小儿寒疟，身必无汗，因先伤于寒，后伤于风，故先寒后热，寒多热少。古法主麻黄羌活汤（如麻黄、羌活、
防风、生甘草，引用生姜）。
〔真按〕寒属阴邪，小儿因感寒而发疟，恶寒拘急，面带惨色，谓之寒疟。身虽无汗，麻黄、羌、防、表
汗太过，多生变端。方用姜炒广皮二钱，紫川朴一钱，漂苍术八分，草果仁三分，花槟榔八分，炙甘草五分，引
用生姜一片、上桂心一分，冲服。
小儿暑疟，因伤暑而得此证。阴气独微，阳气独发，但热不寒，非风疟寒疟可比，古法主柴胡白虎汤（如人
参、柴胡、黄芩、半夏、熟石膏、知母、炙甘草、晚粳米，引用生姜、大枣）。
〔真按〕暑虽亦称阳邪，然暑为热中之寒邪，故证见独热无寒，烦渴少睡，呕恶时作，肌肉消烁，谓之暑疟，
宜解暑毒为主，柴胡石膏二味，究不宜用。方以冬桑叶二钱，炙鳖甲捣碎二钱，肥知母钱半，淡黄芩一钱，浙贝
母二钱，西瓜翠衣三钱，川石斛钱半，生甘草五分，引用藕汁一两冲服。
小儿湿疟，因冒袭雨湿，汗出澡浴，坐卧湿地，而得此证，古法主胃苓汤（如漂白术、炒浓朴、广陈皮、炒
白术、白茯苓、结猪苓、炒泽泻、炙甘草、上青桂，引用生姜）。
〔真按〕湿亦阴邪，既发湿疟，必见身体肿痛，肢节乏力，呕逆胀满诸病状。方用云茯苓三钱，生野术钱
半，炒薏米二钱，川朴花一朵，藿香叶八分，粉葛花五分，花槟榔八分，炒常山五分，引用乌梅一个，煎好，候
微温服之。
小儿寒疟，身体必然没有汗出，这是因为先感受了寒邪，后又感受了风邪，所以表现为先恶寒后发热，且恶寒重而发热轻。古代医法主要使用麻黄羌活汤（包含麻黄、羌活、防风、生甘草，煎服时加入生姜作为药引）。
〔陈守真按语〕寒属于阴邪，小儿因感受寒邪而引发疟疾，出现怕冷、肢体拘挛紧急的症状，面色苍白惨淡，这被称为寒疟。虽然身体无汗，但使用麻黄、羌活、防风等药物发汗太过猛烈，容易产生变证。因此我使用的方剂是：姜炒广陈皮二钱，紫川朴一钱，漂苍术八分，草果仁三分，花槟榔八分，炙甘草五分，药引为生姜一片、上桂心一分（冲服）。
小儿暑疟，是因为感受暑邪而得到此证。此时阴气微弱，阳气独盛外发，表现为只有发热而没有恶寒，这与风疟、寒疟不同。古代医法主要使用柴胡白虎汤（包含人参、柴胡、黄芩、半夏、熟石膏、知母、炙甘草、晚粳米，煎服时加入生姜、大枣作为药引）。
〔陈守真按语〕暑虽然也被称为阳邪，但暑中夹杂热中之寒邪，所以症状表现为独自发热而无恶寒，心烦口渴、睡眠减少，不时呕吐恶心，肌肉消瘦枯槁，这被称为暑疟，治疗应以解除暑毒为主。柴胡和石膏这两味药，终究是不宜使用的。我使用的方剂是：冬桑叶二钱，炙鳖甲捣碎二钱，肥知母一钱半，淡黄芩一钱，浙贝母二钱，西瓜翠衣三钱，川石斛一钱半，生甘草五分，药引为藕汁一两（冲服）。
小儿湿疟，是因为冒雨受湿，出汗后洗澡，或坐卧在潮湿之地而得到此证。古代医法主要使用胃苓汤（包含漂白术、炒浓朴、广陈皮、炒白术、白茯苓、结猪苓、炒泽泻、炙甘草、上青桂，煎服时加入生姜作为药引）。
〔陈守真按语〕湿也属于阴邪，一旦发作湿疟，必定会出现身体肿痛、四肢关节乏力、呕吐逆气、腹胀满等各种病状。我使用的方剂是：云茯苓三钱，生野术一钱半，炒薏米二钱，川朴花一朵，藿香叶八分，粉葛花五分，花槟榔八分，炒常山五分，药引为乌梅一个，煎好后，待药液微温时服用。
Pediatric cold malaria is characterized by an absence of sweating, resulting from initial exposure to cold pathogens followed by wind pathogens; thus, chills precede fever, with chills being more severe than heat. Ancient methods primarily employed Mahuang Qianghuo Tang (Mahuang Decoction with Notopterygium), containing Ephedrae Herba (Mahuang, 麻黄), Notopterygii Rhizoma (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风), and raw Licorice Root (Sheng Gancao, 生甘草), with fresh ginger as a guide drug.
[Chen Shouzhen's Note] Cold is a yin pathogen. When children contract malaria due to cold invasion, they exhibit aversion to cold and muscle rigidity/tension, with a pale and sallow complexion, termed "cold malaria." Although there is no sweating, the use of Mahuang, Qianghuo, and Fangfeng induces excessive diaphoresis, which may lead to complications. Therefore, I prescribe: Ginger-processed Tangerine Peel (Jiang Chao Guangpi) 2 qian, Purple Magnolia Bark (Zi Chuanpu/Cinnamomi Cortex variant context implies Magnolia bark here usually Zhi Houpo but text says Zi Chuan Pu, likely referring to specific processing or local name for Magnolia bark in this context, strictly translating as Purple Chuanpu/Magnolia Bark) 1 qian, Drifted Atractylodes Rhizome (Piao Cangzhu, 苍术) 8 fen, Tsaoko Cardamom Seed (Caoguo Ren, 草果仁) 3 fen, Areca Nut (Huabinglang, 槟榔) 8 fen, Honey-fried Licorice Root (Zhi Gancao, 炙甘草) 5 fen, with fresh ginger slice and Cinnamon Twig Heart (Shang Guixin, 桂心) 1 fen (taken in solution) as guides.
Pediatric summerheat malaria arises from summerheat pathogen invasion. Yin qi is distinctly weak while yang qi flares independently, presenting with heat only and no chills, distinguishing it from wind malaria or cold malaria. Ancient methods primarily utilized Chaihu Baihu Tang (Bupleurum and White Tiger Decoction), containing Ginseng Radix (Renshen, 人参), Bupleuri Radix (Chaihu, 柴胡), Scutellariae Radix (Huangqin, 黄芩), Pinelliae Rhizoma (Banxia, 半夏), Prepared Gypsum Fibrosum (Shu Shigao, 熟石膏), Anemarrhenae Rhizoma (Zhimu, 知母), honey-fried Licorice Root (Zhi Gancao, 炙甘草), and late-season rice grains (Wan Jingmi, 晚粳米), with fresh ginger and Jujube (Dazao, 大枣) as guide drugs.
[Chen Shouzhen's Note] Although summerheat is also termed a yang pathogen, it contains cold within heat; thus, symptoms present as isolated heat without chills, accompanied by irritability, thirst, reduced sleep, intermittent nausea/vomiting, and emaciation, termed "summerheat malaria." Treatment should focus on resolving summerheat toxicity. Consequently, Chaihu and Shigao are ultimately unsuitable. I prescribe: Mulberry Leaf (Dongsangye, 冬桑叶) 2 qian, Calcined Turtle Shell (Zhi Biejia, 炙鳖甲) 2 qian (crushed), Large Anemarrhenae Rhizome (Fei Zhimu, 知母) 1.5 qian, Light Scutellariae Radix (Dan Huangqin, 黄芩) 1 qian, Zhejiang Fritillaria Bulb (Zhe Beimu, 浙贝母) 2 qian, Watermelon Rind (Xiguacuiyi, 西瓜翠衣) 3 qian, Dendrobium Stem (Chuanshihu, 川石斛) 1.5 qian, raw Licorice Root (Sheng Gancao, 生甘草) 5 fen, with Lotus Root Juice (Ou Zhi, 藕汁) 1 liang (taken in solution) as a guide.
Pediatric dampness malaria results from exposure to rain and dampness, bathing after sweating, or sitting/lying on wet ground. Ancient methods primarily employed Weiling Tang (Stomach and Five-Li Decoction), containing Bleached Atractylodes Macrocephala Rhizome (Baimaoyu), Stir-fried Magnolia Bark (Chao Nongpu), Tangerine Peel (Guang Chenpi), Stir-fried Atractylodes Rhizome (Chao Baizhu, 白术), Poria (Baifuling, 茯苓), Polyporus (Jie Zhuling, 猪苓), Stir-fried Alisma Rhizome (Chao Zexie, 泽泻), honey-fried Licorice Root (Zhi Gancao, 炙甘草), and Cinnamon Twig (Shang Qinggui), with fresh ginger as a guide drug.
[Chen Shouzhen's Note] Dampness is also a yin pathogen. Once dampness malaria manifests, symptoms must include body swelling/pain, limb/joint weakness, vomiting/reversal of qi, and abdominal distension/fullness. I prescribe: Cloud Poria (Yun Fuling, 茯苓) 3 qian, Raw Wild Atractylodes Rhizome (Sheng Yeshu, 生野术) 1.5 qian, Stir-fried Coix Seed (Chao Yimi, 薏米) 2 qian, Magnolia Flower (Chuanpuhua, 川朴花) 1 flower, Pogostemon Leaf (Huoxiangye, 藿香叶) 8 fen, Kudzu Flower (Fengehua, 粉葛花) 5 fen, Areca Nut (Huabinglang, 槟榔) 8 fen, Stir-fried Pericymium Polygalae (Chao Changshan, 常山) 5 fen, with one Chinese Plum (Wumei, 乌梅) as a guide, decocted and taken when slightly warm.