其形一头大。一头小。有花斑。
气味咸平。 主咳逆胸痹。腰痛胁急。利小便。止烦渴。化痰软坚。疗口鼻中蚀疳。鼠
大
文蛤散
〔论〕 伤寒在阳。当以汗解。乃因烦燥。误以水 及灌之。遂使寒转郁。而郁中增热。
所
成
阳。
缪氏言气虚有寒者。慎用。
长者通曰蚌。圆者通曰蛤。混称非是。(濒湖)
味微咸。气寒。 主反胃心胸痰饮。(用米饮服)解热燥湿。化痰消积。止白浊带下。 其
治
入
水
哕
姜酒下。丈夫脐腹痛。茴香汤下。女人血气痛。童便和酒下。
〔论〕 蚌不分江湖。俱应月而胎珠。夫月以至阴之精。借光于日。是至阴之中固有至
阳也
粉。
前蚌蛤海产。与江湖所产。但少有异。此田螺则指水田及湖滨之螺。其用迥殊于海
夫可例视也。
肉
味甘。气大寒。 主去腹中结热。利湿热。 捣烂贴脐间。引热下行。开噤口痢。并治
小便不通。小腹急硬。及水气浮肿。 取其汁。治下消渴。肝热目赤。大肠脱肛。痔漏疼痛
。及黄胆。 禀水土之阴气。解一切有余之热。(仲淳) 噤口痢。大田螺二枚捣烂。入麝
三分。作饼。烘热。贴脐间。
半日。热气下行。即思食。甚效。 小便不通。腹胀如鼓。田
螺
摊贴脐上。水从便旋而下。 消渴饮水不止。小便数者。糯米二升。煮稀粥一斗。冷定。入
田中活螺三升在内。待食粥尽。吐沫出。乃收饮之。立效。此方惟治下消。(渴而小便数者)
而不概治中上。则其化于至阴之气也可思。 肝热目赤。(非关风热者弗用)大田螺七枚。洗
净。新汲水养去泥秽。换水
一升。浸洗。取置净器中。着少盐花于甲内。承取自然汁。点
目
爪
痔漏疼痛。田螺一个。入片脑一分在内。取水搽之。先以冬瓜汤洗净。
壳
气味甘平。 心脾痛不止者。水甲散主之。田螺壳以松柴片层层叠上。烧过火。吹去松
灰。取壳研末。以乌沉汤宽中散之类调服二钱。神妙。 小儿惊风有痰。远年白螺壳烧灰。
入麝少许。水调灌之。(此乃田螺白壳者。与下条白壳蜗螺有别。)反胃吐食。田螺壳黄蚬壳
(小蛤也)皆取久在泥中者。各等分。炒成白灰。每二两入白梅肉四个。捣和为丸。再入砂
盒子内。泥固。 存性。研细。每服二钱。人参缩砂汤下。或陈米饮调服亦可。凡觉心腹胀
痛。将发反胃。即以此药治之。
〔总论螺蚬蚌〕 田螺壳甘平。蚬壳则咸温。蚌壳粉又咸寒。功用虽仿佛。而不无少殊。
用
文蛤:其形状一头大、一头小,表面有花斑。气味咸平。主治咳嗽气逆、胸痹(胸部闷痛)、腰痛胁肋拘急、通利小便、止烦渴、化痰软坚、治疗口鼻中蚀疳(口腔或鼻腔黏膜溃烂生疮)。
文蛤散:【论述】伤寒病在阳经,应当用发汗法解除表邪。但因患者出现烦躁,误用水浇淋或灌洗身体,致使寒邪郁结体内,郁而化热,形成阳证。缪氏指出,气虚兼有寒证者应慎用。
蚌粉:长者通常称为“蚌”,圆者通常称为“蛤”,混称是不正确的。(李时珍语)味道微咸,性寒。主治反胃、心胸部位的痰饮(服用时用米汤送服)。能解热燥湿、化痰消积、止白浊带下。其治疗方法如下:呃逆者,用姜酒送服;男子脐腹疼痛,用茴香汤送服;女子血气疼痛,用童便和酒送服。【论述】蚌不分生活在江河还是湖泊,都随月相变化孕育珍珠。月亮具有至阴的精气,借日光发光,所以在至阴之中固有至阳的成分。
田螺:以前认为蚌蛤都是海产,与江河所产的略有不同。这里的田螺则指生长在水田及湖滨的螺,其用途与海产截然不同,不可一概而论。肉味甘,性大寒。主治清除腹中结聚之热、利湿热。捣烂后贴于脐部,可引热下行,治疗噤口痢(因胃气虚弱不能进食的痢疾),并治疗小便不通、小腹急硬以及水气浮肿。取其汁液,可治疗下消渴(口渴多尿)、肝热目赤、大肠脱肛、痔漏疼痛及黄疸。禀受水土的阴气,能解一切有余之热。(陈实功语)治疗噤口痢:取大田螺两枚捣烂,加入麝香三分,做成饼状,烘热后贴于脐部。半天后热气下行,即可思食,效果显著。治疗小便不通、腹胀如鼓:将田螺摊贴于脐上,水液从大小便排出。治疗消渴饮水不止、小便频数者:取糯米二升,煮成稀粥一斗,冷却后,放入田中活螺三升。待螺吃尽粥后吐出泡沫,收集其汁液饮用,立即见效。此方仅治疗下消(表现为口渴且小便频数),不泛治中焦上焦,由此可思考其化生于至阴之气的原理。治疗肝热目赤(非风热所致者不用):取大田螺七枚,洗净,用新汲水浸泡去除泥秽,换水一升浸洗,置于干净容器中,在螺壳内撒少许盐花,承接其自然渗出的汁液,滴入眼中。治疗痔漏疼痛:取田螺一个,放入冰片一分,取水搽抹患处。先用冬瓜汤洗净患处。壳:气味甘平。心脾疼痛不止者,以水甲散为主治方。将田螺壳与松柴片层层叠放,烧过火后,吹去松灰,取壳研末,用乌沉汤宽中散之类调服二钱,效果神妙。小儿惊风有痰:取远年白螺壳烧成灰,加入少许麝香,水调灌服。(这是指田螺的白色外壳,与下条所述的白壳蜗螺不同。)治疗反胃吐食:取田螺壳和黄蚬壳(小蛤蜊),均选用久在泥中的,各等分,炒成白灰。每二两药灰中加入四个白梅肉,捣和制成丸剂,再放入砂盒子内,用泥封固,存性(保留药物本性,不完全炭化),研细。每次服用二钱,用人参缩砂汤送下,或用陈米饮调服亦可。凡感觉心腹胀痛,即将发生反胃症状时,即用此药治疗。
【总论螺、蚬、蚌】田螺壳味甘平,蚬壳味咸温,蚌壳粉味又咸寒。功用虽然相似,但也不无细微差别。
Wen Ge (Clam Shell): Its shape is large at one end and small at the other, with floral patterns on the surface. The flavor is salty and the nature is neutral. It mainly treats cough with qi reversal, Xiong Bi (chest bi-syndrome characterized by chest stuffiness and pain), lower back pain with hypochondriac stiffness, promotes urination, relieves thirst and irritability, resolves phlegm and softens hardness, and treats gan sores (ulcerative lesions) in the mouth and nose.
Wen Ge San (Clam Powder Decoction): [Discussion] When Sha Yang (Cold Damage affecting the Yang channels), treatment should involve sweating to release the exterior. However, due to irritability, it was mistakenly treated by pouring water over or bathing the patient. This caused cold pathogens to become constrained within, generating heat from the constraint, resulting in a Yang syndrome. Mr. Miu states that those with Qi deficiency accompanied by cold should use this with caution.
Beng Fen (Freshwater Mussel Powder): Long-shaped ones are generally called "Beng" (freshwater mussel), while round ones are generally called "Ge" (clam); mixing these terms is incorrect. (Li Shizhen) The flavor is slightly salty, and the nature is cold. It mainly treats regurgitation and phlegm-fluid retention in the heart and chest (administered with rice water). It clears heat, dries dampness, resolves phlegm, eliminates accumulation, and stops leukorrhea and white turbidity. Treatment methods: For hiccups, administer with ginger wine; for men's umbilical and abdominal pain, administer with fennel soup; for women's blood and qi pain, administer with child's urine mixed with wine. [Discussion] Freshwater mussels, whether living in rivers or lakes, all conceive pearls in response to the moon phases. The moon possesses the essence of extreme Yin, borrowing light from the sun; thus, within extreme Yin, there exists extreme Yang.
Tian Luo (River Snail): Previously, it was believed that Beng and Ge were marine products, differing slightly from those produced in rivers and lakes. Here, Tian Luo refers specifically to snails found in paddy fields and lake shores. Their uses are significantly different from marine products and cannot be viewed as equivalent. The meat has a sweet flavor and a very cold nature. It mainly removes accumulated heat in the abdomen, promotes the draining of damp-heat. When mashed and applied to the umbilicus, it guides heat downward, treats Jin Kou Li (Jin Kou dysentery where the patient cannot eat), and also treats difficulty in urination, urgency and hardness of the lower abdomen, and edema due to water qi. Extracting its juice treats Xia Xiao Ke (Lower Xiao Thirst characterized by polyuria), liver heat causing red eyes, rectal prolapse, hemorrhoids and fistula pain, and jaundice. It inherits the Yin Qi of earth and water, resolving all excess heat. (Chen Shigong) Treating Jin Kou Li: Mash two large river snails, add 3 fen of Moschus (Musk), form into cakes, warm them, and apply to the umbilicus. After half a day, heat moves downward, and appetite returns; this is highly effective. Treating difficulty in urination with abdominal distension like a drum: Apply the mashed snail to the umbilicus; water flows out through urination and defecation. Treating excessive thirst with continuous drinking and frequent urination: Take 2 sheng of glutinous rice, cook into 1 dou of thin porridge. Let it cool, then place 3 sheng of live river snails from the field inside. Wait until they consume the porridge and exude foam, then collect and drink the liquid. Immediate effect. This formula only treats Lower Xiao (thirst with frequent urination), not Middle or Upper Xiao, reflecting its transformation via extreme Yin Qi. Treating liver heat red eyes (not used if not related to wind-heat): Take seven large river snails, wash clean, soak in fresh well water to remove mud and dirt, change to one sheng of water for soaking. Place in a clean vessel, sprinkle a little salt flower inside the shell to collect the natural juice, and instill into the eyes. Treating hemorrhoid and fistula pain: Take one river snail, add 1 fen of Borneolum Syntheticum (Borneol), extract water, and apply to the lesion. First wash the area with winter melon soup. Shell: Flavor sweet, nature neutral. For persistent heart and spleen pain, Shui Jia San (Water Shell Powder) is the main prescription. Layer Tian Luo shells with pine wood chips, burn thoroughly, blow away the pine ash, take the shells, grind into powder, and mix with Wu Chen Tang (Black Musk and Agarwood Decoction) or similar formulas to regulate the middle and dissipate stagnation; take 2 qian. Miraculous effect. For pediatric convulsions with phlegm: Burn old white snail shells to ash, add a small amount of Moschus (Musk), mix with water, and force-feed. (This refers to the white shell of the river snail, distinct from the white-shell whelk mentioned below.) Treating regurgitation and vomiting: Take Tian Luo shells and Huang Xian shells (small clams), both selected from those long submerged in mud. Equal parts, stir-fry until white ash. For every 2 liang of ash, add four white plum meats, mash and form into pills. Place in a clay box, seal with mud, preserve the medicinal property (partial carbonization), grind fine. Take 2 qian per dose, administered with Ren Shen Su Sha Tang (Ginseng and Amomum Decoction) or mixed with aged rice water. Whenever one feels heart and abdominal distension and pain, indicating impending regurgitation, treat immediately with this medicine.
[General Discussion on Luo, Xian, and Beng] Tian Luo shell is sweet and neutral; Xian shell is salty and warm; Beng shell powder is salty and cold. Although their functions are similar, there are slight differences.