孟右（六月） 阴气先伤，阳气独发，疟自阴来，但热无寒者谓之瘅疟，脉弦数，治宜银胡清骨饮。
北沙参 知母 粉丹皮 朱茯神 银胡 青蒿子 纯嫩钩 青荷梗 淡鳖甲 地骨皮 玫瑰花
某 劳倦内伤，久疟不已，脉弦数而濡，治宜补中益气。
真防党 鳖血炒柴胡 东白芍 白云苓 炙冬术 炙黑升麻 淡鳖甲 清炙甘草 嫩绵 新会
陈皮 何首乌 生姜汁炒奎红
陈（六月） 暑湿互扰阳明，又加瓜果伤脾，脾胃不和，肠鸣泄泻，次数甚多，脘闷腹
胀，口苦溺赤，脉右弦滑，治宜和中导滞。
生米仁 扁豆衣 半夏曲 白寇仁 车前草 制川朴 煨木香左金丸（五分拌） 赤苓
焦六曲 广藿香 新会皮 木猪苓 泽泻
或用胃苓汤原方亦可。
施 大便溏泄已稀，神色清润肌肉渐生，脾胃元气未复之征，脉形弦缓，治宜调中。
参苓白术原方。
景岳五阴煎，四神丸皆可用之。
程左（六月） 寒暑湿食互扰阳明，寒热似渐渐无，汗泄邪陷成痢，痢下白积，更衣腹
痛后重，脉弦滑而濡，舌苔黄腻，治宜和中导滞。
生米仁 煨木香左金丸（五分拌） 车前草 泽泻 广藿香 陈皮 木猪苓 赤苓 制川朴 楂炭 半夏曲
或可用枳壳大腹皮以疏泄之。
或加白蔻煨姜以温之。
按∶赤白痢初起亦从此法，即胃苓合香连之变方也，以米仁代术，车前代桂通阳，余三味合之即五苓散也。
患者孟某（六月就诊）：阴气先受损，阳气独自亢盛发作，疟疾由阴分而来，表现为只有发热而没有恶寒的，称为瘅疟（一种以高热为主、无寒战的疟疾）。脉象弦数，治疗适宜使用银胡清骨饮。
北沙参 知母 粉丹皮 朱茯神 银胡 青蒿子 纯嫩钩藤 青荷梗 淡鳖甲 地骨皮 玫瑰花
某患者：因劳倦导致内伤，久疟不愈，脉象弦数而濡软，治疗适宜补中益气。
真防党参 鳖血炒柴胡 东白芍 白云苓 炙冬术 炙黑升麻 淡鳖甲 清炙甘草 嫩绵黄芪 新会陈皮 何首乌 生姜汁炒奎宁红
陈某（六月就诊）：暑湿相互干扰阳明经，又加上瓜果损伤脾胃，导致脾胃不和，肠鸣泄泻，次数非常多，胃脘闷胀腹部胀满，口苦尿赤，右侧脉象弦滑，治疗适宜调和脾胃、导滞消积。
生米仁 扁豆衣 半夏曲 白寇仁 车前草 制川朴 煨木香左金丸（五分拌入） 赤茯苓 焦六曲 广藿香 新会皮 木猪苓 泽泻
也可以使用胃苓汤原方。
施某：大便溏泄已经变稀，神色清爽润泽，肌肉逐渐生长，这是脾胃元气尚未恢复的迹象，脉象形似弦缓，治疗适宜调理中焦。
参苓白术散原方。
景岳五阴煎，四神丸都可以使用。
程某左（六月就诊）：寒暑湿食相互干扰阳明经，寒热症状似乎渐渐消失，但汗出后邪气内陷形成痢疾，下痢白色积滞，排便时腹痛且有里急后重感，脉象弦滑而濡，舌苔黄腻，治疗适宜调和脾胃、导滞消积。
生米仁 煨木香左金丸（五分拌入） 车前草 泽泻 广藿香 陈皮 木猪苓 赤茯苓 制川朴 楂炭 半夏曲
或者可以使用枳壳、大腹皮来疏泄气机。
或者加入白蔻、煨姜来温中。
按语：赤白痢初起也采用此法，即胃苓汤合香连丸的变方，用米仁代替白术，车前草代替桂枝通阳，其余三味合在一起就是五苓散。
Patient Meng (June): Yin qi is damaged first, while Yang qi acts alone and erupts. Malaria originating from the Yin aspect, characterized by fever without chills, is called Dan Nue (Cachectic Malaria). The pulse is wiry and rapid; treatment should employ Yinhú Qīnggǔ Yǐn (Silver Twig and Pearl Decoction to Clear Bone Heat).
*Glehniae Radix* (Beishashen), *Anemarrhenae Rhizoma* (Zhimu), *Moutan Cortex* (Fendanpi), *Poria Cocos* with Cinnabar (Zhufushen), *Hedysari Radix* (Yinhu), *Artemisiae Annuae Fructus* (Qinghaozi), *Uncariae Ramulus cum Uncis* (Chunnengou), *Nelumbinis Petiolus et Costula* (Qinghegeng), *Testudinis Carapax et Plastrum* (Danbiejia), *Lycii Cortex* (Digupi), *Rosae Rugosae Flos* (Meiguimei).
Certain patient: Internal injury due to overwork and fatigue, chronic malaria persisting for a long time. The pulse is wiry, rapid, and soggy. Treatment should focus on Tonifying the Middle and Augmenting Qi (Buzhong Yiqi).
*Codonopsis Radix* (Zhenfangdang), *Bupleuri Radix* stir-fried with turtle blood (Xiechao Chaihu), *Paeoniae Radix Alba* (Dongbaishao), *Poria Cocos* (Baiyunling), *Atractylodis Macrocephalae Rhizoma* honey-fried (Zhidongzhu), *Cimicifugae Rhizoma* charred and honey-fried (Zheiheimashengma), *Testudinis Carapax et Plastrum* (Danbiejia), *Glycyrrhizae Radix et Rhizoma* honey-fried (Qingzhigancao), *Astragali Radix* (Nenmian), *Citri Reticulatae Pericarpium* (Xinhui Chenpi), *Polygoni Multiflori Preparatus Radix* (Heshouwu), *Quinine Hydrochloride* stir-fried with ginger juice (Shengjiangzhi chao Kuaihong).
Patient Chen (June): Summer-heat and dampness mutually disturb the Yangming channel, compounded by damage to the spleen from melons and fruits. Spleen and stomach disharmony results in borborygmus and diarrhea with frequent episodes, epigastric stuffiness, abdominal distension, bitter taste in the mouth, and dark urine. The right-side pulse is wiry and slippery. Treatment should harmonize the middle and guide out stagnation.
*Coicis Semen* (Shengyiren), *Lablab Albus Seed Coat* (Biandouyi), *Perillae Fructus Fermented* (Banxiaqu), *Amomi Fructus Rotundus* (Baikourén), *Plantaginis Herba* (Cheqiancao), *Magnoliae Officinalis Cortex* processed (Zhi chuanpu), *Aucklandiae Radix* baked, combined with *Zuojin Wan* (Wuxian ban), *Polyporus* (Chiling), *Medicated Leaven* charred (Jiao liuqu), *Patchouli Herba* (Guanghuoxiang), *Citri Reticulatae Pericarpium* (Xinhui pi), *Polyporus* (Muzhuling), *Alismatis Rhizoma* (Zexie).
Alternatively, the original formula of Weiling Tang may be used.
Patient Shi: Stool has become loose and thin; mental expression is clear and moist, muscles are gradually regenerating. These are signs that the primordial Qi of the spleen and stomach has not yet recovered. The pulse form is wiry and slow. Treatment should regulate the middle.
The original formula of Shenling Baizhu San.
Jingyue's Wuyin Jian and Sishen Wan are both applicable.
Patient Cheng (Left side, June): Cold, summer-heat, dampness, and food stagnation mutually disturb the Yangming channel. The alternating cold and heat seem to gradually cease, but sweating causes pathogenic factors to sink inward, forming dysentery. Dysenteric discharge contains white accumulation. Defecation is accompanied by abdominal pain and tenesmus. The pulse is wiry, slippery, and soggy; the tongue coating is yellow and greasy. Treatment should harmonize the middle and guide out stagnation.
*Coicis Semen* (Shengyiren), *Aucklandiae Radix* baked, combined with *Zuojin Wan* (Wuxian ban), *Plantaginis Herba* (Cheqiancao), *Alismatis Rhizoma* (Zexie), *Patchouli Herba* (Guanghuoxiang), *Citri Reticulatae Pericarpium* (Chenpi), *Polyporus* (Muzhuling), *Polyporus* (Chiling), *Magnoliae Officinalis Cortex* processed (Zhi chuanpu), *Crataegi Fructus* charred (Zhatan), *Perillae Fructus Fermented* (Banxiaqu).
Alternatively, *Eupatorii Herba* (Zhike) and *Arecae Pericarpium* (Fupi) can be used to vent and drain.
Alternatively, add *Amomi Fructus* (Baiko) and *Zingiberis Rhizoma* baked (Wei jiang) to warm.
Note: Early-stage red and white dysentery also follows this method, which is a variation of combining Weiling Tang and Xianglian Wan. *Coicis Semen* replaces *Atractylodis Macrocephalae Rhizoma*; *Plantaginis Herba* replaces *Cinnamomi Ramulus* to unblock yang. The remaining three herbs combined constitute Wuling San.