寸口脉浮而缓。浮则为风。缓则为痹。痹非中风。四肢苦烦。脾色必黄。瘀热以行。趺阳脉紧
而数。数则为热。热则消谷。紧则为寒。食即为满。尺脉浮为伤肾。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。额上黑。微汗出。手足中热。薄暮即发。膀胱急。小便自利。名曰女劳疸。腹如水状不治。○
心下懊 而热不能食。时时欲吐。名曰酒疸。○阳明病脉迟者。食难用饱。饱则发烦。头眩心烦。
小便难。此欲作谷疸。虽下之。腹满如故。所以然者。脉迟故也。○夫病酒黄胆者。必小便不利。
其候心中热。足下热。是其证也。○酒黄胆者。或无热。静言了了。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。吐之即愈。○酒疸下之。久久为黑疸。目青面黑。心中
如啖蒜韭状。大便正黑。皮肤爪之不仁。其脉浮弱。虽黑微黄。故知之。○师曰。病黄胆发热烦喘
。胸满口燥者。以病发时火劫其汗。两热所得。然黄皆从湿得之。一身发热。面黄肚热。热则在里
。当下之。○脉沉。渴欲饮水。小便不利者。皆发黄也。○腹胀满。面痿黄。躁不得睡。属黄家。
○师曰。黄胆之病。当以十八日为期。
治之十日以上宜瘥。反剧为难治。○又曰。疸而渴者。其疸难治。疸而不渴者。其疸可治。发
于阴部。其人必呕。发于阳部。其人振寒发热也。
【茵陈蒿汤】 治谷疸为病。寒热不食。食即头眩。心胸不安。久久发黄。
茵陈蒿（六两） 大黄（三两） 栀子（十四个。擘）
上三味 咀。水一斗二升。煮茵陈。减一半。纳二味。煮至三升。去渣。分温三服。小便利。
溺如皂荚色汁。状正赤。壹宿腹减。黄从小便去也。
【硝石矾石散】治黄家日晡所发热。而反恶寒。此女劳疸也。得之膀胱急。小腹满。一身
尽黄。额上黑。足下热。因作黑疸。其腹胀如水状。大便必黑或时溏。此女劳之为病。非水也。腹满
者难治。
硝石 矾石（烧。各等分）
上二味为末。以大麦面粥和。服方寸匕。日三服。病随大小便去。大便正黑。小便黄是其候。
【栀子大黄汤】治酒黄胆心中懊 。或热痛。宜服此方主之。
栀子（十四个擘） 枳实（五枚。炙） 豆豉（一升。绵裹） 大黄（一两）
上 咀。以水六升。煮取二升。去渣。分温三服。无时。
【茵陈五苓散】治黄胆病。一本茵陈汤及五苓散。（五苓散。局方有）
五苓散（五分） 茵陈蒿末（十分）
上和匀。先食饮服方寸匕。日三服。
【大黄硝石汤】治黄病腹满。小便不利而赤。自汗出。此表和里实。当下之。
大黄 黄柏 硝石（各四两） 栀子（十四个。擘）
上 咀。水六升。煮取二升去渣。纳硝石。煮一升。顿服之。
【黄连散】治黄胆大小便秘涩壅热。累效。
川大黄（好醋拌炒） 黄连（各二两） 甘草（炙） 黄芩（各一两）
上四味为末。每服二钱。食后温水调下。日三服。
【 鼻瓜蒂散】治黄胆遍身如金色。此方累经效。
瓜蒂（十四个） 母丁香（一个） 黍米（四十九个）
上先将瓜蒂为细末。次入二味同碾。罗为末。每于夜卧。令病患先含水一口。两鼻孔内 入半
字以下。吐了水便睡。至半夜或明日。取下黄水。旋用熟帛 了。直候取水定。便服前黄连散。病
轻五日见效。重者半月取效。
The pulse at the Cun Kou (radial artery) is floating and moderate. Floating indicates wind, while moderate indicates bi-syndrome (obstruction). This obstruction is not wind-stroke; rather, the limbs suffer from vexation. The color of the spleen must turn yellow, and stagnant heat circulates throughout the body. The pulse at the Fu Yang (dorsalis pedis artery) is tight and rapid. Rapid indicates heat, which consumes grain (increases appetite); tight indicates cold, leading to fullness after eating. A floating pulse at the Chi position indicates kidney injury, while a tight pulse at the Fu Yang position indicates spleen injury. Wind and cold contend with each other; after eating, dizziness occurs. Grain qi fails to digest, causing bitterness from turbid qi in the stomach. Turbid qi flows downward, blocking urination. Yin is affected by cold, while heat flows into the bladder, resulting in whole-body yellowing, known as Grain Jaundice (Gu Dan). If the forehead is black, there is slight sweating, heat in the hands and feet, onset at dusk, urgency in the bladder but free urination, it is known as Labor Jaundice (Nu Lao Dan). If the abdomen is distended like water, it is difficult to treat.
Vexation and stifling sensation in the heart region, accompanied by heat and inability to eat, with frequent desire to vomit, is known as Wine Jaundice (Jiu Dan). In Yangming disease, if the pulse is slow, one cannot eat to fullness; upon becoming full, vexation, dizziness, and difficulty in urination occur. This suggests impending Grain Jaundice. Even if purgatives are used, abdominal fullness remains. This is due to the slow pulse.
Patients suffering from Wine Jaundice must have difficult urination. Their signs include heat in the heart and heat under the feet. For Wine Jaundice, some may present without obvious heat, with quiet and clear consciousness, but with abdominal fullness, desire to vomit, and dry nose. If the pulse is floating, induce vomiting first; if deep and wiry, purge first.
If a patient with Wine Jaundice has heat in the heart and desires to vomit, inducing vomiting will lead to recovery.
If Wine Jaundice is mistakenly treated with purgatives, it may eventually transform into Black Jaundice (Hei Dan), characterized by blue-black eyes, dark complexion, a sensation in the heart as if consuming garlic and leeks, black stool, and skin numbness. The pulse is floating and weak. Although the complexion is black, a faint yellow hue reveals its origin.
The Master said: When jaundice presents with fever, vexation, panting, chest fullness, and dry mouth, it is because fire therapy was used to force sweating during the onset, combining two sources of heat. However, jaundice generally arises from dampness. If the whole body is hot, with yellow face and heat around the umbilicus, the heat is interior, and purgation should be applied.
If the pulse is deep, thirst with desire to drink, and difficult urination occur, jaundice will develop.
Abdominal fullness, sallow-yellow complexion, restlessness preventing sleep, belongs to the category of Jaundice.
The Master said: The course of jaundice should last eighteen days. Treatment for more than ten days should result in improvement; if symptoms worsen, it is difficult to treat.
Furthermore, jaundice with thirst is difficult to treat, while jaundice without thirst is curable. If the disease originates in the Yin aspect, vomiting will occur; if in the Yang aspect, aversion to cold and fever will occur.
[Yinchen Hao Tang] Treats Grain Jaundice, characterized by alternating chills and fever, anorexia, dizziness after eating, mental unrest, and eventual yellowing of the body.
Yin Chen Hao (Artemisiae Scopariae Herba, 6 liang), Da Huang (Rhei Radix et Rhizoma, 3 liang), Zhi Zi (Gardeniae Fructus, 14 pieces, broken).
Crush the three herbs. Boil in 12 sheng of water. First boil Yin Chen Hao until the volume reduces by half. Add the other two herbs and boil until 3 sheng remains. Strain. Divide into three warm doses. Urine will become copious, resembling soap pod juice, bright red. After one night, abdominal fullness decreases, and yellow pigment is excreted via urine.
[Xiaoshi Fanshi San] Treats patients with jaundice who experience fever at Shen hour (3-5 PM) but feel aversion to cold, indicating Labor Jaundice. Symptoms include bladder urgency, lower abdominal fullness, whole-body yellowing, black forehead, and heat under the feet, evolving into Black Jaundice. If the abdomen is distended like water, stool is black or loose. This is Labor Jaundice, not fluid retention. Abdominal fullness makes it difficult to treat.
Xiao Shi (Natrii Sulfas, calcined), Fan Shi (Alumen, calcined), equal parts.
Grind into powder. Mix with barley porridge. Take one fang cun bi (square-inch spoonful) per dose, three times daily. Pathogens exit via stool and urine; black stool and yellow urine indicate efficacy.
[Zhi Zi Da Huang Tang] Treats Wine Jaundice with vexation/stifling sensation in the heart or painful heat.
Zhi Zi (Gardeniae Fructus, 14 pieces, broken), Zhi Shi (Immaturae Citri Fructus, 5 pieces, roasted), Dou Chi (Sojae Preparata, 1 sheng, wrapped in silk), Da Huang (Rhei Radix et Rhizoma, 1 liang).
Crush the herbs. Boil in 6 sheng of water to obtain 2 sheng. Strain. Divide into three warm doses, taken at any time.
[Yinchen Wuling San] Treats Jaundice. Another version combines Yinchen Tang and Wuling San.
Wuling San (Poria Powder, 5 fen), Yin Chen Hao Mo (Artemisiae Scopariae Herba powder, 10 fen).
Mix evenly. Take one fang cun bi before meals with warm water, three times daily.
[Dahuang Xiaoshi Tang] Treats Jaundice with abdominal fullness, difficult and reddish urination, and spontaneous sweating. This indicates exterior deficiency and interior excess, requiring purgation.
Da Huang (Rhei Radix et Rhizoma), Huang Bai (Phellodendri Cortex), Xiao Shi (Natrii Sulfas, 4 liang each), Zhi Zi (Gardeniae Fructus, 14 pieces, broken).
Crush the herbs. Boil in 6 sheng of water to obtain 2 sheng. Strain. Add Xiao Shi and boil to 1 sheng. Take in one dose.
[Huanglian San] Treats Jaundice with constipation and internal heat, proven effective.
Chuan Da Huang (Rhei Radix et Rhizoma, stir-fried with vinegar), Huang Lian (Coptidis Rhizoma, 2 liang each), Gan Cao (Licorice Root, roasted), Huang Qin (Scutellariae Radix, 1 liang each).
Grind into powder. Take 2 qian per dose with warm water after meals, three times daily.
[Bi Gou Di San] Treats Jaundice where the entire body turns golden. Proven effective.
Gou Di (Trichosanthis Pericarpium, 14 pieces), Mu Ding Xiang (Eugeniae Caryophyllata Flos, 1 piece), Shu Mi (Panicum miliaceum, 49 grains).
First grind Gou Di into fine powder. Add the other two ingredients and grind together. Sieve into powder. Before bed, have the patient hold a mouthful of water. Blow a small amount of powder (less than half a character's width) into both nostrils. Spit out the water and sleep. By midnight or the next morning, yellow fluid will be discharged. Wipe clean with cooked silk. Once discharge stops, take Huanglian San. Mild cases improve in five days; severe cases in half a month.