人参益内,甘草和中。用黄 而实腠,得蝉蜕以开肌。红花有活血生血之功,生地
有凉血养血之效。痘若干红,便宜加入。紫草滑肌通窍,毒拥堪行,热症赖之而有益,
虚寒误用则溏便。山楂善遏疮痛,能消食积,理滞气于补益方中,解郁结于透肌汤
内,轻其表而凉其内,功在荆翘疏其肌而发其壅。妙存蝉木,利咽喉而清气道,能发散
而善开提,功必资于桔梗,厘清浊而利小便,消痘毒而去膨胀,效莫大于腹皮。用芎
引清阳而达表,勿缺于未满之前。芍药敛阴气以济阳,可用于浆足之后。牡丹皮去血中
之毒,壮热繁红为圣药。地骨皮去气中之毒,毛焦热甚是良功,官桂有鼓动阳气之
能,神倦而不振者,用之以收实效。丁香有赞助元阳之力,内虚而不起者,得之以奏奇
功。木香顺气而理脾,寒泄泻汤中必用,干葛疗肌而退胃热,渴烦方内须加。白术茯苓
能健胃,佐参 而益气。当归生地补阴虚,君枳壳而润坚,解蕴毒于犀角黄连,惟热甚
则前后堪用,定心烦于麦冬,五味,有渴症则始终宜加。大附子反本同元,能理虚寒而
收战 。天花粉消痰清胃,且收肺气以发声音。白芷疏风,痘毒凭之而发散。紫苏流
气,实邪赖是以驱除。羌活有运毒走表之功,防风有散邪逐毒之妙,僵蚕只利于肌
肤,捐风定痒如神,枳壳能平乎胸膈,下气宽中最效。开腠理定喘于麻黄,壅遏凭之而
散越。平胃温中于浓朴,腹胀用是以消磨。龙骨祜矾,权行涩泻,木通猪苓暂用通便。
干姜温中气而止呕吐,是以胃寒而虚泻者宜用则用。大黄荡肠胃,而润燥坚,是以热壅
而便秘者当加即加。鼠粘清利咽喉,透肌解毒。升麻升发元阳,堪发疮痍。柴胡、前
胡,解肌安表,黄芩黄柏退热消斑。止嗽开痰于贝母,清便降热于山枝。牛中黄化风热
而疗癫痫,诚扶危救急之效,龙脑片凉心血而起黑陷,有拨乱反正之才。麝香通窍于毫
毛,亦能发汗,雄黄解毒于脏腑,兼可清痰。辰砂镇心定志,而有养血凉血之能。珍
珠透理入动,而解骨中髓中之热,诃梨勒敛肺气而涩肠,肉豆蔻温脾胃而止泻。天灵人
齿,能拨松肌肉,过用则肉裂皮崩。蟾酥穿山善扬痘毒,多施则虚抬空壳。药性之动力
如是,变迁之奥妙无穷。
人参能够补益内脏,甘草能够调和脾胃。使用黄芪可以充实腠理(皮肤肌肉间的间隙),配合蝉蜕可以开启肌表毛孔。红花具有活血和生血的功效,生地具有凉血和养血的作用。如果痘疹颜色偏红,应当适宜加入这些药物。紫草能滑利肌肤、通利窍道,对于毒邪壅滞的情况可行气疏导,热证依赖它而获益,但虚寒体质误用会导致大便溏泄。山楂善于遏制疮疡疼痛,能消除食积,在补益方剂中能调理滞气,在透肌汤中能解除郁结,其作用在于减轻表邪并清解内热,功效类似于荆芥、连翘疏解肌表并发散壅滞。妙处在于蝉蜕与木贼,能利咽喉、清气道,既能发散又能升提,功效必须借助桔梗来厘清清浊并通利小便,消除痘毒并去除腹胀,效果没有比腹皮(大腹皮)更大的了。使用川芎引导清阳之气达于体表,在痘疹未充盈之前不可缺省。芍药收敛阴气以济助阳气,可用于痘浆充足之后。牡丹皮能去除血中的毒邪,是治疗壮热且痘色繁红的圣药。地骨皮能去除气中的毒邪,对于毛发焦枯、发热症状有很好的疗效。官桂有鼓动阳气的能力,对于精神疲倦不振的人,使用它能收到实效。丁香有赞助元阳的力量,对于体内虚弱不能起发者,得到它能奏出奇功。木香能顺气并调理脾胃,在治疗寒性泄泻的汤剂中必须使用。干葛(葛根)能疗治肌表并退除胃热,在治疗口渴烦躁的方剂中必须添加。白术、茯苓能健运脾胃,辅助人参、黄芪而益气。当归、生地能补益阴虚,作为君药配合枳壳以润燥坚结,在犀角、黄连方中可解蕴藏之毒,只有热势极盛时前后阶段才适宜使用。麦冬、五味子能安定心烦,有口渴症状则始终适宜加入。大附子能反本同元,能调理虚寒并收摄战栗。天花粉能消痰清胃,且能收敛肺气以发出声音。白芷能疏风,痘毒凭借它而发散。紫苏能流通气机,实证邪气依赖它来驱除。羌活有运化毒邪走表之功,防风有散邪逐毒之妙,僵蚕只利于肌肤,祛风定痒如神效。枳壳能平抑胸膈,下气宽中最有效。麻黄能开腠理、定喘促,壅遏之气凭借它而发散。浓朴能平胃温中,腹胀用它来消磨。龙骨、枯矾,权宜施行涩肠止泻,木通、猪苓暂时使用以通便。干姜能温中气而止呕吐,所以对于胃寒而虚泻者应当用则用。大黄能荡涤肠胃,润燥坚结,所以对于热壅而便秘者应当加即加。牛蒡子清利咽喉,透肌解毒。升麻升发元阳,能发越疮痍。柴胡、前胡能解肌安表,黄芩、黄柏能退热消斑。贝母能止嗽开痰,山栀能清便降热。牛黄能化风热而治疗癫痫,确实是扶危救急的效果。龙脑片(冰片)能凉心血而起发黑陷之痘,有拨乱反正之才。麝香能通窍于毫毛,也能发汗,雄黄能解毒于脏腑,兼可清痰。辰砂能镇心定志,并有养血凉血的能力。珍珠能透理入动,解骨中髓中之热。诃梨勒(诃子)能敛肺气而涩肠,肉豆蔻能温脾胃而止泻。天灵盖、人齿,能松动肌肉,过用则导致肉裂皮崩。蟾酥穿山甲善于扬发痘毒,多施则导致虚抬空壳。药物的性能动力如此,变化的奥妙无穷无尽。
Ren Shen (Radix Ginseng) benefits the internal organs, and Gan Cao (Radix Glycyrrhizae) harmonizes the middle jiao. Using Huang Qi (Radix Astragali) solidifies the couli (skin and muscle interstices), while Chan Tui (Periostracum Cicadae) opens the muscular layer. Hong Hua (Flos Carthami) has the merit of invigorating blood and generating blood; Sheng Di Huang (Radix Rehmanniae Preparata) has the effect of cooling blood and nourishing blood. If the pox are sufficiently red, it is appropriate to add them. Zi Cao (Radix Arnebiae) smooths the skin and unblocks orifices; when toxins are congested, it can promote movement. It is beneficial for heat syndromes, but misusing it in deficiency-cold patterns leads to loose stools. Shan Zha (Fructus Crataegi) is good at suppressing sore pain and eliminating food stagnation; it regulates stagnant qi in tonifying formulas and resolves depression in formulas that vent the muscular layer. Its function lies in lightening the exterior and cooling the interior, with efficacy similar to Jing Jie (Herba Schizonepetae) and Lian Qiao (Fructus Forsythiae) in venting the muscular layer and dispersing congestion. The subtlety lies in Chan Tui (Periostracum Cicadae) and Ze Xie (not explicitly mentioned as "Chan Mu", likely referring to Chan Tui and possibly a typo for another herb or just Chan Tui again, but context suggests Chan Tui and potentially others like Jie Geng later. However, text says "Chan Mu", likely a textual variant or error for Chan Tui and maybe Mu Dan Pi? No, later mentions Mu Dan Pi. Let's stick to literal: Chan Tui and... actually "Chan Mu" might be a typo for "Chan Tui" and "Mu Dan Pi" isn't here yet. Wait, "Chan Mu" usually refers to Chan Tui. Let's assume it means Chan Tui. But later it says "Jie Geng". Let's translate literally: The wonder lies in Chan Tui (Periostracum Cicadae) [and potentially a missing character or specific term 'Mu', but I will treat 'Chan Mu' as Chan Tui based on common usage or leave as Chan Tui if 'Mu' is a typo. Actually, looking at standard texts, this passage often reads "Chan Tui". I will translate as Chan Tui]. It benefits the throat and clears the airway, capable of dispersing and lifting. Its efficacy relies on Jie Geng (Radix Platycodi) to separate clear from turbid and benefit urination, eliminate pox toxins, and remove distension; no herb has greater efficacy than Da Fu Pi (Sclerium Arecae). Using Xiong Gui (Rhizoma Chuanxiong) guides clear yang to the exterior; it should not be omitted before the pox are full. Shao Yao (Radix Paeoniae Alba/Rubra) astringes yin qi to assist yang; it can be used after the pox fluid is sufficient. Mu Dan Pi (Cortex Moutan) removes toxins from the blood; it is a sacred medicine for high fever and profuse redness. Di Gu Pi (Cortex Lycii) removes toxins from the qi; it is excellent for scorched hair and fever. Guan Gui (Cinnamomi Cortex) has the ability to stir up yang qi; for those who are spiritually exhausted and listless, using it yields practical results. Ding Xiang (Flos Syzygii Aromatici) has the power to assist primal yang; for those with internal deficiency who fail to erupt, using it achieves miraculous results. Mu Xiang (Radix Aucklandiae) smooths qi and regulates the spleen; it must be used in decoctions for cold-type diarrhea. Gan Ge (Radix Puerariae) treats the muscular layer and reduces stomach heat; it must be added to formulas for thirst and irritability. Bai Zhu (Rhizoma Atractylodis Macrocephalae) and Fu Ling (Sclerotium Poriae) strengthen the stomach; assisting Ren Shen (Radix Ginseng) and Huang Qi (Radix Astragali) to boost qi. Dang Gui (Radix Angelicae Sinensis) and Sheng Di Huang (Radix Rehmanniae Preparata) supplement yin deficiency; acting as sovereign agents with Zhi Ke (Fructus Aurantii) to moisten hardness. They resolve accumulated toxins in Xi Jiao (Cornu Rhinocerotis) and Huang Lian (Rhizoma Coptidis) formulas; they are suitable for use throughout stages only when heat is extreme. Mai Dong (Radix Ophiopogonis) and Wu Wei Zi (Fructus Schisandrae) settle mental restlessness; they should always be added if there is a thirst syndrome. Da Fu Zi (Radix Aconiti Lateralis Preparata) returns to the root and unites with the source; it can regulate deficiency-cold and control shivering. Tian Hua Fen (Radix Trichosanthis) eliminates phlegm and clears the stomach, and gathers lung qi to produce voice. Bai Zhi (Radix Angelicae Dahuricae) disperses wind; pox toxins rely on it for dispersion. Zi Su Ye (Folium Perillae) circulates qi; excess pathogens rely on it for expulsion. Qiang Huo (Rhizoma Notopterygii) has the merit of transporting toxins to the exterior; Fang Feng (Radix Saposhnikoviae) has the subtlety of dispersing pathogens and driving out toxins. Jiang Can (Bombyx Batryticatus) is only beneficial for the skin and muscles; dispelling wind and stopping itching is like magic. Zhi Ke (Fructus Aurantii) can calm the chest and diaphragm; descending qi and widening the middle is most effective. Ma Huang (Herba Ephedrae) opens the couli and calms wheezing; congested qi relies on it for dispersal. Nong Po (Cortex Magnoliae Officinalis) levels the stomach and warms the middle; abdominal distension uses it to dissipate. Long Gu (Os Draconis) and Ku Fan (Alumen) temporarily employ astringent methods to stop diarrhea; Mu Tong (Caulis Akebiae) and Zhu Ling (Sclerotium Polypori) are temporarily used to promote bowel movements. Gan Jiang (Rhizoma Zingiberis) warms middle qi and stops vomiting; therefore, it should be used for stomach cold and deficiency diarrhea. Da Huang (Radix et Rhizoma Rhei) sweeps the intestines and stomach, moistens dryness and hardens; therefore, it should be added for heat congestion and constipation. Niu Bang Zi (Fructus Arctii) clears and benefits the throat, vents the muscular layer and detoxifies. Sheng Ma (Rhizoma Cimicifugae) raises primal yang and can erupt sores. Chai Hu (Radix Bupleuri) and Qian Hu (Radix Peucedani) resolve the muscular layer and stabilize the exterior; Huang Qin (Radix Scutellariae) and Huang Bo (Cortex Phellodendri) reduce heat and eliminate macules. Bei Mu (Bulbus Fritillariae Cirrhosae) stops coughing and opens phlegm; Shan Zhi Zi (Fructus Gardeniae) clears bowels and descends heat. Niu Huang (Calculus Bovis) transforms wind-heat and treats epilepsy; it truly has the effect of supporting the critical and saving emergencies. Long Nao Pian (Camphora) cools heart blood and rescues black sunken pox; it has the talent of restoring order from chaos. She Xiang (Moschus) unblocks orifices in the fine hairs and can also induce sweating; Xiong Huang (Realgar) detoxifies the zang-fu organs and can also clear phlegm. Chen Sha (Cinnabar) settles the heart and stabilizes the spirit, and has the ability to nourish and cool blood. Zhen Zhu (Margarita) penetrates the texture and moves, resolving heat in the bones and marrow. He Li Le (Fructus Cornus) astringes lung qi and binds the intestines; Rou Dou Kou (Arillus Myristicae) warms the spleen and stomach and stops diarrhea. Tian Ling Gai (Ossis Cranii Hominis) and Ren Chi (Dens Hominis) can loosen muscles; overuse causes flesh cracking and skin bursting. Chan Su (Venenum Bufonis) and Chuan Shan Jia (Squama Manis) are good at raising pox toxins; excessive application leads to empty shells. The dynamic power of drug properties is thus, and the mysteries of change are infinite.