将鲜姜种于地中,秋后剖出去皮晒干为干姜;将姜上所生之芽种于地中,秋后剖出其当年所生之姜为生姜。
是以干姜为母姜,生姜为子姜,干姜老而生姜嫩也。为生姜系嫩姜,其味之辛、性之温,皆亚于干姜,而所
具生发之气则优于干姜,故能透表发汗。与大枣同用,善和营卫,盖借大枣之甘缓,不使透表为汗,惟旋转于
营卫之间,而营卫遂因之调和也。其辛散之力,善开痰理气,止呕吐,逐除一切外感不正之气。若但用其皮,
其温性稍减,又善通利小便。能解半夏毒及菌蕈诸物毒。食料中少少加之,可为健胃进食之品。疮家食之,致
生恶肉,不可不知。
附子∶味辛,性大热。为补助元阳之主药,其力能升能降,能内达能外散,凡凝寒锢冷之结于脏腑、着于
筋骨、痹于经络血脉者,皆能开之,通之。而温通之中,又大具收敛之力,故治汗多亡阳(汗多有亡阳亡阴之
殊,亡阳者身凉,亡阴者身热,临证时当审辨。凉亡阳者,宜附子与萸肉、人参并用;热亡阴者,宜生地与萸
肉、人参并用),
肠冷泄泻,下焦阳虚阴走,精寒自遗,论者谓善补命门相火,而服之能使心脉跳动加速,是于君相二火皆能大
有补益也。
种附子于地,其当年旁生者为附子,其原种之附子则成乌头矣。乌头之热力减于附子,而宣通之力较优,
故《金匮》治历节风有乌头汤;治心痛彻背、背痛彻心有乌头赤石脂丸,治寒疝有乌头煎、乌头桂枝汤等方。
若种后不旁生附子,惟原种之本长大,若蒜之独头无瓣者,名谓天雄,为其力不旁溢,故其温补力更大而独能
称雄也。今药局中所鬻之乌附子,其片大而且圆者即是天雄,而其黑色较寻常附子稍重,盖因其力大而色亦稍
变也。附子、乌头、天雄,皆反半夏。
【附案】一少妇上焦满闷烦躁,不能饮食,绕脐板硬,月信两月未见。其脉左右皆弦细。仲景谓双弦者寒,
偏弦者饮,脉象如此,其为上有寒饮、下有寒积无疑。其烦躁者腹中寒气充溢,迫其元阳浮越也。投以理饮汤,
去桂枝加附子三钱,方中芍药改用五钱,一剂满闷烦躁皆见愈。又服一剂能进饮食,且觉腹中凉甚,遂去芍
药将附子改用五钱,后来又将干姜减半,附子加至八钱,服逾十剂,大便日行四五次,所下者多白色冷积,
汤药仍日进一剂,如此五日,冷积泻尽,大便自止。再诊其脉,见有滑象,尺部较甚,疑其有妊,俾停药勿服,
后至期果生子。夫附子原有殒胎之说,此证服附子如此之多,而胎固安然无恙,诚所谓“有故无殒亦无殒也”。
Plant fresh ginger in the soil. After autumn, dig it up, peel off the skin, and dry it to obtain Ganjiang (Dried Ginger). Plant the sprouts growing on the ginger in the soil. After autumn, dig them up to harvest the new ginger grown that year, which is called Shengjiang (Fresh Ginger).
Therefore, Ganjiang (Dried Ginger) is the mother ginger, and Shengjiang (Fresh Ginger) is the offspring ginger; Ganjiang (Dried Ginger) is old and mature, while Shengjiang (Fresh Ginger) is tender and young. Since Shengjiang (Fresh Ginger) is tender ginger, its pungent taste and warm nature are inferior to those of Ganjiang (Dried Ginger), but its vitalizing and ascending qi is superior to that of Ganjiang (Dried Ginger). Thus, it can penetrate the exterior and induce sweating. When used together with Dazao (Jujube), it is good at harmonizing Ying-Wei (Nutritive and Defensive Qi). This is likely due to borrowing the sweet and moderating property of Dazao (Jujube) to prevent the medicine from penetrating the exterior too quickly as sweat, allowing it instead to circulate between Ying and Wei, thereby harmonizing them. The pungent dispersing power of Shengjiang (Fresh Ginger) is good at opening phlegm and regulating Qi, stopping vomiting, and expelling all kinds of external pathogenic factors. If only the peel of the ginger is used, its warming property is slightly reduced, but it becomes good at promoting urination. It can resolve the toxicity of Banxia (Pinelliae Rhizoma) and various toxic mushrooms or foods. Added in small amounts to food seasonings, it can serve as a stomach-strengthening and appetite-enhancing ingredient. Those suffering from sores and ulcers should be aware that consuming it may lead to the growth of malignant flesh (bad tissue).
Fuzi (Prepared Aconite Lateral Root): Pungent in taste, extremely hot in nature. It is the primary herb for supplementing Yuan Yang (Primal Yang). Its force can ascend and descend, reach internally and disperse externally. It can open and unblock any congealed cold and entrenched chill accumulated in the Zang-Fu organs, adhering to the sinews and bones, or obstructing the meridians and blood vessels. Within its warming and unblocking action, it also possesses strong astringent properties. Therefore, it treats excessive sweating leading to Wang Yang (Collapse of Yang) (Note: Excessive sweating can lead to either Collapse of Yang or Collapse of Yin. Collapse of Yang presents with a cool body, while Collapse of Yin presents with a hot body; these must be carefully distinguished clinically. For collapse of Yang due to cold, Fuzi (Prepared Aconite Lateral Root) should be combined with Yurou (Corni Fructus) and Renshen (Ginseng Radix et Rhizoma); for collapse of Yin due to heat, Shengdi Huang (Rehmanniae Radix) should be combined with Yurou (Corni Fructus) and Renshen (Ginseng Radix et Rhizoma)), cold intestines causing diarrhea, deficiency of Yang in the Lower Jiao leading to wandering of Yin, and cold essence causing spontaneous emission. Commentators state that it is good at supplementing Mingmen Xiang Huo (Ministerial Fire of the Gate of Life). Taking it can accelerate heart pulse beating, indicating that it greatly benefits both Jun Huo (Monarch Fire/Heart Fire) and Xiang Huo (Ministerial Fire/Kidney Yang).
When planted in the ground, the lateral roots growing from the original seed in the same year are called Fuzi (Prepared Aconite Lateral Root), while the original seed itself becomes Wutou (Aconiti Radix). The heating power of Wutou (Aconiti Radix) is less than that of Fuzi (Prepared Aconite Lateral Root), but its dispersing and unblocking power is superior. Therefore, in *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet), Wutou Tang (Cocklebur Decoction) is used to treat Li Jie Feng (Joint Bi Syndrome characterized by severe pain); Wutou Chishizhi Wan (Aconite and Red Talc Pill) is used for chest pain radiating to the back and back pain radiating to the chest; and Wutou Jian (Aconite Decoction) and Wutou Guizhi Tang (Aconite and Cinnamon Twig Decoction) are used for Han Shan (Cold Hernia). If no lateral roots grow after planting, and only the main root grows large, resembling a single-clove garlic without cloves, it is named Tianxiong (Aconiti Lateralis Radix Preparata). Because its force does not spread laterally, its warming and tonifying power is greater, allowing it to stand alone as "Tianxiong" (Heavenly Hero). The Wutou (Aconiti Radix) and Fuzi (Prepared Aconite Lateral Root) sold in pharmacies today, which are large and round slices, are indeed Tianxiong (Aconiti Lateralis Radix Preparata). They are slightly darker in color than ordinary Fuzi (Prepared Aconite Lateral Root), likely because their potent force causes a slight change in color. Fuzi (Prepared Aconite Lateral Root), Wutou (Aconiti Radix), and Tianxiong (Aconiti Lateralis Radix Preparata) are all incompatible with Banxia (Pinelliae Rhizoma).
[Medical Case] A young woman complained of fullness and irritability in the Upper Jiao, inability to eat, hardness around the umbilicus, and amenorrhea for two months. Her pulses were wiry and thin on both sides. Zhang Zhongjing stated that a double wiry pulse indicates Cold, and a single wiry pulse indicates Fluid retention. Given this pulse presentation, there is undoubtedly Cold-Fluid above and Cold accumulation below. Her irritability is caused by Cold Qi overflowing in the abdomen, forcing Yuan Yang (Primal Yang) to float upward. She was prescribed Li Yin Tang (Regulate Fluids Decoction), with Guizhi (Cinnamomi Ramulus) removed and 3 qian of Fuzi (Prepared Aconite Lateral Root) added. Shaoyao (Paeoniae Radix Alba) in the formula was changed to 5 qian. After one dose, the fullness and irritability improved significantly. After another dose, she could eat and felt significant coldness in her abdomen. Consequently, Shaoyao (Paeoniae Radix Alba) was removed, and the dosage of Fuzi (Prepared Aconite Lateral Root) was increased to 5 qian. Later, Ganjiang (Dried Ginger) was halved, and Fuzi (Prepared Aconite Lateral Root) was increased to 8 qian. After taking more than ten doses, she had bowel movements four to five times daily, passing mostly white, cold accumulations. The decoction continued to be taken once daily. After five days of this regimen, the cold accumulations were completely expelled, and bowel movements stopped naturally. Upon re-examination, her pulse showed a slippery quality, particularly pronounced in the Chi (Cun) position, suggesting pregnancy. She was advised to stop medication. She eventually gave birth at the expected time. Although Fuzi (Prepared Aconite Lateral Root) is traditionally said to cause miscarriage, in this case, despite taking such a large amount, the fetus remained safe and sound. This truly exemplifies the principle: "If there is an existing pathology, there will be no harm [to the healthy body], nor will there be harm [to the fetus]" (You gu wu yun, yi wu yun ye).