Library

Grind the ingredients into a fine powder, and form pills the size of *wu zi* (seeds of *Koelreuteria paniculata*). Take 50–70 pills per dose, with plain warm water. (From *Danxi*)

Shen Gui Yang Rong Tang (Ginseng and Angelica Decoction for Nourishing the Ying), used to regulate Qi and Blood after the cessation of malaria attacks.
Ren Shen (Radix Ginseng), Dang Gui (Radix Angelicae Sinensis), Fu Ling (Poria), Bai Zhu (Rhizoma Atractylodis Macrocephalae, de-lusted), Chen Pi (Pericarpium Citri Reticulatae), Sha Ren (Fructus Amomi), Hou Po (Cortex Magnoliae Officinalis, stir-fried with ginger juice), Shan Yao (Rhizoma Dioscoreae Oppositae, stir-fried), Lian Rou (Endocarpium Nelumbinis, stir-fried), Shao Yao (Radix Paeoniae Alba, wine-stir-fried), Shu Di Huang (Radix Rehmanniae Preparata), Gan Cao (Radix Glycyrrhizae, honey-fried; all in equal parts).
Cut one dose of the above herbs, add two dates (Jujubae Fructus), decoct in water, and take warm. (From *Huichun*)

A Wei Wan (Asafoetida Pill), most effective for treating malaria that has persisted for half a year without resolution.
Zhen A Wei (Asafoetida), Hao Dan Sha (Cinnabar; each 1 liang).
Grind evenly, bind with rice paste, and form pills the size of soap pods. Take one pill dissolved in a decoction of 1 qian of Ren Shen on an empty stomach; recovery will follow. People commonly use toxic substances such as Chang Shan (Radix Dichroae) and Pi Shuang (Arsenic Trioxide) to treat malaria, often causing damage. This prescription is mild and harmless, yet unknown to many. Zhou Mi of Caochuang stated: For malaria, this formula should be taken with "rootless water" (rainwater or dew); for dysentery, it should be taken with a decoction of Huang Lian (Radix Coptidis) and Mu Xiang (Radix Aucklandiae). This is because both malaria and dysentery often originate from food stagnation. (From *Yihui*; Note: The source requires verification.)

Moxibustion and Acupuncture Methods When performing moxibustion for malaria, one must first inquire about the site where the symptoms initially appeared and apply moxa there first. If symptoms begin in the head and neck, pre-moxa the tip of Dazhui (GV14) before the attack, gradually increasing the dosage, and stop once the attack time has passed. If symptoms begin in the lower back and spine, moxa Shenshu (BL23) for 100 moxa cones. If symptoms begin in the arms, moxa Sanjian (LI3). (From *Qianjin*; Note: This adapts the classical text by changing acupuncture to moxibustion.)
If the disease persists for a long time and transforms into Lao Malaria (Chronic/Consumptive Malaria), it is appropriate to moxa Gaohuang (BL43). (From *Yijian*)
If a mass (Pi) forms and is difficult to dissipate, one must moxa Zhangmen (LR13), Shuidao (ST28), and other acupoints. The moxa cones should be slightly larger, applied frequently or continuously for two to three sessions, to ensure complete recovery. (From *Jingyue*)

Chen Xia had suffered from malaria for two years without cure, having only taken warm-natured remedies, leading to gradual emaciation and weakness. He requested my treatment. Observing his debility, I dared not immediately administer cold-natured drugs. Instead, I consulted the *Ci Maelun* (Treatise on Needling Malaria) in the *Neijing*. It states: "For all malaria that does not resolve, prick the ten fingers to bleed." At the exact time of the attack, I pricked his ten fingers to bleed. Once bleeding stopped, the chills and fever ceased immediately. (From *Rumen Shiqin*)

Regulation and Care After recovery from Zang Malaria (Miasma Malaria), consume congee or soft rice, and frequently regulate the Spleen and Stomach. Strictly avoid raw/cold foods, alcohol, sexual intercourse, and bathing. Be especially careful for half a month to one month. (From *Heji Zhinan*)
It is strictly forbidden to eat until full. Eating a heavy meal on the day of an attack will worsen the illness. (From *Zhengchuan*)
Among malaria cases, the greatest taboo is excessive mental exertion. Laborious work and worry make it the most difficult to treat. If one can calm the mind, nourish the body, regulate diet, and avoid wind, such regulation will lead to certain recovery. (From *Zhuzheng Bianyi*)
During the impending attack, if one does not stay in a warm place, but instead sleeps exposed to wind and frost, or drinks water to quench thirst, Wind-Cold may combine and fail to disperse. Pathogenic factors attack and cause disturbance; Cold and Heat contend, phlegm-fluids cloud the mind, leading to delirium, wandering, and imminent death. Furthermore, lack of caution regarding sexual activity, combined with forced labor during attacks, prolongs the illness and transforms it into Consumption. Qi stagnation and unresolved depression, coupled with severe grief, injure the Seven Emotions. Irregular diet further damages the Spleen and Stomach, transforming into a mass (Pi). During malaria attacks, one must avoid chicken, fish, raw/cold foods, and wheat products. Failure to observe these taboos leads to abdominal fullness, swelling, and vomiting. (From *Shengmo*)
One must wait until the heat subsides and the body cools before eating. One must absolutely not eat while still hot, lest indigestion form a mass. This is called Nuomu (Malaria Mother); if the mass dissipates, it may transform into Drum Distension (Bloating). (From *Huichun*)
On days when malaria attacks, one must avoid wind externally and reduce dietary intake internally. Especially before an attack, one should not eat; only drink hot water to assist Middle Qi, facilitating the expulsion of pathogens. When chills occur, cover oneself warmly with blankets; when heat occurs, uncover promptly. Although external Wind-Cold invasion may not be felt, internal pathogenic factors evaporate outward. Therefore, the whole body must be protected. Only after the heat recedes and sweat dries should one remove clothing. Thus, pathogens are easily subdued, and the illness stabilizes. (From *Yiwanshecao*)