脉多沉伏。或促或细或代。气郁则必沉而涩。湿郁则必沉而缓。热郁则必沉而数。痰郁
则脉弦滑。血郁则脉芤而急促。食郁则脉必滑而紧盛。郁在上见于寸。郁在中见于关。郁在下见
于尺。左右皆然。
夫郁者。结聚而不得发越也。当升者不得升。当降者不得降。当变化者不得变化也。此
为传
化失常。六郁之病见矣。气郁者胸膈痛。脉沉涩。湿郁者周身走痛。或关节痛。遇阴寒则发
脉沉细。痰郁者动则喘。寸口脉沉滑。热郁者瞀闷。小便赤。脉沉数。血郁者四肢无力。
能食便红。脉沉。食郁者。嗳酸腹饱。不能食。人迎脉平和。气口脉紧盛者是也。
一论丹溪曰。血气冲和。百病不生。一有怫郁。诸病生焉。其症有六。气血痰湿热食是
也。此方开诸郁之总司也。
六郁汤
香附（童便炒） 苍术（米泔浸） 神曲（炒） 栀子（炒） 连翘 陈皮 川芎 贝母 枳
壳（麸炒） 白茯苓 苏梗（各一钱） 甘草（五分）
上锉一剂。水煎服。痰郁。加南星二钱。半夏二钱。热郁。加柴胡八分。黄芩二钱。
血郁。加桃仁八分。红花八分。湿郁。加白术一钱五分。羌活一钱。气郁。加木香一钱
槟榔一钱。食郁。加山楂二钱。砂仁八分。
一论解诸郁火痰气。开胸膈。思饮食。行气消积散热。用此。
加味越鞠丸
苍术（米泔浸姜汁炒一两） 抚芎（一两） 香附（童便浸三日炒一两） 神曲（炒一两） 栀
子（炒五钱） 陈皮（去白一两） 白术（去芦炒三两） 黄连（酒炒一两） 山楂（去子二两）
白茯苓（去皮一两） 萝卜子（炒五钱） 连翘（五钱） 枳实（麸炒一两） 当归（酒洗一两
）广木香（五钱）
上为末。姜汁打稀糊为丸。如梧子大。每服五六十丸。食后。白汤送下。
一论气湿痰热血食六郁。此宽脾快膈之药也。
越鞠二陈丸
苍术（米泔浸） 山栀子（炒黑） 南芎 神曲（炒） 香附（童便炒） 山楂肉 陈皮
半夏（姜汁炒） 白茯苓（去皮） 海石 南星 天花粉（各二两） 枳壳（去穣麸炒一两五
钱） 甘草（炙五钱）
The pulse is mostly deep and hidden (Chen Fu). It may be rapid (Cu), fine (Xi), or intermittent (Dai). Qi stagnation (Qi Yu) manifests as a deep and choppy (Se) pulse; Dampness stagnation (Shi Yu) manifests as a deep and slow (Huan) pulse; Heat stagnation (Re Yu) manifests as a deep and rapid (Shu) pulse; Phlegm stagnation (Tan Yu) manifests as a string-taut and slippery (Xian Hua) pulse; Blood stagnation (Xue Yu) manifests as a knotted and empty (Kou) yet urgent pulse; Food stagnation (Shi Yu) manifests as a slippery (Hua) and tight-sheng (Jin Sheng) pulse. Stagnation in the Upper Jiao (Upper Burner) is reflected at the Cun position; stagnation in the Middle Jiao (Middle Burner) is reflected at the Guan position; stagnation in the Lower Jiao (Lower Burner) is reflected at the Chi position. This applies to both hands.
"Yu" refers to knotting and accumulation where qi fails to ascend and disperse. What should ascend does not ascend; what should descend does not descend; what should transform does not transform. This constitutes abnormal transmission and transformation, leading to the diseases of the Six Types of Stagnation (Liu Yu). Patients with Qi stagnation experience chest and diaphragm pain with a deep-choppy pulse; those with Dampness stagnation experience wandering body pain or joint pain, which flare up in cold-damp conditions with a deep-fine pulse; those with Phlegm stagnation experience dyspnea upon exertion with a deep-slippery pulse at the Cun position; those with Heat stagnation experience dizziness and oppression with dark urine and a deep-rapid pulse; those with Blood stagnation experience limb weakness, ability to eat but bloody stools, and a deep pulse; those with Food stagnation experience acid belching, abdominal fullness, inability to eat, with a peaceful Renying pulse but a tight-sheng Qi Kou pulse.
One theory states from Zhu Danxi: When qi and blood are harmonious, no disease arises; once there is depression (Fu Yu), various diseases emerge. The symptoms fall into six categories: qi, blood, phlegm, dampness, heat, and food. This formula is the general manager for opening all types of stagnation.
Six-Stagnation Decoction (Liuyu Tang)
Cyperi Rhizoma (Changfu) stir-fried with child's urine; Atractylodis Rhizoma (Cangzhu) soaked in rice wash water; Medicated Leaven (Shenqu) stir-fried; Gardeniae Fructus (Zhizi) stir-fried; Forsythiae Fructus (Lianqiao); Citri Reticulatae Pericarpium (Chenpi); Chuanxiong Rhizome (Chuanxiong); Fritillariae Bulbus (Beimu); Aurantii Fructus Immaturus (Zhiqiao) stir-fried with wheat bran; Poria (Fuling); Perilla Caulis (Sugeng) (each 1 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 qian).
Crush these ingredients for one dose, decoct with water, and take orally. For Phlegm stagnation, add Pinelliae Rhizoma (Nanxing) 2 qian and Pinelliae Tuber (Banxia) 2 qian; for Heat stagnation, add Bupleuri Radix (Chaihu) 8 fen and Scutellariae Radix (Huangqin) 2 qian; for Blood stagnation, add Persicae Semen (Taoren) 8 fen and Carthami Flos (Honghua) 8 fen; for Dampness stagnation, add Atractylodis Macrocephalae Rhizoma (Baizhu) 1.5 qian and Notopterygii Rhizoma et Radix (Qianghuo) 1 qian; for Qi stagnation, add Aucklandiae Radix (Muxiang) 1 qian and Arecae Semen (Binglang) 1 qian; for Food stagnation, add Crataegi Fructus (Shanzha) 2 qian and Amomi Fructus (Sharen) 8 fen.
Another discussion: Used to resolve various stagnant fire, phlegm, and qi, open the chest and diaphragm, stimulate appetite, move qi, resolve accumulation, and clear heat. Use this formula.
Modified Yueju Pill (Jiawei Yueju Wan)
Atractylodis Rhizoma (Cangzhu) soaked in rice wash water, stir-fried with ginger juice (1 liang); Chuanxiong Rhizome (Xiong) (1 liang); Cyperi Rhizoma (Changfu) soaked in child's urine for three days, stir-fried (1 liang); Medicated Leaven (Shenqu) stir-fried (1 liang); Gardeniae Fructus (Zhizi) stir-fried (5 qian); Citri Reticulatae Pericarpium (Chenpi) peeled (1 liang); Atractylodis Macrocephalae Rhizoma (Baizhu) de-gorged, stir-fried (3 liang); Coptidis Rhizoma (Huanglian) wine-fried (1 liang); Crataegi Fructus (Shanzha) de-seeded (2 liang); Poria (Fuling) peeled (1 liang); Raphani Semen (Luobozhong) stir-fried (5 qian); Forsythiae Fructus (Lianqiao) (5 qian); Aurantii Fructus Immaturus (Zhishi) stir-fried with wheat bran (1 liang); Angelicae Sinensis Radix (Danggui) wine-washed (1 liang); Aucklandiae Radix (Muxiang) (5 qian).
Grind into powder, mix with ginger juice to form a thin paste, and make pills the size of wutong seeds. Take 50-60 pills per dose after meals, washed down with warm water.
Another discussion: For the six stagnations of qi, dampness, phlegm, heat, blood, and food. This is a medicine for relaxing the spleen and clearing the diaphragm.
Yueju Erchen Pill (Yueju Erchen Wan)
Atractylodis Rhizoma (Cangzhu) soaked in rice wash water; Gardeniae Fructus (Zhizi) stir-fried until black; Chuanxiong Rhizome (Nanxiong); Medicated Leaven (Shenqu) stir-fried; Cyperi Rhizoma (Changfu) stir-fried with child's urine; Crataegi Fructus (Shanzhourou); Citri Reticulatae Pericarpium (Chenpi); Pinelliae Tuber (Banxia) stir-fried with ginger juice; Poria (Fuling) peeled; Lithotrichum (Haishi); Pinelliae Rhizoma (Nanxing); Trichosanthis Radix (Tianhuafen) (each 2 liang); Aurantii Fructus Immaturus (Zhiqiao) de-pithed, stir-fried with wheat bran (1.5 liang); Glycyrrhizae Radix et Rhizoma (Gancao) honey-fried (5 qian).