谷瘅之症，胸中易饥，食则难饱，多用饮食则发烦，头眩、小便艰涩，身如黄
金之色，此是胃中虚热之故，非胃中之湿热也。人身脾胃属土，脾阴土也，而用则
阳；胃阳土也，而用则阴。脾胃和同，则刚柔并济，通调水道，易于分消。惟七情
伤损于内，则阴阳不相和合，胃无阴以和阳，则热聚而消谷；脾无阳以和阴，则寒
聚而积水，两相搏激，故昏眩、烦闷生焉。于是所食之水谷，不变为精华之清气，而
反蒸为腐败之浊气矣。浊气下降者也。浊气下流于膀胱，膀胱受胃之热，气化不行，
小便闭塞，水即走于阴器，而热散走于皮肤，故一身发黄也。治法升胃中之清气，
以分利其膀胱，则清升而浊易降，水利而热易消。方用分浊散∶
茯苓（一两） 车前子（三钱） 猪苓（三钱） 茵陈（一钱） 栀子（三钱） 水煎服。
一剂水少利，二剂湿乃退，十剂全愈。
方中以茯苓为君者，利水而不伤胃气。胃气不伤，而后佐之去热消湿之品，则
胃无火亢之忧，自然脾无水郁之害。倘不早治，而水湿之气，流入于肾，则肾被其
伤，必至腹满成蛊，不可治矣。
此症用茵陈苓术汤亦效。
茵陈（三钱） 茯苓 白术 薏仁（各五钱） 知母（一钱） 水煎服。
酒疸之症，心中时时懊 ，热不能食，尝欲呕吐，胸腹作满，然清言了了，人
以为酒食作疸也，然而酒湿之成疸，由于内伤饥饱劳役也。夫人之善饮者，由于胆
气之旺也。夫胆非容酒之物，而能渗酒，酒经胆气之渗，则酒化为水，入于膀胱而
下泄矣。惟其内伤于饥饱劳役，则五脏受损，脏损而腑亦损矣。五脏六腑俱已受损，
宁胆气之独旺乎？胆气即衰，则饮酒力不能渗。无如人之纵饮如故，则酒多而渗亦
多，更伤胆气。胆损不能渗酒，酒必留于脾胃之间；而脾胃不及从前之旺，则酒肉
不能受，传之膀胱；而膀胱又不及从前之健，则水入不能消，下既不行，必返而上
吐，而下泄又艰，中州又不可久留，于是湿热之气，蕴隆冲膈，懊 而发于心。由
是遍渍周身，分布四体，尽发为黄也。夫心至懊 ，其心神之昏乱可知，何又能清
言了了耶？不知酒气熏蒸于一时，则见懊 ；懊 者，欲痛不痛之状，非心中之神
至于妄乱不宁也。治法宜解其酒之毒，而兼壮其胆；胆气旺而酒气自消，酒气消而
水气自泄，水气泄而黄自解矣。方用旺胆消酒汤∶
柞木枝（三钱） 山栀子（三钱） 桑白皮（三钱） 白茯苓（三钱） 白芍药（一两） 竹叶（一百片）
泽泻（二钱） 水煎服。二剂而膀胱利，四剂而黄色轻，八剂全愈。
夫柞木专能消酒毒于无形，酒毒既消，则拔本塞源矣。至助胆之药，舍白芍、
山栀无他味也。其余之药，不过分消湿热之气。世不知治法，或吐或下，皆操刀而
杀之也，可不慎哉。
此症用郁李归芍汤亦效。
白芍（一两） 当归 茯苓（各五钱） 郁李仁（五分） 甘草（三分） 黄连（五分） 车前子（二钱）
水煎服。
女劳之疸，其症肾气虚损，四肢酸痛，夜梦惊恐，精神困倦，饮食无味，举动
乏力，心腹胀满，脚膝痿缓，房室不举，股内湿痒，水道涩痛，时有余沥，小腹满
身尽黄，额上黑，人以为黄胆之症，谁知因女色而成者乎。夫人室久战，相火充其
力也，相火衰则不能久战矣。火衰而勉强入房，则泄精必多，火随水散，热变为寒
矣。人身水火，不可少者也。水衰则不能制火，而火易动；火衰则不能利水，而水
易留，顾水留宜可以制火矣。然而所留之水，乃外水而非内水也，内水可以制火而
成液，外水不能消火而成瘅。故女劳之疸，仍是湿热而结于精窍之间，非血瘀而闭
于骨髓之内也。倘用抵当汤水蛭之类，以峻攻其瘀血，或用矾石散硝石之品，以荡
涤其微阴，则促之立亡矣。治法宜补肾中之气，而不可有助火之失。宜利膀胱之水，
而不可有亡阴之愆。当缓以图功，不当责以近效也。方用减黄丹治之。
白茯苓（五钱） 山药（五钱） 人参（三分） 白术（一钱） 芡实（五钱） 薏仁（五钱）
菟丝子（三钱） 车前子（一钱） 生枣仁（一钱） 水煎服。十剂黄胆减，又十剂黄胆更减，又十剂
全愈。
再服三十剂可无性命之忧。
女劳疸最难治，人生此病，未有不死者。苟存坚忍之心，绝欲慎疾，信服前汤，
无不生者。盖此丹固本以救伤，并不逐邪以泻瘀，肾气日健，而黄色日减矣。或疑
女劳之疸成于肾之无火，似当补火，不知疸虽成于无火，今病久阴耗，若补火则恐
烁阴，不特无益而反害之矣。
此症用 杜术汤亦效。
白术（二两） 杜仲（五钱） 茯苓（五钱） 车前子（三钱） （五钱）
山药（一两） 水煎服。
肺疸之症，鼻塞不通，头面俱黄，口澹咽干，小水不利，人以为黄胆之症，谁
知实由于肺气之虚耶。肺金气旺，则清肃之令下行于膀胱，凡有湿热尽从膀胱下泄，
则小水大行，何湿能存。水既直泻，则热亦难留。惟其肺气先虚，而后湿热郁蒸于
胸膈之间，致肺燥而失其清肃之令，水气遂乘其燥而相入，燥与湿合而成热，湿热
相留欲分入膀胱，而膀胱不受，欲走于皮毛之窍，而腠理未疏，不能越行于外，遂
变现黄色于皮肤也。治法宜宣通肺气，健其脾胃之土。盖因肺气闭于上，而后水气
塞于下，使肺气上通则水且下降，况重补其脾胃以生肺乎，此治肺疸必宜宣扬夫肺
气也。方用扬肺利湿汤∶
桔梗（三钱） 天花粉（二钱） 白术（五钱） 茯苓（五钱） 桑白皮（三钱） 茵陈（三钱）
猪苓（二钱） 黄芩（五分） 水煎服。一剂鼻塞通，二剂咽干润，三剂口澹除，四剂小水
大利，十剂头面之黄尽散矣。
此方开腠理而生津液，则肺金有润燥之功。合之茯苓、茵陈、花粉、白术则土
气大旺，金气亦扬，清肃令行，而膀胱之壅热立通，小便利而黄色乌能独存哉。
此症亦可用通气饮∶
桔梗（二钱） 紫菀（二钱） 白术（五钱） 茯苓（五钱） 甘草（三分） 茵陈（一钱）
益智仁（三粒） 贝母（二钱） 水煎服。
心疸之症，烦渴引饮，一饮水即停于心之下，时作水声，胸前时多汗出，皮肤
尽黄，惟两目独白，人以为黄胆也，谁知是心中虚热以成之乎。夫心喜燥不喜湿，
然过于燥，则未免易其性以喜湿矣。然而心终宜燥，而不宜湿。以湿济燥，可权宜
行于一时，不可经常行于长久。盖水乃阴物，阴居阳地，不肯遽入于小肠，心又因水
制，力不能分消，移其水以入于膀胱，故水停心下作声。而膻中乃心之相臣，见水邪
犯心，且出其火以相救，战争于胸间，水得火炎，而热化为汗，时出于胸。其余之
水，何能尽解，旁趋而出诸皮毛，乃壅闭而变为黄矣。一身皆黄而两目不变者，盖
因肝开窍于目，心为肝子，邪见肝木之旺，不敢犯肝之界，两目正肝之部位，所以
湿热不至于目，而无黄色之侵耳。然则治法，宜补肝气以生心，泻水湿以逐热，则
黄胆不攻而自散也。方用泻肝利湿汤∶
白芍（一两） 茯苓（五钱） 白术（五钱） 茵陈（三钱） 炒栀子（三钱） 木通（一钱）
远志（一钱） 水煎服。一剂症轻，二剂又轻，十剂全愈。
此方补肝即所以补心，泻水即以泻热。倘徒治黄而不辨其脏气之生克，妄用龙
胆草等药，必至变为寒黄之症，反难施治矣。
此症用茵陈苓术黄连汤亦效。
茵陈（三钱） 茯苓 白术（各五钱） 黄连（二钱） 水煎服。
肝疸之症，两目尽黄，身体四肢亦现黄色，但不如眼黄之甚，气逆手足发冷，
汗出不止，然止在腰以上，腰以下无汗，人以为黄胆也，谁知是肝气之郁，湿热团
结而不散乎。夫肝属木，非水不长，何以得湿而反郁乎？不知肝之所喜者，肾水也，
非外来之邪水也。肾水生木而发生，邪水克木而发瘅。盖肝藏血而不藏水，外来之
水多，则肝闭而不受，于是移其水于脾胃。然而外来之水，原从脾胃来也。脾胃之
所弃，而脾胃仍肯容之乎？势必移其水于膀胱，而膀胱又不受。盖膀胱因肝木之湿
热，不敢导引而入，以致自焚。于是湿热复返而入肝，而肝无容身之地，乃郁勃而
发汗，汗不能尽出而黄症生矣。使汗能尽出，未必遽成黄也。无奈肝之湿热，欲下
走于肾宫，而肾气恶肝木之犯，杜绝而不许入境，腰以下正肾之部位也，所以无汗
而发黄耳。治法开肝气之郁，佐之分湿散邪之剂，则黄胆自愈矣。方用利肝分水饮∶
龙胆草（二钱） 茵陈（三钱） 茯苓（一两） 猪苓（三钱） 柴胡（一钱） 车前子（三钱）
白蒺藜（三钱） 甘菊花（五钱） 水煎服。二剂而目之黄澹矣。又服四剂，身之黄亦澹矣。再服
四剂，气逆、汗出之病止，又服十剂全愈。
此方开郁于分湿之中，补肝于散热之内，既善逐邪，又能顾正，两得而无失矣。
此症用利目汤亦妙。
龙胆草（二钱） 茵陈（三钱） 白芍（一两） 茯苓（五钱） 泽泻 车前子 白蒺藜（各三钱）
柴胡（一钱） 草决明（二钱） 水煎服。
脾疸之症，身黄如秋葵之色，汗 衣服，皆成黄色，兼之涕唾亦黄，不欲闻人
言，小便不利，人以为黄汗之病也，谁知是脾阴之黄乎。夫脾土喜温，黄病乃湿热
也。热宜非脾之所恶，何故成黄？不知脾虽不恶热而畏湿，脾乃湿土，又加湿以济
湿，脾中阳气尽行消亡，无阳则阴不能化，土成纯阴之土，何能制水哉？水存于脾
中，寒土不能分消，听其流行于经络、皮肤矣。凡脏腑之水皆下输膀胱，今脾成
纯阴，则无阳气达于膀胱矣。然水寒宜清，变黄色者何故？盖寒极似土也。夫寒
极宜见水象，水寒宜见黑色，不宜见黄。而今变黄者，以水居于土之中也。其不欲
闻人言者，脾寒之极，其心之寒可知，心寒则胆怯，闻人言则惕然惊矣，故不愿
闻。则治法宜大健其脾，而温其命门之气，佐之以利水之剂，则阴可变阳，黄病
可愈矣。方用补火散邪汤∶
白术（三两） 附子（三钱） 人参（二两） 茵陈（三钱） 白茯苓（一两） 半夏（三钱）
水煎服。连服四剂，而小便利。再服四剂，汗唾不黄矣。
此方白术、人参以补其脾，茯苓、茵陈以利其水，附子以温其火，真火生而邪
火自散，元阳回而阴气自消。阴阳和协，水火相制，何黄病之不去哉。
此症用茵陈分湿汤亦效。
白术（二两） 肉桂 茵陈 猪苓（各三钱） 半夏（一钱） 水煎服。
肾疸之症，身体面目俱黄，小便不利，不思饮食，不得卧，人以为黄胆也，谁
知是肾寒之故乎。夫肾本水宫，然最不能容水，凡水得肾之气而皆化，故肾与膀胱
为表里，肾旺则膀胱亦旺。然肾之所以旺者，非肾水之旺，而肾火之旺也。肾火旺
而水流，肾火衰而水积。水积多则成水臌之病，水积少则成黄瘅之 ，故黄瘅易治
而水臌难治。如肾疸之病，不可治瘅，一治瘅而黄胆反不能痊。必须补其肾中之火，
而佐之去湿健脾之药，则黄胆可指日而愈也。方用济水汤∶
白术（二两） 肉桂（三钱） 茯苓（一两） 山药（一两） 薏仁（一两） 茵陈（一钱）
芡实（五钱） 水煎服。二剂小水大利，再用二剂，饮食多矣。再用二剂可以卧矣。再用二剂，
身体面目之黄尽去。
此方用白术以健脾也。然而白术能利腰脐之气，是健脾正所以健肾。况茯苓、
山药、芡实之类俱是补肾之味，又是利湿之剂；得肉桂以生其命门之火，则肾不寒，
而元阳之气自能透化于膀胱。况所用薏仁之类，原是直走膀胱之品，所谓离照当
空，而冰山雪海尽行消化，何黄之不散哉。或谓发黄俱是湿热，未闻湿寒而能变
黄也。嗟乎！黄病有阴黄之症，是脾寒亦能作黄，岂肾寒独不发黄耶。况肾寒发黄，
又别有至理。夫黄者，土色也。黄之极者即变为黑；黑之未极者，其色必先发黄。
肾疸之发黄，即变黑之兆也。黄至于黑，则纯阴无阳，必至于死。今幸身上发黄，
是内以无阳，阴逼其阳而外出，尚有一线之阳在于皮肤，欲离而未离也。故补其阳，
而离者可续耳。倘皮肤已黑，此方虽佳，何以救之哉。
此症用加减五苓散亦佳。
白术（二两） 茯苓（一两） 泽泻（三钱） 薏仁（三钱） 草（三钱） 肉桂（三钱）
水煎服。
人有心惊胆颤，面目俱黄，小水不利，皮肤瘦削，人以为黄胆之症，谁知是胆
怯而湿乘之乎。夫胆属少阳，乃阳木也。木最喜水，湿亦水也。水湿入胆，宜投其
所喜，何反成黄胆之病？盖水多则木泛，木之根不实矣。少阳之木，非大木可比，
曷禁汪洋之侵蚀乎，此胆之所以怯也。胆怯则水邪愈胜，胆不能防，水邪直入胆中，
而胆之汁反越出于胆之外，而黄病成矣。治法泻水湿之邪，则胆气壮而木得其养。
又不尽然也，木为水浸久矣，泻水但能去水之势，不能固木之根。木虽克于土，而
谷疸的症状，表现为胸中容易感到饥饿，但进食后难以饱足，如果饮食过多就会引发心烦、头晕目眩、小便艰涩困难，身体呈现出像黄金一样的黄色。这是胃中虚热所致，并非胃中的湿热。人体的脾胃属土，脾为阴土，但其功能表现属阳；胃为阳土，但其功能表现属阴。脾胃调和，则刚柔并济，通调水道，易于分消水湿。只有当七情内伤导致阴阳不相和合时，胃没有阴液来调和阳气，则热气聚集而消谷（消化食物过快）；脾没有阳气来调和阴气，则寒气聚集而积水。两者相互搏结激荡，因此产生昏眩、烦闷。于是所摄入的水谷，不转化为精华的清气，反而蒸腾腐败成为浊气。浊气性质下沉，下流至膀胱，膀胱受到胃热的熏蒸，气化功能不行，导致小便闭塞，水液便流向阴器，而热气散走于皮肤，所以全身发黄。治疗方法是提升胃中的清气，以分利膀胱，这样清阳上升而浊阴易降，水利通畅而热气易消。方用分浊散：茯苓（一两）、车前子（三钱）、猪苓（三钱）、茵陈（一钱）、栀子（三钱），水煎服。服用一剂后小便稍利，二剂后湿气乃退，十剂后完全痊愈。
方中以茯苓为君药，是因为它能利水而不损伤胃气。胃气不受损伤，随后辅以清热祛湿的药物，则胃无火亢之患，自然脾无水湿郁滞之害。如果不早点治疗，水湿之气流入肾脏，则肾脏受其伤害，必然导致腹部胀满形成蛊胀病，这就不可治愈了。
此症使用茵陈苓术汤也有效。
茵陈（三钱）、茯苓、白术、薏仁（各五钱）、知母（一钱），水煎服。
酒疸的症状，心中时常懊恼不适，发热不能进食，常常想要呕吐，胸腹部胀满，然而言语清晰清楚，人们以为是酒食导致的黄疸，然而酒湿形成黄疸，是由于内部受伤于饥饱不均和劳累过度所致。凡是善于饮酒的人，是由于胆气旺盛的缘故。胆并不是容纳酒的容器，但能渗透分解酒，酒经过胆气的渗透，则酒化为水，进入膀胱而下泄。只是由于内部受伤于饥饱劳役，导致五脏受损，脏受损则腑也随之受损。五脏六腑都已受损，难道胆气还能单独旺盛吗？胆气既然衰弱，则饮酒后无力渗透分解。无奈人们依然放纵饮酒，则酒多而渗透也多，更损伤胆气。胆受损不能渗透酒，酒必留存在脾胃之间；而脾胃不如从前旺盛，则酒肉不能承受，传导至膀胱；而膀胱也不如从前强健，则入水不能消化，下部既不通行，必然返而上吐，下部排泄又艰难，中焦也不可久留，于是湿热之气，蕴积隆盛冲犯膈膜，懊恼发作于心。由此遍渍周身，分布四肢，全部发为黄色。心至懊恼，其心神昏乱可知，为何又能言语清晰呢？不知道酒气一时熏蒸，则见懊恼；懊恼，是想痛又不痛的状貌，并非心中的神志至于妄乱不宁。治疗方法应当解酒毒，同时壮胆气；胆气旺盛而酒气自消，酒气消而水气自泄，水气泄而黄色自解。方用旺胆消酒汤：柞木枝（三钱）、山栀子（三钱）、桑白皮（三钱）、白茯苓（三钱）、白芍药（一两）、竹叶（一百片）、泽泻（二钱），水煎服。二剂后膀胱通利，四剂后黄色减轻，八剂后完全痊愈。
柞木专门能在无形之中消除酒毒，酒毒既消，则是拔除病根堵塞源头。至于帮助胆气的药物，除了白芍、山栀外没有其他。其余的药物，不过是分消湿热之气。世人不知道这种治法，或用催吐或用攻下，都是拿着刀杀人啊，能不谨慎吗？
此症使用郁李归芍汤也有效。
白芍（一两）、当归、茯苓（各五钱）、郁李仁（五分）、甘草（三分）、黄连（五分）、车前子（二钱），水煎服。
女劳疸的症状，是肾气虚损，四肢酸痛，夜间做梦惊恐，精神困倦，饮食无味，举动乏力，心腹胀满，脚膝痿软迟缓，房事不举，大腿内侧湿痒，尿道涩痛，时常有余沥不尽，小腹满，全身尽黄，额头发黑。人们以为是黄疸病，谁知道是因为房事过度而成的呢？人在房事中长久交战，依靠相火提供力量，相火衰弱则不能久战。火衰而勉强进行房事，则泄精必多，火随水散，热变为寒。人身水火，是不可缺少的。水衰则不能制约火，而火易动；火衰则不能利水，而水易留。看水留应该可以制火了。然而所留之水，乃是外水而非内水，内水可以制火而成津液，外水不能消火而成疸。所以女劳疸，仍是湿热结于精窍之间，并非血瘀闭于骨髓之内。如果使用抵当汤含水蛭之类，以峻猛攻逐瘀血，或使用矾石散含硝石之品，以荡涤微阴，则会促使立即死亡。治疗方法宜补肾中之气，而不可有助火的过失。宜利膀胱之水，而不可有亡阴的过错。应当缓慢图取功效，不应当苛求近效。方用减黄丹治疗。
白茯苓（五钱）、山药（五钱）、人参（三分）、白术（一钱）、芡实（五钱）、薏仁（五钱）、菟丝子（三钱）、车前子（一钱）、生枣仁（一钱），水煎服。十剂后黄疸减轻，再十剂后黄疸更减，再十剂后完全痊愈。
再服用三十剂可无性命之忧。
女劳疸最难治疗，人生此病，没有不死的。如果能保持坚忍之心，断绝欲望谨慎疾病，信服前方汤药，没有不活的。因为这个丹方固本以救伤，并不驱逐邪气以泻瘀，肾气日渐健壮，而黄色日渐减少。有人怀疑女劳疸成于肾中无火，似乎应当补火，不知道黄疸虽然成于无火，如今病久阴液耗损，若补火则恐怕灼烧阴液，不仅无益反而有害了。
此症使用杜术汤也有效。
白术（二两）、杜仲（五钱）、茯苓（五钱）、车前子（三钱）、[原文此处似缺字或指代不明，结合上下文推测可能为某药，但依原文提取]（五钱）、山药（一两），水煎服。
肺疸的症状，鼻塞不通，头面俱黄，口淡咽干，小便不利。人们以为是黄疸病，谁知实际上是由于肺气虚弱呢。肺金气旺，则清肃的命令下行于膀胱，凡是有湿热都从膀胱下泄，则小便大量通行，什么湿气能存留？水既直接泻下，则热也难以停留。只是由于肺气先虚，而后湿热郁蒸于胸膈之间，导致肺燥而失去清肃的命令，水气便乘其燥而进入，燥与湿结合而成热，湿热相留想分入膀胱，而膀胱不接受，想走于皮毛的窍道，而腠理未疏，不能越行于外，遂变现黄色于皮肤。治疗方法宜宣通肺气，健运脾胃之土。因为肺气闭于上，而后水气塞于下，使肺气上通则水且下降，何况重补其脾胃以生肺呢，这是治疗肺疸必须宣扬肺气的原因。方用扬肺利湿汤：桔梗（三钱）、天花粉（二钱）、白术（五钱）、茯苓（五钱）、桑白皮（三钱）、茵陈（三钱）、猪苓（二钱）、黄芩（五分），水煎服。一剂后鼻塞通，二剂后咽干润，三剂后口淡除，四剂后小便大利，十剂后头面的黄色尽散。
此方开腠理而生津液，则肺金有润燥之功。合之茯苓、茵陈、花粉、白术则土气大旺，金气亦扬，清肃令行，而膀胱的壅热立通，小便利而黄色怎能独存呢？
此症也可使用通气饮：
桔梗（二钱）、紫菀（二钱）、白术（五钱）、茯苓（五钱）、甘草（三分）、茵陈（一钱）、益智仁（三粒）、贝母（二钱），水煎服。
心疸的症状，烦渴引饮，一喝水即停于心之下，时常发出水声，胸前时常多汗出，皮肤尽黄，唯独两眼洁白。人们以为是黄疸，谁知是心中虚热造成的呢。心喜欢干燥不喜欢潮湿，然而过于干燥，则未免改变其本性而喜欢潮湿了。然而心终究宜燥，而不宜湿。以湿济燥，可以权宜行于一时，不可以经常行于长久。盖水是阴物，阴居阳地，不肯迅速进入小肠，心又因水制约，力不能分消，移其水以入于膀胱，所以水停心下作声。而膻中乃心的相臣，见到水邪侵犯心脏，且出其火以相救，战争于胸间，水得火炎，而热化为汗，时常出于胸部。其余的水，怎么能全部化解，旁趋而出于皮毛，乃壅闭而变为黄色。一身皆黄而两眼不变色的原因，是因为肝开窍于目，心为肝之子，邪气见到肝木之旺，不敢侵犯肝的界限，两眼正是肝的部位，所以湿热不至于目，而无黄色的侵袭耳。那么治疗方法，宜补肝气以生心，泻水湿以逐热，则黄疸不攻而自散。方用泻肝利湿汤：白芍（一两）、茯苓（五钱）、白术（五钱）、茵陈（三钱）、炒栀子（三钱）、木通（一钱）、远志（一钱），水煎服。一剂后症状轻，二剂后又轻，十剂后完全痊愈。
此方补肝即所以补心，泻水即以泻热。如果只治疗黄色而不辨别其脏气的生克关系，妄用龙胆草等药，必然导致变为寒黄的病症，反而难以施治了。
此症使用茵陈苓术黄连汤也有效。
茵陈（三钱）、茯苓、白术（各五钱）、黄连（二钱），水煎服。
肝疸的症状，两眼尽黄，身体四肢也现黄色，但不如眼黄严重，气逆手足发冷，汗出不止，然而只在腰以上，腰以下无汗。人们以为是黄疸，谁知是肝气郁结，湿热团结而不散呢。肝属木，非水不长，为什么得到湿气反而郁结呢？不知道肝所喜欢的是肾水，不是外来的邪水。肾水生木而发生，邪水克木而发疸。盖肝藏血而不藏水，外来水多，则肝闭而不受，于是移其水于脾胃。然而外来之水，原本是从脾胃来的。脾胃所抛弃的，脾胃还肯容纳它吗？势必移其水于膀胱，而膀胱又不接受。盖膀胱因为肝木的湿热，不敢导引而入，以致自焚。于是湿热复返而入肝，而肝无容身之地，乃郁勃而发汗，汗不能完全排出而黄疸症生。假如汗能全部排出，未必就形成黄疸。无奈肝的湿热，想向下走于肾宫，而肾气厌恶肝木的侵犯，杜绝而不许入境，腰部以下正是肾的部位，所以无汗而发黄。治疗方法开通肝气之郁结，辅助以分湿散邪的药剂，则黄疸自愈。方用利肝分水饮：龙胆草（二钱）、茵陈（三钱）、茯苓（一两）、猪苓（三钱）、柴胡（一钱）、车前子（三钱）、白蒺藜（三钱）、甘菊花（五钱），水煎服。二剂后眼睛的黄变淡。再服四剂，身体的黄也变淡了。再服四剂，气逆、汗出的病止，再服十剂完全痊愈。
此方在分湿之中开郁，在散热之内补肝，既能善逐邪气，又能顾护正气，两得而无失。
此症使用利目汤也妙。
龙胆草（二钱）、茵陈（三钱）、白芍（一两）、茯苓（五钱）、泽泻、车前子、白蒺藜（各三钱）、柴胡（一钱）、草决明（二钱），水煎服。
脾疸的症状，身体黄得像秋葵的颜色，汗水染衣服，都成黄色，兼之鼻涕唾沫也黄，不想听人说话，小便不利。人们以为是黄汗病，谁知是脾阴之黄呢。脾土喜欢温暖，黄病乃是湿热。热适宜，并非脾所厌恶，为何成黄？不知道脾虽然不恶热而畏湿，脾乃湿土，再加湿来济湿，脾中阳气尽行消亡，无阳则阴不能化，土成纯阴之土，怎么能制水呢？水存于脾中，寒土不能分消，听其流行于经络、皮肤。凡脏腑之水都下输膀胱，现在脾成纯阴，则无阳气达于膀胱。然而水寒宜清，变黄色的原因是什么？盖寒极似土。夫寒极宜见水象，水寒宜见黑色，不宜见黄。而今变黄，是因为水居于土之中。其不想听人说话的原因，是脾寒之极，其心之寒可知，心寒则胆怯，听到人说话则惕然惊骇，故不愿听。则治疗方法宜大健其脾，而温其命门之气，佐之以利水的药剂，则阴可变阳，黄病可愈。方用补火散邪汤：白术（三两）、附子（三钱）、人参（二两）、茵陈（三钱）、白茯苓（一两）、半夏（三钱），水煎服。连服四剂，而小便利。再服四剂，汗唾不黄了。
此方白术、人参以补其脾，茯苓、茵陈以利其水，附子以温其火，真火生而邪火自散，元阳回而阴气自消。阴阳和协，水火相制，什么黄病不去除呢？
此症使用茵陈分湿汤也有效。
白术（二两）、肉桂、茵陈、猪苓（各三钱）、半夏（一钱），水煎服。
肾疸的症状，身体面目俱黄，小便不利，不思饮食，不得卧。人们以为是黄疸，谁知是肾寒的缘故呢。肾本是水宫，然而最不能容水，凡水得肾之气而皆化，故肾与膀胱为表里，肾旺则膀胱亦旺。然而肾之所以旺，不是肾水之旺，而是肾火之旺。肾火旺而水流，肾火衰而水积。水积多则成水臌病，水积少则成黄瘅之[原文此处似缺字，结合语境应为“证”或类似含义]，故黄瘅易治而水臌难治。如肾疸的病，不可治疸，一治疸而黄疸反不能痊愈。必须补其肾中之火，而佐之去湿健脾的药，则黄疸可指日而愈。方用济水汤：白术（二两）、肉桂（三钱）、茯苓（一两）、山药（一两）、薏仁（一两）、茵陈（一钱）、芡实（五钱），水煎服。二剂后小便大利，再用二剂，饮食多了。再用二剂可以卧了。再用二剂，身体面目的黄尽去。
此方用白术以健脾。然而白术能利腰脐之气，是健脾正所以健肾。况且茯苓、山药、芡实之类俱是补肾之味，又是利湿之剂；得肉桂以生其命门之火，则肾不寒，而元阳之气自能透化于膀胱。况且所用薏仁之类，原是直走膀胱之品，所谓离照当空，而冰山雪海尽行消化，什么黄不散呢？有人说发黄俱是湿热，没听说湿寒能变黄的。唉！黄病有阴黄的病症，是脾寒也能作黄，难道肾寒独不发黄吗？况且肾寒发黄，又别有至理。夫黄者，土色也。黄之极者即变为黑；黑之未极者，其色必先发黄。肾疸之发黄，即变黑之兆也。黄至于黑，则纯阴无阳，必至于死。今幸身上发黄，是内以无阳，阴逼其阳而外出，尚有一线之阳在于皮肤，欲离而未离也。故补其阳，而离者可续耳。倘皮肤已黑，此方虽佳，何以救之哉？
此症使用加减五苓散也佳。
白术（二两）、茯苓（一两）、泽泻（三钱）、薏仁（三钱）、[原文此处似缺字，通常为猪苓或类似利水药，依原文提取]（三钱）、肉桂（三钱），水煎服。
人有心惊胆颤，面目俱黄，小便不利，皮肤瘦削，人们以为是黄疸病，谁知是胆怯而湿邪乘之呢。胆属少阳，乃阳木。木最喜欢水，湿也是水。水湿入胆，宜投其所好，为何反成黄疸病？盖水多则木泛，木之根不实了。少阳之木，不能与大木相比，怎能禁得住汪洋之侵蚀呢，这就是胆之所以怯的原因。胆怯则水邪愈胜，胆不能防，水邪直入胆中，而胆之汁反越出于胆之外，而黄病成了。治疗方法泻水湿之邪，则胆气壮而木得其养。又不完全是这样，木被水浸久了，泻水只能去水之势，不能固木之根。木虽克于土，而……
Grain Jaundice (Gu Dan) presents with easy hunger in the chest, difficulty feeling full after eating, and if excessive food is consumed, it triggers irritability, dizziness, difficult urination, and a body color resembling gold. This is caused by deficiency-heat in the Stomach, not damp-heat. The Spleen and Stomach belong to Earth; the Spleen is Yin Earth but its function is Yang; the Stomach is Yang Earth but its function is Yin. When Spleen and Stomach harmonize, hardness and softness assist each other, regulating water passages and facilitating the distribution and elimination of fluids. Only when internal injury from the Seven Emotions causes Yin and Yang to fail to harmonize does pathology arise: without Yin to harmonize Yang, the Stomach accumulates heat and digests grain rapidly; without Yang to harmonize Yin, the Spleen accumulates cold and retains water. These two factors clash and激荡, causing dizziness and oppression. Consequently, ingested food and fluids do not transform into essence-clear Qi but are steamed into turbid-corrupt Qi. Turbid Qi sinks and flows downward into the Bladder. The Bladder receives Stomach heat, impairing Qi transformation, leading to urinary obstruction. Water flows to the genitalia, while heat scatters through the skin, causing generalized jaundice. The treatment method is to ascend the clear Qi of the Stomach to differentiate and drain the Bladder, so that clear Yang ascends and turbid Yin descends easily, water flow promotes heat dissipation. Use Fen Zhuo San (Separate Turbidity Powder): Fu Ling (Poria, 1 liang), Che Qian Zi (Plantago Seed, 3 qian), Zhu Ling (Polyporus, 3 qian), Yin Chen (Artemisia Capillaris, 1 qian), Zhi Zi (Gardenia Fruit, 3 qian). Decoct in water and take orally. After one dose, urination becomes slightly free; after two doses, dampness recedes; after ten doses, complete recovery occurs.
Fu Ling is used as the Sovereign herb because it drains water without damaging Stomach Qi. With Stomach Qi undamaged, subsequent use of heat-clearing and damp-draining herbs ensures no risk of Stomach fire hyperactivity and naturally prevents Spleen water stagnation. If not treated early, water-dampness qi flows into the Kidney, damaging it, inevitably leading to abdominal distension and Gu Distension (Gu Syndrome), which becomes incurable.
This condition can also be effectively treated with Yin Chen Ling Zhu Tang (Artemisia Poria Atractylodes Decoction).
Yin Chen (3 qian), Fu Ling (5 qian), Bai Zhu (Atractylodes Macrocephala Rhizome, 5 qian), Yi Ren (Coix Seed, 5 qian), Zhi Mu (Anemarrhena Rhizome, 1 qian). Decoct in water and take orally.
Wine Jaundice (Jiu Dan) presents with frequent mental restlessness (Ao Nu), fever, inability to eat, frequent urge to vomit, and chest/abdominal fullness, yet speech remains clear. People attribute this to wine-food induced jaundice, but wine-dampness jaundice arises from internal injury due to irregular eating and overwork. Those who drink well have vigorous Gallbladder Qi. The Gallbladder is not a container for wine but penetrates and transforms it; wine transformed by Gallbladder Qi becomes water, enters the Bladder, and is excreted. However, internal injury damages the Five Zang organs, and Zang damage leads to Fu damage. With all Zang and Fu damaged, how can Gallbladder Qi remain vigorous? As Gallbladder Qi declines, it loses the power to penetrate wine. Despite this, people continue drinking excessively, increasing wine load and further damaging Gallbladder Qi. Damaged Gallbladder cannot penetrate wine, so wine stays between Spleen and Stomach. Weakened Spleen/Stomach cannot handle wine/meat, transmitting it to the Bladder. Weakened Bladder cannot process incoming water; lower blockage forces reflux upward (vomiting) and lower excretion becomes difficult. Middle Jiao cannot retain it long, so damp-heat qi accumulates, surges to the Diaphragm, and manifests as mental restlessness in the Heart. It then permeates the whole body and limbs, causing jaundice. Mental restlessness implies heart-mind confusion, yet speech is clear? Wine qi steaming temporarily causes restlessness; "restlessness" describes a state of wanting pain but not having it, not true chaotic spirit. Treatment should resolve wine toxicity and strengthen Gallbladder Qi. Vigorous Gallbladder Qi eliminates wine qi; eliminated wine qi allows water qi to drain; drained water qi resolves jaundice. Use Wang Dan Xiao Jiu Tang (Strengthen Gallbladder Eliminate Wine Decoction): Zuo Mu Zhi (Oak Branch, 3 qian), Shan Zhi Zi (Mountain Gardenia, 3 qian), Sang Bai Pi (Mulberry Root Bark, 3 qian), Bai Fu Ling (White Poria, 3 qian), Bai Shao Yao (White Peony Root, 1 liang), Zhu Ye (Bamboo Leaf, 100 leaves), Ze Xie (Alisma Rhizome, 2 qian). Decoct in water and take orally. Two doses promote Bladder drainage; four doses lighten yellow color; eight doses achieve full recovery.
Zuo Mu specializes in eliminating invisible wine toxicity. Removing the root source is key. For strengthening Gallbladder, only Bai Shao and Shan Zhi Zi are effective. Other herbs merely distribute damp-heat. Ignoring this treatment and using emetics or purgatives is like killing with a knife; caution is essential.
This condition can also be effectively treated with Yu Li Gui Shao Tang (Prunus Dumestica Bark Angelica White Peony Decoction).
Bai Shao (1 liang), Dang Gui (Angelica Sinensis Radix, 5 qian), Fu Ling (5 qian), Yu Li Ren (Prunus Dumestica Kernel, 5 fen), Gan Cao (Licorice Root, 3 fen), Huang Lian (Coptis Rhizome, 5 fen), Che Qian Zi (2 qian). Decoct in water and take orally.
Female Labor Jaundice (Nv Lao Zhi Dan) results from Kidney Qi deficiency, presenting with sore/aching limbs, nocturnal fright dreams, mental fatigue, loss of taste, weakness, chest/abdominal fullness, weak/slow legs/knees, impotence, inner thigh damp-itchiness, painful/difficult urination with residual drops, lower abdominal fullness, generalized jaundice, and black forehead. Attributed to excessive sexual activity. Sexual endurance relies on Ministerial Fire (Xiang Huo); decline leads to inability to endure. Forced intercourse with weak fire causes excessive semen loss; fire dissipates with water, turning heat to cold. Water and Fire are indispensable. Water deficiency fails to control Fire (Fire moves easily); Fire deficiency fails to promote Water (Water stagnates). Stagnant water here is external water, not internal water. Internal water controls Fire to form fluids; external water fails to extinguish Fire, causing jaundice. Thus, Female Labor Jaundice is damp-heat knotting at the Essence Aperture, not blood stasis closing in bone marrow. Using drastic blood-breaking formulas like Di Dang Tang (containing Shui Zhi/Hirudo) or Fan Shi San (containing Xiao Shi/Niter) will cause immediate death. Treatment should tonify Kidney Qi without aiding Fire, drain Bladder water without destroying Yin. Work slowly, do not demand quick results. Use Jian Huang Dan (Reduce Yellow Pill): Bai Fu Ling (5 qian), Shan Yao (Dioscorea Rhizome, 5 qian), Ren Shen (Ginseng Radix, 3 fen), Bai Zhu (1 qian), Qian Shi (Euryale Seed, 5 qian), Yi Ren (5 qian), Tu Si Zi (Cuscuta Seed, 3 qian), Che Qian Zi (1 qian), Sheng Zao Ren (Raw Jujube Seed, 1 qian). Decoct in water and take orally. Ten doses reduce jaundice; another ten reduce it further; another ten achieve full recovery. Another thirty doses ensure no life-threatening danger.
Female Labor Jaundice is hardest to treat; historically often fatal. Persistence, abstinence, strict disease management, and faith in the formula guarantee survival. This formula secures the root to save injury, not expel evil to drain stasis. Kidney Qi strengthens daily, yellow fades daily. Doubts suggest supplementing Fire since it stems from Kidney Fire deficiency. However, prolonged illness consumes Yin; supplementing Fire risks burning Yin, causing harm rather than benefit.
This condition can also be effectively treated with Du Zhu Tang (Eucommia Atractylodes Decoction).
Bai Zhu (2 liang), Du Zhong (Eucommia Bark, 5 qian), Fu Ling (5 qian), Che Qian Zi (3 qian), [Missing Herb Name] (5 qian), Shan Yao (1 liang). Decoct in water and take orally.
Lung Jaundice (Fei Dan) presents with nasal congestion, yellow face/head, bland taste/dry throat, and difficult urination. Often mistaken for standard jaundice, it actually stems from Lung Qi deficiency. Vigorous Lung Metal Qi sends clear/pure commands down to the Bladder, draining all damp-heat via urine, ensuring abundant urination and no damp retention. Direct water drainage prevents heat retention. Lung Qi deficiency first allows damp-heat to stagnate in the Chest/Diaphragm, causing Lung dryness and loss of clear/pure command. Water Qi exploits this dryness, combining with dryness to create heat. Damp-heat seeks entry to the Bladder, but Bladder rejects it; seeking exit via skin pores, but Cou Li (pores) are closed, preventing outward release, resulting in yellow manifestation on skin. Treatment should ventilate/unblock Lung Qi and strengthen Spleen/Earth. Upper Lung blockage causes lower Water Qi blockage; unblocking Lung Qi aids water descent. Further tonifying Spleen generates Lung Metal. Thus, promoting Lung Qi is essential. Use Yang Fei Li Shi Tang (Raise Lung Drain Dampness Decoction): Jie Geng (Platycodon Root, 3 qian), Tian Hua Fen (Trichosanthes Root, 2 qian), Bai Zhu (5 qian), Fu Ling (5 qian), Sang Bai Pi (3 qian), Yin Chen (3 qian), Zhu Ling (2 qian), Huang Qin (Scutellaria Root, 5 fen). Decoct in water and take orally. One dose clears nose; two moistens throat; three removes bland taste; four promotes abundant urination; ten disperses head/facial yellow.
This formula opens Cou Li, generates fluids, benefiting Lung Metal's moistening/drying function. Combined with Fu Ling, Yin Chen, Tian Hua Fen, Bai Zhu, Earth Qi flourishes, Metal Qi rises, clear/pure command executes, Bladder heat obstruction clears immediately. Abundant urination makes jaundice impossible to persist.
This condition can also be treated with Tong Qi Yin (Unblock Qi Drink):
Jie Geng (2 qian), Zi Wan (Aster Root, 2 qian), Bai Zhu (5 qian), Fu Ling (5 qian), Gan Cao (3 fen), Yin Chen (1 qian), Yi Zhi Ren (Alpinia Oxyphylla Fruit, 3 grains), Bei Mu (Fritillaria Bulb, 2 qian). Decoct in water and take orally.
Heart Jaundice (Xin Dan) presents with irritability/thirst craving drinks, water stopping below the Heart upon ingestion with gurgling sounds, frequent sweating on the chest, generalized yellow skin, but white eyes. Mistaken for jaundice, it is actually Heart Deficiency Heat. Heart prefers dryness over dampness, but extreme dryness may make it prefer dampness temporarily. However, Heart ultimately prefers dryness. Using dampness to balance dryness is temporary, not permanent. Water is Yin, residing in Yang location (Heart), reluctant to enter Small Intestine. Heart constrained by Water lacks strength to distribute it to Bladder, so water stops below Heart making noise. Dan Zhong (Conception Vessel area) acts as Heart's assistant; seeing Water Evil invade Heart, it emits Fire to rescue, fighting in the chest. Water heated by Fire turns to sweat, emerging from chest. Remaining water escapes via skin pores, obstructs, and turns yellow. Eyes remain white because Liver opens to eyes, Heart is Liver's child; Evil sees Liver Wood vigor and avoids Liver territory. Eyes are Liver's domain, so damp-heat doesn't reach them. Treatment should tonify Liver Qi to generate Heart, drain water-dampness to expel heat, resolving jaundice without direct attack. Use Xie Gan Li Shi Tang (Drain Liver Drain Dampness Decoction): Bai Shao (1 liang), Fu Ling (5 qian), Bai Zhu (5 qian), Yin Chen (3 qian), Chao Zhi Zi (Stir-fried Gardenia, 3 qian), Mu Tong (Akebia Stem, 1 qian), Yuan Zhi (Polygala Root, 1 qian). Decoct in water and take orally. One dose lightens symptoms; two more lightens further; ten doses cure.
Tonifying Liver benefits Heart; draining water drains heat. Treating only yellow without considering Zang organ generation/restriction cycles, and recklessly using Long Dan Cao (Gentiana Root), can transform this into Cold Yellow, making treatment difficult.
This condition can also be effectively treated with Yin Chen Ling Zhu Huang Lian Tang (Artemisia Poria Atractylodes Coptis Decoction).
Yin Chen (3 qian), Fu Ling (5 qian), Bai Zhu (5 qian), Huang Lian (2 qian). Decoct in water and take orally.
Liver Jaundice (Gan Dan) presents with completely yellow eyes, yellow body/limbs (less severe than eyes), rebellious Qi, cold hands/feet, continuous sweating limited to above waist (no sweat below waist). Mistaken for jaundice, it is actually Liver Qi stagnation with knotted damp-heat. Liver belongs to Wood, growing with water, why does dampness cause stagnation? Liver prefers Kidney Water, not external pathogenic water. Kidney Water generates Wood; Pathogenic Water attacks Wood causing jaundice. Liver stores Blood, not Water. Excess external water closes Liver, transferring water to Spleen/Stomach. But external water comes from Spleen/Stomach originally; Spleen/Stomach reject what they discard. Water transfers to Bladder, which also rejects it due to Liver Wood damp-heat, causing self-burning. Damp-heat returns to Liver, finding no space, causing stagnation and sweating. Incomplete sweating leads to jaundice. If sweat were complete, jaundice might not form. Damp-heat tries to descend to Kidney Palace, but Kidney Qi dislikes Liver invasion and blocks entry. Waist/lower region is Kidney's domain, hence no sweat and yellowing. Treatment should open Liver Qi stagnation, assist with damp-distributing/evil-dispersing agents, curing jaundice spontaneously. Use Li Gan Fen Shui Yin (Benefit Liver Separate Water Drink): Long Dan Cao (Gentiana Root, 2 qian), Yin Chen (3 qian), Fu Ling (1 liang), Zhu Ling (3 qian), Chai Hu (Bupleurum Root, 1 qian), Che Qian Zi (3 qian), Bai Ji Li (Tribulus Fruit, 3 qian), Gan Ju Hua (Chrysanthemum Flower, 5 qian). Decoct in water and take orally. Two doses lighten eye yellow; four more lighten body yellow; four more stop rebellious Qi/sweating; ten more cure.
This formula opens stagnation within damp-drainage, tonifies Liver within heat-dispersion, successfully expelling evil while protecting righteousness.
This condition can also be effectively treated with Li Mu Tang (Benefit Eye Decoction).
Long Dan Cao (2 qian), Yin Chen (3 qian), Bai Shao (1 liang), Fu Ling (5 qian), Ze Xie (3 qian), Che Qian Zi (3 qian), Bai Ji Li (3 qian), Chai Hu (1 qian), Cao Jue Ming (Cassia Seed, 2 qian). Decoct in water and take orally.
Spleen Jaundice (Pi Dan) presents with body yellow like autumn okra, sweat staining clothes yellow, yellow sputum/nasal discharge, aversion to hearing voices, difficult urination. Mistaken for Yellow Sweat disease, it is actually Spleen Yin Jaundice. Spleen Earth likes warmth; Jaundice is damp-heat. Heat isn't disliked by Spleen, so why yellow? Spleen fears dampness. Spleen is Damp Earth; adding dampness to dampness extinguishes Spleen Yang Qi. Without Yang, Yin cannot transform; Earth becomes Pure Yin, unable to control Water. Water stays in Spleen; Cold Earth cannot distribute it, allowing flow into meridians/skin. All Zang/Fu water drains to Bladder, but Pure Yin Spleen lacks Yang Qi to reach Bladder. Cold water should be clear; why yellow? Extreme cold resembles Earth. Extreme cold should show Water image (Black); why yellow? Because water resides within Earth. Aversion to hearing voices indicates extreme Spleen Cold, implying Heart Cold. Heart Cold causes Gallbladder Fear; hearing voices causes sudden fright, hence aversion. Treatment should strongly tonify Spleen, warm Ming Men (Gate of Life) Qi, assist with diuretics, transforming Yin to Yang, curing jaundice. Use Bu Huo San Xie Tang (Tonify Fire Scatter Evil Decoction): Bai Zhu (3 liang), Fu Zi (Prepared Aconite Child, 3 qian), Ren Shen (2 liang), Yin Chen (3 qian), Bai Fu Ling (1 liang), Ban Xia (Pinellia Tuber, 3 qian). Decoct in water and take orally. Four doses promote urination; four more stop yellow sweat/sputum.
Bai Zhu and Ren Shen tonify Spleen; Fu Ling and Yin Chen drain water; Fu Zi warms Fire. True Fire generated, Evil Fire scatters; Primordial Yang returns, Yin Qi dissipates. Yin/Yang harmonize, Water/Fire regulate; jaundice must depart.
This condition can also be effectively treated with Yin Chen Fen Shi Tang (Artemisia Distribute Dampness Decoction).
Bai Zhu (2 liang), Rou Gui (Cinnamon Bark, 3 qian), Yin Chen (3 qian), Zhu Ling (3 qian), Ban Xia (1 qian). Decoct in water and take orally.
Kidney Jaundice (Shen Dan) presents with yellow body/face, difficult urination, anorexia, inability to lie down. Mistaken for jaundice, it is actually Kidney Cold. Kidney is Water Palace but cannot tolerate excess water; water transforms via Kidney Qi. Kidney and Bladder are exterior-interior; Kidney prosperity brings Bladder prosperity. Prosperity comes from Kidney Fire, not Water. Kidney Fire prosperous = water flows; Kidney Fire deficient = water accumulates. Massive accumulation causes Water Distension (Shu Gu); minor accumulation causes Jaundice (Huang Dan). Jaundice is easier to treat than Water Distension. Treating Kidney Jaundice as standard jaundice fails; must tonify Kidney Fire, assist with damp-draining/Spleen-strengthening herbs for rapid recovery. Use Ji Shui Tang (Save Water Decoction): Bai Zhu (2 liang), Rou Gui (3 qian), Fu Ling (1 liang), Shan Yao (1 liang), Yi Ren (1 liang), Yin Chen (1 qian), Qian Shi (5 qian). Decoct in water and take orally. Two doses promote urination; two more increase appetite; two more allow lying down; two more remove body/facial yellow.
Bai Zhu strengthens Spleen; it also benefits Waist-Navel Qi, thus strengthening Kidney. Fu Ling, Shan Yao, Qian Shi tonify Kidney and drain dampness. Rou Gui generates Ming Men Fire, warming Kidney, allowing Primordial Yang to transform in Bladder. Yi Ren targets Bladder directly. Like sun illuminating sky, melting ice/snow, jaundice disperses. Some claim jaundice is always damp-heat, never damp-cold. Indeed, there is Yin Yellow (Spleen Cold); surely Kidney Cold doesn't cause yellow? Kidney Cold yellow has deeper logic. Yellow is Earth color. Extreme yellow turns Black; pre-extreme yellow appears first. Kidney Jaundice yellow signals impending Black. Yellow to Black means Pure Yin No Yang, leading to death. Current yellow indicates internal No Yang, Yin forcing Yang outward to skin, a sliver of Yang remaining, about to leave. Tonifying Yang reconnects this sliver. If skin turns Black, even this good formula cannot save.
This condition can also be effectively treated with Jia Jian Wu Ling San (Modified Five Ingredient Powder with Poria).
Bai Zhu (2 liang), Fu Ling (1 liang), Ze Xie (3 qian), Yi Ren (3 qian), [Missing Herb Name] (3 qian), Rou Gui (3 qian). Decoct in water and take orally.
Some present with palpitations/fear, yellow face/body, difficult urination, emaciated skin. Mistaken for jaundice, it is actually Gallbladder Timidity exploited by Dampness. Gallbladder belongs to Shaoyang, Yang Wood. Wood loves Water; Dampness is Water. Water-Damp entering Gallbladder should please it, yet causes jaundice? Excess water floats Wood, weakening roots. Shaoyang Wood is small, cannot withstand vast erosion, hence timidity. Timidity lets Water Evil prevail; Gallbladder fails to defend, Water Evil enters, Gallbladder juice leaks out, causing jaundice. Treatment should drain Water-Damp Evil to strengthen Gallbladder Qi and nourish Wood. However, Wood soaked long needs root stabilization, not just water removal. Wood controls Earth, but...