治诸黄瘅病。
猪膏(半斤。) 乱发(如鸡子大三枚。)
上二味。和膏中煎之。发消药成。分再服。病从小便出。(千金云。太医校尉史脱家婢
黄病
歌曰 诸黄腹鼓大便坚。古有猪膏八两传。乱发三枚鸡子大。发消药熟始停煎。
男元犀按。猪膏主润燥。发灰主通小便。故神农本草经有自还神化句最妙。谓发为血余。
乃
沈
当
惑
物
未
车
治黄瘅病。
茵陈(十分。) 五苓散(五分。)
上二味和。先食饮服方寸匕。日三服。
歌曰 瘅病传来两解方。(表里两解。)茵陈末入五苓尝。五苓五分专行水。十分茵陈却
退黄
男元犀按。五苓散功专发汗利水。助脾转输。茵陈蒿功专治湿退黄。合五苓散为解郁利
湿之
散转
治黄瘅腹满。小便不利而赤。自汗出。此为表和里实。当下之。宜此汤。
大黄 黄柏 硝石(各四两。) 栀子(十五枚。)
上四味。以水六升。煮取二升。去滓。内硝更煮。取一升。顿服。
歌曰 自汗(表无邪也。)屎难(大便难。)腹满时。表和里实贵随宜。硝黄四两柏同数。
十五
男元犀按。黄瘅病湿热交郁。不得外通。今自汗出者。外已通也。腹满小便不利而赤者。
湿热
栀
(见痰饮。) 治黄瘅病小便色不变。欲自利。腹满而喘。不可除热。热除必哕。哕
者此汤主之。
元犀按。伤寒论云。瘀热在里。身必发黄。此云小便色不变欲自利者。可知内无瘀热矣。
盖喘满属中气虚弱。故曰不可除热。师恐后人误投寒剂伤中。故立小半夏汤以救误治也。用
半
又按。若中虚发黄者。余每用理中汤、真武汤等加茵陈蒿。多效。
Treats various cases of jaundice (Huangdan Bing).
Zhu Gao (Pig Fat, half a jin.) Luan Fa (Three pieces of tangled hair, the size of chicken eggs.)
Take the above two ingredients. Simmer them in the pig fat. When the hair dissolves, the medicine is ready. Divide into two doses for administration. The pathogenic factor will exit through urination. (Qianjin Fang records: A maid in the household of Taiyi Xiaowei Shi Tuo suffered from jaundice.)
Song says: Various types of jaundice accompanied by abdominal distension and hard stools. An ancient method transmits using eight liang of Zhu Gao. Three pieces of Luan Fa, sized like chicken eggs. Stop simmering only when the hair has dissolved and the medicine is cooked.
Nan Yuanxi notes: Zhu Gao primarily moistens dryness. Luan Hui (Hair Ash) primarily promotes urination. Thus, the Shen Nong Ben Cao Jing contains the phrase "self-returning divine transformation," which is most exquisite, meaning that hair is the residue of blood.
Treats jaundice.
Yin Chen (Ten parts.) Wu Ling San (Five parts.)
Mix the above two ingredients. Take one cun bi of the powder with rice water before meals, three times a day.
Song says: Jaundice offers two methods of resolution. (Resolving both exterior and interior.) Mix Yin Chen powder with Wu Ling San to taste. Five parts of Wu Ling San specifically promote water metabolism. Ten parts of Yin Chen effectively resolve jaundice.
Nan Yuanxi notes: Wu Ling San's function specializes in inducing sweating and promoting diuresis, assisting the Spleen's transportation and transformation. Yin Chen Hao's function specializes in treating dampness and resolving jaundice. Combined with Wu Ling San, it acts to resolve stagnation and promote dampness drainage.
Treats jaundice with abdominal fullness, difficult and dark red urination, and spontaneous sweating. This indicates that the exterior is harmonized while the interior is excess; purgation should be applied. This decoction is suitable.
Da Huang Huang Bo Xiao Shi (Each four liang.) Zhi Zi (Fifteen fruits.)
Take the above four ingredients. Decoct with six sheng of water until two sheng remain. Remove the dregs. Add Xiao Shi and boil again until one sheng remains. Take as a single dose.
Song says: Spontaneous sweating (indicating no pathogen at the exterior), difficulty passing stool, abdominal fullness. When the exterior is harmonized and the interior is excess, treatment must be appropriate to the situation. Xiao Shi and Da Huang are each four liang, and Huang Bo is the same amount. Fifteen Zhi Zi.
Nan Yuanxi notes: In jaundice, damp-heat intertwines and stagnates, unable to vent outward. Now, since there is spontaneous sweating, the exterior is already open. Abdominal fullness, difficult and dark red urination indicate...
(See Phlegm-Fluids chapter.) Treats jaundice where the urine color does not change, there is a desire for spontaneous diarrhea, abdominal fullness, and wheezing. Heat-clearing methods must not be used; clearing heat will inevitably cause hiccups. For those presenting with hiccups, this decoction is the primary treatment.
Yuanxi notes: Shanghan Lun states: "Stagnant heat in the interior causes the body to turn yellow." Here, it states that with unchanged urine color and a desire for spontaneous diarrhea, it can be known that there is no stagnant heat internally. Generally, wheezing and fullness belong to deficiency of Middle Qi; therefore, it is said that heat-clearing is contraindicated. The Master feared later generations might mistakenly administer cold agents damaging the Middle Qi, thus establishing Xiao Banxia Tang to remedy mis-treatment. Using Ban...
Furthermore, regarding jaundice caused by Middle Deficiency, I often use Lizhong Tang or Zhenwu Tang added with Yin Chen Hao, achieving good results.