夫足太阴之经。脾之脉也。脾经之疟。令人不乐。好太息。不嗜食。多寒热汗出。病至
则呕
方
木香丸 治脾疟。
木香 附子（炮去皮脐） 大黄（锉炒） 浓朴（去粗皮姜汁炙） 人参（各一两） 芍
药桂
（去粗
各半两）
陈
三。
一
蜜为丸。如梧桐子大。心胀腹满一切风劳冷气。脐下刺痛。口吐清水白沫。醋心。 癖气块。
男子肾脏风毒攻刺四体。及阳毒香港脚。目昏头痛。心间呕逆。及两胁坚满不消。卧时橘皮汤
下三十丸。以利为度。此后每夜二十丸。女人血利下血痛刺。积年血块。胃口逆。手足心烦
热。不思饮食。姜汤下三十丸。取利。每夜更服二十丸。小儿五岁以上。脾气肠胃气喘。空
心温汤下五七丸。小者减丸数服。凡胸腹饱闷不消。脾泄不止。临卧温酒下。取利。食毒痈
疽发背。山岚瘴气。头痛背缚拘紧。便宜服之。快利为度。人常服此药。可以不染瘴疾。凡
瘴气皆因脾胃实热所致。常以凉药解隔上壅热。并以此药通利称善。此丸本治岚瘴及温疟大
效。李敦裕以此方刻石于大庾岭。得效者不可胜数。昔人尝有拥兵过漳者。军人皆感疟。用
此治之。应时患愈。江南时值岁发温疟。以此药服之其效如神。皆以得快利为度。又记。凡
久疟服药讫。乃灸气海百壮。又灸中脘三十壮尤善。又加肉豆蔻六枚去根止泻方用。
青蒿汤 治脾疟。寒热善呕多汗。
青蒿 附子（炮裂去皮脐） 桂（去粗皮） 浓朴（去粗皮姜汁炙） 甘草（炙） 陈
橘皮（汤
浸去
半两）
藿香
去
滓。
知母丸 治疟疾。脾寒。
知母 贝母 草果 甘草 鳖甲（酥浸九炙） 常山（用淡豆豉一合米泔一升同煎干下
用
豉细
下。
除桂建中汤
黄 （两半） 白芍药（一两） 甘草（二钱半） 上为末。每服三钱。水盏半。生姜、
枣子
入
常山丸（出经效济世方）治脾疟由热气内伤不泄。故脾疟。令人病肠中热痛外
寒。肠中转鸣
常山（一两锉） 甘草（半两锉炒微赤） 知母（一两） 豉（一合） 麝香（一分细
研） 鳖甲（一
大。于未发
前
人参饮 治脾疟。
人参 甘草（炙各一分） 陈皮（汤浸去白焙半两） 乌梅（五枚去核焙） 草豆蔻（七
枚去
皮）
煎一盏
槟榔汤 治脾疟寒热。
槟榔（锉） 青橘皮（汤浸去白焙） 前胡 白术 菝 （各一两） 上捣筛每服三钱。
水一
盏
橘皮散 治脾疟。
陈橘皮（汤浸去白焙） 常山 干漆（炒出烟） 桂（去粗皮各三分） 牡蛎（烧赤一
分） 上
为
硫黄丸 治脾疟。无问远近。
阿魏（研） 安息香（入胡桃瓤研） 莱菔子（炒各三钱） 芜荑仁（炒研为末三分） 上
为细
末。
。仍以白芥子用纱囊盛。男左女右系于背。
常山丸 治脾热为疟。或不渴。热气内伤不泻。令人病寒。腹中痛。肠中鸣。汗出
。
常山（三两） 甘草（半两） 知母 鳖甲（各一两） 上为末。蜜丸如桐子大。未发
前温服
十丸
辰砂丸（出宣明论）治一切脾胃虚热。疟不止者。
信砒 甘草（各一钱） 朱砂（二钱） 大豆（四十九粒） 上为末。滴水和丸。分作
四十丸
服。
浓朴饧 治脾疟。不思饮食。
浓朴（去粗皮生姜汁炙三两） 半夏（为末姜汁焙干一两） 陈橘皮（汤洗去白焙二两）
上
粗捣
姜橘散（一名十枣汤出传信适用方）治脾寒及诸疟。
上真橘皮不拘多少。去白细切曝微干。以生姜自然汁浸过。陈皮一指许。银器内重汤煮
干焙
于发日先一时辰服之。不过两服而止。后再一服。不拘老少孕妇皆可用服。
草果平胃散（出危氏方）治脾虚作疟。不问寒热先后。饮食不进。
以生料平胃散四两。加入草果、大腹皮、槟榔、青皮各二两。锉碎相和匀。每服五钱。
水一盏半。生姜三片枣二枚煎七分。空心多服取效。
半夏散 治脾疟。
草果饮 治脾寒。
草果 常山 槟榔 甘草（少许） 黑豆（各等分） 上 咀。水二盏。煎一盏去滓。
露一
宿。空心
火丹 治脾寒
淡豉（二两） 人言（二钱） 雄黄（五钱） 朱砂（三钱） 上为末。用蒸饼量多少
捣和为
丸。如梧
吴茱萸汤（出杨子建护命方）治脾寒发疟。非时发作。肌肉黄瘦。食减肠泄。
腹痛大腑不调
吴茱萸（炼洗焙炒干） 芎 鳖甲（去裙 酥炙） 防风 人参 苍术（米泔浸一宿
切焙） 藿
水一盏。生姜
二片
柴胡浓朴汤 治脾寒。
柴胡 浓朴 青皮 陈皮 常山 草果 乌梅 甘草 缩砂 槟榔（各等分） 上 咀。
每服三钱。水一碗。煎八分。露一宿。五更冷服。正发一服。过后又一服。
良姜丸（出朱氏集验方）
醒脾治疟。\x
良姜（二两） 上末。猪胆丸。梧桐子大。紫苏汤下二十丸。
The Foot-Taiyin Spleen Meridian is the meridian of the Spleen. Malaria affecting the Spleen Meridian (Spleen Malaria) causes a person to feel unhappy, sigh frequently, lose appetite, and suffer from alternating chills and fever with profuse sweating. When the disease strikes, vomiting occurs.
Formula: Muxiang Wan (Costus Pill), treating Spleen Malaria.
Muxiang (Costi Radix), Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin and umbilicus removed), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice), Renshen (Ginseng Radix; each 1 liang), Shaoyao (Paeoniae Radix), Guizhi (Cinnamomi Ramulus, coarse bark removed; each 0.5 liang). Process into honey pills, size of Sophora japonica seeds. Indications include heart distension and abdominal fullness, all types of wind-labor cold qi, stabbing pain below the navel, spitting clear water and white foam, acid regurgitation, and pi-masses (accumulations). For men, kidney wind-toxin attacking the four limbs, yang-toxic gout, blurred vision, headache, nausea in the heart region, hardness and fullness in both hypochondria that does not resolve, use Tangerine Peel Decoction (Jupi Tang) to send down thirty pills at bedtime, stopping when bowel movement is achieved. Thereafter, take twenty pills every night. For women, bloody dysentery with bleeding and stabbing pain, chronic blood masses, stomach qi rebellion, heat in palms and soles, loss of appetite, use Ginger Decoction to send down thirty pills, aiming for purgation, then take twenty pills every night. For children over five years old with spleen-stomach qi asthma, take five to seven pills on an empty stomach with warm water, reducing the dose for younger children. For any chest or abdominal fullness that does not dissipate, or continuous splenic diarrhea, take with warm wine before bed, aiming for purgation. For food toxicity, carbuncles, back sores, mountain miasma, headache, and tightness in the back, this medicine is suitable; take until rapid purgation is achieved. Regular consumption can prevent infection by miasma diseases. All miasmas are caused by excess-heat in the spleen and stomach; cool medicines are commonly used to relieve upper jiao congestion-heat, and this pill is praised for its purgative effect. This pill is originally highly effective for mountain miasma and warm malaria. Li Dunyu carved this formula on stone at Dayu Ridge, and the number of effective cases is countless. It was recorded that when troops passed through Zhangzhou, soldiers were infected with malaria; using this treatment, those suffering at the time recovered promptly. In Jiangnan, where warm malaria recurs annually, taking this medicine works like magic, always aiming for rapid purgation. Furthermore, it is recorded that after taking medicine for chronic malaria, moxibustion should be applied to Qihai (CV6) for one hundred moxa cones, and Zhongwan (CV12) for thirty cones, which is especially beneficial. Additionally, adding six Areca Seeds (Roudoukou) without roots can stop diarrhea.
Qinghao Tang (Artemisia Annua Decoction), treating Spleen Malaria. Chills and fever, frequent vomiting, and profuse sweating.
Qinghao (Artemisiae Annuae Herba), Fuzi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice), Gancao (Glycyrrhizae Radix et Rhizoma, stir-baked), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed), Huoxiang (Agastaches Herba). Strain and remove dregs.
Zhimu Wan (Anemarrhenae Pill), treating Malaria. Spleen-cold.
Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Bulbus), Caoguo (Tsaoko Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Biejia (Testudinis Carapax et Plastrum, soaked in lard and stir-fried nine times), Changshan (Dichroae Radix, decocted with one he of light fermented soybeans and one sheng of rice washing water until dry).
Chui Gui Jianzhong Tang (Decorticated Cinnamon Building Middle Decoction)
Huangqi (Astragali Radix, 1.5 liang), Baishao (Paeoniae Radix Alba, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2.5 qian). Grind into powder. Take three qian per dose. Add half a cup of water, fresh ginger, and dates.
Changshan Wan (Changshan Pill, from *Jingxiao Jishi Fang*), treating Spleen Malaria caused by internal injury from heat qi that fails to discharge. Thus, Spleen Malaria causes heat pain in the intestines, external cold, and borborygmus in the intestines.
Changshan (Dichroae Radix, 1 liang, crushed), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, crushed, stir-fried until slightly red), Zhimu (Anemarrhenae Rhizoma, 1 liang), Chi (Fermented Soybean Paste, one he), Shexiang (Moschus, one fen, finely ground), Biejia (Testudinis Carapax et Plastrum). Take before the onset of the attack.
Renshen Yin (Ginseng Drink), treating Spleen Malaria.
Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-baked; each one fen), Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried; 0.5 liang), Wumei (Mume Fructus, five pieces, pits removed, dried), Caodoukou (Alpiniae Katsumadai Fructus, seven pieces, skin removed). Decoct to yield one cup.
Bolang Tang (Areca Nut Decoction), treating Spleen Malaria with chills and fever.
Bolang (Arecae Semen, crushed), Qingju Pi (Citri Reticulatae Pericarpium Viride, soaked in water, white pith removed, dried), Qianhu (Peucedani Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Babao (Smilacis Glabrae Rhizoma; each 1 liang). Pound and sieve. Take three qian per dose. Add one cup of water.
Jupi San (Tangerine Peel Powder), treating Spleen Malaria.
Chenpi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried), Changshan (Dichroae Radix), Ganqi (Drynariae Rhizoma, stir-fried until smoke emerges), Guizhi (Cinnamomi Ramulus, coarse bark removed; each three fen), Muli (Ostreae Concha, burned red; one fen). Grind into powder.
Huangdan Wan (Sulfur Pill), treating Spleen Malaria, regardless of duration.
awei (Styrax Resin, ground), Anshixiang (Benzoin Resin, ground with walnut kernel), Laifuzi (Raphani Semen, stir-fried; each three qian), Wuyiren (Myristicae Malabaricae Semen, stir-fried and ground; three fen). Grind into fine powder. Also, place White Mustard Seeds (Baijiezi) in a gauze bag and tie it to the back, left side for men, right side for women.
Changshan Wan (Changshan Pill), treating malaria due to spleen-heat. Or non-thirsty conditions where internal heat injury fails to discharge, causing cold sensation, abdominal pain, intestinal borborygmus, and sweating.
Changshan (Dichroae Radix, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang), Zhimu (Anemarrhenae Rhizoma), Biejia (Testudinis Carapax et Plastrum; each 1 liang). Grind into powder, make honey pills the size of sesame seeds. Take ten pills with warm water before the onset of the attack.
Chensha Wan (Cinnabar Pill, from *Xuanming Lun*), treating all types of deficiency-heat in the spleen and stomach, and persistent malaria.
Xinpi (Arsenic Trioxide), Gancao (Glycyrrhizae Radix et Rhizoma; each one qian), Zhusha (Cinnabaris, two qian), Dadou (Sojae Semen, forty-nine grains). Grind into powder, add water dropwise to form pills, divide into forty pills.
Houpo Xing (Magnolia Molasses), treating Spleen Malaria. Loss of appetite.
Houpo (Magnoliae Officinalis Cortex, coarse bark removed, stir-fried with ginger juice, 3 liang), Banxia (Pinelliae Rhizoma, ground, stir-dried with ginger juice, 1 liang), Chenpi (Citri Reticulatae Pericarpium, washed with water, white pith removed, dried, 2 liang). Coarsely crush.
Jiangju San (Ginger and Tangerine Peel Powder, also known as Shizao Tang, from *Chuanxin Shi Yong Fang*), treating spleen-cold and various malarias.
Select true tangerine peel (Chenpi) in any quantity, remove white pith, cut finely, and sun-dry until slightly dry. Soak in fresh ginger juice. Place a piece of chenpi about one finger-width long in a silver vessel, boil in a double boiler until dry, then dry-roast. Take one hour before the onset of the attack. Do not exceed two doses, then stop. Take one more dose later. Suitable for all ages, including pregnant women.
Caoguo Pingwei San (Tsaoko Regulate Stomach Powder, from *Wei Shi Fang*), treating malaria due to spleen-deficiency. Regardless of whether chills or fever comes first, or loss of appetite.
Take four liang of raw material Pingwei San, add Caoguo (Tsaoko Fructus), Dafupi (Arecae Pericarpium), Bolang (Arecae Semen), and Qingpi (Citri Reticulatae Pericarpium Viride), two liang each. Crush and mix evenly. Take five qian per dose. Add one and a half cups of water, three slices of fresh ginger, and two dates. Decoct to seven-tenths volume. Take in large amounts on an empty stomach for efficacy.
Banxia San (Pinellia Powder), treating Spleen Malaria.
Caoguo Yin (Tsaoko Drink), treating spleen-cold.
Caoguo (Tsaoko Fructus), Changshan (Dichroae Radix), Bolang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma, a small amount), Heidou (Sojae Semen Nigrum; equal parts). Coarsely crush. Add two cups of water, decoct to one cup, strain. Leave exposed overnight. Take on an empty stomach.
Huodan (Fire Elixir), treating spleen-cold.
Danshi (Light Fermented Soybean Paste, 2 liang), Renyan (Arsenic Trioxide, 2 qian), Xionghuang (Realgar, 5 qian), Zhusha (Cinnabaris, 3 qian). Grind into powder. Mix with steamed dough cake in appropriate amounts to form pills, size of Sophora japonica seeds.
Wuzhuyu Tang (Evodia Decoction, from Yang Zijian's *Huming Fang*), treating spleen-cold inducing malaria. Irregular onset. Yellow and emaciated muscles, reduced food intake, intestinal diarrhea, abdominal pain, and irregular bowel movements.
Wuzhuyu (Evodiae Fructus, refined, washed, dried, stir-fried), Xiong (Ligustici Chuanxiong Rhizoma), Biejia (Testudinis Carapax et Plastrum, remove skirt edges, stir-fried with lard), Fangfeng (Saposhnikoviae Radix), Renshen (Ginseng Radix), Cangzhu (Atractylodis Rhizoma, soaked in rice washing water overnight, sliced and dried), Huoxiang (Agastaches Herba). Add one cup of water and two slices of fresh ginger.
Chaihu Houpo Tang (Bupleurum and Magnolia Decoction), treating spleen-cold.
Chaihu (Bupleuri Radix), Houpo (Magnoliae Officinalis Cortex), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Changshan (Dichroae Radix), Caoguo (Tsaoko Fructus), Wumei (Mume Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Suosha (Amomi Fructus Rotundus), Bolang (Arecae Semen; equal parts). Coarsely crush. Take three qian per dose. Add one bowl of water, decoct to eight-tenths volume. Leave exposed overnight. Take cold at dawn. Take one dose during the actual attack, and another dose afterwards.
Liangjiang Wan (Alpiniae Katsumadai Pill, from *Zhu Shi Ji Yan Fang*)
Awaken the spleen to treat malaria.
Liangjiang (Alpiniae Katsumadai Rhizoma, 2 liang). Grind into powder. Make pills with pig bile, size of Sophora japonica seeds. Take twenty pills with Perilla Decoction.