主黑疸,身皮、大便皆黑方∶
赤小豆(三十枚) 茯苓(六铢,切) 雄黄(一铢) 瓜丁(四铢) 女萎(六铢) 甘
草(二铢
,炙)
上六味,以水三升,煮豆。茯苓,取八合,捣四味为散。和半钱匕服之,须臾当吐,吐
则愈。亦主一切黄。
主黑疸,身体黯黑,小便涩,体重方。
茵陈(一两) 甘遂(一分) 当归 蜀椒(汗,各半两,去目、闭口) 杏仁(去皮
尖、
双仁,熬) 大黄 半夏(洗,各三分) 葶苈(熬) 茯苓 干姜(各一两) 枳实(
咀,熬
黄) 白术(熬黄,各五分)
上一十二味,捣筛为末,炼蜜和丸,如梧子大。空腹以饮服三丸,日三。
湿阻之为病,始得之,一身尽疼发热,面色黄黑,七八日后壮热,热在里,有血,当下
去之如豚肝状,其少腹满者,急下之。亦一身尽黄,目黄,腹满,小便不利方∶
矾石(五两,烧) 滑石(五两,研如粉)
上二味,捣筛为散。水服方寸匕,日三服,先食服之,便利如血已,当汗出愈。(《千
金》以麦粥汁服)
风疸,小便数或黄或白,洒洒恶寒壮热,好睡不欲动方。
生艾(三月三日取一束,捣取汁,铜器中煎如漆,密封之勿令泻) 大黄 黄连 凝水
石
苦参 葶苈子 栝蒌(各等分,熬)
上六味,捣筛为散,以艾煎和为丸如梧子。先食,饮服五丸,日三,可至二十丸。有热
加苦参,渴。加栝蒌,小便涩加葶苈,小便多加凝水石,小便黄白加黄连,大便难加大黄。
主治黑疸,身体皮肤及大便均呈黑色的方剂:
赤小豆(三十枚) 茯苓(六铢,切片) 雄黄(一铢) 瓜丁(四铢) 女萎(六铢) 甘草(二铢,炙烤)
以上六味药,用水三升,先煮赤小豆和茯苓,取药液八合,将剩余的四味药捣碎成散剂。每次服用半钱匕大小的量,不久应当呕吐,吐后病愈。此方也主治各种黄疸。
主治黑疸,身体颜色暗黑,小便涩滞不畅,身体沉重的方剂。
茵陈(一两) 甘遂(一分) 当归 蜀椒(去汗,各半两,去掉椒目和闭口者) 杏仁(去皮尖、双仁,炒制) 大黄 半夏(洗过,各三分) 葶苈(炒制) 茯苓 干姜(各一两) 枳实(切碎,炒至微黄) 白术(炒至微黄,各五分)
以上十二味药,捣碎过筛成粉末,用炼蜜调和制成丸药,大小如梧桐子。空腹时用水送服三丸,每日三次。
湿邪阻滞所致的疾病,初起时全身疼痛发热,面色黄黑,七八日后出现高热,热邪在体内,伴有瘀血,应当攻下排出瘀血,其状像猪肝一样,如果少腹部胀满的,要紧急攻下。此方也主治全身发黄,眼睛发黄,腹部胀满,小便不利的情况:
矾石(五两,烧制) 滑石(五两,研成粉状)
以上两味药,捣碎过筛成散剂。用水送服一方寸匕大小的量,每日三次,饭前服用,待大便通畅且排出瘀血样物质后,应当出汗而痊愈。(《千金方》中建议用麦粥汁送服)
风疸,小便频数或色黄或色白,怕冷战栗伴高热,嗜睡不想活动的方剂。
生艾草(三月三日采集一束,捣取汁液,在铜器中煎煮至像漆一样浓稠,密封保存以防泄漏) 大黄 黄连 凝水石 苦参 葶苈子 栝蒌(各等分,炒制)
以上六味药,捣碎过筛成散剂,用艾草煎煮的汁液调和制成丸药,大小如梧桐子。饭前用水送服五丸,每日三次,最多可增至二十丸。如果有热象加苦参,口渴加栝蒌,小便涩滞加葶苈,小便过多加凝水石,小便黄白加黄连,大便困难加大黄。
Formula for treating Black Jaundice (Hei Dan), where the skin and stool are both black:
Chi Xiao Dou (Vigna angularis, 30 seeds) Fu Ling (Poria, 6 zhu, sliced) Xiong Huang (Realgar, 1 zhu) Gua Ding (Trichosanthes root tip, 4 zhu) Nu Wei (Anemarrhenae Rhizoma, 6 zhu) Gan Cao (Glycyrrhizae Radix et Rhizoma, 2 zhu, honey-fried).
Take the above six herbs. Add three sheng of water, boil Chi Xiao Dou and Fu Ling until eight ge of liquid remains. Crush the remaining four herbs into a powder. Mix with the powder and take half a qian bi dose. Vomiting should occur shortly; after vomiting, the disease will be cured. This formula also treats all types of Jaundice (Huang).
Formula for treating Black Jaundice (Hei Dan), characterized by darkened body complexion, astringent urination, and heavy body weight.
Yin Chen (Artemisiae Scopariae Herba, 1 liang) Gan Sui (Kansui Radix, 1 fen) Dang Gui (Angelicae Sinensis Radix) Shu Jiao (Zanthoxyli Pericarpium, sweat-dried, each ban liang, remove seeds and closed-mouth ones) Xing Ren (Prunus armeniaca seed, peeled, tips removed, double-kernel removed, roasted) Da Huang (Rhei Radix et Rhizoma) Ban Xia (Pinelliae Tuber, washed, each 3 fen) Ting Li (Lepidii Semen, roasted) Fu Ling (Poria) Gan Jiang (Zingiberis Rhizoma, each 1 liang) Zhi Shi (Aurantii Fructus Immaturus, chopped, roasted to yellow) Bai Zhu (Atractylodis Macrocephalae Rhizoma, roasted to yellow, each 5 fen).
Take the above twelve herbs, crush and sieve into powder. Mix with refined honey to make pills the size of wutong seeds. Take three pills with water on an empty stomach, three times a day.
Disease caused by dampness obstruction: initially, the whole body aches and fever occurs, with a yellow-black facial complexion. After seven or eight days, high fever develops, with heat in the interior and blood stasis. One should purge to expel the blood, which resembles pig liver. If there is fullness in the lower abdomen, urgent purging is required. This section also provides a formula for cases involving whole-body jaundice, yellow eyes, abdominal fullness, and difficult urination:
Fan Shi (Alumen, 5 liang, calcined) Hua Shi (Talcum, 5 liang, ground to powder).
Take the above two herbs, crush and sieve into powder. Take one fang cun bi dose with water, three times a day, before meals. When bowel movements become smooth and bloody discharge ceases, sweating should occur, leading to recovery. (Qian Jin Fang suggests taking with wheat gruel juice).
Formula for Wind Jaundice (Feng Dan), characterized by frequent urination that may be yellow or white, chills with high fever, lethargy, and reluctance to move.
Sheng Ai Ye (Mugwort leaf, collected on the third day of the third lunar month, one bundle, crushed to extract juice, boiled in a copper vessel until thick like lacquer, sealed tightly to prevent leakage) Da Huang (Rhei Radix et Rhizoma) Huang Lian (Coptidis Rhizoma) Ning Shui Shi (Natrii Sulfas) Ku Shen (Sophorae Flavescentis Radix) Ting Li Zi (Lepidii Semen) Gua Lou (Trichosanthis Fructus) (all equal parts, roasted).
Take the above six herbs, crush and sieve into powder. Mix with mugwort decoction juice to make pills the size of wutong seeds. Take five pills with water before meals, three times a day, up to twenty pills. Add Ku Shen if there is heat; add Gua Lou if thirsty; add Ting Li Zi if urination is astringent; add Ning Shui Shi if urination is excessive; add Huang Lian if urine is yellow or white; add Da Huang if defecation is difficult.