气寒,味苦。有小毒。黑白二种。
《本草》云∶主下气,疗脚满水肿,除风毒,利小便。
海藏云∶以气药引之则入气;以大黄引之则入血。
张文懿云∶不可耽嗜,脱人元气。余初亦疑此药不可耽嗜,后见人有酒食、病痞,多服
食药,以导其气,及服藏用神芎丸,及犯牵牛等丸。如初服,即快;药过,再食,其病痞依
然。依前又服,其痞随药而效,药过后病复至。以至久服,则脱人元气而犹不知悔,戒之!
惟当益脾健胃,使元气生,而自能消腐水谷,其法无以加矣。
《心》云∶泻元气,去气中湿热。凡饮食劳倦,皆血受病。若以此药泻之,是血病泻气
,使气血俱虚损。所伤虽去,泻元气、损人,不知也。经所谓∶毋盛盛,毋虚虚,毋绝人长
命。此之谓也。用者戒之。白者亦同。
罗谦甫云∶牵牛,乃泻气之药,试取尝之,便得辛辣之味;久而嚼之,猛烈雄壮,渐渐
不绝,非辛而何!续注∶味苦寒,果安在哉。又曰∶牵牛感南方热火之化所生者也,血热泻
气,差误已甚。若病湿盛,湿气不得施化,致大小便不通,则宜用之耳。湿去,其气周流,
所谓五脏有邪,更相平也。经所谓一脏未平,以所胜平之。火能平金,而泻肺气者即此也。
然仲景治七种湿证,小便不利,无一药犯牵牛者,仲景岂不知牵牛能泻湿利小便?为湿病之
根在下焦,是血分中气病,不可用辛辣气药,泻上焦太阴之气故也。仲景尚不轻用如此,
世医一概而用之可乎?又曰∶牵牛辛烈,泻人元气,比诸辛药尤甚,以辛之雄烈故也。
Nature is cold, taste is bitter. Slightly toxic. Divided into two types: black and white.
Bencao (Materia Medica) states: It governs descending Qi, treats fullness and edema of the feet, eliminates wind-toxicity, and promotes urination.
Haicang (Zhang Yuansu) said: When guided by Qi-regulating herbs, it enters the Qi level; when guided by Dahuang (Rhei Radix et Rhizoma), it enters the Blood level.
Zhang Wenyi said: One must not indulge in its use, as it will deplete the body's Yuan Qi (Original Qi). I initially also suspected that this herb should not be indulged in. Later, I observed people who, due to alcohol consumption, rich food intake, or suffering from Pi syndrome (abdominal masses), took large amounts of medicinal foods to guide their Qi, and consumed Cangyong Shenxiong Wan (Shenxiong Pill of Cangyong) or pills containing Qianni (Semen Kochiae). At first, they felt relieved; after the medicinal effect wore off, upon eating again, the Pi syndrome remained unchanged. Following the previous method to take it again, the Pi syndrome responded temporarily to the medicine, but after the effect wore off, the disease returned. Eventually, long-term use depleted the person's Yuan Qi without them realizing their mistake. This must be warned against! One should only tonify the Spleen and strengthen the Stomach, allowing Yuan Qi to generate, so that one can naturally digest and transform water and grain. There is no method superior to this.
Xin (referring to Li Dongyuan's work) stated: It drains Yuan Qi and removes damp-heat from the Qi level. Any condition caused by improper diet or fatigue involves pathology in the Blood. If this herb is used to drain it, it means draining Qi while the disease is in the Blood, causing both Qi and Blood to become deficient. Although the pathogenic factor is removed, it drains Yuan Qi and harms the person, a fact unknown to many. The Classics say: Do not reinforce excess; do not further weaken deficiency; do not cut short people's longevity. This refers to such cases. Users must beware. Bai Qian Niu (White Semen Kochiae) has similar effects.
Luo Qianfu said: Qianni is an herb that drains Qi. Try tasting it, and you will find a pungent flavor; chewing it for a long time reveals a fierce and vigorous nature, unceasingly intense. How could it not be Pungent? The continuation note says: Its taste is Bitter and Cold, where is that then? It also says: Qianni is generated by the transformation of Southern Fire-Heat. To say it clears Heat from Blood and drains Qi is a significant error. If the disease involves excessive Dampness, and Dampness cannot be transformed and distributed, leading to obstruction of urination and defecation, then it is appropriate to use it. Once Dampness is removed, Qi circulates freely. This is what is meant by "when the Five Zang organs have pathogens, they mutually regulate each other." The Classics say: If one Zang organ is imbalanced, use the element that overcomes it to balance it. Fire can overcome Metal, and draining Lung Qi is exactly this principle. However, Zhang Zhongjing, in treating seven types of Dampness syndromes with difficulty in urination, did not include any formula containing Qianni. Did Zhang Zhongjing not know that Qianni can drain Dampness and promote urination? It is because the root of Damp diseases lies in the Lower Jiao, which is a Qi disorder within the Blood level. Therefore, one should not use Pungent Qi-draining herbs to drain the Qi of the Upper Jiao Taiyin (Lung). If Zhang Zhongjing did not lightly use it, how can modern physicians use it indiscriminately? He also said: Qianni is Pungent and acrid, draining the person's Yuan Qi more severely than other Pungent herbs, due to its fierce and vigorous Pungency.