夫内黄者。由热毒之气。在于脾胃。与谷气相搏。热蒸于内。不得宣散。先心腹胀满气
急。
方
治内黄
栀子仁 黄芩 柴胡 升麻(各一两) 栝蒌根 大黄(炙) 芒硝(各一两) 龙胆
(半两)
上
茵陈散(圣惠方)治内黄。身面眼延。黄如金色。小便如浓柏汁。众医不能疗
。
茵陈(二两) 黄芩 栀子 大黄 龙胆 枳壳(去白炒黄) 秦艽(去苗各一两) 升
麻(三两)
三黄散(一名三黄丸圣惠方)治内黄。身体皆黄。宜服之。
大黄(炒) 黄连(去须) 黄芩(各二两) 上为末。每服以温水调下二钱。一方。
以蜜为
丸。
治内黄
用柳枝二两锉。水一盏半。煎至六分。不拘时候温服。
又方
用大黄一两锉。水一盏煎至六分。不拘时候温服。
又方\x
用黄栝蒌一枚大者。以新汲水一盏半。浸栝蒌捣绞汁。下蜜半合。入三分。细研搅令匀。
分
夫黄病小便淋涩者。由积热在于心脏。流于小肠。则令小便涩少。下物如沙。而多疼痛
也。
方
木通散治心脏黄结。面目四肢通黄。干呕。大便不通。小便赤色。腹痛心烦。
木通(一两) 大黄(炒一两半) 枳壳(半两) 黄芩(半两) 赤芍药(一两) 前
胡(一两
半去
为散。
每服
茅根散 治心脾热壅。皮肉面目悉黄。烦躁。小便赤涩。
茅根(二两) 麦门冬(去心二两) 秦艽(去苗一两) 犀角(三分) 大黄(一两
半) 黄芩(一
六分。温服。如
人行
瞿麦散 治黄病。小便赤涩。心神烦闷。
瞿麦 茵陈 黄芩 麦门冬(去心各一两) 大黄(一两半) 栀子仁(二两) 上为
散。每
服四
大黄散 治黄病。腹胀满。小便赤而涩。
大黄(炒二两) 朴硝 栀子仁(各二两) 黄柏 冬葵子(各一两) 上为散。每服
四钱。
水一
茵陈散 治黄病。心下横坚。小便赤黄不利。疼痛。
茵陈 木通(各一两) 赤茯苓(三分) 前胡(三分) 椒目(一分炒) 赤芍药(
分) 上
为末。每服二钱。以粥饮调下。日四五服。
内黄这一病症,是由于热毒之气滞留于脾胃,与饮食水谷之气相互搏结,热气在体内蒸腾,无法向外宣散所致。其症状首先表现为心腹部胀满、气息急促。
治疗内黄的方剂:
栀子仁、黄芩、柴胡、升麻(各一两),栝蒌根、大黄(经炙制)、芒硝(各一两),龙胆(半两)。
茵陈散(出自《圣惠方》):用于治疗内黄。症状见身体、面部及眼睛发黄,色泽如金色,小便颜色像浓稠的柏树汁液,其他医生无法治愈。
处方组成:茵陈(二两),黄芩、栀子、大黄、龙胆、枳壳(去除白色果皮并炒至黄色)、秦艽(去除根部苗茎,各一两),升麻(三两)。
三黄散(又名三黄丸,出自《圣惠方》):用于治疗内黄。症状见全身皆黄,适宜服用此方。
处方组成:大黄(炒制)、黄连(去除须根)、黄芩(各二两)。以上药物研为细末。每次服用时,用温水调服二钱。另一版本是以蜂蜜制成丸剂。
治疗内黄的另一个方子:
取柳枝二两,切碎,加水一盏半,煎煮至六分量的药液,不限时候,温服。
又一个方子:
取大黄一两,切碎,加水一盏,煎煮至六分量的药液,不限时候,温服。
再一个方子:
取一枚较大的黄栝蒌,用刚打上来的冷水一盏半,浸泡栝蒌后捣碎绞取汁液,加入半合蜂蜜和三分药粉,细细研磨搅拌使其均匀,分次服用。
患黄疸病且小便淋沥涩痛者,是由于积热蕴结在心脏,流注到小肠,导致小便涩少,排出物如沙粒状,且伴有较多疼痛感。
木通散:用于治疗心脏湿热郁结导致的黄疸。症状见面部、眼睛及四肢全部发黄,干呕,大便不通畅,小便颜色红赤,腹痛,心烦意乱。
处方组成:木通(一两),大黄(炒制一两半),枳壳(半两),黄芩(半两),赤芍药(一两),前胡(一两半,去除芦头)。以上药物研为散剂。每次服用适量……(原文此处有缺漏,依文意推断为煎服或调服)。
茅根散:治疗心脾热邪壅盛。症状见皮肤、肌肉、面部和眼睛全部发黄,烦躁不安,小便红赤涩痛。
处方组成:茅根(二两),麦门冬(去除心,二两),秦艽(去除苗茎,一两),犀角(三分),大黄(一两半),黄芩(一两)。以上药物……(原文此处有缺漏,依文意推断为煎煮至六分,温服。如人行几里地……)。
瞿麦散:治疗黄疸病。症状见小便红赤涩痛,心神烦闷。
处方组成:瞿麦、茵陈、黄芩、麦门冬(去除心,各一两),大黄(一两半),栀子仁(二两)。以上药物研为散剂。每次服用四钱……(原文此处有缺漏,依文意推断为用水煎服)。
大黄散:治疗黄疸病。症状见腹部胀满,小便红赤且涩痛。
处方组成:大黄(炒制二两),朴硝、栀子仁(各二两),黄柏、冬葵子(各一两)。以上药物研为散剂。每次服用四钱,用水一……(原文此处有缺漏,依文意推断为煎服)。
茵陈散:治疗黄疸病。症状见心下部位坚硬横阻,小便红黄不利,伴有疼痛。
处方组成:茵陈、木通(各一两),赤茯苓(三分),前胡(三分),椒目(一分,炒制),赤芍药(……分,原文此处数字缺失)。以上药物研为细末。每次服用二钱,用米粥汤调服,每日服用四五次。
Neihuang (Internal Yellowing) is caused by heat-toxin qi stagnating in the Spleen and Stomach, clashing with the qi of food and grain. The heat steams internally without being able to disperse outward. Initially, it presents with distension and fullness in the heart and abdomen, along with rapid breathing.
Formulas for Treating Neihuang:
Zizhiren (Gardenia Seed), Huangqin (Scutellaria Root), Chaihu (Bupleurum Root), Shengma (Cimicifugae Rhizoma) (each 1 liang); Gualugen (Trichosanthis Radix), Dahuang (Rhubarb Root, prepared by stir-frying), Mangxiao (Mirabilite) (each 1 liang); Longdan (Gentian Root) (0.5 liang).
Yinchen San (Artemisiae Scopariae Powder) [from *Shenghui Fang*]: Treats Neihuang. Symptoms include yellowing of the body, face, and eyes, resembling gold color; urine resembles thick cypress juice; other physicians are unable to cure it.
Ingredients: Yinchen (Artemisiae Scopariae Herba) (2 liang), Huangqin (Scutellariae Radix), Zhizi (Gardeniae Fructus), Dahuang (Rhei Radix et Rhizoma), Longdan (Gentianae Radix), Zhiqiao (Aurantii Fructus Pericarpium, white pith removed and stir-fried until yellow), Qinjiao (Gentianae Macrophyllae Radix) (each 1 liang); Shengma (Cimicifugae Rhizoma) (3 liang).
Sanhuang San (Three-Yellow Powder, also known as Sanhuang Wan) [from *Shenghui Fang*]: Treats Neihuang. Symptoms include yellowing of the entire body. It is suitable to take this formula.
Ingredients: Dahuang (Rhei Radix et Rhizoma, stir-fried), Huanglian (Coptidis Rhizoma, whiskers removed), Huangqin (Scutellariae Radix) (each 2 liang). Grind into powder. Each dose is taken by mixing with warm water and swallowing 2 qian. Another method uses honey to form pills.
Another formula for treating Neihuang:
Take 2 liang of Liu Zhi (Willow Branch), chop it finely. Add 1.5 sheng of water, decoct until 0.6 sheng remains. Take warm at any time.
Yet another formula:
Take 1 liang of Dahuang (Rhei Radix et Rhizoma), chop it finely. Add 1 sheng of water, decoct until 0.6 sheng remains. Take warm at any time.
Yet another formula:
Take one large Huangguolou (Trichosanthis Fructus). Soak in 1.5 sheng of fresh well-water, crush and squeeze out the juice. Add 0.5 he of honey and 3 fen of fine powder, grind thoroughly and mix evenly. Divide into doses.
Regarding Huangbing (Jaundice Disease) with Lin-se (scanty and painful urination): This is caused by accumulated heat residing in the Heart and flowing into the Small Intestine, causing scanty and difficult urination, passage of sand-like matter, and significant pain.
Mutong San (Akebiae Caulis Powder): Treats Heart-heat accumulation leading to jaundice. Symptoms include yellowing of the face, eyes, and limbs; dry retching; constipation; red urine; abdominal pain; and restlessness.
Ingredients: Mutong (Akebiae Caulis) (1 liang), Dahuang (Rhei Radix et Rhizoma, stir-fried) (1.5 liang), Zhiqiao (Aurantii Fructus Pericarpium) (0.5 liang), Huangqin (Scutellariae Radix) (0.5 liang), Chishaoyao (Paeoniae Radix Rubra) (1 liang), Qianhu (Peucedani Radix) (1.5 liang, rhizome removed). Grind into powder. Each dose... [text missing].
Maogen San (Imperatae Rhizoma Powder): Treats Heat obstruction in the Heart and Spleen. Symptoms include yellowing of the skin, flesh, face, and eyes; irritability; red and scanty urine.
Ingredients: Maogen (Imperatae Rhizoma) (2 liang), Maimendong (Ophiopogonis Radix, heart removed) (2 liang), Qinjiao (Gentianae Macrophyllae Radix, sprouts removed) (1 liang), Xijiao (Rhinocerotis Cornu) (3 fen), Dahuang (Rhei Radix et Rhizoma) (1.5 liang), Huangqin (Scutellariae Radix) (1 liang)... [text missing regarding decoction process].
Qumai San (Dianthi Herba Powder): Treats Jaundice Disease. Symptoms include red and scanty urine; mental restlessness and oppression.
Ingredients: Qumai (Dianthi Herba), Yinchen (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix), Maimendong (Ophiopogonis Radix, heart removed) (each 1 liang), Dahuang (Rhei Radix et Rhizoma) (1.5 liang), Zizhiren (Gardeniae Semen) (2 liang). Grind into powder. Each dose is 4 qian... [text missing regarding administration].
Dahuang San (Rhubarb Powder): Treats Jaundice Disease. Symptoms include abdominal distension and fullness; red and scanty urine.
Ingredients: Dahuang (Rhei Radix et Rhizoma, stir-fried) (2 liang), Puxiao (Natrii Sulfas), Zizhiren (Gardeniae Semen) (each 2 liang), Huangbai (Phellodendri Cortex), Dongkuizi (Malvae Semen) (each 1 liang). Grind into powder. Each dose is 4 qian, taken with water... [text missing].
Yinchen San (Artemisiae Scopariae Powder): Treats Jaundice Disease. Symptoms include hardness and fullness below the heart; red-yellow urine that is difficult to pass; pain.
Ingredients: Yinchen (Artemisiae Scopariae Herba), Mutong (Akebiae Caulis) (each 1 liang), Chifuling (Poria with Red Hosta), Qianhu (Peucedani Radix) (each 3 fen), Jiaomu (Semen Lepidii et Descurainiae, stir-fried) (1 fen), Chishaoyao (Paeoniae Radix Rubra) [... fen, number missing]. Grind into powder. Each dose is 2 qian, taken mixed with rice broth. Take 4-5 times a day.