泻热,润燥,软坚
辛甘而冷。去胃中之实热,荡肠中之宿垢。润燥破结,消肿明目(血热去,则肿消而目
明。昂按∶泻痢不止,用大黄元明粉以推荡之,而泻痢反止。盖宿垢不净,疾终不除,经所
谓通因通用也)。朴硝煎化用莱菔煮,再用甘草煎,入罐火 ,以去其咸寒之性,阴中有阳
,性稍和缓。大抵用代朴硝,若胃虚无实热者禁用。俱忌苦参。
泻热,补阴
太阴之精,咸寒而降。治上盛下虚,救阴助阳,有扶危拯逆之功(正阳丹,用治伤寒壮
热。来复丹,用治伏暑热泻)。出解池、通泰积盐处,咸卤所结,青白莹彻,片皆六棱者良
。今世用者,多是绛石。
重,涩,固大小肠
甘而温,故益气生肌而调中。酸而涩,故收湿(《独行方》∶ 末,治小儿脐中汁出、
赤肿)止血而固下(《经疏》云∶大、小肠下后虚脱,非涩剂无以固之。其他涩药轻浮,不
能达下,惟赤石脂体重而涩,直入下焦阴分,故为久痢、泄癖要药。仲景桃花汤用之,加干
姜、粳米)。疗肠癖泄痢,崩带遗精,痈痔溃疡,收口长肉,催生下胞(《经疏》云∶能去恶
血,恶血化,则胞胎无阻。东垣云∶胞胎不出,涩剂可以下之。又云∶固肠、胃有收敛之能,
下胎衣无推荡之峻)。细腻粘舌者良。赤入血分,白入气分(五色石脂入五脏)。研粉,水飞
用。恶芫花。畏大黄。
Clear heat, moisten dryness, and soften hardness.
Pungent, sweet, and cold in nature. It removes excess heat from the stomach and sweeps away accumulated fecal matter in the intestines. It moistens dryness, breaks up accumulations, reduces swelling, and improves vision (when blood-heat is cleared, swelling subsides and vision becomes clear. Wang Ang notes: For persistent diarrhea and dysentery, using Da Huang (Rhubarb) and Yuan Ming Fen (Mirabilite) to push out stagnation can actually stop the diarrhea and dysentery. This is because if the accumulated filth is not cleared, the disease will never be eradicated; this is what the Classics refer to as "treating obstruction with unblocking methods" or "using purgatives for diarrhea"). Piao Xiao (Mirabilite) is dissolved by boiling with Lai Fu (Radish), then decocted with Gan Cao (Licorice Root), and calcined in a jar over fire to remove its salty-cold property, making it yin-containing-yang, with a slightly milder nature. Generally, it can be used as a substitute for Piao Xiao, but it is contraindicated for those with deficient stomach qi and no excess heat. Both are incompatible with Ku Shen (Sophora Root).
Clear heat, nourish yin.
It is the essence of Taiyin, salty, cold, and descending. It treats conditions of excess above and deficiency below, rescues yin and assists yang, and has the merit of supporting critical conditions and reversing adverse states (Zheng Yang Dan is used to treat high fever caused by Shang Han [Cold Damage]; Lai Fu Dan is used to treat heat-induced diarrhea due to latent summer-heat). It originates from salt accumulation areas such as Jie Chi and Tong Tai, formed by the crystallization of saline water. Those that are greenish-white, crystal clear, and have six edges on each flake are considered superior. What is currently used in the market is mostly counterfeit Jiang Shi (Red Hematite).
Heavy, astringent, and consolidating the Large and Small Intestines.
Sweet and warm in nature, thus it tonifies qi, generates flesh, and harmonizes the middle jiao. Sour and astringent, thus it dries dampness (The Lone Journey Formula records: powdered form treats oozing and red swelling in infants' umbilical cords). Stops bleeding and consolidates the lower body (Jing Shu states: After severe diarrhea, when the Large and Small Intestines suffer from collapse due to deficiency, only astringents can consolidate them. Other astringent herbs are light and floating and cannot reach the lower jiao; only Chi Shi Zhi (Red Halloysite) is heavy and astringent, entering directly into the yin aspect of the lower jiao, making it an essential herb for chronic dysentery and abdominal masses. Zhang Zhongjing uses it in Tao Hua Tang [Peach Blossom Decoction], adding Gan Jiang (Dried Ginger) and Jing Mi (Rice)]. It treats intestinal wind with bloody stool, diarrhea and dysentery, metrorrhagia, leukorrhea, spermatorrhea, sores, hemorrhoids, and ulcers; promotes wound closure and tissue regeneration; and induces labor/expulsion of the placenta (Jing Shu states: It can eliminate evil blood; once the evil blood is transformed, there is no obstruction to the fetal sac. Li Dongyuan states: If the placenta fails to descend, astringents can be used to expel it. He also says: While it has a收敛 [astringent/consolidating] ability for the intestines and stomach, it lacks the harsh pushing-down action required to expel the placenta). Those that are fine, smooth, and sticky to the tongue are of good quality. Red enters the blood level, white enters the qi level (Five-colored Shi Zhi corresponds to the five zang organs). Grind into powder and use after water-trituration (shui fei). Incompatible with Yuan Hua (Genkwa Flower). Averse to Da Huang (Rhubarb).