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2. If jaundice persists for more than ten days and the condition worsens, with a complexion resembling smoke-stained darkness, dull and bluish eyes, wheezing and chest fullness, thirst, restlessness, and a sensation of heart pain as if consuming garlic, darkened complexion, and cold sweating, or if it is caused by epidemic pathogens causing yellowing, these are critical signs.
[Note] Zhang Zhongjing stated: For jaundice disease, eighteen days should be taken as the prognosis period; treatment within ten days should lead to recovery. If the condition worsens instead, it is difficult to treat. A complexion resembling smoke-stained darkness and dull, bluish eyes indicate a fatal syndrome of Yang Jaundice (Yang Huang). Darkened complexion, persistent wheezing, chest fullness, thirst, and restlessness, along with heart pain resembling the stinging sensation after eating garlic, indicate that the jaundice toxin has entered the abdomen, which is a fatal syndrome. Darkened complexion accompanied by cold sweating indicates a fatal syndrome of Yin Jaundice (Yin Huang). Yellowing caused by epidemic pathogens is called Plague Jaundice (Wen Huang), which causes death most rapidly and violently.
Mahuang Yinchen Chunjiu Tang (Ephedra and Artemisia Decoction in Mellow Wine) Yinchenshao Tang (Artemisia Decoction with Coptis and Rhubarb) Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) Yinchen Wuling San (Artemisia and Five-Ingredient Powder with Poria)

3. For exterior excess with no sweating, use Mahuang Yinchen Jiu (Ephedra and Artemisia in Wine); for interior excess with constipation, use Yinchen Zhi Dahuang (Artemisia, Gardenia, and Rhubarb); for cases without exterior or interior syndromes, use Yinchen Zhizi Bopi (Artemisia, Gardenia, and Phellodendron Bark); for scanty urination, use Yinchen Wuling Tang (Artemisia and Five-Ingredient Powder with Poria Decoction).
[Note] For various types of jaundice presenting with exterior excess and no sweating, decoct Ephedrae Herba (Mahuang, 麻黄) and Yinchen Hao (Artemisiae Scopariae Herba, 茵陈蒿) in good wine free of dregs, and administer to induce sweating. For interior excess with constipation, administer Artemisiae Scopariae Herba (Yinchen, 茵陈), Gardeniae Fructus (Zhizi, 栀子), and Rhei Radix et Rhizoma (Dahuang, 大黄) to purge downward. For cases lacking both exterior and interior syndromes, clear heat using Artemisiae Scopariae Herba (Yinchen, 茵陈), Gardeniae Fructus (Zhizi, 栀子), and Phellodendri Cortex (Bapi, 柏皮). For scanty urination, promote diuresis using Yinchen Wuling San (Artemisia and Five-Ingredient Powder with Poria).
Weidanz Tang (Stomach Jaundice Decoction)

4. For Grain Jaundice (Gu Dan) with heat-excess, purgation is appropriate; for non-excess patterns, Weidanz Tang (Stomach Jaundice Decoction) is indicated. This formula consists of Yinchen Wuling San (Artemisia and Five-Ingredient Powder with Poria) minus Gancao (Licorice Root) and Houpo (Magnolia Bark), plus Lianzuo (Coptidis Rhizoma, 黄连), Zhizi (Gardeniae Fructus, 栀子), Fangji (Stephaniae Tetrandrae Radix, 防己), Gegen (Puerariae Radix, 葛根), and Qinjiao (Gentianae Macrophyllae Radix, 秦艽).
[Note] Weidanz Tang (Stomach Jaundice Decoction) comprises Artemisiae Scopariae Herba (Yinchen, 茵陈), Atractylodis Rhizoma (Cangzhu, 苍术), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Poria (Fuling, 茯苓), Polyporus (Zuling, 猪苓), Alismatis Rhizoma (Zexie, 泽泻), Coptidis Rhizoma (Lianzuo, 黄连), Gardeniae Fructus (Zhizi, 栀子), Stephaniae Tetrandrae Radix (Fangji, 防己), Puerariae Radix (Gegen, 葛根), and Gentianae Macrophyllae Radix (Qinjiao, 秦艽).
Yinchen Jiecheng Tang (Artemisia Relieving Intoxication Decoction) Zhizi Dahuang Tang (Gardenia and Rhubarb Decoction) Manjing San (Brassica Seed Powder) Jiawei Yupingfeng San (Modified Jade Windscreen Powder)

5. For alcoholic jaundice with deficiency, use Yinchen Jiecheng Tang (Artemisia Relieving Intoxication Decoction); for excess, use Zhizi Dahuang Tang (Gardenia and Rhubarb Decoction) with Zhishi (Immature Bitter Orange). For Yellow Sweat, use a single herb, Manjingzi (Brassicae Semen, 蔓菁子), ground into fine powder, two qian per dose, three times daily, taken with well water drawn at dawn; recovery is indicated when urine turns white. Alternatively, use Jiawei Yupingfeng San (Modified Jade Windscreen Powder), consisting of Shigao (Gypsum Fibrosum, 石膏), Yinchen (Artemisiae Scopariae Herba, 茵陈), Huangqi (Astragali Radix, 黄芪), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术), and Fangfeng (Saposhnikoviae Radix, 防风).
[Note] For alcoholic jaundice with deficiency, use Yinchen Jiecheng Tang (Artemisia Relieving Intoxication Decoction), which is Gehua Jiecheng Tang (Pueraria Flower Relieving Intoxication Decoction) plus Artemisiae Scopariae Herba (Yinchen, 茵陈). For excess patterns, use Zhizi Dahuang Tang (Gardenia and Rhubarb Decoction), comprising Gardeniae Fructus (Zhizi, 栀子), Sojae Preparata Semen (Danshi, 淡豆豉), Aurantii Immaturus Fructus (Zhishi, 枳实), and Rhei Radix et Rhizoma (Dahuang, 大黄). Yellow sweat is best treated with Brassicae Semen (Manjingzi, 蔓菁子) alone, ground into fine powder, administered two qian per dose, three times daily, mixed with well water drawn at dawn; healing occurs when urine becomes white. One may also use Jiawei Yupingfeng San (Modified Jade Windscreen Powder), composed of Gypsum Fibrosum (Shigao, 石膏), Artemisiae Scopariae Herba (Yinchen, 茵陈), Astragali Radix (Huangqi, 黄芪), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), and Saposhnikoviae Radix (Fangfeng, 防风).
Shigao San (Gypsum Powder) Shendan Tang (Kidney Jaundice Decoction)

6. For Kidney Jaundice (Nü Lao Dan) with excess, use Shigao San (Gypsum Powder) with Huashi (Talcum) and Damai (Hordeum Vulgare); for Kidney Jaundice with deficiency, treat with Shendan Tang (Kidney Jaundice Decoction). The latter is derived from Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction) minus Shaoyao (Paeoniae Radix), adding Huangqin (Scutellariae Radix, 黄芩), Huangbai (Phellodendri Cortex, 黄柏), Shenqu (Medicated Leaven), and all components of Siling San (Four-Ingredient Powder with Poria).
[Note] Shigao San (Gypsum Powder) consists of equal parts Gypsum Fibrosum (Shigao, 石膏) and Talcum (Fei Huashi, 飞滑石), two qian per dose, taken with Hordeum Vulgare (Damai, 大麦) decoction. Shendan Tang (Kidney Jaundice Decoction) is Shengyang Sanhuo Tang (Ascending Yang and Dispersing Fire Decoction) minus Paeoniae Radix (Shaoyao, 芍药), comprising Cimicifugae Rhizoma (Shengma, 升麻), Atractylodis Rhizoma (Cangzhu, 苍术), Saposhnikoviae Radix (Fangfeng, 防风), Angelicae Dahuricae Radix (Duohuo, 独活), Bupleuri Radix (Chaihu, 柴胡), Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Puerariae Radix (Gegen, 葛根), Ginseng Radix (Renshen, 人参), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), plus Scutellariae Radix (Huangqin, 黄芩), Phellodendri Cortex (Huangbai, 黄柏), Medicated Leaven (Shenqu, 神曲), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Poria (Fuling, 茯苓), Polyporus (Zuling, 猪苓), and Alismatis Rhizoma (Zexie, 泽泻).