上为末，丸如梧子大，每服五七十丸，白汤下。（《丹溪》）
参归养荣汤，治疟疾截住后，用此汤药调养血气。
人参 当归 茯苓（去皮） 白术（去芦） 陈皮 砂仁 浓朴（姜汁炒） 山药（炒） 莲肉（炒）
芍药（酒炒） 熟地黄 甘草（炙各等分）
上锉一剂，大枣二枚，水煎温服。（《回春》）
阿魏丸，治病疟半年不愈者，用此最效。
真阿魏 好丹砂（各一两）
上研匀，米糊丸，皂子大，每空心人参一钱煎汤化服一丸即愈。世人治疟，唯用常山、砒霜毒物，多有
所损，此方平易，人所不知。草窗周密云∶此方治疟，以无根水下。若治痢，以黄连木香汤下。疟痢多起于积滞故尔。
（《医汇》）（按∶出典当考。）
灸刺法 凡灸疟者。必先问其病之所先发者，先灸之。从头项发者，于未发前，预灸大椎尖头，渐灸
，过时止。从腰脊发者，灸肾输百壮。从手臂发者，灸三间。（《千金》）（按∶此就经文，变刺法为灸法者。）
若积日既久，变成劳疟者，宜灸膏肓。（《易简》）
若痞成难消者，须灸章门、水道等穴，炷宜稍大，多灸或连灸二三次，方得全愈。（《景岳》）
陈下有病疟二年不愈者，止服温热之剂，渐至衰羸，命予药之。余见其羸，亦不敢便投寒凉之剂，乃取
《内经·刺疟论》详之。曰∶诸疟不已，刺十指间出血。正当发时，余刺其十指出血，血止而寒热立止。（
《儒门事亲》）
调摄法 瘴疟瘥后，吃粥或烂饭，更常调理脾胃，切忌生冷酒果房色洗浴，半月或一月，更须子细，
可视之。（《和剂指南》）
大忌饱食，遇发日食饱，病愈加重。（《正传》）
疟中惟忌用心过度，劳役忧心，最为难治。若能清心养体，节食避风，如此调治，无不愈矣。（《诸证辨
疑》）
有当发之时，不以热处，或露卧风霜，或饮水以救渴，致使风寒并结而不能舒散，邪气攻击而致于扰乱，
寒热相搏，痰涎迷闷，狂言乱走，立待而死。又有房室不以忌惮，劳役更与支持，发而延久，变为劳损。或有
气郁不清，严加哀苦，致令七情所伤，饮食不节，脾胃愈损，变为痞气。或者发疟之时，当禁鸡鱼生冷面食，
否则不忌，变生中满肿胀呕吐之由也。（《绳墨》）
须待热退身凉，方可饮食也，切不可带热饮食，恐不消而成痞。一名疟母，痞散成鼓者有之矣。（《回春》）
疟发之日，外当避风，内须减膳。将发之时，尤不宜饮食，唯吃热汤，以助中气，令邪易解。倘若寒来多
覆衣被，热来即行掀揭，虽不觉有风邪之侵，然内邪蒸发于外，须要周身遮护，热退汗干，方才袒脱，庶几邪
易伏病易安。（《一万社草》）
将药物研成细末，制成如梧桐子大小的药丸。每次服用五七十丸，用白开水送服。（出自《丹溪》）
参归养荣汤，用于治疗疟疾发作停止后，以此汤药调养气血。
人参、当归、茯苓（去皮）、白术（去芦头）、陈皮、砂仁、浓朴（姜汁炒制）、山药（炒制）、莲肉（炒制）、芍药（酒炒制）、熟地黄、甘草（炙制，以上各等分）。
将上述药材切碎为一剂用量，加入大枣两枚，加水煎煮，温服。（出自《回春》）
阿魏丸，用于治疗患病半年不愈的疟疾，使用此方最为有效。
真阿魏、好丹砂（各一两）。
将上述药物研匀，用米糊作为粘合剂制成如皂荚子大小的药丸。每次在空腹时，用人参一钱煎成的汤液化开一丸服用，即可痊愈。世人治疗疟疾，只常用常山、砒霜等有毒药物，多有损伤，此方平和平易，人们却不知晓。草窗周密说：此方治疟疾，应用无根水送服；若治疗痢疾，则应用黄连木香汤送服。因为疟疾和痢疾多起于积滞所致。（出自《医汇》）（按语：出处应当考证。）
灸刺法 凡是施灸治疗疟疾的人，必须先询问病症最先发作的部位，先对该部位施灸。从头项部开始发作的，在发作前预先灸大椎穴的尖端，逐渐增加灸量，过了发作时间就停止。从腰脊部开始发作的，灸肾俞穴一百壮。从手臂开始发作的，灸三间穴。（出自《千金》）（按语：这是依据经文，将刺法变为灸法的情况。）
如果病程日久，变成劳疟的，适宜灸膏肓穴。（出自《易简》）
如果形成痞块难以消除的，必须灸章门穴、水道穴等穴位，艾炷宜稍大，多灸或连续灸二三次，才能完全痊愈。（出自《景岳》）
陈下有患疟疾两年不愈的，只服用温热性质的药剂，逐渐导致身体衰弱消瘦，于是请求我诊治。我看他身体虚弱，也不敢立即投用寒凉性质的药剂，于是查阅《内经·刺疟论》。文中说：各种疟疾久治不愈，应针刺十指间出血。正值发作时，我针刺他的十指出血，血止住后，寒热症状立刻停止。（出自《儒门事亲》）
调摄法 瘴疟病愈之后，吃粥或烂饭，更要经常调理脾胃，切忌食用生冷、饮酒、房事、洗浴，半个月或一个月，必须更加仔细，可以参照执行。（出自《和剂指南》）
特别忌讳饱食，遇到发作日吃得过饱，病情会加重。（出自《正传》）
疟疾中唯独忌讳过度用心，劳累役使、忧心忡忡，是最难治疗的。如果能够清心养体，节制饮食、避风，如此调治，没有不痊愈的。（出自《诸证辨疑》）
有在应当发作的时候，不在温暖的地方，或者露天卧睡遭受风霜，或者饮水来解渴，致使风寒结合而不能舒散，邪气攻击而致扰乱，寒热相互搏结，痰涎迷闷，胡言乱语、到处乱跑，立刻等待死亡。又有房事不加忌惮，劳累役使更勉强支持，发作拖延日久，变成劳损。或者有气郁不清，严厉地哀痛苦恼，致使七情所伤，饮食不节制，脾胃进一步受损，变成痞气。或者在发作疟疾的时候，应当禁止吃鸡、鱼、生冷、面食，否则如果不忌讳，就会变生中满、肿胀、呕吐的原因。（出自《绳墨》）
必须等到热退身凉，才可以饮食，切不可带着余热进食，恐怕消化不良而形成痞块。这叫做疟母，痞块消散变成鼓胀的也有这种情况。（出自《回春》）
疟疾发作的日子，外部应当避风，内部必须减少饮食。将要发作的时候，尤其不宜饮食，只喝热汤，以助中气，让邪气容易解除。倘若寒冷来时多盖衣被，发热来时即行掀开揭掉，虽然不觉有风邪侵袭，然而内邪蒸发于外，必须要全身遮护，热退汗干，方才脱去衣物，这样邪气才容易潜伏，疾病才容易安宁。（出自《一万社草》）
Grind the ingredients into a fine powder, and form pills the size of *wu zi* (seeds of *Koelreuteria paniculata*). Take 50–70 pills per dose, with plain warm water. (From *Danxi*)
Shen Gui Yang Rong Tang (Ginseng and Angelica Decoction for Nourishing the Ying), used to regulate Qi and Blood after the cessation of malaria attacks.
Ren Shen (Radix Ginseng), Dang Gui (Radix Angelicae Sinensis), Fu Ling (Poria), Bai Zhu (Rhizoma Atractylodis Macrocephalae, de-lusted), Chen Pi (Pericarpium Citri Reticulatae), Sha Ren (Fructus Amomi), Hou Po (Cortex Magnoliae Officinalis, stir-fried with ginger juice), Shan Yao (Rhizoma Dioscoreae Oppositae, stir-fried), Lian Rou (Endocarpium Nelumbinis, stir-fried), Shao Yao (Radix Paeoniae Alba, wine-stir-fried), Shu Di Huang (Radix Rehmanniae Preparata), Gan Cao (Radix Glycyrrhizae, honey-fried; all in equal parts).
Cut one dose of the above herbs, add two dates (Jujubae Fructus), decoct in water, and take warm. (From *Huichun*)
A Wei Wan (Asafoetida Pill), most effective for treating malaria that has persisted for half a year without resolution.
Zhen A Wei (Asafoetida), Hao Dan Sha (Cinnabar; each 1 liang).
Grind evenly, bind with rice paste, and form pills the size of soap pods. Take one pill dissolved in a decoction of 1 qian of Ren Shen on an empty stomach; recovery will follow. People commonly use toxic substances such as Chang Shan (Radix Dichroae) and Pi Shuang (Arsenic Trioxide) to treat malaria, often causing damage. This prescription is mild and harmless, yet unknown to many. Zhou Mi of Caochuang stated: For malaria, this formula should be taken with "rootless water" (rainwater or dew); for dysentery, it should be taken with a decoction of Huang Lian (Radix Coptidis) and Mu Xiang (Radix Aucklandiae). This is because both malaria and dysentery often originate from food stagnation. (From *Yihui*; Note: The source requires verification.)
Moxibustion and Acupuncture Methods When performing moxibustion for malaria, one must first inquire about the site where the symptoms initially appeared and apply moxa there first. If symptoms begin in the head and neck, pre-moxa the tip of Dazhui (GV14) before the attack, gradually increasing the dosage, and stop once the attack time has passed. If symptoms begin in the lower back and spine, moxa Shenshu (BL23) for 100 moxa cones. If symptoms begin in the arms, moxa Sanjian (LI3). (From *Qianjin*; Note: This adapts the classical text by changing acupuncture to moxibustion.)
If the disease persists for a long time and transforms into Lao Malaria (Chronic/Consumptive Malaria), it is appropriate to moxa Gaohuang (BL43). (From *Yijian*)
If a mass (Pi) forms and is difficult to dissipate, one must moxa Zhangmen (LR13), Shuidao (ST28), and other acupoints. The moxa cones should be slightly larger, applied frequently or continuously for two to three sessions, to ensure complete recovery. (From *Jingyue*)
Chen Xia had suffered from malaria for two years without cure, having only taken warm-natured remedies, leading to gradual emaciation and weakness. He requested my treatment. Observing his debility, I dared not immediately administer cold-natured drugs. Instead, I consulted the *Ci Maelun* (Treatise on Needling Malaria) in the *Neijing*. It states: "For all malaria that does not resolve, prick the ten fingers to bleed." At the exact time of the attack, I pricked his ten fingers to bleed. Once bleeding stopped, the chills and fever ceased immediately. (From *Rumen Shiqin*)
Regulation and Care After recovery from Zang Malaria (Miasma Malaria), consume congee or soft rice, and frequently regulate the Spleen and Stomach. Strictly avoid raw/cold foods, alcohol, sexual intercourse, and bathing. Be especially careful for half a month to one month. (From *Heji Zhinan*)
It is strictly forbidden to eat until full. Eating a heavy meal on the day of an attack will worsen the illness. (From *Zhengchuan*)
Among malaria cases, the greatest taboo is excessive mental exertion. Laborious work and worry make it the most difficult to treat. If one can calm the mind, nourish the body, regulate diet, and avoid wind, such regulation will lead to certain recovery. (From *Zhuzheng Bianyi*)
During the impending attack, if one does not stay in a warm place, but instead sleeps exposed to wind and frost, or drinks water to quench thirst, Wind-Cold may combine and fail to disperse. Pathogenic factors attack and cause disturbance; Cold and Heat contend, phlegm-fluids cloud the mind, leading to delirium, wandering, and imminent death. Furthermore, lack of caution regarding sexual activity, combined with forced labor during attacks, prolongs the illness and transforms it into Consumption. Qi stagnation and unresolved depression, coupled with severe grief, injure the Seven Emotions. Irregular diet further damages the Spleen and Stomach, transforming into a mass (Pi). During malaria attacks, one must avoid chicken, fish, raw/cold foods, and wheat products. Failure to observe these taboos leads to abdominal fullness, swelling, and vomiting. (From *Shengmo*)
One must wait until the heat subsides and the body cools before eating. One must absolutely not eat while still hot, lest indigestion form a mass. This is called Nuomu (Malaria Mother); if the mass dissipates, it may transform into Drum Distension (Bloating). (From *Huichun*)
On days when malaria attacks, one must avoid wind externally and reduce dietary intake internally. Especially before an attack, one should not eat; only drink hot water to assist Middle Qi, facilitating the expulsion of pathogens. When chills occur, cover oneself warmly with blankets; when heat occurs, uncover promptly. Although external Wind-Cold invasion may not be felt, internal pathogenic factors evaporate outward. Therefore, the whole body must be protected. Only after the heat recedes and sweat dries should one remove clothing. Thus, pathogens are easily subdued, and the illness stabilizes. (From *Yiwanshecao*)