出南北海。川蜀西路女瓜河。北溏泺江。南湖泖间。亦时。有之。广东廉州珠池四
雷州一。实皆海而岛屿环围。故称池也。珠。蚌中阴精也。牡蛎蛤蚌。无阴阳牝牡。须雀蛤
以
故
谓之
味甘微咸。气寒。入手少阴足厥阴经。清心安魂魄。明目去肤翳障膜。除小儿惊热。解
痘疔
惟
孕
真珠
小儿惊
象牙末
同人中
两酒服
〔论〕 蚌珠与月盈亏。而月之盈亏又系于日。淮南子云。月死而螺蚌 。正指阴不得
阳之故。然则珠为阴中之阳。当如管子所云矣。本至阴之精。乃分至阳之光。丽至阳之光。
乃凝
寒之
珠母
（真珠
阳者乎
精。所
肝脏虚寒
〔修治〕 凡入药。不用首饰及见尸气者。用豆腐一块。入珠于内。扎定。煮一炷香取
出。
海中诸蛤烂壳之总称。不专一蛤也。总之海中蛤蚌。名色虽殊。性味相类。功用
又文蛤。或另是一种。
腰痛。及伤寒血结。疗
瘤瘿。五痔疝证。妇人
结胸胀痛不可近。仲景无
为末。每服二钱。鸡子清
壅则血不行。服此则小肠
〔论〕 海蛤在本经治咳逆上气。喘息烦满等证。皆阴气虚而上逆者。夫肾乃气之元气
阳也
其能
不为
曰。
主。）
客于脏
少气也
兹味
孤行
化而
瘿瘤
结。
粉
此海中诸蛤之粉。以别于江湖之蛤粉蚌粉也。近世独取蛤蜊粉入药。大抵海中蚌蛤蚶蛎
。味咸性散。功用略同。非若江湖蚌蛤无盐水浸渍。但能清热利湿而已。肆中更有一种状如
线粉者。谓之海粉。得水则易烂。出海中沙石间。其功亦能化痰软坚。
味咸气平。肾经血分药。治喘息咳逆。（肺燥郁胀咳喘）化痰饮。解结气。软坚积。（热
痰能
疗疝瘿核。散肿毒。治妇人带下血病。油调涂汤火伤。主湿嗽肾滑之疾。（好古）治湿痰
为
主
蜜丸
每
佐以香附末。等分。白汤淬服。白浊遗精。洁古云。阳盛阴虚。故精泄也。真珠粉丸主之。
蛤粉一斤。黄柏炒一斤。研细。白水丸梧子大。每服百丸。空心温酒下。日二次。血痢。玉
粉散。海蛤粉研细。每用二钱。蜜水调服。能解脏腑积热之毒。按此味同气于肾阴之清化故
也。
附案 戊戌冬深。岁气寒湿相合。肺主受邪。阳不施化。而水中阳化更微。致湿痰聚胃。
愈
适
姜
〔论〕 用蛤粉者。不究其合于人身元阴之气。更不究其能于阴中归阳。遂于丹溪所谓
能降
偏于
真阴
消也。
也。阴
参之。
而必取
源为阳
狂之邪也
疗滞下之里
者。惟实热
失守之阳为
本经于海蛤
凡脾胃虚寒者。须与益脾胃药同用。（仲淳）
〔修治〕 不入煎剂。（丹溪） 凡治燥痰。取紫口蛤蜊壳。炭火 成。以熟栝蒌连子
同捣。
【真珠】
出产于南海和北海。川蜀西路的女瓜河、北溏泺江、南湖泖等地，也时常有出产。广东廉州的珠池有四座，雷州有一座，实际上都是海域，因被岛屿环绕包围，所以称为“池”。珍珠，是蚌体内的阴精凝聚而成。牡蛎、蛤蜊、蚌类，没有阴阳公母之分，必须依靠雀蛤（一种寄生在贝类中的小生物）的作用才能生成珍珠，因此被称为珍珠。
味甘，微咸，气寒。归入手少阴心经和足厥阴肝经。能清心安神，安定魂魄。明目，去除眼部翳障膜。消除小儿惊热。解痘毒疔疮之毒。（注：原文此处有缺漏或错简，结合上下文及常见本草记载，通常指解毒或治疗相关病症，但根据严格忠实原文原则，仅翻译可见文字）……惟孕……真珠……小儿惊……象牙末……同人中……两酒服……
〔论〕 蚌珠的形成与月亮的盈亏有关，而月亮的盈亏又取决于太阳。《淮南子》说：“月亮死（亏缺）时螺蚌就闭合。”这正是指阴得不到阳的照耀的缘故。既然这样，那么珍珠就是阴中之阳，应当像《管子》所说的那样。它本是至阴的精气，却分有了至阳的光芒；依附于至阳的光芒，于是凝结成寒凉的精华。所……肝脏虚寒……
〔修治〕 凡是入药用的珍珠，不使用首饰上的，也不使用沾染了尸气的。取一块豆腐，将珍珠放入其中，扎紧，煮一炷香的时间后取出。
【海蛤】
海中各种蛤蜊腐烂贝壳的总称，不专指某一种蛤蜊。总之，海中的蛤蜊和蚌类，名称颜色虽然不同，但性味相似，功用也相近。还有文蛤，或许是另一种类。能治腰痛，以及伤寒导致的血结，治疗瘤瘿、五痔、疝证，妇人……结胸胀痛不可触碰。张仲景无……为末，每服二钱，用鸡蛋清……壅滞则血液不行，服用此药则小肠……
〔论〕 《本经》中海蛤主治咳逆上气、喘息烦满等证，这些都是阴气虚弱而上逆的表现。肾是气的元气之源……其能……不为……曰……主。）客于脏……少气也……兹味……孤行……化而……瘿瘤……结……粉……
这是海中各种蛤蜊磨成的粉，用来区别于江湖中的蛤粉和蚌粉。近代单独取蛤蜊粉入药，大抵海中的蚌、蛤、蚶、牡蛎，味咸性散，功用大致相同。不像江湖中的蚌蛤没有盐水浸渍，只能清热利湿而已。药肆中还有一种状如线粉的，称为海粉，遇水容易腐烂，出产于海中的沙石之间，其功能也能化痰软坚。
味咸，气平。是肾经血分的药物，主治喘息咳逆。（肺燥郁胀引起的咳喘）。化痰饮，解结气，软坚积。（热痰能……疗疝瘿核，散肿毒，治妇人带下血病，用油调涂治疗汤火伤，主治湿嗽、肾滑之疾。（李好古）治湿痰……为主……蜜丸……每……佐以香附末，等分，用白开水淬服。白浊遗精，洁古说：阳盛阴虚，所以精液外泄。用真珠粉丸主治。蛤粉一斤，黄柏炒一斤，研细，白水泛丸如梧子大，每服百丸，空心温酒送下，每日二次。血痢，用玉粉散，海蛤粉研细，每次用二钱，蜜水调服，能解除脏腑积热之毒。按此物气味同于肾阴的清化，所以……
附案 戊戌年深冬，岁气寒湿相合，肺主受邪，阳气不能施化，而水中的阳气化生更加微弱，导致湿痰聚积在胃……适……姜……
〔论〕 使用蛤粉的人，不探究其是否合乎人身元阴之气，更不探究其能否在阴中归阳，于是对丹溪所说的……能降……偏于……真阴……消也……也。阴……参之……而必取……源为阳……狂之邪也……疗滞下之里……者。惟实热……失守之阳为……
[Zhenzhu / Pearl]
Produced in the South Sea and North Sea. It is also occasionally found in Nügu River, Beitangluo River, and Nanhumao Lake in the Western Route of Sichuan and Shu. In Guangdong, there are four pearl pools in Lianzhou and one in Leizhou; these are actually sea areas surrounded by islands, hence called "pools." Pearl is the yin essence condensed within a clam. Oysters, clams, and mussels do not have distinct male and female counterparts (yin and yang); they require the influence of *Quege* (a type of parasitic small organism) to form pearls, thus named Zhenzhu.
It tastes sweet and slightly salty, has a cold nature, and enters the Hand-Shaoyin Heart Meridian and Foot-Jueyin Liver Meridian. It clears the heart and calms the spirit, stabilizes the soul, brightens the eyes, removes ocular nebulae and membranes, eliminates pediatric fever due to fright, and resolves toxicity from smallpox and carbuncles... [Text fragmentary] ...only pregnant women... Zhenzhu... pediatric fright... Ivory powder... mixed with human placenta... taken with two measures of wine...
[Discussion] The formation of clam pearls correlates with the waxing and waning of the moon, which in turn depends on the sun. *Huainanzi* states: "When the moon wanes, snails and clams close." This precisely refers to the reason why yin cannot obtain yang illumination. Therefore, pearl is yang within yin, as described in *Guanzi*. It originates from the essence of extreme yin but shares the light of extreme yang; adhering to this light, it condenses into a cold essence... Liver deficiency and cold...
[Preparation] For medicinal use, pearls from jewelry or those contaminated by corpse odor should not be used. Take a piece of tofu, place the pearl inside, tie it securely, and boil for the time it takes to burn one incense stick before removing.
[Haige / Sea Clam Powder]
A general term for the decayed shells of various clams in the sea, not specific to one species. Generally, sea clams and mussels, despite differing in name and color, share similar properties, flavors, and functions. Wen Ge (Clam Shell) may be a separate variety. It treats lower back pain, blood stasis due to Cold Damage, tumors, goiter, five types of hemorrhoids, hernia syndromes, and women's... chest binding with distending pain that cannot be touched. Zhang Zhongjing [prescribed]... as powder, take 2 qian per dose, mixed with egg white... Stagnation prevents blood flow; taking this promotes Small Intestine...
[Discussion] According to the *Shennong Bencao Jing*, Haige treats cough with reversed qi, panting, and fullness with irritability, all of which are signs of deficient yin qi rebelling upward. The Kidney is the source of primordial qi... Its efficacy... does not... says... Master.) Invading the zang organs... Shortness of breath... This flavor... solitary movement... transformation... Goiter... Knotting... Powder...
This is the powder made from various sea clams, distinguished from Jianghu (river/lake) clam powder and mussel powder. In recent times, only clam shell powder is used medicinally. Generally, sea mussels, clams, ark shells, and oysters are salty in taste and dispersing in nature, with roughly similar functions. Unlike river/lake mussels and clams which lack saltwater immersion and can only clear heat and promote diuresis, there is another substance in pharmacies resembling thread-like powder, called Haifen (Sea Powder). It decays easily when wet, originates from sand and stones in the sea, and its function also includes resolving phlegm and softening hardness.
Salty in taste, neutral in nature. It is a medicine for the Blood aspect of the Kidney Meridian, treating panting and cough with reversed qi. (Cough and asthma due to lung dryness and stagnation). It transforms phlegm-fluids, resolves qi knots, and softens hard accumulations. (Hot phlegm can... Treats hernia and goiter nodules, dissipates swelling and toxins, treats leukorrhea and blood disorders in women, applied with oil for burns/scalds, and primarily treats damp cough and kidney slipping diseases. (Li Haoguo) Treats damp phlegm... As main ingredient... Honey pills... Each... Supplement with Cyperi Rhizoma powder, equal parts, taken with boiled water. For turbid urine and seminal emission, Jiegu stated: Excess yang and deficient yin cause sperm leakage. Use Zhenzhu Fen Wan (Pearl Powder Pill). Haifen (Clam Powder) 1 jin, Huangbai (Phellodendron Bark) stir-fried 1 jin, ground fine, formed into pills with clean water like wu zi size. Take 100 pills per dose, with warm wine on an empty stomach, twice daily. For bloody dysentery, use Yufen San (Jade Powder Powder), finely ground Haifen, take 2 qian each time, mixed with honey-water, capable of resolving toxic accumulated heat in the zang-fu. Note that this substance shares the qi with the clear transformation of Kidney Yin...
Case Record In the deep winter of the Wuxu year, the annual climate combined cold and dampness. The Lung was invaded by pathogens, Yang failed to transform, and the yang transformation in water became even more subtle, leading to the accumulation of damp-phlegm in the Stomach... Suitable... Ginger...
[Discussion] Those who use Haifen fail to investigate whether it harmonizes with the primordial yin qi of the human body, nor do they investigate its ability to return to yang within yin. Thus, regarding what Danxi said... Can descend... Biased towards... True Yin... Dissolve... Also. Yin... Consult... And must select... Source is Yang... Evil of mania... Treat interior of stagnant down-flow... Only excess heat... Lost control of Yang...
Regarding Haige in the *Bencao Jing*... For those with Spleen and Stomach deficiency-cold, it must be used together with medicines that tonify the Spleen and Stomach. (Zhongchun)
[Preparation] Not suitable for decoction. (Danxi) For treating dry-phlegm, take purple-edged clam shells, calcine them over charcoal fire until ash, and pound together with ripe Trichosanthis Fructus including seeds.