常山 浓朴 半夏 茯苓 草果 槟榔 陈皮 甘草(少许) 渴加乌梅一个,久者加
僵蚕七个。
上水二钟,姜三片煎,露一宿,发日五更服。
朱砂一钱好者,水飞过,枣肉为丸龙眼核大,临发之日五更酒送下。有痰吐痰,有积去
积,永不发。
治五脏气虚,喜怒不节,致阴阳相胜,结聚涎饮,与卫气相搏,发为疟疾。
人参 白术 茯苓 橘红 草果仁 半夏 枣子 生姜 乌梅(各一钱) 甘草(五分)
上加盐少许淹食,须用浓皮纸裹了,以水湿之,慢火炮令香熟,焙干。每服半两,水二钟,
煎至六分,未发时并进数服。
水肿之证,有阴有阳。察脉观色,问症须详。阴脉沉迟,其色青白,不渴而泄,小便清
涩。
脉或沉数,色赤而黄,燥粪赤溺,兼渴为阳。又遍身皮肤光肿如泡,手按成窟,举手即
满者是。因脾虚不能制水,水渍妄行故也。法当补脾,使脾气得实则自健运,切不可下。忌
食羊肉。腰已上肿,宜发汗;腰已下肿,宜利小便。
治方
陈皮 半夏 茯苓(各一钱) 甘草(炙,三分) 人参 白术 苍术(各一钱) 麦
冬(五分) 山栀(五分) 猪苓 泽泻(各五分) 若腹胀少佐浓朴。气不运加木香、木
通。夏月加香薷,气若下陷加升麻、柴胡。有热加黄芩。产后必须大补气血为主,少佐苍术、
茯苓。女人胎肿
上水二钟,姜三片煎。
常山、厚朴、半夏、茯苓、草果、槟榔、陈皮、甘草(少量)。若口渴,加乌梅一个;病程久者,加僵蚕七个。
以上药材用水两钟,生姜三片煎煮,露天放置一夜,在发病日五更时分服用。
优质的朱砂一钱,用水飞法处理,用枣肉制成如龙眼核大小的丸剂,在疟疾发作当日五更时分,用酒送服。能祛除痰饮,消除积滞,使疟疾永不复发。
治疗五脏气虚,喜怒情绪不节制,导致阴阳相互克制,津液凝聚成痰饮,与卫气相搏结,从而引发疟疾。
人参、白术、茯苓、橘红、草果仁、半夏、大枣、生姜、乌梅(各一钱),甘草(五分)。
以上药材加少许盐腌制后食用,必须用浓皮纸包裹,用水湿润,用慢火烘焙至香气四溢且熟透,然后焙干。每次服用半两,用水两钟,煎至六分量的药液,在疟疾未发作时一次性连续服用数次。
水肿这一病证,有阴证和阳证之分。诊察时需详细观察脉象、面色并询问症状。阴证的脉象沉迟,面色青白,口不渴且伴有腹泻,小便清长或涩滞。
若脉象沉数,面色赤黄,大便干燥色黑,小便短赤,兼有口渴,则属于阳证。另外,全身皮肤光亮肿胀如水泡状,手按压后留下坑洞,抬手即恢复饱满的,也是水肿的表现。这是因为脾虚不能制约水湿,水湿泛滥妄行所致。治疗方法应当补益脾气,使脾气充实自然健运,切不可使用攻下法。忌食羊肉。腰部以上的肿胀,适宜采用发汗法;腰部以下的肿胀,适宜采用利小便法。
治疗方剂:
陈皮、半夏、茯苓(各一钱),甘草(炙,三分),人参、白术、苍术(各一钱),麦冬(五分),山栀(五分),猪苓、泽泻(各五分)。如果腹胀,稍加厚朴。如果气机运行不畅,加木香、木通。夏季加香薷,如果气机下陷,加升麻、柴胡。如果有热象,加黄芩。产后患者必须以大补气血为主,稍加苍术、茯苓。针对妇女胎肿:
以上药材用水两钟,生姜三片煎煮。
*Changshan* (Dichroae Radix), *Houpo* (Magnoliae Officinalis Cortex), *Banxia* (Pinelliae Rhizoma), *Fuling* (Poria), *Caoguo* (Tsaoko Fructus), *Binglang* (Arecae Semen), *Chenpi* (Citri Reticulatae Pericarpium), *Gancao* (Glycyrrhizae Radix et Rhizoma) (a small amount). If there is thirst, add one *Wumei* (Mume Fructus); if the disease has persisted for a long time, add seven *Jiangcan* (Bombyx Batryticatus).
Take the above herbs with two zhong of water and three slices of *Shengjiang* (Zingiberis Rhizoma Recens), decoct them, leave them exposed overnight, and take them at wugeng (3-5 AM) on the day of onset.
One qian of high-quality *Zhusha* (Cinnabaris), processed by water flotation method, formed into pills the size of a longan seed using jujube pulp. On the day of onset, take it at wugeng time with wine as a vehicle. It can resolve phlegm and eliminate accumulations, preventing malaria from ever recurring.
Treating malaria caused by deficiency of qi in the five zang organs, irregular emotions of joy and anger, leading to mutual overcoming of yin and yang, condensation of fluid retention (phlegm-fluids), which combats with *Weiqi* (Defensive Qi), resulting in malaria.
*Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Fuling* (Poria), *Juhong* (Citri Reticulatae Pericarpium Rubrum), *Caoguoren* (Tsaokos Fructus), *Banxia* (Pinelliae Rhizoma), *Zaozi* (Jujubae Fructus), *Shengjiang* (Zingiberis Rhizoma Recens), *Wumei* (Mume Fructus) (each 1 qian), *Gancao* (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
The above herbs are marinated with a little salt for consumption. They must be wrapped in thick paper, moistened with water, slow-roasted until fragrant and cooked, then dried. Each dose is half liang, decocted with two zhong of water until reduced to six-tenths. Take several doses consecutively before the onset of symptoms.
Edema syndromes are categorized into Yin and Yang types. Examination requires detailed observation of pulse, complexion, and inquiry into symptoms. Yin type presents with deep and slow pulse, bluish-white complexion, no thirst accompanied by diarrhea, and clear or scanty urine.
If the pulse is deep and rapid, complexion is red-yellow, stool is dry and dark, urine is red and scanty, accompanied by thirst, it is Yang type. Additionally, generalized skin swelling that is shiny like blisters, where pressing leaves an indentation that fills back up upon lifting the hand, indicates edema. This is due to Spleen deficiency failing to control water, causing water to flood and act recklessly. The treatment method should tonify Spleen qi, so that when Spleen qi becomes solid, its transportation function naturally strengthens; purgative methods must strictly be avoided. Avoid eating mutton. Swelling above the waist is suitable for diaphoresis (sweating method); swelling below the waist is suitable for promoting urination.
Treatment Formula:
*Chenpi* (Citri Reticulatae Pericarpium), *Banxia* (Pinelliae Rhizoma), *Fuling* (Poria) (each 1 qian), *Gancao* (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey, 0.3 qian), *Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Cangzhu* (Atractylodis Rhizoma) (each 1 qian), *Maidong* (Ophiopogonis Radix) (0.5 qian), *Shanzhi* (Gardeniae Fructus) (0.5 qian), *Zhuling* (Polyporus), *Zexie* (Alismatis Rhizoma) (each 0.5 qian). If abdominal distension is present, add a small amount of *Houpo* (Magnoliae Officinalis Cortex). If qi movement is stagnant, add *Muxiang* (Aucklandiae Radix) and *Mutong* (Akebiae Caulis). In summer, add *Xiangru* (Elsholtziae Herba); if qi sinks, add *Shengma* (Cimicifugae Rhizoma) and *Chaihu* (Bupleuri Radix). If heat signs are present, add *Huangqin* (Scutellariae Radix). For postpartum cases, the primary treatment must be major tonification of qi and blood, with slight additions of *Cangzhu* (Atractylodis Rhizoma) and *Fuling* (Poria). For female pregnancy-related edema:
Decoct the above herbs with two zhong of water and three slices of *Shengjiang* (Zingiberis Rhizoma Recens).