脉多沉伏。郁证者，郁结而不散也。人之气血冲和，百病不生；一有郁结，诸病生焉。五郁者，金水木
火土，泄折达发夺之义是也。六郁者，气血痰湿热食结聚而不得发越也。气郁者，腹胁胀满、刺痛不舒、脉沉也。
木香调气散 治气郁证。
木香（另研，五分） 乌药 香附 枳壳（麸炒） 青皮（去穣。各一钱） 砂仁（五分） 浓朴（姜炒）
陈皮（各一钱） 官桂（二分） 抚芎 苍术（米泔浸。各一钱） 甘草（三分）
上锉一剂，生姜三片，水煎，磨木香同服。
血郁者，能食、便红，或暴吐紫血、病不移处，脉数涩也。
当归活血汤 治血郁证。
当归 芍药 抚芎 桃仁（去皮尖。各一钱） 红花（五分） 牡丹皮 香附 乌药 枳壳（去穣） 青
皮（各三分） 官桂 干姜（炒黑） 甘草（各三分）
上锉一剂，生姜一片，水煎服。血结硬痛加大黄。
食郁者，嗳气作酸、胸腹饱闷作痛、恶食不思，右关脉紧盛也。
香砂平胃散 治食郁证。
苍术（米泔制） 浓朴（姜汁炒） 陈皮（各二钱） 香附（童便炒，一钱） 砂仁（五分） 枳壳（麸炒）
山楂（去子） 麦芽（炒） 神曲（炒） 干姜（各三分） 木香（五分） 甘草（三分）
上锉一剂，生姜三片，萝卜子一撮，水煎，磨木香同服。食郁久成块去干姜、加大黄。
一方 治食郁久，胃脘有瘀血作痛。
用生桃仁连皮细嚼，以生韭菜捣自然汁一盏送下，大能开提气血。
痰郁者，动则喘满气急，痰嗽不出、胸胁痛、脉沉滑也。
栝蒌枳壳汤 治痰郁症；
栝蒌（去壳） 枳实（麸炒） 桔梗 抚芎 苍术（米泔浸） 香附 杏仁（去皮尖） 片芩（去朽）
贝母（去心。各一钱） 砂仁（五分） 陈皮（一钱） 木香（另研，五分）
上锉一剂，生姜三片，水煎，入竹沥、姜汁少许，磨木香调服。
热郁者，即火郁也，小便赤涩、五心烦热、口苦舌干、脉数也。
火郁汤 治火郁症。
山栀 柴胡 干葛 抚芎 白芍 连翘 地骨皮（各一钱） 甘草（三分）
上锉一剂，水煎服。
湿郁者，周身骨节走注疼痛，遇阴雨即发，脉沉细而濡也，渗湿汤。（方见湿门。）
六郁越鞠者，解诸郁之总司也。
六郁汤 治诸郁，清火化痰，顺气开胸膈。
香附（童便制） 苍术（米泔制） 神曲 山栀 连翘 陈皮 川芎 贝母（去心） 枳壳（炒） 苏梗
甘草（各一钱）
上锉一剂，水煎服。有痰加南星、半夏；有热加柴胡、黄芩；血郁加桃仁、红花；湿加白术、羌活；气加
木香、槟榔；食积加山楂、砂仁。
越鞠丸 解诸郁火、化痰气、开胸膈。
神曲（炒） 香附（童便浸一宿） 苍术（米泔浸） 川芎 山栀（炒。各等分）
上为细末，水丸绿豆大。每服五六十九，空心温水送下。
补遗方
解郁调胃汤 治胃脘血液耗损，痰火内郁，水浆易下而食物难消，若噎膈之症，或气分之火壅遏于中
而时作刺痛者，皆由怒、忧、思、虑、劳心所致也。
白术（一钱） 陈皮（盐水洗，一钱） 白茯苓（去皮，一两） 归尾（酒洗，一钱二分） 赤芍（酒浸，
八分） 川芎（六分） 生地黄（酒洗，姜汁拌，晒干，八分） 香附米（八分） 神曲（炒，七分） 栀子仁
（盐水炒，一钱二分） 麦芽（炒，七分） 桃仁（去皮，四两） 生甘草（四分）
上锉一剂，生姜三片，水煎热服。若胸膈刺痛加姜黄酒炒八分，若胸噎闷加枳壳麸炒七分，胸内烦热加黄连
六分；大便不利加酒蒸大黄二钱二分，有痰加半夏姜汁炒八分，去地黄，饮食不美去地黄，加白术五分；呕吐加
藿香一钱，去地黄、川芎、桃仁。
脉象多表现为沉伏。所谓郁证，是指气机郁结而不能疏散。人的气血如果冲和调顺，百病就不会产生；一旦有了郁结，各种疾病就会随之发生。五郁，指的是金、水、木、火、土五行对应的泄、折、达、发、夺的治疗原则。六郁，是指气、血、痰、湿、热、食六种邪气结聚而不得发散。气郁的症状是腹部和胁部胀满、刺痛不适，脉象沉。木香调气散用于治疗气郁证。
木香（单独研磨，五分） 乌药 香附 枳壳（麸皮炒） 青皮（去瓤，各一钱） 砂仁（五分） 浓朴（姜汁炒） 陈皮（各一钱） 官桂（二分） 抚芎 苍术（米泔水浸泡，各一钱） 甘草（三分）
以上药材锉碎为一剂，加生姜三片，用水煎煮，将木香研磨后兑入药汤中同服。
血郁的症状是能进食、大便带血，或突然呕吐紫黑色血液，疼痛部位固定不移，脉象数且涩。当归活血汤用于治疗血郁证。
当归 芍药 抚芎 桃仁（去皮尖，各一钱） 红花（五分） 牡丹皮 香附 乌药 枳壳（去瓤） 青皮（各三分） 官桂 干姜（炒黑） 甘草（各三分）
以上药材锉碎为一剂，加生姜一片，用水煎煮服用。若血结导致硬痛，加大黄。
食郁的症状是嗳气泛酸、胸腹部饱闷作痛、厌恶食物不想吃，右关脉紧盛。香砂平胃散用于治疗食郁证。
苍术（米泔水制） 浓朴（姜汁炒） 陈皮（各二钱） 香附（童便炒，一钱） 砂仁（五分） 枳壳（麸皮炒） 山楂（去子） 麦芽（炒） 神曲（炒） 干姜（各三分） 木香（五分） 甘草（三分）
以上药材锉碎为一剂，加生姜三片、萝卜子一撮，用水煎煮，将木香研磨后兑入药汤中同服。若食郁日久形成积块，去掉干姜，加大黄。
另一方：治疗食郁日久，胃脘有瘀血作痛。
用生桃仁连皮细细咀嚼，用生韭菜捣取自然汁一盏送服，能大大提升气血运行。
痰郁的症状是活动后气喘胸闷气急，咳嗽有痰咳不出，胸胁疼痛，脉象沉滑。栝蒌枳壳汤用于治疗痰郁症。
栝蒌（去壳） 枳实（麸皮炒） 桔梗 抚芎 苍术（米泔水浸泡） 香附 杏仁（去皮尖） 片芩（去朽心） 贝母（去心，各一钱） 砂仁（五分） 陈皮（一钱） 木香（单独研磨，五分）
以上药材锉碎为一剂，加生姜三片，用水煎煮，加入少许竹沥和姜汁，将木香研磨后调匀服用。
热郁，也就是火郁，症状是小便赤红涩痛、五心烦热、口苦舌干，脉象数。火郁汤用于治疗火郁症。
山栀 柴胡 干葛 抚芎 白芍 连翘 地骨皮（各一钱） 甘草（三分）
以上药材锉碎为一剂，用水煎煮服用。
湿郁的症状是周身骨节游走性疼痛，遇到阴雨天就发作，脉象沉细而濡软，可用渗湿汤。（方剂见湿门章节。）
六郁越鞠丸，是解除各种郁证的总纲方剂。
六郁汤用于治疗各种郁证，具有清火化痰、顺气开胸膈的功效。
香附（童便制） 苍术（米泔水制） 神曲 山栀 连翘 陈皮 川芎 贝母（去心） 枳壳（炒） 苏梗 甘草（各一钱）
以上药材锉碎为一剂，用水煎煮服用。若有痰加南星、半夏；有热加柴胡、黄芩；血郁加桃仁、红花；湿加白术、羌活；气滞加木香、槟榔；食积加山楂、砂仁。
神曲（炒） 香附（童便浸泡一夜） 苍术（米泔水浸泡） 川芎 山栀（炒，各等分）
以上药材研为细末，用水泛丸如绿豆大小。每次服用五六十九粒，空腹用温水送下。
补遗方
解郁调胃汤，治疗胃脘血液耗损，痰火内郁，饮水容易吞咽但食物难消化，类似噎膈的症状，或者是气分之火壅遏在中焦时而出现刺痛者，这都是由愤怒、忧愁、思虑、劳心所致。
白术（一钱） 陈皮（盐水洗，一钱） 白茯苓（去皮，一两） 归尾（酒洗，一钱二分） 赤芍（酒浸，八分） 川芎（六分） 生地黄（酒洗，姜汁拌，晒干，八分） 香附米（八分） 神曲（炒，七分） 栀子仁（盐水炒，一钱二分） 麦芽（炒，七分） 桃仁（去皮，四两） 生甘草（四分）
以上药材锉碎为一剂，加生姜三片，用水煎煮热服。若胸膈刺痛，加姜黄酒炒八分；若胸中噎闷，加麸炒枳壳七分；胸内烦热，加黄连六分；大便不通利，加酒蒸大黄二钱二分；有痰加姜汁炒半夏八分，去掉地黄；饮食不佳去掉地黄，加白术五分；呕吐加藿香一钱，去掉地黄、川芎、桃仁。
The pulse is often deep and hidden. Yu syndrome (Depression Syndrome) refers to the condition where qi stagnation is not dispersed. When a person's qi and blood are harmonious and smooth, hundred diseases do not arise; once there is stagnation, various diseases emerge. The Five Depressions refer to the principles of draining, breaking through, reaching, venting, and seizing corresponding to Metal, Water, Wood, Fire, and Earth. The Six Depressions refer to the accumulation and inability to disperse of Qi, Blood, Phlegm, Dampness, Heat, and Food. Qi depression presents with abdominal and hypochondriac fullness, stabbing pain and discomfort, and a deep pulse. Muxiang Tiaoqi San (Wood Fragrance Regulating Qi Powder) treats Qi depression syndrome.
Muxiang (separately ground, 5 fen), Wuyao (Lindera Root), Xiangfu (Cyperus Rhizome), Zhike (Bitter Orange Fruit, bran-fried), Qingpi (Green Tangerine Peel, pith removed, each 1 qian), Sharen (Amomum Fruit, 5 fen), Nongpo (Magnolia Bark, ginger-juice fried), Chenpi (Aged Tangerine Peel, each 1 qian), Guangui (Cinnamon Twig, 2 fen), Fuxiong (Angelica Sinensis Root), Cangzhu (Atractylodes Rhizome, rice-water soaked, each 1 qian), Gancao (Licorice Root, 3 fen).
Crush these herbs into one dose, add three slices of fresh ginger, decoct in water, grind the Muxiang, and take together with the decoction.
Blood depression presents with the ability to eat, red stool, or sudden vomiting of purple-black blood, with pain fixed in one location, and a rapid and choppy pulse. Danggui Huoxue Tang (Angelica Blood-Invigorating Decoction) treats Blood depression syndrome.
Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Fuxiong (Angelica Sinensis Root), Taoren (Peach Kernel, skin and tip removed, each 1 qian), Honghua (Safflower, 5 fen), Mudanpi (Tree Peony Bark), Xiangfu (Cyperus Rhizome), Wuyao (Lindera Root), Zhike (Bitter Orange Fruit, pith removed), Qingpi (Green Tangerine Peel, each 3 fen), Guangui (Cinnamon Twig), Ganjiang (Dried Ginger, charred), Gancao (Licorice Root, each 3 fen).
Crush these herbs into one dose, add one slice of fresh ginger, decoct in water, and take orally. If blood coagulation causes hard pain, add Dahuang (Rhubarb Root).
Food depression presents with belching and acid regurgitation, chest and abdominal fullness and pain, aversion to food and lack of appetite, and a tight and vigorous right Guan pulse. Xiangsha Pingwei San (Wood Fragrance and Amomum Stabilizing Stomach Powder) treats Food depression syndrome.
Cangzhu (Atractylodes Rhizome, rice-water processed), Nongpo (Magnolia Bark, ginger-juice fried), Chenpi (Aged Tangerine Peel, each 2 qian), Xiangfu (Cyperus Rhizome, child's urine fried, 1 qian), Sharen (Amomum Fruit, 5 fen), Zhike (Bitter Orange Fruit, bran-fried), Shanzha (Hawthorn Fruit, seeds removed), Maiya (Barley Sprout, fried), Shenqu (Medicated Leaven, fried), Ganjiang (Dried Ginger, each 3 fen), Muxiang (Wood Fragrance, 5 fen), Gancao (Licorice Root, 3 fen).
Crush these herbs into one dose, add three slices of fresh ginger and a pinch of Radish Seed, decoct in water, grind the Muxiang, and take together with the decoction. If food depression persists for a long time forming masses, remove Ganjiang and add Dahuang.
Another prescription: Treats prolonged food depression with blood stasis in the epigastrium causing pain.
Chew raw Taoren (Peach Kernel) with the skin finely, and swallow with one cup of natural juice extracted from fresh Chinese Chive pounded, which greatly promotes the movement of qi and blood.
Phlegm depression presents with panting and chest fullness upon exertion, cough with phlegm that cannot be expectorated, chest and hypochondriac pain, and a deep and slippery pulse. Gualou Zhike Tang (Trichosanthes Fruit and Bitter Orange Decoction) treats Phlegm depression syndrome.
Gualou (Trichosanthes Fruit, shell removed), Zhishi (Immature Bitter Orange Fruit, bran-fried), Jiegeng (Platycodon Root), Fuxiong (Angelica Sinensis Root), Cangzhu (Atractylodes Rhizome, rice-water soaked), Xiangfu (Cyperus Rhizome), Xingren (Apricot Kernel, skin and tip removed), Pianqin (Scutellaria Root, rotten parts removed), Beimu (Fritillaria Bulb, heart removed, each 1 qian), Sharen (Amomum Fruit, 5 fen), Chenpi (Aged Tangerine Peel, 1 qian), Muxiang (Wood Fragrance, separately ground, 5 fen).
Crush these herbs into one dose, add three slices of fresh ginger, decoct in water, add a small amount of Bamboo Sap and Ginger Juice, grind the Muxiang, and take mixed with the decoction.
Heat depression, also known as Fire depression, presents with dark and scanty urination, heat sensation in the five centers (palms, soles, and chest), bitter taste in the mouth, dry tongue, and a rapid pulse. Huoyu Tang (Fire Depression Decoction) treats Fire depression syndrome.
Shanzhi (Gardenia Fruit), Chaihu (Bupleurum Root), Gange (Kudzu Root), Fuxiong (Angelica Sinensis Root), Baishao (White Peony Root), Lianqiao (Forsythia Fruit), Digupi (Wolfberry Bark, each 1 qian), Gancao (Licorice Root, 3 fen).
Crush these herbs into one dose, decoct in water, and take orally.
Dampness depression presents with wandering pain in the bones and joints throughout the body, which flares up during rainy weather, and a deep, fine, and soggy pulse. Shenshi Tang (Dampness-Promoting Decoction) is used. (Prescription see Dampness Section.)
Yueju Wan (Regulating Depression Pill) is the master formula for resolving all types of depressions.
Liuyu Tang (Six Depressions Decoction) treats various depressions, clearing fire, resolving phlegm, smoothing qi, and opening the chest and diaphragm.
Xiangfu (Cyperus Rhizome, child's urine processed), Cangzhu (Atractylodes Rhizome, rice-water processed), Shenqu (Medicated Leaven), Shanzhi (Gardenia Fruit), Lianqiao (Forsythia Fruit), Chenpi (Aged Tangerine Peel), Chuanxiong (Ligusticum Rhizome), Beimu (Fritillaria Bulb, heart removed), Zhike (Bitter Orange Fruit, fried), Sugen (Perilla Stem), Gancao (Licorice Root, each 1 qian).
Crush these herbs into one dose, decoct in water, and take orally. Add Nanxing (Arisaema Rhizome) and Banxia (Pinellia Tuber) if there is phlegm; add Chaihu (Bupleurum Root) and Huangqin (Scutellaria Root) if there is heat; add Taoren (Peach Kernel) and Honghua (Safflower) for blood depression; add Baizhu (Atractylodes Macrocephala Rhizome) and Qianghuo (Notopterygium Rhizome) for dampness; add Muxiang (Wood Fragrance) and Binglang (Areca Seed) for qi stagnation; add Shanzha (Hawthorn Fruit) and Sharen (Amomum Fruit) for food accumulation.
Yueju Wan (Regulating Depression Pill) resolves various fire depressions, transforms phlegm and qi, and opens the chest and diaphragm.
Shenqu (Medicated Leaven, fried), Xiangfu (Cyperus Rhizome, soaked in child's urine overnight), Cangzhu (Atractylodes Rhizome, rice-water soaked), Chuanxiong (Ligusticum Rhizome), Shanzhi (Gardenia Fruit, fried, equal parts).
Grind these herbs into fine powder, make pills with water the size of mung beans. Take 50-60 pills per dose, swallowed with warm water on an empty stomach.
Supplementary Prescriptions
Jieyu Tiaowei Tang (Relieve Depression and Regulate Stomach Decoction) treats depletion of blood in the epigastrium, internal depression of phlegm-fire, where liquids are easy to swallow but food is difficult to digest, resembling Yige syndrome (dysphagia), or when fire of the qi level obstructs the middle causing intermittent stabbing pain. These are all caused by anger, sorrow, worry, overthinking, and mental labor.
Baizhu (Atractylodes Macrocephala Rhizome, 1 qian), Chenpi (Aged Tangerine Peel, washed in salt water, 1 qian), Baifuling (Poria, peeled, 1 liang), Guiwei (Angelica Sinensis Tail, wine-washed, 1.2 qian), Chishao (Red Peony Root, wine-soaked, 8 fen), Chuanxiong (Ligusticum Rhizome, 6 fen), Shengdihuang (Rehmannia Root, wine-washed, mixed with ginger juice, sun-dried, 8 fen), Xiangfum (Cyperus Rhizome, 8 fen), Shenqu (Medicated Leaven, fried, 7 fen), Zhizi Ren (Gardenia Seed, salt-water fried, 1.2 qian), Maiya (Barley Sprout, fried, 7 fen), Taoren (Peach Kernel, skin removed, 4 liang), Shenggancao (Raw Licorice Root, 4 fen).
Crush these herbs into one dose, add three slices of fresh ginger, decoct in water, and take hot. If there is stabbing pain in the chest and diaphragm, add Jianghuang (Turmeric Rhizome) fried with ginger wine (8 fen); if there is chest oppression, add Zhike (Bitter Orange Fruit, bran-fried) (7 fen); if there is irritability and heat in the chest, add Huanglian (Coptis Rhizome) (6 fen); if bowel movements are difficult, add Jiudahuang (Rhubarb Root steamed with wine) (2.2 qian); if there is phlegm, add Banxia (Pinellia Tuber) fried with ginger juice (8 fen), remove Dihuang; if appetite is poor, remove Dihuang and add Baizhu (5 fen); if vomiting occurs, add Huoxiang (Patchouli Herb) (1 qian), remove Dihuang, Chuanxiong, and Taoren.