\r江宁府天南星\pj186.bmp\r
\r滁州天南星\pj187.bmp\r
味苦、辛、气平。可升可降,阴中阳也。有毒。下泽极多,在处俱有。苗类荷梗直
起,高仅尺余;叶如 叶杪生,两岐相抱。花若蛇头黄色,子结作总鲜红。根比芋犹圆,肌
细腻且白。《本经》载虎掌草即此,后人以天南星改称。亦与鬼 相侔,每逢冬月间误采
。殊不知 茎斑花紫,根极大肌粗;南星茎青花黄,根略小肌细。炮之易裂,得此才真。
制须多泡生姜汤,(七八次佳。)或研填入牯牛胆。(蜡月黑牯牛胆一个,用南星研末,取汁
拌匀,填入内。)风干过年成块,锉碎复炒拯 。方书谓之牛胆南星,即此是也。(仓卒不能
得此,依前姜汤泡,或火炮,并杀毒堪用,但性犹烈也。)乃上行治肺经本药,欲下行资黄
柏引之。畏生干姜,及黑附子。散跌扑即凝瘀血,坠中风不语稠痰。利胸膈下气堕胎,破坚
积诛痈消肿。水摩箍蛇虫咬毒,醋调贴破脑伤风。瘤突额颅,麝加敷愈。(先用小针十数枚
作一把,瘤上微刺通窍,用新南星醋摩,加麝少许,日用二次,任如碗大半月全消。)
\r半夏\pj188.bmp\r
(一名守田) 味辛、微苦,气平,生寒熟温。沉而降,阴中阳也。有毒。山谷川泽,
处处有之。苗起一茎,茎端
三
叶。根名半夏,八月采收。反乌头,恶皂荚,畏雄黄、生姜、干姜、秦皮、龟甲,忌羊肉、
羊血、海藻、饴糖。使宜射
干柴胡,经入足胆脾胃。久藏入药,同
沸汤制七次。仍加姜制,才
可投瓶。若研末搀少枯矾,(每泡过半夏四两,入枯矾一两共研。)拌姜汁捏作小饼。诸叶包
裹,风际阴干,此又名
半夏曲也。片则刀峻,曲则力柔。总主诸痰,验证佐助。火痰黑,老痰胶,加芩、连、
栝楼、海粉;寒痰清,湿痰
白,入姜、附、苍术、陈皮。风痰卒中昏迷,皂角、天南星和∶痰核延生肿突,竹沥、白芥
子搀。劫痰厥头疼,止痰饮
胁痛。散逆气,除呕恶,开结气,发音声。脾泻兼驱,心汗且敛。盖脾恶湿,半夏专能燥湿
胜水故尔。孕妇忌用,恐堕
胎元。如不得已用之,复加姜汁炒过。消渴并诸血证尤禁莫加,因燥反助火邪,真阴愈被熬
害,津枯血耗,危殆日侵,
不得不预防也。生半夏消痈肿,成颗者摩水,敷蝎子螫人,涂上即愈。妇人产后晕绝,
为丸塞两鼻中,能顷刻回苏。
此扁鹊捷法。
(谟)按∶《内经》云∶肾主五液,化为五湿。自入为唾,入肝为泪,入心为汗,入脾
为痰
,入肺为涕。丹溪又云∶有痰曰嗽,无痰曰咳,因嗽而动脾之湿也。半夏惟入脾以泻痰之标
,不能入肾以泻痰之本。然咳无形,嗽有形。无形则润,有形则燥,所以为流湿润燥之剂也
。又小柴胡汤中加之,以治伤寒寒热。半助柴胡以主恶寒,半助黄芩而能去热,及往来寒热
皆用之,有各半之意,故因而名曰半夏云。《本经》别以守田目之者,盖缘夏半前后,人多
耘莳在田,斯又指名而生意也。
第二卷贝母款后(谟)按∶宜参看。
【江宁府产的天南星】
【滁州产的天南星】
味苦、辛,气平。具有升散和降泄的作用,属于阴中寓阳的药物。有毒。产地极多,各地都有生长。其苗茎像荷梗一样直立向上,高度仅有一尺多;叶子像芋叶,从叶梢生出,两片叶子相互抱合。花像蛇头,呈黄色,果实结聚成总状花序,颜色鲜红。块根比芋头更圆,肉质细腻且白。《神农本草经》记载的“虎掌草”就是这种植物,后人改称为天南星。它也常与“鬼臼”混淆,每逢冬季误采。殊不知鬼臼的茎上有斑点,花为紫色,块根极大且肉质粗糙;而天南星的茎青绿色,花黄色,块根略小且肉质细腻。炮制时容易开裂,符合这些特征才是真品。炮制需要多用生姜汤浸泡(七八次为佳),或者研磨成粉末填入公牛胆内。(腊月选取一头黑公牛的胆囊一个,将天南星研末,取胆汁拌匀,填入胆内。)风干至过年结成块状,锉碎后再炒制。医方书中称之为“牛胆南星”,指的就是这种。(如果仓促间得不到这种药,依照前面用姜汤泡的方法,或用火烤的方法,也能消除毒性可以使用,但药性仍然猛烈。)它是治疗肺经疾病的上行主药,若想使其下行,需借助黄柏作为引经药。它畏忌生干姜及黑附子。能消散跌打损伤后凝结的瘀血,坠降中风引起的不语症状中的稠痰。能利胸膈、下气、堕胎,破除坚积、诛杀痈疽、消肿。用水磨敷治蛇虫咬伤之毒,用醋调敷贴治破脑伤风。对于额头颅骨上的瘤突,加入麝香外敷可愈。(先用小针十几枚扎成一束,在瘤上微刺以通窍,用新天南星加醋磨汁,加入少许麝香,每天外用两次,任其长到碗大,半月即可全消。)
【半夏】
(又名守田)味辛、微苦,气平,生用性寒,熟用性温。性质沉降而降泄,属于阴中寓阳的药物。有毒。山谷川泽之地,处处都有生长。苗茎一根直立,茎端有三片叶子。块根名为半夏,八月采收。它与乌头相反,厌恶皂荚,畏惧雄黄、生姜、干姜、秦皮、龟甲,忌食羊肉、羊血、海藻、饴糖。配伍宜用射干、柴胡,药物归入足少阳胆经、足太阴脾经、足阳明胃经。久藏后入药,需用沸水烫制七次。再加姜汁炮制,才可装入瓶中保存。若研磨成粉掺入少量枯矾,(每四两半夏,加入一两枯矾共同研磨),拌入姜汁捏成小饼。用各种叶子包裹,在风口处阴干,这又被称为“半夏曲”。切片则药力峻猛,制成曲则药力柔和。总的主治各类痰证,根据验证进行佐助。火痰色黑,老痰胶结,加黄芩、黄连、瓜蒌、海粉;寒痰清稀,湿痰色白,加入生姜、附子、苍术、陈皮。风痰卒中昏迷,用皂角、天南星配合;痰核延生肿突,搀入竹沥、白芥子。劫夺痰厥引起的头疼,止住痰饮引起的胁痛。能散逆气,除呕恶,开结气,发音声。脾泻兼能驱除,心汗且能收敛。因为脾恶湿,半夏专能燥湿胜水所以如此。孕妇忌用,恐怕导致堕胎。如果不得已使用,需加姜汁炒过。消渴病及各类血证尤其禁止使用,因为燥性反而助长火邪,真阴更加被煎熬损害,津液枯竭血液耗损,危险日益加深,不得不预防。生半夏能消痈肿,成颗者磨水,敷治蝎子螫人,涂上即愈。妇人产后晕厥,做成丸药塞入两个鼻孔中,能顷刻苏醒。这是扁鹊的快速疗法。
(陈嘉谟)按:《内经》说:肾主管五液,化为五种湿气。进入体内成为唾,入肝成为泪,入心成为汗,入脾成为痰,入肺成为涕。丹溪又说:有痰叫嗽,无痰叫咳,是因咳嗽而动摇了脾的湿气。半夏只入脾以泻痰之标,不能入肾以泻痰之本。然而咳无形,嗽有形。无形则润,有形则燥,所以是流湿润燥的药剂。又在小柴胡汤中加入它,用来治疗伤寒寒热。一半辅助柴胡以主治恶寒,一半辅助黄芩以去除热邪,以及往来寒热都使用它,有各半的意思,所以因此命名为半夏。《本经》另外以“守田”称呼它,大概是因为夏半前后,人们多在田间耕耘种植,这又是指名而生意。
第二卷贝母款之后(陈嘉谟)按:宜参看。
[Nanjing Tian Nan Xing]
[Chuzhou Tian Nan Xing]
Bitter, acrid, neutral in nature. Capable of ascending and descending, it is Yang within Yin. Toxic. Produced in vast quantities, available everywhere. The stem resembles that of a lotus, growing straight upward, only slightly over one chi high; the leaves resemble those of Colocasia esculenta (Taro), emerging from the leaf tip, with two lobes embracing each other. The flower resembles a snake's head, yellow in color; the fruit forms a raceme, bright red. The rhizome is rounder than Taro, with fine, white flesh. Ben Jing records "Hu Zhang Cao" as this plant, later renamed Tian Nan Xing. It is often confused with Bai Ji Lian (Podophyllum peltatum); during winter months, mistaken harvesting occurs. However, Bai Ji Lian has spotted stems and purple flowers, with large rhizomes and coarse flesh; whereas Tian Nan Xing has green stems and yellow flowers, with slightly smaller rhizomes and finer flesh. When processed, it cracks easily; authenticity is confirmed by these traits. Processing requires soaking in fresh ginger juice multiple times (7-8 times is ideal), or grinding into powder and filling into the gallbladder of an ox. (In the twelfth lunar month, take one black male ox gallbladder, fill it with powdered Tian Nan Xing mixed with bile juice.) Air-dry until the next year to form blocks, then chop and stir-fry. Medical texts call this "Niu Dan Nan Xing" (Ox Gallbladder Arisaema). (If unavailable, soaking in ginger water or fire-roasting can also detoxify for use, though the potency remains strong.) It is the primary herb for treating Lung channel disorders, moving upward; to direct it downward, Huang Bo (Phellodendri Cortex) is used as a guiding agent. It is incompatible with Sheng Gan Jiang (Raw Dried Ginger) and Hei Fu Zi (Black Prepared Aconite). It disperses stasis from falls and bruises, and descends thick phlegm causing aphasia in stroke. It benefits the chest and diaphragm, directs Qi downward, induces abortion, breaks accumulations, eliminates carbuncles, and reduces swelling. Rubbed with water, it treats snake and insect bites; mixed with vinegar, it treats traumatic wind injury to the scalp. For tumors on the forehead and skull, adding She Xiang (Musk) externally promotes healing. (First, prick the tumor lightly with a bundle of about ten small needles to open pores, then apply paste made from fresh Tian Nan Xing rubbed with vinegar and a little Musk, twice daily; even if the tumor grows to bowl size, it will completely resolve within half a month.)
[Ban Xia]
(Also known as Shou Tian) Acrid, slightly bitter, neutral in nature. Raw: cold; Cooked: warm. Sinking and descending, it is Yang within Yin. Toxic. Found in valleys, rivers, and marshes everywhere. A single stem rises, bearing three leaves at the tip. The rhizome is named Ban Xia, harvested in August. It opposes Wu Tou (Aconiti Radix), dislikes Zao Jiao (Gleditsiae Fructus), fears Xiong Huang (Realgar), Sheng Jiang (Fresh Ginger), Gan Jiang (Dried Ginger), Qin Pi (Fraxini Cortex), Gui Jia (Testudinis et Chelonis Carapax et Plastrum), and avoids Lamb meat, Lamb blood, Hai Zao (Sargassum), and Yi Tang (Maltose). Compatible with She Gan (Belamcandae Rhizoma) and Chai Hu (Bupleuri Radix); enters the Foot Shaoyang Gallbladder, Foot Taiyin Spleen, and Foot Yangming Stomach channels. For long-term storage before use, scald seven times in boiling water. Then process with ginger juice before storing in bottles. If grinding into powder, mix with a small amount of Ku Fan (Alumen). (For every 4 liang of Ban Xia, add 1 liang of Ku Fan and grind together.) Mix with ginger juice to form small cakes. Wrap in various leaves and dry in the shade in a ventilated area; this is called Ban Xia Qu (Ban Xia Fermented Cake). Sliced pieces have potent effects; fermented cakes have milder effects. It generally manages all types of Phlegm, assisting based on verification. For Fire Phlegm (black) and old sticky Phlegm, add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Gua Lou (Trichosanthis Fructus), and Hai Fen (Spongilla); for Cold Phlegm (clear) and Damp Phlegm (white), add Sheng Jiang (Fresh Ginger), Fu Zi (Prepared Aconiti Lateralis Radix), Cang Zhu (Atractylodis Rhizoma), and Chen Pi (Citri Reticulatae Pericarpium). For Wind-Phlegm causing sudden coma, combine with Zao Jiao (Gleditsiae Fructus) and Tian Nan Xing (Arisaematis Rhizoma); for Phlegm nodules causing swelling, mix with Zhu Li (Bambusae Sap) and Bai Jie Zi (Sinapis Semen). It rescues Phlegm-Jue headaches and stops Phlegm-fluid hypochondriac pain. It disperses rebellious Qi, removes nausea and vomiting, opens stagnant Qi, and restores voice. It treats Spleen diarrhea and收敛s Heart sweating. Because the Spleen dislikes Dampness, and Ban Xia specializes in drying Dampness and overcoming Water, it acts thus. Pregnant women should avoid it, fearing miscarriage. If unavoidable, process with ginger juice. It is strictly contraindicated in Xiao Ke (Wasting-Thirst) and all Blood disorders, because its dryness exacerbates Fire pathogens, further damaging True Yin, leading to fluid depletion and blood consumption, increasing danger; prevention is necessary. Raw Ban Xia reduces carbuncles and swellings; whole rhizomes ground in water applied to Scorpion stings heal immediately. For postpartum fainting in women, make pills and insert into both nostrils for rapid recovery. This is Bian Que's quick method.
(Mo) Commentary: Nei Jing states: The Kidney governs the five fluids, transforming them into five dampnesses. Entering internally becomes saliva, entering Liver becomes tears, entering Heart becomes sweat, entering Spleen becomes Phlegm, entering Lung becomes nasal discharge. Dan Xi added: Cough with Phlegm is called Sou, cough without Phlegm is called Ke, caused by disturbing Spleen Dampness through coughing. Ban Xia only enters the Spleen to drain the branch of Phlegm, not the Kidney to drain the root of Phlegm. However, Ke is formless, Sou has form. Formless implies moistening, formed implies drying; thus, it is a formula for draining dampness and moistening dryness. In Xiao Chai Hu Tang (Minor Bupleurum Decoction), it is added to treat Shaoyang syndrome alternating chills and fever. Half assists Chai Hu to address chills, half assists Huang Qin to clear heat; used for alternating chills and fever, implying equal parts, hence the name Ban Xia. Ben Jing calls it "Shou Tian" because around mid-summer, people are busy weeding and planting in fields, giving it this descriptive name.
Volume 2, after Bei Mu entry (Mo) Commentary: Should be consulted.