禀土气以生,其蕊萌于冬,而开于春,故微甘微寒气平,无毒,为厥阴肝家正药。
肝开窍于目,目得血而能视,虚则为青有肤翳,热甚则为赤肿眵泪赤脉及小儿痘疮余
毒,疳气攻眼,此药甘能补血,寒能除热,肝血足而诸症无不愈矣。然味薄于气,佐以
养血之药,更有力焉。
密蒙花,专入肝经,除热养营,去翳膜青盲,眵泪赤温,消赤脉,贯睛内瘴,疽毒
侵背外遮,疳气攻眼,痘毒攻睛,畏目羞明,赤肿多泪,并臻神效。
主治(痘疹合参) 功效用前,治痘后目翳赤涩,须择净花,以酒蜜蒸之,晒干
用,俱味薄于气,必佐以血药为良。
禀土气而兼水化,禀于荧惑之气,而结上于汤石之阴,色赤象火而味甘咸,则得阴
气而足血也。产于外国,难得真者,磨之透甲烧灰,不变色者佳,入足厥阴,手少阴经
血分,甘主补,咸主消,故为散瘀血生新血止痛之要药。
麒麟竭一名血竭。治跌扑伤损,疗恶毒
疮痈,破积血引脓,驱邪气止痛,带下金疮,生肌长肉,凭作膏贴任调酒吞。
主治(痘疹合参) 五脏邪气一切恶疮,止痛生肌,治痘用之活血。
按∶乳香、没药,气血兼主,此则专于血分者也,善收疮口,却能引脓,然性急不
可多使;凡血病无瘀积者不必用之。
禀火金之气以生,故味辛苦温热,无毒。性善走窜,开窍无往不达,芳香之气,
能辟一切邪恶,辛热之性,能散一切风湿。辛温主散,能引火热之气自外而出,耳聪目
明也。
龙脑香,调膏点目热赤痛,研末吹喉痹肿塞,若舌胀退场门外者,多掺自收,疳毒生
管中者,频服自愈。仍治小儿血热,痘疮黑陷,心烦狂燥妄语者,研细猪心血丸,浓煎
紫草茸汤化下,竟能发透,更定心神,然辛热轻浮飞越,既可走泄元阳,复令阴气耗
散,且龙脑入骨如风,病在骨髓者宜之。若风在血脉肌肉,辄取脑麝,反引风入骨,如
油入面,莫之能出。至于脾虚慢惊,肝肾两虚,目疾尤宜痛绝。
主治(痘疹合参) 辛苦气温属阳,凡痘热甚,狂言件逐不省,或见鬼神,痰壅痘
不起发者,宜用一二厘,以猪尾血和丸,紫草汤下,少时心神便定得睡,疮复发透。
(密蒙花)禀受土气而生,其花蕾萌发于冬季,而在春季开放,因此气味微甘、微寒,药性平和,无毒,是治疗厥阴肝经疾病的专用药物。
肝脏开窍于目,眼睛得到血液的滋养才能视物。如果肝血亏虚,就会出现视力模糊、眼前有黑点或眼生翳膜;如果热邪炽盛,则会出现眼睛红肿、分泌物增多、流泪、眼内红丝纵横,以及小儿痘疮余毒未清、疳积之气攻冲眼部等症状。此药味甘能补血,味寒能清热,只要肝血充足,上述各种病症没有不能治愈的。然而该药气味淡薄,若配合养血的药物使用,疗效会更显著。
密蒙花专门入肝经,能清除热邪、滋养营血,去除眼部的翳膜和青盲症,消除眼部分泌物增多、流泪、眼红及畏光症状,消退眼内红丝,治疗眼球内部浑浊如障、疽毒侵袭背部导致的外遮内障、疳气攻眼、痘毒攻睛、怕光羞明、眼睛红肿多泪等症,均有神奇的疗效。
主治(参考《痘疹合参》):功效如前所述。治疗痘疮后遗症引起的眼部翳膜、发红干涩,必须选择干净的花朵,用酒和蜂蜜蒸制,晒干后使用。因为该药气味淡薄,必须配合补血药物使用才良好。
(麒麟竭)禀受土气并兼有水液的变化,禀受火星(荧惑)之气,凝结在汤石之阴处,颜色赤红像火,味道甘甜咸,因此能获得阴气而充足血液。产于外国,很难得到真品,研磨后能透过指甲,烧成灰后不变色的为佳。它入足厥阴肝经和手少阴心经的血分,甘味主要起补益作用,咸味主要起消散作用,因此是消散瘀血、生成新血、止痛的重要药物。
麒麟竭又名血竭。治疗跌打损伤,疗治恶毒疮痈,破除积血并引导脓液排出,驱除邪气止痛,治疗带下病和金创(金属利器造成的伤口),促进肌肉生长,可以制成膏药贴敷,也可以随意调配用酒送服。
主治(参考《痘疹合参》):治疗五脏邪气引起的一切恶疮,止痛生肌,治疗痘疮时使用可活血。
按语:乳香、没药,气血兼治,而麒麟竭则专门作用于血分,善于收敛疮口,却能引导脓液排出,但其药性急烈,不可多用;凡是血病但没有瘀积的患者不必使用。
(龙脑香)禀受火气和金气而生,因此味道辛苦,性质温热,无毒。其性善于走窜,开窍作用无处不达,芳香的气味能辟除一切邪恶,辛热的性质能散除一切风湿。辛温主发散,能引导火热之气从体表散发出去,从而使耳聪目明。
龙脑香,调和膏剂点眼治疗热毒引起的眼红疼痛,研成粉末吹入咽喉治疗喉痹肿胀堵塞,如果是舌头肿大伸出嘴门外的情况,多掺入药粉即可自行收回,疳毒生在管腔内的,频繁服用即可自愈。仍然治疗小儿血热、痘疮黑陷、心烦狂躁胡言乱语的情况,研细后用猪心血做成丸剂,用浓煎的紫草茸汤化开服用,竟然能使痘疮透发,更能安定心神。但是龙脑香辛热轻浮,容易飞越走泄,既会耗散元阳,又会使阴气耗散。而且龙脑入骨如同风邪,病在骨髓者适宜使用。如果风邪在血脉肌肉之间,却取用龙脑和麝香,反而会将风邪引入骨骼,就像油渗入面粉一样,无法再取出。至于脾虚引起的慢惊风,肝肾两虚,尤其是眼部疾病,尤其应该严格禁止使用。
主治(参考《痘疹合参》):辛苦气温属于阳,凡是痘疮热势极盛,胡言乱语、惊恐追逐不省人事,或者出现幻觉见鬼神,痰壅导致痘疮不起发的情况,适宜使用一两厘,用猪尾血调和做成丸剂,用紫草汤送下,不久后心神就会安定并能入睡,痘疮再次复发透发。
(Mimenghua) It is generated by inheriting the Qi of Earth. Its flower buds sprout in winter and bloom in spring; therefore, its flavor is slightly sweet and cold, its nature is neutral, it is non-toxic, and it is a specific medicine for diseases of the Jueyin Liver channel.
The liver opens into the eyes, and the eyes can see only when nourished by blood. If deficient, one may experience blurred vision, floaters, or corneal opacities (pterygium/leukoma); if heat is severe, there will be redness and swelling of the eyes, discharge, tearing, red vessels in the eye, as well as residual toxins from smallpox in children, Gan syndrome attacking the eyes. This herb's sweetness can nourish blood, and its coldness can clear heat. Once Liver blood is sufficient, all these symptoms will heal. However, its flavor and Qi are thin; when assisted by blood-nourishing herbs, its efficacy is enhanced.
Mimenghua specifically enters the Liver channel, clears heat, nourishes Ying (Nutritive) level, removes ocular opacities and blindness (qingmang), reduces discharge, tearing, redness, and photophobia, eliminates red vessels, treats internal turbidity obstructing the pupil, external obstruction due to carbuncle toxins invading the back, Gan syndrome attacking the eyes, smallpox toxins attacking the eyes, photophobia, red swollen eyes with excessive tearing, achieving miraculous effects for all these conditions.
Indications (referencing *Douzhen Hecan*): Efficacy as mentioned above. To treat post-smallpox ocular opacities, redness, and dryness, select clean flowers, steam them with wine and honey, sun-dry, and use. Since its flavor and Qi are thin, it must be combined with blood-tonifying herbs for optimal results.
(Qilinjie) It inherits the Qi of Earth and undergoes water transformation. It inherits the Qi of Mars (Yinghuo) and condenses in the Yin of Tangshi. Its color is red like fire, and its taste is sweet and salty, thus obtaining Yin Qi to enrich blood. Produced in foreign lands, genuine specimens are rare. The best quality is that which, when ground, penetrates the fingernail, and when burned to ash, does not change color. It enters the blood aspect of the Foot Jueyin Liver channel and Hand Shaoyin Heart channel. Sweetness primarily tonifies, and saltiness primarily dissipates; thus, it is an essential herb for resolving blood stasis, generating new blood, and relieving pain.
Qilinjie, also known as Xuejie (Dragon's Blood). It treats traumatic injuries from falls and blows, heals malignant sores and abscesses, breaks up accumulated blood and draws out pus, expels pathogenic factors and relieves pain, treats leukorrhea and metal wounds, promotes flesh growth. It can be made into plasters for application or mixed with wine for oral administration.
Indications (referencing *Douzhen Hecan*): Treats all malignant sores caused by pathogenic Qi in the five zang organs, relieves pain, promotes flesh growth, and is used in treating smallpox to invigorate blood.
Note: Rushingxiang (Frankincense) and Moyao (Myrrh) treat both Qi and Blood, whereas this herb acts specifically on the Blood aspect. It is good at closing wound openings yet guides pus out. However, its nature is urgent/intense and should not be overused. It is unnecessary for blood diseases without stasis accumulation.
(Longnaoxiang) It is generated by inheriting the Qi of Fire and Metal; therefore, its taste is pungent and bitter, its nature is warm and hot, and it is non-toxic. Its nature is good at penetrating and circulating, reaching everywhere through opening orifices. Its aromatic fragrance can repel all evil influences, and its pungent-hot nature can disperse all wind-dampness. Pungent-warmness governs dispersion, guiding fiery-heat Qi outward, thereby improving hearing and vision.
Longnaoxiang (Borneol): Mixed into ointments to apply to eyes for heat-induced redness and pain; ground into powder and insufflated into the throat for sore-throat swelling and blockage. If the tongue swells and protrudes outside the mouth, applying it frequently allows it to retract spontaneously. For Gan toxins growing in ducts, frequent oral administration leads to self-healing. It also treats pediatric blood-heat, black depression of smallpox lesions, mental restlessness, mania, and delirious speech. These are processed into pills with pig heart blood, taken after dissolving in a strong decoction of Zicao Rong (Arnebiae Radix et Rhizoma). It effectively promotes eruption and calms the spirit. However, Longnaoxiang is pungent, hot, light, and floating, prone to volatilizing. It can deplete Yuan Yang and scatter Yin Qi. Furthermore, Borneol entering the bone is like wind; it is suitable for diseases located in the marrow. If wind is in the blood vessels and muscles, using Borneol and Moschus instead draws the wind into the bones, like oil mixing with flour, impossible to separate. For Spleen deficiency leading to slow convulsions, or dual deficiency of Liver and Kidney, especially for eye diseases, it should be strictly contraindicated.
Indications (referencing *Douzhen Hecan*): Pungent, bitter, and warm-natured, belonging to Yang. For cases where smallpox heat is extreme, accompanied by delirious speech, fearfulness, chasing, unconsciousness, hallucinations of ghosts/gods, phlegm obstruction preventing smallpox eruption, 1-2 li should be used. Formed into pills with pig tail blood and administered with Zicao decoction. Within a short time, the spirit settles, sleep ensues, and the rash erupts again.