脉弦数滑实者顺。沉细虚微为逆。疟脉自弦。微则为虚。代散则死。
疟症皆因先伤于暑。后感于风。客于营卫之间。腠理不密。复遇风寒。闭而不出。舍于
肠胃
之外。与荣卫并行。昼行于阳。夜地于阴。并则病作。离则病止。并于阳则热。并于阴则寒
浅则日作。深则间日。在气则早。在血则晏。按本经曰。疟脉自弦。弦数者多热。弦迟者
多寒弦短者伤食。弦滑者多痰。弦而紧者宜下。浮大者宜吐。弦迟者宜温。
此治疟之大法。其病热多寒少。心烦少
睡者属心。名曰温疟。用柴芩汤。但寒少热。腰疼足冷者属肾。名曰寒疟。用桂附二陈汤。
先寒而后大热咳嗽者属肺。名曰瘅疟。用参苏饮。热长寒短。筋脉拘缩者属肝。名曰风疟。
用小柴胡汤。加乌药、香附。寒热相停。呕吐痰沫者属脾。名曰食疟。用清脾饮。疟愈之后
阴阳两虚。梦遗咳嗽。不善保养。遂成劳瘵。若能清心养体。节食避风。如此调治。无不
愈矣。
一论疟疾无汗要有汗。散邪为主。大凡疟疾初起。宜服此发散。出汗立愈。用此方。
散邪方
川芎 白芷 麻黄 白芍 防风 荆芥 紫苏 羌活 甘草
上锉。生姜三片。葱白三根。水煎露一宿。次早温服。有痰。加陈皮。有湿。加苍术。
夹食。加香附。
一论疟疾有汗要无汗。正气为主。宜用
正气汤
柴胡（八分） 前胡（二钱） 川芎（一钱五分） 白芷（一钱五分） 半夏（二钱） 麦门冬（
二
钱） 槟榔（一钱） 草果（一钱） 青皮（二钱） 茯苓（三钱） 桂枝（六分） 甘草（八分）
上锉。姜、枣煎。预先热服。
一论疟疾。不论先寒后热。先热后寒。诸疟通用。
清脾饮
青皮（去穣二钱） 浓朴（姜炒八分） 白术（一钱五分） 半夏（二钱姜炒） 柴胡（八分） 黄芩
（二钱） 茯苓（三钱） 草果（一钱） 甘草（八分）
上锉。生姜五片。水煎。温服。
一论诸疟。寒热交作。阴阳不分。口干发渴。小便赤涩。或作吐泻。用
加减柴芩汤
柴胡（八分） 黄芩（三钱） 半夏（姜制二钱） 猪苓（二钱） 苍术（一钱五分） 青皮（二
钱） 浓朴（姜炒八
分） 槟榔（一钱） 草果（一钱） 乌梅（二钱） 甘草（八分） 泽泻（二钱）
上锉。姜枣煎服。
一论五脏气虚。喜怒不节。致阴阳相胜。结聚涎饮。与卫气相搏。发为疟疾。并治诸疟
四兽饮
人参（一钱五分） 白术（一钱五分） 白茯苓（去皮三钱） 橘红（一钱） 半夏（姜制二钱）
草果仁（三钱） 乌梅（去核二钱） 甘草（八分） 生姜（二片） 枣子（四个）
上锉。以盐少许 食顷。用皮纸包裹甚浓。以水湿之。慢火炮令香熟焙干。每服一两。
水一碗。煎半碗。温服。未发前。连进数服。神效。
一论人平素不足。兼以劳役内伤。挟感寒暑。以致疟疾。寒热交作。肢体倦怠。乏力少
气。或疟发经年不愈。则气血皆虚。疟邪深入。名曰 疟。此方主之。
加味补中益气汤
黄 （蜜炒二钱） 人参（八分） 白术（去芦八分） 陈皮（六分） 当归（八分） 柴胡（一
钱） 升麻（三分） 白芍（八分） 黄芩（一钱） 半夏（制八分） 甘草（五分）
上锉。姜、枣煎。空心服。有汗。加桂枝五分。倍黄 。热甚。倍柴、芩。渴。加麦
门冬、天花粉。
一治伤暑发疟。宜服
香薷散
香薷（四钱） 浓朴（姜汁炒） 扁豆（各一钱） 乌梅（一钱）
上水煎。临熟。入姜汁一匙。温服。
一论热药火盛。舌卷焦黑。鼻如烟色。六脉弦洪而紧。此乃阳毒内深。先以青布折叠数重。
新汲水浸之。搭于胸上。须臾更易。如此三次。热势稍退。即服此药。
龙虎汤
柴胡（一钱五分） 黄芩（七分） 半夏（七分） 石膏（二钱五分） 知母（一钱） 黄连（一
钱五分） 黄柏（八分） 栀子（八分） 粳米（五十粒）
上锉。姜、枣煎服。
一治瘴疟。大热烦躁。宜用
地龙饮子
生地龙三条研。入生姜汁、薄荷汁、生蜜各少许。新汲水调和服。如热。加龙脑少许。
一治虚弱之人。患疟初起感寒者。宜五积散。根据本方用姜、葱煎服。（方见中寒）
一论体虚之人。患疟寒多。久不愈者。不可用截药。宜用
分利顺元散
川乌（一两去皮半生半熟） 附子（一两去皮半生半熟） 南星（二两半生半熟） 木香（五
钱不见火）
上锉。每服四钱。生姜十片。枣七枚。水一碗。煎七分。当发早晨。速进二三服。半生
半熟。能分解阴阳也。
一论诸疟。不问先寒后热。或先热后寒。或寒热独作。或连日并发。或间日一发。头痛
恶心。烦渴引饮。气息喘急。口苦咽干。诸药不效者。宜服此截之。
常山饮子
常山（二钱） 草果（不去皮二钱） 知母（二钱） 良姜（一钱五分） 乌梅（一钱五分） 甘
草（炙一钱）
上锉。一两一剂。枣五个。未发之前。连进二服。
一论疟疾夜发者。乃阴经有邪。宜散血中之风寒也。用此
麻黄桂枝汤
麻黄（一钱去节） 桂枝（二钱） 黄芩（一钱） 桃仁（去皮三十个） 甘草（炙三钱）
上锉。水煎服。桃仁散血缓肝之药。
一久疟腹中有癖。用水磨沉香。下雄黄解毒丸。打下黑血如泥。极臭。是其验也。（方
见通治）
一海外高僧。传于周少峰。治疟疾。不问新久虚实寒热。诸般鬼疟、邪疟、温疟、瘴疟
一服立愈。其效如神。
番木鳖（即马钱子去壳荚炒至黑色一两） 黄雄（一钱） 朱砂（一钱） 甘草（一钱）
上共为细末。每服四分。其疟将发。预先吃饭一碗。将药水酒调服。盖被卧即愈。
一治疟先寒后热。热多寒少。或单热不寒者。
桂枝（五钱） 石膏（一两半） 知母（一两五钱） 黄芩（一两）
上锉。水煎服。
一治疟疾服药。转加寒热者。知太阳阳明少阳三阳合病也。小柴胡汤加石膏、知母、桂
枝。水煎服。
一治久疟不能食。胸中郁郁。欲吐而不吐。以此吐之。
雄黄 甜瓜蒂 赤小豆（各等分）
上为末。每服五分。温水调下。以吐为度。
一论久疟积成 瘕。癖在胸胁之间。诸药不愈者。宜
咳疟饮
苍术（米泔浸） 草果（去皮） 桔梗 青皮 陈皮 良姜（各五钱） 白芷 白茯苓 半夏
（汤泡姜炒） 枳壳（麸炒） 桂心 苏叶 干姜（炮各三钱） 川芎（二钱） 甘草（炙三钱）
上每服一两。水煎。入盐少许。空心服。
一治久疟腹中痞块。用
阿魏丸
鳖甲（醋炙五钱） 三棱（醋浸炒）
莪术（醋浸炒）
香附子（米泔浸各一两） 陈皮（五钱） 真阿魏（五钱）
上为末。醋糊为丸。如梧子大。每服三十丸。淡姜汤送下。
一论疟疾一日一发。或二日一发。或三五日一发。或经三两月。或半年一载。或误用止
截
太过。久不能愈者。此元气脾胃大虚。以补中益气汤（方见内伤）根据本方加常山、知母、槟榔
、贝母。一二剂自效。已愈后。去四味。只用本方调理。多服自然正气盛。邪气自退矣。
一论患疟
寒热。用止截之剂。反发热恶寒。饮食少思。神思昏倦。脉或浮洪。或微细。此阳气虚寒。
以补中益气汤。（方见内伤）根据本方参、 、归、术各用三钱。甘草一钱五分。加炒干姜、炮
附子各一钱。一剂。寒热止。数剂。元气复。
一论经年久疟。气血俱虚。而三日五日一发者。以十全大补汤（方见补益）根据本方。盖邪
气在阳分。浅而易治。邪气在阴分。深而难治。宜多服为良。
一治三年久疟不瘥。用 参、干生姜各五钱。酒调服。汗出立止。
一凡疟后。形体骨立。发热恶寒。食少体虚。补中益气内。参、 、归、术各加二钱。甘
草一钱五分。炮姜二钱。一剂而寒热止。数剂而元气复。
一妇人疟久不已。发后口干。倦甚。用七味白术散加麦门冬、五味。作大剂煎与恣饮。
再发
稍可。乃用补中益气加茯苓、半夏十余剂而愈。凡截疟。余常以参、术各一两。生姜四两煨
熟。煎服即愈。或以大剂补中益气加煨姜尤效。生姜一味亦效。
一凡久疟。多属元气虚寒。盖气虚则寒。血虚则热。胃虚则恶寒。脾虚则发热。阴火下
流。
则寒热交作。或吐涎不食。战栗泄泻。手足厥冷。皆脾胃虚弱。宜补中益气。诸症悉愈。
若手足厥冷。加大附子。
一妇人久患疟。疟作则经不行。形虚脉大。头痛懒食。大便泄泻。小便林沥。口干唇裂
内
热腹胀。盖由久疟。正气已虚。阴火独旺。以益气汤治之即愈。惟不时头痛。加蔓荆子而止
又兼六味丸而经行。
脉象弦、数、滑、实的是顺证。脉象沉、细、虚、微的是逆证。疟疾的脉象自然多呈弦象。脉微表示正气虚弱，脉代或散则预示死亡。
疟疾的症状都是因为先感受暑邪，后感受风邪，邪气客居在营卫之间。腠理（皮肤毛孔及肌肉纹理）不致密，又遇到风寒，导致邪气闭郁而不能发散。邪气停留在肠胃之外，与营卫之气并行。白天行于阳分，夜晚行于阴分。当邪气与正气相搏结时疾病发作，分离时疾病停止。邪气并入阳分则发热，并入阴分则发冷。病位浅则每日发作，病位深则隔日发作。病在气分则发作较早，病在血分则发作较晚。根据《黄帝内经》记载：疟疾的脉象自呈弦象。弦而数的脉象多热，弦而迟的脉象多寒，弦而短的脉象为伤食，弦而滑的脉象多痰，弦而紧的脉象适宜用下法，浮大的脉象适宜用吐法，弦而迟的脉象适宜用温法。这是治疗疟疾的大法。
如果病症表现为热多寒少，心烦失眠，属于心经病变，名为温疟（一种以高热为主的疟疾），使用柴芩汤。如果仅怕冷而发热少，腰疼脚冷，属于肾经病变，名为寒疟，使用桂附二陈汤。如果先怕冷而后出现大热并伴有咳嗽，属于肺经病变，名为瘅疟（一种热毒炽盛的疟疾），使用参苏饮。如果发热时间长、怕冷时间短，筋脉拘挛收缩，属于肝经病变，名为风疟，使用小柴胡汤，加乌药、香附。如果寒热程度相当，呕吐痰沫，属于脾经病变，名为食疟，使用清脾饮。疟疾痊愈后，若阴阳两虚，出现梦遗、咳嗽，且不善保养，最终会演变成劳瘵（慢性消耗性疾病）。如果能清心养体，节制饮食，避风防寒，如此调治，没有不能治愈的。
第一种论述：疟疾无汗的要令其有汗，以疏散邪气为主。大凡疟疾初起，适宜服用此发散方剂，出汗后即可立即痊愈。方名：散邪方。药材：川芎、白芷、麻黄、白芍、防风、荆芥、紫苏、羌活、甘草。制法：切碎，加生姜三片、葱白三根，用水煎煮，露置一夜，次日早晨温服。若有痰，加陈皮；若有湿，加苍术；若夹带食积，加香附。
第二种论述：疟疾有汗的要令其无汗，以扶助正气为主。适宜使用正气汤。药材：柴胡（八分）、前胡（二钱）、川芎（一钱五分）、白芷（一钱五分）、半夏（二钱）、麦门冬（二钱）、槟榔（一钱）、草果（一钱）、青皮（二钱）、茯苓（三钱）、桂枝（六分）、甘草（八分）。制法：切碎，加姜、枣煎煮，预先热服。
第三种论述：各种疟疾，不论先冷后热，还是先热后冷，诸种疟疾通用。方名：清脾饮。药材：青皮（去瓤二钱）、浓朴（姜炒八分）、白术（一钱五分）、半夏（二钱，姜炒）、柴胡（八分）、黄芩（二钱）、茯苓（三钱）、草果（一钱）、甘草（八分）。制法：切碎，加生姜五片，水煎，温服。
第四种论述：各种疟疾，寒热交替发作，阴阳不分，口干发渴，小便赤涩，或者发生呕吐腹泻。方名：加减柴芩汤。药材：柴胡（八分）、黄芩（三钱）、半夏（姜制二钱）、猪苓（二钱）、苍术（一钱五分）、青皮（二钱）、浓朴（姜炒八分）、槟榔（一钱）、草果（一钱）、乌梅（二钱）、甘草（八分）、泽泻（二钱）。制法：切碎，加姜、枣煎服。
第五种论述：五脏气虚，喜怒情绪不节制，导致阴阳相互偏胜，凝结成涎饮，与卫气相搏结，引发疟疾。并治疗各种疟疾。方名：四兽饮。药材：人参（一钱五分）、白术（一钱五分）、白茯苓（去皮三钱）、橘红（一钱）、半夏（姜制二钱）、草果仁（三钱）、乌梅（去核二钱）、甘草（八分）、生姜（二片）、枣子（四个）。制法：切碎，加少许盐，进食片刻的时间，用厚皮纸包裹严实，用水湿润，慢火烘焙至香熟焙干。每次服用一两，水一碗，煎至半碗，温服。在疟疾发作前，连续服用几剂，效果神奇。
第六种论述：人平素体质不足，加上劳累内伤，夹杂感受寒暑，以致患疟疾，寒热交替发作，肢体倦怠，乏力少气，或者疟疾发作多年不愈，则气血皆虚，疟邪深入体内，名为劳疟（久疟成劳）。此方主治。方名：加味补中益气汤。药材：黄芪（蜜炒二钱）、人参（八分）、白术（去芦八分）、陈皮（六分）、当归（八分）、柴胡（一钱）、升麻（三分）、白芍（八分）、黄芩（一钱）、半夏（制八分）、甘草（五分）。制法：切碎，加姜、枣煎煮，空腹服用。若有汗，加桂枝五分，加倍黄芪。热势严重，加倍柴胡、黄芩。口渴，加麦门冬、天花粉。
第七种：治疗伤暑引发的疟疾，适宜服用香薷散。药材：香薷（四钱）、浓朴（姜汁炒）、扁豆（各一钱）、乌梅（一钱）。制法：水煎，临熟时，加入姜汁一匙，温服。
第八种论述：因热药火盛，舌卷焦黑，鼻如烟色，六脉弦洪而紧，这是阳毒内陷深重。先用青布折叠数层，用新汲冷水浸湿，搭在胸上，一会儿更换。如此三次，热势稍退，即服用此药。方名：龙虎汤。药材：柴胡（一钱五分）、黄芩（七分）、半夏（七分）、石膏（二钱五分）、知母（一钱）、黄连（一钱五分）、黄柏（八分）、栀子（八分）、粳米（五十粒）。制法：切碎，加姜、枣煎服。
第九种：治疗瘴疟（南方山林间的一种恶性疟疾），大热烦躁，适宜用地龙饮子。生蚯蚓三条研碎，加入生姜汁、薄荷汁、生蜂蜜各少许，用新汲水调和服用。如果热甚，加少许冰片。
第十种：治疗虚弱之人，患疟疾初起感受寒邪者，适宜用五积散。根据本方用姜、葱煎服。（方剂见“中寒”章节）
第十一种论述：体质虚弱的人，患疟疾怕冷多，久治不愈者，不可使用截疟药，适宜用分利顺元散。药材：川乌（一两，去皮，半生半熟）、附子（一两，去皮，半生半熟）、南星（二两，半生半熟）、木香（五钱，不见火）。制法：切碎，每次服用四钱，加生姜十片、枣七枚，水一碗，煎至七分。在疟疾发作当天的早晨，迅速进服二三剂。半生半熟，能分解阴阳。
第十二种论述：各种疟疾，不问先冷后热，或先热后冷，或单独发冷发热，或连日并发，或隔日一发，头痛恶心，烦渴引饮，气息喘急，口苦咽干，诸药无效者，适宜服用此方截断疟疾。方名：常山饮子。药材：常山（二钱）、草果（不去皮二钱）、知母（二钱）、良姜（一钱五分）、乌梅（一钱五分）、甘草（炙一钱）。制法：切碎，一两为一剂，加枣五个。在疟疾发作之前，连续进服二剂。
第十三种论述：疟疾夜间发作的，是阴经有邪气，适宜疏散血中的风寒。用此方：麻黄桂枝汤。药材：麻黄（一钱，去节）、桂枝（二钱）、黄芩（一钱）、桃仁（去皮三十个）、甘草（炙三钱）。制法：切碎，水煎服。桃仁是散血缓肝的药物。
第十四种：久疟腹中有癖块（腹部结块），用水磨沉香送服雄黄解毒丸，排出黑色如泥的血块，极臭，这是见效的标志。（方剂见“通治”章节）
第十五种：海外高僧传给周少峰的方子，治疗疟疾，不问新旧虚实寒热，各种鬼疟、邪疟、温疟、瘴疟，一服立即痊愈，效果如神。药材：番木鳖（即马钱子，去壳荚炒至黑色一两）、黄雄（一钱）、朱砂（一钱）、甘草（一钱）。制法：共研为细末，每次服用四分。疟疾将要发作时，预先吃一碗饭，将药水用酒调服，盖被躺卧即可痊愈。
第十六种：治疗疟疾先冷后热，热多寒少，或单热不寒者。药材：桂枝（五钱）、石膏（一两半）、知母（一两五钱）、黄芩（一两）。制法：切碎，水煎服。
第十七种：治疗疟疾服药后，反而加重寒热的，知道是太阳、阳明、少阳三阳合病。用小柴胡汤加石膏、知母、桂枝，水煎服。
第十八种：治疗久疟不能进食，胸中郁闷，想吐却吐不出来，以此方催吐。药材：雄黄、甜瓜蒂、赤小豆（各等分）。制法：研为末，每次服用五分，温水调下，以吐出为度。
第十九种论述：久疟积结成瘕聚（腹内结块），癖块在胸胁之间，诸药不愈者，适宜用咳疟饮。药材：苍术（米泔水浸）、草果（去皮）、桔梗、青皮、陈皮、良姜（各五钱）、白芷、白茯苓、半夏（汤泡姜炒）、枳壳（麸炒）、桂心、苏叶、干姜（炮各三钱）、川芎（二钱）、甘草（炙三钱）。制法：每次服用一两，水煎，入少许盐，空腹服用。
第二十种：治疗久疟腹中痞块，用阿魏丸。药材：鳖甲（醋炙五钱）、三棱（醋浸炒）、莪术（醋浸炒）、香附子（米泔水浸各一两）、陈皮（五钱）、真阿魏（五钱）。制法：研为末，醋糊为丸，如梧桐子大，每次服用三十丸，淡姜汤送下。
第二十一种论述：疟疾一日一发，或二日一发，或三五日一发，或经过两三个月，或半年一年，或者误用止截太过，久治不愈者，这是元气脾胃大虚。用补中益气汤（方剂见“内伤”章节），根据本方加常山、知母、槟榔、贝母，一二剂自有效。已愈后，去掉这四味药，只用本方调理，多服自然正气盛，邪气自退。
第二十二种论述：患疟疾寒热，用止截之剂，反而发热恶寒，饮食减少思虑，神思昏倦，脉象或浮洪，或微细，这是阳气虚寒。用补中益气汤（方剂见“内伤”章节），根据本方人参、黄芪、当归、白术各用三钱，甘草一钱五分，加炒干姜、炮附子各一钱。一剂，寒热止，数剂，元气复。
第二十三种论述：经年久疟，气血俱虚，而三日五日一发者，用十全大补汤（方剂见“补益”章节），根据本方。因为邪气在阳分，浅而易治；邪气在阴分，深而难治。宜多服为好。
第二十四种：治疗三年久疟不愈，用人参、干生姜各五钱，酒调服，汗出立即停止。
第二十五种：凡是疟疾后，形体骨立，发热恶寒，食少体虚，补中益气汤内，人参、黄芪、当归、白术各加二钱，甘草一钱五分，炮姜二钱。一剂而寒热止，数剂而元气复。
第二十六种：妇人疟疾久治不愈，发作后口干，疲倦甚，用七味白术散加麦门冬、五味子，作大剂煎服恣意饮用。再发时稍可缓解，乃用补中益气汤加茯苓、半夏十余剂而愈。凡截疟，我常用人参、白术各一两，生姜四两煨熟，煎服即愈。或者用大剂补中益气汤加煨姜尤其有效。生姜一味也有效。
第二十七种：凡是久疟，多属元气虚寒。因为气虚则寒，血虚则热，胃虚则恶寒，脾虚则发热，阴火下流，则寒热交作，或者吐涎不食，战栗泄泻，手足厥冷，都是脾胃虚弱，适宜补中益气，诸症悉愈。若手足厥冷，加大附子。
第二十八种：妇人久患疟疾，疟疾发作时月经不行，形体虚脉大，头痛懒食，大便泄泻，小便淋漓，口干唇裂，内热腹胀。这是因为久疟，正气已虚，阴火独旺，用益气汤治疗即愈。只有不时头痛，加蔓荆子而止，又兼服六味丸而月经行。
A pulse that is wiry (Xian), rapid (Shu), slippery (Hua), and full (Shi) indicates a favorable condition. A pulse that is deep (Chen), fine (Xi), empty (Xu), and faint (Wei) indicates an unfavorable condition. The pulse of malaria naturally presents as wiry. A fine pulse indicates deficiency, while a choppy (Dai) or scattered (San) pulse indicates death.
Malaria symptoms arise from first being injured by summerheat (Shu) and subsequently affected by wind (Feng). The pathogen lodges between Ying (Nutritive) and Wei (Defensive) levels. When the Couli (pores and interstices) are not dense, and cold-wind is encountered, the pathogen is closed in and cannot exit. It resides outside the intestines and stomach, moving in parallel with Ying and Wei. During the day, it travels through Yang; at night, it enters Yin. When they merge, the disease manifests; when they separate, the disease ceases. Merging into Yang causes heat; merging into Yin causes cold. Shallow involvement results in daily attacks; deep involvement results in alternate-day attacks. Involvement in Qi leads to earlier onset; involvement in Blood leads to later onset. According to the *Neijing* (Inner Canon): "The pulse of malaria is naturally wiry." Wiry and rapid pulses indicate much heat; wiry and slow pulses indicate much cold; wiry and short pulses indicate food retention; wiry and slippery pulses indicate much phlegm; wiry and tight pulses suggest the suitability of purgation; floating and large pulses suggest the suitability of emesis; wiry and slow pulses suggest the suitability of warming. This is the general principle for treating malaria.
If the syndrome involves more heat than cold, with mental restlessness and little sleep, it belongs to the Heart and is named Wen Malaria (Warm Malaria), treated with Chai Qin Tang. If there is only slight heat with significant cold, accompanied by lower back pain and cold feet, it belongs to the Kidney and is named Han Malaria (Cold Malaria), treated with Gui Fu Er Chen Tang. If there is initial chills followed by high fever and coughing, it belongs to the Lung and is named Dan Malaria (Blazing Malaria), treated with Shen Su Yin. If the fever lasts longer than the chills, with tendon contraction, it belongs to the Liver and is named Feng Malaria (Wind Malaria), treated with Xiao Chai Hu Tang, adding Wu Yao and Xiang Fu. If chills and heat are balanced, with vomiting of phlegm-saliva, it belongs to the Spleen and is named Shi Malaria (Food Malaria), treated with Qing Pi Yin. After malaria subsides, if both Yin and Yang are deficient, leading to nocturnal emission and coughing, and if proper care is neglected, it may evolve into Lao Zhai (Consumption Disease). If one can clear the heart and nourish the body, regulate diet, and avoid wind, such regulation will ensure recovery.
First discussion: For malaria without sweat, induce sweating; the primary goal is to disperse pathogens. Generally, for early-stage malaria, this dispersing formula should be taken; recovery occurs immediately upon sweating. Formula Name: San Xie Fang (Dispersing Pathogens Decoction). Herbs: Chuanxiong Rhizome (Chuanxiong Bai), Angelica Dahurica Root (Baizhi), Ephedra Stem (Mahuang), White Peony Root (Baishao), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie), Perilla Leaf (Zisu), Notopterygium Rhizome (Qianghuo), Licorice Root (Gancao). Preparation: Coarsely crush, add three slices of fresh ginger and three stalks of green onion white, decoct in water, leave exposed overnight, and take warm the next morning. Add Tangerine Peel (Chenpi) for phlegm; add Atractylodes Macrocephala Rhizome (Cangzhu) for dampness; add Cyperus Rhizome (Xiangfu) for food stagnation.
Second discussion: For malaria with sweat, stop sweating; the primary goal is to support healthy Qi. Use Zheng Qi Tang. Herbs: Bupleurum Root (Chaihu, 8 fen), Peucedanum Root (Qianhu, 2 qian), Chuanxiong Rhizome (1.5 qian), Angelica Dahurica Root (1.5 qian), Pinellia Tuber (Banxia, 2 qian), Ophiopogon Tuber (Maimendong, 2 qian), Areca Seed (Binglang, 1 qian), Tsaoko Fruit (Caoguo, 1 qian), Green Citrus Peel (Qingpi, 2 qian), Poria (Fuling, 3 qian), Cinnamon Twig (Guizhi, 6 fen), Licorice Root (8 fen). Preparation: Coarsely crush, decoct with ginger and jujube, take hot in advance.
Third discussion: For all types of malaria, regardless of whether chills precede heat or heat precedes chills, this formula is universally applicable. Formula Name: Qing Pi Yin (Clear Spleen Decoction). Herbs: Green Citrus Peel (Qingpi, remove pith, 2 qian), Magnolia Bark (Nongpu, stir-fried with ginger, 8 fen), Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian), Pinellia Tuber (Banxia, 2 qian, stir-fried with ginger), Bupleurum Root (Chaihu, 8 fen), Scutellaria Root (Huangqin, 2 qian), Poria (Fuling, 3 qian), Tsaoko Fruit (Caoguo, 1 qian), Licorice Root (8 fen). Preparation: Coarsely crush, add five slices of fresh ginger, decoct in water, take warm.
Fourth discussion: For various malaria cases where chills and heat alternate, Yin and Yang are indistinct, mouth is dry with thirst, urine is red and scanty, or vomiting and diarrhea occur. Formula Name: Jiajian Chai Qin Tang (Modified Bupleurum and Scutellaria Decoction). Herbs: Bupleurum Root (Chaihu, 8 fen), Scutellaria Root (Huangqin, 3 qian), Pinellia Tuber (Banxia, 2 qian, prepared with ginger), Polyporus (Zhuling, 2 qian), Atractylodes Rhizome (Cangzhu, 1.5 qian), Green Citrus Peel (Qingpi, 2 qian), Magnolia Bark (Nongpu, stir-fried with ginger, 8 fen), Areca Seed (Binglang, 1 qian), Tsaoko Fruit (Caoguo, 1 qian), Chinese Plum (Wumei, 2 qian), Licorice Root (8 fen), Alisma Rhizome (Zexie, 2 qian). Preparation: Coarsely crush, decoct with ginger and jujube.
Fifth discussion: Deficiency of Qi in the five Zang organs, unregulated emotions of joy and anger, causing Yin and Yang to overcome each other, condensing into phlegm-fluids, which contend with Wei Qi, resulting in malaria. Also treats various malaria. Formula Name: Si Shou Yin (Four Beasts Decoction). Herbs: Ginseng Radix (Renshen, 1.5 qian), Atractylodes Macrocephala Rhizome (Baizhu, 1.5 qian), Poria (Baifuling, peeled, 3 qian), Exocarpium Citri Reticulatae (Juhong, 1 qian), Pinellia Tuber (Banxia, 2 qian, prepared with ginger), Tsaoko Kernel (Caoguoren, 3 qian), Chinese Plum (Wumei, remove pit, 2 qian), Licorice Root (8 fen), Fresh Ginger (2 slices), Jujube (4 pieces). Preparation: Coarsely crush, add a small amount of salt. Wrap tightly in thick bark paper, moisten with water, and slowly roast over fire until fragrant and dry. Take 1 liang per dose, decoct in one bowl of water until half remains, take warm. Administer several doses continuously before the attack for miraculous effect.
Sixth discussion: Individuals with inherent insufficiency, compounded by labor injury and internal damage, contracting cold and summerheat, leading to malaria with alternating chills and heat, limb fatigue, weakness, and shortness of breath. Or malaria persisting for years without cure, indicating deficiency of both Qi and Blood, with the malaria pathogen penetrating deeply, named Lao Malaria (Labor Malaria). This formula governs. Formula Name: Jiawei Buzhong Yiqi Tang (Added-Ingredient Reinstitute the Middle and Augment the Qi Decoction). Herbs: Astragalus Root (Huangqi, honey-fried, 2 qian), Ginseng Radix (Renshen, 8 fen), Atractylodes Macrocephala Rhizome (Baizhu, remove rhizome, 8 fen), Tangerine Peel (Chenpi, 6 fen), Angelica Sinensis Root (Danggui, 8 fen), Bupleurum Root (Chaihu, 1 qian), Cimicifuga Rhizome (Shengma, 3 fen), White Peony Root (Baishao, 8 fen), Scutellaria Root (Huangqin, 1 qian), Pinellia Tuber (Banxia, prepared, 8 fen), Licorice Root (5 fen). Preparation: Coarsely crush, decoct with ginger and jujube, take on an empty stomach. Add Cinnamon Twig (Guizhi, 5 fen) and double Huangqi if sweating; double Chaihu and Huangqin if heat is severe; add Ophiopogon Tuber (Maimendong) and Trichosanthes Root (Tianhuafen) if thirsty.
Seventh: Treat malaria caused by summerheat injury, suitable for Xiang Ru San. Herbs: Mosla Herb (Xiangru, 4 qian), Magnolia Bark (Nongpu, stir-fried with ginger juice), Lablab Bean (Biandou, 1 qian each), Chinese Plum (Wumei, 1 qian). Preparation: Decoct in water. Just before completion, add one spoonful of ginger juice, take warm.
Eighth discussion: Due to excessive heat from medicinal herbs, tongue curls and turns black, nose appears smoky, six pulses are wiry, surging, and tight. This indicates deep-seated Yang toxicity. First, fold blue cloth multiple layers, soak in fresh cold water, place on the chest, replace frequently. Do this three times until heat slightly recedes, then administer this medicine. Formula Name: Long Hu Tang (Dragon and Tiger Decoction). Herbs: Bupleurum Root (Chaihu, 1.5 qian), Scutellaria Root (Huangqin, 7 fen), Pinellia Tuber (Banxia, 7 fen), Gypsum Fibrosum (Shigao, 2.5 qian), Anemarrhena Rhizome (Zhimu, 1 qian), Coptis Rhizome (Huanglian, 1.5 qian), Phellodendron Bark (Huangbai, 8 fen), Gardenia Fruit (Zhizi, 8 fen), Rice (Jingshi, 50 grains). Preparation: Coarsely crush, decoct with ginger and jujube.
Ninth: Treat Zhang Malaria (Miasma Malaria) with high fever and irritability, suitable for Di Long Yin Zi. Grind three earthworms (Di Long), add a little fresh ginger juice, mint juice, and raw honey, mix with fresh cold water and take. If heat is severe, add a little borneol (Longnao).
Tenth: For weak individuals suffering from early-stage malaria contracted with cold, suitable for Wu Ji San. Decoct according to this formula using ginger and green onion. (Formula see "Middle Cold" section).
Eleventh discussion: For constitutionally weak individuals with malaria characterized by predominant chills and chronic non-resolution, do not use antimalarial astringents. Suitable for Fen Li Shun Yuan San. Herbs: Aconite Lateral Root (Chuanwu, 1 liang, peeled, half raw half cooked), Prepared Aconite Root (Fuzi, 1 liang, peeled, half raw half cooked), Arisaema Rhizome (Nanxing, 2.5 liang, half raw half cooked), Aucklandia Root (Muxiang, 5 qian, not exposed to fire). Preparation: Coarsely crush. Take 4 qian per dose, add ten slices of ginger and seven jujubes, decoct in one bowl of water until 0.7 bowls remain. Take quickly two to three doses on the morning of the attack. Half raw and half cooked helps resolve Yin and Yang.
Twelfth discussion: For various malaria, regardless of sequence of chills/heat, solitary chills/heat, consecutive days, or alternate days, accompanied by headache, nausea,烦渴 (irritable thirst), rapid breathing, bitter taste, dry throat, and ineffective with other medicines, suitable to use this to cut off the malaria. Formula Name: Chang Shan Yin Zi (Dichroa Decoction). Herbs: Dichroa Root (Changshan, 2 qian), Tsaoko Fruit (Caoguo, remove skin, 2 qian), Anemarrhena Rhizome (Zhimu, 2 qian), Galangal Rhizome (Liangjiang, 1.5 qian), Chinese Plum (Wumei, 1.5 qian), Licorice Root (Gancao, roasted, 1 qian). Preparation: Coarsely crush. One liang per dose, add five jujubes. Take two doses continuously before the attack.
Thirteenth discussion: Malaria occurring at night indicates pathogenic factors in the Yin meridians; suitable to disperse wind-cold in the blood. Use this: Ma Huang Gui Zhi Tang. Herbs: Ephedra Stem (Mahuang, 1 qian, remove joints), Cinnamon Twig (Guizhi, 2 qian), Scutellaria Root (Huangqin, 1 qian), Peach Kernel (Taoren, remove skin, 30 pieces), Licorice Root (Gancao, roasted, 3 qian). Preparation: Coarsely crush, decoct in water. Peach Kernel is a herb that disperses blood and soothes the liver.
Fourteenth: For chronic malaria with abdominal masses (Pi), use water-ground Agarwood (Chenxiang) to administer Xionghuang Jiedu Wan (Realgar Detoxification Pill) to expel black blood-like mud, extremely foul-smelling, which is a sign of efficacy. (Formula see "General Treatment" section).
Fifteenth: A formula transmitted from a foreign monk to Zhou Shaofeng for treating malaria, regardless of new/old, deficiency/excess, cold/heat, including Ghost Malaria, Evil Malaria, Warm Malaria, and Miasma Malaria. One dose cures immediately with miraculous effect. Herbs: Strychnos Nux-vomica Seed (Fanmubie, i.e., Nux Vomica, remove shell and pod, stir-fry until black, 1 liang), Realgar (Huangxiong, 1 qian), Cinnabar (Zhusha, 1 qian), Licorice Root (Gancao, 1 qian). Preparation: Grind into fine powder. Take 4 fen per dose. Just before the malaria attack, eat one bowl of rice beforehand, mix the medicine powder with wine, drink, cover with blanket, lie down, and recover.
Sixteenth: Treat malaria with initial chills followed by heat, more heat than chills, or heat only without chills. Herbs: Cinnamon Twig (Guizhi, 5 qian), Gypsum Fibrosum (Shigao, 1.5 liang), Anemarrhena Rhizome (Zhimu, 1.5 liang), Scutellaria Root (Huangqin, 1 liang). Preparation: Coarsely crush, decoct in water.
Seventeenth: Treat malaria where medication worsens chills and heat, indicating a combined disease of Taiyang, Yangming, and Shaoyang. Use Xiao Chai Hu Tang plus Gypsum Fibrosum (Shigao), Anemarrhena Rhizome (Zhimu), and Cinnamon Twig (Guizhi), decoct in water.
Eighteenth: Treat chronic malaria with inability to eat, oppression in the chest, desire to vomit but unable to, use this to induce vomiting. Herbs: Realgar (Xionghuang), Melon Peduncle (Tianguadi), Red Adzuki Bean (Chixiaodou) in equal parts. Preparation: Grind into powder. Take 5 fen per dose, mix with warm water, induce vomiting until satisfied.
Nineteenth discussion: Chronic malaria accumulating into Jia masses (abdominal lumps), Pi masses between chest and hypochondrium, ineffective with other medicines, suitable for Ke Malaria Yin. Herbs: Atractylodes Rhizome (Cangzhu, soaked in rice wash), Tsaoko Fruit (Caoguo, remove skin), Platycodon Root (Jiegeng), Green Citrus Peel (Qingpi), Tangerine Peel (Chenpi), Galangal Rhizome (Liangjiang, 5 qian each), Angelica Dahurica Root (Baizhi), Poria (Baifuling), Pinellia Tuber (Banxia, boiled in water and stir-fried with ginger), Bitter Orange (Zhiqiao, bran-roasted), Cinnamon Bark (Guixin), Perilla Leaf (Suye), Dried Ginger (Ganjiang, roasted, 3 qian each), Chuanxiong Rhizome (Chuanxiong, 2 qian), Licorice Root (Gancao, roasted, 3 qian). Preparation: Take 1 liang per dose, decoct in water, add a little salt, take on an empty stomach.
Twentieth: Treat chronic malaria with abdominal masses, use Awei Wan. Herbs: Turtle Shell (Biejia, vinegar-roasted, 5 qian), Sparganium Rhizome (Sanleng, vinegar-soaked and roasted), Curcuma Rhizome (Ezhu, vinegar-soaked and roasted), Cyperus Rhizome (Xiangfuzi, soaked in rice wash, 1 liang each), Tangerine Peel (Chenpi, 5 qian), True Asafoetida (Zhenawei, 5 qian). Preparation: Grind into powder, make pills with vinegar paste, size of wu zi (wussel nut). Take 30 pills per dose, send down with light ginger soup.
Twenty-first discussion: Malaria occurring once a day, twice a day, every three to five days, or lasting months to years, or due to excessive use of antimalarial astringents leading to chronic non-resolution, indicates severe deficiency of Yuan Qi and Spleen/Stomach. Use Buzhong Yiqi Tang (see "Internal Injury" section), modified by adding Dichroa Root (Changshan), Anemarrhena Rhizome (Zhimu), Areca Seed (Binglang), and Fritillaria Bulb (Beimu). One or two doses will be effective. After recovery, remove these four herbs and use the base formula for regulation. Long-term use naturally strengthens healthy Qi and expels pathogenic factors.
Twenty-second discussion: Suffering from malaria chills and heat, using astringent antimalarials instead causes fever and aversion to cold, reduced appetite, mental fatigue, and pulses that are either floating/surging or fine/faint. This indicates Yang deficiency and cold. Use Buzhong Yiqi Tang (see "Internal Injury" section), modified with Ginseng Radix (Renshen), Astragalus Root (Huangqi), Angelica Sinensis Root (Danggui), and Atractylodes Macrocephala Rhizome (Baizhu) each at 3 qian, Licorice Root (Gancao) at 1.5 qian, plus stir-fried Dried Ginger (Ganjiang) and Prepared Aconite Root (Pao Fuzi) each at 1 qian. One dose stops chills and heat; several doses restore Yuan Qi.
Twenty-third discussion: Chronic malaria lasting years, with deficiency of both Qi and Blood, occurring every three to five days, use Shiquan Dabu Tang (see "Tonification" section), based on this formula. Because pathogenic factors in the Yang level are shallow and easy to treat, while those in the Yin level are deep and difficult to treat, long-term administration is recommended.
Twenty-fourth: Treat chronic malaria lasting three years without cure, use Ginseng Radix (Renshen) and Dried Ginger (Ganjiangshengjiang) each 5 qian, mixed with wine and taken. Sweating stops the malaria immediately.
Twenty-fifth: Post-malaria, emaciation, fever and aversion to cold, poor appetite and weakness, use Buzhong Yiqi Tang, increasing Ginseng Radix (Renshen), Astragalus Root (Huangqi), Angelica Sinensis Root (Danggui), and Atractylodes Macrocephala Rhizome (Baizhu) by 2 qian each, Licorice Root (Gancao) to 1.5 qian, and Roasted Ginger (Paojiang) to 2 qian. One dose stops chills and heat; several doses restore Yuan Qi.
Twenty-sixth: A woman with chronic malaria, dry mouth after attacks, extreme fatigue, use Qiwei Baizhu San plus Ophiopogon Tuber (Maimendong) and Schisandra Berry (Wuweizi), decoct in large quantity for free drinking. Recurrence becomes milder, then use Buzhong Yiqi Tang plus Poria (Fuling) and Pinellia Tuber (Banxia) for over ten doses to cure. For cutting malaria, I often use Ginseng Radix (Renshen) and Atractylodes Macrocephala Rhizome (Baizhu) each 1 liang, and Ginger (Shengjiang) 4 liang roasted, decocted and taken for immediate cure. Alternatively, large dose of Buzhong Yiqi Tang plus roasted ginger is especially effective. Ginger alone is also effective.
Twenty-seventh: Chronic malaria mostly belongs to Yuan Qi deficiency and cold. Qi deficiency causes cold, Blood deficiency causes heat, Stomach deficiency causes aversion to cold, Spleen deficiency causes fever, downward flow of Yin fire causes alternating chills and heat, or vomiting saliva, refusal to eat, tremors, diarrhea, cold limbs, all due to Spleen/Stomach weakness. Suitable to tonify with Buzhong Yiqi Tang, all symptoms resolve. If cold limbs, increase Prepared Aconite Root (Fu Zi).
Twenty-eighth: A woman suffering from chronic malaria, menstruation stops during attacks, weak form and large pulse, headache, poor appetite, diarrhea, dribbling urination, dry mouth, cracked lips, internal heat, abdominal distension. This is due to chronic malaria causing deficiency of healthy Qi and dominance of Yin fire. Treat with Yiqi Tang for cure. For occasional headaches, add Vitex Fruit (Manjingzi) to stop them. Combine with Liuwei Dihuang Wan to restore menstruation.