(《本经》中品)
【校正】并入《别录》有名未用酸赭。
【释名】玉豉、酸赭。
弘景曰∶其叶似榆而长,初生布地,故名。其花子紫黑色如豉,故又名玉豉。时珍曰∶
按∶外丹方言∶地榆一名酸赭,其味酸、其色赭故也。今蕲州俚人呼地榆为酸赭,又讹赭为
枣,则地榆、酸赭为一物甚明,其主治之功亦同,因并《别录》有名未用酸赭为一云。
【集解】《别录》曰∶地榆,生桐柏及冤句山谷。二月、八月采根曝干。又曰∶酸赭生
昌阳山。采无时。颂曰∶今处处平原川泽皆有之。宿根三月内生苗,初生布地,独茎直上,
高三、四尺,对分出叶。叶似榆叶而稍狭,细长作锯齿状,青色。七月开花如椹子,紫黑色。
根
山人乏茗时,采作饮亦好,又可炸茹。
根
【气味】苦,微寒,无毒。《别录》曰∶甘、酸。权曰∶苦,平。元素曰∶气微寒,味
微苦,气味俱薄,其体沉而降,阴中阳也,专主下焦血。杲曰∶味苦、酸,性微寒,沉也,
阴也。之才曰∶得发良,恶麦门冬,伏丹砂、雄黄、硫黄。
【主治】妇人乳产, 痛七伤,带下五漏,止痛止汗,除恶肉,疗金疮(《本经》)。止
脓血,诸 恶疮热疮,补绝伤,产后内塞,可作金疮膏,消酒,除渴,明目(《别录》)。止
冷热痢疳痢,极效(《开宝》)。止吐血鼻衄肠风,月经不止,血崩,产前后诸血疾,并水泻
(大明)。治胆气不足(李杲)。汁酿酒治风痹,补脑。捣汁涂虎犬蛇虫伤(时珍)。酸赭∶
味酸。主内漏,止血不足(《别录》)。
【发明】颂曰∶古者断下多用之。炳曰∶同樗皮治赤白痢。
宗 曰∶其性沉寒,入下焦。若热血痢则可用。若虚寒人及水泻白痢,即未可轻使。
时珍曰∶地榆除下焦热,治大小便血证。止血取上截切片炒用。其梢则能行血,不可不
知。杨士瀛云∶诸疮,痛者,加地榆;痒者,加黄芩。
【附方】旧八,新七。
男女吐血∶地榆三两。米醋一升,煮十余沸,去滓,食前稍热服一合。(《圣惠方》)妇
人漏下,赤白不止,令人黄瘦。方同上。
血痢不止∶地榆晒研。每服二钱,掺在羊血上,炙熟食之,以捻头煎汤送下。一方∶以
地榆煮汁作饮,每服三合。(《圣济》)赤白下痢,骨立者。地榆一斤。水三升,煮一升半,
去滓,再煎如稠饧,绞滤,空腹服三合,日再服。(崔元亮《海上方》)久病肠风∶痛痒不止。
地榆五钱,苍术一两。水二钟,煎一钟,空心服,日一服。(《活法机要》)下血不止二十年
者。取地榆、鼠尾草各二两。水二升,煮一升,顿服。若不断,以水渍屋尘饮一小杯投之。
(《肘后方》)结阴下血∶腹痛不已。地榆四两,炙甘草三两。每服五钱,水三盏,入缩砂仁
七枚,煎一盏半,分二服。(《宣明方》)小儿疳痢∶地榆煮汁,熬如饴糖,与服便已。(《肘
后方》)毒蛇螫人∶新地榆根捣汁饮,兼以渍疮。(《肘后方》)
虎犬咬伤∶地榆煮汁饮,并为末敷之。亦可为末,白汤服,日三。忌酒。(《梅师方》)
代指肿痛∶地榆煮汁渍之,半日愈。(《千金翼》)
小儿湿疮∶地榆煮浓汁,日洗二次。(《千金方》)
小儿面疮, 赤肿痛。地榆八两。水一斗,煎五升,温洗之。(《卫生总微方》)
煮白石法∶七月七日取地榆根,不拘多少阴干,百日烧为灰。复取生者,与灰合捣万下
。灰三分,生末一分,合之。若石二、三斗,以水浸过三寸,以药入水搅之,煮至石烂可食
乃已。( 仙《神隐书》)
叶
【主治】作饮代茶,甚解热(苏恭)。
(Recorded in the Middle Category of *Shennong Bencao Jing*)
[Correction] Merged with "Suanzhe" (Astringent Ochre), which was listed as "known name but unused" in *Mingyi Bielu*.
[Names] Yuchi (Jade Bean), Suanzhe (Astringent Ochre).
Tao Hongjing stated: Its leaves resemble those of the elm but are longer; when first sprouting, they spread along the ground, hence the name Diyu (Earth Yew/Comfrey). Its flowers and seeds are purple-black like fermented soybeans (douchi), hence also named Yuchi. Li Shizhen stated:
According to dialects used in external alchemy: Diyu is also called Suanzhe because its taste is sour and its color is ochre-red. Currently, people in Qizhou call Diyu "Suanzhe," and further mispronounce "Zhe" as "Zao" (date). Thus, it is clear that Diyu and Suanzhe are the same substance, with identical therapeutic effects. Therefore, I have merged the "Suanzhe" from *Mingyi Bielu* into this entry.
[Collection of Explanations] *Mingyi Bielu* states: Diyu grows in the valleys of Tongbai Mountain and Yuanju County. The roots should be harvested in February and August and dried in the sun. It also states: Suanzhe grows in Changyang Mountain. There is no fixed time for harvesting. Su Song stated: It is now found everywhere in plains and wetlands. The perennial root sprouts in March; initially spreading on the ground, a single stem rises straight up, reaching three or four chi in height, with opposite leaves. The leaves resemble elm leaves but are slightly narrower, long and slender with serrated edges, and green in color. Flowers appear in July, resembling mulberries, and are purple-black.
Root: When mountain dwellers lack tea, harvesting Diyu roots to make a drink is good; it can also be fried and eaten.
[Flavor and Properties] Bitter, slightly cold, non-toxic. *Mingyi Bielu* states: Sweet, sour. Li Dang said: Bitter, neutral. Zhang Yuansu said: Qi is slightly cold, flavor is slightly bitter; both qi and flavor are thin/light. Its nature is heavy and descending, belonging to yin containing yang, specifically governing blood disorders of the Lower Jiao (Lower Burner). Wang Haogu said: Flavor bitter, sour; nature slightly cold, sinking, yin. Xu Zhicai said: Works well with human hair; adverse reaction with Ophiopogonis Radix (Maidong); suppresses Cinnabaris (Dansha), Realgar (Xionghuang), and Sulfur (Liuhuang).
[Therapeutic Actions] Treats postpartum mastitis, various injuries and trauma, leukorrhea, and five types of leakage syndromes; stops pain and sweating; removes necrotic tissue; treats metal wounds (from *Shennong Bencao Jing*). Stops pus and blood; treats various malignant sores and hot sores; repairs severe injuries; treats postpartum internal stagnation/blockage; can be made into ointment for metal wounds; resolves alcohol toxicity, relieves thirst, and brightens the eyes (from *Mingyi Bielu*). Extremely effective for treating cold-heat dysentery and childhood malnutrition dysentery (from *Kaibao Bencao*). Stops hematemesis, epistaxis, intestinal wind, menorrhagia, metrorrhagia, various blood disorders before and after childbirth, and watery diarrhea (from *Rihua Zi Bencao*). Treats insufficiency of Gallbladder Qi (from Li Gao). Juice brewed into wine treats wind-bi syndrome and nourishes the brain. Crushed juice applied topically treats bites from tigers, dogs, snakes, and insects (from Li Shizhen). Suanzhe: Sour flavor. Mainly treats internal leakage and insufficient hemostasis (from *Mingyi Bielu*).
[Innovation and Explanation] Su Song stated: In ancient times, this herb was frequently used to stop downward discharge. Wang Zhi stated: Used together with Periplocae Cortex (Chupi) to treat red-and-white dysentery.
Chen Cheng stated: Its nature is heavy and cold, entering the Lower Jiao. It can be used for heat-blood dysentery. However, for patients with deficiency-cold constitution, watery diarrhea, or white dysentery, it should not be used lightly.
Li Shizhen stated: Diyu clears heat from the Lower Jiao and treats blood disorders in urination and defecation. For hemostasis, take the upper part of the root, slice it, and stir-fry it. The tips can promote blood circulation, a fact one must know. Yang Shiying said: For treating various sores, add Diyu if painful; add Scutellariae Radix (Huangqin) if itchy.
[Attached Prescriptions] Eight old prescriptions, seven new prescriptions.
Hematemesis in men and women: 3 liang of Diyu. 1 sheng of rice vinegar. Boil until bubbling more than ten times, remove dregs, and drink 1 ge while slightly warm before meals (*Shenghui Fang*). Leukorrhea in women, continuous red and white discharge causing sallow complexion and emaciation. Same prescription as above.
Unstopping bloody dysentery: Sun-dry and powder Diyu. Take 2 qian per dose, sprinkle on sheep blood, grill until cooked, and swallow with decoction of Niantou (*Shengji Zonglu*). Another method: Decoct Diyu to make a drink, take 3 ge per dose. Red-and-white dysentery with extreme emaciation: 1 jin of Diyu. 3 sheng of water, boil down to 1.5 sheng, remove dregs, re-boil until thick like syrup, filter, and take 3 ge on an empty stomach, twice daily (*Haishang Fang* by Cui Yuanliang). Chronic intestinal wind: Unstopping anal pain and itching. 5 qian of Diyu, 1 liang of Atractylodis Rhizoma (Cangzhu). 2 zhong of water, decoct to 1 zhong, take on an empty stomach, once daily (*Huofa Jiyao*). Hematochezia unstopping for twenty years: 2 liang each of Diyu and Salviae Miltiorrhizae Radix (Shuweicao). 2 sheng of water, boil down to 1 sheng, take all at once. If it does not stop, soak house dust in water and drink a small cup (*Zhouhou Beiji Fang*). Yin-binding hematochezia: Unstopping abdominal pain. 4 liang of Diyu, 3 liang of Glycyrrhizae Radix et Rhizoma Preparata (Zhigancao). Take 5 qian per dose, 3 zhan of water, add 7 grains of Amomi Fructus (Suasharen), decoct to 1.5 zhan, divide into two doses (*Xuanming Lunfang*). Childhood malnutrition dysentery: Decoct Diyu, boil down to maltose consistency, administer to child (*Zhouhou Beiji Fang*). Poisonous snake bite: Fresh Diyu root crushed for juice, drink internally, and apply externally to wound (*Zhouhou Beiji Fang*).
Tiger or dog bite: Decoct Diyu to drink, and also powder it for topical application. Alternatively, powder it, take with plain boiled water, three times daily. Avoid alcohol (*Meishi Fang*).
Onychia (swelling/pain of fingernails): Soak affected area in Diyu decoction, heals in half a day (*Qianjin Yifang*).
Childhood eczema: Wash twice daily with concentrated Diyu decoction (*Qianjin Fang*).
Childhood facial sores, red and swollen with pain. 8 liang of Diyu. 1 dou of water, decoct to 5 sheng, wash with warm liquid (*Weisheng Zongwei Lunfang*).
Method for boiling white stones: On the seventh day of the seventh lunar month, harvest Diyu roots, dry them in shade without limit, and burn them to ash over a hundred days. Then take fresh Diyu, mix with ash, and pound ten thousand times. Ratio: three parts ash to one part fresh powder. For two or three dou of stone, submerge in water exceeding three cun deep, add medicine to water, stir, and boil until the stone rots enough to be edible (*Shenyin Shu*).
Leaves
[Therapeutic Actions] Make into a drink to replace tea, very effective in clearing heat (Su Gong).