治 瘴。痰涎上壅。昏不知人。声如牵锯。口噤直视。遗尿遗屎。
生南星（一两） 生附子（一两） 木香（五钱）
上 散每服四钱姜九片。水煎温服。
瘴有痰涎上塞。声如扯锯之状。则再兼异证。皆痰所为。由脾胃感冷。中气虚寒。不能运痰而然。
故用南星之燥。以去痰。附子之辛热以温中。佐以木香之辛以行气。气行则痰行也。予治痰证。多以
气方为主。重者单用。或加二陈汤。内虚者。再倍加人参。更佐以沉香。屡屡获效。
治 瘴。如前证之甚者。及治瘴后痰厥。
生南星（一两） 生附子（五钱） 生川乌（五钱）
木香（二钱五分）
上 散。每服五钱。生姜十片。水煎温服。元气虚者。加人参五钱。
同煎是方。即前方加川乌。因脾胃虚寒之甚。故加之。若元气虚者。加人参补元气利痰。有起死
回生之妙。
治瘴病。舌本强硬。语言不出。
蝎梢（二钱五分去毒） 茯神（一两微炒去皮木） 薄荷（一
两焙干）
上为末。每服二钱。温酒调下。或擦牙颊间亦。妙瘴病舌本强硬。语言不出者。因瘴热
入于心脾经络而然。盖心之别脉系舌本。脾之脉连舌本。散舌下。是方用茯神可以宁心。益脾。薄荷
能去风热。蝎梢能去风痰。风热去则心脾清。而舌强自消矣。
To treat miasma malaria (Zhang Nue). Phlegm-saliva surges upward and obstructs, causing unconsciousness; the voice sounds like a saw being pulled; the jaw is clenched, eyes are staring straight ahead, and there is incontinence of urine and feces.
Raw Arisaema Rhizome (Sheng Nanxing, 1 liang) Raw Aconite Lateral Root (Sheng Fuzi, 1 liang) Costus Root (Muxiang, 5 qian)
Grind the above into a powder. For each dose, take 4 qian, add 9 slices of fresh ginger, decoct with water, and take warm.
In miasma malaria, if phlegm-saliva blocks the upper orifices and the voice resembles the sound of a saw being pulled, it indicates additional abnormal symptoms, all caused by phlegm. This results from the spleen and stomach contracting cold pathogens, leading to deficiency-cold of the middle qi, which fails to transform fluids, thereby generating phlegm.
Therefore, the drying property of Arisaema Rhizome (Nanxing) is used to eliminate phlegm, the acrid-hot nature of Aconite Lateral Root (Fuzi) is used to warm the middle jiao, assisted by the acrid nature of Costus Root (Muxiang) to promote qi movement; when qi moves, phlegm moves. In my treatment of phlegm syndromes, I mostly use formulas that regulate qi as the main approach. For severe cases, this formula is used alone, or combined with Er Chen Tang (Two-Aged Decoction, a basic formula for drying dampness and resolving phlegm). For those with internal deficiency, Ginseng Radix et Rhizoma (Renshen) is added in double dosage, further assisted by Agarwood (Chenxiang), achieving frequent success.
To treat miasma malaria where symptoms are more severe than described above, and to treat post-miasma phlegm syncope (Tan Jue).
Raw Arisaema Rhizome (Sheng Nanxing, 1 liang) Raw Aconite Lateral Root (Sheng Fuzi, 5 qian) Raw Sichuan Aconite Root (Sheng Chuanwu, 5 qian)
Costus Root (Muxiang, 2.5 qian)
Grind the above into a powder. For each dose, take 5 qian, add 10 slices of fresh ginger, decoct with water, and take warm. For those with deficient primordial qi, add 5 qian of Ginseng Radix et Rhizoma (Renshen) and decoct together. This formula is the previous formula plus Sichuan Aconite Root (Chuanwu), because the deficiency-cold of the spleen and stomach is extremely severe, hence Chuanwu is added. If primordial qi is deficient, adding Ginseng Radix et Rhizoma (Renshen) tonifies primordial qi and facilitates the expulsion of phlegm, possessing the miraculous effect of restoring life from death.
To treat miasma disease causing stiffness of the tongue root and inability to speak.
Scorpion Tail Tip (Xie Shao, 2.5 qian, detoxified) Poria Cocos (Fushen, 1 liang, lightly stir-fried, skin and woody core removed) Mint (Bohe, 1 liang, baked dry)
Grind the above into fine powder. For each dose, take 2 qian, mix with warm wine to swallow. Alternatively, rub between the teeth and cheeks; this is also effective. The cause of stiffness of the tongue root and inability to speak in miasma disease is due to miasma-heat invading the meridians of the Heart and Spleen. Generally, the collateral vessels of the Heart connect to the tongue root, and the meridian of the Spleen connects to the tongue root and spreads under the tongue. This formula uses Poria Cocos (Fushen) to calm the mind and benefit the spleen; Mint (Bohe) can disperse wind-heat; Scorpion Tail Tip (Xie Shao) can dispel wind-phlegm. When wind-heat is eliminated, the Heart and Spleen become clear, and tongue stiffness naturally subsides.