\r茯苓\pj281.bmp\r
味甘、淡,气平。属金。降也,阳中阴也。无毒。近道俱有,云贵(云南、贵州)独佳
。产深山谷中,在枯松根底。由木被斧斤砍伐,或老遭风雹折摧。枝叶不复上升,津气旋向
下泄。凝结成块,乃名茯苓。因其本体相离,故取附之之义。小如鹅卵,大若匏瓜。犹类龟
鳖人形,并尚沉重结实。(四五斤一块者愈佳。)久藏留自无朽蛀,初收采须仗阴干。咀片水
煎,黑皮净削。研末丸服,赤筋尽淘。(茯苓中有赤筋,最损目,为丸散久服者,研细末,
入细布袋中,以冷水揉摆,如作葛粉状,澄取粉,而筋滓在袋中者,弃去不用,若煎汤则不
须尔。)方益心脾,不损眼目。忌酸物,恶白蔹,仍畏牡蒙、地榆、雄黄、秦艽、龟甲。种
赤白主治略异,经上下行走自殊。赤茯苓入心脾小肠,属己丙丁,泻利专主;
白茯苓入膀胱
并车前;利血仅在腰脐,效同
白术。为除湿行水圣药,乃养神益智仙丹。生津液缓脾,驱痰火益肺。和魂炼魄,开胃浓肠。
却惊痫,安胎孕。久服耐
老,延年不饥。倘汗多阴虚者误煎,伤元夭寿;若小便素利者过服,助燥损明。暴病有余相
宜,久病不足切禁。凡须细
察,不可妄投。茯神附结本根,因津泄少;谓既不离其本,故此为名。体比苓略松,
皮与木须去。所忌畏恶,悉仿
于前。专理心经,善补心气。止恍惚惊悸,除恚怒健忘。
心木名黄松节载经,偏风致口 僻治验。
(谟)按∶经注有曰∶松木既焦,根尚能生物者何也?盖因精英未沦,沾其土气,不能
不为物尔。正犹马勃、菌簟、
五芝、木耳、石耳之类,多生枯木润石粪土之上,则可知焉。其上菟丝下有伏苓之说,甚为
轻信者矣。又曰∶茯苓为在
天之阳,阳当上行,何谓利水而泻下耶?经云∶气薄者,阳中之阴。所以茯苓利水泻下,亦
不离乎阳之本体,故入手足
太阳经焉。丹溪又曰∶茯苓、猪苓、泽泻各有行水之能,久服损人。八味丸用之,亦不过接
引诸药,归
久积陈垢,以为搬运之功也。
第一卷白术款后(谟)按∶宜参看。
茯苓
味甘、淡,气平。属金。性质沉降,为阳中之阴。无毒。各地均有出产,云南、贵州所产的品质最佳。
生长在深山谷中,位于枯死的松树根部。由于树木被斧头砍伐,或因年老遭受风雹折断摧残,枝叶不再向上生长,津液和气机转而向下泄注。凝结成块,便称为茯苓。因其本体与松树分离,所以取“附”(依附)的含义。小的像鹅蛋,大的像匏瓜。形状有的类似龟鳖或人形,并且质地沉重结实。(一块重四五斤的更好。)长期存放自然不会腐朽虫蛀,刚采收时必须依靠阴干处理。切片水煎时,需将黑皮洗净削去。研末制成丸剂服用时,必须淘尽赤色的筋络。(茯苓中含有赤色筋络,最损害眼睛,若制成丸散长期服用,需研成细末,放入细布袋中,用冷水揉搓摆动,如同制作葛粉的样子,澄清后取用粉末,而筋络残渣留在袋中的则丢弃不用;若是煎汤则不需要这样。)方剂能补益心脾,不损伤眼目。忌食酸物,畏恶白蔹,仍畏惧牡蒙、地榆、雄黄、秦艽、龟甲。种植的红茯苓和白茯苓主治略有差异,在体内上下行走的功效自然不同。红茯苓入心、脾、小肠经,属己、丙、丁,专门主治泻利;
白茯苓入膀胱
并车前子;利血作用主要在腰脐部位,功效同于
白术。它是去除湿气、运行水液的圣药,也是养神益智的仙丹。能生津液、缓和脾气,驱除痰火、补益肺气。能调和魂魄、开胃厚肠。
能消除惊痫,安胎固孕。长期服用可抗衰老,延年益寿且不感到饥饿。如果汗多阴虚者误服煎剂,会损伤元气、折损寿命;若小便平时通畅者过量服用,会助长燥邪、损害视力。急性病实证适宜使用,久病虚证切忌禁用。凡是用药必须仔细考察,不可随意投药。茯神附着结在本根上,因为津液泄漏较少;说它既然不离根本,因此以此得名。体质比茯苓略疏松,
皮和木须去掉。其所忌讳畏惧厌恶的药物,完全仿照前面的记载。专门调理心经,善于补益心气。能止住恍惚、惊悸,消除愤怒、健忘。
心木名为黄松节载入医经,治疗偏瘫导致口眼歪斜有验证疗效。
(陈嘉谟)按语∶医经注释中有说道∶松树木质已经焦枯,为什么根部还能孕育生物呢?大概是因为精华没有沦丧,沾染了土气,不能不成为生物罢了。正如同马勃、菌簟、
五芝、木耳、石耳之类,大多生长在枯木、湿润石头和粪便土壤之上,由此就可以知道了。上面说的菟丝子下面潜伏着茯苓的说法,是非常轻信之谈了。又有人说∶茯苓属于天上的阳气,阳气应当上行,为什么说它能利水而向下排泄呢?医经说∶气味薄弱的,是阳中之阴。所以茯苓利水泻下,也不离乎阳的本体,因此进入手足太阳经。朱丹溪又说∶茯苓、猪苓、泽泻各有行水的能力,长期服用会损害人体。八味丸中使用它们,也不过是引导诸药,归向
长久积聚的陈旧污垢,作为搬运之功。
第一卷白术条目之后(陈嘉谟)按语∶宜参考查看。
Poria (Fuling)
Taste: sweet, bland. Nature: neutral. Element: Metal. Action: descending; Yin within Yang. Non-toxic. Available in many regions, but those from Yunnan and Guizhou are considered the best.
It grows in deep mountain valleys, beneath the roots of dead pine trees. When trees are chopped by axes or broken by wind and hail due to old age, their branches and leaves no longer grow upward, and their fluids and Qi turn downward to leak out. These condense into lumps, which are named Poria. Because its substance separates from the host tree, it takes on the meaning of "attachment" (Fu). Small ones are like goose eggs, large ones like gourds. Some resemble turtles, tortoises, or human forms, and they are heavy and solid. (Those weighing four or five jin per piece are superior.) Long-term storage prevents rotting and insect damage; freshly harvested pieces must be dried in the shade. For decoction after slicing, the black skin should be cleaned and peeled off. For powder and pill administration, red fibrous strands must be thoroughly washed away. (Poria contains red fibrous strands that are most harmful to the eyes. If used in pills or powders for long-term consumption, grind into fine powder, place in a fine cloth bag, rub and shake with cold water as if making kudzu starch, clarify to obtain the powder, and discard the fibrous residue remaining in the bag; this step is unnecessary for decoctions.) Formulations containing Poria benefit the Heart and Spleen without damaging the eyes. Avoid sour foods. It is incompatible with Ampelopsis japonica (Bailian), and fears Dendrobiopsis affinis (Mumeng), Sanguisorba officinalis (Diyu), Realgar (Xionghuang), Gentiana macrophylla (Qinjiao), and Testudinis Carapax et Plastrum (Guijia). Cultivated Red Poria and White Poria have slightly different therapeutic indications, and their pathways of action within the body differ. Red Poria enters the Heart, Spleen, and Small Intestine meridians, corresponds to Ji, Bing, and Ding, and specifically treats diarrhea and dysentery;
White Poria enters the Bladder
and Plantaginis Semen (Cheqianzi); its blood-moving effect is mainly located in the waist and umbilical region, with efficacy similar to
Atractylodis Rhizoma (Baizhu). It is the supreme herb for removing dampness and promoting water metabolism, and a divine elixir for nourishing the spirit and enhancing intelligence. It generates body fluids, moderates the Spleen, expels phlegm-fire, and benefits the Lungs. It harmonizes the soul and refines the魄 (Po), opens the stomach, and thickens the intestines.
It eliminates convulsions and epilepsy, calms the fetus. Long-term use delays aging, extends life, and suppresses hunger. However, if mistakenly decocted and taken by patients with excessive sweating and Yin deficiency, it will damage Yuan Qi and shorten lifespan; if overused by those whose urination is normally clear and copious, it will aggravate dryness and impair vision. It is suitable for acute excess syndromes but strictly contraindicated in chronic deficiency syndromes. Medication must be carefully examined before administration; do not prescribe recklessly. Fushen attaches to the root system, because fluid leakage is less; since it does not leave its origin, it is named accordingly. Its texture is slightly looser than Poria,
and the bark and wood must be removed. The herbs it fears or is incompatible with are exactly as described previously. It specifically regulates the Heart meridian and is good at tonifying Heart Qi. It stops mental confusion, palpitations, and fright; removes anger and forgetfulness.
The heartwood of the pine tree, named Huangsongjie, is recorded in medical classics as having verified efficacy in treating hemiplegia causing deviation of the mouth and eye.
(Chen Jiamo) Commentary: Medical annotations state: "Since the pine wood is scorched, why can the roots still generate life?" This is because the essence has not dissipated, and by absorbing earth Qi, it inevitably becomes a living organism. This is just like Phallus impudicus (Mabo), Clavaria coralloides (Jundian),
the Five Mushrooms (Wuzhi), Auricularia auricula-judae (Mu'er), and Umbilicaria esculenta (Shier), which mostly grow on dead wood, moist stones, and manure-rich soil; thus, this can be understood. The theory above stating that Cuscuta chinensis (Tusizi) lies beneath Poria is highly credulous. It is also said: "Poria belongs to the Yang of Heaven; Yang should ascend, so why does it promote urination and drain downward?" The classics say: "Subtle Qi is Yin within Yang." Therefore, Poria's ability to promote urination and drain downward also adheres to the nature of Yang, hence entering the Hand and Foot Taiyang meridians. Zhu Danxi also stated: "Poria, Polyporus (Zhuling), and Alisma orientale (Zexie) all have the ability to move water, but long-term use damages the human body." In Ba Wei Wan (Eight-Ingredient Pill with Rehmannia Root), they are used merely to guide other herbs, targeting
long-accumulated stale turbidity, serving as a transportive function.
After the entry for Atractylodis Rhizoma (Baizhu) in Volume One (Chen Jiamo) Commentary: Suitable for reference.