(气之浓者阳中之阳气浓则发热辛甘温热是也)
桂枝 气热味甘辛有小毒阳中之阳浮也仲景伤寒论发汗用桂枝桂枝者乃桂条也非身干也取其轻薄而能发散今
又有一
种柳桂乃嫩小桂条也尤宜入治上焦药用 〔洁〕气之薄者桂枝也气之浓者桂肉也气薄则发泄桂枝上行而发表气浓则
发热桂
肉下行而补肾此天地亲上亲下之道也 〔海〕桂枝入足太阳经桂心入手少阴经血分桂肉入足少阴太阴经血分细薄者
为枝为
嫩浓脂者为肉为老去其皮与里当其中者为桂心 〔寇〕素问曰辛甘发散为阳故仲景桂枝汤治伤寒表虚皆须此药正合
甘发
散之意本草三种之桂不用牡桂菌桂者此二种性止于温不可以治温寒之病也然本经止言桂仲景又言桂枝者取枝上皮也
〔海〕或问本草言桂能止烦出汗而张仲景治伤寒有当发汗凡数处皆用桂枝汤又云无汗不得服桂枝汗家不得重发汗若用
桂枝是
重发其汗汗多者用桂枝甘草汤此又用桂枝闭汗也一药二用与本草之义相通否乎曰本草言桂辛甘大热能宣导百药通血脉
止烦出汗是调其血而汗自出也仲景云太阳中风阴弱者汗自出卫实荣虚故发热汗出又云太阳病发热汗出者此为荣弱卫强
阴虚阳必凑之故皆用桂枝发其汗此乃调其荣气则卫气自和风邪无所容遂自汗而解非桂枝能开腠理发出其汗也汗多用桂
枝者以其调和荣卫则邪从汗出而汗自止非桂枝能闭汗孔也昧者不知出汗闭汗之意遇伤寒无汗者亦用桂枝误之甚矣桂枝
汤下发汗字当认作出字汗自然发出非若麻黄能开腠理发出其汗也其治虚汗亦当逆察其意可也 〔成〕桂枝本为解肌
若太阳中风凑理致密荣卫邪实津液禁固其脉浮紧发热汗不出者不可与此必也皮肤疏泄自汗脉浮
缓风邪干于卫气者乃可投之发散以辛甘为主桂枝辛热故以为君而以芍药为臣甘草为佐者风淫所胜平以辛苦又以甘缓之
以酸收之也以姜枣为使者辛甘能发散而又用之以行脾胃之津液而和荣卫不专于发散也故麻黄汤不用姜枣专于发汗不待
行其津液也 〔心〕桂枝气味俱轻故能上行发散于表内寒则肉桂补阳则柳桂桂辛热散经寒引导阳气若正气虚者以辛
润之散
寒邪治奔豚按经云桂枝入咽阳盛则毙春夏发者为禁药也桂能动血血热者为禁药也木得桂而死肝不足者为禁药也 〔修
治〕桂之毒在皮故方中皆去皮用
附子 气热味辛有大毒 〔洁〕大辛大热气浓味薄可升可降阳中之阴浮中沉无所不至为诸经引用之药
〔海〕入手少阴三焦命门之剂其性走而不守非若干姜正而不行 〔赵〕熟附配麻黄发中有补仲景麻黄附子细辛汤麻
黄
附子甘草汤是也生附配
干姜补中有发仲景干姜附子汤通脉四逆汤是也 〔珍〕凡用乌附药并宜冷服者热因寒用也盖阴寒在下虚阳上浮治之
以寒则
阴气益甚而病增治之以热则拒格而不纳热药冷冻饮料下嗌之后冷体既消热性便发而病气随愈不违其情而致大益此反治之妙
也昔张仲景治寒疝内结用蜜煎乌头近效方治喉痹用蜜炙附子含之咽汁朱丹溪治疝气用乌头栀子并热因寒用也东垣治冯
翰林侄阴盛格阳伤寒面赤目赤烦渴引饮脉来七八至但按之则散用姜附汤加人参投半斤服之得汗而愈此则神圣之妙也
〔吴〕附子乃阴证要药凡伤寒传变三阴及中寒夹阴虽身大热而脉沉者必用之或厥冷腹痛脉沉细甚则唇青囊缩者急须用
之有退
阴回阳之力起死回生之功近世阴证伤寒往往疑似不敢用附子直待阴极阳竭而用之已迟矣且夹阴伤寒内外皆阴阳气顿衰
必须急用人参健脉以益其元佐以附子温经散寒舍此不用将何以救之 〔虞抟〕附子禀雄壮之质有斩关夺将之气能引补
气药
行十二经以追复散失之元阳引补血药入血分以滋养不足之真阴引发散药开腠理以驱逐在表之风寒引温暖药达下焦以祛
除在里之冷湿按八味丸用桂附乃取其大辛以润肾燥丹溪谓行地黄之滞海藏云补命门相火皆非也童子小便中浸透湿纸包
裹灰火内煨熟如芋香为度去皮脐切片子用
干姜 气温味辛无毒 〔洁〕气薄味浓半浮半沉可升可降阳中之阴也大辛大热阳中之阳其用有四通心助阳一也去
脏腑
沉寒痼冷二也发诸经之寒气三也治感寒腹痛四也肾中无阳脉气欲绝黑附子为引水煎服之名姜附汤亦治中焦寒邪寒淫所
胜以辛散之也又能补下焦故四逆汤用之干姜本辛炮之稍苦故止而不移所以能治里寒非若附子行而不止也理中汤用之者
以其回阳也 〔垣〕干姜生辛炮苦阳也生则逐寒邪而发散炮则除胃冷而守中多用则耗散元气辛以散之是壮火食气故
也须以
生甘草缓之辛热以散里寒同五味子用以温肺同人参用以温胃也 〔海〕干姜心脾二经气分药也故补心气不足或言干
姜辛热
而言补脾今理中汤用之言泄不言补何也盖辛热燥湿泄脾中寒湿邪气非泄正气也白净结实者良宜
炮用
生姜 气微温味辛气味俱浓浮而升阳也无毒 〔成〕姜枣味辛甘专行脾之津液而和荣卫药中之不独专于
发散
也〔垣〕生姜
之用有四制半夏浓朴之毒一也发散风寒二也与枣同用辛温益脾胃元气温中去湿三也与芍药同用温经散寒四也孙真人云
姜为呕家圣药盖辛以散之呕乃气遂不散此药行阳而散气也或问生姜辛温入肺何以云入胃口曰俗以心下为胃口者非也咽
门之下受有形之物及胃之系便是胃口与肺系同行故能入肺而开胃口也曰人云夜间勿食生姜令人闭气何也曰生姜辛温主
开发夜则气本收敛反开发之违天道矣若有病患则不然也生姜屑比之干姜则不热比之生姜则不湿以干生姜代干姜者以其
不僭故也俗言上床萝卜下床姜姜能开胃罗卜消食也要热去皮用要冷留皮用
吴茱萸 气温味辛有小毒 〔海〕辛苦热气味俱浓阳中阴也半浮半沉入足太阴经血分少阴厥阴经气分 〔洁〕其用有三去
胸中逆气满塞止心腹感寒 痛消宿酒为白豆蔻之使也 〔垣〕治寒在咽嗌噎塞胸中经言噎膈不通食不下食则呕令人
口
开目
瞪寒邪所结气不得上下此病不已令人寒中腹满膨胀下利宜以吴茱萸之苦热泄其逆气用之如神诸药不可代也 〔海〕
卫
脉为
病逆气里急宜此主之震坤合见其色绿故仲景吴茱萸汤当归四逆汤方治厥阴病及温脾胃皆用此也汤洗去苦味晒干捣用
蜀椒 气温味辛有毒主邪气温中除寒痹坚齿发明目利五脏 〔戴〕凡人呕吐服药不纳者必有蛔在膈间蛔闻药
则动动则
药出而蛔不出但于呕吐药中加炒川椒十粒良盖蛔见椒则头伏也观此则仲景治蛔厥乌梅丸中用蜀椒亦此义也许学士云大
凡肾气上逆须以川椒引之归经则安去目及闭口者炒去汗手搓细用
巴豆 气温味辛有大毒 〔洁〕气薄味浓体重而沉降阴也 〔垣〕性热味辛有大毒浮也阳中阳也
〔洁〕乃斩关夺门之将不可
轻用 〔海〕若急治为水谷道路之剂去皮心膜油生用若缓治为消坚磨积之剂炒去烟令紫黑用可以通肠可以止泻世所不知也
张仲景治百病客忤备急丸用之
浓朴 气温味苦辛无毒瓦斯味俱浓体重浊而微降阴中阳也 〔垣〕可升可降能除腹胀若虚弱人虽腹胀宜斟
酌用之寒胀是也
大热药中兼用结者散之神药也误服脱人元气须禁之 〔海〕本草言浓朴治中风伤寒头痛温中益气消痰下气浓肠胃去腹满果
泄气乎果益气乎盖与枳实大黄同用则能泄实满所谓消痰下气是也若与橘皮苍术同用则能除湿满所谓温中益气是也与解
利药同用则治伤寒头痛与泻利药同用则浓肠胃大抵其性味苦温用苦则泄用温则补也故成氏云浓朴之苦以泄腹满若能下
气故泄实满温能益气故散湿满去皮铡碎姜汁浸透微炒竹筛齐用
(气味浓厚的药物属于阳中之阳,其性温热、味辛甘,主要功效是发热。)
桂枝:气味热,味甘辛,有小毒,属于阳中之阳,性质轻浮。张仲景在《伤寒论》中治疗伤寒发汗时使用桂枝。所谓的“桂枝”,是指桂树的枝条,而非树干。取其质地轻薄而具有发散作用。现在又有一种“柳桂”,是嫩小的桂枝,尤其适宜用于治疗上焦疾病的药物。〔李杲〕认为:气味薄的药物是桂枝,气味浓的药物是肉桂。气味薄则能发泄,桂枝上行以发表;气味浓则能发热,肉桂下行以补肾。这是天地亲上亲下的道理。〔王海藏〕认为:桂枝入足太阳经,桂心入手少阴经的血分,肉桂入足少阴、太阴经的血分。细薄的称为枝,嫩的称为枝,浓脂的称为肉,老去的除去皮与里,当其中间的称为桂心。〔寇宗奭〕引用《素问》说:“辛甘发散为阳”,所以张仲景的桂枝汤治疗伤寒表虚证,都必须用此药,正符合甘温发散的意思。本草中三种桂树不用牡桂和菌桂,因为这两种药性仅止于温,不能治疗温寒之病。然而《本经》只提到“桂”,张仲景又说“桂枝”,是取枝条上的皮。〔王海藏〕有人问:本草说桂能止烦出汗,而张仲景治疗伤寒有几处需要发汗都用桂枝汤,又说无汗者不得服桂枝,汗多者不得重发汗,如果用桂枝岂不是加重发汗?汗多者用桂枝甘草汤,这又是用桂枝来止汗吗?一药两用,与本草的意义相通吗?回答说:本草说桂辛甘大热,能宣导百药,通血脉,止烦出汗,这是调和血液而汗自然出。张仲景说太阳中风,阴弱者汗自出,卫实营虚故发热汗出;又说太阳病发热汗出者,这是因为营弱卫强,阴虚阳必凑之,所以都用桂枝发其汗。这是调和营气则卫气自和,风邪无所容,遂自汗而解,并非桂枝能开腠理发出其汗。汗多用桂枝,是因为调和营卫则邪从汗出而汗自止,并非桂枝能闭汗孔。愚昧的人不知道出汗与止汗的意思,遇到伤寒无汗者也用桂枝,错误很大。桂枝汤下说的“发汗”字应当理解为“出”字,汗自然发出,不像麻黄能开腠理发出其汗。治疗虚汗也应当逆向体察其意。〔成无己〕认为:桂枝本是解肌的药,如果太阳中风,腠理致密,营卫邪实,津液固结,脉浮紧,发热无汗者,不可与此药。必须皮肤疏泄,自汗,脉浮缓,风邪干犯卫气者,才可投用。发散以辛甘为主,桂枝辛热,所以作为君药,芍药为臣,甘草为佐。风淫所胜,平以辛苦,又以甘缓之,以酸收之。用姜枣为使,辛甘能发散,而又用它来行脾胃之津液而和营卫,不专于发散。所以麻黄汤不用姜枣,专于发汗,不待行其津液。〔朱震亨〕认为:桂枝气味都轻,所以能上行发散于表。内寒则用肉桂补阳,柳桂辛热散经寒,引导阳气。若正气虚者,以辛润之。散寒邪治奔豚。按经络云:桂枝入咽,阳盛则毙,春夏发者为禁药。桂能动血,血热者为禁药。木得桂而死,肝不足者为禁药。〔修治〕桂的毒性在皮,所以方中皆去皮使用。
附子:气味热,味辛,有大毒。〔李杲〕认为:大辛大热,气浓味薄,可升可降,阳中之阴,浮中沉无所不至,为诸经引用之药。〔王海藏〕认为:入足少阴、三焦、命门之剂,其性走而不守,不同于干姜正而不行。〔赵嗣真〕认为:熟附配麻黄,发中有补,张仲景的麻黄附子细辛汤、麻黄附子甘草汤就是这类。生附配干姜,补中有发,张仲景的干姜附子汤、通脉四逆汤就是这类。〔珍〕凡用乌头、附子药,宜冷服,这是“热因寒用”。盖因阴寒在下,虚阳上浮,治之以寒则阴气益甚而病增,治之以热则拒格而不纳。热药冷冻饮料下嗌之后,冷体既消,热性便发,而病气随愈,不违其情而致大益,这是反治的妙处。昔张仲景治寒疝内结用蜜煎乌头,近效方治喉痹用蜜炙附子含之咽汁,朱丹溪治疝气用乌头栀子,并属热因寒用。东垣治冯翰林侄阴盛格阳伤寒,面赤目赤,烦渴引饮,脉来七八至,但按之则散,用姜附汤加人参,投半斤服之,得汗而愈,这是神圣的妙处。〔吴崑〕认为:附子是阴证要药,凡伤寒传变三阴及中寒夹阴,虽身大热而脉沉者,必用之。或厥冷腹痛,脉沉细,甚则唇青囊缩者,急须用之。有退阴回阳之力,起死回生之功。近世阴证伤寒往往疑似不敢用附子,直待阴极阳竭而用之已迟矣。且夹阴伤寒内外皆阴阳气顿衰,必须急用人参健脉以益其元,佐以附子温经散寒,舍此不用,将何以救之?〔虞抟〕认为:附子禀雄壮之质,有斩关夺将之气,能引补气药行十二经以追复散失之元阳,引补血药入血分以滋养不足之真阴,引发散药开腠理以驱逐在表之风寒,引温暖药达下焦以祛除在里之冷湿。按八味丸用桂附,乃取其大辛以润肾燥。丹溪谓行地黄之滞,海藏云补命门相火,皆非也。童子小便中浸透,湿纸包裹,灰火内煨熟如芋香为度,去皮脐切片子用。
干姜:气温,味辛,无毒。〔李杲〕认为:气薄味浓,半浮半沉,可升可降,阳中之阴。大辛大热,阳中之阳。其用有四:通心助阳一也,去脏腑沉寒痼冷二也,发诸经之寒气三也,治感寒腹痛四也。肾中无阳,脉气欲绝,黑附子为引,水煎服,名姜附汤,亦治中焦寒邪,寒淫所胜,以辛散之也。又能补下焦,故四逆汤用之。干姜本辛,炮之稍苦,故止而不移,所以能治里寒,非若附子行而不止也。理中汤用之者,以其回阳也。〔李杲〕认为:干姜生辛炮苦,阳也。生则逐寒邪而发散,炮则除胃冷而守中。多用则耗散元气,辛以散之,是壮火食气故也。须以生甘草缓之。辛热以散里寒,同五味子用以温肺,同人参用以温胃也。〔王海藏〕认为:干姜是心脾二经气分药也,故补心气不足。或言干姜辛热而言补脾,今理中汤用之言泄不言补,何也?盖辛热燥湿,泄脾中寒湿邪气,非泄正气也。白净结实者良,宜炮用。
生姜:气微温,味辛,气味俱浓,浮而升,阳也,无毒。〔成无己〕认为:姜枣味辛甘,专行脾之津液而和营卫,药中之不独专于发散也。〔李杲〕认为:生姜之用有四:制半夏、浓朴之毒一也,发散风寒二也,与枣同用,辛温益脾胃元气,温中去湿三也,与芍药同用,温经散寒四也。孙真人云:姜为呕家圣药,盖辛以散之,呕乃气遂不散,此药行阳而散气也。或问:生姜辛温入肺,何以云入胃口?曰:俗以心下为胃口者非也。咽门之下受有形之物及胃之系便是胃口,与肺系同行,故能入肺而开胃口也。曰:人云夜间勿食生姜,令人闭气,何也?曰:生姜辛温主开发,夜则气本收敛,反开发之,违天道矣。若有病患则不然也。生姜屑比之干姜则不热,比之生姜则不湿。以干生姜代干姜者,以其不僭故也。俗言上床萝卜下床姜,姜能开胃,罗卜消食。要热去皮用,要冷留皮用。
吴茱萸:气温,味辛,有小毒。〔王海藏〕认为:辛苦热,气味俱浓,阳中阴也,半浮半沉,入足太阴经血分,少阴、厥阴经气分。〔李杲〕认为:其用有三:去胸中逆气满塞,止心腹感寒痛,消宿酒,为白豆蔻之使也。〔李杲〕认为:治寒在咽嗌噎塞胸中。经言噎膈不通,食不下,食则呕,令人口开目瞪,寒邪所结,气不得上下。此病不已,令人寒中,腹满膨胀,下利,宜以吴茱萸之苦热泄其逆气,用之如神,诸药不可代也。〔王海藏〕认为:卫脉为病,逆气里急,宜此主之。震坤合见其色绿,故仲景吴茱萸汤、当归四逆汤方治厥阴病及温脾胃皆用此也。汤洗去苦味,晒干捣用。
蜀椒:气温,味辛,有毒。主邪气,温中,除寒痹,坚齿,发明目,利五脏。〔戴原礼〕认为:凡人呕吐服药不纳者,必有蛔在膈间。蛔闻药则动,动则药出而蛔不出。但于呕吐药中加炒川椒十粒良,盖蛔见椒则头伏也。观此则仲景治蛔厥乌梅丸中用蜀椒亦此义也。许学士云:大凡肾气上逆,须以川椒引之,归经则安。去目及闭口者,炒去汗,手搓细用。
巴豆:气温,味辛,有大毒。〔李杲〕认为:气薄味浓,体重而沉降,阴也。〔李杲〕认为:性热味辛,有大毒,浮也,阳中阳也。〔李杲〕认为:乃斩关夺门之将,不可轻用。〔王海藏〕认为:若急治为水谷道路之剂,去皮心膜油生用;若缓治为消坚磨积之剂,炒去烟令紫黑用,可以通肠,可以止泻,世所不知也。张仲景治百病客忤,备急丸用之。
浓朴:气温,味苦辛,无毒,瓦斯味俱浓,体重浊而微降,阴中阳也。〔李杲〕认为:可升可降,能除腹胀。若虚弱人虽腹胀,宜斟酌用之,寒胀是也。大热药中兼用,结者散之,神药也。误服脱人元气,须禁之。〔王海藏〕认为:本草言浓朴治中风伤寒头痛,温中益气,消痰下气,浓肠胃,去腹满。果泄气乎?果益气乎?盖与枳实大黄同用则能泄实满,所谓消痰下气是也。若与橘皮苍术同用则能除湿满,所谓温中益气是也。与解利药同用则治伤寒头痛,与泻利药同用则浓肠胃。大抵其性味苦温,用苦则泄,用温则补也。故成氏云:浓朴之苦以泄腹满,若能下气故泄实满;温能益气故散湿满。去皮铡碎,姜汁浸透,微炒,竹筛齐用。
(The substances with dense qi and flavor belong to the Yang within Yang. Their nature is warm and hot, inducing fever, and their taste is typically acrid and sweet.)
Guizhi (Cinnamon Twig): The qi is hot, the taste is sweet and acrid, with slight toxicity. It belongs to the Yang within Yang and has a floating nature. Zhang Zhongjing used Guizhi in the *Shanghan Lun* (Treatise on Cold Damage) for sweating to release the exterior when treating cold damage. "Guizhi" refers to the twigs of the cinnamon tree, not the trunk. Its light and thin texture allows it to disperse pathogens. There is now another type called Liugui (Willow Cinnamon), which consists of tender, small cinnamon twigs, particularly suitable for medicines treating the Upper Jiao (Upper Burner). Li Dongyuan stated: Substances with thin qi are Guizhi (Cinnamon Twig); those with dense qi are Rougui (Cinnamon Bark). Thin qi leads to dispersal; Guizhi ascends to release the exterior. Dense qi induces heat; Rougui descends to tonify the Kidney. This follows the natural principle of things tending towards their origins. Hua Shou stated: Guizhi enters the Foot-Taiyang Bladder Meridian; Guixin (Cinnamon Heart) enters the Hand-Shaoyin Heart Meridian blood level; Rougui enters the Foot-Shaoyin Kidney and Foot-Taiyin Spleen Meridians blood level. Thin branches are called Zhi (Twig); tender parts are Zhi; dense fatty parts are Rou (Bark); old parts stripped of bark and inner layer, leaving the center, are Guixin (Cinnamon Heart). Kou Zongshi quoted the *Suwen*: "Acrid and sweet disperse and are Yang." Therefore, Zhang Zhongjing's Guizhi Tang (Cinnamon Twig Decoction) for exterior deficiency in cold damage requires this herb, aligning with the principle of sweet flavors to disperse. Pharmacopoeias exclude Mugui (Mossy Cinnamon) and Jungui (Fungus Cinnamon) because their warmth is insufficient to treat cold-damp conditions. However, the *Shennong Bencao Jing* mentions only Gui (Cinnamon), while Zhang Zhongjing specifies Guizhi, taking the bark from the twigs. Hua Shou addressed a query: The pharmacopoeia states Cinnamon stops irritability and induces sweating. Yet Zhang Zhongjing uses Guizhi Tang multiple times for sweating in cold damage, but also states "no sweat, do not take Guizhi" and "those who sweat excessively should not induce further sweating." Does using Guizhi constitute double sweating? And Guizhi Ganyao Tang (Cinnamon Twig and Licorice Decoction) is used for excessive sweating—does Guizhi stop sweat? Is one herb used oppositely, consistent with pharmacopoeial theory? The answer is: The pharmacopoeia says Cinnamon is acrid, sweet, and greatly hot, guiding other herbs, unblocking vessels, stopping irritability, and inducing sweating by harmonizing blood so sweat emerges naturally. Zhang Zhongjing stated that in Taiyang Wind Strike, Yin weakness causes spontaneous sweating; Wei (Defensive) excess and Ying (Nutritive) deficiency cause fever and sweating. Also, Taiyang disease with fever and sweating indicates Ying weakness and Wei strength, where Yin deficiency allows Yang to encroach. Thus, Guizhi is used to induce sweating by harmonizing Ying Qi, causing Wei Qi to harmonize, leaving no room for wind pathogens, leading to resolution through spontaneous sweating. It is not that Guizhi opens the pores to force sweat. When sweating is excessive, Guizhi is used to harmonize Ying and Wei, allowing pathogens to exit via sweat, thereby stopping sweat; it does not close pore apertures. Ignorant practitioners, misunderstanding the principles of inducing and stopping sweat, use Guizhi for cold damage without sweat, which is a grave error. In Guizhi Tang, the term "induce sweating" should be understood as "sweat emerging naturally," unlike Mahuang (Ephedra) which forcibly opens pores. Treating deficient sweating requires understanding this reverse logic. Cheng Wuji stated: Guizhi primarily resolves muscle tension. If Taiyang Wind Strike presents with tight pores, excess pathogens in Ying and Wei, constricted fluids, floating-tight pulse, fever, and no sweat, this formula is contraindicated. It is indicated only for patients with loose skin, spontaneous sweating, floating-slow pulse, and wind pathogens affecting Wei Qi. Dispersal relies mainly on acrid and sweet flavors. Guizhi is acrid and hot, serving as the Sovereign herb; Shaoyao (Peony Root) as Minister; Gancao (Licorice Root) as Assistant. To counteract excessive wind, use acrid and bitter neutrality, sweet to moderate, and sour to astringe. Ginger and Jujube act as Envoys; their acrid and sweet properties disperse while promoting Spleen-Stomach fluid circulation to harmonize Ying and Wei, rather than solely dispersing. Hence, Mahuang Tang excludes Ginger and Jujube, focusing purely on sweating without needing to circulate fluids. Zhu Danxi stated: Guizhi has light qi and flavor, ascending to disperse at the exterior. For internal cold, Rougui (Cinnamon Bark) tonifies Yang; Liugui is acrid and hot, dispersing channel cold and guiding Yang Qi. For righteous Qi deficiency, use acrid-moistening methods. To disperse cold pathogens and treat Ben Tun (Running Piglet), note that entering the throat with strong Yang can be fatal; it is forbidden in spring and summer. Cinnamon moves blood and is forbidden for blood-heat conditions. Wood dies when encountering Cinnamon; it is forbidden for Liver deficiency. Processing: The toxicity lies in the bark, so it must be peeled before use.
Fuzi (Prepared Aconite Root): The qi is hot, the taste is acrid, with great toxicity. Li Dongyuan stated: Greatly acrid and hot, dense qi and thin flavor, capable of ascending and descending, belonging to Yin within Yang, penetrating all levels (floating, middle, sinking), serving as a guide for various meridians. Hua Shou stated: It enters the Foot-Shaoyin Kidney, Sanjiao (Triple Burner), and Mingmen (Gate of Life) agents. Its nature moves freely and does not stay fixed, unlike Ganjiang (Dried Ginger) which is upright and stationary. Zhao Sizhen stated: Cooked Fuzi paired with Mahuang provides tonification within dispersal, as seen in Zhang Zhongjing's Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction) and Mahuang Fuzi Gancao Tang (Ephedra, Aconite, and Licorice Decoction). Raw Fuzi paired with Ganjiang provides dispersal within tonification, as seen in Zhang Zhongjing's Ganjiang Fuzi Tang (Dried Ginger and Aconite Decoction) and Tongmai Sini Tang (Pulse-Recovering Four Reversals Decoction). Lei Xiao stated: All Wutou (Aconite Mother) and Fuzi medicines should be taken cold, employing the method of "treating heat with cold." When Yin-cold is below and Deficient-Yang floats upward, treating with cold increases Yin pathogenicity and worsens the disease. Treating with heat causes rejection and non-absorption. By administering hot medicine cold, the cold body dissipates first, then the hot nature activates, curing the disease without violating its nature, achieving great benefit. This is the subtlety of contrary treatment. Historically, Zhang Zhongjing treated abdominal cold colic with honey-fried Wutou; the *Jin Gui Yao Lue* treated throat bi with honey-roasted Fuzi held in the mouth; Zhu Danxi treated hernia with Wutou and Gardenia, all using heat-for-cold methods. Li Gao treated the nephew of Hanlin Academician Feng with Yin-excess blocking Yang cold damage: red face and eyes, irritability, thirst for drinks, pulse rapid (7-8 beats per breath) but scattering upon pressure. He administered Jiangfu Tang (Ginger and Aconite Decoction) plus Ginseng, half a jin (approx. 300g), resulting in sweating and recovery—a divine efficacy. Wu Kun stated: Fuzi is the essential herb for Yin syndromes. Whenever cold damage transmits to the Three Yin meridians or involves cold damaging the interior (Jia Yin), even if there is high fever with a deep pulse, it must be used. Or in cases of cold extremities, abdominal pain, deep-thin pulse, cyanotic lips, and scrotal retraction, it must be used urgently. It has the power to drive out Yin, restore Yang, and revive the dying. Recently, practitioners hesitate to use Fuzi for Yin-type cold damage due to ambiguity, waiting until Yin is exhausted and Yang fails, which is too late. In Jia Yin cold damage, both interior and exterior Yang and Qi suddenly decline; urgent use of Renshen (Ginseng Root) to strengthen pulses and tonify Yuan Qi, assisted by Fuzi to warm channels and dispel cold, is necessary. Without this, how can one save the patient? Yu Tuan stated: Fuzi possesses a heroic quality and the spirit of breaking through gates. It guides Qi-tonifying herbs through the Twelve Meridians to recover scattered Yuan Yang; guides Blood-tonifying herbs into the Blood level to nourish deficient True Yin; guides Dispersing herbs to open pores and expel exterior wind-cold; guides Warmth herbs to the Lower Jiao to eliminate interior cold-dampness. Regarding Bawei Wan (Eight-Ingredient Pill), the use of Guizhi and Fuzi aims to moisten Kidney dryness with great acridity. Danxi's claim that it removes Dihuang (Rehmannia) stagnation and Haizang's claim that it tonifies Mingmen Minister Fire are incorrect. Process by soaking in child's urine, wrapping in wet paper, baking in ash fire until fragrant like taro, peel navel, slice, and use.
Ganjiang (Dried Ginger): Temperature is warm, taste is acrid, non-toxic. Li Dongyuan stated: Thin qi and dense flavor, semi-floating and semi-sinking, capable of ascending and descending, belonging to Yin within Yang. Greatly acrid and hot, belonging to Yang within Yang. Its functions are fourfold: 1. Enters the Heart to assist Yang; 2. Removes deep-seated cold in organs; 3. Disperses cold in various meridians; 4. Treats cold-induced abdominal pain. For absent Kidney Yang and impending pulse cessation, Black Fuzi serves as a guide, decocted in water, named Jiangfu Tang. It also treats Middle Jiao cold pathogens; when cold dominates, use acrid flavors to disperse. It tonifies the Lower Jiao, hence used in Sini Tang (Four Reversals Decoction). Ganjiang is originally acrid; processed, it becomes slightly bitter, thus staying put rather than moving, making it suitable for interior cold, unlike Fuzi which moves continuously. Lizhong Tang uses it to restore Yang. Li Gao stated: Raw Ganjiang is acrid and processed is bitter, representing Yang. Raw disperses cold pathogens; processed removes stomach cold and stabilizes the center. Excessive use depletes Yuan Qi; acridity disperses, following the principle that "vigorous fire consumes Qi." It must be moderated with raw Gancao. Acrid-hot disperses interior cold; combined with Wuweizi (Schisandra Fruit) to warm the Lung; combined with Renshen to warm the Stomach. Hua Shou stated: Ganjiang is a Qi-level herb for the Heart and Spleen meridians, thus tonifying Heart Qi deficiency. Some say Ganjiang is acrid-hot yet described as tonifying the Spleen; why does Lizhong Tang speak of draining rather than tonifying? Because acrid-hot dries dampness, draining Cold-Damp pathogens from the Spleen, not draining righteous Qi. White, firm, and solid specimens are superior; processing is recommended.
Shengjiang (Fresh Ginger): Temperature is slightly warm, taste is acrid, qi and flavor are dense, floating and ascending, belonging to Yang, non-toxic. Cheng Wuji stated: Ginger and Jujube have acrid-sweet flavors, specifically circulating Spleen fluids to harmonize Ying and Wei, not solely for dispersal in medicinal formulas. Li Gao stated: Fresh Ginger has four uses: 1. Mitigates toxicity of Banxia (Pinellia Rhizome) and Houpo (Magnolia Bark); 2. Disperses wind-cold; 3. Combined with Jujube, acrid-warm tonifies Spleen-Stomach Yuan Qi, warms the center, and drains dampness; 4. Combined with Shaoyao, warms channels and disperses cold. Sun Simiao said: Ginger is the sage medicine for vomiting. Acridity disperses; vomiting results from stagnant Qi, which ginger disperses by moving Yang and scattering Qi. Query: Fresh Ginger is acrid-warm and enters the Lung; why is it said to enter the Stomach opening? Answer: Popular belief places the Stomach opening below the heart, which is incorrect. Below the pharynx, receiving solid food and connecting to the Stomach system is the Stomach opening. Since it travels with the Lung system, it enters the Lung and opens the Stomach. Query: People say eating Ginger at night closes Qi. Answer: Ginger is acrid-warm and promotes development/opening. At night, Qi naturally converges; forcing it open violates Heavenly Dao. However, for patients, this rule does not apply. Ginger powder is less hot than Ganjiang and less moist than Shengjiang. Dried Ginger can substitute for Ganjiang because it is not overly aggressive. Folk saying: Eat radish in bed, eat ginger out of bed. Ginger opens the appetite; radish aids digestion. Use peeled Ginger for heat; keep skin for cold.
Wuzhuyu (Evodia Fruit): Temperature is warm, taste is acrid, slight toxicity. Hua Shou stated: Acrid-bitter and hot, dense qi and flavor, Yin within Yang, semi-floating and semi-sinking. Enters Foot-Taiyin Spleen Meridian blood level, and Foot-Shaoyin Kidney and Foot-Jueyin Liver Meridian Qi level. Li Dongyuan stated: Its uses are three: removes rebellious Qi and fullness in the chest, stops cold-induced abdominal pain, eliminates residual alcohol, and acts as an assistant to Bai Doukou (Cardamom Seed). Li Gao stated: Treats cold in the throat causing obstruction in the chest. Classics state dysphagia and inability to swallow lead to vomiting, staring eyes, and closed mouth due to cold pathogen accumulation preventing Qi movement up and down. If untreated, it causes interior cold, abdominal distension, and diarrhea. Use Wuzhuyu's bitter-hot nature to drain rebellious Qi; it works miraculously,不可替代 by other herbs. Hua Shou stated: When the Wei Pulse is diseased, causing rebellious Qi and interior urgency, this herb is primary. Green color corresponds to Zhen and Kun trigrams. Thus, Zhang Zhongjing's Wuzhuyu Tang (Evodia Decoction) and Danggui Sini Tang (Angelica Decoction for Cold Extremities) use it for Jueyin diseases and warming Spleen-Stomach. Wash soup to remove bitterness, sun-dry, and crush.
Shu Jiao (Sichuan Pepper): Temperature is warm, taste is acrid, toxic. Primarily treats evil Qi, warms the middle, removes cold-bi, strengthens teeth, brightens eyes, and benefits the Five Viscera. Dai Yuanli stated: When patients vomit and cannot retain medicine, there are likely roundworms in the diaphragm. Worms move upon smelling medicine, causing the medicine to exit while worms remain. Adding ten fried Sichuan Peppers to anti-vomit medicine is effective because worms lower their heads upon seeing pepper. This explains why Zhang Zhongjing uses Shu Jiao in Wumei Wan (Mume Pill) for Huijue (Roundworm Convulsion). Xu Yishi stated: Generally, when Kidney Qi rebels upward, Sichuan Pepper guides it back to its meridian, ensuring stability. Remove eyes and closed pods, fry to remove moisture, rub finely by hand.
Badou (Croton Seed): Temperature is warm, taste is acrid, great toxicity. Li Dongyuan stated: Thin qi and dense flavor, heavy weight and sinking, belonging to Yin. Hot nature and acrid taste, great toxicity, floating, belonging to Yang within Yang. Li Dongyuan also stated: It is a general who breaks through gates; do not use lightly. Hua Shou stated: For acute treatment, it acts as a purgative for food and water pathways; use raw, peeled, seedless, oil-free. For chronic treatment, it dissolves hardness and grinds accumulations; fry until smoke disappears and turns purple-black. It can unblock intestines or stop diarrhea, a secret unknown to the world. Zhang Zhongjing used it in Beijie Wan (Emergency Rescue Pill) for various diseases and Ke Wu (Guest Spirit Invasion).
Houpo (Magnolia Bark): Temperature is warm, taste is bitter and acrid, non-toxic. Heavy vapor and flavor, heavy and turbid, slightly sinking, belonging to Yin within Yang. Li Gao stated: Capable of ascending and descending, removing abdominal distension. Even if weak patients have distension, use with caution; this applies to cold distension. Used alongside greatly hot medicines, it is a divine drug for dispersing knots. Misuse depletes righteous Qi; strictly prohibited. Hua Shou stated: Pharmacopoeia claims Houpo treats wind-stroke, cold damage headache, warms middle, tonifies Qi, resolves phlegm, directs Qi downward, thickens intestines, and removes abdominal fullness. Does it drain Qi or tonify Qi? When combined with Zhishi (Immature Bitter Orange) and Dahuang (Rhubarb Root), it drains excess fullness, known as resolving phlegm and directing Qi downward. When combined with Chenpi (Tangerine Peel) and Cangzhu (Atractylodes Rhizome), it drains dampness fullness, known as warming the middle and tonifying Qi. Combined with relieving medicines, it treats cold damage headache; combined with diarrhea medicines, it thickens intestines. Generally, its nature is bitter-warm; bitter drains, warm tonifies. Thus, Cheng Shi stated: Houpo's bitterness drains abdominal fullness; since it directs Qi downward, it drains excess fullness; its warmth tonifies Qi, thus dispersing dampness fullness. Peel, chop, soak in Ginger Juice, stir-fry lightly, and sieve uniformly.