(旭高新制) 治久疟营虚卫弱,汗多洒淅恶风。
桂枝 白芍 黄 (生) 防风 秦艽 当归(各一钱) 鳖甲(酥炙) 浮小麦(各
三钱) 炙草
桂枝黄 鳖甲汤,秦艽芍药草归防,浮麦枣姜疗久疟,营虚卫弱汗多尝。(旭高治一人,
病后元气未复,复感风邪,舍于腠理,与卫气并居,而病为疟,发于夜而汗多。余思疟发于
夜,是邪在营分,营气不能与卫气和谐,故多汗恶风。宗仲景桂枝汤,合玉屏风散,参入秦
全愈。后凡用治久疟营卫虚微,而邪仍留恋者,随证加入补气血药一二味,少佐柴胡以提之,
无不应手辄效。然其中用法,自有操纵之妙∶有连服数剂者;有间日服一剂者;或有今日服
此方,明日服消导药一剂,后日再服此方者。盖久疟之人,脾胃虚薄,饮食稍有不节,便生
胀满,故药必疏补兼施,此又管窥之一得,敢以质之高明。)
两方合为一剂,《内经》谓之“复方”。
治太阳病得之八九日,如疟状,发热恶寒,热多寒少,其人不呕,清便欲自可,一日二
三度发,脉微者,正虚也;面色反有热色,身痒如虫行皮中,邪未解也。以其不得小汗出故
也,宜此汗之。
桂枝汤、麻黄汤各取三分之一,合为半服。
(Newly formulated by Xu Xugao) Used to treat chronic malaria (Malaria) resulting from deficiency of Ying Qi (Nutritive Qi) and weakness of Wei Qi (Defensive Qi), characterized by excessive sweating, aversion to wind, and chills.
Guizhi Tang (Cinnamon Twig Decoction), Baishao (White Peony Root), Huangqi (Astragalus Root, raw), Fangfeng (Saposhnikovia Root), Qinjiao (Gentiana Macrophylla Root), Danggui (Angelica Sinensis Root) (each 1 qian); Biejia (Tartaric Turtle Shell, fried with su/animal fat), Fuxiaomai (Floating Wheat) (each 3 qian); Zhigancao (Prepared Licorice Root).
Guizhi Huangqi Biejia Tang (Cinnamon Twig, Astragalus, and Turtle Shell Decoction) consists of Qinjiao, Shaoyao, Gancao, Danggui, and Fangfeng; combined with Fuxiaomai, Dazao (Jujube), and Shengjiang (Fresh Ginger), it treats chronic malaria in cases of Ying-Wei deficiency and excessive sweating. (Xu Xugao once treated a patient whose Yuan Qi (Primal Qi) had not yet recovered after illness, who then contracted Wind Pathogen (Wind Evil). The pathogen lodged in the Couli (interstices/skin pores), coexisting with Wei Qi, leading to Malaria that manifested at night with excessive sweating. I reasoned that since Malaria occurs at night, the pathogen resides in the Ying level. Since Ying Qi cannot harmonize with Wei Qi, excessive sweating and aversion to wind occur. This formula follows Zhang Zhongjing's Guizhi Tang, combined with Yupingfeng San (Jade Windscreen Powder), and incorporates Qinjiao, etc., resulting in a complete cure. Thereafter, whenever this formula was used to treat chronic malaria with slight Ying-Wei and Qi-Blood deficiency where pathogens still lingered, one or two herbs tonifying Qi and Blood were added according to the syndrome, along with a small amount of Chaihu (Bupleurum Root) to lift the Qi. It proved effective without fail. However, the method of application possesses its own subtleties: some patients take several doses consecutively; some take one dose every other day; or some take this formula today, a digestive-promoting medicine tomorrow, and this formula again the day after. Generally, patients with chronic malaria have weak and thin Spleen-Stomach function; if diet is slightly irregular, bloating arises. Therefore, the medication must combine dispersing and tonifying. This is but a limited insight from my tube, daring to submit it for the judgment of experts.)
Combining two formulas into one dose is called "Fufang" (Compound Formula) in the *Neijing* (Inner Canon).
Treating Taiyang Disease (Taiyang Syndrome) after eight or nine days, presenting with symptoms resembling malaria: fever and aversion to cold, with heat predominating over cold. The patient does not vomit, and bowel/bladder functions are relatively normal. The condition manifests two or three times a day. A faint pulse indicates deficiency of Zheng Qi (Upright Qi); a flushed complexion and itching sensation on the skin like insects crawling indicate that the pathogen has not yet been resolved. This is due to the inability to produce slight sweating. This formula should be used to induce sweating.
Take one-third of Guizhi Tang and one-third of Mahuang Tang (Ephedra Decoction), combined to form half a dose.
Treating Taiyang Disease where, after taking Guizhi Tang, profuse sweating occurred, allowing Wind Pathogen to enter through open pores while the Xuanfu (pores) subsequently closed, resulting in malaria-like symptoms manifesting twice a day.
Take 2 sheng of Guizhi Tang and 1 sheng of Mahuang Tang, combined to make 3 sheng, divided into two doses.