主治方。
成死鳖(十二斤治如食法,《要略》作鳖甲三两) 半夏 人参 大戟(各八铢) 瞿
麦
阿胶 紫葳(一作紫菀) 牡丹皮 石苇 干姜 大黄 浓朴 桂心 海藻(《要略》作赤
硝)
葶苈 蜣螂(各十二铢) 蜂窝 桃仁 芍药(各一两) 乌羽(烧,一作乌扇) 黄芩(各
十
八铢) 虫 虻虫(各三十铢《要略》作鼠妇) 柴胡(一两半)
上二十四味为末,取 灶下灰一斗,清酒一斛五斗,以酒渍灰,取酒煮鳖甲尽烂泯泯如
漆,绞去滓,下诸药煎为丸,如梧子大,未食服七丸,日三。(仲景方无大戟海藻多赤硝。)
治疟而发渴者方。
柴胡(八两) 黄芩 人参 甘草 生姜(各三两) 大枣(十二枚) 栝蒌根(四两)
上七味 咀,以水一斗二升煮取六升,去滓,煎取三升,温服一升,日三。
多寒者牡疟也,治之方。
蜀漆 云母 龙骨(等分)
上三味治,下筛,先未发一炊顷,以酢浆服半钱,临发服一钱。温疟加蜀漆半分。云母
烧三昼夜。
牡疟者多寒治之方。
牡蛎 麻黄(各四两) 甘草(二两) 蜀漆(三两,无以恒山代之。
上四味先洗蜀漆三过去腥, 咀,以水八升煮蜀漆、麻黄得六升,去沫,乃纳余药煮
取三升,饮一升,即吐出,勿复饮之。
有瘅疟者,阴气孤绝,阳气独发而脉微,其候必少气烦满,手足热欲呕,但热而不寒。
邪气内藏于心,外舍于分肉之间,令人消烁脱肉也。
有温疟者,其脉平无寒时,病六七日,但见热也,其候骨节疼烦时呕,朝发暮解,暮发
朝解,名温疟。
主治疟母(疟疾日久形成的腹部肿块)的方剂。
成死鳖甲十二斤,按食用方法处理(《金匮要略》中记载为鳖甲三两),半夏,人参,大戟(各八铢),瞿麦,阿胶,紫葳(一作紫菀),牡丹皮,石苇,干姜,大黄,浓朴,桂心,海藻(《金匮要略》中记载为赤硝),葶苈,蜣螂(各十二铢),蜂窝,桃仁,芍药(各一两),乌羽(烧制,一作乌扇),黄芩(各十八铢),䗪虫,虻虫(各三十铢,《金匮要略》中记载为鼠妇),柴胡(一两半)。
以上二十四味药研成细末,取灶下灰一斗,清酒一斛五斗,用酒浸泡灶下灰,取滤出的酒液煮鳖甲直至完全烂熟如漆状,绞去药渣,加入其余药物煎煮制成丸药,大小如梧桐子大,饭前服用七丸,每日三次。(张仲景原方中没有大戟、海藻,而多用赤硝。)
治疗疟疾发作且伴有口渴症状的方剂。
柴胡(八两),黄芩,人参,甘草,生姜(各三两),大枣(十二枚),栝蒌根(四两)。
以上七味药切碎,用水一斗二升煮取六升药液,去渣,再煎取三升药液,每次温服一升,每日三次。
寒多热少的牡疟,治疗此病的方剂。
蜀漆,云母,龙骨(等分)。
以上三味药处理后过筛,在疟疾发作前一顿饭的时间,用醋浆送服半钱,临发作时服一钱。如果是温疟,加蜀漆半分。云母需烧制三个昼夜。
治疗以寒象为主的牡疟的方剂。
牡蛎,麻黄(各四两),甘草(二两),蜀漆(三两,若无可用恒山代替)。
以上四味药先洗蜀漆三次以去除腥味,切碎,用水八升煮蜀漆和麻黄至剩六升,去掉浮沫,然后放入其余药物煮取三升,饮用一升,服药后随即呕吐,不要再继续饮用。
有瘅疟这种病,是阴气孤绝,阳气独发导致脉象微弱,其症状必定是气短烦闷,手足发热想呕吐,只有发热而没有恶寒。邪气内藏于心,外留于肌肉之间,使人肌肉消瘦脱失。
有温疟这种病,其脉象平和无恶寒,患病六七天,只见发热,其症状是骨节疼痛烦扰,时常呕吐,早晨发病傍晚缓解,傍晚发病早晨缓解,称为温疟。
Formula for treating Moin (abdominal mass resulting from long-standing malaria).
Cheng Si Bie Jia (Dead softshell turtle shell, 12 jin, processed as per dietary methods; recorded as Bie Jia 3 liang in *Jin Gui Yao Lue*), Ban Xia (Pinelliae Rhizoma), Ren Shen (Ginseng Radix), Da Ji (Euphorbiae Pekinensis Radix) (each 8 zhu), Qu Mai (Dianthi Herba), E Jiao (Colla Corii Asini), Zi Wei (Caulis Flos Periplocae, alternatively Zi Wan), Mu Dan Pi (Moutan Cortex), Shi Wei (Pyrrosiae Folium), Gan Jiang (Zingiberis Rhizoma), Da Huang (Rhei Radix et Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Gui Xin (Cinnamomi Ramulus), Hai Zao (Sargassum), Ting Li (Lepidii Semen), Qiang Lang (Staphylinidae), Feng Wo (Vespa Nest), Tao Ren (Persicae Semen), Shao Yao (Paeoniae Radix Alba), Wu Yu (Phasianus Colchicus Feather, calcined, alternatively Wu Shan), Huang Qin (Scutellariae Radix) (each 18 zhu), Chan Chong (Ground Beetle, alternatively Shu Fu in *Jin Gui Yao Lue*), Meng Chong (Tabanidae), Chai Hu (Bupleuri Radix) (1.5 liang).
The above twenty-four ingredients are ground into powder. Take one dou of ash from the kitchen stove and one hu five dou of clear wine. Soak the ash in the wine, then use the filtered wine to boil the turtle shell until it is completely softened and resembles lacquer. Strain out the dregs, add the remaining herbs, decoct, and form pills the size of wu zi (seeds of the Chinese parasol tree). Take seven pills before meals, three times a day. (Note: Zhang Zhongjing's original formula does not include Da Ji or Hai Zao, but uses Chi Xiao Dou/Chi Xiao instead.)
Formula for treating malaria accompanied by thirst.
Chai Hu (Bupleuri Radix, 8 liang), Huang Qin (Scutellariae Radix), Ren Shen (Ginseng Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens) (each 3 liang), Da Zao (Jujubae Fructus, 12 pieces), Gua Lou Gen (Trichosanthis Radix) (4 liang).
The above seven ingredients are cut into small pieces. Decoct with one dou two sheng of water to obtain six sheng of liquid. Strain, then further decoct to obtain three sheng. Take one sheng warm, three times a day.
Formula for treating Du Malaria (malaria characterized by predominant chills).
Shu Qi (Perillae Folium precursor), Yun Mu (Muscovite), Long Gu (Fossilized Mammoth Bone) (equal parts).
Process the above three ingredients and sieve them. Take half qian with vinegar juice about the time it takes to cook one meal before the onset of the disease. Take one qian just before the onset. For Wen Malaria (warm malaria), add half fen of Shu Qi. Yun Mu should be calcined for three days and nights.
Formula for treating Du Malaria characterized by predominant cold.
Mu Li (Ostrea Concha), Ma Huang (Ephedrae Herba) (each 4 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 liang), Shu Qi (Perillae Folium precursor, 3 liang; if unavailable, Heng Shan can be used as a substitute).
The above four ingredients: First wash Shu Qi three times to remove the fishy smell, then cut into pieces. Decoct Shu Qi and Ma Huang in eight sheng of water until six sheng remain. Remove the foam, then add the remaining herbs and decoct to obtain three sheng. Drink one sheng; vomiting will occur immediately afterwards, so do not drink any more.
Dan Malaria is a condition where Yin qi is isolated and exhausted, while Yang qi flares up alone, resulting in a faint pulse. Its symptoms must include shortness of breath, irritability and fullness, heat in the hands and feet, and a desire to vomit. There is only heat without chills. The pathogenic factor hides internally within the Heart and externally resides between the muscle layers, causing emaciation and flesh wasting.
Wen Malaria is a condition where the pulse is normal and there is no chills. After six or seven days of illness, only heat is observed. Its symptoms include painful and vexed joints, frequent vomiting, resolution of morning onset by evening, and resolution of evening onset by morning. This is called Wen Malaria.