气味辛、温,有大毒。主风寒咳逆邪气,温中,金疮,破症坚、积聚、血瘕,寒湿痿
,拘挛,膝痛,不能行步。(以刀削去皮脐,每个剖作四块,用滚水微温泡三日,一日一
换,去盐味,晒半燥,剖十六块,于铜器炒熟用之。近世以便煮之,非法也。)
陈修园曰∶《素问》谓以毒药攻邪是回生妙手,后人立补养等法是模棱巧术,究竟攻其
邪而
正气复,是攻之即所以补之也。附子味辛气温,火性迅发,无所不到,故为回阳救逆第一品
药。《本经》云∶风寒咳逆邪气,是寒邪之逆于上焦也;寒湿痿 、拘挛、膝痛不能行步
,是寒邪着于下焦筋骨也;症坚、积聚、血瘕,是寒气凝结,血滞于中也。考《大观本》,
咳逆邪气句下,有“温中金疮”四字,以中寒得暖而温,血肉得暖而合也。大意上而心肺,
下而肝肾,中而脾胃,以及血肉筋骨营卫,因寒湿而病者,无有不宜。即阳气不足,寒气内
生,大汗、大泻、大喘、中风、卒倒等症,亦必仗此大气大力之品,方可挽回。此《本经》
言外意也。
又曰∶附子主寒湿,诸家俱能解到,而仲景用之,则化而不可知之谓神。且夫人之所以
生者
,阳也,亡阳则死。亡字分二字,一无方切,音忘,逃也,即《春秋传》出亡之义也;一微
夫切,音无,无也,《论语》亡而为有,孟子问有余曰亡矣之义也。误药大汗不止为亡阳,
如唐之幸蜀,仲景用四逆汤、真武汤等法以迎之;吐利厥冷为亡阳,如周之守府,仲景用通
脉四逆汤、姜附汤以救之;且太阳之标阳外呈而发热,附子能使之交于少阴而热已。少阴之
神机病,附子能使自下而上而脉生,周行通达而厥愈;合苦甘之芍、草而补虚,合苦淡之苓
、芍而温固,元妙不能尽述。按其立法,与《本经》之说不同,岂仲景之创见欤?然《本经
》谓“气味辛温有大毒”七字,仲景即于比悟出附子大功用。温得东方风木之气,而温之至
则为热,《内经》所谓少阴之上,君火主之是也。辛为西方燥金之味,而辛之至则反润,《
内经》所谓辛以润之是也。凡物性之偏处则毒,偏而至无可加处则大毒。因“大毒”二字
,知附子之温为至极,辛为至极也。仲景用附子之温有二法∶杂于苓、芍、甘草中,杂于地
黄、泽泻中,如冬日可爱,补虚法也;佐以姜、桂之热,佐以麻、辛之雄,如夏日可畏,救
阳法也。用附子之辛,亦有三法∶桂枝附子汤、桂枝附子去桂加白术汤、甘草附子汤,辛燥
以祛除风湿也;附子汤、芍药甘草附子汤,辛润以温补水藏也;若白通汤、通脉四逆汤,加
人尿猪胆汁,则取西方秋收之气,保复元阳,则有大封大固之妙矣。后世虞天民、张景岳、
亦极赞其功;然不能从《本经》中细绎其义,以阐发经方之妙,徒逞臆说以极赞之,反为蛇
足矣。
(Attaching the properties of) Acori Tatarinowii Rhizoma (Fuzi, 附子): Flavor is pungent (Xin), temperature is warm (Wen), possesses great toxicity (Da Du). It primarily treats wind-cold-induced cough and rebellious qi (Ke Ni Xie Qi), warms the Middle Jiao (Zhong Jiao), treats metal weapon wounds (Jin Chuang), breaks hard masses (Zheng Jian), accumulations (Ji Ju), and blood masses (Xue Xia); it addresses flaccidity due to cold-dampness (Han Shi Wei Bi), spasms (Ju Luan), knee pain, and inability to walk. (Peel off the skin and navel with a knife, cut each piece into four parts, soak in boiling water that has cooled slightly for three days, changing the water once a day to remove the salty taste, sun-dry until half dry, cut into sixteen pieces, and stir-fry in a copper vessel until cooked before use. Modern practitioners who boil it directly for convenience are not following the correct method.)
Chen Xiuyuan said: The *Su Wen* states that using toxic substances to attack pathogens is a miraculous technique for restoring life. Later generations established methods of tonification and nourishment, which are ambiguous and clever tricks. Ultimately, by attacking the pathogen, the righteous qi (Zheng Qi) is restored; thus, attacking is equivalent to tonifying. Fuzi has a pungent flavor and warm nature. Its fiery nature acts swiftly and reaches everywhere, making it the premier herb for rescuing yang and saving from collapse (Hui Yang Jiu Ni). The *Shennong Bencao Jing* says: "Wind-cold cough and rebellious qi" refers to cold pathogen rebelling in the Upper Jiao (Shang Jiao); "Flaccidity due to cold-dampness, spasms, knee pain, inability to walk" refers to cold pathogen adhering to the sinews and bones of the Lower Jiao (Xia Jiao); "Hard masses, accumulations, blood masses" refers to cold qi condensing and blood stagnating in the Middle Jiao (Zhong Jiao). Examining the *Daguan Edition*, under the phrase "cough and rebellious qi," there are the four characters "warms the middle and heals wounds." This means that internal cold becomes warm when receiving warmth, and flesh and blood heal when receiving warmth. In general, whether affecting the Heart and Lung above, Liver and Kidney below, Spleen and Stomach in the middle, or flesh, blood, sinews, bones, Ying, and Wei, any disease caused by cold-dampness is suitable for treatment. Even in cases of insufficient yang qi, endogenous cold generation, profuse sweating, severe diarrhea, severe panting, wind-stroke, or sudden collapse, one must rely on this potent substance to recover. This is the implicit meaning beyond the text of the *Bencao Jing*.
He further said: Fuzi primarily treats cold-dampness, which all schools can explain, but Zhang Zhongjing's application of it transforms it into something unknowable, which is termed divine. Moreover, what sustains human life is Yang Qi; loss of Yang leads to death. The character "Wang" (loss/die) has two readings and meanings: one is "wu fang qie," pronounced "wang," meaning to flee, as in the meaning of "fleeing" in the *Spring and Autumn Annals*; the other is "wei fu qie," pronounced "wu," meaning nothingness, as in "Wang er wei you" in the *Analects* or Mencius asking if there is surplus and being told "Wang yi." Mismedication causing continuous profuse sweating is called loss of Yang, similar to the Emperor fleeing to Shu during the Tang Dynasty; Zhang Zhongjing uses Si Ni Tang (Four Reversal Decoction) and Zhen Wu Tang (True Warrior Decoction) to welcome [restore] it. Vomiting, diarrhea, and cold extremities are called loss of Yang, similar to guarding the treasury in the Zhou Dynasty; Zhang Zhongjing uses Tong Mai Si Ni Tang (Pulse-Rescuing Four Reversal Decoction) and Jiang Fu Tang (Ginger and Fuzi Decoction) to save it. Furthermore, when the manifest Yang of the Taiyang (Greater Yang) channel presents externally as fever, Fuzi can cause it to interact with Shaoyin (Lesser Yin) so the heat subsides. When the spiritual mechanism of Shaoyin is diseased, Fuzi can cause the pulse to generate from below upwards, allowing circulation to become unobstructed and cold extremities to resolve; combining with bitter-sweet Shaoyao (Peony Root) and Gancao (Licorice Root) tonifies deficiency; combining with bitter-bland Fuling (Poria) and Shaoyao warms and consolidates. These subtleties cannot be fully described. According to his prescription principles, they differ from the statements in the *Bencao Jing*. Is this Zhang Zhongjing's original insight? However, the seven characters in the *Bencao Jing* stating "flavor pungent, temperature warm, possesses great toxicity," Zhang Zhongjing immediately understood the great function of Fuzi from them. Warmth obtains the qi of East Wind-Wood, and extreme warmth becomes heat, as stated in the *Nei Jing*: "Above Shaoyin, Minister Fire governs." Pungency is the flavor of West Dry-Metal, and extreme pungency reverses to moisten, as stated in the *Nei Jing*: "Pungency moistens." Wherever the nature of a substance is biased, it is toxic; where the bias reaches an extreme that cannot be added to, it is greatly toxic. From the term "great toxicity," we know that Fuzi's warmth is extreme, and its pungency is extreme. Zhang Zhongjing uses the warmth of Fuzi in two ways: mixed with Fuling, Shaoyao, and Gancao, or mixed with Dihuang (Rehmannia Root) and Zexie (Alisma Rhizome), like the lovely winter sun, this is the method of tonifying deficiency; assisted by the heat of Jiang (Zingiberis Rhizoma) and Guizhi (Cinnamon Twig), or assisted by the heroism of Mahuang (Ephedrae Herba) and Xixin (Asari Radix), like the awe-inspiring summer sun, this is the method of rescuing Yang. He uses the pungency of Fuzi in three ways: Guizhi Fuzi Tang (Cinnamon Twig and Fuzi Decoction), Guizhi Fuzi Qu Gui Jia Baizhu Tang (Cinnamon Twig and Fuzi Decoction minus Cinnamon Twig plus Atractylodes Macrocephala Rhizoma Decoction), and Gancao Fuzi Tang (Licorice and Fuzi Decoction) use pungent-dryness to dispel wind-dampness; Fuzi Tang (Fuzi Decoction) and Shaoyao Gancao Fuzi Tang (Peony, Licorice, and Fuzi Decoction) use pungent-moistening to warm and supplement the Water Storehouse (Kidney); if Baitong Tang (White Passage Decoction) or Tong Mai Si Ni Tang adds Ren Niao (Human Urine) and Zhu Danzhi (Porcine Gallbladder Bile), it takes the qi of Western Autumn Harvest to preserve and restore primal Yang, achieving the wonder of great sealing and consolidation. Later figures such as Yu Tianmin and Zhang Jingyue also highly praised its merit; however, they failed to meticulously deduce its meaning from the *Bencao Jing* to elucidate the wonders of classical prescriptions, instead relying on subjective speculation to praise it excessively, thereby adding feet to a snake [superfluity].