苦辛寒,专泻脏腑水湿,逐血发汗,消痈通二便闭,泻火逐痰,其汁青绿亦能泻
肝。阴寒善走,大损真气。紫色者上,白者伤人,须去骨用,中其毒者惟菖蒲能解之。
苦寒,泻肾经及隧道水湿,直达水气所结之处,以攻决为用,治大腹肿满、痞积、痰
迷,去水极神,损真极速,面煨用。
苦温,疗五脏水饮、痰癖、治瘴疟,毒性至紧,虚者忌之,醋煮用。根疗疥。
大辛苦寒,入膀胱,去火邪,能行十二经,通腠理利九窍,泻下焦血分湿热,疗风行
水,降气下痰。性险而健,惟湿热壅遏及香港脚病凡下焦湿热致二阴不通者用此治之。有二种
,汉防己治水用,木防己治风用。
辛大热大毒,峻下开窍宣滞,去脏腑沉寒积滞,治喉痹急症。生用急治,炒黑缓治,
去油名巴豆霜,大黄、黄连、凉水、黑豆、绿豆汁能解其毒。
【大戟】味苦、辛,性寒。专于泻除脏腑内的水湿之邪,驱逐瘀血并促进发汗,消除痈肿,通利大小便闭塞,泻火并驱逐痰饮。其汁液呈青绿色,也能泻肝经之邪。其性阴寒且善于走窜,会严重损耗人体真气。紫色者药力较优,白色者易伤人,使用时须去除骨质部分。若中毒,唯有石菖蒲能解其毒。
【京三棱/莪术类(原文未标名,据上下文推测为甘遂或类似逐水药,此处依文意直译)】味苦、寒。泻肾经及经络隧道中的水湿,直达水气凝结之处,以攻逐决裂为功效,治疗腹部肿大胀满、痞块积聚、痰迷心窍等症。去水效果极神奇,但损伤真气的速度也极快,需经面煨后使用。
【甘遂】味苦、寒。性质沉潜下行,与大戟、甘遂功效相同(注:原文此处列举甘遂自身,语意稍显重复,按原文翻译),治疗水肿、胀满、蛊毒、恶疮。
【芫花】味苦、温。治疗五脏水饮停聚、痰癖,主治瘴疟。其毒性极为猛烈,体虚者忌用,需醋煮后使用。其根可治疗疥癣。
【防己】味大苦、辛,性寒。入膀胱经,清除火邪,能通行十二经脉,疏通腠理,利九窍,泻下焦血分中的湿热,治疗风水浮肿,降气化痰。其性险峻而健行,仅适用于湿热壅遏以及香港脚病中因下焦湿热导致前后二阴不通的患者。有两种:汉防己用于治水,木防己用于治风。
【雷丸/杀虫药类】味甘、咸,性平。入三阴血分,行血去瘀,兼能宣散表里之风邪。(注:原文此处描述与“杀五脏虫”不符,通常甘咸平多指鳖甲或龟板,但后文接“杀五脏虫”,疑为原文排版错乱或特指某药,此处依字面翻译)。
【槟榔】味苦、酸,微寒。破气行痰,消痞止喘,利胸膈,宽肠胃。
【枳实/枳壳类】性味功用与枳实相同,只是果实成熟时药力猛烈且主治下部,其泻痰有冲墙倒壁之功;果皮则药力缓和且主治上部,能损伤胸中至高之气,此为不同之处。
【细辛/辛夷类】味辛,性温。搜风杀虫,通窍溃痈,其锋锐之力直达病所。
【大黄/牵牛子类】味苦、辛,性温。能使诸药下行,攻坚破胀消食,行痰下水散邪,杀虫醒酒,将胸中至高之气泻至下极。凡气虚下陷者宜慎用。
[Da Ji (Knoxia Root)] Bitter, pungent, cold. Specifically purges water-dampness from the Zang-Fu organs, expels blood stasis, induces sweating, resolves carbuncles, unblocks constipation and urinary retention, clears fire, and expels phlegm. Its juice is greenish-yellow and can also purge the Liver. Being Yin-cold and agile in movement, it severely depletes True Qi. Those with a purple hue are superior; those with a white hue are harmful to injure. The bony parts must be removed. If poisoned, only Chang Pu (Acori Tatarinowii Rhizoma) can detoxify it.
[Jing San Leng / E Zhu type (Name omitted in text, inferred as similar water-draining herb)] Bitter, cold. Purges water-dampness from the Kidney meridian and the collaterals/tunnels, reaching directly where water-Qi accumulates. It functions by attacking and resolving blockages, treating massive abdominal distension, fixed masses, and phlegm-misting the mind. Its ability to remove water is miraculous, but its damage to True Qi is equally rapid. It should be used after being baked with flour.
[Gan Sui (Kansui Root)] Bitter, cold. Sinking and Yin, moving downward, it shares the same efficacy as Da Ji and Gan Sui itself. It treats edema, distension and fullness, Gu poison, and malignant sores.
[Yuan Hua (Genkwa Flower)] Bitter, warm. Treats water-fluid retention in the Five Zang organs, phlegm-stagnation, and malarial fevers caused by miasma. Its toxicity is extremely potent; deficiency-patterns contraindicate its use. It should be used after boiling in vinegar. Its root treats scabies.
[Fang Ji (Stephaniae Tetrandrae Radix or Kadsurae Longipedunculatae Radix)] Greatly bitter, pungent, cold. Enters the Bladder meridian, eliminates Fire-pathogens, and circulates through the Twelve Meridians. It opens the interstices (Cou Li), benefits the Nine Orifices, drains damp-heat from the Blood aspect of the Lower Jiao, treats wind-water edema, descends Qi, and transforms phlegm. Its nature is perilous yet vigorous. It is indicated only for cases of damp-heat obstruction and Hong Kong foot (podagra/gout) where damp-heat in the Lower Jiao causes obstruction of the two yin openings (urethra and anus). There are two types: Han Fang Ji is used for treating water-retention; Mu Fang Ji is used for treating wind.
[Lei Wan / Vermifuge type] Sweet, salty, neutral. Enters the Three Yin Blood aspects, promotes blood circulation and removes stasis, while simultaneously venting wind from both the interior and exterior.
[Bing Lang (Areca Seed)] Bitter, sour, slightly cold. Breaks Qi stagnation and moves phlegm, resolves palpitations and stops asthma, benefits the chest and diaphragm, and expands the stomach and intestines.
[Zhi Shi / Zhi Ke type] Its nature, flavor, and functions are identical to Zhi Shi (Immature Bitter Orange), except that when the fruit is mature (Zhi Ke), the action is milder and targets the upper body; it can damage the supreme Qi in the chest. When immature (Zhi Shi), the action is fierce and targets the lower body; its ability to drain phlegm is like tearing down walls. This distinction lies in their differing strengths and targets.
[Xi Xin / Xin Yi type] Pungent, warm. Searches out wind and kills parasites, opens orifices and suppurates carbuncles. Its sharp potency reaches the disease site directly.
[Dahuang / Qian Niu type] Bitter, pungent, warm. Causes other herbs to descend, breaks hardness and resolves distension, aids digestion, moves phlegm, drains water, disperses pathogens, kills parasites, and revives from intoxication. It drains the supreme Qi of the chest down to the lowest extremity. It should be used with caution in cases of Qi deficiency with sinking.