(本经中品)
合葛根、石膏、麻黄三种,则知仲景处方大局。仲景为立方祖,三种为诸方始也。
【气味】甘辛平,无毒。
【主治】主消渴,身大热,呕吐,诸痹,起阴气,解诸毒。
【核】曰∶鹿食九草,此其一也。出闽、广、江、浙,所在有之。有野生,有家种。春
生苗,引藤延蔓,长二三丈,取治 ,各以地土之宜,以别精粗美恶耳。叶有三尖,似枫
叶而长,色青翠,七月开花成穗,累累相缀,紫粉色,似豌豆花,结实似小黄豆,荚上有毛,
荚中之子,绿色而扁,似盐梅核,生嚼腥气,即本经所谓葛谷也。根大如臂,外紫内白,长
八九尺,以入土最深者良。五月五日,采根曝干,杀野葛、巴豆、百药毒。
先人云∶外阳内阴,有三阴渐长,化炎热为清凉之象。
【 】曰∶读本经主治,合仲景葛根汤法,此从阳明中治之气化药也。谓阳明之上,燥
化主之,不从本气之四气,标阳之二阳,从乎中见太阴之湿化者,如消渴身大热,及阖逆,
或热逆之呕吐,与邪郁,或热郁之诸毒,此正中见之阴气勿起,致令阳明之上,燥涸殆甚。
葛藤延蔓显明,葛根阴润在中。具备阳明上中下之全体者,无出其右。故能从乎中治,以撤
诸痹,痹撤则中见上下,各各从令,此以化合化,亦以化逆化也。假以治本,偏于风盛,以
风木必动脾土之湿化,使脾土营运,风斯息矣。亦不必另配甲己,方始化合,亦不必转生子
金,以复母仇,即本有辛味可作甲,兼甘可作己,湿化亦己,形似肌腠亦己也。白色可作金,
味辛亦金,腥臭亦金,藤络坚劲亦金也。假以治标,偏于二阳,二阳即阳明也。论部署,己
深入首太阳之次阳明,论形层,己深入一肤二皮之肌分,若邪停太阳之部署,亦必太阳之阳
明,若邪停太阳之形层,亦必太阳之肌分,即正阳阳明,亦属外证延蔓之邪,非内证坚凝之
实,但体性阴润,或寒本湿本主气,及寒化标阴专令者,所当避忌,或邪在部署之首,而非
风木本盛,或邪在形层之肤,未成转热之势,未有不致寇至者。世人不但目为轻浅,且以之
从治严寒,恐非所宜也。
(本经痹字,与风寒湿相合之痹不同,如消渴身热呕吐,及阴气不起,与诸毒皆痹也,
故云
(显明即阳明,在中即中见。)
(化合化者,中见之湿化,在上之燥化也。)
(Shennong Bencao Jing, Middle Category)
By combining Radix Puerariae (Gegen), Gypsum Fibrosum (Shigao), and Herba Ephedrae (Mahuang), one can understand the overall framework of Zhang Zhongjing's prescription principles. Zhang Zhongjing is the ancestor of formula creation; these three herbs serve as the starting point for numerous formulas.
[Flavor and Nature] Sweet and acrid, neutral in nature, non-toxic.
[Indications] Primarily treats Xiao Ke (Wasting and Thirsting Syndrome, characterized by excessive thirst, hunger, urination, and emaciation), high fever, vomiting, various Bi Syndromes (obstruction syndromes caused by wind, cold, or dampness leading to pain, numbness, or stiffness in joints and muscles), raises Yin Qi, and resolves various toxins.
[Verification] It is said that this plant is one of the nine grasses eaten by deer. It grows in Fujian, Guangdong, Jiangsu, and Zhejiang, and is found everywhere. There are wild varieties and cultivated ones. Sprouts emerge in spring, with vines extending and creeping, reaching two or three zhang in length. Harvesting and processing methods vary according to local soil conditions to distinguish between superior and inferior quality. The leaves have three points, resembling maple leaves but longer, with a verdant green color. Flowers bloom in July in spikes, densely clustered, purple-pink in color, similar to pea flowers. The fruit resembles small soybeans, with hairy pods containing green, flat seeds like salt plum pits. Chewing them raw yields a fishy odor; this is what the Shennong Bencao Jing refers to as "Ge Gu" (Pueraria Seeds). The root is as thick as an arm, purple on the outside and white inside, eight or nine chi long. Those growing deepest in the soil are considered the best. Collected on the fifth day of the fifth lunar month and dried in the sun, it can detoxify wild Ge (Aristolochia debilis), Croton Seed (Badou), and poisons from hundreds of medicines.
My late father once said: Externally it exhibits Yang characteristics while internally possessing Yin nature, symbolizing the gradual growth of Yin energies, transforming heat into coolness.
[Commentary] Reading the indications in the Shennong Bencao Jing and combining them with Zhang Zhongjing's Ge Gen Tang method, we see this is a herb treating via the Qi transformation of the Middle View (Zhong Jian) of the Yangming channel. It is stated that the upper aspect of the Yangming channel is governed by Dryness transformation. It does not solely follow the Four Qi (Cold, Heat, Warmth, Coolness) of its Root Qi, nor merely the Biao Yang (Exterior Yang) of Er Yang (Taiyang and Shaoyang), but rather follows the Dampness transformation of its Zhong Jian Taiyin (Spleen/Stomach). For instance, Xiao Ke, high fever, closure-reversal (He Ni), vomiting due to heat reversal, or various toxins due to pathogenic stagnation or heat stagnation—these occur because the Yin Qi of the Zhong Jian fails to rise, causing extreme dryness and depletion in the upper aspect of the Yangming channel. The spreading vines clearly display its nature; the root possesses internal Yin-moistening properties. None surpass it in embodying the entirety of the Upper, Middle, and Lower aspects of the Yangming channel. Therefore, it can treat via the Zhong Jian Qi transformation, withdrawing various Bi Syndromes. Once Bi is withdrawn, the Zhong Jian Qi connects above and below, obeying commands. This is using chemical transformation to resolve other transformations, and using transformation to resolve rebellious Qi. If used to treat the Root (Ben), particularly when Wind is predominant, since Wood (Wind) inevitably disturbs the Spleen Earth's Dampness transformation, restoring Spleen Earth's transport function will extinguish the Wind. There is no need to separately pair Jia (Wood/Liver-Gallbladder) and Ji (Earth/Spleen-Stomach) to achieve chemical combination, nor is there a need to generate Metal (Lung-Large Intestine) to revenge the Mother (Five Elements theory). Its inherent Acrid flavor serves as Jia; its combined Sweet flavor serves as Ji. Dampness transformation is also Ji; its form resembling muscle and interstices is also Ji. White color serves as Metal; Acrid taste is also Metal; Fishy/Foul odor is also Metal; tough and strong vines are also Metal. If used to treat the Branch (Biao), particularly focusing on Er Yang (which is Yangming). Regarding disease location deployment, it has already deeply entered the secondary position after Taiyang, which is Yangming. Regarding physical layers, it has penetrated into the muscular divisions between the first layer of skin and the second layer of epidermis. If pathogens remain in the Taiyang deployment, they must involve the Yangming aspect of Taiyang; if pathogens remain in the Taiyang physical layer, they must involve the muscular division of Taiyang. Even Zheng Yang Yangming (Positive Yang Yangming) belongs to external syndrome spreading pathogens, not internal solid accumulation. However, if the constitution is inherently Yin-moist, or if Cold Root/Damp Root governs the Qi, or if Cold Transformation Biao Yin dominates, caution should be exercised. Or if the pathogen is at the beginning of the deployment, not necessarily due to excessive Wood/Wind; or if the pathogen is in the superficial skin layer, without yet forming a trend toward heat conversion, invasion by bandits (pathogens) is inevitable. People not only regard it as a mild and superficial herb but also use it to treat severe cold conditions, which is likely inappropriate.
(The term "Bi" in the Shennong Bencao Jing differs from Bi caused by Wind-Cold-Dampness combination. Conditions like Xiao Ke, fever, vomiting, failure of Yin Qi to rise, and various toxins are also termed Bi, hence it says...)
(Xian Ming refers to Yangming; In Zhong refers to the Zhong Jian/Middle View.)
(Chemical Transformation refers to the regulation of Upper Dryness by Middle Dampness.)