〔汤〕治瘅疟但热不寒方,用黄丹 通红,临发,蜜汤调下,能饮酒用酒调。一法,
专服小柴胡汤,次服人参前胡汤。
〔张涣〕知母丹 治小儿发热疟甚者。
知母(微炒) 鳖甲(酥炙,去裙 ) 川大黄(细锉,微炒) 赤茯苓 朱砂(细研水飞。各一两) 川芒硝
川升麻(各半两) 龙脑(一钱,研)
上件同拌匀,炼蜜和丸,如黍米大。每服五粒至七粒,生姜汤下,大便利下即
愈,量儿大小加减。
《活人书》治疟疾但热不寒者。
知母(六两) 甘草(炙,二两) 石膏(一斤) 桂(去皮秤,三两) 粳米(二合)
上锉如麻豆大。每服五钱,水一盏半,煎至八分,去滓服。
桂枝麻黄各半汤 治发热自汗或无汗。
桂枝 白芍药 生姜 甘草(炙) 麻黄(各一钱) 杏仁(十粒,汤泡,去皮尖)
上,水一钟,大枣二枚,煎四分,食远服。
知母麻黄汤 治伤寒,或十数日,或半月二十日,终不惺惺,常昏沉似失精神,言
语错缪,又无寒热,医或作鬼祟,或作风疾,多般治之不瘥,或朝夕潮热颊赤,
或有寒热似疟,都是发汗不尽,余毒在心胞络间所致。
知母 麻黄(去节) 甘草(炙) 芍药 黄芩(各半两) 桂枝(去粗皮,半两,盛暑可减半)
上锉散。每三钱,水一盏,煎七分,去滓温服。令微汗,若心烦不眠,欲饮水,
当稍稍与之,令胃气和即愈,未汗再服,大小加减。
柴胡桂枝汤 治疟身热多汗。
柴胡(八钱) 黄芩 桂枝 芍药 甘草(各三钱) 半夏(二钱半)
上,每服二三钱,姜枣水煎。
白虎加桂汤 治小儿疟疾发渴。
石膏(五钱,碎如米) 知母(一钱) 甘草(五分) 桂枝(五分)
上,水一盏,粳米一撮,煎服。
十味香薷散
香薷(一两) 人参 白术 黄 橘红 白扁豆 干木瓜 浓朴(姜制) 白茯苓 甘
草(炙。各半两)
上为细末。每服一钱,不拘热汤或冷水,调下。
【汤氏】治疗瘅疟(一种但热不寒的疟疾)的方剂,使用黄丹(铅丹),需烧至通红,在发病时,用蜂蜜水调服;如果患者能饮酒,则用酒调服。另一种方法,专门服用小柴胡汤(和解少阳的代表方剂),随后服用人参前胡汤(益气解表、化痰止咳的方剂)。
【张涣】知母丹,治疗小儿发热严重的疟疾。
知母(微炒) 鳖甲(用酥油炙烤,去除裙边) 川大黄(细切,微炒) 赤茯苓 朱砂(细研后水飞。各一两) 川芒硝 川升麻(各半两) 龙脑(一钱,研细)
以上药材混合拌匀,用炼蜜调和制成丸药,大小如黍米。每次服用五粒至七粒,生姜汤送下,大便通畅排出邪气后即愈,根据患儿年龄大小调整剂量。
《活人书》治疗疟疾但热不寒者。
知母(六两) 甘草(炙,二两) 石膏(一斤) 桂枝(去皮称重,三两) 粳米(二合)
以上药材锉碎如麻豆大小。每次服用五钱,加水一盏半,煎煮至八分满,去渣服用。
桂枝麻黄各半汤,治疗发热伴自汗或无汗。
桂枝 白芍药 生姜 甘草(炙) 麻黄(各一钱) 杏仁(十粒,热水浸泡,去皮尖)
以上药材,加水一钟,大枣二枚,煎煮至四分之一量,饭后服用。
知母麻黄汤,治疗伤寒病,病程长达十余日或半月二十日,始终精神不振,常昏沉似失神,言语错乱,且没有恶寒发热的症状。医生有时误认为是鬼祟作怪,有时误认为是风疾,多种治疗方法均无效。或者出现早晚潮热、脸颊发红,或有寒热往来类似疟疾的症状。这些都是因为发汗不彻底,余毒留存在心包络之间所致。
知母 麻黄(去节) 甘草(炙) 芍药 黄芩(各半两) 桂枝(去粗皮,半两,盛夏季节可减半)
以上药材锉散。每次取三钱,加水一盏,煎煮至七分,去渣温服。令患者微微出汗,如果出现心烦失眠、想喝水的情况,应少量给予饮水,待胃气调和即痊愈,若未出汗可再次服用,根据情况增减剂量。
柴胡桂枝汤,治疗疟疾身体发热、多汗。
柴胡(八钱) 黄芩 桂枝 芍药 甘草(各三钱) 半夏(二钱半)
以上药材,每次服用二三钱,加姜枣水煎煮。
白虎加桂汤,治疗小儿疟疾伴有口渴。
石膏(五钱,捣碎如米粒) 知母(一钱) 甘草(五分) 桂枝(五分)
以上药材,加水一盏,粳米一撮,煎煮服用。
十味香薷散
香薷(一两) 人参 白术 黄芪 橘红 白扁豆 干木瓜 浓朴(姜制) 白茯苓 甘草(炙。各半两)
以上药材研为细末。每次服用一钱,不拘泥于热汤或冷水,调服即可。
[Tang Shi] Formula for treating Dan Malaria (a type of malaria characterized by fever without chills): Use Huang Dan (Lead Carbonate, Qian Dan), calcined until thoroughly red. Administer at the onset of symptoms, mixed with honey water; if the patient can drink alcohol, mix with wine instead. Another method involves exclusively administering Xiao Chai Hu Tang (Minor Bupleurum Decoction), followed by Ren Shen Qian Hu Tang (Ginseng and Peucedanum Decoction).
[Zhang Huan] Zhi Mu Dan (Anemarrhena Pill) treats severe pediatric malaria with high fever.
Zhi Mu (Anemarrhenae Rhizoma, lightly stir-fried) Bie Jia (Trionycis Carapax, fried in rendered fat, remove skirt edges) Chuan Da Huang (Rhei Radix et Rhizoma, finely chopped, lightly stir-fried) Chi Fu Ling (Red Poria) Zhu Sha (Cinnabaris, finely ground and washed with water. Each: 1 liang) Chuan Mang Xiao (Natrii Sulfas) Chuan Sheng Ma (Bupleuri Radix, each: 0.5 liang) Long Nao (Borneolum Syntheticum, 1 qian, ground)
Mix all ingredients evenly, bind with refined honey to form pills the size of millet seeds. Dosage: 5 to 7 pills per administration, taken with ginger decoction. Recovery occurs upon free bowel movement. Adjust dosage according to the child's age and size.
*Huoren Shu* (Book of Living People) treats malaria characterized by fever without chills.
Zhi Mu (Anemarrhenae Rhizoma, 6 liang) Gan Cao (Licorizae Radix et Rhizoma, honey-fried, 2 liang) Shi Gao (Gypsum Fibrosum, 1 jin) Gui Zhi (Cinnamomi Ramulus, bark removed, weighed: 3 liang) Jing Mi (Oryza Sativa, 2 he)
Chop ingredients to the size of hemp or bean seeds. Dosage: 5 qian per administration. Add 1.5 cups of water, boil down to 0.8 cups, strain, and take.
Guizhi Mahuang Ge Ban Tang (Equal Parts of Cinnamon Twig and Ephedra Decoction) treats fever accompanied by spontaneous sweating or absence of sweating.
Guizhi (Cinnamomi Ramulus) Baishao (Paeoniae Radix Alba) Shengjiang (Zingiberis Rhizoma Recens) Gan Cao (Licorizae Radix et Rhizoma, honey-fried) Mahuang (Ephedrae Herba, each: 1 qian) Xingren (Armeniacae Semen Amarum, 10 grains, soaked in hot water, skin and tips removed)
Add 1 cup of water and 2 Jujubes (Zizyphi Fructus). Boil down to one-quarter volume. Take after meals.
Zhi Mu Mahuang Tang (Anemarrhena and Ephedra Decoction) treats Shanghan (Cold Damage) where, after ten days, half a month, or twenty days, the patient remains lethargic, often appearing dazed and lacking spirit, with confused speech, yet without aversion to cold or fever. Physicians may misdiagnose this as demonic influence or wind disease. Various treatments fail. Symptoms may include tidal fever morning and evening, flushed cheeks, or alternating chills and fever resembling malaria. These conditions result from incomplete diaphoresis, leaving residual toxins in the Pericardium Collateral network.
Zhi Mu (Anemarrhenae Rhizoma) Mahuang (Ephedrae Herba, nodes removed) Gan Cao (Licorizae Radix et Rhizoma, honey-fried) Shaoyao (Paeoniae Radix) Huang Qin (Scutellariae Radix, each: 0.5 liang) Guizhi (Cinnamomi Ramulus, coarse bark removed, 0.5 liang; reduce by half in midsummer)
Chop into coarse powder. Dosage: 3 qian per administration. Add 1 cup of water, boil down to 0.7 cups, strain, and take warm. Induce slight sweating. If restlessness, insomnia, or thirst occurs, provide small amounts of water gradually until stomach qi harmonizes and recovery ensues. If no sweat occurs, administer again. Adjust dosage based on condition.
Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction) treats malaria with body heat and profuse sweating.
Chaihu (Bupleuri Radix, 8 qian) Huang Qin (Scutellariae Radix) Guizhi (Cinnamomi Ramulus) Shaoyao (Paeoniae Radix) Gan Cao (Licorizae Radix et Rhizoma, honey-fried, each: 3 qian) Banxia (Pinelliae Rhizoma, 2.5 qian)
Dosage: 2-3 qian per administration. Decoct with ginger and jujube water.
Baihu Jia Gui Tang (White Tiger Decoction plus Cinnamon Twig) treats pediatric malaria accompanied by thirst.
Shi Gao (Gypsum Fibrosum, 5 qian, crushed like rice grains) Zhi Mu (Anemarrhenae Rhizoma, 1 qian) Gan Cao (Licorizae Radix et Rhizoma, honey-fried, 0.5 qian) Guizhi (Cinnamomi Ramulus, 0.5 qian)
Add 1 cup of water and a pinch of Jing Mi (Oryza Sativa). Decoct and take.
Shiwei Xiangru San (Ten-Ingredient Mosla Powder)
Xiangru (Moslae Herba, 1 liang) Ren Shen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Huang Qi (Astragali Radix) Juhong (Citri Reticulatae Pericarpium Rubrum) Baibian Dou (Phaseoli Semen Album) Gan Mugua (Chaenomelis Fructus Dried) Houpo (Magnoliae Officinalis Cortex, processed with ginger) Baifu Ling (Poria, 0.5 liang each) Gan Cao (Licorizae Radix et Rhizoma, honey-fried, 0.5 liang)
Grind into fine powder. Dosage: 1 qian per administration. Mix with either hot or cold water as preferred.