论曰。黄病有三十六种。所载名数虽同。而证候各异。皆非黄胆之比。求之于经。无所
稽考
其口
热
\x方
人面赤口张。气喘多惊饶睡。手脚烦疼。舌上生疮。心下急闷。不欲饮食。舌缩口干。
七
次
\x柴胡汤
柴胡(去苗) 枳壳(去白) 升麻 黄连(各一两) 麻黄(去根节一两半) 甘草
(炙) 知
母(
饮
少
病患齿黄。目如丹赤。口燥热渴。气力虚劣。身体青黄。即是肝黄。眼中血出气息急者。
不
瘥
土浆方
人粪(半盏用新汲水三升调入地坑中搅百遍滤取汁二合) 青蒿汁(一合如无汁取末二
钱)
上
知母汤\x(圣济总录)
知母(焙半两) 柴胡(去苗) 茵陈蒿 甘草(炙) 常山(焙各三分) 鳖甲(醋
炙去裙
三
合。搅
病患两颊上青脉起。目黄齿龈。背青唇黑生疮。通身黄色。鼻中煤生。心腹胀满。不下
饮食
猪苓汤(圣济总录)
猪苓(去皮) 黄芩(去心) 大黄 栀子仁 朴硝(各一两) 上粗捣筛。每服五钱
匕。
水一盏
盐蜜煎(圣济总录)\x治脾黄胀满。气冲胸膈。大肠不通。
盐(半两为末) 蜜(二合) 皂荚(一分为末) 上先将盐入铫子内。次下蜜皂荚末。
慢火
煎候
论述说:黄疸病有三十六种。虽然记载的名称数量相同,但证候表现各异。这些都不是黄疸(湿热蕴结肝胆所致的以目黄、身黄、小便黄为主要表现的病证)所能比拟的。在经典医籍中寻求依据,无法找到确切的考证。
患者面部发红,张口呼吸,气喘,容易受惊且嗜睡,手脚烦痛,舌上生疮,心下急迫闷胀,不想饮食,舌头收缩口干。
七次 [此处原文可能有脱漏或排版错误,暂译为“反复出现”或忽略] \x柴胡汤
柴胡(去苗) 枳壳(去白) 升麻 黄连(各一两) 麻黄(去根节一两半) 甘草(炙) 知母(...饮少...[此处原文残缺])
患者牙齿发黄,眼睛像丹砂一样红赤,口燥热渴,气力虚弱劣弱,身体呈现青黄色,这就是肝黄。眼中出血,气息急促的,[难以治愈/不愈]。
土浆方
人粪(半盏,用新汲水三升调入地坑中搅动一百遍,滤取汁液二合) 青蒿汁(一合,如无汁取末二钱)
上 [味药混合...] 知母汤\x(出自《圣济总录》)
知母(焙干半两) 柴胡(去苗) 茵陈蒿 甘草(炙) 常山(焙干各三分) 鳖甲(醋炙去裙边...三合,搅...[此处原文残缺])
患者两颊上有青色脉络突起,眼睛黄,牙齿龈...[此处原文可能有脱漏],背部青,嘴唇黑生疮,通身黄色,鼻中生出煤状物,心腹胀满,不能进食。
猪苓汤(出自《圣济总录》)
猪苓(去皮) 黄芩(去心) 大黄 栀子仁 朴硝(各一两) 上粗捣筛。每服五钱匕。
水一盏 [煎煮...]
盐蜜煎(出自《圣济总录》)\x治疗脾黄胀满,气冲胸膈,大肠不通。
盐(半两为末) 蜜(二合) 皂荚(一分为末) 上先将盐放入铫子内,次下蜜和皂荚末。慢火煎候...[此处原文残缺]
Translation:
It is stated that there are thirty-six types of jaundice. Although the recorded names and numbers are the same, the clinical manifestations vary. None of these can be compared to Huangdan (Jaundice, a disease caused by damp-heat accumulation in the liver and gallbladder, characterized primarily by yellowing of the eyes, body, and urine). Seeking verification in classical texts yields no definitive reference.
The patient's face is red, mouth open, with panting, frequent惊startle, and excessive sleepiness. The hands and feet are painful and vexed. Sores appear on the tongue. There is urgency and stifling sensation in the epigastrium. There is a lack of desire for food. The tongue is retracted, and the mouth is dry.
Seven times [Text fragment] \x Chaihu Tang (Bupleurum Decoction)
Chai Hu (Bupleuri Radix, remove seedlings) Zhi Ke (Aurantii Fructus, remove white pith) Sheng Ma (Cimicifugae Rhizoma) Huang Lian (Coptidis Rhizoma) (each one tael) Ma Huang (Ephedrae Herba, remove root and joints, one and a half taels) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Zhi Mu (Anemarrhenae Rhizoma) (...drink little...) [Text fragment]
The patient's teeth are yellow. The eyes are red like cinnabar. The mouth is dry, hot, and thirsty. Vital energy is weak and deficient. The body appears cyan-yellow. This is Ganhuan (Liver Jaundice). If blood issues from the eyes and breathing is rapid, [it is difficult to cure/heal].
Tujang Fang (Earth Slurry Formula)
Ren Fen (Human Feces, half a cup, mixed with three sheng of fresh drawn water, stirred into a pit in the ground one hundred times, filtered to obtain two he of juice) Qing Hao Zhi (Artemisiae Annuae Herba Juice, one he; if juice is unavailable, use two qian of powder)
Shang [Combine ingredients...] Zhimu Tang (Anemarrhenae Decoction) [from *Shengji Zonglu*]
Zhi Mu (Anemarrhenae Rhizoma, roasted, half liang) Chai Hu (Bupleuri Radix, remove seedlings) Yin Chen Hao (Artemisiae Scopariae Herba) Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) Chang Shan (Dichroae Radix, roasted, each three fen) Bie Jia (Testudinis et Chirogalei Carapax et Plastrum, vinegar-fried, remove skirt edge...) three he, stir... [Text fragment]
The patient has blue veins rising on both cheeks. The eyes are yellow. The gums... [Text fragment]. The back is blue. The lips are black with sores. The entire body is yellow. Coal-like substances grow in the nose. There is abdominal distension and fullness. Food cannot be ingested.
Zhuling Tang (Polyporus Decoction) [from *Shengji Zonglu*]
Zhu Ling (Polypori Sclerotium, remove skin) Huang Qin (Scutellariae Radix, remove heart) Da Huang (Rhei Radix et Rhizoma) Zhi Zi Ren (Gardeniae Semen) Po Xiao (Natrii Sulfas) (each one tael) Shang [Coarsely grind and sieve.] Take five qian bi per dose.
Water one zhen [Decoct...]
Yan Mi Jian (Salt and Honey Decoction) [from *Shengji Zonglu*] \x Treats Pi Huang (Spleen Jaundice) with distension and fullness, qi rushing to the chest and diaphragm, and obstruction of the large intestine.
Yan (Natrii Chloridum, half liang, powdered) Mi (Melle, two he) Zao Jia (Gleditsiae Sinensis Fructus, one fen, powdered) Shang First place the salt into a dingzi (small cauldron). Then add the honey and Zao Jia powder. Slow fire decoct until ready... [Text fragment]