近道皆有。其根黄白色。类牛膝而短小。八月采之。
气味苦寒平。乃阳明经药。主治暴中风。身热肢满。忽忽不知人。狂惑邪气。寒热酸疼。
疗温疟洗洗发作有时。及风温灼热多眠。伤中淋露。下水气。利阴气。方书治螈 虚烦。小
便不禁。温疟瘅疟。久而不解者。必属阴虚。除疟邪药中。多加白薇主之则易瘳。凡人阴气
不足。则能冬不能夏。更为暑邪所伤。秋来发疟。先热后寒曰温疟。或但热不寒为瘅疟。未
有不由阴精不守而得者。若果阴精内守。则暑不能侵。疟何自作。凡治似中风证除热药中。
亦宜加而用之。天行热病得愈。或愈后阴虚内热。及余热未除者。随证随经药中。宜加之。
风温发汗后。身体灼热。自汗壮实者。服葳蕤汤。(中用白薇)风温自汗出。脉阴阳俱浮。
身重多眠。鼻息必鼾。语言难出。此正风虚之证也。宜防己汤。防己为君。佐以参 术草生
姜治之。风虚昏愦。不自觉知。手足螈 。或为寒热。此证血虚不能服发汗药。独活汤主之。
白薇人参当归茯神远志桂心菖蒲川芎甘草以治风虚血虚。兼用半夏细辛羌独防风以除虚风。
肺实鼻塞。不知香臭。白薇贝母款冬花一两。百部二两。为末。每服一钱。米饮下。妇人产
中虚。烦乱呕逆。安中益气。竹皮丸主之。竹皮石膏三分。白薇桂枝一分。甘草七分。枣肉
为大丸。每以饮化一丸服。有热者倍白薇。此以甘草为主。而更丸以枣肉者。取责于本也。
有热则倍白薇。正欲其归阳于阴。以化阳分之邪。而作转关之用尔。产后胃弱不食。脉微。
多汗亡血。发厥郁冒等证。用白薇汤。白薇当归各六钱。人参半之。甘草又半之。妇人血厥。
平居无疾苦。忽如死人。目闭口噤。或微知人。眩冒移时方寤。(亦名郁冒)此因出汗过多。
血少。阳气独上。气塞不行。(故身如死)气过血还。阴阳复通。(故移时方寤)宜服白薇汤。
调经种子。用白薇为君。佐以地黄白芍当归苁蓉山萸杜仲白胶黄柏天麦冬丹参。蜜丸。久服
易孕。凡不孕缘于血少血热。其原必起于真阴不足。阳胜而内热。内热则荣血日枯。是以不
孕。益阴除热。则血自生旺矣。胎前遗尿。白薇散。用白薇白芍二味。等分服之。女子宫冷
不孕。有白薇丸二方。又胜金丸秦桂丸中俱用之。(可知别录大寒之说不信)
〔论〕白薇花于夏末。实于秋中。而采根即以八月。味苦咸平。盖取其由阳归阴之性味
以为用。本经言其气平足据也。别录利阴气一语。正于本经主治可作注脚。其治风证。举风
淫风虚而皆宜。如同于羌独防风石膏辈治风之淫。则葳蕤汤是。同于参 术草治风之虚。则
防己汤是也。大约能归阳于阴。以化阳分之邪。而作转关之用。观于血厥郁冒。病由出汗过
多。阳气独上。气塞不行。宜主白薇。则知归阳之义不妄也。
〔修治〕酒洗用。
It is found everywhere near the roads. Its root is yellowish-white, resembling *Radix Achyranthis Bidentatae* (Niuxi, 牛膝) but shorter and smaller. It is harvested in August.
The flavor is bitter, cold, and neutral; it enters the Yangming Meridian (Yangming Jing, 阳明经). It mainly treats sudden onset of wind-stroke, fever of the body, fullness of the limbs, mental confusion with loss of consciousness, mania, delirium, pathogenic qi invasion, alternating chills and fever, and soreness and pain.
It treats warm malaria (Wen Nue, 温疟), which occurs at regular intervals; and wind-warmth disease causing burning heat of the body and somnolence. It treats damage to the middle jiao, dripping and leakage, descends water qi, and benefits yin qi. Medical texts record its treatment for convulsions, deficiency vexation, and involuntary urination. For warm malaria and dan malaria (Dan Nue, 瘅疟 - a type of malaria with only fever and no chills) that persist for a long time without resolution, it must belong to yin deficiency. When adding herbs to treat malaria, adding much Baiwei (Cortex Cynanchi Atrati) as the main agent makes recovery easier. Generally, when human yin qi is insufficient, one can endure winter but not summer, and is more easily injured by summer-heat pathogen, leading to malaria in autumn. Fever first followed by chills is called warm malaria; or only fever without chills is called dan malaria. None arise without the failure of yin essence to guard internally. If yin essence truly guards internally, summer-heat cannot invade, and how could malaria arise spontaneously? In treating conditions resembling wind-stroke, it is also appropriate to add it to clearing-heat formulas. After recovery from epidemic heat diseases, or if yin deficiency with internal heat remains after recovery, or if residual heat has not been cleared, it should be added to formulas according to syndrome and meridian. After sweating for wind-warmth disease, if the body is burning hot, there is spontaneous sweating, and the constitution is robust, take Weirui Tang (Reed Rhizome Decoction) [which contains Baiwei]. If wind-warmth disease presents with spontaneous sweating, pulse floating in all three positions (cun, guan, chi), heavy body, excessive somnolence, snoring breath, and difficulty speaking, this is exactly the syndrome of wind-deficiency. Fangji Tang (Stephania Root Decoction) is suitable, using Fangji (Stephaniae Tetrandrae Radix) as the sovereign herb, assisted by Renshen (Ginseng), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Licorice), and Shengjiang (Fresh Ginger) to treat it. Wind-deficiency causing dizziness and confusion, unawareness of self, convulsions of hands and feet, or alternating chills and fever: this syndrome involves blood deficiency and cannot tolerate diaphoretic drugs; Duhuo Tang (Angelicae Pubescentis Root Decoction) governs it. Baiwei (Cortex Cynanchi Atrati), Renshen (Ginseng), Danggui (Angelicae Sinensis Radix), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Guixin (Cinnamomi Ramulus), Shichangpu (Acori Tatarinowii Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Gancao (Licorice) are used to treat wind-deficiency and blood-deficiency. Banxia (Pinelliae Rhizoma), Xixin (Asari Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), and Fangfeng (Saposhnikoviae Radix) are used concurrently to dispel deficient wind. Lung excess causing nasal congestion and loss of smell of fragrances and odors: use Baiwei (Cortex Cynanchi Atrati), Beimu (Fritillariae Bulbus), Kuandonghua (Farfarae Flos) each 1 liang, and Baibu (Stemonae Radix) 2 liang, grind into powder, take 1 qian per dose, washed down with rice drink. Women experiencing deficiency during childbirth, with vexation, restlessness, nausea, and vomiting, to calm the middle and boost qi: Zhupi Wan (Bamboo Peel Pill) governs it. Zhupi (Bambusae Caulis in Taenia), Shigao (Gypsum Fibrosum) each 3 fen; Baiwei (Cortex Cynanchi Atrati), Guizhi (Cinnamomi Ramulus) each 1 fen; Gancao (Licorice) 7 fen; made into large pills with date flesh. Dissolve one pill in water and take per dose. Increase Baiwei if there is heat. This uses Gancao (Licorice) as the primary agent, and forms pills with date flesh to seek the root. Increasing Baiwei for heat aims precisely to guide yang back to yin, to transform pathogens in the yang portion, and serve as a turning point. Postpartum weak stomach with anorexia, faint pulse, excessive sweating and blood loss, syncope, and depression/dizziness syndromes: Baiwei Tang (Baiwei Decoction) is used. Baiwei (Cortex Cynanchi Atrati) and Danggui (Angelicae Sinensis Radix) each 6 qian; Renshen (Ginseng) half that amount; Gancao (Licorice) half of Renshen's amount. Women's blood syncope: usually free of illness, suddenly appearing like a corpse, eyes closed, jaw clenched, or slightly conscious, dizzy and depressed for a while before waking up (also called Yu Mao, 郁冒). This is due to excessive sweating, low blood volume, and yang qi rising alone, blocking qi flow (thus body appears dead). After qi passes and blood returns, yin and yang reconnect (thus waking after a while). Taking Baiwei Tang is suitable. To regulate menstruation and promote conception, use Baiwei (Cortex Cynanchi Atrati) as the sovereign herb, assisted by Dihuang (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Rongrong (Cynomorii Herba), Shanzhuyu (Corni Fructus), Duzhong (Eucommiae Cortex), Ejiao (Asini Corii Colla), Huangbai (Phellodendri Cortex), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), honey-made pills. Long-term use facilitates pregnancy. Generally, infertility stemming from blood deficiency and blood heat originates from true yin insufficiency, yang excess generating internal heat. Internal heat causes Ying blood to wither daily, hence infertility. Tonifying yin and clearing heat allows blood to naturally thrive. Premature urinary incontinence during pregnancy: Baiwei San (Baiwei Powder) is used, consisting of equal parts Baiwei (Cortex Cynanchi Atrati) and Baishao (Paeoniae Radix Alba). Cold uterus causing infertility in women: there are two formulas of Baiwei Wan (Baiwei Pills). They are also used in Shengjin Wan (Shengjin Pill) and Qin Gui Wan (Qingui Pill) [known these days as Qingpi Wan] (indicating that the statement in *Ben Cao Bie Lu* about its being extremely cold is unreliable).
[Discussion] Baiwei flowers in late summer and fruits in mid-autumn, while roots are harvested in August. The flavor is bitter, salty, and neutral. It likely takes advantage of its property and flavor of guiding yang back to yin for its application. *Ben Jing* stating its qi is neutral is sufficient evidence. The phrase "benefits yin qi" in *Bie Lu* serves as a commentary on the main indications in *Ben Jing*. It treats wind syndromes, suitable for both wind-pathogenic excess and wind-deficiency. Similar to using Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), and Shigao (Gypsum Fibrosum) to treat wind-excess, that is Weirui Tang (Reed Rhizome Decoction). Similar to using Renshen (Ginseng), Baizhu (Atractylodis Macrocephalae Rhizoma), and Gancao (Licorice) to treat wind-deficiency, that is Fangji Tang (Stephania Root Decoction). Generally, it can guide yang back to yin to transform pathogens in the yang portion and act as a pivotal turning point. Observing blood syncope and depression/dizziness, where the cause is excessive sweating, yang qi rising alone, and blocked qi flow, making Baiwei the main herb confirms that the meaning of "guiding yang" is not baseless.
[Processing] Wash with wine before use.