专治食疟。
莪术 京三棱(醋煮。各二两) 胡椒(一两) 青皮(炒香,三两) 阿魏(一钱,
醋化)
上为末,别用陈仓米末同阿魏醋煮糊为丸,如梧桐子大,每服五十丸,加至百丸,用姜
汤吞
治伏暑成疟,烦闷多渴,微微振寒,寒罢大热,小便黄赤,或背寒面垢。(方
中暑论治)
治疟疾久不愈,胁下痞满,病患形瘦,腹中结块,时发寒热,名曰疟母。
鳖甲(
浓朴(姜制,
上等分, 咀,每服四钱,水一盏半,生姜七片,枣子一枚,乌梅少许,煎至七分,去
滓,
治五脏气虚,阴阳相胜作为 疟,不问寒热先后,与夫独作、叠作、间日,悉主之
附子(一枚,炮裂,以盐水浸再炮,如此七次。不浸,去皮脐)
上 咀,水半碗,生姜七片,枣七枚,煎至八分盏,当发日,去滓,空心温服,川乌亦
可用。
治脾寒疟疾不愈,振寒少热,面青不食,或大便溏泄,小便反多。
草果仁 附子(炮,去皮脐)
上等分, 咀,每服半两,水二盏,生姜七片,枣一枚,煎至七分,去滓,温服,不拘
时候
治疟疾久不愈,不问男女,于大椎中第一骨节处,灸三七壮,立效,或灸第三骨节
素问曰∶春伤于风,夏必飧泄,邪气留连,乃为洞泄。此由荣卫不足,腠理空疏,春伤
于风
甚为
之患
不节,过食生冷而成泄泻者,乃由中州不运,脾胃有伤也。但停滞泄泻一证,直须积滞已消,
然
兼
少气、前后泄利、饮食不入,得此必死。其有生者,浆粥入胃,泄注止,则虚者活,诚哉斯
言也。
又论∶夫泻痢两证,皆因肠胃先虚,虚则六淫得以外入,七情得以内伤,至于饮食不节
,过
可
治中汤是也,理中不效,方可断下,乳豆丸、固肠丸是也;或尚腹痛,未宜断下,断下太早
,必成痢疾矣,惟当调中化积,痛轻者宜服治中汤、苏合香丸,腹痛更甚者,必然成痢,医
经所谓腹痛甚者,必下痢也,宜进灵砂丹,以逐其积,此丹用之屡验,泻者止,痢者断,疼
者愈,有积者内化,且不动脏腑。大凡痢疼,不先去其积,虽获暂安,后必为害,或阴阳相
搏,冷热不调而成泻利者,当进香连丸,汤使具后,更有脾肾顿虚,腹胁膨 ,饮食不化而
泄
硝
胃风汤 治肠胃不足,风冷乘之,水谷不化,泄泻注下,腹中虚满,及肠胃受湿,下如豆汁
,或下瘀血,日夜无度,并宜服之。
人参 白茯苓 芎 桂心(不见火) 当归(去芦) 白芍药 白术 甘草
上等分, 咀,每服四钱,水一盏半,入粟米百余粒,煎至七分,去滓,空心稍热服。
专治食积引起的疟疾。
莪术、京三棱(用醋煮,各二两)、胡椒(一两)、青皮(炒至香气溢出,三两)、阿魏(一钱,用醋化开)。
以上药物研为细末,另外取陈仓米的粉末与阿魏一起用醋煮成糊状作为粘合剂,制成梧桐子大小的药丸。每次服用五十丸,可逐渐增加至一百丸,用姜汤送服。
治疗因伏暑引发的疟疾,症状表现为烦闷且口渴严重,微微怕冷,寒冷感消退后出现高热,小便黄赤,或者背部发凉、面部污垢。(参见中暑论治章节)
治疗疟疾日久不愈,胁下痞塞胀满,患者身体消瘦,腹中有结块,时常发作寒热交替,这种病症名为“疟母”。
鳖甲([原文此处缺失炮制说明及剂量,仅保留药材名])、浓朴(姜汁制,[原文此处缺失剂量]),上等分,切碎,每次服用四钱,加水一盏半,生姜七片,大枣一枚,乌梅少许,煎煮至七分,去渣,[原文此处缺失服用方法]
治疗五脏气虚,阴阳相互偏胜而导致的疟疾,不论寒热发作的先后顺序,也不论是单独发作、连续发作还是隔日发作,都适用此方。
附子(一枚,炮裂,用盐水浸泡后再炮制,如此重复七次。若不浸泡,则去皮和脐部)。
以上切碎,加水半碗,生姜七片,大枣七枚,煎煮至八分盏,在疟疾发作当日,去渣,空腹温服。川乌也可以使用。
治疗脾寒型疟疾久治不愈,表现为怕冷多而发热少,面色青灰,不想进食,或者大便溏泄,小便反而增多。
草果仁、附子(炮制,去皮和脐部)。
上等分,切碎,每次服用半两,加水二盏,生姜七片,大枣一枚,煎煮至七分,去渣,温服,不拘泥于特定时间。
治疗疟疾日久不愈,不分男女,在大椎穴的第一节骨缝处,艾灸三七壮,立即见效;或者灸第三节骨缝处。
《素问》说:春季感受风邪,夏季必然发生完谷不化的飧泄,若邪气留恋不去,就会成为洞泄。这是由于营卫之气不足,腠理空疏,春季伤于风邪所致。
[原文此处有缺漏,推测为饮食不节或劳倦过度等导致]甚为患。如果不节制饮食,过食生冷食物而导致泄泻,这是由中焦脾胃运化功能失常,脾胃受损造成的。对于停滞性泄泻这一证候,必须等到积滞消除之后,[才能使用止涩药,否则闭门留寇]。如果兼见少气、前后二阴均泄利不止、饮食无法进入,遇到这种情况必定死亡。那些能存活的,是因为浆粥进入胃中,泄泻注下停止,那么虚弱的正气就能恢复,确实是这样说的。
又论述道:腹泻和痢疾这两个证候,都是因为肠胃先已虚弱,虚弱则六淫邪气得以从外侵入,七情内伤得以从内损伤,至于饮食不节制,过食... [原文缺漏] 可用治中汤来调理;如果理中汤无效,才可以考虑使用止涩法,如乳豆丸、固肠丸等;如果仍然腹痛,不宜过早使用止涩法,止涩太早,必然会导致痢疾。此时应当调理中焦、化解积滞,疼痛较轻者适宜服用治中汤、苏合香丸;腹痛更严重的,必然会发展成痢疾,医经所谓腹痛严重者,必然下痢,适宜进服灵砂丹,以驱逐积滞。这个丹药使用多次验证有效,能使泻者止住,痢者断绝,痛者痊愈,有积滞者内部化解,且不损伤脏腑。大凡痢疾疼痛,如果不先去其积滞,虽然获得暂时的安宁,日后必然造成危害。如果是阴阳相搏,冷热不调而形成的泻痢,应当进服香连丸,汤剂的用法在后面。另外还有脾肾突然虚弱,腹部胁肋膨隆,饮食不化而泄泻... [原文缺漏] 硝... [原文缺漏]
胃风汤:治疗肠胃不足,风冷乘虚侵袭,水谷不能消化,泄泻注下,腹中虚满,以及肠胃受湿,排泄物像豆汁一样,或者排出瘀血,日夜无度,都适宜服用此方。
人参、白茯苓、川芎、桂心(不经过火烤)、当归(去除芦头)、白芍药、白术、甘草。
上等分,切碎,每次服用四钱,加水一盏半,放入粟米百余粒,煎煮至七分,去渣,空腹时稍加热后服用。
Specialized for treating malaria caused by food stagnation.
Curcuma zedoaria Rhizome (Zhe E Zhu) and Bitter Orange Fruit (Jing San Leng) (boiled in vinegar, two taels each), Pepper (Hu Jiao) (one tael), Green Tangerine Peel (Qing Pi) (stir-fried until fragrant, three taels), Asafoetida (A Wei) (one qian, dissolved in vinegar).
The above ingredients are ground into fine powder. Separately, take the powder of aged stored rice and boil it with Asafoetida and vinegar to form a paste as a binder. Form pills the size of paulownia seeds. Take fifty pills per dose, gradually increasing to one hundred pills, swallowed with ginger decoction.
Treats malaria resulting from latent summerheat, characterized by restlessness, severe thirst, slight chills, high fever after chills subside, yellow-red urine, or coldness in the back and greasy complexion. (Refer to the section on Summerheat)
Treats malaria that has persisted for a long time, presenting with distension and fullness under the hypochondrium, emaciation of the patient, abdominal masses, and intermittent chills and fever. This condition is named "Malaria Mother" (Nue Mu).
Soft-shelled Turtle Shell (Bie Jia) ([Processing instructions and dosage missing in original text]), Magnolia Bark (Nou Pu) (processed with ginger juice, [Dosage missing in original text]), in equal proportions. Coarsely crush, take four qian per dose, add one and a half cups of water, seven slices of fresh ginger, one jujube, and a few smoked plums. Decoct until reduced to seventy percent, strain, [Administration method missing in original text].
Treats malaria caused by deficiency of Qi in the five Zang organs, where Yin and Yang contend with each other. It applies regardless of whether chills or heat appears first, and whether the attacks are solitary, consecutive, or every other day.
Prepared Aconite Root (Fu Zi) (one piece, processed until cracked, soaked in salt water and then re-processed, repeating this seven times. If not soaked, remove skin and navel).
Coarsely crush the above, add half a bowl of water, seven slices of fresh ginger, and seven jujubes. Decoct until reduced to eight-tenths of a cup. On the day of the malaria attack, strain and take warm on an empty stomach. Prepared Aconite Lateral Root (Chuan Wu) may also be used.
Treats persistent malaria due to Spleen Cold, characterized by pronounced chills with little heat, bluish-green complexion, anorexia, loose stools, or increased urination.
Areca Seed (Cao Guo Ren) and Prepared Aconite Root (Fu Zi) (processed, skin and navel removed).
In equal proportions. Coarsely crush, take half a liang per dose, add two cups of water, seven slices of fresh ginger, and one jujube. Decoct until reduced to seventy percent, strain, and take warm. Time of administration is unrestricted.
For persistent malaria regardless of gender, moxibustion of thirty-seven moxa cones at the first intervertebral space of the Dazhui (GV14) acupoint yields immediate effect; alternatively, moxibustion at the third intervertebral space.
The *Su Wen* states: "Wind injury in spring leads to undigested stool diarrhea (Sun Xie) in summer; if pathogenic factors linger, it becomes penetrating diarrhea (Dong Xie)." This arises from insufficiency of Ying and Wei Qi, sparse pores, and wind injury in spring.
[Text missing here, likely referring to dietary indiscretion or fatigue causing severe affliction.] If one does not regulate diet and overconsumes raw and cold foods leading to diarrhea, it is due to the failure of the Middle Jiao to transport and transform, resulting in Spleen and Stomach damage. For stagnant diarrhea, one must wait until the stagnation is eliminated before [using astringents]. If accompanied by shortness of breath, continuous diarrhea from both bowels and anus, and inability to ingest food, death is certain. Those who survive do so because when gruel enters the stomach and diarrheal flux stops, the deficient Qi recovers. Truly, these words hold truth.
Furthermore, it is discussed: Both diarrhea and dysentery arise from prior weakness of the intestines and stomach. Weakness allows the Six Exogenous Pathogens to invade externally and the Seven Emotions to injure internally. Regarding dietary indiscretion and excessive consumption... [Text missing] ...Zhi Zhong Tang can be used to regulate the middle; if Li Zhong Wan is ineffective, only then should astringents be used, such as Ru Dou Wan or Gu Chang Wan. If abdominal pain persists, astringents should not be used prematurely; using them too early will inevitably lead to dysentery. At this stage, one should regulate the middle and resolve accumulation. For mild pain, Zhi Zhong Tang or Su He Xiang Wan is suitable. For more severe abdominal pain, which will inevitably progress to dysentery—as stated in medical classics, severe abdominal pain implies impending dysentery—Ling Sha Dan should be administered to expel accumulation. This pill has been repeatedly verified effective: it stops diarrhea, halts dysentery, relieves pain, resolves internal accumulation without damaging the Zang-Fu organs. Generally, for dysentery pain, if accumulation is not first expelled, temporary relief will lead to future harm. If diarrhea and dysentery result from contending Yin and Yang and imbalanced cold and heat, Xiang Lian Wan should be administered (decoction instructions follow later). Additionally, there is sudden deficiency of Spleen and Kidney, abdominal and hypochondriac distension, indigestion, and diarrhea... [Text missing] ...Xiao... [Text missing]
Wei Feng Tang: Treats insufficiency of the intestines and stomach, where Wind-Cold takes advantage of the deficiency. Symptoms include inability to digest water and grain, profuse diarrhea, abdominal vacuous fullness, dampness affecting the intestines and stomach with discharge resembling bean curd dregs, or passage of stasis blood, occurring day and night without limit. All these conditions are suitable for this formula.
Ginseng Radix et Rhizoma (Ren Shen), Poria (Bai Fu Ling), Ligusticum Chuanxiong Rhizome (Xiong), Cinnamon Twig (Gui Xin) (not exposed to direct fire), Angelica Sinensis Radix (Dang Gui) (radicle removed), White Peony Root (Bai Shao Yao), Atractylodes Macrocephala Rhizome (Bai Zhu), Licorice Root (Gan Cao).
In equal proportions. Coarsely crush, take four qian per dose, add one and a half cups of water and over one hundred grains of millet. Decoct until reduced to seventy percent, strain, and take slightly warm on an empty stomach.