小便血淋∶莲房烧存性，为末，入麝香少许。每服二钱半，米饮调下，日二。（《经验
方》）
天 湿疮∶莲蓬壳烧存性，研末，井泥调涂，神效。（《海上方》）
荷叶
【释名】嫩者荷钱（象形）。贴水者藕荷（生藕者）。出水者芰荷（生花者）。蒂名荷鼻。
【修治】大明曰∶入药并炙用。
【气味】苦，平，无毒。
时珍曰∶畏桐油。伏白银，伏硫黄。
【主治】止渴，落胞破血，治产后口干，心肺躁烦（大明）。治血胀腹痛，产后胎衣不
下，酒煮服之。荷鼻∶安胎，去恶血，留好血，止血痢，杀菌蕈毒，并煮水服（藏器）。生
发元气，裨助脾胃，涩精滑，散瘀血，消水肿痈肿，发痘疮，治吐血咯血衄血，下血溺血血
淋，崩中产后恶血，损伤败血（时珍）。
【发明】
杲曰∶洁古张先生口授枳术丸方，用荷叶烧饭为丸。当时未悟其理，老年味之始得。夫
震者动也，人感之生足少阳甲胆，是属风木，为生化万物之根蒂。人之饮食入胃，营气上行，
即少阳甲胆之气，与手少阳三焦元气，同为生发之气。《素问》云∶履端于始，序则不愆。
荷叶生于水土之下，污秽之中，挺然独立。其色青，其形仰，其中空，象震卦之体。食药感
此气之化，胃气何由不升乎？用此为引，可谓远识合道矣。更以烧饭和药，与白术协力滋养，
补令胃浓，不致内伤，其
时珍曰∶烧饭见谷部饭下。按∶《东垣试效方》云∶雷头风症，头面疙瘩肿痛，憎寒发
热，状如伤寒，病在三阳，不可过用寒药重剂，诛伐无过。一人病此，诸药不效，余处清震
汤治之而愈。用荷叶一枚，升麻五钱，苍术五钱，水煎温服。盖震为雷，而荷叶之形象震体，
其色又青，乃涉类象形之义也。又案∶闻人规《痘疹八十一论》云∶痘疮已出，复为风寒外
袭，则窍闭血凝，其点不长，或变黑色，此为倒 ，必身痛，四肢微厥。但温肌散邪，则热
气复行，而斑自出也。宜紫背荷叶散治之。盖荷叶能升发阳气，散瘀血，留好血，僵蚕能解
结滞之气故也。此药易得，而活人甚多，胜于人牙、龙脑也。又戴原礼《证治要诀》云∶荷
叶服之，令人瘦劣，故单服可以消阳水浮肿之气。
【附方】
旧四，新二十三。
阳水浮肿∶败荷叶，烧存性，研末。每服二钱，米饮调下，日三服。（《证治要诀》）
脚膝浮肿∶荷叶心、 本等分，煎汤，淋洗之。（《永类方》）
痘疮倒 ∶紫背荷叶散，又名南金散∶治风寒外袭倒 势危者，万无一失。用霜后荷叶
（贴水紫背者，炙干）、白僵蚕直者炒去丝等分为末。每服半钱，用胡荽汤或温酒调下。（闻
人规《痘疹论》）
诸般痈肿，拔毒止痛∶荷叶中心蒂如钱者，不拘多少，煎汤淋洗，拭干，以飞过寒水石，
同腊猪脂涂之。又治痈肿，柞木饮方中亦用之。（《本事方》）
打扑损伤，恶血攻心，闷乱疼痛者∶以干荷叶五片，烧存性，为末。每服三钱，童子热
尿一盏，食前调下，日三服，利下恶物为度。（《圣惠方》）
产后心痛，恶血不尽也∶荷叶炒香为末。每服方寸匕，沸汤或童子小便调下。或烧灰、
或煎汁皆可。（《救急
胎衣不下∶方同上。伤寒产后，血晕欲死∶用荷叶、红花、姜黄等分，炒研末。童子小
便调服二钱。（庞安常《伤寒论》）
孕妇伤寒∶大热烦渴，恐伤胎气。用嫩卷荷叶（焙）半两，蚌粉二钱半。
为末。每服三钱，新汲水入蜜调服，并涂腹上。名罩胎散。（郑氏方）妊娠胎动，已见
黄水者∶干荷蒂一枚炙，研为末。糯米淘汁一钟，调服即安。（唐氏《经
吐血不止∶嫩荷叶七个，擂水服之，甚佳。又方∶干荷叶、生蒲黄等分，为末。每服三
钱，桑白皮煎汤调下。《
吐血咯血∶《经验后方》∶荷叶焙干，为末。米汤调服二钱，一日二服，以知为度。《圣
济总录》∶用败荷叶、蒲黄各一两，为末。每服二
吐血衄血∶阳乘于阴，血热妄行，宜服四生丸。陈日华云∶屡用得效。用生荷叶、生艾
叶、生柏叶、生地黄等分，捣烂，丸鸡子大。每服一丸，水三盏，煎一盏，去滓服。（《济
生方》）
崩中下血∶荷叶（烧研）半两，蒲黄、黄芩各一两，为末。每空心酒服三钱。
血痢不止∶荷叶蒂，水煮汁，服之。（《普济方》）
下痢赤白∶荷叶烧研。每服二钱，红痢蜜；白痢沙糖汤下。
脱肛不收∶贴水荷叶焙研，酒服二钱，仍以荷叶盛末坐之。（《经验良方》）牙齿疼痛∶
青荷叶剪取钱蒂七个，以浓米醋一盏，煎半盏，去滓，熬成膏，时时抹之妙。（唐氏《经验
方》）
赤游火丹∶新生荷叶，捣烂，入盐涂之。（《摘玄方》）
漆疮作痒∶干荷叶，煎汤，洗之，良。（《集验方》）
遍身风疠∶荷叶三十枚，锻石一斗。淋汁合煮，渍之，半日乃出。数日一作，良。（
《圣惠方》）
偏头风痛∶升麻、苍术各一两，荷叶一个，水二钟，煎一钟，食后温服。或烧荷叶一个
，为末，以煎汁调服。（《简便方》）
刀斧伤疮∶荷叶烧研，搽之。（《集简方》）
阴肿痛痒∶荷叶、浮萍、蛇床等分。煎水，日洗之。（《医垒元戎》）
小便血淋：将莲房烧至存性，研成细末，加入少许麝香。每次服用二钱半，用米汤调服，每日两次。（《经验方》）
天疱湿疮：将莲蓬壳烧至存性，研成细末，用井泥调和后涂抹，效果极佳。（《海上方》）
荷叶
【释名】嫩小的称为荷钱（因形状像铜钱而得名）。贴在水面上的称为藕荷（生长出莲藕的）。长出花蕾的称为芰荷（生长花朵的）。蒂部称为荷鼻。
【修治】大明说：入药均需炙烤使用。
【气味】味苦，性平，无毒。
时珍说：畏惧桐油。白银和硫黄能抑制其药效。
【主治】止渴，排出胞衣，破血，治疗产后口干、心肺烦躁不安（大明）。治疗血胀腹痛，产后胎衣不下，用酒煮后服用。荷鼻：安胎，去除恶血，保留好血，止血痢，杀灭菌蕈毒，均用水煮汁服用（藏器）。生发元气，补助脾胃，固涩精滑，散瘀血，消除水肿痈肿，促使痘疮发出，治疗吐血、咯血、鼻衄、下血、尿血、血淋、崩漏及产后恶露不尽、损伤导致的败血（时珍）。
【发明】
杲说：洁古张先生口授枳术丸方，用荷叶烧饭制成丸剂。当时未能领悟其中的道理，年老品味后才明白。震卦象征动，人感受此气而生足少阳胆经，属于风木，是生化万物的根本。人的饮食进入胃中，营气上行，即是足少阳胆之气，与手少阳三焦元气，同为生发之气。《素问》说：起始端正，秩序就不会有差错。荷叶生长在水土之下、污秽之中，却挺立独立。它的颜色青，形态向上，中间空心，象征震卦的形体。食物和药物感应这种气的变化，胃气怎么能不升腾呢？用它作为引经药，可以说是远见卓识且合乎大道了。再用烧饭配合药物，与白术协力滋养，补益使胃气浓厚，不至于造成内伤，这……
时珍说：烧饭的方法见谷部“饭”条之下。按：《东垣试效方》说：雷头风症，头面疙瘩肿痛，怕冷发热，症状像伤寒，病在三阳经，不可过度使用寒凉重剂，以免无过而诛伐。有一人患此病，各种药物无效，我开清震汤治疗而痊愈。用荷叶一枚，升麻五钱，苍术五钱，水煎温服。大概震卦象征雷，而荷叶的形象符合震卦的形体，颜色又是青色，这是取类比象形的意义。又案：闻人规《痘疹八十一论》说：痘疮已经发出，又被风寒外袭，则毛孔闭塞血液凝滞，痘点不长，或变成黑色，这叫倒靥，必然身体疼痛，四肢微冷。只要温肌散邪，则热气重新运行，斑点自然发出。宜用紫背荷叶散治疗。因为荷叶能升发阳气，散瘀血，留好血，僵蚕能解结滞之气的原因。此药容易得到，救人很多，胜过牛黄、龙脑。又戴原礼《证治要诀》说：荷叶服用后，使人消瘦，所以单服可以消除阳水浮肿的气滞。
【附方】
旧方四个，新方二十三个。
阳水浮肿：将枯败的荷叶烧至存性，研成细末。每次服用二钱，用米汤调服，每日三次。（《证治要诀》）
脚膝浮肿：荷叶心、藁本等分，煎汤，淋洗患处。（《永类方》）
痘疮倒靥：紫背荷叶散，又名南金散：治疗风寒外袭导致痘疮倒靥势危者，万无一失。用霜后的荷叶（贴水面紫背色的，炙干）、直条的白僵蚕炒去丝，等分为末。每次服用半钱，用胡荽汤或温酒调服。（闻人规《痘疹论》）
各种痈肿，拔毒止痛：荷叶中心如铜钱大小的蒂，不限多少，煎汤淋洗，擦干，用飞过的寒水石粉，同腊月猪脂涂抹。又治疗痈肿，柞木饮方中也用到它。（《本事方》）
跌打损伤，恶血攻心，烦闷疼痛者：用干荷叶五片，烧至存性，研成细末。每次服用三钱，童子热尿一盏，饭前调服，每日三次，以下出恶物为度。（《圣惠方》）
产后心痛，因恶血不尽所致：荷叶炒香研成细末。每次服用一方寸匕，用沸水或童子小便调服。或烧成灰、或煎汁均可。（《救急方》）
胎衣不下：方子同上。伤寒产后，血晕欲死：用荷叶、红花、姜黄等分，炒后研成细末。童子小便调服二钱。（庞安常《伤寒论》）
孕妇伤寒：大热烦渴，恐伤胎气。用嫩卷荷叶（焙干）半两，蚌粉二钱半。研成细末。每次服用三钱，新汲水加蜜调服，并涂在腹部上。名为罩胎散。（郑氏方）妊娠胎动，已见黄水者：干荷蒂一枚炙烤，研成细末。糯米淘米汁一钟，调服即安。（唐氏《经验方》）
吐血不止：嫩荷叶七个，研磨在水中服用，效果很好。另一法：干荷叶、生蒲黄等分，研成细末。每次服用三钱，用桑白皮煎汤调服。《圣济总录》：用枯败荷叶、蒲黄各一两，研成细末。每次服用……
吐血咯血：《经验后方》：荷叶焙干，研成细末。米汤调服二钱，一日两次，以见效为度。《圣济总录》：用枯败荷叶、蒲黄各一两，研成细末。每次服用……
吐血衄血：阳盛乘阴，血热妄行，宜服用四生丸。陈日华说：屡次使用有效。用生荷叶、生艾叶、生柏叶、生地黄等分，捣烂，制成鸡蛋大小的丸剂。每次服用一丸，水三盏，煎至一盏，去渣服用。（《济生方》）
崩中下血：荷叶（烧后研）半两，蒲黄、黄芩各一两，研成细末。每次空腹用酒送服三钱。
血痢不止：荷叶蒂，水煮汁，服用。（《普济方》）
下痢赤白：荷叶烧后研。每次服用二钱，红痢用蜜；白痢用沙糖汤送下。
脱肛不收：贴水的荷叶焙干研末，酒送服二钱，仍用荷叶盛药末坐浴。（《经验良方》）牙齿疼痛：青荷叶剪取如铜钱大小的蒂七个，用浓米醋一盏，煎至半盏，去渣，熬成膏，时时涂抹效果妙。（唐氏《经验方》）
赤游火丹：新生荷叶，捣烂，加盐涂抹。（《摘玄方》）
漆疮作痒：干荷叶，煎汤，清洗，良好。（《集验方》）
遍身风疠：荷叶三十枚，锻石一斗。淋汁合煮，浸泡，半天后取出。数日一次，良好。（《圣惠方》）
偏头风痛：升麻、苍术各一两，荷叶一个，水二钟，煎至一钟，饭后温服。或将荷叶一个烧成末，用煎汁调服。（《简便方》）
刀斧伤疮：荷叶烧后研末，搽之。（《集简方》）
阴部肿痛痒：荷叶、浮萍、蛇床等分。煎水，每日清洗。（《医垒元戎》）
Hematuria and stranguria (blood stranguria): Burn lotus calyx (lotus pod) until carbonized but retaining its nature, grind into powder, add a small amount of Moschus (musk). Take 2.5 qian each time, mixed with rice water for administration, twice daily. (*Experienced Prescriptions*)
Tianpao damp sores: Burn lotus seedpod shell until carbonized but retaining its nature, grind into powder, mix with well mud and apply topically; extremely effective. (*Sea Upper Prescriptions*)
He Ye (Lotus Leaf)
[Names]: The tender ones are called He Qian (Lotus Coin) due to their shape resembling coins. Those lying flat on the water are called Ou He (Lotus producing lotus root). Those emerging from water to produce flowers are called Ji He (Lotus producing flowers). The stalk is named He Bi (Lotus Nose).
[Preparation]: Da Ming states: For medicinal use, they must be roasted.
[Favor and Toxicity]: Bitter in flavor, neutral in nature, non-toxic.
Shizhen states: It fears Tung oil. Its efficacy is inhibited by Silver and Sulfur.
[Indications]: Stops thirst, expels retained placenta, breaks blood stasis, treats postpartum dry mouth and restlessness of the heart and lungs (Da Ming). Treats abdominal distension and pain due to blood accumulation, and failure to expel the placenta after childbirth; decoct with wine and take. He Bi (Lotus Stalk): Calms the fetus, removes bad blood, retains good blood, stops bloody dysentery, neutralizes mushroom toxins; all taken as a decoction in water (Zangqi). Generates primordial qi, assists the spleen and stomach, astringes seminal emission, disperses blood stasis, reduces edema and carbuncles, promotes the eruption of smallpox, treats hematemesis, expectoration of blood, epistaxis, lower bleeding, hematuria, blood stranguria, metrorrhagia, postpartum lochia retention, and敗血 (bad blood) resulting from trauma (Shizhen).
[Elucidation]:
Gao states: Jiegu Zhang Xiansheng orally transmitted the prescription for Zhizhu Wan (Bitter Orange and Atractylodes Macrocephala Pill), using lotus leaf steamed rice to form pills. At that time, its rationale was not understood; only in old age did I comprehend it. Zhen represents movement. Humans receive this qi to generate the Foot Shaoyang Gallbladder channel, which belongs to Wind-Wood, the root of generating and transforming all things. When food enters the stomach, Ying Qi (Nutritive Qi) moves upward, which is the qi of the Foot Shaoyang Gallbladder, together with the Hand Shaoyang Sanjiao Yuan Qi (Source Qi), both being Shengfa Qi (generating and ascending qi). *Suwen* states: "Start correctly, and the order will not err." Lotus leaves grow beneath the water and soil, amidst filth, yet stand tall and independent. Their color is green, their form faces upward, and their interior is hollow, symbolizing the structure of the Zhen trigram. Food and medicine sense the transformation of this qi; how can Stomach Qi fail to ascend? Using this as a guiding agent demonstrates foresight and alignment with the Dao. Furthermore, combining it with steamed rice and herbs cooperates with Baizhu (Atractylodes macrocephala) to nourish and thicken Stomach Qi, preventing internal injury...
Shizhen states: See the section on Fan (Rice) under Gu Bu (Grains) for the method of making steamed rice. Note: *Dongyuan Shi Xiao Fang* states: Leitou Feng (Thunder Head Wind) syndrome involves swelling and pain of lumps on the head and face, aversion to cold, fever, resembling Taiyang disease. The pathology is in the Three Yang channels; one should not overuse heavy cold medicines to punish without fault. One person suffered from this, and various medicines were ineffective. I prescribed Qingzhen Tang (Clear Thunder Decoction) and he recovered. Use one He Ye (Lotus Leaf), 5 qian Shengma (Cimicifugae Rhizoma), 5 qian Cangzhu (Atractylodis Rhizoma), decoct in water and take warm. Essentially, Zhen represents thunder, and the image of the lotus leaf corresponds to the Zhen structure; its color is also green, adhering to the principle of analogical imagery. Another note: Wenren Gui's *Douzhen Bashiyi Lun* states: If smallpox has erupted but is attacked by wind-cold externally, the pores close and blood coagulates, causing spots not to grow or turning black. This is called Daodie (inverted eruption), accompanied by body pain and slight coldness of the limbs. Only by warming the muscles and dispersing pathogens can the heat qi resume circulation, allowing spots to emerge naturally. Zi Bei He Ye San (Purple-backed Lotus Leaf Powder) is suitable. This is because He Ye can raise Yang Qi, disperse blood stasis, and retain good blood, while Jiangcan (Bombyx Batryticatus) resolves stagnant qi. This medicine is easy to obtain and saves many lives, surpassing Niuhuang (Calculus Bovis) and Longnao (Borneolum Syntheticum). Dai Yuanli's *Zhengzhi Yaojue* states: Taking He Ye makes people thin; thus, taken alone, it can resolve the qi stagnation of Yang Water edema.
[Attached Formulas]:
Four old formulas, twenty-three new formulas.
Yang Water Edema: Burn withered lotus leaves until carbonized but retaining their nature, grind into powder. Take 2 qian each time, mixed with rice water, three times daily. (*Zhengzhi Yaojue*)
Edema of feet and knees: Equal parts He Ye Xin (Lotus Leaf Heart) and Gaoben (Ligustici Rhizoma et Radix), decoct in water and wash the affected area. (*Yonglei Fang*)
Smallpox Inverted Eruption: Zi Bei He Ye San (Purple-backed Lotus Leaf Powder), also known as Nan Jin San: Treats severe cases of inverted eruption due to external wind-cold attack, with no risk of failure. Use lotus leaves after frost (those purple-backed and lying on water, roasted dry) and straight Bai Jiangcan (Silkworm) stir-fried to remove silk threads, in equal amounts, ground into powder. Take half a qian each time, mixed with Coriander soup or warm wine. (Wenren Gui, *Douzhen Lun*)
Various Carbuncles and Swellings, extracting toxins and relieving pain: Use the central stalk of He Ye (Lotus Leaf) shaped like a coin, any amount, decoct in water and wash. Dry thoroughly, then apply Feiguo Hanshui Shi (Calcitum) powder mixed with Lazi Zhu Zhi (lard from the twelfth lunar month). Also used in the Zuomu Yin formula for treating carbuncles and swellings. (*Ben Shi Fang*)
Blows and falls, trauma, evil blood attacking the heart, causing confusion and pain: Use five pieces of dried He Ye (Lotus Leaf), burn until carbonized but retaining its nature, grind into powder. Take 3 qian each time, mixed with one cup of hot urine from an uncircumcised boy, before meals, three times daily, until evil substances are discharged. (*Sheng Hui Fang*)
Postpartum heart pain, caused by incomplete expulsion of evil blood: Roast He Ye (Lotus Leaf) until fragrant, grind into powder. Take one fang cun bi (square-inch scoop) each time, mixed with boiling water or urine from an uncircumcised boy. Can also be burned to ash or decocted. (*Jiuji Fang*)
Failure to expel placenta: Same formula as above. Postpartum syncope due to blood loss in Shanghan (Cold Damage), near death: Use equal parts He Ye (Lotus Leaf), Honghua (Carthami Flos), and Jianghuang (Curcumae Longae Rhizoma), stir-fry and grind into powder. Take 2 qian mixed with urine from an uncircumcised boy. (Pang Anchang, *Shanghan Lun*)
Shanghan in pregnant women: High fever, irritability, and thirst, fearing damage to fetal qi. Use half a liang of tender rolled He Ye (Lotus Leaf) (roasted), and 2.5 qian Bang Fen (Concha Meretricis et Cyprinis). Grind into powder. Take 3 qian each time, mixed with fresh drawn water and honey, and apply to the abdomen. Named Zao Tai San (Fetal Covering Powder). (Zheng's Prescription) Fetal agitation during pregnancy, with yellow fluid discharge: Roast one dried He Di (Lotus Stalk), grind into powder. Mix with one zhong of rice washing water and take; comfort ensues. (Tang's *Experienced Prescriptions*)
Unceasing Hematemesis: Seven tender He Ye (Lotus Leaves), grind in water and take; very good. Another method: Equal parts dried He Ye (Lotus Leaf) and Sheng Puhuang (Typhae Pollen), grind into powder. Take 3 qian each time, mixed with decoction of Sangbaipi (Mori Cortex). *Shengji Zonglu*: Use one liang each of withered He Ye (Lotus Leaf) and Puhuang (Typhae Pollen), grind into powder. Take each time...
Hematemesis and Expectoration of Blood: *Experienced Later Prescriptions*: Roast He Ye (Lotus Leaf) until dry, grind into powder. Take 2 qian mixed with rice soup, twice daily, until effective. *Shengji Zonglu*: Use one liang each of withered He Ye (Lotus Leaf) and Puhuang (Typhae Pollen), grind into powder. Take each time...
Hematemesis and Epistaxis: Yang invading Yin, blood heat causing reckless flow; Si Sheng Wan (Four Generations Pill) is appropriate. Chen Rihua states: Repeatedly used with effect. Use equal parts Sheng He Ye (Fresh Lotus Leaf), Sheng Ai Ye (Fresh Artemisiae Argyi Folium), Sheng Baiye (Fresh Platycladi Cacumen), and Sheng Dihuang (Rehmanniae Radix), mash into a paste, and form pills the size of chicken eggs. Take one pill each time, decoct in three zhan of water to one zhan, strain and take. (*Jisheng Fang*)
Metrorrhagia and Lower Bleeding: Half a liang of He Ye (Lotus Leaf) (burned and ground), one liang each of Puhuang (Typhae Pollen) and Huangqin (Scutellariae Radix), grind into powder. Take 3 qian on an empty stomach with wine.
Unceasing Bloody Dysentery: He Di (Lotus Stalk), decoct in water and take. (*Puji Fang*)
Dysentery with Red and White Discharge: He Ye (Lotus Leaf) burned and ground. Take 2 qian each time; for red dysentery use honey; for white dysentery use sugar water.
Rectal Prolapse: Roast He Ye (Lotus Leaf) growing on water, grind into powder, take 2 qian with wine, and still sit in a basin containing He Ye powder. (*Experienced Good Prescriptions*) Toothache: Cut seven He Di (Lotus Stalks) from Qing He Ye (Green Lotus Leaf) shaped like coins, decoct in one zhan of thick rice vinegar to half a zhan, strain, boil down to a paste, and apply occasionally; excellent. (Tang's *Experienced Prescriptions*)
Chil You Huo Dan (Red Spreading Fire Carbuncle): Fresh He Ye (Lotus Leaf), mash and apply with salt. (*Zhaixuan Fang*)
Itching from Lacquer Poison: Dried He Ye (Lotus Leaf), decoct in water and wash; good. (*Jiyan Fang*)
Generalized Leprosy/Wind-Leprosy: Thirty He Ye (Lotus Leaves), one dou of Duanshi (Burnt Lime). Make lye and cook together, soak in it, remove after half a day. Do this once every few days; good. (*Sheng Hui Fang*)
Hemicrania Pain: One liang each of Shengma (Cimicifugae Rhizoma) and Cangzhu (Atractylodis Rhizoma), one He Ye (Lotus Leaf), two zhong of water, decoct to one zhong, take warm after meals. Or burn one He Ye (Lotus Leaf) to powder, mix with the decoction and take. (*Simple and Effective Prescriptions*)
Knife and Axe Wounds: He Ye (Lotus Leaf) burned and ground, apply topically. (*Jijian Fang*)
Swelling, pain, and itching of the yin: Equal parts He Ye (Lotus Leaf), Fuping (Lemnae Herba), and Shechuangzi (Cnidii Fructus). Decoct in water and wash daily. (*Yilei Yuanrong*)