叶大椿痘学真传云∶紫草茸古本不见,近刻但在紫草项下,注明紫草茸染手者为佳,竟
不知
别有一种。予幼时见世叔华泓卿家有紫草茸,为发痘神丹,乃其高祖学士鸿山公使外国带归
者。予取而藏之,每遇血热毒壅,失血烦闷,顶陷不起,痘疔肿胀,于清解药中研加四五分
,无不神效。惜乎方书不载,不敢擅增本草。近见神应心书独标紫草茸,色澹红,出乌思藏
,着大树枝上如白蜡,其价如千金,不特发痘如神。用酒调服一二钱,能治诸肿毒恶疮。又
云∶顺手擂一钱,酒下,力能催生,此 水潭应梦屡获其效,并请正西番贡僧之语。至近
时
亦知茸非紫草之嫩苗,复误认胭脂渣即是紫草茸。此说更谬。 按∶紫草,本草诸方皆用根
,韦宙独行方治豌豆疮不发,煮紫草汤饮,后人相承用之。则以之治痘凉血解毒,自此始也
。曾世荣活幼新书云∶紫草性寒,小儿脾气实者,犹可用,脾气虚者,反能作泻,古惟用茸
,取其初得阳气,以类触类,所以用发痘疮,则用茸亦见于此,而亦未闻有乌思藏所出一种
。据叶所云,又似紫铆,亦无的解,以其亲试历效,故存其说,以俟后之博访。
治痘,及诸肿毒恶疮,催生。
己亥冬,遇刘挹清少府于余杭,言其祖曾任蜀藩,家有西藏紫草茸,皆成块如指头大,色红
而明透如琥珀,知叶所载为不谬。
翟良痘科释义云∶痘科用紫草,古方惟用其茸,取气轻味薄而有清凉发散之功,凡下紫
草,
必用糯米五十粒,以制其冷性,庶不损胃气而致泄泻,惟大热便秘者不必加。
Ye Dachun, in *Zhenzhuan of Smallpox Studies*, stated: "Zicao Rong (Purple Gromwell Felt)" is not found in ancient pharmacopoeias. Recent editions only mention it under the entry for Zicao (Lithospermum Erythrorhizon), noting that the variety that stains hands is superior, yet failing to realize it is a distinct substance. In my youth, I saw Zicao Rong at the residence of my uncle, Hua Hongqing. It was a miraculous elixir for inducing smallpox eruptions, brought back by his great-grandfather, Academician Hongshan, during an embassy abroad. I collected and stored some. Whenever encountering conditions of blood heat with toxic stagnation, hemorrhage with restlessness, sunken pustules in smallpox, or swelling of smallpox carbuncles, grinding and adding 4-5 fen (approx. 1.5-2g) to heat-clearing and detoxifying prescriptions yielded miraculous results. Regrettably, medical formularies do not record it, so I dared not arbitrarily add it to the Materia Medica. Recently, I saw *Shenying Xinshu* (Divine Response Heart Book) listing Zicao Rong separately. It is pale red, originates from U-Tsang (Tibet), attaches to large tree branches like white wax, and is as expensive as a thousand gold pieces. It not only induces smallpox eruptions miraculously; taken with wine in doses of 1-2 qian (approx. 3-6g), it treats various swellings, toxins, and malignant sores. It further states: grinding 1 qian (approx. 3g) and taking it with wine has the power to facilitate childbirth. This refers to Shuitan Yingmeng's repeated successes and his consultation with a Tibetan tribute monk. In recent times, people know that 'rong' is not the tender shoot of Zicao, but mistakenly identify rouge dregs as Zicao Rong. This view is even more absurd.
Note: In all ancient pharmacopoeias and formulas, the root of Zicao (Lithospermum Erythrorhizon) is used. Wei Zhou's *Duxing Fang* (Single Path Prescription) treated undeveloped pox (smallpox/varioloid) by boiling Zicao decoction for drinking, a method inherited by later generations. Thus, using it to treat smallpox, cool blood, and resolve toxicity began here. Zeng Shirong's *Huoyou Xinshu* (New Book for Living Infants) states: Zicao is cold in nature. For children with solid spleen-stomach qi, it can still be used; for those with deficient spleen qi, it may instead cause diarrhea. Anciently, only Zicao Rong was used, taking advantage of its initial acquisition of yang qi, applying similar to similar, thus using it to induce smallpox eruptions. However, no mention exists of a variety from U-Tsang. Based on Ye's description, it resembles Zimao (Laccifer Lacca, Indian Lac), but there is no definitive explanation. Since he personally tested it with repeated efficacy, I preserve this account to await future extensive investigation.
Indications: Treating smallpox, various swellings/toxins, and malignant sores; facilitating childbirth.
In the winter of the Jihai year, I met Liu Yiqing, Vice Prefect of Yuhang, who said his ancestor served as an official in the Shu province. His family possessed Tibetan Zicao Rong, formed into lumps the size of fingers, red and transparent like amber. This confirmed that Ye's records were not false.
Zhai Liang, in *Shiyi of Smallpox Department*, stated: The smallpox department uses Zicao (Lithospermum Erythrorhizon). Ancient formulas use only its 'rong', valuing its light qi and thin flavor which provide cooling and dispersing effects. When using Zicao, one must always add 50 grains of glutinous rice to restrain its cold nature, thereby preventing damage to stomach qi and subsequent diarrhea. This addition is unnecessary only for cases of intense heat and constipation.