耳实,味苦、甘,气温,叶苦、辛、微寒,俱有小毒。善解大麻风之毒,余病禁用。
各《
本草》称其效,皆不足信也。盖此物最利关节,凡邪物在脏腑者,服之无不外出。大麻风之
毒,正苦其留于脏中,必借此引出于皮毛。他病原非脏毒,何必借重。况 耳子与叶,散尽
真气,乌可轻服哉。若大麻风,亦畏散其气,然受毒甚炽,有病则病受之,尚不至十分尽耗
,故用之无妨。然亦必入之活血、凉血之药中始得,非单用一味可恃之而取效也。
或问苍耳子,他病亦有用处,如治汗斑之去风,脚膝之去湿,未尝无效,而子只言其治
大麻
风,毋乃太过乎?非过也,苍耳子实只可治大麻风,而不可治他病。如汗斑,细病也,何必
用此以耗元气。脚膝,下病也,何必用此升散。舍可用之药,而求之不可用之草,此世用药
之好奇,非吾论之太过也。
茜草,味苦,气寒,阴中微阳,无毒。入胃、脾二经。止下血崩漏,始跌折损伤,散瘀
血。
女子经滞不行,妇人产后血晕,体黄成疸,皆能治之。但只行血而不补血,宜同补气之
药以
行血,不宜同补血之药以散气。至于各书言其能补虚热,且治劳伤后,虚语耳,吾未见其功
也。
或问茜草色红,何以止血?夫茜草本行血之药,行血而反能止血者,引血之归经耳。当
血之
逆行
也,少拂其性,而其势更逆。茜草之色与血色相同,入之血中,与血相合而同行,遂能引之
归经,而相忘其非类,此治法之功也。但既引入于各经,即当以补阴之药继之,则血安而不
再沸。否则,血症未尝有不再发者也。
Ear Fruit (Cang'erzi, Xanthii Fructus), with a bitter and sweet taste and warm nature; its leaves have a bitter and pungent taste and slightly cold nature, both possessing slight toxicity. It is excellent at resolving the toxin of Leprosy (Da Ma Feng, a severe chronic skin disease equivalent to modern leprosy); it is contraindicated for other diseases.
The efficacy claims in various *Bencao* (Materia Medica) texts are unreliable. This substance is most effective in benefiting the joints; when pathogenic factors reside within the Zang-Fu organs, administration invariably expels them outward. The toxin of Leprosy is indeed problematic due to its retention within the Zang organs, necessitating this herb to draw it out to the skin and hair surface. Other etiologies are not visceral toxins, so why rely on it? Moreover, both the fruit and leaves dissipate True Qi (Zhen Qi, vital energy), making light or casual use inadvisable. In cases of Leprosy, although there is concern about dissipating Qi, the toxin burden is so intense that the disease itself absorbs the medicinal force, preventing excessive depletion of Qi; thus, its use is permissible. However, it must be combined with blood-invigorating (Huo Xue) and blood-cooling (Liang Xue) herbs to be effective; relying on it as a single agent is insufficient.
One might ask: Cang'erzi has uses in other conditions, such as dispelling wind for treating Tinea Versicolor (Han Ban) or removing dampness for foot and knee ailments, where it has proven effective. Is it not an overstatement to claim it only treats Leprosy? It is not an overstatement. Cang'erzi is suitable only for Leprosy and unsuitable for other diseases. For instance, Tinea Versicolor is a minor ailment; why use this herb to deplete Yuan Qi (Primordial Qi)? Foot and knee disorders are lower-body issues; why use this herb for ascending and dispersing actions? Abandoning appropriate herbs to seek inappropriate ones reflects the world's preference for novelty in medication, not an excessive argument on my part.
Qian Cao (Rubia Root, Radix Rubiae), with a bitter taste and cold nature, belonging to Yin with slight Yang, is non-toxic. It enters the Stomach and Spleen meridians. It stops lower bleeding and metrorrhagia (Beng Lou), treats initial traumatic injuries, and dissipates blood stasis.
It can treat menstrual stagnation and amenorrhea in women, postpartum blood fainting, and jaundice resulting from body yellowing. However, it moves blood but does not tonify blood; it should be paired with Qi-tonifying herbs to move blood, rather than Blood-tonifying herbs which might disperse Qi. Claims in various texts that it tonifies deficiency-heat and treats post-labor injury are false statements; I have not witnessed its efficacy in these regards.
One might ask: Since Qian Cao is red in color, how does it stop bleeding? Qian Cao is fundamentally a blood-moving herb; its ability to stop bleeding while moving blood lies in guiding blood back to its proper meridians. When blood flows in rebellion, opposing its nature exacerbates the rebellious flow. The color of Qian Cao matches the color of blood; upon entering the blood, it merges and travels with the blood, thereby guiding it back to the meridians, causing the blood to forget its anomalous state. This is the merit of the therapeutic method. However, once the blood is guided into the various meridians, Yin-nourishing herbs should immediately follow to ensure the blood remains calm and does not boil again. Otherwise, hemostatic conditions will inevitably recur.