苦,平。入足厥阴经血分。破血中之气。散一切血积气结,症癖坚硬作痛,消肿,通乳,
堕
胎。得丁香,治反胃恶心。(血膈。)配大黄,治 癖。
赤眼、毒眼,磨汁搽。蛇虎伤,为末掺。欲其入气,火泡。欲其入血,醋炒。真气虚、
素有
血症者,禁用。怪症∶浑身燎泡如棠梨状,每个出水,有石一片如指甲大,其泡复生,抽尽
肌肉即死。急用
三棱、莪术各五两,为末,分三服,酒调连进治之,愈。
破积非猛烈之药不奏功,然必身体壮健,饮食如常,用此攻之,积自消散。若元气不足,
中
气不运,以成积块者,攻之无不速毙。东垣五积方,皆用人参助其元气、健其脾胃,但使症
瘕渐次消磨,不专用克削之药,意深慎也。务宜斟酌用之。
俗呼香附
得芎 、苍术、醋、童便良。
辛、微苦。入足厥阴及手少阳经气分。通行十二经及奇经八脉气分。通两胁,解诸郁,
引血
药至气分而生血。(气滞则血不生,疏之即所以生之。)治一切血凝气滞所致等症。得夏枯草
,治睛痛。(肝气疏不痛。)得黑川栀、川连,降郁火。得藿香、甘草,治妊娠恶阻。得海藻
,治 疝。得参、 ,治虚怯。(补之不滞,则气自生。)得茯神,交心肾。(心肾之气不滞
则交。)得川芎、苍术,治诸郁头痛。得归、地,补阴血。(气滞则血不生。)得真艾叶,暖
子宫,治心腹诸痛。得紫苏,散外邪。配广木香,疏中气。配浓朴、半夏,决壅胀。配沉香
,升降诸气。配檀香,理气醒脾。配荔枝核,治血气刺痛。配细茶,治头痛。
生用,上行胸膈、外达皮肤。熟用,下走肝肾、外彻腰足。解血郁,生用。止血,炒黑。
理肾气,青盐水炒。气滞,酒炒。消肝积,醋炒。化痰消核,姜汁炒。散痞,童便炒。润燥,
胀,血虚内热,月事先期,精血枯闭,皆禁用。香附、川芎、薄荷、木贼、天麻、紫草、柴
胡,皆入肝经以散肝气,而
其间亦当分别施治。
柴胡表肝经之风热,川芎升肝经之血气,香附解肝经之郁结,木贼散肝经之寒邪,天麻
通肝
脏之血脉,薄荷去肝经之风火,紫草败肝中之热毒。治之各有攸当,勿得杂投以伤肝气。
味苦,性平。归入足厥阴肝经的血分。能破除血中的气滞。消散各种血积和气结引起的症癖坚硬作痛,消肿,通乳,堕胎。与丁香配伍,可治疗反胃恶心(血膈证)。与大黄配伍,可治疗癖积。赤眼、毒眼,磨成汁外搽。蛇虎咬伤,研末外掺。若想使其入气分,用火泡制;若想使其入血分,用醋炒制。真气虚弱、素有血症的人,禁用。怪症:浑身起燎泡如棠梨状,每个出水,有一片指甲大的石头,泡破后再生,抽干肌肉即死。急用三棱、莪术各五两,研为细末,分三次服用,酒调服连续治疗,可愈。
破积非猛烈之药不能奏效,但必须身体壮健,饮食如常,用此攻之,积自消散。若元气不足,中气不运,以成积块者,攻之无不速毙。东垣五积方,皆用人参助其元气、健其脾胃,但使症瘕渐次消磨,不专用克削之药,意深慎也。务宜斟酌用之。
俗呼香附
得芎 、苍术、醋、童便良。
辛、微苦。入足厥阴及手少阳经气分。通行十二经及奇经八脉气分。通两胁,解诸郁,引血药至气分而生血。(气滞则血不生,疏之即所以生之。)治一切血凝气滞所致等症。得夏枯草,治睛痛。(肝气疏不痛。)得黑川栀、川连,降郁火。得藿香、甘草,治妊娠恶阻。得海藻,治疝。得参、 ,治虚怯。(补之不滞,则气自生。)得茯神,交心肾。(心肾之气不滞则交。)得川芎、苍术,治诸郁头痛。得归、地,补阴血。(气滞则血不生。)得真艾叶,暖子宫,治心腹诸痛。得紫苏,散外邪。配广木香,疏中气。配浓朴、半夏,决壅胀。配沉香,升降诸气。配檀香,理气醒脾。配荔枝核,治血气刺痛。配细茶,治头痛。
生用,上行胸膈、外达皮肤。熟用,下走肝肾、外彻腰足。解血郁,生用。止血,炒黑。理肾气,青盐水炒。气滞,酒炒。消肝积,醋炒。化痰消核,姜汁炒。散痞,童便炒。润燥,胀,血虚内热,月事先期,精血枯闭,皆禁用。香附、川芎、薄荷、木贼、天麻、紫草、柴胡,皆入肝经以散肝气,而其间亦当分别施治。
柴胡表肝经之风热,川芎升肝经之血气,香附解肝经之郁结,木贼散肝经之寒邪,天麻通肝脏之血脉,薄荷去肝经之风火,紫草败肝中之热毒。治之各有攸当,勿得杂投以伤肝气。
Bitter, neutral. Enters the blood level of the Foot-Jueyin Liver Meridian. Breaks qi stagnation within blood. Disperses all blood accumulations and qi knots causing hard masses with pain, reduces swelling, promotes lactation, and induces abortion. Combined with Dingxiang (Caryophylli Flos), it treats regurgitation and nausea (Blood Diaphragm syndrome). Paired with Dahuang (Rhei Radix et Rhizoma), it treats Pi accumulation. For red eyes or toxic eyes, grind into juice and apply externally. For snake or tiger bites, apply as powder externally. To enter the qi level, prepare by fire soaking; to enter the blood level, stir-fry with vinegar. Contraindicated in cases of true qi deficiency and those with pre-existing blood diseases. Strange disease: Blisters erupt all over the body like sand pear fruits, each oozing fluid, with a fingernail-sized stone inside; after the blister bursts, it regenerates, leading to death when muscles are exhausted. Urgently use Sanleng (Sparganii Rhizoma) and Ezhu (Curcumae Rhizoma), five liang each, ground into powder, divided into three doses, taken continuously with wine mixed, which will cure.
Breaking accumulations requires potent herbs to be effective, but the patient must be physically robust and eating normally; only then can these herbs disperse the accumulation. If primordial qi is insufficient and middle qi fails to circulate, forming masses, attacking them will lead to rapid death. Dongyuan's Five Accumulations formulas all use Renshen (Ginseng Radix et Rhizoma) to support primordial qi and strengthen the spleen and stomach, allowing Zheng Jia (abdominal masses) to gradually dissipate without relying solely on harsh reducing drugs, demonstrating profound caution. Careful consideration is essential in their use.
Commonly known as Xiangfu.
Effective when combined with Xiongqiong (Chuanxiong Rhizoma), Cangzhu (Atractylodis Rhizoma), vinegar, and Tongbian (Children's Urine).
Pungent, slightly bitter. Enters the qi level of the Foot-Jueyin Liver Meridian and Hand-Shaoyang Sanjiao Meridian. Circulates through the qi level of the Twelve Regular Meridians and the Eight Extraordinary Vessels. Opens the hypochondrium, resolves various depressions, guides blood-invigorating herbs to the qi level to generate blood. (When qi stagnates, blood cannot be generated; unblocking it is the way to generate it.) Treats all conditions caused by blood coagulation and qi stagnation. Combined with Xiakucao (Prunellae Spica), it treats eye pain. (When liver qi flows freely, there is no pain.) Combined with Heichuanzhi (Gardeniae Fructus processed with black bran) and Chuanlian (Coptidis Rhizoma), it descends depressed fire. Combined with Huoxiang (Agastaches Herba) and Gancao (Glycyrrhizae Radix et Rhizoma), it treats morning sickness in pregnancy. Combined with Haizao (Sargassum), it treats hernia. Combined with Renshen (Ginseng Radix et Rhizoma) and [missing herb], it treats deficiency and frailty. (Tonification without stagnation allows qi to generate itself.) Combined with Fushen (Poria with Pine Root), it facilitates communication between heart and kidney. (When qi of heart and kidney does not stagnate, they communicate.) Combined with Chuanxiong (Chuanxiong Rhizoma) and Cangzhu (Atractylodis Rhizoma), it treats headaches due to various depressions. Combined with Danggui (Angelicae Sinensis Radix) and Shudi (Rehmanniae Radix Preparata), it tonifies yin blood. (When qi stagnates, blood cannot be generated.) Combined with Zhen Aiye (Artemisiae Argyi Folium), it warms the uterus and treats abdominal pains. Combined with Zisu (Perillae Folium), it disperses external pathogens. Paired with Guangmuxiang (Aucklandiae Radix), it regulates middle qi. Paired with Houpo (Magnoliae Officinalis Cortex) and Banxia (Pinelliae Rhizoma), it resolves obstruction and distension. Paired with Chenxiang (Aquilariae Lignum Resinatum), it regulates ascending and descending of qi. Paired with Tanxiang (Santalum Album Lignum), it regulates qi and awakens the spleen. Paired with Lizhihe (Litchi Semen), it treats stabbing pain due to blood and qi stagnation. Paired with Xicha (Tea Leaves), it treats headaches.
Raw usage: moves upward to chest and diaphragm, outward to skin. Cooked usage: moves downward to liver and kidneys, outward to waist and feet. To resolve blood depression, use raw. To stop bleeding, charred. To regulate kidney qi, stir-fried with green salt water. To treat qi stagnation, stir-fried with wine. To reduce liver accumulation, stir-fried with vinegar. To transform phlegm and dissipate nodules, stir-fried with ginger juice. To dissipate痞 (fullness), stir-fried with children's urine. To moisten dryness, [method implied]. Contraindicated in cases of distension, blood deficiency with internal heat, early menstruation, and exhaustion of essence and blood with amenorrhea. Xiangfu (Cyperi Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Bohe (Menthae Haplocalycis Herba), Muzei (Equiseti Herba), Tianma (Gastrodiae Rhizoma), Zicao (Arnebiae Radix seu Lithospermi Radix), and Chaihu (Bupleuri Radix) all enter the Liver Meridian to disperse liver qi, but treatments should be differentiated among them.
Chaihu (Bupleuri Radix) expels wind-heat from the Liver Meridian; Chuanxiong (Chuanxiong Rhizoma) ascends blood and qi of the Liver Meridian; Xiangfu (Cyperi Rhizoma) resolves depression of the Liver Meridian; Muzei (Equiseti Herba) disperses cold pathogen of the Liver Meridian; Tianma (Gastrodiae Rhizoma) unblocks blood vessels of the Liver; Bohe (Menthae Haplocalycis Herba) removes wind-fire of the Liver Meridian; Zicao (Arnebiae Radix seu Lithospermi Radix) eliminates heat-toxin in the Liver. Each has its appropriate application; do not mix indiscriminately to damage liver qi.