接骨木,味苦、辛,气平,有小毒,入骨节,专续筋接骨,易起死回生。折伤吞酒,风
痒汤
浴。只用之以接续骨节,产前、产后皆不用。存之以备折伤之需。生接骨木独用之,接骨固
奇。然用之生血、活血药中,其接骨尤奇。但宜生用为佳,至干木用之,其力减半,炒用又
减半也。盖取其生气则神而已矣。
蔓荆子,味苦、辛、甘,气温、微寒,阳中之阴,无毒。入太阳经。主筋骨寒热,湿痹
拘挛
,本经头痛,头沉昏闷,利关节,长发,通九窍,去虫,散风淫,明目,耳鸣乃止,齿动尤
坚。此物散而不补,何能轻身耐老。胃虚因不可用,气血弱衰者,尤不可频用也。
或问蔓荆子,止头痛圣药,凡有风邪在头面者,俱可用,而吾子又以为不可频用,谓
其攻而不补也。但药取其去病,能去病,又何虑用之频与不频哉。不知蔓荆子体轻而浮,虽
散气不至于太甚,似乎有邪者,俱可用之。然而,虚弱者少有所损,则气怯神虚,而不胜其
野狼狈矣。予言不可频用者,为虚者言之也。若形气实,邪塞于上焦,又安在所禁之内哉。
蔓荆子佐补药中,以治头痛尤效,因其体轻力薄,藉之易于上升也。倘单恃一味,欲取
胜于
顷刻,则不能也。
或问蔓荆子入太阳经,能散风邪,何仲景张公不用之以表太阳之风邪,得毋非太阳之药
乎?
不知蔓荆子入太阳之营卫,不能如桂枝单散卫而不散营,麻黄单散营而不散卫,各有专功。
伤寒初入之时,邪未深入,在卫不可引入营,在营不可仍散卫。蔓荆子营卫齐散,所以不宜
矣。
接骨木,味道苦、辛,药性平和,有小毒,归入骨节部位,专门用于接续筋脉和骨骼,效果显著,甚至能起死回生。对于骨折损伤,可以吞服酒煮的接骨木,或者用接骨木煎汤洗浴。如果仅仅是为了接续断裂的骨节,产前和产后都不宜使用。将其储存起来,以备折伤之需。单独使用鲜活的接骨木,接骨效果确实奇妙。然而,如果在补血、活血的药物中加入它,其接骨的效果更加神奇。但最好使用鲜品,如果是干品,药效减半;如果是炒制品,药效再减半。这是因为要取其生机旺盛的特性罢了。
蔓荆子,味道苦、辛、甘,药性温而微寒,属于阳中之阴,无毒。归入太阳经。主要治疗筋骨间的寒热症状,风湿痹痛引起的拘挛,本经(指足太阳膀胱经)头痛,头部沉重昏闷,通利关节,促进头发生长,疏通九窍,驱虫,疏散风邪,明目,耳鸣因此停止,牙齿松动变得坚固。这种药物只有发散作用而没有补益作用,怎么能让人身体轻健、延年益寿呢?胃气虚弱的人不可使用,气血衰弱的人,尤其不可以频繁使用。
有人问:蔓荆子是治疗头痛的神药,凡是头面部有风邪的,都可以使用,而你却说不可频繁使用,认为它只攻伐而不补益。但是,用药的目的是去除疾病,既然能去除疾病,又何必顾虑使用频率的高低呢?不知道蔓荆子质地轻浮,虽然发散气机不至于太过严重,看似有邪气的情况都可以使用。然而,体质虚弱的人稍微使用就会受损,导致气怯神虚,难以承受其副作用。我说不可频繁使用,是针对体质虚弱的人而言的。如果形体气实,邪气阻滞在上焦,那就不在禁忌之列了。将蔓荆子辅助于补药中,用来治疗头痛特别有效,因为它质地轻、力量薄,借助补药之力容易上升。如果单靠这一味药,想要立刻取得显著疗效,是做不到的。
有人问:蔓荆子归入太阳经,能疏散风邪,为什么张仲景不用它来发表太阳经的风邪,难道它不是太阳经的药吗?
不知道蔓荆子进入太阳经的营分和卫分,不能像桂枝那样只散卫气而不散营气,也不能像麻黄那样只散营气而不散卫气,它们各有专长。伤寒病刚入门时,邪气尚未深入,在卫分就不能引入营分,在营分就不能继续散卫分。蔓荆子营卫之气同时发散,所以不适合这种情况。
Sambucus (Jiegu Mu), with a bitter and pungent taste, neutral nature, and slight toxicity, enters the bone joints. It is specifically used to reconnect tendons and bones, exhibiting miraculous effects that can even revive the seemingly dead. For fractures and injuries, it can be taken with wine or used in decoction for bathing. When used solely for reconnecting bone joints, it should not be used before or after childbirth. It is stored for preparation against fractures. Using fresh Sambucus alone yields remarkable results in bone healing. However, when added to blood-nourishing and blood-activating formulas, its efficacy in reconnecting bones is even more extraordinary. Fresh usage is preferred; dried Sambucus has half the potency, and stir-fried Sambucus has half again. This is because fresh material retains its vital energy (Sheng Qi).
Vitex Fructus (Man Jing Zi), with a bitter, pungent, and sweet taste, warm yet slightly cold nature, representing Yin within Yang, is non-toxic. It enters the Taiyang Meridian. It primarily treats cold and heat sensations in muscles and bones, spasms due to wind-damp bi-syndrome, headaches along the meridian, heavy and dizzy head sensations, benefits joint mobility, promotes hair growth, unblocks the nine orifices, expels parasites, disperses pathogenic wind, brightens the eyes, stops tinnitus, and strengthens loose teeth. This herb only disperses and does not tonify; thus, how can it lighten the body and prolong life? It is contraindicated for those with weak stomach Qi, and especially for those with deficient and declining Qi and Blood, frequent use is inadvisable.
One might ask: Vitex Fructus is a sacred medicine for headache; anyone with wind pathogens in the head and face can use it. Yet you say it should not be used frequently, claiming it attacks but does not tonify. However, the purpose of medication is to eliminate disease. If it eliminates disease, why worry about frequency? One must understand that Vitex Fructus is light and floating. Although its Qi-dispersing action is not excessive, making it seem suitable for cases with pathogens, it causes damage to the weak, leading to timid Qi and deficient Spirit, which they cannot withstand. My statement against frequent use applies to the weak. If one has robust form and Qi, with pathogens obstructing the Upper Jiao, it is not prohibited. When assisted by tonifying herbs, Vitex Fructus is particularly effective for headaches because its light texture and weak power allow it to ascend easily with the help of tonics. Relying solely on this single herb to achieve immediate superiority is impossible.
One might ask: Vitex Fructus enters the Taiyang Meridian and disperses wind pathogens. Why did Zhang Zhongjing not use it to release Taiyang wind pathogens? Is it not a Taiyang herb?
It is unknown that Vitex Fructus enters both the Ying (Nutritive) and Wei (Defensive) levels of the Taiyang Meridian. It cannot act like Guizhi Tang (Cinnamon Twig Decoction), which only disperses Wei without Ying, nor like Mahuang Tang (Ephedra Decoction), which only disperses Ying without Wei; each has specific functions. At the initial stage of Shanghan (Cold Damage), when pathogens have not deeply penetrated, if in the Wei level, they should not be led into the Ying level; if in the Ying level, the Wei level should not still be dispersed. Since Vitex Fructus disperses both Ying and Wei simultaneously, it is unsuitable for this condition.