人皆知磁石之益肾气也,而本经独主周痹,痹为风寒湿三气杂至之病,未必皆由肾虚,
经意
何所指乎,盖尝历考方书,乃知磁石能吸通一切拥塞之气,涂于外则从外吸内,如入升药提
毒,纳喉中引针是也,以彼例此,治痹之义灼然矣,经隧中为风寒湿所阻而成痹,亦系拥塞
为病,故须此以吸通之,第古方中根据经直用者绝少,而绎周义为流之理,则凡拥塞之处,无
非痹气所流之外,故用之者,不必规规于经文,而自合经旨,且因此益知益肾气之故焉,心
肺主呼,肝肾主吸,能吸之物,与喜吸之症,其气相协,虚者得吸以实之,谓为益肾也固宜
,特不比泛泛益肾如山药地黄辈耳,临证者审诸,每见上下俱虚之人,咳喘吐血,医用磁石
,渐至肺萎,延成死症,实由吸伤上焦之误,而医者无一悟及,可慨也夫,案、仲景书不及
此药者,仲景为伤寒设法,原书不别出金匮,金匮亦论伤寒之杂病也,寒邪从外入内,不可
再服磁石,使之从内吸外,故不及也。
人参性效,近陈修园砭新方八阵,辨之而未尽也,泉谓仲景于亡脉亡血并用人参者,非
以人
参为能生血脉也,特培其血脉所由生者耳,脾主为胃行其津液,津血同类,津液不行,则血
亦减少,而津血又皆元气所生,元气实藏于脾,人参专能补脾,脾王而气液充,则亡血亡脉
皆愈,故人参之补脾,实人参之培元气也,惟人参培元气,故阳虚者得之能益气,如四君子
汤是也,阴虚者得之能蓄津,如人参白虎汤是也,且人参反大黄,大黄功专泻胃,而胃为万
物所归,能泻胃者必能泻胃之所及,人参功专补脾,而脾为诸经之母,故补脾者必能补脾之
所统,推而暨之,大黄无所不泻,人参无所不补,凡通治之药准此。
It is well known that Magnetitum (Cishi, 磁石) benefits the Kidney Qi. However, the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) specifically states it primarily treats Zhou Bi (Generalized Bi Syndrome). Bi syndrome is a disease caused by the mixed invasion of Wind, Cold, and Dampness pathogens, and does not necessarily stem from Kidney deficiency. What, then, is the intent of the classic text?
I have extensively examined medical formularies and realized that Magnetitum can attract and unblock all kinds of stagnant and obstructed Qi. When applied externally, it draws inward, similar to using Sheng Yao (Calomel or similar purgative/mineral drugs for extraction) to draw out toxins, or inserting a needle into the throat (as in emetic therapy). By analogy with these cases, the principle of treating Bi syndrome becomes clear. The obstruction of the meridians by Wind, Cold, and Dampness leading to Bi syndrome is also a disease of stagnation; thus, it requires Magnetitum to attract and unblock it.
However, ancient formulas rarely use it directly according to the classic text. Yet, if we deduce the principle of "Zhou" (circulation/flow), any site of stagnation is essentially an external manifestation of Bi Qi flow. Therefore, practitioners need not rigidly adhere to the literal text but will naturally align with the classic's intent. This further clarifies the reason for benefiting the Kidney: The Heart and Lungs govern exhalation, while the Liver and Kidneys govern inhalation. Substances with an "attracting" nature harmonize with conditions characterized by a preference for "inhalation." Deficiency states become solidified through this attracting action; thus, calling it beneficial to the Kidney is appropriate. It differs from general tonics like Dioscoreae Rhizoma (Shanyao, 山药) and Rehmanniae Radix (Dihuang, 地黄). Clinicians must examine this carefully.
I often see patients with deficiency in both the upper and lower jiao presenting with cough, asthma, and hemoptysis. Physicians use Magnetitum, which gradually leads to Lung Atrophy and eventually death. This error stems from damaging the Upper Jiao by misusing its "attracting" property, yet no physician realizes this, which is lamentable.
Case Note: Zhang Zhongjing’s works do not mention this herb because his prescriptions were designed for Shanghan (Cold Damage) diseases. His original work did not separate the *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet); rather, the *Jingui Yaolue* discusses miscellaneous diseases related to Cold Damage. Since Cold pathogens enter from the exterior to the interior, one should not administer Magnetitum to draw them from the interior back to the exterior. Hence, it is omitted.
Regarding the properties and effects of Ginseng Radix et Rhizoma (Renshen, 人参), Chen Xiuyuan’s analysis in *Bian Xin Fang Ba Zhen* (Analysis of New Formulas in Eight Arrays) was incomplete. I posit that when Zhang Zhongjing used Renshen for pulse loss and blood loss, it was not because Renshen generates blood vessels directly, but to cultivate the source from which blood vessels arise. The Spleen governs transporting fluids for the Stomach. Fluids and Blood are of the same category; if fluid transport fails, blood volume decreases. Both fluids and blood are generated by Yuan Qi (Primordial Qi), which resides primarily in the Spleen. Renshen specifically tonifies the Spleen. When Spleen function is robust, Qi and fluids become abundant, curing pulse and blood loss. Thus, Renshen’s tonification of the Spleen is essentially its cultivation of Yuan Qi. Because Renshen cultivates Yuan Qi, it benefits Yang deficiency by augmenting Qi, as seen in Sizijunzi Tang (Four Gentlemen Decoction). It benefits Yin deficiency by conserving fluids, as seen in Renshen Baihu Tang (Ginseng White Tiger Decoction).
Furthermore, Renshen is contrary to Radix et Rhizoma Imperatae (Dahuang, 大黄 - *Note: Context implies Rhubarb/Dahuang despite typo in source or specific theoretical opposition*). Dahuang’s function is specifically to purge the Stomach. The Stomach is the gathering place of all things; one who purges the Stomach can purge what the Stomach governs. Renshen’s function is specifically to tonify the Spleen. The Spleen is the mother of all meridians; one who tonifies the Spleen can tonify what the Spleen governs. Extending this logic, Dahuang purges everything, and Renshen tonifies everything. This principle applies to all universal medicines.