已食如饥，但欲安卧，一身面目及爪甲小便尽黄也。此为脾胃积热，而复受风湿，瘀
结不
散，湿热蒸郁，或伤寒无汗，瘀热在里所致。是宜分别湿热多少而治之。若面色微黄，而身
体或青黑赤色皆见者，与纯热之症不同，当于湿家求之。
加减五苓散
茵陈 猪苓 白术 赤苓 泽泻
大茵陈汤
茵陈蒿（半两） 大黄（三钱） 栀子（四枚）
水三升，先煮茵陈减一半，内二味，煮取一升去滓，分三服，小便利出如皂角汁，一宿
腹减，黄从小便出也。如大便自利者，去大黄，加黄连二钱。
寇宗 治一僧，因伤寒发汗不彻，有留热，面身皆黄，多热，期年不愈方。
茵陈 山栀（各三分） 秦艽 升麻（各四钱）
为散，每用三钱，水四合，去滓，食后温服。五日病减，二十日悉去。
搐鼻瓜蒂散（《宝鉴》）
瓜蒂（二钱） 母丁香（一钱） 黍米（四十九粒） 赤豆（五分）
为细末，每夜卧时，先含水一口，却于两鼻孔搐上半字，便睡至明日，取下黄水。
许叔微云∶夏有篙师病黄症，鼻内酸疼，身与目黄如金色，小便赤涩，大便如常，此病
不在
脏腑，乃黄入清道中也。若服大黄则必腹胀为逆，当瓜蒂散搐之，令鼻中黄水出尽则愈。
孟铣方
瓜蒂 丁香 赤小豆（各七枚）
为末，吹豆许入鼻，少时黄水流出，隔一日用，瘥乃止。一方用瓜蒂一味为末，以大豆
许吹鼻中，轻则半日，重则一日，出黄水愈。
After eating, the patient feels as if hungry, yet desires to lie down quietly. The whole body, face, eyes, fingernails, and urine are all yellow. This is caused by accumulated heat in the Spleen and Stomach, compounded by Wind-Dampness pathogen, leading to stagnation and unresolved binding. The Damp-Heat steams and郁 (stagnates), or it results from Cold Damage with no sweating, causing stagnant Heat to lodge inside. Treatment should differentiate based on whether Dampness or Heat predominates. If the complexion is slightly yellow, but the body exhibits mixed colors such as cyan, black, or red, this differs from pure Heat syndromes; one should seek treatment principles from cases of Dampness disorders.
Modified Wuling San (Five-Ling Powder)
Yinchen (Artemisiae Scopariae Herba), Zhuling (Polyporus), Baizhu (Atractylodis Macrocephalae Rhizoma), Chiling (Poria cum Ramo et Ligno), Zexie (Alismatis Rhizoma).
Major Yinchen Decoction
Yinchen Hao (Artemisiae Scopariae Herba, half tael), Dahuang (Rhei Radix et Rhizoma, three qian), Zhizi (Gardeniae Fructus, four pieces).
Add three sheng of water, first decoct Yinchen until the volume is reduced by half, then add the other two herbs. Decoct to obtain one sheng of liquid, strain, and divide into three doses. When urination becomes smooth and the urine resembles the juice of soap pods, after one night abdominal distension will decrease, and the jaundice will exit via the urine. If the stool passes naturally, remove Dahuang and add Huanglian (Coptidis Rhizoma, two qian).
Kou Zongshi’s prescription for a monk who, due to incomplete sweating therapy for Cold Damage, retained residual heat, resulting in yellowing of the face and body, significant fever, and non-resolution over one year:
Yinchen (Artemisiae Scopariae Herba), Shanzhi (Gardeniae Fructus, each three fen), Qinjiao (Gentianae Macrophyllae Radix), Shengma (Cimicifugae Rhizoma, each four qian).
Grind into powder. Use three qian per dose, add four he of water, strain, and take warm after meals. After five days, symptoms reduce; after twenty days, the disease is completely cured.
Nasal Insufflation Genti San (from *Baojian*)
Guti (Cucumeritis Fructus, two qian), Mudingxiang (Tschonoskii Cardamomi Fructus, one qian), Shumi (Panicum miliatum, forty-nine grains), Chidou (Vigna angularis, five fen).
Grind into fine powder. Every night before sleep, first hold a mouthful of water, then insufflate a small amount (half zi) into both nostrils, then sleep until morning. Yellow fluid will be discharged.
Xu Shuwei stated: In summer, a boatman suffered from Jaundice Syndrome, with nasal soreness, body and eyes yellow like gold, red and scanty urine, but normal stool. This pathology does not reside in the Zang-Fu organs but rather in the Clear Passages (Qingdao). If Dahuang is administered, it will inevitably cause abdominal distension, which is adverse. One should use Genti San for nasal insufflation to drain all yellow fluid from the nose, upon which recovery occurs.
Meng Xian’s Prescription
Guti (Cucumeritis Fructus), Dingxiang (Eugenii Flos), Chixiaodou (Vigna angularis, each seven grains).
Grind into powder. Insufflate an amount the size of a bean into the nose. After a short while, yellow fluid flows out. Repeat every other day until cured. Another method uses only Guti ground into powder, insufflated in an amount the size of a soybean. For mild cases, recovery occurs within half a day; for severe cases, within one day, once yellow fluid is discharged.