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The *Mai Jing* (Pulse Classic) states: When the pulse is deep, there is thirst with a desire to drink water, and urination is difficult, jaundice will occur. In all cases of jaundice, if the Cun position at the wrist has no palpable pulse and breath from the nose is cold, it is untreatable.

Qian Yi stated: Whenever a child's skin and eyes are yellow, it is Huang Bing (Jaundice). If accompanied by body pain, stiffness in the arms and back, difficulty in defecation and urination, general yellowing of the body, face, eyes, fingers, and nails, urine turbid like house dust, and thirst, it is difficult to treat; this is Huang Dan (Jaundice). These two conditions mostly occur after severe illness. There is another condition where infants under one hundred days or half a year old, not due to post-illness weakness, present with slight yellowing of the body; this is Stomach Heat, which also applies to adults. Another condition involves a yellowish complexion, abdominal distension, pica (eating earth), and thirst; this is Pi Gan (Spleen-related Infantile Malnutrition). Yet another is Tai Dan (Fetal Jaundice), where the body is yellow from birth. The classics state that all types of jaundice belong to Heat; those with deep yellow color exemplify this. If the color is pale yellow mixed with white, it indicates Stomach Qi Deficiency and disharmony. Zhu Danxi said: There is no need to distinguish between the five types of jaundice; they are all Damp-Heat, similar to fermentation by Qu (yeast/mold starter); this principle is very clear. The *Quan Ying Fang* discusses that jaundice arises from Cold-Dampness accumulating in the Spleen and Stomach, evaporating to cause yellowing. In Yangming disease, if there is no sweat, urination is difficult, and there is internal heat obstruction, jaundice must occur. Chao Yuanfang stated: For infants aged 100 days to six months, if they are not suffering from Shanghan (Cold Damage) or epidemic diseases but have slight yellowing, it is also Spleen-Stomach Heat. Moxibustion is strictly contraindicated; applying moxibustion will exacerbate the heat. This results from improper nursing care. One should reduce clothing and administer heat-clearing pills or powders to resolve it spontaneously. Do not casually use decoctions or moxibustion, as the harm would be significant.

Discussion on Treatment Principles for Jaundice:
Hua Shou (courtesy name Zhinan) stated: A color resembling smoked yellow indicates Wet Disease, accompanied by whole-body pain. A color resembling orange yellow indicates Huang Bing (Jaundice), without whole-body pain. Dry yellow indicates dryness, with spontaneous urination and heavy-free limbs. Thirst with a desire to drink indicates the Zhi Zi Bai Pi Tang (Gardenia, Phellodendron, and Licorice Decoction) pattern. Damp-yellow belongs to the Spleen; difficulty in urination, heavy limbs, apparent thirst but no desire to drink, indicates the Da Yin Chen Tang (Large Coptis and Mugwort Decoction) pattern. If stools are loose yet yellowing occurs, the Yin Chen, Zhi Zi, and Huang Lian Three-Ingredient Decoction is indicated. Alternating chills and fever with general yellowing indicates Xiao Chai Hu Jia Zhi Zi Tang (Minor Bupleurum Decoction plus Gardenia). Luo Qianfu stated: In late summer, children may experience steaming heat, chest and diaphragm fullness and irritability, skin yellow like soaked orange peel, scleral icterus, and flaccidity of sinews and bones rendering them unable to walk. This is caused by late summer heat combined with dampness, steaming and binding in the meridians, penetrating into the bone marrow, causing organ qi imbalance. Consequently, Spleen Earth overacts on Heart Fire, and Damp-Heat combine to form this disease. When Heart Fire is excess, there is steaming heat and chest/diaphragm fullness; when Spleen Dampness is excessive, the skin turns yellow like soaked orange peel. Excess qi attacks what it controls (Metal) and insults what it cannot control (Water), leading to Kidney and Liver pathogenic invasion, resulting in flaccid sinews and bones. The *Neijing* states: Spleen heat manifests as yellow complexion and muscle twitching; it also states that Damp-Heat causes Wei syndrome (flaccidity syndrome). Truly所言 (as stated). The principle "the Child can make the Mother Excess" applies; when Excess, drain the Child. Spleen Earth retreats from its position, Kidney Water recovers, and Heart Fire naturally calms. Furthermore, the *Neijing* states: Treat Wei syndrome by focusing solely on the Yangming channels. This refers to this situation. The primary formula is Jia Jian Xie Huang San (Modified Draining Yellow Powder).

Jia Jian Xie Huang San Formula: This herb group drains Spleen Earth heat, restores Kidney Water, and descends Heart Fire.
Huang Lian (Coptidis Rhizoma), Yin Chen (Artemisiae Scopariae Herba) (each 5 fen), Huang Bo (Phellodendri Cortex), Huang Qin (Scutellariae Radix), Fu Ling (Poria), Shan Zhi Zi (Gardeniae Fructus) (each 3 fen), Ze Xie (Alismatis Rhizoma) (2 fen).
Chop these ingredients, combine as one dose, boil in one cup of water until reduced to 60%, strain, and take slightly warm. Take half the dose after meals. After five days, resume full dosing for complete recovery.
The *Neijing* states: For the ruler of the Earth phase, drain with bitter flavors. It also states: Spleen dislikes Dampness; urgently eat bitter flavors to dry it. Therefore, use the bitter-cold properties of Huang Lian and Yin Chen to remove Damp-Heat as the Sovereign herbs. The Kidney desires firmness; urgently eat bitter flavors to firm it. Thus, use the bitter-pungent-cold property of Huang Bo to strengthen sinews and bones as the Minister herbs. Damp-Heat causes vexation; drain with bitter flavors. Thus, use the bitter-cold properties of Huang Qin and Shan Zhi Zi to stop vexation and fullness as the Assistant herbs. Dampness invading internally requires leaching with bland flavors. Thus, use the sweet-bland properties of Fu Ling and Ze Xie to promote urination and guide out Dampness as the Guide herbs.

Yin Chen Tang: Treats pediatric Yangming disease with fever and sweating; this indicates heat venting outward, so jaundice does not occur. If there is no sweat except on the neck, difficulty in urination, and thirst with desire to drink, this indicates stagnant heat in the interior, inevitably leading to jaundice. For Shanghan lasting seven to eight days with orange-yellow skin, difficulty in urination, and abdominal pain, this formula is primarily indicated.
Shan Yin Chen (Artemisiae Scopariae Herba), Zhi Zi Ren (Gardeniae Semen), Chuan Da Huang (Rhei Radix et Rhizoma).
Equal parts, chop, boil in water, adjust dosage, take three times daily. Urination should become smooth like soap pod juice, reddish in color. After one night, abdominal distension decreases, and yellow pigment exits via urine.

Zhi Zi Bai Pi Tang: Treats pediatric jaundice with fever.
Zhi Zi Ren (Gardeniae Semen) (10 seeds), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 liang, honey-fried), Huang Bo (Phellodendri Cortex) (2 liang).
Chop, boil in one small cup of water until reduced to 60%, adjust dosage.

Xi Jiao San: Treats pediatric jaundice with general yellowing.
Xi Jiao (Rhinocerotis Cornu), Yin Chen (Artemisiae Scopariae Herba), Gua Lou Gen (Trichosanthis Radix), Sheng Ma (Cimicifugae Rhizoma), Long Dan Cao (Gentianae Radix), Sheng Di Huang (Rehmanniae Radix) (each half liang), Han Shui Shi (Halloysit Rubrum).
Chop, boil in one cup of water until reduced to 60%, take warm. Another method for sudden pediatric jaundice with yellow face, eyes, skin, and flesh: use Gua Lou juice mixed with honey; effective.

Gua Di San: Treats sudden onset in three-year-olds with epigastric fullness and hardness, hot palms and soles, progressing to jaundice. Untreated, it can be fatal.
Gua Di (Momordicae Fructus) (7 pieces), Chi Xiao Dou (Vignaemen Adzuki Semen) (7 grains), Shu Mi (Sorghei Fructus Glutinosis) (7 grains).
Grind into powder. Use a quantity equivalent to "one character" (approx. 0.3-0.5g) insufflated into both nostrils to induce discharge of yellow fluid. If incomplete, administer orally with water. Vomiting yellow fluid indicates cure. Alternative formula: Gua Di (1 liang), Chi Xiao Dou (4 liang), grind into powder. Take 1 qian per dose, mixed with water. Lie down after ingestion. Vomiting is expected; clearing yellow juice is ideal. Contraindicated in deficient patients.

Fu Ling Shen Shi Tang: Treats pediatric jaundice with alternating chills and fever, vomiting, thirst for cold water, general yellowing of body and face, difficulty in urination, restlessness, and anorexia.
Bai Fu Ling (Poria) (5 fen), Ze Xie (Alismatis Rhizoma) (3 fen), Yin Chen (Artemisiae Scopariae Herba) (6 fen), Zhu Ling (Polyporus) (2 qian), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Zhi Zi (Gardeniae Fructus), Fang Ji (Stephaniae Tetrandrae Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cang Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Zhi Ke (Aurantii Fructus Immaturus) (each 2 qian).
Cut into pieces, boil in one small cup of water until reduced to 60%, take slowly in small frequent doses.

Danxi's Formula: Treats pediatric jaundice caused by vomiting and diarrhea.
San Leng (Sparganii Rhizoma), Peng Ze (Curcumae Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Chen Pi (Citri Reticulatae Pericarpium), Shen Qu (Massae Fermentatae Medicinalis), Mai Ya (Hordei Fructus Germinatus), Huang Lian (Coptidis Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria).
Grind into powder, mix with warm water. For food stagnation-induced vomiting/diarrhea, add Shan Zha (Crataegi Fructus). For epidemic vomiting/diarrhea, add Hua Shi (Talcum). For fever, add Bo He (Menthae Haplocalycis Herba).