【牡疟之症】即痰饮之疟,先寒后热,寒多热少,胸前满闷,欲吐不吐,此涎饮牡疟之
【牡疟之因】风寒之邪,伏于心胃界分,不得外出,凝结痰涎作患,则胸满恶心之疟作
【牡疟之脉】脉多弦滑,弦主乎疟,滑主乎痰;滑数热痰,沉弦饮结,气口沉实,食痰
【牡疟之治】仲景治以蜀漆散、牡蛎汤,今予推展二条,海石二陈汤、常山草果饮。
蜀漆散 仲景治牡疟原方,表无寒邪者。
蜀漆 云母 龙骨
牡蛎汤 仲景治牡疟原方,表有寒邪者。
牡蛎 麻黄 甘草 蜀漆
四味,以水先煮蜀漆、麻黄,去上沫,纳诸药煮,取温服,若吐则勿更服。
海石二陈汤 家秘痰疾常方。
海石 半夏 陈皮 甘草 白茯苓
胸前饱闷,加草果、苍术、浓朴、枳壳。恶寒头疼,加羌活。
常山草果饮 家秘治食痰之疟。
常山 草果 半夏 陈皮 浓朴 熟苍术 甘草
饱闷作痛,加炒莱菔子。腹痛,加枳壳。
【疟母之症】即痰血疟癖也。疟久不愈,胸腹胁肋,有 瘕痞癖,为患不瘥,此疟母
【疟母之因】邪干脏腑,凝结痰血,假物成形,凭陵为患,则疟疾不瘥,而成疟母之症
【疟母之脉】或牢或结,或见沉弦,或见沉滑,沉弦疟邪,沉滑痰结,沉实食积,沉涩
【疟母之治】仲景用鳖甲煎丸、疟母丸、陶氏加味二陈汤。
鳖甲煎丸 仲景原方。
鳖甲 乌扇 黄芩 柴胡 鼠妇 干姜 大黄 芍药 桂枝 葶苈 石苇 浓朴 丹皮
瞿麦 紫葳 半夏 人参 虫 阿胶 蜂窠 赤硝 蜣螂 桃仁
加味二陈汤 即二陈汤加常山、草果、海石、瓦楞子。
【牡疟的症状】就是痰饮引起的疟疾,先出现寒战而后发热,寒重热轻,胸部和心前区胀满憋闷,想吐却吐不出来,这是涎饮导致的牡疟。
【牡疟的病因】风寒邪气潜伏在心与胃的分界处,无法向外发散,凝结成痰涎引发疾病,从而导致胸满恶心的疟疾发作。
【牡疟的脉象】脉象多呈弦滑之象,弦脉主疟疾,滑脉主痰湿;若滑而数则属热痰,沉而弦则为饮邪结聚,气口脉沉实则是食积与痰浊并存。
【牡疟的治疗】张仲景用蜀漆散、牡蛎汤治疗,现在我在此基础上推演扩展出两条新方:海石二陈汤、常山草果饮。
蜀漆散 是张仲景治疗牡疟的原方,适用于体表没有寒邪的情况。
药材:蜀漆、云母、龙骨。
牡蛎汤 是张仲景治疗牡疟的原方,适用于体表有寒邪的情况。
药材:牡蛎、麻黄、甘草、蜀漆。
用法:以上四味药,先用水煮蜀漆和麻黄,去掉上面的浮沫,再加入其他药物同煮,取药液温服,如果服药后发生呕吐,就不要再服用。
海石二陈汤 是我家秘传的治痰疾常用方。
药材:海浮石、半夏、陈皮、甘草、白茯苓。
加减法:若胸前饱闷,加草果、苍术、厚朴、枳壳。若有恶寒头疼,加羌活。
常山草果饮 是我家秘传治疗食积痰浊所致疟疾的方子。
药材:常山、草果、半夏、陈皮、厚朴、熟苍术、甘草。
加减法:若饱闷作痛,加炒莱菔子。若腹痛,加枳壳。
【疟母的症状】就是痰血互结形成的疟癖。疟疾日久不愈,在胸腹胁肋部位形成瘕痞癖块,患病经久不愈,这就是疟母。
【疟母的病因】邪气侵犯脏腑,凝结痰血,假借有形之物成形,凭借此形成为病患,导致疟疾不能痊愈,从而形成疟母的症状。
【疟母的脉象】脉象或牢或结,或见沉弦,或见沉滑,沉弦脉主疟邪,沉滑脉主痰结,沉实脉主食积,沉涩脉主……(原文此处截断)。
【疟母的治疗】张仲景使用鳖甲煎丸、疟母丸,陶氏使用加味二陈汤。
鳖甲煎丸 是张仲景的原方。
药材:鳖甲、乌扇、黄芩、柴胡、鼠妇、干姜、大黄、芍药、桂枝、葶苈、石苇、厚朴、丹皮、瞿麦、紫葳、半夏、人参、虫、阿胶、蜂窠、赤硝、蜣螂、桃仁。
[Symptoms of Mu Malaria] This refers to malaria caused by phlegm-fluid retention, characterized by chills preceding fever, with chills being more severe than heat, chest and epigastric fullness and oppression, and a sensation of wanting to vomit but being unable to do so. This is Mu Malaria due to saliva and fluid accumulation.
[Etiology of Mu Malaria] Wind-cold pathogenic factors lie dormant at the boundary between the Heart and Stomach, failing to disperse outward, condensing into phlegm-saliva to cause disease, thereby triggering malaria with symptoms of chest fullness and nausea.
[Pulse of Mu Malaria] The pulse is predominantly wiry (Xian) and slippery (Hua). A wiry pulse indicates malaria, while a slippery pulse indicates phlegm. A slippery and rapid pulse suggests hot phlegm; a deep and wiry pulse indicates fluid retention; a deep and excess pulse at the Qi Kou position indicates food stagnation combined with phlegm.
[Treatment of Mu Malaria] Zhang Zhongjing treated this with Shuqi San (Periploca Root Powder) and Muli Tang (Oyster Shell Decoction). I have expanded upon these two formulas to propose two new prescriptions: Haishi Erchen Tang (Halloysite and Two-Aged Phlegm Decoction) and Changshan Caoguo Yin (Dichroa and Tsaoko Drink).
Shuqi San: The original formula by Zhang Zhongjing for treating Mu Malaria, applicable when there are no exterior cold pathogens.
Ingredients: Shuqi (Herba Periplocae), Yunmu (Lamina Micae Albi), Longgu (Os Draconis).
Muli Tang: The original formula by Zhang Zhongjing for treating Mu Malaria, applicable when there are exterior cold pathogens.
Ingredients: Muli (Concha Ostreae), Mahuang (Herba Ephedrae), Gancao (Radix Glycyrrhizae), Shuqi (Herba Periplocae).
Usage: Take the four ingredients. First decoct Shuqi and Mahuang in water, remove the foam on the surface, then add the remaining herbs and decoct further. Take warm. If vomiting occurs after administration, do not take again.
Haishi Erchen Tang: A secret family prescription commonly used for treating phlegm diseases.
Ingredients: Haishi (Halloysita Rubra), Banxia (Rhizoma Pinelliae), Chenpi (Pericarpium Citri Reticulatae), Gancao (Radix Glycyrrhizae), Baifuling (Poria).
Modifications: For chest fullness and oppression, add Caoguo (Fructus Tsaoko), Cangzhu (Rhizoma Atractylodis), Houpo (Cortex Magnoliae Officinalis), and Zhike (Fructus Aurantii). For aversion to cold and headache, add Qianghuo (Rhizoma Notopterygii).
Changshan Caoguo Yin: A secret family prescription for treating malaria caused by food stagnation and phlegm.
Ingredients: Changshan (Radix Dichroae), Caoguo (Fructus Tsaoko), Banxia (Rhizoma Pinelliae), Chenpi (Pericarpium Citri Reticulatae), Houpo (Cortex Magnoliae Officinalis), Shu Cangzhu (Rhizoma Atractylodis Prepared), Gancao (Radix Glycyrrhizae).
Modifications: For fullness, oppression, and pain, add Chao Laifuzi (Semen Raphani Praeparatum). For abdominal pain, add Zhike (Fructus Aurantii).
[Symptoms of Nu Mu] This refers to malaria complication involving phlegm and blood stasis. When malaria persists for a long time without healing, masses or lumps (Jia Pi Pi Xi) form in the chest, abdomen, and hypochondrium, causing persistent illness that does not resolve. This is called Nu Mu (Mother of Malaria).
[Etiology of Nu Mu] Pathogenic factors invade the Zang-Fu organs, condensing phlegm and blood. Borrowing material form to create structure, they rely on this formation to cause harm, resulting in unresolved malaria that develops into the condition of Nu Mu.
[Pulse of Nu Mu] The pulse may be firm (Lao) or knotted (Jie), or appear deep and wiry (Chen Xian), or deep and slippery (Chen Hua). Deep and wiry indicates malaria pathogens; deep and slippery indicates phlegm accumulation; deep and excess indicates food retention; deep and choppy indicates... [Text cuts off].
[Treatment of Nu Mu] Zhang Zhongjing used Biejia Jian Wan (Turtle Shell Pill for Reducing Masses), Nu Mu Wan (Malaria Mother Pill), and Tao Shi's Modified Erchen Tang (Tao's Modified Two-Aged Phlegm Decoction).
Biejia Jian Wan: The original formula by Zhang Zhongjing.
Ingredients: Biejia (Carapax et Plastrum Testudinis), Wushan (Flos Iris Tectorii), Huangqin (Radix Scutellariae), Chaihu (Radix Bupleuri), Shufu (Ascaris), Ganjiang (Rhizoma Zingiberis), Dahuang (Radix et Rhizoma Rhei), Shaoyao (Radix Paeoniae Alba), Guizhi (Ramulus Cinnamomi), Tingli (Semen Lepidii seu Descurainiae), Shiwei (Folium Pleurospermi), Houpo (Cortex Magnoliae Officinalis), Danpi (Cortex Moutan), Qumai (Herba Dianthi), Ziwei (Flos Tabernemontanae), Banxia (Rhizoma Pinelliae), Renshen (Radix Ginseng), Chong (Insectus Asini), Ejiao (Colla Corii Asini), Fengke (Nexus Apium), Chixiao (Natrii Sulfas), Qianglang (Stercus Copris), Taoren (Semen Persicae).
Modified Erchen Tang: This is Erchen Tang (Two-Aged Phlegm Decoction) modified with Changshan (Radix Dichroae), Caoguo (Fructus Tsaoko), Haishi (Halloysita Rubra), and Walengzi (Concha Arcae).