人参(一钱) 升麻(三分) 甘草(一钱) 黄 (一钱五分) 陈皮(去白) 当
归白术
柴胡(各五分)
疟疾经年不愈者,名曰 疟,宜此方主之。
,老也。经年不愈,则气血皆虚,疟邪深入矣。气虚,则有参、 、术、草以补气;
血虚,则有当归以养血;疟邪深入,则有柴胡、升麻以升举之,邪气可渐出之表也。方内有
陈皮,可以消痰泄气,能助升、柴而成功。若疟发于夜者,丹溪所谓入阴分、血分也,宜于
本方倍入当归,或兼四物可也。正考见脾胃门,互考见虚损门。
柴胡(八两) 人参 黄芩 甘草(各三两) 栝蒌根(四两) 生姜(二两) 大枣
(十二枚)
疟疾,微劳不任,经年不瘥,前后复发者,名曰劳疟,此方主之。
任事之劳,责之筋力。筋属肝,少阳胆则其腑也。方中有柴胡、黄芩,可以清少阳之邪
热;有栝蒌根,可以生液养筋;有人参、甘草,可以补虚祛劳;有大枣、生姜,可以调荣益
胃。又曰∶参、草、姜、枣,胃家药也。能精于肝,淫气于筋,惟胃能之,故用此方以调劳
疟。
柴胡 人参 半夏 陈皮 黄芩 甘草 浓朴 苍术 生姜 大枣
疟发时,一身尽痛,手足沉重,寒多热少,脉濡者,名曰湿疟,此方主之。
上件皆湿证也,故用小柴胡以和解表里,平胃散以健脾制湿。二方合而为一,故名曰柴
平。小柴胡汤正考见伤寒门,平胃散正考见湿门。
人参(一钱) 升麻(三分) 甘草(一钱) 黄芪(一钱五分) 陈皮(去白) 当归 白术 柴胡(各五分)
疟疾经年不愈者,名曰劳疟,宜此方主之。
“劳”字,意为老也。病程经年不愈,则气血皆虚,疟邪深入体内。气虚,则有参、芪、术、草以补气;血虚,则有当归以养血;疟邪深入,则有柴胡、升麻以升举阳气,使邪气可逐渐透出体表。方内有陈皮,可以消痰泄气,能助柴胡、升麻而成功。若疟疾发作于夜间者,是丹溪所谓入阴分、血分也,宜于本方中加倍使用当归,或兼用四物汤亦可。正考见脾胃门,互考见虚损门。
柴胡(八两) 人参 黄芪 黄芩 甘草(各三两) 栝蒌根(四两) 生姜(二两) 大枣(十二枚)
疟疾,微劳不任,经年不瘥,前后复发者,名曰劳疟,此方主之。
从事日常劳作,责之于筋力。筋归属于肝,少阳胆则是其腑。方中有柴胡、黄芩,可以清少阳之邪热;有栝蒌根,可以生津液养筋脉;有人参、甘草,可以补虚祛劳;有大枣、生姜,可以调和营卫益胃。又说:参、草、姜、枣,是调理胃家的药物。能够精通于肝,淫气于筋,只有胃能做到,故用此方来调治劳疟。
疟疾发作时,一身尽痛,手足沉重,寒多热少,脉濡者,名曰湿疟,此方主之。
上述症状皆为湿证表现,故用小柴胡汤以和解表里,平胃散以健脾制湿。两方合而为一,故名曰柴平汤。小柴胡汤正考见伤寒门,平胃散正考见湿门。
Ren Shen (1 qian) Sheng Ma (3 fen) Gan Cao (1 qian) Huang Qi (1.5 qian) Chen Pi (peeled) Dang Gui Bai Zhu Chai Hu (each 0.5 qian)
When malaria persists for years without cure, it is called Lao Malaria (Chronic/Malnutrition-induced Malaria), and this formula should be used as the primary treatment.
The character "Lao" means old or chronic. When the disease persists for years without resolution, both Qi and Blood become deficient, and the malaria pathogen penetrates deeply into the interior. For Qi deficiency, Ren Shen, Huang Qi, Bai Zhu, and Gan Cao are used to tonify Qi; for Blood deficiency, Dang Gui is used to nourish Blood; for the deep-seated malaria pathogen, Chai Hu and Sheng Ma are used to raise and lift Yang Qi, allowing the pathogenic factor to gradually emerge to the exterior. The formula contains Chen Pi, which can resolve phlegm and drain Qi, assisting Chai Hu and Sheng Ma in achieving success. If the malaria attacks at night, according to Danxi, it has entered the Yin aspect and Blood aspect. In this case, it is appropriate to double the dosage of Dang Gui in this formula, or to combine it with Si Wu Tang (Four Substance Decoction). For the main examination, refer to the Spleen and Stomach section; for cross-reference, see the Deficiency and Damage section.
Chai Hu (8 liang) Ren Shen Huang Qi Huang Qin Gan Cao (each 3 liang) Gua Lou Gen (4 liang) Sheng Jiang (2 liang) Da Zao (12 pieces)
When malaria occurs, accompanied by an inability to bear even slight exertion, persisting for years without recovery, and recurring repeatedly, it is called Lao Malaria, and this formula is indicated.
Daily labor places demands on sinews and strength. Sinews belong to the Liver, and the Shaoyang Gallbladder is its associated Fu organ. The formula contains Chai Hu and Huang Qin, which can clear Shaoyang pathogenic heat; Gua Lou Gen can generate fluids and nourish sinews; Ren Shen and Gan Cao can tonify deficiency and dispel fatigue; Da Zao and Sheng Jiang can harmonize Ying and Wei and benefit the Stomach. It is also said: Ren Shen, Gan Cao, Sheng Jiang, and Da Zao are herbs for regulating the Stomach house. Only the Stomach can effectively influence the Liver and distribute Qi to the sinews; therefore, this formula is used to regulate Lao Malaria.
Chai Hu Ren Shen Ban Xia Chen Pi Huang Qin Gan Cao Hou Po Cang Zhu Sheng Jiang Da Zao
When malaria attacks, causing pain throughout the entire body, heaviness in the hands and feet, more chills than fever, and a soggy pulse, it is called Shi Malaria (Dampness-type Malaria), and this formula is indicated.
The aforementioned symptoms are all manifestations of Dampness patterns. Therefore, Xiao Chai Hu Tang (Minor Bupleurum Decoction) is used to harmonize the exterior and interior, and Ping Wei San (Powder for Peaceful Stomach) is used to strengthen the Spleen and control Dampness. Combining these two formulas into one gives it the name Chai Ping Tang. For the main examination of Xiao Chai Hu Tang, refer to the Cold Damage section; for the main examination of Ping Wei San, refer to the Dampness section.