上件药捣筛为散，每服四钱，以水一中盏，煎至六分去滓，不计时候温服。（《圣惠》）
沈王格患疸证，一身及面目悉黄，微见黑滞，烦渴腹满，来干余治。诊得左脉弦数，右脉空大，此内伤发黄，
为厥阴肝木、太阴脾土二脏交伤之候也云云。为商治法，平肝之亢，扶土之虚，兼解郁热以清气道，除湿蒸而和
中气。方用人参三钱，白术二钱，白芍一钱，黄连、山栀七分，归身、丹皮、茵陈、秦艽各一钱，柴胡七分，炙草五
分，半曲一钱，服三十剂而诸患霍然。（《印机草》）
疏里方法 湿热郁蒸而发黄，其当从下夺，亦须仿治伤寒之法，里热者始可用之。重则用大黄消石汤，
荡涤其湿热，如大承气汤之例。稍轻则用栀子大黄汤，清解而兼下夺，如三黄汤之例。更轻则用茵陈蒿汤清解为君，
微加大黄为使，如栀豉汤中加大黄如博棋子大之例。是则汗法固不敢轻用，下法亦在所慎施，以瘅证多夹内伤，
不得不回护之耳。（《法律》）（按∶栀子大黄汤，大黄一两，茵陈蒿汤，大黄二两，是其轻重可知，喻氏之言
未为当。且二方之别，在上焦中焦，不必就分轻重矣。）
治发黄，身面眼悉黄如金色，小便如浓煮柏汁，众医不能疗者方。
茵陈 栀子（各二两） 黄芩 柴胡 升麻 大黄（各三两） 龙胆（二两）
上七味 咀，以水八升，煮取二升七合，分三服。若身体羸，去大黄，加栀子仁五六两，生地黄一升。夫黄
发已久，变作桃皮色（按∶先教谕曰∶桃皮色，盖谓带黑不明润），心下有坚，呕逆不下饮食，小便极赤少，四
肢逆冷，脉深沉极微细迟者，不宜服此方，得下必变 也。宜与大茵陈汤（按∶系茵陈、黄柏、大黄、黄芩、栝蒌
根、甘草、白术、茯苓、前胡、枳实、栀子），除大黄，与生地黄五两。服汤尽，消息看脉小浮出，形小见，不
甚沉微，便可治也。脉浮见者，黄当明，不复作桃皮色，心下自宽也。（《千金》）
根据前麻黄等五味汤（出上发汗中）服之取汗，汗出后未歇，经三五日，又合栀子等五味汤以取利方。
栀子（二十枚） 柴胡（三两） 黄芩（三两） 茵陈（三两） 芒硝（六两）
上药切，以水八升，煮四味，取二升六合去滓，内芒硝搅令消，分温三服，如人行十里久，更服之效。
（《外台》引许仁则）
治黄胆，面黄肌瘦，大黄丸方。
大黄（锉一斤） 芎 （半斤）
上二味捣罗为末，用蜜和成剂，甑上炊七遍，丸如梧桐子大，每服三十丸，熟水下，空心食前临卧日三服。
（《圣济》）
王文川令郎，原伤饮食，又伤于冷菱等物，遍身发黄，眼如金色，夜发热，天明则退，腹痛手不可近，号叫
通宵。市医因其黄，而曰胡 真矣，众议以草头药进。予至，急止之，曰∶向以草药几误其母，复欲误其子乎。
盖脾胃喜温恶
寒，且此症乃食积酿成而黄，为湿热所致，法当健脾，用温暖之剂下之，湿热去而黄自退。草头药性多寒，用之是
损脾土而益其疾也，可用哉。即以保和丸一钱，入备急丸五分，作一次服之，少顷泻一次，又少顷连下三次，积
物所下甚多，腹痛尽止，再与调中丸服一月，不但一身之黄尽去，而步履轻捷如飞。（《赤水》）
通脬诸方 加减五苓汤，治伏暑郁黄，烦渴小便不利。
赤茯苓（去皮） 猪苓（去皮） 泽泻 白术 茵陈（各等分）
上为 咀，每服四钱，水一盏半。煎至八分，去滓温服，不拘时候。（《济生》）
茯苓渗湿汤，治黄胆，寒热呕吐，渴欲饮冷，身体面目俱黄，小便不利，全不食，不得卧。
茵陈（六分） 白茯苓（五分） 木猪苓 泽泻（各三分） 黄连 黄芩（生） 栀子 汉防己 白术
苍术 陈皮 青皮（各二分）
上十二味 咀，作一服，水二盏，煎至一盏，去渣温服，空心食前。（此方亢二哥服之效）（《宝鉴》）又谷
疸，茯苓栀子茵陈汤，于本方加枳实。《统旨》于本方去黄芩、青皮，加秦艽、葛根。《济世全书》茵陈五苓散，
于本方去芩、连、防己、陈皮、青皮，加滑石、官桂、甘草。《回春》茵陈汤，于本方去黄芩、防己、白术、陈
皮、青皮，加枳实、浓朴、滑石。
通泰丸，治五疸湿热，形体尿汗皆黄，口渴心下满闷。
栀子仁（一两） 茵陈（二两） 海金沙（一两） 木通 赤茯苓 滑石（炒） 黄连（各一两） 大黄（一两）
上为末，稀糊丸如梧桐子大，每服六十丸，茵陈汤下。（《活人心统》）
温中诸方 理中加茯苓汤，治寒湿发黄，此症虽小便黄
赤，亦作寒治者，盖以余症及脉别之也。（《纲目》）（按∶原引仲，然仲未知何人，且更有治验，殊失冗杂，
今仅节其要。）
戊寅芝山寺施医，一人五十余岁，患疸症，浑身发黄，目睛亦黄，小便黄赤而黑，身热又欲近火，服去湿热
等剂愈剧，一日服栀子茵陈汤，手足遂冷，振寒转栗，目昏暗，自以为不可救药，抬到寺中求诊。余见其脉，六
部虚细若散，遂用理中茯苓汤十帖而安。夫身热又欲近火者，热在皮肤而寒在骨髓也。小便黑、脉虚细者，寒湿
胜也。振寒转栗，乃足太阴寒水之症也。此人服寒凉剂过多，致阴气太甚，阳气欲绝，若不用温中剂急救，何能
挽回哉，此正所谓逐寇而伤君者是也。（《医药》）（按∶此案系就《纲目》治验而处措者，然稍有条理，仍存录
之。）
四君子汤（《和剂》），治色疸。
加黄 （炙） 白芍药 白扁豆（制各一两）
上锉细，每服三钱，姜五片，枣二枚，煎服。（《直指》）
若因病久，元气益虚，而脾之正色见于外者，宜用补中益气加茵陈、茯苓。若中气虚寒，四肢厥冷，或浮肿
黑黄者，用人参理中汤加茯苓、茵陈。（《明医杂着》注）
疏黄饮，治发黄冷证。
白术 人参 干姜 茵陈 甘草（《医经会解》）
滋补诸方 养荣汤，治五疸，脚弱心忪，口淡耳响，微寒发热，气急，小便白浊，当作虚劳治之。（《三
因》）（按∶《济生》此下曰∶不可妄投凉剂，愈伤血气。而处以秦艽饮子，其方系于养荣汤中，去黄 、五味
子、人参，加秦艽、川芎、半夏者。）
治黄胆，其小便自利，白如泔色，此状得之因酒过伤，宜服土瓜根散方。
土瓜根（一两） 白石脂（一两） 桂心（一两） 栝蒌根（一两） 菟丝子（一两酒浸一日曝干别捣为末）
牡蛎（一两烧为粉）
上件药捣，细罗为散，每服煮大麦粥饮，调下二钱，日三四服。（《圣惠》）（按∶此本《千金》凝水石散，
治肉疸，饮少小便多，如白泔色，此病得之从酒。今去凝水石、知母，加土瓜根、牡蛎。）
治房黄，鹿茸散方。
鹿茸（一两去毛涂醋微炒） 熟干地黄（一两） 山茱萸（一两） 五味子（一两） 黄 （一两锉）
牡蛎（一两烧为粉）
上件药捣，细罗为散，不计时候，以温酒调下二钱。（同上）
生血润肤汤，治干黄病，血不荣于皮肤，致桔燥干黄。
润肤生血酒红花，五味双门二地麻，归 芩括桃仁碾，数服肌肤效可夸。（《医读》）
六味地黄丸，治干黄病。（同上）
鼻方法 凡遇时行热病，多必内瘀着黄，但用瓜丁散内鼻中，令黄汁出乃愈，即于后不复病黄矣。常
须用心警候，病患四肢身面微似有黄气，须用瓜丁散，不得令散漫，失候必大危矣。特忌酒面，犯者死。（《千金
翼》）（按∶《千金》、《外台》其方不一，今仅录一首。又《本事》有治验，宜参。）
黄胆，目黄不除，瓜丁散方。
瓜丁细末，如一大豆许，内鼻中，令病患深吸取入，鼻中黄水出瘥。（同上）（按∶《兰台轨范》举《近效》
瓜蒂散曰∶病轻者，小豆大则可。不愈，间日复频用效。或使人
以竹筒极力吹鼻中，无不死者。又曰∶嗅鼻出黄水，唐以前即有此法。或用束腰葫芦内白膜研细，加麝少许，吹
鼻亦能出水。）
调摄法 大慎面肉醋鱼蒜韭热食，犯之即死。（《千金翼》）
脾胃稍实，更断浓味，可治，酒色伤，恣口腹者，难。（《入门》）
将上述药物捣碎过筛制成散剂，每次服用四钱，用水一中盏，煎煮至六分，去渣后，不分时候温服。（出自《圣惠方》）
沈王格患黄疸病，全身及面目全部发黄，微微呈现黑滞色，心烦口渴，腹部胀满，来求余治。诊察发现左脉弦数，右脉空大，这是内伤导致的发黄，属于厥阴肝木与太阴脾土两脏相互损伤的征候等。于是制定治疗方法：平抑肝气的亢盛，扶持脾土的虚弱，兼以解除郁热以清利气道，祛除湿热蒸腾之气以调和中气。方用人参三钱，白术二钱，白芍一钱，黄连、山栀各七分，当归身、丹皮、茵陈、秦艽各一钱，柴胡七分，炙甘草五分，神曲一钱，服用三十剂后，各种病症霍然痊愈。（出自《印机草》）
疏理里证的方法：湿热郁结蒸腾而致发黄，应当采用攻下法祛除邪气，但也必须仿照治疗伤寒的方法，只有确属里热者才可以应用。病情重者用大黄消石汤，荡涤湿热，如同大承气汤的用法。病情稍轻者用栀子大黄汤，清热解表兼以攻下，如同三黄汤的用法。病情更轻者用茵陈蒿汤以清热解郁为主，略微加大黄作为引导药，如同在栀豉汤中加入如博棋子大小的大黄的用法。因此，发汗法固然不敢轻易使用，攻下法也需谨慎施用，因为疸证多夹杂内伤，不得不加以顾护罢了。（出自《医宗金鉴·法律》）（按语：栀子大黄汤中大黄一两，茵陈蒿汤中大黄二两，由此可知其轻重程度，喻嘉言的说法并不恰当。况且这两方的区别在于病位在上焦还是中焦，不必仅从药物分量上区分轻重。）
治疗发黄，身体面部眼睛都黄得像金色一样，小便像浓煮的黄柏汁一样，众医无法治疗的方子。
茵陈、栀子（各二两）、黄芩、柴胡、升麻、大黄（各三两）、龙胆草（二两）。
以上七味药切碎，用水八升，煮取二升七合，分三次服用。如果身体虚弱消瘦，去掉大黄，加入栀子仁五六两，生地黄一升。如果发黄时间已久，变为桃皮色（按语：先教谕说：桃皮色，大概是指带有黑色且不明亮润泽），心下有硬块，呕吐逆气不能进食，小便极红且量少，四肢逆冷，脉象深沉极微细迟的，不宜服用此方，服药后必然会导致变证。适宜给予大茵陈汤（按语：该方由茵陈、黄柏、大黄、黄芩、栝蒌根、甘草、白术、茯苓、前胡、枳实、栀子组成），去掉大黄，加入生地黄五两。服用完汤药后，观察脉象若稍微浮出，形体症状轻微显现，不再那么沉微，就可以继续治疗了。脉象浮现的，黄色应当消退，不再呈现桃皮色，心下自然宽舒。（出自《千金要方》）
根据前面提到的麻黄等五味汤（见上文发汗章节）服用以取汗，出汗后未休息，经过三五天，又合用栀子等五味汤以取利（通便/利尿）。
栀子（二十枚）、柴胡（三两）、黄芩（三两）、茵陈（三两）、芒硝（六两）。
以上药物切碎，用水八升，煮前四味，取二升六合，去渣，纳入芒硝搅拌使其溶解，分三次温服。如果行走十里路的时间后，再服用一次则效果更佳。（出自《外台秘要》引许仁则方）
治疗黄疸，面色黄肌肉瘦弱，大黄丸方。
大黄（锉碎一斤）、川芎（半斤）。
以上两味药捣碎过罗成末，用蜂蜜和成药剂，在甑上蒸七遍，做成梧桐子大小的丸药，每次服用三十丸，用温水送下，空腹、饭前、临睡前各服一次，每日三次。（出自《圣济总录》）
王文川的公子，原本饮食受伤，又受冷菱等生冷食物伤害，全身发黄，眼睛像金色一样，夜间发热，天亮后退热，腹痛剧烈手不可触碰，整夜号叫。市井医生因为他发黄，说是“胡”症（注：此处原文可能有误或为特定方言/笔误，结合语境指误诊），众人商议用草药进服。我到达后，急忙制止他们说：“先前用草药差点害了你母亲，又想害你儿子吗？”脾胃喜欢温暖厌恶寒冷，况且这个病症是食积酿成而发黄，是由湿热引起的，治法应当健脾，用温暖的药剂攻下，湿热去除而黄色自然消退。草药性质大多寒凉，使用它们会损伤脾土而加重疾病，怎么可以用呢？随即用保和丸一钱，加入备急丸五分，一次性服下，过了一会儿泻了一次，又过了一会儿连续泻了三次，排出的积滞物很多，腹痛完全停止，再给予调中丸服用一个月，不仅全身的黄色全部退去，而且步履轻盈如飞。（出自《赤水玄珠》）
通利膀胱诸方：加减五苓汤，治疗伏暑郁结发黄，心烦口渴，小便不利。
赤茯苓（去皮）、猪苓（去皮）、泽泻、白术、茵陈（各等分）。
以上药物切碎，每次服用四钱，水一盏半，煎煮至八分，去渣温服，不拘时候。（出自《济生方》）
茯苓渗湿汤，治疗黄疸，寒热往来，呕吐，想喝冷水，身体面目俱黄，小便不利，完全不想吃东西，无法躺卧。
茵陈（六分）、白茯苓（五分）、木猪苓、泽泻（各三分）、黄连、黄芩（生用）、栀子、汉防己、白术、苍术、陈皮、青皮（各二分）。
以上十二味药切碎，作一付药，用水二盏，煎煮至一盏，去渣温服，空腹、饭前服用。（此方亢二哥服用有效）（出自《医学发明》）另外谷疸，可用茯苓栀子茵陈汤，在本方基础上加枳实。《统旨》在本方基础上去掉黄芩、青皮，加秦艽、葛根。《济世全书》茵陈五苓散，在本方基础上去掉黄芩、黄连、防己、陈皮、青皮，加滑石、官桂、甘草。《回春》茵陈汤，在本方基础上去掉黄芩、防己、白术、陈皮、青皮，加枳实、厚朴、滑石。
通泰丸，治疗五种黄疸湿热，形体、尿液、汗液皆黄，口渴，心下满闷。
栀子仁（一两）、茵陈（二两）、海金沙（一两）、木通、赤茯苓、滑石（炒）、黄连（各一两）、大黄（一两）。
以上药物研成末，用稀糊做成梧桐子大小的丸药，每次服用六十丸，用茵陈汤送下。（出自《活人心统》）
温中诸方：理中加茯苓汤，治疗寒湿发黄，此症虽然小便黄赤，也按寒证治疗，这是根据其他症状及脉象来区分的。（出自《本草纲目》）（按语：原书引用仲景，但不知是何人，且更有治疗验案，显得冗杂，现在仅节选其要点。）
戊寅年芝山寺施医时，一人五十多岁，患黄疸症，浑身发黄，眼睛也黄，小便黄赤而黑，身体发热却又想靠近火源，服用去除湿热的药剂后病情加剧，一天服用栀子茵陈汤后，手足遂冷，寒战发抖，眼睛昏暗，自认为不可救药，抬到寺中求诊。我看他的脉象，六部脉虚细若散乱，于是用理中茯苓汤十帖而安顿。身体发热又想靠近火源的，是热在皮肤而寒在骨髓。小便黑、脉虚细的，是寒湿胜。寒战发抖，是足太阴寒水的病症。此人服用寒凉药剂过多，导致阴气太盛，阳气欲绝，如果不使用温中剂急救，怎么能挽回呢？这正所谓驱逐寇贼却伤害君主的情况。（出自《医药指南》）（按语：此案是基于《纲目》中的治疗验案进行措辞整理的，但条理稍清晰，仍保存记录。）
四君子汤（出自《太平惠民和剂局方》），治疗色疸。
加黄芪（炙）、白芍药、白扁豆（制，各一两）。
以上药物切碎，每次服用三钱，生姜五片，大枣二枚，煎服。（出自《直指方》）
如果因病久，元气更加虚弱，而脾的正色显露于外的，宜用补中益气汤加茵陈、茯苓。如果中气虚寒，四肢厥冷，或浮肿黑黄的，用人参理中汤加茯苓、茵陈。（出自《明医杂著》注）
疏黄饮，治疗发黄冷证。
白术、人参、干姜、茵陈、甘草（出自《医经会解》）
滋补诸方：养荣汤，治疗五种黄疸，脚弱心悸，口淡耳鸣，微寒发热，气急，小便白浊，当作虚劳来治疗。（出自《三因极一病证方论》）（按语：《济生方》在此之下说：不可妄投凉剂，以免更伤血气。而处以秦艽饮子，其方是在养荣汤中去掉黄芪、五味子、人参，加秦艽、川芎、半夏组成的。）
治疗黄疸，其小便自利，白色像淘米水一样，这种状况是由于饮酒过度损伤所致，宜服用土瓜根散方。
土瓜根（一两）、白石脂（一两）、桂心（一两）、栝蒌根（一两）、菟丝子（一两，酒浸一日，曝干，另捣为末）、牡蛎（一两，烧成粉）。
以上药物捣碎，细罗成散剂，每次用煮大麦粥饮调下二钱，每日三四次。（出自《圣惠方》）（按语：此方本出自《千金要方》凝水石散，治疗肉疸，饮水少而小便多，尿色如白泔，此病得之于饮酒。现在去掉凝水石、知母，加土瓜根、牡蛎。）
治疗房黄（因房事不节导致的黄疸），鹿茸散方。
鹿茸（一两，去毛涂醋微炒）、熟干地黄（一两）、山茱萸（一两）、五味子（一两）、黄芪（一两，锉碎）、牡蛎（一两，烧成粉）。
以上药物捣碎，细罗成散剂，不分时候，用温酒调下二钱。（同上）
生血润肤汤，治疗干黄病，血液不能荣养皮肤，导致肌肤枯槁干燥发黄。
润肤生血酒红花，五味双门二地麻，归芩括桃仁碾，数服肌肤效可夸。（出自《医读》）
纳鼻方法：凡是遇到时行热病，多必伴有内瘀发黄，只用瓜丁散纳入鼻中，令黄汁流出乃愈，此后就不再患黄疸了。常常需要用心警惕观察，病患四肢身面微似有黄气，须用瓜丁散，不得延误时机，失候必大危矣。特别忌酒面食，犯者死。（出自《千金翼方》）（按语：《千金要方》、《外台秘要》中方子不一，现在仅收录一首。另外《本事方》有治疗验案，宜参考。）
黄疸，目黄不退，瓜丁散方。
瓜蒂细末，如一大豆大小，纳入鼻中，令病患深吸气吸入，鼻中流出黄水即愈。（同上）（按语：《兰台轨范》举《近效方》瓜蒂散说：病轻者，小豆大小即可。若不愈，隔日再次频繁使用有效。或者让人用竹筒极力吹入鼻中，无不治愈的。又说：嗅鼻出黄水，唐以前就有此法。或用束腰葫芦内的白膜研细，加少许麝香，吹鼻也能出水。）
调摄方法：大慎面食、肉类、醋、鱼、蒜、韭菜及热食，犯之即死。（出自《千金翼方》）
The above-mentioned medicines are pounded and sifted into a powder. Each dose is four qian (approx. 12-15g), decocted with one zhong zhan (approx. 200ml) of water until reduced to six fen (approx. 120ml). Strain the dregs and take warm, regardless of meal times. (*Shenghui Fang*)
Shen Wangge suffered from jaundice; his entire body and face were yellow, with a slight blackish stagnation. He experienced irritability, thirst, and abdominal fullness, and sought treatment from Yu. The pulse on the left was wiry and rapid, while the pulse on the right was empty and large. This indicated jaundice due to internal injury, a sign of mutual damage between the Jueyin Liver Wood and the Taiyin Spleen Earth. Thus, the treatment strategy was formulated: to calm the hyperactivity of the Liver, support the deficiency of the Spleen, simultaneously resolve stagnant heat to clear the Qi pathway, and remove damp-heat steaming to harmonize the Middle Qi. The prescription consisted of Renshen (Ginseng Radix) 3 qian, Baizhu (Atractylodis Rhizoma) 2 qian, Baishao (Paeoniae Radix Alba) 1 qian, Huanglian (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus) each 7 fen, Danggui Shen (Angelicae Sinensis Radix) [specifically the root body], Danpi (Moutan Cortex) Yinchen (Artemisiae Scopariae Herba), and Qinjiao (Gentianae Macrophyllae Radix) each 1 qian, Chaihu (Bupleuri Radix) 7 fen, Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparata) 5 fen, and Banqu (Medicated Leaven) 1 qian. After taking thirty doses, all ailments vanished suddenly. (*Yinji Cao*)
Methods for treating interior syndromes: When jaundice arises from the stagnation and steaming of damp-heat, purgative methods should be employed to drain it. However, one must also emulate the methods for treating Cold Damage (Shanghan); purgatives are applicable only when there is definite interior heat. For severe cases, Dahuang Xiaoshi Tang (Rhubarb and Gypsum Decoction) is used to scour away damp-heat, similar to the usage of Dachengqi Tang (Major Order the Qi Decoction). For slightly milder cases, Zhizi Dahuang Tang (Gardenia and Rhubarb Decoction) is used to clear heat and resolve exterior symptoms while simultaneously purging, similar to Sanhuang Tang (Three Yellow Decoction). For even milder cases, Yinchenshao Tang (Artemisia and Coptis Decoction) is used as the principal formula to clear and resolve, with a slight addition of Dahuang (Rhubarb) as an assistant, analogous to adding Dahuang in Zhichi Tang (Gardenia and Fermented Soybean Decoction) in the size of a chess piece. Therefore, sweating methods dare not be used lightly, and purgative methods must also be applied cautiously, because jaundice syndromes often involve internal injury, necessitating protective measures. (*Yixue Xinfa* commentary) (Note: Zhizi Dahuang Tang contains one liang of Dahuang, whereas Yinchenshao Tang contains two liang, indicating their relative severity. Yu Jianyuan's statement is not entirely accurate. Moreover, the distinction between these two formulas lies in whether the pathology is in the Upper or Middle Jiao, rather than merely in dosage.)
Prescription for treating jaundice where the body, face, and eyes are golden yellow, urine resembles concentrated boiled Phellodendron bark juice, and other physicians failed to treat it:
Yinchen (Artemisiae Scopariae Herba) and Zhizi (Gardeniae Fructus) (each 2 liang), Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 3 liang), Longdancao (Gentianae Radix) (2 liang).
The above seven ingredients are cut, decocted in eight sheng (approx. 1600ml) of water until two sheng seven he (approx. 420ml) remain. Divide into three doses. If the body is emaciated, remove Dahuang and add Zhizi Ren (Gardeniae Semen) 5-6 liang and Shengdihuang (Rehmanniae Radix) one sheng. If jaundice has persisted for a long time and changed to a peach-skin color (Note: Xian Jiaoyu stated that peach-skin color refers to a dull, dark hue lacking luster), with hardness under the heart, vomiting and inability to eat, extremely red and scanty urine, cold limbs, and a deep, extremely faint, fine, and slow pulse, this prescription is contraindicated; administration will lead to adverse transformations. Instead, Da Yinchensheng Tang (Large Artemisia and Rehmannia Decoction) [composed of Yinchen, Huangbai, Dahuang, Huangqin, Gualougen, Gancao, Baizhu, Fuling, Qianhu, Zhishi, Zhizi] should be given, removing Dahuang and adding Shengdihuang 5 liang. After finishing the decoction, observe the pulse; if it becomes slightly floating and superficial, and the condition is no longer deeply sunken and faint, treatment may proceed. If the pulse floats, the yellowing will clarify, the peach-skin color will disappear, and the epigastrium will feel comfortable. (*Qianjin Yaofang*)
After administering the previous Mahuang (Ephedra) five-ingredient decoction (see sweating section above) to induce sweating, without resting, after three to five days, administer the Zhizi (Gardenia) five-ingredient decoction to promote urination or bowel movement.
Zhizi (Gardeniae Fructus) (20 seeds), Chaihu (Bupleuri Radix) (3 liang), Huangqin (Scutellariae Radix) (3 liang), Yinchen (Artemisiae Scopariae Herba) (3 liang), Mangxiao (Natrii Sulfas) (6 liang).
Cut the above medicines, decoct the first four in eight sheng of water until two sheng six he remain. Strain, add Mangxiao, stir until dissolved, and divide into three warm doses. If effective, administer again after walking the distance of ten li. (*Waitai Miyao*, citing Xu Renze)
Da Huang Wan (Rhubarb Pill) for treating jaundice with yellow complexion and emaciation:
Dahuang (Rhei Radix et Rhizoma) (cut, 1 jin), Xiong (Ligustici Chuanxiong Rhizoma) (0.5 jin).
Pound and sieve the above two ingredients into powder. Mix with honey to form pills the size of paulownia seeds. Take thirty pills per dose with cooked water, three times daily: on an empty stomach, before meals, and before bed. (*Shengji Zonglu*)
Wang Wenchuan’s son had originally injured his diet and then consumed cold water chestnuts, resulting in generalized yellowing, golden eyes, night fever that subsides at dawn, severe abdominal pain intolerable to touch, and screaming throughout the night. City physicians, seeing the jaundice, diagnosed it as "Hu" syndrome and proposed herbal remedies. Upon arrival, I urgently stopped them, saying, "You nearly killed his mother with herbs; do you wish to kill his son too?" The Spleen and Stomach prefer warmth and dislike cold. This case is jaundice caused by food stagnation fermenting into damp-heat. The method should be to strengthen the Spleen and use warm purgatives. Once damp-heat is removed, the jaundice will recede. Most herbs are cold in nature; using them damages Spleen Earth and exacerbates the disease. I prescribed Baohe Wan (Harmonize the Stomach Pill) 1 qian mixed with Beijiji Wan (Emergency Rescue Pill) 0.5 fen, taken once. Shortly after, he defecated once, then three more times consecutively. A large amount of accumulated matter was expelled, and abdominal pain ceased completely. Subsequently, Tiao Zhong Wan (Regulate the Middle Pill) was administered for one month. Not only did the jaundice disappear entirely, but his gait became light and swift. (*Chuishui Xuanzhu*)
Formulas for promoting bladder function: Jiawu Wu Ling Tang (Modified Five-Ingredient Powder with Poria) treats jaundice due to latent summer-heat stagnation, with irritability, thirst, and dysuria.
Chi Fuling (Poria with Red Skin, peeled), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Baizhu (Atractylodis Rhizoma), Yinchen (Artemisiae Scopariae Herba) (equal parts).
Cut into pieces. Each dose is four qian, decocted in one and a half zhan of water until eight fen remain. Strain and take warm, regardless of meal times. (*Jisheng Fang*)
Fuling Shen Shi Tang (Poria Damp-Draining Decoction) treats jaundice with alternating chills and fever, vomiting, desire for cold drinks, generalized yellowing of body and face, dysuria, anorexia, and insomnia.
Yinchen (Artemisiae Scopariae Herba) (6 fen), Bai Fuling (Poria) (5 fen), Mu Zhuling (Polyporus), Zexie (Alismatis Rhizoma) (each 3 fen), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix, raw), Zhizi (Gardeniae Fructus), Han Fangji (Stephaniae Tetrandrae Radix), Baizhu (Atractylodis Rhizoma), Cangzhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Qingpi (Citri Reticulatae Pericarpium Viride) (each 2 fen).
Cut the above twelve ingredients. One dose is decocted in two zhan of water until one zhan remains. Strain and take warm, on an empty stomach before meals. (Effective for Kang Erge) (*Yixue Mingfa*). Additionally, for Grain Jaundice, Fuling Zhizi Yichen Tang (Poria, Gardenia, and Artemisia Decoction) adds Zhishi (Immature Bitter Orange) to this base formula. *Tongzhi* removes Huangqin and Qingpi, adding Qinjiao and Gegen. *Jishi Quanshu* Yinchens Wu Ling San (Artemisia Five-Ingredient Powder) removes Huangqin, Huanglian, Fangji, Chenpi, and Qingpi, adding Huashi (Talcum) and Guangui (Cinnamon Bark). *Huichun* Yinchens Tang (Artemisia Decoction) removes Huangqin, Fangji, Baizhu, Chenpi, and Qingpi, adding Zhishi and Houpo.
Tongtai Wan treats damp-heat in the five types of jaundice, with yellowing of the body, urine, and sweat, thirst, and epigastric fullness.
Zhizi Ren (Gardeniae Semen) (1 liang), Yinchen (Artemisiae Scopariae Herba) (2 liang), Haijinsha (Lygodii Spora), Mutong (Akebiae Caulis), Chi Fuling (Poria with Red Skin), Huashi (Talcum, fried), Huanglian (Coptidis Rhizoma) (each 1 liang), Dahuang (Rhei Radix et Rhizoma) (1 liang).
Grind into powder, make pills with thin paste the size of paulownia seeds. Take sixty pills per dose, washed down with Yichen decoction. (*Huoren Xintong*)
Warm-Middle Formulas: Lizhong Jia Fuling Tang (Li Zhong Decoction plus Poria) treats cold-damp jaundice. Although the urine is yellow-red, it is treated as a cold syndrome based on accompanying symptoms and pulse differentiation. (*Bencao Gangmu*) (Note: Originally cited Zhang Zhongjing, but the source is unclear and includes redundant cases; only key points are excerpted here.)
In the year Wuyin, during medical practice at Zhishan Temple, a man in his fifties suffered from jaundice. His whole body and eyes were yellow, urine was yellow-red and black, he felt hot yet desired proximity to fire. Medicines for clearing damp-heat worsened his condition. After taking Zhizi Yichen Tang (Gardenia and Artemisia Decoction) in one day, his hands and feet became cold, he experienced tremors and rigors, and his vision dimmed. Believing himself incurable, he was carried to the temple for consultation. His pulse was deficient, fine, and scattered in all six positions. I prescribed Lizhong Fuling Tang (Li Zhong Decoction plus Poria) for ten doses, which stabilized him. Feeling hot yet desiring fire indicates heat on the skin but cold in the marrow. Black urine and a deficient, fine pulse indicate overwhelming cold-damp. Tremors and rigors are symptoms of Cold Water in the Foot-Taiyin. This patient took too many cold-cooling medicines, causing excessive Yin qi and impending Yang collapse. Without urgent rescue using warm-middle agents, recovery would be impossible. This is precisely "driving out the bandit while injuring the lord." (*Yiyao Zhinan*) (Note: This case is adapted from a verification record in *Gangmu*, organized for clarity and preserved here.)
Sijunzi Tang (Four Gentlemen Decoction) (*Heji Ju Fang*) treats Color Jaundice.
Add Huangqi (Astragali Radix, prepared), Baishaoyao (Paeoniae Radix Alba), and Baibidou (Phaseoli Semen) (prepared, each 1 liang).
Cut finely. Each dose is three qian, decocted with five slices of ginger and two jujubes. (*Zhizhi Fang*)
If due to chronic illness, Yuanqi (Primordial Qi) is increasingly deficient, and the true color of the Spleen appears externally, use Buzhong Yiqi Tang (Middle-Supplementing Qi-Boosting Decoction) plus Yinchen and Fuling. If there is Middle Qi deficiency-cold with cold extremities, or edema with black-yellow discoloration, use Renshen Lizhong Tang (Ginseng Li Zhong Decoction) plus Fuling and Yinchen. (*Mingyi Zazhu* commentary)
Shuhuang Yin (Clearing Yellow Drink) treats cold-type jaundice.
Baizhu (Atractylodis Rhizoma), Renshen (Ginseng Radix), Ganjiang (Zingiberis Rhizoma), Yinchen (Artemisiae Scopariae Herba), Gancao (Glycyrrhizae Radix et Rhizoma) (*Yijing Huijie*)
Nourishing Formulas: Yangrong Tang (Nourish Ying Decoction) treats the five types of jaundice with weak legs, palpitations, bland taste, tinnitus, mild chills and fever, shortness of breath, and turbid white urine. It should be treated as Consumption (*Xulao*). (*Sanyin Fanglun*) (Note: *Jisheng Fang* states below: Do not recklessly administer cooling agents, as they further damage Blood and Qi. Instead, prescribe Qinjiao Yinzi (Gentiana Decoction), which is Yangrong Tang minus Huangqi, Wuweizi, and Renshen, plus Qinjiao, Chuanxiong, and Banxia.)
For jaundice where urination is spontaneous, urine is white like rice washings, caused by excessive alcohol consumption, Tu Gua Gen San (Trichosanthes Root Powder) is indicated.
Tu Guagen (Trichosanthes Radix) (1 liang), Baishizhi (Halloysitum Rubrum) (1 liang), Guixin (Cinnamomi Ramulus) (1 liang), Gualougen (Trichosanthis Radix) (1 liang), Tusizi (Cuscutae Semen) (1 liang, soaked in wine for one day, dried, separately pounded into powder), Muli (Ostreae Concha) (1 liang, calcined to ash).
Pound the above medicines, sieve finely into powder. Each dose is two qian, taken with barley porridge drink, three to four times daily. (*Shenghui Fang*) (Note: This originates from *Qianjin* Ningshuishi San (Calcined Water Stone Powder) for Flesh Jaundice, characterized by low fluid intake but high urine output, urine white like rice washings, caused by alcohol. Now, Ningshuishi and Zhimu are removed, and Tu Guagen and Muli are added.)
Lu Rong San (Deer Antler Powder) for treating "Fang Huang" (Jaundice due to sexual excess):
Lu Rong (Cervi Cornu Pantotrichum) (1 liang, de-haired, brushed with vinegar, lightly fried), Shudihuang (Rehmanniae Radix Preparata) (1 liang), Shanzhuyu (Corni Fructus) (1 liang), Wuweizi (Schisandrae Fructus) (1 liang), Huangqi (Astragali Radix) (1 liang, cut), Muli (Ostreae Concha) (1 liang, calcined to ash).
Pound the above medicines, sieve finely into powder. Take two qian with warm wine, regardless of meal times. (Ibid.)
Shengxue Runfu Tang (Generate Blood and Moisten Skin Decoction) treats Dry Jaundice, where blood fails to nourish the skin, resulting in dry, yellow, and withered skin.
Moistening Skin Generating Blood Wine Honghua (Carthami Flos), Wuweiizi (Schisandrae Fructus), Shuangmen [likely referring to specific herbs or typo], Erdi [Rehmannia], Ma [Hemp seed?], Gui [Angelica], Qin [Scutellaria], Kuo [Trichosanthes], Taoren (Persicae Semen) crushed. Several doses yield remarkable effects on the skin. (*Yidu*)
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) treats Dry Jaundice. (Ibid.)
Nasal Administration Methods: In epidemic febrile diseases, internal stasis often leads to jaundice. Simply insert Guading San (Melon Seed Powder) into the nose. When yellow fluid discharges, the patient recovers and will not suffer from jaundice again. One must vigilantly monitor patients; if any slight yellowish tint appears on the limbs, body, or face, Guading San must be used immediately. Delaying treatment leads to critical danger. Alcohol and wheat products are strictly forbidden; violation results in death. (*Qianjin Yifang*) (Note: *Qianjin* and *Waitai* contain various formulas; only one is recorded here. Also, *Benshi Fang* has verification records for reference.)
Guading San (Melon Seed Powder) for persistent jaundice with yellow eyes:
Finely powder the melon seeds (Gua Di). Place an amount the size of a large soybean into the nose. Instruct the patient to inhale deeply. Discharge of yellow nasal fluid indicates cure. (Ibid.) (Note: *Lantai Guifan* cites *Jinxiao* Guadi San: For mild cases, the size of a small bean suffices. If ineffective, repeat frequently every other day. Alternatively, blow into the nose forcefully using a bamboo tube; this is invariably curative. Also, sniffing out yellow nasal fluid was practiced before the Tang Dynasty. Some used the white membrane inside a gourd, ground fine with a little musk, blown into the nose to induce discharge.)
Regulation Methods: Strictly avoid wheat products, meat, vinegar, fish, garlic, leeks, and hot foods. Violation leads to death. (*Qianjin Yifang*)
If the Spleen and Stomach are slightly robust, and rich flavors are abstained from, it is treatable. However, if caused by alcohol and sexual excess, or indulgence in diet, it is difficult to treat. (*Yixue Rumen*)