疟之为害,南人患之北人尤甚,弱者患之强者尤甚。虽不致遽伤大命,然不治则发无已时,治之不得其
道,则恶邪内伏,正气日虚,久而久之遂不可药。予所定三方甚为平易。无奇绝不入常山、草果等劫剂,且不必分
阳疟阴疟,一日、二日、三日及非时疟。人无老幼,病无久近,此三方不用加减,唯按次第服之,无不应手而愈也。
第一方
广陈皮(一钱) 陈半夏(姜汁煮透,一钱) 白茯苓(一钱) 威灵仙(一钱) 苍术(米泔水浸一日,
切,炒净,八分) 紫浓朴(姜汁拌炒,八分) 柴胡(八分) 青皮(六分) 槟榔(六分) 炙甘草(三分)
上咀片,如法炮制,加姜三片,井水、河水各一钟,煎
九分,饥时服,渣再煎服。如头痛加白芷一钱,此方平肠消痰,理气除湿,有疏导开先之功。受病轻者,二剂
即愈,勿再药可也。若三剂后病势虽减而不全愈,必用第二方,少则三剂,多则五剂而已。
第二方
何首乌(生用三钱) 广陈皮(八分) 柴胡(八分) 白茯苓(八分) 黄芩(八分) 白术(炒,一
钱) 当归(一钱) 威灵仙(一钱) 鳖甲(醋炙脆,研粉,二钱) 知母(二钱) 甘草(炙,三分)
上药加姜三片,井水、河水各一钟,煎八分,加无灰酒五分,再煎一滚,空心服。二煎、三煎并服。
此方妙在补泻互用,虚实得宜。不用人参、黄 。屏云常山、草果平平无奇却有神效,即极弱之人缠□□□病,
十剂后立有起色,立奏万全。所云加减一二即不灵应者,正此方也。
第三方
人参(一钱) 黄 (蜜炙,一钱二分) 当归(一钱二分) 白术(炒,一钱) 广陈皮(八分) 甘
草(炙,三分) 柴胡(八分) 升麻(四分,或加何首乌二钱) 知母(炒,一钱,或加青蒿子八分、麦芽一钱)
上药加姜一片,枣一枚,水二钟,煎八分,半饥时服,用三五剂元气充实,永不发矣。方虽有三,第二
实为主方,既不刻削亦不峻补,功独归之其第三方, 为有力者设贫家,安得有参,只多服第二方可也。
疟疾这种疾病的危害,南方人患病时北方人患之更重;体质虚弱者患病时,体质强壮者患之更重。虽然不至于立刻危及生命,但如果不予治疗,就会发作没有休止的时候;如果治疗不得法,那么恶邪就会内伏,正气日渐虚弱,久而久之就会导致无法用药救治的地步。我所制定的这三个方子非常平实简易。其中没有奇绝怪异的药物,也不使用常山、草果等具有劫夺性质的猛烈药剂,而且不必区分是阳疟还是阴疟,也不分是一日一发、二日一发、三日一发还是非定时发作的疟疾。无论患者是老还是幼,无论病程是长还是短,这三个方子都不需要加减变化,只需按照顺序服用,没有不随手而愈的。
第一方
广陈皮(一钱) 陈半夏(用姜汁煮透,一钱) 白茯苓(一钱) 威灵仙(一钱) 苍术(用米泔水浸泡一天,切片,炒干,八分) 紫浓朴(用姜汁拌炒,八分) 柴胡(八分) 青皮(六分) 槟榔(六分) 炙甘草(三分)
以上药材切碎成饮片,按规范炮制,加入生姜三片,井水和河水各一钟,煎煮至剩余九分药液,在饥饿时服用,药渣再次煎煮后服用。如果头痛,加白芷一钱。此方能平调肠胃、消除痰湿,梳理气机、祛除湿气,有疏导开先的功效。病情较轻的患者,服用两剂即可痊愈,不需要再服药。如果服用三剂后病势虽然减轻但没有完全痊愈,必须使用第二方,最少服用三剂,最多五剂即可。
第二方
何首乌(生用三钱) 广陈皮(八分) 柴胡(八分) 白茯苓(八分) 黄芩(八分) 白术(炒制,一钱) 当归(一钱) 威灵仙(一钱) 鳖甲(醋炙至脆,研成粉末,二钱) 知母(二钱) 甘草(炙制,三分)
以上药材加入生姜三片,井水和河水各一钟,煎煮至剩余八分药液,加入无灰酒五分,再煮沸一次,空腹服用。第二次和第三次煎煮的药液一并服用。
此方的妙处在于补益与泻实相互结合,虚实调理得当。不使用人参、黄芪。据说常山、草果虽然看似平平无奇,却有着神奇的效果,即使是极度虚弱的人缠绵于疟疾,服用十剂后立即会有起色,立奏全效。所谓加减一两味药就不灵验的情况,正是针对此方而言的。
第三方
人参(一钱) 黄芪(蜜炙,一钱二分) 当归(一钱二分) 白术(炒制,一钱) 广陈皮(八分) 甘草(炙制,三分) 柴胡(八分) 升麻(四分,或者加何首乌二钱) 知母(炒制,一钱,或者加青蒿子八分、麦芽一钱)
以上药材加入生姜一片,大枣一枚,水二钟,煎煮至剩余八分药液,在半饥饿时服用,使用三五剂后元气充实,疟疾就永不发作了。方子虽然有三个,但第二方实际上是主方,既不刻薄削伐也不峻猛进补,功效主要归于第三方。这是为有力量的富裕家庭设计的,贫苦人家哪里能有参茸?只多服用第二方就可以了。
The harm caused by malaria is such that northerners suffer more severely than southerners, and the strong suffer more severely than the weak. Although it does not immediately endanger life, if left untreated, attacks will occur without cessation; if treated improperly, pathogenic evil will become internally latent, and healthy qi (Zheng Qi, 正气) will gradually weaken, eventually leading to a state where medication becomes ineffective. The three formulas I have established are very simple and easy to use. They contain no bizarre or extreme drugs, nor do they employ drastic agents like Changshan (Cortex Dichroiae, 常山) or Caoguo (Fructus Tsaoko, 草果). It is unnecessary to distinguish between Yang malaria (Yang Nue, 阳疟) and Yin malaria (Yin Nue, 阴疟), nor whether the fever occurs daily, every second day, every third day, or at irregular intervals. Regardless of the patient's age or the duration of the illness, these three formulas require no modifications; simply take them in sequence, and recovery will be immediate.
First Formula
Guang Chenpi (Exocarpium Citri Reticulatae, 广陈皮, 1 qian)
Chen Banxia (Rhizoma Pinelliae Preparated with Ginger Juice, 陈半夏, 1 qian)
Bai Fuling (Poria, 白茯苓, 1 qian)
Weilingxian (Radix Saposhnikoviae, 威灵仙, 1 qian)
Cangzhu (Rhizoma Atractylodis Macrocephalae, 苍术, 8 fen, soaked in rice wash water for one day, sliced, and stir-fried dry)
Zi Nongpo (Cortex Magnoliae Officinalis, 紫浓朴, 8 fen, stir-fried with ginger juice)
Chaihu (Radix Bupleuri, 柴胡, 8 fen)
Qingpi (Pericarpium Citri Reticulatae Viride, 青皮, 6 fen)
Binglang (Semen Arecae, 槟榔, 6 fen)
Zhi Gancao (Radix Glycyrrhizae Preparated with Honey, 炙甘草, 3 fen)
Crush the herbs into slices and process according to standard methods. Add three slices of fresh ginger, one zhong of well water, and one zhong of river water. Decoct until nine-tenths of the liquid remains. Take when hungry. Decoct the dregs again and take. If headache is present, add Baizhi (Radix Angelicae Dahuricae, 白芷, 1 qian). This formula harmonizes the intestines and stomach, eliminates phlegm, regulates qi, and removes dampness, possessing the function of guiding and opening pathways. For mild cases, two doses are sufficient for cure, and no further medication is needed. If after three doses the condition improves but does not fully resolve, proceed to the Second Formula. Take three to five doses.
Second Formula
Heshouwu (Polygoni Multiflori Radix, 何首乌, 3 qian, raw)
Guang Chenpi (Exocarpium Citri Reticulatae, 广陈皮, 8 fen)
Chaihu (Radix Bupleuri, 柴胡, 8 fen)
Bai Fuling (Poria, 白茯苓, 8 fen)
Huangqin (Radix Scutellariae, 黄芩, 8 fen)
Baizhu (Rhizoma Atractylodis Macrocephalae, 白术, 1 qian, stir-fried)
Danggui (Radix Angelicae Sinensis, 当归, 1 qian)
Weilingxian (Radix Saposhnikoviae, 威灵仙, 1 qian)
Biejia (Carapax et Plastrum Testudinis, 鳖甲, 2 qian, vinegar-processed until crisp, ground to powder)
Zhimu (Rhizoma Anemarrhenae, 知母, 2 qian)
Gancao (Radix Glycyrrhizae Preparated with Honey, 甘草, 3 fen, honey-processed)
Add three slices of fresh ginger, one zhong of well water, and one zhong of river water. Decoct until eight-tenths of the liquid remains. Add five fen of unadulterated wine, bring to a boil, and take on an empty stomach. Combine and take the second and third decoctions as well.
The brilliance of this formula lies in the combination of tonification and purgation, appropriately balancing deficiency and excess. It does not use Renshen (Radix Ginseng, 人参) or Huangqi (Radix Astragali, 黄芪). Although Changshan (Cortex Dichroiae, 常山) and Caoguo (Fructus Tsaoko, 草果) may seem ordinary, they possess miraculous effects. Even for extremely weak individuals suffering from chronic malaria, improvement will be seen after ten doses, achieving complete recovery. The notion that adding or subtracting one or two herbs renders it ineffective applies specifically to this formula.
Third Formula
Renshen (Radix Ginseng, 人参, 1 qian)
Huangqi (Radix Astragali, 黄芪, 1.2 qian, honey-processed)
Danggui (Radix Angelicae Sinensis, 当归, 1.2 qian)
Baizhu (Rhizoma Atractylodis Macrocephalae, 白术, 1 qian, stir-fried)
Guang Chenpi (Exocarpium Citri Reticulatae, 广陈皮, 8 fen)
Gancao (Radix Glycyrrhizae Preparated with Honey, 甘草, 3 fen, honey-processed)
Chaihu (Radix Bupleuri, 柴胡, 8 fen)
Shengma (Rhizoma Cimicifugae, 升麻, 4 fen, or add Heshouwu 2 qian)
Zhimu (Rhizoma Anemarrhenae, 知母, 1 qian, stir-fried, or add Qinghaozi (Fructus Artemisiae Annuae, 青蒿子, 8 fen) and Maiya (Fructus Hordei Germinatus, 麦芽, 1 qian))
Add one slice of fresh ginger and one jujube. Use two zhong of water. Decoct until eight-tenths of the liquid remains. Take when half-hungry. After three to five doses, healthy qi (Zheng Qi, 正气) will be replenished, and malaria will never recur. Although there are three formulas, the Second Formula is actually the principal one, neither harshly draining nor aggressively tonifying. The efficacy is primarily attributed to the Third Formula, which is designed for those with financial means. Poor families cannot afford ginseng; they should simply take more of the Second Formula.