伏暑成疟，每日一发，过一日，则迟一时，十二
经络循环无休，此名鬼疟。宜用桂枝汤合柴胡汤，加
龙骨、牡蛎扶正却邪也。
此言疟发，过一日则迟一时，转辗循环，无有休息。斯
邪不在脏腑，而在经络，故其发必由营卫循行，周流不息。
而名鬼疟者，以日迟一时，刻无参差，如有神附故也，宜用
桂枝汤合柴胡汤，护阳泄邪，仍兼龙骨、牡蛎镇神却邪 毌
使邪盛正虚，而迁延岁月也。
伏暑疟发间日，或早或晚，腕胀脉弦，舌淡便
溏，此太阴疟也。宜用清脾饮加鳖甲、青蒿、神曲等
味。温脾理邪也。
凡疟邪之来，必由四末以抗扰中宫，发虽间日，腕长脉弦，
舌淡便溏，是脾阳大伤，木乘所胜，将延肿满。故用白术、
厚朴、半夏，茯芩、陈皮，神曲、草果温太阴，兼柴胡、青
皮、鳖甲清厥阴也。
伏暑三日一疟，或临夜分，面黄食减，腹膨便
溏，脉弦，此厥阴疟也。宜用吴又可三甲散合清脾
饮，理脾疏肝也。
疟己成三，更值暮夜，是邪伏三阴，最为深邃，虽厉肝
邪，久必伤脾，若见面黄食减，腹胀便溏，乃脾受其所不
胜，而正气伤也。若不扶脾，必滋胀满。故用清脾饮理脾疏
肝，合吴氏三甲散，以搜隐伏之邪，则脾元渐复，肝邪渐
泄，疟不攻自止矣。
伏暑病发展为疟疾，每天发作一次；若过了一天再发，则发作时间比前一天推迟一个时辰。十二经络循环运行没有休止，这种病症称为“鬼疟”。适宜使用桂枝汤合柴胡汤，并加入龙骨、牡蛎，以扶助正气、驱除邪气。
这里所说的疟疾发作，过一天才发作一次，且每次发作时间推迟一个时辰，辗转循环，没有休息。这是因为邪气不在脏腑，而在经络，所以其发作必然随着营卫之气的循行而周流不息。之所以称为“鬼疟”，是因为每天发作时间推迟一个时辰，分秒不差，好像有神灵附体一样，适宜使用桂枝汤合柴胡汤，保护阳气、宣泄邪气，同时兼用龙骨、牡蛎来镇摄神志、驱除邪气，防止邪气盛而正气虚，导致病情迁延日久。
伏暑引起的疟疾隔日发作，发作时间或早或晚，手腕肿胀（注：原文为腕胀，通常指手腕部症状或脉象相关，此处依字面翻译），脉象弦，舌质淡，大便溏薄，这是太阴疟。适宜使用清脾饮，加入鳖甲、青蒿、神曲等药物。以此温补脾阳、调理邪气。
凡是疟邪来袭，必定从四肢末端侵入，进而干扰中焦脾胃。虽然发作是隔日一次，但手腕肿胀、脉象弦、舌质淡、大便溏薄，说明脾阳受到严重损伤，肝木乘克脾土，将会延续发展为肿胀满闷。因此使用白术、厚朴、半夏、茯苓、陈皮、神曲、草果来温补太阴脾经，兼用柴胡、青皮、鳖甲来清泄厥阴肝经。
伏暑引起的疟疾三日发作一次，或者在夜间临睡前发作，面色发黄，食欲减退，腹部膨隆，大便溏薄，脉象弦，这是厥阴疟。适宜使用吴又可的三甲散合清脾饮，以调理脾脏、疏理肝脏。
疟疾已经形成三日一发的规律，又正值暮夜时分，说明邪气潜伏在三阴经，位置最为深邃。虽然主要侵害肝邪，但长久必会伤及脾脏。如果见到面色发黄、食欲减退、腹胀、大便溏薄，这是脾脏受到了其所不胜（即肝木）的克制，导致正气受损。如果不扶持脾土，必然会导致腹胀满闷。因此使用清脾饮来调理脾脏、疏理肝脏，配合吴氏三甲散，以搜剔隐伏的邪气，这样脾元逐渐恢复，肝邪逐渐泄出，疟疾不攻自止。
When Summerheat-Turbidity (Shuyu) develops into Malaria, it occurs once daily. If the interval extends to one day later, the onset time is delayed by one shichen (two hours). The twelve meridians circulate without rest; this condition is named "Ghost Malaria" (Guinie). It is appropriate to use Guizhi Tang (Cinnamon Twig Decoction) combined with Chaihu Tang (Bupleurum Decoction), adding Longgu (Fossilized Bones) and Muli (Oyster Shell) to support the healthy Qi and expel the pathogenic factor.
This passage describes malaria where the onset is delayed by one shichen after a day's interval, cycling continuously without respite. This indicates that the pathogen resides not in the Zang-Fu organs but in the meridians; thus, its manifestation follows the circulation of Ying and Wei Qi, flowing unceasingly. It is called "Ghost Malaria" because the delay of one shichen each day is precise, as if possessed by a spirit. Therefore, Guizhi Tang combined with Chaihu Tang should be used to protect Yang Qi and vent the pathogen, while simultaneously employing Longgu and Muli to calm the Spirit and expel the pathogen, preventing the pathogen from becoming excessive and the healthy Qi from becoming deficient, which would lead to a protracted course.
Summerheat-Turbidity Malaria occurring at intervals of two days, with variable onset times (early or late), swelling at the wrist, wiry pulse, pale tongue, and loose stools, constitutes Taiyin Malaria. It is appropriate to use Qingpi Yin (Spleen-Clearing Drink) added with Biejia (Turtle Shell), Qinghao (Sweet Wormwood Herb), and Shenqu (Medicated Leaven). This formula warms the Spleen and regulates the pathogen.
Whenever Malaria pathogens arrive, they must enter from the extremities to disturb the Central Palace (Spleen and Stomach). Although the fever occurs at intervals, the presence of wrist swelling, wiry pulse, pale tongue, and loose stools indicates severe damage to Spleen Yang, with Liver Wood overacting on Earth, potentially progressing to edema and distension. Therefore, Baizhu (Atractylodis Macrocephalae Rhizoma), Houpo (Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Shenqu (Massa Medicata Fermentata), and Caoguo (Tsao-ko Fruit) are used to warm the Taiyin, while Chaihu (Bupleuri Radix), Qingpi (Aurantii Fructus Viridis), and Biejia are used to clear the Jueyin.
Summerheat-Turbidity Malaria occurring every three days, or manifesting near midnight, with sallow complexion, reduced appetite, abdominal distension, loose stools, and a wiry pulse, constitutes Jueyin Malaria. It is appropriate to use Wu Youke's Sanjia San (Three-Shells Powder) combined with Qingpi Yin to regulate the Spleen and soothe the Liver.
Malaria having established a three-day cycle, coinciding with the evening hours, indicates that the pathogen is latent within the Three Yin meridians, lying deepest. Although it primarily affects the Liver pathogen, prolonged duration inevitably injures the Spleen. Manifestations such as sallow complexion, anorexia, abdominal distension, and loose stools indicate that the Spleen is being overcome by its uncongenial element (Liver Wood), resulting in injury to the Healthy Qi. If the Spleen is not supported, abdominal distension and fullness will surely ensue. Thus, Qingpi Yin is used to regulate the Spleen and soothe the Liver, combined with Wu Shi's Sanjia San to search out and eliminate latent pathogens. Consequently, the Spleen Yuan gradually recovers, the Liver pathogen gradually dissipates, and the malaria ceases spontaneously.