凡才病瘴时。切须忌口。非惟生冷油腻不可食。尤忌酒肉鱼面之类。饭亦可住。只可食粥。
仍戒荤食。不得已吃白糁。咸豉萝卜。即当发时亦不可食。候发过稍久却食。如不发。日从便吃白粥。
不可太饱。不忌口。则病难已。所食之物。皆助邪气。致便服药不效。若食素粥数日。根据前法服药
即效。所谓服药不如。
忌口是也。每日只宜漱口而已。不可洗手面及梳头。但安心坐卧。数日莫动。如此将息。无所不瘥。
凡瘴病才住。可记初发几日。根据前日数十分畏谨。大率瘴不发后。三日方可洗手。七日后方
可洗面。半月后可略梳头一二次。三月内戒房事。能戒百日尤妙。瘴不发时。仍素粥三日。经五
日后方以猪脾熟煮羹。薄吃软饭。十日后略饮些酒。少吃肉羹。但不可食诸般骨汁。若犯之即再发。
如牛羊鸡肉。复忌一月为妙。如不能将息或至再发。又须根据前法服药。前法将息而已。如饥饱劳役。
喜怒不时再发。虽根据前法服药调理。多致延绵半年。方得平复。终不若小心谨慎调理。不再发为妙。
凡冷瘴初起。腰足寒厥。其脉沉细。因失饥寒伤饮食致病者。内服姜附等药。外灸中脘。（从
建里上行。在脐上四寸。中脘穴也。）气海。（在脐下一寸五分。宛宛中。气海穴也。）三
里（从下廉穴上行一寸。锐肉之端按之肉起手。三里穴也。）三穴。使中气温。下元暖。则病无
不愈。若无前症。其人平日不甚虚弱。及病始发者。未可便灸。如瘴病既久。气血已虚。服药不
效者。宜灸膏肓。（从魄之下行第四椎五椎上。此穴居中。去脊各三寸半。正坐曲脊。取之膏肓穴也。）
或大椎。（一椎之上。大椎穴也。）及第五椎（五椎下神道穴也。）二穴。随年壮尤妙。及足三里。则久瘴
自痊。热瘴忌灸。
When one has just contracted malaria (Zhang disease), it is imperative to strictly observe dietary restrictions. Not only are raw, cold, and greasy foods forbidden, but especially alcohol, meat, fish, and wheat-based noodles. Rice consumption should also be suspended; only porridge may be eaten.
One must still abstain from animal products. If absolutely necessary to consume some white rice grits (Bai Shen), salted fermented soybeans (Xian Chi), or radish, these must not be eaten during an attack. They should only be consumed after the attack has subsided and some time has passed. If there is no attack, one may eat white porridge freely every day.
Do not eat until overly full. Failure to observe dietary restrictions will make the disease difficult to cure. The food consumed will all assist the pathogenic factors, rendering medication ineffective. If one eats vegetarian porridge for several days and then takes medication according to the previous methods, efficacy will be achieved. This illustrates that "dietary restriction is more important than medication."
One should only rinse the mouth daily; washing hands, face, and combing hair are prohibited. One should remain calm, sitting or lying down, without movement for several days. Through such nursing care, recovery is assured.
Once the malaria (Zhang disease) has ceased, record the number of days since the initial onset. Based on this duration, exercise extreme caution. Generally, after the cessation of attacks, hands may be washed after three days, the face washed after seven days, and hair combed lightly once or twice after half a month. Sexual intercourse must be abstained from for three months; abstinence for one hundred days is particularly excellent.
During periods without attacks, continue eating vegetarian porridge for three days. After five days, pork spleen soup (cooked thoroughly) may be consumed in small amounts, followed by soft rice. After ten days, a small amount of wine may be drunk, and meat broth eaten sparingly. However, juices derived from various bones must not be consumed. Violation of this rule will cause recurrence. For meats such as beef, mutton, and chicken, it is advisable to maintain dietary restrictions for another month. If proper nursing is neglected leading to recurrence, medication must again follow the previous protocols. The aforementioned measures refer merely to nursing care. Recurrence due to irregular eating, overexertion, or emotional instability, even if treated with medication according to previous methods, often results in a lingering condition lasting half a year before resolution. It is ultimately superior to nurse carefully to prevent recurrence.
In cases of Cold Malaria (Leng Zhang) at the initial stage, characterized by coldness and cold limbs in the waist and feet, with a deep and fine pulse, caused by hunger, cold exposure, or dietary injury, internal administration of Ginger (Sheng Jiang) and Aconite (Fu Zi) decoctions is indicated, along with external moxibustion on Zhongwan (CV12). [Located four cun above the umbilicus, ascending from Jianli (CV10); this is Zhongwan.] Qihai (CV6). [Located 1.5 cun below the umbilicus, in the depression; this is Qihai.] Zusanli (ST36). [Ascending one cun from Xianglei, at the tip of the shin muscle where pressing reveals muscular elevation; this is Zusanli.] By warming the middle jiao and the lower origin through these three acupoints, the disease will invariably heal. If the aforementioned symptoms are absent, and the patient is not generally weak, or if the disease has just begun, moxibustion should not be performed immediately. If the malaria has persisted for a long time, resulting in deficiency of qi and blood, and medication is ineffective, moxibustion on Gaohuang (BL43) is suitable. [Descending from Pohu, on the fourth interspace, above the fifth thoracic vertebra. This point is central, 3.5 cun lateral to the spine. Sit upright and curve the back to locate Gaohuang.] Or Dazhui (GV14). [Above the first thoracic vertebra; this is Dazhui.] and the fifth thoracic vertebra area (where Shendao (GV12) is located below the fifth vertebra). These two points, with moxa cones numbered according to the patient's age, are particularly effective. Adding Zusanli (ST36) will ensure the cure of chronic malaria. Heat Malaria (Re Zhang) contraindicates moxibustion.