上用雄鸡喉咙及矢白 裹黄皮烧为末，麦粥清尽服之亦可。以赤鸡翅烧末，酒服
撮，日三。
益智（一两，盐水炒） 龙骨（四钱，另研） 牡蛎（ 研，半两） 川乌（去皮，半
两，炒黄色）
上为细末，酒煮糊为丸，如梧桐子大，每服五十丸，空心用川萆 煎汤送下。
五疸之病，诸书所载甚繁，其证不过有五∶一曰黄汗，二曰黄胆，三曰谷疸，四曰酒疸
，五曰女劳疸。黄汗为病，身体俱肿，汗出不渴，其汗能染衣，黄如柏汁，此由脾胃有热汗
出，或风所闭热结，其汗黄也。黄胆食已即饥，遍身俱黄，卧时身体带青带赤，增寒壮热，
此饮酒食过度，脏腑热，水谷并积于脾胃，风湿相搏，热气熏蒸，发于阴部，其人必呕，发
于阳部，其人必振寒而后热。谷疸之证，食毕即头眩，心中怫郁不安，遍身发黄，此脾胃有
热，因大饥过食所伤胃气所致也。酒疸之病，身目发黄，心中懊痛，足胫满，小便黄，面发
赤斑，此由饥中饮酒，大醉当风，入水所致。女劳疸者，身目俱黄，发热恶寒，小腹满急，
小便不利，此由过于劳伤，极于房室之后，入水所致，多渴腹胀者难治。丹溪论云∶不必分
其五等，皆湿热而成。此证譬犹酱曲，湿与热搏，气不得透，郁而生黄。五疸之分，皆是前
人之所注。且如张长沙谓阳明病无汗，小便不利，心中懊 ，身必发黄，脉来浮滑紧数，乃
热蓄阳明胃经，可作阳明实发黄。朱肱云∶病患寒湿在里不散，热蓄于脾胃，而腠理不开，
瘀热与宿谷相搏，郁蒸而发黄也。且如伤寒当汗不汗，当利小便不利，亦生黄。夫脾属土，
而受水湿发黄者有之，脉来沉细而无力，身冷而黄，为寒热搏于太阴脾经，当作阴证治之。
又有蓄血一证，小便自利，大便黑色，其人发狂，乃为瘀血蓄在下焦而发黄也。若嗜酒之人
，多致发黄，盖酒性大热，热与湿搏于胃中，而黄发于外，其证外无热，内则小便不利，胸
中如啖蒜薤状，当心足下皆热，久远则成黑疸。脉若浮滑，腹满欲呕吐者，必先吐之，脉若
沉滑，腹满大便秘者，必先下之。又有卒然发黄，心满而喘，命在须臾者，为之卒黄，但心
战发热是也。大概疸病，渴者难治，不渴者易治。疸毒入腹，喘满者危；脉洪大，大便利而
渴者死；脉微小，小便利不渴者生；寸口无脉，鼻气冷者亦不治。又有口淡怔忡，耳鸣脚弱
，或微寒热，小便赤白浊，又当作虚证治之，不可妄用凉药，愈伤血气。治法分利湿热，最
为切当，临病之际，在乎脉证辨之。人命医之所系，可不谨乎？
取雄鸡的喉咙和粪便中的白色部分，包裹住黄皮（中药名）烧成粉末，用麦粥的清液送服也可以。将赤鸡翅烧成粉末，用酒送服一撮，每日三次。
益智仁（一两，用盐水炒制）、龙骨（四钱，单独研磨）、牡蛎（研磨，半两）、川乌（去皮，半两，炒至黄色）。
以上药物研成细末，用酒煮糊制作成丸药，大小如梧桐子，每次服用五十丸，空腹时用川萆薢煎汤送下。
五疸病，各种书籍记载非常繁多，其症状不过有五种：一是黄汗，二是黄胆，三是谷疸，四是酒疸，五是女劳疸。黄汗这种病，全身都浮肿，出汗但不口渴，汗水能染湿衣服，颜色像柏树汁一样黄，这是由于脾胃有热导致出汗，或者被风邪闭塞导致热结，使得汗水变黄。黄胆的症状是吃完饭后立刻感到饥饿，全身发黄，睡觉时身体带有青色或红色，怕冷且高热，这是由于饮酒和饮食过度，脏腑有热，水谷积滞在脾胃，风湿相互搏结，热气熏蒸，发于阴部的人一定会呕吐，发于阳部的人一定会先寒战然后发热。谷疸的症状是吃完饭就头晕目眩，心中烦闷不安，全身发黄，这是由于脾胃有热，因极度饥饿后过量饮食损伤胃气所致。酒疸的病，眼白和皮肤发黄，心中懊恼疼痛，小腿胀满，小便黄，面部出现红斑，这是由于空腹饮酒，大醉时吹受风邪，或洗冷水澡所致。女劳疸，眼白和皮肤都发黄，发热恶寒，小腹胀满急迫，小便不利，这是由于过度劳累，在房事之后入水所致，如果伴有严重口渴和腹胀则难治。丹溪论述说：不必区分这五种等级，都是由湿热造成的。这个病症好比酱曲，湿与热搏结，气机不能透达，郁滞而生黄。五疸的区分，都是前人的注解。就像张长沙（张仲景）所说阳明病无汗、小便不利、心中懊恼，身体必定发黄，脉象浮滑紧数，这是热蓄积在阳明胃经，可诊断为阳明实热发黄。朱肱说：病患寒湿在体内不散，热蓄积在脾胃，腠理不开，瘀热与宿食相搏结，郁蒸而发黄。就像伤寒应当发汗却未发汗，应当利小便却不利小便，也会产生黄疸。脾属土，受水湿影响发黄的也有，脉象沉细无力，身体冷而发黄，这是寒热搏结于太阴脾经，当作阴证治疗。又有蓄血这一证候，小便自利，大便黑色，病人发狂，这是瘀血蓄积在下焦而发黄。如果是嗜酒的人，多导致发黄，因为酒性大热，热与湿搏结在胃中，黄色发于体表，其症状体表无热，内部则小便不利，胸中感觉像吃了蒜薤一样辛辣难受，心窝和脚底都热，时间久了则变成黑疸。脉象若浮滑，腹部胀满想呕吐的，必须先催吐；脉象若沉滑，腹部胀满大便秘结的，必须先攻下。又有突然发黄，心满而喘，性命垂危的，称为卒黄，只是心颤发热罢了。大概黄疸病，口渴的难治，不渴的易治。疸毒进入腹部，气喘胀满的危重；脉象洪大，大便通利且口渴的死亡；脉象微小，小便通利不口渴的存活；寸口无脉，鼻气冷的也不治。又有口淡、怔忡、耳鸣脚弱，或轻微寒热，小便赤白浑浊的，又当作虚证治疗，不可妄用凉药，以免进一步损伤血气。治疗方法以分利湿热最为恰当，临症之际，关键在于辨别脉证。人命系于医生之手，能不谨慎吗？
Take the throat of a rooster and the white part of its feces, wrap them with Huangpi (Phellodendri Cortex), burn them into powder, and take them with clear wheat gruel. Alternatively, burn red chicken wings into powder, take one pinch with wine, three times a day.
Yizhi Ren (Alpinia Oxyphylla Fruit, 1 liang, stir-fried with salt water), Longgu (Fossilized Bones, 4 qian, ground separately), Muli (Oyster Shell, ground, half liang), Chuanwu (Aconiti Radix Preparata, peeled, half liang, stir-fried until yellow).
Grind the above ingredients into fine powder, use wine to make a paste for pills, sized like wutong seeds. Take 50 pills per dose, administered with decoction of Bibi (Dioscoreae Hypoglaucae Rhizoma) on an empty stomach.
The disease of "Wu Dan" (Five Jaundices) is recorded extensively in various books; its symptoms are limited to five types: first, Huanghan (Yellow Sweat); second, Huangdan (Yellow Gallbladder/Jaundice); third, Gudan (Grain Jaundice); fourth, Jiudan (Alcohol Jaundice); fifth, Nulaodan (Sexual Exhaustion Jaundice). Huanghan presents with generalized edema, sweating without thirst, and sweat that stains clothes yellow like pagoda tree juice. This is caused by heat in the Spleen and Stomach leading to sweating, or by wind closing the pores causing heat accumulation, resulting in yellow sweat. Huangdan presents with immediate hunger after eating, generalized yellowing of the body, bluish or reddish discoloration during sleep, aversion to cold, and high fever. This results from excessive drinking and eating, causing internal heat, accumulation of food and fluids in the Spleen and Stomach, and struggle between Wind-Dampness and Heat. The steaming heat manifests in Yin areas causing vomiting, or in Yang areas causing chills followed by fever. Gudanzheng presents with dizziness after eating, mental restlessness, and generalized yellowing. This is due to heat in the Spleen and Stomach, caused by damaging Stomach Qi through overeating after extreme hunger. Jiudanzheng presents with yellowing of the skin and eyes, mental distress and pain, fullness in the calves, yellow urine, and red spots on the face. This is caused by drinking on an empty stomach, getting drunk and exposed to wind, or bathing in cold water. Nulaodan presents with yellowing of the skin and eyes, fever with aversion to cold, abdominal fullness and urgency, and difficult urination. This is caused by excessive labor and sexual exhaustion followed by exposure to water. Cases with severe thirst and abdominal distension are difficult to treat. Danyang stated: There is no need to distinguish these five grades; all are formed by Damp-Heat. This condition is like fermentation starter; when Dampness and Heat struggle, Qi cannot penetrate, leading to stagnation and yellowing. The distinction of the Five Jaundices is merely annotation by predecessors. As Zhang Changsha (Zhang Zhongjing) said, Yangming disease with no sweat, difficult urination, and mental distress leads to yellowing of the body. If the pulse is floating, slippery, tight, and rapid, it indicates Heat accumulating in the Yangming Stomach Meridian, diagnosed as Yangming Excess Yellowing. Zhu Gong said: When Cold-Dampness remains inside and does not dissipate, Heat accumulates in the Spleen and Stomach, pores do not open, and Stagnant Heat struggles with retained food, causing steaming and yellowing. Similarly, if Shanghan (Cold Damage) requires sweating but fails to sweat, or requires promoting urination but fails to do so, jaundice may also occur. The Spleen belongs to Earth and can cause yellowing when affected by Water-Dampness; if the pulse is deep, thin, and weak, and the body is cold and yellow, it indicates Cold and Heat struggling in the Taiyin Spleen Meridian, to be treated as a Yin Syndrome. There is also a syndrome of Blood Accumulation, where urination is normal, stool is black, and the patient goes mad; this is Yellowing caused by Blood Stasis accumulating in the Lower Jiao. People who love alcohol often develop yellowing because alcohol is very hot; Heat and Dampness struggle in the Stomach, causing external yellowing. Symptoms include no external heat, internal difficult urination, a sensation in the chest like eating garlic shoots, heat in the heart pit and soles, which may turn into Heidan (Black Jaundice) over time. If the pulse is floating and slippery with abdominal fullness and nausea, induce vomiting first. If the pulse is deep and slippery with abdominal fullness and constipation, purge first. There is also sudden yellowing with chest fullness and wheezing, life-threatening, called Cuhuang (Sudden Jaundice), characterized only by heart tremors and fever. Generally, Jaundice with thirst is difficult to treat; without thirst, it is easy. Jaundice toxin entering the abdomen with wheezing and fullness is critical; pulse surging and large, with free stool and thirst, indicates death; pulse minute and small, with free urination and no thirst, indicates survival; no pulse at Cun Kou and cold breath from the nose are also untreatable. Cases with bland taste, palpitations, tinnitus, weak legs, slight chills and fever, and turbid red-white urine should be treated as Deficiency Syndromes. Do not recklessly use cooling medicines, as they will further damage Blood and Qi. The treatment method of separating and draining Damp-Heat is most appropriate. In clinical practice, the key lies in differentiating pulse and symptoms. Human life depends on the physician; how can one not be cautious?