〔总论〕 其症有黄胆、谷疸、色疸、劳疸、酒疸之分。大抵多属湿热。盖湿热积于脾
胃之中。久而不散。故致土色形于面与肌肤也。凡郁郁不得志之人。多生此病。虽云湿热不
可纯用寒凉。必佐之以甘温。行之以渗泄。则湿易除。热易解。其病自愈。若纯用凉药。重
伤脾土。湿未必除。热未必解。反变为腹胀者有矣。（脉宜洪数浮大。如微涩即难医。）
〔谷疸〕 谷疸者。食已头眩。心中怫郁不安。饥饱失调所致。胃气蒸冲而黄。苦参。
（二两）龙胆草。（一两碎）牛胆汁。（一两）入炼蜜少许。丸如桐子大。每服五十丸。滚水
或生姜
〔酒疸〕 酒疸者。身目俱黄。足胫肿。尿赤。面黄。赤斑。因酒后胃热。醉卧当风。
滞湿得之也。葛根。（三钱）山栀仁。淡豆豉。枳实。（麸炒各二钱）炙甘草。（一钱）水煎
服。
以好为度。
〔黄胆〕 黄胆者。多起于饮食劳倦。脾土不能运化。湿热内郁所致。通身面目悉黄如
金。白术。猪苓。泽泻。茵陈。（各一两）茯苓。（一两五钱）为末。白汤调下五钱。日三服。
多饮热汤。汗出愈。 田螺去尾。单取头肉。以米醋浸吃数次愈。如吃时觉腥气者。非黄胆
也。 凡患疸症。宜多吃荸荠。不拘生熟自效。 如黄焦色而兼渴者难治。
〔食积黄胆〕 老丝瓜。（连子烧存性为末。）每服二钱。因面得病者面汤下。因酒得病
者淡酒下。连进数服即愈。
〔女劳疸〕 大劳大热之后。或房劳之后。为水湿所搏。以致日晡发热畏寒。膀胱急。
少腹满。目黄。额上黑腹胀如水。大便黑色时溏。故云黑疸。白术。茯苓。白芍。炙黄 。
白扁豆。（炒各三钱）炙甘草。（一钱）加生姜五片。枣二枚。水煎服。以好为度。 凡疸症
好后。忌盐及糟鹅百日。
〔一切黄胆通治方〕 平地木。（生于山上。随处有之。叶似山茶而色老。冬结红子。
如南天竺子。木本高尺许者多。至冬不凋。）采叶煎汤当茶饮。数日即效。 黑山栀。萝卜
子。（炒各等分为末。）每服二三钱。（即饮食不进。病至垂危。有湿热者。服三钱。二三次。
如虚黄者减轻服。）用天青地白叶。（生于平野者多。叶似山茶而狭面青底白。故名天青地白。
春
采叶煎汤调服。每日煎汤当茶吃。立能见效。 三白草。（捣汁一茶杯。）冲生白酒空心服。
（冬用根。如干者。研末三钱酒下。） 枸杞根捣汁。用生白酒热冲服。 土牛膝四两。生
白
凡好后忌一切鲜发之物。并宜食淡。
〔虚疸〕 阴虚病后调理失宜。以致周身色似黄胆者。其状耳鸣口淡。怔忡微热。四肢
无力。怠惰嗜卧。脚软脉细。以理中汤治之。人参。白术。（土炒各二钱半）炮姜。炙甘草。
（各
〔食积脾病黄肿〕 青矾。（四两火 成赤珠为度）归身。（四两酒浸七日焙燥）百草霜。
（三两）俱为末。以浸过归身酒为丸如桐子大。每服五丸至七丸温汤下。一月后全愈。
〔瘀血发黄〕 起于伤力。或因跌扑。身体发热。小便利。大便黑。脉芤涩者是。桃仁。
丹皮。（各一钱）桂枝。枳壳。（各八分）生甘草。（六分）水碗半煎至一半。入大黄。（炒熟
一二钱）再煎一二沸。五更时热服。利下黑物即愈。（此即桃仁承气汤。治一切瘀血胀满。
大实大痛
〔黄汗〕 身体俱肿。汗出不渴。其汗能染衣如柏汁。此由脾胃有热。汗出为风所闭。
热结于中之病也。生黄 。赤芍。茵陈。（各二两）石膏。（四两）麦冬。（去心）豆豉。（各
一两）炙甘草。（五钱）俱为末。每服五钱。淡姜汤调。食远服。
〔黄病〕 六味丸。（方见劳损门。）照分两。加青矾二两。（即绿矾中颜色深。青莹净
者。醋炒红。）为末和匀。蜜丸。每服二钱。白汤早晚下。
【总论】黄疸的症状分为黄胆、谷疸、色疸、劳疸、酒疸几种。大体上多属于湿热证。这是因为湿热积聚在脾胃之中，时间久了不能消散，导致脾土的颜色显现于面部和肌肤。凡是心情抑郁不得志的人，容易患此病。虽然说是湿热，但不能单纯使用寒凉药物，必须辅以甘温之药，配合渗湿泄热的治法，这样湿气容易去除，热邪容易解除，疾病自然痊愈。如果单纯使用凉药，会严重损伤脾土，湿气未必能除，热邪未必能解，反而可能变成腹胀的病证。（脉象宜见洪数或浮大，如果脉象微涩就难以医治。）
【谷疸】谷疸这种病，是进食后感到头晕，心中烦闷不安，这是由于饥饱失调所致。胃气蒸腾冲逆而发黄。方用苦参（二两）、龙胆草（一两，捣碎）、牛胆汁（一两），加入少许炼蜜，制成梧桐子大小的丸剂。每次服用五十丸，用滚水或生姜汤送服。
【酒疸】酒疸这种病，身体和眼睛都发黄，小腿肿胀，小便赤红，面色黄且带有红斑，这是因为酒后胃热，醉酒后卧当风口，湿气滞留所致。方用葛根（三钱）、山栀仁、淡豆豉、枳实（麸炒，各二钱）、炙甘草（一钱），用水煎服。以痊愈为度。
【黄胆】黄胆这种病，多起于饮食不节和过度劳累，脾土不能运化，湿热内郁所致。全身面目都像金子一样黄。方用白术、猪苓、泽泻、茵陈（各一两）、茯苓（一两五钱），研成细末，用开水调服五钱，每日三次。服药后多喝热汤，出汗即愈。另外，取田螺去掉尾部，只取头部肉，用米醋浸泡后吃几次即可痊愈。如果在食用时觉得有腥气，那就不是黄胆了。凡是患有黄疸症的人，宜多吃荸荠，无论生吃还是熟吃都有效。如果黄色焦枯且伴有口渴的，难以医治。
【食积黄胆】老丝瓜（连籽烧存性，研成粉末）。每次服用二钱，因面食引起病的用面汤送下，因饮酒引起病的用淡酒送下，连续服用几副即可痊愈。
【女劳疸】在大疲劳大发热之后，或者房事过度之后，被水湿所搏结，导致傍晚时分发热畏寒，膀胱拘急，少腹部胀满，眼睛发黄，额头发黑，腹胀如水状，大便黑色时而稀溏，所以称为黑疸。方用白术、茯苓、白芍、炙黄芪、白扁豆（炒，各三钱）、炙甘草（一钱），加生姜五片、大枣二枚，用水煎服。以痊愈为度。凡是黄疸症好后，忌食盐及糟鹅一百天。
【一切黄胆通治方】平地木（生长在山上的，到处都有。叶子像山茶花但颜色较老，冬天结红果子，像南天竺子的果实。木质植物高约一尺左右的多，冬天不凋谢）。采集叶子煎汤当作茶饮，几天就见效。黑山栀、萝卜子（炒，各等分研成粉末）。每次服用二三钱。（即使饮食不进，病重垂危，有湿热者，服三钱，两三次；如果是虚黄则减轻剂量服用。）用天青地白叶（生长在平野的多。叶子像山茶花但狭长，叶面青底白，所以叫天青地白。春天采集叶子煎汤调服，每天煎汤当茶喝，立刻能见效。三白草（捣汁一杯）。空腹用生白酒冲服。（冬天用根，如果是干的，研成粉末三钱，用酒送下。）枸杞根捣汁，用生白酒热冲服。土牛膝四两，生白[此处原文缺失，推测为某药材，按原文保留]。凡病好后忌食一切鲜发之物，并宜饮食清淡。
【虚疸】阴虚病后调理不当，导致周身颜色似黄疸。症状有耳鸣口淡，心悸微热，四肢无力，倦怠嗜睡，脚软脉细。用理中汤治疗。人参、白术（土炒，各二钱半）、炮姜、炙甘草（各[此处原文缺失剂量，按原文保留]）。
【食积脾病黄肿】青矾（四两，火煅至变成赤珠为度）、当归身（四两，酒浸七日焙干）、百草霜（三两），都研成粉末，用浸泡过当归身的酒作为粘合剂，制成梧桐子大小的丸剂。每次服用五丸到七丸，用温水送下。一个月后完全痊愈。
【瘀血发黄】起因于用力过度，或者跌打损伤，身体发热，小便通畅，大便黑色，脉象芤涩的是此证。方用桃仁、丹皮（各一钱）、桂枝、枳壳（各八分）、生甘草（六分），用水一碗半煎至一半，加入大黄（炒熟一二钱），再煎一两次沸腾。在五更天时热服，排出黑色物质即愈。（这就是桃仁承气汤，治疗一切瘀血引起的胀满，大实大痛）。
【黄汗】身体全部浮肿，出汗但不口渴，汗液能染衣服像柏树汁一样。这是由脾胃有热，出汗时被风邪闭塞，热邪结聚在体内的病证。方用生黄芪、赤芍、茵陈（各二两）、石膏（四两）、麦冬（去心）、豆豉（各一两）、炙甘草（五钱），都研成粉末。每次服用五钱，用淡姜汤调服，饭后远时服用。
【黄病】六味丸（方剂见劳损门）。按照分量，加入青矾二两（即绿矾中颜色深、青莹洁净的，用醋炒红），研成粉末混合均匀，蜜丸。每次服用二钱，早晚用开水送下。
[General Discussion] The symptoms of jaundice are classified into Huang Dan (Yellow Jaundice), Gu Dan (Grain Jaundice), Se Dan (Color Jaundice), Lao Dan (Fatigue Jaundice), and Jiu Dan (Alcohol Jaundice). Generally, these belong to Damp-Heat syndromes. This is because Damp-Heat accumulates in the Spleen and Stomach; over time, it fails to dissipate, causing the color of Earth to manifest on the face and skin. Individuals who are often depressed or frustrated are prone to this disease. Although it involves Damp-Heat, cold and bitter drugs should not be used exclusively. They must be assisted by sweet and warm herbs, combined with methods that promote diuresis and purging heat. In this way, dampness is easily eliminated, heat is easily resolved, and the disease heals itself. If only cooling drugs are used, they will severely damage the Spleen Earth; dampness may not be removed, heat may not be cleared, and abdominal distension may result instead. (The pulse should be surging, rapid, floating, and large; if it is faint and choppy, it is difficult to treat.)
[Grain Jaundice] Grain Jaundice is characterized by dizziness after eating, restlessness and discomfort in the heart region, caused by irregular eating habits leading to disharmony between hunger and fullness. The Qi of the Stomach steams upward, causing yellowing. The prescription consists of Kushen (Sophorae Flavescentis Radix) (2 liang), Longdancao (Gentianae Radix) (1 liang, crushed), and Niu Danzhi (Bovis Bile) (1 liang). Add a small amount of refined honey and form pills the size of paulownia seeds. Take 50 pills each time, washed down with boiling water or ginger decoction.
[Alcohol Jaundice] Alcohol Jaundice presents with yellowing of the body and eyes, swelling of the lower legs, red urine, yellow complexion with red macules. It is caused by stomach heat after drinking alcohol, lying in a draft while intoxicated, and stagnation of dampness. The prescription consists of Gegen (Puerariae Lobatae Radix) (3 qian), Shanzhiren (Gardeniae Semen), Danshizhi (Fermented Soybean) (bran-fried, 2 qian each), Zhishi (Aurantii Fructus) (bran-fried, 2 qian each), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1 qian). Decoct in water and take orally. Continue until cured.
[Yellow Jaundice] Yellow Jaundice usually arises from improper diet and fatigue. The Spleen Earth fails to transport and transform, leading to internal stagnation of Damp-Heat. The entire body and face appear as yellow as gold. The prescription consists of Baizhu (Atractylodis Macrocephalae Rhizoma), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Yinchen (Artemisiae Scopariae Herba) (each 1 liang), and Fuling (Poria) (1.5 liang). Grind into powder, mix with hot water, and take 5 qian each time, three times daily. Drink plenty of hot soup after taking the medicine; sweating indicates recovery. Alternatively, remove the tail of a river snail, take only the head meat, soak it in rice vinegar, and eat it several times until cured. If a fishy smell is perceived when eating, it is not Yellow Jaundice. Patients with jaundice should eat more water chestnuts; whether raw or cooked, it is effective. If the yellow color is scorched/dry and accompanied by thirst, it is difficult to treat.
[Food Stagnation Yellow Jaundice] Use old loofah (burned with seeds until carbonized, ground into powder). Take 2 qian each time. If caused by flour foods, wash down with noodle soup; if caused by alcohol, wash down with light wine. Continue for several doses until cured.
[Fatigue Jaundice in Women] After severe fatigue and high fever, or after sexual exhaustion, the body is constrained by water and dampness. This leads to fever and aversion to cold at dusk, urgency in the bladder, fullness in the hypogastrium, yellow eyes, black forehead, abdominal distension resembling water accumulation, black stool that is sometimes loose. Hence it is called Black Jaundice. The prescription consists of Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Baishao (Paeoniae Radix Alba), Zhi Huangqi (Astragali Radix Preparata), and Baibiandou (Dolichoris Semen) (stir-fried, 3 qian each), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (1 qian). Add five slices of fresh ginger and two dates. Decoct in water and take orally. Continue until cured. After recovery from jaundice, avoid salt and pickled goose for one hundred days.
[Universal Prescription for All Types of Jaundice] Pingdimu (Plants growing on mountains, found everywhere. Leaves resemble Camellia but are darker/older in color; bear red fruits in winter like Nantianzhu fruits. Woody plants about one chi tall, evergreen in winter). Collect leaves, decoct in water, and drink as tea. Effect is seen within a few days. Heishanzhi (Gardeniae Fructus) and Luobozzi (Raphani Semen) (stir-fried, equal parts, ground into powder). Take 2-3 qian each time. (Even if food intake is poor and the condition is critical, if there is Damp-Heat, take 3 qian, two to three times; reduce dose for deficiency-type yellowing). Tianqingdibaiye (Leaves of *Houttuynia cordata*; found mostly in flatlands. Leaves resemble Camellia but are narrow, green on top and white underneath, hence the name. Collect leaves in spring, decoct in water, mix with powder, and take. Decoct daily to drink as tea; effect is immediate). Sanbaicao (Hydrocotilis Japonicae Herba) (crush to extract juice, one teacup). Take on an empty stomach mixed with raw baijiu (winter use roots; if dry, grind to powder, 3 qian, take with wine). Gouqigen (Lycii Radicis Cortex) crush to extract juice, take mixed with hot raw baijiu. Tu Niuxi (Cyathulae Radix) 4 liang, Sheng Bai [Text missing]. After recovery, avoid all fresh stimulating foods and maintain a bland diet.
[Deficiency Jaundice] After a Yin-deficiency illness, improper conditioning leads to a whole-body appearance resembling jaundice. Symptoms include tinnitus, bland taste in mouth, palpitations, slight fever, weakness in limbs, lethargy and desire to sleep, weak ankles, and fine pulse. Treat with Lizhong Tang (Regulate the Middle Decoction). Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) (soil-stir-fried, 2.5 qian each), Paojiang (Zingiberis Rhizoma Preparata), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (dosage missing in text).
[Food Stagnation Spleen Disease with Yellow Swelling] Qingfan (Vitriolum Cupri et Ferri) (4 liang, calcined until turning into red beads), Guishen (Angelicae Sinensis Radix) (4 liang, soaked in wine for seven days, dried), Baicaoshuang (Carbonis Folii Betulae) (3 liang). All ground into powder. Use the wine in which Guishen was soaked as a binder to form pills the size of paulownia seeds. Take 5-7 pills each time with warm water. Complete recovery after one month.
[Stasis Blood Causing Yellowing] Arises from excessive physical strain or falls/blows. Symptoms include body fever, free urination, black stool, and a knotted/choppy pulse. The prescription consists of Taoren (Persicae Semen), Danpi (Moutan Cortex) (each 1 qian), Guizhi (Cinnamomi Ramulus), Zhike (Aurantii Fructus) (each 8 fen), and Sheng Gancao (Glycyrrhizae Radix et Rhizoma) (6 fen). Decoct in half a bowl of water until reduced by half. Add Dahuang (Rhei Radix et Rhizoma) (stir-fried, 1-2 qian). Boil again for one or two boils. Take hot at Wu Geng (3-5 AM). Recovery occurs upon passing black material. (This is Tao Ren Cheng Qi Tang, treating all stasis blood conditions with fullness and severe pain).
[Yellow Sweat] The whole body is swollen, sweating occurs without thirst. The sweat can dye clothes like cypress juice. This is a disease where heat exists in the Spleen and Stomach, sweating is closed by wind pathogens, and heat knots internally. The prescription consists of Sheng Huangqi (Astragali Radix), Chishao (Paeoniae Radix Rubra), Yinchen (Artemisiae Scopariae Herba) (each 2 liang), Shigao (Gypsum Fibrosum) (4 liang), Maidong (Ophiopogonis Tuber) (core removed), Danshizhi (Fermented Soybean) (each 1 liang), and Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) (5 qian). All ground into powder. Take 5 qian each time, mixed with light ginger soup, taken long after meals.
[Yellow Disease] Liuwei Wan (Six-Ingredient Pill with Rehmannia; see the chapter on Consumption/Loss). Follow the dosage, add Qingfan (Vitriolum Cupri et Ferri) 2 liang (the deep-colored, clear, pure variety from Lv Fan, stir-fried with vinegar until red). Grind into powder, mix evenly, form honey pills. Take 2 qian each time, morning and evening with hot water.