小儿有身体肌肤面目悉黄者。此黄病也。因将息过度。饮食伤饱。脾胃受热。与谷气相搏。蒸发于外。脾胃
象土。其色黄。候肌肉。故为是病也。慎不可灸。灸则热转甚矣。若身体痛。背膊强。大小便涩。腹胀满。一身
尽黄。及目睛爪甲皆黄。小便如屋尘色。着物皆黄。此疸病也。若发渴小便涩。腹满脉沉细。为难治也。黄病
者稍轻。疸病者极重。又有自生下。面身深黄者。此胎疸也。因母藏气有热。熏蒸于胎故也。经言诸疸皆热。
色深黄者是也。若身微黄者。胃热也。若但面黄腹大。渴而食泥土者。脾疳也。此二项各在本病具之外。黄
病疸病。叙方于后。
三黄散
治黄病。
川大黄（一两锉碎微炒） 黄芩（半两） 黄连（去须半两）
上为细末。每服一钱。水一盏。煎至五分。去滓放温。食后时时服。
子芩散
治如前。
黄芩 栝蒌根 茯神（去心内木各一两） 甘草（炙） 胡黄连（各半两）
上为细末。每服一钱。水一盏。煎至五分。去滓温服。不拘时候。
韭根汁
治如前。杵韭根。取汁。滴儿鼻中。大豆许。
丁香散
治黄病遍身如金色。六月六日收瓜蒂四十九个。丁香四十九个。入干锅子内。火烧烟尽。取出放冷。研细
末。每用半字吹鼻中。及揩牙。
蔓青子汁
治如前。以蔓青子汁。水和服之。半钱或一钱。亦治疸病。
猪苓通草散
治黄病透明黄肿。木猪苓去黑皮。通草涂蜜炙干。各等分。为细末。更入研细麝香去土地龙末各少许拌匀。
每服半钱或一钱。米饮调下。不拘时候。神效。
栝蒌根汁
治小儿忽发黄。面目皮肤悉黄。以生栝蒌根杵取汁三合。蜜一大匙。暖熔相和。量儿大小服之。
不拘时候。
双连丸
治诸疸病。川黄连去须一两。胡黄连一两。为细末。用黄瓜一枚。切蒂头留作盖子。去穣。入药末在瓜中。
却以盖子盖定。用面裹。慢火煨令面熟焦。去面。杵烂成剂。丸绿豆大。每服五七丸至十丸。温米饮下。量大小
加减。不拘时候。
茅煎汤
治黄胆病。柴胡去苗。净洗焙干一两。甘草一分。 咀。每服二钱。水一盏。白茅根少许同煎至五分。去滓
温服。无时。
螺肉酒
治如前。取田螺肉一二十个。作KT 剁酒服之。
驴乳汁
治婴小热黄胎疸。取驴乳汁。少少与服。
Pediatric patients presenting with yellowing of the entire body, skin, and face are suffering from Huang Bing (Yellow Disease). This condition arises from excessive nursing or care, overeating, which leads to heat accumulation in the Spleen and Stomach. The heat combats with grain qi (digestive energy), evaporating outward. In Five-Phase theory, the Spleen and Stomach correspond to Earth, whose color is yellow, and they govern the muscles; thus, this disease manifests. Moxibustion must strictly be avoided, as it will exacerbate the heat.
If the patient experiences body pain, stiffness in the back and shoulders, difficulty in urination and defecation, abdominal distension, generalized yellowing of the body, yellowing of the sclera and fingernails, urine resembling the color of house dust that stains clothes, this is classified as Dan Bing (Jaundice Disease). If accompanied by thirst, dysuria, abdominal fullness, and a deep, fine pulse, it is considered difficult to treat. Huang Bing is relatively mild, whereas Dan Bing is extremely severe.
Furthermore, infants presenting with deep yellow discoloration of the face and body since birth suffer from Tai Dan (Fetal Jaundice). This is caused by maternal visceral heat steaming the fetus. Classics state that all forms of Dan are heat syndromes, characterized by deep yellow coloration. Mild yellowing indicates Stomach Heat. If only the face is yellow with abdominal distension, accompanied by thirst and pica for eating soil, it is Pi Gan (Spleen Wasting Syndrome). These two conditions are discussed separately. The formulas for treating Huang Bing and Dan Bing follow.
San Huang San (Three-Yellow Powder)
Indicated for Huang Bing.
Da Huang (Rhubarb Radix et Rhizoma, 1 liang, crushed and lightly stir-fried) Huang Qin (Scutellariae Radix, 0.5 liang) Huang Lian (Coptidis Rhizoma, de-stemmed, 0.5 liang)
Grind into fine powder. Take 1 qian per dose, decoct with 1 sheng of water until reduced to 0.5 sheng. Strain and allow to cool to warm temperature. Administer frequently after meals.
Zi Qin San (Sub-Cortex Scutellariae Powder)
Indicated as above.
Huang Qin (Scutellariae Radix) Gua Lou Gen (Trichosanthis Radix) Fu Shen (Poria with Hostwood, de-heart and de-wood, each 1 liang) Gan Cao (Licorice Radix et Rhizoma, honey-fried) Hu Huang Lian (Coptidis Rhizoma var. chinense, each 0.5 liang)
Grind into fine powder. Take 1 qian per dose, decoct with 1 sheng of water until reduced to 0.5 sheng. Strain and take warm. No specific timing required.
Jiu Gen Zhi (Chinese Chive Root Juice)
Indicated as above. Crush Chinese chive roots, extract juice, and drip into the infant's nostrils, dosage equivalent to a soybean.
Ding Xiang San (Clove Powder)
Indicated for Huang Bing where the whole body appears golden-yellow. Collect 49 Gua Di (Melon Peduncle) and 49 Ding Xiang (Caryophylli Flos) on the sixth day of the sixth lunar month. Place in a dry pot, burn until smoke ceases. Remove, cool, and grind into fine powder. Use half a "zi" amount insufflated into the nose, and also used to rub the teeth.
Man Qing Zi Zhi (Brassica Juncea Seed Juice)
Indicated as above. Mix Man Qing Zi juice with water and administer orally, dosage 0.5 qian or 1 qian. Also indicated for Dan Bing.
Zhu Ling Tong Cao San (Polyporus and Tetrapanacis Medulla Powder)
Indicated for transparent yellow edema in Huang Bing. Zhu Ling (Polyporus, remove black skin) and Tong Cao (Tetrapanacis Medulla, honey-fried until dry) in equal parts. Grind into fine powder. Add small amounts of finely ground She Xiang (Moschus) and Di Long (Pheretima, removed earth) and mix well. Take 0.5 qian or 1 qian per dose, mixed with rice drink. No specific timing required. Highly effective.
Gua Lou Gen Zhi (Trichosanthes Root Juice)
Indicated for sudden onset of yellowing in children, affecting face, eyes, and skin. Crush fresh Gua Lou Gen (Trichosanthis Radix) to obtain 3 he of juice. Mix with 1 large spoonful of honey, melt gently together. Administer according to age. No specific timing required.
Shuang Lian Wan (Double-Coptis Pill)
Indicated for various Dan Bing. Huang Lian (Coptidis Rhizoma, de-stemmed, 1 liang) and Hu Huang Lian (Coptidis Rhizoma var. chinense, 1 liang) ground into fine powder. Take one cucumber, cut off the stem end to serve as a lid, remove the pulp. Insert the powder into the cucumber, replace the lid, wrap in dough, and slow-roast until the dough is charred. Remove dough, pound into pills the size of mung beans. Take 5-7 to 10 pills per dose with warm rice drink. Adjust dosage according to age. No specific timing required.
Mao Jian Tang (White Imperata Decoction)
Indicated for Huang Dan Bing. Chai Hu (Bupleuri Radix, de-bud, washed and dried, 1 liang) and Gan Cao (Licorice Radix et Rhizoma, 1 fen). Cut into pieces. Take 2 qian per dose, decoct with 1 sheng of water and a small amount of Bai Mao Gen (Imperatae Rhizoma) until reduced to 0.5 sheng. Strain and take warm. No specific timing required.
Luo Rou Jiu (River Snail Meat Wine)
Indicated as above. Take 10-20 Tian Luo (Sinonipponica) meat, chop finely, and take with wine.
Lv Ru Zhi (Donkey Milk)
Indicated for infantile heat-yellow and fetal jaundice. Administer Lv Ru Zhi (Asini Lac) in small quantities.