此症脾土燥，大肠涩，不可用硝、黄等药。宜用枳实二钱，水二碗煎七分，不拘时服。
体弱者少服。
以补中安胎为主，白芍二钱，生地、川芎、当归各一钱水煎服。如发热而渴者为热，本
方加条芩一钱），不渴者为寒，本方加干姜五分，乌梅一个为引。
如渴泄久不止者，台党二钱，白术三钱，甘草八分，白芍（酒炒）、茯苓各钱半，诃子
肉
如久泄大渴者，茯苓、炙草各一钱，藿香五分，木香、干姜各二钱半，水煎时时服之。
以清热和胎，行气养血为主，虚坐努力者，防其损胎。用当归黄芩芍药汤∶当归、黄芩
、黄连、白芍、焦术、枳壳、茯苓、生地、陈皮、生草各一钱，木香五分，乌梅一个，水煎
，空心服。
如久痢不止，用黄连阿胶汤∶黄连（炒）、阿胶（炒）、台党、白术、茯苓各一钱，干姜
（
又方∶用鸡蛋一个，破孔如指头大，以银簪搅匀，加入黄丹五分，用纸封口，在饭上蒸
熟食之即愈，神效非常。
又方∶荷叶蒂七个，烧枯存性，研末酒下，极效。
凡孕妇病疟，不可轻用截药，恐致损胎。用柴胡知母汤∶柴胡钱半，台党、黄芩、归身
、知母、白术各一钱，甘草五分，姜、枣引，水煎，多服，以平为期。
如疟久不退转甚者，用七圣散∶柴胡、黄芩、炙草、知母、常山、酒炒。草果仁各钱半
，真乌梅三个（去核），水酒各半煎，临发五更服之，宜露一夜荡温服。忌生冷、鸡鱼。或
用卷十五疟疾门外治各方最稳而效。
This condition is caused by dryness of the Spleen Earth and astringency of the Large Intestine; it is inadvisable to use purgatives such as Mirabilite (Natrii Sulfas) or Rhubarb Radix et Rhizoma. It is appropriate to use Aurantii Fructus Immaturus (Zhi Shi) 2 qian, decocted in two bowls of water until reduced to seven-tenths, taken at any time.
Those with weak constitutions should take a smaller dose.
The treatment focuses on tonifying the Middle Jiao and calming the fetus. Use Paeoniae Radix Alba (Bai Shao) 2 qian, Rehmanniae Radix (Sheng Di), Chuanxiong Rhizome (Chuan Xiong), and Angelicae Sinensis Radix (Dang Gui) each 1 qian, decocted in water and taken orally. If there is fever accompanied by thirst, it indicates Heat syndrome; add Scutellariae Radix (Huang Qin) 1 qian to this formula. If there is no thirst, it indicates Cold syndrome; add Zingiberis Rhizoma (Gan Jiang) 0.5 qian and Mume Fructus (Wu Mei) one piece as a guiding herb.
If chronic diarrhea persists with prolonged thirst, use Codonopsis Radix (Tai Dang) 2 qian, Atractylodis Macrocephalae Rhizoma (Bai Zhu) 3 qian, Glycyrrhizae Radix et Rhizoma (Gan Cao) 0.8 qian, Paeoniae Radix Alba (Jiu Chao) and Poria (Fu Ling) each 1.5 qian, and Terminalia Chebulae Fructus (He Zi Rou)... [Note: Original text structure implies missing dosage/connection for He Zi Rou before next clause].
If chronic diarrhea is accompanied by extreme thirst, use Poria (Fu Ling) and Roasted Licorice Root (Zhi Gan Cao) each 1 qian, Pogostemonis Herba (Huo Xiang) 0.5 qian, and Aucklandiae Radix (Mu Xiang), Zingiberis Rhizoma (Gan Jiang) each 2.5 qian, decocted in water and taken frequently.
The treatment focuses on clearing heat, harmonizing the fetus, promoting Qi circulation, and nourishing blood. For tenesmus due to deficiency (Xu Zuo Nu Ze), care must be taken to prevent fetal damage. Use Danggui Huangqin Shaoyao Tang: Angelicae Sinensis Radix (Dang Gui), Scutellariae Radix (Huang Qin), Coptidis Rhizoma (Huang Lian), Paeoniae Radix Alba (Bai Shao), Fried Atractylodis Macrocephalae Rhizoma (Jiao Zhu), Aurantii Fructus (Zhi Qiao), Poria (Fu Ling), Rehmanniae Radix (Sheng Di), Tangerine Peel (Chen Pi), Raw Licorice Root (Sheng Gan Cao) each 1 qian, Aucklandiae Radix (Mu Xiang) 0.5 qian, and Mume Fructus (Wu Mei) one piece, decocted in water and taken on an empty stomach.
For persistent chronic dysentery, use Huanglian Ejiao Tang: Stir-fried Coptidis Rhizoma (Chao Huang Lian), Donkey-hide Gelatin (Chao Ejiao), Codonopsis Radix (Tai Dang), Atractylodis Macrocephalae Rhizoma (Bai Zhu), and Poria (Fu Ling) each 1 qian, Zingiberis Rhizoma (Gan Jiang)... [Note: Original text structure implies missing dosage/connection for Gan Jiang before next clause].
Another prescription: Take one chicken egg, make a hole the size of a finger, stir well with a silver hairpin, add Minium (Huang Dan) 0.5 qian, seal with paper, steam thoroughly over rice until cooked, and eat. This yields miraculous results.
Yet another prescription: Burn seven lotus leaf stalks (He Ye Di) until charred but retaining their medicinal properties, grind into powder, and take with wine. This is extremely effective.
Whenever a pregnant woman suffers from malaria, do not lightly use antimalarial drugs that arrest the attack, lest they damage the fetus. Use Chaihu Zhimu Tang: Bupleuri Radix (Chai Hu) 1.5 qian, Codonopsis Radix (Tai Dang), Scutellariae Radix (Huang Qin), Angelicae Sinensis Radix (Gui Shen), Anemarrhenae Rhizoma (Zhi Mu), and Atractylodis Macrocephalae Rhizoma (Bai Zhu) each 1 qian, Glycyrrhizae Radix et Rhizoma (Gan Cao) 0.5 qian, with Ginger (Jiang) and Jujube (Zao) as guides, decocted in water, taken in large amounts until the condition stabilizes.
If the malaria persists for a long time and worsens, use Qisheng San: Bupleuri Radix (Chai Hu), Scutellariae Radix (Huang Qin), Roasted Licorice Root (Zhi Gan Cao), Anemarrhenae Rhizoma (Zhi Mu), Dichroae Radix (Chang Shan), and Arecae Semen (Cao Guo Ren) fried with wine each 1.5 qian, three real Mume Fructus (Wu Mei) (pitted), decocted in half water and half wine, taken at the fifth watch (Wu Geng) just before the paroxysm, preferably exposed overnight and taken warm. Avoid cold/raw foods, chicken, and fish. Alternatively, refer to the external treatments for malaria in Volume 15, which are the most stable and effective.