夫热病发黄。一身面目俱黄。遍体疼痛。心烦壮热。小腹胀满。眼睛赤涩。肩项疼强。
腰背
大小
之候
治热病。黄胆热渴。及患酒劳。胸满气促。皮肤渐黄如金色。宜服犀角散方。
犀角屑(一两) 葛根(三分锉) 通草(一两) 知母(三分) 人参(一两去芦头)
柴胡(
一两
艽(三
分去
上件药。捣筛为散。每服四钱。以水一中盏。煎至五分。去滓。入竹沥一合。搅令匀。
不计时候。温服。
治热病黄胆。目黄如金。小便如血。心烦躁闷。口苦头痛。宜服茵陈散方。
茵陈(三分) 木通(一两锉) 栀子仁(三分) 甘草(半两炙微赤锉) 栝蒌根(一
两) 麦
门冬(一两半去心) 柴胡(一两去苗) 秦艽(一两去苗)
上件药。捣筛为散。每服五钱。以水一大盏。入竹叶三七片。煎至五分。去滓。不计时
候。温服。
治热病黄胆。热渴。额上汗出。手足热。小便赤涩。宜服龙胆散方。
龙胆(一两去芦头) 川升麻(半两) 麦门冬(三分去心) 犀角屑(一两) 甘草
(半两炙
微赤锉) 栀子仁(半两)
上件药。捣罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。入生地黄
汁一合。更煎一两沸。不计时候。温服。
治热病。面目俱黄。心腹坚满。气急。精神恍惚。语多倒错。宜服麦门冬散方。
麦门冬(一两半去心焙) 茵陈(一两) 栀子仁(半两) 川升麻(半两) 黄芩(半
两) 川
大黄(半两锉碎微炒) 大青(半两) 川芒硝(一两)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治黄胆。遍身面目悉黄。宜服黄连散方。
黄连(一两去须) 大青(一两) 栀子仁(一两) 茵陈(一两) 柴胡(一两去苗)
地骨皮
(一两) 黄芩(一两) 川芒硝(一两) 川大黄(二两锉碎微炒) 甘草(一两炙微赤
锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治黄胆。通身并黄。宜服茵陈散方。
茵陈(二两) 栝蒌根(二两) 川升麻(二两) 龙胆(二两去芦头) 寒水石(三
两) 甘草
(一两炙微赤锉)
上件药。捣粗罗为散。每服五钱。以水一大盏。煎至五分。去滓。入生地黄汁半合。更
煎一沸。不计时候。温服。
治心黄热毒攻舌。急眼黄。宜服犀角饮子方。
犀角屑(半两) 茵陈(三分) 黄芩(半两) 栀子仁(半两) 川升麻(半两) 甜
竹叶(一
握) 川大黄(三分锉碎微炒) 川芒硝(三分) 甘草(三分炙微赤锉)
上件药。细锉。拌令匀。每服半两。以水一大盏。煎至五分。去滓。不计时候。温服。
治遍身黄如橘色。心胁满急。宜服栀子仁散方。
栀子仁(一两) 黄芩(一两) 柴胡(一两去苗) 川升麻(一两) 龙胆(一两去
芦头) 川
大黄(一两锉碎微炒) 栝蒌(一枚干者) 川芒硝〔一(二)两〕 甘草(半两炙微赤锉)
上件药。捣粗罗为散。每服四钱。以水一中盏。入葱白两茎。煎至六分。去滓。不计时
候。温服。
治热病多有内瘀。即成黄胆。若用瓜蒂散吹鼻中。令黄汁出后。多瘥。忽然振寒
。便发黄。皮肤如黄尘出。小便赤少。大便时闭。气力有异。食饮不妨。余热不除。久
黄者。宜服苦参
苦参(半两锉) 黄连(半两去须) 甜葶苈(半两隔纸炒令紫色) 瓜蒂(一分) 黄
芩(半
两) 黄柏(一分锉) 川大黄(半分锉碎微炒)
上件药。捣细罗为散。每服。以粥饮调下二钱。不计时候服。
治热病发黄病。宜服茵陈丸方。
茵陈(半两) 恒山(一分) 栀子仁(一两) 鳖甲(一两涂醋炙令微黄去裙 ) 川
朴硝(
一两) 川大黄(一两锉碎微炒) 木香(一两) 犀角屑(一两) 川升麻(半两) 巴
豆(一分去
皮心
上件药。捣罗为末。入杏仁巴豆。同研令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服
。空心煎乌梅汤下三丸。如人行十里。或利或汗或吐为效。如未应。即再服三丸。
治热病诸黄。猪膏发煎方。
猪膏(八两) 乱发(如鸡子大二枚)
上安猪膏等于铛中。煎令发消尽。研绞去滓。不计时候。分为四服。如人行五里。再服
。服尽。则病从小便出。
治热病毒热。通贯脏腑。深入骨髓之间。或为黄胆、黑疸、赤疸、白疸、谷疸、
马黄等
瓜蒂(二七枚) 赤小豆(二七枚炒熟) 秫米(二七枚)
上件药。捣细罗为散。取如大豆粒。吹于鼻中。当有黄水出。为效。
又方。
上瓜蒂二七枚。捣碎。以水一中盏。煎至五分。去滓。温服。
The symptoms of jaundice caused by heat disease manifest as: yellowing of the entire body and face, pain throughout the body, mental restlessness with high fever, fullness and distension in the lower abdomen, redness and dryness of the eyes, and stiffness and pain in the shoulders and neck.
For patients suffering from jaundice due to heat disease accompanied by intense thirst, or those suffering from chest fullness, shortness of breath, and skin gradually turning golden-yellow due to alcohol-induced fatigue, it is advisable to take Xijiao San (Rhinoceros Horn Powder).
Ingredients include: Xi Jiao (Rhinoceros Horn) sliced (1 liang), Ge Gen (Puerariae Radix) (3 fen, crushed), Tong Cao (Tetrapanacis Medulla) (1 liang), Zhi Mu (Anemarrhenae Rhizoma) (3 fen), Ren Shen (Ginseng Radix et Rhizoma) (1 liang, radix removed), Chai Hu (Bupleuri Radix) (1 liang), Qin Jiao (Gentianae Macrophyllae Radix) (3 liang, radix removed).
Crush and sieve the above ingredients to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to half volume, filter out the dregs, add Zhu Li (Bambusae Sap) one he, mix well. Take warm at any time.
For heat disease-induced jaundice characterized by eyes yellow like gold, urine resembling blood, mental restlessness and oppression, bitter taste in the mouth, and headache, it is advisable to take Yinchen San (Artemisiae Scopariae Powder).
Ingredients include: Yin Chen (Artemisiae Scopariae Herba) (3 fen), Mu Tong (Akebiae Caulis) (1 liang, crushed), Zhi Zi (Gardeniae Fructus) kernel (3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (half liang, roasted until slightly reddish then crushed), Gua Lou Gen (Trichosanthis Radix) (1 liang), Mai Men Dong (Ophiopogonis Radix) (1.5 liang, heart removed), Chai Hu (Bupleuri Radix) (1 liang, radix removed), Qin Jiao (Gentianae Macrophyllae Radix) (1 liang, radix removed).
Crush and sieve the above ingredients to make a powder. Take 5 qian per dose, decoct with one large cup of water plus thirty-seven leaves of Zhu Ye (Bambusae Folium) until reduced to half volume, filter out the dregs. Take warm at any time.
For heat disease-induced jaundice and intense thirst, characterized by sweating on the forehead, hot hands and feet, and dark, difficult urination, it is advisable to take Long Dan San (Gentianae Radix Powder).
Ingredients include: Long Dan (Gentianae Radix) (1 liang, radix removed), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (half liang), Mai Men Dong (Ophiopogonis Radix) (3 fen, heart removed), Xi Jiao (Rhinoceros Horn) sliced (1 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (half liang, roasted until slightly reddish then crushed), Zhi Zi (Gardeniae Fructus) kernel (half liang).
Sieve the above ingredients finely to make a powder. Take 5 qian per dose, decoct with one large cup of water plus half a piece of Sheng Jiang (Zingiberis Rhizoma Recens) until reduced to half volume, filter out the dregs, add Sheng Di Huang汁 (Rehmanniae Radix Juice) one he, boil for one or two more boils. Take warm at any time.
For heat disease characterized by yellowing of the face and eyes, hardness and fullness of the heart and abdomen, rapid breathing, mental confusion, and disordered speech, it is advisable to take Mai Men Dong San (Ophiopogonis Radix Powder).
Ingredients include: Mai Men Dong (Ophiopogonis Radix) (1.5 liang, heart removed and baked), Yin Chen (Artemisiae Scopariae Herba) (1 liang), Zhi Zi (Gardeniae Fructus) kernel (half liang), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (half liang), Huang Qin (Scutellariae Radix) (half liang), Da Huang (Rhei Radix et Rhizoma) (half liang, crushed and lightly stir-fried), Da Qing (Isatidis Folium) (half liang), Mang Xiao (Natrii Sulfas) (1 liang).
Coarsely sieve the above ingredients to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six-tenths volume, filter out the dregs. Take warm at any time.
For jaundice characterized by complete yellowing of the body and face, it is advisable to take Huang Lian San (Coptidis Rhizoma Powder).
Ingredients include: Huang Lian (Coptidis Rhizoma) (1 liang, fibrous roots removed), Da Qing (Isatidis Folium) (1 liang), Zhi Zi (Gardeniae Fructus) kernel (1 liang), Yin Chen (Artemisiae Scopariae Herba) (1 liang), Chai Hu (Bupleuri Radix) (1 liang, radix removed), Di Gu Pi (Lycii Cortex) (1 liang), Huang Qin (Scutellariae Radix) (1 liang), Mang Xiao (Natrii Sulfas) (1 liang), Da Huang (Rhei Radix et Rhizoma) (2 liang, crushed and lightly stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang, roasted until slightly reddish then crushed).
Coarsely sieve the above ingredients to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to six-tenths volume, filter out the dregs. Take warm at any time.
For jaundice characterized by whole-body yellowing, it is advisable to take Yinchen San (Artemisiae Scopariae Powder).
Ingredients include: Yin Chen (Artemisiae Scopariae Herba) (2 liang), Gua Lou Gen (Trichosanthis Radix) (2 liang), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (2 liang), Long Dan (Gentianae Radix) (2 liang, radix removed), Han Shui Shi (Halloysitum Rubrum) (3 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang, roasted until slightly reddish then crushed).
Coarsely sieve the above ingredients to make a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to half volume, filter out the dregs, add half a he of Sheng Di Huang汁 (Rehmanniae Radix Juice), boil once. Take warm at any time.
For heart-heat jaundice where toxic heat attacks the tongue and eyes rapidly turn yellow, it is advisable to take Xijiao Yinzi (Rhinoceros Horn Decoction).
Ingredients include: Xi Jiao (Rhinoceros Horn) sliced (half liang), Yin Chen (Artemisiae Scopariae Herba) (3 fen), Huang Qin (Scutellariae Radix) (half liang), Zhi Zi (Gardeniae Fructus) kernel (half liang), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (half liang), Tian Zhu Ye (Bambusae Folium) (one handful), Chuan Da Huang (Rhei Radix et Rhizoma) (3 fen, crushed and lightly stir-fried), Chuan Mang Xiao (Natrii Sulfas) (3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma) (3 fen, roasted until slightly reddish then crushed).
Finely crush the above ingredients and mix evenly. Take half liang per dose, decoct with one large cup of water until reduced to half volume, filter out the dregs. Take warm at any time.
For whole-body yellowing resembling orange color, with chest and hypochondriac fullness and urgency, it is advisable to take Zhizi Ren San (Gardenia Kernel Powder).
Ingredients include: Zhizi Ren (Gardeniae Fructus) kernel (1 liang), Huang Qin (Scutellariae Radix) (1 liang), Chai Hu (Bupleuri Radix) (1 liang, radix removed), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (1 liang), Long Dan (Gentianae Radix) (1 liang, radix removed), Chuan Da Huang (Rhei Radix et Rhizoma) (1 liang, crushed and lightly stir-fried), Gua Lou (Trichosanthis Fructus) (one dried fruit), Mang Xiao (Natrii Sulfas) (1 or 2 liang), Gan Cao (Glycyrrhizae Radix et Rhizoma) (half liang, roasted until slightly reddish then crushed).
Coarsely sieve the above ingredients to make a powder. Take 4 qian per dose, decoct with one zhong of water plus two stalks of Cong Bai (Allii Fistulosi Bulbus) until reduced to six-tenths volume, filter out the dregs. Take warm at any time.
In cases where heat disease involves internal stasis leading to jaundice, if Guadi San (Melon Peduncle Powder) is insufflated into the nose to discharge yellow fluid, recovery often follows. However, if sudden chills occur followed by yellowing, skin exuding yellow dust-like substance, scanty dark urine, occasional constipation, altered physical strength, normal appetite, lingering residual heat, or chronic jaundice, it is advisable to take Kushen Fang (Sophorae Flavescentis Radix Formula).
Ingredients include: Ku Shen (Sophorae Flavescentis Radix) (half liang, crushed), Huang Lian (Coptidis Rhizoma) (half liang, fibrous roots removed), Ting Li Zi (Lepidii Semen) sweet variety (half liang, stir-fried between papers until purple), Gu Di (Momordicae Fructus) (1 fen), Huang Qin (Scutellariae Radix) (half liang), Huang Bo (Phellodendri Cortex) (1 fen, crushed), Chuan Da Huang (Rhei Radix et Rhizoma) (half fen, crushed and lightly stir-fried).
Finely sieve the above ingredients to make a powder. Take 2 qian per dose mixed with rice broth, at any time.
For heat disease causing jaundice, it is advisable to take Yinchen Wan (Artemisiae Scopariae Pill).
Ingredients include: Yin Chen (Artemisiae Scopariae Herba) (half liang), Heng Shan (Dichroae Radix) (1 fen), Zhizi Ren (Gardeniae Fructus) kernel (1 liang), Bie Jia (Testudinis Carapax et Plastrum) (1 liang, coated with vinegar and roasted until slightly yellow, remove skirt), Chuan Pu Xiao (Natrii Sulfas) (1 liang), Chuan Da Huang (Rhei Radix et Rhizoma) (1 liang, crushed and lightly stir-fried), Mu Xiang (Aucklandiae Radix) (1 liang), Xi Jiao (Rhinoceros Horn) sliced (1 liang), Chuan Sheng Ma (Polygoni Cuspidati Rhizoma et Radix) (half liang), Ba Dou (Crotonis Fructus) (1 fen, peel and heart removed).
Grind the above ingredients into fine powder, add Xing Ren (Pruni Semen) and Ba Dou, grind together until uniform. Mix with refined honey and pound three to two hundred times. Form pills the size of Sophora seeds. Take three pills on an empty stomach with Wu Mei Tang (Mume Fruit Decoction). After walking about ten li, if diarrhea, sweating, or vomiting occurs, it indicates efficacy. If not effective, take another three pills.
For various types of jaundice caused by heat disease, use Pig Fat and Hair Decoction (Zhigao Fa Jian).
Ingredients include: Zhu Gao (Porcine Fat) (8 liang), Luan Fa (Human Hair) (two pieces the size of a chicken egg).
Place the pig fat in a pan and boil until the hair completely dissolves. Grind and squeeze to extract the liquid, filtering out dregs. Divide into four doses taken at any time. Take the second dose after walking five li. Upon completion, the pathogen exits via urination.
To treat heat virus and toxic heat penetrating viscera and bowels, deep into bone marrow, potentially transforming into jaundice, black jaundice, red jaundice, white jaundice, grain jaundice, or horse yellow, etc.:
Ingredients include: Gu Di (Momordicae Fructus) (14 pieces), Chi Xiao Dou (Vigna Angularis Seed) (14 pieces, cooked), Shu Mi (Panicum Miliaceum) (14 pieces).
Finely sieve the above ingredients to make a powder. Take an amount the size of a soybean and insufflate into the nose. Discharge of yellow fluid indicates efficacy.
Another prescription:
Take 14 pieces of Gu Di (Momordicae Fructus), crush them, decoct with one zhong of water until reduced to half volume, filter out dregs, and take warm.