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Jaundice



'When the Gall [Bile] is obstructed it causes the Yellow Jaundice,
when the Spleen, the Black Jaundice'. (Salmon, Synopsis Medicinae, 1681)

Jaundice has been divided into 'Yellow' and 'Black' in the Western tradition, and into 'Yin' and 'Yang' in TCM. These two differentiations are fairly similar. The Yellow or Yang type Jaundice is associated with Damp-Heat obstruction of the Liver and Gall Bladder, and is most typically seen. The skin and eyes and yellow, there is a red tongue with yellow coat and other signs of heat obstructing. General treatment involves clear Bile or Damp-Heat with Bitter medicines.

The Black or Yin type manifests with a darker complexion of a dusky yellowish complexion, no signs of Heat, loss of appetite and a heavy and melancholic nature, and is associated with Damp or Melancholy obstruction. In the Black Jaundice, the person gradually wastes as in a consumption. Avicenna said Black Jaundice can be caused by obstruction of weakness of the Spleen, excess Liver heat burning the Blood humor, or excessive coldness of the Liver. Primary treatment is to open the Spleen and purge Damp and Melancholy. Black Jaundice can follow Yellow Jaundice if it becomes chronic.

Diet
If there is heat and inflammation, stewed Chicory, Spinach, Sorrel, Pumpkin etc.
If there is no Fever but Hardness and Obstruction, Bitter opening medicines such as Wormwood are given.
If coming from an abscess in the Liver, take Oxymel with Barley water


Western Tradition

Simples
Wormwood
Aniseed
Spikenard
Agaric
Centaury
Costus
Gentian
Madder

Infusion of Gentian Compound
Infusion for Jaundice (Riverius)
Decoction for Jaundice
Decoction for the Gall Bladder
Decoction of Parsley Compound
Decoction of Barberry

Decoction of Fumitory (Mesue)

Opening Hepatic Decoction

Syrup of Hops
Syrup of Wormwood
Syrup of Two Opening Roots
Syrup of Five Opening Roots
Decoction for Jaundice

Abbots Confect of Rose (Diarrhodon Abbatis) (Nicholas)
Powder of Three Sandalwoods (Diatrisantalum)
Troches for the Liver and Jaundice (Nicholas)
Troches of Camphor (Nicholas)
Troches of Rose and Agrimony (Mesue)
Troches of Rhubarb

Troches of Barberries (Trochisci de Berberis) (Mesue)
Troches of Wormwood Lesser (Mesue)
Troches of Wormwood Greater (Mesue)
Triphera Persica

Powder of Gum Lacca Lesser (Dialacca Minor) (Mesue)
Powder of Gum Lacca Greater (Dialacca Major) (Mesue)
Electuary for Jaundice in Children
Pills of Agrimony Lesser (Mesue)

Pills of Agrimony Major (Mesue)

Tincture of Wormwood
Wormwood Wine



Black Jaundice

1. Broom powder taken continually was credited with curing Black Jaundice.
2. Powder of Snails was highly regarded.

Bitter Decoction
Syrup of Apples Purgative
Decoction of Fumitory of Mesue
Pills of Lapis Lazuli
Indian Pills
TCM Classification

Special Medicines
Artemisia Scoparia, Yin Chen Hao


Damp-Heat Obstruction

Xiao Chai Hu Tang
Huang Lian Jie Du Tang
Long Dan Xie Gan Tang
Yin Chen Hao Tang

Comment: often Artemisia Yin Chen Hao and/or Rhubarb root are added to any of the first three formulas in Jaundice.




Special Formulas

1. Four drams of Maidenhair taken in infusion of Aniseed.
2. One dram of Madder powder taken in wine.
3. Strong infusion of Calamint taken for 7 days.
4. Radish juice (2 parts), Wine (1 part). Heat them a little and take in 1 dram doses. 
5. One dram of Pepper taken in Honey water.

SULPHUR POWDER FOR JAUNDICE
    Aloe
    Sulphur                           3 drams ea.     
    Cinnamon                       2 drams

PASTE FOR JAUNDICE
    Raisins, stoned
    Cumin                              6 drams ea
    Pepper                             4 drams
    Dill seed                          2 drams
    Roasted Scammony     3 drams
Beat together and take 1 ½ drams in Vinegar and Infusion of Wormwood. (Syrian 'Book of Medicine', Budge, 1913)

JAUNDICE FROM OBSTRUCTION
    Aloe                                 6 drams
    Stacte                              4 drams
    Agaric
    Polypody
    Dodder
    Safflower                        2 drams ea.
    Cinnamon
    Indian leaf
    Spikenard                       1 dram ea
Powder and with 3 times their weight of clarified Honey, form an Electuary. Dose: 2 drams in wine mixed with water if there is no Fever, or in Hot water if there is Fever. (Syrian 'Book of Medicine', Budge, 1913)



ARTEMISIA DECOCTION (Yin Chen Hao Tang)
    Artemisia Yin Chen Hao                 15 grams
    Paeonia Bai Shao                            15 grams
    Gardenia Zhi Zi                                  9 grams
    Chinese Red Dates (Da Zao)           5 pieces
This is taken during seasonal outbreaks of Hepatitis. It can be used as a preventative and in treatment of early stages.

ACONITE, ARTEMISIA & GINGER DECOCTION
(Fu Zi Yin Jiang Tang)
    Aconitum Fu Zi                                    6 grams
    Ginger                                                   6 grams

    Artemisia Yin Chen Hao                   12 grams
Decoct the Aconite for 45 mintes before adding the other herbs, and boiling another half hour.
  This is a special treatmwnt for Yin-type Jaundice which may be seen in chronic Hepatitis.
Research:
1. Ethno-Medicinal Plants Used to Cure Jaundice by Traditional Healers of Mashhad, Iran

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