（附∶秋凉）
七月大火西流，暑气渐减，而凉气渐生，其时炎HT 尚存，一如盛夏，亦有较盛夏更热之年，人感其
热而病者，为秋暑，即世俗所称秋老虎是也。斯时湿土主气，犹是暑湿交蒸，但见壮热烦渴，蒸蒸自汗，脉
象洪濡或数，是秋暑之证，其治法与阳暑相同，亦宜清凉涤暑法。倘交秋令以来，凉气袭人，人感其气，即
患头痛恶寒，发热无汗，脉象浮弦或紧，是秋凉之证，其治法与阴暑无异，亦宜辛温解表法。若交秋分之后，
燥金主气，遇有秋凉之见证者，是为燥之胜气，宜用苦温平燥法。遇有秋暑之见证者，是为燥之复气，宜用甘
寒生津法。每见近时之医，不究六气者多，一交秋令，便云秋燥。不知初秋烦热，是为秋暑；
又不知斯时湿土主令，指暑指湿，而为燥气，不甚谬哉！
清营捍疟法∶治暑疟恶寒壮热，口渴引饮。
连翘（一钱五分，去心） 竹叶（一钱五分） 扁豆衣（二钱） 青蒿（一钱
五分） 木贼草（一钱） 黄芩（一钱，酒炒） 青皮（一钱五分）
加西瓜翠衣一片为引。
此治暑疟之法也。夫暑气内舍于营，故君以翘、竹清心，却其上焦之热。臣以扁衣解暑，青蒿祛疟。
佐以木贼发汗于外，黄芩清热于内。古云疟不离乎少阳，故使以青皮引诸药达少阳之经，瓜翠引伏暑透肌肤之表。
辛散太阳法∶治风疟寒少热多，头痛自汗，兼治伤寒伤湿。
嫩桂枝（一钱） 羌活（一钱五分） 防风（一钱五分） 甘草（五分） 前
胡（一钱五分） 淡豆豉（三钱）
加生姜二片，红枣三枚，煎服。
凡外邪袭人，必先伤于太阳之表。疟虽因于伏暑，又必因外感秋风而触发也。盖风疟有风在表，故宜
辛散之方。其中桂、羌、防、草，即成方桂枝羌活汤，本治风疟之剂也。内加前胡散太阳，复泄厥阴。淡豉
解肌表，且祛疟疾。更加攘外之姜，安内之枣，表里俱安，何疟之有哉！
宣透膜原法∶治湿疟寒甚热微，身痛有汗，肢重脘懑。
浓朴（一钱，姜制） 槟榔（一钱五分） 草果仁（八分，煨） 黄芩（一钱，
酒炒） 粉甘草（五分） 藿香叶（一钱） 半夏（一钱五分，姜制）
加生姜三片为引。
此师又可达原饮之法也。方中去知母之苦寒及白芍之酸敛，仍用朴、槟、草果，达其膜原，祛其盘踞
之邪，黄芩清燥热之
余，甘草为和中之用，拟加藿、夏畅气调脾，生姜破阴化湿，湿秽乘入膜原而作疟者，此法必奏效耳。
清凉透邪法∶（见前）
清热保津法∶（见前）
宣窍导痰法∶（见前）
芳香化浊法∶（见前）
和解兼攻法∶治寒热疟疾，兼之里积。
柴胡（一钱五分） 黄芩（一钱，酒炒） 半夏（一钱五分，姜制） 甘草（六分）
元明粉（二钱） 熟军（二钱） 枳壳（一钱五分）
流水煎服。
柴、芩、夏、草以和解，元明、军、枳以攻里，此仿长沙大柴胡之法也。
甘寒生津法∶治瘅疟独热无寒，手足热而欲呕。
大生地（五钱） 大麦冬（三钱，去心） 连翘（三钱，去心） 竹叶（一钱
五分） 北沙参（三钱） 石膏（四钱，煨）
加蔗浆、梨汁每一盏冲服。
《金匮》瘅疟条下，但云∶以饮食消息止之。嘉言主以甘寒生津可愈。丰立是法，即遵斯训也。首用
生地、麦冬，甘寒滋腻以生津液。此证不离心肺胃三经，故以翘、竹清心，沙参清肺，膏、
蔗清胃，梨汁生津。
宣阳透伏法∶治牝疟寒甚热微，或独寒无热。
淡干姜（一钱） 淡附片（一钱） 浓朴（一钱，姜制） 苍术（一钱，土炒）
草果仁（一钱，煨） 蜀漆（一钱五分）
加白豆蔻三颗，去壳细研分冲。
干姜宣其阳气，附子制其阴胜，浓朴开其滞气，苍术化其阴湿，草果治独胜之寒，蜀漆逐盘结
之疟，佐以豆蔻，不惟透伏有功，抑且散寒化湿，施于牝疟，岂不宜乎！
化痰顺气法∶（见前）
楂曲平胃法∶（见前）
驱邪辟祟法∶治鬼疟寒热日作，多生恐怖，脉来乍大乍小。
龙骨（三钱， ） 茯苓（三钱，雄黄染黄） 茅苍术（一钱，土炒） 广木
香（五分） 柏子仁（三钱，正粒） 石菖蒲（五分）
加桃叶七片为引。
（方解删）
补气升阳法∶治气虚患疟，寒热汗多，倦怠食减。
西潞参（三钱，米炒） 上黄 （二钱，蜜炙） 于潜术（二钱，米炒） 粉
甘草（五分，炙） 广陈皮（一钱五分） 当归身（二钱，酒炒） 绿升麻（五分） 柴胡梢（五分）
加生姜二片、红枣三枚为引。
此东垣补中益气汤也。首用参、 、术、草以补其气，陈皮以行其气，弗使补而呆滞，俾其补而灵动
也。当归以活其血，血气流行，则邪不能容矣。升、柴提其疟邪，姜、枣和其营卫。此方治虚疟，最为确当。
营卫双调法∶治洒寒烘热，脉濡且弱，虚疟、劳疟并宜。
嫩桂枝（一钱） 黄 皮（二钱，蜜炙） 当归身（一钱五分，土炒） 白
芍（一钱，土炒） 西潞参（三钱） 甘草（五分，炙）
加生姜二片，红枣三个，煎服。
古人云∶胃者卫之源，脾者营之本，今脾胃累虚而作寒热者，宜以营卫双调。故用桂、 护卫，归、
芍养营，参、草补益胃脾，姜、枣调和营卫，此从源本立方，勿见寒热，便投和解。
调中畅气法∶
双甲搜邪法∶治三日疟，久缠不愈。
穿山甲（一钱，醋炙） 鳖甲（一钱五分，炙） 木贼草（一钱，去节） 嫩
桂枝（一钱） 制首乌（三钱） 鹿角霜（二钱） 东洋人参（二钱） 当归身（二
钱，土炒）
头服轻煎，次服浓煎。
疟邪深窜而成三疟者，须此法也。穿山甲善窜之物，主搜深踞之疟。鳖甲蠕动之物，最搜阴络之邪。木贼
中空而轻，桂枝气薄而升，合而用之，不惟能发其深入于阴分之邪，而且能还于阳分之表。以何首乌养
其阴也，鹿霜助其阳也，人参益其气也，当归补其血也，阴阳气血并复，则疟邪自无容身之地矣。
清宣温化法∶治秋时晚发之伏暑，并治湿温初起。
连翘（三钱，去心） 杏仁（二钱，去皮尖研） 栝蒌壳（三钱） 陈皮（一钱
五分） 茯苓（三钱） 制半夏（一钱） 甘草（五分） 佩兰叶（一钱）
加荷叶二钱为引。
连翘寒而不滞，取其清宣；杏仁温而不燥，取其温化∶蒌壳宣气于上，陈皮化气于中，上中气分，得
其宣化，则新凉伏气，皆不能留；茯苓、夏、草，消伏暑于内；佩兰、荷叶，解新邪于外也。
润下救津法∶（见前）
辛温解表法∶（见前）
清凉涤暑法∶（见前）
苦温平燥法∶（见后）
（附注：秋凉）
七月时，大火星向西移动，暑气逐渐减退，而凉气逐渐产生。此时炎热之气尚存，如同盛夏一样，也有比盛夏更热的年份。人感受这种热邪而发病的，称为“秋暑”，也就是世俗所称的“秋老虎”。这个时候湿土主令，依然是暑湿交蒸的状态。如果见到身体高热、烦躁口渴、蒸蒸出汗、脉象洪大濡软或数疾，这是秋暑的证候。其治疗方法与阳暑相同，也适宜使用清凉涤暑法。
倘若进入秋季以来，凉气侵袭人体，人感受了这种凉气，就会患上头痛、恶寒、发热、无汗、脉象浮弦或紧的症状，这是秋凉的证候。其治疗方法与阴暑没有两样，也适宜使用辛温解表法。
如果过了秋分之后，燥金主令，遇到有秋凉见证的情况，这属于燥气的胜气（偏盛），适宜使用苦温平燥法。遇到有秋暑见证的情况，这属于燥气的复气（报复性反扑），适宜使用甘寒生津法。
我常看到近时的医生，不研究六气变化的很多。一进入秋季，就说是秋燥。他们不知道初秋的烦热，是秋暑；又不知道这个时候湿土主令，应当指暑指湿，却将其当作燥气，这不是很不荒谬吗！
清营捍疟法：治疗暑疟出现的恶寒壮热、口渴引饮症状。
连翘（一钱五分，去心） 竹叶（一钱五分） 扁豆衣（二钱） 青蒿（一钱五分） 木贼草（一钱） 黄芩（一钱，酒炒） 青皮（一钱五分）
加西瓜翠衣一片作为药引。
这是治疗暑疟的方法。因为暑气内舍于营分，所以用连翘、竹叶为君药以清心火，去除上焦的热邪。用扁豆衣为臣药以解暑，青蒿为臣药以祛疟。佐以木贼草在体外发汗，黄芩在体内清热。古语说疟疾离不开少阳经，所以用青皮为使药引导诸药到达少阳经，用西瓜翠衣引导伏藏的暑气透出肌肤表面。
辛散太阳法：治疗风疟表现为寒少热多、头痛自汗，兼治伤寒和伤湿。
嫩桂枝（一钱） 羌活（一钱五分） 防风（一钱五分） 甘草（五分） 前胡（一钱五分） 淡豆豉（三钱）
加生姜二片，红枣三枚，煎服。
凡是外邪侵袭人体，必定先伤害太阳经的体表。疟疾虽然因伏暑引起，但也必须因外感秋风而触发。因为风疟有风邪在表，所以适宜用辛散的方法。其中的桂枝、羌活、防风、甘草，就是成方桂枝羌活汤，本是治疗风疟的药剂。里面加入前胡疏散太阳经邪气，同时宣泄厥阴经邪气。淡豆豉解除肌表之邪，且能祛除疟疾。再加上攘除外邪的生姜，安固内部的红枣，使表里都安宁，还有什么疟疾呢！
宣透膜原法：治疗湿疟表现为寒重热轻、身体疼痛有汗、肢体沉重、胃脘闷胀。
浓朴（一钱，姜制） 槟榔（一钱五分） 草果仁（八分，煨） 黄芩（一钱，酒炒） 粉甘草（五分） 藿香叶（一钱） 半夏（一钱五分，姜制）
加生姜三片作为药引。
这是效法可达原饮的方法。方中去掉了知母的苦寒和白芍的酸敛，仍然使用厚朴、槟榔、草果，直达膜原，祛除盘踞在那里的邪气，黄芩清除燥热的余邪，甘草起到调和中的作用。拟加入藿香、半夏畅达气机、调理脾胃，生姜破除阴寒、化除湿气。如果是湿秽之气乘入膜原而发作疟疾，这种方法必然奏效。
清凉透邪法：（见前文）
清热保津法：（见前文）
宣窍导痰法：（见前文）
芳香化浊法：（见前文）
和解兼攻法：治疗寒热往来的疟疾，兼有里实积滞。
柴胡（一钱五分） 黄芩（一钱，酒炒） 半夏（一钱五分，姜制） 甘草（六分）
元明粉（二钱） 熟军（二钱） 枳壳（一钱五分）
流水煎服。
柴胡、黄芩、半夏、甘草用来和解表里，元明粉、熟大黄、枳壳用来攻逐里实，这是仿照长沙张仲景的大柴胡汤的方法。
甘寒生津法：治疗瘅疟表现为只有发热没有恶寒、手足发热且想呕吐。
大生地（五钱） 大麦冬（三钱，去心） 连翘（三钱，去心） 竹叶（一钱五分） 北沙参（三钱） 石膏（四钱，煨）
加蔗浆、梨汁各一杯冲服。
《金匮要略》瘅疟条文下，只说：“通过饮食调养来止住它。”喻嘉言主张用甘寒生津的方法可以痊愈。我确立这个方法，就是遵循这一训诫。首先用地黄、麦冬，甘寒滋腻以生津液。这个证候不离开心肺胃这三条经络，所以用连翘、竹叶清心，沙参清肺，石膏、蔗浆清胃，梨汁生津。
宣阳透伏法：治疗牝疟表现为寒重热轻，或者只有寒冷没有发热。
淡干姜（一钱） 淡附片（一钱） 浓朴（一钱，姜制） 苍术（一钱，土炒） 草果仁（一钱，煨） 蜀漆（一钱五分）
加白豆蔻三颗，去掉外壳细细研磨后分次冲服。
干姜宣通阳气，附子制约阴寒过盛，厚朴开通滞气，苍术化除阴湿，草果治疗独盛的寒邪，蜀漆驱逐盘结的疟邪，佐以豆蔻，不仅透发伏邪有功，而且能散寒化湿，施用于牝疟，难道不合适吗！
化痰顺气法：（见前文）
楂曲平胃法：（见前文）
驱邪辟祟法：治疗鬼疟表现为寒热每天发作，多生恐惧心理，脉象忽大忽小。
龙骨（三钱，煅） 茯苓（三钱，雄黄染黄） 茅苍术（一钱，土炒） 广木香（五分） 柏子仁（三钱，正粒） 石菖蒲（五分）
加桃叶七片作为药引。
（方解删去）
补气升阳法：治疗气虚患疟，表现为寒热、汗多、倦怠、食欲减退。
西潞参（三钱，米炒） 上黄芪（二钱，蜜炙） 于潜术（二钱，米炒） 粉甘草（五分，炙） 广陈皮（一钱五分） 当归身（二钱，酒炒） 绿升麻（五分） 柴胡梢（五分）
加生姜二片、红枣三枚作为药引。
这是李东垣的补中益气汤。首先用人参、黄芪、白术、甘草来补气，陈皮来行气，不让补益导致呆滞，使其补益而灵动。当归来活血，气血流行，那么邪气就不能容留了。升麻、柴胡提举疟邪，生姜、大枣调和营卫。这个方子治疗虚疟，最为恰当。
营卫双调法：治疗洒淅恶寒、烘热发热，脉象濡弱，虚疟、劳疟都适宜。
嫩桂枝（一钱） 黄芪皮（二钱，蜜炙） 当归身（一钱五分，土炒） 白芍（一钱，土炒） 西潞参（三钱） 甘草（五分，炙）
加生姜二片，红枣三个，煎服。
古人说：胃是卫气的源头，脾是营气的根本。现在脾胃长期虚弱而发作寒热，适宜用营卫双调的方法。所以用桂枝、黄芪护卫，当归、白芍养营，人参、甘草补益胃脾，生姜、大枣调和营卫。这是从本源立方的方法，不要见到寒热，就投用和解剂。
调中畅气法：（此处原文未列具体方药，仅列标题）
双甲搜邪法：治疗三日疟，久缠不愈。
穿山甲（一钱，醋炙） 鳖甲（一钱五分，炙） 木贼草（一钱，去节） 嫩桂枝（一钱） 制首乌（三钱） 鹿角霜（二钱） 东洋人参（二钱） 当归身（二钱，土炒）
头服药轻煎，第二次服药浓煎。
疟邪深窜而成三日疟的，必须用这个方法。穿山甲是善于钻窜的动物，主治搜索深踞的疟邪。鳖甲是蠕动的动物，最擅长搜索阴络的邪气。木贼中空而轻，桂枝气薄而升，合起来使用，不仅能发散深入阴分的邪气，而且能使邪气返还到阳分的体表。用何首乌滋养阴血，鹿角霜助长阳气，人参益补元气，当归补益血液。阴阳气血并复，那么疟邪自然没有容身之地了。
清宣温化法：治疗秋时晚发的伏暑，并治疗湿温初起。
连翘（三钱，去心） 杏仁（二钱，去皮尖研碎） 栝蒌壳（三钱） 陈皮（一钱五分） 茯苓（三钱） 制半夏（一钱） 甘草（五分） 佩兰叶（一钱）
加荷叶二钱作为药引。
连翘寒而不滞，取其清宣作用；杏仁温而不燥，取其温化作用：栝蒌壳在上部宣通气机，陈皮在中部化除气滞，上中二焦气分，得到宣化和化解，那么新凉的伏气，都不能停留；茯苓、半夏、甘草，在内消除伏暑；佩兰、荷叶，在外解散新邪。
(Attachment: Autumn Coolness)
In the seventh month, when the Great Fire star moves westward, the summer heat gradually diminishes while coolness begins to arise. At this time, residual hot qi still exists, resembling midsummer, and there are even years that are hotter than midsummer. When people contract this heat pathogen and fall ill, it is called "Autumn Summerheat" (Qiushu), commonly known in secular terms as the "Autumn Tiger." During this period, damp earth governs the climate, characterized by the steaming interaction of summerheat and dampness. If one observes high fever, restlessness, thirst, profuse sweating, and a pulse that is surging, soggy, or rapid, these are signs of Autumn Summerheat. The treatment method is the same as for Yang Summerheat (Yangshu, summerheat contracted from external heat), and the Qingliang Dishu Method (Cooling and Clearing Summerheat Method) is appropriate.
If, since the beginning of autumn, cool air invades the person, contracting this cool qi leads to headache, aversion to cold, fever, absence of sweating, and a floating, wiry, or tight pulse. These are signs of Autumn Coolness (Qiuliang). The treatment method is no different from Yin Summerheat (Yinshu, summerheat complicated by cold/damp), and the Xinwen Jiebiao Method (Acrid-Warm Exterior-Resolving Method) is appropriate.
After the Autumn Equinox, when dry metal governs the climate, encountering signs of Autumn Coolness constitutes the excess energy of dryness (Shengqi), and the Kuwen Pingzao Method (Bitter-Warm Drying-Dampness-Pacifying Method) should be used. Encountering signs of Autumn Summerheat constitutes the retaliatory energy of dryness (Fuqi), and the Ganhan Shengjin Method (Sweet-Cold Generating-Fluids Method) should be used.
I often observe that many contemporary physicians do not investigate the Six Qi (Liuqi, six climatic factors). Upon entering autumn, they immediately attribute symptoms to Autumn Dryness (Qiuzao). They fail to realize that the irritant heat in early autumn is Autumn Summerheat; furthermore, they ignore that damp earth governs at this time, mistaking summerheat and dampness for dryness. Is this not highly erroneous?
Qingying Hanmie Method (Clearing Camp Level and Defending Against Malaria Method): Treats summerheat malaria presenting with severe chills and high fever, thirst, and desire to drink.
* Lianqiao (Forsythiae Fructum, 1.5 qian, heart removed)
* Zhuye (Phyllostachys heterocycla var. pubescens Leaf, 1.5 qian)
* Biandouyi (Dolichos Lablab Seed Coat, 2 qian)
* Qinghao (Artemisiae Annuae Herba, 1.5 qian)
* Muzeicao (Equiseti Herba, 1 qian)
* Huangqin (Scutellariae Radix, 1 qian, stir-fried with wine)
* Qingpi (Citri Reticulatae Pericarpium Viride, 1.5 qian)
Add one slice of Xiguacuiyi (Watermelon Rind) as a guide drug.
This is the method for treating summerheat malaria. Since summerheat resides internally within the Ying (Nutrient) level, Lianqiao and Zhuye are used as Sovereign herbs to clear Heart fire and remove heat from the Upper Jiao. Biandouyi and Qinghao are used as Minister herbs to resolve summerheat and expel malaria. Muzeicao is used as an Assistant herb to induce sweating externally, while Huangqin clears heat internally. As the ancients stated, malaria is inseparable from the Shaoyang (Lesser Yang) channel, so Qingpi is used as an Envoy herb to guide the formulas to the Shaoyang channel, and watermelon rind guides latent summerheat to emerge through the skin surface.
Xinsan Taiyang Method (Acrid-Sun-Taiyang Resolving Method): Treats wind malaria characterized by less chills and more heat, headache, and spontaneous sweating; also treats Cold Damage (Shanghan) and injury by dampness.
* Neng Guizhi (Cinnamomi Ramulus Tender Branch, 1 qian)
* Qianghuo (Notopterygii Rhizoma et Radix, 1.5 qian)
* Fangfeng (Saposhnikoviae Radix, 1.5 qian)
* Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
* Qianhu (Peucedani Radix, 1.5 qian)
* Danshichi (Sojae Semen Praeparatum, 3 qian)
Add two slices of Shengjiang (Zingiberis Rhizoma Recens) and three dates (Jujubae Fructus), decoct and take orally.
When external pathogens invade the body, they first damage the exterior of the Taiyang (Greater Yang) channel. Although malaria originates from latent summerheat, it must be triggered by external autumn wind. Because wind malaria involves wind pathogen in the exterior, an acrid-resolving formula is suitable. Guizhi, Qianghuo, Fangfeng, and Gancao constitute the Chengfang Guizhi Qianghuo Tang (Standard Formula Cinnamon Twig and Notopterygium Decoction), originally designed for wind malaria. Added Qianhu disperses Taiyang pathogen and vents Jueyin (Terminal Yin) pathogen. Danshiji resolves the muscle layer and expels malaria. Adding Shengjiang to repel external pathogens and Jujubae Fructus to secure the interior brings peace to both exterior and interior, leaving no room for malaria.
Xuantou Moyuan Method (Ventilating and Penetrating Membrane Source Method): Treats damp malaria characterized by severe chills and slight heat, body pain with sweating, heavy limbs, and epigastric fullness.
* Houpo (Magnoliae Officinalis Cortex, 1 qian, ginger-processed)
* Binglang (Arecae Semen, 1.5 qian)
* Caoguoren (Tsaoko Cardamomi Fructus, 0.8 qian, roasted)
* Huangqin (Scutellariae Radix, 1 qian, wine-stir-fried)
* Fen Gancao (Licorice Root Powder, 0.5 qian)
* Huoxiangye (Agastaches Herba, 1 qian)
* Banxia (Pinelliae Rhizoma, 1.5 qian, ginger-processed)
Add three slices of Shengjiang as a guide drug.
This method follows the Da Ke Yuan Yin (Reach the Origin Drink) principle. Zhimu (Anemarrhenae Rhizoma) is removed due to its bitter-cold nature, and Baishao (Paeoniae Radix Alba) is removed due to its sour-astringent property. Houpo, Binglang, and Caoguo are retained to reach the Moyuan (Membrane Source) and expel entrenched pathogens. Huangqin clears residual dry-heat, and Gancao harmonizes the middle. Huoxiang and Banxia are added to promote qi flow and regulate the Spleen. Shengjiang breaks yin-cold and transforms dampness. For malaria caused by damp-turbidity invading the Moyuan, this method will surely be effective.
Qingliang Touxie Method (Cool-Clearing Expelling-Pathogen Method): (See previous section)
Qingre Baojin Method (Heat-Clearing Fluid-Protecting Method): (See previous section)
Xuanqiao Dao Tan Method (Orifice-Venting Phlegm-Guiding Method): (See previous section)
Fangxiang Huazhuo Method (Aromatic Turbidity-Transforming Method): (See previous section)
Hejie Jian Gong Method (Harmonizing and Attacking Method): Treats alternating chills and fever malaria accompanied by internal accumulation.
* Chaihu (Bupleuri Radix, 1.5 qian)
* Huangqin (Scutellariae Radix, 1 qian, wine-stir-fried)
* Banxia (Pinelliae Rhizoma, 1.5 qian, ginger-processed)
* Gancao (Glycyrrhizae Radix et Rhizoma, 0.6 qian)
* Yuanmingfen (Natrii Sulfas, 2 qian)
* Shu Jun (Rhei Radix et Rhizoma Prepared, 2 qian)
* Zhiqiao (Aurantii Fructus, 1.5 qian)
Decoct with flowing water and take orally.
Chaihu, Huangqin, Banxia, and Gancao are used for harmonization; Yuanmingfen, Shu Jun, and Zhiqiao are used for purging the interior. This imitates Zhang Zhongjing’s Da Chaihu Tang (Major Bupleurum Decoction).
Ganhan Shengjin Method (Sweet-Cold Generating-Fluids Method): Treats Dan Malaria (Febrile Malaria) characterized by heat only without chills, hot hands and feet, and nausea.
* Da Shengdi (Rehmanniae Radix Preparata, 5 qian)
* Da Maidong (Ophiopogonis Radix, 3 qian, heart removed)
* Lianqiao (Forsythiae Fructum, 3 qian, heart removed)
* Zhuye (Phyllostachys heterocycla var. pubescens Leaf, 1.5 qian)
* Beishashen (Glehniae Radix, 3 qian)
* Shigao (Gypsum Fibrosum, 4 qian, roasted)
Add one cup each of Zhe Jiang (Saccharum Sinensis Juice) and Lizhi (Pyrus Sinkiangensis Juice) to mix and take.
Under the Dan Malaria clause in *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), it states only: "Stop it through dietary management." Yu Jiayan advocated that Sweet-Cold Generating-Fluids methods can cure it. I established this method following this instruction. First, using Shengdi and Maidong, sweet-cold and cloying substances generate body fluids. This condition involves the Heart, Lung, and Stomach channels. Thus, Lianqiao and Zhuye clear the Heart, Shashen clears the Lung, Shigao and Zhe Jiang clear the Stomach, and Lizhi generates fluids.
Xuanyang Toufu Method (Yang-Ventilating Latent-Pathogen-Expelling Method): Treats Pin Malaria (Yin Malaria) characterized by severe chills and slight heat, or cold only without heat.
* Dan Ganjiang (Zingiberis Rhizoma, 1 qian)
* Dan Fupian (Aconiti Lateralis Radix Preparata, 1 qian)
* Houpo (Magnoliae Officinalis Cortex, 1 qian, ginger-processed)
* Cangzhu (Atractylodis Rhizoma, 1 qian, soil-stir-fried)
* Caoguoren (Tsaoko Cardamomi Fructus, 1 qian, roasted)
* Shuqi (Perillae Folium / Specific Antimalarial Herb, 1.5 qian)
Add three pods of Baidoukou (Amomi Fructus Rotundus), shell removed, finely ground, and taken separately.
Ganjiang ventilates Yang qi, Fuzi controls excessive Yin, Houpo opens stagnant qi, Cangzhu transforms damp-yin, Caoguo treats predominant cold, and Shuqi drives away knotted malaria pathogens. With Doukou as an assistant, not only does it successfully vent latent pathogens, but it also dispels cold and transforms dampness. Applied to Pin Malaria, is it not suitable!
Huatan Shunqi Method (Phlegm-Resolving Qi-Smooth Method): (See previous section)
Zhaju Pingwei Method (Hawthorn-Fermented Grain Stomach-Calming Method): (See previous section)
Quxie Bisui Method (Pathogen-Expelling Evil-Averting Method): Treats Gui Malaria (Ghost Malaria) characterized by daily alternating chills and fever, frequent fear/terror, and a pulse that fluctuates between large and small.
* Longgu (Dinosaur Bone, 3 qian, calcined)
* Fuling (Poria, 3 qian, stained yellow with Xionghuang)
* Mao Cangzhu (Atractylodis Rhizoma, 1 qian, soil-stir-fried)
* Guangmuxiang (Aquilariae Lignum Resinatum, 0.5 qian)
* Baiziren (Biota Semen, 3 qian, whole grains)
* Shichangpu (Acori Tatarinowii Rhizoma, 0.5 qian)
Add seven peach leaves (Taoye) as a guide drug.
(Fangjie [Formula Analysis] deleted)
Buqi Shengyang Method (Qi-Nourishing Yang-Raising Method): Treats malaria in Qi deficiency patients, characterized by chills/fever, profuse sweating, fatigue, and reduced appetite.
* Xi Lushen (Codonopsis Radix, 3 qian, rice-stir-fried)
* Shang Huangqi (Astragali Radix, 2 qian, honey-roasted)
* Yuqian Zhu (Atractylodis Macrocephalae Rhizoma, 2 qian, rice-stir-fried)
* Fen Gancao (Licorice Root Powder, 0.5 qian, roasted)
* Guang Chenpi (Citri Reticulatae Pericarpium, 1.5 qian)
* Danggui Shen (Angelicae Sinensis Radix Body, 2 qian, wine-stir-fried)
* Lv Shengma (Cimicifugae Rhizoma, 0.5 qian)
* Chaihu Shao (Bupleuri Radix Tip, 0.5 qian)
Add two slices of Shengjiang and three Jujubae Fructus as a guide drug.
This is Li Dongyuan’s Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). First, Renshen, Huangqi, Baizhu, and Gancao tonify Qi; Chenpi moves Qi to prevent stagnation from tonification, ensuring the tonification remains dynamic. Danggui activates Blood; when Qi and Blood circulate, pathogens cannot reside. Shengma and Chaihu lift the malaria pathogen; Shengjiang and Jujubae Fructus harmonize Ying and Wei. This formula is most appropriate for treating deficiency malaria.
Yingwei Shuangtiao Method (Dual-Harmonizing Ying and Wei Method): Treats aversion to cold and feeling hot, with a soggy and weak pulse; suitable for both deficiency malaria and labor-induced malaria.
* Neng Guizhi (Cinnamomi Ramulus Tender Branch, 1 qian)
* Huangqi Pi (Astragali Cortex, 2 qian, honey-roasted)
* Danggui Shen (Angelicae Sinensis Radix Body, 1.5 qian, soil-stir-fried)
* Baishao (Paeoniae Radix Alba, 1 qian, soil-stir-fried)
* Xi Lushen (Codonopsis Radix, 3 qian)
* Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian, roasted)
Add two slices of Shengjiang and three Jujubae Fructus, decoct and take orally.
The ancients said: The Stomach is the source of Wei (Defensive) Qi, and the Spleen is the root of Ying (Nutrient) Qi. Now, if chronic Spleen-Stomach deficiency causes chills and fever, dual-harmonization of Ying and Wei is appropriate. Therefore, Guizhi and Huangqi protect the exterior, Danggui and Baishao nourish Ying, Renshen and Gancao tonify the Stomach and Spleen, and Shengjiang and Jujubae Fructus harmonize Ying and Wei. This formula is derived from the root and source; do not simply administer harmonizing agents upon seeing chills and fever.
Tiaozhong Changqi Method (Regulating Middle Promoting-Qi Method): (No specific formula listed in text)
Shuangjia Souxie Method (Dual-Shells Searching-Pathogen Method): Treats tertian malaria (every-third-day malaria) that persists chronically.
* Chuanshanjia (Manis Squama, 1 qian, vinegar-roasted)
* Biejia (Trionycis Carapax et Plastrum, 1.5 qian, roasted)
* Muzeicao (Equiseti Herba, 1 qian, joints removed)
* Neng Guizhi (Cinnamomi Ramulus Tender Branch, 1 qian)
* Zhi Shouwu (Polygoni Multiflori Radix Preparata, 3 qian)
* Lujiaoshuang (Cervi Cornus Degelatinatum, 2 qian)
* Dongyang Renshen (Panax Ginseng, 2 qian)
* Danggui Shen (Angelicae Sinensis Radix Body, 2 qian, soil-stir-fried)
First decoction: light boil. Second decoction: strong boil.
When malaria pathogens penetrate deeply to form tertian malaria, this method is required. Chuanshanjia is adept at burrowing and searches for deeply entrenched malaria pathogens. Biejia is a creeping creature and best searches for pathogens in Yin collaterals. Muzeicao is hollow and light; Guizhi is thin in aroma and ascending. Used together, they not only disperse pathogens deep in the Yin aspect but also return them to the Yang exterior. He Shouwu nourishes Yin, Lu Jiaoshuang assists Yang, Renshen benefits Qi, and Danggui tonifies Blood. When Yin, Yang, Qi, and Blood are all restored, the malaria pathogen has nowhere to reside.
Qingxuan Wenhua Method (Clear-Ventilate Warm-Transform Method): Treats late-onset latent summerheat in autumn, and also treats early-stage Wet-Warmth (Shiwēn).
* Lianqiao (Forsythiae Fructum, 3 qian, heart removed)
* Xingren (Armeniacae Semen Amarum, 2 qian, skin and tips removed, crushed)
* Gualouqiao (Trichosanthis Pericarpium, 3 qian)
* Chenpi (Citri Reticulatae Pericarpium, 1.5 qian)
* Fuling (Poria, 3 qian)
* Zhi Banxia (Pinelliae Rhizoma Preparata, 1 qian)
* Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
* Peilan Ye (Eupatorii Herba, 1 qian)
Add 2 qian of Heye (Nelumbinis Folium) as a guide drug.
Lianqiao is cold but not stagnant, utilizing its clearing and venting properties; Xingren is warm but not drying, utilizing its warming and transforming properties. Gualouqiao vents Qi in the upper burner, Chenpi transforms Qi in the middle burner. With the upper and middle Qi mechanisms vented and transformed, new coolness and latent pathogens cannot remain. Fuling, Banxia, and Gancao eliminate latent summerheat internally; Peilan and Heye resolve new pathogens externally.
Runxia Jiujin Method (Moistening-Down Saving-Fluids Method): (See previous section)
Xinwen Jiebiao Method (Acrid-Warm Exterior-Resolving Method): (See previous section)
Qingliang Dishu Method (Cool-Clearing Summerheat-Scouring Method): (See previous section)
Kuwen Pingzao Method (Bitter-Warm Drying-Dampness-Pacifying Method): (See subsequent section)