1．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。
2．趺阳脉紧而数，数则为热，热则消谷；紧则为寒，食即为满。尺脉浮为伤肾，趺阳脉紧为伤脾。风寒相
搏，食谷即眩，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，薄暮即发，膀胱急，小便自利，名曰女劳疸。腹如水状，不治。
心中懊 而热，不能食，时欲吐，名曰酒疸。
3．阳明病，脉迟者，食难用饱，饱则发烦，头眩，小便必难，此欲作谷疸。虽下之，腹满如故，所以然者，
脉迟故也。
4．夫病酒黄胆，必小便不利。其候心中热，足下热，是其证也。
5．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。
6．酒疸，心中热，欲吐者，吐之愈。
7．酒疸下之，久久为黑疸，目青面黑，心中如啖蒜齑状，大便正黑，皮肤爪之不仁，其脉浮弱，虽黑微黄，
故知之。
8．师曰∶病黄胆，发热烦喘、胸满口燥者，以病发时，火劫其汗，两热相得。然黄家所得，从湿得之。一身
尽发热，面黄，肚热，热在里，当下之。
9．脉沉，渴欲饮水，小便不利者，皆发黄。
10．腹满，舌痿黄，躁不得睡，属黄家。（舌痿疑作身痿。）
11．黄胆之病，当以十八日为期，治之十日以上瘥，反剧为难治。
12．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；阳部，其人振寒而发热也。
13．谷疸之为病，寒热不食，食即头眩，心胸不安，久久发黄为谷疸，茵陈蒿汤主之。
茵陈蒿汤方
茵陈蒿（六两） 栀子（十四枚） 大黄（二两）
上三味，以水一斗，先煮茵陈，减六升，纳二味，煮取三升，去滓，分温三服。小盒饭利，尿如皂角汁状，
色正赤，一宿腹减，黄从小便去也。
14．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。
硝石矾石散方
硝石 矾石（烧，等分）
上二味，为散，以大麦粥汁和服方寸匕，日三服。病随大小便去，小便正黄，大便正黑，是候也。
15．酒黄胆，心中懊 ，或热痛，栀子大黄汤主之。
栀子大黄汤方
栀子（十四枚） 大黄（一两） 枳实（五枚） 豉（一升）
上四味，以水六升，煮取三升，分温三服。
16．诸病黄家，但利其小便。假令脉浮，当以汗解之，宜桂枝加黄 汤主之。（方见水气病中。）
17．诸黄，猪膏发煎主之。
猪膏发煎方
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。
18．黄胆病，茵陈五苓散主之。（一本云茵陈汤及五苓散并主之。）
茵陈五苓散方
茵陈蒿末（十分） 五苓散（五分，方见痰饮中）
上二味和，先食饮方寸匕，日三服。
19．黄胆腹满，小便不利而赤，自汗出，此为表和里实，当下之，宜大黄硝石汤。
大黄硝石汤方
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，纳硝，更煮取一升，顿服。
20．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。（方见痰饮中。）
21．诸黄，腹痛而呕者，宜柴胡汤。（必小柴胡汤，方见呕吐中。）
22．男子黄，小便自利，当与虚劳小建中汤。（方见虚劳中。）
附方
瓜蒂汤 治诸黄。（方见 病中。）
《千金》麻黄醇酒汤 治黄胆。
麻黄（三两）
上一味，以美清酒五升，煮取二升半，顿服尽。冬月用酒，春月用水煮之。
1．寸口脉象浮而缓，浮脉主风邪，缓脉主湿痹。这种痹证并非中风，患者四肢感到烦扰不适，脾的色（黄色）必然显露于外，这是因为瘀滞的热邪在体内运行所致。
2．趺阳脉紧而数，数脉主热，热则消谷善饥；紧脉主寒，寒则进食后即感脘腹胀满。尺脉浮表示伤肾，趺阳脉紧表示伤脾。风寒之邪相互搏结，进食后即感头晕目眩，水谷之气不能正常运化，胃中苦于浊气内停，浊气向下流注，导致小便不通，阴分受寒邪侵袭，热邪流入膀胱，全身发黄，称为谷疸。
若额部发黑，微汗出，手足心发热，傍晚时分发作，膀胱拘急但小便自利，称为女劳疸。腹部胀大如水状者，属难治之症。
心中烦闷懊恼且发热，不能进食，时常想呕吐，称为酒疸。
3．阳明病，脉迟者，饮食难以吃饱，饱食后则心烦、头晕目眩，小便必定困难，这是将要发生谷疸的表现。即使使用下法治疗，腹满症状依旧，之所以如此，是因为脉迟（里虚有寒）的缘故。
4．患有酒疸病的，必然小便不利。其征候是心中发热，足下发热，这就是它的证候。
5．酒疸病患者，有的可能没有明显热象，神情安静清楚，但腹部胀满欲吐，鼻干。脉象浮的，先用吐法；脉象沉弦的，先用下法。
7．酒疸误用下法，日久会变成黑疸，表现为眼睛青黑，面色黧黑，心中感觉像吃了蒜泥一样辛辣难受，大便颜色正黑，皮肤麻木不仁，按之无痛觉，脉象浮弱，虽然肤色黑但隐约带黄，据此可以判断。
8．老师说：患黄疸病，出现发热、烦躁、气喘、胸满、口燥等症状，是因为发病时用火劫迫出汗，导致两热相合。然而黄疸病的成因，多由湿邪引起。若全身尽皆发热，面黄，肚腹热，热邪在里，应当用下法治疗。
9．脉象沉，口渴想喝水，小便不利的，都会发黄。
10．腹部胀满，舌体痿软且色黄，烦躁不得安睡，属于黄疸病范畴。（“舌痿”疑为“身痿”之误。）
11．黄疸病，以十八天为期限，治疗十天后痊愈，如果反而加重，则难治。
12．黄疸而口渴的，其病难治；黄疸而不口渴的，其病可治。病发于阴分的，其人必呕吐；病发于阳分的，其人必恶寒而发热。
13．谷疸这种病，表现为寒热交替、不能进食，进食即头晕目眩，心胸不安，日久发黄即为谷疸，用茵陈蒿汤主治。
茵陈蒿汤方
茵陈蒿（六两） 栀子（十四枚） 大黄（二两）
以上三味药，用水一斗，先煮茵陈蒿，水量减少六升，再加入另外两味药，煮取三升药液，去渣，分三次温服。小便通畅如流水，尿液像皂角汁一样颜色深赤，一夜之后腹部胀满减轻，黄色从小便排出。
14．黄疸病患者，日晡时（下午3-5点）发热，反而恶寒，这是女劳疸所致。膀胱拘急，少腹满，全身发黄，额头发黑，足下发热，因此形成黑疸。其腹部胀大如水状，大便必黑，时而溏泄，这是女劳疸的病，不是水气病。腹部胀满者难治，用硝石矾石散主治。
硝石矾石散方
硝石 矾石（烧制，等分）
以上两味药，研为散剂，用大麦粥汁送服一方寸匕，每日三次服药。病邪随大小便排出，小便变正黄色，大便变正黑色，这是病情好转的征候。
15．酒疸，心中烦闷懊恼，或伴有热痛，用栀子大黄汤主治。
栀子大黄汤方
栀子（十四枚） 大黄（一两） 枳实（五枚） 豆豉（一升）
以上四味药，用水六升，煮取三升药液，分三次温服。
16．各种黄疸病患者，只要通利小便即可。假如脉象浮，应当用发汗法解除表邪，宜用桂枝加黄芪汤主治。（方见水气病篇中。）
17．各种黄疸病，用猪膏发煎主治。
猪膏发煎方
猪脂油（半斤） 乱发（如鸡蛋大三枚）
以上两味药，混合在膏中煎煮，头发熔化药成，分两次服用。病邪从小便排出。
18．黄疸病，用茵陈五苓散主治。（另一版本说是茵陈汤及五苓散并用。）
茵陈五苓散方
茵陈蒿末（十分） 五苓散（五分，方见痰饮篇中）
以上两味药混合，饭前用开水送服一方寸匕，每日三次。
19．黄疸病，腹部胀满，小便不利且色赤，自汗出，这是表气和里实，应当用下法，宜用大黄硝石汤。
大黄硝石汤方
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，去渣，加入硝石，再煮取一升药液，一次性顿服。
20．黄疸病，小便颜色不变（指不黄），想要自利（腹泻），腹部胀满且喘，不可清热，若强行清热必致呃逆。呃逆者，用小半夏汤主治。（方见痰饮篇中。）
21．各种黄疸病，腹痛且呕吐的，宜用柴胡汤。（必是小柴胡汤，方见呕吐篇中。）
22．男子发黄，小便自利的，应当给予虚劳小建中汤治疗。（方见虚劳篇中。）
附方
瓜蒂汤 治疗各种黄疸。（方见疟病篇中。）
《千金》麻黄醇酒汤 治疗黄疸。
麻黄（三两）
以上一味药，用优质清酒五升，煮取二升半，一次性顿服。冬季用酒煮，春季用水煮。
1. The pulse at the Cun Kou (radial artery) is floating and moderate. Floating indicates Wind, while moderate indicates Bi syndrome (obstruction). This Bi syndrome is not Wind-stroke; the patient suffers from irritability in the four limbs. The color of the Spleen (Yellow) must manifest externally, as stagnant Heat circulates within.
2. The pulse at the Fu Yang (dorsalis pedis artery) is tight and rapid. Rapid indicates Heat, which consumes grain (increases appetite); tight indicates Cold, causing fullness after eating. A floating pulse at the Chi position indicates Kidney injury, while a tight pulse at the Fu Yang indicates Spleen injury. When Wind and Cold contend, dizziness occurs immediately after eating. Grain Qi fails to digest, leading to turbidity in the Stomach. Turbid Qi flows downward, obstructing urination. Yin is affected by Cold, while Heat flows into the Bladder, resulting in generalized jaundice, termed Gu Dan (Grain Jaundice).
If the forehead is black, with slight sweating, heat in the hands and feet, occurring at dusk, bladder urgency but free urination, it is termed Nü Lao Dan (Female Labor Jaundice). Abdominal distension resembling water accumulation is difficult to treat.
If there is mental restlessness and heat, inability to eat, and frequent desire to vomit, it is termed Jiu Dan (Wine Jaundice).
3. In Yangming disease, if the pulse is slow, the patient cannot eat to fullness. Fullness leads to irritability and dizziness, and urination will certainly be difficult. This indicates impending Gu Dan (Grain Jaundice). Even if purgatives are used, abdominal fullness remains. The reason is the slow pulse (indicating interior deficiency/cold).
4. Patients with Wine Jaundice invariably have difficulty urinating. Their symptoms include heat in the chest and heat under the feet; this constitutes the syndrome.
5. In Wine Jaundice, some patients may lack obvious heat, appearing calm and clear-minded, yet suffer from abdominal fullness, desire to vomit, and dry nose. If the pulse is floating, induce vomiting first; if the pulse is deep and wiry, purge first.
6. For Wine Jaundice with heat in the chest and desire to vomit, inducing vomiting leads to recovery.
7. If Wine Jaundice is incorrectly treated with purgatives, it may eventually transform into Hei Dan (Black Jaundice), characterized by blue-black eyes, dark complexion, a sensation in the heart as if consuming minced garlic, black stool, and skin numbness (loss of sensation upon pinching). The pulse is floating and weak. Although the skin is black, a hint of yellow remains, allowing for identification.
8. The Master said: In jaundice presenting with fever, irritability, panting, chest fullness, and dry mouth, these symptoms arise because sweat was forced out by fire therapy during the onset, causing two heats to combine. However, jaundice generally arises from Dampness. If the whole body is feverish, the face is yellow, and the abdomen is hot, the heat is in the interior, and purgation should be employed.
9. A deep pulse, thirst with desire to drink water, and difficulty urination all indicate the development of jaundice.
10. Abdominal fullness, flaccid tongue with yellowish discoloration, restlessness preventing sleep, belong to the category of jaundice. ("Flaccid tongue" is suspected to be a textual error for "flaccid body".)
11. For jaundice, the prognosis period is eighteen days. If cured after ten days of treatment, good; if the condition worsens, it is difficult to treat.
12. Jaundice accompanied by thirst is difficult to treat; jaundice without thirst is treatable. If the disease originates in the Yin aspect, vomiting will occur; if in the Yang aspect, chills followed by fever will occur.
13. Gu Dan (Grain Jaundice) presents with alternating chills and fever, anorexia, dizziness after eating, and mental unease. Prolonged manifestation results in yellowing, treated with Yin Chen Hao Tang (Artemisiae Scopariae Decoction).
Yin Chen Hao Tang Formula
Yin Chen Hao (Herba Artemisiae Scopariae, 6 liang) Zhi Zi (Fructus Gardeniae, 14 pieces) Da Huang (Radix et Rhizoma Rhei, 2 liang)
Boil the three ingredients in one dou (approx. 10 liters) of water. First boil Yin Chen Hao until the volume reduces by six sheng (approx. 6 liters). Add the other two ingredients and boil to obtain three sheng (approx. 3 liters). Strain and divide into three warm doses. Urination will become smooth, urine will resemble soapberry juice (dark red). After one night, abdominal fullness decreases, and the yellow pathogen exits via urination.
14. Jaundice patients who experience fever at dusk (Shi hour, 3-5 PM) but paradoxically feel aversion to cold, this is caused by Nü Lao (female labor/kidney deficiency). With bladder urgency, lower abdominal fullness, generalized jaundice, black forehead, and heat under the feet, Hei Dan (Black Jaundice) forms. Abdominal distension resembling water accumulation, black stool, and occasional loose stools characterize this Nü Lao disease, distinct from water retention. Abdominal fullness indicates a difficult case, treated with Xiao Shi Fan Shi San (Niter and Alum Powder).
Xiao Shi Fan Shi San Formula
Xiao Shi (Natrii Nitras) Fan Shi (Alumen, calcined), equal parts.
Grind the two ingredients into powder. Mix with barley gruel juice and administer one cun bi (approx. 2-3 grams) per dose, three times daily. The pathogen exits via stool or urine. Yellow urine and black stool indicate the expected outcome.
15. For Wine Jaundice with mental restlessness (Ao Nu) or heat pain, use Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction).
Zhi Zi Da Huang Tang Formula
Zhi Zi (Fructus Gardeniae, 14 pieces) Da Huang (Radix et Rhizoma Rhei, 1 liang) Zhi Shi (Fructus Aurantii Immaturus, 5 pieces) Chi Dou (Semen Sojae Praeparatum, 1 sheng)
Boil the four ingredients in six sheng of water to obtain three sheng. Divide into three warm doses.
16. For all types of jaundice, promoting urination is the primary method. If the pulse is floating, resolve the exterior with sweating; Gui Zhi Jia Huang Qi Tang (Cinnamon Twig Decoction plus Astragalus) is indicated. (Formula see Water Qi Disease chapter.)
17. For various jaundices, Zhu Gao Fa Jian (Pig Fat and Hair Fritter) is indicated.
Zhu Gao Fa Jian Formula
Zhu Gao (Medulla Cerae Suilla, half jin) Luan Fa (Crinis Carbonisatus, three pieces the size of chicken eggs)
Melt the hair in the pig fat over heat until dissolved. Divide into two doses. The pathogen exits via urination.
18. For jaundice, Yin Chen Wu Ling San (Artemisia Scoparia and Five-Ingredient Powder with Poria) is indicated. (Another version states Yin Chen Tang and Wu Ling San combined.)
Yin Chen Wu Ling San Formula
Yin Chen Hao Mo (Powder of Herba Artemisiae Scopariae, 10 fen) Wu Ling San (Five-Ingredient Powder with Poria, 5 fen, formula see Phlegm-Rheum chapter)
Mix the two powders. Take one cun bi before meals with warm water, three times daily.
19. In jaundice with abdominal fullness, difficult and dark-red urination, and spontaneous sweating, the exterior is harmonious but the interior is excess. Purge the interior using Da Huang Xiao Shi Tang (Rhubarb and Niter Decoction).
Da Huang Xiao Shi Tang Formula
Da Huang (Radix et Rhizoma Rhei) Huang Bo (Cortex Phellodendri) Xiao Shi (Natrii Nitras) [each 4 liang] Zhi Zi (Fructus Gardeniae, 15 pieces)
Boil the four ingredients in six sheng of water to obtain two sheng. Strain, add Xiao Shi, and boil again to obtain one sheng. Take in one dose.
20. In jaundice, if urine color does not change (remains normal), the patient desires diarrhea, has abdominal fullness and wheezing, clearing heat is contraindicated. Clearing heat will cause hiccups. For hiccups, Xiao Ban Xia Tang (Minor Pinellia Decoction) is indicated. (Formula see Phlegm-Rheum chapter.)
21. For various jaundices with abdominal pain and vomiting, Chai Hu Tang (Bupleurum Decoction) is indicated. (Specifically Xiao Chai Hu Tang, formula see Vomiting chapter.)
22. For men with jaundice and free urination, treat with Xu Lao Xiao Jian Zhong Tang (Deficiency Consumption Minor Construct the Middle Decoction). (Formula see Deficiency Consumption chapter.)
Appendix Formulas
Gua Di Tang (Melon Stalk Decoction) treats various jaundices. (Formula see Malaria chapter.)
Qian Jin Ma Huang Chun Jiu Tang (from Essential Prescriptions Worth a Thousand Gold) treats jaundice.
Ma Huang (Herba Ephedrae, 3 liang)
Boil the single ingredient in five sheng of fine clear wine to obtain two and a half sheng. Take in one dose. Use wine for winter boiling; use water for spring boiling.