戴云∶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，胸胁痛，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
则即喘，寸口脉沉滑；热郁者，瞀，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。
气血中和，万病不生，一有怫郁，诸病生焉。
气郁∶香附子、苍术、川芎。
湿郁∶苍术、川芎、白芷。
痰郁∶海石、香附、南星、栝蒌。
热郁∶青黛、香附、苍术、川芎、栀子。
血郁∶桃仁、红花、青黛、川芎、香附。
食郁∶苍术、香附、针沙（醋炒）、山楂、神曲（炒）。
春加芎，夏加苦参，秋冬加吴茱萸。
越鞠丸，解诸郁，又名芎术丸。
苍术 香附 抚芎 神曲 栀子 等分为末，水丸，如绿豆大。
凡郁皆在中焦，以苍术、抚芎、开提其气以升之。假如
食在气上，提其气则食自降。余皆仿此。
大风病，是受得天地间杀物之气，古人谓之疠风者，以其酷烈暴悍可畏耳。人得之者，须分在上、在下。
夫在上者，以醉仙散取涎血于齿缝中出；在下者，以通天散取恶物陈虫于谷道中出。取出虽有道路之异，然皆
不外乎阳明一经。治此证者，须知此意。看其疙瘩与疮，上先见者、上体多者，在上也；下先见者、下体多
者，在下也。上下同得者，在上复在下也。阳明胃经与大肠无物不受，此风之入人也。气受之，则在上多；血
受之，则在下多；血气俱受之者，上下俱多也。自非医者神手，病者铁心，罕有免此。夫从上从下以渐而来
者，皆可治。人见其病势之缓，多忽之。虽按法施治，病已痊可，若不能忌口、绝色，皆不免再发，发则终于
不能救也。余曾治五人中间，唯一妇人不再发，以其贫甚而且寡，无物可吃也。余四人，三、四年后皆再发。
孙真人云∶吾尝治四五十人，终无一人免于死。非真人不能治，盖无一人能守禁忌耳。此妇人本病药外，又服
百余帖加减四物汤，半年之上，方得经行，十分安愈。
治法∶在上者醉仙散，在下者通天再造散。后用通神散，及三棱针于委中出血。但不能忌口、绝房者，不
治之也。
醉仙散∶
胡麻仁 牛蒡子 蔓荆子 枸杞子（各半两为粗末，同炒紫色） 白蒺藜 苦参 栝蒌根 防风（各半两）
上八味为细末，每一两半入轻粉三钱，拌匀。大人一钱，空心，日午、临睡各一服，淡茶调下。五七日间，
必于齿缝中出臭涎水，浑身觉痛，昏闷如醉，利下恶臭屎为度。量大
小虚实加减与之。证候重而急者，须以再造散下之，候补养得还，复与此药吃。须断盐酱醋诸般鱼肉椒料果子
烧炙等物，止可淡粥及淡煮熟时菜食之。茄尚不可食，惟有乌稍蛇、菜花蛇可以淡酒煮熟食之，以助药力。
再造散∶郁金（半两，生用） 大黄（一两，炮） 皂角刺（一两，黑者大者） 白牵牛（头末六钱半，
炒半生用之。）
上为末，五钱临夜冷酒调下。以净桶伺候泄出虫。如虫口黑色，乃是多年虫；口如赤色，是近者。三数日
又进一服，直候无虫，即绝根也。
戴元礼说：所谓“郁”，是指气机结聚而不能发散。该升发的不能升发，该下降的不能下降，该转化的不能转化。这就是传化功能失常，六郁的病证就出现了。
气郁的症状是胸胁疼痛，脉象沉涩；湿郁的症状是周身游走性疼痛，或者关节疼痛，遇到阴寒天气就会发作，脉象沉细；痰郁的症状是一活动就气喘，寸口脉象沉滑；热郁的症状是头目昏花，小便颜色深红，脉象沉数；血郁的症状是四肢无力，食欲正常，大便带血（便红），脉象沉；食郁的症状是嗳气有酸腐味，腹部胀满不能进食，人迎脉象平和，而气口脉象紧盛，这就是食郁的表现。
气血调和中正，万病不生；一旦有怫郁（气机阻滞不畅），各种疾病就会产生。
治疗气郁：使用香附子、苍术、川芎。
治疗湿郁：使用苍术、川芎、白芷。
治疗痰郁：使用海浮石、香附、天南星、瓜蒌。
治疗热郁：使用青黛、香附、苍术、川芎、栀子。
治疗血郁：使用桃仁、红花、青黛、川芎、香附。
治疗食郁：使用苍术、香附、针砂（醋炒）、山楂、神曲（炒）。
越鞠丸，能解诸种郁结，又名芎术丸。
配方为：苍术、香附、抚芎（即抚州产的川芎）、神曲、栀子，各等分研为细末，用水泛丸，如绿豆大小。
凡是郁证，病位都在中焦，用苍术、抚芎来开提气机使其升发。假如食物停滞在气分之上，提起气机则食物自然下降。其余各类郁证都仿照此法治疗。
大风病（麻风病），是感染了天地间杀灭生物的气毒，古人称之为疠风，是因为其性质酷烈暴悍令人畏惧。人感染此病后，必须分辨病邪在上部还是下部。
病邪在上部的，用醉仙散从齿缝中引出涎血；病邪在下部的，用通天散从肛门（谷道）中排出恶物和陈年虫体。虽然排出的途径不同，但都不外乎阳明经这一条经络。治疗此证的人，必须明白这个道理。观察患者的疙瘩和疮疡，如果先在头部显现、上半身较多，说明病邪在上部；如果先在足部显现、下半身较多，说明病邪在下部。上下同时出现的，是上部兼及下部。阳明胃经与大肠无所不受，这是风邪侵入人体的途径。气受邪，则病多在上部；血受邪，则病多在下部；气血俱受邪，则上下都多。如果不是医生手法高明，病人意志坚定，很少有能免除死难的。如果是从上到下或从下到上逐渐发展的，都可以治疗。人们看到病情发展缓慢，往往忽视它。即使按照方法施治，病情已经痊愈，如果不能忌口、断绝房事，都难免再次复发，一旦复发最终就无法救治了。我曾经治疗过五个人，中间只有一位妇人不再复发，因为她非常贫穷且守寡，没有什么可吃的东西。另外四个人，三四年后都复发了。孙思邈真人曾说：“我曾经治疗四五十人，最终没有一个人免于死亡。”并非真人不能治愈，而是没有人能遵守禁忌罢了。这位妇人在本病用药之外，又服用了百余帖加减后的四物汤，半年以上，月经才通畅，十分安愈。
治疗方法：病邪在上部的用醉仙散，在下部的用通天再造散。之后再用通神散，并在委中穴用三棱针放血。但如果不能忌口、禁欲的，属于不治之症。
醉仙散的配方：
胡麻仁、牛蒡子、蔓荆子、枸杞子（各半两，捣成粗末，一起炒至紫色）、白蒺藜、苦参、栝蒌根、防风（各半两）。
以上八味药研为细末，每一两半药粉中加入轻粉三钱，拌匀。成人每次服用一钱，空腹时，中午和临睡前各服一次，用淡茶调服。五到七天内，必然会在齿缝中流出臭涎水，浑身感觉疼痛，昏闷如同醉酒，拉出恶臭的大便为止。根据患者体质的大小虚实进行加减给药。证候严重而急迫的，必须先用再造散攻下，待身体补养恢复后，再服用此药。必须断绝盐、酱、醋以及各种鱼肉、椒料、果子、烧烤等食物，只能吃淡粥和清淡煮熟的蔬菜。茄子尚且不可吃，只有乌梢蛇、菜花蛇可以用淡酒煮熟食用，以助药力。
再造散的配方：郁金（半两，生用）、大黄（一两，炮制）、皂角刺（一两，黑色且大的）、白牵牛（头末六钱半，一半炒一半生用）。
以上药物研为细末，每次五钱，临睡前用冷酒调服。准备干净的桶伺候，以便排泄出虫体。如果虫口是黑色的，是多年的老虫；如果虫口是红色的，是近期感染的。三几天后再进服一剂，直到没有虫子排出，才能断根。
Dai Yuanli stated: "Yu" (Stagnation) refers to the condition where Qi mechanism is knotted and gathered but cannot be dispersed. What should ascend fails to ascend, what should descend fails to descend, and what should transform fails to transform. This constitutes a dysfunction in transmission and transformation, manifesting as the diseases of the Six Stagnations.
Qi Stagnation presents with pain in the chest and hypochondrium, and a deep, choppy pulse; Dampness Stagnation presents with wandering pain throughout the body or joint pain, which exacerbates in cold and damp weather, with a deep, fine pulse; Phlegm Stagnation presents with panting upon exertion, and a deep, slippery pulse at the Cun Kou position; Heat Stagnation presents with dizziness and blurred vision, dark red urine, and a deep, rapid pulse; Blood Stagnation presents with weakness in the four limbs, normal appetite, blood in the stool, and a deep pulse; Food Stagnation presents with belching with a sour odor, abdominal fullness, inability to eat, a peaceful Ren Ying pulse, and a tight, excessive Qi Kou pulse.
When Qi and Blood are harmonious and balanced, myriad diseases do not arise; once there is Fu Yu (Qi obstruction and stagnation), various diseases emerge.
Treatment for Qi Stagnation: Xiangfu Zi (Cyperus Rhizome), Cang Zhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma).
Treatment for Dampness Stagnation: Cang Zhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix).
Treatment for Phlegm Stagnation: Haishi (Pumex), Xiangfu (Cyperus Rhizome), Nanxing (Arisaematis Rhizoma Preparatum), Gualou (Trichosanthis Fructus).
Treatment for Heat Stagnation: Qingdai (Indigo Naturalis), Xiangfu (Cyperus Rhizome), Cang Zhu (Atractylodis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhizi (Gardeniae Fructus).
Treatment for Blood Stagnation: Taoren (Persicae Semen), Honghua (Carthami Flos), Qingdai (Indigo Naturalis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperus Rhizome).
Treatment for Food Stagnation: Cang Zhu (Atractylodis Rhizoma), Xiangfu (Cyperus Rhizome), Zhensha (Magnetitum, stir-fried with vinegar), Shanzha (Crataegi Fructus), Shenqu (Massa Medicata Fermentata, stir-fried).
In spring, add Chuanxiong; in summer, add Kushen (Sophorae Flavescentis Radix); in autumn and winter, add Wuzhuyu (Evodiae Fructus).
Yueju Wan (Regulating Depression Pill), which resolves various stagnations, is also known as Xiongshu Wan.
Formula: Cang Zhu (Atractylodis Rhizoma), Xiangfu (Cyperus Rhizome), Fuxiong (Ligustici Chuanxiong Rhizoma from Fuzhou), Shenqu (Massa Medicata Fermentata), Zhizi (Gardeniae Fructus), in equal parts, ground into fine powder, made into water pills the size of mung beans.
All stagnations reside in the Middle Jiao (Middle Burner). Use Cang Zhu and Fuxiong to lift and raise the Qi. For instance, if food is stagnant above the Qi level, lifting the Qi will cause the food to descend naturally. The other types of stagnation follow this principle.
The Great Wind Disease (Leprosy/Mal Feng) is contracted from the killing qi of heaven and earth. Ancients called it Lifeng (Plague Wind) because its nature is fierce, violent, and terrifying. Upon contracting this disease, one must distinguish whether the pathogen is located in the upper or lower part of the body.
For pathogens in the upper part, use Zuixian San (Intoxicating Immortal Powder) to draw out phlegm and blood from the gum crevices; for pathogens in the lower part, use Tongtian San (Heaven-Penetrating Powder) to expel foul matter and old worms via the anus (Gu Dao). Although the routes of expulsion differ, they all pertain to the Yangming Meridian. Those treating this condition must understand this principle. Observe the nodules and sores: if they appear first on the head and are more numerous on the upper body, the pathogen is in the upper part; if they appear first on the feet and are more numerous on the lower body, the pathogen is in the lower part. If both upper and lower are affected, it involves both. The Yangming Stomach Meridian and Large Intestine Meridian accept everything; this is how the wind pathogen enters the human body. If Qi is affected, the disease manifests mostly in the upper part; if Blood is affected, it manifests mostly in the lower part; if both Qi and Blood are affected, it manifests in both. Unless the physician has divine skill and the patient has an iron will, few escape death. Cases developing gradually from top to bottom or bottom to top are treatable. People often neglect the disease due to its slow progression. Even if treated according to method and the illness appears cured, if the patient does not observe dietary restrictions and abstains from sexual activity, relapse is inevitable. Once relapsed, it becomes incurable. I once treated five patients; only one woman did not relapse because she was extremely poor and widowed, having nothing substantial to eat. The other four relapsed after three or four years. Sun Simiao stated: "I have treated forty or fifty people, yet not one escaped death." It is not that Sun could not cure them, but that no one could keep the taboos. This woman, in addition to the medicine for her primary disease, took over a hundred doses of modified Siwu Tang (Four Substances Decoction). After more than half a year, her menstruation resumed, and she achieved complete recovery.
Treatment Method: For pathogens in the upper part, use Zuixian San; for those in the lower part, use Tongtian Zaizao San (Heaven-Penetrating Regeneration Powder). Subsequently, use Tongshen San (Spirit-Opening Powder) and apply three-edged needle bleeding at Weizhong (BL40). However, those who cannot observe dietary restrictions and abstain from sex are considered incurable.
Zuixian San Formula:
Huma Ren (Sesamum Indicum Seed), Niubangzi (Arctii Fructus), Manjingzi (Viticis Semen), Gouqizi (Lycii Fructus) (each 1.5 taels, coarsely powdered and stir-fried together until purple), Bajieli (Tribuli Fructus), Kushen (Sophorae Flavescentis Radix), Gualougen (Trichosanthis Radix), Fangfeng (Saposhnikoviae Radix) (each 1.5 taels).
Grind the above eight herbs into fine powder. For every 1.5 taels of powder, mix in 3 qian of Qinfen (Calomelas). Adults take 1 qian per dose, on an empty stomach, once at noon and once before sleep, taken with light tea. Within five to seven days, foul saliva will necessarily flow from the gum crevices, the whole body will feel painful, and the patient will feel dizzy and intoxicated, ending when foul-smelling stool is passed. Adjust the dosage according to the patient's constitution, severity, and deficiency/excess. For severe and acute cases, administer Zaizao San first to purge, then after recuperation and nourishment, administer this medicine. Strictly avoid salt, soy sauce, vinegar, meat, fish, spices, fruits, and roasted foods. Only consume plain congee and bland, boiled vegetables. Eggplant is also forbidden. Only Vipera aspis (Wushao She) and Elaphe carinata (Caihua She) may be consumed, boiled in plain wine, to assist the medicinal power.
Zaizao San Formula:
Yujin (Curcumae Longae Rhizoma) (1.5 taels, raw), Dahuang (Rhei Radix et Rhizoma) (3 taels, processed), Zaojiaoci (Gleditsiae Spina) (3 taels, large and black ones), Baiqianniu (Pharbitidis Semen) (2.8 taels of the first harvest powder, half stir-fried, half raw).
Grind into powder. Take 5 qian at night, mixed with cold wine. Prepare a clean bucket to receive the expelled worms. If the worm mouth is black, it is an old worm; if red, it is a recent infection. Administer another dose after three or four days, continuing until no worms are expelled, thereby eradicating the root.