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At the initial onset of malaria, when the pathogenic force is at its peak, it is not advisable to abruptly arrest the attacks during the first one or two episodes. Regardless of the degree of chills and fever, one should initially select from Yangwei Tang (Stomach-Nourishing Decoction), Chai Ping San (Bupleurum and Pingwei Powder), Qingpi Yin (Clearing Spleen Infusion), or Caoguo Yin (Tsaoko Fruit Infusion) for treatment.

After four or five episodes, it becomes appropriate to arrest the attacks. Otherwise, frequent recurrence will deplete Qi, causing the pathogen to sink deeper and become difficult to cure. At this stage, Changshan (Dichroa Root) can be added to Qingpi Yin. There are antimalarial medicines made from arsenic (Pi Dan) in the world; these are highly toxic and must not be used lightly. If the patient has Qi deficiency, even if attempts are made to arrest the attacks, they will be ineffective, leading to further depletion and eventually severe illness. This must be guarded against! One must first administer one or two doses containing Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome) to support and anchor the Qi, preventing it from sinking, before using other medications. (From *Zongzhi*) [Note: This passage is a compilation of excerpts from *Yaojue* and *Danxi*.]

In the early stage of malaria, dispersal (diaphoresis) is suitable; use diaphoretic herbs for one or two doses. Subsequently, harmonization is suitable; use heat-clearing herbs for one or two doses. Only after four or five episodes should one proceed to arrest the attacks. (From *Shengmo*)

For patients with robust physique and lustrous complexion, where the disease resides in the Qi level, sweat should be induced by unblocking meridians and resolving stagnation. For those with slightly sallow complexions, sweat should be induced by tonifying deficiency. In cases complicated by phlegm-dampness, the Stomach Qi should first be fortified; after one or two days, then administer drugs that seize and expel the pathogen. For patients with weak physique and withered complexion, sweating methods should not be used, nor should seizing drugs be employed; instead, nourishment should be combined with meridian regulation. For those with robust physique but purple-black complexion, where the disease resides in the Blood level, stasis and stagnation should be opened. For those with withered complexion, Blood should be tonified and Qi regulated. These are the standard approaches. However, in cases where sweating fails to produce perspiration, or blood regulation fails to move blood, unless more precise medications are sought to directly target the location of the pathogen, how can recovery be achieved? (From *Qiuqiu Shiyi*)

Treatment varies by North and South: In coastal southeastern regions, sea winds are unpredictable, and people often consume fish and salt, leading to food stagnation. Consequently, Wind Malaria and Food Malaria are prevalent; Wutou (Aconite Lateralis Radix Preparata), Caoguo (Tsaoko Cardamomum Fructus), Chenpi (Citri Reticulatae Pericarpium), and Banxia (Pinelliae Tuber) are effective when used appropriately. In the northwest highlands, winters are freezing with cracked earth, and summers are scorching; people often suffer from cold invasion or latent summerheat. Thus, Summerheat Malaria and Cold Malaria are common; Chaihu (Bupleuri Radix) and Hengshan (Changshan/Dichroa Root) should be used together. For individuals traveling between southeast and northwest, when the disease pattern is undifferentiated, Huoxiang Zhengqi San (Agaricus Powder for Regulating the Middle and Resolving Pathogens) or Caoguo Yin can be used, similar to the principle of nourishing the Stomach. (From *Yonglei*) [Note: *Wei Yi* discusses the mechanism of spleen-cold causing malaria in southerners; the text is too lengthy to include.]

Harmonization as the Main Approach: Both chronic and acute malaria utilize Chaihu (Bupleuri Radix). However, chronic cases use smaller doses, while acute cases use larger doses. This is because malaria predominantly affects the Shaoyang (Lesser Yang) Meridian, and Chaihu serves as a guiding herb for the Shaoyang Meridian, being effective in treating alternating chills and fever. (From *Yijing*)

The malaria pathogen is neither on the exterior skin nor within the interior organs; therefore, diaphoresis does not expel it from the exterior, and purgation does not expel it from the interior. (From *Yixue Xuji*)

Diaphoresis, Emesis, and Purgation: As treatment protocols, emesis and purgation are fundamental. However, due to variations in human constitution (strong vs. weak) and disease severity, decisions must be made based on the specific situation at hand and cannot be generalized. (Cited in *Waitai Mi Yao* from Xu Renze)

Regarding ancient methods for treating malaria: If the disease is prolonged with excessive sweating, causing pores (Cou Li) to open and Yang Qi to fail to consolidate, tonification and astringency are required. If there is no sweating, indicating dense pores where the pathogen cannot resolve, dispersal is required. Thus, it is said: For those with sweating, aim to stop sweating, focusing on supporting the Righteous Qi; for those without sweating, aim to induce sweating, focusing on expelling the Pathogen. [Note: This is Zhu Danxi's view.] This is the general principle. (From *Jingyue Quanshu*)

Regarding inducing sweat: If sweat is produced but the body is weak, heavy tonifying agents must be used to assist. When sweat permeates the entire body and flows down past the Weizhong (BL-40) acupoint, it is a favorable sign. Patients should be instructed to eat bland foods, reduce outings, avoid wind, seek warmth, stay away from stuffy curtains, and maintain careful nursing. Under such conditions, stability will be achieved. (From *Gezhi Yulun*)

Any physician who treats malaria without identifying the location of the pathogen and indiscriminately uses strong diaphoresis or purgation, thereby damaging the body's Righteous Qi, commits a medical error. The malaria pathogen resides in the half-exterior/half-interior region, presenting both chills and fever. Strong diaphoresis damages the exterior, and strong purgation damages the interior; such medication only exacerbates the malaria. If the pathogen remains latent and the medication triggers another episode, what method will remain to treat it? (From *Yizong Bidu*)

Any physician who employs emesis using harsh, inferior drugs or various pills that damage the Zang-Fu organs commits a medical error. Emesis should only utilize clear, aromatic vapors that penetrate the meridians to draw out the malaria pathogen, such as Changshan soaked in wine without boiling. Pills made from Vitriol (Danfan) or Realgar/Arsenic (Xinshi), when swallowed, stick in the abdomen, disrupt the intestines and organs, and ultimately provide no benefit. Beware! (Ibid.)

Treatment Must Support Righteous Qi: Malaria involves a struggle between Pathogenic and Righteous Qi, with continuous alternation, resembling battle. Treatment must first support the Righteous Qi or urgently eliminate the Pathogen. Generally, when Righteous Qi is strong, the Pathogen resolves itself; when the Pathogen is gone, the Righteous Qi is secure. Now, consider a person with weak constitution suffering from malaria; after a few days, the attacks become delayed, the momentum declines, but the spirit becomes confused and incurable. Is this not due to deficient Righteous Qi allowing the Pathogen to sink inward? (From *Yixue Xuji*)

Use of Changshan (with Dahuang as Assistant): Diseases often arise from fluid retention in the Epigastrium. Changshan is effective because it induces vomiting. (From *Yijian Fang*) Generally, malaria patients accumulate "yellow water"; Changshan breaks up accumulations and guides fluids downward. (From *Zhizhi Fang*)

It is true that malaria patients accumulate phlegm-saliva and yellow water, and Changshan induces vomiting and purgation; however, in cases of pure heat malaria or internal heat excess, administering Changshan results only in scanty, incomplete stools. In such cases, Beidahuang (Rhubarb Root and Rhizome) must be added as an assistant to induce significant purgation several times before recovery occurs. Some argue that Baiduo (Croton Seed) pills also cause purgation. This is incorrect. Baiduo targets lower jiao accumulation; to cleanse blood-heat, Dahuang is indispensable. (Ibid.)

For weak individuals, Changshan must be strictly avoided, as it may cause vomiting and damage Stomach Qi. (From *Ruyi Fang*)

Changshan and Shuji (Changshan buds) have the power to seize phlegm and arrest malaria. They should only be used after the exterior pathogen has been dispersed or after seven malaria episodes. Early use inevitably traps the pathogen, often leading to abdominal distension. (From *Huiyan*, citing Fang Longtan)

In chronic malaria with deficiency-cold, if Renshen, Baizhu, Ganjiang (Dried Ginger), and Rougui (Cinnamon Bark) fail to cure, Changshan must be added to these formulas. Furthermore, Shanzhujia (Pangolin Scales) must be added to unblock the meridians, allowing the malaria pathogen to exit externally. Such cases invariably recover. (From *Yixue Zhuan*)

Changshan and Shuji, when used raw, tend to ascend and induce vomiting. When steamed with wine and stir-fried, their action is milder, and small doses do not induce vomiting. With Gancao (Licorice Root), vomiting is induced; with Dahuang, purgation is induced. (From *Bencao Gangmu*)

Changshan’s nature is to treat malaria. Although it tends to induce vomiting, proper steaming preparation prevents this, making malaria easier to cure. Its efficacy lies beyond just vomiting phlegm. It is not a drug that merely vomits water, but rather one that can damage the Stomach if misused. (From *Zhunsheng*)

If the disease is mild but Changshan is used, and vomiting/purgation is not desired, it should be stir-fried with vinegar for a long time. Even at doses of one or two qian, it will not induce vomiting. Recently, some foolish people fear it like a scorpion sting, simply because they do not understand its properties. (From *Shazhuan*)

Expelling Water Requires Moving Blood: "Water" refers to fluid retention; "Blood" refers to blood stasis. Fluid retention causes alternating chills and fever; blood stasis exacerbates them. While Changshan expels water and resolves fluid retention, without blood-moving assistants, perfect efficacy cannot be achieved. Henceforth, if malaria patients present with epistaxis, hemoptysis, blood streaks in stool, or irregular menstruation, these are blood syndromes. Use a formula of Changshan, Caoguo, Binglang (Areca Seed), Qingpi (Citri Reticulatae Pericarpium), Wumei (Mume Fruit), and Gancao, adding Wulingzhi (Trogopteri Dung) and Taoren (Peach Seed) as assistants. Decoct with Shengjiang (Fresh Ginger) and thick honey. (From *Zhizhi Fang*)

Rules for Arresting Malaria (See General Treatment Methods): It is optimal to arrest malaria only after three to five episodes. (From *Danliao Fang*) [Note: Zhu Shi stated: Do not arrest within the first ten episodes. This view is difficult to accept.]

Arrest only after four or five episodes [originally from *Yaojue*]. Otherwise, arresting too early causes abdominal bloating and difficulty eating. Although chills and fever may be mild, they come and go intermittently and cannot be completely stopped. This is the result of premature arrest. If arrested after only one episode, chills and fever cannot vent, the pathogen cannot expand or contract, phlegm-saliva attacks upward uncontrollably, resulting in inability to vomit or swallow, rapid breathing, coma, and death from distress. (From *Shengmo*)

After four or five episodes, it is timely to arrest and eliminate the pathogen [Note: *Yitong* states: After multiple episodes, once dispersal and harmonization are complete, arrest should follow]. Delaying leads to severe damage of Middle Qi, deepening of the pathogen, and sudden ineffectiveness of treatment. (From *Liuyao*)

If arresting medication causes the expulsion of yellow gelatinous fluid, the malaria heals spontaneously. Do not arrest too early (1-2 days), as this closes off the pathogen and creates complicated syndromes; do not arrest too late, as this exhausts Yuan Qi and creates deficiency consumptive diseases. Arresting on the third or fourth day is ideal. (From *Huichun Fang*) [Note: *Cihang* states: Wait until the attack momentum subsides before arresting.]

When attacks occur daily at regular intervals, it is called "Malaria Signal." At this stage, follow the syndrome with dispersal; do not directly attack or arrest. If attacks occur earlier or later than usual, it indicates Rising Righteous Qi rejecting the Pathogen, called "Malaria Decline," at which point arrest is possible. (From *Xinyi Ji*)

Chronic cases cannot be directly arrested; a combination of tonification and arrest is necessary. (From *Danxi Xinfa*)

For weak individuals, combine arrest with tonification. For robust individuals, use arrest alone. (From *Huichun Fang*)

There are many methods for arresting malaria, yet none are universally effective. Based on my experience, I rarely rely solely on arrest. Generally, eliminating the pathogen leads to recovery. Once the pathogen is thoroughly dispersed and the exterior resolved, one need only restore Yuan Qi; once Qi recovers, health returns. Mastering the balance of attacking and tonifying between Pathogen and Righteous Qi ensures spontaneous recovery; this is the best form of "arrest." While various arrest formulas exist and should not be discarded, efficacy varies due to individual differences in Qi, Blood, Yin, and Yang. Therefore, when using arrest drugs, observe the patient's strength and adjust accordingly. Mild cases are easy to arrest; severe cases are difficult. (From *Jingyue Quanshu*)

Regulation of Medication Administration: The Classics state: Do not needle during high fever, do not needle when the pulse is chaotic, do not needle during profuse sweating. These indicate adverse pathological states where treatment is contraindicated. Understanding this, one knows that treatment is contraindicated when the disease is approaching, actively raging, or subsiding, to avoid damaging True Qi. (From *Sanyan Jiyi Bingzheng Fanglun*)

Medication can be administered continuously before the onset of the attack [Note: *Yishuo* cites *Leibian*: On the day of the attack, drink cup by cup; this yields miraculous effects]. Do not administer during active发作 (attack), as it may damage Stomach Qi. (From *Xu Yijian Fang*)

Generally, in the first few days of malaria, the pathogen spreads like a prairie fire, turbulent and hard to reverse. One should wait for it to stabilize before acting, as the Classics say: "Wait for the peak to subside." Do not administer medication when the malaria is approaching, actively raging, or resolving, as this consumes True Qi. Administer medication before the attack, ideally two hours prior, or on an empty stomach early in the morning of the attack day. (From *Zhizhi Fang*) [Note: *Zhengzhi Tigang* adds: Otherwise, medicine and disease contend, worsening the condition.]

Whether using acupuncture or herbs, treatment must occur two hours before the malaria attack or after it subsides. Treating when the Qi is harmonious facilitates recovery. (From *Baoming Ge Kuo*)

Recently, I have treated malaria by confronting the pathogen at its peak, achieving rapid and effective results. This shows that some ancient rules need not be rigidly adhered to. (From *Jingyue Quanshu*)

Prohibition of Tonification After Resolution: After malaria ceases, do not take tonifying drugs, as tonification will cause recurrence. (From *Yishuo*)

There are four diseases that should not be tonified: 1. Malaria, 2. Mania, 3. Fluid Retention (Edema), 4. Hongxiangjiao (Podagra/Gout). When these four diseases show slight improvement, warm and strong tonics must absolutely be avoided. Even mild tonics must be beneficial to the original disease. (Cited from *Yiyu*)

Post-Recovery Regulation: For post-malaria regulation, use Shengliao Pingwei San (Raw Pingwei Powder). Add half a qian each of Renshen (Ginseng Root) and Fuling (Poria) per dose. Alternatively, use Sijunzi Tang (Four Gentlemen Decoction) with one and a half qian of Chenpi (Citri Reticulatae Pericarpium), known as Yigong San. (From *Yaojue*)

Clearing and Resolving Formulas (Including Tonifying Formulas):
Qingpi Tang (Clearing Spleen Decoction): Treats Dan Malaria (Heat Malaria) with wiry-rapid pulse, fever without chills, or more heat than cold, chest fullness with appetite, bitter taste, dry tongue, irritability, thirst with desire to drink, yellow-red urine, and constipation.
Ingredients: Qingpi (Exocarpium Citri Reticulatae Viride, white pith removed), Houpo (Magnolia Bark, ginger-processed fried), Baizhu (Atractylodes Macrocephala Rhizome), Caoguoren (Tsaoko Cardamomum Seed), Chaihu (Bupleuri Radix, awn removed), Fuling (Poria, peel removed), Banxia (Pinelliae Tuber, boiled seven times), Huangqin (Scutellaria Root), Gancao (Licorice Root, honey-fried). Equal parts.
Crush ingredients. Take 4 qian per dose, add 1.5 cups of water and 5 slices of ginger. Decoct to 0.7 cups, strain, and take warm at any time. (From *Jisheng Fang*). *Cuiyan* adds Binglang (Areca Seed). *Huofa* Secret Recipe Luxing Yin (Dew-Star Infusion) for chronic malaria becoming consumption: Remove Qingpi, Houpo, Caoguo from the base formula. Add Binglang, Hengshan (Changshan), Qinjiao (Gentiana Macrophylla Root), Guizhi (Cinnamon Twig). Use half wine, half water, expose overnight, strain, and take warm next morning.

Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Wuling San (Five-Ingredient Powder with Poria) is named Chai Ling Tang (Bupleurum and Poria Decoction), highly effective for wind-heat or summerheat malaria. Take 3 slices of ginger, 20 hearts of Maidong (Ophiopogon Tuber), and a little Gubopi (Lycium Cortex), decoct and take warm. (From *Defang*)

Chai Ping Tang (Bupleurum and Pingwei Decoction): For malaria with whole-body pain, heavy limbs, more chills than heat, and soggy pulse, known as Damp Malaria. (From *Yifang Kao*) (This is Xiao Chaihu Tang combined with Pingwei San).

Malaria should be differentiated by daytime/nighttime occurrence and degree of chills/heat for harmonization. The main harmonizing formulas are combinations of Xiao Chaihu Tang and Erchen Tang (Two-Chen Decoction). (From *Baoming Ge Kuo*)

Excellent Formula for Arresting Malaria:
Chaihu (Bupleuri Radix, 5 qian, awn removed), Zhen Guang Chenpi (True Guang Chenpi, 3 qian, soaked, scraped white, dried), Gancao (Licorice Root, 0.5 qian).
Decoct 2 bowls of water to 1 bowl. Take warm on an empty stomach at 5 AM on the day of the attack. Do not take after onset. Effective for the first 2-3 episodes in robust patients. For chronic malaria or weak Qi, this may not work; use Qingbu Tang (Clearing and Tonifying Decoction) instead. (From *Huoyou Xinfa*)

For severe thirst and high fever in malaria: Modify Xiao Chaihu Tang by removing Banxia, add Zhimu (Anemarrhenae Rhizoma), Maidong (Ophiopogonis Tuber), and Huanglian (Coptidis Rhizoma). (From *Danxi Xinfa*)

Jiang Yingsu treated Libu Zhenyang, whose typhoid transformed into malaria with severe thirst, high fever, and irritability. Capital physicians used Liujun Zi Tang (Six Gentlemen Decoction) plus Qingpi, Houpo, Binglang, Caoguo for over 10 days without effect. Upon consultation, pulses were surging-rapid and slightly wiry. Jiang prescribed Xiao Chaihu Tang minus Banxia, combined with Baihu Tang (White Tiger Decoction). Thirst stopped after one dose; fever subsided and cure was achieved after two doses. (From *Lei An*)

Xiao Chaihu Jia Changshan Tang (Minor Bupleurum Plus Dichroa Decoction): Suitable for malaria after three episodes. Take one dose at dawn, or one hour before the expected attack time. Miraculous effect. Formula: Xiao Chaihu Tang plus 3 qian of raw, un-roasted Changshan. If nausea occurs after ingestion, induce vomiting with finger; once phlegm is expelled, the patient recovers. (From *Shifang Ge Kuo*)

Cui Shi’s Changshan Formula for Laigong of Kuaiji:
Changshan (Dichroae Radix, 3 liang), Shigao (Gypsum Fibrosum, 8 liang, crushed, wrapped in cotton), Ganzhuye (Betel Leaf, 1 bunch, cut), Nuomi (Glutinous Rice, 100 grains).
Cut the four ingredients. Add 8 sheng of water. Soak tonight in a copper vessel, expose under stars/moon in a clean high place. Tomorrow morning, take medicine near the patient's door. Decoct slowly over low fire to 3 sheng. Divide into three doses. Take one additional dose right before the attack. If symptoms cease immediately, do not take subsequent doses. (From *Waitai Mi Yao*)

Yannian’s Zhimu Biejia Tang (Anemarrhena and Turtle Shell Decoction) for Warm Malaria with high fever and anorexia:
Zhimu (Anemarrhenae Rhizoma), Biejia (Testudinis Carapax et Plastrum, roasted), Gubopi (Lycii Cortex), each 3 liang; Changshan (Dichroae Radix) 2 liang; Zhuye (Bambusae Folium, cut) 1 sheng; Shigao (Gypsum Fibrosum, crushed) 4 liang.
Cut six ingredients. Add 7 sheng of water. Boil to obtain 2.5 sheng. Strain and divide into three doses. (Ibid.)

Biejia Baizhu San (Turtle Shell and Atractylodes Powder) for chronic malaria with equal chills and heat, profuse sweating, and heavy/painful waist and spine:
Biejia (Testudinis Carapax et Plastrum, vinegar-roasted), Changshan, Baishaoyao (Paeoniae Radix Alba), Chaihu (Bupleuri Radix, rootlets removed), each 1 liang; Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang; Muli (Concha Ostreae, calcined) 0.5 liang.
Crush ingredients. Take 5 qian per dose, add 2 cups of water and 5 slices of ginger. Decoct to 1 cup, strain, and take warm at any time. (From *Yang Shi*)

Qinghao San (Artemisia Annua Powder) for malaria:
Gancao (Licorice Root), Qinjiao (Gentianae Macrophyllae Radix), Chaihu (Bupleuri Radix), Caoguozhi (Tsaoko Cardamomum Fructus), Qingpi (Citri Reticulatae Pericarpium), Changshan (Dichroae Radix), Binglang (Arecae Semen), Qinghaosui (Artemisiae Annuae Herba), each equal parts; Tao Liu Zhi (Peach and Willow Branches), each 7 cun.
Powder Changshan, Qinjiao, Chaihu, Caoguozhi, Qingpi, Gancao. For each dose, add 1.5 cups of water, Tao Liu Zhi, Qinghaosui, and one Wumei (Mume Fruit). Decoct to 0.8 cups, cool, and take one dose. Take another dose at midnight. Essentially, administer one dose the night before. (From *Zhu Shi*) [Note: This is a variation of *Shengji Zonglu*'s Qulao Tang for malaria, which includes Biejia, etc., but this formula is superior.]

*Quansheng Zhimi Lun* states: If a person feels hot like a smoldering fire, chilly like shaking in wind, without fixed timing, limbs feel loose, hands and feet ache, head and eyes are dizzy, this is due to deficient Ying and Wei (Nutritive and Defensive Qi) allowing external Wind Pathogen to invade. Contact with Yang causes fever; contact with Yin causes chills. If untreated, it becomes Consumption Qi. Use Jingjie San (Schizonepeta Powder).
Jingjisui (Schizonepeta Spike), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Radix, cut/washed/dried), Huangqi (Astragali Radix), Shaoyao (Paeoniae Radix), Guizhi (Cinnamomi Ramulus, bark removed), each 1 liang; Chaihu (Bupleuri Radix, rootlets removed) 2 liang; Gancao (Licorice Root, honey-fried) 0.5 liang.
Make coarse powder. Take 5 qian per dose, add 2 cups of water. Decoct to 1 cup, strain, and take warm. (From *Youyou Xinshu*)

Jiawei Sijunzi Tang (Modified Four Gentlemen Decoction) for chronic malaria with more heat than cold persisting. (From *Lanshi Midang*)
(This is Sijunzi Tang plus Chaihu, Bohe (Mint), and Huangqin, equal parts.)

Buyang Xiaomie Dan (Tonify Yang Eliminate Malaria Pill): Malaria is a common condition, usually treated with mild digestion-promoting and dispersing methods. If suddenly complicated by diarrhea, it becomes severe. Sweating would deplete Yin; expelling pathogen via purgation would worsen diarrhea. Balancing upper and lower treatments is difficult. Standard methods yield little success. Now use: Renshen 1 liang, Biejia 1 liang, Baizhu 3 liang, Fuling 1 liang, Danggui 1 liang, Baishaoyao 3 liang, Chaihu 1 qian, Zhike (Aurantii Fructus Immaturus) 1 qian, Binglang 1 qian. Decoct in water and take. (From *Shishi Milu*)

Formulas for Dissipating Pathogens [Note: Except for the first two, most are for arresting malaria. Other arrest methods include using Chaihu, emesis, Dahuang, Renshen, Fuzi, etc. Listed separately here; apply flexibly in practice.]
Qingpi Tang (Clearing Spleen Decoction) for Stomach Malaria with regular onset times. [Note: Originally listed under Malaria Syndromes, omitted here.]
Houpo (Magnolia Bark, ginger-processed fried) 4 liang, Wumei (Mume Fruit, pits removed), Banxia (Pinelliae Tuber, boiled to remove slipperiness), Qingpi (Citri Reticulatae Pericarpium), Liangjiang (Alpiniae Officinarum Rhizoma), each 2 liang; Caoguo (Tsaoko Cardamomum Fructus, peel removed) 1 liang; Gancao (Licorice Root, honey-fried) 0.5 liang.
Make coarse powder. Take 4 qian per dose, add 2 cups of water, 3 slices of ginger, one date. Decoct to 0.7 cups, strain. Take three doses before onset. Avoid cold, raw, greasy, and seasonal fruits. This formula warms the Spleen, resolves phlegm, treats chest/diaphragm oppression, abdominal fullness, belching with acid regurgitation. Can be taken regularly. (From *Sanyan Fang*) (*Defang* names it Xiao Qingpi Tang.)