案例：患者，女性，50岁，发热寒战，多在中午发作，发时热多寒少，口渴饮冷，便秘尿赤，头痛，汗出不畅，舌质红，苔黄，脉弦。若疟疾日久，患者倦怠乏力，短气懒言、形体消瘦，面色萎黄，遇劳则发，舌质淡，苔白，脉细弱。此为

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