连翘∶味淡微苦,性凉。具升浮宣散之力,流通气血,治十二经血凝气聚,为疮家要药。能透表解肌,清
热逐风,又为治风热要药。且性能托毒外出,又为发表疹瘾要药。为其性凉而升浮,故又善治头目之疾,凡头
疼、目疼、齿疼、鼻渊或流浊涕成脑漏证,皆能主之。为其味淡能利小便,故又善治淋证,溺管生炎。
仲景方中所用之连招,乃连翘之根,即《神农本草经》之连根也。其性与连翘相近,其发表之力不及
连翘,而其利水之力则胜于连翘,故仲景麻黄连轺赤小豆汤用之,以治瘀热在里,身将发黄,取其能导引湿热
下行也。
连翘诸家皆未言其发汗,而以治外感风热,用至一两必能出汗,且其发汗之力甚柔和,又甚绵长。曾治
一少年风温初得,俾单用连翘一两煎汤服,彻夜微汗,翌晨病若失。
连翘善理肝气,既能舒肝气之郁,又能平肝气之盛。曾治一媪,年过七旬,其手连臂肿疼数年不愈,其脉
弦而有力,遂于清热消肿药中,每剂加连翘四钱,旬日肿消疼愈,其家人谓媪从前最易愤怒,自服此药后不但
病愈,而愤怒全无,何药若是之灵妙也!由是观之,连翘可为理肝气要药矣。
川楝子∶大如栗者是川楝子,他处楝子小而味苦,去核名金铃子。味微酸、微苦,性凉。酸者入肝,苦者
善降,能引肝胆之热下行自小便出,故治肝气横恣,胆火炽盛,致胁下掀疼。并治胃脘气郁作疼,木能疏土也。
其性虽凉,治疝气者恒以之为向导药,因其下行之力能引诸药至患处也。至他处之苦楝子,因其味苦有小毒,
除虫者恒用之。
Lianqiao (Forsythiae Fructum): The taste is light and slightly bitter, and the nature is cool. It possesses ascending, floating, diffusing, and dispersing properties, promoting the circulation of Qi and Blood, treating Qi stagnation and Blood stasis in the twelve meridians, and serving as a key herb for treating sores and ulcers. It can penetrate the exterior to resolve the muscle layer, clear Heat, and expel Wind, making it an essential herb for treating Wind-Heat conditions. Furthermore, its property allows it to push toxins outward, making it a crucial herb for venting rashes and hives. Due to its cool nature and ascending-floating quality, it is also effective in treating disorders of the head and eyes; it can primarily treat headaches, eye pain, toothache, Bi Yuan (nasal sinusitis), or conditions involving turbid nasal discharge leading to brain leakage. Because its light taste promotes urination, it is also adept at treating Lin syndrome (dysuria) and inflammation of the urinary tract.
The "Lian Yao" used in Zhang Zhongjing's formulas refers to the root of Lianqiao, which is the "Lian Gen" recorded in *Shennong Bencao Jing* (Divine Farmer's Materia Medica). Its nature is similar to that of Lianqiao, but its ability to release the exterior is inferior to Lianqiao, while its diuretic power surpasses it. Therefore, Zhang Zhongjing used it in Mahuang Lianqiao Chixiaodou Tang (Ephedra, Forsythia Root, and Red Bean Decoction) to treat stagnant Heat trapped inside the body with impending jaundice, utilizing its ability to guide Damp-Heat downward.
Previous authorities did not mention that Lianqiao induces sweating. However, when used to treat exogenous Wind-Heat, a dosage of one liang (approx. 30g) will inevitably induce sweating. Moreover, its diaphoretic action is very gentle and prolonged. I once treated a young man who had just contracted Wind-Warmth disease. I prescribed him to take a decoction of single-herb Lianqiao (one liang). He sweated mildly throughout the night, and by the next morning, his illness had vanished.
Lianqiao excels at regulating Liver Qi; it can both soothe Liver Qi stagnation and pacify excessive Liver Qi. I once treated an elderly woman over seventy years old who had suffered from swelling and pain in her hand extending to her arm for several years without cure. Her pulse was wiry and forceful. In the prescription for clearing Heat and reducing swelling, I added four qian (approx. 12g) of Lianqiao per dose. After ten days, the swelling subsided and the pain ceased. Her family stated that she was previously prone to anger, but after taking this medicine, not only did her illness heal, but her anger disappeared completely. What herb could be so miraculous! From this, we can see that Lianqiao is indeed a key herb for regulating Liver Qi.
Chuanlianzi (Toosendan Fructus): Those the size of a chestnut are Chuanlianzi. Liuzi produced elsewhere are smaller and more bitter; when the kernel is removed, they are called Jinlingzi. The taste is slightly sour and slightly bitter, and the nature is cool. Sour enters the Liver; Bitter descends effectively. It can guide Heat from the Liver and Gallbladder downward to exit via urine, thus treating Liver Qi rebellion and blazing Gallbladder Fire causing throbbing pain under the hypochondrium. It also treats pain caused by Qi stagnation in the epigastrium, utilizing the principle that Wood (Liver) can loosen Earth (Spleen/Stomach). Although its nature is cool, it is frequently used as a guiding herb for treating hernia because its descending power can lead other herbs to the affected area. As for the bitter Liuzi from other regions, due to its bitter taste and slight toxicity, it is commonly used by those specializing in expelling parasites.