清酒一盏,使眼中黄易散。忌食热面、猪、鱼等物。
针灸黄胆有二法∶
其一取脾。经云∶脾足太阴之脉,所生病者,黄胆。视盛虚热寒取之。
其二取肾。经云∶肾足少阴之脉,所生病者,黄胆。视盛虚热寒取之。
〔《玉》〕黄胆∶腕骨(三分,灸七壮。) 中脘(补。)
〔《集》〕黄胆发虚,伤寒,饮食过多∶腕骨(一分。) 涌泉(三分,灸。) 百劳 三里
中脘 膏肓
〔《甲》〕黄瘅善欠,胁下满欲吐,脾俞主之。(《千金》云∶身重不可动。)消渴身热,面
赤黄,意舍主之。消渴黄瘅,足一寒一热,舌纵烦满,然谷主之。消瘅善喘,气走咽喉不能言,
手足清,溺黄,大便难,嗌中肿痛,唾血,口中热,唾如胶,太溪主之。黄胆,热中善渴,太冲主
之。身黄时有微热,不嗜食,膝内内踝前痛,少气身重,中封主之。黄瘅身黄,劳宫主之。嗜卧,
四肢不欲动摇,身黄,灸手五里,左取右,右取左。黄瘅,刺脊中。(《千金》云∶腹满不能食。)
〔《素》〕目黄者曰瘅。溺黄赤,安卧者,亦名黄胆。
〔《灵》〕身痛而色微黄,齿垢黄,爪甲上黄,黄胆也。(论疾诊尺篇)
〔仲〕脉沉,渴欲饮水,小便不利者,皆发黄。腹胀满,面痿黄,躁不得睡,属黄家。跗阳脉
紧而数,数则为热,热则消谷;紧则为寒,食即为满,尺脉浮为伤肾。跗阳脉紧为伤脾,寒热相
搏,食谷即眩,谷气不消,胃中苦浊,浊气下流,小便不通,阴被其寒,热流膀胱,身体俱黄,名
曰谷疸。阳明病脉迟者,食难用饱,饱则发烦头眩,小便又难,此欲作谷疸。虽下之,腹满如故。
所以然者,脉迟故也。心中懊 而热,不能食,时欲吐,名曰酒疸。病酒黄胆,必小便不利,其候
心中热,足下热,是其症也。
〔《脉》〕酒疸黄色,心下结热而烦。
〔仲〕额上黑,微汗出,手足中热,薄暮则发,膀胱急,小便自利,名曰女劳疸。腹如水状,
不治。(治见黑疸。)黄胆之病,当以十八日为期,治之十日以上宜瘥,反剧为难治。疸而渴者,难
治,疸而不渴者,可治。发于阴部,其人必呕;发于阳部,其人振寒而发热。
〔《脉》〕凡黄家,候其寸口脉,近掌无脉,口鼻冷,并不可治。
饮清酒一杯,可使眼部的黄色易于消散。忌食热面、猪肉、鱼类等食物。
针灸治疗黄疸有两种方法:
第一种取脾经穴位。医经记载:足太阴脾经所发生的疾病中,有黄疸一症。需根据脉象的盛衰、虚实、寒热来选取穴位进行治疗。
第二种取肾经穴位。医经记载:足少阴肾经所发生的疾病中,有黄疸一症。需根据脉象的盛衰、虚实、寒热来选取穴位进行治疗。
〔《玉枢》〕治疗黄疸:腕骨穴(深刺三分,或灸七壮。)中脘穴(用补法。)
〔《集验》〕治疗黄疸发作伴虚证、伤寒、饮食过多:腕骨穴(深刺一分。)涌泉穴(深刺三分,或施灸。)百劳穴 足三里穴 中脘穴 膏肓穴
〔《甲乙经》〕黄疸伴有频繁呵欠,胁下胀满想呕吐,由脾俞穴主治。(《千金方》说:身体沉重不可移动。)消渴病伴身热,面色红黄,由意舍穴主治。消渴病伴黄疸,足部一侧发冷一侧发热,舌体松弛烦闷,由然谷穴主治。消瘅病伴气喘,气逆冲咽喉不能说话,手足清冷,小便黄,大便困难,咽喉肿痛,咳血,口中发热,唾液如胶状,由太溪穴主治。黄疸,热邪在中焦易口渴,由太冲穴主治。身体发黄且时有微热,食欲不振,膝内侧内踝前疼痛,气短身体沉重,由中封穴主治。黄疸身黄,由劳宫穴主治。嗜睡,四肢不想活动,身体发黄,灸手五里穴,左病取右,右病取左。黄疸,针刺脊中穴。(《千金方》说:腹部胀满不能进食。)
〔《素问》〕眼睛发黄称为疸。小便黄赤,嗜卧者,也称为黄疸。
〔《灵枢》〕身体疼痛且肤色微黄,牙齿垢黄,指甲上黄,这是黄疸。(出自《论疾诊尺篇》)
〔张仲景〕脉象沉,口渴想喝水,小便不利的人,都会发黄。腹部胀满,面色萎黄,烦躁不得入睡,属于黄疸病患者。跗阳脉紧而数,数脉主热,热则消化食物快;紧脉主寒,进食后即感胀满,尺脉浮为伤肾。跗阳脉紧为伤脾,寒热相互搏结,进食即眩晕,谷气不消,胃中苦于浊气,浊气下流,小便不通,阴分受寒,热气流入膀胱,全身俱黄,名为谷疸。阳明病脉迟者,难以吃饱,饱食后则心烦头眩,小便又难,这是将要发生谷疸。即使使用下法,腹部胀满依旧。之所以这样,是因为脉迟的缘故。心中懊恼且热,不能进食,时常想吐,名为酒疸。患酒黄疸,必然小便不利,其症状表现为心中热,足下热。
〔《脉经》〕酒疸呈黄色,心下结聚热邪而烦闷。
〔张仲景〕额头发黑,微汗出,手足心热,傍晚时分发作,膀胱急迫,小便自利,名为女劳疸。腹部像有水状,无法治愈。(治法见黑疸条)。黄疸病,以十八天为期限,治疗十天以上应当好转,反而加重则难治。黄疸而口渴的,难治;黄疸而不口渴的,可治。病发于阴部,其人必定呕吐;病发于阳部,其人恶寒战栗而发热。
〔《脉经》〕凡是黄疸病患者,观察其寸口脉,如果近掌处无脉,口鼻冰冷,都不可治愈。
Drink one cup of clear wine, which will facilitate the dispersion of yellow discoloration in the eyes. Avoid consuming hot noodles, pork, fish, and other such foods.
There are two methods for treating *Juehuang* (Jaundice) with acupuncture and moxibustion:
The first method involves selecting points on the Spleen Meridian. The Classics state: "The disorders of the Foot-Taiyin Splein Meridian include *Juehuang*." Treatment should be based on observing the excess or deficiency, heat or cold patterns.
The second method involves selecting points on the Kidney Meridian. The Classics state: "The disorders of the Foot-Shaoyin Kidney Meridian include *Juehuang*." Treatment should be based on observing the excess or deficiency, heat or cold patterns.
[From *Yushu*] For *Juehuang*: Wangu (BL64) (Insert 0.3 cun, or moxa 7 cones.) Zhongwan (CV12) (Tonify method.)
[From *Jiyuan*] For *Juehuang* presenting with deficiency, *Shanghan* (Cold Damage), or excessive food intake: Wangu (BL64) (Insert 0.1 cun.) Yongquan (KI1) (Insert 0.3 cun, or moxa.) Bailao (EX-UE10) Zusanli (ST36) Zhongwan (CV12) Gaohuang (BL43)
[From *Jiayi Jing*] For *Huangdan* (Jaundice) with frequent yawning, fullness below the costal margin, and desire to vomit, Shenshu (BL20) is the primary point. (*Qianjin Fang* states: "Body heavy and immobile.") For *Xiaoke* (Wasting-Thirst) with body heat, red-yellow complexion, Yishe (BL49) is the primary point. For *Xiaoke* with *Huangdan*, where one foot is cold and the other hot, with tongue relaxation, irritability, and fullness, RanGu (KI2) is the primary point. For *Xiaodan* (Eliminating Heat) with frequent panting, qi rushing to the throat causing inability to speak, cold hands and feet, yellow urine, difficult defecation, sore and swollen throat, hemoptysis, hot mouth, and sticky saliva, Taixi (KI3) is the primary point. For *Juehuang* with heat in the middle jiao and frequent thirst, Taichong (LR3) is the primary point. For body yellowing with occasional slight heat, lack of appetite, pain in the medial knee anterior to the medial malleolus, shortness of breath, and heaviness of body, Zhongfeng (LR4) is the primary point. For *Huangdan* with body yellowing, Laogong (PC8) is the primary point. For lethargy, unwillingness to move limbs, and body yellowing, moxa the Shouwuli (PC3) point; treat left side for right symptoms, and right side for left symptoms. For *Huangdan*, puncture Jizhong (GV12). (*Qianjin Fang* states: "Abdominal fullness and inability to eat.")
[From *Suwen*] Yellowing of the eyes is called *Dan*. Yellow-red urine and lethargy are also named *Juehuang*.
[From *Lingshu*] Body pain with slightly yellow skin, yellow dental plaque, and yellow nails indicate *Juehuang*. (From Chapter "Discussion on Diagnosing Diseases by Measuring the Limbs")
[From Zhang Zhongjing] A deep pulse, thirst with desire to drink water, and difficult urination all lead to yellowing. Abdominal fullness, sallow complexion, restlessness preventing sleep, belong to the category of *Juehuang* patients. If the Fuyang pulse is tight and rapid, rapid indicates heat, which consumes grain quickly; tight indicates cold, leading to fullness after eating. A floating radial pulse indicates kidney injury. A tight Fuyang pulse indicates spleen injury. When cold and heat contend, dizziness occurs upon eating, grain qi fails to digest, the stomach suffers from turbid qi, turbid qi flows downward, urination is obstructed, the yin aspect is affected by cold, and heat flows into the Bladder, resulting in whole-body yellowing, named *Gudan* (Grain Jaundice). In Yangming disease, a slow pulse means difficulty in eating to satiety; upon fullness, vexation and dizziness occur, and urination becomes difficult. This indicates impending *Gudan*. Even if purgatives are used, abdominal fullness remains. This is due to the slow pulse. Vexation and heat in the heart, inability to eat, and frequent desire to vomit are named *Jiudan* (Wine Jaundice). Patients with Wine Jaundice must have difficult urination; their signs include heat in the heart and heat under the feet.
[From *Maijing*] *Jiudan* presents with yellow color, heat knotting below the heart, and vexation.
[From Zhang Zhongjing] Blackening of the forehead, slight sweating, heat in the palms and soles, onset at dusk, bladder urgency, and spontaneous urination are named *Nulaodu* (Female Labor Jaundice). Abdominal distension resembling water accumulation is incurable. (Treatment see *Heidan* [Black Jaundice].) The course of *Juehuang* disease is expected to last eighteen days; treatment for ten days or more should result in improvement. If it worsens, it is difficult to treat. *Juehuang* with thirst is difficult to treat; *Juehuang* without thirst is treatable. Disease arising in the Yin aspect causes vomiting; disease arising in the Yang aspect causes chills and fever.
[From *Maijing*] For all *Juehuang* patients, observe the Cun Kou pulse. If there is no pulse near the palm, and the mouth and nose are cold, it is incurable.