〔丹〕治一妇人，四月内产发黄，四肢倦怠，食少，经事不来，时发热，脉弦。
白术（一两） 人参 秦艽 丹皮 生地 木通 柴胡 芍药（各半两） 川芎 黄芩
干葛（各一钱） 甘草
分十二帖。水煎，食前热服。
一名黄胖。夫黄胆者，暴病也，故仲景以十八日为期。食劳黄者，宿病也，至有久不愈者，
故宜另立篇门。
〔丹〕大温中丸治黄胖。（朱先生晚年定者。）
香附（一斤，童便浸，春夏一宿，秋冬三宿） 甘草（二两） 针砂（炒红，醋淬三次，一
斤） 苦参（春夏二两，秋冬一两） 浓朴（姜制，炒黑，五两） 芍药（五两） 陈皮（三两） 山楂（五两）
苍术（五两，泔浸） 白术 茯苓（各三两） 青皮（六两）
俱为细末，醋糊丸，如桐子。面黑，筋骨露，气实者，米饮下五六十丸。面肥白与气虚羸弱
者，白术汤下三四十丸。忌一切生冷、油腻、鸡、鹅、羊、鸭、生、硬并 粽难化之物。服过
七日后，便觉手掌心凉，口唇内有红晕起，调理半月愈。
丈夫黄胖，胃有宿积，口淡，脚酸，气急。
针砂（淘，炒净，醋 ，用细末，三两） 苍术 香附 三棱（各一两） 陈皮 黄连 茱萸
人参（各半两） 茯苓（七钱）
上为末，神曲醋糊丸。每服五十丸。若饱，入保和十丸，白汤下。
又小温中丸治黄胖。（宜草野贫贱人服，盖其饮食无积，但补阴燥湿而已。）
针砂一斤，以醋炒为末；入糯米炒极黄为末，亦用一斤，醋糊丸，如桐子大。每米饮下四五
十丸，忌口同上。轻者服五两，重者不过七两愈。
六十嫂，面黄口苦而渴，此食积生湿热。
白术（一钱半） 连翘（一钱） 羌活 通草
煎熟，吞下谷疸丸、保和丸各四十粒，阿魏丸五粒。
暖中丸治黄胖，杀肝邪，舒脾气。虚者不宜用。
陈皮 苍术 浓朴（制） 三棱 白术 青皮（各五钱） 香附（一斤） 甘草（二两） 针砂（十两，
醋炒红。）
上为末，醋糊丸。空心盐姜汤下五十丸，晚食前酒下亦可。忌狗肉。
上五方，附、朴、楂、青、棱、蓬以磨积，针砂、酸醋以泻肝，白术、苍术以补脾，重
可去怯之剂。唯温中丸无补性，虚者勿用。
〔世〕治黄胖。绿矾六两，用米醋于铁锅内煮七次，以干为度，置地上出火气为末。南星末
一两，炒面一两，大皂角二斤，水煮熟，揉出浓胶，去皮渣，滤过再熬，入枣子六两，蒸熟去
皮核，煎成浓膏，捣匀，和前药末为丸，如桐子大。每服五丸，早晚用姜汤各一服。忌油腻、
煎爆。如身上发红斑时，急煎枣汤服之，斑自愈。
〔《本》〕治男妇患食劳、气劳，遍身黄肿，欲变成水，及久患 癖，小肠膀胱面目忽黄，宜服
紫金丹
胆矾（三钱） 黄蜡（二两） 大枣（五十枚）
上以砂锅或银石器内用好醋三升，先下矾、枣慢火熬半日。取出枣，去皮核，次下蜡，
再慢火熬一二时，如
膏好，入腊茶二两，同和丸，如桐子大。每服二三十丸，茶酒任下。如久患肠风痔漏，陈米饮下。
日三服，一日见效。宗室赵彦材，下血面如蜡，不进食，盖酒病也。授此方服之，终剂血止，
面鲜润，食亦倍常。新安一士人亦如是，与三百粒作十服，立愈。
〔罗〕枣矾丸治食劳黄，目黄身黄。
皂矾（不拘多少，置砂锅内烧通赤，用米醋点之，烧用木炭）
上为末，枣肉丸。每服二三十丸，食后姜汤下。一方，用白矾，不用皂。
〔世〕枣矾丸治黄胖。
皂矾（五两， ） 枣肉（二两） 蒸粉（三两）
上为末，生姜汁丸。每服二三十丸，一日二次，米饮下，食前。
右三方，矾、醋之酸以泻肝，枣肉之甘以补脾。若虚黄，于前疸门小便自利、自汗虚劳疸条
下诸方选用之。
〔丹〕妇人年三十，面黄，脚酸弱，口苦喜茶，月经不匀，且多倦怠。
黄 （三分） 白术（一分） 炒柏（二分） 秦艽（二分） 甘草（三分） 木通（五分） 陈皮（五分）
芍药 人参（各一钱） 当归（一钱）
一妇年六十，面黄倦甚，足酸口苦，脉散而大，此湿伤气也。
白术（半两） 陈皮（四钱） 苍术 木通 黄芩（各三钱） 砂仁 人参 川芎（各二钱）
黄柏（炒，一钱） 甘草（炙，五分）
分六帖。水煎，食前服。
王官人，痞后面黄，脚酸弱，倦怠，食饱气急，头旋。
黄 （二分） 苍术（一钱） 白术（一钱半） 木通（二分） 甘草（炙，二分） 黄柏（炒，三分）
浓朴（制，一钱） 陈皮（一钱）
水煎服。
成庚五官，面黄，脚酸无力，食不化，脉虚而少弦，口苦肚胀，宜补之。
苍术（半钱） 木通（三分） 白术（一钱半） 当归（五分） 芍药 陈皮（各五分） 甘草（炙，二分）
川芎（五分） 人参（三分）
水煎下保和丸四十丸。
〔《经》〕治食气，遍身黄胖，气喘，食不进，心胸渴闷。用不蛀皂角去皮及子，涂好醋炙令焦，
为末一钱，巴豆七粒去油膜。二件，以淡醋研好墨为丸，如麻子大。每服三丸，食后陈皮汤下。
日三服，隔一日增一丸，以利为度，常服消酒食。
〔子和〕一男子作赘，偶病疸，善食而瘦，四肢不举，面黄无力。其妇翁欲弃之，其女不肯。
妇翁乃农夫，招婿意欲作劳，见其病甚，每日诟辱之。人教之饵蜡矾丸、三棱丸，俱不效。戴
人见之，不诊而疗，使服涌剂，去积痰宿水一斗。又以泄水丸、通经散，下四五十行不止。戴
人命饮冰水一盏立止。次服平胃散，间服槟榔丸五十粒，七日黄退力生。盖黄胆之症，湿热与宿
谷故也，俗谓之食劳黄。
〔世〕喜吃干茶。
石膏 白芍药 黄芩
水煎服。更于积块门茶瘅条相参用之。
〔《山》〕酒面黄。用丝瓜连皮子烧灰。因面得病，面汤调下。因酒得病，酒调下。
[Background Information]
Book: Medical Outline (Yixue Gangmu) Author: Lou Ying Dynasty: Ming Chapter: Postpartum Jaundice / Dietary and Labor-induced Kan Yellow Category: Medical Discussion
[Ding] Treated a woman who developed jaundice after giving birth during the fourth month of pregnancy. She presented with fatigue in the four limbs, poor appetite, amenorrhea, intermittent fever, and a wiry pulse.
Baizhu (1 liang), Renshen, Qinjiao, Danpi, Shengdi, Mutong, Chaihu, Shaoyao (each 0.5 liang), Chuanxiong, Huangqin, Gange (each 1 qian), Gancao.
Divided into twelve doses. Decoct in water and take hot before meals.
This condition is also known as "Huang Pang" (Yellow Distension). "Huang Dan" (Jaundice caused by damp-heat accumulation in the liver and gallbladder leading to bile overflow onto the skin) is an acute disease; therefore, Zhang Zhongjing set a prognosis period of eighteen days. "Shilao Huang" (Chronic jaundice caused by food stagnation and overexertion) is a chronic condition, sometimes persisting for a long time without cure, so it should be classified under a separate chapter heading.
[Ding] Da Wenzhong Wan (Great Warm Middle Pill) treats Huang Pang. (A formula finalized by Mr. Zhu in his later years.)
Xiangfu (1 jin, soaked in urine from young boys, one night in spring/summer, three nights in autumn/winter), Gancao (2 liang), Zhen Sha (stir-fried until red, quenched in vinegar three times, 1 jin), Kushen (2 liang in spring/summer, 1 liang in autumn/winter), Houpo (processed with ginger juice, stir-fried black, 5 liang), Shaoyao (5 liang), Chenpi (3 liang), Shanzha (5 liang), Cangzhu (5 liang, soaked in rice washing water), Baizhu, Fuling (each 3 liang), Qingpi (6 liang).
All ground into fine powder, mixed with vinegar paste to form pills the size of paulownia seeds. For those with dark complexion, exposed tendons and bones, and excess qi, take 50-60 pills with rice drink. For those with puffy white complexion and deficient, emaciated qi, take 30-40 pills with Baizhu decoction. Avoid all raw, cold, greasy foods, chicken, goose, mutton, duck, raw/hard items, and zongzi (sticky rice dumplings) which are hard to digest. After seven days of taking the medicine, one will feel coolness in the palms and a red flush inside the lips; recovery occurs after half a month of regulation.
For men suffering from Huang Pang, there is old food accumulation in the stomach, bland taste in the mouth, sore legs, and shortness of breath.
Zhen Sha (washed, stir-fried clean, quenched in vinegar, taken as fine powder, 3 liang), Cangzhu, Xiangfu, Sanleng (each 1 liang), Chenpi, Huanglian, Zhuyu, Renshen (each 0.5 liang), Fuling (7 qian).
Grind into powder, mix with Shenqu and vinegar paste to form pills. Take 50 pills per dose. If feeling full, add 10 Baohe Wan pills, taken with plain boiled water.
Also, Xiao Wenzhong Wan (Small Warm Middle Pill) treats Huang Pang. (Suitable for poor people in rural areas, as their diet lacks accumulation, requiring only yin nourishment and dampness drying.)
Zhen Sha (1 jin, stir-fried with vinegar into powder); add glutinous rice stir-fried until very yellow into powder (also 1 jin), mix with vinegar paste to form pills the size of paulownia seeds. Take 40-50 pills with rice drink per dose. Avoidances same as above. Mild cases take 5 liang, severe cases no more than 7 liang for cure.
The sixty-year-old sister-in-law has a yellow face, bitter taste in the mouth, and thirst; this is damp-heat generated by food stagnation.
Baizhu (1.5 qian), Lianqiao (1 qian), Qianghuo, Tongcao.
Decoct until ready, swallow Gu Dan Wan and Baohe Wan (40 pills each), and Awei Wan (5 pills).
Nuanzhong Wan treats Huang Pang, suppresses liver pathogenic factors, and soothes spleen qi. Not suitable for deficiency patterns.
Chenpi, Cangzhu, Houpo (processed), Sanleng, Baizhu, Qingpi (each 5 qian), Xiangfu (1 jin), Gancao (2 liang), Zhen Sha (10 liang, stir-fried red with vinegar).
Grind into powder, mix with vinegar paste to form pills. Take 50 pills on an empty stomach with salt and ginger decoction; taking with wine before evening meal is also acceptable. Avoid dog meat.
In the above five formulas, Fuzi, Houpo, Shanzha, Qingpi, Sanleng, and Penglang are used to grind away accumulations; Zhen Sha and sour vinegar are used to drain the liver; Baizhu and Cangzhu are used to tonify the spleen. These are heavy agents to remove fearfulness. Only Wenzhong Wan lacks tonifying properties; do not use for deficiency.
[Shi] Treats Huang Pang. Lvfan (Green Vitriol, 6 liang), boiled seven times in rice vinegar in an iron pot until dry, placed on the ground to eliminate fire qi, then ground into powder. Nanxing powder (1 liang), stir-fried flour (1 liang), large Zaojiao (Giant Condensed Milk Vine Pod, 2 jin), boiled in water until soft, kneaded to extract thick gum, skins and dregs removed, filtered and boiled again, add 6 liang of Jujube, steamed until cooked, skins and pits removed, boiled into thick paste, mixed evenly with previous powders to form pills the size of paulownia seeds. Take 5 pills per dose, morning and evening with ginger decoction. Avoid greasy, fried, and roasted foods. If red spots appear on the body, immediately decoct jujube soup to drink; the spots will heal spontaneously.
[Ben] Treats men and women suffering from dietary and qi labor, generalized yellow swelling, impending hydrops (edema), and long-standing Pi masses (abdominal lumps), where sudden yellowing of the eyes, face, small intestine, and bladder occurs. It is advisable to take Zijin Dan.
Danfan (3 qian), Huangla (Beeswax, 2 liang), Dazao (Jujube, 50 pieces).
Place in a clay or silver/ceramic pot with 3 sheng of good vinegar. First add Fan and Zao, simmer slowly for half a day. Remove Zao, peel and pit, then add La, simmer slowly for another 1-2 hours. When the paste is ready, add 2 liang of Laccha (Old Tea), mix well to form pills the size of paulownia seeds. Take 20-30 pills per dose, with tea or wine as desired. For long-standing Changfeng hemorrhoids, take with aged rice drink. Three times daily, effective within one day. Zhao Yancai, a member of the royal clan, suffered from bloody stool, waxy complexion, and inability to eat, due to alcohol disease. Given this formula, bleeding stopped upon completion of the course, complexion became fresh and moist, and appetite doubled. A scholar from Xin'an had similar symptoms; given 300 pills divided into ten doses, he recovered immediately.
[Luo] Zaofan Wan treats dietary/labor jaundice, yellow eyes and body.
Zaofan (Black Vitriol, amount unspecified), place in a clay pot, heat until red-hot, sprinkle with rice vinegar, heat using charcoal.
Grind into powder, mix with jujube flesh to form pills. Take 20-30 pills per dose, with ginger decoction after meals. Another method uses Baifan (White Vitriol) instead of Zaofan.
[Shi] Zaofan Wan treats Huang Pang.
Zaofan (5 liang, processed), Jujube flesh (2 liang), Zhengfen (Steamed Powder, 3 liang).
Grind into powder, mix with ginger juice to form pills. Take 20-30 pills per dose, twice daily, with rice drink before meals.
The above three formulas use the acidity of Fan and vinegar to drain the liver, and the sweetness of jujube flesh to tonify the spleen. For deficiency-type yellowing, select from the formulas listed under the sections of "Urine flows freely" and "Spontaneous sweating deficiency jaundice" in the preceding Dan section.
[Ding] A thirty-year-old woman has a yellow face, weak and sore legs, bitter taste in the mouth, preference for tea, irregular menstruation, and frequent fatigue.
Huangqi (3 fen), Baizhu (1 fen), Chao Bai (Stir-fried Phellodendron/Coptis?, 2 fen), Qinjiao (2 fen), Gancao (3 fen), Mutong (5 fen), Chenpi (5 fen), Shaoyao, Renshen (each 1 qian), Danggui (1 qian).
A sixty-year-old woman has a yellow face, severe fatigue, sore legs, bitter taste in the mouth, and a scattered, large pulse; this is dampness injuring qi.
Baizhu (0.5 liang), Chenpi (4 qian), Cangzhu, Mutong, Huangqin (each 3 qian), Sharen, Renshen, Chuanxiong (each 2 qian), Huangbai (stir-fried, 1 qian), Gancao (roasted, 5 fen).
Divided into six doses. Decoct in water and take before meals.
Official Wang, after suffering from Pi (fullness/stagnation), has a yellow face, weak and sore legs, fatigue, shortness of breath after eating, and dizziness.
Huangqi (2 fen), Cangzhu (1 qian), Baizhu (1.5 qian), Mutong (2 fen), Gancao (roasted, 2 fen), Huangbai (stir-fried, 3 fen), Houpo (processed, 1 qian), Chenpi (1 qian).
Decoct in water and take.
Cheng Geng, an official of the fifth rank, has a yellow face, weak and powerless legs, indigestion, a deficient and slightly wiry pulse, bitter taste in the mouth, and abdominal distension; tonification is appropriate.
Cangzhu (0.5 qian), Mutong (3 fen), Baizhu (1.5 qian), Danggui (5 fen), Shaoyao, Chenpi (each 5 fen), Gancao (roasted, 2 fen), Chuanxiong (5 fen), Renshen (3 fen).
Decoct in water and take with 40 Baohe Wan pills.
[Jing] Treats Shi Qi (Food Qi), generalized Huang Pang, asthma, inability to eat, and chest/heart thirst and oppression. Use non-moth-eaten Zaojiao, remove skin and seeds, coat with good vinegar, roast until scorched, grind into 1 qian powder. Add 7 Baidu beans (Castor Beans), removing oil membrane. Grind both ingredients together with dilute vinegar and good ink to form pills the size of hemp seeds. Take 3 pills per dose, with Chenpi decoction after meals. Three times daily, increase by one pill every other day, stopping when bowel movement occurs. Regular use eliminates alcohol and food stagnation.
[Zihe] A man who married into a family (matrilocal marriage) accidentally contracted jaundice. He ate well but grew thin, could not lift his four limbs, had a yellow face, and lacked strength. His father-in-law wanted to discard him, but his wife refused. The father-in-law was a farmer who brought the son-in-law home intending for him to work; seeing his severe illness, he abused him daily. Someone advised him to take Lafan Wan and Sanleng Wan, but neither was effective. Dai Ren (Zihe) saw him, treated him without diagnosis, and administered a vomiting agent, expelling one dou of accumulated phlegm and old water. Then used Xieshui Wan and Tongjing San, causing diarrhea forty to fifty times continuously. Dai Ren ordered him to drink one cup of ice water, which stopped the diarrhea immediately. Subsequently, he took Pingwei San, interspersed with 50 Binglang Wan pills. Within seven days, the jaundice receded and strength returned. This is because jaundice is caused by damp-heat and old grain, commonly known as Shilao Huang.
[Shi] Likes eating dry tea.
Shigao, Baishaoyao, Huangqin.
Decoct in water and take. Refer to the Cha Dan (Tea Jaundice) section under the Ji Kuai (Accumulated Masses) chapter for combined use.
[Shan] Wine and Noodle Jaundice. Burn Loofah (including skin and seeds) to ash. If the disease is caused by noodles, mix with noodle water to take. If caused by wine, mix with wine to take.