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。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。
食谷则眩。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。○
心下懊 而热不能食。时时欲吐。名曰酒疸。○阳明病脉迟者。食难用饱。饱则发烦。头眩心烦。
小便难。此欲作谷疸。虽下之。腹满如故。所以然者。脉迟故也。○夫病酒黄胆者。必小便不利。
其候心中热。足下热。是其证也。○酒黄胆者。或无热。静言了了。腹满欲吐。鼻燥其脉浮者先吐
之。沉弦者先下之。○酒疸心中热欲呕者。吐之即愈。○酒疸下之。久久为黑疸。目青面黑。心中
如啖蒜韭状。大便正黑。皮肤爪之不仁。其脉浮弱。虽黑微黄。故知之。○师曰。病黄胆发热烦喘
。胸满口燥者。以病发时火劫其汗。两热所得。然黄皆从湿得之。一身发热。面黄肚热。热则在里
。当下之。○脉沉。渴欲饮水。小便不利者。皆发黄也。○腹胀满。面痿黄。躁不得睡。属黄家。
○师曰。黄胆之病。当以十八日为期。
治之十日以上宜瘥。反剧为难治。○又曰。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。发于阳部。其人振寒发热也。
【茵陈蒿汤】 治谷疸为病。寒热不食。食即头眩。心胸不安。久久发黄。
茵陈蒿（六两） 大黄（三两） 栀子（十四个。擘）
上三味 咀。水一斗二升。煮茵陈。减一半。纳二味。煮至三升。去渣。分温三服。小便利。
溺如皂荚色汁。状正赤。壹宿腹减。黄从小便去也。
【硝石矾石散】治黄家日晡所发热。而反恶寒。此女劳疸也。得之膀胱急。小腹满。一身
尽黄。额上黑。足下热。因作黑疸。其腹胀如水状。大便必黑或时溏。此女劳之为病。非水也。腹满
者难治。
硝石 矾石（烧。各等分）
上二味为末。以大麦面粥和。服方寸匕。日三服。病随大小便去。大便正黑。小便黄是其候。
【栀子大黄汤】治酒黄胆心中懊 。或热痛。宜服此方主之。
栀子（十四个擘） 枳实（五枚。炙） 豆豉（一升。绵裹） 大黄（一两）
上 咀。以水六升。煮取二升。去渣。分温三服。无时。
【茵陈五苓散】治黄胆病。一本茵陈汤及五苓散。（五苓散。局方有）
五苓散（五分） 茵陈蒿末（十分）
上和匀。先食饮服方寸匕。日三服。
【大黄硝石汤】治黄病腹满。小便不利而赤。自汗出。此表和里实。当下之。
大黄 黄柏 硝石（各四两） 栀子（十四个。擘）
上 咀。水六升。煮取二升去渣。纳硝石。煮一升。顿服之。
【黄连散】治黄胆大小便秘涩壅热。累效。
川大黄（好醋拌炒） 黄连（各二两） 甘草（炙） 黄芩（各一两）
上四味为末。每服二钱。食后温水调下。日三服。
【 鼻瓜蒂散】治黄胆遍身如金色。此方累经效。
瓜蒂（十四个） 母丁香（一个） 黍米（四十九个）
上先将瓜蒂为细末。次入二味同碾。罗为末。每于夜卧。令病患先含水一口。两鼻孔内 入半
字以下。吐了水便睡。至半夜或明日。取下黄水。旋用熟帛 了。直候取水定。便服前黄连散。病
轻五日见效。重者半月取效。
寸口脉象浮而缓。浮脉主风邪，缓脉主痹阻。这种痹阻并非中风，而是四肢感到烦扰不适，脾的色泽必然发黄，瘀滞的热邪随之运行周身。趺阳脉象紧而数。数脉主热，热则消谷善饥；紧脉主寒，进食后即感脘腹胀满。尺部脉象浮提示肾气受损，趺阳脉象紧提示脾气受损。风寒之邪相互搏结，进食后便出现头晕目眩，水谷之气不能正常消化，胃中苦于浊气内停，浊气向下流注，导致小便不通畅。阴分受寒邪侵袭，热邪流入膀胱，致使全身发黄，这称为谷疸。若见额头颜色发黑，微微出汗，手足心发热，傍晚时分症状发作，膀胱拘急但小便自利，这称为女劳疸。若腹部胀大如水状，属于难治之症。
心中烦闷懊恼，自觉发热但不能进食，时常想呕吐，这称为酒疸。阳明病若脉象迟缓，说明饮食难以吃饱，饱食后便会引发心烦、头眩、心烦意乱及小便困难，这是即将发生谷疸的表现。即使使用下法治疗，腹满的症状也不会消除，之所以如此，是因为脉迟的缘故。
患有酒黄疸病的患者，必然小便不利，其表现为心中烦热，足底发热，这就是其证候特征。
酒黄疸病患者，有的可能没有明显的热象，神志安静清晰，但感到腹部胀满欲吐，鼻干，若脉象浮，应先采用涌吐法治疗；若脉象沉弦，应先采用攻下法治疗。
若对酒疸病患者误用下法，久而久之会转变为黑疸，表现为眼睛青黑、面色黧黑，心中感觉像吃了蒜和韭菜一样辛辣难受，大便颜色正黑，皮肤麻木不仁，按之不痛，脉象浮弱，虽然面色黑但隐约可见黄色，据此可以判断。
老师说：患黄疸病并伴有发热、烦躁、气喘、胸满、口燥等症状的，是因为在发病时用火法强行发汗，导致两股热邪相合所致。然而黄疸多由湿邪引起，若全身发热，面部黄而肚脐周围也热，说明热邪在里，应当采用下法治疗。
脉象沉，口渴想喝水，小便不利的，都会发黄。
老师说：黄疸病的治疗周期应以十八天为期限。治疗十天后病情应当好转，如果反而加重，则属于难治之症。
又说：黄疸病伴有口渴的，难以治愈；不伴有口渴的，可以治愈。病发于阴分的，患者必定呕吐；病发于阳分的，患者会出现恶寒发热的症状。
【茵陈蒿汤】治疗谷疸病。症状包括寒热往来、不能进食，进食即头眩，心胸不安，日久身体发黄。
茵陈蒿（六两） 大黄（三两） 栀子（十四个，掰开）
以上三味药，切碎。用水一斗二升，先煮茵陈蒿，水量减少一半时，加入另外两味药，继续煮至三升，去渣滓。分三次温服。服药后小便利，尿液颜色如皂荚汁液般呈正红色。过一夜后腹部胀满减轻，黄色从小便排出。
【硝石矾石散】治疗黄疸病患者在申时（下午3-5点）发热，却反而怕冷，这是女劳疸。症状包括膀胱拘急，小腹胀满，全身发黄，额头发黑，足底发热，因此演变为黑疸。若腹部胀大如水状，大便必黑或有时稀溏，这是女劳疸的病证，而非水饮病。腹部胀满者难治。
硝石 矾石（烧制，各等分）
以上两味药研成细末，用大麦面粥调和，每次服用方寸匕，每日三次。病邪随大小便排出，大便颜色正黑，小便变黄，这是药效显现的征候。
【栀子大黄汤】治疗酒黄疸病，心中烦闷懊恼，或有热痛，宜服用此方主治。
栀子（十四个，掰开） 枳实（五枚，炙烤） 豆豉（一升，绵布包裹） 大黄（一两）
以上四味药切碎，用水六升，煮取二升，去渣滓。分三次温服，不限时间。
【茵陈五苓散】治疗黄疸病。另一版本为茵陈汤及五苓散。（五苓散见《局方》）
五苓散（五分） 茵陈蒿末（十分）
以上两味混合均匀，饭前用温水送服方寸匕，每日三次。
【大黄硝石汤】治疗黄疸病，腹部胀满，小便不利且色赤，自汗出，此为表虚里实，应当采用下法治疗。
大黄 黄柏 硝石（各四两） 栀子（十四个，掰开）
以上四味药切碎，用水六升，煮取二升，去渣滓，加入硝石，再煮至一升，一次性顿服。
【黄连散】治疗黄疸病，大小便秘涩壅滞有热，屡试有效。
川大黄（好醋拌炒） 黄连（各二两） 甘草（炙） 黄芩（各一两）
以上四味药研成细末，每次服用二钱，饭后用温水调服，每日三次。
【鼻瓜蒂散】治疗黄疸病，遍身肤色如金色。此方屡经验证有效。
瓜蒂（十四个） 母丁香（一个） 黍米（四十九个）
先将瓜蒂研为细末，再加入另外两味药一同碾碎，过筛为细末。每晚睡前，让患者先含一口水，将药粉少许（半字以下）吹入两个鼻孔内，吐出口水后睡觉。到半夜或第二天早上，会引出黄水，随即用熟绢擦拭干净，直到引水完毕，再服用前面的黄连散。病轻者五日见效，重者半月见效。
The pulse at the Cun Kou (radial artery) is floating and moderate. Floating indicates wind, while moderate indicates bi-syndrome (obstruction). This obstruction is not wind-stroke; rather, the limbs suffer from vexation. The color of the spleen must turn yellow, and stagnant heat circulates throughout the body. The pulse at the Fu Yang (dorsalis pedis artery) is tight and rapid. Rapid indicates heat, which consumes grain (increases appetite); tight indicates cold, leading to fullness after eating. A floating pulse at the Chi position indicates kidney injury, while a tight pulse at the Fu Yang position indicates spleen injury. Wind and cold contend with each other; after eating, dizziness occurs. Grain qi fails to digest, causing bitterness from turbid qi in the stomach. Turbid qi flows downward, blocking urination. Yin is affected by cold, while heat flows into the bladder, resulting in whole-body yellowing, known as Grain Jaundice (Gu Dan). If the forehead is black, there is slight sweating, heat in the hands and feet, onset at dusk, urgency in the bladder but free urination, it is known as Labor Jaundice (Nu Lao Dan). If the abdomen is distended like water, it is difficult to treat.
Vexation and stifling sensation in the heart region, accompanied by heat and inability to eat, with frequent desire to vomit, is known as Wine Jaundice (Jiu Dan). In Yangming disease, if the pulse is slow, one cannot eat to fullness; upon becoming full, vexation, dizziness, and difficulty in urination occur. This suggests impending Grain Jaundice. Even if purgatives are used, abdominal fullness remains. This is due to the slow pulse.
Patients suffering from Wine Jaundice must have difficult urination. Their signs include heat in the heart and heat under the feet. For Wine Jaundice, some may present without obvious heat, with quiet and clear consciousness, but with abdominal fullness, desire to vomit, and dry nose. If the pulse is floating, induce vomiting first; if deep and wiry, purge first.
If a patient with Wine Jaundice has heat in the heart and desires to vomit, inducing vomiting will lead to recovery.
If Wine Jaundice is mistakenly treated with purgatives, it may eventually transform into Black Jaundice (Hei Dan), characterized by blue-black eyes, dark complexion, a sensation in the heart as if consuming garlic and leeks, black stool, and skin numbness. The pulse is floating and weak. Although the complexion is black, a faint yellow hue reveals its origin.
The Master said: When jaundice presents with fever, vexation, panting, chest fullness, and dry mouth, it is because fire therapy was used to force sweating during the onset, combining two sources of heat. However, jaundice generally arises from dampness. If the whole body is hot, with yellow face and heat around the umbilicus, the heat is interior, and purgation should be applied.
If the pulse is deep, thirst with desire to drink, and difficult urination occur, jaundice will develop.
Abdominal fullness, sallow-yellow complexion, restlessness preventing sleep, belongs to the category of Jaundice.
The Master said: The course of jaundice should last eighteen days. Treatment for more than ten days should result in improvement; if symptoms worsen, it is difficult to treat.
Furthermore, jaundice with thirst is difficult to treat, while jaundice without thirst is curable. If the disease originates in the Yin aspect, vomiting will occur; if in the Yang aspect, aversion to cold and fever will occur.
[Yinchen Hao Tang] Treats Grain Jaundice, characterized by alternating chills and fever, anorexia, dizziness after eating, mental unrest, and eventual yellowing of the body.
Yin Chen Hao (Artemisiae Scopariae Herba, 6 liang), Da Huang (Rhei Radix et Rhizoma, 3 liang), Zhi Zi (Gardeniae Fructus, 14 pieces, broken).
Crush the three herbs. Boil in 12 sheng of water. First boil Yin Chen Hao until the volume reduces by half. Add the other two herbs and boil until 3 sheng remains. Strain. Divide into three warm doses. Urine will become copious, resembling soap pod juice, bright red. After one night, abdominal fullness decreases, and yellow pigment is excreted via urine.
[Xiaoshi Fanshi San] Treats patients with jaundice who experience fever at Shen hour (3-5 PM) but feel aversion to cold, indicating Labor Jaundice. Symptoms include bladder urgency, lower abdominal fullness, whole-body yellowing, black forehead, and heat under the feet, evolving into Black Jaundice. If the abdomen is distended like water, stool is black or loose. This is Labor Jaundice, not fluid retention. Abdominal fullness makes it difficult to treat.
Xiao Shi (Natrii Sulfas, calcined), Fan Shi (Alumen, calcined), equal parts.
Grind into powder. Mix with barley porridge. Take one fang cun bi (square-inch spoonful) per dose, three times daily. Pathogens exit via stool and urine; black stool and yellow urine indicate efficacy.
[Zhi Zi Da Huang Tang] Treats Wine Jaundice with vexation/stifling sensation in the heart or painful heat.
Zhi Zi (Gardeniae Fructus, 14 pieces, broken), Zhi Shi (Immaturae Citri Fructus, 5 pieces, roasted), Dou Chi (Sojae Preparata, 1 sheng, wrapped in silk), Da Huang (Rhei Radix et Rhizoma, 1 liang).
Crush the herbs. Boil in 6 sheng of water to obtain 2 sheng. Strain. Divide into three warm doses, taken at any time.
[Yinchen Wuling San] Treats Jaundice. Another version combines Yinchen Tang and Wuling San.
Wuling San (Poria Powder, 5 fen), Yin Chen Hao Mo (Artemisiae Scopariae Herba powder, 10 fen).
Mix evenly. Take one fang cun bi before meals with warm water, three times daily.
[Dahuang Xiaoshi Tang] Treats Jaundice with abdominal fullness, difficult and reddish urination, and spontaneous sweating. This indicates exterior deficiency and interior excess, requiring purgation.
Da Huang (Rhei Radix et Rhizoma), Huang Bai (Phellodendri Cortex), Xiao Shi (Natrii Sulfas, 4 liang each), Zhi Zi (Gardeniae Fructus, 14 pieces, broken).
Crush the herbs. Boil in 6 sheng of water to obtain 2 sheng. Strain. Add Xiao Shi and boil to 1 sheng. Take in one dose.
[Huanglian San] Treats Jaundice with constipation and internal heat, proven effective.
Chuan Da Huang (Rhei Radix et Rhizoma, stir-fried with vinegar), Huang Lian (Coptidis Rhizoma, 2 liang each), Gan Cao (Licorice Root, roasted), Huang Qin (Scutellariae Radix, 1 liang each).
Grind into powder. Take 2 qian per dose with warm water after meals, three times daily.
[Bi Gou Di San] Treats Jaundice where the entire body turns golden. Proven effective.
Gou Di (Trichosanthis Pericarpium, 14 pieces), Mu Ding Xiang (Eugeniae Caryophyllata Flos, 1 piece), Shu Mi (Panicum miliaceum, 49 grains).
First grind Gou Di into fine powder. Add the other two ingredients and grind together. Sieve into powder. Before bed, have the patient hold a mouthful of water. Blow a small amount of powder (less than half a character's width) into both nostrils. Spit out the water and sleep. By midnight or the next morning, yellow fluid will be discharged. Wipe clean with cooked silk. Once discharge stops, take Huanglian San. Mild cases improve in five days; severe cases in half a month.