茵陈汤 治阳明病发热汗出者,此为热越,不能发也。但头汗出,身无汗,齐颈而
还,小便不利,渴引水浆者,此为瘀热在里,身必发黄。伤寒七八日,身黄如橘
色,小便不利,腹微满者宜此。
茵陈蒿(嫩者,一两) 大黄(三钱半) 栀子(大者,三枚)
上锉散,以水一大盏,先煎茵陈减半,次纳二味,煎八分,去滓温服,日三服。
小盒饭利如皂角汁状,色正赤,一宿腹减,黄从小便中去也,量大小加减。
栀子柏皮汤 治伤寒身黄发热。
栀子(八枚) 黄柏(一两) 甘草(半两,炙)
上锉散,每服二钱,水一盏,煎六分,去滓温服。
犀角散 治小儿黄胆,一身尽黄。
犀角(镑,一两) 茵陈 干葛 升麻 龙胆草 生地黄(各半两) 寒水石(七钱半)
上锉散,水煎服。一方,治小儿忽发黄,面目皮肉尽黄,葛根捣汁和蜜服。
连翘赤小豆汤 治小儿伤寒,发黄身热。
麻黄(去节) 连翘 甘草 生姜 赤小豆 生梓白皮(各二两) 杏仁(四十一个) 大枣(十二枚)
上锉散,白水煎。又一方,生小麦苗捣汁服之,立效。
罗谦甫治一小儿,季夏身体蒸热,胸膈烦满,皮肤如渍橘之黄,眼中白睛亦黄,
筋骨痿弱,不能行立。此由季夏之热,加以湿气,而蒸热搏于经络,入于骨髓,使
脏气不平,故脾遂乘心,湿热相合,而成此疾也。盖心火实则身体蒸热、胸膈烦满,
脾湿胜则皮肤如渍橘之黄,有余之气,必乘己所胜,而侮不胜,是肾肝受邪而筋骨
痿弱,不能行立。《内经》言∶脾热者,色黄而肉蠕动。又言∶湿热成痿。信哉斯言
也,所谓子能令母实,实则泻其子也,盖脾土退其本位,肾水得复,心火自平矣。
又《内经》曰∶治痿独取于阳明。正谓此也,加减泻黄散主之。
加减泻黄散方 此药退脾土,复肾水,降心火。
黄连 茵陈(各五分) 黄柏 黄芩 山栀 茯苓(各三分) 泽泻(二分)
上 咀,都作一服,水一盏,煎至六分,去滓,稍热服,食后。一服减半,待
五日再服而良愈。
经云∶土位之主,其泻以苦。又云∶脾苦湿,急食苦以燥之。故用黄连、茵陈
之苦寒除湿热为君。肾欲坚,急食苦以坚之,所以黄柏之苦辛寒、强筋骨为臣。
湿热成烦,以苦泻之,故以黄芩、山栀子之苦寒止烦满为佐。湿淫于内,以淡泄
之,故以茯苓、泽泻之甘淡,利小便、导湿为使也。
〔张涣〕芦根汤 治黄病。
芦根(一两,锉) 茵陈 山栀子 黄芩 甘草(四味。各半两)
上件捣,罗为细末,每服一钱,水八分,入薄荷三叶,煎至五分,去滓,放温服。
子芩散 治黄病。
黄芩 枯蒌根 茯神(各一两) 甘草 胡黄连(各半两)
上件为细末,每服一钱,水八分,煎五分,去滓,温服。
茵陈汤 治小儿发黄等病,身如橘色。
山茵陈 山栀子仁(各一两) 川大黄 川芒硝 木通 寒水石(各半两)
上煎服,法同前。
三黄散 治小儿黄胆。
川大黄(锉,微炒,一两) 黄芩 黄连(去须。各半两)
上煎法同前,食后服。
双连丹 治疸病。
川黄连(去须) 胡黄连(各一两)
上件捣,罗为细末,用黄瓜一枚,去穣,留一小盖子,入二药末后以盖子盖定,
用面裹,慢火烧,令面焦,去面,捣熟,如绿豆大。每服七粒至十粒,温水下,
量儿大小,以意加减。
茵陈汤:治疗阳明病,出现发热、汗出的症状,这是热邪向外发散的表现,无法通过发汗解除。如果仅头部出汗,身体无汗,且汗止于颈部,小便不通畅,口渴想喝水浆的,这是瘀热郁结在体内,身体必然发黄。伤寒病程七八天,身体黄如橘色,小便不利,腹部微胀满的,适宜使用此方。
茵陈蒿(选用嫩者,一两) 大黄(三钱半) 栀子(大的,三枚)
将药材切碎成散剂,用水一大盏,先煎茵陈至水量减半,再加入另外两味药,煎至八分满,滤去药渣,温服,每日服用三次。若小便通畅如皂角汁状,颜色正红,一夜之后腹部胀满减轻,黄色从小便中排出,可根据患者大小调整剂量。
将药材切碎成散剂,每次服用二钱,用水一盏,煎至六分满,滤去药渣,温服。
犀角(镑片,一两) 茵陈 干葛 升麻 龙胆草 生地黄(各半两) 寒水石(七钱半)
将药材切碎成散剂,用水煎服。另一方法,治疗小儿突然发黄,面目皮肤肌肉尽黄,用葛根捣汁加蜂蜜服用。
麻黄(去节) 连翘 甘草 生姜 赤小豆 生梓白皮(各二两) 杏仁(四十一个) 大枣(十二枚)
将药材切碎成散剂,用清水煎服。另一方法,用生小麦苗捣汁服用,立即见效。
罗谦甫治疗一名小儿,季夏时节身体蒸热,胸膈烦闷胀满,皮肤像浸泡过的橘子那样黄,眼中白睛也黄,筋骨痿弱,不能行走站立。这是由于季夏的热邪,加上湿气,热气与湿气搏结于经络,深入骨髓,使脏腑之气不平,因此脾土乘克心火,湿热相合,从而形成此疾。大概心火实盛则身体蒸热、胸膈烦满,脾湿胜则皮肤如渍橘之黄,有余之气,必定乘其所胜,并侮所不胜,导致肾肝受邪而筋骨痿弱,不能行立。《内经》说:脾热的人,面色黄且肌肉跳动。又说:湿热导致痿证。这话确实可信啊,所谓“子能令母实”,实则泻其子,脾土退居本位,肾水得以恢复,心火自然平息。又《内经》说:治疗痿证独取阳明经。正是说的这个意思,用加减泻黄散主治。
黄连 茵陈(各五分) 黄柏 黄芩 山栀 茯苓(各三分) 泽泻(二分)
将药材切碎,全部作为一服的量,用水一盏,煎至六分满,滤去药渣,稍热时服用,饭后服。服用一次后症状减半,等待五日后再次服用即可痊愈。
经文说:土位之主,用苦味来泻它。又说:脾苦湿,急食苦味以燥湿。所以用黄连、茵陈的苦寒之性除湿热为君药。肾欲坚,急食苦味以坚之,所以用黄柏的苦辛寒之性强筋骨为臣药。湿热导致烦闷,用苦味泻之,所以用黄芩、山栀子的苦寒之性止烦满为佐药。湿邪淫溢于内,用淡味泄之,所以用茯苓、泽泻的甘淡之性,利小便、导湿为使药。
芦根(一两,切碎) 茵陈 山栀子 黄芩 甘草(四味药,各半两)
将上述药材捣碎,筛成细末,每次服用一钱,用水八分,加入薄荷三叶,煎至五分满,滤去药渣,放温后服用。
将上述药材研成细末,每次服用一钱,用水八分,煎至五分满,滤去药渣,温服。
茵陈汤:治疗小儿发黄等病,身体如橘色。
山茵陈 山栀子仁(各一两) 川大黄 川芒硝 木通 寒水石(各半两)
用水煎服,方法同前。
煎服方法同前,饭后服用。
将上述药材捣碎,筛成细末,用黄瓜一枚,去掉瓤,留一小盖子,将两种药末放入后盖上盖子,用面粉包裹,慢火烧烤,令面焦,去掉面皮,捣熟,制成如绿豆大小的丸剂。每次服用七粒至十粒,温水送下,根据患儿大小,酌情增减剂量。
Yinchen Tang (Cinnamon Twig Decoction): Treats Yangming disease (disease of the Yangming channel) presenting with fever and sweating. This indicates that heat is venting outward, making it impossible to resolve via diaphoresis. If there is only sweat on the head, no sweat on the body, and sweating stops at the neck, accompanied by dysuria (difficult urination) and thirst prompting intake of water or fluids, this signifies stagnant heat trapped in the interior, inevitably leading to jaundice (yellowing of the skin). In cases of cold damage (Shanghan) persisting for seven to eight days, where the body is yellow like an orange peel, dysuria occurs, and there is slight abdominal fullness, this formula is appropriate.
Herbs: Yinchen Hao (Artemisiae Scopariae Herba, tender parts, 1 liang), Dahuang (Rhei Radix et Rhizoma, 3 qian half), Zhizi (Gardeniae Fructus, large ones, 3 pieces).
Crush the herbs into a powder. Boil in one da zhen (large cup) of water; first decoct Yinchen until the volume is halved, then add the other two ingredients. Decoct until eight-tenths remains, strain, and take warm. Administer three times daily. If urine flows freely resembling soap pod juice, with a bright red color, and abdominal fullness decreases overnight, the jaundice will pass through the urine. Adjust dosage according to the patient's size.
Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction): Treats jaundice and fever caused by cold damage.
Herbs: Zhizi (Gardeniae Fructus, 8 pieces), Huangbai (Phellodendri Cortex, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, ban liang, roasted).
Crush the herbs into a powder. Take 2 qian per dose, boil in one zhan (cup) of water until six-tenths remains, strain, and take warm.
Xijiao San (Rhino Horn Powder): Treats pediatric jaundice with generalized yellowing of the entire body.
Herbs: Xijiao (Rhinocerotis Cornu, sliced, 1 liang), Yinchen (Artemisiae Scopariae Herba), Gange (Puerariae Radix, dried), Shengma (Cimicifugae Rhizoma), Longdancao (Gentianae Radix), Shengdihuang (Rehmanniae Radix, fresh, each ban liang), Hanshuishi (Aqua Calcitae, 7 qian half).
Crush the herbs into a powder and decoct in water for oral administration. Another method for treating sudden jaundice in children with yellowing of the face, eyes, skin, and muscles: crush Genken (Puerariae Radix) to extract juice and mix with honey for administration.
Lianqiao Chixiaodou Tang (Forsythia and Adzuki Bean Decoction): Treats pediatric cold damage manifesting as jaundice and fever.
Herbs: Mahuang (Ephedrae Herba, nodes removed), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Chixiaodou (Adzuki Bean), Shengzibai pi (Morus Albae Cortex, fresh, each 2 liang), Xingren (Prunus Armeniaca Semen, 41 pieces), Dazao (Jujubae Fructus, 12 pieces).
Crush the herbs into a powder and decoct in plain water. Another method: crush fresh wheat seedlings to extract juice and administer; effect is immediate.
Luo Qianfu treated a child during late summer who presented with steaming fever, chest and diaphragm oppression and fullness, skin yellow like soaked oranges, yellow sclera, flaccidity of sinews and bones, and inability to walk or stand. This was caused by summer heat combined with dampness, which battled within the meridians and penetrated the bone marrow, disrupting the balance of internal organ qi. Consequently, Spleen Earth overacted upon Heart Fire, and damp-heat merged to form this disease. Heart fire excess leads to steaming fever and chest/diaphragm fullness; Spleen dampness excess leads to skin yellowing like soaked oranges. Excess qi attacks what it controls and insults what it does not control, causing pathogenic invasion of Kidney and Liver, resulting in flaccid sinews and bones and inability to move. The *Neijing* states: "Spleen heat manifests as yellow complexion and muscle twitching." It also states: "Damp-heat causes flaccidity syndrome." These words are indeed true. As stated, "The son can make the mother excessive"; when excessive, drain the son. By draining the Spleen Earth to its proper position, Kidney Water is restored, and Heart Fire naturally calms. Furthermore, the *Neijing* states: "For treating flaccidity syndrome, focus solely on the Yangming channel." This refers precisely to this case. Use Jiawei Xiehuang San (Modified Draining Yellow Powder) as the primary treatment.
Jiawei Xiehuang San Formula: This medicine drains Spleen Earth heat, restores Kidney Water, and descends Heart Fire.
Herbs: Huanglian (Coptidis Rhizoma), Yinchen (Artemisiae Scopariae Herba, each 5 fen), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Fuling (Poria, each 3 fen), Zexie (Alismatis Rhizoma, 2 fen).
Chop the herbs. Combine all as a single dose. Boil in one zhan (cup) of water until six-tenths remains, strain, and take slightly warm after meals. After one dose, symptoms should halve; wait five days and administer again for complete recovery.
The classic states: "For the ruler of the Earth position, drain with bitter flavors." It also says: "The Spleen dislikes dampness; urgently consume bitter flavors to dry it." Therefore, use the bitter-cold properties of Huanglian and Yinchen to remove damp-heat as the Sovereign (Jun) herb. The Kidney desires firmness; urgently consume bitter flavors to firm it. Thus, use the bitter-pungent-cold property of Huangbai to strengthen sinews and bones as the Minister (Chen) herb. Damp-heat causes vexation; drain with bitter flavors. Thus, use the bitter-cold properties of Huangqin and Shanzhi to stop vexation and fullness as the Assistant (Zuo) herbs. Dampness overflowing internally is drained with bland flavors. Thus, use the sweet-bland properties of Fuling and Zexie to promote urination and guide out dampness as the Envoy (Shi) herb.
[Zhang Huan] Lugeng Tang (Reed Root Decoction): Treats jaundice.
Herbs: Lugeng (Phragmitis Rhizoma, 1 liang, chopped), Yinchen (Artemisiae Scopariae Herba), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, four ingredients, each ban liang).
Crush and sieve these ingredients into a fine powder. Take 1 qian per dose, boil in 8 fen of water with 3 leaves of Bohe (Menthae Haplocalycis Herba) until 5 fen remains, strain, and take warm.
Ziqin San (Scutellaria Powder): Treats jaundice.
Herbs: Huangqin (Scutellariae Radix), Kuluogen (Trichosanthis Radix, dried/shriveled), Fushen (Poria with Hostwood, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Huhuanglian (Picrorhizae Rhizoma, each ban liang).
Grind these ingredients into a fine powder. Take 1 qian per dose, boil in 8 fen of water until 5 fen remains, strain, and take warm.
Yinchen Tang (Cinnamon Twig Decoction): Treats pediatric jaundice and similar conditions where the body is yellow like an orange.
Herbs: Shanyinchen (Artemisiae Scopariae Herba), Shanzhiren (Gardeniae Fructus, pulp, each 1 liang), Chuandahuang (Rhei Radix et Rhizoma), Chuamangxiao (Natrii Sulfas), Mutong (Akebiae Caulis), Hanshuishi (Aqua Calcitae, each ban liang).
Decoct in water for administration; method is the same as above.
Sanhuang San (Three Yellows Powder): Treats pediatric jaundice.
Herbs: Chuandahuang (Rhei Radix et Rhizoma, chopped, lightly stir-fried, 1 liang), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma, mustards removed, each ban liang).
Decoction method is the same as above; take after meals.
Shuangliandan (Double Connected Pill): Treats jaundice diseases.
Herbs: Chu黄连 (Coptidis Rhizoma, mustards removed), Huhuanglian (Picrorhizae Rhizoma, each 1 liang).
Crush and sieve these ingredients into a fine powder. Take one cucumber, remove the pulp, leaving a small lid. Place the two powders inside, replace the lid, wrap in dough, and slow-roast until the dough is charred. Remove the dough, pound the contents into pills the size of mung beans. Take 7 to 10 pills per dose with warm water. Adjust dosage according to the child's size.