骨碎补,开宝主破血、止血、补伤折。其所破之血,乃伤折之瘀血;所止之血,乃伤折
之好
伤在皮肤曰伤破,在筋脉曰伤断,在骨曰伤折。骨碎补寄生树上或石上,多在背阴处,
其根有黄赤毛,所抽之叶,则有青绿黄白赤紫各点,宛似效力于骨碎之处而调其血脉。又寸
寸折之,寸寸皆生。处处折之,处处有汁。气味苦温,故能入肾坚肾补伤折。且无花无实,
力专而不分也。
李氏谓以骨碎补研末入猪肾中煨熟空心食,治久泄顿住。其补肾之功,自不可没。则他
方书
胡麻味甘臭香,合乎土德,且结角上耸,饱含脂液而不俯,又与脾职之上升无异。故主
伤中
、虚羸、填髓脑,补中而亦补上。功在增液,则润肌肤、泽骨节、乌须发、益乳汁,皆效有
必至。陈士良云∶初食利大小肠,久食即否。可知其力能下及而性复上注矣。
仲圣麻仁丸证,是脾受胃强之累而约而不舒,于是脾不散精于肺,肺之降令亦失,肺与
脾胃俱困而便何能下。麻仁甘平滑利,柔中有刚,能入脾滋其阴津,化其燥气。但脾至于约,
其中之坚结可知。麻仁能扩之不能破之,芍药乃脾家破血中之气药,合施之而脾其庶几不约
矣乎。夫脾约由于胃强,治脾焉得不兼治胃,胃不独降,有资于肺,肺亦焉得罔顾,故又佐
以大黄枳朴攻胃,杏仁抑肺。病由胃生而以脾约标名者,以此为太阳阳明非正阳阳明也。兼
太阳故小便数,小便数故大便难。治法以起脾阴化燥气为主,燥气除而太阳不治自愈,故麻
仁为要药。治阳明府病非承气不可,故取小承气之大黄枳朴而复减少其数也。
复脉汤用之,则佐姜桂以通阳,佐胶地麦冬以益阴,与后世取汁煮粥以治风治淋,总取
乎润燥抉壅,柔中有刚也。
骨碎补,在《开宝本草》中记载主治破血、止血以及治疗骨折损伤。它所破除的瘀血,是骨折损伤产生的瘀血;它所止住的出血,也是骨折损伤导致的出血。伤在皮肤称为“伤破”,伤在筋脉称为“伤断”,伤在骨骼称为“伤折”。骨碎补寄生在树木或岩石上,多生长在背阴处,其根部有黄红色的绒毛,抽出的叶片上有青、绿、黄、白、赤、紫等各种斑点,仿佛效力作用于骨骼破碎之处并调理血脉。此外,将其一寸寸折断,每一寸都能重新生长;处处折断,处处都有汁液流出。气味苦温,因此能入肾经,坚固肾脏,治疗骨折损伤。而且它无花无实,药力专一而不分散。
李氏(李时珍)说将骨碎补研成粉末填入猪肾中煨熟后空腹食用,可治疗长期腹泻突然停止的症状。其补肾的功效,自然不可抹杀。那么其他医书中的……
胡麻味甘且带有特殊的香气,符合土的德行,且豆荚向上耸立,饱含脂液而不下垂,这与脾脏功能上升的特性无异。因此主治内伤、身体虚弱消瘦、填补髓脑,既能补益中焦也能补益上部。功效在于增加津液,因此滋润肌肤、润泽骨节、使须发变黑、增加乳汁,都是必然见效的。陈士良说:初食时利于大小肠通畅,久食则会导致便秘。可知其药力能向下通达但性质又向上注输。
张仲景《伤寒论》中麻子仁丸的证候,是脾脏受到胃气亢盛的连累而约束不舒,于是脾脏不能将精微物质散布给肺脏,肺气的肃降功能也丧失,肺与脾胃都受困顿,大便怎么能下行呢?麻子仁甘平滑利,柔中带刚,能进入脾脏滋养其阴津,化解燥气。但是脾脏既然到了被约束的程度,其中的坚结情况可想而知。麻子仁只能扩张而不能攻破,芍药乃是脾脏中破除血分郁滞的气药,两者合用,脾脏的约束大概就能解除吧。脾约是由于胃强引起的,治疗脾脏怎能不兼治胃脏?胃气不仅下行,还需要肺气的资助,肺气又怎能不顾及?所以又佐以大黄、枳实、厚朴攻伐胃气,杏仁抑制肺气。病由胃产生却以脾约作为标名来命名,这是因为这是太阳阳明病而非正阳阳明病。兼有太阳表证所以小便频数,小便频数所以大便困难。治疗方法以提振脾阴、化解燥气为主,燥气去除后太阳表证不治自愈,所以麻子仁是关键药物。治疗阳明腑实证非承气汤不可,所以取小承气汤中的大黄、枳实、厚朴但减少其用量。
在复脉汤中使用它,则是佐助生姜、桂枝以通阳,佐助阿胶、地黄、麦冬以益阴,与后世取汁煮粥以治疗风邪、淋证的做法相比,总体都是取其润燥、疏通壅滞、柔中带刚的特性。
Guishibu (Drynariae Rhizoma), as recorded in *Kaibao Bencao* (*Pharmacopoeia of the Kaibao Era*), is indicated for breaking blood stasis, stopping bleeding, and treating fractures. The blood stasis it breaks is that caused by trauma and fractures; the bleeding it stops is also that resulting from such injuries. Injury to the skin is termed "Shangpo" (skin laceration); injury to tendons and vessels is termed "Shangduan" (tendon rupture); injury to bones is termed "Shangzhe" (bone fracture). Guishibu grows parasitically on trees or rocks, mostly in shady places. Its rhizomes have yellowish-red hairs, and its leaves display spots of green, blue, yellow, white, red, and purple, seemingly indicating its efficacy at sites of bone fracture where it regulates the blood vessels. Furthermore, if broken inch by inch, each section regenerates; wherever broken, juice flows out. Its flavor is bitter and warm, thus entering the Kidney channel to strengthen the Kidneys and treat fractures. Moreover, lacking flowers and fruits, its action is focused and undivided.
Li Shi-zhen stated that grinding Guishibu into powder, stuffing it into a pig kidney, roasting it until cooked, and consuming it on an empty stomach can treat chronic diarrhea that suddenly ceases. Its ability to tonify the Kidney cannot be overlooked. Thus, other medical texts...
Huma (Sesamum indicum) has a sweet taste and a distinct aroma, conforming to the virtue of Earth. Its pods stand upright, full of oily fluid without drooping, which is similar to the ascending function of the Spleen. Therefore, it treats internal injury, emaciation due to deficiency, fills the marrow and brain, and tonifies both the Middle Jiao and the Upper Jiao. Its merit lies in increasing fluids; thus, moistening the skin, lubricating joints, darkening hair, and benefiting milk production are all inevitable effects. Chen Shiliang said: initially eating it promotes bowel movements, but long-term consumption leads to constipation. This indicates its power reaches downward while its nature ascends.
In Zhang Zhong-jing's syndrome treated with Mahuang Ren Wan (Cannabis Seed Pill), the Spleen is affected by the excess strength of the Stomach, becoming constrained and unable to relax. Consequently, the Spleen fails to distribute essence to the Lung, and the Lung's descending command is lost. With both the Lung and the Spleen-Stomach system hindered, how can stool descend? Mahuang Ren (Cannabis Seed) is sweet, neutral, smooth, and slippery, possessing gentleness with inner firmness. It enters the Spleen to nourish its Yin fluids and transform dryness. However, since the Spleen is constrained, the internal hardness is evident. Mahuang Ren can expand but not break through; Shaoyao (Paeoniae Radix Alba) is the Qi-moving herb within the Spleen that breaks blood stasis. Used together, the Spleen's constraint may be relieved. Since Pi Yue (Spleen Constraint) stems from Wei Qiang (Stomach Excess), treating the Spleen must involve treating the Stomach. The Stomach does not only descend; it relies on the Lung, so the Lung must also be considered. Hence, Dahuang (Rhei Radix et Rhizoma), Zhishi (Aurantii Fructus Immaturus), and Houpo (Magnoliae Officinalis Cortex) are added to attack the Stomach, and Xingren (Armeniacae Semen) to suppress the Lung. The disease originates in the Stomach but is named after Spleen Constraint because this is Taiyang-Yangming disease, not Zheng Yang-Ming disease. Due to the concurrent Taiyang pattern, urination is frequent; frequent urination leads to difficult defecation. The treatment method focuses on raising Spleen Yin and transforming dryness. Once dryness is removed, the Taiyang pattern heals itself without specific treatment, making Mahuang Ren the key herb. For Yangming Fu-organ diseases, Chengqi Tang formulas are indispensable; thus, the Dahuang, Zhishi, and Houpo from Xiao Chengqi Tang (Minor Order the Qi Decoction) are used but in reduced dosages.
When used in Fumai Tang (Decoction to Restore the Pulse), it assists Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Ramulus) to unblock Yang, and assists Ejiao (Colla Corii Asini), Dihuang (Rehmanniae Radix Preparata), and Maidong (Ophiopogonis Radix) to benefit Yin. Compared to later methods of extracting juice to make porridge for treating wind patterns or strangury, the common principle is always moistening dryness, resolving obstruction, and combining gentleness with firmness.