此症初感外邪，失于表散，邪伏于里，留于肺，时发时止，淹缠岁月。更有痰哮、咸哮、
醋哮，过食生冷及幼稚之童天哮诸症
喉中为甚水鸡声，哮症原来痰病侵。若得吐痰并发散，远离浓味药方灵。定喘之汤可参
用，化痰为主治须明。
定喘汤 白果 黄芩 苏子 半夏 款冬花 麻黄 杏仁 甘草 桑皮
寒
桂枝 制麻黄 茯苓 五味 橘红 川朴 干姜 白芥子 杏仁 甘草 半夏
小青龙汤亦可参用
病举发
葶苈大枣汤
养正
肾气丸去肉桂、牛膝
哮兼痰饮
真武丸、小青龙汤去麻黄、细辛，加赤砂糖、炒石膏。
气虚
四君子汤增减
陈曰∶治以温通肺脏，下摄肾真为主。又必补益中气。其辛散苦寒、豁痰破气之药俱非
所宜，忌用金石药，记之。
古人论疟不离乎肝胆，亦犹咳不离乎肺也
寒热往来名曰疟，正气与邪相击搏。风寒暑湿食与痰，亦有阴虚兼气弱。阳分日发邪气
轻，阴分深兮间日作。在气早临（气分）血晏临（血分），于阳为热寒为阴。并则寒热离则止
（暑气邪气与营卫并行则疟作，离则疟止），营卫邪气交相争。邪不胜正到时早（邪达于阳病
退），正不胜邪移晚行（邪陷于阴，病进）。总因感邪汗不泄，汗闭不泄痰郁成。痰郁不散发寒
热，要看受病久与新。新疟宜泄宜发散，久疟补气和滋阴。无痰无食不成疟，初起饮服清脾
灵。自汗去半加知料，无汗加苍干葛吞。多热黄芩知母进，多寒薄桂胥堪增。头痛川芎羌芷
要，烦渴不眠粉葛凭。夏月香薷白扁豆，冬天无汗麻黄应。若既日久精神倦，六脉细微出盗
汗。滋阴鳖甲归芍佳，补气参 洵称善。清脾饮除果浓朴，姜枣加之病渐痊。又生疟母左胁
间，令人多汗胁痛连。治宜消导用何药，鳖甲棱蓬附四般。醋煎停匀加海粉，桃青芽曲红花
兼。为末和丸日三服，块当化散不为艰。
暑热宜专理上焦肺脏清气
桂枝白虎汤 天水散
湿邪宜治脾胃中焦阳气
藿香正气散 二陈汤去甘草 加杏仁、白蔻、生姜。
足太阳脾虚，面浮胀满
通补用理中汤 人参 白术 甘草 干姜 开腑用五苓散 术 桂 茯 猪 泽
足少阴肾痿弱成劳，宜滋阴温养
复脉汤 人参 炙草 桂枝 麻仁 生
地阿胶 麦冬 生姜 大枣
足厥阴肝厥逆吐蛔及邪结疟母
乌梅丸 鳖甲煎丸 鳖甲 黄芩 鼠妇 大黄 桂枝 石苇 乌扇 柴胡 干姜
芍药 葶苈 川朴 丹皮 瞿麦 紫葳 半夏 人参 阿胶 虫 蜂窠 赤硝 羌琅
桃仁 清酒 灶下灰
又瘅疟，但热不寒（宜甘寒生津，重后天胃气，治在肺经）
生地 元参 花粉 薄荷 蔗汁 西瓜翠 麦冬 知母 杏仁 贝母 梨汁 鲜竹叶
脾胃阳虚，腹胀，舌白不喜饮
于术 人参 半夏 茯苓 生姜 浓朴 知母 杏仁 草果
阴虚热伏血分
熟地 白芍 五味 山药 茯苓 芡实 莲子 鳖甲 知母 草果 生地 桃仁
花粉 青蒿 首乌 丹皮 龟板 泽泻 炙草 桑叶 天冬 六味丸 清骨散 银柴胡
胡黄连 秦艽 地骨皮 鳖甲苏 青蒿 知母 粉甘草
暑热拒格三焦，呕逆不纳
宗半夏泻心法 半夏 黄芩 炙草 大枣 川连 人参 干姜
胃虚呕逆
旋复代赭汤
热结痞结
半夏 人参 茯苓 川连 枳实 姜汁
疟兼热痢
人参 干姜 广皮 归身 枳实 川连 银花 黄芩 白芍 山楂
心经疟热，多神昏谵语，舌边赤，心黄，防痉厥
犀角 元参 竹叶 连翘 麦冬 银花
救逆汤 桂枝 炙草 干姜 枣子 蜀膝 龙骨 牡蛎 此方去干姜加白芍可参用
心经疟久动及其营，必烦渴见红，宜滋阴法。
肺经疟久伤及其津，必胃闭肺痹，宜清降法。
陈曰∶疟发久邪必入络，络属血分，汗下两者未能逐邪。仲景制鳖甲煎丸治络聚血邪，
久则血下，温疟例忌足六经药，如柴葛之类，用桂枝白虎汤主之。古称三阴大疟，以肝脾肾
三脏之见证为要领。阳疟之后养胃阴，阴疟之后理脾阳主之。太阳经行身之背，疟发背冷不
由四肢，是少阴之阳不营太阳。
此病初起感受外邪，因未能及时通过发汗等方法使邪气从体表排出，导致邪气潜伏于体内，滞留于肺脏，病情时好时坏，缠绵多年。此外还有痰哮、咸哮、醋哮，以及因过食生冷食物和儿童先天不足引起的天哮等各种病症。发作时喉中发出像水鸡叫一样的声音，哮喘原本就是由痰邪侵袭所致。如果能通过催吐排出痰液并发散表邪，远离油腻厚味的食物，药物才能见效。定喘汤可以参考使用，治疗必须以化痰为主，这一点必须明确。
定喘汤：白果、黄芩、苏子、半夏、款冬花、麻黄、杏仁、甘草、桑皮。
寒证可用桂枝、制麻黄、茯苓、五味子、橘红、川朴（厚朴）、干姜、白芥子、杏仁、甘草、半夏。小青龙汤也可以参考使用。
病势发作剧烈者，可用葶苈大枣汤。
哮喘兼有痰饮者，用真武丸；或小青龙汤去掉麻黄、细辛，加入赤砂糖、炒石膏。
气虚者，用四君子汤加减。
陈氏说：治疗应以温通肺脏、下摄肾精为主。又必须补益中气。那些辛散、苦寒、豁痰破气的药物都不适宜，忌用金石类药物，请牢记。
寒热交替发作称为疟疾，这是人体正气与邪气相互搏击的结果。风寒暑湿、饮食积滞与痰浊，也有阴虚兼气弱的情况。在阳分白天发作的，邪气较轻；在阴分深夜发作的，则隔日发作。在气分发作较早（气分），在血分发作较晚（血分）。属阳的为热，属阴的为寒。邪气与营卫之气并行则疟疾发作，分离则疟疾停止（暑气邪气与营卫并行则疟作，离则疟止），营卫与邪气交相争斗。邪气不胜正气时，病退较早（邪达于阳病退）；正气不胜邪气时，病进较晚（邪陷于阴，病进）。总是因为感受邪气后汗出不畅，汗闭不泄导致痰郁结而成。痰郁结不散而引发寒热，要看患病时间的久暂和新旧。新发的疟疾宜泄宜发散，久疟需补气并滋阴。无痰无食积就不会形成疟疾，初起时可服用清脾灵。自汗者去掉半夏加知母，无汗者加苍术、干葛吞服。多热者加黄芩、知母，多寒者加薄桂、桂枝可增。头痛者要用川芎、羌活、白芷，烦渴失眠者用粉葛。夏季用香薷、白扁豆，冬季无汗用麻黄。如果日久精神疲倦，六脉细微且出盗汗，滋阴用鳖甲、当归、芍药佳，补气用人参、黄芪确实很好。清脾饮去掉白果、浓朴，加上生姜、大枣，病逐渐痊愈。又在左胁间生出疟母，使人多汗且胁痛相连。治疗宜用消导法用什么药？用鳖甲、三棱、蓬莪术、附子四味。醋煎均匀后加入海粉，再加桃仁、青蒿芽、神曲、红花。研成末做成丸剂，每日三次服用，肿块应当化散并不困难。
湿邪之邪宜治疗脾胃中焦的阳气。
藿香正气散、二陈汤去掉甘草，加杏仁、白蔻、生姜。
足太阳经脾虚，面部浮肿胀满。
通补用理中汤：人参、白术、甘草、干姜。开腑用五苓散：白术、桂枝、茯苓、猪苓、泽泻。
足少阴肾痿弱成劳损，宜滋阴温养。
复脉汤：人参、炙甘草、桂枝、火麻仁、生地黄、阿胶、麦冬、生姜、大枣。
足厥阴肝气厥逆呕吐蛔虫及邪气结聚成疟母。
乌梅丸、鳖甲煎丸。鳖甲煎丸组成：鳖甲、黄芩、鼠妇、大黄、桂枝、石苇、乌扇（射干）、柴胡、干姜、芍药、葶苈、川朴（厚朴）、丹皮、瞿麦、紫葳（凌霄花）、半夏、人参、阿胶、䗪虫、蜂窠、赤硝、石英、桃仁、清酒、灶下灰。
又有瘅疟，只发热不恶寒（宜甘寒生津，重视后天胃气，治疗在肺经）。
生地、元参、花粉、薄荷、蔗汁、西瓜翠衣、麦冬、知母、杏仁、贝母、梨汁、鲜竹叶。
脾胃阳虚，腹胀，舌苔白且不喜饮水。
于术、人参、半夏、茯苓、生姜、浓朴（厚朴）、知母、杏仁、草果。
阴虚热伏于血分。
熟地、白芍、五味子、山药、茯苓、芡实、莲子、鳖甲、知母、草果、生地、桃仁、花粉、青蒿、首乌、丹皮、龟板、泽泻、炙甘草、桑叶、天冬、六味丸、清骨散、银柴胡、胡黄连、秦艽、地骨皮、鳖甲苏、青蒿、知母、粉甘草。
暑热之邪格拒三焦，呕吐逆乱不能进食。
宗半夏泻心汤法：半夏、黄芩、炙甘草、大枣、川连（黄连）、人参、干姜。
疟疾兼有热痢。
人参、干姜、广皮（陈皮）、归身、枳实、川连（黄连）、银花、黄芩、白芍、山楂。
心经受疟热，多出现神昏谵语，舌边赤，心中发黄，防止痉厥。
犀角、元参、竹叶、连翘、麦冬、银花。
救逆汤：桂枝、炙甘草、干姜、枣子、蜀膝（怀牛膝）、龙骨、牡蛎。此方去掉干姜加白芍也可参考使用。
陈氏说：疟疾发作久了邪气必入络脉，络脉属于血分，汗法和下法都不能驱逐邪气。张仲景制定鳖甲煎丸治疗络脉聚结的血邪，日久则血下行，温疟例来忌用足六经的药物，如柴胡、葛根之类，用桂枝白虎汤主治。古称三阴大疟，以肝、脾、肾三脏的见证为要领。阳疟之后养胃阴，阴疟之后理脾阳主治。太阳经行于身体背部，疟疾发作时背冷而不涉及四肢，这是少阴之阳不能营养太阳经。
This condition initially involves the contraction of external pathogens. Due to the failure to disperse the pathogens from the exterior in time, the pathogens become latent within the interior and remain in the Lung (Lung organ). The condition comes and goes intermittently, lingering for years. Additionally, there are various conditions such as Phlegm Asthma (Xiao), Salty Asthma, Vinegar Asthma, as well as Tian Asthma caused by excessive consumption of cold and raw foods and congenital deficiency in children. During attacks, a sound like that of a water chicken is heard in the throat; asthma originally results from invasion by phlegm pathogens. If one can induce vomiting to expel phlegm and disperse the exterior, while avoiding rich and greasy foods, the medication will be effective. Dingchuan Tang (Calm Wheezing Decoction) may be considered; the treatment must focus on resolving phlegm.
Dingchuan Tang: Bai Guo (Ginkgo Seed), Huang Qin (Scutellaria Root), Su Zi (Perilla Fruit), Ban Xia (Pinellia Tuber), Kuan Dong Hua (Coltsfoot Flower), Ma Huang (Ephedra Stem), Xing Ren (Apricot Seed), Gan Cao (Licorice Root), Sang Pi (Mulberry Bark).
For Cold patterns: Gui Zhi (Cinnamon Twig), Zhi Ma Huang (Prepared Ephedra Stem), Fu Ling (Poria), Wu Wei Zi (Schisandra Berry), Ju Hong (Tangerine Peel), Chuan Po (Magnolia Bark), Gan Jiang (Dried Ginger), Bai Jie Zi (White Mustard Seed), Xing Ren (Apricot Seed), Gan Cao (Licorice Root), Ban Xia (Pinellia Tuber). Xiao Qing Long Tang (Minor Blue Dragon Decoction) may also be considered.
For severe exacerbations: Ting Li Da Zao Tang (Descurainia Seed and Jujube Decoction).
For Deficiency of Righteous Qi (Zheng Qi): Shen Qi Wan (Kidney Qi Pill) with Rou Gui (Cinnamon Bark) and Niu Xi (Achyranthes Root) removed.
For Asthma complicated by Phlegm-Fluid retention: Zhen Wu Wan (True Warrior Pill); or Xiao Qing Long Tang (Minor Blue Dragon Decoction) with Ma Huang (Ephedra Stem) and Xi Xin (Asarum Root) removed, plus Chi Sha Tang (Brown Sugar) and Chao Shi Gao (Calcined Gypsum).
For Qi Deficiency: Si Jun Zi Tang (Four Gentlemen Decoction) modified.
Mr. Chen stated: Treatment should primarily focus on warming and unblocking the Lung and grasping the Kidney Essence. It is also necessary to tonify Middle Qi. Medications that are pungent and dispersing, bitter and cold, or those that resolve phlegm and break Qi are all unsuitable. Mineral drugs should be avoided; remember this.
Ancients discussed Malaria (Nue) without separating it from the Liver and Gallbladder, just as Cough is inseparable from the Lung.
Alternating chills and fever is called Malaria; this occurs when Righteous Qi (Zheng Qi) clashes with Pathogenic factors. Wind, Cold, Summerheat, Dampness, Food Stagnation, and Phlegm are involved, as well as Yin Deficiency combined with Qi Weakness. When occurring in the Yang aspect during the day, the pathogen is lighter; when deep in the Yin aspect at night, it occurs every other day. Early onset indicates involvement of the Qi aspect (Qi Fen), late onset indicates the Blood aspect (Xue Fen). Yang corresponds to Heat, Yin corresponds to Cold. When they merge, chills and fever occur; when they separate, the malaria stops (Summerheat/pathogenic qi moving together with Ying and Wei causes malaria; separation stops it). Ying and Wei interact with the pathogen. If the pathogen cannot overcome Righteous Qi, the disease recedes early (pathogen reaches Yang, disease retreats); if Righteous Qi cannot overcome the pathogen, the disease progresses late (pathogen sinks into Yin, disease advances). Generally, this is due to contracting pathogens where sweat does not excrete; closed sweat leads to Phlegm stagnation. Stagnant Phlegm fails to disperse, causing chills and fever. One must observe whether the disease is new or long-standing. New malaria should be purged and dispersed; long-standing malaria requires tonifying Qi and nourishing Yin. Without Phlegm or Food Stagnation, malaria does not form; in the initial stage, drink Qing Pi Ling. For spontaneous sweating, remove Ban Xia and add Zhi Mu; for no sweating, add Cang Zhu, Gan Ge (Kudzu Root). For excessive heat, add Huang Qin and Zhi Mu; for excessive cold, add Bo Gui and Gui Zhi. For headache, use Chuan Xiong, Qiang Huo, Bai Zhi. For irritability, thirst, and insomnia, use Fen Ge (Kudzu Root). In summer, use Xiang Ru and Bai Bian Dou; in winter with no sweating, use Ma Huang. If prolonged fatigue occurs, with fine and subtle pulses and night sweats, nourish Yin with Bie Jia, Dang Gui, and Bai Shao; tonify Qi with Ren Shen and Huang Qi is truly excellent. Qing Pi Yin remove Bai Guo and Nong Po, add Sheng Jiang and Da Zao, and the illness gradually heals. Also, "Malaria Mother" (splenomegaly/mass) forms in the left hypochondrium, causing excessive sweating and hypochondriac pain. Treatment should use guiding and resolving methods: what medicines? Use Bie Jia, San Leng, Peng Ze, and Fu Zi. Decoct with vinegar until uniform, add Hai Fen, Tao Ren, Qing Hao Ya, Shen Qu, and Hong Hua. Grind into powder and make pills, take three times daily; the mass will dissolve without difficulty.
For Summerheat-Heat, specifically regulate the Clear Qi of the Upper Jiao Lung.
Gui Zhi Bai Hu Tang (Cinnamon Twig and White Tiger Decoction), Tian Shui San.
For Dampness, treat the Yang Qi of the Middle Jiao Spleen and Stomach.
Huo Xiang Zheng Qi San, Er Chen Tang removing Gan Cao, adding Xing Ren, Bai Kou, and Sheng Jiang.
Foot-Taiyang Spleen Deficiency, facial edema and fullness.
Tonify and unblock using Li Zhong Tang: Ren Shen, Bai Zhu, Gan Cao, Gan Jiang. Open the Fu organs using Wu Ling San: Bai Zhu, Gui Zhi, Fu Ling, Zhu Ling, Ze Xie.
Foot-Shaoyin Kidney Atrophy leading to Consumption, suitable for nourishing Yin and warming/nourishing.
Fu Mai Tang (Restore Pulse Decoction): Ren Shen, Zhi Cao, Gui Zhi, Ma Ren, Sheng Di, E Jiao, Mai Dong, Sheng Jiang, Da Zao.
Foot-Jueyin Liver Reversal with vomiting of roundworms and pathogenic knotting forming Malaria Mother.
Wu Mei Wan, Bie Jia Jian Wan. Bie Jia Jian Wan composition: Bie Jia, Huang Qin, Shu Fu, Da Huang, Gui Zhi, Shi Wei, Wu Shan (She Gan), Chai Hu, Gan Jiang, Shao Yao, Ting Li, Chuan Po, Dan Pi, Qu Mai, Zi Wei, Ban Xia, Ren Shen, E Jiao, Chan Chong, Feng Ke, Chi Xiao, Qing Lang, Tao Ren, Qing Jiu, Zao Xia Hui.
Also, Dan Malaria, only heat without chills (suitable for sweet-cold generating fluids, emphasizing post-heaven Stomach Qi, treatment focuses on Lung Meridian).
Sheng Di, Yuan Shen, Hua Fen, Bo He, Zhe Zhi, Xi Gua Cui, Mai Dong, Zhi Mu, Xing Ren, Bei Mu, Li Zhi, Xian Zhu Ye.
Spleen and Stomach Yang Deficiency, abdominal distension, white tongue coating, no desire to drink.
Yu Zhu, Ren Shen, Ban Xia, Fu Ling, Sheng Jiang, Nong Po, Zhi Mu, Xing Ren, Cao Guo.
Yin Deficiency with Heat lurking in the Blood aspect.
Shu Di, Bai Shao, Wu Wei, Shan Yao, Fu Ling, Qian Shi, Lian Zi, Bie Jia, Zhi Mu, Cao Guo, Sheng Di, Tao Ren, Hua Fen, Qing Hao, Shou Wu, Dan Pi, Gui Ban, Ze Xie, Zhi Cao, Sang Ye, Tian Dong, Liu Wei Wan, Qing Gu San, Yin Chai Hu, Hu Huang Lian, Qin Jiao, Di Gu Pi, Bie Jia Su, Qing Hao, Zhi Mu, Fen Gan Cao.
Summerheat rejecting and blocking the Three Jiao, vomiting and inability to accept food.
Follow Ban Xia Xie Xin method: Ban Xia, Huang Qin, Zhi Cao, Da Zao, Chuan Lian (Huang Lian), Ren Shen, Gan Jiang.
Stomach Deficiency with vomiting and reversal.
Xuan Fu Dai Zhe Tang.
Heat knotting and痞 (Pi/Fullness) knotting.
Ban Xia, Ren Shen, Fu Ling, Chuan Lian (Huang Lian), Zhi Shi, Jiang Zhi.
Malaria complicated by Dysentery with Heat.
Ren Shen, Gan Jiang, Guang Pi (Chen Pi), Gui Shen, Zhi Shi, Chuan Lian (Huang Lian), Yin Hua, Huang Qin, Bai Shao, Shan Zha.
Heart Meridian Malaria Heat, often with confusion and delirium, red tongue edges, yellow heart, preventing convulsions.
Xi Jiao, Yuan Shen, Zhu Ye, Lian Qiao, Mai Dong, Yin Hua.
Jiu Ni Tang (Save Reversal Decoction): Gui Zhi, Zhi Cao, Gan Jiang, Zao Zi, Shu Xi, Long Gu, Mu Li. This formula, removing Gan Jiang and adding Bai Shao, may be considered.
Long-standing Heart Meridian Malaria affecting Ying, inevitably causing irritability, thirst, and bleeding; suitable for nourishing Yin method.
Long-standing Lung Meridian Malaria damaging Jin (fluids), inevitably causing Stomach closure and Lung obstruction; suitable for clearing and descending method.
Mr. Chen stated: Long-standing malaria pathogens enter the collaterals, which belong to the Blood aspect; neither sweating nor purging can expel the pathogen. Zhang Zhongjing formulated Bie Jia Jian Wan to treat blood pathogens gathered in collaterals; over time, the blood moves downward. Warm malaria generally prohibits using Foot Six Meridian herbs like Chai Hu and Ge Gen; instead, use Gui Zhi Bai Hu Tang as the main treatment. Ancient texts refer to "Three Yin Great Malaria," taking the manifestations of the Liver, Spleen, and Kidney as key points. After Yang malaria, nourish Stomach Yin; after Yin malaria, regulate Spleen Yang. The Taiyang Meridian runs along the back; malaria causing back cold without involving the limbs indicates that Shaoyin Yang fails to nourish Taiyang.