别录载甘草温中下气。烦满短气伤脏咳嗽。止渴。通经脉。利血气。解百药毒。为九土
之精。安和七十二种
石。一千二百种草。李东垣曰甘草气薄味浓。可升可降。阴中阳也阳不足者补之以甘甘温能
除大热故生用
则气平。补脾胃不足。而大泻心火。灸之则气温。补三焦元气。而散表寒。除邪热。去咽痛
。缓正气。养阴血。凡
心火乘脾。腹中急痛。腹皮急缩者。宜倍用之其性能缓急而又协和诸药使之不争故热药得之
缓其热。
寒药得之缓其寒。寒热相杂者用之得其平。王好古曰五味之用。苦泄辛散酸收
咸敛
甘上行而发。而本草言甘草下气。何也。盖甘味主中。有升降浮沉。可上可下。可外可内。
有和有缓。有补有
泻居中之道尽矣。仲景附子理中汤。用甘草。恐其 上也。调胃承气汤。用甘草。恐其速
下也。皆缓之之意。
小柴胡汤有柴胡黄芩之寒。人参半夏之温。而用甘草者。则有调和之意。建中汤用甘草以补
中而缓脾
急也。凤髓丹用甘草以缓肾急而生元气也。乃甘补之意。又曰甘者令人中满。中满者勿食甘
。甘缓而壅
气。非中满所宜也凡不满而用炙甘草为之补。若中满而用生甘草为之泻能引诸药直至满所甘
味入
脾。归其所喜此升降浮沉之理也经云以甘补之以甘泻之。以甘缓之是矣李濒湖曰甘草外赤中
黄。色
兼坤离。味浓气薄。资全土德。协和群品。有元老之功。普治百邪。得王道之化。赞帝力
而人不知。敛神功而已
不与。可谓药中之良相也。然中满呕吐酒客之病。不喜其甘。而大戟芫丸甘遂海藻。与之相
反是亦优缓不可以救昏昧而君子尝见嫉于宵人之意欤。
*Ben Cao Ming Yi Bie Lu* records that Gancao (Radix Glycyrrhizae) warms the middle, directs qi downward, treats irritability, fullness, shortness of breath, and cough due to injury of the zang organs, stops thirst, unblocks meridians, benefits blood and qi, and resolves the toxicity of hundred herbs. It is the essence of the nine types of earth-grown herbs, calming seventy-two kinds of mineral substances and one thousand two hundred kinds of grass herbs. Li Dongyuan stated: Gancao has a thin qi and strong flavor; it can ascend and descend, belonging to yang within yin. For those with insufficient yang, tonification is achieved through sweet flavors; sweet-warmness can eliminate great heat. Therefore, when used raw, its qi is neutral, tonifying spleen and stomach insufficiency while greatly clearing heart fire. When moxa-burned, its temperature becomes warm, tonifying yuan qi of the san jiao (Triple Burner) and dispersing exterior cold, eliminating pathogenic heat, relieving sore throat, moderating righteous qi, and nourishing yin blood. Whenever heart fire invades the spleen, causing abdominal urgency and pain, or contraction of the abdominal skin, it should be used in double dosage. Its nature can relieve urgency and harmonize various medicines so they do not conflict; thus, hot medicines become less heating, cold medicines become less cooling, and mixed cold-heat formulas achieve balance through its use. Wang Haogu said: Regarding the uses of the five flavors, bitter drains, acrid disperses, sour collects, salty softens, and sweet ascends and diffuses. But why does materia medica state that Gancao directs qi downward? This is because sweet flavor primarily acts on the middle jiao, possessing ascending, descending, floating, and sinking properties; it can go up or down, outside or inside, having harmonizing and moderating functions, as well as tonifying and draining effects. The way of residing in the center is complete. Zhang Zhongjing used Gancao in Fuzi Lizhong Tang fearing excessive upward movement, and in Tiaowei Chengqi Tang fearing rapid downward purgation; both intend to moderate the action. Xiao Chaihu Tang contains the coldness of Chai Hu (Radix Bupleuri) and Huang Qin (Radix Scutellariae), and the warmth of Ren Shen (Radix Ginseng) and Ban Xia (Rhizoma Pinelliae); Gancao is used there for harmonization. Jianzhong Tang uses Gancao to tonify the middle and relieve spleen urgency. Fengsui Dan uses Gancao to relieve kidney urgency and generate yuan qi, reflecting the intent of sweet tonification. It is also said: Sweetness causes middle-fullness; those with middle-fullness should avoid sweet flavors, as sweetness is moderating and clogs qi, which is unsuitable for middle-fullness. Generally, roasted Gancao is used for tonification when there is no fullness, whereas raw Gancao is used for draining when there is middle-fullness, guiding other medicines directly to the site of fullness. Sweet flavor enters the spleen, returning to what it favors; this is the principle of ascending, descending, floating, and sinking. The classics state: "Tonify with sweet, drain with sweet, moderate with sweet," which is correct. Li Shizhen said: Gancao is red on the outside and yellow inside, combining the colors of Kun (Earth) and Li (Fire). With strong flavor and thin qi, it fully embodies the virtue of Earth, harmonizes all products, possesses the merit of a senior statesman, treats hundred pathogenic factors universally, obtains the transformation of the Kingly Way, assists imperial power without people knowing, and conceals divine功 (merit) without claiming credit. It can be called the good minister among medicines. However, patients with middle-fullness, vomiting, or alcoholism do not like its sweetness. Furthermore, Daji (Radix Euphorbiae Pekinensis), Yuan Hua (Flos Genkwa), Gansui (Radix Kansui), and Hai Zao (Thallus Sargassii) are contrary to it. Is this not the meaning that moderation cannot save confusion, and that gentlemen are often envied by villains?