主症

寒热往来，先寒后热，汗出而息，发作有时。发病这初，呵欠乏力，毛孔粟起，旋即寒战鼓颔，寒去则内外皆热，体若燔炭，头痛如裂，面赤唇红，烦渴引饮，口苦而干，胸胁痞满，终则遍身汗出，热退身凉。舌苔白腻或黄腻。脉弦紧或弦数。如疟久不愈，则胁下结块而成疟母。

Main Manifestations

Shivering chills and fever appear at regular intervals. Shivering chills occurs occurs at first, then fever appears, Sweating makes the symptoms release.
This disease starts with yawning and forcelessness, and then with shivering chills. When the chills retreat, general fever takes place, There appear intolerable headache, flushed face and red lips, extreme thirst, bitter taste and dry mouth, congestion in the hypochondriac region.
At the end of the paroxysm, the patient breaks out in profuse perspiration and fever subsides with the body feel cool, thin, sticky and yellow tongue coating, the pulse is wiry and rapid. In chronic cases, a mass in the hypochondronic region-splenomegaly is usually found.

治法

取督脉、少阳经穴为主。毫针刺用泻法，以通调督脉，和解少阳。在发作前二小时针之为宜。发作进寒多热少的，针灸并用；热重寒轻的只针不灸。

Treatment

Reducing manipulation is applied at the points of Governor Vessel, and Shaoyang Meridians to regulate the Governor Vessel and to harmonize the Shaoyang Meridians. Treatment is given two hours prior to the paroxysm if chill is predominant during the paroxysm, acupuncture is advised to combine with moxibustion, if fever is the dominant symptom, acupuncture alone is employed.医学全在线www.med126.com

处方

大椎 陶道 后溪 间使 液门 足临泣

Prescription

Dazhui(GV 14), Taodao (GV 13), Houxi(SI 3), Jianshi(PC 5), Yemen (TE 2) and Zulinqi(GB41)