治瘴疟正气之后。专用此方。一日五六服。南人常自汗。不可汗不可下不可吐。多是脾胃感冷成病。
此方和脾胃逐风邪。其妙如神。感病轻者。更不再发。重者亦自减轻。
苍术(半斤制) 陈皮(二两去白) 本(四两洗) 桔梗(四两) 甘草(四两) 浓朴(二
两去皮姜浸炒)
上共为粗散每服三钱水一钟。生姜三片。枣一枚。同煎至七分去渣热服。一日
夜五六服。不拘时。若用此药不发。更服此药一日方服别药。发稍轻亦有奇效。后再发次日更服。
一日亦五六服。若第三次不发更服此药。一日却服别药如三次再发。却服后药此药不止。治瘴神效。
就是伤风伤寒作疟。证候未分之时。并服此药。一二日皆有效验。如不效即自根据各症用药。若无于
药之地。病初发至末后。皆服有效。瘴病起于地湿。湿则生痰。天气热外泄。脾胃多寒。是方用
苍术为君。能去湿不闭腠理。使汗易出。汗出则病从汗减。与浓朴。甘草。陈皮。同为平胃之剂。
能去湿温脾胃。去冷气调中气。湿去则痰不生。脾胃温冷气去。则土暖中气既调。且和暖则瘴毒不能留。
自然作汗而解。加以 本。乃太阳经药。头痛身热。腰脊强痛。乃邪气郁结于太阳经。 本能使
其邪自然作汗。而又治风流于四肢。凡中雾露之气。皆能为瘴。 本能祛其气而清上焦。更
去风除湿。桔梗之利肺气利痰。发散胸膈瘴热之气。与平胃合为和解之剂。为治瘴和解之神方。
After the healthy Qi (Zhengqi) has been damaged by Miasma Malaria (Zhang Nue), this formula is exclusively used. It should be taken five to six times a day. People in the southern regions often experience spontaneous sweating (Zihan); therefore, methods of inducing sweating (Fahan), purging (Xiafa), or vomiting (Tufa) are contraindicated. The disease is mostly caused by the Spleen and Stomach being affected by cold pathogens.
This formula harmonizes the Spleen and Stomach and expels wind pathogens, with miraculous efficacy. For mild cases, the disease will not recur after recovery; for severe cases, symptoms will also alleviate spontaneously.
Cangzhu (Rhizoma Atractylodis Macrocephalae, 8 ounces, processed), Chenpi (Pericarpium Citri Reticulatae, 2 liang, white pith removed), Bencao (Radix Ligustici Chuanxiong? Note: Text says "Ben", likely Gaoben/Ligusticum jeholense or similar, here translated as Bencao/Rhizoma Ligustici based on context of Taiyang channel, but strictly "Ben" usually refers to Rhizoma Ligustici/Jingben or Radix Angelicae Dahuricae/Baibian. Given "Taiyang Jing Yao" and headache, it is likely *Jingben* (Rhizoma Ligustici). I will use Rhizoma Ligustici (Jingben)), Jiegeng (Radix Platycodonis, 4 liang), Gancao (Radix Glycyrrhizae, 4 liang), Houpo (Cortex Magnoliae Officinalis, 2 liang, bark removed, soaked in ginger juice and stir-fried).
Grind all ingredients into a coarse powder. For each dose, take 3 qian, add 1 zhong of water, 3 slices of fresh ginger, and 1 date. Decoct together until reduced to 70%, strain, and take hot. Take five to six times a day, at any time. If the malaria does not attack after taking this medicine, continue taking this medicine for one day before taking other medicines. Even if the attack is slightly milder, there is still remarkable efficacy. If it recurs the next day, take again. Take five to six times a day. If it does not recur after the third time, stop taking this medicine and switch to other medicines. If it recurs after three times, resume taking this medicine without stopping. This is extremely effective for treating Miasma.
Even if it is malaria caused by Wind-Cold or Cold Damage, when the syndrome differentiation is not yet clear, this medicine can be taken concurrently. There will be effective results within one or two days. If there is no effect, then medicate according to specific symptoms. If suitable medicines are unavailable, taking this medicine from the onset to the end of the illness is effective. Miasma diseases arise from dampness of the earth; dampness generates phlegm. When the weather is hot, Yang Qi escapes outward, leaving the Spleen and Stomach prone to cold. In this formula, Cangzhu is the Sovereign herb. It removes dampness without closing the Couli (pores), facilitating easy sweating. When sweat is released, the pathogen diminishes with it. Combined with Houpo, Gancao, and Chenpi, it forms Pingwei San (Stomach-Pacifying Powder), which removes dampness, warms the Spleen and Stomach, eliminates cold qi, and regulates Middle Qi. When dampness is removed, phlegm is not generated. When the Spleen and Stomach are warm and cold qi is eliminated, the Earth element becomes warm and Middle Qi is regulated. Furthermore, due to warmth and harmony, Miasma toxins cannot remain, and the disease naturally resolves through sweating. Added Bencao (Rhizoma Ligustici), a herb of the Taiyang Channel (Taiyang Jing). Headache, fever, and stiffness/pain in the waist and spine indicate pathogenic factors stagnating in the Taiyang Channel. Bencao enables the pathogen to resolve naturally through sweating and treats wind flowing into the four limbs. Any exposure to mist and dew can cause Miasma; Bencao expels this qi and clears the Upper Jiao, further dispelling wind and removing dampness. Jiegeng benefits Lung Qi and transforms phlegm, dispersing Miasma-heat qi in the chest and diaphragm. Combined with Pingwei San, it forms a Harmonizing Formula, making it a divine formula for treating Miasma through harmonization.