水蛭（三十枚，炒褐色） 虻虫（三十枚，去翅足，炒） 桃仁（二十枚，去皮尖） 大
黄（三
两酒浸）
蓄血发黄者，此方主之。
阳邪瘀热在里，少腹硬满，小便自利而发黄者，为蓄血发黄。苦走血，咸软坚，故用水
蛭、虻虫以逐败血。滑利肠，寒下热，故用桃仁、大黄以下血热。他如伤寒门桃仁承气汤亦
可酌用。
陈皮（去白） 浓朴（姜汁炒） 三棱（醋炒） 苍术（泔浸七日） 莪术（醋炒） 青
皮（各五
两） 甘草（一两炙） 香附（一斤，醋炒） 针砂（二两，醋炒红七次）
忌犬肉、果菜。
此调理谷疽、酒疸之方也。
方名温中者，主疗湿郁于中之义也。水谷酒食，无非湿化，传化得宜则治，一或积于中
宫，则遏少火，热而病黄矣。故用苍术、香附、陈皮、青皮、浓朴，以平胃中之敦阜而利其
气，气利则水谷不滞。用三棱、莪术以削坚，削坚则积滞渐除。用针砂者，一借其兑金之令，
以
绿矾（半斤，火 通红） 枣肉（二斤，煮，去皮捣烂丸） 平胃散（四两，为衣）
每服三十丸，姜汤下。
谷疸身目俱黄，此方亦良。
水谷癖积于中，抑遏肝肾之火，久久郁热，故身目俱黄。是方也，绿矾咸寒，能软痰癖
而胜湿热。枣肉甘温，能益脾胃而补中宫。平胃散者，苍术、浓朴、陈皮、甘草也。苍术、
浓朴，所以平胃家敦阜之气而除积饮。陈皮、甘草，一以利气，一以和中，乃调胃之意也！
水蛭（三十枚，炒至褐色） 虻虫（三十枚，去除翅膀和足，炒制） 桃仁（二十枚，去皮和尖端） 大黄（三两，用酒浸泡）
对于瘀血蓄积导致发黄的病症，此方为主治方。
阳邪与瘀热结聚于体内，少腹部坚硬胀满，小便通畅却出现发黄症状的，称为蓄血发黄。苦味药物入血分，咸味药物能软化坚结，因此使用水蛭、虻虫来驱逐败坏之血。滑利肠道，寒性下行清热，因此使用桃仁、大黄来下泄血分之热。其他如《伤寒论》中的桃仁承气汤也可酌情使用。
陈皮（去除白色内层） 厚朴（姜汁炒制） 三棱（醋炒制） 苍术（淘米水浸泡七日） 莪术（醋炒制） 青皮（以上各五两） 甘草（一两，炙烤） 香附（一斤，醋炒制） 针砂（二两，醋炒红七次）
忌食狗肉、水果和蔬菜。
这是调理谷疸、酒疸的方剂。
方名“温中”，主要含义是治疗湿气郁结于中焦。水谷酒食，无不化为湿邪，传导运化正常则身体安泰，一旦积聚在中焦脾胃，就会遏制少火（生理之火），产生热邪而致病发黄。因此使用苍术、香附、陈皮、青皮、厚朴，以平抑胃中壅盛之气并疏通气机，气机通畅则水谷不致停滞。使用三棱、莪术以消除坚积，消除坚积则积滞逐渐去除。使用针砂的原因，一是借助其属金（兑卦）的特性，以
绿矾（半斤，火烧至通红） 枣肉（二斤，煮烂，去皮捣碎制成丸药） 平胃散（四两，作为丸衣）
每次服用三十丸，用姜汤送服。
谷疸症见全身及双目俱黄，此方也疗效良好。
水谷癖积停留在中焦，抑制肝肾之火，日久郁而化热，因此全身及双目俱黄。本方中，绿矾味咸性寒，能软化痰癖并克制湿热。枣肉味甘性温，能补益脾胃并滋养中焦。平胃散由苍术、厚朴、陈皮、甘草组成。苍术、厚朴，用以平抑胃家壅盛之气并消除积饮。陈皮、甘草，一者利气，一者和中，这是调和胃气的意图！
Leech (Shuizhi, Hirudo) (30 pieces, stir-fried until brown)
Dragonfly larva (Mengchong, Ophiogomphus cecilia) (30 pieces, wings and legs removed, stir-fried)
Peach kernel (Taoren, Semen Persicae) (20 pieces, skin and尖 [tips] removed)
Rhubarb root (Dahuang, Radix et Rhizoma Rhei) (3 liang, soaked in wine)
For jaundice caused by blood stasis accumulation, this formula is the primary treatment.
When yang pathogenic factors and stagnant heat accumulate internally, presenting with hardness and fullness in the lower abdomen, patent urination, yet accompanied by jaundice, it is termed "jaundice due to blood stasis" (Xuxue Huangdan). Bitter substances enter the blood level, and salty substances soften hardness; therefore, Leech and Dragonfly larva are used to expel ruined blood. Slippery substances lubricate the intestines, and cold substances descend to clear heat; therefore, Peach kernel and Rhubarb root are used to purge blood-heat. Alternatively, Tao Ren Cheng Qi Tang (Peach Kernel Decoction to Order the Qi) from the Treatise on Cold Damage may also be considered for use.
Tangerine peel (Chenpi, Pericarpium Citri Reticulatae) (white pith removed)
Magnolia bark (Houpo, Cortex Magnoliae Officinalis) (stir-fried with ginger juice)
Burreed tuber (Sanleng, Rhizoma Sparganii) (stir-fried with vinegar)
Atractylodes rhizome (Cangzhu, Rhizoma Atractylodis) (soaked in rice water for seven days)
Curcuma zedoaria rhizome (Ezhu, Rhizoma Curcumae Zedoariae) (stir-fried with vinegar)
Green tangerine peel (Qingpi, Pericarpium Citri Reticulatae Viride) (each of the above five liang)
Licorice root (Gancao, Radix Glycyrrhizae Uralensis) (1 liang, honey-roasted)
Cyperus rhizome (Xiangfu, Rhizoma Cyperi Rotundi) (1 jin, stir-fried with vinegar)
Needle sand (Zhensha, Magnetitum prepared) (2 liang, stir-fried with vinegar until red, repeated seven times)
Avoid consuming dog meat, fruits, and vegetables.
This is a formula for regulating Gu Dan (Grain Jaundice) and Jiu Dan (Alcohol Jaundice).
The name "Wen Zhong" (Warm the Middle) signifies the primary function of treating dampness stagnating in the middle jiao. Water, grain, and alcohol all transform into dampness; if transportation and transformation are proper, health is maintained. However, if they accumulate in the middle palace (spleen/stomach), they obstruct the "shao huo" (mineral fire/physiological fire), generating heat that leads to jaundice. Therefore, Atractylodes rhizome, Cyperus rhizome, Tangerine peel, Green tangerine peel, and Magnolia bark are used to flatten the excessive qi in the stomach and promote its flow; once qi flows freely, water and grain do not stagnate. Burreed tuber and Curcuma zedoaria rhizome are used to reduce hardness; reducing hardness gradually eliminates stagnation. Needle sand is used primarily to borrow its metal attribute (Dui trigram) to...
Vitamin B-rich green alum (Lüfan, Vitriolum Ferrum Oxidatum et Sulfuricum) (half jin, fired until red hot)
Jujube flesh (Zaorou, Fructus Jujubae pulp) (2 jin, boiled, skin removed, pounded into paste for pill coating)
Ping Wei San (Flat Stomach Powder) (4 liang, used as pill coating)
Take 30 pills per dose, washed down with ginger decoction.
For Gu Dan presenting with yellowing of both body and eyes, this formula is also effective.
Stagnation of water and grain in the middle jiao suppresses the fire of the liver and kidneys; over time, depression generates heat, causing the body and eyes to turn yellow. In this formula, Lüfan is salty and cold, capable of softening phlegm-stagnation and overcoming damp-heat. Jujube flesh is sweet and warm, capable of benefiting the spleen and stomach and nourishing the middle palace. Ping Wei San consists of Atractylodes rhizome, Magnolia bark, Tangerine peel, and Licorice root. Atractylodes rhizome and Magnolia bark are used to flatten the excessive qi of the stomach and eliminate accumulated fluids. Tangerine peel and Licorice root, one promoting qi flow and the other harmonizing the middle, embody the intention of regulating the stomach.