(隰草)补火逐冷除疝
胡芦巴(专入命门)。苦温纯阳。亦能入肾补命。故书载暖丹田。壮元阳。治肾脏虚冷。
并疝
瘕冷气。小肠偏坠。寒湿香港脚。(时珍曰。胡芦巴。右肾命门药也。元阳不足。冷气潜伏。
不能归元者宜之。宋惠民和剂局方有胡芦巴丸。治大人小儿小肠奔豚偏坠。及小腹有形如卵
。上下走痛不可忍者。用胡芦巴八钱。茴香六钱。巴戟去心。川乌头炮去皮各二钱。楝实去
核四钱。吴茱萸五钱。并炒为末。酒糊丸。梧子大。每服十五丸。盐酒下。)功与仙茅附子
硫黄恍惚相似。然其力则终逊于附子硫黄。故补火仍须兼以附硫茴香吴茱萸等药同投。方能
有效。系海外胡萝子。四声音相近故名。酒浸曝干炒用。
(山草)补火逐冷散风
淫羊藿(专入命门。兼入肝肾)。辛香甘温。诸书皆载能治男子绝阳不兴。女子绝阴不
产。且
能治冷风劳气。四肢麻木不仁。腰膝无力。(时珍曰。淫羊藿味甘气香。性温不寒。能益精
气。乃手足阳明三焦命门药也。真阳不足者宜之。)盖因气味甘温。则能补火助阳。兼有辛
香。则冷可除而风可散耳!至云久服无子。恐其阳旺多欲。精气耗散。无他故也。(弘景曰
。淫羊一日百合。盖食此藿所致。)去枝。羊脂拌炒。山药为使。得酒良。
(隰草类)补火、驱寒、除疝气
胡芦巴(专入命门经)。味苦性温,属纯阳之品。也能入肾以补命门之火。因此医书记载其能温暖丹田,壮元阳,治疗肾脏虚冷,以及疝气、瘕聚冷气、小肠偏坠、寒湿脚气等症。(李时珍说:胡芦巴是右肾命门的药物。对于元阳不足、冷气潜伏、不能归元的病症适宜使用。宋代《惠民和剂局方》中有胡芦巴丸,治疗大人小儿的小肠奔豚、偏坠,以及小腹有形如卵块、上下走窜疼痛不可忍受的症状。用法是用胡芦巴八钱,小茴香六钱,巴戟天去心,川乌头炮制去皮各二钱,楝实去核四钱,吴茱萸五钱,一起炒后研为细末,用酒糊制成梧桐子大小的丸药。每次服用十五丸,用盐酒送服。)其功效与仙茅、附子、硫黄大致相似,但其力量终究不如附子和硫黄。所以补火仍需配合附子、硫黄、茴香、吴茱萸等药物同用,才能见效。本品系海外传来的胡萝子,因四声音近而得名。用酒浸泡后晒干炒用。
(山草类)补火、驱寒、散风邪
淫羊藿(专入命门经,兼入肝、肾经)。味辛、香、甘,性温。各种医书都记载它能治疗男子阳痿不举,女子绝阴不孕,并且能治疗冷风劳气,四肢麻木不仁,腰膝无力。(李时珍说:淫羊藿味甘气香,性温不寒,能益精气,是手足阳明经、三焦经、命门经的药物。真阳不足者适宜使用。)大概是因为其气味甘温,所以能补火助阳;兼有辛香,所以寒气可除而风邪可散!至于说久服会导致无子,恐怕是因为阳气旺盛导致多欲,从而精气耗散,没有其他缘故。(陶弘景说:淫羊藿又名“一日百合”,大概是食用这种藿草所致。)使用时去掉枝条,用羊脂拌炒,山药为使药,得酒则疗效更佳。
(Shi Cao [Lowland Herbs]) Tonifying Fire, Dispelling Cold, Eliminating Hernia
Huluba (Trigonellae Semen) [Specifically enters the Mingmen (Gate of Life)]. Bitter and warm in nature, it is purely Yang. It can also enter the Kidney to tonify the Mingmen fire. Therefore, medical texts record that it warms the Dantian (Elixir Field), strengthens the Primordial Yang, treats Kidney deficiency-cold, hernia, cold qi accumulation in Jia masses, unilateral descent of the Small Intestine, and cold-dampness gouty arthritis. (Li Shizhen stated: Huluba is a medicine for the Right Kidney and Mingmen. It is suitable for conditions where Primordial Yang is insufficient, cold qi lies latent, and fails to return to its source. The Song Dynasty "Huimin Heji Ju Fang" contains Huluba Wan, treating adult and pediatric cases of Small Intestine Ben Tun (rushing pig) hernia, unilateral descent, and abdominal masses resembling eggs with unbearable wandering pain up and down. The prescription uses 8 qian of Huluba, 6 qian of Fennel, 2 qian of Morinda officinalis root (processed, heart removed), 2 qian of Aconitum carmichaelii lateral root (processed, skin removed), 4 qian of Melia azedarach fruit (pits removed), and 5 qian of Evodia rutaecarpa. All are stir-fried, ground into powder, mixed with wine paste to form pills the size of wutong seeds. Take 15 pills per dose, washed down with salted wine.) Its efficacy is somewhat similar to Xianmao (Curculiginis Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), and Liuhuang (Sulfur), but its strength ultimately falls short of Fuzi and Liuhuang. Therefore, to tonify fire, it must be combined with Fuzi, Liuhuang, Fennel, Evodia, and other herbs to be effective. It originates from overseas Huluo seeds, named so due to phonetic similarity. It is soaked in wine, dried in the sun, and stir-fried before use.
(Shan Cao [Mountain Herbs]) Tonifying Fire, Dispelling Cold, Dispersing Wind
Yinyanghuo (Epimedii Folium) [Specifically enters the Mingmen, concurrently entering the Liver and Kidney meridians]. Pungent, aromatic, sweet, and warm. Various texts record its ability to treat male impotence (Jue Yang bu xing) and female infertility due to Jue Yin (extreme yin deficiency). It also treats cold wind lao qi (chronic wasting syndrome), numbness and insensitivity of the four limbs, and weakness of the waist and knees. (Li Shizhen stated: Yinyanghuo has a sweet taste and fragrant aroma, is warm rather than cold, benefits essence and qi, and is a medicine for the Hand and Foot Yangming, Sanjiao, and Mingmen meridians. It is suitable for those with insufficiency of True Yang.) Presumably, because its flavor is sweet and warm, it tonifies fire and assists Yang; additionally, being pungent and aromatic, it dispels cold and scatters wind! Regarding the claim that long-term use leads to childlessness, it is likely due to excessive Yang leading to hypersexuality and subsequent depletion of essence and qi, with no other cause. (Tao Hongjing stated: Yinyanghuo is also known as "Yiri Baihe," presumably caused by consuming this herb.) Remove branches, stir-fry with sheep fat, use Dioscorea opposita (Shanyao) as an guiding herb, and combine with wine for better efficacy.