治瘴毒发热烦渴闷乱。外热内寒。自利呕逆。手足厥冷。
大附子（炮去皮脐） 人参（去芦） 炙甘草炮干姜白术（去芦土炒）
上各等分水煎温服。如欲饮冷则冷服。瘴病发热烦渴。是心肺之
阳不降而然。自利呕逆。手足冷。是脾土无阳虚寒而然是方也。寒淫于内。治以辛热。干姜附子
之辛热以治内寒。吐利则脾虚。脾虚者以参术甘草之甘补。大附子能引上焦之阳入于中焦。则烦
热退中焦暧则吐利除。
治瘴疾。呕吐心腹满痛。人参。白术。干姜。甘草。陈皮。青皮。上各等分。水煎热服。不拘时。
瘴疾多呕者。因脾土虚寒。痰气上逆而然也。故以干姜之辛热治寒。人参白术甘草之甘温以补脾。
同为理中之剂。而陈皮青皮之辛以散气。气降则痰下而呕止矣。
治疗病数日后。发热腹痛头目昏沉四肢疼痛。大便自利。小便或利或涩。或呕或咳。
大附子（炮） 白茯苓（去皮） 白术（炒） 白芍（炒黄色）
上药姜五片水煎。食前温服。小便利者。
去茯苓。大便利者。去白芍。加干姜。呕者加生姜五片。易简方云。不下利而呕者去附子加生姜。
然既去附子但存三味。似太平易更当临时消息之。治病之法。本当遥度也。活人书云。太阳病发
其汗出不解。仍发热心悸头眩。身 筋惕。振振欲擗地。真武汤主之。意谓太阳经伤风。医者借用麻黄。既然不解。
复成重虚。故宜术附。芍药。之类。又云少阴病二三日不已。至四五日腹痛。小便不利。四肢沉重。
痛疼自利。或呕或咳。或小便利。此为有水气。真武汤主之。今并赘于此。以资用药者见闻庶不局
于一偏也。瘴病头目昏沉。四肢沉重疼痛者。寒湿伤脾之外证也。腹痛自利小便不利者。寒湿伤
脾之内证也。脾恶湿湿胜则濡泄。故用茯苓白术之甘以补脾去湿。寒淫所胜。治以辛热。附子生姜
以补脾。益阳气而去寒。白芍收脾气除腹痛。又能停诸湿而益津液。使小便自行。然必须酒炒黄色
以去寒性。名真武者真武乃北方之神。能镇北方寒水气使不为祸也。
Treatment for fever, irritability, thirst, chest tightness, and mental confusion caused by miasma toxins. Manifesting as external heat with internal cold, spontaneous diarrhea, vomiting and regurgitation, and cold extremities.
Radix Aconiti Lateralis Preparata (Da Fuzi, prepared, peel removed, umbilicus removed) Radix Ginseng (Ren Shen, radix removed) Radix Glycyrrhizae Preparata (Zhi Gan Cao) Rhizoma Zingiberis Preparatus (Pao Ganjiang) Rhizoma Atractylodis Macrocephalae (Bai Zhu, radix removed, soil removed, stir-fried).
Equal parts of the above ingredients, decocted in water, taken warm. If the patient desires cold drinks, take the decoction cold. Fever, irritability, and thirst in miasma disease are due to the failure of Heart and Lung Yang to descend. Spontaneous diarrhea, vomiting, and cold extremities are due to Spleen Earth lacking Yang and being deficient-cold; this formula applies. When Cold invades internally, treat with Pungent-Hot substances. The Pungent-Hot nature of Ganjiang and Fuzi treats internal cold. Vomiting and diarrhea indicate Spleen Qi deficiency; for Spleen deficiency, use the Sweet tonifying properties of Renshen, Baizhu, and Gancao. Da Fuzi can guide Upper Jiao Yang into the Middle Jiao, thereby reducing irritability and heat; when the Middle Jiao is warm, vomiting and diarrhea cease.
Treatment for Malaria (Zhang Ji). Symptoms include vomiting, abdominal distension, and pain. Use Renshen, Baizhu, Ganjiang, Gancao, Chenpi, and Qingpi. Equal parts of the above, decocted in water, taken hot, at any time.
Malaria often involves vomiting due to Spleen Earth deficiency-cold causing Phlegm-Qi to rebel upward. Therefore, Ganjiang's Pungent-Hot nature treats Cold, while Renshen, Baizhu, and Gancao's Sweet-Warm nature tonifies the Spleen. This is also a Lizhong-type formula, but Chenpi and Qingpi's Pungency disperses Qi; when Qi descends, Phlegm moves down and vomiting stops.
After several days of treating Miasma Disease, symptoms such as fever, abdominal pain, dizziness and heaviness of the head and eyes, limb pain, spontaneous diarrhea, urination either free or obstructed, vomiting, or coughing may occur.
Radix Aconiti Lateralis Preparata (Da Fuzi, prepared) Poria (Bai Fuling, peel removed) Rhizoma Atractylodis Macrocephalae (Bai Zhu, stir-fried) Radix Paeoniae Alba (Bai Shao, stir-fried until yellow).
Decoct the above herbs with five slices of Shengjiang in water, take warm before meals. If urination is free, remove Fuling. If stool is loose, remove Baishao and add Ganjiang. If vomiting occurs, add five slices of Shengjiang. *Yijian Fang* states: For those without diarrhea but with vomiting, remove Fuzi and add Shengjiang. However, removing Fuzi leaves only three ingredients, which seems too simple; one should adjust according to circumstances. Treatment methods should indeed be considered broadly. *Huoren Shu* states: In Taiyang disease, after inducing sweating, if the condition does not resolve and fever persists with palpitations, dizziness, muscle twitching, and trembling desire to fall, Zhenwu Tang is indicated. This implies that Taiyang wind-strike treated with Mahuang failed to resolve, leading to severe deficiency; thus, Baizhu, Fuzi, and Baishao are suitable. It also states: In Shaoyin disease, if unrelieved after two to three days, progressing to four to five days with abdominal pain, difficulty in urination, heavy and painful limbs, spontaneous diarrhea, vomiting, coughing, or free urination, this indicates Water Qi retention, and Zhenwu Tang is indicated. This is added here for reference, so practitioners do not limit their views to one aspect. Dizziness, heaviness of the head and eyes, and heavy, painful limbs in Miasma Disease are external signs of Cold-Damp injuring the Spleen. Abdominal pain, spontaneous diarrhea, and difficulty in urination are internal signs of Cold-Damp injuring the Spleen. The Spleen dislikes Dampness; excessive Dampness leads to loose stools. Therefore, Fuling and Baizhu's Sweetness tonifies the Spleen and removes Dampness. When Cold prevails, treat with Pungent-Hot. Fuzi and Shengjiang tonify the Spleen, benefit Yang Qi, and dispel Cold. Baishao consolidates Spleen Qi, relieves abdominal pain, retains Dampness to generate fluids, and promotes independent urination. However, it must be stir-fried with wine until yellow to remove its Cold nature. Named Zhenwu because Zhenwu is the deity of the North, capable of suppressing Northern Cold Water Qi to prevent disaster.