论曰足阳明胃疟，在经则令人先寒，洒淅寒甚。久乃热，热去汗出，喜见日光火气，乃
快然，当刺足阳明跗上，在胃则令人且病，善饥而不能食，食则支满腹大，当刺足阳明太阴
横脉出血，盖胃为冲气，为水谷之海，邪气客之，则冲气不和，故善饥不能食，食则支满腹
大，传于经者，为寒热，阳不胜于阴，故喜日月光及火气也。
治胃疟腹满。人参蜀椒汤方
人参（半两） 蜀椒（去目及闭口炒出汗一分） 干姜（炮一两） 阿魏（面和作饼炙
三分）
上四味。锉如麻豆，每服三钱匕，水一盏，煎至七分，未发前去滓温服。
治胃疟饥不能食。蒜姜酒方
独窠蒜（一颗） 生姜（一分）
上二味，研碎，以酒半升调去滓，未发时，旋旋服之。
治胃疟。阿魏配方
阿魏（研末一钱匕） 半夏（为末生姜汁作饼曝干再捣取半钱匕。）
上二味，以酒一盏调，未发时温服。
治胃疟胀满不食。常山橘皮散方
常山（一两一分） 陈橘皮（汤浸去白焙一两） 牡蛎（熬） 桂（去粗皮各三分）
上四味，捣罗为散，每服壹钱匕，未发前温酒调下，至日西煮温粥压之，当日不得以冷
水洗手面。
治胃疟心腹胀满不食。枳壳汤方
枳壳（去瓤麸炒三两） 浓朴（去粗皮生姜汁炙） 人参 白术 白茯苓（去黑皮各二
两）
上五味。粗捣筛，每服四钱匕，水一盏半，入生姜一枣大切，煎至一盏，去滓温服。
治胃疟。黄连汤方
黄连（去须一两半） 当归（切焙一两） 干姜（炮半两）
上三味。粗捣筛，每服三钱匕，水一盏，煎至七分去滓，未发时并二服。
治胃疟不食，支满腹胀，时作寒热。正气汤方
藿香叶 陈橘皮（汤浸去白焙） 浓朴（去粗皮生姜汁炙） 半夏（为末生姜汁作饼曝
干） 甘草（炙
上五味粗捣筛，每服三钱匕，水一盏，生姜三片，煎至七分去滓，未发时并两服。
治足阳明胃疟，支满腹大。顺气汤方
浓朴（去粗皮生姜汁炙） 陈橘皮（汤浸去白焙） 白术 半夏（汤洗七遍焙各一两） 干
姜（炮） 柴
上七味。粗捣筛，每服三钱匕，水一盏，生姜五片，枣二枚劈破，煎至七分，去滓温服
，不拘时。
治足阳明胃疟，寒热汗出，食则支满腹大。浓朴汤方
浓朴（去粗皮生姜汁炙二两） 白术 陈橘皮（汤浸去白焙各一两） 甘草 桂（去粗
皮各半两）
上五味。粗捣筛，每服三钱匕，水一盏，生姜三片，枣二枚劈破，煎至七分，去滓食前
温服。
论述说：足阳明胃疟，邪气在经脉中时，使人先感到寒冷，战栗怕冷非常严重。过了很久才发热，热退后出汗，喜欢见到日光和火气，这样才感觉舒适。治疗应当针刺足阳明经在足背上的穴位；若邪气在胃腑中，使人即将发病时，容易饥饿但不能进食，进食后则出现胸胁胀满、腹部膨大。治疗应当刺足阳明经与足太阴经横行的血脉使其出血。这是因为胃是冲脉之气汇聚之处，也是水谷之海，邪气侵袭它，导致冲脉之气不和，所以容易饥饿却不能进食，进食后就出现胸胁胀满、腹部膨大。邪气传入经脉的，表现为寒热往来，由于阳气不能胜过阴气，所以喜欢日光和火气。
治疗胃疟引起的腹满症状。人参蜀椒汤方
人参（半两） 蜀椒（去掉目及闭口者，炒至出油一分） 干姜（炮制一两） 阿魏（用面包裹做成饼，炙烤三分）
以上四味药。锉碎如麻豆大小，每次服用三钱匕，用水一盏，煎煮至七分，在发作前去除药渣温服。
治疗胃疟饥饿但不能进食的症状。蒜姜酒方
独窠蒜（一颗） 生姜（一分）
以上两味药，研碎，用半升酒调匀去渣，在发作时慢慢服用。
治疗胃疟。阿魏配方
阿魏（研成末一钱匕） 半夏（研成末，用生姜汁做成饼，晒干后再捣取半钱匕。）
以上两味药，用一盏酒调匀，在发作前温服。
治疗胃疟胀满不食的症状。常山橘皮散方
常山（一两一分） 陈橘皮（用汤浸泡去掉白色内瓤，焙干一两） 牡蛎（熬制） 桂枝（去掉粗皮各三分）
以上四味药，捣碎过筛成为散剂，每次服用壹钱匕，在发作前用温酒送服，到傍晚时分煮温粥压住药力，当天不得用冷水洗手洗脸。
治疗胃疟心腹胀满不食的症状。枳壳汤方
枳壳（去掉瓤，麸炒三两） 厚朴（去掉粗皮，用生姜汁炙烤） 人参 白术 白茯苓（去掉黑皮各二两）
以上五味药。粗捣筛过，每次服用四钱匕，用水一盏半，加入生姜一块切得很大，煎煮至一盏，去除药渣温服。
治疗胃疟。黄连汤方
黄连（去掉须一两半） 当归（切碎焙干一两） 干姜（炮制半两）
以上三味药。粗捣筛过，每次服用三钱匕，用水一盏，煎煮至七分去除药渣，在发作时将两次药量一起服用。
治疗胃疟不食，胸胁胀满腹胀，时常出现寒热往来。正气汤方
藿香叶 陈橘皮（用汤浸泡去掉白色内瓤焙干） 厚朴（去掉粗皮，用生姜汁炙烤） 半夏（研成末，用生姜汁做成饼晒干） 甘草（炙烤）
以上五味药粗捣筛过，每次服用三钱匕，用水一盏，生姜三片，煎煮至七分去除药渣，在发作时将两次药量一起服用。
治疗足阳明胃疟，胸胁胀满腹部膨大。顺气汤方
厚朴（去掉粗皮，用生姜汁炙烤） 陈橘皮（用汤浸泡去掉白色内瓤焙干） 白术 半夏（用水洗七遍后焙干各一两） 干姜（炮制） 柴胡
以上七味药。粗捣筛过，每次服用三钱匕，用水一盏，生姜五片，枣二枚劈破，煎煮至七分，去除药渣温服，不拘泥于具体时间。
治疗足阳明胃疟，寒热往来出汗，进食后胸胁胀满腹部膨大。厚朴汤方
厚朴（去掉粗皮，用生姜汁炙烤二两） 白术 陈橘皮（用汤浸泡去掉白色内瓤焙干各一两） 甘草 桂枝（去掉粗皮各半两）
以上五味药。粗捣筛过，每次服用三钱匕，用水一盏，生姜三片，枣二枚劈破，煎煮至七分，去除药渣在饭前温服。
Discussion states: In Foot-Yangming Stomach Malaria (Stomach-type malaria affecting the Yangming channel), when the pathogen is in the channels, it causes initial chills, with severe shivering and aversion to cold. After a long period, fever ensues; after the fever subsides, sweating occurs. The patient prefers sunlight and fire heat, feeling relieved only then. Treatment should involve needling the acupoints on the dorsum of the foot along the Foot-Yangming channel. If the pathogen is in the stomach organ, the patient feels impending illness, experiences frequent hunger but an inability to eat; upon eating, there is distension and fullness in the hypochondrium and abdomen. Treatment should involve pricking the transverse vessels connecting the Foot-Yangming and Foot-Taiyin channels to induce bleeding. This is because the Stomach is the gathering place of Chong Qi (Penetrating Vessel Qi) and the Sea of Water and Grain. When pathogenic factors invade, the Chong Qi becomes disharmonious, leading to hunger without appetite. Upon eating, distension and abdominal enlargement occur. When the pathogen transmits to the channels, it manifests as alternating cold and heat. Because Yang cannot overcome Yin, the patient desires sunlight and fire heat.
Formula for treating abdominal fullness due to Stomach Malaria: Renshen Shujiao Tang (Ginseng and Sichuan Pepper Decoction)
Renshen (Panax Ginseng Radix et Rhizoma, half liang) Shujiao (Sichuan Pepper Fruit, remove eyes and closed ones, stir-fry until oil appears, one fen) Ganjiang (Dried Ginger Rhizome, processed, one liang) Awei (Asafoetida Resin, wrapped in dough and baked, three fen)
The above four herbs. Crush to the size of hemp seeds. For each dose, take three qianbi (approx. 3-5 grams). Add one zhan (approx. 200ml) of water, decoct until reduced to seven-tenths. Remove dregs and take warm before the onset of symptoms.
Formula for treating hunger without ability to eat in Stomach Malaria: Suanjiang Jiu (Garlic and Ginger Wine)
Duke Suan (Single-clove Garlic Bulb, one piece) Shengjiang (Fresh Ginger Rhizome, one fen)
The above two herbs. Crush finely, mix with half sheng (approx. 100ml) of wine, remove dregs. Take slowly at the time of onset.
Formula for treating Stomach Malaria: Awei Peifang (Asafoetida Prescription)
Awei (Asafoetida Resin, powdered, one qianbi) Banxia (Pinellia Tuber, powdered, mixed with fresh ginger juice to form cakes, sun-dried, then pounded to obtain half qianbi)
The above two herbs. Mix with one zhan of wine, take warm before the onset of symptoms.
Formula for treating distension, fullness, and anorexia in Stomach Malaria: Changshan Jupi San (Dichroa Root and Tangerine Peel Powder)
Changshan (Dichroa Root, one liang one fen) Chenjupi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried, one liang) Muli (Oyster Shell, calcined) Guizhi (Cinnamon Twig, outer bark removed, three fen each)
The above four herbs. Pound and sieve into a powder. For each dose, take one qianbi. Dissolve in warm wine before the onset of symptoms. At dusk, drink warm porridge to settle the medicine. Do not wash hands or face with cold water on that day.
Formula for treating epigastric and abdominal fullness and anorexia in Stomach Malaria: Zhike Tang (Bitter Orange Decoction)
Zhike (Immature Bitter Orange Fruit, pulp removed, bran-fried, three liang) Houpo (Magnolia Bark, outer bark removed, processed with fresh ginger juice) Renshen (Ginseng Root) Baizhu (Atractylodes Macrocephala Rhizome) Baifuling (Poria, black skin removed, two liang each)
The above five herbs. Coarsely crush and sieve. For each dose, take four qianbi. Add one and a half zhan of water and one large slice of fresh ginger. Decoct until reduced to one zhan. Remove dregs and take warm.
Formula for treating Stomach Malaria: Huanglian Tang (Coptis Decoction)
Huanglian (Coptis Rhizome, whiskers removed, one and a half liang) Danggui (Angelica Sinensis Root, sliced and dried, one liang) Ganjiang (Dried Ginger Rhizome, processed, half liang)
The above three herbs. Coarsely crush and sieve. For each dose, take three qianbi. Add one zhan of water. Decoct until reduced to seven-tenths. Remove dregs. Take both doses together before the onset of symptoms.
Formula for treating anorexia, hypochondriac and abdominal distension, and intermittent cold and heat in Stomach Malaria: Zhengqi Tang (Upright Qi Decoction)
Huoxiangye (Patchouli Leaf) Chenjupi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried) Houpo (Magnolia Bark, outer bark removed, processed with fresh ginger juice) Banxia (Pinellia Tuber, powdered, mixed with fresh ginger juice to form cakes, sun-dried) Gancao (Licorice Root, roasted)
The above five herbs. Coarsely crush and sieve. For each dose, take three qianbi. Add one zhan of water and three slices of fresh ginger. Decoct until reduced to seven-tenths. Remove dregs. Take both doses together before the onset of symptoms.
Formula for treating Foot-Yangming Stomach Malaria with hypochondriac distension and abdominal enlargement: Shunqi Tang (Regulating Qi Decoction)
Houpo (Magnolia Bark, outer bark removed, processed with fresh ginger juice) Chenjupi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried) Baizhu (Atractylodes Macrocephala Rhizome) Banxia (Pinellia Tuber, washed seven times with water and dried, one liang each) Ganjiang (Dried Ginger Rhizome, processed) Chaihu (Bupleurum Root)
The above seven herbs. Coarsely crush and sieve. For each dose, take three qianbi. Add one zhan of water, five slices of fresh ginger, and two dates split open. Decoct until reduced to seven-tenths. Remove dregs and take warm. Time is not restricted.
Formula for treating Foot-Yangming Stomach Malaria with alternating cold and heat, sweating, and post-prandial hypochondriac and abdominal distension: Houpo Tang (Magnolia Bark Decoction)
Houpo (Magnolia Bark, outer bark removed, processed with fresh ginger juice, two liang) Baizhu (Atractylodes Macrocephala Rhizome) Chenjupi (Aged Tangerine Peel, soaked in hot water, white pith removed, dried, one liang each) Gancao (Licorice Root) Guizhi (Cinnamon Twig, outer bark removed, half liang each)
The above five herbs. Coarsely crush and sieve. For each dose, take three qianbi. Add one zhan of water, three slices of fresh ginger, and two dates split open. Decoct until reduced to seven-tenths. Remove dregs and take warm before meals.