即越鞠丸合二陈汤加砂仁治诸郁○血郁加桃仁红花牡丹皮○气郁加乌药木香○痰郁
星枳壳小皂荚○湿郁加白术倍苍术○热郁加黄连倍山栀○食郁加山楂麦芽青皮倍神曲
即越鞠丸无神曲合二陈汤加贝母苏叶木香槟榔生姜煎服治因求谋不遂或横逆之求或
所迫或暴怒所伤或悲哀所致或思念太过皆为气郁其状胸满胁痛脉沉而涩者也
即越鞠丸无神曲山栀合二陈汤白术浓朴羌独活治因雨露所袭或岚气所侵或坐卧湿地
出衣衫皆为湿郁其状身重而痛倦怠嗜卧遇阴寒则发脉沉而细缓者是也
用香附便制二钱牡丹皮赤曲通草山楂麦芽苏木穿山甲降香(各一钱)红花(七分)水酒
各半
煎去滓入桃仁泥七分韭汗半盏和匀温服治七情郁结盛怒叫呼或起居失宜或挫闪致瘀饥饱
皆能致血郁其脉沉涩而芤胸胁常如针刺者是也
即凉膈散去硝黄加麦门冬郁金栝蒌穣治非阴虚非阳陷亦不发热而常自蒸蒸不解者或
不用苍术香附抚芎曰火就燥燥药皆能助火故不用也
治心下坚大如盘边如旋盘水饮所作
枳实(七枚苦寒) 白术(二两甘温)
上二味以水五升煮取三升分温三服腹中 即当散也洁古枳术丸用枳实麸炒四两白术土炒
八两为细末荷叶煨饭入汤杵膏去滓为丸如绿豆大每服五六十丸清米饮下或用荷叶陈米煎汤发
丸更
这就是在越鞠丸的基础上加入山楂、砂仁,用于治疗饮食停滞导致的噎膈。
这就是在越鞠丸的基础上去掉苍术,加入青皮、甘草,能够解除各种郁结。
这就是在越鞠丸的基础上加入海浮石、天南星、瓜蒌、青黛,用于治疗因火邪扰动引起的痰证,使人出现杂症。
这就是在越鞠丸的基础上加入青黛,用于治疗七情(喜、怒、忧、思、悲、恐、惊)拂郁导致吞酸、小便色赤、脉象沉数的情况。
这就是将越鞠丸与二陈汤合用,并加入砂仁,用于治疗各种郁证:血郁加桃仁、红花、牡丹皮;气郁加乌药、木香;痰郁加天南星、枳壳、小皂荚;湿郁加白术,倍量使用苍术;热郁加黄连,倍量使用山栀;食郁加山楂、麦芽、青皮,倍量使用神曲。
这就是在越鞠丸中去除神曲、山栀,合用二陈汤,并加入贝母、苏叶、木香、槟榔、生姜煎服,用于治疗因谋求不成或遭受横逆逼迫、暴怒所伤、悲哀所致或思念过度而形成的气郁,其症状表现为胸满胁痛、脉象沉涩。
这就是在越鞠丸中去除神曲、山栀,合用二陈汤,并加入白术、厚朴、羌活、独活,用于治疗因雨露侵袭、岚气侵扰或坐卧湿地、衣衫潮湿而形成的湿郁,其症状表现为身体沉重疼痛、倦怠嗜睡,遇阴寒天气则发作,脉象沉细缓。
取香附(便制)二钱,牡丹皮、赤芍、通草、山楂、麦芽、苏木、穿山甲、降香各一钱,红花七分,用水和酒各半煎煮,去渣后加入桃仁泥七分、韭菜汁半盏,调和均匀温服,用于治疗七情郁结、盛怒叫呼、起居失宜或挫闪导致的瘀血,饥饱失调也能导致血郁,其脉象沉涩而芤,胸胁部常如针刺般疼痛。
这就是在凉膈散中去掉芒硝、大黄,加入麦门冬、郁金、瓜蒌瓤,用于治疗既非阴虚也非阳气下陷,也不发热,但经常感到蒸蒸发热的情况;或者不用苍术、香附、抚芎,因为火性就燥,燥药都能助长火势,所以不使用。
治疗心下部坚硬大如盘状,边缘像旋转的盘子,这是水饮所作成的病证。
枳实(七枚,味苦性寒)、白术(二两,味甘性温)。
以上两味药,用水五升,煮取三升,分三次温服,腹中痞块就会消散。洁古(张元素)的枳术丸是用麸炒枳实四两、土炒白术八两,研成细末,用荷叶煨饭制成糊状,捣匀去渣,制成如绿豆大小的丸药,每次服用五六十丸,用清米饮送下;或者用荷叶和陈米煎汤来送服丸药,效果更好。
This is Yueju Wan (Yueju Pill) with added Hawthorn Fruit (Crataegi Fructus, Shanzha) and Amomum Fruit (Amomi Fructus, Sharen), used to treat dysphagia caused by food stagnation.
This is Yueju Wan (Yueju Pill) with Atractylodes Rhizome (Atractylodis Rhizoma, Cangzhu) removed, and Green Tangerine Peel (Citri Reticulatae Pericarpium, Qingpi) and Licorice Root (Glycyrrhizae Radix et Rhizoma, Gancao) added, capable of resolving various types of Qi stagnation.
This is Yueju Wan (Yueju Pill) with Floating Limestone (Pumex, Haishi), Arisaema Rhizome (Arisaematis Rhizoma, Nanxing), Trichosanthes Fruit (Trichosanthis Fructus, Gualou), and Indigo Naturalis (Indigotidis Folium, Qingdai) added, used to treat phlegm disorders caused by fire disturbing the phlegm, leading to miscellaneous symptoms.
This is Yueju Wan (Yueju Pill) with Indigo Naturalis (Indigotidis Folium, Qingdai) added, used to treat acid regurgitation, dark urine, and a deep-rapid pulse resulting from emotional stagnation (stagnation of the Seven Emotions).
This is a combination of Yueju Wan (Yueju Pill) and Erchen Tang (Two-Aged Decoction) with Amomum Fruit (Amomi Fructus, Sharen) added, used to treat various stagnations: Blood Stagnation adds Peach Kernel (Persicae Semen, Taoren), Safflower (Carthami Flos, Honghua), and Moutan Bark (Moutan Cortex, Mudanpi); Qi Stagnation adds Lindera Root (Linderae Radix, Wuyao) and Costus Root (Aucklandiae Radix, Muxiang); Phlegm Stagnation adds Arisaema Rhizome (Arisaematis Rhizoma, Nanxing), Immature Bitter Orange (Aurantii Fructus Immaturus, Zhike), and Small Soap Pod (Gleditsiae Sinensis Spina, Xiaozaojia); Dampness Stagnation adds Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma, Baizhu) and doubles the dose of Atractylodes Rhizome (Atractylodis Rhizoma, Cangzhu); Heat Stagnation adds Coptis Rhizome (Coptidis Rhizoma, Huanglian) and doubles the dose of Gardenia Fruit (Gardeniae Fructus, Shanzhi); Food Stagnation adds Hawthorn Fruit (Crataegi Fructus, Shanzha), Barley Sprout (Hordei Fructus Germinatus, Maiya), Green Tangerine Peel (Citri Reticulatae Pericarpium, Qingpi), and doubles the dose of Medicated Leaven (Massa Medicata Fermentata, Shenqu).
This is Yueju Wan (Yueju Pill) without Medicated Leaven (Massa Medicata Fermentata, Shenqu) and Gardenia Fruit (Gardeniae Fructus, Shanzhi), combined with Erchen Tang (Two-Aged Decoction), and adding Scutellaria Root? No, Scutellaria is Huangqin. Here it is Fritillaria Bulb (Fritillariae Cirrhosae Bulbus, Beimu), Perilla Leaf (Perillae Folium, Ziyè), Aucklandia Root (Aucklandiae Radix, Muxiang), Areca Seed (Arecae Semen, Binglang), and Fresh Ginger (Zingiberis Rhizoma Recens, Shengjiang) decocted. It treats Qi Stagnation caused by unfulfilled desires, forced compliance, sudden anger, grief, or excessive longing. The manifestations include chest fullness, hypochondriac pain, and a deep-choppy pulse.
This is Yueju Wan (Yueju Pill) without Medicated Leaven (Massa Medicata Fermentata, Shenqu) and Gardenia Fruit (Gardeniae Fructus, Shanzhi), combined with Erchen Tang (Two-Aged Decoction), and adding Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma, Baizhu), Magnolia Bark (Magnoliae Officinalis Cortex, Houpo), Notopterygium Rhizome and Root (Notopterygii Rhizoma et Radix, Qianghuo), and Saposhnikovia Root (Saposhnikoviae Radix, Duhuo). It treats Dampness Stagnation caused by exposure to rain and dew, mountain mist, sitting or lying on damp ground, or wearing damp clothes. The manifestations include heavy and painful body, fatigue, desire to sleep, exacerbation in cold and yin weather, and a deep-slow-wiry pulse.
Take Prepared Cyperus Rhizome (Cyperi Rhizoma, Xiangfu) processed with bran liquor, 2 qian; Peony Root (Paeoniae Radix Rubra, Mudanpi), Red Yeast Rice (Monascus Purpureus, Chiqu), Thoroughwort Herb (Eupatorii Herba, Tongcao), Hawthorn Fruit (Crataegi Fructus, Shanzha), Barley Sprout (Hordei Fructus Germinatus, Maiya), Liverwort Tree Wood (Dalbergiae Odoriferae Lignum, Sumu), Pangolin Scales (Manis Squama, Chuanshanjia), and Agarwood (Aquilariae Lignum Resinatum, Jiangxiang), each 1 qian; Safflower (Carthami Flos, Honghua), 7 fen. Decoct with half water and half wine, strain, add Peach Kernel Paste (Persicae Semen, Taoren), 7 fen, and Chinese Chive Juice (Allii Tuberosi Juice, Jiuhan), half zhan. Mix evenly and take warm. It treats Blood Stasis caused by emotional stagnation, loud shouting in rage, improper living habits, trauma, or irregular eating. The pulse is deep-choppy and hollow, and the chest and hypochondrium feel like needle pricks.
This is Liangge San (Cooling the Diaphragm Powder) without Mirabilite (Natrii Sulfas, Xiaofen) and Rhubarb (Rhei Radix et Rhizoma, Dahuang), adding Ophiopogon Tuber (Ophiopogonis Tuber, Maidong), Turmeric Tuber (Curcumae Longae Rhizoma, Yujin), and Trichosanthes Peel (Trichosanthis Pericarpium, Gualoulou), used to treat cases that are neither Yin deficiency nor Yang sinking, nor accompanied by fever, but characterized by constant feeling of heat steaming outwards. Alternatively, do not use Atractylodes Rhizome (Atractylodis Rhizoma, Cangzhu), Cyperus Rhizome (Cyperi Rhizoma, Xiangfu), or Ligusticum Rhizome (Chuanxiong Rhizoma, Fuxiong), because fire tends towards dryness, and drying herbs can assist fire, hence they are not used.
Treats hardness and distension in the epigastrium as large as a plate, with edges like a rotating dish, caused by fluid retention.
Immature Bitter Orange (Aurantii Fructus Immaturus, Zhishi) [Seven pieces, bitter, cold], Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma, Baizhu) [Two liang, sweet, warm].
These two ingredients are boiled in five sheng of water to obtain three sheng, taken in three warm doses. The abdominal stagnation will dissipate. Jiegu's (Zhang Yuansu's) Zhiju Wan uses Bran-fried Immature Bitter Orange (Aurantii Fructus Immaturus, Zhishi) four liang and Earth-fried Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma, Baizhu) eight liang, ground into fine powder. Use lotus leaf-wrapped rice paste as a binder, pound into a paste, strain, and form pills the size of mung beans. Take 50-60 pills per dose, washed down with clear rice drink. Or, decoct lotus leaf and aged rice to wash down the pills for better effect.