小肠膀胱属太阳, 本羌活是本乡。三焦胆与肝胞络,少阳厥阴柴胡强。太阳阳明并足
胃,葛根白芷升麻当。太阴肺脉中焦起,白芷升麻葱白乡。脾经少与肺部异,升麻兼之白芍
详。少阴心经独活主,肾经独活加桂良。
人参芍药与沙参,细辛玄参及紫参,苦参丹参并前药,一见藜芦便杀人。白芨白蔹并半
夏,栝蒌贝母五般真,莫见乌头与乌喙,逢之一反疾如神。大戟芫花并海藻,甘遂以上反甘
草。蜜蜡莫与葱根睹,云母休见石决明。
硫黄元是火之精,朴硝一见便相争。水银莫与砒霜见,野狼毒最怕密陀僧。巴豆性烈最为
上,却与牵牛不顺情。丁香莫与郁金见,牙硝难合京三棱。川乌草乌不顺犀,人参又忌五灵
脂。官桂善能调冷气,石脂相见便跷蹊。
斑水蛭及虻虫,乌头附子与天雄。野葛水银并巴豆,牛膝薏苡与蜈蚣。三棱代赭芫花
麝,大戟蛇脱黄雌雄。牙硝芒硝牡丹桂,槐花牵牛皂荚同。半夏南星并通草,瞿麦干姜桃仁
通。 砂干漆蟹甲爪,地胆茅根都不中。
枳壳陈皮并半夏,茱萸野狼毒及麻黄,六般之药宜陈久,人用方知功效良。陈皮须用隔年
陈,麻黄三载始堪行。大黄必用锦纹者,不过三年力不全。医家不用新荆芥,木贼从来不用
鲜。芫花本是阴中物,不怕如丝烂似绵。
小肠与膀胱归属于太阳经,治疗此经病症应以羌活为本经主药。三焦、胆以及心包络归属于少阳和厥阴经,柴胡是这两经的强效引经药。太阳经、阳明经以及足阳明胃经,应选用葛根、白芷和升麻作为引经药。太阴肺经的脉气从中焦起始,白芷、升麻和葱白适宜用于此经。脾经的药性选择与肺部有所不同,宜选用升麻并配合白芍进行详细斟酌。少阴心经以独活为主药,肾经则宜用独活并加入桂枝(或肉桂)效果良好。
人参、芍药、沙参、细辛、玄参及紫参,苦参、丹参与上述药物,一旦遇到藜芦就会致人死亡。白芨、白蔹与半夏,栝蒌、贝母这五种药物,切勿见到乌头与乌喙,遇到它们会产生相反的作用,毒性发作迅速如神。大戟、芫花与海藻,甘遂等药物与甘草相反。蜜蜡不要与葱根相遇,云母不要与石决明同用。
硫黄本是火的精华,朴硝一见硫黄便相互争斗。水银不要与砒霜相见,野狼毒最怕密陀僧。巴豆药性猛烈最为上乘,却与牵牛子性情不合。丁香不要与郁金相见,牙硝难以与京三棱合用。川乌、草乌不与犀角相顺,人参又忌讳五灵脂。官桂善于调理冷气,但遇到赤石脂便会变得怪异不合。
斑蝥、水蛭及虻虫,乌头、附子与天雄。野葛、水银与巴豆,牛膝、薏苡仁与蜈蚣。三棱、代赭石、芫花、麝香,大戟、蛇蜕、黄雌雄(指鸡冠或特定动物部位,此处泛指相克之物)。牙硝、芒硝、牡丹皮、桂枝,槐花、牵牛子、皂荚同用相克。半夏、南星与通草,瞿麦、干姜、桃仁亦相克。砂仁、干漆、蟹甲爪,地胆、茅根均不相中(不相容)。
枳壳、陈皮与半夏,茱萸、野狼毒及麻黄,这六般药物适宜陈放久存,人们使用后才知道其功效良好。陈皮必须使用隔年的陈货,麻黄需存放三年才开始适用。大黄必须选用具有锦纹者,若不过三年则药力不全。医家不使用新采的荆芥,木贼从来不用新鲜的。芫花本是阴中之物,不怕像丝一样烂绵(意指其质地虽软但药效持久或特性稳定,此处语境强调其宜陈的特性或与其他药物的关系,结合上下文“六陈”主题,主要指其宜陈久)。
The Small Intestine and Bladder belong to the Taiyang (Greater Yang) channel; Qianghuo (Notopterygii Rhizoma et Radix) is the primary drug for this region. The Sanjiao (Triple Burner), Gallbladder, and Pericardium belong to the Shaoyang (Lesser Yang) and Jueyin (Terminal Yin) channels; Chaihu (Bupleuri Radix) is potent for these two channels. For the Taiyang, Yangming (Bright Yang), and Foot-Yangming Stomach channels, Gegen (Puerariae Lobatae Radix), Baizhi (Angelicae Dahuricae Radix), and Shengma (Cimicifugae Rhizoma) are appropriate. The Taiyin Lung meridian originates from the Middle Jiao; Baizhi, Shengma, and Congbai (Allii Fistulosi Bulbus) are suitable for this channel. The selection of drugs for the Spleen channel differs from that of the Lung; Shengma should be combined with Baishao (Paeoniae Radix Alba) for detailed consideration. Duhuo (Angelicae Pubescentis Radix) governs the Shaoyin Heart channel; for the Kidney channel, Duhuo combined with Guizhi (Cinnamomi Ramulus) or Rougui (Cinnamomi Cortex) is beneficial.
Renshen (Ginseng Radix), Shaoyao (Paeoniae Radix), Shashen (Glehniae Radix), Xixin (Asari Radix et Rhizoma), Xuanshen (Scrophulariae Radix), and Zishen (Adenophorae Radix), along with Kushen (Sophorae Flavescentis Radix) and Danshen (Salviae Miltiorrhizae Radix), when encountered with Lülü (Veratri Nigrum Rhizoma), will cause death. Baiji (Bletillae Rhizoma), Bailian (Ampelopsis Radix), and Banxia (Pinelliae Rhizoma), along with Gualou (Trichosanthis Fructus) and Beimu (Fritillariae Cirrhosae Bulbus)—these five substances—must not be seen together with Wutou (Aconiti Radix) and Wu Hui (Aconiti Radix lateralis preparata); encountering them causes a contrary reaction, with toxicity striking swiftly like a spirit. Daji (Euphorbiae Pekinensis Radix), Yuanhua (Genkwa Flos), and Haizao (Sargassum), as well as Gansui (Kansui Radix), are contrary to Gancao (Glycyrrhizae Radix et Rhizoma). Mila (Beeswax) should not meet Conggen (Allii Macrostemonis Bulbus); Yunmu (Muscovite) should not appear with Shijueming (Concha Arcae).
Huang (Realgar) is originally the essence of fire; Puxiao (Mirabilitum) contends immediately upon meeting it. Shuiyin (Hydrargyrum) must not meet Pishuang (Arsenici Trioxidum); Yelangdu (Daphnes Genkwei Cortex) fears Miduoseng (Litharge) the most. Badou (Crotonis Fructus) has a fierce nature and is supreme, yet it disagrees with Qianniu (Pharbitidis Semen). Dingxiang (Caryophylli Flos) must not meet Yujin (Curcumae Longae Radix); Yanxiao (Mirabilitum refined) is difficult to combine with Jing Sanleng (Sparganii Rhizoma). Chuanwu (Aconiti Radix lateralis preparata) and Caowu (Aconiti Kusnezoffii Radix) do not accord with Xijiao (Rhinocerotis Cornu); Renshen also avoids Wulingzhi (Trogopterori Faeces). Guigui (Cinnamomi Cortex) is good at regulating cold qi, but meets Shizhi (Haematitum) in an irregular manner.
Banmao (Myodes), Shuizhi (Hirudo), and Mengchong (Tabanus larva); Wutou, Fuzi (Aconiti Radix lateralis preparata), and Tianxiong (Aconiti Radix lateralis preparata major); Yege (Gelsemii Caulis), Shuiyin, and Badou; Niuxi (Achyranthis Bidentatae Radix), Yiyiren (Coicis Semen), and Wugong (Scolopendra); Sanleng (Sparganii Rhizoma), Daizhe (Haematitum), Yuanhua, She (Moschus), Daji, Shetuo (Ophichthus Skin), Huang Cixiong (Rooster Comb or specific animal part); Yanxiao, Mangxiao (Mirabilitum), Mudanpi (Moutan Cortex), Gui (Cinnamomi Ramulus), Huaihua (Sophorae Flos), Qianniu, and Zaojia (Gleditsiae Sinensis Spina) are mutually incompatible. Banxia, Nanxing (Arisaematis Cum Bile), and Tongcao (Tetrapanacis Medulla); Qumai (Dianthi Herba), Ganjiang (Zingiberis Rhizoma), and Taoren (Persicae Semen) are also incompatible. Sharen (Amomi Fructus), Ganqi (Dammar Resina), Xiezhazhao (Carapax Trionycis), Didan (Euphorbiae Humifusae Herba), and Maogen (Imperatae Rhizoma) are all unsuitable.
Zhike (Citri Reticulatae Pericarpium), Chenpi (Citri Reticulatae Pericarpium aged), and Banxia; Zhuyu (Corni Fructus), Yelangdu, and Mahuang (Ephedrae Herba)—these six drugs are suitable for long-term aging; only after use does one know their efficacy is excellent. Chenpi must be aged for one year; Mahuang requires three years before it is suitable for use. Dahuang (Rhei Radix et Rhizoma) must possess "brocade patterns" (internal vascular bundles); if not aged over three years, its power is incomplete. Physicians do not use fresh Jingjie (Schizonepetae Spica); Muzei (Equiseti Herba) is never used fresh. Yuanhua is essentially a yin substance; it is not afraid of being soft and cotton-like (referring to its texture/stability when aged).