疟疾不问新旧。并宜服平疟养脾丸。此家传秘方。
治有三方 初截 中和 末补
初治法 初起有外因者。不问风寒暑湿之邪。并宜香苏散加紫苏香附陈皮甘草。外加常
榔乌梅。于发日五更时服。得吐为善。盖吐中即有发散之义。不复作矣。有内因饮食不化。
积而成痰。痰变为疟。宜平胃散加常山乌梅槟榔。临发日五更服。或吐或下。痰积悉除。不
复作矣。有不内外因者。客忤中恶。梦寐颠倒成疟者。此邪疟也。宜四圣丸加家传斩鬼丹主
之。人身荣卫之气。昼则行阳二十五度。夜则行阴二十五度。故疟之昼发者。邪在阳分易治
。宜用前法截之。夜发者不可截也。宜桂枝汤加当归生地黄桃仁发出血中之邪自已。不已者
必须提至阳分。然后截也。升提宜柴胡四物汤加升麻葛根。截宜柴胡汤加常山槟榔乌梅主之
中治法 邪气渐强。正气渐衰。宜以养正去邪和解为主。柴苓汤主之。此和解之圣方也
。服三剂后。加常山乌梅以去其邪。二补一攻。常与调理。以瘥为度。
如有热多寒少。宜用柴胡白虎汤。寒多热少者。柴胡桂枝汤主之。二剂之后。间截药一
热多者。用常山知母草果槟榔各一钱。寒多者。用常山钱半。丁香五分。乌梅一个为剂。各
用酒一盏浸一夕。发日五更服。如神。
末治法 疟久不退。谓之 疟。(老疟也。)邪气未尽。正气已衰。专以养正为主。使正
。邪气自尽也。十全大补汤加陈皮半夏柴胡主之。食少者。去地黄加神曲。有疟母者。本方
加青皮神曲九肋鳖甲醋服。
小儿疟久不退。腹中或左或右有块者。此名疟母。即癖也。疟后有此。经年不愈。常为
潮热。其状似疟。面黄腹大。乃其候也。宜消去之。祖方。用月蟾丸。今予立消癖丸。
小儿久疟成疳劳者。集圣丸主之。
疟后浮肿者。胃苓丸主之。
疟后与泄痢并作者。宜柴苓加槟榔乌梅主之。盖小柴胡汤治疟。五苓散治泻痢。槟榔
乌梅痢疟必用之药也。
平疟养脾丸。 此吾家传治疟之神方也。
人参 白术 白茯苓 甘草(炙) 当归 川芎 陈皮 半夏曲 苍术(米泔浸炒) 浓朴
汁炒) 柴胡 黄芩 猪苓 泽泻 草果 常山 青皮 辣桂 九肋鳖甲(酥炙各等分) 上
一十九味。共研末。于五月五日。及三元八节天月德。要安普护福生除开破日修合。酒煮曲
糊丸。麻子大。陈米汤下。
消癖丸 专治疟母食症痰癖。五饮成癖并治。
三棱(即鱼形者) 莪术(各醋浸炒) 陈皮 枳壳(麸炒) 浓朴(姜汁炒) 山茱萸 使君
夜明砂 黄连(炒) 木香 干姜(炒各二两) 海藻(洗净半两) 神曲 麦 半夏曲(二钱)
干蟾(炙) 九肋鳖甲(醋炒各三钱) 上为末。酒煮面糊丸。麻子大。米饮下。
家传斩鬼丹 截疟神效。
黄丹(研) 独头大蒜(研烂如泥) 上于五月五日午时。至诚修合。用蒜泥和丹同杵。众
手为丸。随人大小。发日五更取长流水面东下。
四圣丸 治疟有效。
穿山甲(去筋膜两半灰炒拌) 鸡骨常山 乌梅(去核焙) 槟榔(各一两) 上为末。糯米
糊丸。随人大小。黄丹为衣。每服二十五丸至三十丸。临发日五更面东温酒送下。
柴胡桂枝汤 治疟疾寒多热少者。
用小柴胡汤 柴胡(二钱五分) 黄芩 半夏(各一钱) 人参(钱半) 甘草(五分) 合桂
枝汤。桂枝芍药。加栝蒌根牡蛎干姜(炮)姜枣同煎。
柴胡白虎汤 治热多寒少者。
用小柴胡汤合白虎汤。 石膏(五钱) 知母(二钱) 甘草(一钱) 入粳米生姜同煎。
一儿岁半病疟。二日一发。久不愈。其儿黄瘦面浮腹胀。予用平疟养脾丸治之。愈。
一儿病疟。医以柴苓汤投之。调理二三日。不效。予用平疟养脾丸治之。效。
一儿病疟。医用截药。内有砒丹。三截之。遂成疳疟。其父懊恨前药之误也。予用平疟
养脾丸治疟。集圣丸治疳。调理一月而愈。
一女先惊后疟。疟久成疳。予用集圣丸调理。一月而安。
一儿先疟后惊。予用调元汤。琥珀抱龙丸治之。安。
一儿病疟。一日一发。予用家传斩鬼丹截之。止三日。后又发。再截之。凡三截俱三四
发。其父怪问之。时六七月枣熟。予疑其必啖生枣。故止而复发也。问之果然。乃禁之。先
用胃苓丸。调理三日。更以斩鬼丹截之。遂愈。
汪南汀季子七岁。病疟三年。诸医治之无效。乃请予治之。予视其外候。面色黄白。山
青。腹大而坚。曰。此久疟成癖。癖在潮热。当与补脾消癖。疟热自除。恨无九肋鳖甲耳。
南汀求得之。因制一方。用人参白术陈皮青皮三棱莪术木香砂仁当归川芎黄连柴胡鳖甲为末
。神曲糊丸。炒米煎水。日三服。调理五十余日安。
陆陈巷李宅一女七岁。戊戌秋先患外感。后变疟。因用截药。变作痢。至冬痢虽止。疟
。请予往。视其外侯。大骨高起。大肉陷下。发稀目陷。面黄鼻燥。不思饮食。唯啖莲肉。
乃内伤脾虚疳痨证也。时有江西医人万鼎在彼。谓不可治。予曰无虑。吾能治之。至
春必愈。用集圣丸一料。次年二月果安。
一儿病疟。间日一发。予根据祖训。当用胃苓丸补之。发日以斩鬼丹截之。调理半月已渐
。适有麻城丁医至。见儿未大好。谓其父曰。我秘方只一剂而愈。其父惑之。不知其所用者
何方也。初进一剂。疟即大作矣。更甚于前。予笑其医云。只用秘方。令吾前功尽废。又劳
调理也。其父悔。且怨医。辞去之。予调理一月愈。
一儿久疟成癖。因癖生热。或三五日一发。发则十余日不止。常在申酉时。但不寒颤。
恶寒即发热。热亦不甚。发过不渴。不头痛。予用消癖丸平疟养脾丸相间服之。半年而愈。
一儿疟后腹胀。用加减塌气丸服之愈。
疟疾不分新发还是久病,都适宜服用平疟养脾丸。这是我家传的秘方。
治疗分为三个阶段:初期截断、中期调和、后期补益。
初期治法:初起有外感病因的,不论风寒暑湿之邪,都适宜用香苏散加紫苏、香附、陈皮、甘草,外加常山、乌梅。在发作当天的五更时分服用,能吐出来最好。因为吐法中本身就含有发散的含义,病就不再复发了。有内因饮食不消化,积滞而成痰,痰变为疟疾的,适宜用平胃散加常山、乌梅、槟榔。在发作当天的五更时服用,或者吐或者泻,痰积全部清除,病就不再复发了。有不内外因的,如客忤中恶,梦寐颠倒导致成疟的,这叫邪疟。适宜用四圣丸加家传斩鬼丹主治。人体的营卫之气,白天行于阳分二十五周,夜晚行于阴分二十五周。所以疟疾白天发作的,邪气在阳分,容易治疗,适宜用前面的方法截断它。晚上发作的不能截断,适宜用桂枝汤加当归、生地黄、桃仁,发出血中的邪气自然痊愈。如果还不愈,必须将邪气提至阳分,然后才能截断。升提适宜用柴胡四物汤加升麻、葛根。截断适宜用柴胡汤加常山、槟榔、乌梅主治。
中期治法:邪气逐渐增强,正气逐渐衰弱,适宜以扶正祛邪、和解为主。用柴苓汤主治。这是和解的圣方。服用三剂后,加常山、乌梅以去除邪气。二补一攻,经常调理,以痊愈为度。
如果有热多寒少的,适宜用柴胡白虎汤。寒多热少的,用柴胡桂枝汤主治。两剂之后,间歇使用截疟药。
热多者,用常山、知母、草果、槟榔各一钱。寒多者,用常山一钱半,丁香五分,乌梅一个为剂。各用酒一盏浸泡一夜,发作当天五更时服用,灵验如神。
后期治法:疟疾长久不退,称为老疟(即老疟)。邪气未尽,正气已衰,专门以扶正为主,使正气充足,邪气自然消除。用十全大补汤加陈皮、半夏、柴胡主治。食欲少的,去掉地黄,加神曲。有疟母的,本方加青皮、神曲、九肋鳖甲,醋送服。
小儿疟疾长久不退,腹部左边或右边有结块的,这名叫疟母,也就是癖块。疟疾后有此症,经年不愈,常常出现潮热,症状类似疟疾,面色黄、肚子大,就是它的征候。适宜消去它。祖传方子,用月蟾丸。现在我创立消癖丸。
小儿久疟形成疳劳的,用集圣丸主治。
疟疾后浮肿的,用胃苓丸主治。
疟疾后与泄痢同时发作的,适宜用柴苓汤加槟榔、乌梅主治。大概小柴胡汤治疟疾,五苓散治泄痢,槟榔、乌梅是治痢疾和疟疾必用的药物。
平疟养脾丸。这是我家传的治疟疾的神方。
人参、白术、白茯苓、甘草(炙)、当归、川芎、陈皮、半夏曲、苍术(米泔水浸炒)、浓朴(汁炒)、柴胡、黄芩、猪苓、泽泻、草果、常山、青皮、辣桂、九肋鳖甲(酥炙)各等分。以上十九味药,共研为末。在五月五日,以及三元八节的天月德日,要安普护福生除开破日修合。酒煮曲糊为丸,大小如麻子,陈米汤送下。
消癖丸 专门治疗疟母、食症、痰癖。五饮成癖一并治疗。
三棱(即鱼形的)、莪术(各醋浸炒)、陈皮、枳壳(麸炒)、浓朴(姜汁炒)、山茱萸、使君子、夜明砂、黄连(炒)、木香、干姜(炒)各二两;海藻(洗净)半两;神曲、麦芽、半夏曲(各二钱);干蟾(炙)、九肋鳖甲(醋炒)各三钱。以上为末,酒煮面糊为丸,大小如麻子,米饮送下。
家传斩鬼丹 截疟神效。
黄丹(研细)、独头大蒜(研烂如泥)。以上在五月五日午时,诚心修合。用蒜泥和黄丹一起捣杵,众人手捏为丸,随病人年龄大小而定。发作当天五更时,取长流水面向东服下。
四圣丸 治疟有效。
穿山甲(去筋膜,灰炒拌)、鸡骨常山、乌梅(去核焙干)、槟榔(各一两)。以上为末,糯米糊为丸,随病人年龄大小而定,黄丹为衣。每次服二十五丸至三十丸,发作当天五更时面向东温酒送下。
柴胡桂枝汤 治疟疾寒多热少者。
用小柴胡汤:柴胡(二钱五分)、黄芩、半夏(各一钱)、人参(一钱半)、甘草(五分),合桂枝汤。桂枝、芍药,加栝蒌根、牡蛎、干姜(炮)、生姜、大枣同煎。
柴胡白虎汤 治热多寒少者。
用小柴胡汤合白虎汤。石膏(五钱)、知母(二钱)、甘草(一钱),入粳米、生姜同煎。
一个半岁的儿童患疟疾,两天发作一次,长久不愈。这个孩子面色黄瘦、面部浮肿、腹胀。我用平疟养脾丸治疗他,痊愈了。
一个儿童患疟疾,医生用柴苓汤投予,调理两三天,无效。我用平疟养脾丸治疗他,见效了。
一个儿童患疟疾,医生用截疟药,里面有砒丹,截了三次。于是成了疳疟。他的父亲懊悔前药的误治。我用平疟养脾丸治疟疾,集圣丸治疳疾,调理一个月而痊愈。
一个女孩先受惊后患疟疾,疟疾长久形成疳疾。我用集圣丸调理,一个月而安宁。
一个儿童先患疟疾后受惊。我用调元汤、琥珀抱龙丸治疗他,安宁了。
一个儿童患疟疾,一天发作一次。我用家传斩鬼丹截断它。停了三天,后来又发作。再截断它。凡是三次截断都是三四次发作。他的父亲奇怪地问为什么。当时是六七月枣子成熟的时候,我怀疑他一定吃了生枣,所以停止后又复发。问起来果然如此,于是禁止他吃。先用胃苓丸,调理三天,再用斩鬼丹截断它,于是痊愈。
汪南汀的小儿子七岁,患疟疾三年,其他医生治疗无效,于是请我治疗。我看他的外在征候,面色黄白,山根发青,肚子大而坚硬。我说,这是久疟成癖,癖块引起潮热,应当补脾消癖,疟热自然消除。可惜没有九肋鳖甲。汪南汀求得鳖甲,因此制定一方,用人参、白术、陈皮、青皮、三棱、莪术、木香、砂仁、当归、川芎、黄连、柴胡、鳖甲为末,神曲糊丸,炒米煎水,每天三次服用,调理五十多天安宁。
陆陈巷李家一个七岁的女孩,戊戌年秋天先患外感,后来变成疟疾。因为用截疟药,变成了痢疾。到了冬天痢疾虽然停止,疟疾又发作。请我去。看她的外在征候,大骨高起,大肉陷下,头发稀疏,眼睛凹陷,面色黄,鼻子干燥,不想吃东西,只吃莲子。这是内伤脾虚疳痨证。当时有江西医生万鼎在那里,说不可治。我说不用担心,我能治好。到春天一定会好。用集圣丸一料,次年二月果然安宁。
一个儿童患疟疾,隔天发作一次。我根据祖训,应当用胃苓丸补益。发作日用斩鬼丹截断。调理半月已经渐好。恰好有麻城丁医生到来,见孩子没大好,对他的父亲说:“我的秘方只一剂就痊愈。”他的父亲被迷惑,不知道他用的是什么方子。初次进服一剂,疟疾立刻大作,比之前更严重。我嘲笑那个医生说:“只用秘方,让我前面的功夫白费,又要劳烦调理了。”他的父亲后悔,并且埋怨医生,辞退了他。我调理一个月痊愈。
一个儿童久疟成癖,因为癖块生热,或者三五天发作一次,发作则十余日不止,常在申酉时,只是不寒颤,怕冷就发热,发热也不很严重,发作过后不渴,不头痛。我用消癖丸和平疟养脾丸交替服用,半年而痊愈。
一个儿童疟疾后腹胀,用加减塌气丸服用而痊愈。
Malaria, whether new or old, is suitable for taking Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill). This is a secret recipe passed down in my family.
Treatment involves three stages: initial interception, middle harmonization, and final tonification.
Initial treatment method: If the onset has external causes, regardless of wind-cold, summer-heat, or dampness pathogens, Xiangsu San (Fragrant Perilla Powder) plus Zisu (Perilla Leaf), Xiangfu (Cyperus Rhizome), Chenpi (Tangerine Peel), and Gancao (Licorice Root) are suitable, with additional Changshan (Dichroa Root) and Wumei (Mume Fruit). Take it at wugeng (5-7 AM) on the day of attack; vomiting is beneficial. This is because the act of vomiting contains the meaning of dispersing, and the disease will not recur. If there are internal causes such as undigested food accumulating into phlegm, which transforms into malaria, Pingwei San (Peace the Stomach Powder) plus Changshan (Dichroa Root), Wumei (Mume Fruit), and Binglang (Areca Seed) are suitable. Take it at wugeng on the day of attack; whether through vomiting or purging, the phlegm accumulation will be completely removed, and the disease will not recur. For non-internal and non-external causes, such as Ke Wu (Guest Malevolence) or Zhong E (Sudden Evil), or nightmares leading to malaria, this is called Xie Nue (Evil Malaria). It is suitable to treat with Sixian Wan (Four Holy Pills) plus Jia Chuan Zhangu Dan (Family-Transmitted Ghost-Slaying Cinnabar). The Ying and Wei Qi (Nutritive and Defensive Qi) of the human body circulate in Yang twenty-five times during the day and in Yin twenty-five times at night. Therefore, malaria that occurs during the day has the pathogen in the Yang aspect and is easy to treat; use the previous methods to intercept it. Malaria occurring at night cannot be intercepted directly; use Guizhi Tang (Cinnamon Twig Decoction) plus Danggui (Angelica Sinensis), Shengdihuang (Rehmannia Root), and Taoren (Peach Kernel) to expel the pathogen from the blood, and it will heal itself. If it does not heal, the pathogen must be lifted to the Yang aspect before interception. Lifting is suitable using Chaihu Siwu Tang (Bupleurum Four Substances Decoction) plus Shengma (Cimicifuga Rhizome) and Gegen (Kudzu Root). Interception is suitable using Chaihu Tang (Bupleurum Decoction) plus Changshan (Dichroa Root), Binglang (Areca Seed), and Wumei (Mume Fruit).
Middle treatment method: As the pathogen gradually strengthens and the healthy Qi gradually declines, the main approach should be nourishing the healthy and eliminating the pathogen through harmonization. Use Chai Ling Tang (Bupleurum and Pinellia Decoction) as the primary formula. This is a sacred formula for harmonization. After taking three doses, add Changshan (Dichroa Root) and Wumei (Mume Fruit) to eliminate the pathogen. Two parts tonifying and one part attacking, with regular regulation until recovery.
If there is more heat than cold, use Chaihu Baihu Tang (Bupleurum and White Tiger Decoction). If there is more cold than heat, use Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction). After two doses, intermittently use interception medicines.
For more heat, use Changshan (Dichroa Root), Zhimu (Anemarrhena Rhizome), Caoguo (Black Cardamom), and Binglang (Areca Seed), each 1 qian. For more cold, use 1.5 qian of Changshan (Dichroa Root), 0.5 fen of Dingxiang (Clove), and one Wumei (Mume Fruit) as a dose. Soak each in one zhan of wine overnight, and take at wugeng on the day of attack; it works like magic.
Final treatment method: Malaria that persists for a long time is called Lao Nue (Old Malaria). The pathogen is not yet exhausted, but the healthy Qi is already deficient. Focus solely on nourishing the healthy Qi so that when the healthy Qi is sufficient, the pathogen will naturally disappear. Use Shiquan Dabu Tang (Ten Complete Great Tonifying Decoction) plus Chenpi (Tangerine Peel), Banxia (Pinellia Tuber), and Chaihu (Bupleurum Root) as the primary formula. For poor appetite, remove Dihuang (Rehmannia Root) and add Shenqu (Medicated Leaven). For those with Nuomu (Malaria Mass), add Qingpi (Aged Tangerine Peel), Shenqu (Medicated Leaven), and Jiulei Biejia (Softshell Turtle Shell) to the base formula, taken with vinegar.
In children, if malaria persists for a long time and lumps appear on the left or right side of the abdomen, this is called Nuomu (Malaria Mass), also known as Pi (Masses). This condition persists for years after malaria, often accompanied by tidal fever, resembling malaria, with yellow complexion and abdominal distension. It is suitable to eliminate it. An ancestral formula uses Yuechan Wan (Moon Toad Pill). I have now established Xiaopi Wan (Eliminate Masses Pill).
For children whose chronic malaria has developed into Gan Lao (Infantile Malnutrition and Consumption), use Jisheng Wan (Collecting Sages Pill).
For edema after malaria, use Weiling Wan (Stomach and Five Waters Pill).
For diarrhea and dysentery occurring simultaneously after malaria, use Chai Ling Tang (Bupleurum and Pinellia Decoction) plus Binglang (Areca Seed) and Wumei (Mume Fruit). Generally, Xiao Chaihu Tang (Minor Bupleurum Decoction) treats malaria, and Wu Ling San (Five Ingredient Powder with Poria) treats diarrhea and dysentery; Binglang (Areca Seed) and Wumei (Mume Fruit) are essential drugs for treating dysentery and malaria.
Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill). This is my family's divine recipe for treating malaria.
Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (White Poria), Gancao (Licorice Root, honey-fried), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Chenpi (Tangerine Peel), Banxia Qu (Pinellia Medicated Leaven), Cangzhu (Atractylodes Rhizome, rice-water soaked and fried), Houpo (Magnolia Bark, juice-fried), Chaihu (Bupleurum Root), Huangqin (Scutellaria Root), Zhuling (Polyporus), Zexie (Alisma Rhizome), Caoguo (Black Cardamom), Changshan (Dichroa Root), Qingpi (Aged Tangerine Peel), Lagui (Cinnamon Bark), and Jiulei Biejia (Softshell Turtle Shell, butter-fried) in equal parts. Grind these nineteen ingredients into powder. Prepare on the fifth day of the fifth lunar month, or on Tianyuede days during the Three Yuan and Eight Festivals, specifically on auspicious days like An, Pu, Hu, Fu, Sheng, Chu, Kai, and Po. Boil with wine and qu paste to make pills, size of hemp seeds. Take with aged rice soup.
Xiaopi Wan (Eliminate Masses Pill) specializes in treating Nuomu (Malaria Mass), Shi Zheng (Food Retention), Tan Pi (Phlegm Masses), and Pi caused by five fluids.
Sanleng (Sparganium Rhizome, fish-shaped ones), Ezhu (Curcuma Rhizome, both vinegar-soaked and fried), Chenpi (Tangerine Peel), Zhike (Bitter Orange Fruit, bran-fried), Houpo (Magnolia Bark, ginger juice-fried), Shanzhuyu (Cornus Fruit), Qianliu (Chinese Honeylocust Seed), Yeming Sha (Bat Droppings), Huanglian (Coptis Rhizome, fried), Muxiang (Aucklandia Root), Ganjiang (Dried Ginger, fried) each 2 liang; Haizao (Sargassum Thallus, washed) 0.5 liang; Shenqu (Medicated Leaven), Maiya (Barley Sprout), Banxia Qu (Pinellia Medicated Leaven) each 2 qian; Ganchan (Toad Skin, roasted), Jiulei Biejia (Softshell Turtle Shell, vinegar-fried) each 3 qian. Grind into powder, boil with wine and flour paste to make pills, size of hemp seeds. Take with rice drink.
Jia Chuan Zhangu Dan (Family-Transmitted Ghost-Slaying Cinnabar) effectively intercepts malaria.
Hudan (Red Lead Oxide, ground), Dutou Dasuan (Single-clove Garlic, mashed into paste). On the fifth day of the fifth lunar month at noon, prepare with sincerity. Mix garlic paste and cinnabar, pound together, and shape into pills by hand according to the patient's age. On the day of attack at wugeng, take facing east with flowing water.
Sixian Wan (Four Holy Pills) is effective for treating malaria.
Shanjiapia (Pangolin Scales, remove membrane, ash-fried mixed), Jigu Changshan (Chicken-bone Dichroa), Wumei (Mume Fruit, pitted and baked), Binglang (Areca Seed) each 1 liang. Grind into powder, make pills with sticky rice paste, size according to patient's age, coat with Hudan (Red Lead Oxide). Take 25-30 pills each time, facing east with warm wine at wugeng on the day of attack.
Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction) treats malaria with more cold than heat.
Use Xiao Chaihu Tang (Minor Bupleurum Decoction): Chaihu (Bupleurum Root) 2.5 qian, Huangqin (Scutellaria Root) and Banxia (Pinellia Tuber) each 1 qian, Renshen (Ginseng Root) 1.5 qian, Gancao (Licorice Root) 0.5 fen. Combine with Guizhi Tang (Cinnamon Twig Decoction): Guizhi (Cinnamon Twig), Shaoyao (Peony Root), plus Gualougen (Trichosanthes Root), Muli (Oyster Shell), Ganjiang (Dried Ginger, processed), Shengjiang (Fresh Ginger), and Dazao (Jujube). Decoct together.
Chaihu Baihu Tang (Bupleurum and White Tiger Decoction) treats malaria with more heat than cold.
Combine Xiao Chaihu Tang (Minor Bupleurum Decoction) with Baihu Tang (White Tiger Decoction). Shigao (Gypsum) 5 qian, Zhimu (Anemarrhena Rhizome) 2 qian, Gancao (Licorice Root) 1 qian. Add Jingmi (Rice) and Shengjiang (Fresh Ginger) and decoct together.
A child aged one and a half suffered from malaria, recurring every two days, persisting for a long time. The child had a yellow, emaciated face, facial edema, and abdominal distension. I treated him with Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill), and he recovered.
A child suffered from malaria. A doctor prescribed Chai Ling Tang (Bupleurum and Pinellia Decoction). After regulating for two or three days, there was no effect. I treated him with Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill), and it was effective.
A child suffered from malaria. A doctor used interception medicines containing Pidans (Arsenic Cinnabar). After three interceptions, it turned into Gan Nue (Malnutrition Malaria). The father regretted the error of the previous medicine. I treated the malaria with Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill) and the malnutrition with Jisheng Wan (Collecting Sages Pill). After one month of regulation, he recovered.
A girl first suffered from fright, then malaria. The chronic malaria developed into malnutrition. I regulated her with Jisheng Wan (Collecting Sages Pill), and she stabilized within one month.
A child first suffered from malaria, then fright. I treated him with Diaoyuan Tang (Regulating Origin Decoction) and Hupo Baolong Wan (Amber Embracing Dragon Pill), and he stabilized.
A child suffered from malaria, recurring daily. I used Jia Chuan Zhangu Dan (Family-Transmitted Ghost-Slaying Cinnabar) to intercept it. It stopped for three days, then recurred. I intercepted it again. In total, three interceptions resulted in four or three recurrences. The father asked curiously. At that time, it was June or July, and dates were ripe. I suspected he must have eaten raw dates, causing the cessation and subsequent recurrence. Upon inquiry, this was true. I prohibited them. First, I used Weiling Wan (Stomach and Five Waters Pill) to regulate for three days, then used Zhangu Dan (Ghost-Slaying Cinnabar) to intercept it, and he recovered.
Wang Nanting's youngest son, aged seven, suffered from malaria for three years. Various doctors failed to cure him, so they invited me. Observing his external signs, his complexion was yellowish-white, the mountain root was green, and his abdomen was large and hard. I said, "This is chronic malaria forming masses, where the masses cause tidal fever. One should tonify the spleen and eliminate masses; the malaria heat will naturally subside." Unfortunately, we lacked Jiulei Biejia (Softshell Turtle Shell). Wang Nanting obtained it, so I formulated a prescription: Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Chenpi (Tangerine Peel), Qingpi (Aged Tangerine Peel), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), Muxiang (Aucklandia Root), Sharen (Amomum Fruit), Danggui (Angelica Sinensis), Chuanxiong (Ligusticum Rhizome), Huanglian (Coptis Rhizome), Chaihu (Bupleurum Root), and Biejia (Softshell Turtle Shell) ground into powder, made into pills with Shenqu (Medicated Leaven) paste. Take with stir-fried rice decoction, three times a day. After fifty-plus days of regulation, he stabilized.
A seven-year-old girl in the Li household at Lu Chenxiang contracted an external pathogen in the autumn of the Wuxu year, which later transformed into malaria. Due to the use of interception medicines, it transformed into dysentery. By winter, although the dysentery stopped, the malaria recurred. She was invited to visit. Observing her external signs, her collarbones were prominent, muscles were sunken, hair was sparse, eyes were sunken, complexion was yellow, nose was dry, and she had no appetite, eating only lotus seeds. This is an internal injury syndrome of spleen deficiency leading to Gan Lao (Infantile Malnutrition and Consumption). At that time, a Jiangxi doctor named Wan Ding was there, saying it was incurable. I said, "Do not worry, I can cure her. She will recover by spring." I prescribed one course of Jisheng Wan (Collecting Sages Pill). Indeed, she stabilized in February of the following year.
A child suffered from malaria, recurring every other day. According to ancestral instructions, I should have used Weiling Wan (Stomach and Five Waters Pill) to tonify. On the day of attack, I used Zhangu Dan (Ghost-Slaying Cinnabar) to intercept. After half a month of regulation, he was gradually improving. Suddenly, a doctor from Macheng arrived. Seeing the child was not fully recovered, he told the father, "My secret recipe cures it in one dose." The father was confused and did not know what prescription he used. After the first dose, the malaria flared up severely, worse than before. I laughed at the doctor, saying, "Using only a secret recipe wastes all my previous efforts and requires further regulation." The father regretted it, blamed the doctor, and dismissed him. I regulated him for one month, and he recovered.
A child suffered from chronic malaria forming masses. Heat arose from the masses, recurring every three to five days, lasting over ten days once started. It usually occurred during Shen and You hours (3-7 PM), without chills. Fear of cold led to fever, but the fever was not severe. After the episode, there was no thirst or headache. I alternated Xiaopi Wan (Eliminate Masses Pill) and Pingmie Yangpi Wan (Flat Malaria Spleen-Nourishing Pill), and he recovered after half a year.
A child suffered from abdominal distension after malaria. He recovered after taking Jiajian Taqi Wan (Modified Collapsing Qi Pill).