经曰∶面目发黄，小溲赤涩，安静嗜卧者，黄瘅也。此系脾有积湿，故倦怠嗜卧；胃有积热，故发黄溺赤。但湿
郁内生，热邪外感，故内经有开鬼门、洁净府之法。开鬼门者，开其腠理，使热邪从肌表出也；洁
净府者，泻其膀胱，使湿邪从小便出也。然外感之热，可从汗解，若阳明内蕴之热，发汗则劫阴，
而内热更甚，只宜清胃热，利脾湿，而汗吐下之法均不可用矣。至于阳黄、阴黄、谷瘅、酒瘅、女
劳瘅，种种不同，见证旋治，条列于后。
面目发黄，口燥而渴，小溲赤涩，胃火炽盛，湿热熏蒸，是为阳黄，导黄汤主之。
导黄汤（自制）
葛根（二钱） 花粉（二钱） 山栀（一钱五分） 连翘（一钱五分） 木通（二钱）
茵陈（三钱） 萆 （二钱） 茯苓（二钱） 泽泻（一钱五分） 车前（二钱） 苡仁（一两
煎汤代水）
面目发黄，身冷不渴，小便微黄而利，此为阴黄，茵陈术附汤主之。
茵陈术附汤（自制）
茵陈（三钱） 白术（二钱） 附子（一钱） 茯苓（二钱） 当归（二钱）
广皮（一钱） 半夏（一钱） 砂仁（一钱） 苡仁（八钱） 姜皮（八分）
谷瘅者，脾胃不和，食谷则眩，谷气不消，胃中浊气下流，小便不通，湿热入于膀胱，身体尽
黄，名曰谷瘅，和中茵陈汤主之。
和中茵陈汤（自制）
当归（二钱） 茯苓（二钱） 白术（一钱） 广皮（一钱） 浓朴（一钱）
木香（五分） 砂仁（一钱） 茅术（一钱） 山栀（一钱五分） 茵陈（三钱） 萆 （二
钱） 车前（二钱） 生谷芽（二钱） 熟谷芽（二钱） 生苡仁（五钱） 熟苡仁（五钱
煎汤代水）
The *Neijing* (Inner Canon) states: When the face and eyes turn yellow, urine is scanty, dark red, and difficult to pass, and the patient remains quiet but prefers lying down, this is termed Huangdan (Jaundice). This condition arises from dampness accumulating in the Spleen, causing fatigue and drowsiness; and heat accumulating in the Stomach, leading to yellowing of the skin and dark urine. However, since dampness stagnates internally while heat pathogens are contracted externally, the *Neijing* prescribes the methods of "opening the ghost gate" (Kai Guimen) and "purifying the clean mansion" (Jie Jingfu). "Opening the ghost gate" refers to opening the Couli (skin pores) to allow heat pathogens to exit from the muscle surface; "purifying the clean mansion" refers to draining the Bladder to allow dampness pathogens to exit via urination. Nevertheless, if the heat is externally contracted, it can be resolved through sweating. If, however, the heat is internally stored within the Yangming channel, inducing sweating will consume Yin fluids and exacerbate internal heat. In such cases, one should only clear Stomach heat and promote the diuresis of Spleen dampness; the methods of sweating, vomiting, and purging are all contraindicated. As for Yang Huang (Yang-type Jaundice), Yin Huang (Yin-type Jaundice), Gu Dan (Grain Jaundice), Jiu Dan (Wine Jaundice), and Nu Lao Dan (Female Labor Jaundice), each presents differently. Treatments vary according to specific manifestations, which are listed below.
When the face and eyes turn yellow, accompanied by dry mouth and thirst, scanty dark painful urination, due to blazing Stomach fire and steaming-damp-heat, this is Yang Huang (Yang-type Jaundice), treated primarily with Dao Huang Tang (Yellow-Guiding Decoction).
Dao Huang Tang (Self-made Formula)
Puerariae Radix (Gegen, 2 qian)
Trichosanthis Radix (Huafen, 2 qian)
Gardeniae Fructus (Shanzhi, 1.5 qian)
Forsythiae Fructus (Lianqiao, 1.5 qian)
Akebiae Caulis (Mutong, 2 qian)
Artemisiae Scopariae Herba (Yinchen, 3 qian)
Dioscoreae Hypoglaucae Rhizoma (Bixie, 2 qian)
Poria (Fuling, 2 qian)
Alismatis Rhizoma (Zexie, 1.5 qian)
Plantaginis Seed (Cheqian, 2 qian)
Coicis Semen (Yiren, 1 liang, decocted as water substitute)
When the face and eyes turn yellow, body feels cold without thirst, and urine is slightly yellow yet free-flowing, this is Yin Huang (Yin-type Jaundice), treated primarily with Yinchenshu Fuzi Tang (Artemisiae Scopariae, Atractylodes Macrocephalae, and Aconite Decoction).
Yinchenshu Fuzi Tang (Self-made Formula)
Artemisiae Scopariae Herba (Yinchen, 3 qian)
Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian)
Aconiti Lateralis Radix Praeparata (Fuzi, 1 qian)
Poria (Fuling, 2 qian)
Angelicae Sinensis Radix (Danggui, 2 qian)
Citri Reticulatae Pericarpium (Guangpi, 1 qian)
Pinelliae Tuber (Banxia, 1 qian)
Amomi Fructus Rotundus (Sharen, 1 qian)
Coicis Semen (Yiren, 8 qian)
Zingiberis Cortex (Jiangpi, 8 fen)
Gu Dan (Grain Jaundice) results from disharmony between the Spleen and Stomach. After eating, the patient experiences dizziness; the food qi fails to digest, turbid qi from the Stomach flows downward, causing urinary obstruction. Damp-heat enters the Bladder, causing the entire body to turn yellow. This condition is named Gu Dan (Grain Jaundice) and is treated primarily with Hezhong Yincheng Tang (Harmonizing Middle Artemisiae Scopariae Decoction).
Hezhong Yincheng Tang (Self-made Formula)
Angelicae Sinensis Radix (Danggui, 2 qian)
Poria (Fuling, 2 qian)
Atractylodis Rhizoma (Baizhu, 1 qian)
Citri Reticulatae Pericarpium (Guangpi, 1 qian)
Magnoliae Officinalis Cortex (Noupu, 1 qian)
Aquilariae Lignum Resinatum (Muxiang, 0.5 qian)
Amomi Fructus Rotundus (Sharen, 1 qian)
Atractylodis Rhizoma (Maoshu/Cangzhu, 1 qian)
Gardeniae Fructus (Shanzhi, 1.5 qian)
Artemisiae Scopariae Herba (Yinchen, 3 qian)
Dioscoreae Hypoglaucae Rhizoma (Bixie, 2 qian)
Plantaginis Seed (Cheqian, 2 qian)
Hordei Fructus Germinatus (Raw Guya, 2 qian)
Hordei Fructus Germinatus (Cooked Guya, 2 qian)
Coicis Semen (Raw Yiren, 5 qian)
Coicis Semen (Cooked Yiren, 5 qian, decocted as water substitute)