铃僵蚕全蝎白附桂枝生姜葱白藿香芜芎秦艽牛蒡子苍术前胡甘松艾叶
以上盖消风散寒。蠲痹除湿之善剂也。患此数症者当根据本草六经主治。病可愈。亦只从
阳经属经者则宜。若夫真藏中风。阴经中寒
。骨痿如痹。阳衰阴胜。水邪似湿者误用之既已竭其营而复泄其卫真气随亡不死何待故凡病
久者葱白生姜。亦所忌用。至辛散耗剂。益不敢轻投矣。
(俗讹为破故纸)
本草称治五痨七伤。风虚冷痛。骨髓伤败。肾冷精流。及妇人血气坠胎。兴阳事。明耳
目。
濒湖曰治肾泄。通命门。暖丹田。敛精神。按白飞霞方外奇方云补骨脂属火收敛精神。使心
包之火。与命门之火相通。故元阳坚固。骨髓充实。涩以治脱也。胡桃属木。润燥养血。血
属阴恶燥故油以润之佐骨脂有木火相生之妙许学士云孙真人言补肾不若补脾。予曰补脾不若
补肾。肾气虚弱。则阳气衰劣。不能熏蒸脾胃。脾胃气塞。令人胸膈痞塞。不进饮食。迟于
运化。或腹胁虚胀。或呕吐痰延。或肠鸣泄泻。譬如鼎釜中之物无火力。终日不熟。何能消
化。济生二神丸。治脾胃虚寒泄泻用补骨脂补肾。肉豆蔻补脾。二药虽兼补但无斡旋。往往
常加木香。以顺其气。使之斡旋空虚仓廪。仓廪空虚则受物矣。屡用见效。不可不知。昔唐
太尉张寿知广州服此得效有诗云三年时节向边隅。人信方知药力殊。夺得春光来在手。青娥
休笑白髭须。愚以为此亦惟禀阴藏而命火不充。下元虚冷。一切症属沉寒者宜之。若阳藏而
肠胃燥热者则反为害耳是在人之有宜有不宜若以为燥毒则谬论也予每用此与参附治元气上脱
。脉浮沉无力者不拘阴阳屡验。可知其为纳气归源温补真阳之善药也。本草纲目云气味辛。
大温无毒。恶甘草。忌芸苔。及诸血。得胡桃胡麻良。故语云。补骨脂之无胡桃。犹水母之
无也。
僵蚕、全蝎、白附子、桂枝、生姜、葱白、藿香、川芎、秦艽、牛蒡子、苍术、前胡、甘松、艾叶。
以上这些药物,大抵是消除风邪、驱散寒邪、祛除痹阻、除湿气的良方。患有上述多种症状的人,应当根据《本草》中关于六经(太阳、阳明、少阳、太阴、少阴、厥阴)的主治规律来辨证用药,病就可以痊愈。但也只适用于属于阳经的病症。如果是真脏受邪的中风,或者阴经受寒,以及骨痿如同痹证、阳气衰微而阴气偏盛、水湿之邪类似湿气的情况,误用这些药物,已经耗竭了营血,又使卫气外泄,真气随之消亡,不死还要等待什么呢?所以凡是患病日久的人,葱白和生姜也是禁忌使用的。至于这种辛散耗气的药剂,更加不敢轻易投用。
(俗称为破故纸)
《本草》称其能治疗五劳七伤、风虚冷痛、骨髓损伤败坏、肾冷精液滑脱,以及妇女血气不足导致的堕胎,还能兴阳事,明目清耳。
李时珍(濒湖)说:它能治疗肾泄,通利命门,温暖丹田,收敛精神。据白飞霞在《方外奇方》中说:补骨脂属性为火,能收敛精神,使心包之火与命门之火相通,因此元阳坚固,骨髓充实,用其涩性来治疗滑脱不禁。胡桃属木,能润燥养血。血属阴,厌恶燥性,所以用油来滋润它。胡桃辅助补骨脂,有木火相生的妙处。许学士引用孙思邈的话说:“补肾不如补脾。”我说:“补脾不如补肾。”肾气虚弱,则阳气衰微劣弱,不能熏蒸脾胃,导致脾胃气机阻塞,使人胸膈痞塞,不想进食,运化迟缓,或者出现腹胁虚胀,或者呕吐痰涎,或者肠鸣泄泻。这就像锅鼎中的食物没有火力,整天都煮不熟,怎么能消化呢?《济生方》中的二神丸,治疗脾胃虚寒引起的泄泻,使用补骨脂来补肾,肉豆蔻来补脾。这两味药虽然兼有补益作用,但缺乏斡旋(调节运转)之力,往往常加木香,以顺行气机,使其斡旋于空虚的仓廪之中。仓廪空虚才能容纳食物。此法屡用见效,不可不知。从前唐代太尉张寿在广州任职时服用此方得到疗效,并写诗道:“三年时节向边隅,人信方知药力殊。夺得春光来在手,青娥休笑白髭须。”我认为这也只有禀赋阴藏而命门之火不充足,下元虚冷,一切症状属于沉寒痼冷的人才适宜使用。如果是阳脏体质且肠胃燥热的人,反而会造成危害。这在于人的体质有适宜和不适宜的区别,如果认为它是燥毒之药,那就是谬论了。我每次用此药配合人参、附子治疗元气上脱、脉象浮沉无力的患者,不拘泥于阴阳分类,屡次验证有效。可知它是纳气归源、温补真阳的良药。《本草纲目》记载:气味辛,大温,无毒,畏甘草,忌芸苔及各种血类,与胡桃、胡麻同用效果好。所以俗语说:“补骨脂如果没有胡桃,就像水母没有蛑(一种虾)一样。”
Bombyx Batryticatus (Jiangcan), Scorpio (Quanxie), Typhonii Rhizoma (Baifu), Ramulus Cinnamomi (Guizhi), Zingiberis Recens Rhizoma (Shengjiang), Allii Fistulosi Bulbus (Congbai), Agastachis Herba (Huoxiang), Ligustici Chuanxiong Rhizoma (Chuanxiong), Gentianae Macrophytae Radix (Qinjiao), Arctii Fructus (Niubangzi), Atractylodis Rhizoma (Cangzhu), Peucedani Radix (Qianhu), Nardostachyos Radix et Rhizoma (Gansong), Artemisiae Argyi Folium (Aiye).
These herbs generally constitute an excellent formula for dispelling wind, scattering cold, removing bi-syndrome (obstruction), and eliminating dampness. Patients suffering from these various symptoms should treat according to the indications of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) as described in Materia Medica, and the disease can be cured. However, this is only suitable for conditions belonging to the Yang channels. If it is a stroke affecting the True Zang organs, or cold invading the Yin channels, or bone atrophy resembling bi-syndrome, where Yang is deficient and Yin is excessive, and water-dampness resembles damp-evil, misusing these agents will already deplete the Ying (Nutritive) Qi and cause Wei (Defensive) Qi to leak; the True Qi will perish with it, so why wait for death? Therefore, for those who have been ill for a long time, Allii Fistulosi Bulbus (Congbai) and Zingiberis Recens Rhizoma (Shengjiang) are also contraindicated. As for such pungent, dispersing, and qi-consuming preparations, one dare not administer them lightly.
(Colloquially known as Pogu Zhi)
Materia Medica states that it treats the five labors and seven injuries, wind-deficiency cold pain, damage and degeneration of bone marrow, cold kidney with seminal emission, and uterine bleeding leading to miscarriage in women; it also promotes sexual function, clarifies the eyes and ears.
Li Shizhen (Binhu) says: It treats kidney diarrhea, unblocks the Mingmen (Gate of Life), warms the Dantian, and consolidates the spirit. According to Bai Feixia's *Fangwai Qifang*: Psoraleae Fructus (Buguzhi) belongs to Fire and consolidates the spirit, allowing the Fire of the Pericardium to communicate with the Fire of the Mingmen. Thus, the Yuan (Original) Yang becomes firm, and the bone marrow becomes full; its astringent nature treats leakage. Walnut (Hetao) belongs to Wood, moistens dryness, and nourishes blood. Blood belongs to Yin and dislikes dryness, so oil is used to moisten it. Assisting Buguzhi, Walnut has the subtle effect of Wood generating Fire. Scholar Xu cites Sun Simiao saying, "Tonifying the Kidney is not as good as tonifying the Spleen." I say, "Tonifying the Spleen is not as good as tonifying the Kidney." When Kidney Qi is weak, Yang Qi becomes deficient and poor, unable to steam and warm the Spleen and Stomach. This causes Qi stagnation in the Spleen and Stomach, leading to chest and diaphragm stuffiness, loss of appetite, slow transformation and transportation, or false distension in the abdomen and hypochondrium, vomiting of phlegm, or borborygmus and diarrhea. This is like food in a pot without fire; it cannot be cooked all day, let alone digested. *Jisheng Fang*'s Ershen Wan treats diarrhea due to Spleen-Stomach deficiency-cold by using Psoraleae Fructus (Buguzhi) to tonify the Kidney and Myristicae Semen (Roudoukou) to tonify the Spleen. Although these two herbs both have tonifying properties, they lack the ability to regulate and rotate (woturn). Often, Aquilariae Lignum Resinatum (Muxiang) is added to smooth the Qi flow, enabling it to rotate within the empty granaries. Only when the granaries are empty can they receive food. This method has proven effective repeatedly and must not be ignored. Formerly, Grand Commandant Zhang Shou of the Tang Dynasty served in Guangzhou and found this prescription effective, writing a poem: "For three years, seasons passed at the border; only then did people believe in the extraordinary power of the medicine. Seizing the spring light into hand, do not let young beauties laugh at white beard hairs." I believe this is only suitable for those whose constitution is Yin-predominant with insufficient Mingmen Fire, lower Yuan deficiency-cold, and all symptoms belonging to deep-seated cold. For those with Yang-predominant constitutions and dry-heat in the intestines and stomach, it would instead cause harm. It depends on whether the individual's constitution is suitable or not; regarding it as a drying poison is a fallacy. I often use this herb combined with Ginseng Radix et Rhizoma (Renshen) and Aconiti Lateralis Radix Praeparata (Fuzi) to treat upward deviation of Original Qi with pulse floating or sinking and powerless, regardless of Yin or Yang classification, and it has verified effectiveness repeatedly. Thus, it is known as an excellent drug for guiding Qi back to its source and warming/tonifying True Yang. *Bencao Gangmu* records: Flavor pungent, greatly warm, non-toxic, incompatible with Glycyrrhizae Radix et Rhizoma (Gancao), contraindicated with Brassicae Napus Var. Viridis (Yuntao) and various blood products, works well with Juglandis Semen (Hetao) and Sesami Fructus (Huma). Hence the proverb: "Psoraleae Fructus (Buguzhi) without Walnut is like a jellyfish without a crab (Xiu)."