论曰足少阳疟之状,内经谓令人身体解 寒不甚,热不甚,恶见人,见人心惕惕然。热
多汗出甚。刺足少阳是也,盖胆为中正之官,决断出焉,今疟邪外中,其气不守,故常心惕
惕然,邪盛故热多,有风故汗出。
治足少阳疟,身体解 ,见人心惕惕然,热多汗出。升麻汤方
常山(一两半) 升麻 鳖甲(醋炙去裙 ) 淡竹叶(各一两) 犀角屑 麦门冬(去
心焙) 知母(切
上八味。 咀如麻豆大,每服五钱匕,水一盏半,煎至一盏去滓,空心日午温服。
治足少阳疟。清胆黄连丸方
黄连(去须一两) 甘草(炙锉半两) 龙胆(去苗) 铅霜(研) 定粉(研) 人
中白(各三分) 马牙硝(研一两)
上七味,捣研为细末,用猪胆汁和丸,如梧桐子大,每服二十丸,用枇杷叶拭去毛煎汤
下,日三。
治足少阳疟,身体解 ,或寒或热,心惕惕然汗出。犀角丸方
犀角(屑一分) 常山(一两) 蜀漆叶(半两) 豉(炒一合)
上四味。捣罗为细末,炼蜜丸如梧桐子大,每服十丸,未发前米饮下。
治足少阳疟,热多汗出。芦根汤方
生芦(根锉三两) 麦门冬(去心焙) 升麻 葛根(各一两半) 栀子仁(一两) 石
膏(碎研二两)
上六味。 咀如麻豆大,每服五钱匕,水一盏半,入淡竹叶二七片,煎至一盏,去滓
温服,早晚食前。
治足少阳疟解 ,热多汗出。犀角汤方
犀角(镑) 甘草(炙各一两) 麦门冬(去心焙) 升麻 知母 鳖甲(醋炙去裙
各一两半) 石膏(碎研二两)
上七味。 咀如麻豆大,每服五钱匕,水一盏半,煎至一盏去滓,未发前温服。
治足少阳疟,热多汗出。柴胡汤方
柴胡(去苗) 秦艽(去苗土) 麦门冬(去心焙) 芦根 淡竹叶(各一两)
上五味。 咀如麻豆大,每服五钱匕,水一盏半,煎至一盏,去滓入青蒿自然汁半合,
再煎沸,未发前,五更初温服。
论述说:足少阳胆经疟疾的症状,《内经》记载为使人身体懈怠松弛,恶寒不严重,发热也不严重,厌恶见人,见到人内心就感到惊恐不安。发热较多且出汗严重。治疗应针刺足少阳经,这是因为胆被称为中正之官,决断的功能由此产生,如今疟邪从外部侵袭,胆气不能固守,所以常常内心惊恐不安;邪气盛则发热多,有风邪故出汗多。
治疗足少阳疟疾,表现为身体懈怠松弛,见到人内心惊恐不安,发热多且出汗多。升麻汤方:
常山(一两半)、升麻、鳖甲(用醋炙后去除裙边)、淡竹叶(各一两)、犀角屑、麦门冬(去心并焙干)、知母(切片)。
以上八味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至一盏,去渣,空腹及午时温服。
治疗足少阳疟疾。清胆黄连丸方:
黄连(去须一两)、甘草(炙后锉碎半两)、龙胆(去苗)、铅霜(研细)、定粉(研细)、人中白(各三分)、马牙硝(研细一两)。
以上七味药,捣碎研成细末,用猪胆汁和药制成丸剂,如梧桐子大小,每次服用二十丸,用枇杷叶擦去毛后煎汤送服,每日三次。
治疗足少阳疟疾,身体懈怠松弛,或寒或热,内心惊恐不安且出汗。犀角丸方:
犀角(屑一分)、常山(一两)、蜀漆叶(半两)、豉(炒一合)。
以上四味药。捣碎过筛成细末,用炼蜜制成丸剂,如梧桐子大小,每次服用十丸,在发作前用米饮送下。
治疗足少阳疟疾,发热多且出汗。芦根汤方:
生芦根(锉碎三两)、麦门冬(去心并焙干)、升麻、葛根(各一两半)、栀子仁(一两)、石膏(碎研二两)。
以上六味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,加入淡竹叶十四片,煎煮至一盏,去渣温服,早晚饭前服用。
治疗足少阳疟疾,身体懈怠松弛,发热多且出汗。犀角汤方:
犀角(镑片)、甘草(炙各一两)、麦门冬(去心并焙干)、升麻、知母、鳖甲(醋炙去裙边各一两半)、石膏(碎研二两)。
以上七味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至一盏,去渣,在发作前温服。
治疗足少阳疟疾,发热多且出汗。柴胡汤方:
柴胡(去苗)、秦艽(去苗土)、麦门冬(去心并焙干)、芦根、淡竹叶(各一两)。
以上五味药。锉碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至一盏,去渣后加入青蒿自然汁半合,再煮沸,在发作前,五更初温服。
It is stated that the manifestations of Shaoyang (Gallbladder) malaria are described in the *Neijing* as causing the body to feel flaccid and relaxed, with mild aversion to cold and mild fever. Patients dislike seeing people and feel apprehensive when they do. There is abundant heat and profuse sweating. Treatment involves needling the Shaoyang channel. This is because the Gallbladder is regarded as the "Official of Equilibrium," from which decision-making arises. When malarial pathogens invade externally, the Qi fails to remain secure, leading to constant apprehensiveness; due to excess pathogenic factors, there is abundant heat, and due to wind, there is sweating.
**Shengma Tang (Cinnamon Twig Decoction)** for treating Shaoyang malaria characterized by bodily flaccidity, apprehension upon seeing others, abundant heat, and profuse sweating.
* Changshan (*Dichroae Radix*, 1 liang 5 qian)
* Shengma (*Bupleuri Radix*, 1 liang)
* Biejia (*Testudinis et Carapacis Sinensis Squama*, vinegar-processed, skirt removed, 1 liang)
* Danyezhu (*Phyllostachidis Folium*, 1 liang)
* Xijiao xie (*Rhinocerotis Cornu*, shaved)
* Maimendong (*Ophiopogonis Radix*, heart removed, dried)
* Zhimu (*Anemarrhenae Rhizoma*, sliced)
The above eight ingredients are cut into pieces the size of hemp seeds. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm on an empty stomach and at noon.
**Qingdan Huanglian Wan (Gallbladder-Clearing Coptis Pill)** for treating Shaoyang malaria.
* Huanglian (*Coptidis Rhizoma*,须 removed, 1 liang)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, roasted and cut, 0.5 liang)
* Longdan (*Gentianae Radix*, roots removed)
* Qianshuang (*Plumbi Subacetatis Pulvis*, ground)
* Dingfen (*Calaminae Pulvis*, ground)
* Renzhongbai (*Urinae Siccata*, each 3 fen)
* Mayaxiao (*Natrii Sulfas*, ground, 1 liang)
The above seven ingredients are pounded and ground into a fine powder. Mix with pig bile to form pills the size of sophora seeds. Take 20 pills per dose, washed down with decoction prepared from loquat leaves (stems removed). Take three times daily.
**Xijiao Wan (Rhino Horn Pill)** for treating Shaoyang malaria characterized by bodily flaccidity, alternating chills and fever, apprehensiveness, and sweating.
* Xijiao (*Rhinocerotis Cornu*, shaved, 1 fen)
* Changshan (*Dichroae Radix*, 1 liang)
* Shuqiyè (*Perillae Folium*, half liang)
* Chi (*Sojae Semen Praeparatum*, stir-fried, 1 he)
The above four ingredients are pounded and sifted into a fine powder. Mix with refined honey to form pills the size of sophora seeds. Take 10 pills per dose, washed down with rice drink before the onset of symptoms.
**Lugen Tang (Reed Root Decoction)** for treating Shaoyang malaria characterized by abundant heat and sweating.
* Shenglugen (*Phragmitis Rhizoma*, cut, 3 liang)
* Maimendong (*Ophiopogonis Radix*, heart removed, dried)
* Shengma (*Bupleuri Radix*)
* Gegen (*Puerariae Radix*, each 1.5 liang)
* Zhizi ren (*Gardeniae Fructus*, 1 liang)
* Shigao (*Gypsum Fibrosum*, crushed and ground, 2 liang)
The above six ingredients are cut into pieces the size of hemp seeds. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water with 14 leaves of Danyezhu until reduced to 1 sheng. Strain and take warm before morning and evening meals.
**Xijiao Tang (Rhino Horn Decoction)** for treating Shaoyang malaria characterized by bodily flaccidity, abundant heat, and sweating.
* Xijiao (*Rhinocerotis Cornu*, shaved)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, roasted, each 1 liang)
* Maimendong (*Ophiopogonis Radix*, heart removed, dried)
* Shengma (*Bupleuri Radix*)
* Zhimu (*Anemarrhenae Rhizoma*)
* Biejia (*Testudinis et Carapacis Sinensis Squama*, vinegar-processed, skirt removed, each 1.5 liang)
* Shigao (*Gypsum Fibrosum*, crushed and ground, 2 liang)
The above seven ingredients are cut into pieces the size of hemp seeds. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm before the onset of symptoms.
**Chaihu Tang (Bupleurum Decoction)** for treating Shaoyang malaria characterized by abundant heat and sweating.
* Chaihu (*Bupleuri Radix*, roots removed)
* Qinjiao (*Gentianae Macrophyllae Radix*, roots and soil removed)
* Maimendong (*Ophiopogonis Radix*, heart removed, dried)
* Lugen (*Phragmitis Rhizoma*)
* Danyezhu (*Phyllostachidis Folium*, each 1 liang)
The above five ingredients are cut into pieces the size of hemp seeds. Each dose consists of 5 qian bi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and add 0.5 he of fresh juice extracted from Qinghao (*Artemisiae Annuae Herba*). Boil again. Take warm in the early hours of the fifth watch (around 3-5 AM), before the onset of symptoms.