夫经谓足厥阴肝疟，在经则令人腰痛，小腹满，小便不利，如癃状，非癃也，数便，意
欲恐惧，气不足，腹中悒悒；在脏则令人色苍苍然太息，其状若死者，俱刺足厥阴。盖足厥
阴之脉，循阴器，邪气客之，则少腹满，小便不利也。肝为将军之官，谋虑出焉，故病则恐
惧不足也。苍苍者肝之色也，宜察其经络腑脏而治之，治已汗出，故谓足太阴疟，又名脾疟
。
治脾脏不和，泻痢疟疾腹痛，下部无力，体重足痿，脚下痛，饮食中满，
四肢不举等病。陆景渊方，曾以治疟，甚效。
橘皮（生用） 甘草（炙） 浓朴（去皮，姜汁制，以上各一两） 羌活 防风 肉豆
蔻茯
上 咀，每服四钱，水一盏半，生姜三片，煎至八分，去渣，食前服。
治脾疟。
人参 甘草（炙，各一分） 陈橘皮（汤浸，去白，又焙，半两） 乌梅（五枚，去核，
焙）
上锉为末，每服五钱，用湿纸裹煨热，用水二盏，生姜一片，枣一枚擘碎，煎至一盏
，未发前温服。
能截脾寒。
上于五月五日，用大蒜不以多少捣烂，次入矾红，拌匀为丸，如圆眼大，每服一丸，大
蒜汤嚼下。
醒脾治疟。
良姜（二两）
上为末，猪胆汁和丸，如梧桐子大，紫苏汤空心下二十丸。
夫肺疟者，《内经》谓令人心寒，寒甚则热。热间善惊，如有所见，刺夫心疟者，《内经》
谓令人烦心，甚欲得清水，反寒多不甚热，刺手少阴是也。盖心为神舍，邪不可干，邪气干
之，故烦心，其欲清水者，以心火内热故也。其反寒多不甚热者，内热而外寒故也，治宜通
心经、利邪热则愈。
经文说足厥阴肝疟，在经络受邪则使人腰痛，小腹胀满，小便不利，像癃闭（排尿困难）的样子，但并非真正的癃闭，而是尿频，心中常有恐惧感，气虚不足，腹中郁闷不舒；在脏腑受邪则使人面色青苍，经常叹气，神态好像死人一样，治疗都应针刺足厥阴经。大概足厥阴肝经的经脉，环绕生殖器，邪气客居其中，就会导致小腹胀满，小便不利。肝被称为将军之官，主谋虑，所以生病时会出现恐惧、气虚不足的症状。青色是肝的本色，应当观察其经络和脏腑的情况来治疗，治疗后汗出，所以称为足太阴疟，又名脾疟。
治疗脾脏不和引起的泻痢、疟疾腹痛、下部无力、身体沉重、足部痿软、脚底疼痛、饮食停滞导致脘腹胀满、四肢不能抬举等疾病。陆景渊的方子，曾经用来治疗疟疾，非常有效。
橘皮（生用） 甘草（炙烤） 浓朴（去皮，姜汁制，以上各一两） 羌活 防风 肉豆蔻
将药材切碎，每次服用四钱，加水一盏半，生姜三片，煎煮至八分满，去渣滓，饭前服用。
治疗脾疟。
人参 甘草（炙烤，各一分） 陈橘皮（汤浸泡，去白瓤，再焙干，半两） 乌梅（五枚，去核，焙干）
将药材锉成粗末，每次服用五钱，用湿纸包裹煨热，加水二盏，生姜一片，大枣一枚掰碎，煎煮至一盏，在发作前温服。
能够截断脾寒。
在五月五日，取大蒜不限多少捣烂，其次加入矾红，拌匀制成丸药，如桂圆大小，每次服用一丸，用大蒜汤送服并嚼碎。
醒脾治疗疟疾。
良姜（二两）
将药材研为细末，用猪胆汁和丸，如梧桐子大小，空腹时用紫苏汤送服二十丸。
至于肺疟，《内经》说使人心中寒冷，寒冷严重则发热。发热期间容易惊悸，好像看到了什么。刺治心疟者，《内经》说使人心中烦闷，很想喝冷水，反而怕冷多而发热不明显，这是针刺手少阴经的缘故。大概心是神志居住的地方，邪气不可侵犯，邪气侵犯它，所以心中烦闷，想要喝冷水，是因为心火内热所致。那种反而怕冷多而发热不明显的原因，是因为内热而外寒，治疗应当通利心经，清除邪热即可痊愈。
The classic texts state that Liver Marasmus (Zu Jue Yin Gan Nüe, malaria affecting the Foot Jueyin Liver Meridian) manifests in the meridians as lower back pain, fullness of the lower abdomen, and difficulty in urination, resembling Gong syndrome (Lóng, a condition characterized by difficult and painful urination), yet it is not true Gong; instead, there is frequent urination, a sense of fear, Qi deficiency, and a feeling of depression in the abdomen. When affecting the Zang organs, it causes the complexion to appear bluish-green with frequent sighing, and the patient’s appearance resembles that of a corpse; treatment involves needling the Foot Jueyin meridian. The Foot Jueyin Liver meridian circulates around the genitalia; when pathogenic factors lodge therein, it leads to lower abdominal fullness and urinary difficulty. The Liver is regarded as the "General," responsible for strategic planning; thus, disease results in fear and Qi insufficiency. Bluish-green is the color of the Liver. One should observe the meridians and Zang-Fu organs to guide treatment. After treatment induces sweating, it is referred to as Taiyin Marasmus, also known as Spleen Marasmus.
This formula treats disorders arising from Spleen dysfunction, including dysentery, marasmus with abdominal pain, weakness in the lower body, heavy sensation of the body, flaccidity of the feet, pain in the soles, food stagnation causing abdominal fullness, and inability to move the limbs. Lu Jingyuan’s prescription, previously used to treat marasmus, proved highly effective.
Chenpi (Tangerine Peel, raw) Gancao (Licorice Root, honey-fried) Houpo (Magnolia Bark, peeled and processed with ginger juice, each 1 liang) Qianghuo (Notopterygium Rhizome) Fangfeng (Saposhnikovia Root) Roudoukou (Nutmeg)
Crush the herbs into coarse pieces. Take 4 qian per dose, add 1.5 sheng of water and 3 slices of fresh ginger, decoct until reduced to 0.8 sheng, strain, and administer before meals.
For treating Spleen Marasmus.
Renshen (Ginseng Root) Gancao (Licorice Root, honey-fried, each 1 fen) Chenpi (Aged Tangerine Peel, soaked in water, white pith removed, then dried, 0.5 liang) Wumei (Mume Fruit, 5 pieces, pits removed, dried)
Grind the herbs into powder. Take 5 qian per dose. Wrap the powder in wet paper and warm it over coals. Add 2 sheng of water, 1 slice of fresh ginger, and 1 broken jujube. Decoct until reduced to 1 sheng. Take warm before the onset of fever.
To arrest Cold of the Spleen.
On the fifth day of the fifth lunar month, take an appropriate amount of garlic, crush it into a paste, mix with Fan Hong (Alum Red), and form pills the size of longan seeds. Take one pill per dose, chewing it down with garlic decoction.
To awaken the Spleen and treat Marasmus.
Liangjiang (Galangal Rhizome, 2 liang)
Grind into fine powder. Mix with pig bile to form pills the size of paulownia seeds. Take 20 pills on an empty stomach with Perilla decoction.
Regarding Lung Marasmus, the *Neijing* states it causes coldness in the heart; when the cold is severe, heat follows. During the febrile phase, the patient is prone to fright and hallucinations. For Heart Marasmus, the *Neijing* states it causes mental restlessness, a strong desire for cold water, excessive chills with little heat, and treatment involves needling the Hand Shaoyin meridian. The Heart is the residence of the Shen (Spirit); pathogenic factors cannot easily invade it. If invaded, mental restlessness occurs. The desire for cold water arises because of internal Heat of the Heart Fire. The presentation of excessive chills with minimal heat is due to internal Heat coupled with external Cold. Treatment should focus on unblocking the Heart meridian and draining pathogenic Heat to achieve recovery.