《病源》黄病者,一身尽疼,发热,面色洞黄,七八日后,结热在里,有血当下,去之
如肝状,其人小腹满急。若其人眼睛涩疼,鼻骨疼,两膊及项强,腰背急,则是患黄,大
便涩,但令得小便快,则不虑死,不用大便多,多则心腹胀不好。此由寒湿在表,则热蓄于
脾胃,腠理不开,瘀热与宿谷相搏,郁蒸不得消,则大小便不通,故身体面目皆变黄色。凡
黄候,其寸口近掌无脉,口鼻气冷,并不可疗之,必死。(出第十二卷中)
仲景《伤寒论》诸黄。猪膏发煎主之方。
猪膏(八两) 乱发(大如鸡子一枚)
上二味,纳发膏中煎之,发消尽研,绞去膏细滓。分二服,病从小便去也。(《肘后备
急》、文仲、《千金》、《古今录验》、《深师》、《范汪》同,云太医校尉史脱家婢再病,胃中
干粪下便瘥,神验。出第十四卷中)
《删繁》疗天行毒热,通贯脏腑,沉鼓骨髓之间,或为黄胆、黑疸、赤疸、白疸、谷疸
、马黄等疾,喘息须臾而绝。瓜蒂散方。
瓜蒂(二七枚) 赤小豆(三七枚) 秫米(二七粒)
上三味,捣筛为散。取如大豆粒,吹于两鼻之中,甚良。不瘥,间日复服之。(《千金
》、《范汪》、《集验》同)
又方
瓜蒂(二七枚)
上一味,以水一升,煮取五合,作一服。
又方
盐(一升)
上一味,纸裹渍湿,烧之取通赤,纳三升水中搅令调。手巾漉度为一服,以前二方服讫
,并吐出黄汁。
崔氏疗黄,贫家无药者,可依此方。
取柳枝三大升,以水一斗,煮取浓汁,搦半升,一服令尽。
又疗黄兼主心腹方
蔓荆子(一大合拣令净)
上一味,捣碎,熟研,以水一升更和,研,滤取汁,可得一大盏。顿服之,少顷自当转
利,或亦自吐,腹中便宽,亦或得汗,便愈。(《备急》、文仲、《深师》同,并出第一卷
《延年秘录》疗黄。瓜蒂汤方。
瓜蒂(一两) 赤小豆(四十九枚) 丁香(二七枚)
上三味,捣末,以水一升,煮取四合,澄清。分为两度,滴入两鼻中。(出第十卷中)
《救急》疗三十六种黄方。
取鸡子一颗并壳烧作灰,研酢一合,又温之。总和顿服。身体眼暗极黄者,不过三颗,
鼻中虫出,神效。
又疗诸黄,暗黄眼暗,及大角赤黑黄,先掷手足,内黄患渴,疸黄,眼赤黄,肾黄,小
便不通,气急心闷,五色黄。瓜蒂散方。
丁香 瓜蒂 赤小豆(各十枚)
上三味,细捣筛。取暖水一鸡子许,和服,大神验。(并出第十七卷中,《广济》同)
《必效》疗一切黄,蒋九处得,其父远使得黄,服此极效。茵陈汤及丸方。
茵陈(四两) 大黄(三两) 黄芩(三两) 栀子(三两)
上四味,切,以水五升,煮取三升,分为三服,空肚服之。不然,捣筛,蜜和为丸。饮
服二十丸,稍稍加至二十五丸,量病与之,重者作汤,胜服丸,日一服。忌羊肉、酒、面、
热物等,以瘥为限。小便黄色及身黄者并主之。
又疗诸黄,眼已黄亦差。瓜蒂散方。
丁香(一分) 赤小豆(一分) 瓜蒂(一分) 一方加秫米(一分)
上三味,捣末,温水食前顿服使尽,则当利,并吐黄水。不瘥更服。(并出第一卷中)
《千金》疗黄胆。大黄丸方。
大黄(二两) 葶苈(三两)
上二味,捣筛为末,蜜和为丸,如梧子大。未食服十丸,日三服,病瘥便止。
又大黄丸方
大黄(二两) 黄连(三两) 黄芩 黄柏(各一两) 曲衣(五合)
上五味,捣筛为末,蜜和丸如梧子大。食前服三丸,日三服,不知可至五丸。忌猪肉、
冷水。(并出第十卷中)
《诸病源候论》中关于黄疸病的论述:患者全身疼痛,发热,面色呈现深黄色。经过七八天后,热邪结聚于体内,有瘀血应当排出,排出的血液形状像肝脏一样,此时患者小腹部胀满且急迫。如果患者眼睛干涩疼痛,鼻骨疼痛,两侧肩膀及颈部僵硬,腰部背部拘急,这就是患上了黄疸病。大便不通畅,只要能让小便通畅,就不必担心死亡;不需要让大便次数过多,多了会导致心腹胀满不适。这种病症是由于寒湿停留在体表,导致热邪蓄积在脾胃,腠理(皮肤毛孔)不开泄,瘀热与体内未消化的食物相互搏结,郁蒸而不能消散,从而导致大小便不通畅,所以身体和面目都变成黄色。凡是黄疸病的危重征象,如寸口脉(手腕桡动脉近掌处)摸不到脉搏,口鼻气息寒冷,这些都是无法治疗的,必定死亡。(出自第十二卷)
张仲景《伤寒论》中治疗各种黄疸的方剂:猪膏发煎为主治方。
猪膏(八两) 乱发(大如鸡蛋一枚)
以上两味药,将头发放入猪膏中煎煮,直到头发完全消融,然后研磨、过滤去除细渣。分两次服用,病邪从小便排出。(《肘后备急方》、文仲著作、《千金方》、《古今录验》、《深师方》、《范汪方》记载相同,提到太医校尉史脱家的婢女两次患病,排出胃中的干粪后痊愈,非常神效。出自第十四卷)
《删繁》治疗天行毒热(流行性热毒),热邪贯穿脏腑,深入骨髓之间,可能引发黄胆、黑疸、赤疸、白疸、谷疸、马黄等疾病,喘息片刻即断气。瓜蒂散方。
瓜蒂(十四枚) 赤小豆(二十一枚) 秫米(十四粒)
以上三味药,捣碎过筛制成散剂。取如大豆大小的药量,吹入两个鼻孔中,效果很好。若未痊愈,隔日再次服用。(《千金方》、《范汪方》、《集验方》记载相同)
又一方
瓜蒂(十四枚)
以上一味药,用水一升,煮取五合,作为一次服用。
又一方
盐(一升)
以上一味药,用纸包裹浸湿,烧至通红,放入三升水中搅拌调和。用手巾过滤后作为一次服用。服完前两个方子后,会吐出黄色汁液。
崔氏治疗黄疸,贫穷人家没有药材的,可以依照此方。
取柳枝三大升,用水一斗,煮取浓汁,捏取半升,一次服完。
又一方治疗黄疸兼主心腹不适
蔓荆子(一大合,拣选干净)
以上一味药,捣碎,仔细研磨,用水一升调和再研,过滤取汁,可得一大盏。一次性服下,不久自然会转利(腹泻),或者也会呕吐,腹部就会宽舒,或者出汗,病就好了。(《备急方》、文仲著作、《深师方》记载相同,均出自第一卷)
《延年秘录》治疗黄疸。瓜蒂汤方。
瓜蒂(一两) 赤小豆(四十九枚) 丁香(十四枚)
以上三味药,捣成粉末,用水一升,煮取四合,澄清。分为两次,滴入两个鼻孔中。(出自第十卷)
《救急方》治疗三十六种黄疸的方子。
取鸡蛋一颗连同蛋壳烧成灰,用醋一合调和,再温热。混合均匀一次性服下。身体和眼睛极度发黄的人,不超过三颗鸡蛋的量,会有虫子从鼻子出来,效果神奇。
又一方治疗各种黄疸,包括暗黄眼暗,以及大角赤黑黄(一种严重的黄疸),先掷手足(指四肢抽搐或活动异常),内有黄患口渴,疸黄,眼赤黄,肾黄,小便不通,气急心闷,五色黄。瓜蒂散方。
丁香 瓜蒂 赤小豆(各十枚)
以上三味药,细细捣碎过筛。取温热的醋约一个鸡蛋的量,调和服用,非常神效。(均出自第十七卷,《广济方》记载相同)
《必效方》治疗一切黄疸,蒋九在九处得到此方,他的父亲远使得了黄疸,服用此方极有效。茵陈汤及丸方。
茵陈(四两) 大黄(三两) 黄芩(三两) 栀子(三两)
以上四味药,切碎,用水五升,煮取三升,分为三次服用,空腹服用。如果不方便煮汤,可捣碎过筛,用蜂蜜调和做成丸剂。每次饮服二十丸,逐渐增加到二十五丸,根据病情给予剂量,重症用汤剂,优于丸剂,每日服用一次。忌食羊肉、酒、面食、热性食物等,以病愈为限。小便黄色及身体发黄者均主治。
又一方治疗各种黄疸,眼睛已经发黄也能治愈。瓜蒂散方。
丁香(一分) 赤小豆(一分) 瓜蒂(一分) 另一版本加秫米(一分)
以上三味药,捣成粉末,温水送服,饭前一次性服尽,则会通利,并吐出黄水。若未痊愈,再次服用。(均出自第一卷)
《千金方》治疗黄胆。大黄丸方。
大黄(二两) 葶苈(三两)
以上两味药,捣碎过筛制成粉末,用蜂蜜调和做成丸剂,如梧桐子大小。未吃饭时服十丸,每日三次,病愈即停。
又一方大黄丸
大黄(二两) 黄连(三两) 黄芩 黄柏(各一两) 曲衣(五合)
以上五味药,捣碎过筛制成粉末,用蜂蜜调和做成如梧桐子大小的丸剂。饭前服三丸,每日三次,若无反应可增加至五丸。忌食猪肉、冷水。(均出自第十卷)
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases) regarding jaundice: The patient experiences pain throughout the body, fever, and a deep yellow complexion. After seven or eight days, heat pathogens consolidate internally, and blood stasis should be discharged; the discharged blood resembles the shape of a liver, and the patient suffers from abdominal fullness and urgency in the lower abdomen. If the patient has dry, painful eyes, pain in the nasal bone, stiffness in both shoulders and the neck, and tightness in the waist and back, this indicates jaundice. The stool is difficult to pass; as long as urination becomes smooth, death need not be feared. There is no need for frequent bowel movements, as excessive defecation leads to abdominal distension and discomfort. This condition arises because cold-dampness remains at the exterior, causing heat to accumulate in the Spleen and Stomach. The interstices (pores) fail to open, and stagnant heat combats with undigested food, leading to stagnation and steaming without resolution, resulting in the obstruction of both urination and defecation. Consequently, the body and face turn yellow. In cases of severe jaundice, if the Cun Kou pulse (pulse at the radial artery near the palm) is imperceptible and breath from the mouth and nose is cold, these are untreatable signs leading to certain death. (From Volume 12)
In Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage), for various types of jaundice, the primary formula is Zhigao Fa Jian (Pork Fat and Hair Decoction).
Zhigao (Pork fat, 8 liang) Luankou (Disordered hair, one piece the size of a chicken egg)
Combine the two ingredients, simmer the hair in the pork fat until the hair dissolves completely, then grind and filter to remove fine dregs. Divide into two doses. The pathogen exits via urination. (*Zhouhou Beiji Fang*, Wenzhong's works, *Qianjin Fang*, *Gujin Luyan*, *Shenshi Fang*, *Fanwang Fang* record the same case: a maid in the household of Taiyi Xiaowei Shi Tuo was cured twice after passing dry feces from the stomach; it is highly effective. From Volume 14)
*Shanfan* treats Tianxing Dure (Epidemic Toxic Heat), where heat penetrates the Zang-Fu organs and sinks into the marrow. It may manifest as Huangdan (Jaundice), Heidan (Black Jaundice), Chidan (Red Jaundice), Bai dan (White Jaundice), Gu dan (Grain Jaundice), Ma huang (Horse Yellow), etc., leading to sudden cessation of breathing. Gouti San (Melon Peduncle Powder) Formula.
Gouti (Melon peduncle, 14 pieces) Chi xiaodou (Red adzuki bean, 21 pieces) Shumi (Millet, 14 grains)
Grind the three ingredients into a powder. Take an amount the size of a soybean and insufflate it into both nostrils; this is very effective. If not cured, repeat every other day. (*Qianjin Fang*, *Fanwang Fang*, *Jiyan Fang* record the same)
Another Formula
Gouti (Melon peduncle, 14 pieces)
Take this single ingredient, boil in one sheng of water until reduced to five he, and take as one dose.
Another Formula
Yan (Salt, 1 sheng)
Wrap this single ingredient in paper, soak it wet, and burn until red-hot. Place it in three sheng of water and stir well. Filter through a hand towel and take as one dose. After taking the previous two formulas, yellow fluid will be vomited.
Cui Shi's treatment for jaundice, for poor families lacking medicine, follow this formula.
Take three large sheng of willow branches, boil in ten sheng of water until a thick decoction is obtained. Squeeze out half a sheng and take as one dose.
Another Formula for treating jaundice and regulating the Heart and Abdomen
Manjingzi (Vitex fruit, one large he, cleaned)
Grind this single ingredient finely, mix with one sheng of water, grind again, filter to obtain juice (approximately one large cup). Take all at once. Soon, diarrhea will occur naturally, or vomiting may happen, relieving abdominal tension. Sweating may also occur, leading to recovery. (*Beiji Fang*, Wenzhong's works, *Shenshi Fang* record the same, all from Volume 1)
*Nianyan Milu* treats jaundice. Gouti Tang (Melon Peduncle Decoction) Formula.
Gouti (Melon peduncle, 1 liang) Chi xiaodou (Red adzuki bean, 49 pieces) Dingxiang (Clove, 14 pieces)
Grind the three ingredients into powder. Boil in one sheng of water until reduced to four he, and clarify. Divide into two doses and instill into both nostrils. (From Volume 10)
*Jiuji Fang* treats thirty-six types of jaundice.
Burn one egg including the shell to ash. Mix with one he of vinegar and warm it. Combine and take all at once. For those with extreme yellowing of the body and eyes, no more than three eggs are needed. Worms may emerge from the nose; this is miraculous.
Another Formula for various jaundices, including Anhuang (Dark Jaundice) with dim eyes, Da jiao chi hei huang (Severe Red-Black Jaundice) with initial limb twitching, internal jaundice with thirst, Danhuang, red-eyed jaundice, Shenhuang (Kidney Jaundice), urinary obstruction, shortness of breath, chest oppression, and five-colored jaundice. Gouti San (Melon Peduncle Powder) Formula.
Dingxiang (Clove) Gouti (Melon peduncle) Chi xiaodou (Red adzuki bean) (10 pieces each)
Finely grind and sieve the three ingredients. Mix with a quantity of warm vinegar equivalent to one egg and take. Highly effective. (All from Volume 17, *Guangji Fang* records the same)
*Bixiao Fang* treats all types of jaundice. Jiang Jiu received this from nine places; his father Yuan Shi suffered from jaundice and found this extremely effective. Yinchen Tang (Artemisia Decoction) and Pills Formula.
Yinchen (Artemisia capillaris, 4 liang) Dahuang (Rhubarb root, 3 liang) Huangqin (Scutellaria root, 3 liang) Zhizi (Gardenia fruit, 3 liang)
Cut the four ingredients, boil in five sheng of water until reduced to three sheng. Divide into three doses and take on an empty stomach. Alternatively, grind into powder, mix with honey to form pills. Take twenty pills with water, gradually increasing to twenty-five pills according to the condition. Use decoction for severe cases rather than pills, taken once daily. Avoid mutton, alcohol, wheat products, and hot-natured foods. Continue until cured. Indicated for yellow urine and yellowing of the body.
Another Formula for various jaundices, even when eyes are already yellow. Gouti San (Melon Peduncle Powder) Formula.
Dingxiang (Clove, 1 fen) Chi xiaodou (Red adzuki bean, 1 fen) Gouti (Melon peduncle, 1 fen) Another version adds Shumi (Millet, 1 fen)
Grind the three ingredients into powder. Take all at once before meals with warm water. Diarrhea and vomiting of yellow fluid will follow. Repeat if not cured. (All from Volume 1)
*Qianjin Fang* treats Huangdan (Jaundice). Dahuang Wan (Rhubarb Pill) Formula.
Dahuang (Rhubarb root, 2 liang) Tingli (Descurainia seed, 3 liang)
Grind and sieve the two ingredients into powder. Mix with honey to form pills the size of wutong seeds. Take ten pills before meals, three times daily. Stop when cured.
Another Dahuang Wan (Rhubarb Pill) Formula
Dahuang (Rhubarb root, 2 liang) Huanglian (Coptis rhizome, 3 liang) Huangqin (Scutellaria root) Huangbai (Phellodendron bark) (1 liang each) Qu yi (Medicated leaven husk, 5 he)
Grind and sieve the five ingredients into powder. Mix with honey to form pills the size of wutong seeds. Take three pills before meals, three times daily. If ineffective, increase to five pills. Avoid pork and cold water. (All from Volume 10)