五苓散(和一八二) 四苓散(和一八七) 麻黄加术汤(散二) 平胃散(和十七) 茵陈饮
(新寒八) 桂枝附子汤(热三十) 五积散(散三九) 六味丸(补百二十) 防己黄 汤(和一
七六) 胃关煎(新热九) 佐关煎(新热十) 白术附子汤(热二九) 圣术煎(新热二五) 渗
湿汤(和一七四) 大厘清饮(新寒五) 金匮肾气丸(补一二四) 理中汤(热一) 小厘清饮(
新和十) 甘草附子汤(热三十) 八味丸(补一二一) 加味五苓散(和一八四) 不换金正气
散(和二一) 麻黄杏仁薏苡甘草汤(散四)
除湿汤(和一七七 身重痛) 神术汤(和三九 风湿脉紧) 调中益气汤(补三一 湿陷)
湿郁汤(和二六六 风湿) 败毒散(散三六 风湿) 参附渗湿汤(热一二二 寒湿痹) 胃
苓汤(和百九十) 活络饮(和二七七 风湿痛) 羌活胜湿汤(和一七八 身尽痛) 白术汤(
和二六 风湿脉缓) 肾着汤(热一二九 寒湿腰重) 清热渗湿汤(寒百十一 湿热) 圣散
子(散四三 风湿)
《经脉篇》曰∶肾所生病为黄胆。
《玉机真藏论》曰∶风者,百病之长也。今风寒客于人,使人毫毛毕直,皮肤闭而为热
。当时之时,可汗而发也;或痹不止,肿痛,当是之时,可汤熨及火灸刺而去。弗治,肝传
之脾,病曰脾风,发瘅,腹中热,烦心出黄。
《平人气象论》曰∶溺黄赤,安卧者,黄胆。已食如饥者,胃疸。目黄者,曰黄胆。
《论疾诊尺篇》曰∶身痛而色微黄,齿垢黄,爪甲上黄,黄胆也。安卧,小便黄赤,脉
小而涩者,不嗜食。宾按∶此二条,凡已食如饥者,即阳黄之证;安卧,脉小,不嗜食者,
即阴黄之证也。
《通评虚实论》曰∶黄胆暴痛,癫疾厥狂,久逆之所生也。
五苓散(参见卷一第八二条) 四苓散(参见卷一第八七条) 麻黄加术汤(参见卷二第一条) 平胃散(参见卷和第十七条) 茵陈饮(参见卷新寒第八条) 桂枝附子汤(参见卷热第三十条) 五积散(参见卷散第三十九条) 六味丸(参见卷补第一百二十条) 防己黄芪汤(参见卷和一第七十六条) 胃关煎(参见卷新热第九条) 佐关煎(参见卷新热第十条) 白术附子汤(参见卷热第二十九条) 圣术煎(参见卷新热第二十五条) 渗湿汤(参见卷和一第七十四条) 大厘清饮(参见卷新寒第五条) 金匮肾气丸(参见卷补第一二四条) 理中汤(参见卷热第一条) 小厘清饮(参见卷新和第十条) 甘草附子汤(参见卷热第三十条) 八味丸(参见卷补第一二一条) 加味五苓散(参见卷和一第八十四条) 不换金正气散(参见卷和二十一条) 麻黄杏仁薏苡甘草汤(参见卷散第四条)
除湿汤(参见卷和一第七十七条,主治身体沉重疼痛) 神术汤(参见卷和三十九条,主治风湿脉象紧束) 调中益气汤(参见卷补第三十一条,主治湿气下陷) 湿郁汤(参见卷和二六六条,主治风湿) 败毒散(参见卷散第三十六条,主治风湿) 参附渗湿汤(参见卷热第一二二条,主治寒湿痹证) 胃苓汤(参见卷和第一百九十条) 活络饮(参见卷和二七十七条,主治风湿疼痛) 羌活胜湿汤(参见卷和一七八条,主治全身疼痛) 白术汤(参见卷和二十六条,主治风湿脉象缓弱) 肾着汤(参见卷热第一二九条,主治寒湿导致的腰部沉重) 清热渗湿汤(参见卷寒第一百一十一条,主治湿热) 圣散子(参见卷散第四十三条,主治风湿)
《经脉篇》说:肾脏所发生的疾病包括黄疸病(Huangdan, Jaundice)。
《玉机真藏论》说:风邪是各种疾病的先导。当风寒之邪侵袭人体时,会使人的毫毛竖立,皮肤毛孔闭塞从而产生发热。在这个时候,可以通过发汗的方法来治疗;如果痹证不止,出现肿痛,在这个时候,可以通过热敷、艾灸或针刺来去除病邪。如果不治疗,病邪会从肝脏传变到脾脏,这种病称为脾风(Pi Feng, Spleen Wind),表现为发黄疸,腹部发热,心烦意乱并排出黄色尿液。
《平人气象论》说:小便黄赤,嗜睡懒动的是黄疸病。吃完饭后却感觉饥饿的是胃疸(Wei Dan, Gastric Jaundice)。眼睛发黄的是黄疸病。
《论疾诊尺篇》说:身体疼痛且面色微黄,牙齿垢腻发黄,指甲上发黄,这是黄疸病。嗜睡,小便黄赤,脉象细小而涩滞,食欲不振。我(张介宾)按语:这两条记载中,凡是吃完饭后却感觉饥饿的,就是阳黄(Yang Huang, Yang-type Jaundice)的证候;嗜睡,脉象细小,食欲不振的,就是阴黄(Yin Huang, Yin-type Jaundice)的证候。
《通评虚实论》说:黄疸病突发剧痛,癫疾厥狂,是由于久逆之气所生成的。
Wuling San (Five-Ingredient Powder with Poria) [See Vol. 1, Item 82] Siling San (Four-Ingredient Powder with Poria) [See Vol. 1, Item 87] Mahuang Jia Zhu Tang (Decoction of Ephedra plus Atractylodes Macrocephala) [See Vol. 2, Item 1] Pingwei San (Stomach-Pacifying Powder) [See Vol. Harmonizing, Item 17] Yincheng Yin (Artemisia Capillaris Drink) [See Vol. New Cold, Item 8] Guizhi Fuzi Tang (Cinnamon Twig and Aconite Decoction) [See Vol. Heat, Item 30] Wuji San (Five-Accumulations Powder) [See Vol. Dispersing, Item 39] Liuwei Wan (Six-Ingredient Pill) [See Vol. Tonifying, Item 120] Fangji Huangqi Tang (Stephania Tetrandra and Astragalus Decoction) [See Vol. Harmonizing 1, Item 76] Weiguan Jian (Stomach-Gate Decoction) [See Vol. New Heat, Item 9] Zuoguan Jian (Assisting-the-Gate Decoction) [See Vol. New Heat, Item 10] Baizhu Fuzi Tang (Atractylodes Macrocephala and Aconite Decoction) [See Vol. Heat, Item 29] Shengshu Jian (Sage Atractylodes Decoction) [See Vol. New Heat, Item 25] Shen Shi Tang (Dampness-Percolating Decoction) [See Vol. Harmonizing 1, Item 74] Dali Qingyin (Major Clearing Drink) [See Vol. New Cold, Item 5] Jingui Shenqi Wan (Golden Cabinet Kidney Qi Pill) [See Vol. Tonifying, Item 124] Lizhong Tang (Regulate the Middle Decoction) [See Vol. Heat, Item 1] Xiaoli Qingyin (Minor Clearing Drink) [See Vol. New Harmonizing, Item 10] Gancao Fuzi Tang (Licorice and Aconite Decoction) [See Vol. Heat, Item 30] Bawei Wan (Eight-Ingredient Pill) [See Vol. Tonifying, Item 121] Jiawei Wuling San (Modified Five-Ingredient Powder with Poria) [See Vol. Harmonizing 1, Item 84] Buhuanjin Zhengqi San (Metal-Unchanging Upright-Qi Powder) [See Vol. Harmonizing 2, Item 11] Mahuang Xingren Yiyi Gancao Tang (Ephedra, Apricot Kernel, Coix Seed, and Licorice Decoction) [See Vol. Dispersing, Item 4]
Chushi Tang (Dampness-Removing Decoction) [See Vol. Harmonizing 1, Item 77; Indication: Heaviness and pain in the body] Shenzhu Tang (Divine Atractylodes Decoction) [See Vol. Harmonizing 3, Item 39; Indication: Wind-dampness with a tight pulse] Tiaozhong Yiqi Tang (Regulate the Middle and Boost Qi Decoction) [See Vol. Tonifying, Item 31; Indication: Dampness sinking] Shiyu Tang (Dampness-Stagnation Decoction) [See Vol. Harmonizing 2, Item 266; Indication: Wind-dampness] Baidu San (Defeat-Toxicity Powder) [See Vol. Dispersing, Item 36; Indication: Wind-dampness] Shenfu Shen Shi Tang (Ginseng and Aconite Dampness-Percolating Decoction) [See Vol. Heat, Item 122; Indication: Cold-dampness Bi syndrome] Weiling Tang (Stomach-Poria Decoction) [See Vol. Harmonizing, Item 190] Huoluo Yin (Meridian-Activating Drink) [See Vol. Harmonizing 2, Item 77; Indication: Wind-dampness pain] Qianghuo Shengshi Tang (Notopterygium Dampness-Vanquishing Decoction) [See Vol. Harmonizing 1, Item 178; Indication: Pain throughout the body] Baizhu Tang (Atractylodes Macrocephala Decoction) [See Vol. Harmonizing 2, Item 26; Indication: Wind-dampness with a slow pulse] Shenzhe Tang (Kidney-Dwelling Decoction) [See Vol. Heat, Item 129; Indication: Cold-dampness causing heaviness in the lower back] Qingre Shen Shi Tang (Clear-Heat and Percolate-Dampness Decoction) [See Vol. Cold, Item 111; Indication: Damp-heat] Shengsanzi (Sage Grain Mixture) [See Vol. Dispersing, Item 43; Indication: Wind-dampness]
The *Jingmai Pian* (Chapter on Meridians) states: The diseases generated by the Kidney include Huangdan (Jaundice).
The *Yuji Zhenzang Lun* (Treatise on the Jade Machine and True Viscera) states: Wind is the leader of all diseases. When wind-cold invades a person, it causes the fine hairs to stand erect and the skin pores to close, resulting in heat. At this time, treatment can be achieved through sweating; if Bi syndrome persists with swelling and pain, at this time, hot compresses, moxibustion, or acupuncture can be used to eliminate the pathogen. If left untreated, the disease transmits from the Liver to the Spleen, becoming Pi Feng (Spleen Wind), manifesting as jaundice, heat in the abdomen, vexation, and yellow urine.
The *Pingren Qixiang Lun* (Treatise on Normal People's Pulse Manifestations) states: Yellowish-red urine and excessive sleeping indicate Huangdan (Jaundice). Feeling hungry after eating indicates Wei Dan (Gastric Jaundice). Yellow eyes indicate Huangdan (Jaundice).
The *Lun Ji Zhenshi Pian* (Treatise on Diagnosing Diseases by Measuring the Body) states: Body pain with a slightly yellow complexion, yellow dental plaque, and yellow nails indicate Huangdan (Jaundice). Excessive sleeping, yellowish-red urine, a small and choppy pulse, and poor appetite are also signs. I (Zhang Jiebin) note: In these two passages, those who feel hungry after eating present the pattern of Yang Huang (Yang-type Jaundice); those who sleep excessively, have a small pulse, and lack appetite present the pattern of Yin Huang (Yin-type Jaundice).
The *Tongping Xu Shi Lun* (Treatise on Uniformly Evaluating Deficiency and Excess) states: Sudden severe pain in Huangdan (Jaundice), epilepsy, mania, and delirium are generated by long-standing rebellious Qi.