(蔓草)温脾燥胃杀虫除积
使君子(专入脾胃)。味甘气温。功专补脾杀虫除积。凡人症患五疳便浊。泻痢腹虫。
皆脾胃
虚弱。因而乳停食滞。湿热瘀塞而成。服此气味甘温以助脾胃。则积滞消。湿热散。水道利
。而前症尽除矣。时珍曰。凡杀虫之药。多是苦辛。独使君子榧子而杀虫亦异也。每月上旬
。虫头向上。中旬虫头向中。下旬虫头向下。于上旬空心服此数枚。则虫皆死而出也。但忌
热茶同服。则令人作泻矣。出闽蜀。五瓣有棱。内仁如榧。亦可煨食。久则油黑不可用。
(芳草)宜散肺分寒滞温暖脾胃
白豆蔻(专入肺脾胃。兼入大肠)。本与缩砂密一类。气味既同。功亦莫别。然此另有
一种清
爽妙气。上入肺经气分。而为肺家散气要药。且其辛温香窜。流行三焦。温暖脾胃。而使
寒湿膨胀。虚疟吐逆。反胃腹痛。并翳膜(必白睛见有白翳方用。)目 红筋等症悉除。
不似
缩砂密辛温香窜兼苦。功专和胃醒脾调中。而于肺肾他部则止兼而及之也。是以肺胃有火。
及肺胃气薄切忌。故凡用药治病。最宜审谅气味。分别形质。以为考求。不可一毫忽略。竟
无分别于其间耳。
(芳草)温脾暖胃快滞
缩砂(专入脾胃。兼入肺肾大小肠膀胱)。辛温而涩。故书号为醒脾调胃要药。然亦兼
入肺肾
大小肠膀胱。是以同檀香白豆蔻则能入肺。同人参益智则能入脾。同黄柏茯苓则能入肾。同
赤石脂则能入大小肠。其言醒脾调胃。快气调中。则于腹痛痞胀有功。(痛有喜按拒按之别
。若使痛喜手按。多属脾胃虚寒。治须用此。否则切禁。痞有因寒因热因暑因湿因痰因气因
血因食之别。亦须审其兼症兼脉以求。不可尽以砂仁为治也。)入大肠则于赤白泻痢有效。
入肺则于咳嗽上气克理。(泻痢由于寒湿者宜用。热湿者勿用。)至云止痛安胎。并咽喉口齿
浮热能消。亦是中和气顺之意。(胎挟寒滞者始宜。热属虚浮者方用。)若因实热而云胎气不
和。水衰而见咽喉口齿燥结者服之。岂能是乎?故虚实二字。不可不细辨而详察耳。出岭南
。研碎用。
(Moan Grass Category) Warms the Spleen, dries the Stomach, kills parasites, and eliminates accumulation.
Shi Jun Zi (Quisqualis Fructus) [Quisqualis indica L.] (Specifically enters the Spleen and Stomach meridians). Its taste is sweet, and its nature is warm. Its efficacy is specifically to tonify the Spleen, kill parasites, and eliminate accumulation. For any patient suffering from five types of childhood malnutrition diseases (Wu Gan), turbid stool, diarrhea, dysentery, or intestinal worms, these conditions arise because the Spleen and Stomach are weak, leading to stagnation of milk and food, and obstruction by damp-heat. By taking this medicine with its sweet and warm flavor to assist the Spleen and Stomach, the accumulation will dissipate, the damp-heat will scatter, the water passages will become unobstructed, and all the aforementioned symptoms will be completely removed. Li Shizhen said: Generally, drugs that kill parasites are mostly bitter and acrid; only Quisqualis Fructus and Torreya Seed have unique effects in killing parasites. At the beginning of each lunar month, the heads of the worms face upward; at the middle of the month, they face inward; at the end of the month, they face downward. Taking a few pieces of this medicine on an empty stomach during the first ten days will cause the worms to die and be expelled. However, it must not be taken with hot tea, as this will induce diarrhea. It originates from Fujian and Sichuan. The fruit has five lobes and ridges, and the kernel inside resembles Torreya Seed. It can also be eaten after roasting. If stored for too long, it turns black with oil and becomes unusable.
(Fragrant Herb Category) Suitable for dispersing cold and stagnation in the Lung sector, warming the Spleen and Stomach.
Bai Dou Kou (Amomi Fructus Rotundus) [Amomum kravanh Pierre ex Gagnep.] (Specifically enters the Lung, Spleen, and Stomach meridians, and concurrently enters the Large Intestine meridian). Originally belonging to the same category as Suo Sha Mi, its flavor and nature are identical, and its efficacy is indistinguishable. However, it possesses another refreshing and wondrous aroma that ascends into the Qi aspect of the Lung meridian, serving as a crucial herb for dispersing Qi stagnation in the Lung. Furthermore, its acrid, warm, and aromatic penetrating nature circulates through the Triple Burner, warms the Spleen and Stomach, and thereby eliminates distension caused by cold-dampness, malaria deficiency, vomiting and regurgitation, reverse flow of qi, abdominal pain, as well as cornea opacity (used only when white opacity is visible on the sclera), red eyes, and blood vessels in the eyes. This differs from Suo Sha Mi, which is acrid, warm, aromatic, penetrating, and bitter, whose efficacy focuses on harmonizing the Stomach, awakening the Spleen, and regulating the Middle Jiao, while merely touching upon the Lung and Kidney and other areas. Therefore, it is strictly contraindicated for those with fire in the Lung and Stomach, or those with thin Lung and Stomach Qi. Thus, when using herbs to treat diseases, one must carefully examine the flavor and nature, distinguish the morphology and texture, and use these as criteria for investigation. One must not ignore these details in the slightest, failing to make distinctions among them.
(Fragrant Herb Category) Warms the Spleen, warms the Stomach, promotes Qi movement, and relieves stagnation.
Suo Sha (Amomi Fructus) [Amomum villosum Lour.] (Specifically enters the Spleen and Stomach meridians, and concurrently enters the Lung, Kidney, Large Intestine, Small Intestine, and Bladder meridians). It is acrid, warm, and astringent, so texts refer to it as a key herb for awakening the Spleen and regulating the Stomach. However, it also concurrently enters the Lung, Kidney, Large Intestine, Small Intestine, and Bladder meridians. Therefore, when used together with Sandalwood and Bai Dou Kou, it enters the Lung; when used together with Ginseng and Yizhi Ren, it enters the Spleen; when used together with Phellodendron Bark and Poria, it enters the Kidney; and when used together with Red Kaolin, it enters the Large and Small Intestines. Regarding its ability to awaken the Spleen, regulate the Stomach, promote Qi movement, and regulate the Middle Jiao, it is effective for abdominal pain and epigastric fullness. (Pain is distinguished by whether it prefers pressure or rejects pressure. If the pain prefers manual pressure, it mostly belongs to Cold-Deficiency of the Spleen and Stomach, and treatment requires this herb; otherwise, it is strictly prohibited. Fullness/Plenum sensation varies due to Cold, Heat, Summerheat, Dampness, Phlegm, Qi, Blood, or Food. One must also investigate based on accompanying symptoms and pulse, and cannot simply treat everything with Amomum Fructus.) When entering the Large Intestine, it is effective for bloody and purulent dysentery. When entering the Lung, it governs cough and rebellious Qi. (It is suitable for dysentery caused by Cold-Dampness, but should not be used for Heat-Dampness.) As for claims that it stops pain, calms the fetus, and eliminates floating heat in the throat and teeth, this is also based on the principle of harmonious and smooth Qi. (It is suitable only when the fetus carries Cold stagnation, and for floating heat due to Deficiency-Heat.) If one takes it for fetal unrest due to Excess-Heat, or for dryness and constriction of the throat and teeth due to Yin fluid depletion, would that be appropriate? Therefore, the concepts of Excess and Deficiency must not fail to be carefully distinguished and thoroughly examined. It originates from Lingnan and should be crushed before use.