1．寸口脉浮而缓，浮则为风，缓则为痹，痹非中风，四肢苦烦，脾色必黄，瘀热以行。
2．趺阳脉紧而数，数则为热，热则消谷；紧则为寒，食即为满。尺脉浮为伤肾，趺阳脉紧为伤脾。风寒相
搏，食谷即眩，谷气不消，胃中苦浊，浊气下流，小便不通，阴被其寒，热流膀胱，身体尽黄，名曰谷疸。
额上黑，微汗出，手足中热，薄暮即发，膀胱急，小便自利，名曰女劳疸。腹如水状，不治。
心中懊 而热，不能食，时欲吐，名曰酒疸。
3．阳明病，脉迟者，食难用饱，饱则发烦，头眩，小便必难，此欲作谷疸。虽下之，腹满如故，所以然者，
脉迟故也。
4．夫病酒黄胆，必小便不利。其候心中热，足下热，是其证也。
5．酒黄胆者，或无热，靖言了了，腹满欲吐，
鼻燥。其脉浮者，先吐之；沉弦者，先下之。
6．酒疸，心中热，欲吐者，吐之愈。
7．酒疸下之，久久为黑疸，目青面黑，心中如啖蒜齑状，大便正黑，皮肤爪之不仁，其脉浮弱，虽黑微黄，
故知之。
8．师曰∶病黄胆，发热烦喘、胸满口燥者，以病发时，火劫其汗，两热相得。然黄家所得，从湿得之。一身
尽发热，面黄，肚热，热在里，当下之。
9．脉沉，渴欲饮水，小便不利者，皆发黄。
10．腹满，舌痿黄，躁不得睡，属黄家。（舌痿疑作身痿。）
11．黄胆之病，当以十八日为期，治之十日以上瘥，反剧为难治。
12．疸而渴者，其疸难治；疸而不渴者，其疸可治。发于阴部，其人必呕；阳部，其人振寒而发热也。
13．谷疸之为病，寒热不食，食即头眩，心胸不安，久久发黄为谷疸，茵陈蒿汤主之。
茵陈蒿汤方
茵陈蒿（六两） 栀子（十四枚） 大黄（二两）
上三味，以水一斗，先煮茵陈，减六升，纳二味，煮取三升，去滓，分温三服。小盒饭利，尿如皂角汁状，
色正赤，一宿腹减，黄从小便去也。
14．黄家，日晡所发热，而反恶寒，此为女劳得之。膀胱急，少腹满，身尽黄，额上黑，足下热，因作黑疸。
其腹胀如水状，大便必黑，时溏，此女劳之病，非水也。腹满者难治，硝石矾石散主之。
硝石矾石散方
硝石 矾石（烧，等分）
上二味，为散，以大麦粥汁和服方寸匕，日三服。病随大小便去，小便正黄，大便正黑，是候也。
15．酒黄胆，心中懊 ，或热痛，栀子大黄汤主之。
栀子大黄汤方
栀子（十四枚） 大黄（一两） 枳实（五枚） 豉（一升）
上四味，以水六升，煮取三升，分温三服。
16．诸病黄家，但利其小便。假令脉浮，当以汗解之，宜桂枝加黄 汤主之。（方见水气病中。）
17．诸黄，猪膏发煎主之。
猪膏发煎方
猪膏（半斤） 乱发（如鸡子大三枚）
上二味，和膏中煎之，发消药成，分再服。病
从小便出。
18．黄胆病，茵陈五苓散主之。（一本云茵陈汤及五苓散并主之。）
茵陈五苓散方
茵陈蒿末（十分） 五苓散（五分，方见痰饮中）
上二味和，先食饮方寸匕，日三服。
19．黄胆腹满，小便不利而赤，自汗出，此为表和里实，当下之，宜大黄硝石汤。
大黄硝石汤方
大黄 黄柏 硝石（各四两） 栀子（十五枚）
上四味，以水六升，煮取二升，去滓，纳硝，更煮取一升，顿服。
20．黄胆病，小便色不变，欲自利，腹满而喘，不可除热，热除必哕。哕者，小半夏汤主之。（方见痰饮中。）
21．诸黄，腹痛而呕者，宜柴胡汤。（必小柴胡汤，方见呕吐中。）
22．男子黄，小便自利，当与虚劳小建中汤。（方见虚劳中。）
附方
瓜蒂汤 治诸黄。（方见 病中。）
《千金》麻黄醇酒汤 治黄胆。
麻黄（三两）
上一味，以美清酒五升，煮取二升半，顿服尽。冬月用酒，春月用水煮之。
1. The pulse at the Cun Kou (radial artery) is floating and moderate. Floating indicates Wind, while moderate indicates Bi syndrome (obstruction). This Bi syndrome is not Wind-stroke; the patient suffers from irritability in the four limbs. The color of the Spleen (Yellow) must manifest externally, as stagnant Heat circulates within.
2. The pulse at the Fu Yang (dorsalis pedis artery) is tight and rapid. Rapid indicates Heat, which consumes grain (increases appetite); tight indicates Cold, causing fullness after eating. A floating pulse at the Chi position indicates Kidney injury, while a tight pulse at the Fu Yang indicates Spleen injury. When Wind and Cold contend, dizziness occurs immediately after eating. Grain Qi fails to digest, leading to turbidity in the Stomach. Turbid Qi flows downward, obstructing urination. Yin is affected by Cold, while Heat flows into the Bladder, resulting in generalized jaundice, termed Gu Dan (Grain Jaundice).
If the forehead is black, with slight sweating, heat in the hands and feet, occurring at dusk, bladder urgency but free urination, it is termed Nü Lao Dan (Female Labor Jaundice). Abdominal distension resembling water accumulation is difficult to treat.
If there is mental restlessness and heat, inability to eat, and frequent desire to vomit, it is termed Jiu Dan (Wine Jaundice).
3. In Yangming disease, if the pulse is slow, the patient cannot eat to fullness. Fullness leads to irritability and dizziness, and urination will certainly be difficult. This indicates impending Gu Dan (Grain Jaundice). Even if purgatives are used, abdominal fullness remains. The reason is the slow pulse (indicating interior deficiency/cold).
4. Patients with Wine Jaundice invariably have difficulty urinating. Their symptoms include heat in the chest and heat under the feet; this constitutes the syndrome.
5. In Wine Jaundice, some patients may lack obvious heat, appearing calm and clear-minded, yet suffer from abdominal fullness, desire to vomit, and dry nose. If the pulse is floating, induce vomiting first; if the pulse is deep and wiry, purge first.
6. For Wine Jaundice with heat in the chest and desire to vomit, inducing vomiting leads to recovery.
7. If Wine Jaundice is incorrectly treated with purgatives, it may eventually transform into Hei Dan (Black Jaundice), characterized by blue-black eyes, dark complexion, a sensation in the heart as if consuming minced garlic, black stool, and skin numbness (loss of sensation upon pinching). The pulse is floating and weak. Although the skin is black, a hint of yellow remains, allowing for identification.
8. The Master said: In jaundice presenting with fever, irritability, panting, chest fullness, and dry mouth, these symptoms arise because sweat was forced out by fire therapy during the onset, causing two heats to combine. However, jaundice generally arises from Dampness. If the whole body is feverish, the face is yellow, and the abdomen is hot, the heat is in the interior, and purgation should be employed.
9. A deep pulse, thirst with desire to drink water, and difficulty urination all indicate the development of jaundice.
10. Abdominal fullness, flaccid tongue with yellowish discoloration, restlessness preventing sleep, belong to the category of jaundice. ("Flaccid tongue" is suspected to be a textual error for "flaccid body".)
11. For jaundice, the prognosis period is eighteen days. If cured after ten days of treatment, good; if the condition worsens, it is difficult to treat.
12. Jaundice accompanied by thirst is difficult to treat; jaundice without thirst is treatable. If the disease originates in the Yin aspect, vomiting will occur; if in the Yang aspect, chills followed by fever will occur.
13. Gu Dan (Grain Jaundice) presents with alternating chills and fever, anorexia, dizziness after eating, and mental unease. Prolonged manifestation results in yellowing, treated with Yin Chen Hao Tang (Artemisiae Scopariae Decoction).
Yin Chen Hao Tang Formula
Yin Chen Hao (Herba Artemisiae Scopariae, 6 liang) Zhi Zi (Fructus Gardeniae, 14 pieces) Da Huang (Radix et Rhizoma Rhei, 2 liang)
Boil the three ingredients in one dou (approx. 10 liters) of water. First boil Yin Chen Hao until the volume reduces by six sheng (approx. 6 liters). Add the other two ingredients and boil to obtain three sheng (approx. 3 liters). Strain and divide into three warm doses. Urination will become smooth, urine will resemble soapberry juice (dark red). After one night, abdominal fullness decreases, and the yellow pathogen exits via urination.
14. Jaundice patients who experience fever at dusk (Shi hour, 3-5 PM) but paradoxically feel aversion to cold, this is caused by Nü Lao (female labor/kidney deficiency). With bladder urgency, lower abdominal fullness, generalized jaundice, black forehead, and heat under the feet, Hei Dan (Black Jaundice) forms. Abdominal distension resembling water accumulation, black stool, and occasional loose stools characterize this Nü Lao disease, distinct from water retention. Abdominal fullness indicates a difficult case, treated with Xiao Shi Fan Shi San (Niter and Alum Powder).
Xiao Shi Fan Shi San Formula
Xiao Shi (Natrii Nitras) Fan Shi (Alumen, calcined), equal parts.
Grind the two ingredients into powder. Mix with barley gruel juice and administer one cun bi (approx. 2-3 grams) per dose, three times daily. The pathogen exits via stool or urine. Yellow urine and black stool indicate the expected outcome.
15. For Wine Jaundice with mental restlessness (Ao Nu) or heat pain, use Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction).
Zhi Zi Da Huang Tang Formula
Zhi Zi (Fructus Gardeniae, 14 pieces) Da Huang (Radix et Rhizoma Rhei, 1 liang) Zhi Shi (Fructus Aurantii Immaturus, 5 pieces) Chi Dou (Semen Sojae Praeparatum, 1 sheng)
Boil the four ingredients in six sheng of water to obtain three sheng. Divide into three warm doses.
16. For all types of jaundice, promoting urination is the primary method. If the pulse is floating, resolve the exterior with sweating; Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction plus Astragalus) is indicated. (Formula see Water Qi Disease chapter.)
17. For various jaundices, Zhu Gao Fa Jian (Pig Fat and Hair Fritter) is indicated.
Zhu Gao Fa Jian Formula
Zhu Gao (Medulla Cerae Suilla, half jin) Luan Fa (Crinis Carbonisatus, three pieces the size of chicken eggs)
Melt the hair in the pig fat over heat until dissolved. Divide into two doses. The pathogen exits via urination.
18. For jaundice, Yin Chen Wu Ling San (Artemisia Scoparia and Five-Ingredient Powder with Poria) is indicated. (Another version states Yin Chen Tang and Wu Ling San combined.)
Yin Chen Wu Ling San Formula
Yin Chen Hao Mo (Powder of Herba Artemisiae Scopariae, 10 fen) Wu Ling San (Five-Ingredient Powder with Poria, 5 fen, formula see Phlegm-Rheum chapter)
Mix the two powders. Take one cun bi before meals with warm water, three times daily.
19. In jaundice with abdominal fullness, difficult and dark-red urination, and spontaneous sweating, the exterior is harmonious but the interior is excess. Purge the interior using Da Huang Xiao Shi Tang (Rhubarb and Niter Decoction).
Da Huang Xiao Shi Tang Formula
Da Huang (Radix et Rhizoma Rhei) Huang Bo (Cortex Phellodendri) Xiao Shi (Natrii Nitras) [each 4 liang] Zhi Zi (Fructus Gardeniae, 15 pieces)
Boil the four ingredients in six sheng of water to obtain two sheng. Strain, add Xiao Shi, and boil again to obtain one sheng. Take in one dose.
20. In jaundice, if urine color does not change (remains normal), the patient desires diarrhea, has abdominal fullness and wheezing, clearing heat is contraindicated. Clearing heat will cause hiccups. For hiccups, Xiao Ban Xia Tang (Minor Pinellia Decoction) is indicated. (Formula see Phlegm-Rheum chapter.)
21. For various jaundices with abdominal pain and vomiting, Chai Hu Tang (Bupleurum Decoction) is indicated. (Specifically Xiao Chai Hu Tang, formula see Vomiting chapter.)
22. For men with jaundice and free urination, treat with Xu Lao Xiao Jian Zhong Tang (Deficiency Consumption Minor Construct the Middle Decoction). (Formula see Deficiency Consumption chapter.)
Appendix Formulas
Gua Di Tang (Melon Stalk Decoction) treats various jaundices. (Formula see Malaria chapter.)
Qian Jin Ma Huang Chun Jiu Tang (from Essential Prescriptions Worth a Thousand Gold) treats jaundice.
Ma Huang (Herba Ephedrae, 3 liang)
Boil the single ingredient in five sheng of fine clear wine to obtain two and a half sheng. Take in one dose. Use wine for winter boiling; use water for spring boiling.