凡黄候，其寸口脉近掌无脉，口鼻冷，并不可治。脉沉，渴欲饮水，小便不利者，皆发黄。腹满，舌痿黄，躁不得
睡，属黄家。
师曰∶病黄胆，发热烦喘，胸满口燥者，以发病时，火劫其汗，两热所得。然黄家所得，从湿得之。一身尽发热而
黄，肚热，热在里，当下之。
师曰∶黄胆之病，当以十八日为期，治之十日以上为瘥，反剧为难治。
又曰∶疸而渴者，其疸难治。疸而不渴者，其疸可治。发于阴部，其人必呕；发于阳部，其人振寒而发热也。
师曰∶诸病黄家，但利其小便。假令脉浮，当以汗解之，宜桂枝加黄 汤。又男子黄，小便自利，当与小建中汤。
黄胆腹满，小便不利而赤，自汗出，此为表和里实。当下之，宜大黄黄柏栀子芒硝汤。
黄胆病，小便色不变，欲自利，腹满而喘，不可除热，热除必哕。哕者，小半夏汤主之。
夫病酒黄胆，必小便不利，其候，心中热，足下热，是其证也。
心中懊 而热，不能食，时欲吐，名曰酒疸。
酒黄胆者，或无热，靖言了了，腹满欲吐，鼻燥。其脉浮者，先吐之；沉弦者，先下之。
酒疸，心中热，欲吐者，吐之即愈。
酒疸，黄色，心下结热而烦。
酒疸下之，久久为黑疸，目青面黑，中心如啖蒜齑状，大便正黑，皮肤爪之不仁。其脉浮弱，虽黑微黄，故知之。
寸口脉微而弱，微则恶寒，弱则发热。当发不发，骨节疼痛；当烦不烦，而极汗出。趺阳脉缓而迟，胃气反强。少
阴脉微，微则伤精，阴气寒冷，少阴不足，谷气反强，饱则烦满满则发热，客热消谷，发已复饥，热则腹满，微则伤精，
谷强则瘦，名曰谷寒热。阳明病，脉迟者，食难用饱，饱则发烦。头眩者，必小便难，此欲作谷疸。虽下之，腹满如故，
所以然者，脉迟故也。
师曰∶寸口脉浮而缓，浮则为风，缓则为痹。痹非中风，四肢苦烦，脾色必黄，瘀热以行。趺阳脉紧而数，数则为
热，热则消谷；紧则为寒，食即满也。尺脉浮为伤肾，趺阳脉紧为伤脾。风寒相搏，食谷则眩，谷气不消，胃中苦浊，
浊气下流，小便不通。阴被其寒，热流膀胱，身体尽黄，名曰谷疸。额上黑，微汗出，手足中热，薄暮则发，膀胱急，
小便自利，名曰女劳疸。腹如水状，不治。黄家，日晡所发热，而反恶寒，此为女劳得之。膀胱急，少腹满，身尽黄，
额上黑，足下热，因作黑疸。其腹胀如水状，大便必黑，时溏，此女劳之病，非水也。腹满者难治。硝石矾石散主之。
夫疟脉自弦也，弦数者多热，弦迟者多寒。弦小紧者可下之，弦迟者可温药，若脉紧数者，可发汗，针灸之。浮大者，
吐之。脉弦数者，风发也，以饮食消息止之。疟病结为 瘕，名曰疟母，鳖甲煎丸主之。疟但见热者，温疟也。其脉平，
身无寒但热，骨节疼烦，时呕，朝发暮解，暮发朝解，名曰温疟，白虎加桂枝汤主之。疟多寒者，牡疟也，蜀漆散主之。
凡是黄疸的脉候，如果寸口脉搏在靠近手掌根部处摸不到，且口鼻发冷，都属于不可治愈的病症。若脉象沉，患者口渴想喝水，但小便不通畅，都会导致身体发黄。腹部胀满，舌体萎软且色黄，烦躁无法入睡，属于黄疸病的范畴。
老师说：患黄疸病，出现发热、心烦、气喘、胸部胀满、口燥等症状，是因为发病时用火法强行发汗，导致外热与内热相合所致。然而，黄疸病的成因，多由湿邪引起。如果全身都发热并且发黄，腹部发热，这是热邪在体内，应当用泻下法治疗。
老师说：黄疸病，病程以十八天为期限，治疗十几天以上能痊愈；如果病情反而加重，就难以治疗。
又说：黄疸病伴有口渴的，难以治疗；不伴有口渴的，可以治疗。病发于阴分的，患者一定会呕吐；病发于阳分的，患者会出现寒战并发热。
老师说：所有黄疸病患者，只要通利小便即可。假如脉象浮，应当用发汗法解除表邪，适宜使用桂枝加黄芪汤。另外，男子出现面色萎黄，但小便通畅自利，应当给予小建中汤。
黄疸病伴腹部胀满，小便不通畅且颜色红赤，自汗出，这是表证已解而里实热盛。应当用泻下法，适宜使用大黄硝石汤（注：原文“大黄黄柏栀子芒硝汤”即后世所称大黄硝石汤或类似方义，此处依原文列药）。
黄疸病，小便颜色没有改变，想要腹泻，腹部胀满且气喘，不可清热，若强行清热必然会导致呃逆。出现呃逆的，用小半夏汤主治。
患有酒疸的人，一定小便不通畅，其症状表现为心中烦热，脚底发热，这就是它的证候。
酒疸病，有的没有热象，神情安静清晰，腹部胀满想吐，鼻干。脉象浮的，先用催吐法；脉象沉弦的，先用泻下法。
酒疸如果用泻下法治疗，久而久之会变成黑疸，眼睛青黑，面色黑，心窝部像吃了蒜泥一样辛辣灼痛，大便完全发黑，皮肤麻木，抓之不痛。脉象浮弱，虽然面色黑但隐约带黄，据此可以判断。
寸口脉微而弱，脉微则恶寒，脉弱则发热。应当发汗却没有发汗，导致骨节疼痛；应当心烦却没有心烦，却极度出汗。趺阳脉缓而迟，胃气反而强盛。少阴脉微，脉微则损伤精气，阴气寒冷，少阴不足，谷气反而强盛，吃饱了就烦闷胀满，胀满了就发热，客居的热邪消化谷物，发完热后又感到饥饿，热则腹部胀满，脉微则损伤精气，谷气强盛则身体消瘦，名叫谷寒热。阳明病，脉象迟缓的，吃饭难以吃饱，吃饱了就心烦。头晕眩的，一定小便困难，这是将要发作谷疸。即使用了泻下法，腹部胀满依然如故，之所以这样，是因为脉迟的缘故。
老师说：寸口脉浮而缓，浮则代表风邪，缓则代表痹阻。这种痹阻不是中风，四肢苦于烦热，脾的颜色必现黄色，瘀滞的热邪随之运行。趺阳脉紧而数，数则代表热，热则消谷善饥；紧则代表寒，进食后就胀满。尺脉浮表示伤肾，趺阳脉紧表示伤脾。风寒相互搏结，进食后头晕，谷气不能消化，胃中苦于浊气，浊气向下流注，小便不通。阴分受寒邪侵袭，热邪流入膀胱，全身发黄，名叫谷疸。额头发黑，微微出汗，手足心发热，傍晚时分发作，膀胱拘急，小便自利，名叫女劳疸。腹部胀大如水状，属于不治之症。黄疸病患者，下午申时发热，反而恶寒，这是女劳疸引起的。膀胱拘急，小腹胀满，全身发黄，额头发黑，脚底发热，因此形成黑疸。其腹部胀大像有水状，大便一定发黑，时而稀溏，这是女劳疸的病，不是水饮病。腹部胀满的难治。用硝石矾石散主治。
疟疾的脉象自然呈弦脉，弦数脉的多热，弦迟脉的多寒。脉弦小紧的可以泻下，脉弦迟的可以用温药，如果脉紧数的，可以发汗或用针灸治疗。脉浮大的，用催吐法。脉弦数的，是风热发作，通过饮食调理来止住它。疟疾病结成瘕块，名叫疟母，用鳖甲煎丸主治。疟疾只见到发热的，是温疟。脉象平和，身体只有发热没有恶寒，骨节疼痛烦扰，时常呕吐，早晨发作晚上缓解，或者晚上发作早晨缓解，名叫温疟，用白虎加桂枝汤主治。疟疾怕冷的多的，是牡疟，用蜀漆散主治。
In all cases of jaundice, if the pulse at Cun Kou (Cun position) is imperceptible near the palm crease, and the mouth and nose are cold, it is incurable. If the pulse is deep, there is thirst with a desire to drink water, but urination is difficult; these conditions all lead to yellowing of the body. Abdominal fullness, a flaccid tongue with yellowish discoloration, restlessness, and inability to sleep indicate belonging to the category of jaundice.
The Master said: In cases of jaundice accompanied by fever, irritability, panting, chest fullness, and dry mouth, this results from the application of fire therapy to force sweating during the onset of the disease, causing external heat and internal heat to combine. However, jaundice generally arises from dampness. When the entire body is hot and yellow, with abdominal heat, the heat is located in the interior, and purgation should be employed.
The Master said: The course of jaundice is expected to last eighteen days. If treated for more than ten days, recovery may occur; if the condition worsens instead, it becomes difficult to treat.
It is also said: Jaundice accompanied by thirst is difficult to treat; jaundice without thirst is treatable. If the disease originates in the Yin aspect, vomiting will necessarily occur; if it originates in the Yang aspect, chills followed by fever will occur.
The Master said: For all patients with jaundice, promoting urination is sufficient. If the pulse is floating, release via sweating is indicated, suitable for Guizhi Jia Huangqi Tang (Cinnamon Twig Decoction plus Astragalus). Furthermore, for men presenting with yellow complexion but normal, free urination, Xiao Jianzhong Tang (Minor Construct the Middle Decoction) should be administered.
In jaundice with abdominal fullness, difficult and red urination, and spontaneous sweating, this indicates that the exterior is harmonized while the interior is excess and solid. Purgation is indicated, suitable for Dahuang Huangbai Zhizi Mangxiao Tang (Rhubarb, Phellodendron, Gardenia, and Mirabilite Decoction).
In jaundice where urine color remains unchanged, there is a desire for diarrhea, abdominal fullness, and wheezing, clearing heat is contraindicated; forcing heat clearance will inevitably cause hiccups. For hiccups, Xiaobanxia Tang (Minor Ginger and Pinellia Decoction) is the primary treatment.
Patients with Jiudan (Alcoholic Jaundice) invariably have difficult urination. Their signs include heat in the heart region and heat under the feet; this constitutes the syndrome.
Oppression and heat in the heart region, inability to eat, and occasional desire to vomit constitute the name Jiudan (Alcoholic Jaundice).
In Jiudan, some present without heat, remaining quiet and clear-minded, with abdominal fullness, desire to vomit, and dry nose. If the pulse is floating, induce vomiting first; if the pulse is deep and wiry, induce purgation first.
For Jiudan with heat in the heart region and desire to vomit, vomiting leads to immediate relief.
Jiudan presents with yellow complexion, heat knotting in the epigastrium causing irritability.
If Jiudan is treated with purgation, it may eventually transform into Heidan (Black Jaundice), characterized by blue-black eyes, black face, a sensation in the center like eating minced garlic, completely black stool, and skin numbness where scratching does not elicit pain. With a floating and weak pulse, although the complexion is black, a faint yellow hue reveals the diagnosis.
At Cun Kou, if the pulse is micro and weak: micro indicates aversion to cold; weak indicates fever. If sweating should have occurred but did not, joint pain results; if irritability should have occurred but did not, profuse sweating occurs. At Zu Yang, if the pulse is slow and late, stomach qi is excessively strong. At Shao Yin, if the pulse is micro, essence is damaged; yin qi becomes cold, Shao Yin is deficient, and grain qi becomes excessive. After eating, there is irritability and fullness; after fullness, fever arises. Exogenous heat digests grain, leading to hunger again after fever subsides. Heat causes abdominal fullness; micro pulse damages essence. Excessive grain qi leads to emaciation, named Gure Re (Grain Cold-Heat). In Yangming disease, a slow pulse means one cannot eat until full; eating until full causes irritability. Dizziness implies difficult urination, indicating impending Gu Dan (Grain Jaundice). Even if purged, abdominal fullness persists because the pulse is slow.
The Master said: At Cun Kou, if the pulse is floating and moderate: floating indicates wind; moderate indicates bi obstruction. This bi is not wind-stroke; limbs suffer from irritability. The spleen's color must appear yellow, and stagnant heat circulates. At Zu Yang, if the pulse is tight and rapid: rapid indicates heat, which digests grain; tight indicates cold, causing fullness immediately after eating. Floating Chi pulse indicates kidney injury; tight Zu Yang pulse indicates spleen injury. Wind and cold contend; eating causes dizziness, grain qi fails to digest, stomach suffers from turbidity, turbid qi flows downward, and urination stops. Yin is affected by cold, heat flows into the bladder, the whole body turns yellow, named Gu Dan (Grain Jaundice). Black forehead, slight sweating, heat in hands and feet, evening onset, bladder urgency, and free urination constitute Nv Lao Dan (Female Labor Jaundice). Abdominal distension resembling water accumulation is incurable. Jaundice patients who feel fever in the late afternoon but paradoxically feel aversion to cold have contracted Nv Lao Dan. Bladder urgency, lower abdominal fullness, whole-body yellowing, black forehead, and heat under feet result in Heidan (Black Jaundice). Abdominal distension like water, black stool, and occasional loose stools characterize Nv Lao disease, not water retention. Abdominal fullness is difficult to treat. Xiaoshi Fanshi San (Niter and Alum Powder) is the primary treatment.
Malaria pulses are naturally wiry. Wiry and rapid pulses indicate much heat; wiry and slow pulses indicate much cold. Wiry, small, and tight pulses can be purged; wiry and slow pulses respond to warming herbs. Tight and rapid pulses respond to sweating or acupuncture. Floating and large pulses respond to vomiting. Wiry and rapid pulses indicate wind-fire; dietary management stops them. Malaria forming masses is called Nuomu (Malaria Mother), treated with Biejia Jian Wan (Turtle Shell Decoction). Malaria presenting only with heat is Wen Malaria (Warm Malaria). The pulse is normal, the body has no chills only heat, joints are painful and irritable, occasional vomiting, resolving in the morning if starting in the evening, or vice versa, is named Wen Malaria, treated with Baihu Jia Guizhi Tang (White Tiger plus Cinnamon Twig Decoction). Malaria with predominant chills is Mu Malaria, treated with Shuqi San (Shuqi Powder).