《巢氏病源》大人、小儿山瘴疟候∶此病生于岭南,带山瘴之气。其状发寒热,休作有时。皆由挟溪源、岭
湿毒瓦斯故也。其病重于伤暑之疟。
《圣惠》治小儿热,瘴气为疟。犀角散方
犀角(屑) 甘草(炙微赤,锉) 川大黄(锉碎,微炒) 知母(各半两) 鳖甲(一两,涂醋、
炙令微黄,去裙 ) 柴胡 常山
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓。温服,日三、四服。量儿大小以意加减。
《千金》大五补汤 治大人、小儿时行后变成瘴疟方。
桂心(三十铢) 远志 桔梗 芎 (各二两) 茯苓 芍药 人参 白术 干地黄 当归 黄 甘
草(各三两) 竹叶(五两) 半夏 麦门冬(各一升) 生枸杞根 生姜(各一斤) 大枣(二十枚)
上十八味 咀,以水三斗煮竹叶、枸杞,取二斗;纳诸药,煎取六升。分六服,一日一夜令尽之。小儿量
小大加减,以一合、二合渐服至一升止。
《千金》治大人、小儿乍寒乍热,乍有乍无,山瘴疟。鲮鲤汤方
鲮鲤甲(十四枚) 鳖甲 乌贼骨(各一两) 常山(三枚) 附子(一枚,泡裂,去皮脐)
上五味 咀,以酒三升渍一夕,发前稍稍 之,勿绝吐也。兼以涂身,断食过时,乃可食饮。小儿量与之,
恐大吐,即不能无损也。
《诸病源候论》中关于成人和儿童山瘴疟的论述:这种病产生于岭南地区,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。这都是因为靠近溪涧源头、岭上潮湿毒气所致。此病比伤暑引起的疟疾更为严重。
《太平圣惠方》治疗小儿热症,因瘴气引发的疟疾。犀角散方剂组成:
犀角(锉成屑) 甘草(炙至微红,切碎) 川大黄(切碎,微炒) 知母(各半两) 鳖甲(一两,涂醋后炙至微黄,去除裙边内膜) 柴胡 常山
以上药材捣碎,粗筛为散剂。每次服用一钱,用水一小盏,煎煮至五分量,去渣。温服,每日三到四次。根据患儿年龄大小酌情加减用量。
《千金方》大五补汤:治疗成人、儿童在时行病后转变为瘴疟的方剂。
桂心(三十铢) 远志 桔梗 川芎(各二两) 茯苓 芍药 人参 白术 干地黄 当归 黄芪 甘草(各三两) 竹叶(五两) 半夏 麦门冬(各一升) 生枸杞根 生姜(各一斤) 大枣(二十枚)
以上十八味药材切碎,用水三斗先煮竹叶、枸杞,取汁二斗;加入其他药物,煎取六升。分六次服用,在一日一夜内服完。小儿根据年龄大小加减,从一合、二合逐渐增加至一升为止。
《千金方》治疗成人、儿童忽冷忽热,症状时有时无的山瘴疟。鲮鲤汤方剂组成:
鲮鲤甲(十四枚) 鳖甲 乌贼骨(各一两) 常山(三枚) 附子(一枚,水泡裂开,去皮和脐)
以上五味药材切碎,用酒三升浸泡一夜,在发病前稍许服用,不要中断呕吐反应。同时涂抹身体,断食过一段时间后,才可以进食饮水。小儿酌情给予剂量,担心剧烈呕吐,会造成损伤。
The *Chushi Bingyuan* (Source of Diseases) discusses the mountain malaria in adults and children: This disease originates in the Lingnan region, carrying the miasma of the mountains. Its presentation involves alternating chills and fever, with regular intervals of onset and remission. It is caused by exposure to the dampness and toxic vapors near stream sources and mountain ridges. The condition is more severe than malaria resulting from heatstroke.
The *Taiping Shenghui Fang* (Holy Prescriptions of Taiping Era) treats pediatric heat syndromes and malaria induced by miasma. Formula for Xijiao San (Rhinoceros Horn Powder):
Xijiao (Horn of Rhinoceros, processed into chips) Gancao (Radix Glycyrrhizae, honey-fried until slightly red, sliced) Chuan Dahuang (Radix et Rhizoma Rhei, sliced, lightly stir-fried) Zhimu (Rhizoma Anemarrhenae, each half tael) Biejia (Carapax et Plastrum Testudinis, one tael, coated with vinegar, fried until slightly yellow, remove membrane) Chaihu (Radix Bupleuri) Changshan (Radix Dichroae)
Crush the above ingredients and sieve coarsely to make a powder. Take one qian per dose, decoct with one small cup of water until reduced to five fen, strain, and take warm. Administer three to four times daily. Adjust dosage according to the child's age and size.
Qianjin Fang (Essential Prescriptions Worth a Thousand Gold) Da Wubu Tang (Great Five Tonifying Decoction): Treats mountain malaria transforming after epidemic diseases in adults and children.
Guixin (Cortex Cinnamomi, thirty zhu) Yuanzhi (Radix Polygalae) Jiegeng (Radix Platycodonis) Xiongqiong (Radix Ligustici Chuanxiong), each two liang; Fuling (Poria), Shaoyao (Radix Paeoniae Alba), Renshen (Radix Ginseng), Baizhu (Rhizoma Atractylodis Macrocephalae), Dihuang (Radix Rehmanniae Preparata), Danggui (Radix Angelicae Sinensis), Huangqi (Radix Astragali), Gancao (Radix Glycyrrhizae), each three liang; Zhuye (Folium Bambusae), five liang; Banxia (Rhizoma Pinelliae), Maimendong (Radix Ophiopogonis), each one sheng; Sheng Gouqigen (Radix Lycii), Shengjiang (Rhizoma Zingiberis Recens), each one jin; Dazao (Fructus Jujubae), twenty pieces.
Chop the eighteen ingredients. Boil Zhuye and Gouqigen in three dou of water to obtain two dou of liquid. Add the remaining herbs and decoct to obtain six sheng. Divide into six doses, consumed within one day and night. For children, adjust dosage based on age, gradually increasing from one ge or two ge up to one sheng.
Qianjin Fang treats mountain malaria in adults and children characterized by alternating chills and fever, with symptoms appearing and disappearing intermittently. Lingli Tang (Pangolin Shell Decoction):
Linglijia (Scuta Manitis, fourteen pieces) Biejia (Carapax et Plastrum Testudinis) Wiegu (Os Sepiae), each one tael; Changshan (Radix Dichroae, three pieces); Fuzi (Radix Aconiti Lateralis Preparata, one piece, soaked until cracked, skin and umbilicus removed).
Chop the five ingredients. Soak in three sheng of wine overnight. Take a small amount before the onset of fever, ensuring emesis is not interrupted. Apply externally to the body as well. After fasting for a period, food and drink may be resumed. Administer to children cautiously, as excessive vomiting may cause harm.