（附论）
夫热病发黄。一身面目俱黄。遍体疼痛。心烦壮热。肩项疼强。腰背拘急。此由寒气在
表。则热蓄于脾胃。腠理不开。瘀热在内。宿谷郁蒸。不得消化。则大小便不通。故身体面
目皆变黄色。凡发黄。其寸口近掌无脉。口鼻气冷。并不可疗。必死之候也。
方
犀角散（出圣惠方）治热病。黄胆热渴。患酒劳。胸满气促。皮肤渐黄如金
色
。
犀角屑（一两） 葛根（三分锉） 通草 人参（去芦头） 柴胡（去苗各一两） 知
母蓝叶
桔梗（去芦头） 桑根白皮（锉） 秦艽（去苗） 赤茯苓（各三分） 上为散。每服四钱。
以水一
中盏。煎至五分。去滓。入竹沥一合。搅令匀。不计时候。温服。
茵陈散（出圣惠方）治热病。黄胆目黄如金。小便如血。心烦躁闷。口苦头
痛
。
茵陈 栀子仁（各三分） 木通 甘草（半两炙微赤锉） 栝蒌根（一两） 麦门冬（一
两半
去心焙） 柴胡（一两去苗） 秦艽（一两去苗） 上为散。每服五钱。以水一大盏。入竹
叶三
七片。煎至五分。去滓。不计时候。温服。
龙胆散（出圣惠方）治热病。黄胆热渴。额上汗出。手足热。小便赤涩。
龙胆草（一两去芦头） 川升麻（半两） 麦门冬（三分去心） 犀角屑（一两） 甘
草（半两
炙微赤锉） 栀子仁（半两） 上为散。每服五钱。以水一盏。入生姜半分。煎至五分。去
滓。
入生地一合。更煎一两沸。不计时候。温服。
麦门冬散（出圣惠方）治热病。面目俱黄。心腹坚满气急。精神恍惚。语多
倒错。
麦门冬（一两半去心焙） 茵陈（一两） 栀子仁 川升麻 川大黄（锉碎微炒） 黄
芩大
青（各半两） 川芒硝（一两） 上为散。每服四钱。以水一中盏。煎至六分。去滓。不计
时候。
黄连散（出圣惠方）治热病。黄胆遍身。面目悉黄。
黄连（去须） 大青 栀子仁 茵陈 柴胡（去苗） 黄芩 地骨皮 川芒硝 甘草（炙
微
赤锉各半两） 上为粗散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
茵陈散（出圣惠方）治黄胆。遍身并黄。
茵陈 栝蒌根 川升麻 龙胆草（去芦头各二两） 寒水石（三分） 甘草（一分炙微
赤锉）
上为粗散。每服五钱。以水一大盏。煎至五分。去滓。入地黄汁半合。更煎一沸。不计时候。
温服。
犀角饮子（出圣惠方）治心黄热毒。攻舌急眼黄。
犀角屑 黄芩 栀子仁 川升麻（各半两） 茵陈 川大黄（锉碎微炒） 川芒硝 甘
草
（炙微赤锉各三分） 甜竹叶 上细锉散。每服半两。以水一大盏。煎至五分。去滓。不计
时
候。温服。
栀子仁散（出圣惠方）治遍身黄如橘色。心胁满急。
栀子仁 黄芩 柴胡（去苗） 川升麻 龙胆草 川大黄（锉碎微炒各一两） 栝蒌根
（一
枚干者） 川芒硝（二两） 甘草（半两炙微赤锉） 上为粗散。每服四钱。以水一中盏。
入葱
白两茎。煎至六分。去滓。不计时候。温服。
苦参散（出圣惠方）治热病多有内瘀。即成黄胆。若用瓜蒂散吹鼻中。令黄
汁出后多瘥。忽然振寒便发黄。皮肤如黄尘出。小便赤少。大便时闭。气力有异。食
饮不妨。余热不除久黄者。
苦参（锉） 黄连（去须） 甜葶苈（隔纸炒令紫色） 黄芩 川大黄（锉碎微炒各半
两） 瓜
蒂（一分） 黄柏（一分锉） 上为细散。每服以粥饮调下二钱。不拘时候。
茵陈丸（出圣惠方）治热病发黄病。
茵陈（半两） 恒山（一分） 栀子仁 鳖甲（涂醋炙令微黄去裙 ） 川朴硝 川大
黄（锉
碎微炒） 木香 犀角屑 杏仁（汤浸去皮尖双仁麸炒微黄锉研如膏各一两） 川升麻 巴
豆
（一分去皮心研纸裹压去油） 上为末。入杏仁、巴豆、同研令匀。炼蜜和捣三二百杵。丸
如
梧子大。每服空心。煎乌梅汤下三丸。如人行十里。或利或汗或吐为效。如未应。即再服三
丸。
猪膏发煎方（出圣惠方）治热病诸黄。
猪膏（八钱） 乱发（如鸡子大二枚） 上安猪膏等于铛中。煎令发消尽。研绞去滓。
不计
时候。分为四服。如人行五里再服。服尽则病从小便出。
瓜蒂散（出圣惠方）治热病毒贯脏腑。深入骨髓之间。或为黄胆、黑疸、赤
疸
、白疸、谷疸、马黄等疾。喘急须臾不绝。又治酒疸。脉浮腹满欲呕。宜吐之。
瓜蒂（二七枚） 赤小豆（二七枚炒熟） 秫米（二七粒） 上为细散。取如大豆粒。
吹于鼻
中。当有黄水出为效。一方为末。每服半钱。米饮下。以吐为度。
又方（出圣惠方）
以瓜蒂二七枚。捣碎。以水一中盏。煎至五分。去滓温服。一名一物瓜蒂汤。太阳中 。
身热疼重。而脉微弱。此以夏月伤冷水。水行皮中所致也。此汤主之。
治暴黄腹胀。遍身如橘子色。小便不利。并天行温热病。瘀热在里。头汗出。身
无汗。烦渴饮水。小便赤涩。发黄手足冷方。（旅舍备要方）
枳壳（麸炒去瓤一两） 大黄（三分） 肥栀子（十四枚） 茵陈蒿（去枝梗六分） 上
为散。
每服三钱。水一盏半。煎至一盏。去滓。温服。小盒饭如皂荚汁出。黄从小便出也。
治毒黄热病。（本草）
以东行母猪粪一升。宿浸。去滓顿服。
(Attached Discussion)
Jaundice caused by heat disease presents with yellowing of the entire body and face, generalized pain, mental restlessness, and high fever. There is pain and stiffness in the shoulders and neck, and tension and tightness in the lower back. This occurs because cold pathogenic factors are on the exterior, causing heat to accumulate in the Spleen and Stomach. The Cou Li (skin pores) fail to open, leading to stagnant heat within. Retained food stagnates and steams without being digested, resulting in obstruction of urination and defecation. Consequently, the body and face turn yellow. In cases of jaundice, if the pulse at the Cun Kou (radial artery at the wrist) near the palm is imperceptible, and the breath from the mouth and nose is cold, these are signs that the condition is incurable and inevitably fatal.
Formulas
Xijiao San (Rhinoceros Horn Powder) [from *Shenghui Fang*]: Treats heat disease, jaundice, thirst due to heat, and chest fullness with shortness of breath caused by alcohol-induced fatigue. The skin gradually turns yellow like gold color.
Ingredients: Rhinoceros Horn shavings (1 liang), Puerariae Radix (3 fen, crushed), Tongsao (Tongcao), Ginseng Radix (rhizome removed), Bupleuri Radix (aerial parts removed, each 1 liang), Anemarrhenae Rhizoma, Isatidis Folium, Platycodonis Radix (rhizome removed), Morus Albae Cortex Radicis (crushed), Gentianae Macrophyllae Radix (aerial parts removed), Polyporus (each 3 fen). Process all ingredients into a powder. Take 4 qian per dose. Decoct with one zhong zhan (approx. 200-250ml) of water until reduced to five-fifths volume. Strain, add one he (approx. 20ml) of Bamboo Sap, mix well, and take warm at any time.
Yinchen San (Artemisiae Scopariae Powder) [from *Shenghui Fang*]: Treats heat disease, jaundice with eyes yellow like gold, urine resembling blood, mental restlessness and oppression, bitter taste in the mouth, and headache.
Ingredients: Artemisiae Scopariae Herba, Gardeniae Fructus (each 3 fen), Akebiae Caulis, Glycyrrhizae Radix et Rhizoma (half liang, honey-fried until slightly red, then crushed), Trichosanthis Radix (1 liang), Ophiopogonis Tuber (1.5 liang, heart removed, baked), Bupleuri Radix (1 liang, aerial parts removed), Gentianae Macrophyllae Radix (1 liang, aerial parts removed). Process all ingredients into a powder. Take 5 qian per dose. Decoct with one da zhan (approx. 300-400ml) of water, adding 37 leaves of Bambusa Leaves (Zhuye), until reduced to five-fifths volume. Strain and take warm at any time.
Longdan San (Gentian Root Powder) [from *Shenghui Fang*]: Treats heat disease, jaundice, thirst due to heat, sweating on the forehead, heat in hands and feet, and dark, scanty, or painful urination.
Ingredients: Gentianae Radix (1 liang, rhizome removed), Cimicifugae Rhizoma (half liang), Ophiopogonis Tuber (3 fen, heart removed), Rhinoceros Horn shavings (1 liang), Glycyrrhizae Radix et Rhizoma (half liang, honey-fried until slightly red, then crushed), Gardeniae Fructus (half liang). Process all ingredients into a powder. Take 5 qian per dose. Decoct with one zhan (approx. 200ml) of water, adding half a fen of Zingiberis Rhizoma Recens, until reduced to five-fifths volume. Strain, add one he (approx. 20ml) of Rehmanniae Radix, boil for one additional boil, and take warm at any time.
Ophiopogonis Powder [from *Shenghui Fang*]: Treats heat disease with yellowing of the face and eyes, hardness and fullness in the heart and abdomen with急促 breathing, mental confusion, and disordered speech.
Ingredients: Ophiopogonis Tuber (1.5 liang, heart removed, baked), Artemisiae Scopariae Herba (1 liang), Gardeniae Fructus, Cimicifugae Rhizoma, Rheum Palmatum Rhizoma (crushed, lightly stir-fried), Scutellariae Radix, Lithospermi Radix et Rhizoma (each half liang), Natrii Sulfas (1 liang). Process all ingredients into a powder. Take 4 qian per dose. Decoct with one zhong zhan of water until reduced to six-tenths volume. Strain. (Note: Administration method incomplete in source text).
Huanglian San (Coptis Powder) [from *Shenghui Fang*]: Treats heat disease where jaundice covers the whole body, with complete yellowing of the face and eyes.
Ingredients: Coptidis Rhizoma (fibers removed), Lithospermi Radix et Rhizoma, Gardeniae Fructus, Artemisiae Scopariae Herba, Bupleuri Radix (aerial parts removed), Scutellariae Radix, Lycii Cortex Radicis, Natrii Sulfas, Glycyrrhizae Radix et Rhizoma (honey-fried until slightly red, crushed, each half liang). Process all ingredients into a coarse powder. Take 4 qian per dose. Decoct with one zhong zhan of water until reduced to six-tenths volume. Strain and take warm at any time.
Yinchen San (Artemisiae Scopariae Powder) [from *Shenghui Fang*]: Treats jaundice with yellowing of the entire body.
Ingredients: Artemisiae Scopariae Herba, Trichosanthis Radix, Cimicifugae Rhizoma, Gentianae Macrophyllae Radix (rhizome removed, each 2 liang), Hypostibi (Hanshuishi) (3 fen), Glycyrrhizae Radix et Rhizoma (one fen, honey-fried until slightly red, crushed). Process all ingredients into a coarse powder. Take 5 qian per dose. Decoct with one da zhan of water until reduced to five-fifths volume. Strain, add half a he (approx. 10ml) of Rehmanniae Juice, boil once more, and take warm at any time.
Xijiao Yinzi (Rhinoceros Horn Drink) [from *Shenghui Fang*]: Treats Heart Jaundice due to heat toxin attacking the tongue causing stiffness, and yellowing of the eyes.
Ingredients: Rhinoceros Horn shavings, Scutellariae Radix, Gardeniae Fructus, Cimicifugae Rhizoma (each half liang), Artemisiae Scopariae Herba, Rheum Palmatum Rhizoma (crushed, lightly stir-fried), Natrii Sulfas, Glycyrrhizae Radix et Rhizoma (honey-fried until slightly red, crushed, each 3 fen), Sweet Phyllostachys Bambooa Leaves (Tian Zhuye). Process all ingredients into a fine powder. Take half a liang per dose. Decoct with one da zhan of water until reduced to five-fifths volume. Strain and take warm at any time.
Gardeniae Powder [from *Shenghui Fang*]: Treats general yellowing like orange color, with fullness and urgency in the heart and hypochondrium.
Ingredients: Gardeniae Fructus, Scutellariae Radix, Bupleuri Radix (aerial parts removed), Cimicifugae Rhizoma, Gentianae Macrophyllae Radix, Rheum Palmatum Rhizoma (crushed, lightly stir-fried, each 1 liang), Trichosanthis Radix (one dried fruit), Natrii Sulfas (2 liang), Glycyrrhizae Radix et Rhizoma (half liang, honey-fried until slightly red, crushed). Process all ingredients into a coarse powder. Take 4 qian per dose. Decoct with one zhong zhan of water, adding two stalks of Allii Fistulosi Bulbus (Congbai), until reduced to six-tenths volume. Strain and take warm at any time.
Kushen San (Sophora Root Powder) [from *Shenghui Fang*]: Treats heat disease with internal stasis leading to jaundice. If Gouti San is insufflated into the nose to discharge yellow fluid, recovery is likely. For sudden chills followed by jaundice, skin appearing like yellow dust, scanty dark urine, occasional constipation, altered physical strength, normal appetite, persistent residual heat, and chronic jaundice:
Ingredients: Sophorae Flavescentis Radix (crushed), Coptidis Rhizoma (fibers removed), Lepidii Semen (Stir-fried between papers until purple), Scutellariae Radix, Rheum Palmatum Rhizoma (crushed, lightly stir-fried, each half liang), Gouti (one fen), Phellodendri Cortex (one fen, crushed). Process all ingredients into a fine powder. Take 2 qian per dose mixed with gruel liquid, at any time.
Yinchen Wan (Artemisiae Scopariae Pill) [from *Shenghui Fang*]: Treats heat disease causing jaundice.
Ingredients: Artemisiae Scopariae Herba (half liang), Metapolygala Radix (one fen), Gardeniae Fructus, Testudinis Carapax et Plastrum (coated with vinegar, fried until slightly yellow, skirt removed), Natrii Sulfas, Rheum Palmatum Rhizoma (crushed, lightly stir-fried), Costi Radix, Rhinoceros Horn shavings, Prunus Armeniaca Semen (soaked in water, peel and pointed end removed, double-kernel, bran-fried until slightly yellow, crushed to paste, each 1 liang), Cimicifugae Rhizoma, Crotonis Fructus (Ba Dou) (one fen, peel and heart removed, ground, wrapped in paper, pressed to remove oil). Grind all ingredients into powder. Mix with Almond and Croton pastes. Knead with refined honey for 300-200 strikes. Form pills the size of Wuzi (Chinese walnut seeds). Take three pills on an empty stomach with decoction of Chinese Plum (Wumei). After walking about ten li, expect diarrhea, sweating, or vomiting as efficacy. If no response, take another three pills.
Zhigao Fa Jian (Pork Fat and Hair Decoction) [from *Shenghui Fang*]: Treats various types of jaundice from heat disease.
Ingredients: Pork Fat (8 qian), Disordered Hair (two pieces the size of a chicken egg). Place pork fat in a pan, cook until hair dissolves completely. Grind, squeeze, and strain. Divide into four doses. Take the next dose after walking about five li. Upon completion, the disease exits via urination.
Gouti San (Melon Peduncle Powder) [from *Shenghui Fang*]: Treats heat toxin penetrating viscera and deep into bone marrow, manifesting as jaundice, black jaundice, red jaundice, white jaundice, grain jaundice, or horse-yellow disease, with sudden severe dyspnea. Also treats wine jaundice with floating pulse, abdominal fullness, and nausea; emesis is indicated.
Ingredients: Gouti (14 pieces), Phaseoli Volubilis Semen (14 pieces, roasted熟), Panicum miliaceum (Shumi) (14 grains). Grind into a fine powder. Take a amount the size of a soybean, insufflate into the nose. Yellow fluid discharge indicates efficacy. Alternative method: Take half a qian of powder orally with rice drink, inducing vomiting as the limit.
Another Formula [from *Shenghui Fang*]
Use 14 pieces of Gouti, crush them, decoct with one zhong zhan of water until reduced to five-fifths volume. Strain and take warm. Also known as Yi Wu Gouti Tang (Single Ingredient Melon Peduncle Decoction). Treats Taiyang Zhongshu (Summerheat Stroke): body heat, pain, and heaviness with a faint pulse. This is caused by injury from cold water in summer, with water qi circulating in the skin. This formula governs it.
Formula for Acute Jaundice with Abdominal Distension, General Orange-Yellow Color, Dysuria, and Tianxing Warm-Heat Disease with Internal Stagnant Heat, Head Sweating, No Body Sweat, Restlessness and Thirst, Dark Scanty Urine, Yellowing with Cold Hands and Feet. [From *Lvshe Beiyao Fang*]
Ingredients: Aurantii Fructus (Zhi Ke) (bran-fried, core removed, 1 liang), Rheum Palmatum Rhizoma (3 fen), Large Gardeniae Fructus (14 pieces), Artemisiae Scopariae Herba (branches and stems removed, 6 fen). Process into a powder. Take 3 qian per dose. Decoct with 1.5 zhan of water until reduced to one zhan. Strain and take warm. Urine should resemble soap pod juice; yellow pathogen exits via urination.
Treatment for Toxic Yellow Heat Disease. [From *Bencao*]
Take one sheng of pig manure from a sow that walks facing east. Soak overnight, strain, and take in one dose.