Turtle shell and tortoise shell (both butter-roasted until yellow, then ground into powder; if butter is unavailable, roast each with vinegar as a substitute) 3 gm each; pangolin scales (soil-fried until yellow, then ground into powder) 1.5 gm; cicada slough (washed clean, roasted dry) 1.5 gm; silkworm (white and hard, cut, used raw) 1.5 gm; oyster shell (calcined, ground into powder) 1.5 gm; ground beetle (3 pieces, dried ones split and crushed, fresh ones pounded into a paste, mixed with a little wine, the juice taken with the decoction, the residue cooked with the other herbs) 3 pieces; white peony root (wine-fried) 2.1 gm; Chinese angelica root 1.5 gm; licorice root 0.9 gm.

bubble_chart Preparation and Dosage

Decoct the above ingredients with 400 ml of water until 320 ml of liquid remains, strain the dregs, and administer while warm.

bubble_chart Indications

Suffering from consumptive malaria or internal damage, the body is weak and further affected by epidemic qi, leading to a sudden decrease in appetite, chest and diaphragm stuffiness, body pain, fever, and insomnia throughout the night. After treatment, the fever subsides and sleep improves, and appetite slightly increases, but there is still intermittent limb pain and stabbing pain in the chest and flanks. The pulse is rapid, body heat persists, and the condition does not heal beyond the expected period.

bubble_chart Formula Modification

If there is chronic malaria or malarial fever, add 3 grams of Achyranthes Root and 3 grams of Fleeceflower; for those with stagnant phlegm, add 3 grams of Fritillaria Bulb; for those with old phlegm, add 1.5 grams of Trichosanthis Fruit frost (do not use for those prone to vomiting); for those with dry and itchy throat, add 1.5 grams each of Mongolian Snakegourd Root and Anemarrhena; for those with chronic dry cough, add 1.5 grams of Bitter Apricot Seed; for those with chronic internal damage and static blood, double the amount of Ground Beetle; if Ground Beetle is unavailable, substitute with 1.5 grams of Dried Lacquer (fried until smoke dissipates and ground into powder) and 3 grams of Peach Kernel.