治身体洪肿,发热自汗,汗如 汁,其脉沉。
黄 (五两) 芍药(三两) 桂心(三两)
上为锉散。每服四钱,苦酒三合,水一盏半,煎至七分,去滓,不以时服。初服,当心
烦,以苦酒阻故也;至六七日,稍自愈。
治伤寒瘀血不解,郁发于表,发为黄胆,其脉浮紧者,以汗解之。
麻黄(三两,去节)
上一味,以醇酒五升,煮取二升,每服一盏,温服,汗出愈。秋冬用酒煮,春夏用水煮。
病者发黄内热,食则腹满眩晕,谷气不消,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。
治胃蓄瘀热气浊,食谷不消,大小便不利,胀满不下食,趺阳脉紧而数。亦治
因劳发热,热郁发黄。
苦参(三两) 龙胆草(一两) 栀子(去皮炒,半两) 人参(三分)
上为末,以猪胆汁入熟蜜少许,搜和丸,如梧子大。以大麦煮饮下五十丸,日三;不知,稍加之。
红丸子 最治谷疸,以生姜甘草汤下。(方见霍乱门)
五疸唯酒疸变证最多,盖酒之为物,随人性量不同,有盈石而不醉者,有濡吻而辄乱者
。以酝酿而成,有大热毒,渗入百脉为病,则不特发黄。溢于皮肤,为黑为肿;流于清气道
中,则眼黄鼻痈,种种不同。故方论中,酒疸外,有肉疸、黑疸、癖疸、劳溢,乃至令人恍
惚失常等,数证不同。
治疗身体严重浮肿,发热且自汗,汗水像汁液一样流出,脉象沉。
茵陈(五两) 芍药(三两) 桂心(三两)
将上述药物切碎成散剂。每次服用四钱,加入苦酒三合、水一盏半,煎煮至七分满,滤去药渣,不拘时间服用。初次服药时,心中会感到烦闷,这是因为苦酒的阻碍作用所致;到了第六七天,症状会逐渐自行缓解。
患者皮肤发黄,全身、面部、眼睛都呈现如金色般的黄色,小便像浓稠的豆汁颜色,这种病症称为黄疸。
治疗伤寒导致的瘀血无法消散,郁结发散于体表,引发黄疸,脉象浮紧的,应当通过发汗来解除病邪。
麻黄(三两,去除节段)
仅用这一味药,用优质酒五升,煮取二升,每次服用一盏,温服,出汗后痊愈。秋冬季节用酒煎煮,春夏季节用水煎煮。
患者发黄且体内有热,进食后腹部胀满、头晕目眩,食物难以消化,胃中感觉秽浊不适,浊气向下流动,导致小便不通畅,阴部受寒邪侵袭,热气流入膀胱,全身发黄,这种病症称为谷疸。
治疗胃中蓄积瘀热、气机秽浊,进食后食物不消化,大小便不利,腹胀满不能进食,趺阳脉紧而数。也治疗因劳累发热,热邪郁结导致的发黄。
苦参(三两) 龙胆草(一两) 栀子(去皮炒制,半两) 人参(三分)
将上述药物研成细末,用猪胆汁加入少许熟蜂蜜,调和制成丸药,大小如梧桐子。用大麦煮成的汤送服五十丸,每日三次;如果效果不明显,可适当增加剂量。
红丸子 最擅长治疗谷疸,用生姜甘草汤送服。(方剂见霍乱门)
五种黄疸中,酒疸的变证最多。因为酒这种物品,随着人的酒量不同而有差异,有的人喝了一石也不醉,有的人沾唇即乱。酒经过酝酿而成,具有大热毒性,渗入百脉致病,不仅会导致发黄。溢出皮肤,表现为黑色或浮肿;流注于清气道中,则出现眼黄、鼻生痈疽等,情况各不相同。所以在方论中,除了酒疸外,还有肉疸、黑疸、癖疸、劳溢,乃至令人神志恍惚失常等多种不同的证候。
Treats severe bodily edema, fever with spontaneous sweating, sweat flowing like juice, and a deep pulse.
Yinchen (Artemisiae Scopariae Herba, 茵陈) (five liang) Shaoyao (Paeoniae Radix, 芍药) (three liang) Guixin (Cinnamomi Cortex, 桂心) (three liang)
Crush the above ingredients into a powder. Take four qian per dose, mixed with three he of Kujiu (fermented rice wine/vinegar), and one dan of water. Decoct until reduced to seven-tenths, strain off the dregs, and take at any time. Upon initial administration, there will be heart vexation due to the obstruction by Kujiu; by the sixth or seventh day, it will gradually heal itself.
The patient presents with yellowing of the skin, where the body, face, and eyes are all as yellow as gold, and urine is like thickly boiled bean juice. This condition is named Huangdan (Jaundice).
For treating jaundice caused by unresolved blood stasis from Shanghan (Cold Damage) that stagnates and erupts on the exterior, presenting with a floating and tight pulse, resolve it through sweating.
Mahuang (Ephedrae Herba, 麻黄) (three liang, remove joints)
Take this single ingredient, boil in five sheng of pure wine until two sheng remain. Take one zhan per dose, warm. Healing occurs when sweat appears. In autumn and winter, decoct with wine; in spring and summer, decoct with water.
The patient presents with jaundice and internal heat, abdominal fullness and dizziness after eating, inability to digest food, a sensation of turbidity in the stomach, downward flow of turbid qi, and urinary obstruction. Cold affects the yin, while heat flows into the bladder, causing the entire body to turn yellow. This condition is named Gudandan (Grain Jaundice).
Treats gastric accumulation of blood stasis, heat, and turbid qi, leading to indigestion, difficulty in urination and defecation, abdominal distension, and anorexia, accompanied by a tight and rapid Duyang pulse. Also treats jaundice caused by heat stagnation due to exertion fever.
Kushen (Sophorae Flavescentis Radix, 苦参) (three liang) Longdancao (Gentianae Radix, 龙胆草) (one liang) Zhizi (Gardeniae Fructus, 栀子) (half liang, peel and stir-fry) Renshen (Ginseng Radix, 人参) (three fen)
Grind the above into powder. Mix with pig bile and a small amount of cooked honey to form pills the size of wutong seeds. Take fifty pills with barley decoction, three times daily; if ineffective, increase the dose slightly.
Hongwanzi (Red Pills) is most effective for Gudandan (Grain Jaundice); take with Shengjiang Gancao Tang (Ginger and Licorice Decoction). (Formula see Huoluan section)
Among the five types of jaundice, Jiudan (Alcohol Jaundice) has the most variations. Wine, as a substance, varies according to individual tolerance: some can drink a dan without getting drunk, while others become disordered merely by touching their lips. Formed through fermentation, it possesses great heat toxicity. When it penetrates the hundred vessels to cause disease, it not only causes yellowing. Overflowing into the skin, it manifests as blackness or edema; flowing into the clear qi pathways, it causes yellow eyes and nasal carbuncles, among other varying symptoms. Therefore, in the formula discussions, besides Jiudan, there are other distinct conditions such as Rou Dan (Meat Jaundice), Hei Dan (Black Jaundice), Pi Dan (Mass Jaundice), Lao Yi (Exertion Overflow), and even states of mental confusion and loss of normal consciousness.