典藏书目

Dan Nue (Cachectic Malaria) is caused by heat in the Lung system, with Qi flourishing in the body, rebellious Qi rushing upward, excess Qi unable to vent outward. Due to excessive exertion, the Cou Li (interstitial spaces and pores) open and relax.

Yinchen Hao Tang (Artemisiae Scopariae Decoction) (from *Shengji Zonglu*) treats Dan Nue. It occurs at fixed times, characterized by fever without chills, headache and restlessness, blackening of the whole body, constipation with intestinal heat.
Ingredients: Yin Chen Hao (*Artemisiae Scopariae Herba*), Shan Zhi Zi (*Gardeniae Fructus*, peeled), Chai Hu (*Bupleuri Radix*, removed sprouts), Huang Qin (*Scutellariae Radix*, removed black heart), Jie Geng (*Platycodonis Radix*, stir-fried), Mu Dan Pi (*Moutan Cortex*, removed pith), Bei Mu (*Fritillariae Cirrhosae Bulbus*, removed pith), Qiang Huo (*Notopterygii Rhizoma et Radix*, removed rhizome). The herbs are finely pounded and sifted. Take an appropriate amount each time, administered with Qing Pi Tang.

Qing Pi Tang (Citrus Aurantium Decoction) (from *Yifang Jicheng*) treats Dan Nue with wiry and rapid pulse, fever without chills, or more heat than cold, chest fullness with ability to eat, bitter taste in mouth and dry tongue, and mental restlessness.
Ingredients: Qing Pi (*Aurantii Fructus Pericarpium*, removed white pith), Hou Po (*Magnoliae Officinalis Cortex*, ginger-processed and stir-fried), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Cao Guo Ren (*Tsaoko Fructus Seed*), Chai Hu (*Bupleuri Radix*, removed rhizome), Fu Ling (*Poria*, removed skin), Ban Xia (*Pinelliae Tuber*, processed in boiling water seven times). The herbs are chopped, decocted in water, strained, and taken warm in divided doses.

Xiang Chi Yin (Fermented Soybean Drink) (from *Shenghui Fang*) treats Dan Nue, fever without chills, vomiting and inability to eat.
Ingredients: Chi (*Sojae Semen Praeparatum*, half he), Cong Bai (*Allii Fistulosi Bulbus*, cut into 7-cun segments), Chang Shan (*Dichroae Radix*, 3 qian), Sheng Ma (*Cimicifugae Rhizoma*, 1 liang), Bie Jia (*Trionycis Carapax et Plastrum*, vinegar-roasted until yellow, removed skirt), Zhi Mu (*Anemarrhenae Rhizoma*, roasted). Soak the herbs overnight under the stars and moon, place a horizontal knife in the vessel, and decoct.

Da Qing Yin (Isatidis Decoction) (from *Shengji Zonglu*) treats Dan Nue with accumulated heat, profuse phlegm, less cold and more heat, fever without chills, irritability, and craving for drinks.
Ingredients: Da Qing (*Isatidis Folium et Caulis*, 1 liang; stems and leaves purple in color are preferred; non-purple ones are Yuan Zhi and must not be used; if genuine Da Qing is unavailable, substitute with Qing Dai). Da Huang (*Rhei Radix et Rhizoma*, vinegar-stir-fried), Chi Shao Yao (*Paeoniae Radix Rubra*). Decoct in water until 1.5 zhan remain, then take when reduced to 0.5 zhan.

Yinchen Zhike Tang (Artemisiae Scopariae and Aurantii Fructus Decoction) (from *Shengji Zonglu*) treats Dan Nue with upper jiao heat, heavy body, and yellow eyes.
Ingredients: Yin Chen Hao (*Artemisiae Scopariae Herba*, leaves only), Zhike (*Aurantii Fructus*, removed pulp and bran-roasted, 1 liang each), Jie Geng (*Platycodonis Radix*, chopped and stir-fried, 3 qian), Da Huang (*Rhei Radix et Rhizoma*, chopped and lightly stir-fried), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, honey-roasted until yellow). Chop the herbs, decoct in water, strain, and take warm in divided doses.

Zhusha Wan (Cinnabar Pill) (from *Shenghui Fang*) treats Dan Nue with irregular onset, fever without chills.
Ingredients: Zhusha (*Cinnabaris*, ground), Pishuang (*Arsenici Trioxidum*), Mayaxiao (*Natrii Sulfas*), Sun Tou Gu (*Macaca Skeleton Capitis*, powdered, 1 fen each), Shexiang (*Moschus*, 1 qian). Mix and grind evenly, form pills using vinegar-boiled wheat paste.

Baitu Jia Gui Tang (White Tiger plus Cinnamon Twig Decoction) (from *Qianjin Fang*) treats Dan Nue where Yin Qi is isolated and extinct, and Yang Qi fires alone, with faint pulse. Symptoms include shortness of breath, vexation and fullness, hot hands and feet, and desire to drink.
Ingredients: Shigao (*Gypsum Fibrosum*, crushed, 1 liang 6 qian), Zhi Mu (*Anemarrhenae Rhizoma*, 6 qian), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, honey-roasted, 2 qian), Jing Mi (*Oryza Sativa Var. Glutinosa Grain*, half he). Except for Jing Mi, chop and mix the other herbs, decoct in water, and finally add Jing Mi to cook together.

Changshan San (Dichroa Powder) (from *Shenghui Fang*) treats continuous fever from Dan Nue, as well as tertian malaria with irregular onset.
Ingredients: Chang Shan (*Dichroae Radix*, chopped, 1 liang), Sheng Ma (*Cimicifugae Rhizoma*, 3 qian), Bie Jia (*Trionycis Carapax et Plastrum*, removed skirt, chopped and raw), Shan Zhi Zi (*Gardeniae Fructus*, peeled, 0.5 liang each). Grind into powder, take an appropriate amount each time.

Changshan Yin (Dichroa Decoction) (from *Shengji Zonglu*) treats Dan Nue with fever without chills and incessant thirst and irritability.
Ingredients: Chang Shan (*Dichroae Radix*, chopped and stir-fried, 0.5 liang), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, chopped and stir-fried, 1 fen), Wu Mei (*Mume Fructus*, 7 pieces, smashed, pitted, and roasted), Qing Hao (*Artemisiae Annuae Herba*, roasted, 1 fen). Coarsely sieve, decoct in water, strain, and take warm in divided doses.

Hengshan Yinzi (Dichroa Infusion) (from *Shenghui Fang*) treats Dan Nue with fever without chills, vomiting, and inability to eat.
Ingredients: Hengshan (*Dichroae Radix*), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, raw), Digupi (*Lycii Cortex*, 1 fen each), Sheng Tie (Raw Iron, 1 jin, broken into chess-piece sized pieces). Finely chop, decoct in 2 large zhan of water, take when reduced to 1 zhan, do not exceed this amount.

Formula for treating severe thirst during Dan Nue attacks with uncertain cold/heat pattern (from *Shenghui Fang*):
Ingredients: Pishuang (*Arsenici Trioxidum*, 0.5 liang, finely ground), Lv Dou (*Phaseoli Radiatus Semen*, 0.5 liang), Chuan Da Huang (*Rhei Radix et Rhizoma*, 1 liang, chopped, crushed, and lightly stir-fried), Shexiang (*Moschus*, 1 fen, finely ground). Grind into powder, mix thoroughly in a mortar, bind with refined honey into pills the size of Sophora seeds. Expose to night dew overnight. On the day of attack, swallow one pill with cold water at dawn. Take another pill just before the attack.

Shizao San (Ten Jujube Powder) (from *Yangshi Jiancang Fang*) treats fever without chills.
Ingredients: Chuanshanjia (*Manis Squama*, 1 liang), Gan Zao (*Ziziphi Jujubae Fructus*, 10 pieces). Burn together to ash, preserve the nature (charred but not fully incinerated), grind into fine powder. Take 2 qian each time. On the day of attack, take before sunrise.

Another Formula (from *Shenghui Fang*):
Ingredients: Pishuang (*Arsenici Trioxidum*, 1 fen, finely ground), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, 0.5 liang). Grind evenly, bind with millet rice paste into pills the size of mung beans. Take when the attack has not yet started and on an empty stomach.

Xiangru Yin (Elsholtzia Decoction) (from *Yifang Jicheng*) treats fever without chills, isolated and extinct Yin Qi, firing alone of Yang Qi, shortness of breath, vexation, hot hands and feet, desire to vomit, and accompanying thirst.
Ingredients: Xiang Ru (*Elsholtziae Herba*, 2 liang), Hou Po (*Magnoliae Officinalis Cortex*, 1 liang), Bai Biandou (*Phaseoli Radiatus Semen*, 1.5 liang, stir-fried and ground), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, honey-roasted, 1 liang). One variation adds Huang Lian (*Coptidis Rhizoma*). Each dose is 2 liang, decocted in water (text implies specific quantity/unit "ten stems"), strained, and taken warm in divided doses.

Guiku San (Ghost Cry Powder) (from *Jingyan Liangfang*) treats Dan Nue with fever without chills.
Usage: Process the above ingredients with Huang Dan (Lead Oxide) after refining. Just before the attack, administer with honey-water. If capable of drinking alcohol, administer with wine.