四肢软弱。身体重滞。经年不能起床。而饮食如故不痛不酸。有似乎湿而实非湿。乃肺
经受热。其叶焦垂。不能统摄一身之气。故成痿疾。
润肺扶气汤 治痿症。肺枯气弱。
茯苓 人参 白术 甘草 麦门冬 黄芩（各一钱） 桔梗 百合 薏苡仁（各八分） 北
五味（九粒） 当归 生地（各一钱二分）
水煎加藕汁半钟。食后服。
又方 治火炙肺枯。不能统摄。
山栀仁（炒黑） 栝蒌仁（去油） 当归（酒洗） 生地 百部（各一钱五分） 紫河车（二钱）
天门冬（去心） 陈皮 桔梗（蜜炒） 人参 沙参（各一钱）
枣二枚。灯心三十茎。食后服。
夫疟者。残虐之意也。从病从疟。故名曰疟。是病者。多发于秋。因夏伤于暑。故至秋
而发
也。有先寒后热。先热后寒。单寒无热。单热无寒。大寒大热。微寒微热之异。分而言之。
先寒后热者。先得于寒。先热后寒者。先得于热。又云先热者为血虚。先寒者为气虚。单寒
无热者内伤必重。单热无寒者内病必多。大寒大热者邪必深。微寒微热者邪必浅。又有久寒
久热。经年累月而不愈者。必其不守禁忌。兼以元气虚弱故也。合而言之不专于外伤客邪亦
平日饮酒不节。及七情六欲所伤。兼之以脾裹痰而不散。与内之饮食。外之暑气相结交固。
流聚于少阳之分。少阳位。人身之中为阴阳往来必由之路又在半表半里之间。阴血流过其处
激而发热。或阴阳交会则寒热交作。久而不愈则结成疟母。藏于胁下。胁下者少阳之分也。
治此病者。以引经药。引至少阳之分。而以消食化痰疏风调气之剂。量其轻重而投之。无不
应
矣。然同一疟也。有一日之发。间日一发。有三日一发者何也。盖病之所由来者。有远近也
。冬伤于寒不即病。直至明年秋而后发者。则三日一发之疟也。三日一发者。受病或一年。
间日一发。受病或半年。一日一发。受病或三月。每以得病之远近。为所发之日期也。医者
以心度之见其三日一发。则知其得于寒。当以辛温之药散之。见其间日一发。则知其得于暑
。当以清暑之药治之。然又必见其症有相合者。方可投也。如浙西但初发疟疾者。皆言谓之
胎疟。盖莫敢服药。若疟疾始初不去疏表。邪何能自散。而愈发愈盛矣。及至延之日久。气
血两虚。肝邪日旺。脾经受克。以至四肢消瘦。饮食少进。面黄肤肿。才议用药。如体浓
者
还可救疗。体弱者竟无救矣。既然有胎疟。亦HT 有胎伤寒。胎痢疾之说。何独疟疾有胎。而
他疾无胎乎。此言大谬之甚。如此帮助。后人谅不再朦蔽。以至误人之性命者耳。然不拘初
发再发。但有食则消食。有痰则化痰。有风则散风。有寒则攻寒。有热则驱热。有气则开气
新病则去其病。久病则补其元。神而明之。则存乎人也。
四肢软弱无力。身体沉重滞涩。常年无法起床。但饮食正常，没有疼痛或酸痛感。看起来像是湿病，但实际上并非湿病。这是由于肺经受热，导致肺叶焦枯下垂，不能统摄全身之气，从而形成痿证。
润肺扶气汤：治疗痿证，适用于肺燥气弱的情况。
药材组成：茯苓、人参、白术、甘草、麦门冬、黄芩（各一钱）；桔梗、百合、薏苡仁（各八分）；北五味子（九粒）；当归、生地黄（各一钱二分）。
煎服法：加水煎煮，加入半钟藕汁，饭后服用。
另一处方：治疗火邪灼伤致肺燥，无法统摄气机。
药材组成：山栀子仁（炒黑）、瓜蒌仁（去油）、当归（酒洗）、生地黄、百部（各一钱五分）；紫河车（二钱）；天门冬（去心）、陈皮、桔梗（蜜炒）、人参、沙参（各一钱）。
煎服法：加红枣两枚、灯心草三十茎，饭后服用。
所谓“疟”，有残虐之意。字形从疒从疟，因此命名为疟疾。这种病多发于秋季，是因为夏季受了暑邪，所以到了秋季才发作。症状表现有先恶寒后发热、先发热后恶寒、只有恶寒没有发热、只有发热没有恶寒、剧烈寒热交替、轻微寒热交替等不同差异。分别来说：先恶寒后发热的，是先感受寒邪；先发热后恶寒的，是先感受热邪。又说先发热的是血虚，先恶寒的是气虚。只有恶寒没有发热的，内伤必定严重；只有发热没有恶寒的，内部病变必定繁多。寒热剧烈的，邪气必定深重；寒热轻微的，邪气必定浅表。又有长期寒热、经年累月不愈的情况，这一定是因为不遵守禁忌，加上元气虚弱所致。综合来看，疟疾并不单纯由外感客邪引起，也常因平日饮酒无度，以及七情六欲所伤，兼之脾脏包裹痰湿而不消散，与体内的饮食积滞、外来的暑气相互勾结固着。这些邪气流聚在少阳经的部位。少阳经位于人身之中，是阴阳往来必经之路，处于半表半里之间。阴血流经此处受到激发而发热，或者阴阳交会时则出现寒热交替发作。如果久治不愈，就会结成“疟母”，藏匿于胁下。胁下正是少阳经所属部位。治疗此病，需用引经药将药力引导至少阳经部位，再配合消食化痰、疏风调气的方剂，根据病情轻重投药，无不奏效。然而同样是疟疾，有的每日发作，有的隔日发作，有的三日发作，为什么呢？这是因为致病时间的远近不同。冬季感受寒邪并未立即发病，直到次年秋季才发作的，就是三日一发之疟。三日发作一次，说明受病时间可能有一年；隔日发作一次，说明受病时间可能有半年；每日发作一次，说明受病时间可能有三个月。总是以得病时间的远近，来决定发作的日期。医者用心推测，见到三日一发，就知道是感受了寒邪，应当用辛温药物发散它；见到隔日一发，就知道是感受了暑邪，应当用清暑药物治疗它。但是必须看到症状相符，才可以投药。比如浙西地区，凡是初次患疟疾的人，都称之为“胎疟”。大概没有人敢服药。如果疟疾初期不去疏解表邪，邪气怎么能自行消散，反而会越来越盛。等到拖延日久，气血两虚，肝木邪气日益旺盛，克制脾土，以至于四肢消瘦，饮食减少，面色萎黄，皮肤浮肿，这时才商议用药。如果是体质壮实的人还可以救治，体质虚弱的人竟然无法挽救了。既然有“胎疟”的说法，也应该有“胎伤寒”、“胎痢疾”的说法，为什么唯独疟疾有“胎”，而其他疾病没有“胎”呢？这种说法非常荒谬。像这样的谬误帮助后人，相信不会再被蒙蔽，从而误人性命了。然而，无论初发还是复发，只要有食积就消食，有痰就化痰，有风就散风，有寒就攻寒，有热就驱热，有气滞就理气。新病则祛除病邪，久病则补益元气。神妙通达地运用这些原则，关键在于人本身的悟性与实践。
The four limbs are weak and flaccid, the body feels heavy and sluggish, unable to get out of bed for years, yet appetite remains normal without pain or soreness. It appears similar to dampness but is actually not dampness; rather, it is heat affecting the Lung Meridian (Lung Channel), causing the lung leaves to wither and hang down, unable to govern the qi of the whole body, thus forming Wei Syndrome (Flaccidity Syndrome).
*Ju Yao* states: If the Chi pulse (Kidney pulse) is weak, deficient, slow, choppy, and tight, or if it is flooding and large without root, it is intractable.
**Run Fei Fu Qi Tang (Moisten Lung and Support Qi Decoction)** treats Wei Syndrome (Flaccidity Syndrome) characterized by dry lungs and weak qi.
Ingredients: Poria (Fuling), Ginseng (Renshen), Atractylodes Macrocephala (Baizhu), Licorice Root (Gancao), Ophiopogon Tuber (Maidong), Scutellaria Root (Huangqin) (each 1 qian); Platycodon Root (Jiegeng), Lily Bulb (Baihe), Coix Seed (Yiyiren) (each 8 fen); Schisandra Berry (Bei Wuweiizi) (9 berries); Angelica Sinensis (Danggui), Rehmannia Root (Shengdi) (each 1.2 qian).
Preparation: Decoct in water, add half a cup of lotus root juice, take after meals.
Another prescription: Treats lung dryness caused by fire damaging the lungs, leading to an inability to govern qi.
Ingredients: Gardenia Seed (Shanzhiren) (stir-fried until black), Trichosanthes Seed (Gualouren) (oil removed), Angelica Sinensis (Danggui) (washed with wine), Rehmannia Root (Shengdi), Stemona Root (Baibu) (each 1.5 qian); Placenta Humanum (Ziheche) (2 qian); Asparagus Tuber (Tianmendong) (heart removed), Tangerine Peel (Chenpi), Platycodon Root (Jiegeng) (honey-fried), Ginseng (Renshen), Glehnia Root (Shashen) (each 1 qian).
Preparation: Add two jujubes and thirty stalks of Juncus Effusus (Dengxincao), decoct in water, take after meals.
The term "Nue" (Malaria/Intermittent Fever) implies cruelty or tyranny. Etymologically, it contains the disease radical, hence named Malaria. This disease often occurs in autumn, resulting from summerheat injury sustained in summer, manifesting in autumn. Symptoms vary: chills preceding fever, fever preceding chills, chills only without fever, fever only without chills, severe chills and fever, or mild chills and fever. Analyzed separately: Chills preceding fever indicates initial cold pathogen invasion; fever preceding chills indicates initial heat pathogen invasion. It is also said that fever preceding chills relates to blood deficiency, while chills preceding fever relates to qi deficiency. Chills only without fever suggests severe internal injury; fever only without chills suggests numerous internal pathological changes. Severe chills and fever indicate deep-seated pathogens; mild chills and fever indicate superficial pathogens. There are also cases of prolonged chills or fever lasting months or years without cure, due to violating dietary/lifestyle taboos combined with deficient primordial qi.
Synthetically, Malaria is not solely caused by external pathogenic factors. It often arises from immoderate alcohol consumption daily, injuries from the seven emotions and six desires, combined with phlegm encapsulated by the Spleen failing to disperse, interacting with internal food stagnation and external summerheat, accumulating in the Shaoyang (Lesser Yang) region. The Shaoyang position is the必经 pathway for the interchange of yin and yang in the human body, located between the exterior and interior (half-exterior, half-interior). When yin blood flows through this area and is stimulated, fever ensues; or when yin and yang intersect, alternating chills and fever occur. If uncured for a long time, a mass called "Nuomu" (Malaria Mother) forms, hidden under the hypochondrium. The hypochondrium is the domain of the Shaoyang meridian. To treat this disease, use guiding herbs to direct medicinal action to the Shaoyang region, then administer formulas for resolving food stagnation, transforming phlegm, dispersing wind, and regulating qi, dosed according to severity. No case will fail to respond.
However, why does Malaria present as occurring every day, every other day, or every three days? This is because the duration since infection varies. Cold pathogen acquired in winter without immediate illness, manifesting the following autumn, results in every-three-day Malaria. Every-three-day occurrence implies infection may have lasted a year; every-other-day implies half a year; daily occurrence implies three months. The interval of发作 corresponds to the duration since infection. Physicians deduce internally: seeing every-three-day发作, know it stems from cold, treat with acrid-warm herbs to disperse; seeing every-other-day发作, know it stems from summerheat, treat with heat-clearing herbs. However, symptoms must match before administering medication. For instance, in Western Zhejiang, initial malaria cases are all called "Tai Nue" (Fetal Malaria). Presumably, no one dares to take medicine. If initial malaria is not treated by releasing the exterior, how can pathogens dissipate naturally? Instead, they become more intense. Delaying treatment leads to depletion of qi and blood, hyperactivity of Liver pathogen, suppression of the Spleen meridian, resulting in emaciated limbs, poor appetite, sallow complexion, and edematous skin. Only then is medication considered. Those with robust constitutions may still be saved; those with weak constitutions are beyond saving. Since there is "Tai Nue," there should logically be "Tai Shanghan" (Fetal Cold Damage) and "Tai Liji" (Fetal Dysentery). Why only Malaria has "Tai" while others do not? This statement is highly absurd. Such erroneous views prevent later generations from being enlightened, thereby avoiding misdiagnosis costing lives. Regardless of whether it is initial or recurrent发作, if there is food stagnation, resolve it; if phlegm, transform it; if wind, disperse it; if cold, attack it; if heat, drive it away; if qi stagnation, open it. For new diseases, eliminate the pathogen; for chronic diseases, tonify the yuan qi. The divine application of these principles depends on the practitioner.