治身体洪肿,发热自汗,汗如 汁,其脉沉。
黄 (五两) 芍药(三两) 桂心(三两)
上为锉散。每服四钱,苦酒三合,水一盏半,煎至七分,去滓,不以时服。初服,当心
烦,以苦酒阻故也;至六七日,稍自愈。
治伤寒瘀血不解,郁发于表,发为黄胆,其脉浮紧者,以汗解之。
麻黄(三两,去节)
上一味,以醇酒五升,煮取二升,每服一盏,温服,汗出愈。秋冬用酒煮,春夏用水煮。
病者发黄内热,食则腹满眩晕,谷气不消,胃中苦浊,浊气下流,小便不通,阴被其寒
,热流膀胱,身体尽黄,名曰谷疸。
治胃蓄瘀热气浊,食谷不消,大小便不利,胀满不下食,趺阳脉紧而数。亦治
因劳发热,热郁发黄。
苦参(三两) 龙胆草(一两) 栀子(去皮炒,半两) 人参(三分)
上为末,以猪胆汁入熟蜜少许,搜和丸,如梧子大。以大麦煮饮下五十丸,日三;不知,稍加之。
红丸子 最治谷疸,以生姜甘草汤下。(方见霍乱门)
五疸唯酒疸变证最多,盖酒之为物,随人性量不同,有盈石而不醉者,有濡吻而辄乱者
。以酝酿而成,有大热毒,渗入百脉为病,则不特发黄。溢于皮肤,为黑为肿;流于清气道
中,则眼黄鼻痈,种种不同。故方论中,酒疸外,有肉疸、黑疸、癖疸、劳溢,乃至令人恍
惚失常等,数证不同。
Treats severe bodily edema, fever with spontaneous sweating, sweat flowing like juice, and a deep pulse.
Yinchen (Artemisiae Scopariae Herba, 茵陈) (five liang) Shaoyao (Paeoniae Radix, 芍药) (three liang) Guixin (Cinnamomi Cortex, 桂心) (three liang)
Crush the above ingredients into a powder. Take four qian per dose, mixed with three he of Kujiu (fermented rice wine/vinegar), and one dan of water. Decoct until reduced to seven-tenths, strain off the dregs, and take at any time. Upon initial administration, there will be heart vexation due to the obstruction by Kujiu; by the sixth or seventh day, it will gradually heal itself.
The patient presents with yellowing of the skin, where the body, face, and eyes are all as yellow as gold, and urine is like thickly boiled bean juice. This condition is named Huangdan (Jaundice).
For treating jaundice caused by unresolved blood stasis from Shanghan (Cold Damage) that stagnates and erupts on the exterior, presenting with a floating and tight pulse, resolve it through sweating.
Mahuang (Ephedrae Herba, 麻黄) (three liang, remove joints)
Take this single ingredient, boil in five sheng of pure wine until two sheng remain. Take one zhan per dose, warm. Healing occurs when sweat appears. In autumn and winter, decoct with wine; in spring and summer, decoct with water.
The patient presents with jaundice and internal heat, abdominal fullness and dizziness after eating, inability to digest food, a sensation of turbidity in the stomach, downward flow of turbid qi, and urinary obstruction. Cold affects the yin, while heat flows into the bladder, causing the entire body to turn yellow. This condition is named Gudandan (Grain Jaundice).
Treats gastric accumulation of blood stasis, heat, and turbid qi, leading to indigestion, difficulty in urination and defecation, abdominal distension, and anorexia, accompanied by a tight and rapid Duyang pulse. Also treats jaundice caused by heat stagnation due to exertion fever.
Kushen (Sophorae Flavescentis Radix, 苦参) (three liang) Longdancao (Gentianae Radix, 龙胆草) (one liang) Zhizi (Gardeniae Fructus, 栀子) (half liang, peel and stir-fry) Renshen (Ginseng Radix, 人参) (three fen)
Grind the above into powder. Mix with pig bile and a small amount of cooked honey to form pills the size of wutong seeds. Take fifty pills with barley decoction, three times daily; if ineffective, increase the dose slightly.
Hongwanzi (Red Pills) is most effective for Gudandan (Grain Jaundice); take with Shengjiang Gancao Tang (Ginger and Licorice Decoction). (Formula see Huoluan section)
Among the five types of jaundice, Jiudan (Alcohol Jaundice) has the most variations. Wine, as a substance, varies according to individual tolerance: some can drink a dan without getting drunk, while others become disordered merely by touching their lips. Formed through fermentation, it possesses great heat toxicity. When it penetrates the hundred vessels to cause disease, it not only causes yellowing. Overflowing into the skin, it manifests as blackness or edema; flowing into the clear qi pathways, it causes yellow eyes and nasal carbuncles, among other varying symptoms. Therefore, in the formula discussions, besides Jiudan, there are other distinct conditions such as Rou Dan (Meat Jaundice), Hei Dan (Black Jaundice), Pi Dan (Mass Jaundice), Lao Yi (Exertion Overflow), and even states of mental confusion and loss of normal consciousness.