夫往来寒热疟者。由寒气并于阴。则发寒。风气并于阳。则发热。阴阳二气。更实更虚
。故寒热更相往来也。
治疟往来寒热。作时面色青黄。宜以人参散吐方。
人参芦头(半两) 恒山(半两) 甘草(半两生用) 灯心(三大束) 陈橘皮(一
分汤浸去
白瓤焙) 茶末(二钱)
上件药。细锉。都以水二大盏。煎至一大盏。次入酒一中盏。更煎三四沸。去滓。空腹
分为三服。每服药后。以篦子畎引。吐了再服。以痰出尽为度。
治疟往来寒热。经年不瘥。瘦弱。及劳疟。乌梅丸方。
乌梅肉(一两微炒) 鳖甲(二两涂醋炙令黄去裙 ) 川升麻(一两) 柴胡(一两
半去苗)
甘草(一两生
涂酥炙
令黄) 川大黄
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮下三十丸。
又方。
虎头骨(二两涂酥炙令黄) 鳖甲(二两涂醋炙令黄去裙 ) 牡蛎(二两烧为粉) 香
豉(
二合炒干) 桃仁(二两汤浸去皮麸炒微黄)
上件药。捣罗为末。炼蜜和捣三二百杵。丸如绿豆大。每于食前。以粥饮下二十丸。
治疟往来寒热。宜服此方。
砒黄(半两) 硝石(一两) 白矾〔一(二)两〕 腻粉(一分)
上件药。都细研。用浆水一大盏。调成稀糊。入铛中。以慢火煎。又用冷浆水一升。候
沸。
再一
治疟寒热发歇。往来不定方。
腊月猪脂(二两) 独颗蒜(一颗) 蒌葱(一握细切) 独角仙(一枚) 五月五日。三姓粽
子取尖。
上件药。于五月五日五更初。于净房内修合。勿令妇人见。露头赤脚。舌柱上 。回面
向北。捣一千杵为度。有患者。用新绵子裹一丸。如皂荚子大。男左女右。系于手臂上。神
效。
治疟。往来寒热。发歇无时。神效方。
湿生虫(四十九枚) 百节虫(四十九枚) 砒霜(三钱细研) 粽子角(一七枚)
上件药。取五月五日。日未出时。于东南上。寻取两般虫令足。至午时。面向南。都研
。不令鸡犬妇人师僧孝子见。丸如小豆大。每患者。于发前。男左女右。手内把一丸。嗅七
遍。
又方。
砒霜(一两细研) 天灵盖(一两生用为末) 猢狲头(一枚烧灰) 朱砂(半两细研)
东南
桃柳枝(各一七茎长三寸)
上件药。取五月五日午时。捣罗为末。用粽子角和丸。如梧桐子大。男左女右。手把一
丸。预前嗅之。一丸可医五七人。
又方。
蜀漆末。每服。以温水调下一钱。
疟疾表现为寒热往来的症状,是由于寒气侵入阴分,导致发冷;风气侵入阳分,导致发热。阴阳二气交替盛衰、虚实变化,因此出现寒热交替往来的现象。
治疗疟疾引起的寒热往来,发作时面色青黄,宜用人参散催吐方。
人参芦头(半两) 恒山(半两) 甘草(半两,生用) 灯心草(三大束) 陈橘皮(一分,汤浸去白瓤焙干) 茶末(二钱)
以上药物,细切锉碎,全部用水两大盏,煎煮至一大盏,再加入酒一中盏,再煎煮三四沸,滤去药渣。空腹时分三次服用。每次服药后,用篦子刺激咽喉引吐,待痰涎吐出后再服下一剂,以痰出尽为度。
治疗疟疾寒热往来,经久不愈,身体消瘦虚弱,以及劳疟,使用乌梅丸方。
乌梅肉(一两,微炒) 鳖甲(二两,涂醋炙至黄色,去裙边) 川升麻(一两) 柴胡(一两半,去苗)
甘草(一两,生用,涂酥炙令黄) 川大黄
以上药物,捣碎过筛成粉末,炼蜜调和,捣杵三二百下,制成梧桐子大小的丸药。每次在饭前,用米粥送服三十丸。
又一方:
虎头骨(二两,涂酥炙令黄) 鳖甲(二两,涂醋炙令黄,去裙边) 牡蛎(二两,烧成粉) 香豉(二合,炒干) 桃仁(二两,汤浸去皮尖麸炒微黄)
以上药物,捣碎过筛成粉末,炼蜜调和,捣杵三二百下,制成绿豆大小的丸药。每次在饭前,用米粥送服二十丸。
治疗疟疾寒热往来,宜服用此方:
砒黄(半两) 硝石(一两) 白矾〔一两或二两〕 腻粉(一分)
以上药物,都细细研磨,用浆水一大盏,调成稀糊状,放入锅中,用慢火煎煮。再用冷浆水一升,候其沸腾,再次……(原文此处似有缺漏或断句不清,依文意推测为继续煎制过程)
治疗疟疾寒热发作间歇不定,往来无定时的方子:
腊月猪脂(二两) 独颗蒜(一颗) 蒌葱(一握,细切) 独角仙(一枚) 五月五日,三个姓氏的粽子取尖端部分。
以上药物,在五月五日五更初,在洁净的房间内制作配合,不要让妇女看见。露出头和脚,舌头抵住上颚,面向北方,捣一千杵为止。患者用新棉包裹一丸,如皂荚子大小,男左女右,系在手臂上,效果神奇。
治疗疟疾,寒热往来,发作时间不定,神效方:
湿生虫(四十九枚) 百节虫(四十九枚) 砒霜(三钱,细研) 粽子角(一十七枚)
以上药物,选取五月五日,太阳未出时,在东南方向寻找这两种虫子,确保足数齐全。到午时,面向南方,一起研磨,不让鸡犬、妇女、师僧、孝子看见。制成小豆大小的丸药。每位患者在发作前,男左女右,手中握一丸,嗅闻七遍。
又一方:
砒霜(一两,细研) 天灵盖(一两,生用研末) 猢狲头(一枚,烧成灰) 朱砂(半两,细研)
东南方向的桃柳枝(各一十七茎,长三寸)
以上药物,选取五月五日午时,捣碎过筛成粉末,用粽子角调和制成丸药,如梧桐子大小。男左女右,手中持一丸,预先嗅闻。一丸可医治五到七人。
Malaria characterized by alternating chills and fever arises when cold qi (Cold Energy) merges with the Yin aspect, causing chills; and wind qi (Wind Energy) merges with the Yang aspect, causing fever. The two aspects of Yin and Qi undergo alternating excess and deficiency, thus resulting in the alternation of chills and fever.
For treating malaria with alternating chills and fever, where the complexion is greenish-yellow during attacks, use the Ginseng Powder for Inducing Vomiting Formula.
Ginseng Rhizome Head (Ren Shen Lu Tou, 0.5 liang), Heng Shan (Tripterygium hypoglaucum root, 0.5 liang), Licorice Root (Gan Cao, 0.5 liang, raw), Juncus Effusus Stem (Deng Xin, three large bundles), Aged Tangerine Peel (Chen Ju Pi, 1 fen, soaked in water, white pith removed, dried), Tea Powder (Cha Mo, 2 qian).
The above herbs are finely chopped. Boil all ingredients in two large cups of water until reduced to one large cup. Then add one medium cup of wine and boil for three or four boils. Strain the dregs. Take on an empty stomach, divided into three doses. After each dose, induce vomiting using a comb to stimulate the throat. Administer the next dose after vomiting subsides. Continue until phlegm-rheum (Tan-Yin) is completely expelled.
For treating malaria with alternating chills and fever that has persisted for years without recovery, accompanied by emaciation and weakness, as well as labor-induced malaria, use the Smoked Plum Pill Formula.
Smoked Plum Flesh (Wu Mei Rou, 1 liang, lightly stir-fried), Turtle Plastron (Bie Jia, 2 liang, coated with vinegar, roasted until yellow, skirt removed), Chuan Sheng Ma (Cimicifugae Rhizoma, 1 liang), Bupleuri Radix (Chai Hu, 1.5 liang, radix removed).
Licorice Root (Gan Cao, 1 liang, raw, coated with butter, roasted until yellow), Chuan Da Huang (Rhei Radix et Rhizoma).
The above herbs are crushed, sifted into powder, mixed with refined honey, and pounded for three to two hundred strokes. Form pills the size of paulownia seeds. Take thirty pills before meals, washed down with porridge drink.
Another formula:
Tiger Skull Bone (Hu Tou Gu, 2 liang, coated with butter, roasted until yellow), Turtle Plastron (Bie Jia, 2 liang, coated with vinegar, roasted until yellow, skirt removed), Oyster Shell (Mu Li, 2 liang, calcined to powder), Fermented Soybean (Xiang Chi, 2 he, stir-fried until dry), Peach Kernel (Tao Ren, 2 liang, soaked in water, skin and tip removed, bran removed, lightly stir-fried until yellow).
The above herbs are crushed, sifted into powder, mixed with refined honey, and pounded for three to two hundred strokes. Form pills the size of mung beans. Take twenty pills before meals, washed down with porridge drink.
For treating malaria with alternating chills and fever, this formula is suitable:
Arsenic Yellow (Pi Huang, 0.5 liang), Niter (Xiao Shi, 1 liang), Alum (Bai Fan, 1 or 2 liang), Calomel (Ni Fen, 1 fen).
The above herbs are finely ground. Mix with one large cup of sour rice water to form a thin paste. Place in a pan and simmer over low heat. Then use one sheng of cold sour rice water, wait for it to boil... [Text appears incomplete/corrupted here].
Formula for treating malaria chills and fever with irregular onset and offset:
Lard from the twelfth lunar month (Zhu Zhi, 2 liang), Single-clove Garlic (Du Ke Suan, 1 clove), Scallion/Allium (Lou Cong, one handful, finely cut), Monochamus Brevispicis Larva (Du Jiao Xian, one larva), Tips of Zongzi made on the fifth day of the fifth lunar month by three different families.
Prepare these ingredients at dawn on the fifth day of the fifth lunar month in a clean room. Do not let women see. Expose head and feet, press tongue against the roof of the mouth, face North. Pound for one thousand strokes. Wrap one pill in new cotton, size of a soap pod. Tie to the arm, left side for males, right side for females. Miraculous effect.
Treatment for malaria with alternating chills and fever, irregular onset, miraculous formula:
Moisture-born Worms (Shi Sheng Chong, 49 pieces), Centipede-like Worms (Bai Jie Chong, 49 pieces), Arsenic Trioxide (Pi Shuang, 3 qian, finely ground), Corners of Zongzi (17 pieces).
On the fifth day of the fifth lunar month, before sunrise, go southeast to find these two types of worms, ensuring they have full legs. At noon, face South, grind them together. Do not let chickens, dogs, women, monks, or mourners see. Form pills the size of small beans. Before an attack, the patient holds one pill in hand, left for males, right for females, and sniffs it seven times.
Another formula:
Arsenic Trioxide (Pi Shuang, 1 liang, finely ground), Human Skull Cap (Tian Ling Gai, 1 liang, raw, powdered), Monkey Head (Hu Sun Tou, one piece, burned to ash), Cinnabar (Zhu Sha, 0.5 liang, finely ground).
Peach and Willow branches from the Southeast (Tao Liu Zhi, 17 stems of each, three cun long).
On the fifth day of the fifth lunar month at noon, crush and sift into powder. Mix with Zongzi corners to form pills the size of paulownia seeds. Hold one pill in hand, left for males, right for females, and sniff beforehand. One pill can treat five to seven people.
Another formula:
Sophora Flavescens Root Powder (Shu Qi Mo). Take one qian mixed with warm water per dose.