食黄者,闻食气吐逆,心腹胀满,身体疼痛,喘息气粗,食饮不下,或时虚汗,肠中结
燥,亦似心黄,梦见神鬼。烙章门二穴、关元穴、脾俞二穴、上管穴、中管穴。
治食黄,腹中结燥,茅根散方。
茅根(一两锉) 甘草(一分炙微赤,锉) 川大黄(一两锉碎,微炒)
上件药,捣筛为散。分为五服,每服,以水一大盏,煎至五分,去滓,温服,如人行五
七里再服,以利为度。
又方
商陆(一两) 栝蒌根(一两)
上件药,捣细罗为散。不计时候,以葱白汤调下一钱。
火黄者,遍身如火色,两腋下有赤点子,状如粟米或如麦麸。其点子紫色多,黑色少者
,可治;黑色多,紫色少者,难治。烙百会穴、天窗穴及背脊两傍。
治火黄方。
上,取生栝蒌根,捣绞取汁。不计时候,服半中盏。
阴黄者,身如熟杏,爱向暗卧,不欲闻人言语,四肢不收,头旋目痛,上气痰饮,心腹
胀满,面色青黄,脚膝浮肿,小便不利。烙肾俞二穴、气海穴、胃管穴、阴都二穴。
治阴黄,秦艽散方。
秦艽(一两去苗) 旋复花(半两) 赤茯苓(半两) 甘草(半两炙微赤,锉)
上件药,捣筛为散。每服四钱,以牛乳一中盏,煎至六分,去滓,不计时候温服。
气黄者,上气心闷,腹肋胀痛,两脚冷疼,睡卧不安,小便淋涩,状似脾黄。烙气海穴
、肺俞二穴、足阳明二穴。
治气黄方。
苦葫芦子仁(一两微炒)
上捣细罗为散。不计时候,以温水调下一钱,以得吐为度。
Food jaundice (Shi Huang) manifests as vomiting and regurgitation upon smelling food, abdominal distension and fullness, body pain, rapid and coarse breathing, inability to ingest food and drink, occasional spontaneous sweating, intestinal dryness and impaction. Its symptoms resemble Heart jaundice (Xin Huang), and the patient may dream of spirits and ghosts. Treatment involves cauterizing Zhangmen (LR13) acupoint x2, Guanyuan (CV4) acupoint, Pishu (BL20) acupoint x2, Shangwan (CV13) acupoint, and Zhongwan (CV12) acupoint.
For treating Food jaundice with abdominal dryness and impaction, use Maogen San (Imperata Rhizome Powder).
Bai Mao Gen (Rhizoma Imperatae, 1 liang, cut into pieces) Gan Cao (Radix Glycyrrhizae, 1 fen, honey-fried until slightly red, cut into pieces) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, cut into pieces, lightly stir-fried).
The above ingredients are crushed, sifted, and made into a powder. Divide into five doses. For each dose, decoct in one large cup of water until reduced to two-fifths of the volume, strain, and take warm. Administer again after walking approximately five to seven li, stopping when bowel movement is achieved.
Another prescription:
Shang Lu (Radix Phytolaccae, 1 liang) Gua Lou Gen (Radix Trichosanthis, 1 liang).
The above ingredients are finely ground and sieved into a powder. Take one qian mixed with scallion white soup at any time.
Fire jaundice (Huo Huang) presents with skin throughout the body resembling a fire burn color, with red spots under both armpits, shaped like millet grains or wheat bran. If there are more purple spots and fewer black spots, it is treatable; if there are more black spots and fewer purple spots, it is difficult to treat. Treatment involves cauterizing Baihui (GV20) acupoint, Tianchuang (SI16) acupoint, and both sides of the spinal column.
Prescription for treating Fire jaundice:
Take fresh Radix Trichosanthis, crush and squeeze to obtain juice. Take half a medium cup at any time.
Yin jaundice (Yin Huang) presents with skin color resembling a ripe apricot, a preference for lying in dark places, aversion to hearing human speech, flaccidity and weakness of the four limbs, vertigo and eye pain, upward rushing of qi with phlegm-fluid retention, abdominal distension and fullness, bluish-yellow complexion, edema of the feet and knees, and difficult urination. Treatment involves cauterizing Shenshu (BL23) acupoint x2, Qihai (CV6) acupoint, Weiguan (CV12, likely referring to Zhongwan CV12 or similar midline point in this context, often interchangeable in older texts for epigastric region) acupoint, Yindu (SP15) acupoint x2.
For treating Yin jaundice, use Qin Jiao San (Gentian Powder).
Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, remove sprouts) Xuan Fu Hua (Flos Inulae, 0.5 liang) Chi Fu Ling (Poria Cocos with Red Hosta Root, 0.5 liang) Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried until slightly red, cut into pieces).
The above ingredients are crushed, sifted, and made into a powder. Take four qian per dose, decoct in one medium cup of cow's milk until reduced to three-fifths of the volume, strain, and take warm at any time.
Qi jaundice (Qi Huang) presents with upward rushing of qi and chest oppression, distending pain in the abdomen and hypochondrium, cold pain in both legs, restless sleep, and dribbling difficulty in urination. Its appearance resembles Spleen jaundice (Pi Huang). Treatment involves cauterizing Qihai (CV6) acupoint, Feishu (BL13) acupoint x2, and Zuyangming (likely referring to Stomach Meridian points on the lower limb, such as Zusanli ST36) acupoint x2.
Prescription for treating Qi jaundice:
Ku Hu Lu Zi Ren (Semen Benincasae Citrulliformis, 1 liang, lightly stir-fried).
The above ingredient is finely ground and sieved into a powder. Take one qian mixed with warm water at any time, stopping when vomiting occurs.