叶如甘露子,花如脂麻花,但有细斑点,北人谓之牛奶子。花、茎有微细短白毛。经
只言干生二种,不言熟者。如血虚劳热,产后虚热,老人中虚燥热,须地黄者,生与生干常
虑大寒,如此之类,故后世改用熟者。蒸曝之法∶以细碎者洗出,研取汁,将粗地黄蒸出曝
干,投汁中,浸三二时,又曝,再蒸,如此再过为胜,亦不必多。此等与干生二种,功治殊
别。陶但云捣汁和蒸殊用工,意不显其法,不注治疗,故须悉言耳。
世又谓之兰荪,生水次,失水则枯,根节密者,气味足。有人患遍身生热毒疮,痛而
不痒,手足尤甚,然至颈而止,粘着衣被,晓夕不得睡,痛不可忍。有下俚教以菖蒲三斗,
锉,日干之,舂罗为末,布席上,使病疮人恣卧其间,仍以被衣覆之。既不粘着衣被,又复
得睡,不五七日之间,其疮如失。后自患此疮,亦如此用,应手神验。其石菖蒲根,络石而
生者节乃密,入药须此等。
泽泻,其功尤长于行水。张仲景曰∶水搐渴烦,小便不利,或吐或泻,五苓散主之。
方用泽泻,故知其用长于行水。《本经》又引扁鹊云“多服,病患眼”,诚为行去其水。张
仲景八味丸用之者,亦不过引接桂、附等归就肾经,别无他意。凡服泽泻散人,未有不小便
多者。小便既多,肾气焉得复实?今人止泄精,多不敢用。
叶子的形状像甘露子,花的形态像脂麻花,但花瓣上有细小的斑点,北方人称之为牛奶子。花和茎上长有细微短小的白色绒毛。《神农本草经》只记载了鲜地黄和干地黄两种,没有提及熟地黄。如果是血虚引起的劳热、产后虚热,或者老人中气虚弱导致的燥热,需要使用地黄时,因为鲜地黄和干地黄药性大寒,担心其寒凉太过,所以后世改用熟地黄。蒸制曝晒的方法:将细碎的地黄洗净,研磨取汁;将粗大的地黄蒸熟后晒干,投入刚才取出的地黄汁中浸泡两三个时辰,再晒干,再次蒸制,如此反复多次效果最佳,也不必过于频繁。这些方法与干地黄、鲜地黄这两种药材的功效和治疗作用截然不同。陶弘景只是说捣汁调和蒸制比较费工夫,意思不明确,也没有注明治疗用途,所以我必须详细说明。
世人又把它称为兰荪,生长在水边,失去水分就会枯死,根节紧密的,气味浓郁。有人患遍身生满热毒疮,疼痛但不瘙痒,手足部位尤其严重,然而症状到颈部就停止了,疮面粘着衣服和被褥,早晚无法入睡,疼痛难以忍受。有个乡野之人教他用三斗菖蒲,切碎,晒干,舂捣筛选成粉末,铺在席子上,让患有疮疡的病人随意躺卧在上面,并用衣被覆盖住他。这样既不会粘着衣被,又能得到睡眠,不到五七天之间,那些疮疡就像消失了一样。后来我自己也患上这种疮,也是这样使用,应手而效,神奇灵验。其中石菖蒲的根,缠绕络石生长的,其节段特别紧密,入药必须选用这类。
泽泻,它的功效特长在于利水渗湿。张仲景说:水饮内停导致口渴烦躁,小便不利,或者呕吐或者腹泻,用五苓散主治。方剂中使用泽泻,所以知道它擅长利水。《神农本草经》又引用扁鹊的话说“多服泽泻,会导致患者眼睛出问题”,这确实是因为泽泻行水利尿的作用。张仲景在八味丸(肾气丸)中使用泽泻,也不过是引导桂枝、附子等药物归入肾经,没有其他深意。凡是服用泽泻散的人,没有不小便增多的。小便既然增多,肾气怎么能重新充实呢?现在的人只把泽泻用来固精止遗,大多不敢使用。
The leaves resemble those of *Glechoma longituba* (L.) Kupr. [Guanshen, 管茎], and the flowers resemble those of *Corchorus capsularis* L. [Jute mallow, 黄麻], but with fine spots; people in the North call it "Milk Child" (Naiyuizi). The flowers and stems have minute short white hairs. The *Shennong Bencao Jing* (Divine Farmer's Materia Medica) only mentions two types: fresh and dried, without mentioning prepared (cooked) ones. In cases such as deficiency-blood labor-heat, postpartum deficiency-heat, or dryness-heat due to middle-jiao deficiency in the elderly, where Rehmanniae Radix Preparata (Prepared Root of Rehmannia) is required, one often worries that fresh and dried Rehmanniae Radix are too cold. Therefore, later generations switched to using the prepared form. The method of steaming and sun-drying: Wash the finely crushed roots, grind them to extract the juice. Steam the coarse roots until cooked, then sun-dry them. Immerse these in the extracted juice for two to three *shi* (4–6 hours), sun-dry again, steam again. Repeating this process multiple times yields the best result, though excessive repetition is unnecessary. These differ significantly in efficacy and therapeutic application from the fresh and dried forms. Tao Hongjing merely stated that crushing for juice and mixing with steaming requires more effort, his meaning was unclear, and he did not specify treatments; thus, I must explain thoroughly.
It is also known as Lansun, growing near water; it withers if deprived of water. Those with dense nodes possess stronger aroma and flavor. A person suffered from heat-toxin sores all over the body, painful but not itchy, especially severe on the hands and feet, yet stopping at the neck. The sores adhered to clothes and bedding, preventing sleep day and night, with unbearable pain. A rustic person advised using three *dou* (approx. 30 liters) of Acori Tatarinowii Rhizoma (Tatarian Calamus Rhizome), chopped, sun-dried, pounded, sifted into powder, spread on a mat, and instructed the patient to lie freely upon it, covering them with blankets. This prevented adherence to bedding and allowed sleep. Within five to seven days, the sores disappeared as if they had never existed. Later, when I suffered from similar sores, I used this method with immediate and miraculous efficacy. Among these, the rhizomes of Shi Changpu (Stone Calamus) that grow entangled with *Trachelospermum jasminoides* (Lindl.) Lem. (Star Jasmine) have particularly dense nodes; such specimens must be used for medicinal purposes.
Alismatis Rhizoma (Water Plantain Rhizome) excels particularly in promoting urination and draining dampness. Zhang Zhongjing stated: "When water retention causes thirst and irritability, dysuria, or vomiting and diarrhea, Wuling San (Five-Ingredient Powder with Poria) should be used." Since Alismatis Rhizoma is included in this formula, its strength in promoting urination is evident. The *Shennong Bencao Jing* cites Bian Que saying, "Long-term use causes eye problems in patients," which is indeed due to its water-draining action. When Zhang Zhongjing used it in Ba Wei Wan (Eight-Ingredient Pill, also known as Shen Qi Wan), it was merely to guide Cinnamomi Ramulus (Cinnamon Twig) and Aconiti Lateralis Radix Praeparata (Prepared Lateral Root of Aconite) into the Kidney Meridian, with no other intention. Anyone taking Zexie San (Alisma Powder) invariably experiences increased urination. If urination increases frequently, how can Kidney Qi become replete? Nowadays, people primarily use it to stop seminal emission and rarely dare to use it.