真珠,气寒,无毒。镇心神,润颜色。点目去膜,塞耳治聋,治小儿惊痫,尤堪止渴,
亦能
坠痰。然内治绝少,存之以为外治之需。
真珠,生肌最良,疮毒中必用之药。然内毒未净,遽用真珠以生肌,转难收口。
牡蛎,味咸,气平、微寒,无毒。左顾者良,火 末用。入少阴肾经。软积癖,消结核,
去
胁下硬,泻热掀肿,益精,遗尿可禁,敛阴汗如神,摩宿血,消老痰,绝鬼交,收气滞。但
只可为佐使。佐之补则补,佐之攻则攻,随药转移,不能自主也。
或疑牡蛎乃涩精之药,先生独削而不谈,何也?曰∶盖牡蛎涩精,而精愈遗,虽非牡蛎
之故
,殊不知牡蛎涩精,而精必利而后可止,非涩精之可止也。
或谓牡蛎非涩药也,使牡蛎为止涩之药,如何仲景张公伤寒书中载大病瘥后,腰以下有
水气
者,用牡蛎泽漆散之乎?曰∶嗟乎。大病之后,水不能下行,原宜用补以消水。但伤寒经汗
、吐、下之余,元气不能骤生,补之则功缓,故宜因势利导,而用泽泻。又恐水势甚大,单
用泽泻未免太泄其水,而元气随水而尽泄。故用牡蛎于利之中以涩之也。利中带涩,则水泄
而元气无亏,是泄中有补之道存焉,真善用利耳。谁谓牡蛎非涩药哉。
或疑牡蛎既可于利中用涩,安在止精不可与利水并用耶?曰∶水可于利中用涩,而精不
可于
涩中兼利也。盖精愈涩而愈遗,补精而带涩,则徒补无益,故遗精之病,断不可用牡蛎耳
。(〔批〕辨涩精反致遗精,实见到之语。)然亦有用之而效者,乃玉关大开,不得已而用之
,以闭精于一时,而终不可恃之为长服之剂也。
或问牡蛎之肉,味甘性温,即鲍鱼肉也。牡蛎用之而止梦遗,若鲍鱼多食,使丈夫无髭
须,
何
也?曰∶牡蛎,即鲍鱼之壳,二者同气,皆止涩之味也。食之过多,则任督之路断,二经之
气不能上升于唇口,故须髯渐少。其实,多食牡蛎,亦能令人少髭也。
Zhenzhu (Pearl), cold in nature, non-toxic. It calms the heart spirit (Shen) and moistens the complexion. Applied to the eyes, it removes ocular membranes; inserted into the ears, it treats deafness; used for pediatric convulsions and epilepsy; especially effective in quenching thirst; also capable of descending phlegm. However, its internal use is rare; it is preserved for external therapeutic needs.
Zhenzhu (Pearl) is excellent for generating tissue and is a necessary drug for treating sores and toxins. However, if internal toxins are not yet cleared, using Zhenzhu (Pearl) prematurely to generate tissue will hinder wound closure.
Muli (Oyster Shell), salty in taste, neutral and slightly cold in nature, non-toxic. Those growing on the left side are of superior quality; it should be calcined before use. It enters the Shaoyin Kidney Meridian. It softens accumulations and masses, resolves tubercles, removes hardness under the hypochondrium, drains heat and reduces swelling, benefits essence, controls enuresis, stops night sweats with miraculous effect, breaks up old blood stasis, eliminates chronic phlegm, prevents nocturnal emissions (ghostly intercourse), and resolves qi stagnation. However, it can only serve as an assistant or guide drug. When combined with tonifying drugs, it tonifies; when combined with attacking drugs, it attacks; it shifts according to other herbs and cannot act independently.
Some doubt that Muli (Oyster Shell) is an astringent for essence, asking why the author omits discussing it. The answer is: Although Muli (Oyster Shell) has astringent properties for essence, it may cause further leakage of essence. This is not necessarily Muli's fault, but one must understand that Muli (Oyster Shell) astringes essence only after the pathways have been cleared (via diuresis); it does not stop leakage merely by astringency.
Some argue that Muli (Oyster Shell) is not an astringent. If it were solely for astringency, why does Zhang Zhongjing record in the *Shanghan Lun* (Treatise on Cold Damage) that for patients recovering from severe illness with water accumulation below the waist, the formula Muli Zexie San (Oyster Shell and Spurge Powder) is used? The response is: Alas! After severe illness, when water cannot descend downward, tonification is originally indicated to resolve water retention. However, after sweating, vomiting, or purging in cold damage, vital qi cannot recover rapidly; tonification would be too slow. Therefore, it is appropriate to follow the path of least resistance and use Zexie (Alisma Rhizome). Fearing that excessive water volume might lead to the loss of vital qi along with the water if only Zexie is used, Muli (Oyster Shell) is added to provide astringency amidst the draining action. Draining with astringency ensures water is expelled without depleting vital qi, embodying the principle of tonification within drainage. Who says Muli (Oyster Shell) is not an astringent?
Some question: If Muli (Oyster Shell) can be used with astringency in draining water, why can't it be combined with draining actions to stop seminal emission? The answer is: Water can be drained while being astringed, but essence cannot be astringed while simultaneously being drained. Essence leaks more when overly astringed; tonifying essence with astringents is futile. Therefore, for seminal emission, Muli (Oyster Shell) is absolutely contraindicated. (Comment: The analysis that astringing essence leads to further emission demonstrates profound insight.) However, there are cases where it is effective; this occurs when the "Jade Gate" (essence gate) is widely open, necessitating temporary closure. It cannot be relied upon as a long-term medication.
Someone asks: The meat of Muli (Oyster) is sweet and warm, which is Abalone meat. Muli (Oyster Shell) stops nocturnal emissions, but eating much Abalone causes men to lose beard hair. Why? The answer is: Muli (Oyster Shell) is the shell of the Abalone; they share the same nature and both possess astringent flavors. Excessive consumption blocks the Ren and Du meridians, preventing their qi from ascending to the lips and mouth, thus causing gradual loss of beard hair. In fact, consuming too much Muli (Oyster Shell) can also reduce beard growth.