论曰内经谓足厥阴肝疟，在经则令人腰痛少腹满，小便不利如癃状，非癃也，数便，意
恐惧，气不足，腹中悒悒。在脏则令人色苍苍然太息。其状若死者，俱刺足厥阴，盖足厥阴
之脉循阴器，邪气客之，则少腹满，小便不利也。肝为将军之官，谋虑出焉，故病则恐惧不
足也，苍苍者肝之色也，宜察其经络腑脏而治之。
治肝疟颜色苍苍，颤掉气喘，积年不瘥。鳖甲丸方
鳖甲（去裙 醋浸炙） 蜀漆叶 乌梅（取肉炒） 常山（锉） 知母（焙各一分） 甘
草（微炙） 细辛（去
上一十一味。捣罗为末，炼蜜丸如梧桐子大。每服十丸，未发前米饮下，临发再服。
治肝疟。木香犀角丸方
木香 犀角（镑屑） 羚羊角（镑屑各一两半） 升麻 玄参（坚者） 猪苓（去黑皮）
槟榔（各二两半）
上一十一味。捣筛为末，炼蜜和丸，如梧桐子大，温酒或米饮下三十丸，日再服，体热
即去甘草槟榔，加大黄五两。
治肝疟颜色苍苍，颤掉气喘。蜀漆丸方
蜀漆 乌梅（取肉微炒） 常山（锉各半两） 石膏（研） 鳖甲（去裙 醋炙各一两）
豉（一合炒） 甘草（微炙锉） 知母 苦参（锉） 麝香（细研） 桃仁（汤浸去皮尖双
仁麸炒过各半两）
上一十一味。捣研为末，同研令匀，炼蜜和捣三二百杵，丸如梧桐子大，空心温酒下二
十丸，晚食前再服。
治肝疟久不瘥。乌梅丸方
乌梅（取肉酒浸微炒） 常山（锉各一两） 知母 犀角（镑屑） 丹砂（研） 龙骨 升
麻豉（炒） 桂（去粗皮） 甘草（微炙锉） 桃仁（汤浸去皮尖双仁麸炒过各半两） 虎
头骨（酥炙） 鳖甲（去裙 醋炙黄
上一十三味。捣研为末，同研匀，炼蜜。和捣二三百杵，丸如梧桐子大。空心温酒下二
十丸，晚食前再服。
治肝疟上焦壅滞，心烦头疼，寒热不止，肌肉消瘦，不下食。知母汤方
知母 地骨皮 升麻（各一两） 鳖甲（去裙 醋炙黄） 犀角（镑屑） 人参 麦门
冬（去心焙） 柴胡（去苗） 石膏（各二两） 甘草（生锉半两） 虎头骨（酥炙过一两
半）
上一十一味。粗捣筛，每服四钱匕，水一盏，入香豉五十粒，煎至六分，去滓温服，不
计时候。
治肝疟小便不利如癃。乌梅饮方
乌梅（取肉） 山栀子仁（各半两） 知母（一两） 芍药 木通（锉） 生地黄 升
麻（各三分）
上七味。 咀如麻豆，每服五钱匕，水一盏半，煎至一盏，去滓下朴硝一钱匕，食后
未发前，分温二服。
论述说：《内经》提到足厥阴肝疟，在经络层面表现为腰痛、小腹胀满，小便不通畅类似癃闭的症状，但并非真正的癃闭，而是频繁排尿，心中常感恐惧，气虚不足，腹部郁闷不舒。在脏腑层面表现为面色青苍，经常叹气。其状态看起来像死人一样，治疗都应针刺足厥阴经。这是因为足厥阴经脉循行经过生殖器部位，邪气侵袭此处，就会导致小腹胀满、小便不利。肝被称为“将军之官”，主司谋虑，所以患病时会出现恐惧、气虚不足的表现。“苍苍”是肝对应的颜色，应当根据经络和脏腑的情况进行治疗。
治疗肝疟患者面色青苍、身体颤抖掉动、气喘，病程多年不愈的鳖甲丸方：
鳖甲（去除裙边，醋浸后炙烤） 蜀漆叶 乌梅（取肉炒制） 常山（切碎） 知母（焙干，各一分） 甘草（微炙） 细辛（去心）
以上十一味药。捣碎过筛制成粉末，用炼蜜调和做成梧桐子大小的丸剂。每次服用十丸，在发作前用米汤送服，临发作时再服一次。
治疗肝疟的木香犀角丸方：
木香 犀角（镑成屑） 羚羊角（镑成屑，各一两半） 升麻 玄参（质地坚硬的） 猪苓（去除黑皮） 槟榔（各二两半）
以上十一味药。捣碎过筛制成粉末，用炼蜜调和做成梧桐子大小的丸剂，用温酒或米汤送服三十丸，每日两次。若身体发热，则去掉甘草和槟榔，增加大黄五两。
治疗肝疟患者面色青苍、身体颤抖掉动、气喘的蜀漆丸方：
蜀漆 乌梅（取肉微炒） 常山（切碎，各半两） 石膏（研细） 鳖甲（去除裙边，醋炙，各一两） 豆豉（一合炒制） 甘草（微炙切碎） 知母 苦参（切碎） 麝香（细研） 桃仁（热水浸泡去皮尖及双仁，麸炒，各半两）
以上十一味药。捣碎研细，混合均匀，用炼蜜调和并捣击三二百下，做成梧桐子大小的丸剂，空腹时用温酒送服二十丸，晚饭后再次服用。
治疗肝疟日久不愈的乌梅丸方：
乌梅（取肉，酒浸微炒） 常山（切碎，各一两） 知母 犀角（镑成屑） 丹砂（研细） 龙骨 升麻 豆豉（炒制） 桂枝（去除粗皮） 甘草（微炙切碎） 桃仁（热水浸泡去皮尖及双仁，麸炒，各半两） 虎头骨（酥炙） 鳖甲（去除裙边，醋炙至黄）
以上十三味药。捣碎研细，混合均匀，用炼蜜调和并捣击二三百下，做成梧桐子大小的丸剂。空腹时用温酒送服二十丸，晚饭后再次服用。
治疗肝疟导致上焦壅滞，心烦头痛，寒热往来不止，肌肉消瘦，无法进食的知母汤方：
知母 地骨皮 升麻（各一两） 鳖甲（去除裙边，醋炙至黄） 犀角（镑成屑） 人参 麦门冬（去心焙干） 柴胡（去苗） 石膏（各二两） 甘草（生切半两） 虎头骨（酥炙过一两半）
以上十一味药。粗捣过筛，每次取四钱匕，加水一盏，放入香豉五十粒，煎煮至六分，去渣温服，不限时间。
治疗肝疟小便不通畅类似癃闭的乌梅饮方：
乌梅（取肉） 山栀子仁（各半两） 知母（一两） 芍药 木通（切碎） 生地黄 升麻（各三分）
以上七味药。切碎如麻豆大小，每次取五钱匕，加水一盏半，煎煮至一盏，去渣后加入朴硝一钱匕，饭后、发作前分两次温服。
Discourse states: The *Neijing* (Inner Canon) mentions Jueyin Liver Malaria. When affecting the meridians, it causes lower back pain, fullness in the lower abdomen, and difficulty urinating resembling strangury (obstruction of urine flow), yet it is not true strangury; instead, there is frequent urination, a sense of fear, Qi deficiency, and abdominal depression. When affecting the zang organs, it causes a pale greenish complexion and frequent sighing. The condition appears as if the patient were dead. Treatment involves needling the Foot Jueyin Liver Meridian, because this meridian circulates around the genitalia; when pathogenic factors invade this area, it leads to lower abdominal fullness and urinary difficulty. The Liver is regarded as the "General," from which strategies and deliberations arise; thus, disease manifests as fear and Qi insufficiency. "Pale green" corresponds to the color of the Liver. One should examine the meridians and zang-fu organs to guide treatment.
Formula for Bieji Wan (Turtle Shell Pill) to treat Liver Malaria with pale greenish complexion, tremors, panting, and chronic duration unresponsive to treatment:
Bie Jia (Turtle Shell, remove skirt-like edges, soak in vinegar, and roast) Shu Qi Ye (Leaf of Lysimachia chinensis) Wu Mei (Mume Fruit, take flesh, stir-fry) Chang Shan (Dichroa Root, slice) Zhi Mu (Anemarrhena Rhizome, bake, each 1 fen) Gan Cao (Licorice Root, slightly roast) Xi Xin (Asarum, remove heart)
Eleven ingredients above. Pound and sieve into powder, mix with refined honey to make pills the size of Sophora seeds. Take ten pills orally with rice water before onset, and another dose just before onset.
Formula for Muxiang Xijiao Wan (Costus and Rhinoceros Horn Pill) to treat Liver Malaria:
Mu Xiang (Costus Root) Xi Jiao (Rhinoceros Horn, shaved into flakes) Ling Yang Jiao (Antelope Horn, shaved into flakes, each 1.5 liang) Sheng Ma (Cimicifuga Rhizome) Xuan Shen (Scrophularia Root, choose firm pieces) Zhu Ling (Polyporus, remove black skin) Bing Lang (Areca Seed, each 2.5 liang)
Eleven ingredients above. Pound and sieve into powder, mix with refined honey to make pills the size of Sophora seeds. Take thirty pills orally with warm wine or rice water, twice daily. If body heat is present, remove Gan Cao and Bing Lang, and add Da Huang (Rhubarb Root) 5 liang.
Formula for Shu Qi Wan (Lysimachia Chinensis Leaf Pill) to treat Liver Malaria with pale greenish complexion, tremors, and panting:
Shu Qi (Leaf of Lysimachia chinensis) Wu Mei (Mume Fruit, take flesh, slightly stir-fry) Chang Shan (Dichroa Root, slice, each 0.5 liang) Shi Gao (Gypsum Fibrosum, grind) Bie Jia (Turtle Shell, remove skirt-like edges, roast with vinegar, each 1 liang) Chi (Fermented Soybean, 1 he, stir-fry) Gan Cao (Licorice Root, slightly roast and slice) Zhi Mu (Anemarrhena Rhizome) Ku Shen (Sophora Root, slice) She Xiang (Musk, finely ground) Tao Ren (Peach Kernel, soak in hot water, remove skin and tips, double-kernel wheat bran stir-fry, each 0.5 liang)
Eleven ingredients above. Pound and grind into powder, mix evenly, combine with refined honey, and pound three to two hundred times. Make pills the size of Sophora seeds. Take twenty pills orally with warm wine on an empty stomach, and another dose before evening meal.
Formula for Wumei Wan (Mume Pill) to treat chronic Liver Malaria unresponsive to treatment:
Wu Mei (Mume Fruit, take flesh, soak in wine, slightly stir-fry) Chang Shan (Dichroa Root, slice, each 1 liang) Zhi Mu (Anemarrhena Rhizome) Xi Jiao (Rhinoceros Horn, shaved into flakes) Dan Sha (Cinnabar, grind) Long Gu (Fossilized Bones, unspecified type) Sheng Ma (Cimicifuga Rhizome) Chi (Fermented Soybean, stir-fry) Gui (Cinnamon Twig, remove rough bark) Gan Cao (Licorice Root, slightly roast and slice) Tao Ren (Peach Kernel, soak in hot water, remove skin and tips, double-kernel wheat bran stir-fry, each 0.5 liang) Hu Tou Gu (Tiger Skull Bone, roast with butter) Bie Jia (Turtle Shell, remove skirt-like edges, roast with vinegar until yellow)
Thirteen ingredients above. Pound and grind into powder, mix evenly, combine with refined honey, and pound two to three hundred times. Make pills the size of Sophora seeds. Take twenty pills orally with warm wine on an empty stomach, and another dose before evening meal.
Decoction for Zhi Mu Tang (Anemarrhena Decoction) to treat Liver Malaria causing upper jiao stagnation, irritability, headache, continuous alternating chills and fever, muscle emaciation, and loss of appetite:
Zhi Mu (Anemarrhena Rhizome) Di Gu Pi (Cortex Lycii, Bark of Goji Berry) Sheng Ma (Cimicifuga Rhizome, each 1 liang) Bie Jia (Turtle Shell, remove skirt-like edges, roast with vinegar until yellow) Xi Jiao (Rhinoceros Horn, shaved into flakes) Ren Shen (Ginseng Root) Mai Men Dong (Ophiopogon Tuber, remove heart, bake) Chai Hu (Bupleurum Root, remove sprouts) Shi Gao (Gypsum Fibrosum, each 2 liang) Gan Cao (Licorice Root, raw, sliced, 0.5 liang) Hu Tou Gu (Tiger Skull Bone, roast with butter, 1.5 liang)
Eleven ingredients above. Coarsely pound and sieve. For each dose, take four qian bi (spoonfuls), add one zhan (unit of volume) of water, put in fifty grains of Xiang Chi (Aromatic Fermented Soybean), decoct until six-tenths remain, strain, and take warm at any time.
Infusion for Wumei Yin (Mume Infusion) to treat Liver Malaria with urinary difficulty resembling strangury:
Wu Mei (Mume Fruit, take flesh) Shan Zhi Zi Ren (Gardenia Seed, each 0.5 liang) Zhi Mu (Anemarrhena Rhizome, 1 liang) Shao Yao (Peony Root) Mu Tong (Akebia Stem, slice) Sheng Di Huang (Rehmannia Root, fresh) Sheng Ma (Cimicifuga Rhizome, each 3 fen)
Seven ingredients above. Cut into pieces the size of hemp seeds. For each dose, take five qian bi, add one and a half zhan of water, decoct until one zhan remains, strain, add Po Xiao (Mirabilite) one qian bi, and divide into two warm doses after meals, before onset.