治酒积黄胆,小便不利,清热去湿。
茵陈 猪苓 茯苓 泽泻 白术(土炒,各一钱) 桂(三分) 水煎服。去茵陈即
五茯散原方。
土虚则受湿,湿生热,湿热乘脾,中央之黄色乃见,酒亦湿热,故并治之。茵陈专
理湿热,发黄者所必用也。佐以猪苓、泽泻则水液分于膀胱,佐以白术、茯苓则土旺可
以胜湿,桂之为用,能令诸药直达热所,为向导之兵也。
治黄胖。宜藜藿者,以内无浓味,但燥湿而已。
针砂(一斤,醋炒为末) 苦参 山楂 吴茱萸 白术 苍术 川芎 神曲 香附
为末,醋糊丸,桐子大,米饮下五十丸,宜忌口。轻者不过五六两即愈。
又方
皂矾不拘多少,砂锅内烧赤醋点之,蒸烂枣肉为丸,每服三十丸,食后姜汤送下,最佳。
治三焦湿热发黄。如目黄是上焦湿热,胃疸是中焦湿热,溺黄是下焦湿热。
大黄(炒,一两) 黄连 黄芩(各五钱) 为末,用二钱,水煎服。
治黄胆寒热呕吐。
茯苓 泽泻 茵陈 猪苓 黄芩 山栀 黄连 防己 白术 苍术 陈皮 青皮
枳壳 水煎服。
《千金翼》治黄黑疸。
当归(三钱) 桂心(六钱) 干枣(十七枚,去核) 麦冬(一合) 大黄(一钱) 茵陈
黄芩 干姜 茯苓 芍药 黄连 石膏 人参 甘草(各二钱) 一方有黄 。水煎作四服。
治疗酒积导致的黄疸,小便不通畅,具有清热祛湿的功效。
茵陈、猪苓、茯苓、泽泻、白术(用土炒制,各一钱)、桂枝(三分),用水煎煮后服用。去掉茵陈即为五茯散的原方。
脾土虚弱则容易受湿气侵袭,湿气郁久化热,湿热之邪侵犯脾胃,身体中央部位呈现黄色便显现出来;酒也是湿热之物,因此一并治疗。茵陈专门调理湿热,是治疗发黄病症所必须使用的药物。配合猪苓、泽泻,可以使水液分流至膀胱;配合白术、茯苓,可以增强脾土功能以战胜湿气;桂枝的作用,能使各种药物直达热邪所在之处,如同向导的士兵一样。
治疗黄胖病(面色萎黄浮肿)。适合饮食粗劣者,因为体内缺乏浓味滋养,只需燥湿即可。
针砂(一斤,用醋炒后研成粉末)、苦参、山楂、吴茱萸、白术、苍术、川芎、神曲、香附,研成细末,用醋调糊制成丸药,大小如梧桐子,用米汤送服五十丸,应当忌口。轻症不过服用五六两即可痊愈。
又一方:
皂矾不拘多少,在砂锅中烧红后用醋点淬,蒸烂枣肉作为粘合剂制成丸药,每次服用三十丸,饭后用姜汤送下,效果最佳。
治疗三焦湿热导致的发黄。如眼睛发黄是上焦湿热,胃疸是中焦湿热,尿液发黄是下焦湿热。
大黄(炒制,一两)、黄连、黄芩(各五钱),研成细末,每次取二钱,用水煎煮后服用。
治疗黄疸伴有寒热往来及呕吐症状。
茯苓、泽泻、茵陈、猪苓、黄芩、山栀、黄连、防己、白术、苍术、陈皮、青皮、枳壳,用水煎煮后服用。
《千金翼方》治疗黄黑疸。
当归(三钱)、桂心(六钱)、干枣(十七枚,去核)、麦冬(一合)、大黄(一钱)、茵陈、黄芩、干姜、茯苓、芍药、黄连、石膏、人参、甘草(各二钱)。另一方中有黄柏。用水煎煮,分四次服用。
Treats jaundice caused by alcohol accumulation (Jiuji), with difficulty in urination, having the effects of clearing heat and removing dampness.
Yinchen (Artemisiae Scopariae Herba), Zhuling (Polyporus), Fuling (Poria), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma) (stir-fried with soil, each 1 qian), Guizhi (Cinnamomi Ramulus) (3 fen). Decoct in water and take orally. Removing Yinchen yields the original formula of Wu Fu San (Five Poria Powder).
When Spleen Earth is deficient, it is susceptible to Dampness; Dampness generates Heat. When Damp-Heat invades the Spleen, the yellow color of the central region becomes visible. Alcohol is also a product of Damp-Heat, hence both are treated together. Yinchen specifically regulates Damp-Heat and is essential for treating jaundice. Assisted by Zhuling and Zexie, body fluids are separated into the Bladder. Assisted by Baizhu and Fuling, Spleen Earth is strengthened to overcome Dampness. The function of Guizhi is to guide all herbs directly to the site of Heat, acting as vanguard troops.
Treats Huangpang disease (yellowish swelling/edema). Suitable for those with coarse diets, as they lack rich nourishment internally, requiring only drying of Dampness.
Zhen Sha (Magnetitum, processed with vinegar into powder) (1 jin), Kushen (Sophorae Flavescentis Radix), Shanzha (Crataegi Fructus), Wuzhuyu (Evodiae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shenqu (Massa Medicata Fermentata), Xiangfu (Cyperi Rhizoma). Grind into powder, make pills with vinegar paste, size of Sophora japonica seeds. Take 50 pills with rice water. Dietary restrictions should be observed. Mild cases may heal within five or six liang.
Another prescription:
Zao Fan (Calcanis Vitrioli) in any quantity, calcined red in an earthenware pot, quenched with vinegar, steamed until soft, mixed with jujube flesh to form pills. Take 30 pills per dose, washed down with ginger soup after meals. This is optimal.
Treats jaundice due to Damp-Heat in the Triple Burner. Yellow eyes indicate Damp-Heat in the Upper Jiao; Wei Dan (Stomach Jaundice) indicates Damp-Heat in the Middle Jiao; yellow urine indicates Damp-Heat in the Lower Jiao.
Dahuang (Rhei Radix et Rhizoma) (stir-fried, 1 liang), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 5 qian). Grind into powder. Take 2 qian, decoct in water and drink.
Treats jaundice accompanied by alternating chills and fever, and vomiting.
Fuling (Poria), Zexie (Alismatis Rhizoma), Yinchen (Artemisiae Scopariae Herba), Zhuling (Polyporus), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Huanglian (Coptidis Rhizoma), Fangji (Stephaniae Tetrandrae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Zhike (Aurantii Fructus Immaturus). Decoct in water and take orally.
Qianjin Yi (Supplement to Thousand Golden Prescriptions) treats Huang Hei Dan (Yellow-Black Jaundice).
Danggui (Angelicae Sinensis Radix) (3 qian), Guixin (Cinnamomi Ramulus), Gan Zao (Zizyphi Fructus) (17 pieces, pitted), Maidong (Ophiopogonis Radix) (1 he), Dahuang (Rhei Radix et Rhizoma) (1 qian), Yinchen (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix), Ganjiang (Zingiberis Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), Shigao (Gypsum Fibrosum), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian). Another version includes Huangbo (Phellodendri Cortex). Decoct in water, divide into four doses.