病源凡疟积久不瘥者,则表里俱虚,客邪未散,真气不复,故疾虽暂间,小劳便发也。
(出第十一卷中)
肘后疗劳疟,鳖甲酒方。
鳖甲(二两炙黄) 常山(三两) 蜀漆(二两) 乌贼鱼骨(一两炙) 附子(一两)
知母(
二两) 椒(一两汗)
上七味切,以酒三斗,渍一宿,平旦服一合,稍稍加至二合,日三四服。忌苋菜生葱生
菜猪肉。(并出第一卷中)
千金劳疟积久不断,众疗无效,此方疗之。
长生大牛膝一虎口切,以水六升,煮取二升,分再服,第一服取未发前一食顷服,第二
服临发服。(张文仲肘后同出第十卷中)
集验疗一切疟劳疟无问年月深远,阿魏散及丸方。
阿魏 安息香 萝卜子(各二两) 芜荑(一合)
上四味捣筛为散,以暖水服半钱,如不能散服,蜜丸熟水下三十丸,须臾吐。忌冷水,
如吐不止,吃 齑 ,仍以贴子盛散一钱,男左女右系臂上,立瘥。(出第三卷中)
仲景伤寒论,牝疟多寒者名牝疟,牡蛎汤主之方。
牡蛎(四两熬) 麻黄(四两去节) 甘草(三两炙) 蜀漆(三两若无用常山代之)
上四味切,以水先洗蜀漆三遍,去腥,以水八升,煮蜀漆及麻黄,去沫,取六升,纳二
味,更煎服二升,去滓,温服一升,即吐勿更服,则愈。忌海藻菘菜。
又疗牝疟,蜀漆散方。
蜀漆(洗去腥) 云母 龙骨
上三味等分,捣筛为散,先未发前一炊,以清酢浆水和半钱服,临发时更服一钱,温疟
者加蜀漆半分云母炭火烧之,三日三夜用。(云母一作云实并出第十五卷中)
病因方面,凡是疟疾日久不愈的,就会导致表里两虚,外邪未散,真气无法恢复,所以疾病虽然暂时缓解,但稍微劳累就会复发。
(出自第十一卷)
《肘后备急方》治疗劳疟的鳖甲酒方。
鳖甲(二两,炙至黄色) 常山(三两) 蜀漆(二两) 乌贼鱼骨(一两,炙) 附子(一两)
知母(二两) 花椒(一两,出汗处理)
以上七味药切碎,用三斗酒浸泡一夜,清晨服用一合,逐渐增加至二合,每日分三四次服用。忌食苋菜、生葱、生菜和猪肉。(均出自第一卷)
《千金方》认为劳疟日久不止,各种疗法无效时,此方可用于治疗。
取长生大牛膝一把(虎口量),切碎,用水六升,煮取二升,分两次服用。第一次服药应在发作前一顿饭的时间前进行,第二次服药在即将发作时服用。(张文仲《肘后》同样出自第十卷)
《集验方》治疗一切疟疾、劳疟,无论病程长短,阿魏散及丸方。
阿魏 安息香 萝卜子(各二两) 芜荑(一合)
以上四味药捣碎过筛制成散剂,用温水送服半钱;如果不能服用散剂,可用蜂蜜制成丸剂,用熟水送服三十丸,不久会呕吐。忌饮冷水,如果呕吐不止,吃腌菜汁,并将贴子盛装的一钱散剂,男左女右系在手臂上,即可立即痊愈。(出自第三卷)
张仲景《伤寒论》中记载:牝疟以寒象为主者称为牝疟,用牡蛎汤主治。
牡蛎(四两,煅) 麻黄(四两,去节) 甘草(三两,炙) 蜀漆(三两,若无可用常山代替)
以上四味药切碎,先用水清洗蜀漆三遍,去除腥味,用八升水,先煮蜀漆和麻黄,去掉浮沫,取六升药液,加入剩余两味药,再煎煮至二升,去渣,温服一升,若出现呕吐则停止服用,病即可痊愈。忌食海藻和菘菜。
又一方治疗牝疟,蜀漆散方。
蜀漆(洗去腥味) 云母 龙骨
以上三味药等分,捣碎过筛制成散剂,在发作前一顿饭的时间内,用清酸浆水和服半钱,临发作时再服一钱。若是温疟,则加蜀漆半分,云母用炭火烧制,历时三日三夜使用。(云母一作云实,均出自第十五卷)
Regarding the etiology, for those whose malaria has persisted for a long time without recovery, both the exterior and interior become deficient, pathogenic factors remain unresolved, and true qi fails to recover. Therefore, although the disease may temporarily subside, it recurs with slight exertion.
(From Volume 11)
*Zhouhou Beiji Fang* (Emergency Prescriptions Kept in the Sleeve) treatment for Labor Malaria: Biejia Wine Decoction.
Bie Jia (Turtle Shell, two liang, roasted until yellow) Chang Shan (Dichroa Root, three liang) Shu Qi (Eryngii Rhizome, two liang) Ou Zei Yu Gu (Cuttlebone, one liang, roasted) Fu Zi (Prepared Aconite Root, one liang)
Zhi Mu (Anemarrhenae Rhizoma, two liang) Jiao (Szechwan Pepper, one liang, processed to release moisture)
The above seven herbs are chopped, soaked in three dou of wine overnight. Take one ge at dawn, gradually increasing to two ge, taken three to four times daily. Avoid eating amaranth, raw scallions, raw vegetables, and pork. (All from Volume 1)
Qianjin Fang states that for Labor Malaria persisting for a long time where various treatments have failed, this formula is effective.
Take Chang Sheng Da Niu Xi (Achyranthes Root, a handful measured by the tiger's mouth), chop it, boil in six sheng of water until reduced to two sheng. Divide into two doses. The first dose should be taken about one meal's time before the attack; the second dose should be taken just before the onset. (Zhang Wenzhong's *Zhouhou* also cites this from Volume 10)
Ji Yan Fang treats all types of malaria and Labor Malaria, regardless of duration: Awie San and Wan Formula.
Awie (Asafoetida) Anxi Xiang (Benzoin) Luo Bo Zi (Radish Seed, two liang each) Wu Yi (Chaulmoogra Seed, one he)
The above four herbs are pounded and sifted into powder. Take half a qian with warm water. If powder cannot be taken, form pills with honey and swallow thirty pills with cooked water; vomiting will occur shortly after. Avoid cold water. If vomiting persists, consume pickled vegetable juice. Additionally, tie a sachet containing one qian of the powder to the arm—left side for men, right side for women—for immediate recovery. (From Volume 3)
Zhang Zhongjing's *Shanghan Lun* records: Malaria characterized predominantly by chills is called Pin Malaria (Yin Malaria), treated primarily with Musli Tang.
Mu Li (Oyster Shell, four liang, calcined) Ma Huang (Ephedrae Herba, four liang, nodes removed) Gan Cao (Licorice Root, three liang, roasted) Shu Qi (Eryngii Rhizome, three liang; if unavailable, use Chang Shan/Dichroa Root as substitute)
The above four herbs are chopped. First, wash Shu Qi three times with water to remove the fishy odor. Use eight sheng of water to decoct Shu Qi and Ma Huang, skimming off the foam until six sheng remain. Add the remaining two herbs and decoct further until two sheng remain. Strain and take one sheng warm. If vomiting occurs, stop taking it; the disease will heal. Avoid consuming seaweed and Brassica vegetables.
Another formula for treating Pin Malaria: Shu Qi San.
Shu Qi (Washed to remove fishy odor) Yun Mu (Muscovite) Long Gu (Fossilized Bone)
The above three herbs are equal parts, pounded and sifted into powder. Take half a qian mixed with clear sour grain water one meal's time before the attack. Take another qian just before the onset. For Warm Malaria, add half a fen of Shu Qi and burn Yun Mu with charcoal over three days and nights before use. (Yun Mu is alternatively recorded as Yun Shi; all from Volume 15)