论曰肺疟者,内经谓令人心寒,寒甚则热,热间善惊,如有所见,刺手太阴阳明是也,
盖心肺独居膈上,其气相通,故疟邪干肺。内动于心,则为寒热善惊之候也。
治肺疟心寒甚即发热,热即惊,如有所见。常山秫米汤方
常山(一两半) 秫米(一分) 甘草(炙锉半两)
上三味。粗捣筛,每服三钱匕,水一盏,煎至七分去滓,未发前温服,发时再服。
治肺疟心寒热善惊,如有所见。人参丸方
人参 鳖甲(醋炙去裙 ) 桃仁(去皮尖双仁炒研) 常山 甘草(炙锉) 肉苁蓉
(酒浸切焙) 升麻(各三分) 杏仁(去皮尖双仁炒研) 桂(去粗皮各半两) 丹砂(研)
阿魏(研各一分) 乌梅肉(炒) 龙齿(研各一两)
上一十三味。为细末,炼蜜丸如梧桐子大。每服十五丸,空心米饮下,未发时并两服。
治肺疟。及补心气,麦门冬汤方
麦门冬(去心一两半) 升麻 知母(锉焙) 甘草(炙锉) 鳖甲(醋炙去裙 ) 柴
胡(去苗) 前胡(去芦头) 桃仁(去皮尖双仁炒研) 枳壳(去瓤麸炒各一两) 栀子
(去皮) 芦根(锉) 乌梅肉(炒各半两) 人参(三分)
上一十三味。粗捣筛,每服三钱匕,水一盏半,入桃柳枝各五寸锉,生姜三片,煎至八
分去滓,入石膏末半钱匕,更煎沸,未发前一二服。
治肺疟心惊。常山丸方
常山(捣末) 桃仁(去皮尖双仁炒研) 铅丹(研各一两) 豉(炒一合)
上四味。为细末,炼蜜和捣千杵,丸如梧桐子大。每服十五丸,食前温酒下,未发时服
治肺疟。杏仁丸方
杏仁(四十枚汤浸去皮尖双仁炒黄) 常山(三分) 丹砂(别研半两) 甘草(生锉
一分)
上四味。为细末,炼蜜丸如绿豆大。每服十丸。未发前米饮下,日再服。
治肺疟心寒热善惊。丹砂丸方
丹砂(别研) 阿魏(醋化去沙石麸和作饼炙) 麝香(研各一分) 铅丹(研一两)
上四味。合研细末,取五月五日午时粽子尖三七枚,与药同研,于北斗下露一宿,丸如
梧桐子大,未发前热水下一丸,将一丸以绯帛裹,安耳内,男左女右。
治肺疟心神惊悸。二丹丸方
丹砂(别研) 铅丹(别研) 甘草(炙锉各半两) 当归(切焙) 常山(各三分)
上五味。为细末,炼蜜丸梧桐子大。每服三丸,食前温酒下,未发时再服,俟饥即以葱
豉粥与之。
治肺疟。乌梅丸方
乌梅肉(炒) 常山 鳖甲(去裙 醋炙) 人参 肉苁蓉(酒浸切焙) 知母(焙) 桃
仁(去皮尖双仁炒研各半两)
上七味。为细末,炼蜜丸梧桐子大。每服三十丸,温酒或米饮下,未发前三服。
治肺疟心虚。黄连汤方
黄连(去须一两半) 当归(切焙一两) 干姜(炮半两)
上三味,粗捣筛,每服三钱匕,水一盏,煎至七分去滓,临发时服。
论述说:肺疟这种病,《内经》中记载会让人心中感到寒冷,寒气极盛时则转为发热,热退间歇期容易受惊,仿佛看到了什么幻象,治疗时应针刺手太阴肺经和手阳明大肠经的穴位。这是因为心和肺单独居于膈肌之上,二者的气机相互贯通,所以疟邪侵犯肺部,在内扰动心神,就出现了寒热交替、易受惊吓的症状。
治疗肺疟心中极度寒冷,随即发热,发热后即受惊,如见幻象的方剂:常山秫米汤方
常山(一两半) 秫米(一分) 甘草(炙后锉碎,半两)
以上三味药。粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣滓,在发作前温服,发作时再服一次。
治疗肺疟心中寒热交替、易受惊、如见幻象的方剂:人参丸方
人参 鳖甲(醋炙后去除裙边) 桃仁(去皮尖,双仁者炒研) 常山 甘草(炙后锉碎) 肉苁蓉(酒浸后切细焙干) 升麻(各三分) 杏仁(去皮尖,双仁者炒研) 桂枝(去除粗皮,各半两) 丹砂(研细) 阿魏(研细,各一分) 乌梅肉(炒) 龙齿(研细,各一两)
以上十三味药。研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用十五丸,空腹时用米汤送服,在发作前连服两次。
治疗肺疟,并补益心气的方剂:麦门冬汤方
麦门冬(去心,一两半) 升麻 知母(锉碎焙干) 甘草(炙后锉碎) 鳖甲(醋炙后去除裙边) 柴胡(去苗) 前胡(去芦头) 桃仁(去皮尖,双仁者炒研) 枳壳(去瓤麸炒,各一两) 栀子(去皮) 芦根(锉碎) 乌梅肉(炒,各半两) 人参(三分)
以上十三味药。粗捣筛过,每次服用三钱匕,用水一盏半,加入桃柳枝各五寸锉碎,生姜三片,煎煮至八分,去渣滓,加入石膏末半钱匕,再煎至沸腾,在发作前一两次服用。
治疗肺疟心惊的方剂:常山丸方
常山(捣成末) 桃仁(去皮尖,双仁者炒研) 铅丹(研细,各一两) 豆豉(炒,一合)
以上四味药。研为细末,用炼蜜调和,捣千余杵,制成梧桐子大小的丸剂。每次服用十五丸,食前用温酒送服,在发作时服用。
治疗肺疟的方剂:杏仁丸方
杏仁(四十枚,汤浸去皮尖,双仁者炒黄) 常山(三分) 丹砂(另研,半两) 甘草(生锉,一分)
以上四味药。研为细末,用炼蜜制成绿豆大小的丸剂。每次服用十丸。在发作前用米汤送服,每日服两次。
治疗肺疟心中寒热交替、易受惊的方剂:丹砂丸方
丹砂(另研) 阿魏(醋化去沙石,拌麸做成饼炙烤) 麝香(研细,各一分) 铅丹(研细,一两)
以上四味药。混合研为细末,取五月五日午时的粽子尖三七枚,与药同研,在北斗星下露置一夜,制成梧桐子大小的丸剂。在发作前用热水送服一丸,将另一丸用红布包裹,塞入耳内,男子塞左耳,女子塞右耳。
治疗肺疟心神惊恐悸动的方剂:二丹丸方
丹砂(另研) 铅丹(另研) 甘草(炙后锉碎,各半两) 当归(切细焙干) 常山(各三分)
以上五味药。研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用三丸,食前用温酒送服,在发作时再服一次,等到饥饿时给予葱豉粥食用。
治疗肺疟的方剂:乌梅丸方
乌梅肉(炒) 常山 鳖甲(去除裙边,醋炙) 人参 肉苁蓉(酒浸切细焙干) 知母(焙干) 桃仁(去皮尖,双仁者炒研,各半两)
以上七味药。研为细末,用炼蜜制成梧桐子大小的丸剂。每次服用三十丸,用温酒或米汤送服,在发作前三次服用。
治疗肺疟心虚的方剂:黄连汤方
黄连(去须,一两半) 当归(切细焙干,一两) 干姜(炮制,半两)
以上三味药。粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分,去渣滓,在即将发作时服用。
Commentary states: Regarding Fei Nue (Lung Malaria), the *Neijing* (Classic of Internal Medicine) records that it causes a sensation of coldness in the heart. When the cold is severe, it transforms into heat. During the intervals of fever, the patient is prone to fright and may experience visual hallucinations. Treatment involves needling points on the Hand-Taiyin Lung Meridian and the Hand-Yangming Large Intestine Meridian. This is because the Heart and Lungs reside alone above the diaphragm, and their Qi mechanisms are interconnected; thus, when malaria pathogens invade the lungs, they internally disturb the Heart spirit, resulting in symptoms of alternating cold and heat, and susceptibility to fright.
Formula for treating Fei Nue with severe coldness in the heart, followed by fever, and subsequent fright with hallucinations: Changshan Shumi Tang (Cordyceps and Millet Decoction)
Changshan (Dichroa Radix, 1 liang 5 qian) Shumi (Panicum miliaceum grain, 1 fen) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed, 0.5 liang)
The above three ingredients are coarsely pounded and sieved. Each dose consists of 3 qian bi, boiled in one zhan of water until reduced to seven-tenths. After removing the dregs, take warm before the onset of the attack, and again during the attack.
Formula for treating Fei Nue with heart cold/heat alternation, fright, and hallucinations: Renshen Wan (Ginseng Pill)
Renshen (Panacis Ginseng Radix) Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, skirt removed) Taoren (Persicae Semen, skin and tip removed, double-kernel fried and ground) Changshan (Dichroae Radix) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed) Roucongrong (Cynomorii Herba, wine-soaked, sliced, and dried) Shengma (Cimicifugae Rhizoma, each 3 fen) Xingren (Armeniacae Semen Amarum, skin and tip removed, double-kernel fried and ground) Gui (Cinnamomi Ramulus, bark removed, each 0.5 liang) Dansha (Cinnabar, ground) Awei (Ferulae Resina, ground, each 1 fen) Wumei Rou (Mume Fructus pulp, fried) Longchi (Draconis Os, ground, each 1 liang)
The above thirteen ingredients are powdered finely, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 15 pills per dose, swallowed with rice drink on an empty stomach. Take two doses before the onset of the attack.
Formula for treating Fei Nue and tonifying Heart Qi: Maimendong Tang (Ophiopogonis Decoction)
Maimendong (Ophiopogonis Radix, heart removed, 1 liang 5 qian) Shengma (Cimicifugae Rhizoma) Zhimu (Anemarrhenae Rhizoma, crushed and dried) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed) Biejia (Testudinis Carapax et Plastrum, vinegar-roasted, skirt removed) Chaihu (Bupleuri Radix, stems removed) Qianhu (Peucedani Radix, rhizome removed) Taoren (Persicae Semen, skin and tip removed, double-kernel fried and ground) Zhike (Aurantii Fructus Pericarpium, pith and bran removed, bran-fried, each 1 liang) Zhizi (Gardeniae Fructus, skin removed) Lugeng (Phragmitis Rhizoma, crushed) Wumei Rou (Mume Fructus pulp, fried, each 0.5 liang) Renshen (Panacis Ginseng Radix, 3 fen)
The above thirteen ingredients are coarsely pounded and sieved. Each dose consists of 3 qian bi, boiled in one and a half zhan of water with five-cun pieces of peach and willow branches (crushed) and three slices of fresh ginger. Boil until reduced to eight-tenths, remove dregs, add 0.5 qian bi of Shigao (Gypsum Fibrosum powder), boil until bubbling, and take one or two doses before the onset of the attack.
Formula for treating Fei Nue with heart palpitations/fright: Changshan Wan (Dichroea Pill)
Changshan (Dichroae Radix, pounded to powder) Taoren (Persicae Semen, skin and tip removed, double-kernel fried and ground) Qiandan (Lead Monoxide, ground, each 1 liang) Chi (Sojae Semen Praeparatum, fried, 1 he)
The above four ingredients are powdered finely, mixed with refined honey, pounded for a thousand strokes, and formed into pills the size of paulownia seeds. Take 15 pills per dose, swallowed with warm wine before meals. Take at the time of the attack.
Formula for treating Fei Nue: Xingren Wan (Apricot Seed Pill)
Xingren (Armeniacae Semen Amarum, forty kernels, soaked in water, skin and tip removed, double-kernel fried until yellow) Changshan (Dichroae Radix, 3 fen) Dansha (Cinnabar, separately ground, 0.5 liang) Gancao (Glycyrrhizae Radix et Rhizoma, raw and crushed, 1 fen)
The above four ingredients are powdered finely, mixed with refined honey, and formed into pills the size of mung beans. Take 10 pills per dose. Swallow with rice drink before the onset of the attack. Take twice daily.
Formula for treating Fei Nue with heart cold/heat alternation and fright: Dansha Wan (Cinnabar Pill)
Dansha (Cinnabar, separately ground) Awei (Ferulae Resina, dissolved in vinegar, sand and stones removed, mixed with bran, made into cakes and roasted) Shexiang (Moschus, ground, each 1 fen) Qiandan (Lead Monoxide, ground, 1 liang)
The above four ingredients are mixed and ground into fine powder. Take thirty-seven tips from zongzi (sticky rice dumplings) prepared at noon on the fifth day of the fifth lunar month, and grind them together with the medicine. Expose under the Big Dipper stars overnight. Form into pills the size of paulownia seeds. Take one pill with hot water before the onset of the attack. Wrap another pill in red silk and insert it into the ear: left ear for males, right ear for females.
Formula for treating Fei Nue with heart spirit fright and palpitations: Er Dan Wan (Two Lead/Cinnabar Pills)
Dansha (Cinnabar, separately ground) Qiandan (Lead Monoxide, separately ground) Gancao (Glycyrrhizae Radix et Rhizoma, roasted and crushed, each 0.5 liang) Danggui (Angelicae Sinensis Radix, sliced and dried) Changshan (Dichroae Radix, each 3 fen)
The above five ingredients are powdered finely, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 3 pills per dose, swallowed with warm wine before meals. Take again at the time of the attack. When hungry, provide Congchi Zhou (Scallion and Soybean Paste Porridge).
Formula for treating Fei Nue: Wumei Wan (Mume Pill)
Wumei Rou (Mume Fructus pulp, fried) Changshan (Dichroae Radix) Biejia (Testudinis Carapax et Plastrum, skirt removed, vinegar-roasted) Renshen (Panacis Ginseng Radix) Roucongrong (Cynomorii Herba, wine-soaked, sliced, and dried) Zhimu (Anemarrhenae Rhizoma, dried) Taoren (Persicae Semen, skin and tip removed, double-kernel fried and ground, each 0.5 liang)
The above seven ingredients are powdered finely, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 30 pills per dose, swallowed with warm wine or rice drink. Take three doses before the onset of the attack.
Formula for treating Fei Nue with Heart Deficiency: Huanglian Tang (Coptis Decoction)
Huanglian (Coptidis Rhizoma, whiskers removed, 1 liang 5 qian) Danggui (Angelicae Sinensis Radix, sliced and dried, 1 liang) Jiangjiang (Zingiberis Rhizoma Preparatum, processed, 0.5 liang)
The above three ingredients are coarsely pounded and sieved. Each dose consists of 3 qian bi, boiled in one zhan of water until reduced to seven-tenths. Remove dregs and take just before the onset of the attack.