（局方） 治血虚肝燥，骨蒸劳热，潮热咳嗽。（有干咳嗽者，丹溪曰∶极为难治，此
系火郁之证，乃痰郁其火。邪在中，用逍遥散以开之，下用补阴之药可愈。）往来寒热，口
干便涩，月经不调。凡肝胆两经郁火，以致胁痛头眩，或胃脘当心而痛，或肩胛绊痛，或时
眼赤痛，连及太阳。妇人郁怒伤肝，致血妄行。赤白淫闭，砂淋崩浊等证，俱宜此方加减治
之。易曰∶风以散之是也。
当归（酒拌） 白芍（酒炒钱半） 白术（土炒） 柴胡 茯苓（一钱） 甘草（炙五
分） 加煨姜薄
肝虚则血病，当归芍药，养血而敛阴。木盛则土衰，甘草白术，和中而补土。（补土生
金，
取疏
痰，
论五
自郁
逍遥
此
一吹，郁气始得畅达也。盖木喜风摇，寒则摧萎，温则发生。柴胡薄荷，辛能发
少阳，古人立方之妙如此。其甚者，方中加吴茱炒连，即左金丸。黄连清心火，
肝气亦臊，同气相求，以平肝木。木平则不生心火，火不刑金，而金能制木，不
左金以制木，此左金所以得名也。此法之巧者，然犹未也。继用六味地黄，加柴
滋肾水，俾能生木。逍遥散，风以散之也，地黄饮，雨以润之也，木有不得其天
一立，木火之郁既舒，木不下克土，土亦得滋润，无燥 之患，金水自能相生，
通五法者如此。推而广之，凡寒热往来，恶寒恶热，呕吐吞酸，嘈杂，胸痛胁
头晕盗汗，黄胆，瘟疫，疝气，飧泄等证，皆对证之方。推而伤寒，伤风，
凡外感者，皆作郁看，以逍遥散加减出入，无不获效。如小柴胡汤四逆散
然不若此方之附应也。偿一服即愈，少顷复发，或频发而愈甚，此必下
不可复投，当改用温补之剂。如阳虚以四君子汤加温热药，阴虚以六味
士，不须予赘矣。又曰∶予以冬月正伤寒，麻黄桂枝证作寒郁治，不恶
创论也。既曰寒邪，何故入内而反为热，不知即是本身之火，为寒所郁
则纯热矣。三黄解毒，解其火也，葛根升麻，火郁发之也，三承气，土
木郁达之也，此理甚简易。刘守真谓用麻黄桂枝，必加凉药。子和六神
苍术中。陶氏谓九味羌活，可代三方。皆非也，不若逍遥散，真可一方
熬煎肾水，至木旺时，无生发滋润之本，故发热而渴，非外感也。余
胡舒其木，活人多矣。）
加丹皮山栀，名八味逍遥散。（薛已）治怒气伤肝，血少目暗。（目为肝窍，经曰∶目得
血而
气，
则丹
薛长
遥之
即逍
亦
哉
【局方】治疗血虚肝燥，骨蒸劳热，潮热咳嗽。（若有干咳者，朱丹溪说：极为难治，这属于火郁证，是痰郁遏了火热。邪气在中焦，用逍遥散来疏解它，下部使用补阴的药物可以痊愈。）往来寒热，口干，小便涩滞，月经不调。凡是肝胆两经郁火，导致胁痛、头晕目眩，或者胃脘当心而痛，或者肩胛部牵引疼痛，或者眼睛时常发红疼痛，牵连到太阳经。妇女因郁怒伤肝，导致血液妄行。赤白带下、闭经、砂淋、崩漏、浊带等证候，都适宜用此方加减治疗。《易经》说：“风以散之”，就是这个道理。
当归（酒拌） 白芍（酒炒，一钱半） 白术（土炒） 柴胡 茯苓（一钱） 甘草（炙，五分） 加煨姜、薄荷少许。
肝虚则血病，用当归、白芍养血而敛阴。木盛则土衰，用甘草、白术和中而补脾土。（补土能生金，取意于疏通痰湿，论述五志自郁……[此处原文有脱漏或错简，意指逍遥散吹散郁气]，郁气始得畅达。大概树木喜欢风吹摇动，寒冷则摧折枯萎，温暖则发生生长。柴胡、薄荷，辛味能发散少阳之气，古人立方的精妙之处就在于此。病情严重的，方中加入吴茱萸炒黄连，即左金丸。黄连清心火，肝气亦臊（此处疑为“苦”或指肝气之性），同气相求，用以平抑肝木。肝木平和则不生心火，心火不克制肺金，而肺金能制约肝木，不用左金丸来制木，这就是左金丸得名的原因。这是该法中巧妙的一层，然而还不够。接着用六味地黄丸，加柴胡滋补肾水，使肾水能生肝木。逍遥散，是用风来疏散它；地黄饮子，是用雨来滋润它，这样树木才能各得其天性而立命。一旦木火之郁既已舒展，肝木不再向下克制脾土，脾土也能得到滋润，没有干燥的祸患，肺金与肾水自然相生，通晓五行之法的人就是这样推演的。推广开来，凡是寒热往来，恶寒恶热，呕吐吞酸，嘈杂，胸痛胁痛，头晕盗汗，黄疸，瘟疫，疝气，飧泄等证候，都是对症的方剂。推广到伤寒、伤风，凡是外感病，都当作郁证来看待，用逍遥散加减出入，没有不获效的。如小柴胡汤、四逆散，虽然有效，但不若此方应验迅速。如果服一次就痊愈，过了一会儿又复发，或者频繁发作且越来越重，这一定是下焦元气不足，不可再投攻伐之剂，应当改用温补的药剂。如阳虚用四君子汤加温热药，阴虚用六味地黄丸。关于这一点，不必多赘述了。又说：我在冬天正患伤寒，出现麻黄汤、桂枝汤的证候，当作寒郁来治疗，不觉得恶寒……[此处原文有脱漏]，创论也。既然说是寒邪，为什么进入体内反而变成热？不知道这本身就是体内的火，被寒邪所郁遏，所以纯热了。三黄解毒汤，是解除其火；葛根、升麻，是火郁发之；三承气汤，是土郁夺之；木郁达之，这个原理非常简单易懂。刘守真认为用麻黄、桂枝，必须加凉药。张子和在六神汤中加入苍术。陶华认为九味羌活汤，可以代替三方。这些都不对，不如逍遥散，真正可以一方……[此处原文有脱漏]熬煎肾水，到了木旺的时候，没有生发滋润的根本，所以发热而渴，这不是外感。余……[此处原文有脱漏]柴胡疏解肝木，救活了很多病人。）
加入牡丹皮、山栀子，名为八味逍遥散。（薛己）治疗怒气伤肝，血少目暗。（眼睛是肝的窍，《内经》说：目得血而视……[此处原文有脱漏]气，则丹……[此处原文有脱漏]薛长……[此处原文有脱漏]遥之……[此处原文有脱漏]即逍……[此处原文有脱漏]亦……[此处原文有脱漏]哉）
[Ju Fang (Prescription Bureau)] Treats blood deficiency with liver dryness, bone-steaming tidal fever, and tidal fever with cough. (If there is a dry cough, Zhu Danxi said: it is extremely difficult to treat; this belongs to the syndrome of fire stagnation, where phlegm stagnates and suppresses the fire. With pathogenic factors in the middle jiao, use Xiaoyao San to open and resolve it, and use yin-nourishing medicines for the lower part to achieve a cure.) Alternating chills and fever, dry mouth, scanty or difficult urination, and irregular menstruation. For any stagnation-fire in the Liver and Gallbladder meridians causing hypochondriac pain, dizziness, epigastric pain at the heart's region, radiating pain in the scapula, frequent redness and pain of the eyes extending to the Taiyang meridian, or women suffering from Liver injury due to depression and anger leading to reckless bleeding, leukorrhea (red and white discharge), amenorrhea, lithuria (sand-like urine), metrorrhagia, and turbid discharge, all these syndromes are suitable for treatment with modifications of this formula. The *I Ching* says: "Wind disperses it," which is the principle here.
Danggui (Radix Angelicae Sinensis) (soaked in wine), Baishao (Radix Paeoniae Alba) (stir-fried in wine, 1.5 qian), Baizhu (Rhizoma Atractylodis Macrocephalae) (stir-fried with soil), Chaihu (Radix Bupleuri), Fuling (Poria), Gancao (Radix Glycyrrhizae Preparata) (honey-fried, 0.5 qian). Add少许 (a small amount) of Wei Jiang (Rhizoma Zingiberis Preparatum) and Bohe (Herba Menthae).
When the Liver is deficient, blood pathology occurs; Danggui and Baishao nourish blood and astringe yin. When Wood is excessive, Earth declines; Gancao and Baizhu harmonize the middle and tonify Spleen Earth. (Tonifying Earth generates Metal, taking the meaning of unblocking phlegm... [text fragment] ...Xiaoyao San blows away the stagnant qi, allowing stagnant qi to flow freely. Generally, trees like wind shaking; cold causes withering, warmth promotes growth. Chaihu and Bohe, being acrid, can disperse Shaoyang qi. This is the subtlety of ancient physicians in formulating prescriptions. For severe cases, add Wuzhuyu (Fructus Evodiae) stir-fried with Huanglian (Rhizoma Coptidis) to form Zuojin Wan. Huanglian clears Heart fire. Liver qi shares the same nature... [text fragment] ...to calm Liver Wood. When Liver Wood is balanced, it does not generate Heart fire; if Heart fire does not control Lung Metal, then Lung Metal can restrain Liver Wood. Not using Zuojin Wan to control Wood is why it is named Zuojin Wan. This is a clever method within this approach, yet still insufficient. Subsequently, use Liuwei Dihuang Wan, adding Chaihu to nourish Kidney Water, enabling it to generate Liver Wood. Xiaoyao San uses wind to disperse it; Dihuang Yinzi uses rain to moisten it, so that Wood may thrive according to its nature. Once the stagnation of Wood and Fire is relieved, Wood no longer overacts on Earth downwards, and Earth receives moisture, avoiding dryness hazards; Lung Metal and Kidney Water naturally generate each other. Those who understand the Five Methods proceed thus. Extending this, for alternating chills and fever, aversion to cold and heat, vomiting with acid regurgitation, stomach discomfort, chest and hypochondriac pain, dizziness with night sweats, jaundice, epidemic febrile diseases, hernia, and undigested food diarrhea, all are indications for this formula. Extending further to Shanghan (Cold Damage) and Shangfeng (Wind Strike), all external contractions should be viewed as stagnation syndromes. Using Xiaoyao San with modifications yields efficacy without fail. Although Xiao Chaihu Tang and Sini San are effective, they are not as responsive as this formula. If relief occurs after one dose but recurs shortly after, or recurs frequently and worsens, this must be due to deficiency in the lower jiao. Do not re-administer purgatives; instead, switch to warming and tonifying agents. For Yang deficiency, use Sijunzi Tang with warming herbs; for Yin deficiency, use Liuwei Dihuang Wan. There is no need to elaborate further. It is also said: I suffered from Cold Damage in winter, presenting symptoms requiring Mahuang Tang or Guizhi Tang, treated as Cold Stagnation, without aversion to cold... [text fragment] ...creative theory. Since it is stated as Cold Pathogen, why does it enter the interior and turn into Heat? One does not realize that this is the body's own Fire, suppressed by Cold, thus becoming pure Heat. Sanhuang Jiedu Tang resolves the Fire; Gegen and Shengma employ "releasing stagnation of Fire"; San Chengqi Tang employs "purging stagnation of Earth"; Mu Yu Da Zhi addresses "reaching/stagnation of Wood." This principle is very simple. Liu Shouzhen believed that when using Mahuang and Guizhi, cooling medicines must be added. Zhang Hezi added Cangzhu to Liushen Tang. Tao Hua believed Jiwei Qianghuo Tang could replace the three formulas. All are incorrect. Unlike Xiaoyao San, which truly can... [text fragment] ...boil Kidney Water, when Wood becomes prosperous, lacking the root of generation and moisturization, fever and thirst occur, which is not an external contraction. Remainder... [text fragment] ...Chaihu soothes Liver Wood, saving many people.)
Adding Mudanpi (Cortex Moutan) and Shanzhi (Fructus Gardeniae), named Bawei Xiaoyao San. (Xue Yi) Treats Liver injury due to anger, blood deficiency causing dim vision. (The eye is the opening of the Liver. The Classic states: The eyes see when they receive Blood... [text fragment] ...qi, then Dan... [text fragment] ...Xue Chang... [text fragment] ...Yao zhi... [text fragment] ...Ji Xiao... [text fragment] ...Yi... [text fragment] ...Zai?)