论曰失饥饱甚。则胃中满塞。谷气未化。虚热熏蒸。遂为谷疸。其症心下懊闷。头眩心
忡。
四
也
流
方
石苇汤（圣济总录）治谷疸。趺阳脉紧而数。紧则为实。数则为热。紧数相搏
。胃中苦热。
石苇（去毛） 木通 柴胡（去苗） 茅根（各一两半） 栀子仁 芒硝（各半两） 上
锉如麻
豆大
砂乳香丸（圣济总录）治谷疸。食毕头眩腹满。及酒疸脉沉实。
砂 乳香 安息香（各一两半） 巴豆（三十粒去皮心膜用醋一盏煮至半盏研） 杏
仁（二七
日
二夕一
苦参栀子丸（圣济总录）治谷疸。
苦参 龙胆 黄芩（去心各一两） 山栀子仁（半两） 上为细末。以猪胆汁和捣五百
杵。
丸如
红丸子（危氏方）治谷疸。腹满眩晕。怫郁怔忡。酒疸通用。二陈汤加缩砂煎
汤下。
莪术 三棱（各二两醋煮一伏时） 胡椒 青皮（三两炒香） 阿魏（一分醋化） 上
为末。
别研
谷疸丸（危氏方一名苦参丸）治胃蓄瘀热。气浊。食谷不消。大小便不利。胀
满不下食。跗
苦参（三两） 龙胆草（一两） 栀子仁（炒半两） 人参（三分） 上为末。以猪胆
汁入熟蜜
少许
郁金散（圣惠方）治谷疸。唇口先黄。腹胀气急。
郁金（一两） 牛胆（一枚干者） 麝香（研半钱） 上为末。每服半钱。新汲水调下
不拘时。
涤热汤（一名茵陈蒿汤）治谷疸。食毕头眩。心中怫郁。腹满。
治食气遍身黄肿。气喘不得食。心胸满闷。
皂角（不蛀者去皮及子酥炙令焦为末一钱匕） 巴豆（七粒去苗） 上以淡醋及研好墨
为
丸。如
酒饮。
苦参丸（千金方）治谷疸。食已头眩。心中怫郁。发黄由失饥大食。胃气攻冲
所致。其腹必
苦参（两半） 龙胆（半两去芦） 上为细末。以牛胆和捣三百杵。丸如梧桐子大。每
服十
五丸
胆。
谷疸。食毕头旋。心怫郁不安而发黄。由失饥大食。胃气冲熏所致。治之方。
茯苓栀子茵陈汤（卫生宝鉴）昔元颜正卿。丙寅二月。区区官事劳役。饮食不
节。心火乘脾
俱黄。微见青色。
时下完谷。小便癃闭而
来请治之。具说其事。诊其
四肢苦烦。脾色必黄。瘀热以行
胱。身体尽黄。名曰谷疸。此之谓也。
栀子仁 苍术 白术（各三分） 猪苓（二分） 茵陈叶（一钱） 泽泻（二分） 黄
连（去须
二分） 枳实（麸炒二钱） 陈皮（二分） 青皮（去白一分） 茯苓（去皮五分） 汉防
己（二分）
黄芩
又
以苦
满。
气。
以苦
胡椒红丸子（如宜方）治谷疸。因饥中过食伤胃。蕴热瘀滞。腹满。心郁怔忡
。
三棱 陈皮 青皮 莪术（各一两） 胡椒 干姜（各二两） 上为末。醋糊丸。如梧
桐子
大。
Discourse states: If diet is irregular with extreme hunger or fullness, it leads to fullness and blockage in the stomach. The grain qi fails to transform, and deficient heat steams and薰 (fumes), thereby forming Grain Jaundice (Gu Dan). Its symptoms include vexation and oppression in the epigastrium, dizziness, and palpitations.
Shiwei Tang (Stone Fern Decoction) [from *Shengji Zonglu*] treats Grain Jaundice. The Yuyang pulse is tight and rapid. Tight indicates excess; rapid indicates heat. The combination of tight and rapid pulses causes bitter heat in the stomach.
Herbs: Shiwei (Stone Fern Herba, 石苇) (dehissed), Mutong (Akebiae Caulis, 木通), Chaihu (Bupleuri Radix, 柴胡) (deprived of seedlings), Maogen (Imperatae Rhizoma, 茅根) (each 1 liang 5 qian); Zhizi Ren (Gardeniae Fructus, 栀子仁), Mangxiao (Natrii Sulfas, 芒硝) (each 0.5 liang).
Preparation: Cut the herbs into pieces the size of hemp beans.
Sha Ruxiang Wan (Sand and Frankincense Pill) [from *Shengji Zonglu*] treats Grain Jaundice. Symptoms include dizziness after eating, abdominal fullness, and a deep, solid pulse characteristic of Wine Jaundice (Jiu Dan).
Herbs: Sha (likely referring to a mineral or specific herb fragment, contextually ambiguous but kept as 'Sha'), Ruxiang (Frankincense Resina, 乳香), Anshixiang (Benzoinum, 安息香) (each 1 liang 5 qian); Badou (Crotonis Fructus, 巴豆) (30 grains, peeled, heart and membrane removed, boiled in one cup of vinegar until half remains, then ground); Xingren (Prunus Armeniacae Semen, 杏仁) (27 grains).
Administration: Taken once in the evening.
Kushen Zhizi Wan (Sophora and Gardenia Pill) [from *Shengji Zonglu*] treats Grain Jaundice.
Herbs: Kushen (Sophorae Flavescentis Radix, 苦参), Longdan (Gentianae Radix, 龙胆), Huangqin (Scutellariae Radix, 黄芩) (heart removed, each 1 liang); Shanzhizi Ren (Gardeniae Fructus, 山栀子仁) (0.5 liang).
Preparation: Grind into fine powder. Mix with Pig Bile (Suis Fel, 猪胆汁) and pound for five hundred strokes.
Pill Size: As large as Sophora seeds.
Hong Wanzi (Red Pill) [from *Wei Shi Fang*] treats Grain Jaundice. Symptoms include abdominal fullness, vertigo, depression, and palpitations. This formula is also generally used for Wine Jaundice. Administer with Erchen Tang (Two-Aged Decoction) added with Suosha (Amomi Fructus Rotundus, 缩砂) decocted in water.
Herbs: Ezhu (Curcumae Rhizoma, 莪术), Sanleng (Sparganii Rhizoma, 三棱) (each 2 liang, boiled in vinegar for one shichen); Hujiao (Piperis Longi Fructus, 胡椒), Qingpi (Citri Reticulatae Pericarpium Viride, 青皮) (3 liang, stir-fried until fragrant); Awei (Asafoetida Resina, 阿魏) (1 fen, dissolved in vinegar).
Preparation: Grind into powder. Separate grinding of other components.
Gudan Wan (Grain Jaundice Pill) [from *Wei Shi Fang*, also known as Kushen Wan] treats stomach accumulation of stasis-heat, turbid qi, indigestion of food, difficulty in urination and defecation, abdominal distension, and inability to eat.
Herbs: Kushen (Sophorae Flavescentis Radix, 苦参) (3 liang), Longdancao (Gentianae Radix, 龙胆草) (1 liang), Zhizi Ren (Gardeniae Fructus, 栀子仁) (stir-fried, 0.5 liang), Renshen (Ginseng Radix, 人参) (3 fen).
Preparation: Grind into powder. Mix with Pig Bile (Suis Fel, 猪胆汁) and a little cooked honey.
Yujin San (Curcuma Powder) [from *Shenghui Fang*] treats Grain Jaundice. Symptoms include yellowing of the lips and mouth first, abdominal distension, and rapid breathing.
Herbs: Yujin (Curcumae Radix, 郁金) (1 liang), Noudan (Bovis Fel, 牛胆) (one dried gallbladder), Shexiang (Moschus, 麝香) (ground, 0.5 qian).
Administration: Grind into powder. Take 0.5 qian per dose, mixed with fresh well-water, at any time.
Dire Tang (Heat-Purging Decoction) (also known as Yinchen Hao Tang) treats Grain Jaundice. Symptoms include dizziness after eating, mental depression and vexation, and abdominal fullness.
It also treats generalized yellow swelling due to food qi, asthma, inability to eat, and chest/epigastric fullness and oppression.
Herbs: Zaojiao (Gleditsiae Sinensis Fructus, 皂角) (non-borer quality, peel and seeds removed, roasted in pig fat until charred, powdered, 1 qian bi); Badou (Crotonis Fructus, 巴豆) (7 grains, germ removed).
Preparation: Combine with light vinegar and ground ink to form pills the size of Sophora seeds.
Administration: Take with wine.
Kushen Wan (Sophora Pill) [from *Qianjin Fang*] treats Grain Jaundice. Symptoms include dizziness after eating, mental depression and vexation. Yellowing results from irregular fasting and overeating, caused by stomach qi rushing upward. The abdomen must be...
Herbs: Kushen (Sophorae Flavescentis Radix, 苦参) (1.5 liang), Longdan (Gentianae Radix, 龙胆) (0.5 liang, radix removed).
Preparation: Grind into fine powder. Mix with Bovine Gallbladder (Niudan, 牛胆) and pound for three hundred strokes.
Pill Size: As large as Sophora seeds. Take 15 pills per dose.
Grain Jaundice presents with dizziness after eating, mental depression and restlessness leading to yellowing. It is caused by irregular fasting and overeating, where stomach qi rushes and steams. The treatment formula is as follows.
Fuling Zhizi Yincheng Tang (Poria, Gardenia, and Artemisia Decoction) [from *Weisheng Baojian*]: In the past, Yuan Yan Zhengqing, in the second month of the Bingyin year, suffered from official duties and labor, with irregular diet. Heart fire invaded the spleen... both turned yellow, slightly showing green color. At that time, undigested food was passed, and urine was obstructed. He came to seek treatment and explained the matter. Upon diagnosis, his four limbs were vexatious and uncomfortable. The spleen's color must be yellow; stasis-heat circulates... bladder... the whole body turns yellow, named Grain Jaundice. This is what is meant.
Herbs: Zhizi Ren (Gardeniae Fructus, 栀子仁), Cangzhu (Atractylodis Rhizoma, 苍术), Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) (each 3 fen); Zhuling (Polyporus, 猪苓) (2 fen); Yinchinye (Artemisiae Scopariae Herba, 茵陈叶) (1 qian); Zexie (Alismatis Rhizoma, 泽泻) (2 fen); Huanglian (Coptidis Rhizoma, 黄连) (beard removed, 2 fen); Zhishi (Aurantii Fructus Immaturus, 枳实) (bran-fried, 2 qian); Chenpi (Citri Reticulatae Pericarpium, 陈皮) (2 fen); Qingpi (Citri Reticulatae Pericarpium Viride, 青皮) (white part removed, 1 fen); Fuling (Poria, 茯苓) (peel removed, 5 fen); Hanfangji (Stephaniae Tetrandrae Radix, 汉防己) (2 fen); Huangqin (Scutellariae Radix, 黄芩).
Also... using bitter... fullness. Qi. Using bitter...
Hujiao Hong Wanzi (Pepper Red Pill) [from *Ruyi Fang*] treats Grain Jaundice. Caused by overeating while hungry, damaging the stomach, accumulating heat and stasis, leading to abdominal fullness, mental depression, and palpitations.
Herbs: Sanleng (Sparganii Rhizoma, 三棱), Chenpi (Citri Reticulatae Pericarpium, 陈皮), Qingpi (Citri Reticulatae Pericarpium Viride, 青皮), Ezhu (Curcumae Rhizoma, 莪术) (each 1 liang); Hujiao (Piperis Longi Fructus, 胡椒), Ganjiang (Zingiberis Rhizoma, 干姜) (each 2 liang).
Preparation: Grind into powder. Use vinegar paste to form pills the size of Sophora seeds.