脉多沉伏。或促或细或代。气郁则必沉而涩。湿郁则必沉而缓。热郁则必沉而数。痰郁
则脉弦滑。血郁则脉芤而急促。食郁则脉必滑而紧盛。郁在上见于寸。郁在中见于关。郁在下见
于尺。左右皆然。
夫郁者。结聚而不得发越也。当升者不得升。当降者不得降。当变化者不得变化也。此
为传
化失常。六郁之病见矣。气郁者胸膈痛。脉沉涩。湿郁者周身走痛。或关节痛。遇阴寒则发
脉沉细。痰郁者动则喘。寸口脉沉滑。热郁者瞀闷。小便赤。脉沉数。血郁者四肢无力。
能食便红。脉沉。食郁者。嗳酸腹饱。不能食。人迎脉平和。气口脉紧盛者是也。
一论丹溪曰。血气冲和。百病不生。一有怫郁。诸病生焉。其症有六。气血痰湿热食是
也。此方开诸郁之总司也。
六郁汤
香附（童便炒） 苍术（米泔浸） 神曲（炒） 栀子（炒） 连翘 陈皮 川芎 贝母 枳
壳（麸炒） 白茯苓 苏梗（各一钱） 甘草（五分）
上锉一剂。水煎服。痰郁。加南星二钱。半夏二钱。热郁。加柴胡八分。黄芩二钱。
血郁。加桃仁八分。红花八分。湿郁。加白术一钱五分。羌活一钱。气郁。加木香一钱
槟榔一钱。食郁。加山楂二钱。砂仁八分。
一论解诸郁火痰气。开胸膈。思饮食。行气消积散热。用此。
加味越鞠丸
苍术（米泔浸姜汁炒一两） 抚芎（一两） 香附（童便浸三日炒一两） 神曲（炒一两） 栀
子（炒五钱） 陈皮（去白一两） 白术（去芦炒三两） 黄连（酒炒一两） 山楂（去子二两）
白茯苓（去皮一两） 萝卜子（炒五钱） 连翘（五钱） 枳实（麸炒一两） 当归（酒洗一两
）广木香（五钱）
上为末。姜汁打稀糊为丸。如梧子大。每服五六十丸。食后。白汤送下。
一论气湿痰热血食六郁。此宽脾快膈之药也。
越鞠二陈丸
苍术（米泔浸） 山栀子（炒黑） 南芎 神曲（炒） 香附（童便炒） 山楂肉 陈皮
半夏（姜汁炒） 白茯苓（去皮） 海石 南星 天花粉（各二两） 枳壳（去穣麸炒一两五
钱） 甘草（炙五钱）
脉象多表现为沉伏。或者急促、细弱或出现代脉。气机郁滞则脉象必然沉而涩滞；湿邪郁滞则脉象必然沉而缓怠；热邪郁滞则脉象必然沉而数急；痰浊郁滞则脉象弦滑；血瘀郁滞则脉象芤大且急促；食积郁滞则脉象必然滑利且紧盛有力。郁滞在上焦，脉象反映在寸部；郁滞在中焦，脉象反映在关部；郁滞在下焦，脉象反映在尺部。左右手皆如此。
所谓“郁”，是指气机结聚而不能发散升腾。该上升的不能上升，该下降的不能下降，该气化变化的不能气化变化。这属于传化功能失常，六郁（气、血、痰、火、湿、食）的病证便出现了。气郁的患者胸膈疼痛，脉象沉涩；湿郁的患者周身游走性疼痛，或关节疼痛，遇阴寒天气则发作，脉象沉细；痰郁的患者活动后气喘，寸口脉象沉滑；热郁的患者头目昏闷，小便色赤，脉象沉数；血郁的患者四肢无力，能进食但大便带血，脉象沉；食郁的患者嗳气酸腐，腹部饱胀，不能进食，人迎脉平和，而气口脉紧盛即是此证。
有一论断出自朱丹溪：气血冲和调畅，百病不生；一旦有怫郁（气机不畅），诸病由此而生。其病症有六种，即气、血、痰、湿、热、食。这是开通各种郁滞的总方。
六郁汤
香附（用童子尿炒制） 苍术（用米泔水浸泡） 神曲（炒制） 栀子（炒制） 连翘 陈皮 川芎 贝母 枳壳（用麦麸炒制） 白茯苓 苏梗（各一钱） 甘草（五分）
以上药材锉碎为一剂，加水煎服。若为痰郁，加南星二钱，半夏二钱；若为热郁，加柴胡八分，黄芩二钱；若为血郁，加桃仁八分，红花八分；若为湿郁，加白术一钱五分，羌活一钱；若为气郁，加木香一钱，槟榔一钱；若为食郁，加山楂二钱，砂仁八分。
另一论断：用于解除各种郁火、痰浊、气滞，开通胸膈，增进食欲，行气消积，散热。使用此方。
加味越鞠丸
苍术（米泔水浸泡，姜汁炒，一两） 抚芎（一两） 香附（童便浸泡三日，炒制，一两） 神曲（炒制，一两） 栀子（炒制，五钱） 陈皮（去白，一两） 白术（去芦头，炒制，三两） 黄连（酒炒，一两） 山楂（去子，二两） 白茯苓（去皮，一两） 萝卜子（炒制，五钱） 连翘（五钱） 枳实（麦麸炒，一两） 当归（酒洗，一两） 广木香（五钱）
以上研为细末，用姜汁调和稀糊制成丸药，如梧桐子大小。每次服用五六十丸，饭后，用白开水送服。
又一论断：针对气、湿、痰、热、血、食六郁。这是宽脾快膈的药物。
越鞠二陈丸
苍术（米泔水浸泡） 山栀子（炒黑） 南芎 神曲（炒制） 香附（童便炒制） 山楂肉 陈皮 半夏（姜汁炒制） 白茯苓（去皮） 海浮石 南星 天花粉（各二两） 枳壳（去瓤，麦麸炒，一两五钱） 甘草（炙制，五钱）
The pulse is mostly deep and hidden (Chen Fu). It may be rapid (Cu), fine (Xi), or intermittent (Dai). Qi stagnation (Qi Yu) manifests as a deep and choppy (Se) pulse; Dampness stagnation (Shi Yu) manifests as a deep and slow (Huan) pulse; Heat stagnation (Re Yu) manifests as a deep and rapid (Shu) pulse; Phlegm stagnation (Tan Yu) manifests as a string-taut and slippery (Xian Hua) pulse; Blood stagnation (Xue Yu) manifests as a knotted and empty (Kou) yet urgent pulse; Food stagnation (Shi Yu) manifests as a slippery (Hua) and tight-sheng (Jin Sheng) pulse. Stagnation in the Upper Jiao (Upper Burner) is reflected at the Cun position; stagnation in the Middle Jiao (Middle Burner) is reflected at the Guan position; stagnation in the Lower Jiao (Lower Burner) is reflected at the Chi position. This applies to both hands.
"Yu" refers to knotting and accumulation where qi fails to ascend and disperse. What should ascend does not ascend; what should descend does not descend; what should transform does not transform. This constitutes abnormal transmission and transformation, leading to the diseases of the Six Types of Stagnation (Liu Yu). Patients with Qi stagnation experience chest and diaphragm pain with a deep-choppy pulse; those with Dampness stagnation experience wandering body pain or joint pain, which flare up in cold-damp conditions with a deep-fine pulse; those with Phlegm stagnation experience dyspnea upon exertion with a deep-slippery pulse at the Cun position; those with Heat stagnation experience dizziness and oppression with dark urine and a deep-rapid pulse; those with Blood stagnation experience limb weakness, ability to eat but bloody stools, and a deep pulse; those with Food stagnation experience acid belching, abdominal fullness, inability to eat, with a peaceful Renying pulse but a tight-sheng Qi Kou pulse.
One theory states from Zhu Danxi: When qi and blood are harmonious, no disease arises; once there is depression (Fu Yu), various diseases emerge. The symptoms fall into six categories: qi, blood, phlegm, dampness, heat, and food. This formula is the general manager for opening all types of stagnation.
Six-Stagnation Decoction (Liuyu Tang)
Cyperi Rhizoma (Changfu) stir-fried with child's urine; Atractylodis Rhizoma (Cangzhu) soaked in rice wash water; Medicated Leaven (Shenqu) stir-fried; Gardeniae Fructus (Zhizi) stir-fried; Forsythiae Fructus (Lianqiao); Citri Reticulatae Pericarpium (Chenpi); Chuanxiong Rhizome (Chuanxiong); Fritillariae Bulbus (Beimu); Aurantii Fructus Immaturus (Zhiqiao) stir-fried with wheat bran; Poria (Fuling); Perilla Caulis (Sugeng) (each 1 qian); Glycyrrhizae Radix et Rhizoma (Gancao) (0.5 qian).
Crush these ingredients for one dose, decoct with water, and take orally. For Phlegm stagnation, add Pinelliae Rhizoma (Nanxing) 2 qian and Pinelliae Tuber (Banxia) 2 qian; for Heat stagnation, add Bupleuri Radix (Chaihu) 8 fen and Scutellariae Radix (Huangqin) 2 qian; for Blood stagnation, add Persicae Semen (Taoren) 8 fen and Carthami Flos (Honghua) 8 fen; for Dampness stagnation, add Atractylodis Macrocephalae Rhizoma (Baizhu) 1.5 qian and Notopterygii Rhizoma et Radix (Qianghuo) 1 qian; for Qi stagnation, add Aucklandiae Radix (Muxiang) 1 qian and Arecae Semen (Binglang) 1 qian; for Food stagnation, add Crataegi Fructus (Shanzha) 2 qian and Amomi Fructus (Sharen) 8 fen.
Another discussion: Used to resolve various stagnant fire, phlegm, and qi, open the chest and diaphragm, stimulate appetite, move qi, resolve accumulation, and clear heat. Use this formula.
Modified Yueju Pill (Jiawei Yueju Wan)
Atractylodis Rhizoma (Cangzhu) soaked in rice wash water, stir-fried with ginger juice (1 liang); Chuanxiong Rhizome (Xiong) (1 liang); Cyperi Rhizoma (Changfu) soaked in child's urine for three days, stir-fried (1 liang); Medicated Leaven (Shenqu) stir-fried (1 liang); Gardeniae Fructus (Zhizi) stir-fried (5 qian); Citri Reticulatae Pericarpium (Chenpi) peeled (1 liang); Atractylodis Macrocephalae Rhizoma (Baizhu) de-gorged, stir-fried (3 liang); Coptidis Rhizoma (Huanglian) wine-fried (1 liang); Crataegi Fructus (Shanzha) de-seeded (2 liang); Poria (Fuling) peeled (1 liang); Raphani Semen (Luobozhong) stir-fried (5 qian); Forsythiae Fructus (Lianqiao) (5 qian); Aurantii Fructus Immaturus (Zhishi) stir-fried with wheat bran (1 liang); Angelicae Sinensis Radix (Danggui) wine-washed (1 liang); Aucklandiae Radix (Muxiang) (5 qian).
Grind into powder, mix with ginger juice to form a thin paste, and make pills the size of wutong seeds. Take 50-60 pills per dose after meals, washed down with warm water.
Another discussion: For the six stagnations of qi, dampness, phlegm, heat, blood, and food. This is a medicine for relaxing the spleen and clearing the diaphragm.
Yueju Erchen Pill (Yueju Erchen Wan)
Atractylodis Rhizoma (Cangzhu) soaked in rice wash water; Gardeniae Fructus (Zhizi) stir-fried until black; Chuanxiong Rhizome (Nanxiong); Medicated Leaven (Shenqu) stir-fried; Cyperi Rhizoma (Changfu) stir-fried with child's urine; Crataegi Fructus (Shanzhourou); Citri Reticulatae Pericarpium (Chenpi); Pinelliae Tuber (Banxia) stir-fried with ginger juice; Poria (Fuling) peeled; Lithotrichum (Haishi); Pinelliae Rhizoma (Nanxing); Trichosanthis Radix (Tianhuafen) (each 2 liang); Aurantii Fructus Immaturus (Zhiqiao) de-pithed, stir-fried with wheat bran (1.5 liang); Glycyrrhizae Radix et Rhizoma (Gancao) honey-fried (5 qian).