收者。收其外散之意。涩者。涩其下脱之义。如发汗过多。汗当收矣!虚寒上浮。阳当
收矣
!久嗽亡津。津当收矣!此皆收也。泄痢不止。泄当固矣。小便自遗。遗当固矣!精滑不禁
。精当固矣!固即涩也。十剂篇云。涩可去脱。牡蛎龙骨之属是也。凡人气血有损。或上升
而浮。下泄而脱。非不收敛涩固。无以收其亡脱之势。第人病有不同。治有各异。阳旺者阴
必竭。故脱多在于阴。阴盛者阳必衰。故脱多在于阳。阳病多燥。其药当用以寒。阴病多寒
。其药当用以温。此定理耳。又按温以治寒。涩以固脱。理虽不易。然亦须分脏腑以治。如
莲子肉豆蔻是治脾胃虚脱之药也。故泄泻不止者最宜。莲须是通心交肾之药也。为心火摇动
精脱
不固者最佳。补骨脂 葡萄阿芙蓉没石子沉香芡实石钟乳胡桃肉灵砂是固肾气之药也。为
精滑肾泄者最妙。但补骨脂则兼治肾泄泻。葡萄则兼起阳稀痘。阿芙蓉则专固涩收脱。没石
子沉香则专降气归肾。芡实则兼脾湿并理。石钟乳则兼水道皆利。胡桃肉则兼肠肺俱润。灵
砂则合水火并降也。他如菟丝覆盆。性虽不涩。而气温能固。木瓜酸中带涩。醒脾收肺有功
。乌梅敛肺涩肠。诃子收脱止泻。清痰降火。赤石脂固血久脱。治虽不一。然要皆属温涩固
脱药耳。惟有禹余粮柿蒂性属涩平。与于体寒滑脱之症。微有不投。所当分别异视。
Shou (Convergence) refers to the meaning of gathering dispersed external Qi. Se (Astringency) refers to the significance of securing downward slipping or loss. For instance, when sweating is excessive, sweat should be converged; when deficiency-cold floats upward, Yang Qi should be converged; when prolonged coughing depletes body fluids, Jin-Ye (Body Fluids) should be converged; these all belong to "Shou" (Convergence). When diarrhea and dysentery persist, leakage should be secured; when urinary incontinence occurs, involuntary urination should be secured; when seminal emission is uncontrollable, essence should be secured; "Gu" (Securing) is essentially "Se" (Astringency). The *Ten Formulas* chapter states: "Astringents can treat slipping/loss," referring to herbs such as Muli (Oyster Shell) and Longgu (Dragon Bone). Generally, when human Qi and Blood are damaged, whether floating upward or slipping downward, without convergence and astringency, it is impossible to arrest the trend of collapse and loss. However, diseases differ among individuals, and treatments vary accordingly. When Yang is vigorous, Yin must be exhausted; thus, slipping syndromes often occur in Yin. When Yin is abundant, Yang must decline; thus, slipping syndromes often occur in Yang. Yang diseases tend toward dryness, so medicinal properties used should be cold. Yin diseases tend toward cold, so medicinal properties used should be warm. This is a fundamental principle. Furthermore, applying warmth to treat cold, and using astringency to secure loss, although the principles remain unchanged, one must distinguish by Zang-Fu organs for treatment. For example, Lian Zi Rou (Lotus Seed Cotyledon) and Dou Kou (Cardamom Fruit) are herbs treating Spleen-Stomach deficiency and slipping; therefore, they are most suitable for persistent diarrhea. Lian Xu (Lotus Plumule) is an herb connecting Heart and Kidney, making it best for cases where Heart Fire agitation causes insecure seminal emission. Bu Gu Zhi (Psoralea Fruit), Pu Tao (Grape), A Fu Luo (Opium), Mei Shi Zi (Myrobalan Nut), Chen Xiang (Agarwood), Qian Shi (Euryale Seed), Shi Zhong Ru (Stalactite), Hu Tao Rou (Walnut Kernel), and Ling Sha (Cinnabar and Sal Ammoniac Mixture) are herbs that secure Kidney Qi, making them excellent for seminal slip and Kidney deficiency diarrhea. Specifically, Bu Gu Zhi also treats Kidney deficiency diarrhea; Pu Tao also promotes Yang and aids in acne eruption; A Fu Luo specializes in astringency and converging collapse; Mei Shi Zi and Chen Xiang specialize in descending Qi and guiding it back to the Kidney; Qian Shi also treats Spleen dampness and regulates digestion; Shi Zhong Ru also benefits water passages; Hu Tao Rou also moistens intestines and lungs; Ling Sha harmonizes Water and Fire, descending both. Others include Tu Si Zi (Dodder Seed) and Fu Pen Zi (Raspberry); although their nature is not astringent, their warm temperature allows for securing. Mu Gua (Chaenomeles Fruit) is sour with astringency, contributing to awakening the Spleen and converging Lung Qi. Wu Mei (Mume Fruit) converges Lung Qi and astringes intestines to stop diarrhea. He Zi (Chebula Fruit) secures collapse, stops diarrhea, clears phlegm, and descends fire. Chi Shi Zhi (Red Halloysite) secures blood and treats chronic loss. Although treatments vary, they all essentially belong to Warm-Astringent herbs for securing loss. Only Yu Yi Liang (Limonite) and Shi Di (Persimmon Calyx) have a property that is astringent and neutral, applicable to symptoms of cold-body slipping loss, differing slightly from others, and thus requiring distinct consideration.