〔洁〕阳黄则大小便赤涩,身热,是脾土与心火相搏,为阳病,法当先利小便,后下大便。
凡治黄病腹胀,当用茵陈蒿汤调下五苓散。若欲利小便,去大黄;欲利大便,则加大黄之类。
有阳证可服,谓面赤饮水者是也。(茵陈汤、五苓散方俱见伤寒。)
〔汤〕身疼膊背强,大小便涩,皮肤面目齿爪皆黄,小便如屋尘色,利者易治,涩者难治。宜服五
苓散加茵陈,煎汤调。又宜服导赤散加茵陈煎或身热,宜服小柴胡汤。甚者,服承气汤。
〔田〕小儿身体蒸热,胸膈烦满,皮肤如青橘之黄,白睛亦然,湿热所致也,宜加减泻黄散主之。
此药能退脾土,复肾水,降心火。
黄连 茵陈(各五分) 黄柏 黄芩(各四分) 栀子 茯苓 泽泻(各三分)
上 咀,都作一服,水一大盏,煎至六分,去渣,稍热服,食前。
〔洁〕阴黄则清便自调,面目及身黄,四肢冷,是脾虚不能制肾水,当用益黄散下使君子丸。(益黄
散方见治法,使君子丸方见疳。)
淡黄白者,胃不和也,平胃散、调中丸。渴者人参白术散。(平胃散方见泄泻。调中丸方见腹痛,
人参白术散方见消渴。)月里生黄(见胎惊条。)
〔《明》〕饮水不渴面黄∶阳刚穴(一壮。)
〔钱〕黄相似∶身皮目皆黄者,黄病也,身痛膊背强,大小便涩,一身尽黄,面目指爪皆黄,小便如屋
尘色,着物皆黄,渴者难治,此黄胆也。此一证多发于大病后。又有一证,不因病后,身微黄者,
胃热也。大人亦同。又有面黄腹大,食土渴者,脾疳也。又有自生而身黄者,胎黄也。又书云∶诸疸
皆热,色深黄者是也,若淡黄兼白者,胃怯不和也。
栀子柏皮汤 治伤寒身黄发热。
栀子(八枚) 黄柏(一两) 甘草(炙,半两)
上水煎,去渣,温服。
犀角散 治小儿黄胆,一身尽黄。
犀角(一两) 茵陈 干葛 升麻 龙胆草 生地(各半两) 寒水石(七钱半)
上 咀,白水煎服。
一方 治小儿忽发黄,面目皮肉尽干黄。以干葛汁和蜜调服。(《袖珍方》无干葛,用栝蒌。)
连翘赤小豆汤 治小儿伤寒发热身黄。
麻黄 连翘 甘草 生姜 赤小豆 生梓白皮(各二两) 杏仁(四十个) 大枣(十二个)
上 咀,水煎服。一方,生小麦苗,捣汁服之,立效。
消食丸 治小儿脾胃不和。常服宽中快气,消乳食,正颜色。
砂仁 陈皮 三棱 蓬术 神曲(炒) 麦芽(炒) 香附(米泔浸,炒) 枳壳 槟榔 乌
梅(各半两) 丁香(二钱半)
上为末,面糊丸如绿豆大,食后,紫苏汤下二三十丸。
茯苓渗湿汤 治小儿黄胆,寒热呕吐,而渴欲饮水,身体面目俱黄,小便不利,不得安卧,
不思食饮。
茯苓(五分) 泽泻(三分) 茵陈(六分) 猪苓 黄芩 黄连 山栀 防己 白术 苍术 陈皮
青皮 枳壳(各二钱)
上 咀,水煎,徐徐温服。
〔丹〕治小儿吐泻,黄胆。
三棱 蓬术 青皮 陈皮 神曲 麦芽 黄连 甘草 白术 茯苓(各等分)
上为末,温水调服。若伤乳食吐泻加山楂;时气吐泻加滑石;发热加薄荷。
瓜蒂散 治小儿忽发心满坚硬,脚手心热,变为黄胆。不急治,则杀人。
瓜蒂(七个) 赤小豆(七粒) 秫米(七粒)
上为末,用一字,吹两鼻内,令黄水出。余末尽水调服之,得吐出黄水即愈。一方,瓜蒂一两,
赤小豆四两,为末,每服一钱,温水调服。药下即卧,当吐清黄汁为效。虚者不宜服。
【罗天益】阳黄表现为大小便赤红涩痛,身体发热,这是脾土与心火相互搏结所致,属于阳病。治疗法则应当先通利小便,随后攻下大便。
凡是治疗黄疸病伴有腹胀的,应当用茵陈蒿汤送服五苓散。如果想要侧重利小便,就去掉大黄;如果想要侧重通大便,就加入大黄之类的药物。
有阳证可以服用(指面红、想喝水的情况)。(茵陈汤、五苓散的方剂都在《伤寒论》中记载。)
【汤】身体疼痛,肩背僵硬,大小便涩滞,皮肤、面目、牙齿和指甲都发黄,小便颜色像屋尘一样浑浊,小便通利的容易治疗,小便涩滞的难治。适宜服用五苓散加茵陈,煎汤调服。又适宜服用导赤散加茵陈煎服;如果身体发热,适宜服用小柴胡汤。病情严重的,服用承气汤。
【田】小儿身体蒸蒸发热,胸膈烦闷胀满,皮肤像青橘皮那样发黄,眼白部分也是这样,这是湿热所致,适宜用加减泻黄散为主治疗。
此药能清退脾土之热,恢复肾水,降泄心火。
黄连、茵陈(各五分),黄柏、黄芩(各四分),栀子、茯苓、泽泻(各三分)。
以上药材切碎,合并为一剂,用水一大盏,煎至六分,去渣滓,稍热时服用,饭前服。
【罗天益】阴黄则大小便自常不调(此处原文“清便自调”通常指二便尚正常或无明显热象,但结合上下文及后世注家,多指小便清长或大便溏薄,此处依字面译为大小便相对正常/无异常变化),面目及身体发黄,四肢寒冷,这是脾虚不能制约肾水所致,应当用益黄散送服使君子丸。(益黄散的方剂在治疗方法章节,使君子丸的方剂在疳积章节。)
面色淡黄白色的,是胃气不和,可用平胃散、调中丸。口渴的用人参白术散。(平胃散的方剂在泄泻章节,调中丸的方剂在腹痛章节,人参白术散的方剂在消渴章节。)月内生黄(见胎惊条)。
【《明医指掌》】饮水但不觉得口渴,面色发黄:灸阳刚穴(一壮)。
【钱乙】黄疸相似症:身体皮肤和眼睛都发黄的,是黄疸病,身体疼痛肩背僵硬,大小便涩滞,全身尽黄,面目手指指甲都黄,小便像屋尘色,沾染衣物皆黄,口渴的难治,这是黄疸。这一证候多发于大病之后。又有一种证候,不是因病后引起,身体微黄的,是胃热。成人也相同。又有面色黄、腹部大、吃泥土且口渴的,是脾疳。又有出生后即身体发黄的,是胎黄。又书上说:各种黄疸都是热证,颜色深黄的即是如此,若淡黄兼白的,是胃气虚弱不和。
栀子柏皮汤:治疗伤寒身黄发热。
栀子(八枚),黄柏(一两),甘草(炙,半两)。
以上用水煎煮,去渣滓,温服。
犀角散:治疗小儿黄疸,全身尽黄。
犀角(一两),茵陈、干葛、升麻、龙胆草、生地(各半两),寒水石(七钱半)。
以上切碎,用清水煎服。
一方:治疗小儿突然发黄,面目皮肤肌肉全部干枯发黄。用干葛汁调和蜂蜜服用。(《袖珍方》中没有干葛,改用栝蒌。)
连翘赤小豆汤:治疗小儿伤寒发热身黄。
麻黄、连翘、甘草、生姜、赤小豆、生梓白皮(各二两),杏仁(四十个),大枣(十二个)。
以上切碎,用水煎服。另一方,用生小麦苗,捣汁服用,立即见效。
消食丸:治疗小儿脾胃不和。常服可宽中快气,消化乳食,端正面色。
砂仁、陈皮、三棱、蓬术、神曲(炒)、麦芽(炒)、香附(米泔水浸,炒)、枳壳、槟榔、乌梅(各半两),丁香(二钱半)。
以上研为细末,用面糊制成如绿豆大的丸药,饭后用紫苏汤送服二三十丸。
茯苓渗湿汤:治疗小儿黄疸,寒热呕吐,口渴想喝水,身体面目俱黄,小便不利,无法安卧,不想饮食。
茯苓(五分),泽泻(三分),茵陈(六分),猪苓、黄芩、黄连、山栀、防己、白术、苍术、陈皮、青皮、枳壳(各二钱)。
以上切碎,用水煎煮,慢慢温服。
【朱丹溪】治疗小儿吐泻,黄疸。
三棱、蓬术、青皮、陈皮、神曲、麦芽、黄连、甘草、白术、茯苓(各等分)。
以上研为细末,温水调服。如果因伤乳食导致吐泻,加山楂;时气吐泻加滑石;发热加薄荷。
瓜蒂散:治疗小儿突然发生心下痞满坚硬,手脚心发热,转变为黄疸。如果不急治,会致死。
瓜蒂(七个),赤小豆(七粒),秫米(七粒)。
以上研为细末,取一字量,吹入两个鼻孔内,令黄水流出。剩下的药末用水调服,吐出黄水即愈。另一方,瓜蒂一两,赤小豆四两,研为细末,每次服一钱,温水调服。药下后立即躺下,当吐出清黄色的汁液为有效。体虚者不宜服用。
[Lo Tianyi] Yang jaundice is characterized by red and scanty urination and defecation, along with fever. This results from the struggle between Spleen Earth and Heart Fire, constituting a Yang disease. The treatment principle should be to first promote diuresis (promote urination), followed by purgation (downward draining).
For treating jaundice accompanied by abdominal distension, Yinchen Hao Tang (Cinnamon Twig and Rhubarb Decoction) should be used to administer Wuling San (Five-Ingredient Powder with Poria). If the intention is to promote diuresis, remove Dahuang (Rhubarb Root and Rhizome); if the intention is to promote defecation, add herbs such as Dahuang (Rhubarb Root and Rhizome).
Yang syndrome patients may take this (referring to those with red face and thirst for water). (The formulas for Yinchen Tang and Wuling San are both recorded in Shanghan Lun.)
[Tang] Body pain, stiffness of the shoulders and back, scanty urination and difficult defecation, yellowing of the skin, face, eyes, teeth, and nails, urine turbid like house dust. If urination is free, it is easy to treat; if scanty and difficult, it is hard to treat. It is suitable to take Wuling San (Five-Ingredient Powder with Poria) added with Yinchen (Artemisiae Scopariae Herba), decocted and taken as a soup. It is also suitable to take Daochi San (Guide Out Redness Powder) added with Yinchen (Artemisiae Scopariae Herba); if there is fever, Xiaochaihu Tang (Minor Bupleurum Decoction) is suitable. For severe cases, Chengqi Tang (Order the Qi Decoction) is taken.
[Tian] Children present with steaming fever, irritability and fullness in the chest and diaphragm, skin yellow like green orange peel, and sclera similarly yellow. This is caused by damp-heat. It is suitable to use Jiajian Xiehuang San (Modified Draining Yellow Powder) as the main treatment.
This medicine can clear heat from Spleen Earth, restore Kidney Water, and descend Heart Fire.
Huanglian (Coptidis Rhizoma), Yinchen (Artemisiae Scopariae Herba) (each 5 fen); Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix) (each 4 fen); Zhizi (Gardeniae Fructus), Fuling (Poria), Zexie (Alismatis Rhizoma) (each 3 fen).
Crush the above ingredients, combine into one dose, decoct with one large cup of water until reduced to six-tenths, strain, and take slightly warm before meals.
[Lo Tianyi] Yin jaundice presents with relatively normal urination and defecation, yellowing of the face, eyes, and body, and cold limbs. This is due to Spleen deficiency failing to control Kidney Water. Yihuang San (Yellow-Enhancing Powder) should be used to administer Shijunzi Wan (Quisqualis Pill). (The formula for Yihuang San is found in the Treatment Methods section; the formula for Shijunzi Wan is found in the Gan accumulation section.)
Pale yellow or white complexion indicates Stomach disharmony; Pingwei San (Stomach-Calming Powder) or Tiaozhong Wan (Middle-Regulating Pill) may be used. For thirst, Renshen Baizhu San (Ginseng and Atractylodes Macrocephala Powder) is indicated. (The formula for Pingwei San is in the Diarrhea section; Tiaozhong Wan is in the Abdominal Pain section; Renshen Baizhu San is in the Xiao Ke section.) Neonatal jaundice occurring within the first month (see Congenital Convulsion entry).
[Ming Yi Zhi Zhang] Drinking water without thirst, yellow complexion: Moxibustion on Yanggang acupoint (one moxa cone).
[Qian Yi] Similarities of Jaundice: When the skin and eyes are yellow, it is jaundice. Symptoms include body pain, shoulder and back stiffness, scanty urination and difficult defecation, general yellowing of the body, yellowing of the face, eyes, fingers, and nails, urine turbid like house dust staining clothes. Thirst indicates difficulty in treatment; this is Huangdan (Jaundice). This condition often occurs after serious illnesses. Another type, not following illness but presenting with slight yellowing, is Stomach Heat. Adults are similar. Those with yellow face, abdominal distension, geophagia (eating earth), and thirst have Pi Gan (Spleen Accumulation). Those born with yellowing have Taihuang (Fetal Jaundice). Books state that all types of Dan (jaundice) are heat syndromes, specifically those with deep yellow color. Pale yellow mixed with white indicates weak and disharmonious Stomach Qi.
Zhizi Bo Pi Tang (Gardenia and Phellodendron Bark Decoction): Treats jaundice and fever from Shanghan (Cold Damage).
Zhizi (Gardeniae Fructus) (8 seeds), Huangbai (Phellodendri Cortex) (1 liang), Gancao (Licorice Root and Rhizome) (roasted, 0.5 liang).
Decoct in water, strain, and take warm.
Xijiao San (Rhino Horn Powder): Treats pediatric jaundice with general yellowing.
Xijiao (Rhino Horn) (1 liang), Yinchen (Artemisiae Scopariae Herba), Gange (Kudzu Root), Shengma (Cimicifugae Rhizoma), Longdancao (Gentianae Radix), Shengdi (Rehmanniae Radix) (each 0.5 liang), Hanshuishi (Calcitum) (7.5 qian).
Crush, decoct in plain water, and take.
Another prescription: Treats sudden yellowing in children with dry, yellow skin, face, and muscles. Mix Gange (Kudzu Root) juice with honey and take. (Xiu Zhen Fang omits Gange (Kudzu Root), using Gualou instead.)
Lianqiao Chixiaodou Tang (Forsythia and Adzuki Bean Decoction): Treats pediatric Shanghan fever with jaundice.
Mahuang (Ephedrae Herba), Lianqiao (Forsythiae Fructus), Gancao (Licorice Root and Rhizome), Shengjiang (Zingiberis Rhizoma Recens), Chixiaodou (Adzuki Bean), Shengzibai pi (Toosendan Cortex / Catalpa Bark - note: historical text refers to Shengzibai pi, often interpreted as Catalpa bark or related species in ancient contexts, here kept as literal translation contextually) (each 2 liang), Xingren (Prunus Armeniaca Seed) (40 pieces), Dazao (Jujubae Fructus) (12 pieces).
Crush, decoct in water, and take. Another method: crush fresh wheat seedlings, extract juice, and take; effect is immediate.
Xiaoshi Wan (Digestive Pill): Treats pediatric Spleen and Stomach disharmony. Regular use regulates the middle, moves Qi, digests milk and food, and improves complexion.
Sharen (Amomi Fructus), Chenpi (Citri Reticulatae Pericarpium), Sanleng (Sparganii Rhizoma), Pengzhu (Curcumae Rhizoma), Shenqu (Massa Medicata Fermentata) (stir-fried), Maiya (Hordei Fructus Germinatus) (stir-fried), Xiangfu (Cyperi Rhizoma) (soaked in rice wash water, stir-fried), Zhiqiao (Aurantii Fructus), Binglang (Arecae Semen), Wumei (Mume Fructus) (each 0.5 liang), Dingxiang (Caryophylli Flos) (2.5 qian).
Grind into powder, make pills with flour paste size of mung beans. Take 20-30 pills after meals with Zi Su Tang (Perilla Leaf Decoction).
Fuling Shenshi Tang (Poria Damp-Draining Decoction): Treats pediatric jaundice with chills and fever, vomiting, thirst for water, general yellowing of body and face, difficult urination, inability to sleep peacefully, and anorexia.
Fuling (Poria) (5 fen), Zexie (Alismatis Rhizoma) (3 fen), Yinchen (Artemisiae Scopariae Herba) (6 fen), Zhuling (Polyporus), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Fangji (Stephaniae Tetrandrae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride), Zhiqiao (Aurantii Fructus) (each 2 qian).
Crush, decoct in water, and take slowly while warm.
[Zhu Danxi] Treats pediatric vomiting and diarrhea, jaundice.
Sanleng (Sparganii Rhizoma), Pengzhu (Curcumae Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Shenqu (Massa Medicata Fermentata), Maiya (Hordei Fructus Germinatus), Huanglian (Coptidis Rhizoma), Gancao (Licorice Root and Rhizome), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria) (equal parts).
Grind into powder, mix with warm water, and take. If vomiting and diarrhea are due to milk/food injury, add Shanzha (Crataegi Fructus); if due to epidemic Qi, add Huashi (Haliotidis Concha); if feverish, add Bohe (Menthae Haplocalycis Herba).
Gua Di San (Melon Seed Powder): Treats sudden onset of epigastric fullness and hardness, hot palms and soles in children, transforming into jaundice. If not treated urgently, it can be fatal.
Gua Di (Momordicae Fructus) (7 seeds), Chixiaodou (Adzuki Bean) (7 grains), Sumi (Sorghei Fructus) (7 grains).
Grind into powder. Take "one zi" amount, insufflate into both nostrils to allow yellow fluid to drain. The remaining powder is mixed with water and taken orally. Vomiting yellow fluid indicates cure. Another prescription: Gua Di (Momordicae Fructus) 1 liang, Chixiaodou (Adzuki Bean) 4 liang, grind into powder. Take 1 qian per dose with warm water. Lie down immediately after taking the medicine; vomiting clear yellow juice is the effective sign. Not suitable for deficient patients.