疟疾停药。日有向愈之机。胃困则痞闭。不欲食。今虽未加餐。已知甘美。皆
醒之渐也。童真无下虚之理。溲溺欲出。尿管必痛。良由胃津肺汁。因苦辛燥热
烈气味。劫夺枯槁。肠中无以营运。庸医睹此。必以分利。所谓泉源既竭。当滋其
化源。九窍不和。都属胃病。
麦门冬 甜水梨皮 甜杏仁 蔗浆
脉数。目 黄。舌心干白黄胎。口中粘腻。脘中痞闷。不思纳谷。由于途次暑
风客邪内侵。募原营卫不和。致发疟疾。夫暑必兼湿。湿也。热也。皆气也。气与邪
博。则清浊交混。升降自阻。古称湿遏必热自生矣。圣帝论病。本乎四气。其论药
方推气味。理必苦降辛通。斯热气痞结可开。消导攻滞。香燥泄气。置暑热致病
之因于不治。不识何解。
川连 黄芩 花粉 桔梗 白蔻仁 郁金 橘红 六一散
寒来喜饮热汤。发热后反不渴。间疟已四十日。今虽止。不饥不思食。五味
入口皆变。初病舌白干呕。湿邪中于太阴。脾络湿郁气滞。喜热饮。暂通其郁。邪
蒸。湿中生热。六腑热灼。津不营运。至大便硬秘。此为气湿痹结。当薄味缓调。今
气厘清肃。与脾约似同。但仲景气血兼治。此病却专伤气分。
炒黄半夏 生益智仁 绵茵 广皮 浓朴 茯苓
湿热与水谷交蒸。全在气分。尝称三焦。分消清解。既成间日疟疾。邪正互
争。原无大害。初误于混指伤寒六经。再谬于参术守补。致邪弥漫。神昏喘急。妄
谵痉搐。皆邪无出路。内闭则外脱。求其协热下利。已不可得。诊脉细涩。按腹膨
满。夫脾满属气。燥实在血。今洞利后。而加腹满。诸气皆结。岂须闭塞而然。溃败
决裂至此。难望挽救。
细叶菖蒲根汁 草果仁 茯苓皮 紫浓朴 绵茵 辰砂益元散 连翘心 金银花
牛黄丸
脉小涩。病起疟后。食物不和。仍诵读烦劳。遂至左胁连及少腹。常有厥气。
或攻胃脘。或聚腹中。凝着 胀。古语云。胀不离乎肝胆。亦犹咳不离乎肺也。盖
肝得邪助。木势张扬。中土必然受侮。本气自怯。运纳之权自灭。清阳既少展舒。
浊阴日踞。渐为痞满。上年温养。辛甘久进。未见病去。其治体之法。谅不能却。自
述静处病加。烦动小安。其为气血久阻为郁。议用通络法。以病根由疟久。邪留
络中耳。
紫降香 桃仁 小香附 淡姜渣 神曲 鸡肫皮 南山楂 韭根汁泛丸
前议劳伤阳气。当知内损邪陷之理。凡女人天癸既绝之后。其阴经空乏。
岂但营卫造偏之寒热而已。故温脾胃。及露姜治中宫营虚。但畏寒不知热。为
牝疟。盖牝为阴。身体重着。亦是阴象。此辛甘理阳。鹿茸自督脉以煦提。非比姜
附但走气分之刚暴。驱邪益虚。却在营分。难经曰阳维脉。为病发寒热也。
鹿茸 鹿角霜 人参 当归 浔桂 茯苓 炙草
暑伤气分。上焦先受。河间法至精至妙。后医未读其书。焉能治病臻效。邪
深则疟来日迟。气结必胸中混闷如痞。无形之热。渐蒸有形之痰。此消导发散。
都是劫津。无能去邪矣。
石膏 杏仁 半夏 浓朴 知母 竹叶
脉沉舌白呃忒。时时烦躁。向系阳虚痰饮。疟发三次即止。此邪窒不能宣
越。并非邪去病解。今已变病阴冱。痰浊阻塞于中。致上下气机。不相维续。症势
险笃。舍通阳一法。无方可拟。必得中阳流运。疟症复作。庶有愈机。
淡附子 生草果仁 生白芍 茯苓 生浓朴 姜汁
伏暑冒凉。发疟。以羌防苏葱辛温大汗。汗多卫阳大伤。胃津亦被劫干。致
渴饮。心烦。无寐。诊脉左弱右促目微黄。嗜酒必中虚谷少。易于聚湿蕴热。勿谓
阳伤骤补。仿内经辛散太过。当食甘以缓之。
大麦仁 炙草 炒麦冬 生白芍 茯神 南枣
疟邪田四末以扰中。皆阳明厥阴界域。阳明衰。则厥阴来乘。津液少。斯内
风必动。昔贤以疟属气虚。本是湿痰败血。今戌亥频热。行走淋汗。显然液虚阳
动风生。脂液不得灌溉肢末。非湿痰气分之恙。
冬桑叶 熟首乌 黑芝麻 柏子仁 茯神 当归 杞子 菊花炭 蜜丸
疟已复疟。溺浊淋痛。稚年脾疟。食物不慎。色黄。腹膨。有滞。脾胃愈衰。东垣
云。中气不足。溲便为变。初秋交冬。迭加反复。久则五疳痨瘵。当慎于食物。令脾
胃气灵可效。宗脾胃论升降疏补法。
人参 茯苓 炙草 广皮 使君子 神曲 楂肉 麦芽 泽泻
闽产阳气偏泄。今年久热伤元。初疟发散。不能去病。便是再劫胃阳。致邪
入厥阴。昏冒大汗。思肝肾同属下焦。厥阳挟内风冒厥。吐涎沫胶痰。阳明胃中。
以寒热戕扰。空虚若谷。风自内生。阅医药不分经辨症。但以称虚道实。宜乎鲜
有厥效。但用仲景安胃泄肝一法。
人参 川椒 乌梅 附子 干姜 桂枝 川连 生牡蛎 生白芍
舌白不大渴。寒战后热。神躁欲昏。而心胸饱闷更甚。疟系客邪。先由四肢
以扰中宫。痰涎呕逆。显是肺胃体虚。邪聚闭塞不通。故神昏烦躁。郁蒸汗泄。得
以暂解。营卫之邪未清。寒热漫延无已。此和补未必中窍。按经设法为宜。
白蔻仁 大杏仁 焦半夏 姜汁 黄芩 淡竹叶
脉微弱而细。鼻准独明。昼日形冷汗泄。不饥少纳。脘腹常痞。泄气自舒。此
阳气失护卫。而寒栗汗出。阳失鼓运。而脾胃气钝。前进养营。亦主中宫。想因血
药柔 。阳不骤苏。初进甚投。接用则力疲矣。询其不喜饮汤。舌颇明润。非邪结
客热之比。议用理中汤法。专以脾胃阳气是理。不独治病。兼可转运日前之药
昔贤以疟称为脾寒。重培生阳。使中州默运。实治法之要旨。
人参 生芍 白术 附子 茯苓 干姜
疟有十二经。然不离少阳厥阴。此论客邪之伤。若挟怫郁嗔怒。致厥阳肝
气横逆。其势必锐。经言肝脉贯膈入胃。上循喉咙。而疟邪亦由四末扰中。故不
饥不食。胃受困也。夫治病先分气血。久发频发之恙。必伤及络。络乃聚血之所。
久病必瘀闭。香燥破血。凝滞滋血。皆是症之禁忌也。切宜凛之。
青蒿 生鳖甲 炒桃仁 当归尾 郁金 橘红 茯苓
疟后耳窍流脓。是窍闭失聪。留邪与气血。混为扭结。七八年之久。清散不
能速效。当忌荤酒浊味。卧时服茶调散一钱。患耳中。以甘遂削尖。插入耳内。衔
甘草半寸许。两年前晨泄。食入呕吐。此非有年体质之脾肾虚泻。可以二神四
神治也。盖幼冲阳虚。百中仅一耳。今泻泄仍然。寒热咳嗽失血。月事不来。脉得
弦数。形色消夺。全是冲年阴不生长。劳怯大着。无见病治病之理。保其胃口。以
冀经通。务以情怀开爽为要。勿恃医药却病。
熟地炭 炒当归 炙甘草 炒白芍 淡黄芩 乌梅肉 黑楂肉
疟疾停止用药。病情每天有向好的转机。胃气困顿则出现痞塞闭塞的症状，不想吃东西。现在虽然还没有增加饭量，但已经觉得食物甘甜美味，这都是胃气逐渐苏醒的迹象。童男童女没有下焦虚损的道理，小便欲出时尿道必然疼痛。这主要是因为胃津和肺液，被苦辛燥热烈性的气味劫夺而枯槁，肠中无法运化传导。庸医看到这种情况，必定使用分利小便的方法。这就好比泉水源头已经枯竭，应当滋润它的化源。九窍不和，都归属于胃病。
脉象数，眼睛发黄，舌中心干燥且苔白黄，口中粘腻，胃脘部痞闷，不想进食。这是由于旅途中医风客邪内侵，募原处营卫不和，导致发作疟疾。暑邪必然兼夹湿邪，湿和热都属于气分的病邪。气与邪气搏斗，则清浊之气交混，升降自然受阻。古人称湿气遏制则热气自生。圣帝论述疾病，根本在于四时气候；论述药方推崇药物的气味。道理必然是用苦味降泄、辛味通散，这样热气痞结才能打开。如果用消导攻滞的香燥药物泄气，就把暑热致病的病因置于不治之地了，不知这是什么解释。
发冷时喜欢喝热汤，发热后反而不口渴。间歇性疟疾已经四十天了，现在虽然停止了，但不饥饿不想吃东西，五味入口味道都变了。初病时舌苔白且有干呕，这是湿邪侵犯太阴脾经，脾络湿郁气滞，所以喜欢热饮，暂时疏通其郁结。邪气蒸腾，湿中生热，六腑热灼，津液不能运化，直到大便硬秘。这是气湿痹结，应当用清淡饮食缓慢调理。现在气机清明肃降，与脾约证相似。但是张仲景治疗气血兼顾，这个病却专门损伤气分。
湿热与水谷交蒸，全在气分。曾经说三焦要分消清解。既然已经形成间日疟疾，邪正互相争斗，原本没有大害。起初误认为是伤寒六经病，再次错误地用人参白术守补，导致邪气弥漫，神志昏迷气喘急促，胡言乱语痉挛抽搐，都是因为邪气没有出路，内闭则外脱。想让它协同热邪下利，已经不可能了。诊脉细涩，按压腹部膨满。脾满属于气分病，燥实属于血分病。现在腹泻之后，反而加上腹部胀满，诸气皆结，难道是因为闭塞才这样的吗？身体溃败决裂到了这种地步，难以指望挽救。
细叶菖蒲根汁、草果仁、茯苓皮、紫浓朴、绵茵陈、辰砂益元散、连翘心、金银花、牛黄丸
脉象小涩，病起于疟疾之后，食物不调和，仍然诵读烦劳，遂至左胁连及少腹，常有厥逆之气。有时攻击胃脘，有时聚积在腹中，凝着胀满。古语说，胀满不离乎肝胆，也就像咳嗽不离乎肺一样。大概肝得到邪气帮助，木势张扬，中土必然受到侮克，本气自怯，运化纳受的权利自然灭失。清阳既少舒展，浊阴日益占据，渐成痞满。上年温养，辛甘久进，未见病去。其治体之法，谅也不能去除病根。自己叙述静处时病情加重，烦动时稍安，这是气血久阻为郁。议用通络法，因为病根由疟疾日久，邪气留在络中。
紫降香、桃仁、小香附、淡姜渣、神曲、鸡肫皮、南山楂、韭根汁泛丸
前议认为劳伤阳气，应当知道内损邪陷的道理。凡是女人天癸既绝之后，其阴经空乏，岂只是营卫造偏的寒热而已。所以温脾胃，以及露姜治中宫营虚，但畏寒不知热，为牝疟。盖牝为阴，身体重着，也是阴象。这是辛甘理阳，鹿茸从督脉以煦提，不像姜附只走气分的刚暴。驱邪益虚，却在营分。《难经》说阳维脉，为病发寒热。
暑邪损伤气分，上焦先受邪。河间的方法至精至妙，后医未读其书，怎么能治病臻效。邪深则疟来日迟，气结必胸中混闷如痞。无形之热，渐蒸有形之痰。这些消导发散，都是劫津，无能去邪了。
脉沉舌白呃忒，时时烦躁。向来是阳虚痰饮，疟发三次即止。这是邪窒不能宣越，并非邪去病解。现在已经变病阴冱，痰浊阻塞于中，致上下气机不相维续，症势险笃。舍通阳一法，无方可拟。必须得中阳流运，疟症复作，庶有愈机。
伏暑冒凉，发疟。用羌活防风苏叶葱白辛温大汗，汗多卫阳大伤，胃津亦被劫干，致渴饮，心烦，无寐。诊脉左弱右促目微黄，嗜酒必中虚谷少，易于聚湿蕴热。勿谓阳伤骤补，仿内经辛散太过，当食甘以缓之。
疟邪从四肢末端扰乱中焦，皆属阳明厥阴界域。阳明衰，则厥阴来乘。津液少，斯内风必动。昔贤以疟属气虚，本是湿痰败血。今戌亥频热，行走淋汗，显然液虚阳动风生。脂液不得灌溉肢末，非湿痰气分之恙。
冬桑叶、熟首乌、黑芝麻、柏子仁、茯神、当归、杞子、菊花炭、蜜丸
疟已复疟，溺浊淋痛。稚年脾疟，食物不慎，色黄，腹膨，有滞。脾胃愈衰。东垣云：中气不足，溲便为变。初秋交冬，迭加反复，久则五疳痨瘵。当慎于食物，令脾胃气灵可效。宗脾胃论升降疏补法。
闽产阳气偏泄，今年久热伤元。初疟发散，不能去病，便是再劫胃阳，致邪入厥阴，昏冒大汗。思肝肾同属下焦，厥阳挟内风冒厥，吐涎沫胶痰。阳明胃中，以寒热戕扰，空虚若谷，风自内生。阅医药不分经辨症，但以称虚道实，宜乎鲜有厥效。但用仲景安胃泄肝一法。
舌白不大渴，寒战后热，神躁欲昏，而心胸饱闷更甚。疟系客邪，先由四肢以扰中宫，痰涎呕逆，显是肺胃体虚，邪聚闭塞不通，故神昏烦躁。郁蒸汗泄，得以暂解。营卫之邪未清，寒热漫延无已。此和补未必中窍，按经设法为宜。
脉微弱而细，鼻准独明，昼日形冷汗泄，不饥少纳，脘腹常痞，泄气自舒。此阳气失护卫，而寒栗汗出，阳失鼓运，而脾胃气钝。前进养营，亦主中宫，想因血药柔润，阳不骤苏。初进甚投，接用则力疲矣。询其不喜饮汤，舌颇明润，非邪结客热之比。议用理中汤法，专以脾胃阳气是理，不独治病，兼可转运日前之药。昔贤以疟称为脾寒，重培生阳，使中州默运，实治法之要旨。
疟有十二经，然不离少阳厥阴。此论客邪之伤，若挟怫郁嗔怒，致厥阳肝气横逆，其势必锐。经言肝脉贯膈入胃，上循喉咙，而疟邪亦由四末扰中，故不饥不食，胃受困也。夫治病先分气血，久发频发之恙，必伤及络。络乃聚血之所，久病必瘀闭。香燥破血，凝滞滋血，皆是症之禁忌也。切宜凛之。
疟后耳窍流脓，是窍闭失聪，留邪与气血，混为扭结。七八年之久，清散不能速效。当忌荤酒浊味。卧时服茶调散一钱，患耳中，以甘遂削尖，插入耳内，衔甘草半寸许。两年前晨泄，食入呕吐，此非有年体质之脾肾虚泻，可以二神四神治也。盖幼冲阳虚，百中仅一耳。今泻泄仍然，寒热咳嗽失血，月事不来，脉得弦数，形色消夺，全是冲年阴不生长，劳怯大着。无见病治病之理，保其胃口，以冀经通。务以情怀开爽为要，勿恃医药却病。
Malaria has stopped medication. There is a daily tendency towards recovery. Stomach distress leads to fullness and obstruction, with loss of appetite. Although food intake has not increased yet, the perception of sweetness in food indicates that the stomach Qi is gradually awakening. Children do not suffer from deficiency of the lower jiao. Pain in the urethra occurs when urination is attempted. This is primarily because the stomach fluids and lung juices have been depleted by the harsh, acrid, bitter, dry, and hot flavors, leaving the intestines unable to transport and transform. Quack doctors, seeing this condition, invariably use diuretic methods. This is akin to saying that when the source of the spring is exhausted, one should nourish its transforming source. Disharmony of the nine orifices all belongs to stomach disease.
Ophiopogonis Radix (Maidong), Sweet Water Pear Peel, Sweet Almond (Tao Ren), Sugarcane Juice (Zhe Jiang)
Rapid pulse, yellow eyes, dry center of the tongue with white-yellow coating, sticky sensation in the mouth, epigastric fullness, and anorexia. This is due to pathogenic wind-heat invading internally during travel, causing disharmony of Ying and Wei at the Mouyuan (semi-exterior semi-interior region), leading to malaria. Summerheat must be accompanied by dampness; both dampness and heat belong to the Qi level. When Qi battles with pathogens, clear and turbid Qi mix, obstructing ascending and descending functions. As ancients stated, when dampness suppresses, heat arises spontaneously. The Sage Emperor discussed diseases based on the four climatic factors and advocated drug flavors for prescriptions. The principle must involve bitter descent and acrid diffusion to open heat-fullness obstruction. Using aromatic-dry drugs for digestion and stagnation removal depletes Qi, leaving the cause of summerheat-pathogen disease untreated, which is inexplicable.
Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Trichosanthis Radix (Huafen), Platycodonis Radix (Jiegeng), Amomi Fructus Rotundus (Bai Kou Ren), Curcumae Radix (Yujin), Citri Reticulatae Pericarpium (Ju Hong), Liu Yi San
Prefers drinking hot soup when feeling cold, but no thirst after fever. Intermittent malaria has lasted forty days. Although it has stopped, there is no hunger or desire to eat, and tastes are distorted. Initially, the tongue was white with dry retching, indicating dampness attacking the Taiyin Spleen channel. Spleen collaterals were damp-stagnant with Qi blockage, hence the preference for hot drinks to temporarily unblock the stagnation. Pathogenic steaming generates heat within dampness, burning the six fu organs, preventing fluid transport, leading to hard constipation. This is Qi-damp bi-obstruction, requiring mild dietary regulation. Now that Qi is clear and descending, resembling Pi Yue (Spleen Confinement). However, Zhang Zhongjing treated both Qi and Blood, whereas this disease specifically damages the Qi level.
Pinelliae Rhizoma Praeparatum (Chao Ban Xia), Zingiberis Tuber (Sheng Yi Zhi Ren), Artemisiae Scopariae Herba (Mian Yin Chen), Citri Reticulatae Pericarpium (Guang Pi), Magnoliae Officinalis Cortex (Nou Pu), Poria (Fu Ling)
Damp-heat steams with food and drink, entirely affecting the Qi level. It is said that the Three Jiao requires separate dispersion and clearing. Since intermittent malaria has formed, with evil and righteous Qi struggling, originally there is no major harm. Initially misdiagnosed as Six Channels of Cold Damage, then erroneously treated with Ginseng and Atractylodes for tonification, causing pathogen diffusion, coma, panting, delirium, and convulsions. All result from pathogen having no exit; internal closure leads to external collapse. Seeking synergistic purgation with heat is now impossible. Pulse is fine and choppy; abdomen is distended upon palpation. Spleen fullness belongs to Qi; dryness-solidity belongs to Blood. After profuse diarrhea, abdominal fullness increases, indicating Qi knotting. Is this due to closure? The body is ruined and ruptured to this extent, rescue is unlikely.
Acori Tatarinowii Rhizoma Juice (Xi Ye Chang Pu Gen Zhi), Tsaoko Fructus (Cao Guo Ren), Poria Cum Pinus (Fu Ling Pi), Magnoliae Officinalis Cortex (Zi Hou Po), Artemisiae Scopariae Herba (Mian Yin Chen), Cinnabaris Yi Yuan San, Forsythiae Fructum (Lian Qiao Xin), Lonicerae Japonicae Flos (Jin Yin Hua), Niuhuang Wan
Small and choppy pulse. Disease started after malaria, aggravated by improper diet and mental fatigue from reading. Left hypochondrium extends to the lower abdomen, with frequent rebellious Qi. Sometimes attacking the epigastrium, sometimes gathering in the abdomen, causing凝着 (fixed) distension. Ancients said: Distension involves Liver and Gallbladder, just as cough involves the Lung. When Liver receives pathogen aid, Wood energy flares, insulting Middle Earth. Root Qi becomes weak, losing transport and reception power. Clear Yang cannot expand, Turbid Yin occupies daily, gradually forming fullness. Last year, warming and nourishing with acrid-sweet drugs failed to cure. The method of treating the root likely cannot remove the disease. Self-reported worsening in stillness, slight relief with movement, indicates long-term Qi-Blood obstruction and depression. Propose collateral-unblocking method, as the root cause is long-standing malaria with pathogen lingering in collaterals.
Dalbergiae Odoriferae Lignum (Zi Xiang), Pruni Semen (Tao Ren), Cyperi Rhizoma (Xiao Xiang Fu), Ginger Dregs (Dan Jiang Zha), Massae Fermentatae Medicinales (Shen Qu), Gavis Crassus (Ji Zun Pi), Crataegi Fructus (Nan Shan Zha), Chinese Chive Root Juice (Jiu Gen Zhi) Wan
Previous discussion attributed injury to Yang Qi from overwork, understanding the principle of internal damage and pathogen sinking. In women after cessation of Tian Gui (menstruation), Yin channels are empty, not just suffering from Ying-Wei imbalance colds/fevers. Thus, warming Spleen/Stomach and using Dewed Ginger to treat Middle Palace Ying deficiency. Fear of cold without heat sensation indicates Pin Malaria (Yin Malaria). Pin represents Yin; heavy body is also a Yin sign. This uses acrid-sweet to regulate Yang. Deer Antler (Lu Rong) warms from Du Mai, unlike the harsh nature of Ginger/Aconite only moving Qi. Expelling pathogen and benefiting deficiency occurs in the Ying level. *Nan Jing* states Yang Wei Mai disease causes chills and fever.
Cornu Cervi Degelatinatum (Lu Rong), Cornu Cervi Pantotrichum (Lu Jiao Shuang), Ginseng Radix et Rhizoma (Ren Shen), Angelicae Sinensis Radix (Dang Gui), Cinnamomi Ramulus (Xun Gui), Poria (Fu Ling), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Cao)
Summerheat damages Qi level, Upper Jiao affected first. He Jian's methods are exquisite. Later physicians who haven't read his book cannot achieve efficacy. Deep pathogen causes delayed malaria onset; Qi knotting causes chest confusion like fullness. Formless heat gradually steams formless phlegm. These digestive and dispersing methods deplete fluids and fail to expel pathogens.
Gypsum Fibrosum (Shi Gao), Armeniacae Semen Amarum (Xing Ren), Pinelliae Rhizoma (Ban Xia), Magnoliae Officinalis Cortex (Nou Pu), Anemarrhenae Rhizoma (Zhi Mu), Phragmitis Rhizoma (Zhu Ye)
Deep pulse, white tongue, hiccups, frequent irritability. Originally Yang deficiency with phlegm-fluid retention. Malaria stopped after three attacks. This is pathogen obstruction preventing dissemination, not pathogen expulsion and disease resolution. Condition has changed to Yin freezing, phlegm-turbidity blocking the middle, disrupting upper-lower Qi mechanism. Critical condition. Only through unblocking Yang can a prescription be formulated. Must restore Middle Yang circulation; if malaria recurs, there may be hope for recovery.
Aconiti Lateralis Radix Praeparata (Dan Fu Zi), Tsaoko Fructus (Sheng Cao Guo Ren), Paeoniae Radix Alba (Sheng Bai Shao), Poria (Fu Ling), Magnoliae Officinalis Cortex (Sheng Hou Po), Ginger Juice (Jiang Zhi)
Latent summerheat with cold invasion caused malaria. Used Qiang Huo, Fang Feng, Su Ye, Cong Bai for acrid-warm profuse sweating. Profuse sweat severely damaged Wei Yang and stolen Stomach fluids, causing thirst, irritability, and insomnia. Pulse: left weak, right rapid, slightly yellow eyes. Alcoholism causes Middle deficiency and low grain intake, prone to damp-heat accumulation. Do not hastily tonify Yang injury. Following *Nei Jing*, excessive acrid dispersion requires sweet foods to moderate.
Hordei Fructus Germinatus (Da Mai Ren), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Cao), Ophiopogonis Radix Praeparata (Chao Mai Dong), Paeoniae Radix Alba (Sheng Bai Shao), Poria Cum Parapluia (Fu Shen), Jujubae Fructus (Nan Zao)
Malaria pathogen disturbs the center from the four extremities, involving Yangming and Jueyin domains. Yangming decline allows Jueyin to invade. Fluid deficiency triggers internal wind. Ancients attributed malaria to Qi deficiency, actually damp-phlegm and bad blood. Current frequent heat in Xu-Hai hours, walking with sweat, clearly indicates fluid deficiency and Yang-moving wind generation. Lipids fail to irrigate extremities; this is not a damp-phlegm Qi-level ailment.
Mori Folium (Dong Sang Ye), Polygoni Multiflori Preparata Radix (Shou Wu Pian), Sesami Nigris Semen (Hei Ma Zi), Placenta Humana (Bai Zi Ren - *Note: Text says Bai Zi Ren, usually Seed*), Poria Cum Parapluia (Fu Shen), Angelicae Sinensis Radix (Dang Gui), Lycii Fructus (Qi Zi), Chrysanthemi Flos Carbonis (Ju Hua Tan) Honey Pill
Malaria relapsed. Turid urine with painful dribbling. Childhood spleen malaria, careless diet, yellow complexion, abdominal distension, stagnation. Spleen-Stomach further declined. Dong Yuan said: Insufficient Middle Qi causes urinary/stool changes. Early autumn to winter, repeated exacerbations, eventually leading to five types of malnutrition and consumption. Must be cautious with diet to make Spleen-Stomach Qi agile. Follow *Pi Wei Lun* ascending-descending, draining-tonifying method.
Ginseng Radix et Rhizoma (Ren Shen), Poria (Fu Ling), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Cao), Citri Reticulatae Pericarpium (Guang Pi), Quisqualis Fructus (Shi Jun Zi), Massae Fermentatae Medicinales (Shen Qu), Crataegi Fructus (Zha Rou), Malto (Mai Ya), Alismatis Rhizoma (Ze Xie)
Fujian production has biased Yang leakage. Long-term heat this year injured Yuan Qi. Initial malaria dispersion failed to cure, further stealing Stomach Yang, causing pathogen to enter Jueyin, coma, profuse sweat. Liver and Kidney share Lower Jiao. Rebellious Yang carries internal wind causing fainting, vomiting saliva and thick phlegm. Yangming Stomach, disturbed by cold-heat, is empty like a valley, wind generates internally. Reviewing medical records shows lack of meridian differentiation, merely calling deficiency excess, hence little efficacy. Use Zhang Zhongjing's method of calming Stomach and draining Liver.
Ginseng Radix et Rhizoma (Ren Shen), Zanthoxyli Fructus (Chuan Jiao), Mume Fructus (Wu Mei), Aconiti Radix Praeparata (Fu Zi), Zingiberis Rhizoma (Gan Jiang), Cinnamomi Ramulus (Gui Zhi), Coptidis Rhizoma (Chuan Lian), Ostrei Concha (Sheng Mu Li), Paeoniae Radix Alba (Sheng Bai Shao)
White tongue, no significant thirst, chills followed by fever, mental agitation approaching coma, worse chest/epigastric fullness. Malaria is exogenous pathogen, disturbing center from extremities. Phlegm-saliva and vomiting indicate Lung-Stomach deficiency, pathogen aggregation blocking flow, causing coma and irritability. Steaming sweat provides temporary relief. Ying-Wei pathogens not cleared, chills/fever persist. Harmonizing and tonifying may not hit the mark; following meridians is appropriate.
Amomi Fructus Rotundus (Bai Kou Ren), Armeniacae Semen Amarum (Da Xing Ren), Pinelliae Rhizoma焦 (Jiao Ban Xia), Ginger Juice (Jiang Zhi), Scutellariae Radix (Huang Qin), Phragmitis Rhizoma (Dan Zhu Ye)
Weak and fine pulse, nose tip bright, daytime cold sweat, no hunger, poor intake, constant epigastric-abdominal fullness, relief after passing gas. Yang Qi loses protection, causing chills/sweat; Yang fails to drive, Spleen-Stomach Qi dull. Previous nourishing-Ying treatments focused on Middle Palace, likely because blood tonics are soft/moistening, preventing sudden Yang recovery. Initial dose effective, subsequent doses ineffective. Dislikes drinking soup, tongue moist, not pathogen-heat knotting. Propose Lizhong Tang method, focusing on regulating Spleen-Stomach Yang Qi, not just curing disease but transporting previous medicines. Ancients called malaria Spleen Cold, emphasizing regenerating Yang to let Middle State operate silently, a key treatment principle.
Ginseng Radix et Rhizoma (Ren Shen), Paeoniae Radix Alba (Sheng Shao), Atractylodis Macrocephalae Rhizoma (Bai Zhu), Aconiti Radix Praeparata (Fu Zi), Poria (Fu Ling), Zingiberis Rhizoma (Gan Jiang)
Malaria involves twelve meridians but mainly Shaoyang and Jueyin. This discusses exogenous pathogen injury. If accompanied by depression/anger, causing rebellious Liver Qi horizontal invasion, the force is sharp. Classics state Liver channel passes through diaphragm into Stomach, up throat. Malaria pathogen also disturbs center from extremities, causing anorexia, Stomach distress. Treating disease requires distinguishing Qi/Blood first. Long-term/frequent attacks damage collaterals. Collaterals gather blood; chronic disease leads to stasis/blockage. Acrid-dry blood-breaking and stagnating-nourishing-blood drugs are contraindications. Must be vigilant.
Artemisiae Annuae Herba (Qing Hao), Testudinis Carapax et Plastrum (Sheng Bie Jia), Pruni Semen (Chao Tao Ren), Angelicae Sinensis Radix Tail (Dang Gui Wei), Curcumae Radix (Yu Jin), Citri Reticulatae Pericarpium (Ju Hong), Poria (Fu Ling)
Post-malaria ear discharge indicates orifice closure and deafness, residual pathogens tangled with Qi-Blood. For 7-8 years, clearing/dispersing yields no quick effect. Avoid meat/alcohol/turbid flavors. Take Cha Tiao San (1 qian) before bed. Insert sharpened Kansui (Gan Sui) into affected ear, holding Licorice (Gan Cao) half cun. Two years ago morning diarrhea, vomiting after eating. Not age-related Spleen-Kidney deficiency diarrhea treatable with Er Shen Si Shen. Rather, childhood Yang deficiency is rare. Now diarrhea persists, chills/fever/cough/hemoptysis, amenorrhea, string-rapid pulse, emaciated appearance. Entirely due to Yin failing to grow in youth, severe consumption. No simple disease-treatment logic. Protect stomach appetite to hope for menstruation return. Emphasize emotional openness, do not rely solely on medicine.
Rehmanniae Radix Preparata (Shu Di Tan), Angelicae Sinensis Radix (Chao Dang Gui), Glycyrrhizae Radix et Rhizoma Praeparata (Zhi Gan Cao), Paeoniae Radix Alba (Chao Bai Shao), Scutellariae Radix (Dan Huang Qin), Mume Fructus (Wu Mei Rou), Crataegi Fructus (Hei Zha Rou)