考古治头项风强,一切偏风中风口噤,及吐血衄血下血,多重任荆芥,是其所司,总不
离血中之风。能于血中散风,即系于血中行气,海藏故谓之肝经气药。但肝经之气,不能不
涉及少阳,本经所主鼠 瘰 即少阳病也。
荆芥散血中之风,为产后血运第一要药。其芳温之性,又足以疗瘰 疮疥,然无非利血
脉去
谓荆芥为温升则兼凉降,为凉降则兼温升,要其温胜于凉,气亦带浊,于外感风寒用之
,必涉血分头目昏眩者始得。永类钤方治风热头痛,与石膏辛凉之味等分为末,茶调下,制
剂亦妙矣。
薄荷,唐本草治贼风伤寒发汗,食性本草治阴阳毒伤寒头痛,苏颂、王好古亦皆谓治风
寒,外此诸家则皆谓治风热,究将何从?考古方多用于风热,鲜用于风寒,煮汁饮之,则洁
古所谓去高巅及皮肤风热者甚验。气味辛凉而不似荆芥之温,终当以治风热为断。
邹氏解贼风伤寒,谓夏之贼风乃北风,定是夏令伤北风之寒,此于薄荷之治,亦尚有合
。但邹氏专主此说而于风热不推及之,且以薄荷根不畏寒,苗不畏暑,为消息之所在,则泥
之至矣。惟其根不畏寒,所以苗不畏暑。不畏暑,正辛凉之金气足以当日。与麻黄所产之地,
冬不积雪,可对观而明。邹氏又谓薄荷发寒泣之覆,与荆芥香薷等,试思香薷何物而可与之
等量耶。
薄荷于头目肌表之风热郁而不散者,最能效力。若配合得宜,亦可治上中焦之里热。
凉膈散、龙脑鸡苏丸,以除胃热胆热肾热,可谓用逾其分矣。逍遥散合煨姜,又能变凉风为
温风而治骨蒸劳热,彼存胶柱之见者,得毋闻而惊怖耶。
考证古代医方中,荆芥常用于治疗头项部风邪导致的强直、各种偏侧中风引起的口眼歪斜和牙关紧闭,以及吐血、鼻出血和下消化道出血等症,这体现了它在这些病症中的重要地位。其作用机理总离不开“血中之风”。能够于血分中疏散风邪,即意味着能在血行中调畅气机,因此张元素(海藏)称其为入肝经的气分药。然而,肝经之气不能不涉及少阳经,本经所主治的鼠瘰(淋巴结结核),实际上就是少阳病的表现。
荆芥能疏散血中的风邪,是产后血晕急救的第一要药。其芳香温通的性质,又足以治疗瘰疬、疮疡和疥癣,但无非是通过利血脉、去瘀滞来实现的。
有人说荆芥既是温升之品又兼有凉降之性,若是凉降之品又兼有温升之性。总之,它的温性胜于凉性,气味略带浊重。在外感风寒时使用它,必须伴有血分受邪、头目昏眩的症状才适宜。《永类钤方》用荆芥治疗风热头痛,将其与石膏按辛凉之味等分为末,用茶调服,制剂方法也很巧妙。
薄荷,《唐本草》记载用于治疗贼风伤寒的发汗;《食性本草》记载用于治疗阴阳毒伤寒引起的头痛;苏颂、王好古也都认为它能治风寒。除此之外,其他医家都认为它能治风热,究竟该听从哪种说法呢?考证古代医方,薄荷多用于风热证,很少用于风寒证。煮汁饮用,正如张元素所说,去除高巅(头部)及皮肤的风热效果非常显著。薄荷气味辛凉,不像荆芥那样温燥,最终应当以治疗风热作为定论。
邹氏解释“贼风伤寒”,认为夏天的“贼风”指的是北风,必定是夏令时节受了北风的寒邪,这种观点对于理解薄荷的治疗作用,也还有一定的契合之处。但是邹氏专门坚持这一说法,而没有推及到风热证,并且以薄荷根不怕寒冷、苗不怕暑热作为关键依据,这就显得过于拘泥了。正因为根不怕寒冷,所以苗不怕暑热。不怕暑热,正是因为它具有辛凉的“金气”,足以抵挡夏日的烈日。这与麻黄产地冬天不积雪的情况,可以对照观察而明白。邹氏又说薄荷能引发寒战哭泣的反应,把它与荆芥、香薷等同列,试问香薷是什么东西,怎么能和薄荷相提并论呢?
薄荷对于头目肌表间风热郁结而不能发散的情况,最能发挥效力。如果配伍得当,也可以治疗上焦和中焦的里热。如凉膈散、龙脑鸡苏丸,用来清除胃热、胆热和肾热,可以说是用药超出了常规界限。逍遥散配合煨姜,又能将凉性的风转化为温性的风,从而治疗骨蒸劳热,那些固守成见的人,听到这些难道不会感到惊恐害怕吗?
Historical texts indicate that Jingjie (Schizonepetae Herba) was heavily relied upon for treating wind-induced stiffness of the head and neck, various forms of hemiplegia with facial paralysis and lockjaw, as well as hematemesis, epistaxis, and lower gastrointestinal bleeding. This reflects its primary domain, which is fundamentally centered on "wind within the blood." Its ability to disperse wind within the blood implies regulating qi circulation within the blood vessels; thus, Zhang Yuansu (Hanghai) referred to it as a qi-moving herb for the Liver Meridian. However, the qi of the Liver Meridian inevitably involves the Shaoyang Meridian; the "scrofula" (lymph node tuberculosis) governed by this meridian is essentially a Shaoyang disease.
Jingjie disperses wind within the blood and is the premier emergency herb for postpartum blood syncope. Its aromatic and warm nature is also sufficient to treat scrofula, sores, and scabies, but these effects are achieved through promoting blood vessel patency and removing stasis.
Some argue that Jingjie possesses both warming and ascending properties along with cooling and descending ones, or vice versa. Ultimately, its warming nature outweighs its cooling nature, and its qi is somewhat turbid. When used for exterior cold-wind patterns, it is appropriate only when accompanied by blood-level involvement manifesting as dizziness and blurred vision. *Yonglei Lianfang* treats wind-heat headache with Jingjie combined with Gypsum Fibrosum (Shigao) in equal parts, powdered and taken with tea, demonstrating an ingenious formulation method.
Bohe (Menthae Haplocalycis Herba), according to *Tang Bencao*, treats sudden wind and cold damage by inducing sweating; *Shixing Bencao* states it treats headache from yin-yang toxic cold damage; Su Song and Wang Haogu also assert it treats wind-cold. Other authorities, however, claim it treats wind-heat. Which view should be adopted? Historical formulas predominantly use Bohe for wind-heat patterns, rarely for wind-cold. Decocted and drunk, it effectively removes wind-heat from the high peak (head) and skin, as described by Zhang Jiegu. Its aroma and flavor are pungent and cool, unlike the warmth of Jingjie; therefore, its definitive indication should be wind-heat.
Zou interpreted "sudden wind cold damage" as northern wind in summer, suggesting injury by northern cold during summer months. This aligns somewhat with Bohe's therapeutic profile. However, Zou exclusively adhered to this theory, neglecting wind-heat, and based his reasoning on the root's resistance to cold and the sprout's resistance to heat, which is overly rigid. The reason the sprout resists heat is precisely because the root resists cold. Resisting heat indicates that its pungent-cool Metal Qi is sufficient to counteract the summer sun. This can be understood by comparing it with Ephedrae Herba (Mahuang), which grows in areas where snow does not accumulate in winter. Zou further claimed Bohe induces chills and weeping, equating it with Jingjie and Moslae Herba (Xiangru). One must ask: what kind of herb is Xiangru to be compared equally with Bohe?
Bohe is most effective for wind-heat stagnation in the head, eyes, muscle, and surface. With proper combination, it can also treat interior heat in the Upper and Middle Jiao. Formulas such as Liangge San (Cool the Diaphragm Powder) and Longnao Jisu Wan (Borneol Chicken Mint Pill) clear stomach, gallbladder, and kidney heat, arguably exceeding standard dosage boundaries. Xiaoyao San combined with roasted ginger transforms cooling wind into warming wind to treat bone-steaming consumptive fever. Those with rigid views might be startled and terrified by such applications.