《广济》疗黄胆,遍身面悉黄,小便如浓栀子汁。茵陈丸方。
茵陈(四两) 黄芩(三两) 枳实(二两炙) 大黄(三两)
上四味,捣筛,蜜丸。空腹以米饮服如梧子二十丸,日二服,渐加至二十五丸,微利为
度。忌热面、蒜、荞麦、粘食、陈臭物。(一方有升麻三两,出第一卷中)
《肘后》疗黄胆者,一身面目悉黄如橘柚,暴得热,外以冷迫之,热因留胃中,
生黄衣,热熏上所致方。
猪脂(一升)
上一味,成煎者,温令热。尽服之,日三。燥屎当下,下则稍愈便止。(与前《近效方
》同,《备急》、崔氏同,出第三卷中)
《短剧》疗黄胆身目皆黄,皮肤曲尘出。三物茵陈蒿汤方。
茵陈蒿(一把) 栀子(二十四枚) 石膏(一斤) 《千金方》加大黄(三两)
上三味,以水八升,煮取二升半,去滓,以猛火烧石膏,令正赤,投汤中沸定取清汁,
适寒温。服一升。自覆令汗出周身遍,以温粉粉之,则愈。若不汗,更服一升,汗出乃愈也
。(《深师》、《古今录验》、《千金翼》同,出第四卷中)
《集验》疗黄胆身体面目皆黄。大黄散方。
大黄(四两) 黄连(四两) 黄芩(四两)
上三味,捣筛为散,先食服方寸匕,日三服。亦可为丸服。(《备急》、文仲、《千金
》同,出第二卷中)
《删繁》疗黄胆者通身并黄。茵陈汤方。
茵陈(四两) 柴胡(四两) 升麻(三两) 龙胆草(二两) 黄芩 大黄(各三两)
上六味,切,以水九升,煮取三升,分三服。若身体羸,去大黄,加栀子仁五六两,生
地黄切一升。(《古今录验》、《千金》同,出第十卷中)
《千金翼》论曰∶凡遇天行热病,多必内瘀着黄,但用瓜丁散纳鼻中,令黄汁出乃愈,
即于后不复,恐病黄矣,常须用心警候病患四肢身面微似有黄气,则须用瓜丁散,不得令散
漫失候,必大危矣。特忌酒、面,犯者死。
又凡人无故,忽然振寒便发黄,皮肤黄曲尘出,小便赤少,大便时闭,气力无异,食饮
不妨,已服诸汤,余热不除,久黄者。苦参散方。
苦参(一两) 黄连(一两) 葶苈子(熬) 瓜蒂 黄芩 黄柏 大黄(各一两)
上七味,捣为散,饮服方寸匕,当大吐者,日一服,不吐日二,亦得下。服药五日,知
可消息,不知更服。忌猪肉、冷水。(《古今录验》、《千金》、《短剧》同,出第十八卷中)
崔氏疗黄胆,身体面目尽黄。茵陈汤。太医校尉史脱方。
茵陈蒿(三两) 黄连(二两) 黄芩(三两) 栀子(十四枚) 大黄(一两) 甘
草(一两炙
)人参(一两)
上七味,切,以水一斗,煮取三升,分三服。(《千金》同,出第一卷中)
《延年秘录》栀子汤 疗遍身黄如橘,心肋满急方。
栀子仁(四两) 黄芩(三两) 柴胡(四两) 升麻(三两) 龙胆草(三两) 大
黄(三两)
栝蒌(三两) 芒硝(二两)
上八味,切,以水九升,煮取二升八合,去滓,分温三服,相去四五里进一服。(出第
十卷中)
《必效》黄胆身眼皆如金色,但诸黄皆主之方。
取东引桃根细切如箸,若钗股以下者一握。取时勿令见风,及妇人并鸡犬等见之。以水
一大升,煎取搦一小升,适寒温,空腹顿服。服后三五日,其黄离离如薄云散,唯眼最后瘥
,百日方平复,身黄散后,可时时饮一盏清酒,则眼中易散,不则散迟。忌食面、猪、鱼等
肉。此方是徐之才家秘方,其侄珍惠说,密用。(出第一卷中)
《近效》疗发黄,身面眼悉黄如金色,小便浓如煮黄柏汁者,众医不能疗。良验茵陈汤
方。
茵陈(四两) 黄芩(二两) 栀子(三两) 升麻(三两) 大黄(三两) 龙胆草
(二两) 枳
实(二两炙) 柴胡(四两)
上八味,切,以水八升,煮取二升七合,分温三服。若身绝羸,加生地黄一升,栀子加
至七两,去大黄;如气力不羸,依前着大黄取验。忌如法。不瘥更作,以瘥为限,不过三四
剂瘥,隔三五日一剂。(《经心录》同,李皓处得此方,神良)
《广济方》治疗黄疸,全身及面部全部发黄,小便颜色像浓栀子汁一样。茵陈丸方。
茵陈(四两) 黄芩(三两) 枳实(二两,炙) 大黄(三两)
以上四味药,捣碎过筛,用蜂蜜制成丸剂。空腹时以米汤送服,丸药大小如梧桐子,每次二十丸,每日服用两次,逐渐增加至二十五丸,以轻微腹泻为度。忌食热面、蒜、荞麦、粘性食物及陈旧腐臭之物。(另一版本有三两升麻,出自第一卷中)
《肘后备急方》治疗黄疸,全身面目都像橘柚一样黄,突然发热,若用冷物强行逼迫退热,热邪因而留在胃中,生成黄色物质,这是热邪熏蒸上部所致。方剂如下。
猪脂(一升)
以上一味药,取熬制成熟的猪油,温热后服用。一次性服完,每日三次。燥屎应当排出,排出后病情稍好转即可停药。(与前文《近效方》相同,《备急方》、崔氏方也相同,出自第三卷中)
《短剧方》治疗黄疸,身体和眼睛都发黄,皮肤出现类似尘垢的黄色斑点。三物茵陈蒿汤方。
茵陈蒿(一把) 栀子(二十四枚) 石膏(一斤) 《千金方》中加大黄(三两)
以上三味药,用水八升,煮取二升半,去渣,用猛火将石膏烧至正红色,投入汤中煮沸稳定后取清汁,温度适宜时服用一升。服药后覆盖身体使周身遍出微汗,并用温粉扑身,则病愈。如果不出汗,再服用一升,出汗后才痊愈。(《深师方》、《古今录验》、《千金翼方》相同,出自第四卷中)
《集验方》治疗黄疸,身体和面目都发黄。大黄散方。
大黄(四两) 黄连(四两) 黄芩(四两)
以上三味药,捣碎过筛做成散剂,饭前服用一方寸匕,每日三次。也可以制成丸剂服用。(《备急方》、文仲方、《千金方》相同,出自第二卷中)
《删繁方》治疗黄疸,全身均发黄。茵陈汤方。
茵陈(四两) 柴胡(四两) 升麻(三两) 龙胆草(二两) 黄芩 大黄(各三两)
以上六味药,切碎,用水九升,煮取三升,分三次服用。如果身体虚弱,去掉大黄,加栀子仁五六两,生地黄切一升。(《古今录验》、《千金方》相同,出自第十卷中)
《千金翼方》论述说:凡是遇到流行性热病,大多必然导致体内瘀滞发黄,只需使用瓜丁散纳入鼻中,令黄水流出即痊愈,此后不再复发,恐怕会患黄疸病,平时须用心警惕观察病患四肢、身体、面部是否有微黄的迹象,若有则须用瓜丁散,不可让病情扩散而失去观察时机,否则必有大危。特别忌酒、面,触犯者致死。
另外,凡人无故忽然发冷战栗随即发黄,皮肤出现黄色尘垢状斑点,小便赤少,大便时常闭塞,气力无异常,饮食无妨碍,已服用各种汤药,余热未除,久治不愈的黄疸。苦参散方。
苦参(一两) 黄连(一两) 葶苈子(炒) 瓜蒂 黄芩 黄柏 大黄(各一两)
以上七味药,捣碎做成散剂,用温水送服一方寸匕,应当引起剧烈呕吐的,每日服用一次,不呕吐的每日两次,也可以引起腹泻。服药五日后,视情况调整,若无反应则继续服用。忌食猪肉、冷水。(《古今录验》、《千金方》、《短剧方》相同,出自第十八卷中)
崔氏治疗黄疸,身体和面目全部发黄。茵陈汤。太医校尉史脱方。
茵陈蒿(三两) 黄连(二两) 黄芩(三两) 栀子(十四枚) 大黄(一两) 甘草(一两,炙) 人参(一两)
以上七味药,切碎,用水一斗,煮取三升,分三次服用。(《千金方》相同,出自第一卷中)
《延年秘录》栀子汤 治疗全身发黄如橘子色,心肋部胀满急迫。方剂如下。
栀子仁(四两) 黄芩(三两) 柴胡(四两) 升麻(三两) 龙胆草(三两) 大黄(三两)
栝蒌(三两) 芒硝(二两)
以上八味药,切碎,用水九升,煮取二升八合,去渣,分三次温服,每次间隔四五里路程的时间服用一次。(出自第十卷中)
《必效方》治疗黄疸,身体和眼睛都像金色,所有类型的黄疸皆适用此方。
取向东生长的桃根,细细切碎如筷子或钗股粗细者一握。采摘时不要让风吹到,也不要让妇女、鸡狗等看到。用水一大升,煎取浓缩至一小升,温度适宜时,空腹一次性服下。服药后三五日,其黄色像薄云消散一样逐渐褪去,只有眼睛最后恢复,需百日才能完全平复。身体黄色散去后,可不时饮一杯清酒,则眼中黄色易散,否则消散缓慢。忌食面、猪肉、鱼肉等。(此方是徐之才家的秘方,其侄徐珍惠所述,秘密使用。)(出自第一卷中)
《近效方》治疗发黄,身体、面部、眼睛都像金色一样黄,小便浓稠如煮黄柏汁,众医不能治愈。疗效显著的茵陈汤方。
茵陈(四两) 黄芩(二两) 栀子(三两) 升麻(三两) 大黄(三两) 龙胆草(二两) 枳实(二两,炙) 柴胡(四两)
以上八味药,切碎,用水八升,煮取二升七合,分三次温服。如果身体极度虚弱,加生地黄一升,栀子加至七两,去掉大黄;如果气力不虚,按原方加入大黄以取效。禁忌方法同上。若不痊愈则再制作服用,以痊愈为限,不过三四剂即可痊愈,隔三五日服用一剂。(《经心录》相同,李皓处获得此方,神效良验)
The *Guangji* formula treats jaundice, where the entire body and face are completely yellow, and the urine is as dark as concentrated gardenia juice. Yinchen Pill Formula.
Yinchen (Artemisiae Scopariae Herba) (4 liang), Huangqin (Scutellariae Radix) (3 liang), Zhishi (Aurantii Fructus Immaturus) (2 liang, processed with honey), Dahuang (Rhei Radix et Rhizoma) (3 liang).
The above four ingredients are crushed, sifted, and made into pills with honey. Taken on an empty stomach with rice water, in doses of twenty pills the size of a tung tree seed, twice daily. Gradually increase to twenty-five pills, stopping when mild diarrhea occurs. Avoid hot noodles, garlic, buckwheat, sticky foods, and stale or foul-smelling substances. (Another version includes Shengma (Cimicifugae Rhizoma) 3 liang, found in Volume I.)
The *Zhouhou Beiji Fang* treats jaundice, where the whole body and face are yellow like oranges or pomelos. It arises from sudden fever; if cold is applied externally to force the heat down, the heat remains in the stomach, generating a yellow coating. This is caused by heat steaming upward. The formula is as follows.
Zhuzhi (Porci Adipis) (1 sheng).
Take one ingredient: mature rendered pork fat. Warm it and consume it all at once, three times a day. Dry stool should be discharged; stop taking it once slight improvement occurs after defecation. (Same as the preceding *Jinxiao Fang*, also same as *Beiji Fang* and Cui Shi's formula, found in Volume III.)
The *Duanju Fang* treats jaundice where both the body and eyes are yellow, with skin showing dust-like yellow spots. Sanwu Yinchenhao Tang Formula.
Yinchenhao (Artemisiae Scopariae Herba) (one handful), Zhizi (Gardeniae Fructus) (24 pieces), Shigao (Gypsum Fibrosum) (1 jin). (*Qianjin Fang* adds Dahuang (Rhei Radix et Rhizoma) 3 liang).
The above three ingredients are boiled in 8 sheng of water until reduced to 2.5 sheng. Strain the dregs. Roast Shigao (Gypsum Fibrosum) over high fire until red-hot, then throw it into the decoction. Boil until stable, take the clear liquid. Drink 1 sheng when the temperature is suitable. Cover the patient to induce sweating throughout the body, and apply warm powder to the skin; the disease will heal. If no sweat occurs, administer another 1 sheng; healing occurs upon sweating. (Same as *Shenshi Fang*, *Gujin Luyan*, and *Qianjin Yi Fang*, found in Volume IV.)
The *Jiyan Fang* treats jaundice where the body and face are all yellow. Dahuang San Formula.
Dahuang (Rhei Radix et Rhizoma) (4 liang), Huanglian (Coptidis Rhizoma) (4 liang), Huangqin (Scutellariae Radix) (4 liang).
The above three ingredients are crushed and sifted into a powder. Take one fangcunbi (a measure roughly equivalent to a square inch spoonful) before meals, three times a day. It can also be made into pills. (Same as *Beiji Fang*, Wen Zhong's formula, and *Qianjin Fang*, found in Volume II.)
The *Shanfan Fang* treats jaundice where the entire body is yellow. Yinchen Tang Formula.
Yinchen (Artemisiae Scopariae Herba) (4 liang), Chaihu (Bupleuri Radix) (4 liang), Shengma (Cimicifugae Rhizoma) (3 liang), Longdancao (Gentianae Radix) (2 liang), Huangqin (Scutellariae Radix) and Dahuang (Rhei Radix et Rhizoma) (each 3 liang).
The above six ingredients are cut and boiled in 9 sheng of water until reduced to 3 sheng. Divide into three doses. If the body is emaciated/weak, remove Dahuang (Rhei Radix et Rhizoma) and add Zhiziren (Gardeniae Semen) 5-6 liang and Shengdihuang (Rehmanniae Radix) cut into 1 sheng. (Same as *Gujin Luyan* and *Qianjin Fang*, found in Volume X.)
*Qianjin Yi Fang* states: Whenever encountering epidemic febrile diseases, internal stasis often leads to jaundice. Simply use Guding San (Melon Seed Powder) insufflated into the nose to discharge yellow fluid, and the disease heals without recurrence. One must vigilantly monitor patients for any slight yellowish hue on the limbs, body, or face. If present, use Guding San immediately; do not let the condition spread unnoticed, or it will become critical. Strictly avoid alcohol and wheat noodles; violation may lead to death.
Furthermore, for ordinary people who suddenly develop chills followed by jaundice, with skin showing yellow dust-like spots, scanty dark urine, occasional constipation, but normal strength and appetite, where previous decoctions have failed to clear residual heat in chronic jaundice cases. Kushen San Formula.
Kushen (Sophorae Flavescentis Radix) (1 liang), Huanglian (Coptidis Rhizoma) (1 liang), Tinglizi (Descurainiae Semen Lepidii seu Lepidii Semen) (processed), Gudi (Momordicae Fructus), Huangqin (Scutellariae Radix), Huangbo (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma) (each 1 liang).
The above seven ingredients are crushed into a powder. Take one fangcunbi with water. It should induce strong vomiting; take once daily if vomiting occurs, or twice daily if not. It may also cause purgation. After five days of medication, adjust based on response; if no effect, continue. Avoid pork and cold water. (Same as *Gujin Luyan*, *Qianjin Fang*, and *Duanju Fang*, found in Volume XVIII.)
Cui Shi treats jaundice where the body and face are entirely yellow. Yinchen Tang. Formula from Taiyi Xiaowei Shi Tuo.
Yinchenhao (Artemisiae Scopariae Herba) (3 liang), Huanglian (Coptidis Rhizoma) (2 liang), Huangqin (Scutellariae Radix) (3 liang), Zhizi (Gardeniae Fructus) (14 pieces), Dahuang (Rhei Radix et Rhizoma) (1 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (1 liang, processed), Renshen (Panacis Ginseng Radix) (1 liang).
The above seven ingredients are cut and boiled in 10 dou of water until reduced to 3 sheng. Divide into three doses. (Same as *Qianjin Fang*, found in Volume I.)
*Yannian Milu* Zhi Zi Tang treats generalized jaundice yellow like an orange, with fullness and urgency in the heart and hypochondrium. Formula:
Zhiziren (Gardeniae Semen) (4 liang), Huangqin (Scutellariae Radix) (3 liang), Chaihu (Bupleuri Radix) (4 liang), Shengma (Cimicifugae Rhizoma) (3 liang), Longdancao (Gentianae Radix) (3 liang), Dahuang (Rhei Radix et Rhizoma) (3 liang).
Gualou (Trichosanthis Fructus) (3 liang), Mangxiao (Natri Sulfas) (2 liang).
The above eight ingredients are cut and boiled in 9 sheng of water until reduced to 2.8 sheng. Strain. Divide into three warm doses. Administer each dose every four to five li distance/time interval. (Found in Volume X.)
*Bixiao Fang* treats jaundice where the body and eyes are golden-yellow; applicable to all types of jaundice. Formula:
Take roots of peach trees growing eastward, finely chopped like chopsticks or hairpins, about one handful. Do not expose to wind during harvesting, nor let women, chickens, or dogs see them. Boil in 1 sheng of water until reduced to 0.1 sheng. Take on an empty stomach when temperature is suitable. Within three to five days after ingestion, the yellow color disperses like thin clouds, with the eyes being the last to recover, taking one hundred days to fully normalize. After body jaundice clears, occasionally drink a cup of clear wine to help disperse eye discoloration; otherwise, dispersion is slow. Avoid noodles, pork, and fish. This was a secret family formula of Xu Zhicai, recounted by his nephew Zhenhui. (Found in Volume I.)
*Jinxiao Fang* treats jaundice where the body, face, and eyes are golden-yellow, and urine is thick like boiled Phellodendron juice, which other physicians could not cure. Highly effective Yinchen Tang Formula.
Yinchen (Artemisiae Scopariae Herba) (4 liang), Huangqin (Scutellariae Radix) (2 liang), Zhizi (Gardeniae Fructus) (3 liang), Shengma (Cimicifugae Rhizoma) (3 liang), Dahuang (Rhei Radix et Rhizoma) (3 liang), Longdancao (Gentianae Radix) (2 liang), Zhishi (Aurantii Fructus Immaturus) (2 liang, processed), Chaihu (Bupleuri Radix) (4 liang).
The above eight ingredients are cut and boiled in 8 sheng of water until reduced to 2.7 sheng. Divide into three warm doses. If the body is extremely weak, add Shengdihuang (Rehmanniae Radix) 1 sheng, increase Zhizi (Gardeniae Fructus) to 7 liang, and remove Dahuang (Rhei Radix et Rhizoma); if strength is adequate, keep Dahuang (Rhei Radix et Rhizoma) as originally prescribed for efficacy. Follow the same dietary restrictions. If not cured, prepare again; limit to three or four courses for cure. Administer one course every three to five days. (Same as *Jingxin Lu*, obtained from Li Hao, highly effective.)