化 汤治伤寒汗吐下后 发脉虚
白虎汤加人参守真类粹再加白术
上 咀时时煎服之
下剂
当归丸治伤寒 见无大热脉虚秘闷
当归(半两) 甘草(一分) 黄连 大黄(各二钱半)
上先将当归熬膏子入药末三味为丸渐加至利为度
黑膏治温毒发
生地黄(半斤) 好豉(一升)
上二味以猪膏二斤合煎之至浓汁用雄黄麝香如大豆大内中搅和每服用弹子大汤化服未效
再服之
大青四物汤
大青(四两) 阿胶 甘草(各一两) 豉(八合)
上 咀每服五钱水煎服之
内经曰溺黄赤安卧者黄胆
要略曰寸口脉浮而缓浮则为风缓则为痹痹非中风四肢苦烦脾色必黄瘀热以行 尺脉浮为
伤肾
趺阳脉紧为伤脾风寒相搏食谷即眩谷食不消胃中苦浊浊气下流小便不通阴被其寒热流膀胱身
体尽黄名曰谷疸 额上黑微汗出手足中热薄暮即发膀胱急小便不利名曰女劳疸 腹如水状心
中懊 而热不能食时欲吐名曰酒疸多不治
脉经曰脉沉渴欲饮水小便不利者皆发黄凡黄候其寸口脉近掌无脉口鼻冷并不可治
陈无择云古方叙五种黄者其实一病立名异耳如黄汗者以胃为脾表属阳明阳明蓄热喜自汗
汗出因入水中热必郁故汗黄也其后身体肿发热不渴状如风水汗出染衣色正黄如柏汁
黄胆者由暴热用冷水洗浴热留胃中所致其候身面眼悉黄如金色小便如煮柏汁
谷疸者夫由肌发热大食伤胃气冲郁所致其候食则腹满眩晕谷气不消(云云见前)
酒疸由大醉当风入水所致唯酒变证最多热毒流于清气道中则眼黄鼻痈
女劳疸由大热交接竟入水水流湿入于脾因肾气虚甚以所胜克入致肾气上行故有额黑身黄
之证
其间兼渴与腹胀者并难治发于阴必呕发于阳则振寒面微热虽本于胃气郁发土色上行然发于脾
则为内疸发于肾则为黑疸若所论因外则风寒暑湿内则喜怒忧惊酒食房劳三因悉备世医独严于
伤寒论中不亦滥矣
按以上五疸与前要略所具不同宜兼考之陈氏治例未能以尽其变推其病体究治大抵以上五
疸形
证已具无所隐兼证者黄汗黄胆谷疸诚以元气脾胃之气为主而治之形气谷气稍实者则可得而复
矣酒疸则元气胃气殊已伤甚形气孤危谷气与药杂进能有断浓味而守药得复生者则几希矣女劳
疸则阴阳之气虚竭甚者为难治陈云世医独严于伤寒而不及此此则亦非伤寒家法所可 施也
Hua Tang (Transformation Decoction): Treats Taiyang disease (disease of the Taiyang channel) after sweating, vomiting, or purging, presenting with a deficient pulse.
Baihu Tang (White Tiger Decoction) plus Renshen (Ginseng Radix et Rhizoma), from Zhu Danxi's *Leicui*, with additional Baizhu (Atractylodis Macrocephalae Rhizoma):
Chop the herbs and decoct them frequently for administration.
Purgative Formula:
Danggui Wan (Angelica Sinensis Pill): Treats Taiyang disease where there is no significant fever, but a deficient pulse, accompanied by constipation and chest oppression.
Ingredients: Danggui (Angelicae Sinensis Radix, 0.5 liang), Gancao (Licorice Root, 1 fen), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma, each 2.5 qian).
Preparation and Administration: First, decoct Danggui into a paste, mix with the powders of the other three herbs to form pills. Gradually increase the dose until mild diarrhea occurs.
Hei Gao (Black Ointment): Treats jaundice caused by warm-toxin.
Ingredients: Shengdihuang (Rehmanniae Radix Recens, 0.5 jin), Haochi (Fermented Soybean, 1 sheng).
Preparation and Administration: Decoct the two ingredients together with 2 jin of lard until a thick liquid remains. Add Xionghuang (Realgar) and Muxiang (Musk) in amounts the size of soybeans, stir well. Take an amount the size of a bullet pill, dissolved in decoction. If ineffective, take again.
Daqing Siwu Tang (Great Qing Four Substances Decoction):
Ingredients: Daqing (Isatidis Folium, 4 liang), Ejiao (Donkey-hide Gelatin), Gancao (Licorice Root, each 1 liang), Chi (Fermented Soybean, 8 he).
Preparation and Administration: Chop the herbs. Take 5 qian per dose, decoct in water, and drink.
The *Neijing* states: Those with yellow-red urine and excessive sleepiness suffer from Huangdan (Jaundice).
The *Jingui Yaolue* states: The pulse at Cun Kou (radial artery) is floating and slow. Floating indicates wind; slow indicates bi-syndrome (obstruction). This bi-syndrome is not wind-stroke, but rather discomfort in the four limbs. The color of the spleen (yellow) must appear, and stagnant heat circulates. A floating pulse at Chi position indicates kidney injury. A tight pulse at Fu Yang position indicates spleen injury. Wind and cold contend; after eating, dizziness occurs, food is not digested, the stomach suffers from turbid qi, which flows downward, causing urinary obstruction. Yin-cold invades, and heat flows into the bladder, turning the whole body yellow; this is called Gu Dan (Grain Jaundice). Blackness on the forehead, slight sweating, heat in hands and feet, onset in the evening, bladder urgency, and difficult urination constitute Nu Lao Dan (Female Labor Jaundice). Abdomen distended like water accumulation, mental restlessness and heat, inability to eat, frequent desire to vomit constitute Jiu Dan (Wine Jaundice); these are mostly incurable.
The *Mai Jing* states: Deep pulse, thirst with desire to drink, and difficult urination all lead to yellowing. For all jaundice cases, if the pulse near the palm at Cun Kou is absent, and the nose and mouth are cold, it is incurable.
Chen Wuyue stated: The ancient formulas describe five types of jaundice, but they are essentially one disease with different names. For example, Huang Han (Yellow Sweat): The stomach is the exterior of the spleen, belonging to the Yangming channel. Yangming accumulates heat, predisposing to spontaneous sweating. After sweating, entering water causes heat to stagnate, thus the sweat turns yellow. Later, the body swells, fever occurs without thirst, resembling Feng Shui (wind-water edema) syndrome. Sweat stains clothes yellow like pagoda tree juice.
Huang Dan (Jaundice): Caused by sudden heat followed by bathing in cold water, trapping heat in the stomach. Symptoms include yellowing of the body, face, and eyes like gold, and urine like boiled pagoda tree juice.
Gu Dan (Grain Jaundice): Caused by skin fever and overeating damaging stomach qi, leading to counter-flow stagnation. Symptoms include abdominal fullness and dizziness after eating, and failure to digest grain qi (see previous text).
Jiu Dan (Wine Jaundice): Caused by heavy intoxication while exposed to wind or entering water. Wine produces many variations; heat toxin flows into the clear qi pathways, causing yellow eyes and nasal carbuncles.
Nu Lao Dan (Female Labor Jaundice): Caused by sexual intercourse during extreme heat followed immediately by entering water. Water-dampness enters the spleen due to severe kidney qi deficiency. The overcoming element attacks, causing kidney qi to ascend, resulting in black forehead and yellow body.
Cases with both thirst and abdominal distension are difficult to treat. Disease originating in Yin leads to vomiting; disease originating in Yang leads to chills and slight facial heat. Although rooted in stomach qi stagnation and the upward display of earth color, if it originates in the spleen, it is internal jaundice; if in the kidney, it is black jaundice. Regarding etiology, external factors include wind, cold, summer-heat, and dampness; internal factors include joy, anger, worry, fright, wine, food, and sexual fatigue. All three categories of causes are present. Physicians strictly adhere to the *Shanghan Lun* (Treatise on Cold Damage) but neglect these aspects, which is overly broad.
Note: The above five types of jaundice differ from those listed in the earlier *Jingui Yaolue*; they should be studied concurrently. Chen’s treatment examples do not exhaust the variations. Investigating the pathology and treatment, the manifestations of the five jaundices are complete. For combined symptoms, Huang Han, Huang Dan, and Gu Dan should primarily be treated by supporting Yuan Qi (Original Qi) and Spleen-Stomach qi. If physical constitution, Zheng Qi (Upright Qi), and Gu Qi (Grain Qi) are slightly substantial, recovery is possible. In Jiu Dan, Yuan Qi and Stomach qi are severely damaged, leaving physical constitution and Zheng Qi isolated and precarious. Mixing grain intake with medication makes survival rare, requiring abstinence from rich flavors and strict adherence to medication. In Nu Lao Dan, Yin and Yang qi are exhausted, making severe cases difficult to treat. Chen stated that physicians strictly focus on Shanghan but ignore this condition; this is indeed beyond the scope of standard Shanghan methodology.