〔总论〕 疟有内因外感之殊。有隔一日二日三日之不同。治法邪从外入者。宜发散之。
兼扶持胃气为本。又须分别阴分阳分。而用药。如邪疟及新发寒热者。服发散药三五剂后。
其势减轻。或可用截药治之。虚疟及病久者。宜补气血为主。若急用截药。致伤脾胃。则延
绵不休矣。
〔治疟奇效三方〕 （不论老少久近。一日二日三日。不用加减。次第服之。无不应手
而愈。）
第一方。 广皮。姜半夏。白茯苓。威灵仙。（各一钱）苍术。（米泔浸一日切炒净八分）
浓朴。（姜汁炒八分）柴胡梢。（八分）青皮。（六分）槟榔。（六分）炙甘草。（三分）生姜。
（三片）井水河水各一钟。煎七分。空心服。渣再煎服。如头痛。加白芷一钱。此方平胃消
痰。理气除湿。有疏导开先之功。受病轻者。二服即愈。若三服后病势虽减而不愈者。即用
第二方三五剂。
第二方。 何首乌。（制过三钱如三剂后不效生用三钱）广皮。柴胡。白茯苓。黄芩。（各
八分）白术。（土炒）当归。威灵仙。（各一钱）知母。（二钱）鳖甲。（醋炙二钱）炙甘草。
（三分）
再服。此方
第三方。 人参。（一钱）炙黄 。（一钱二分）当归。（一钱二分）白术。（土炒一钱）
广皮。柴胡。（各八分）升麻。（四分）炙甘草。（三分）煨姜。（一片）黑枣。（一枚）水煎。
半饥时服。三五剂后。元气充足。则不发矣。
〔治疟初起无汗〕 苏叶。（二三钱） 葱白。（三五个）扁豆叶。（五七片）浓煎。入
生姜汁四五匙。乘疟发口渴时。热服取汗。无汗再服汗时勿受风。 如现热象。无汗。进凉
药润之。亦即汗。
〔暑疟〕 单热少寒。口苦咽干。小便赤涩者。青蒿子。（童便浸焙干研细）头一日晚。
白汤调下三钱。临期早晨。淡酒调服三钱。暑重者井水调服。
〔脾寒疟疾〕 石胡荽一把。（即鹅不食草。）捣汁半钟。入热酒和匀。服即效。良姜。
（麻油炒）干姜。（炮焦各一两）为末。每服五钱。用猪胆汁调成膏子。临发时。热酒调服。
（或
用胆汁为丸。酒下亦佳。大抵寒发于胆。用猪胆引。姜性入胆。去寒而燥脾胃。一寒一热。
阴阳相制。甚验。）多寒少热。饮食不进者服之即止。橘红。（生姜汁浸。一宿。石器内重汤
煮。干焙研末。每服三钱。黑枣汤下。）
〔疟疾寒热〕 萝卜子。（捡净炒至烟尽。存性研极细。）新疟用白汤调下三钱。只吃汤
去渣。重者三服愈。如久病体虚者。加人参三分。同煎服。 独头蒜。火上炙熟。酒服二钱。
数
〔邪疟〕 黑牛尾。（烧存性研末。）每服二钱。酒下三服即效。
〔久疟阴疟效方〕 荞麦面不拘多少。用鳖血和成丸。阴干。临发之日朝东白汤下三钱。
小
〔老年疟劳疟久不愈〕 鳖甲。（醋炙黄。研极细。）每服一钱。入雄黄一二分。酒调下。
隔
〔止疟方〕 归身。制首乌。荆芥。山楂。（炒各三钱）酒水各一碗。慢火煎至一碗。
露
一宿。次日早晨温服。不论一日二日三日。及久病体虚者。皆可服。小儿减半。 知母。生
槟榔。象贝。（各二钱）常山。（一钱）水酒各一碗。煎至一碗。露一宿。早晨隔汤温服。体
虚
加人参三分。同服。凡服常山。忌食鸡肉三月。 大枣肉二个。去皮核。斑蝥二个。焙研。
同入枣肉。研匀。加熟猪油少许。捣成饼子。指头大。贴在两眉中间印堂上。一周时即止。 蛇
蜕一条。完全者。用纸包固。男左女右。系臂上勿令患人知。忌四目见。愈。后送之野外。
勿开看。不论一日二日皆效。 端午午时。取虾蟆。（以大为佳。倒挂阴干。）系臂上。勿令
病患知即止。
〔三阴疟〕 疟久饮食如常者。用何首乌。（二钱）人参。（一钱）桂圆肉。（十枚）甘
草。（炙三分）水煎服即愈。 大淡菜。（煮烂连汁。）陈酒下。久服即止。 南天竺子。隔
年陈者。
蒸熟。每岁一粒。每早晨白汤下。 陈香圆一个。切开。入雄黄末三钱。原合好。用纸封固
。火煨至烟尽。取出为末。每服二三钱。米饮下。此方初起者宜服。
〔三阴疟年久不愈〕 野茄根。（一两）不沾水。不沾铁器。用无灰酒一斤。将根洗去
泥。原酒澄清滤净。入根同煎一碗。临发日服之。即止。
〔疟痞〕（即病久胁下成块疼痛。名疟母。）核桃壳。（ 灰研细末三钱）木香。（研细八
分）好酒调服。三五次即消。 外用芒硝。（五钱）独头蒜肉。（一两）共捣烂。贴患处。上
用布盖之。并治诸痞。
[General Discussion] Malaria (Nüe) differs in having internal causes versus external infections. The intervals of attack vary by one, two, or three days. The treatment principle is: for pathogens entering from the exterior, dispersing methods should be used; meanwhile, supporting Stomach Qi (Wei Qi) is fundamental. One must also differentiate between Yin and Yang divisions to administer medication. For pathogenic malaria and newly onset chills and fever, after taking dispersing medicines for three to five doses, if the condition lessens, antimalarial (jie yao) drugs may be used. For deficiency malaria and long-standing cases, tonifying Qi and Blood should be the main approach. If antimalarial drugs are used hastily, it will damage the Spleen and Stomach, leading to a lingering and unceasing condition.
[Three Miraculous Formulas for Treating Malaria] (Regardless of age, duration, whether attacks occur daily, every second day, or every third day, without modification, taken in sequence, all recover promptly.)
First Formula: Guang Pi (Chenpi, aged tangerine peel), Jiang Ban Xia (Pinellia Rhizome processed with ginger), Bai Fu Ling (Poria), Wei Ling Xian (Clematis Root) (each 1 qian). Cang Zhu (Atractylodis Rhizoma) (soaked in rice water for one day, sliced, stir-fried until clean, 8 fen). Nong Po (Magnolia Bark) (stir-fried with ginger juice, 8 fen). Chai Hu Shao (Bupleuri Radix tip) (8 fen). Qing Pi (Citri Reticulatae Pericarpium Viride) (6 fen). Bing Lang (Areca Seed) (6 fen). Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma prepared with honey) (3 fen). Sheng Jiang (Fresh Ginger) (3 slices). Well water and river water, each one zhong, decocted to seven-tenths volume. Taken on an empty stomach. The dregs are decocted again and taken. If headache occurs, add Bai Zhi (Angelicae Dahuricae Radix) 1 qian. This formula pacifies the Stomach, eliminates phlegm, regulates Qi, and removes dampness, possessing the function of guiding and opening pathways first. For mild illness, recovery occurs after two doses. If after three doses the condition lessens but does not resolve, immediately use the Second Formula for three to five doses.
Second Formula: He Shou Wu (Polygoni Multiflori Radix) (prepared, 3 qian; if ineffective after three doses, use raw He Shou Wu 3 qian). Guang Pi, Chai Hu, Bai Fu Ling, Huang Qin (Scutellariae Radix) (each 8 fen). Bai Zhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried). Dang Gui (Angelicae Sinensis Radix), Wei Ling Xian (each 1 qian). Zhi Mu (Anemarrhenae Rhizoma) (2 qian). Bie Jia (Testudinis Carapax et Plastrum) (vinegar-processed, 2 qian). Zhi Gan Cao (3 fen). Take again. This formula...
Third Formula: Ren Shen (Ginseng Radix et Rhizoma) (1 qian). Zhi Huang Qi (Astragali Radix prepared with honey) (1.2 qian). Dang Gui (1.2 qian). Bai Zhu (soil-stir-fried, 1 qian). Guang Pi, Chai Hu (each 8 fen). Sheng Ma (Cimicifugae Rhizoma) (4 fen). Zhi Gan Cao (3 fen). Wei Jiang (Roasted Ginger) (1 slice). Hei Zao (Black Date) (one fruit). Decoct in water. Taken when half-hungry. After three to five doses, Yuan Qi (Original Qi) becomes sufficient, and the disease will not recur.
[Treating Early Malaria Without Sweating] Su Ye (Perillae Folium) (2-3 qian). Cong Bai (Allii Fistulosi Bulbus) (3-5 pieces). Bian Dou Ye (Lablab Leaf) (5-7 leaves). Decoct strongly. Add 4-5 spoons of Sheng Jiang Zhi (Fresh Ginger Juice). Drink hot while thirsty during the malaria attack to induce sweating. If no sweat, take again. Avoid wind exposure during sweating. If heat signs appear and there is no sweat, administer cooling medicines to moisten, which will also induce sweat.
[Summerheat Malaria] Characterized by fever only with little chills, bitter taste in the mouth, dry throat, and red, scanty, difficult urination. Qing Hao Zi (Artemisiae Annuae Fructus) (steeped in child's urine, baked dry, ground fine). On the evening of the first day, mix 3 qian with plain boiled water. On the morning of the attack, mix 3 qian with light wine. For severe summerheat, mix with well water.
[Spleen Cold Malaria] Shi Hu Sui (One handful, i.e., Euphorbiae Helioscopiae Herba). Crush to obtain juice, half a zhong. Mix evenly with hot wine. Effective upon ingestion. Liang Jiang (Galangal Rhizome) (stir-fried with sesame oil), Gan Jiang (Zingiberis Rhizoma) (pounded until scorched, each 1 liang). Grind into powder. Take 5 qian per dose. Mix with Pig Gallbladder Juice (Zhu Dan) to form a paste. At the time of attack, take mixed with hot wine. (Alternatively, make pills with gallbladder juice, taken with wine is also good. Generally, cold originates from the Gallbladder channel; Pig Gallbladder serves as a guiding herb. Ginger enters the Gallbladder, dispels cold, and dries Spleen/Stomach dampness. Cold and heat counterbalance each other, regulating Yin and Yang; very effective.) For those with more chills than fever and loss of appetite, this stops the condition immediately. Ju Hong (Exocarpium Citri Grandis) (soaked in ginger juice overnight, boiled in stone vessel over double boiler, dried and ground. Take 3 qian per dose, washed down with Black Date decoction).
[Malaria Chills and Fever] Luo Bo Zi (Brassicae Semina) (cleaned, stir-fried until smoke ceases, preserved nature, ground extremely fine). For new malaria, mix 3 qian with plain boiled water. Drink only the liquid, discard dregs. Severe cases resolve in three doses. For long-standing illness with body deficiency, add 3 fen of Ren Shen, decoct together and take. Du Tou Suan (Single-clove Garlic). Roast熟 on fire, take 2 qian with wine. Several...
[Pathogenic Malaria] Hei Niu Wei (Black Cow Tail) (burned to preserve nature, ground to powder). Take 2 qian per dose, washed down with wine. Three doses yield effect.
[Effective Formula for Long-standing Malaria and Yin Malaria] Qiao Mai Mian (Buckwheat Flour) as needed. Mix with Bie Xue (Turtle Blood) to form pills. Dry in shade. On the morning of the attack facing east, take 3 qian with plain boiled water. Small...
[Elderly Malaria, Labor Malaria, Long-standing Non-resolution] Bie Jia (vinegar-processed until yellow, ground extremely fine). Take 1 qian per dose. Add Xiong Huang (Realgar) 1-2 fen. Mix with wine and take. Interval...
[Antimalarial Formula] Gui Shen (Angelicae Sinensis Radix head), Zhi Shou Wu, Jing Jie (Schizonepetae Spica), Shan Zha (Crataegi Fructus stir-fried) (each 3 qian). Wine and water, one bowl each. Slow fire decoction to one bowl. Expose to dew overnight. Warm take next morning. Applicable regardless of daily, second-day, or third-day attacks, and for long-standing illness with body deficiency. Children take half dose. Zhi Mu, Sheng Bing Lang, Xiang Bei (Fritillariae Thunbergii Bulbus) (each 2 qian). Chang Shan (Dichroae Radix) (1 qian). Water and wine, one bowl each. Decoct to one bowl. Expose to dew overnight. Warm take next morning separated by soup. For body deficiency, add 3 fen Ren Shen, take together. When taking Chang Shan, avoid chicken meat for three months. Da Zao Rou (Date Flesh) two pieces, remove skin and pit. Ban Mao (Mylabris) two pieces, bake and grind. Mix into date flesh, grind evenly. Add a little cooked lard. Pound into cakes, finger-sized. Apply to Yintang acupoint between eyebrows. Stops within one week. She Tui (Ophichthidae Skin) one strip, complete. Wrap firmly in paper. Men left arm, women right arm. Tie to arm so patient does not know. Avoid four eyes seeing it. Upon cure, send to wilderness, do not open to look. Effective for daily or second-day attacks. Duanwu Wushi (Noon on Dragon Boat Festival). Take Xia Ma (Toad) (large is best). Hang upside down to dry in shade. Tie to arm so patient does not know. Stops immediately.
[San Yin Malaria] For long-standing malaria where diet remains normal, use He Shou Wu (2 qian), Ren Shen (1 qian), Gui Yuan Rou (Longan Aril) (ten pieces), Gan Cao (Zhi, 3 fen). Decoct in water and take. Cures immediately. Da Dan Cai (Mussel) (boiled soft with broth). Washed down with aged wine. Long-term use stops the disease. Nan Tian Zhu Zi (Terminalia Chebula Fruit? Note: Context implies specific local herb, likely Terminalia or similar astringent, kept as Nan Tian Zhu Zi) aged one year. Steam熟. One grain per year of age. Take with plain boiled water every morning. Chen Xiang Yuan (Aged Citrus Fruit) one piece. Cut open. Add 3 qian Xiong Huang powder. Seal original shape. Wrap in paper. Roast over fire until smoke ceases. Take out, grind to powder. Take 2-3 qian per dose, washed down with rice drink. Suitable for early stage.
[San Yin Malaria Long-standing Non-resolution] Ye Qia Gen (Solanum Wild Root) (1 liang). Do not touch water or iron tools. Use non-grain alcohol (Wu Hui Jiu) one jin. Wash mud off root using original wine. Clarify and filter original wine. Add root, decoct to one bowl. Take on the day of attack. Stops immediately.
[Nüe Pi] (Also known as Nu Mu: mass forming under hypochondrium due to long-standing malaria causing pain). He Tao Qiao (Walnut Shell) ash ground fine 3 qian. Mu Xiang (Aucklandiae Radix) ground fine 8 fen. Mix with good wine and take. Dissipates after three to five times. External use: Mang Xiao (Natrii Sulfas) 5 qian, Du Tou Suan Rou (Single-clove Garlic Flesh) 1 liang. Pound together until rotten. Apply to affected area. Cover with cloth. Also treats various Pi masses.