味甘,性温无毒,入脾肺肾三经。补阴虚,消肿硬,健脾气,长肌肉,强筋骨,疗干咳,
止遗泄,定惊悸,除泻痢。乳制用。紫芝为使,喜门冬,恶甘遂。
按∶丹溪曰∶山药属土,而有金与水,宜入脾肺肾而补虚。经曰∶虚之所在,邪必凑之,
肿
亦能滞气。
味苦甘,性温无毒,入脾经。除湿利水道,进食强脾胃。佐黄芩以安胎,君枳实而消痞。
止泄泻,定呕吐,有汗则止,无汗则发。土炒用。防风地榆为使,忌桃、李、雀肉、青鱼菘
菜。
按∶白术甘而除湿,所以为脾家要药,胎动痞满吐泻,皆脾弱也。用以助脾诸疾自去,
有汗因脾虚,故能止之。无汗因土不能生金,金受火克,皮毛焦热,既得其补脾,又藉其甘
温,而汗可发矣。伤寒门有动气者,不宜用之。
味甘辛,性温无毒,入脾胃二经。主平胃健脾,宽中散结,发汗祛湿,压山岗气,散
温疟。泔浸一宿,换泔浸,炒用,使忌同白术。
按∶苍术辛甘祛湿,脾胃最喜,故宜入之。大约与白术同功,乃药性谓其宽中发汗,功
过于白,固矣。又谓其补中除湿,力不及白,于理未然。夫除湿之道,莫过于发汗,安有汗
大发而湿未除者也?湿去而脾受其益矣。若以为发汗,故不能补中,则古何以称之为山精。
炼服可长生也?亦以其结阴阳之精气。俗医泥其燥而不常用,不知脾为脏主,所喜惟燥,未
有脾气健而诸脏犹受其损者,独火炎土燥脾虚作闷者忌之,恐益其火也。
Dioscoreae Rhizoma (Shanyao, 山药): Sweet in taste, warm in nature, non-toxic. Enters the Spleen, Lung, and Kidney meridians. It tonifies Yin deficiency, reduces swelling and induration, strengthens Spleen Qi, promotes muscle growth, strengthens sinews and bones, treats dry cough, stops seminal emission and diarrhea, calms palpitations, and eliminates dysentery. Use after processing with milk. Purple Ganoderma (Zizhi, 紫芝) serves as a guiding herb; it harmonizes well with Ophiopogonis Radix (Maidong, 麦冬), but is incompatible with Kansui Root (Gansui, 甘遂).
Commentary: Zhu Danxi stated: Dioscorea belongs to Earth but possesses characteristics of Metal and Water, making it suitable for entering the Spleen, Lung, and Kidney meridians to tonify deficiency. The Classic states: Wherever there is deficiency, pathogenic factors inevitably gather; swelling can also obstruct Qi mechanism.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术): Bitter and sweet in taste, warm in nature, non-toxic. Enters the Spleen meridian. It dispels dampness and promotes water passage, enhances appetite, and strengthens the Spleen and Stomach. When assisted by Scutellariae Radix (Huangqin, 黄芩), it calms the fetus; when used as the chief ingredient with Aurantii Fructus Immaturus (Zhishi, 枳实), it resolves fullness. It stops diarrhea and vomiting; it arrests sweating when present, and induces sweating when absent. Use after stir-frying with soil. Saposhnikoviae Radix (Fangfeng, 防风) and Sanguisorbae Radix (Diyu, 地榆) serve as guiding herbs. Avoid using with peach flesh, plum flesh, sparrow meat, blue fish, and Chinese cabbage.
Commentary: Baizhu is sweet and dispels dampness, thus serving as a crucial herb for the Spleen. Fetal restlessness, abdominal fullness, vomiting, and diarrhea are all due to Spleen weakness. By assisting the Spleen, various ailments naturally resolve. Sweating occurs due to Spleen deficiency, so it can stop it; absence of sweating occurs because Earth (Spleen) fails to generate Metal (Lung), leading to Metal being overcome by Fire, causing scorching heat in the skin and hair. By tonifying the Spleen and utilizing its sweet-warm nature, sweating can be induced. In the Treatise on Cold Damage, patients with "moving Qi" should not use this herb.
Atractylodis Rhizoma (Cangzhu, 苍术): Pungent and sweet in taste, warm in nature, non-toxic. Enters the Spleen and Stomach meridians. It primarily regulates the Stomach, strengthens the Spleen, expands the middle jiao, dissipates nodules, induces sweating, dispels dampness, suppresses mountain miasma, and disperses warm malaria. Soak in rice washing water overnight, change the water and soak again, then stir-fry before use. Its contraindications regarding guiding herbs are the same as those of Baizhu.
Commentary: Cangzhu is pungent and sweet, dispelling dampness, which the Spleen and Stomach favor, hence it enters these meridians. Its general efficacy is similar to Baizhu, but pharmacological properties state that its ability to expand the middle and induce sweating exceeds that of Baizhu, which is indeed true. However, stating that its power to tonify the middle and dispel dampness is inferior to Baizhu is logically incorrect. The method of dispelling dampness is nothing more effective than inducing sweating; how could dampness remain if sweat is profusely discharged? Once dampness is removed, the Spleen benefits. If one argues that because it induces sweating, it cannot tonify the middle, why did ancients call it "Mountain Essence," claiming refined consumption grants longevity? This is because it condenses the essence of Yin and Yang. Empirical physicians often avoid it due to its dryness, unaware that the Spleen is the master of the Zang organs and prefers dryness; there is no case where robust Spleen Qi harms other organs. It is only contraindicated in cases of blazing Fire and dry Earth with Spleen deficiency causing stuffiness, lest it exacerbate the Fire.