黄胆之症，亦痼疾也。不用鲜草头方之迅利，则不效。然亦有效有不效者，讵黄胆有必不可治者耶。盖黄胆因内有
实热而发，若痧毒所变，亦有然者，务宜先施刮放，后取黄胆方，选择而用，自可得痊。
治验∶
一夏月溪，目睛、爪甲、小便皆黄，四肢上下遍体黄肿，服他医诸方不愈。余诊之，脉微数而紧，若据脉宜补，
据症宜清，不可中治。乃阅痧筋，放之渐松。用麦门冬四两、猪板油四两，煎服而痊。
一妇人黄胆，放痧后，用草头方，捣汁，酒冲服二次而痊。
小儿暮夜，啼哭不止。父母爱之，尝百计抚摩，忧疑无极，曾不得立时安静为憾，不知胸腹疼痛，故尔啼哭。若曰
小儿无痧，吾不信也。
治验∶
一朱广函女二岁，时至夜半，忽然啼哭叫跳不住，意其胸腹作痛，将刷子蘸香油刮之痧起，不药而愈。
一汪洪甫子二岁，夜深啼哭，迨至清晨不歇。延余四子端英往视，其左腿弯有痧筋，放一针，流紫黑毒血。用防风
胜金汤，多加麦芽，稍冷冻饮料之，而安。
小儿犯此，惟用疏风豁痰定惊之品，其常也。然竟有疏风而热不除，豁痰而痰不消，定惊而惊益甚者，得毋审其病
原有未当乎。余尝见此，审其症候稍杂，阅有痧焉即以痧症治之，甚效。
治验∶
一岳瑞升幼子，发热面赤，痰喘不已，两目上视，困重沉沉，他医莫治。延余，脉紧而数。先用圆红散稍冷汤饮
之。令其家人刮痧，痧起，未愈。用和脾宣化饮，研细辛大黄丸微冷冻饮料之，遂安。
一高子瞻女一岁，痰嗽身热，手足抽搐，昏迷不醒。端英子往视，虎口脉不现，六脉俱伏。阅腿弯痧，放一针，紫
黑毒血流出。用救苦丹清茶稍冷冻饮料之，未愈。又用三香散微冷汤下而痊。
Jaundice is also a chronic and stubborn disease. Without the rapid efficacy of fresh herbal prescriptions, it will not be effective. However, even with such prescriptions, there are cases that are effective and those that are not; does this mean jaundice is incurable in some instances? Generally, jaundice arises from excess heat within the body. If it transforms from Sha Du (Sha toxin), this pattern also occurs. It is essential to first apply Gua Sha (scraping therapy) or bloodletting, and then select appropriate formulas for treating Jaundice (a syndrome characterized by yellowing of the skin and eyes). Careful selection and application will naturally lead to recovery.
Clinical Cases:
1. In summer, a patient presented with yellowing of the eyes, nails, and urine, along with generalized yellow swelling of the limbs and whole body. Previous treatments by other physicians failed. Upon diagnosis, the pulse was slightly rapid and tight. While the pulse suggested tonification, the symptoms indicated clearing heat; thus, a middle-ground approach was inappropriate. I examined the Sha Jin (visible subcutaneous veins indicating stagnation) and performed bloodletting until the veins relaxed. Subsequently, the patient took a decoction of Ophiopogonis Radix (Maidong, 麦门冬) four taels and pork back fat (Zhubanyou, 猪板油) four taels, resulting in recovery.
2. A woman suffering from Jaundice underwent bloodletting for Sha, followed by the administration of a fresh herbal prescription. The herbs were crushed to extract juice, which was taken twice mixed with wine, leading to recovery.
Infants crying incessantly at night: Parents, out of love, try countless methods to soothe and massage the child, worrying endlessly, yet regretting the inability to calm them instantly. They often fail to realize that chest and abdominal pain cause this crying. To claim that infants do not suffer from Sha diseases is something I do not believe.
Clinical Cases:
1. Zhu Guanghan’s two-year-old daughter suddenly began crying and jumping uncontrollably at midnight. Suspecting chest and abdominal pain, I applied Gua Sha using sesame oil. After the Sha appeared, she recovered without medication.
2. Wang Hongfu’s two-year-old son cried deeply into the night, continuing until morning. My fourth son, Duan Ying, was summoned to examine him. He found Sha Jin on the inner aspect of the left knee. One needle puncture released dark purple-black toxic blood. Fangfeng Shengjin Tang (Siler Decoction for Victory over Gold) was prescribed with added Yam Bean (Maiya, 麦芽), served slightly chilled, which stabilized the condition.
For children suffering from this condition, the standard treatment involves herbs that disperse wind, resolve phlegm, and settle fright. However, there are cases where dispersing wind fails to remove heat, resolving phlegm fails to eliminate phlegm, and settling fright exacerbates agitation. This likely stems from an incorrect assessment of the underlying pathology. I have encountered such cases where the symptoms were complex; upon identifying signs of Sha, treating it as a Sha disease proved highly effective.
Clinical Cases:
1. Yue Ruisheng’s young son presented with fever, flushed face, continuous phlegm-wheezing, upward deviation of the eyes, and heavy lethargy. Other physicians could not treat him. Upon my examination, the pulse was tight and rapid. First, Yuanhong San (Round Red Powder) was administered with slightly cool water. His family performed Gua Sha. Although Sha appeared, he did not recover immediately. Hetuan Xuanhua Yin (Harmonizing Spleen and Promoting Transformation Drink) was given, along with finely ground Weixin Dahuang Wan (Asarum and Rhubarb Pills), served slightly chilled, after which he stabilized.
2. Gao Zizhan’s one-year-old daughter suffered from phlegm-cough, fever, convulsions of the hands and feet, and unconsciousness. My son Duan Ying examined her. The pulse at the Tiger’s Mouth (Hukou, 虎口) was imperceptible, and all six pulses were deep and hidden. Examining the legs for Sha, he punctured one point, releasing dark purple-black toxic blood. Jiuku Dan (Pill for Saving from Suffering) was administered with clear tea, slightly chilled. When this failed, Sanxiang San (Three Fragrances Powder) was given with slightly cool water, leading to recovery.