(土)调中止血燥湿
伏龙肝(专入肝脾)。系灶心赤土。因其色赤如肝。故以肝名。味辛气温。无毒。按土
为万物
之母。在人脏腑。则以脾胃应之。故万物非土不生。人身五脏六腑非脾胃不养。是以土能补
人脾胃。伏龙肝经火久熬。则土味之甘已转为辛。土气之和已转为温矣!凡人中气不运。则
是气是血。靡不积聚为殃。是瘀是水。靡不蔓延作祟。书言咳逆反胃。肿胀脐疮可治者。以
其得此补土燥湿之谓也!书言吐衄崩带。尿血遗精肠风可治者。以其失血过多。中气必损。
得此微温调和血脉也。痈肿可消者。以其辛散软坚之意也。日华子取其能催生下胞者。以其
温中而镇重下坠也。(博救方子死腹中。水调三钱服。)要之皆为调中止血燥湿之剂耳。研细
水飞用。
药有平补。亦有平散。补以益虚。散以去实。虚未甚而以重剂投之。其补不能无害。实
未甚
而
以重剂散之。其散更不能无害矣。如散寒麻黄。散风桂枝。散湿苍术。散热升葛。散暑香薷
。散气乌药。皆非平者也。乃有重剂莫投。如治风与湿。症见疥癣周痹。止有宜于苍耳子。
症见瘙痒消渴。止有宜于蚕沙。症见麻木冷痛。止有宜于 。症见肤痒水肿。止有宜于浮
萍。症见目翳疳蚀。止有宜于炉甘石。皆能使其风散湿除。又如治风与热。症见目翳遮睛。
烂弦胞肿。止有宜于甘菊蕤仁木贼。症见风热蒸腾。肾阴不固。止有宜于石南叶。皆能使其
风熄热退。又如治寒与热。症见咳嗽不止。止有宜于冬花。症见头面风痛。止有宜于荷叶。
症见肺热痰喘。声音不清。止有宜于马兜铃。症见寒燥不润。止有宜于紫白石英。症见肝经
郁热不散。止有宜于夏枯草。症见风寒湿热香港脚。止有宜于五加皮。症见风寒痰湿。止有宜
于僵蚕。皆能使其寒热悉去。至于治气。则又止用橘皮之宣肺燥湿。青皮之行肝气不快。神
曲之疗六气不消。槟榔大腹皮之治胸腹痞胀。白芨之散热毒而兼止血。野菊花之散火气。痈
毒疔肿。瘰 目痛。青木香之除风湿恶毒瓦斯结。皆能使其诸气悉消。凡此药虽轻平。而用与
病符。无不克应。未可忽为无益而不用也!
(土类)调理中焦、止血、燥湿
伏龙肝(专门入肝经和脾经)。它是灶心红色的泥土。因为它的颜色赤红如同肝脏,所以以“肝”命名。味道辛,性温,无毒。按五行理论,土是万物的母亲。在人体的脏腑中,脾胃对应土。所以万物没有土就不能生长,人的五脏六腑没有脾胃的滋养就无法生存。因此,土能够补益人的脾胃。伏龙肝经过长时间的火熬,其土的甘味已经转化为辛味,土气的平和性质已经转化为温性了!凡是人体中气运行不畅,那么气和血,无不积聚成为祸害;瘀血和水湿,无不蔓延造成损害。医书说咳嗽气逆、反胃、肿胀、脐部疮疡可以治疗,是因为它具有补土燥湿的作用!医书说吐血、衄血、崩漏、带下、尿血、遗精、肠风便血可以治疗,是因为失血过多,中气必然受损,得到这种微温的药物来调和血脉。痈肿可以消除,是因为它具有辛散软坚的意思。日华子认为它能促进胎儿娩出、排出胎盘,是因为它温中且质地沉重具有下坠作用。(《博救方》记载治疗胎死腹中,用水调服三钱。)总之,这些都是调理中焦、止血、燥湿的药剂。研成细粉,水飞法使用。
药物有平补,也有平散。补是用来增益虚损,散是用来祛除实邪。虚证不严重却用重剂投药,这种补法不能没有危害。实证不严重却用重剂发散,这种散法更不能没有危害了。比如散寒用麻黄,散风用桂枝,散湿用苍术,散热用升麻葛根,散暑用香薷,散气用乌药,这些都不是平和之品。然而有些情况不能用重剂,比如治疗风与湿,症状表现为疥癣、周身痹痛,只有适宜用苍耳子;症状表现为瘙痒、消渴,只有适宜用蚕沙;症状表现为麻木冷痛,只有适宜用[原文缺字];症状表现为皮肤瘙痒、水肿,只有适宜用浮萍;症状表现为目翳、疳蚀,只有适宜用炉甘石。这些都能使风邪散去、湿邪去除。又如治疗风与热,症状表现为目翳遮睛、眼睑边缘溃烂、胞睑肿胀,只有适宜用甘菊、蕤仁、木贼;症状表现为风热蒸腾、肾阴不固,只有适宜用石南叶。这些都能使风熄热退。又如治疗寒与热,症状表现为咳嗽不止,只有适宜用款冬花;症状表现为头面部风痛,只有适宜用荷叶;症状表现为肺热痰喘、声音不清,只有适宜用马兜铃;症状表现为寒燥不润,只有适宜用紫石英、白石英;症状表现为肝经郁热不散,只有适宜用夏枯草;症状表现为风寒湿热导致的脚气病,只有适宜用五加皮;症状表现为风寒痰湿,只有适宜用僵蚕。这些都能使寒热悉除。至于治疗气滞,则又只需用橘皮宣肺燥湿,青皮疏理肝气不畅,神曲治疗六淫之气不消化,槟榔和大腹皮治疗胸腹部痞满胀闷,白芨散热毒兼能止血,野菊花疏散火气,治疗痈毒疔肿、瘰疬、目痛,青木香祛除风湿恶毒之气结聚。这些都能使各种气滞消散。凡此药物虽然药性轻平,但用法与病情相符,没有不奏效的。不可以忽视它们看似无益而不用啊!
(Earth Category) Regulate the Middle Jiao, Stop Bleeding, Dry Dampness
Fulonggan (Dragon's Liver Earth) (Specifically enters the Liver and Spleen meridians). It is the red earth from the center of a cooking stove. Because its color is crimson like the liver, it is named "Liver." Its taste is pungent, its nature is warm, and it is non-toxic. According to theory, Earth is the mother of all things. In the human viscera and bowels, the Spleen and Stomach correspond to Earth. Therefore, all things cannot grow without Earth, and the five viscera and six bowels of the body cannot be nourished without the Spleen and Stomach. Thus, Earth can tonify the human Spleen and Stomach. Fulonggan, having been subjected to fire for a long time, has transformed its sweet Earth flavor into a pungent one, and its harmonious Earth nature into warmth! Whenever the Qi in the Middle Jiao fails to circulate, both Qi and Blood will accumulate and cause harm; both blood stasis and water-dampness will spread and create disturbances. Medical texts state that cough with reverse flow of Qi, regurgitation, swelling, and umbilical sores can be treated because this substance possesses the ability to tonify Earth and dry dampness! Medical texts state that hematemesis, epistaxis, metrorrhagia, leukorrhea, hematuria, spermatorrhea, and intestinal wind bleeding can be treated because excessive loss of blood inevitably damages the Qi of the Middle Jiao, and this mildly warming substance helps to harmonize the blood vessels. Abscesses and swellings can be resolved due to its intention of pungent dispersion and softening hardness. Ri Huazi noted its ability to facilitate childbirth and expel the placenta because it warms the Middle Jiao and, being heavy in texture, has a descending action. (The *Bojiu Fang* records using three qian mixed with water to treat a fetus dying in the womb.) In summary, these are all agents for regulating the Middle Jiao, stopping bleeding, and drying dampness. They should be ground into fine powder and processed by wet pulverization (water flying).
Medicinals include those that gently tonify and those that gently disperse. Tonification is used to benefit deficiency, while dispersal is used to eliminate excess. If deficiency is not severe but heavy-tonifying agents are administered, such tonification may cause harm. If excess is not severe but heavy-dispersing agents are administered, such dispersal is certainly harmful. For example, Ephedrae Herba (Mahuang) dispels cold, Cinnamon Twig (Guizhi) dispels wind, Atractylodis Rhizoma (Cangzhu) dispels dampness, Bupleuri Radix et Polygoni Cuspidati Rhizoma et Radix (Shengge) dispels heat, Moslae Herba (Xiangru) dispels summerheat, and Linderae Radix (Wuyao) moves Qi; none of these are considered mild or balanced. However, there are situations where heavy agents cannot be used. For instance, when treating wind and dampness manifesting as scabies, tinea, and generalized bi-syndrome, only Xanthii Fructus (Cangerzi) is suitable. When symptoms manifest as pruritus and xiao-ke (wasting-thirst), only Bombyx Batryticatus (Can Sha) is suitable. When symptoms manifest as numbness and cold pain, only [Original Text Missing Character] is suitable. When symptoms manifest as cutaneous pruritus and edema, only Lemna Minoris Herba (Fuping) is suitable. When symptoms manifest as corneal opacity and gan-shi (flesh-eating ulcers), only Calamina (Luganshi) is suitable. All these can disperse wind and eliminate dampness. Similarly, when treating wind and heat, when symptoms manifest as corneal opacity obscuring vision, ulceration of the eyelid margins, and swollen eyelids, only Chrysanthemi Flos (Ganju), Prunus Armeniaca Seed (Ruiren), and Equiseti Herba (Muzei) are suitable. When symptoms manifest as steaming wind-heat and insecure Kidney Yin, only Nandinae Folium (Shinan Ye) is suitable. All these can extinguish wind and retreat heat. Furthermore, when treating cold and heat, when symptoms manifest as persistent cough, only Kadsurae Longipedunculati Fructus (Donghua) is suitable. When symptoms manifest as wind-pain of the head and face, only Nelumbinis Leaf (Heye) is suitable. When symptoms manifest as lung-heat phlegm-wheezing and unclear voice, only Aristolochiae Manshuriensis Radix (Madouling) is suitable. When symptoms manifest as cold-dryness lacking moisture, only Amethyst (Zishiying) and White Quartz (Baishiying) are suitable. When symptoms manifest as stagnant depression-heat in the Liver meridian, only Prunellae Spica (Xiakucao) is suitable. When symptoms manifest as foot-leg disease caused by wind-cold, damp-heat, only Acanthopanacis Cortex (Wujia Pi) is suitable. When symptoms manifest as wind-cold and phlegm-dampness, only Bombyx Batryticatus (Jiangcan) is suitable. All these can eliminate both cold and heat. Regarding the treatment of Qi stagnation, one should use Tangerine Peel (Chenpi) to diffuse Lung Qi and dry dampness, Green Tangerine Peel (Qingpi) to move Liver Qi when it is stagnant, Massae Fermentatae Medicatae (Shenqu) to treat indigestion caused by the six climatic factors, Arecae Semen (Binglang) and Arecae Pericarpium (Dafupi) to treat chest and abdominal fullness and distension, Bletillae Rhizoma (Baiji) to clear heat-toxicity and stop bleeding, Wild Chrysanthemum Flos (Yejuhua) to disperse fire-qi, treating carbuncles, toxic sores, furuncles, scrofula, and eye pain; and Aquilariae Lignum Resinatum (Qingmuxiang) to remove wind-dampness and evil-toxic qi accumulation. All these can dissipate various forms of Qi stagnation. Although these medicinals are light and mild, their application matches the pathology, ensuring efficacy. One must not disregard them as useless and fail to employ them!