治诸黄瘅病。
猪膏（半斤。） 乱发（如鸡子大三枚。）
上二味。和膏中煎之。发消药成。分再服。病从小便出。（千金云。太医校尉史脱家婢
黄病
歌曰 诸黄腹鼓大便坚。古有猪膏八两传。乱发三枚鸡子大。发消药熟始停煎。
男元犀按。猪膏主润燥。发灰主通小便。故神农本草经有自还神化句最妙。谓发为血余。
乃
沈
当
惑
物
未
车
治黄瘅病。
茵陈（十分。） 五苓散（五分。）
上二味和。先食饮服方寸匕。日三服。
歌曰 瘅病传来两解方。（表里两解。）茵陈末入五苓尝。五苓五分专行水。十分茵陈却
退黄
男元犀按。五苓散功专发汗利水。助脾转输。茵陈蒿功专治湿退黄。合五苓散为解郁利
湿之
散转
治黄瘅腹满。小便不利而赤。自汗出。此为表和里实。当下之。宜此汤。
大黄 黄柏 硝石（各四两。） 栀子（十五枚。）
上四味。以水六升。煮取二升。去滓。内硝更煮。取一升。顿服。
歌曰 自汗（表无邪也。）屎难（大便难。）腹满时。表和里实贵随宜。硝黄四两柏同数。
十五
男元犀按。黄瘅病湿热交郁。不得外通。今自汗出者。外已通也。腹满小便不利而赤者。
湿热
栀
（见痰饮。） 治黄瘅病小便色不变。欲自利。腹满而喘。不可除热。热除必哕。哕
者此汤主之。
元犀按。伤寒论云。瘀热在里。身必发黄。此云小便色不变欲自利者。可知内无瘀热矣。
盖喘满属中气虚弱。故曰不可除热。师恐后人误投寒剂伤中。故立小半夏汤以救误治也。用
半
又按。若中虚发黄者。余每用理中汤、真武汤等加茵陈蒿。多效。
治疗各种黄疸病。
猪膏（半斤。） 乱发（如鸡蛋大三枚。）
以上两味药，在猪膏中煎煮。头发融化后药即制成。分两次服用。病邪从小便排出。（《千金方》记载：太医校尉史脱家的婢女患黄疸病）
歌诀曰：各种黄疸伴腹部胀大、大便干硬。古法传承用猪膏八两。乱发三枚，大小如鸡蛋。待头发融化、药液熬熟即可停止煎煮。
男元犀按语：猪膏主要功效是润燥。发灰主要功效是通利小便。所以《神农本草经》中有“自还神化”的句子最为精妙，意思是头发是血的剩余物转化而来。
治疗黄疸病。
茵陈（十分。） 五苓散（五分。）
以上两味药混合均匀。饭前用米汤送服一方寸匕的药量，每日三次服用。
歌诀曰：黄疸病传来两种解法。（表里双解。）将茵陈末加入五苓散中服用。五苓散五分专门行水利尿。十分茵陈却能退黄。
男元犀按语：五苓散的功效专在于发汗利水，帮助脾脏转输运化。茵陈蒿的功效专在于治疗湿邪、消退黄疸。与五苓散合用，起到解郁利湿的作用。
治疗黄疸病伴有腹部胀满，小便不通畅且颜色红赤，身体自然出汗。这是表证已和而里实证存在的情况，应当采用攻下法。适宜使用此汤剂。
大黄 黄柏 硝石（各四两。） 栀子（十五枚。）
以上四味药，用水六升，煮取二升药液，滤去药渣。加入硝石再煮，取一升药液，一次性顿服。
歌诀曰：自然出汗（说明表无邪气），大便困难，腹部胀满。表证已和、里实证存在时贵在随宜处理。硝石和大黄各四两，黄柏数量相同。栀子十五枚。
男元犀按语：黄疸病湿热交结郁滞，不能向外通达。现在身体自然出汗，说明外部已经通达。腹部胀满、小便不通畅且颜色红赤，说明……
（见痰饮篇。）治疗黄疸病，小便颜色没有改变，想要自行腹泻，腹部胀满且气喘。不可以清除热邪，若强行清热必然导致呃逆。出现呃逆者，用此汤剂主治。
元犀按语：《伤寒论》说：“瘀热在体内，身体一定会发黄。”这里说小便颜色不变、想要自行腹泻的，可知内部没有瘀热了。大概气喘胀满属于中气虚弱，所以说不可清除热邪。老师担心后人误投寒凉药物损伤中气，所以设立小半夏汤来补救误治。使用半……
又按语：如果是中焦虚寒导致的发黄，我每次使用理中汤、真武汤等加入茵陈蒿，大多有效。
Treats various cases of jaundice (Huangdan Bing).
Zhu Gao (Pig Fat, half a jin.) Luan Fa (Three pieces of tangled hair, the size of chicken eggs.)
Take the above two ingredients. Simmer them in the pig fat. When the hair dissolves, the medicine is ready. Divide into two doses for administration. The pathogenic factor will exit through urination. (Qianjin Fang records: A maid in the household of Taiyi Xiaowei Shi Tuo suffered from jaundice.)
Song says: Various types of jaundice accompanied by abdominal distension and hard stools. An ancient method transmits using eight liang of Zhu Gao. Three pieces of Luan Fa, sized like chicken eggs. Stop simmering only when the hair has dissolved and the medicine is cooked.
Nan Yuanxi notes: Zhu Gao primarily moistens dryness. Luan Hui (Hair Ash) primarily promotes urination. Thus, the Shen Nong Ben Cao Jing contains the phrase "self-returning divine transformation," which is most exquisite, meaning that hair is the residue of blood.
Treats jaundice.
Yin Chen (Ten parts.) Wu Ling San (Five parts.)
Mix the above two ingredients. Take one cun bi of the powder with rice water before meals, three times a day.
Song says: Jaundice offers two methods of resolution. (Resolving both exterior and interior.) Mix Yin Chen powder with Wu Ling San to taste. Five parts of Wu Ling San specifically promote water metabolism. Ten parts of Yin Chen effectively resolve jaundice.
Nan Yuanxi notes: Wu Ling San's function specializes in inducing sweating and promoting diuresis, assisting the Spleen's transportation and transformation. Yin Chen Hao's function specializes in treating dampness and resolving jaundice. Combined with Wu Ling San, it acts to resolve stagnation and promote dampness drainage.
Treats jaundice with abdominal fullness, difficult and dark red urination, and spontaneous sweating. This indicates that the exterior is harmonized while the interior is excess; purgation should be applied. This decoction is suitable.
Da Huang Huang Bo Xiao Shi (Each four liang.) Zhi Zi (Fifteen fruits.)
Take the above four ingredients. Decoct with six sheng of water until two sheng remain. Remove the dregs. Add Xiao Shi and boil again until one sheng remains. Take as a single dose.
Song says: Spontaneous sweating (indicating no pathogen at the exterior), difficulty passing stool, abdominal fullness. When the exterior is harmonized and the interior is excess, treatment must be appropriate to the situation. Xiao Shi and Da Huang are each four liang, and Huang Bo is the same amount. Fifteen Zhi Zi.
Nan Yuanxi notes: In jaundice, damp-heat intertwines and stagnates, unable to vent outward. Now, since there is spontaneous sweating, the exterior is already open. Abdominal fullness, difficult and dark red urination indicate...
(See Phlegm-Fluids chapter.) Treats jaundice where the urine color does not change, there is a desire for spontaneous diarrhea, abdominal fullness, and wheezing. Heat-clearing methods must not be used; clearing heat will inevitably cause hiccups. For those presenting with hiccups, this decoction is the primary treatment.
Yuanxi notes: Shanghan Lun states: "Stagnant heat in the interior causes the body to turn yellow." Here, it states that with unchanged urine color and a desire for spontaneous diarrhea, it can be known that there is no stagnant heat internally. Generally, wheezing and fullness belong to deficiency of Middle Qi; therefore, it is said that heat-clearing is contraindicated. The Master feared later generations might mistakenly administer cold agents damaging the Middle Qi, thus establishing Xiao Banxia Tang to remedy mis-treatment. Using Ban...
Furthermore, regarding jaundice caused by Middle Deficiency, I often use Lizhong Tang or Zhenwu Tang added with Yin Chen Hao, achieving good results.