(治实疟久不已,脉弦滑浮大者。)
常山(酒炒) 草果(煨) 槟榔 青皮 浓朴 陈皮 甘草(各等分) 酒水煎,露一宿。
(取露气以清暑邪也,无暑气者不用露。)未发前二时,面东温服。恶心,以糖拌乌梅肉压之。壮
实人用蜜陀僧为细末,大人七分,小儿量减,冷烧酒调,面南服之,不愈再服必止。
戒鸡、鱼、豆、面、热粥、热物、羹汤。
常山(烧酒炒,二钱) 草果(煨,一钱) 槟榔 知母 川贝母(各一钱) 乌梅(二个) 姜、枣煎。
(一方加穿山甲、甘草。)赵以德曰∶知母性寒清热,草果性温胜寒,常山吐痰结,槟榔破滞
气,乌梅生津退热,甘草扶正和中,穿山甲贯穿经络,以行结邪也。按疟必三、四
发后方可截,太早则邪未尽,而强止之,必变生他证。
(新拟。寻常之疟三、四发后用之甚效。)
柴胡(酒炒,一钱五分) 黄芩(炒,一钱) 人参(五分) 甘草(五分) 草果(煨,一钱) 槟榔(一钱) 青
皮浓朴(姜汁炒,各一钱) 常山(酒炒,二钱) 何首乌(二钱) 枣二枚,姜三片同煎。热痰加川
贝母,湿痰加半夏,无汗加羌活、紫苏,汗多加黄 、白术。夜发在阴分者,加白
芍、鳖甲、红花以清热,加酒炒升麻以提出阳分。挟暑加川黄连、香薷,挟湿
加苍术、茯苓,挟食加山楂、麦芽、神曲,胸满加枳壳,渴加花粉、乌梅、石膏。
风热在胃,津液消耗,加梨汁、蔗浆,或生地、生葛、西瓜等汁,经所谓风淫于内,
治以甘寒也。
(针对实证疟疾日久不愈,脉象呈现弦、滑、浮、大特征的患者。)
常山(用酒炒制) 草果(煨制) 槟榔 青皮 厚朴 陈皮 甘草(以上药材各取等量),用水和酒煎煮,放置一夜使其吸收露水之气。
(利用露气来清除暑热邪气,如果没有暑气的情况则不需要使用露水。)在疟疾发作前两小时,面向东方温服。如果出现恶心症状,可以用糖拌乌梅肉来压制恶心感。对于体质壮实的人,可以使用密陀僧研磨成细粉,成人用量七分,小儿酌情减量,用冷烧酒调匀,面向南方服用,如果未痊愈可以再次服用,必定能止住。
需要忌口:鸡肉、鱼肉、豆类、面食、热粥、热性食物、羹汤。
常山(用烧酒炒制,二钱) 草果(煨制,一钱) 槟榔 知母 川贝母(各一钱) 乌梅(两个) 生姜、大枣煎煮。
(另一配方加入穿山甲、甘草。)赵以德说:知母性寒能清热,草果性温能胜寒,常山能涌吐痰结,槟榔能破滞气,乌梅能生津退热,甘草能扶助正气调和脾胃,穿山甲能贯穿经络以运行消散结聚的邪气。按语:疟疾必须经过三到四次发作后才能进行截断治疗,太早的话邪气未尽,强行止疟必然导致其他病证产生。
(新拟定的方剂。寻常的疟疾经过三到四次发作后使用此方非常有效。)
柴胡(酒炒,一钱五分) 黄芩(炒制,一钱) 人参(五分) 甘草(五分) 草果(煨制,一钱) 槟榔(一钱) 青皮、厚朴(姜汁炒制,各一钱) 常山(酒炒,二钱) 何首乌(二钱) 大枣两枚,生姜三片共同煎煮。如果是热痰加川贝母,湿痰加半夏,无汗加羌活、紫苏,汗多加黄芪、白术。夜间发作属于阴分病变的,加白芍、鳖甲、红花以清热,加酒炒升麻以将邪气提出至阳分。挟带暑邪加川黄连、香薷,挟带湿邪加苍术、茯苓,挟带食积加山楂、麦芽、神曲,胸脘痞满加枳壳,口渴加花粉、乌梅、石膏。风热在胃中,津液消耗,加梨汁、蔗浆,或者生地、生葛、西瓜等汁液,这就是经书所说的“风淫于内,治以甘寒”的道理。
(For patients with excess-type malaria that has persisted for a long time, presenting with a wiry, slippery, floating, and large pulse.)
Changshan (Dichroae Radix, stir-fried with wine) Caoguo (Tsaoko Fructus, baked) Binglang (Arecae Semen) Qingpi (Citri Reticulatae Pericarpium Viride) Houpo (Magnoliae Officinalis Cortex) Chenpi (Citri Reticulatae Pericarpium) Gancao (Glycyrrhizae Radix et Rhizoma) (all in equal parts). Decoct with water and wine, and leave exposed overnight.
(This utilizes the dew to clear summer-heat pathogens; if there is no summer-heat pathogen, exposure to dew is not necessary.) Take warm two hours before the onset of the attack, facing east. If nausea occurs, suppress it by mixing Wumei (Mume Fructus) flesh with sugar. For robust individuals, use Miduoseng (Lithargyri Pulvis) ground into fine powder. Adults take 7 fen, children reduce the dose accordingly. Mix with cold rice wine and take facing south. If not cured, take again; it will surely stop.
Avoid chicken, fish, beans, wheat/noodles, hot congee, hot foods, and soups.
Changshan (Dichroae Radix, stir-fried with strong liquor, 2 qian) Caoguo (Tsaoko Fructus, baked, 1 qian) Binglang (Arecae Semen) Zhimu (Anemarrhenae Rhizoma) Chuanbeimu (Fritillariae Thunbergii Bulbus) (each 1 qian) Wumei (Mume Fructus) (2 pieces) Jiang (Zingiberis Rhizoma), Zao (Jujubae Fructus) decocted.
(Another prescription adds Chuanshanjia (Manis Squama) and Gancao (Glycyrrhizae Radix et Rhizoma).) Zhao Yi-de stated: Zhimu is cold in nature and clears heat; Caoguo is warm in nature and overcomes cold; Changshan induces vomiting to resolve phlegm knots; Binglang breaks stagnant qi; Wumei generates fluids and reduces fever; Gancao supports healthy qi and harmonizes the middle; Chuanshanjia penetrates meridians to move resolved pathogens. Note: Malaria can only be intercepted after three or four attacks. Intercepting too early means the pathogen is not yet exhausted, and forcibly stopping it will inevitably lead to other syndromes.
(Newly formulated. Very effective for common malaria after three or four attacks.)
Chaihu (Bupleuri Radix, stir-fried with wine, 1.5 qian) Huangqin (Scutellariae Radix, stir-fried, 1 qian) Renshen (Ginseng Radix) (0.5 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian) Caoguo (Tsaoko Fructus, baked, 1 qian) Binglang (Arecae Semen) (1 qian) Qingpi (Citri Reticulatae Pericarpium Viride), Houpo (Magnoliae Officinalis Cortex) (stir-fried with ginger juice, each 1 qian) Changshan (Dichroae Radix, stir-fried with wine, 2 qian) Heshouwu (Polygoni Multiflori Radix) (2 qian) Zao (Jujubae Fructus) 2 pieces, Jiang (Zingiberis Rhizoma) 3 slices, decoct together. For hot phlegm, add Chuanbeimu (Fritillariae Thunbergii Bulbus); for damp phlegm, add Banxia (Pinelliae Rhizoma); for absence of sweating, add Qianghuo (Notopterygii Rhizoma et Radix) and Zisu (Perillae Folium); for excessive sweating, add Huangqi (Astragali Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma). For night attacks belonging to the yin aspect, add Baishao (Paeoniae Radix Alba), Biejia (Testudinis Carapax et Plastrum), and Honghua (Carthami Flos) to clear heat; add Jiuchao Shengma (Cimicifugae Rhizoma stir-fried with wine) to extract pathogens to the yang aspect. With summer-heat, add Chuanlianhuang (Coptidis Rhizoma) and Xiangru (Elsholtziae Herba); with dampness, add Cangzhu (Atractylodis Rhizoma) and Fuling (Poria); with food retention, add Shanzha (Crataegi Fructus), Maiya (Hordei Fructus Germinatus), and Shenqu (Massa Medicata Fermentata); with chest fullness, add Zhiqiao (Aurantii Fructus); with thirst, add Huafen (Trichosanthis Radix), Wumei (Mume Fructus), and Shigao (Gypsum Fibrosum). When wind-heat is in the stomach and body fluids are consumed, add Lizhi (Pyrus Juice), Zheshuang (Saccharum Juice), or Shengdi (Rehmanniae Radix), Shengge (Puerariae Radix), and Xigua (Citrullus Lanatus) juices. This corresponds to the classic saying: "When wind invades internally, treat with sweet and cold [substances]."