白虎加人参汤(白虎汤下) 竹叶石膏汤(白虎汤下) 黄 建中汤(桂枝汤下) 桂枝加附
子汤(桂枝汤下)
小柴胡汤(方祖) 柴胡四物汤(小柴胡汤下) 补中益气汤(保元汤下) 理中汤(方祖
)逍遥散(虚损门)
黄建中汤(桂枝汤下) 越婢汤(麻黄汤下) 火郁汤(升麻汤下) 栀子豉汤(方祖)
桂苓丸(五苓散下)
既济汤(白虎汤下) 既济解毒汤(伊芳尹三黄汤下) 崔氏八味丸(方祖) 滋肾丸(大补丸
下) 加减八味丸(崔氏八味丸下)
五苓散(方祖)
金匮蜀漆散 治牝疟多寒。
蜀漆(即常山苗。) 云母(烧二昼夜。) 龙骨(熬。等分。)
上杵为散。发前以浆水调半钱。(即酸浆。浆水散下) 温疟加蜀漆半分。临发时服一钱匕。
按蜀漆性升。上涌顽痰最速。云母性温。开发阴邪最猛。二味相需。较之常山、阳起石更捷。又恐
涌泄太过。即以龙骨敛固其津。仍取龙性纯阳。同
气相求。佐上药以发越阴分伏匿之邪。则牝疟之寒自已。与桂枝龙骨牡蛎汤、火逆汤之义不殊。其
外台牡蛎汤。用吐蛎、蜀漆、麻黄、甘草四味。药虽异而功用则同。盖蜀漆得云母。则温散顽痰于
内。蜀漆得麻黄。则温散寒邪于外。亦恐发泄太过。即以牡蛎收敛阴津。仍取其性入阴。有软坚散
结之功也。用甘草者。令以协和中外。则胃气有权。方得振祛邪作汗之力耳。
达原饮 治疫疟壮热。多汗而渴。
黄芩(一钱五分。) 甘草(炙。一钱) 白芍(一钱) 知母(二钱) 浓朴(一钱) 槟
榔(二钱) 草果(一钱) 生姜(七片。) 大枣(一枚。擘)
水煎。发前热服。温覆取微汗。或问疫邪初犯募原。吴又可以达原饮为主方。详方中槟榔、草
果、浓朴。俱属清理肠胃之品。知母直泻少阴邪热。与募原何预而用之。答曰。募原虽附躯壳。贴
近于里。为经络脏腑之交界。况湿土之邪。从窍而入。以类横连。未有不入犯中土者。所以清理肠
胃为先。非若伤寒传次。表证未罢。误用里药。则有结胸传里之变。即尚未离表。但须姜、枣。佐
芩、芍、甘草以和解之。若见少阳阳明太阳。必兼柴胡、葛根、羌活以开泄之。
设里气不通。势必盘错于中而内陷。则加大黄以攻下之。又可专工瘟疫。历治有年。故立此为
初犯募原之主方。其殿后则有白虎、凉膈为鼎足之任。以此推原。其他变证。则三黄双解、清热解
毒、人中黄丸等方。可默识其微。而用之必当矣。余尝以此治疫疟、时疟。靡不应手获效。总借以
分解中外寒热诸邪之力耳。
何首乌散 治疟积滞去后。寒热不止。至夜尤甚。
生何首乌(五钱。碎) 青皮 陈皮 甘草(炙。各一钱) 生姜(七片) 大枣(三枚。擘
)
水煎。露一宿。侵晨热服。 多汗而渴。加知母、乌梅。虚人腹痛。加人参、浓朴、木香。
七宝饮 治一切实疟。服调理药不止。
浓朴 常山(醋炒。) 槟榔 陈皮 青皮 草果(各一钱。) 甘草(炙。七分)
生姜(七片)
水酒各半煎。露一宿。侵晨热服。(一方。多半夏一钱。大枣一枚。)
常山饮 治疟发晡时。至夜数不止。脉实邪盛者。
常山(醋炒) 槟榔 青皮(炒) 甘草 当归(各一钱) 穿山甲( 八分。世本。作木通
。) 黑豆(四十粒) 生姜(七片)
水酒各半煎。露一宿。侵晨热服。
鳖甲煎丸(金匮) 治疟母一切痞积。
鳖甲(炙。一两二钱) 柴胡 芍药 牡丹 虫(熬) 乌扇(烧) 鼠妇(熬)
蜣螂(熬。各四钱) 桂枝(千金。作桂心) 阿胶(各三钱) 黄芩 桃仁 干姜 大黄
半夏 人参 浓朴 蜂房(炙。各二钱) 石韦(去毛) 紫葳(各二钱半) 葶苈
瞿麦(各一钱半) 赤硝(一两)
上二十三味。为末。取锻灶下灰一斗。清酒一斛。浸灰候酒尽一半。滤去灰。着鳖甲于中。煮
令泛烂如胶漆。绞取汁。纳诸药末煎为丸。如梧子大。空心服七丸。日三服。(千金。无鼠妇赤。
硝。多海藻大戟)此方妙用。全在鳖甲之用灰淋酒。煮如胶漆。非但鳖甲消积。酒淋灰汁。亦善消
积。较疟母丸之用醋煮。功用百倍。
疟母丸 治疟痞结于左胁硬痛。
青皮 桃仁 神曲 麦芽(各一两。四味俱炒) 鳖甲(三两) 山棱
蓬术 海粉(即蛤粉。各五钱) 香附(二两。五味俱醋煮) 红花(三钱)
神曲糊丸。梧子大。每服七八十丸。空心淡姜汤下。
白虎汤(方祖) 白虎加桂枝汤(白虎汤下) 柴胡去半夏加栝蒌汤(小柴胡汤下) 柴胡桂姜汤(小柴胡汤下)
二陈汤(方祖) 柴胡桂枝汤(小柴胡汤下) 人参养胃汤(平胃散下) 清脾饮(小柴胡汤下
)补中益气汤(保元汤下)
人参实卫汤(保元汤下) 白虎加人参汤(白虎汤下) 胃苓汤(平胃散下) 理中汤(方祖)
小建中汤(桂枝汤下)
黄建中汤(桂枝汤下) 钱氏六味丸(崔氏八味丸下) 内补当归建中汤(桂枝汤下) 凉膈散
(方祖) 大柴胡汤(小柴胡汤下)
人参败毒散(小柴胡汤下) 逍遥散(虚损门) 六君子汤(四君子汤下) 四兽饮(四君子汤下
)芎归鳖甲饮(四物汤下)
清暑益气汤(保元汤下) 生姜泻心汤(半夏泻心汤下) 崔氏八味丸(方祖)
Baitu Jia Renshen Tang (White Tiger Decoction Plus Ginseng) [listed under Baitu Tang section] Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) [listed under Baitu Tang section] Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) [listed under Guizhi Tang section] Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction Plus Aconite) [listed under Guizhi Tang section]
Da Chengqi Tang (Major Order the Qi Decoction) [listed under Xiao Chengqi Tang section] Mahuang Tang (Ephedra Decoction) [Source of Formulas]
Xiao Chaihu Tang (Minor Bupleurum Decoction) [Source of Formulas] Chaihu Siwu Tang (Bupleurum Four Substances Decoction) [listed under Xiao Chaihu Tang section] Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) [listed under Baoyuan Tang section] Lizhong Tang (Regulate the Middle Decoction) [Source of Formulas] Xiaoyao San (Free Wanderer Powder) [listed under Deficiency Damage Section]
Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle) [listed under Guizhi Tang section] Yuespi Tang (Tiger's Den Decoction) [listed under Mahuang Tang section] Huoyu Tang (Fire Stagnation Decoction) [listed under Shengma Tang section] Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) [Source of Formulas]
Guiling Wan (Cinnamon and Poria Pill) [listed under Wuling San section]
Jiji Tang (Crossing Over Decoction) [listed under Baitu Tang section] Jiji Jiedu Tang (Crossing Over and Detoxification Decoction) [listed under Yi Fangyin Sanhuang Tang section] Cuishi Bawei Wan (Cuishi's Eight Ingredients Pill) [Source of Formulas] Zishen Wan (Nourish Kidney Pill) [listed under Dabu Wan section] Jiajian Bawei Wan (Modified Eight Ingredients Pill) [listed under Cuishi Bawei Wan section]
Wuling San (Five Ingredients Powder with Poria) [Source of Formulas]
Jingui Shueqi San, treats Pin Malaria (Malaria characterized by predominant cold symptoms), manifesting as severe aversion to cold.
Shueqi (the tender shoots of Changshan/Dichroa febrifuga.) Yunmu (Cloud Mother/Mica, calcined for two days and nights.) Longgu (Dragon Bone/Fossilized bones, processed. Equal parts.)
Pulverize the above ingredients into a powder. Before the onset of fever, mix half a qian with Jiangshui (acidic fermented rice water). (Also known as Suanjiang; the powder can also be taken with Jiangshui.) For Wen Malaria (Malaria with predominant heat symptoms or alternating chills and fever), add Banfen of Shueqi. Take one qianbi just before the attack.
Note: Shueqi has an ascending and dispersing nature, and its ability to induce vomiting to expel stubborn phlegm is the fastest. Yunmu has a warm nature and its power to dispel Yin pathogens is the most fierce. These two herbs used together are more rapid than using Changshan or Yangqishi alone. Fearing that the vomiting and purging might be excessive, Longgu is added to astringe and consolidate body fluids. Furthermore, utilizing the pure Yang nature of Longgu, seeking resonance with similar energies, it assists the aforementioned herbs in venting pathogens hidden in the Yin aspect. Thus, the cold symptoms of Pin Malaria will naturally resolve. This principle is not different from that of Guizhi Longgu Muli Tang and Huoni Tang. The Muli Tang in *Waitai Miyao* uses four ingredients: Muli, Shueqi, Mahuang, and Gancao. Although the herbs differ, their functions are the same. Essentially, when Shueqi is combined with Yunmu, it warms and disperses stubborn phlegm internally; when Shueqi is combined with Mahuang, it warms and disperses cold pathogens externally. Again, fearing excessive dispersion, Muli is used to astringe Yin fluids, leveraging its property of entering the Yin to soften hardness and dissipate nodules. Gancao is used to harmonize the interior and exterior, empowering the Stomach Qi, thereby enabling the vigorous expulsion of pathogens through sweating.
Dayin Yin, treats Yi Malaria (contagious malaria), manifesting as high fever, profuse sweating, and thirst.
Huangqin (1.5 qian) Gancao (honey-fried, 1 qian) Baishao (1 qian) Zhimu (2 qian) Houpo (1 qian) Binglang (2 qian) Caoguo (1 qian) Shengjiang (7 slices) Dazao (1 piece, split)
Decoct in water. Take hot before the fever starts. Cover with blankets to induce slight sweating. One asks: When epidemic pathogens first invade the Mu Yuan (semi-exterior semi-interior region), Wu Youke advocates Dayin Yin as the main formula. Analyzing the formula, Binglang, Caoguo, and Houpo all belong to herbs that clear and regulate the intestines and stomach; Zhimu directly drains Heat from the Shaoyin channel. What is the connection to the Mu Yuan, and why are they used? The answer is: Although the Mu Yuan attaches to the body shell and is close to the deep interior, it is the junction of meridians and zang-fu organs. Moreover, damp-earth pathogens enter through orifices and connect horizontally by similarity, inevitably invading the Central Earth (Spleen/Stomach). Therefore, clearing and regulating the intestines and stomach comes first. This differs from the transmission of Shanghan diseases, where if exterior symptoms have not resolved, using interior-draining medicines erroneously leads to Jie Xiong (chest binding) or transmission to the interior. Even if the pathogen has not left the exterior, one only needs Ginger and Jujube, assisted by Huangqin, Baishao, and Gancao to harmonize. If Shaoyang, Yangming, or Taiyang symptoms appear, one must simultaneously use Chaihu, Gegen, and Qianghuo to open and drain.
If the interior Qi is blocked, the pathogen will inevitably tangle in the middle and sink inward; then add Dahuang to purge. Wu Youke specialized in plague research and had years of clinical experience, thus establishing this formula as the primary treatment for pathogens initially invading the Mu Yuan. Subsequent treatments include Baitu Tang and Liangge San acting as supporting pillars. From this, one can deduce that for other complicated conditions, formulas such as Sanhuang Shuangjie, Qingre Jiedu, and Renzhonghuang Wan can be understood in their subtleties and applied appropriately. I have used this formula to treat Yi Malaria and seasonal malaria, achieving immediate effect every time, relying entirely on its power to resolve external and internal Cold and Heat pathogens.
Heshouwu San, treats cases where after the removal of malaria accumulation, chills and fever persist, worsening at night.
Sheng Heshouwu (5 qian, crushed) Qingpi Chenpi Gancao (honey-fried, 1 qian each) Shengjiang (7 slices) Dazao (3 pieces, split)
Decoct in water. Leave exposed overnight. Take hot in the early morning. For profuse sweating and thirst, add Zhimu and Wumei. For deficiency-type abdominal pain, add Renshen, Houpo, and Muxiang.
Qibao Yin, treats all types of excess malaria unresponsive to conditioning medicines.
Houpo Changshan (vinegar-fried) Binglang Chenpi Qingpi Caoguo (1 qian each) Gancao (honey-fried, 0.7 qian)
Shengjiang (7 slices)
Decoct in half water and half wine. Leave exposed overnight. Take hot in the early morning. (Another prescription adds Banxia 1 qian and Dazao 1 piece.)
Changshan Yin, treats malaria attacking in the late afternoon, continuing frequently into the night, with a surging pulse and abundant pathogens.
Changshan (vinegar-fried) Binglang Qingpi (fried) Gancao Danggui (1 qian each) Chuanshanjia (0.8 fen, Shi Ben text uses Mutong.) Heidou (40 grains) Shengjiang (7 slices)
Decoct in half water and half wine. Leave exposed overnight. Take hot in the early morning.
Biejia Jian Wan (from *Jingui Yaolue*), treats Nuomu (mass resulting from chronic malaria) and all types of stagnant accumulations.
Biejia (fried, 1.2 liang) Chaihu Shaoyao Mudanpi Chan (processed) Shegan (burned) Shufu (processed)
Qianglang (processed, 4 qian each) Guizhi (*Qianjin Fang* uses Guixin) Ejiao (3 qian each) Huangqin Taoren Ganjiang Dahuang
Banxia Renshen Houpo Fengfang (fried, 2 qian each) Shiwei (de-haired) Ziwei (2.5 qian each) Tingli
Qumai (1.5 qian each) Chixiao (1 liang)
The above twenty-three ingredients are powdered. Take one dou of ash from a forge furnace and one hu of clear wine. Soak the ash in the wine until half is absorbed. Filter out the ash. Place the Biejia in the liquid and boil until it dissolves into a glue-like consistency. Strain to obtain the juice. Add the herbal powders and decoct into pills the size of wutong seeds. Take seven pills on an empty stomach, three times a day. (*Qianjin Fang* omits Shufu and Chixiao, adding Haizao and Daji). The brilliance of this formula lies entirely in using ash-leached wine to boil the Biejia into a glue-like state. Not only does Biejia dissolve accumulations, but the wine-leached ash juice also effectively resolves stagnation, being a hundred times more potent than the vinegar-boiled method used in Nuomu Wan.
Nuomu Wan, treats malaria masses hardening and causing pain in the left hypochondrium.
Qingpi Taoren Shenqu Maiya (1 liang each, all stir-fried) Biejia (3 liang) Ezhu
Pengzhu Haifen (i.e., Ge Fen/clam powder, 5 qian each) Xiangfu (2 liang, these five ingredients boiled in vinegar) Honghua (3 qian)
Make pills with Shenqu paste, size of wutong seeds. Take 70-80 pills per dose, with light ginger soup on an empty stomach.
Baitu Tang (Source of Formulas) Baitu Jia Guizhi Tang (listed under Baitu Tang section) Chaihu Qu Banxia Jia Gualou Tang (listed under Xiao Chaihu Tang section) Chaihu Guijiang Tang (listed under Xiao Chaihu Tang section)
Erchen Tang (Source of Formulas) Chaihu Guizhi Tang (listed under Xiao Chaihu Tang section) Renshen Yangwei Tang (listed under Pingwei San section) Qingspi Yin (listed under Xiao Chaihu Tang section) Buzhong Yiqi Tang (listed under Baoyuan Tang section)
Renshen Shiwei Tang (listed under Baoyuan Tang section) Baitu Jia Renshen Tang (listed under Baitu Tang section) Weiling Tang (listed under Pingwei San section) Lizhong Tang (Source of Formulas)
Xiao Jianzhong Tang (listed under Guizhi Tang section)
Huangqi Jianzhong Tang (listed under Guizhi Tang section) Qianshi Liuwei Wan (listed under Cuishi Bawei Wan section) Neibu Danggui Jianzhong Tang (listed under Guizhi Tang section) Liangge San (Source of Formulas) Da Chaihu Tang (listed under Xiao Chaihu Tang section)
Renshen Baidu San (listed under Xiao Chaihu Tang section) Xiaoyao San (listed under Deficiency Damage Section) Liujunzi Tang (listed under Sijunzi Tang section) Sishou Yin (listed under Sijunzi Tang section) Xionggui Biejia Yin (listed under Siwu Tang section)
Qingshu Yiqi Tang (listed under Baoyuan Tang section) Shengjiang Xiexin Tang (listed under Banxia Xiexin Tang section) Cuishi Bawei Wan (Source of Formulas)