茵陈汤 治阳明病发热汗出者,此为热越,不能发也。但头汗出,身无汗,齐颈而
还,小便不利,渴引水浆者,此为瘀热在里,身必发黄。伤寒七八日,身黄如橘
色,小便不利,腹微满者宜此。
茵陈蒿(嫩者,一两) 大黄(三钱半) 栀子(大者,三枚)
上锉散,以水一大盏,先煎茵陈减半,次纳二味,煎八分,去滓温服,日三服。
小盒饭利如皂角汁状,色正赤,一宿腹减,黄从小便中去也,量大小加减。
栀子柏皮汤 治伤寒身黄发热。
栀子(八枚) 黄柏(一两) 甘草(半两,炙)
上锉散,每服二钱,水一盏,煎六分,去滓温服。
犀角散 治小儿黄胆,一身尽黄。
犀角(镑,一两) 茵陈 干葛 升麻 龙胆草 生地黄(各半两) 寒水石(七钱半)
上锉散,水煎服。一方,治小儿忽发黄,面目皮肉尽黄,葛根捣汁和蜜服。
连翘赤小豆汤 治小儿伤寒,发黄身热。
麻黄(去节) 连翘 甘草 生姜 赤小豆 生梓白皮(各二两) 杏仁(四十一个) 大枣(十二枚)
上锉散,白水煎。又一方,生小麦苗捣汁服之,立效。
罗谦甫治一小儿,季夏身体蒸热,胸膈烦满,皮肤如渍橘之黄,眼中白睛亦黄,
筋骨痿弱,不能行立。此由季夏之热,加以湿气,而蒸热搏于经络,入于骨髓,使
脏气不平,故脾遂乘心,湿热相合,而成此疾也。盖心火实则身体蒸热、胸膈烦满,
脾湿胜则皮肤如渍橘之黄,有余之气,必乘己所胜,而侮不胜,是肾肝受邪而筋骨
痿弱,不能行立。《内经》言∶脾热者,色黄而肉蠕动。又言∶湿热成痿。信哉斯言
也,所谓子能令母实,实则泻其子也,盖脾土退其本位,肾水得复,心火自平矣。
又《内经》曰∶治痿独取于阳明。正谓此也,加减泻黄散主之。
加减泻黄散方 此药退脾土,复肾水,降心火。
黄连 茵陈(各五分) 黄柏 黄芩 山栀 茯苓(各三分) 泽泻(二分)
上 咀,都作一服,水一盏,煎至六分,去滓,稍热服,食后。一服减半,待
五日再服而良愈。
经云∶土位之主,其泻以苦。又云∶脾苦湿,急食苦以燥之。故用黄连、茵陈
之苦寒除湿热为君。肾欲坚,急食苦以坚之,所以黄柏之苦辛寒、强筋骨为臣。
湿热成烦,以苦泻之,故以黄芩、山栀子之苦寒止烦满为佐。湿淫于内,以淡泄
之,故以茯苓、泽泻之甘淡,利小便、导湿为使也。
〔张涣〕芦根汤 治黄病。
芦根(一两,锉) 茵陈 山栀子 黄芩 甘草(四味。各半两)
上件捣,罗为细末,每服一钱,水八分,入薄荷三叶,煎至五分,去滓,放温服。
子芩散 治黄病。
黄芩 枯蒌根 茯神(各一两) 甘草 胡黄连(各半两)
上件为细末,每服一钱,水八分,煎五分,去滓,温服。
茵陈汤 治小儿发黄等病,身如橘色。
山茵陈 山栀子仁(各一两) 川大黄 川芒硝 木通 寒水石(各半两)
上煎服,法同前。
三黄散 治小儿黄胆。
川大黄(锉,微炒,一两) 黄芩 黄连(去须。各半两)
上煎法同前,食后服。
双连丹 治疸病。
川黄连(去须) 胡黄连(各一两)
上件捣,罗为细末,用黄瓜一枚,去穣,留一小盖子,入二药末后以盖子盖定,
用面裹,慢火烧,令面焦,去面,捣熟,如绿豆大。每服七粒至十粒,温水下,
量儿大小,以意加减。
茵陈汤:治疗阳明病,出现发热、汗出的症状,这是热邪向外发散的表现,但无法彻底解除。如果仅头部出汗,身体无汗,且汗止于颈部,小便不通畅,口渴想喝水浆,这是瘀热郁结在体内,身体必然发黄。伤寒病经过七八天,身体黄得像橘子皮的颜色,小便不利,腹部轻微胀满的,适宜使用此方。
茵陈蒿(选用嫩株,一两) 大黄(三钱半) 栀子(大的,三枚)
将药材切碎成散剂,用水一大盏,先煎煮茵陈至水量减半,然后加入另外两味药,煎至剩余八分水量,滤去药渣,温服,每日服用三次。服药后小便像皂角汁一样通畅,颜色正红,一夜之间腹部胀满减轻,黄色从小便中排出。用量根据患者大小进行增减。
将药材切碎成散剂,每次服用二钱,用水一盏,煎至六分水,滤去药渣,温服。
犀角散:治疗小儿黄疸,全身都发黄。
犀角(镑片,一两) 茵陈 干葛 升麻 龙胆草 生地黄(各半两) 寒水石(七钱半)
将药材切碎成散剂,用水煎服。另一方法,治疗小儿突然发黄,面目皮肤肌肉全部变黄,用葛根捣汁加蜂蜜服用。
麻黄(去节) 连翘 甘草 生姜 赤小豆 生梓白皮(各二两) 杏仁(四十一个) 大枣(十二枚)
将药材切碎成散剂,用清水煎服。另一方法,用生小麦苗捣汁服用,立即见效。
罗谦甫治疗一名小儿,在夏末时节身体蒸蒸发热,胸膈烦闷胀满,皮肤像浸泡过的橘子那样黄,眼白也发黄,筋骨痿弱,不能行走站立。这是由于夏末的热邪,加上湿气,湿热搏结于经络,深入骨髓,使脏腑之气不平,因此脾土乘袭心火,湿热相合,从而形成此疾。大概心火实盛则身体蒸热、胸膈烦满;脾湿胜则皮肤像浸泡过的橘子那样黄;有余之气必定乘袭它所克制的脏器,并欺侮其所不胜的脏器,导致肾肝受邪而筋骨痿弱,不能行走站立。《内经》说:脾热的人,面色黄且肌肉跳动。又说:湿热导致痿证。这话确实可信啊,所谓“子能令母实”,实则泻其子,脾土退居本位,肾水得以恢复,心火自然平息。又《内经》说:治疗痿证独取阳明经。正是说的这个意思,用加减泻黄散主治。
黄连 茵陈(各五分) 黄柏 黄芩 山栀 茯苓(各三分) 泽泻(二分)
将药材切碎,合并为一服,用水一盏,煎至六分水,滤去药渣,稍热时服用,饭后服用。一服后症状减半,待五日后再次服用即可痊愈。
经文说:土位之主,用苦味来泻它。又说:脾怕湿,急食苦味以燥湿。所以用黄连、茵陈的苦寒之性除湿热作为君药。肾欲坚固,急食苦味以坚之,所以用黄柏的苦辛寒之性强筋骨作为臣药。湿热导致烦闷,用苦味来泻之,所以用黄芩、山栀子的苦寒之性止烦满作为佐药。湿邪淫溢于内,用淡味来泄之,所以用茯苓、泽泻的甘淡之性,利小便、导湿邪作为使药。
芦根(一两,切碎) 茵陈 山栀子 黄芩 甘草(四味药,各半两)
将上述药材捣碎,筛成细末,每次服用一钱,用水八分,加入薄荷三叶,煎至五分,滤去药渣,放温后服用。
将上述药材研成细末,每次服用一钱,用水八分,煎至五分,滤去药渣,温服。
茵陈汤:治疗小儿发黄等病,身体像橘子色。
山茵陈 山栀子仁(各一两) 川大黄 川芒硝 木通 寒水石(各半两)
煎服方法同前。
三黄散:治疗小儿黄疸。
煎服方法同前,饭后服用。
将上述药材捣碎,筛成细末,用黄瓜一枚,去掉瓤,留一个小盖子,将两种药末放入其中,盖上盖子,用面粉包裹,慢火烧烤,直到面焦,去掉面皮,捣熟,制成如绿豆大小的丸药。每次服用七粒至十粒,温水送下,根据孩子的大小,酌情增减剂量。
Yinchen Tang (Cinnamon Twig Decoction): Treats Yangming disease (disease of the Yangming channel) presenting with fever and sweating, indicating that heat is venting outward but not fully resolved. If there is only head sweating, no body sweating, and sweat stops at the neck, accompanied by dysuria (difficult urination) and thirst for fluids, this indicates stagnant heat trapped in the interior, leading to jaundice (yellowing of the skin and eyes). In Shanghan (Cold Damage) disease lasting seven or eight days, if the body is yellow like an orange peel, with dysuria and slight abdominal fullness, this formula is indicated.
Yinchen Hao (Artemisiae Scopariae Herba, tender parts, 1 liang), Dahuang (Rhei Radix et Rhizoma, 3 qian ban), Zhizi (Gardeniae Fructus, large ones, 3 pieces).
Crush into a powder. Boil with one da zhen (large cup) of water, first decoct Yinchen Hao until the volume is halved, then add the other two herbs, decoct until eight fen remain, strain, and take warm. Take three times daily. Urine will flow freely like soap pod juice, appearing bright red; abdominal fullness will decrease overnight, and the jaundice will exit via the urine. Dosage should be adjusted according to the patient's size.
Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction): Treats jaundice and fever caused by Shanghan.
Zhizi (Gardeniae Fructus, 8 pieces), Huangbai (Phellodendri Cortex, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried).
Crush into a powder. Take 2 qian per dose, boil with one zhan (cup) of water until six fen remain, strain, and take warm.
Xijiao San (Rhino Horn Powder): Treats pediatric jaundice where the entire body turns yellow.
Xijiao (Rhino Cornu, sliced, 1 liang), Yinchen (Artemisiae Scopariae Herba), Gange (Puerariae Radix, dried), Shengma (Cimicifugae Rhizoma), Longdancao (Gentianae Radix), Shengdihuang (Rehmanniae Radix, fresh, each half liang), Hanshuishi (Calcitritum, 7 qian ban).
Crush into a powder, decoct with water, and take. Another method: for sudden onset of jaundice in children with yellowing of the face, eyes, skin, and muscles, crush Genken (Puerariae Radix) to extract juice and mix with honey to take.
Lianqiao Chixiaodou Tang (Forsythia and Adzuki Bean Decoction): Treats pediatric Shanghan with jaundice and fever.
Mahuang (Ephedrae Herba, nodes removed), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Chixiaodou (Adzuki Bean), Shengzibai pi (Morus Albae Cortex, fresh, each 2 liang), Xingren (Prunus Armeniaca Semen, 41 pieces), Dazao (Jujubae Fructus, 12 pieces).
Crush into a powder, decoct with clear water. Another method: crush fresh wheat seedlings to extract juice and take, which yields immediate results.
Luo Qianfu treated a child who, in late summer, had steaming fever, chest and diaphragm oppression and fullness, skin yellow like soaked oranges, yellow sclera, weak sinews and bones unable to walk or stand. This was due to summer heat combined with dampness, steaming and binding in the collaterals, penetrating to the bone marrow, causing disharmony of Zang-Fu Qi. Thus, Spleen Earth overacted on Heart Fire, and damp-heat combined to form this disease. Heart fire excess causes steaming fever and chest/diaphragm fullness; Spleen dampness excess causes skin yellow like soaked oranges. Excess Qi attacks what it controls and bullies what it does not control, leading to Kidney and Liver pathogen invasion, resulting in weak sinews and bones and inability to walk. The Neijing states: "Spleen heat manifests as yellow complexion and muscle twitching." It also states: "Damp-heat leads to Wei syndrome (flaccidity syndrome)." These words are indeed true. As stated, "The son can make the mother full"; when full, drain the son. When Spleen Earth returns to its proper position, Kidney Water is restored, and Heart Fire calms naturally. Furthermore, the Neijing says: "In treating Wei syndrome, focus solely on the Yangming." This refers to this case. Use Jiajian Xiehuang San (Modified Draining Yellow Powder) as the main treatment.
Jiajian Xiehuang San Formula: This medicine drains Spleen Earth heat, restores Kidney Water, and descends Heart Fire.
Huanglian (Coptidis Rhizoma), Yinchen (Artemisiae Scopariae Herba, each 5 fen), Huangbai (Phellodendri Cortex), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Fuling (Poria, each 3 fen), Zexie (Alismatis Rhizoma, 2 fen).
Chop finely, combine as one dose, boil with one zhan of water until six fen remain, strain, and take slightly warm after meals. After one dose, symptoms reduce by half; take again after five days for complete recovery.
The Classics state: "For the ruler of the Earth position, drain with bitter." Also: "The Spleen dislikes dampness; urgently eat bitter to dry it." Therefore, use the bitter-cold properties of Huanglian and Yinchen to remove damp-heat as the Sovereign herb. "The Kidney desires firmness; urgently eat bitter to firm it," thus use the bitter-pungent-cold property of Huangbai to strengthen sinews and bones as the Minister herb. "Damp-heat causes vexation; drain with bitter," thus use the bitter-cold properties of Huangqin and Shanzhi to stop vexation and fullness as the Assistant herb. "Dampness flooding internally; drain with bland," thus use the sweet-bland properties of Fuling and Zexie to promote urination and guide out dampness as the Envoy herb.
[Zhang Huan] Lugeng Tang (Reed Root Decoction): Treats jaundice disease.
Lugen (Phragmitis Rhizoma, 1 liang, chopped), Yinchen (Artemisiae Scopariae Herba), Shanzhi (Gardeniae Fructus), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, four ingredients, each half liang).
Crush these, sieve into fine powder. Take 1 qian per dose, with 8 fen of water, add 3 leaves of Bohe (Menthae Haplocalycis Herba), decoct until 5 fen remain, strain, and take warm.
Ziqin San (Scutellaria Powder): Treats jaundice disease.
Huangqin (Scutellariae Radix), Kuluogen (Trichosanthis Radix, dried/withered), Fushen (Poria with Hostwood, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma), Huhuanglian (Picrorhizae Rhizoma, each half liang).
Grind these into fine powder. Take 1 qian per dose, with 8 fen of water, decoct until 5 fen remain, strain, and take warm.
Yinchen Tang (Cinnamon Twig Decoction): Treats pediatric jaundice and similar diseases where the body is yellow like an orange.
Shanyinchen (Artemisiae Scopariae Herba), Shanzhiren (Gardeniae Fructus, kernel, each 1 liang), Chuandahuang (Rhei Radix et Rhizoma), Chuamangxiao (Natrii Sulfas), Mutong (Akebiae Caulis), Hanshuishi (Calcitritum, each half liang).
Decoct and take, method same as above.
Sanhuang San (Three Yellows Powder): Treats pediatric jaundice.
Chuandahuang (Rhei Radix et Rhizoma, chopped, lightly stir-fried, 1 liang), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma, mustards removed, each half liang).
Decoct method same as above, take after meals.
Shuangliandan (Double Connected Pill): Treats Dan disease (jaundice).
Chuanhuanglian (Coptidis Rhizoma, mustards removed), Huhuanglian (Picrorhizae Rhizoma, each 1 liang).
Crush these, sieve into fine powder. Take one cucumber, remove the pulp, leave a small lid, put the two powders inside, cover with the lid, wrap in dough, slow-roast until the dough is charred, remove dough, pound until cooked, form pills the size of mung beans. Take 7 to 10 pills per dose with warm water, adjusting dosage according to the child's size.