(《别录》中品)
【释名】杜葵(《纲目》)、马蹄香(《唐本》)、土卤(《尔雅》)、土细辛(《纲目》)。
恭曰∶杜衡,叶似葵,形似马蹄,故俗名马蹄香。颂曰∶《尔雅》杜又名土卤,然杜若
亦名杜衡,或疑是杜若。而郭璞注云∶似葵,当是杜衡也。
【集解】《别录》曰∶杜衡生山谷,三月三日采根,熟洗曝干。弘景曰∶根叶都似细辛,
惟气小异尔。处处有之。方药少用,惟道家服之。令人身衣香。恭曰∶生山之阴,水泽下湿
地。叶似葵,形如马蹄。根似细辛、白前等。今俗以及己代之,谬矣。及己独茎,茎端四叶,
叶间白花,殊无芳气。有毒,服之令人吐,惟疗疮疥,不可乱杜衡也。颂曰∶今江淮间皆有
之。春初于宿根上生苗,叶似马蹄下状,高二、三寸,茎如麦稿粗细,每窠上有五七叶,或
八九叶,别无枝蔓。又于茎叶间罅内芦头上贴地生紫花,其花似见不见,暗结实如豆大,窠
内有碎子,似天仙子。苗叶俱青,经霜即枯,其根成空,有似饭帚密闹,细长四五寸,粗于
细辛,微黄白色,味辛,江淮俗呼为马蹄香。谨按《山海经》云∶天帝之山有草焉。其状如
葵,其臭如蘼芜,名曰杜衡。可以走马,食之已瘿。郭璞注云∶带之可以走马。或曰∶马得
之而健走也。宗 曰∶杜衡用根似细辛,但根色白,叶如马蹄之下。市人往往以乱细辛,将
二物相对,便见真伪。况细辛惟出华州者良。杜衡色黄,拳局而脆,干则作团。详细辛下。
时珍曰∶按《土宿本草》云∶杜细辛,叶圆如马蹄,紫背者良,江南、荆、湖、川、陕、闽、
广俱有之。取自然汁,可伏硫、砒,制汞。
根
【气味】辛,温,无毒。
【主治】风寒咳逆。作浴汤,香人衣体(《别录》)。止气奔喘促,消痰饮,破留血、项
间瘿瘤之疾(甄权)。下气杀虫(时珍)。
【发明】时珍曰∶古方吐药往往用杜衡者,非杜衡也,乃及己也。及己似细辛而有毒,
吐人。昔人多以及己当杜衡,杜衡当细辛,故尔错误也。杜衡则无毒,不吐人,功虽不及细
辛,而亦能散风寒,下气消痰,行水破血也。
【附方】新六。风寒头痛∶伤风伤寒,头痛发热,初觉者。马蹄香为末,每服一钱,热
酒调下,少顷饮热茶一碗,催之出汗即愈,名香汗散。(王英《杏林摘要》)饮水停滞∶大热
行极,及食热饼后,饮冷水过多不消,停滞在胸不利,呼吸喘息者。杜衡三分,瓜蒂二分,
人参一分。为末。汤服一钱,日二服,取吐为度。(《肘后方》)痰气哮喘∶马蹄香焙研,每
服二、三钱,正发时淡醋调下,少顷吐出痰涎为验。(《普济方》)噎食膈气∶马蹄香四两。
为末,好酒三升,熬膏。每服二匙,好酒调下,日三服。(孙氏《集效方》)吐血瘀聚∶凡吐
血后,心中不闷者必止;若烦躁闷乱刺胀者,尚有瘀血在胃,宜吐之。方同饮水停滞。喉闭
肿痛∶草药金锁匙,即马蹄草,以根捣,井华水调下即效。(《救急方》)
【附录】木细辛 藏器曰∶味苦,温,有毒。主腹内结聚症瘕,大便不利,推陈去恶,
破冷气。未可轻服,令人利下至困。生终南山,冬月不凋,苗如大戟,根似细辛。
(Recorded in the Middle Category of *Bie Lu*)
[Names] Dukui (from *Bencao Gangmu*), Matixiang (Horse-hoof Fragrance) (from *Tang Ben*), Tulü (from *Erya*), Tuxixin (Earth Asarum) (from *Bencao Gangmu*).
Su Gong stated: Dukheng, its leaves resemble those of Brassica campestris (Kui), and its shape resembles a horse's hoof, hence the common name Matixiang. Su Song stated: In *Erya*, Dukheng is also called Tulü; however, Duruo is also named Dukheng, leading some to suspect they are the same plant. Guo Pu's annotation states: resembling Kui, it should be Dukheng.
[Collection and Explanation] *Bie Lu* states: Dukheng grows in mountain valleys. The roots are harvested on the third day of the third lunar month, thoroughly washed, and dried in the sun. Tao Hongjing stated: Both the roots and leaves resemble Xixin (Asari Radix et Rhizoma), differing only slightly in odor. It grows everywhere. It is rarely used in prescriptions, but Daoists consume it, causing one's clothing to become fragrant. Su Gong stated: It grows on the shady side of mountains and in low, damp areas near water. Its leaves resemble Kui, and its shape is like a horse's hoof. Its root resembles Xixin and Baiqian. Currently, people mistakenly substitute it with Ji Ji (Glechoma longituba). Ji Ji has a single stem with four leaves at the tip, white flowers between the leaves, and lacks any fragrance. It is toxic and induces vomiting when ingested; it can only treat sores and scabies, and must not be confused with Dukheng. Su Song stated: It is now found throughout the Jianghuai region. In early spring, shoots emerge from old roots. The leaves resemble the underside of a horse's hoof, growing two or three cun high. The stems are as thick as wheat straw. Each clump has five to seven, or eight to nine leaves, without other branches. Purple flowers grow贴地 (close to the ground) on the reed-heads within the gaps of the stems and leaves. These flowers are faintly visible. Dark fruits develop, bean-sized, containing small seeds resembling Hyoscyamus niger (Tianxianzi) within the clump. The shoots and leaves are green and wither after frost. The roots become hollow, dense and fine like a rice brush, four to five cun long, thicker than Xixin, pale yellowish-white, with a pungent taste. In the Jianghuai region, it is commonly called Matixiang. According to *Shan Hai Jing*: On Mount Tiandi, there is a grass that looks like Kui and smells like Miwu, named Dukheng. One can ride a horse while carrying it, and eating it cures goiter. Guo Pu annotated: Carrying it allows for swift horse riding. Some say horses become vigorous runners upon consuming it. Chen Cheng stated: The root of Dukheng used resembles Xixin, but the root is white, and the leaves resemble the underside of a horse's hoof. Market vendors often confuse it with Xixin; placing the two together reveals their authenticity. Moreover, only Xixin from Huazhou is of good quality. Dukheng is yellow, curled, brittle, and forms a ball when dry. See details under Xixin. Li Shizhen stated: According to *Tusuxingbencao*: Duxixin has round leaves like a horse's hoof; those with purple undersides are superior. They grow in Jiangnan, Jinghu, Sichuan, Shaanxi, Fujian, and Guangdong. Their natural juice can fix sulfur and arsenic, and control mercury.
Root
[Flavor and Toxicity] Pungent, Warm, Non-toxic.
[Indications] Cough and rebellious qi due to Wind-Cold. Used as a bath decoction to make the body and clothes fragrant (*Bie Lu*). Stops rushing qi and panting, resolves phlegm-fluid retention, breaks blood stasis, and treats goiters on the neck (Zhen Quan). Directs qi downward and kills parasites (Li Shizhen).
[Elucidation] Li Shizhen stated: Ancient emetic formulas often used Dukheng, but it was actually Ji Ji. Ji Ji resembles Xixin but is toxic and induces vomiting. Historically, many mistook Ji Ji for Dukheng and Dukheng for Xixin, causing errors. Dukheng is non-toxic and does not induce vomiting. Although its efficacy is inferior to Xixin, it can still disperse Wind-Cold, direct qi downward, resolve phlegm, move fluids, and break blood stasis.
[Attached Prescriptions] Six new prescriptions.
Wind-Cold Headache: For wind-strike or cold-strike presenting with headache and fever, at the initial stage. Powder Matixiang, take 1 qian, mixed with hot wine. Drink a bowl of hot tea shortly after to induce sweating, which leads to recovery. Named Xianghan San (Fragrant Sweat Powder) (Wang Ying, *Xinglin Zhaiyao*).
Water Retention: After strenuous exercise and extreme thirst, or after eating hot flatbread and drinking excessive cold water that fails to digest, causing stagnation in the chest, discomfort, and panting. Dukheng 3 fen, Gou Di (Melon Seed) 2 fen, Renshen (Ginseng Root) 1 fen. Grind into powder. Take 1 qian with decoction, twice daily, until vomiting occurs as the limit (*Zhou Hou Bei Ji Fang*).
Phlegm-Qi Asthma: Roast and grind Matixiang, take 2-3 qian, mixed with light vinegar during an attack. Vomiting up phlegm and saliva indicates efficacy (*Puji Fang*).
Dysphagia and Chest Obstruction: Matixiang 4 liang. Grind into powder, simmer with 3 sheng of good wine to make a paste. Take 2 spoons, mixed with good wine, three times daily (Sun Shi, *Jixiao Fang*).
Hematemesis with Blood Stasis: After hematemesis, if the heart feels free of oppression, bleeding will stop; if there is irritability, oppression, stabbing pain, and distension, blood stasis remains in the stomach, requiring emesis. Use the same formula as Water Retention.
Throat Closure with Swelling and Pain: Herbal medicine Jin Suoshi (Golden Lock Key), which is Maticao (Horse-hoof Grass). Crush the root, mix with well water (Jinghua Shui), and ingest for immediate effect (*Jiuji Fang*).
[Appendix] Muxixin. Chen Cangqi stated: Bitter, Warm, Toxic. Treats abdominal masses and tumors, constipation, expels stale pathogens, and disperses cold qi. Do not take lightly, as it causes diarrhea leading to exhaustion. Grows in Zhongnan Mountain, does not wither in winter. Shoots resemble Euphorbia lathyris (Daji), roots resemble Xixin.