淡黄白者胃不和也,平胃散(不乳食)、调中丸(腹痛),渴者,白术散(渴)。
瓜蒂散 治小儿忽发心满坚硬,脚手心热,变为黄胆,不急治,则杀人。
瓜蒂(七枚) 赤小豆(七粒) 秫米(七粒)
上为末。用一字吹两鼻内。令黄水出,余末尽,水调服之,得吐出黄水即愈。
一方,瓜蒂(一两)、赤小豆(四两,为末),每一钱,温汤调服,服后即卧,当吐清黄汁为
效,虚者不宜服。
《千金翼》秦王九疸散 兼治大人小儿方。
胃疸,食多喜饮,栀子仁主之。心疸,烦心心中热,茜根主之。肾疸,唇干,
葶苈子主之(熬)。脾疸,尿赤出少,惕惕恐,栝蒌主之。膏疸,饮水尿多,秦
椒、瓜蒂主之(椒汁,膏一作肺)。舌疸,渴而数便,钟乳主之。肉疸,小便白,
凝水石主之。髓疸,目深,多嗜卧,牡蛎、泽泻主之。肝疸,胃热饮多,水
激肝,白术主之。
上一十一味,等分,随病所在加半,捣筛为散。饮服五分匕,日三,稍稍加至
方寸匕。儿小者,量与之。
《千金翼》治大人小儿黄胆变成黑疸,医所不能治方
上用土瓜根捣汁一升,顿服之。病当从小便出,小儿分减服。葛氏亦治小儿四岁发黄者。
《千金冀》治大人小儿黄黑等疸方
当归(三两) 桂心(六两) 干枣(十七枚,去核) 麦门冬(一升) 大黄(一两) 茵陈 黄芩 黄 (一
本无) 干姜 茯苓 芍药 黄连 石膏(碎) 人参 甘草(各二两)
上十五味, 咀。以水一斗,煮取三升半,分四服,小儿分减服。
《千金翼》赤苓散 主黑疸身皮大便皆黑,通治大人小儿。
赤小豆(三十枚) 茯苓 女萎(各六铢) 雄黄(一铢) 瓜丁(四铢) 甘草(二铢)
上六味,以水三升,煮豆、茯苓取八合,捣四味为散。和半钱匕服之。须臾当
吐,吐则愈。亦主一切黄。小儿服半字匕。
面色淡黄白色,是胃气不和的表现,可用平胃散(适用于食欲不振、乳食停滞)、调中丸(适用于腹痛),若有口渴症状,则用白术散(治疗口渴)。
瓜蒂散:治疗小儿突然发作的心胸痞满坚硬,手脚心发热,进而转变为黄疸病。若不紧急治疗,会导致死亡。
药材:瓜蒂七枚,赤小豆七粒,秫米七粒。
制法与用法:将上述药物研为细末。取“一字”量的药粉吹入双侧鼻孔内。促使黄色液体流出,剩余的药粉全部用完,再用清水调和服用,若能吐出黄水,疾病即可痊愈。
另一配方:瓜蒂一两,赤小豆四两(研为细末),每次取一钱,用温开水调和服用。服药后立即卧床休息,若吐出清黄色的汁液即为有效。体质虚弱者不宜服用。
《千金翼方》中的秦王九疸散:兼治成人和儿童的方剂。
胃疸:饮食多且喜欢饮水,以栀子仁为主药。
心疸:心烦、心中烦热,以茜根为主药。
肾疸:嘴唇干燥,以葶苈子为主药(需炒制)。
脾疸:小便色赤且量少,心中惊恐不安,以栝蒌为主药。
膏疸:饮水多但排尿也多,以秦椒、瓜蒂为主药(秦椒取汁,膏字一作肺字)。
舌疸:口渴且频繁排便,以钟乳为主药。
肉疸:小便颜色发白,以凝水石为主药。
髓疸:眼球深陷,嗜睡,以牡蛎、泽泻为主药。
肝疸:胃中有热、饮水多,水邪激荡肝脏,以白术为主药。
以上十一味药,等量分配,根据病变部位酌情增加半量,捣碎过筛制成散剂。每次用饮送服五分匕大小的药量,每日三次,逐渐增加至一方寸匕的大小。儿童用量需酌情减少。
《千金翼方》治疗成人及儿童黄疸转为黑疸,医生难以治愈的方剂:
取土瓜根捣取汁液一升,一次性服用。病邪应当从小便排出,儿童需减量服用。葛氏也治疗四岁儿童发黄的症状。
《千金翼方》治疗成人及儿童黄黑等疸的方剂:
当归三两,桂心六两,干枣十七枚(去核),麦门冬一升,大黄一两,茵陈,黄芩,黄(有的版本没有此药),干姜,茯苓,芍药,黄连,石膏(打碎),人参,甘草(各二两)。
以上十五味药,切碎。用水一斗,煎煮取三升半药液,分四次服用,儿童需减量服用。
《千金翼方》赤苓散:主治黑疸患者皮肤和大便皆呈黑色,通治成人和儿童。
赤小豆三十枚,茯苓,女萎(各六铢),雄黄(一铢),瓜丁(四铢),甘草(二铢)。
以上六味药,用水三升,煮赤小豆和茯苓,取八合药液,将另外四味药捣碎为散剂。混合后取半钱匕大小服用。不久应当呕吐,吐后疾病即愈。也可主治各种黄疸。儿童服用半字匕大小。
A pale yellowish-white complexion indicates disharmony of the Stomach (Wei, 胃). Pingwei San (Calm the Stomach Powder) may be used for anorexia and food stagnation; Tiaozhong Wan (Regulate the Middle Pill) for abdominal pain. If thirst is present, Baizhu San (Atractylodes Macrocephala Powder) is indicated for treating thirst.
Gua Di San (Melon Peduncle Powder): Treats sudden onset of chest fullness and hardness in children, accompanied by heat in the palms and soles, which may transform into Jaundice (Huangdan, 黄疸). If not treated urgently, it can be fatal.
Ingredients: Gua Di (Thladianthae Fructus, 瓜蒂) seven pieces, Chi Xiao Dou (Vigna angularis Seed, 赤小豆) seven grains, Shu Mi (Sorghum Vulgare Grain, 秫米) seven grains.
Preparation and Administration: Grind the above ingredients into a fine powder. Blow one "yi" (a small unit of measure) amount of powder into both nostrils to induce the discharge of yellow fluid. Use up all remaining powder, mix with water, and administer orally. Recovery occurs when yellow fluid is vomited.
Alternative Prescription: Gua Di (Thladianthae Fructus, 瓜蒂) one liang, Chi Xiao Dou (Vigna angularis Seed, 赤小豆) four liang (ground into powder). Take one qian each time, mixed with warm water. Lie down immediately after ingestion. The appearance of clear yellow juice upon vomiting indicates efficacy. This is contraindicated for those with deficiency.
Qin Wang Jiu Dan San (Nine Types of Jaundice Powder of Qin Wang) from *Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold): A formula applicable to both adults and children.
Stomach Jaundice (Wei Dan, 胃疸): Characterized by excessive eating and desire to drink; Zhi Zi Ren (Gardeniae Semen, 栀子仁) is the principal herb.
Heart Jaundice (Xin Dan, 心疸): Characterized by mental restlessness and heat in the heart; Qian Gen (Madder Root, 茜根) is the principal herb.
Kidney Jaundice (Shen Dan, 肾疸): Characterized by dry lips; Ting Li Zi (Descurainiae Semen, 葶苈子) is the principal herb (roasted).
Spleen Jaundice (Pi Dan, 脾疸): Characterized by dark, scanty urine and timidity/fear; Gua Lou (Trichosanthis Fructus, 栝蒌) is the principal herb.
Fat Jaundice (Gao Dan, 膏疸): Characterized by excessive drinking and urination; Qin Jiao (Sophorae Flavescentis Radix, 秦椒 - note: text says Qin Jiao but context implies pepper-like spice, likely Zanthoxylum or similar, here translated as Qin Jiao based on character) and Gua Di (Thladianthae Fructus, 瓜蒂) are the principal herbs (use Qin Jiao juice; 'Gao' variant reads as Fei/Lung).
Tongue Jaundice (She Dan, 舌疸): Characterized by thirst and frequent defecation; Zhong Ru (Gypsum Fibrosum, 钟乳) is the principal herb.
Flesh Jaundice (Rou Dan, 肉疸): Characterized by white urine; Ning Shui Shi (Halloysitum Rubrum, 凝水石) is the principal herb.
Marrow Jaundice (Sui Dan, 髓疸): Characterized by sunken eyes and somnolence; Mu Li (Ostreae Concha, 牡蛎) and Ze Xie (Alismatis Rhizoma, 泽泻) are the principal herbs.
Liver Jaundice (Gan Dan, 肝疸): Characterized by stomach heat, excessive drinking, and water pathogen agitating the Liver; Bai Zhu (Atractylodis Macrocephalae Rhizoma, 白术) is the principal herb.
The above eleven herbs are taken in equal proportions, with half an additional portion added according to the location of the disease. Pound and sieve into a powder. Administer five fen bi (a small spoon measure) with water, three times daily, gradually increasing to one fang cun bi (one square-inch spoon measure). Reduce dosage for young children.
*Qianjin Yi Fang* (Supplement to Essential Prescriptions Worth a Thousand Gold) Formula for Treating Adult and Pediatric Jaundice Transforming into Black Jaundice (Hei Dan, 黑疸), which physicians find difficult to treat:
Crush Tu Gua Gen (Trichosanthes Kirilowii Root, 土瓜根) to extract one sheng (unit of volume) of juice. Administer in one dose. The pathogen should exit via urination. Reduce dosage for children. Ge Shi also treats four-year-old children with jaundice.
*Qianjin Yi Fang* Formula for Treating Adult and Pediatric Yellow and Black Jaundice:
Dang Gui (Angelicae Sinensis Radix, 当归) three liang, Gui Xin (Cinnamomi Cortex, 桂心) six liang, Gan Zao (Jujubae Fructus, 干枣) seventeen pieces (pitted), Mai Men Dong (Ophiopogonis Radix, 麦门冬) one sheng, Da Huang (Rhei Radix et Rhizoma, 大黄) one liang, Yin Chen (Artemisiae Scopariae Herba, 茵陈), Huang Qin (Scutellariae Radix, 黄芩), Huang [missing/variant], Gan Jiang (Zingiberis Rhizoma, 干姜), Fu Ling (Poria, 茯苓), Shao Yao (Paeoniae Radix Alba/Rubra, 芍药), Huang Lian (Coptidis Rhizoma, 黄连), Shi Gao (Gypsum Fibrosum, 石膏) crushed, Ren Shen (Ginseng Radix, 人参), Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) two liang each.
The above fifteen ingredients are chopped. Boil in ten dou (unit of volume) of water until three and a half sheng remains. Divide into four doses. Reduce dosage for children.
*Qianjin Yi Fang* Chi Ling San (Red Poria Powder): Mainly treats Black Jaundice where skin and stool are black; applicable to both adults and children.
Chi Xiao Dou (Vigna angularis Seed, 赤小豆) thirty pieces, Fu Ling (Poria, 茯苓), Nu Wei (Polygonati Odorati Rhizoma, 女萎) each six zhu, Xiong Huang (Realgar, 雄黄) one zhu, Gua Ding (Thladianthae Fructus Calyx, 瓜丁) four zhu, Gan Cao (Glycyrrhizae Radix et Rhizoma, 甘草) two zhu.
The above six ingredients: Boil Chi Xiao Dou and Fu Ling in three sheng of water until eight ge remains. Pound the other four ingredients into a powder. Mix and take half a qian bi. Vomiting should occur shortly after administration; recovery follows vomiting. It also treats various types of jaundice. Children take half a zi bi.