(山草)升阳散湿发汗除郁
苍术(专入脾)。甘苦辛烈。气温无毒。虽有升阳散郁。发汗除湿。(杨氏家验方。男子
妇人
因食生熟物。留滞肠胃。遂至生虫。久则好食生米。否则终日不乐。及至憔悴萎黄。饮食不
思。用苍术一味为丸而愈。益昌伶人刘清啸一娼名曰花翠。年逾笄。病此。惠民局监赵尹以
此治之。两旬而愈。盖生米留滞肠胃。受湿则谷不磨而成此疾。故用苍术去湿暖胃消谷。)
燥痰(许叔微本事方云。予患饮癖三十年。遍求名医不效。自揣必有癖囊。如水之有科臼。
不盈科不行。但清者可行。而浊者停滞。无路以决之。故积至五七日必呕而去。脾土恶湿。
而水则流湿。莫如燥脾以去湿。崇土以填科臼。乃悉屏诸药。只以苍术一味。同枣肉为丸。
忌桃李雀肉而疾除。)辟恶。(时珍曰。陶隐居言术能除恶气。弥灾诊。故今病疫及岁旦。人
家往往烧苍术以辟邪气。夷坚志载江西一士人为阴气所侵。或曰。君必当暴泄。但多服平胃
散为良。中有苍术能去辟也。)治肿之功。然甘味少而辛苦重。不似白术性禀中和。直固清
阳中气之为妙耳。故同香附则为散郁而气平。(苍术能径入诸经。疏泄阳明之湿。通行敛涩
。香附乃阴中快气之药。一升一降。故郁散而平。)同黄柏则能治下部湿热。(黄柏味苦。苦
胜热。故可以去湿中之热。苍术性燥。燥胜湿。故可以去热中之湿。两者相需妙用。故其方
呼为二妙。)同大枣则能治胁下饮 。(用枣始能固中也。)同二陈加白术升柴。则能以治脾
湿下流。肠风带浊。(带浊有寒有热。有痰有气。有风有湿各异。须要审症辨用。)然必禀体
肥盛多湿者始宜。若形瘦多火切忌。至云服能轻身长生。不过因其湿去之谓。岂真能入仙境
之地哉?(本草多有长生不老之说。欺世惑民。以致药品真义不出耳。)出茅山。坚小有朱
砂
点者良。糯米泔浸焙干。同芝麻炒以制其燥。防风地榆为使。
(Mountain herbs) Have the effects of raising Yang Qi, dispersing dampness, inducing sweating to relieve the exterior, and resolving stagnation.
Cangzhu (Atractylodis Rhizoma) (specifically enters the Spleen channel). Its taste is sweet, bitter, and pungent, with a strong aroma; its nature is warm and non-toxic. Although it has the functions of raising Yang Qi, dispersing stagnation, inducing sweating, and removing dampness: (*Yang's Family Verified Prescriptions* records: Men or women who consume a mixture of raw and cooked foods may have food stagnating in the intestines and stomach. Over time, parasites develop, leading to a craving for raw rice; otherwise, they feel unhappy all day long, eventually becoming emaciated, sallow-complexioned, and losing their appetite. Using Cangzhu alone made into pills can cure this. Liu Qingxiao, a performer from Yichang, had a courtesan named Hua Cui who was over fifteen years old and suffered from this illness. Zhao Yin, the supervisor of the Huimin Bureau, treated her with this method, and she recovered in twenty days. This is because raw rice stagnates in the intestines and stomach; affected by dampness, grains fail to digest, causing this disease. Therefore, Cangzhu is used to remove dampness, warm the stomach, and aid digestion.)
Dry Phlegm (Xu Shuwei stated in *Ben Shi Fang*: "I suffered from Yin Pi [accumulation due to fluid retention] for thirty years. Seeking treatment from many famous doctors yielded no results. I speculated that there must be a 'Pi Nang' [sac-like accumulation] within me, similar to how water requires depressions to fill before flowing. Only clear water can flow, while turbid water stagnates without a path to drain. Thus, after accumulating for five to seven days, it must be vomited out. The Earth element of the Spleel detests dampness, and water flows toward damp places. It is best to dry the Spleen to remove dampness and build up the Earth to fill the depressions. Consequently, I discontinued all other medicines and used only Cangzhu combined with date flesh made into pills, avoiding plums, peaches, and sparrow meat, until the disease was eliminated.")
Expelling Evil (Li Shizhen said: Tao Hongjing stated that Zhu [Atractylodes] can eliminate evil qi and avert disasters. Therefore, during epidemics and on New Year's Day, people often burn Cangzhu to ward off evil qi. *Yi Jian Zhi* records that a scholar in Jiangxi was invaded by Yin Qi. Someone said, "You will likely suffer from sudden diarrhea, but taking Pingwei San frequently is beneficial. It contains Cangzhu, which can expel evil.")
Treating swelling. However, Cangzhu has little sweet flavor and heavy bitter/pungent flavors, unlike Baizhu (Atractylodis Macrocephalae Rhizoma), whose nature is moderate and balanced, directly consolidating the Middle Qi of Clear Yang, which is more exquisite. Therefore, when combined with Xiangfu (Cyperi Rhizoma), it disperses stagnation and levels Qi. (Cangzhu can enter various meridians directly, draining dampness from the Yangming meridian and promoting the circulation of constrictive/stagnant Qi. Xiangfu is a herb that moves Qi rapidly within the Yin aspect. One rises and one descends, so stagnation disperses and Qi becomes level.) When combined with Huangbai (Phellodendri Cortex), it treats damp-heat in the lower body. (Huangbai tastes bitter; bitterness overcomes heat, thus removing heat within dampness. Cangzhu is drying; dryness overcomes dampness, thus removing dampness within heat. The two complement each other excellently, hence the formula is called Er Miao San.) When combined with Dazao (Jujubae Fructus), it treats fluid retention under the ribs. (Using Dazao can consolidate the Middle Jiao.) When combined with Er Chen Tang plus Baizhu, Shengma (Cimicifugae Rhizoma), and Chaihu (Bupleuri Radix), it treats intestinal wind and turbid discharge caused by Spleen dampness sinking downward. (Turbid discharge varies by cold, heat, phlegm, Qi, wind, and dampness; symptoms must be carefully examined for differential diagnosis.) However, it is suitable only for those with a robust physique and abundant dampness. Those who are thin with excessive fire must strictly avoid it. As for claims that it lightens the body and prolongs life, this is merely because it removes dampness; does it truly allow entry into fairy realms? (Many materia medica books contain claims of immortality, deceiving the world and confusing people, thereby obscuring the true meaning of medicinal substances.) Cangzhu originates from Maoshan; those that are firm and have cinnabar spots are superior. Soak in rice washing water, bake dry, and stir-fry with sesame seeds to control its dryness. Fangfeng (Saposhnikoviae Radix) and Diyu (Sanguisorbae Radix) serve as guiding herbs.