夫阴黄者,为阳气伏,阴气盛,热毒加之,故身面尽黄。但头痛而不发热,名为阴黄也
治阴黄,身体面目俱黄,小便如豉汁色,茵陈散方。
茵陈(二两) 白藓皮(一两) 栝蒌根〔二(一)两〕 黄芩(一两) 栀子仁(一
两) 赤芍
药(一两) 木香
两去须)
川朴硝(二两)
上件药,捣粗罗为散。每服五钱,以水一大盏,入豉五十粒,煎至五分,去滓,温服。
如人行十里,再服,以利一、两行为度,即便煮稀葱豉粥食之。
治阴黄,小便不利而赤,身汗出者,表和里实也,宜下之,大黄散方。
川大黄(二两锉碎,微炒) 黄柏(一两锉) 栀子仁(一两) 川朴硝(二两) 甘
草(一两
炙微赤锉) 木通(一两锉)
上件药,捣粗罗为散。每服四钱,以水一中盏,煎至六分,去滓,温服。如人行十里,
再服,以利为度。
治阴黄,小便色不变,欲自利而不利,腹满而喘者,必哕,哕者,宜服小半夏散
方。
半夏(一两汤洗七遍,去滑) 人参(二两去芦头) 葛根(二两锉)
上件药,捣粗罗为散。每服四钱,以水一中盏,入生姜半分,煎至六分,去滓,不计时
候温服。
治阴黄吐方。
赤小豆(二、七粒) 丁香(二、七粒) 麝香(一钱细研) 瓜蒂(二、七枚) 青
布灰〔三
(二)钱〕
上件药,捣细罗为散。每服,以温水调下一钱,日四、五服。若取少许吹鼻中,即出黄
水,为效。
治阴黄,身面悉黄,大便涩,小便如栀子汁,宜服此方。
茵陈〔一(二)两〕 柴胡(一两去苗) 栀子仁(一两) 龙胆(三分去芦头) 枳
壳(一两
麸炒微黄,去瓤) 黄芩(一两) 川升麻(一两) 川大黄(二两碎,微炒)
上件药,捣罗为末,炼蜜和丸,如梧桐子大。每服,以温粥饮下三十丸,日三、四服。
以利为度。
又方
秦艽(一两去苗) 栀子仁(一两) 茵陈(一两) 槟榔〔二(一)两〕 商陆〔一
两(分)〕
陈橘皮(一两汤浸,去白瓤,焙) 甜葶苈(一两隔纸炒,令紫色)
上件药,捣罗为末,炼蜜和丸,如梧桐子大。每服,以温水下二十丸,日三、四服。
治阴黄,眼睛黄,汗染衣,涕唾黄色方。
川大黄(五两饭下蒸一炊时取出,曝干)
上件药,捣细罗为散。每服,以温水调下一钱,日三、四服。当要大小便微利,为效。
Yin Jaundice (Yin Huang) is a condition caused by the entrapment of Yang Qi and the predominance of Yin Qi, compounded by heat-toxin invasion, resulting in yellowing of the entire body and face. It is characterized by headache without fever, hence named Yin Jaundice.
For treating Yin Jaundice with symptoms of yellowing of the body and face, and urine resembling the color of fermented soybean juice (Douchi), use Yinchensan Formula (Coptis Powder).
Ingredients: Yinchen (Artemisiae Scopariae Herba, 2 liang), Baixianpi (Dictamni Cortex, 1 liang), Gualualgen (Trichosanthis Radix, 2 liang; note: one version says 1 liang), Huangqin (Scutellariae Radix, 1 liang), Zhiziren (Gardeniae Semen, 1 liang), Chishaoyao (Paeoniae Radix Rubra, 1 liang), Muxiang (Aucklandiae Radix, 1 liang, remove roots), Chuan Puxiao (Natrii Sulfas, 2 liang).
The above ingredients are coarsely pounded and sieved into a powder. Take 5 qian per dose, add to 1 large cup of water and 50 grains of Douchi (Fermented Soybean Juice), decoct until 0.5 cup remains, filter out the dregs, and take warm. After the time it takes for a person to walk ten li, take another dose. The treatment should continue until there is one or two bowel movements, after which thin Congchi Porridge (Green Onion and Fermented Soybean Porridge) should be cooked and eaten.
For treating Yin Jaundice with symptoms of difficult and dark urination, and sweating from the body, this indicates that the exterior syndrome has resolved while interior excess heat remains; purgation is indicated. Use Dahuangsang Formula (Rhubarb Powder).
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, sliced and slightly stir-fried), Huangbai (Phellodendri Cortex, 1 liang, sliced), Zhiziren (Gardeniae Semen, 1 liang), Chuan Puxiao (Natrii Sulfas, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and sliced), Mutong (Akebiae Caulis, 1 liang, sliced).
The above ingredients are coarsely pounded and sieved into a powder. Take 4 qian per dose, add to 1 medium cup of water, decoct until 0.6 cup remains, filter out the dregs, and take warm. After the time it takes for a person to walk ten li, take another dose. Continue until bowel movement occurs.
For treating Yin Jaundice with symptoms of unchanged urine color, inability to defecate despite the urge, abdominal fullness, and wheezing, which inevitably leads to hiccups (Yue), Xiaobansan Formula (Pinellia Powder) is suitable.
Ingredients: Banxia (Pinelliae Rhizoma, 1 liang, washed seven times with hot water to remove slipperiness), Renshen (Ginseng Radix, 2 liang, remove rhizome), Gegen (Puerariae Radix, 2 liang, sliced).
The above ingredients are coarsely pounded and sieved into a powder. Take 4 qian per dose, add to 1 medium cup of water and half a slice of Shengjiang (Zingiberis Rhizoma Recens), decoct until 0.6 cup remains, filter out the dregs, and take warm at any time.
Formula for treating vomiting in Yin Jaundice.
Ingredients: Chixiaodou (Phaseoli Radiati Semen, 14 grains), Dingxiang (Caryophylli Flos, 14 grains), Shexiang (Moschus, 1 qian, finely ground), Guiti (Cucumeris Fructus, 14 pieces), Qingbu Hui (Ash of Blue Cloth, 3 qian; note: one version says 2 qian).
The above ingredients are finely pounded and sieved into a powder. Take 1 qian per dose, mixed with warm water, taken four to five times daily. Alternatively, blow a small amount of powder into the nose; if yellow fluid discharges, it is effective.
For treating Yin Jaundice with symptoms of complete yellowing of the body and face, dry stool, and urine resembling Gardenia juice, this formula is suitable.
Ingredients: Yinchen (Artemisiae Scopariae Herba, 1 liang; note: one version says 2 liang), Chaihu (Bupleuri Radix, 1 liang, remove sprouts), Zhiziren (Gardeniae Semen, 1 liang), Longdan (Gentianae Radix, 3 fen, remove rhizome), Zhiqiao (Aurantii Fructus, 1 liang, bran-fried until slightly yellow and pith removed), Huangqin (Scutellariae Radix, 1 liang), Chuan Shengma ( Cimicifugae Rhizoma, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, crushed and slightly stir-fried).
The above ingredients are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with warm porridge water, three to four times daily. Continue until bowel movement occurs.
Another formula:
Ingredients: Qinjiao (Gentianae Macrophyllae Radix, 1 liang, remove sprouts), Zhiziren (Gardeniae Semen, 1 liang), Yinchen (Artemisiae Scopariae Herba, 1 liang), Binglang (Arecae Semen, 1 liang; note: one version says 1 liang), Shanglu (Phytolaccae Radix, 1 liang; note: one fen equals 1 liang), Chenjupi (Citri Reticulatae Pericarpium, 1 liang, soaked in water, white pith removed, dried), Tiantingli (Descurainiae Semen Lepidii seu Lepidii Semen, 1 liang, stir-fried between papers until purple).
The above ingredients are pounded into fine powder, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with warm water, three to four times daily.
Formula for treating Yin Jaundice with symptoms of yellow eyes, sweat staining clothes, and yellow nasal discharge and saliva.
Ingredients: Chuan Dahuang (Rhei Radix et Rhizoma, 5 liang, steamed over rice for the duration of one meal, then taken out and dried in the sun).
The above ingredient is finely pounded and sieved into a powder. Take 1 qian per dose, mixed with warm water, three to four times daily. The effect is achieved when mild diarrhea or urination occurs.