用木香者多取其调气,顾其气味辛温而浓,不无重浊之嫌,粘牙而苦,亦少宣泄之力,
故必阴中伏阳之证,如本经所谓毒疫温鬼者,最为相宜。否则一切纯寒无热之气滞等证,佐
以生姜橘蔻,亦收殊效。世有以香连丸治痢而害即随之者,非木香之过而用木香者之过也。
木香非血药,而有时血亦蒙其利者,则于归脾汤见之。归脾汤证为脾气虚寒,不能摄血。其
方用心肝脾三脏之药,不为不多,独有统率全方者三物。远志醒心之阳,枣仁敛肝之阴,足
为血之前导,然导之至脾而脾之闭拒如故,则亦徘徊门外耳。木香者,能于脾中行阳,阳一
动而熏然以和,血乃归于其经,是木香者启脾之钥也。其能温气以荫血者如是。
按开宝补骨脂主治,以五劳七伤冠首而踵以风虚冷,是风虚冷由五劳七伤而致也。再继
之以骨髓伤败肾冷精流,又由风虚冷而致也。夫肾家之风,有因热而生者,如天麻丸之用萆
元参生地黄也。此则因虚冷而生风,故宜以味辛大温之补骨脂拯之。虚冷生风之候,喻西
昌所谓两肾空虚,有如乌风洞,惨惨黯黯,漫无止息者是也。
唐本草于郁金曰辛苦寒,甚是。于姜黄曰辛苦大寒,其实温而非寒。惟以为大寒,故云
除风热。邹氏不察,亦沿其误。并以姜黄主心腹结积,为治在上。郁金主血淋尿血,为治在
下。意在求精求切,而不知其实非也。
姜黄辛苦温而色黄,故入脾治腹胀,片子姜黄兼治臂痛,是为脾家血中之气药。郁金苦
寒而外黄内赤,性复轻扬,故入心去恶血,解心包络之热。其治淋血尿血与妇人经脉逆行,
皆相因而致之效,是为心家之血药。此皆历试不爽者,唐本草可不必过执矣。
使用木香的人大多是为了调理气机,但它的味道辛温而浓烈,不免有沉重浑浊的嫌疑,粘牙且味苦,也缺乏宣散透发的力量,因此对于阴中伏阳的病证,如《神农本草经》所说的毒疫温鬼等症,最为适宜。否则,对于一切纯寒无热的气滞等证,配合生姜、橘皮、豆蔻一起使用,也能收到显著疗效。世间有人用香连丸治疗痢疾而导致危害随之而来,这不是木香的过错,而是使用木香的人的过错。
木香不是血分药,但有时血分病也能蒙受它的好处,这在归脾汤中可以见到。归脾汤所治之证是脾气虚寒,不能统摄血液。该方用心、肝、脾三脏的药物,数量不少,但唯独统领全方的只有三味药。远志能唤醒心阳,酸枣仁能收敛肝阴,足以作为引导血液的先导,然而引导至脾时,如果脾的闭拒状态依旧,那么药物也只能徘徊在门外罢了。木香能在脾中行运阳气,阳气一旦发动,便温和舒畅,血液于是回归其经脉,所以木香是开启脾脏功能的钥匙。它能通过温煦气机来荫护血液,作用如此。
按《开宝本草》记载补骨脂的主治,以五劳七伤为首,接着是风虚冷,说明风虚冷是由五劳七伤导致的。紧接着提到骨髓伤败、肾冷精流,这又是由风虚冷导致的。肾脏的风邪,有因热而生的,比如天麻丸中使用萆薢、元参、生地黄。这里则是因虚冷而生风,所以适宜用味辛大温的补骨脂来救治。虚冷生风的症状,正如喻西昌所说,两肾空虚,如同乌风洞一般,阴暗惨淡,漫无止息。
《唐本草》对郁金的记载说是辛苦寒,非常恰当。对姜黄的记载说是辛苦大寒,其实它是温性的而非寒性。正因为误以为它是大寒,所以说它能除风热。邹氏没有仔细考察,也沿袭了这个错误。并且认为姜黄主治心腹结积,是治疗上部的病;郁金主治血淋尿血,是治疗下部的病。本意是想追求精准贴切,却不知道其实并非如此。
姜黄辛苦温,颜色黄,所以入脾治疗腹胀,片子姜黄兼治臂痛,这是脾脏血中的气药。郁金苦寒,外表黄内里赤,性质轻扬,所以入心去除恶血,解除心包络的热邪。它治疗淋血、尿血以及妇女经脉逆行,都是由此产生的疗效,这是心脏的血药。这些都是经过多次试验验证无误的,《唐本草》不必过分固执己见。
Those who use *Muxiang* (Aucklandiae Radix) mostly seek its qi-regulating properties. However, its aroma is pungent, warm, and dense, carrying a suspicion of being heavy and turbid; it sticks to the teeth and tastes bitter, possessing little force for dispersing and venting. Therefore, it is most suitable for conditions where yang is concealed within yin, such as those described in the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) as toxic epidemics or warm ghosts. Otherwise, for all qi-stagnation conditions that are purely cold without heat, combining it with *Shengjiang* (Zingiberis Rhizoma Recens, Fresh Ginger), *Jupi* (Citri Reticulatae Pericarpium, Tangerine Peel), and *Doukou* (Amomi Fructus Rotundus, Round Cardamom) can also yield remarkable effects. In the world, some people use *Xianglian Wan* (Fragrant and Coptis Pill) to treat dysentery, only to have harm follow immediately. This is not the fault of *Muxiang*, but the fault of those who use it improperly.
*Muxiang* is not a blood-invigorating herb, yet sometimes blood disorders benefit from it, as seen in *Guipi Tang* (Restore the Spleen Decoction). The syndrome treated by *Guipi Tang* involves spleen-qi deficiency and cold, failing to control the blood. The formula uses herbs targeting the heart, liver, and spleen, which are numerous, but only three herbs lead the entire prescription. *Yuanzhi* (Polygalae Radix) awakens heart-yang, and *Zaoren* (Ziziphi Spinosae Semen, Jujube Seed) gathers liver-yin, serving adequately as guides for the blood. However, if upon reaching the spleen, the spleen’s closure and rejection remain unchanged, the herbs will merely linger at the door. *Muxiang* can move yang within the spleen; once yang moves, it becomes harmonious and mild, allowing the blood to return to its vessels. Thus, *Muxiang* is the key that unlocks the spleen. It warms the qi to nourish the blood in this manner.
According to the *Kaibao Bencao* (Kaibao Materia Medica), the indications for *Buguzhi* (Psoraleae Fructus, Psoralea Fruit) begin with "five exhaustions and seven injuries," followed by "wind-deficiency-cold." This implies that wind-deficiency-cold results from the five exhaustions and seven injuries. Subsequently, it mentions "marrow injury and degeneration, kidney cold, and seminal leakage," which are caused by wind-deficiency-cold. Wind in the kidney zone can arise from heat, as seen in *Tianma Wan* (Gastrodia Pill) using *Bixie* (Dioscoreae Hypoglaucae Rhizoma, Yam Root), *Yuanshen* (Scrophulariae Radix, Figwort Root), and *Shengdihuang* (Rehmanniae Radix, Rehmannia Root). Here, however, wind arises from deficiency-cold, so it is appropriate to rescue it with the pungent and greatly warm *Buguzhi*. The manifestation of wind arising from deficiency-cold is what Yu Xichang described as "two kidneys empty, like a dark wind cave, bleak and dim, endless and unceasing."
The *Tang Bencao* (Tang Materia Medica) states that *Yujin* (Curcumae Longae Radix, Turmeric Root) is pungent, bitter, and cold, which is very accurate. Regarding *Jianghuang* (Curcumae Longae Rhizoma, Turmeric Rhizome), it states it is pungent, bitter, and greatly cold, but in reality, it is warm, not cold. Because it was mistakenly considered greatly cold, it was said to dispel wind-heat. Zou failed to examine this carefully and perpetuated the error. He also believed that *Jianghuang* treats heart-abdominal accumulations, addressing the upper part, while *Yujin* treats hematuria and bloody urine, addressing the lower part. Intending to be precise and pertinent, he did not realize this was actually incorrect.
*Jianghuang* is pungent, bitter, and warm, with a yellow color, thus entering the spleen to treat abdominal distension. *Pianzi Jianghuang* (Sliced Turmeric Rhizome) additionally treats arm pain; it is an herb that regulates qi within the blood of the spleen. *Yujin* is bitter and cold, yellow on the outside and red inside, with a light and ascending nature, thus entering the heart to remove evil blood and resolve heat in the pericardium meridian. Its efficacy in treating bloody discharge in strangury, hematuria, and retrograde menstruation in women stems from these actions; it is an herb that invigorates blood in the heart. These observations have been verified repeatedly without fail, and one need not rigidly adhere to the *Tang Bencao*.