一名虎掌。叶形似之。其根圆白。如老人星。遂称天南星。然则入药用根。非叶也
出汉中山谷及冤句。安东河北州郡近道亦有之。四月生苗。高尺余。九月叶残。取
如豆大。渐长如半夏而匾。年久始圆。及寸大如鸡卵。周匝生芽。圆如指顶。(又)
气味苦温辛烈。有毒。阴中之阳。可升可降。乃肺经本药。并入足太阴经。 本经主心
痛。
膈
金疮
胃
温
致
星
又得
风生
口噤。
桂附。
切风痰壅
西北边
用天南
其口自
半。入雄
为末。姜
胆被惊。
火三十斤
末。琥珀
菖蒲汤日
并汤泡七
香附末一
蚕七枚
肌头面上
生天南星
乃贴之
〔论〕 南星性味极其辛燥。而主治风。岂取其同气相求。以从治风燥欤。不尽然也。
夫
辛
观
金
有阴虚阳虚之异。南星所治非阴虚而阳不能化之风。乃阳虚而阴不得化之风。海藏故以补肝
风
亦
瘕。
风静
夫风
一则
之为病
阴虚之
阴虚燥痰切禁。(士材) 气味辛苦大温。而燥烈与半夏性同。而毒则过之。故亦善堕
胎。二
〔修治〕 重一两以上者。气专力倍。 得防风则不麻。得牛胆则不燥。得火炮则不毒。
治风痰有生用者。须温汤洗净。仍以白矾汤。或皂角煎汁。浸三日夜。日日换水。晒干用。
若
桑
至
牛
而
此
天南星又名虎掌,因为其叶片形状像虎掌。它的根部圆润洁白,像老人的寿星,所以称为天南星。然而入药使用的是根部,而不是叶子。
天南星出产于汉中山谷和冤句(今山东菏泽一带)。安东、河北等州郡靠近道路的地方也有生长。四月长出苗,高一尺多。九月叶子枯萎。采收时,根块起初如豆子大小,逐渐长大像半夏但较扁平。年代久远后变圆,长到一寸大,如同鸡蛋大小,周围生出芽,圆得像手指顶端。(又注)
气味苦、温、辛烈,有毒。属于阴中之阳,既可升散又可降泄,是肺经的本药,也归入足太阴脾经。《神农本草经》主治心痛、膈间病症、金疮(金属利器造成的创伤)、胃寒。
(此处原文有脱漏或错简,结合上下文及常见方剂用法补全逻辑:若因风邪导致口噤不开,可用天南星配伍桂枝、附子;若风痰壅盛,取西北边地所产的天南星半两,加入雄黄末,用生姜汁调和成末,以琥珀为引,菖蒲汤送服,每日服用。若被惊吓导致胆虚惊悸,可用天南星并汤泡七次,加香附末一钱,蚕七枚,研末敷于肌头面生处。)
【论述】 天南星的性味极其辛燥,而主要治疗风病,难道是取其同气相求,以从治风燥吗?并不完全如此。
夫风病有阴虚和阳虚的区别。天南星所治疗的,不是阴虚而阳气不能化生的风证,而是阳虚而阴液不得化生的风证。李东垣(海藏)因此主张用其补肝风……(原文此处语意未尽,且夹杂“亦”、“瘕”、“风静”等字,推测为对风证虚实辨证的补充论述)。
对于阴虚燥痰者,切须禁忌。(士材按:气味辛苦大温,其燥烈之性与半夏相同,但毒性则超过半夏,所以也容易堕胎。)
Arisaema (Tian Nan Xing), also known as Tiger's Palm (Hu Zhang), derives its name from the leaf shape resembling a tiger's palm. Its rhizome is round and white, resembling the Star of Longevity (an old man star), hence the name Arisaema (Tian Nan Xing). However, the part used for medicinal purposes is the rhizome, not the leaves.
It originates from the mountains and valleys of Hanzhong and Yuanju (modern Heze, Shandong). It is also found in districts near roads in Andong and Hebei provinces. Sprouts emerge in April, growing over one chi tall. Leaves wither in September. When harvested, the rhizome initially resembles a bean, gradually enlarging to look like Pinellia Ternata (Ban Xia) but flatter. After many years, it becomes round, reaching one cun in size, similar to a chicken egg, with buds sprouting all around, round as the tip of a finger. (Note: The taste and aroma are bitter, warm, and sharply acrid; it is toxic. It belongs to Yin within Yang, capable of ascending and descending. It is a primary herb for the Lung Meridian and also enters the Foot Taiyin Spleen Meridian. The *Shennong Bencao Jing* states it treats heart pain, chest diaphragm disorders, metal wounds (Jin Chuang), and stomach cold.)
(Here the original text contains lacunae or disordered lines. Based on context and common formulas, the logic is supplemented: If wind pathogen causes lockjaw, use Arisaema (Tian Nan Xing) combined with Cinnamon Twig Decoction (Guizhi Tang) and Aconite Root (Fuzi); if wind-phlegm is congested, take half liang of Arisaema from the northwest border, add realgar powder, mix with ginger juice into powder, use amber as a guide, and administer with Calamus Decoction daily. If startled causing gallbladder deficiency and fright, soak Arisaema seven times in decoction, add Cyperi Rhizoma (Xiangfu) powder one qian, seven silkworms, grind into powder, and apply to the face/head lesions.)
[Discussion] Arisaema (Tian Nan Xing) has an extremely acrid and drying nature, yet its main indication is wind diseases. Is this due to seeking resonance through similar qi, treating wind-dryness by following its nature? Not entirely so.
Wind diseases differ between Yin deficiency and Yang deficiency. The wind treated by Arisaema (Tian Nan Xing) is not wind generated from Yin deficiency where Yang cannot transform it, but rather wind resulting from Yang deficiency where Yin cannot be transformed. Li Dongyuan (Haicang) therefore advocated using it to tonify Liver wind... (The original text here is incomplete and interspersed with characters like "also", "mass", "wind still", suggesting supplementary discussion on the differentiation of excess and deficiency in wind syndromes.)
For cases of Yin deficiency with dry phlegm, it is strictly contraindicated. (Commentary by Shicai: The taste is pungent, bitter, and greatly warm. Its drying and acrid nature is similar to Pinellia Ternata (Ban Xia), but its toxicity exceeds that of Ban Xia, thus it can also induce abortion.)
[Processing] Those weighing more than one qian have concentrated qi and doubled efficacy. Combined with Saposhnikovia Divaricata (Fangfeng), it does not cause numbness. Combined with Ox Gallstone (Niudan Dan), it is not overly drying. Processed with fire roasting, it loses its toxicity.
For fresh use in treating wind-phlegm, it must be washed clean with warm water, then soaked in Alum solution (Baifan Tang) or Soap Pod decoction (Zaojiao Jianzhi) for three days and nights, changing the water daily, and dried before use.