(治疟九条)
小儿有疟疾,须常烧檀速香以辟邪,并常熏其衣褓等物,则邪气易除。
凡疟疾口渴,不可饮冷水冷茶,并生冷之物。犯之其病益甚,惟以姜汤乘热饮之最良。
凡疟疾热未全退,切不可令其饮食。必须热已退尽,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。
小儿邪疟,其发无时,日期不定,乍早乍晚,或有或无者,以麝香五厘,同好京墨,书
“去邪辟魔”四字于额上效。
小儿热疟不寒∶用穿山甲一两、大红枣十个,同烧存性,为细末,每用一钱,发日五更
,白汤下。
疟来寒多热少,饮食不思∶良姜用麻油炒,炮姜,各五钱,共研细末,用猪胆汁和丸,
如梧桐子大,临发之前半时,热酒送下二钱。
止疟丹
生半夏(油炒) 川贝(各二两)
共研细末,姜汁打糊为丸,五更时,白汤送下二钱。又,临发时,淡姜汤送下二钱。连
服三日效。
小儿久疟不止∶大鳖甲,小者不用,以醋炙枯,研极细末,每一钱,或钱半,隔夜一服
,清晨一服,临时一服,无不断者。
(三条)
渴而多饮为上消肺热∶天冬、麦冬各三钱,花粉、黄芩、知母各钱半,黄连、黄柏各一
渴而多饮善饥为中消胃热∶生地、麦冬各三钱,山药、知母、丹皮各钱半,黄连、黄柏各一钱。
渴而小便白浊不禁下消肾热∶六味汤加麦冬、五味子。
蚕茧汤 通治三消之症。
用蚕茧,或取丝棉结块者,每以六钱,水三碗,煎至二碗,时时当茶温饮,饮至二七,
无不愈者。三消虽为火盛水衰,然虚热者多,实热者少,勿误作有余治之。余见内科。
消渴,日夜饮水无度。猪肚一个,洗极净,入淡豆豉五钱在内,以绵缝之,煮极烂,取
汁饮之,肚亦可食。又方,煮猪血,清汤不入油盐,多饮极效。猪血能滋阴降火,专走血分
,脾气虚者,间日饮之,恐防作泄故也。
(Nine Simple Methods for Treating Malaria)
When a child suffers from malaria, sandalwood and speed incense should be frequently burned to dispel evil pathogens, and the smoke should be used to fumigate the child's clothing and swaddling clothes; this facilitates the elimination of evil pathogens.
In cases of malaria accompanied by thirst, cold water, cold tea, and raw/cold foods must be avoided. Violation of this rule exacerbates the condition; drinking fresh ginger decoction while hot is the most effective remedy.
When the fever of malaria has not completely subsided, food intake must be strictly prohibited. Food can only be resumed after the fever has entirely disappeared; otherwise, it may eventually lead to *pi ji* (abdominal masses).
When administering antimalarial drugs (medicines to stop attacks), one must wait until past the expected time of attack and confirm that no attack occurs before consuming congee. Eating too early will cause the malaria to recur, rendering subsequent antimalarial treatments ineffective.
For children with "evil malaria," where attacks occur at irregular times and dates, varying between early and late, or present intermittently, apply five candareens of musk mixed with high-quality Jing ink to write the characters "Expel Evil and Ward Off Demons" on the forehead; this is effective.
For pediatric heat malaria (fever without chills): Use one tael of pangolin scales and ten large red dates. Burn them together until carbonized but retaining their medicinal properties (*cun xing*), grind into fine powder. Take one qian on the morning of the attack day, administered with plain boiled water.
For malaria characterized by severe chills and mild fever, with loss of appetite: Stir-fry galangal in sesame oil and process dried ginger, using five qian of each. Grind into fine powder. Form pills with pig bile, sized like paulownia seeds. Take two qian with warm wine half an hour before the onset of the attack.
Zhi Mie Dan (Antimalarial Pill)
Raw Pinellia Rhizome (stir-fried with oil) Fritillaria Bulb (two taels each)
Grind into fine powder. Make pills using ginger juice as a binder. Take two qian with plain boiled water at wu geng (approx. 3-5 AM). Alternatively, take two qian with light ginger decoction at the time of impending attack. Continuous administration for three days yields results.
For persistent malaria in children that does not cease: Select large softshell turtle plastron (exclude small ones). Calcine with vinegar until brittle, then grind into extremely fine powder. Administer one qian or one and a half qian once overnight, once in the early morning, and once just before the attack; there are cases that cannot be cured.
(Three Methods)
Thirst with excessive drinking indicates Upper Xiao, caused by Lung Heat: Use three qian each of Asparagus Tuber and Ophiopogon Tuber; one and a half qian each of Trichosanthes Root, Scutellaria Root, Anemarrhena Rhizome, Coptis Rhizome, and Phellodendron Bark.
Thirst with excessive drinking and good appetite indicates Middle Xiao, caused by Stomach Heat: Use three qian each of Rehmannia Root and Ophiopogon Tuber; one and a half qian each of Chinese Yam, Anemarrhena Rhizome, and Moutan Cortex; one qian each of Coptis Rhizome and Phellodendron Bark.
Thirst with turbid and uncontrollable urination indicates Lower Xiao, caused by Kidney Heat: Use Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) plus Ophiopogon Tuber and Schisandra Fruit.
Can Jian Tang (Mulberry Cocoon Decoction) treats all three types of Xiao (Wasting-Thirst).
Use mulberry cocoons, or clumps of silk cotton. Take six qian per dose, add three bowls of water, and decoct until reduced to two bowls. Drink warm frequently as tea. Drinking up to two bowls ensures recovery. Although Xiao presents as excess fire and deficient water, deficiency-heat is more common than excess-heat; do not mistakenly treat it as an excess syndrome. I have discussed this in Internal Medicine.
Xiao Ke (Wasting-Thirst) involves excessive drinking day and night. Take one pig stomach, wash thoroughly, insert five qian of prepared soybean (Dan Dou Chi), sew shut with cotton thread, and boil until very tender. Drink the broth; the stomach meat may also be eaten. Another method: Boil pig blood in clear soup without salt or oil. Drinking it in abundance is highly effective. Pig blood nourishes yin and descends fire, specifically entering the blood level. For those with Spleen Qi deficiency, drink it every other day to prevent diarrhea.