〔丹〕五疸不要分，同是湿热，如 曲相似。轻者小温中丸。重者大温中丸。热多者，加芩、
连。湿多者，茵陈五苓散加食积药。湿热因倒胃气，服下药大便下利者，参、 加茵陈、山栀、
甘草。
〔仲〕诸病黄家，但利其小便，假令脉浮，当以汗解之，宜桂枝加黄 汤。谷疸之为病，寒热
不食，食即头眩，心胸不安，久久发黄，为谷疸，茵陈蒿汤主之。黄胆病，茵陈五苓散主之。
（二方并见伤寒。）
〔罗〕茯苓除湿汤治黄胆气热，呕吐而渴欲饮冷，身体面目俱黄，小便不利，不得安卧，
亦不思食。
白茯苓（五分） 泽泻（三分） 茵陈蒿（六分） 猪苓（三分） 黄芩（生） 黄连 山栀
防己 白术 苍术 陈皮 青皮（各二分）
上 咀，水煎，空心服。
完颜正卿，因官事劳役，饮食不节，心火乘脾，脾气虚弱，更以恚怒气逆伤肝，心下痞满，
四肢困倦，身体麻木。次传身目俱黄，微见青色，颜黑，心神烦乱，怔忡不安，兀兀欲吐，口
生恶沫，饮食不化，时下完谷，小便癃闭而赤黑，辰巳之间发热，日暮则止，至四月尤甚。予
诊其脉浮而缓。《金匮》云∶寸口脉浮为风，缓为痹，痹非中风，四肢苦烦，脾色必黄，瘀
热已行。跗阳脉紧，食谷即眩为伤脾，风寒相搏，谷气不消，胃中苦浊，浊气不流，小便不通，
阴被其寒，热流膀胱，身体尽黄，名曰谷疸。宜服茵陈栀子汤
茵陈（一钱） 茯苓（五分） 山栀仁 苍术（炒） 白术（各三钱） 黄芩（生，六分） 黄连
枳实（炒） 猪苓（去皮） 泽泻 陈皮 防己（各二分） 青皮（一分）
上 咀，作一服，长流水煎，食前温服。二服可愈。山栀、茵陈能泻湿热而退黄，故以为君。枳
实苦寒，泄心下痞满；肺主气，今热伤其气，故身体麻木，以黄芩苦寒泻火补气为臣。二术苦甘
温；青皮苦辛温，能除胃中湿热，泄其壅滞，养其正气。防己苦寒，能去十二经滞湿。泽泻咸平；
茯苓、猪苓甘平，导膀胱中湿热，利小便而去癃闭。
〔丹〕治疸，脉虚便赤，此后五方主之，治虚者验。
白术（一两） 人参 猪苓 茵陈（各半两） 泽泻（七钱） 山栀（炒） 木通（三钱） 桂枝
一妇人，年二十八岁，发黄，脉涩，经水自来不行，身髓倦怠，未曾生子。
陈皮 白术 木通（各一两） 黄芩 归头 丹皮（各半两） 甘草（一钱）
分作十二帖。水煎，食前热服。
〔《千》〕治疸，取小麦杵汁绞饮六七合，昼夜饮三四次愈。
〔《仲》〕诸疸，用猪膏半斤，乱发如鸡子大三枚，以发入膏中，煎至发尽，分再服，病自从
小便中出。
〔垣〕肾疸汤治肾疸目黄，浑身金色，小便赤涩。
升麻根（半两） 羌活根（一钱） 防风根（半钱） 独活根（半钱） 白术 柴胡根 苍术（一钱）
猪苓（一分） 泽泻（三分） 白茯苓 葛根（半钱） 甘草根（三分） 黄柏（二分） 人参 神曲（各六分）
分作二帖，水煎，食前稍热服。
〔仲〕桂枝加黄 汤治黄胆脉浮而腹中和者，宜汗之。若腹满欲呕吐，懊 而不和者，宜
吐之，不宜汗。
桂枝 白芍药（各三两） 甘草（二两） 生姜（三两） 大枣（十二枚） 黄 （二两）
白水煎热服，须臾饮热粥以助药力，取微汗为度。未汗，更服。
〔丹〕治一人，年二十岁，因劳又冒雨得疸。脚酸，心悸，口苦，力弱，尿黄，脉浮而数。
病在表，宜解外。
黄 （三钱） 白术 苍术（各一钱） 陈皮 苏叶 木通（五分） 山栀（炒，二个） 甘草梢（些）
白水煎服，下保和十五丸、与点抑青各十丸、温中二十丸。
〔仲〕麻黄醇酒汤治黄胆。
用麻黄三两，以好清酒五升，煮取二升五合，顿服尽。冬月用酒煮，春月用水煮。酒疸或无
热，清言了了，腹满欲吐，鼻燥。其脉浮者，先吐之；沉弦者，先下之。酒疸，心中热，欲呕者，
吐之愈。（如阴症欲吐者，韩氏用陈皮汤、理中汤类。）
瓜蒂汤治诸黄。
用瓜蒂二七枚，以水一升，煮取五合，去渣顿服。
〔《百一》〕治疸。取藜芦置灰内炮之，少变色，捣为末。水服半钱匕，小便不利，数服。
〔子和〕蔡氏一女病黄，遍身浮肿，面目如金色，困乏无力，不思饮食，惟喜食生物、灰 之属。
先以苦剂蒸饼为丸，吐痰一碗；又以舟车丸、通经散，下五七行如墨汁；更以导饮丸磨食散气。
不数日安好如初。
李七老病涌水症，面黄而喘，二足皆肿，按之陷而复起，行则濯濯有声，常欲饮水，不能
睡卧。戴人令上涌去痰而汗之；次以舟车丸、浚川散下；以益肾散复下之；又以分阴阳、利水
道之剂复下之，所苦皆瘥。
上脉浮而腹不和者，吐之。
〔仲〕治酒疸。心中 懊，或热痛，栀子大黄汤主之。
山栀（十四枚） 大黄（二两） 枳实（五枚） 豆豉（一升
上四味，以水三升，煎取二升，温作三服。
黄胆，腹满，小便不利而赤，自汗出。此为表和里实，当下之，宜大黄硝石汤主之。
大黄 黄柏 硝石（各四两） 栀子（十五枚）
水煎将熟，纳硝石顿服。
师曰∶病黄胆，发热烦喘，胸满口燥者，以病发时，以火劫其汗，两热所得。然黄皆从湿得
之，一身尽发
热，面黄肚热，热在里，当下之。
〔罗〕黄连散治黄胆，大小便秘涩壅热，累效。
黄连（二两） 大黄（醋拌，炒，二两） 黄芩 甘草（炙，各一两）
上为极细末。食后温水调下二钱，日三服。先用瓜蒂散搐鼻，取下黄水，却服此药。（瓜蒂
散见后杂方条。）
〔孙〕治黄胆，皮黄，眼睛赤金色，小便赤。取秦艽五两，牛乳三升，煮取一升，去渣，入芒
硝一两服之。（萧炳云∶秦艽治酒疸。）
〔子和〕安喜赵君玉病疸，遍身发黄，往问医，众医皆云∶乃阳明症。公等与麻知几皆受训于张
戴人，是商议吃大黄者，难与论病。君玉不悦归，自揣无别病，乃取三花神佑丸八十粒服之，不
动。君玉乃自悟曰∶予之湿热甚矣，此药尚不动。以舟车丸、浚川散服之，大下结粪一斗，一夕
而黄退。君玉因此益信戴人之技。
上脉沉而腹不和者下之。
〔仲〕诸黄，腹痛而呕者，宜小柴胡汤。（方见伤寒。）
〔孙〕治黄胆。用柴胡一两去苗，甘草一分细锉，作一剂。以水一碗，白茅根一握，同煎
至七分，去渣，不拘服。
诸疸，小便不利为里实，宜利小便，或下之。无汗为表实，宜发汗，或吐之。（治法并见表
里疸条。）男子黄，大便自利，当与虚劳小建中汤。（方见伤寒。）
〔海〕内感伤寒，劳役形体，饮食失节，中州变寒，病生黄。非外感而得，只用建中、理中、
大建中足矣，不必用茵陈。
〔仲〕治一妇人，年六十岁，病振寒转栗，足太阳寒水也。呵欠喷嚏，足少阳胆也；口中津液，
足阳明不足也；心下急痛而疸，手少阴受寒，足少阴血滞也。身热又欲近火，热在皮肤，寒在骨
髓也。脐下恶寒，丹田有寒。浑身黄及睛黄，皆寒湿也。余症验之，知其为寒，溺黄赤而黑，
又频数者，寒湿胜也。病来身重如山，便着床枕者，阴湿盛也。其脉右手关、尺命门弦细，
按之洪而弦，弦急为寒，加之细者，北方寒水。杂以缓甚者，
湿盛出黄色。脉洪大者，心火受制也。左手又按之至骨，举手来实者，壬癸肾旺也。六脉按之俱
空虚者，下焦无阳也。用药法先宜以轻剂去其寒湿，兼退其洪大之脉，以理中加茯苓汤投之。
（按此症虽小便黄赤亦作寒治者，盖以余症及脉别之也。）
人参 白术 甘草 干姜 茯苓
水煎熟，以冰冷与之，此热因寒用。以假寒对足太阳之假热，以干姜辛热泻膀胱之真气，
故曰真对真，假对假。若不愈，当以术附汤与之。
〔罗〕阴黄治验至元丙寅六月，时雨霖霪，人多病湿疫。真定韩君祥，因劳役过度，渴饮凉茶，又
食冷物，遂病头痛，肢节亦疼，身体沉重，胸满不食。自以为外感。用通圣散二服，后添身体困
甚，方命医治之。医以百解散发其汗。越四日，以小柴胡汤二服，后加烦躁。又六日，以三乙承
气汤下之，燥渴尤甚。又投白虎加人参汤、柴胡饮之类，病愈增。又易医用黄连解毒汤、朱砂膏、
至宝丹。十七日后，病势转增，传变身目俱黄，肢体沉重，背恶寒，皮肤冷，心下痞硬，按之则
痛，眼涩不欲开，目睛不了了，懒言语，自汗，小便利，大便了而不了。命予治之，诊其脉紧细，
按之虚空，两寸脉短不及本位。此症得之因时热而多饮冷，加以寒凉药过度，助水乘心，反来侮土，
先囚其母，后簿其子。经云∶簿所不胜乘所胜也。时值霖雨，乃寒湿相合，此谓阴症发黄，予以
茵陈附子干姜汤主之。经云∶寒淫于内，治以甘热，佐以苦辛。湿淫所胜，平以苦热，以淡渗
之，以苦燥之。附子、干姜辛甘大热，散其中寒，故以为君。半夏、草蔻辛热，白术、陈皮苦甘温，
健脾燥湿，故以为臣。生姜辛温以散之，泽泻甘平以渗之，枳实苦微寒泻其痞满，茵陈微苦寒，其
气轻浮，佐以姜、附，能去肤腠间寒湿而退其黄，故为佐使也。煎服一剂，前症减半，两服悉去。
又服理中汤数服，气得平复。或难曰∶发黄皆以为热，今暑热隆盛，又以热药治之，何也？予曰∶
理当然也。成无己云∶阴症有二∶一者，始外伤寒邪，阴经受之，或因食冷物伤太阴经也；二者，
始得阳症，以寒治之，寒凉过度，变阳为阴也。今君祥因天令暑热，冷物伤脾，过服寒凉，阴
气大胜，阳气欲绝，加以阴雨，寒湿相合，发而
为黄也。仲景所谓当于寒湿中求之。李思顺云∶解之而寒凉过剂，泻之而逐寇伤君，正谓此也。
圣贤之制，岂敢越哉。
附子（炮，去皮，三钱） 干姜（炮，二钱） 茵陈（一钱二分） 白术（四分） 草蔻（煨，一钱）
白茯苓（三分） 枳实（麸炒） 半夏（制） 泽泻（各半钱） 橘红（三分）
上生姜五片，水煎，去渣凉服。
〔无〕养荣汤治五疸。脚弱心忪，口淡耳响，微寒发热，气急，小便白浊，当作虚劳治之。
黄 当归 桂心 甘草（炙） 陈皮 白术 人参（各一两） 白芍药（三两） 熟地
五味子 茯苓（各三钱） 远志（去心，半两）
上每服四钱，姜枣煎，空心服。
上法治虚寒黄胆。
〔丹〕治妇人久劳苦，得面黄，心悸，口苦，小便不黄自利，食少，右脉大于左，此虚中受湿
也。
白术 芍药 当归（各五钱） 黄 黄芩 茯苓 人参（各三钱） 陈皮（一钱半） 黄连（一钱）
甘草（五分）
分六帖。下保和、温中各二十丸。
〔垣〕补中汤治面黄多汗，目 赤，四肢沉重，减食，腹中时痛，咳嗽。两手左脉短，右脉
弦细兼涩，右手关脉虚。
升麻 柴胡（各二钱） 归身（二分） 苍术（五分） 泽泻（四分） 甘草（炙，八分） 五味子（二十一粒）
黄（二钱半） 神曲（三分） 红花（少许） 大麦曲（五分）
上作二服，水煎，食前。
上二方，治虚热黄胆。
〔仲〕黄胆，小便色不变，欲自利，腹满而喘。不可除热，热除必哕。小半夏汤主之。（方见呕吐。
小便色不变，不可除热者，盖中无热，故清白而不黄，自无热可除也。）诸疸，小便色白，不
可除热者，无热也。若有虚寒症者，当作虚劳治之。
诸疸，小便黄赤色者，为湿热。（治法并见表里虚疸条。）
〔严〕谷疸丸专治谷疸。
苦参（三两） 龙胆草（一两） 牛胆（一个）
上为末，入牛胆汁加少蜜为丸。空心姜汤或甘草汤下。
葛根汤治酒疸。
葛根（一两） 枳实（炒） 山栀 豆豉（各一两） 甘草（炙，半两）
白水煎，不拘时温服。
〔《外》〕治黄胆。以柳枝入水，浓煎汁服之。
〔《经》〕患五色急黄。以水调山豆根末二钱，空心服之。
运气黄胆，皆属湿热。经云∶少阴司天之政，四之气，溽暑至，民病黄胆。又云∶厥阴司天
之政，四之气，溽暑湿热相搏，民病黄胆，而为 肿是也。
〔罗〕 鼻瓜蒂散治黄胆浑身如金色，累效。
瓜蒂（二钱） 母丁香（一钱） 黍米（四十九粒） 赤小豆（五分）
上为细末。每夜临卧时先含水一口，却于两鼻孔 上半字便睡。至明日取下黄水，便服黄连
散。病轻者五日效，重者半月效。（黄连散方见前大小闭条。）
〔《圣》〕治遍身如金色。用瓜蒂四十九个，须是六月六日收者，丁香四十九粒，入甘锅内烧
烟尽为度，研细。小儿用半字吹鼻及揩牙，大人用一字吹鼻内立瘥。
〔《类要》〕治黄胆。用苦葫芦瓤如大枣许四枚，以童便浸三两，食顷，取两枣许，分纳两
鼻中，黄水自出，效。令病患吸之。
又方 治黄胆身眼皆如金色。修合不可令妇人、鸡、犬见之。取东引桃枝一握，细切，
用水二钟，煎至半，空
心服。服后三五日，其黄离离如薄云渐散。唯眼最后瘥，百日方平复。身黄渐散后，可时饮
[Danxi] The five types of jaundice need not be distinguished; they are all caused by damp-heat, similar to the fermentation of yeast. For mild cases, use Xiaowenzhong Wan (Minor Warming Middle Pill). For severe cases, use Dawenzhong Wan (Major Warming Middle Pill). If heat is predominant, add Huangqin (Scutellariae Radix) and Lianlian (Coptidis Rhizoma). If dampness is predominant, use Yinchen Wuling San (Artemisiae Scopariae and Five-Ingredient Poria Decoction) combined with herbs for food stagnation. If damp-heat damages stomach qi, and purgatives cause diarrhea, use Renshen (Ginseng Radix et Rhizoma), Yinchen (Artemisiae Scopariae Herba), Shanzhi (Gardeniae Fructus), and Gancao (Glycyrrhizae Radix et Rhizoma).
[Zhongjing] In all cases of jaundice, promoting urination is the primary treatment. If the pulse is floating, release the exterior through sweating; Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragalus) is appropriate. Gu Dan (Grain Jaundice) presents with aversion to cold, fever, anorexia, dizziness upon eating, and mental unease; if it persists and causes yellowing, it is Gu Dan, treated with Yinchenshao Tang (Artemisiae Scopariae and Rhubarb Decoction). For general jaundice, Yinchens Wuling San (Artemisiae Scopariae and Five-Ingredient Poria Decoction) is indicated. (Both formulas are found in Shanghan Lun.)
[Luo Tianyi] Fuling Chushi Tang (Poria Decoction for Removing Dampness) treats jaundice with qi-heat, vomiting, thirst with desire for cold drinks, yellowing of the body and face, difficult urination, inability to lie down comfortably, and lack of appetite.
Baifuling (Poria) (5 fen), Zexie (Alismatis Rhizoma) (3 fen), Yinchenshao (Artemisiae Scopariae Herba) (6 fen), Zhuling (Polyporus) (3 fen), Huangqin (Scutellariae Radix, raw), Lianlian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus), Fangji (Stephaniae Tetrandrae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride) (2 fen each).
Chop the herbs, decoct in water, and take on an empty stomach.
Wanyan Zhengqing, due to official duties and overwork, irregular diet, heart fire invading the spleen, and spleen qi deficiency, further injured by anger causing qi rebellion damaging the liver, developed epigastric fullness and stuffiness, fatigue in the four limbs, and body numbness. This progressed to yellowing of the body and eyes, slightly greenish, dark complexion, mental restlessness, palpitations, nausea with foul foam in the mouth, indigestion, passage of undigested food, oliguria with dark red-black urine, fever between Chen and Si hours (7-11 AM) resolving at dusk, worsening in April. His pulse was floating and moderate. The *Jingui Yaolue* states: "Floating pulse at Cun indicates wind, moderate pulse indicates Bi syndrome; Bi is not wind-stroke, but limbs suffer from vexation, spleen color turns yellow, stasis-heat has moved." Tight pulse at Fuyang with dizziness after eating indicates spleen injury; wind-cold combusting, grain qi fails to digest, stomach becomes turbid, turbid qi does not flow, urination stops, yin is affected by cold, heat flows into the bladder, body turns yellow, named Gu Dan. Treat with Yinchenshizi Tang (Artemisiae Scopariae and Gardeniae Decoction).
Yinchen (Artemisiae Scopariae Herba) (1 qian), Fuling (Poria) (5 fen), Shanzhiren (Gardeniae Fructus), Cangzhu (Atractylodis Rhizoma, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian each), Huangqin (Scutellariae Radix, raw, 6 fen), Lianlian (Coptidis Rhizoma), Zhishi (Immature Bitter Orange Fruit, stir-fried), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fangji (Stephaniae Tetrandrae Radix) (2 fen each), Qingpi (Citri Reticulatae Pericarpium Viride) (1 fen).
Chop, decoct once in long-flowing water, take warm before meals. Two doses will cure. Shanzhi and Yinchen clear damp-heat and resolve jaundice, serving as Sovereign herbs. Zhishi is bitter and cold, draining epigastric fullness; Lung governs Qi, heat damaged Qi causing numbness, so Huangqin clears fire and tonifies Qi as Minister. Ershu (Baizhu and Cangzhu) are bitter, sweet, and warm; Qingpi is bitter, pungent, and warm, clearing stomach damp-heat, draining stagnation, and nourishing righteous Qi. Fangji is bitter and cold, removing stagnant dampness from the twelve meridians. Zexie is salty and neutral; Fuling and Zhuling are sweet and neutral, guiding damp-heat from the bladder, promoting urination, and relieving oliguria.
[Danxi] To treat jaundice with deficient pulse and red urine, these five formulas are indicated; they are effective for deficiency patterns.
Baizhu (Atractylodis Macrocephalae Rhizoma) (1 liang), Renshen (Ginseng Radix et Rhizoma), Zhuling (Polyporus), Yinchenshao (Artemisiae Scopariae Herba) (half liang each), Zexie (Alismatis Rhizoma) (7 qian), Shanzhi (Gardeniae Fructus, stir-fried), Mutong (Akebiae Caulis) (3 qian), Guizhi (Cinnamomi Ramulus).
A woman, aged 28, yellowed, with a choppy pulse, amenorrhea, bone marrow fatigue, and nulliparity.
Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Mutong (Akebiae Caulis) (1 liang each), Huangqin (Scutellariae Radix), Guitou (Angelicae Sinensis Radix), Danpi (Moutan Cortex) (half liang each), Gancao (Glycyrrhizae Radix et Rhizoma) (1 qian).
Divide into 12 doses. Decoct in water, take hot before meals.
*[Qianjin Fang]* To treat jaundice, crush wheat, extract juice, drink 6-7 he, 3-4 times day and night until cured.
*[Zhongjing]* For various jaundices, use half a jin of pig fat and three pieces of tangled hair the size of a chicken egg. Boil the hair in the fat until dissolved, divide into two doses. The pathogen exits via urination.
[Li Gao] Shendan Tang (Kidney Jaundice Decoction) treats Kidney Jaundice with yellow eyes, golden skin, and red, difficult urination.
Shengmagen (Cimicifugae Rhizoma), Qianghuogen (Notopterygii Rhizoma et Radix) (1 qian), Fangfengen (Saposhnikoviae Radix), Duhuogen (Angelicae Pubescentis Radix) (0.5 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma), Chaihu (Bupleuri Radix), Cangzhu (Atractylodis Rhizoma) (1 qian), Zhuling (Polyporus) (1 fen), Zexie (Alismatis Rhizoma) (3 fen), Bai Fuling (Poria), Gegen (Puerariae Lobatae Radix) (0.5 qian), Gancaogen (Glycyrrhizae Radix et Rhizoma) (3 fen), Huangbai (Phellodendri Cortex) (2 fen), Renshen (Ginseng Radix et Rhizoma), Shenqu (Massa Medicata Fermentata) (6 fen each).
Divide into 2 doses, decoct in water, take slightly warm before meals.
[Zhongjing] Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragalus) treats jaundice with floating pulse and harmonious abdomen; sweating is appropriate. If there is abdominal fullness, desire to vomit, and mental vexation without harmony, induce vomiting; do not sweat.
Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix Alba) (3 liang each), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang), Shengjiang (Zingiberis Rhizoma Recens) (3 liang), Dazao (Zizyphi Fructus) (12 pieces), Huangqi (Astragali Radix) (2 liang).
Decoct in white water, take hot. Drink hot porridge shortly after to assist the medicine's power; aim for slight sweating. If no sweat, take again.
[Danxi] Treating a 20-year-old who contracted jaundice from labor and rain exposure. Symptoms: sore legs, palpitations, bitter taste, weakness, yellow urine, floating and rapid pulse.
The disease is in the exterior; release the exterior.
Huangqi (Astragali Radix) (3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma) (1 qian each), Chenpi (Citri Reticulatae Pericarpium), Suye (Perillae Folium), Mutong (Akebiae Caulis) (5 fen), Shanzhi (Gardeniae Fructus, stir-fried, 2 pieces), Gancaoshao (Glycyrrhizae Radix et Rhizoma tip) (some).
Decoct in white water. Take together with Baohe Wan (Preserve Harmony Pill) 15 pills, Dian Yiqing Wan (Suppress Green Pill) 10 pills, and Wenzhong Wan (Warm Middle Pill) 20 pills.
[Zhongjing] Mahuang Chunjiu Tang (Ephedra and Mellow Wine Decoction) treats jaundice.
Use Mahuang (Ephedrae Herba) 3 liang, boil in 5 sheng of good clear wine to obtain 2.5 sheng, take all at once. In winter, boil with wine; in spring, boil with water. Jiudan (Wine Jaundice) may have no heat, clear speech, abdominal fullness, desire to vomit, dry nose. If pulse is floating, vomit first; if sinking and string-taut, purge first. For Jiudan with heart heat and desire to vomit, vomiting cures it. (For Yin pattern with desire to vomit, Han Shi uses Chenpi Tang or Lizhong Tang.)
Gudai Tang (Melon Sprout Decoction) treats all jaundices.
Use Gudai (Cucumeritis Fructus) 14 pieces, boil in 1 sheng water to obtain 5 he, remove dregs, take at once.
*[Bai Yi Xuan Fang]* To treat jaundice. Roast Lilu (Veratrum nigrum) in ashes until slightly discolored, grind to powder. Take half a qian bi with water. If urination is difficult, take multiple doses.
[Zi He] Cai's daughter had jaundice with generalized edema, golden face and eyes, fatigue, anorexia, craving raw foods and ash.
First, use bitter emetics made from steamed dough balls to vomit one bowl of phlegm; then use Zhouche Wan (Boat Vehicle Pill) and Tongjing San (Unblocking Meridians Powder) to purge five to seven motions of black stool-like matter; then use Daoyin Wan (Guiding Drink Pill) to grind away food stagnation and qi constraint. Within a few days, she recovered completely.
Li Qilao had Yongshui Syndrome (Surging Water Syndrome): yellow face, asthma, swollen feet that pit and rebound, gurgling sound when walking, constant thirst, inability to sleep. Dai Ren induced vomiting to remove phlegm and sweating; then used Zhouche Wan and Xunchuan San to purge; then Yishen San to purge again; then agents to separate Yin/Yang and promote water pathways to purge again. All suffering ceased.
Above, if pulse is floating and abdomen is unharmonious, use vomiting.
[Zhongjing] To treat Jiudan (Wine Jaundice): mental vexation or heat pain, treat with Zhizi Dahuang Tang (Gardeniae and Rhubarb Decoction).
Shanzhi (Gardeniae Fructus) (14 pieces), Dahuang (Rhei Radix et Rhizoma) (2 liang), Zhishi (Immature Bitter Orange Fruit) (5 pieces), Douchi (Fermented Soybean) (1 sheng).
Four ingredients, boil in 3 sheng water to obtain 2 sheng, take warm in three doses.
Jaundice with abdominal fullness, difficult and red urination, spontaneous sweating. This is exterior harmony and interior excess; purge it. Use Dahuang Xiaoshi Tang (Rhubarb and Niter Decoction).
Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex), Xiaoshi (Natrii Sulfas) (4 liang each), Zhizi (Gardeniae Fructus) (15 pieces).
Decoct in water; near completion, add Xiaoshi and take at once.
The Master said: Jaundice with fever, vexation, panting, chest fullness, and dry mouth results from using fire methods to force sweating during onset, combining two heats. However, jaundice arises from dampness; whole-body heat, yellow face and belly heat indicate interior heat, which must be purged.
[Luo Tianyi] Huanglian San (Coptis Powder) treats jaundice with constipation and internal heat obstruction; highly effective.
Huanglian (Coptidis Rhizoma) (2 liang), Dahuang (Rhei Radix et Rhizoma, vinegar-mixed, stir-fried, 2 liang), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1 liang each).
Grind to fine powder. Take 2 qian with warm water after meals, three times daily. First, use Gudai San (Melon Sprout Powder) insufflated into nose to drain yellow fluid, then take this medicine. (Gudai San is in Miscellaneous Formulas.)
[Sun Simiao] To treat jaundice with yellow skin, golden-red eyes, and red urine. Use Qinjiao (Gentianae Macrophyllae Radix) 5 liang, cow milk 3 sheng, boil to 1 sheng, remove dregs, add Mangxiao (Natrii Sulfas) 1 liang and take. (Xiao Bing says: Qinjiao treats Jiudan.)
[Zi He] Zhao Junyu of Anxi had jaundice with generalized yellowing. Doctors claimed it was Yangming pattern. You and Mazhi Ji studied under Zhang Dai Ren and discuss taking Dahuang; hard to discuss illness with you. Junyu returned displeased, suspected no other illness, took Sanhua Shenyao Wan (Three-Flower Divine Protection Pill) 80 pills, no effect. He realized his damp-heat was severe; even this pill failed. He took Zhouche Wan and Xunchuan San, purging one dou of hardened stool, yellow resolved overnight. He trusted Dai Ren's skill more.
Above, if pulse is sinking and abdomen is unharmonious, use purging.
[Zhongjing] For all jaundices with abdominal pain and vomiting, use Xiaochaihu Tang (Minor Bupleurum Decoction). (Formula in Shanghan Lun.)
[Sun Simiao] To treat jaundice. Use Chaihu (Bupleuri Radix) 1 liang (remove sprouts), Gancao (Glycyrrhizae Radix et Rhizoma) 1 fen (fine cut), as one dose. Boil in one bowl of water with one handful of Baimaogen (Imperatae Rhizoma) to 70%, remove dregs, take anytime.
For all jaundices, difficult urination indicates interior excess; promote urination or purge. No sweating indicates exterior excess; sweat or vomit. (Methods see Table/Interior Jaundice sections.) For men with yellowing and spontaneous loose stools, give Xujianzhong Tang (Minor Construct the Middle Decoction) for deficiency consumption. (Formula in Shanghan Lun.)
[Hai Zang] Internal contraction of cold-heat, physical labor, irregular diet, middle jiao turning cold, generates jaundice. Not external contraction; only Jianzhong Tang, Lizhong Tang, or Dajianzhong Tang are sufficient; Yinchen is unnecessary.
[Zhongjing] Treating a 60-year-old woman with chills and tremors (Foot Taiyang Cold Water); yawning/sneezing (Foot Shaoyang Gallbladder); insufficient saliva (Foot Yangming deficiency); epigastric pain and jaundice (Hand Shaoyin cold, Foot Shaoyin blood stasis); body heat seeking fire (heat in skin, cold in bone); umbilical cold (Dantian cold); generalized and eye yellowing (cold-damp). Other symptoms confirm cold; dark red-black frequent urination confirms cold-damp excess. Heavy body like mountain, bed-bound indicates Yin-damp excess. Pulse: Right Guan/C/Mingmen string-taut and fine, pressing reveals surging/string-taut; string-taut/tight indicates cold, fine indicates Northern Cold Water. Mixed with excessive moderate indicates dampness producing yellow. Surging pulse indicates Heart Fire constrained. Left hand pressing to bone, returning solid indicates Ren/Gui Kidney prosperity. Six pulses void when pressed indicate Lower Jiao Yang deficiency. Treatment: Light agents to remove cold-damp, reduce surging pulse. Use Lizhong Jia Fuling Tang (Poria Decoction added to Lizhong Tang). (Note: Though urine is red, treat as cold based on other signs/pulse.)
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Fuling (Poria).
Decoct, serve cold ("Heat by Cold" method). Counter Taiyang false heat with false cold; Ganjiang pungent-hot drains Bladder true qi. True matches true, false matches false. If ineffective, use Shufu Tang (Atractylodes and Aconite Decoction).
[Luo Tianyi] Yin Jaundice Case Study: June, Bingyin year. Continuous rain, damp epidemic. Han Junxiang of Zhending, overworked, drank cold tea, ate cold food. Headache, limb pain, heavy body, chest fullness, anorexia. Self-diagnosed external contraction. Used Tongsheng San twice, worsened. Doctor used Baijiesan to sweat. Four days later, Xiaochaihu Tang twice, added irritability. Six days later, Sanyi Chengqi Tang purged, extreme dry thirst. Added Baihu Jia Renshen Tang, Chaihu Yin, condition worsened. Changed doctor: Huanglian Jiedu Tang, Zhusha Gao, Zhibao Dan. After 17 days, condition worsened, developed yellow eyes/body, heavy limbs, back aversion to cold, cold skin, epigastric hardness/pain, gritty eyes, reluctance to speak, spontaneous sweating, free urination, incomplete bowel movements. I diagnosed tight/fine pulse, void on pressure, short Cun pulses. Cause: Heat season, cold drinks, excessive cold medicines, water attacking Heart, insulting Earth, imprisoning Mother, oppressing Son. Classic: Oppress invincible, attack victorious. Rain/cold-damp combine, Yin pattern jaundice. I used Yinchens Fuzi Ganjiang Tang (Artemisiae Scopariae, Aconite, and Ginger Decoction). Classic: Cold within, treat with sweet-hot, assist with bitter-pungent. Dampness excess, level with bitter-hot, leach with bland, dry with bitter. Fuzi/Ganjing pungent-sweet-hot scatter middle cold (Sovereign). Banxia/Caokou pungent-hot, Baizhu/Chenpi bitter-sweet-warm strengthen spleen/dry damp (Minister). Shengjiang pungent-warm scatters, Zexie bland-neutral leaches, Zhishi bitter-mild-cold drains fullness, Yinchen bitter-cold light floats, assisted by Jiang/Fu removes cold-damp from skin/subcutaneous tissue to resolve jaundice (Assistant/Envoy). One dose halved symptoms, two doses removed them. Followed by Lizhong Tang several doses, Qi restored. Objection: Jaundice is usually heat; now summer heat, why hot medicine? Answer: Reasonable. Cheng Wuji: Yin patterns: 1. External cold invading Yin meridians or cold food injuring Taiyin; 2. Initial Yang pattern treated with cold, excessive cold transforms Yang to Yin. Junxiang: Summer heat, cold food injures Spleen, excessive cold meds, Yin excess, Yang depletion, rain/cold-damp combine, produces jaundice. Zhongjing: Seek in cold-damp. Li Sishun: Sweating with excessive cold, purging harming ruler while chasing bandits. Sages' rules cannot be violated.
Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peeled, 3 qian), Ganjiang (Zingiberis Rhizoma, roasted, 2 qian), Yinchenshao (Artemisiae Scopariae Herba) (1.2 qian), Baizhu (Atractylodis Macrocephalae Rhizoma) (4 fen), Caokou (Cardamomi Fructus, baked, 1 qian), Bai Fuling (Poria) (3 fen), Zhishi (Immature Bitter Orange Fruit, bran-fried), Banxia (Pinelliae Rhizoma Praeparatum), Zexie (Alismatis Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum) (0.5 qian each), Juhong (Citri Reticulatae Pericarpium Rubrum) (3 fen).
Add 5 slices Shengjiang, decoct in water, remove dregs, take cool.
[Hua Shou] Yangrong Tang (Nourish Ying Decoction) treats five jaundices. Weak legs, palpitations, bland taste, tinnitus, slight chills/fever, rapid breathing, cloudy white urine. Treat as deficiency consumption.
Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenpi (Citri Reticulatae Pericarpium), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix et Rhizoma) (1 liang each), Shaoyao (Paeoniae Radix Alba) (3 liang), Shudi (Rehmanniae Radix Preparata), Wuweizi (Schisandrae Fructus), Fuling (Poria) (3 qian each), Yuanzhi (Polygalae Radix, remove heart, 0.5 liang).
Take 4 qian per dose, decoct with Ginger/Jujube, take on empty stomach.
Above treats Deficiency-Cold Jaundice.
[Danxi] Treating woman with chronic labor, yellow face, palpitations, bitter taste, non-yellow spontaneous loose stools, poor appetite, Right pulse larger than Left. Deficiency with dampness.
Baizhu (Atractylodis Macrocephalae Rhizoma), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix) (5 qian each), Huangqi (Astragali Radix), Huangqin (Scutellariae Radix), Fuling (Poria), Renshen (Ginseng Radix et Rhizoma) (3 qian each), Chenpi (Citri Reticulatae Pericarpium) (1.5 qian), Huanglian (Coptidis Rhizoma) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen).
Divide into 6 doses. Take Baohe Wan and Wenzhong Wan 20 pills each.
[Li Gao] Buzhong Tang (Tonify Middle Decoction) treats yellow face, profuse sweating, red eyes, heavy limbs, reduced appetite, intermittent abdominal pain, cough. Left pulses short, Right pulses string-taut/fine/choppy, Right Guan pulse deficient.
Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (2 qian each), Guishen (Angelicae Sinensis Radix Radix) (2 fen), Cangzhu (Atractylodis Rhizoma) (5 fen), Zexie (Alismatis Rhizoma) (4 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 8 fen), Wuweizi (Schisandrae Fructus) (21 grains), Huangqi (Astragali Radix) (2.5 qian), Shenqu (Massa Medicata Fermentata) (3 fen), Honghua (Carthami Flos) (little), Damaiqu (Hordei Fructus Germinatus Massa Medicata Fermentata) (5 fen).
Make 2 doses, decoct in water, before meals.
Above two formulas treat Deficiency-Heat Jaundice.
[Zhongjing] Jaundice with unchanged urine color, desire for loose stools, abdominal fullness, panting. Do not clear heat; clearing heat causes hiccups. Treat with Xiaobanxia Tang (Minor Pinellia Decoction). (Formula in Vomiting section. Unchanged urine means no heat in middle, thus clear/white, no heat to clear.) All jaundices with white urine cannot clear heat because there is no heat. If deficiency-cold signs exist, treat as deficiency consumption.
All jaundices with yellow-red urine are damp-heat. (Methods see Table/Interior/Deficiency Jaundice sections.)
[Yan Yonghe] Gudans Wan (Grain Jaundice Pill) specifically treats Gu Dan.
Kushen (Sophorae Flavescentis Radix) (3 liang), Longdancao (Gentianae Radix) (1 liang), Niudan (Ovis Fellis Cystis) (1 piece).
Grind to powder, mix with ox bile and little honey to make pills. Take on empty stomach with Ginger soup or Licorice soup.
Gegen Tang (Pueraria Decoction) treats Jiudan (Wine Jaundice).
Gegen (Puerariae Lobatae Radix) (1 liang), Zhishi (Immature Bitter Orange Fruit, stir-fried), Shanzhi (Gardeniae Fructus), Douchi (Fermented Soybean) (1 liang each), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 0.5 liang).
Decoct in white water, take warm anytime.
*[Waitai Miyao]* To treat jaundice. Boil Liu Zhi (Salix Branches) in water, concentrate juice, drink.
*[Neijing]* Treat Severe Yellow of Five Colors. Mix Shandougen (Tephrosiae Radix) powder 2 qian with water, take on empty stomach.
Climate-related jaundice belongs to damp-heat. Classic: When Shaoyin governs Heaven, fourth Qi, humid heat arrives, people suffer jaundice. Also: When Jueyin governs Heaven, fourth Qi, humid heat combines, people suffer jaundice and swelling.
[Luo Tianyi] Chubi Gudai San (Insufflated Melon Sprout Powder) treats jaundice with golden body; highly effective.
Gudai (Cucumeritis Fructus) (2 qian), Mudingxiang (Styracis Benzoin Resina), Shumi (Panicum miliaceum) (49 grains), Chixiaodou (Phaseoli Semen Rubrum) (5 fen).
Grind to fine powder. Each night before sleep, hold a mouthful of water, insufflate half character into both nostrils, then sleep. Next morning, yellow fluid drains, then take Huanglian San. Mild case effective in 5 days, severe in half month. (Huanglian San seen in Constipation/Diarrhea sections.)
*[Shengji Zonglu]* To treat golden body. Use 49 Gudai (Collected June 6), 49 Dingxiang (Caryophylli Flos), burn in earthen pot until smoke ceases, grind fine. Children: half character insufflated in nose/wiped teeth; Adults: one character insufflated in nose, immediate cure.
*[Lei Yao]* To treat jaundice. Use Ku Hulu Rang (Bottle Gourd Pulp) size of large date, 4 pieces, soak in child's urine for 3 liang time, take date-sized pieces, insert into both nostrils, yellow fluid drains spontaneously. Patient inhales.
Another Formula: To treat jaundice with golden body/eyes. Preparation must not be seen by women, chickens, dogs. Take Dongyin Tao Zhi (East-growing Peach Branch) one handful, finely cut, boil in 2 zhong water to half, take on empty stomach. After 3-5 days, yellow fades like thin clouds. Eyes heal last, fully recovered in 100 days. After body yellow fades, can occasionally drink...