\r藜芦\ph238.bmp\r,生泰山山谷,今陕西、山南东西州郡皆有之。三月生苗;叶青,
似初出棕心,又似车
前;茎似葱白,青紫色,高五、六寸,上有黑皮裹茎,似棕皮;其花肉红色;根似马肠根,
长四、五寸许,黄白色;二月、三月采根,阴干。此有二种∶一种水藜芦,茎叶大同,只是
生在近水溪涧石上,根须百余茎,不中入药用。今用者名葱白藜芦,根须甚少,只是三、二
十茎,生高山者为佳,均州土俗亦呼为鹿葱。此药大吐上膈风涎,暗风痫病,小儿 。
用
钱匕一字,则恶吐人。又用通顶,令人嚏。而古经本草云∶疗呕逆,其效未详。今萱草亦谓
之鹿葱,其类全别,主疗亦不同耳。
乌头、乌喙,生朗陵山谷。天雄生少室山谷。附子、侧子生犍为山谷及广汉,今并出蜀
土。
然四品都是一种所产,其种出于龙州。种之法∶冬至前,先将肥腴陆田耕五、七遍,以猪粪
粪之,然后布种,遂月耘耔,至次年八月后方成。其苗高三、四尺以来,茎作四棱,叶如艾
,花紫碧色作穗,实小紫黑色如桑椹。本只种附子一物,至成熟后有此四物,收时仍一处造
酿方成。酿之法∶先于六月内,踏造大、小麦曲,至收采前半月,预先用大麦煮成粥,后将
上件曲造醋,候熟淋去糟。其醋不用太酸,酸则以水解之。便将所收附子等去根须,于新洁
瓮内淹浸七日,每日搅一遍,日足捞出,以弥疏筛摊之,令生白衣。后向慢风日中晒之百十
日,以透干为度。若猛日晒,则皱而皮不附肉。其长三、二寸者,为天雄。割削附子旁尖芽
角为侧子,附子之绝小者亦名为
\r侧子\ph239.bmp\r。元种者,母为乌头。其余大小者皆为附子。以八角者
为上。如方药要用,须炮令裂去皮脐,使之。绵州彰明县多种之,惟赤水一乡者最佳,然收
采时月与《本经》所说不同。盖今时所种如此。其内地所出者,与此殊别,今亦稀用。谨按
《本经》冬采为附子,春采为乌头。而《广雅》云∶奚毒,附子也。一岁为 (与侧同)子,
二岁为乌喙,三岁为附子,四岁为乌头,五岁为天雄。今一年种之,便有此五物,岂今人种
莳之法,用力倍至,故尔繁盛也。虽然药力当缓,于岁久者耳。崔氏治寒疝心腹胁引痛,诸
药不可近者,蜜煎乌头主之。以乌头五枚大者,去芒角及皮,四破,以白蜜一斤,煎令透润
,
取出焙干,捣筛,又以熟蜜丸,冷盐汤吞下二十丸如梧子,永除。又法∶用煎乌头蜜汁,以
桂枝汤五合解之。饮三合不知,加五合。其知者如醉,以为中病。《续传信方》治阴毒伤寒
烦躁,迷闷不知悟人,急者用大附子一个,可半两者,立劈作四片,生姜一大块,立劈作三
片,如中指长,糯米一撮,三味以水一升,煎取六合,去滓,如人体温,顿服,浓衣覆之。
或汗出,或不出,候心神定,即别服水解散,太白通关散之类,不得与冷水。如渴,更将滓
煎与吃。今人多用有效,故详着之。
Lilü (Veratrum nigrum), grows in the valleys of Mount Tai. It is now found in various prefectures of Shaanxi and Shan-nan East/West circuits. Seedlings emerge in March; leaves are green, resembling the emerging heart of a palm or Plantago asiatica (Cheqiancao); stems resemble scallion whites, are blue-purple, 5-6 cun high, covered with black skin like palm bark; flowers are fleshy red; roots resemble horse intestine roots, about 4-5 cun long, yellowish-white; roots are harvested in February-March and dried in shade. There are two types: one is Shuililu (Water Lilü), with similar stems and leaves, but grows on rocks near streams; its roots have over a hundred fibrils and are not suitable for medicinal use. The current variety used is called Congbaililu (Scallion White Lilü), having few root fibrils (only 20-30), with those from high mountains being superior; it is also locally known as Luchong in Junzhou. This herb induces strong vomiting to expel wind-phlegm from the upper jiao, treats hidden wind epilepsy and pediatric convulsions. A dose of one character measured with a coin spatula causes severe emesis. It can also be used nasally to induce sneezing. Ancient materia medica texts claim it treats retching, though efficacy is unclear. Note that Xuancao (Daylily) is also called Luchong, but belongs to a completely different category with distinct therapeutic actions.
Wutou (Aconitum carmichaelii lateral root prepared), Wuwei (Aconitum carmichaelii lateral root bud), grow in the valleys of Langling. Tianxiong (Aconitum carmichaelii lateral root dried whole), grows in the valleys of Mount Shaoshi. Fuzi (Aconitum carmichaelii lateral root prepared), Cizi (Aconitum carmichaelii lateral root bud), grow in the valleys of Jianwei and Guanghan; currently all originate from Shu region. These four varieties come from the same plant source, with seeds produced in Longzhou. Cultivation method: Before Winter Solstice, plow fertile dry land 5-7 times, apply pig manure as fertilizer, then sow seeds. Weeding and hilling are performed monthly until maturity in August of the following year. Seedlings reach 3-4 chi in height; stems are quadrangular; leaves resemble Artemisia argyi (Aiye); flowers are purple-blue and spike-like; fruits are small, purple-black, resembling mulberries. Originally only Fuzi was cultivated; upon maturity, these four forms appear. They are processed together after harvest. Processing method: In June, prepare Daqu and Xiaomaiqu (large and wheat yeast starters). Half a month before harvest, cook barley into porridge, then use the previously prepared qu to make vinegar. Filter off dregs when fermentation is complete. Vinegar should not be too sour; dilute with water if necessary. Soak harvested Fuzi (after removing rootlets) in clean earthenware jars for seven days, stirring daily. Remove, spread on fine sieves to allow growth of white mycelium ("white clothes"). Dry in gentle sun for 100+ days until thoroughly dry. Intense sun exposure causes wrinkling and separation of skin from flesh. Those 2-3 cun long are Tianxiong. Side buds cut from Fuzi are Cizi; the smallest Fuzi are also called Cizi. The original planted tuber is Wutou. Others are classified as Fuzi based on size. Octagonal ones are superior grade. For medicinal use, they must be processed (pao) until cracked, skin and umbilicus removed. Zhangming County in Mianzhou cultivates them extensively; those from Chishui are best. Harvest timing differs from Benjing due to modern cultivation practices. Indigenous varieties differ significantly and are rarely used now. According to Benjing, winter harvest yields Fuzi, spring harvest yields Wutou. Guangya states: Xidu is Fuzi. One-year-old plants yield Cizi, two-year-old yield Wuwei, three-year-old yield Fuzi, four-year-old yield Wutou, five-year-old yield Tianxiong. Modern cultivation yields all five in one year, likely due to intensified labor and methods. However, potency is generally considered higher in older specimens. Cui Shi treats cold hernia with pain radiating from heart/abdomen to hypochondrium, resistant to other herbs, using Honey-fried Wutou. Five large Wutou, de-horned and peeled, cut into quarters, fried in 1 jin white honey until moist, dried, powdered, and formed into pills with mature honey. Take 20 pills (size of wutong seeds) with cold salt water for permanent cure. Alternative method: Dissolve honey-fried Wutou juice in 5 he Gui Zhi Tang. If no effect after 3 he, increase by 5 he. Effect is indicated by a drunken sensation, signifying the medicine has reached the disease site. Xu Chuanchuan Fang treats Yin-Du Shanghan (Yin-toxin Cold Damage) with restlessness and coma. Emergency treatment: Use one large Fuzi (~half liang), split into four pieces; one large piece of ginger (approx. middle finger length), split into three pieces; a pinch of glutinous rice. Decoct in 1 sheng water to obtain 6 he. Strain, warm to body temperature, administer at once, cover with thick clothing. Sweating may or may not occur. Once spirit settles, administer Shuijie San or Taibai Tongguan San. Prohibit cold water intake. If thirsty, decoct the dregs again for drinking. This method is widely effective today, hence recorded in detail.