黄芩∶味苦性凉。中空,最善清肺经气分之热,由脾而下通三焦,达于膀胱以利小便。又善入脾胃清热,
由胃而下及于肠,以治肠 下利脓血。又善入肝胆清热,治少阳寒热往来(大小柴胡汤皆用之)。兼能调气,
无论何脏腑,其气郁而作热者,皆能宣通之。又善清躯壳之热,凡热之伏藏于经络散漫于腠理者,皆能消除之。
治肺病、肝胆病、躯壳病,宜用枯芩(即中空之芩);治肠胃病宜用条芩(即嫩时中不空者亦名子芩)。究之,
皆为黄芩,其功用原无甚差池也。
李濒湖曰∶“有人素多酒欲,病少腹绞痛不可忍,小便如淋诸药不效,偶用黄芩、木通、甘草三味,煎服
遂止。”按∶黄芩治少腹绞痛,《名医别录》原明载之,由此见古人审药之精非后人所能及也。然必因热气所
迫致少腹绞痛者始可用,非可概以之治腹痛也。又须知太阴腹痛无热证,必少阳腹痛始有热证,《名医别录》
明标之曰“少腹绞痛”,是尤其立言精细处。
濒湖又曰∶“余年二十时,因感冒咳嗽既久,且犯戒,遂病骨蒸发热,肤如火燎,每日吐痰碗许,暑月烦
渴,寝食俱废,六脉浮洪,遍服柴胡、麦冬、荆沥诸药,月余益剧,皆以为必死矣。先君偶思李东垣治肺热如
火燎,烦躁引饮而昼盛者气分热也,宜一味黄芩汤,以泻肺经气分之火。遂按方用片芩一两,水二盅煎一盅顿
服,次日身热尽退,而痰嗽皆愈,药中肯 ,如鼓应桴,医中之妙有如此哉。”观濒湖二段云云,其善清气分
之热,可为黄芩独具之良能矣。
Huangqin (Radix Scutellariae): Bitter in taste, cool in nature. Its texture is hollow in the center, making it particularly effective at clearing heat from the Qi level of the Lung Meridian. Its action descends from the Spleen to penetrate the Sanjiao (Triple Burner) and reach the Bladder to promote urination. It is also effective at entering the Stomach and Spleen to clear heat, descending from the Stomach to the Intestines to treat dysentery with pus and blood. Furthermore, it enters the Liver and Gallbladder to clear heat, treating the alternating chills and fever characteristic of Shaoyang disease (used in both Xiaochaihu Tang [Minor Bupleurum Decoction] and Dachaihu Tang [Major Bupleurum Decoction]). It can also regulate Qi; for any Zang-Fu organ where Qi stagnation leads to heat, Huangqin can disperse and unblock it. It is also effective at clearing heat from the exterior shell of the body, eliminating heat that is latent in the meridians or scattered in the Couli (interstices).
For treating Lung diseases, Liver and Gallbladder diseases, and exterior diseases, Kuqin (hollow Huangqin) should be used; for treating Stomach and Intestine diseases, Tiaoqin (tender, non-hollow Huangqin, also known as Ziqin) should be used. Ultimately, both are Huangqin, and their fundamental functions have little difference.
Li Binhu stated: "There was a person who indulged excessively in alcohol and sexual desires, suffering from unbearable colic pain in the lower abdomen and urinary symptoms resembling strangury. Various medicines were ineffective. Accidentally using a decoction of Huangqin, Mutong [Akebiae Caulis], and Gancao [Licorice Root], the pain stopped after ingestion." Commentary: The treatment of lower abdominal colic by Huangqin is clearly recorded in the Mingyi Bielu [Secret Records of Famous Physicians]. This demonstrates that the ancient physicians' precision in evaluating medicinal properties was beyond the reach of later generations. However, it can only be used when the lower abdominal colic is caused by heat forcing the Qi; it cannot be generally applied to all abdominal pains. One must also understand that Taiyin abdominal pain does not present with heat syndromes, whereas Shaoyang abdominal pain does present with heat. The Mingyi Bielu explicitly labels this as "lower abdominal colic," which highlights its precise terminology.
Li Binhu further stated: "When I was in my twenties, due to prolonged cold-induced coughing and violating dietary/sexual restrictions, I developed bone-steaming fever, with skin feeling like burning embers. I expectorated about a bowl of phlegm daily, felt irritable and thirsty during summer months, and lost my appetite and sleep. My six pulses were floating and surging. After taking Chaihu [Bupleuri Radix], Maidong [Ophiopogonis Radix], Jingli [Phyllostachys Nigra Juice], and other medicines for over a month, my condition worsened, and everyone believed I would certainly die. My father occasionally recalled Li Dongyuan's treatment for lung heat resembling fire blazing, with irritability, excessive thirst, and worsening during the day, identifying it as heat in the Qi level. He recommended Yiwu Huangqin Tang [Single-Huangqin Decoction] to purge the fire from the Qi level of the Lung Meridian. Following this prescription, I took one liang of Pianqin [sliced Huangqin], boiled in two cups of water until reduced to one cup, and drank it in one dose. The next day, the fever completely subsided, and the cough with phlegm healed. The medicine hit the mark precisely, responding as quickly as a drumbeat. Such is the wonder of medicine." Observing these two passages by Li Binhu, his proficiency in clearing heat from the Qi level demonstrates the unique capability of Huangqin.