Knowledge Base/Herbs/Hematite (Red Ochre)
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平肝息风药(矿物药) · Liver-wind calming; mineral drug

Hematite (Red Ochre) dài zhě shí · 代赭石

Haematitum (haematite, mainly Fe2O3)

Nature and flavour. Bitter; cold; Liver, Heart (some texts: Liver and Stomach) systems.

An iron ore classed as calming the Liver and anchoring yang, and additionally as directing counterflow downward and as cooling the blood to stop bleeding. It appears in the classical literature for headache and dizziness of the rising-Liver-yang type, for rebellious qi with belching, nausea and vomiting, for breathlessness, and for bleeding attributed to blood heat. The downward-directing action is what separates it from 磁石 and 紫石英 in this batch.

性味归经。苦,寒;归肝、心经(部分文献作肝、胃经)。

铁矿类药材,归类为平肝潜阳,兼能重镇降逆、凉血止血。传统文献用于肝阳上亢之头痛眩晕、胃气上逆之嗳气恶心呕吐、气喘以及血热所致出血。「降逆」这一作用正是它与本批中磁石、紫石英的分野。

Classical category · no formulas, no dosages, no herb-drug combinations are given.
Safety. Read this first: it is a natural iron ore, and natural ores of this kind are routinely accompanied by arsenic, lead and other heavy metals — which is why mineral drugs require assay and why the Pharmacopoeia sets limits for them. Long or heavy intake is also an iron load, which matters for anyone with haemochromatosis or another iron-overload state. The tradition itself treats it as contraindicated in pregnancy and cautious in cold, weak digestion, on the grounds that it is heavy and cold. Human safety data in breastfeeding are insufficient. Not for self-directed use. One more thing: 代赭石 is not 磁石 and not 朱砂 — confusing mineral drugs with one another is a documented route to poisoning.

请先读这一段:它是天然铁矿石,而此类天然矿石几乎总伴生砷、铅等重金属 —— 这正是矿物药必须检验、药典对其设限的原因。长期或大量服用也是一笔铁负荷,对血色病或其它铁过载状态的人尤其相关。传统本身以其质重性寒,列为孕妇禁用、脾胃虚寒者慎用。哺乳期的人体安全性数据不足。不得自行使用。另须注意:代赭石不是磁石,也不是朱砂 —— 把矿物药彼此混淆是中毒的一条已知途径。

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