蓬莪术 京三棱（醋煮一伏时，各二两） 胡椒（一两） 阿魏（二分，醋化） 青皮
（三两）
共为末，作丸矾红为衣。
疟疾，口亡五味，饮食腹痛膨胀者，名曰食疟，此方主之。
食疟者，食积成疟也。《内经》曰留者攻之，故用蓬术、三棱、阿魏以攻积；积之为患
，气快则行，气滞则止，得热则行，得寒则结，故用青皮之辛以快气，胡椒之温以散结；复
用矾红为衣者，假其土性以培脾胃云尔。
人参 茯苓 甘草 半夏 陈皮 苍术 浓朴 藿香 乌梅 草果
疟因饮食饥饱伤胃而成者，名曰胃疟，此方主之。
《内经》曰∶阴之所生，本在五味；阴之五宫，伤在五味。故饥则胃气弱，而阴无所生
；饱则胃气强，而五宫因以损，是饥饱皆足以伤胃也。胃伤则营卫虚而谷气乖，乖则争，争
则邪正分，寒热作，而成疟矣。方中有人参、茯苓、甘草之甘，可以补胃之不足；有陈皮、
苍术、浓朴之辛，可以平胃之有余；半夏之辛，可使醒脾；藿香之香，可使开胃；乌梅之酸，
可
苍术（泔浸） 浓朴（姜炒，各一两） 陈皮（三两，去白） 藿香 石菖蒲 甘草（炙，
各
一两五钱）
疟疾，因感山岚瘴气，发时乍寒乍热，一身沉重者，名曰瘴疟，此方主之。
山岚瘴气，谷气也。《内经》曰∶谷气通于脾。故此方主以治脾。苍术、浓朴，平脾家
之敦阜也；陈皮、甘草，调脾家之虚实也；藿香、石蒲，开脾家之障碍也。经曰治病必求其
本，此之谓也。正考见瘟疫门。
蓬莪术、京三棱（用醋煮一个时辰，各二两）、胡椒（一两）、阿魏（二分，用醋化开）、青皮（三两）。
以上药物共同研磨成粉末，制成丸剂，以红矾为外衣。
对于疟疾，口中无味，饮食后腹痛、腹胀的患者，称为食疟，此方主治。
所谓食疟，是由食积导致的疟疾。《内经》说：“有留滞的病邪要用攻逐的方法治疗”，所以使用蓬莪术、三棱、阿魏来攻逐积滞；积滞的弊端在于，气机通畅则运行，气机阻滞则停止，遇热则运行，遇寒则凝结，所以使用青皮的辛味来使气机通畅，使用胡椒的温性来散除凝结；再次使用红矾作为外衣，是借用其土性来培补脾胃罢了。
人参、茯苓、甘草、半夏、陈皮、苍术、浓朴、藿香、乌梅、草果。
疟疾因饮食饥饱损伤胃气而形成的，称为胃疟，此方主治。
《内经》说：“阴精的产生，根本在于五味；阴精的五脏，伤害也在于五味。”所以饥饿时胃气虚弱，阴精无法生成；饱食时胃气过强，五脏因此受损，这说明饥饿和饱食都足以损伤胃气。胃受伤则营卫虚弱且谷气失调，失调则相争，相争则正气与邪气分离，寒热发作，从而形成疟疾。方中有人参、茯苓、甘草的甘味，可以补益胃气的不足；有陈皮、苍术、浓朴的辛味，可以平抑胃气的有余；半夏的辛味，可以使脾醒转；藿香的香气，可以使胃开胃纳；乌梅的酸味，可以……
苍术（用淘米水浸泡）、浓朴（用姜炒，各一两）、陈皮（三两，去白）、藿香、石菖蒲、甘草（炙，各一两五钱）。
疟疾，因感受山岚瘴气，发作时忽冷忽热，全身沉重的，称为瘴疟，此方主治。
山岚瘴气，属于谷气。《内经》说：“谷气通于脾。”所以此方主要用来治疗脾病。苍术、浓朴，可以平抑脾土的壅盛；陈皮、甘草，可以调理脾土的虚实；藿香、石菖蒲，可以开通脾土的障碍。经书说治病必须探究根本，说的就是这个道理。正考详见瘟疫门。
Curcumae Zedoariae Rhizoma (Zedoary), Bistortae Rhizoma (Polygoni Bistortae Rhizoma) [Jing San Leng] (boiled in vinegar for one *fu* period, 2 liang each), Piperis Nigris Fructus (Black Pepper, 1 liang), Ferulae Resina (Asafoetida, 2 fen, dissolved in vinegar), Aurantii Fructus Immaturus (Green Tangerine Peel, 3 liang).
Grind all into powder, make into pills, coated with Alum Red (Fan Hong).
For malaria where the mouth loses taste, and there is abdominal pain and distension after eating, named Food Malaria (Shi Nue), this formula is indicated.
Food Malaria refers to malaria caused by food accumulation. The *Neijing* states: "Those that are retained should be attacked," therefore Curcumae Zedoariae Rhizoma, Bistortae Rhizoma, and Ferulae Resina are used to attack the accumulation; the harm of accumulation is that when Qi moves freely it flows, when Qi stagnates it stops, when heated it flows, when cold it knots. Therefore, the acridity of Aurantii Fructus Immaturus is used to move Qi freely, and the warmth of Piperis Nigris Fructus is used to dissipate knots; again, using Alum Red as a coating borrows its Earth nature to support the Spleen and Stomach.
Ginseng Radix et Rhizoma (Ren Shen), Poria (Fu Ling), Glycyrrhizae Radix et Rhizoma (Licorice Root, Gan Cao), Pinelliae Tuberum (Pinellia Rhizome, Ban Xia), Citri Reticulatae Pericarpium (Tangerine Peel, Chen Pi), Atractylodis Rhizoma (Cang Zhu), Magnoliae Officinalis Cortex (Hou Po), Pogostemonis Herba (Guang Huo Xiang), Mume Fructus (Wu Mei), Tsaoko Fructus (Cao Guo).
Malaria formed due to damage to the Stomach from irregular diet (hunger or fullness) is named Stomach Malaria (Wei Nue), this formula is indicated.
The *Neijing* states: "The source of Yin lies in the Five Flavors; the Five Palaces of Yin are damaged by the Five Flavors." Thus, hunger makes Stomach Qi weak, and Yin has no source to generate; fullness makes Stomach Qi strong, and the Five Palaces are thereby damaged. This shows that both hunger and fullness can damage the Stomach. When the Stomach is damaged, Ying and Wei become deficient, and Grain Qi becomes disordered. Disorder leads to contention, contention leads to the separation of Zheng (Upright) and Xie (Pathogenic), causing cold and heat to arise, thus forming malaria. The formula contains the sweetness of Ginseng Radix et Rhizoma, Poria, and Glycyrrhizae Radix et Rhizoma to tonify the insufficiency of Stomach Qi; the acridity of Citri Reticulatae Pericarpium, Atractylodis Rhizoma, and Magnoliae Officinalis Cortex to pacify the excess of Stomach Qi; the acridity of Pinelliae Tuberum to awaken the Spleen; the fragrance of Pogostemonis Herba to open the Stomach appetite; the sourness of Mume Fructus to...
Atractylodis Rhizoma (soaked in rice water), Magnoliae Officinalis Cortex (stir-fried with ginger, 1 liang each), Citri Reticulatae Pericarpium (3 liang, remove white pith), Pogostemonis Herba, Acori Tatarinowii Rhizoma (Shi Chang Pu), Glycyrrhizae Radix et Rhizoma (honey-fried/roasted, 1.5 qian each).
Malaria contracted from mountain miasma (Zhan Qi), characterized by alternating chills and fever and heavy sensation throughout the body upon onset, is named Miasma Malaria (Zhang Nue), this formula is indicated.
Mountain miasma belongs to Grain Qi. The *Neijing* states: "Grain Qi connects to the Spleen." Therefore, this formula primarily treats the Spleen. Atractylodis Rhizoma and Magnoliae Officinalis Cortex pacify the excessive abundance of the Spleen's Earth; Citri Reticulatae Pericarpium and Glycyrrhizae Radix et Rhizoma regulate the deficiency and excess of the Spleen; Pogostemonis Herba and Acori Tatarinowii Rhizoma open the obstructions of the Spleen. The Classics state: "In treating disease, one must seek the root," which is what this refers to. See the Plague Section for further examination.