叙曰∶天地以升生，而万物发陈，故气血以四布，而百体敷荣。一有拂郁，则象天地之
闭藏矣，是岂升生之道乎？此诸病之所以生也。今考名方六首，而郁之情状见矣！
香附（醋炒） 苍术（米泔浸） 抚芎 栀子（炒黑） 神曲（炒，等分）
水丸小豆大，每服百丸。
诸郁者，此方主之。
越鞠者，发越鞠郁之谓也。香附理气郁，苍术开湿郁，抚芎调血郁，栀子治火郁，神曲
疗食郁。此以理气为主，乃不易之品也。若主湿郁，加白芷、茯苓。主热郁，加青黛。主痰
郁，加南星、海石、栝蒌。主血郁，加桃仁、红花。主食郁，加山楂、砂仁。此因病而变通
也。如春加防风，夏加苦参，秋冬加吴茱萸，乃经所谓升降浮沉则顺之，寒热温凉则逆之耳！
《诗》曰∶陟彼阿丘，言采其虻。朱子曰∶虻，贝母也，采之以疗郁结之疾。故疗郁结
者每加之！
烧盐（三两） 温汤（二升）
和服探吐。
木郁，两胁大痛，脉代者，此方主之。
木，肝木也，有垂枝布叶之象，喜条达而恶抑郁。若膈间有停痰宿食，抑其肝气，不得
上达，则肝木自实，两胁大痛。脉来代者痛盛而脉止也。得吐则生，不吐则死，故主盐汤探
吐
羌活 葛根 升麻 芍药 人参（各七分） 柴胡 生甘草（各三分） 防风（五分） 葱
白
（五茎）
火郁者，内热外寒，脉沉而数，此方主之。
火，心火也，禀炎上之体，喜畅而恶郁。郁之则火无焰，故令身寒。脉沉为在里，沉而
数，为里热。是方也，羌活、防风、升麻、柴胡、干葛、葱白，皆辛温升举之药，故足以扬
无焰之火，而令炎炎。若芍药、人参、甘草者，乃所以和营卫于升发之余尔。经曰∶火郁则
发之。此之谓也。
Preface: Heaven and Earth generate all things through the ascending movement of Qi, allowing for the renewal of the old by the new. Thus, Qi and Blood are distributed to the four directions, and the hundred body parts flourish and thrive. If there is any obstruction or depression (Yu), it resembles the closing and storing of Heaven and Earth; how can this be in accordance with the Way of ascending and generating? This is why various diseases arise. Now, examining six famous prescriptions, the manifestations of Yu (depression/stagnation) become clear!
Xiangfu (Cyperi Rhizoma, vinegar-fried), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water), Fuxiong (Ligusticum Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus, charred black), Shenqu (Medicated Leaven, fried), equal parts.
Made into water pills, size of small beans. Take 100 pills per dose.
For various types of Yu (stagnation), this prescription is the primary treatment.
"Yueju" means to disperse and resolve stagnation. Xiangfu regulates Qi stagnation, Cangzhu resolves Dampness stagnation, Fuxiong harmonizes Blood stagnation, Zhizi treats Fire stagnation, and Shenqu cures Food stagnation. This formula focuses on regulating Qi, which is an unchangeable principle. If treating Dampness stagnation, add Baizhi (Angelicae Dahuricae Radix) and Fuling (Poria). If treating Heat stagnation, add Qingdai (Indigo Naturalis). If treating Phlegm stagnation, add Nanting (Arisaematis Rhizoma Preparatum) and Haishi (Fossilia Arctolithus), and Gualou (Trichosanthis Fructus). If treating Blood stagnation, add Taoren (Persicae Semen) and Honghua (Carthami Flos). If treating Food stagnation, add Shanzha (Crataegi Fructus) and Sharen (Amomi Fructus). This represents modification according to the disease. For example, add Fangfeng (Saposhnikoviae Radix) in spring, Kushen (Sophorae Flavescentis Radix) in summer, and Wuzhuyu (Evodiae Fructus) in autumn and winter. This follows the classic saying: "Ascending, descending, floating, and sinking should follow the seasons; cold, heat, warm, and cool should oppose the pathogenic factors."
The Book of Songs says: "Climb that high hill, go gather the Meng grass." Zhu Xi explained: "Meng refers to Beimu (Fritillariae Bulbus); gathering it is used to treat diseases of stagnation and knotting." Therefore, it is often added when treating stagnation and knotting disorders!
Burned Salt (3 liang), Warm Water (2 sheng).
Mix and take to induce vomiting.
Wood Yu (Liver Wood Stagnation): characterized by severe pain in both hypochondriac regions and a choppy pulse (Dai Mai). This prescription is the primary treatment.
Wood refers to Liver Wood, which has the imagery of hanging branches and spreading leaves; it prefers free flow and detests depression. If there is retained Phlegm and leftover food in the diaphragm, it suppresses Liver Qi, preventing it from ascending. Consequently, Liver Wood becomes excess internally, causing severe pain in both hypochondriac regions. A Dai pulse indicates that the pain is severe enough to cause pauses in the pulse. Inducing vomiting leads to survival; failing to do so leads to death. Therefore, salt water emesis is the primary treatment.
Qianghuo (Notopterygii Rhizoma et Radix), Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix), Renshen (Ginseng Radix) (each 7 fen), Chaihu (Bupleuri Radix), Sheng Gancao (Glycyrrhizae Radix et Rhizoma Preparata) (each 3 fen), Fangfeng (Saposhnikoviae Radix) (5 fen), Congbai (Allii Fistulosi Bulbus) (5 stalks).
Fire Yu (Heart Fire Stagnation): characterized by internal heat with external cold, and a deep and rapid pulse. This prescription is the primary treatment.
Fire refers to Heart Fire, which possesses the nature of flaming upward; it prefers smooth flow and detests stagnation. When stagnant, the fire lacks flame, thus causing the body to feel cold. A deep pulse indicates the disease is interior; deep and rapid indicates interior heat. In this formula, Qianghuo, Fangfeng, Shengma, Chaihu, Gegen, and Congbai are all acrid-warm herbs that ascend and raise. They are sufficient to stir up the flameless fire, making it blaze again. Shaoyao, Renshen, and Gancao serve to harmonize Ying and Wei after the ascending and dispersing action. The Classic states: "When Fire is stagnant, disperse it." This is what is meant.