夫痰实疟者。谓患人胸膈。先有停滞结实。因感疟病。则令人心下支满。气逆烦呕也。
治痰实疟。每发不定时节。或朝或夜。渐不能食。宜服松萝汤吐方。
菘萝（半两） 人参芦头（半两） 恒山（半两） 川升麻（半两） 竹叶（一两片）
上件药。细锉。以水二大盏。煎取一盏。去滓。分为二服。平旦时服。如人行五里当吐
。未吐更一服。良久得吐即瘥。
治痰实疟。攻作寒热。乌梅汤方。
乌梅肉（半两微炒） 恒山（半两） 菘萝（三分） 鳖甲（一两生用） 川升麻（一
两）
上件药。都细锉。以水三大盏。煎取一盏半。下茶末二钱。更煎三两沸。去滓。空腹分
为二服。如人行五里当吐。如未吐再一服。以吐恶痰为度。
治痰实疟。吐之即瘥方。
细辛（半两） 恒山（一两） 栀子仁（半两） 菘萝（半两） 犀角屑（半两） 川
升麻（半两）
玄参（半两） 甘草（半两生锉）
上件药。捣筛为散。每服半两。以酒一中盏。浸一宿。下酒温过。去滓顿服。取吐病母
出为度。其痰每如烂鸡子状。是也。
治痰实疟。寒热。心膈烦壅。不利。豉心丸方。
豉心（一两炒干） 川大黄（一两锉碎微炒） 恒山（一两锉） 川升麻（一两） 附
子（半两
炮裂去皮脐） 甘草（半两炙微赤锉）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。空心。以温水下二七丸。
治痰实疟。发歇不止。菘萝丸方。
菘萝（半两） 恒山（半两锉） 阿魏（一分） 蜀漆（一分） 大青（一分） 朱砂
〔三（一）分
细研〕 麝香（一分细研）
上件药。捣罗为末。都研令匀。取端午日午时。于净室内。用七家粽子尖和。丸如梧桐
子大
绯绢
又方。
恒山（三分） 乌梅肉（半两生用） 甘草（半两生用）
上件药。都细锉。以酒一大盏浸一宿。早晨去滓。暖令温。顿服。良久。以箸入喉中引
之。吐出恶物立瘥。
治痰实疟。发作无时。寒热。不下饮食方。
川升麻（半两） 恒山（半两） 蜀漆（半两）
上件药。捣粗罗为散。每服四钱。以井华水一中盏。煎至七分。去滓。空腹顿服。良久
即吐。吐定。食浆水粥补之。
又方。
豉（一百二十粒醋浸一宿） 砒黄（半两）
上件药。都研令匀。烂丸如绿豆大。每发前。以葱酒下一丸。以得吐为度。
治痰实疟。发歇。寒热不定。恒山散方。
恒山（半两） 朱砂（一分细研） 乌梅肉（半两生用）
上件药。捣细罗为散。入朱砂研匀。每于发前。以醋汤调下一钱。以吐为度。
治痰实疟。久不瘥。宜服此方。
木香（一两） 恒山（三分锉） 菘萝（半两） 赤小豆〔半两（合）〕 砒霜（一分
细研以醋
五
合煎令稠）
上件药。捣罗为末。以砒霜煎和丸。如梧桐子大。空腹。以温浆水下三丸。以吐为度。
如未定。晚再服之。
Tan-shi Malaria (Phlegm-Excess Malaria) refers to a condition where the patient's chest and diaphragm originally harbor stagnant and solidified pathogenic factors. Upon contracting malaria, this leads to a sensation of fullness and distension below the heart, rebellious Qi, irritability, and vomiting.
For treating Tan-shi Malaria, where attacks occur at irregular intervals, sometimes in the morning and sometimes at night, accompanied by gradual loss of appetite, it is advisable to take Songluo Decoction for Inducing Vomiting.
Ingredients: Radix Hedyotisae Diffusae (Songluo, 0.5 liang), Rhizoma et Radix Ginseng (Ren Shen Lu Tou, 0.5 liang), Radix Dichroiae (Hengshan, 0.5 liang), Radix Bupleuri (Chuan Shengma, 0.5 liang), Leaves of Bambusa (Zhuye, 1-2 pieces).
Preparation and Administration: Finely chop the above ingredients. Decoct with two large bowls of water until one bowl remains. Strain the dregs. Divide into two doses. Take at dawn (Pingdan). Vomiting should occur after walking approximately five *li*. If vomiting does not occur, administer another dose. Once vomiting occurs after a while, the disease will resolve.
For treating Tan-shi Malaria, which presents with alternating chills and fever, use Wumei Decoction.
Ingredients: Fructus Mume (Wumei Rou, 0.5 liang, lightly stir-fried), Radix Dichroiae (Hengshan, 0.5 liang), Radix Hedyotisae Diffusae (Songluo, 3 fen), Carapax et Plastrum Testudinis (Biejia, 1 liang, used raw), Radix Bupleuri (Chuan Shengma, 1 liang).
Preparation and Administration: Finely chop all ingredients. Decoct with three large bowls of water until one and a half bowls remain. Add two qian of tea powder, boil for three boils. Strain. Take on an empty stomach, divided into two doses. Vomiting should occur after walking approximately five *li*. If no vomiting occurs, take another dose. The treatment is considered effective when foul phlegm is expelled.
Formula for curing Tan-shi Malaria upon inducing vomiting.
Ingredients: Radix Asari (Xixin, 0.5 liang), Radix Dichroiae (Hengshan, 1 liang), Semen Gossypii Herbacei (Zizhiren, 0.5 liang), Radix Hedyotisae Diffusae (Songluo, 0.5 liang), Cornu Rhinocerotis (Xijiao Xie, 0.5 liang), Radix Bupleuri (Chuan Shengma, 0.5 liang), Radix Scrophulariae (Xuanshen, 0.5 liang), Radix Glycyrrhizae (Gancao, 0.5 liang, cut raw).
Preparation and Administration: Pound and sieve the ingredients into a powder. Take 0.5 liang per dose. Soak in one medium bowl of wine overnight. Warm the wine, strain, and take in one dose. The goal is to expel the "mother" of the disease (the root phlegm). The expelled phlegm typically resembles a rotten egg; this is the target.
For treating Tan-shi Malaria presenting with alternating chills and fever, mental oppression and stuffiness in the heart and diaphragm, and constipation, use Shixin Pills.
Ingredients: Flos Lonicerae Fermentatus (Shixin, 1 liang, dried by stir-frying), Radix Rhei Palmati (Chuan Dahuang, 1 liang, chopped and lightly stir-fried), Radix Dichroiae (Hengshan, 1 liang, chopped), Radix Bupleuri (Chuan Shengma, 1 liang), Radix Aconiti Lateralis Preparata (Fuzi, 0.5 liang, processed, skin and umbilicus removed), Radix Glycyrrhizae (Gancao, 0.5 liang, honey-fried until slightly red and chopped).
Preparation and Administration: Pound and sieve into powder. Mix with refined honey and pound/knead for 300-200 strikes. Form pills the size of Sophora japonica seeds. Take on an empty stomach with warm water, 14 pills (two sevens) per dose.
For treating Tan-shi Malaria with incessant attacks and remissions, use Songluo Pills.
Ingredients: Radix Hedyotisae Diffusae (Songluo, 0.5 liang), Radix Dichroiae (Hengshan, 0.5 liang, chopped), Resina Ferulae (Awei, 1 fen), Ramulus Evodiae (Shuqi, 1 fen), Cortex Cyani (Daqing, 1 fen), Mineral Cinnabar (Zhusha, 1 fen, finely ground), Moschus (Shexiang, 1 fen, finely ground).
Preparation and Administration: Pound and sieve into powder, mixing thoroughly. On the noon hour of the Dragon Boat Festival (Duanwu), in a clean room, mix with the tips of zongzi (sticky rice dumplings) from seven different households. Form pills the size of Sophora japonica seeds. Wrap in crimson silk.
Another formula.
Ingredients: Radix Dichroiae (Hengshan, 3 fen), Fructus Mume (Wumei Rou, 0.5 liang, used raw), Radix Glycyrrhizae (Gancao, 0.5 liang, used raw).
Preparation and Administration: Finely chop all ingredients. Soak in one large bowl of wine overnight. In the morning, strain and warm. Take in one dose. After a while, induce vomiting by stimulating the throat with a chopstick. Expelling foul matter leads to immediate recovery.
For treating Tan-shi Malaria with irregular attacks, alternating chills and fever, and inability to eat.
Ingredients: Radix Bupleuri (Chuan Shengma, 0.5 liang), Radix Dichroiae (Hengshan, 0.5 liang), Ramulus Evodiae (Shuqi, 0.5 liang).
Preparation and Administration: Coarsely sieve into powder. Take 4 qian per dose. Decoct with one medium bowl of well-water (Jinghua Shui) until reduced to 70%. Strain. Take on an empty stomach in one dose. Vomiting will occur after a while. After vomiting subsides, consume millet gruel with vinegar water (Jiangshui Zhou) to nourish the body.
Another formula.
Ingredients: Flos Lonicerae Fermentatus (Chi, 120 grains, soaked in vinegar overnight), Arsenic Sulfide (Pi Huang, 0.5 liang).
Preparation and Administration: Grind uniformly. Form pills the size of mung beans. Before each attack, swallow one pill with scallion-infused wine. Stop when vomiting occurs.
For treating Tan-shi Malaria with intermittent attacks and indeterminate chills and fever, use Hengshan Powder.
Ingredients: Radix Dichroiae (Hengshan, 0.5 liang), Mineral Cinnabar (Zhusha, 1 fen, finely ground), Fructus Mume (Wumei Rou, 0.5 liang, used raw).
Preparation and Administration: Fine-sieve into powder, incorporating the cinnabar and grinding evenly. Before each attack, mix one qian with vinegar-infused water and take orally. Stop when vomiting occurs.
For treating Tan-shi Malaria that has persisted without resolution, use this formula.
Ingredients: Radix Aucklandiae (Muxiang, 1 liang), Radix Dichroiae (Hengshan, 3 fen, chopped), Radix Hedyotisae Diffusae (Songluo, 0.5 liang), Semen Phaseoli Radiati (Chixiaodou, 0.5 liang), Arsenic Trioxide (Pishuang, 1 fen, finely ground, decocted with five he of vinegar until thick).
Preparation and Administration: Pound the non-arsenic ingredients into powder. Mix with the thickened arsenic-vinegar decoction to form pills the size of Sophora japonica seeds. Take on an empty stomach with warm millet gruel water, three pills per dose. Stop when vomiting occurs. If the effect is not definitive, take again in the evening.