浊之因有二种，一由肾虚败精流注；一由湿热渗入膀胱。肾气虚，补肾之中必兼利水，
盖肾经有二窍，溺窍开则精窍闭也。湿热者，导湿之中必兼理脾，盖土旺则能胜湿，且土坚
凝则水自澄清也。补肾，菟丝子丸主之；导湿，萆 厘清饮主之。或问∶浊有赤者，何也？
答曰∶此浊液流多，不及变化也，又或心火盛，亦见赤色，宜加入莲子心、灯心、丹参等药
菟丝子（四两） 茯苓 山药 沙苑蒺藜（蒸） 车前子 远志肉（去心甘草泡炒，各二两）
牡蛎（ 醋碎，一两
用石斛四两，熬膏，量加炼蜜为丸。每服三四钱，开水下。
川萆 （二钱） 黄柏（炒褐色） 石菖蒲（各五分） 茯苓 白术（各一钱） 莲子心（七分） 丹参
车前子（各一钱五分
水煎服。
黄胆者，目珠黄，渐及皮肤，皆见黄色也。此湿热壅遏所致，如 曲相似，湿蒸热
郁而黄色成矣。然湿热之黄，黄如橘子、柏皮，因火气而光彩，此名阳黄。又有寒湿之黄，
黄如熏黄色，暗而不明，或手脚厥冷，脉沉细，此名阴黄。阳黄者，栀子柏皮汤，若便闭不
通，宜用茵陈大黄汤。阴黄者，茵陈五苓散，如不应，用茵陈姜附汤。其间有伤食者，名曰
谷疸，伤酒者，名曰酒疸，出汗染衣名曰黄汗，皆阳黄之类也。谷疸，胸膈满闷，嗳腐吞酸
以加味枳术汤，加茵陈治之，应手辄效。酒疸，更加葛根。黄汗，用栀子柏皮汤加白术。
其间有女劳疸，乃阴黄之类，宜用姜附汤加参、术补之。复有久病之人，及老年人，脾胃亏
损，面目发黄，其色黑暗而不明，此脏腑之真气泄露于外，多为难治，宜用六君子汤主之。
栀子柏皮汤 茵陈大黄汤 茵陈五苓散 茵陈姜附汤（俱见伤寒发黄。
浊病的成因有两种，一种是由于肾虚导致败精流注；另一种是湿热渗入膀胱。肾气虚弱时，在补肾的同时必须兼用利水之法，因为肾经有两个窍道，溺窍（排尿的通道）开启则精窍（排精的通道）就会闭合。对于湿热引起的浊病，在导湿的同时必须兼顾调理脾胃，因为脾土旺盛就能克制湿气，且脾土坚实凝练则水液自然澄清。针对肾虚型，以菟丝子丸为主方；针对湿热型，以萆薢分清饮为主方。有人问：浊病中有红色的，是什么原因呢？回答说：这是因为浊液流出过多，来不及变化所致；或者是心火旺盛，也会呈现红色，适宜加入莲子心、灯心草、丹参等药物。
菟丝子（四两） 茯苓 山药 沙苑蒺藜（蒸制） 车前子 远志肉（去心，用甘草水泡炒，各二两） 牡蛎（醋碎，一两）。用石斛四两，熬成膏，根据情况加入炼蜜制成丸药。每次服用三四钱，开水送服。
川萆薢（二钱） 黄柏（炒至褐色） 石菖蒲（各五分） 茯苓 白术（各一钱） 莲子心（七分） 丹参 车前子（各一钱五分）。用水煎服。
黄疸的症状是眼珠发黄，逐渐波及皮肤，都呈现黄色。这是由湿热壅滞遏阻所致，就像酒曲发酵一样，湿气蒸腾、热气郁结而形成了黄色。然而湿热导致的黄疸，颜色像橘子皮或黄柏皮那样，因有火气而显得光彩明亮，这叫做阳黄。又有寒湿导致的黄疸，颜色像被烟熏过的黄色，晦暗而不明亮，或者手脚厥冷，脉象沉细，这叫做阴黄。对于阳黄，使用栀子柏皮汤，如果大便闭塞不通，适宜使用茵陈大黄汤。对于阴黄，使用茵陈五苓散，如果无效，使用茵陈姜附汤。其中有的因伤食引起的，名叫谷疸；因饮酒过度引起的，名叫酒疸；出汗染黄衣服的叫黄汗，这些都属于阳黄的范畴。谷疸表现为胸膈满闷，嗳气带有腐臭味，吞酸，用加味枳术汤加茵陈治疗，往往应手即效。酒疸，再加葛根。黄汗，用栀子柏皮汤加白术。其中还有女劳疸，属于阴黄的类别，适宜用姜附汤加人参、白术来补益。另外还有久病之人以及老年人，脾胃亏损，面目发黄，颜色黑暗而不明亮，这是脏腑的真气泄露于体外，大多难以治疗，适宜用六君子汤为主方。栀子柏皮汤 茵陈大黄汤 茵陈五苓散 茵陈姜附汤（均见于伤寒发黄章节）。
The etiology of turbid discharge (Zhuo) involves two types: one stems from Kidney deficiency with the flow of degenerated essence; the other arises from Damp-Heat invading the Bladder. When Kidney Qi is deficient, tonifying the Kidney must be combined with promoting urination, because the Kidney meridian has two orifices: when the urinary orifice opens, the seminal orifice closes. For cases involving Damp-Heat, resolving Dampness must be accompanied by regulating the Spleen, because robust Earth can overcome Dampness, and when Earth is firm and consolidated, water naturally becomes clear. For Kidney deficiency, Tusizi Wan (Cuscuta Pill) is the primary formula; for Damp-Heat, Bixie Fenqing Yin (Dioscorea Hypoglauca Decoction for Clearing Turbidity) is the primary formula. One might ask: What is the reason for red turbid discharge? The answer is: This occurs when the turbid fluid flows excessively and does not have time to transform, or it may also result from excessive Heart Fire, presenting a red color. It is appropriate to add herbs such as Lotus Plumule (Lianzixin), Juncus Effusus (Dengxin), and Salvia Miltiorrhiza (Danshen).
Tusizi (Cuscutae Semen) [4 liang], Poria [Fuling], Dioscorea Opposita [Shanyao], Astragalus Complanatus & Tribulus Terrestris [Shayuan Jili] (steamed), Plantago Seed [Cheqianzi], Polygala Tenuifolia [Yuanzhi Rou] (heart removed, soaked in Licorice decoction and stir-fried, each 2 liang), Oyster Shell [Muli] (crushed with vinegar, 1 liang). Use four liang of Dendrobium Officinale (Shihu), decoct into a paste, add refined honey according to quantity to form pills. Take 3–4 qian per dose, washed down with boiled water.
Sichuan Dioscorea Hypoglauca Rhizome [Chuan Bixie] (2 qian), Phellodendron Bark [Huangbai] (stir-fried until brown), Acorus Tatarinowii [Shichangpu] (each 5 fen), Poria [Fuling], Atractylodes Macrocephala [Baizhu] (each 1 qian), Lotus Plumule [Lianzixin] (7 fen), Salvia Miltiorrhiza [Danshen], Plantago Seed [Cheqianzi] (each 1.5 qian). Decoct in water and take orally.
Jaundice (Huangdan) is characterized by yellowing of the eyeballs, gradually spreading to the skin, all appearing yellow. This is caused by the obstruction and stagnation of Damp-Heat, similar to the fermentation of yeast; Dampness steams and Heat郁 (congeals), resulting in yellow color. However, Jaundice due to Damp-Heat appears bright like orange peel or Phellodendron bark, shining due to Fire energy; this is named Yang Jaundice. There is also Jaundice due to Cold-Damp, which appears dark yellow like smoked fabric, dull and not bright, possibly accompanied by cold extremities and a deep, fine pulse; this is named Yin Jaundice. For Yang Jaundice, Zhizi Bopi Tang (Gardenia and Phellodendron Bark Decoction) is used; if constipation is present, Yinchen Dahuang Tang (Artemisia Capillaris and Rhubarb Decoction) is appropriate. For Yin Jaundice, Yinchen Wuling San (Artemisia Capillaris and Five-Ingredient Poria Powder) is used; if ineffective, Yinchen Jiangfu Tang (Artemisia Capillaris, Ginger, and Aconite Decoction) is applied. Among these, those caused by food stagnation are called Grain Jaundice (Gu Dan); those caused by alcohol injury are called Wine Jaundice (Jiu Dan); and sweating that stains clothes yellow is called Yellow Sweat (Huang Han), all belonging to the category of Yang Jaundice. Grain Jaundice presents with chest and diaphragm fullness, belching with a putrid odor, and acid regurgitation; it is treated with Jiawei Zhizhu Tang (Modified Immature Bitter Orange and Atractylodes Decoction) plus Artemisia Capillaris, often yielding immediate results. For Wine Jaundice, add Pueraria Lobata (Gegen). For Yellow Sweat, use Zhizi Bopi Tang plus Atractylodes Macrocephala. Among these, there is also Female Labor Jaundice (Nulao Dan), which belongs to the category of Yin Jaundice, and should be treated with Jiangfu Tang plus Ginseng and Atractylodes Macrocephala for tonification. Additionally, patients with chronic illnesses and the elderly may suffer from Spleen and Stomach damage, resulting in yellowed face and eyes with a dark, dull complexion; this indicates the leakage of true Qi from the Zang-Fu organs to the exterior and is generally difficult to treat. Liu Junzi Tang (Six-Gentleman Decoction) should be used as the primary formula. Zhizi Bopi Tang, Yinchen Dahuang Tang, Yinchen Wuling San, and Yinchen Jiangfu Tang (all see under "Yellowing due to Cold Damage").