完颜正卿丙寅二月间。因官事劳役。饮食不节。心火乘脾。脾气虚弱。又以恚怒。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。
口生恶味。饮食迟化。时下完谷。小便癃闭而赤黑。辰巳间发热。日暮则止。至四月尤盛。其子以
危急求予治之。具说其事。诊其脉浮而缓。金匮要略云。寸口脉浮为风。缓为痹。痹非中风。四肢
苦烦。脾色必黄。瘀热以行。趺阳脉紧。为伤脾。风寒相搏。食谷则眩。谷气不消。胃中苦浊。浊
气下流。小便不通。阴被其寒。热流膀胱。身体尽黄。名曰谷疸。宜茯苓栀子茵陈汤主之。
【茯苓栀子茵陈汤】
茵陈叶（一钱） 伏苓（去皮。五分） 栀子仁 苍术（去皮炒）
白术（各三钱） 黄芩（生六分） 黄连（去须） 枳实（麸炒）
猪苓（去皮） 泽泻 陈皮 汉防己（各二分）
青皮（去白一分）
上十三味。 咀。作一服。用长流水三盏。煎至一盏。去渣。温服。食前。一服减半。二服良
愈。内经云。热淫于内。治以咸寒。佐以苦甘。又湿化于火。热反胜之。治以苦寒。以苦泄之。以
淡渗之。以栀子、茵陈苦寒。能泻湿热而退其黄。故以为君。难经云。并主心下满。以黄连、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。故以为臣。二
术苦甘温。青皮苦辛温。能除胃中湿热。
泄其壅滞。养其正气。汉防己苦寒。能去十二经留湿。泽泻咸平。茯苓、猪苓甘平。导膀胱中湿热
利小便而去癃闭也。
Wanyan Zhengqing, during the second month of the Bingyin year, due to official duties and labor, irregular diet, caused Heart Fire (Xin Huo) to invade the Spleen (Pi), resulting in Spleen Qi deficiency. Additionally, anger caused Qi rebellion and injured the Liver (Gan). Symptoms included epigastric fullness and obstruction (Xin Xia Pi Man), fatigue and heaviness in the four limbs, numbness of the body, which subsequently progressed to jaundice affecting both the body and eyes, with a slight bluish-black discoloration of the face. The patient experienced mental restlessness, palpitations (Zheng Chong), dizziness, nausea, bad taste in the mouth, delayed digestion of food, frequent passage of undigested food, and oliguria with dark red-black urine. Fever occurred between 7:00 AM and 11:00 AM (Chen-Si hours) and ceased at dusk, becoming particularly severe by April. His son sought my treatment due to the critical condition, detailing the history. The pulse was floating and moderate (Fu Er Huan). The *Jingui Yaolue* states: "A floating pulse at the Cun position indicates Wind; a moderate pulse indicates Bi syndrome. This Bi is not wind-stroke; the four limbs suffer from vexation, the color of the Spleen must be yellow, and stagnant heat circulates." A tight pulse at the Fuyang position indicates injury to the Spleen. When Wind-Cold contend, dizziness occurs after eating; Grain Qi fails to digest, causing the Stomach to suffer from turbidity. Turbid Qi flows downward, leading to urinary obstruction. Yin is affected by cold, while Heat flows into the Bladder (Pang Guang), resulting in whole-body jaundice, named Gu Dan (Grain Jaundice). It is appropriate to treat with Fur Ling Zhi Zi Yin Chen Tang.
[Fur Ling Zhi Zi Yin Chen Tang]
Yin Chen Ye (Artemisiae Scopariae Folium, 1 qian)
Fu Ling (Poria, peeled, 5 fen)
Zhi Zi Ren (Gardeniae Fructus)
Cang Zhu (Atractylodis Rhizoma, peeled and stir-fried)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, each 3 qian)
Huang Qin (Scutellariae Radix, raw, 6 fen)
Huang Lian (Coptidis Rhizoma, de-soured)
Zhi Shi (Aurantii Fructus Immaturus, bran-fried)
Zhu Ling (Polyporus, peeled)
Ze Xie (Alismatis Rhizoma)
Chen Pi (Citri Reticulatae Pericarpium)
Han Fang Ji (Stephaniae Tetrandrae Radix, each 2 fen)
Qing Pi (Citri Reticulatae Pericarpium Viride, white pith removed, 1 fen)
The above thirteen herbs are coarsely crushed. Prepare as one dose. Use three cups of running water, decoct until one cup remains. Strain and take warm before meals. After one dose, reduce the dosage by half. Two doses lead to good recovery. The *Neijing* states: "When Heat dominates internally, treat with salty-cold substances, assisted by bitter-sweet substances." It also states: "When Dampness transforms via Fire, and Heat overcomes it, treat with bitter-cold substances, using bitterness to drain, and blandness to leach out." Yin Chen and Zhi Zi are bitter-cold, capable of draining Damp-Heat and resolving jaundice, thus serving as the Sovereign (Jun) herbs. The *Nanjing* states they jointly manage epigastric fullness. Huang Lian and Zhi Shi are bitter-cold, draining epigastric fullness. The Lung (Fei) governs Qi; currently, Heat injures Qi, causing body numbness. Huang Qin is bitter-cold, draining Fire and tonifying Qi, thus serving as the Minister (Chen) herb. Bai Zhu and Cang Zhu are bitter-sweet-warm; Qing Pi is bitter-acrid-warm, capable of removing Damp-Heat in the Stomach, draining stagnation, and nourishing righteous Qi. Han Fang Ji is bitter-cold, removing retained Dampness from the twelve meridians. Ze Xie is salty-neutral; Fu Ling and Zhu Ling are sweet-neutral, guiding Damp-Heat from the Bladder, promoting urination, and relieving urinary obstruction.