(隰草)大泻心热利水
瞿麦(专入心。兼入小肠)。味苦性寒。功专泻心利水。故书载利小便。决肿痈。去癃
闭。
拔肉刺。下胎产。除目翳。然其气禀纯阳。必其小肠气浓。服此疏泄之味。病始克除。(淋
症有虚有实。如淋果属热致。其茎痛不可忍。手按热如火烁。血出鲜红不黯。淋出如沙如
石。脐下妨闷。烦燥热渴。六脉沉数有力。洵为属热。如其茎中不痛。痛喜手按。或于溺
后搀痛。稍久则止。或登厕小便涩痛。大便牵痛。面色萎黄。饮食少思。语言懒怯。六脉虚
浮无力。是为属虚。)若使小肠素虚。经云。心属有热。不惟其热不除。则虚而益虚。必致
变生他症矣!妊娠产后小便不利。及脾虚水肿。均并禁焉。恶螵蛸。
(石草)清肺热以利水
石苇(专入肺。)苦甘微寒。功专清肺行水。凡水道不行。化源不清。以致水道益闭。(化
源
不清。则水道自闭。)石苇蔓延石上。生叶如皮。味苦气寒。苦则气行而金肃。寒则热除而
水利。是以劳力伤津。伏有热邪。而见小便不通。及患背发等症。治当用此调治。俾肺肃
而水通。亦淋除而毒去矣。去梗及黄毛。微炙用。生于瓦上。名瓦苇。亦治淋。
(蚌蛤)利水通道逐蛊下血
紫贝(专入脾肝)。即贝子之色赤者也。味咸气平。其物出于云南。白入气。紫入血。(紫
斑
而骨白。)功专利水通道。逐蛊下血。凡人症患香港脚。小儿斑疹目翳。五癃水肿。蛊毒鬼蛀
。用此的能解除。盖因咸有软坚之力。脚症湿热。用此得以透骨逐邪。(贝骨坚硬。故能透
骨。)和以诸药。使其蒸蒸作汗次第而解也。目翳用此粉点。亦以能除湿热而使血得上营。
但与贝子相类甚多。如砑蠃之类皆能相混。分别用之。(颂曰。贝类极多。古人以为宝货。
而紫贝尤贵。后世不用贝钱。而药中亦希使之。)背上深紫有黑点者良。生研细末用。
(隰草)具有大泻心火之热并通利小便的功效。
瞿麦(主要归入心经,兼入小肠经)。味道苦,性质寒凉。功效专门在于清泻心火、通利小便。因此医书记载它能通利小便,消除肿胀痈肿,治疗尿闭不通,拔除肉中倒刺,促进难产胎衣排出,去除目生翳膜。然而它的药气禀受纯阳之气,必定是因为小肠之气浓盛,服用这种具有疏泄作用的药物后,疾病才能得以清除。(淋证有虚证和实证之分,如果淋证确实是由热邪导致,患者尿道疼痛难以忍受,用手按压感觉灼热如火烧,尿液颜色鲜红而不暗,排尿时像沙石一样,脐下部位感到憋闷烦躁,口渴发热,六脉沉取数而有力,这确实是属于热证;如果尿道不痛,疼痛喜欢被手按压,或者在排尿后出现牵扯性疼痛,持续片刻即止,或者上厕所时小便涩痛,大便时也牵涉疼痛,面色萎黄,饮食减少思虑不足,说话懒慢怯弱,六脉虚浮无力,这是属于虚证。)如果小肠原本就虚弱,正如经典所说,心脏属有热,不仅其热不能消除,反而会使虚者更虚,必然导致产生其他病症!妊娠期间及产后小便不利,以及脾虚引起的水肿,都一并禁止使用。本品与海螵蛸相恶(配伍禁忌)。
(石草)能够清泻肺热以通利小便。
石苇(主要归入肺经)。味道苦甘,性质微寒。功效专门在于清泻肺热、行气利水。凡是水道运行不畅,化源(指水液代谢的源头,通常关联肺气宣降)不清,导致水道更加闭塞的情况。(化源不清,则水道自然闭塞。)石苇蔓延生长在石头上,叶子生长如皮革状,味道苦,气性寒。苦味能使气机运行而令肺气肃降,寒性能清除热邪而使水道通畅。因此,对于因劳累过度损伤津液,体内潜伏有热邪,而出现小便不通畅,以及患有背部发背等病症,治疗应当使用此药进行调理。使肺气肃降而水道通畅,也能使淋证消除、毒邪散去。使用时需去掉梗茎及黄色绒毛,轻微炙烤后使用。生长在瓦片上的称为瓦苇,也能治疗淋证。
(蚌蛤)能够利水通窍、驱逐蛊毒、下行瘀血。
紫贝(主要归入脾经和肝经)。就是贝子中颜色赤红的品种。味道咸,气性平。这种药材产于云南,白色部分入气分,紫色部分入血分。(表现为紫色斑点而骨骼白色。)功效专门在于利水通窍,驱逐蛊毒,下行瘀血。凡是人们患脚气病,小儿出斑疹或目生翳膜,五种类型的癃闭水肿,蛊毒鬼蛀(指严重的寄生虫病或中毒症状),使用此药确实能够解除病痛。这是因为咸味具有软坚散结的力量,脚气病多由湿热引起,使用此药能够透达筋骨以驱逐邪气。(因为贝骨坚硬,所以能透达筋骨。)配合其他药物一起使用,使其蒸蒸发汗,依次而解。目生翳膜可用此药研粉点眼,也是因为它能除湿热而使血液能够上荣于目。但是与贝子相似的有很多,比如砑蠃之类都能与之混淆,需要分别使用。(苏颂说:贝类非常多,古人将其视为宝货,其中紫贝尤其珍贵。后世不再用贝币作为货币,而在药物中也很少使用它了。)背部深紫色且有黑点的品质较好。生研成细末后使用。
(Xi Cao) Greatly drains Heart heat and promotes urination.
Qumai (Primulae Herba) (Specifically enters the Heart channel, and also enters the Small Intestine channel). It has a bitter taste and cold nature. Its function is specifically to drain Heart heat and promote urination. Therefore, medical texts record that it can promote diuresis, resolve swelling and carbuncles, treat strangury with retention of urine, remove splinters from flesh, expel the placenta after difficult labor, and remove corneal opacity. However, its qi possesses pure Yang properties, implying that the Qi of the Small Intestine must be abundant; only by taking this疏泄 (dispersing and draining) substance can the disease be eradicated. (Strangury [Lin syndrome] can be either deficiency or excess. If the strangury is indeed caused by heat, the pain in the urethra is unbearable, pressing with the hand feels hot like burning, the blood/urine is bright red and not dark, and the urine flows out like sand or stones, accompanied by oppression and fullness below the umbilicus, irritability, restlessness, heat, and thirst, with the six pulses being deep, rapid, and forceful—this is truly an excess-heat pattern. If there is no pain in the urethra, the pain prefers pressure, or there is dragging pain after urination which stops after a short while, or difficulty and pain in urinating when using the toilet accompanied by dragging pain during defecation, sallow complexion, lack of appetite, lazy and timid speech, with the six pulses being deficient, floating, and weak—this is a deficiency pattern.) If the Small Intestine is inherently deficient, as the Classics state, if the Heart has heat, not only will the heat not be removed, but the deficiency will increase, inevitably leading to other symptoms. It is contraindicated for dysuria during pregnancy and postpartum, as well as edema due to Spleen deficiency. It is incompatible with Sepiae Endoconcha (Haopiaoqiao).
(Shi Cao) Clears Lung heat to promote urination.
Shiwei (Pyrrosiae Folium) (Specifically enters the Lung channel). It has a bitter and sweet taste and a slightly cold nature. Its function is specifically to clear Lung heat and move water metabolism. Whenever the water passages do not flow smoothly, and the source of transformation (Hua Yuan, referring to the source of fluid metabolism often linked to Lung dispersion and descent) is unclear, leading to further closure of the water passages. (If the source of transformation is unclear, the water passages close themselves.) Shiwei spreads over rocks, growing leaves like leather, with a bitter taste and cold qi. Bitterness allows qi to circulate and Lung metal to become austere (descending); coldness removes heat and facilitates water flow. Thus, for cases where labor damages fluids and latent pathogenic heat exists, resulting in urinary obstruction, or conditions such as back carbuncles, treatment should employ this herb to regulate. This ensures Lung qi descends and water passages open, thereby eliminating strangury and removing toxins. Remove the stems and yellow hairs, lightly roast before use. Those growing on tiles are named Wa Wei (Tile Leaf), and also treat strangury.
(Bang Ha) Promotes urination, unblocks channels, expels gu toxicity, and moves downward stagnant blood.
Zi Bei (Cypraeis Testa - Purple Cowrie Shell) (Specifically enters the Spleen and Liver channels). It is the reddish variety of Beizi (Cowrie Shell). It has a salty taste and neutral nature. This material originates from Yunnan; white parts enter the Qi level, purple parts enter the Blood level. (Characterized by purple spots and white bone.) Its function is specifically to promote urination and unblock channels, expel gu toxicity, and move downward stagnant blood. For patients suffering from beriberi (Hongxiujiao), children with exanthematous diseases or corneal opacity, five types of strangury and edema, gu toxicity, or ghost-biting ailments, this herb can effectively relieve these conditions. This is because saltiness has the power to soften hardness; for beriberi caused by damp-heat, this herb can penetrate bones to expel pathogens. (Because the shell bone is hard, it can penetrate bones.) When combined with other herbs, it induces profuse sweating to resolve the condition gradually. For corneal opacity, this herb can be powdered and applied locally, as it can eliminate damp-heat and allow Blood to nourish the upper orifices. However, many substances resemble Beizi, such as Ya Luo, which can cause confusion; they must be distinguished and used separately. (Song says: There are many types of shells; ancients considered them treasures, with Zi Bei being especially valuable. Later generations did not use shell money, and medicinal usage of shells became rare.) Those with deep purple backs and black spots are of good quality. Grind into fine powder raw for use.