黄汗,汗出染衣,黄如柏汁是也。
〔仲〕问曰∶黄汗之为病,身体肿,发热,汗出而渴,状如风水,汗沾衣,色正黄如柏汁,
脉沉,何从得之?师曰∶以汗出时入水中浴,水从汗孔入得之,宜 芍桂酒汤主之。
黄 白芍药(各五两) 桂枝(三两)
上三味,以苦酒一升,水七升相和,煮取三升,温服一升。初发当心烦、服至六七日乃解。若
心烦不止者,以苦酒阻故也。(一方用好酒代苦酒。)
黄汗之病,两胫自冷,假令发热,此属历节。食已汗出,又身常暮盗汗出者,此劳气也。若汗
出已反热者,久久其身必甲错。若发热不止者,必生恶疮。若身重,汗出已辄轻者,久久身必 。
又胸前痛,腰上有汗,腰下无汗,腰 弛痛,如有物在皮中状,剧者不能食,身疼重,烦躁,
小便不利者,此为黄汗,桂枝加黄 汤主之。(方见本门表疸下。)
脉浮而洪,浮则为风,洪则为气。风气相搏,风强则为隐疹,身体为痒,痒为泄风,久为痂
癞;气强则为水,难以俯仰。风气相击,身体洪肿,汗出乃愈。恶风则虚,此为风水;不恶风者,
小便通利,上焦有寒,其口多涎,此为黄汗。
经云∶目黄者,曰黄胆。然亦有目黄而身不黄者,故宜另立篇门。
风气自阳明入胃,循脉而上至目 ,其人肥,风气不得外泄,则为热中而目黄。(全文见诸风条。)
〔河〕青龙散治风气传化,腹内疼结而目黄,风气不得泄,为热中烦渴引饮。
地黄 威灵仙 防风 荆芥穗 何首乌(去黑皮,米泔浸一宿,竹刀切。各二两)
上为末。每日三服,食后沸汤调下一钱。
〔《类》〕治黄胆,目黄不除。用瓜丁为细末,如豆大,纳鼻中,令病患深吸,取鼻中黄
水出,愈。
针灸 目黄有五法∶
其一取心。经云∶心少阴之脉,所生病者,目黄胁痛云云。
其二取心主。经云∶心主手厥阴之脉,是动则病面赤目黄云云
其三取小肠。经云∶小肠手太阳之脉,所生病者,耳聋面黄云云。
其四取大肠。经云∶大肠手阳明之脉,所生病者,目黄口苦云云。
其五取膀胱。经云∶膀胱足太阳之脉,所生病者,目黄泪出云云。
以上五法,并视盛虚寒热陷下取之。
黄汗,是指出汗后染湿衣物,颜色像黄柏汁一样的病症。
〔张仲景〕问道:黄汗这种病,身体浮肿,发热,出汗且口渴,症状类似风水病,汗水沾湿衣服,颜色纯正如黄柏汁,脉象沉,这是怎么得的呢?医师说:是因为在出汗时进入水中沐浴,水从汗孔侵入而导致的,适宜用芍药桂枝酒汤主治。
黄汗方:白芍药(各五两),桂枝(三两)。
以上三味药,用苦酒一升、水七升混合,煎煮至三升,温服一升。初发病时应当感到心烦,服药到六七天才能解除。如果心烦不止,是因为苦酒阻滞的缘故。(另一处方用好酒代替苦酒。)
患黄汗病的人,两小腿自然发冷;假如发热,这属于历节病。饭后出汗,并且身体常在傍晚盗汗的,这是劳气病。如果出汗后反而发热,时间久了身体必然出现肌肤甲错(皮肤干燥粗糙如鳞甲)。如果发热不止,必定生恶疮。如果身体沉重,出汗后随即感觉轻快,时间久了身体必会消瘦(原文“ ”处据文意补为消瘦或萎弱之意,此处依原文留空或译为形体改变,结合上下文通常指身形变化或萎软,鉴于原文缺失字,暂译为身体形态发生改变/萎软)。另外胸前痛,腰部以上有汗,腰部以下无汗,腰部弛缓疼痛,好像有东西在皮中一样,严重的不能进食,身体疼痛沉重,烦躁,小便不利的,这是黄汗,用桂枝加黄芪汤主治。(方剂见本门表疸下。)
脉象浮而洪,浮表示有风邪,洪表示有热气。风邪与热气相互搏结,风邪强盛则表现为隐疹(荨麻疹类皮肤病),身体瘙痒,瘙痒称为泄风,日久变成痂癞(疥癣类顽疾);热气强盛则导致水肿,难以俯仰。风邪与热气相互搏击,身体严重浮肿,出汗后痊愈。怕风的属于虚证,这是风水病;不怕风的,小便通利,上焦有寒,口中多涎沫,这是黄汗。
《内经》说:眼睛发黄,叫做黄疸。然而也有眼睛发黄而身体不发黄的,所以适宜单独设立篇章。
风邪之气从阳明经传入胃,沿着经脉上行至目内眦,其人肥胖,风邪之气不能向外宣泄,就会形成热中病而导致眼睛发黄。(全文见诸风条。)
〔李东垣〕青龙散治疗风气传变化热,腹内疼痛结聚而眼睛发黄,风气不得宣泄,形成热中烦渴引饮。
地黄,威灵仙,防风,荆芥穗,何首乌(去除黑皮,用米泔水浸泡一夜,用竹刀切片。各二两)。
以上药物研为细末。每日服用三次,饭后用沸水调服一钱。
〔《丹溪心法》等类书〕治疗黄疸,眼睛发黄不退。用瓜蒂研为细末,取豆大颗粒,纳入鼻中,令病人深吸气,取出鼻中的黄水,即可痊愈。
针灸治疗眼睛发黄有五法:
其一取用心经穴位。《内经》说:手少阴心经,所生的疾病,包括眼睛发黄、胁痛等。
其二取用心包经穴位。《内经》说:手厥阴心包经,发生变动则病见面赤、眼睛发黄等。
其三取用小肠经穴位。《内经》说:手太阳小肠经,所生的疾病,包括耳聋、面黄等。
其四取用大肠经穴位。《内经》说:手阳明大肠经,所生的疾病,包括眼睛发黄、口苦等。
其五取用膀胱经穴位。《内经》说:足太阳膀胱经,所生的疾病,包括眼睛发黄、流泪等。
以上五法,均根据脉气的盛衰、虚实、寒热及陷下等情况来选取穴位。
Yellow sweat refers to a condition where sweat stains the clothing yellow, resembling the juice of Phellodendri Cortex (Huangbai).
[Zhang Zhongjing] asked: Regarding Yellow Sweat disease, characterized by bodily swelling, fever, sweating with thirst, symptoms resembling Fengshui (Wind-water edema), sweat staining clothes yellow like Phellodendri Cortex juice, and a deep pulse, how is it contracted? The Master said: It is contracted when one bathes in water while sweating; water enters through the sweat pores. It should be treated primarily with Shaoyao Guizhi Jiu Tang (Peony and Cinnamon Twig Wine Decoction).
Formula for Yellow Sweat: Baishao Yao (Radix Paeoniae Alba) [5 liang each], Guizhi (Ramulus Cinnamomi) [3 liang].
The above three ingredients are mixed with one sheng of Kujiu (bitter wine/vinegar) and seven sheng of water, boiled down to three sheng. Take one sheng warm. Initially, there may be mental restlessness; after six or seven days, the condition resolves. If mental restlessness persists, it is due to the obstruction caused by Kujiu. (Another prescription uses good wine instead of Kujiu.)
In Yellow Sweat disease, the calves are naturally cold; if they feel hot, this belongs to Lijie (Migratory Arthritis). Sweating after eating, along with frequent night sweats in the evening, indicates Laoqi (Consumptive Qi deficiency). If fever persists after sweating, the skin will eventually become rough and scaly (Jiacuo). If fever continues indefinitely, malignant sores will likely develop. If the body feels heavy but becomes lighter after sweating, over time the body will become emaciated or flaccid. Additionally, chest pain, sweating above the waist but not below, lax pain in the lower back, a sensation as if something is trapped in the skin, inability to eat in severe cases, body ache and heaviness, irritability, and difficult urination indicate Yellow Sweat, which should be treated with Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragali Radix). (See formula under Jaundice-Exterior section.)
A floating and surging pulse: floating indicates Wind, surging indicates Qi (Heat). When Wind and Heat struggle, strong Wind manifests as Yin Zhen (urticaria) with itching; chronic itching leads to Ji Lai (scabies/lichenification). Strong Heat leads to edema, making flexion and extension difficult. When Wind and Heat strike each other causing severe edema, sweating leads to recovery. Aversion to wind indicates deficiency, known as Fengshui; no aversion to wind, with free urination, cold in the Upper Jiao, and excessive salivation, indicates Yellow Sweat.
The Classic states: Those with yellow eyes are called Huangdan (Jaundice). However, some have yellow eyes without yellowing of the body, so a separate chapter is established.
Wind-Qi enters the Stomach via the Yangming channel, ascending to the inner canthus. In obese individuals, Wind-Qi cannot dissipate externally, leading to Rezhong (Internal Heat) and yellow eyes. (Full text see General Wind section.)
[Li Dongyuan] Qinglong San (Azure Dragon Powder) treats Wind-Qi transformation causing abdominal pain and nodules with yellow eyes, where Wind-Qi fails to vent, resulting in Internal Heat, irritability, and thirst.
Dihuang (Radix Rehmanniae), Weilingxian (Herba Clematidis), Fangfeng (Radix Saposhnikoviae), Jingjie Sui (Flos Schizonepetae), Heshouwu (Radix Polygoni Multiflori Preparata) [2 liang each, processed as described].
Grind into powder. Take one qian mixed with boiling water after meals, three times daily.
[Classics] Treats Jaundice where yellow eyes persist. Use Guding (Gua蒂 powder) finely ground. Place a bean-sized amount in the nose, instruct the patient to inhale deeply to discharge yellow fluid from the nose, curing the condition.
Acupuncture treatment for yellow eyes has five methods:
First, select Heart meridian points. The Classic states: The Hand-Shaoyin Heart Meridian diseases include yellow eyes and flank pain.
Second, select Pericardium meridian points. The Classic states: The Hand-Jueyin Pericardium Meridian disturbances cause red face and yellow eyes.
Third, select Small Intestine meridian points. The Classic states: The Hand-Taiyang Small Intestine Meridian diseases include deafness and yellow complexion.
Fourth, select Large Intestine meridian points. The Classic states: The Hand-Yangming Large Intestine Meridian diseases include yellow eyes and bitter taste.
Fifth, select Bladder meridian points. The Classic states: The Foot-Taiyang Bladder Meridian diseases include yellow eyes and tearing.
For all five methods, select points based on excess/deficiency, cold/heat, and sinking conditions.