苦辛温,有毒。陈者良。水浸一宿晒干,醋炒以去其毒。弘景曰∶用者微熬,不
可近眼,反甘草。
《本经》主咳逆上气,喉鸣咽肿短气,蛊毒鬼疟,疝瘕痈肿,杀虫鱼。
发明 芫花消痰饮水肿,故《本经》治咳逆,咽肿疝瘕痈毒,皆是痰湿内壅之象。仲景
治伤寒表不解,心下有水气,干呕发热而咳,或喘,或利者,小青龙汤主之。若表已解,有
时头痛汗出恶寒,心下有水气,干呕痛引两胁,或喘或咳者,十枣汤主之。盖小青龙汤驱逐
表邪,使水气从毛窍而出,《内经》开鬼门法也。十枣汤驱逐里邪,使水气从大小便而泄,
《内经》洁净府、去菀陈 法也。芫花、大戟、甘遂之性,逐水泻湿,能直达水饮窠囊隐僻
处,取效甚捷,不可过剂,泄人真元。
苦寒,有毒。熬黄用,芫花叶尖如柳,花紫似荆,荛花苗茎无刺,花细色黄与芫
花绝不相似,或言无荛花以芫花代之,性相近耳。
《本经》主伤寒温疟,下十二经水,破积聚,大坚症瘕,荡涤胸中留癖饮食,寒热邪
气,利水道。
发明 荛花苦辛,能破积聚症瘕,治痰饮咳逆,去咽喉肿闭。《本经》治伤寒温疟者
,取苦寒以攻蕴积伏匿之邪也。言下十二经水,又治饮食寒热邪气者,以其苦寒峻利,饮食
之邪亦得荡涤,而寒热自除也。仲景用此止利以行水,水去则利止矣。又小青龙汤云,若微
利者,去麻黄加荛花,盖亦取其利水也。愚按∶芫花、荛花虽有辛温开表,苦寒走渗之不同
,而破积逐水之功用仿佛。《本经》虽无芫花利水之说,而仲景十枣汤专行利水。是以药肆
皆不辨混收,医家亦不辨混用。犹夫食谷得以疗饥,食黍亦可疗饥,混用可无妨碍。若矾石
、石字形相类,药状亦相类,可不辨而混用耶。
Yuanhua (Genkwa Flower): Bitter, pungent, warm in nature, toxic. The aged material is superior. Soak in water overnight, dry, and stir-fry with vinegar to reduce its toxicity. Hongjing stated: Use after slight roasting; avoid exposure of the eyes to its fumes. It is incompatible with Gancao (Licorice Root).
*Shennong Bencao Jing* records: It treats cough with rebellious Qi, wheezing in the throat, swelling and pain in the pharynx, shortness of breath, gu poison, ghost malaria, hernia masses, carbuncles and swellings, and kills fish parasites.
[Invention] Yuanhua eliminates phlegm-fluid retention and edema. Therefore, the conditions treated in *Shennong Bencao Jing*, such as cough with rebellious Qi, pharyngeal swelling, hernia masses, and carbuncle toxins, are all manifestations of internal obstruction by phlegm-dampness. Zhang Zhongjing treated cases where the exterior syndrome of Shanghan (Cold Damage) was not resolved, with fluid retention in the epigastrium, presenting with dry retching, fever, and cough, or possibly wheezing or diarrhea, using Xiao Qinglong Tang (Minor Blue Dragon Decoction). If the exterior syndrome had resolved, but there were occasional headaches, sweating, aversion to cold, persistent fluid retention in the epigastrium, dry retching with pain radiating to both hypochondria, or wheezing and cough, Shizao Tang (Ten Jujube Decoction) was indicated. Xiao Qinglong Tang expels exterior pathogens, allowing fluid retention to exit through the hair pores; this corresponds to the *Neijing* method of "opening the ghost gate" (diaphoresis). Shizao Tang expels interior pathogens, allowing fluid retention to drain via urination and defecation; this corresponds to the *Neijing* methods of "purifying the bladder" (diuresis) and "removing accumulated decay" (clearing stagnation). The properties of Yuanhua, Daji (Euphorbia Root), and Gansui (Kansui Root) are to purge water and drain dampness. They can reach the hidden recesses where fluid retention accumulates, acting very swiftly. However, they must not be overdosed, as they will deplete the body's primordial Qi.
Raohua (Radix Genkvae): Bitter, cold in nature, toxic. Roast until yellow before use. The leaves of Yuanhua have tips resembling willow leaves, and its flowers are purple like those of the荆 (Jing) plant. Raohua stems and seedlings have no thorns; its flowers are fine and yellow, completely unlike Yuanhua. Some say that when Raohua is unavailable, Yuanhua is used as a substitute because their properties are similar.
*Shennong Bencao Jing* records: It treats Shanghan warm malaria, promotes the flow of fluids in the twelve meridians, breaks up accumulations, dissolves large hard masses (zheng jia), cleanses retained pathogenic factors and food stagnation in the chest, eliminates cold-heat pathogenic factors, and benefits the water passages.
[Invention] Raohua is bitter and pungent; it can break up accumulations and masses, treat cough and rebellious Qi due to phlegm-fluid retention, and relieve swelling and closure of the throat. *Shennong Bencao Jing* states it treats Shanghan warm malaria, utilizing its bitter-cold nature to attack entrenched and latent pathogens. Its ability to promote fluid flow in the twelve meridians and treat dietary and cold-heat pathogens is due to its bitter-cold, drastic, and purgative action, which sweeps away dietary pathogens, thereby eliminating cold and heat. Zhang Zhongjing used this herb to stop diarrhea by promoting diuresis; once the water is removed, the diarrhea ceases. Furthermore, in the formula for Xiao Qinglong Tang, if there is slight diarrhea, Mahuang (Ephedra Stem) is removed and Raohua is added, likely to leverage its water-draining property. In my opinion: Although Yuanhua and Raohua differ in that one is acrid-warm to open the exterior and the other is bitter-cold to penetrate and drain, their functions in breaking accumulation and purging water are similar. Although *Shennong Bencao Jing* does not mention Yuanhua's ability to benefit water passages, Zhang Zhongjing's Shizao Tang specifically targets water retention. Consequently, herbal shops often mix them without distinction, and physicians use them interchangeably. This is akin to saying that eating grain or millet can satisfy hunger; mixing them causes no harm. However, for herbs like Fanshi (Alum) and Shijue Ming (Abalone Shell), which share similar names and appearances, can they really be mixed without distinction?