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Jingui Yaolue · Essentials from the Golden Cabinet
15. Jaundice · Pulses, Signs and Treatment
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Floating, relaxed cunkou: floating means wind, relaxation impediment. Impediment is not wind-strike. Limbs are vexed; Spleen color must be yellow as stagnant heat moves.
Tight, rapid fuyang: rapid means heat consuming grain, tight cold making fullness upon eating. Floating chi injures Kidney; tight fuyang Spleen. Wind and cold contend: eating grain makes dizziness; grain qi is not digested, Stomach suffers turbidity. Turbid qi flows down, urine blocks, yin receives cold and heat flows into Bladder. Whole-body yellow is grain jaundice.
Black forehead, slight sweat, hot palms and soles, attacks near dusk, tense Bladder but free urine are named nülao jaundice. Water-like abdomen is not treatable. Vexing, remorseful heat in Heart, inability to eat and occasional desire to vomit are wine jaundice.
Yang Brightness illness with slow pulse makes eating to fullness difficult. Fullness brings vexation, dizziness and difficult urine: grain jaundice is impending. Purging leaves abdominal fullness unchanged because the pulse is slow.
Wine jaundice must have difficult urine, heat in Heart and under the feet: these are its signs.
Wine jaundice may lack heat, with quiet, clear speech, full abdomen, desire to vomit and dry nose. Floating pulse: first induce vomiting. Deep, wiry: first purge.
Wine jaundice with Heart heat and desire to vomit recovers through emesis.
Purging wine jaundice eventually makes black jaundice: blue-green eyes, black face, Heart feeling as if minced garlic had been eaten, truly black stool, skin numb to scratching, floating weak pulse. Despite blackness, slight yellow identifies it.
The Master says: Jaundice with fever, vexing panting, chest fullness and dry mouth comes from fire-forced sweating at onset, two heats joining. But yellow illnesses are acquired through dampness. Whole-body fever and yellow, hot belly and interior heat should be purged.
Deep pulse, thirst desiring water and difficult urine all produce yellow.
Full abdomen, withered-yellow tongue, dryness and inability to sleep belong to yellow illness. The note suspects withered tongue should read withered body.
Jaundice should have an eighteen-day limit; with treatment it recovers after more than ten days. Worsening instead makes it difficult to treat.
Jaundice with thirst is difficult to treat, without thirst treatable. Arising in the yin region it must cause vomiting; in the yang region shivering and fever.
Grain jaundice gives cold and heat, no eating, dizziness upon eating and unsettled Heart and chest, eventually yellow. Yinchenhao Tang governs.
Yellow illness with late-afternoon fever yet aversion to cold comes from nülao. Tense Bladder, full lower abdomen, wholly yellow body, black forehead and hot soles make black jaundice. Abdomen swells like Water, stool must be black, sometimes sloppy. This is nülao illness, not Water. Full abdomen is difficult to treat. Xiaoshi Fanshi San governs.
Wine jaundice with Heart remorseful vexation or hot pain is governed by Zhizi Dahuang Tang.
In all yellow illnesses, promote urine only. If the pulse floats, resolve through sweat; Guizhi Jia Huangqi Tang is suitable. Its formula is referred to under Water-qi disorders.
All yellow disorders are governed by Zhugao Fa Jian.
Jaundice is governed by Yinchen Wuling San. One copy instead says Yinchen Tang and Wuling San both govern.
Jaundice with full abdomen, scant scarlet urine and spontaneous sweat has exterior harmony but interior repletion. Purge it; Dahuang Xiaoshi Tang is suitable.
Jaundice with urine color unchanged, tendency to spontaneous diarrhea, full abdomen and panting must not have heat removed: doing so causes hiccups. Hiccups are governed by Xiao Banxia Tang; the formula is referred to under phlegm-fluids.
Yellow disorders with abdominal pain and vomiting suit Chaihu Tang. The note specifies Xiao Chaihu Tang, with formula under vomiting.
A man's yellow illness with free urine should receive Xiao Jianzhong Tang from deficiency-depletion, where its formula is referred to.
Guadi Tang treats all yellow disorders.
Supplement · Mahuang Chunjiu Tang
Supplement: Mahuang Chunjiu Tang from Thousand Gold treats jaundice.
Mahuang 3 liang.
Boil this single ingredient in 5 sheng fine clear wine to obtain 2.5 sheng. Take all at once. Use wine in winter, water in spring, according to the historical formula.
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