徐之才曰。涩可去脱。牡蛎、龙骨之属是也。 刘完素曰。滑则气脱。如开肠洞泄便溺
遗失
已。
此等
鳌按、张氏言此等皆宜先攻其本。此本字乃言病之本。谓先从其发病之所由以治之。然
后加以
味苦甘酸。性微寒。无毒。禀地中阴气。兼得天之微阳以生。降也。阴也。得发良。
恶麦冬、朱丹砂、硫黄、雄黄。
【主治】主妇人带下。五漏。止痛。止汗。除恶肉。疗金疮。(本经) 止脓血。诸 。
恶疮
血崩
【归经】入肝肾大肠三经。兼入胃经。为专理下焦血症湿热之品。
【前论】苏颂曰。古者断下多用之。 萧炳曰。同樗皮。治赤白痢。 寇氏曰。其性沉
寒入
便血
者加
【禁忌】经疏曰。此性寒下行。脾胃虚寒作泄。白痢久而胃弱。胎产虚寒泄泻。血崩脾
虚作
味苦辛。性微寒。无毒。得季秋之气。兼禀金水之性以生。降也。阳中阴也。紫石英
为使。畏李核、杏仁。反乌头。
【主治】主痈肿。恶疮败疽。伤阴死肌。胃中邪气。贼风鬼击。痱缓不收。(本经) 止
惊邪
伤。
【归经】入肺经。为补肺逐瘀生新之品。(兼补剂)
【前论】思邈曰。肺损者。复能生之。 丹溪曰。凡吐血不止。宜加白芨以止之。 时
珍曰
见。
【禁忌】经疏曰。凡痈疽已溃。不宜同苦寒药服。
徐之才说:“涩味可以治疗滑脱不禁的病证,如牡蛎、龙骨这类药物就是代表。”刘完素说:“滑利则会导致气机耗散,比如出现肠道洞泄、大小便失禁等情况。”
张氏按语指出:张氏认为这些情况都应该先攻治其根本。这个“本”字指的是疾病的本源,意思是先从发病的原因入手进行治疗,然后再加以……(原文此处中断)
地榆:
味道苦、甘、酸。性质微寒。无毒。禀受大地中的阴气,兼得天之微阳而生。药性主降,属阴。适宜与发良(注:疑为衍文或特定语境词,暂译作“适宜生长/发挥效用”)相配。厌恶麦冬、朱砂、硫黄、雄黄。
【主治】主要治疗妇女带下病、五漏(五种漏泄之症)、止痛、止汗、去除恶肉、治疗金疮(金属利器造成的创伤)。(出自《神农本草经》) 还能止住脓血和各种恶疮出血、血崩(大量阴道出血)。
【归经】入肝、肾、大肠三经,兼入胃经。是专门调理下焦血症及湿热证的药物。
【前论】苏颂说:古代治疗下焦滑脱多用此药。萧炳说:同樗皮一起使用,可治疗赤白痢疾。寇氏说:其性质沉寒,入……(原文此处中断,结合上下文推测为入肠或相关部位),便血者加用……(原文此处中断)。
【禁忌】《本草经疏》说:此药性寒下行,脾胃虚寒导致的泄泻,久患白痢导致胃气虚弱,以及胎产期间因虚寒引起的泄泻、脾虚导致的血崩等症……(原文此处中断)。
白芨:
味道苦、辛。性质微寒。无毒。得秋季末之气,兼禀金、水二行之性而生。药性主降,属于阳中之阴。以紫石英为使药引导。畏惧李核、杏仁。与乌头相反。
【主治】主要治疗痈肿、恶疮、败疽(腐烂的疽症)、伤阴死肌(损伤阴液、肌肉坏死)、胃中邪气、贼风鬼击(泛指外感风邪急症)、痱缓不收(肢体痿废弛缓不能收持)。(出自《神农本草经》) 还能止惊邪、伤……(原文此处中断)。
【前论】孙思邈说:肺部受损者,服用此药能使其再生。丹溪说:凡是吐血不止,宜加入白芨来止血。李时珍说……(原文此处中断,见下文)。
【禁忌】《本草经疏》说:凡是痈疽已经溃破,不宜与苦寒药同服。
Xu Zhicai stated: "Astringent flavors can treat slippage and incontinence; substances such as Oyster Shell (Muli) and Dragon Bone (Longgu) are examples." Liu Wansu stated: "Slippery conditions lead to Qi depletion, such as in cases of intestinal洞泄 (profuse diarrhea) and loss of control over urination and defecation."
Zhang's commentary notes: Zhang believed that such conditions should first be treated by attacking the root. The character "root" (Ben) refers to the origin of the disease, meaning one should first treat based on the cause of onset, and then add... [Text cuts off].
**Di Yu (Sanguisorbae Radix):**
Taste: Bitter, Sweet, Sour. Nature: Slightly Cold. Toxicity: Non-toxic. It inherits Yin Qi from the earth and combines with slight Yang Qi from heaven for its generation. Action: Descending. Attribute: Yin. [Note: "De Fa Liang" is ambiguous, possibly a textual error or specific context regarding compatibility]. It dislikes Ophiopogonis Radix (Maidong), Cinnabar (Zhusha), Sulfur (Liuhuang), and Realgar (Xionghuang).
[Indications] Primarily treats leukorrhea in women, five types of leakage syndromes, pain relief, sweating cessation, removal of foul flesh, and treatment of metal weapon wounds (Jinchuang). (From *Shennong Bencao Jing*). It also stops pus and blood, various foul sores, and metrorrhagia (Beng Lou).
[Meridian Tropism] Enters the Liver, Kidney, and Large Intestine meridians, and additionally the Stomach meridian. It is a specialized agent for managing lower-jiao blood disorders and damp-heat conditions.
[Previous Discussions] Su Song said: In ancient times, this herb was frequently used to stop downward discharge. Xiao Bing said: Used together with Phellodendri Cortex (Chupi), it treats dysentery with red and white discharge. Kou Zongshi said: Its nature is heavy and cold, entering... [Text cuts off], added for hematochezia... [Text cuts off].
[Contraindications] *Bencao Jingshu* states: Due to its cold nature and descending action, it is contraindicated in cases of diarrhea caused by Spleen-Stomach deficiency-cold, chronic white dysentery leading to weak stomach Qi, and diarrhea during pregnancy/postpartum due to deficiency-cold, or metrorrhagia due to Spleen deficiency... [Text cuts off].
**Bai Ji (Bletillae Rhizoma):**
Taste: Bitter, Pungent. Nature: Slightly Cold. Toxicity: Non-toxic. It acquires the Qi of late autumn and inherits the natures of Metal and Water for its generation. Action: Descending. Attribute: Yin within Yang. It uses Fluorite (Zishiying) as an guiding herb (Shi). It fears Prunus mume seed (Lihé) and Apricot Kernel (Xingren). It is incompatible with Aconiti Lateralis Radix Preparata (Wutou).
[Indications] Primarily treats carbuncles, foul sores, necrotic ulcers, injury to Yin and dead muscle, pathogenic Qi in the Stomach, sudden wind attacks (Zeifeng Guiji), and flaccid paralysis with inability to contract (Feihuan Bushou). (From *Shennong Bencao Jing*). It also stops fright and evil influences, injuries... [Text cuts off].
[Meridian Tropism] Enters the Lung meridian. It is an agent that tonifies the Lung, expels stasis, and generates new tissue. (Also functions as a tonic).
[Previous Discussions] Sun Simiao said: For damaged lungs, it can regenerate them. Danxi said: For unceasing hematemesis, Bai Ji should be added to stop bleeding. Li Shizhen said... [Text cuts off, see below].
[Contraindications] *Bencao Jingshu* states: When carbuncles and ulcers have already ulcerated, it should not be taken together with bitter-cold herbs.