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Plague (Yiwen) persisting for six or seven days without resolution leads to heat entering the Blood Chamber (Xue Shi), causing jaundice where the body appears yellow like smoked tobacco, and eyes appearing golden. With dry mouth and internal heat accumulation, Bian stone (Bian shi, a stone tool for bloodletting) should be used to puncture Quchi (LI11) to discharge foul blood. Alternatively, a sharp needle may pierce the large collaterals at Quze (PC3) in the elbow to allow pathogenic toxins to exit with the foul blood; this is extremely effective.

Big Head Plague (Datou Wen): Caused by wind-heat seasonal pathogens. Symptoms include aversion to cold and fever, sore and swollen throat, swelling of the head, eyes, face extending to the ears. Swelling gathers in one area and stops spreading; if it does not dissipate, pus must form before recovery. This corresponds to "Shi Du" (Time Poison) in surgery. In severe cases, the neck and shoulders swell, resembling a toad, hence also called Toad Plague (Hamawen). (Supplementary text exists.)
Acupoints: Daying (ST5), Quchi (LI11), Hegu (LI4).
(Detailed syndrome differentiation and treatment are detailed in the *Treatise on Acupuncture for Malaria*; these are general essential points for acupuncture and moxibustion.)

Phlegm Malaria (Tan Nüe) with alternating chills and fever: Hegu (LI4), Quchi (LI11), Houxi (SI3).
Chronic Malaria with more heat than cold: Jianshi (PC5), Taichong (LR3), Qiuxu (GB40) [to treat rigors].
Chronic Malaria with loss of appetite: Gongsun (SP4), Neiting (ST44), Shangqiu (SP5) [to treat vomiting].
Malaria caused by cold-dampness and dietary injury to the Spleen, which persists chronically leading to sallow complexion, emaciation, and weakness, can be treated with moxibustion on Pishu (BL20) (7 moxa cones). Generally, treat malaria by needling first, then moxibustion on Dazhui (GV14) (21 moxa cones total, 3 per day until cured).
Additionally, moxibustion on the upper aspect of the third thoracic vertebra (3 moxa cones).
(Supplementary text exists.)

Heatstroke (Zhong Shu): Summer heat is the qi of heaven, thus affecting the Hand-Shaoyin Heart Meridian. Initial symptoms include thirst and a weak pulse.
Acupoints: Renzhong (GV26), Zhongwan (CV12), Qihai (CV6), Quchi (LI11), Hegu (LI4), Zhongchong (PC9), Zusanli (ST36), Neiting (ST44).
Summer heat stagnating in the Middle Jiao causes abdominal pain twisting up and down, inability to vomit or diarrhea. Mix 3 qian of alum (Bai Fan) with raw and cooked water. After a short while, induce vomiting to expel summer heat toxins. If red spots appear on the chest, back, and limbs, scald them thoroughly with a lamp wick dipped in vegetable oil.

Black Sha Syndrome: Abdominal pain, headache, fever, aversion to cold, stiffness and pain in the waist and back.
White Sha Syndrome: Abdominal pain, vomiting, diarrhea, cold extremities, black fingernails/toenails, insomnia.
Black-and-White Sha Syndrome: Headache requiring sweating, thirst, diarrhea, aversion to cold, cold extremities, insomnia, or borborygmus and abdominal rumbling, known as Intestine-Twisting Sha (Jiaochang Sha).
Acupoints: Bailao (EX-B1), Lieque (LU7), Shixuan (EX-UE11), Weizhong (BL40) [General for Sha]; Tianfu (LU3) [for Black Sha]; Tailing (PC7), Dadun (LR1) [for White Sha]; Xiaoyin (GB44) [for Black-and-White Sha]; Zhongwan (CV12), Dantian (CV12 or CV4 depending on context, here likely CV12/CV4 region for lower abdomen) [for severe lower abdominal colic].
Furthermore, Sha may present as blue or purple veins visible in several places or one place. Needles must be used to release toxic blood. If hot soup was mistakenly ingested, the blue/purple veins may hide and blood will not flow upon needling. In this case, urgently drink cold water to resolve it, then needle to release blood, followed by scraping to bring out Sha toxins. If Sha toxins are blocked by food stagnation, resolve the food stagnation first, then needle and scrape. If Sha toxins coincide with anger and rebellious Qi causing increased distension, use Qi-moving herbs first, then needle and scrape to gradually eliminate Sha. If scraping and bleeding are complete but the condition persists, the Sha toxin resides only in the meridians of the Stomach, Intestines, Liver, Spleen, Kidneys, and Yin openings. Medication must be prescribed based on symptoms.

Ten sites for bloodletting/scraping (Fang Sha):
Vertex (Baihui GV20), Yintang (EX-HN3), both Temples (Taiyang EX-HN5), both sides of the throat, both sides under the tongue, both breasts, tips of ten fingers (Shixuan EX-UE11), both antecubital fossae, both popliteal fossae, tips of ten toes.