【气味】
甘平无毒。升而微降。阳中阴也。入足太阳足少阴经。
【主治】
疟。利水道。解伤寒瘟疫大热。发汗。主肿胀满腹急痛。治渴除湿。去心中懊
。泻膀胱。开腠理。故张仲景治消渴脉浮。小便不利微热者。猪苓散发其汗。病欲饮水而复
吐。名为水逆。冬时寒嗽如疟状者。亦用猪苓。此即五苓散也。此皆苦以泄滞。甘以取阳。
淡以利窍。功长于除湿利小便也。久服损人肾气。昏人眼目。用者忌之。
【气味】
甘寒无毒。沉而降。阴中微阳。入足太阳少阴经。
【主治】
逐膀胱三焦停水。利五淋。宣通水道。长于行水。起阴气。止泄精消渴淋漓。但本
经云泽泻久服令人耳目聪明。扁鹊又云多服令人目盲。此何以故。大凡脾胃积有湿热。则头
重而目昏耳鸣。泽泻渗去其湿。
热亦随去。土得其令。清气上行。故其功长于养五脏益气力。治头旋。聪明耳目也。若久服
则降令又复太过。清气不升。真阴潜耗。肾开窍于目。安得不令目盲耶。又庸医罔识。见仲
景之治杂病心下有支饮苦冒者。以泽泻汤。治伤寒有大小泽泻汤。治泄泻有五苓散。遂谓泽
泻之功泻肾居多。每遇泄精滑肾之症。辄不敢用。并妄为著作。曰仲景八味丸中有泽泻。接
引
桂附归就肾经。反能泄肾。有删而去之之议。岂知八味丸中有地黄山萸肉茯苓牡丹皮皆肾经
之药。附子官桂又原属右肾命门之药。不待泽泻之接引而自至其所。用泽泻者。诚以补药之
中。必兼泻邪。邪去则补药得力。实泻中之补也。
[Flavor and Nature]
Sweet, neutral, non-toxic. Ascending with slight descending action. Yin within Yang. Enters the Foot-Taiyang (Bladder) and Foot-Shaoyin (Kidney) meridians.
[Indications]
Malaria. Promotes water passage. Relieves severe heat caused by Cold Damage (Shanghan) and epidemic febrile diseases. Induces sweating. Mainly treats abdominal swelling, fullness, and acute pain. Treats thirst, dispels dampness, and removes mental restlessness (Ao'ao). Drains the Bladder. Opens the interstices (Couli). Therefore, Zhang Zhongjing uses Zhu Ling (Polyporus) to induce sweating in cases of Xiao Ke (Wasting-Thirst disease) with floating pulse, difficulty in urination, and slight fever; when a patient desires to drink but vomits immediately after drinking, it is called "Water Reversal" (Shui Ni); during winter, coughing resembling malaria is also treated with Zhu Ling. These refer to Wu Ling San (Five-Ingredient Powder with Poria). These effects utilize bitter flavor to drain stagnation, sweet flavor to gather Yang Qi, and bland flavor to benefit orifices. Its strength lies in dispelling dampness and promoting diuresis. Long-term use damages Kidney Qi and blurs vision. Users should avoid this.
[Flavor and Nature]
Sweet, cold, non-toxic. Sinking and descending. Slight Yang within Yin. Enters the Foot-Taiyang (Bladder) and Foot-Shaoyin (Kidney) meridians.
[Indications]
Expels retained water in the Bladder and San Jiao (Triple Burner). Benefits the five types of Lin syndrome (dysuria). Unblocks water passages. Excels at promoting water metabolism. Raises Yin Qi. Stops seminal emission, Xiao Ke (Wasting-Thirst), and dribbling. However, the *Shennong Bencao Jing* states that long-term use of Ze Xie (Alisma Rhizome) makes ears and eyes clear; Bian Que states that excessive use causes blindness. Why is this? Generally, when Spleen and Stomach accumulate damp-heat, one experiences heavy head, blurred vision, and tinnitus. Ze Xie渗利 (seeps out) the dampness, and heat follows. When Earth (Spleen) receives its proper command, clear Qi ascends. Thus, its efficacy excels in nourishing the Five Zang organs, boosting Qi and strength, treating vertigo, and clarifying the ears and eyes. If used for a long time, the descending action becomes excessive, preventing clear Qi from ascending, leading to latent consumption of True Yin. Since the Kidney opens into the eyes, how can it not cause blindness? Furthermore, mediocre physicians fail to understand this. Seeing Zhang Zhongjing use Ze Xie Tang for miscellaneous diseases involving Zhi Yin (branching fluid retention) causing mental cloudiness, using Da/Xiao Ze Xie Tang for Cold Damage, and Wu Ling San for diarrhea, they conclude that Ze Xie mostly drains the Kidney. Whenever encountering symptoms of seminal emission and Kidney slipping, they dare not use it. They recklessly write books claiming that Ze Xie in Ba Wei Wan (Eight-Ingredient Pill) acts as a guiding agent for Fu Zi (Aconite Root), Rou Gui (Cinnamon Bark), and Dang Gui (Angelica Sinensis) to enter the Kidney meridian, thereby draining the Kidney, and even propose removing it. How could they know that Di Huang (Rehmannia Root), Shan Zhu Yu (Cornus Fruit), Fu Ling (Poria), and Mu Dan Pi (Moutan Cortex) in Ba Wei Wan are all herbs entering the Kidney meridian, and Fu Zi and Rou Gui originally belong to the Right Kidney and Ming Men (Gate of Life)? They reach their destination without needing Ze Xie's guidance. The reason for using Ze Xie is indeed that in tonic formulas, there must be herbs that drain pathogenic factors; once pathogens are removed, the tonic herbs can take effect. This is essentially tonification through draining.