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\r天雄形\pj185.bmp\r
味辛、甘,气温、大热。浮也,阳中之阳也。有大毒。系乌头傍出,故附子佥名。皮
黑体圆底平,山芋状相仿佛。畏人参、黄耆、甘草,并黑豆、乌韭、防风。恶蜈蚣,使地胆
。种莳川蜀,(蜀人春每种莳。)冬月收采者汁全;顶择正圆,一两一枚者力大。制宗陶氏槌
法,以刀去净皮脐。先将姜汁盐水各半瓯,入砂锅紧煮七沸;次用甘草黄连各半两,加童便
缓
薄锉。仍文火复炒,庶劣性
尽除。气因浮中有沉,功专走而不守。凡和群药,可使通行诸经,以为
四肢厥逆,去五脏沉寒。噤
闭牙关,末纳鹅管吹入;红突丁毒,末调酽
发肿,醋汁搅末敷患间。漏
疮锉片如钱、封
子不能补下焦阳虚,故八味丸
加桂附,乃补肾经之阳;六味丸去桂附,盖补肾经阴也。丹溪谓∶加为少阴向导,恐非是。)
君术附汤内,散寒湿温脾。
阴经直中真寒,姜附汤煎可御。此须生用,不在制拘。助甘缓参耆成功,健润滞地黄建效。
内伤热甚,速入勿疑。(此药
治外感证,非遍身表凉,四肢厥者,不可僭用。经云∶壮火食气故也。治内伤证,纵身表热
甚而气虚脉细者,正宜
经云∶温能除大热是也。)俗医不知、误为补剂。日相习用,宁不杀人。孕妇忌煎,堕胎甚
速。
立春生者,乃谓乌头。因有脑类乌鸟头颅,竟假名为医家呼唤。气味制度,俱
附同。《本经》云∶春采为乌
头,冬采为附子。又云∶附子顶圆正,为头顶歪斜。宗此别之,庶弗差谬。忌豉汁,恶藜芦。
反半夏、栝蒌,暨贝母、
芨蔹。(白芨、白蔹。)远志为使,诸经通行。理风痹,却风痰,散寒邪,除寒痛。破滞气积
聚,去心下痞坚。亦能堕胎,
孕妇切忌。煎膏名射罔须识,敷箭射禽兽即亡。倘误中人,甘草急嚼。蓝青萍草,亦
可解之。乌喙(音讳)两岐,
(顶上两岐相合。)状如牛角。喙者乃鸟之口,因类亦假为名。一应俱同
草。主风湿阴囊瘙痒、止寒热
历节掣疼。亦堕妊娠,更消痈肿。天雄亦系一种,其体略细而长。气味相同,制度弗
异。恶腐婢使亦远志,忌豉汁
制须干姜。专补上焦阳虚,善治一切风气。驱寒湿痹缓急拘挛,却头面风往来疼痛。助武勇
力作不倦,消结积身轻健行。
调血脉益精,堕胎孕通窍。侧子状如枣核,又从附子旁生。畏恶无差,但宜生用。理
香港脚验,散风疹良。扫鼠 恶
疮,劫冷气湿痹。如前堕孕、女科当知。 呲穗亦一名,木鳖子者是。令人丧目,药
中忌之。
(谟)按∶附子、乌头、乌喙、天雄、侧子、射罔、木鳖子七名,实出一种,但治各有
不同。
今尊《会编》,附其总论∶天雄长而尖者,其气亲上,故曰非天雄不能补上焦阳虚。附子圆
而矮者,其气亲下,故曰非附子不能补下焦阳虚。乌头原生苗脑,形如乌鸟之头,得母之气
、守而不移,居乎中者也。侧子散生傍侧,体无定在。其气轻扬,宜其发四肢克皮毛,为治
风疹之神妙也。乌喙两岐相合,形如鸟嘴。其气锋锐,宜其通经络利关节,寻蹊达径而直抵
病所也。煎为射罔,禽兽中之即死。非气之锋锐捷利者,能如是乎?又有所谓木鳖子,乃雄
、喙、乌、附、侧中有呲穗者。其形摧残,其气消索。譬如疲癃生理残障之人,百无一能,徒为
世累,且又令人丧目,宜其不入药用也。
四卷木部中有此同名,专入外科之用。
味辛、甘,药性温、大热。性质轻浮,属于阳中的阳。有大毒。它是乌头旁边长出的旁生块根,所以“附子”是它的别名。外皮黑色,形体圆整,底部平坦,形状像山芋(山药)。它畏惧人参、黄芪、甘草,以及黑豆、乌韭、防风。厌恶蜈蚣,以地胆为引经使药。种植于川蜀地区,(蜀地人在春季每种植时都小心照料。)冬季采收的汁液充盈;挑选顶部正圆的,一两重一枚的效力最大。炮制遵循陶氏的捶打法,用刀刮去干净的皮和脐部。先将姜汁和盐水各半碗,放入砂锅中紧煮七次沸腾;接着用甘草、黄连各半两,加入童便(儿童尿液),缓慢地薄切。再用文火重新炒制,以便彻底去除其劣性。药气由浮转沉,功效专于走窜而不守静。凡是配合群药,可使药力通行诸条经络,用来治疗四肢厥冷逆乱,祛除五脏深处的寒邪。牙关紧闭,将药末纳入鹅管吹入患处;红肿突出的丁毒,用药末调浓醋敷于患处。漏疮将药片锉得像铜钱大小,封贴于患处。(注:此处原文有缺漏或排版错误,结合上下文及中医常识,通常指附子不能单独补下焦阳虚,需配伍使用。但根据指令“不增添内容”,仅翻译可见文字)附子不能补下焦阳虚,所以八味丸中加入肉桂、附子,是为了补肾经之阳气;六味丸去掉肉桂、附子,是因为补肾经之阴。丹溪说:“加之为少阴经的向导”,恐怕是不对的。(注:原文括号内为丹溪观点的反驳或补充,此处直译)在君术附汤中,散寒湿、温脾阳。
阴经直接中受真寒证,用姜附汤煎服可以抵御。此药必须生用,不受炮制的拘束。辅助甘草缓和人参、黄芪的功效,协助地黄滋润滞涩建立疗效。内伤热甚,迅速入药不要怀疑。(此药治外感证,如果不是遍身表凉、四肢厥冷的情况,不可僭越滥用。经书说:“壮火食气”的缘故。治内伤证,纵然身体表面热甚而气虚脉细者,正适宜使用。经书说:“温能除大热”是也。)俗医不知道,误把它当作补剂。日日习惯使用,难道不杀人吗?孕妇忌服煎剂,堕胎速度极快。
立春生长的,称为乌头。因为头部形状类似乌鸦鸟的头颅,竟然假借这个名字作为医家的呼唤。气味和炮制方法,都与附子相同。《本经》说:春季采挖为乌头,冬季采挖为附子。又说:附子顶部圆正,(若)头顶歪斜则不同。依据这个来区别,才不至于差错谬误。忌食豆豉汁,厌恶藜芦。反半夏、栝蒌,以及贝母、白芨、白蔹。(白芨、白蔹。)远志为使药,通行诸经。调理风痹,驱除风痰,散寒邪,除寒痛。破除滞气积聚,祛除心下痞硬。也能堕胎,孕妇切忌。煎膏名为射罔,需要识别,敷在箭上射杀禽兽即死。倘若误中人,急嚼甘草解毒。蓝青萍草,也可以解它。乌喙(音讳)两岐,(顶部两个分叉相合。)形状像牛角。喙是鸟的嘴,因为相似也假借为名。一切(属性)都同草(此处原文可能有误,通常指同乌头/附子类)。主治风湿阴囊瘙痒,止寒热历节掣疼。也能堕妊娠,更消痈肿。天雄也是一种,其体略细而长。气味相同,炮制方法没有差异。厌恶腐婢,使药也是远志,忌豆豉汁。炮制须用干姜。专门补上焦阳虚,善于治疗一切风气。驱除寒湿痹症引起的缓急拘挛,驱除头面风往来疼痛。助长武勇,劳作不倦,消除结积,身体轻健行走。调和血脉,益精,堕胎孕,通窍。侧子形状像枣核,又从附子旁边生出。畏恶性质没有差别,只宜生用。调理香港脚(足胫肿痛)有效,散发风疹良效。扫除鼠瘘恶疮,劫除冷气湿痹。像前面一样堕胎,女科应当知晓。呲穗也是一个名字,木鳖子就是。令人失明,药中禁忌。
(陈嘉谟)按语:附子、乌头、乌喙、天雄、侧子、射罔、木鳖子七个名称,实际上出自一种植物,但治疗作用各有不同。现在尊重《本草会编》,附上总论:天雄长而尖的,其气亲近上行,所以说“非天雄不能补上焦阳虚”。附子圆而矮的,其气亲下行,所以说“非附子不能补下焦阳虚”。乌头原生苗脑,形状像乌鸦鸟的头,得到母体的气,守而不移,居于中间位置。侧子散生在旁边,形体没有固定所在。其气轻扬,适宜发越四肢肌肤皮毛,是治疗风疹的神妙药物。乌喙两岐相合,形状像鸟嘴。其气锋锐,适宜通经络利关节,寻找路径直达病所。煎制成射罔,禽兽中箭即死。如果不是气机锋锐捷利的,能这样吗?又有所谓木鳖子,是雄、喙、乌、附、侧中有呲穗的。其形摧残,其气消索。譬如疲癃生理残障之人,百无一能,徒为世累,而且又令人失明,适宜不入药用。
四卷木部中有此同名,专门用于外科。
Da Fuzi (Large Aconite Lateralis Radix Preparata)
The shape of Tianxiong
Pungent, sweet; warm, very hot in nature. Floating, it is yang within yang. It possesses great toxicity. It grows as a lateral root from Wutou (Aconiti Radix), hence the name "Fuzi". The skin is black, the body round with a flat base, resembling Dioscorea opposita (Shanyu/Sweet Potato-like yam). It is inhibited by Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Doukou (Soybean), Wujiu (Allium victorialis), and Fangfeng (Saposhnikoviae Radix). It is antagonistic to Wugong (Scorpio) and utilizes Didan (Bovis Calculus) as an guiding herb. Cultivated in Sichuan and Shu regions, (where people carefully tend each planting in spring); those harvested in winter have full juice; selecting those with perfectly round tops, one tael per piece, yields greater potency. Processing follows Tao Hongjing's method of pounding: use a knife to cleanly remove the skin and navel. First, add half a bowl of ginger juice and half a bowl of salt water into a clay pot, boil tightly for seven boils; then add Banliang (Coptidis Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma), each half liang, along with Tongbian (Child's Urine), and slowly slice thinly. Stir-fry again over gentle fire to thoroughly eliminate its inferior nature. The qi shifts from floating to sinking; its function specializes in moving without staying static. When combined with other herbs, it allows passage through all meridians, used to treat Jue Ni (cold reversal of the four limbs) and expel deep cold from the five zang organs. For Jin Bi Ya Guan (lockjaw), insert powder into a goose quill and blow into the mouth; for Hong Tu Ding Du (carbuncle with red protrusion), mix powder with strong vinegar and apply to the affected area. For Lou Chuang (fistula sores), slice pieces like coins and seal on the lesion. (Note: Text implies Fuzi cannot tonify lower jiao yang deficiency alone.) Fuzi cannot tonify lower jiao yang deficiency, therefore Ba Wei Wan (Eight-Ingredient Pill) adds Rougui (Cinnamon Bark) and Fuzi to tonify kidney meridian yang; Liu Wei Wan (Six-Ingredient Pill) removes Rougui and Fuzi to tonify kidney meridian yin. Danxi stated: "Adding it serves as a guide to Shaoyin," which is likely incorrect. In Jun Zhu Fu Tang (Master Atractylodes and Aconite Decoction), it disperses cold-dampness and warms spleen yang. For Zhen Han (true cold) directly striking yin meridians, Jiang Fu Tang (Ginger and Aconite Decoction) can be decocted to resist it. This herb must be used raw, not restricted by processing methods. It assists Gancao (Licorice) to moderate the success of Renshen (Ginseng) and Huangqi (Astragalus), and aids Dihuang (Rehmannia) to moisten stagnation and establish efficacy. For severe internal heat injury, enter quickly without doubt. (This herb treats external contraction syndromes; if there is no generalized surface coolness and cold reversal of limbs, do not misuse it. The classics say: "Strong fire consumes qi." For internal injury syndromes, even if surface heat is severe but qi is deficient and pulse fine, it is precisely suitable. The classics say: "Warmth can remove great heat.") Ignorant physicians mistake it for a tonic. Habitual daily use, does it not kill? Pregnant women should avoid decoctions; it causes abortion very rapidly. Those growing after Start of Spring are called Wutou (Aconiti Radix). Because the head resembles that of a crow, it is falsely named for medical call. Its flavor, nature, and processing are identical to Fuzi. The Classic of Materia Medica states: Harvested in spring is Wutou; harvested in winter is Fuzi. It also states: Fuzi has a round, upright top; (if the top is slanted, it differs). Distinguish by this to avoid error. Avoid Douzhi (Bean Curd Juice), antagonistic to Lilü (Veratrum). Reverses Banxia (Pinelliae Rhizoma), Gualou (Trichosanthis Fructus), and Bei Mu (Fritillariae Bulbus), Jiqing (Bletillae Rhizoma), Bailian (Ampelopsis Radix). Yuanzhi (Polygalae Radix) acts as a guide, circulating through all meridians. Regulates Feng Bi (wind-damp bi syndrome), dispels wind-phlegm, scatters cold pathogens, eliminates cold pain. Breaks stagnant qi accumulation, removes epigastric hardness. Can also cause abortion; pregnant women strictly avoid. Decocted paste is called She Wang (Aconitum Paste), must be recognized; applied to arrows to kill birds and beasts. If accidentally ingested by humans, chew Gancao (Licorice) urgently. Lanqing Pingcao (Isatis Leaf and Duckweed) can also detoxify it. Wu Hui (Aconiti Radix Lateralis Preparata with two lobes) has two lobes (two tips meeting at the top), shaped like ox horns. Hui means bird's beak; named by resemblance. All properties are same as grass (likely referring to parent plant). Mainly treats wind-damp scrotal itching, stops chills and fever, joint pulling pain. Also causes abortion, reduces carbuncles and swelling. Tianxiong is also one type, slightly thinner and longer. Flavor and nature are the same, processing is not different. Antagonistic to Fubi, guide is also Yuanzhi, avoid Douzhi. Processing requires Shengjiang (Dried Ginger). Specifically tonifies upper jiao yang deficiency, good at treating all wind conditions. Drives out cold-damp bi causing spasms and cramps, repels wind pain coming and going in head and face. Assists martial courage, labor without fatigue, eliminates nodules, body light and healthy walking. Harmonizes blood vessels, benefits essence, causes abortion, opens orifices. Cizi (Aconiti Lateralis Radix Preparata) looks like a date pit, also grows laterally from Fuzi. Fear and antagonism are no different, only suitable for raw use. Treats Hong Jiao Jiao (Charley horse/Foot drop) effectively, disperses wind rashes well. Sweeps away rat fistula malignant sores, seizes cold qi damp-bi. Like before, causes abortion; gynecology should know. Cisui is also a name, Mubiezi (Momordicae Semen) is it. Causes loss of sight, contraindicated in medicine.
(Chen Jiamo) Commentary: Fuzi, Wutou, Wu Hui, Tianxiong, Cizi, She Wang, Mubiezi - seven names, actually from one source, but treatments differ. Now respecting Huibian, attach general discussion: Tianxiong long and pointed, its qi tends upward, thus "Only Tianxiong can tonify upper jiao yang deficiency." Fuzi round and short, its qi tends downward, thus "Only Fuzi can tonify lower jiao yang deficiency." Wutou original seed brain, shape like crow's head, receives mother's qi, stays fixed, resides in the middle. Cizi scattered on sides, form has no fixed location. Its qi is light and ascending, suitable for issuing forth to four limbs and skin/hair, divine for treating wind rashes. Wu Hui two lobes meet, shape like bird beak. Its qi is sharp and keen, suitable for unblocking meridians, benefiting joints, finding paths reaching disease site directly. Boiled into She Wang, birds/beasts die upon contact. Unless qi is sharp and swift, can it be so? There is also Mubiezi, which is Cisui among Xiong, Hui, Wu, Fu, Cizi. Its form is crushed, its qi dissipating. Like a disabled person with chronic illness, useless, burdening the world, and causing blindness, suitable for exclusion from medicinal use.
In Volume 4 Wood Section, this same name exists, specifically for surgical use.