亦名皂角。 一种小如猪牙。一种长而肥浓多脂良。一种长而瘦薄枯燥者。不取。
味辛微咸。气温。有小毒。气味俱浓。浮而散。阳也。入足厥阴经气分。及手太阴手足
阳明经气分。 搜肝风。泻肝气。通关节。开痰涎。治中风口噤。风邪痫疾。并中暑风。中
气中恶痰厥。鬼魇猝死。（为末吹鼻）急喉痹风。肿塞疼痛。头风猝痛。脑宣。及风涎眩晕。
痰结（治肺有寒邪。黑痰胶固不可拔。而为喘咳者。）喘咳。（痰嗽咳逆。坐不得卧。为末蜜
丸服之。）胸膈痞塞。甚为症癖。更痰逆呕吐。除风湿肿满。利二便关格。开胃通肺及大肠
气。（皂荚一嗅随嚏。若磁石之吸铁然。其亦肺邪出路耶。）治风疠杀虫。散疮肿（和酒煎膏。
贴一切肿毒止痛。）风痹。除死肌疥癣。烧烟熏久痢脱肛。 活人书治阴毒正气散。用皂荚
引入厥阴经也。 皂荚禀木气而兼火金之性。（仲淳） 皂荚属金。其味辛。而性燥。金胜
木。燥胜风。故入厥阴治风木之病。气浮而散。吹之导之。则通上下诸窍。（濒湖）皂荚喜
铁。得铁即有所生。铁器遇之而坏。有吸铁精华之能。然皂为北方色。铁为五金。水味辛且
咸。子母相生。默相感召如此。（卢不远）黑龙膏。治九种喉痹。（急喉痹。缠喉风。结喉。
烂
煎至一斗半。入人参末半两。甘草末一两。煎至五升。去渣。入无灰酒一升。釜煤二匕。煎
如饧。入瓶封。埋地中一夜。每温酒化下一匙。或扫入喉内。取恶涎尽为度。后含甘草片。
按是木本金气之化。故以化气从治之。况其味兼咸。又为液之原。宜乎风壅痰涎诸证。取为
首治。用釜煤者。所以活血也。下方用白矾者。分膈下涎也。 稀涎散。治卒中风。昏昏如
醉。形体不收。或倒或不倒。或口角流涎。斯须不治。便危。此证风涎上潮。胸痹不通。急
用大皂荚肥实不蛀者四挺。去黑皮。明矾一两。为末。每用半钱。重者三字温水调灌。不大
呕吐。只微微令稀冷涎出一二升。当待惺。惺乃用药调治。不可便大吐之。恐过剂伤人。 脑
宣不止。不蛀皂荚去皮子。蜜炙捶碎。入水。 取浓汁。熬成膏。搐鼻。口内咬定。良久涎
出为度。 痰喘咳嗽。长皂荚三条。去皮子。一荚入麻油制巴豆十粒。一荚入蜜制半夏十粒。
一荚入姜汁制杏仁十粒。火炙黄色为末。每用一字。安手心。临卧以姜汁调服之。神效。 胸
中痰结。钓痰膏。用醋煮半夏研末。以皂荚膏和匀。入明矾少许。加柿饼捣膏。丸如弹子。
噙之。 五痫膏。治风痫诸痰。取痰如神。大皂荚半斤。去皮子。以蜜四两涂上。慢火炙透。
捶碎。以热水浸一时。 取汁。慢火熬成膏。入麝少许。摊夹绵纸上。晒干。剪作纸花。每
用三四片。入淡浆水一小盏中洗淋。下以筒吹汁入鼻内。待痰涎流尽。吃脂麻饼一个。涎尽
即愈。 胸腹胀满欲令瘦者。猪牙皂角相续量长一尺。微火煨。去皮子。捣筛。蜜丸如梧子
大。先吃羊肉两脔。汁三两口。后以肉汁吞药十丸。快利为度。觉得力。更服。以利清水即
止。瘥后一月。不得食肉及诸油腻。 二便关格。皂荚炙。去皮子。为末。酒面糊丸。每服
皂荚烧烟于桶内。坐上熏之即通。 便毒肿痛。用猪牙皂荚七片。
煨黄。去皮弦。出火毒。为末。空心温酒服五钱。
〔论〕 皂荚木有不结实者。凿孔而灌以生铁。用泥封之。便有荚。是兹木生化之原在
金也。夫风木变眚。皆由于不得化气耳。风木阳也。阳极于上。而不能得阴以化。阳盛则阴
从之。故中风喉痹之证。皆痰涎随风而上涌。癫痫证肝风合于心火。亦痰涎壅伏于包络。又
阳实而阴不化。如风湿之胸腹肿满。及二便关格。皆风木之化穷也。惟皂荚禀金之辛。归水
之咸。（色之皂者亦水）使木得金之化气以趋水。而后木之生气乃能孕育以无穷。所谓有化
乃有生也。（观其采以九月十月可知）以此对待风木之不得金化。如阳盛而阴上从。及阳实
而阴不化者。庶几可以转其化气。裕其生气耳。视他风剂之以祛散为功。迥乎不侔矣。抑其
多主痰涎谓何。曰。肝胆同为津液府。而风升肝胆之气。固与元气无二也。风之淫者。阳实
而阴虚。大非阴阳合和而化之元气矣。气病而液亦病。并后天水谷所化之液。皆乏真气以化
营卫。止聚而为痰涎矣。痰涎之聚。转病乎气。而升降之化阻。于是有肺气壅滞咳嗽上气者。
有肺胃俱伤气奔于上。喘咳烦悸。涕唾稠粘者有咳嗽喘闷。胸膈痞塞者。有胸腹结为症癖。
支满。两胁抢心疼痛者。有痰逆呕吐。饮食不下者。有痰厥头痛。风涎眩晕者。有风痫惊骇。
旋晕潮搐。口吐痰沫。仆地不省者。以上均由气病以病液。还因液病以病气。气之病于液者。
始于肝。液之病乎气者。归于肺胃。此味以辛而咸者。为风木化源。并为水液化源。是先天
之气化也。又辛咸中有甘。风木又以中土为化源。是后天之气化也。故随证而投主剂。佐以
皂荚。无不奏功。大抵海藏所谓搜肝风。泻肝气。日华所云开胃。濒湖所云通肺及大肠气。
三者合而此味乃能以风化合元气之化也。或曰。此味固治风淫之痰涎矣。至病于风而无与于
痰涎。如偏头风。风狂风搐。并走注如行痹。及大便风秘等证。胥能治之。何也。曰。神在
天为风。在地为木。在脏为肝。夫风木之主在金。而化原则水也。风之淫者。化原亏也。内
经运气。凡有余不足之病。皆曰资其化源。况化源兼之水土。又何诸风之不静乎。要知此味。
能就风化转气化之用。不徒静风已也。试观风涎上逆。功在降之。而久痢脱肛。又能升之。
是岂一静风之为功乎。气化行而血化亦宣。即胸腹肿满大肠风秘等证。亦可以征其血化。至
疮毒肿痛。并疠癣之治。又不必言矣。
皂荚宜于暴病气实者。孕妇忌服。若类中猝仆。频用稀涎涌吐。恐津液愈耗。经络无以
荣养。为拘挛偏废。慎之。（仲淳）
〔辨治〕 九十月采荚阴干。长荚者疏风气。如猪牙者治齿取积。俱要肥腻不蛀。 去
皮子酥炙。或蜜炙。或绞汁。或烧灰。各依方法。 疗风及风痰用。只微煨。不可煨久去其
辛味。
皂荚子
气味辛温。 其仁和血润肠。治风热大肠虚秘。其性得湿则滑。滑则燥结自除。 治瘰
肿毒疮癣。 核中白肉。入治肺药。核中黄心。（能消肾气）嚼食治膈痰吞酸。 疏导五
脏风热壅。用子炒。舂去赤皮。以水浸软煮熟。糖渍食之。 腰脚风痛。不能履地。皂角子
一千二百个。洗净。以少酥熬香为末。蜜丸梧子大。每空心以蒺藜子酸枣仁汤下三十丸。大
肠虚秘。（风人虚人香港脚人大肠或秘或利。）即用上方。服至百丸。以通为度。 肠风下血。
皂荚子槐实一两。用粘谷糠炒香。去糠为末。陈粟米饮下一钱。
〔修治〕 拣取圆硬不蛀者。煮熟。剥去硬皮。取向里白肉两片。去黄。（消人肾气）
以
铜刀切晒用。
皂木皮根皮
气味辛温。 治风热痰气。杀虫。 皂荚化痰丸。用皂角木白皮。治劳风。心脾壅滞。
痰涎盛多。喉中不利。涕唾稠粘。嗌塞吐逆。不思饮食。或时昏愦。方详准绳痰饮条。
刺
气味辛温。 锐利直达病所。治痈肿妒乳。疠风恶疮。杀虫。下胎衣。 凡痈疽未破者。
皂刺能开窍。已破者。能引药达疮所。乃诸恶疮癣及疠风要药。 大风恶疾。双目昏盲。眉
发自落。鼻梁崩倒。势不可救。异人传方。用皂刺 （能出风毒于荣血中） 三斤。烧灰。
蒸一时久。日干为末。食后。浓煎大黄汤。调一匕饮之。一旬眉发再生。肌润目明。 又东
加郁金白牵牛。即丹溪通天再造散。俱云服后便出黑虫为验。（新
虫嘴赤。老虫嘴黑。）然则此味。诚为疠风要药矣。产后乳汁不泄结毒者。皂角刺蔓荆子各
烧存性。等分为末。每温酒服二钱。 腹内生疮在肠脏。不可药治者。取皂刺不拘多少。好
酒一碗。煎至七分。温服。其浓血悉从小便出。不饮酒者。水煎亦可。 疮肿无头。皂角刺
烧灰。酒服三钱。嚼葵子三五粒。其处如针刺为效。
痈疽已溃。不宜服。
皂荚，又名皂角。其中一种形状像猪牙一样小；另一种长而肥厚、油脂丰富，品质优良；还有一种长而瘦薄、干枯粗糙的，不可使用。
味辛，微咸。性温，有小毒。气味都很浓厚，性质轻浮而发散，属于阳。入足厥阴肝经的气分，以及手太阴肺经、手阳明大肠经、足阳明胃经的气分。能搜剔肝风，泻泄肝气，通利关节，开豁痰涎。治疗中风导致的口噤不开，风邪引起的癫痫，以及中暑风、中气、中恶导致的痰厥、鬼魇猝死。（将药研成末吹入鼻中）治疗急喉痹风，咽喉肿胀堵塞疼痛，头风突然疼痛，脑宣（头部昏沉眩晕），以及风涎引起的眩晕。痰结（治疗肺有寒邪，黑痰胶固难拔，导致喘咳者）。喘咳（痰嗽咳逆，坐卧不安，将药研末用蜜制成丸剂服用）。胸膈痞塞，严重的形成症癖，还有痰逆呕吐。消除风湿引起的肿胀胀满，通利二便关格（大小便不通），开胃，通利肺及大肠之气。（皂荚的气味一闻就会引起喷嚏，就像磁石吸铁一样，这或许是排出肺邪的途径吧。）治疗风疠（麻风病），杀虫，消散疮肿（与酒煎煮成膏，贴敷于各种肿毒处以止痛）。治疗风痹，去除死肌疥癣，烧烟熏治久痢脱肛。《活人书》中的阴毒正气散，使用皂荚是为了引导药力进入厥阴经。
皂荚禀受木气，兼有火和金之性。（徐彦纯语）皂荚属金，其味辛，性燥。金克木，燥胜风，所以入厥阴经治疗风木类的疾病。其气轻浮而发散，吹入或导引，则能通利上下各窍。（李时珍语）皂荚喜欢铁，遇到铁就能生长出新的部分，铁器遇到它会被腐蚀损坏，具有吸收铁精华的能力。然而皂荚色黑，黑色对应北方水；铁是五金之一，味道辛且咸。子母相生，默默相互感召，就是这样。（卢不远语）黑龙膏，治疗九种喉痹（包括急喉痹、缠喉风、结喉等）。将药材煎至一斗半，加入人参末半两、甘草末一两，再煎至五升，去渣，加入无灰酒一升、釜煤（锅底黑灰）两匕，煎至如饴糖般粘稠，装入瓶中密封，埋在地下一夜。每次温酒化服一匙，或扫入喉内，以吐出恶涎为度，之后含服甘草片。按此方是木本金气转化的原理，所以用化气的方法从治。况且其味兼咸，又是津液的根本，适宜作为风壅痰涎诸证的首选治疗。使用釜煤是为了活血。下方使用白矾是为了分消膈下的痰涎。
稀涎散，治疗卒然中风，神志昏迷如醉酒状，身体不能收持，或倒下或不倒，或口角流涎。如果不及时救治，病情危急。此证是风涎上潮，胸痹不通，急需使用肥大结实不蛀的大皂荚四挺，去掉黑皮，明矾一两，研成末。每次用半钱，重症用三字量，温水调灌。不要引起剧烈呕吐，只需微微让稀冷的涎液吐出一二升，等待患者清醒后，再用药物调理。不可以立即催吐，恐怕过量伤身。
脑宣不止，选用不蛀的皂荚，去皮去子，蜜炙后捶碎，加水。取浓汁，熬成膏，搐入鼻中，口中咬定东西，良久后涎液流出为止。
痰喘咳嗽，取长皂荚三条，去皮去子。一荚放入麻油制的巴豆十粒，一荚放入蜜制的半夏十粒，一荚放入姜汁制的杏仁十粒。火烤至黄色，研成末。每次用一字量，放在手心，临睡前用姜汁调服，效果神奇。
胸中痰结，钓痰膏。用醋煮半夏研末，用皂荚膏调和均匀，加入少许明矾，加柿饼捣成膏，制成弹子大小的丸剂。含在口中噙化。
五痫膏，治疗风痫诸痰，取痰效果如神。大皂荚半斤，去皮去子，用四两蜜涂抹，慢火烤透，捶碎，用热水浸泡一时辰。取汁，慢火熬成膏，加入少许麝香，摊在夹绵纸上，晒干，剪作纸花。每次用三四片，放入淡浆水一小盏中清洗淋洗，下面用筒吹汁入鼻内，待痰涎流尽，吃一个脂麻饼，涎尽即愈。
胸腹胀满想瘦身的人，取猪牙皂角连续量长一尺，微火煨，去皮去子，捣筛，蜜丸如梧桐子大。先吃两块羊肉，喝三口肉汁，然后用肉汁吞服药丸十丸，以大便通畅为度。觉得药效强劲，可再加服。如果拉出清水就停止。痊愈后一个月，不能吃肉类及各种油腻食物。
二便关格，皂荚炙过，去皮去子，研成末，用酒和面糊做成丸剂。每次服用皂荚。或者烧皂荚烟在桶内，坐上熏蒸，即可通利。
便毒肿痛，用猪牙皂荚七片，煨黄，去皮弦，去火毒，研成末。空腹温酒送服五钱。
【论】皂荚树不结果实，凿孔灌入生铁，用泥封住，就会有荚产生，这说明这种树木生化之源在于金。风木变生灾病，都是由于得不到化气所致。风木属阳，阳极于上，而不能得到阴来转化，阳盛则阴随之，所以中风喉痹的病症，都是痰涎随风而上涌。癫痫证是肝风合于心火，也是痰涎壅伏在心包络。又是阳实而阴不化，如风湿导致的胸腹肿满，以及二便关格，都是风木的化源穷尽了。只有皂荚禀受金的辛味，归水的咸味（黑色的皂荚也属水），使木得到金的化气趋向于水，然后木的生气才能孕育无穷。所谓有化才有生。（看它在九月十月采收就知道了）以此针对风木不得金化的情况，如阳盛而阴上从，及阳实而阴不化的情况，差不多可以转变其化气，充裕其生气罢了。与其他以祛散为功效的风剂相比，截然不同啊。再说它主要治疗痰涎是为什么呢？回答说：肝胆同为津液之府，而风升发肝胆之气，本来与元气没有二致。风的淫邪，是阳实而阴虚，完全不是阴阳合和而化的元气了。气病了，液也随之生病，加上后天水谷所化的液，都缺乏真气来化生营卫，只聚集成为痰涎了。痰涎的聚集，反过来使气生病，升降的转化受阻，于是有肺气壅滞咳嗽上气的，有肺胃俱伤气奔于上，喘咳烦悸，涕唾稠粘的，有咳嗽喘闷，胸膈痞塞的，有胸腹结为症癖，支满，两胁抢心疼痛的，有痰逆呕吐，饮食不下的，有痰厥头痛，风涎眩晕的，有风痫惊骇，旋晕潮搐，口吐痰沫，仆地不省人事的。以上都是由气病导致液病，又因液病导致气病。气病于液，始于肝；液病于气，归于肺胃。这个味道辛而咸的，既是风木的化源，也是水液的化源，这是先天的气化。另外辛咸中有甘，风木又以中土为化源，这是后天的气化。所以随证投主剂，佐以皂荚，无不奏效。大体上海藏所说的搜肝风、泻肝气，日华子所说的开胃，李时珍所说的通肺及大肠气，三者结合，此味才能以风化合元气的化。有人问：此味固然治疗风淫的痰涎，至于因病于风而与痰涎无关的，如偏头风，风狂风搐，并走注如行痹，以及大便风秘等证，都能治疗，为什么呢？回答说：神在天为风，在地为木，在脏为肝。风木的主宰在金，而化原则是水。风的淫邪，是因为化源亏损。《内经》运气学说，凡是有余不足的病，都说要资助其化源，何况化源兼有水士，又有什么风病不能平息呢？要知道此味，能就风化转气化之用，不只是静止风邪而已。试看风涎上逆，功效在于降之，而久痢脱肛，又能升之，这难道只是静止风邪的功效吗？气化行而血化也宣通，即胸腹肿满大肠风秘等证，也可以验证其血化。至于疮毒肿痛，并疠癣的治疗，更不必说了。
皂荚适宜于暴病气实者，孕妇忌服。如果是类中猝仆，频繁使用稀涎散涌吐，恐怕津液更加耗损，经络无以荣养，导致拘挛偏废，务必谨慎。（徐彦纯语）
【辨治】九十月采收皂荚，阴干。长荚的疏风气，像猪牙的治齿积，都要肥腻不蛀。去皮去子，用酥炙，或蜜炙，或绞汁，或烧灰，各依方法。治疗风及风痰用，只微煨，不可煨久以免失去辛味。
皂荚子
气味辛温。其仁能和血润肠，治疗风热大肠虚秘。其性得湿则滑，滑则燥结自除。治疗瘰疬肿毒疮癣。核中白肉，入治肺药；核中黄心（能消肾气），嚼食治疗膈痰吞酸。疏导五脏风热壅，用子炒，舂去赤皮，以水浸软煮熟，糖渍食用。腰脚风痛，不能履地，皂角子一千二百个，洗净，以少量酥熬香为末，蜜丸梧子大。每次空腹用蒺藜子酸枣仁汤送下三十丸。大肠虚秘（风人、虚人、香港脚人大肠或秘或利），即用上方，服至百丸，以通为度。肠风下血，皂荚子槐实一两，用粘谷糠炒香，去糠为末，陈粟米饮送下一钱。
【修治】拣选圆硬不蛀的，煮熟，剥去硬皮，取向里白肉两片，去黄（消人肾气）。用铜刀切晒用。
皂木皮根皮
气味辛温。治疗风热痰气，杀虫。皂荚化痰丸，用皂角木白皮，治疗劳风，心脾壅滞，痰涎盛多，喉中不利，涕唾稠粘，嗌塞吐逆，不思饮食，或时昏愦。方详见《准绳》痰饮条。
刺
气味辛温。锐利直达病所，治疗痈肿妒乳，疠风恶疮，杀虫，下胎衣。凡痈疽未破者，皂刺能开窍；已破者，能引药达疮所，是诸恶疮癣及疠风要药。大风恶疾，双目昏盲，眉发自落，鼻梁崩倒，势不可救。异人传方，用皂刺（能出风毒于荣血中）三斤，烧灰，蒸一时久，日干为末，食后，浓煎大黄汤，调一匕饮之。一旬眉发再生，肌润目明。又东加郁金白牵牛，即丹溪通天再造散，都说服药后便出黑虫为验（新虫嘴赤，老虫嘴黑）。那么此味，诚为疠风要药矣。产后乳汁不泄结毒者，皂角刺蔓荆子各烧存性，等分为末，每次温酒服二钱。腹内生疮在肠脏，不可药治者，取皂刺不拘多少，好酒一碗，煎至七分，温服，其浓血悉从小便出，不饮酒者，水煎亦可。疮肿无头，皂角刺烧灰，酒服三钱，嚼葵子三五粒，其处如针刺为效。痈疽已溃，不宜服。
Saponaria officinalis (Zaojia), also known as Zaojiao. One type is small like a pig's tooth; another type is long, plump, and rich in fat, which is of good quality; yet another type is long, thin, dry, and rough, which should not be used.
The flavor is pungent and slightly salty. The nature is warm, with slight toxicity. The aroma and flavor are both strong, floating and dispersing, belonging to Yang. It enters the Qi aspect of the Foot Jueyin Liver Meridian, as well as the Qi aspect of the Hand Taiyin Lung Meridian, Hand Yangming Large Intestine Meridian, and Foot Yangming Stomach Meridian. It can search out Liver Wind, drain Liver Qi, unblock joints, open phlegm secretions. It treats mouth locking caused by stroke, epilepsy caused by wind pathogen, and sudden death from ghost oppression or phlegm syncope due to heatstroke, qi stagnation, or evil invasion. (Grind into powder and insufflate into the nose.) It treats acute throat obstruction due to wind, swelling and pain due to blockage, sudden headache due to wind, brain dizziness, and dizziness due to wind-phlegm. Phlegm knot (treats cold pathogen in the lungs, where black phlegm is sticky and difficult to expectorate, causing wheezing and cough). Wheezing and cough (phlegmy cough with reverse flow, inability to lie down, grind into powder, make pills with honey). Chest and diaphragm fullness and stuffiness, severe cases forming masses, also phlegm-reversal vomiting. Eliminates wind-dampness swelling and distension, promotes urination and defecation for strangulation (inability to pass urine or stool), opens the stomach, and promotes Qi flow in the lungs and large intestine. (The smell of Saponaria officinalis induces sneezing instantly, just like a magnet attracting iron; perhaps this is the exit route for lung pathogens.) Treats leprosy, kills parasites, dissipates sores and swelling (decoct with wine to make a paste, apply to all types of swollen toxins to relieve pain). Treats wind-bi, removes dead skin and tinea, smoke fumigation for chronic dysentery and rectal prolapse. *Huoren Shu* uses Zaojia in Yindu Zhengqi San to guide medicine into the Jueyin Meridian.
Saponaria officinalis inherits Wood Qi and combines the properties of Fire and Metal. (Xu Yanchun) Saponaria officinalis belongs to Metal, its flavor is pungent, and its nature is drying. Metal overcomes Wood, dryness overcomes Wind, thus it enters the Jueyin Meridian to treat diseases of Wind-Wood. Its Qi is floating and dispersing; when insufflated or guided, it unblocks all orifices above and below. (Li Shizhen) Saponaria officinalis likes iron; upon encountering iron, new growth occurs, and iron tools corrode upon contact, possessing the ability to absorb iron essence. However, Zao is black, corresponding to Northern Water; Iron is one of the Five Metals, with a pungent and salty taste. Mother and son generate each other, silently resonating in this way. (Lu Bu Yuan) Heilong Gao treats nine types of throat obstruction (including acute throat obstruction, winding wind throat, knotted throat, etc.). Decoct until reduced to 1.5 dou, add half liang of Ginseng Radix et Rhizoma powder and one liang of Glycyrrhizae Radix et Rhizoma powder, decoct again until reduced to five sheng, remove dregs, add one sheng of non-fermented wine and two bi of Fu Mei (soot from the bottom of the cooking pot), decoct until thick like maltose, seal in a bottle, bury in the ground overnight. Dissolve one spoonful in warm wine each time, or sweep into the throat, stopping when foul saliva is expelled, then hold Licorice slices in the mouth. This formula follows the transformation of Wood-Metal Qi, thus using Qi-transforming methods for treatment. Moreover, its flavor is salty, being the source of fluids, making it suitable as the primary treatment for wind-stagnation and phlegm-secretion syndromes. Fu Mei is used to invigorate blood. Bai Fan (Alumen) in the following formula is used to separate phlegm-fluids below the diaphragm.
Xixian San treats sudden stroke with confusion resembling drunkenness, loss of bodily control, falling or not falling, drooling from the corner of the mouth. If not treated promptly, it becomes critical. This syndrome involves wind-phlegm surging upward and chest bi obstruction. Urgently use four sturdy, plump, non-bored stalks of Da Zaojia, removing the black skin, and one liang of Alumen, grind into powder. Use half qian each time; for severe cases, use three zhi, mixed with warm water and灌 (administered). Do not induce severe vomiting; only allow a slight expulsion of one to two sheng of thin, cold phlegm-saliva. Wait for the patient to regain consciousness before administering further medication. Do not induce immediate severe vomiting, fearing excessive dosage may harm the body.
For persistent brain dizziness, select non-bored Zaojia, remove skin and seeds, roast with honey, crush, add water. Take the concentrated juice, boil into a paste, insufflate into the nose, bite firmly on something in the mouth, stop when phlegm-saliva flows out.
For phlegm-wheezing and cough, take three long Zaojia, remove skin and seeds. Place ten grains of Crotonis Fructus prepared with sesame oil into one pod, ten grains of Pinelliae Rhizoma prepared with honey into another, and ten grains of Armeniacae Semen prepared with ginger juice into the third. Roast over fire until yellow, grind into powder. Use one zi amount each time, place in the palm of the hand, mix with ginger juice and take before sleep, with miraculous effect.
For phlegm knots in the chest, Diaotan Gao. Boil Pinelliae Rhizoma in vinegar, grind into powder, mix evenly with Zaojia paste, add a little Alumen, add persimmon pulp to make a paste, form pills the size of marbles. Hold in the mouth to dissolve slowly.
Wuxian Gao treats wind-epilepsy and various phlegms, extracting phlegm effectively. Take half jin of Da Zaojia, remove skin and seeds, coat with four liang of honey, roast thoroughly over slow fire, crush, soak in hot water for one shichen. Extract juice, boil over slow fire into paste, add a little Moschus, spread on double-layered cotton paper, dry in the sun, cut into paper flowers. Use three to four pieces each time, wash in a small cup of light grain water, blow the liquid into the nose using a tube, wait until phlegm-saliva flows out completely, eat one sesame cake, recovery occurs when phlegm is exhausted.
For chest and abdominal distension desiring weight loss, take Zhu Ya Zaojiao continuous length of one chi, roast over mild fire, remove skin and seeds, grind and sieve, make pills with honey the size of Sophora Seed. Eat two pieces of mutton first, drink three mouthfuls of meat juice, then swallow ten pills with the meat juice, stop when bowel movement is rapid and smooth. If feeling strong effects, take more. Stop if clear water is passed. For one month after recovery, avoid meat and greasy foods.
For strangulation of urination and defecation, roast Zaojia, remove skin and seeds, grind into powder, make pills with wine and wheat flour paste. Take Zaojia each time. Alternatively, burn Zaojia smoke in a bucket, sit on it to fumigate, which will promote unblocking.
For painful swelling of genital sores, use seven slices of Zhu Ya Zaojiao, roast until yellow, remove skin and fibrous strands, remove fire toxicity, grind into powder. Take five qian with warm wine on an empty stomach.
[Discussion] Saponaria officinalis trees do not bear fruit naturally. Drilling holes and pouring raw iron in, sealing with mud, causes pods to grow, indicating that the source of life and transformation for this tree lies in Metal. Disorders of Wind-Wood arise from the lack of transforming Qi. Wind-Wood is Yang, reaching its peak upwards, unable to transform via Yin. When Yang is excess, Yin follows. Thus, in stroke and throat obstruction syndromes, phlegm-saliva surges upward with the wind. In epilepsy, Liver Wind combines with Heart Fire, and phlegm-saliva accumulates in the Pericardium. This is Yang excess and Yin failing to transform. Similarly, wind-dampness causing chest and abdominal swelling and distension, and strangulation of urination and defecation, represent the exhaustion of Wind-Wood transformation. Only Saponaria officinalis inherits the pungency of Metal and the saltiness of Water (black Zao also corresponds to Water), enabling Wood to receive Metal's transforming Qi to move towards Water, allowing Wood's generating Qi to nurture endlessly. As stated, there is generation through transformation. (This is evident from harvesting in the ninth and tenth months.) Used against Wind-Wood lacking Metal transformation, such as Yang excess with Yin following upward, or Yang excess with Yin failing to transform, it can roughly reverse the transforming Qi and enrich the generating Qi. Compared to other wind-dispelling agents, it is vastly different. Why does it primarily treat phlegm-saliva? The answer is: Liver and Gallbladder are both reservoirs of fluid, and Wind rising from Liver-Gallbladder Qi is originally no different from Original Qi. Pathogenic Wind represents Yang excess and Yin deficiency, completely unlike the harmonious integration of Yin and Yang that forms Original Qi. When Qi is diseased, Fluids also become diseased. Furthermore, fluids transformed from postnatal food and drink lack True Qi to transform into Ying and Wei, gathering instead into phlegm-saliva. The accumulation of phlegm-saliva reverses to affect Qi, blocking ascending and descending transformations. Consequently, there are cases of Lung Qi stagnation with cough and upward rush; Lung and Stomach both injured with Qi rushing upward, wheezing, cough, irritability, palpitations, thick sticky sputum; cough, wheezing, chest and diaphragm stuffiness; chest and abdomen forming masses, fullness, pain seizing the heart from the flanks; phlegm-reversal vomiting, inability to eat; phlegm-syncope headache, wind-phlegm dizziness; wind-epilepsy, fright, vertigo, tidal convulsions, foaming at the mouth, collapsing unconsciousness. All these result from Qi disease affecting Fluids, and subsequently Fluid disease affecting Qi. Qi disease originating in Fluids starts in the Liver; Fluid disease affecting Qi returns to the Lung and Stomach. This pungent and salty flavor serves as the source of transformation for Wind-Wood and the source of Water-Fluids, representing congenital Qi transformation. Additionally, within the pungent and salty flavors lies sweetness; Wind-Wood takes the Middle Earth as its source of transformation, representing postnatal Qi transformation. Therefore, prescribing main formulas according to symptoms and assisting with Saponaria officinalis yields success without exception. Generally speaking, combining Haizang's "searching Liver Wind, draining Liver Qi," Rihua's "opening the stomach," and Linhu's "promoting Lung and Large Intestine Qi," this herb achieves the transformation of Original Qi through Wind. Some ask: This herb certainly treats phlegm-saliva caused by Wind pathogen, but what about conditions caused by Wind without phlegm-saliva involvement, such as hemi-cephalic wind, violent wind convulsions, wandering bi-like pain, and wind-constipation? Can it treat these too? I reply: Spirit in Heaven is Wind, on Earth is Wood, in the Zang organ is Liver. The master of Wind-Wood is Metal, and the source of transformation is Water. Pathogenic Wind arises from deficiency in the source of transformation. The *Neijing* theory of Six Qi states that for both excess and deficiency diseases, one must nourish the source of transformation. Since the source of transformation also involves Water and Earth, how could any Wind disorder remain unsettled? Know that this herb utilizes Wind transformation to convert into Qi transformation, not merely calming Wind statically. Observe that for surging wind-phlegm, its function is to descend; yet for chronic dysentery and rectal prolapse, it can ascend. Is this merely a static wind-calming function? When Qi transformation moves, Blood transformation also circulates freely. Thus, chest/abdominal swelling and wind-constipation of the large intestine can also demonstrate its effect on Blood transformation. Regarding treating toxin sores and leprosy/tinea, it goes without saying.
Saponaria officinalis is suitable for acute diseases with excess Qi; pregnant women should avoid it. If for sudden collapse resembling stroke, frequent use of Xixian San to induce vomiting may further deplete Body Fluids, leaving meridians without nourishment, leading to spasms and hemiplegia. Be cautious. (Xu Yanchun)
[Differentiation and Treatment] Harvest pods in the ninth and tenth months, dry in shade. Long pods disperse wind Qi; pig-tooth shaped ones treat dental accumulation. Both must be plump, oily, and non-bored. Remove skin and seeds, roast with lard or honey, or squeeze juice, or burn to ash, according to method. For treating wind and wind-phlegm, only roast mildly; do not roast long to avoid losing pungency.
Saponaria officinalis Seed
Flavor pungent, nature warm. Its kernel harmonizes blood and moistens intestines, treating wind-heat and deficiency constipation of the large intestine. Its nature becomes slippery when wet; slipperiness eliminates dryness and constipation. Treats scrofula, toxic sores, and tinea. The white flesh inside the seed enters Lung treatments; the yellow heart inside the seed (can drain Kidney Qi); chewing treats phlegm in the diaphragm and acid regurgitation. To dredge wind-heat stagnation in the Five Zang organs, roast seeds, pound off red skin, soak in water until soft, cook, and preserve in sugar for eating. For wind-pain in waist and legs, inability to walk, take 1200 Saponaria officinalis seeds, wash clean, fry with a little lard until fragrant, grind into powder, make pills with honey the size of Sophora seeds. Take thirty pills on an empty stomach with Tribulus Terrestris and Ziziphus Spinosa decoction. For deficiency constipation of the large intestine (wind patients, deficient patients, gout patients experiencing constipation or diarrhea), use the above formula, take up to one hundred pills, stop when bowel movement is achieved. For intestinal wind bleeding, take equal parts Saponaria officinalis Seed and Sophora Flower, stir-fry with sticky rice bran until fragrant, remove bran, grind into powder, take one qian with aged millet drink.
[Processing] Select round, hard, non-bored pods. Boil, peel off hard skin, take the two inner white fleshy parts, remove the yellow part (drains Kidney Qi). Cut with copper knife and dry.
Saponaria officinalis Wood Bark and Root Bark
Flavor pungent, nature warm. Treats wind-heat and phlegm-Qi, kills parasites. Zaojia Huatan Wan uses the white bark of Saponaria officinalis wood to treat labor-wind, stagnation in Heart and Spleen, excessive phlegm-saliva, discomfort in throat, thick sticky sputum, esophageal blockage, vomiting, loss of appetite, or occasional confusion. See detailed prescription in *Zhunsheng* under Phlegm-Fluid section.
Spine
Flavor pungent, nature warm. Sharp and penetrating directly to the disease site. Treats carbuncles, mastitis, leprosy, and malignant sores, kills parasites, expels placenta. For unruptured carbuncles and ulcers, Zao Ci can open orifices; for ruptured ones, it guides medicine to the sore site. It is a key herb for all malignant sores, tinea, and leprosy. For severe leprosy with blindness, falling eyebrows and hair, collapsed nasal bridge, incurable condition: An eccentric doctor's prescription uses three jin of Zao Ci (can expel wind-toxin from Ying-Blood), burn to ash, steam for one shichen, dry in sun, grind into powder. After meals, mix one bi with strong decoction of Rheum Palmatum and drink. Within ten days, eyebrows and hair regrow, skin becomes moist, vision clears. Adding Curcuma Aromatica and Pharbitis Seed creates Danxi Tongtian Zaizao San, claiming black worms appear after ingestion as verification (new worm mouths red, old worm mouths black). Thus, this herb is indeed a key remedy for leprosy. For postpartum milk stasis and toxic nodules, burn Zao Ci and Vitex Trifolia Fruit to charred state, equal parts grind into powder, take two qian with warm wine. For internal sores in intestines/organs untreatable by medicine, take unspecified amount of Zao Ci, decoct in one bowl of good wine until reduced to 70%, take warm, thick blood will exit via urine; if not drinking wine, water decoction is also acceptable. For swollen sores without head, burn Zao Ci to ash, take three qian with wine, chew three to five Malva Seeds, effectiveness indicated by sensation like needle prick in the area. Not suitable for already ulcerated carbuncles and ulcers.