(石)除肝膈上热痰
礞石(专入肝)。禀石中刚猛之性。沉坠下降。味辛而咸。色青气平。功专入肝平木
下气。为
治惊利痰要药。(喻嘉言曰。惊风二字。乃古人妄凿空谈。不知小儿初生。以及童幼。肌肉
筋骨。脏腑血脉。俱未克长。阳则有余。阴则不足。故易于生热。热甚则生风生惊。亦所恒
有。后人不解。遂以为奇特之病。且谓此病有八候。以其摇头手动也。而立抽掣之名。以其
卒口噤脚挛急也。而立目斜乱搐搦之名。以其脊强背反也。而立角弓反张之名。相传既久。
不知妄造。遇此等症。无不以为奇特。而不知小儿腠理不密。易于感冒风寒。病则筋脉牵强
。因筋脉牵强生出抽掣搐搦。角弓反张。种种不通名色。而用金石等药镇坠外邪。深入脏腑
。
千中千死。间有体坚症轻得愈者。又诧为再造奇功。遂致各守专门。虽日杀数儿。而不知其
罪矣。)盖风木太过。脾土受制。气不运化。积气生痰。壅塞膈上。变生风热。治宜用此重
坠下泄。则风木气平。而痰积自除。今人以王隐君滚痰丸内用礞石。通治诸般痰怪症。殊为
未是。(滚痰丸。礞石焰硝各二两。 研水飞净一两。大黄酒蒸八两。黄芩酒洗八两。沉香
五钱。为末水丸。)不知痰因热盛。风木挟热而脾不运。故尔痰积如胶如漆。用此诚为合剂
。如其脾胃虚弱。食少便溏。服此泄利不止。小儿服之。多成慢症。以致束手待毙。可不慎
欤。硝 水飞研用。
(Shi) Clears phlegm-heat in the liver and diaphragm.
Mengshi (Lapis Auripigmenti / Realgar? *Note: In TCM context, Mengshi usually refers to Qingmengshi - Flaked Pyrite or similar mineral, specifically "Qingmengshi" is often translated as Flaked Pyrite or simply Mengshi. Given the description "stone-like", "heavy", "blue-green color", it aligns with Qingmengshi (Flaked Pyrite). However, strictly following WHO/standard herb names, Mengshi is often kept as Mengshi or translated descriptively. Let's use Mengshi (Flaked Pyrite)*). It possesses the fierce nature of stone, is heavy and sinking, descending in action. Its taste is pungent and salty, its color is green, and its qi is neutral. Its function specializes in entering the Liver to calm Wood, descends Qi, and is an essential herb for treating convulsions and promoting expectoration. (Yu Jiayan said: The term "Jingfeng" [Convulsive Disease] is a baseless fabrication by ancients. They did not realize that newborn infants and young children have muscles, bones, tendons, zang-fu organs, and blood vessels that are not yet fully developed. Their Yang is relatively excessive while their Yin is insufficient, making them prone to generating heat. When heat becomes severe, it generates Wind and Convulsions, which is quite common. Later generations failed to understand this, regarding it as a peculiar disease. Furthermore, they claimed there were eight signs: because the child shakes their head and moves their hands, they coined the name "Chouche" [Twitching/Clonic movements]; because the child suddenly has clenched jaws and cramped legs, they coined the name "Muxie Luanchuo Nuo" [Deviation of eyes and chaotic twitching/spasms]; because the child has a stiff spine and arched back, they coined the name "Jiaogong Fanzhang" [Opisthotonos]. This tradition persisted for a long time, unknown to be a false creation. Upon encountering such symptoms, people invariably regarded them as peculiar diseases, unaware that children's couli [pores/skin texture] are not dense, making them susceptible to Wind-Cold invasion. Illness causes tension in the sinews and vessels. Due to this tension, symptoms like twitching, spasms, and opisthotonos arise—various incomprehensible names and conditions. Yet, metallic and stony minerals are used to suppress external pathogens, driving them deep into the zang-fu organs. This results in death in nearly every case. Occasionally, those with strong constitutions and mild symptoms recover, and this is marvelously hailed as a miraculous feat of resurrection. Consequently, practitioners cling to their specialized views; although they kill several children daily, they remain unaware of their guilt.) Generally, when Wood-Wind is excessive, Spleen-Earth is constrained, Qi fails to transform and transport, leading to accumulated Qi generating Phlegm. This Phlegm obstructs the upper diaphragm, transforming into Wind-Heat. Treatment should employ this heavy, sinking, and purgative herb to calm the Wood-Wind Qi, thereby naturally eliminating the Phlegm accumulation. Nowadays, people use Mengshi in Wang Yinjun's Guntan Wan [Rolling Phlegm Pill] to treat all kinds of bizarre phlegm disorders, which is highly inappropriate. (Guntan Wan Formula: Mengshi and Yanxiao [Saltpeter/Niter] each 2 liang, ground and purified via water flotation to obtain 1 liang pure powder; Dahuang [Rhubarb Root and Rhizome] steamed with wine 8 liang; Huangqin [Scutellaria Root] washed with wine 8 liang; Chenxiang [Aquilaria Wood] 5 qian. Ground into fine powder and formed into pills with water.) One must not realize that Phlegm arises from excessive Heat, where Wood-Wind carries Heat causing Spleen dysfunction, resulting in Phlegm accumulation as sticky as glue or lacquer. Using this herb is indeed appropriate for such cases. However, if the Spleen and Stomach are weak, with poor appetite and loose stools, taking this purgative will cause incessant diarrhea. If taken by children, it often leads to chronic critical conditions, resulting in helplessness awaiting death. Can one not be cautious? Xiaoshi [Niter/Saltpeter] should be processed via water flotation and ground.