（见水气病中）
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师曰：病黄疸，发热、烦喘、胸满、口燥者，以病发时，火劫其汗，两热相得，然黄
家所得，从湿得之，一身尽发热而黄，肚热，热在里，当下之。
【注】
此详申黄疸误用火汗之为病也。病疸者，湿热也。今湿淫于内，则胸满烦喘；热淫于
内，则发热口燥。若病发时，复以火劫其汗，则为两热相合。盖黄家所得，由湿得之
，则一身必尽热，而身面即发黄也。今因火劫误汗而发黄，虽有表热，则不当汗也，
但扪其肚热，其热在里，当下之以去其热也。
【集注】程林曰：湿淫于内，则烦喘胸满；热淫于内，则发热口燥；复以火迫劫其汗
，反致两热相搏。殊不知黄家之病，必得之湿热瘀于脾土，故一身尽发热而黄，正以
明火劫之误也。若肚有热，则热在腹，可下之，以去其湿热。
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黄疸腹满，小便不利而赤，自汗出，此为表和里实，当下之，宜大黄硝石汤。
【注】
此承上条，互详其证，以明其治也。腹满小便不利而赤，是热在里，其人自汗出，此
为表和里实也，宜大黄硝石汤下之。
大黄 黄蘖 硝石各四两 栀子十五枚
右四味，以水六升，煮取二升，去滓，内硝更煮，取一升，顿服。
【集注】
李□曰：腹满小便不利而赤，里病也。自汗出，表和也。里病者，湿热内甚，用栀子
清上焦湿热，大黄泻中焦湿热，黄蘖清下焦湿热，硝石则于苦寒泻热之中，而有燥烈
发散之意，使药力无所不至，而湿热悉消散矣。
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黄疸病，茵陈五苓散主之。（一本云：茵陈汤及五苓散并主之）
【按】
黄疸病之下，当有「小便不利者」五字，茵陈五苓散方有□落，必传写之遗。
【注】
黄疸病，脉沉腹满在里者，以大黄硝石汤下之；脉浮无汗在表者，以桂枝加黄耆汤汗
之；小便不利者，不在表里，故以茵陈五苓散主之。
(This clause is found in the chapter on Water Qi Disease.)
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The Master said: In cases of Jaundice (Huangdan, 黄疸), where there is fever (Fare, 发热), irritability and panting (Fan Chuan, 烦喘), chest fullness (Xiong Man, 胸满), and dryness of the mouth (Kou Zao, 口燥), it is because when the disease manifested, fire therapy was used to forcibly induce sweating. This caused the external fire and internal heat to combine. However, Jaundice is primarily obtained through dampness (Shi, 湿). If the whole body is hot and yellow, with heat in the abdomen indicating that the heat is interior, purgation (Xia, 下) should be employed.
[Annotation]
This elaborates on the pathology resulting from the erroneous use of fire-induced sweating in Jaundice. Jaundice involves damp-heat (Shi Re, 湿热). When dampness overflows internally, it causes chest fullness, irritability, and panting; when heat overflows internally, it causes fever and dry mouth. If, upon onset, fire is used to force sweating, the two heats merge. Generally, Jaundice arises from dampness, leading to generalized heat and subsequent yellowing of the skin and face. Since the yellowing here results from erroneous fire-induced sweating, although there is exterior heat, sweating is contraindicated. By palpating abdominal heat, we confirm the heat is interior, thus requiring purgation to clear the heat.
[Collected Annotations] Cheng Lin stated: Dampness overflowing internally causes irritability, panting, and chest fullness; heat overflowing internally causes fever and dry mouth. Forcing sweat with fire leads to the clashing of two heats. It is unknown that Jaundice stems from damp-heat stagnating in the Spleen Earth, causing generalized heat and yellowing, clearly demonstrating the error of fire therapy. If there is heat in the abdomen, the heat is in the Fu organs, and purgation can be used to eliminate damp-heat.
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In Jaundice with abdominal fullness, difficult and dark red urination, and spontaneous sweating, this indicates the exterior is harmonious while the interior is excess (Biao He Li Shi, 表和里实). Purgation is indicated, preferably using Da Huang Xiao Shi Tang (Rhubarb and Niter Decoction).
[Annotation]
This follows the previous clause, detailing symptoms to clarify treatment. Abdominal fullness and difficult, dark red urination indicate interior heat. Spontaneous sweating indicates the exterior is resolved and the interior is excess. Da Huang Xiao Shi Tang should be used for purgation.
Da Huang (Rhei Radix et Rhizoma), Huang Bo (Phellodendri Cortex), Xiao Shi (Natri Sulfas): each 4 liang; Zhi Zi (Gardeniae Fructus): 15 pieces.
These four ingredients are boiled in 6 sheng of water to obtain 2 sheng of decoction. The dregs are removed, Niter (Xiao Shi) is added, and it is boiled again to obtain 1 sheng. Take all at once.
[Collected Annotations] Li [Name missing] stated: Abdominal fullness and difficult, dark red urination are signs of interior disease. Spontaneous sweating indicates the exterior is harmonious. For interior disease caused by severe damp-heat, Zhi Zi clears damp-heat in the Upper Jiao, Da Huang drains damp-heat in the Middle Jiao, Huang Bo clears damp-heat in the Lower Jiao, and Xiao Shi possesses a drying and dispersing quality within its bitter-cold heat-draining action, ensuring medicinal power reaches everywhere so that damp-heat dissipates completely.
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For Jaundice, Yin Chen Wu Ling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria) is the primary formula. (Another version states: Yin Chen Tang and Wu Ling San are both applicable.)
[Note]
After "Jaundice," the phrase "with difficult urination" (Xiao Bian Bu Li, 小便不利) should appear. There are omissions in the formula for Yin Chen Wu Ling San, likely due to transcription errors.
[Annotation]
For Jaundice, if the pulse is deep and there is abdominal fullness indicating an interior condition, Da Huang Xiao Shi Tang is used for purgation. If the pulse is floating and there is no sweating indicating an exterior condition, Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction plus Astragalus) is used for diaphoresis. If there is difficult urination, the condition is neither purely exterior nor interior, so Yin Chen Wu Ling San is the primary treatment.