淡黄白者胃不和也,平胃散(不乳食)、调中丸(腹痛),渴者,白术散(渴)。
瓜蒂散 治小儿忽发心满坚硬,脚手心热,变为黄胆,不急治,则杀人。
瓜蒂(七枚) 赤小豆(七粒) 秫米(七粒)
上为末。用一字吹两鼻内。令黄水出,余末尽,水调服之,得吐出黄水即愈。
一方,瓜蒂(一两)、赤小豆(四两,为末),每一钱,温汤调服,服后即卧,当吐清黄汁为
效,虚者不宜服。
《千金翼》秦王九疸散 兼治大人小儿方。
胃疸,食多喜饮,栀子仁主之。心疸,烦心心中热,茜根主之。肾疸,唇干,
葶苈子主之(熬)。脾疸,尿赤出少,惕惕恐,栝蒌主之。膏疸,饮水尿多,秦
椒、瓜蒂主之(椒汁,膏一作肺)。舌疸,渴而数便,钟乳主之。肉疸,小便白,
凝水石主之。髓疸,目深,多嗜卧,牡蛎、泽泻主之。肝疸,胃热饮多,水
激肝,白术主之。
上一十一味,等分,随病所在加半,捣筛为散。饮服五分匕,日三,稍稍加至
方寸匕。儿小者,量与之。
《千金翼》治大人小儿黄胆变成黑疸,医所不能治方
上用土瓜根捣汁一升,顿服之。病当从小便出,小儿分减服。葛氏亦治小儿四岁发黄者。
《千金冀》治大人小儿黄黑等疸方
当归(三两) 桂心(六两) 干枣(十七枚,去核) 麦门冬(一升) 大黄(一两) 茵陈 黄芩 黄 (一
本无) 干姜 茯苓 芍药 黄连 石膏(碎) 人参 甘草(各二两)
上十五味, 咀。以水一斗,煮取三升半,分四服,小儿分减服。
《千金翼》赤苓散 主黑疸身皮大便皆黑,通治大人小儿。
赤小豆(三十枚) 茯苓 女萎(各六铢) 雄黄(一铢) 瓜丁(四铢) 甘草(二铢)
上六味,以水三升,煮豆、茯苓取八合,捣四味为散。和半钱匕服之。须臾当
吐,吐则愈。亦主一切黄。小儿服半字匕。
面色呈现淡黄白色,是胃气不和的表现,可用平胃散(适用于食欲不振、乳食不进)、调中丸(适用于腹痛),若有口渴症状,则用白术散(治疗口渴)。
瓜蒂散:用于治疗小儿突然发作的心胸痞满坚硬,手脚心发热,进而转变为黄疸病。若不紧急治疗,会导致死亡。
药材:瓜蒂七枚,赤小豆七粒,秫米七粒。
制法与用法:将上述药物研为细末。取“一字”量的药粉吹入两个鼻孔内。促使黄色液体流出,剩余的药粉全部用完,再用清水调和服用,若能吐出黄水,疾病即可痊愈。
另一处方:瓜蒂一两,赤小豆四两(研为细末),每次取一钱,用温开水调和服用。服药后立即躺下,若吐出清黄色的汁液即为有效,体质虚弱者不宜服用。
《千金翼方》中的秦王九疸散:兼治成人和儿童的方剂。
胃疸:饮食多且喜欢饮水,以栀子仁为主药。
心疸:心烦、心中发热,以茜根为主药。
肾疸:嘴唇干燥,以葶苈子为主药(需炒制)。
脾疸:尿色红赤且量少,神情惊恐不安,以栝蒌为主药。
膏疸:饮水多但排尿也多,以秦椒、瓜蒂为主药(秦椒取汁,膏字一作肺字)。
舌疸:口渴且频繁排便,以钟乳为主药。
肉疸:小便颜色发白,以凝水石为主药。
髓疸:眼窝深陷,嗜睡,以牡蛎、泽泻为主药。
肝疸:胃部有热感、饮水多,因水湿激惹肝脏所致,以白术为主药。
以上十一味药,各取等分,根据病情所在部位增加一半用量,捣碎过筛制成散剂。每次用饮送服五分匕的量,每日三次,逐渐增加至一方寸匕的量。儿童体型较小者,酌情减量给予。
《千金翼方》治疗成人及儿童黄疸转为黑疸,医生难以治愈的方剂:
取土瓜根捣取汁液一升,一次性服用。病邪应当从小便排出,儿童应酌情减少剂量服用。葛氏也治疗四岁儿童发黄的症状。
《千金冀方》治疗成人及儿童黄疽、黑疸等病症的方剂:
当归三两,桂心六两,干枣十七枚(去核),麦门冬一升,大黄一两,茵陈,黄芩,黄芪(有的版本没有此药),干姜,茯苓,芍药,黄连,石膏(打碎),人参,甘草(各二两)。
以上十五味药,切碎。用水一斗,煎煮取三升半药液,分四次服用,儿童酌情减少剂量。
《千金翼方》赤苓散:主治黑疸患者身体皮肤及大便均呈黑色,通治成人和儿童。
赤小豆三十枚,茯苓,女萎(各六铢),雄黄(一铢),瓜丁(四铢),甘草(二铢)。
以上六味药,用水三升,煎煮赤小豆和茯苓,取八合药液,将另外四味药捣碎研为散剂。混合后取半钱匕的量服用。不久应当产生呕吐反应,吐后疾病即愈。此方也主治各种黄疸。儿童服用半字匕的量。
The complexion presenting as pale yellowish-white indicates disharmony of the Stomach (Wei). Pingwei San (Calm the Stomach Powder) may be used for anorexia and refusal to nurse; Tiaozhong Wan (Regulate the Middle Pill) for abdominal pain; and Baizhu San (Atractylodes Macrocephala Powder) for thirst.
Gua Di San (Melon Seed Powder): Indicated for sudden onset of chest fullness and hardness in children, accompanied by heat in the palms and soles, progressing to Jaundice (Huangdan). If not treated urgently, it can be fatal.
Ingredients: Gua Di (Thladianthae Fructus) 7 pieces, Chi Xiao Dou (Vigna umbellata Seed) 7 grains, Shu Mi (Sorghum Vulgare Grain) 7 grains.
Preparation and Administration: Grind the above ingredients into a fine powder. Blow one "yi" (a small ancient unit of measurement) amount of powder into each nostril. This induces the discharge of yellow fluid. After all the powder is used, take the remainder mixed with water orally. Recovery occurs if yellow fluid is vomited.
Alternative Prescription: Gua Di (Thladianthae Fructus) 1 liang, Chi Xiao Dou (Vigna umbellata Seed) 4 liang (ground into powder). Take 1 qian per dose, mixed with warm water. Lie down immediately after ingestion. The emergence of clear yellow juice upon vomiting indicates efficacy. This is contraindicated for patients with deficiency.
Qin Wang Jiu Dan San (Qin Wang's Nine Jaundices Powder) from *Qianjin Yi* (Supplement to Essential Prescriptions Worth a Thousand Gold): A formula applicable to both adults and children.
Wei Dan (Stomach Jaundice): Characterized by polyphagia and polydipsia; treat with Zhi Zi Ren (Gardeniae Semen).
Xin Dan (Heart Jaundice): Characterized by vexation and internal heat; treat with Qian Gen (Rubiae Radix et Rhizoma).
Shen Dan (Kidney Jaundice): Characterized by dry lips; treat with Ting Li Zi (Lepidii Semen), roasted.
Pi Dan (Spleen Jaundice): Characterized by dark scanty urine and timidity/fear; treat with Gua Lou (Trichosanthis Radix).
Gao Dan (Fat Jaundice): Characterized by polydipsia and polyuria; treat with Qin Jiao (Gentianae Macrophyllae Radix) and Gua Di (Thladianthae Fructus). Note: "Gao" refers to pepper juice in some texts, or "Fei" (Lung).
She Dan (Tongue Jaundice): Characterized by thirst and frequent defecation; treat with Zhong Ru (Gypsum Fibrosum).
Rou Dan (Flesh Jaundice): Characterized by white urine; treat with Ning Shui Shi (Halloysitum Rubrum).
Sui Dan (Marrow Jaundice): Characterized by sunken eyes and somnolence; treat with Mu Li (Ostreae Concha) and Ze Xie (Alismatis Rhizoma).
Gan Dan (Liver Jaundice): Characterized by stomach heat, excessive drinking, and liver disturbance due to water retention; treat with Bai Zhu (Atractylodis Macrocephalae Rhizoma).
The above eleven herbs are taken in equal proportions. Increase the dosage by half according to the affected organ. Pound and sieve into a powder. Administer 5 fen bi (a small spoon measure) with drink, three times daily, gradually increasing to 1 fang cun bi (one square-inch spoon measure). For small children, adjust the dose accordingly.
From *Qianjin Yi* (Supplement to Essential Prescriptions Worth a Thousand Gold), a formula for treating adults and children where Jaundice has transformed into Black Jaundice (Heidan), which physicians find difficult to cure:
Crush Tu Gua Gen (Trichosanthes Kirilowii Root) to extract one sheng (ancient liquid measure) of juice. Take this in one dose. The pathogenic factor should exit via urination. Reduce the dose for children. Ge Shi also treats four-year-old children presenting with yellowing.
From *Qianjin Ji* (Essential Prescriptions Worth a Thousand Gold), a formula for treating adults and children with various jaundices including Yellow and Black Jaundice:
Dang Gui (Angelicae Sinensis Radix) 3 liang, Gui Xin (Cinnamomi Ramulus Cortex) 6 liang, Gan Zao (Jujubae Fructus) 17 pieces (pitted), Mai Men Dong (Ophiopogonis Radix) 1 sheng, Da Huang (Rhei Radix et Rhizoma) 1 liang, Yin Chen (Artemisiae Scopariae Herba), Huang Qin (Scutellariae Radix), Huang Qi (Astragali Radix - absent in some editions), Gan Jiang (Zingiberis Rhizoma), Fu Ling (Poria), Shao Yao (Paeoniae Radix), Huang Lian (Coptidis Rhizoma), Shi Gao (Gypsum Fibrosum, crushed), Ren Shen (Ginseng Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 liang).
Grind the above fifteen herbs. Decoct in ten dou (ancient volume measure) of water until three and a half sheng remain. Divide into four doses. Reduce the dose for children.
Chi Ling San (Red Poria Powder) from *Qianjin Yi*: Mainly indicated for Black Jaundice where the skin and stool are black. Applicable to both adults and children.
Chi Xiao Dou (Vigna umbellata Seed) 30 pieces, Fu Ling (Poria), Nu Wei (Polygonati Odorati Rhizoma) (each 6 zhu), Xiong Huang (Realgar), Gua Ding (Thladianthae Fructus Apex) (4 zhu), Gan Cao (Glycyrrhizae Radix et Rhizoma) (2 zhu).
Decoct the beans and Poria in three sheng of water until eight ge remains. Pound the other four herbs into a powder. Mix and administer half a qian bi. Vomiting should occur shortly thereafter; recovery follows vomiting. This formula also treats all types of jaundice. For children, administer half a zi bi.