人参（五钱） 黄 黄连 白术（各三钱） 芍药（半两） 茯苓（三钱） 黄芩（三分）
作五帖，水煎服。
卢兄疟后辛苦再发，脉大洪而浮，此血伤也，宜补之。
人参（半钱） 白术（一钱） 黄芩（四钱） 甘草（四钱） 白芍（一钱） 黄连（三钱） 生地
黄茯苓 归尾（各五分）
作一帖热饮，仍灸大椎穴五壮。
一妇人五十余岁，形实，喜作劳，性急味浓，喜火食。夏却患恶寒发热，更作无休时，衣被虽浓，常凛然，
两脉皆涩。予作杂合邪治之，遂以四物汤加陈皮，以人参、白术为君，生甘草、黄柏为佐，多入姜汁，吞通神
丸三十丸，回金、抑青各二十丸，阿魏十丸。煎三帖而得睡，第五帖而身和，第七帖通身微汗，诸症皆去。
〔《局方》〕人参养胃汤
草果 茯苓 人参（去芦。各半两） 甘草（炙，七钱） 橘红（七钱半） 浓朴（去皮，姜制） 苍术（汤洗，炒
）半夏（汤洗。各一两） 藿香叶（洗去土）
上 咀，每服四钱，水一盏半，姜七片，乌梅一个，煎至七分，去渣热服。（脉弱无力或寒多者，加干姜、
附子。如脉洪有力热多者，加黄芩、黄连、柴胡。）
上朴、苍、藿香发散也，半、果、茯、橘劫痰也。人参用之，惟虚人最宜。
〔丹〕绝疟青蒿丸
青蒿 冬瓜皮 官桂 马鞭草（各二两）
上药焙干为末，糊为丸，如胡椒大。每一两分四服，于戌时前一时服尽。
治疟方。百草霜、黄丹等分，细研，每服二钱匕，于发日虚心水调服，不止，连两服，愈。
治疟用蒜，不拘多少，研极烂，以黄丹少许聚为度，丸如鸡头大，候干。每服一丸，新汲水下，面东服至妙。
〔垣〕治疟疾。
大蒜（一颗，分开片）
上一片，内入巴豆肉一粒，轻纸裹煨熟，去巴豆，研入黄丹为丸，如鸡头大。每服一丸。先发寒，用桃枝
七寸东向者，煎汤，发日五更面北服。如发热，用冷水送下。未全好，次发又可进一服，除根。
上黄丹劫痰例轻剂也。
〔《易简》〕七宝汤
常山 陈皮 青皮 槟榔 草果 甘草（炙） 浓朴（等分）
上 咀，每服半两，水酒各一盏，煎六分，当发日侵晨服之。此服有常山，必须吐而愈。或当日大作，俗
谓斗药是也。虚怯人及脾胃寒者不宜服。
上此劫痰例重剂也，虚人慎之，或补后用之。
〔《局方》〕克效饮子
龙脑 麝香 定粉（各研，半两） 荷叶（焙） 绿豆末 甘草（炙。各五两） 朱砂（二两，研丸）
信（醋炙，二钱半） 金箔（二十五片，为衣）
上为末，炼蜜搜和，每两作二十丸，无名异为衣。每服一二丸，温水磨。连日发者，未发前服之。间日者，
不发夜服之。隔数日发者，前一日夜服之。
〔河〕辟邪丹 治岚瘴鬼疟，并日频日。
绿豆 雄黑豆（各四十九粒） 信（半钱，另研） 黄丹（一钱） 朱砂（二钱）
上为末，同入乳钵内，滴水为丸。分作三十粒，每服一粒，用东南桃心取七枚，研汁，井花水早晨日欲出
不出时，向日吞之。
上信砒劫痰，为至峻之剂，虚人切忌之。
运气 疟疾有二∶
一曰火热。经云∶岁火太过，炎暑流行，金肺受邪，民病疟少气。又云∶火太过曰赫羲，其病笑疟狂妄。
又云∶火郁之发，民病温疟。又云∶少阳司天，火淫所胜，民病发热恶寒而疟。又云∶少阳之复，发而为疟。
又云∶少阳司天之政，民病寒热疟。治以寒剂是也。
二曰寒湿。经云∶阳明司天，为四之气，病疟，寒之候是也。
〔河〕断疟如圣散
砒（一钱） 蜘蛛（大者，三个） 雄黑豆（四十九粒）
上为末，滴水为丸，如鸡头大。如来日发，于今晚夜北斗下先献过，次早以纸裹，于耳内札一丸，立愈如
神。一粒可救二人。
〔《素》〕帝曰∶夫经言有余者泻之，不足者补之，今热为有余，寒为不足。夫疟者之寒，汤火不能温也，
及其热，冰水不能寒也，此皆有余不足之类，当此之时，良工不能止，必须其自衰乃刺之，其故何也？愿闻其
说。岐伯曰∶经言无刺 之热，无刺浑浑之脉，（王注曰∶浑浑谓脉无端绪。）无刺漉漉之汗，故为其病逆，
未可治也。夫疟之始发也，阳气并于阴，当是之时，阳虚而阴盛，外无气，故先寒栗也。阴气逆极，则复出之阳，
阳与阴复并于外，则阴虚而阳实，故先热而渴。夫疟气者，并于阳则阳胜，并于阴则阴胜，阴胜则寒，阳胜则热。
疟者，风寒之气不常也，病极则复至，病之发也，如火之热，如风雨不可当也。故经言曰∶方其盛时必毁，因其
衰也，事必大昌，此之谓也。夫疟之未发也，阴未并阳，阳未并阴，因而调之，真气得安，邪气乃亡，故工不
能治其已发，为其气逆也。帝曰∶善，攻之奈何？早晏何如？岐伯曰∶疟之且发也，阴阳之且移也，必从四末
始也。阳已伤，阴从之，故先其时坚束其处，令邪气不得入，阴气不得出，审候见之，在孙络盛坚而血者，皆取
之，此其往而未得并者也。（疟论）凡治疟先发，如食顷乃可治，过之则失时也。疟发身方热，刺跗上动脉，开其
空，出其血，立寒。疟方欲寒，刺手阳明太阴，足阳明太阴。（亦谓出血当随井俞而刺之。）疟脉满大，急
刺背俞，用中针傍五 俞各一，适肥瘦出其血也。（王注云∶背俞谓大杼。五 俞，噫嘻也。 ，去鱼
反。）疟脉小实，急灸胫少阴，刺指井。（胫少阴，复溜穴，指井至阴穴也）疟脉缓大虚，便宜用药，不宜用
针。诸疟而脉不见，刺十指间出血，血去必已，先视身之赤如小豆者，尽取之。刺疟者，必先问其病之所先
发者，先刺之。先头痛及重者，先刺头上及两额、两眉间出血。（王注云∶头上谓上星、百会，两额谓
悬颅，两眉间谓攒竹等穴。）先项背痛者，先刺之。先腰脊痛者，先刺 中出血。先手臂痛者，先
刺手少阴阳明十指间。先足胫酸痛者，先刺足阳明十指间出血。风疟，疟发则汗出恶风，刺三阳经背俞之血者。
酸痛甚，按之不可，名曰 髓病，以 针针绝骨，出血立已。身体小痛，刺至阴，诸阴之井，无出血，间日
一刺。疟不渴，间日而作，刺足太阳。渴而间日作，刺足少阳。（《灵枢》经云∶疟不渴，间日而作，刺
足阳明。渴日作，刺手阳明。）温疟汗不出，为五十九刺。足太阳之疟，令人腰痛头重，寒从背起，先寒后
热， 然，热止汗出难已，刺 中出血。（金门穴《黄帝中诰图经》云∶委中主之。海藏∶羌活加生
地黄、小柴胡加桂汤。）足少阳之疟，令人身体解 ，寒不甚，热不甚，恶见人，见人心惕惕然，热多汗出
甚，刺足少阳。（侠 穴。海小柴胡汤。）足阳明之疟，令人先寒，洒淅洒淅，寒甚久乃热，热去汗出，喜
见日月光火气乃快然，刺足阳明跗上。（冲阳穴。）足太阴之疟，令人不乐，好太息，不嗜食，多寒热汗出，
病至则善呕，呕已乃衰，即取之。（待病衰即取之井俞及公孙。海小建中汤、异功散。）足少阴之疟，令人呕
吐，甚多寒热，热多寒少，欲闭户牖而处，其病难已。（海小柴胡加半夏汤。阳明病见少阴中是贼邪，故难已。）
足厥阴之疟，令人腰痛，少腹满，小便不利如癃状，非癃也，数便意恐惧，气不足，腹中悒悒，刺足厥阴。（
太冲穴。海四物加柴胡、苦楝、附子汤。）肺疟令人心寒，寒甚热，热间善惊，如有所见者，刺手太阴阳明。
（列缺、合谷。）心疟者，令人烦心，甚欲得清水，反寒多不甚热，刺手少阴。（神门。）肝疟者，令人
色苍苍然，太息，其状若死者，刺足厥阴见血。（中封。）脾疟者，令人寒，腹中痛，热则肠中鸣，鸣已汗出，
刺足太阴。（商丘。）肾疟者，令人洒洒然，腰脊痛宛转，大便难，目 然，手足寒，刺太阳少阴。
（大钟主之。）胃疟者，令人且病善饥而不能食，食而肢满腹大，刺足阳明太阴
横脉出血。（厉兑、解溪、三里主之。）疟寒热甚，寒热厥，取手阳明。疟寒少热多，取足少阳。疟而赤目
KTKT ，心痛，取手阳明少阳。疟腰背痛，不渴，取足太阳。（俱刺疟篇）
〔《甲》〕 疟，神庭及百会主之。疟振寒，热盛狂言，天枢主之。疟盛热，列缺主之。疟寒厥及热厥，烦
心善哕，心满而汗出，刺少商出血，立已。热疟口干，商阳主之。疟寒甚欲呕沫，阳溪主之。风疟汗不出，偏
历主之。疟多寒少热，大钟主之。疟咳逆心闷不得卧，呕甚，热多寒少，欲闭户而处，寒厥足热，太溪主之。
疟螈 惊，股膝重， 转筋，头眩痛，解溪主之。疟日西发，临泣主之。疟多汗，腰痛不能俯仰，目如脱，项
如拔，昆仑主之。疟不渴，间日作，昆仑主之。
人参（五钱） 黄芩 黄连 白术（各三钱） 芍药（半两） 茯苓（三钱） 黄芩（三分）
制成五帖，用水煎煮后服用。
卢先生的疟疾在劳累后复发，脉象大而洪且浮，这是血液受损的表现，应当进行补益治疗。
人参（半钱） 白术（一钱） 黄芩（四钱） 甘草（四钱） 白芍（一钱） 黄连（三钱） 生地黄 茯苓 当归尾（各五分）
制成一帖热饮，同时在大椎穴艾灸五壮。
一位五十多岁的妇女，体质结实，喜欢劳作，性格急躁，口味浓重，喜欢吃热食。夏季却出现怕冷发热，交替发作没有休止，即使穿着厚衣盖着厚被，仍然感到寒冷战栗，两手脉象都涩滞。我将其作为杂合邪气来治疗，于是使用四物汤（补血调血方剂）加陈皮，以人参、白术为君药，生甘草、黄柏为佐药，加入大量姜汁，吞服通神丸三十丸，回金丸二十丸，抑青丸二十丸，阿魏丸十丸。煎服三帖后能够入睡，第五帖后身体调和，第七帖全身微微出汗，所有症状都消失了。
〔《局方》〕人参养胃汤
草果 茯苓 人参（去芦头。各半两） 甘草（蜜炙，七钱） 橘红（七钱半） 厚朴（去皮，姜制） 苍术（汤洗，炒） 半夏（汤洗。各一两） 藿香叶（洗去泥土）
以上药材切碎，每次服用四钱，加水一盏半，生姜七片，乌梅一个，煎至七分，去渣滓热服。（如果脉象虚弱无力或寒多者，加干姜、附子。如果脉象洪大有力热多者，加黄芩、黄连、柴胡。）
上面的厚朴、苍术、藿香具有发散作用，半夏、草果、茯苓、橘红具有劫痰作用。人参的使用，最适合虚人。
〔丹溪〕绝疟青蒿丸
青蒿 冬瓜皮 官桂 马鞭草（各二两）
以上药材焙干研为末，用糊制作成丸，如胡椒大小。每一两分四次服用，在戌时前一小时服完。
治疗疟疾的方子。百草霜、黄丹等分，细研，每次服用二钱匕，在发病当天空腹用水调服，如果不愈，连续服用两次，即可痊愈。
治疗疟疾用大蒜，不拘多少，研至极烂，加入少许黄丹聚集到一定程度，制成如鸡头大小的丸，待干燥。每次服用一丸，新汲水下送，面向东方服用效果极佳。
〔李东垣〕治疗疟疾。
大蒜（一颗，分开成片）
取一片，内放入巴豆肉一粒，用轻纸包裹煨熟，去掉巴豆，研入黄丹制成丸，如鸡头大小。每次服用一丸。先出现寒战时，用向东生长的桃枝七寸，煎汤，在发病日五更天面向北方服用。如果出现发热，用冷水送下。未完全好，下次发作又可进服一次，可除根。
上面的黄丹劫痰属于轻剂。
〔《易简》〕七宝汤
常山 陈皮 青皮 槟榔 草果 甘草（蜜炙） 厚朴（等分）
以上药材切碎，每次服用半两，水酒各一盏，煎至六分，在发病日清晨服用。此方含有常山，必须吐出来才能痊愈。或者当天剧烈反应，俗称为“斗药”。体虚怯弱及脾胃寒者不宜服用。
上面这个劫痰方属于重剂，虚人慎用，或在补益后使用。
〔《局方》〕克效饮子
龙脑 麝香 定粉（各研碎，半两） 荷叶（焙干） 绿豆末 甘草（蜜炙。各五两） 朱砂（二两，研丸）
信石（醋炙，二钱半） 金箔（二十五片，作为包衣）
以上研为末，炼蜜调和，每两做成二十丸，用无名异作为包衣。每次服用一二丸，温水磨化。连日发作的，在未发作前服用。间日发作的，在不发作的夜晚服用。隔数日发作的，在前一日夜晚服用。
〔河间〕辟邪丹 治疗岚瘴鬼疟，以及日发、频发。
绿豆 雄黑豆（各四十九粒） 信石（半钱，另研） 黄丹（一钱） 朱砂（二钱）
以上研为末，同入乳钵内，滴水制作成丸。分作三十粒，每次服用一粒，用东南方向的桃心取七枚，研汁，井花水早晨太阳欲出未出时，面向太阳吞服。
上面的信石砒霜劫痰，是极其峻猛的药剂，虚人切忌使用。
运气学说认为，疟疾有两种：
一是火热。经文说：岁火太过，炎暑流行，金肺受邪，百姓患疟疾少气。又说：火太过叫做赫羲，其病表现为笑疟狂妄。又说：火郁之发，百姓患温疟。又说：少阳司天，火淫所胜，百姓患发热恶寒而疟。又说：少阳之复，发而为疟。又说：少阳司天之政，百姓患寒热疟。治疗用寒凉药剂。
二是寒湿。经文说：阳明司天，为四之气，病疟，这是寒的征候。
〔河间〕断疟如圣散
砒霜（一钱） 蜘蛛（大的，三个） 雄黑豆（四十九粒）
以上研为末，滴水制作成丸，如鸡头大小。如果明天发作，在今晚夜里北斗星下先献祭过，次日早晨用纸包裹，塞入耳内一丸，立即痊愈如神。一粒可救两人。
〔《素问》〕黄帝说：经文说有余者泻之，不足者补之，现在热为有余，寒为不足。但是疟疾患者的寒，用汤火不能温暖；等到热的时候，冰水不能使其寒冷。这都属于有余不足之类，在这个时候，高明的医生也不能止住病情，必须等待其自行衰退才能针刺，这是什么原因呢？希望听听其中的道理。岐伯说：经文说不要刺盛热的病，不要刺混乱无端的脉，（王冰注曰：浑浑指脉象无端绪。）不要刺淋漓不止的汗，因为此时病气逆乱，不可治疗。疟疾刚开始发作时，阳气并入阴分，这个时候，阳虚而阴盛，体表无气，所以先出现寒战。阴气逆乱到极点，则复出归于阳，阳与阴再次并并于外，则阴虚而阳实，所以先热而口渴。疟气，并入阳则阳胜，并入阴则阴胜，阴胜则寒，阳胜则热。疟疾的风寒之气不固定，病极则反复，病发作时，如火之热，如风雨不可抵挡。所以经文说：当其旺盛时必致毁坏，因其衰退时，事情必定大昌，说的就是这个道理。疟疾未发作时，阴未并阳，阳未并阴，因而调理它，真气得以安宁，邪气乃亡，所以医生不能治疗已发的病，因为此时气机逆乱。黄帝说：好，如何攻治？早晚如何？岐伯说：疟疾将要发作时，阴阳之气将要移动，必然从四肢末端开始。阳已伤，阴随之，所以在发作前坚固束缚患处，令邪气不得入，阴气不得出，仔细观察发现，在孙络盛坚且有血者，都取之，这是邪气前往而未得并合的时候。（《疟论》）凡是治疗疟疾，先发，大约一顿饭的时间才可以治疗，过了就失去时机了。疟疾发作身体正热，刺足背动脉，开其孔窍，放出血液，立竿见影地退热。疟疾正要发冷，刺手阳明太阴经，足阳明太阴经。（也说出血应当随井穴俞穴而刺之。）疟疾病脉满大急，急刺背部俞穴，用中针傍五输穴各一，根据肥瘦放出血液。（王冰注云：背俞指大杼。五输，指噫嘻穴。 ，音去鱼反。）疟疾病脉小实，急灸胫部少阴经，刺手指井穴。（胫少阴，指复溜穴，指井指至阴穴也）疟疾病脉缓大虚，适宜用药，不宜用针。各种疟疾而脉象不见，刺十指间出血，血去必愈，先看身上有赤色如小豆者，全部取之。刺疟疾患者，必须先问其病最先发作的部位，先刺那里。先头痛且重的，先刺头上及两额、两眉间出血。（王冰注云：头上指上星、百会，两额指悬颅，两眉间指攒竹等穴。）先项背痛者，先刺那里。先腰脊痛者，先刺 中出血。先手臂痛者，先刺手少阴阳明经十指间。先足胫酸痛者，先刺足阳明经十指间出血。风疟，疟疾发作则汗出恶风，刺三阳经背俞之血者。酸痛严重，按之不可，名叫髓病，用 针针刺绝骨，出血立即痊愈。身体小痛，刺至阴穴，诸阴之井穴，不出血，间日一刺。疟疾不渴，间日发作，刺足太阳经。口渴而间日发作，刺足少阳经。（《灵枢》经文说：疟疾不渴，间日发作，刺足阳明经。口渴日发作，刺手阳明经。）温疟汗不出，行五十九刺。足太阳之疟，令人腰痛头重，寒从背起，先寒后热， 然，热止汗出难已，刺 中出血。（金门穴《黄帝中诰图经》云：委主之。海藏：羌活加生地黄、小柴胡加桂汤。）足少阳之疟，令人身体解 ，寒不甚，热不甚，恶见人，见人心惕惕然，热多汗出甚，刺足少阳。（侠 穴。海小柴胡汤。）足阳明之疟，令人先寒，洒淅洒淅，寒甚久乃热，热去汗出，喜见日月光火气乃快然，刺足阳明跗上。（冲阳穴。）足太阴之疟，令人不乐，好太息，不嗜食，多寒热汗出，病至则善呕，呕已乃衰，即取之。（待病衰即取之井俞及公孙。海小建中汤、异功散。）足少阴之疟，令人呕吐，甚多寒热，热多寒少，欲闭户牖而处，其病难已。（海小柴胡加半夏汤。阳明病见少阴中是贼邪，故难已。）足厥阴之疟，令人腰痛，少腹满，小便不利如癃状，非癃也，数便意恐惧，气不足，腹中悒悒，刺足厥阴。（太冲穴。海四物加柴胡、苦楝、附子汤。）肺疟令人心寒，寒甚热，热间善惊，如有所见者，刺手太阴阳明经。（列缺、合谷。）心疟者，令人烦心，甚欲得清水，反寒多不甚热，刺手少阴经。（神门。）肝疟者，令人色苍苍然，太息，其状若死者，刺足厥阴经见血。（中封。）脾疟者，令人寒，腹中痛，热则肠中鸣，鸣已汗出，刺足太阴经。（商丘。）肾疟者，令人洒洒然，腰脊痛宛转，大便难，目 然，手足寒，刺太阳少阴经。（大钟主之。）胃疟者，令人且病善饥而不能食，食而肢满腹大，刺足阳明太阴经横脉出血。（厉兑、解溪、三里主之。）疟疾寒热甚，寒热厥，取手阳明经。疟疾寒少热多，取足少阳经。疟疾而赤目KTKT ，心痛，取手阳明少阳经。疟疾腰背痛，不渴，取足太阳经。（俱刺疟篇）
〔《甲乙经》〕 疟疾，神庭及百会穴主治。疟疾振寒，热盛狂言，天枢穴主治。疟疾盛热，列缺穴主治。疟疾寒厥及热厥，烦心善哕，心满而汗出，刺少商穴出血，立即痊愈。热疟口干，商阳穴主治。疟疾寒甚欲呕沫，阳溪穴主治。风疟汗不出，偏历穴主治。疟疾多寒少热，大钟穴主治。疟疾咳逆心闷不得卧，呕甚，热多寒少，欲闭户而处，寒厥足热，太溪穴主治。疟疾抽搐惊，股膝重， 转筋，头眩痛，解溪穴主治。疟疾日西发，临泣穴主治。疟疾多汗，腰痛不能俯仰，目如脱，项如拔，昆仑穴主治。疟疾不渴，间日发作，昆仑穴主治。
Ren Shen (Ginseng Radix et Rhizoma, five qian), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma, three qian each), Shao Yao (Paeoniae Radix, half liang), Fu Ling (Poria, three qian), Huang Qin (Scutellariae Radix, three fen).
Make into five doses, decoct in water and take orally.
Brother Lu's malaria relapsed after overexertion; his pulse was large, surging, and floating. This indicates blood injury; tonification is indicated.
Ren Shen (Ginseng Radix et Rhizoma, half qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, one qian), Huang Qin (Scutellariae Radix, four qian), Gan Cao (Licorice Root, four qian), Bai Shao (White Peony Root, one qian), Huang Lian (Coptidis Rhizoma, three qian), Sheng Di Huang (Rehmanniae Radix), Fu Ling (Poria), Gui Wei (Angelicae Sinensis Radix Tail, five fen each).
Make into one dose, drink hot. Also moxa the Dazhui (GV14) acupoint with five moxa cones.
A woman in her fifties had a solid constitution, liked labor, was impatient, favored strong flavors, and liked hot food. In summer, she suffered from aversion to cold and fever alternating ceaselessly. Even with thick clothes and quilts, she shivered constantly. Both pulses were choppy. I treated it as a mixed pathogenic factor syndrome. Thus, I used Si Wu Tang (Four Substances Decoction) plus Chen Pi (Citri Reticulatae Pericarpium), with Ren Shen (Ginseng Radix et Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) as sovereign drugs, Sheng Gan Cao (Raw Licorice Root) and Huang Bo (Phellodendri Cortex) as assistant drugs, added plenty of Jiang Zhi (Ginger Juice), and swallowed Tong Shen Wan (Thirty pills), Hui Jin Wan (Twenty pills), Yi Qing Wan (Twenty pills), and A Wei Wan (Ten pills). After taking three decocted doses, she slept. On the fifth dose, her body harmonized. On the seventh dose, she sweated slightly all over, and all symptoms disappeared.
[Ju Fang] Ren Shen Yang Wei Tang (Ginseng Stomach-Nourishing Decoction)
Cao Guo (Tsaoko Fructus), Fu Ling (Poria), Ren Shen (Ginseng Radix et Rhizoma, de-gorged. Half liang each), Gan Cao (Honey-fried, seven qian), Ju Hong (Citri Reticulatae Pericarpium, seven qian and half), Hou Po (Magnoliae Officinalis Cortex, de-barked, ginger-processed), Cang Zhu (Atractylodis Rhizoma, washed in decoction, fried), Ban Xia (Pinelliae Tuber, washed in decoction. One liang each), Huo Xiang Ye (Agastaches Herba, washed to remove dirt).
The above are chopped. Take four qian per dose, add one and a half lamps of water, seven slices of ginger, one dark plum. Decoct until七分 remains, strain, and take hot. (If the pulse is weak and powerless or there is much cold, add Gan Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata). If the pulse is surging and forceful with much heat, add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), and Chai Hu (Bupleuri Radix).)
The Hou Po (Magnoliae Officinalis Cortex), Cang Zhu (Atractylodis Rhizoma), and Huo Xiang Ye (Agastaches Herba) disperse. The Ban Xia (Pinelliae Tuber), Cao Guo (Tsaoko Fructus), Fu Ling (Poria), and Ju Hong (Citri Reticulatae Pericarpium) seize phlegm. Ren Shen (Ginseng Radix et Rhizoma) is most suitable for deficient persons.
[Dan Xi] Jue Mie Qing Hao Wan (Artemisia Annua Pill for Curing Malaria)
Qing Hao (Artemisiae Annuae Herba), Dong Gua Pi (Benincasae Exocarpium), Guan Gui (Cinnamomi Ramulus), Ma Bian Cao (Verbenae Herba. Two liang each).
The above herbs are baked dry, ground into powder, and made into pills with paste, the size of black pepper. Divide one liang into four doses. Take all at once one hour before Xu time.
Formula for treating malaria. Bai Cao Shuang (Soot from Hundred Herbs), Huang Dan (Lead Monoxide) in equal parts. Fine grind. Take two qian bi per dose on the day of onset with empty stomach, mixed with water. If not cured, take two consecutive doses, then it heals.
Use garlic for treating malaria, any amount. Grind extremely smooth. Add a little Huang Dan (Lead Monoxide) to gather. Make into pills the size of a chicken head. Wait until dry. Take one pill per dose with fresh well water. Face east when taking for best effect.
[Yuan] Treating Malaria.
Da Suan (Garlic Bulb, one clove, sliced).
Take one slice, insert one piece of Ba Dou (Crotonis Semen) inside. Wrap lightly in paper and bake until cooked. Remove Ba Dou (Crotonis Semen). Grind with Huang Dan (Lead Monoxide) to make pills the size of a chicken head. Take one pill per dose. If chills occur first, use seven cun of peach branch facing east, decoct in water. On the day of onset, take at Wugeng (3-5 AM) facing north. If fever occurs, swallow with cold water. If not fully healed, take another dose at the next onset to eradicate the root.
The above Huang Dan (Lead Monoxide) seizing phlegm method is a mild agent.
[Yi Jian] Qi Bao Tang (Seven Treasures Decoction)
Chang Shan (Dichroae Radix), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Bing Lang (Arecae Semen), Cao Guo (Tsaoko Fructus), Gan Cao (Honey-fried), Hou Po (Magnoliae Officinalis Cortex. Equal parts).
The above are chopped. Take half liang per dose, one lamp of water and one lamp of wine. Decoct until six parts remain. Take on the morning of the day of onset. This formula contains Chang Shan (Dichroae Radix); vomiting must occur for cure. Or severe reaction occurs that day, commonly called "fighting medicine." Not suitable for weak persons or those with spleen-stomach cold.
The above seizing phlegm method is a heavy agent. Use cautiously in deficient persons, or after tonification.
[Ju Fang] Ke Xiao Yin Zi (Effectiveness-Overcoming Drink)
Long Nao (Borneolum Syntheticum), She Xiang (Moschi Feratum), Ding Fen (Basic Lead Carbonate). Grind each separately (half liang each). He Ye (Lotus Leaf, baked), Lv Dou Mo (Mung Bean Powder), Gan Cao (Honey-fried. Five liang each). Zhu Sha (Cinnabaris, two liang, grind into pills). Xin Shi (Arsenolite, vinegar-fried, two qian and half). Jin Bo (Gold Leaf, twenty-five pieces, as coating).
Grind all into powder. Knead with refined honey. Make twenty pills per liang. Coat with Wu Ming Yi (Haematitum). Take one or two pills per dose, grind with warm water. For daily onset, take before onset. For alternate-day onset, take on the night of non-onset. For multi-day interval onset, take on the night before.
[He Jing] Bi Xie Dan (Evil-Repelling Pill) Treating Lan Zhang Ghost Malaria, and daily/frequent onset.
Lv Dou (Mung Bean), Xiong Hei Dou (Male Black Soybean). Forty-nine grains each. Xin Shi (Arsenolite, half qian, grind separately). Huang Dan (Lead Monoxide, one qian). Zhu Sha (Cinnabaris, two qian).
Grind all into powder. Put in mortar together. Add drops of water to make pills. Divide into thirty pills. Take one pill per dose. Take seven heart-shaped pieces of peach wood from southeast direction, grind for juice. Mix with Jing Hua Shui (Well Water). Swallow facing the sun when it is about to rise but not yet risen in the morning.
The above Xin Shi (Arsenolite) and Pi (Arsenic) seizing phlegm is an extremely harsh agent. Deficient persons must absolutely avoid it.
Yun Qi (Luck/Climate) theory states there are two types of malaria:
One is Fire-Heat. The Classic says: When Year Fire is excessive, hot summers prevail, Metal-Lung receives evil, people suffer malaria with shortness of breath. It also says: Excessive Fire is called He Xi, its disease manifests as laughing malaria and madness. It also says: When Fire is depressed and erupts, people suffer warm malaria. It also says: When Shaoyang governs the sky, Fire excess wins, people suffer fever, aversion to cold, and malaria. It also says: Shaoyang recurrence leads to malaria. It also says: Shaoyang governance policy causes people to suffer cold-heat malaria. Treat with cold agents.
Two is Cold-Damp. The Classic says: When Yangming governs the sky, as the fourth qi, disease is malaria, this is the sign of cold.
[He Jing] Duan Mie Ru Sheng San (Stopping Malaria Like Sage Powder)
Pi (Arsenic, one qian). Zhi Zhu (Spider, large ones, three). Xiong Hei Dou (Male Black Soybean, forty-nine grains).
Grind all into powder. Add drops of water to make pills the size of a chicken head. If onset is tomorrow, offer sacrifice under Big Dipper tonight. Next morning wrap in paper, insert one pill into ear canal. Immediately heals like magic. One pill can save two people.
[Su Wen] Emperor said: The Classic says excess is drained, deficiency is tonified. Now heat is excess, cold is deficiency. But the cold of malaria patients cannot be warmed by soup or fire; when hot, ice and water cannot cool them. These belong to excess and deficiency categories. At this time, even skilled doctors cannot stop it; must wait for self-decline to needle. Why? Please explain. Qibo said: The Classic says do not needle intense heat, do not needle chaotic pulse, (Wang Bing notes: Chaotic means pulse without order.) do not needle dripping sweat, because the pathogen is rebellious, not treatable yet. When malaria starts, Yang Qi merges into Yin. At this time, Yang is deficient and Yin is abundant, exterior has no Qi, so chills occur first. When Yin Qi rebels to extreme, it returns to Yang. Yang and Yin merge again to exterior, so Yin is deficient and Yang is substantial, so fever and thirst occur first. Malaria Qi, merging into Yang makes Yang win, merging into Yin makes Yin win. Yin win brings cold, Yang win brings heat. Malaria wind-cold Qi is not constant; when disease peaks, it recurs. Disease onset is like fire heat, like wind and rain unstoppable. So Classic says: When peak, must destroy; when decline, matters prosper greatly. This is what it means. When malaria has not started, Yin has not merged into Yang, Yang has not merged into Yin. Regulate it then, True Qi rests, Evil Qi perishes. So doctors cannot treat already-onset disease, because Qi is rebellious. Emperor said: Good. How to attack? Early or late? Qibo said: When malaria is about to start, Yin and Yang Qi are about to shift, must start from four extremities. Yang injured, Yin follows. So bind firmly before onset to prevent Evil entering and Yin exiting. Observe carefully. Where Sun Luo (Collaterals) are full and hard with blood, take them. This is where Evil goes but hasn't merged yet. [Mall Theory] Generally treat malaria, start treatment about the time of one meal. If missed, lose timing. Malaria body just hot, needle dorsal artery, open aperture, bleed, heat stops immediately. Malaria just wanting cold, needle Hand Yangming Taiyin, Foot Yangming Taiyin. (Also say bleeding should follow Jing-Shu points.) Malaria pulse full-large-urgent, urgently needle Back-Shu points, use medium needle beside Five Shu points one each, adjust fat/thin to bleed. (Wang Bing notes: Back-Shu refers to Dazhu. Five Shu refers to Yixi. , sound quyu reverse.) Malaria pulse small-solid, urgently moxa Leg Shaoyin, needle Finger Jing. (Leg Shaoyin refers to Fuliou point, Finger Jing refers to Zhiyin point.) Malaria pulse slow-large-deficient, suitable to use medicine, not suitable to needle. All malaria where pulse not seen, needle ten fingers between bleed, blood gone must heal. First look at body red like small beans, take all. Needling malaria, first ask where disease started first, needle there first. First headache and heavy, first needle head top and two temples, two eyebrows between bleed. (Wang Bing notes: Head top refers to Shangxing, Baihui. Two temples refer to Xuanlu. Two eyebrows between refer to Cuanzhu etc.) First neck-back pain, first needle there. First waist-spine pain, first needle Zhong bleed. First arm-hand pain, first needle Hand Shaoyang Yangming ten fingers between. First leg-shank sour-pain, first needle Foot Yangming ten fingers between bleed. Wind Malaria, malaria onset sweating aversion to wind, needle Three Yang meridians Back-Shu blood. Sour-pain severe, press impossible, named Marrow Disease, use Zhen needle Jieguxia, bleed immediately heals. Body slight pain, needle Zhiyin, all Yin Jing points, no bleeding, alternate day one needle. Malaria not thirsty, alternate day onset, needle Foot Taiyang. Thirsty and alternate day onset, needle Foot Shaoyang. (Ling Shu Classic says: Malaria not thirsty, alternate day onset, needle Foot Yangming. Thirsty daily onset, needle Hand Yangming.) Warm Malaria no sweat, perform Fifty-Nine Needles. Foot Taiyang Malaria makes person waist pain head heavy, cold starts from back, first cold then heat, Ran, heat stops sweat out difficult to end, needle Zhong bleed. (Jinmen point Huangdi Zhonggao Tu Jing says: Weizhong governs it. Haizang: Qiang Huo plus Sheng Di Huang, Xiao Chai Hu Tang plus Gui Zhi Tang.) Foot Shaoyang Malaria makes person body loose, cold not severe, heat not severe, dislike seeing people, seeing people heart palpitations, heat more sweat out very much, needle Foot Shaoyang. (Xia point. Hai Xiao Chai Hu Tang.) Foot Yangming Malaria makes person first cold, Sa Xi Sa Xi, cold severe long then heat, heat gone sweat out, likes sun moon light fire air then comfortable, needle Foot Yangming dorsum. (Chongyang point.) Foot Taiyin Malaria makes person unhappy, likes deep sigh, not fond of eating, much cold-heat sweat out, disease arrives then good at vomiting, vomit then decline, then take it. (Wait disease decline then take Jing-Shu and Gongsun. Hai Xiao Jian Zhong Tang, Yi Gong San.) Foot Shaoyin Malaria makes person vomiting, much cold-heat, heat more cold less, wants close door window to stay, disease difficult to heal. (Hai Xiao Chai Hu Tang plus Ban Xia Tang. Yangming disease seeing Shaoyin middle is thief evil, thus difficult to heal.) Foot Jueyin Malaria makes person waist pain, lower abdomen full, urination difficult like strangury state, not strangury, frequent urge fear, Qi insufficient, abdomen depressed, needle Foot Jueyin. (Taichong point. Hai Si Wu plus Chai Hu, Ku Lian, Fu Zi Tang.) Lung Malaria makes person heart cold, cold severe heat, heat interval good at startling, like seeing things, needle Hand Taiyang Yangming. (Lieque, Hegu.) Heart Malaria makes person vexed heart, very want clear water, reverse cold more not very heat, needle Hand Shaoyin. (Shenmen.) Liver Malaria makes person color pale green, deep sigh, appearance like dead person, needle Foot Jueyin see blood. (Zhongfeng.) Spleen Malaria makes person cold, abdomen pain, heat then intestine鸣,鸣 then sweat out, needle Foot Taiyin. (Shangqiu.) Kidney Malaria makes person Sa Sa, waist-spine pain twisting, stool difficult, eyes blurred, hands feet cold, needle Taiyang Shaoyin. (Dazhang governs it.) Stomach Malaria makes person almost disease good hunger but cannot eat, eat then limb full abdomen big, needle Foot Yangming Taiyin horizontal vessel bleed. (Lidui, Jiexi, Sanli govern it.) Malaria cold-heat severe, cold-heat jue, take Hand Yangming. Malaria cold less heat more, take Foot Shaoyang. Malaria red eyes KTKT, heart pain, take Hand Yangming Shaoyang. Malaria waist-back pain, not thirsty, take Foot Taiyang. (All Needling Mall Chapter)
[Jia Yi Jing] Mai Malaria, Shenting and Baihui govern it. Malaria chills, heat盛 wild speech, Tianshu governs it. Malaria盛 heat, Lieque governs it. Malaria cold jue and heat jue, vexed heart good belching, heart full and sweat out, needle Shaoshang bleed, immediately heals. Heat Malaria mouth dry, Shangyang governs it. Malaria cold severe want vomit foam, Yangxi governs it. Wind Malaria no sweat, Pianli governs it. Malaria much cold less heat, Dazhong governs it. Malaria cough reverse heart stuffy cannot lie, vomit severe, heat more cold less, want close door to stay, cold jue foot heat, Taixi governs it. Malaria convulsion startling, thigh knee heavy, calf cramp, head dizzy pain, Jiexi governs it. Malaria west sun onset, Linqi governs it. Malaria much sweat, waist pain cannot bend straight, eyes like popping out, neck like pulling, Kunlun governs it. Malaria not thirsty, alternate day onset, Kunlun governs it.