治时行病急黄,及瘴疟疫疠。
茵陈 栀子(去皮尖) 芒硝 杏仁(去皮尖,炒,各三分) 豆豉(二分半,汤浸软别研) 恒
山鳖甲(醋炙,各半两) 巴豆(去皮,压去油,一分) 大黄(蒸,一两一分)
上为末,饧饴为丸,如梧子大。每服三丸,饮下,吐利为效;未知,加一丸;觉体气有
异,急服之妙。
治因伤风瘀热不解,发为风疸,举身皆黄,小便或黄或白,寒热好卧,不欲动
,其脉阳浮阴弱。
生艾(三月采一束,捣取汁,铜器煎如膏) 大黄(蒸) 黄连(炒) 栝蒌根 凝水石( )
苦参 葶苈(纸隔炒,各等分)
上为末,以艾膏和得所,丸如梧子大。初服六七丸,渐加至二十丸。有热,加苦参;渴
,加栝蒌根;小便涩,加葶苈;小便多,加凝水石;小便白,加黄连;大便难,加大黄,所加并倍之。
五苓散 治伏暑郁发黄,小便不利,烦渴,用茵陈煎汤调下。(方见伤暑门)
治湿疸。始得之,一身尽疼,发热,面色黑黄,七八日后,壮热,热在里
,有血下如 肝状,小腹满者,急下之,身目尽黄,小便不利,其脉沉细。
矾石( ) 滑石(各等分)
上为末。每服二大钱,大麦粥饮调下,日三服,食前,便利如血者效,或汗愈。
除了五种黄疸之外,还有因时行疫病、瘴气疟疾以及风寒暑湿等邪气引起的黄疸,其证候与上述不同。
治疗时行病中的急黄,以及瘴疟和疫疠之证。
茵陈、栀子(去除皮尖)、芒硝、杏仁(去除皮尖,炒制,各三分)、豆豉(二分半,用汤浸泡至软后单独研磨)、常山、鳖甲(醋炙,各半两)、巴豆(去皮,压榨去油,一分)、大黄(蒸制,一两一分)。
以上药物研为细末,用饴糖调和制成丸药,大小如梧桐子。每次服用三丸,温水送服,以出现呕吐或腹泻为见效;若未见效,增加一丸;若感觉身体气息有异常变化,立即服用此药效果奇妙。
治疗因伤风导致瘀热不解,引发风疸,全身发黄,小便颜色或黄或白,伴有寒热交替、嗜睡、不想活动,脉象表现为寸部浮而尺部弱。
生艾草(三月采集一束,捣碎取汁,在铜器中煎煮成膏状)、大黄(蒸制)、黄连(炒制)、栝蒌根、凝水石、苦参、葶苈子(用纸隔开炒制,各等分)。
以上药物研为细末,用艾草膏调和均匀,制成如梧桐子大小的丸药。初次服用六七丸,逐渐增加至二十丸。若有发热症状,加用苦参;口渴,加用栝蒌根;小便涩滞不畅,加用葶苈子;小便频多,加用凝水石;小便色白,加用黄连;大便困难,加用大黄,所加药物的用量均加倍。
五苓散:治疗伏暑郁结导致的发黄,小便不利,心烦口渴,用茵陈煎汤调服。(方剂见伤暑门)
治疗湿疸。初起时,全身疼痛,发热,面色黑黄,七八日后,高热,热邪在体内,排出如肝脏状的血液,小腹胀满者,需紧急攻下,此时身体和眼睛都会发黄,小便不利,脉象沉细。
矾石、滑石(各等分)。
以上药物研为细末。每次服用两大钱,用大麦粥汁调服,每日三次,饭前服用,以排出黑色血样粪便为见效,或者通过发汗痊愈。
Apart from the five types of jaundice, there are jaundices caused by epidemic pathogens, miasmic malaria, and pathogenic factors such as wind, cold, summerheat, and dampness, which differ in presentation.
For treating acute yellow jaundice in epidemic diseases, as well as miasmic malaria and pestilential diseases:
Yinchen (Artemisiae Scopariae Herba), Zhizi (Gardeniae Fructus, remove skin and tips), Mangxiao (Natrii Sulfas), Xingren (Armeniacae Semen Amarum, remove skin and tips, stir-fry, each 3 fen), Douchi (Fermented Sojae Semen, 2.5 fen, soak in decoction until soft, grind separately), Changshan (Dichroae Radix), Biejia (Testudinis Carapax et Plastrum, vinegar-fried, each 0.5 liang), Badou (Crotonis Fructus, remove skin, press to remove oil, 1 fen), Dahuang (Rhei Radix et Rhizoma, steamed, 1 liang 1 fen).
Grind the above into powder, mix with maltose syrup to form pills the size of wutong seeds. Take three pills per dose with warm water; vomiting or diarrhea indicates efficacy. If ineffective, increase by one pill. If any abnormal sensation is felt in the body, take it immediately for wonderful results.
For treating wind jaundice caused by unresolved stasis-heat following wind injury, characterized by generalized yellowing of the body, urine that is either yellow or white, alternating chills and fever, lethargy, aversion to movement, with a pulse that is floating on the cun position and weak on the chi position:
Sheng Ai (Mugwort leaf juice collected in March, pounded and boiled in a copper vessel until paste-like), Dahuang (Rhei Radix et Rhizoma, steamed), Huanglian (Coptidis Rhizoma, stir-fried), Gualualgen (Trichosanthis Radix), Ningshuishi (Pond Water Stone), Kushen (Sophorae Flavescentis Radix), Tingli (Descurainiae Semen seu Lepidii Semen, stir-fry between paper layers, equal parts).
Grind the above into powder, mix adequately with mugwort paste to form pills the size of wutong seeds. Initially take six or seven pills, gradually increasing to twenty pills. If fever is present, add Kushen; if thirsty, add Gualualgen; if urination is difficult, add Tingli; if urination is frequent, add Ningshuishi; if urine is white, add Huanglian; if defecation is difficult, add Dahuang. The added herbs should be doubled in quantity.
Wuling San (Five-Ling Powder): Treats jaundice due to latent summerheat stagnation, with difficulty in urination, irritability, and thirst. Administer using Yinchen decoction to wash down the pills. (See the section on Summerheat Injury for the formula.)
For treating damp jaundice: At onset, there is whole-body pain, fever, and a dark-yellow complexion. After seven or eight days, high fever occurs, heat resides internally, and blood resembling liver tissue is passed. If the lower abdomen is full, urgent purgation is required. The body and eyes become entirely yellow, urination is difficult, and the pulse is deep and fine.
Fanshi (Alumen), Huashi (Talcum) (equal parts).
Grind the above into powder. Take two large qian per dose, mixed with barley porridge drink, three times daily before meals. Efficacy is indicated by the passage of bloody stools or recovery through sweating.