(《本经》下品)
【释名】山葱(《别录》)、葱苒(《本经》)、葱 (音毯《别录》)、葱葵(普)、丰芦(普)、
憨葱(《纲目》)、鹿葱。
时珍曰∶黑色曰黎,其芦有黑皮裹之,故名。
根际似葱,俗名葱管藜芦是矣。北人谓之憨葱,南人谓之鹿葱。
【集解】《别录》曰∶藜芦生太山山谷。三月采根,阴干。
普曰∶大叶,小根相连。
弘景曰∶近道处处有之。根下极似葱而多毛。用之止剔取根,微炙之。
保升曰∶所在山谷皆有。叶似郁金、秦艽、 荷等,根若龙胆,茎下多毛。夏生冬凋,
八月采根。
颂曰∶今陕西、山南东西州郡皆有之,辽州、均州、解州者尤佳。三月生苗。叶青,似
初出
棕心,又似车前。茎似葱白,青紫色,高五、六寸。上有黑皮裹茎,似棕皮。有花肉红色。
根似马肠根,长四五寸许,黄白色。二月、三月采根阴干。此有二种
同,只是生在近水溪涧石上,根须百余茎,不中药用。今用者名葱白藜芦,根须甚少,只是
三二十茎,生高山者为佳,均州土俗亦呼为鹿葱。《范子计然》云
根
【修治】雷曰∶凡采得去头,用糯米泔汁煮之,从巳至未,晒干用。
【气味】辛,寒,有毒。《别录》曰∶苦,微寒。普曰∶神农、雷公∶辛,有毒;岐伯∶
咸,有毒;李当之∶大寒,大毒;扁鹊∶苦,有毒。
之才曰∶黄连为之使。反细辛、芍药、人参、沙参、紫参、丹参、苦参。恶大黄。
时珍曰∶畏葱白。服之吐不止,饮葱汤即止。
【主治】蛊毒咳逆,泄痢肠 ,头疡疥瘙恶疮,杀诸虫毒,去死肌(《本经》)。疗哕逆,
喉痹不通,鼻中息肉,马刀烂疮。不入汤用(《别录》)。
主上气,去积年脓血泄痢(权)。吐上膈风涎,暗风痫病,小儿 痰疾(颂)。末,治
马疥癣(宗 )。
【发明】颂曰∶藜芦服钱匕一字则恶吐人,又用通顶令人嚏,而别本云治哕逆,其效未
详。
时珍曰∶哕逆用吐药,亦反胃用吐法去痰积之义。吐药不一∶常山吐疟痰,瓜丁吐热痰,
乌附尖吐湿痰,莱菔子吐气痰,藜芦则吐风痰者也。按∶张子和《儒门事亲》云∶一妇病风
痫。自六、七岁得惊风后,每一、二年一作;至五七年,五七作;三十岁
或甚至一日十余作。遂昏痴健忘,求死而已。值岁大饥,采百草食。于野中见草若葱状,采
归蒸熟饱食。至五更,忽觉心中不安,吐涎如胶,连日不止,约一、二斗,汗出如洗,甚昏
困。三日后,遂轻健,病去食进,百脉皆和。以所食葱访人,乃憨葱苗也,即本草藜芦是矣。
《图经》言能吐风病,此亦偶得吐法耳。我朝荆和王妃刘氏,年七十,病中风,不省人事,
牙关紧闭。群医束手。先考太医吏目月池翁诊视,药不能入,自午至子。不获已,打去一齿,
浓煎藜芦汤灌之。少顷,噫气一声,遂吐痰而苏,调理而安。药弗瞑眩,厥疾弗瘳,诚然。
【附方】旧六,新十三。
诸风痰饮∶藜芦十分,郁金一分,为末。每以一字,温浆水一盏和服,探吐。(《经验方》)
中风不省,牙关紧急者∶藜芦一两(去芦头),浓煎防风汤浴过,焙干碎切,炒微褐色,为
末。每服半钱,
中风不语,喉中如曳锯声,口中涎沫∶取藜芦一分,天南星一个(去浮皮,于脐上剜一
坑,
纳入陈醋二橡斗,四面火逼黄色)。研为末,生面丸小豆大。每服三丸,温酒下。(《经验后
方》)诸风头痛∶和州藜芦一茎日干研末,入麝香少许。吹鼻。又方∶通顶散∶藜芦半两,
黄连三分。搐鼻。(《圣惠》)
久疟痰多不食,欲吐不吐∶藜芦末半钱。温齑水调下,探吐。(《保命集》)
痰疟积疟∶藜芦、皂荚(炙)各一两,巴豆二十五枚(熬黄)。研末,蜜丸小豆大。每
空心服一丸,未发时一丸,临发时又服一丸。勿用饮食。《肘后》
黄胆肿疾∶藜芦灰中炮,为末。水服半钱匕,小吐,不过数服,效(《百一方》)。
胸中结聚,如骇骇不去者∶巴豆半两(去皮心炒,捣如泥),藜芦(炙研)一两,蜜和
捣丸麻子大。每吞一,二丸。(《肘后》)
身面黑痣∶藜芦灰五两。水一大碗淋汁,铜器重汤煮成黑膏,以针微刺破点之,不过三
次
鼻中息肉∶藜芦三分,雄黄一分。为末,蜜和点之。每日三上自消,勿点两畔。(《圣济
方》)
牙齿虫痛∶藜芦末,内入孔中,勿吞汁,神效。(《千金翼》)
白秃虫疮∶藜芦末,猪脂调涂之。(《肘后方》)
头生虮虱∶藜芦末掺之。(《直指》)
头风白屑痒甚∶藜芦末,沐头掺之,紧包二日夜,避风效。(《本事方》)
反花恶疮,恶肉反出如米∶藜芦末,猪脂和敷,日三五上。(《圣济录》)
疥癣虫疮∶藜芦末,生油和涂。(《斗门方》)
羊疽疮痒∶藜芦二分,附子八分。为末敷之,虫自出也。(陶隐居方)
误吞水蛭∶藜芦炒,为末。水服一钱,必吐出。(《德生堂方》)
【附录】山磁石《别录》有名未用曰∶苦,平,无毒。主女子带下。生山之阳。正月生
叶如藜芦,茎有衣。一名爰茈。
参果根
又曰∶苦,有毒。主鼠 。生百余根,根有衣裹茎。三月三日采根。一名百连,一
名乌蓼,一名鼠茎,一名鹿蒲。
(Recorded in the Lower Grade of *Shennong Bencao Jing*)
**[Names]** Shancōng (Mountain Scallion) (*Bielu*), Congran (*Benjing*), Cong [pronounced "tan", *Bielu*], Kongkui (Common), Fenglu (Common), Hancōng (*Gangmu*), Luchong.
Li Shizhen said: "Black" is called "Li". Its rhizome is wrapped in black skin, hence the name. The base of the root resembles scallions; the common name "Congguan Lilu" (Scallion-tube Veratrum) is correct. People in the North call it Hancōng, and people in the South call it Luchong.
**[Collection and Explanation]** *Bielu* states: Lilu grows in the valleys of Mount Tai. The roots are harvested in March and dried in the shade.
Li Dang stated: It has large leaves and small connected roots.
Tao Hongjing stated: It grows everywhere along nearby roads. The lower part of the root looks very much like a scallion but is hairy. When used, only the root should be extracted and slightly roasted.
Zheng Baosheng stated: It grows in valleys everywhere. The leaves resemble those of Curcuma aromatica (Yujin), Gentiana macrophylla (Qinjiao), and Nelumbo nucifera (He). The root resembles Gentiana scabra (Longdan), and the lower stem is hairy. It grows in summer and withers in winter; the roots are harvested in August.
Su Song stated: It is now found in Shaanxi and the prefectures of Shannan East and West. Those from Liaozhou, Junzhou, and Xiezhou are particularly good. Sprouts emerge in March. The leaves are green, resembling the emerging heart of a palm or Plantago asiatica (Cheqian). The stem resembles white scallion parts, is bluish-purple, and is five to six cun high. The upper part has black skin wrapping the stem, resembling palm bark. The fleshy flower is red. The root resembles horse intestine roots, is about four to five cun long, and is yellowish-white. Roots are harvested in February and March and dried in the shade. There are two types here; the type growing near water streams on rocks has over a hundred rootlets and is not used medicinally. The currently used type is named Congbai Lilu (White Scallion Veratrum), which has few rootlets, only three or twenty stems, and those growing in high mountains are best. The local custom in Junzhou also calls it Luchong. *Fanzi Jiran* states regarding the root...
**[Processing]** Lei Xiao stated: Upon harvesting, remove the head. Boil in rice washing water from Si hour (9-11 AM) to Wei hour (1-3 PM), then dry in the sun for use.
**[Flavor and Properties]** Acrid, Cold, Toxic. *Bielu* states: Bitter, Slightly Cold. Li Dang stated: Shennong and Lei Gong considered it Acrid and Toxic; Qibo considered it Salty and Toxic; Li Dang considered it Greatly Cold and Greatly Toxic; Bian Que considered it Bitter and Toxic.
Xu Zhicai stated: Coptis chinensis (Huanglian) acts as its guiding herb (shi). It is incompatible with Asarum heterotropoides (Xixin), Paeonia lactiflora (Shaoyao), Panax ginseng (Renshen), Adenophora stricta (Shashen), Panax japonicus (Zishen), Salvia miltiorrhiza (Danshen), and Sophora flavescens (Kushen). It is opposed by Rheum palmatum (Dahuang).
Li Shizhen stated: It fears Allium fistulosum (Congbai). If vomiting persists after ingestion, drinking scallion soup will stop it.
**[Indications]** Gu poison-induced cough and rebellious qi, diarrhea and dysentery with intestinal pain, head sores, scabies, itching, and malignant ulcers; kills various insect toxins; removes dead flesh (*Benjing*). Treats hiccups, bi obstruction of the throat, nasal polyps, and carbuncles (*Bielu*). Not used in decoctions.
Controls upper jiao rebellious qi; removes chronic purulent bloody diarrhea and dysentery (Quan). Vomits wind-phlegm from the upper jiao; treats silent wind epilepsy and pediatric phlegm diseases (Su Song). In powder form, treats equine scabies and ringworm (Kou Zongshi).
**[Innovation/Commentary]** Su Song stated: A dose of Lilu equivalent to a coin scoop or one character causes severe vomiting in humans. It is also used to clear the top inducing sneezing. Other texts claim it treats hiccups, but its efficacy is unclear.
Li Shizhen stated: Using emetics for hiccups follows the principle of using emesis for food reflux to remove phlegm accumulation. Emetics vary: Changshan vomits malaria phlegm, Gua Di vomits heat phlegm, Wutou/Fuzui tips vomit damp phlegm, Radish seeds vomit qi phlegm, while Lilu vomits wind phlegm. Note: Zhang Zihe in *Rumen Shiqin* wrote: A woman suffered from wind epilepsy. After contracting convulsive disorder at age six or seven, she had episodes every one or two years; later, every five or seven years; by age thirty, she sometimes had more than ten episodes a day. She became confused, forgetful, and sought death. During a great famine, she ate wild herbs. Seeing a grass resembling scallions in the wild, she gathered them, steamed them, and ate her fill. At the fifth watch, she felt uneasy in her heart, vomiting saliva like glue continuously for days, totaling about one or two dou, sweating profusely, and feeling extremely drowsy. Three days later, she felt light and healthy, the illness passed, appetite returned, and her meridians harmonized. Investigating the eaten plant, it was Hancōng seedlings, i.e., Lilu in the Materia Medica. *Tujing* says it can expel wind disease; this was merely an accidental discovery of emetic therapy. In our dynasty, Consort Liu of Prince Jinghe, aged seventy, suffered from stroke, loss of consciousness, and locked jaw. Physicians were helpless. My father, Imperial Physician Yuezhi, examined her. Medicine could not enter from noon until midnight. Desperately, a tooth was removed, and strong Lilu decoction was forced down. Shortly after, she belched, vomited phlegm, and regained consciousness, stabilizing after regulation. "If medicine does not cause dizziness/reaction, the serious disease cannot be cured," truly so.
**[Attached Prescriptions]** Six old prescriptions, thirteen new ones.
For various wind-phlegm-fluid retention: Lilu 10 parts, Curcuma aromatica (Yujin) 1 part, powdered. Take one character dose, mix with one cup of warm grain water, induce vomiting (*Jingyan Fang*).
For stroke with unconsciousness and locked jaw: Lilu 1 liang (remove rhizome head), soak in strong prepared Saposhnikovia divaricata (Fangfeng) decoction, dry, crush, stir-fry until slightly brown, powder. Take half qian per dose...
For stroke with inability to speak, sawing sound in throat, salivary foam: Lilu 1 part, Pinellia ternata (Tiannanxing) 1 piece (remove floating skin, hollow navel, add aged vinegar, bake yellow). Powder, make pills size of soybeans with fresh dough. Take 3 pills with warm wine (*Jingyan Houfang*).
For various wind headaches: One stem of Helizhou Lilu, dried and powdered, add a little Moschus (Shexiang). Blow into nose. Another method: Tongding San: Lilu 0.5 liang, Coptis chinensis (Huanglian) 3 fen. Snuff (*Shenghui Fang*).
For chronic malaria with much phlegm, anorexia, urge to vomit but unable: Lilu powder 0.5 qian. Mix with warm pickled vegetable water, induce vomiting (*Baoming Ji*).
For phlegm-malaria and accumulated malaria: Lilu, Gleditsia sinensis (Zaojiao, roasted) each 1 liang, Croton tiglium (Badou, 25 seeds, fried yellow). Powder, honey pills size of soybeans. Take one pill on empty stomach, one before onset, one at onset. Avoid food/drink during treatment (*Zhouhou*).
For jaundice and swelling: Lilu processed in ash, powdered. Take half qian with water, slight vomiting occurs; effective within a few doses (*Baiyi Fang*).
For chest congestion, feeling like lingering fright: Croton tiglium 0.5 liang (peeled, fried, pounded to paste), Lilu (roasted, powdered) 1 liang, honey, pounded into pills size of sesame seeds. Swallow 1-2 pills (*Zhouhou*).
For black moles on body/face: Lilu ash 5 liang. Leach with one bowl of water, boil in copper vessel over double boiler to black ointment. Prick mole slightly with needle, apply. Do not exceed three times.
For nasal polyps: Lilu 3 fen, Realgar (Xionghuang) 1 fen. Powder, mix with honey, apply. Apply three times daily until resolved naturally; do not apply to sides (*Shengji Fang*).
For dental worm pain: Lilu powder, insert into hole, do not swallow juice, miraculous effect (*Qianjin Yi Fang*).
For bald scalp fungal infection: Lilu powder, mix with lard, apply (*Zhouhou Fang*).
For lice/nits on head: Sprinkle Lilu powder (*Zhizhi Fang*).
For wind-head with white dandruff and severe itching: Lilu powder, sprinkle during hair washing, wrap tightly for two days/nights, avoid wind, effective (*Benshi Fang*).
For inverted flowers/malignant ulcers with meat protruding like rice grains: Lilu powder, mix with lard, apply 3-5 times daily (*Shengji Lu*).
For scabies/ringworm/fungal infections: Lilu powder, mix with raw oil, apply (*Doumen Fang*).
For sheep abscess/itching: Lilu 2 fen, Aconitum carmichaelii (Fuzi) 8 fen. Powder, apply, worms exit naturally (Tao Hongjing's formula).
For accidental ingestion of leeches: Fried Lilu, powdered. Take 1 qian with water, must vomit (*Desheng Tang Fang*).
**[Appendix]** Shancishi (Mountain Magnetite): *Bielu* lists as "Name known, use unknown": Bitter, Neutral, Non-toxic. Treats leukorrhea in women. Grows on sunny slopes. Leaves emerge in January resembling Lilu, stem has covering. Also named Yuanzi.
Shenguogen (Root of Canarium album fruit?):
Also stated: Bitter, Toxic. Treats scrofula. Grows with over a hundred roots, stem wrapped in root covering. Harvest roots on March 3rd. Also named Bailian, Wuliao, Shujing, Lupu.