丹者,是皆防其入胃即化出其苦味也,若以西药局中胶囊盛之吞服,虽破者亦可用。
硫黄原禀火之精气,其挟有杂质者有时有毒,若其色纯黄,即纯系硫质,分毫无毒,为补相火暖下焦
之主药。痢证下焦凉者,其上焦恒有虚热,硫黄质重,其热力直达下焦而不至助上焦之虚热。且痢之寒者
虽宜治以热药,而仍忌温补收涩之品。至硫黄,诸家本草谓其能使大便润、小便长,西人谓系轻泻药之品,是
其性热而能通,故以治寒痢最宜也。愚屡次品验此药,人之因寒作泻者,服之大抵止泻之时多。更有五
更泻证,服他药不效,而放胆服硫黄即愈者。又间有本系因寒作泻,服硫黄而泻转剧者,惟与干姜、白术、
五味等药同用,则确能治因寒作泻而无更泻之弊。古方书用硫黄皆系制用,然制之则热力减,必须多服,有时
转因多服而生燥,实不如少服生者之为愈也。且择其纯系硫质者
用之,原分毫无毒,亦无须多方制之也。至其用量,若以治寒
痢,一次可服二三分,极量至五六分,而以治他证,则不在此例。曾治邻村张氏妇,年二十余,胃寒作吐,
所吐之食分毫不能消化(凡食后半日吐出不消化者皆系胃寒),医治半年无效,虽投以极热之药亦分毫
不觉热,脉甚细弱,且又沉迟。知其胃寒过甚,但用草木之品恐难疗治。俾用生硫黄细末一两,分作十二包,
先服一包,过两句钟不觉热,再服一包。又为开汤剂干姜、炙甘草各一两,乌附子、广油桂、补骨脂、于
术各五钱,浓朴二钱,日煎服一剂。其硫黄当日服至八包,犹不觉热,然自此即不吐食矣。后数日,似
又反复,遂于汤剂中加代赭石细末五钱,硫黄仍每日服八包,其吐又止。连服数日,觉微热,俾将硫黄减半,
汤剂亦减半,惟赭石改用三钱。又服二十余日,其吐永不反复。愚生平用硫黄治病,以此证所用之量为最大。
至于西药中硫黄三种,其初次制者名升华硫黄,只外用于疮疡,不可内服。用升华硫黄再制之,为
精制硫黄,用精制硫黄再制之为沉降硫黄,此二种硫黄可以内服。然欲其热力充足,服之可以补助元阳、
温暖下焦,究不若择纯质生硫黄服之之为愈也。
The term "Dan" refers to preventing the medicine from releasing its bitter taste immediately upon entering the stomach. If swallowed in capsules produced by Western pharmaceutical bureaus, even broken pieces can be used.
Sulfur (Liu Huang) originally inherits the vital essence of Fire. Those containing impurities may sometimes be toxic; however, if the color is purely yellow, it consists entirely of sulfur substance and is completely non-toxic. It is the principal herb for tonifying Ministerial Fire (Xiang Huo) and warming the Lower Jiao (Lower Burner). In cases of Dysentery (Li Zheng) with Cold in the Lower Jiao, there is often Deficient Heat in the Upper Jiao (Upper Burner). Due to its heavy nature, Sulfur's thermal energy reaches directly to the Lower Jiao without exacerbating the Deficient Heat in the Upper Jiao. Furthermore, although Cold-type Dysentery should be treated with Hot herbs, one must still avoid Warm-tonifying and Astringent substances. Various Materia Medica texts state that Sulfur moistens the intestines to facilitate bowel movements and increases urine output; Westerners consider it a mild laxative. This indicates that while its nature is Hot, it possesses a unblocking property, making it most suitable for treating Cold Dysentery. I have tasted and verified this herb repeatedly: those suffering from diarrhea due to Cold generally find their diarrhea stops after taking it. There are also cases of Dawn Diarrhea (Wu Geng Xie), where other medicines fail but bold use of Sulfur leads to cure. Occasionally, patients whose diarrhea originates from Cold may experience worsened diarrhea after taking Sulfur alone; however, when combined with Ginger Rhizome (Gan Jiang), Atractylodes Macrocephala Rhizome (Bai Zhu), and Schisandra Fruit (Wu Wei Zi), it effectively treats Cold-induced diarrhea without the side effect of aggravating it. Ancient formularies always use processed Sulfur; however, processing reduces its thermal potency, requiring larger doses, which may sometimes cause dryness due to excessive intake. Thus, it is superior to take small doses of raw Sulfur. Moreover, selecting pure sulfur substance renders it non-toxic, eliminating the need for complex processing. Regarding dosage, for Cold Dysentery, one dose may range from 2-3 fen, up to a maximum of 5-6 fen; for other conditions, this rule does not apply.
I once treated a woman surnamed Zhang from a neighboring village, over twenty years old, who suffered from vomiting due to Stomach Cold. The vomited food was undigested (vomiting undigested food half an hour after eating indicates Stomach Cold). After six months of ineffective treatment, even extremely Hot herbs failed to produce any sensation of warmth. Her pulse was very fine, weak, deep, and slow. Recognizing severe Stomach Cold, I feared herbal remedies alone might be insufficient. I prescribed Raw Sulfur powder, 1 liang, divided into twelve packets. She took one packet first; after two hours, feeling no heat, she took another. I also prescribed a decoction: Dried Ginger (Gan Jiang) and Honey-fried Licorice Root (Zhi Gan Cao) each 1 liang, Prepared Aconite Root (Wu Fu Zi), Cinnamon Twig (Guizhi), Psoralea Fruit (Bu Gu Zhi), and Atractylodes Rhizome (Yu Zhu) each 5 qian, and Magnolia Bark (Hou Po) 2 qian, taken as one dose daily. On that day, she consumed eight packets of Sulfur and still felt no heat, yet her vomiting ceased thereafter. A few days later, symptoms seemed to recur, so I added 5 qian of Hematite (Dai Zhe Shi) powder to the decoction, continuing Sulfur at eight packets daily, which stopped the vomiting again. After several days of continuous use, she felt slight heat, so I halved the Sulfur and the decoction, changing Hematite to 3 qian. After another twenty-plus days, the vomiting never recurred. This case involved the largest dose of Sulfur I have ever used.
Regarding Western medicines containing Sulfur, the primary product is Sublimed Sulfur (Sheng Hua Liu Huang), which is used only externally for sores and ulcers and should not be ingested. Refined Sulfur (Jing Zhi Liu Huang) is made by re-processing Sublimed Sulfur, and Precipitated Sulfur (Chen Jiang Liu Huang) is made by re-processing Refined Sulfur; these two forms can be ingested. However, to ensure sufficient thermal potency to supplement Primordial Yang (Yuan Yang) and warm the Lower Jiao, nothing surpasses the use of pure, raw Sulfur.