气血冲和,万病不生,一有怫郁,诸病生焉。人身万病皆生于郁,苍术、抚芎,总解诸郁,随症加入诸药。凡郁皆
在中焦,以苍术、抚芎,开提其气以升之。如食在气上,提其气则食自降矣,余仿此。气郁用香附横行胸臆间,必用
童便浸,否则性燥,苍术下行,米泔水浸。湿郁用赤茯苓、苍术、抚芎、白芷。痰郁用海石、香附、南星、姜
汁、栝蒌。热郁用青黛、香附、苍术、抚芎、栀子炒。血郁用桃仁去皮、红花、青黛、香附、抚芎。食郁用苍
术、香附、山楂、神曲,针砂醋制七次,研极细。春加抚芎;夏加苦参;秋冬加茱萸。越鞠丸解诸郁∶苍术 香
附抚芎 神曲(炒) 栀子(炒) 各等分,末之为丸。一方治气郁食积痰热用∶香附(一两) 黄芩(一两)
栝蒌 贝母 南星 神曲 山楂(以上各一两) 风硝(三钱) 上为丸服。一方治气郁∶白芍药(一两半) 香附(一
两) 生甘草(一钱半) 上末之糊丸,白术汤下。一方治抑气∶白芍药(一两半) 香附(一两半) 贝母炒 黄
芩(各五钱) 生甘草(三钱) 上丸服之。一妇人,体肥气郁,舌麻眩运,手足麻,气塞有痰,便结,凉膈散加南星
、香附、台芎开之。东垣流气饮子,治男子、妇人一切气喘、浮肿、腹胀。气攻肩胁,走注疼痛,用紫苏、青皮、当归、
芍药、乌药、茯苓、桔梗、半夏、甘草、黄 、枳实、防风、槟榔、枳壳、大腹皮,上俱用姜汁制,焙干各半两。心脾
疼入菖蒲;妇人血虚入艾;五膈气入陈皮少许。戴云∶郁者结聚,而不得发越,当升者不得升,当降者不得降,当变化
者不得变化,所以传化失常,而六郁之病见矣。郁气者胸胁疼;湿郁者,周身疼,或关节痛,遇阴寒则发;痰郁者,动
则气喘,寸口脉沉滑;热郁者,昏瞀,小便赤,脉沉数;血郁者,四肢无力,能食,食郁者,嗳酸、腹饱、不能食,左
寸脉和平,寸脉紧盛。苍沙丸调中散郁∶苍术(四两) 香附(四两) 黄芩(一两) 上为末,炊饼丸,姜汤下三
十丸,食后服。
气血运行通畅调和,各种疾病就不会产生;一旦气机怫郁不畅,诸种疾病便会由此而生。人身上的各种疾病大多都源于“郁”。苍术和抚芎(川芎)能够总治各种郁证,需根据具体症状加入相应的药物。凡是郁证,病位多在中焦(脾胃所在区域),使用苍术和抚芎来升提气机。例如,如果食物停滞在气分之上,提升气机则食物自然下降,其余情况仿照此理。
气郁:使用香附,因其能横行于胸膈之间,必须用童便浸泡,否则药性过于燥烈;苍术具有下行作用,需用米泔水浸泡。
湿郁:使用赤茯苓、苍术、抚芎、白芷。
痰郁:使用海浮石、香附、天南星、姜汁、全瓜蒌。
热郁:使用青黛、香附、苍术、抚芎、炒栀子。
血郁:使用去皮的桃仁、红花、青黛、香附、抚芎。
食郁:使用苍术、香附、山楂、神曲,以及经醋制七次并研成极细末的针砂。春季加抚芎;夏季加苦参;秋冬季节加茱萸。
越鞠丸可解各种郁证:苍术、香附、抚芎、炒神曲、炒栀子,各等分,研末制成丸剂。
一方治疗气郁兼食积痰热:香附一两,黄芩一两,瓜蒌、贝母、天南星、神曲、山楂(以上各一两),风硝三钱,制成丸剂服用。
一方治疗气郁:白芍药一两半,香附一两,生甘草一钱半,研末后用糊制成丸剂,用白术汤送服。
一方治疗抑气(气机抑郁):白芍药一两半,香附一两半,炒贝母、黄芩(各五钱),生甘草三钱,制成丸剂服用。
曾有一妇人,体型肥胖且患气郁,表现为舌麻、眩晕、手足麻木、气塞有痰、大便干结,用凉膈散加入天南星、香附、台芎(江西产川芎)以开郁。
东垣流气饮子,用于治疗男子、妇人一切气喘、浮肿、腹胀。若气攻肩胁,游走性疼痛,使用紫苏、青皮、当归、芍药、乌药、茯苓、桔梗、半夏、甘草、黄芪、枳实、防风、槟榔、枳壳、大腹皮,上述药物均用姜汁炮制,焙干后各取半两。心脾疼痛加入石菖蒲;妇人血虚加入艾叶;五膈气加入少许陈皮。
戴云说: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,因此传化功能失常,六郁的病证就出现了。
郁气的症状是胸胁疼痛;湿郁的症状是周身疼痛,或关节痛,遇阴寒天气则发作;痰郁的症状是动则气喘,寸口脉沉滑;热郁的症状是头昏目眩,小便赤黄,脉沉数;血郁的症状是四肢无力,但食欲正常;食郁的症状是嗳气酸腐、腹部饱胀、不能进食,左寸脉平和,右寸脉紧盛。
When Qi and Blood are smooth and harmonious, myriad diseases do not arise; once there is stagnation (Fu Yu), various diseases emerge. Myriad diseases of the human body all originate from stagnation. Cangzhu (Atractylodis Rhizoma) and Fuxiong (Chuanxiong Rhizoma) generally resolve various types of stagnation, with additional herbs added according to specific symptoms. All stagnations are located in the Middle Jiao (Middle Burner, primarily referring to the Spleen and Stomach region); Cangzhu and Fuxiong are used to lift and raise the Qi. For instance, if food is stagnant above the Qi level, lifting the Qi will cause the food to descend naturally; other cases follow this principle.
For Qi Stagnation: Use Xiangfu (Cyperus Rhizome), which spreads horizontally through the chest and diaphragm. It must be soaked in children's urine (Tongbian), otherwise its nature is too drying. Cangzhu has a descending action and should be soaked in rice wash water.
For Dampness Stagnation: Use Chi Fuling (Poria Cocos with Red Skin), Cangzhu, Fuxiong, and Baizhi (Angelicae Dahuricae Radix).
For Phlegm Stagnation: Use Haishi (Flos Pumicis), Xiangfu, Nanting (Arisaematis Rhizoma Preparatum), Jiangzhi (Zingiberis Recens Juice), and Gualou (Trichosanthis Fructus).
For Heat Stagnation: Use Qingdai (Indigo Naturalis), Xiangfu, Cangzhu, Fuxiong, and Zhizi (Gardeniae Fructus) stir-fried.
For Blood Stagnation: Use Taoren (Persicae Semen) peeled, Honghua (Carthami Flos), Qingdai, Xiangfu, and Fuxiong.
For Food Stagnation: Use Cangzhu, Xiangfu, Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata), and Zhen Sha (Hematitum) prepared with vinegar seven times and ground into an extremely fine powder. In Spring, add Fuxiong; in Summer, add Kushen (Sophorae Flavescentis Radix); in Autumn and Winter, add Zhuyu (Corni Fructus).
Yueju Wan (Cross-Interdicting Pill) resolves various stagnations: Cangzhu, Xiangfu, Fuxiong, stir-fried Shenqu, and stir-fried Zhizi, each in equal parts. Grind into powder and make into pills.
Another prescription for Qi Stagnation combined with Food Accumulation, Phlegm, and Heat: Xiangfu 1 liang, Huangqin (Scutellariae Radix) 1 liang, Gualou, Beimu (Fritillariae Cirrhosae Bulbus), Nanting, Shenqu, Shanzha (each 1 liang), Fengxiao (Natrii Sulfas), 3 qian. Make into pills for administration.
Another prescription for Qi Stagnation: Baishao (Paeoniae Radix Alba) 1.5 liang, Xiangfu 1 liang, Sheng Gancao (Glycyrrhizae Radix et Rhizoma) 1.5 qian. Grind into powder, bind with paste to make pills, and administer with Baizhu Tang (Atractylodis Macrocephalae Decoction).
Another prescription for suppressing Qi (Qi Depression): Baishao 1.5 liang, Xiangfu 1.5 liang, stir-fried Beimu, Huangqin (each 5 qian), Sheng Gancao 3 qian. Make into pills for administration.
Case: A woman, obese and suffering from Qi Stagnation, presented with numbness of the tongue, vertigo, numbness of hands and feet, sensation of Qi obstruction with phlegm, and constipation. Liangge San (Cooling the Chest Powder) was modified by adding Nanting, Xiangfu, and Taixiong (Chuanxiong from Tai County) to open the stagnation.
Dongyuan Liuqi Yinzi (Flowing Qi Decoction) treats all cases of asthma, edema, and abdominal distension in both men and women. If Qi attacks the shoulders and hypochondrium causing wandering pain, use Zisu (Perillae Folium), Qingpi (Citri Reticulatae Pericarpium Viride), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Wuyao (Linderae Radix), Fuling (Poria), Jiegeng (Platycodonis Radix), Banxia (Pinelliae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqi (Astragali Radix), Zhishi (Aurantii Fructus Immaturus), Fangfeng (Saposhnikoviae Radix), Binglang (Arecae Semen), Zhike (Aurantii Fructus), Dafupi (Arecae Pericarpium). All aforementioned herbs are processed with Jiangzhi (Zingiberis Recens Juice), dried by baking, and each taken in half liang. Add Changpu (Acori Tatarinowii Rhizoma) for Heart-Spleen pain; add Aiye (Artemisiae Argyi Folium) for women with Blood deficiency; add Chenpi (Citri Reticulatae Pericarpium) in small amounts for Five Ge Qi (Stagnation in the Five Diaphragms).
Dai Yun stated: Stagnation refers to knotting and gathering without the ability to disperse. What should ascend cannot ascend; what should descend cannot descend; what should transform cannot transform. Consequently, transmission and transformation functions become abnormal, and the diseases of the Six Stagnations appear.
Symptoms of Qi Stagnation include chest and hypochondriac pain; Dampness Stagnation presents as whole-body pain or joint pain, exacerbated by cold and damp weather; Phlegm Stagnation manifests as panting upon exertion, with a deep and slippery pulse at the Cun position; Heat Stagnation causes dizziness and blurred vision, red urine, and a deep and rapid pulse; Blood Stagnation results in weakness of the four limbs but normal appetite; Food Stagnation leads to belching with sour taste, abdominal fullness, and inability to eat. The Left Cun pulse is peaceful, while the Right Cun pulse is tight and vigorous.
Cangsha Wan (Cangzhu and Hematitum Pill) regulates the Middle Jiao and dissipates stagnation: Cangzhu 4 liang, Xiangfu 4 liang, Huangqin 1 liang. Grind into powder, bind with steamed bread dough to make pills, and take 30 pills after meals with Jiang Tang (Ginger Decoction).