苦平微温,无毒。雷公云,左文列为秦,治湿病。右文列为艽,治香港脚。今药肆
多右文者,慎勿混合。
《本经》主寒热邪气,寒湿风痹,肢节痛,下水,利小便。
发明 秦艽阴中微阳,可升可降,入手足阳明,以其去湿也,兼入肝胆,以其治风也。
故手足不遂,黄瘅酒毒及妇人带疾,须之阳明有湿,则身体酸痛,肢节烦疼及挛急不遂,有
热则日晡潮热,用以祛风胜湿则愈。凡痛有寒热或浮肿者,多挟客邪,用此以祛风利湿方为
合剂,故《本经》治寒热邪气,寒湿风痹,肢节痛等证。若久痛虚羸,血气不能营养肢体而
痛,及下体虚寒,痛酸枯瘦等病,而小便清利者,咸非秦艽所宜。今庸师喜用秦艽,且不辨
左文、右文,凡遇痛证,动辄用之,失其旨矣。
即茈胡
苦平,无毒。入解表药生用,清肝炒熟用。
《本经》主心腹肠胃中结气,饮食积聚,寒热邪气,推陈致新,明目益精。
发明 柴胡能引清阳之气,从左上升,足少阳胆经之药。胆为清净之府,无出无入,禁
汗吐下,惟宜和解,以其经居半表半里。《本经》治心腹肠胃结气,饮食积聚,寒热邪气,
使清阳之气上升。而胃中留结宿滞亦得解散矣。仲景治伤寒寒热往来,胁痛耳聋,妇人热入
血室,皆为必用。小儿五疳羸热,诸疟寒热,咸宜用之。痘疹见点后,有寒热或胁下疼热,
于透表药内用之,不使热留少阳经中,则将来无切牙之患。虚劳寒热多有可用者。劳有五劳
,病在五脏,若劳在肝胆心包络有热,或少阳经寒热,则柴胡为必用药。劳在脾胃有热,或
阳气下陷,则柴胡乃引清气退热之药。惟劳在肺肾者,不可用。东垣补中益气用之者,乃引
肝胆清阳之气上行,兼升达参、 之力耳。疮疽用之者,散诸经血结气聚也。今人以细者名
小柴胡,不知小柴胡乃汤名也,若大柴胡汤而用银州者,可乎?按∶柴胡为少阳经药,病在
太阳,服之太早则引寇入门。病在阴经,用之则重伤其表,误人不可胜数。其性升发,病患
虚而气升者忌之。呕吐及阴火炎上者勿服。若阴虚骨蒸服之,助其虚阳上逆,势必耗尽真阴
而后已。奈何操司命之权者,多所未悟也。
[Qinjiao]
Bitter, neutral in nature with slight warmth, non-toxic. Leigong stated: The character with the 'wen' radical on the left is Qin, used to treat dampness diseases; the character with the 'wen' radical on the right is Jiao, used to treat Hongxiangjiao (podagra/foot swelling and ulceration). Currently, most herbs sold in pharmacies are of the right-radical type; do not mix them up.
The *Shennong Bencao Jing* states: It treats cold-heat pathogenic factors, wind-bi caused by cold-dampness, pain in limbs and joints, promotes water passage, and facilitates urination.
Invention: Qinjiao (Gentianae Macrophyllae Radix) possesses a nature of slight yang within yin, capable of ascending and descending. It enters the Hand and Foot Yangming meridians because it dispels dampness; it also enters the Liver and Gallbladder meridians because it treats wind disorders. Therefore, for conditions such as flaccidity or paralysis of the limbs, jaundice, alcohol toxicity, and leukorrhea in women, if there is dampness in the Yangming meridian, symptoms include body soreness and pain, vexatious pain in joints, and spasmodic flaccidity. If heat is present, tidal fever occurs during the Shen and You hours (3 PM - 7 PM). Using Qinjiao to dispel wind and overcome dampness will lead to recovery. Whenever pain is accompanied by cold-heat sensations or edema, it usually involves external pathogenic factors; using this herb to dispel wind and promote diuresis is appropriate. Hence, the *Shennong Bencao Jing* uses it to treat cold-heat pathogenic factors, wind-bi due to cold-dampness, and limb joint pain. However, for chronic pain leading to emaciation, where Qi and Blood fail to nourish the limbs causing pain, or for deficiency-cold in the lower body manifesting as painful soreness, withered muscles, and thinness, provided the urine is clear and profuse, these are not suitable indications for Qinjiao. Modern mediocre physicians frequently use Qinjiao without distinguishing between the left-radical and right-radical types. They indiscriminately apply it to all pain syndromes, thereby missing its true therapeutic intent.
[Chaihu]
Also known as Zihou.
Bitter, neutral in nature, non-toxic. When used in exterior-releasing formulas, use raw; when used to clear Liver heat, use stir-fried.
The *Shennong Bencao Jing* states: It treats constrained Qi in the heart, abdomen, stomach, and intestines, food stagnation accumulation, cold-heat pathogenic factors, pushes out the old and brings forth the new, brightens the eyes, and benefits essence.
Invention: Chaihu (Bupleuri Radix) can guide clear Yang Qi to ascend from the left; it is a herb of the Foot Shaoyang Gallbladder Meridian. The Gallbladder is a pure and clear organ, having no exit or entry, and prohibits the use of sweating, vomiting, and purging methods; only harmonization is suitable, as its meridian resides at the half-exterior half-interior level. The *Shennong Bencao Jing* treats constrained Qi in the heart, abdomen, stomach, and intestines, food stagnation, and cold-heat pathogenic factors by causing the clear Yang Qi to ascend, thereby resolving retained food and stagnation in the stomach. Zhang Zhongjing used it as an essential herb for treating alternating chills and fever from Cold Damage, hypochondriac pain, deafness, and heat entering the Blood Chamber in women. It is also suitable for five kinds of childhood malnutrition (Wugan) with emaciated fever, and various malaria chills and fevers. After the eruption of smallpox or chickenpox, if there are chills/fever or painful heat under the hypochondrium, adding it to exterior-resolving formulas prevents heat from lingering in the Shaoyang meridian, thus avoiding future teeth-grinding complications. It is often useful for deficiency-consumption with chills and fever. Consumption disorders involve five types of consumption affecting the Five Zang organs. If the consumption involves heat in the Liver, Gallbladder, or Pericardium, or Shaoyang meridian chills and fever, Chaihu is an essential medication. If the consumption involves heat in the Spleen and Stomach, or sinking of Yang Qi, Chaihu serves to guide clear Qi upward to reduce fever. Only when consumption affects the Lungs and Kidneys should it be avoided. Li Dongyuan included it in Buzhong Yiqi Tang to guide the clear Yang Qi of the Liver and Gallbladder upward, simultaneously enhancing the lifting power of Ginseng and Astragalus. In treating carbuncles and sores, it is used to dissipate blood stasis and Qi stagnation in various meridians. Nowadays, people mistakenly refer to fine Chaihu as "Xiaochaihu," unaware that Xiaochaihu is actually the name of a decoction formula. Would one use Yinzhou-grown Chaihu to replace the main ingredient in Daxiaohuai Tang? Note: Chaihu is a herb for the Shaoyang meridian. If the disease is in the Taiyang meridian, administering it too early draws the pathogen inside, like inviting a thief into the house. If the disease is in the Yin meridians, using it severely damages the exterior defenses, causing countless errors. Its nature is ascending and dispersing; patients who are deficient and have ascending Qi must avoid it. Those with vomiting and flaming-up of Yin Fire should not take it. If taken by patients with Yin deficiency and bone-steaming fever, it aids the rebellious deficiant Yang, inevitably exhausting the True Yin until death. Alas, how many practitioners holding the power over life and death remain unaware of this!