甘草,味甘,气平,性温,可升可降,阳中阳也。他书说阴中阳者,误。无毒。反甘遂,
不
可同用,同用必至杀人。入太阴、少阴、厥阴之经。能调和攻补之药,消痈疽疖毒,实有神
功。尤善止诸痛,除阴虚火热,止渴生津。但其性又缓,凡急病最宜用之。故寒病用热药,
必加甘草,以制桂、附之热。热病用寒药,必加甘草,以制石膏之寒。下病不宜速攻,必加
甘草以制大黄之峻。上病不宜遽升,必加甘草以制栀子之动,缓之中具和之义耳。独其味甚
甘,甘则善动,吐呕家不宜
多服,要亦不可拘也。甘药可升可降,用之吐则吐,用之下则下,顾善用之何如耳。
或问中满症忌甘,恐甘草助人之胀乎?不知中满忌甘,非忌甘草也。中满乃气虚中满。气虚
者,脾胃之气虚也。脾胃喜甘,安在反忌甘草。因甘草性缓,缓则入于胃而不即入于脾。胃
气即虚,得甘草之补,不能遽然承受,转若添其胀满者,亦一时之胀,而非经久之胀也。故
中满之症,反宜用甘草,引人参、茯苓、白术之药,入于中满之中,使脾胃之虚者不虚,而
后胀者不胀,但不可多用与专用耳。盖多用则增满,而少用则消满也。专用则添胀,而同用
则除胀也,谁谓中满忌甘草哉。(〔批〕中满忌甘草,反用之以成功,可见药宜善用,何独
甘草哉?)
或问甘草乃解毒之圣药,古人盛称而吾子约言,岂甘草不可以解毒也?嗟乎。甘草解毒,
无
人不知,然尽人皆知解毒,而尽人不知用之也。愚谓甘草解毒,当分上、中、下三法。上法
治上焦之毒,宜引而吐之;中法治中焦之毒,宜和而解之;下法治下焦之毒,宜逐而泻之。
(〔批〕甘草解毒分上、中、下三法,实确而妙。) 吐之奈何?用甘草一两,加瓜蒂三枚,
水煎
服。凡有毒,一吐而愈。和之奈何?用甘草一两五钱,加柴胡三钱、白芍三钱、白芥子三钱
、
当归三钱、陈皮一钱,水煎服,毒自然和解矣。泻之奈何?用甘草二两,加大黄三钱、当归
五钱、桃仁十四粒、红花一钱,水煎服,毒尽从大便出矣。此三者,虽不敢谓解毒之法尽乎
此
,然大约亦不能出乎此。毋论服毒、中毒与初起疮毒,皆可以三法治之。此用甘草解毒之法
,人亦可以闻吾言而善用之乎。
或问甘草乃和中之药,攻补俱用,不识亦有不宜否?夫甘草,国老也,其味甘,甘宜于
脾胃
。然脾胃过受其甘,则宽缓之性生,水谷入之,必不迅于传导,而或至于停积瘀滞。夫水谷
宜速化者也,宜速化而不速化,则传于各脏腑,未免少失其精华,而各脏腑因之而不受其益
者有之。世人皆谓甘草有益而无损,谁知其益多而损亦有之乎。知其益而防其损,斯可矣。
或疑甘草在药中不过调和,无大关系,此论轻视甘草矣。甘草实可重用以收功,而又能调剂
以取效,盖药中不可缺之药,非可有可无之品也。
或疑甘草视之平平,世医无不轻之,先生独重者,何好恶与人殊乎?曰∶甘草乃夺命之
药,
如之何而忽之,诚观上、中、下解毒之妙,神效无比,亦可以悟甘草之宜重而不宜轻矣,况
调和百药更有殊功乎。
或问细节甘草,其性少寒,可泻阴火,不识阴虚火动之症,亦可多用之乎?吾谓甘草乃
泻火
之品,原不在细小也。细小泻火,岂粗大者反助火乎。惟是甘草泻火,用之于急症者可以多
用,用之于缓症者难以重加。盖缓症多是虚症,虚则胃气必弱,而甘草性过于甘,多用难以
分消,未免有饱胀之虞,不若少少用之,则甘温自能退大热耳。若阴虚之症,正胃弱也,如
何可多用乎,毋论粗大者宜少用,即细小者亦不可多用也。
Licorice Root (Gancao), with a sweet taste, neutral qi, and warm nature, can ascend and descend; it is Yang within Yang. Other texts stating it is Yin within Yang are incorrect. It is non-toxic. It is incompatible with Kansui Root (Gansui) and must not be used together, as doing so may prove fatal. It enters the Taiyin, Shaoyin, and Jueyin meridians. It can harmonize purgative and tonifying herbs, eliminate carbuncles, ulcers, boils, and toxins, possessing truly miraculous efficacy. It is particularly adept at stopping various pains, clearing deficiency-fire, relieving thirst, and generating fluids. However, its nature is also slow/relaxing; therefore, it is most suitable for acute conditions. Thus, when treating cold diseases with hot herbs, Licorice Root must be added to moderate the heat of Cinnamon Twig (Guizhi) and Aconite Root (Fuzi). When treating heat diseases with cold herbs, Licorice Root must be added to moderate the coldness of Gypsum (Shigao). For diseases in the lower part that should not be attacked rapidly, Licorice Root must be added to moderate the harshness of Rhubarb (Dahuang). For diseases in the upper part that should not be lifted abruptly, Licorice Root must be added to moderate the agitating nature of Gardenia (Zhizi); this embodies the meaning of harmony within slowness. Its taste is exceptionally sweet; sweetness tends to induce vomiting, so those prone to vomiting should not take it in large amounts, though one should not be overly rigid about this rule. Sweet herbs can ascend or descend; using them to induce vomiting causes vomiting, using them to purge causes diarrhea—it all depends on how skillfully they are employed.
One might ask: "Fullness in the middle (Zhongman) contraindicates sweet flavors; does Licorice Root aggravate bloating?" One should know that avoiding sweet flavors for Zhongman does not mean avoiding Licorice Root specifically. Zhongman is fullness due to Qi deficiency. Qi deficiency refers to the deficiency of Spleen and Stomach Qi. The Spleen and Stomach delight in sweet flavors; why would they contraindicate Licorice Root? Because Licorice Root's nature is slow; being slow, it enters the Stomach but does not immediately enter the Spleen. If Stomach Qi is already deficient, receiving the tonification from Licorice Root, it cannot bear it immediately, seemingly increasing the bloating. This is merely temporary bloating, not chronic bloating. Therefore, for symptoms of Zhongman, it is actually appropriate to use Licorice Root to guide herbs like Ginseng Root (Renshen), Poria (Fuling), and Atractylodes Macrocephala Rhizome (Baizhu) into the area of fullness, making the deficiency of the Spleen and Stomach no longer deficient, after which the bloating will cease. However, it should not be used in large doses or exclusively. Generally, large doses increase fullness, while small doses reduce fullness. Exclusive use adds to bloating, while combined use eliminates bloating. Who says Zhongman contraindicates Licorice Root? (Commentary: Zhongman contraindicates Licorice Root, yet using it successfully demonstrates that drugs depend on skilled application, not just Licorice Root.)
One might ask: "Licorice Root is the holy medicine for detoxification; ancients praised it highly, yet you speak briefly of it. Can Licorice Root not detoxify?" Alas! Everyone knows Licorice Root detoxifies, yet everyone knows it detoxifies but no one knows how to use it properly. I believe detoxification with Licorice Root should be divided into three methods: Upper, Middle, and Lower. The Upper method treats toxins in the Upper Jiao, guiding them out via vomiting; the Middle method treats toxins in the Middle Jiao, harmonizing and resolving them; the Lower method treats toxins in the Lower Jiao, expelling and purging them. (Commentary: Dividing Licorice Root detoxification into Upper, Middle, and Lower methods is indeed accurate and profound.) How to vomit? Use one liang of Licorice Root and three melon seeds (Gua Di), decocted in water and taken orally. For any poison, one dose of vomiting brings recovery. How to harmonize? Use one liang and five qian of Licorice Root, plus three qian each of Bupleurum Root (Chaihu), White Peony Root (Baishao), White Mustard Seed (Baijiezi), Angelica Sinensis Root (Danggui), and Tangerine Peel (Chenpi), decocted in water and taken orally; the toxin will naturally resolve. How to purge? Use two liang of Licorice Root, plus three qian of Rhubarb (Dahuang), five qian of Angelica Sinensis Root (Danggui), fourteen Peach Kernels (Taoren), and one qian of Safflower (Honghua), decocted in water and taken orally; the toxin will exit entirely through the stool. These three methods, while I dare not claim they cover all detoxification techniques, generally encompass the main approaches. Whether poisoning, accidental ingestion of toxins, or initial onset of sores/toxins, all can be treated by these three methods. This is the method of using Licorice Root for detoxification; can people hear my words and apply them skillfully?
One might ask: "Licorice Root is a harmonizing herb, used in both purgative and tonifying formulas; are there cases where it is unsuitable?" Licorice Root, known as the 'State Elder' (Guolao), has a sweet taste, which is suitable for the Spleen and Stomach. However, if the Spleen and Stomach receive too much sweetness, their nature becomes loose and slow; food and drink entering them will not conduct quickly, leading to stagnation and accumulation. Food and drink should be digested quickly; if they fail to do so, the essence transmitted to the Zang-Fu organs will be diminished, causing these organs to miss out on benefits. People say Licorice Root has benefits but no harms; who knows that while its benefits are many, it also has harms? Knowing its benefits and guarding against its harms is sufficient. Some suspect Licorice Root merely harmonizes other herbs and has little significance; this view underestimates Licorice Root. Licorice Root can indeed be used in heavy doses to achieve results and can adjust formulas to gain efficacy; it is an indispensable herb, not one that is optional.
Some doubt that Licorice Root appears ordinary and is despised by most physicians, yet you value it highly. Why do your preferences differ from others? I reply: Licorice Root is a life-saving herb; how can it be ignored? Observing the miraculous effects of the Upper, Middle, and Lower detoxification methods, which are unparalleled, one can realize that Licorice Root should be valued heavily rather than lightly. Moreover, its special merit in harmonizing hundreds of herbs is significant.
One might ask: "Small-sized Licorice Root has a slightly cold nature and can drain Yin fire. Can it be used in large doses for symptoms of Yin deficiency with fire agitation?" I consider Licorice Root a fire-draining substance; its efficacy does not depend on size. If small roots drain fire, do large ones not assist fire? However, regarding Licorice Root draining fire: it can be used in larger doses for acute conditions, but heavy addition is difficult for chronic/slow conditions. Slow conditions are often deficiency patterns; deficiency implies weak Stomach Qi. Since Licorice Root is overly sweet, using it in large doses makes it hard to disperse and eliminate, risking bloating. It is better to use small amounts, as sweet-warm properties can naturally retreat high fever. In cases of Yin deficiency, the Stomach Qi is weak; how can it tolerate large doses? Regardless of whether the root is large or small, it should not be used in large quantities.