仲景黄疸证治探要

Investigation of Zhongjing's Treatment of Jaundice

黄疸的直接病因乃是湿邪、热邪、湿热或寒湿之邪侵袭,伤及血分,致血分出现"血气流溢",以致胆汁外泄,脾色外现,出现黄疸。湿邪为贯穿黄疸的主线,热为黄疸发病的关键,瘀为黄疸发病的要着。寒、虚、兼表证为黄疸发病的变证,寒没有附方,虚用小建中汤、猪膏发煎,表用桂枝加黄芪汤、麻黄连轺赤小豆汤。黄疸病应早期积极治疗,若于10 d左右邪退正安,则病情好转,病当向愈,反之病情发展,治疗难痊。

The direct cause of jaundice is the invasion of Dampness,Heat evil,Damp Heat or Cold Dampness,which hurts the Blood and cause blood flow abnormally,resulting in bile leakage,spleen color shown outside and thus jaundice comes into being.Damp Evil is the main line running through the jaundice;Heat is the key to the onset of jaundice;Stasis is the main cause of jaundice.Cold,deficiency and outside symptoms are the following symptoms of the onset of jaundice.There was no prescription in treatment of Cold;Xiaojianzhong Decoction can be used in case of deficiency.Guizhi plus Huangqi Decoction,Mahuang Lianyao Chixiaodou Decoction can be used in treatment of outer syndromes.Jaundice should be actively treated in the early stage.If the disease is rectified in more than ten days,the condition would get improved,and the disease would be cued.Otherwise,the disease would develop and the treatment would be more difficult.