（黄者中央土色也故属阳明太阴之症湿热交并必发身黄如夏月罨曲因湿热而生黄
也湿胜者一身尽痛色如熏黄而晦热胜者一身无痛色如橘黄而明更有蓄血亦能发黄但兼小
腹硬小便自利其人如狂耳发黄鼻出冷气寸口近掌无脉者死黄而直视摇头为心绝黄而环口黧黑
为脾绝皆
瘀热在里。头汗。渴。小便难。汗不得越如橘之黄且明。（大便闭者茵陈蒿汤小便难者
五苓
蒿汤）寒湿发黄身疼发热。头痛鼻塞而烦。脉大。瓜蒂散搐鼻取水或用防风葛根苍术茵陈桔
梗甘草陈皮生姜煎服取微汗）痞气发黄。（半夏泄心汤加茵陈枳实小便难者
栀）结胸发黄。（陷胸汤加茵陈）蓄血发黄。小腹满痛。小便利。大便黑。如狂。脉沉。（桃仁
承气汤）内伤寒发黄。（调中汤加茵陈逆冷者加附子）阴症发黄。脉沉迟肢冷。气促。呕闷
。或面赤足冷。阴躁欲坐泥水井中。（轻者用理中汤加茵陈重者用四逆汤加茵陈）凡治阴黄。须热汤
温之。或以盆盛汤。令病患坐于上。布蘸热水。搭其黄上乃愈。
（热毒在胃并于心则狂乃邪热之极也狂之发作少卧不饥妄语笑妄起行登高而歌弃
衣而走甚则杀人不避水火骂詈不辨亲疏悲怒号哭逾垣上屋皆独阳亢极非大下之不能已也
狂言目反视为肾绝汗出复热狂言不能食皆死症也 发狂奔跳势不可遏倾好醋于火盆令气
冲于病患鼻内又将姜汁啧其头面及身上及手足即定方可察 其阳狂阴躁 揭开床帐放
入
干搭在病患前
大渴。目赤。唇焦。舌干。齿燥。脉实。狂妄。（大承气汤急下之）脉浮无汗。医以火逼
取汗。必惊狂。（桂枝汤去芍药加蜀漆龙骨牡蛎救逆汤）汗家重发汗。必恍惚心乱。小便已。阴痛
。（禹余粮丸）太阳病六七日。表症仍在。脉微而沉。反不结胸。其人发狂者。以热在下焦。
少腹当硬满。小便自利下血乃愈。所以然者。以太阳随经瘀热在里故也。（抵当汤）太阳病不
解。热结膀胱。人如狂。血自下者愈。外不解尚未可攻。当先解外。外已解。但少腹急结者
。乃可攻之。（桃仁承气汤）身黄。脉沉结。少腹硬。小便自利。其人如狂。血症谛也。（抵
当汤）阴症发躁。欲坐泥水井中。面赤。足冷。脉沉。不能饮水。（霹雳散冷服）身微热。
面赤足冷。脉举之数大。按之无力。此虚阳伏阴而躁。（人参四逆汤冷服）按狂之为症。多属
实热。非大承气大下之。安能已乎。如脉无力者。宜三黄石膏汤清之。至于蓄血症。但如狂
。非真狂也。由于当汗不汗。或汗迟。或脉盛汗微。或覆盖不周而汗不透太阳之邪。无从而
出。故随经入腑。血结膀胱。外症既解。方可攻下。若夫阴躁。真气败坏。虚阳上越。乃阴
盛隔阳。庸医不察脉之浮盛沉衰与不能饮水。见其面赤身热。误与凉剂。则立毙矣。大抵此
症。肌表虽热。重按之。则冷透手矣。然阴躁一症。十中止救二三。惜乎昧者不识。识者忧
谗。束手待尽。良可痛也。
（黄色是中央土的色泽，因此归属于阳明病和太阴病的证候。湿热交结必然导致身体发黄，就像夏季捂曲时因湿热而生出黄色一样。湿邪偏胜者，全身疼痛，肤色像熏黄那样晦暗；热邪偏胜者，全身不痛，肤色像橘皮黄那样鲜明。还有蓄血证也能导致发黄，但兼有小腹硬满、小便通畅、患者神志如狂的症状。发黄且鼻孔出冷气、寸口脉搏近手掌处摸不到脉象的，预后不良死亡。发黄且两眼直视、摇头的，是心气绝的表现；发黄且口周发黑的，是脾气绝的表现，这都是瘀热蕴结在里的缘故。）
头汗出，口渴，小便困难，汗液不得外越，肤色像橘子黄那样鲜明。（若大便闭结，用茵陈蒿汤；若小便困难，用五苓散加茵陈蒿汤。）寒湿导致的发黄，身体疼痛，发热，头痛，鼻塞且心烦，脉象大，可用瓜蒂散搐鼻取嚏，或者用防风、葛根、苍术、茵陈、桔梗、甘草、陈皮、生姜煎服以取微汗。）痞气导致的发黄，用半夏泻心汤加茵陈、枳实；若小便困难，加栀子。）结胸导致的发黄，用陷胸汤加茵陈。）蓄血导致的发黄，小腹满痛，小便通利，大便色黑，神志如狂，脉象沉，用桃仁承气汤。）内伤寒导致的发黄，用调中汤加茵陈；四肢逆冷者加附子。）阴证发黄，脉象沉迟，四肢冰冷，气短急促，呕吐胸闷，或者面赤足冷，阴躁欲坐于泥水井中。（轻者用理中汤加茵陈，重者用四逆汤加茵陈。）凡是治疗阴黄，需用热汤温熨，或者用盆盛装热水，让病患坐在上面，用布蘸热水搭敷在发黄部位，然后痊愈。
（热毒在胃并波及于心则发狂，这是邪热极盛的表现。狂证的发作，表现为睡眠少、不思饮食、胡言乱语、嬉笑、无故起身行走、登高而歌、脱衣奔走，甚至杀人而不避水火、骂詈不分亲疏、悲怒号哭、翻墙爬屋，这都是独阳亢极所致，非用峻下法不能平息。狂言、两眼上视、出汗后复发热、狂言不止且不能进食的，都是死症。发狂奔跳势不可遏，可在火盆中倾入好醋，令热气冲入患者鼻内，又将姜汁喷其头面及身上手足，即可安定，然后方可辨别是阳狂还是阴躁。揭开床帐，放入干草垫在患者身前。）
大渴，目赤，唇焦，舌干，齿燥，脉实，狂妄，用大承气汤急下之。）脉浮无汗，医生用火法逼汗，必致惊狂，用桂枝去芍药加蜀漆牡蛎龙骨救逆汤。）平素多汗之人再次发汗，必致恍惚心乱，小便结束后尿道疼痛，用禹余粮丸。）太阳病六七日，表证仍在，脉象微而沉，反而没有形成结胸，患者发狂，是因为热在下焦，小腹应当硬满，小便自利，下血后痊愈。之所以这样，是因为太阳随经传入，瘀热在里，用抵当汤。）太阳病不解，热结膀胱，患者如狂，血液自行排出则愈。若外证未解尚不可攻下，应当先解外证。外证已解，仅见小腹急结的，才可攻下，用桃仁承气汤。）身体发黄，脉象沉结，小腹硬，小便自利，患者如狂，这是蓄血证的确凿证据，用抵当汤。）阴证发躁，欲坐泥水井中，面赤，足冷，脉沉，不能饮水，用霹雳散冷服。）身微热，面赤足冷，脉举之数大，按之无力，这是虚阳伏于阴中而躁动，用人参四逆汤冷服。）
按：狂之为证，多属实热，非用大承气汤峻下，怎能平息？如果脉无力者，宜用三黄石膏汤清解。至于蓄血证，只是如狂，并非真狂。这是由于该发汗而未发汗，或发汗迟缓，或脉盛汗微，或覆盖不周导致汗出不透，太阳之邪无处出路，故随经入腑，血结膀胱。待外证既解，方可攻下。至于阴躁，是真气败坏，虚阳上越，乃阴盛格阳所致。庸医不察脉象的浮盛沉衰以及不能饮水的症状，见其面赤身热，误用凉剂，则立即致死。大抵此症，肌表虽热，重按之则冷透手矣。然而阴躁一症，十人中仅能救活二三，可惜糊涂者不识，明理者忧谗畏讥，束手待毙，实在令人痛心。
(Yellow is the color of the Earth in the center, thus it belongs to Yangming disease and Taiyin disease syndromes. When dampness and heat interact, body jaundice must occur, similar to how yellow mold grows due to damp-heat when fermenting Qu in summer. When dampness prevails, the whole body aches, and the complexion is like smoked yellow, dull and dark; when heat prevails, there is no whole-body pain, and the complexion is bright orange-yellow like an orange peel. Additionally, blood stasis can also cause jaundice, but it is accompanied by hardness and fullness in the lower abdomen, free urination, and a mental state resembling mania. Jaundice with cold air exhaled from the nose and absent pulse at the Cun position near the palm indicates death. Jaundice with fixed staring eyes and head shaking indicates Heart Qi exhaustion; jaundice with blackening around the mouth indicates Spleen Qi exhaustion. All these are due to stagnant heat trapped inside.)
Sweat only on the head, thirst, difficulty in urination, inability for sweat to escape outward, bright orange-yellow skin color. (If stool is constipated, use Yinchen Hao Tang [Artemisiae Scopariae Decoction]; if urination is difficult, use Wuling San [Polyporus Powder] added with Yinchen Hao [Artemisiae Scopariae Herba].) Jaundice caused by cold-dampness: body pain, fever, headache, nasal congestion, irritability, large pulse. Use Gouti San [Cucumis Trichosanthis Powder] insufflated into the nose to induce sneezing, or decoct Fangfeng [Saposhnikoviae Radix], Gegen [Puerariae Lobatae Radix], Cangzhu [Atractylodis Rhizoma], Yinchen Hao [Artemisiae Scopariae Herba], Jiegeng [Platycodonis Radix], Gancao [Glycyrrhizae Radix et Rhizoma], Chenpi [Citri Reticulatae Pericarpium], and Shengjiang [Zingiberis Rhizoma Recens] to induce mild sweating. Jaundice caused by Pi Qi [epigastric mass]: use Banxia Xiexin Tang [Pinellia Decoction to Drain the Epigastrium] added with Yinchen Hao [Artemisiae Scopariae Herba] and Zhishi [Aurantii Fructus Immaturus]; if urination is difficult, add Zhizi [Gardeniae Fructus]. Jaundice caused by Jie Xiong [chest binding]: use Xiaoxianxiong Tang [Minor Intra-thoracic Expelling Decoction] added with Yinchen Hao [Artemisiae Scopariae Herba]. Jaundice caused by Blood Stasis: fullness and pain in the lower abdomen, free urination, black stool, mental state resembling mania, deep pulse. Use Tao Ren Chengqi Tang [Prunus Persica Decoction to Order the Qi]. Jaundice caused by internal cold damage to the spleen/stomach: use Tiao Zhong Tang [Decoction to Regulate the Middle] added with Yinchen Hao [Artemisiae Scopariae Herba]; if limbs are cold, add Fuzi [Aconiti Lateralis Radix Preparata]. Yin syndrome jaundice: deep and slow pulse, cold limbs, shortness of breath, vomiting and chest oppression, or red face with cold feet, yin restlessness desiring to sit in a muddy well. (For mild cases, use Lizhong Tang [Regulate the Middle Decoction] added with Yinchen Hao [Artemisiae Scopariae Herba]; for severe cases, use Sini Tang [Reverse the Collapse Decoction] added with Yinchen Hao [Artemisiae Scopariae Herba].) When treating Yin Jaundice, warm with hot water compresses, or place the patient sitting over a basin of hot water, dipping cloth in hot water and applying it to the jaundiced area until recovery.
(When heat toxin resides in the Stomach and spreads to the Heart, mania occurs, which is the extreme of pathogenic heat. The onset of mania presents as little sleep, lack of appetite, delirious speech, laughter, aimless walking, singing while climbing high, discarding clothes and running, even killing people without avoiding fire or water, cursing without recognizing relatives or strangers, crying out in grief or anger, climbing walls and roofs. This is due to extreme hyperactivity of solitary Yang, which cannot be stopped without strong purgation. Delirious speech, upward rolling of eyes, recurrence of fever after sweating, continuous delirium, and inability to eat are all fatal signs. For uncontrollable manic jumping, pour good vinegar onto a hot charcoal brazier to let the vapor enter the patient's nose, then spray ginger juice [Zingiberis Rhizoma Recens] on the head, face, body, hands, and feet to calm them, then distinguish between Yang Mania and Yin Restlessness. Remove bed curtains and place dry grass before the patient.)
Great thirst, red eyes, cracked lips, dry tongue, dry teeth, excess pulse, madness. Use Dachengqi Tang [Major Order the Qi Decoction] for urgent purgation.) Floating pulse without sweat, physician used fire method to force sweating, resulting in fright and mania. Use Guizhi Tang removing Shaoyao [Paeoniae Radix Alba] plus Shujin [Asiasari Radix], Longgu [Fossilia Ossis Mastodi], and Muli [Concha Ostreae] for Rescue against Counterflow (Guizhi Qushaoyao Jienuo Tang).) A person prone to sweating who sweats heavily again will suffer from trance and mental confusion; after urination, genital pain occurs. Use Yuyuliang Wan [Metasideritum Pill].) Taiyang disease for six or seven days, exterior syndrome still present, pulse is faint and deep, but Chest Binding does not form. The patient becomes manic because heat is in the Lower Jiao. The lower abdomen should be hard and full, urination is free, and healing occurs upon bleeding. This is because Taiyang pathogen follows the channels into the interior, causing stagnant heat inside. Use Danggui Tang [Echinops Decoction - Note: Text says Didang Tang, usually Dandang Tang/Taohe Chengqi variant contextually implies Strong Blood Breaking, here strictly Didang Tang/Dredging Decoction].) Taiyang disease unresolved, heat binds to the Bladder, patient resembles mania. If blood discharges spontaneously, it heals. If exterior is not resolved, attack is forbidden; resolve exterior first. Once exterior is resolved, if only the lower abdomen feels tense and knotty, attack may proceed. Use Tao Ren Chengqi Tang [Prunus Persica Decoction to Order the Qi].) Body jaundice, deep and knotted pulse, hard lower abdomen, free urination, patient resembles mania. This is definitive Blood Stasis syndrome. Use Didang Tang [Dredging Decoction].) Yin syndrome restlessness, desiring to sit in a muddy well, red face, cold feet, deep pulse, inability to drink water. Use Pili San [Thunderbolt Powder] taken cold.) Slight fever, red face, cold feet, pulse rapid and large when lifted but weak when pressed. This is deficient Yang hidden within Yin causing restlessness. Use Renshen Sini Tang [Ginseng Reverse Collapse Decoction] taken cold.)
Analysis: Mania is mostly due to excess heat; without strong purgation using Dachengqi Tang [Major Order the Qi Decoction], how can it be stopped? If the pulse is weak, use Sanhuang Shigao Tang [Three-Yellow Gypsum Decoction] to clear heat. Regarding Blood Stasis syndrome, it is merely resembling mania, not true mania. This arises from failure to sweat when indicated, delayed sweating, excessive pulse with slight sweating, or inadequate covering leading to incomplete sweating. The Taiyang pathogen has no exit, so it follows the channels into the Fu organs, binding blood in the Bladder. Only after exterior symptoms resolve can purgation be used. As for Yin Restlessness, it is due to collapse of True Qi, floating of deficient Yang, and Yin excess repelling Yang. Unskilled physicians fail to observe the pulse's floating/sinking strength and the inability to drink; seeing a red face and hot body, they mistakenly administer cooling agents, leading to immediate death. Generally, although the skin surface feels hot, deep pressure reveals cold penetrating the hand. However, Yin Restfulness saves only two or three out of ten cases. It is lamentable that ignorant practitioners do not recognize it, while knowledgeable ones fear slander, leaving patients to wait for death with hands tied.)