脾胃有热,谷气郁蒸,因为热毒所加,故卒然发黄。心满气喘,发于倾刻,故云急黄。
有得病即身体面目发黄者;有其初不知,直至死后而身现黄者。其候得病时,但发热、心战
者是急黄也。治用∶
赤小豆 丁香 黍米 瓜蒂各二十七枚 麝香 薰陆香等分(别研)青布二方寸(烧为
灰)
上捣为散,饮服一钱匕,则下黄水,其黄即定。忌生冷,熟面,粘食,陈糗等。
患者身体、面目、爪甲及小便皆黄,由饮酒过度所致。方用∶
茵陈 柴胡各四两 升麻 黄芩 大黄各三两 龙胆草二两
以水九升,煮取三升,分三服。若身体羸,去大黄,加栀子仁五六两,生地黄一升。
患者身目色黄,头痛而不发热,其病原为阳气伏,阴气盛,热毒乘之所致。治宜用∶
茵陈四两 白藓皮 黄芩 芍药 青木香 柴胡 枳实(炙) 黄连 土瓜根 大青各
三分
上十四味,捣筛为散,煮茅根饮待冷,平旦空腹,以茅根饮服五钱匕,一服少间,当一
两行微利,利后煮稀葱豉粥食之,利多以意渐减,常取微泄,利通一两行为度,瘥止。
患者身目发黄,心中懊痛,足胫满,小便黄,面发赤斑,其原为虚劳之人,饮酒多,进
谷少,脉浮者先吐之,沉弦者先下之。方用∶
栀子七枚 枳实五枚 香豉一升 大黄一两
以水六升,煮取二升,去滓,温服七合,日三服。
If there is heat in the Spleen and Stomach, with the Qi of grains stagnating and steaming, and this is compounded by toxic heat, sudden jaundice occurs. With chest fullness and panting arising instantaneously, it is termed "Ji Huang" (Acute Jaundice).
Some patients exhibit yellowing of the body and face immediately upon contracting the disease; others are unaware initially until yellowing appears on the body after death. The manifestation where the patient presents with fever and cardiac trembling (or chills) upon onset indicates Ji Huang (Acute Jaundice).
Treatment uses: Xiaodou (Adzuki Bean), Dingxiang (Clove), Shumi (Millet), Gudi (Melon Peduncle) each 27 pieces, Shexiang (Musk), Xunluxiang (Frankincense) in equal parts (separately ground), Qingbu (Blue Cloth) two square-cun pieces (burned to ash).
Pulverize the above into a powder. Take one Qianbi (a small measuring spoon for powder) with warm water. This will induce the discharge of yellow fluid, and the jaundice will subside. Avoid raw/cold foods, cooked flour products, sticky foods, and old dry rations.
The patient's body, face, nails, and urine are all yellow, caused by excessive alcohol consumption. Formula uses: Yinchen (Artemisiae Scopariae Herba), Chaihu (Bupleuri Radix) each 4 Liang; Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) each 3 Liang; Longdancao (Gentianae Radix) 2 Liang.
Decoct in 9 Sheng (units of volume) of water to obtain 3 Sheng. Divide into three doses. If the body is emaciated/weak, remove Dahuang (Rhei Radix et Rhizoma), add Zhizi Ren (Gardeniae Semen) 5-6 Liang, and Shengdihuang (Rehmanniae Radix) 1 Sheng.
The patient has yellowing of the body and eyes, headache but no fever. The etiology is latent Yang Qi, flourishing Yin Qi, and opportunistic invasion by toxic heat. Treatment should use: Yinchen (Artemisiae Scopariae Herba) 4 Liang; Baixianpi (Dictamni Cortex), Huangqin (Scutellariae Radix), Shaoyao (Paeoniae Radix), Qingmuxiang (Aucklandiae Radix), Chaihu (Bupleuri Radix), Zhishi (Aurantii Fructus Immaturus [roasted]), Huanglian (Coptidis Rhizoma), Tuguagen (Polymniae Radix), Daqingye (Isatidis Folium) each 3 Fen.
Pulverize and sieve these fourteen ingredients into a powder. Decoct Baomao Gen (Imperatae Rhizoma) to make a drink, let it cool. In the morning on an empty stomach, take 5 Qianbi of the powder with the Baomao Gen drink. After a short while, mild diarrhea of one or two movements should occur. Afterward, eat thin Congchi Zhou (Scallion and Fermented Soybean Porridge). If diarrhea is excessive, gradually reduce the dose according to judgment. Maintain mild laxation, with one or two bowel movements as the limit. Stop when cured.
The patient exhibits yellowing of the body and eyes, mental restlessness and pain, swelling of the lower legs, yellow urine, and red spots on the face. The cause is that a person with Xu Lao (Deficiency Consumption) drinks excessively and eats little grain. If the pulse is Floating, induce vomiting first; if Deep and Wiry, induce purgation first. Formula uses: Zhizi (Gardeniae Fructus) 7 pieces, Zhishi (Aurantii Fructus Immaturus) 5 pieces, Xiangchi (Fermented Sojae Semen Preparatum) 1 Sheng, Dahuang (Rhei Radix et Rhizoma) 1 Liang.
Decoct in 6 Sheng of water to obtain 2 Sheng. Remove the dregs. Take 7 Ge (units of volume) warm, three times daily.