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。
上天的气，清净而运行不息，（若受山泽湿热熏蒸）则变为云雾、雷雨。人体的元气引导血液，（若运行失常）升降失调，停滞于胁肋部位则形成癖块，导致心腹胁肋刺痛；蓄积在下焦，则引起腰痛、腹部胀满下坠感；流窜于经络之中，则周身游走性刺痛。这些病症多因七情内伤或饮食不节，导致气机郁结化为湿热，进而生成痰饮与积滞。
疾病初起时，宜用辛温药物，以开郁结、行气机、豁痰浊、消积滞；病程稍久后，改用辛平药物调和，或用辛寒药物清折火热。如此则火热易于下降，气机易于平和，病根便可去除。
开郁理气汤：治疗气郁不散，肚腹胀满。
组成：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：治疗气机不消散，凝滞于膈上。
组成：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。
气滞在上焦者，以橘红、枳壳、桔梗、甘草、藿香、香附、黄连、砂仁、枇杷叶、栝蒌仁为主方。
气滞在中焦者，以木香、槟榔、山楂、枳壳、蓬术为主方；若病在两胁，加青皮、柴胡、龙胆草、芍药。
气滞在下焦者，以沉香、茴香、川楝子、荔枝核、山栀为主方。
所谓“郁”，是指气机结聚而不能发散。该升的不能升，该降的不能降，该变化的不能变化，从而产生各种疾病。然而，有因病久不解而转为郁证的，也有因郁久不愈而引发疾病的。其症状主要有六种，脉象多呈沉伏之象：
胸满胁痛，脉象沉涩的，为气郁；
周身关节游走疼痛，头部如被物蒙蔽，足部沉重，遇阴寒天气便发作，脉象沉滞的，为湿郁；
胸膈满闷，活动则喘急，起床躺卧皆感倦怠无力，寸口脉象沉滑的，为痰郁；
目眩视蒙，口干舌燥，小便赤黄涩痛，脉象沉数的，为热郁；
四肢无力，能进食但大便带血，脉象沉芤且涩的，为血郁；
嗳气吞酸，腹部饱胀，不能进食，左手脉象平和，右手脉象紧盛的，（为食郁，原文此处未完）。
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].