(芳草)燥脾温胃涩肠
肉豆蔻(专入脾胃。兼入大肠)。辛温气香。兼苦而涩。功专燥脾温胃涩肠。(时珍曰。
土爱暖
而喜芳香。故肉豆蔻之辛温。理脾胃而治吐利。)行滞治膨消胀。凡脾胃虚寒。挟痰食。而
见心腹冷痛。泄泻不止。服此气温。既能除冷消胀。复能涩肠止痢。若合补骨脂同用。则能
止肾虚泄也。至书所云能补脾气。以其脾胃虚寒。服此则温而脾自健。非真具有甘补之意也
。气逆而服即下。以其脾胃既舒而气即下。非若浓朴枳实之下为最峻也。但此止属温胃涩肠
之品。若郁热暴注者禁用。出岭南。似草蔻。外有皱纹。内有斑纹。糯米粉裹熟。去油用。
忌铁。
(芳草)温肾逐冷涩气止脱
补骨脂(即破故纸。专入肾。)辛苦大温。色黑。何书皆载能敛神明。使心胞之火与命
门之火
相通。因而元阳坚固。骨髓充实。以其气温味苦。涩以止脱故也。(时珍曰。按白飞霞方外
奇方云。破故纸属火。收敛神明。能使心胞之火与命门之火相通。故元阳坚固。骨髓充实。
涩以止脱也。胡桃属木。润燥养血。血属阴恶燥。故油以润之。佐破故纸。有水火相生之妙
。故语云。破故纸无胡桃。犹水母之无 。)凡五痨(五痨曰志痨、心痨、思痨、忧痨、瘦
痨
。)
。七伤(七伤曰阴寒、阴痿、里急精枯、精少、精清、下湿小便数、临事不举。)因于火衰
而
见腰膝冷痛。肾冷流精。肾虚泄泻。及妇人肾虚胎滑。用此最为得宜。(许叔微学士本事方
云。补脾不若补肾。肾气虚弱则阳气衰劣。不能熏蒸脾胃。脾胃气寒。令人胸膈痞塞。不进
饮食。迟于运化。或腹肋虚胀。或呕吐痰涎。或肠鸣泄泻。譬如鼎釜中之物无火力。虽终日
不熟
。何能消化。济生二神丸用破故纸补肾。肉豆蔻补脾。二药虽兼补。但无斡旋。往往常加木
香以顺其气。使之斡旋。空虚仓廪。食廪空虚。则受物矣。屡用见效。不可不知。)若认症
不真。或因气陷气短而见胎堕。(应用参耆。)水衰火盛而见精流泄泻。(应用滋润。兼以清
利。)妄用补骨脂止脱。则杀人惨于利器矣。盐水炒。得胡麻良。恶甘草。
肉豆蔻(主要归入脾经和胃经,兼入大肠经)。其性辛、温,气味芳香,兼具苦味和涩味。功效专于燥湿健脾、温中暖胃、涩肠止泻。(李时珍说:土性喜温暖而喜爱芳香之气。所以肉豆蔻的辛温之性,能调理脾胃,治疗呕吐和腹泻。)它能行气导滞,治疗腹部胀满消除肿胀。凡是脾胃虚寒,夹杂痰湿和食积,出现心腹冷痛、泄泻不止的症状,服用这种气温之药,既能驱除寒冷、消除胀满,又能涩肠止痢。如果与补骨脂同用,则能治疗因肾虚引起的泄泻。至于书中所说的能补脾气,是因为脾胃虚寒,服用此药后脾胃得温而自然健运,并非真正具有甘味补益的含义。对于气逆症状,服用后气机下行,是因为脾胃气机舒畅后气自下降,并不像厚朴、枳实那样降气作用最为峻猛。但这只是属于温胃涩肠的药物,如果是郁热导致的急性暴注下利者禁用。产于岭南地区,外形似草豆蔻,外皮有皱纹,内部有斑纹。用糯米粉包裹煮熟,去油后使用。忌与铁器接触。
【芳香类药材】具有温肾散寒、行气固脱的功效。
补骨脂(即破故纸,主要归入肾经)。其性辛苦、大温,颜色黑。许多书籍都记载它能收敛神明,使心包之火与命门之火相通,从而元阳坚固,骨髓充实。这是因为它气温味苦,以涩性来防止滑脱。(李时珍说:据白飞霞《方外奇方》记载,破故纸属火,能收敛神明,能使心包之火与命门之火相通,所以元阳坚固,骨髓充实,以涩性止脱。胡桃属木,能润燥养血。血属阴,厌恶干燥,所以用油脂来滋润它。佐助破故纸,有水火相生的妙处。所以俗语说:破故纸没有胡桃,就像水母没有虾一样。)凡是五痨(五痨指志痨、心痨、思痨、忧痨、瘦痨)、七伤(七伤指阴寒、阳痿、里急精枯、精少、精清、下焦湿盛小便频数、临事不举),由于火衰而出现腰膝冷痛、肾冷流精、肾虚泄泻,以及妇人肾虚胎动不安易流产的情况,使用此药最为适宜。(许叔微在《本事方》中说:补脾不如补肾。肾气虚弱则阳气衰败,不能熏蒸脾胃,导致脾胃气寒,使人胸膈痞塞,饮食不进,运化迟缓,或者腹部肋部虚胀,或者呕吐痰涎,或者肠鸣泄泻。这就像锅里的食物没有火力,即使整天煮也不熟,怎么能消化呢?济生二神丸用破故纸补肾,肉豆蔻补脾。这两味药虽然兼有补益作用,但缺乏斡旋气机的功能,往往常加木香来顺气,使其斡旋。正如空虚仓库粮仓,才能容纳新物。屡用见效,不可不知。)如果辨证不真,或因气陷气短导致胎堕(应用人参、黄芪),或水衰火盛导致精液滑泄、泄泻(应用滋润之法,兼以清热利湿),妄用补骨脂固涩止脱,则比利器杀人还要惨烈。用盐水炒制,与胡麻搭配效果好。恶甘草。
[Aromatic Herbs] Dry the spleen, warm the stomach, and astringe the intestines.
Myristicae Semen (Nutmeg) (Primarily enters the Spleen and Stomach meridians, and also the Large Intestine meridian). Pungent, warm, aromatic in odor, with bitter and astringent tastes. Its function is specialized in drying the spleen, warming the stomach, and astringing the intestines to stop diarrhea. (Li Shizhen said: Earth loves warmth and delights in fragrance. Therefore, the pungent and warm nature of Nutmeg regulates the Spleen and Stomach and treats vomiting and diarrhea.) It moves stagnation, treats abdominal distension, and reduces swelling. In cases of Spleen and Stomach deficiency-cold complicated by phlegm and food retention, presenting with cold pain in the heart and abdomen and continuous diarrhea, taking this warm-natured herb can both dispel cold and reduce distension, and also astringe the intestines to stop dysentery. If used together with Psoraleae Fructus (Psoralea Fruit), it can stop diarrhea caused by Kidney deficiency. Regarding the claim in texts that it tonifies Spleen Qi, this is because when Spleen and Stomach are deficient and cold, taking this herb warms them so the Spleen becomes robust naturally; it does not truly possess the meaning of sweet tonification. For rebellious Qi, taking it causes Qi to descend because once the Spleen and Stomach Qi mechanism is smooth, Qi descends naturally; it is not as drastic in descending Qi as Magnoliae Officinalis Fructus (Magnolia Bark) or Aurantii Fructus Immaturus (Immature Bitter Orange). However, this belongs only to herbs that warm the stomach and astringe the intestines. It is contraindicated for acute profuse watery diarrhea due to constrained heat. It originates from Lingnan, resembling Cardamomi Fructus Rotundus (Round Cardamom), with wrinkles on the outside and mottled patterns inside. It is cooked熟 (cooked thoroughly) wrapped in glutinous rice flour, then the oil is removed before use. Avoid contact with iron.
[Aromatic Herbs] Warm the Kidney, drive out cold, regulate Qi, and secure collapse.
Psoraleae Fructus (Psoralea Fruit) (Also known as Po Gu Zhi, primarily enters the Kidney meridian). Bitter, pungent, greatly warm, black in color. Many texts record that it can gather the Shen (Spirit), allowing the Fire of the Pericardium to connect with the Fire of the Mingmen (Gate of Life), thereby strengthening Yuan Yang (Original Yang) and filling the marrow. This is because its nature is warm and taste bitter, using its astringent property to prevent sliding/loss. (Li Shizhen said: According to Bai Feixia's "Fang Wai Qi Fang" (Extraordinary Prescriptions Outside the Medical Canon), Po Gu Zhi belongs to Fire and gathers the Shen, enabling the Fire of the Pericardium to connect with the Fire of the Mingmen, thus strengthening Yuan Yang and filling the marrow, using astringency to prevent loss. Walnut belongs to Wood, moistens dryness and nourishes Blood. Blood belongs to Yin and dislikes dryness, so oil is used to moisten it. Assisting Po Gu Zhi, it creates the wonder of mutual generation of Water and Fire. Hence the saying: Without Walnut, Po Gu Zhi is like a jellyfish without a shrimp.) In cases of Wu Lao (Five Exhaustions: Zhi Lao, Xin Lao, Si Lao, You Lao, Shou Lao) and Qi Shang (Seven Injuries: Yin Cold, Impotence, Internal Urgency with Essence Depletion, Scanty Essence, Clear Essence, Lower Jiao Dampness with Frequent Urination, Failure during Intercourse) due to Fire Decline, presenting with cold pain in the waist and knees, Cold Kidney with flowing essence, Kidney Deficiency diarrhea, and in women with Kidney Deficiency leading to slippery fetus (threatened miscarriage), using this herb is most appropriate. (Xu Shimwei in "Ben Shi Fang" said: Tonifying the Spleen is不如 inferior to Tonifying the Kidney. When Kidney Qi is weak, Yang Qi declines and fails to steam the Spleen and Stomach, causing Spleen and Stomach Qi to be cold, leading to chest and diaphragm fullness, poor appetite, slow digestion, or empty distension in the abdomen and ribs, or vomiting of phlegm-saliva, or borborygmus and diarrhea. This is like food in a pot without fire; even if boiled all day, it will not cook, let alone digest. Ji Sheng Er Shen Wan uses Po Gu Zhi to tonify the Kidney and Myristicae Semen to tonify the Spleen. Although these two herbs have tonifying effects, they lack the ability to pivot/midway regulate Qi. Often, Mu Xiang (Aucklandiae Radix) is added to smooth Qi and enable pivoting. Just as an empty granary can receive goods, once the granary is emptied, it can accept new items. It has been effective repeatedly; one must know this.) If the syndrome is not identified correctly, and fetal abortion occurs due to Qi sinking and shortness of breath (Ginseng Radix et Rhizoma and Astragali Radix should be used), or seminal emission and diarrhea occur due to Water Decline and Fire Excess (moistening methods combined with clearing and draining should be used), recklessly using Psoraleae Fructus to astringe and stop loss would kill more cruelly than sharp weapons. Stir-fry with salt water; works well with Sesami Nigri Semen (Black Sesame Seed). Adverse reaction with Glycyrrhizae Radix et Rhizoma (Licorice Root).