治黄胆身体面目尽黄方。
茵陈 黄连(各三两) 黄芩(二两) 大黄 甘草 人参(各一两) 栀子(二七枚)
上七味 咀,以水一斗煮取三升,分三服,日三。亦治酒疸、酒癖。
治同前。
大黄 黄连 黄芩(各四两)
上三味治,下筛,先食服方寸匕,日三。亦可为丸。
治黄胆利小便方。
猪苓 茯苓 泽泻 白术 桂心(各三十铢)
上五味,捣筛为散,渴时水服方寸匕,极饮水即利小便,及汗出愈(此方与第九卷方相
同
治黄胆饮少溺多方。
秦椒(六铢) 瓜蒂(半两)
上二味治下筛,水服方寸匕,日三。
治黄胆小便色不异,欲自利腹满而喘者,不可除热,热除必哕方。
半夏 生姜(各半斤)
上二味 咀,以水七升煮取一升五合,分再服。有人常积气结而死,其心上暖,以此汤
少许汁入口遂活。
治黄胆方∶
取生小麦苗捣绞取汁,饮六七合,昼夜三四饮,三四日便愈。无小麦, 麦亦得用之。
治黄胆变成黑疸,医所不能治者方∶
土瓜根捣汁一小升,顿服,日一,平旦服至食时,病从小便出,先须量病患气力,不得
多服,力衰则起不得。
治发黄身面目悉黄如金色,小便如浓煮柏汁,众医不能疗者方∶
茵陈 栀子(各二两) 黄芩 大黄 柴胡 升麻(各三两) 龙胆(二两)
上七味 咀,以水八升煮取二升七合,分三服。若身体羸去大黄加栀子仁五六两,生地
黄一升。(《延年秘录》无茵陈,有栀子四两、栝蒌三两、芒硝二两,《近效方》加枳实二两。)
夫黄发已久变作桃皮色,心下有坚,呕逆不下饮食,小便极赤少,四肢逆冷,脉深沉极微细
迟者,不宜服此方,得下必变 也。宜与大茵陈汤除大黄,加生地黄五两,服尽汤,消息看
脉小浮出形小见,不甚沉微,便可治也。脉浮见者,黄当明,不复作桃皮色,心下自宽也。
治疗黄疸病,身体、面部和眼睛都发黄的方法。
茵陈、黄连(各三两)、黄芩(二两)、大黄、甘草、人参(各一两)、栀子(十四枚)。
以上七味药,切碎,用水一斗煎煮至三升,分三次服用,每天三次。此方也用于治疗酒疸、酒癖。
治疗方法同前。
大黄、黄连、黄芩(各四两)。
以上三味药处理后,过筛成细粉,饭前每次服用一方寸匕,每天三次。也可以制成丸药。
治疗黄疸病,通过利小便来治疗的方法。
猪苓、茯苓、泽泻、白术、桂心(各三十铢)。
以上五味药,捣碎过筛做成散剂,口渴时用水送服一方寸匕,大量饮水后即可通利小便,出汗后痊愈(此方与第九卷中的方子相同)。
治疗黄疸病,饮水少而尿多的小便异常方法。
秦椒(六铢)、瓜蒂(半两)。
以上两味药处理后过筛,用水送服一方寸匕,每天三次。
治疗黄疸病,小便颜色没有明显变化,想要自下利且腹部胀满气喘的,不可清热,清热必会导致呃逆的方法。
半夏、生姜(各半斤)。
以上两味药,切碎,用水七升煎煮至一升五合,分两次服用。有人因长期积气结滞而死,但心脏部位尚暖,将此汤少许汁液入口便复活。
治疗黄疸病的另一个方子:
取新鲜小麦苗捣碎绞取汁液,饮用六七合,白天黑夜喝三四次,三四天后即可痊愈。如果没有小麦,大麦也可以使用。
治疗黄疸病变成黑疸,医生无法治愈的方法:
土瓜根捣汁一小升,一次性服用,每天一次,清晨服用直到吃饭时间,病邪从小便排出。必须先衡量病人的体力,不能多服,体力衰弱则起不来身。
治疗身体、面部和眼睛全部发黄如金色,小便像浓煮柏树汁一样,众医无法治疗的方法:
茵陈、栀子(各二两)、黄芩、大黄、柴胡、升麻(各三两)、龙胆(二两)。
以上七味药,切碎,用水八升煎煮至二升七合,分三次服用。如果身体虚弱,去掉大黄,加入栀子仁五六两,生地黄一升。(《延年秘录》中没有茵陈,有栀子四两、栝蒌三两、芒硝二两,《近效方》中加入枳实二两。)
如果黄疸发病已久,变为桃皮色,心下有硬块,呕吐逆气不能进食,小便极赤且量少,四肢逆冷,脉象深沉极其微细迟滞的,不宜服用此方,服药后必然导致变证。应该给予大茵陈汤,去掉大黄,加入生地黄五两,服完汤药后,观察脉象若变得稍浮出形小可见,不那么沉微,就可以治疗了。脉象浮现的,黄疸应当消退,不再呈现桃皮色,心下自然宽舒。
Formulas for treating jaundice where the body, face, and eyes are completely yellow.
Yinchen (Artemisiae Scopariae Herba), Huanglian (Coptidis Rhizoma) (each 3 liang), Huangqin (Scutellariae Radix) (2 liang), Dahuang (Rhei Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renshen (Panacis Ginseng Radix) (each 1 liang), Zhizi (Gardeniae Fructus) (14 pieces).
The above seven herbs are chopped, decocted in one dou of water until three sheng remain, divided into three doses, taken three times a day. This formula is also used to treat Jiudan (Alcoholic Jaundice) and Jupi (Alcoholic Mass).
Treatment as mentioned above.
Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix) (each 4 liang).
The above three herbs are processed and sifted into fine powder. Take one fangcunbi (a measure equivalent to a square inch spoonful) before meals, three times a day. It can also be made into pills.
Formula for treating jaundice by promoting urination.
Zhuling (Polypori Porriah), Fuling (Poria), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Guixin (Cinnamomi Ramulus) (each 30 zhu).
The above five herbs are crushed, sifted, and made into a powder. When thirsty, take one fangcunbi with water. Drinking copious amounts of water will promote urination, and sweating will lead to recovery (this formula is identical to the one in Volume 9).
Formula for jaundice characterized by scanty drinking but frequent urination.
Qinjiao (Sichuan Pepper), Gouti (Melon Seed) (half liang).
The above two herbs are processed and sifted. Take one fangcunbi with water, three times a day.
For jaundice where urine color is not distinct, accompanied by spontaneous diarrhea, abdominal fullness, and wheezing, heat-clearing should not be used; clearing heat will inevitably cause hiccups.
Banxia (Pinelliae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens) (each half jin).
The above two herbs are chopped, decocted in seven sheng of water until one sheng and five he remain, divided into two doses. There are cases of people who died from chronic accumulation of qi stagnation, yet their heart region remained warm; entering a small amount of this decoction revived them.
Another formula for jaundice:
Take fresh wheat seedlings, crush and squeeze out the juice. Drink six or seven he, three or four times during day and night. Recovery occurs within three to four days. If wheat is unavailable, barley may be used.
Formula for jaundice transformed into Heidan (Black Jaundice), which physicians cannot cure:
Tugua Gen (Trichosanthes Kirilowii Root) juice, one xiao sheng, taken at once, once a day. Take from dawn until mealtime. The pathogen exits via urination. First, assess the patient's strength; do not overdose. If strength declines, the patient may become unable to rise.
Formula for jaundice where the body, face, and eyes are entirely yellow like gold, urine is like concentrated boiled Platycladi Orientalis bark juice, and conventional physicians fail to treat:
Yinchen (Artemisiae Scopariae Herba), Zhizi (Gardeniae Fructus) (each 2 liang), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Chaihu (Bupleuri Radix), Shengma ( Cimicifugae Rhizoma) (each 3 liang), Longdan (Gentianae Radix) (2 liang).
The above seven herbs are chopped, decocted in eight sheng of water until two sheng and seven he remain, divided into three doses. If the body is emaciated, remove Dahuang and add Zhizi Ren (Gardeniae Semen) five or six liang, and Shengdihuang (Rehmanniae Radix) one sheng. (Yannian Milu lacks Yinchen, has Zhizi 4 liang, Gualou 3 liang, Mangxiao 2 liang; Jinxiao Fang adds Zhishi 2 liang.)
If jaundice has persisted for a long time and changed to the color of peach skin, with hardness under the heart, vomiting and inability to eat, extremely red and scanty urine, cold limbs, and a pulse that is deep, extremely minute, thin, and slow, this formula should not be used. Administration will inevitably lead to transformation of the disease. Instead, use Da Yinchen Tang (Large Yinchen Decoction) without Dahuang, adding Shengdihuang (Rehmanniae Radix) 5 liang. After finishing the decoction, observe the pulse. If it becomes slightly floating, visible but small, and no longer deep and minute, treatment can proceed. If the pulse floats, the jaundice should clear, the peach-skin color will disappear, and the chest will feel relaxed.