茵陈者,青蒿之嫩苗也。秋日青蒿结子,落地发生,贴地大如钱,至冬霜雪满地,萌芽无恙,甫经立春即
勃然生长,宜于正月中旬采之。其气微香,其味微辛微苦,秉少阳最初之气,是以凉而能散。《神农本草经》
谓其善治黄胆,仲景治疸证,亦多用之。为其禀少阳初生之气,是以善清肝胆之热,兼理肝胆之郁,热消郁开,
胆汁入小肠之路毫无阻隔也。《名医别录》谓其利小便,除头热,亦清肝胆之功效也。其性颇近柴胡,实较柴
胡之力柔和,凡欲提出少阳之邪,而其人身弱阴虚不任柴胡之升散者,皆可以茵陈代之。
【附案】一人因境多拂逆,常动肝气、肝火,致脑部充血作疼。治以镇肝、凉肝之药,服后周身大热,
汗出如洗,恍悟肝为将军之官,中寄相火,用药强制之,是激动其所寄之相火而起反动
力也。即原方为加茵陈二钱,服后即安然矣。
一少年常患头疼,诊其脉肝胆火盛,治以茵陈、川芎、菊花各二钱,一剂疼即止。又即原方为加龙胆草二
钱,服两剂觉头部轻爽异常,又减去川芎,连服四剂,病遂除根。
(附∶胡莱菔英能解砒石毒)
莱菔子∶生用味微辛、性平,炒用气香性温。其力能升、能降,生用则升多于降,炒用则降多于升,取其
升气化痰宜用生者,取其降气消食宜用炒者。究之,无论或生或炒,皆能顺气开郁、消胀除满,此乃化气之品,
非破气之品,而医者多谓其能破气,不宜多服、久服,殊非确当之论。盖凡理气之药,单服久服,未有不伤气
者,而莱菔子炒熟为末,每饭后移时服钱许,借以消食顺气,转不伤气,因其能多进饮食,气分自得其养也。
若用以除满开郁,而以参、 、术诸药佐之,虽多服、久服,亦何至伤气分乎。
【附案】一人年五旬,当极忿怒之余,腹中连胁下突然胀起,服诸理气开气之药皆不效。俾用生莱菔子一
两,柴胡、川芎、生麦芽各三钱,煎汤两盅,分三次温服下,尽剂而愈。
一人年二十五六,素多痰饮,受外感,三四日间觉痰涎凝结于上脘,阻隔饮食不能下行,须臾仍复吐出。
俾用莱菔子一两,生熟各半,捣碎煮汤一大盅,送服生赭石细末三钱,迟点半钟,再将其渣重煎汤一大盅,仍
送服生赭石细末三钱,其上脘顿觉开通,可进饮食,又为开辛凉清解之剂,连服两剂全愈。
Yinchen (Artemisiae Scopariae Herba) is the tender shoot of Qinghao (Artemisiae Annuae Herba). In autumn, Qinghao produces seeds; when these fall to the ground and sprout, they grow close to the soil with leaves as large as a coin. Even when winter frost and snow cover the ground, the buds remain unharmed. Shortly after the Beginning of Spring (Lichun), they grow vigorously. It is appropriate to harvest it in mid-February. Its odor is slightly fragrant, and its taste is slightly acrid and bitter. It embodies the initial Qi of the Shaoyang (Lesser Yang) channel, which makes it cool yet dispersing. The *Shennong Bencao Jing* (Divine Farmer's Materia Medica) states that it is excellent for treating jaundice. Zhang Zhongjing also frequently used it when treating Danzheng (jaundice syndromes). Because it possesses the nascent Qi of Shaoyang, it is effective at clearing heat from the Liver and Gallbladder and simultaneously resolving stagnation in these organs. Once the heat dissipates and stagnation resolves, the pathway for bile to enter the Small Intestine becomes unobstructed. The *Mingyi Bielu* (Record of Famous Physicians) mentions its ability to promote urination and clear heat from the head, which are also manifestations of its efficacy in clearing and draining the Liver and Gallbladder. Its nature is quite similar to Chaihu (Bupleuri Radix), but its action is actually milder than that of Chaihu. Whenever one wishes to lift pathogens out of the Shaoyang channel, but the patient is physically weak and Yin-deficient, unable to tolerate the ascending and dispersing properties of Chaihu, Yinchen can be used as a substitute.
[Attached Case] A certain individual, due to frequent frustrations in life, often experienced Liver Qi stagnation and Liver Fire, leading to cerebral congestion and pain. He was treated with herbs that suppress the Liver and cool the Liver. After taking the medicine, he suffered severe systemic fever and profuse sweating. He suddenly realized that the Liver is the "General" organ, within which Ministerial Fire resides. Using medication to forcibly suppress it only agitated the resident Ministerial Fire, triggering a counter-reaction. Consequently, Yinchen (two qian) was added to the original prescription. After ingestion, his condition stabilized and improved.
Another youth frequently suffered from headaches. His pulse indicated excessive Fire in the Liver and Gallbladder. He was treated with Yinchen, Chuanxiong (Ligustici Chuanxiong Rhizoma), and Juhua (Chrysanthemi Flos), each two qian. The pain ceased after one dose. Subsequently, Longdancao (Gentianae Radix) two qian was added to the original formula. After two doses, he felt an unusual lightness and clarity in his head. Chuanxiong was then removed, and after four more doses, the disease was eradicated.
(Attachment: Hu Lai Fu Ying can detoxify arsenic)
Laifuzi (Raphani Semen): When used raw, it is slightly acrid and neutral in nature; when stir-fried, it is fragrant and warm in nature. Its action can ascend and descend. When used raw, ascending actions predominate over descending ones; when stir-fried, descending actions predominate over ascending ones. To utilize its ascending property for transforming phlegm, raw seeds should be used; to utilize its descending property for promoting digestion, fried seeds should be used. Fundamentally, whether raw or fried, it can regulate Qi, resolve stagnation, and eliminate distension. It is a substance that transforms Qi, not one that breaks Qi. However, many physicians believe it breaks Qi and advise against frequent or long-term use, which is not an accurate assessment. Generally, any Qi-regulating herb, if taken alone for a long time, will inevitably damage Qi. However, when Laifuzi is stir-fried, powdered, and taken about an hour after meals (approximately one qian per dose) to aid digestion and regulate Qi, it does not damage Qi because it promotes food intake, thereby nourishing the Qi. If used to relieve distension and resolve stagnation, assisted by herbs such as Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma), even frequent and long-term use will not harm the Qi.
[Attached Case] A man in his fifties, following extreme anger, experienced sudden abdominal distension extending to the hypochondrium. Various Qi-regulating and opening agents were ineffective. He was prescribed Sheng Laifuzi (raw Raphani Semen) one liang, along with Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Sheng Maiya (Hordei Fructus Germinatus), each three qian. These were decocted in two zhong of water, divided into three doses, and taken warm. The illness was cured after completing one full course.
Another man, aged twenty-five or twenty-six, who typically had abundant phlegm-fluids, contracted an external pathogen. Within three to four days, he felt phlegm-saliva congealing in the Upper Jiao (Upper Burner), obstructing food and drink from descending, causing immediate regurgitation. He was instructed to take Laifuzi one liang (half raw, half stir-fried), crushed and decocted in one large zhong of water. This decoction was used to administer San Zhe Shi (Hematitum) fine powder, three qian. Half an hour later, the dregs were re-decocted into another large zhong of water, again administered with three qian of raw Hematitum powder. At this point, the Upper Jiao instantly opened, allowing him to eat and drink. Subsequently, a formula with acrid-cooling and resolving properties was prescribed. After two doses, he made a complete recovery.