夫伤寒变成疟者。因病瘥后。外邪未散。真脏尚虚。因为劳事。致二气交争。阴胜则发
寒。阳胜则发热。阴阳偏胜即往来寒热。休作有时也。一日再发者。得汗必解。若伤寒八九
日。得之热多寒少。其人不呕。清便自调者。欲自愈也。或阳明证。烦热汗出。日晡所发热
者。脉浮宜解表。脉实宜攻里。又有妇人热入血室。发热而更作寒者。当详辨之。
歌曰。似疟膀胱桂可医。清便不呕半麻枝。阳明实下浮须汗。血室柴胡小者奇。
似疟一名疟状。作止有时。非若寒热往来。或疏或数。或作或止无定时也。凡感冒之人。
忽觉毛寒股栗。筋节搜挛。百骸鼓撼。呕不欲食。其寒不可御。未几复转而发热者。此即温
疟。不必谓疟脉自弦。或洪数或紧实。或虚缓。或刮涩。皆为疟状。但以外证别之。用药固
有本条。然小柴胡汤如前斟酌加减。亦是活法。虽然血虚能生寒热。败血亦作寒热。阴阳相
胜。虽一证各有一方。其间当以川芎为佐。太阳似疟证。脉洪浮。与桂枝汤。清便自可。不
呕。日一二发。桂枝麻黄各半汤。其脉微缓微浮。则欲愈也。阳明似疟证。烦热汗出。日晡
发热。脉浮虚。与桂枝汤。脉实。与承气汤。妇人热入血室。其血必结。如疟状者。小柴胡
汤主之。疟后寒热。或潮热。见瘥后昏沉。调诸疟。通用二陈汤。热多者。加川芎、前胡。
寒多者。加川芎、草果。
方
柴胡散（出圣惠方）治伤寒后发疟。寒热不定。四肢无力。心烦头疼。不思饮
食。
柴胡（三分去苗） 鳖甲（一两半涂醋炙微黄去裙 ） 知母（一两） 桑根白皮（一
两半锉）
旋复花 甘草（三分炙微赤锉） 天灵盖（一两半涂酥炙微黄） 上为散。每服四钱。以童
子小
便一中盏。煎至五分。去滓。入地黄汁半合。更煎一二沸。不计时候。温服。
半夏散（出圣惠方）治伤寒十余日不解。往来寒热。发如温疟。胸膈满闷。宜
服。
半夏（汤洗七次去滑） 人参（去芦头各一两） 柴胡（二两去苗） 黄芩（一两） 甘
草（一
两炙微赤锉） 栝蒌根（二两） 上为散。每服四钱。以水一中盏。入生姜半分。枣三枚。
煎
至六分。去滓。不计时候。温服。
黄芩散（出圣惠方）治伤寒后。朝暮发寒热。或如疟状。
黄芩 知母 葛根（锉） 麻黄（去根节各一两） 甘草（炙微赤锉） 川大黄（锉碎
微炒各
半两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。热服。以衣覆之。
汗出为效。
鳖甲散 治伤寒后经数日。发歇寒热。四肢烦闷。喘息微急。状如疟病。
鳖甲（一两半涂醋炙微黄去裙 ） 知母（一两） 桑根白皮（一两半锉） 甘草（炙
微赤锉）
川大黄（锉碎微炒各三分） 上为散。每服五钱。以水一大盏。入葱白三茎。豉半合。煎至
五
分。去滓。不计时候。温服。
乌梅散 治伤寒后劳动过多。致发疟。肢节不利。
乌梅肉（三分微炒） 桔梗（一两去芦头） 赤茯苓（一两） 鳖甲（涂醋炙微黄去裙
） 柴
胡（去苗各一两） 栀子仁（一分） 甘草（半两炙微赤锉） 上为散。每服五钱。以水一
大盏。
入
治伤寒后发疟。动作无时方。
川升麻（二两） 恒山（一两） 蜀漆（一两） 上为散。每服四钱。以水一中盏。煎
至六分。
去滓。空心温服。良久当吐。未吐再服。
松萝散 治伤寒后发疟。或时寒热。
松萝（三分） 乌梅肉（一两微炒） 恒山（一两） 栀子仁（半两） 川升麻（一两
半） 鳖甲
（二两涂醋炙微黄去裙 ） 上为散。每服四钱。以水一中盏。煎至七分。去滓。空心温服。
如
治伤寒后毒瓦斯不解。变成疟状。发作无时。寒热不止。
恒山（二两） 鳖甲（二两半涂醋炙微黄去裙 ） 川升麻（一两半） 栀子仁（一两）
上细
罗为散。每服食前以温水调下二钱。以吐为度。
豉心丸 治伤寒后余毒不散。寒热往来。变成疟状。
豉心（一合） 川大黄（三两锉碎微炒） 恒山 川升麻（各一两） 附子（半两炮裂
去皮脐）
上为末。炼蜜和丸如梧桐子大。每服食前以温水下二十一丸。
治伤寒后发温疟方
恒山 川大黄（锉碎微炒） 黄丹（炒令紫色各半两） 上为末。炼蜜和丸如梧桐子大。
每
服食前以升麻煎汤下十五丸。
知母升麻汤 治伤寒后变成疟病。寒热躁渴。
知母 石膏 升麻（各一两） 蜀漆 常山 甘草〔炙各一两（分）〕 乌梅（去核半
两） 上
咀。每服五钱匕。水一盏半。煎至八分。去滓。食后温服。
二黄汤 治伤寒后变成疟疾。口干烦渴。
麻黄（去根节） 大黄（锉炒） 栝蒌根（各一两） 甘草（炙微赤锉半两） 上 咀。
每服五
钱匕。水一盏半。煎至八分。去滓。食后温服。
升麻前胡汤 治伤寒后变成疟疾。寒热躁渴。
升麻 前胡〔去芦头各一（半）两〕 知母（焙） 芍药（各三分） 朴硝 山栀子仁 木
通
（锉） 乌梅（去核各半两） 甘草（炙锉一分） 上粗捣筛。每服五钱匕。水一盏半。入
生姜一
枣大拍碎。同煎至七分。去滓。入生地黄汁二合。更煎一沸。食后温服。
人参常山汤 治伤寒后变成疟疾。痰毒壅脾肺。面色萎黄。寒热时作。
人参 常山（各半两） 生甘草 陈橘皮（汤浸去白焙各一分） 灯心（一十茎） 上
细锉拌
匀。用水二盏。酒一盏。同煎至两盏。去滓。入好茶末二钱匕。分作两服。温服。取吐即瘥。
黄芩鳖甲汤 治伤寒后变成劳疟。久不瘥。
黄芩（去黑心） 柴胡（去苗） 山栀子仁 乌梅（去核各半两） 鳖甲（去裙 醋炙
一两）
甘草（炙一分） 上粗捣筛。每服五钱匕。用童子小便一盏半。入桃柳尖各七个。生姜一枣
大
拍碎。豉半合。同浸一宿。平旦煎至七分。去滓。入生地黄汁一合。搅匀。更煎一沸。温服。
不拘
蜀漆鳖甲丸 治伤寒后肝疟。由邪热客于足厥阴经所成。颜色苍苍。战掉。或似热
劳。
鳖甲（去裙 醋炙） 蜀漆 知母（焙） 乌梅（去核） 苦参 常山 葳蕤（各一两）
豉
（一合熬） 石膏（二两） 细辛（去苗叶） 甘草（炙各三分） 上为末。炼蜜和捣数百
下。丸如
梧桐
常山石膏汤 治伤寒后心疟。令人烦热不止。饮水多。常渴。
常山 鳖甲（去裙 醋炙） 犀角屑 蜀漆（各一两） 甘草（炙） 乌梅（去核各一
分） 山
栀子仁（半两） 石膏（一两半） 上粗捣筛。每服五钱匕。水一盏半。入豉三七粒。淡竹
叶二
七片。生姜一枣大拍碎同煎至八分。去滓。食后温服。日二。
常山丸 治伤寒后脾疟。脾脏受热。或渴或不渴。热气内伤。不得大便。腹中热
痛。身寒汗
常山（二两） 知母（焙） 鳖甲（去裙 醋炙各一两） 甘草（炙半两） 上为末。
炼蜜和捣
数百下。丸如梧桐子大。每服十五丸。未发前。温酒下。发时再服。
三味汤 治伤寒后肺疟。痰热聚于胸膈。令人心寒。甚则发热。热则惊。如有所见
者。
常山（一两） 秫米〔半合（匙）〕 甘草（炙锉一分） 上粗捣筛。每服五钱匕。水
一盏半。
入生姜一枣大拍碎。同煎至八分。去滓。临发时温服。
常山柴胡汤 治伤寒后肾疟。令人凄凄。腰脊痛而宛转。大便难。手足寒。
常山 柴胡（去苗） 麦门冬（去心焙各一两） 乌梅（去核） 半夏（汤洗七次炒干）
槟榔
（锉） 枳壳（去瓤麸炒各半两） 上粗捣筛。每服三钱匕。水一盏。入生姜一枣大拍碎。
淡竹
叶二七片。豉二七粒。同煎至七分。去滓。临发时温服。
太一护命丸 治伤寒后变成疟疾。或取转早。阴气结伏心下成块。或膨满呕逆。喘
促。面黑
阳起石 硫黄 附子（炮裂去皮脐各一两） 金星石 银星石 白石英 紫石英 礞石
滑石 硝石 凝水石（ 赤） 磁石（火 醋淬） 太阴玄精石 坩埚子（累经销金银者） 不
灰
木（
双仁炒）
上为末。再同研极细。用阿魏一分。与糯米粥同研匀。丸如樱桃大。每服一丸。麸炭火内烧
赤。取出。两只盏子合在内。候冷细研。以生姜米饮下。未知再服。
茯苓饮 治伤寒后。热不退成疟。时作。
赤茯苓（去黑皮） 鳖甲（去裙 醋炙） 地骨皮〔各三（二）两〕 柴胡（去苗） 知
母（焙
各一两半） 枳壳（去瓤麸炒一两） 上锉如麻豆大。每服五钱匕。水一盏半。煎至七分。
去
滓。入生地黄汁一合。食后良久温服。如人行五六里再服。
柴胡散（出广南卫生方）治伤寒后发疟。
柴胡（一两去苗） 半夏〔二钱半（一分）汤浸七次〕 桂枝（二钱削净秤） 甘草（一
钱半
炙） 白芍药（二钱半去皮炒） 上为细末。每服二大钱。水一盏半。入生姜七片。枣四枚。
同煎至一盏。去滓。温服。寒热才愈。便止此药。
小柴胡汤（出如宜方）治先寒后热。热多寒少。
黄芩 人参 甘草（各三两） 柴胡（八两） 半夏（制二两半） 上 咀。姜五片。
枣一枚。
煎服。寒多。加肉桂。寒热相等。不加桂。
五福丹（出保生返回论）
朱砂 硫黄 雄黄（以上各一两研细） 硼砂 硝石（以上各一两半五味并用精者拣去
砂
石合研匀细） 上用瓷盒子一个。里有油者。用乳香少许。香炉中烧烟起。即熏盒子内。入
前药合定。油调蛤粉固口。再加纸筋盐泥固济一指浓。阴干。净室中砖上坐合子。醋拌
灰少许。拥抱合子上。过口缝可一指浓。以三斤生炭。簇合周匝。次又下熟炭火一斤在合上。
渐令通灼。候火消至八分以上。即拨开残火。俟良久冷透。开合取药。尽作汁有如镜面。捶
碎。研极细。粳米饭和丸如豌豆大。及一等绿豆大。朱砂为衣。每于发前一日临卧时。温粥
饮吞下一粒。发作前一时。温粥饮吞下一粒。至日自愈。
灵砂丹（一名龙虎丹出保生返回论）
朱砂（研细水飞晒干） 硫黄（研极细） 上二味。各一钱。用醇酒八分一盏。贮银器
或瓷
瓯中。用文武火熬。将竹篦子不住手搅。熬至六分。去火候冷。顿服。忌口。永不再发。
常山饮 此药南来。取效甚多。亦不吐人。（出保生返回论）
常山（二两细锉） 鳖甲（醋炙紫色令净二两） 芍药（三两锉） 黄连（一两） 黄
芩（一两）
柴胡（去苗秤二两） 甘草（一两炙） 青蒿子（一两半如无用茵陈蒿） 上为粗末。每
服五大
钱。水二盏。乌梅半（个）两。同以慢火煮至一盏。去滓。露一宿。于发作前一日进一服。
于
发作前一时再进一服。即愈。
Those whose typhoid fever transforms into malaria do so because, after the initial illness has subsided, external pathogens have not yet dissipated and the true qi of the internal organs remains deficient. Subsequent overexertion causes a struggle between yin and yang. When yin prevails, chills occur; when yang prevails, fever occurs. The predominance of either yin or yang results in alternating chills and fever with regular intervals of remission. If it occurs twice a day, sweating will lead to resolution. If, after eight or nine days of typhoid fever, there is more heat than cold, no vomiting, and normal bowel and bladder function, self-healing is anticipated. Alternatively, if symptoms of Yangming disease appear—such as irritability, fever, sweating, and afternoon (Ri Bu) fever—a floating pulse indicates the need for exterior-releasing methods, while a solid pulse indicates the need for interior-purging methods. In women, if heat enters the Blood Chamber (Xue Shi), causing fever with alternating chills, careful differentiation is required.
The verse states: For malaria-like conditions involving the Bladder meridian, Guizhi Tang (Cinnamon Twig Decoction) can be used; if bowel/bladder functions are normal and there is no vomiting, Banxia (Pinellia Rhizome), Mahuang (Ephedra Herb), and Guizhi (Cinnamon Twig) may be used; for Yangming excess requiring purgation, exterior release is needed for a floating pulse; for heat entering the Blood Chamber, Xiaochaihu Tang (Minor Bupleurum Decoction) yields miraculous results.
"Malaria-like" (Si Nüe), also known as "malaria pattern," refers to episodes that start and stop at fixed times, unlike typical alternating chills and fever which may vary in frequency or duration without regularity. In cases of common cold where one suddenly feels cold hair, trembling thighs, muscle and joint spasms, whole-body tremors, nausea, and loss of appetite, followed by intense chills that cannot be resisted and then turning into fever, this is termed Warm Malaria (Wen Nüe). One should not assume that all malaria presents with a string-taut (Xian) pulse; whether the pulse is surging-rapid (Hong Shu), tight-solid (Jin Shi), deficiency-slow (Xu Huan), or scraping-rough (Gua Se), it may indicate a malaria pattern, distinguished by external signs. While there are standard treatments, modifying Xiaochaihu Tang (Minor Bupleurum Decoction) according to these principles is also a flexible approach. Although blood deficiency can generate chills and fever, and stagnant blood can also cause them, and despite different formulas for each aspect of yin-yang conflict, Chuanxiong Rhizome (Chuanxiong) should generally serve as an assistant herb.
For Taiyang (Greater Yang) malaria-like patterns with a surging-floating pulse, administer Guizhi Tang (Cinnamon Twig Decoction); if bowel/bladder functions are normal, no vomiting, and attacks occur once or twice daily, Guizhi Mahuang Ge Ban Tang (Cinnamon Twig and Ephedra Half-Decoction) is indicated; a slightly slow and slightly floating pulse suggests impending recovery. For Yangming (Bright Yang) malaria-like patterns with irritability, fever, sweating, and afternoon fever, a floating-deficient pulse warrants Guizhi Tang (Cinnamon Twig Decoction), while a solid pulse warrants Chengqi Tang (Bowel-Purging Decoction). For women with heat entering the Blood Chamber, blood coagulation likely occurs, presenting like malaria; Xiaochaihu Tang (Minor Bupleurum Decoction) is the primary treatment. For post-malaria chills and fever, or tidal fever, accompanied by lethargy after recovery, Erchen Tang (Two-Aged Decoction) is universally applicable for regulating various malaria types. Add Chuanxiong Rhizome (Chuanxiong) and Qianhu (Peucedani Radix) for more heat; add Chuanxiong Rhizome (Chuanxiong) and Caoguo (Tsaoko Fruit) for more cold.
Formulas:
Chaihu San (Bupleurum Powder) [from *Shenghui Fang*]: Treats malaria after typhoid fever, with不定 chills and fever, weakness in limbs, heart vexation, headache, and anorexia.
Ingredients: Chaihu (Bupleuri Radix, 3 fen, remove seedlings), Biejia (Testudinis Carapax et Plastrum, 1 liang 5 qian, coated with vinegar, roasted until slightly yellow, remove skirt), Zhimu (Anemarrhenae Rhizoma, 1 liang), Sangbaipipi (Mori Cortex, 1 liang 5 qian, sliced), Xuanjufhua (Inulae Flos), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen, roasted until slightly red, sliced), Tianlinggai (Humanis Cranium, 1 liang 5 qian, coated with butter, roasted until slightly yellow). Grind into powder. Take 4 qian per dose, decoct with one cup of urine from a healthy young boy until reduced to 5 fen, strain, add 0.5 he of Rehmanniae Radix juice, boil briefly, and take warm at any time.
Banxia San (Pinellia Powder) [from *Shenghui Fang*]: Treats unresolved typhoid fever lasting ten-plus days, with alternating chills and fever resembling Warm Malaria, chest and diaphragm fullness.
Ingredients: Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness), Renshen (Ginseng Radix, remove rhizome, 1 liang each), Chaihu (Bupleuri Radix, 2 liang, remove seedlings), Huangqin (Scutellariae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted until slightly red, sliced), Gualougen (Trichosanthis Radix, 2 liang). Grind into powder. Take 4 qian per dose, decoct with one cup of water, add 0.5 fen of fresh ginger and three jujubes, reduce to 6 fen, strain, and take warm at any time.
Huangqin San (Scutellaria Powder) [from *Shenghui Fang*]: Treats post-typhoid chills and fever occurring morning and evening, or resembling malaria.
Ingredients: Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Gegen (Puerariae Radix, sliced), Mahuang (Ephedrae Herba, remove roots and joints, 1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried, 0.5 liang each). Grind into powder. Take 5 qian per dose, decoct with one large cup of water until reduced to 5 fen, strain, take hot, cover with clothing, and consider sweating as efficacy.
Biejia San (Turtle Shell Powder): Treats intermittent chills and fever several days after typhoid fever, limb restlessness, slight panting, resembling malaria.
Ingredients: Biejia (Testudinis Carapax et Plastrum, 1 liang 5 qian, coated with vinegar, roasted until slightly yellow, remove skirt), Zhimu (Anemarrhenae Rhizoma, 1 liang), Sangbaipipi (Mori Cortex, 1 liang 5 qian, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, sliced), Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried, 3 qian each). Grind into powder. Take 5 qian per dose, decoct with one large cup of water, add three stalks of scallion white and 0.5 he of soybean paste (Chi), reduce to 5 fen, strain, and take warm at any time.
Wumei San (Dark Plum Powder): Treats malaria induced by excessive labor after typhoid fever, with stiff joints.
Ingredients: Wumei Rou (Fructus Mume, 3 fen, lightly stir-fried), Jiegeng (Platycodonis Radix, 1 liang, remove rhizome), Chi Fuling (Poria with Red Heart, 1 liang), Biejia (Testudinis Carapax et Plastrum, coated with vinegar, roasted until slightly yellow, remove skirt), Chaihu (Bupleuri Radix, remove seedlings, 1 liang each), Zhizi Ren (Gardeniae Fructus, 1 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly red, sliced). Grind into powder. Take 5 qian per dose, decoct with one large cup of water... [Text missing here regarding preparation details].
Formula for treating malaria after typhoid fever with irregular onset:
Ingredients: Chuan Shengma ( Cimicifugae Rhizoma, 2 liang), Hengshan (Dichroae Radix, 1 liang), Shuqi (Perillae Folium/Prepared Dichroa, 1 liang). Grind into powder. Take 4 qian per dose, decoct with one cup of water until reduced to 6 fen, strain, take warm on an empty stomach. Vomiting may occur after some time; if not vomited, take again.
Songluo San (Lichen Powder): Treats post-typhoid malaria with occasional chills and fever.
Ingredients: Songluo (Usnea Fibra, 3 fen), Wumei Rou (Fructus Mume, 1 liang, lightly stir-fried), Hengshan (Dichroae Radix, 1 liang), Zhizi Ren (Gardeniae Fructus, 0.5 liang), Chuan Shengma (Cimicifugae Rhizoma, 1.5 liang), Biejia (Testudinis Carapax et Plastrum, 2 liang, coated with vinegar, roasted until slightly yellow, remove skirt). Grind into powder. Take 4 qian per dose, decoct with one cup of water until reduced to 7 fen, strain, take warm on an empty stomach.
For post-typhoid toxic heat unresolved, transforming into malaria-like symptoms with irregular onset and continuous chills and fever:
Ingredients: Hengshan (Dichroae Radix, 2 liang), Biejia (Testudinis Carapax et Plastrum, 2.5 liang, coated with vinegar, roasted until slightly yellow, remove skirt), Chuan Shengma (Cimicifugae Rhizoma, 1.5 liang), Zhizi Ren (Gardeniae Fructus, 1 liang). Sift finely into powder. Take 2 qian before meals with warm water, inducing vomiting as the limit.
Shixin Wan (Fermented Soybean Pill): Treats residual toxins after typhoid fever, alternating chills and fever, transforming into malaria-like symptoms.
Ingredients: Shixin (Fermented Soybean Paste, 1 he), Chuan Dahuang (Rhei Radix et Rhizoma, 3 liang, sliced, lightly stir-fried), Hengshan (Dichroae Radix), Chuan Shengma (Cimicifugae Rhizoma, 1 liang each), Fuzi (Aconiti Lateralis Radix Praeparata, 0.5 liang, cracked, skin and umbilicus removed). Grind into powder, mix with refined honey to form pills the size of sophora seeds. Take 21 pills before meals with warm water.
Formula for treating Warm Malaria after typhoid fever:
Ingredients: Hengshan (Dichroae Radix), Chuan Dahuang (Rhei Radix et Rhizoma, sliced, lightly stir-fried), Huangdan (Minii Oxidum, fried until purple, 0.5 liang each). Grind into powder, mix with refined honey to form pills the size of sophora seeds. Take 15 pills before meals with decoction of Shengma (Cimicifugae Rhizoma).
Zhimu Shengma Tang (Anemarrhena and Cimicifuga Decoction): Treats malaria after typhoid fever, with chills, fever, restlessness, and thirst.
Ingredients: Zhimu (Anemarrhenae Rhizoma), Shigao (Gypsum Fibrosum), Shengma (Cimicifugae Rhizoma, 1 liang each), Shuqi (Perillae Folium/Prepared Dichroa), Changshan (Dichroae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 liang each), Wumei (Fructus Mume, pitted, 0.5 liang). Chop roughly. Take 5 qian bi per dose, decoct with 1.5 cups of water until reduced to 8 fen, strain, and take warm after meals.
Erhuang Tang (Two-Yellows Decoction): Treats malaria after typhoid fever, with dry mouth and vexatious thirst.
Ingredients: Mahuang (Ephedrae Herba, remove roots and joints), Dahuang (Rhei Radix et Rhizoma, sliced and stir-fried), Gualougen (Trichosanthis Radix, 1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, roasted until slightly red, sliced, 0.5 liang). Chop roughly. Take 5 qian bi per dose, decoct with 1.5 cups of water until reduced to 8 fen, strain, and take warm after meals.
Shengma Qianhu Tang (Cimicifuga and Peucedanum Decoction): Treats malaria after typhoid fever, with chills, fever, restlessness, and thirst.
Ingredients: Shengma (Cimicifugae Rhizoma), Qianhu (Peucedani Radix, remove rhizome, 0.5 liang each), Zhimu (Anemarrhenae Rhizoma, baked), Shaoyao (Paeoniae Radix, 3 qian each), Poxiao (Natrii Sulfas), Shanzhizi Ren (Gardeniae Fructus), Mutong (Akebiae Caulis, sliced), Wumei (Fructus Mume, pitted, 0.5 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, sliced, 1 fen). Coarsely crush and sieve. Take 5 qian bi per dose, decoct with 1.5 cups of water, add ginger slice the size of a date (crushed), reduce to 7 fen, strain, add 2 he of fresh Shengdihuang juice (Rehmanniae Radix), boil briefly, and take warm after meals.
Renshen Changshan Tang (Ginseng and Dichroa Decoction): Treats malaria after typhoid fever, with phlegm-toxin obstructing Spleen and Lung, sallow complexion, and intermittent chills and fever.
Ingredients: Renshen (Ginseng Radix), Changshan (Dichroae Radix, 0.5 liang each), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Chenjupi (Citri Reticulatae Pericarpium, soaked in water, remove white pith, baked, 1 fen each), Dengxin (Junci Medulla, 10 stems). Finely chop and mix evenly. Decoct with 2 cups of water and 1 cup of wine until reduced to 2 cups, strain, add 2 qian bi of good tea powder, divide into two doses, take warm. Induce vomiting for cure.
Huangqin Biejia Tang (Scutellaria and Turtle Shell Decoction): Treats Labor Malaria (Lao Nüe) after typhoid fever, lingering and unhealed.
Ingredients: Huangqin (Scutellariae Radix, remove black heart), Chaihu (Bupleuri Radix, remove seedlings), Shanzhizi Ren (Gardeniae Fructus), Wumei (Fructus Mume, pitted, 0.5 liang each), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 1 fen). Coarsely crush and sieve. Take 5 qian bi per dose, use 1.5 cups of urine from a healthy young boy, add seven peach tips and seven willow tips, one date-sized piece of ginger (crushed), 0.5 he of Chi (fermented soybean), soak overnight. At dawn, decoct until reduced to 7 fen, strain, add 1 he of fresh Shengdihuang juice (Rehmanniae Radix), mix well, boil briefly, and take warm. Time unrestricted.
Shuqi Biejia Wan (Perillae/Dichroa and Turtle Shell Pill): Treats Liver Malaria after typhoid fever, caused by pathogenic heat lodging in the Foot Jueyin Meridian. Symptoms include pale/greenish complexion, trembling/shaking, or resembling consumptive fever.
Ingredients: Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted), Shuqi (Perillae Folium/Prepared Dichroa), Zhimu (Anemarrhenae Rhizoma, baked), Wumei (Fructus Mume, pitted), Kushen (Sophorae Flavescentis Radix), Changshan (Dichroae Radix), Weirui (Polygonati Odorati Rhizoma, 1 liang each), Chi (Fermented Soybean Paste, 1 he, roasted), Shigao (Gypsum Fibrosum, 2 liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 3 qian each). Grind into powder, mix with refined honey and pound hundreds of times, form pills the size of sophora seeds.
Changshan Shigao Tang (Dichroa and Gypsum Decoction): Treats Heart Malaria after typhoid fever, causing persistent irritability and heat, excessive drinking, and constant thirst.
Ingredients: Changshan (Dichroae Radix), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted), Xijiao Xie (Rhinocerotis Cornu, sliced), Shuqi (Perillae Folium/Prepared Dichroa, 1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Wumei (Fructus Mume, pitted, 1 fen each), Shanzhizi Ren (Gardeniae Fructus, 0.5 liang), Shigao (Gypsum Fibrosum, 1.5 liang). Coarsely crush and sieve. Take 5 qian bi per dose, decoct with 1.5 cups of water, add 21-27 grains of Chi (Fermented Soybean Paste), 14-17 slices of Danzhuye (Lophatheri Herba), one date-sized piece of ginger (crushed), reduce to 8 fen, strain, take warm after meals, twice daily.
Changshan Wan (Dichroa Pill): Treats Spleen Malaria after typhoid fever, heat in Spleen organ, thirst or no thirst, internal heat injury, constipation, abdominal heat pain, body chills, and sweating.
Ingredients: Changshan (Dichroae Radix, 2 liang), Zhimu (Anemarrhenae Rhizoma, baked), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted, 1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, 0.5 liang). Grind into powder, mix with refined honey and pound hundreds of times, form pills the size of sophora seeds. Take 15 pills before onset with warm wine, and another dose during onset.
Sanwei Tang (Three-Ingredient Decoction): Treats Lung Malaria after typhoid fever, phlegm-heat gathering in chest and diaphragm, causing heart chills, severe fever,惊 (fright), and visual hallucinations.
Ingredients: Changshan (Dichroae Radix, 1 liang), Shumi (Sorghum Semen, 0.5 he/spoon), Gancao (Glycyrrhizae Radix et Rhizoma, roasted, sliced, 1 fen). Coarsely crush and sieve. Take 5 qian bi per dose, decoct with 1.5 cups of water, add one date-sized piece of ginger (crushed), reduce to 8 fen, strain, take warm just before onset.
Changshan Chaihu Tang (Dichroa and Bupleurum Decoction): Treats Kidney Malaria after typhoid fever, causing despondency, lower back and spine pain with rolling/restlessness, difficult defecation, and cold hands and feet.
Ingredients: Changshan (Dichroae Radix), Chaihu (Bupleuri Radix, remove seedlings), Maimendong (Ophiopogonis Radix, remove heart, baked, 1 liang each), Wumei (Fructus Mume, pitted), Banxia (Pinelliae Rhizoma, washed seven times in hot water, stir-fried dry), Binglang (Arecae Semen, sliced), Zhike (Aurantii Fructus, remove pulp, bran-roasted, 0.5 liang each). Coarsely crush and sieve. Take 3 qian bi per dose, decoct with 1 cup of water, add one date-sized piece of ginger (crushed), 14-17 slices of Danzhuye (Lophatheri Herba), 14-17 grains of Chi (Fermented Soybean Paste), reduce to 7 fen, strain, take warm just before onset.
Taiyi Huming Wan (Great One Protecting Life Pill): Treats malaria after typhoid fever, or premature intervention leading to Yin Qi knotting below the heart forming a mass, distension, vomiting/reversal, panting, and dark complexion.
Ingredients: Yangqishi (Yangqi Stone), Liuhuang (Sulfur), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and umbilicus removed, 1 liang each), Jin Xingshi (Venus Stone), Yin Xingshi (Silver Star Stone), Bai Yingshi (White Quartz), Zi Yingshi (Purple Quartz), Mengshi (Pyrite), Huashi (Talcum), Xiaoshi (Natrii Sulfas), Ningshuishi (Stalactite, red), Cishi (Magnetitum, calcined, quenched in vinegar), Taiyin Xuanjingshi (Taiyin Black Crystal), Guozzi (Crucible used for smelting gold/silver), Buhuimu (Non-ash Wood, double-kernel roasted). Grind into powder, refine together extremely finely. Mix 1 fen of Awei (Asafetida) with glutinous rice porridge, grind evenly, form pills the size of cherries. Take one pill, roast red in bran-charcoal fire, take out, cover with two bowls, cool, grind finely, take with ginger and rice drink. Repeat if necessary.
Fuling Yin (Poria Drink): Treats post-typhoid fever where heat does not subside, developing into malaria with frequent attacks.
Ingredients: Chi Fuling (Poria with Red Heart, remove black skin), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-roasted), Digupi (Lycii Cortex, 2-3 liang each), Chaihu (Bupleuri Radix, remove seedlings), Zhimu (Anemarrhenae Rhizoma, baked, 1.5 liang each), Zhike (Aurantii Fructus, remove pulp, bran-roasted, 1 liang). Slice like hemp beans. Take 5 qian bi per dose, decoct with 1.5 cups of water until reduced to 7 fen, strain, add 1 he of fresh Shengdihuang juice (Rehmanniae Radix), take warm long after meals. Take again after walking about five to six li.
Chaihu San (Bupleurum Powder) [from *Guangnan Weisheng Fang*]: Treats malaria after typhoid fever.
Ingredients: Chaihu (Bupleuri Radix, 1 liang, remove seedlings), Banxia (Pinelliae Rhizoma, 2.5 qian (1 fen), soaked in water seven times), Guizhi (Cinnamomi Ramulus, 2 qian, peeled and weighed), Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 qian, roasted), Baishaoyao (Paeoniae Radix Alba, 2.5 qian, peeled and stir-fried). Grind into fine powder. Take 2 large qian per dose, decoct with 1.5 cups of water, add 7 slices of ginger and 4 jujubes, reduce to 1 cup, strain, take warm. Stop medication immediately after chills and fever resolve.
Xiaochaihu Tang (Minor Bupleurum Decoction) [from *Ruyi Fang*]: Treats initial chills followed by fever, with more heat than cold.
Ingredients: Huangqin (Scutellariae Radix), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang each), Chaihu (Bupleuri Radix, 8 liang), Banxia (Pinelliae Rhizoma, prepared, 2.5 liang). Chop roughly. Add 5 slices of ginger and 1 jujube, decoct and take. If chills predominate, add Rougui (Cinnamomi Cortex). If chills and heat are equal, do not add Gui (Cinnamon).
Wufu Dan (Five Blessings Elixir) [from *Baosheng Fanlun*]:
Ingredients: Zhusha (Cinnabaris), Liuhuang (Sulfur), Xionghuang (Realgar, 1 liang each, finely ground), Pengsha (Borax), Xiaoshi (Natrii Sulfas, 1.5 liang each). Select purest materials, remove impurities, grind together uniformly. Use a porcelain box with oil inside. Burn a little Xiangxiang (Frankincense) in an incense burner, smoke the box interior, add previous medicines, seal tightly. Seal mouth with oil-mixed蛤粉 (Clam Powder), reinforce with paper fiber and salt mud to thickness of one finger. Dry in shade. Place box on brick in clean room, surround with ash mixed with vinegar, embrace box, seal gaps to finger thickness. Surround with 3 jin raw charcoal, then place 1 jin cooked charcoal on top. Gradually heat thoroughly. When fire reduces to less than 20%, remove residual fire, wait until completely cool, open box, collect medicine. It becomes liquid like a mirror surface. Crush, grind extremely fine, mix with glutinous rice flour to form pills the size of pea or mung bean. Coat with Zhusha (Cinnabar). Take one pill with warm rice drink the night before onset, and one pill one hour before onset. Self-heals by next day.
Lingsha Dan (Spirit Sand Elixir), also known as Longhu Dan (Dragon-Tiger Elixir) [from *Baosheng Fanlun*]:
Ingredients: Zhusha (Cinnabaris, finely ground, water-washed, dried), Liuhuang (Sulfur, extremely finely ground). Two ingredients, 1 qian each. Use 0.8 cup of strong wine, store in silver vessel or porcelain bowl. Heat with mild-strong fire, stir constantly with bamboo stick. Boil down to 0.6 volume, remove from heat, cool, take at once. Observe dietary restrictions, prevents recurrence forever.
Changshan Yin (Dichroa Drink): This medicine comes from the South, highly effective, does not induce vomiting. [from *Baosheng Fanlun*]
Ingredients: Changshan (Dichroae Radix, 2 liang, finely sliced), Biejia (Testudinis Carapax et Plastrum, vinegar-roasted until purple and clean, 2 liang), Shaoyao (Paeoniae Radix, 3 liang, sliced), Huanglian (Coptidis Rhizoma, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Chaihu (Bupleuri Radix, remove seedlings, weigh 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted), Qinghaozi (Artemisiae Annuae Fructus, 1.5 liang; if unavailable, use Yinchenhao (Artemisiae Scopariae Herba)). Coarsely crush. Take 5 large qian per dose, decoct with 2 cups of water and half a Wumei (Fructus Mume) slowly until reduced to 1 cup, strain, leave exposed overnight. Take one dose the day before onset, and one dose one hour before onset. Cure follows.