鳖甲,味咸,气平,无毒。醋炙用之。散 癖症瘕及息肉、阴蚀、痔疽,除痨瘦骨蒸、
并温
疟往来寒热,愈肠痈消肿,下瘀血堕胎。
肉,性亦不冷,项下有软骨,亦不必检去。鳖甲善能攻坚,又不损气,阴阳上下,有痞
滞不
除者,皆宜用之。但宜研末调服,世人俱炙片,入汤药中煎之,则不得其功耳。
或疑鳖肉补阴,鳖甲攻坚,一物而相反,恐未必然之说也。夫鳖原阴物,以阴补阴,又
何疑
乎?君之所疑者,以鳖甲之攻坚也。不知鳖性善藏,凡小有隙地,鳖必用甲以钻入之。是其
力全在于甲,故用甲以攻坚,原有至理,非私臆也。
或问鳖甲可多用乎?曰∶虽其性善攻,而其味仍补。但肉则补多而攻少,甲则攻多而补
亦多
也。
或问鳖甲善杀痨虫,有之乎?曰∶不杀痨虫,何以能除痨瘦骨蒸。骨蒸之病,何以有虫
乎?盖
虫得湿热而自生,非尽由于传染,因热而得汗,因汗而又热,绝似潮汐之无差,阴阳之有准
,安得而不生虫乎?且此虫又不生于肠胃之间,偏生于骨髓之内,不用鳖甲,安得入至阴之
中,引群阴之药以滋其髓乎?倘止大补其阴,而不用杀虫之味,则所生之髓,止足供虫之用
。然杀虫之药又多耗髓,虫死而骨髓空虚,热仍未去,热未去,而虫又生,病终无已时也。
鳖甲杀虫,而又补至阴之水,所以治骨蒸之病最宜。
或问鳖甲杀骨中之虫,不知助之何药,杀虫而又补髓也?曰∶杀骨中之虫,只消鳖甲一
味足
矣,所佐之补阴者宜商。铎受异人之传,欲与天下共商之。方用鳖甲一斤,醋炙,益之地骨
皮半斤,丹皮四两,熟地一斤,山茱萸半斤,地栗粉半斤,白芍、白术、薏仁各四两,玄参
三两,北五味子二两,沙参六两,各为末,山药一斤,为糊,打为丸。久服虫尽死,而骨蒸
亦愈。(〔批〕此方奇甚灵甚,痨瘵之症,亟宜服之。)铎观其方,妙在用鳖甲为君,地栗粉
、
山茱萸为佐使,以攻杀其内外之虫。又妙在群阴之药不寒不热,凉骨中之热,即生骨中之精
,补攻兼施,似可常服而收功者也。世不少明眼之人,必能知此方之妙也。
或疑龟甲可以煎膏,而鳖甲独无煎膏者,岂不可为膏乎。然而龟、鳖实皆阴物,何以古
人绝
无
有论及之者?曰∶鳖甲不可作膏,前人亦尝论及,但惜略举其端而不畅论,今请大彰其义。
夫龟与鳖,虽同是阴类,而性实不同。龟性喜出,而鳖性喜入,龟性静而不动,而鳖性
动而
不静。故龟长于补而鳖长于攻,龟可为膏以滋阴,而鳖可为末以攻坚也。滋阴者,可以久服
受益,攻坚者,可以暂用成功。虽鳖甲入之补阴之中、攻坚之内,未尝不可久用以滋阴,而
终不可如龟之煎膏单用之而常服,此古人所以取龟作膏,而独弃鳖甲也。
鳖甲,味道咸,气性平,没有毒性。使用醋炙法炮制后应用。它能消散癖症、瘕聚以及息肉、阴部腐蚀、痔疮和疽疮,消除因虚劳导致的消瘦和骨蒸潮热,并治疗疟疾引起的寒热往来,治愈肠痈并消除肿胀,下行瘀血并导致堕胎。
鳖肉,性质也不寒冷,颈部下方有软骨,也不必剔除去除。鳖甲善于攻伐坚积,又不损伤正气,无论是上焦还是下焦存在痞块阻滞无法消除的情况,都适宜使用它。但应当研磨成粉末调服,世人通常将其炙烤成片状,放入汤药中煎煮,这样就得不到它的功效了。
有人怀疑鳖肉能补阴,而鳖甲能攻坚,同一物却作用相反,恐怕不是必然的说法吧。其实鳖本来就是阴类生物,用阴来补阴,又有什么可怀疑的呢?您所疑惑的,是因为鳖甲具有攻坚的作用。不知道鳖的特性善于隐藏,凡是有微小的缝隙,鳖必定用甲壳钻入其中。这说明它的力量全在于甲壳,所以用甲壳来攻坚,原本就有至深的道理,并非个人的主观臆测。
有人问:鳖甲可以多用吗?回答说:虽然它的性质善于攻伐,但它的味道仍然具有补益作用。只是鳖肉是补益多而攻伐少,鳖甲则是攻伐多而补益也多。
有人问:鳖甲善于杀灭痨虫,有这样的说法吗?回答说:如果不杀痨虫,怎么能消除虚劳消瘦和骨蒸潮热呢?骨蒸这种病,怎么会有虫呢?大概虫子得到湿热环境就会自然产生,并不完全是由于传染造成的,因为发热而出汗,因为出汗而又发热,绝像潮汐一样没有差错,像阴阳规律一样准确,怎么能不生虫呢?况且这些虫子不生长在肠胃之间,偏偏生长在骨髓之内,不用鳖甲,怎么能进入至阴之地,引导群阴性质的药物来滋养骨髓呢?如果只大补其阴,而不用杀虫的药物,那么所生成的骨髓,仅仅足够供虫子享用罢了。然而杀虫的药物大多会消耗骨髓,虫子死了而骨髓空虚,热邪仍未去除,热邪未去,而虫子又生,疾病最终没有完结的时候。鳖甲既能杀虫,又能补益至阴之水,所以治疗骨蒸的病最为适宜。
有人问:鳖甲杀灭骨头中的虫子,不知道配合什么药物,既能杀虫又能补髓呢?回答说:杀灭骨头中的虫子,只需要鳖甲一味药就足够了,所辅助的补阴药物需要商榷。我陈士铎接受异人的传授,想要与天下人共同商讨。方剂用法:鳖甲一斤,醋炙;地骨皮半斤,牡丹皮四两,熟地黄一斤,山茱萸半斤,地栗粉(荸荠粉)半斤,白芍、白术、薏苡仁各四两,玄参三两,北五味子二两,沙参六两,各研为末,山药一斤,制成糊状,制作成丸药。长期服用,虫子全部死亡,而骨蒸也能痊愈。(批注:此方奇特且灵验,对于痨瘵病症,急切适宜服用。)我看这个方子,妙处在于用鳖甲作为君药,地栗粉、山茱萸作为佐使药,以攻杀内外的虫子。又妙在群阴性质的药物不寒不热,凉除骨头中的热邪,进而生成骨头中的精髓,补益与攻伐兼施,似乎可以常服而取得疗效。世上不乏明眼之人,一定能知道这个方子的妙处。
有人怀疑龟甲可以煎膏,而鳖甲唯独没有煎膏的,难道不可以做成膏吗?然而龟、鳖实在都是阴类生物,为什么古人完全没有论及这一点呢?回答说:鳖甲不可作成膏剂,前人也曾论及,但可惜只是略微提及头绪而没有详尽论述,现在请大大彰显其中的义理。
龟与鳖,虽然同属阴类,但性质确实不同。龟的性质喜欢外出,而鳖的性质喜欢潜入;龟的性质安静而不活动,而鳖的性质活动而不安静。所以龟长于补益而鳖长于攻伐,龟可以制成膏剂以滋阴,而鳖可以制成粉末以攻坚。滋阴的药物,可以长期服用受益;攻坚的药物,可以暂时使用取得成功。虽然鳖甲加入补阴和攻坚的方剂中,未尝不可以长期使用以滋阴,但最终不能像龟那样煎膏单独使用并常服,这就是古人选取龟来制作膏剂,而唯独舍弃鳖甲的原因。
Bie Jia (Tartar Testudinis Carapax), salty in flavor, neutral in qi, non-toxic. It should be used after being stir-fried with vinegar. It dissipates pi masses (abdominal masses fixed in one place and painful), jia masses (abdominal masses shifting position and painless), polyps, yin erosion (ulceration of the external genitalia), hemorrhoids, and ju sores; it eliminates emaciation and bone-steaming fever due to consumptive disease (lao), and treats alternating chills and fever due to malaria; it heals intestinal abscesses and reduces swelling, promotes the discharge of blood stasis, and induces abortion.
The meat of the soft-shelled turtle is also not cold in nature. The cartilage under its neck need not be removed. Bie Jia excels at attacking hard accumulations without damaging healthy qi. For any stagnation or obstruction in the upper or lower jiao that cannot be eliminated, it is suitable for use. However, it should be ground into powder and taken mixed with liquid. People today usually stir-fry it into slices and decoct it in herbal soups, which fails to achieve its efficacy.
Some doubt whether the meat tonifies yin while the shell attacks hardness, suggesting these effects are contradictory within the same substance. This is likely incorrect. Since the soft-shelled turtle is inherently a yin entity, using yin to tonify yin, what is there to doubt? Your doubt arises from the shell's ability to attack hardness. Do you not know that the turtle's nature is good at hiding? Whenever there is even a small crevice, the turtle uses its shell to drill into it. Thus, its power lies entirely in the shell. Therefore, using the shell to attack hardness has profound rationale and is not merely subjective speculation.
Someone asks: Can Bie Jia be used in large doses? I reply: Although its nature is good at attacking, its flavor still tonifies. The meat tonifies more than it attacks, whereas the shell attacks more but also tonifies significantly.
Someone asks: Does Bie Jia effectively kill tuberculosis worms (lao chong)? I reply: If it did not kill these worms, how could it eliminate emaciation and bone-steaming fever? Why would bone-steaming disease involve worms? Generally, worms arise naturally from damp-heat; they are not solely caused by contagion. Due to heat, sweat occurs; due to sweating, heat returns again, resembling the regularity of tides and the precision of yin-yang cycles. How can worms not arise? Moreover, these worms do not grow between the intestines and stomach but specifically within the bone marrow. Without Bie Jia, how can one enter the deepest yin realm and guide other yin-natured herbs to nourish the marrow? If one only heavily tonifies yin without using worm-killing ingredients, the generated marrow will merely suffice for the worms' consumption. However, most worm-killing drugs deplete the marrow. Once the worms die, the marrow becomes empty, heat remains unremoved, and if heat persists, worms regenerate, leading to an endless cycle of illness. Bie Jia kills worms while tonifying the water of extreme yin, making it most suitable for treating bone-steaming disease.
Someone asks: Regarding Bie Jia killing worms in the bones, what herbs should be paired with it to both kill worms and tonify marrow? I reply: To kill worms in the bones, a single ingredient, Bie Jia, is sufficient. The accompanying yin-tonifying herbs require discussion. I, Chen Shiduo, received transmission from an extraordinary person and wish to discuss this formula with the world. The prescription is as follows: Bie Jia 1 jin, stir-fried with vinegar; Digupi (Cortex Lycii) 0.5 jin; Mudanpi (Cortex Moutan) 4 liang; Shudi (Radix Rehmanniae Preparata) 1 jin; Shanzhuyu (Fructus Corni) 0.5 jin; Dili Fen (Powder of Dioscorea esculenta/Bamboo Potato) 0.5 jin; Baishao (Radix Paeoniae Alba) 4 liang; Baizhu (Rhizoma Atractylodis Macrocephalae) 4 liang; Yiren (Semen Coicis) 4 liang; Xuanshen (Radix Scrophulariae) 3 liang; Bei Wuweizi (Fructus Schisandrae Chinensis) 2 liang; Shashen (Radix Glehniae seu Adenophorae) 6 liang. All are ground into powder. Shanyao (Rhizoma Dioscoreae) 1 jin is made into a paste to bind the pills. Long-term consumption will result in the death of all worms and the cure of bone-steaming fever. [Commentary: This formula is extremely unique and efficacious; it is urgently indicated for tuberculosis.] Observing this formula, its brilliance lies in using Bie Jia as the sovereign herb, with Dili Fen and Shanzhuyu as assistant and guiding herbs, to attack and kill internal and external worms. Its further brilliance lies in the group of yin-natured herbs being neither cold nor hot, cooling the heat in the bones thereby generating essence in the bones. With both tonification and attack applied simultaneously, it seems suitable for long-term use to achieve results. There are certainly discerning individuals in the world who will understand the妙 (wonder) of this formula.
Some doubt that while Gui Jia (Testudinis Carapax) can be decocted into paste, Bie Jia alone has no such preparation. Could it not be made into paste? However, both turtles and soft-shelled turtles are yin entities. Why did ancient authors never mention this? I reply: The use of Bie Jia in paste form was discussed by predecessors, but they briefly mentioned it without detailed explanation. Now I will elucidate its principles fully.
Although Gui and Bie belong to the same yin category, their natures differ. Gui prefers emergence, while Bie prefers submersion; Gui is quiet and still, while Bie is active and restless. Therefore, Gui excels in tonification, whereas Bie excels in attack. Gui can be made into paste to nourish yin, while Bie is best ground into powder to attack hardness. Tonifying agents can be taken long-term for benefit; attacking agents achieve success through temporary use. Although Bie Jia can be included in formulas for tonifying yin and attacking hardness, allowing for prolonged use to nourish yin, it ultimately cannot be used alone as a decocted paste for daily consumption like Gui. This is why ancient practitioners selected Gui for paste preparation and exclusively discarded Bie Jia.