麦冬形象,合之本经主治,自是胃家正药。徐氏云,麦冬甘平滋润,为纯补胃阴之药。
后人以为肺药者,盖土能生金,肺气全恃胃阴以生,胃气润,肺自资其益也。邹氏云,麦冬
之功,在提曳胃家阴精,润泽心肺,以通脉道,以下逆气,以除烦热,若非上焦之证,则与
之断不相宜。观此可以正李东垣但谓入手太阴而不及足阳明之非。
前人谓麦冬复脉通心者不一,大都其胸中先有本经胃络脉绝之见,而更征之以复脉汤生
脉散。窃谓胃之大络,内通于脉,脉绝乃胃络之不贯,非真脉绝。麦冬补胃阴以通络,而脉
得所资则有之,亦非能径复其脉。能径复其脉者,厥惟人参,熟玩伤寒金匮两书自知。且心
腹结气伤中伤饱,若非胃络脉绝,亦岂麦冬所能治。下文之羸瘦短气,即胃络脉绝之征。本
经无一字虚设,而又上下相照应如此,愿与治本经者一质之。
徐氏极诋以麦冬治咳嗽,然千金外台治咳嗽诸方多有之,而实权舆于仲圣之麦门冬汤。
麦门
瞿麦本淋药,而栝萎瞿麦丸之小便不利,与淋证有间,何以用瞿麦,乃是方之微旨,则
有可窥见者在焉。小便不利而有水气,其为下焦阳虚,显然易见。阳虚于下而热浮于上,所
以又渴。薯蓣附子能温肾补虚而不能止渴导水,故辅以栝蒌根之生津,茯苓之化气。然小便
不利而用薯附,岂无封蛰之虞。栝苓又和缓有余而勇健不足。然则排决之任,自当属之瞿麦
。此以淋药治小便不利而恰如其当,仲圣真神化无方矣。
The morphological characteristics of Ophiopogonis Radix (Maidong), when combined with the indications in the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), clearly indicate that it is a principal herb for treating the Stomach. Xu stated that Maidong, being sweet, neutral, and moistening, is a pure tonic for Stomach Yin.
Later practitioners considered it an herb for the Lungs, likely because Earth generates Metal in Five-Phase theory; Lung Qi relies entirely on Stomach Yin for its generation. When Stomach Qi is moistened, Lung Qi naturally benefits. Zou stated that the efficacy of Maidong lies in lifting and drawing up the Yin essence of the Stomach, moistening the Heart and Lungs, unblocking the vessels, descending rebellious Qi, and eliminating vexation and heat. If the condition is not located in the Upper Jiao, then its use is entirely inappropriate. Observing this can correct Li Dongyuan's error of stating that Maidong enters only the Hand-Taiyin Lung Meridian while neglecting the Foot-Yangming Stomach Meridian.
Predecessors frequently mentioned that Maidong restores the pulse and unblocks the Heart. This largely stems from their prior concept of "interruption of the Great Luo vessel of the Stomach" as described in the *Bencao Jing*, which they further validated using formulas like Fumai Tang (Pulse-Restoring Decoction) and Shengmai San (Generate Pulse Powder). I posit that the Great Luo vessel of the Stomach internally connects to the blood vessels; what is termed "pulse interruption" is actually the lack of penetration through the Stomach Luo vessels, not a true cessation of the pulse. Maidong tonifies Stomach Yin to unblock the collaterals, thereby allowing the vessels to receive nourishment and resume pulsation, but it does not directly restore a ceased pulse. The only herb capable of directly restoring the pulse is Ginseng Radix et Rhizoma (Renshen); careful study of both the *Shanghan Lun* (Treatise on Cold Pathogenic Diseases) and *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet) will reveal this. Furthermore, regarding chest and abdominal qi stagnation, damage to the Middle Jiao, or injury from overeating, if these are not due to the interruption of the Stomach Luo vessels, how could they be treated by Maidong? The emaciation and shortness of breath mentioned later are signs of the interruption of the Stomach Luo vessels. Not a single word in the *Bencao Jing* is superfluous, and the text corresponds so well with itself above and below; I wish to discuss this with those who study the *Bencao Jing*.
Xu strongly criticized the use of Maidong for treating coughs. However, many prescriptions in the *Qianjin Fang* (Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Secret Essentials of the Outer Library) for coughs contain it, originating essentially from Zhang Zhongjing's Maidong Tang (Ophiopogon Decoction).
Dianthus Herba (Qumai) is primarily an herb for treating Lin syndrome (dysuria). However, the urinary difficulty treated by Gualou Qumai Wan (Trichosanthes Root and Dianthus Herb Pill) differs from typical Lin syndrome. Why is Qumai used here? This reveals the subtle purport of the formula, which can be glimpsed. Urinary difficulty accompanied by water retention indicates deficiency of Yang in the Lower Jiao, which is obvious and easy to see. With Yang deficiency in the lower part and floating heat in the upper part, thirst occurs. Dioscoreae Rhizoma (Shanyao) and Aconiti Lateralis Radix Praeparata (Fuzi) can warm the Kidney and tonify deficiency, but cannot stop thirst or guide water metabolism. Therefore, Trichosanthis Radix (Gualougen) is added to generate fluids, and Poria (Fuling) to transform Qi. Yet, using Shanyao and Fuzi for urinary difficulty raises concerns about excessive sealing and storing. Although Gualou and Fuling are harmonious and gentle, they lack vigorous strength. Thus, the task of breaking through and draining must fall to Dianthus Herba (Qumai). Using an herb for Lin syndrome to treat urinary difficulty is precisely appropriate; Zhang Zhongjing was truly divine in his transformation and devoid of fixed methods.