木香、人参、黄祗、当归。桔梗、使君子肉、黄
连、山棱(炮)、枳实、莪术(煨)、鳖甲(炙)、苦栋根皮、
干蟾(烧存性)、诃子肉、夜明砂。绿矾各等分,共为末,
醋糊丸,陈米汤下。
祖传治疟之法:以斩鬼丹截之,胃苓丸调之。常用平胃散,加
常山。草果为末,每服一字,于临发日五更,用桃柳枝七根,煎
汤调服。
人参五分,常山(酒炒)三分,槟榔三分,草果仁四
分,绿至粉(炒),甘草(炙),贝母三分,青皮五分,水
煎服。
又方
常山、槟榔(一个)、当归,苍术、甘草、陈皮,先
一服,用酒擂细,滚酒泡极。如不效,将桃枝七根,灯
心七根,水煎二、三滚,露一宿,发日五更温服。禁生
冷鸡鱼发物。
西 江 月
疟疾来时潮(3),内伤外感生痰,初时截法似神仙,不可养
虎遗患。外感小柴饮子,内伤平胃为先,内加草果与常山,桃枝为
引最验(4)。
截后才调脾胃,只消清疟养脾(5),袪邪补正作良医,不让仲
阳钱氏。疟久若成痞块,面黄腹满消肌,月蟾巢圣是根基,此个方
儿密记。
如是小儿久疟(6),或于午后来潮,叉如间日又三朝,截法不
宜急暴。只用养脾清疟,相兼集圣和调,神丹斩鬼莫轻饶,发日五
更分晓。
疟痢如逢并作,其间吉凶须知,大端饮食要如时,胃气完全
可治。若是不思乳食,强将脾胃扶持,胃苓丸子莫差弛,间以香连
止痢。
久疟多成坏症,脾焦肚大青筋,颈干脚细减元神,饮食全然
不进。面目虚浮怯弱,四肢无力难行,不须医治枉劳心,九死一生
危病。
七律
平疟养脾用人参,白术陈皮当归身,茯苓厚朴姜汁炒,苍术
五钱米水浸。粉草半夏浸七次,青皮柴胡与黄芩,常山草果二钱
半,鳖甲三钱,效如神。
木香、人参、黄芩、当归。桔梗、使君子肉、黄连、三棱(炮制)、枳实、莪术(煨制)、鳖甲(炙制)、苦楝根皮、干蟾(烧至存性)、诃子肉、夜明砂。绿矾各等分,共同研为细末,用醋调糊制成丸药,用陈米汤送服。
祖传的治疟疾方法:用斩鬼丹来截断病势,用胃苓丸来调理脾胃。常用平胃散,加入常山、草果研为细末,每次服用“一字”的量,在发作当天的五更天,用七根桃柳枝煎汤调服。
人参五分,常山(酒炒)三分,槟榔三分,草果仁四分,绿矾粉(炒),甘草(炙),贝母三分,青皮五分,用水煎服。
又一方:
常山、槟榔(一个)、当归,苍术、甘草、陈皮,先服这一剂,将药材用酒研磨极细,用滚开的酒浸泡至极浓。如果无效,取七根桃枝、七根灯心草,加水煎煮二到三次,露天放置一夜,在发作日五更时温服。禁止食用生冷、鸡肉、鱼类等发物。
西江月词:
疟疾发作如潮水般定时(3),由内伤和外感产生痰湿,初期的截断疗法效果如神仙般灵验,不可养虎为患留下后患。外感引起的用小柴胡饮子,内伤引起的以平胃散为先,内部加入草果和常山,用桃枝作为引经药最为灵验(4)。
截断病势后才调理脾胃,只需清除疟邪、养护脾土(5),祛除邪气、补益正气才是良医之道,不逊色于张仲景和钱乙。疟疾日久若形成痞块,面色萎黄、腹部胀满、肌肉消瘦,月蟾丸是治疗的根本,这个方子要秘密记好。
如果是小儿久患疟疾(6),或者在午后发作潮热,又或者隔日或三日一发,截断病势不宜过于急猛粗暴。只用养护脾土、清除疟邪的方法,结合集圣丸调和,神丹斩鬼丹不要轻易使用,要在发作日五更时分给药才清楚有效。
疟疾与痢疾如果同时发生,其中的吉凶需要知晓,大抵饮食要顺应时节,胃气完好才可治疗。如果不思乳食,强行扶持脾胃,胃苓丸不要松懈,间或用香连丸来止痢。
久疟多变成坏证,脾焦肚大青筋暴露,颈项干枯、脚部纤细、元气减少,饮食完全无法进入。面目虚浮怯弱,四肢无力难以行走,不需要医治也是枉费心神,这是九死一生的危重病症。
七律诗:
平复疟疾、养护脾土用人参,白术、陈皮、当归身,茯苓、厚朴用姜汁炒,苍术五钱用米水浸泡。粉草、半夏浸洗七次,青皮、柴胡与黄芩,常山、草果二钱半,鳖甲三钱,疗效如神。
Mu Xiang (Aucklandiae Radix), Renshen (Ginseng Radix et Rhizoma), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix). Jiegeng (Platycodonis Radix), Shijunzi Rou (Quisqualis Semen), Huanglian (Coptidis Rhizoma), Sanleng (Sparganii Rhizoma, processed), Zhishi (Aurantii Fructus Immaturus), Ezhu (Curcumae Rhizoma, warm-processed), Biejia (Testudinis Carapax et Plastrum, roasted), Kudong Genpi (Meliae Cortex Radicis), Gan Chan (Bufo Skin, burnt to retain properties), Hezi Rou (Terminaliae Chebulae Fructus), Yeming Sha (Stercoris Noctuae). Lvfan (Chalcanthitum) in equal parts, all ground into fine powder, mixed with vinegar paste to form pills, taken with aged rice decoction.
Ancestral method for treating malaria: Use Zhangu Dan (Ghost-Slaying Pill) to intercept the disease, and Weiling Wan (Weiling Pill) to regulate the spleen and stomach. Commonly used Pingwei San (Pingwei Powder), added with Changshan (Polygalae Radix) and Caoguo (Tsaoko Fructus) ground into powder. Each dose is "one character" (a small measure), taken at wugeng (3-5 AM) on the day of onset, adjusted with decoction made from seven peach and willow branches.
Renshen 5 fen, Changshan (wine-fried) 3 fen, Binglang 3 fen, Caoguo Ren 4 fen, Lvfan Fen (fried), Gancao (roasted), Beimu 3 fen, Qingpi 5 fen, decocted in water and taken orally.
Another prescription:
Changshan, Binglang (one piece), Danggui, Cangzhu, Gancao, Chenpi. Take this dose first; grind the herbs finely with wine, soak in boiling wine until very concentrated. If ineffective, take seven peach branches and seven juncus effusus stems, decoct in water two or three times, expose overnight, and take warm at wugeng on the day of onset. Prohibit raw, cold, chicken, fish, and other stimulating foods.
Xijiang Yue (Song Ci):
When malaria comes like a tide (3), phlegm is generated by internal injury and external contraction. The initial interception method seems like that of an immortal, but do not nurture the tiger and leave trouble behind. For external contraction, use Xiaochai Yinzi (Minor Bupleurum Decoction); for internal injury, start with Pingwei San. Add Caoguo and Changshan internally; using peach branches as a guiding herb is most effective (4).
After interception, only then regulate the spleen and stomach; simply clear malaria and nourish the spleen (5). Expelling evil and supplementing righteousness makes a good physician, not inferior to Zhang Zhongjing and Qian Yi. If long-standing malaria forms masses, with sallow complexion, abdominal fullness, and emaciation, Yuetchan Wan (Moon Toad Pill) is the foundation. Keep this prescription secret.
If it is long-standing malaria in children (6), or tidal fever occurs in the afternoon, or every other day or every third day, interception methods should not be too urgent or violent. Only use methods to nourish the spleen and clear malaria, combining with Jisheng Wan (Jisheng Pill) for regulation. Do not lightly use Shendan Zhangu (Divine Pill Ghost-Slayer); administer clearly at wugeng on the day of onset.
If malaria and dysentery occur together, one must know the auspicious and inauspicious signs. Generally, diet must follow the seasons; if stomach qi is complete, it is treatable. If there is no desire for milk and food, forcibly supporting the spleen and stomach, do not slacken on Weiling Wan, occasionally using Xianglian Wan (Coptis and Aucklandia Pill) to stop dysentery.
Long-standing malaria often becomes a complicated syndrome: scorched spleen, distended abdomen with visible veins, dry neck, thin legs, and diminished yuan shen (original spirit); food intake is completely absent. Face and eyes are puffy and weak, limbs have no strength and are difficult to move. No need for medical treatment, as it would be vain effort; this is a critical illness with nine deaths and one life.
Seven-character Regulated Verse:
To calm malaria and nourish the spleen, use Renshen, Baizhu, Chenpi, and Danggui Shen. Fuling and Houpo stir-fried with ginger juice, Cangzhu five qian soaked in rice water. Fencao and Banxia soaked seven times, Qingpi, Chaihu, and Huangqin. Changshan and Caoguo two qian half, Biejia three qian, efficacy like a divine spirit.