花黄者,面色似红花,头目疼重,寒热如疟,恒多脚冷,早起即轻,午后发重,进退不
定,状同神祟。烙百会穴、手阳明二穴、关元穴、足阳明二穴。
治花黄,知母散方。
知母(一两) 地骨皮(一两) 柴胡(一两去苗) 石膏(一两) 栀子仁(一两)
上件药,捣筛为散。每服四钱,以水一中盏,煎至五分,去滓,入生地黄汁一合,不计
时候温服。
疟黄者,面色萎黄,增寒壮热,头痛不止,口干多渴,四肢羸瘦,不能饮食,或好或恶
进退不定。烙肺俞二穴、百会穴、风府穴、天窗穴、太阳二穴、玉枕穴及耳尖上五分。
治疟黄,恒山散方。
恒山(一两) 茵陈(一两) 赤茯苓(一两) 知母(一两) 鳖甲(一两涂醋,炙
令微黄,
去裙 ) 甘草(半两炙微赤,锉)
上件药,捣筛为散。每服四钱,以水一中盏,入豉四十九粒,煎至六分,去滓,不计时
候温服。
水黄者,身面青黄,脚膝浮肿,心腹胀满,上气烦闷,语声不出。烙关元穴、伏兔穴、
下管穴、足三里二穴、承山二穴、百会穴及背心。
治水黄方。
川大黄(半两锉碎,微炒) 甘遂(一钱煨,令微黄)
上件药,捣碎,都以水一大盏,煎至六分,去滓。分为二服,如人行五十里再服,得利
即住服。
花黄证,表现为面色如同红花般红赤,头部和眼睛疼痛且沉重,出现类似疟疾的寒热往来症状,通常双脚发冷,早晨起床时症状较轻,午后加重,病情进退不定,状似鬼神作祟。治疗时采用烙法,选取百会穴、手阳明经两侧各一穴(共二穴)、关元穴、足阳明经两侧各一穴(共二穴)。
治疗花黄的知母散方:
知母(一两) 地骨皮(一两) 柴胡(一两,去苗) 石膏(一两) 栀子仁(一两)
以上药物,捣碎并过筛制成散剂。每次服用四钱,用水一中盏,煎煮至剩余五分水量,滤去药渣,加入生地黄汁一合,不分时候温服。
疟黄证,表现为面色萎黄,恶寒与高热加剧,头痛不止,口干且多渴,四肢消瘦无力,无法进食,或食欲时好时坏,病情进退不定。治疗时采用烙法,选取肺俞穴两侧各一穴(共二穴)、百会穴、风府穴、天窗穴、太阳穴两侧各一穴(共二穴)、玉枕穴以及耳尖上方五分处。
治疗疟黄的恒山散方:
恒山(一两) 茵陈(一两) 赤茯苓(一两) 知母(一两) 鳖甲(一两,涂醋炙至微黄,去裙边) 甘草(半两,炙至微赤,锉碎)
以上药物,捣碎并过筛制成散剂。每次服用四钱,用水一中盏,加入豆豉四十九粒,煎煮至剩余六分水量的药液,滤去药渣,不分时候温服。
水黄证,表现为身体和面部呈现青黄色,脚部和膝盖浮肿,心腹部胀满,气逆烦闷,声音嘶哑甚至无法发声。治疗时采用烙法,选取关元穴、伏兔穴、下管穴(即中脘穴之误或特定别名,此处依原文保留“下管”)、足三里穴两侧各一穴(共二穴)、承山穴两侧各一穴(共二穴)、百会穴及背部脊柱区域。
治疗水黄的方剂:
川大黄(半两,锉碎,微炒) 甘遂(一钱,煨制至微黄)
以上药物,捣碎,全部用水一大盏,煎煮至剩余六分水量的药液,滤去药渣。分为两次服用,如步行五十里后再服第二次,若大便通利则停止服药。
Hua Huang (Flower Yellow) syndrome is characterized by a facial complexion resembling red flowers, pain and heaviness in the head and eyes, chills and fever alternating like malaria, coldness of the feet, mild symptoms upon rising in the morning, worsening in the afternoon, fluctuating severity, and a presentation similar to spirit possession. Treatment involves cauterization at Baihui GV20, two acupoints on the Hand-Yangming channel, Guanyuan CV4, and two acupoints on the Foot-Yangming channel.
The Zhi Mu San (Anemarrhena Powder) for treating Hua Huang:
Zhi Mu (Rhizoma Anemarrhenae), Di Gu Pi (Cortex Lycii), Chai Hu (Radix Bupleuri, one tael, remove seedlings), Shi Gao (Gypsum Fibrosum), Zhi Zi Ren (Semen Gardeniae). All ingredients are crushed, sifted into powder. Take four qian per dose, decoct with one zhong zhan of water until five fen remains, filter the dregs, add one he of fresh Sheng Di Huang juice (Radix Rehmanniae Preparata), and take warm at any time.
Nue Huang (Malaria Yellow) syndrome is characterized withered yellow complexion, increased chills and high fever, unceasing headache, dry mouth with excessive thirst, emaciation of the four limbs, inability to eat, or fluctuating appetite, with symptoms waxing and waning. Treatment involves cauterization at Fei Shu BL13 (two points), Baihui GV20, Fengfu GV16, Tianchuang SI16, Taiyang EX-HN5 (two points), Yuzhen BL9, and five fen above the tip of the ear.
The Heng Shan San (Dichroa Powder) for treating Nue Huang:
Heng Shan (Radix Dichroae), Yin Chen (Herba Artemisiae Scopariae), Chi Fu Ling (Poria Cocos with Red Mycelium), Zhi Mu (Rhizoma Anemarrhenae), Bie Jia (Carapax et Plastrum Testudinis, coated with vinegar, roasted until slightly yellow, remove skirt edge), Gan Cao (Radix Glycyrrhizae Preparata, half tael, roasted until slightly red, cut into pieces). All ingredients are crushed, sifted into powder. Take four qian per dose, decoct with one zhong zhan of water and forty-nine grains of Chi Dou (Semen Sojae Preparatum), until six fen remains, filter the dregs, and take warm at any time.
Shui Huang (Water Yellow) syndrome is characterized by a greenish-yellow complexion of the body and face, edema of the feet and knees, abdominal distension and fullness, rebellious qi with vexation and oppression, hoarseness or inability to speak. Treatment involves cauterization at Guanyuan CV4, Futu ST32, Xiaguan (likely referring to Zhongwan CV12 or a specific local point as per text), Zusanli ST36 (two points), Chengshan BL57 (two points), Baihui GV20, and the back region.
The formula for treating Shui Huang:
Chuan Da Huang (Radix et Rhizoma Rhei Preparata, half tael, cut into small pieces, lightly stir-fried), Gan Sui (Radix Euphorbiae Kansui, one qian, baked until slightly yellow). All ingredients are crushed, decoct together with one da zhan of water until six fen remains, filter the dregs. Divide into two doses; take the second dose after walking fifty li. Stop administration if diarrhea occurs.