论曰胃虚谷少,醉以入房。冒犯风邪。胃中热毒。随虚入里,小便黄赤。热毒内聚。心
下懊痛,熏发肌肉。则身目发黄。或发赤斑。足胫浮肿。或下之早,则变为黑疸。令人心如
病饥,大便黑瘀。皮肤不仁,治法概宜先去湿毒。后分小水,余随证治之。
治酒疸。心中懊痛。小便黄赤。茵陈汤方
茵陈蒿 赤茯苓(去黑皮) 葛根(锉各半两) 栀子仁(半分) 栝蒌根(三分) 秦
艽(去苗土) 升麻
上七味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓食后温服。日三。
治酒疸。心懊痛。足胫满。小便黄。面发赤斑。或黄黑色。此由饮酒大醉。当风入水所
致。黄 木兰散方
黄 (锉二两) 木兰皮(锉一两)
上二味。捣罗为散。每服二钱匕。食前热酒调下。日三。
治酒疸。身目俱黄。心中懊痛。艾叶汤方
生艾叶(一握无生者干者亦得) 麻黄去(根节二两) 大黄(锉炒一两半)
上三味。锉如麻豆大。每服四钱匕。以酒一盏半。入大豆半合。同煎至八分。去滓食前
温服。
治酒疸。小便不利。或饮少溲多。如白泔色。凝水石散方
凝水石(烧令通赤) 白石脂 栝蒌根(各一两一分) 菟丝子(酒浸别捣炒干) 知
母(焙) 桂(去粗
上六味。捣罗为散。每服二钱匕。煮大麦粥饮调下、日三。
治酒疸。小麦饮方
生小麦(二合)
上一味。以水一盏。研绞取汁。食后顿服。
治酒疸。腹满如水状。心中懊 。不能下食。时时欲吐。桔梗汤方
桔梗(锉炒) 百合 赤茯苓(去黑皮) 桑根白皮 枳壳(去瓤麸炒各一两半) 槟
榔(五枚) 木通
上七味,锉如麻豆大。每服三钱匕。水一盏。煎至七分。去滓食前温服。良久再服。
治酒疸,身面黄。心懊痛。小便黄赤不利。黄连丸方
黄连(去须) 黄柏(去粗皮) 黄芩(去黑心) 大黄(锉炒) 栀子仁 黄药子 郁
金秦艽(去苗土) 贝母(去心) 甘草(炙锉) 款冬花 黄明胶(炙令燥) 白芥子
(各半两)
上一十三味,捣罗为末。研粳米饭。丸如梧桐子大。每服十丸。煎麦门冬汤下。
治酒疸,通身黄肿。木通散方
木通(锉) 甘草(炙锉) 木香 槟榔(锉) 麻黄(去根节) 秦艽(去苗土) 瞿
麦穗 干姜(炮)
上八味等分。捣罗为散。每服一钱匕,白汤点服。空心食前日三。病甚者,用猪胆一枚,
去汁一半。入巴豆一粒。薤白二寸,在胆内。以线系定。同青橘皮少许,水一盏半。煎熟
去胆,取药汤调下一钱匕。
治酒疸,遍身发黄。追毒饮方
狗脊(去毛一两) 白芥子(一钱) 甘草(一分)
上三味,细锉。用酒一升。煎取半升,去滓分温二服。利下为度。
治酒疸,心下懊痛。身目发黄。乳香 砂丸方
乳香(研) 砂(研) 安息香(研各一分) 巴豆(三十粒去皮心膜醋煮研) 杏
仁(去皮尖双仁炒研
上五味,合研匀细。枣肉丸如绿豆大,每服五丸。食后临卧、温生姜米饮下。
治酒疸,心下懊痛。胫肿溲黄。面发赤斑。大黄汤方
大黄(锉炒二两) 枳实(去瓤麸炒) 栀子仁(各一两) 豉(炒三合)
上四味粗捣筛,每服四钱匕。水一盏半,煎至八分。去滓温服,日三。
治酒疸,遍身黄。瓜蒂丸方
瓜蒂 大黄(锉炒) 荛花(炒各一两) 牛胆(一枚) 芫花(醋炒半两)
上五味捣罗四味为末,以清酒二升。渍一宿,煎至一升。去滓入牛胆汁。微火熬稠。丸
如梧桐子大,每服五丸。温熟水下,得吐利瘥。
论述说:胃气虚弱,饮食减少,醉酒后行房事。又冒犯风邪。胃中的热毒,随着虚损侵入体内,导致小便黄赤。热毒在体内聚集,心下部位懊恼疼痛,热气熏蒸肌肉,则身体和眼睛发黄。或者出现红色斑疹,小腿浮肿。如果过早使用泻下法,则会转变为黑疸,让人心里像生病时那样饥饿,大便黑色且有瘀血,皮肤麻木不仁。治疗方法概略上应当先去除湿毒,然后通利小便,其余症状随证治疗。
治疗酒疸,心中懊恼疼痛,小便黄赤的茵陈汤方:
茵陈蒿、赤茯苓(去掉黑皮)、葛根(锉碎,各半两)、栀子仁(半分)、栝蒌根(三分)、秦艽(去掉苗和土)、升麻。
以上七味药,粗捣筛过。每次服用三钱匕,用水一盏,煎至七分,去渣,饭后温服,每天三次。
治疗酒疸,心下懊恼疼痛,小腿胀满,小便黄,面部出现红斑,或者呈黄黑色的黄木兰散方:
黄芪(锉碎二两)、木兰皮(锉碎一两)。
以上两味药,捣碎过筛成散剂。每次服用二钱匕,饭前用热酒调服,每天三次。
治疗酒疸,身体和眼睛都发黄,心中懊恼疼痛的艾叶汤方:
生艾叶(一握,没有生的用干的也可以)、麻黄(去掉根节,二两)、大黄(锉碎炒制,一两半)。
以上三味药,锉碎如麻豆大小。每次服用四钱匕,用酒一盏半,加入大豆半合,同煎至八分,去渣,饭前温服。
治疗酒疸,小便不利,或者喝水少而尿多,尿液像米泔水颜色的凝水石散方:
凝水石(烧至通红)、白石脂、栝蒌根(各一两一分)、菟丝子(酒浸后另捣炒干)、知母(焙干)、桂枝(去掉粗皮)。
以上六味药,捣碎过筛成散剂。每次服用二钱匕,煮大麦粥汁调服,每天三次。
治疗酒疸的小麦饮方:
生小麦(二合)。
以上一味药,用水一盏,研磨绞取汁液,饭后一次性服下。
治疗酒疸,腹部胀满像有水状,心中懊恼,不能进食,时时想吐的桔梗汤方:
桔梗(锉碎炒制)、百合、赤茯苓(去掉黑皮)、桑根白皮、枳壳(去掉瓤麸炒,各一两半)、槟榔(五枚)、木通。
以上七味药,锉碎如麻豆大小。每次服用三钱匕,用水一盏,煎至七分,去渣,饭前温服。隔一段时间再服。
治疗酒疸,全身面目发黄,心中懊恼疼痛,小便黄赤不利的黄连丸方:
黄连(去掉须)、黄柏(去掉粗皮)、黄芩(去掉黑心)、大黄(锉碎炒制)、栀子仁、黄药子、郁金、秦艽(去掉苗土)、贝母(去掉心)、甘草(炙后锉碎)、款冬花、黄明胶(炙干)、白芥子(各半两)。
以上十三味药,捣碎过筛成末,用粳米饭研糊,制成梧桐子大小的丸药。每次服用十丸,用煎好的麦门冬汤送服。
治疗酒疸,全身面目黄肿的木通散方:
木通(锉碎)、甘草(炙后锉碎)、木香、槟榔(锉碎)、麻黄(去掉根节)、秦艽(去掉苗土)、瞿麦穗、干姜(炮制)。
以上八味药等分,捣碎过筛成散剂。每次服用一钱匕,用白开水点服。空腹或饭前服用,每天三次。病情严重的,用猪胆一个,去掉一半胆汁,放入巴豆一粒、薤白二寸,放在胆内,用线系好。同少许青橘皮,用水一盏半,煎熟后去掉胆,取药汤调下一钱匕。
治疗酒疸,遍身发黄的追毒饮方:
狗脊(去毛一两)、白芥子(一钱)、甘草(一分)。
以上三味药,细锉。用酒一升,煎取半升,去渣,分两次温服。以腹泻排出毒素为度。
治疗酒疸,心下懊恼疼痛,身体和眼睛发黄的乳香砂丸方:
乳香(研细)、砂(研细)、安息香(研细,各一分)、巴豆(三十粒,去皮心膜,醋煮后研)、杏仁(去皮尖,双仁的炒后研)。
以上五味药,混合研匀细,用枣肉制成绿豆大小的丸药。每次服用五丸,饭后临睡前,用温生姜米饮送服。
治疗酒疸,心下懊恼疼痛,小腿肿胀,小便黄,面部出现红斑的大黄汤方:
大黄(锉碎炒制二两)、枳实(去掉瓤麸炒)、栀子仁(各一两)、豉(炒三合)。
以上四味药粗捣筛过,每次服用四钱匕,用水一盏半,煎至八分,去渣温服,每天三次。
治疗酒疸,遍身发黄的瓜蒂丸方:
瓜蒂、大黄(锉碎炒制)、荛花(炒制,各一两)、牛胆(一个)、芫花(醋炒半两)。
以上五味药,将除牛胆外的四味药捣碎过筛成末,用清酒二升,浸泡一夜,煎至一升,去渣后加入牛胆汁,用微火熬稠,制成梧桐子大小的丸药。每次服用五丸,用温熟水送下,以出现呕吐和腹泻为痊愈。
Commentary states: When the Stomach is deficient and food intake is scant, sexual intercourse occurs while intoxicated. Exposure to wind pathogens ensues. The heat-toxin in the Stomach, following the deficiency, penetrates inward, causing yellowish-red urine. As the heat-toxin accumulates internally, it causes a feeling of stifling pain in the epigastrium (Xin Xia). The heat steams the muscles, resulting in jaundice of the body and eyes. Alternatively, red macules may appear, accompanied by edema of the lower legs and shins. If purgation is employed prematurely, the condition may transform into black jaundice (Hei Dan), characterized by a sensation of hunger as if ill, dark stools with blood stasis, and numbness of the skin. The general treatment principle is to first eliminate damp-toxin, then promote diuresis, and treat remaining symptoms according to the pattern.
For treating alcohol-induced jaundice (Jiu Dan) with stifling pain in the heart and yellowish-red urine, Yinchen Tang (Cinnamon Twig Decoction):
Yin Chen Hao (Artemisiae Scopariae Herba), Chi Fu Ling (Poria cum Ligno Quercus, removed black skin), Ge Gen (Puerariae Radix, sliced, each 0.5 liang), Zhi Zi Ren (Gardeniae Fructus, half fen), Gua Lou Gen (Trichosanthis Radix, 3 fen), Qin Jiao (Gentianae Macrophyllae Radix, removed seedlings and soil), Sheng Ma (Cimicifugae Rhizoma).
The above seven herbs are coarsely crushed and sifted. Each dose consists of 3 qian bi, boiled in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm after meals, three times daily.
For treating alcohol-induced jaundice with stifling pain in the heart, fullness in the lower legs and shins, yellow urine, and red macules on the face or yellow-black discoloration, caused by heavy drinking followed by exposure to wind and entering water, Huang Lan Mu San (Astragalus and Magnolia Bark Powder):
Huang Qi (Astragali Radix, sliced, 2 liang), Mu Lan Pi (Magnoliae Officinalis Cortex, sliced, 1 liang).
The above two herbs are crushed, pounded, and sieved into a powder. Each dose is 2 qian bi, taken before meals mixed with hot wine, three times daily.
For treating alcohol-induced jaundice with jaundice of both body and eyes and stifling pain in the heart, Ai Ye Tang (Mugwort Leaf Decoction):
Sheng Ai Ye (Artemisiae Argyi Folium, one handful; dried leaves may be used if fresh are unavailable), Ma Huang (Ephedrae Herba, removed root and joints, 2 liang), Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried, 1.5 liang).
The above three herbs are sliced like hemp seeds. Each dose is 4 qian bi, boiled with 1.5 zhan of wine and 0.5 he of soybeans until reduced to 0.8 zhan. Strain and take warm before meals.
For treating alcohol-induced jaundice with difficult urination, or scanty drinking but profuse urination resembling rice wash water, Ning Shui Shi San (Halloysitum Powder):
Ning Shui Shi (Halloysitum, calcined until red-hot), Bai Shi Zhi (Kaolinite), Gua Lou Gen (Trichosanthis Radix, each 1.1 liang), Tu Si Zi (Cuscutae Semen, soaked in wine, separately pounded, fried, and dried), Zhi Mu (Anemarrhenae Rhizoma, baked), Gui (Cinnamomi Ramulus, removed coarse bark).
The above six herbs are pounded and sieved into a powder. Each dose is 2 qian bi, taken with decocted barley porridge juice, three times daily.
For treating alcohol-induced jaundice, Xiao Mai Yin (Wheat Drink):
Sheng Xiao Mai (Tritici Semen, 2 he).
The above single herb is ground with 1 zhan of water, squeezed to extract juice, and taken in one dose after meals.
For treating alcohol-induced jaundice with abdominal fullness as if containing water, stifling sensation in the heart, inability to eat, and frequent urge to vomit, Jie Geng Tang (Platycodon Root Decoction):
Jie Geng (Platycodonis Radix, sliced and stir-fried), Bai He (Lilii Bulbus), Chi Fu Ling (Poria cum Ligno Quercus, removed black skin), Sang Gen Bai Pi (Mori Cortex), Zhi Ke (Aurantii Fructus, removed pith and bran, stir-fried, each 1.5 liang), Bing Lang (Arecae Semen, 5 pieces), Mu Tong (Akebiae Caulis).
The above seven herbs are sliced like hemp seeds. Each dose is 3 qian bi, boiled in 1 zhan of water until reduced to 0.7 zhan. Strain and take warm before meals. Take again after some time.
For treating alcohol-induced jaundice with jaundice of the whole body and face, stifling pain in the heart, and yellowish-red difficult urination, Huang Lian Wan (Coptis Pill):
Huang Lian (Coptidis Rhizoma, removed threads), Huang Bo (Phellodendri Cortex, removed coarse bark), Huang Qin (Scutellariae Radix, removed black heart), Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried), Zhi Zi Ren (Gardeniae Fructus), Huang Yao Zi (Dioscoreae Hypoglaucae Rhizoma), Yu Jin (Curcumae Radix), Qin Jiao (Gentianae Macrophyllae Radix, removed seedlings and soil), Bei Mu (Fritillariae Cirrhosae Bulbus, removed heart), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced), Kuan Dong Hua (Farfarae Flos), Huang Ming Jiao (Asini Corii Colla, dried by heating), Bai Jie Zi (Sinapis Semen, each 0.5 liang).
The above thirteen herbs are pounded and sieved into powder. Rice paste from Jing Mi (Oryza Sativa Japonica Group) is used to form pills the size of paulownia seeds. Each dose is 10 pills, taken with decocted Mai Men Dong (Asparagi Radix) soup.
For treating alcohol-induced jaundice with generalized yellow swelling, Mu Tong San (Akebia Caulis Powder):
Mu Tong (Akebiae Caulis, sliced), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried and sliced), Mu Xiang (Aucklandiae Radix), Bing Lang (Arecae Semen, sliced), Ma Huang (Ephedrae Herba, removed root and joints), Qin Jiao (Gentianae Macrophyllae Radix, removed seedlings and soil), Qu Mai Sui (Dianthi Herba), Gan Jiang (Zingiberis Rhizoma, processed).
The above eight herbs are equal parts, pounded and sieved into a powder. Each dose is 1 qian bi, taken with plain warm water. Taken on an empty stomach or before meals, three times daily. For severe cases, use one pig gallbladder, remove half the bile, insert one Ba Dou (Crotonis Semen) and 2 cun of Xie Bai (Allii Macrostemonis Bulbus) inside. Tie securely with thread. Simmer with a small amount of Qing Ju Pi (Citri Reticulatae Pericarpium) in 1.5 zhan of water until cooked. Remove the gallbladder, take the medicinal liquid, and mix with 1 qian bi of powder to ingest.
For treating alcohol-induced jaundice with generalized yellowing, Zhui Du Yin (Toxin-Chasing Drink):
Gou Ji (Cibotii Rhizoma, removed hair, 1 liang), Bai Jie Zi (Sinapis Semen, 1 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, 1 fen).
The above three herbs are finely sliced. Boil in 1 sheng of wine until reduced to 0.5 sheng. Strain and divide into two warm doses. Continue until purgation occurs.
For treating alcohol-induced jaundice with stifling pain in the epigastrium and jaundice of the body and eyes, Ru Xiang Sha Wan (Frankincense and Sand Pills):
Ru Xiang (Boswelliae Resina, pounded), Sha (Realgar, pounded), An Xi Xiang (Styrax, pounded, each 1 fen), Ba Dou (Crotonis Semen, 30 grains, removed shell, heart, and membrane, boiled in vinegar and pounded), Xing Ren (Pruni Semen, removed shell and tip, double-kernel ones fried and pounded).
The above five herbs are mixed and pounded finely. Form pills the size of mung beans using date flesh. Each dose is 5 pills, taken after meals and before sleep with warm ginger and rice drink.
For treating alcohol-induced jaundice with stifling pain in the epigastrium, swollen shins, yellow urine, and red macules on the face, Da Huang Tang (Rhubarb Decoction):
Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried, 2 liang), Zhi Shi (Aurantii Fructus Immaturus, removed pith and bran, stir-fried), Zhi Zi Ren (Gardeniae Fructus, each 1 liang), Chi (Perillae Fructus, stir-fried, 3 he).
The above four herbs are coarsely crushed and sifted. Each dose is 4 qian bi, boiled in 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm, three times daily.
For treating alcohol-induced jaundice with generalized yellowing, Gua Di Wan (Momordica Seed Pill):
Gua Di (Momordicae Fructus), Da Huang (Rhei Radix et Rhizoma, sliced and stir-fried), Rao Hua (Edgeworthiae Chrysantha Cortex, stir-fried, each 1 liang), Niu Dan (Bovis Vesica), Yuan Hua (Genkwa Flos, vinegar-fried, 0.5 liang).
The above five herbs: pound the four herbs (excluding bovine gallbladder) into powder. Soak in 2 sheng of clear wine overnight. Boil until reduced to 1 sheng. Strain and add bovine bile. Simmer over low heat until thick. Form pills the size of paulownia seeds. Each dose is 5 pills, taken with warm cooked water. Recovery is indicated by vomiting and purgation.