治内实热盛发黄,黄如金色,脉浮大滑实紧数者。夫发黄多是酒客劳热,食少胃中热,
或温毒内热者,故黄如金色方。
茵陈 黄柏(各一两半) 大黄 白术(各三两) 黄芩 甘草 茯苓 栝蒌根 前胡 枳
实(各一两) 栀子(二十枚)
上十一味 咀,以水九升煮取三升,分三服,得快下,消息三四日,更治之。
治人无渐忽然振寒发黄,皮肤黄曲尘出,小便赤少,大便时闭,气力无异,饮食不妨,
已服诸汤散余热不除,久黄者宜吐下方。
苦参 黄连 瓜蒂 黄柏 大黄(各一两) 葶苈(二两)
上六味治,下筛,饮服方寸匕,当大吐,吐者日一服,不吐日再,亦得下服,五日知可
消息,不觉退更服之,小折便消息之。
治发黄方∶
茵陈 黄柏 栀子 大黄(各三两) 黄连(二两)
上五味 咀,以水九升煮取三升,分三服,先服汤后服丸。
大黄(五两) 茵陈 栀子(各三两) 黄芩 黄柏(各二两)
上六味为末,蜜丸如梧子大,饮服二十丸,令微利。
治伤寒瘀热在里,身体必发黄方。
麻黄 连翘 甘草(各二两) 生姜(三两) 大枣(十二枚) 杏仁(三十枚) 赤
小豆(一
升)生梓白皮(二升,切)
上八味 咀,以劳水一斗,先煮麻黄去沫,次纳诸药,煎取三升,分三服。
Treatment for jaundice caused by excessive internal heat and excess syndrome, where the skin appears golden-yellow, accompanied by a floating, large, slippery, full, tight, and rapid pulse. Jaundice is mostly seen in individuals with a history of alcohol consumption who suffer from labor-induced heat, or those with reduced food intake leading to stomach heat, or those affected by warm-toxin accumulating internally as heat. Therefore, this formula is used for jaundice presenting with a golden-yellow hue.
Yinchen (Herba Artemisiae Scopariae), Huangbai (Cortex Phellodendri) each 1.5 liang; Dahuang (Radix et Rhizoma Rhei), Baizhu (Rhizoma Atractylodis Macrocephalae) each 3 liang; Huangqin (Radix Scutellariae), Gancao (Radix Glycyrrhizae), Fuling (Poria), Gualougen (Radix Trichosanthis), Qianhu (Radix Peucedani), Zhishi (Fructus Aurantii Immaturus) each 1 liang; Zhizi (Fructus Gardeniae) 20 fruits.
The above eleven ingredients are cut into pieces, decocted in nine sheng of water until three sheng remain, divided into three doses. Administer until loose stools occur; observe for three to four days, then treat again if necessary.
For patients who suddenly develop chills followed by jaundice without gradual onset, presenting with dry, dust-like yellow discoloration of the skin, scanty dark urine, occasional constipation, yet normal physical strength and appetite, and where residual heat persists despite previous treatments with various decoctions and powders for chronic jaundice, emetic and purgative methods are indicated.
Kushen (Radix Sophorae Flavescentis), Huanglian (Rhizoma Coptidis), Guali (Fructus Cucumeris), Huangbai (Cortex Phellodendri), Dahuang (Radix et Rhizoma Rhei) each 1 liang; Tingli (Semen Lepidii seu Descurainiae) 2 liang.
Process the above six ingredients, grind into powder, and administer one fangcunbi (a square-inch measure) with warm water. It should induce severe vomiting. For those who vomit, take once daily; for those who do not, take twice daily. Alternatively, it may be administered to promote bowel movement. After five days, adjust based on condition. If symptoms do not subside, continue administration; if mild improvement occurs, reduce dosage and observe.
Formula for treating jaundice:
Yinchen (Herba Artemisiae Scopariae), Huangbai (Cortex Phellodendri), Zhizi (Fructus Gardeniae), Dahuang (Radix et Rhizoma Rhei) each 3 liang; Huanglian (Rhizoma Coptidis) 2 liang.
The above five ingredients are cut into pieces, decocted in nine sheng of water until three sheng remain, divided into three doses. Take the decoction first, followed by pills.
Dahuang (Radix et Rhizoma Rhei) 5 liang; Yinchen (Herba Artemisiae Scopariae), Zhizi (Fructus Gardeniae) each 3 liang; Huangqin (Radix Scutellariae), Huangbai (Cortex Phellodendri) each 2 liang.
Grind the above six ingredients into fine powder, mix with honey to form pills the size of wu zi (wheat seeds). Take 20 pills with warm water to induce mild laxation.
Formula for treating jaundice due to stagnant heat trapped inside following Taiyang disease (Exogenous Cold Damage):
Mahuang (Herba Ephedrae), Lianqiao (Fructus Forsythiae), Gancao (Radix Glycyrrhizae) each 2 liang; Shengjiang (Rhizoma Zingiberis Recens) 3 liang; Dazao (Fructus Jujubae) 12 fruits; Xingren (Semen Armeniacae Amarum) 30 seeds; Chixiaodou (Semen Phaseoli Angularis) 1 sheng; Shengzi Bapi (Cortex Catalpae) 2 sheng, cut into pieces.
The above eight ingredients are cut into pieces. Decoct in ten dou of Laoshui (water boiled repeatedly or agitated water). First boil Mahuang alone, remove the foam, then add the remaining herbs. Simmer until three sheng remain, divided into three doses.