足太阳疟之状。内经谓令人腰痛头重。寒从背起。先寒后热。 然。热上汗
已。
先寒
方
柴胡汤 治足太阳疟寒热。
柴胡(去苗) 恒山(锉) 鳖甲(去裙 醋炙黄) 知母(焙) 青蒿(干者) 甘
草(炙锉)
枳
二寸。
细
酒煎饮 治足太阳疟。腰痛头重。寒热互作。
常山(一两) 鳖甲(去裙 醋炙令黄色一两) 知母(三分) 白头翁(三分) 桂
(去粗皮
半
胡(去苗三
分)
当吐
柴胡桂姜汤 治足太阳疟。腰痛头重。寒多热少。
牡蛎汤 治足太阳疟。
麻黄黄芩汤(出济生拔粹方)治足太阳疟夜发尽瘥。
麻黄(去根节) 黄芩(去心) 甘草(炙各半两) 桂(二钱五分) 每 咀。一服
一两。水
三
夫足阳明胃疟。在经则令人先寒。洒淅寒甚。久乃热。热去汗出。见日月光火气乃快然。
当
血
于
方x
顺气汤 治足阳明胃疟。支满腹大。
浓朴(去粗皮姜汁制) 陈橘皮(去皮白焙) 白术 半夏(汤浸七次焙各一两) 干
姜(炮)
柴
去
滓
清脾汤(出医方集成)治胃疟。发作有时。先觉伸欠乃作。时寒栗鼓颔振颐。
中外皆寒。腰
呕。因食伤脾。停
。或但热不寒。或但寒
浓朴(四两姜汁制炒) 乌梅(去仁) 半夏(浸去滑) 青皮 良姜(各二两) 草
果(去皮
一两)
未发前
常服。
红丸子(出直指方)治食疟。气滞腹胀。
京三棱(水浸软切片) 蓬莪术(煨) 青皮(去白) 陈皮(去白各五两) 胡椒 干
姜(炮
各三
二
正气汤(出卫生宝鉴方)治胃疟不食。肢满腹胀。时作寒热。
藿香叶 陈橘皮(汤浸去白焙) 浓朴(去粗皮姜汁炙) 半夏(为末生姜汁作嚼曝干)
甘
草(
枳壳汤 治胃疟。心腹胀满不食。
枳壳(去瓤面炒三两) 浓朴(去粗皮姜汁炙) 人参 白术 白茯苓(去黑皮各二两)
上
捣筛
藜芦丸(出千金方)治五脏并有疟疾。而六腑则无。独胃腑有之。胃腑疟者令
旦病也。善饥
藜芦 恒山 皂荚 牛膝(各一两) 巴豆(二十枚去皮心研纸裹压去油) 上先熬藜
芦皂
荚色
膝。
红丸子(出医方集成)专治食疟。
蓬术 京三棱(醋炙各二两) 胡椒(二两) 青皮(炒香二两) 阿魏(一分醋化) 上
为
末。别
或因食
浓朴汤 治足阳明胃疟。寒热汗出。食则支满腹胀。
浓朴(去粗皮生姜汁炙二两) 白术 陈皮(浸去白焙各一两) 甘草 桂(去粗皮各
半两)
上
人参蜀椒汤 治胃疟腹满。
人参(半两) 蜀椒(去目及闭口炒出汗一分) 阿魏(面和饼炙三分) 干姜(炮一
两) 上
捣如
恒山橘皮散 治胃疟。胀满不食。
蒜姜酒 治胃疟。饥不能食。
独窠蒜(一颗) 生姜(一分) 上研碎。以酒半升调。去滓。未发时。旋旋服之。
阿魏酒 治胃疟\x
足太阳膀胱经疟疾的症状表现。《内经》记载,此病使人腰痛、头重,寒气从背部升起,先出现寒战,随后发热。待热退时汗出。
【方剂】
柴胡汤:治疗足太阳膀胱经疟疾的寒热往来。
药材:柴胡(去苗)、恒山(锉碎)、鳖甲(去裙边,用醋炙至黄色)、知母(焙干)、青蒿(干燥者)、甘草(炙后锉碎)。
枳壳细辛酒煎饮:治疗足太阳膀胱经疟疾,症状为腰痛、头重,寒热交替发作。
药材:常山(一两)、鳖甲(去裙边,用醋炙至黄色,一两)、知母(三分)、白头翁(三分)、桂枝(去粗皮)、柴胡(去苗,三分)。服用后应当引起呕吐。
柴胡桂姜汤:治疗足太阳膀胱经疟疾,症状为腰痛、头重,寒多热少。
麻黄黄芩汤(出自《济生拔粹方》):治疗足太阳膀胱经疟疾,夜间发作,发尽则缓解。
药材:麻黄(去根节)、黄芩(去心)、甘草(炙,各半两)、桂枝(二钱五分)。每服将药材捣碎如豆大,一服药量一两,用水煎煮。
至于足阳明胃经疟疾,邪在经脉则使人先感到寒冷,洒淅恶寒严重,许久之后才发热,热退时汗出,见到日光月光或火气便感觉舒适。
【方剂】
顺气汤:治疗足阳明胃经疟疾,症状为胸胁胀满、腹部膨大。
药材:厚朴(去粗皮,姜汁制)、陈皮(去皮白,焙干)、白术、半夏(汤浸七次,焙干,各一两)、干姜(炮制)。
清脾汤(出自《医方集成》):治疗胃疟,发作有定时,发作前先觉得伸懒腰、打哈欠,随即发作,时而寒战鼓颔、振颐颤抖,内外皆寒,腰部疼痛,呕吐,因饮食损伤脾胃,停聚痰湿所致。有时但热不寒,或但寒不热。
药材:厚朴(四两,姜汁制炒)、乌梅(去仁)、半夏(浸去滑腻)、青皮、良姜(各二两)、草果(去皮,一两)。未发作前服用。
红丸子(出自《直指方》):治疗食疟,气滞腹胀。
药材:京三棱(水浸软切片)、蓬莪术(煨)、青皮(去白)、陈皮(去白,各五两)、胡椒、干姜(炮,各三两)。
正气汤(出自《卫生宝鉴方》):治疗胃疟不进食,肢体胀满、腹部胀大,时常出现寒热往来。
药材:藿香叶、陈皮(汤浸去白焙)、厚朴(去粗皮,姜汁炙)、半夏(研末,生姜汁作丸,曝干)、甘草、枳壳。
枳壳汤:治疗胃疟,心腹胀满,不能进食。
药材:枳壳(去瓤,面炒,三两)、厚朴(去粗皮,姜汁炙)、人参、白术、白茯苓(去黑皮,各二两)。上药捣筛为散。
藜芦丸(出自《千金方》):治疗五脏均有疟疾,而六腑则无,唯独胃腑有之。胃腑疟疾导致早晨发病,容易饥饿。
药材:藜芦、恒山、皂荚、牛膝(各一两)、巴豆(二十枚,去皮心,研后用纸包裹压去油)。先将藜芦、皂荚熬至色变,加入牛膝。
红丸子(出自《医方集成》):专门治疗食疟。
药材:蓬莪术、京三棱(醋炙,各二两)、胡椒(二两)、青皮(炒香,二两)、阿魏(一分,醋化)。上药为末,别... 或因饮食...
厚朴汤:治疗足阳明胃经疟疾,寒热汗出,进食则胸胁胀满、腹部胀大。
药材:厚朴(去粗皮,生姜汁炙,二两)、白术、陈皮(浸去白焙,各一两)、甘草、桂枝(去粗皮,各半两)。
人参蜀椒汤:治疗胃疟腹满。
药材:人参(半两)、蜀椒(去目及闭口,炒出汗,一分)、阿魏(面和饼炙,三分)、干姜(炮,一两)。上药捣如...
蒜姜酒:治疗胃疟,饥饿但不能进食。
药材:独窠蒜(一颗)、生姜(一分)。上药研碎,用酒半升调匀,去渣滓,未发作时,慢慢服用。
Symptoms of malaria affecting the Foot-Taiyang Bladder meridian. The *Neijing* states that this condition causes lower back pain and a heavy sensation in the head, with cold sensations arising from the back. It begins with chills followed by fever. When the fever subsides, sweating occurs.
[Formulas]
Chaihu Tang (Bupleurum Decoction): Treats malaria of the Foot-Taiyang Bladder meridian characterized by alternating chills and fever.
Ingredients: Chai Hu (*Bupleuri Radix*, removed seedlings), Heng Shan (*Dichroae Radix*, crushed), Bie Jia (*Testudinis et Carapax et Plastrum*, remove skirted edge, vinegar-fried until yellow), Zhi Mu (*Anemarrhenae Rhizoma*, baked), Qing Hao (*Artemisiae Annuae Herba*, dried), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, fried and crushed).
Zhike Xixin Jiujian Yin (Immature Bitter Orange and Asarum Wine-Decoction Drink): Treats malaria of the Foot-Taiyang Bladder meridian, presenting with lower back pain, heavy head, and alternating chills and fever.
Ingredients: Chang Shan (*Dichroae Radix*, 1 liang), Bie Jia (*Testudinis et Carapax et Plastrum*, remove skirted edge, vinegar-fried until yellow, 1 liang), Zhi Mu (*Anemarrhenae Rhizoma*, 3 fen), Bai Tou Weng (*Pulsatillae Radix*, 3 fen), Gui Zhi (*Cinnamomi Ramulus*, remove rough bark), Chai Hu (*Bupleuri Radix*, removed seedlings, 3 fen). Administration should induce vomiting.
Chaihu Guijiang Tang (Bupleurum and Cinnamon Twig Decoction): Treats malaria of the Foot-Taiyang Bladder meridian, presenting with lower back pain, heavy head, where chills are more frequent than fever.
Muli Tang (Oyster Shell Decoction): Treats malaria of the Foot-Taiyang Bladder meridian.
Mahuang Huangqin Tang (Ephedra and Scutellaria Decoction) (from *Jisheng Bacui Fang*): Treats malaria of the Foot-Taiyang Bladder meridian that manifests at night and resolves after the episode.
Ingredients: Ma Huang (*Ephedrae Herba*, remove root joints), Huang Qin (*Scutellariae Radix*, remove heart), Gan Cao (*Glycyrrhizae Radix et Rhizoma*, fried, each 0.5 liang), Gui Zhi (*Cinnamomi Ramulus*, 2.5 qian). Each dose involves crushing the herbs to the size of beans; one dose weighs 1 liang, decocted in water.
Regarding malaria affecting the Foot-Yangming Stomach meridian, when the pathogen is in the meridian, it causes initial chills, severe shivering and aversion to cold, which persist for a long time before heat appears. After the heat subsides, sweating occurs. The patient feels relieved upon exposure to sunlight, moonlight, or fire warmth.
[Formulas]
Shunqi Tang (Regulating Qi Decoction): Treats stomach malaria of the Foot-Yangming meridian, presenting with distension and fullness in the chest and hypochondrium, and abdominal enlargement.
Ingredients: Hou Po (*Magnoliae Officinalis Cortex*, remove rough bark, processed with ginger juice), Chen Pi (*Citri Reticulatae Pericarpium*, remove white pith, baked), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Ban Xia (*Pinelliae Rhizoma*, soaked in boiling water seven times, baked, each 1 liang), Gan Jiang (*Zingiberis Rhizoma*, processed).
Qingpi Tang (Clearing Spleen Decoction) (from *Yifang Jicheng*): Treats stomach malaria with regular paroxysms. Initially, the patient feels the urge to stretch and yawn, followed by the onset of symptoms, including occasional chills with trembling of the jaw and chin, coldness throughout the body and interior, lower back pain, and vomiting. This is caused by dietary injury to the spleen leading to phlegm-fluid retention. Sometimes there is only heat without chills, or only chills without heat.
Ingredients: Hou Po (*Magnoliae Officinalis Cortex*, 4 liang, processed and stir-fried with ginger juice), Wu Mei (*Mume Fructus*, remove kernels), Ban Xia (*Pinelliae Rhizoma*, soaked to remove acridity), Qing Pi (*Citri Reticulatae Pericarpium Viride*), Liang Jiang (*Alpiniae Officinarum Rhizoma*, each 2 liang), Cao Guo (*Tsaoko Fructus*, remove husk, 1 liang). Take before the onset of symptoms.
Hong Wanzi (Red Pills) (from *Zhizhi Fang*): Treats food malaria with qi stagnation and abdominal distension.
Ingredients: Jing San Leng (*Sparganii Rhizoma*, soaked in water until soft, sliced), Peng E Zhu (*Curcumae Rhizoma*, roasted), Qing Pi (*Citri Reticulatae Pericarpium Viride*, remove white pith), Chen Pi (*Citri Reticulatae Pericarpium*, remove white pith, each 5 liang), Hu Jiao (*Piperis Longi Fructus*), Gan Jiang (*Zingiberis Rhizoma*, processed, each 3 liang).
Zhengqi Tang (Upright Qi Decoction) (from *Weisheng Baojian Fang*): Treats stomach malaria with anorexia, limb distension, abdominal enlargement, and intermittent chills and fever.
Ingredients: Huo Xiang Ye (*Agastaches Folium*), Chen Pi (*Citri Reticulatae Pericarpium*, soaked in boiling water, remove white pith, baked), Hou Po (*Magnoliae Officinalis Cortex*, remove rough bark, fried with ginger juice), Ban Xia (*Pinelliae Rhizoma*, powdered, made into pills with ginger juice, sun-dried), Gan Cao (*Glycyrrhizae Radix et Rhizoma*), Zhi Ke (*Aurantii Fructus Immaturus*).
Zhike Tang (Immature Bitter Orange Decoction): Treats stomach malaria with epigastric and abdominal distension, fullness, and anorexia.
Ingredients: Zhi Ke (*Aurantii Fructus Immaturus*, remove pulp, stir-fried with flour, 3 liang), Hou Po (*Magnoliae Officinalis Cortex*, remove rough bark, processed with ginger juice), Ren Shen (*Ginseng Radix et Rhizoma*), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Bai Fu Ling (*Poria*, remove black skin, each 2 liang). The above ingredients are pounded and sifted into powder.
Lilu Wan (Veratrum Pills) (from *Qianjin Fang*): Treats malaria affecting all five zang organs but none of the six fu organs, specifically affecting the stomach fu organ. Stomach malaria causes morning illness and excessive hunger.
Ingredients: Li Lu (*Veratri Radix*), Heng Shan (*Dichroae Radix*), Zao Jiao (*Gleditsiae Sinensis Fructus*), Niu Xi (*Achyranthis Bidentatae Radix*, each 1 liang), Ba Dou (*Crotonis Fructus*, 20 seeds, remove husks and hearts, grind and press between paper to remove oil). First, boil Li Lu and Zao Jiao until color changes, then add Niu Xi.
Hong Wanzi (Red Pills) (from *Yifang Jicheng*): Specifically treats food malaria.
Ingredients: Peng E Zhu (*Curcumae Rhizoma*), Jing San Leng (*Sparganii Rhizoma*, vinegar-fried, each 2 liang), Hu Jiao (*Piperis Longi Fructus*, 2 liang), Qing Pi (*Citri Reticulatae Pericarpium Viride*, stir-fried until fragrant, 2 liang), A Wei (*Asafoetida*, 1 fen, dissolved in vinegar). The above are ground into powder... due to dietary factors...
Houpo Tang (Magnolia Bark Decoction): Treats malaria of the Foot-Yangming Stomach meridian with chills, fever, sweating, and postprandial chest/hypochondriac distension and abdominal enlargement.
Ingredients: Hou Po (*Magnoliae Officinalis Cortex*, remove rough bark, fried with ginger juice, 2 liang), Bai Zhu (*Atractylodis Macrocephalae Rhizoma*), Chen Pi (*Citri Reticulatae Pericarpium*, soaked, remove white pith, baked, each 1 liang), Gan Cao (*Glycyrrhizae Radix et Rhizoma*), Gui Zhi (*Cinnamomi Ramulus*, remove rough bark, each 0.5 liang).
Renshen Shujiao Tang (Ginseng and Sichuan Pepper Decoction): Treats stomach malaria with abdominal fullness.
Ingredients: Ren Shen (*Ginseng Radix et Rhizoma*, 0.5 liang), Shu Jiao (*Zanthoxyli Fructus*, remove eyes and closed ones, stir-fry until sweat appears, 1 fen), A Wei (*Asafoetida*, baked with flour dough, 3 fen), Gan Jiang (*Zingiberis Rhizoma*, processed, 1 liang). The above are pounded into...
Hengshan Jupi San (Dichroa and Tangerine Peel Powder): Treats stomach malaria with distension, fullness, and anorexia.
Suan Jiang Jiu (Garlic and Ginger Wine): Treats stomach malaria with hunger but inability to eat.
Ingredients: Du Ke Suan (*Allium sativum*, single bulb, 1 piece), Sheng Jiang (*Zingiberis Rhizoma Recens*, 1 fen). Grind the above ingredients finely, mix with half a sheng of wine, filter out the dregs, and take slowly before the onset of symptoms.
Awei Jiu (Asafoetida Wine): Treats stomach malaria.