辛温有毒。《纲目》作甘凉非。马脚无夜眼,白马黑头,白马青蹄者,皆不可食。
鞍下肉食之杀人,肝亦不可食,以鞭驱之伤皆聚于肝也。食马肉中毒欲死,以香豉、杏仁各
二两蒸熟杵末服之,或煮芦根汁饮之。
发明 按∶《灵枢经》云,卒口僻急者,目不合,热则筋纵。目不开,颊筋有寒则急,
引颊移口。有热则弛,纵缓不胜收故僻,治之以马膏,膏其急颊,以白酒和桂涂其缓颊,以
桑钩勾之,即以生桑灰置之坎中,高下以坐等,以膏熨急颊,且饮美酒啖炙肉,不饮酒者自
强也,为之三拊而已。世多不知此方之妙。窃谓口颊 僻乃风中血脉也,手足阳明之经络于
口,会太阳之经络于目,寒则筋急而僻,热则筋缓而纵,故左中寒而逼热于右,右中寒则逼
热于左,寒者急,而热者缓也。急者皮肤顽痹,营卫凝滞,治法,急者缓之,缓者急之,故
用马膏之甘平柔缓以摩其急,以润其痹,以通其血脉。用桂酒之辛热急束以涂其缓,以收其
纵,以和其营卫,以通其经络。桑能治风痹通节窍也,病在上者,酒以行之,甘以助之,故
饮美酒啖炙肉云耳。马白睛治癫痫时发,《千金》方用之。马心食之喜忘。马肺食之寒热萎
阳。马鞍下肉食之伤人五脏。马乳去风止渴。白马蹄《本经》主惊邪、螈 、乳难、辟鬼气
鬼毒、蛊疰不祥。《别录》止衄、内崩、龋齿。白马者治妇人白崩,赤马者治妇人赤崩。
毛主小儿惊痫,女子崩中赤白,随其色用之,烧灰止血,涂恶疮。尾主女人崩中,小儿客忤
。白马阴茎《本经》主伤中绝脉,阴不起,强志益气,长肌肉,肥健生子。野马阴茎,食之
令人阴萎。野马肉食之成马痫,筋脉不能自收持。马溺微寒小毒,治症瘕有验。反胃有虫积
者亦能治之。溃疡着肉腐烂彻骨,毒能伤人。马矢煨,风痹药酒,取其透达直入病所也。马
通止血、解毒,《千金》梅师治吐血、衄血,《肘后》治卒中恶吐利不止,《经验》治绞肠
沙,腹痛欲死,俱绞汁服之。又《肘后》治久痢赤白,《圣惠》治伤寒劳复,俱烧灰服之。
《千金》治筋骨破伤,以热马屎敷之。又治破伤肿痛,以马屎烧烟熏之。《圣惠》治疔肿、
伤风、肿痛,以马屎炒热熨之。《灵枢》椒姜桂酒置马矢 中助一切药力也。今人以马屎煨
烟熏鳖虱臭虫无不毙者。食马肉心烦者,饮美酒则解,饮浊酒则剧。
味辛、温,有毒。《本草纲目》记载其味甘、凉,这是错误的。马脚没有夜眼(夜间发光的眼睛),白马黑头、白马青蹄的马,都不可以食用。
鞍下部位的肉吃了会杀人,马肝也不可以吃,因为鞭打造成的创伤都会汇聚在肝脏中。如果吃马肉中毒感到快要死了,可以用香豉、杏仁各二两,蒸熟后捣成粉末服用,或者煮芦根汁饮用。
【发明】按:《灵枢经》说,突然发生口角歪斜且拘急的,眼睛不能闭合,这是因为有热则筋脉松弛;眼睛不能睁开,是因为颊部筋脉受寒则拘急,牵引嘴角移位。如果有热则筋脉弛缓,纵缓无法控制,所以导致口角歪斜。治疗用马膏,涂抹在拘急的一侧脸颊以舒缓之,用白酒调和桂枝涂在弛缓的一侧脸颊,并用桑木做的钩子牵引矫正,同时在坑中生起生桑灰,坑的高度与坐姿相等,用马膏热敷拘急的脸颊,并且饮用美酒、吃烤肉,不喝酒的人也要勉强自己这样做,重复抚摸三次即可。世人大多不知道这个方子的妙处。我认为口颊歪斜是风邪中于血脉所致,手足阳明经络循行于口,太阳经络会合于目,受寒则筋脉拘急而歪斜,受热则筋脉弛缓而纵缓,所以左侧受寒会将热逼向右侧,右侧受寒则将热逼向左侧,寒则拘急,热则弛缓。拘急的一侧皮肤顽痹,营卫凝滞,治疗方法是:拘急的用舒缓法,弛缓的用紧急收敛法。所以用马膏的甘平柔缓来按摩拘急之处,滋润顽痹,疏通血脉;用桂酒辛热急束的特性来涂抹弛缓之处,收敛纵缓,调和营卫,疏通经络。桑树能治疗风痹,通利关节窍道。病在上部的,用酒来推行药力,用甘味来辅助,所以说要饮用美酒、吃烤肉罢了。马白睛(眼球白色部分)可以治疗癫痫发作,《千金方》中使用它。马心吃了会让人容易遗忘。马肺吃了会导致寒热交替、阳痿。马鞍下的肉吃了会伤害五脏。马乳能祛风止渴。白马蹄,《神农本草经》主治惊邪、抽搐、乳汁不通、辟除鬼气鬼毒、蛊疰及不祥之气。《名医别录》主治鼻出血、内崩、龋齿。白马用于治疗妇女白带过多(白崩),赤马用于治疗妇女血崩(赤崩)。马毛主治小儿惊痫,女子崩漏赤白,根据其颜色使用,烧成灰可止血,涂抹恶疮。马尾主治女人崩漏,小儿客忤。白马阴茎,《神农本草经》主治伤中绝脉、阳事不起、强志益气、长肌肉、肥健生子。野马阴茎,吃了让人阳痿。野马的肉吃了会形成马痫,筋脉不能自我收持。马尿微寒有小毒,治疗症瘕积聚有效。反胃且有虫积的人也能治疗。溃疡附着在肉上腐烂彻骨,毒性能伤人。马粪煨过,用于风痹药酒,取其透达直入病所的特性。马通(马粪)止血、解毒,《千金方》和梅师方治疗吐血、衄血,《肘后备急方》治疗卒中恶疾吐泻不止,《经验方》治疗绞肠痧,腹痛欲死,都绞取汁液服用。另外《肘后备急方》治疗久痢赤白,《圣惠方》治疗伤寒劳复,都烧成灰服用。《千金方》治疗筋骨破伤,用热马屎敷贴。又治疗破伤肿痛,用马屎燃烧烟雾熏烤。《圣惠方》治疗疔肿、伤风、肿痛,用马屎炒热熨烫。《灵枢》中提到将椒、姜、桂酒放在马粪中,以助一切药力。现在人们用马粪煨烟熏杀鳖虱、臭虫,无不杀死。吃马肉导致心烦的,饮用美酒可以解除,饮用浊酒则病情加重。
Pungent, warm, and toxic. *Bencao Gangmu* records it as sweet and cool, which is incorrect. Horses' hooves do not have "night eyes" (eyes that glow at night); horses with white coats and black heads, or white coats with greenish hooves, should not be eaten.
Meat from under the saddle is lethal if consumed, and horse liver is also inedible because injuries inflicted by whips tend to accumulate in the liver. If one suffers from severe poisoning after eating horse meat, take two liang of fermented soybeans (Xiangchi) and two liang of apricot seeds (Xingren), steam them until cooked, pound them into powder, and ingest. Alternatively, decoct rhizoma phragmitis (Lugen) juice and drink it.
[Invention] According to: *Lingshu Jing* states that sudden facial paralysis with stiffness causes the eyes to remain open; heat causes flaccidity of the sinews. If the eyes cannot open, it is because cold in the cheek sinews causes stiffness, pulling the mouth corner. Heat causes relaxation and inability to control the muscles, resulting in deviation. Treatment involves using horse fat (Magao) applied to the stiff side of the cheek to soothe it, and a mixture of white wine and cinnamon twig (Guizhi) applied to the relaxed side. Use a mulberry wood hook for traction. Place hot ashes from raw mulberry wood in a pit, adjusted to the height of a sitting person. Apply horse fat compresses to the stiff cheek while drinking fine wine and eating roasted meat. Those who do not drink alcohol should force themselves to do so. Perform three manipulations (fupai). The world largely ignores the efficacy of this prescription. I believe facial deviation is caused by wind pathogen invading the vessels. The Yangming meridians of the hand and foot traverse the mouth, and the Taiyang meridian converges at the eyes. Cold causes sinew stiffness and deviation; heat causes sinew flaccidity. Thus, cold on the left forces heat to the right, and cold on the right forces heat to the left. Cold causes stiffness, heat causes flaccidity. On the stiff side, the skin is numb and obdurate, with stagnant Ying and Wei qi. The treatment principle is: soothe the stiff, and tighten the flaccid. Therefore, use the sweet, neutral, soft, and soothing properties of horse fat to massage the stiff area, moisten the obstruction, and unblock the blood vessels. Use the pungent, hot, and binding nature of cinnamon wine to apply to the flaccid area, to restrain flaccidity, harmonize Ying and Wei, and unblock the meridians. Mulberry treats wind-bi and unblocks joint orifices. For diseases in the upper body, wine promotes circulation, and sweetness assists. Hence, the instruction to drink fine wine and eat roasted meat. Horse sclera (white part of the eye) treats epilepsy attacks; it is used in *Qianjin Fang*. Eating horse heart leads to forgetfulness. Eating horse lung causes alternating chills and fever, and impotence. Meat from under the saddle damages the five zang organs. Horse milk dispels wind and relieves thirst. White horse hooves: *Shennong Bencao Jing* indicates they treat fright evil, convulsions (Chouyu), difficult lactation, and ward off ghostly qi, poison, gu-zhu, and misfortune. *Bielu* indicates they stop epistaxis, internal collapse, and tooth decay. White horses treat leukorrhea (white beng) in women; red horses treat metrorrhagia (red beng) in women. Horse hair treats pediatric convulsions and menorrhagia (red and white discharge), used according to color. Ashed horse hair stops bleeding and applies to malignant sores. Horse tail treats menorrhagia and infantile fright illness (Kewu). White horse penis: *Shennong Bencao Jing* indicates it treats injury to the middle jiao and severed pulses, impotence, strengthens will, benefits qi, promotes muscle growth, and aids fertility. Wild horse penis causes impotence when consumed. Wild horse meat causes "horse epilepsy," where sinews and vessels lose self-control. Horse urine is slightly cold and mildly toxic; it effectively treats zheng-jia masses. It can also treat regurgitation with worm accumulation. Ulcers penetrating flesh and bone are toxic and harmful. Baked horse manure is used in wind-bi medicinal wines for its penetrating ability to reach the disease site directly. Horse dung (Matong) stops bleeding and detoxifies. *Qianjin Fang* and Mei Shi's formulas use it for hematemesis and epistaxis. *Zhouhou Fang* uses it for stroke with persistent vomiting and diarrhea. *Jingyan Fang* uses it for intestinal colic with severe abdominal pain; all involve administering fresh juice. Additionally, *Zhouhou Fang* uses ashed dung for chronic dysentery with red and white discharge. *Shenghui Fang* uses it for post-febrile recurrence due to overexertion after typhoid; both involve ingesting ash. *Qianjin Fang* uses hot horse manure poultices for bone and tendon trauma. It is also used for traumatic swelling and pain via smoke fumigation. *Shenghui Fang* uses heated stir-fried horse manure compresses for carbuncles, wind-cold, and painful swelling. *Lingshu* mentions placing pepper, ginger, cinnamon, and wine in horse manure to enhance the efficacy of all medicines. Currently, people use smoked horse manure to kill bedbugs and lice effectively. Heart palpitations caused by eating horse meat are resolved by drinking fine wine but exacerbated by turbid wine.