病源此由邪气与卫气俱行于六腑,而有时相失不相得,故邪气内搏五脏,则道远气深,
故其行迟,不能与卫气偕出,是以间日而作也。(出第十一卷中)
备急疗间日疟方。
烧黑牛尾作灰,酒服方寸匕,日三服。(出第十卷中)
又桂广州法醇 汤方。
大黄(三分) 甘草(一分半炙) 常山(一分半)
上三味,以水三升,煮取一升,去滓,更以水二升煮滓取一升,未发服 是后煮者,
相次服醇,醇是前煮者瘥。忌菘菜海藻生葱生菜等。(支云极验文仲经心录方无甘草用石膏
三铢余同一方有桂心一分半出第二卷中)
病源夫疟皆由伤暑及伤风所为,热盛之时,发汗吐下过度,腑脏空虚营卫伤损,邪气伏
藏所以引日不瘥,仍故休作也,疟岁岁发,至三岁发连日发不解,胁下有痞,疗之不得攻其
痞,但得虚其津液,先其时发其汗,服汤已,先寒引衣自覆汗出,小便自利,则愈也。(出
第十一卷中)
深师疗久疟难断香豉丸方。
香豉(一分熬) 常山(七分) 蜀漆(十分) 附子(一分炮) 大黄(二分好者)
上五味捣下筛,蜜和,发日早服五丸如梧子,须臾又服五丸,发晚者,至发可三四服,
令其得吐为佳,欲不即断畏吐者,但则长将久服,无不瘥也。忌生葱生菜猪肉。
又疗三十年疟,常山汤方。
常山(三两) 黄连(三两)
上二味切,以酒一斗宿渍之,向晚以瓦釜煮取六升,一服八合,比发时,令得三服,有
热当吐,有冷当下,服之者千百无一不断,亦可半合,无服全剂者。忌猪肉冷水生葱生菜。
(并出
千金栀子汤,主疟经数年不瘥者,两剂瘥,一月以来一剂瘥方。
栀子(十四枚) 常山(三两) 车前叶(二十枚炙干) 秫米(十四粒)
上四味切,以水九升,煮取三升,分三服,未发一服,发时一服,发后一服,以吐利四
五行为瘥,不止,冷冻饮料止之。忌生葱生菜。(出第十卷中)
崔氏疗疟,纵久患者不过五六服以来亦瘥。常山散方。
常山(三两) 干漆(三两熬烟尽) 牡蛎(一两半熬) 桂心(三两) 橘皮(二两)
杏仁(
二两去皮尖熬)
上六味捣筛为散,一服方寸匕,先发热,饮和服,若先寒清酒和服之,时取未发前一食
顷服,服药日唯须晚食,七日内慎如药法。忌生葱生菜。(出第四卷中)
备急龙骨丸,疗久疟不断者方。
龙骨(一两) 常山(三两) 大黄(二两) 附子(二分炮)
上四味捣末,以鸡子黄丸如梧子大,先发临发,各饮服五丸,无不断,长将服之,支云
神验,疗三十年疟。忌生葱生菜猪肉等。(张文仲支方同出第二卷中)
备急疗疟连绵积日不瘥,常山散方。
常山(三两) 羚羊角(三两炙令焦) 乌梅肉(三两) 黄芩(二两) 甘草(一两
半炙)
上五味捣为散,以竹叶煮饮取六七合,饮及热用,调常山散三方寸匕,未发前一服,若
瘥停,不瘥临欲发,又进二寸匕,老小以意量之。忌海藻菘菜生葱生菜。
又疗疟无问年月远近并瘥,乌梅丸方。
乌梅肉(三两熬) 苁蓉(三两) 桃仁(三两熬去皮) 常山(三两熬) 升麻(二
两炙)
桂心(二两) 甘草(二两炙)
上七味捣筛,蜜和丸如梧子大,未发时酒服二十丸欲至发时更服二十丸,百无所忌,唯
触之则难瘥,饮服亦得,此药或吐利,或不吐利,勿 ,五六日频进佳。忌海藻菘菜生葱生
菜。(一方有豉三两熬文仲备急同并出第一卷中)
近效疗久难瘥疟,常山酒方。
常山(三两) 鳖甲(二两炙) 鲮鲤甲(一两炙) 乌贼鱼骨(一两炙) 乌梅肉(七
枚) 桃
仁(四十九枚去皮尖别捣如泥) 竹叶(切一升) 豉(三合熬令香) 葱白(切一升)
上九味细切,合以酒三升渍经再宿,空腹早朝温服一合,良久取吐,如不吐,至齐午以
来服之,四服如不瘥,隔日更依前服必瘥,瘥后十日内,不得吃冷水粘滑人苋生菜,余如常。
(
病源:这是因为邪气与卫气一同运行于六腑,但有时两者失去协调、不能同步,所以邪气内迫五脏,导致病位深远、气机深沉,因此邪气运行迟缓,不能与卫气同时外出,所以疟疾隔日发作一次。(出自第十一卷中)
备急疗法治疗间日疟的方剂。
将黑牛尾烧成灰,用酒送服一方寸匕大小的药量,每日服用三次。(出自第十卷中)
又一种桂州地区流传的法醇汤方。
大黄(三分) 甘草(一分半,炙过) 常山(一分半)
以上三味药,用水三升,煎煮取汁一升,滤去药渣;再将药渣加水二升,煎煮取汁一升。在疟疾发作前服用第一次煎好的药液,随后依次服用第二次煎煮的药液,“醇”指的是第一次煎煮的药液,若服药后痊愈则停止。忌食菘菜(白菜)、海藻、生葱、生菜等。(支氏说此法极有效验,文仲《经心录》方中无甘草,改用石膏三铢,其余相同;另一版本方中有桂心一分半,出自第二卷中)
病源:疟疾都是由伤暑及伤风引起的。在热盛之时,如果发汗、催吐、泻下过度,会导致脏腑空虚、营卫受损,邪气潜伏藏匿,所以病程迁延不愈,仍然按时休作。疟疾每年发作,持续三年甚至连续几日发作不止,胁下有痞块。治疗时不可直接攻伐痞块,只能使其津液虚弱,在发作前先让其发汗,服药后,先感到寒冷并裹衣自温,待汗出、小便通利,即可痊愈。(出自第十一卷中)
深师疗法治疗久疟难断的香豉丸方。
香豉(一分,熬制) 常山(七分) 蜀漆(十分) 附子(一分,炮制) 大黄(二分,选用优质的)
以上五味药捣碎过筛,用蜂蜜调和制成丸药。在发作日早晨服用五丸,大小如梧桐子,片刻后再服五丸;若发作时间较晚,则在发作前可分三四次服用,以能引起呕吐为佳。若想迅速断根但畏惧呕吐者,只需长期缓慢服用,没有不痊愈的。忌食生葱、生菜、猪肉。
又一种治疗三十年疟疾的常山汤方。
常山(三两) 黄连(三两)
以上两味药切碎,用酒一斗浸泡过夜,傍晚时用瓦锅煎煮取汁六升。每次服用八合,在发作前令患者服完三次。有热象者会呕吐,有寒象者会腹泻。服用此药的人千百人中无一不断根的。也可以减半服用,没有服用全剂量的。忌食猪肉、冷水、生葱、生菜。
(均出自……千金栀子汤,主治疟疾经过数年不愈者,两剂可愈;一个月来一剂可愈的方子。)
栀子(十四枚) 常山(三两) 车前叶(二十枚,炙干) 秫米(十四粒)
以上四味药切碎,用水九升,煎煮取汁三升,分三次服用。未发作时服一次,发作时服一次,发作后服一次。以出现四五次呕吐或腹泻为痊愈标志。若不止,可用冷冻饮料止之。忌食生葱、生菜。(出自第十卷中)
崔氏疗法治疗疟疾,即使是久病患者,也不过五六次服药即可痊愈。常山散方。
常山(三两) 干漆(三两,熬至烟尽) 牡蛎(一两半,煅烧) 桂心(三两) 橘皮(二两) 杏仁(二两,去皮尖,熬制)
以上六味药捣碎过筛制成散剂。每次服用一方寸匕。若先发热,用温水调服;若先恶寒,用清酒调服。通常在未发作前一顿饭的时间服用。服药当天只需吃晚饭,七日内需严格遵守服药禁忌。忌食生葱、生菜。(出自第四卷中)
备急龙骨丸,治疗久疟不断绝的方剂。
龙骨(一两) 常山(三两) 大黄(二两) 附子(二分,炮制)
以上四味药捣成粉末,用鸡蛋黄调和制成如梧桐子大的丸药。在发作前和发作时各饮服五丸,无不治愈的。长期服用,支氏说神效,可治疗三十年疟疾。忌食生葱、生菜、猪肉等。(张文仲、支氏方相同,出自第二卷中)
备急疗法治疗疟疾连绵多日不愈的常山散方。
常山(三两) 羚羊角(三两,炙至焦黄) 乌梅肉(三两) 黄芩(二两) 甘草(一两半,炙过)
以上五味药捣碎制成散剂,用竹叶煮水取六七合,趁热饮用,调入常山散三方寸匕。在未发作前服用一次,若痊愈则停服;若未愈,在即将发作时再进服二寸匕,老人小孩酌情减量。忌食海藻、菘菜、生葱、生菜。
又一种治疗疟疾无论年月远近均可痊愈的乌梅丸方。
乌梅肉(三两,熬制) 苁蓉(三两) 桃仁(三两,熬制去皮) 常山(三两,熬制) 升麻(二两,炙过) 桂心(二两) 甘草(二两,炙过)
以上七味药捣碎过筛,用蜂蜜调和制成如梧桐子大的丸药。未发作时饮酒送服二十丸,接近发作时再服二十丸。百无禁忌,只是触犯禁忌则难愈。也可用水送服。此药可能引起呕吐或腹泻,也可能不吐不泻,不要惊慌,每隔五六日频繁进服效果佳。忌食海藻、菘菜、生葱、生菜。(另一版本方中有豉三两,熬制,文仲备急方相同,均出自第一卷中)
近效疗法治疗久难愈疟疾的常山酒方。
常山(三两) 鳖甲(二两,炙制) 鲮鲤甲(即穿山甲鳞甲,一两,炙制) 乌贼鱼骨(即海螵蛸,一两,炙制) 乌梅肉(七枚) 桃仁(四十九枚,去皮尖,另捣如泥状) 竹叶(切细一升) 豉(三合,熬至香) 葱白(切细一升)
以上九味药细细切碎,混合后用酒三升浸泡两个晚上。空腹清晨温服一合,过一会儿促使呕吐。如果不吐,等到中午以后服用。四次服用若不愈,隔日再按前法服用,必定痊愈。痊愈后十日内,不得吃冷水、粘滑食物、人苋菜、生菜,其余照常饮食。
Pathogenesis: This occurs because pathogenic factors and Wei Qi (Defensive Qi) travel together through the Six Fu Organs, but sometimes lose coordination and fail to synchronize. Consequently, pathogenic factors press inward against the Five Zang Organs, resulting in a distant disease location and deep-seated Qi dynamics. Thus, the movement of pathogens is slow, preventing them from exiting simultaneously with Wei Qi, which is why the malaria attacks every other day. (From Volume XI)
Emergency Prescription for Intermittent Malaria.
Burn black ox tail into ash, take one Fang Cun Bi (a square-inch measure) with wine, three times daily. (From Volume X)
Another method from Guangzhou, Chun Decoction.
Da Huang (Rhubarb Root and Rhizome, 3 fen), Gan Cao (Licorice Root, 1.5 fen, honey-fried), Chang Shan (Dichroa Root, 1.5 fen).
Crush the above three ingredients. Boil in 3 sheng of water to obtain 1 sheng of decoction, then strain. Add 2 sheng of water to the dregs and boil again to obtain 1 sheng. Take the first decoction before the onset of fever. Subsequently, take the second decoction in succession. "Chun" refers to the first decoction; if cured after taking it, stop. Avoid eating Song Cai (Chinese Cabbage), Hai Zao (Seaweed), raw Cong (Scallion), and raw vegetables. (Zhi claimed this method was extremely effective. Wen Zhong's Jing Xin Lu prescription omits Gan Cao and uses Shi Gao [Gypsum] 3 zhu instead, otherwise identical. Another version includes Gui Xin [Cinnamon Twig Heart] 1.5 fen, from Volume II.)
Pathogenesis: Malaria is caused by damage from Summerheat and Wind-Cold. During periods of intense heat, excessive sweating, vomiting, or purging can lead to emptiness in the Zang-Fu organs and damage to Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi). Pathogenic factors lie dormant, causing prolonged illness without resolution, yet still recurring at intervals. If malaria recurs annually for three years or more, or continues daily without relief, and there is a mass under the hypochondrium, treatment should not directly attack the mass. Instead, one should deplete the body fluids slightly and induce sweating before the onset. After taking the decoction, the patient will initially feel cold and cover themselves with clothes. Once sweat appears and urination becomes normal, the disease will be cured. (From Volume XI)
Shen Shi Prescription for Stubborn Chronic Malaria, Xiang Chi Pill.
Xiang Chi (Fermented Soybean, 1 fen, roasted), Chang Shan (Dichroa Root, 7 fen), Shu Qi (Radix Dichroae Preparata, 10 fen), Fu Zi (Prepared Aconite Root, 1 fen, processed), Da Huang (Rhubarb Root and Rhizome, 2 fen, high quality).
Grind the above five ingredients into powder and sift. Mix with honey to form pills the size of wu zi (wu-tzu seeds). On the day of onset, take five pills early in the morning, and another five pills shortly after. If the onset is late, take three to four doses before the onset. Inducing vomiting is ideal. For those who fear vomiting but wish to cure it quickly, long-term slow administration will ensure recovery. Avoid raw Cong (Scallion), raw vegetables, and pork.
Another Prescription for Thirty-Year Malaria, Chang Shan Decoction.
Chang Shan (Dichroa Root, 3 liang), Huang Lian (Coptis Rhizome, 3 liang).
Cut the above two ingredients. Soak in one dou of wine overnight. In the evening, boil in a clay pot to obtain six sheng. Take eight he per dose. Before the onset, ensure three doses are taken. Heat symptoms may cause vomiting; cold symptoms may cause diarrhea. Among thousands who take this, almost none remain uncured. Dosage may be halved; full dosage is rarely used. Avoid pork, cold water, raw Cong (Scallion), and raw vegetables.
(All from... Qian Jin Zhi Zi Decoction, mainly for malaria persisting for years, cured in two doses; or cured in one dose within a month.)
Zhi Zi (Gardenia Fruit, 14 pieces), Chang Shan (Dichroa Root, 3 liang), Che Qian Ye (Plantago Leaf, 20 pieces, dried by roasting), Shu Mi (Millet, 14 grains).
Cut the above four ingredients. Boil in nine sheng of water to obtain three sheng. Divide into three doses: one before onset, one during onset, and one after onset. Recovery is indicated by four to five episodes of vomiting or diarrhea. If these do not cease, use frozen drinks to stop them. Avoid raw Cong (Scallion) and raw vegetables. (From Volume X)
Cui Shi’s Method for Malaria: Even in chronic cases, recovery usually occurs within five to six doses. Chang Shan Powder.
Chang Shan (Dichroa Root, 3 liang), Gan Xi (Dried Lacquer, 3 liang, roasted until smoke ceases), Mu Li (Oyster Shell, 1.5 liang, calcined), Gui Xin (Cinnamon Twig Heart, 3 liang), Ju Pi (Tangerine Peel, 2 liang), Xing Ren (Apricot Seed, 2 liang, skin and tip removed, roasted).
Grind the above six ingredients into powder. Take one Fang Cun Bi per dose. If fever precedes chills, mix with warm water; if chills precede fever, mix with clear wine. Take approximately one meal time before the onset of fever. On the day of medication, only eat dinner. Observe dietary restrictions strictly for seven days. Avoid raw Cong (Scallion) and raw vegetables. (From Volume IV)
Emergency Long Gu Pill, for Persistent Chronic Malaria.
Long Gu (Fossilized Bone, 1 liang), Chang Shan (Dichroa Root, 3 liang), Da Huang (Rhubarb Root and Rhizome, 2 liang), Fu Zi (Prepared Aconite Root, 2 fen, processed).
Grind the above four ingredients into powder. Mix with egg yolk to form pills the size of wu zi (wu-tzu seeds). Take five pills with water just before and just at the onset of fever. All cases are cured. Long-term use is recommended. Zhi claimed this is miraculous for thirty-year malaria. Avoid raw Cong (Scallion), raw vegetables, and pork. (Zhang Wen Zhong and Zhi prescriptions are identical, from Volume II.)
Emergency Prescription for Continuous Malaria Persisting for Days, Chang Shan Powder.
Chang Shan (Dichroa Root, 3 liang), Ling Yang Jiao (Antelope Horn, 3 liang, roasted until scorched), Wu Mei (Mume Fruit Flesh, 3 liang), Huang Qin (Scutellaria Root, 2 liang), Gan Cao (Licorice Root, 1.5 liang, honey-fried).
Grind the above five ingredients into powder. Brew Zhu Ye (Bamboo Leaf) in water to obtain 6-7 he. Drink while hot, mixing in three Fang Cun Bi of Chang Shan Powder. Take one dose before onset. If cured, stop; if not, take two more Cun Bi just before onset. Adjust dosage for elderly and children as appropriate. Avoid Hai Zao (Seaweed), Song Cai (Chinese Cabbage), raw Cong (Scallion), and raw vegetables.
Another Prescription for Malaria Regardless of Duration, Wu Mei Pill.
Wu Mei (Mume Fruit Flesh, 3 liang, roasted), Cong Rong (Cistanche Stem, 3 liang), Tao Ren (Peach Seed, 3 liang, roasted, skin removed), Chang Shan (Dichroa Root, 3 liang, roasted), Sheng Ma (Cimicifuga Rhizome, 2 liang, honey-fried), Gui Xin (Cinnamon Twig Heart, 2 liang), Gan Cao (Licorice Root, 2 liang, honey-fried).
Grind the above seven ingredients into powder. Mix with honey to form pills the size of wu zi (wu-tzu seeds). Take twenty pills with wine before onset, and another twenty pills approaching onset. No dietary restrictions apply, except that violating them hinders recovery. Water administration is also acceptable. The medicine may cause vomiting or diarrhea, or neither; do not panic. Taking it frequently every five to six days is beneficial. Avoid Hai Zao (Seaweed), Song Cai (Chinese Cabbage), raw Cong (Scallion), and raw vegetables. (Another version includes San Dou [Soybean] 3 liang, roasted, same as Wen Zhong's Emergency Prescription, both from Volume I.)
Recent Effective Prescription for Stubborn Chronic Malaria, Chang Shan Wine.
Chang Shan (Dichroa Root, 3 liang), Bie Jia (Turtle Shell, 2 liang, roasted), Ling Li Jia (Pangolin Scales, 1 liang, roasted), Wu Zei Gu (Cuttlebone, 1 liang, roasted), Wu Mei (Mume Fruit Flesh, 7 pieces), Tao Ren (Peach Seed, 49 pieces, skin and tip removed, pounded into paste), Zhu Ye (Bamboo Leaf, cut 1 sheng), Dou (Fermented Soybean, 3 he, roasted until fragrant), Cong Bai (Scallion White, cut 1 sheng).
Finely chop the above nine ingredients. Soak in three sheng of wine for two nights. Take one he warm on an empty stomach in the early morning. Wait a while to induce vomiting. If no vomiting occurs, take it after noon. If not cured after four doses, repeat every other day according to the previous method; it will surely cure. Within ten days after recovery, avoid cold water, slippery foods, Ren Xian Cai (Amaranthus manihot), and raw vegetables. Rest as usual.