论曰。诸疸。黄胆、酒疸、女劳疸。久不愈皆变为黑疸。其状小腹满身体尽黄。额上黑。
足
其经足少阴。其色黑。病在肾。故小腹满色黄。大便黑。足下热。是皆足少阴经受病之证。
方
当归汤（圣济总录）治诸疸久不瘥。变成黑疸。
当归（三两） 桂（去皮六两） 麦门冬（去心一两半） 黄芩（去黑心） 黄 干
姜（炮）
赤茯
陈（各一
两）
茵陈蒿丸（圣惠方）治黑疸身体暗黑。小便涩。
茵陈蒿 赤茯苓（去皮） 葶苈子（炒各一两） 枳壳（去瓤麸炒） 白术（各一两一
分） 杏
仁（
遂（炮各
一分
如绿
豆大
瓜蒂散（一名赤小豆散圣惠方）治黑疸身体及大便并黑。及黄胆久不瘥。
瓜蒂（一分） 雄黄（研一钱先用醋煮） 甘草（炙一两） 栝蒌（二两） 上为细散。
每服一
字。
硝石散 治日晡时发热。而反恶寒。此为女劳而得之。膀胱急。小腹满。身尽黄。
额上黑。
腹满者。难治
治黄胆变成黑疸。医所不能疗。多死。急治之方。（千金方）
用土瓜根汁。每日空心服半钱。即半盏。其病随小便出。即愈。然须量病患强壮者。可
服半
夫夏伤于暑。秋必病疟。盖伤之浅者近而暴。伤之重者远而疾。 疟者久疟也。是知夏
伤
有中
阳经
在
火不能温。热则冰水不能寒。以先伤寒后伤风。故先寒而后热。名曰寒疟。病者先热后寒。
躁烦自汗恶风。以先伤风后伤寒。风为阳。寒为阴。故先热而后寒。名曰温疟。病者但热不
寒。阴气孤绝。阳气独发。心气烦 。手足热而欲呕。必渴。以伤于暑热。名曰瘅疟。病者
寒热身重。骨节烦疼。胀满。 自汗。善呕。因汗出复浴。湿舍皮肤。及冒雨湿。名
疟。病者寒多不热。但惨戚振栗。病以时作。此以阳虚阴盛。多感阴湿。阳不能制阴。名曰
牡疟。五种疟疾。以外感风寒暑湿与卫气相并而成也。疟病内所因者。病者寒热颜色苍苍然
。善太息。如死状。以蓄怒伤肝。气郁所致。名曰肝疟。病者心烦欲饮清水。反寒多不甚
。乍来乍去。以喜伤心气耗散所致。名曰心疟。病者寒多腹中热痛。或渴。或不渴。不热不
泄。肠鸣汗出。以思伤脾。气郁涎结所致。名曰脾疟。病者心寒甚。发热间喜惊。而有所
以忧伤肺气。凝痰以致。名曰肺疟。病者手足寒。漉然腰脊痛。发热大便难。目 以
肾所致。名曰肾疟。五种疟疾。以脏气不和。郁结涎饮而成也。疟不内外因者。病者发寒热。
一岁之间。长幼强弱或染时
多生恐怖。名曰鬼疟。宜用禁避厌禳之法。病者乍
疟。
当随方土所宜治之。病者寒。善饥而不能食。满
唯胃有者。盖饮食饥饱所伤胃气而成。世之谓食
经年不瘥。瘥复再发。远行久立。不至微劳。力
复。疾虽暂间。少劳便发。名曰劳疟。亦有数年
曰疟母。疟备内外不内外三因。外则感四气。内
所谓夏伤暑秋必 疟者。此则因时而序耳。不
不可拘也。夫疟之始发。先起于毫毛。伸欠乃作
头痛而渴欲饮。身上发冷者。以阴阳上下交争。
明虚则寒栗鼓颔。太阳虚则腰背头项俱痛。少阳
气胜。骨寒而痛。并于阳则阳实而阴虚。太阴虚
厥阴虚。则腰腹
热胜。悒悒不乐。阴盛则内寒。阳虚则外寒。一
内热。一生于外。故中外皆热。此皆因外感寒暑
食饥饱劳逸之所为也。病气与卫气并居。故病作
内薄。所以日作。其气内则薄于五脏。横连于募
俱出。故间作。以卫气一日一夜大会于风府。日
二十六日入脊内。其气上行。故曰益早也。疟
在阴则寒静。极则阴阳俱衰。卫气相离。则
晏不同。又邪气中于头项者。气至头项则作
则作。各随其所中而作。但卫气之所在与邪
中。外气之所为也。除瘅疟纯热。寒疟先寒
刺 之热。无刺浑浑之脉。无刺漉漉
与将过。皆不可治。以反伤正气。不可不知
夫肺病为疟者。乍来乍去。令人必寒。甚则发热。善惊。如有所见。此肺疟证也。若人
本来
势
令
以手剔脚爪。此人必死。祸虽未及。呼曰行尸。此心病声之候也。虚则补之。实则泻之。不
可疗者。明而察之。肝病为疟者。令人色苍苍然。气息喘闷。战掉如死。若人本来少于悲恚
。忽尔嗔怒。出言反常。乍宽乍急。言未讫以手向眼。如有所思。若下节病。祸必至矣。此
肝病声之候也。其人若虚则为寒风所伤。若实则热气所损。阳则泻之。阴则补之。脾病为疟
者。令人寒则腹中痛。热则肠中鸣。鸣已则汗出。若其人本来少于喜怒。而忽反常嗔喜。无
多言。自笑不答于人。此是脾病声之候也。不盈旬日。祸必至。肾病为疟者。令人凄凄然。
腰脊痛而宛转。大便涩。身掉不定。手足寒热。若其人本来不喜不怒。忽然謇而好喜怒。反
于常性。此肾已伤。虽未发觉。声其候也。见人未言而前开口。还开口不声。举手爪闸极腹。
此
肾病声之候也。虚实表里。浮沉清浊。宜以察逐而疗之。
夫疟脉者自弦。弦数者多热。弦迟者多寒。弦小紧者可下之。弦迟者温药已。若脉数而
紧者
足太阳之疟。令人腰痛头重。寒从背起。先寒后热。 （虚娇切） 然。热止汗出
刺
多
月
病
户
意
刺
足经。太阳疟羌活加生地黄汤。小柴胡加桂汤。阳明疟桂枝及白虎二汤。黄芩芍药加桂
枝汤
元胡
枝加
肝病面清脉弦。皮急多青则痛。形盛胸胁痛。耳聋口苦舌干。往来寒热而呕。以上是形
盛。
证取
热
疾
项
则
苍
宜
桂
涩
恶寒。三焦伤也。治之以姜附汤。或四逆汤。久不愈为疟。暴气冲上。
疟。太阳经桂枝汤证。形衰淹疾。羸瘦风痹。痿厥不能行也。
夫疟脉自弦。弦数者多热。弦迟者多寒。弦而小紧者。宜下。弦迟者宜温。浮大者宜吐。
治
成
兽
脾气一盛。自然平复。此证既愈。尤当节饮食。谨劳伤。妨其再作。如烟瘴之地。居人常患
疟疾者。又当随其方土所宜药性。施以治法。客旅来居瘴地。宜服平胃散。草果饮。先以防
之。
凡富贵膏粱之家。病疟或间日或频日发。或热多寒少。宜大柴胡汤。下过三五行。次服
白虎
剂
膈白
病疟
愈。
夫先热后寒。可与解散风邪。如川芎白芷青皮紫苏之类。或细辛槟榔佐之。一证先热后
寒此
疟自
生料
暑胜
消铄
恒山
合用
能制
疟一
食疟
剂。
炎。
言者
用凉
气
之劳
亏损
气已充。继此经效疟丹。消癖丸。下之取愈。大抵疟之初得。三数日间。如火燎原。不可响
迩。波涛汹涌。未易回澜。当俟其稍定。而图之。经所谓其盛者可待衰而已。疟方来。与正
发及将解。不可投药。耗其真气。投药当于未发以前两时之先。或迟发日凌晨空心与之。诸
疟之脉。大约尺寸俱弦。或浮数。或紧实。或缓涩。或虚迟。或左手濡而右手盛。或尺寸盛
而关中濡。总前治法。弦数多热者。寒之。弦迟多寒者。温之。浮弦、浮紧、浮数其邪在表
者。可汗。弦实沉实数实其邪在里者。可下。若夫调胃气利痰水分阴阳行三焦是又治法之纲
领也。渴又水浆药入辄吐。人参煎汤效。亦犹有说焉。尝读二广摄生。见其论议若瘴疟若暑
毒。每用疏转之剂。取下根源。果有先伤暑后发疟涉年余者。度其腹中有癖水。磨沉香下解
毒雄黄圆。黑血如泥。泄下极臭。由是获愈。因知诸疟皆有根。在治法之外。又当随轻重而
利导之。实者与巴豆大黄。虚者用养正丹辈。不然恒山于疟每每作效何耶。盖疟家多蓄黄水
。恒山为能破其癖而下其水也。恒山治疟。罂粟壳治痢。人皆薄之。故也。然其痢日久腹中
无痛。当涩肠。则岂容下。涩疟以痰水作恙。法当吐痰逐水。岂容不为之吐下。于斯时也。
不有罂壳恒山之剂。其何以为对治乎。但中间有药补之耳。凡疟皆因
停中。腹蓄黄水。惟水不行。所以寒热不歇。此疟家受病之处。治暑疟纯热。以香薷散加青
皮北大黄两个。乌梅同煎。侵晨温服。寒疟多寒。以二陈汤加青皮良姜多用姜同煎。侵晨吞
神保圆五粒。并欲取下毒水以去其病根。寒热自解。发疟呕吐。勿用恒山。有中年人。脏腑
久虚。大便常滑。忽得疟疾。呕吐异常。惟专用人参。为能止呕。其他疟剂。并不可施。遂
以茯苓二陈汤加人参缩砂白豆蔻进一二服。病患自觉气脉颇消。于是寒热不作。盖白豆蔻能
消能磨。流行三焦。荣卫一转。寒热自平。继今遇有呕吐发疟之证。或其人素呕。而发疟。
谨勿用恒山。惟以生萝卜生姜各研自然汁半盏。入蜜三四匙。乌梅两个同煎。吞局方雄黄丸
三四粒。候其利下恶血痰水。即以人参、川芎、茯苓、半夏、缩砂、甘草调和之。万一呕不
止而热不退。却用真料小柴胡汤多加生姜主治。其或呕吐大作。而又发热但先为治疟。热呕
自定。仍以小柴胡汤继之。
疟有水有血。水即水饮也。血即瘀血也。惟水饮所以作寒热。惟瘀血所以增寒热。恒山
逐水
或大
于内
疟证寒热不歇。不息有根。凡疟固当以风寒暑湿而治之。或汗。或下。或吐。或泻。活
人方
根在
故也
疏利
常山治疟。须用佐。疟家多蓄痰涎黄水。恒山为能吐之利之。是故然耳。其有纯热发疟。
或
获
以
此
者
焉
之
治疟总要。不过吐汗下。当下而下不尽。腹中尚有余痛。或大便一泄之后。不复再泄。
但时
须使一身皆汗
究竟收效必矣
又再发者。
已。二药并
其何厉之
热用凉药
之。一方
柴胡退热。不及黄芩。若药弗暝眩。厥疾弗瘳。世俗治热。例用柴胡。最为稳当。至于
黄芩
用黄
剂。
调血
论述说：各种黄疸，包括黄胆、酒疸、女劳疸，如果久治不愈，都会转变为黑疸。其症状表现为小腹胀满，全身发黄，额头发黑，足部发热。这涉及足少阴肾经，因为肾对应的颜色是黑色，病位在肾，所以出现小腹胀满、面色黄、大便色黑、足下发热等症状，这些都是足少阴经受邪的证候。
方剂：
当归汤（出自《圣济总录》），治疗各种黄疸日久不愈，转变为黑疸。
药材：当归（三两）、桂枝（去皮六两）、麦门冬（去心一两半）、黄芩（去黑心）、黄芪、干姜（炮制）、赤茯苓、陈皮（各一两）。
茵陈蒿丸（出自《太平惠民和剂局方·圣惠方》），治疗黑疸，身体暗黑，小便涩滞不畅。
药材：茵陈蒿、赤茯苓（去皮）、葶苈子（炒，各一两）、枳壳（去瓤，麸炒）、白术（各一两一分）、杏仁（去皮尖，炒）、甘遂（炮制，各一分）。制成如绿豆大小的丸剂。
瓜蒂散（又名赤小豆散，出自《圣惠方》），治疗黑疸，身体及大便均呈黑色，以及黄胆久治不愈。
药材：瓜蒂（一分）、雄黄（研细，一钱，先用醋煮）、甘草（炙，一两）、栝蒌（二两）。以上药物研为细散。每次服用一字量。
硝石散，治疗日晡时（下午3-5点）发热，反而恶寒。这是由女劳疸发展而来。膀胱拘急，小腹胀满，全身发黄，额头发黑。如果腹部胀满严重，则难治。此方用于治疗黄胆转变为黑疸，医生难以治愈，死亡率高的情况。（出自《千金方》）
用法：用土瓜根汁，每日空腹服用半钱（即半盏）。病邪随小便排出，即可痊愈。但必须根据患者体质强弱来决定是否可服用半盏。
夏季感受暑邪，秋季必定患疟疾。这是因为受伤轻浅者，发病近而急骤；受伤深重者，发病远而剧烈。疟疾是指久疟。由此可知，夏季伤于暑气……（此处原文有缺漏或错简，意指疟疾成因与季节有关）。
其中阳经受邪……火不能温煦，热则冰水不能使其寒冷。因先伤于寒后伤于风，所以先恶寒而后发热，名为寒疟。患者先发热后恶寒，烦躁自汗，恶风。因先伤于风后伤于寒，风为阳，寒为阴，所以先发热而后恶寒，名为温疟。患者只发热不恶寒，阴气孤绝，阳气独发，心中烦闷，手足发热且想呕吐，必然口渴。这是伤于暑热所致，名为瘅疟。患者寒热交替，身体沉重，骨节烦痛，胀满，自汗，容易呕吐。因出汗后洗澡，湿气停留在皮肤，或者冒雨受湿，名为湿疟。患者恶寒多而发热少，神情凄惨，战栗，按时发作。这是由于阳虚阴盛，多感受阴湿之气，阳气不能制约阴气，名为牡疟。这五种疟疾，是由外感风寒暑湿与卫气相搏结而成。
疟疾内部的原因：患者寒热往来，面色苍白，喜欢叹气，状如死尸。这是因为郁怒伤肝，气机郁结所致，名为肝疟。患者心烦想喝冷水，反而恶寒多而发热少，忽冷忽热。这是因为喜笑过度伤心气，导致气耗散所致，名为心疟。患者恶寒多，腹中热痛，有时口渴，有时不渴，不热不泄，肠鸣，出汗。这是因为思虑伤脾，气郁痰结所致，名为脾疟。患者心里极度寒冷，发热间易受惊吓，并有……（原文缺字，推测为幻觉或异常感觉）。这是因为忧伤肺气，凝痰所致，名为肺疟。患者手足寒冷，腰部脊柱疼痛如水声漉漉，发热，大便困难，眼睛……（原文缺字，推测为视物模糊或流泪）。这是由肾所致，名为肾疟。这五种疟疾，是由于脏气不和，郁结痰饮而成。
疟疾非内非外的原因：患者发作寒热，一年内无论长幼强弱都可能感染时行疫气，产生恐惧，名为鬼疟。适宜使用禁避厌禳的方法治疗。患者忽冷忽热……（原文缺字）。应当根据当地水土适宜的药物进行治疗。患者怕冷，容易饥饿但不能进食，胃脘胀满。这是饮食饥饱所伤，胃气受损而成，世人称为食疟。经久不愈，痊愈后又复发。长途跋涉或久立，即使没有轻微劳累，也会诱发。虽然暂时缓解，稍加劳累便发作，名为劳疟。也有数年不愈的，名为疟母。疟疾备具内因、外因、不内外因三种病因。外因则是感受四时之气，所谓“夏伤于暑，秋必病疟”，这是顺应时序而言，不可拘泥。
夫疟疾刚开始发作时，先从毫毛竖起开始，伸欠（打哈欠）之后发作。头痛且口渴想喝水，身上发冷，是因为阴阳上下交争。阳明经虚则寒栗鼓颔（下巴颤抖），太阳经虚则腰背头项俱痛，少阳经气胜，骨寒而痛。邪气并于阳分则阳实阴虚，太阴虚则……厥阴虚则腰腹……热胜则悒悒不乐。阴盛则内寒，阳虚则外寒。一内生热，一外生寒，所以中外皆热。这都是因为外感寒暑，以及饮食饥饱劳逸所致。病气与卫气并居，所以病作。邪气内薄于五脏，横连于募原，同时外出，所以间歇发作。因为卫气一日一夜大会于风府，每二十六日入脊内，其气上行，所以说发作时间越来越早。疟邪在阴分则寒静，极则阴阳俱衰，卫气相离，则发作时间早晚不同。又邪气中于头项者，气至头项则发作；中于背者，气至背则发作。各随其所中部位而发作，只要卫气所在之处与邪气相遇就会发作，这是外气所为。
除了瘅疟纯热、寒疟先寒后热、温疟先热后寒之外，刺法要注意：不要刺脉象浑浑无序的，不要刺脉象漉漉急促的，也不要刺脉象即将衰退或尚未旺盛的时候，都不可治疗，以免反伤正气，不可不知。
如果是肺病引起的疟疾，忽冷忽热，使人必觉寒冷，甚则发热，易受惊，如有所见，这是肺疟的证候。如果人本来……（原文缺字），势……令……以手剔脚爪，此人必死，祸虽未及，呼曰行尸，这是心病声音的征候。虚则补之，实则泻之，不可治疗者，明察之。
肝病引起的疟疾，使人面色苍白，气息喘闷，战栗如死。如果人本来较少悲伤愤怒，忽然嗔怒，出言反常，忽宽忽急，话没说完就用手向眼，似有所思。如果下部关节有病，祸必至矣。这是肝病声音的征候。其人若虚则为寒风所伤，若实则热气所损。阳则泻之，阴则补之。
脾病引起的疟疾，使人寒则腹中痛，热则肠中鸣，鸣已则汗出。如果其人本来较少喜怒，而忽然反常嗔喜，不多言，自笑不答于人，这是脾病声音的征候。不到十天，祸必至。
肾病引起的疟疾，使人凄凄然，腰脊痛而辗转反侧，大便涩滞，身体抖动不定，手足寒热。如果其人本来不喜不怒，忽然言语蹇涩而好喜怒，反于常性，这是肾已伤，虽未发觉，声音是其征候。见人未言而前开口，还开口不声，举手抓腹至极，这是肾病声音的征候。虚实表里，浮沉清浊，宜以察逐而疗之。
疟疾的脉象自然弦。弦数者多热，弦迟者多寒。弦小紧者可下之，弦迟者用温药可愈。若脉数而紧者……（原文缺字）。
足太阳经疟疾，令人腰痛头重，寒从背起，先寒后热，翕翕然（形容发热貌）。热止汗出……刺……多……月……病……户……意……刺……足经。太阳疟羌活加生地黄汤。小柴胡加桂汤。阳明疟桂枝及白虎二汤。黄芩芍药加桂枝汤。元胡……枝加……
肝病面青脉弦，皮急多青则痛，形盛胸胁痛，耳聋口苦舌干，往来寒热而呕。以上是形盛证。取……热……疾……项……则……苍……宜……桂……涩……恶寒。三焦伤也。治之以姜附汤。或四逆汤。久不愈为疟。暴气冲上……疟。太阳经桂枝汤证。形衰淹疾，羸瘦风痹，痿厥不能行也。
夫疟脉自弦。弦数者多热，弦迟者多寒。弦而小紧者，宜下。弦迟者宜温。浮大者宜吐。治……成……兽……
脾气一盛，自然平复。此证既愈，尤当节饮食，谨劳伤，防其再作。如烟瘴之地，居人常患疟疾者，又当随其方土所宜药性，施以治法。客旅来居瘴地，宜服平胃散、草果饮，先以防之。
凡富贵膏粱之家，病疟或间日或频日发，或热多寒少，宜大柴胡汤。下过三五行，次服白虎……剂……膈白……病疟……愈。
夫先热后寒，可与解散风邪，如川芎、白芷、青皮、紫苏之类。或细辛、槟榔佐之。一证先热后寒……疟自……生料……暑胜……消铄……恒山……合用……能制……疟一……食疟……剂……炎……言者……用凉……气……之劳……亏损……气已充。继此经效疟丹、消癖丸，下之取愈。大抵疟之初得，三数日间，如火燎原，不可响迩。波涛汹涌，未易回澜。当俟其稍定，而图之。经所谓其盛者可待衰而已。疟方来，与正发及将解，不可投药，耗其真气。投药当于未发以前两时之先，或迟发日凌晨空心与之。诸疟之脉，大约尺寸俱弦，或浮数，或紧实，或缓涩，或虚迟，或左手濡而右手盛，或尺寸盛而关中濡。总前治法，弦数多热者，寒之。弦迟多寒者，温之。浮弦、浮紧、浮数其邪在表者，可汗。弦实沉实数实其邪在里者，可下。若夫调胃气、利痰水、分阴阳、行三焦，是又治法之纲领也。渴又水浆药入辄吐，人参煎汤效。亦犹有说焉。尝读二广摄生，见其论议若瘴疟若暑毒，每用疏转之剂，取下根源。果有先伤暑后发疟涉年余者，度其腹中有癖水，磨沉香下解毒雄黄圆，黑血如泥，泄下极臭，由是获愈。因知诸疟皆有根，在治法之外，又当随轻重而利导之。实者与巴豆大黄，虚者用养正丹辈。不然恒山于疟每每作效何耶？盖疟家多蓄黄水，恒山为能破其癖而下其水也。恒山治疟，罂粟壳治痢，人皆薄之，故也。然其痢日久腹中无痛，当涩肠，则岂容下。涩疟以痰水作恙，法当吐痰逐水，岂容不为之吐下。于斯时也，不有罂壳恒山之剂，其何以为对治乎？但中间有药补之耳。凡疟皆因停中，腹蓄黄水，惟水不行，所以寒热不歇。此疟家受病之处。治暑疟纯热，以香薷散加青皮、北大黄两个，乌梅同煎，侵晨温服。寒疟多寒，以二陈汤加青皮、良姜多用姜同煎，侵晨吞神保圆五粒。并欲取下毒水以去其病根，寒热自解。发疟呕吐，勿用恒山。有中年人，脏腑久虚，大便常滑，忽得疟疾，呕吐异常，惟专用人参，为能止呕。其他疟剂，并不可施。遂以茯苓二陈汤加人参、缩砂、白豆蔻进一二服，病患自觉气脉颇消，于是寒热不作。盖白豆蔻能消能磨，流行三焦，荣卫一转，寒热自平。继今遇有呕吐发疟之证，或其人素呕，而发疟，谨勿用恒山。惟以生萝卜生姜各研自然汁半盏，入蜜三四匙，乌梅两个同煎，吞局方雄黄丸三四粒，候其利下恶血痰水，即以人参、川芎、茯苓、半夏、缩砂、甘草调和之。万一呕不止而热不退，却用真料小柴胡汤多加生姜主治。其或呕吐大作，而又发热，但先为治疟，热呕自定，仍以小柴胡汤继之。
疟有水有血，水即水饮也，血即瘀血也。惟水饮所以作寒热，惟瘀血所以增寒热。恒山逐水……或大……于内……
疟证寒热不歇，不息有根。凡疟固当以风寒暑湿而治之，或汗，或下，或吐，或泻，活人方……根在……故也……疏利……常山治疟，须用佐。疟家多蓄痰涎黄水，恒山为能吐之利之，是故然耳。其有纯热发疟……或……获……以……此……者……焉……之……
治疟总要，不过吐汗下。当下而下不尽，腹中尚有余痛，或大便一泄之后，不复再泄，但时……须使一身皆汗……究竟收效必矣……又再发者……已。二药并……其何厉之……热用凉药……之。一方……柴胡退热，不及黄芩。若药弗暝眩，厥疾弗瘳。世俗治热，例用柴胡，最为稳当。至于……黄芩……用黄……剂……调血
Discussion states: Various types of jaundice, including Huangdan (Yellow Jaundice), Jiudan (Wine Jaundice), and Nulaodan (Sexual Exhaustion Jaundice), if not cured for a long time, will all transform into Heidan (Black Jaundice). Its manifestations include fullness in the lower abdomen, yellowing of the entire body, blackening of the forehead, and heat in the soles of the feet. This involves the Foot-Shaoyin Kidney Meridian, because the color corresponding to the Kidney is black, and the disease location is in the Kidney; hence, there is lower abdominal fullness, yellow complexion, black stool, and heat in the soles of the feet. These are all syndromes of disease in the Foot-Shaoyin Meridian.
Formulas:
Danggui Tang (Angelica Decoction) (from *Shengji Zonglu*): Treats various jaundices that have persisted for a long time without healing, transforming into Black Jaundice.
Herbs: Danggui (Angelicae Sinensis Radix, 3 liang), Guizhi (Cinnamomi Ramulus, peeled, 6 liang), Maimendong (Ophiopogonis Radix, heart removed, 1.5 liang), Huangqin (Scutellariae Radix, black heart removed), Huangqi (Astragali Radix), Ganjiang (Zingiberis Rhizoma, processed), Chifuling (Poria with Red Coir, 1 liang each), Chenpi (Citri Reticulatae Pericarpium, 1 liang each).
Yinchen Hao Wan (Artemisiae Scopariae Pill) (from *Shenghui Fang*): Treats Black Jaundice with darkening of the body and obstructed, difficult urination.
Herbs: Yinchen Hao (Artemisiae Scopariae Herba), Chifuling (Poria with Red Coir, peeled), Tinglizi (Lepidii Semen, stir-fried, 1 liang each), Zhike (Aurantii Fructus, pith removed, stir-fried with bran), Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang 1 fen each), Xingren (Pruni Armeniaci Semen, processed), Gansui (Kansui Radix, processed, 1 fen each). Make pills the size of green beans.
Gua Di San (Melon Stalk Powder) (also known as Chixiaodou San, from *Shenghui Fang*): Treats Black Jaundice where both the body and stool are black, as well as persistent Yellow Jaundice.
Herbs: Guadi (Momordicae Fructus, 1 fen), Xionghuang (Realgar, ground, 1 qian, boiled first in vinegar), Gancao (Licorice Root, honey-fried, 1 liang), Gualou (Trichosanthis Fructus, 2 liang). Grind the above into a fine powder. Take one "zi" dose per administration.
Xiaoshi San (Niter Powder): Treats fever at dusk (between 3-5 PM) accompanied by aversion to cold. This arises from Sexual Exhaustion Jaundice. There is urgency in the bladder, fullness in the lower abdomen, yellowing of the whole body, and blackening of the forehead. If abdominal fullness is severe, it is difficult to treat. This formula is used for Yellow Jaundice transforming into Black Jaundice, which physicians cannot cure, often resulting in death; treat urgently. (From *Qianjin Fang*)
Usage: Use juice from Tugua Gen (Polyscias fruticosa root or similar local root), take half a qian (half a cup) on an empty stomach daily. The pathogen exits via urine, and the disease heals. However, one must assess the patient's strength to determine if half a cup can be taken.
Summer injury by Summerheat leads to Malaria in Autumn. Those injured lightly manifest near and suddenly; those injured heavily manifest far and violently. Malaria refers to chronic malaria. Thus, summer injury... [Text contains gaps/omissions regarding etiology].
Yang Meridian involvement... Fire cannot warm; heat makes ice water unable to feel cold. Due to prior Cold injury followed by Wind injury, there is initial chills then fever, named Han Malaria (Cold Malaria). Patients have initial fever then chills, restlessness, spontaneous sweating, and aversion to wind. Due to prior Wind injury followed by Cold injury, Wind being Yang and Cold being Yin, there is initial fever then chills, named Wen Malaria (Warm Malaria). Patients have only fever without chills, Yin Qi is isolated and exhausted, Yang Qi erupts alone, mental vexation, heat in hands and feet, desire to vomit, and thirst. This is caused by Summerheat injury, named Dan Malaria (Fever Malaria). Patients have alternating chills and fever, heavy body, painful joints, distension, spontaneous sweating, and propensity to vomit. Caused by bathing after sweating, allowing Dampness to lodge in the skin, or exposure to rain and dampness, named Shi Malaria (Damp Malaria). Patients have more chills than fever, desolate expression, trembling, occurring at fixed times. This is due to Yang deficiency and Yin excess, frequent contraction of Yin-Dampness, Yang unable to control Yin, named Mu Malaria (Male Malaria). These five types of malaria are formed by external contraction of Wind-Cold, Summerheat, and Dampness combining with Wei Qi (Defensive Qi).
Internal causes of Malaria: Patients have alternating chills and fever, pale complexion, frequent sighing, appearing like a corpse. This is caused by suppressed anger injuring the Liver, leading to Qi stagnation, named Gan Malaria (Liver Malaria). Patients have mental vexation, desire to drink clear water, more chills than slight fever, intermittent onset. This is caused by excessive joy damaging Heart Qi, leading to Qi dispersion, named Xin Malaria (Heart Malaria). Patients have more chills, heat and pain in the abdomen, sometimes thirsty, sometimes not, no fever or diarrhea, borborygmus, sweating. This is caused by overthinking injuring the Spleen, leading to Qi stagnation and phlegm accumulation, named Pi Malaria (Spleen Malaria). Patients have extreme internal cold, fearfulness during fever episodes, and... [text missing]... caused by sorrow injuring Lung Qi and condensing phlegm, named Fei Malaria (Lung Malaria). Patients have cold hands and feet, watery sound in waist and spine, fever, difficult defecation, eye... [text missing]... caused by Kidney issues, named Shen Malaria (Kidney Malaria). These five types of malaria are formed by disharmony of Zang organ Qi and stagnation of phlegm-fluids.
Non-internal, non-external causes: Patients develop chills and fever; within a year, young and old, strong and weak may contract seasonal epidemics, generating fear, named Gui Malaria (Ghost Malaria). Suitable for exorcism and avoidance methods. Patients have intermittent... [text missing]. Treatment should follow local geographical suitability. Patients feel cold, hungry but unable to eat, epigastric fullness. This is caused by dietary irregularities injuring Stomach Qi, commonly called Shi Malaria (Food Malaria). Persistent for years, recurring after recovery. Long travel or standing, even without minor exertion, triggers it. Although temporarily relieved, slight labor causes recurrence, named Lao Malaria (Labor Malaria). Some persist for years, named Nuomu (Malaria Mother). Malaria encompasses internal, external, and non-internal/non-external causes. External is contraction of Four Qi; "Summer injury by Summerheat, Autumn must have Malaria" follows seasonal order, not to be rigidly applied.
When Malaria begins, it starts with goosebumps, followed by yawning/stretching. Headache, thirst, desire to drink, coldness of the body occur due to struggle between Yin and Yang ascending and descending. Yangming deficiency causes chills and jaw trembling; Taiyang deficiency causes pain in waist, back, head, and neck; Shaoyang Qi excess causes bone cold and pain. Pathogen merging into Yang results in Yang excess and Yin deficiency; Taiyin deficiency leads to... Jueyin deficiency leads to waist and abdomen... Heat excess causes depression. Yin excess causes internal cold; Yang deficiency causes external cold. One generates heat internally, one externally, so both interior and exterior are hot. All are due to external contraction of Cold/Summerheat, and dietary irregularities/labor. Disease Qi resides with Wei Qi, so attacks occur. Pathogen invades internally to Five Zang, horizontally connects to Mu points, and exits together, causing intermittent attacks. Because Wei Qi gathers at Fengfu once a day and night, entering the spine every 26 days and moving upward, attacks occur earlier each time. Malaria pathogen in Yin is quiet/cold; at extremes, Yin and Yang both decline, Wei Qi separates, causing varying timing. Also, pathogen striking head/neck causes attack when Qi reaches head/neck; striking back causes attack when Qi reaches back. Attacks occur wherever Wei Qi meets the pathogen, driven by external factors.
Except for Dan Malaria (pure heat), Han Malaria (chills then heat), and Wen Malaria (heat then chills), acupuncture notes: Do not needle chaotic pulses, do not needle rapid/turbulent pulses, do not needle when pulse is declining or not yet vigorous; all are untreatable as they harm Righteous Qi.
If Lung disease causes Malaria, intermittent chills/fever, severe cold, then fever, fright, hallucinations, this is Lung Malaria syndrome. If a person originally... [text missing], condition... command... picking toenails indicates death, though disaster hasn't arrived, called "Walking Corpse," this is Heart disease voice sign. Deficiency tonifies, Excess drains. Untreatable cases require clear observation.
Liver disease causing Malaria makes complexion pale, breath short/wheezing, trembling like death. If originally less prone to grief/anger, suddenly angry, abnormal speech, fluctuating tension, gesturing towards eyes mid-sentence, thinking deeply. If lower joints diseased, disaster comes. This is Liver disease voice sign. If deficient, injured by Cold-Wind; if excess, damaged by Heat-Qi. Yang drains, Yin tonifies.
Spleen disease causing Malaria causes abdominal pain when cold, borborygmus when hot, sweating after borborygmus. If originally balanced in emotion, suddenly angry/happy, silent, laughing without answering, this is Spleen disease voice sign. Disaster comes within ten days.
Kidney disease causing Malaria makes one desolate, waist/spine pain with turning, difficult stool, body tremors, cold/hot hands/feet. If originally calm, suddenly stuttering/irritable, contrary to nature, Kidney is injured, voice is the sign. Speaking before spoken to, silence after speaking, clutching abdomen, this is Kidney disease voice sign. Observe deficiency/excess, interior/exterior, floating/sinking, clear/turbid to treat.
Malaria pulse is naturally Wiry (Xian). Wiry-Rapid indicates much Heat; Wiry-Slow indicates much Cold. Wiry-small-tight can be purged; Wiry-slow treated with Warm herbs. If pulse is Rapid-Tight... [text missing].
Foot-Taiyang Malaria causes lower back pain, heavy head, cold starting from back, initial chills then fever, shivering. Heat stops, sweat appears... Needle... Many months... Disease... Door... Intent... Needle... Foot Meridian. Taiyang Malaria: Qianghuo plus Sheng Dihuang Tang. Xiao Chai Hu plus Guizhi Tang. Yangming Malaria: Guizhi and Baihu two formulas. Huangqin Shaoyao plus Guizhi Tang. Yuanhu... Zhi plus...
Liver disease face blue, pulse wiry, tight skin, much blue indicates pain, robust form, chest/hypochondriac pain, deafness, bitter taste, dry tongue, alternating chills/fever, vomiting. Above is Robust Form syndrome. Take... Heat... Disease... Neck... Then... Blue... Suitable... Gui... Astringent... Aversion to cold. Sanjiao injury. Treat with Jiangfu Tang or Sini Tang. Persistent becomes Malaria. Violent Qi rushing up... Malaria. Taiyang Meridian Guizhi Tang syndrome. Frail form, lingering disease, emaciation, Wind-Bi, Atrophy/Failure unable to walk.
Malaria pulse naturally Wiry. Wiry-Rapid much Heat, Wiry-Slow much Cold. Wiry-small-tight suitable for purging. Wiry-slow suitable for warming. Floating-large suitable for inducing vomiting. Treat... Become... Beast...
Spleen Qi excessive naturally recovers. Once healed, especially regulate diet, avoid labor, prevent recurrence. In smoky/miasma regions, residents often suffer Malaria; follow local medicinal properties for treatment. Travelers to miasma areas should take Pingwei San, Caoguo Yin to prevent.
Wealthy families rich in food/fat, Malaria every other day or frequent, more heat than cold, use Da Chaihu Tang. After 3-5 bowel movements, next take Baihu... Agent... Diaphragm White... Malaria... Heal.
Initial heat then cold, release Wind pathogen with Chuanxiong, Baizhi, Qingpi, Zisu. Or Xixin, Binglang assisting. One syndrome initial heat then cold... Malaria self... Raw material... Summerheat wins... Dissolve... Hengshan... Combine... Control... Malaria one... Food Malaria... Agent... Flame... Speaker... Use Cool... Qi... Labor... Loss... Qi filled. Follow with Jingxiao Madan, Xiaopi Wan, purge to heal. Generally, early Malaria, within 3-5 days, like fire spreading, close approach dangerous. Waves surging, hard to turn back. Wait for stabilization to plan. Classic says: wait for peak to subside. When Malaria arrives, during attack or resolving, do not administer medicine, deplete True Qi. Administer 2 hours before onset, or early morning empty stomach. Malaria pulses generally Wiry at Cun/Guan/Kchi, or Floating-Rapid, Tight-Firm, Slow-Astringent, Deficient-Slow, Left Hand Soft Right Hand Excessive, or Cun/Kchi Excessive Guan/Middle Soft. Summary of treatments: Wiry-Rapid much Heat, cool it. Wiry-Slow much Cold, warm it. Floating-Wiry, Floating-Tight, Floating-Rapid, pathogen in Exterior, sweat it. Wiry-Firm, Deep-Firm, Rapid-Firm, pathogen in Interior, purge it. Regulating Stomach Qi, draining phlegm/fluids, separating Yin/Yang, moving Sanjiao is the guideline. Thirst, vomiting fluids/medicine, Renjian decoction effective. Also has explanation. Read Guangdong health preservation, discussing Miasma Malaria or Summerheat toxin, using draining agents to remove root. Indeed, some injured by Summerheat then Malaria for over a year, assuming abdominal mass-water, grind Chenxiang, administer Jiedu Xionghuang Yuan, black blood like mud, extremely foul discharge, thus healed. Knowing all Malaria have roots, beyond standard treatment, guide by severity. Excess with Baiduahuang, Deficiency with Yangzheng Dan. Otherwise why does Hengshan often work for Malaria? Malaria patients accumulate Yellow Water; Hengshan breaks masses and drains water. Hengshan treats Malaria, Yingkesu treats Dysentery, people despise them, thus. But dysentery long-term without abdominal pain requires astringing intestines, how allow purging? Astringent Malaria caused by phlegm/water, method should induce vomiting/draining water, how allow not doing so? At such times, without Yingkesu/Hengshan agents, what counteracts? Only supplement with medicine in between. All Malaria due to stagnation in middle, abdominal accumulation of Yellow Water, only water not moving, so chills/fever don't stop. This is where Malaria patients get sick. Treat pure heat Summerheat Malaria with Xiangru San add Qingpi, Beida Huang 2 pieces, Wu Mei decoct together, warm take at dawn. Cold Malaria much cold, Erchen Tang add Qingpi, Liangjiang, much Ginger decoct together, dawn swallow Shenbao Yuan 5 pills. Aim to drain toxic water to remove root, chills/fever resolve. Malaria vomiting, do not use Hengshan. Middle-aged person, organs long deficient, loose stools, sudden Malaria, abnormal vomiting, only specialized Renshen stops vomiting. Other Malaria agents not applicable. Then Fuling Erchen Tang add Renshen, Suosha, Baidoukou 1-2 doses, patient feels Qi/pulse improved, chills/fever cease. Baidoukou dissolves/grinds, moves Sanjiao, Yingwei turns, chills/fever calm. Henceforth, vomiting Malaria or habitual vomiting with Malaria, strictly avoid Hengshan. Only raw radish ginger each ground natural juice half cup, add honey 3-4 spoons, Wu Mei 2 pieces decoct, swallow Ju Fang Xionghuang Wan 3-4 pills, wait for evacuation of evil blood/phlegm/water, then Renshen, Chuanxiong, Fuling, Banxia, Suosha, Gancao harmonize. If vomiting persists and heat doesn't retreat, use genuine Xiao Chaihu Tang add much Ginger main treatment. If vomiting severe and fever, first treat Malaria, heat/vomiting settle, continue with Xiao Chaihu Tang.
Malaria has Water and Blood. Water is Fluid retention; Blood is Blood stasis. Only Fluid retention causes chills/fever; only Blood stasis increases chills/fever. Hengshan drains water... Or large... Inside...
Malaria chills/fever don't stop, unceasing has root. All Malaria should be treated by Wind/Cold/Summerheat/Dampness, or sweat, or purge, or vomit, or drain, Huoren Fang... Root in... Thus... Drain... Hengshan treats Malaria, must use assistants. Malaria patients accumulate phlegm-saliva/yellow water, Hengshan can vomit/drain it, thus so. Those with pure heat Malaria... Or... Obtain... By... This... Ones... Yan... Of...
Treating Malaria essentials, only vomit/sweat/purge. Purge but not complete, abdominal pain remains, or one stool then no more, but time... Must make whole body sweat... Ultimately effective... Recurring... Done. Two drugs together... What pest... Heat use Cool medicine... Of. One side... Chaihu reduces heat, inferior to Huangqin. If medicine not dizzying, chronic disease not cured. Secular treating heat, usually use Chaihu, most stable. As for... Huangqin... Use Huang... Agent... Regulate Blood