治诸疟先寒后热,或先热后寒,或寒热独作,或连日并发,或间日一发,
头疼恶心,烦渴引饮,气息喘急,口苦咽干,诸药不效。
川常山 知母 甘草(炙) 草果(不去皮,各二两) 乌梅(一两) 良姜(一两半)
上为锉散。每服四钱,水盏半,枣五枚,同煎七分,去滓温服,未发前,进三服。
治牝疟,寒多微热,或但寒不热。
柴胡(八两) 桂心(一两) 黄芩(三两) 牡蛎( ) 甘草(炙) 干姜(炮,各三两) 栝蒌根(一两)
上为锉散。每服四钱,水二盏,煎七分,去滓,空心服,日三服。初服微烦,汗出愈。
一法,有半夏三两。
病者寒热,颜色苍苍然,善太息,如死状,以蓄怒伤肝,气郁所致,名曰肝疟。
病者心烦,欲饮清水,反寒多,不甚热,乍来乍去,以喜伤心,心气耗散所致,名曰心疟。
病者寒多,腹中热痛,或渴或不渴,不热不泄,肠鸣汗出,以思伤脾,气郁涎结所致,名曰脾疟。
病者心寒,寒甚则发热,热间善惊,如有所见,以忧伤肺,肺气凝痰所致,名曰肺疟。
病者手足寒,洒然,腰脊痛,发热,大便难,目 ,以失志伤肾,名曰肾疟。
上五种疟疾,以脏气不和,郁结涎饮所致,治之各有方。
治五脏气虚,阴阳相胜,作为 疟,不问寒热先后,与夫独作,叠间日,悉主之。
附子(一枚,炮制,以盐水浸再炮,如此凡七次,至第七次不浸,去皮脐)
上锉散。水一碗,姜七片,枣七个,煎至八分盏,当发日空心温服,仍吃三五个枣子。
忌如常。《良方》用乌头,兼不用盐水浸,不特服之僭燥,亦不能分利阴阳。去滓服。
治疗各种疟疾,表现为先恶寒后发热,或先发热后恶寒,或单独出现恶寒或发热,或连续几日同时发作,或隔日发作一次,伴有头痛、恶心、心烦口渴想喝水、呼吸急促喘息、口苦咽干,服用其他药物无效。
川常山 知母 甘草(炙) 草果(不去皮,各二两) 乌梅(一两) 良姜(一两半)
以上药材切碎成散剂。每次服用四钱,用水一盏半,大枣五枚,一同煎煮至七分满,滤去药渣,温服。在疟疾发作前,服用三次。
治疗牝疟(以寒邪为主的疟疾),表现为恶寒多而微热,或只有恶寒没有发热。
柴胡(八两) 桂心(一两) 黄芩(三两) 牡蛎 甘草(炙) 干姜(炮制,各三两) 栝蒌根(一两)
以上药材切碎成散剂。每次服用四钱,用水两盏,煎煮至七分满,滤去药渣,空腹服用,每日三次。初次服药后轻微烦躁,出汗即愈。
另一种方法,加入半夏三两。
患者出现寒热往来,面色晦暗无华,喜欢长叹气,像死了一样,这是因为郁怒伤肝,气机郁结所致,称为肝疟。
患者心中烦乱,想喝清水,反而恶寒多而发热不明显,寒热交替不定,这是因为喜乐过度伤心,心气耗散所致,称为心疟。
患者恶寒多,腹中热痛,有时口渴有时不渴,不发热也不腹泻,肠鸣出汗,这是因为思虑过度伤脾,气郁痰湿凝结所致,称为脾疟。
患者感到心部寒冷,寒重则发热,发热间隙容易惊恐,好像看到了什么,这是因为忧愁伤肺,肺气凝滞生痰所致,称为肺疟。
患者手足寒冷,瑟瑟发抖,腰脊疼痛,发热,大便困难,眼睛昏花看不清,这是因为失志伤肾所致,称为肾疟。
上述五种疟疾,是因为脏腑之气不和,气郁导致痰饮内停所致,治疗各有相应的方剂。
治疗五脏气虚,阴阳相互偏胜,形成的疟疾,不论寒热先后,或是单独发作,还是隔日发作,都主治此证。
附子(一枚,炮制,用盐水浸泡后再炮制,如此共七次,到第七次时不再浸泡,去皮和脐)
以上切碎成散剂。用水一碗,生姜七片,大枣七个,煎煮至八分满,在疟疾发作当天空腹温服,并吃三五个枣子。
禁忌事项如常规所述。《良方》中使用乌头,并且不用盐水浸泡,不仅服用后会燥烈太过,也不能分清阴阳。滤去药渣后服用。
Treats various types of malaria presenting with chills preceding fever, or fever preceding chills, or isolated chills or fever, or simultaneous onset for consecutive days, or every-other-day onset. Accompanied by headache, nausea, irritability, thirst with desire to drink, rapid and labored breathing, bitter taste in the mouth, dry throat, and ineffectiveness of other medications.
Chuan Changshan (Radix Dichroae), Zhi Mu (Rhizoma Anemarrhenae), Gancao (Radix Glycyrrhizae, honey-fried), Caoguo (Fructus Tsaoko, skin not removed, each 2 liang), Wumei (Fructus Mume, 1 liang), Liangjiang (Rhizoma Alpiniae Officinarum, 1.5 liang).
Crush the above into a coarse powder. Take 4 qian per dose, with 1.5 cups of water and 5 jujubes. Decoct together until reduced to 0.7 parts. Strain and take warm. Administer three doses prior to the onset of the paroxysm.
Treats Pin Malaria (a type of malaria characterized by predominant cold), presenting with abundant chills and slight fever, or only chills without fever.
Chaihu (Radix Bupleuri, 8 liang), Guixin (Cortex Cinnamomi, 1 liang), Huangqin (Radix Scutellariae, 3 liang), Muli (Concha Ostreae), Gancao (Radix Glycyrrhizae, honey-fried), Ganjiang (Radix Zingiberis, processed, each 3 liang), Gualougen (Radix Trichosanthis, 1 liang).
Crush the above into a coarse powder. Take 4 qian per dose, with 2 cups of water. Decoct until reduced to 0.7 parts. Strain and take on an empty stomach, three times daily. Mild restlessness after the first dose indicates sweating and cure.
Another method includes adding Banxia (Rhizoma Pinelliae, 3 liang).
When patients exhibit alternating chills and fever, a sallow complexion, frequent sighing, and a state resembling death, it is caused by liver injury from suppressed anger leading to qi stagnation; this is named Liver Malaria.
When patients experience mental distress, desire to drink clear water, abundant chills with minimal fever, and fluctuating symptoms, it is caused by heart injury from excessive joy leading to dispersion of heart qi; this is named Heart Malaria.
When patients have abundant chills, heat and pain in the abdomen, variable thirst, no fever nor diarrhea, borborygmus, and sweating, it is caused by spleen injury from excessive thinking leading to qi stagnation and phlegm-damp accumulation; this is named Spleen Malaria.
When patients feel coldness in the chest, severe cold progressing to fever, fright during fever-free intervals, and visual hallucinations, it is caused by lung injury from sorrow leading to condensation of lung qi and phlegm; this is named Lung Malaria.
When patients have cold extremities, shivering, lower back and spine pain, fever, difficulty defecating, and blurred vision, it is caused by kidney injury from loss of willpower; this is named Kidney Malaria.
The aforementioned five types of malaria are caused by disharmony of zang-organ qi and stagnation leading to phlegm-fluid retention; each has its specific treatment formula.
Treats malaria resulting from deficiency of qi in the five zang organs and mutual excess of yin and yang, regardless of whether chills precede fever, fever precedes chills, or if they occur independently or intermittently every other day.
Fuzi (Radix Aconiti Lateralis Preparata, one piece, processed: soaked in salt water and processed again, repeated seven times; on the seventh time, do not soak, remove skin and umbilicus).
Crush the above into a coarse powder. Use one bowl of water, seven slices of ginger, and seven jujubes. Decoct until reduced to 0.8 cup. Take warm on an empty stomach on the day of the paroxysm, and consume three to five jujubes.
Dietary restrictions apply as usual. The *Liang Fang* uses Wutou (Radix Aconiti) and does not use salt water soaking; this results in excessive dryness and heat upon ingestion and fails to differentiate yin and yang. Strain and take.