（附论）
夫疟母者。病疟不瘥。结为症瘕是也。邪伏于阴。故久而成形。不治矣。其母虽或时瘥。
已
方
雄黄丸（出圣济总录）治一切远年疟结成症瘕。
雄黄（研） 丹砂（研） 麝香（各半两研） 木香 鳖甲（醋炙去裙 ） 龟甲（醋
炙） 虎头骨（
母（焙） 防风（去叉）
柴胡（去苗） 茯神（去木） 升麻
梅肉（炒） 阿魏（研） 桃仁（汤浸
三分） 上除别研外。为细末。合研匀。炼蜜
未发前服。
鳖甲煎丸（出千金方）治久疟不瘥。结为症瘕。名曰疟母。
生鳖肉（半斤亦用鳖甲） 黄芩（去黑心） 柴胡（去苗） 蜣螂（去翅头足炒各半两）
鼠妇（炒
（去粗皮） 牡
浸去滑焙） 人参 大
皮尖双仁别研） 石苇（去毛） 赤
细末。取灶下灰三升。酒二升。淋灰取汁
更煎成膏。可丸即止。丸如梧桐子大。
老疟饮（出三因方）治久疟。结成症瘕在腹胁。诸药不去者。并治瘴疟。
苍术（泔浸） 草果（去皮） 桔梗 青皮 陈皮 良姜（各半两） 白芷 茯苓 半
夏（汤洗去
芎（各二钱） 上为
仍吞下后服胃疟内红
鳖甲饮子（出仁存方）治疟疾久不愈。胁下痞满。病患形瘦。腹中结块。时
发
寒热。名曰疟
鳖甲（醋炙） 白术 黄 （去芦） 草果仁 槟榔 芎 橘红 白芍药 甘草（炙）
浓朴（
七分。
丹砂丸（一名截疟丹出直指方）治疟母。精志修合。
丹砂（研） 绿豆粉（去皮研粉） 砒霜（研各半两） 上于端午日。静室内。面向东
南。用
乳钵
发前
如圣丸（出圣济总录）治疟疾。结成症瘕。
巴豆（三粒去壳） 黑豆（四十九粒） 砒霜（研半两） 上将巴豆黑豆。用米醋浸一
宿。去
皮膜
取嫩
无桃
经效疟丹 治疟母结癖。寒热无已。
二黄丸（出圣济总录） 治疟母。
以生砒霜黄豆末各一两。以酽醋二升。一处煎成膏。可丸取出。别入丹砂雄黄麝香各一
钱。
至妙疟丹（出王氏传信方）治疟母。
砒霜（研半两） 寒水石（研一两） 上先研砒在生铁铫内。用寒水石末丸之。以瓷碗
合定。
湿
了
于
时
不
治老疟。（出肘后方）
用龙骨末。方寸匕。先发前一时酒一升半。煮取三沸。及热尽服。温覆取汗。
盐津丸 治五疟八痞。
治老疟久不断者。（出本草）
取牛膝茎叶一把切。以酒三升渍服。令微有酒气。不即断。更作。不过三剂止。崔元亮
海上
治老疟发无时者。（亦名 疟又呼为妖疟方出本草）
取疟龟烧作灰。饮服一二钱。当微利。取头烧服弥佳。亦候发时煮为沸汤坐浸身。亦悬
安病
治老疟。（出本草）
炙鳖甲。杵为末。服方寸匕。至时令三服尽。用火炙。无不断。
治老疟母。（出澹寮方）
桃仁（去皮尖略炒） 鳖甲（醋炙） 恒山（酒煮） 豆豉（和梅蒸或发而研） 上等
分。蒸烂
乌梅
在
大作
且苦
百粒
继以
则战
其热
类。
瘴疟
常之
消癖丸（出直指方）治疟母停水结癖。腹胁坚痛。\x
芫花（炒） 朱砂（研细等分） 上为末。炼蜜丸。小豆许。每服十丸。浓煎枣汤下。
去癖须用
(Attached Discussion)
The so-called "Nuomother" (Malaria Mass) refers to the condition where malaria fails to resolve, and pathogenic factors accumulate to form Zhengjia (abdominal masses). This occurs because pathogens hide in the Yin aspect, forming structures over time, which are difficult to cure. Although this "mother" may sometimes temporarily alleviate, the root cause remains.
Formulas:
Xionghuang Wan (Realgar Pill) (from *Shengji Zonglu*): Treats various long-standing malaria cases complicated by Zhengjia (abdominal masses).
Ingredients: Xionghuang (Realgar, ground), Dansha (Cinnabar, ground), Shexiang (Musk, each 0.5 liang, ground), Muxiang (Costus Root), Biejia (Tartar Testudinis, vinegar-fried, remove skirt edge), Gujia (Testudinis Carapax et Plastrum, vinegar-fried), Hutougu (Os Tigris Capitis, roasted), Mu [Medicine] (original text missing character, likely an animal medicine or tonic), Fangfeng (Saposhnikoviae Radix, remove forked roots), Chaihu (Bupleuri Radix, remove seedlings), Fushen (Poria with Hostwood, remove woody core), Shengma (Cimicifugae Rhizoma), Meirou (Plum Flesh, stir-fried), Awèi (Ferulae Resina, ground), Taoren (Persicae Semen, soaked in hot water, remove skin and tips, dried, take 3 fen). Except for those requiring separate grinding, all other ingredients are ground into fine powder, mixed evenly, and ground together. Form pills with refined honey. Take before the onset of malaria.
Biejia Jian Wan (Turtle Shell Decoction Pill) (from *Qianjin Fang*): Treats prolonged malaria that has not resolved, forming Zhengjia (abdominal masses), named Nuomother.
Ingredients: Sheng Bie Rou (Fresh Turtle Meat, 0.5 jin; can also use Biejia), Huangqin (Scutellariae Radix, remove black heart), Chaihu (Bupleuri Radix, remove seedlings), Qianglang (Scarabaeus, remove wings, head, feet, fried, each 0.5 liang), Shufu (Armadillidium, fried), [Original text missing, likely Houpo], Qu Cupi (remove coarse bark), Mu [Li] (Ostreae Concha, soak to remove slipperiness, dry), Renshen (Ginseng Radix), Da [Zao] (Jujubae Fructus, [missing]), [Missing] (remove coarse bark, double-kernel ones ground separately), Shiwei (Pyri Folium, remove hairs), Chi [Fuling] (Poria, [missing]). Grind into fine powder. Take 3 sheng of ash from the kitchen stove, add 2 sheng of wine, leach the ash to extract juice, then boil down to a paste. Stop when it can be formed into pills. Make pills the size of wutong seeds.
Laonuo Yin (Old Malaria Drink) (from *San Yin Fang*): Treats prolonged malaria forming Zhengjia (abdominal masses) in the abdomen and hypochondrium, ineffective against other medicines. Also treats Zhangmalaria (Miasma Malaria).
Ingredients: Cangzhu (Atractylodis Rhizoma, soaked in rice water), Caoguo (Tsaoko Fructus, remove peel), Jiegeng (Platycodonis Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Liangjiang (Alpiniae Officinarum Rhizoma, each 0.5 liang), Baizhi (Angelicae Dahuricae Radix), Fuling (Poria), Banxia (Pinelliae Rhizoma, washed in hot water to remove slipperiness), [Chuan] Xiong (Ligustici Chuanxiong Rhizoma, each 2 qian). Grind the above ingredients into [fine powder]. Swallow and then take the red [medicine] inside the Weimao internal formula.
Biejia Yinzi (Turtle Shell Infusion) (from *Ren Cun Fang*): Treats malaria that does not heal for a long time, fullness and obstruction under the hypochondrium, emaciation of the patient, masses in the abdomen, frequent attacks of chills and fever, named Nuomother.
Ingredients: Biejia (Tartar Testudinis Carapax, vinegar-fried), Baizhu (Atractylodis Macrocephalae Rhizoma), Huang [Qi] (Astragali Radix, remove radicle), Caoguoren (Tsaoko Fructus Seed), Binglang (Arecae Semen), [Chuan] Xiong (Ligustici Chuanxiong Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Nong [Hou] Po (Magnoliae Officinalis Cortex, [missing]) 7 fen.
Dansha Wan (Cinnabar Pill) (also known as Jimie Dan, from *Zhizhi Fang*): Treats Nuomother. Carefully prepared.
Ingredients: Dansha (Cinnabar, ground), Ludoufen (Mung Bean Starch, skin removed and ground into powder), Pishuang (Arsenic Trioxide, ground, each 0.5 liang). On the Dragon Boat Festival (Duanwu Day), in a quiet room, facing southeast, grind in a [mortar]. Take [before] the attack.
Rusheng Wan (Like Sage Pill) (from *Shengji Zonglu*): Treats malaria, forming Zhengjia (abdominal masses).
Ingredients: Badou (Crotonis Fructus, 3 grains, remove shell), Heidou (Sojae Semen Nigrum, 49 grains), Pishuang (Arsenic Trioxide, ground, 0.5 liang). First, soak Badou and Heidou in rice vinegar overnight, remove [skin and membrane]. Take tender [sprouts?] without peach [kernels?].
Jingxiao Niedan (Effective Malaria Elixir): Treats Nuomother with accumulated phlegm-stasis, incessant chills and fever.
Erhuang Wan (Two Yellows Pill) (from *Shengji Zonglu*): Treats Nuomother.
Take raw Pishuang (Arsenic Trioxide) and Huangdou mo (soybean powder), each 1 liang. Boil with 2 sheng of strong vinegar until it becomes a paste. When ready to form pills, take out. Add Dansha (Cinnabar), Xionghuang (Realgar), and Shexiang (Musk), each 1 qian.
Zhimiao Niedan (Utmost Marvelous Malaria Elixir) (from *Wangshi Chuanxin Fang*): Treats Nuomother.
Ingredients: Pishuang (Arsenic Trioxide, ground, 0.5 liang), Hanshuishi (Calcitritum, ground, 1 liang). First grind Pishuang in a raw iron pot. Use Hanshuishi powder to coat the pills. Cover tightly with a porcelain bowl. [Text missing] wet [?] at [?] time [?] not [?] treat old malaria. (from *Zhouhou Fang*)
Use Longgu mo (Fossilized Bones powder), one fangcun bi dose. One hour before the attack, boil 1.5 sheng of wine for three boils. Take all while hot. Cover warmly to induce sweating.
Yanjing Wan: Treats Wumao (Five Malias) and Bip (Eight Obstructions).
Treat old malaria that persists for a long time. (from *Bencao*)
Take a handful of Niuxi stems and leaves, cut them up, soak in 3 sheng of wine and drink. Let the body have a slight alcoholic sensation. If not immediately cured, prepare again. Not more than three doses will stop it. Cui Yuanliang Haishang [Formula].
Treat old malaria with irregular attacks. (Also called Gui [Ghost] Malaria, also called Yao Malaria, formula from *Bencao*)
Burn the Malaria Turtle to ash, take 1-2 qian with water. There should be mild diarrhea. Burning the head is better. Also, boil into hot water for sitz bath during attacks. Hang [place?] sick [room?].
Treat old malaria. (from *Bencao*)
Roast Biejia (Tartar Testudinis Carapax), pound into powder. Take one fangcun bi dose. By the season, finish three doses. Roast with fire. All will be cured.
Treat old Nuomother. (from *Danliao Fang*)
Ingredients: Taoren (Persicae Semen, remove skin and tips, slightly fried), Biejia (Tartar Testudinis Carapax, vinegar-fried), Hengshan (Polygalae Radix, boiled in wine), Douchi (Sojae Semen Praeparatum, steamed with plum or ground during attack). Equal parts. Steam until soft [?] Wumei [?] In [?] Make large [?] And bitter [?] Hundred grains [?] Continue with [?] Then shake [?] Its heat [?] Category [?].
Zhangmalaria [?] Changzhi [?] Xiaopi Wan (Eliminate Phlegm-Stasis Pill) (from *Zhizhi Fang*): Treats Nuomother with retained water and accumulated phlegm-stasis, hard pain in abdomen and hypochondrium.
Ingredients: Yuanhua (Genkwa Flos, fried), Zhusha (Cinnabar, finely ground, equal parts). Grind into powder, form pills with refined honey, size of small beans. Take 10 pills per dose, swallow with thick decoction of jujube soup. To eliminate phlegm-stasis, must use [?]