滑石∶色白味淡,质滑而软,性凉而散。《神农本草经》谓其主身热者,以其微有解肌之力也,谓其主癃
闭者,以其饶有淡渗之力也;且滑者善通窍络,故又主女子乳难;滑而能散,故又主胃中积聚;因热小便不
利者,滑石最为要药,若寒温外感诸证,上焦燥热下焦滑泻无度,最为危险之候,可用滑石与生山药各两许,煎汤
服之,则上能清热,下能止泻,莫不随手奏效(有附案载于滋阴清燥汤下可参观)。
外感大热已退而阴亏脉数不能自复者,可于大滋真阴药中(若熟地黄、生山药、枸杞之类)少加滑石,则
外感余热不至为滋补之药逗留,仍可从小便泻出,则其病必易愈。若与甘草为末(滑石六钱,甘草一钱,名六
一散,亦名天水散)服之,善治受暑及热痢;若与赭石为末服之,善治因热吐血、衄血;若其人蕴有湿热、周
身漫肿、心腹膨胀、小便不利者,可用滑石与土狗研为散服之,小便通利肿胀自消,至内伤阴虚作热,宜用六
味地黄汤以滋阴者,亦可少加滑石以代苓、泽,则退热较速。盖滑石虽为石类,而其质甚软,无论汤剂丸散,
皆与脾胃相宜,故可加于六味汤中以代苓、泽。其渗湿之力,原可如苓、泽行熟地之滞泥,而其性凉于苓、
泽,故又善佐滋阴之品以退热也。
天水散,为河间治暑之圣药,最宜于南方暑证。因南方暑多挟湿,滑石能清热兼能利湿,又少加甘草以和
中补气(暑能伤气),是以用之最宜。若北方暑证,不必兼湿,甚或有兼燥,再当变通其方,滑石、生石膏各
半,与甘草配制,方为适宜。
Talcum (Huashi): Its color is white and taste is bland; its texture is slippery and soft, and its nature is cool and dispersing. The *Shennong Bencao Jing* states that it treats body heat because it possesses a slight ability to release the muscle layer (Jieji); it states that it treats strangury (Longbi) because it has abundant power of light diuresis (Danshen). Moreover, its "slippery" quality facilitates the unblocking of orifices and collaterals, thus it also treats difficult lactation in women; its slipperiness combined with dispersing action allows it to treat accumulations and masses in the stomach. For cases of dysuria caused by heat, Talcum is the most essential herb. In cases of external contraction of cold or warm pathogens, presenting with dryness-heat in the upper jiao and profuse loose stools in the lower jiao—a most dangerous condition—one may decoct approximately one tael each of Talcum and Raw Dioscorea Rhizome (Sheng Shanyao) and administer the soup. This will clear heat above and stop diarrhea below, invariably producing immediate effects (see the case record under Ziyin Qingzao Tang for reference).
In cases where the high fever of an external contraction has subsided, yet yin deficiency and rapid pulse prevent recovery, a small amount of Talcum may be added to potent yin-nourishing herbs (such as Prepared Rehmannia Root [Shu Dihuang], Raw Dioscorea Rhizome [Sheng Shanyao], and Goji Berry [Gouqi]). This ensures that residual heat from the external contraction is not retained by the tonifying herbs but can still be excreted via urine, making the disease easier to cure. If administered as a powder mixed with Licorice Root (Liquorice) [Gancao] (six qian of Talcum and one qian of Liquorice, named Liu Yi San, also known as Tian Shui San), it effectively treats summerheat and dysentery due to heat. If taken as a powder mixed with Hematite (Zhesi), it effectively treats hematemesis and epistaxis due to heat. For patients harboring damp-heat, presenting with generalized edema, abdominal distension, and dysuria, Talcum ground together with Mole Cricket (Tugou) into a powder can be used; once urination becomes smooth, the swelling will subside spontaneously. Regarding fever due to internal injury and yin deficiency, where Liu Wei Di Huang Tang is indicated for nourishing yin, a small amount of Talcum may be added to replace Poria (Fuling) and Alisma Rhizome (Zexie), resulting in faster reduction of fever. Although Talcum belongs to the mineral category, its texture is very soft, making it suitable for the spleen and stomach whether in decoctions, pills, or powders. Therefore, it can be added to Liu Wei Di Huang Tang to replace Poria and Alisma. Its power to leach out dampness can originally eliminate the cloying stagnation of Prepared Rehmannia Root just as Poria and Alisma do, and since its nature is cooler than that of Poria and Alisma, it is excellent at assisting yin-nourishing agents to reduce fever.
Tian Shui San is the sacred medicine of Liu Hejian for treating summerheat and is most suitable for summerheat conditions in the South. Since southern summerheat often carries dampness, Talcum clears heat and promotes diuresis simultaneously, and the addition of a small amount of Liquorice harmonizes the middle and replenishes qi (as summerheat damages qi), making it highly appropriate. For summerheat conditions in the North, which may not involve dampness and might even involve dryness, the formula should be modified: using equal parts of Talcum and Gypsum Fibrosum (Sheng Shigao) prepared with Liquorice would be more suitable.