辛温,有毒。汤浸,同皂荚、白矾煮熟,姜汁拌、焙干用;或皂荚、白矾、姜汁
、竹沥四制尤妙。咽痛醋炒用。小儿惊痰发搐及胆虚不得眠,猪胆汁炒。入脾胃丸剂,为细
末姜汁拌和作面,候陈炒用。反乌附者,以辛燥鼓激悍烈之性也。忌羊血、海藻、饴糖者
,以甘腻凝滞开发之力也。
《本经》主伤寒寒热,心下坚,胸胀,咳逆,头眩,咽喉肿痛,肠鸣下气,止汗。
发明 半夏为足少阳本药,兼入足阳明、太阴。虚而有痰气宜加用之,胃冷呕哕方药之
最要。止呕为足阳明,除痰为足太阴,柴胡为之使,故小柴胡汤用之,虽为止呕,亦助柴胡
、黄芩主往来寒热也。《本经》治伤寒寒热,非取其辛温散结之力欤。治心下坚、胸胀,非
取其攻坚消痞之力欤。治咳逆、头眩、非取其涤痰散邪之力欤。治咽喉肿痛,非取其分解阴
火之力欤。治肠鸣下气止汗,非取其利水开痰之力欤。同苍术、茯苓治湿痰,同栝蒌、黄芩
治热痰,同南星、前胡治风痰,同芥子、姜汁治寒痰,惟燥痰宜栝蒌、贝母、非半夏所能治
也。半夏性燥能去湿、豁痰、健脾。今人惟知半夏去痰,不言益脾利水,脾无留湿则不生痰
,故脾为生痰之源,肺为贮痰之器。半夏能主痰饮及腹胀者,为其体滑而味辛性温也,二陈
汤能使大便润而小便长。世俗皆以半夏、南星为性燥,误矣。湿去则土燥,痰涎不生,非二
物之性燥也。古方治咽痛喉痹,吐血、下血多用二物,非禁剂也。按∶《灵枢》云,阳气满
则阳 盛不得入于阴,阴虚则目不瞑,饮以半夏汤一剂通其阴阳,其卧立至。半夏得栝蒌实
、黄连,名小陷胸汤,治伤寒小结胸。得鸡子清、苦酒,名苦酒汤,治少阴咽痛生疮,语声
不出。得生姜,名小半夏汤,治支饮作呕。得人参、白蜜,名大半夏汤,治呕吐反胃。得麻
黄,蜜丸名半夏麻黄丸,治心下悸忪。得茯苓、甘草,以醋煮半夏共为末,姜汁面糊丸,名
消暑丸,治伏暑引饮,脾胃不和,此皆得半夏之妙用。惟阴虚羸瘦,骨蒸汗泄,火郁头痛,
热伤咳嗽,及消渴肺痿,咳逆失血,肢体羸瘦禁用,以非湿热之邪,而用利窍行湿之药,重
竭其津,医之罪也,岂药之咎哉!
Pungent, warm, toxic. Soak in decoction, cook together with *Gleditsiae Sinensis Fructus* (Zaojiao, 皂荚) and *Alumen* (Baifan, 白矾) until cooked, mix with *Zingiberis Recens Rhizoma* (Shengjiang, 生姜) juice, and dry by baking; or the four-method processing using Zaojiao, Baifan, Shengjiang juice, and *Bambusae Caulis in Taeniam* (Zhuli, 竹沥) is particularly excellent. For sore throat, use vinegar-processed Banxia. For pediatric convulsions due to phlegm-wind and insomnia due to Gallbladder deficiency, use pork bile-processed Banxia. When entering pills for the Spleen and Stomach, grind into fine powder, mix with Shengjiang juice as a binder, and process after aging. It is incompatible with *Aconiti Lateralis Radix Praeparata* (Fuzi, 附子) and *Aconiti Radix* (Wutou, 乌头), due to its pungent-dry nature stimulating fierce properties. Avoid mutton blood, *Sargassum* (Haizao, 海藻), and *Saccharum* (Yitang, 饴糖), because sweet and greasy substances congeal and obstruct dispersing forces.
The *Shennong Bencao Jing* treats cold-heat alternating from Taiyang cold damage, hardness below the heart, chest distension, cough and qi reversal, dizziness, sore and swollen throat, borborygmus with descending qi, and stopping sweating.
Invention: Banxia is the principal herb of the Foot-Shaoyang Gallbladder channel, also entering the Foot-Yangming Stomach and Foot-Taiyin Spleen channels. It is suitable for addition in cases of deficiency with phlegm-qi, and is most essential in formulas for cold-Stomach vomiting and hiccups. Stopping vomiting targets the Foot-Yangming, eliminating phlegm targets the Foot-Taiyin, and *Bupleuri Radix* (Chaihu, 柴胡) acts as its guiding herb; thus it is used in Xiao Chai Hu Tang (Minor Bupleurum Decoction). Although used to stop vomiting, it also assists Chaihu and Huangqin in treating alternating cold and heat. Does the *Bencao Jing*'s treatment of cold-heat in cold damage not rely on its pungent-warm power to dissipate nodules? Does the treatment of hardness below the heart and chest distension not rely on its power to break down accumulation and eliminate fullness? Does the treatment of cough/qi reversal and dizziness not rely on its power to wash out phlegm and scatter pathogens? Does the treatment of sore/swollen throat not rely on its power to resolve Yin-fire? Does the treatment of borborygmus, descending qi, and stopping sweat not rely on its power to promote urination and open phlegm? Combined with *Atractylodis Macrocephalae Rhizoma* (Cangzhu, 苍术) and *Poria* (Fuling, 茯苓) to treat damp-phlegm; combined with *Trichosanthis Fructus* (Gualou, 瓜蒌) and *Scutellariae Radix* (Huangqin, 黄芩) to treat hot-phlegm; combined with *Acoris Tatarinowii Rhizoma* (Nanxing, 天南星 - note: usually Aconitum carmichaelii lateral root processed, but here refers to Pinellia/Typhonium context, standardly Nanxing is Typhonii Rhizoma) and *Peucedani Radix* (Qianhu, 前胡) to treat wind-phlegm; combined with *Sinapis Semen* (Jiezi, 芥子) and Shengjiang juice to treat cold-phlegm. Only dry-phlegm is suitable for Gualou and *Ostreae Concha* (Beimu, 贝母); Banxia cannot treat it. Banxia’s dry nature removes dampness, resolves phlegm, and strengthens the Spleen. Nowadays people only know Banxia eliminates phlegm, ignoring its benefit to the Spleen and promotion of urination. If the Spleen has no retained dampness, it does not generate phlegm; thus, the Spleen is the source of phlegm generation, and the Lung is the vessel storing phlegm. Banxia can mainly treat phlegm-fluids and abdominal distension because its texture is slippery, taste pungent, and nature warm. Er Chen Tang (Two-Cured Decoction) makes stool moist and urine long. The common belief that Banxia and Nanxing are dry in nature is mistaken. When dampness is removed, Earth becomes dry, and phlegm-saliva does not form; this is not due to the dry nature of these two herbs. Ancient formulas treating sore throat, bi-throat, hematemesis, and lower bleeding often use these two herbs; they are not prohibited agents. Note: The *Ling Shu* states, "When Yang Qi is full, Yang is excessive and cannot enter Yin; when Yin is deficient, the eyes cannot close." Drinking one dose of Banxia Tang (Pinellia Decoction) to unblock Yin and Yang results in immediate sleep. Banxia combined with Gualou fruit and Huanglian is named Xiao Xian Xiong Tang (Minor Intrapectoral Decoction), treating minor intrapectoral syndrome in cold damage. Combined with egg white and vinegar, it is named Ku Jiu Tang (Bitter Wine Decoction), treating Shaoyin sore throat with sores and inability to speak. Combined with Shengjiang, it is named Xiao Ban Xia Tang (Minor Pinellia Decoction), treating fluid retention causing vomiting. Combined with Ginseng and white honey, it is named Da Ban Xia Tang (Major Pinellia Decoction), treating vomiting and retrograde regurgitation. Combined with *Ephedrae Herba* (Mahuang, 麻黄) and made into honey pills named Banxia Mahuang Wan (Pinellia-Ephedra Pill), treating palpitations below the heart. Combined with Fuling and *Glycyrrhizae Radix et Rhizoma* (Gancao, 甘草), with Banxia boiled in vinegar and ground to powder, formed into pills with ginger juice and flour paste, named Xiao Shu Wan (Summerheat-Dispelling Pill), treating latent summerheat inducing thirst and Spleen-Stomach disharmony. These are all examples of the wonderful uses of Banxia. However, it is contraindicated in cases of Yin deficiency with emaciation, bone-steaming night sweats, headache due to fire stagnation, cough due to heat injury, as well as Xiao Ke (Wasting-Thirst) and Fei Wei (Lung Atrophy), cough with qi reversal and hemoptysis, and limb emaciation, because these are not damp-heat pathogens, yet using drugs that open orifices and move dampness will further exhaust body fluids. This is the physician's fault, not the herb's blame!