一种粒大。一种粒小。小者入药。其色青绿。
苦辛大热。有小毒。气味俱浓。浮而沉。阳中阴也。入足太阴经血分。少阴厥阴经气分。
吴
治
湿
毒
咳嗽血。着痹谵妄不能食。嘈杂大便不通小便数。痘疹余毒。耳证虫。吴萸禀火气以生。故
其
言土
阴厥
上下
可代
其色
即数日
蜜丸梧
作茱萸
至数十
不止。
七十丸。
一滚。取
仁。去皮尖
半条。去脂
脾泄。老人
暖膀胱。水
三盏。煎七
炮姜等分。
熟布裹熨症
〔论〕 吴萸震坤合见。其色青绿。木皮亦绿。是木为土用者也。三月开花红紫色。本
春木
之辛以
畅厥阴风
所以辛
至阴肾
降土
于湿
气。
阴不
得阳
如甄
便燥
或和
与交泰
升。阳
味以奏
治浊气
而
以致脾患于湿。若血不滞则肝自润。而脾自燥。此即下气而除湿血痹之义也。如濒湖所云吞
酸。即方书湿热之治。有吐酸吞酸者。投咽醋丸。用黄连为君。苍芩陈茱为辅也。其湿热滞
气甚者。投参茱丸。用六一散为君。吴萸为佐。合服也。至治虚寒之吞酸。有醋心上攻。止
用浓醋煎吴萸汤顿服者。有食已吞酸。将吴萸炮姜等分末服者。盖是证有湿热寒湿之殊。惟
此味下气除湿。为其主要如寒湿之治。治其因寒而成湿。湿在寒之后也。湿热之治。治其因
湿而化热。热在湿之后也。又此味之治泄泻。亦有湿热寒湿之殊。其因湿化热者。热在湿之
后。故用黄连燥之清之。更以此味行中土之滞。俾湿先化而奏功。至于寒湿泄泻。类由于元
阳虚。正经所谓中气之湿也。必如吴萸之温中下气。乃能偕诸味以回元阳于无何有之乡尔。
再如疝证。亦有湿热寒湿之治。其寒类从外受。不专责于元阳之虚也。因寒而阳不得化。阳
不化而郁于寒中。是为寒化湿。而湿因化热。故丹溪论治。惟宜于通。或疏散。或分利。或
针灸。皆通其由外而受之邪也。第外邪固属病因。实则病于肾中寒水之化不行。致风木郁于
所生之中。而小腹及外肾。凡肾肝部分。见于病者不爽。此所云湿热。不止于因寒而化湿。
复
即
导
归
召阴
第
似
随其
湿血
于气
见气
连芩
湿热
不以
其阴
之。另有
气除血痹
热甚者用
用也。）
头旋眼晕。
萸茴香甘草
萸不足以助
寒而补其中土
又其次则治
是六腑受
腑或脏。行气畅血。皆不可少。概不越于下气除湿血痹之
悉之。而余证可以类推。总之。兹味之用。全取其气。古
气。至此尽为金用。有如是其烈也欤。化原本于火土。而
以谓为阳中阴。惟为阳中之阴。故能分解清浊。经云阴阳
气也。阴阳合而分。分而合。兹物得其元机乃如此。是不
亦难齐其运化之功矣。明者其善用之。
缪氏云。阳厥似阴。手足虽逆冷。而口多渴喜饮水。大小便秘结。小便或通亦赤涩短少。
此
所
小
寒
〔修治〕 滚汤浸去苦烈汁七次。焙用。
食茱萸 本与吴萸一类二种。但取吴地者入药。名吴萸耳。食萸颗粒差大。一名 子
经久色黄皮黑。
气味苦辛大热。有小毒。主治同吴萸。功力少劣。去暴冷腹痛食不消。并治冷痢。一女
子于
得畅
倍加
一种颗粒较大，一种颗粒较小。较小的入药。它的颜色是青绿色。
味苦、辛，性大热，有小毒。气味都很浓厚，药性浮而沉，属于阳中阴。归足太阴脾经的血分，以及少阴肾经、厥阴肝经的气分。
吴茱萸主治：
湿毒、咳嗽带血、着痹（关节疼痛固定不移的痹证）、谵妄、不能进食、嘈杂感、大便不通、小便频数、痘疹余毒、耳部疾病及虫患等。
吴茱萸禀受火气而生，所以……（原文此处文字错乱，难以连贯翻译，略去不可读部分）……其色青绿。木皮也是绿的，这是木气被土气所用的表现。三月开红紫色的花。本……春木之辛以畅达厥阴风……所以辛……至阴肾……降土……于湿气……阴不得阳……如甄……便燥……或和……与交泰……升。阳味以奏效……治浊气……而……以致脾患于湿。如果血液不瘀滞，则肝脏自然滋润，而脾脏自然干燥。这就是下气除湿、治疗血痹的意义。如李时珍（濒湖）所说吞酸，即方书中湿热证的治疗。有吐酸、吞酸的，投用咽醋丸，以黄连为君药，苍术、黄芩、陈皮、吴茱萸为辅药。湿热滞气严重的，投用参茱丸，以六一散为君药，吴茱萸为佐药，合服。至于治疗虚寒引起的吞酸，有醋气上攻的，只用浓醋煎吴茱萸汤顿服；有食后吞酸的，将吴茱萸、炮姜各半份研末服用。大概这种病症有湿热、寒湿的区别，只有这味药能下气除湿，是其关键所在。如寒湿的治疗，治疗因寒而成湿，湿在寒之后；湿热的治疗，治疗因湿而化热，热在湿之后。另外，此药治疗泄泻，也有湿热、寒湿的区别。因湿化热的，热在湿之后，所以用黄连燥湿清热，再用此药行中焦脾胃之滞，使湿先化解而奏效。至于寒湿泄泻，多由于元阳虚，正如经文所说的中气之湿。必须像吴茱萸这样温中下气，才能配合其他药物在虚无之中挽回元阳。再如疝证，也有湿热、寒湿的治疗区别。寒类从外感受，不专门责怪元阳虚。因寒导致阳气不能化生，阳气不化而郁结在寒中，这叫寒化湿，而湿又因化热。所以朱丹溪论治，只宜于通利，或疏散，或分利，或针灸，都是疏通从外感受的邪气。只是外邪固然属于病因，实际上病在于肾中寒水之气化不行，导致风木郁结在所生之中，而小腹及外肾，凡是肝肾部位出现的病症，没有不准验的。这里所说的湿热，不仅仅是因寒而化湿，还有……另有……气除血痹……热甚者用……用也。）头旋眼晕。吴茱萸、茴香、甘草……吴茱萸不足以助……寒而补其中土……又其次则治……是六腑受……腑或脏，行气畅血，都不可缺少。概不外乎下气除湿、治疗血痹……全部了解它，而其他病症可以类推。总之，这味药的使用，全取其气，古人……气。至此尽为金所用，有这样猛烈吗？化原本源于火土，而……认为它是阳中阴，正因为是阳中之阴，所以能分解清浊。经文说阴阳……气也。阴阳合而分，分而合，此物得其玄机竟如此。这不也难以齐备其运化之功吗？明智的人善于使用它。
缪希雍说：阳厥类似阴厥。手足虽然逆冷，但口中多渴喜饮水，大小便秘结，小便即使通畅也赤涩短少。
【修治】用滚开水浸泡，去掉苦烈汁七次，焙干后使用。
食茱萸 本来与吴茱萸同类两种，但取吴地产的入药，名叫吴茱萸。食用茱萸颗粒稍大，一名……子经久色黄皮黑。
气味苦、辛，性大热，有小毒。主治功效同吴茱萸，功力稍差。可去除暴冷腹痛、食物不消化，并治疗冷痢。一女子……得畅……倍加
One type has large grains, and another type has small grains. The smaller ones are used for medicinal purposes. Their color is greenish-blue.
Bitter and acrid, greatly hot in nature, with slight toxicity. Both flavor and qi are dense; their action floats and sinks, representing Yang within Yin. It enters the Blood aspect of the Foot-Taiyin (Spleen) meridian, and the Qi aspect of the Shaoyin (Kidney) and Jueyin (Liver) meridians.
Wuzhuyu (Evodiae Fructus) treats:
Damp-toxin, cough with blood, fixed Bi-syndrome (painful obstruction with fixed location), delirium, inability to eat, stomach discomfort (zao re), constipation, frequent urination, residual toxins from smallpox/rashes, ear disorders, and parasitic infestations.
Wuzhuyu is born from Fire qi, therefore... [The original text here is garbled/disordered, so a coherent translation is omitted for these fragmented phrases] ...its color is greenish-blue. The bark of the wood is also green; this indicates that Wood is utilized by Earth. In the third lunar month, it blooms red-purple flowers. Originally... the Acridity of Spring-Wood unblocks the Wind of Jueyin... thus Acrid... reaches the Extreme-Yin Kidney... descends Earth... regarding Dampness... Yin cannot obtain Yang... like a steamer... dry stool... or harmonize... with Jiaotang... ascend. Yang flavor achieves efficacy... treating turbid Qi... and... leading to Spleen disease due to Dampness. If Blood does not stagnate, the Liver naturally moistens, and the Spleen naturally dries. This is the meaning of descending Qi, eliminating Dampness, and treating Blood Bi. As Li Shizhen (Binhu) stated regarding acid regurgitation, this refers to the treatment of Damp-Heat syndromes in medical texts. For those with acid vomiting or regurgitation, Yan Cu Wan (Vinegar Swallowing Pill) is administered, using Huanglian (Coptidis Rhizoma) as the Sovereign herb, Cangzhu (Atractylodis Rhizoma), Huangqin (Scutellariae Radix), Chenpi (Citri Reticulatae Pericarpium), and Wuzhuyu as Ministers. For severe cases of Damp-Heat with stagnant Qi, Shen Zhu Wan (Ginseng and Evodia Pill) is given, using Liuyi San (Six-to-One Powder) as the Sovereign formula and Wuzhuyu as an Assistant, taken together. As for treating acid regurgitation caused by Deficiency-Cold, for those with vinegar-like Qi attacking upward, only strong vinegar decocted with Wuzhuyu is taken in one dose; for those with postprandial acid regurgitation, equal parts of processed Wuzhuyu and Paojiang (Zingiberis Rhizoma Preparatum) are powdered and taken. Generally, this syndrome differs between Damp-Heat and Cold-Damp. Only this herb can descend Qi and eliminate Dampness, which is its primary function. Regarding the treatment of Cold-Damp, it addresses Dampness formed due to Cold, where Dampness follows Cold. Regarding the treatment of Damp-Heat, it addresses Heat transformed from Dampness, where Heat follows Dampness. Furthermore, this herb's treatment of diarrhea also distinguishes between Damp-Heat and Cold-Damp. In cases of Heat following Dampness transformation, Heat comes after Dampness; thus, Huanglian is used to dry and clear, combined with this herb to move stagnation in the Middle Jiao (Spleen/Stomach), allowing Dampness to resolve first and achieve efficacy. As for Cold-Damp diarrhea, it is mostly due to Deficiency of Primordial Yang, as mentioned in the classics as "Middle Qi Dampness." Only warming the Middle and descending Qi like Wuzhuyu can, along with other herbs, restore Primordial Yang from the realm of non-being. Similarly, for hernia syndromes, there are treatments for Damp-Heat and Cold-Damp. The Cold type is contracted externally and is not solely blamed on Primordial Yang deficiency. Due to Cold, Yang fails to transform; when Yang fails to transform, it stagnates within the Cold, termed Cold transforming into Dampness, and then Dampness transforming into Heat. Therefore, Zhu Danxi argued that treatment should focus on unblocking, whether through dispersing, separating/draining, or acupuncture/moxibustion, all aiming to unblock pathogens contracted externally. Although external pathogens are indeed etiological factors, the actual pathology lies in the failure of Kidney Water's transformation, causing Wind-Wood to stagnate within its generating organ. Consequently, diseases appearing in the lower abdomen and external genitalia—areas belonging to the Kidney and Liver—are invariably accurate. The "Damp-Heat" mentioned here is not merely Cold transforming into Dampness, but also... additionally... removing Qi and Blood Bi... for severe Heat use... use.) Vertigo and dizziness. Wuzhuyu, Huixiang (Foeniculi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma)... Wuzhuyu is insufficient to assist... Cold and tonify the Middle Earth... next in order is treating... affecting the Six Fu organs... Fu or Zang organs, moving Qi and smoothing Blood are indispensable. All do not exceed the principles of descending Qi, eliminating Dampness, and treating Blood Bi... understand it fully, and other syndromes can be inferred by analogy. In summary, the use of this herb relies entirely on its Qi. Ancient... Qi. Here it is completely utilized by Metal, is it not so fierce? Transformation originates from Fire and Earth, and... considered as Yang within Yin. Precisely because it is Yin within Yang, it can separate Clear from Turbid. The Classic states Yin and Yang... Qi. Yin and Yang combine and divide, divide and combine; this substance obtains its primordial mechanism thus. Is it not difficult to match its transformative power? Wise individuals know how to use it well.
Miao Xiyong said: Yang Jue (reversal) resembles Yin Jue. Although the hands and feet are cold, the mouth is often thirsty and desires drinking water; both stool and urine are constipated; even if urination is smooth, it is red, scanty, and painful.
[Processing] Soak in boiling water, remove the bitter and harsh juice seven times, then bake for use.
Shi Zhuyu (Edible Evodia) belongs to the same category but is a different species from Wuzhuyu. However, only those from Wu region are used medicinally, named Wuzhuyu. Edible Zhuyu grains are slightly larger, also known as... After long storage, the color turns yellow with black skin.
Flavor and Qi: Bitter, acrid, greatly hot, with slight toxicity. Main indications are the same as Wuzhuyu, but efficacy is slightly inferior. It removes sudden cold abdominal pain and indigestion, and treats cold dysentery. A female patient... gets smooth... double the amount.