论曰疸病正有五种。一曰黄胆，二曰黄汗。三曰谷疸。四曰酒疸，五曰女劳疸。一黄胆
者，遍身面目悉黄如橘。二黄汗者，身体洪肿。汗出如黄柏汁、不渴。状如风水。三谷疸者
，食毕头眩。心中怫郁不安而发黄，四酒疸者。心中懊痛。足肿满，小便黄。面发赤斑黄黑
。由大醉当风入水所致，五女劳疸。身目皆黄。发热恶寒，小腹满急。小便难。由大劳大热
。房室过伤，此五者。证状虽异。大率多因酒食过度，水谷相并。积于脾胃。复为风湿所搏
，热气郁蒸。所以发黄为疸。其证食已如饥。曰胃疸。额上黑、足下热。曰黑疸。其因伤寒
时气后变成黄者。缘阳明病无汗小便不利，热瘀在里。心中懊 。身必发黄。若被火额上微
汗出。而但小便不利。亦发黄，其状如橘色。腹微满。此亦由寒湿不散。瘀热在于脾胃故也
，然又有九疸、三十六黄。其证其名。悉各不同。治皆有法，具如后章。凡黄病当利其小便
，疸而渴者。其病难治。疸而不渴者，其病可治。
论曰内经谓目黄者、曰黄胆。又曰安卧脉盛，谓之黄胆。其外证、身体面目。及爪甲小
便尽黄，其内证、食已如饥。此由酒食过度。脾胃有热，复为风湿所搏。瘀结不散。热气郁
蒸，故发是疾。若面色微黄。身体或青赤黑色皆见者，与纯热之证不同。当于湿家求之。诸
黄胆发于阴部。其人必呕。发于阳部，其人振寒而微热。疸而不渴者可治。其渴而疸者难治
治黄胆，目黄小便如血，心烦躁闷。口苦头痛。茵陈汤方
茵陈蒿 山栀子仁（各三分） 甘草（炙半两） 木通（锉） 栝蒌根 柴胡（去苗各
一两）
上七味，粗捣筛。每服五钱匕。水二盏，入竹叶三七片。同煎至一盏，去滓食后温服。
治黄胆，脾胃积热。皮肉皆黄，烦躁口苦。小便赤涩。木通汤方
木通（锉） 瞿麦穗（各一两） 赤茯苓（去黑皮） 白茅根 大青 秦艽（去苗土各
三分） 生干地黄
上七味。粗捣筛，每服五钱匕。水一盏半，煎至八分。去滓食前温服。
治黄胆。遍身面目皆黄。黄连汤方
黄连（去须） 大青 山栀子仁 茵陈蒿 柴胡（去苗） 地骨皮 人参 黄芩（去黑
心）
上一十味，粗捣筛。每服五钱匕。水一盏半，煎至八分。去滓温服。不拘时候。
治黄胆，通身并黄。柴胡汤方
柴胡（去苗） 茵陈蒿各一两 升麻 龙胆各三分
上四味，粗捣筛。每服五钱匕。水一盏半，煎至八分。去滓入地黄汁一合搅匀，食后温
服。
治黄胆，面黄眼如金色。四肢羸弱，或时烦渴。鸡舌香汤方
鸡舌香 秦艽（去苗土各三分） 胡黄连 丁香 芎 （各半两） 柴胡（去苗一两）
上六味。粗捣筛。每服三钱匕，水一盏。煎至六分。去滓食前温服。
治黄胆，身眼皆如金色。及诸黄。桃根汤方
东引桃根（一握细切如钗股者佳取时勿见风及避妇人鸡犬）
上一味，以水一盏半。煎至七分，去滓空心温服。如眼中黄色未退，可时饮酒一盏。
治黄胆。身体面目皆黄。茵陈丸方
茵陈蒿（三分） 大黄（锉炒） 黄连（去须） 黄芩（去黑心各一两）
上四味。捣罗为末。炼蜜和丸，如梧桐子大。每服十五丸。食后临卧温水下。
治黄胆，心中懊 烦热。栀子汤方
山栀子仁（半两） 枳壳（去瓤麸炒一分） 大黄（锉炒一两）
上三味粗捣筛，每服三钱匕。水一盏。入豉二十粒，同煎至七分。去滓温服，不拘时候
治诸黄，皮肉如金色。小便赤黑，口干烦渴。白藓皮散方
白藓皮（二两） 黄连（去须） 土瓜根 芍药 大青 栀子仁 茵陈蒿 栝蒌根 柴
胡（
大黄（三
上一十三味。捣罗为散，每服三钱匕。煎茅根汁调下，空腹顿服取利。至晚不利再服，
服了以少葱豉粥投之。
治黄胆，面目身体皆黄。口干烦躁，发热狂闷。茵陈丸方
茵陈蒿 常山（各半两） 大黄（锉炒三分） 朴硝（研一分） 豉）炒一合）
上五味。捣罗为末，炼蜜和丸。如梧桐子大。每服二十丸。食后温竹叶汤下。
治中热黄胆。寒热往来。脉数烦困，四肢劳倦。知母散方
知母（焙） 赤茯苓（去黑皮） 常山 茵陈蒿 黄连（去须） 犀角（镑） 羚羊角
（镑） 人
（半分）
上一十二味。捣罗为散，别入丹砂末半分。合研匀，瓷合收贮。每服二钱匕。食前人参
汤调下，日再。
治黄胆柴胡汤方
柴胡（去苗半两） 甘草（炙一分）
上二味细锉。以水一碗。白茅根一握。同煎至七分。去滓温服。
治黄胆，面目黄。瓜蒂散方
瓜蒂（一十四枚） 丁香（大者一枚） 黍米（四十九颗）
上三味，研为细散。每服一字，先含水一口。以鼻 药。取下黄涎为效。
治黄胆，大小便难，喘息促。甜葶苈丸方
甜葶苈（炒二两） 大黄（锉炒一两）
上二味。捣罗为末，炼蜜和丸。如梧桐子大，每服二十丸。温米饮下，食后临卧服。
治黄胆。身体面目皆黄。大小便秘涩。脏腑壅热。黄连散方
黄连（去须） 大黄（细锉醋炒各二两） 黄芩（去黑心） 甘草（炙各一两）
上四味。捣罗为散，每服二钱匕。食后温水调下，日三。
治黄胆，面黄肌瘦。大黄丸方
大黄（锉一斤） 芎 （半斤）
上二味，捣罗为末。用蜜和成剂。甑上炊七遍，丸如梧桐子大。每服三十丸。熟水下，
空心食前临卧、日三服。
治身面悉黄。大便如浓栀子汁。茵陈丸方
茵陈蒿 柴胡（去苗） 栀子仁（各四两） 龙胆 枳壳（去瓤麸炒各二两） 黄芩（去
黑心）
上八味，捣罗为末。炼蜜丸如梧桐子大，每服三十丸饮下，以利为度。日再。
治黄胆。身体面目爪甲小便俱黄，病甚者。秦艽煮散方
秦艽（去苗土一两）
上一味。捣罗为末，用牛乳二盏半。煎至一盏半，分温二服。空心食前。
治一切黄病。茵陈蒿丸方
茵陈蒿（四两） 大黄（锉） 黄芩（去黑心） 栀子仁（各三两）
上四味，生用为末。炼蜜和丸，梧桐子大。每服米饮下二十丸，一日二服。量病与之。
小便金色，身皮皆黄，并治。
治黄胆，身肿发热，汗出而渴。汗出着衣正黄。吴蓝饮方
吴蓝 芍药 麦门冬（去心焙） 桑根白皮（锉） 防己 白藓皮 栀子仁（各一两）
上七味，粗捣筛。每服五钱匕，水一盏半。煎至八分。去滓温服，不拘时候。
It is stated that there are indeed five types of Dan disease (jaundice). The first is called Huangdan (Yellow Jaundice), the second Huanghan (Yellow Sweat), the third Gu dan (Grain Jaundice), the fourth Jiu dan (Wine Jaundice), and the fifth Nü lao dan (Female Labor Jaundice). As for Huangdan, the entire body and face turn yellow like an orange peel. As for Huanghan, the body swells severely, sweat is yellow like the juice of Phellodendron bark (Huangbai), there is no thirst, and the condition resembles Fengshui (a type of edema disease). As for Gu dan, dizziness occurs after eating, the heart feels oppressed and uneasy leading to yellowing. As for Jiu dan, there is mental restlessness and pain in the heart, swelling and fullness in the feet, yellow urine, and red patches mixed with yellow-black on the face; this is caused by excessive drunkenness followed by exposure to wind or entering water. As for Nü lao dan, both the body and eyes turn yellow, accompanied by fever and aversion to cold, distension and urgency in the lower abdomen, and difficult urination; this is caused by excessive labor and heat, followed by overindulgence in sexual activity. Although these five types of Dan present different symptoms, they generally result from excessive intake of alcohol and food, where water and grain qi accumulate in the Spleen and Stomach, combined with pathogenic Wind-Dampness, causing Heat to stagnate and steaming, thus resulting in yellowing. Symptoms include feeling hungry immediately after eating, known as Wei dan (Stomach Jaundice); a black forehead and hot soles, known as Hei dan (Black Jaundice). Those who develop jaundice after Taiyang Cold Damage (Shanghan) or epidemic febrile diseases do so because Yangming disease presents with no sweat and difficult urination, causing Heat to stagnate internally, leading to mental restlessness and inevitable yellowing of the body. If treated with fire therapy, slight sweating on the forehead but continued difficulty in urination will also cause yellowing, resembling the color of an orange, with slight abdominal fullness; this is due to un-dispersed Cold-Dampness and stagnant Heat in the Spleen and Stomach. Furthermore, there are classifications of Nine Dan and Thirty-Six Huangs, each with distinct symptoms and names, all having specific treatments detailed in subsequent chapters. Generally, for Huang disease, promoting diuresis is indicated. Jaundice with thirst is difficult to treat, while jaundice without thirst is easier to treat.
The *Neijing* states that yellow eyes indicate Huangdan. It also states that quiet lying with a surging pulse indicates Huangdan. External signs include yellowing of the body, face, fingernails, and urine; internal signs include feeling hungry after eating. This is caused by excessive alcohol and food intake, generating Heat in the Spleen and Stomach, compounded by Wind-Dampness stagnation, preventing the dispersion of stagnant Heat which steams and causes the disease. If the complexion is slightly yellow, or the body shows blue, red, or black hues, it differs from pure Heat patterns and should be treated considering Wetness disorders (Shi jia). When Huangdan manifests in Yin regions, vomiting is likely; when it manifests in Yang regions, chills and slight fever occur. Jaundice without thirst is curable, while jaundice with thirst is difficult to cure.
For treating Huangdan with yellow eyes, urine like blood, mental restlessness, bitter taste in the mouth, and headache, use Yinchin Tang (Coptis Decoction).
Yinchen Hao (Artemisiae Scopariae Herba), Shanzhizi Ren (Gardeniae Semen), Gancao (Licorice Root, honey-fried), Mutong (Akebiae Caulis), Gualougen (Trichosanthis Radix), Chaihu (Bupleuri Radix, stems removed). Each portion is specified as 3 fen or 0.5 liang as per text.
These seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boil with 2 zhan of water and 37 slices of Zhuye (Bambusae Folium) until reduced to 1 zhan. Strain and take warm after meals.
For treating Huangdan with accumulated Heat in Spleen and Stomach, yellow skin and flesh, restlessness, bitter taste, and dark scanty urine, use Mutong Tang (Akebia Decoction).
Mutong (Akebiae Caulis), Qumai (Dianthi Herba), Chi Fuling (Poria with Red Cortex), Baimaogen (Imperatae Rhizoma), Daqing (Isatidis Folium), Qinjiao (Gentianae Macrophyllae Radix), Shenggan Dihuang (Rehmanniae Radix).
These seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boil with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm before meals.
For treating Huangdan with yellowing of the whole body and face, use Huanglian Tang (Coptis Decoction).
Huanglian (Coptidis Rhizoma), Daqing (Isatidis Folium), Shanzhizi Ren (Gardeniae Semen), Yinchen Hao (Artemisiae Scopariae Herba), Chaihu (Bupleuri Radix), Digupi (Lycii Cortex), Renshen (Ginseng Radix), Huangqin (Scutellariae Radix).
These ten ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boil with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm at any time.
For treating Huangdan with generalized yellowing, use Chaihu Tang (Bupleurum Decoction).
Chaihu (Bupleuri Radix), Yinchen Hao (Artemisiae Scopariae Herba), Shengma (Cimicifugae Rhizoma), Longdan (Gentianae Radix).
These four ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boil with 1.5 zhan of water until reduced to 0.8 zhan. Strain, add 1 he of Dihuangzhi (Rehmanniae Juice), mix well, and take warm after meals.
For treating Huangdan with yellow face, golden-yellow eyes, emaciated limbs, and occasional thirst, use Jishexiang Tang (Tsaoko Cardamom Decoction).
Jishexiang (Cardamomi Semen), Qinjiao (Gentianae Macrophyllae Radix), Huhuanglian (Coptidis Rhizoma alternative), Dingxiang (Caryophylli Flos), Xiong (Ligustici Chuanxiong Rhizoma), Chaihu (Bupleuri Radix).
These six ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, boil with 1 zhan of water until reduced to 0.6 zhan. Strain and take warm before meals.
For treating Huangdan with body and eyes appearing golden, and various other jaundices, use Taogen Tang (Peach Root Decoction).
Dongyin Taogen (East-facing Peach Root).
This single ingredient is boiled with 1.5 zhan of water until reduced to 0.7 zhan. Strain and take warm on an empty stomach. If yellowing in the eyes persists, drink one zhan of wine occasionally.
For treating Huangdan with yellowing of the body and face, use Yinchin Wan (Artemisia Pill).
Yinchen Hao (Artemisiae Scopariae Herba), Dahuang (Rhei Radix et Rhizoma, processed), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix).
These four ingredients are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 15 pills per dose with warm water after meals and before sleep.
For treating Huangdan with mental restlessness and heat, use Zhizi Tang (Gardenia Decoction).
Shanzhizi Ren (Gardeniae Semen), Zhike (Aurantii Fructus), Dahuang (Rhei Radix et Rhizoma, processed).
These three ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, boil with 1 zhan of water and 20 grains of Chishi (Fermented Soybean) until reduced to 0.7 zhan. Strain and take warm at any time.
For treating various Huang diseases with golden-yellow skin, dark red-black urine, dry mouth, and thirst, use Baixianpi San (Dictamni Bark Powder).
Baixianpi (Dictamni Cortex), Huanglian (Coptidis Rhizoma), Tuguagen (Trichosanthes Thunbergiana Radix), Shaoyao (Paeoniae Radix), Daqing (Isatidis Folium), Zhizi Ren (Gardeniae Semen), Yinchen Hao (Artemisiae Scopariae Herba), Gualougen (Trichosanthis Radix), Chaihu (Bupleuri Radix), Dahuang (Rhei Radix et Rhizoma).
These thirteen ingredients are powdered. Take 3 qianbi per dose, mix with decocted Baimaogen juice, and take on an empty stomach to induce purgation. If not purged by evening, take again. Afterward, nourish with a light Congchi porridge.
For treating Huangdan with yellowing of face, body, dry mouth, restlessness, fever, and mania, use Yinchin Wan (Artemisia Pill).
Yinchen Hao (Artemisiae Scopariae Herba), Changshan (Dichroae Radix), Dahuang (Rhei Radix et Rhizoma, processed), Puxiao (Natrii Sulfas), Chishi (Fermented Soybean).
These five ingredients are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with warm Zhu Ye Tang (Bamboo Leaf Decoction) after meals.
For treating Middle-Heat Huangdan with alternating chills and fever, rapid pulse, restlessness, fatigue, use Zhimu San (Anemarrhenae Powder).
Zhimu (Anemarrhenae Rhizoma), Chi Fuling (Poria with Red Cortex), Changshan (Dichroae Radix), Yinchen Hao (Artemisiae Scopariae Herba), Huanglian (Coptidis Rhizoma), Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu), Renshen (Ginseng Radix).
These twelve ingredients are powdered, mixed with 0.5 fen of Zhusha (Cinnabar), ground uniformly, and stored in porcelain. Take 2 qianbi per dose with Renshen Tang (Ginseng Decoction) before meals, twice daily.
For treating Huangdan, use Chaihu Tang (Bupleurum Decoction).
Chaihu (Bupleuri Radix), Gancao (Licorice Root, honey-fried).
These two ingredients are finely cut. Boil with 1 bowl of water and a handful of Baimaogen (Imperatae Rhizoma) until reduced to 0.7. Strain and take warm.
For treating Huangdan with yellowing of face and eyes, use Guiti San (Momordica Seed Powder).
Guiti (Momordicae Semen), Dingxiang (Caryophylli Flos), Shumi (Panicum miliaceum).
These three ingredients are ground into fine powder. Take a small amount ("one character" measure), hold water in the mouth, and insufflate the powder into the nose. Efficacy is achieved when yellow phlegm is expelled.
For treating Huangdan with difficult urination and defecation, and rapid breathing, use Tingli Wan (Descurainiae Seed Pill).
Tingli (Descurainiae Semen), Dahuang (Rhei Radix et Rhizoma, processed).
These two ingredients are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with warm rice water after meals and before sleep.
For treating Huangdan with yellowing of body and face, constipation, and internal Heat accumulation, use Huanglian San (Coptis Powder).
Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma, vinegar-fried), Huangqin (Scutellariae Radix), Gancao (Licorice Root, honey-fried).
These four ingredients are powdered. Take 2 qianbi per dose with warm water after meals, three times daily.
For treating Huangdan with yellow face and emaciation, use Dahuang Wan (Rhubarb Pill).
Dahuang (Rhei Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma).
These two ingredients are powdered, mixed with honey, steamed seven times, and formed into pills the size of Sophora seeds. Take 30 pills per dose with cooked water on an empty stomach, before meals, and before sleep, three times daily.
For treating generalized yellowing and stool resembling concentrated Gardenia juice, use Yinchin Wan (Artemisia Pill).
Yinchen Hao (Artemisiae Scopariae Herba), Chaihu (Bupleuri Radix), Zhizi Ren (Gardeniae Semen), Longdan (Gentianae Radix), Zhike (Aurantii Fructus), Huangqin (Scutellariae Radix).
These eight ingredients are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 30 pills per dose with water, aiming for purgation, twice daily.
For treating severe Huangdan with yellowing of body, face, nails, and urine, use Qinjiao Zhusan (Gentian Decoction Powder).
Qinjiao (Gentianae Macrophyllae Radix).
This single ingredient is powdered, boiled with 2.5 zhan of cow's milk until reduced to 1.5 zhan. Divide into two warm doses, taken on an empty stomach before meals.
For treating all types of Huang disease, use Yinchin Hao Wan (Artemisia Pill).
Yinchen Hao (Artemisiae Scopariae Herba), Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Zhizi Ren (Gardeniae Semen).
These four raw ingredients are powdered, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose with rice water, twice daily, adjusted according to the condition. Effective for golden urine and generalized yellowing.
For treating Huangdan with body swelling, fever, sweating with thirst, and sweat staining clothes yellow, use Wulan Yin (Isatis Drink).
Wulan (Isatidis Folium), Shaoyao (Paeoniae Radix), Maimendong (Ophiopogonis Radix), Sangbaipipi (Mori Cortex), Fangji (Stephaniae Tetrandrae Radix), Baixianpi (Dictamni Cortex), Zhizi Ren (Gardeniae Semen).
These seven ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boil with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm at any time.