夫黄病者，一身尽疼发热，面色洞黄，七八日后壮热，口里有血，当下之。如猪肝状，
其人小腹满急，若其人眼睛涩疼，鼻骨痛，两膊及项强，腰背急，即是患黄也。黄病多大便
涩，但令得小便快，即不虑死。不令大便多涩，涩即心胀不安，此由寒湿在表，则热蓄于脾
胃，腠理不开，瘀热与宿谷相搏，烦郁不得消，则大小便不通，故身体面目皆变黄色。凡黄
病，其寸口近掌无脉，口鼻气冷，并不可治也。
夫急黄者，由脾胃有热，谷气郁蒸，因为热毒所加，故卒然发黄，心满气喘，命在须臾
，故云急黄。有得病，但身体面目发黄，初不知是黄，死后乃身面俱黄者是也。其候初得黄
病，但发热心颤者，是急黄也。
治急黄烦躁，渴欲饮水，面目如金色，龙胆散方。
龙胆（一两去芦头） 木通（一两锉） 土瓜根（一两） 石膏（二两） 犀角屑（一
两） 栀子
仁（一两） 川大黄（一两锉碎微炒） 茅根（一握锉） 川朴硝（一两）
上件药，捣筛为散。每服五钱，以水一大盏，煎至五分，去滓，不计时候温服。
治急黄，心膈烦躁，眼目赤痛，犀角散方。
犀角屑（一两） 茵陈（二两） 黄芩（一两） 栀子仁（一两） 川升麻（一两） 川
芒硝（二
两）
上件药，捣筛为散。每服四钱，以水一中盏，入竹叶三七片，煎至六分，去滓，不计时
候温服。
治急黄，身如金色，赤小豆散方。
赤小豆（一两） 丁香（一分） 黍米（一分） 瓜蒂（半分） 薰陆香（一钱） 青
布（五寸烧
灰） 麝香（一钱细研）
上件药，捣细罗为散，都研令匀。每服不计时候，以清粥饮调下一钱，若用少许吹鼻
中，当下黄水即效。
治急黄，头目四肢烦热疼痛，小便赤，大便难，心燥不得睡，白藓皮散方。
白藓皮（半两） 川升麻（半两） 川朴硝（一两） 茵陈（一两） 黄芩（半两） 栀
子仁（半
两） 大青（半两） 川大黄（二两锉碎，微炒） 葛根（半两锉）
上件药，捣细罗为散。每服，以新汲水调服三钱。须臾当利一、两行，如人行十里未利
，即再服。
治急黄，宜服丁香散吐之方。
丁香（七粒） 瓜蒂（七枚） 赤小豆（七粒）
上件药，捣细罗为散，以鸡子清一枚相和，用新汲水调。顿服。当吐利，即效；未应，
即再服。
治急黄，心神烦闷方。
秦艽（一两去苗，细锉） 牛乳（一大盏）
上件药，相和，煎至六分，去滓。温温顿服。
治急黄，心上坚硬，渴欲饮水，喘粗，眼黄，但有一候，则宜服此瓜蒂散吐之方。
瓜蒂（一合） 赤小豆（一合）
上件药，捣细罗为散。每服，以暖浆水调下二钱。须臾当吐，如人行五里未吐，即再服
；若病轻者，吹鼻中二、三豆粒大，当鼻中黄水大出，即效。
治急黄，及心黄狂走，烦躁不解方。
生鸡子（二枚去黄，用白） 川朴硝（半两细研）
上件药相和，熟调顿服之效。
治急黄方。
上取蔓荆子油一合，服之，效。如无油，则取蔓荆子一合，和水研服之，亦效。
Yellow disease manifests as generalized body pain and fever, with a sallow complexion lacking luster. After seven or eight days, high fever occurs, accompanied by bleeding from the mouth; purgative therapy should be employed. The excrement resembles pig liver. If the patient experiences fullness and urgency in the lower abdomen, dry and painful eyes, nasal bone pain, stiffness in both shoulders and neck, and tightness in the waist and back, this indicates yellow disease. Patients with yellow disease typically suffer from constipation; if urination is made smooth, death need not be feared. However, if bowel movements are not facilitated, constipation will lead to chest and abdominal distension and restlessness. This arises because cold-dampness remains on the exterior, causing heat to accumulate in the Spleen and Stomach. When the Cou Li (skin pores) fail to open, stagnant heat combats with undigested food residues, leading to stifling depression that cannot dissipate, resulting in obstruction of both urination and defecation. Consequently, the body and face turn yellow. In all cases of yellow disease, if the Cun Kou pulse (radial artery at the wrist) near the palm is imperceptible, and the breath from the mouth and nose is cold, the condition is incurable.
Ji Huang (Acute Yellow Disease) results from heat in the Spleen and Stomach, where grain qi stagnates and steams, compounded by the invasion of toxic heat. Thus, jaundice appears suddenly, accompanied by chest fullness and panting, with life hanging in the balance for an instant, hence the name "Acute Yellow." Some patients exhibit only yellowing of the body and face upon illness onset, unaware it is jaundice until after death when the entire body and face are found to be yellow. Its initial symptoms include fever and palpitations/trembling of the heart; this constitutes Ji Huang.
To treat Ji Huang characterized by irritability, thirst with desire to drink water, and a golden-yellow hue of the face and eyes, use Long Dan San (Gentian Powder).
Long Dan Gen (Radix Gentianae, 1 liang, remove rhizome) Mu Tong (Caulis Akebiae, 1 liang, sliced) Tu Gua Gen (Radix Trichosanthis Kirilowii, 1 liang) Shi Gao (Gypsum Fibrosum, 2 liang) Xi Jiao (Cornu Rhinocerotis, 1 liang, shaved) Zhi Zi Ren (Semen Gardeniae, 1 liang) Chuan Da Huang (Radix et Rhizoma Rhei, 1 liang, sliced and lightly stir-fried) Mao Gen (Rhizoma Imperatae, one handful, sliced) Chuan Po Xiao (Natrii Sulfas, 1 liang).
The above ingredients are crushed, sifted, and made into a powder. Take 5 qian per dose, decoct in 1 da zhen (approx. 200ml) of water until reduced to 0.5 da zhen, strain, and take warm at any time.
To treat Ji Huang with irritability in the heart and diaphragm, and red, painful eyes, use Xi Jiao San (Rhinoceros Horn Powder).
Xi Jiao (Cornu Rhinocerotis, 1 liang, shaved) Yin Chen (Herba Artemisiae Scopariae, 2 liang) Huang Qin (Radix Scutellariae, 1 liang) Zhi Zi Ren (Semen Gardeniae, 1 liang) Chuan Sheng Ma (Radix Bupleuri, 1 liang) Chuan Mang Xiao (Natrii Sulfas, 2 liang).
The above ingredients are crushed, sifted, and made into a powder. Take 4 qian per dose, decoct in 1 zhong zhen (approx. 150ml) of water with 37 slices of Zhu Ye (Bamboo Leaf), reduce to 0.6 zhong zhen, strain, and take warm at any time.
To treat Ji Huang with a body color resembling gold, use Chi Xiao Dou San (Adzuki Bean Powder).
Chi Xiao Dou (Semen Phaseoli, 1 liang) Ding Xiang (Flos Caryophylli, 1 fen) Shu Mi (Semen Setariae Italicae, 1 fen) Gua Di (Fructus Momordicae, 0.5 ban) Xun Lu Xiang (Olibanum, 1 qian) Qing Bu (Blue Cloth, 5 cun, burnt to ash) She Xiang (Moschus, 1 qian, finely ground).
The above ingredients are finely crushed, sifted, and mixed evenly. Take 1 qian per dose at any time, mixed with clear rice soup. Alternatively, insufflate a small amount into the nose; discharge of yellow fluid indicates efficacy.
To treat Ji Huang with vexatious heat and pain in the head, eyes, and limbs, dark red urine, difficult defecation, and mental restlessness preventing sleep, use Bai Xian Pi San (Dictamnus Powder).
Bai Xian Pi (Cortex Dictamni, 0.5 liang) Chuan Sheng Ma (Radix Bupleuri, 0.5 liang) Chuan Po Xiao (Natrii Sulfas, 1 liang) Yin Chen (Herba Artemisiae Scopariae, 1 liang) Huang Qin (Radix Scutellariae, 0.5 liang) Zhi Zi Ren (Semen Gardeniae, 0.5 liang) Da Qing (Folium Isatidis, 0.5 liang) Chuan Da Huang (Radix et Rhizoma Rhei, 2 liang, sliced and lightly stir-fried) Ge Gen (Puerariae Radix, 0.5 liang, sliced).
The above ingredients are finely crushed, sifted, and made into a powder. Take 3 qian per dose, mixed with fresh well water. Bowel movement should occur shortly; if no movement occurs after walking ten li, administer another dose.
For Ji Huang, it is suitable to induce vomiting using Ding Xiang San (Clove Powder).
Ding Xiang (Flos Caryophylli, 7 grains) Gua Di (Fructus Momordicae, 7 pieces) Chi Xiao Dou (Semen Phaseoli, 7 grains).
The above ingredients are finely crushed, sifted, and mixed with one egg white, then diluted with fresh well water. Administer in one dose. Vomiting or diarrhea should follow, indicating efficacy; if no response, administer again.
For Ji Huang with mental restlessness and oppression:
Qin Jiao (Radix Gentianae Macrophyllae, 1 liang, remove sprouts, finely sliced) Niu Nai (Bovine Milk, 1 da zhen).
Mix the above ingredients, decoct until reduced to 0.6 da zhen, strain, and take warm in one dose.
For Ji Huang, hardness in the epigastrium, thirst with desire to drink, coarse breathing, and yellow eyes; if any one of these signs is present, induce vomiting using Gua Di San (Momordica Fruit Powder).
Gua Di (Fructus Momordicae, 1 he) Chi Xiao Dou (Semen Phaseoli, 1 he).
The above ingredients are finely crushed, sifted, and made into a powder. Take 2 qian per dose, mixed with warm rice water. Vomiting should occur shortly; if no vomiting occurs after walking five li, administer again. For mild cases, insufflate an amount equivalent to two or three bean-sized particles into the nose; copious discharge of yellow fluid from the nose indicates efficacy.
For Ji Huang and Xin Huang (Heart Jaundice) manifesting as manic running and unrelenting irritability:
Sheng Ji Zi (Raw Chicken Egg, 2 eggs, discard yolk, use white only) Chuan Po Xiao (Natrii Sulfas, 0.5 liang, finely ground).
Mix the above ingredients, cook thoroughly, mix well, and take in one dose. Effective.
Treatment for Ji Huang:
Take 1 he of Man Jing Zi You (Oil of Vitex trifolia fruit); take orally. Effective. If oil is unavailable, take 1 he of Man Jing Zi (Fructus Viticis Trifoliae), grind with water, and take orally. Also effective.