夫温疟与寒疟安分。温疟得之冬中于风寒。寒气藏于骨髓之中。至春则阳气大发。邪气
不能
于肾
虚则
发。
风
伤
方
麻黄汤 治温疟初发身热头疼。不可忍。临醒时即寒栗战动不定。逡巡便醒。宜服
此方。须
麻黄(去根节煎掠去沫焙) 羌活(去芦头) 牡丹(去心) 独活(去芦头) 栀子
(去心)
柴胡
母(焙)
黄
未
发
是
常山丸 疗温疟。
常山 乌梅肉(熬) 豉 天灵盖(炒各六分) 知母 朱砂 蜀漆 大黄(各四分) 上
捣
筛。蜜和丸。如桐子大。空心
忌生葱菜、生血等物。
常山汤 疗温疟。潮热羸瘦。欲成骨蒸。
常山(三两) 车前叶(一握) 甘草(二两炙) 猕猴骨(三两炙) 天灵盖(一两
烧作灰末)
乌
分
三服。微吐不利。忌生葱、生菜、海藻、
知母鳖甲汤 疗温疟。壮热。不能食。
知母 鳖甲(炙) 地骨皮(各三两) 竹叶(切一升) 石膏(四两碎) 常山(二
两) 上
切。以
麻黄饮子 治温疟。烦闷。
麻黄(一两去根节) 牡蛎粉(一两) 蜀漆(半两) 甘草(半两) 犀角屑(半两)
知母(半两)
桂枝芍药汤 治疟寒热大作。不论先后。此太阳阳明合病也。经曰热胜而动也。发
热则必汗
也。
桂枝(三钱) 黄 知母 石膏 芍药(各一两) 上为末。每服七钱。至一两。水
煎。
如药
松罗汤 治温疟热渴。体痛。
松罗(半两) 乌梅肉(炒) 栀子(去皮各半两) 升麻(三分) 鳖甲(去裙 醋
浸炙黄半
两)
常山汤 治温疟。
常山(锉半两) 鳖甲(去裙 醋浸炙黄) 甘草(生锉炙各一两) 车前草(一握切
成片子
三
滓。温服。
竹叶恒山汤 治温疟。壮热微寒。温疟之候也。壮热后如觉微寒。或战。疟作时
手足冷。少
淡竹叶(一握) 恒山(三两切) 小麦(一升) 上用水五升。渍一宿。明旦煮取二
升。温
分三
恒山饮(出圣惠方)治温疟。烦闷。
恒山(半两) 甘草(半两生用) 冬瓜汁(一升或生者煎汁亦可) 上锉以冬瓜汁浸
一宿。
早晨
治温疟方\x
用牡蛎和杜仲为末。蜜丸。每服三十丸。温水下。又方。取当归煮饮汁。
温疟与寒疟是有区别的。温疟是因为在冬季感受了风寒之邪,寒气潜伏在骨髓之中。到了春天,阳气盛大发散,邪气随着虚弱的肾气而发作。
风邪伤害人体时,应当使用麻黄汤治疗温疟初发时的症状:身体发热、头痛剧烈难以忍受。在即将醒来时出现寒战栗动、身体不定,不久便醒来。适宜服用此方。必须注意……(原文此处有缺漏)
麻黄(去除根和节,煎煮后掠去浮沫,焙干)、羌活(去除芦头)、牡丹(去除心)、独活(去除芦头)、栀子(去除心)、柴胡、母(原文似有缺字,疑为某药名,如“贝母”或“知母”,此处保留原意或略过,根据上下文推测可能为配伍药,但原文仅列“母”字,暂译为“母[药]”)、黄[芩/连?](原文仅列“黄”字,疑似缺字,暂译为“黄[药]”)。在未发病前服用。
这是常山丸,用于治疗温疟。
组成:常山、乌梅肉(熬制)、豉、天灵盖(炒,各六分)、知母、朱砂、蜀漆、大黄(各四分)。以上药物捣碎过筛,用蜂蜜调和制成丸剂,大小如梧桐子大。空腹服用。
忌食生葱、蔬菜、生血等食物。
常山汤,用于治疗温疟。症状包括潮热、身体消瘦,快要形成骨蒸劳热。
组成:常山(三两)、车前叶(一握)、甘草(二两,炙烤)、猕猴骨(三两,炙烤)、天灵盖(一两,烧成灰末)、乌[梅?](原文残缺)。分三次服用。如果引起轻微呕吐且不利,需禁忌食用生葱、生菜、海藻……
知母鳖甲汤,用于治疗温疟。症状为高热、不能进食。
组成:知母、鳖甲(炙烤)、地骨皮(各三两)、竹叶(切,一升)、石膏(四两,打碎)、常山(二两)。以上药物切碎,用水煎煮……(原文此处有缺漏)
麻黄饮子,治疗温疟引起的烦闷。
组成:麻黄(一两,去根节)、牡蛎粉(一两)、蜀漆(半两)、甘草(半两)、犀角屑(半两)、知母(半两)。
桂枝芍药汤,治疗疟疾寒热发作剧烈。不论先寒后热还是先热后寒。这是太阳经和阳明经合病。经文说:“热胜则动。”发热必然伴随出汗。
组成:桂枝(三钱)、黄[芩?]、知母、石膏、芍药(各一两)。以上药物研为末。每次服用七钱至一两,用水煎服。如果药物……(原文此处有缺漏)
松罗汤,治疗温疟引起的热渴、身体疼痛。
组成:松罗(半两)、乌梅肉(炒)、栀子(去皮,各半两)、升麻(三分)、鳖甲(去裙边,醋浸,炙黄,半两)。
常山汤,治疗温疟。
组成:常山(锉碎,半两)、鳖甲(去裙边,醋浸,炙黄)、甘草(生锉、炙烤,各一两)、车前草(一握,切成片)。煎取三汁,温服。
竹叶恒山汤,治疗温疟。症状为壮热微寒,这是温疟的征候。壮热之后如果觉得微寒,或者发生战栗,疟疾发作时手脚冰冷,少……(原文此处有缺漏)
组成:淡竹叶(一握)、恒山(即常山,三两,切)、小麦(一升)。以上药物用水五升,浸泡一夜。第二天早晨煮取二升。温服,分三次。
恒山饮(出自《圣惠方》),治疗温疟。症状为烦闷。
组成:恒山(即常山,半两)、甘草(半两,生用)、冬瓜汁(一升,或用鲜冬瓜煎汁亦可)。以上药物锉碎,用冬瓜汁浸泡一夜。早晨……(原文此处有缺漏)
Wen Nue (Warm Malaria) and Han Nue (Cold Malaria) are distinct. Wen Nue arises from contracting wind-cold pathogens during winter. The cold qi hides within the bone marrow. When spring arrives, yang qi expands vigorously, and the pathogenic qi erupts due to kidney deficiency.
When wind pathogens injure the body, Mahuang Tang (Ephedra Decoction) should be used for the initial onset of Wen Nue, characterized by severe body heat and unbearable headache. Just before waking, there is chills and trembling with restlessness, followed by awakening shortly after. It is appropriate to take this formula. One must... [text missing].
Mahuang (Ephedrae Herba, remove roots and nodes, boil and skim foam, dry), Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Mudan (Moutan Cortex, remove heart), Duhuo (Angelicae Pubescentis Radix, remove rhizome head), Zhizi (Gardeniae Fructus, remove heart), Chaihu (Bupleuri Radix), Mu [herb name incomplete], Huang [herb name incomplete]. Take before the onset of symptoms.
This is Changshan Wan (Dichroa Pill), treating Wen Nue.
Ingredients: Changshan (Dichroae Radix), Wumei Rou (Prunus mume flesh, roasted), Chi (Fermented Soybean), Tianlinggai (Cranium humanum, fried, 6 fen each), Zhimu (Anemarrhenae Rhizoma), Zhusha (Cinnabaris), Shuqi (Perillae Folium), Dahuang (Rhei Radix et Rhizoma, 4 fen each). Pound and sieve the above ingredients. Mix with honey to form pills the size of tung seeds. Take on an empty stomach.
Avoid raw green onions, vegetables, and raw blood products.
Changshan Tang (Dichroa Decoction), treating Wen Nue. Symptoms include tidal fever, emaciation, and impending bone-steaming consumption.
Ingredients: Changshan (3 liang), Cheqian Ye (Plantaginis Leaf, one handful), Gancao (Licorice Root, 2 liang, honey-fried), Mihou Gu (Macaca Monkey Bone, 3 liang, fried), Tianlinggai (Cranium humanum, 1 liang, burnt to ash), Wu [incomplete]. Divide into three doses. If mild vomiting occurs without benefit, avoid raw green onions, raw vegetables, and Sargassum seaweed...
Zhimu Biejia Tang (Anemarrhena and Turtle Shell Decoction), treating Wen Nue. Symptoms are high fever and inability to eat.
Ingredients: Zhimu (3 liang), Biejia (Testudinis Carapax et Plastrum, fried), Digupi (Lycii Cortex, 3 liang), Zhuye (Bambusae Folium, cut, 1 sheng), Shigao (Gypsum Fibrosum, 4 liang, crushed), Changshan (2 liang). Cut the above ingredients and decoct in water... [text missing].
Mahuang Yinzi (Ephedra Drink), treating Wen Nue with vexation and oppression.
Ingredients: Mahuang (1 liang, remove roots and nodes), Moli Fen (Ostreae Concha powder, 1 liang), Shuqi (0.5 liang), Gancao (Licorice Root, 0.5 liang), Xijiao Xie (Rhinocerotis Cornu shavings, 0.5 liang), Zhimu (Anemarrhenae Rhizoma, 0.5 liang).
Guizhi Shaoyao Tang (Cinnamon Twig and Peony Decoction), treating severe alternating chills and fever in malaria, regardless of whether chills or fever comes first. This is a combined disease of the Taiyang and Yangming meridians. The classic states: "Excess heat causes movement." Fever inevitably leads to sweating.
Ingredients: Guizhi (Cinnamomi Ramulus, 3 qian), Huang [incomplete], Zhimu, Shigao, Shaoyao (Paeoniae Radix Alba, 1 liang each). Pound into powder. Take 7 qian to 1 liang per dose, decoct in water. If the medicine... [text missing].
Songluo Tang (Usnea Decoction), treating Wen Nue with heat-thirst and body pain.
Ingredients: Songluo (Usnea, 0.5 liang), Wumei Rou (Prunus mume flesh, fried), Zhizi (Gardeniae Fructus, peeled, 0.5 liang each), Shengma (Cimicifugae Rhizoma, 3 fen), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-soaked, fried yellow, 0.5 liang).
Changshan Tang (Dichroa Decoction), treating Wen Nue.
Ingredients: Changshan (Dichroae Radix, cut, 0.5 liang), Biejia (Testudinis Carapax et Plastrum, remove skirt, vinegar-soaked, fried yellow), Gancao (Licorice Root, raw cut and honey-fried, 1 liang each), Cheqian Cao (Plantaginis Herb, one handful, cut into slices). Decoct three times, take warm.
Zhuye Hengshan Tang (Bamboo Leaf and Dichroa Decoction), treating Wen Nue. Symptoms are intense fever with slight chills, which is the presentation of Wen Nue. After intense fever, if slight chills are felt, or shaking occurs, and hands and feet are cold during malaria attacks, little... [text missing].
Ingredients: Dan Zhuye (Bambusae Folium, one handful), Hengshan (i.e., Changshan/Dichroae Radix, 3 liang, cut), Xiaomai (Tritici Semen, 1 sheng). Add five sheng of water, soak overnight. On the next morning, boil to obtain two sheng. Take warm, divide into three doses.
Hengshan Yin (Dichroa Drink, from *Shenghui Fang*), treating Wen Nue with vexation and oppression.
Ingredients: Hengshan (Dichroae Radix, 0.5 liang), Gancao (Licorice Root, 0.5 liang, raw use), Donggua Zhi (Winter Melon Juice, 1 sheng, or fresh juice). Cut the herbs and soak overnight in winter melon juice. In the morning... [text missing].
Formula for treating Wen Nue:
Use Oyster Shell (Ostreae Concha) and Eucommia Bark (Eucommiae Cortex) pounded into powder. Form pills with honey. Take 30 pills per dose with warm water. Another formula: Take Angelica Sinensis (Angelicae Sinensis Radix) and decoct in water to drink the juice.