药物众多,各一其性,宜否万殊,难以尽识。用者不得其要,未免多误。兼之《本草》
所注,又皆概言其能,凡有一长,自难泯没。惟是孰为专主,孰为兼能,孰为利于此而不利
于彼,孰者宜于补而不宜于攻。学人昧其真性,而惟按图以索骥,所以用多不效,益见用药
之难矣。用药之道无他也,惟在精其气味,识其阴阳,则药味虽多,可得其要矣。凡气味之
辨,则诸气属阳,诸味属阴。气本乎天,气有四,曰寒热温凉是也。味本乎地,味有六,曰
酸苦甘辛咸淡是也。温热者,天之阳;寒凉者,天之阴也。辛甘淡者,地之阳;酸苦咸者,
地之阴也。阳主升而浮,阴主沉而降。辛主散,其行也横,故能解表。甘主缓,其行也上,
故能补中。苦主泻,其行也下,故可去实。酸主收,其性也敛,故可治泄。淡主渗,其性也
利,故可厘清。咸主软,其性也沉,故可导滞。用纯气者,用其动而能行;用纯味者,用其
静而能守。有气味兼用者,和合之妙,贵乎相成。有君臣相配者,宜否之机,最嫌相左。既
曰合宜,尤当知忌,先避其害,后用其利,一味不投,众善俱弃。故欲表散者,须远酸寒;
欲降下者,勿兼升散。阳旺者,当知忌温;阳衰者,沉寒毋犯。上实者忌升,下实者忌秘。
上虚者忌降,下虚者忌泄。诸动者再动即散,诸静者再静即灭。甘勿施于中满,苦勿施于假
热,辛勿施于热躁,咸勿施于伤血。酸木最能克土,脾气虚者少设。阳中还有阴象,阴中复
有阳诀,使能烛此阴阳,则药理虽玄,岂难透彻。
五味所入,《内经》曰∶五味入胃,各归所喜,故酸先入肝,苦先入心,甘先入脾,辛
先入肺,咸先入肾。久而增气,物化之常也。气增而久,夭之由也。
There are numerous medicinal substances, each possessing its unique nature. Their suitability varies greatly, making it difficult to fully comprehend them. If practitioners fail to grasp the essentials, errors are inevitable. Furthermore, the annotations in *Bencao* (Compendium of Materia Medica) generally describe their capabilities; any substance with a particular strength is unlikely to be overlooked. However, determining which effects are primary and which are secondary, which are beneficial for one condition but detrimental for another, and which are suitable for tonification but not for purging, remains challenging. Learners who lack an understanding of the true nature of herbs and merely rely on diagrams to find remedies often find treatments ineffective, further highlighting the difficulty of prescribing. The principle of using medicines lies not in complexity, but in mastering their flavors and aromas and recognizing their Yin-Yang attributes. By doing so, even with a vast array of substances, one can grasp the key points.
Regarding the distinction between flavors and aromas: all aromas belong to Yang, and all flavors belong to Yin. Aromas originate from Heaven and have four types: Cold, Hot, Warm, and Cool. Flavors originate from Earth and have six types: Sour, Bitter, Sweet, Pungent, Salty, and Bland. Warm and Hot correspond to the Yang of Heaven; Cold and Cool correspond to the Yin of Heaven. Pungent, Sweet, and Bland correspond to the Yang of Earth; Sour, Bitter, and Salty correspond to the Yin of Earth. Yang governs ascending and floating movements, while Yin governs sinking and descending movements. Pungent flavor governs dispersion; its action moves horizontally, thus resolving the exterior. Sweet flavor governs moderation; its action moves upward, thus tonifying the Middle Jiao. Bitter flavor governs purging; its action moves downward, thus eliminating excess pathogens. Sour flavor governs astringency; its nature is contracting, thus treating diarrhea. Bland flavor governs permeation; its nature is promoting urination, thus separating clear from turbid. Salty flavor governs softening hardness; its nature is sinking, thus guiding stagnation. When using pure aromatic substances, one utilizes their dynamic ability to circulate; when using pure flavorful substances, one utilizes their static ability to retain. When both aroma and flavor are present, the subtlety of combination lies in mutual reinforcement. In the pairing of Sovereign and Minister herbs, the key to appropriateness lies in avoiding contradiction. Even when combinations are appropriate, contraindications must be known: first avoid harm, then utilize benefits. If one herb is unsuitable, all potential benefits are lost. Therefore, when aiming to disperse the exterior, one must avoid Sour and Cold substances; when aiming to descend, one must not combine with Ascending and Dispersing substances. For those with excessive Yang, Warm substances should be avoided; for those with deficient Yang, Sinking-Cold substances must not be touched. Upper Excess conditions contraindicate Ascending therapies; Lower Excess conditions contraindicate Constipating therapies. Upper Deficiency conditions contraindicate Descending therapies; Lower Deficiency conditions contraindicate Purging therapies. Substances with dynamic properties, if used excessively, will dissipate; substances with static properties, if used excessively, will extinguish. Sweet substances should not be administered to patients with Middle Jiao fullness; Bitter substances should not be administered to patients with false heat; Pungent substances should not be administered to patients with heat and restlessness; Salty substances should not be administered to patients with blood injury. Sour, associated with Wood, can most effectively overcome Earth (Spleen); therefore, it should be used sparingly in cases of Spleen Qi deficiency. Within Yang, there are Yin manifestations; within Yin, there are Yang principles. If one can illuminate these Yin-Yang relationships, although the pharmacology may seem profound, it is certainly not difficult to penetrate.
Regarding the entry of the Five Flavors, the *Neijing* (Inner Canon) states: "The five flavors enter the stomach and each returns to its preferred organ. Thus, Sour enters the Liver first, Bitter enters the Heart first, Sweet enters the Spleen first, Pungent enters the Lung first, and Salty enters the Kidney first." Long-term consumption increases the Qi of the corresponding organ, which is the normal law of transformation. However, if this increase persists for too long, it becomes the cause of premature death.