（见水气病中）
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师曰：病黄疸，发热、烦喘、胸满、口燥者，以病发时，火劫其汗，两热相得，然黄
家所得，从湿得之，一身尽发热而黄，肚热，热在里，当下之。
【注】
此详申黄疸误用火汗之为病也。病疸者，湿热也。今湿淫于内，则胸满烦喘；热淫于
内，则发热口燥。若病发时，复以火劫其汗，则为两热相合。盖黄家所得，由湿得之
，则一身必尽热，而身面即发黄也。今因火劫误汗而发黄，虽有表热，则不当汗也，
但扪其肚热，其热在里，当下之以去其热也。
【集注】程林曰：湿淫于内，则烦喘胸满；热淫于内，则发热口燥；复以火迫劫其汗
，反致两热相搏。殊不知黄家之病，必得之湿热瘀于脾土，故一身尽发热而黄，正以
明火劫之误也。若肚有热，则热在腹，可下之，以去其湿热。
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黄疸腹满，小便不利而赤，自汗出，此为表和里实，当下之，宜大黄硝石汤。
【注】
此承上条，互详其证，以明其治也。腹满小便不利而赤，是热在里，其人自汗出，此
为表和里实也，宜大黄硝石汤下之。
大黄 黄蘖 硝石各四两 栀子十五枚
右四味，以水六升，煮取二升，去滓，内硝更煮，取一升，顿服。
【集注】
李□曰：腹满小便不利而赤，里病也。自汗出，表和也。里病者，湿热内甚，用栀子
清上焦湿热，大黄泻中焦湿热，黄蘖清下焦湿热，硝石则于苦寒泻热之中，而有燥烈
发散之意，使药力无所不至，而湿热悉消散矣。
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黄疸病，茵陈五苓散主之。（一本云：茵陈汤及五苓散并主之）
【按】
黄疸病之下，当有「小便不利者」五字，茵陈五苓散方有□落，必传写之遗。
【注】
黄疸病，脉沉腹满在里者，以大黄硝石汤下之；脉浮无汗在表者，以桂枝加黄耆汤汗
之；小便不利者，不在表里，故以茵陈五苓散主之。
（此条文出自水气病篇）
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老师说：患黄疸病，出现发热、心烦气喘、胸部胀满、口舌干燥的症状，这是因为在发病时，误用火法强行发汗，导致外火与内热相互搏结。然而，黄疸病的成因，多由湿邪所致。若全身都发热且发黄，腹部发热，说明热邪在体内，应当采用泻下法治疗。
【注释】
这段文字详细阐述了黄疸病误用火法发汗所导致的病变。患黄疸病，本质是湿热蕴结。如今湿邪淫溢于体内，就会导致胸部胀满、心烦气喘；热邪淫溢于体内，就会导致发热、口舌干燥。如果在发病时，又用火法强迫发汗，就会造成内外两热相合。大概黄疸病患者，其病因源于湿邪，因此全身必然感到发热，面部和身体随即发黄。如今因误用火法发汗而发黄，虽然体表有热，但不应当再发汗，只需触摸其腹部感觉发热，可知热邪在里，应当用泻下法以清除体内的热邪。
【集注】程林说：湿邪淫溢于体内，就会导致心烦气喘、胸部胀满；热邪淫溢于体内，就会导致发热、口舌干燥；再用火法逼迫发汗，反而导致内外两热相搏。殊不知黄疸病，必定是由于湿热瘀滞于脾土所致，所以全身发热且发黄，这正是明确指出了误用火法的错误。如果腹部有热感，则说明热邪在腹中，可以使用泻下法，以去除湿热。
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黄疸病，腹部胀满，小便不通利且颜色红赤，自然出汗，这是表证已解而里实热盛的表现，应当采用泻下法治疗，适宜使用大黄硝石汤。
【注释】
这段文字承接上一条，互相补充详细说明症状，以阐明治疗方法。腹部胀满、小便不通利且颜色红赤，说明热邪在里；病人自然出汗，这说明表证已解而里实热盛，适宜使用大黄硝石汤进行泻下治疗。
大黄 黄柏 硝石 各四两 栀子 十五枚
以上四味药，用水六升，煮取二升药液，去掉药渣，加入硝石继续煮，取一升药液，一次性服用。
【集注】
李□说：腹部胀满、小便不通利且颜色红赤，是里证的表现。自然出汗，说明表证已解。对于里证，是因为湿热内盛，使用栀子清泄上焦的湿热，大黄泻除中焦的湿热，黄柏清泄下焦的湿热，硝石则在苦寒泻热之中，具有燥烈发散的作用，使药力无所不至，从而湿热全部消散。
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黄疸病，以茵陈五苓散为主治方剂。（另一版本说：茵陈汤及五苓散同时主治）
【按语】
在“黄疸病”之下，应当有“小便不利者”五个字，茵陈五苓散的方剂组成中有遗漏，必然是传抄过程中的遗失。
【注释】
黄疸病，脉象沉、腹部胀满，病位在里的，用大黄硝石汤泻下治疗；脉象浮、无汗，病位在表的，用桂枝加黄耆汤发汗治疗；小便不利的，病位不在表也不在里，所以用茵陈五苓散为主治方剂。
(This clause is found in the chapter on Water Qi Disease.)
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The Master said: In cases of Jaundice (Huangdan, 黄疸), where there is fever (Fare, 发热), irritability and panting (Fan Chuan, 烦喘), chest fullness (Xiong Man, 胸满), and dryness of the mouth (Kou Zao, 口燥), it is because when the disease manifested, fire therapy was used to forcibly induce sweating. This caused the external fire and internal heat to combine. However, Jaundice is primarily obtained through dampness (Shi, 湿). If the whole body is hot and yellow, with heat in the abdomen indicating that the heat is interior, purgation (Xia, 下) should be employed.
[Annotation]
This elaborates on the pathology resulting from the erroneous use of fire-induced sweating in Jaundice. Jaundice involves damp-heat (Shi Re, 湿热). When dampness overflows internally, it causes chest fullness, irritability, and panting; when heat overflows internally, it causes fever and dry mouth. If, upon onset, fire is used to force sweating, the two heats merge. Generally, Jaundice arises from dampness, leading to generalized heat and subsequent yellowing of the skin and face. Since the yellowing here results from erroneous fire-induced sweating, although there is exterior heat, sweating is contraindicated. By palpating abdominal heat, we confirm the heat is interior, thus requiring purgation to clear the heat.
[Collected Annotations] Cheng Lin stated: Dampness overflowing internally causes irritability, panting, and chest fullness; heat overflowing internally causes fever and dry mouth. Forcing sweat with fire leads to the clashing of two heats. It is unknown that Jaundice stems from damp-heat stagnating in the Spleen Earth, causing generalized heat and yellowing, clearly demonstrating the error of fire therapy. If there is heat in the abdomen, the heat is in the Fu organs, and purgation can be used to eliminate damp-heat.
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In Jaundice with abdominal fullness, difficult and dark red urination, and spontaneous sweating, this indicates the exterior is harmonious while the interior is excess (Biao He Li Shi, 表和里实). Purgation is indicated, preferably using Da Huang Xiao Shi Tang (Rhubarb and Niter Decoction).
[Annotation]
This follows the previous clause, detailing symptoms to clarify treatment. Abdominal fullness and difficult, dark red urination indicate interior heat. Spontaneous sweating indicates the exterior is resolved and the interior is excess. Da Huang Xiao Shi Tang should be used for purgation.
Da Huang (Rhei Radix et Rhizoma), Huang Bo (Phellodendri Cortex), Xiao Shi (Natri Sulfas): each 4 liang; Zhi Zi (Gardeniae Fructus): 15 pieces.
These four ingredients are boiled in 6 sheng of water to obtain 2 sheng of decoction. The dregs are removed, Niter (Xiao Shi) is added, and it is boiled again to obtain 1 sheng. Take all at once.
[Collected Annotations] Li [Name missing] stated: Abdominal fullness and difficult, dark red urination are signs of interior disease. Spontaneous sweating indicates the exterior is harmonious. For interior disease caused by severe damp-heat, Zhi Zi clears damp-heat in the Upper Jiao, Da Huang drains damp-heat in the Middle Jiao, Huang Bo clears damp-heat in the Lower Jiao, and Xiao Shi possesses a drying and dispersing quality within its bitter-cold heat-draining action, ensuring medicinal power reaches everywhere so that damp-heat dissipates completely.
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For Jaundice, Yin Chen Wu Ling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria) is the primary formula. (Another version states: Yin Chen Tang and Wu Ling San are both applicable.)
[Note]
After "Jaundice," the phrase "with difficult urination" (Xiao Bian Bu Li, 小便不利) should appear. There are omissions in the formula for Yin Chen Wu Ling San, likely due to transcription errors.
[Annotation]
For Jaundice, if the pulse is deep and there is abdominal fullness indicating an interior condition, Da Huang Xiao Shi Tang is used for purgation. If the pulse is floating and there is no sweating indicating an exterior condition, Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction plus Astragalus) is used for diaphoresis. If there is difficult urination, the condition is neither purely exterior nor interior, so Yin Chen Wu Ling San is the primary treatment.