病者发寒热一岁之间长幼相若或染时行变成寒热名曰疫疟寒热日作梦寐不祥多生恐怖名
曰鬼
疟宜用禁避厌禳之乍寒乍热乍有乍无南方多病此名曰瘴疟寒热善饥而不能食食已支满腹急
痛病以日作名曰胃疟六腑无疟唯胃有者盖饮食饥饱所伤胃气而成世谓之食疟饮食不节变成此
证有经年不瘥瘥后复发远行久立下至微劳力皆不任名曰劳疟亦有数年不瘥百药不断结为症癖
在腹胁名曰老疟亦名母疟
凡人患疟疾皆因伤暑治之之法当用暑药素问疟论有三阴三阳辩其证候各随经而刺之寒多
者用
温药热多者用凉药不易之法也有积者必腹疼当用巴豆药去其积有热者当用小柴胡汤有寒者当
用朱砂硫黄大蒜之类然疟疾住后不得服补药补之必再作
疗疟无久新发无期者驴尾下轴垢水洗取汁和面如弹丸二枚作烧饼疟未发前食一枚至发后
食一枚(庚志)
毛 甫事母叶夫人极孝叶年六十一岁病 旬余忧甚每夕祷于北辰拜且泣妹立母仄恍惚间
有告
者曰何不服五苓散持一帖付之启视皆红色妹曰寻常此药不如是安可服俄若梦觉以语兄两医云
此病盖蕴热所致当加朱砂于五苓散内以应神言才服罢 不复作
有宗室以恩添差通判常州郡守不甚加礼遂苦 疾久而弗愈族人士蘧为钤辖素善医往问正
聚话
作而颠撼掖不醒尽室骇惧蘧云无伤也是中心抑郁阴阳交战至于陨厥正四将军饮子证也先令
灼艾灸至四百壮了无苏意于是急制药以一大附炮去皮脐四分之诃子四个炮去核陈皮四个全者
洗净不去白甘草四两炙各自切碎为四服用水二盏姜枣各七煎去五之三药成持饮病者初一杯灌
之不纳至再稍若吞咽三则倏起坐四服尽顿愈更不复作一时救急如此凡病 临发日逐杯并服无
不神效(类编)
病人出现发冷发热，一年内无论长幼症状相似，或者感染时行邪气变成寒热交替，名叫疫疟。寒热每天发作，梦中梦见不吉利的事，经常产生恐怖感，名叫鬼疟。适宜用禁咒、避邪、厌胜、禳解的方法治疗。忽冷忽热，时有时无，南方多发的这种病，名叫瘴疟。容易感到饥饿但不能进食，吃完后腹部胀满，腹中急痛，疾病每天发作的，名叫胃疟。六腑中没有疟疾，只有胃有疟疾，大概是因为饮食饥饱不均损伤了胃气而形成的，世人称为食疟。饮食不节制导致这种证候，有的几年不愈，痊愈后又复发，远行或久立，甚至轻微的体力劳动都不能承受，名叫劳疟。也有几年不愈，各种药物不断服用，结块形成症癖在腹胁部位，名叫老疟，也名叫母疟。
大凡人患疟疾都是因为伤暑所致，治疗的方法应当使用治暑的药物。《素问·疟论》中有三阴三阳辨别其证候，各自随着经络进行针刺。寒多的用温药，热多的用凉药，这是不变的方法。如果有积滞的必然腹痛，应当用巴豆类药物去除积滞；有热的应当用小柴胡汤；有寒的应当用朱砂、硫黄、大蒜之类。然而疟疾停止发作后不得服用补药，如果进补必然再次发作。
治疗疟疾没有新旧之分，发作也没有定期。取驴尾下的轴垢，用水洗净取得汁液，和面粉做成如弹丸大小的两枚饼，烤成烧饼。疟疾未发作前吃一枚，发作后再吃一枚。（出自庚志）
毛甫侍奉母亲叶夫人非常孝顺。叶夫人六十一岁，患病十多天，毛甫非常担忧。每晚向北辰星祈祷，边拜边哭泣。妹妹站在母亲床侧，恍惚间有人告诉他说：“为什么不服五苓散？”递给他一帖药。打开看都是红色的。妹妹说：“平常这药不是这样的，怎么可以服用？”不久如梦初醒，把这事告诉哥哥。两位医生说：“这个病大概是蕴热所致，应当在五苓散内加入朱砂以应验神明的言语。”才服完药，病就不再发作了。
有一位宗室因恩荫添差担任常州通判，郡守对他不太礼貌，于是苦于疟疾长久不愈。族人人士蘧担任钤辖，一向擅长医术，前去探望。正聚在一起说话时，病人突然颠狂撼动，被人搀扶也不清醒，全家惊恐害怕。士蘧说：“不要紧，这是心中抑郁，阴阳交战至于昏厥，正是正四将军饮子的证候。”先让人灼艾艾灸，灸了四百壮，完全没有苏醒的意思。于是急忙制药，用一个大附子（炮制过，去皮脐），四分之一的诃子四个（炮制去核），陈皮四个（完整的，洗净不去白），甘草四两（炙过）。各自切碎分为四服。用水二盏，生姜七片，大枣七个，煎煮剩下三分之一的药液。药成后拿着给病人喝。起初一杯灌下去不吞咽，到第二杯稍微像吞咽的样子，第三杯则突然坐起，四服喝完顿时痊愈，更不再发作。一时救急如此。凡是疟病临发作时，每日每杯都服用，无不神效。（出自类编）
The patient experiences chills and fever; within a year, the symptoms are similar regardless of age. If contracted from epidemic pathogens leading to alternating chills and fever, it is called Yi Malaria (Epidemic Malaria). If chills and fever occur daily, accompanied by ominous dreams and frequent feelings of terror, it is called Ghost Malaria. It is appropriate to use exorcism, avoidance, suppression, and propitiation methods for treatment. When chills and fever appear intermittently and inconsistently, commonly seen in the South, it is called Zhang Malaria (Miasma Malaria). The patient feels hungry but cannot eat; after eating, there is abdominal distension and urgent pain. If the disease occurs daily, it is called Stomach Malaria. Among the six fu organs, only the stomach can have malaria, likely caused by damage to stomach qi due to irregular eating habits (overeating or hunger), known in the world as Food Malaria. Irregular diet leads to this syndrome. Some cases last for years without cure, relapsing after recovery. Long journeys, prolonged standing, or even slight physical exertion become intolerable; this is called Labor Malaria. Some cases persist for years despite continuous medication, forming masses (zheng ji) in the abdomen and hypochondrium; this is called Old Malaria or Mother Malaria.
*Shuowen Jiezi* states: "Malaria involves simultaneous chills and fever." Hot Malaria occurs every two days.
Generally, malaria is caused by summerheat injury. The treatment method should employ herbs for summerheat. *Suwen: Malaria Treatise* discusses three yin and three yang patterns to differentiate syndromes, prescribing acupuncture according to the affected meridians. For those with more chills, warm herbs are used; for those with more heat, cool herbs are used. This is an unchanging principle. If there is accumulation, abdominal pain must be present; Radix et Rhizoma Rhei (Dahuang) or Crotonis Fructus (Baiduou) preparations should be used to remove accumulation. If there is heat, Xiao Chaihu Tang (Minor Bupleurum Decoction) should be used. If there is cold, Cinnabar (Zhusha), Sulfur (Liuhuang), and Allium Sativum (Dasuan) should be used. However, after malaria subsides, tonifying medicines must not be taken; doing so will cause recurrence.
There is no distinction between new and old malaria, nor fixed timing for attacks. Take the grease from under the axle of a donkey's tail, wash it with water to obtain the juice, mix with flour to make two pills the size of a bullet, and bake them into flatbreads. Eat one pill before the malaria attack and one after the attack. (From *Geng Zhi*)
Mao Fu served his mother, Lady Ye, with extreme filial piety. At sixty-one years old, she had been ill for over ten days. Mao Fu was deeply worried, praying nightly to the North Star (Beichen), weeping while bowing. His sister stood by her bed. In a trance, a voice said, "Why not take Wuling San?" A packet of medicine was handed to him. Upon opening it, the contents were red. The sister said, "Normally this medicine is not like this; how can it be taken?" Soon he woke from the dream and told his brother. Two physicians said, "This illness is likely caused by accumulated heat; Cinnabar (Zhusha) should be added to Wuling San to fulfill the divine message." After taking the medicine once, the illness did not recur.
A member of the imperial clan, appointed as Vice Prefect of Changzhou through patronage, suffered from malaria for a long time without cure because the Prefect treated him with little courtesy. His clansman, Shi Qu, who held the title of Garrison Commander and was skilled in medicine, went to visit. While they were conversing, the patient suddenly became convulsive and frenzied, requiring support to remain upright, unconscious. The whole household was terrified. Shi Qu said, "Do not worry. This is depression causing a battle between yin and yang, leading to syncope. It matches the syndrome of Zheng Si Jiangjun Yinzi." First, moxibustion was applied, totaling four hundred moxa cones, but there was no sign of revival. Then, medicine was urgently prepared: one large processed Radix Aconiti Lateralis Preparata (Fuzi, peeled and navel removed), four processed Fructus Chebulae (Hegua, pitted), four pieces of Citri Reticulatae Pericarpium (Chenpi, whole, washed, white pith retained), and four liang of processed Radix Glycyrrhizae Preparata (Gancao). Each was chopped separately and divided into four doses. Using two cups of water, seven slices of ginger, and seven dates, decoct until one-third remains. After preparation, administer to the patient. Initially, one cup was forced down but not swallowed. By the second cup, swallowing seemed possible. By the third cup, the patient suddenly sat up. After finishing all four doses, he recovered instantly and never relapsed. Such emergency rescue was effective. Whenever malaria attacked, taking the medicine daily in cups yielded miraculous results. (From *Leibian*)