一名莎草根
宣,调气开郁
性平气香,味辛能散,微苦能降,微甘能和。乃血中气药,通行十二经。八脉气分,主
一切气(人身以气为主,气盛则强,虚则衰,顺则平,逆则病,绝则死矣。经曰∶怒则气上
,恐则气下,喜则气缓,悲则气消,惊则气乱,思则气结,劳则气耗,此七情之气也。以香
附为君,随证而加升降消补之药。《素问》中仍有寒则气收,热则气泄,名九气)。利三焦
,解六郁(痰郁、火郁、气郁、血郁、湿郁、食郁),止诸痛(通则不痛)。
治多怒多忧,痰饮痞满,胸肿腹胀,饮食积聚,霍乱吐泻,肾气香港脚,痈疽疮疡(血凝
气滞所致。香附一味末服,名独胜丸,治痈疽由郁怒得者。如疮初作,以此代茶。溃后亦宜
服之。大凡疮疽喜服香药,行气通血,最忌臭秽不洁触之。故古人治疡,多用五香连翘饮。
康祖左乳病痈,又臆间生核,痛楚半载。祷张王梦授以方,姜汁制香附为末,每服二钱,
米饮下,遂愈),吐血便血,崩中带下,月候不调(气为血配,血因气行。经成块者,气之
凝;将行而痛,气之滞;行后作痛,气血俱虚也;色淡亦虚也,色紫,气之热;色黑则热之
甚也;错经者,气之乱;肥人痰多而经阻,气不运也。香附阴中快气之药,气顺则血和畅,
然须辅以凉血补气之药。丹溪曰∶能引血药至气分而生血,此正阳生阴长之义),胎产百病。
能推陈致新,故诸书皆云益气(行中有补。丹溪曰∶天行健运不怠,所以生生无穷,即此理
耳。时珍曰∶凡人病则气滞而馁,香附为气分君药。臣以参、 佐以甘草,治虚怯甚速也)。
去毛用。生则上行胸膈,外达皮肤;熟则下走肝肾,旁彻腰膝。童便浸炒,则入血分而
补虚;盐水浸炒,则入血分而润燥(或蜜水炒);青盐炒,则补肾气;酒浸炒,则行经络;
醋浸炒,则消积聚(且敛其散);姜汁炒,则化痰饮;炒黑又能止血。忌铁(时珍曰∶得参、
术则补气,得归、地则补血,得木香则散滞和中,得檀香则理气醒脾,得沉香则升降诸气,
得芎 、苍术则总解诸郁,得栀子、黄连则清降火热,得茯神则交济心肾,得茴香、破故纸
则引气归元,得浓朴、半夏则决壅消胀,得紫苏、葱白则发汗散邪,得三棱、莪术则消积磨
块;得艾叶则治血气,暖子宫。乃气病之总司,女科之仙药也。大抵妇人多郁,气行则郁解,
故服之尤效,非宜于妇人,不宜于男子也。李士材曰∶乃治标之剂,惟气实血未大虚者宜之
,不然恐损气而燥血,愈致其疾矣。世俗泥于女科仙药之一语,惜未有发明及此者)。
香附,又名莎草根。
具有宣通、调畅气机、开解郁结的功效。
其药性平和,气味芳香,味辛能发散,微苦能降泄,微甘能调和。
它是血分中的气药,能够通行于十二经脉及奇经八脉的气分。
主治一切气病(人身以气为主,气盛则身体强健,气虚则衰弱,气顺则平安,气逆则生病,气绝则死亡。《黄帝内经》说:愤怒使气上逆,恐惧使气下陷,喜悦使气舒缓,悲伤使气消减,惊吓使气紊乱,思虑使气结聚,劳累使气耗散,这称为七情之气。以香附为君药,根据证候配合升降、消补的药物。《素问》中还有寒则气收引,热则气外泄的说法,合称九气)。
它能利通三焦,解除六种郁滞(痰郁、火郁、气郁、血郁、湿郁、食郁),止住各种疼痛(气血通畅则不痛)。
治疗因多怒多忧导致的痰饮、痞满、胸肿、腹胀、饮食积聚、霍乱吐泻、肾气不足引起的香港脚(足部肿痛)、痈疽疮疡(由血凝气滞所致。单用香附一味研末服用,名为独胜丸,治疗因郁怒引发的痈疽。如疮疡初起,可用此药代茶饮用。溃烂后也适宜服用。大凡疮疽患者喜欢服用香药,因为香药能行气通血,最忌讳臭秽不洁之物触碰。所以古人治疗外科疮疡,多用五香连翘饮。康祖左乳患痈,且腋下生核,痛苦半年。向张王祈祷,梦中授方,用姜汁制香附研末,每次服用二钱,米汤送服,于是痊愈),吐血、便血,崩漏带下,月经不调(气为血的配偶,血随气运行。经血有块,是气之凝结;将行经时疼痛,是气之阻滞;行经后疼痛,是气血俱虚;血色淡也是虚象;色紫,是气分之热;色黑则是热之极甚;经期错乱,是气之紊乱;肥胖之人痰多而经血阻滞,是气不能运化。香附是阴分中快气的药物,气顺则血调和畅通,但必须辅以凉血补气的药物。朱丹溪说:香附能引导血药进入气分从而生血,这正是阳生阴长的道理)。
治疗胎产各类疾病。
它能推陈出新,所以各书都说它益气(在行气中有补益作用。朱丹溪说:天道刚健运行不息,所以生生无穷,就是这个道理。李时珍说:人患病则气滞而虚弱,香附是气分的君药。配伍人参为臣,佐以甘草,治疗虚怯之症非常迅速)。
使用时需去毛。
生香附上行至胸膈,外达皮肤;熟香附下行至肝肾,旁通腰膝。
用童便浸泡后炒制,则入血分而补虚;用盐水浸泡后炒制,则入血分而润燥(或用蜜水炒);用青盐炒,则补肾气;用酒浸泡后炒制,则行经络;用醋浸泡后炒制,则消积聚(且收敛其散气之性);用姜汁炒,则化痰饮;炒黑又能止血。
忌与铁器接触(李时珍说:香附与人参、白术同用则补气,与当归、地黄同用则补血,与木香同用则散滞和中,与檀香同用则理气醒脾,与沉香同用则升降诸气,与川芎、苍术同用则总解诸郁,与栀子、黄连同用则清降火热,与茯神同用则交济心肾,与小茴香、破故纸同用则引气归元,与厚朴、半夏同用则决壅消胀,与紫苏、葱白同用则发汗散邪,与三棱、莪术同用则消积磨块;与艾叶同用则治血气,暖子宫。香附是治疗气病的总司,妇科的仙药。大抵妇女多郁结,气行则郁解,所以服用特别有效,并非只适合妇人而不适合男子。李士材说:香附是治标的药剂,只有气实血未大虚者适宜使用,否则恐怕损伤气而燥血,反而加重疾病。世俗之人拘泥于“女科仙药”这一说法,可惜没有人阐明这一点)。
Xiangfu (Cyperus Rhizome), also known as Suo Cao Gen (Sedge Root).
It has the functions of promoting circulation, regulating Qi, and resolving depression.
Its nature is neutral, its aroma is fragrant, its pungent taste can disperse, slight bitterness can descend, and slight sweetness can harmonize.
It is a Qi medicine within the Blood aspect, capable of circulating through the Twelve Meridians and the Qi aspect of the Eight Extraordinary Vessels.
It treats all Qi disorders (The human body relies on Qi as the master; abundant Qi leads to strength, deficient Qi leads to decline, smooth Qi leads to peace, rebellious Qi leads to disease, and exhausted Qi leads to death. The Classic says: Anger causes Qi to rise upward, fear causes Qi to sink downward, joy causes Qi to relax, grief causes Qi to dissipate, shock causes Qi to become chaotic, overthinking causes Qi to knot, and fatigue causes Qi to be consumed. These are the Qi changes caused by the Seven Emotions. Using Xiangfu as the Sovereign herb, one adds herbs for ascending/descending, reducing/tonifying according to the syndrome. The *Suwen* also mentions that cold causes Qi to contract and heat causes Qi to leak, collectively known as the Nine Qi).
It benefits the Triple Burner, resolves six types of stagnation (Phlegm stagnation, Fire stagnation, Qi stagnation, Blood stagnation, Dampness stagnation, Food stagnation), and stops various pains (When there is free flow, there is no pain).
It treats conditions caused by excessive anger and worry, such as phlegm-fluid retention, epigastric fullness, chest swelling, abdominal distension, food accumulation, cholera with vomiting and diarrhea, Kidney Qi deficiency leading to Hongjiao (Gouty arthritis or swollen feet), and carbuncles and sores (caused by blood coagulation and Qi stagnation. Taking only Xiangfu in powdered form is called Duseng Wan (Single Victory Pill), treating carbuncles arising from depression and anger. If a sore has just started, this can be used as tea. It is also suitable after ulceration. Generally, patients with carbuncles prefer aromatic medicines because they move Qi and unblock Blood, while foul and unclean substances are strictly avoided. Thus, ancient physicians often used Wuxiang Lianqiao Yin (Five-Aromatic Forsythia Decoction) for treating external sores. Kang Zu suffered from a breast abscess and a lump in his armpit for half a year with severe pain. After praying to Zhang Wang, he received a prescription in a dream: powdered Xiangfu processed with ginger juice, taken twice a qian with rice water, which led to recovery). It also treats hematemesis, hematochezia, metrorrhagia and leukorrhea, and irregular menstruation (Qi is the companion of Blood, and Blood moves with Qi. Clots in menstruation indicate Qi condensation; pain before menstruation indicates Qi stagnation; pain after menstruation indicates deficiency of both Qi and Blood; pale color also indicates deficiency; purple color indicates Heat in Qi; black color indicates extreme Heat; irregular timing indicates Chaotic Qi; obesity with excessive phlegm and obstructed menstruation indicates failure of Qi to transport. Xiangfu is a Qi-moving herb within the Yin aspect; when Qi is smooth, Blood becomes harmonious and flows freely, but it must be supplemented with herbs that cool Blood and tonify Qi. Zhu Danxi said: It can guide Blood herbs into the Qi aspect to generate Blood, which embodies the principle of Yang generating Yin).
It treats various diseases related to pregnancy and childbirth.
It can push out the old and bring forth the new, so all books claim it tonifies Qi (Tonification exists within movement. Zhu Danxi said: Heaven’s vigorous motion never ceases, thus life continues endlessly; this is the same principle. Li Shizhen said: When people are ill, Qi stagnates and becomes weak; Xiangfu is the Sovereign herb for the Qi aspect. Paired with Renshen (Ginseng) as Minister and Gancao (Licorice) as Assistant, it treats deficiency and weakness very rapidly).
Use after removing the hairs.
Raw Xiangfu ascends to the chest and diaphragm, reaching externally to the skin; processed (cooked) Xiangfu descends to the Liver and Kidneys, extending laterally to the waist and knees.
Processed with child’s urine, it enters the Blood aspect and tonifies deficiency; processed with salt water, it enters the Blood aspect and moistens dryness (or processed with honey water); processed with green salt, it tonifies Kidney Qi; processed with wine, it circulates through the meridians; processed with vinegar, it resolves accumulations (and astringes dispersing Qi); processed with ginger juice, it transforms phlegm-fluids; charred (blackened), it stops bleeding.
Avoid iron (Li Shizhen said: Combined with Renshen and Baizhu, it tonifies Qi; combined with Danggui and Dihuang, it tonifies Blood; combined with Muxiang, it disperses stagnation and harmonizes the middle; combined with Tanxiang, it regulates Qi and awakens the Spleen; combined with Chenxiang, it ascends and descends all Qi; combined with Chuanxiong and Cangzhu, it resolves all stagnations; combined with Zhizi and Huanglian, it clears and descends Fire-Heat; combined with Fushen, it harmonizes Heart and Kidney; combined with Huixiang and Pogu Zhi, it guides Qi back to its origin; combined with Houpo and Banxia, it resolves obstruction and reduces distension; combined with Zisu and Congbai, it induces sweating and disperses pathogens; combined with Sanleng and Ezhu, it eliminates accumulations and breaks masses; combined with Aiyè, it treats Blood and Qi and warms the Uterus. It is the general commander of Qi disorders and the fairy medicine of Gynecology. Generally, women suffer more from depression; when Qi moves, depression resolves, so it is particularly effective for them. It is not that it suits women but not men. Li Shicai said: It is a symptomatic treatment agent, suitable only for those with excess Qi and non-severe Blood deficiency; otherwise, it may damage Qi and dry Blood, worsening the disease. The secular world clings to the phrase "fairy medicine of gynecology," unfortunately without clarifying this point).