论曰黄汗者汗出如柏汁,沾衣黄色。故谓之黄汗。由脾胃有湿,瘀热伏留。熏发肌肉。
散而为汗,其证使人身体虚浮。骨节疼痛。发热汗出而不渴者是也。
治黄汗身体肿,发热汗出而不渴。状如风水。汗沾衣、色黄如柏汁,脉自沉。此由汗出
水入汗孔。水从外入而得之,黄 苦酒汤方
黄 (锉五两) 芍药 桂去(粗皮各三分)
上三味。锉如麻豆大。每服五钱匕。苦酒一盏半。同煎取七分。去滓温服。服之当心烦。
苦酒阻故也。
治黄汗两胫冷,又从腰以上汗出。腰 弛痛,如虫行皮中。不能食。身疼重。烦躁小便
不利者,名曰黄汗。桂枝加黄 汤方
桂(去粗皮) 芍药(各三两) 甘草(炙二两) 黄 (锉五两)
上四味,锉如麻豆。每服五钱匕。水一盏半。入生姜半分切,大枣二枚劈破。同煎取七
分。去滓温服,复取微汗。须臾不汗者。食稀热粥,以助汤力。
治黄汗身肿发热,汗出而不渴。状如风水。汗出着衣皆黄。吴蓝汤方
吴蓝 芍药 麦门冬(去心) 桑根白皮(锉) 防己 白藓皮 山栀子仁(各一两半)
上七味。锉如麻豆,每服三钱匕。水一盏。煎至八分,去滓空心温服。未效再服。
治黄汗身体重。汗出不渴。汗沾衣黄如柏染。黄 汤方
黄 (锉) 赤芍药 茵陈蒿(各二两) 石膏(四两) 麦门冬(去心焙一两) 豉
(二两)
上六味,锉如麻豆,每服半两。水一盏半,入竹叶十四片。煎至八分。去滓温服。日四
五服。
治黄汗,身体热不退。大小便不利。茵陈蒿汤方
茵陈蒿 赤芍药 甘草(炙锉) 木通(锉) 赤茯苓(去黑皮) 黄 锉(各一两) 大
黄(锉炒二两)
上七味,锉如麻豆。每服五钱匕。水一盏半,煎至八分。去滓温服。如人行十里再服,
以大小便通利为度。
又方
栀子仁 栝蒌(锉炒) 苦参(各一两)
上三味,捣罗为末。醋渍鸡子。全用二枚,丸如梧桐子大。每服三十丸,温水下。日四
五服。
治黄汗、汗出如柏汁沾衣。身体虚浮。蔓荆子散方
蔓荆子(二两)
上一味,捣罗为散。每服二钱匕。井花水调下。空心食前。日三服。
论述说:所谓黄汗,是指出汗颜色像柏树汁液一样,沾染衣物后呈现黄色。因此称之为黄汗。这是由于脾胃有湿气,瘀滞的热邪潜伏停留,熏蒸肌肉,散发为汗所致。其症状表现为身体虚浮肿胀,骨节疼痛,发热出汗但口不渴。
治疗黄汗身体浮肿,发热出汗且口不渴,症状类似风水病(以头面浮肿、恶风为主的风水证),汗液沾衣,颜色黄如柏汁,脉象自沉。这是因出汗时冷水进入汗孔,水湿从外部侵入而导致的疾病。苦酒汤方:
黄芪(锉碎五两) 芍药 桂枝(去粗皮各三分)
以上三味药,锉碎如麻豆大小。每次服用五钱匕,加入苦酒(醋)一盏半,共同煎煮至七分,滤去药渣,温服。服药后应当感到心烦,这是因为苦酒阻滞的缘故。
治疗黄汗两小腿发冷,腰部以上出汗,腰部弛缓疼痛,感觉像虫子在皮肤中爬行,不能进食,身体疼痛沉重,烦躁不安,小便不利者,称为黄汗。桂枝加黄芪汤方:
桂枝(去粗皮) 芍药(各三两) 甘草(炙二两) 黄芪(锉碎五两)
以上四味药,锉碎如麻豆大小。每次服用五钱匕,加水一盏半,放入生姜半分切块,大枣二枚劈破,共同煎煮至七分,滤去药渣,温服,随后覆盖衣被取微汗。如果片刻后仍不出汗,可喝热稀粥,以助药力。
治疗黄汗身体浮肿发热,出汗且口不渴,症状类似风水病,汗出沾衣皆黄。吴蓝汤方:
吴蓝 芍药 麦门冬(去心) 桑根白皮(锉碎) 防己 白鲜皮 山栀子仁(各一两半)
以上七味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,煎至八分,滤去药渣,空腹温服。若未见效,再服用。
治疗黄汗身体沉重,出汗且口不渴,汗液沾衣黄如柏染。黄芪汤方:
黄芪(锉碎) 赤芍药 茵陈蒿(各二两) 石膏(四两) 麦门冬(去心焙一两) 豆豉(二两)
以上六味药,锉碎如麻豆大小,每次服用半两,加水一盏半,放入竹叶十四片,煎至八分,滤去药渣,温服。每日四五次。
治疗黄汗,身体热不退,大小便不利。茵陈蒿汤方:
茵陈蒿 赤芍药 甘草(炙锉) 木通(锉碎) 赤茯苓(去黑皮) 黄芪(锉碎各一两) 大黄(锉炒二两)
以上七味药,锉碎如麻豆大小。每次服用五钱匕,加水一盏半,煎至八分,滤去药渣,温服。如人行走十里路后再服,以大小便通利为度。
又一方:
栀子仁 栝蒌(锉炒) 苦参(各一两)
以上三味药,捣罗成粉末。用醋浸泡鸡蛋,全用二枚,制成梧桐子大小的丸剂。每次服用三十丸,温水送下。每日四五次。
治疗黄汗,汗出如柏汁沾衣,身体虚浮。蔓荆子散方:
蔓荆子(二两)
以上一味药,捣罗成散剂。每次服用二钱匕,用井花水调下。空腹食前服用,每日三次。
Discussion states: The so-called "Yellow Sweat" (Huanghan) refers to sweating with a color resembling cypress tree juice, staining the clothing yellow. Hence it is named Yellow Sweat. This condition arises from dampness in the Spleen and Stomach, where stagnant heat lingers and pent up, steaming the muscles and diffusing as sweat. Its manifestations include a feeling of emptiness and swelling in the body, pain in the bone joints, fever with sweating but without thirst.
To treat Yellow Sweat characterized by bodily swelling, fever, sweating without thirst, resembling Wind-Water (Fengshui - a pattern often involving edema and aversion to wind), with sweat staining clothes yellow like cypress juice, and a deep pulse. This is caused by water entering the sweat pores during sweating, leading to external invasion of water-dampness.
Recipe for Bitter Wine Decoction (Ku Jiu Tang):
Astragali Radix (Huangqi) (minced, 5 liang)
Paeoniae Radix (Shaoyao)
Cinnamomi Ramulus (Guizhi) (bark removed, each 3 fen)
These three ingredients are minced to the size of hemp seeds. For each dose, take 5 qian bi (approx. 15-20g depending on era/measure), add 1.5 zhan of bitter wine (vinegar), decoct together until 7 parts remain, strain, and take warm. After taking, one should feel mental restlessness; this is due to the obstructive nature of the bitter wine.
To treat Yellow Sweat where both calves are cold, sweating above the waist, flaccid pain in the lower back, a sensation of insects crawling under the skin, inability to eat, heavy and painful body, irritability, and difficult urination. This is named Yellow Sweat.
Recipe for Guizhi Tang plus Huangqi Decoction (Guizhi Jia Huangqi Tang):
Cinnamomi Ramulus (Guizhi) (bark removed)
Paeoniae Radix (Shaoyao) (each 3 liang)
Glycyrrhizae Radix et Rhizoma (Gancao) (honey-fried, 2 liang)
Astragali Radix (Huangqi) (minced, 5 liang)
These four ingredients are minced to the size of hemp seeds. For each dose, take 5 qian bi, add 1.5 zhan of water, half a fen of sliced fresh ginger, and two cracked jujubes. Decoct together until 7 parts remain, strain, and take warm. Then cover to induce slight sweating. If no sweat occurs after a short while, drink hot thin porridge to assist the decoction's power.
To treat Yellow Sweat with bodily swelling and fever, sweating without thirst, resembling Wind-Water, with sweat staining clothes yellow.
Recipe for Wulan Decoction (Wulan Tang):
Wulan (Herba Isatidis or similar, specific identification varies in historical texts, generally referring to Indigo plant derivatives)
Paeoniae Radix (Shaoyao)
Ophiopogonis Tuber (Mendong) (heart removed)
Mori Cortex (Sangbaipipi) (minced)
Stephaniae Tetrandrae Radix (Fangji)
Dictamni Cortex (Baixianpi)
Gardeniae Fructus (Zhizi) (each 1.5 liang)
These seven ingredients are minced to the size of hemp seeds. For each dose, take 3 qian bi, add 1 zhan of water, decoct until 8 parts remain, strain, and take warm on an empty stomach. If ineffective, take again.
To treat Yellow Sweat with heavy body, sweating without thirst, sweat staining clothes yellow like cypress dye.
Recipe for Huangqi Tang (Huangqi Decoction):
Astragali Radix (Huangqi) (minced)
Red Paeoniae Radix (Chishaoyao)
Artemisiae Scopariae Herba (Yinchenhao) (each 2 liang)
Gypsum Fibrosum (Shigao) (4 liang)
Ophiopogonis Tuber (Mendong) (heart removed, roasted, 1 liang)
Sojae Preparata (Chidouchi) (2 liang)
These six ingredients are minced to the size of hemp seeds. For each dose, take half a liang, add 1.5 zhan of water and 14 leaves of bamboo (Zhuye). Decoct until 8 parts remain, strain, and take warm. Take 4-5 times daily.
To treat Yellow Sweat where body heat does not subside, and both large and small bowel movements are difficult.
Recipe for Yinchenhao Tang (Artemisia Scoparia Decoction):
Artemisiae Scopariae Herba (Yinchenhao)
Red Paeoniae Radix (Chishaoyao)
Glycyrrhizae Radix et Rhizoma (Gancao) (fried and minced)
Akebiae Caulis (Mutong) (minced)
Red Poria Cum Ramo (Chifuling) (black skin removed)
Astragali Radix (Huangqi) (minced, each 1 liang)
Rhei Radix et Rhizoma (Dahuang) (minced and stir-fried, 2 liang)
These seven ingredients are minced to the size of hemp seeds. For each dose, take 5 qian bi, add 1.5 zhan of water, decoct until 8 parts remain, strain, and take warm. Take again after walking about ten li, stopping when bowel movements become unobstructed.
Another Recipe:
Gardeniae Fructus (Zhizi) (seed only)
Trichosanthis Fructus (Gualou) (minced and stir-fried)
Sophorae Flavescentis Radix (Kushen) (each 1 liang)
These three ingredients are pounded and sifted into powder. Soak eggs in vinegar, using two whole eggs. Form pills the size of paulownia seeds. Take 30 pills at a time with warm water. Take 4-5 times daily.
To treat Yellow Sweat where sweat resembles cypress juice staining clothes, and the body feels empty and swollen.
Recipe for Manjingzi San (Vitex Powder):
Viticis Fructus (Manjingzi) (2 liang)
This single ingredient is pounded and sifted into a powder. Take 2 qian bi at a time, mixed with well-water (Jinghua Shui). Take on an empty stomach before meals, three times daily.