夫阴黄者,为阳气伏,阴气盛,热毒加之,故身面尽黄。但头痛而不发热,名为阴黄也
治阴黄,身体面目俱黄,小便如豉汁色,茵陈散方。
茵陈(二两) 白藓皮(一两) 栝蒌根〔二(一)两〕 黄芩(一两) 栀子仁(一
两) 赤芍
药(一两) 木香
两去须)
川朴硝(二两)
上件药,捣粗罗为散。每服五钱,以水一大盏,入豉五十粒,煎至五分,去滓,温服。
如人行十里,再服,以利一、两行为度,即便煮稀葱豉粥食之。
治阴黄,小便不利而赤,身汗出者,表和里实也,宜下之,大黄散方。
川大黄(二两锉碎,微炒) 黄柏(一两锉) 栀子仁(一两) 川朴硝(二两) 甘
草(一两
炙微赤锉) 木通(一两锉)
上件药,捣粗罗为散。每服四钱,以水一中盏,煎至六分,去滓,温服。如人行十里,
再服,以利为度。
治阴黄,小便色不变,欲自利而不利,腹满而喘者,必哕,哕者,宜服小半夏散
方。
半夏(一两汤洗七遍,去滑) 人参(二两去芦头) 葛根(二两锉)
上件药,捣粗罗为散。每服四钱,以水一中盏,入生姜半分,煎至六分,去滓,不计时
候温服。
治阴黄吐方。
赤小豆(二、七粒) 丁香(二、七粒) 麝香(一钱细研) 瓜蒂(二、七枚) 青
布灰〔三
(二)钱〕
上件药,捣细罗为散。每服,以温水调下一钱,日四、五服。若取少许吹鼻中,即出黄
水,为效。
治阴黄,身面悉黄,大便涩,小便如栀子汁,宜服此方。
茵陈〔一(二)两〕 柴胡(一两去苗) 栀子仁(一两) 龙胆(三分去芦头) 枳
壳(一两
麸炒微黄,去瓤) 黄芩(一两) 川升麻(一两) 川大黄(二两碎,微炒)
上件药,捣罗为末,炼蜜和丸,如梧桐子大。每服,以温粥饮下三十丸,日三、四服。
以利为度。
又方
秦艽(一两去苗) 栀子仁(一两) 茵陈(一两) 槟榔〔二(一)两〕 商陆〔一
两(分)〕
陈橘皮(一两汤浸,去白瓤,焙) 甜葶苈(一两隔纸炒,令紫色)
上件药,捣罗为末,炼蜜和丸,如梧桐子大。每服,以温水下二十丸,日三、四服。
治阴黄,眼睛黄,汗染衣,涕唾黄色方。
川大黄(五两饭下蒸一炊时取出,曝干)
上件药,捣细罗为散。每服,以温水调下一钱,日三、四服。当要大小便微利,为效。
阴黄这种病证,是由于阳气郁伏、阴气偏盛,加之热毒侵袭,导致全身及面部都呈现黄色。其特点是只有头痛而不发热,因此被称为阴黄。
治疗阴黄,症状表现为身体和面目均发黄,小便颜色像豆豉汁一样,使用茵陈散方。
药材包括:茵陈(二两)、白鲜皮(一两)、栝蒌根(二两,注:一作为一两)、黄芩(一两)、栀子仁(一两)、赤芍药(一两)、木香(一两,去须)、川朴硝(二两)。
以上药物,捣碎并粗筛成散剂。每次服用五钱,用水一大盏,加入豆豉五十粒,煎煮至剩余五分水量,滤去药渣,温服。如果行人行走十里路的时间后,再次服用,以大便通畅一至两次为度,随后立即煮稀葱豉粥食用。
治疗阴黄,症状表现为小便不利且色赤,身体出汗的,这是表证已解而里实热结,适宜采用攻下法,使用大黄散方。
药材包括:川大黄(二两,锉碎,微炒)、黄柏(一两,锉)、栀子仁(一两)、川朴硝(二两)、甘草(一两,炙至微红,锉)、木通(一两,锉)。
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,煎煮至剩余六分水量,滤去药渣,温服。如果行人行走十里路的时间后,再次服用,以大便通畅为度。
治疗阴黄,症状表现为小便颜色没有改变,想排便却排不出,腹部胀满且气喘的,必然会出现呃逆(哕),出现呃逆时,适宜服用小半夏散方。
药材包括:半夏(一两,用汤洗七遍,去滑腻)、人参(二两,去芦头)、葛根(二两,锉)。
以上药物,捣碎并粗筛成散剂。每次服用四钱,用水一中盏,加入生姜半片,煎煮至剩余六分水量,滤去药渣,不拘时候温服。
治疗阴黄呕吐的方子。
药材包括:赤小豆(二七粒,即十四粒)、丁香(二七粒)、麝香(一钱,细研)、瓜蒂(二七枚)、青布灰(三钱,注:二作三钱)。
以上药物,捣细并过筛成散剂。每次服用,用温水调服一钱,每日服用四到五次。如果取少量药粉吹入鼻中,流出黄水,即为有效。
治疗阴黄,症状表现为全身及面部全部发黄,大便干涩,小便像栀子汁一样的,适宜服用此方。
药材包括:茵陈(一两,注:一作二两)、柴胡(一两,去苗)、栀子仁(一两)、龙胆(三分,去芦头)、枳壳(一两,麸炒至微黄,去瓤)、黄芩(一两)、川升麻(一两)、川大黄(二两,碎,微炒)。
以上药物,捣罗成末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用,用温粥饮送下三十丸,每日服用三到四次。以大便通畅为度。
另一个方子:
药材包括:秦艽(一两,去苗)、栀子仁(一两)、茵陈(一两)、槟榔(一两,注:二作一两)、商陆(一两,注:一分作一两)、陈橘皮(一两,汤浸,去白瓤,焙干)、甜葶苈(一两,隔纸炒至紫色)。
以上药物,捣罗成末,用炼蜜调和制成丸剂,大小如梧桐子。每次服用,用温水送下二十丸,每日服用三到四次。
治疗阴黄,眼睛发黄,汗液染衣,鼻涕和唾液呈黄色的方子。
药材包括:川大黄(五两,在饭上蒸一顿饭的时间后取出,晒干)。
以上药物,捣细并过筛成散剂。每次服用,用温水调服一钱,每日服用三到四次。应当使大小便轻微通畅,即为有效。
Yin Jaundice (Yin Huang) is a condition caused by the entrapment of Yang Qi and the predominance of Yin Qi, compounded by heat-toxin invasion, resulting in yellowing of the entire body and face. It is characterized by headache without fever, hence named Yin Jaundice.
For treating Yin Jaundice with symptoms of yellowing of the body and face, and urine resembling the color of fermented soybean juice (Douchi), use Yinchensan Formula (Coptis Powder).
Ingredients: Yinchen (Artemisiae Scopariae Herba, 2 liang), Baixianpi (Dictamni Cortex, 1 liang), Gualualgen (Trichosanthis Radix, 2 liang; note: one version says 1 liang), Huangqin (Scutellariae Radix, 1 liang), Zhiziren (Gardeniae Semen, 1 liang), Chishaoyao (Paeoniae Radix Rubra, 1 liang), Muxiang (Aucklandiae Radix, 1 liang, remove roots), Chuan Puxiao (Natrii Sulfas, 2 liang).
The above ingredients are coarsely pounded and sieved into a powder. Take 5 qian per dose, add to 1 large cup of water and 50 grains of Douchi (Fermented Soybean Juice), decoct until 0.5 cup remains, filter out the dregs, and take warm. After the time it takes for a person to walk ten li, take another dose. The treatment should continue until there is one or two bowel movements, after which thin Congchi Porridge (Green Onion and Fermented Soybean Porridge) should be cooked and eaten.
For treating Yin Jaundice with symptoms of difficult and dark urination, and sweating from the body, this indicates that the exterior syndrome has resolved while interior excess heat remains; purgation is indicated. Use Dahuangsang Formula (Rhubarb Powder).
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, sliced and slightly stir-fried), Huangbai (Phellodendri Cortex, 1 liang, sliced), Zhiziren (Gardeniae Semen, 1 liang), Chuan Puxiao (Natrii Sulfas, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced), Mutong (Akebiae Caulis, 1 liang, sliced).
The above ingredients are coarsely pounded and sieved into a powder. Take 4 qian per dose, add to 1 medium cup of water, decoct until 0.6 cup remains, filter out the dregs, and take warm. After the time it takes for a person to walk ten li, take another dose. Continue until bowel movement occurs.
For treating Yin Jaundice with symptoms of unchanged urine color, inability to defecate despite the urge, abdominal fullness, and wheezing, which inevitably leads to hiccups (Yue), Xiaobansan Formula (Pinellia Powder) is suitable.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, washed seven times with hot water to remove slipperiness), Renshen (Ginseng Radix, 2 liang, remove rhizome), Gegen (Puerariae Radix, 2 liang, sliced).
The above ingredients are coarsely pounded and sieved into a powder. Take 4 qian per dose, add to 1 medium cup of water and half a slice of Shengjiang (Zingiberis Rhizoma Recens), decoct until 0.6 cup remains, filter out the dregs, and take warm at any time.
Formula for treating vomiting in Yin Jaundice.
Ingredients: Chixiaodou (Phaseoli Radiati Semen, 14 grains), Dingxiang (Caryophylli Flos, 14 grains), Shexiang (Moschus, 1 qian, finely ground), Guiti (Cucumeris Fructus, 14 pieces), Qingbu Hui (Ash of Blue Cloth, 3 qian; note: one version says 2 qian).
The above ingredients are finely pounded and sieved into a powder. Take 1 qian per dose, mixed with warm water, taken four to five times daily. Alternatively, blow a small amount of powder into the nose; if yellow fluid discharges, it is effective.
For treating Yin Jaundice with symptoms of complete yellowing of the body and face, dry stool, and urine resembling Gardenia juice, this formula is suitable.
Ingredients: Yinchen (Artemisiae Scopariae Herba, 1 liang; note: one version says 2 liang), Chaihu (Bupleuri Radix, 1 liang, remove sprouts), Zhiziren (Gardeniae Semen, 1 liang), Longdan (Gentianae Radix, 3 fen, remove rhizome), Zhiqiao (Aurantii Fructus, 1 liang, bran-fried until slightly yellow and pith removed), Huangqin (Scutellariae Radix, 1 liang), Chuan Shengma ( Cimicifugae Rhizoma, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, crushed and slightly stir-fried).
The above ingredients are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with warm porridge water, three to four times daily. Continue until bowel movement occurs.
Another formula:
Ingredients: Qinjiao (Gentianae Macrophyllae Radix, 1 liang, remove sprouts), Zhiziren (Gardeniae Semen, 1 liang), Yinchen (Artemisiae Scopariae Herba, 1 liang), Binglang (Arecae Semen, 1 liang; note: one version says 1 liang), Shanglu (Phytolaccae Radix, 1 liang; note: one fen equals 1 liang), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried), Tiantingli (Descurainiae Semen Lepidii seu Lepidii Semen, 1 liang, stir-fried between papers until purple).
The above ingredients are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with warm water, three to four times daily.
Formula for treating Yin Jaundice with symptoms of yellow eyes, sweat staining clothes, and yellow nasal discharge and saliva.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 5 liang, steamed over rice for the duration of one meal, then taken out and dried in the sun).
The above ingredient is finely pounded and sieved into a powder. Take 1 qian per dose, mixed with warm water, three to four times daily. The effect is achieved when mild diarrhea or urination occurs.