脉∶五疸实热,脉必洪数,其或微涩,症属虚弱。
黄胆症者,虽有五疸,俱是脾胃水谷湿热相蒸,故发黄也。胸腹饱闷、面目俱黄、小水短赤如皂荚汁者,
就如 曲相似,湿热而生黄也,用茵陈四苓散加减。发黄口渴、大便实者,用茵陈大黄汤下之,黄自退也。小
水清白为愈。疸散成鼓者多矣。
五疸者,湿热郁蒸于脾也。
茵陈散 治湿热发黄。
茵陈 栀子 赤苓 猪苓 泽泻 苍术 枳实 黄连 浓朴 滑石(各等分)
上锉一剂,灯草一团,水煎服。身热加柴胡;小水短赤加黄柏;胸膈饱闷加萝卜子、茯苓,饮酒人加栝蒌仁、
干葛、砂仁,去滑石。此成酒疸者多。
茵陈大黄汤 治黄胆大便结实。
茵陈 大黄 枳实 山栀 浓朴 滑石(各等分) 甘草(减半)
上锉一剂,灯草一团,水煎服。
枣子绿矾丸 治黄胆胖病。
针砂 绿矾(炒) 苍术(米泔制) 浓朴(姜炒) 陈皮 神曲(炒。各一两) 甘草(五钱)
上为细末,枣肉为丸,或醋糊为丸,如梧桐子大。每服五十丸,食后米汤送下。切忌荞麦、羊肉、
母猪肉。食之急死无医。
四宝丹 治黄病吃生米、茶叶、黄泥、黑炭者宜服。
生米∶用麦芽一斤(炒) 使君子肉(二两) 槟榔 南星(各二两,姜汁制)
茶叶∶用茶叶一斤(炒) 使君子肉(二两) 槟榔 南星(各一两,姜汁制)
黄泥∶用壁土一斤(炒) 使君子肉(二两) 槟榔 南星(各一两,姜汁制)
黑炭∶用黑炭一斤(炒) 使君子肉(二两) 槟榔 南星(各一两,姜汁制)
上为末,炼蜜为丸,如梧桐子大。每服五十丸,清早砂糖水送下,大效。
治黄病方 黑矾不拘多少,日晒夜露二十一日为末,枣肉为丸,如绿豆大。每服九丸,早、午、晚各
进一服,日进三服,二十一日即止。小儿服三九。
治黄肿病方 七月七日采水花干为末,每服一钱,黄酒下效。
治气黄病方 以蛇蜕用棍子挑于灯上点火着,滴成珠,多年陈麻楷圃烧灰各等分为末,黄酒调服效。
脉象:五种黄疸病若属实热证,脉象必定洪大且数;若是微涩脉,则症状属于虚弱。
黄胆症(黄疸病):虽然有五种黄疸,但都是由于脾胃中水谷的湿热相互蒸腾,导致身体发黄。出现胸腹部胀满闷痛、面目全身发黄、小便短少色赤如皂荚汁的情况,就像酒曲发酵一样,是湿热蕴结而生出的黄疸,使用茵陈四苓散进行加减治疗。如果身体发黄且口渴、大便干结者,使用茵陈大黄汤攻下,黄色自然消退。直到小便变得清白,才算痊愈。黄疸消散后形成鼓胀病的案例很多。
茵陈散:治疗湿热导致的发黄。
药材:茵陈、栀子、赤茯苓、猪苓、泽泻、苍术、枳实、黄连、厚朴、滑石(各等分)。
制法与用法:以上药物锉碎为一剂,加入灯心草一团,用水煎服。若身体发热,加柴胡;若小便短少色赤,加黄柏;若胸膈部胀满闷痛,加萝卜子、茯苓;若是饮酒之人患病,加瓜蒌仁、葛根、砂仁,去掉滑石。这种情况多属于酒疸。
茵陈大黄汤:治疗黄疸伴有大便干结。
药材:茵陈、大黄、枳实、山栀、厚朴、滑石(各等分),甘草(用量减半)。
制法与用法:以上药物锉碎为一剂,加入灯心草一团,用水煎服。
枣子绿矾丸:治疗黄疸肿胀病。
药材:针砂、绿矾(炒制)、苍术(米泔水制)、厚朴(姜汁炒)、陈皮、神曲(炒制,各一两),甘草(五钱)。
制法与用法:以上药物研为细末,用枣肉制作成丸药,或者用醋糊制作成丸药,大小如梧桐子。每次服用五十丸,饭后用米汤送服。切忌食用荞麦、羊肉、母猪的肉。如果吃了这些食物,会迅速死亡且无法医治。
四宝丹:治疗患有黄病且想吃生米、茶叶、黄泥、黑炭的人适宜服用。
针对吃生米癖好:用麦芽一斤(炒制)、使君子肉(二两)、槟榔、天南星(各二两,用姜汁制)。
针对吃茶叶癖好:用茶叶一斤(炒制)、使君子肉(二两)、槟榔、天南星(各一两,用姜汁制)。
针对吃黄泥癖好:用壁土一斤(炒制)、使君子肉(二两)、槟榔、天南星(各一两,用姜汁制)。
针对吃黑炭癖好:用黑炭一斤(炒制)、使君子肉(二两)、槟榔、天南星(各一两,用姜汁制)。
制法与用法:以上药物研为细末,用炼蜜制作成丸药,大小如梧桐子。每次服用五十丸,清晨用砂糖水送服,效果显著。
治疗黄病的方子:黑矾不拘多少,经过日晒夜露二十一天后研为细末,用枣肉制作成丸药,大小如绿豆。每次服用九丸,早、午、晚各进一服,每天共服三次,服用二十一天后即停止。小儿服用三丸。
治疗黄肿病的方子:在七月七日采集水花晒干研为细末,每次服用一钱,用黄酒送服有效。
Pulse: In cases of the five types of jaundice presenting as excess-heat, the pulse must be surging and rapid; if it is faint and choppy, the condition belongs to deficiency.
Jaundice (Huang Dan): Although there are five types of jaundice, they all result from damp-heat steaming and fermenting within the Spleen and Stomach due to food and fluids, causing yellowing of the body. When symptoms include fullness and oppression in the chest and abdomen, yellowing of the face and whole body, and scanty dark-red urine resembling soap pod juice, it is akin to fermentation by yeast, indicating jaundice generated by damp-heat. Use Yinchen Siling San (Yinchen Four-Ingredient Powder) with modifications. If the patient presents with yellowing, thirst, and solid stool, use Yinchendahuang Tang (Yinchen Rhubarb Decoction) to purge, after which the yellow color will naturally recede. Recovery is indicated when the urine becomes clear and white. Many cases of jaundice resolve into drum distension (Gu Zhang).
The five types of jaundice arise from damp-heat stagnating and steaming within the Spleen.
Yinchen San (Yinchen Powder): Treats yellowing caused by damp-heat.
Ingredients: Yin Chen Hao (Artemisiae Scopariae Herba), Zhi Zi (Gardeniae Fructus), Chi Fu Ling (Red Poria), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Cang Zhu (Atractylodis Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Huang Lian (Coptidis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Hua Shi (Talcum) (all in equal parts).
Preparation and Administration: Coarsely crush the above ingredients for one dose, add a bunch of Juncus effusus (Deng Cao), and decoct in water for oral administration. Add Chai Hu (Bupleuri Radix) if there is body heat; add Huang Bo (Phellodendri Cortex) if urine is scanty and dark-red; add Luo Bo Zi (Raphani Semen) and Fu Ling (Poria) if there is fullness and oppression in the chest and diaphragm; for those who consume alcohol, add Gua Lou Ren (Trichosanthis Semen), Ge Gen (Puerariae Radix), and Sha Ren (Amomi Fructus), and remove Hua Shi (Talcum). This pattern often corresponds to Wine Jaundice (Jiu Dan).
Yinchendahuang Tang (Yinchen Rhubarb Decoction): Treats jaundice accompanied by constipation.
Ingredients: Yin Chen Hao (Artemisiae Scopariae Herba), Da Huang (Rhei Radix et Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Shan Zhi Zi (Gardeniae Fructus), Hou Po (Magnoliae Officinalis Cortex), Hua Shi (Talcum) (all in equal parts); Gan Cao (Liquiritiae Radix et Rhizoma) (half the amount).
Preparation and Administration: Coarsely crush the above ingredients for one dose, add a bunch of Juncus effusus (Deng Cao), and decoct in water for oral administration.
Zaozi Lvfan Wan (Date Green Vitriol Pill): Treats jaundice with swelling.
Ingredients: Zhen Sha (Magnetitum), Lv Fan (Vitriolum Ferreum) (stir-fried), Cang Zhu (Atractylodis Rhizoma) (processed with rice wash water), Hou Po (Magnoliae Officinalis Cortex) (stir-fried with ginger juice), Chen Pi (Citri Reticulatae Pericarpium), Shen Qu (Massa Medicata Fermentata) (stir-fried, each 1 liang), Gan Cao (Liquiritiae Radix et Rhizoma) (5 qian).
Preparation and Administration: Grind the above ingredients into fine powder. Form pills using date paste or vinegar paste, sized like Sophora japonica seeds. Take 50 pills per dose, administered with rice soup after meals. Strictly avoid consuming buckwheat, mutton, and sow pork. Ingestion of these foods may lead to rapid death without cure.
Sibao Dan (Four-Treasure Pellet): Suitable for patients with jaundice exhibiting pica for raw rice, tea leaves, yellow mud, or black charcoal.
For craving raw rice: Mai Ya (Hordei Fructus Germinatus) 1 jin (stir-fried), Shi Jun Zi (Quisqualis Fructus) 2 liang, Bing Lang (Arecae Semen), Nan Xing (Arisaematis Rhizoma) (each 2 liang, processed with ginger juice).
For craving tea leaves: Cha Ye (Camelliae Sinensis Folium) 1 jin (stir-fried), Shi Jun Zi (Quisqualis Fructus) 2 liang, Bing Lang (Arecae Semen), Nan Xing (Arisaematis Rhizoma) (each 1 liang, processed with ginger juice).
For craving yellow mud: Bi Tu (Wall Earth) 1 jin (stir-fried), Shi Jun Zi (Quisqualis Fructus) 2 liang, Bing Lang (Arecae Semen), Nan Xing (Arisaematis Rhizoma) (each 1 liang, processed with ginger juice).
For craving black charcoal: Hei Tan (Black Charcoal) 1 jin (stir-fried), Shi Jun Zi (Quisqualis Fructus) 2 liang, Bing Lang (Arecae Semen), Nan Xing (Arisaematis Rhizoma) (each 1 liang, processed with ginger juice).
Preparation and Administration: Grind the respective ingredients into powder. Form pills using refined honey, sized like Sophora japonica seeds. Take 50 pills per dose, administered early in the morning with sugar water. This yields significant efficacy.
Formula for treating jaundice: Hei Fan (Ferrum Sulfate) in any quantity, exposed to sun during the day and dew at night for 21 days, then ground into powder. Form pills using date paste, sized like mung beans. Take 9 pills per dose, once each in the morning, noon, and evening, totaling three doses per day. Discontinue after 21 days. Children take 3 pills.
Formula for treating jaundice edema: Collect Shui Hua Gan (dried aquatic flowers) on the seventh day of the seventh lunar month, grind into powder. Take 1 qian per dose, administered with yellow wine for efficacy.
Formula for treating Qi Jaundice: Take She Tui (Ophichdis Exuvies), hold it over a lamp flame with a stick until it ignites and drips into bead-like shapes. Mix equally with ash from aged Ma Kai Pu (likely a specific local herb or plant residue). Grind into powder and administer with yellow wine for efficacy.