〔总论〕 其症有黄胆、谷疸、色疸、劳疸、酒疸之分。大抵多属湿热。盖湿热积于脾
胃之中。久而不散。故致土色形于面与肌肤也。凡郁郁不得志之人。多生此病。虽云湿热不
可纯用寒凉。必佐之以甘温。行之以渗泄。则湿易除。热易解。其病自愈。若纯用凉药。重
伤脾土。湿未必除。热未必解。反变为腹胀者有矣。（脉宜洪数浮大。如微涩即难医。）
〔谷疸〕 谷疸者。食已头眩。心中怫郁不安。饥饱失调所致。胃气蒸冲而黄。苦参。
（二两）龙胆草。（一两碎）牛胆汁。（一两）入炼蜜少许。丸如桐子大。每服五十丸。滚水
或生姜
〔酒疸〕 酒疸者。身目俱黄。足胫肿。尿赤。面黄。赤斑。因酒后胃热。醉卧当风。
滞湿得之也。葛根。（三钱）山栀仁。淡豆豉。枳实。（麸炒各二钱）炙甘草。（一钱）水煎
服。
以好为度。
〔黄胆〕 黄胆者。多起于饮食劳倦。脾土不能运化。湿热内郁所致。通身面目悉黄如
金。白术。猪苓。泽泻。茵陈。（各一两）茯苓。（一两五钱）为末。白汤调下五钱。日三服。
多饮热汤。汗出愈。 田螺去尾。单取头肉。以米醋浸吃数次愈。如吃时觉腥气者。非黄胆
也。 凡患疸症。宜多吃荸荠。不拘生熟自效。 如黄焦色而兼渴者难治。
〔食积黄胆〕 老丝瓜。（连子烧存性为末。）每服二钱。因面得病者面汤下。因酒得病
者淡酒下。连进数服即愈。
〔女劳疸〕 大劳大热之后。或房劳之后。为水湿所搏。以致日晡发热畏寒。膀胱急。
少腹满。目黄。额上黑腹胀如水。大便黑色时溏。故云黑疸。白术。茯苓。白芍。炙黄 。
白扁豆。（炒各三钱）炙甘草。（一钱）加生姜五片。枣二枚。水煎服。以好为度。 凡疸症
好后。忌盐及糟鹅百日。
〔一切黄胆通治方〕 平地木。（生于山上。随处有之。叶似山茶而色老。冬结红子。
如南天竺子。木本高尺许者多。至冬不凋。）采叶煎汤当茶饮。数日即效。 黑山栀。萝卜
子。（炒各等分为末。）每服二三钱。（即饮食不进。病至垂危。有湿热者。服三钱。二三次。
如虚黄者减轻服。）用天青地白叶。（生于平野者多。叶似山茶而狭面青底白。故名天青地白。
春
采叶煎汤调服。每日煎汤当茶吃。立能见效。 三白草。（捣汁一茶杯。）冲生白酒空心服。
（冬用根。如干者。研末三钱酒下。） 枸杞根捣汁。用生白酒热冲服。 土牛膝四两。生
白
凡好后忌一切鲜发之物。并宜食淡。
〔虚疸〕 阴虚病后调理失宜。以致周身色似黄胆者。其状耳鸣口淡。怔忡微热。四肢
无力。怠惰嗜卧。脚软脉细。以理中汤治之。人参。白术。（土炒各二钱半）炮姜。炙甘草。
（各
〔食积脾病黄肿〕 青矾。（四两火 成赤珠为度）归身。（四两酒浸七日焙燥）百草霜。
（三两）俱为末。以浸过归身酒为丸如桐子大。每服五丸至七丸温汤下。一月后全愈。
〔瘀血发黄〕 起于伤力。或因跌扑。身体发热。小便利。大便黑。脉芤涩者是。桃仁。
丹皮。（各一钱）桂枝。枳壳。（各八分）生甘草。（六分）水碗半煎至一半。入大黄。（炒熟
一二钱）再煎一二沸。五更时热服。利下黑物即愈。（此即桃仁承气汤。治一切瘀血胀满。
大实大痛
〔黄汗〕 身体俱肿。汗出不渴。其汗能染衣如柏汁。此由脾胃有热。汗出为风所闭。
热结于中之病也。生黄 。赤芍。茵陈。（各二两）石膏。（四两）麦冬。（去心）豆豉。（各
一两）炙甘草。（五钱）俱为末。每服五钱。淡姜汤调。食远服。
〔黄病〕 六味丸。（方见劳损门。）照分两。加青矾二两。（即绿矾中颜色深。青莹净
者。醋炒红。）为末和匀。蜜丸。每服二钱。白汤早晚下。
[General Discussion] The symptoms of jaundice are classified into Huang Dan (Yellow Jaundice), Gu Dan (Grain Jaundice), Se Dan (Color Jaundice), Lao Dan (Fatigue Jaundice), and Jiu Dan (Alcohol Jaundice). Generally, these belong to Damp-Heat syndromes. This is because Damp-Heat accumulates in the Spleen and Stomach; over time, it fails to dissipate, causing the color of Earth to manifest on the face and skin. Individuals who are often depressed or frustrated are prone to this disease. Although it involves Damp-Heat, cold and bitter drugs should not be used exclusively. They must be assisted by sweet and warm herbs, combined with methods that promote diuresis and purging heat. In this way, dampness is easily eliminated, heat is easily resolved, and the disease heals itself. If only cooling drugs are used, they will severely damage the Spleen Earth; dampness may not be removed, heat may not be cleared, and abdominal distension may result instead. (The pulse should be surging, rapid, floating, and large; if it is faint and choppy, it is difficult to treat.)
[Grain Jaundice] Grain Jaundice is characterized by dizziness after eating, restlessness and discomfort in the heart region, caused by irregular eating habits leading to disharmony between hunger and fullness. The Qi of the Stomach steams upward, causing yellowing. The prescription consists of Kushen (Sophorae Flavescentis Radix) (2 liang), Longdancao (Gentianae Radix) (1 liang, crushed), and Niu Danzhi (Bovis Bile) (1 liang). Add a small amount of refined honey and form pills the size of paulownia seeds. Take 50 pills each time, washed down with boiling water or ginger decoction.
[Alcohol Jaundice] Alcohol Jaundice presents with yellowing of the body and eyes, swelling of the lower legs, red urine, yellow complexion with red macules. It is caused by stomach heat after drinking alcohol, lying in a draft while intoxicated, and stagnation of dampness. The prescription consists of Gegen (Puerariae Lobatae Radix) (3 qian), Shanzhiren (Gardeniae Semen), Danshizhi (Fermented Soybean) (bran-fried, 2 qian each), Zhishi (Aurantii Fructus) (bran-fried, 2 qian each), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1 qian). Decoct in water and take orally. Continue until cured.
[Yellow Jaundice] Yellow Jaundice usually arises from improper diet and fatigue. The Spleen Earth fails to transport and transform, leading to internal stagnation of Damp-Heat. The entire body and face appear as yellow as gold. The prescription consists of Baizhu (Atractylodis Macrocephalae Rhizoma), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Yinchen (Artemisiae Scopariae Herba) (each 1 liang), and Fuling (Poria) (1.5 liang). Grind into powder, mix with hot water, and take 5 qian each time, three times daily. Drink plenty of hot soup after taking the medicine; sweating indicates recovery. Alternatively, remove the tail of a river snail, take only the head meat, soak it in rice vinegar, and eat it several times until cured. If a fishy smell is perceived when eating, it is not Yellow Jaundice. Patients with jaundice should eat more water chestnuts; whether raw or cooked, it is effective. If the yellow color is scorched/dry and accompanied by thirst, it is difficult to treat.
[Food Stagnation Yellow Jaundice] Use old loofah (burned with seeds until carbonized, ground into powder). Take 2 qian each time. If caused by flour foods, wash down with noodle soup; if caused by alcohol, wash down with light wine. Continue for several doses until cured.
[Fatigue Jaundice in Women] After severe fatigue and high fever, or after sexual exhaustion, the body is constrained by water and dampness. This leads to fever and aversion to cold at dusk, urgency in the bladder, fullness in the hypogastrium, yellow eyes, black forehead, abdominal distension resembling water accumulation, black stool that is sometimes loose. Hence it is called Black Jaundice. The prescription consists of Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Baishao (Paeoniae Radix Alba), Zhi Huangqi (Astragali Radix Preparata), and Baibiandou (Dolichoris Semen) (stir-fried, 3 qian each), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1 qian). Add five slices of fresh ginger and two dates. Decoct in water and take orally. Continue until cured. After recovery from jaundice, avoid salt and pickled goose for one hundred days.
[Universal Prescription for All Types of Jaundice] Pingdimu (Plants growing on mountains, found everywhere. Leaves resemble Camellia but are darker/older in color; bear red fruits in winter like Nantianzhu fruits. Woody plants about one chi tall, evergreen in winter). Collect leaves, decoct in water, and drink as tea. Effect is seen within a few days. Heishanzhi (Gardeniae Fructus) and Luobozzi (Raphani Semen) (stir-fried, equal parts, ground into powder). Take 2-3 qian each time. (Even if food intake is poor and the condition is critical, if there is Damp-Heat, take 3 qian, two to three times; reduce dose for deficiency-type yellowing). Tianqingdibaiye (Leaves of *Houttuynia cordata*; found mostly in flatlands. Leaves resemble Camellia but are narrow, green on top and white underneath, hence the name. Collect leaves in spring, decoct in water, mix with powder, and take. Decoct daily to drink as tea; effect is immediate). Sanbaicao (Hydrocotilis Japonicae Herba) (crush to extract juice, one teacup). Take on an empty stomach mixed with raw baijiu (winter use roots; if dry, grind to powder, 3 qian, take with wine). Gouqigen (Lycii Radicis Cortex) crush to extract juice, take mixed with hot raw baijiu. Tu Niuxi (Cyathulae Radix) 4 liang, Sheng Bai [Text missing]. After recovery, avoid all fresh stimulating foods and maintain a bland diet.
[Deficiency Jaundice] After a Yin-deficiency illness, improper conditioning leads to a whole-body appearance resembling jaundice. Symptoms include tinnitus, bland taste in mouth, palpitations, slight fever, weakness in limbs, lethargy and desire to sleep, weak ankles, and fine pulse. Treat with Lizhong Tang (Regulate the Middle Decoction). Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried, 2.5 qian each), Paojiang (Zingiberis Rhizoma Preparata), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (dosage missing in text).
[Food Stagnation Spleen Disease with Yellow Swelling] Qingfan (Vitriolum Cupri et Ferri) (4 liang, calcined until turning into red beads), Guishen (Angelicae Sinensis Radix) (4 liang, soaked in wine for seven days, dried), Baicaoshuang (Carbonis Folii Betulae) (3 liang). All ground into powder. Use the wine in which Guishen was soaked as a binder to form pills the size of paulownia seeds. Take 5-7 pills each time with warm water. Complete recovery after one month.
[Stasis Blood Causing Yellowing] Arises from excessive physical strain or falls/blows. Symptoms include body fever, free urination, black stool, and a knotted/choppy pulse. The prescription consists of Taoren (Persicae Semen), Danpi (Moutan Cortex) (each 1 qian), Guizhi (Cinnamomi Ramulus), Zhike (Aurantii Fructus) (each 8 fen), and Sheng Gancao (Glycyrrhizae Radix et Rhizoma) (6 fen). Decoct in half a bowl of water until reduced by half. Add Dahuang (Rhei Radix et Rhizoma) (stir-fried, 1-2 qian). Boil again for one or two boils. Take hot at Wu Geng (3-5 AM). Recovery occurs upon passing black material. (This is Tao Ren Cheng Qi Tang, treating all stasis blood conditions with fullness and severe pain).
[Yellow Sweat] The whole body is swollen, sweating occurs without thirst. The sweat can dye clothes like cypress juice. This is a disease where heat exists in the Spleen and Stomach, sweating is closed by wind pathogens, and heat knots internally. The prescription consists of Sheng Huangqi (Astragali Radix), Chishao (Paeoniae Radix Rubra), Yinchen (Artemisiae Scopariae Herba) (each 2 liang), Shigao (Gypsum Fibrosum) (4 liang), Maidong (Ophiopogonis Tuber) (core removed), Danshizhi (Fermented Soybean) (each 1 liang), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 qian). All ground into powder. Take 5 qian each time, mixed with light ginger soup, taken long after meals.
[Yellow Disease] Liuwei Wan (Six-Ingredient Pill with Rehmannia; see the chapter on Consumption/Loss). Follow the dosage, add Qingfan (Vitriolum Cupri et Ferri) 2 liang (the deep-colored, clear, pure variety from Lv Fan, stir-fried with vinegar until red). Grind into powder, mix evenly, form honey pills. Take 2 qian each time, morning and evening with hot water.