cinnamomi Ramulus, 1 liang).
The above medicines are finely cut. Place in a raw silk bag. Soak in 2 dou of unadulterated wine for three days. Warm and drink one small cup before meals.
Treats miasma-toxin Hongjiaojiao. Restless heat. Heart stifling and shortness of breath. It is advisable to take this formula.
Xiangchi (Fermented Soybean, 1 he), Zhizi Ren (Gardeniae Fructus, 2 fen), Chuanshengma (Polygoni Sibirici Rhizoma, 0.5 liang).
The above medicines are boiled in 1.5 zhong of water until 1 zhong remains. Remove the dregs. Divide into three warm doses.
Treats miasma-toxin Hongjiaojiao. Also benefits waist and legs, removes damp-bi, and eliminates mental restlessness. Commonly taken in Lingnan. Ji Shu Chi Jiu formula.
Xiangchi (Fermented Soybean, 3 sheng).
Soak in 1 dou of wine for three nights. Then, warm and drink according to preference daily. Effective.