盐有五色之异,惟青盐尤佳。味咸,气寒,无毒。堪洗下部慝疮,能吐中焦痰癖,苏心
腹卒
痛,塞齿缝来红,驱蚯蚓毒伤,杀鬼蛊邪疰。少用,接药入肾;过多,动咳伤金。走血损筋
,黑肤失色。水肿宜忌,咳嗽须禁矣。
青盐益气,去气蛊,明目,却目疼,止吐血,坚筋骨,尤胜各盐。尤能益人,以咸走肾
也。
况盐能软坚,故又补而兼攻。肾有补而无泻,故肾虚者不忌盐。然水肿之人,亦肾虚也,
何
以忌盐乎,似乎盐亦泻肾也。不知水肿之病,乃土克水也。土克水,惟宜恶土,而何以恶水
。水,阴物也。土,亦阴物也。盐补肾必补阴,故走肾而必兼走脾。水肿之病,乃阴虚之至
也。盐补肾,自然直入于肾。然而脾亦欲得盐以相资,盐不得已欲分味以与脾,而肾又不肯
与脾也。于是,肾与脾相战,而水症不能愈,即愈者,必且重发而不可救,以脾之益怒而不
可解也。然则水肿之忌盐,非盐之泻肾亦明矣。(〔批〕此段议论,前人未言。)
或问《内经》有云∶盐走血,血病无多食盐,多食则脉凝泣而色变。盐非咸乎。吾子何
以未
言也?曰∶人生斯世,不能舍五味而资生。不食盐,安能增益肾水乎。况吐血、衄血、便血
之后,所亏者,正咸之味也。使禁之而不食咸,又将何物以助其生血、生精乎。然则《内经
》之言不足尽信乎?亦非也。盖《内经》言其常,而余言其变。况《内经》亦止教人无多食
咸,非教人尽忌夫盐也。今世医人,一见血症,毋论其虚实初久,一概禁人不得食盐,与水
肿禁盐相同,往往人益病而血愈多。此过忌盐之失,予所以因问而增入之,原人勿固执《内
经》以治血症也。
Salt varies in five colors, among which Qingyan (Green Salt) is the most excellent. It tastes salty, is cold in nature, and is non-toxic. It can be used to wash hidden sores in the lower body, can induce vomiting to expel phlegm-stagnation in the middle jiao, relieve sudden pain in the heart and abdomen, stop bleeding from tooth gaps, drive out earthworm poison injuries, and kill gu-poison and epidemic pestilence qi. Used in small amounts, it guides medicines into the Kidney; used in excess, it triggers coughs and damages Lung Metal. It disperses blood, damages sinews, darkens the skin, and causes loss of luster. It is contraindicated for edema and strictly prohibited for coughs.
Qingyan (Green Salt) benefits Qi, removes Qi-gu (abdominal mass caused by pathogenic qi), brightens the eyes, relieves eye pain, stops hematemesis, strengthens bones and sinews, and surpasses other salts in efficacy. It particularly benefits the human body because the salty flavor enters the Kidney.
Moreover, salt can soften hardness, thus possessing both tonifying and attacking properties. The Kidney is suited for tonification but not for purging; therefore, those with Kidney deficiency are not contraindicated from eating salt. However, patients with edema also suffer from Kidney deficiency. Why should they avoid salt? This seems to suggest that salt purges the Kidney. In fact, this is not the case. The disease of edema is a pathological manifestation of Earth overcoming Water. When Earth overcomes Water, one should abhor "Earth" pathogens, why abhor "Water"? Water is a Yin entity; Earth is also a Yin entity. Salt tonifies the Kidney and necessarily tonifies Yin; thus, entering the Kidney, it inevitably also enters the Spleen. Edema disease is extreme Yin deficiency. Salt tonifying the Kidney naturally enters directly into the Kidney. However, the Spleen also desires salt for support. Salt, reluctantly, must distribute its flavor to the Spleen, but the Kidney refuses to yield to the Spleen. Consequently, the Kidney and Spleen contend with each other, preventing the cure of water disorders. Even if cured temporarily, it will surely relapse severely and become incurable, due to the unresolvable anger of the Spleen. Thus, it is clear that the prohibition of salt for edema is not because salt purges the Kidney. ([Commentary] This discussion was not mentioned by predecessors.)
One might ask: *The Inner Canon* states: "Salt travels through the blood; patients with blood diseases should not eat much salt. Excessive consumption causes blood vessels to coagulate and stagnate, leading to changes in complexion." Is salt not salty? Why did you not mention this? I reply: Humans living in this world cannot sustain life without the Five Flavors. Without eating salt, how can one benefit Kidney Water? Moreover, after hematemesis, epistaxis, or hematochezia, what is deficient is precisely the salty flavor. If one prohibits the intake of saltiness, what substance will assist in generating blood and essence? Does this mean the words of *The Inner Canon* are not entirely trustworthy? Not at all. Generally, *The Inner Canon* discusses the normal state, whereas I discuss the variable state. Furthermore, *The Inner Canon* only teaches people not to consume excessive saltiness, not to completely abstain from salt. Modern physicians, upon seeing blood diseases, regardless of their excess/deficiency or acute/chronic nature, universally prohibit salt intake, similar to the prohibition for edema. This often exacerbates the condition and increases bleeding. This is the error of overly prohibiting salt. I added this section through question and answer to advise against rigidly applying *The Inner Canon* to treat blood diseases.