大意
中央黄色。入通于脾。（内经）故黄胆多属太阴湿土脾不能胜湿。复挟火热。则郁而生黄。（必读）
内因
发黄譬如 曲相似。多因饮食劳倦。致伤脾土。不能运化。湿热内蓄。无由发泄。流于脾肉。遍于四肢。凡郁
郁不得志之人。多生此病。（指掌）是脾虚为本。湿热为标。当于标本缓急审之。（三锡）
外候
湿热熏蒸。土气洋溢。面目爪甲身体俱黄。外则肌肉微肿。一身尽痛。内则胸腹满闷。嗳气不舒。日晡潮热。
四肢倦怠。大便去而不快。小便赤而短少。或溺出沾衣。犹如柏染。（汇补）
疸分干湿
干黄热胜。色黄而明。大便燥结。湿黄湿胜。色黄而晦。大便润利。（入门）
疸分阴阳
诸疸发于阴经。必呕恶。发于阳经。必寒热。（汇补）
疸分难易
疸症口渴。其病难治。疸而不渴。其病易治。又焦黄难治。淡黄易治。其壮年气盛。脉大。易治。老人气弱。脉微。
难治。（汇补）
黄汗
黄汗者。汗出染衣。色如熏黄。身肿且痛。虽发热而不渴。暮则烦躁不眠。因脾热汗出。入水澡浴。为风所闭。
热留皮肤所致。属表症。宜解热湿。和其荣。用丁香 鼻法。 去黄水。自愈。（汇补）
黄胆
黄胆者。小溺面目牙齿指甲肢体皆黄。食已善饥。安卧懒动。憎寒壮热。日晡转甚。因脏腑不和。水谷相并。
湿热蒸郁。邪留胃中。复为风热所搏。结滞不散。内蒸外郁。病属里症。便闭者。攻之。溺涩者。利之。二便利者。
清解之。（汇补）
谷疸
谷疸者。发寒热。不能食。食已头眩。腹胀不安。心烦怫郁。右关脉滑。因胃热大饥。因而过食。停滞中脘。病属
中焦。宜先去水谷之积滞。次解脾胃之郁热。（汇补）
酒疸
心胸懊 。欲吐不食。腹如水状。足心热。足胫满。小便黄。眼黄鼻燥。面发赤斑。因大醉当风。毒留清道。病属
上焦。脉浮洪者。当探吐。设或误下。邪陷肾中。变成黑疸。面黑目青。如啖蒜齑。大便黑。肤粗燥。其脉微弱者。
不治。（汇补）
女劳疸
女劳疸者。黄如灰色。额黑头汗。手足心热。薄暮不发热。日反恶寒。小腹急满。小便不利。大便时溏。腹胀如
水状。类黑疸。因过于劳伤。又于大热之中。犯房入水所致。病属下焦。非水气也。宜培脾肾。若腹满多渴者。
难治。（汇补）
虚黄
虚黄口淡怔忡。耳鸣脚软。怠惰无力。寒热微作。小便浊涩。皮肤虽黄。而爪甲如常。此劳倦太过。气血俱虚。
不可妄用凉药。宜调中培土。若面色青黄。小便自利。谓之木胜于土。中走于外。又宜培脾抑肝。（汇补）
阴黄
阴黄者。四肢清冷。自汗泄利。小便清白。身不发热。脉沉而迟。乃脾肾虚损所致。宜温补。亦有过服寒凉。变
成阴症。身目俱黄。肤冷胃疼。眼涩不开。大便自利者。茵陈附子干姜汤。（汇补）
疸兼杂症
黄胆初起。多兼杂症。如风症色黄带青。寒症色黄带黯。暑症色黄带赤。瘀血发黄。喜忘如狂。溺清便黑。食
积发黄。恶食噫气。胸满腹胀。又有瘀热入心发黄者。有痰火入肺发黄者。不拘外感内伤。怫郁不舒。皆能
成疸。（入门）
死症
凡疸以十八日为期。治之十日以上为瘥。如寸口近掌处无脉。口鼻皆冷。泄利呕哕。胃气已脱者死。环口
黧黑。汗出如油。脾气已绝者死。面见黑色。摇头直视者死。疸毒冲心。如狂喘满。腹胀气短者死。脉微小有
神。小便利而不渴者生。口渴者死。其云十八日为期者。此指真黄而言。若脾虚面黄。不在此例。（汇补）
脉法
五疸实热。脉必洪数。虚小微涩。症属虚弱。脉浮可吐。脉沉可下。脉洪泄利而渴者死。脉小泄利不渴者生。
入腹胀满。脉弦硬者凶。（汇补）
治法
疸病总以清热导湿为主。若病久脾胃衰薄者。当补中。（必读）
治禁苦寒
疸属脾胃。不可骤用凉药伤胃。必佐以甘温。君以淡渗。则湿易除。而热易解。若纯用苦寒。重伤脾肾。轻则
呕哕下利。重则喘满腹胀。（汇补）
久宜温补
疸属虚损。宜温补肾肝。真阳之气一升。而邪火自敛。若疸用茵陈。必利小便。枯竭肝津肾水。则强病幸痊。
而雀目肿胀又作。（入门）若面黄而黑。下有遗溺者。不治。（汇补）
用药
主以胃苓汤。茯苓渗湿汤。溺涩。加木通。食积。加山楂。属虚者。培脾。用四君子汤。补肾。八味丸。阴黄。理
中汤。平肝。建中汤。
验死生法
用二指重按病患胸前膻中穴。二指左右分开。中间有血色者。可治。无血色者。不治。
黄病选方
茯苓渗湿汤 治湿热发黄。口渴溺涩。少食少卧。
茵陈（七分） 茯苓（六分） 泽泻 猪苓 白术 苍术 陈皮 黄连 山栀 秦艽 防己 葛根（各四分） 灯
心草
水煎。
胃苓汤 治脾胃不和。倦怠食少。
苍术（中） 浓朴（中） 陈皮（上） 甘草（下） 泽泻（中） 茯苓（上）
猪苓（下）
加味五苓散 治寒湿发黄。
白术（上） 茯苓（上） 猪苓（下） 泽泻（中） 肉桂（下） 茵陈（中） 干姜（中） 浓朴
理中丸 治阴黄为病。（方见中寒）
黄 建中汤 治虚黄。（方见汗病）
加味四君子汤 治女劳疸。
即四君子加黄 、白芍、扁豆。水煎。
茵陈干姜附子汤（宝鉴） 治寒湿虚黄。
附子（三钱炮） 干姜（二钱炮） 茵陈（一钱二分） 茯苓（五分） 草豆蔻（一钱煨） 枳壳 半夏 泽泻（各
五分） 白术（四分） 陈皮（三分）
水煎。
补中益气汤 加茵陈、栀子、猪苓、泽泻、黄连、滑石、赤苓。
地黄丸 加苍术、白术、茵陈、酒炒黄柏。
汤丸二药。早晚兼进。又当服绿矾丸更效。二方皆治虚疸。
针砂丸（秘方） 治黄胆积块。久而不愈。
猪苓 泽泻 白术 赤苓（各五钱） 苍术 砂仁 香附 浓朴（各二两） 三棱 莪术 乌药 茵陈 草果 针
砂（醋炒七次各一两） 木香 青皮 陈皮（各七钱）
上为末。老酒打糊丸。梧子大。每服七十丸。忌食鸡、鱼。
硝石矾石散 治女劳疸。
硝石 矾石（各炒研等分）
为末。大麦粥汁调服二钱。一方。用滑石。不用硝石。
治方 用生姜二斤。捣烂煎汤。于无风处洗浴。令遍身汗出如雨。后用高良姜根捣汁服之。令其或吐或
下。行一二次即愈。又方。用大芫荽捣汁酒服。三朝即愈。又方。用绿矾不拘多少。炒至白色。为末。煮
枣肉丸。如樱桃大。每服七丸。早午晚各一服。黄酒送下。忌醋生冷发物。或有虫。即吐出。如神。
【大意】
黄色对应中央方位，其气内通于脾脏。（出自《内经》）因此黄疸病多属于太阴湿土范畴，因脾脏不能胜任职司运化水湿的功能。若再夹杂火热之邪，则导致湿热郁结而发为黄疸。（出自《必读》）
【内因】
身体发黄就像酒曲发酵变黄一样。多因饮食不节、劳倦过度，损伤脾土，导致脾胃不能正常运化，湿热在体内蓄积，无处发泄，流注于脾所主的肌肉，遍布四肢。凡是心情抑郁、不得志的人，容易患此病。（出自《指掌》）这是以脾虚为本，湿热为标，应当根据标本缓急的原则来辨证施治。（出自《三锡》）
【外候】
湿热熏蒸，脾土之气洋溢，导致面目、爪甲及全身皮肤都发黄。外在表现为肌肉轻微肿胀，全身疼痛；内在表现为胸腹满闷，嗳气不畅，下午（日晡时）出现潮热，四肢倦怠无力，大便排出但不爽快，小便颜色红赤且量少，或者尿液流出沾染衣物，颜色像柏树汁染色一样。（出自《汇补》）
【疸分干湿】
干黄是热邪偏盛，肤色黄而鲜明，大便干燥结硬；湿黄是湿邪偏盛，肤色黄而晦暗，大便稀软滑利。（出自《入门》）
【疸分阴阳】
各种黄疸若发于阴经，必然伴有呕吐恶心；若发于阳经，必然伴有恶寒发热。（出自《汇补》）
【疸分难易】
黄疸病患者如果口渴，病情难治；如果不口渴，病情易治。另外，焦黄色的难治，淡黄色的易治。青壮年气血旺盛，脉象大的，易治；老年人气血虚弱，脉象微弱的，难治。（出自《汇补》）
【黄汗】
黄汗症，出汗染衣，颜色像熏黄一样，身体肿胀且疼痛，虽然发热但不口渴，傍晚时分烦躁失眠。这是因为脾热出汗，此时入水洗澡，被风邪闭塞腠理，热邪留滞于皮肤所致。这属于表证，宜用解热祛湿、调和营卫的方法，使用丁香鼻疗法，去除黄水，即可自愈。（出自《汇补》）
【黄胆】
黄胆症，小便短少，面目、牙齿、指甲、肢体全部发黄，吃完饭容易感到饥饿，安静躺着却懒于活动，憎恶寒冷且高热，下午加重。这是因为脏腑功能不和，水谷精微混杂，湿热蒸腾郁结，邪气留滞在胃中，又受到风热邪气的搏击，结滞不散，内蒸外郁。此病属于里证。大便闭结的，用攻下法；小便涩滞的，用利水法；大小便通畅的，用清热解郁法。（出自《汇补》）
【谷疸】
谷疸症，发作时恶寒发热，不能进食，吃完饭后头晕目眩，腹部胀满不安，心烦意乱情绪抑郁，右关脉滑。这是因为胃热导致极度饥饿，因而暴饮暴食，食物停滞在中脘。此病属于中焦病变，宜先去除水谷的积滞，其次解除脾胃的郁热。（出自《汇补》）
【酒疸】
酒疸症，心胸烦闷懊恼，想吐又吐不出，腹部胀大像有水状，脚心发热，小腿肿胀，小便黄，眼睛黄，鼻子干燥，面部出现红斑。这是因为在大醉之后受风，毒邪留在清窍通道。此病属于上焦病变，脉象浮洪的，应当用探吐法。如果误用下法，邪气陷入肾中，变成黑疸，面色黑，眼周青，像吃了蒜泥一样，大便黑色，皮肤粗糙干燥，脉象微弱的，属不治之症。（出自《汇补》）
【女劳疸】
女劳疸症，肤色黄如灰色，额头黑，只有头部出汗，手足心发热，傍晚不发热，反而怕冷，小腹紧急胀满，小便不利，大便时常溏薄，腹部胀大像有水状，类似黑疸。这是因为房事过度劳伤，又在大热之中行房后入水所致。此病属下焦病变，不是水气病。宜培补脾肾。如果腹部胀满且口渴严重的，难治。（出自《汇补》）
【虚黄】
虚黄症，口淡无味，心悸怔忡，耳鸣，脚膝酸软，怠惰无力，寒热症状轻微发作，小便浑浊涩滞。虽然皮肤发黄，但爪甲颜色正常。这是由于劳倦太过，导致气血俱虚。不可妄用凉药，宜调理中焦、培补脾胃。如果面色青黄，小便自利，这叫木气胜于土气，湿气走散于体表，又宜培补脾土、抑制肝木。（出自《汇补》）
【阴黄】
阴黄症，四肢清冷，自汗出，腹泻，小便清白，身体不发热，脉象沉迟。这是由脾肾虚损所致。宜用温补法。也有因为过服寒凉药物，变成阴证，导致身目俱黄，皮肤冰冷，胃痛，眼睛干涩睁不开，大便自利的，可用茵陈附子干姜汤治疗。（出自《汇补》）
【疸兼杂症】
黄疸初起，多兼杂其他病症。如风邪致病的，色黄带青；寒邪致病的，色黄带黯；暑邪致病的，色黄带赤；瘀血发黄，喜忘事像发狂一样，小便清亮大便黑色；食积发黄，厌恶食物，嗳气，胸满腹胀。又有瘀热入心发黄者，有痰火入肺发黄者。不拘泥于是外感还是内伤，只要怫郁不舒，都能形成黄疸。（出自《入门》）
【死症】
凡是黄疸病，以十八天为期限，治疗十天以上能痊愈。如果寸口脉搏在靠近手掌处摸不到，口鼻皆冷，泄泻呕吐呃逆，胃气已经脱绝的，死亡。口周发黑，汗出如油，脾气已经绝灭的，死亡。面色现黑色，摇头直视的，死亡。黄疸毒邪冲心，像发狂一样气喘胸闷，腹胀气短的，死亡。脉象微弱但小有神气，小便通利且不口渴的，可生。口渴的，死亡。所说的十八天为期限，是指真黄而言。如果是脾虚导致的脸色黄，不在此例。（出自《汇补》）
【脉法】
五种黄疸属实热证，脉象必定洪数；若脉象微小细涩，症属虚弱。脉浮的可采用吐法，脉沉的可采用下法。脉洪大且泄利口渴的，死亡；脉小且泄利不口渴的，可生。进入腹胀满阶段，脉象弦硬的，凶险。（出自《汇补》）
【治法】
黄疸病总以清热、导湿为主要原则。如果病久脾胃衰弱的，应当补益中气。（出自《必读》）
【治禁苦寒】
黄疸病位在脾胃，不可骤然使用凉药损伤胃气，必须佐以甘温药物，君药以淡渗利湿为主，这样湿气容易祛除，热邪容易解除。如果纯用苦寒药物，重伤脾肾，轻则导致呕吐呃逆、腹泻，重则导致气喘胸闷、腹胀。（出自《汇补》）
【久宜温补】
黄疸若属虚损，宜温补肾肝，真阳之气一旦升发，邪火自然收敛。如果黄疸只用茵陈，必然利尿，枯竭肝津肾水，则虽然侥幸痊愈，但雀盲症和肿胀又会发作。（出自《入门》）如果面黄且黑，下有遗尿的，不治。（出自《汇补》）
【用药】
主方用胃苓汤、茯苓渗湿汤。小便涩滞的，加木通；有食积的，加山楂。属虚证的，培补脾土，用四君子汤；补肾，用八味丸。阴黄，用理中汤；平抑肝木，用建中汤。
【验死生法】
用两个手指的重力按压患者胸前的膻中穴，然后将两指左右分开，中间如果有血色显现的，可治；如果没有血色的，不治。
【黄病选方】
茯苓渗湿汤：治疗湿热发黄，口渴小便涩滞，少吃少睡。
组成：茵陈（七分）、茯苓（六分）、泽泻、猪苓、白术、苍术、陈皮、黄连、山栀、秦艽、防己、葛根（各四分）、灯心草。
用法：水煎服。
胃苓汤：治疗脾胃不和，倦怠食少。
组成：苍术（中量）、厚朴（中量）、陈皮（上等量）、甘草（下等量）、泽泻（中量）、茯苓（上等量）、猪苓（下等量）。
加味五苓散：治疗寒湿发黄。
组成：白术（上等量）、茯苓（上等量）、猪苓（下等量）、泽泻（中量）、肉桂（下等量）、茵陈（中量）、干姜（中量）、厚朴。
理中丸：治疗阴黄病。（方剂见“中寒”章节）
加味四君子汤：治疗女劳疸。
即四君子汤加黄芪、白芍、扁豆。水煎服。
茵陈干姜附子汤（出自《宝鉴》）：治疗寒湿虚黄。
组成：附子（三钱，炮制）、干姜（二钱，炮制）、茵陈（一钱二分）、茯苓（五分）、草豆蔻（一钱，煨制）、枳壳、半夏、泽泻（各五分）、白术（四分）、陈皮（三分）。
用法：水煎服。
地黄丸：加苍术、白术、茵陈、酒炒黄柏。
用法：汤剂和丸药早晚同时服用。另外应当服用绿矾丸效果更好。这两个方子都治疗虚疸。
针砂丸（秘方）：治疗黄疸积块，久而不愈。
组成：猪苓、泽泻、白术、赤茯苓（各五钱）、苍术、砂仁、香附、厚朴（各二两）、三棱、莪术、乌药、茵陈、草果、针砂（醋炒七次，各一两）、木香、青皮、陈皮（各七钱）。
用法：以上研为末，老酒打糊为丸，梧桐子大。每次服用七十丸。忌食鸡、鱼。
硝石矾石散：治疗女劳疸。
组成：硝石、矾石（各炒研，等分）。
用法：研为末，用大麦粥汁调服二钱。另一方案，用滑石，不用硝石。
治方1：用生姜二斤，捣烂煎汤，在无风处洗浴，令遍身汗出如雨。后用高良姜根捣汁服用，令其或吐或下，进行一两次即愈。
治方2：用大芫荽捣汁，用酒送服，三天即愈。
治方3：用绿矾不拘多少，炒至白色，研为末，煮枣肉为丸，如樱桃大。每次服用七丸，早午晚各一次，黄酒送下。忌醋、生冷、发物。如有虫，即吐出，效果如神。
[General Principle]
Yellow corresponds to the Central direction, and its qi internally connects with the Spleen (Zang-organ). (From *Neijing*) Therefore, Jaundice (Huangdan) mostly belongs to the category of Taiyin Damp-Earth, where the Spleen fails to overcome dampness. If it is further complicated by Fire-Heat, stagnation occurs leading to jaundice. (From *Bidu*)
[Etiology: Internal Factors]
The yellowing of the body is similar to the fermentation of Qu (yeast starter). It is mostly caused by improper diet and overexertion, which damage the Spleen Earth, impairing transportation and transformation. Damp-Heat accumulates internally without an outlet, flowing into the muscles governed by the Spleen and spreading to the four limbs. Individuals who are often depressed or frustrated are prone to this disease. (From *Zhizhang*) This condition has Spleen Deficiency as the root and Damp-Heat as the branch; treatment should be based on prioritizing either the root or the branch according to urgency. (From *Sanxi*)
[External Manifestations]
Damp-Heat steaming and steaming causes the Qi of Earth to overflow, resulting in yellowing of the face, eyes, nails, and whole body. Externally, there is slight muscle swelling and generalized body pain; internally, there is chest and abdominal fullness, belching with discomfort, tidal fever in the late afternoon (Ribu), fatigue in the four limbs, incomplete defecation, and dark, scanty urine that may stain clothes like cypress dye. (From *Huibu*)
[Classification: Dry vs. Wet Jaundice]
Dry Jaundice is characterized by excess Heat, presenting with bright yellow skin and dry, constipated stool. Wet Jaundice is characterized by excess Dampness, presenting with dull yellow skin and loose, slippery stool. (From *Rumen*)
[Classification: Yin vs. Yang Jaundice]
Jaundice originating from Yin meridians must present with vomiting and nausea; jaundice originating from Yang meridians must present with aversion to cold and fever. (From *Huibu*)
[Prognosis: Difficulty vs. Ease]
Jaundice patients who feel thirsty have difficult-to-treat conditions; those without thirst have easy-to-treat conditions. Furthermore, scorched-yellow color is difficult to treat, while pale yellow is easy to treat. Young adults with robust Qi and large pulses are easy to treat; the elderly with weak Qi and faint pulses are difficult to treat. (From *Huibu*)
[Yellow Sweat]
Yellow Sweat syndrome involves sweat staining clothes yellow like smoked yellow, accompanied by body swelling and pain. Although there is fever, there is no thirst. In the evening, there is irritability and insomnia. This is caused by Spleen Heat inducing sweating, followed by bathing in water which closes the pores due to Wind, trapping Heat in the skin. This belongs to Exterior Syndromes. Treatment should focus on resolving Heat and expelling Dampness, harmonizing Ying and Wei. Use Dingxiang Bi Fa (Clove Nasal Therapy) to remove yellow fluid, and it will heal spontaneously. (From *Huibu*)
[Yellow Jaundice / Huangdan]
Huangdan involves scanty urination, and yellowing of the face, eyes, teeth, nails, and limbs. The patient feels hungry after eating but lies still and lacks energy, experiencing aversion to cold and high fever that worsens in the late afternoon. This is due to disharmony of the Zang-Fu organs, mixing of water and grain, steaming and stagnation of Damp-Heat, pathogenic factors remaining in the Stomach, and being combated by Wind-Heat, leading to stagnation. Internally steaming and externally stagnating, this belongs to Interior Syndromes. If stool is constipated, use purgation; if urination is obstructed, use diuresis; if both are free, use clearing and resolving methods. (From *Huibu*)
[Grain Jaundice / Gu Dan]
Gu Dan presents with chills and fever, inability to eat, dizziness after eating, abdominal distension and discomfort, mental restlessness and depression, and a slippery pulse at the right Guan position. It is caused by Stomach Heat leading to extreme hunger, followed by overeating, causing food stagnation in the Zhongwan area. This belongs to Middle Jiao pathology. Treatment should first eliminate food and fluid stagnation, then resolve Spleen and Stomach heat stagnation. (From *Huibu*)
[Wine Jaundice / Jiu Dan]
Jiu Dan presents with chest and heart oppression and distress, desire to vomit but unable to, abdominal distension resembling water accumulation, hot soles of feet, swollen calves, yellow urine, yellow eyes, dry nose, and red spots on the face. It is caused by drinking heavily in the wind, leaving toxins in the clear pathways. This belongs to Upper Jiao pathology. If the pulse is floating and surging, induce vomiting. If mistakenly treated with purgatives, pathogens sink into the Kidney, transforming into Black Jaundice (Hei Dan), presenting with black face, blue around eyes, appearance like eating minced garlic, black stool, rough dry skin, and faint pulse, which is incurable. (From *Huibu*)
[Sexual Exhaustion Jaundice / Nv Lao Dan]
Nv Lao Dan presents with grayish-yellow skin, black forehead, sweating only on the head, hot palms and soles, no fever in the evening but aversion to cold, urgent and full lower abdomen, difficult urination, loose stools, and abdominal distension resembling water accumulation, resembling Black Jaundice. It is caused by excessive sexual exertion and entering water during high heat. This belongs to Lower Jiao pathology, not Water-Qi disease. Treatment should tonify Spleen and Kidney. If abdominal fullness and severe thirst occur, it is difficult to treat. (From *Huibu*)
[Deficiency Yellow / Xu Huang]
Xu Huang presents with bland taste, palpitations, tinnitus, weak legs, lethargy, mild alternating chills and fever, turbid and obstructed urination. Although the skin is yellow, the nails remain normal. This is due to excessive labor and fatigue causing Qi and Blood deficiency. Do not recklessly use cooling herbs; instead, regulate the Middle and tonify Earth. If the complexion is greenish-yellow with free urination, it indicates Wood overcoming Earth, with dampness spreading outward; treat by tonifying Spleen and suppressing Liver. (From *Huibu*)
[Yin Jaundice / Yin Huang]
Yin Huang presents with cold extremities, spontaneous sweating, diarrhea, clear and white urine, no body fever, and deep, slow pulse. This is caused by Spleen and Kidney deficiency. Treatment should use warming and tonifying methods. Some cases result from overuse of cold/cool herbs turning into Yin Syndrome, presenting with yellow body and eyes, cold skin, stomach pain, dry eyes unable to open, and free stool. Treat with Yinchen Fuzi Ganjiang Tang. (From *Huibu*)
[Complicated Symptoms of Jaundice]
Early-stage jaundice often has complicated symptoms. Wind-induced jaundice has yellow color with green tint; Cold-induced has yellow with dark tint; Summerheat-induced has yellow with red tint. Blood stasis jaundice involves forgetfulness and mania-like behavior, clear urine, and black stool. Food stagnation jaundice involves food aversion, belching, chest/abdominal fullness. There are also cases of Heat entering the Heart causing jaundice, or Phlegm-Fire entering the Lung causing jaundice. Regardless of external contraction or internal injury, any frustration and stagnation can lead to jaundice. (From *Rumen*)
[Death Signs]
For all jaundice, 18 days is the critical period; healing within 10+ days of treatment is favorable. Death occurs if: pulse is absent near the Cun Kou (radial artery) close to the palm, mouth/nose are cold, with diarrhea/vomiting/hiccups indicating Stomach Qi exhaustion; black ring around the mouth with oily sweat indicating Spleen Qi exhaustion; black face with head shaking and fixed gaze; jaundice toxin rushing to the Heart with mania, panting, fullness, shortness of breath. Survival signs include: faint pulse with some spirit, free urination, no thirst. Thirst indicates death. The "18 days" rule applies to True Jaundice; Spleen Deficiency yellowing is excluded. (From *Huibu*)
[Pulse Diagnosis]
Five types of Jaundice with Excess-Heat show surging and rapid pulses. Deficient/mild cases show small, fine, choppy pulses. Floating pulse indicates suitability for emesis; sinking pulse indicates suitability for purgation. Surging pulse with diarrhea and thirst indicates death; small pulse with diarrhea and no thirst indicates survival. Abdominal fullness with wiry, hard pulse is ominous. (From *Huibu*)
[Treatment Principles]
Jaundice treatment primarily focuses on clearing Heat and guiding out Dampness. For long-term cases with weak Spleen/Stomach, tonify the Middle Jiao. (From *Bidu*)
[Contraindication: Bitter-Cold Herbs]
Jaundice involves Spleen/Stomach; do not abruptly use cooling herbs to damage Stomach Qi. Must assist with Sweet-Warm herbs and lead with Light-Diuretic herbs to easily remove Dampness and resolve Heat. Pure bitter-cold herbs severely damage Spleen/Kidney, causing mild vomiting/diarrhea or severe panting/abdominal distension. (From *Huibu*)
[Long-term Warming and Tonifying]
If Jaundice is due to deficiency, warm and tonify Kidney/Liver. Once True Yang rises, evil fire naturally subsides. Using only Yinchen (Artemisiae Scopariae Herba) causes excessive diuresis, depleting Liver fluids and Kidney water, potentially curing the illness temporarily but causing night blindness and swelling to recur. Black face with yellow hue and enuresis is incurable. (From *Rumen*, *Huibu*)
[Medication]
Main formulas: Weiling Tang, Fuling Shen Shi Tang. Add Mutong (Akebiae Caulis) for obstructed urination; add Shanzha (Crataegi Fructus) for food stagnation. For deficiency, tonify Spleen using Sijunzi Tang; tonify Kidney using Bawei Wan. For Yin Jaundice, use Lizhong Tang. To soothe Liver, use Jianzhong Tang.
[Method to Verify Life/Death]
Press firmly with two fingers on the Shanzhong acupoint (CV17) on the patient's chest, then separate fingers left and right. If blood color appears in the middle, it is treatable; if no blood color, it is untreatable.
[Selected Formulas for Jaundice Disease]
Fuling Shen Shi Tang: Treats Damp-Heat jaundice, thirst, obstructed urination, poor appetite, and sleep.
Ingredients: Yinchen (7 fen), Fuling (6 fen), Zexie, Zhuling, Baizhu, Cangzhu, Chenpi, Huanglian, Shanzhi, Qinjiao, Fangji, Gegen (4 fen each), Dengxincao.
Preparation: Decoct in water.
Weiling Tang: Treats Spleen-Stomach disharmony, fatigue, and poor appetite.
Ingredients: Cangzhu (Medium), Houpo (Medium), Chenpi (High), Gancao (Low), Zexie (Medium), Fuling (High), Zhuling (Low).
Jiawei Wuling San: Treats Cold-Damp jaundice.
Ingredients: Baizhu (High), Fuling (High), Zhuling (Low), Zexie (Medium), Rougui (Low), Yinchen (Medium), Ganjiang (Medium), Houpo.
Lizhong Wan: Treats Yin Jaundice. (See "Middle Cold" chapter for formula).
Huangqi Jianzhong Tang: Treats Deficiency Yellow. (See "Sweat Disease" chapter for formula).
Jiawei Sijunzi Tang: Treats Sexual Exhaustion Jaundice.
Composition: Sijunzi Tang plus Huangqi, Baishao, Bian Dou. Decoct in water.
Yinchen Ganjiang Fuzi Tang (From *Baojian*): Treats Cold-Damp Deficiency Jaundice.
Ingredients: Fuzi (3 qian, processed), Ganjiang (2 qian, processed), Yinchen (1.2 qian), Fuling (5 fen), Caodoukou (1 qian, roasted), Zhike, Banxia, Zexie (5 fen each), Baizhu (4 fen), Chenpi (3 fen).
Preparation: Decoct in water.
Buzhong Yiqi Tang: Add Yinchen, Zhizi, Zhuling, Zexie, Huanglian, Huashi, Chifuling.
Dihuang Wan: Add Cangzhu, Baizhu, Yinchen, Jiuchaohuangbai (Alcohol-fried Phellodendri Cortex).
Usage: Take decoction and pills morning and evening. Also take Lvfan Wan for better effect. Both treat Deficiency Jaundice.
Zhensha Wan (Secret Recipe): Treats Jaundice with masses, chronic and unhealed.
Ingredients: Zhuling, Zexie, Baizhu, Chifuling (5 qian each), Cangzhu, Sharen, Xiangfu, Houpo (2 liang each), Sanleng, Ezhu, Wuyao, Yinchen, Caoguo, Zhensha (vinegar-fried 7 times, 1 liang each), Muxiang, Qingpi, Chenpi (7 qian each).
Preparation: Powder, paste with old wine, form pills size of wutong seeds. Take 70 pills per dose. Avoid chicken and fish.
Xishi Fanshi San: Treats Sexual Exhaustion Jaundice.
Ingredients: Xishi, Fanshi (roasted, ground, equal parts).
Preparation: Powder, mix with barley porridge juice, take 2 qian. Alternative: use Huashi instead of Xishi.
Treatment Method 1: Use 2 jin of fresh ginger, crush and decoct in water. Bathe in a windless place until profuse sweating. Then drink juice of Gaoliangjiang root to induce vomiting or purgation. One or two doses cure.
Treatment Method 2: Crush Da Yuanxu, mix with wine, drink. Cured in 3 days.
Treatment Method 3: Use Lvfan (Green Vitriol), roast until white, powder, make pills with jujube meat size of cherries. Take 7 pills, 3 times daily, with yellow wine. Avoid vinegar, raw/cold, and stimulating foods. Parasites may be expelled. Effect is miraculous.