二树南北皆有。椿木皮细。肌实而赤。嫩叶香甘可茹。樗木皮粗。肌疏而白茎。其叶臭
恶。
根白皮
味涩苦。气凉燥。入手足阳明经。 治赤白浊。精滑梦遗。湿气泄痢肠滑。及肠风泻血
不止。女子血崩赤白带。小儿疳虫蛔虫。得地榆。止疳痢。 椿根白皮。性凉而能涩血。凡
湿热下痢。浊带滑遗。用之有燥下湿及去肺胃陈痰之功。治泄泻有除湿实肠之力。(但滞气
未尽。不可遽用。) 炒研糊丸。看病作汤使。名固肠丸。(丹溪) 凡血分受病不足者宜用
椿皮。气分受病有郁者宜用樗皮(濒湖) 治疮肿下药用樗皮以无根水研汁。服二三碗。取
利微行为验。藏器言樗皮有小毒。盖有所试也。(乾坤生意) 一女子耽饮。多食鱼蟹。蓄
毒在脏。日夜二三十泻。大便与脓血杂下。大肠连肛门痛不堪忍。服热药则腹愈痛。血愈下
。服冷药则注泄食减。服温平药则病不知。如此期年。垂命待尽。或教服人参散。三剂脓血
皆定。常服之遂愈。其方治大肠风虚。饮酒过度。挟热下痢脓血痛甚。多日不瘥。用樗根白
皮一两。人参。一两为末。每服二钱。空心米饮调服。忌油腻湿面青菜果子甜物鸡猪鱼羊蒜
薤等。(宗 ) 小儿疳痢。用樗白皮一握。粳米五十粒。葱白一握。炙甘草三寸。豉两合。
水一升。煮半升。以意服之。枝叶功用皆同。
〔论〕 椿樗一类二种。味俱涩苦。但椿不如樗之甚耳。夫椿樗禀地中寒水之气。其用
止
皆能治血中湿热。病有因热而湿并者。用椿樗清其热。热清而正气(阳中有阴)复。湿亦随
之以清矣。若概投清热诸味。则恐愈滋其湿。而正气愈困。(阴中阳也)热更郁于湿中以为
痛。而因湿并热矣。此时欲温燥。则反助其热。亦莫能流其湿。惟兹味本燥金以达寒化者。
燥乃湿之对待。而寒化所及。可以使热亦清矣。盖金味有涩者。乃阳中之阴欲纾而不得纾。
以对待阴中之阳欲畅而不得畅者。能使阳不陷于阴中。则浊自愈。精自固。痢自止。(固脱
之功。全在达阳。而达阳之功。先在收阴。)丹溪于此味。但以除湿为主言之。则亦知其所
先耳。时珍强分椿入血分。樗入气分。不知湿热为患。皆是病于血分。椿皮樗皮。总以达阳
气为主。而达阳本于收阴。惟樗之收阴者倍于椿。即其达阳者亦倍于椿。用者因其微甚以别
椿樗可耳。(凡湿热证可以风剂燥之者。土之邪气实。水亦从之以郁。故以风木胜之。若椿
樗所治。乃土之正气虚。木亦乘其所胜。故以燥金收之。如仍以风木燥之。则土益困矣。) 然
此亦治病必责其本之意也。如虽本于湿而热甚者。则清热之味倍之。郁滞甚者。则顺利之药
亦倍之。或更以他药为佐。抑以汤使转移。岂得执一说而不思所以尽变乎。
附法 樗柏丸。治湿热痰火浊证。兼治便毒。樗白皮一两。黄柏三两。青黛三钱。干姜
三钱。滑石五钱。蛤粉五钱。神曲五钱。痰甚。加南星半夏。为末。神曲糊丸。空心白汤下。
去滑石干姜。加知母牡蛎。治遗精。此即因热之微甚以加减者。脾毒肠风。因营卫虚弱。风
气袭之。热气乘之。血渗肠间。故大便下血。用臭椿根刮去粗皮焙干四两。苍术米泔浸焙。
枳壳麸炒。各一两。为末。醋糊丸梧子大。每服五十丸。米饮下。日三服。 又结阴丹治肠
风脏毒。诸大便血疾。枳壳黄 陈皮(去白)威灵仙荆芥穗何首乌椿根白皮各五钱。为末。
酒糊丸梧子大。每服五七十丸。陈米饮入醋少许煎过。放温送下。此二方即因湿滞之微甚以
加味者。 休息痢日夜无度。腥臭不可近。脐腹撮痛。用椿根白皮诃黎勒各半两。母丁香三
十个。为末。醋糊丸梧子大。每服五十丸。米饮下。 又方。椿根白皮东南行者。长流水内
漂三日。去黄皮。焙为末。每一两。加木香二钱。粳米饭为丸。每服一钱二分。空心米饮下。
即此一证。而或加味以收涩。或加味以升降诸气。其不同处可参。 女子白带。椿根白皮滑
石等分。为末。粥丸梧子大。每空腹白汤下百丸。 又方。椿根白皮一两半。干姜炒黑。白
芍炒黑。黄柏炒黑。各二钱。为末。如上法丸服。此即一证。而或加味以利湿和中。或加味
以和血清热。其临证审处又可参。
脾胃虚寒者。不可用。崩带属肾家真阴虚者。忌之。(以其燥故)滞下积气未尽者。亦
不可遽用。(仲淳) 樗根白皮合猪肉热面频食。则中满。盖经络壅也。(门) 多服微利人。
〔修事〕 宜入丸散。不入汤煎。(丹溪言亦可煎服。不见有害。) 并刮去粗皮。阴干。
临
Both trees grow in the north and south. The bark of Toona sinensis (Chun) is fine, the wood is solid and red, and the tender leaves are fragrant, sweet, and edible. The bark of Ailanthus altissima (Chu) is rough, the wood is loose, and the stems are white; its leaves have an offensive odor.
Root White Bark: Taste is astringent and bitter, nature is cool and dry, entering the Foot and Hand Yangming meridians. It treats red and white turbid discharge, seminal emission with sleep, dampness-induced diarrhea and dysentery with intestinal slipping, and persistent bleeding from intestinal wind. For women with metrorrhagia and red/white leukorrhea, and children with malnutrition due to parasites or roundworms, it is effective. When combined with Sanguisorbae Radix (Diyu), it stops malnutrition-related dysentery. Chun root white bark has a cool nature and can astringe blood. It is used for dysentery, turbid leukorrhea, and seminal emission caused by downward flow of damp-heat, possessing the functions of drying lower dampness and eliminating old phlegm from the lung and stomach. It treats diarrhea by removing dampness and firming the intestines. (However, if qi stagnation is not yet resolved, it should not be used abruptly.) Stir-fried and ground into powder, made into pills with paste, and used as a decoction according to the condition, named Guchang Wan (Intestine-Firming Pill) (from Zhu Danxi). For diseases originating in the blood level with deficiency, Chuns bark is suitable; for diseases originating in the qi level with stagnation, Chus bark is suitable (from Li Shizhen). For treating sores and swellings, Chu bark is used externally, ground with unrooted water into juice, taken in amounts of two to three bowls, with mild purgation as the sign of efficacy. Chen Cangqi stated that Chu bark has slight toxicity, likely based on experimentation (from Qiankun Shengyi). A woman addicted to drinking and consuming fish and crab accumulated toxins in her zang organs, suffering from thirty episodes of diarrhea day and night, with stool mixed with pus and blood, and unbearable pain from the large intestine to the anus. Hot medicines worsened abdominal pain and bleeding; cold medicines caused watery diarrhea and loss of appetite; warm-neutral medicines had no effect. After a year, she was near death. Someone advised Ren Shen San (Ginseng Powder); after three doses, pus and blood stopped, and long-term use led to recovery. This formula treats large intestine wind-deficiency, excessive alcohol consumption leading to heat-carrying dysentery with pus/blood and severe pain, persisting for many days. Use Chu root white bark one liang, Ginseng one liang, powdered. Take two qian per dose, mixed with rice water on an empty stomach. Avoid greasy foods, wet noodles, green vegetables, fruits, sweets, chicken, pork, fish, mutton, garlic, and shallots (from Bencao Zongyuan). For childhood malnutrition dysentery, use a handful of Chu white bark, fifty grains of Japonica Oryzae Semen (Jingmi), a handful of Scallion White (Congbai), three cun of Roasted Licorice Root (Zhigancao), two he of Fermented Soybean (Chidou), one sheng of water, boil to half a sheng, and administer as appropriate. The branches and leaves have similar functions.
[Discussion] Chun and Chu are one category, two species. Both taste astringent and bitter, though Chun is less intense than Chu. They inherit the cold-water qi of the earth. Their use lies in treating damp-heat in the blood. In diseases where heat causes dampness to conjoin, using Chun or Chu clears the heat; once heat is cleared, righteous qi (yang containing yin) recovers, and dampness clears along with it. If all heat-clearing herbs are indiscriminately used, dampness may increase, and righteous qi becomes more constrained (this is yang within yin). Heat further stagnates in dampness causing pain, leading to heat conjoining with dampness. At this time, using warm-drying herbs would assist heat and fail to move dampness. Only this herb, belonging to dry metal reaching cold transformation, works because dryness is the counterpart to dampness, and cold transformation allows heat to clear. The astringent taste of metal represents yang-yin wanting relief but unable to get it, countering yin-yang wanting freedom but unable to achieve it, preventing yang from sinking into yin, thus clearing turbidity, consolidating essence, and stopping dysentery. (The function of securing collapse relies entirely on reaching yang, and reaching yang relies first on collecting yin.) Zhu Danxi discussed this herb mainly for removing dampness, knowing its primary focus. Li Shizhen strongly distinguished Chun entering the blood level and Chu entering the qi level, not realizing that damp-heat pathology affects the blood level. Both Chun and Chu bark primarily reach yang, which is based on collecting yin. Chu’s ability to collect yin is double that of Chun, and thus its ability to reach yang is also double. Users can distinguish them based on strength. (For damp-heat syndromes treatable with wind agents to dry dampness, earth pathogen qi is excess, and water dampness stagnates accordingly, so wind-wood overcomes it. For Chun/Chu treatments, earth righteous qi is deficient, and wood exploits its dominance, so dry-metal collects it. Using wind-wood again would further constrain earth.) This reflects the principle of seeking the root in treatment. Although rooted in dampness, if heat is severe, double heat-clearing herbs; if stagnation is severe, double draining herbs. Or add other assisting herbs, transferring via decoctions. One cannot stick to one theory without considering variations.
Attached Formulas:
Chu Bai Wan: Treats damp-heat, phlegm-fire, and turbid syndromes; also treats external genital abscesses. Chu root white bark one liang, Phellodendri Cortex (Huangbo) three liang, Indigo Naturalis (Qingdai) three qian, Dried Ginger (Ganjiang) three qian, Talcum (Huashi) five qian, Concha Meretricis (Ge Fen) five qian, Mass Medicamentum (Shenqu) five qian. For severe phlegm, add Arisaematis Rhizoma (Nanxing) and Pinelliae Rhizoma (Banxia). Powdered, made into pills with Shenqu paste, taken with plain water on an empty stomach. Remove Huashi and Ganjiang, add Anemarrhenae Rhizoma (Zhimu) and Ostrea Concha (Muli) to treat seminal emission. This adjusts based on heat severity. Pi Du Chang Feng: Due to defensive-healthy qi weakness, wind invasion, and heat乘虚, blood渗 into intestines causing hematochezia. Use Stink Tree root scraped, dried, four liang; Atractylodis Rhizoma (Cangzhu) soaked in rice wash and dried; Aurantii Fructus (Zhiqiao) bran-fried, each one liang. Powdered, vinegar-paste pills size of wutong seeds, 50 pills per dose, rice water, three times daily.
Jie Yin Dan: Treats intestinal wind, internal toxin, and various hematochezia. Zhiqiao, Scutellariae Radix (Huangqin), Citri Reticulatae Pericarpium (Chenpi, peeled), Saposhnikoviae Radix (Weilingxian), Schizonepetae Spica (Jingjie Sui), Polygoni Multiflori Radix (Heshouwu), Chun root white bark, each five qian. Powdered, wine-paste pills size of wutong seeds, 50-70 pills per dose, aged rice water with a little vinegar boiled, warmed before taking. These two formulas adjust based on damp-stagnation severity.
Xiu Xi Li (Intermittent Dysentery): Day and night without limit, foul-smelling, umbilical/abdominal cramping pain. Chun root white bark and Terminalia Chebulae Fructus (Helile) each half liang, Syzygdii Flos (Mudingxiang) thirty pieces. Powdered, vinegar-paste pills size of wutong seeds, 50 pills per dose, rice water.
Another Formula: Chun root white bark from southeast direction, soaked in running water for three days, remove yellow bark, dry and powder. One liang plus Muxiang two qian, made into pills with Japonica Oryzae Semen (Jingmi) rice paste. Take one qian two fen per dose, rice water on empty stomach. For this single syndrome, some add astringents, others add qi-regulating herbs; differences can be referenced.
Female Leukorrhea: Chun root white bark and Huashi equal parts. Powdered, porridge-paste pills size of wutong seeds, take 100 pills with plain water on empty stomach.
Another Formula: Chun root white bark one liang five qian, Charred Dried Ginger, Charred White Peony Root (Baishao), Charred Phellodendri Cortex (Huangbo), each two qian. Powdered, pill form as above. For this single syndrome, some add damp-draining/middle-joint harmonizing herbs, others add blood-harmonizing/heat-clearing herbs; clinical judgment is key.
Spleen-stomach deficiency-cold: Do not use. Metrorrhagia/leukorrhea due to kidney true yin deficiency: Contraindicated (due to dryness). Dysentery with unresolved accumulation/qi stagnation: Do not use abruptly (from Miao Xichun). Chu root white bark combined with pork and hot noodles frequently eaten causes middle-journal fullness due to meridian obstruction (from disciples). Overconsumption causes mild purgation.
[Processing] Suitable for pills and powders, not for decoctions (Zhu Danxi said decoction is possible, no harm seen). Scrape off coarse bark, shade dry. Before...