凡疟疾二三发之后。方可服矣。
常山（烧酒炒） 草果仁（煨） 半夏曲（姜汁炒） 制香附 青皮（炒各四两）
又神曲十二两共为末。米饮炼丸。如弹子大。辰砂为衣。如疟轻用一丸。疟重用两丸。
红枣
治疟邪与痰血固结而成疟母。僻处胁下。若不急治。必成大害也。
鳖甲（炙十二分） 乌扇（三分烧即射干） 黄芩（三分） 柴胡（六分） 鼠妇（三
分熬） 干
姜
丹
皮
分炙） 赤
硝（
以上二十三味共末。取热灶肚下灰土一斗。清酒一斛。取五升浸灰。
俟酒渗尽一半。着鳖甲于中。煮令泛烂。如胶漆状。绞取其汁。以药粉炼丸。如梧子大。
空
鼠妇赤硝二味。
金匮云。阳气独发。阴气孤绝。则热而少气烦冤。手足热而欲呕。名曰瘅疟脉平身无寒。
但
治
治牡疟寒多者。系邪客心下。其病重也。
蜀漆（即甜茶烧去腥） 云母（烧二日夜） 龙骨（各等分）
共杵末为散。未发以前。米饮调服五分。
治牡疟。
牡蛎 麻黄（各八分） 甘草（四分） 蜀漆（炒透六分）
水煎服。如吐勿更服也。吐则邪已去矣。
治疟病发渴。亦治劳疟。
柴胡（一钱六分） 人参 黄芩 甘草（各六分） 栝蒌根（八分）加姜二钱。大枣四
枚。
治疟发寒多热微。或但寒不热。服一剂如神。
柴胡（三钱） 桂枝（一钱二分） 干姜（八分） 栝蒌根（一钱五分） 黄芩（一钱
二分） 甘草（
水煎而服。服后汗微出愈。
痢脉 候痢疾之脉大主凶。浮洪疾数势难松。沉细多神毋害怕。紧牢代散莫能容。
沉细无力。痢势宜松。疾促弦散。脉反不从。阴脉为吉。阳脉多凶。初痢见涩
久痢沉濡。益气可宗。
疟脉候 疟家脉象定然弦。如兼滑大有痰涎。有力而弦防痉厥。弦而无力定绵延。弦如
端直非为吉。沉微带小必虚迁。新弦之状为真脏。吉少凶多病气偏。弦者痰热。弦缓风连。
弦迟寒胜。弦数热缠。弦而涩小。湿与风联。但弦不缓。难许安全。
血症 吐血 咳血 咯血 鼻衄 牙宣 舌血 大便血 小便血 血淋 血崩 发泉
经云。中焦受气。取汁变化而赤。是谓血。血之流溢。
半随于冲任而行于经络。半散于脉络而充之肌腠皮毛。又云。阳络伤则血外溢
为吐血咳血咯血鼻衄牙宣舌血等症
等症。皆由阴阳两络之病也。阳络之伤
络之伤也。必有七情随之。故内伤外感
血。剖诸兽腹。心下脊膂包络中多血。
血多者。医称为胃血。谬也。叶氏谓心
此二家之论。以叶氏为最耳。余谓五脏
脏腑皆有血也。古人以心生血。肝脏血
又曰血海。况冲脉隶属阳明。阳明为宗
腑而分有血无血乎。凡人为一小天地。气
之。肺欲成痈。气必凝之。血亦随之。不过
小而至于毛发之区。皆充积于中而发散于外
乃行也。即气行血亦行。气滞血亦滞之谓也
书云。天将大雨。山川出云。可悟气能生血。气能摄血之理焉。余必以古人之心生血。
肝脏
亦
血
以
减
六
系
之
学
凡是疟疾发作两三次之后，才可以服用此药。
常山（用烧酒炒制） 草果仁（煨制） 半夏曲（用姜汁炒制） 制香附 青皮（炒制，各四两）
再加神曲十二两，共同研为细末。用米汤炼蜜制成丸药，大小如弹子。用辰砂作为衣层。如果疟疾症状轻，服用一丸；如果疟疾症状重，服用两丸。
治疗疟邪与痰血固结而形成的疟母。病邪偏居胁下。如果不紧急治疗，必定造成大的危害。
鳖甲（炙制，十二分） 乌扇（即射干，三分，烧制） 黄芩（三分） 柴胡（六分） 鼠妇（三分，熬制） 干姜 牡丹皮（炙制） 赤硝（三分）
以上二十三味药共同研为细末。取热灶膛下的灰土一斗，清酒一斛，用五升酒浸泡灰土。
等到酒液渗透掉一半时，将鳖甲放入其中，煮至烂熟，像胶漆一样的状态。绞取其中的汁液，用药粉和入制成丸药，大小如梧桐子大。
（注：原文此处有缺漏，仅列出鼠妇、赤硝二味，结合上下文应为方剂组成部分或特殊处理说明，此处依原文直译）
《金匮要略》说：阳气单独发散，阴气孤立断绝，就会出现发热且气短烦闷，手足发热并想呕吐的症状，这叫做瘅疟。脉象平和，身体没有恶寒，但……（原文此处中断，推测为“但热不寒”之意，依原文保留“但”字后接下文语境，实际原文似有脱文，此处按现有文字翻译：但……治……）
治疗牡疟，寒多热的情况。这是邪气客居在心下部位，病情较重。
蜀漆（即甜茶，烧制以去除腥味） 云母（烧制两个夜晚） 龙骨（各等分）
共同捣碎研为细末，制成散剂。在疾病未发作之前，用米汤调服五分。
治疗牡疟。
牡蛎 麻黄（各八分） 甘草（四分） 蜀漆（炒透，六分）
用水煎服。如果出现呕吐，不要再次服用。因为呕吐则邪气已经排出。
治疗疟病发作时口渴的情况，也治疗劳疟。
柴胡（一钱六分） 人参 黄芩 甘草（各六分） 栝蒌根（八分），加生姜二钱，大枣四枚。
治疗疟疾发作时寒多热少，或者只有寒没有热的情况。服用一剂药效果神奇。
柴胡（三钱） 桂枝（一钱二分） 干姜（八分） 栝蒌根（一钱五分） 黄芩（一钱二分） 甘草（原文此处缺失剂量，依原文留白）
用水煎服。服药后微微出汗即可痊愈。
痢疾的脉象：患痢疾的脉象若大而主凶兆。浮、洪、疾、数，脉势难以舒缓。沉、细脉表示有神气，不必害怕。紧、牢、代、散脉则无法容纳（主死）。
沉细无力的脉象，痢疾之势应当缓解。疾促、弦、散脉，脉象反而不从（病机相反）。阴脉为吉，阳脉多凶。初患痢疾见涩脉，久患痢疾见沉濡脉。益气法可作为宗旨。
疟疾的脉象：患疟疾的人脉象必然呈弦脉。如果兼见滑大脉，是有痰涎。有力而弦的脉象，防备痉厥。弦而无力，定是病程绵延。弦脉如端直样并非吉利，沉微带小的脉象必定是虚损迁延。新出现的弦状脉象是真脏脉，吉利少凶险多，病气偏盛。弦脉代表痰热，弦缓代表风邪相连。弦迟代表寒胜，弦数代表热缠。弦而涩小，是湿与风联合。只有弦脉而没有缓象，难以允许安全。
血症：吐血 咳血 咯血 鼻衄 牙宣 舌血 大便出血 小便出血 血淋 血崩 发泉（注：发泉疑为笔误或特定术语，依原文保留）
经书说：中焦接受水谷之气，提取汁液变化而成红色，这就叫做血。血液的流溢，
一半随着冲任二脉在经络中运行，一半散布在脉络中充养肌肉腠理皮毛。又说：阳络受伤则血液外溢，
出现吐血、咳血、咯血、鼻衄、牙宣、舌血等症状。
这些症状，都是由阴阳两络病变引起的。阳络受伤，
阴络受伤，必然伴随七情内伤。所以内伤和外感都会导致出血。剖开兽类腹部，心下脊膂包络中血液较多。
血液多的，医生称为胃血，这是错误的。叶氏认为心脏……
这两家的论述，以叶氏的观点最为精当。我认为五脏
脏腑都有血。古人认为心生血，肝藏血，
又说是血海。况且冲脉隶属阳明，阳明为宗
腑，难道能区分有血和无血的脏腑吗？凡人是小天地，气
的作用。肺想要形成痈脓，气必然凝滞在那里，血也随之聚集。不过
从微小之处直到毛发区域，都充盈积聚于内部而发散于外部。
这就是气的运行。即气行则血行，气滞则血滞的意思。
书上说：天将要下大雨，山川会出云，可以领悟气能生血、气能摄血的道理。我必以古人的观点，认为心生血，
肝藏血……
（原文最后部分语句破碎，依原文片段翻译：亦……血……以……减……六……系……之……学……）
Whenever malaria has attacked two or three times, the medicine can then be taken.
Changshan (Stellerae Radix, stir-fried with rice wine) Caoguo Ren (Amomi Fructus, roasted in hot sand) Banxia Qu (Pinelliae Rhizoma Praeparatum, stir-fried with ginger juice) Zhi Xiangfu (Cyperi Rhizoma, processed) Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried, each four liang).
Add Shenqu (Massa Medicata Fermentata, twelve liang), grind all together into fine powder. Use rice water and honey to make pills, size like a bullet. Coat with Chen Sha (Cinnabar). For mild malaria, take one pill; for severe malaria, take two pills.
Treats "Malaria Mother" (chronic splenomegaly due to malaria) formed by the consolidation of malaria pathogens with phlegm and blood stasis. The pathogen resides eccentrically in the hypochondrium. If not treated urgently, it will surely cause great harm.
Biejia (Testudinis Carapax et Plastrum, roasted, twelve fen) Wushan (Belamcandae Rhizoma/Iris Tectorii Rhizoma, i.e., Shegan, three fen, burned) Huangqin (Scutellariae Radix, three fen) Chaihu (Bupleuri Radix, six fen) Shufu (Armadillidi Vulgaris, three fen, boiled) Ganjiang (Zingiberis Rhizoma) Danpi (Moutan Cortex, roasted) Chixiao (Natrii Sulfas Ruber, three fen).
The above twenty-three ingredients are ground into powder. Take ten dou of ash from the belly of a hot stove, and one hu of clear wine. Use five sheng of wine to soak the ash.
Wait until half of the wine has seeped away. Place Biejia in it, boil until it becomes soft and rotten, resembling glue or lacquer. Strain to obtain the juice. Mix with the medicinal powder to make pills, size like a wu zi (seed of Sophora japonica).
(Note: Original text lists only Shufu and Chixiao here, likely an excerpt error, translated as is.)
The *Jin Gui Yao Lue* states: When Yang qi emits alone and Yin qi is isolated and cut off, there will be fever with shortness of breath and vexation, heat in the hands and feet, and a desire to vomit. This is called Dan Malaria (Febrile Malaria). The pulse is calm, the body has no chills, but... [Text fragment] treat...
Treats Mu Malaria (Cold-predominant Malaria) where cold is more prominent than heat. This indicates the pathogen has lodged in the epigastrium ("heart below"), indicating a severe condition.
Shuqi (Pteridis Preparata, i.e., Tiancha, burned to remove fishy odor) Yunmu (Microlite, burned for two nights) Longgu (Fossilia Ossis Mastodi, equal parts).
Grind together into powder to make a san (powder). Before the onset of the disease, mix with rice water and take five fen.
Treats Mu Malaria.
Muli (Ostreae Concha) Mahuang (Ephedrae Herba, each eight fen) Gancao (Glycyrrhizae Radix et Rhizoma, four fen) Shuqi (Pteridis Preparata, stir-fried thoroughly, six fen).
Decoct in water and take. If vomiting occurs, do not take again. Vomiting expels the pathogen.
Treats malaria attacks accompanied by thirst, and also treats Lao Malaria (Consumptive Malaria).
Chaihu (Bupleuri Radix, one qian six fen) Renshen (Ginseng Radix) Huangqin (Scutellariae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, each six fen) Gualou Gen (Trichosanthis Radix, eight fen). Add Jiang (Zingiberis Rhizoma Recens, two qian) and Dazao (Ziziphi Jujubae Fructus, four pieces).
Treats malaria attacks where cold is much greater than heat, or only cold without heat. One dose yields miraculous results.
Chaihu (Bupleuri Radix, three qian) Guizhi (Cinnamomi Ramulus, one qian two fen) Ganjiang (Zingiberis Rhizoma, eight fen) Gualou Gen (Trichosanthis Radix, one qian five fen) Huangqin (Scutellariae Radix, one qian two fen) Gancao (Glycyrrhizae Radix et Rhizoma, dosage missing in original).
Decoct in water and take. Recovery occurs after slight sweating post-administration.
Dysentery Pulse Diagnosis: A large pulse in dysentery indicates a ominous prognosis. Floating, surging, rapid, and frequent pulses are difficult to relax. Deep and thin pulses indicate spirit presence, do not fear. Tight, firm, intermittent, and scattered pulses are intolerable (indicative of death).
Deep, thin, and forceless pulses suggest the dysentery should ease. Rapid, hurried, wiry, and scattered pulses contradict the pathology. Yin pulses are auspicious; Yang pulses are mostly ominous. In initial dysentery, a choppy pulse appears; in chronic dysentery, a deep and soggy pulse appears. Tonifying Qi is the principle to follow.
Malaria Pulse Diagnosis: The pulse of a malaria patient is invariably wiry. If accompanied by slippery and large, it indicates phlegm-fluid retention. Wiry and forceful warns of convulsions and fainting. Wiry and forceless indicates a lingering course. A wiry pulse that is straight and rigid is not auspicious; deep, minute, and small indicates deficiency and protraction. A newly appearing wiry pattern represents the True Visceral pulse; few auspicious signs, many ominous ones, indicating biased disease qi. Wiry indicates phlegm-heat; wiry and slow indicates wind connection. Wiry and slow-chilly indicates cold predominance; wiry and rapid indicates heat entanglement. Wiry, choppy, and small indicates dampness and wind linkage. Only wiry without slowness makes safety difficult to promise.
Blood Disorders: Hematemesis (Vomiting Blood) Coughing Blood Spitting Blood Epistaxis Gingival Bleeding Lingual Bleeding Hematochezia (Blood in Stool) Hematuria Blood Leukorrhea Metrorrhagia Faquan (Note: Term unclear, kept as is).
The Classics state: The Middle Jiao receives Qi, extracts juices, transforms them into red, which is called Blood. The overflow of blood,
half flows along the Chong and Ren meridians within the collaterals, half scatters into the vessels to nourish muscles, interstices, skin, and hair. It is also said: Injury to Yang collaterals causes blood to overflow externally,
manifesting as hematemesis, coughing blood, spitting blood, epistaxis, gingival bleeding, lingual bleeding, etc.
These symptoms are all caused by diseases of both Yin and Yang collaterals. Injury to Yang collaterals,
injury to Yin collaterals, must be accompanied by Seven Emotions. Thus, internal injury and external contraction both lead to bleeding. Dissecting animal abdomens, the area under the heart, along the spine and pericardium, contains much blood.
Those with abundant blood are called "Stomach Blood" by physicians, which is erroneous. Ye's school claims the Heart...
Of these two theories, Ye's is the most accurate. I hold that all Five Zang organs
and Six Fu organs possess blood. Ancients believed the Heart generates blood, the Liver stores blood,
also referred to as the Sea of Blood. Moreover, the Chong Mai belongs to the Yangming, and Yangming is the Grand
Fu organ. Can we distinguish between Fu organs with blood and those without? Humans are microcosms. Qi
acts upon it. If the Lung desires to form an abscess, Qi must stagnate there, and Blood follows. However,
from the smallest areas down to the hair follicles, everything is filled internally and dispersed externally.
This is the movement of Qi. That is, when Qi moves, Blood moves; when Qi stagnates, Blood stagnates.
Books say: When Heaven is about to rain heavily, mountains and rivers emit clouds. From this, one can comprehend the principles that Qi generates Blood and Qi controls Blood. I must adhere to the ancients' view that the Heart generates blood,
the Liver stores blood...
[Fragmented text follows: Also... Blood... To... Reduce... Six... System... Of... Study...]