\r牡丹\ph184.bmp\r,生巴郡山谷及汉中,今丹、延、青、越、滁、和州山中皆有之。
花有黄、紫、红、白
数色,此当是山牡丹。其茎梗枯燥黑白色,二月于梗上生苗叶,三月开花;其花叶与人家所
种者相似,但花只五、六叶耳;五月结子黑色,如鸡头子大;根黄白色,可五、七寸长,如
笔管大。二月、八月采,铜刀劈去骨,阴干用。此花一名木芍药,近世人多贵重,圃人欲其
花之诡异,皆秋冬移接,培以壤土,至春盛开,其状百变。故其根性殊失本真,药中不可用
此品,绝无力也。牡丹主血,乃去瘀滞。《正元广利方》疗因伤损血瘀不散者,取牡丹皮八
分,合虻虫二十一枚,熬过同捣筛,每旦温酒和散,方寸匕服,血当化为水下。
\r防己\ph185.bmp\r,生汉中川谷,今黔中亦有之。但汉中出者,破之文作车辐解,
黄实而香,茎梗甚嫩,
苗叶小类牵牛。折其茎,一头吹之,气从中贯,如木通类。它处者青白虚软,又有腥气,皮
皱,上有丁足子,名木防己。二月、八月采,阴干用。木防己虽今不入药,而古方亦通用之
。张仲景治伤寒有增减木防己汤,及防己地黄、五物防己、黄 六物等汤。深师疗膈间支满
,其人喘满心下痞坚,面黧黑,其脉沉紧,得之数十日吐下之乃愈。木防己汤主之。木防己
二两,石膏二枚(鸡子大,碎,绵裹),桂心二两,人参四两,四物以水六升,煮取二升,
分
再服,虚者便愈。实者三日复发汗,至三日复不愈者,宜去石膏,加芒硝三合。以水六升煮
三味,取二升,去滓,内芒硝,分再服,微下利则愈。禁生葱。孙思邈疗遗溺,小溲涩,亦
用三物木防己汤。
牡丹,生长在巴郡的山谷以及汉中地区,如今在丹州、延州、青州、越州、滁州、和州的山中都有分布。
花朵有黄、紫、红、白等多种颜色,这应当是山牡丹。
它的茎干枯槁,呈黑白色,二月时在茎上生出苗叶,三月开花;它的花叶与人家种植的牡丹相似,只是花瓣只有五六片;五月结出黑色的果实,大小如同鸡头子;根部呈黄白色,长度可达五到七寸,粗细如同笔管。
二月和八月采收,用铜刀劈去木质心部,阴干后使用。
这种花又名木芍药,近代人大多珍视它,园艺工人为了使其花朵形态奇异多变,都在秋冬季节进行移栽嫁接,用壤土培护,到了春天便盛开,形态千变万化。
因此,其根部的药性已经严重失去了本来的真味,药用中不可使用这种品种的牡丹,完全没有药效。
牡丹主要作用于血分,能够去除瘀滞。
《正元广利方》治疗因外伤导致瘀血不散的情况,取牡丹皮八分,配合虻虫二十一枚,炒制后一同捣碎过筛,每天早晨用温酒送服一方寸匕的药散,瘀血就会化为水液排出。
防己,生长在汉中的川谷地带,如今黔中地区也有出产。
但汉中产出的防己,折断后纹理呈车辐状(车轮辐条状),质地坚实且香气浓郁,茎干非常嫩,苗叶形状小似牵牛花。
折断其茎,从一头吹气,气流能贯通全身,类似木通的特性。
其他地方出产的防己则青白虚软,又有腥气,表皮皱缩,上面有像钉子一样的突起物,称为木防己。
二月和八月采收,阴干后使用。
木防己虽然现在不列入常用药材,但在古方中也通用。
张仲景治疗伤寒有加减木防己汤,以及防己地黄汤、五物防己汤、黄芩六物汤等方剂。
深师方治疗膈间支撑胀满,患者气喘、心下痞塞坚硬,面色黧黑,脉象沉紧,病程数十日,经过吐法或下法治疗后痊愈,用木防己汤主治。
木防己二两,石膏两枚(如鸡蛋大小,捣碎,用绵布包裹),桂心二两,人参四两,以上四味药用水六升,煮取二升药液,分两次服用,虚证患者服药后即愈。
实证患者若三天后复发,可再发汗;若三天后仍不愈,适宜去掉石膏,加入芒硝三合。
用水六升煮其余三味药,取二升药液,去渣,加入芒硝,分两次服用,轻微腹泻即愈。
禁忌食用生葱。
孙思邈治疗遗尿、小便涩痛,也使用三物木防己汤。
Mudanpi (Cortex Moutan), growing in the valleys of Ba Commandery and Hanzhong, is now also found in the mountains of Danzhou, Yanzhou, Qingzhou, Yuezhou, Chuzhou, and Hezhou.
The flowers come in various colors including yellow, purple, red, and white; this variety is likely wild Mudanpi.
Its stems are dry and brittle with a blackish-white color. Seedlings and leaves emerge on the stems in the second lunar month, and flowers bloom in the third lunar month. The flowers and leaves resemble those of cultivated varieties, but possess only five or six petals. Black seeds form in the fifth lunar month, roughly the size of a water caltrop nut. The roots are yellowish-white, reaching lengths of five to seven cun, and are as thick as a writing brush handle. Harvested in the second and eighth lunar months, the woody core is removed using a copper knife, and the remaining bark is dried in the shade for use.
This flower is also known as Mu Shaoyao (Tree Peony). In recent times, people have highly valued it. Gardeners transplant and graft them in autumn and winter, cultivating them in rich soil so that they bloom profusely in spring with diverse forms. Consequently, the medicinal properties of their roots deviate significantly from their true nature; such specimens should not be used in medicine as they lack efficacy.
Mudanpi primarily acts on the blood level to remove blood stasis. According to *Zhengyuan Guangli Fang*, for cases of blood stasis due to trauma, take eight fen of Mudanpi and twenty-one Mengchong (Bladdersnail), stir-fry them together, pound into powder, and sift. Take one fangcun bi (a measure equivalent to a square inch) with warm wine every morning; the blood stasis will transform into water and discharge.
Fangji (Radix Stephaniae Tetrandrae), growing in the river valleys of Hanzhong, is also produced in Qianzhong today. However, Fangji from Hanzhong, when broken, exhibits a texture resembling wheel spokes, has a solid texture and fragrant aroma, tender stems, and small leaves resembling those of Ipomoea batatas (Morning Glory). When its stem is broken and blown from one end, air passes through completely, similar to Mutong (Akebiae Caulis). Those from other regions are pale green, white, hollow, and soft, possessing a fishy odor, wrinkled skin, and nail-like protuberances on the surface; these are called Mu Fangji (Stephania tetrandra var. glauca or related species). Harvested in the second and eighth lunar months, they are dried in the shade for use.
Although Mu Fangji is no longer commonly used in modern prescriptions, it was widely used in ancient formulas. Zhang Zhongjing treated Taiyang disease (Exterior Syndrome) with modified Mu Fangji Tang, as well as Fangji Dihuang Tang, Wuwu Fangji Tang, and Huangqin Liuwu Tang. The *Shenshi Fang* treats fullness and distension in the epigastrium/chest region, wheezing, hardness and fullness below the heart, darkened complexion, and a deep, tight pulse, which persists for dozens of days and resolves after emetic or purgative therapy; Mu Fangji Tang is indicated.
Mu Fangji (two liang), Shigao (Gypsum Fibrosum, two pieces the size of chicken eggs, crushed, wrapped in silk), Guixin (Cinnamomi Cortex), and Renshen (Ginseng Radix et Rhizoma, four liang). Boil these four ingredients in six sheng of water until reduced to two sheng. Divide into two doses. Patients with deficiency patterns will recover immediately. For excess patterns, if symptoms recur after three days, induce sweating again. If still unresolved after another three days, remove Shigao and add Mangxiao (Natrii Sulfas, three he). Boil the remaining three ingredients in six sheng of water until reduced to two sheng, strain, add Mangxiao, and divide into two doses. Mild diarrhea indicates recovery. Raw scallions are contraindicated.
Sun Simiao also used Sanwu Mu Fangji Tang to treat enuresis and dysuria.