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Coptidis Rhizoma powder (Yinchen Hao Mo) 10 parts, Wuling San (Five-Ingredient Powder with Poria) 5 parts (formula see in Phlegm-Fluids section).
Mix the above two ingredients. Take one fangcun bi (a square-inch measure) with warm water before meals, three times a day.

[Collected Explanations]
You Yi stated: This is the correct treatment method for jaundice caused by damp-heat. Yinchen disperses heat stagnation, and Wuling San promotes the drainage of dampness stasis.

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In jaundice disease, if the urine color remains unchanged, there is a desire for spontaneous diarrhea, abdominal fullness, and wheezing, heat-clearing methods must not be used. If heat is cleared forcibly, hiccups (yue) will inevitably occur; hiccups are primarily treated with Xiaobanxia Tang (Minor Ginger and Pinellia Decoction).

[Annotation]
In jaundice disease, urine should be reddish; now it is not red but white, and there is a desire for spontaneous diarrhea. Although there is abdominal fullness and wheezing, this indicates abundant dampness without heat, constituting a syndrome of Yin Jaundice. Heat-clearing methods must absolutely not be used. If cool medicines are used to purge and clear heat, the stomach will become cold and cause hiccups. For hiccups, Xiaobanxia Tang is the primary formula to stop them.

[Collected Notes]
Li [Name obscured] said: Unchanged urine color and desire for spontaneous diarrhea indicate no excess pathogen in the interior. Abdominal fullness and wheezing result from Spleen Qi deficiency and impaired Lung Qi movement. Using bitter-cold medicines to attack the interior and clear heat will cause Stomach cold and upward reversal of deficient Qi, leading to hiccups. It is appropriate to use Xiaobanxia Tang to descend rebellious Qi and stop hiccups.
Gao Shishi said: Unchanged urine color means it is not red; desire for spontaneous diarrhea does not mean actual diarrhea. If there is abdominal fullness and wheezing, although it resembles an interior excess syndrome, cold agents to clear heat, such as Dahuang Xiaoshi Tang (Rhubarb and Nitrostone Decoction), must not be administered. If cold agents are used to clear heat, hiccups will inevitably occur; hiccups refer to hiccupping. Pinellia and Fresh Ginger are acrid-warm and disperse cold; therefore, for hiccups, Xiaobanxia Tang should be primarily used.

(See Phlegm-Fluids section)

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For jaundice disease, the duration should be set at eighteen days. If treated for more than ten days and the condition improves, but then worsens, it is difficult to treat.

[Annotation]
Jaundice disease belongs to the Spleen. The Spleen governs Earth. Earth has no fixed position but thrives at the end of each season, specifically the last eighteen days of each season. Setting the limit at eighteen days corresponds to the days when Earth Qi is prosperous. Treatment should lead to recovery within ten or more days, and certainly not beyond eighteen days. If the condition does not improve after eighteen days and instead worsens, it indicates that Earth Qi is declining. Therefore, it is said to be difficult to treat.

[Collected Notes]
Gao Shishi said: Eighteen days is the period when Spleen Earth thrives at the end of the four seasons. Ten is the completed number of Earth. Since jaundice disease resides in Spleen Earth, the duration should be set at eighteen days. However, treatment should be initiated early, so recovery should occur within ten or more days. If, after ten or more days, the condition does not improve and jaundice worsens, it is termed difficult to treat, meaning the Earth Qi is deficient and exhausted, making it incurable.

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The disease of Grain Jaundice (Gu Dan) manifests as aversion to cold and fever, inability to eat, dizziness upon eating, and mental uneasiness in the chest and heart. After a long time, yellowing of the body occurs, which is diagnosed as Grain Jaundice, primarily treated with Yinchenhao Tang (Artemisiae Scopariae Decoction).

[Annotation]
This elaborates on the pathology of Grain Jaundice. Before the formation of Grain Jaundice, patients often suffer from alternating chills and fever. When these symptoms occur, they cannot eat; when they subside, they may be able to eat. Even if they can eat, dizziness and vertigo occur immediately after eating, accompanied by vexation and restlessness. This is a sign that dampness is stagnant and heat is郁 (stagnant), steaming internally, indicating the impending onset of Grain Jaundice. Eventually, the body and face will turn yellow, confirming the diagnosis of Grain Jaundice. Yinchenhao Tang should be used to promote urination and purgation, allowing pathogens to exit through both large and small bowels.