始于风寒而成于饮食也。《金匮》云∶风寒相搏，食谷即眩，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。又云∶谷疸之为病，寒热不食
，食即头眩，心胸不安，久久发黄为谷疸，茵陈蒿汤主之。
茵陈蒿汤（即前大茵陈蒿汤） 此下热之剂，气实便闭者宜之，不然不可用。
茯苓茵陈栀子汤（《宝鉴》） 治谷疸，心下痞满，四肢困倦，身目俱黄，心神烦
乱，兀兀欲吐，饮食迟化，小便瘀闷发热。
菌陈（一钱） 茯苓（五分） 栀子 苍术（去皮，炒） 白术（各三钱） 黄连 枳壳 猪苓
泽泻 陈皮 防己（各二分） 黄芩（六分） 青皮（一分）
长流水煎，去滓，空心温服。
栀子、茵陈，泄湿热而退黄；黄连、枳壳，泄心下痞满；热能伤气，黄芩主之；湿热壅
胃，二术、青皮除之；湿热流注经络膀胱，二苓、防己利之。
胆矾丸（《本事》） 治男妇食劳，面黄虚肿， 癖气块。
胆矾（无石者，三两） 黄蜡（二两） 大枣（五十枚）
用石器入头醋三升，下胆矾、大枣慢火熬半日，取出枣子去皮核，次下黄蜡再熬一二时
如膏，入腊茶二两，同和为丸桐子大，每服二十丸，茶清下，日三。
许叔微云∶宗室赵彦才下血，面如蜡，不进食，盖酒病致此。授此服之，终剂而血止，
面色鲜润，食亦如常。
治湿热黄病，助脾去湿方（《乾坤生意》）
针砂（擂净绣水，淘白色，以米醋于铁铫内浸一宿，炒干，再炒三五次，候通红，二两
五钱） 陈粳米（半升，水浸一夜，捣粉作块，煮半熟） 百草霜（一两半）
上三味捣千下，丸如桐子大，每服五十丸，用五加皮、牛膝根、木瓜根浸酒下。初服若
泻，其病本去也。
脾劳黄病方（《摘元》）
针砂（四两，醋炒七次） 干漆（烧存性，二钱） 香附（三钱） 平胃散（五钱）
为末，蒸饼如桐子大，汤下。
黄病有积神方（《先醒斋笔记》）
苍术（炒） 浓朴（姜汁炒） 橘红 甘草 楂肉 茯苓 麦芽（各二两） 槟榔（一两） 绿
矾（醋 研细，一两五钱）
为末，枣肉丸梧子大，每服一钱，白汤下，日三服。凡服矾者，忌食荞麦、河豚，犯之
即死。
予每治脱力劳伤，面黄能食，四肢无力，用造酒曲丸平胃散，加皂矾（ 透）针砂，淡
醋汤下十丸，日二。
疾病始于风寒侵袭，最终因饮食不当而加重。《金匮要略》中说：风寒邪气相互搏结，进食后随即感到头晕，谷食之气不能正常消化，胃中苦于浊气内蕴，浊气向下流注，导致小便不通畅；阴分受寒邪影响，热气流入膀胱，全身出现黄疸，这种病称为谷疸。又说：谷疸这种病症，表现为忽冷忽热、不想进食，一吃东西就头晕，心胸部位感到不安，时间久了身体发黄，这就是谷疸，治疗应以茵陈蒿汤为主。
茵陈蒿汤（即前文提到的大茵陈蒿汤）：这是清泄下焦热邪的方剂，适用于体质壮实且大便闭结的患者，如果不是这种情况则不可使用。
茯苓茵陈栀子汤（出自《医学发明》）：用于治疗谷疸，症状包括心下部痞塞胀满、四肢困倦乏力、身体和眼睛都发黄、心神烦躁混乱、恶心欲吐、饮食消化缓慢、小便涩滞不畅并伴有发热。
配方：茵陈（一钱）、茯苓（五分）、栀子、苍术（去皮，炒制）、白术（各三钱）、黄连、枳壳、猪苓、泽泻、陈皮、防己（各二分）、黄芩（六分）、青皮（一分）。
用法：用长流水煎煮，去渣滓，空腹时温服。
方解：栀子和茵陈，能泄除湿热并消退黄疸；黄连和枳壳，能泄除心下痞塞胀满之症；热邪会损伤正气，故用黄芩主治；湿热壅滞于胃，用苍术和白术及青皮来消除；湿热流注于经络和膀胱，用茯苓和猪苓及防己来利湿通淋。
胆矾丸（出自《本事方》）：治疗男女因过度劳累进食后引起的面色萎黄、虚肿以及癖积气块。
配方：胆矾（无杂质的，三两）、黄蜡（二两）、大枣（五十枚）。
用法：用石器盛入头醋三升，放入胆矾和大枣，用慢火熬煮半天，取出大枣，去皮去核，接着放入黄蜡再熬煮一至两个小时至膏状，加入腊茶二两，混合均匀制成梧桐子大小的药丸。每次服用二十丸，用浓茶汁送服，每日三次。
许叔微说：宗室赵彦才出现便血，面色像蜡一样黄，不能进食，这大概是饮酒过度导致的疾病。传授此方给他服用，服药结束后便血停止，面色变得红润鲜亮，饮食也恢复正常。
治疗湿热黄疸、健脾祛湿的方子（出自《乾坤生意》）：
配方：针砂（研磨干净并用绣水淘洗至白色，用米醋在铁锅中浸泡一夜，炒干后再炒三四次，直到通红，二两五钱）、陈年粳米（半升，用水浸泡一夜，捣碎成粉做成块状，煮至半熟）、百草霜（一两半）。
用法：将上述三味药捣碎一千下，制成梧桐子大小的药丸。每次服用五十丸，用五加皮、牛膝根、木瓜根浸泡的酒送服。初次服用如果出现腹泻，说明病邪本源已被去除。
脾劳黄病方（出自《摘元方》）：
配方：针砂（四两，用醋炒七次）、干漆（烧至存性，二钱）、香附（三钱）、平胃散（五钱）。
用法：研为细末，用蒸饼粘合制成梧桐子大小的药丸，用温水送服。
黄疸有积滞的神效方（出自《先醒斋笔记》）：
配方：苍术（炒制）、厚朴（姜汁炒制）、橘红、甘草、山楂肉、茯苓、麦芽（各二两）、槟榔（一两）、绿矾（醋研细，一两五钱）。
用法：研为细末，用枣肉调和制成梧桐子大小的药丸。每次服用一钱，用白开水送服，每日三次。凡是服用含矾药物的患者，忌食荞麦和河豚，否则触犯禁忌就会死亡。
我每次治疗因过度用力导致的劳伤，症状见面色萎黄但能进食、四肢无力，常用造酒曲丸配合平胃散，加入皂矾（煅透）和针砂，用淡醋汤送服十丸，每日两次。
The disease originates from Wind-Cold invasion and is exacerbated by improper diet. The *Jin Gui Yao Lue* states: "When Wind-Cold pathogens contend with each other, dizziness occurs immediately after eating; the Qi of grain fails to digest, causing the Stomach to suffer from turbid Qi accumulation. This turbid Qi flows downward, leading to urinary obstruction. The Yin aspect is affected by Cold, while Heat flows into the Bladder, resulting in generalized jaundice. This condition is named Grain Jaundice (Gu Dan)." It further states: "Grain Jaundice presents with alternating chills and fever, anorexia, dizziness upon eating, discomfort in the chest and heart region, and eventual yellowing of the body over time. This is Grain Jaundice, which should be treated primarily with Yinchen Hao Tang."
Yinchen Hao Tang (Cinnamon Twig and Rhubarb Decoction, specifically the larger formula mentioned earlier): This is a formula for purging heat from the Lower Jiao. It is suitable for patients with excess constitution and constipation; it should not be used otherwise.
Fuling Yinchen Zhizi Tang (Poria, Yin Chen, and Gardenia Decoction) [Source: *Yixue Faming*]: Treats Grain Jaundice characterized by epigastric fullness and oppression, fatigue and heaviness in the four limbs, yellowing of both the body and eyes, mental restlessness and irritability, nausea and urge to vomit, slow digestion of food, and dysuria with heat sensation.
Ingredients: Yin Chen (Artemisiae Scopariae Herba, 1 qian), Fuling (Poria, 5 fen), Zhizi (Gardeniae Fructus), Cangzhu (Atractylodis Rhizoma, peeled and stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, each 3 qian), Huanglian (Coptidis Rhizoma), Zhike (Aurantii Fructus Immaturus), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fangji (Stephaniae Tetrandrae Radix, each 2 fen), Huangqin (Scutellariae Radix, 6 fen), Qingpi (Citri Reticulatae Pericarpium Viride, 1 fen).
Usage: Decoct with long-flowing water, strain, and take warm on an empty stomach.
Analysis: Zhizi and Yin Chen purge damp-heat and resolve jaundice; Huanglian and Zhike purge epigastric fullness; Heat can injure Qi, so Huangqin is used to address this; Damp-heat stagnating in the Stomach is removed by Cangzhu, Baizhu, and Qingpi; Damp-heat flowing into the meridians and Bladder is drained by Fuling, Zhuling, and Fangji.
Danfan Wan (Chalcanthite Pill) [Source: *Benshi Fang*]: Treats men and women suffering from post-prandial fatigue, sallow complexion with puffy swelling, and mass-like accumulations (Pi Ji).
Ingredients: Danfan (Chalcanthite, pure, 3 liang), Huangla (Yellow Beeswax, 2 liang), Dazao (Jujubae Fructus, 50 pieces).
Usage: Place head vinegar (3 sheng) in a stone vessel, add Danfan and Dazao, and simmer slowly over low heat for half a day. Remove the dates, peel and pit them. Then add Huangla and simmer for another one to two hours until it forms a paste. Add Lat Cha (aged tea, 2 liang) and mix well to form pills the size of paulownia seeds. Take 20 pills per dose, washed down with strong tea liquor, three times daily.
Xu Shuwei stated: Zhao Yancai, a member of the imperial clan, suffered from hematochezia, a waxen sallow complexion, and inability to eat. This was caused by alcohol-induced pathology. He was given this prescription. After completing the course, the bleeding stopped, his complexion became fresh and lustrous, and his appetite returned to normal.
Formula for Treating Damp-Heat Jaundice and Strengthening the Spleen to Remove Dampness [Source: *Qiankun Shengyi*]:
Ingredients: Zhensha (Hematites, ground clean, washed with embroidered water until white, soaked overnight in rice vinegar in an iron pot, dried, stir-fried 3-5 times until red-hot, 2 liang 5 qian), Chen Jingmi (Aged Oryzae Fructus, half sheng, soaked in water overnight, pounded into powder, formed into blocks, boiled until half-cooked), Baicaoshuang (Soot from burning various herbs, 1.5 liang).
Usage: Pound the above three ingredients a thousand times, form into pills the size of paulownia seeds. Take 50 pills per dose, washed down with wine infused with Wujia Pi (Acanthopanacis Cortex), Niuxi (Achyranthis Bidentatae Radix), and Mugua Gen (Chaenomelis Radix). If diarrhea occurs upon initial administration, it indicates the expulsion of the pathogenic root.
Spleen Labor Jaundice Formula [Source: *Zhai Yuan Fang*]:
Ingredients: Zhensha (Hematites, 4 liang, stir-fried seven times with vinegar), Ganxi (Dried Resina Taxilli, burned to retain its nature, 2 qian), Xiangfu (Cyperi Rhizoma, 3 qian), Pingwei San (Level the Stomach Powder, 5 qian).
Usage: Grind into fine powder, bind with steamed dough to form pills the size of paulownia seeds, take with warm water.
Divine Formula for Jaundice with Accumulation [Source: *Xian Xing Zhai Biji*]:
Ingredients: Cangzhu (Atractylodis Rhizoma, stir-fried), Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Juhong (Citri Reticulatae Pericarpium Rubrum), Gancao (Glycyrrhizae Radix et Rhizoma), Zharon (Crataegi Fructus), Fuling (Poria), Maiya (Hordei Fructus Germinatus, each 2 liang), Binglang (Arecae Semen, 1 liang), Lüfan (Green Chalcanthite, ground finely with vinegar, 1.5 liang).
Usage: Grind into fine powder, bind with jujube flesh to form pills the size of paulownia seeds. Take 1 qian per dose, washed down with plain boiled water, three times daily. Patients taking alum-containing medicines must avoid buckwheat and pufferfish; violating this prohibition leads to death.
I often treat exhaustion injuries due to overexertion, presenting with sallow complexion but preserved appetite, and weakness in the four limbs. I use Zaojiuqu Wan (Wine Yeast Pills) combined with Pingwei San, adding Zaofan (Ferrum Sulfate, calcined through-and-through) and Zhensha. Take 10 pills washed down with light vinegar water, twice daily.