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Regarding malaria, the chills and fever occur at regular intervals, while during other times the pulse is calm and the body temperature is normal; this is ordinary malaria, which should be treated with methods for malaria. If the pathogen transmits to the stomach, interior syndromes (Interior Syndromes) must manifest, termed warm malaria (Warm Malaria). Treatment with epidemic disease methods leads to survival, whereas treatment with malaria methods leads to death. The so-called interior syndrome refers to syndromes requiring purgation (Purgation). After purgation, if the interior syndrome resolves but chills and fever persist, it indicates that the epidemic pathogen has diminished, but the malaria pathogen remains. For remaining malaria pathogens, dispersing (Dispersing) methods are appropriate; for cases where the pathogen is gone but the momentum of malaria persists, intercepting (Intercepting) methods are appropriate; for cases where the momentum persists and is accompanied by deficiency, tonifying (Tonifying) methods are appropriate. Dispersing can be achieved with Qingpi Yin (Clear Spleen Decoction), intercepting with Bu'er Yin (Two-Not-Drink), and tonifying with Sijunzi Tang (Four Gentlemen Decoction); these formulas are detailed in the malaria section. To avoid clutter, they are not listed here.

Dysentery with pus and blood, accompanied by fever, thirst, epigastric and abdominal fullness and stuffiness, vomiting, and inability to eat, constitutes a combined syndrome of epidemic dysentery (Epidemic Dysentery), which is extremely critical. Epidemic diseases are disorders of the Stomach (Stomach); approximately eight or nine out of ten epidemic pathogens transmit to the stomach. Once transmitted to the stomach, they must resolve through the lower pathway. Since the epidemic pathogen cannot exit on its own, it relies on the conduction function of the Large Intestine (Large Intestine) to move downward for the epidemic to heal. Dysentery, however, is an internal matter of the Large Intestine. When the Large Intestine is diseased, it loses its conduction function, causing normal stool not to pass, resulting purely in dysenteric discharge of pus and blood. Therefore, previously accumulated food in the stomach requires the decline of Large Intestine pathogens and the smooth flow of Stomach Qi before normal stool can pass. Now, with the Large Intestine failing in its duty and normal stool unable to pass, how can it assist the Stomach in carrying toxins out? Since the toxins cannot advance and remain lodged in the Stomach, they severely damage true Qi. Each day spent in the Stomach brings daily harm, each moment brings momentary harm, consuming Qi and Blood until Spirit dissipates and Qi exhausts, leading to death. In cases of combined epidemic dysentery, the focus is particularly on the dysentery. When both epidemic pathogens and dysentery are urgent, Binshao Shunqi Tang (Areca Seed and Peony Regulating Qi Decoction) is indicated, achieving two goals with one action.
Binshao Shunqi Tang specifically treats frequent dysentery with tenesmus (Tenesmus).
Areca Seed (Binglang), Peony Root (Shaoyao), Immature Bitter Orange (Zhishi), Magnolia Bark (Houpo), Rhubarb (Dahuang), decocted with Fresh Ginger (Shengjiang).

Women suffering from Cold Damage (Cold Damage) or seasonal epidemics are generally no different from men, except regarding menstruation (Menstruation) that has just ceased or just begun, as well as metrorrhagia (Metrorrhagia) and postpartum states, which differ slightly from men. Menstruation occurs when blood from various meridians fills and gathers in the Blood Chamber (Blood Chamber), also known as the Sea of Blood, which corresponds to the Chong and Ren meridians (Chong and Ren Meridians), serving as the general reservoir for blood from all meridians. When menstruation just begins, epidemic pathogens do not enter the Stomach but instead invade the Blood Chamber along with the trend, causing night fever and delirium (Delirium). Wei Qi circulates in the Yang aspects during the day... [Text gap inferred] Heat entering the Blood Chamber varies in severity and does not necessarily present as delirium. The classics state: Do not violate Stomach Qi, nor attack the Upper and Middle Jiao (Upper and Middle Jiao); the disease will heal itself. If there is no pathogen in the chest, diaphragm, or Stomach, do not assume gastric excess due to delirium and use reckless purgation. Instead, as heat follows the blood downward, the disease heals spontaneously. If symptoms resemble Chest Binding (Chest Binding), it is because blood is bound by pathogens; one should puncture the Qimen acupoint (Qimen, LR14) to unblock the binding and treat with Chaihu Tang (Bupleurum Decoction). However, treatment efficacy is faster with acupuncture than with herbs.
When menstruation just ceases, the Blood Chamber is empty, allowing pathogens to enter due to deficiency. Pathogens prevail while healthy Qi declines, meridian Qi fails to rise, and it cannot drive out the pathogens, making it difficult to treat. Moreover, since pathogens do not exit via blood, how can they resolve immediately? This differs from the case of menstruation just beginning, involving distinctions between blood deficiency and blood excess; Chaihu Yangrong Tang (Bupleurum Nourishing Prosperity Decoction) is appropriate. Following recent childbirth, excessive blood loss empties the Chong and Ren meridians. Similarly, those prone to metrorrhagia with long-term deficiency of meridian Qi are susceptible to pathogens and should be treated similarly to the case of menstruation just ceasing.