(隰草)冬葵子润燥利窍滑胎
冬葵子(专入胃大小肠)。甘寒淡滑。润燥利窍。通营活卫。消肿利水。凡妇人难产不
下。专
取一味炒香为末。芎归汤下三钱则易生。(芎归力专行血。)取其晨夕向日转动灵活耳。妇人
乳房胀痛。同砂仁等分为末。热酒服三钱。其肿即消。(砂仁温胃消胀。)且能破五肿利小便
。并脏腑寒热羸瘦。同榆皮等分煎服亦效。十剂方云。滑可去着。冬葵子榆白皮之属是也。
故涩则去着。宜滑剂以利之。经冬至春作子者。名冬葵子。春葵子亦滑。不堪入药。蜀葵赤
者治血燥。白者治气燥。亦治血淋。皆取其寒润滑利之功。
(隰草)引入下部经络血分
牛膝(专入肝肾)。苦酸而平。按据诸书。虽载酒蒸温补肝肾。强健筋骨。凡足痿筋挛。
阴痿
失溺。久疟下痢。伤中少气。治皆有效。又载生用则能活血。破瘀消肿。治痛通淋。引药
下行。(淋属热。至其茎痛不可忍。手按热如火烁。血出鲜红不黯。淋出如砂如石。脐下妨
闷。烦燥热渴。六脉沉数有力。淋属虚致。其茎多不见痛。即痛或喜手按。或于溺后才痛。
稍久则止。或登厕小便涩痛。大便牵痛。面色痿黄。饮食少思。语言懒怯。六脉虚浮无力。
淋属虚实兼致。其茎或见痛极。六脉弦数而按不甚有力。饮食少思而神不见昏倦。溺即滴点
不断。而出则无砂石膏血。脉即虚软无力。而血反见鲜润。腹即胀硬不消。而气短结。牛膝
虽淋症要药。然亦须审虚实权衡。不可尽以牛膝治也。)然味薄气浓。性沉。炙滑。用于下
部经络血分舒气则可。若使肺分气薄遗脱泄泻。则又当知忌戒。不可因其气虚而概用之。(
时珍曰。牛膝乃足厥阴少阴所主之病。大抵得酒则能补肝肾。生用则能去恶血。二者而已。
其治腰膝骨痛足痿阴消失溺久疟伤中少气诸病。非取其补肝肾之功欤!其治症瘕心腹诸痛痈
肿
恶疮金疮折伤喉齿淋痛尿血经候胎产诸病。非取其去恶血之功欤!)出于川者性味形质虽与
续断相似。服之可无精滑之弊。然肝主司疏泄。肾主闭藏。此则疏泄独具而鲜固蛰。书云益
肾。殊觉未是。杜牛膝气味更凉。嚼之味甘而不苦。主治多是解毒破血。泻热吐痰。(如溺
闭症见气喘面赤有斑。用杜牛膝浓煎膏饮。下血一桶。小便通而愈。又不省人事。绞汁入好
酒。灌之即苏。以醋拌渣敷项下。惊风痰疟。服汁能吐痰涎。喉痹用杜牛膝捣汁。和米醋半
盏。用鸡翅毛蘸搅喉中以通其气。)较之川牛膝。微觉有别。牛膝出西川及怀庆府。长大肥
润者良。下行生用。入滋补药酒蒸。恶龟甲。畏白前。忌牛肉。
(Xi Cao) Dong Kui Zi (Malva Seed) moistens dryness, unblocks orifices, and facilitates childbirth.
Dong Kui Zi (specifically enters the Stomach, Large Intestine, and Small Intestine meridians). Sweet, cold, bland, and slippery. It moistens dryness, unblocks orifices, regulates Ying (Nutrient) and Wei (Defensive) Qi, reduces swelling, and promotes urination.
For women suffering from difficult labor where the fetus does not descend, specifically take one ingredient: stir-fry Dong Kui Zi until fragrant, grind into powder, and take 3 qian with Xiong Gui Tang (Szechwan Lovage and Angelica Decoction) for easier delivery. (Xiong Gui Tang's power is specifically in moving blood.) This is to utilize its flexibility, akin to the sunflower turning towards the sun morning and evening.
For breast distension and pain in women, mix Dong Kui Zi with Sha Ren (Amomum Fruit) in equal parts, grind into powder, and take 3 qian with hot wine; the swelling will immediately subside. (Sha Ren warms the stomach and resolves distension.)
Furthermore, it can break five types of edema and promote urination. For alternating cold and heat in the Zang-Fu organs leading to emaciation, decoct Dong Kui Zi with Yu Bai Pi (Elm Bark) in equal parts; this is also effective. The "Ten Formulas" states: "Slippery agents remove adherence." Dong Kui Zi and Yu Bai Pi belong to this category. Therefore, astringency leads to adherence, so one should use slippery agents to facilitate flow. Those that seed between Winter Solstice and Spring are named Dong Kui Zi. Spring Kuaizi (Malva) is also slippery but is unsuitable for medicinal use. Red Shu Kui Zi (Hollyhock Seed) treats Blood dryness, white Shu Kui Zi treats Qi dryness, and both treat Blood Lin (dysuria with blood); all derive their efficacy from their cold, slippery, and lubricating properties.
(Xi Cao) Guides to the lower meridians and blood level.
Niu Xi (Achyranthes Root) (specifically enters the Liver and Kidney meridians). Bitter, sour, and neutral. According to various texts, although it records that wine-steamed Niu Xi can warm-tonify the Liver and Kidneys and strengthen sinews and bones, effectively treating foot weakness, tendon spasms, impotence, urinary incontinence, chronic malaria, dysentery, internal injury with shortness of breath, etc. It is also recorded that raw Niu Xi can invigorate blood, break stasis, reduce swelling, treat pain, and unblock Lin syndrome, guiding medicine downward. (Lin syndrome due to Heat presents with unbearable urethral pain, feeling like fire burning upon touch, bright red urine without darkness, discharge resembling sand or stones, oppression and irritability below the umbilicus, thirst, fever, and deep, rapid, forceful pulses throughout the six positions. Lin syndrome due to Deficiency presents with little or no urethral pain, or pain preferred by touch, or pain only after urination, which subsides after a while, or涩 painful urination when using the toilet, dragging pain in defecation, sallow complexion, poor appetite, lazy and timid speech, and empty, floating, and weak pulses. Lin syndrome due to mixed Excess and Deficiency presents with extreme urethral pain, wiry and rapid pulses that are not very forceful upon pressure, poor appetite but without mental fatigue, continuous dripping urine but without sand, stones, or blood in the discharge, soft and weak pulses but with fresh-ruddy blood, abdominal distension and hardness that does not resolve, yet with shortness of breath and Qi knotting. Although Niu Xi is an essential herb for treating Lin syndrome, one must examine Excess and Deficiency and weigh the pros and cons; it cannot be used indiscriminately for all cases.) However, its taste is light while its aroma is strong, its nature is sinking, and it becomes slippery when roasted. It is suitable for regulating Qi in the lower meridians and blood level. If used for Lung Qi deficiency leading to leakage or diarrhea, one must know the contraindications and avoid it; do not use it generally just because of Qi deficiency. (Li Shizhen said: Niu Xi governs diseases of the Foot Jueyin Liver and Foot Shaoyin Kidney meridians. Generally, with wine, it tonifies the Liver and Kidneys; raw, it removes evil blood. These are the two main functions. Does it not treat waist and knee bone pain, foot weakness, impotence, incontinence, chronic malaria, internal injury with shortness of breath, etc., by virtue of its ability to tonify the Liver and Kidneys! Does it not treat masses, heart and abdominal pains, carbuncles, malignant sores, metal wounds, fractures, throat and tooth pain, Lin pain, hematuria, menstruation, and pregnancy/birth disorders, by virtue of its ability to remove evil blood!) Niu Xi produced in Sichuan resembles Xu Duan (Teasel Root) in nature, flavor, shape, and quality; taking it avoids the drawback of seminal emission. However, the Liver governs dispersion and drainage, while the Kidney governs closure and storage. Niu Xi has unique dispersion and drainage functions but lacks consolidation and storage. Books claim it benefits the Kidney, which I find inaccurate. Du Niu Xi (Cyathula Root) has a cooler nature and flavor; it tastes sweet and not bitter when chewed. Its main actions are detoxification, breaking blood, clearing heat, and expelling phlegm. (For example, in cases of urinary retention presenting with panting, red face, and macules, decoct Du Niu Xi thickly into a paste and drink; if one bucket of blood is discharged and urination becomes smooth, the patient recovers. If the patient loses consciousness, squeeze the juice, mix with good wine, and administer orally to restore consciousness; apply vinegar-mixed dregs to the neck. For convulsive wind with phlegm and malaria, drinking the juice can induce vomiting of phlegm and saliva. For throat obstruction, crush Du Niu Xi to extract juice, mix with half a cup of rice vinegar, dip chicken wing feathers in it, and stir the throat to open the airway.) Compared to Chuan Niu Xi, there is a slight difference. Niu Xi is produced in Western Sichuan and Huaqing Prefecture; those that are large, long, and plump are superior. Use raw for descending actions; wine-steamed for tonic formulas. It is incompatible with Gui Jia (Tortoise Shell), fears Bai Qian (Cynanchum Stem), and forbids beef consumption.