病源此病生于岭南带山瘴之气也，其状发寒热，休作有时，皆由挟溪源岭瘴温毒瓦斯故也
，其病重于伤暑之疟矣。（出第十一卷中）
短剧疗山瘴疟，陵鲤甲汤南方山岭溪源瘴气毒作，寒热发作无时痿黄肿满四肢痹弱，皆
山毒所为也，并主之方。
陵鲤甲（十片炙千金用十四片） 乌贼鱼骨（去甲） 鳖甲（炙各一两） 常山（三两）
附子
（一枚炮）
上五味切，以酒三升渍之一夕，先疟发前稍稍服之，勿绝药味，兼以涂身体，断杂人勿
食饮，过时乃得通人进饮食。忌苋菜生葱生菜猪肉。（千金文仲备急经心录并同出第六卷中）
千金疗乍寒乍热乍有乍无，山瘴疟酒方。
常山（三两） 鳖甲（炙） 升麻 附子 乌贼鱼骨（去甲各二两）
上五味并切，绢袋盛，以酒六升渍之，小令近火转之，一宿成，一服一合，比发可数服
或吐。忌猪肉生葱生菜苋菜。（肘后疗老疟久不断出第十卷中）
备急夫瘴与疟分作两名，其实一致或先寒后热，或先热后寒，岭南率称为瘴，江北总号
为疟，此由方言不同，非是别有异病，然南方温毒，此病尤甚，原其所归，大略有四∶一山
溪毒瓦斯，二风温痰饮，三加之鬼疠，四发以热毒。在此之中，热毒最重，故所用药物，须审
病源，患疟瘴之后，特须防瘴而发痢，死不旋踵，所以然者，瘴体先虚，虚不宜痢，又瘴宜
冷瘥，痢宜温断，断痢则益瘴，断瘴则益痢，大率如此，不可不慎，非直药疗，亦须宜加将
息取适，若能用一色药，兼二种病，冷而止痢，温而断疟，最其妙也，如不然，先须断痢，
然后疗瘴，瘴缓痢急故也，仍率须作挟毒防之，不得专医其痢，又服瘴药，皆在发前，必须
平旦空腹服，服药之后，勿洗手面漱口，勿通外人，勿吃食，勿劳力，既过发时久，小进糜
粥，如此将疗无不即断，又当发热之时，慎勿多饮冷水及多服冷药，若心下冷结，更是难疗，
得疟之后，复成症癖，亦有即发气者死不救，若热渴者豉汁暖服，取足得吐弥善，水煮豉研
犀汁与服，兼时进生葛根汁，其大热盛者，与紫雪如两枣许大，水和饮之，并烧猪粪人粪，
作黄龙汤亦善，各可服三二升，又捣一大鼠绞汁与服，大止热毒，瘴热病服此俱效。（其鼠
并头皮五脏等全捣若汁少着少许水和绞亦不难服常用立验也）
又疗瘴疟服药后灸法。
灸大椎三四十壮，无不断，若先寒者，将欲寒，预前以炭火安床下，令背暖，并炙鳖甲
末一方寸匕，暖酒和服，至发时令得三服，被覆过时无不断，此是陶氏法，比欲寒时，但以
火炙其背，亦乃即瘥者，纵发亦轻，效验。
又疗瘴疟，常山丸方。
常山 黄连 豉（各三两） 附子（二两炮）
上四味捣筛为末，蜜和丸如梧子，发前空腹服四丸，欲发更服三丸，饮下之，自旦至暮
，乃食三日，勿杂食猪肉鱼肥腻，及生冷生葱生菜。（桂广州家传已用有效此方兼痢者瘥）
又麻黄散方。
麻黄（去节） 常山 杏仁（去尖皮熬） 人参 干漆（熬） 甘草（炙） 鳖甲（各
二两炙）
上七味作散，平旦空腹温酒三合服方寸匕，日再，宜七日连服，服后七日不得食杂物，
此许仁则五方，元比部云在岭南服得力大验。年时常服一剂，按此兼补虚羸者。忌苋菜生葱
生菜海藻菘菜。
又若患瘴热实兼吐痢者，大黄汤方。
大黄 常山 升麻 甘草（炙各三两）
上四味切，以水七升，煮取二升半，分三服，发前尽服，别取吐利，此蒋家传。忌海藻
菘菜生葱生菜。
又若瘴热兼痢苦渴者，乌梅饮方。
乌梅（二十枚取好者擘破）
上一味，以水一大升，煮取一大盏，去梅和一匙蜜，细细啜之，近方验。（并出第二卷
中）
延年蜀漆丸，主岭南瘴气发，乍热乍寒，积劳似疟，皆主之。
千金翼方云，兼主 疟，连年不瘥方。
蜀漆 知母 升麻 白薇 地骨皮 麦门冬（各五分） 乌梅肉 鳖甲（炙） 葳蕤（各
四分
）石膏（八分） 甘草（三分炙） 常山（六分） 豆豉（一合熬）
上十三味捣筛为末，蜜和丸如梧子大，饮下十丸，日再服，加至二十丸，此方用无不瘥
加光明砂一两，神良。忌海藻菘菜人苋生葱生菜。（千金亦疗劳疟崔氏千金翼集验并同出第
十七卷中）
救急疗疟瘴疠，经百日或一年以上诸药不能瘥，进此方无不损者，蜀漆汤方。
白薇 蜀漆 知母 甘草（炙） 苦参 升麻 龙胆（各二两） 常山 大黄（别渍后
下各四
两） 鳖甲（炙） 石膏（碎） 茯苓 黄芩（各三两） 香豉（二合裹） 独蒜（七颗切）
淡竹叶
（切一升）
上十六味切，以水一斗渍之，并春酒二升合煮取三升，去滓，分三服，未发前一服，欲
至发时又一服，皆温之，当发日勿见人，在一静房卧，药滓置病儿头边，仍以药汁涂手面，
过时任出。忌肥腻腥臊滑物生冷海藻人苋大酢菘菜生葱生菜。
又朱砂丸方
朱砂（光明者） 牛膝 常山（各等分）
上三味捣筛为末，蜜和丸如梧桐子，候疟发日，平明服七丸，饮下，欲觉发时，更服七
丸，当日不断，更作一服，即瘥。忌生葱生菜生血物油腻牛肉等。
又敕赐长孙祥极效常山汤方。
常山（八分） 橘皮（六分） 牡蛎（四分熬） 桂心（二分）
上四味捣筛为散，发日平旦酒服一方寸匕，临发又一匕，发后又一匕，二日不得洗手面
，七日忌食杂物，唯药用酒，余皆断，或吐或不吐，皆瘥。忌生葱生菜。
又方
取五六岁儿小便一升，纳白蜜二大匙，搅使相得，去白沫讫，即顿服当大吐碧绿痰，然
后食，若不得吐，但数小便亦佳，以前两方吐碧痰外，更吐白沫出后可吃食，不然，瘴气终
不除。
又常山汤方。
常山苗一握（无苗取根五两代之） 独蒜（七颗） 淡竹叶（二握） 豉（一合裹） 鳖
甲（三
两炙）
上五味切，以苦酒三升，煎取一升，临发随性多少服之，尽服之讫，当大吐便愈。忌人
苋生葱生菜。
古今录验瘴疟及嶂气，常山汤方。
常山（三两细切）
上一味捣碎，虚弱者二两，蒜七瓣去皮中切，以酒一小升半渍一宿旦去滓，暖服尽，须
臾当吐令尽好，过时食，一日不得漱口及洗手面，三七日慎生葱生菜生冷肉面油腻，若早发
者，半夜服，要令吐。（出第四卷中）
近效疗疟瘴，孟补阙岭南将来极效，常山丸方。
常山 豉（熬） 桃仁（去尖皮熬等分）
上三味各捣末，先以豉和桃仁捣如泥，然后下常山末细搅，蜜丸如梧桐子，候欲发前一
食时酒下四十丸，须臾更服二十丸，如不瘥更服，远不过三服，能信用者无不瘥。忌生葱生
菜。
又凡跋涉江山，防诸瘴疠及虫毒等，常服木香犀角丸方。
青木香 犀角（屑） 羚羊角（屑各六分） 升麻 玄参 猪苓 槟榔（各十分） 鳖
甲（
炙） 甘草（炙各八分） 豉（二十分熬）
上十味捣筛为末，蜜和丸，如梧子，酒饮服三十丸，日二服，若体热即去甘草槟榔，加
大黄二十分。忌海藻菘菜。
又主疟兼痢，无问赤白水谷鲜血瘴皆瘥，黄连犀角丸方。
黄连 犀角（屑） 香豉（熬各二两） 龙骨（四两） 牡蛎（二分熬）
上五味捣筛为末，蜜和丸如梧子，米饮下三十丸，日三服，瘥止。忌猪肉冷水油腻等。
又瘴疟不瘥，蜀漆丸方。
蜀漆 青木香 升麻 鳖甲（炙） 牡蛎（熬） 朱砂 猪苓 香豉（各四分） 常山 大
黄
（各八分）
上十味捣筛为末，蜜和为丸，如梧子，米汤下十二丸，日二服，渐渐瘥至平复止。忌人
苋油腻陈臭生血等物。
病源：此病产生于岭南地区，带有山间的瘴气。其症状表现为发冷发热，发作和停止都有定时，这都是因为夹杂了溪涧山岭间瘴疠温毒的瓦斯所致。这种病比伤暑引起的疟疾更为严重。（出自第十一卷中）
短剧疗山瘴疟方（陵鲤甲汤）：南方山岭溪源处的瘴气毒邪引发此病，寒热发作没有定时，身体消瘦萎黄、肿胀满闷、四肢麻木无力，都是山毒造成的，本方主治这些症状。
药材：陵鲤甲（十片，灸制，《千金方》用十四片）、乌贼鱼骨（去掉硬壳）、鳖甲（灸制，各一两）、常山（三两）、附子（一枚，炮制）。
用法：以上五味药切碎，用三升酒浸泡一夜。在疟疾发作前少量服用，不要中断药味，同时涂抹身体。期间禁止无关人员饮食接触，过了发作时间后才可以让人进来进食。忌食苋菜、生葱、生菜、猪肉。（《千金方》、《文仲备急经》、《心录》记载相同，出自第六卷中）
千金疗乍寒乍热、乍有乍无的山瘴疟酒方：
药材：常山（三两）、鳖甲（灸制）、升麻、附子、乌贼鱼骨（去掉硬壳，各二两）。
用法：以上五味药一起切碎，用绢袋装好，用六升酒浸泡，稍微靠近火旁转动加热，一夜制成。每次服用一合，在发作前可以多次服用，可能会引起呕吐。忌食猪肉、生葱、生菜、苋菜。（《肘后备急方》治疗老疟久治不愈，出自第十卷中）
备急论：瘴气和疟疾分为两个名字，其实本质一致。有的先冷后热，有的先热后冷。岭南地区统称为“瘴”，江北地区总称为“疟”，这只是方言不同，并非另有异病。然而南方的温毒，这种病尤为严重。追溯其根源，大致有四种：一是山溪毒瓦斯，二是风温痰饮，三是加上鬼疠之气，四是热毒发作。在这之中，热毒最重，所以用药必须审察病源。患疟瘴之后，特别要防止瘴气引发痢疾，否则死亡迅速。之所以这样，是因为患瘴气的人体质先虚，虚弱之人不宜患痢疾；而且瘴气适宜用冷药治愈，痢疾适宜用温药断绝。如果用温药断痢则会加重瘴气，用冷药断瘴则会加重痢疾，大体情况如此，不可不谨慎。不仅靠药物治疗，也必须注意调养使身体舒适。如果能用一种颜色的药（指单一性质或特定配伍），同时治疗两种病，既冷能止痢，又温能断疟，是最巧妙的。如果做不到，必须先断痢，然后治疗瘴气，因为瘴气缓而痢疾急。仍然通常需要做挟毒预防，不能专门只治痢疾。另外，服用瘴药，都在发作前服用，必须在清晨空腹时服。服药后，不要洗手洗脸漱口，不要让外人进入，不要吃食物，不要劳累。过了发作时间很久后，可以少量进食稀粥。这样治疗和调养，没有不断根的。又在发热的时候，千万不要多喝冷水及多服冷药，如果心下寒冷结聚，更是难治。得疟疾之后，又形成症癖（腹内结块），也有立即发作气逆死亡的无法救治。如果热渴者，喝暖服的豆豉汁，取足量使其呕吐更好。用水煮豆豉研碎，配合犀角汁服用，同时不时进服生葛根汁。大热盛者，给紫雪如枣核大小，用水调和饮用。并烧猪粪和人粪，做成黄龙汤也很好，各可服用二三升。又捣碎一只大老鼠绞汁服用，能大止热毒，瘴热病服用此方都有效。（这只老鼠连同头皮五脏等全部捣碎，如果汁少加少许水和水绞也不难服用，常用立见效果。）
又治疗瘴疟服药后的灸法：
灸大椎穴三四十壮，没有不断根的。如果先感到冷的，将要发冷时，预先在床下安放炭火，让背部暖和，并炙烤鳖甲末一方寸匕的量，用暖酒调和服用，到发作时共服三次，盖被超过发作时间，没有不断根的。这是陶氏的方法，在将要发冷时，只用火炙背，也立刻痊愈的，即使发作也轻微，效验显著。
又治疗瘴疟，常山丸方：
药材：常山、黄连、豆豉（各三两）、附子（二两，炮制）。
用法：以上四味药捣筛成末，蜂蜜和丸如梧桐子大。发作前空腹服四丸，将要发作时再服三丸，温水送下。从早晨到晚上，才进食，三日之内，不要杂食猪肉、鱼、肥腻食物，以及生冷、生葱、生菜。（桂州家族传承，已使用有效，此方兼治痢疾也能痊愈。）
又麻黄散方：
药材：麻黄（去节）、常山、杏仁（去尖皮炒）、人参、干漆（炒）、甘草（灸制）、鳖甲（各二两，灸制）。
用法：以上七味药做成散剂，清晨空腹用三合温酒送服一方寸匕，每天两次，宜连续服用七日。服药后七日不得吃杂物。这是许仁则的五方之一，元比部说在岭南服用效力很大且验证准确。每年时常服用一剂，按此方兼补虚弱羸瘦者。忌食苋菜、生葱、生菜、海藻、菘菜。
又如果患瘴热实证兼有呕吐痢疾者，大黄汤方：
药材：大黄、常山、升麻、甘草（灸制，各三两）。
用法：以上四味药切碎，用七升水，煮取二升半，分三次服用，在发作前全部服完，另取吐利之法。这是蒋家传承。忌食海藻、菘菜、生葱、生菜。
又如果瘴热兼痢疾且痛苦口渴者，乌梅饮方：
药材：乌梅（二十枚，选好的掰破）。
用法：以上一味药，用一大升水，煮取一大盏，去掉乌梅，加入一匙蜜，细细啜饮。近方验证有效。（均出自第二卷中）
延年蜀漆丸：主治岭南瘴气发作，忽冷忽热，积劳似疟，皆主治。
《千金翼方》说，兼主疟疾，连年不愈方：
药材：蜀漆、知母、升麻、白薇、地骨皮、麦门冬（各五分）、乌梅肉、鳖甲（灸制）、葳蕤（各四分）、石膏（八分）、甘草（三分，灸制）、常山（六分）、豆豉（一合，炒）。
用法：以上十三味药捣筛成末，蜂蜜和丸如梧桐子大，饮水送服十丸，每天两次，加至二十丸。此方用无不愈。加光明砂一两，神效。忌食海藻、菘菜、人苋、生葱、生菜。（《千金方》也治疗劳疟，《崔氏》、《千金翼》、《集验》记载相同，出自第十七卷中）
救急疗疟瘴疠：经过百日或一年以上各种药物不能痊愈，进此方没有不好的。蜀漆汤方：
药材：白薇、蜀漆、知母、甘草（灸制）、苦参、升麻、龙胆（各二两）、常山、大黄（别处浸泡后下，各四两）、鳖甲（灸制）、石膏（碎）、茯苓、黄芩（各三两）、香豉（二合，包裹）、独蒜（七颗，切）、淡竹叶（切一升）。
用法：以上十六味药切碎，用一斗水浸泡，并加春酒二升合煮取三升，去渣，分三次服用。未发作前服一次，快要发作时再服一次，都要温热服用。应当发作那天不见人，在一个安静的房间躺卧，药渣放在病人头边，仍用药汁涂手脸，过后任出。忌食肥腻、腥臊、滑物、生冷、海藻、人苋、大酢、菘菜、生葱、生菜。
又朱砂丸方：
药材：朱砂（光明的）、牛膝、常山（各等分）。
用法：以上三味药捣筛成末，蜂蜜和丸如梧桐子大，候疟疾发作日，清晨服七丸，饮水送下，感觉将要发作时，再服七丸，当天不断根，再做一次服用，即痊愈。忌食生葱、生菜、生血物、油腻、牛肉等。
又敕赐长孙祥极效常山汤方：
药材：常山（八分）、橘皮（六分）、牡蛎（四分，熬制）、桂心（二分）。
用法：以上四味药捣筛成散剂，发作日清晨酒服一方寸匕，临发作时又一匕，发作后又一匕，两天内不得洗手洗脸，七天忌食杂物，唯药用酒，其余都断绝，或者吐或者不吐，都能痊愈。忌食生葱、生菜。
又方：
取五六岁小孩的小便一升，放入白蜜两大匙，搅拌使其混合，去掉白沫后，立即顿服，应当大吐碧绿痰，然后进食。如果不能吐，只是多次小便也很好。以前两方吐碧痰外，更吐白沫出来后可吃东西，不然，瘴气终究不能去除。
又常山汤方：
药材：常山苗一握（无苗取根五两代替）、独蒜（七颗）、淡竹叶（二握）、豉（一合，包裹）、鳖甲（三两，灸制）。
用法：以上五味药切碎，用苦酒（醋）三升，煎取一升，临发作时随性情多少服用，全部服完后，应当大吐便愈。忌食人苋、生葱、生菜。
古今录验瘴疟及嶂气，常山汤方：
药材：常山（三两，细切）。
用法：以上一味药捣碎，虚弱者用二两，蒜七瓣去皮中间切，用酒一小升半浸泡一夜，早晨去渣，暖服尽。须臾应当吐尽为好，过时进食，一天内不得漱口及洗手脸，三七日内慎食生葱、生菜、生冷、肉面、油腻，如果早发者，半夜服，务必令其吐。（出自第四卷中）
近效疗疟瘴，孟补阙从岭南带来的极效常山丸方：
药材：常山、豉（炒）、桃仁（去尖皮炒，等分）。
用法：以上三味药各捣末，先用豉和桃仁捣如泥，然后下常山末细搅，蜜丸如梧桐子大，候将要发作前一顿饭的时间酒下四十丸，须臾再服二十丸，如果不愈再服，远不超过三次，能信用者无不愈。忌食生葱、生菜。
又凡是跋涉江山，防诸瘴疠及虫毒等，常服木香犀角丸方：
药材：青木香、犀角（屑）、羚羊角（屑，各六分）、升麻、玄参、猪苓、槟榔（各十分）、鳖甲（灸制）、甘草（灸制，各八分）、豉（二十分，炒）。
用法：以上十味药捣筛成末，蜂蜜和丸，如梧子大，酒饮服三十丸，每天两次。如果身体热就去掉甘草、槟榔，加大黄二十分。忌食海藻、菘菜。
又主疟兼痢，无论赤白、水谷、鲜血、瘴气皆愈，黄连犀角丸方：
药材：黄连、犀角（屑）、香豉（炒，各二两）、龙骨（四两）、牡蛎（二分，熬制）。
用法：以上五味药捣筛成末，蜂蜜和丸如梧子大，米饮下三十丸，每天三次，痊愈停止。忌食猪肉、冷水、油腻等。
又瘴疟不愈，蜀漆丸方：
药材：蜀漆、青木香、升麻、鳖甲（灸制）、牡蛎（熬制）、朱砂、猪苓、香豉（各四分）、常山、大黄（各八分）。
用法：以上十味药捣筛成末，蜂蜜和为丸，如梧子大，米汤下十二丸，每天两次，渐渐痊愈至平复为止。忌食人苋、油腻、陈臭、生血等物。
Etiology: This disease arises in the Lingnan region, carrying the miasma (Zhangqi) of the mountains. Its manifestations include alternating chills and fever, with paroxysms occurring at regular intervals. This is caused by the inhalation of toxic vapors from the streams and mountain ranges. This condition is more severe than malaria caused by summerheat injury. (From Volume 11)
Duanju Formula for Mountain Malaria (Lingli Jia Decoction): In southern mountain ridges and stream sources, toxicity from miasma induces this disease, causing chills and fever without fixed timing, emaciation with sallow complexion, swelling and fullness, and numbness and weakness in the four limbs. All are caused by mountain toxins; this formula governs these symptoms.
Herbs: Lingli Jia (Testudinis Carapax et Plastrum from *Pelodiscus sinensis*, ten slices, prepared by frying; *Qianjin Fang* uses fourteen slices), Oumou Yugu (Sepiae Endoconcha, shell removed), Biejia (Chelonis Carapax et Plastrum, prepared by frying, each one tael), Changshan (Dichroae Radix, three taels), Fuzi (Aconiti Lateralis Radix Praeparata, one piece, processed).
Usage: The above five herbs are cut, soaked in three sheng of wine overnight. Take a small amount slightly before the onset of malaria, do not discontinue the medication, and apply it to the body externally. During this period, prohibit unrelated persons from eating or drinking near the patient. After the paroxysm has passed, people may enter to provide food. Avoid amaranth, raw green onion, raw vegetables, and pork. (*Qianjin Fang*, *Wenzhen Beiji Jing*, *Xinlu* record the same; From Volume 6)
Qianjin Formula for Wine-Soaked Mountain Malaria with Alternating Chills and Fever, Paroxysms Present and Absent:
Herbs: Changshan (Dichroae Radix, three taels), Biejia (Chelonis Carapax et Plastrum, prepared by frying), Shengma (Cimicifugae Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), Oumou Yugu (Sepiae Endoconchum, shell removed, each two taels).
Usage: The above five herbs are cut together, placed in a silk bag, and soaked in six sheng of wine. Heat gently near a fire while turning occasionally. Prepare overnight. Take one ge per dose. Multiple doses may be taken before the paroxysm, which may induce vomiting. Avoid pork, raw green onion, raw vegetables, and amaranth. (*Zhouhou Beiji Fang* treats chronic persistent malaria; From Volume 10)
Treatise on Emergency Preparedness: Miasma (Zhang) and Malaria (Nue) are named differently but share the same essence. Some present with chills first then fever, others with fever first then chills. Lingnan generally calls it "Zhang," while Jiangbei calls it "Nue." This is merely a difference in dialect, not a different disease. However, due to southern warm toxicity, this illness is particularly severe. Tracing its origin, there are roughly four causes: 1. Toxic vapors from mountain streams; 2. Wind-warmth and phlegm-fluid retention; 3. Ghostly pestilence (Gui Li); 4. Heat-toxin paroxysms. Among these, heat-toxin is the heaviest. Therefore, medication must be selected based on careful examination of the etiology. After suffering from malaria-miasma, one must specifically guard against the development of dysentery, as death can follow swiftly. This is because the body is initially deficient after miasma infection, and deficiency does not tolerate dysentery. Furthermore, miasma is best treated with cold-natured remedies, while dysentery requires warm-natured remedies to cease. Using warm remedies to stop dysentery exacerbates miasma, while using cold remedies to stop miasma exacerbates dysentery. Generally, this is the case, so caution is essential. It is not only about medicinal treatment but also about proper nursing to ensure comfort. If one could use a single type of medicine to treat both conditions simultaneously—cold enough to stop dysentery and warm enough to stop malaria—it would be most ingenious. If this is not possible, one must first stop the dysentery, then treat the miasma, because the miasma is slow-acting while the dysentery is urgent. Generally, one must prepare for toxin involvement and not treat dysentery exclusively. Additionally, anti-miasma medicines should be taken before the paroxysm, specifically on an empty stomach at dawn. After taking the medicine, do not wash hands, face, or rinse the mouth; do not allow outsiders in; do not eat; do not exert yourself. Only after the paroxysm time has long passed should one consume a small amount of millet gruel. With such treatment and care, cure is assured. During fever, strictly avoid drinking large amounts of cold water or taking excessive cold medicines. If cold stagnation forms in the epigastrium, it becomes difficult to treat. After contracting malaria, abdominal masses (Zheng Pi) may form; some cases involve sudden qi rebellion leading to death that cannot be saved. For those with heat and thirst, drink warm soybean decoction to induce sufficient vomiting, which is beneficial. Boil soybeans, crush them, mix with rhino horn juice, and take. Also, intermittently drink fresh kudzu root juice. For severe high fever, administer Zi Xue (Purple Snow) the size of two dates, mixed with water. Burning pig manure and human feces to make Huang Long Tang is also effective; each can be taken in amounts of two to three sheng. Crushing a large rat and administering its juice also greatly stops heat-toxin; this is effective for miasma-heat diseases. (The rat, including skin, scalp, and viscera, should be crushed entirely. If the juice yield is low, add a little water to wring it out; it is easy to administer and yields immediate results.)
Moxibustion Method After Taking Medicine for Miasma-Malaria:
Moxa-burn 30–40 cones at Dazhui (GV14). Cure is assured. If chills precede fever, place charcoal fire under the bed beforehand to warm the back. Also, moxa-burn Biejia powder (one cun-bi measure), mixed with warm wine and taken. By the time of the paroxysm, three doses should be consumed. Covering with blankets beyond the paroxysm time ensures cure. This is Master Tao's method. Alternatively, warming the back with fire just before chills begin also leads to immediate recovery; even if a paroxysm occurs, it will be mild. Efficacy is verified.
Changshan Pill for Treating Miasma-Malaria:
Herbs: Changshan (Dichroae Radix), Huanglian (Coptidis Rhizoma), Chi (Fermented Soybean Product/Douchi, each three taels), Fuzi (Aconiti Lateralis Radix Praeparata, two taels, processed).
Usage: The above four herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. Take four pills on an empty stomach before the paroxysm. Take three more pills when the paroxysm is imminent, washed down with water. Do not eat from morning until evening; fast for three days. Avoid pork, fish, fatty/greasy foods, and raw/cold items like green onions and vegetables. (Transmitted in Guangzhou family, proven effective; this formula also cures accompanying dysentery.)
Mahuang Powder:
Herbs: Mahuang (Ephedrae Herba, nodes removed), Changshan (Dichroae Radix), Xingren (Prunus Armeniacus Semen, tips and skins removed, fried), Renshen (Ginseng Radix), Ganqi (Drynariae Rhizoma/Fabricated Drynaria? Note: Text says Ganqi usually Licorice but context implies Ganqi as Drynaria or typo for Ganjiang/Gancao? Standard text often lists Gancao here, but text says Ganqi (Fried). Given "Ganqi" usually means Licorice in modern TCM but historically could vary, however "Ganqi" typically refers to Licorice Root. Wait, standard Mahuang Tang has Gancao. Let's stick to text: Ganqi (Licorice Root, prepared)), Biejia (Chelonis Carapax et Plastrum, each two taels, prepared by frying).
Usage: The above seven herbs are made into powder. Take one cun-bi measure with three ge of warm wine on an empty stomach at dawn. Twice daily. Continue for seven days. For seven days after taking, avoid all other foods. This is one of Xu Renze's five formulas. Yuan Bibu stated it is highly effective in Lingnan. Taking one dose annually also tonifies deficiency and emaciation. Avoid amaranth, raw green onion, raw vegetables, seaweed, and Chinese cabbage.
Dahuang Decoction for Miasma-Heat Excess with Vomiting and Dysentery:
Herbs: Dahuang (Rhei Radix et Rhizoma), Changshan (Dichroae Radix), Shengma (Cimicifugae Rhizoma), Gancao (Licorice Root, prepared, each three taels).
Usage: The above four herbs are cut, boiled in seven sheng of water to reduce to two and a half sheng. Divide into three doses. Take all doses before the paroxysm to induce vomiting and purging. Transmitted by the Jiang family. Avoid seaweed, Chinese cabbage, raw green onion, and raw vegetables.
Wumei Drink for Miasma-Heat with Dysentery and Severe Thirst:
Herbs: Wumei (Mume Fructus, twenty pieces, select good ones and break open).
Usage: The above single herb is boiled in one da sheng of water to reduce to one da zhan. Remove the plums, add one spoonful of honey, and sip slowly. Recent prescriptions verify efficacy. (All from Volume 2)
Yannian Shuqi Pill: Governs outbreaks of Lingnan miasma, alternating hot and cold, accumulation of fatigue resembling malaria.
*Qianjin Yifang* states it also governs malaria persisting for years without cure:
Herbs: Shuqi (Perillae Folium/Prepared Perilla Leaf?), Zhi Mu (Anemarrhenae Rhizoma), Shengma (Cimicifugae Rhizoma), Baiwei (Clehmanniae Radix), Digupi (Lycii Cortex), Maidong (Ophiopogonis Radix, each five fen), Wumei Rou (Mume Fructus Flesh), Biejia (Chelonis Carapax et Plastrum, prepared by frying), Weirui (Polygonati Odorati Rhizoma, each four fen), Shigao (Gypsum Fibrosum, eight fen), Gancao (Licorice Root, prepared, three fen), Changshan (Dichroae Radix, six fen), Douchi (Fermented Soybean Product, one he, fried).
Usage: The above thirteen herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. Take ten pills with water, twice daily, increasing to twenty pills. This formula ensures cure. Adding one liang of Guangming Sha (Refined Cinnabar) makes it miraculous. Avoid seaweed, Chinese cabbage, Amaranthus, raw green onion, and raw vegetables. (*Qianjin Fang* also treats labor-malaria; *Cui Shi*, *Qianjin Yi*, *Ji Yan* records are identical; From Volume 17)
Emergency Rescue Decoction for Malaria, Miasma, and Pestilence: For cases lasting over 100 days or a year where various drugs fail, this formula is universally beneficial. Shuqi Decoction:
Herbs: Baiwei (Clehmanniae Radix), Shuqi (Perillae Folium), Zhi Mu (Anemarrhenae Rhizoma), Gancao (Licorice Root, prepared), Kushen (Sophorae Flavescentis Radix), Shengma (Cimicifugae Rhizoma), Longdan (Gentianae Radix, each two taels), Changshan (Dichroae Radix), Dahuang (Rhei Radix et Rhizoma, soaked separately and added later, each four taels), Biejia (Chelonis Carapax et Plastrum, prepared), Shigao (Gypsum Fibrosum, crushed), Fuling (Poria), Huangqin (Scutellariae Radix, each three taels), Xiangshi (Fermented Soybean Product, two he, wrapped), Dusu (Allium Sativum Bulb, seven cloves, cut), Danzhuye (Lophatheri Herba, cut, one sheng).
Usage: The above sixteen herbs are cut, soaked in one dou of water, combined with two sheng of spring wine, and boiled to yield three sheng. Strain and divide into three doses. Take one dose before the paroxysm begins, and another dose as the paroxysm approaches. Both should be taken warm. On the day of the paroxysm, do not see people; lie in a quiet room. Place the herbal dregs near the patient's head. Apply the liquid to the hands and face. Leave only after the time has passed. Avoid fatty, fishy, slippery, cold/raw, seaweed, Amaranthus, strong vinegar, Chinese cabbage, raw green onion, and raw vegetables.
Zhusha Pill:
Herbs: Zhusha (Cinnabar, bright quality), Niuxi (Achyranthis Bidentatae Radix), Changshan (Dichroae Radix, equal parts).
Usage: The above three herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. On the day of the malaria paroxysm, take seven pills at dawn with water. When feeling the paroxysm approaching, take another seven pills. If not cured on the first day, take another dose. It will then heal. Avoid raw green onion, raw vegetables, raw blood products, greasy foods, and beef.
Imperial Bestowal Changshan Decoction Extremely Effective for Zhangsun Xiang:
Herbs: Changshan (Dichroae Radix, eight fen), JuPi (Citri Reticulatae Pericarpium, six fen), Muli (Concha Ostreae, four fen, roasted), Guixin (Cinnamomi Ramulus, two fen).
Usage: The above four herbs are pounded and sifted into powder. On the day of the paroxysm, take one cun-bi measure with wine at dawn, one more just before the paroxysm, and one more after the paroxysm. Do not wash hands or face for two days. Avoid miscellaneous foods for seven days; only medicinal wine is allowed, everything else is prohibited. Whether vomiting occurs or not, cure is achieved. Avoid raw green onion and raw vegetables.
Another Formula:
Take one sheng of urine from a five- or six-year-old child, add two large spoonfuls of white honey, stir well, remove white foam, and drink immediately. Profuse vomiting of green bile-phlegm should occur, followed by eating. If vomiting does not occur, frequent urination is also acceptable. Besides the green bile-phlegm vomited by the previous two formulas, once white foam is vomited, food can be eaten. Otherwise, the miasma will never be eliminated.
Changshan Decoction:
Herbs: Changshan Miao (Stem of Dichroa, one handful; if no stem, use five taels of root), Dusu (Allium Sativum Bulb, seven cloves), Danzhuye (Lophatheri Herba, two handfuls), Chi (Fermented Soybean Product, one he, wrapped), Biejia (Chelonis Carapax et Plastrum, three taels, prepared by frying).
Usage: The above five herbs are cut, boiled in three sheng of Ku Jiu (Vinegar/Wine) to reduce to one sheng. Take appropriate amount before the paroxysm. After finishing the dose, profuse vomiting should occur, leading to recovery. Avoid Amaranthus, raw green onion, and raw vegetables.
Gu Jin Lu Yan Changshan Decoction for Miasma-Malaria and Zhang Qi:
Herbs: Changshan (Dichroae Radix, three taels, finely cut).
Usage: The above single herb is crushed. For weak patients, use two taels. Seven cloves of garlic, peeled and sliced. Soak in one and a half sheng of wine overnight. Strain in the morning, drink warm completely. Vomiting should occur shortly thereafter to expel the pathogen; this is ideal. Eat after the time has passed. Do not rinse mouth or wash hands/face for one day. For 21 days, avoid raw green onion, raw vegetables, cold/raw foods, meat, noodles, and greasy foods. If early onset, take at midnight, ensuring vomiting occurs. (From Volume 4)
Recent Efficacy Changshan Pill for Malaria-Miasma, brought by Supplementor Meng from Lingnan:
Herbs: Changshan (Dichroae Radix), Chi (Fermented Soybean Product, fried), Taoren (Prunus Persica Seed, tips and skins removed, fried, equal parts).
Usage: Each of the three herbs is pounded into powder. First, pound Chi and Taoren into a paste, then mix in the Changshan powder finely. Form pills with honey the size of mulberry seeds. Take forty pills with wine one meal-time before the paroxysm. Shortly after, take twenty more pills. If not cured, take again. No more than three doses are needed. Those who trust and use it will invariably be cured. Avoid raw green onion and raw vegetables.
Muxiang Xijiao Pill for Prevention of Miasma, Pestilence, and Insect Toxins While Traveling:
Herbs: Qingmuxiang (Aucklandiae Radix/Xanthocerii Radix), Xijiao (Rhino Hornis Cornu, shaved), Lingyangjiao (Saiga Tataricae Cornu, shaved, each six fen), Shengma (Cimicifugae Rhizoma), Xuanshen (Scrophulariae Radix), Zhuling (Polyporus), Binglang (Arecae Semen, each ten fen), Biejia (Chelonis Carapax et Plastrum, prepared), Gancao (Licorice Root, prepared, each eight fen), Chi (Fermented Soybean Product, twenty fen, fried).
Usage: The above ten herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. Take thirty pills with wine, twice daily. If the body feels hot, remove Gancao and Binglang, and add Dahuang (Rhei Radix et Rhizoma, twenty fen). Avoid seaweed and Chinese cabbage.
Huanglian Xijiao Pill for Malaria Accompanied by Dysentery (Red, White, Watery, Undigested, Bloody, or Miasmatic):
Herbs: Huanglian (Coptidis Rhizoma), Xijiao (Rhino Hornis Cornu, shaved), Xiangshi (Fermented Soybean Product, fried, each two taels), Longgu (Fossilia Ossis Maxillaris, four taels), Muli (Concha Ostreae, two fen, roasted).
Usage: The above five herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. Take thirty pills with rice water, three times daily. Stop when cured. Avoid pork, cold water, and greasy foods.
Shuqi Pill for Persistent Miasma-Malaria:
Herbs: Shuqi (Perillae Folium), Qingmuxiang (Aucklandiae Radix/Xanthocerii Radix), Shengma (Cimicifugae Rhizoma), Biejia (Chelonis Carapax et Plastrum, prepared), Muli (Concha Ostreae, roasted), Zhusha (Cinnabar), Zhuling (Polyporus), Xiangshi (Fermented Soybean Product, each four fen), Changshan (Dichroae Radix), Dahuang (Rhei Radix et Rhizoma, each eight fen).
Usage: The above ten herbs are pounded and sifted into powder, mixed with honey to form pills the size of mulberry seeds. Take twelve pills with rice soup, twice daily. Gradually improve until full recovery. Avoid Amaranthus, greasy foods, stale/foul-smelling items, and raw blood products.