用蜀漆洗去腥云母烧二日夜龙骨等分杵为末治牡疟多寒者未发前以浆水服半钱温疟
漆（半分）临发时服（一钱匕）
用蜀漆知母升麻白薇地骨皮麦门冬（各五分）乌梅肉鳖甲炙葳蕤（各四分）石膏（八分）
甘草（三分炙）常山（六分）豆豉（一合）熬捣筛为末蜜和丸如梧子大饮下十丸日再服加至
二十丸
用无不瘥加光明朱砂一两神良治岭南瘴气乍热乍寒积劳似疟皆主之兼治 疟连年不瘥忌
菘菜苋菜生葱生菜、
用蜀漆青术香升麻鳖甲炙牡蛎熬朱砂研猪苓香豉（各四分）常山大黄（各八分）为末蜜
和丸
梧子大米汤下寸二丸日二服渐渐瘥至平复止治瘴疟不瘥
治冷痹手足腰痛沉重及身体烦疼背项拘急
黄 （蜜炙） 防风（去芦） 羌活 赤芍药（酒炒） 姜黄（炒） 当归（酒洗各二
钱五分） 甘草（炙五分）
上作一服用水二钟生姜（五片）枣（二枚）煎至一钟食前服一方无防风
愚按风寒湿三者合而成痹又曰邪之所凑其气必虚荣气虚则不仁卫气虚则不用故用黄 以
实卫
相使
即蠲痹汤无黄 防风有白术海铜皮生姜水煎去滓入沉香汁少许食前服治臂痛不能举
常苦左臂痛或以为饮或以为风为湿诸药悉投继以针灸俱不得效用此方而愈盖是气血凝滞
不行所致非风非湿腰以下食前服腰以上食后服
使用蜀漆，洗净去除腥味；云母，煅烧两昼夜；龙骨，三者等分，研成细末。治疗牡疟（以寒战为主症的疟疾），在症状发作前，用浆水送服半钱。温疟，使用蜀漆（半分），在即将发作时服用（一钱匕）。
使用蜀漆、知母、升麻、白薇、地骨皮、麦门冬（各五分），乌梅肉、鳖甲（炙）、葳蕤（各四分），石膏（八分），甘草（三分，炙），常山（六分），豆豉（一合）。将上述药材熬制后捣碎过筛成粉末，用蜂蜜调和制成梧桐子大小的丸剂。每次饮服十丸，每日两次，逐渐增加至二十丸。此方用于无不痊愈的情况，加入光明朱砂一两，效果神良。主治岭南地区的瘴气，表现为忽冷忽热、积劳似疟的症状，均以此方主治。兼治多年不愈的疟疾。忌食菘菜（白菜）、苋菜、生葱、生菜。
使用蜀漆、青术（苍术）、香附、升麻、鳖甲（炙）、牡蛎（熬）、朱砂（研）、猪苓、香豉（各四分），常山、大黄（各八分）。研成粉末，用蜂蜜调和制成梧桐子大小的丸剂。用米汤送服十二丸，每日两次，病情逐渐好转直至康复停止服药。治疗瘴疟久治不愈。
治疗冷痹，症状包括手足腰痛沉重及身体烦疼、背项拘急。
黄芪（蜜炙）、防风（去芦头）、羌活、赤芍药（酒炒）、姜黄（炒）、当归（酒洗，各二钱五分），甘草（炙五分）。
以上为一服的量，用水二钟，生姜（五片），大枣（二枚），煎煮至一钟，饭前服用。另一版本方中无防风。
我按语：风寒湿三种邪气结合而成痹证。又说“邪之所凑，其气必虚”，荣气虚则感觉迟钝（不仁），卫气虚则运动无力（不用）。因此使用黄芪来充实卫气，起到相使的作用。
即蠲痹汤去掉黄芪和防风，加入白术、海桐皮、生姜，水煎去渣，加入少许沉香汁，饭前服用。治疗臂痛不能举起。
常常苦于左臂疼痛，有人认为是痰饮，有人认为是风或湿，各种药物都投用过，接着又用针灸，都没有效用，使用此方而痊愈。这大概是气血凝滞不行的缘故，并非风邪或湿邪所致。腰以下的病证在饭前服用，腰以上的病证在饭后服用。
Use *Scutellariae Radix* (Shuqi), wash to remove the fishy smell; use *Yunmu* (Cloud Mother/Mica), calcine for two days and nights; use *Longgu* (Dragon Bone/Fossilized Bones). Equal parts of these three, pound into powder. Treat *Mu Nue* (Malaria with predominant chills). Before the onset of symptoms, take half a *qian* with *Jiangshui* (fermented rice water). For *Wen Nue* (Warm Malaria), use *Shuqi* (0.5 *fen*), take at the time of impending attack (1 *qian bi*).
Use *Shuqi*, *Zhimu* (Anemarrhenae Rhizoma), *Shengma* (Cimicifugae Rhizoma), *Baiwei* (Cleisostomatis Herba), *Digupi* (Lycii Cortex), *Maimendong* (Ophiopogonis Tuber) (each 0.5 *fen*); *Wumei Rou* (Pruni Fructus Seedless), *Biejia* (Testudinis Carapax et Plastrum, prepared with heat), *Weirui* (Polygonati Odorati Rhizoma) (each 0.4 *fen*); *Shigao* (Gypsum Fibrosum) (0.8 *fen*); *Gancao* (Glycyrrhizae Radix et Rhizoma, prepared with heat) (0.3 *fen*); *Changshan* (Dichroae Radix) (0.6 *fen*); *Douchi* (Sojae Semen Praeparatum) (1 *he*). Decoct, crush, and sieve into powder. Mix with honey to form pills the size of *Wuzi* (seed of a Chinese parasol tree). Take ten pills with water, twice daily. Gradually increase to twenty pills. This formula ensures recovery in all cases; add 1 *liang* of *Guangming Zhusha* (Vermilion/Realgar) for divine efficacy. It treats miasma (*Zhangqi*) in Lingnan, characterized by alternating hot and cold, and exhaustion resembling malaria. It is also indicated for malaria persisting for years without cure. Avoid consuming *Songcai* (Chinese Cabbage), *Xiancai* (Amaranth), raw green onions, and raw vegetables.
Use *Shuqi*, *Qingzhu* (Atractylodis Rhizoma, black-skin variety), *Xiangfu* (Cyperi Rhizoma), *Shengma*, *Biejia* (prepared with heat), *Muli* (Ostreae Concha, prepared with heat), *Zhusha* (Cinnabar, ground), *Zhuling* (Polyporus), *Xiangchi* (Fermented Soybean) (each 0.4 *fen*); *Changshan*, *Dahuang* (Rhei Radix et Rhizoma) (each 0.8 *fen*). Pound into powder. Mix with honey to form pills the size of *Wuzi*. Take twelve pills with rice soup, twice daily. Continue until the condition gradually improves and returns to normal, then stop. Treats refractory *Zhang Nue* (Miasma Malaria).
Treats *Leng Bi* (Cold Bi Syndrome), with symptoms including heaviness and pain in the lower back and limbs, general body soreness, and stiffness/tension in the back and neck.
*Huangqi* (Astragali Radix, prepared with honey), *Fangfeng* (Saposhnikoviae Radix, de-gorged), *Qianghuo* (Notopterygii Rhizoma et Radix), *Chishao* (Paeoniae Radix Rubra, stir-fried with wine), *Jianghuang* (Curcumae Longae Rhizoma, stir-fried), *Danggui* (Angelicae Sinensis Radix, washed with wine) (each 2.5 *qian*); *Gancao* (Glycyrrhizae Radix et Rhizoma, prepared with heat) (0.5 *qian*).
Take as one dose. Use 2 *zhong* of water, 5 slices of *Shengjiang* (Zingiberis Rhizoma Fresh), and 2 dates (*Dazao*). Decoct to 1 *zhong*. Take before meals. Another version excludes *Fangfeng*.
My commentary: The combination of Wind-Cold-Dampness forms Bi Syndrome. It is said that "where pathogenic factors gather, Qi must be deficient." Deficiency of Ying-Qi leads to insensibility (*burén*), and deficiency of Wei-Qi leads to immobility (*buyòng*). Therefore, *Huangqi* is used to consolidate the Wei-Qi, acting synergistically (*xiangshi*).
This is the *Juanbi Tang* (Bi-Dispelling Decoction) without *Huangqi* and *Fangfeng*, added with *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Haitongpi* (Spatholobi Caulis/Bark variant), and *Shengjiang*. Decoct in water, strain, and add a small amount of *Chenxiang* (Aquilariae Lignum Resinatum) juice. Take before meals. Treats arm pain preventing elevation.
Often suffering from left arm pain, some attribute it to phlegm-fluid retention, others to Wind or Dampness. Various medicines were tried, followed by acupuncture, all without effect. This formula cured it. This is due to stagnation of Qi and Blood, not merely Wind or Dampness. For conditions below the waist, take before meals; for conditions above the waist, take after meals.