小儿凡发疟疾,多有病气。须常烧檀香,以僻其邪,更常熏其衣褓等物,气秽去而邪易除矣。
凡疟药必露者,疟乃暑邪之因,露为肃杀之气。《性理大全》谓雾属阳,露属阴,雾生物,露杀物,则知
暑邪逢露即解矣。
凡疟疾口渴,切不可饮冷水冷茶,并生冷之物,犯之其病益甚,惟以姜汤乘热饮之。此良法也。
凡疟疾热未全退,切不可令其饮食,必俟其热已退尽,方可食之。不然,终成癖积。
凡服止截之药,必须饿过发时,不发,方可吃粥,食早疟必再作,下次截药无灵矣。
清邪止疟方(李士材制) 升麻、柴胡各二钱,提阳气上升,使远于阴而寒可止;黄芩、知母各一钱五
分,引阴气下降,使远于阳而热自已。生姜三钱,却邪归正;甘草五分,和其阴阳,二三剂自止。
四神酒 治久疟不止,一服即住,永不再发。用常山一钱五分、槟榔一钱、丁香五分、乌梅一个,好酒
大半碗,略煎,露一宿。发日空心冷服。
无痰不成疟,所以疟家多蓄痰涎溢饮。常山能破涎逐饮,故有截疟之功,然须用于发散表邪之后,及提出阳
分之时,则发无不中矣。凡服常山,切勿热服,须露一宿为妙。热服则吐,生用亦吐,与甘草同服亦吐。凡大
虚之体,切宜斟酌,未可遽投。
小儿邪疟,其发无时,日期不定,乍早乍晚,或有或无者,名为邪疟。以麝香五厘,同好京墨同研,书“去
邪辟魔”四字于额上,效。
小儿热疟不寒者,用穿山甲一两、大红枣十个,同烧存性为末。每用一钱,发日五更,白汤调服。
小儿久疟不止,用大鳖甲,小者不用,以醋炙枯研末。每一钱或钱五,隔夜一服,清
晨一服,将发时一服,无不断者。
疟来寒多热少,饮食不思,用良姜一两麻油炒,炮姜一两,共为末,每二钱,用猪胆汁调成膏,临发时热
酒调服;或以猪胆汁和丸如芡实大,每服七丸,酒送亦佳。胆属甲木,取其引入少阳也。
Whenever children contract malaria, there is often pathogenic qi within the body. It is necessary to frequently burn sandalwood (Santalum album) to ward off evil influences, and to fumigate their clothing and swaddling clothes with its smoke; once the foul odor is removed, the pathogen can be easily eliminated.
Medicines for malaria must be exposed to dew, because malaria is caused by summerheat pathogen (Shu Xie), while dew possesses a desiccating and killing nature. *Xingli Daquan* states that fog belongs to Yang and dew belongs to Yin; fog generates life, whereas dew kills life. Thus, it can be understood that when summerheat encounters dew, it dissipates.
When patients with malaria experience thirst, they must absolutely avoid drinking cold water, cold tea, or any raw/cold foods. Violating this rule will exacerbate the condition. Instead, ginger decoction should be consumed while hot. This is an excellent method.
When the fever of malaria has not completely subsided, food intake must be strictly prohibited. One must wait until the heat has entirely disappeared before allowing feeding. Otherwise, it may eventually lead to *Pi Ji* (accumulations or masses in the abdomen).
When administering medicines intended to arrest malaria attacks, one must wait until after the expected time of onset, provided no attack occurs, before giving rice gruel. If eaten too early, the malaria will certainly recur, rendering subsequent anti-malarial medications ineffective.
**Qingxie Zhmie Fang** (Formulation for Clearing Evil and Arresting Malaria, formulated by Li Shicai):
Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri), each 2 qian, lift the clear Yang upward, distancing it from the Yin, thereby stopping chills; Huangqin (Scutellariae Radix) and Zhimu (Anemarrhenae Rhizoma), each 1.5 qian, guide the Yin downward, distancing it from the Yang, thereby resolving heat. Shengjiang (Zingiberis Rhizoma Recens), 3 qian, expels pathogens and restores righteousness; Gancao (Glycyrrhizae Radix et Rhizoma), 0.5 qian, harmonizes Yin and Yang. After two or three doses, the disease will cease spontaneously.
**Sishen Jiu** (Four Spirits Wine):
Treats persistent malaria that does not stop; one dose arrests it permanently without recurrence. Use Changshan (Dichroae Radix), 1.5 qian; Binglang (Arecae Semen), 1 qian; Dingxiang (Caryophylli Flos), 0.5 qian; Wumei (Mume Fructus), one piece; mixed with more than half a bowl of good wine, slightly boiled, and left exposed overnight. On the day of the attack, take on an empty stomach while cold.
Phlegm-fluid retention is essential for the formation of malaria; thus, malaria patients often accumulate phlegm and fluid overflow. Changshan can break down phlegm and drive out fluids, hence its efficacy in arresting malaria. However, it must be used only after releasing exterior pathogens and when extracting pathogens from the Yang level, ensuring effectiveness. When taking Changshan, never take it hot; exposing it overnight is ideal. Hot administration causes vomiting; raw administration also causes vomiting; taking it with Gancao also causes vomiting. For patients with severe deficiency, caution is required, and it should not be administered rashly.
Pediatric "Evil Malaria" presents with irregular timing, unpredictable dates, varying lateness or earliness, and intermittent presence or absence of symptoms. This is named Evil Malaria. Take Moschus (She Xiang), 5 li, grind it together with high-quality Jingmo (Beijing Ink), and write the characters "Expel Evil and Ward Off Demons" on the forehead. This is effective.
For pediatric Heat Malaria characterized by fever without chills, use Shanjiachuan (Manis Squama), 1 liang, and large red dates (Dazao), ten pieces. Roast them until they retain their essence but are carbonized externally, then powder them. Each time, take 1 qian, and on the morning of the attack during the fifth watch (Wugeng), mix with plain warm water and ingest.
For pediatric persistent malaria that does not stop, use large softshell turtle shell (Biejia). Small shells are not used. Calcine it with vinegar until dry and brittle, then powder it. Take 1 qian or 1.5 qian: once the night before, once in the early morning, and once just before the anticipated attack. There are cases where it fails to cure.
When malaria presents with more chills than fever and loss of appetite, use Liangjiang (Alpiniae Officinarum Rhizoma), 1 liang stir-fried in sesame oil, and Paojiang (Zingiberis Rhizoma Preparatum), 1 liang. Grind them into powder. Take 2 qian each time, mixed with pig bile (Dan) into a paste, and take with hot wine at the time of onset. Alternatively, mix the powder with pig bile to form pills the size of a corn kernel. Take seven pills each time, washed down with wine, which is also excellent. The gallbladder belongs to Wood of the Jia phase, utilizing its property to guide the medicine into the Shaoyang channel.