此由脾胃大热,热伤于心,心主于血,热气盛,故发黄而动血,故因名为发血。
黄病后,小便涩,兼石淋,发黄胆,此皆由蓄热所为。热流小肠,小便涩少而痛,下物
如沙石也。
黄胆之病,此由酒食过度,腑脏不和,水谷相并,积于脾胃,复为风湿所搏,瘀结不散
,热气郁蒸,故食已如饥,令身体面目爪甲及小便尽黄,而欲安卧。
若身脉多赤,多黑、多青皆见者,必寒热身痛。面色微黄,齿垢黄,爪甲上黄,黄胆也
疸而渴者,其病难治;疸而不渴,其病可治。发于阴部,其人必呕;发于阳部,其人振
夫虚劳之人,若饮酒多,进谷少者,则胃内生热。因大醉当风入水,则身目发黄,心中
懊痛,足胫满,小便黄,面发赤斑。若下之,久久变为黑疸,面目黑,心中如啖蒜齑
状,大便正黑,皮肤爪之不仁。其脉浮弱,故知之。
酒疸,心中热,欲呕者,当吐之则愈。其小便不利,其候当心中热,足不热,是其证明
若腹满欲吐,鼻燥,其脉浮,先吐之,沉弦,先下之。
Any person who previously suffered from wind-dampness and then encountered cold qi, which fought with the pathogenic factors, will experience pain throughout the body, fever, and yellowing of the body.
This is due to excessive heat in the Spleen and Stomach; the heat injures the Heart. The Heart governs blood. When heat qi is exuberant, it causes yellowing of the body and disturbs the blood (bleeding), hence this condition is named "Fa Xue" (Bleeding Eruption).
This is caused by stagnant heat residing in the Spleen and Stomach, leading to yellowing of the body. If it is complicated by toxins, it results in dysentery, hence this condition is named "Fa Li" (Dysentery Eruption).
This disease arises because heat injures the Heart, and the Heart governs blood. When heat is exuberant, blood follows the stool downward, a condition named "Xue Zhi" (Hemorrhoidal Bleeding).
All jaundice diseases are caused by excessive heat. During times of exuberant heat, one must take cooling medicines. However, if too many cooling medicines are taken, they may stir up old accumulations or masses (Pi Ji).
After suffering from jaundice, if there is difficult and painful urination accompanied by stone strangury (Shi Lin) and yellowing of the gallbladder, these are all caused by accumulated heat. Heat flows into the Small Intestine, causing difficult, scanty, and painful urination, with discharge resembling sand and stones.
After vomiting and purging for jaundice, the Stomach Qi becomes deficient and cold. If the person has a chronic condition involving cold fluid retention, vomiting will occur.
The disease of Jaundice (Dan Huang) is caused by excessive consumption of alcohol and food, leading to disharmony of the Fu and Zang organs. Water and grain mix together and accumulate in the Spleen and Stomach. Combined with the struggle against wind-dampness, the stagnation does not disperse. Heat qi stagnates and steams, causing the sensation of hunger after eating, yellowing of the body, face, nails, and urine, and a desire to lie still.
If the pulses on the body show mixed colors—predominantly red, black, or blue—it indicates alternating chills and fever along with body pain. A slightly yellow complexion, yellow dental plaque, and yellow nails indicate Dan Huang (Jaundice). If Dan Huang is accompanied by thirst, the disease is difficult to treat; if not accompanied by thirst, it is treatable. If the disease manifests in Yin regions, the person will certainly vomit; if it manifests in Yang regions, the person will experience shivering
In persons with deficiency consumptive diseases, if they drink much alcohol but eat little grain, internal heat generates in the Stomach. If they enter water or are exposed to wind while heavily intoxicated, the body and eyes turn yellow, the heart feels vexed and painful, the calves become full and swollen, the urine turns yellow, and red spots appear on the face. If treated with purgatives, over time it transforms into Black Dan (Hei Dan), characterized by a black face and eyes, a sensation in the heart as if eating minced garlic, completely black stools, and skin that is numb and insensitive to scratching. This can be known by a floating and weak pulse.
For Jiu Dan (Alcohol Jaundice), if the patient feels heat in the heart and desires to vomit, inducing vomiting will lead to recovery. If there is difficulty in urination, the symptom profile shows heat in the heart but no heat in the feet; this confirms the diagnosis.
If there is abdominal fullness, a desire to vomit, dry nose, and a floating pulse, induce vomiting first. If the pulse is deep and wiry, purge first.