夫黄胆之病者，是酒食过度，脏腑热极，水谷相并，积于脾胃，复为风湿所搏，结滞不
散，热气郁蒸所为也。故食已即如饥，其身体、面目、爪甲、牙齿及小便尽黄，而欲安卧，
或身脉多赤、多青，皆见者，必发寒热，此皆疸也。得而渴者，其病难疗；而不渴者，其
病易治。发于阴部，其人必呕；发于阳部，必振寒而热发也。
治黄胆，心神烦躁，小便赤，大便难，不得安卧，茵陈散方。
茵陈（一两） 犀角屑（半两） 川升麻（一两） 栀子仁（三分） 甘草（三分炙微
赤，锉）
黄芩（一两） 川朴硝（一两）
上件药，捣筛为散。每服四钱，以水一中盏，煎至六分，去滓，不计时候温服，以大小
便利为度。
治黄胆，身目皆黄，皮肤如曲尘色，宜服此方。
栀子仁（一两） 石膏（三两） 川大黄（一两锉碎，微炒） 栝蒌（干者一枚） 甘
草（一两
炙微赤，锉） 木通（一两锉） 茵陈（一两）
上件药，捣筛为散。每服五钱，以水一大盏，入葱白七寸，煎至五分，去滓，不计时
候温服。
治黄胆，其小便自利，白如泔色，此状得之因酒过伤，宜服土瓜根散方。
土瓜根（一两） 白石脂（一两） 桂心（一两） 栝蒌根（一两） 菟丝子（一两酒
浸一日，
曝干，别捣为末） 牡蛎（一两烧为粉）
上件药，捣细罗为散。每服，煮大麦粥饮调下二钱，日三、四服。
治黄胆，心膈躁热，小便赤涩方。
茅根（三握细切） 猪肉（半斤细切）
上件药，先以水三大盏，煎茅根至二盏，去滓，入肉合作羹。尽一服，愈，
又方
赤小豆（一百粒） 秫米（一百粒） 鸡粪白（一两微炒）
上件药，捣细罗为散。每服，以新汲水调下一钱，日三、四服。
治黄胆，身面悉黄，小便如浓栀子汁，茵陈丸方。
茵陈〔一（二）两〕 黄芩（一两半） 枳壳（一两麸炒微黄，去瓤） 川大黄（一两
半锉碎
，微炒） 川升麻〔一两半（一两）〕
上件药，捣罗为末，炼蜜和丸，如梧桐子大。每服，以清粥饮下三十丸，日三、四服。
治黄胆，大、小便难，喘息促，宜服此方。
川大黄（二两锉碎，微炒） 甜葶苈（二两隔纸炒令紫色）
上件药，捣罗为末，炼蜜和丸，如梧桐子大。每服，以粥饮下二十丸，日三、四服，喘
慢即药止。
治黄胆，耳目悉黄，食饮不消，胃中胀热，此肠间有燥粪，宜服此方。
上煎炼猪脂五两。每服，抄大半匙，以葱白汤调，频频服之，以通利为度。
治黄胆，热毒结在膈上壅烦闷，目赤口干，宜服藜芦散吐之方。
藜芦（一两炮，令少变色）
上捣细罗为散。每服，以温水调下半钱，以吐为效。
治黄胆，有多时不瘥者，令人烦闷不食，四肢俱痛方。
茵陈（五两）
上件药，捣筛为散。每服四钱，以水一中盏，煎至六分，去滓，温服，日三、四服。
治黄胆，精神昏乱，不食，言语倒错方。
上以萱草根，捣取汁一小盏。服之，日三、四服。如无，取苜蓿根汁，亦得。
治黄胆，内伤积热，毒发出于皮肤，宜服麻黄汤发汗方。
麻黄（一两去根节，捣碎）
上以水一大盏，煎至五分，去滓。温服，以汗出为效，如人行十里汗未出，即再服。
治黄胆，热毒在内，闷乱，坐卧不安方。
上烧乱发灰，细研。不计时候，以新汲水调下二钱。
治黄胆，大渴烦闷方。
苦瓠白瓤及子（三两炒，令微黄）
上捣细罗为散。不计时候，以温粥饮调下二（一）钱。
治黄胆，百药不瘥，宜服此方。
驴头一枚，煮熟。以姜、荠啖之，并随多少饮汁，即效。
治黄胆，毒瓦斯郁蒸，面目尽黄，寒热发渴方。
上取小麦苗，捣绞取汁。饮半盏，昼夜五七度饮之，愈。无小麦， 麦苗亦得。
治黄胆，面目爪甲皆黄，心膈躁闷，宜用瓜蒂吹鼻散方。
瓜蒂（二七枚） 赤小豆（二七粒） 秫米（二七粒） 丁香（二七粒）
上件药，捣细罗为散。取如豆大纳鼻中，痛搐之，须臾当出黄汁，或从口中出升余，则
愈。若病重者，如一豆不瘥，即复纳鼻中即效。
治黄胆，面目尽黄，昏重不能眠卧方。
苦葫芦瓤（如弹子大）
上以童子小便二合，浸之一炊时，取两酸枣许汁，分纳两鼻中，须臾当滴黄水，为效。
Jaundice is caused by excessive consumption of alcohol and food, leading to extreme heat in the zang-fu organs. The mixture of water and grain accumulates in the spleen and stomach, and is further constrained by wind-dampness. This results in stagnation and obstruction, where heat qi becomes郁 (stagnant) and steams upward. Consequently, patients feel hungry immediately after eating; their body, face, eyes, nails, teeth, and urine all turn yellow; they desire to lie down quietly; or their blood vessels may appear red or blue. These symptoms are invariably accompanied by chills and fever, which characterize Dan disease (jaundice). If thirst develops, the condition is difficult to treat; if there is no thirst, it is easier to cure. When the disease originates in the Yin aspect (interior), vomiting will occur; when it originates in the Yang aspect (exterior), chills and trembling will precede the onset of fever.
For treating jaundice accompanied by mental restlessness, red urine, difficulty in defecation, and inability to sleep peacefully, use Yinchen San (Artemisia Capillaris Powder).
Yin Chen (Herba Artemisiae Scopariae, 1 liang) Xijiao (Cornu Rhinocerotis, 0.5 liang) Chuan Shengma (Radix Bupleuri, 1 liang) Zhizi (Fructus Gardeniae, 3 fen) Gancao (Radix Glycyrrhizae, 3 fen, honey-fried until slightly red, crushed) Huangqin (Radix Scutellariae, 1 liang) Chuan Puxiao (Natrii Sulfas, 1 liang)
Crush and sieve the above ingredients into a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen, remove the dregs, and take warm at any time. Continue until urination and defecation are unobstructed.
For treating jaundice where both the body and eyes are yellow, and the skin has a color resembling dust from wine lees, this formula is suitable.
Zhizi (Fructus Gardeniae, 1 liang) Shigao (Gypsum Fibrosum, 3 liang) Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed, slightly stir-fried) Gualua (Fructus Trichosanthis, 1 dried fruit) Gancao (Radix Glycyrrhizae, 1 liang, honey-fried until slightly red, crushed) Mutong (Caulis Akebiae, 1 liang, crushed) Yin Chen (Herba Artemisiae Scopariae, 1 liang)
Crush and sieve the above ingredients into a powder. Take 5 qian per dose, decoct with one da of water and seven cun of scallion white (Congbai, Bulbus Allii Cepae) until reduced to 5 fen, remove the dregs, and take warm at any time.
For treating jaundice characterized by frequent urination with urine as white as rice washings, resulting from excessive alcohol injury, use Tugua Gen San (Trichosanthes Kirilowii Root Powder).
Tugua Gen (Radix Trichosanthis Kirilowii, 1 liang) Baishizhi (Halloysitum Rubrum, 1 liang) Guixin (Cortex Cinnamomi, 1 liang) Gualua Gen (Radix Trichosanthis, 1 liang) Tusizi (Semen Cuscutae, 1 liang, soaked in wine for one day, dried, and separately pounded into powder) Muli (Concha Ostreae, 1 liang, calcined into powder)
Pound finely and sieve the above ingredients into a powder. Take 2 qian per dose, mixed with barley porridge drink, three to four times daily.
For treating jaundice with heat and irritability in the heart and diaphragm, and red, scanty urination:
Maogen (Radix Imperatae, three handfuls, finely cut) Zhu Rou (Carne Porcina, half jin, finely cut)
Decoct Maogen in three da of water until reduced to two da, remove the dregs, add the pork, and cook as a soup. Take one dose; the disease will be cured.
Another prescription:
Chixiaodou (Semen Phaseoli Uradensis, 100 grains) Sumi (Sorghum Vulgare, 100 grains) Jifen Bai (Albus Excrementum Gallinae, 1 liang, slightly stir-fried)
Pound finely and sieve the above ingredients into a powder. Take 1 qian per dose, mixed with fresh well water, three to four times daily.
For treating jaundice where the whole body and face are yellow, and urine resembles concentrated Gardenia juice, use Yinchen Wan (Artemisia Capillaris Pill).
Yin Chen (Herba Artemisiae Scopariae, 1 or 2 liang) Huangqin (Radix Scutellariae, 1.5 liang) Zhiqiao (Pericarpium Citri Reticulatae, 1 liang, bran-fried until slightly yellow, pith removed) Chuan Dahuang (Radix et Rhizoma Rhei, 1.5 liang, crushed, slightly stir-fried) Chuan Shengma (Radix Bupleuri, 1.5 or 1 liang)
Pound and sieve the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills per dose with clear porridge drink, three to four times daily.
For treating jaundice with difficulty in both urination and defecation, and rapid breathing, use this formula.
Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang, crushed, slightly stir-fried) Tingli (Semen Lepidii seu Descurainiae, 2 liang, stir-fried between papers until purple)
Pound and sieve the above ingredients into powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills per dose with porridge drink, three to four times daily. Stop medication once wheezing subsides.
For treating jaundice with yellow ears and eyes, indigestion, and bloating/heat in the stomach due to dry feces in the intestines, use this formula.
Render five liang of lard (Zhi Zhu, Adip Suillus). Take half a large spoon per dose, mixed with scallion white decoction, take frequently until bowel movement is unobstructed.
For treating jaundice where heat-toxin is knotted in the upper diaphragm causing oppression and irritability, red eyes, and dry mouth, use Lili San (Veratrum Powder) to induce vomiting.
Lili (Rhizoma Veratri, 1 liang, processed until slightly discolored)
Pound finely and sieve into powder. Take half a qian per dose, mixed with warm water. Efficacy is indicated by vomiting.
For treating jaundice that persists for a long time, causing irritability, anorexia, and pain in all four limbs:
Yin Chen (Herba Artemisiae Scopariae, 5 liang)
Crush and sieve into powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen, remove dregs, and take warm, three to four times daily.
For treating jaundice with mental confusion, anorexia, and disordered speech:
Use Xuangu Cao Gen (Radix Hemerocallis) to crush and extract juice, one zhong. Take it, three to four times daily. If unavailable, juice from Muxu Gen (Radix Medicago Sativae) can be used instead.
For treating jaundice caused by internal injury and accumulated heat, with toxins manifesting on the skin, use Mahuang Tang (Ephedra Decoction) to induce sweating.
Mahuang (Herba Ephedrae, 1 liang, roots and joints removed, crushed)
Decoct in one da of water until reduced to 5 fen, remove dregs. Take warm. Efficacy is indicated by sweating. If walking ten li does not produce sweat, administer another dose.
For treating jaundice with internal heat-toxin causing agitation and restlessness in sitting and lying:
Burn human hair (Luafa, Crinis Humani) to ash, grind finely. Take 2 qian per dose, mixed with fresh well water, at any time.
For treating jaundice with extreme thirst and irritability:
Kuhu Bairang Ji Zi (Mesocarp and Seeds of Cucurbita Citrulliformis, 3 liang, fried until slightly yellow)
Pound finely and sieve into powder. Take 2 or 1 qian per dose, mixed with warm porridge drink, at any time.
For treating jaundice refractory to other medicines:
Cook one donkey head (Lv Tou, Caput Asini) thoroughly. Consume with ginger and shepherd's purse (Ji Cai, Herba Agrimoniae), drinking the broth according to appetite. Effectiveness will follow.
For treating jaundice where toxic vapors are stagnant, causing full-body yellowing of face and eyes, chills, fever, and thirst:
Extract juice from Xiaomai Miao (Sprout of Triticum aestivum) by pounding and pressing. Drink half a zheng, five to seven times a day and night until cured. Wheat sprouts (Maichao) can be used if wheat seedlings are unavailable.
For treating jaundice with yellow face, eyes, and nails, and chest/diaphragm irritability, use Goudi Chuibi San (Momordica Seed Nasal Insufflation Powder).
Goudi (Fructus Momordicae, 14 pieces) Chixiaodou (Semen Phaseoli Uradensis, 14 grains) Sumi (Sorghum Vulgare, 14 grains) Dingxiang (Flos Caryophylli, 14 grains)
Pound finely and sieve into powder. Insert a bean-sized amount into the nostrils. Painful sneezing should occur, followed by the discharge of yellow fluid from the nose or mouth (approx. one sheng). The disease will be cured. For severe cases, if one dose is ineffective, repeat administration.
For treating jaundice with full-body yellowing, severe lethargy, and insomnia:
Ku Hulu Rang (Mesocarp of Cucurbita Bittera, size of a marble)
Soak in two he of child's urine (Tongzi Xiaoniao, Urva Pueri) for the duration of cooking a meal. Extract juice equivalent to two sour jujubes. Instill into both nostrils. Discharge of yellow water after a short while indicates efficacy.