论曰。诸发热心战。定必发为急黄。谓其卒然发黄。心满气喘。命在须臾。故名急黄也。
有
脾
方
龙胆汤(圣惠方)治急黄。面目如金色。渴欲饮水。
龙胆(一两) 木通(锉) 土瓜根(各一两半) 石膏(二两碎) 犀角屑(一两) 栀
子仁(五钱)
钱匕。用水
一盏。煎
白藓皮散(圣惠方)治急黄。头目四肢烦热疼痛。小便赤。大便难。心燥不得
眠。
白藓皮 升麻(各半两) 朴硝(二两) 茵陈(一两) 黄芩(半两) 栀子仁 大
青葛根(各
如人行十
里。
茵陈汤(圣惠方)治急黄。目如栀子色。小便赤。心烦闷。
茵陈蒿 栀子仁 黄芩(去黑心) 大黄(锉炒) 白藓皮 黄连(去须各一两) 朴
硝贝
齿(
末
一
犀角汤 治急黄。热毒攻发。舌急眼黄。
犀角屑(三分) 茵陈蒿 栀子仁(各半两) 升麻(半两) 黄芩(去心三分) 大
黄(炒一
两)
同煎
至一盏
赤小豆散(圣惠方)治急黄。烦热口干。皮肉悉黄。
赤小豆(一合) 丁香 秫米(一作) 瓜蒂 薰陆香(研各一分) 青布(五寸烧灰
研) 麝
香(
一
犀角散 治急黄。心膈烦躁。目赤痛。
犀角屑 黄芩 升麻 栀子仁(各一两) 茵陈 朴硝(各二两) 上为散。每服四钱。
以
水一
升麻汤(圣济总录)治急黄。面目如金色。烦渴饮水。
升麻(三分) 秦艽(去苗土一两) 凝水石(一两半研) 栝蒌根(三分) 朴硝(三
分) 上
为粗
丁香散(圣惠方)治急黄。宜服吐之。
丁香 瓜蒂 赤小豆(各七粒) 上为散。以鸡子一枚相和。用新汲水调服之。当吐利
即
效。
麦门冬饮子。吐讫。及灸了后。即渴。仍服。
麦门冬(四两去心) 栝蒌(三两) 竹叶(一升) 茯苓(四两) 升麻(二两) 生
芦根(一
升)
行
八九里
黑豆煎 治急黄。烦躁口干。遍身悉黄。
黑豆(一升) 生地黄(汁) 麦门冬 生藕汁(各二两) 酥(半两) 上先用水五
盏。煎黑
豆至
成膏
瓜豆散 治急黄。心上坚硬。渴欲饮水。气息喘粗。眼黄。
瓜蒂(二合熬) 赤小豆(二合为末) 暖浆水(五合) 上和匀。每服方寸匕。一炊
久当吐。
不
芒硝散(千金方)治急黄。热气骨蒸。两目赤肿。
生地黄汁(八合) 芒硝(一两) 大黄(一两半) 上和匀。渍一宿。服五合。日二。
以利
为度
大黄散 治急黄。兼治气痛黄。
大黄(一两半) 芒硝(二两) 以水三升半。渍大黄一宿。平旦煎。绞汁一升半。纳
芒硝
二两
鸡子方(圣惠方)治急黄。及心黄狂走。烦躁不解。
生鸡子(二枚去黄用白) 朴硝(半两细研) 上相和匀调。顿服之效。
治急黄。小便赤黑。口干烦躁。(圣惠方)
用蔓荆子取油。不计时候顿服。如无油。即以蔓荆子捣汁。绞取一盏服之。候颜色黄。
或精
治暴热身黄。大便秘塞。
用苦菜。煮汁服之。
治急黄欲死。(本草)
用雄雀屎两枚。细研。调水温服之。
治五般急黄。(本草)
用山豆根末。空心以水调下二钱。
治心急黄。(本草)
用百合蒸过。蜜和食之。作粉尤佳。红花者。名山丹。不堪食。
黄蒸汤
黄蒸(一升) 麦麸(一升) 猪屎(一升) 以水五升。渍一宿。煮取三升。绞去滓。
顿服
一升
治急黄。(本草)
取苦瓠一枚。开口。以水煮。中搅取汁。滴鼻中。
治急黄。黄胆及内黄。腹结不通。(本草)
用芜菁捣为末。水绞汁。服当得嚏。鼻中出黄水。及下利。
治卒患急黄。热盛欲死者。\x(本草)
于沙土中掘坎。斜埋患人。令头出土上。以水灌之。久乃出。曾试有效。当是土能收摄
热也
论述说:凡是出现发热且心中战栗的症状,必定会发展为急黄。这是因为患者突然全身发黄,伴有胸脘痞满、气喘,生命垂危在顷刻之间,所以称为“急黄”。
龙胆汤(出自《圣惠方》)治疗急黄。症状表现为面目颜色如金色,口渴想喝水。
药材:龙胆(一两)、木通(切碎)、土瓜根(各一两半)、石膏(二两,捣碎)、犀角屑(一两)、栀子仁(五钱)。
以上为粗末,每次取一方寸匕大小的药量,用水一盏,煎煮至剩余半盏,去渣温服。
白藓皮散(出自《圣惠方》)治疗急黄。症状表现为头目及四肢烦热疼痛,小便色赤,大便困难,心中烦躁不得安眠。
药材:白藓皮、升麻(各半两)、朴硝(二两)、茵陈(一两)、黄芩(半两)、栀子仁、大青、葛根(各半两)。
以上为粗末,每次取四钱药量,用水一中盏,煎煮至剩余六分,去渣温服。服药后约人行十里路的时间内见效。
茵陈汤(出自《圣惠方》)治疗急黄。症状表现为眼睛颜色如栀子色,小便色赤,心烦闷乱。
药材:茵陈蒿、栀子仁、黄芩(去掉黑色的心)、大黄(切碎炒制)、白藓皮、黄连(去掉须根,各一两)、朴硝(贝齿大小,研成末)。
以上为粗末,每次取三钱药量,用水一中盏,煎煮至剩余六分,去渣,加入芒硝末少许,搅匀温服。
犀角汤 治疗急黄。症状表现为热毒攻发,舌体僵硬,眼睛发黄。
药材:犀角屑(三分)、茵陈蒿、栀子仁(各半两)、升麻(半两)、黄芩(去掉心,三分)、大黄(炒制,一两)。
以上为粗末,用水一中盏,煎煮至剩余一盏,去渣温服。
赤小豆散(出自《圣惠方》)治疗急黄。症状表现为烦热口干,皮肤肌肉全部发黄。
药材:赤小豆(一合)、丁香、秫米(一作秫米)、瓜蒂、薰陆香(研细,各一分)、青布(五寸,烧成灰后研细)、麝香(一分)。
以上为细末,每次取半钱,用温水调服。
犀角散 治疗急黄。症状表现为心胸膈部烦躁不安,眼睛红痛。
药材:犀角屑、黄芩、升麻、栀子仁(各一两)、茵陈、朴硝(各二两)。
以上研为散剂。每次服用四钱,用水一中盏,煎煮至剩余六分,去渣温服。
升麻汤(出自《圣济总录》)治疗急黄。症状表现为面目颜色如金色,烦渴想喝水。
药材:升麻(三分)、秦艽(去掉苗和泥土,一两)、凝水石(一两半,研细)、栝蒌根(三分)、朴硝(三分)。
以上为粗末,每次取三钱,用水一中盏,煎煮至剩余六分,去渣温服。
丁香散(出自《圣惠方》)治疗急黄。适宜采用催吐疗法。
药材:丁香、瓜蒂、赤小豆(各七粒)。
以上研为散剂,与一枚鸡蛋清混合,用新汲水调服。应当吐出痰涎即见效。
麦门冬饮子。在呕吐结束后,以及艾灸治疗后,如果感到口渴,则服用此方。
药材:麦门冬(四两,去掉心)、栝蒌(三两)、竹叶(一升)、茯苓(四两)、升麻(二两)、生芦根(一升)。
以上为粗末,每次取五钱,用水一中盏,煎煮至剩余六分,去渣温服。
黑豆煎 治疗急黄。症状表现为烦躁口干,全身皮肤全部发黄。
药材:黑豆(一升)、生地黄(取汁)、麦门冬、生藕汁(各二两)、酥油(半两)。
以上先用水五盏,煎煮黑豆至浓缩成膏状。
瓜豆散 治疗急黄。症状表现为心口部位坚硬,口渴想喝水,气息喘促粗重,眼睛发黄。
药材:瓜蒂(二合,炒制)、赤小豆(二合,研为末)、暖浆水(五合)。
以上混合均匀。每次服用方寸匕大小的药量,约一顿饭的时间应当呕吐。
芒硝散(出自《千金方》)治疗急黄。症状表现为热气骨蒸(自觉热自骨髓发出),两眼红肿。
药材:生地黄汁(八合)、芒硝(一两)、大黄(一两半)。
以上混合均匀,浸泡一夜。每次服用五合,每日两次。以大便通畅为度。
大黄散 治疗急黄。兼治气滞疼痛引起的黄疸。
药材:大黄(一两半)、芒硝(二两)。
用水三升半,浸泡大黄一夜。清晨煎煮,绞取汁液一升半,纳入芒硝二两,搅匀温服。
鸡子方(出自《圣惠方》)治疗急黄。以及心黄导致的狂躁奔走,烦躁不解。
药材:生鸡蛋(两个,去掉蛋黄只用蛋白)、朴硝(半两,细研)。
以上混合均匀调服,一次服下见效。
治疗急黄,小便色赤黑,口干烦躁。(出自《圣惠方》)
用蔓荆子榨取油,不限时候,一次顿服。如果没有油,就将蔓荆子捣碎取汁,绞取一盏服用。等待面色变黄消退。
治疗急黄濒死状态。(出自《本草》)
用雄雀屎两枚,细研,调和水温服。
治疗五种类型的急黄。(出自《本草》)
用山豆根粉末,空腹时用水调服二钱。
治疗心急黄。(出自《本草》)
用百合蒸熟,蜂蜜调和食用。制成粉状更佳。红花者,名叫山丹,不适合食用。
黄蒸汤
药材:黄蒸(一升)、麦麸(一升)、猪屎(一升)。
用水五升,浸泡一夜,煮取三升,过滤去渣,一次服用一升。
治疗急黄。(出自《本草》)
取苦瓠一个,切开开口,用水煮,中间搅拌取汁,滴入鼻中。
治疗急黄、黄疸及内黄,腹部结滞不通。(出自《本草》)
用芜菁捣为粉末,用水绞取汁液服用,应当打喷嚏,鼻中流出黄水,以及腹泻。
治疗突然患急黄,热势旺盛欲死者。(出自《本草》)
在沙土中挖掘坑坎,斜埋患者,使头部露出土面之上,用水浇灌。很久之后取出。曾经尝试有效。这大概是土能收摄热邪的缘故。
Translation:
The treatise states: Whenever fever is accompanied by palpitations and trembling, it will inevitably develop into Ji Huang (Acute Jaundice). This is because the patient suddenly turns yellow, suffers from chest fullness and asthma, with life hanging in the balance for a moment; hence it is named "Ji Huang" (Acute Jaundice).
Longdan Tang (Gentian Decoction) [from *Shenghui Fang*] treats Ji Huang. Symptoms include a golden-yellow complexion of the face and eyes, thirst with desire to drink water.
Herbs: Longdan (Radix Gentianae, 1 liang), Mutong (Caulis Akebiae, chopped), Tugua Gen (Radix Trichosanthes Kirilowii, 1.5 liang each), Shigao (Gypsum Fibrosum, 2 liang, crushed), Xijiao Xie (Cornu Rhinocerotis, 1 liang), Zhizi Ren (Semen Gardeniae, 5 qian).
Grind these into coarse powder. For each dose, take one fangcunbi (a square-inch measure) of the powder, add one zhan (approx. 200ml) of water, decoct until half remains, strain, and take warm.
Baixianpi San (Dictamnus Powder) [from *Shenghui Fang*] treats Ji Huang. Symptoms include vexing heat and pain in the head, eyes, and four limbs, red urine, difficult defecation, mental restlessness, and insomnia.
Herbs: Baixianpi (Cortex Dictamni), Shengma (Rhizoma Cimicifugae, 0.5 liang each), Puxiao (Natrii Sulfas, 2 liang), Yichen (Herba Artemisiae Scopariae, 1 liang), Huangqin (Radix Scutellariae, 0.5 liang), Zhizi Ren (Semen Gardeniae), Daqing (Folium Isatidis), Gegen (Radix Puerariae, 0.5 liang each).
Grind these into coarse powder. For each dose, take 4 qian of the powder, add one zhan of water, decoct until 6/10 remains, strain, and take warm. Effect should be seen within the time it takes a person to walk ten li.
Yinchen Tang (Artemisia Decoction) [from *Shenghui Fang*] treats Ji Huang. Symptoms include eyes colored like gardenia seed, red urine, and mental irritability.
Herbs: Yinchen Hao (Herba Artemisiae Scopariae), Zhizi Ren (Semen Gardeniae), Huangqin (Radix Scutellariae, remove black heart), Dahuang (Radix et Rhizoma Rhei, chopped and stir-fried), Baixianpi (Cortex Dictamni), Huanglian (Rhizoma Coptidis, remove roots, 1 liang each), Puxiao (Natrii Sulfas, size of a clam tooth, ground to powder).
Grind these into coarse powder. For each dose, take 3 qian, add one zhan of water, decoct until 6/10 remains, strain, add a small amount of Mangxiao (Natrii Sulfas) powder, mix well, and take warm.
Xijiao Tang (Rhinoceros Horn Decoction) treats Ji Huang. Symptoms include attack by heat-toxin, stiff tongue, and yellow eyes.
Herbs: Xijiao Xie (Cornu Rhinocerotis, 3 fen), Yinchen Hao (Herba Artemisiae Scopariae), Zhizi Ren (Semen Gardeniae, 0.5 liang each), Shengma (Rhizoma Cimicifugae, 0.5 liang), Huangqin (Radix Scutellariae, remove heart, 3 fen), Dahuang (Radix et Rhizoma Rhei, stir-fried, 1 liang).
Grind these into coarse powder. Add one zhan of water, decoct until one zhan remains, strain, and take warm.
Chixiaodou San (Vigna Angularis Powder) [from *Shenghui Fang*] treats Ji Huang. Symptoms include vexing heat, dry mouth, and yellowing of skin and muscles throughout the body.
Herbs: Chixiaodou (Semen Vigna Angularis, 1 he), Dingxiang (Flos Caryophylli), Sumi (Frumentum Sorghi, also known as Sumi), Gudi (Fructus Momordicae), Xunluxiang (Resina Olibani, ground, 1 fen each), Qingbu (Blue Cloth, 5 cun, burned to ash and ground), Shexiang (Moschus, 1 fen).
Grind these into fine powder. For each dose, take 0.5 qian, mix with warm water, and take.
Xijiao San (Rhinoceros Horn Powder) treats Ji Huang. Symptoms include vexation and irritability in the heart and diaphragm, red and painful eyes.
Herbs: Xijiao Xie (Cornu Rhinocerotis), Huangqin (Radix Scutellariae), Shengma (Rhizoma Cimicifugae), Zhizi Ren (Semen Gardeniae, 1 liang each), Yichen (Herba Artemisiae Scopariae), Puxiao (Natrii Sulfas, 2 liang each).
Grind these into powder. For each dose, take 4 qian, add one zhan of water, decoct until 6/10 remains, strain, and take warm.
Shengma Tang (Cimicifuga Decoction) [from *Shengji Zonglu*] treats Ji Huang. Symptoms include golden-yellow complexion of face and eyes, vexing thirst with desire to drink.
Herbs: Shengma (Rhizoma Cimicifugae, 3 fen), Qinjiao (Radix Gentianae Macrophyllae, remove sprouts and soil, 1 liang), Ningshuishi (Sal, 1.5 liang, ground), Gualou Gen (Radix Trichosanthis, 3 fen), Puxiao (Natrii Sulfas, 3 fen).
Grind these into coarse powder. For each dose, take 3 qian, add one zhan of water, decoct until 6/10 remains, strain, and take warm.
Dingxiang San (Clove Powder) [from *Shenghui Fang*] treats Ji Huang. It is suitable to use emetic therapy.
Herbs: Dingxiang (Flos Caryophylli), Gudi (Fructus Momordicae), Chixiaodou (Semen Vigna Angularis, 7 grains each).
Grind these into powder. Mix with one egg white, prepare with fresh drawn water, and take. Vomiting should occur for immediate effect.
Mendong Yinzi (Ophiopogon Drink). After vomiting ceases, and after moxibustion treatment, if thirst occurs, take this formula.
Herbs: Mendong (Radix Ophiopogonis, remove heart, 4 liang), Gualou (Fructus Trichosanthis, 3 liang), Zhuye (Folium Bambusae, 1 sheng), Fuling (Poria, 4 liang), Shengma (Rhizoma Cimicifugae, 2 liang), Sheng Lugeng (Rhizoma Phragmitis, 1 sheng).
Grind these into coarse powder. For each dose, take 5 qian, add one zhan of water, decoct until 6/10 remains, strain, and take warm.
Heidou Jian (Black Soybean Paste) treats Ji Huang. Symptoms include irritability, dry mouth, and yellowing of the entire body.
Herbs:heidou (Semen Sojae Nigrum, 1 sheng), Sheng Dihuang (Radix Rehmanniae Recens, juice), Mendong (Radix Ophiopogonis), Sheng Ou Zhi (汁 Zingiberis Officinalis Recens, 2 liang each), Su (Butyrum, 0.5 liang).
First, add five zhan of water, decoct the Heidou until it forms a paste.
Gudou San (Melon Seed and Bean Powder) treats Ji Huang. Symptoms include hardness at the epigastrium, thirst with desire to drink, rapid and coarse breathing, and yellow eyes.
Herbs: Gudi (Fructus Momordicae, 2 he, roasted), Chixiaodou (Semen Vigna Angularis, 2 he, ground to powder), Nuan Jiangshui (Warm Fermented Rice Water, 5 he).
Mix evenly. For each dose, take one fangcunbi. Vomiting should occur within the time it takes to cook a meal.
Mangxiao San (Mirabilite Powder) [from *Qianjin Fang*] treats Ji Huang. Symptoms include bone-steaming heat (heat feeling as if emanating from the bones), and red, swollen eyes.
Herbs: Sheng Dihuang Zhi (Radix Rehmanniae Recens, juice, 8 he), Mangxiao (Natrii Sulfas, 1 liang), Dahuang (Radix et Rhizoma Rhei, 1.5 liang).
Mix evenly, soak overnight. Take 5 he per dose, twice daily. Stop when bowel movement becomes free.
Dahuang San (Rhubarb Powder) treats Ji Huang. Also treats jaundice caused by Qi stagnation and pain.
Herbs: Dahuang (Radix et Rhizoma Rhei, 1.5 liang), Mangxiao (Natrii Sulfas, 2 liang).
Add 3.5 sheng of water, soak Dahuang overnight. In the early morning, decoct, squeeze out 1.5 sheng of juice, add 2 liang of Mangxiao, mix well, and take warm.
Jizi Fang (Egg Formula) [from *Shenghui Fang*] treats Ji Huang, and "Heart Huang" causing manic running and unresolved irritability.
Herbs: Sheng Jizi (Fresh Chicken Egg, 2 eggs, remove yolk, use white only), Puxiao (Natrii Sulfas, 0.5 liang, finely ground).
Mix evenly and take in one dose for effect.
Treats Ji Huang with dark red-black urine, dry mouth, and irritability. [from *Shenghui Fang*]
Use Manjingzi (Fructus Viticis) to extract oil. Take in one dose at any time. If oil is unavailable, crush Manjingzi, extract juice, squeeze out one zhan, and take. Wait for the yellow color to fade.
Treats sudden onset of fever and yellow skin, with constipation.
Use Kucai (Bitter Vegetable), decoct in water, and take the juice.
Treats critical Ji Huang approaching death. [from *Bencao*]
Use two pieces of male sparrow feces, grind finely, mix with water, and take warm.
Treats five types of Ji Huang. [from *Bencao*]
Use Shandonggen (Radix Sophorae Tonkinensis) powder. On an empty stomach, take 2 qian mixed with water.
Treats Heart-irritated Ji Huang. [from *Bencao*]
Use Baihe (Bulbus Lilii), steamed, mixed with honey and eaten. Making it into powder is even better. The variety called Honghua (Red Flower), also known as Shandan, is not suitable for eating.
Huangzheng Tang (Yellow Fermentation Decoction)
Herbs: Huangzheng (Massa Medicata Fermentata, 1 sheng), Maifu (Wheat Bran, 1 sheng), Zhushi (Porcinus Excrementum, 1 sheng).
Add 5 sheng of water, soak overnight, boil to obtain 3 sheng, filter dregs, and take 1 sheng in one dose.
Treats Ji Huang. [from *Bencao*]
Take one Kuhu (Bitter Bottle Gourd), cut open, boil in water, stir in the middle to extract juice, and drip into the nose.
Treats Ji Huang, Dan Huang (Jaundice), and Nei Huang (Internal Jaundice), with abdominal blockage. [from *Bencao*]
Use Wu Jing (Brassica Juncea), crush to powder, squeeze juice with water, and take. Sneezing should occur, yellow fluid will flow from the nose, and diarrhea will follow.
Treats sudden onset of Ji Huang with intense heat approaching death. [from *Bencao*]
Dig a pit in sandy soil, bury the patient diagonally so that the head remains above the ground. Pour water over them. After a long time, remove them. This has been tested and found effective. It is likely that earth can absorb and restrain heat.