栀子柏皮汤治身热不去大便利而烦热身黄者
栀子 柏皮 黄连(各等分)
上 咀每服一两水煎服
宝鉴茯苓渗湿汤治黄胆寒热呕吐而渴欲饮冷身体面目黄小便不利不得安卧不思食
白茯苓(五分) 泽泻(三分) 茵陈(六分) 猪苓(二钱) 生黄芩 黄连 栀子 防己
白术 苍术 陈皮 青皮 枳实(各二分)
上 咀作一服水煎空心服酒疸兼作丸子服之
按此并太阳例药
金匮小半夏汤治黄胆小便色不异欲利腹满而喘
半夏(汤泡七次)
上 咀每服三五钱水煎入姜十片
韩氏茵陈橘皮汤治身黄脉沉细数热而手足寒喘呕烦躁不渴者
茵陈 橘皮 生姜(各一两) 白术(一分) 半夏 茯苓(各半两)
上为末水四升煮取二升放温分作四服
按此并足阳明太阴药也
小茵陈汤治发黄脉沉细迟四肢及遍身冷
附子(一个八片) 甘草(炙一两) 茵陈(二两)
上为粗末用水二升煮一升温作三服
茵陈四逆汤治发黄脉沉细迟肢体逆冷腰以上自汗
甘草(炙一两) 干姜(炮一两半) 附子(一个作八片) 茵陈(二两)
上为粗末分作四帖水煎服
茵陈附子汤治服四逆汤身冷汗不止者
附子(二个各作八片) 干姜(炮二两半) 茵陈(一两半)
上为粗末水煎分作三服
按以上并少阴经药也
茵陈茱萸汤治服茵陈附子汤证未退及脉伏者
吴茱萸(一两) 当归(三分) 附子(二个作八片) 木通(一两) 干姜(炮) 茵陈(各一
两半)
上为粗末分作二服水煎
按此足少阴厥阴药也
栀子柏皮汤,治疗身体发热不退、大便通畅但心烦身热、皮肤发黄的症状。
药物组成:栀子、黄柏、黄连(各等分)。
制法与用法:将药材切碎,每次服用一两,加水煎煮后服用。
《宝鉴》茯苓渗湿汤,治疗黄疸伴有寒热往来、呕吐且口渴想喝冷水、身体面目发黄、小便不利、无法安卧、不思饮食的症状。
药物组成:白茯苓(五分)、泽泻(三分)、茵陈(六分)、猪苓(二钱)、生黄芩、黄连、栀子、防己、白术、苍术、陈皮、青皮、枳实(各二分)。
制法与用法:将药材切碎作为一剂,加水煎煮,空腹服用。若为酒疸,可制成丸剂服用。
按:此方属于太阳经例药范畴。
《金匮要略》小半夏汤,治疗黄疸患者小便颜色无明显异常、想要排尿但腹部胀满且气喘的症状。
药物组成:半夏(用汤浸泡七次)。
制法与用法:将药材切碎,每次服用三至五钱,加水煎煮,加入生姜十片。
韩氏茵陈橘皮汤,治疗身体发黄、脉象沉细数、身热但手足寒冷、气喘呕吐、烦躁但不口渴的症状。
药物组成:茵陈、橘皮、生姜(各一两)、白术(一分)、半夏、茯苓(各半两)。
制法与用法:将药材研为粉末,用水四升,煮取二升,放温后分四次服用。
按:此方属于足阳明胃经和足太阴脾经的药物组成。
小茵陈汤,治疗身体发黄、脉象沉细迟、四肢及全身发冷的症状。
药物组成:附子(一个,切成八片)、甘草(炙,一两)、茵陈(二两)。
制法与用法:将药材捣成粗末,用水二升,煮取适量,温热分三次服用。
茵陈四逆汤,治疗身体发黄、脉象沉细迟、肢体逆冷、腰部以上自汗的症状。
药物组成:甘草(炙,一两)、干姜(炮,一两半)、附子(一个,切成八片)、茵陈(二两)。
制法与用法:将药材捣成粗末,分为四帖,加水煎煮服用。
茵陈附子汤,治疗服用四逆汤后仍身冷汗出不止的症状。
药物组成:附子(二个,各切成八片)、干姜(炮,二两半)、茵陈(一两半)。
制法与用法:将药材捣成粗末,加水煎煮,分三次服用。
按:以上方剂均属于少阴经药物。
茵陈茱萸汤,治疗服用茵陈附子汤后证候未退以及脉象伏匿的症状。
药物组成:吴茱萸(一两)、当归(三分)、附子(二个,切成八片)、木通(一两)、干姜(炮)、茵陈(各一两半)。
制法与用法:将药材捣成粗末,分为两次服用,加水煎煮。
按:此方由足少阴肾经和足厥阴肝经的药物组成。
Xiaochaihu Jia Zhizi Tang (Minor Bupleurum Decoction with Gardenia)
Note: This formula consists of herbs belonging to the Hand-Taiyin Lung Meridian and Foot-Shaoyang Gallbladder Meridian.
Zhizi Bopi Tang (Gardenia and Phellodendron Decoction) treats persistent body heat, free stool but with mental restlessness and heat, and yellowing of the skin.
Ingredients: Zhizi (Fructus Gardeniae), Bopi (Cortex Phellodendri), Huanglian (Rhizoma Coptidis) (equal parts).
Preparation and Administration: Coarsely crush the herbs. Take one liang per dose, decoct in water, and drink.
Baojian Fuling Shen Shi Tang (Poria Decoction for Draining Dampness from the *Baolian*) treats jaundice accompanied by alternating chills and fever, vomiting, thirst with a desire to drink cold liquids, yellowing of the body and face, difficult urination, inability to lie down peacefully, and loss of appetite.
Ingredients: Baifuling (Sclerotium Poriae), Zexie (Rhizoma Alismatis), Yinchen (Herba Artemisiae Scopariae), Zhuling (Sclerotium Polypori), Sheng Huangqin (Radix Scutellariae, raw), Huanglian (Rhizoma Coptidis), Zhizi (Fructus Gardeniae), Fangji (Radix Stephaniae Tetrandrae), Baizhu (Rhizoma Atractylodis Macrocephalae), Cangzhu (Rhizoma Atractylodis Lanceae), Chenpi (Pericarpium Citri Reticulatae), Qingpi (Pericarpium Citri Reticulatae Viride), Zhishi (Fructus Aurantii Immaturus) (each 2 fen); Baifuling (5 fen), Zexie (3 fen), Yinchen (6 fen), Zhuling (2 qian).
Preparation and Administration: Coarsely crush the herbs as one dose. Decoct in water and take on an empty stomach. For Jiudan (Alcoholic Jaundice), it may be prepared as pills.
Note: These belong to the category of formulas related to the Taiyang pattern.
Jingui Xiaobanxia Tang (Minor Pinellia Decoction from the *Essential Prescriptions of the Golden Cabinet*) treats jaundice where the urine color is not significantly altered, yet there is a desire to urinate, abdominal fullness, and wheezing.
Ingredients: Banxia (Rhizoma Pinelliae) (soaked seven times in boiling water).
Preparation and Administration: Coarsely crush the herbs. Take 3–5 qian per dose, decoct in water, and add ten slices of fresh ginger.
Hanshi Yinchens Ju Pi Tang (Artemisia and Tangerine Peel Decoction by Master Han) treats yellowing of the body, a deep, fine, and rapid pulse, body heat with cold hands and feet, wheezing and vomiting, irritability, but no thirst.
Ingredients: Yinchen (Herba Artemisiae Scopariae), Jupi (Pericarpium Citri Reticulatae), Shengjiang (Rhizoma Zingiberis Recens) (each 1 liang), Baizhu (Rhizoma Atractylodis Macrocephalae) (1 fen), Banxia (Rhizoma Pinelliae), Fuling (Sclerotium Poriae) (each half liang).
Preparation and Administration: Grind into powder. Boil four sheng of water until reduced to two sheng. Let cool to warm temperature and divide into four doses.
Note: These consist of herbs belonging to the Foot-Yangming Stomach Meridian and Foot-Taiyin Spleen Meridian.
Xiao Yinchen Tang (Minor Artemisia Decoction) treats yellowing of the body, a deep, fine, and slow pulse, and coldness of the limbs and entire body.
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata) (one bulb, sliced into eight pieces), Gancao (Radix Glycyrrhizae Preparata, honey-fried) (1 liang), Yinchen (Herba Artemisiae Scopariae) (2 liang).
Preparation and Administration: Make into coarse powder. Use two sheng of water, boil, and take warm in three divided doses.
Yinchen Sini Tang (Artemisia and Sini Decoction) treats yellowing of the body, a deep, fine, and slow pulse, cold extremities, and spontaneous sweating above the waist.
Ingredients: Gancao (Radix Glycyrrhizae Preparata, honey-fried) (1 liang), Ganjiang (Rhizoma Zingiberis Preparata) (1.5 liang), Fuzi (Radix Aconiti Lateralis Preparata) (one bulb, sliced into eight pieces), Yinchen (Herba Artemisiae Scopariae) (2 liang).
Preparation and Administration: Make into coarse powder, divide into four portions, decoct in water, and take.
Yinchen Fuzi Tang (Artemisia and Aconite Decoction) treats cases where, after taking Sini Tang, the patient still experiences cold sweat that does not stop.
Ingredients: Fuzi (Radix Aconiti Lateralis Preparata) (two bulbs, each sliced into eight pieces), Ganjiang (Rhizoma Zingiberis Preparata) (2.5 liang), Yinchen (Herba Artemisiae Scopariae) (1.5 liang).
Preparation and Administration: Make into coarse powder, decoct in water, and divide into three doses.
Note: The above formulas all consist of herbs belonging to the Shaoyin Meridian.
Yinchen Zhuyu Tang (Artemisia and Evodia Decoction) treats cases where symptoms persist after taking Yinchen Fuzi Tang, or when the pulse is hidden/faint.
Ingredients: Wuzhuyu (Fructus Evodiae), Danggui (Radix Angelicae Sinensis), Fuzi (Radix Aconiti Lateralis Preparata) (two bulbs, sliced into eight pieces), Mutong (Caulis Akebiae), Ganjiang (Rhizoma Zingiberis Preparata), Yinchen (Herba Artemisiae Scopariae) (each 1.5 liang; note: text specifies Danggui as 3 fen, others as 1.5 liang).
Preparation and Administration: Make into coarse powder, divide into two doses, decoct in water, and take.
Note: This formula consists of herbs belonging to the Foot-Shaoyin Kidney Meridian and Foot-Jueyin Liver Meridian.