燥,劫痰涎,外用杀虫
辛冷(时珍曰∶燥有毒)。杀虫治疮,劫痰消积(能消涎积。十枣汤加大黄、牵牛、轻
粉,名三化神 散),善入经络,螈 药多用之。不可过服常用(时珍曰∶水银阴毒,用火
丹砂而出。再加盐、矾,炼为轻粉。轻扬燥烈,走而不守,今人用治杨梅毒疮。虽能劫风
痰湿热从牙龈出,邪郁暂解,然毒瓦斯窜入经络,筋骨血液耗亡,筋失所养,变为筋挛骨痛。
痈肿疳漏,遂成废痼,贻害无穷。上下齿龈,属手足阳明肠胃经。毒瓦斯循经上行,至齿龈薄
嫩之处而出)。土茯苓、黄连、黑铅、铁浆、陈酱能制其毒。
重,明目
甘酸而寒。益肝明目,通窍利水。产铜坑中。大块、中空有水者良。
补中
甘平属金,色白入肺。下气补中,坚肌续绝。治劳伤疟痢,疮肿痈疽(同黄丹熬膏贴之
。《千金翼》∶用敷金疮。青城山人康道丰,有云母粉方,能治百病)。有五色,以色白光
莹者为上。古人亦有炼服者(云母入火,经时不焦,入土不腐,故云服之长生)。使泽泻。
恶羊肉。
体重,泻火气,轻,解肌
甘辛而淡,体重而降。足阳明经(胃)大寒之药。色白入肺,兼入三焦(诸经气分之药)。
寒能清热降火,辛能发汗解肌,甘能缓脾益气,生津止渴。治伤寒郁结无汗,阳明头痛,
发热恶寒,日晡潮热。肌肉壮热(经云∶阳盛生外热),小便赤浊,大渴引饮,中暑自
汗(能发汗,又能止自汗),舌焦(胎浓无津)牙痛(阳明经热,为末擦牙固齿)。又胃
主肌肉,肺主皮毛,为发斑、发疹之要品(色赤如锦纹者为斑,隐隐见红点者为疹,斑
重而疹轻。率由胃热,然亦有阴阳二证,阳证宜用石膏。又有内伤阴证见斑疹者,微红
而稀少,此胃气极虚,逼其无根之火游行于外,当补益气血,使中有主,则气不外游,
血不外散,若作热治,死生反掌,医者宜审),但用之甚少,则难见功(白虎汤以之为
君,或自一两加至四两,竹叶、麦冬、知母、粳米,亦加四倍,甚者加芩、连、柏,名
三黄石膏汤,虚者加人参,名人参白虎汤)。然能寒胃,胃弱血虚及病邪未入阳明者禁
用(成无己解大青龙汤曰∶风、阳邪伤卫,寒,阴邪伤营,营卫阴阳俱伤,则非轻剂所
能独散,必须重轻之剂同散之,乃得阴阳之邪俱去,营卫俱和,石膏乃重剂,而又专达
肌表也。质重气轻,又成氏以桂麻为轻剂,石膏为重剂也。东垣曰∶石膏足阳明药,仲
景用治伤寒阳明证,身热、目痛、鼻开、不得卧,邪在阳明,肺受火制,故用辛寒以清
肺气,所以有白虎之名,肺主西方也。按∶阳明主肌肉,故身热;脉交额中,故目痛;
脉起于鼻,循鼻外,金燥,故鼻干;胃不和,则卧不安,故不得卧。
然亦有阴虚发热,及脾胃虚劳,伤寒阴盛格阳、内寒外热、类白虎汤证、误投之不可救
也。
按阴盛格阳,阳盛格阴二证,至为难辨,盖阴盛极而格阳于外,外热而内寒;阳盛极而格阴
于外,外冷而内热。经所谓重阴必阳,重阳必阴,重寒则热,重热则寒是也。当于小便分之
,便清者,外虽燥热,而中实寒;便赤者,外虽厥冷,而内实热也。再看口中之燥润,及舌
苔之浅深,胎黄、黑者为热,宜白虎汤;然亦有舌黑属寒者,舌无芒刺,口有津液也,急宜
温之,误投寒剂即死矣)。亦名寒水石(时珍曰∶古方所用寒水石是凝水石,唐、宋诸方用
寒水石即石膏。凝水石乃盐精渗入土中,年久结成,清莹有棱,入水即化。辛咸大寒,治时
气热盛,口渴水肿)莹白者良。研细,甘草水飞用。近人因其寒,或用火 ,则不伤胃,味
淡难出。若入煎剂,须先煮数十沸,鸡子为使。忌巴豆、铁。
[Properties and Actions]
Pungent, cold (Li Shizhen stated: dry, toxic). Kills parasites and treats sores; eliminates phlegm and resolves accumulation (can eliminate phlegmatic accumulation. Adding Da Huang, Qian Niu, and Qing Fen to Shi Zao Tang is called San Hua Shen San), enters the meridians well, and is frequently used in formulas treating spasms. Do not overdose or use for long periods (Li Shizhen stated: Mercury Yin is toxic; it is extracted from Cinnabar using fire. With added salt and alum, it is refined into Qing Fen. Its nature is light, dry, and acrid; it moves freely without staying put. Currently, people use it to treat yaws. Although it can force wind-phlegm-damp-heat out through the gums, temporarily relieving pathogenic stagnation, the toxin invades the meridians, depleting the sinews, bones, and blood. The sinews lose nourishment, leading to tendon spasms and bone pain. Abscesses, gan ulcers, and fistulas become chronic disabilities, causing endless harm. The upper and lower gingiva belong to the Hand and Foot Yangming Stomach and Large Intestine meridians. Toxins ascend along the meridians and exit at the thin and tender gingival tissue. Tu Fu Ling, Huang Lian, Hei Qian, Tie Jiang, and Chen Jiang can restrain its toxicity.)
[Heavy Gypsum - Chong Shi Gao]
Heavy, brightens the eyes.
Sweet, sour, cold. Benefits the Liver, brightens the eyes, opens orifices, and promotes urination. Produced in copper mines. Those that are large, hollow in the center, and contain water are of good quality.
[Yun Mu - Mica]
Tonifies the Middle Jiao.
Sweet, neutral, associated with Metal, white color enters the Lung. Descends Qi, tonifies the Middle, strengthens muscles, and reconnects severed tissues. Treats labor injury, malaria, dysentery, abscesses, and carbuncles (boiled with Huang Dan to make a paste for external application. *Qian Jin Yi Fang*: used for dressing metal wounds. Kang Daofeng, a hermit from Qingcheng Mountain, had a formula of Yun Mu powder that could treat hundred diseases). There are five colors; those that are white and lustrous are superior. Ancients also refined and ingested it (Mica does not burn even after long exposure to fire, nor does it rot when buried in soil, hence it was said to promote longevity). Paired with Ze Xie. Adverse to mutton.
[Raw Gypsum - Sheng Shi Gao]
Heavy weight, drains Fire Qi; light texture, releases the muscle layer.
Sweet, pungent, bland; heavy in texture and descending. It is a great-cold herb for the Foot Yangming (Stomach) meridian. White color enters the Lung; it also enters the San Jiao (it is an herb for regulating Qi in all meridians). Coldness clears heat and descends fire; pungency induces sweating and releases the muscle layer; sweetness moderates the Spleen, benefits Qi, generates fluids, and stops thirst. It treats Shaoyang constraint with no sweat, Yangming headache, fever with aversion to cold, afternoon tidal fever. Muscular high fever (The Classic states: Excess Yang generates external heat); red and turbid urine, extreme thirst with desire to drink; summerheat stroke with spontaneous sweating (can induce sweating but also stop spontaneous sweating); scorched tongue (thick coating without fluid); toothache (Yangming meridian heat; powdered and applied to teeth to strengthen them). Furthermore, since the Stomach governs muscles and the Lung governs skin and hair, it is a key herb for treating macules and papules (Red like brocade patterns are macules; faint red spots are papules; macules are severe, papules are mild. Mostly caused by Stomach heat, but there are both Yin and Yang syndromes. For Yang syndromes, Shi Gao is suitable. In cases of internal injury Yin syndrome presenting with macules/papules, they are faint red and sparse, indicating extreme deficiency of Stomach Qi forcing rootless Fire to wander externally. One should tonify Qi and Blood to provide an internal anchor, preventing Qi from wandering and Blood from scattering. If treated as Heat, death or life depends on a moment's decision; physicians must be cautious). However, if used in small doses, efficacy is hard to achieve (Bai Hu Tang uses it as the Sovereign herb, increasing from 1 liang to 4 liang; Zhu Ye, Mai Dong, Zhi Mu, and Jing Mi are increased fourfold; in severe cases, Huang Qin, Huang Lian, and Huang Bo are added, called San Huang Shi Gao Tang; for deficiency, Ren Shen is added, called Ren Shen Bai Hu Tang). Yet it can chill the Stomach; it is contraindicated in weak Stomach, Blood deficiency, and when pathogens have not entered the Yangming meridian (Cheng Wuji explained Da Qing Long Tang: Wind, a Yang pathogen, injures Wei Qi; Cold, a Yin pathogen, injures Ying Blood. When Ying, Wei, Yin, and Yang are all injured, light agents alone cannot disperse them; heavy and light agents must be used together to disperse both Yin and Yang pathogens, harmonizing Ying and Wei. Shi Gao is a heavy agent that specifically reaches the muscle surface. Heavy in substance but light in Qi, Cheng classified Gui Zhi and Ma Huang as light agents and Shi Gao as a heavy agent. Dong Yuan stated: Shi Gao is a Foot Yangming herb. Zhong Jing used it to treat Yangming syndrome of Shang Han, characterized by fever, eye pain, nasal dryness, and inability to sleep. The pathogen is in Yangming, and the Lung is constrained by Fire, so pungent-cold herbs are used to clear Lung Qi, hence the name Bai Hu (White Tiger), as the Lung governs the West. Note: Yangming governs muscles, hence fever; meridians intersect at the forehead, hence eye pain; meridians originate at the nose and run along the lateral side, Metal is dry, hence nasal dryness; Stomach disharmony leads to restless sleep, hence inability to sleep.
However, there are also Yin deficiency with fever, Spleen/Stomach deficiency exhaustion, and Shang Han Yin excess repelling Yang (internal cold with external heat) or conditions resembling Bai Hu Tang syndrome; misapplication here is incurable.
Note: Yin excess repelling Yang and Yang excess repelling Yin are extremely difficult to differentiate. When Yin excess is extreme, it repels Yang outward, resulting in external heat but internal cold; when Yang excess is extreme, it repels Yin outward, resulting in external cold but internal heat. This corresponds to the Classic saying: Extreme Yin transforms to Yang, extreme Yang transforms to Yin; extreme cold becomes heat, extreme heat becomes cold. Differentiation should be based on urination: clear urine indicates external dryness/heat but internal actual cold; red urine indicates external cold limbs but internal actual heat. Also observe moisture in the mouth and depth of tongue coating: yellow or black coating indicates heat, suitable for Bai Hu Tang; however, black coating can also indicate cold if there are no prickles on the tongue and saliva is present. In such cases, warming is urgent; misusing cold herbs will cause death). Also known as Han Shui Shi (Li Shizhen stated: Ancient formulas referred to Ning Shui Shi as Han Shui Shi; Tang and Song formulas referred to Shi Gao as Han Shui Shi. Ning Shui Shi is formed when salt essence penetrates the soil over years, crystallizing clearly with edges, dissolving instantly in water. Pungent, salty, great-cold; treats epidemic heat excess, thirst, and edema). Those that are clear and white are best. Finely ground and processed by levigation with Gan Cao water. Modern practitioners, due to its coldness, sometimes calcine it with fire to prevent stomach injury, but this makes the flavor bland and active ingredients hard to extract. If decocted, it must be boiled first for dozens of boils; Ji Zi (Egg White) is the guide. Contraindicated with Ba Dou and Iron.