论曰。黄汗者。汗出如柏汁。沾衣黄色。故谓之黄汗。由脾胃有湿。瘀热伏留。熏发肌
肉。
方
黄 汤(圣惠方)治黄汗身体肿。发热不渴。状如风水。汗出染衣。
黄 (去芦蜜炙) 赤芍药 茵陈蒿(各二两) 石膏(四两) 淡豉(一两) 麦门
冬(去心
一两)
服。
一
吴蓝汤(圣济方)治黄汗。身体发黄。汗出而不渴。状如风水。汗出着衣皆黄
。
吴蓝 芍药 麦门冬(去心) 桑根白皮(锉) 防己 白藓皮 山栀子(各一两半) 锉
如
麻豆
茵陈蒿汤(圣惠方)治黄汗。身体热不退。大小便不利。
茵陈蒿 赤芍药 甘草(炙锉) 木通(锉) 赤茯苓(去黑皮) 黄 (各一两) 大
黄(炒
二两)
以大小
桂枝黄 汤 治黄汗自出。发热身肿。小便不利。
白芍药(一两半) 辣桂(一两) 甘草(炙一两) 黄芩(半两) 黄 (炙二两) 上
锉散。
每服
桂枝加黄 汤(千金方)治黄汗病。两胫自冷。假令发黄。此属历节。食已则
汗出。又身常
者。必生恶疮也。
出。下无汗。腰宽
黄汗。桂枝汤加黄 五两主
桂(去粗皮) 白芍药(各三两) 甘草(炙三两) 黄 (五两) 上锉如麻豆。每
服五钱
匕。水
者。食
甘草汤(圣惠方)治脾脏瘀热不散。心神烦乱。小便赤涩。或汗如柏汁。
甘草(一两微炙) 栀子仁 黄柏 白术(各一两) 上为散。每服四钱。以水一盏。
煎至
六分
黄 苦酒方(千金方)治黄汗。身体肿。发热汗出而不渴。状如风水。汗水沾
衣色黄如柏汁
黄 (五两) 芍药(醋炒) 桂(去皮各三两) 上锉如麻豆。每服五钱匕。苦酒一
盏半。
煎至
栀子丸(圣惠方)治黄汗。体热。大小便不利。
栀子仁 栝蒌(锉炒) 苦参(各一两) 上为末。醋渍鸡子全用二枚。和为丸。如梧
桐子
大。
\x治黄汗。汗出如柏汁沾衣。身体虚浮。
用蔓荆子二两。为散。每服二钱匕。井花水调下。空心日三服。以知为度。
论述说:黄汗病,出汗像柏树汁液一样,沾染衣服后呈现黄色,所以称为黄汗。这是由于脾胃有湿气,瘀滞的热邪潜伏停留,熏蒸肌肉所致。
方剂:
黄耆汤(出自《圣惠方》)治疗黄汗,身体浮肿,发热但不口渴,症状类似风水病,出汗染衣。
药材:黄耆(去芦头,用蜂蜜炙烤)、赤芍药、茵陈蒿(各二两)、石膏(四两)、淡豆豉(一两)、麦门冬(去心,一两)。
用法:上药切碎,加水煎煮,去渣取汁,温服。
吴蓝汤(出自《圣济方》)治疗黄汗,身体发黄,出汗而不口渴,症状类似风水病,汗水沾衣皆呈黄色。
药材:吴蓝、芍药、麦门冬(去心)、桑根白皮(锉碎)、防己、白鲜皮、山栀子(各一两半)。
用法:将药材锉碎如麻豆大小,加水煎煮,去渣取汁,温服。
茵陈蒿汤(出自《圣惠方》)治疗黄汗,身体热势不退,大小便不利。
药材:茵陈蒿、赤芍药、甘草(炙后锉碎)、木通(锉碎)、赤茯苓(去黑皮)、黄耆(各一两)、大黄(炒,二两)。
用法:以水煎煮,去渣取汁,温服。
桂枝加黄耆汤 治疗黄汗自出,发热身体浮肿,小便不利。
药材:白芍药(一两半)、辣桂(即肉桂,一两)、甘草(炙,一两)、黄芩(半两)、黄耆(炙,二两)。
用法:上药切碎成散剂。每次服用适量,加水煎煮,去渣取汁,温服。
桂枝加黄耆汤(出自《千金方》)治疗黄汗病,两小腿自觉发冷。假如身体发黄,这属于历节病范畴。饭后则汗出,如果身体经常瘙痒,必定会生恶疮。
原文描述症状:汗出,下肢无汗,腰部松弛宽大感。
治疗:黄汗病,用桂枝汤加黄耆五两为主治方。
药材:桂(去粗皮)、白芍药(各三两)、甘草(炙,三两)、黄耆(五两)。
用法:上药锉碎如麻豆大小。每次服用五钱匕,加水煎煮,去渣取汁,温服。若患者伴有其他症状,需根据具体情况调整服药方式(如食前或食后)。
甘草汤(出自《圣惠方》)治疗脾脏瘀热不散,心神烦乱,小便赤涩,或者出汗像柏树汁液一样。
药材:甘草(微炙,一两)、栀子仁、黄柏、白术(各一两)。
用法:上药研为散剂。每次服用四钱,用水一盏,煎至六分,去渣取汁,温服。
黄耆苦酒方(出自《千金方》)治疗黄汗,身体浮肿,发热出汗而不口渴,症状类似风水病,汗水沾衣颜色黄如柏树汁液。
药材:黄耆(五两)、芍药(醋炒)、桂(去皮,各三两)。
用法:上药锉碎如麻豆大小。每次服用五钱匕,加入苦酒(醋)一盏半,煎煮至适宜浓度,去渣取汁,温服。
栀子丸(出自《圣惠方》)治疗黄汗,身体发热,大小便不利。
药材:栀子仁、栝蒌(锉碎炒制)、苦参(各一两)。
用法:上药研为末,用醋浸泡鸡蛋两个(全用),混合制成丸剂,如梧桐子大。每次服用适量,温水送服。
另法:治疗黄汗,出汗像柏树汁液沾染衣服,身体虚浮。
用法:用蔓荆子二两,研为散剂。每次服用二钱匕,用井花水调下。空腹时每日服用三次,以见效为度。
Discourse states: Yellow sweat (Huanghan) is characterized by sweat resembling the juice of a cypress tree, staining clothes yellow, hence the name. It arises from dampness in the Spleen and Stomach, with stagnant heat lurking and lingering, steaming and affecting the muscles and flesh.
Formulas:
Huangqi Tang (Astragalus Decoction) [from *Shenghui Fang*] treats yellow sweat, with bodily swelling, fever but no thirst, presenting similarly to Fengshui (Wind-Water edema), with sweat staining clothes.
Ingredients: Huangqi (Radix Astragali, remove rhizome, honey-fried), Chishao Yao (Radix Paeoniae Rubra), Yinchen Hao (Herba Artemisiae Scopariae) (each 2 liang), Shigao (Gypsum Fibrosum, 4 liang), Danshi (Fermented Soybean, 1 liang), Maimendong (Radix Ophiopogonis, remove heart, 1 liang).
Administration: The herbs are crushed, decocted in water, strained, and taken warm.
Wulan Tang (Isatis Decoction) [from *Shengji Fang*] treats yellow sweat, with yellowing of the body, sweating without thirst, presenting similarly to Fengshui, with sweat staining clothes yellow.
Ingredients: Wulan (Indigo Naturalis/Folium Isatidis), Shaoyao (Radix Paeoniae), Maimendong (Radix Ophiopogonis, remove heart), Sangbaipipi (Cortex Morii Radicis, crushed), Fangji (Radix Stephaniae Tetrandrae), Baixianpi (Cortex Dictamni), Shanzhizi (Fructus Gardeniae) (each 1.5 liang).
Administration: Crush the herbs to the size of hemp seeds or beans, decoct in water, strain, and take warm.
Yinchen Hao Tang (Artemisia Scoparia Decoction) [from *Shenghui Fang*] treats yellow sweat, with persistent bodily heat and difficulty in urination and defecation.
Ingredients: Yinchen Hao (Herba Artemisiae Scopariae), Chishao Yao (Radix Paeoniae Rubra), Gancao (Radix Glycyrrhizae, fried and crushed), Mutong (Caulis Akebiae, crushed), Chifuling (Poria with Red Hosta Root, remove black skin), Huangqi (Radix Astragali) (each 1 liang), Dahuang (Radix et Rhizoma Rhei, stir-fried, 2 liang).
Administration: Decoct in water, strain, and take warm.
Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragalus) treats spontaneous sweating of yellow sweat, fever, bodily swelling, and difficulty in urination.
Ingredients: Baishaoyao (Radix Paeoniae Alba, 1.5 liang), Lagulai (Cortex Cinnamomi, 1 liang), Gancao (Radix Glycyrrhizae, fried, 1 liang), Huangqin (Radix Scutellariae, 0.5 liang), Huangqi (Radix Astragali, fried, 2 liang).
Administration: The herbs are crushed into a powder. Take an appropriate amount, decoct in water, strain, and take warm.
Guizhi Jia Huangqi Tang (plus Astragalus) [from *Qianjin Fang*] treats the disease of yellow sweat, where the calves feel cold spontaneously. If the body turns yellow, this belongs to the category of Lijie (Joint Bi). Sweating occurs after eating; if the body is constantly itchy, malignant sores will likely develop.
Symptoms described: Sweating, lack of sweat in the lower limbs, sensation of looseness and widening in the waist.
Treatment: For yellow sweat, Guizhi Tang plus 5 liang of Huangqi is the main prescription.
Ingredients: Gui (Cortex Cinnamomi, remove coarse bark), Baishaoyao (Radix Paeoniae Alba) (each 3 liang), Gancao (Radix Glycyrrhizae, fried, 3 liang), Huangqi (Radix Astragali, 5 liang).
Administration: Crush the herbs to the size of hemp seeds or beans. Take 5 qianbi per dose, decoct in water, strain, and take warm. Adjust administration time (before or after meals) based on specific conditions.
Gancao Tang (Licorice Decoction) [from *Shenghui Fang*] treats stagnant heat in the Spleen organ that does not dissipate, causing mental restlessness and agitation, red and scanty urine, or sweat resembling cypress juice.
Ingredients: Gancao (Radix Glycyrrhizae, slightly fried, 1 liang), Zhizi Ren (Semen Gardeniae), Huangbai (Cortex Phellodendri), Baizhu (Rhizoma Atractylodis Macrocephalae) (each 1 liang).
Administration: Grind the herbs into a powder. Take 4 qian per dose, add one zhan of water, decoct until reduced to six-tenths, strain, and take warm.
Huangqi Kujiu Fang (Astragalus and Vinegar Formula) [from *Qianjin Fang*] treats yellow sweat, with bodily swelling, fever, sweating without thirst, presenting similarly to Fengshui, with sweat staining clothes yellow like cypress juice.
Ingredients: Huangqi (Radix Astragali, 5 liang), Shaoyao (Radix Paeoniae, stir-fried with vinegar), Gui (Cortex Cinnamomi, remove bark, each 3 liang).
Administration: Crush the herbs to the size of hemp seeds or beans. Take 5 qianbi per dose, add one and a half zhan of Kujiu (vinegar), decoct to the appropriate concentration, strain, and take warm.
Zhizi Wan (Gardenia Pill) [from *Shenghui Fang*] treats yellow sweat, with bodily heat and difficulty in urination and defecation.
Ingredients: Zhizi Ren (Semen Gardeniae), Gualou (Fructus Trichosanthis, crushed and stir-fried), Kushen (Radix Sophorae Flavescentis) (each 1 liang).
Administration: Grind the herbs into powder. Soak two whole eggs in vinegar, mix with the powder to form pills the size of wutong seeds. Take an appropriate amount, swallow with warm water.
Alternative Method: To treat yellow sweat, where sweat resembles cypress juice staining clothes, and the body feels empty and floating.
Administration: Use 2 liang of Manjingzi (Fructus Viticis), grind into a powder. Take 2 qianbi per dose, mix well with Jinghua Shui (well water drawn at dawn). Take on an empty stomach, three times daily, until effective.