芎归鳖甲散
治表里俱虚,真元未复,疾虽暂止,小劳复来。
当归 川芎 白茯苓(去皮) 青皮(去白) 陈皮(去白) 半夏(汤洗七次) 鳖
甲(去裙,醋
上锉散。每服三钱,姜五片,枣二枚,乌梅一个,水煎。不以时服。热多,加柴胡。寒
多,
消癖丸
治弥年经吐汗下,营卫亏损,邪气伏藏胁间,结为症癖,腹胁坚痛。
芫花(炒) 朱砂(研。各等分)
上为末,炼蜜丸如小豆。每服十丸,浓煎枣汤下。去癖,须用芫花、大戟破水之剂,下
后即
八正散
治证发则心烦脸赤,声叫,烦躁,极热,欲冷地上卧,及饮冷浆,加牛黄、灯心、
青煎,即效。(方见积热类。)
白虎汤
治热疟,表里俱热,时时恶寒,大渴,口舌干燥,加人参二钱。(方见伤寒通治类
分利顺元散
治虚怯人患疟,未可进常山等药者。
川乌(一两) 附子(一两或二两) 南星(二两) 木香(别锉,五钱,旋入)
上除木香不见火,三味各一半,去皮生用,即三生饮。一半炮熟,即顺元散。和合切片,
每
服
四将军饮
治疟作时仆厥,撼掖不醒,是心中抑郁,阴阳交战所致,先根据灸法,(见后。)仍
附子(一两) 诃子(四个) 陈皮(四个,全者) 甘草(四寸)
上锉散。每服四钱,水二盏,生姜七片,枣七枚,煎至七分。初服或不纳,再进则渐能
咽,
七枣汤
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,炮裂,以盐水浸,再炮,如此凡七次,至七次不浸,去皮脐)
上锉散。水一碗,生姜七片,枣七枚,煎至七分。当发日,空心温服,仍吃枣子三五枚。
理脾饮
治脾胃不和,疟疾,泻利腹痛,下部无力,体重足痿,脚下痛,饮食中满,四肢不
此方极验。
橘皮(生用) 甘草(炙) 浓朴(去粗皮,一两,姜汁炒) 羌活 防风 肉豆蔻 白
茯苓
(各
上锉散。每服二钱,水一盏,煎至八分,空心食前服。
果附汤
治脾寒疟疾不愈,振寒少热,面青不食,或大便溏泄,小便反多。
草果仁 附子(炮,去皮脐,各等分)
上锉散。每服半两,水二盏,姜七片,枣一枚,煎至七分,温服,不拘时候。
黑锡丹
治冷痰作疟。(方见痼冷类。)
冷附汤
治疟疾,无过是痰实痞塞不通,脾胃弱虚,热在上,停于胸膈,不得入于脏腑,所
更冷服,乃使药下达,壮脾胃,去痰实,除虚热,降心气。屡用屡效。
附子(重九文,一个,炮,去皮脐)
上切作片,分二服。水二大盏,生姜十片,煎至一盏。隔夜煎下,用薄绵覆盏面,露一
宿,
芎归鳖甲散
治疗表里俱虚,真元尚未恢复,疾病虽然暂时停止,但稍加劳累就会复发。
当归、川芎、白茯苓(去皮)、青皮(去白)、陈皮(去白)、半夏(用汤洗七次)、鳖甲(去裙边,醋炙)。
以上药材锉成散剂。每次服用三钱,加生姜五片、大枣二枚、乌梅一个,用水煎煮。不拘时候服用。热象多者,加柴胡。寒象多者,[加附子等温阳药]。
消癖丸
治疗经年吐血、出汗、攻下之后,营卫亏损,邪气潜伏藏匿于胁间,结聚形成症癖,腹部和胁部坚硬疼痛。
芫花(炒制)、朱砂(研细,各等分)。
以上药材制成粉末,用炼蜜制成如小豆大小的丸剂。每次服用十丸,用浓煎的大枣汤送服。去除症癖,必须使用芫花、大戟这类攻破水饮的药剂,服药后[即排出积滞]。
八正散
治疗的证候发作时心烦意乱、面部发红、大声呼叫、烦躁不安、极度发热,想要躺在冰冷的地上,以及想喝冷饮,加入牛黄、灯心草、青黛煎服,立即见效。(方剂见积热类。)
白虎汤
治疗热疟,表里俱热,时常感到恶寒,极度口渴,口舌干燥,加入人参二钱。(方剂见伤寒通治类)
分利顺元散
治疗体虚怯弱之人患疟疾,尚不能进用常山等药物的情况。
川乌(一两)、附子(一两或二两)、南星(二两)、木香(另锉,五钱,随时加入)。
以上除木香外不经过火烤,其余三味药材各取一半,去皮生用,即为三生饮。另一半炮制熟用,即为顺元散。混合切片,每次服用[适量]。
四将军饮
治疗疟疾发作时昏仆厥逆,腋下摇动不醒,这是心中抑郁,阴阳交战所致,先根据灸法治疗,(见后文。)仍[需配合药物]。
附子(一两)、诃子(四个)、陈皮(四个,完整的)、甘草(四寸)。
以上药材锉成散剂。每次服用四钱,加水两盏,生姜七片,大枣七枚,煎至七分。初次服用如果不能吞咽,再次进服则逐渐能咽下。
七枣汤
治疗五脏气虚,阴阳相争,导致疟疾,不论寒热先后,也不论是单独发作、连日发作还是隔日发作,都主治此病。
附子(一枚,炮裂,用盐水浸泡,再炮制,如此共七次,到第七次不再浸泡,去皮脐)。
以上药材锉成散剂。用水一碗,生姜七片,大枣七枚,煎至七分。在疟疾发作当天,空腹温服,并吃三五枚大枣。
理脾饮
治疗脾胃不和,疟疾,腹泻腹痛,下部无力,身体沉重足部痿软,脚下疼痛,饮食停滞中焦脘腹胀满,四肢[倦怠]。
此方非常有效。
橘皮(生用)、甘草(炙)、厚朴(去粗皮,一两,姜汁炒)、羌活、防风、肉豆蔻、白茯苓。
(各[等量])
以上药材锉成散剂。每次服用二钱,加水一盏,煎至八分,空腹食前服用。
果附汤
治疗脾寒疟疾久治不愈,发冷多于发热,面色青暗不想进食,或者大便溏泄,小便反而增多。
草果仁、附子(炮制,去皮脐,各等分)。
以上药材锉成散剂。每次服用半两,加水两盏,生姜七片,大枣一枚,煎至七分,温服,不拘时候。
黑锡丹
治疗冷痰引起的疟疾。(方剂见痼冷类。)
冷附汤
治疗疟疾,没有超过痰实痞塞不通的情况,脾胃虚弱,热邪在上,停聚于胸膈,不能进入脏腑,所以更宜冷服,以使药力下达,壮补脾胃,去除痰实,清除虚热,降泄心气。屡用屡效。
附子(重九文,一个,炮制,去皮脐)。
以上切成片,分两次服用。加水两大盏,生姜十片,煎至一盏。隔夜煎好,用薄绵覆盖碗面,露置一宿,[次日服用]。
Xionggui Biejia San (Ligusticum and Turtle Shell Decoction)
Indicated for deficiency in both the exterior and interior, with the primordial essence not yet restored. Although the disease may temporarily cease, it recurs with slight exertion.
Angelicae Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Poria (Baifuling, 白茯苓, peeled), Citri Reticulatae Pericarpium Viride (Qingpi, 青皮, pith removed), Citri Reticulatae Pericarpium (Chenpi, 陈皮, pith removed), Pinelliae Rhizoma Preparatum (Banxia, 半夏, washed seven times in decoction), Testudinis Carapax et Plastrum (Biejia, 鳖甲, skirt removed, vinegar-processed).
The above ingredients are cut into coarse powder. Take three qian per dose, with five slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), two Jujubae Fructus (Dazao, 大枣), and one Sumei Fructus (Wumei, 乌梅). Decoct in water. Take at any time. If heat predominates, add Bupleuri Radix (Chaihu, 柴胡). If cold predominates, [add Aconiti Lateralis Radix Praeparata (Fuzi, 附子)].
Xiao Pi Wan (Eliminate Mass Pill)
Indicated for chronic hematemesis, sweating, and purgation leading to depletion of Ying and Wei (nutritive and defensive qi), with pathogenic factors hiding in the hypochondrium, forming masses and accumulations, causing hardness and pain in the abdomen and hypochondrium.
Genkwa Flos (Yuanhua, 芫花, stir-fried), Cinnabaris (Zhusha, 朱砂, ground). Equal parts.
Grind into powder, mix with refined honey to form pills the size of small beans. Take ten pills per dose, with a thick decoction of Jujubae Fructus (Dazao, 大枣). To eliminate masses, agents that break down fluid retention such as Genkwa Flos (Yuanhua, 芫花) and Euphorbiae Pekinensis Radix (Daji, 大戟) must be used; after administration, [accumulations are expelled].
Bazheng San (Eight-Utensils Powder)
Indicated for symptoms upon onset: mental restlessness, flushed face, shouting, irritability, extreme heat, desire to lie on cold ground, and craving for cold drinks. Adding Rhinocerotis Cornu (XiJiaojiao, 犀角 - note: modern substitute usually used), Junci Medulla (Dengxincao, 灯心草), and Qingdai (Indigo Naturalis, 青黛) yields immediate effect. (See Accumulated Heat category for formula.)
Baihu Tang (White Tiger Decoction)
Indicated for heat malaria with heat in both exterior and interior, occasional aversion to cold, extreme thirst, and dryness of mouth and tongue. Add Ginseng Radix et Rhizoma (Renshen, 人参) two qian. (See General Treatment of Cold Damage category for formula.)
Fenli Shunyuan San (Separating Fluids and Harmonizing Primordial Essence Powder)
Indicated for malaria in persons with deficiency and timidity, who cannot yet tolerate drugs such as Polygalae Radix (Changshan, 常山).
Aconiti Kusnezoffii Radix (Chuanwu, 川乌, one liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, one or two liang), Arisaematis Rhizoma (Nanxing, 南星, two liang), Aucklandiae Radix (Muxiang, 木香, separately cut, five qian, added later).
Except for Muxiang, do not expose to fire. Take half of each of the other three ingredients, peel and use raw; this is Sansheng Yin (Three Lives Decoction). Process the other half until cooked; this is Shunyuan San. Mix and slice. Take [appropriate amount] per dose.
Sijiangjun Yin (Four Generals Drink)
Indicated for syncope and cold limbs during malaria attacks, with trembling axillae and unconsciousness, caused by depression in the heart and conflict between Yin and Yang. First apply moxibustion according to method (see below), and still [use medication].
Aconiti Lateralis Radix Praeparata (Fuzi, 附子, one liang), Terminalia Chebulae Fructus (Hezi, 诃子, four), Citri Reticulatae Pericarpium (Chenpi, 陈皮, four, whole), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, four cun).
Cut into coarse powder. Take four qian per dose, with two zhan of water, seven slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and seven Jujubae Fructus (Dazao, 大枣). Decoct to seven-tenths volume. If initially unable to swallow, subsequent doses will gradually be tolerated.
Qizao Tang (Seven-Jujube Decoction)
Indicated for Qi deficiency of the Five Viscera, with mutual contention of Yin and Yang causing malaria, regardless of whether cold or heat appears first, or whether it occurs daily, consecutively, or every other day.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子, one piece, cracked by frying, soaked in salt water, fried again, repeated seven times; on the seventh time, do not soak, remove skin and navel).
Cut into coarse powder. Use one bowl of water, seven slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and seven Jujubae Fructus (Dazao, 大枣). Decoct to seven-tenths volume. On the day of attack, take warm on an empty stomach, and eat three to five Jujubae Fructus (Dazao, 大枣).
Lipi Yin (Spleen-Harmonizing Drink)
Indicated for disharmony of Spleen and Stomach, malaria, diarrhea with abdominal pain, weakness in the lower body, heavy body and flaccid legs, pain in the soles, food stagnation in the middle jiao causing fullness, and [fatigue of the four limbs].
This formula is highly effective.
Citri Reticulatae Pericarpium (Jupi, 橘皮, raw), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草, honey-fried), Magnoliae Officinalis Cortex (Houpo, 厚朴, remove rough bark, one liang, stir-fried with ginger juice), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风), Myristicae Semen (Roudoukou, 肉豆蔻), Poria (Baifuling, 白茯苓).
(Equal parts)
Cut into coarse powder. Take two qian per dose, with one zhan of water. Decoct to eight-tenths volume. Take on an empty stomach before meals.
Guofu Tang (Caoguo and Aconite Decoction)
Indicated for persistent spleen-cold malaria with chills predominating over fever, blueish complexion, anorexia, loose stools, or increased urination.
Arecae Catalognae Fructus (Guofu, 草果仁), Aconiti Lateralis Radix Praeparata (Fuzi, 附子, processed, remove skin and navel, equal parts).
Cut into coarse powder. Take half liang per dose, with two zhan of water, seven slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), and one Jujubae Fructus (Dazao, 大枣). Decoct to seven-tenths volume. Take warm, at any time.
Heixi Dan (Black Tin Pill)
Indicated for malaria caused by cold phlegm. (See Intractable Cold category for formula.)
Lengfu Tang (Cold Aconite Decoction)
Indicated for malaria where there is no condition exceeding phlegm-solidity and obstruction. With weak and deficient Spleen and Stomach, heat resides above, stagnating in the chest and diaphragm, unable to enter the viscera. Therefore, it is better to take it cold to allow the medicine to descend, strengthen the Spleen and Stomach, eliminate phlegm-solidity, clear deficient heat, and subdue Heart Qi. It has been repeatedly effective.
Aconiti Lateralis Radix Praeparata (Fuzi, 附子, weighing nine wen, one piece, processed, remove skin and navel).
Slice and divide into two doses. Add two large zhan of water and ten slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct to one zhan. Decoct overnight, cover the bowl with thin cotton, leave exposed overnight, [take the next day].