治脏腑一切痰、食、气、血诸郁，为痛，为呕，为胀，为利者。
香附 苍术 抚芎 山栀仁 神曲
水发丸，每服百丸。
季楚重曰∶《内经》论木郁达之五句，前圣治郁之法最详。所谓郁者，清气不升，浊气
不降
交而
由胃
焦失
栀子清郁导火，于以达肺腾胃而清三焦，尤妙抚芎之辛，直入肝胆以助妙用，则少阳之生气
上朝而营卫和，太阴之收气下肃而精气化。此丹溪因五郁之法而变通者也。然五郁之中，金
、木尤甚。前人用逍遥散调肝之郁，兼清火滋阴；泻白散清肺之郁，兼润燥降逆。要以木
上冲即为火，金郁敛涩即为燥也。如阴虚不知滋水，气虚不知化液，是又不善用越鞠矣。
治梦遗失精，及与鬼交。
黄柏 砂仁 甘草
上蜜糊为丸，每服三钱。
赵羽皇曰∶经云∶肾者主水，受五脏六腑之精而藏之。又曰∶肾者主蛰，封藏之本，精
之处
外溢
黄柏
至于
且能
而润之者唯辛，缩砂通三焦、达津液，能纳五脏六腑之精而归于肾，肾家之气内，肾中之髓
自
治肝脏火实，左胁作痛。
黄连（六两，炒） 吴茱萸（一两，汤泡）
上为末，作丸。
胡天锡曰∶此泻肝火之正剂。肝之治有数种∶水衰而木无以生，地黄丸癸乙同源是也；
土衰
归脾
从
其捍
治疗脏腑各种痰、食、气、血诸郁引起的疼痛、呕吐、胀满、泄泻等症状。
香附 苍术 抚芎（川芎） 山栀仁 神曲
用水泛丸，每次服用一百丸。
季楚重说：《内经》论述木郁达之等五句，前代圣人对治疗郁证的方法阐述得最为详尽。所谓郁，是指清气不升，浊气不降，导致胃与三焦功能失调。栀子清解郁火并引导火势下行，从而通达肺胃之气并清利三焦，尤为巧妙；加上抚芎的辛味，能直入肝胆以助其妙用，使得少阳的生气上朝而营卫调和，太阴的收气下肃而精气化生。这是丹溪根据五郁之法而变通运用的方剂。然而在五郁之中，金郁和木郁尤为严重。前人使用逍遥散调理肝郁，兼清火滋阴；使用泻白散清解肺郁，兼润燥降逆。关键在于木气上冲即为火，金郁敛涩即为燥。如果阴虚不知道滋补肾水，气虚不知道化生津液，这就是没有善于运用越鞠丸了。
治疗梦遗失精，以及与鬼交（指因精神恍惚或肾虚导致的遗精滑泄等症）。
黄柏 砂仁 甘草
以上药物用蜜制成糊状为丸，每次服用三钱。
赵羽皇说：经文说：肾主水，接受五脏六腑的精微物质并加以贮藏。又说：肾主蛰伏，是封藏的根本，是精气的居所。如果肾气不固，精气就会外溢。黄柏……至于……且能……而滋润它的是唯有辛味，缩砂（砂仁）能通达三焦、布达津液，能使五脏六腑的精气归于肾，使肾中的精气在内稳固，肾中的骨髓自然……
治疗肝脏火实，左胁部作痛。
黄连（六两，炒制） 吴茱萸（一两，汤泡）
以上药物研为末，制成丸剂。
胡天锡说：这是泻肝火的正治方剂。肝的治疗有几种情况：如肾水衰少导致肝木无以滋生，地黄丸体现了癸乙同源（肝肾同源）的道理；脾土衰败……归脾汤……从……它的捍卫……
Treats various types of stagnation (stasis) in the Zang-Fu organs, including phlegm, food, Qi, and blood, which manifest as pain, vomiting, distension, or diarrhea.
Xiangfu (Cyperus Rhizome), Cangzhu (Atractylodis Rhizoma), Fuxiong (Ligusticum Chuanxiong Rhizome), Shanzhiren (Gardeniae Semen), Shenqu (Massa Medicata Fermentata).
Make pills with water; take 100 pills per dose.
Ji Chuzhong stated: The *Neijing* discusses the principle of "reaching" (venting/dispersing) Wood Stagnation, along with four other sentences; the ancients' methods for treating stagnation were most detailed. What is meant by stagnation is that clear Qi fails to ascend and turbid Qi fails to descend, leading to dysfunction of the Stomach and San Jiao (Triple Burner). Zhizi (Gardeniae Fructus) clears stagnant fire and guides it downward, thereby venting Lung and Stomach Qi and clearing the San Jiao, which is particularly ingenious; combined with the acrid nature of Fuxiong, which enters the Liver and Gallbladder directly to assist this function, the Sheng Qi (vital energy) of Shaoyang ascends to the upper jiao, harmonizing Ying and Wei (Nutritive and Defensive Qi); the Shou Qi (condensing energy) of Taiyin descends, transforming Jing Qi (Essence). This is Danxi's variation on the method of treating the Five Stagnations. However, among the Five Stagnations, Metal and Wood are particularly severe. Predecessors used Xiaoyao San to regulate Liver stagnation, simultaneously clearing heat and nourishing Yin; and Xiebai San to clear Lung stagnation, simultaneously moistening dryness and descending rebellious Qi. The key lies in the fact that upward rushing of Wood transforms into Fire, while stagnation of Metal leads to astringency and dryness. If one has Yin deficiency but does not know to nourish Kidney Water, or Qi deficiency but does not know to transform fluids, this indicates an inability to skillfully apply Yueju Wan.
Treats nocturnal emission and spermatorrhea, as well as "intercourse with ghosts" (a traditional term referring to sexual dreams or emissions caused by mental confusion or Kidney deficiency).
Huangbo (Phellodendri Cortex), Sharen (Amomi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
Pulverize the above ingredients and bind them with honey paste to make pills; take 3 qian per dose.
Zhao Yuhuang stated: The Classics say: The Kidney governs Water and receives the essence of the Five Zang and Six Fu organs to store it. It also says: The Kidney governs hibernation and is the root of sealing and storing, the residence of Essence. If Kidney Qi is not secure, Essence will overflow externally. Huangbo... regarding... and can... what moistens it is only Acridity; Sharen can penetrate the San Jiao and distribute Jin Ye (Body Fluids), enabling the essence of the Five Zang and Six Fu organs to return to the Kidney, stabilizing Kidney Qi internally so that the Marrow within the Kidneys naturally...
Treats excess Fire in the Liver, causing pain in the left hypochondrium.
Huanglian (6 liang, stir-fried), Wuzhuyu (1 liang, soaked in decoction).
Pulverize the above ingredients and make pills.
Hu Tianxi stated: This is the correct formula for draining Liver Fire. There are several types of Liver treatment: when Kidney Water declines and cannot generate Liver Wood, Dihuang Wan illustrates the principle of Gui Yi Tong Yuan (Liver and Kidney sharing the same source); when Spleen Earth declines... Guipi Tang... from... its defense...