人知黄芩为少阳药而不识其所以然,窃思其色青胜于黄,得甲胆之气,又中空似胆府,
气寒能清胆热。胆属少阳相火,相火者佐君而行其令者也,人赖此火以动作云为,故气分之
热,
金以黄为贵而黄属土,黄有土金相兼之德,故黄芩亦入肺胃与大肠,表里之热无不能解
,本
黄连入心脾,而心脾皆主血。黄芩入胆肺,而胆肺皆主气。邹氏三偶之说,全然未当。
即如黄芩汤,是用黄芩清少阳气热。其加芍药,亦非用以入血(说详芍药)。
本经黄连主肠 腹痛,黄芩主肠 不主腹痛。观仲圣黄芩汤、黄连汤之治,正相符合。
盖腹痛为太阳病,或寒或热,必涉于血。黄连入脾清血热而兼入心胃,故治腹痛亦治肠 。
黄芩为胆经气药,能由肺达肠胃而不能入统血之脾,故治肠 不治腹痛。洁古以为治脾湿者
,未
人身生发之气,全赖少阳,少阳属春,其时草木句萌以至鬯茂,不少停驻。然当阴尽生
阳之后,未离乎阴,易为寒气所郁,寒气郁,则阳不得伸而与阴争,寒热始作。柴胡乃从阴
出阳之药,香气彻霄,轻清疏达,以治伤寒寒热往来,正为符合。邹氏所谓鬯郁阳以化滞阴
也。
凡证之涉少阳者,不独伤寒也。如呕而发热,呕属少阳也,热入血室,寒热有时,属少
阳也(论凡三条惟此用小柴胡汤);大柴胡汤下用柴胡,心下满痛,属少阳也。至治劳用柴
胡,寇氏执定虚损而受邪热,有热者始可。濒湖驳之,则以劳在少阳与他经有热者悉宜之。
邹氏又以二家之说,皆似劳非劳,如金匮所谓五脏虚热之热,其虚劳之宜柴胡与否,仍置不
论。窃谓虚劳而用柴胡,仍当以少阳为断。少阳与厥阴,离合只在几微,热则为少阳,寒则
为厥阴,有寒有热,则为少阳兼厥阴。虚劳有损及肝者,其脉必弦,弦脉亦属少阳。仲圣薯
蓣丸有柴胡,何尝不治虚劳,何尝有发热之外证。再核之保命集之柴胡四物汤,局方之逍遥
散,一治虚劳寒热,一治血虚寒热,皆病之涉少阳者,薯蓣丸何独不涉少阳。即四时加减柴
胡饮子,退五脏虚热,虚邻于寒,虚热与盛热自殊,正少阳之分际,盛热则不可以柴胡治矣。
孙琳以柴胡治劳疟热从髓出,虽骨髓为肝肾所隶,而疟发于胆,胆与肝为表里,故少阳
之气治,则骨髓之热已。推之圣济总录治小儿骨热,洁古谓产后血热必用,皆有少阳相关之
理。盖小儿之阳,阳而稚者也。产后之血,伤及肝胆者也。扶其生气,正惟柴胡为当。特不
善审
昔人用柴胡之方不胜枚举,不必皆柴胡知己,而用之而有效者,非无故也。试即东垣补
中益气汤言之,少阳之火,即气食少火之火。少火者,不寒不热,脾得之而升,肺得之而降
,过寒过热,皆能犯胃作呕。胃岂可升,其气之陷者,实少火之不足也。柴胡升少阳而使适
于中,则少阳自遂其生生之性而脾肺悉受其荫,此即十一经取决于胆之谓也。东垣以柴胡为
升阳
本经柴胡去肠胃中结气,谓大柴胡汤用柴胡即去肠胃中结气,原非不是。然诸承气汤何
以俱不用柴胡,本经所主,亦非专属肠胃。夫大柴胡汤之为治也,在金匮曰心下满痛,在伤
寒曰呕不止,心下急,郁郁微烦,曰热结在里,复往来寒热,其用柴胡,岂只为肠胃中有结
气。洄溪疏柴胡,谓本经治效皆主肠胃,已不善会本经,而又以为肠胃药非少阳药,则尤可
异之至。洄溪不既云木能疏土乎,柴胡惟能达少阳之木气而后少阳得于肠胃疏其顽土,本经
盖就
People know that Huangqin (Scutellariae Radix) is a herb for Shaoyang (Lesser Yang) disorders but do not understand why. I have pondered that its color leans more towards green than yellow, receiving the Qi of Jia Gallbladder (Gallbladder belongs to Wood, associated with Heavenly Stem Jia), and its hollow interior resembles the gallbladder organ. Its cold nature can clear Gallbladder heat. The Gallbladder belongs to Shaoyang Ministerial Fire; Ministerial Fire assists the Sovereign Fire to execute its commands. Humans rely on this fire for movement and action, thus [Huangqin clears] heat in the Qi level...
Metal values yellow as precious, and yellow corresponds to Earth in the Five Elements. Yellow possesses the virtue of combining Earth and Metal; therefore, Huangqin also enters the Lung, Stomach, and Large Intestine meridians, resolving heat in both exterior and interior levels without exception. The *Shennong Bencao Jing* records that Huanglian (Coptidis Rhizoma) primarily enters the Heart and Spleen, which govern Blood. Huangqin enters the Gallbladder and Lung, which govern Qi. Zou's theory of "three pairs" is entirely incorrect.
Take Huangqin Decoction as an example: it uses Huangqin to clear Shaoyang Qi-heat. The addition of Shaoyao (Paeoniae Radix) is not intended to enter the Blood level (see detailed explanation under Shaoyao). The *Shennong Bencao Jing* states that Huanglian treats intestinal abdominal pain, whereas Huangqin treats intestinal dysentery but not abdominal pain. Observing Zhang Zhongjing's use of Huangqin Decoction and Huanglian Decoction aligns perfectly with this. Generally, abdominal pain falls under Taiyang (Greater Yang) disease patterns, involving either cold or heat, and necessarily involves Blood. Huanglian enters the Spleen to clear Blood-heat and concurrently enters the Heart and Stomach; thus, it treats both abdominal pain and intestinal dysentery. Huangqin is a Qi-level herb of the Gallbladder meridian; it can reach the intestines and stomach via the Lung but cannot enter the Spleen, which governs Blood; hence, it treats intestinal dysentery but not abdominal pain. Li Dongyuan believed Huangqin treats Spleen dampness, which...
The body's generating Qi relies entirely on Shaoyang. Shaoyang corresponds to Spring, when grasses and trees sprout and flourish without pause. However, after Yin is exhausted and Yang begins to generate, it has not yet separated from Yin, making it susceptible to constraint by Cold pathogenic factors. When Cold constrains, Yang cannot extend and contends with Yin, causing alternating chills and fever to arise. Chaihu (Bupleuri Radix) is a herb that moves from Yin out to Yang. Its fragrance penetrates the sky, and its nature is light, clear, and dispersing, making it suitable for treating alternating chills and fever caused by Cold Damage (Shanghan), which fits the pathology precisely. This aligns with Zou's description of "unblocking constrained Yang to transform stagnant Yin."
Any syndrome involving Shaoyang is not limited to Cold Damage. For instance, vomiting accompanied by fever indicates Shaoyang involvement; heat entering the Blood Chamber with periodic chills and fever also indicates Shaoyang involvement (among three relevant discussions, only this one utilizes Xiao Chaihu Tang); using Chaihu in the purgative formula Daxiehu Tang for hypochondriac fullness and pain also points to Shaoyang. Regarding the use of Chaihu for treating consumptive diseases (Xu Lao), Kou Zongshi insisted it was due to deficiency injury complicated by pathogenic heat, applicable only when heat is present. Li Shizhen refuted this, arguing it is suitable whenever there is heat in the Shaoyang or other meridians. Zou further argued that both views seem like consumptive disease but are not strictly so. Concerning the heat of deficiency in the five viscera mentioned in the *Jinkui Yaolue*, whether Chaihu is appropriate for Xu Lao remains undiscussed. I personally believe that if Chaihu is used for Xu Lao, the judgment must be based on Shaoyang. The separation and union between Shaoyang and Jueyin (Lesser Yin) lie in subtle distinctions: heat manifests as Shaoyang, cold manifests as Jueyin, and mixed cold and heat manifest as Shaoyang concurrent with Jueyin. If Xu Lao damages the Liver, the pulse will likely be Wiry (Xian), which also belongs to Shaoyang. Zhang Zhongjing's Shuyu Wan contains Chaihu; does it not treat Xu Lao? Does it require external signs of fever? Examining Chaihu Siwu Tang from *Baoming Ji* and Xiaoyao San from *Ju Fang*, which treat Xu Lao with chills and fever, and blood deficiency with chills and fever respectively, all involve Shaoyang. Why would Shuyu Wan not involve Shaoyang? Even the seasonal modified Chaihu Yinzi, which clears deficiency heat of the five viscera, addresses the boundary where deficiency approaches cold. Deficiency heat differs significantly from excess heat; this is precisely the domain of Shaoyang. Excess heat cannot be treated with Chaihu. Sun Lin used Chaihu to treat malaria heat emerging from the marrow. Although marrow belongs to the Liver and Kidney, malaria originates in the Gallbladder, which is exterior-interior related to the Liver. Thus, regulating Shaoyang Qi resolves marrow heat. Extending this, *Shengji Zonglu* treats pediatric bone heat, and Li Dongyuan stated Chaihu is essential for postpartum blood heat; all relate to Shaoyang principles. Pediatric Yang is tender Yang. Postpartum blood injury affects the Liver and Gallbladder. Supporting the generating Qi makes Chaihu the most appropriate choice. However, without careful differentiation...
Ancient prescriptions using Chaihu are numerous. Not all users were experts in Chaihu, yet they were effective for valid reasons. Consider Dongyuan's Buzhong Yiqi Tang. The fire of Shaoyang is the "Minor Fire" derived from food and Qi. Minor Fire is neither cold nor hot; the Spleen ascends with it, and the Lung descends with it. Excessive cold or heat can invade the Stomach causing vomiting. The Stomach should not ascend; qi sinking is actually due to insufficient Minor Fire. Chaihu raises Shaoyang Qi to a balanced state, allowing Shaoyang to follow its generating nature, thereby benefiting the Spleen and Lung. This is what is meant by "the eleven meridians depend on the Gallbladder." Dongyuan regarded Chaihu as a herb for raising Yang...
The *Shennong Bencao Jing* states Chaihu removes knotting Qi in the intestines and stomach. Saying Daxiehu Tang uses Chaihu to remove knotting Qi in the intestines and stomach is originally not incorrect. However, why do various Chengqi (Descending Qi) formulas not use Chaihu? The indications in the *Bencao Jing* are not exclusively for the intestines and stomach. The treatment of Daxiehu Tang, described in *Jinkui* as hypochondriac fullness and pain, and in *Shanghan* as incessant vomiting, urgency in the epigastrium, slight vexation, internal heat binding, and alternating chills and fever—does its use of Chaihu serve only to remove knotting Qi in the intestines and stomach? Xu Lingtai's commentary on Chaihu claims the *Bencao Jing* effects all pertain to the intestines and stomach, failing to properly interpret the *Bencao Jing*. Furthermore, claiming Chaihu is an intestinal/stomach herb rather than a Shaoyang herb is extremely strange. Did Xu not acknowledge that Wood can loosen Earth? Chaihu can only reach the Wood Qi of Shaoyang, after which Shaoyang can loosen the stubborn Earth of the intestines and stomach. The *Bencao Jing* likely refers to...