何首乌种分赤白,故气血兼益。藤夜交昼疏,故具阖辟之长。味浓入肾,涩入肝,苦则
坚,温则补。陈修园但知其为苦涩,而于益气血具阖辟之所以然,则未之见,其必有施之不
当而为所误者矣。
修园于首乌能止久疟久痢则韪之,而一归于少阳,则知犹未知。夫久疟不止,势必损及
于肝,肝病肾亦病。肾者三阴之枢也,欲枢转而止疟,自当补肝与肾。肝主疏泄,久痢则疏
泄太过,肾亦失蛰封之职,亦必以补肝肾为要。修园既以首乌苦涩而短之,安得更有直折之
威
刘潜江以开宝主瘰 、痈肿、头面风疮、五痔、心痛,为效在气血之结而经脉为壅。黑
髭发、悦颜色、长筋骨、益精髓,为效在气血之劣而形器有损。二者证绝相悬,而首乌并建
厥功。正与阖辟之理相合,可知开宝非浪许也。
首乌之用,生熟迥殊,其已久疟消肿毒,皆是用生者。又消肿毒用赤不用白,补肝肾则
以黑
张石顽云∶今人治津血枯燥,大肠风秘,鲜首乌数钱煎服即通。其滋水之速,与肉苁蓉
润燥
萆 用根,取其入肾。茎叶俱青,叶作三叉,则入肝。根黄白色,则入肺胃。根多节而
虚软,则能化阴伸阳而治痹。风寒湿之在腰背骨节而痛强者,阴不化也,以萆 达之而阴化
。风寒湿之为阴痿、为失溺、为老人五缓者,阳不伸也,以萆 导之而阳伸。后世以萆 为
厘清
化阴非能益阴,伸阳非能助阳。盖萆 者,所以驱风寒湿也。
萆 味苦则发,气平则降。力能外拓而性复下趋,故驱风寒湿而解之于至卑。此所以谓
萆
The varieties of Polygonum multiflorum (He Shou Wu) are divided into red and white, thus it benefits both Qi and Blood. Its vines intertwine at night and separate during the day, endowing it with the virtues of closing (He, constriction/consolidation) and opening (Pi, dispersion/releasing). The strong flavor enters the Kidney channel; the astringent nature enters the Liver channel; bitterness solidifies tissues; warmth tonifies deficiency. Chen Xiuyuan only knew it as bitter and astringent, but failed to see the rationale behind its ability to benefit Qi and Blood and possess opening/closing functions. Consequently, he must have made errors due to improper application.
Chen Xiuyuan agreed that He Shou Wu can cure chronic malaria and chronic dysentery, but attributing them solely to Shaoyang disease indicates his understanding was still incomplete. Chronic malaria that does not cease will inevitably damage the Liver; Liver pathology affects the Kidney. The Kidney is the pivot of the Three Yin channels. To turn this pivot to stop malaria, one must naturally tonify the Liver and Kidney. The Liver governs Shuxie (free flow and discharge); chronic dysentery leads to excessive Shuxie, and the Kidney loses its function of Zhenfeng (storing and sealing). Therefore, tonifying the Liver and Kidney is essential. Since Chen Xiuyuan disparaged He Shou Wu for its bitterness and astringency, how could he appreciate its power to directly overcome pathogenic factors?
Liu Qianjiang stated that *Kaibao Bencao* records He Shou Wu treating scrofula (Luoli), carbuncles, wind sores on the head and face, five types of hemorrhoids, and heart pain, because its efficacy lies in resolving stagnation of Qi and Blood and unblocking meridians. It records blackening beard and hair, beautifying complexion, strengthening bones and sinews, and benefiting essence and marrow, because its efficacy lies in improving deficient Qi and Blood and repairing damaged physical structures. These two types of syndromes are vastly different, yet He Shou Wu achieves merit in both. This perfectly aligns with the principle of He and Pi (closing and opening), showing that *Kaibao Bencao*'s endorsements were not arbitrary.
The use of raw versus cooked He Shou Wu differs significantly. Both curing chronic malaria and reducing swelling/toxins involve using the raw herb. Furthermore, for reducing swelling/toxins, red He Shou Wu is used rather than white; for tonifying the Liver and Kidney, black He Shou Wu is preferred.
Zhang Shiweng said: Nowadays, when treating dryness of body fluids and Blood, or wind-constipation of the Large Intestine, decocting a few qian of fresh He Shou Wu promotes bowel movement quickly. Its rapid ability to nourish Water (Kidney Yin) is comparable to the moistening action of Cistanche (Rou Cong Rong).
Dioscorea hypoglauca (Bi Xie) uses the root, taking advantage of its entry into the Kidney channel. The stems and leaves are green, and the leaves are trifid, indicating entry into the Liver channel. The root is yellowish-white, indicating entry into the Lung and Stomach channels. The root has many nodes and is spongy/soft, enabling it to transform Yin and extend Yang, thereby treating Bi syndrome (painful obstruction). When Wind-Cold-Dampness invades the lower back, back, bones, and joints causing pain and stiffness, it is because Yin cannot be transformed; using Bi Xie to reach these areas transforms the Yin. When Wind-Cold-Dampness causes impotence, urinary incontinence, or the "five slacknesses" in the elderly, it is because Yang cannot be extended; using Bi Xie to guide these areas extends the Yang. Later generations used Bi Xie as a key ingredient in Liqing Decoction.
Transforming Yin does not mean tonifying Yin essence; extending Yang does not mean assisting Yang qi. Essentially, Bi Xie serves to expel Wind-Cold-Dampness.
Bi Xie is bitter, which induces dispersal; its qi is neutral, which induces descent. Its force can expand outward, and its nature tends downward, thus expelling Wind-Cold-Dampness and resolving it in the lowest parts of the body. This is why Bi Xie is described as...