夫温疟者。得之冬。中于风寒。寒气藏于骨髓之中。至春则阳气大发。邪气不能出。因
遇大
内出
曰温
治温疟烦闷。麻黄饮子方。
麻黄(一两去根节) 牡蛎粉(一两) 蜀漆(半两) 甘草(半两) 犀角屑(半两)
知母(
半两)
上件药。细锉。都以水二大盏。煎至一盏半。去滓。分为三服。一日服尽。
又方。
恒山(半两) 甘草(半两生用) 冬瓜汁〔一斤(升)如无生者煎汁亦得〕
上件药。细锉。以冬瓜汁宿浸。早朝煎五六沸。去滓。分为二服。空心一服。发前一服
以得吐为妙。
又方。
鳖甲(一两涂醋炙令黄去裙 ) 甘草(一两生用) 冬瓜汁(四合) 车前叶(一握
无叶取子
二合) 恒山(半两)
上件药。都锉。以浆水一大盏半。并冬瓜汁宿浸。欲发日五更初。以急火煎取一盏。
去
水
治温瘴痰疟悉主之。乌梅丸方。
乌梅肉(一两微炒) 恒山(一两锉) 鳖甲(一两涂醋炙令黄去裙 ) 香豉(一两
炒干)
川椒
苁蓉
(一
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。不计时候。以温酒下二
十丸。
治温疟痰壅。发歇寒热方。
恒山(二两锉) 香豉(二合炒干)
上件药。捣罗为末。以粟米饭和丸。如梧桐子大。每服。不计时候。以温酒下三十丸。
Warm malaria (Wen Nue) is contracted in winter by being struck by wind-cold pathogens. The cold qi hides within the bone marrow. When spring arrives and yang qi expands vigorously, the pathogenic qi cannot exit, leading to disease onset; this is called warm malaria.
Ma Huang Yin Zi Decoction for treating warm malaria accompanied by restlessness and oppression:
Ephedrae Herba (Mahuang, 麻黄) (1 liang, roots and nodes removed), Ostreae Concha (Muli, 牡蛎) powder (1 liang), Puerariae Radix? No, Shuqi (Shuqi, 蜀漆 - likely Rhizoma Dryopteris Crassirhizomatis or similar emetic herb used in ancient texts, often associated with Changshan/Hengshan context but distinct here), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang), Cornu Rinocerotis (Xijiao, 犀角) shavings (0.5 liang), Anemarrhenae Rhizoma (Zhimu, 知母) (0.5 liang).
The above herbs are finely chopped. Add two large bowls of water and decoct until one and a half bowls remain. Strain out the dregs. Divide into three doses. Take all within one day.
Another prescription:
Dichroae Radix (Hengshan, 恒山) (0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (0.5 liang, raw use), Juice of Benincasa Fructus (Donggua Zhi, 冬瓜汁) (1 jin [sheng]; if fresh fruit is unavailable, decocted juice is acceptable).
The above herbs are finely chopped. Soak overnight in the winter melon juice. In the early morning, boil for five or six boils. Strain out the dregs. Divide into two doses. Take one dose on an empty stomach, and one dose before the attack. It is ideal if vomiting occurs.
Another prescription:
Testudinis Carapax et Plastrum (Biejia, 鳖甲) (1 liang, coated with vinegar and roasted until yellow, remove the skirt edge), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang, raw use), Juice of Benincasa Fructus (Donggua Zhi, 冬瓜汁) (4 he), Folium Plantaginis (Cheqian Ye, 车前叶) (one handful; if leaves are unavailable, take seeds, 2 he), Dichroae Radix (Hengshan, 恒山) (0.5 liang).
The above herbs are all chopped. Soak overnight in one and a half large bowls of fermented grain water (Jiangshui, 浆水) along with the winter melon juice. On the day symptoms are about to appear, at the beginning of the fifth watch (wugeng), decoct rapidly over high heat until one bowl remains. Strain out the dregs.
Wumei Wan for treating all cases of warm miasma malaria (Wen Zhang Tan Nue):
Semen Pruni Mume (Wumei Rou, 乌梅肉) (1 liang, lightly stir-fried), Dichroae Radix (Hengshan, 恒山) (1 liang, chopped), Testudinis Carapax et Plastrum (Biejia, 鳖甲) (1 liang, coated with vinegar and roasted until yellow, remove the skirt edge), Fermented Soybean (Xiangchi, 香豉) (1 liang, stir-fried until dry), Sichuan Pepper (Chuanjiao, 川椒) (appropriate amount), Cistanche Herba (Roucongrong, 肉苁蓉) (appropriate amount).
The above herbs are crushed and sieved into powder. Mix with refined honey and pound three to two hundred times. Form pills the size of paulownia seeds. Each dose: take twenty pills at any time, washed down with warm wine.
Prescription for treating warm malaria with phlegm obstruction and alternating chills and fever:
Dichroae Radix (Hengshan, 恒山) (2 liang, chopped), Fermented Soybean (Xiangchi, 香豉) (2 he, stir-fried until dry).
The above herbs are crushed and sieved into powder. Mix with millet rice paste to form pills the size of paulownia seeds. Each dose: take thirty pills at any time, washed down with warm wine.