因悒郁动肝致病。久则延及脾胃中伤。不纳不知味。火风变动。气横为痛为
胀。疏泄失职。便秘忽泻。情志之郁。药虽霍然。数年久病。而兼形瘦液枯。若再香
燥劫夺。必致格拒中满。与辛润少佐和阳。
柏子仁 归须 桃仁 生白芍 小川连 川楝子
因抑郁悲泣。致肝阳内动。阳气变化火风。有形有声。贯膈冲咽。自觉冷者
非真寒也。内经以五志过极皆火。但非六气外来。芩连之属。不能制伏。固当柔
缓以濡之。合乎肝为刚脏。济之以柔。亦和法也。
生地 天冬 阿胶 茯神 川斛 牡蛎 小麦 人中白 熬膏
郁勃日久。五志气火上升。胃气逆则脘闷不饥。肝阳上僭。风火凌窍。必旋
晕咽痹。自发冷者非真寒也。皆气痹不通之象。病能篇以诸禁鼓栗属火。丹溪
谓上升之气。从肝胆相火。非无据矣。
生地 阿胶 玄参 丹皮 川斛 豆皮
郁损心阳。阳坠入阴。为淋浊。由情志内伤。即为阴虚致病。见症乱治。最为
庸劣。心藏神。神耗如愦。诸窍失司。非偏寒偏热药治。必得开爽。冀有向安。服药
以草木功能。恐不能令其欢悦。
人参 桔梗 乌药 木香 天冬 夜服白金丸
情怀悒郁。五志热蒸。痰聚阻气。脘中窄隘不舒。胀及背部。上焦清阳欲结。
治肺以展气化。怡以恰悦开怀。莫令郁痹绵延。
鲜枇杷叶 杏仁 栝蒌皮 郁金 半夏 茯苓 姜汁 竹沥
老年情志不适。郁则少火变壮火。知饥。脘中不爽。口舌糜烂。心脾营损。木
火劫烁精华。饥肉日消。惟怡悦开爽。内起郁热可平。但执清火苦寒。非调情志内郁热矣。
金石斛 连翘心 炒丹皮 经霜桑叶 川贝 茯苓
病起忧虑上损。两年调理。几经反复。今夏胸心右胁之间。常有不舒之象。
此气血内郁少展。支脉中必有痰食气阻。是宣通流畅脉络。夏季宜进商矣。
天竺黄 茯神 郁金 橘红 远志 石菖蒲 丹参 琥珀 竹沥法丸
情志连遭郁勃。脏阴中热内蒸。舌绛赤糜干燥。心动悸。若饥。食不加餐。内
伤情怀起病。务以宽怀解释。热在至阴。咸补苦泻。是为医药。
鸡子黄 清阿胶 生地 知母 川连 黄柏
惊惶忿怒。都主肝阳上冒。血沸气滞瘀浊。宜宣通以就下。因误投止塞。旧
瘀不清。新血入瘀络中。匝月屡屡反复。究竟肝胆气血皆郁。仍宜条达宣扬。漏
肠在肛。得体中稍健设法。
旋复花 新绛 青葱管 炒桃仁 柏子仁
客邸怀抱不舒。肝胆郁遏。升降失度。气坠精开为遗泄。地萸龙牡钝涩。气
药者更郁。理气和肝获效。未经调理全功。当今冬令温舒。收藏之气未坚。失血
之后。胸中隐隐不畅。未可凝阴。只宜降气和血。
钩藤钩 降香 米仁 郁金 茯苓 杜苏子 丹皮 炒桃仁
因情绪抑郁导致肝气失调而致病。病程迁延日久，进而损伤脾胃功能。表现为食欲不振、不知食物滋味。肝火与肝风变动，气机横逆导致疼痛和胀满。疏泄功能失职，出现便秘或突然腹泻。对于情志引起的郁证，药物虽能迅速缓解症状，但对于数年的久病，且兼有形体消瘦、津液枯竭的情况，若再用香燥之品强行攻伐，必然导致格拒不通、中焦痞满。此时应与辛润之药少量配合，以调和阳气。
柏子仁 归须 桃仁 生白芍 小川连 川楝子
因抑郁悲泣，导致肝阳在内妄动。阳气变化化为火风，表现为有形有声的症状，气冲胸膈咽喉。自觉发冷并非真正的寒证。《内经》认为五志过极皆化为火，但这并非外感六淫所致，黄芩、黄连等苦寒药物不能制伏它。因此应当用柔缓的药物来濡养肝脏，符合“肝为刚脏，济之以柔”的原则，这也属于和法。
生地 天冬 阿胶 茯神 川斛 牡蛎 小麦 人中白 熬膏
郁结勃发日久，五志之气火上炎。胃气上逆则脘部闷塞、不思饮食。肝阳上僭，风火侵犯清窍，必然导致眩晕、咽喉痹阻。自觉发冷并非真正的寒证。这都是气机闭塞不通的表现。《素问·病能篇》说各种禁固鼓栗的症状属于火证。丹溪认为上升的气机源于肝胆相火，并非没有依据。
生地 阿胶 玄参 丹皮 川斛 豆皮
郁怒损伤心阳，阳气下陷入阴分，导致淋浊。由情志内伤引起，即为阴虚致病。见症混乱而治疗，是最为庸劣的。心藏神，神气耗散如昏乱，诸窍失去司职。不能用偏寒或偏热的药物治疗，必须使气机开爽，希望病情向安。仅靠草木药物的功能，恐怕不能让心神欢悦。
人参 桔梗 乌药 木香 天冬 夜服白金丸
情怀抑郁，五志热邪蒸腾，痰聚阻碍气机，脘中狭窄不适，胀感波及背部。上焦清阳欲结滞。治疗肺以舒展气化，以愉悦心情开怀，不要让郁痹绵延不断。
鲜枇杷叶 杏仁 栝蒌皮 郁金 半夏 茯苓 姜汁 竹沥
老年人情志不适，郁结则少火变为壮火。知饥但脘中不爽，口舌糜烂。心脾营血受损，木火劫烁精华，肌肉日渐消瘦。只有心情愉悦开爽，内起的郁热才可平息。如果执着于使用清火苦寒药物，并不能调理情志内郁之热。
金石斛 连翘心 炒丹皮 经霜桑叶 川贝 茯苓
疾病起于忧虑导致的上损，经过两年调理，几经反复。今年夏天胸心右胁之间，常有不舒的感觉。这是气血内部郁结稍加舒展，支脉中必有痰食气机阻滞。应当宣通流畅脉络，夏季适宜进补（商指秋季，此处语境可能指顺应时节调理，或原文有误，依文意理解为调理气机）。
天竺黄 茯神 郁金 橘红 远志 石菖蒲 丹参 琥珀 竹沥法丸
情志接连遭遇郁勃，脏阴中热邪内蒸。舌质绛赤糜烂干燥，心动悸，感觉像饥饿一样，进食不能增加餐量。内伤情志而起病，务必以宽怀解释为主。热在至阴，咸味补益苦味泻下，这是医药的治疗原则。
鸡子黄 清阿胶 生地 知母 川连 黄柏
惊惶忿怒，都主导肝阳上冒。血液沸腾气滞瘀浊，应当宣通使其下行。因为误投止涩药物，旧瘀不清，新血进入瘀络中，一个月屡屡反复。终究是肝胆气血皆郁，仍宜条达宣扬。漏肠在肛，需身体稍健时设法治疗。
旋复花 新绛 青葱管 炒桃仁 柏子仁
客居他乡怀抱不舒，肝胆郁遏，升降失度，气坠精关不固导致遗泄。用地萸肉、龙骨、牡蛎等钝涩药物，气药更加郁结。理气和肝获得疗效。未经调理全功。当今冬令温舒，收藏之气未坚。失血之后，胸中隐隐不畅，不可凝阴，只宜降气和血。
钩藤钩 降香 米仁 郁金 茯苓 杜苏子 丹皮 炒桃仁
Caused by emotional depression leading to liver dysfunction. Prolonged illness extends to the spleen and stomach, causing damage. Symptoms include poor appetite and loss of taste. Liver fire and wind move chaotically; qi stagnates horizontally causing pain and distension. Failure of dispersion and descent results in constipation or sudden diarrhea. For depression caused by emotions, although medicine may bring sudden relief, for chronic diseases lasting years accompanied by emaciation and fluid depletion, using acrid-dry herbs to forcibly attack will inevitably lead to rejection and middle jiao fullness. In such cases, combine with acrid-moistening herbs in small doses to harmonize yang.
Bai Zi Ren (Biota Seed), Gui Xu (Cinnamon Twig Tip), Tao Ren (Peach Kernel), Sheng Bai Shao (Raw White Peony Root), Xiao Chuan Lian (Small Coptis), Chuan Li Zi (Sichuan Chinaberry)
Depression and weeping cause liver yang to move internally. Yang qi transforms into fire and wind, manifesting as有形 (tangible) and有声 (audible) symptoms, rushing through the diaphragm and throat. The sensation of cold is not true cold. The *Neijing* states that extreme emotions all transform into fire, but this is not due to external six climatic factors. Herbs like Huang Qin (Scutellaria Root) and Huang Lian (Coptis Rhizome) cannot subdue it. Therefore, one must use softening and moistening methods, aligning with the principle that "the liver is a rigid organ, nourished by softness," which also belongs to the Harmonizing Method.
Sheng Di Huang (Rehmannia Root), Tian Dong (Asparagus Tuber), E Jiao (Donkey-Hide Gelatin), Fu Shen (Poria with Hostwood), Chuan Hu (Dendrobium Stem), Mu Li (Oyster Shell), Xiao Mai (Wheat), Ren Zhong Bai (Human Excrement Ash), prepared as paste.
Long-standing depression causes qi and fire from the five emotions to rise. Stomach qi rebels, causing epigastric stuffiness and lack of appetite. Liver yang usurps upward, wind-fire attacks orifices, leading to vertigo and throat obstruction. The sensation of cold is not true cold. These are signs of qi blockage. The *Suwen: Bing Neng Pian* states that various forms of inhibition and shivering belong to fire. Danxi stated that ascending qi originates from the ministerial fire of the liver and gallbladder, which is well-founded.
Sheng Di Huang (Rehmannia Root), E Jiao (Donkey-Hide Gelatin), Xuan Shen (Scrophularia Root), Dan Pi (Moutan Bark), Chuan Hu (Dendrobium Stem), Dou Pi (Bean Hull)
Depression damages heart yang, causing yang to sink into yin, resulting in strangury and turbid urine. Caused by internal emotional injury, this is a disease of yin deficiency. Chaotic symptoms treated chaotically is the most mediocre approach. The heart stores the spirit; when spirit is exhausted, it becomes confused, and orifices lose their function. It cannot be treated with purely cold or hot medicines; the qi mechanism must be opened and refreshed to hope for recovery. Relying solely on the functions of herbal plants may not bring joy to the spirit.
Ren Shen (Ginseng Root), Jie Geng (Platycodon Root), Wu Yao (Lindera Fruit), Mu Xiang (Aucklandia Root), Tian Dong (Asparagus Tuber), take Bai Jin Wan (White Gold Pill) at night.
Emotional depression causes heat steaming from the five emotions. Phlegm gathers and blocks qi, causing narrowness and discomfort in the epigastrium, with distension extending to the back. Upper jiao clear yang is about to knot. Treat the lung to unfold qi transformation, soothe with pleasantness to open the mind, and prevent depression from lingering.
Xian Pi Pa Ye (Fresh Loquat Leaf), Xing Ren (Apricot Seed), Gua Lou Pi (Trichosanthes Peel), Yu Jin (Curcuma Tuber), Ban Xia (Pinellia Tuber), Fu Ling (Poria), Jiang Zhi (Ginger Juice), Zhu Li (Bamboo Sap).
In the elderly, emotional discomfort causes depression to transform mild fire into vigorous fire. There is hunger but epigastric discomfort, mouth and tongue ulceration. Heart and spleen nutritive blood are damaged, wood-fire scorches essence, muscles waste away daily. Only by being joyful and open can internal郁热 (depressive heat) be pacified. Clinging to clearing fire and bitter-cold herbs does not regulate internal depressive heat from emotions.
Jin Shi Hu (Golden Dendrobium), Lian Qiao Xin (Forsythia Heart), Chao Dan Pi (Stir-fried Moutan Bark), Jing Shuang Sang Ye (Frost-exposed Mulberry Leaf), Chuan Bei (Fritillaria Bulb), Fu Ling (Poria).
Illness began with upper damage due to worry. After two years of regulation with many relapses, this summer there is constant discomfort between the chest/heart and right hypochondrium. This indicates slight expansion of internal qi-blood depression; collateral vessels must have phlegm, food, and qi blockage. One should promote circulation and smooth the collaterals. Summer is suitable for advancement (note: 'Shang' usually refers to autumn, context implies seasonal regulation).
Tian Zhu Huang (Calamus Rhizoma cum Poria), Fu Shen (Poria with Hostwood), Yu Jin (Curcuma Tuber), Ju Hong (Citrus Reticulata Peel), Yuan Zhi (Polygala Root), Shi Chang Pu (Acorus Rhizome), Dan Shen (Salvia Root), Hu Po (Amber), made into pills with Zhu Li (Bamboo Sap).
Continuous emotional depression causes heat steaming within viscera yin. Tongue is crimson, ulcerated, dry. Heart palpitations, feeling hungry, unable to increase food intake. Illness arising from internal emotional injury requires broad-mindedness and explanation. Heat is in the supreme yin; salty tonifies, bitter purges. This is the medical treatment.
Ji Zi Huang (Egg Yolk), Qing E Jiao (Clear Donkey-Hide Gelatin), Sheng Di Huang (Rehmannia Root), Zhi Mu (Anemarrhena Rhizome), Chuan Lian (Small Coptis), Huang Bo (Phellodendron Bark).
Fear and anger both cause liver yang to rush upward. Blood boils, qi stagnates, turbidity forms. It should be promoted and guided downward. Due to mistaken use of astringents, old stasis remains unclear, new blood enters stasis collaterals, relapsing repeatedly for a month. Ultimately, liver and gallbladder qi-blood are depressed; they still need to be smoothed and promoted. Rectal prolapse occurs at the anus; treatment should be attempted when the body is slightly stronger.
Xuan Fu Hua (Inula Flower), Xin Jiang (New Crimson Fabric/Safflower), Qing Cong Guan (Green Onion Tube), Chao Tao Ren (Stir-fried Peach Kernel), Bai Zi Ren (Biota Seed).
Living away from home causes discomfort in the bosom. Liver and gallbladder are depressed, ascending and descending lose balance. Qi sinks, essence opens, leading to seminal emission. Using Yu Nu (Cornus Fruit), Long Gu (Dragon Bone), Mu Li (Oyster Shell) makes qi herbs more stagnant. Regulating qi and harmonizing the liver achieved effect, but not fully cured. In current winter warmth, storage qi is not firm. After blood loss, hidden discomfort in the chest should not be treated with congealing yin methods; only descending qi and harmonizing blood is suitable.
Gou Teng Gou (Uncaria Hook), Jiang Xiang (Dalbergia Odorifera Wood), Mi Yi Yi Ren (Coix Seed), Yu Jin (Curcuma Tuber), Fu Ling (Poria), Du Su Zi (Perilla Seed), Dan Pi (Moutan Bark), Chao Tao Ren (Stir-fried Peach Kernel).