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
外
方
甘草汤(出千金方)治心疟不止。或止后热不歇。乍来乍去。令人烦心。甚。
欲饮清水。及
甘草(一两) 蜀漆(三两) 常山 鳖甲(各四两) 石膏(五两) 香豉(一合) 栀
子乌
梅(
柴胡栝蒌根汤(出卫生家宝方)治疟而发渴者。
大黄丸(出圣惠方)治心疟。发歇不定。
川大黄(半两炙锉) 常山(一分) 香豉(四十九粒) 砒霜(细研一分) 鳖甲(酥
炙) 麝
香(
每
服
熊胆丸(出圣惠方)治心疟。
砒霜(研半两) 丹砂(研) 麝香(研) 雄黄(研) 熊胆(各一分) 上以熊胆
和丸。如绿
豆大
欲
麝香丸(出圣惠方)治心疟。
麝香(一分) 金箔(三十片) 黄丹(一分炒令紫色) 朱砂(一两) 砒霜(一分)
上细研
令匀
一丸
常山丸(出圣惠方)治心疼疟。
常山(别捣) 桃仁(取陈者去双仁炒和皮捣各一两) 铅丹(八钱细研) 豉(一合
炒令可
碎摊
心酒
朱砂丸(出圣惠方)治心疟。
光明砂(半两研细) 常山(一两) 杏仁(十枚汤浸去皮尖双仁炒微黄) 上为末。
研入朱
砂令
心疟,根据《内经》记载,表现为心中烦乱,极度想喝冷水,但身体怕冷多而发热少。治疗应针刺手少阴心经的穴位。因为心是神志居住的地方。
甘草汤(出自《千金方》),用于治疗心疟久治不愈,或者停止发作后余热未清、忽来忽去,导致心中烦乱严重,想要饮用冷水的情况。
药材:甘草(一两)、蜀漆(三两)、常山、鳖甲(各四两)、石膏(五两)、香豉(一合)、栀子、乌梅(原文此处文字有缺失或错乱)。
柴胡栝蒌根汤(出自《卫生家宝方》),用于治疗患疟疾且伴有口渴症状的患者。
大黄丸(出自《圣惠方》),用于治疗心疟,发作与停止时间不定。
药材:川大黄(半两,炙后锉碎)、常山(一分)、香豉(四十九粒)、砒霜(细研,一分)、鳖甲(用酥炙)、麝香(原文此处文字有缺失)。
用法:每次服用……(原文此处文字有缺失)。
熊胆丸(出自《圣惠方》),用于治疗心疟。
药材:砒霜(研,半两)、丹砂(研)、麝香(研)、雄黄(研)、熊胆(各一分)。制法:以上药物以熊胆和匀制成丸药,大小如绿豆大。
用法:欲……(原文此处文字有缺失)。
麝香丸(出自《圣惠方》),用于治疗心疟。
药材:麝香(一分)、金箔(三十片)、黄丹(一分,炒至紫色)、朱砂(一两)、砒霜(一分)。制法:以上药物细研令均匀……(原文此处文字有缺失)。
用法:一丸……(原文此处文字有缺失)。
常山丸(出自《圣惠方》),用于治疗心疼疟(心痛型疟疾)。
药材:常山(另捣)、桃仁(取陈久的,去双仁,炒后去皮捣碎,各一两)、铅丹(八钱,细研)、豉(一合,炒至可碎)。制法:摊……(原文此处文字有缺失)。
用法:心酒……(原文此处文字有缺失)。
朱砂丸(出自《圣惠方》),用于治疗心疟。
药材:光明砂(半两,研细)、常山(一两)、杏仁(十枚,汤浸后去皮尖及双仁,炒至微黄)。制法:以上为末,研入朱砂令……(原文此处文字有缺失)。
Heart malaria (Xin Nüe), as stated in the *Neijing* (Classic of Internal Medicine), manifests as mental restlessness. In severe cases, there is a strong desire for cold water, yet the patient experiences more chills than fever. Treatment involves needling the Hand-Shaoyin Heart Meridian. This is because the Heart is the residence of the Spirit (Shen), and pathogenic factors lodge therein.
Gancao Tang (Licorice Decoction) [Source: *Qianjin Fang*], used to treat persistent heart malaria. It addresses cases where the fever does not subside after cessation, fluctuating intermittently, causing severe mental restlessness and a strong desire to drink cold water.
Herbs: Gancao (Radix Glycyrrhizae, 1 liang), Shuqi (Herba Pteridis Preparata, 3 liang), Changshan (Radix Dichroae), Biejia (Carapax et Plastrum Testudinis, each 4 liang), Shigao (Gypsum Fibrosum, 5 liang), Xiangchi (Fermented Soybean Paste, 1 he), Zhizi (Fructus Gardeniae), Wumei (Fructus Mume).
Chaihu Gualougen Tang (Bupleurum and Trichosanthes Root Decoction) [Source: *Weisheng Jiabao Fang*], used to treat malaria accompanied by thirst.
Dahuang Wan (Rhubarb Pill) [Source: *Shenghui Fang*], used to treat heart malaria with irregular onset and remission.
Herbs: Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, processed with heat and cut), Changshan (Radix Dichroae, 1 fen), Xiangchi (Fermented Soybean Paste, 49 grains), Pishuang (Arsenic Trioxide, finely ground, 1 fen), Biejia (Carapax et Plastrum Testudinis, fried with butter), Shexiang (Moschus).
Usage: Take per dose... (Original text missing specific dosage or administration instructions).
Xiongdan Wan (Ursine Gallbladder Pill) [Source: *Shenghui Fang*], used to treat heart malaria.
Herbs: Pishuang (Arsenic Trioxide, ground, 0.5 liang), Dansha (Cinnabar, ground), Shexiang (Moschus, ground), Xionghuang (Realgar, ground), Xiongdan (Ursi Fel, each 1 fen). Preparation: Mix the above herbs with Ursine Gallbladder to form pills, sized like green mung beans.
Usage: ... (Original text missing specific administration instructions).
Shexiang Wan (Moschus Pill) [Source: *Shenghui Fang*], used to treat heart malaria.
Herbs: Shexiang (Moschus, 1 fen), Jinbo (Lamina Aurii, 30 pieces), Huangdan (Minium, 1 fen, fried until purple), Zhusha (Cinnabar, 1 liang), Pishuang (Arsenic Trioxide, 1 fen). Preparation: Finely grind all ingredients until uniform.
Usage: One pill per dose... (Original text missing specific administration instructions).
Changshan Wan (Dichroa Root Pill) [Source: *Shenghui Fang*], used to treat heart pain malaria (Xinteng Nüe).
Herbs: Changshan (Radix Dichroae, separately pounded), Taoren (Semen Persicae, using aged seeds, removing double kernels, fried, skin removed, pounded, each 1 liang), Qiandan (Minium, 8 qian, finely ground), Chi (Fermented Soybean Paste, 1 he, fried until crumbly). Preparation: Spread... (Original text missing subsequent steps).
Xin Jiu (Heart Wine)... (Original text fragmentary).
Zhusha Wan (Cinnabar Pill) [Source: *Shenghui Fang*], used to treat heart malaria.
Herbs: Guangmingsha (Bright Cinnabar, 0.5 liang, finely ground), Changshan (Radix Dichroae, 1 liang), Xingren (Semen Pruni Armeniacae, 10 seeds, soaked in water, skin and tips removed, double kernels removed, fried until slightly yellow). Preparation: Grind into powder, mix with Cinnabar... (Original text fragmentary).