用蜀漆洗去腥云母烧二日夜龙骨等分杵为末治牡疟多寒者未发前以浆水服半钱温疟
漆(半分)临发时服(一钱匕)
用蜀漆知母升麻白薇地骨皮麦门冬(各五分)乌梅肉鳖甲炙葳蕤(各四分)石膏(八分)
甘草(三分炙)常山(六分)豆豉(一合)熬捣筛为末蜜和丸如梧子大饮下十丸日再服加至
二十丸
用无不瘥加光明朱砂一两神良治岭南瘴气乍热乍寒积劳似疟皆主之兼治 疟连年不瘥忌
菘菜苋菜生葱生菜、
用蜀漆青术香升麻鳖甲炙牡蛎熬朱砂研猪苓香豉(各四分)常山大黄(各八分)为末蜜
和丸
梧子大米汤下寸二丸日二服渐渐瘥至平复止治瘴疟不瘥
治冷痹手足腰痛沉重及身体烦疼背项拘急
黄 (蜜炙) 防风(去芦) 羌活 赤芍药(酒炒) 姜黄(炒) 当归(酒洗各二
钱五分) 甘草(炙五分)
上作一服用水二钟生姜(五片)枣(二枚)煎至一钟食前服一方无防风
愚按风寒湿三者合而成痹又曰邪之所凑其气必虚荣气虚则不仁卫气虚则不用故用黄 以
实卫
相使
即蠲痹汤无黄 防风有白术海铜皮生姜水煎去滓入沉香汁少许食前服治臂痛不能举
常苦左臂痛或以为饮或以为风为湿诸药悉投继以针灸俱不得效用此方而愈盖是气血凝滞
不行所致非风非湿腰以下食前服腰以上食后服
Use *Scutellariae Radix* (Shuqi), wash to remove the fishy smell; use *Yunmu* (Cloud Mother/Mica), calcine for two days and nights; use *Longgu* (Dragon Bone/Fossilized Bones). Equal parts of these three, pound into powder. Treat *Mu Nue* (Malaria with predominant chills). Before the onset of symptoms, take half a *qian* with *Jiangshui* (fermented rice water). For *Wen Nue* (Warm Malaria), use *Shuqi* (0.5 *fen*), take at the time of impending attack (1 *qian bi*).
Use *Shuqi*, *Zhimu* (Anemarrhenae Rhizoma), *Shengma* (Cimicifugae Rhizoma), *Baiwei* (Cleisostomatis Herba), *Digupi* (Lycii Cortex), *Maimendong* (Ophiopogonis Tuber) (each 0.5 *fen*); *Wumei Rou* (Pruni Fructus Seedless), *Biejia* (Testudinis Carapax et Plastrum, prepared with heat), *Weirui* (Polygonati Odorati Rhizoma) (each 0.4 *fen*); *Shigao* (Gypsum Fibrosum) (0.8 *fen*); *Gancao* (Glycyrrhizae Radix et Rhizoma, prepared with heat) (0.3 *fen*); *Changshan* (Dichroae Radix) (0.6 *fen*); *Douchi* (Sojae Semen Praeparatum) (1 *he*). Decoct, crush, and sieve into powder. Mix with honey to form pills the size of *Wuzi* (seed of a Chinese parasol tree). Take ten pills with water, twice daily. Gradually increase to twenty pills. This formula ensures recovery in all cases; add 1 *liang* of *Guangming Zhusha* (Vermilion/Realgar) for divine efficacy. It treats miasma (*Zhangqi*) in Lingnan, characterized by alternating hot and cold, and exhaustion resembling malaria. It is also indicated for malaria persisting for years without cure. Avoid consuming *Songcai* (Chinese Cabbage), *Xiancai* (Amaranth), raw green onions, and raw vegetables.
Use *Shuqi*, *Qingzhu* (Atractylodis Rhizoma, black-skin variety), *Xiangfu* (Cyperi Rhizoma), *Shengma*, *Biejia* (prepared with heat), *Muli* (Ostreae Concha, prepared with heat), *Zhusha* (Cinnabar, ground), *Zhuling* (Polyporus), *Xiangchi* (Fermented Soybean) (each 0.4 *fen*); *Changshan*, *Dahuang* (Rhei Radix et Rhizoma) (each 0.8 *fen*). Pound into powder. Mix with honey to form pills the size of *Wuzi*. Take twelve pills with rice soup, twice daily. Continue until the condition gradually improves and returns to normal, then stop. Treats refractory *Zhang Nue* (Miasma Malaria).
Treats *Leng Bi* (Cold Bi Syndrome), with symptoms including heaviness and pain in the lower back and limbs, general body soreness, and stiffness/tension in the back and neck.
*Huangqi* (Astragali Radix, prepared with honey), *Fangfeng* (Saposhnikoviae Radix, de-gorged), *Qianghuo* (Notopterygii Rhizoma et Radix), *Chishao* (Paeoniae Radix Rubra, stir-fried with wine), *Jianghuang* (Curcumae Longae Rhizoma, stir-fried), *Danggui* (Angelicae Sinensis Radix, washed with wine) (each 2.5 *qian*); *Gancao* (Glycyrrhizae Radix et Rhizoma, prepared with heat) (0.5 *qian*).
Take as one dose. Use 2 *zhong* of water, 5 slices of *Shengjiang* (Zingiberis Rhizoma Fresh), and 2 dates (*Dazao*). Decoct to 1 *zhong*. Take before meals. Another version excludes *Fangfeng*.
My commentary: The combination of Wind-Cold-Dampness forms Bi Syndrome. It is said that "where pathogenic factors gather, Qi must be deficient." Deficiency of Ying-Qi leads to insensibility (*burén*), and deficiency of Wei-Qi leads to immobility (*buyòng*). Therefore, *Huangqi* is used to consolidate the Wei-Qi, acting synergistically (*xiangshi*).
This is the *Juanbi Tang* (Bi-Dispelling Decoction) without *Huangqi* and *Fangfeng*, added with *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Haitongpi* (Spatholobi Caulis/Bark variant), and *Shengjiang*. Decoct in water, strain, and add a small amount of *Chenxiang* (Aquilariae Lignum Resinatum) juice. Take before meals. Treats arm pain preventing elevation.
Often suffering from left arm pain, some attribute it to phlegm-fluid retention, others to Wind or Dampness. Various medicines were tried, followed by acupuncture, all without effect. This formula cured it. This is due to stagnation of Qi and Blood, not merely Wind or Dampness. For conditions below the waist, take before meals; for conditions above the waist, take after meals.