葛根,味甘,气平,体轻上行,浮而微降,阳中阴也,无毒。入胃足阴明,疗伤寒,发
表肌
热
。又入脾,解燥,生津止渴。解酒毒卒中,却温疟往来寒热,散疮疹止疼,提气,除热蒸。
虽君药而切戒过用,恐耗散人真气也。
或问葛根解寒伤营之圣药,何以有时用之以解营中寒邪,而风邪不肯散,得毋葛根非解
营之
圣药耶?夫葛根实解寒伤营之圣药也。因人多用,反致伤营之正气,正气伤,而寒邪欺正气
之弱,不肯外泄,反致无功。盖葛根轻浮,少用则浮而外散,多用则沉而内降矣。
或问葛根解肌表之邪,何以仲景张公用之于葛根汤中,以入阳明耶?曰∶葛根原是阳明
之药
,少用则散肌中之风,多用则解胃中之热,一物而可以两用也。况寒邪由营以入腑,邪入胃
中,而未必尽入胃也,半入于胃,而半留于营。用葛根,则营卫不两解乎,此葛根汤所以用
葛根也。
或问用葛根以退胃中之邪热,而胃之热不能去,胃之邪不能解,必用石膏白虎汤而后解,
似
乎葛根非阳明之药也。不知葛根止能退阳明初入之邪,不能退阳明变热之邪,变热之邪,必
须用石膏,而不可用葛根,非葛根不是阳明之药也。
或问葛根解肺之燥,何以又入胃中,以解肌中之热,得毋有误乎?非误也。葛根体轻则
入肺
,下降则入胃,又何疑焉。惟是解胃中之热,即所以解肺中之燥,不可不知其义也。伤寒肺
燥者,邪入于胃也。胃热则火炽,火炽则金燥,胃本生肺,过燥,则生肺者转克肺矣。葛根
解胃中之热,热解而火息,火息而土之气生,土之气生而金之气亦生,金之气生而肺之燥自
解。用一葛根,肺与胃已两治之矣,不必解胃中之热,又去解肺中之燥也。
或问葛根发表除热,而表不能发,热不能除者,何故?此不善用葛根之故也。葛根轻清,
少
用则遂其性而上行,多用则违其性而下降。夫风邪在外,宜引而外出,不宜引而内入。火邪
炎上,宜引而上散,不宜引而下散,乃不少用以遂其性,反多用以违其性,自然风邪不外出
而内入,火邪不上散而下攻矣,欲其发表除热得乎,此葛根所以宜善用也。
或疑葛根发表解肌热,与麻黄功用相同,何以麻黄在亡阳之列,而葛根独不之戒耶?盖
葛根
未尝不能亡阳,但较麻黄则少轻耳,不然,亦何必劝人少用,而不可多用乎哉!
或疑葛根散邪而不补正,今人用之者甚多矣,未见其害人也。曰∶葛根耗人元气,原在
无形
。天下有形之损,其损小。无形之损,其损大,不可不知也。
或问葛根轻清之味,耗人之元气,亦必不甚,安有损于无形者大乎?夫元气甚微,损伤
于无
形,从何而知其非大耶?大凡气之重者可防,味浓者可辨。葛根之味则淡也,气则微也,宜
乎世不用信之,然药实闻诸异人之言,故告世共知之,诚以淡之中而有危,微微之内而有死
法,杀人于气味之外耳。
葛根,味道甘甜,气性平和,质地轻扬而向上运行,具有浮散但微有下降的特性,属于阳中兼阴的性质,没有毒性。它进入足阳明胃经,用于治疗伤寒,发散肌表的热邪。同时它也入脾经,能解除燥热,生津液并止渴。它可以解除突然摄入酒毒引起的中毒,驱除温疟病中忽冷忽热的症状,消散疮疹疼痛,提升清气,清除蒸腾之热。虽然它是君药(主药),但必须严禁过量使用,恐怕会耗散人体的真气。
有人问:葛根是解除寒邪损伤营分的圣药,为什么有时用它来解除营中的寒邪,风邪却不愿散去?难道葛根不是解除营分邪气的圣药吗?其实葛根确实是解除寒伤营分的圣药。只是因为人们往往过度使用,反而伤害了营分的正气;正气受损后,寒邪欺侮正气的虚弱,不肯向外宣泄,从而导致治疗无效。大概是因为葛根性质轻浮,少量使用时能浮散于外,大量使用时则变得沉重而向内下降。
有人问:葛根能解除肌表的邪气,为什么张仲景在葛根汤中使用它,是为了引入阳明经呢?回答说:葛根本来就是阳明经的药物,少量使用可以疏散肌肉中的风邪,大量使用可以清解胃中的热邪,一味药可以起到两种作用。况且寒邪由营分传入腑脏,邪气进入胃中,但不一定完全进入胃里,可能一半进入胃,一半仍留在营分。使用葛根,岂不是能同时解除营分和卫分的邪气吗?这就是葛根汤中使用葛根的原因。
有人问:用葛根来退去胃中的邪热,但胃热不能去除,胃邪不能解除,必须用石膏和白虎汤才能解决,这似乎表明葛根不是阳明经的药物。不知道葛根只能退去阳明经初受的邪气,不能退去阳明经已经化热的邪气;对于已经化热的邪气,必须使用石膏,而不能使用葛根,这并不是说葛根不是阳明经的药物。
有人问:葛根能解除肺的燥热,为什么又进入胃中,以解除肌肉中的热邪,这是否有误?并没有错误。葛根质地轻清所以入肺,性质下降所以入胃,这有什么可怀疑的呢?只是解除胃中的热邪,也就是在解除肺中的燥热,其中的道理不可不知。伤寒导致的肺燥,是因为邪气进入了胃中。胃热则火势炽盛,火势炽盛则金(肺)燥;胃土本应生肺金,但如果过燥,原本生肺的反而克制肺了。葛根解除胃中的热邪,热解则火熄,火熄则土气生成,土气生成则金气也生成,金气生成则肺的燥热自然解除。只用一味葛根,肺和胃都已经得到了治疗,不必先解胃热,再去解肺燥。
有人问:葛根能发表除热,但有时表证不能发出来,热也不能消除,这是什么原因?这是不善于使用葛根的缘故。葛根性质轻清,少量使用顺应其本性而上行,大量使用违背其本性而下降。风邪在体表,应该引导它向外发散,不应该引导它向内侵入。火邪炎上,应该引导它向上散开,不应该引导它向下散开。如果不少量使用以顺应其本性,反而大量使用以违背其本性,自然会导致风邪不向外发散而向内侵入,火邪不向上散开而向下攻冲,想要通过它来发表除热,怎么可能做到呢?这就是葛根需要善于使用的缘故。
有人怀疑葛根发表解肌热,与麻黄的功用相同,为什么麻黄被列入导致亡阳(阳气脱失)的禁忌之列,而唯独不禁止葛根呢?大概葛根并非不能导致亡阳,但相比麻黄来说程度较轻罢了。否则,又何必劝告人们少用而不可多用呢!
有人怀疑葛根只散邪气而不补正气,现在很多人使用它,并没有看到它害人。回答说:葛根消耗人的元气,原本是在无形之中发生的。天下有形体的损害,损害较小;无形体的损害,损害较大,这一点不可不知。
有人问:葛根味道轻清,消耗人的元气,也应该不是很严重,怎么会有对无形之物的巨大损害呢?元气非常细微,如果在无形中被损伤,怎么知道它不是巨大的损害呢?大凡气味厚重的可以防范,味道浓郁的可以辨别。葛根的味道是淡的,气性是微弱的,世人因此不相信它有害。然而药物的危害确实听自异人之言,所以告知世人共同知晓,实在是因为平淡之中隐藏着危险,微弱之内潜藏着死法,它在气味之外杀人啊。
Puerariae Radix (Gegen), sweet in taste and neutral in nature, is light in texture and ascends upward; it floats with a slight descending tendency, representing Yin within Yang. It is non-toxic. It enters the Foot-Yangming Stomach Meridian to treat Shanghan (Cold Damage) by releasing exterior muscle heat. It also enters the Spleen, resolves dryness, generates body fluids, and stops thirst. It relieves acute alcohol toxicity, eliminates the alternating chills and fever of Wen Nue (Warm Malaria), disperses carbuncles and rashes while alleviating pain, raises Qi, and removes steaming-heat. Although it serves as a Jun Yao (Sovereign Drug), its overuse must be strictly prohibited, lest it deplete the body's True Qi.
A question arises: If Puerariae Radix is the sacred drug for resolving cold damaging the Ying (Nutritive) level, why does wind pathogen sometimes refuse to disperse when used to resolve cold pathogen in the Ying level? Is Puerariae Radix not a sacred drug for resolving Ying-level pathogens? In fact, Puerariae Radix is indeed the sacred drug for resolving cold damaging the Ying level. However, excessive use often damages the righteous Qi of the Ying level. When righteous Qi is damaged, the cold pathogen exploits this weakness and refuses to exit externally, resulting in therapeutic failure. This is because Puerariae Radix is light and floating; in small doses, it floats and disperses outwardly, but in large doses, it becomes heavy and descends inwardly.
Another question: Since Puerariae Radix resolves exterior muscle pathogens, why did Zhang Zhongjing include it in Gegen Tang (Pueraria Decoction) to address the Yangming stage? The answer is that Puerariae Radix naturally belongs to the Yangming channel. In small doses, it disperses wind from the muscles; in large doses, it clears heat from the stomach. One herb achieves two purposes. Moreover, cold pathogen travels from the Ying level into the Fu organs. When it enters the stomach, it may not fully penetrate; half may enter the stomach while half remains in the Ying level. Using Puerariae Radix allows for the simultaneous resolution of both Ying and Wei (Defensive) levels. This explains its inclusion in Gegen Tang.
Yet another question: If Puerariae Radix is used to retreat stomach heat, yet the stomach heat persists and cannot be resolved without Shigao (Gypsum) and Baihu Tang (White Tiger Decoction), does this imply Puerariae Radix is not a Yangming herb? One must understand that Puerariae Radix can only clear initial pathogens entering the Yangming stage, not those that have transformed into heat. For transformed heat, Gypsum is required, and Puerariae Radix is contraindicated. This does not mean Puerariae Radix is not a Yangming herb.
Further inquiry: Puerariae Radix resolves Lung dryness, so why does it enter the Stomach to clear muscle heat? Is this an error? It is not an error. Due to its light and clear nature, it enters the Lung; due to its descending property, it enters the Stomach. There is no doubt about this. Resolving stomach heat is essentially resolving Lung dryness, a principle one must grasp. In Shanghan, Lung dryness results from pathogen entering the Stomach. Stomach heat causes fire to blaze; blazing fire dries Metal (Lung). Although Earth (Stomach) normally generates Metal (Lung), excessive dryness causes the generating element to counteract the generated. Puerariae Radix clears stomach heat; once heat subsides, fire extinguishes, Earth Qi generates, which in turn generates Metal Qi. When Metal Qi is restored, Lung dryness resolves naturally. Thus, using one herb treats both Lung and Stomach, eliminating the need to separately address stomach heat and Lung dryness.
Question: Why do some cases fail to release the exterior or eliminate heat despite using Puerariae Radix? This stems from improper usage. Puerariae Radix is light and clear; small doses follow its nature to ascend, while large doses violate its nature and cause descent. Wind pathogen residing on the exterior should be guided outward, not inward. Fire pathogen flares upward and should be dispersed upward, not downward. Failing to use small doses to follow its nature, and instead using large doses to violate it, naturally leads to wind pathogen moving inward rather than outward, and fire pathogen attacking downward rather than dispersing upward. How then can exterior release and heat elimination be achieved? This highlights the necessity of skillful use of Puerariae Radix.
Doubt: Puerariae Radix releases the exterior and clears muscle heat, functioning similarly to Mahuang (Ephedra). Why is Mahuang listed among herbs causing Wang Yang (Yang Collapse), whereas Puerariae Radix is not explicitly warned against? Puerariae Radix can indeed cause Yang collapse, but to a lesser degree than Mahuang. Otherwise, why advise against its excessive use?
Skepticism: Puerariae Radix disperses pathogens but does not tonify righteousness. Many people use it today without apparent harm. Response: Puerariae Radix consumes Yuan Qi (Original Qi) imperceptibly. Damage visible to the eye is minor; invisible damage is major. This distinction must be understood.
Objection: Given its light and clear flavor, the consumption of Yuan Qi by Puerariae Radix should be minimal. How can invisible damage be significant? Yuan Qi is subtle; damage occurring invisibly might seem insignificant, but how can we assume it is not major? Generally, heavy flavors are preventable, and strong tastes are discernible. Puerariae Radix has a faint taste and weak aroma, leading many to dismiss its dangers. However, warnings come from extraordinary sources. I inform the world: danger lies within blandness, and death lurks within subtlety. It kills beyond the realm of taste and aroma.