黄病多属太阴湿土。脾不能胜湿复挟火热则郁而生黄古有五疸之名。曰黄汗曰黄胆。曰
谷疸
浴。热留皮肤。此属表症。黄胆身面眼目指甲皆黄。善饥溺黄因湿热蒸郁。邪留胃中病属里
症。谷疸不能食。食已头眩腹胀心烦。因大饥过饱。病属中焦酒疸心胸懊 。欲吐不食目黄
鼻燥。面发赤斑。足胫满溺赤因大醉当风。毒留清道。病属上焦脉浮洪者。先吐之沉弦者先
下之其水谷之精气。为湿热所瘀而不行变成黑疸。面黑目青肤粗燥。其脉微弱者不治。色疸
额黑头汗手足心热。曰反恶寒小便自。利大便黑。此由房劳伤肾所致病属下焦若多渴者难治
。(夏月湿热相蒸多有发黄之候热多其色明亮湿多其色黯晦)
云枢水胀篇曰肤胀鼓胀可刺耶。岐伯曰。先泻其胀之血络后调其经(再)刺去其血络也。
河间论五水灸法云夫有风水皮水石水黄汗推各脏以论之风合归肝皮合归肺黄汗归脾石合
归肾风水脉浮必恶风皮水脉亦浮按下没指石水脉沉腹满不喘黄汗脉沉迟发热而多涎。久而不愈必
致痈脓水肿脉浮带数即是虚寒潜止其间久必沉伏沉伏则阳虚阴实为水必矣要知水脉必沉是也
论曰脉出者死与病不相应也唇黑则伤肝缺盆盈平则伤心脐出则伤脾足心平则伤肾背平则伤肺
皆不可治。
风水灸肝井(大敦)赤水灸心荥(少府)黄汗灸脾俞(太白)
皮水灸肺经(经渠)石水灸肾合(阴谷)
歌曰十般鼓胀要先知切忌脐高凸四围腹上青筋休用药阴囊无缝不堪医背平如板终难治掌
上无纹有限时五谷不消十日死肚光如鼓效应迟痰多气短皆无药十个当知九个危。
气肿从来不可医肚光如鼓甚跷蹊按之如石弹之响泄气方能见效奇
黄疸病多归属于太阴湿土。脾脏不能运化水湿，若再夹杂火热之邪，则湿热郁结而发为黄疸。古代有五种黄疸的名称：称为黄汗、黄疸、谷疸、酒疸、黑疸。
黄汗症表现为热邪留滞于皮肤，这属于表证。
黄疸症表现为身体、面部、眼睛及指甲均发黄，患者容易饥饿且小便黄，这是由于湿热蒸腾郁结所致，病邪留滞在胃中，属于里证。
谷疸症表现为不能进食，进食后出现头晕、腹胀、心烦，这是由于过度饥饿或过饱引起，病位在中焦。
酒疸症表现为心胸烦闷懊恼，想吐却吐不出，眼睛发黄，鼻干，面部出现红斑，小腿肿胀，小便赤红，这是由于大醉后受风，毒邪留滞在清道（指上焦气道），病位在上焦。脉象浮洪的，先用催吐法；脉象沉弦的，先用泻下法。
体内的水谷精气，被湿热瘀阻而不能运行，进而变成黑疸。症状为面色黑、眼周青、皮肤粗糙干燥。脉象微弱的，属于不治之症。
色疸（因房劳所致）表现为额头黑、头出汗、手足心发热，反而怕冷，小便自利，大便黑色。这是由房事劳累损伤肾脏所致，病位在下焦。如果伴有严重口渴的，难以治疗。（夏季湿热相互蒸腾，多有发黄的征候，热重则颜色明亮，湿重则颜色黯晦。）
《灵枢·水胀篇》说：肤胀和鼓胀可以用针刺治疗吗？岐伯说：先刺破胀满部位的血络放血，然后调理经脉（再次针刺以去除残留的血络瘀血）。
刘河间在《五水灸法论》中说：对于风水、皮水、石水、黄汗这四种水气病，应结合各脏腑来论述。风邪合于肝，皮邪合于肺，黄汗合于脾，石邪合于肾。
风水脉浮，必定恶风；皮水脉也浮，按压凹陷不起；石水脉沉，腹部胀满但不喘促；黄汗脉沉迟，发热且多涎。久治不愈必然导致痈脓和水肿。脉象浮而带数的，即是虚寒潜伏其中，日久必致脉象沉伏。脉象沉伏，则是阳虚阴实，必然形成水饮病。要知道水病的脉象一定是沉的，这是对的。
经文说：脉象外脱者死，因为脉与病不相符合。唇黑则伤肝，缺盆平满则伤心，肚脐突出则伤脾，足心平满则伤肾，背部平满则伤肺，这些都属于不可治疗的病症。
风水灸肝井穴（大敦穴）；赤水灸心荥穴（少府穴）；黄汗灸脾俞穴（此处原文注为太白，通常脾俞在背部，太白为脾经原穴，依原文记录）；皮水灸肺经经渠穴；石水灸肾经合穴（阴谷穴）。
歌诀曰：十种鼓胀情况要先知晓，切忌脐部高凸，腹上青筋暴露不可用药，阴囊无缝隙不堪医治，背部平直如板终难治愈，手掌无纹路寿命有限，五谷不消化十日死，肚子光亮如鼓预后迟缓，痰多气短皆无药可救，十个当中九个危险。
Jaundice diseases mostly belong to the Taiyin Damp-Earth. When the Spleen fails to overcome dampness and is further complicated by Heat-Fire, stagnation occurs leading to jaundice. In ancient times, there were five names for jaundice: Huanghan (Yellow Sweat), Huangdan (Jaundice), Gudan (Grain Jaundice), Jiudan (Wine Jaundice), and Heidan (Black Jaundice).
Huanghan presents with heat lingering in the skin; this belongs to Exterior Syndromes.
Huangdan presents with yellowing of the body, face, eyes, and fingernails, along with frequent hunger and yellow urine, caused by steaming and stagnation of Damp-Heat; the pathogen remains in the Stomach, belonging to Interior Syndromes.
Gudan presents with inability to eat, dizziness, abdominal distension, and vexation after eating, caused by extreme hunger or overeating; the disease resides in the Middle Jiao.
Jiudan presents with chest oppression and restlessness, desire to vomit but unable to do so, yellow eyes, dry nose, red spots on the face, swelling of the calves, and red urine, caused by toxicity lingering in the Clear Pathways after heavy drinking while exposed to wind; the disease resides in the Upper Jiao. If the pulse is Floating-Hong (Surging), induce vomiting first; if the pulse is Deep-Xian (Chord-like), induce purgation first.
The essence and qi of water and grain are stasised by Damp-Heat and fail to circulate, transforming into Heidan (Black Jaundice). Symptoms include black complexion, blueish hue around the eyes, and rough, dry skin. If the pulse is Weak-Micro, it is incurable.
Se Dan (caused by sexual exhaustion) presents with a black forehead, sweating on the head, hot palms and soles, aversion to cold, free urination, and black stool. This is caused by Kidney injury due to sexual fatigue, residing in the Lower Jiao. If accompanied by excessive thirst, it is difficult to treat. (In summer, when Damp-Heat steams together, signs of yellowing often appear; if Heat predominates, the color is bright; if Dampness predominates, the color is dull.)
The *Lingshu: Shuizhang* chapter states: Can Fuzhang (Skin Distension) and Guzhang (Drum Distension) be treated with acupuncture? Qibo said: First puncture the collateral vessels at the site of distension to release blood, then regulate the meridians (puncture again to remove residual blood collaterals).
Hejian’s *Treatise on Five Waters Moxibustion Methods* states: For Fengshui (Wind Water), Pishui (Skin Water), Shishui (Stone Water), and Huanghan (Yellow Sweat), one should discuss them according to their corresponding Zang organs. Wind combines with the Liver, Skin combines with the Lung, Yellow Sweat combines with the Spleen, and Stone combines with the Kidney.
Fengshui has a Floating pulse and must have aversion to wind; Pishui also has a Floating pulse, and pressing leaves an indentation; Shishui has a Deep pulse, abdominal fullness without panting; Huanghan has a Deep-Chi pulse, fever, and profuse saliva. If not cured for a long time, it will inevitably lead to abscesses and edema. A pulse that is Floating-Rapid indicates deficiency-cold hiding within; over time, it will become Deep-Lying. Deep-Lying implies Yang deficiency and Yin excess, inevitably forming water pathology. It must be known that water pulses are always Deep. This is correct.
The classic says: If the pulse emerges superficially against the disease pattern, death ensues. Black lips indicate Liver injury; flat/full Clavicular fossa indicates Heart injury; protruding umbilicus indicates Spleen injury; flat/full sole indicates Kidney injury; flat/back fullness indicates Lung injury. All are incurable.
For Fengshui, moxa the Jing-Well point of the Liver (Dadun LR1); for Chishui, moxa the Ying-Spring point of the Heart (Shaoford HT8); for Huanghan, moxa the Shu-stream point of the Spleen (Taibai SP3); for Pishui, moxa the Jing-River point of the Lung Meridian (Jingqu LU8); for Shishui, moxa the He-Sea point of the Kidney (Yingu KI10).
Song verse: One must know the ten types of drum distension first. Beware of a high convex umbilicus, green veins on the abdomen which cannot be treated with medicine, scrotum without seams which is hopeless, back flat as a board which is ultimately untreatable, palms without lines which limit lifespan, inability to digest grains leading to death in ten days, belly shining like a drum with delayed prognosis, phlegm and shortness of breath having no remedy. Nine out of ten cases are critical.
Qi distension has never been curable. The belly shines like a drum, very strange. Pressing feels like stone, striking sounds hollow. Only by venting Qi can miraculous effects be seen.