（胎疸附）
《巢氏病源》小儿黄胆病候∶黄胆之病，由脾胃气实，而外有温气乘之，变生热。脾与胃合，候肌肉，俱象
土，其色黄。胃为水谷之海，热搏水谷气，蕴积成黄，蒸发于外，身疼膊背强，大小便涩，皮肤、面目、齿爪
皆黄，小便如屋尘色，着物皆黄是也。小便宣利者，易治；若心腹，小便涩者，多难治也。不渴者易治，渴者
难治。脉沉细而腹满者，死也。
《巢氏病源》小儿胎疸候∶小儿在胎，其母脏气有热，熏蒸于胎，至生下小儿体皆黄，谓之胎疸也。
钱乙论黄相似云∶身皮目皆黄者，黄病也。身痛膊背强，大小便涩，一身尽黄，面目、指爪皆黄，小便如
屋尘色，着物皆黄，渴者难治，此黄胆也。二证多病于大病后。别有一证，不因病后，身微黄者，胃热也。
大人亦同。又有面黄腹大食土，渴者脾疳也。又有自生而身黄者，胎疸也。古书云∶诸疸皆热，色深黄者是
也。若淡黄兼白者，胃怯，胃不和也。
《婴童宝鉴》小儿百日黄胆歌∶
百日孩儿急发黄，非干温疫与时殃，当来只为胎中热，慎莫交人灸作疮。
《千金翼》秦王九疸散 兼治大人、小儿方。
胃疸∶食多喜饮，栀子仁主之。
心疸∶烦心心中热，茜根主之。
肾疸∶唇干，葶苈子主之。（熬。）
脾疸∶尿赤出少惕惕恐，栝蒌主之。
膏疸∶饮少尿多，秦椒、瓜蒂主之。（椒汁膏。一作肺。）
舌疽∶渴而数便，钟乳主之。
肉疸∶小便白，凝水石主之（研）。
髓疸∶目深多嗜卧，牡蛎、泽泻主之。
肝疸∶胃热饮多水激肝，白术主之。
上一十一味等分，随病所在加半，捣、筛为散。饮服五分匕，日三，稍稍加之方寸匕。儿小者量与之。
茅先生治小儿面黄肿方。
瓜蒂（半两） 丁香（一钱）
上为末。每服一字，搐入鼻中，取下黄水从鼻中出，然后用天竺黄散与服。（方见实热门中。）
茅先生治小儿遍身二十四般瘅毒方。
屋下乘漏泥 灶心土 白缮土 寒水石
上四味等分。每用为末，使鸡子清调涂便没此患。先用实积牛黄丸通下。（方见实热门中。）后补，常服天竺黄散。
（方见同前。）
《婴孺》治小儿身体面目悉黄，此是荣卫气伏热于内所为。蛴螬丸方
干蛴螬 大枣（取肉。各一升） 虫 虻虫 杏仁（各半升） 地黄（十两） 黄芩 芍
药（各三两） 水蛭（一百个） 甘草（炙，半斤。又云半升）
上为末。炼蜜丸小豆大，酒下三丸，日三。
张涣治小儿黄疽。双连丹方
川黄连（去须） 胡黄连（各一两）
上件捣，罗为细末。用黄瓜一枚去瓤，留一小盖子，入药末后以盖子盖定；用面裹慢火烧令面焦，去面捣
熟，丸绿豆大。每服七粒至十粒，温水下。量儿大小以意加减。
《惠眼观证》治黄胆水肿丁香散方
丁香（七粒） 瓜蒂（四十九个） 砂（一分）
上为末令细。黄昏时 荷根丁子点药，入鼻搐之。一更时腥臭水出渐脓，至五更水尽，一夜三、五遍换丁
子。次日调气至，日夜根据前用之。五夜烂肉落，方住药，以乌犀膏（方见风热门中）吃一月日。
《惠眼观证》治小儿黄疽，遍身虚肿，其色如金。藿香散方
藿香（一分） 瓜蒂（四十九个） 赤小豆（四十粒）
上为末。每服一字半，搐入两鼻中。须臾黄水出，至二更待头痛即住。次日自腰以上黄退白色。
《惠眼观证》∶截腰下黄色。大青饮子方
大青 燕口连翘 甘草（炙） 黄芩 田蓝（如皂角子） 川芎（各等分）
上为末，每服一大匙。水一碗半，煎至半碗，一日之内作六服，须臾小便下如金色。如此吃五日。
《吉氏家传》治小儿身体黄及小便黄，眼白睛黄，即是疸也。宜此方。
茵陈 大黄（各一分） 山栀子仁（三个） 朴硝（一分）
上以水五合，煎二合，去滓服之。
《吉氏家传》又方
桑白皮 麻黄（去节） 秦艽（各一分） 大黄（二分）
上以水三合，入牛乳三合，同煎二合半，一岁儿日服一合。
《吉氏家传》又方
茵陈（二分） 大黄 秦艽（各三分） 山栀子仁 郁李仁（别杵如泥） 朴硝（各四分）
上件末，蜜丸梧桐子大，熟水化下。
长沙医者郑愈传治瘅，时行身热遍体黄。升麻散方
升麻 甘草（炙。各二钱） 常山（一分）
上为末。每服半钱，枣子一个，水八分，同煎四分，隔宿露了。天明、早晨服。奶母忌毒物。
(Accompanying Fetal Jaundice)
*Chao Shi Bing Yuan* (Source of Diseases by Chao Yuanfang) on the manifestation of pediatric jaundice: Jaundice arises from excess Qi in the Spleen and Stomach, compounded by external invasion of warm pathogens, transforming into heat. The Spleen and Stomach are exterior-interior paired organs, governing the muscles, and both correspond to the Earth element, whose color is yellow. The Stomach is the sea of water and grain; when heat combats with the Qi of water and grain, it accumulates and transforms into yellow, evaporating to the exterior. Symptoms include body pain, stiffness of the shoulders and back, difficult urination and defecation, yellowing of the skin, face, eyes, teeth, and nails, urine turbid like house dust, staining clothes yellow. This is jaundice. If urination is free and unobstructed, it is easy to treat; if there is discomfort in the heart and abdomen with obstructed urination, it is mostly difficult to treat. Those without thirst are easy to treat; those with thirst are difficult to treat. A deep, fine pulse with abdominal fullness indicates a fatal prognosis.
*Chao Shi Bing Yuan* on fetal jaundice in children: While in the womb, if the mother's organ Qi has heat, this heat steams and affects the fetus. Upon birth, the infant's entire body is yellow, which is called fetal jaundice.
Qian Yi discusses similar jaundice symptoms: When the skin and eyes are yellow, it is a yellow disease. Body pain, shoulder and back stiffness, difficult urination and defecation, whole-body yellowing, yellow face, eyes, fingers, and nails, urine like house dust, staining clothes yellow, and difficulty due to thirst characterize jaundice. These two conditions often occur after severe illness. Another condition, not occurring post-illness but with slight yellowing of the body, is stomach heat. Adults present similarly. There is also a condition with a yellow face, distended abdomen, pica (eating earth), and thirst, known as spleen gan (wasting-thirst syndrome). Those yellow since birth have fetal jaundice. Ancient texts state that all jaundices are heat-related, specifically those with deep yellow color. Pale yellow mixed with white indicates weak stomach Qi and disharmony of the Stomach.
Song of Hundred-Day Jaundice in *Ying Tong Bao Jian*:
The hundred-day-old child suddenly turns yellow,
Not caused by epidemic or seasonal pestilence,
It originates solely from heat accumulated in the womb,
Beware of moxibustion causing sores.
*Qian Jin Yi Fang* (Supplement to Essential Prescriptions for Emergencies) Qin Wang Nine Jaundices Powder, treating adults and children.
Stomach Jaundice: Excessive eating and desire to drink, treated with Gardenia Seed (Zhi Zi Ren).
Heart Jaundice: Vexation and heat in the heart, treated with Qian Cao Gen (Madder Root).
Kidney Jaundice: Dry lips, treated with Ting Li Zi (Descurainia Seed). (Roasted.)
Spleen Jaundice: Red, scanty urine and timidity/fear, treated with Gua Lou (Trichosanthes Fruit).
Gao (Fat/Paste) Jaundice: Little drinking but frequent urination, treated with Qin Jiao (Gentiana Macrophylla) and Gua Di (Melon Twig). (Make into pepper juice paste. Alternatively interpreted as Lung Jaundice.)
Tongue Abscess/Jaundice: Thirst and frequent urination, treated with Zhong Ru (Galactite/Stalactite).
Flesh Jaundice: White urine, treated with Ning Shui Shi (Halloysitum). (Ground.)
Marrow Jaundice: Sunken eyes, excessive sleepiness, treated with Mu Li (Oyster Shell) and Ze Xie (Alisma Rhizome).
Liver Jaundice: Stomach heat, excessive drinking, water qi agitating the liver, treated with Bai Zhu (Atractylodes Rhizome).
Take the above eleven ingredients in equal parts, adding half more according to the affected area. Pound, sieve, and make into powder. Take five fen bi per dose, three times daily, gradually increasing to one cun bi. Adjust dosage for small children.
Mr. Mao's prescription for pediatric facial yellow swelling.
Gua Di (Melon Twig) (half liang) Ding Xiang (Clove) (one qian)
Pound into powder. Take one zi amount, insufflate into the nose to discharge yellow fluid. Then administer Tian Zhu Huang (Calaminus) powder internally. (Formula see in Real Heat section.)
Mr. Mao's prescription for twenty-four types of jaundice toxins covering the whole body.
Wu Xia Cheng Lou Ni (Mud from under eaves) Zao Xin Tu (Kitchen Hearth Earth) Bai Shan Tu (White Mountain Soil) Han Shui Shi (Halloysitum)
Take the above four ingredients in equal parts. Apply powder mixed with egg white topically to prevent this affliction. First, administer Shi Ji Niu Huang Wan (Real Accumulation Calculus Bovis Pill) to purge bowels. (Formula see in Real Heat section.) Subsequently, commonly administer Tian Zhu Huang San (Calaminus Powder). (Formula see above.)
*Ying Ru Ji* treats pediatric whole-body and facial yellowing, caused by latent heat within Ying and Wei Qi. Xi Lao Wan (Earthworm Pill) Formula
Dried Xi Lao (Earthworm) Da Zao (Jujube Fruit, flesh only) (each one sheng) Chong (Insect) Meng Chong (Blue Bottle Fly Larva) Xing Ren (Apricot Seed) (each half sheng) Di Huang (Rehmannia Root) (ten liang) Huang Qin (Scutellaria Root) Shao Yao (Peony Root) (each three liang) Shui Zhi (Leech) (one hundred pieces) Gan Cao (Licorice Root, roasted) (half jin. Or half sheng.)
Pound into powder. Make pills the size of soybeans using refined honey. Take three pills with wine, three times daily.
Zhang Huan's Shuang Lian Dan (Double Coptis Pill) for pediatric jaundice.
Chuan Huang Lian (Coptis Rhizome, remove roots) Hu Huang Lian (Picrorhiza Rhizome) (each one liang)
Pound and sieve into fine powder. Take one cucumber, remove pulp, keep a small lid. Insert powder, cover with lid. Wrap in dough, slow-roast until dough is charred. Remove dough, pound熟 (cook/soften), make pills the size of mung beans. Take seven to ten pills each time with warm water. Adjust based on child's age and size.
*Hui Yan Guan Zheng* Ding Xiang San (Clove Powder) for jaundice edema.
Ding Xiang (Clove) (seven grains) Gua Di (Melon Twig) (forty-nine grains) Sha (Sand/Glass) (one fen)
Pound into fine powder. At dusk, use He Gen Ding Zi (Lotus Root Tip) to dip medicine and insufflate into nose. At first watch (approx. 9-11 PM), foul-smelling water discharges and gradually suppurates. By fifth watch (3-5 AM), water flow ceases. Change tip three to five times overnight. Next day, regulate Qi and continue usage day and night. After five nights, rotting flesh falls off, then stop medication. Administer Wu Xi Gao (Black Rhinoceros Horn Ointment) (see Wind Heat section) for one month.
*Hui Yan Guan Zheng* Huo Xiang San (Patchouli Powder) for pediatric jaundice, generalized edema, color like gold.
Huo Xiang (Patchouli) (one fen) Gua Di (Melon Twig) (forty-nine grains) Chi Xiao Dou (Adzuki Bean) (forty grains)
Pound into powder. Take one and a half zi amounts, insufflate into both nostrils. Yellow water discharges shortly after. Stop when headache occurs at second watch. Next day, yellow recedes to white from waist up.
*Hui Yan Guan Zheng*: To cut off yellow below the waist. Da Qing Yin Zi (Isatis Decoction) Formula.
Da Qing (Isatis Leaf) Yan Kou Lian Qiao (Forsythia Fruit from swallow's nest) Gan Cao (Licorice Root, roasted) Huang Qin (Scutellaria Root) Tian Lan (Isatis Root) Chuan Xiong (Ligusticum Rhizome) (equal parts)
Pound into powder. Take one large spoonful. Add one and a half bowls of water, decoct to half bowl. Divide into six doses within one day. Urine will discharge like golden liquid shortly after. Continue for five days.
*Ji Shi Jia Chuan* treats pediatric body yellow, urine yellow, and scleral yellow, indicating jaundice. Use this formula.
Yin Chen (Artemisia Capillaris) Da Huang (Rhubarb Root) (each one fen) Shan Zhi Zi Ren (Gardenia Seed) (three grains) Po Xiao (Mirabilite) (one fen)
Add five he of water, decoct to two he. Strain and take.
*Ji Shi Jia Chuan* Another Formula.
Sang Bai Pi (Mulberry Root Bark) Ma Huang (Ephedra Stem, remove joints) Qin Jiao (Gentiana Macrophylla) (each one fen) Da Huang (Rhubarb Root) (two fen)
Add three he of water and three he of cow milk. Decoct together to two and a half he. One-year-old infant takes one he daily.
*Ji Shi Jia Chuan* Another Formula.
Yin Chen (Artemisia Capillaris) (two fen) Da Huang (Rhubarb Root) Qin Jiao (Gentiana Macrophylla) (each three fen) Shan Zhi Zi Ren (Gardenia Seed) Yu Li Ren (Prunus japonica Seed, pounded separately into paste) Po Xiao (Mirabilite) (each four fen)
Make into powder, form pills the size of paulownia seeds with honey. Dissolve in cooked water and take.
Zheng Yu, a physician from Changsha, transmitted a treatment for jaundice with epidemic fever and whole-body yellowing. Sheng Ma San (Cimicifuga Powder) Formula.
Sheng Ma (Cimicifuga Rhizome) Gan Cao (Licorice Root, roasted) (each two qian) Chang Shan (Dichroa Root) (one fen)
Pound into powder. Take half qian each time with one jujube fruit. Add eight fen of water, decoct to four fen. Leave exposed overnight. Take at dawn/morning. Nursing mothers must avoid toxic foods.