仲景《伤寒论》，黄家腹满，小便不利而赤，身汗出者，表和里实也，宜下之，大黄黄
柏皮栀子硝石汤方。
大黄（四分） 黄柏（四两） 栀子（十五枚） 硝石（四两）
上四味，切，以水六升，煮三物得二升半，去滓，纳硝石更煎取一升。先食顿服尽。
（《短剧》、《千金翼》、《深师》、《范汪》并同）
又黄胆小便色不变，欲自利，腹满而喘者，不可除其热，热除必哕，哕者，小半夏汤主
之方。
半夏（五两炮） 生姜（八两）
上二味，以水六升，煮取一升半，去滓，分温三服。忌羊肉、饧。（《范汪》同，并第
十四卷中）
《病源》黄汗之为病，身体洪肿，发热汗出而渴，状如风水，汗染衣，色正黄如柏汁，
其脉自沉，此由脾胃有热，汗出而入水中，若浴，水入汗孔得之。（出第十二卷中）
仲景《伤寒论》师曰，黄汗为病，身体肿，发热汗出而渴，状如风水，汗沾衣色，正黄
如柏汁，脉自沉也。问曰，从何得之？师曰，以汗出水入汗孔，水从外入而得之，宜黄 芍
药桂心酒汤主之方。
黄 （五两） 芍药（三两） 桂心（三两）
上三味，切，以苦酒一升，水七升，和煮取三升，去滓，温服一升。正当心烦也，至六
七日稍稍自除，其心烦不止者，以苦酒阻故也。（阻作）一方用美清醯代酒。忌生葱。（《备
急》、张文仲、《千金》、《古今录验》、《深师》、《范汪》、《经心录》同）
又凡黄汗之病，两胫自冷，假令发热，此属历节。食已则汗出，又身常夜卧盗汗出者，
此劳气也。若汗出即发热者，久久身必甲错也；发热不止者，必生恶疮也；若身重汗出已辄
轻者，久久必身 ， 则胸中痛，又从腰以上必汗出，下无汗，腰髋弛痛，如虫在皮中状，
剧者不能食，身疼重，烦躁，小便不利者，名曰黄汗。桂枝汤加黄 五两主之方。
桂心（三两） 芍药（三两） 甘草（三两炙） 生姜（三两） 大枣（十二枚） 黄
（五两）
上六味，切，以水八升，微火煎取三升，去滓，温服一升。覆取微汗，须臾间不汗者，
食稀热粥一升余以助汤力，若不汗者，更服汤也。忌海藻、菘菜、生葱。（《古今录验》、
《范汪》同，出第十四卷中）
疗黄胆身肿，发热汗出而渴，状如风水，汗出着衣皆黄。黄汗吴蓝汤方。
吴蓝（六分） 芍药 麦门冬（去心） 桑白皮 汉防己 白藓皮 山栀子（各六分）
上七味，各细切，以水二升，煎取八合，去滓，空腹分二服，未效再合服。（此方未详
所出）
In Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Pathogenic Diseases), it is stated that for patients with Huangdan (Jaundice) presenting with abdominal fullness, difficult and dark red urination, and sweating, this indicates that the exterior syndrome has resolved while an interior excess syndrome exists. It is appropriate to use a purgative method, prescribing the Dahuang Huangbopi Zhizi Xiaoshi Tang (Rhubarb, Phellodendron Bark, Gardenia, and Niter Decoction).
Dahuang (Rhei Radix et Rhizoma) (4 fen) Huangbai (Phellodendri Cortex) (4 liang) Zhizi (Gardeniae Fructus) (15 pieces) Xiaoshi (Natrii Sulfas) (4 liang)
The above four ingredients are sliced. Using 6 sheng of water, decoct the first three ingredients to obtain 2.5 sheng. Strain the dregs, add Xiaoshi (Natrii Sulfas), and decoct further to obtain 1 sheng. Take the entire dose in one go before meals.
(The texts *Duanju*, *Qianjin Yifang*, *Shenshi Fang*, and *Fan Wang Fang* all agree with this.)
Furthermore, for patients with Huangdan (Jaundice) whose urine color remains unchanged, who desire spontaneous diarrhea, and who present with abdominal fullness and wheezing, heat should not be cleared directly. Clearing the heat will inevitably lead to hiccups (Yue). For hiccups, the Xiaobanxia Tang (Minor Pinellia Decoction) is the primary treatment.
Banxia (Pinelliae Rhizoma) (5 liang, processed) Shengjiang (Zingiberis Rhizoma Recens) (8 liang)
The above two ingredients are decocted in 6 sheng of water to obtain 1.5 sheng. Strain the dregs and divide into three warm doses. Avoid mutton and maltose syrup. (*Fan Wang Fang* agrees; see Volume 14.)
According to *Zhubing Yuanhou Lun* (Source Book of All Categories of Diseases and Syndromes): The disease known as Huanghan (Yellow Sweat) presents with severe body edema, fever, sweating, and thirst. Its appearance resembles Fengshui (Wind-Water Edema). The sweat stains clothing yellow, resembling the juice of the Phellodendron tree. The pulse is naturally deep. This condition arises from heat in the Spleen and Stomach; when sweating, entering water or bathing allows water to enter through the sweat pores. (From Volume 12.)
In Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Pathogenic Diseases), the Master said: The disease Huanghan (Yellow Sweat) presents with body swelling, fever, sweating, and thirst, resembling Fengshui (Wind-Water Edema). The sweat stains clothing yellow, like Phellodendron juice, and the pulse is deep. Asked: How is it contracted? The Master replied: It is contracted because water enters the sweat pores after sweating, entering from the exterior. It should be treated primarily with Huang Shaoyao Guixin Jiu Tang (Astragalus, Peony, and Cinnamon Heart Wine Decoction).
Huangqi (Astragali Radix) (5 liang) Shaoyao (Paeoniae Radix) (3 liang) Guixin (Cinnamomi Ramulus/Cortex) (3 liang)
The above three ingredients are sliced. Using 1 sheng of vinegar (Ku Jiu) and 7 sheng of water, decoct together to obtain 3 sheng. Strain the dregs and take 1 sheng warm. After taking the medicine, there may be initial mental restlessness (Xin Fan); by the sixth or seventh day, it will gradually resolve spontaneously. If the restlessness persists, it is due to the obstructive nature of the vinegar. (Alternative formula uses good rice vinegar instead of wine. Avoid raw green onions. *Beiji Qianjin Yaofang*, Zhang Wenzhong, *Qianjin Fang*, *Gujin Luyan Fang*, *Shenshi Fang*, *Fan Wang Fang*, and *Jingxin Lu* all agree.)
Furthermore, regarding any case of Huanghan (Yellow Sweat), if the lower legs are naturally cold, but if they feel hot, this belongs to Lijie (Periarthritis/Gout). Sweating after eating, along with frequent night sweats during sleep, indicates Laoqi (Consumptive Qi deficiency). If fever occurs immediately after sweating, over time the skin will become rough and scaly (Jiacuo). If fever persists without stopping, malignant sores will likely develop. If the body feels heavy but becomes lighter after sweating, over time the body may become numb (Ma Mu), accompanied by chest pain. There will be sweating above the waist but none below, with flaccid pain in the loins and hips, feeling like insects crawling on the skin. In severe cases, inability to eat, body pain and heaviness, irritability, and difficult urination occur; this is named Huanghan (Yellow Sweat). It is treated with Guizhi Tang (Cinnamon Twig Decoction) plus Huangqi (Astragali Radix) 5 liang.
Guixin (Cinnamomi Ramulus/Cortex) (3 liang) Shaoyao (Paeoniae Radix) (3 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (3 liang, honey-fried) Shengjiang (Zingiberis Rhizoma Recens) (3 liang) Dazao (Jujubae Fructus) (12 pieces) Huangqi (Astragali Radix) (5 liang)
The above six ingredients are sliced. Using 8 sheng of water, decoct gently over low fire to obtain 3 sheng. Strain the dregs and take 1 sheng warm. Cover the patient to induce slight sweating. If no sweat appears after a short while, drink more than 1 sheng of hot thin porridge to assist the medicinal power. If still no sweat, administer another dose. Avoid seaweed, Chinese cabbage, and raw green onions. (*Gujin Luyan Fang* and *Fan Wang Fang* agree; see Volume 14.)
To treat Huangdan (Jaundice) with body swelling, fever, sweating, and thirst, resembling Fengshui (Wind-Water Edema), where sweat stains clothing yellow. Huanghan Wulan Tang (Yellow Sweat Indigo Decoction).
Wulan (Indigotis Folium) (6 fen) Shaoyao (Paeoniae Radix) Maimendong (Ophiopogonis Radix) (decored) Sangbaipi (Mori Cortex) Hanfangji (Stephaniae Tetrandrae Rhizoma) Baixianpi (Dictamni Cortex) Shanzhizi (Gardeniae Fructus) (each 6 fen)
The above seven ingredients are finely sliced. Using 2 sheng of water, decoct to obtain 8 ge. Strain the dregs and divide into two doses taken on an empty stomach. If ineffective, prepare and take another dose. (Origin of this formula is unclear.)