Kexiao Cake，*Formulary of the Imperial Bureau*, Volume 8.，For all types of malaria. Attacks occur at regular intervals; the patient first feels the urge to stretch and yawn, followed by chills and goosebumps, trembling of the jaw and chin, coldness both internally and externally, and pain in the lower back and spine. Once the chills subside, heat spreads throughout the body; the headache is excruciating, and the patient craves cold drinks.Sometimes phlegm accumulates in the chest, causing restlessness, fullness, and the urge to vomit; sometimes fever precedes chills, or chills precede fever; sometimes chills predominate over fever, or fever predominates over chills; sometimes chills and fever are equal; sometimes there is only fever without chills, or only chills without fever. Attacks may occur once a day, every other day, or recur 6–7 days after the previous episode.
Kexiao Cake
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Formulas Name : Kexiao Cake
Chinese Name : 克效饼子
Drug Formulation
Licorice (roasted) 5 liang, mung bean powder 5 liang, lotus leaf (roasted) 5 liang, starch (ground) half a liang, borneol (ground) half a liang, musk (ground) half a liang, gold leaf 25 pieces (for coating), arsenic trioxide (boiled in vinegar) 2.5 liang, cinnabar (ground to a fine powder) 1 liang and 1 fen.
Source
*Formulary of the Imperial Bureau*, Volume 8.
Processing
Grind the ingredients into a fine powder; mix thoroughly with refined honey. Form 20 pills from each liang of the mixture, flatten them, and coat with gold leaf.
Benefits
For all types of malaria. Attacks occur at regular intervals; the patient first feels the urge to stretch and yawn, followed by chills and goosebumps, trembling of the jaw and chin, coldness both internally and externally, and pain in the lower back and spine. Once the chills subside, heat spreads throughout the body; the headache is excruciating, and the patient craves cold drinks.Sometimes phlegm accumulates in the chest, causing restlessness, fullness, and the urge to vomit; sometimes fever precedes chills, or chills precede fever; sometimes chills predominate over fever, or fever predominates over chills; sometimes chills and fever are equal; sometimes there is only fever without chills, or only chills without fever. Attacks may occur once a day, every other day, or recur 6–7 days after the previous episode.
Instructions for Use
Take one cake per dose, dissolved in freshly drawn water. For daily attacks, take it before the attack begins; for attacks every other day, take it at night before the attack; for attacks occurring after several days, take it the night before; for consecutive daily attacks, take it at dawn.
Copyright: Excerpt from *Formulary of the Imperial Bureau*, Volume 8., Copyright belongs to the Original Author and all original sources, This article was shared by DeDe on August 26, 2026, Please credit the source and include a link to the original article when reposting.
Terminology Proofreading: [Cheng Bo] | August 26, 2026 Reviewed by: [Wang Zhongxiang, Associate Chief TCM Physician (China)] | August 26, 2026
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Kexiao Cake,For all types of malaria. Attacks occur at regular intervals; the patient first feels the urge to stretch and yawn, followed by chills and goosebumps, trembling of the jaw and chin, coldness both internally and externally, and pain in the lower back and spine. Once the chills subside, heat spreads throughout the body; the headache is excruciating, and the patient craves cold drinks.Sometimes phlegm accumulates in the chest, causing restlessness, fullness, and the urge to vomit; sometimes fever precedes chills, or chills precede fever; sometimes chills predominate over fever, or fever predominates over chills; sometimes chills and fever are equal; sometimes there is only fever without chills, or only chills without fever. Attacks may occur once a day, every other day, or recur 6–7 days after the previous episode.