(采根。用糯米浓泔水汁浸一宿。其醒秽气并浮在水面上。须重重淘过。即蒸之。从巳
至申。取晒切用。)
【气味】
苦寒无毒。气沉纯阴。入足少阴肾经君药也。
【主治】
心腹结气症瘕积聚黄胆。溺有余沥。逐水。除痈肿。补中明目止泪。治腹中冷痛。
中恶腹痛。养肝胆气。安五脏。平胃气。令人嗜食。轻身定志。益精利九窍。除伏热肠癖。
止渴醒酒。小便黄赤。疗恶疮下部 。治恶虫胫酸。杀疳虫。炒存性米饮服。治肠风泻血并
热痢。渍酒饮治疥杀虫。生疮赤癞眉脱。除大热嗜睡。治热毒风皮肌烦躁。李时珍曰。子午
乃少阴君火对化。故苦参黄柏之苦寒。皆能补肾。盖取其苦燥湿寒除热也。热生风。湿生虫
。
故又能治风杀虫。惟肾水弱而相火胜者用之相宜。若火衰精冷。真元不足。及年高之人不可
用耳。
恶(贝母 兔丝 漏芦) 反(藜芦)
【气味】
甘苦平微寒无毒。浮而升阳也。为足阳明太阴引经之药。取理白外黑而紧实者谓之
鬼脸升麻。去须及头芦用。
【主治】
辟瘟疫疠气。头痛。喉痛。口疮。时气热疾。牙根浮烂恶臭。引葱白散阳明风邪。
引石膏止阳明齿痛。引人参黄 而上行。同柴胡引生发之气而上行。同葛根发阳明之汗。故
升麻葛根汤为阳明发散之主方。若初发太阳症便用之。必传阳明。反成其害。又升麻能解痘
毒。惟初发热时可用。已出后则气弱不可用也。痘后泄泻亦可炒用。见 则忌解散不可用也
。衄血吐血犀角地黄汤。无犀角以升麻代犀角。非升麻能代犀角。能引地黄及诸药入阳明经
也。太阳症兀兀自汗者。为表虚并不可用。太阳兀兀无汗者。宜用此以发之。
葛根
【气味】
甘辛平无毒。升也阳也。为阳明经行经之药。
【主治】
消渴身大热。疗伤寒中风头痛。解肌发表出汗。开腠理。其气轻浮。鼓舞胃气上行
。朱氏云。凡头痛如破。投以莲须葱白汤而不已者。以葛根葱白汤主之。似乎葛根又为太阳
之药。不知仲景之治太阳阳明合病。桂枝汤内加麻黄葛根。又有葛根黄连黄芩解肌汤。是因
此以是断太阳入阳明之路。非即太阳药也。虽然葛根固能断太阳入阳明之路。孰知太阳初病
未入阳明而头痛者。不可便服升麻葛根之发剂。反能引邪气入阳明为引贼破家之害欤。又仲
景
治伤寒有葛根汤。以主大热解肌发腠理。若 痘之症葛根汤亦为对剂。孰知 痘已见红点。
则不可复用升麻葛根汤。致重虚其表。而增 烂之患也。又或谓葛根为治脾虚作渴之仙药。
复云不可多用。多用则恐伤其胃气何也。孰知脾者津液之府。脾气不伸。则津液耗竭。得葛
根以升发其阳。则脾得所生。若误认为脾药而过发不已。则胃气何得无伤乎。
(Collect the roots. Soak them overnight in thick rice washing water. The foul odor will float on the surface. Must be washed repeatedly. Then steam them. From Si hour to Shen hour, take out, dry in the sun, and slice for use.)
[Flavor and Properties]
Bitter, cold, non-toxic. Qi sinks, belonging to pure Yin. Enters the Foot-Shaoyin Kidney meridian, serving as the Sovereign herb (Jun Yao).
[Indications]
Chest and abdominal qi stagnation, masses and accumulations (Zheng Jia Ji Ju), jaundice. Dribbling after urination. Draining water retention. Eliminating carbuncles and swellings. Tonifying the Middle Jiao, brightening the eyes, and stopping tearing. Treating cold pain in the abdomen. Abdominal pain due to sudden evil invasion. Nourishing Liver and Gallbladder Qi. Calming the Five Zang organs. Harmonizing Stomach Qi. Increasing appetite. Lightening the body and stabilizing the mind. Benefiting essence and opening the nine orifices. Clearing latent heat causing intestinal dysentery. Stopping thirst and sobering up from alcohol. Treating yellow-red urine. Healing malignant sores and lower body lesions. Treating shin soreness caused by malicious parasites. Killing gut worms. Stir-fried until carbonized but retaining its nature, taken with rice decoction. Treating intestinal wind bleeding and hot dysentery. Soaked in wine and drunk to treat scabies and kill parasites. Treating sores, erythema, alopecia of eyebrows. Clearing high fever causing somnolence. Treating skin and muscle irritability caused by hot toxic wind pathogen. Li Shizhen said: Zi and Wu hours correspond to the transformation of Shaoyin Ministerial Fire. Therefore, the bitter-cold nature of Kushen (Sophorae Flavescentis Radix) and Huangbai (Phellodendri Cortex) can both tonify the Kidney. This is likely due to their ability to dry dampness with bitterness and remove heat with cold. Heat generates wind; dampness generates insects. Thus, they can also treat wind diseases and kill parasites. They are suitable only for those with weak Kidney Water and victorious Ministerial Fire. If there is fire decline, cold essence, insufficiency of true Yuan Qi, or in elderly people, they should not be used.
Incompatible with (Beimu [Fritillariae Bulbus], Tusizi [Cuscutae Semen], Loulu [Euphorbiae Humifusae Herba]). Counteracted by (Lilu [Veratri Rhizoma]).
[Flavor and Properties]
Sweet, bitter, neutral, slightly cold, non-toxic. Floats and raises Yang. It is a guiding herb for the Foot-Yangming Stomach and Foot-Taiyin Spleen meridians. Select those with white exterior, black interior, and dense texture, called "Ghost Face Shengma". Remove rootlets and head rhizome before use.
[Indications]
Warding off epidemic pestilence and miasma. Headache. Sore throat. Mouth ulcers. Seasonal febrile diseases. Floating and rotting gums with foul odor. Guiding Congbai (Allii Fistulosi Bulbus) to disperse Wind-Cold in the Yangming meridian. Guiding Shigao (Gypsum Fibrosum) to stop toothache in the Yangming meridian. Guiding Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix) to ascend. Combined with Chaihu (Bupleuri Radix) to guide ascending and generating Qi upward. Combined with Gegen (Puerariae Lobatae Radix) to induce sweating in the Yangming meridian. Therefore, Shengma Gegen Tang (Cimicifugae and Pueraria Decoction) is the main formula for dispersing in the Yangming meridian. If used initially when Taiyang syndrome appears, it will inevitably transmit to the Yangming meridian, causing harm. Additionally, Shengma can resolve toxin from smallpox/measles, but only usable during initial fever. After eruption, it should not be used due to Qi deficiency. For diarrhea after smallpox/measles, it can be stir-fried. If macules do not emerge, dispersing methods are contraindicated, and it should not be used. For epistaxis and hematemesis, Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) is indicated. If Rhinoceros horn is unavailable, Shengma can substitute for it. Not because Shengma replaces Rhinoceros horn, but because it guides Dihuang (Rehmanniae Radix) and other herbs into the Yangming meridian. For Taiyang syndrome with spontaneous sweating, which indicates exterior deficiency, it is generally contraindicated. For Taiyang syndrome with absence of sweating, this herb is suitable to induce dispersion.
Gegen
[Flavor and Properties]
Sweet, pungent, neutral, non-toxic. Ascending and Yang-raising. It is a meridian-traveling herb for the Yangming meridian.
[Indications]
Xiaoke (wasting-thirst syndrome) and high body heat. Treating headache from Shanghan (Cold Damage) and Zhongfeng (Wind Strike). Resolving the muscle layer, releasing the exterior, and inducing sweating. Opening interstices (Cou Li). Its Qi is light and floating, stirring up Stomach Qi to ascend. Zhu Shi said: For severe headaches that persist despite treatment with Lianxu Congbai Tang (Nelumbinis Plumula and Allium Decoction), Gegen Congbai Tang (Pueraria and Allium Decoction) should be used. It seems Gegen is also a Taiyang herb. However, Zhang Zhongjing's treatment of combined Taiyang-Yangming disease adds Mahuang (Ephedrae Herba) and Gegen to Guizhi Tang (Cinnamon Twig Decoction). There is also Gegen Huanglian Huangqin Jieji Tang (Pueraria, Coptis, and Scutellaria Muscle-Resolving Decoction). This is to judge the pathway of Taiyang entering Yangming, not necessarily a Taiyang herb itself. Although Gegen can indeed block the path of Taiyang entering Yangming, who knows that for early Taiyang disease without entry into Yangming presenting with headache, one must not immediately administer dispersing agents like Shengma Gegen. Doing so might instead guide pathogens into the Yangming meridian, causing the disaster of "inviting thieves to break the house." Furthermore, Zhang Zhongjing has Gegen Tang (Pueraria Decoction) for treating Shanghan, primarily for high heat, resolving the muscle layer, and opening interstices. If the condition involves smallpox/measles, Gegen Tang is also an appropriate formula. But who knows that once red spots appear in smallpox/measles, one must not reuse Shengma Gegen Tang, as it would further deplete the exterior and increase the risk of ulceration. Some say Gegen is a miraculous herb for treating thirst due to Spleen deficiency. Yet others say it should not be used in large doses, fearing it damages Stomach Qi. Why? Who knows that the Spleen is the residence of fluids. If Spleen Qi fails to extend, fluids are depleted. With Gegen to raise and generate Yang Qi, the Spleen receives nourishment. If mistakenly treated solely as a Spleen herb and over-dispersed, how could Stomach Qi remain undamaged?