(寒热往来,一日一发,或间日一发者,疟母之夹也。左胁下如覆杯者,乃瘀血夹湿痰,清肝汤主之)
加味清肝汤(左胁属肝,肝经湿热,夹瘀血而结成疟母)
柴胡 山栀子(炒) 川芎 当归 白芍药(酒炒) 鳖甲(醋炒,各七分) 玄胡索(五分) 槟榔 青皮 甘
草(各三分)
上服二、三帖,以瘥为度。而三帖无效,又服可也。
如气弱,加人参二、三分。
柴胡二陈汤(治右胁下覆杯,如痰饮成疟者也)
柴胡 陈皮 半夏(炮干,炒) 赤茯苓 鳖甲(各七分) 玄胡索(五分) 槟榔 青皮 甘草(各五分)
如气弱,加人参二、三分。
如痰癖,加何首乌五分。
一方∶朱砂、槟榔、石雄各三分为末,牟甘酒调和,当日饮之则神效。(此方治鳖疟)
一方∶患疟母黄瘦,地鼠肉或炙或烹食之。
一方∶小儿老疟,松寄生一、二钱煎服之。
一方∶丁香一钱半,草果(面炮煨)一钱,巴豆霜一分许。(小儿疟疾久不瘥者,服此极验)年壮疟疾,材倍入,
更加干姜五片可也。(此名丁香散)
窃观俗人轻视此症,先试章门针灸,次饮杂药,颇多得效。第章门近于血幕,而不能明知穴处,误加针刺,血流如
射,则欲为止血而艾灸其上,则血不得外流而内涌聚结,仍
成内肿,曾多见之。或章门灸处触风成疮,终未完合,仍为致夭者,间亦有之。或饮峻毒单方,渐至戍削骨立,不至成
长,亦或有之。此保幼之家,所当深戒,须忌针灸及毒药,制此和平之药(如丁香散之类),久服则万无不效之理,且
切禁生冷之饮可也。
(寒热交替发作,每日一次,或隔日一次的,是疟母兼夹的症状。左侧胁下感觉像倒扣的杯子一样硬满的,这是瘀血夹杂湿痰所致,以清肝汤为主治方剂)
加味清肝汤(左侧胁部归属于肝脏,因肝经湿热,夹杂瘀血而结成疟母)
柴胡、山栀子(炒)、川芎、当归、白芍药(酒炒)、鳖甲(醋炒,各七分)、玄胡索(五分)、槟榔、青皮、甘草(各三分)。
以上药物服用二至三帖,以病愈为限度。如果服用三帖后无效,可以继续服用。
如果患者气虚,加入人参二至三分。
柴胡二陈汤(治疗右侧胁下硬满如覆杯,属于痰饮导致类似疟疾症状者)
柴胡、陈皮、半夏(炮制干燥后炒)、赤茯苓、鳖甲(各七分)、玄胡索(五分)、槟榔、青皮、甘草(各五分)。
如果患者气虚,加入人参二至三分。
另一秘方:朱砂、槟榔、石雄各三分为末,用甘酒调和,当天饮用则神效。(此方治疗鳖疟)
另一秘方:患疟母且面色萎黄消瘦者,食用地鼠肉,可烤熟或煮熟吃。
另一秘方:小儿久疟不愈,用松寄生一两至二钱煎服。
另一秘方:丁香一钱半,草果(面粉包裹炮煨)一钱,巴豆霜约一分。(小儿疟疾日久不愈者,服用此方极有效验)成年壮实者的疟疾,药材用量加倍,并可再加干姜五片即可。(此方名为丁香散)
我观察世俗之人轻视此症,先尝试章门穴针灸,再服用各种杂药,颇多得效。但章门穴靠近血幕(血管丰富处),如果不能准确知道穴位位置,误加针刺,血液会喷射而出,想要止血而在其上艾灸,则血液不能外流而向内涌聚凝结,仍然形成内部肿块,这种情况我曾多见。或者章门穴灸处受风成疮,最终无法愈合,也有因此导致夭折的。或者服用峻烈有毒的单方,逐渐导致身体消瘦骨立,不能健康成长,也时有发生。这是保育幼儿的家庭所应当深深警惕的,必须禁忌针灸及毒药,制作这种平和的药物(如丁香散之类),长期服用则万无一失的道理,并且切记禁止生冷饮食即可。
(Alternating chills and fever, occurring once daily or every other day, are complications of Maimu (Spleen Enlargement due to Malaria). A sensation of hardness in the left hypochondrium resembling an inverted cup indicates blood stasis complicated by damp-phlegm; Qinggan Tang (Clear the Liver Decoction) is the primary formula.)
Jiawei Qinggan Tang (Modified Clear the Liver Decoction) [Indication: The left hypochondrium belongs to the Liver; damp-heat in the Liver channel, complicated by blood stasis, forms Maimu.]
Chai Hu (Bupleuri Radix), Shanzhizi (Gardeniae Fructus, stir-fried), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao Yao (Paeoniae Radix Alba, wine-fried), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, each 0.7 fen), Yanhusuo (Corydalis Rhizoma, 0.5 fen), Binglang (Arecae Semen), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.3 fen).
Take two to three doses above, stopping when recovered. If ineffective after three doses, continue administration.
If Qi deficiency exists, add Renshen (Ginseng Radix) 0.2–0.3 fen.
Chaihu Erchen Tang (Bupleurum and Two-Aged Decoction) [Indication: Treats hardness in the right hypochondrium resembling an inverted cup, caused by phlegm-fluid retention manifesting as malaria-like symptoms.]
Chai Hu (Bupleuri Radix), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, processed dry and stir-fried), Chi Fuling (Poria with Red Mycelium), Biejia (Testudinis Carapax et Plastrum, each 0.7 fen), Yanhusuo (Corydalis Rhizoma, 0.5 fen), Binglang (Arecae Semen), Qingpi (Citri Reticulatae Pericarpium Viride), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.5 fen).
If Qi deficiency exists, add Renshen (Ginseng Radix) 0.2–0.3 fen.
If Tanpi (phlegm accumulation forming a mass) is present, add Heshouwu (Polygoni Multiflori Radix) 0.5 fen.
Another prescription: Zhusha (Cinnabaris), Binglang (Arecae Semen), Shixiong (Realgar) each ground into powder (3 fen), mixed with sweet wine, drunk on the same day for miraculous effect. (This formula treats Biemie [Malaria with splenic enlargement].)
Another prescription: For patients with Maimu presenting with jaundice and emaciation, eat Ge Shu Rou (Meat of the Ground Rat), either roasted or boiled.
Another prescription: For chronic malaria in children, decoct Song Jisheng (Taxilli Herba) 1–2 qian and drink.
Another prescription: Dingxiang (Caryophylli Flos) 1.5 qian, Caoguo (Tsaoko Fructus, wrapped in flour and baked/roasted) 1 qian, Badoushuang (Euphorbiae Seminis Preparatum, approximately 1 fen). (For pediatric malaria persisting for a long time without recovery, this formula is highly effective.) For malaria in robust adults, double the dosage of ingredients, and additionally add five slices of Ganjiang (Zingiberis Rhizoma). (This is named Dingxiang San [Clove Powder].)
I observe that laypeople often underestimate this condition, first attempting acupuncture at Zhangmen (LR13), then drinking various miscellaneous medicines, achieving some success. However, Zhangmen is located near vascular plexuses ("blood curtains"); if the acupoint location is not accurately known and needle insertion causes bleeding like a spray, applying moxibustion to stop the bleeding may cause blood to pool internally rather than flow externally, leading to internal swelling, which I have seen frequently. Alternatively, sores formed by wind exposure at moxa sites may fail to heal, occasionally leading to premature death. Or, consuming harsh toxic single-herb prescriptions may gradually lead to severe emaciation and failure to thrive. These are matters that those caring for infants must strictly warn against. Acupuncture and toxic drugs should be avoided; instead, prepare mild formulas (such as Dingxiang San). Long-term consumption will surely be effective, and one must strictly avoid cold and raw foods.