论三首,方二十八首,针灸二十法
论曰∶凡遇时行热病,多必内瘀着黄,但用瓜丁散纳鼻中,令黄汁出,乃愈。即于后不
复病黄者矣。常须用心警候,病患四肢身面微似有黄气,须用瓜丁散,不得令散漫,失候必
大危矣。特忌酒面,犯者死。
黄胆,目黄不除,瓜丁散方∶
瓜丁细末,如一大豆许,纳鼻中,令病患深吸取入鼻中,黄水出,瘥。
凡人无故忽然振寒,便发黄,皮肤黄曲尘出,小便赤少,大便时闭,气力无异食饮不
妨,已服诸汤,余热不除,久黄者,苦参散主之,方∶
苦参 黄连 黄柏 黄芩 大黄 瓜丁 葶苈(熬,各一两)
上七味,捣筛为散。饮服方寸匕,当大吐,吐者日一服;不吐者,日再,亦得下。服药
五日,知,可消息;不知,可更服之。
治黄胆,小便色不异,欲自利,腹满而喘,不可除热,热除必哕,哕者。
半夏(一升,洗去滑) 生姜(半斤)
上二味,切。以水一斗,煮取二升,分再服。(一法以水七升煮取一升半)
黄胆身目皆黄,皮肉曲尘出者方。
茵陈(一把,切) 栀子仁(二十四枚) 石膏(一斤)
上三味,以水五升,煮二味,取二升半,去滓,以猛火烧石膏令赤,投汤中,沸定,服
一升,覆取汗,周身以粉粉之,不汗更服。
黄胆腹满,小便不利而赤,自汗出,此为表和里实,当下之,宜大黄汤。方∶
大黄 黄柏 硝石(各四两) 栀子(十五枚,擘)
上四味, 咀。以水六升,煮取二升,去滓,下硝石,煮取一升,先食,顿服之。
There are three treatises, twenty-eight prescriptions, and twenty acupuncture and moxibustion methods.
The treatise states: Whenever one encounters epidemic febrile diseases (Yi Xing Re Bing), it is highly likely that internal stasis will lead to jaundice. Simply use Gua Ding San (Melon Seed Powder) insufflated into the nasal cavity to allow yellow fluid to discharge, after which the patient will recover. Jaundice will not recur subsequently. One must always be vigilant in monitoring; if the patient's limbs, body, and face show a slight yellowish hue, Gua Ding San must be employed immediately. Do not allow the condition to spread or delay treatment; failure to monitor properly will inevitably lead to critical danger. Alcohol and wheat-based foods are strictly contraindicated; violation of this rule may result in death.
For treating jaundice where yellowness of the eyes persists, the prescription for Gua Ding San (Melon Seed Powder) is as follows:
Grind Gua Ding (Citrulli Semen, 瓜丁) into fine powder. Take an amount equivalent to one large soybean, insufflate it into the nasal cavity, and instruct the patient to inhale deeply. Once yellow water discharges, the disease will heal.
When a person suddenly experiences chills without cause, followed by yellowing of the skin, with the skin appearing dry and yellow like dust, scanty dark urine, occasional constipation, yet normal strength and appetite, having already taken various decoctions without eliminating residual heat, and suffering from chronic jaundice, Ku Shen San (Sophora Root Powder) should be used. The prescription is as follows:
Ku Shen (Radix Sophorae Flavescentis, 苦参), Huang Lian (Rhizoma Coptidis, 黄连), Huang Bai (Cortex Phellodendri, 黄柏), Huang Qin (Radix Scutellariae, 黄芩), Da Huang (Radix et Rhizoma Rhei, 大黄), Gua Ding (Citrulli Semen, 瓜丁), Ting Li (Semen Lepidii seu Descurainiae, 葶苈) [stir-fried, each 1 liang].
Crush and sieve these seven ingredients into a powder. Administer one fang cun bi (a square-inch measure) with water. It should induce profuse vomiting; those who vomit take it once daily. Those who do not vomit take it twice daily; it may also induce purgation. After five days of medication, if there is improvement, adjust accordingly; if no improvement, continue administration.
For treating jaundice where the urine color is unchanged, there is a tendency toward spontaneous diarrhea, abdominal fullness, and wheezing, heat-clearing is contraindicated. Clearing heat will inevitably cause hiccups (Yue).
Ban Xia (Rhizoma Pinelliae, 半夏) (1 sheng, washed to remove slipperiness), Sheng Jiang (Rhizoma Zingiberis Recens, 生姜) (0.5 jin).
Chop these two ingredients. Boil in 1 dou of water until 2 sheng remains. Divide into two doses. (Another method: boil in 7 sheng of water until 1.5 sheng remains.)
For treating jaundice where both the body and eyes are yellow, and the skin and flesh appear dry and yellow like dust:
Yin Chen (Herba Artemisiae Scopariae, 茵陈) (one handful, chopped), Zhi Zi Ren (Semen Gardeniae, 栀子仁) (24 seeds), Shi Gao (Gypsum Fibrosum, 石膏) (1 jin).
Boil the first two ingredients in 5 sheng of water until 2.5 sheng remains. Strain. Heat Shi Gao (Gypsum Fibrosum, 石膏) red-hot in a strong fire and plunge it into the decoction. Wait for the boiling to subside, then administer 1 sheng. Cover the patient to induce sweating. Dust the entire body with powder. If sweating does not occur, administer again.
For treating jaundice with abdominal fullness, difficult and dark urination, and spontaneous sweating: This indicates the exterior is harmonized but the interior is excess. Purging is indicated. Da Huang Tang (Rhubarb Decoction) is suitable. The prescription is as follows:
Da Huang (Radix et Rhizoma Rhei, 大黄), Huang Bai (Cortex Phellodendri, 黄柏), Xiao Shi (Natrii Sulfas, 硝石) (each 4 liang), Zhi Zi (Fructus Gardeniae, 栀子) (15 seeds, broken open).
Chop these four ingredients. Boil in 6 sheng of water until 2 sheng remains. Strain. Add Xiao Shi (Natrii Sulfas, 硝石) and boil until 1 sheng remains. Take on an empty stomach in one dose.