甘平无毒,入药取大红枣擘去核用。多食令齿生 。《本经》主心腹邪气,安中养脾气,
平胃气,通九窍,助十二经,补少气少津液,身中不足,大惊,四肢重,和百药。
发明 枣属土而有火,为脾经血分药。甘先入脾,故用姜枣之辛甘,以和营卫也。仲景
治奔豚用湿脾土平肾气也。十枣汤用以益土胜邪水也,而中满者勿食。故仲景建中汤心下痞
者减饴,枣与甘草同例,此得用枣之法矣。《金匮》治妇人脏躁、悲愁欲哭,有甘麦大枣
汤,亦取其助肝脾肺三经之津液,以滋其燥耳。
《本经》主心腹邪气,亦是和营卫邪之义。平胃气者,以其甘温健运善平胃中敦阜之气
也。《素问》以枣为脾家之果。故《本经》又主身中不足,大惊,四肢重,用此补益脾津而
神气自宁,肢体自捷矣。古方中用大枣皆是红枣,取生能散表也。入补脾药,宜用南枣,取
甘能益津也。其黑枣助湿中火,损齿生虫,入药非宜。生枣多食令人热渴气胀,瘦人多火者
弥不可食。
甘微酸寒,无毒。
发明 《别录》着梨,止言其害,不录其功。盖古人论病多主伤寒客邪,若消痰降火,
除客热,止心烦,梨之有益,盖亦不少。近有一人患消中善饥,诸治罔效,因烦渴不已,恣
啖梨不辍,不药而瘳。一妇郁抑成劳,咳嗽吐血,右侧不得贴席者半年,或令以梨汁顿热服
盏许,即时吐稠痰结块半盂,是夜便能向右而卧,明日复饮半盏吐痰如前,以后饮食渐增。
虽寻常食品,单刀直入可以立破沉 。而梨之种类最多,惟乳梨、鹅梨、消梨可以疗病。然
须审大便实者方可与食。元气虚者不慎而误啖之,往往成寒中之患,岂可概谓食之有益乎。
大枣:味甘,性平,无毒。入药时选用大红枣,掰开并去除枣核使用。多吃会导致牙齿生出蛀虫。《神农本草经》记载其主治心腹部的邪气,能安定中焦、滋养脾气,调和胃气,疏通九窍,辅助十二经脉,补充元气不足和津液匮乏,改善身体虚弱状况,治疗因大惊引起的惊悸,缓解四肢沉重感,并能调和各种药物。
【发明】大枣五行属土而兼有火性,是脾经血分的药物。甘味先入脾,所以使用生姜和大枣的辛甘之性,来调和营卫之气。张仲景在治疗奔豚病时使用大枣,是为了湿润脾土以平抑肾气。在十枣汤中使用大枣,是为了补益脾土以克制邪水,但腹部胀满者不宜食用。因此,张仲景在建中汤中,若患者心下痞塞则减少饴糖的使用,大枣与甘草的使用原则类似,这就是运用大枣的方法。《金匮要略》治疗妇人脏躁症(表现为悲伤忧愁、想哭泣),使用甘麦大枣汤,也是取其辅助肝、脾、肺三经津液,以滋润燥热之意。
《神农本草经》说大枣主治心腹邪气,这也是调和营卫邪气的含义。所谓“平胃气”,是因为大枣甘温,健运脾胃,善于平抑胃中壅滞厚重的湿气。《素问》称大枣为脾家的果实。所以《神农本草经》又说大枣主治身体虚弱、大惊、四肢沉重,用此药补益脾津,则神气自然安宁,肢体自然轻捷。古方中使用的大枣都是红枣,取其生用能发散表邪。进入补脾的药方中,宜用南枣,取其甘味能益生津液。黑枣助长中焦湿气和内火,损伤牙齿并生虫,入药并不适宜。生枣多吃令人发热口渴、气机胀满,阴虚火旺的瘦人更加不可食用。
梨:味甘微酸,性寒,无毒。
【发明】《名医别录》记载梨,只提到它的害处,没有记录它的功效。大概古人论述疾病多侧重于伤寒客邪,至于消除痰饮、降火、清除客热、止心烦,梨的益处其实不少。近代有一人患消渴病(多食易饥),各种治疗都无效,因为烦渴不止,肆意吃梨不停,结果没吃药就好了。有一位妇女因忧郁压抑成劳损,咳嗽吐血,右侧身体不能贴席躺卧长达半年,有人让她将梨汁加热顿服约一杯量,当时就吐出了半盂稠痰结块,当晚就能向右侧卧,第二天再喝半盏,又吐出痰如前次,此后饮食逐渐增加。虽然是寻常食物,却能单刀直入地破除沉疴顽疾。然而梨的种类很多,只有乳梨、鹅梨、消梨可以治病。但是必须审察大便干结属实者才可以食用。元气虚弱的人不慎误食,往往会造成中焦虚寒的祸患,怎么能一概说吃梨有益呢?
Jujube (Da Zao): Sweet in flavor, neutral in nature, non-toxic. For medicinal use, large red jujubes are selected, split open, and the pits removed. Excessive consumption causes dental caries (cavities). *Shennong Bencao Jing* states it treats evil qi in the heart and abdomen, calms the middle jiao, nourishes spleen qi, harmonizes stomach qi, opens the nine orifices, assists the twelve meridians, supplements deficiency of vital qi and body fluids, addresses bodily insufficiency, treats fright from sudden shock, alleviates heaviness in the four limbs, and harmonizes various herbs.
[Invention] Jujube belongs to Earth with Fire attributes, serving as a blood-level herb for the Spleen meridian. The sweet flavor enters the Spleen first; thus, the pungent-sweet combination of Ginger and Jujube is used to harmonize Ying (Nutritive) and Wei (Defensive) qi. Zhang Zhongjing used jujube in treating Running Piglet syndrome (Ben Tun) to moisten Spleen Earth and pacify Kidney Qi. In Shizao Tang (Ten Jujube Decoction), it is used to benefit Earth to overcome pathogenic Water, but should be avoided by those with abdominal fullness. Therefore, in Jianzhong Tang (Establish the Middle Decoction), if there is epigastric stuffiness, Yi Tang (Maltose) is reduced; the principle for using Jujube parallels that of Licorice Root (Gancao), illustrating the method of employing Jujube. In *Jingui Yaolue*, Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction) is used to treat Zang Zao (Visceral Agitation) in women, characterized by sorrow, grief, and urge to cry, leveraging its ability to assist the body fluids of the Liver, Spleen, and Lung meridians to moisten dryness.
The statement in *Shennong Bencao Jing* that Jujube treats evil qi in the heart and abdomen also implies harmonizing Ying and Wei pathogenic factors. "Pacifying Stomach Qi" refers to its sweet-warm nature promoting transformation and transportation, effectively smoothing stagnant and excessive dampness in the Stomach. *Suwen* describes Jujube as the fruit of the Spleen house. Thus, *Shennong Bencao Jing* further states it treats bodily insufficiency, sudden fright, and limb heaviness; by supplementing Spleen body fluids, spirit and qi naturally settle, and limbs become agile. Ancient prescriptions use red jujubes, utilizing their raw state to disperse exterior pathogens. For tonifying Spleen formulas, Southern Jujubes are preferred for their sweetness to generate body fluids. Black jujubes promote damp-heat in the middle jiao, damage teeth, and cause worms, making them unsuitable for medicinal use. Raw jujubes consumed excessively cause heat, thirst, and qi distension; they are particularly contraindicated for thin individuals with deficient fire.
Pear: Sweet and slightly sour in flavor, cold in nature, non-toxic.
[Invention] *Bielu* records Pears only regarding their harms, omitting their benefits. This is likely because ancient discussions on disease focused mainly on Cold Damage external pathogens. Regarding eliminating phlegm, descending fire, clearing exogenous heat, and relieving irritability, Pears offer considerable benefits. Recently, a patient suffered from Xiao Zhong (Middle Jiao Consumption/Diabetes-like polyphagia) unresponsive to various treatments. Due to persistent irritability and thirst, he ate pears incessantly and recovered without medication. A woman developed consumptive disease due to depression, suffering from coughing and hemoptysis, unable to lie on her right side for half a year. She was advised to drink a cup of heated pear juice at once, immediately expectorating half a bowl of thick, clotted phlegm. That night, she could sleep on her right side. The next day, after drinking another half cup, she expectorated more phlegm similarly, and her appetite gradually increased. Although an ordinary food, it can directly break severe chronic conditions. However, among the many varieties of pears, only Ru Li (Milky Pear), E Li (Goose Pear), and Xiao Li (Resolving Pear) are therapeutic. One must verify that the stool is solid and excess-type before administration. If individuals with deficient Yuan Qi mistakenly consume them, they often suffer from Middle Jiao Cold disorders. How can one generally claim that eating pears is beneficial?