生滑行血,炒涩止血
甘平。厥阴(心包、肝)血分药。生用性滑,行血消瘀,通经脉,利小便,祛心、腹、
膀胱寒、热(同五灵脂,治心腹血气痛,名失笑散)。
疗扑打损伤,疮疖诸肿(一妇舌胀满口,以蒲黄频掺,比晓乃愈。宋度宗舌胀满口,御
医用蒲黄、干姜末等分,搽之愈。时珍曰∶观此则蒲黄之凉血、活血可知矣。盖舌为心苗,
心包相火。乃其臣使,得干姜,是阴阳相济也)。
炒黑性涩,止一切血,崩带泄精。
香蒲,花中蕊屑,汤成入药。
生用破血,炙用止血
生用辛平,破血通经,治症瘕淋结。炙用辛温,止血,治肠风脱肛。
生石上,拳挛如鸡足,俗呼万年松。凡使盐水煮半日,井水煮半日,焙用。
泻,破血
辛寒,有小毒。蚀恶肉,排脓血,杀疥虫,除热痹,破症瘕(《内经》同乌贼骨。治妇
人血枯)。
根如莱菔,皮黄肉白,叶长微阔,折之有汁,结实如豆,一颗三粒。甘草为使。
泻,行水,散血
苦辛微寒(《别录》微温)。入肝经血分。行水散血,散中有补。
治阳痿经涩,腰、膝、骨节重痛,产后血气作痛,闪锉折伤(扑打方多用之)。能制蛇
(见之则烂)。
叶似菊而薄,茎似艾而粗。薏苡为使。
宣,行气解郁,泻,泄血破瘀
辛苦气寒。纯阳之品,其性轻扬上行,入心及包络,兼入肺经。凉心热,散肝郁,下气
破血(行滞气,亦不损正气。破瘀血,亦能生新血)。
治吐衄尿血,妇人经脉逆行(经不下行,上为吐衄诸症。用郁金末,加韭汁、姜汁、童
便服,其血自清。痰中带血者,加竹沥),血气诸痛,产后败血攻心,癫狂失心(癫多喜笑,
尚知畏惧,证属不足;狂多忿怒,人莫能制,证属有余。此病多因惊忧、瘀血塞于心窍所致
。郁金七两,白矾三两,米糊丸服,名白金丸。郁金入心散恶血,明矾化顽痰故也),痘毒
入心(郁金一两,甘草二钱半,煮干焙研末,冰片五分,每用一钱,加猪血五、七滴,新汲
水下。治斑痘始有白泡,忽搐入腹,紫黑无脓),下蛊毒(同升麻服,不吐则下)。
出川广,体锐圆如蝉肚,外黄内赤,色鲜微香,味苦带甘者真(市人多以姜黄伪之)。
生蒲黄具有滑利活血的功效,炒黑后则具有涩性以止血。
味甘、性平。归厥阴经(包括心包和肝)的血分。生用时性质滑利,能行血消瘀,疏通经脉,通利小便,祛除心和腹部、膀胱的寒热之邪(与五灵脂同用,治疗心腹血气疼痛,名为失笑散)。
治疗跌打损伤,疮疖等各种肿胀(有一位妇女舌体肿胀充满口腔,频繁撒布蒲黄粉,到第二天早晨便痊愈了。宋度宗也曾舌胀满口,御医使用蒲黄和干姜末各半,涂抹患处而愈。李时珍说:看这些案例就可以知道蒲黄具有凉血、活血的作用。因为舌为心之苗窍,心包属相火。这是它的臣使药,得到干姜的配合,就是阴阳相互济助的意思)。
炒黑后性质涩滞,能止各种出血,如崩漏、带下、遗精等。
香蒲的花中蕊屑,在汤剂煎成后入药。
生用破血,炙用止血
生用时味辛、性平,能破血通经,治疗症瘕积聚、淋证结块。炙用时味辛、性温,能止血,治疗肠风、脱肛。
生长在石头上,形状拳曲收缩像鸡爪,俗称万年松。凡是要使用时,先用盐水煮半天,再用井水煮半天,焙干后使用。
泻法,破血
味辛、性寒,有小毒。能腐蚀恶肉,排出脓血,杀灭疥虫,清除热痹,破除症瘕(《内经》中与乌贼骨同用,治疗妇人血枯病)。
根像萝卜,皮黄肉白,叶子长而微宽,折断后有汁液,结出的果实像豆子,一颗有三粒或两粒。甘草作为引经药。
泻法,行水,散血
味苦、辛,性微寒(《别录》记载为微温)。入肝经血分。能行水散血,散中有补。
治疗阳痿、经血涩滞,腰、膝、骨节沉重疼痛,产后血气作痛,闪挫折伤(扑打方中多用此药)。能制服蛇(蛇见之则腐烂)。
叶子像菊花但较薄,茎像艾草但较粗。薏苡仁作为引经药。
宣发,行气解郁;泻法,泄血破瘀
味辛、苦,气寒。属于纯阳之品,其性质轻扬上行,入心和心包络经,兼入肺经。能清心热,散肝郁,降气破血(行滞气也不损伤正气。破瘀血也能生成新血)。
治疗吐血、衄血、尿血,妇人月经逆行(经血不下行,反而上逆导致吐血、衄血等症状。用郁金末,加入韭菜汁、姜汁、童便服用,血液自然澄清。痰中带血的,加入竹沥),血气各种疼痛,产后败血攻心,癫狂失心(癫证多喜笑,尚知畏惧,证属不足;狂证多忿怒,无人能制,证属有余。此病多因惊忧、瘀血堵塞心窍所致。用郁金七两,白矾三两,米糊丸服,名为白金丸。郁金入心消散恶血,明矾化解顽痰的缘故),痘毒入心(郁金一两,甘草二钱半,煮干焙研成末,冰片五分,每次用一钱,加猪血五、七滴,新汲水下送服。治疗斑痘刚开始有白泡,忽然抽搐入腹,颜色紫黑无脓),下蛊毒(同升麻服用,不吐则通过大便排出)。
产于川广地区,形体锐圆如蝉肚,外黄内赤,色泽鲜艳微香,味苦带甘的为真品(市人多用姜黄伪充)。
Raw *Puhuang* (Typhae Pollen) has the effect of lubricating blood circulation and removing stasis, while stir-baked until blackened, it becomes astringent to stop bleeding.
Sweet in taste, neutral in nature. It enters the Jueyin (Pericardium and Liver) blood level. When used raw, its nature is slippery; it promotes blood circulation, eliminates stasis, unblocks meridians, facilitates urination, and dispels cold and heat from the Heart, abdomen, and Bladder (when combined with *Wulingzhi* [Trogopterori Faeces], it treats epigastric and abdominal blood-qi pain, known as *Shixiao San* [Laughing Powder]).
It treats traumatic injuries from falls and blows, and various swellings from sores and carbuncles (A woman had her tongue swollen filling her mouth; by frequently sprinkling *Puhuang* powder, she recovered by dawn. Emperor Duzong of Song also suffered from tongue swelling filling his mouth; the imperial physician treated him by applying equal parts of *Puhuang* and dried *Ganjiang* [Zingiberis Rhizoma] powder, resulting in recovery. Li Shizhen said: From these cases, one can understand that *Puhuang* has cooling blood and activating blood properties. Since the tongue is the sprout of the Heart, and the Pericardium governs Ministerial Fire, this acts as its minister and envoy; obtaining *Ganjiang* represents the mutual assistance of Yin and Yang).
When stir-baked until blackened, its nature becomes astringent, stopping all types of bleeding, such as metrorrhagia, leukorrhea, and seminal emission.
The pollen dust from the catkins of *Xiangpu* (Typha orientalis), added to decoctions after they are finished cooking.
Used raw to break blood, roasted to stop bleeding.
When used raw, pungent in taste and neutral in nature, it breaks blood and unblocks menstruation, treating masses (Zhengjia), strangury, and accumulation. When roasted, pungent in taste and warm in nature, it stops bleeding, treating intestinal wind and rectal prolapse.
It grows on rocks, curled like a chicken's foot, commonly called "Ten-Thousand-Year Pine." For preparation, boil in salt water for half a day, then in well water for half a day, and dry-roast before use.
Draining method, breaking blood.
Pungent, cold in nature, slightly toxic. It corrodes foul flesh, discharges pus and blood, kills scabies mites, clears heat-bi syndrome, and breaks masses (In *Neijing*, it is used with *Wuzeigu* [Sepiae Endoconcha] to treat female blood exhaustion).
The root resembles radish, with yellow skin and white flesh; leaves are long and slightly broad; when broken, juice exudes; fruits resemble beans, typically three per cluster. *Gancao* [Glycyrrhizae Radix et Rhizoma] serves as the guiding herb.
Draining method, promoting water metabolism, dispersing blood.
Bitter and pungent, slightly cold in nature (*Bencao Jing Jiuwen* records it as slightly warm). Enters the Liver meridian blood level. Promotes water metabolism and disperses blood, with dispersing action containing tonifying properties.
Treats impotence, scanty or obstructed menstruation, heaviness and pain in the waist, knees, and joints, postpartum blood-qi pain, and sprains or fractures (frequently used in formulas for traumatic injuries). It can subdue snakes (snakes rot upon contact).
Leaves resemble chrysanthemum but are thinner; stems resemble mugwort but are thicker. *Yiyiren* [Coicis Semen] serves as the guiding herb.
Dispersing, promoting Qi flow and resolving depression; Draining, venting blood and breaking stasis.
Pungent and bitter, cold in nature. A pure Yang substance, its nature is light, ascending, and upward-moving. It enters the Heart and Pericardium meridians, and concurrently the Lung meridian. Clears Heart heat, dissipates Liver depression, descends Qi, and breaks blood (moves stagnant Qi without damaging healthy Qi; breaks stasis yet generates new blood).
Treats hematemesis, epistaxis, hematuria, and retrograde menstruation in women (when menstruation does not descend but flows upward causing hematemesis and other symptoms, use *Yujin* [Curcumae Radix] powder mixed with leek juice, ginger juice, and children's urine; the blood will clear naturally. For blood in phlegm, add *Zhuli* [Bambusae Caulis in Taenia]). Treats various pains due to blood and Qi disorders, postpartum failed blood attacking the Heart, mania and insanity losing the mind (Mania involves excessive laughter and fear, indicating deficiency; delirium involves anger and uncontrollability, indicating excess. This disease is often caused by shock, worry, and blood stasis blocking the Heart orifices. Use seven taels of *Yujin* and three taels of *Baifan* [Alumen], formed into pills with rice paste, named *Baijin Wan* [White Gold Pill]. *Yujin* enters the Heart to dissipate foul blood, while alum resolves stubborn phlegm). Treats toxin from smallpox entering the Heart (one tael of *Yujin*, two qian and half of *Gancao*, boiled until dry, roasted and powdered, mixed with five fen of *Bingpian* [Borneolum Syntheticum]; take one qian each time, taken down with new well water and five to seven drops of pig's blood. Treats early-stage smallpox where white blisters suddenly convulse inward, turning purple-black without pus). Expels gu poison (taken with *Shengma* [Cimicifugae Rhizoma]; if vomiting does not occur, it is expelled via defecation).
Produced in Sichuan and Guang regions. The body is sharp and round like a cicada's belly, yellow outside and red inside, fresh in color, slightly fragrant, with a bitter taste accompanied by sweetness indicates authenticity (Market vendors often counterfeit it with *Jianghuang* [Curcumae Longae Rhizoma]).