治瘴病不问冷热。或一日一发。二日一发。三日一发。
常山（五两醋炒七次） 乌梅（四十粒去核） 槟榔（四十粒） 甘草（三两）
上再同炒为细末。姜汁打米糊为丸。梧子大。未发时。好酒吞二
十一丸。一日服七八次。尤妙。发时莫服。瘴止后。忌鸡鱼羊肉。及 面葱韭。并生冷瓜果。一切毒物。
避风寒。成房事毋忿怒。瘴与疟同病而异名。第疟有定规。瘴多变怪。治瘴之法。不间断者。使之间断。
明见作息有时。已间断者。使之轻减。然后用是方。无痰不疟。故用常山以去痰。寒热所感。邪气多在
荣卫肌肉之间。常山能去皮肤毛孔中之邪气。佐以槟榔能下滞气。消积利痰。
甘草之甘。以和中气。借乌梅之酸。以敛外泄阳气。生姜之辛。以开胃利痰。痰去则瘴本去矣。
截瘴之方。惟此为妙。
治瘴疟一日一发。或间日一发。明白作息。有时此以截之。
常山 槟榔 青皮 草果（去皮） 浓朴 甘草
上各等分用酒水各一钟。煎好以棉罩之。放星月下露一宿。当日早冷服。服后莫热
饮食。无痰不成疟。是方用常山以逐痰。槟榔以坠痰气。草果以温中去寒痰。浓朴青陈皮之辛以行气。
气行则痰不能留。甘草以调胃和中。共为行气消痰之剂。痰消则疟本消。宜乎瘴之不再作也。
按瘴病治法最难。于始发热不间断时。及其温中固下。正气和解后。明白作息。有时正气渐和。
下焦湿冷已去。诸凡截药不犯寒凉。不吐不利者俱可用。
To treat Zhang disease (miasma malaria), regardless of whether it is cold or heat type. Whether it occurs once a day, every two days, or every three days.
Changshan (Radix Dichroae, 5 liang, stir-fried seven times with vinegar), Wumei (Fructus Mume, 40 grains, pitted), Binglang (Semen Arecae, 40 grains), Gancao (Radix Glycyrrhizae, 3 liang).
Stir-fry the above ingredients together again, grind into fine powder. Use ginger juice to mix with rice paste to form pills, sized like Sophora japonica seeds. When symptoms have not yet started, swallow twenty-one pills with good wine. Take seven or eight times a day; this is especially effective. Do not take when symptoms are active. After the Zhang disease stops, avoid chicken, fish, mutton, noodles, green onions, leeks, raw and cold fruits and vegetables, and all toxic substances.
Avoid wind and cold, abstain from sexual intercourse, and do not become angry. Zhang disease and malaria are the same disease but have different names. However, malaria has fixed rules, while Zhang disease is variable and strange. The method for treating Zhang disease: for those that are continuous without interruption, make them intermittent; for those with clear rhythm and timing, reduce their severity. Then use this formula. Without phlegm, there is no malaria; therefore, Changshan is used to eliminate phlegm. Cold and heat pathogens usually reside between Ying-Wei (nutritive and defensive qi) and muscles. Changshan can remove pathogens from the skin and pores. Assisted by Binglang, which descends stagnant Qi, eliminates accumulation, and promotes phlegm drainage. The sweetness of Gancao harmonizes Middle Jiao Qi. The sourness of Wumei astringes and retains outwardly leaking Yang Qi. The pungency of Shengjiang opens the stomach and facilitates phlegm drainage. Once phlegm is removed, the root of Zhang disease is eliminated.
Among formulas to intercept Zhang disease, this one is the most excellent.
For treating Zhang malaria occurring once a day or every other day, with clear rhythm and timing, use this to intercept it.
Changshan, Binglang, Qingpi (Pericarpium Citri Reticulatae Viride), Caoguo (Fructus Tsaoko, peeled), Houpo (Cortex Magnoliae Officinalis), Gancao.
Take equal parts of each. Decoct with one zhong of water and one zhong of wine. Cover with cotton cloth after decoction, and leave overnight under the starlight and moonlight. Take cold on the morning of the same day. Do not consume hot food or drink after taking the medicine. Without phlegm, malaria cannot form. This formula uses Changshan to drive out phlegm, Binglang to descend phlegm Qi, Caoguo to warm the middle and dispel cold-phlegm, and the pungency of Houpo, Qingpi, and Chenpi to move Qi. When Qi moves, phlegm cannot remain. Gancao regulates the Stomach and harmonizes the Middle Jiao. Together, they constitute a formula for moving Qi and eliminating phlegm. Once phlegm is eliminated, the root of malaria disappears, so it is natural that Zhang disease will not recur.
Note: The treatment of Zhang disease is the most difficult. It is applicable when fever initially starts and is continuous without interruption, or after warming the middle, securing the lower, and when Zheng Qi (healthy qi) has reconciled. When the rhythm is clear, timing is fixed, Zheng Qi gradually harmonizes, and damp-cold in the Lower Jiao has been expelled, any malaria-intercepting drugs that do not involve cold-cooling properties and do not cause vomiting or diarrhea can be used.