气味苦、寒,无毒。主大风在皮肤中,如麻豆苦痒,除寒热结,止痢,长肌肉,利五
脏,益气。
张隐庵曰∶枳壳气味苦寒,冬不落叶,禀少阴标本之气化。臭香形园,花白多刺,瓤肉
黄白
,又得阳明金土之气化。主治大风在皮肤中,如麻豆苦痒者,得阳明金气而制风,禀少阴水
气而清热也。除寒热结者,禀少阴本热之气而除寒,标阴之气而除热也。止痢、长肌肉者,
得阳明中土之气也。五脏发原于先天之少阴,生长于后天之阳明,故主利五脏。得少阴之阴
故益气,得阳明之气故轻身。仲祖本论,有大承气汤,用炙浓朴、炙枳实;小承气汤,用生
浓朴、生枳实;生熟之间,有意存焉,学人不可不参。
按《本经》有枳实,无枳壳,唐《开宝》始分之。然枳壳即枳实之大者,性宣发而气散,
不
如枳实之完结,然既是一种,亦不必过分。
气味苦寒,无毒。主五脏肠胃中结热,黄胆,肠痔,止泄痢,女子漏下赤白,阴伤蚀疮。
陈修园曰∶黄柏气寒,禀天冬寒之水气。味苦无毒,得地南方之火味;皮浓色黄,得太
阴中
土之化。五脏为阴,凡经言主五脏者,皆主阴之药也。治肠胃中热结者,寒能清热也。治黄
疸、肠痔者,苦能胜湿也。止泄利者,湿热泄痢,唯苦寒能除之,而且能坚之也。
女子胎漏下血,因血热妄行;赤白带下,及阴户伤蚀成疮,皆因
湿热下注;黄柏寒能清热,苦可燥湿,所以主之。然皆正气未伤,热毒内盛,有余之病,可
以暂用,否则不可姑试也。
凡药之燥者,未有不热;而寒者,未有不湿;黄柏于清热之中,而兼燥湿之效。
[Flavor and Nature] Bitter, cold, non-toxic. It is indicated for major wind pathogens residing in the skin, manifesting as itching and discomfort resembling millet grains or beans; it resolves cold-heat complex, stops dysentery, promotes muscle growth, benefits the five zang organs, and tonifies qi.
Zhang Yin'an stated: Zhiqiao (Aurantii Fructus) has a bitter and cold flavor. It does not shed leaves in winter, inheriting the qi transformation of Shaoyin's root and branch. Its fragrance is aromatic, its shape is round, its flowers are white with thorns, and its pulp is yellowish-white, thereby acquiring the metal and earth qi transformations of Yangming. Its indication for major wind in the skin, causing itching like millet grains or beans, is due to mastering wind via Yangming metal qi and clearing heat via Shaoyin water qi. Resolving cold-heat complex is achieved by inheriting Shaoyin's root hot qi to dispel cold and its branch yin qi to clear heat. Stopping dysentery and promoting muscle growth stems from obtaining Yangming central earth qi. The five zang organs originate from congenital Shaoyin and grow via postnatal Yangming; thus, it benefits the five zang organs. Acquiring Shaoyin's yin allows it to tonify qi, while obtaining Yangming's qi lightens the body. In Zhongjing's original treatise, Dachengqi Tang (Major Order the Qi Decoction) uses roasted Houpo (Magnolia Bark) and roasted Zhishi (Immature Bitter Orange); Xiao Chengqi Tang (Minor Order the Qi Decoction) uses raw Houpo and raw Zhishi. The distinction between raw and roasted holds significant meaning, which students must carefully contemplate.
According to the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), Zhishi (Immature Bitter Orange) is recorded, but Zhiqiao (Aurantii Fructus) is not; they were distinguished starting from the Tang Dynasty's *Kaibao Bencao*. However, Zhiqiao is simply the larger form of Zhishi. Its nature is dispersing and its qi scatters, unlike Zhishi which is more consolidated. Since they are of the same species, excessive distinction is unnecessary.
[Flavor and Nature] Bitter, cold, non-toxic. It treats internal heat accumulation in the five zang organs and intestines/stomach, jaundice, intestinal hemorrhoids, stops diarrhea and dysentery, and treats leukorrhea (red and white discharge) and erosive sores in the female genitalia.
Chen Xiuyuan stated: Huangbai (Phellodendri Cortex) has a cold nature, inheriting the cold water qi of winter. Its bitter and non-toxic flavor corresponds to the fire element of the southern direction; its thick bark and yellow color correspond to the transformation of Taiyin central earth. The five zang organs belong to yin; therefore, any herb described as "governing the five zang" primarily acts on yin aspects. Treating heat accumulation in the intestines and stomach relies on coldness to clear heat. Treating jaundice and intestinal hemorrhoids relies on bitterness to overcome dampness. Stopping diarrhea and dysentery works because only bitter-cold herbs can eliminate damp-heat dysentery and simultaneously strengthen the body.
Fetal leakage and bleeding in women result from reckless movement of blood due to heat; red and white leukorrhea, as well as erosive sores in the vaginal opening, are caused by damp-heat sinking downward. Huangbai clears heat via its cold nature and dries dampness via its bitterness, hence it governs these conditions. However, these are all excess diseases where righteous qi is not yet damaged and internal heat-toxin is abundant; they may be used temporarily, otherwise, one should not risk trial.
Generally, drying herbs are invariably hot; and cold herbs are invariably damp. Huangbai, while clearing heat, also possesses the effect of drying dampness.