许 伤精发黄，头眩面浮，腰膝乏力，足心如烙，脉洪大而虚。用薛氏六味丸，君茯苓，去泽泻，加生
地、牛膝（酒蒸熟）、莲子、薏仁，汤丸兼服，饭后用甘菊（炒）、黑山栀、嫩桑叶、钩藤泡汤，服数月而痊。
贡 劳伤元气，发黄，食减气少，目黄面晦。仿仲景法，以黄 建中汤去桂、参，入参苓白术散治之，
效。后服莲子、薏米、红枣等调理，此专调补脾元，不与诸疸例治，若一例茵陈，栀子涤除湿热，恐变成胀
满矣。
石 阳黄乃从热化，瘀热在里，蒸动胆液，泄而为黄，明如橘子，今目黄面色亮，头眩，胸痞不渴，
肢倦少力，手足心热，大肠结，遇劳则甚，脉右大左虚濡。虽系湿甚生热，然平人脉大为劳，且疸久不愈，
乃劳力伤气之候。用补中参渗湿法，潞参、茯苓、薏米、于术（各钱半）、鸡内金、茵陈、针砂（各二钱）、
山栀、甘菊、丹皮（各一钱）、炙草（五分）。数服眩痞除，食颇加，去甘菊、山栀，加黄 、白芍（俱炒，二钱）、
莲子（炒，十粒）。又数服，黄渐退。
某 长夏暑湿外蒸，水谷内蕴，脾阳失运，头眩欲呕，面如熏黄，食入作胀，午后烦而溺赤，脉濡，
左略大。先宜厘清法，羚羊角、山栀、茵陈、赤茯、薏仁、制半夏、砂仁壳、滑石、石斛、车前子、灯心，
三服诸症已减。改为浓朴（姜制）、枳壳（炒）、陈皮、
大腹皮、薄荷、茵陈，二服胀除，黄未退，欲速。更医，用沉香、焦术等燥品，忽发颧疸，又用犀角、黄连，
午前后潮热，用生地、知母，黄势更剧，面晦黑，寒热额汗，腹满呕泻，舌苔腻白，膈有粘涎。复商治，予
谓此湿胜也。湿壅则生热，治宜渗湿。用四苓散加半夏曲、橘白、薏仁、煨姜，午前服泻减，呕沫犹是，暑湿
交蒸，浊涎失降，脉见濡数，亦热从湿化象也。更用胃苓汤去白术，加制半夏、生薏仁、煨姜，其苍术（生用）
锅巴汤煎，呕止泻少，惟烦热之起伏，随太阳之升沉，午未特甚，则湿去而热留也。因用黄芩、丹皮、山栀、
赤苓、地骨皮、栝蒌根汁，加六一散（一钱）冲服。泻热悉止，惟神倦嗜卧，卧觉口燥，津不上朝于肺。用参、
麦入加味逍遥散内，扶元生津，兼散郁蒸，脉息乃平，惟左关较大。仿《石室秘录》，用白术（五钱）、茯
苓（三钱）、薏仁（一两）、龙胆草、山栀、茵陈（各一钱）、潞参、黄 （各二钱）、燥脾湿，培真元，
佐泻火，后仍欲速效，误服前医滋阴之剂，遂成不治。
薛 脾虚伤湿，病发阴黄，数年面浮足肿，头眩唇白，便后血，与调补药稍愈。近便血虽止，溏而不爽，
小水短数，腹大而硬，身热体倦，脉细小濡数。与补中升提佐以淡渗，腿足肿退，脉较有神。继与潞参、生术、
赤苓、丹皮、黑山栀、茵陈、牡蛎、升麻。大便爽，热较轻，中脘偶痛。去丹、栀、升、术，加木香、陈皮、
白芍，痛除。改用肾气汤去山萸、泽泻、附子，加炮姜，腹渐软，后因不慎于口，竞以胀终。
耿 久疸神疲，头眩面浮，不时热渴，脉虚大阳浮不敛。宜摄阴和阳。牡蛎、白芍、五味、洋参、熟地、
麦冬、石斛、橹豆皮，数服效。
钱 黄胆伤食，腹胀溺黄，用健脾分消之品，加入茵陈汤，腹胀如故，拟阳明胃腑瘀热郁蒸。用禹余粮
（醋 ，七次）、生地、松萝茶（各四两）、绿矾（ ，一两）、枣肉（煨），研捣为丸。服愈。
唐 童年面黄，能食目眩，发热不时，由湿甚生热，热蒸变黄，胃热谷消，此为谷疸。宜猪肚丸。
入秋，食后胀眩便溏，脉虚小，热与湿搏，由太阴不运，少阳化风。主理脾阳，佐以熄风。生白术、潞参、
陈皮、薏仁、鸡内金、半夏曲（俱炒）、茵陈、赤苓、
甘菊（炒）、天麻（煨），服愈。
许某：因房劳过度损伤肾精导致发黄，伴有头晕、面部浮肿、腰膝酸软无力、脚心发热如烙铁烫一般，脉象洪大但按之空虚。使用薛氏六味地黄丸为基础方，以茯苓为君药，去掉泽泻，加入生地黄、牛膝（用酒蒸熟）、莲子、薏苡仁，汤剂与丸剂交替服用；饭后饮用由甘菊（炒制）、黑山栀、嫩桑叶、钩藤泡制的茶汤，服药数月后痊愈。
贡某：因劳累过度损伤元气而发黄，食欲减退、气短乏力、眼睛发黄、面色晦暗。仿照张仲景的方法，使用黄芪建中汤，去掉桂枝、人参，配合参苓白术散治疗，见效。后来服用莲子、薏米、红枣等药物进行调理，这是专门调补脾脏元气的方法，不按照其他黄疸病的常规方法治疗；如果一律使用茵陈、栀子来清除湿热，恐怕会转变为腹胀满的病症。
石某：阳黄是由热邪转化而来，瘀热蕴结在体内，蒸动胆汁外泄从而发黄，颜色明亮如橘子皮。目前患者眼睛发黄、面色光亮，但有头晕、胸脘痞闷但不口渴、肢体疲倦少力、手心脚心发热、大便干结，劳累后症状加重，脉象右侧大而左侧虚软濡弱。虽然属于湿气重而生热，但正常人脉大为劳损之象，且黄疸日久不愈，是劳力伤气的征候。采用补气健脾兼渗湿的方法，用药包括潞党参、茯苓、薏苡仁、白术（各半两）、鸡内金、茵陈、针砂（各二钱）、山栀、甘菊、丹皮（各一钱）、炙甘草（五分）。服用数剂后头晕和胸痞消除，食欲增加，去掉甘菊、山栀，加入黄芪、白芍（均炒制，各二钱）、莲子（炒制，十粒）。又服用数剂，黄色逐渐消退。
某人：长夏季节暑湿外蒸，水谷内停蕴积，脾阳失去运化功能，出现头晕欲呕、面色像被烟熏过的黄色、进食后腹胀、午后烦躁且小便赤红，脉象濡缓，左侧略大。先用清热利湿法，用药包括羚羊角、山栀、茵陈、赤茯苓、薏苡仁、制半夏、砂仁壳、滑石、石斛、车前子、灯心草，服用三剂后各种症状减轻。改为厚朴（姜制）、枳壳（炒）、陈皮、大腹皮、薄荷、茵陈，服用两剂后腹胀消除，但黄色未退，求治心切。更换医生，使用沉香、焦白术等燥性药物，突然发作颧部黄疸，又用犀角、黄连，导致午前后潮热，再用生地黄、知母，黄疸病情更加严重，面色晦暗发黑，寒热往来且额头出汗，腹部胀满呕吐腹泻，舌苔腻白，膈间有粘痰。再次商量治疗方案，我认为这是湿邪盛所致。湿气壅滞则生热，治疗应当渗湿。使用四苓散加半夏曲、橘白、薏苡仁、煨姜，午前服药后腹泻减少，但呕吐粘液依旧，这是暑湿交蒸，浊痰失于下降，脉象呈现濡数，也是热从湿化的征象。改用胃苓汤去掉白术，加入制半夏、生薏苡仁、煨姜，用苍术（生用）锅巴煎汤送服，呕吐停止腹泻减少，只有烦热的起伏，随着太阳升沉而变化，午时未时特别严重，说明湿去而热留。因此使用黄芩、丹皮、山栀、赤茯苓、地骨皮、栝楼根汁，加入六一散（一钱）冲服。泻热症状全部停止，只有精神疲倦嗜睡，睡觉醒来感觉口燥，津液不能上承滋润肺脏。用人参、麦冬加入加味逍遥散中，扶助元气生津液，兼散郁蒸，脉息才平稳，只有左关脉较大。仿照《石室秘录》，使用白术（五钱）、茯苓（三钱）、薏苡仁（一两）、龙胆草、山栀、茵陈（各一钱）、潞党参、黄芪（各二钱），燥脾湿，培补真元，佐以泻火，后来仍然求速效，误服前医滋阴的药物，最终成为不治之症。
薛某：脾虚受湿，发病为阴黄，数年面部浮肿足部肿胀，头晕嘴唇苍白，便后出血，服用调补药物稍有好转。最近便血虽止，但大便溏薄不爽，小便短少频数，腹部胀大坚硬，身体发热疲倦，脉象细小濡数。给予补中益气升提并佐以淡渗利湿，腿足肿胀消退，脉象较前有神。继而又用潞党参、生白术、赤茯苓、丹皮、黑山栀、茵陈、牡蛎、升麻。大便通畅，热势较轻，中脘偶尔疼痛。去掉丹皮、山栀、升麻、白术，加入木香、陈皮、白芍，疼痛消除。改用肾气汤去掉山茱萸、泽泻、附子，加入炮姜，腹部逐渐变软，后来因为饮食不慎，最终以腹胀去世。
耿某：久患黄疸精神疲惫，头晕面部浮肿，不时发热口渴，脉象虚大阳气浮越不收敛。应当摄纳阴液调和阳气。用药包括牡蛎、白芍、五味子、西洋参、熟地黄、麦冬、石斛、橹豆皮，服用数剂见效。
钱某：黄疸兼夹食积，腹胀小便黄，使用健脾分消的药物，加入茵陈汤，腹胀依旧，判断为阳明胃腑瘀热郁蒸。使用禹余粮（醋淬七次）、生地黄、松萝茶（各四两）、绿矾（煅，一两）、枣肉（煨），研碎捣烂做成丸药。服用后痊愈。
唐某：童年时期面色发黄，能进食但头晕，不时发热，由于湿气重生热，热邪蒸腾变为黄色，胃热消化谷物，这属于谷疸。适宜使用猪肚丸。入秋后，进食后腹胀头晕大便溏薄，脉象虚小，热与湿搏结，由于太阴脾不运化，少阳化风。主治理脾阳，佐以熄风。用药包括生白术、潞党参、陈皮、薏苡仁、鸡内金、半夏曲（均炒制）、茵陈、赤茯苓、甘菊（炒制）、天麻（煨制），服用后痊愈。
Xu: Jaundice caused by essence depletion due to sexual excess, accompanied by dizziness, facial edema, weakness of the lower back and knees, burning sensation in the soles of the feet, and a pulse that is large and forceful but empty upon pressure. Prescribed Xue's Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) with Poria (Fuling, 茯苓) as the sovereign herb, removing Alisma (Zexie, 泽泻), adding Raw Rehmannia Root (Shengdihuang, 生地黄), Achyranthes Root (Niuxi, 牛膝 - steamed with wine), Lotus Seed (Lianzi, 莲子), and Coix Seed (Yiren, 薏苡仁). Decoction and pills were taken alternately; after meals, a tea brewed from Chrysanthemum (Ganju, 甘菊 - stir-fried), Gardenia (Shanzhi, 山栀 - blackened), Mulberry Leaf (Sangye, 桑叶 - tender), and Uncaria Hook (Gouteng, 钩藤) was consumed. Recovered after several months.
Gong: Qi depletion due to overwork leading to jaundice, reduced appetite, shortness of breath, yellow eyes, and dull complexion. Following Zhang Zhongjing's method, Huangqi Jianzhong Tang (Astragalus Decoction for Building the Middle) was used with Cinnamon Twig (Guizhi, 桂枝) and Ginseng (Renshen, 人参) removed, combined with Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder). Effective. Subsequently managed with Lotus Seed, Coix Seed, and Red Dates to regulate and tonify Spleen Yuan. This case specifically tonifies Spleen Yuan and does not follow the standard treatment for other types of jaundice; if Yinchen (Artemisia Capillaris) and Shanzhi (Gardenia) were uniformly used to drain damp-heat, it might have transformed into abdominal distension and fullness.
Shi: Yang jaundice transforms from heat; stasis-heat accumulates internally, steaming the gallbladder fluid, causing leakage and yellowing, bright like an orange peel. Currently, yellow eyes and bright complexion, yet dizzy, chest oppression without thirst, limb fatigue, heat in palms and soles, constipation, worsening with exertion. Pulse: right side large, left side deficient, soft, and soggy. Although dampness generates heat, a normal person with a large pulse indicates labor injury, and prolonged unresolved jaundice signals qi injury from physical labor. Used a method to tonify middle jiao and leach out dampness: Luduan Shen (Radix Codonopsis Pilosae), Poria, Coix Seed, Atractylodes Macrocephala Rhizome (Baizhu, 白术) (each 1.5 qian), Chicken Gizzard Lining (Jineijin, 鸡内金), Yinchen, Needle Sand (Zhensha, 针砂) (each 2 qian), Gardenia, Chrysanthemum, Moutan Cortex (Danpi, 丹皮) (each 1 qian), Honey-fried Licorice (Zhigancao, 炙甘草) (0.5 qian). After several doses, dizziness and chest oppression resolved, appetite increased. Removed Chrysanthemum and Gardenia, added Astragalus (Huangqi, 黄芪) and White Peony Root (Baishao, 白芍) (both stir-fried, 2 qian each), Lotus Seed (stir-fried, 10 grains). After more doses, jaundice gradually receded.
Certain Patient: In late summer, external steaming of summer-heat and dampness, internal accumulation of food and fluids, Spleen Yang failing to transport. Symptoms: dizziness, nausea, face yellow like smoked tobacco, abdominal distension after eating, afternoon irritability, dark urine. Pulse: soggy, left slightly larger. Initially treated with Qingli method (clearing and separating): Antelope Horn (Lingyangjiao, 羚羊角), Gardenia, Yinchen, Red Poria (Chifu, 赤茯), Coix Seed, Processed Pinellia (Zhibanxia, 制半夏), Amomum Villosum Shell (Sharenqiao, 砂仁壳), Talcum (Huashi, 滑石), Dendrobium (Shihu, 石斛), Plantago Seed (Cheqianzi, 车前子), Juncus Effusus (Dengxin, 灯心). After three doses, symptoms decreased. Changed to Magnolia Bark (N Houpo, 厚朴 - ginger processed), Bitter Orange (Zhike, 枳壳 - stir-fried), Tangerine Peel (Chenpi, 陈皮), Areca Peel (Dafupi, 大腹皮), Mint (Bohe, 薄荷), Yinchen. After two doses, distension resolved, but jaundice remained; patient sought quick results. Another doctor used Agarwood (Chenxiang, 沉香) and Stir-fried Atractylodes (Jiaozhu, 焦术), dry substances, suddenly causing malar jaundice. Then used Rhinoceros Horn (Xijiao, 犀角) and Coptis (Huanglian, 黄连), resulting in tidal fever before noon and afternoon. Then used Raw Rehmannia (Shengdi, 生地) and Anemarrhena (Zhimu, 知母), jaundice worsened, face became dull and black, alternating chills and fever with sweating on forehead, abdominal fullness, vomiting, diarrhea, greasy white tongue coating, sticky phlegm in diaphragm. Re-evaluated: determined this was excessive dampness. Dampness stagnation generates heat; treatment should leach dampness. Used Siling San (Four-Poria Powder) plus Pinellia Ferment (Banxiaqu, 半夏曲), Tangerine Pith (Jubai, 橘白), Coix Seed, Ginger (Wjiang, 煨姜). Before noon, diarrhea decreased, but vomiting of saliva persisted. Summer-heat and dampness steaming together, turbid saliva failed to descend, pulse soggy and rapid, indicating heat transforming from dampness. Changed to Weiling Tang (Poria and Magnolia Bark Decoction) removing Atractylodes, adding Processed Pinellia, Raw Coix Seed, Ginger. Brewed with Cangzhu (Cangshu, 苍术 - raw) pot crust soup. Vomiting stopped, diarrhea reduced. Only irritability and fever fluctuated with the sun's movement, severe at midday and early afternoon, indicating dampness gone but heat remains. Therefore used Scutellaria (Huangqin, 黄芩), Moutan Cortex, Gardenia, Red Poria, Groundcherry Root Bark (Digupi, 地骨皮), Trichosanthes Root Juice (Gualougenzhi, 栝楼根汁), plus Liuyi San (Six-to-One Powder, 1 qian) taken with water. Heat-draining symptoms stopped completely. Only mental fatigue, desire to sleep, dry mouth upon waking, fluids failing to ascend to Lung. Added Ginseng and Ophiopogon (Maidong, 麦冬) to Jiawei Xiaoyao San (Modified Free and Easy Wanderer Plus Ingredients Powder) to support Yuan and generate fluids, dispersing stagnant heat. Pulse normalized, only Left Guan pulse slightly large. Imitating "Shishi Milu", used Atractylodes Macrocephala (5 qian), Poria (3 qian), Coix Seed (1 liang), Gentian (Longdancao, 龙胆草), Gardenia, Yinchen (each 1 qian), Luduan Shen, Astragalus (each 2 qian) to dry Spleen dampness, cultivate True Yuan, assist in draining fire. Later, seeking quick results again, mistakenly took previous doctor's yin-nourishing agents, becoming incurable.
Xue: Spleen deficiency injuring dampness, disease manifested as Yin jaundice. For years, facial edema, foot swelling, dizziness, pale lips, hematochezia. Improved slightly with regulating and tonifying medicines. Recently, bleeding stopped, but stool is loose and unsatisfactory, urination short and frequent, abdomen large and hard, body heat, fatigue. Pulse: fine, small, soggy, rapid. Given Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for lifting, assisted by mild diuretics. Leg and foot swelling subsided, pulse became spirited. Continued with Luduan Shen, Raw Atractylodes, Red Poria, Moutan Cortex, Blackened Gardenia, Yinchen, Oyster Shell (Muli, 牡蛎), Cimicifuga (Shengma, 升麻). Bowels cleared, heat lighter, occasional epigastric pain. Removed Moutan, Gardenia, Cimicifuga, Atractylodes, added Costus Root (Muxiang, 木香), Tangerine Peel, White Peony Root. Pain ceased. Changed to Shenqi Tang (Kidney Qi Decoction) removing Cornus (Shanzhuyu, 山萸), Alisma, Aconite (Fuzi, 附子), adding Roasted Ginger. Abdomen gradually softened. Later, due to dietary indiscretion, died of abdominal distension.
Geng: Long-standing jaundice, mental fatigue, dizziness, facial edema, intermittent fever and thirst. Pulse: deficient and large, Yang floating and unconsolidated. Should gather Yin and harmonize Yang. Prescribed Oyster Shell, White Peony Root, Schisandra (Wuweizi, 五味), American Ginseng (Yangshen, 洋参), Prepared Rehmannia (Shudi, 熟地), Ophiopogon, Dendrobium, Rubus Fruit Skin (Ludoupi, 橹豆皮). Several doses effective.
Qian: Jaundice complicated by food stagnation, abdominal distension, yellow urine. Used spleen-strengthening and separating/dispersing herbs, added Yinchen Tang. Abdominal distension unchanged. Diagnosed as Stomach Fu organ stasis-heat and depression steaming. Used Yuyuliang (Yuyuliyang, 禹余粮 - vinegar-quenched 7 times), Raw Rehmannia, Songluo Tea (Songluocha, 松萝茶) (each 4 liang), Green Vitriol (Lvfan, 绿矾 - calcined, 1 liang), Jujube Flesh (Zairou, 枣肉 - baked). Pulverized and kneaded into pills. Cured after taking.
Tang: Yellow face in childhood, good appetite, dizziness, intermittent fever. Caused by dampness generating heat, heat steaming transforming into yellow, stomach heat digesting grain. This is Grain Jaundice (Gu Dan, 谷疸). Suitable for Pig Stomach Pill (Zhudu Wan, 猪肚丸). In autumn, postprandial distension, dizziness, loose stool. Pulse: deficient and small. Heat and dampness battling, Taiyin failing to transport, Shaoyang transforming into wind. Mainly regulate Spleen Yang, assist with extinguishing wind. Raw Atractylodes, Luduan Shen, Tangerine Peel, Coix Seed, Chicken Gizzard Lining, Pinellia Ferment (all stir-fried), Yinchen, Red Poria, Chrysanthemum (stir-fried), Gastrodia (Tianma, 天麻 - baked). Cured after taking.