【气味】
苦寒无毒。沉而降阴也。入足少阴经为足太阳引经之药。
【主治】
五脏肠胃中结热。利下窍。泻伏火。救肾水。治冲脉气逆不渴。而小便不通。得知
母滋阴降火。得苍术除湿清热。得细辛泻膀胱火。治口舌生疮。凡奉养太过。膏粱积热损伤
肾水。致膀胱久而干涸。小便不化。火逆上而为呕哕者。难经所谓关则不得小便。格则吐逆
者也。此宜以黄柏之苦寒泻燥以补水也。又热邪蓄于下焦血分。不渴而小便不通者。乃素问
所谓无阴则阳无以生。无阳则阴无以化。膀胱为州都之官。津液之脏。火客于水。则阳气不
升。此宜以黄柏之苦寒。抑火而升阳。而令阴阳互相生化也。故火有二。君火者。人火也。
心火也。可以湿伏。可以水灭。可以直折。故谓知母黄柏之属。为滋阴降火之对剂。若相火
者。天火也。龙雷之火也。阴火也。不可以水湿折之何也。龙雷之火。五六月而起发。九十
月而归藏。盖冬时阳气在水土之下。龙雷就其火气而居于下。夏时阴气在下。龙雷不能安其
身而出于上。若以黄柏之属降之。是欲括龙雷之势于浓阴骤雨之时也。可乎不可乎。唯太阳
一照。火自消灭。此则得水而炽。得火而灭之明验也。近时虚损及纵欲之人。用补阴药往往
以知母黄柏二味为君。日日服饵。降令太过。脾胃受伤。真阳暗损。精气不暖。致生他病。
岂知黄柏知母苦寒滑渗。久服有反从火犯之害。可不慎欤。明乎此而黄柏知母谓之降母以滋
阴可也。若竟曰滋阴降火。则矛盾之甚矣。
[Flavor and Nature]
Bitter, cold, non-toxic. The medicinal property is sinking and descending, belonging to Yin. It enters the Foot-Shaoyin (Kidney) meridian and serves as a guiding herb for the Foot-Taiyang (Bladder) meridian.
[Indications]
It clears accumulated heat in the five Zang organs and the intestines and stomach. It promotes the free flow of the lower orifices. It drains latent fire and rescues Kidney Water (nourishes Kidney Yin). It treats rebellious Qi of the Chong vessel without thirst, accompanied by dysuria. When combined with Anemarrhenae Rhizoma (Zhimu, 知母), it nourishes Yin and descends fire; when combined with Atractylodis Rhizoma (Cangzhu, 苍术), it removes dampness and clears heat; when combined with Asari Radix (Xixin, 细辛), it drains Bladder fire and treats sores in the mouth and tongue. In cases where excessive indulgence in rich food leads to accumulated heat damaging Kidney Water, causing the Bladder to become dry over time, resulting in the failure of urine transformation, and fire rebelling upward causing vomiting and hiccups, this corresponds to the "Guan" (closure leading to inability to urinate) and "Ge" (regurgitation leading to vomiting) described in the *Nan Jing* (Classic of Difficult Issues). This condition is suitable for treatment with the bitter-cold nature of Phellodendri Cortex (Huangbai, 黄柏) to drain dryness and replenish water. Furthermore, if heat pathogens accumulate in the Blood level of the Lower Jiao, causing dysuria without thirst, this aligns with the principle in the *Su Wen* (Chapter on Basic Questions): "Without Yin, Yang has no basis to generate; without Yang, Yin has no basis to transform." The Bladder is referred to as the "Official of the Metropolis," the organ storing body fluids. When fire lodges in water, Yang Qi fails to ascend. In such cases, the bitter-cold nature of Phellodendri Cortex (Huangbai, 黄柏) should be used to suppress fire and thereby raise Yang, allowing Yin and Yang to mutually generate. Thus, there are two types of fire: Jun Fire (Monarch Fire), which is Human Fire, specifically Heart Fire. It can be subdued by dampness, extinguished by water, or directly折 (broken/clamped down). Therefore, herbs like Anemarrhenae Rhizoma (Zhimu, 知母) and Phellodendri Cortex (Huangbai, 黄柏) are considered appropriate agents for nourishing Yin and descending fire. However, Xiang Fire (Minister Fire), also known as Heavenly Fire, Dragon-Lei Fire, or Yin Fire, cannot be subdued by water or dampness. Why? Dragon-Lei Fire erupts in the fifth and sixth lunar months and hides in the ninth and tenth. This is because in winter, Yang Qi resides beneath the water and earth, and Dragon-Lei follows this warmth to stay below; in summer, Yin Qi is below, forcing Dragon-Lei to rise above. Using Phellodendri Cortex (Huangbai, 黄柏) to subdue it would be like trying to restrain the momentum of thunder and lightning during a sudden heavy rain—is this feasible? No. Only when the sun shines does the fire naturally vanish. This is clear evidence that this fire thrives with water and is extinguished by fire. Recently, individuals with deficiency consumptive diseases or those who indulge in sexual activity often use Anemarrhenae Rhizoma (Zhimu, 知母) and Phellodendri Cortex (Huangbai, 黄柏) as the chief ingredients in yin-nourishing prescriptions, taking them daily. This excessive descending action damages the Spleen and Stomach, secretly depletes True Yang, causes the essence and Qi to lose warmth, and leads to other illnesses. One should realize that the bitter-cold, slippery, and draining nature of Huangbai and Zhimu, if taken long-term, may cause harm by following the fire path upwards. How can one not be cautious? Understanding this, it is acceptable to refer to Huangbai and Zhimu as "Descending Mothers" to nourish Yin. However, to simply label them as "Nourishing Yin and Descending Fire" is highly contradictory.