治伤寒七八日内实瘀热结,身黄如橘,小便不利,腹微胀满,宜下之方。
茵陈(六两) 大黄(三两) 栀子(十四枚)
上三味 咀,以水一斗二升,先煮茵陈取五升,去滓,次纳栀子、大黄煎取三升,分服
一升,日三,小盒饭利如皂荚沫状,色正赤,当腹减,黄悉随小便去也。(范汪用疗谷疸,
《短剧方》用石膏一斤)
治发黄腹满,小便不利而赤,自汗出,此为表和里实当下之方。
大黄(三两) 黄柏 芒硝(各四两) 栀子(十五枚)
上四味 咀,以水六升煮取二升,去滓,纳芒硝缓煎取一升,先食顿服之。
治时行病急黄,并瘴疠疫气及 疟方。
茵陈 栀子 芒硝 杏仁(各三两) 巴豆(半两) 恒山 鳖甲(各二两) 豉(五
合) 大
黄(五两)
上九味为末,以饧和丸,如梧子大,饮服三丸,以吐利为佳。不知加一丸。初觉体气有
异,急服之即瘥,神效。
治急黄热气骨蒸两目赤脉方∶
芒硝(一两) 大黄(一两半末) 生地黄汁(八合)
上三味合和,一服五合,日二,以利为度,不须二服。
治风疸小便或黄或白,洒洒寒热,好卧不欲动方∶
三月艾(一束捣,取汁铜器中煎如漆,密封之) 苦参 大黄 黄连 凝水石 栝蒌根 葶
苈(各六铢)
上七味以六味为末,艾煎和丸,如梧子大。先食服五丸,日二,可加至二十丸。有热加
苦参,渴加栝蒌,小便涩加葶苈,小便多加凝水石,小便白加黄连,大便难加大黄。寸口脉
浮而缓,浮则为风,缓则为痹。痹非中风,四肢苦烦,脾色必黄,瘀热以行。趺阳脉紧而数,
数则为热,热则消谷,紧则为寒,食则满也。尺脉浮为伤肾,趺阳脉紧为伤脾。风寒相搏,
食谷即眩。谷气不消,胃中苦浊,浊气下流,小便不通,阴被其塞,热流膀胱,身故尽黄,
名曰谷疸。
治劳疸、谷疸丸∶
苦参(三两) 龙胆(一两)
上二味为末,牛胆和为丸,如梧子大,先食以麦粥饮服五丸,日三,不知稍加之,(《删
繁方》加栀子仁三七枚,以猪胆和为丸。)
夫人病酒疸者,或无热,靖言了了,腹满欲吐呕者,宜吐之方,前苦参散七味者是酒疸
,必小便不利,其候当心中热,足下热,是其证也。
夫酒疸下之久久为黑疸,目青面黑,心中如啖蒜薤状,大便正黑,皮肤爪之不仁,其脉
浮弱,虽黑微黄故知之。
Treats the condition where, after seven to eight days of *Shanghan* (Cold Damage), excess heat and blood stasis are knotted internally, causing the body to turn yellow like an orange peel, with difficult urination and slight abdominal fullness. This formula is indicated for purgation.
Yinchen (Herba Artemisiae Scopariae) (six liang), Dahuang (Radix et Rhizoma Rhei) (three liang), Zhizi (Fructus Gardeniae Jasminoidis) (fourteen fruits).
The above three herbs are chopped. Boil in twelve sheng of water, first decocting Yinchen until five sheng remain. Remove the dregs, then add Zhizi and Dahuang, decoct until three sheng remain. Divide into three doses, taking one sheng each time, three times a day. Stool should become loose, resembling soap pod foam, with a reddish color. Abdominal distension will decrease, and the jaundice will be expelled through urine. (Fan Wang used this to treat Gu Dan [Grain Jaundice]; *Duanju Fang* adds one jin of Shigao [Gypsum Fibrosum]).
Treats jaundice with abdominal fullness, difficult and dark red urination, and spontaneous sweating. This indicates the exterior is resolved but the interior is excess; purgation is indicated.
Dahuang (Radix et Rhizoma Rhei) (three liang), Huangbai (Cortex Phellodendri Amurensis), Mangxiao (Natrii Sulfas), Zhizi (Fructus Gardeniae Jasminoidis) (each four liang, fifteen fruits respectively).
The above four herbs are chopped. Boil in six sheng of water until two sheng remain. Remove the dregs, add Mangxiao, and gently decoct until one sheng remains. Take all at once before meals.
Treats Ji Huang [Acute Jaundice] from epidemic diseases, as well as Zhangli [Miasma] epidemic qi and malaria.
Yinchen (Herba Artemisiae Scopariae), Zhizi (Fructus Gardeniae Jasminoidis), Mangxiao (Natrii Sulfas), Xingren (Semen Armeniacae Amarum) (each three liang), Badou (Semen Crotonis Tiglii) (half liang), Hengshan (Radix Dichroae), Biejia (Carapax et Plastrum Testudinis) (each two liang), Chi (Folium Sojae Praeparatum) (five he), Dahuang (Radix et Rhizoma Rhei) (five liang).
The above nine herbs are powdered. Mix with Yi Tang (Saccharum Sinense) to form pills the size of wu zi (Chinese quince seeds). Take three pills with warm water. Vomiting or diarrhea is considered optimal. If ineffective, increase by one pill. At the first sign of abnormal body sensation, take immediately for recovery; it is miraculous.
Treats Ji Huang [Acute Jaundice] with hot qi causing bone-steaming fever and red eyes with visible vessels:
Mangxiao (Natrii Sulfas) (one liang), Dahuang (Radix et Rhizoma Rhei) (one and a half liang, powdered), Sheng Dihuang Zhi (Jucum Radicis Rehmanniae Recens) (eight he).
Mix the above three ingredients. Take five he per dose, twice daily. Stop when stool becomes loose; no need for a second dose.
Treats Feng Dan [Wind Jaundice] with urine that is either yellow or white, chills and fever, preference for lying down and reluctance to move:
San Yue Ai (Folium Artemisiae Argyi, harvested in the third lunar month) (one bundle, pounded to extract juice, boiled in a copper vessel until thick like lacquer, sealed), Kushen (Radix Sophorae Flavescentis), Dahuang (Radix et Rhizoma Rhei), Huanglian (Rhizoma Coptidis), Ningshuishi (Lapis Glaucconitum), Gualougen (Radix Trichosanthis), Tingli (Semen Lepidii seu Descurainiae) (each six zhu).
Powder the last six herbs. Mix with the decoction of San Yue Ai to form pills the size of wu zi. Take five pills before meals, twice daily. Dosage may be increased to twenty pills. Add Kushen if there is heat; add Gualou if thirsty; add Tingli if urination is obstructed; add Ningshuishi if urination is excessive; add Huanglian if urine is white; add Dahuang if defecation is difficult.
At the Cun Kou (Inch position) pulse, floating and slow: floating indicates wind, slow indicates Bi syndrome [obstruction]. Bi is not Wind Stroke. The limbs suffer from vexation. The color of the Spleen must be yellow; stasis-heat circulates.
At the Zu Yang (Foot-Yangming) pulse, tight and rapid: rapid indicates heat, which consumes grain; tight indicates cold, leading to fullness after eating.
Floating at the Chi (Cubit) position indicates Kidney injury; tight at the Zu Yang position indicates Spleen injury. Wind and cold contend; dizziness occurs upon eating. Grain qi fails to digest; the Stomach suffers from turbidity. Turbid qi flows downward, causing urinary obstruction. The Yin is blocked, heat flows into the Bladder, and the whole body turns yellow. This is named Gu Dan [Grain Jaundice].
Pills for Lao Dan [Consumption Jaundice] and Gu Dan [Grain Jaundice]:
Kushen (Radix Sophorae Flavescentis) (three liang), Longdan (Radix Gentianae Macrophyllae) (one liang).
Powder the above two herbs. Mix with Niu Dan (Bilis Bovis) to form pills the size of wu zi. Take five pills before meals with wheat gruel broth, three times daily. Increase slightly if ineffective. (*Shanfan Fang* adds thirty-seven Zhiren [Semen Gardeniae Jasminoidis], mixed with Zhu Dan [Bilis Porci]).
When a person suffers from Jiu Dan [Wine Jaundice], there may be no heat sensation, yet the patient is calm and clear-headed, but has abdominal fullness and nausea/vomiting. Purging (vomiting induction) is indicated. The aforementioned Seven-Herb Kushen Powder treats Jiu Dan. There must be difficult urination. The signs include heat in the heart and heat under the feet.
If Jiu Dan is treated with purgatives, over time it transforms into Hei Dan [Black Jaundice]. The eyes appear blue-black, the face is black, the heart feels as if garlic scapes have been eaten, stool is completely black, skin is numb and unresponsive to scratching. The pulse is floating and weak. Although black, the slight yellow hue reveals its origin.