产西北者胜入药以纯白色为良。
白马阴茎
气味甘咸平。 主治伤中绝脉。益丈夫阴气。强肾志生子。长肌肉。 五畜以马为金。
十二辰午为马。谓阴始生于午。六阳之化。太阴之属也。是主手太阴肺足太阴脾。藏真濡于
脾。脾藏肌肉之气也。故长肌肉而肥健。藏真高于肺。以行营卫阴阳也。故主伤中绝脉而益
气。若强志有子。为水脏事。水以金为母。土为制。制则化生耳。(之颐) 阴干。同肉苁
蓉等分为末。蜜丸梧子大。每空心酒下四十丸。日再。
白马胫骨
气味甘寒。 过存性。降阴火。中气不足者。用之可代芩连。
悬蹄(赤白马俱用)
气味甘平。疗肠痈。下瘀血。杀虫。烧灰。入盐少许。掺走马疳蚀甚良。
附方 肠痈腹痛。其证两耳叶甲错。腹痛。或绕脐有疮如粟。下脓血。用马蹄灰和鸡子
白涂。即拔毒瓦斯出。损伤瘀血在腹。用白马蹄烧烟尽。研末。酒服方寸匕。日三夜一。血化
为
白马通
马屎曰通。水研。绞汁服。烧灰。温酒或水服。 气味微温。 止渴。止吐血下血鼻衄。
金疮出血。妇人崩中。 火养一切药。 治吐血不止。柏叶汤。用柏叶干姜各二两。艾三把。
以水五升。取马通汁一升合煮。取一升。分温再服。(凡吐血不已。则气血皆虚。虚则生寒。
柏叶禀兑金之气而生。可制肝木。木主升。金主降。升降相配。夫妇之道合。则血得归藏于
肝矣。故用以为君。干姜性热。守而不走。艾叶之温。入内走络而不炎于上。使阴阳之气反
归于里。以补其虚寒。用以为佐。马通主降火。消停血。引领而行为使。)
〔论〕 十二辰马居午。顾五畜不以属火而属金。(六阳之极而生阴。取其进气也。凡
用以疗疾。须识此义。)属火者。其畜羊。盖即羊之无瞳人。则禀于火气居多而水气少也。
以是推马之无胆。(非无胆之形质。谅少胆气耳。与犬无胃同义。)因其火极化土。土盛而金
之生气旺矣。金旺而木之生气微。故首出之甲木无气。然有肝者。乙木生于午也。然则素问
以火归羊。以金归马。诚为察物之精欤。
Horses produced in the northwest are superior for medicinal use, with pure white ones being the best.
Penis of White Horse (Baima Yinqing)
Taste and Nature: Sweet, salty, neutral.
Indications: Treats internal injury leading to pulse cessation (weak or absent pulse). Tonifies the yin qi of men, strengthens kidney will to facilitate procreation, and promotes muscle growth. Among the five domestic animals, the horse belongs to Metal. In the twelve Earthly Branches, Wu corresponds to the horse, signifying that yin begins to generate at Wu; this is the transformation of the six yang qi and belongs to the Taiyin category. Therefore, it primarily governs the Hand-Taiyin Lung Meridian and Foot-Taiyin Spleen Meridian. The spleen stores true essence to moisten itself; since the spleen governs the qi of muscles, it promotes muscle growth and robustness. The true essence of the spleen is higher than that of the lung, facilitating the circulation of Ying (Nutrient) and Wei (Defensive) qi and balancing yin and yang; thus, it treats internal injury with pulse cessation and benefits qi. Regarding strengthening will and fertility, these are functions of the Kidney (Water organ). Water regards Metal as its mother, and Earth acts as a controller; only through control can transformation occur. (Viewpoint from Zhi Yi.)
Usage: Dried in the shade. Ground into powder in equal parts with Cistanche Deserticola (Rou Cong Rong), mixed with honey to form pills the size of a Chinese quince seed. Take 40 pills on an empty stomach with wine, twice daily.
Tibia of White Horse (Baima Jinggu)
Taste and Nature: Sweet, cold.
Indications: Calcined to retain its medicinal property (Cun Xing); descends deficient fire. For those with insufficient middle qi, it can substitute Scutellariae Radix (Huang Qin) and Phellodendri Cortex (Huang Lian).
Suspended Hoof (Xuantí) (Use both red and white horses)
Taste and Nature: Sweet, neutral.
Indications: Treats intestinal abscess (Chang Yong), expels blood stasis, and kills parasites. Burn to ash, mix with a small amount of salt, and apply topically to severe cases of "Running Horse Gangrene" (Zou Ma Gan, a severe oral ulceration); highly effective.
Supplementary Prescriptions
Intestinal Abscess with Abdominal Pain: Symptoms include rough, scaly skin on the earlobes, abdominal pain, or sores like millet grains around the umbilicus, discharging pus and blood. Apply hoof ash of a horse mixed with egg white to draw out toxic vapors.
Blood Stasis from Trauma in the Abdomen: Burn the hoof of a white horse until no smoke remains, grind into powder, and take one Fang Cun Bi (approx. 3-5 grams) with wine, three times during the day and once at night. Blood transforms into... [Text appears incomplete here].
White Horse Dung (Baima Tong)
Horse dung is referred to as "Tong". Grind with water, squeeze out the juice for oral administration; or burn to ash and take with warm wine or water.
Taste and Nature: Slightly warm.
Indications: Relieves thirst, stops hematemesis (vomiting blood), hematochezia (blood in stool), epistaxis (nosebleed), bleeding from metal wounds, and metrorrhagia (profuse uterine bleeding) in women.
Horse dung is used to process all medicines.
Ba Ye Tang (Cinnamomi Ramulus Decoction variant / specifically using Coptis/Phellodendron context implied by commentary but text says Bo Ye Tang): For persistent hematemesis. Use Folium Broussonetiae Papyriferae (Bo Ye) and Rhizoma Zingiberis Preparatum (Gan Jiang) each 2 liang, and Folium Artemisiae Argyi (Ai Ye) 3 bundles. Add 5 sheng of water, extract 1 sheng of Horse Dung Juice, combine and decoct to obtain 1 sheng. Divide into two doses, taken warm. (Commentary: Persistent hematemesis leads to deficiency of both qi and blood, resulting in cold. Folium Broussonetiae Papyriferae inherits the qi of Dui Metal, which can restrain Liver Wood. Wood governs ascending, Metal governs descending; their coordination resembles the harmony between husband and wife, allowing blood to return to storage in the Liver; hence, it is used as the Sovereign herb. Rhizoma Zingiberis Preparatum is hot and stabilizing without dispersing; Folium Artemisiae Argyi is warm, entering the interior and collaterals without flaring upward, returning yin and yang qi to the interior to tonify deficiency-cold; hence, used as the Minister herb. Horse Dung primarily descends fire and eliminates stagnant blood, guiding other herbs; hence, used as the Envoy herb.)
[Discussion]
In the twelve Earthly Branches, the Horse occupies the Wu position. However, among the five domestic animals, the Horse does not belong to Fire but to Metal. (This is because extreme Yang generates Yin, taking advantage of the incoming qi. One must understand this principle when using them for treating diseases.) The animal belonging to Fire is the Sheep, likely because sheep lack pupils, indicating they inherit more Fire qi and less Water qi. By analogy, the Horse lacks Gallbladder Qi (not necessarily the physical organ, but the functional qi is scarce, similar to the dog lacking Stomach Qi). Because Fire extreme transforms into Earth, Earth qi becomes prosperous, causing the generating qi of Metal to flourish. When Metal is prosperous, the generating qi of Wood becomes weak, so the initial Jia Wood lacks qi. However, the Horse has a Liver, because Yi Wood is born at Wu. Thus, the *Su Wen* (Classic of Difficult Issues/Huangdi Neijing) assigning Fire to the Sheep and Metal to the Horse is indeed a profound observation of things.