鸡黄者。遍身爪甲并青黄。梦寐见鬼神。时自言笑。烙风池二穴。及鼻柱下三分。手掌
后横
地黄饮 活鸡黄
蚰蜒黄者。喉中似噎。喘息不调。四肢疼闷。言语不正。水米难下。若颊内有青脉出。
口角
半夏散(圣惠方)治蚰蜒黄。
半夏(汤洗七次去滑) 射干 犀角屑(各一两) 甘草(炙半两) 上为散。每服四
钱。水
一钟
救急疗三十六种黄。
用鸡子一颗。并壳烧作灰。研破。醋一合。又温之总和顿服。身体眼暗极黄者。不过三
颗。
论曰。诸疸证状虽异。大率多因酒食过度。酒食水谷相并。积于脾胃。复为风湿所搏。
热气
方
秦艽饮子(济生方)治五疸口痰。耳脚弱。微寒发黄。小便白浊。
秦艽(去苗) 当归(去芦酒浸) 芍药 白术 官桂(去皮不见火) 茯苓(去皮) 熟
地黄(酒
每服四钱。
水一盏半。姜五片。煎至七分。去滓。温服不限时候。
犀角茯苓丸 治一切诸黄。酒疸身面皆黄。皮肤如尘曲色。心下坚满。小便赤黄。
心烦欲呕
赤茯苓 茵陈叶 枳实(麸炒) 前胡(去苗) 甘草(炒) 杏仁(去皮尖炒) 半
夏(洗七
次)
为丸。
如梧
茵陈丸。治酒疸、食气、女劳疸。诸种黄胆。及阴黄。身面悉黄。大便涩少。小便
如栀子汁
茵陈 龙胆草(去芦) 大黄(炒) 黄芩 枳壳(麸炒各二两) 升麻(三两) 柴
胡(一两)
栀子仁(一两半) 上为细末。炼蜜为丸。如梧桐子大。每服三十丸。米饮下。食后日进二
服。
大小便俱利赤为度。外台秘要作汤。以水八升。煮取二升八合。分温三服。若身绝羸加生
地黄一升。栀子加至七两。去大黄。如气力不羸用大黄。
葶苈丸 治诸疸大小便涩。
苦葶苈(炒) 桑白皮(切炒) 枳壳(麸炒) 木通(各半两) 槟榔 木香(各三
钱) 上为
细末
九疸秦椒散
胃疸。食多喜饮。栀子仁主之。心疸。烦心中热。葛根主之。肾疸。其人唇干葶苈主之。
舌
栝蒌主之。肝疸。胃热饮多。水激肝。白术主之。髓疸。目眶深。多嗜卧。牡蛎泽泻主之。
肺疸。饮少小便多。秦艽焙出汗瓜蒂主之。
上名秦艽散各等分。随病所在加二分。捣合筛下。饮服五分。日三服。稍加可至方寸匕。
忌
又方
夫人病疸者。或无热。静言了了。腹满欲吐。酒疸。心中热欲吐。吐之即愈。
上取千金苦参散吐。良。在上遍身黄部中。七味者是也。
又方
用好盐一斤。纸裹渍湿。烧之取通赤。内三升水中。搅令稠。手巾滤过。为一服。服讫。
并
茵陈蒿汤(一名涤热汤圣惠方)治诸般疸病。面目身体发黄。小便秘涩。及时
行瘀热在里。
茵陈(三两) 山栀子(七枚) 大黄(一两) 上以水五盏。先煎茵陈二盏半。却入
大黄栀
子。
也。
姜蜜汤(百一选方)治诸疸通用。或小便如血。用之皆效。
蜜(半盏) 姜(十片) 上用新汲水一碗。煎服。逐日常服二次。小便渐白。及出血。
黄
疸遂
矾石滑石散(千金方)治湿疸。得之一身尽疼。发热面色黑黄。七八日后。壮
热。在里有血
疸。
矾石(煨) 滑石(各等分) 上为末。每服二钱。麦粥饮调下。日三服。食前便利如
血者。
效
柴胡甘草汤 治热疸。
柴胡(一两) 甘草(一钱锉细) 白茅根(一握) 上以水二碗。煎至七分。时时服。
一日
尽。
治疸热毒在内。闷乱坐卧不安。(圣惠方)
用生发烧灰存性为末。新汲水调方寸匕。日三服。
治缓疸(本草)
用黄 一两杵成散。不拘时。以温水调二钱匕。
疸病有五种。谓黄胆、谷疸、酒疸、黑疸、女劳疸也。黄汗者。身体四肢微肿。胸
满不得汗
用猪脂一斤。温令热。尽服之。日三当下。下则稍愈。
治疸病有五。黄胆、谷疸、酒疸、黑疸、女劳疸。黄汗身体四肢微肿。胸满不得卧
。汗出如柏汁。
用蓝花一把。水五升。鼠屎两头尖者二七枚。煮取二升。尽服。温覆取汗。
小半夏汤(指南方)治湿疸。
半夏(五分) 生姜(八两) 上用水七升。煮至一升。分五服。
肾疸汤(试效方)治肾疸。目黄。甚至浑身黄。小便赤涩。
升麻(半两) 羌活 防风 独活 柴胡(各半钱) 以上治肾疸。目黄。浑身黄。
白术(半钱) 苍术(一钱) 猪苓(四分) 泽泻(三分) 茯苓(二分) 以上治
小便赤涩。
葛根(半钱) 甘草(三分) 黄柏(二分) 人参(三分) 曲(六分) 上件锉如
麻豆大。
分作二
疗 疸者。手足、肩背、累累如米起。色白刮之汁出。愈而复发。(本草)
以虎屎白者以马尿和之。曝干。烧灰粉之。
鸡黄病。全身爪甲都呈现青黄色。梦中见到鬼神。时常自言自语、发笑。治疗:烙烫风池穴(足少阳胆经穴位,位于颈后枕骨下两侧凹陷处)两个穴位,以及鼻梁柱下方三分处。使用地黄饮方剂来治疗活鸡黄。
蚰蜒黄病。喉咙里感觉像被噎住一样。呼吸喘息不调顺。四肢疼痛且感到烦闷。说话口齿不清。水米难以咽下。如果脸颊内部有青色脉络浮现。嘴角……半夏散(出自《圣惠方》)用于治疗蚰蜒黄。
药材:半夏(用汤水洗七次以去除滑腻感)、射干、犀角屑(各一两)、甘草(炙制半两)。以上药物研成散剂。每次服用四钱。用水一钟……
救急疗法治疗三十六种黄疸。
取鸡蛋一个,连同蛋壳一起烧成灰,研磨破碎。醋一合,再加热混合均匀,一次性服下。身体和眼睛极度发黄的人,不超过三颗鸡蛋的量即可。
论述说:各种黄疸的症状表现虽然不同,但大体上多是因为饮酒进食过度。酒食与水谷之气相互搏结,积聚在脾胃之中,又受到风湿邪气的侵袭。热气……
方剂:
秦艽饮子(出自《济生方》)治疗五种黄疸引起的口痰、耳部和脚部软弱无力、轻微恶寒并发黄、小便白浊。
药材:秦艽(去苗)、当归(去芦头,酒浸)、芍药、白术、官桂(去皮,注意不要见火烤焦)、茯苓(去皮)、熟地黄(酒制)。
每次服用四钱。
用水一盏半,生姜五片,煎煮至七分水量,滤去药渣,温服,不限定时间。
犀角茯苓丸 治疗一切各类黄疸。酒疸导致身面皆黄,皮肤颜色如尘土般枯槁晦暗,心下部位坚硬胀满,小便赤黄,心烦意乱想要呕吐。
药材:赤茯苓、茵陈叶、枳实(麸炒)、前胡(去苗)、甘草(炒)、杏仁(去皮尖并炒)、半夏(洗七次)。
制成丸剂。
梧桐子大小。
茵陈丸。治疗酒疸、食气疸、女劳疸等各种黄胆病,以及阴黄。身体面部全部发黄,大便涩滞量少,小便颜色像栀子汁一样。
药材:茵陈、龙胆草(去芦)、大黄(炒)、黄芩、枳壳(麸炒,各二两)、升麻(三两)、柴胡(一两)、栀子仁(一两半)。以上药物研成细末,用炼蜜制作成丸剂,如梧桐子大小。每次服用三十丸,米汤送下,饭后每日服用两次。
直到大小便通畅且颜色转红为度。《外台秘要》中作汤剂用法:用水八升,煮取二升八合,分三次温服。如果身体极度消瘦虚弱,加生地黄一升,栀子加至七两,去掉大黄。如果体力不虚弱则使用大黄。
葶苈丸 治疗各种黄疸导致的大小便涩滞不通。
药材:苦葶苈(炒)、桑白皮(切后炒)、枳壳(麸炒)、木通(各半两)、槟榔、木香(各三钱)。以上药物研成细末。
九疸秦椒散
胃疸:饮食多且喜欢喝水,用栀子仁主治。心疸:心中烦热,用葛根主治。肾疸:患者嘴唇干燥,用葶苈主治。舌……用栝蒌主治。肝疸:胃热饮水多,水湿激惹肝脏,用白术主治。髓疸:眼眶深陷,嗜睡,用牡蛎、泽泻主治。肺疸:饮水少但小便多,用秦艽焙干出汗瓜蒂主治。
以上名称为秦艽散,各等分。根据病变所在部位增加二分,捣碎混合过筛。用温水送服五分,每日三次,逐渐增加至一方寸匕的量。
禁忌……
又一方
人患黄疸病,有的没有发热,神志安静清晰,腹部胀满想吐。这是酒疸,心中烦热想吐,吐出来就会痊愈。
上面提到的取《千金方》中的苦参散催吐,效果良好。在上部遍身发黄的部分中,七味药就是指的这个方子。
又一方
用好盐一斤,用纸包裹浸湿,烧至通红。放入三升水中,搅拌使其浓稠,用手巾过滤,作为一次服用的量。服完后……
茵陈蒿汤(又名涤热汤,出自《圣惠方》)治疗各种黄疸病。面目身体发黄,小便便秘涩滞,以及时行瘀热在体内。
药材:茵陈(三两)、山栀子(七枚)、大黄(一两)。以上用水五盏,先煎茵陈至二盏半,然后加入大黄、栀子。
煎煮完成。
姜蜜汤(出自《百一选方》)治疗各种黄疸通用。或者小便如血,使用此方都有效。
药材:蜜(半盏)、姜(十片)。以上用新汲水一碗,煎煮后服用。每天常服两次,小便逐渐变白,出血停止,黄疸遂退。
矾石滑石散(出自《千金方》)治疗湿疸。得病后全身疼痛,发热,面色黑黄。七八日后,壮热,体内有血……
药材:矾石(煨)、滑石(各等分)。以上研成粉末。每次服用二钱,用麦粥调服,每日三次。饭前服用,如果便利如血者,见效。
柴胡甘草汤 治疗热疸。
药材:柴胡(一两)、甘草(一钱,锉细)、白茅根(一握)。以上用水二碗,煎至七分,时时服用,一日服尽。
治疗黄疸热毒在内,胸闷烦乱,坐卧不安。(出自《圣惠方》)
用生……烧灰存性研成粉末,新汲水调服一方寸匕,每日三次。
治疗缓疸(出自《本草》)
用黄……一两,杵成散剂。不拘时间,用温水调服二钱匕。
黄疸病有五种,称为黄胆、谷疸、酒疸、黑疸、女劳疸。黄汗症,身体四肢微微肿胀,胸部胀满无法出汗。
用猪脂一斤,温热后全部服下,每日三次,应当排便,排便后症状稍愈。
治疗黄疸病有五种:黄胆、谷疸、酒疸、黑疸、女劳疸。黄汗症表现为身体四肢微肿,胸部胀满不能平卧,汗出像柏树汁一样。
用蓝花一把,水五升,两头尖的鼠屎十四枚,煮取二升,全部服下,温覆取汗。
小半夏汤(出自《指南方》)治疗湿疸。
药材:半夏(五分)、生姜(八两)。以上用水七升,煮至一升,分五次服用。
肾疸汤(出自《试效方》)治疗肾疸。眼睛发黄,甚至浑身发黄,小便赤涩。
药材:升麻(半两)、羌活、防风、独活、柴胡(各半钱)。以上用于治肾疸,目黄,浑身黄。
白术(半钱)、苍术(一钱)、猪苓(四分)、泽泻(三分)、茯苓(二分)。以上用于治小便赤涩。
葛根(半钱)、甘草(三分)、黄柏(二分)、人参(三分)、曲(六分)。以上药材锉如麻豆大。
分成两份。
疗……疸者,手足、肩背处,累累如米粒突起,颜色白,刮之有汁液流出,愈合后又复发。(出自《本草》)
用白色的虎屎,用马尿调和,晒干,烧成灰,敷粉患处。
Ji Huang (Chicken Yellow) disease. The nails and claws all over the body appear cyanotic and yellow. The patient dreams of seeing ghosts and spirits, and often talks and laughs to themselves. Treatment: Cauterize Fengchi (GB20, Wind Pool) acupoints (two points), located at the depression below the occipital bone on both sides of the neck posteriorly, as well as three fen below the nasal bridge. Use Dihuang Yin (Rehmannia Decoction) to treat active Ji Huang.
You Yan Huang (House Centipede Yellow) disease. A sensation of obstruction in the throat. Irregular breathing and panting. Pain and discomfort in the four limbs. Slurred speech. Difficulty swallowing water and rice. If blueish veins emerge within the cheeks... Banxia San (Pinellia Powder, from *Shenghui Fang*) treats You Yan Huang.
Herbs: Banxia (Pinelliae Rhizoma, washed seven times with decoction to remove slipperiness), Shegan (Belamcandae Rhizoma), Xijiao (Rhinocerotis Cornu, sliced) (each one liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, half a liang). Grind the above into powder. Take four qian per dose. With one zhong of water...
Emergency remedy for thirty-six types of Huang (Jaundice).
Take one chicken egg, burn it together with its shell to ash, grind it broken. Mix with one he of vinegar, warm it, and take in one dose. For those whose body and eyes are extremely yellow, no more than three eggs are needed.
The discussion states: Although the symptoms of various Huang (Jaundice) conditions differ, they generally arise mostly from excessive intake of alcohol and food. The combination of wine/food and grain/water accumulates in the Spleen and Stomach, and is further attacked by Wind-Dampness pathogenic factors. Heat qi...
Formulas:
Qin Jiao Yin Zi (Gentian Root Drink, from *Jisheng Fang*) treats five types of Huang (Jaundice) causing phlegm in the mouth, weakness in the ears and feet, slight aversion to cold with yellowing, and turbid white urine.
Herbs: Qin Jiao (Gentianae Macrophyllae Radix, remove sprouts), Dang Gui (Angelicae Sinensis Radix, remove radicle, soak in wine), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Guanzi Gui (Cinnamomi Cortex, remove bark, avoid direct fire), Fuling (Poria), Shu Dihuang (Prepared Rehmanniae Radix, wine-processed).
Take four qian per dose.
With one and a half zhan of water and five slices of ginger, decoct until reduced to seventy percent volume. Strain the dregs and take warm, at any time.
Xijiao Fuling Wan (Rhino Horn and Poria Pill) treats all kinds of Huang (Jaundice). Alcohol-induced Huang (Jaundice) causes yellowing of the body and face, skin color dull like dust, hardness and fullness in the epigastrium, red-yellow urine, mental restlessness, and desire to vomit.
Herbs: Chi Fuling (Red Poria), Yinchene (Artemisiae Scopariae Herba), Zhishi (Immature Bitter Orange Fruit, bran-fried), Qianhu (Peucedani Radix, remove sprouts), Gancao (Licorice Root, fried), Xingren (Apricot Seed, remove skin and tips, fried), Banxia (Pinelliae Rhizoma, wash seven times).
Make into pills.
Size of Sophora seeds.
Yinchene Wan (Artemisia Scoparia Pill). Treats Alcohol Huang (Jaundice), Food Qi Huang (Jaundice), Female Labor Huang (Jaundice), various types of Dan Huang (Yellow Gallbladder/Jaundice), and Yin Huang (Yin-type Jaundice). The entire body and face turn yellow, stool is scanty and difficult, urine resembles gardenia juice.
Herbs: Yinchene (Artemisiae Scopariae Herba), Longdan Cao (Gentianae Radix, remove radicle), Dahuang (Rhei Radix et Rhizoma, fried), Huangqin (Scutellariae Radix), Zhiqiao (Immature Bitter Orange Fruit, bran-fried, each two liang), Shengma (Cimicifugae Rhizoma, three liang), Chaihu (Bupleuri Radix, one liang), Zhizi Ren (Gardeniae Fructus, one and a half liang). Grind the above into fine powder. Make pills with refined honey, size of Sophora seeds. Take thirty pills per dose, down with rice drink, twice daily after meals.
Continue until urination and defecation are smooth and turn red. *Waitai Miyao* prescribes as a decoction: Use eight sheng of water, boil to obtain two sheng and eight he, divide into three warm doses. If the body is extremely emaciated, add one sheng of Sheng Dihuang (Fresh Rehmanniae Radix), increase Zhizi to seven liang, remove Dahuang. If physical strength is not weak, use Dahuang.
Tingli Wan (Descurainia Seed Pill) treats various Huang (Jaundice) causing difficulty in urination and defecation.
Herbs: Ku Tingli (Descurainiae Semen, fried), Sangbaipi (Mori Cortex, cut and fried), Zhiqiao (Immature Bitter Orange Fruit, bran-fried), Mutong (Akebiae Caulis, each half a liang), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix, each three qian). Grind the above into fine powder.
Jiu Dan Qinjiao San (Nine Dan Gentian Powder)
Wei Dan (Stomach Dan): Eats much and likes to drink; treat with Zhizi Ren (Gardeniae Fructus). Xin Dan (Heart Dan): Mental irritability and heat in the heart; treat with Gegen (Puerariae Radix). Shen Dan (Kidney Dan): Dry lips of the patient; treat with Tingli (Descurainiae Semen). Tongue... treat with Gualou (Trichosanthis Fructus). Gan Dan (Liver Dan): Stomach heat, excessive drinking, water agitates the Liver; treat with Baizhu (Atractylodis Macrocephalae Rhizoma). Sui Dan (Marrow Dan): Deep eye sockets, excessive sleepiness; treat with Muli (Ostreae Concha) and Zexie (Alismatis Rhizoma). Fei Dan (Lung Dan): Little drinking but frequent urination; treat with Qin Jiao (Gentianae Macrophyllae Radix) processed to induce sweating and Genti (Momordicae Fructus).
The above are named Qin Jiao San, equal parts. Add two fen according to the location of the disease. Pound, mix, and sieve. Take five fen with water, three times daily. Gradually increase to the size of a square inch scoop.
Taboos...
Another prescription
When a person suffers from Huang (Jaundice), there may be no fever, the mind is quiet and clear, abdominal fullness with desire to vomit. This is Alcohol Huang (Jaundice), heat in the heart with desire to vomit; vomiting leads to recovery.
Use the Kushen San (Sophora Root Powder) from *Qianjin Fang* to induce vomiting, which is effective. Among the seven ingredients for general yellowing of the body, these are the ones referred to.
Another prescription
Take one jin of good salt, wrap in paper, moisten, and burn until thoroughly red. Put into three sheng of water, stir until thick, filter through a hand towel. This constitutes one dose. After taking...
Yinchen Hao Tang (Artemisia Scoparia and Gardenia Decoction, also known as Di Re Tang, from *Shenghui Fang*) treats various types of Huang (Jaundice). Yellowing of the face, eyes, and body, constipation and difficulty in urination, as well as epidemic stasis-heat residing inside.
Herbs: Yinchene (Artemisiae Scopariae Herba, three liang), Shanzhizi (Gardeniae Fructus, seven fruits), Dahuang (Rhei Radix et Rhizoma, one liang). Use five zhan of water. First decoct Yinchene until two and a half zhan remain, then add Dahuang and Zhizi.
Decoct completely.
Jiang Mi Tang (Ginger and Honey Decoction, from *Baiyi Xuanfang*) treats all Huang (Jaundice) universally. Effective even if urine resembles blood.
Herbs: Mi (Honey, half a zhan), Jiang (Zingiberis Rhizoma, ten slices). Use one bowl of fresh drawn water, decoct and take. Take twice daily regularly. Urine gradually turns white, bleeding stops, and Huang (Jaundice) recedes.
Fanshi Huashi San (Alum and Talc Powder, from *Qianjin Fang*) treats Shi Huang (Dampness Jaundice). Upon contracting the disease, the whole body aches, fever, black-yellow complexion. After seven or eight days, high fever, blood stasis inside...
Herbs: Fanshi (Alumen, roasted), Huashi (Talcum, equal parts). Grind the above into powder. Take two qian per dose, mixed with millet porridge drink, three times daily. Before meals. If defecation resembles blood, it is effective.
Chaihu Gancao Tang (Bupleurum and Licorice Decoction) treats Re Huang (Heat Jaundice).
Herbs: Chaihu (Bupleuri Radix, one liang), Gancao (Licorice Root, one qian, finely chopped), Baimaogen (Imperatae Rhizoma, one handful). Use two bowls of water, decoct to seventy percent volume. Take frequently, finish within one day.
Treat Huang (Jaundice) with heat-toxin inside, causing chest oppression, confusion, restlessness in sitting and lying. (*Shenghui Fang*)
Use raw [material] burned to ash retaining nature, ground into powder. Mix with fresh drawn water, take one square inch scoop, three times daily.
Treat Huan Huang (Slow/Lingering Jaundice) (*Bencao*)
Use Huang [herb] one liang, pound into powder. Take at any time, mix with warm water, take two qian scoops.
There are five types of Huang (Jaundice) disease: Dan Huang (Gallbladder Jaundice), Gu Huang (Grain Jaundice), Jiu Huang (Wine Jaundice), Hei Huang (Black Jaundice), and Nv Lao Huang (Female Labor Jaundice). Huang Han (Yellow Sweat): Slight swelling of the body and four limbs, chest fullness without ability to sweat.
Use one jin of pig fat, warm it, and take all at once. Three times daily, should cause bowel movement. After defecation, symptoms slightly improve.
Treatment for Huang (Jaundice) disease has five types: Dan Huang, Gu Huang, Jiu Huang, Hei Huang, Nv Lao Huang. Huang Han presents with slight swelling of body and four limbs, chest fullness unable to lie flat, sweat resembling cypress juice.
Use one bunch of Lan Hua (Indigo Flower), five sheng of water, fourteen mouse droppings with pointed ends. Boil to obtain two sheng. Take all at once, cover warmly to induce sweating.
Xiao Banxia Tang (Minor Pinellia Decoction, from *Zhinan Fang*) treats Shi Huang (Dampness Jaundice).
Herbs: Banxia (Pinelliae Rhizoma, five fen), Shengjiang (Fresh Zingiberis Rhizoma, eight liang). Use seven sheng of water, boil to one sheng. Divide into five doses.
Shen Dan Tang (Kidney Dan Decoction, from *Shixiao Fang*) treats Shen Dan (Kidney Dan). Yellow eyes, extending to whole body yellowing, red-difficult urination.
Herbs: Shengma (Cimicifugae Rhizoma, half a liang), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Chaihu (Bupleuri Radix) (each half qian). The above treats Kidney Dan, yellow eyes, whole body yellow.
Baizhu (Atractylodis Macrocephalae Rhizoma, half qian), Cangzhu (Atractylodis Rhizoma, one qian), Zhuling (Polyporus, four fen), Zexie (Alismatis Rhizoma, three fen), Fuling (Poria, two fen). The above treats red-difficult urination.
Gegen (Puerariae Radix, half qian), Gancao (Licorice Root, three fen), Huangbai (Phellodendri Cortex, two fen), Renshen (Ginseng Radix, three fen), Qu (Medicated Leaven, six fen). The above materials are chopped like hemp seeds.
Divide into two portions.
Treat [Type] Huang (Jaundice): Hands, feet, shoulders, and back have lumps rising like grains, white in color, exuding fluid when scraped, recurring after healing. (*Bencao*)
Use white tiger feces, mix with horse urine, dry in sun, burn to ash, apply as powder.