味辛、苦、甘、平,微温,无毒。入手太阴少阴,兼入足阳明胃经。味浓气轻,阴
中之阳、升也。
桔梗,入手足肺胆二经。主中恶虫毒,风热喘促,开胸隔,利肺经。除壅之气于上
焦,清头目解诸风,散寒冷之邪于肌表,驱胁下刺疼,通鼻中窒塞,咽喉肿痛,施治如
神;逐肺热疗咳嗽,而下痰涎;治肺痈排腐脓,而养新血;仍消恚怒,尤却怔忡,解利
小儿惊痫,开提男子气血。又与国老并行,同为舟楫之剂,载诸药不致下堕;引将军可
使上行,譬如铁石入江,非舟楫不载也。
主治(痘疹合参) 治痘热毒,咽喉肿痛,宽胸膈滞气,理咳嗽鼻塞痰涎,匀气托
理,腹满肠鸣,肺气郁于大肠而腹痛,痰火郁于肺中而干嗽,开提气血,载药上行,利
咽发痘,托里排脓。
按∶桔梗既能引诸药以上行,又能下气者,为其入肺,肺金得令,则浊气下行耳。古人开提气血,及痰
火痢疾诸郁症中用之,亦同此义。若病不属肺者,用之无益。凡病气逆上升者,勿得混加。
禀天地之阴,得甲木之气,味苦、酸、平,微寒,无毒。气薄味浓,阴也,降也。
酸寒,得木花,色白兼金气,为手足太阴引经,入肝。脾血分。载有二种,白补而赤
泻,白收而赤散。入脾胃药酒拌炒,入养血药蜜水拌炒,入平肝药生用。
白芍药,专入脾经血分,能泻肝家火邪,补劳退热,除烦益气,泻肝安脾,明目
安胎,收胃气,敛阴气。心下痞,胁下痛,收肺气而敛汗,抑肝邪而缓中,太阳鼽衄,
肝血不足,而目涩,阳维病,苦寒热不己,带脉病,苦腹痛满,腰溶溶如坐水中,胎前
产后,女人一切病和血脉调中,治血热血虚,腹痛血泻痢,固腠理。白术补脾阳,白
芍补脾阴,同参 益气,同川芎泻肝泻痢用之者,及春月腹痛倍加者,取其和血伸肝扶
脾,能于土中泻木,敛津液而益营血,收阴气而泻邪热也。产后及血虚寒人,并冬月腹
痛戒之者,恐其酸寒伐生气也,然佐以姜桂,制以酒炒,合宜而用,有何方之可执
哉!倘腹痛非因血气者,不可误用,盖诸腹痛,皆宜辛散,而芍药酸收故而。色赤者,
专行恶血,兼利小肠。
主治(痘疹合参) 能养阴退阳,健脾补表,止腹涌而收阴,养血和血,凉血敛
血。凡痘血散不归,疮润不敛者,皆赖以收敛。七日前少用,惟七日以后酒拌炒用。如
手足疮不起发痒塌者,此脾虚也,宜桂枝煎
酒浸炒用。如脾寒肝脉弱者禁之。
按∶白芍药收敛下降,以秋金之令,犹未若芩连之寒,而寇氏云∶冬月减芍药,以
避中寒。丹溪云∶新产后勿用芍药,恐酸寒伐生生之气。盖以药之寒者,行杀伐之气。
违生长之机,虽微寒如芍药,古人犹谆谆告诫,况大苦大寒之药,其可肆用而莫之忌
耶!何今人用芍药,则守前人一定之言,每于产后冬月,兢兢畏惧,及其芩连栀子,视
为平常要药。凡遇发热,不论虚实,辄投殆害,每遇根据希浮越之虚阳,一任寒凉而丧尽
冤哉!
[Jiegeng (Platycodon Root)]
Taste: Pungent, Bitter, Sweet. Nature: Neutral, slightly warm. Non-toxic. Enters the Hand-Taiyin Lung Meridian and Hand-Shaoyin Heart Meridian, and also enters the Foot-Yangming Stomach Meridian. The flavor is strong but the aroma is light; it belongs to Yang within Yin and has an ascending action.
Jiegeng enters the Hand-Taiyin Lung Meridian and the Foot-Shaoyang Gallbladder Meridian. It primarily treats malignant qi invasion and insect poison, wind-heat causing panting and urgency, opens the chest and diaphragm, and benefits the Lung Meridian. It removes stagnation of Qi in the Upper Jiao, clears the head and eyes, resolves various wind pathogens, disperses cold evil from the muscle surface, drives away stabbing pain under the ribs, unblocks nasal obstruction, treats sore throat and swelling, with miraculous efficacy; expels Lung heat to treat cough and descends phlegm-saliva; treats Lung Abscess by draining pus and nourishing new blood; still eliminates anger, especially repels palpitations, resolves pediatric convulsions and epilepsy, and lifts the Qi and Blood of men. Furthermore, when used together with Gancao (Licorice Root, referred to as "Guolao"), it acts as a "boat and oar" agent, carrying other herbs so they do not sink downwards; it guides Dahuang (Rhubarb Root, referred to as "Jiangjun") upwards, just like iron or stone thrown into a river cannot float without a boat and oars.
Indications (Integrated with Smallpox/Rash Diseases): Treats smallpox heat toxin, sore throat and swelling, widens the chest and diaphragm to resolve stagnant Qi, regulates cough, nasal congestion, and phlegm-saliva, harmonizes Qi and promotes expulsion of toxins, treats abdominal fullness and borborygmi, abdominal pain due to Lung Qi stagnation in the Large Intestine, dry cough due to Phlegm-Fire stagnation in the Lung, lifts Qi and Blood, carries medicines upward, benefits the throat and promotes eruption of rashes, supports the interior and drains pus.
Commentary: Jiegeng can both guide various medicines upward and descend Qi because it enters the Lung. When Lung Metal is in command, turbid Qi naturally descends. Ancients used it in conditions involving lifting Qi and Blood, as well as in various stagnation syndromes such as Phlegm-Fire dysentery, based on this same principle. If the disease does not belong to the Lung system, using it is of no benefit. In cases where pathological Qi rebels and rises upward, one must not indiscriminately add it.
[Baishao (White Peony Root)]
It inherits the Yin energy of Heaven and Earth, obtains the Qi of Jia Wood. Taste: Bitter, Sour. Nature: Neutral, slightly cold. Non-toxic. The aroma is thin but the taste is strong; it is Yin and has a descending action. Sour and cold, obtaining the Qi of wood flowers, its color is white combining with Metal Qi. It serves as a guiding herb for the Hand and Foot Taiyin Meridians, entering the Liver and the Blood aspect of the Spleen. There are two types: White Baishao tonifies, while Red Shaoyao purges; White Baishao astringes, while Red Shaoyao disperses. For herbs entering the Spleen and Stomach, stir-fry with wine; for herbs nourishing Blood, stir-fry with honey water; for herbs calming the Liver, use raw.
Baishao specifically enters the Blood aspect of the Spleen Meridian. It can purge Fire-Evil of the Liver, tonify deficiency and reduce fever, eliminate vexation and benefit Qi, purge the Liver and calm the Spleen, brighten the eyes and stabilize the fetus, gather Stomach Qi, and astringe Yin Qi. It treats epigastric fullness and flank pain, gathers Lung Qi and stops sweating, suppresses Liver Evil and moderates internal tension, treats rhinorrhea or epistaxis caused by Taiyang channel involvement, dry eyes due to insufficient Liver Blood, disorders of the Yang Wei Vessel characterized by persistent alternating chills and fever, disorders of the Dai Vessel characterized by abdominal pain and fullness, and a sensation of sitting in water in the loins. It treats all blood-related disorders in women before and after childbirth, harmonizes the blood, treats abdominal pain and bloody dysentery due to Heat-Blood or Blood Deficiency, and consolidates the Cou Li (skin and pores). Baizhu tonifies Spleen Yang, while Baishao tonifies Spleen Yin. Used together with Renshen, it benefits Qi; used with Chuanxiong, it purges the Liver and treats dysentery. In spring, when abdominal pain occurs, the dosage should be doubled because it harmonizes Blood, extends Liver function, supports the Spleen, purges Wood within Earth, collects body fluids to benefit Ying Blood, gathers Yin Qi, and purges pathogenic Heat. For postpartum patients and those with Blood Deficiency and Cold, as well as for abdominal pain in winter, caution is advised to avoid damaging the vital generating Qi with its sour-cold nature. However, if assisted by Shengjiang (Fresh Ginger) and Rougui (Cinnamon Bark), and processed with wine stir-frying, applied appropriately, why adhere rigidly to fixed formulas? If abdominal pain is not due to Blood and Qi issues, it must not be misused, as most abdominal pains are suitable for pungent dispersion, whereas Baishao is sour and astringent. Red Shaoyao specifically moves bad blood and benefits the Small Intestine.
Indications (Integrated with Smallpox/Rash Diseases): Nourishes Yin and retreats Yang, strengthens the Spleen and supplements the exterior, stops abdominal surging and collects Yin, nourishes and harmonizes Blood, cools Blood and astringes Blood. For any rash where blood scatters and fails to consolidate, or ulcers that remain moist and fail to close, reliance is placed on its astringent properties. Use sparingly in the first seven days; only use wine-stir-fried after the seventh day. If hand and foot lesions fail to erupt, become itchy, or collapse, this indicates Spleen Deficiency; Gui Zhi Decoction should be soaked in wine and stir-fried for use. Contraindicated in cases of Spleen Cold and weak Liver pulse.
Commentary: Baishao is astringent and descending, following the command of Autumn Metal. Although it is not as cold as Huangqin (Scutellaria Root) and Lianhua (Lotus Seed Plumule/often refers to Coptis in context of cold herbs, here likely implying Coptis/Huanglian given the pairing), Kou Zongshi stated: Reduce Baishao in winter to avoid middle-jiao cold. Danxi stated: Do not use Baishao immediately after childbirth, fearing its sour-cold nature will damage the life-generating Qi. Generally, the cold nature of medicines carries a killing/purging energy, violating the mechanism of growth. Even for mildly cold herbs like Baishao, ancients earnestly warned against misuse. How much more so for greatly bitter and cold medicines, which should never be used recklessly without caution! Why do modern practitioners, when using Baishao, rigidly adhere to the words of predecessors, trembling with fear during postpartum periods and winter months, yet view Huangqin, Huanglian, and Zhizi (Gardenia Fruit) as ordinary essential medicines? Whenever fever occurs, regardless of excess or deficiency, they administer these drugs, often causing harm. Whenever encountering deficient Yang floating due to weak roots, they allow cold-cooling herbs to destroy vitality, truly unjust!