苍天之气。清净不息。变为云雾。为雷雨者。山泽湿热熏蒸也。人身元气导引血液。升
降三
为癖。而心腹胁肋刺痛。蓄于下焦。则为腰痛。为胀坠。流乎经络。则周回刺痛。多因七
情饮食。郁为湿热。成痰与积。起初宜辛温之药。开郁行气。豁痰消积。稍久即以辛平之药
和之。辛寒之药折之。如此则火易降。气易平。而病根可除矣。
开郁理气汤 治气郁不散。肚腹胀满。
香附 沉香 半夏(各一钱) 苏子 枳实 萝卜子(各一钱五分) 丁香 大腹皮 藿香
(各八分) 水煎热服。
清气抑肝丸 治气不消散。凝滞膈上。
青皮 桑白皮 枳壳(各三钱) 檀香 山栀仁 乌药(各一钱) 半夏曲 橘红 白豆蔻
(各一钱五分) 砂仁(一钱二分) 加生姜三片。煎服。
气滞上焦。以橘红。枳壳。桔梗。甘草。藿香。香附。黄连。砂仁。枇杷叶。栝蒌仁为
气滞中焦。以木香。槟榔。山楂。枳壳。蓬术。在两胁。加青皮。柴胡。龙胆草。芍药
为主。气滞下焦。以沉香。茴香。川楝子。荔枝核。山栀为主。
郁者。结聚而不得发越也。当升而不得升。当降而不得降。当变化不得变化。则诸
病生焉。然有病久不解而成郁。有郁久而生病。其症有六。脉多沉伏。胸满胁痛。脉沉涩者。为
气郁。周身关节走痛。首如物蒙。足重遇阴寒便发。脉沉滞者。为湿郁。胸膈满。动则喘急
。起卧怠情。寸脉沉滑者。为痰郁。目蒙口干。舌燥。小便赤涩。脉沉数者。为热郁。四肢
无力。能食便血。脉沉芤涩者。为血郁。嗳酸腹饱。不能食。左手脉和平。右手脉紧盛者。
The Qi of Heaven is pure and unceasing in its movement; when influenced by the steaming of damp-heat from mountains and marshes, it transforms into clouds, mist, rain, and thunder. In the human body, Yuan Qi (Original Qi) guides the blood. If the ascending and descending mechanisms are disordered, stagnation may occur in the hypochondriac region, forming *pi* masses (accumulations), leading to stabbing pain in the heart, abdomen, and flanks. If it accumulates in the Lower Jiao (Lower Burner), it causes lower back pain, abdominal distension, and a sensation of bearing down. If it flows through the meridians and collaterals, it results in wandering stabbing pains throughout the body. These conditions often arise from emotional disturbances or dietary irregularities, causing Qi stagnation that transforms into damp-heat, subsequently generating phlegm and accumulations.
In the early stage of the disease, acrid-warm herbs should be used to open stagnation, promote Qi movement, resolve phlegm, and dissipate accumulations. After some time, acrid-neutral herbs should be used to harmonize, or acrid-cold herbs to subdue heat. In this manner, fire will easily descend, Qi will easily level out, and the root of the disease can be eradicated.
**Kaiyu Liqi Tang (Open Stagnation and Regulate Qi Decoction)**: Treats Qi stagnation that fails to disperse, resulting in abdominal distension and fullness.
Ingredients: Xiangfu (Cyperus Rhizome), Chenxiang (Aquilaria Lignum), Banxia (Pinellia Rhizoma) (each 1 qian); Suzi (Perilla Fructus), Zhishi (Aurantii Fructus Immaturus), Luobozhi (Brassicae Semens) (each 1.5 qian); Dingxiang (Caryophylli Flos), Dafupi (Arecae Pericarpium), Huoxiang (Pogostemonis Herba) (each 0.8 qian). Decoct with water and take hot.
**Qingqi Yigan Wan (Clear Qi and Suppress Liver Pill)**: Treats Qi that fails to dissipate and stagnates above the diaphragm.
Ingredients: Qingpi (Citri Reticulatae Pericarpium Viride), Sangbaipi (Mori Cortex), Zhike (Aurantii Fructus) (each 3 qian); Tanxiang (Santalum Album Lignum), Shanzhiren (Gardeniae Semen), Wuyao (Linderae Radix) (each 1 qian); Banxiaqu (Pinellia Fermentatum), Juhong (Citri Reticulatae Pericarpium), Baidoukou (Amomi Fructus Rotundus) (each 1.5 qian); Sharen (Amomi Fructus) (1.2 qian). Add three slices of fresh ginger, decoct, and take.
For Qi stagnation in the Upper Jiao (Upper Burner), the main formula consists of Juhong, Zhike, Jiegeng, Gancao, Huoxiang, Xiangfu, Huanglian, Sharen, Pipaye, and Gualouren.
For Qi stagnation in the Middle Jiao (Middle Burner), the main formula consists of Muxiang, Binglang, Shanzha, Zhike, and Pengru; if located in the hypochondriac regions, add Qingpi, Chaihu, Longdancao, and Shaoyao.
For Qi stagnation in the Lower Jiao (Lower Burner), the main formula consists of Chenxiang, Huixiang, Chuanlianzi, Lizhike, and Shanzhi.
"DYu" (Stagnation) refers to the binding and clustering of Qi that cannot be dispersed. When what should ascend does not ascend, what should descend does not descend, and what should transform does not transform, various diseases arise. However, there are cases where long-standing unresolved diseases lead to Yu, and cases where long-standing Yu leads to disease. There are six types of symptoms, with pulses mostly appearing deep and hidden:
Chest fullness and hypochondriac pain, with a deep and choppy pulse, indicates **Qi Yu** (Qi Stagnation).
Wandering pain in joints throughout the body, a sensation of heaviness or covering on the head, heavy legs that worsen in cold and damp weather, with a deep and sluggish pulse, indicates **Shi Yu** (Dampness Stagnation).
Fullness in the chest and diaphragm, panting upon exertion, lethargy in rising and lying down, with a deep and slippery pulse at the Cun position, indicates **Tan Yu** (Phlegm Stagnation).
Blurred vision, dry mouth, dry tongue, red and scanty urine, with a deep and rapid pulse, indicates **Re Yu** (Heat Stagnation).
Weakness in the four limbs, ability to eat but bloody stools, with a deep, large, and empty (Kou) yet choppy pulse, indicates **Xue Yu** (Blood Stagnation).
Belching with sour regurgitation, abdominal fullness, inability to eat, with a normal pulse on the left hand and a tight, vigorous pulse on the right hand, indicates... [Text ends here].