黄胆,麻黄醇酒汤主之方。
麻黄(一大把,去节,绵裹)
上一味,美清酒五升,煮取二升半,去滓,顿服尽。《古令方》云∶伤寒热出表,发黄
疸,宜汗之则愈。冬月用酒,春宜用水煮之,良。
治黄胆,身目皆黄,皮肤曲尘出,三物茵陈蒿汤方。
茵陈蒿(一把) 栀子(二十四枚,擘) 石膏(一斤,完者)
上三味,以水八升,煮取二升半,去滓,以猛火烧石膏,令正赤,投汤中,沸定取清汁,
适寒温服一升。自覆令汗出周身,遍以温粉粉之则愈。若不汗,更服一升,汗出乃愈也。
凡人无故,忽然振寒,便发黄,皮肤黄曲尘出,小便赤少,大便时闭,气力无异,食饮
不妨,已服诸汤,余热不除,久黄者,苦参散方。
苦参(一两) 黄连(一两) 葶苈子(熬) 瓜蒂 黄芩 黄柏 大黄(各一两)
上一味,捣为散,饮服方寸匕,当大吐,吐者日一服,不吐日二,亦得下,服药五日知,
可消息,不知更服。忌猪肉、冷水。
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) 肥栀子(十五枚,擘) 硝石(四两,末)
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。
黄家日晡发热,而反恶寒,此为女劳得之,膀胱急,小腹满,身体尽黄,额上反黑,足
下热,因作黑疸,大便必黑,腹胪胀满如水状,大便黑溏者,此女劳之病,非水也,腹满者
难治,硝石矾石散主之方。
硝石(熬黄) 矾石(烧令汁尽)
上二味,等分,捣,绢筛,以大麦粥汁和服方寸匕,日三。重衣覆取汗,病随大小便去,
小便正黄,大便正黑也。大麦则须是无皮麦者。
治黄胆之为病,日晡所发热恶寒,小腹急,体黄,额黑,大便黑溏泄,足下热,此为女
劳也,腹满者难治方。
滑石(五两,碎研) 石膏(五两,研)
上二味,为散,以大麦粥汁服方寸匕,日三,小便极利则瘥。
地肤汤,治下焦诸结热,小便赤黄,数起出少,大痛或便血者,温病后余热,及霍乱后
当风取热,过度饮酒房劳,及步行冒热,冷冻饮料逐热,热结下焦及散石热动关格,少腹坚,胞
胀如斗大,诸淋服之即通方。
地肤草(三两) 知母 猪苓(去皮) 瞿麦 黄芩 升麻 通草(各二两) 海藻(一
两) 葵子(一升) 枳实(二两,炙)
上十味,切,以水九升,煮取三升,分三服。大小行皆闭者,加大黄三两;妇人房劳,
肾中有热,小便难不利,腹满痛,脉沉细者,加猪肾一具。
治淋,榆皮汤方。
榆皮(半斤) 滑石(二两,一方一两) 黄芩(一两,一方二两) 甘草(炙) 瞿
麦(各二
两) 葵子(一升)
上六味,切,以水一斗,煮取三升,温服一升,旦服。忌海藻、菘菜。
治石淋方。
取附船底苔,大如鸭子,以一区半水煮取一区,一服一升,日三。
治石淋方。
浮石取满一手,捣为末,以水三升,苦酒一升,煮取二升,澄清,温服一升,不过再三
服,石即便出。
治石淋神方。
车前子二升,以绢囊盛,以水八升,煮取三升,尽服之。日移一丈。石子当出,宿不食,
饮之良。
又方
生 茎叶,合捣取汁,服一升,日三。
小便不通及关格方。
取生土 根,捣取汁,以少水解之于筒中,吹纳下部即通,秘方。
治小便闭方。
豉半升,水四升,煮一沸,去滓,一服立愈,通。
治小便不通方。
熬盐令热,纳囊中,以熨少腹上。
卒小便不通及胞转方。
车前草一斤,水一斗,煮取四升,分四服。
Jaundice disease is primarily treated with Mahuang Chunjiu Tang (Cinnamon Twig and Wine Decoction).
Mahuang (Ephedrae Herba, a large handful, remove nodes, wrap in silk gauze)
Take the above single herb, boil in five sheng of high-quality clear wine until two and a half sheng remain, filter out the dregs, and take all at once. The *Gu Ling Fang* states: When cold damage heat emerges to the exterior causing jaundice, sweating should be induced for recovery. In winter, use wine; in spring, it is better to use water for boiling.
For treating jaundice where both body and eyes are yellow, and skin presents with yellow dust-like eruptions, Sanwu Yinchen Hao Tang (Three-Ingredient Yinchenhao Decoction) formula:
Yinchen Hao (Artemisiae Scopariae Herba, one handful); Zhizi (Gardeniae Fructus, twenty-four seeds, split); Shigao (Gypsum Fibrosum, one jin, intact pieces).
Take the above three herbs, boil in eight sheng of water until two and a half sheng remain, filter out the dregs. Roast the Gypsum Fibrosum over fierce fire until it turns bright red, then throw it into the decoction. After boiling subsides, take the clear liquid. Take one sheng at a temperature suitable for consumption. Cover oneself to induce whole-body sweating, and apply warm powder over the body for cure. If no sweat occurs, administer another sheng; cure is achieved upon sweating.
When ordinary people suddenly experience chills without cause, followed by yellowing, skin eruptions resembling yellow dust, dark scanty urine, occasional constipation, normal strength, unimpaired diet, residual heat remaining after taking various decoctions, or chronic jaundice, Kushen San (Kushen Powder) formula:
Kushen (Sophorae Flavescentis Radix, one liang); Huanglian (Coptidis Rhizoma, one liang); Tinglizi (Descurainiae Semen seu Lepidii Semen, stir-fried); Goudi (Trichosanthis Pericarpium); Huangqin (Scutellariae Radix); Huangbai (Phellodendri Cortex); Dahuang (Rhei Radix et Rhizoma, each one liang).
Pulverize the above seven herbs into a powder. Take one cunbi (square-inch spoonful) with grain broth. It should induce severe vomiting. For those who vomit, take once daily; for those who do not, take twice daily. Purging may also occur. Observe effects after five days of medication; adjust dosage as needed. If ineffective, continue administration. Avoid pork and cold water.
In jaundice patients with abdominal fullness, difficult and dark urination, and sweating on the body, the exterior syndrome is resolved while interior excess heat prevails; purgation is indicated. Dahuang Huangbai Pi Zhizi Xiaoshi Tang (Dahuang, Huangbai, Zhizi, and Niter Decoction) formula:
Dahuang (Rhei Radix et Rhizoma, four fen); Huangbai (Phellodendri Cortex, four liang); Fei Zhizi (Gardeniae Fructus, fifteen seeds, split); Xiaoshi (Natrii Sulfas, four liang, powdered).
Cut the above four herbs. Boil the first three in six sheng of water until two and a half sheng remain. Filter out the dregs, add Natrii Sulfas, and boil again until one sheng remains. Take all at once before meals.
Jaundice patients experiencing fever in the late afternoon but paradoxically feeling aversion to cold suffer from Nü Lao Dan (Female Labor Jaundice). Symptoms include urgency in the bladder, fullness in the lower abdomen, total body yellowing, blackening of the forehead, and heat in the soles of the feet, leading to Hei Dan (Black Jaundice). Stool will inevitably be black. Abdominal distension resembling water accumulation, or black loose stools indicate this is Nü Lao Dan, not fluid retention. Abdominal fullness indicates a difficult-to-treat condition. Treat with Xiaoshi Fanshi San (Niter and Alum Powder) formula:
Xiaoshi (Natrii Sulfas, stir-fried until yellow); Fanshi (Alumen, roasted until juices evaporate).
Mix equal parts of the above two herbs, pulverize, and sift through silk gauze. Mix with barley gruel juice to take one cunbi per dose, three times daily. Cover with heavy clothing to induce sweating. The disease resolves via stool and urine; urine becomes properly yellow, and stool becomes properly black. Barley must be hulled.
For jaundice presenting with fever and aversion to cold in the late afternoon, lower abdominal urgency, body yellowing, black forehead, black loose stools, and heat in the soles of feet, indicating Nü Lao Dan, where abdominal fullness makes it difficult to treat:
Huashi (Talcum, five liang, crushed and ground); Shigao (Gypsum Fibrosum, five liang, ground).
Pulverize the above two herbs. Take one cunbi mixed with barley gruel juice, three times daily. Cure is achieved when urination becomes extremely profuse.
Difuku Tang (Difuku Decoction) treats various heat accumulations in the Lower Jiao (Lower Burner), including dark yellow scanty frequent urination, severe pain during urination, or hematuria. It is used for residual heat after warm diseases, wind-heat contraction after cholera, excessive alcohol consumption, sexual fatigue, walking in heat, drinking cold beverages to counteract heat, heat accumulation in the Lower Jiao, moving stone heat causing Guan Ge (Obstruction and Reversal), hard lower abdomen, bladder distension like a bucket, and various Lin syndromes (Strangury). Upon ingestion, patency is restored.
Dicui Cao (Kochiae Herba, three liang); Zhimu (Anemarrhenae Rhizoma); Zhuling (Polyporus); Qumai (Polygoni Avicularis Herba); Huangqin (Scutellariae Radix); Shengma (Cimicifugae Rhizoma); Tongcao (Tetrapanacis Medulla), each two liang; Haizao (Sargassum, one liang); Kuizi (Abutilonis Semen, one sheng); Zhishi (Aurantii Fructus Immaturus, two liang, stir-fried).
Cut the above ten herbs. Boil in nine sheng of water until three sheng remain. Divide into three doses. If both urination and defecation are blocked, add Dahuang (Rhei Radix et Rhizoma, three liang). For women with sexual fatigue, heat in the Kidney, difficult urination, abdominal fullness and pain, and deep fine pulse, add one pig kidney.
For treating Lin syndrome, Yupi Tang (Elm Bark Decoction) formula:
Yupi (Ulmus Cortex, half a jin); Huashi (Talcum, two liang, alternative version one liang); Huangqin (Scutellariae Radix, one liang, alternative version two liang); Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried); Qumai (Polygoni Avicularis Herba), each two liang; Kuizi (Abutilonis Semen, one sheng).
Cut the above six herbs. Boil in ten dou of water until three sheng remain. Take one sheng warm in the morning. Avoid Haizao (Sargassum) and Songcai (Brassica rapa var. pekinensis).
For treating Shi Lin (Stone Strangury):
Collect moss from the bottom of attached boats, size of a duck egg. Boil one portion and a half in water to extract one portion. Take one sheng per dose, three times daily.
Another formula for Shi Lin:
Take enough Fusshi (Lapis Pumex) to fill one hand, pulverize. Boil in three sheng of water and one sheng of vinegar until two sheng remain. Clarify. Take one sheng warm. Within two or three doses, stones will pass.
Divine formula for Shi Lin:
Cheqianzi (Plantaginis Semen, two sheng), place in a silk bag. Boil in eight sheng of water until three sheng remain. Drink all. Walk one zhang daily. Stones should pass. Fasting overnight before taking is beneficial.
Another formula:
Fresh Cheqiancao (Plantaginis Herba) stems and leaves, crush together to extract juice. Take one sheng, three times daily.
For urinary obstruction and Guan Ge (Obstruction and Reversal):
Take fresh Tuniuxi root (Achyranthis Bidentatae Radix), crush to extract juice. Dilute slightly with water in a tube, blow into the urethra for immediate patency. Secret formula.
For treating urinary retention:
Douchi (Fermented Soybean, half a sheng), boil in four sheng of water for one boil. Filter dregs. One dose brings immediate cure and patency.
For treating urinary obstruction:
Heat salt, place in a cloth bag, and apply hot compress to the lower abdomen.
For sudden urinary obstruction and Bao Zhuan (Bladder Displacement):
Cheqiancao (Plantaginis Herba, one jin), boil in ten dou of water until four sheng remain. Divide into four doses.