得地之燥气,兼禀天之秋气,故味甘淡微寒,无毒。阳中之阴,降也。入脾、肺二
经。入肺门、足门,并宜生用;入脾门、虚门,并宜炒用。
米仁祛风湿而疗湿痹,保燥金而治痿痈,筋急拘挛,屈伸不便,咳嗽涕唾。脓血
并来,除筋骨邪,入作疼,皮肤水溢发肿,利肠胃,止消渴,开胃进食,健脾保肺,少则力
缓,难于见功,故用须当倍于他药。
主治(痘疹合参) 益气助胃,除风湿,理香港脚,利脓浆下行。治脾虚水泡,泄泻脾
弱,疮湿难靥皆用。
按∶薏苡仁属土,本是脾药,虚则补母,故肺病之用。筋骨之病,亦以治阳明为
本,故筋病用之。土能胜水,故泻利水肿用之。但性主下行,虚而下陷者,非其所宜。
妊娠禁服。
一名薯蓣,味甘兼咸,温平无毒。一云微寒。专入心、脾、肾三经。滋阴药中宜生
用入剂,健脾药中宜炒黄入剂,如合入养胃培元药中,宜囫囵大者饭内蒸透,切片晒干
炒黄。
山药,诸虚百损,五劳七伤,益气力,润泽皮肤,长肌肉,坚强筋骨,除寒热邪气
烦热,兼除却头面游风,风眩总却,羸瘦堪补,肿硬能消,开心孔聪明,涩精管遗滑,
理脾伤止泻,参苓白术散频加。逐腰痛强阴,六味地黄丸必用。色白甘润又能益肺。
主治(痘疹合参) 补中益气,开胃健脾,能滋阴而更能除湿,止泻泄而兼进食。
凡自痘将灌脓,以及痘后补虚,俱所必用。气虚之症尤所重焉。
按∶山药得土之冲气,禀春之和气,比之金玉君子,无往不宜。但性缓,非多用不
效,大虚危症投之,难图近功,因性太和平宽缓耳。与面同食,不能益人。
[Coix Seed]
Coix seed (Yiyiren) absorbs the dry qi of the earth and the autumn qi of heaven; therefore, its flavor is sweet and bland, its nature is slightly cold, and it is non-toxic. It belongs to yin within yang, and its action is descending. It enters the Spleen and Lung meridians. When entering the Lung gate or treating foot conditions, it should be used raw; when entering the Spleen gate or treating deficiency conditions, it should be stir-fried.
Coix seed dispels wind-dampness and treats damp-bi (painful obstruction syndrome caused by dampness); protects the Metal element (Lung) and treats flaccidity syndromes (Wei syndrome) and carbuncles; relieves tendon spasm and contracture, difficulty in flexion and extension, coughing, rhinorrhea, and expectoration; if pus and blood appear together, it removes pathogenic factors from bones and tendons; it treats pain invading bones and tendons, skin edema with fluid overflow, benefits the intestines and stomach, stops thirst, opens the appetite, strengthens the Spleen and protects the Lung. However, a small dose results in weak efficacy and slow effect, so the dosage must be doubled compared to other herbs.
Indications (referencing Smallpox/Rash patterns): Tonifies Qi and assists the Stomach, dispels wind-dampness, regulates podagra (Hong Kong foot), and promotes the downward discharge of pus. It is used for blisters due to Spleen deficiency, diarrhea due to Spleen weakness, and sores that are difficult to heal due to dampness.
Commentary: Coix seed belongs to Earth and is fundamentally a Spleen herb. According to the principle "tonify the mother when deficient," it is also used for Lung diseases. Diseases of bones and tendons are treated based on the Yangming meridian, hence it is used for tendon diseases. Earth overcomes Water, so it is used for diarrhea and edema. However, its nature is primarily descending, making it unsuitable for cases of deficiency with sinking Qi. It is contraindicated during pregnancy.
[Dioscorea Opposita / Chinese Yam]
Dioscorea opposita (Shanyao), also known as Shuyu, has a sweet and salty flavor, a warm and neutral nature, and is non-toxic. Some sources state it is slightly cold. It specifically enters the Heart, Spleen, and Kidney meridians. In nourishing Yin formulas, it should be used raw; in strengthening Spleen formulas, it should be stir-fried until yellow. If combined with herbs that nourish the Stomach and cultivate Yuan Qi, large whole tubers should be steamed thoroughly in rice, sliced, dried, and then stir-fried until yellow.
Dioscorea opposita treats various deficiencies and hundred damages, five labors, and seven injuries; enhances strength, moistens the skin, promotes muscle growth, strengthens bones and tendons, eliminates cold-heat pathogenic factors and vexatious heat, removes wandering wind from the head and face, cures dizziness due to wind, tonifies emaciation, dissipates hard swellings, opens the heart orifice to improve intelligence, astringes essence to prevent seminal emission and sliding, regulates Spleen injury to stop diarrhea (often added to Shenling Baizhu San), treats lower back pain and strengthens Yin (essential in Liuwei Dihuang Wan). Its white color and sweet, moist nature also benefit the Lung.
Indications (referencing Smallpox/Rash patterns): Tonifies the Middle and boosts Qi, opens the appetite and strengthens the Spleen, nourishes Yin while resolving Dampness, stops diarrhea while promoting food intake. It is essential during the pustule formation stage of rash diseases and for post-rash deficiency recovery. It is particularly important for Qi deficiency conditions.
Commentary: Dioscorea opposita absorbs the harmonious Qi of the earth and the gentle Qi of spring, comparable to a gentleman of gold and jade, suitable for all situations. However, its action is slow; without a large dose, it is ineffective. For critical deficiency conditions, it cannot achieve rapid results because its nature is too mild and gentle. Consuming it with wheat flour products does not provide nutritional benefits.