胎黄症者，婴儿降生一二日后，发热啼哭不吮乳，不能酣眠，手足时有一动之象。斯时眉心及两颧发现黄色，
渐渐眼白轮
全面均黄矣。若再失治疗的时候，及不明黄的原因，不知治法，又一延稽，通身均成黄色，黄毒迷漫，遍体强硬，
抽搐随之即起，危在顷刻，虽有治疗方法，亦莫能挽救也。此症由娠母感受湿热，发为淋带，日久成毒，蒸为
黄色，传于胞胎。故婴儿在胎元时，已蕴藏湿热之毒。落生后一二日间，必行发作，通身面目皆放黄金色。外象
是壮热，大便闭结，小溲短赤等症。治法应用地黄茵陈汤煎剂，清热、解毒、活血、利湿，自可渐渐黄退身安，
切不可待其黄毒侵及神经，再行医治也。然须辨明此婴儿之胎黄症，与五岁上下所患之黄胆不同。胎黄为先天之
湿热结毒而成，无论如何亦须向体外发作，是由内而外的，病能不复杂，治疗之法即减易。只要对症施治，见
效不难。若黄胆则大异，其外部的病形病能，虽可与胎黄症相滥，而其成病的原因，及其治疗之方药，种种不
能相同。盖黄胆为湿温误治及失时，转向里攻，复经庸医用滋阴养血等腻药，以希退热。孰知表邪不解，湿温即
由滋阴养血药，引导之入于血分。肝胆首当其冲，因热而涨溢，脾胃继之，湿蒸而成黄，是症自外来而入内，
复由内而发于外，病能病形均复杂。治疗之法，自不能如胎黄之简单也。关于黄胆症，后尚有专条论断，其病能
及治法，再行详细的帮助。兹先将地黄茵陈汤方列下∶
地黄茵陈汤方（专治胎黄）
细生地（八分） 当归尾（七分） 净猪苓（八分） 天花粉（一钱） 赤芍药（八分） 赤茯苓（一钱）
绵茵陈（一钱） 建泽泻（八分） 黑山栀（五分） 小木通（五分） 青连翘（七分） 生甘草（二分） 以
上各药共享水一茶碗，煎成少半茶碗，放在乳瓶，令婴儿吮之。面目标黄色，即渐渐退为淡黄。斯时儿之壮热，
亦能减轻成平热，渐可安睡，手足的偶一掀动之现象，于无形中停止其任务。过一夜后，小溲畅行，光赤红，嗅
之有腐臭味，继见淡黄，终则长清，湿热之毒，始由膀胱宣泄净尽。同时大便，亦行润下，作深黄兼绿色，也有
腐臭味。是湿热蕴毒，
由脾胃顺降至大肠，荡涤而去也。至此热必全退，黄去而肌肉转红活，啼住乳吮，胎黄之毒，才完全解除，回复
婴儿自然的状况也。若已误治，湿热结毒，向内抗进，侵及神经，浸浸有抽搐的症象，或已经微现抽搐。按胎
黄的病能、及危急之状态，到此地步，医药之力，恐不足以追及。本不能挽救，然为医者，不可因病成不治，不
为设法用峻烈之剂，以希死里求生，任其云亡也。以吾设想，只要黄毒未至弥漫，全身四肢未至强硬，虽热侵神
经，已起抽搐，尚可用药拯救，以希万一。至终不能救，病儿的家长，只要明白生理与病态，万无恨怒医者之
理。故吾敢大胆拟一方药，或可转危为缓，黄毒之攻进停止，性命自可保留，方能从容疗治。险象已去，仍可
用前方地黄茵陈汤与服，即能渐渐痊愈也。其救急的方药为何，犀角地黄解毒汤是也。犀角虽过凉性猛，然非此
不足以清血退热。只可猛一服之，万不可频用，切切注意，犀角地黄解毒汤列下∶
犀角地黄解毒汤方（治胎黄误治，转成抽搐急症）
犀角（磅因四分，另煎兑服） 小生地（一钱） 赤芍药（一钱） 青连翘（一钱） 细木通（八分） 生山
栀（五分） 牡丹皮（七分） 紫地丁（一钱） 荆芥穗（六分） 苦桔梗（七分） 生甘草（三分，为引）
以上各药，除犀角另煎兑服、及煎制之法另条录出外，其余各药共享水一茶碗，煎成十分之四碗，倒在其他盂中，
再兑上犀角汁与服即可。
煎犀角汁法∶
取顶上犀角（磅因，四分），放沙壶或铁磁盂中，多加水慢火细细煎之。须煎至百余沸，仅剩半酒杯即成。倒出
后放在一边，待煎剂成后，再兑入药汁中。煎时用文火法，并须用新竹筷频频搅之，不使其沫沸出。恐其精华随沫
沸出，与病无济也。至于煎剩的渣，可再加水煎之，与儿作饮料服，其力量尚能清血中余毒也。
胎黄症，是指婴儿出生后一两天内，出现发热、啼哭且不吸吮乳汁，无法安稳睡眠，手脚偶尔有抽动现象。此时眉心及两颧显现黄色，随后眼白部分也全面变黄。如果此时延误治疗，或者不明白发黄的原因，不知治疗方法，又继续拖延，导致全身都变成黄色，黄毒弥漫，全身僵硬，随之出现抽搐，情况危急，顷刻间就有生命危险，即使有治疗方法，也无法挽救。此症是由于孕妇感受湿热，发展为淋证或带下病，日久成毒，蒸腾为黄色，传染给胞胎。因此婴儿在母体时，已经蕴藏了湿热之毒。出生后一两天内，必然发作，全身面目都呈现金黄色。外在表现是壮热，大便闭结，小便短赤等症状。治疗方法应用地黄茵陈汤煎剂，具有清热、解毒、活血、利湿的功效，自然可以渐渐退黄身体安康，切不可等到黄毒侵犯神经系统后再行医治。然而必须辨明此婴儿的胎黄症，与五岁左右所患的黄疸不同。胎黄是由先天的湿热结毒而成，无论如何也必须向体外发作，是由内而外的，病情能不复杂，治疗方法也就减易。只要对症施治，见效不难。若黄疸则大不相同，其外部的病症表现，虽然可与胎黄症混淆，但其成病的原因，及其治疗的方药，种种不能相同。盖因黄疸是湿温病误治及失时，转向里攻，又经庸医用滋阴养血等腻药，希望退热。孰知表邪不解，湿温即由滋阴养血药引导进入血分。肝胆首当其冲，因热而胀溢，脾胃继之，湿蒸而成黄，此症自外来而入内，复由内而发于外，病情病形均复杂。治疗方法，自然不能像胎黄那样简单。关于黄疸症，后文还有专条论述，其病情及治疗方法，再行详细帮助。兹先将地黄茵陈汤方列下：
地黄茵陈汤方（专治胎黄）
细生地（八分） 当归尾（七分） 净猪苓（八分） 天花粉（一钱） 赤芍药（八分） 赤茯苓（一钱）
绵茵陈（一钱） 建泽泻（八分） 黑山栀（五分） 小木通（五分） 青连翘（七分） 生甘草（二分）
以上各药共用一茶碗水，煎成少半茶碗，放在乳瓶中，令婴儿吸吮。面部标明的黄色，即渐渐退为淡黄。此时婴儿的壮热，也能减轻转为平热，渐渐可安睡，手脚偶尔掀动的现象，于无形中停止。过一夜后，小便畅行，光赤红，嗅之有腐臭味，继见淡黄，最终长清，湿热之毒，始由膀胱宣泄净尽。同时大便，也润下，呈深黄兼绿色，也有腐臭味。这是湿热蕴毒，由脾胃顺降至大肠，荡涤而去。至此热必全退，黄去而肌肉转红活，啼哭停止吸吮乳汁，胎黄的毒，才完全解除，回复婴儿自然的状况。如果已误治，湿热结毒，向内抗进，侵犯神经，渐渐有抽搐的症状，或已经微现抽搐。按胎黄的病情及危急状态，到了这一步，医药之力，恐怕不足以追及。本不能挽救，然而作为医者，不可因病成不治，不为设法用峻烈之剂，以希死里求生，任其死亡。以我的设想，只要黄毒未至弥漫，全身四肢未至强硬，虽热侵神经，已起抽搐，尚可用药拯救，以希万一。至终不能救，病儿的家长，只要明白生理与病态，万无恨怒医者的道理。故我敢大胆拟一方药，或可转危为缓，黄毒的攻进停止，性命自可保留，方能从容疗治。险象已去，仍可用前方地黄茵陈汤与服，即能渐渐痊愈。其救急的方药为何，犀角地黄解毒汤是也。犀角虽过凉性猛，然非此不足以清血退热。只可猛一服之，万不可频用，切切注意，犀角地黄解毒汤列下：
犀角地黄解毒汤方（治胎黄误治，转成抽搐急症）
犀角（磅因四分，另煎兑服） 小生地（一钱） 赤芍药（一钱） 青连翘（一钱） 细木通（八分） 生山栀（五分） 牡丹皮（七分） 紫地丁（一钱） 荆芥穗（六分） 苦桔梗（七分） 生甘草（三分，为引）
以上各药，除犀角另煎兑服、及煎制之法另条录出外，其余各药共用一茶碗水，煎成十分之四碗，倒在其他盂中，再兑上犀角汁与服即可。
煎犀角汁法：
取顶上犀角（磅因四分），放沙壶或铁磁盂中，多加水慢火细细煎之。须煎至百余沸，仅剩半酒杯即成。倒出后放在一边，待煎剂成后，再兑入药汁中。煎时用文火法，并须用新竹筷频频搅之，不使其沫沸出。恐其精华随沫沸出，与病无济也。至于煎剩的渣，可再加水煎之，与儿作饮料服，其力量尚能清血中余毒也。
Taihuang Syndrome (Fetal Jaundice) refers to a condition occurring one or two days after an infant's birth, characterized by fever, crying without suckling milk, inability to sleep soundly, and occasional twitching of the hands and feet. At this time, yellow discoloration appears on the glabella (area between the eyebrows) and both zygomatic arches (cheekbones), gradually spreading to the entire sclera (white part of the eyes). If treatment is delayed at this stage, or if the cause of jaundice is unknown and therapeutic methods are not applied, further procrastination will result in generalized yellowing of the body. The "yellow toxin" becomes pervasive, leading to general stiffness of the body followed by convulsions. The situation becomes critical within moments; even with available treatments, rescue may be impossible. This syndrome arises because the pregnant mother contracted damp-heat, developing symptoms akin to strangury (painful urination) or leukorrhea. Over time, this transforms into toxicity, steaming into yellow pigment which transmits to the fetal sac. Thus, the fetus harbors damp-heat toxicity during gestation. Within one or two days after birth, it inevitably manifests, with the whole body and face turning golden yellow. Externally, it presents as high fever, constipation, and scanty dark urine. The treatment method involves decocting Dihuang Yincheng Tang (Rehmannia and Artemisia Decoction), which clears heat, resolves toxicity, invigorates blood, and promotes diuresis to eliminate dampness. Consequently, the jaundice will gradually recede, and the body will recover. One must never wait until the yellow toxin invades the nervous system before seeking medical intervention. However, it is crucial to distinguish this infant Taihuang Syndrome from jaundice occurring around age five. Taihuang is formed by congenital damp-heat toxicity binding together; regardless, it must manifest outwardly, originating from the interior and moving to the exterior. Because the pathology is less complex, the treatment is simpler. Symptomatic treatment yields quick results. In contrast, jaundice is vastly different. Although its external manifestations may resemble Taihuang, its etiology and pharmacological treatments are entirely distinct. Jaundice often results from mismanagement or delay in treating Damp-Warmth diseases, causing the pathogen to penetrate inward. Furthermore, incompetent physicians may use cloying herbs for nourishing yin and blood to reduce fever. Unbeknownst to them, since the exterior pathogen remains unresolved, the Damp-Wheat is guided by these yin-nourishing herbs into the Blood level. The Liver and Gallbladder bear the brunt, swelling and overflowing due to heat, followed by the Spleen and Stomach, where dampness steams to produce yellow pigment. This disease enters from the exterior into the interior, then emerges from the interior to the exterior, making the pathology and clinical presentation highly complex. Therefore, treatment cannot be as simple as for Taihuang. Regarding Jaundice Syndrome, there will be a dedicated section later detailing its pathology and treatment. Here, we first list Dihuang Yincheng Tang:
Dihuang Yincheng Tang Formula (Specifically for Taihuang)
Xi Shengdi (Fine Shu Di Huang / Prepared Rehmannia Root, 8 fen)
Danggui Wei (Tail of Dang Gui / Angelica Sinensis Root, 7 fen)
Jing Zhu Ling (Cleaned Polyporus, 8 fen)
Tian Hua Fen (Trichosanthes Root, 1 qian)
Chi Shao Yao (Red Peony Root, 8 fen)
Chi Fu Ling (Red Poria, 1 qian)
Mian Yin Chen (Artemisia Capillaris Herb, 1 qian)
Jian Ze Xie (Alisma Rhizome, 8 fen)
Hei Shan Zhi (Black Gardenia Fruit, 5 fen)
Xiao Mu Tong (Akebia Caulis, 5 fen)
Qing Lian Qiao (Forsythia Fruit, 7 fen)
Sheng Gan Cao (Raw Licorice Root, 2 fen)
Decoct all above herbs in one tea bowl of water until reduced to slightly less than half a tea bowl. Place in a nursing bottle for the infant to suckle. The yellow color on the face will gradually fade to pale yellow. The infant's high fever will also subside to normal temperature, allowing for peaceful sleep. The occasional twitching of hands and feet will cease imperceptibly. After one night, urination becomes smooth, initially bright red with a foul odor, then turning pale yellow, and finally clear. The damp-heat toxicity is completely excreted via the Bladder. Simultaneously, bowel movements become moist and pass easily, appearing dark yellow mixed with green, also with a foul odor. This indicates that the damp-heat toxicity has descended smoothly from the Spleen and Stomach to the Large Intestine and been purged. At this point, the fever subsides completely, the yellow disappears, muscles regain a ruddy vitality, crying stops, and suckling resumes. The fetal jaundice toxin is fully resolved, restoring the infant to their natural state. If mismanaged, however, damp-heat toxicity binds and advances inward, invading the nerves, leading to gradual convulsions or already present mild convulsions. Given the severity and critical nature of Taihuang at this stage, medicinal power may be insufficient to reverse it. Rescue is unlikely, but a physician must not declare the case incurable nor fail to attempt drastic measures to save the life from death. In my opinion, as long as the yellow toxin has not pervaded the entire body and limbs have not become rigid, even if heat invades the nerves causing convulsions, medication can still be used to attempt salvation. If ultimately unsuccessful, parents who understand physiology and pathology should not blame the physician. Therefore, I boldly propose a formula to potentially turn danger into safety, halt the advance of the yellow toxin, preserve life, and allow for calm treatment. Once the critical phase passes, the previous formula, Dihuang Yincheng Tang, can be resumed for gradual recovery. What is the emergency rescue formula? It is Xijiao Dihuang Jiedu Tang (Rhino Horn and Rehmannia Detoxifying Decoction). Although Xi Jiao (Rhinoceros Horn) is extremely cold and potent, nothing else can clear the blood and reduce fever so effectively. It should be administered strongly once, but never frequently. Take note of this. Xijiao Dihuang Jiedu Tang is listed below:
Xijiao Dihuang Jiedu Tang Formula (For Taihuang mismanaged into convulsive emergency)
Xi Jiao (Rhinoceros Horn, 4 fen by weight, decocted separately and added to the mixture)
Xiao Sheng Di (Fresh Shu Di Huang / Prepared Rehmannia Root, 1 qian)
Chi Shao Yao (Red Peony Root, 1 qian)
Qing Lian Qiao (Forsythia Fruit, 1 qian)
Xi Mu Tong (Akebia Caulis, 8 fen)
Sheng Shan Zhi (Gardenia Fruit, 5 fen)
Mu Dan Pi (Tree Peony Bark, 7 fen)
Zi Di Ding (Viola Herba, 1 qian)
Jing Jie Sui (Schizonepeta Spike, 6 fen)
Ku Jie Geng (Bitter Platycodon Root, 7 fen)
Sheng Gan Cao (Raw Licorice Root, 3 fen, as a guide herb)
For all herbs except Xi Jiao (which is decocted separately and added), decoct in one tea bowl of water until reduced to 40% of the original volume. Pour into another vessel, then mix with the Xi Jiao juice and administer.
Method for Decocting Xi Jiao Juice:
Take top-grade Xi Jiao (Rhinoceros Horn, 4 fen by weight), place it in a clay pot or iron/ceramic vessel, add ample water, and simmer slowly over low heat. Boil until it has boiled over a hundred times, leaving only half a wine glass of liquid. Pour out and set aside. Once the main decoction is ready, add this juice to the herbal mixture. Use gentle heat and stir frequently with fresh bamboo chopsticks to prevent foam from boiling over, lest the essence escape with the foam, rendering it ineffective for the disease. The remaining dregs can be re-decocted with water and given to the infant as a beverage; its potency can still clear residual toxins from the blood.