越鞠丸（丹溪） 解诸郁
香附 苍术（米泔浸一宿，炒） 川芎（各二两） 山栀（炒） 神曲（各一两五钱）
为末，滴水丸，如绿豆大。每服一百丸，白汤下。
气郁汤 治因求谋不遂，或横逆之来，或贫窘所迫，或暴怒所伤，或悲哀所致，或思
念太过，皆为气郁，其状胸满胁痛，脉沉而涩者是也。
香附（童便浸一宿，焙干，杵去毛，为粗末，三钱） 苍术 橘红 制半夏（各一钱半） 贝母（去心）
白茯苓 抚芎 紫苏叶（自汗则用子） 山栀仁（炒，各一钱） 甘草 木香 槟榔（各五分）
生姜五片煎。如胸胁作痛，此有血滞也，宜参血郁汤治之。
湿郁汤 治因雨露所袭，或岚气所侵，或坐卧湿地，或汗出衣衫，皆为湿郁，其状身
重而痛，倦怠嗜卧，遇阴寒则发，脉沉而细缓者是也。
苍术（三钱） 白术 香附 橘红 浓朴（姜汁炒） 半夏（制） 白茯苓 抚芎 羌活 独活
（各一钱） 甘草（五分）
生姜五片，水煎。
虞抟云∶一男子年二十九，三月间房事后，骑马渡溪，遇深渊沉没，幸得马健无事，
连湿衣行十五里抵家，次日憎寒壮热，肢节烦疼，似疟非疟之状。一医作虚证治，而用
补气血药，服之月余不效。又易一医，作劳瘵治，用四物汤加知、柏、地骨皮之类，及
丹溪大补阴丸，倍加紫河车服，至九月反加满闷不食。乃顾倩有乳妇人在家，止吃人乳
汁四五杯，不吃米粒。召予诊视，六脉皆洪缓，重按若牢，右手为甚。予作湿郁处治，用
平胃散倍苍术，加半夏、茯苓、白术、川芎、香附、木通、砂仁、防风、羌活，加姜煎服，
黄昏服一帖，一更时又进一帖，至半夜遍身发红丹如瘾疹，片时随没而大汗，索粥，与
稀粥二碗，由是前病除减能食，仍与前方服三帖，后以茯苓渗湿汤倍加白术，服二十余帖平安。
血郁汤 凡七情郁结，盛怒叫呼，或起居失宜，或挫闪致瘀，一应饥饱劳役，皆能
致血郁，其脉沉涩而芤，其体胸胁常有痛如
针刺者是也。
香附（童便制，二钱） 牡丹皮 赤曲 川通草 穿山甲 降真香 苏木 山楂肉 大麦
芽（炒，研，各一钱） 红花（七分）
水、酒各一半煎，去滓，入桃仁去皮泥七分，韭汁半盏，和匀通口服。
热郁汤 有阴虚而得之者，有胃虚食冷物，抑遏阳气于脾土中而得之者，其治法皆
见发热条中。此则治夫非阴虚，非阳陷，亦不发热，而常自蒸蒸不解者也。
连翘（四钱） 薄荷叶 黄芩（各一钱五分） 山栀仁（二钱） 麦门冬（去心，三钱） 甘草（五分） 郁
金（一钱） 栝蒌皮穣（二钱）
竹叶七片煎。
问∶何不用苍术、香附、抚芎？曰∶火就燥，燥药皆能助火，故不用也。
痰郁于痰饮门求之，食郁于伤食门求之，故不着方。
越鞠丸（朱丹溪方） 治疗各种郁证。
香附、苍术（用米泔水浸泡一夜，炒制）、川芎（各二两）、山栀（炒制）、神曲（各一两五钱）。
研为细末，滴入清水泛丸，如绿豆大小。每次服用一百丸，用白开水送服。
气郁汤 治疗因谋求不成，或遭受横逆之气，或因贫穷窘迫所逼，或因暴怒所伤，或因悲哀所致，或因思虑过度，这些都导致气郁，其症状表现为胸胁胀满疼痛，脉象沉而涩。
香附（用童子尿浸泡一夜，焙干，捣去毛，制成粗末，三钱）、苍术、橘红、制半夏（各一钱半）、贝母（去心）、白茯苓、抚芎、紫苏叶（若有自汗则用紫苏子）、山栀仁（炒制，各一钱）、甘草、木香、槟榔（各五分）。
加生姜五片煎煮。如果胸胁部位出现刺痛，这是有血瘀阻滞，应当参考血郁汤来治疗。
湿郁汤 治疗因雨露侵袭，或山岚瘴气侵扰，或坐卧湿地，或出汗后衣衫未干，这些都导致湿郁，其症状表现为身体沉重疼痛，倦怠嗜睡，遇到阴寒天气则发作，脉象沉而细缓。
苍术（三钱）、白术、香附、橘红、浓朴（姜汁炒制）、半夏（制过）、白茯苓、抚芎、羌活、独活（各一钱）、甘草（五分）。
加生姜五片，用水煎煮。
虞抟记载：有一名男子二十九岁，三月间房事后，骑马渡溪，遭遇深渊落水沉没，幸好马健壮无事，穿着湿衣服走了十五里路到家，第二天出现憎恶寒冷且高热，肢体关节烦痛，症状像疟疾又不像疟疾。一位医生当作虚证治疗，使用补气血的药物，服用一个多月无效。又换了一位医生，当作劳瘵（虚劳咳嗽）治疗，使用四物汤加上知母、黄柏、地骨皮等药物，以及朱丹溪的大补阴丸，加倍加入紫河车服用，到了九月反而加重了胸闷不食的症状。于是顾倩家中有一位乳母在家，只喝人乳汁四五杯，不吃米粒。请我诊治，六脉皆洪大缓和，重按感觉坚实有力，右手脉象更为明显。我将其作为湿郁处理，使用平胃散加倍苍术，加入半夏、茯苓、白术、川芎、香附、木通、砂仁、防风、羌活，加生姜煎服，黄昏时服下一帖，一更时又进服一帖，到半夜全身发出红色斑疹如同瘾疹，片刻之后消退并大汗出，索要粥喝，给予稀粥两碗，从此之前的病症减轻并能进食，仍然给前方再服三帖，后来用茯苓渗湿汤加倍白术，服用二十多帖后平安无事。
血郁汤 凡是七情郁结，盛怒呼叫，或起居失常，或挫闪导致瘀血，一切饥饱劳役，都能导致血郁，其脉象沉涩而芤，其体质胸胁常有针刺样疼痛。
香附（童便制，二钱）、牡丹皮、赤曲、川通草、穿山甲、降真香、苏木、山楂肉、大麦芽（炒制，研碎，各一钱）、红花（七分）。
水和酒各一半煎煮，去渣，加入去皮桃仁泥七分，韭菜汁半盏，混合均匀通口服下。
热郁汤 有因阴虚而得的，有因胃虚食用冷物，遏制阳气于脾土中而得的，其治法都见发热条中。这里则是治疗那些非阴虚、非阳陷，也不发热，但常常自觉蒸蒸发热的情况。
连翘（四钱）、薄荷叶、黄芩（各一钱五分）、山栀仁（二钱）、麦门冬（去心，三钱）、甘草（五分）、郁金（一钱）、栝蒌皮穣（二钱）。
加竹叶七片煎煮。
问：为什么不用苍术、香附、抚芎？答：火性就燥，燥药都能助长火势，所以不使用。
Yueju Wan (Formula by Zhu Danxi) Treats various types of Yu (Depression/Stagnation).
Xiangfu (Cyperus Rhizoma), Cangzhu (Atractylodis Rhizoma, soaked in rice wash overnight, stir-fried), Chuanxiong (Ligusticum Rhizoma and Radix, each 2 liang), Shanzhi (Gardeniae Fructus, stir-fried), Shenqu (Massa Medicata Fermentata, each 1.5 liang).
Pulverize, mix with water to form pills the size of mung beans. Take 100 pills per dose, swallowed with warm water.
Qiyu Tang (Qi Stagnation Decoction) Treats Qi stagnation caused by unfulfilled desires, adverse circumstances, poverty and distress, sudden anger, grief, or excessive thinking. The manifestations include chest and hypochondriac fullness and pain, with a deep and choppy pulse.
Xiangfu (Cyperus Rhizoma, soaked in urine of a young boy overnight, baked dry, pounded to remove hairs, made into coarse powder, 3 qian), Cangzhu (Atractylodis Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Zhibanxia (Pinelliae Rhizoma Praeparatum, each 1.5 qian), Beimu (Fritillariae Bulbus, heart removed), Baifuling (Poria, 1.5 qian implied by context of "each" for subsequent items? No, list structure suggests grouping. Let's follow text: Cangzhu, Juhong, Zhibanxia are grouped as "each 1.5 qian". Beimu is separate? Text says "Beimu (remove heart) Baifuling Fuxiong Zisuye... Shanzhiren (stir-fried, each 1 qian)". This implies Beimu, Baifuling, Fuxiong, Zisuye, Shanzhiren are likely 1 qian each or grouped. Standard interpretation of such lists often groups them. Let's assume standard dosage distribution based on "each 1 qian" applying to the group following it or preceding if specified. Text: "Beimu (remove heart) Baifuling Fuxiong Zisuye (use seed if spontaneous sweating) Shanzhiren (stir-fried, each 1 qian)". It is ambiguous if Beimu/Baifuling/Fuxiong/Zisuye share the 1 qian. Given typical formulas, they are often similar doses. I will translate literally without assuming specific weight if not explicit, but "each 1 qian" usually applies to the listed items. Let's look at the next line: "Gancao Muxiang Binglang (each 5 fen)". So Beimu, Baifuling, Fuxiong, Zisuye, Shanzhiren are likely 1 qian each.
*Correction*: The text lists: "Beimu (qu xin) Baifuling Fuxiong Zisuye (zi han ze yong zi) Shanzhiren (chao, ge yi qian)". This syntax usually means these five are 1 qian each.
Gancao (Licorice Root), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen, each 5 fen).
Decoct with 5 slices of Shengjiang (Zingiberis Rhizoma Recens). If there is stabbing pain in the chest and hypochondrium, this indicates blood stasis; refer to Xueyu Tang for treatment.
Shiyu Tang (Dampness Stagnation Decoction) Treats dampness stagnation caused by exposure to rain and dew, mountain miasma, sitting or lying on wet ground, or wearing clothes while sweating. The manifestations include heavy and painful body, fatigue and desire to lie down, worsening in cold and yin weather, with a deep, fine, and slow pulse.
Cangzhu (Atractylodis Rhizoma, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiangfu (Cyperus Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Nongpo (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Banxia (Pinelliae Rhizoma Praeparatum), Baifuling (Poria), Fuxiong (Chuanxiong, Ligusticum Rhizoma and Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix, each 1 qian), Gancao (Licorice Root, 5 fen).
Decoct with 5 slices of Shengjiang (Zingiberis Rhizoma Recens) in water.
Yu Tun recorded: A 29-year-old man had intercourse in March, then rode a horse across a stream. He fell into a deep pool and submerged. Fortunately, the horse was strong and he survived. He walked 15 li home wearing wet clothes. The next day, he experienced aversion to cold and high fever, vexing pain in limbs and joints, resembling malaria but not quite. One physician treated it as a deficiency syndrome using Qi- and Blood-tonifying herbs, which proved ineffective after more than a month. Another physician treated it as Laozai (consumptive disease) using Siwu Tang added with Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Digupi (Lycii Cortex), and Danxi's Dabu Yin Wan, plus extra Ziheche (Placenta Hominis). By September, his symptoms worsened with abdominal fullness and anorexia. Gu Qian had a wet nurse at home who drank only 4-5 cups of human milk and no grain. I examined him; all six pulses were surging and moderate, firm upon heavy pressure, especially on the right hand. I diagnosed it as Dampness Stagnation and treated it with Pingwei San doubled in Cangzhu (Atractylodis Rhizoma), added Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligusticum Rhizoma and Radix), Xiangfu (Cyperus Rhizoma), Mutong (Akebiae Caulis), Sharen (Amomi Fructus), Fangfeng (Saposhnikoviae Radix), and Qianghuo (Notopterygii Rhizoma et Radix), decocted with ginger. He took one dose at dusk and another at first watch. By midnight, his whole body broke out in red rashes like urticaria, which disappeared shortly after followed by profuse sweating. He asked for porridge; I gave him two bowls of thin porridge. Consequently, his previous symptoms subsided, and he could eat. He continued the same formula for three more doses, then used Fuling Shenshi Tang doubled in Baizhu (Atractylodis Macrocephalae Rhizoma) for over twenty doses, after which he recovered fully.
Xueyu Tang (Blood Stagnation Decoction) Any emotional depression, loud shouting in extreme anger, irregular living habits, trauma causing blood stasis, or any condition of hunger/fullness and labor can cause Blood Stagnation. The pulse is deep, choppy, and hollow (Kou). The body presents with frequent stabbing pain in the chest and hypochondrium.
Xiangfu (Cyperus Rhizoma, prepared with urine of a young boy, 2 qian), Mudanpi (Moutan Cortex), ChiQu (Red Massa Medicata Fermentata), Chuantongcao (Tetrapanacis Medulla), Chuanshanjia (Manis Squama), Jiangzhenxiang (Daemonorops Spatha), Sumu (Sappan Lignum), Shanzharon (Crataegi Fructus), Dayamai (Hordei Fructus Germinatus, stir-fried and crushed, each 1 qian), Honghua (Carthami Flos, 7 fen).
Decoct with half water and half wine. Strain, add Tao Ren (Persicae Semen, peeled and pounded, 7 fen) and Jiuji Zhi (Allii Tuberosi Juice, half zhan), mix well, and take orally.
Reyu Tang (Heat Stagnation Decoction) Some cases arise from Yin deficiency; others result from Spleen-Stomach deficiency and consumption of cold foods, which suppress Yang Qi within the Spleen Earth. Their treatments are described in the Fever section. This formula treats cases that are neither Yin deficiency nor Yang collapse, and do not present with fever, but rather a constant sensation of internal steaming heat.
Lianqiao (Forsythiae Fructus, 4 qian), Boheye (Menthae Haplocalycis Folium), Huangqin (Scutellariae Radix, each 1.5 qian), Shanzhiren (Gardeniae Fructus, 2 qian), Maimendong (Ophiopogonis Radix, heart removed, 3 qian), Gancao (Licorice Root, 5 fen), Yujin (Curcumae Radix, 1 qian), Gualoupi Rang (Trichosanthis Pericarpium, 2 qian).
Decoct with 7 leaves of Zhuye (Bambusae Folium).
Question: Why are Cangzhu (Atractylodis Rhizoma), Xiangfu (Cyperus Rhizoma), and Fuxiong (Chuanxiong) not used? Answer: Fire tends towards dryness; drying herbs can assist fire, so they are not used.
Tan Yu (Phlegm Stagnation) should be sought in the Phlegm-Fluids section; Shi Yu (Food Stagnation) should be sought in the Food Injuries section, so no formulas are listed here.