（山草）除肠胃湿热兼除肝胆风邪止痹除痛
秦艽（专入肠胃。兼入肝胆。）苦多于辛。性平微温。凡人感冒风寒与湿。则身体酸痛。
肢节
烦
疼。拘挛不遂。如风胜则为行痹。（痹兼三气皆有。兹止就其胜者而言。）寒胜则为痛痹。湿
胜则为着痹。痹在于骨则体重。痹在于脉则血涩。痹在于筋则拘挛。痹在于肉则不仁。痹在
于皮则肤寒。至于手足酸疼。寒热俱有。则为阳明之湿。潮热骨蒸。则为阳明之热。推而疸
黄便涩。肠风泻血。口噤牙痛。（上龈属胃。下龈属大肠。秦艽能除风湿牙痛。）亦何莫不由
阳明湿热与风所成。用此苦多于辛。以燥阳明湿邪。辛兼以苦。以除肝胆风热。实为祛风除
湿之剂。（风除则润。故秦艽为风药中润剂。湿去则补。故秦艽为散药中补剂。圣惠方治急
痨烦热。身体酸疼。用秦艽柴胡一两。甘草五钱。为末。每服三钱。白汤调下。治小儿骨蒸
潮热。减食瘦弱。用秦艽炙甘草各一两。每用一二钱。水煎服之。加薄荷叶五钱。）然久痛
虚羸。血气失养。下体虚寒。酸疼枯瘦。小便利者。咸非所宜。形作罗纹相交。长大黄白。
左纹者良。右纹勿用。菖蒲为使。畏牛乳。
（灌木）散筋骨间寒湿除头面风寒
蔓荆子（专入膀胱。兼入胃肝。）辛苦微温。书言主治太阳膀胱。兼理足阳明胃足厥阴
肝。缘
太阳本属寒水之经。因风邪内客。而致巅顶头痛脑鸣。（太阳脉络于脑。）肝属风脏。风既内
犯。则风必挟肝木上侵。而致泪出不止。（目为肝窍。）筋藉血养。则血亦被风犯。而致筋亦
不荣。齿亦不坚矣！（齿者骨之余。上龈属足阳明。因下龈属手阳明大肠。风热上攻则痛。）
（
口鼻耳目二阴）蔽塞而病斯剧。蔓荆体轻而浮。故既可治筋骨间寒热。而令湿痹拘急斯去。
气升而散。复能祛风除寒。而令头面虚风之症悉治。且使九窍皆利。白虫能杀。是亦风寒湿
热俱除之一验耳。但气虚血虚等症。用此祸必旋踵。不可不知。去膜酒蒸炒。或打碎用。恶
乌头石膏。
秦艽（主要作用于肠胃，兼入肝胆经）。味苦多于辛，药性平和微温。大凡人体感受风寒与湿邪，就会出现身体酸痛、肢节烦疼、拘挛且活动不利。如果风邪偏胜，则表现为行痹（痹证兼夹风、寒、湿三气，此处仅就其偏胜的风邪而言）；寒邪偏胜，则表现为痛痹；湿邪偏胜，则表现为着痹。痹证若在于骨，则身体沉重；痹证若在于脉，则血液运行涩滞；痹证若在于筋，则出现拘挛；痹证若在于肉，则感觉麻木不仁；痹证若在于皮，则皮肤发冷。至于手足酸疼，伴有寒热症状的，属于阳明经的湿邪；出现潮热、骨蒸（阴虚发热，热自骨髓透发而出）症状的，属于阳明经的热邪。推而广之，黄疸、小便涩滞、肠风下血、口噤牙痛（上牙龈属胃，下牙龈属大肠，秦艽能清除风湿引起的牙痛），这些病症又何尝不是由阳明经的湿热与风邪所致呢？因此使用秦艽，利用其苦多于辛的特性来燥化阳明经的湿邪，利用其辛兼苦的特性来清除肝胆的风热，这确实是祛风除湿的良剂。（风邪去除则津液滋润，所以秦艽被视为风药中的润剂；湿邪去除则正气得补，所以秦艽被视为散邪药中的补剂。《圣惠方》治疗急劳烦热、身体酸痛，用秦艽和柴胡各一两，甘草五钱，研为细末，每次服用三钱，用白开水调服。治疗小儿骨蒸潮热、食欲减退、消瘦虚弱，用秦艽和炙甘草各一两，每次取一二钱，水煎服。也可加入薄荷叶五钱。）然而，如果是久病疼痛导致身体虚弱羸瘦、气血失养、下体虚寒、酸疼枯瘦、小便清长者，均非秦艽所适宜。药材形态呈罗纹相交状，个头大黄白色，左侧有纹理的为优质品，右侧有纹理的不宜使用。以菖蒲为使药，畏牛乳。
蔓荆子（主要作用于膀胱经，兼入胃经和肝经）。味辛苦，药性微温。书籍记载其主治太阳膀胱经疾病，兼理足阳明胃经和足厥阴肝经。因为太阳经本属寒水之经，因风邪内侵，而导致头顶头痛、脑鸣（太阳经脉联络于脑）。肝属风脏，风邪既然内犯，风必挟带肝木之气上侵，从而导致流泪不止（眼睛是肝的外窍）。筋脉依赖血液滋养，血液也被风邪侵犯，导致筋脉不得荣养，牙齿也不坚固了！（牙齿是骨骼的余气所生，上牙龈属足阳明胃经，下牙龈属手阳明大肠经，风热上攻则引起疼痛。）口、鼻、耳、目及前后二阴闭塞不通，病情就会加重。蔓荆子质地轻浮，所以既能治疗筋骨间的寒热，使湿痹拘急得以消除；其气上升而发散，又能祛除风邪、驱散寒邪，使头面部虚风引起的各种病症全部治愈，并且使九窍通畅，还能杀灭白虫（肠道寄生虫等），这也是风寒湿热俱除的一个验证。但是，对于气虚、血虚等症状，如果使用此药，祸患必将迅速降临，不可不知。使用时需去掉膜，酒蒸或炒制，或打碎后使用。忌与乌头、石膏同用。
(Shancao category) Clears damp-heat in the stomach and intestines, simultaneously dispels wind-pathogens from the liver and gallbladder, alleviates bi-syndrome (Bi Syndrome: obstruction of meridians causing pain and stiffness), and stops pain.
Qinjiao (Gentianae Macrophyllae Radix) (primarily enters the stomach and intestines, and concurrently enters the liver and gallbladder meridians). Its taste is bitter more than pungent, and its nature is neutral with a slight warmth. Generally, when the human body is affected by wind-cold and dampness, it results in body soreness and pain, vexatious pain in the limbs and joints, spasms, and motor impairment. If wind-pathogen predominates, it manifests as Xingbi (Wandering Bi: Bi syndrome involving wind, cold, and dampness, here referring specifically to the predominance of wind); if cold predominates, it manifests as Tongbi (Painful Bi); if dampness predominates, it manifests as Zhuobi (Fixed Bi). If Bi-pathogen resides in the bones, the body feels heavy; if in the vessels, blood circulation becomes stagnant; if in the sinews, spasms occur; if in the muscles, numbness and insensitivity arise; if in the skin, the skin feels cold. As for soreness and pain in the hands and feet accompanied by aversion to cold and fever, this belongs to dampness of the Yangming channel; tidal fever and bone-steaming fever (Bone-steaming Fever: a sensation of heat emanating from the bones, typical of Yin deficiency) belong to heat of the Yangming channel. Extending this logic, jaundice, dysuria, intestinal wind bleeding (Intestinal Wind Bleeding: bleeding from the rectum often associated with wind-damp or heat), trismus (lockjaw), and toothache (the upper gums belong to the Stomach, the lower gums to the Large Intestine; Qinjiao can relieve toothache caused by wind-damp) are all attributable to damp-heat and wind in the Yangming channel. Therefore, using Qinjiao, with its bitter-pungent profile, dries the dampness of the Yangming channel, while its pungency combined with bitterness clears wind-heat from the liver and gallbladder. It is indeed an effective agent for dispelling wind and removing dampness. (When wind is dispelled, moisture is preserved, hence Qinjiao is considered a moistening agent among wind-dispelling herbs; when dampness is removed, the righteous qi is supported, hence Qinjiao is considered a tonifying agent among dispersing herbs. The *Shenghui Fang* treats acute consumption with vexatious heat and body soreness by using one tael of Qinjiao and Chaihu, and five qian of Gancao, ground into powder, taken three qian per dose mixed with warm water. To treat pediatric bone-steaming tidal fever, reduced appetite, and emaciation, use equal parts of Qinjiao and Zhi Gancao (Honey-fried Licorice Root), one tael each, taking one or two qian per dose decocted in water. Five qian of Boheye (Mint Leaf) may be added.) However, for chronic pain leading to emaciation, loss of nourishment of Qi and Blood, coldness in the lower body, soreness with wasting, and clear profuse urination, Qinjiao is contraindicated. The medicinal material should exhibit intersecting rosette patterns, be large, yellowish-white, and those with left-sided striations are of superior quality; those with right-sided striations should not be used. Changpu (Acori Tatarinowii Rhizoma) serves as the guiding herb, and it is incompatible with Niurou (Cow's Milk).
(Guanmu category) Disperses cold-dampness between sinews and bones, eliminates wind-cold from the head and face.
Manjingzi (Viticis Fructus) (primarily enters the Bladder channel, and concurrently enters the Stomach and Liver channels). Its taste is pungent and bitter, and its nature is slightly warm. Texts state it primarily treats Taiyang Bladder channel disorders and regulates the Foot-Yangming Stomach and Foot-Jueyin Liver channels. This is because the Taiyang channel originally belongs to the Cold-Water element; when wind-pathogens invade internally, they cause headache at the vertex and tinnitus (the Taiyang meridian connects to the brain). The Liver belongs to the Wind organ; once wind invades internally, it carries Liver Wood energy upward, causing excessive tearing (the eyes are the orifice of the Liver). Sinews rely on Blood for nourishment; when Blood is invaded by wind, the sinews fail to receive proper nourishment, and teeth become weak! (Teeth are the surplus of Bone; the upper gums belong to the Foot-Yangming channel, and the lower gums to the Hand-Yangming Large Intestine channel; wind-heat attacking upwards causes pain.) Obstruction of the mouth, nose, ears, eyes, and anterior/posterior orifices exacerbates the disease. Manjingzi has a light and floating nature, thus it can treat cold-heat between sinews and bones, eliminating fixed bi-syndrome and spasticity. Its ascending and dispersing Qi properties further dispel wind and cold, curing all deficiency-wind syndromes of the head and face, and benefiting the nine orifices. It can also kill "white worms" (intestinal parasites). This is another verification that it removes wind, cold, dampness, and heat. However, for conditions of Qi deficiency or Blood deficiency, using this herb will bring disaster swiftly; this must be known. Use after removing the membrane, steamed or fried with wine, or crushed. It is incompatible with Wutou (Aconiti Lateralis Radix Praeparata) and Shigao (Gypsum Fibrosum).