论曰诸发热心战，定必发为急黄。谓其卒然发黄，心满气喘。命在顷刻。故名急黄也。
有初得病即身体面目发黄者。有初不知是黄，死后变黄者。但先见其证。当急治之。此由脾
胃有蓄热，谷气郁蒸。因热毒所加，故有斯病。
治急黄，目如栀子色。小便赤，心烦闷。茵陈汤方
茵陈蒿 栀子仁 黄苓（去黑心） 大黄（锉炒） 白藓皮 黄连（去须各一两） 朴
硝（研） 贝齿（
上八味，除朴硝外。粗捣筛，每服五钱匕。水一盏半，煎至一盏。去滓入朴硝末一钱匕。
再煎令沸，食后温服。
治急黄，热毒攻发。舌急眼黄。犀角汤方
犀角（屑三分） 茵陈蒿 栀子仁 升麻（各半两） 黄芩（去黑心三分） 大黄（锉
炒一两） 朴硝（研一两半） 甘草（炙锉半两）
上八味，粗捣筛。每服五钱匕。水一盏半，入竹叶三七片。同煎至一盏，去滓食后温服
治天行急黄，身如金色。茵陈黄连汤方
茵陈蒿 黄连（去须） 黄芩（去黑心） 大黄（锉炒各一两） 甘草（炙锉） 人参
（各半两）
上六味，粗捣筛。每服五钱匕，水一盏半。煎至一盏，去滓食后温服。
治急黄，烦热口干。皮肉悉黄。赤小豆汤方
赤小豆（一合） 丁香 秫米 瓜蒂 薰陆香（别研各一分） 青布（五寸烧作灰研） 麝
香（别研一
上七味。除研外。捣罗为散。入研者和匀。每服一钱匕。米饮调下。食后服。服后当吐
下黄水、即瘥。
治急黄，面目如金色。渴欲饮水。龙胆汤方
龙胆（一两） 木通（锉） 土瓜根（各一两半） 石膏（二两碎） 犀角（屑一两） 栀
子仁（半两） 大黄（锉
上九味，粗捣筛。每服三钱匕，用水一盏。煎至七分。去滓食后温服。
治急黄，面目如金色。烦渴饮水。升麻汤方
升麻（三分） 秦艽（去苗土一两） 凝水石（一两半碎） 栝蒌根（三分） 朴硝（一
两）
上五味，粗捣筛。每服三钱匕，用水一盏。煎至七分。去滓食后温服，日三。
治急黄，小便赤黑。口干烦躁。白藓皮散方
白藓皮（一两） 黄连（去须） 芍药 茵陈蒿 大青 土瓜根（各三分） 栀子仁（半
两） 柴胡（去苗三分） 黄芩（去黑心半两） 栝蒌根（锉三分） 大黄锉（炒一两半） 朴
硝（一两） 贝齿（烧一两半）
上一十三味，捣罗为散。每服二钱匕。煎茅根汤调下，空心服。取利为度，未利以葱豉
粥投之。
治急黄，烦热口干，遍体悉黄。黑豆煎方
黑豆（一升）
上一味，用水五盏，煎至二盏。去豆取汁，再煎一盏。然后下蜜生地黄汁麦门冬汁生藕
汁各二合，酥半两、相和。慢火煎成膏。瓷器盛候冷，每服半匙或一匙。食后含化。日三服
治急黄。小便赤黑。口干烦躁。方
蔓荆子（取油）
上一味。不计时候顿服。如无油。即以蔓荆子捣水和。绞取汁一盏服之亦得。未效再作
服。
治急黄胆方
大黄（二两）
上一味。锉碎·水三盏。生浸一夜。平旦取汁。入朴硝二两。搅和分作四服。每日一服
论述说：凡是出现发热、心中战栗的症状，最终一定会发展为急黄。所谓急黄，是指突然面色发黄，伴有心胸胀满、气喘吁吁。病情危急，生命在顷刻间就有危险，所以称为急黄。
有的患者刚得病时身体和面目就发黄；有的起初看不出是黄疸，死后才变黄。但只要先见到这些证候，就应当紧急治疗。这种病是由于脾胃中有积热，谷气郁结蒸腾，再加上热毒侵袭，所以产生这种病。
治疗急黄，症状表现为眼睛像栀子色一样黄，小便赤红，心烦意乱闷躁。茵陈汤方：
茵陈蒿、栀子仁、黄芩（去掉黑色的中心部分）、大黄（切碎炒制）、白鲜皮、黄连（去掉须根，以上各一两）、朴硝（研细）。
以上八味药，除了朴硝以外，粗捣筛碎，每次服用五钱匕。用水一盏半，煎煮至一盏，去渣后加入朴硝末一钱匕，再次煎至沸腾，饭后温服。
治疗急黄，热毒攻发作病。症状表现为舌头僵硬、眼睛发黄。犀角汤方：
犀角（锉成屑三分）、茵陈蒿、栀子仁、升麻（以上各半两）、黄芩（去掉黑色的中心部分三分）、大黄（切碎炒制一两）、朴硝（研细一两半）、甘草（炙烤后切碎半两）。
以上八味药，粗捣筛碎。每次服用五钱匕。用水一盏半，加入竹叶三十七片，一起煎煮至一盏，去渣后饭后温服。
治疗天行急黄（具有传染性的急黄），身体颜色如金色。茵陈黄连汤方：
茵陈蒿、黄连（去掉须根）、黄芩（去掉黑色的中心部分）、大黄（切碎炒制，以上各一两）、甘草（炙烤后切碎）、人参（以上各半两）。
以上六味药，粗捣筛碎。每次服用五钱匕，用水一盏半。煎煮至一盏，去渣后饭后温服。
治疗急黄，烦热口干，皮肤肌肉全部发黄。赤小豆汤方：
赤小豆（一合）、丁香、秫米、瓜蒂、薰陆香（乳香，单独研细，以上各一分）、青布（五寸长烧成灰后研细）、麝香（单独研细，以上各一分）。
以上七味药，除了需要单独研细的以外，捣碎过筛成为散剂，将研细的药混合均匀。每次服用一钱匕，用米饮调下，饭后服用。服药后应当吐出或泻下黄色水液，病即痊愈。
治疗急黄，面目颜色如金色，口渴想喝水。龙胆汤方：
龙胆（一两）、木通（切碎）、土瓜根（以上各一两半）、石膏（二两，打碎）、犀角（锉成屑一两）、栀子仁（半两）、大黄（切碎，以上一两）。
以上九味药，粗捣筛碎。每次服用三钱匕，用水一盏。煎煮至七分，去渣后饭后温服。
治疗急黄，面目颜色如金色，烦渴想喝水。升麻汤方：
升麻（三分）、秦艽（去掉苗和泥土一两）、凝水石（一两半，打碎）、栝蒌根（三分）、朴硝（一两）。
以上五味药，粗捣筛碎。每次服用三钱匕，用水一盏。煎煮至七分，去渣后饭后温服，每日三次。
治疗急黄，小便赤黑，口干烦躁。白鲜皮散方：
白鲜皮（一两）、黄连（去掉须根）、芍药、茵陈蒿、大青、土瓜根（以上各三分）、栀子仁（半两）、柴胡（去掉苗三分）、黄芩（去掉黑色的中心部分半两）、栝蒌根（切碎三分）、大黄（切碎炒制一两半）、朴硝（一两）、贝齿（煅烧一两半）。
以上十三味药，捣碎过筛成为散剂。每次服用二钱匕，用茅根汤调下，空腹服用。以通便为度，如果未通便，用葱豉粥送服。
治疗急黄，烦热口干，全身全部发黄。黑豆煎方：
黑豆（一升）。
以上一味药，用水五盏，煎煮至二盏。去掉豆渣取汁，再次煎煮至一盏。然后加入蜂蜜、生地黄汁、麦门冬汁、生藕汁各二合，酥油半两，混合在一起。用慢火煎制成膏状。用瓷器盛装，待冷却后，每次服用半匙或一匙。饭后含化咽下，每日三次。
治疗急黄，小便赤黑，口干烦躁。方剂：
蔓荆子（取油）。
以上一味药，不分时候一次性服用。如果没有油，就用蔓荆子捣碎和水，绞取汁液一盏服用也可以。如果无效，再制作服用。
治疗急黄的方剂：
大黄（二两）。
以上一味药，切碎，用水三盏，生浸一夜。清晨取汁，加入朴硝二两，搅拌混合，分作四次服用，每日一服。
It is stated that any fever accompanied by mental trembling will inevitably develop into Ji Huang (Acute Jaundice). This refers to the sudden onset of yellowing of the skin and eyes, chest fullness, and panting. Life is in imminent danger, hence it is named Ji Huang (Acute Jaundice).
Some patients present with yellowing of the body and face immediately upon contracting the disease; others do not show signs of jaundice initially but turn yellow after death. As long as these symptoms are observed first, urgent treatment is required. This disease arises from accumulated heat in the Spleen and Stomach, where grain qi stagnates and steams, compounded by the invasion of heat-toxin, thus causing this condition.
For treating Ji Huang (Acute Jaundice) with symptoms such as eyes yellow like Gardenia fruit, red urine, and mental restlessness: Yinchen Decoction (Artemisiae Scopariae Decoction).
Herbs: Yin Chen Hao (Artemisiae Scopariae Herba), Zhi Zi Ren (Gardeniae Semen), Huang Qin (Scutellariae Radix, remove black heart), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried), Bai Xian Pi (Dictamni Cortex), Huang Lian (Coptidis Rhizoma, remove mustache, each 1 liang), Po Xiao (Natrii Sulfas, ground).
Preparation: The above eight herbs, except Po Xiao (Natrii Sulfas), are coarsely crushed and sifted. Each dose consists of 5 qian bi (approx. 15-20g depending on era/measure). Add 1.5 zhan (approx. 300ml) of water, decoct until 1 zhan remains. Strain, add 1 qian bi of Po Xiao powder, boil again until boiling, and take warm after meals.
For treating Ji Huang (Acute Jaundice) caused by heat-toxin attacking, with symptoms of stiff tongue and yellow eyes: Xijiao Decoction (Rhinoceros Horn Decoction).
Herbs: Xi Jiao (Rhinocerotis Cornu, shaved, 3 fen), Yin Chen Hao (Artemisiae Scopariae Herba), Zhi Zi Ren (Gardeniae Semen), Sheng Ma (Cimicifugae Rhizoma, each 0.5 liang), Huang Qin (Scutellariae Radix, remove black heart, 3 fen), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, 1 liang), Po Xiao (Natrii Sulfas, ground, 1.5 liang), Gan Cao (Liquoritis Radix et Rhizoma, honey-fried and cut, 0.5 liang).
Preparation: The above eight herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi. Add 1.5 zhan of water and 37 slices of Zhu Ye (Bambusae Folium), decoct together until 1 zhan remains. Strain and take warm after meals.
For treating Tian Xing Ji Huang (Epidemic Acute Jaundice) with body color resembling gold: Yinchen Huanglian Decoction (Artemisiae Scopariae and Coptidis Decoction).
Herbs: Yin Chen Hao (Artemisiae Scopariae Herba), Huang Lian (Coptidis Rhizoma, remove mustache), Huang Qin (Scutellariae Radix, remove black heart), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, each 1 liang), Gan Cao (Liquoritis Radix et Rhizoma, honey-fried and cut), Ren Shen (Ginseng Radix, each 0.5 liang).
Preparation: The above six herbs are coarsely crushed and sifted. Each dose consists of 5 qian bi. Add 1.5 zhan of water, decoct until 1 zhan remains. Strain and take warm after meals.
For treating Ji Huang (Acute Jaundice) with vexatious heat, dry mouth, and whole-body yellowing: Chixiaodou Decoction (Adzuki Bean Decoction).
Herbs: Chi Xiao Dou (Vigna Semen Rubrum, 1 he), Ding Xiang (Caryophylli Flos), Shu Mi (Panicomi Fructus Glutinosis), Gua Di (Momordicae Fructus), Xun Lu Xiang (Olibanum, separately ground, each 1 fen), Qing Bu (Blue Cloth, 5 cun burned to ash and ground), She Xiang (Moschus, separately ground, 1 fen).
Preparation: The above seven herbs, except those requiring separate grinding, are crushed and sieved into powder. Mix with the ground ingredients evenly. Each dose is 1 qian bi, taken with rice drink after meals. After taking, vomiting or purging of yellow fluid should occur, indicating recovery.
For treating Ji Huang (Acute Jaundice) with face and eyes resembling gold, thirst wanting to drink: Longdan Decoction (Gentianae Decoction).
Herbs: Long Dan Cao (Gentianae Radix, 1 liang), Mu Tong (Akebiae Caulis, cut), Tu Gua Gen (Trichosanthes Thunbergiana Radix, each 1.5 liang), Shi Gao (Gypsi Fibrosus, 2 liang, crushed), Xi Jiao (Rhinocerotis Cornu, shaved, 1 liang), Zhi Zi Ren (Gardeniae Semen, 0.5 liang), Da Huang (Rhei Radix et Rhizoma, cut, 1 liang).
Preparation: The above nine herbs are coarsely crushed and sifted. Each dose is 3 qian bi. Add 1 zhan of water, decoct until 0.7 zhan remains. Strain and take warm after meals.
For treating Ji Huang (Acute Jaundice) with face and eyes resembling gold, vexatious thirst wanting to drink: Shengma Decoction (Cimicifugae Decoction).
Herbs: Sheng Ma (Cimicifugae Rhizoma, 3 fen), Qin Jiao (Gentianae Macrophyllae Radix, remove seedlings and soil, 1 liang), Ning Shui Shi (Aluminis Crystallum, 1.5 liang, crushed), Gua Lou Gen (Trichosanthis Radix, 3 fen), Po Xiao (Natrii Sulfas, 1 liang).
Preparation: The above five herbs are coarsely crushed and sifted. Each dose is 3 qian bi. Add 1 zhan of water, decoct until 0.7 zhan remains. Strain and take warm after meals, three times daily.
For treating Ji Huang (Acute Jaundice) with dark red-black urine, dry mouth, and irritability: Baixianpi Powder (Dictamni Cortex Powder).
Herbs: Bai Xian Pi (Dictamni Cortex, 1 liang), Huang Lian (Coptidis Rhizoma, remove mustache), Shao Yao (Paeoniae Radix Alba), Yin Chen Hao (Artemisiae Scopariae Herba), Da Qing (Isindae Folium), Tu Gua Gen (Trichosanthes Thunbergiana Radix, each 3 fen), Zhi Zi Ren (Gardeniae Semen, 0.5 liang), Chai Hu (Bupleuri Radix, remove seedlings, 3 fen), Huang Qin (Scutellariae Radix, remove black heart, 0.5 liang), Gua Lou Gen (Trichosanthis Radix, cut, 3 fen), Da Huang (Rhei Radix et Rhizoma, cut and stir-fried, 1.5 liang), Po Xiao (Natrii Sulfas, 1 liang), Bei Chi (Concha Meretricis, calcined, 1.5 liang).
Preparation: The above thirteen herbs are crushed and sieved into powder. Each dose is 2 qian bi, taken with Maogen Tang (Imperatae Rhizoma Decoction) on an empty stomach. Take until purgation occurs; if no purgation, administer Cong Chi Zhou (Scallion and Fermented Soybean Porridge).
For treating Ji Huang (Acute Jaundice) with vexatious heat, dry mouth, and whole-body yellowing: Heidou Jian (Black Bean Decoction/Syrup).
Herbs: Hei Dou (Sojae Semen Nigrum, 1 sheng).
Preparation: The above single herb is decocted in 5 zhan of water until 2 zhan remain. Remove beans and retain juice, decoct again until 1 zhan remains. Then add Honey (Mel), Sheng Di Huang汁 (Rehmanniae Radix Juice), Mai Men Dong汁 (Ophiopogonis Radix Juice), Sheng Ou汁 (Nelumbinis Nuciferae Rhizoma Juice) each 2 he, and Su (Butyrum) 0.5 liang. Mix and slowly decoct into a paste. Store in porcelain vessel, cool down. Each dose is half or one spoon, taken by dissolving in mouth after meals, three times daily.
For treating Ji Huang (Acute Jaundice) with dark red-black urine, dry mouth, and irritability: Formula.
Herbs: Man Jing Zi (Viticis Fructus, extract oil).
Preparation: The above single herb is taken at once regardless of time. If oil is unavailable, crush Man Jing Zi, mix with water, squeeze out 1 zhan of juice and take. If ineffective, prepare and take again.
Formula for treating Ji Huang (Acute Jaundice):
Herbs: Da Huang (Rhei Radix et Rhizoma, 2 liang).
Preparation: The above single herb is crushed, soaked overnight in 3 zhan of water. In the morning, take the juice, add 2 liang of Po Xiao, stir well, divide into four doses. Take one dose daily.