（附黄肿 附黄汗）
黄胆之症。皆湿热所成。湿气不能发泄。则郁蒸而生热。热气不能宣畅。则固结而生湿
。湿得
热而益深。热因湿而愈炽。二者相助而相成愈久而愈甚者也。然求其湿热之所由生。未有
不由于大醉大饱。及醉饱后贪睡久卧。与努力行房。而得者。或醉饱后入水洗洛。寒气敛束
。密其腠理。汗不得出。以致湿热相感。而成此病焉。外不得汗。内不得泻。熏蒸濡染流入
皮肤。上达面目。下至足趺。中及手臂。前腹后背。皆如涂金。小便赤如姜黄。犹之罨盐罨
酱。
因湿热而变其色也。大法上半身黄甚。则宜发汗。下半身黄甚。则宜利小便。以分消其湿
而
兼以退热之剂。然又必观其所伤之物。而消化之。非徒治其湿热而已。其疸有五。酒疸。黄
疸
。黄汗。谷疸。女劳疸。须有种之分。病源起之于湿热。欲知其不治之症。何以辨之。曰黄
疸变黑如烟尘者死。小便如膏者死。腹胀者死。饮食太少死。若眼渐白。小便长者病将退
也。
茵陈清湿汤 治湿热伤脾。四肢困倦。身体麻木。饮食不化。小便不利。
茯苓（去皮） 茵陈（各一钱） 麦芽 山栀（炒黑） 苍术（炒） 白术（各二钱土炒） 黄芩
（酒炒） 黄连（酒炒） 枳实（炒） 猪苓 陈皮 防己（各八分）
加灯心三十茎。食前服。
济生茵陈汤 治黄汗染衣。内有积热。不能流通。小便不利。
茵陈（一两） 大黄（七钱） 山栀（五钱炒黑） 水煎热服。
泻湿汤 治酒疸作渴者。
黄柏（一钱五分） 黄连 猪苓 泽泻（各八分） 青皮 茵陈 山栀 龙胆草（各一钱）
水煎服。
参桂通湿汤 治疸症脉虚便赤。
白术 人参（各八分） 猪苓 茵陈 泽泻 木通（各一钱） 山栀（一钱五分） 桂枝（五
灯心三十茎。空心服。
又方 治诸疸。取小麦 杵汁绞饮。昼夜饮三四次愈。
调元渗湿汤 治肾疸。目与浑身金色。小便赤涩。
羌活 白术 防风 独活（各八分） 升麻（四分） 苍术 猪苓 柴胡 茯苓（各一钱）
泽泻 干葛 甘草 人参 黄柏 神曲（各六分）
水煎空心服。
栀子大黄汤 治酒疸。心中懊 。或作心痛。
淡豆豉（五钱） 大黄（四钱） 山栀 枳实（各三钱） 姜二片。煎八分。空心服。
清利汤 治黄胆腹胀。小便不利。表和里实。以此下之。
大黄（六钱） 芒硝（四钱） 山栀仁 黄柏（各二钱）
水煎不拘时服。
黄连饮 治疸症。大小便秘涩壅热。
大黄（五钱） 黄连（四钱） 芒硝（五钱） 栀子（三钱）
加灯心三十茎。不拘时服。
除湿汤 治黄胆内热。呕吐而渴。欲饮冷水。身体面目俱黄。小便不利。
茯苓 泽泻 茵陈 猪苓（各八分） 黄芩 黄连 知母 天花粉 白术（各六分） 防己
陈皮 青皮 苍术（各三分）
水煎空心服。
牛黄散 治酒疸。谷疸。及水气蛊症。饮酒太过。宿食积久。面目甚黄。通身浮肿。肚
腹如鼓。
黑牵牛（春八钱夏九钱秋七钱冬一两） 大黄（春八钱夏九钱秋七钱冬一两） 槟榔（春八
钱夏九钱秋七钱冬一两） 甘草（春八钱夏九钱秋七钱冬一两）
上为细末。每服五钱。五更时面东。以井花水调服。
服后不动。朝太阳吸气三口即愈。
秘方 治伤食成疸。
山楂 浓朴 阿魏 麦芽（各二钱） 神曲 青皮 枳实（各一钱） 茵陈 萝卜子（各三
加灯心三十茎。食前服。
效验方 治黄胆久久不愈。
茵陈（一两为末） 红枣（每一岁一枚）水一碗半煎八分。空心食枣并汤。
神效丸 治好食诸物。停积成黄胆者。
使君子肉（四两炒） 胆南星（二两） 槟榔（二两）
共为末。如好吃生米。加麦芽一斤好吃茶叶。加茶叶一斤。好吃黄泥。加壁土一斤。好
吃黑炭。加黑炭一斤。随其所好加入。炼密为丸。每五六十丸。空心砂糖汤下。
养荣丸 治五疸。体弱血虚。口淡耳响。微寒发热。小便白浊。
黄 当归 桂心 甘草 陈皮（各八分） 白术 人参 白芍 生地（各一钱） 五味子
（九粒） 茯苓 远志（各二钱）水煎温服。
滑石散 治女劳疸。并湿疸。
滑石（八钱） 明矾（五钱枯过）
上为细末。每服一钱。大麦汤调下。
秦艽饮子 治黄胆。口淡咽干。恶寒发热。
白术 茯苓 秦艽（各二钱） 薄桂 橘红（各一钱）水煎服。
谷疸丸 专治谷疸。
苦参（三两） 龙胆草（一两） 水牛胆（一个）
上为末。入胆汁加蜜少许为丸。每服二钱。空心姜汤下。
又方 治黄胆久不愈者。
桃树根向东行者一束。洗净切碎。煎二三碗空心服之。如人行二十里。即欲大便。下尽
黄水。疸实时愈。不可谓全安。而不调理。须必服参桂通湿汤调补。庶不生他症。
又方 治五疸。
老丝瓜连子烧存性为末。因面病者面汤下。酒病者酒下。
又方 治湿疸。
万年青捣汁。加煮酒饮三四钟愈。如大便不实者忌之。
(Note: Yellow Edema, Yellow Sweat)
Jaundice is a condition caused by damp-heat. When dampness cannot be diffused and discharged, it stagnates and steams to generate heat; when heat cannot be ventilated and circulated, it consolidates to generate dampness. Dampness becomes deeper with the assistance of heat, and heat becomes more intense due to the presence of dampness. The two mutually assist and complete each other, becoming more severe the longer they persist. However, investigating the origin of this damp-heat, it invariably arises from excessive drinking and overeating, followed by sleeping or lying down for long periods, or strenuous sexual intercourse. It may also result from bathing in water after drinking and eating excessively; the cold air constricts and binds, closing the couli (skin pores), preventing sweat from exiting, thereby causing damp-heat to interact and form this disease. Unable to release externally through sweat or internally through bowel movements, the damp-heat steams and permeates into the skin, reaching upwards to the face and eyes, downwards to the dorsum of the feet, and centrally affecting the arms, anterior abdomen, and posterior back. The entire body appears yellow like gold. The urine is red and dark like turmeric. Just as salting or pickling changes the color of food, the body changes color due to damp-heat. The general treatment principle is: if jaundice is more severe in the upper body, sweating methods should be used; if it is more severe in the lower body, diuretic methods should be employed to separate and eliminate dampness while simultaneously using heat-clearing agents. Furthermore, one must observe the specific food that caused the injury and digest it, rather than merely treating the damp-heat. Jaundice is divided into five types: Wine Jaundice, Grain Jaundice, Yellow Sweat, Grain Jaundice (Gu Dan), and Labor-induced Jaundice (Nu Lao Dan); their causes must be distinguished. The disease originates from damp-heat. To know which cases are incurable and how to identify them: death occurs if the jaundice turns black like smoke or dust; if the urine resembles paste; if abdominal distension occurs; or if food intake is extremely low. If the eyes gradually turn white and urination becomes prolonged and free, the disease will recede.
In cases of the Five Jaundices with excess-heat, the pulse must be surging and rapid. If the pulse is faint and choppy, the symptoms belong to deficiency and weakness.
Yinchen Qing Shi Tang (Celandine Decoction to Clear Dampness): Treats spleen injury by damp-heat. Symptoms include fatigue in the four limbs, numbness of the body, indigestion, and difficult urination.
Ingredients: Poria (Fu Ling,去皮) and Celandine (Yin Chen, each 1 qian); Barley Sprout (Mai Ya), Gardenia (Shan Zhi, stir-fried until black), Atractylodes Rhizome (Cang Zhu, stir-fried), and Atractylodes Macrocephala Rhizome (Bai Zhu, each 2 qian, stir-fried with soil); Scutellaria Root (Huang Qin, wine-fried), Coptis Rhizome (Huang Lian, wine-fried), Immature Bitter Orange (Zhi Shi, stir-fried), Polyporus (Zhu Ling), Tangerine Peel (Chen Pi), and Stephania Root (Fang Ji, each 8 fen).
Usage: Add 30 stems of Juncus effusus (Deng Xin Cao). Take before meals.
Jisheng Yinchen Tang (Jisheng Celandine Decoction): Treats yellow sweat staining clothes, internal accumulated heat, lack of circulation, and difficult urination.
Ingredients: Celandine (Yin Chen, 1 liang), Rheum Palmatum Root and Rhizome (Da Huang, 7 qian), Gardenia (Shan Zhi, 5 qian, stir-fried until black).
Usage: Decoct in water and take hot.
Xie Shi Tang (Decoction to Drain Dampness): Treats thirst caused by Wine Jaundice.
Ingredients: Phellodendron Bark (Huang Bo, 1.5 qian), Coptis Rhizome (Huang Lian), Polyporus (Zhu Ling), Alisma Rhizome (Ze Xie, each 8 fen); Green Tangerine Peel (Qing Pi), Celandine (Yin Chen), Gardenia (Shan Zhi), Gentiana Root (Long Dan Cao, each 1 qian).
Usage: Decoct in water and take.
Shen Gui Tong Shi Tang (Ginseng and Cinnamon Twig Decoction to Unblock Dampness): Treats jaundice with a deficient pulse and red, scanty urine.
Ingredients: Atractylodes Macrocephala Rhizome (Bai Zhu) and Ginseng (Ren Shen, each 8 fen); Polyporus (Zhu Ling), Celandine (Yin Chen), Alisma Rhizome (Ze Xue), and Akebia Stem (Mu Tong, each 1 qian); Gardenia (Shan Zhi, 1.5 qian), Cinnamon Twig (Gui Zhi, 5...).
Usage: Add 30 stems of Juncus effusus (Deng Xin Cao). Take on an empty stomach.
Another Prescription: Treats all types of jaundice. Take wheat, pound it to extract juice, and drink it. Drink 3-4 times during day and night until cured.
Tiao Yuan Shen Shi Tang (Regulating Origin Decoction to Percolate Dampness): Treats Kidney Jaundice. Symptoms include golden-yellow eyes and whole body, and red, difficult urination.
Ingredients: Notopterygium Rhizome (Qiang Huo), Atractylodes Macrocephala Rhizome (Bai Zhu), Saposhnikovia Root (Fang Feng), and Angelica Dahurica Root (Du Huo, each 8 fen); Cimicifuga Rhizome (Sheng Ma, 4 fen); Atractylodes Rhizome (Cang Zhu), Polyporus (Zhu Ling), Bupleurum Root (Chai Hu), and Poria (Fu Ling, each 1 qian); Alisma Rhizome (Ze Xie), Kudzu Root (Gan Ge), Licorice Root (Gan Cao), Ginseng (Ren Shen), Phellodendron Bark (Huang Bo), and Medicated Leaven (Shen Qu, each 6 fen).
Usage: Decoct in water and take on an empty stomach.
Zhizi Dahuang Tang (Gardenia and Rhubarb Decoction): Treats Wine Jaundice. Symptoms include mental restlessness and oppression (Ao Nu), or heart pain.
Ingredients: Fermented Soybean (Dan Dou Chi, 5 qian), Rheum Palmatum Root and Rhizome (Da Huang, 4 qian), Gardenia (Shan Zhi), and Immature Bitter Orange (Zhi Shi, each 3 qian); Ginger (2 slices).
Usage: Decoct until 80% remains. Take on an empty stomach.
Qing Li Tang (Clearing and Promoting Decoction): Treats jaundice with abdominal distension and difficult urination. The exterior syndrome is resolved, and the interior excess is solid; use this to purge.
Ingredients: Rheum Palmatum Root and Rhizome (Da Huang, 6 qian), Mirabilite (Mang Xiao, 4 qian), Gardenia Kernel (Shan Zhi Ren), and Phellodendron Bark (Huang Bo, each 2 qian).
Usage: Decoct in water and take at any time.
Huang Lian Yin (Coptis Drink): Treats jaundice with constipation and heat obstruction in both large and small bowels.
Ingredients: Rheum Palmatum Root and Rhizome (Da Huang, 5 qian), Coptis Rhizome (Huang Lian, 4 qian), Mirabilite (Mang Xiao, 5 qian), Gardenia (Zhi Zi, 3 qian).
Usage: Add 30 stems of Juncus effusus (Deng Xin Cao). Take at any time.
Chu Shi Tang (Dampness-Removing Decoction): Treats jaundice with internal heat, vomiting, thirst, desire for cold water, yellowing of the body and face, and difficult urination.
Ingredients: Poria (Fu Ling), Alisma Rhizome (Ze Xie), Celandine (Yin Chen), and Polyporus (Zhu Ling, each 8 fen); Scutellaria Root (Huang Qin), Coptis Rhizome (Huang Lian), Anemarrhena Rhizome (Zhi Mu), Trichosanthes Root (Tian Hua Fen), and Atractylodes Macrocephala Rhizome (Bai Zhu, each 6 fen); Stephania Root (Fang Ji), Tangerine Peel (Chen Pi), Green Tangerine Peel (Qing Pi), and Atractylodes Rhizome (Cang Zhu, each 3 fen).
Usage: Decoct in water and take on an empty stomach.
Niu Huang San (Ox Gallstone Powder): Treats Wine Jaundice, Grain Jaundice, and Water-Qi Gu Distension. Caused by excessive drinking and long-standing accumulation of undigested food. Symptoms include very yellow face and eyes, generalized edema, and drum-like abdominal distension.
Ingredients: Black Morning Glory Seed (Hei Qian Niu, Spring 8 qian, Summer 9 qian, Autumn 7 qian, Winter 1 liang); Rheum Palmatum Root and Rhizome (Da Huang, Spring 8 qian, Summer 9 qian, Autumn 7 qian, Winter 1 liang); Areca Seed (Bing Lang, Spring 8 qian, Summer 9 qian, Autumn 7 qian, Winter 1 liang); Licorice Root (Gan Cao, Spring 8 qian, Summer 9 qian, Autumn 7 qian, Winter 1 liang).
Usage: Grind into fine powder. Take 5 qian per dose. At the fifth watch (early morning), facing east, mix well with well water.
Note: If stool does not move after taking, inhale air towards the sun three times in the morning, and it will cure.
Secret Recipe: Treats jaundice caused by food injury.
Ingredients: Hawthorn Fruit (Shan Zha), Magnolia Bark (Nong Po), Asafoetida (A Wei), and Barley Sprout (Mai Ya, each 2 qian); Medicated Leaven (Shen Qu), Green Tangerine Peel (Qing Pi), and Immature Bitter Orange (Zhi Shi, each 1 qian); Celandine (Yin Chen), Radish Seed (Luo Bo Zi, each 3...).
Usage: Add 30 stems of Juncus effusus (Deng Xin Cao). Take before meals.
Effective Formula: Treats persistent jaundice that does not heal for a long time.
Ingredients: Celandine (Yin Chen, 1 liang, ground to powder), Red Dates (Hong Zao, one date per year of age).
Usage: Decoct 1.5 bowls of water until 80% remains. Eat the dates and drink the decoction on an empty stomach.
Shen Xiao Wan (Divine Efficacy Pill): Treats jaundice caused by accumulation from consuming various foods.
Ingredients: Semen Quisqualis (Shi Jun Zi Rou, 4 liang, stir-fried), Arisaema Cum Bile (Dan Nan Xing, 2 liang), Areca Seed (Bing Lang, 2 liang).
Usage: Grind into powder. If the patient craves raw rice, add 1 jin of Barley Sprout (Mai Ya); if craving tea leaves, add 1 jin of Tea Leaves (Cha Ye); if craving yellow mud, add 1 jin of Wall Soil (Bi Tu); if craving black charcoal, add 1 jin of Black Charcoal (Hei Tan). Add according to cravings. Bind with honey to make pills. Take 50-60 pills per dose with brown sugar water on an empty stomach.
Yang Rong Wan (Nourishing Vitality Pill): Treats the Five Jaundices. For weak constitution and blood deficiency. Symptoms include bland taste in mouth, tinnitus, slight aversion to cold and fever, and turbid white urine.
Ingredients: Astragalus Root (Huang Qi), Angelica Sinensis Root (Dang Gui), Cinnamon Heart (Gui Xin), Licorice Root (Gan Cao), and Tangerine Peel (Chen Pi, each 8 fen); Atractylodes Macrocephala Rhizome (Bai Zhu), Ginseng (Ren Shen), White Peony Root (Bai Shao), and Rehmannia Root (Sheng Di, each 1 qian); Schisandra Berry (Wu Wei Zi, 9 grains); Poria (Fu Ling), and Polygala Root (Yuan Zhi, each 2 qian).
Usage: Decoct in water and take warm.
Hua Shi San (Talcum Powder): Treats Labor-induced Jaundice (Nu Lao Dan) and Damp Jaundice.
Ingredients: Talcum (Hua Shi, 8 qian), Alum (Ming Fan, 5 qian, calcined).
Usage: Grind into fine powder. Take 1 qian per dose, mixed with barley water.
Qin Jiao Yin Zi (Gentian Liliflower Drink): Treats jaundice. Symptoms include bland taste in mouth, dry throat, aversion to cold, and fever.
Ingredients: Atractylodes Macrocephala Rhizome (Bai Zhu), Poria (Fu Ling), and Gentian Liliflower Root (Qin Jiao, each 2 qian); Thin Cinnamon Twig (Bo Gui), and Exocarpium Citri Grandis (Ju Hong, each 1 qian).
Usage: Decoct in water and take.
Gu Dan Wan (Grain Jaundice Pill): Specifically treats Grain Jaundice.
Ingredients: Sophora Root (Ku Shen, 3 liang), Gentiana Root (Long Dan Cao, 1 liang), Water Buffalo Gallbladder (Shui Niu Dan, 1 piece).
Usage: Grind into powder, mix with gallbladder juice and a little honey to form pills. Take 2 qian per dose with ginger water on an empty stomach.
Another Prescription: Treats persistent jaundice that does not heal.
Ingredients: One bundle of Peach Tree Root growing towards the east.
Usage: Wash clean, chop, and decoct in 2-3 bowls of water. Take on an empty stomach. After walking about 20 li, there will be a urge to defecate. Expel all yellow fluid, and the jaundice will immediately heal. Do not assume full recovery without regulation; one must take Shen Gui Tong Shi Tang (Ginseng and Cinnamon Twig Decoction to Unblock Dampness) for tonification and regulation to prevent other diseases.
Another Prescription: Treats the Five Jaundices.
Ingredients: Old Loquat Vine (Lao Si Gua) with seeds, burned until carbonized but retaining essence, ground to powder.
Usage: For those with facial jaundice, take with noodle soup; for those with alcohol-induced jaundice, take with wine.
Another Prescription: Treats Damp Jaundice.
Ingredients: Juice extracted from Asparagus cochinchinensis (Wan Nian Qing).
Usage: Mix with boiled wine and drink 3-4 cups until cured. Contraindicated for those with loose stools.