气味甘,微温,无毒。主痈疽,久败疮,排脓止痛,大风癞疾,五痔鼠 ,补虚,小
儿百病。
(黄 生于西北,得水泽之精,其色黄白,紧实如箭竿,折之柔韧如绵,以出山西之绵
上者为良,故世俗谓之绵黄
,或者只以坚韧如绵解之,非是。)
黄 色黄,味甘,微温。禀火土相生之气化。土主肌肉,火主经脉,故主治肌肉之痈,
经脉
之疽也。痈疽日久,正气衰微,致三焦之气不温肌肉,则为久败疮。黄 助三焦出气,以温
肌肉,故可治也。痈疽未溃,化血为脓,痛不可忍,黄 补气助阳,阳气化血而排脓,脓排
则痛止。大风癞疾,谓之疠疡,乃风寒客于脉而不去,鼻柱坏而色败,皮肤溃癞者是也。五
痔者,牡痔、牝痔、肠痔、脉痔、血痔,是热邪淫于下也;鼠 者,肾脏水毒,上淫于脉,
致颈项溃肿,或空或凸,是寒邪客于上也。夫癞疾、五痔、鼠 ,乃邪在经脉,而证见于肌
肉皮肤。黄 内资经脉,外资肌肉,是以三证咸宜。又曰补虚者,乃补正气之虚,而经脉调
和,肌肉充足也。小儿经脉未盛,肌肉未盈,血气皆微,故治小儿百病。
气味甘温,无毒。治风寒湿痹、死肌、痉、疸,止汗、除热、消食,作煎饵。久服,
轻身延年不饥。
(术始出南郑山谷,今处处有之,以嵩山、茅山及野生者为胜。其根皮黄,肉白,老则
苍赤
,质多膏液,有赤白二种。《本经》未分,而汉时仲祖汤方始有赤术、白术之分,二术性有
和暴之殊,用有缓急之别。)
(按∶《本经》单言曰术,确是白术一种,苍术固不可以混也,试取二术之苗、叶、根、
茎
白术近根之叶,每叶三岐,略似半夏,其上叶绝似棠梨叶,色淡绿不光。苍术近根之叶,作
三五叉,其上叶则狭而
长,色青光润。白术茎绿,苍术茎紫。白术根如人指,
亦有大如拳者,皮褐色,肉白色,老则微红。苍术根如老姜状,皮色苍褐,肉色黄,老则有
朱砂点。白术味始甘,次微辛,后乃有苦。苍术始甘,次苦,辛味特胜。白术性和而不烈,
苍术性燥而烈,并非一种可知。后人以其同有术名,同主脾胃,其治风寒湿痹之功亦相近,
遂谓《本经》兼二术言之,盖未尝深辩耳;观《本经》所云止汗二字,唯白术有此功,用苍
术反是写得相混耶。白术之味,《本经》云苦,陶弘景云甘,甄权云甘辛,张杲云味苦而甘
,今取浙中所产白术尝之,实兼甘辛苦三味。夏采者,辛多甘少,冬采者,甘多辛少,而后
皆归于苦。是知诸说各举其偏,而未及乎全也。隐庵于《本经》原文定苦字为甘字,爰以白
术为调和脾土之品,甘是正味,苦乃兼味,故采弘景之说,以订正之耳。)
白术气味甘温,质多脂液,乃调和脾土之药也。主治风寒湿痹者,《素问·痹论》云∶
风寒
湿三气杂至,合而为痹。白术味甘,性温,补益脾土,土气营运,则肌肉之气外通皮肤,内
通经脉,故风寒湿之痹证皆可治也。夫脾主肌肉,治死肌者,助脾气也。又脾主四肢,痉者
,四肢强而不和。脾主黄色,疸者,身目黄而土虚。白术补脾,则痉疸可治也。止汗者,土
能胜湿也。除热者,除脾土之虚热也。消食者,助脾土之转运也。作煎饵者,言白术多脂,
又治脾土之燥,作煎则味甘温而质滋润,土气和平矣。故久服则轻身延年不饥。
愚按∶太阴主湿土而属脾,为阴中之至阴,喜燥恶湿,喜温恶寒。然土有湿气,始能灌
溉四
旁,如地得雨露,始能发生万物。若过于炎燥,则止而不行,为便难脾约之证。白术作煎饵
,则燥而能润,温而能和,此先圣教人之苦心,学人所当体会者也。
[Flavor, Properties, and Actions]
The flavor is sweet, the nature is slightly warm, and it is non-toxic. It primarily treats carbuncles and sores (Yong Ju), long-standing ulcerated wounds, expels pus, relieves pain, treats severe wind-leprosy (Ma Feng), five types of hemorrhoids, and rat fistula (Shu Lou - cervical lymphadenitis). It tonifies deficiency and treats various diseases in children.
(Bai Zhu grows in the northwest, absorbing the essence of water and marshes. Its color is yellowish-white, its texture is dense and solid like an arrow shaft, and it is flexible and tough like cotton when broken. The variety produced in Mianshang, Shanxi, is considered superior, hence commonly called "Mian Zhu". Some interpret it solely based on its toughness like cotton, which is incorrect.)
Bai Zhu is yellow in color, sweet in flavor, and slightly warm in nature. It embodies the qi transformation of fire generating earth. Earth governs muscles, and fire governs meridians; therefore, it treats carbuncles affecting muscles and sores affecting meridians. When carbuncles and sores persist for a long time, righteous qi becomes weak, causing the qi of the San Jiao to fail to warm the muscles, resulting in chronic, unhealing ulcers. Bai Zhu assists the San Jiao in emitting qi to warm the muscles, thus treating this condition. Before carbuncles and sores rupture, blood transforms into pus, causing unbearable pain. Bai Zhu tonifies qi and assists yang; yang qi transforms blood and expels pus. Once pus is expelled, pain ceases. Severe wind-leprosy, known as Li Yang, occurs when wind-cold pathogens lodge in the meridians and do not depart, leading to the collapse of the nasal bridge, deterioration of complexion, and skin ulceration with leprosy-like lesions. The five types of hemorrhoids—Mu Zhong, Pin Zhong, Chang Zhong, Mai Zhong, and Xue Zhong—are manifestations of heat pathogens overflowing downward. Rat fistula (Shu Lou) results from kidney water toxins overflowing upward into the meridians, causing swelling and ulceration in the neck and nape, presenting as either hollow or protruding lesions, caused by cold pathogens lodging upward. These three conditions—leprosy, five hemorrhoids, and rat fistula—have pathogens in the meridians but manifest symptoms in the muscles and skin. Bai Zhu nourishes meridians internally and muscles externally, making it suitable for all three syndromes. The phrase "tonifies deficiency" refers to replenishing the deficiency of righteous qi, harmonizing the meridians, and enriching the muscles. Children's meridians are not yet robust, their muscles are not full, and their blood and qi are both weak; therefore, Bai Zhu treats various pediatric diseases.
[Continuation of Flavor, Properties, and Actions]
The flavor is sweet and warm, and it is non-toxic. It treats Bi syndrome caused by wind-cold-dampness, dead flesh (numb/stiff skin), spasms, jaundice, stops sweating, clears heat, aids digestion, and can be prepared as a decoction paste. Long-term consumption lightens the body, prolongs life, and prevents hunger.
(Bai Zhu originally grew in the valleys of Nanzheng and is now found everywhere. The varieties from Songshan, Maoshan, and wild ones are superior. The root skin is yellow, the flesh is white, and upon aging, it turns dark red. The texture contains much gum/resin, and there are two types: red and white. The *Shennong Bencao Jing* did not distinguish them, but during the Han Dynasty, Zhang Zhongjing's prescriptions began to differentiate between Chi Zhu (Red Atractylodes) and Bai Zhu (White Atractylodes). These two have differences in nature (mild vs. fierce) and usage (slow-acting vs. urgent).)
(Note: The *Shennong Bencao Jing* mentions only "Zhu," which definitely refers to Bai Zhu. Cang Zhu should absolutely not be confused with it. Comparing the seedlings, leaves, roots, and stems of the two: Bai Zhu leaves near the root are trifoliate, resembling Ban Xia, with upper leaves similar to Tang Li leaves, pale green and dull. Cang Zhu leaves near the root are palmately lobed (3-5 divisions), with narrow, long upper leaves that are bluish-green and glossy. Bai Zhu stems are green; Cang Zhu stems are purple. Bai Zhu roots are finger-sized, sometimes fist-sized, with brown skin and white flesh, turning slightly red when old. Cang Zhu roots resemble old ginger, with dark brown skin and yellow flesh, showing cinnabar spots when old. Bai Zhu tastes sweet initially, then slightly pungent, followed by bitter. Cang Zhu tastes sweet initially, then bitter, with a particularly strong pungency. Bai Zhu has a mild and gentle nature, while Cang Zhu is dry and fierce; they are clearly different herbs. Later generations, noting they share the name "Zhu," both treat the Spleen and Stomach, and have similar effects on wind-cold-damp Bi, assumed the *Jing* referred to both. This likely stems from a lack of deep discrimination. The term "stops sweating" in the *Jing* applies only to Bai Zhu; using Cang Zhu has the opposite effect. Were they mixed up? Regarding Bai Zhu's flavor, the *Jing* says bitter, Tao Hongjing says sweet, Zhen Quan says sweet-pungent, and Zhang Gao says bitter-sweet. Tasting Zhejiang-grown Bai Zhu reveals it possesses sweet, pungent, and bitter flavors. Summer-harvested Bai Zhu has more pungent than sweet notes; winter-harvested has more sweet than pungent, but both ultimately return to bitter. Thus, previous theories each captured a partial aspect without covering the whole. Yin'an corrected the character "bitter" to "sweet" in the original text of the *Jing*, viewing Bai Zhu as a herb that harmonizes Spleen Earth, considering sweet the primary flavor and bitter an accompanying one, thereby adopting Tao Hongjing's view for correction.)
Bai Zhu has a sweet and warm flavor and a fleshy, resinous texture; it is a herb that harmonizes Spleen Earth. It treats Bi syndrome caused by wind-cold-dampness. The *Suwen: Bilun* states: "When wind, cold, and dampness mix and combine, they form Bi syndrome." Bai Zhu is sweet and warm, tonifying Spleen Earth. When Earth qi circulates, muscle qi connects externally to the skin and internally to the meridians, thus treating Bi syndromes caused by wind-cold-dampness. The Spleen governs muscles; treating "dead flesh" (stiff/numb tissue) assists Spleen qi. The Spleen governs the four limbs; Spasm (Jing) involves stiffness and disharmony of the limbs. The Spleen corresponds to the color yellow; Jaundice (Dan) involves yellowing of the body and eyes due to Earth deficiency. By tonifying the Spleen, Bai Zhu treats spasm and jaundice. Stopping sweat occurs because Earth can overcome dampness. Clearing heat removes deficient heat from Spleen Earth. Aiding digestion helps the transportation and transformation functions of Spleen Earth. Preparing it as a decoction paste utilizes its richness to address Spleen dryness; the resulting preparation is sweet, warm, and moistening, bringing Earth qi to harmony. Hence, long-term use lightens the body, prolongs life, and prevents hunger.
Commentary: Taiyin governs damp Earth and belongs to the Spleen, being the ultimate Yin within the Yin. It prefers dryness and dislikes dampness, prefers warmth and dislikes cold. However, Earth requires moisture to irrigate the surroundings, just as land needs rain and dew to generate all things. If it becomes too hot and dry, stagnation occurs, leading to difficult defecation and Spleen constraint syndromes. Bai Zhu prepared as a paste is dry yet moistening, warm yet harmonizing. This reflects the profound intent of the ancient sages in teaching, which students must comprehend.