男子之生也覆，女子之生也仰，其死于水也亦然，男内阳而外阴，女子反之，故《易》
曰∶坤至柔而动也刚。《书》曰∶沈潜刚克，古之达者盖知此也，秦医和曰∶天有六气，淫
为六疾，阳淫热疾，阴淫寒疾，风淫末疾，雨淫腹疾，晦淫惑疾，明淫心疾。夫女阳物而晦
时，故淫则为内热蛊惑之疾。女为蛊惑，世知之者众，其为阳物而内热，虽良医未之言也。
五劳七伤皆热，肝而蒸晦者，不为蛊则中风，皆热之所生也。医和之语，吾尝表而出之，读
《左氏春秋》书此。
耳，并根苗叶实皆濯出沙土，悬阴干，净扫地上烧为灰，汤淋取浓汁，泥连二灶炼之，
灰汁耗，即旋取旁釜中已滚灰汁益之。经一日夜不绝火，乃渐得霜，干瓷瓶盛之，每服，早
晚临睡，酒调一钱匕，补暖去风驻颜，不可备言，尤治皮肤风。令人肤草滑净，每洗面及浴，
取少许如澡豆用，尤佳，无所忌。昌图之父从谏，宜州文学，家居于邕，服此十余年，今七
八十，红润轻健，盖专得此药力也。
杜甫诗有除《 草》一篇；今蜀中谓之毛琰。毛芒可畏，触之如蜂虿。然治风疼，择最
先者，以此草点之，一身皆失去，叶背紫者入药。
仆有一相识，能治马背 。有富家翁买马，值百余千，以有此病故，以四十千得之。已
而置酒饮人，求为治之，酒未三行，而 以正，举座大笑。其方用烹猪汤一味，暖令热浴之，
其马随手即正。不复回，良久乃以少冷水洗之，此物能令马尾软细。及治焦秃，频以洗之，
不月余，效极神，良秘之秘之。
马肺损，鼻中出脓，医所不疗。云肺药率用凉冷，须食上饮之，而肺痛，畏草所制，不
敢食草。若不食而饮凉药，是速其死也，故不医。有老卒教予以芦菔根煮糯米作粥，入少许
阿胶啖之，马乃敢食。食已，用常肺药，入诃黎勒皮饮之。凉药为诃子所涩于肺上，必愈，
用其言信然。
男子出生时头朝下，女子出生时头朝上，他们死后在水中漂浮的状态也是如此。男子体内阳气盛而外表阴气显，女子则相反，所以《易经》说：“坤卦至柔，但运动起来却刚强。”《尚书》说：“深沉潜藏者能以刚强克服。”古代的通达之人大概懂得这个道理。秦国的医和说：“天有六种气，过度就会造成六种疾病：阳气过盛会生热病，阴气过盛会生寒病，风邪过盛会生四肢末端的疾病，雨湿过盛会生腹部的疾病，昏暗之时（指夜晚房事）过度会生迷惑之疾，光明之时（指白天房事）过度会生心脏之疾。”女性属阳物而在晦暗之时（夜晚）行房，所以淫乱就会产生内热、蛊惑之类的疾病。女性导致蛊惑，世人知道的很多；但女性作为阳物而导致内热，即使是良医也未曾提及。五种劳损和七种损伤都产生热邪，肝脏受到蒸灼且处于晦暗状态，要么变成蛊病，要么引发中风，这都是热邪所生成的。医和的话，我曾经加以表彰并列出，在此读《左传·春秋》时记录于此。
耳草（此处原文可能有误或特指某草药，结合上下文“根苗叶实”及后文“毛琰”，推测前段可能为另一药方描述，但原文紧接“耳”字，疑为排版错误或特定草药名，此处依原文直译），连同根、茎、苗、叶、果实都洗去沙土，悬挂在阴凉处晾干，清扫地面烧成灰，用热水淋取浓汁，用两个连着的灶炼煮，当灰汁减少时，就随即从旁边的锅中取已经滚开的灰汁补充进去。经过一天一夜不断火，渐渐能得到霜状物质，装在干燥的瓷瓶中。每次服用，早晚临睡前，用酒调服一钱匕大小，能补暖、祛风、驻颜，好处不可尽言，尤其治疗皮肤风疾。让人皮肤光滑洁净，每次洗脸和洗澡时，取少许像澡豆一样使用，特别好，没有禁忌。昌图的父亲从谏，是宜州文学官，家在邕州，服用此药十多年，现在七八十岁，面色红润，身体轻便健康，大概是专门得到这药力的结果。
杜甫的诗中有一篇关于《 草》（注：原文此处缺字或指代不明，通常指某种草，结合下文“毛琰”）；如今蜀地称之为毛琰。它的芒刺令人畏惧，触碰到它就像被蜂蝎蜇伤一样。然而治疗风痛，选择最先长出的嫩芽，用这种草的点敷患处，全身的风痛都会消失，叶子背面呈紫色的入药。
我有一个相识的人，能治疗马背上的疖肿（原文“ ”应为“疽”或类似病症）。有个富家翁买马，价值一百多千钱，因为马有这个病，只花了四十千钱买下。后来设酒席请人喝酒，请求为他治疗。酒还没喝过三巡，马背上的肿块就正了（消退/愈合），满座人大笑。这个方子只用一味煮猪肉的汤，加热后给马洗浴，马背上的肿块随手就恢复了正常，不再复发。过了很久，再用少量的冷水冲洗一下，这东西能让马尾变得柔软细密。以及治疗焦秃（毛发脱落），频繁用它清洗，不到一个多月，效果极其神奇，务必好好保密。
马肺受损，鼻孔流出脓液，医生无法治疗。据说治肺的药大多性质凉冷，必须在进食后饮用，而肺痛时，害怕药物受草性制约，不敢吃草。如果不吃草而喝凉药，这是加速死亡，所以不医治。有一个老卒教我用芦菔根（萝卜根）煮糯米做粥，加入少许阿胶食用，马才敢吃东西。吃完后，再用常规的治肺药，加入诃黎勒皮（诃子皮）煎服。凉药被诃子的涩性固摄在肺部上方，必定痊愈，按照他的话去做，果然如此。
When a male is born, his head faces downward; when a female is born, her head faces upward. The same applies to their floating state in water after death. Males have internal Yang and external Yin, while females are the reverse. Thus, the *Book of Changes* (I Ching) states: "Kun (Earth) is extremely soft, yet its movement is firm." The *Book of Documents* (Shangshu) states: "Those who are deep and hidden can overcome with firmness." The enlightened ones of ancient times likely understood this principle. Yi He, a physician from Qin, said: "Heaven has six Qi (vital energies); when excessive, they cause six types of diseases. Excessive Yang causes heat diseases; excessive Yin causes cold diseases; excessive Wind causes diseases of the extremities; excessive Rain/Dampness causes abdominal diseases; excess during dark hours (nighttime sexual activity) causes confusion/dizziness diseases; excess during bright hours (daytime sexual activity) causes heart diseases." Females, being associated with Yin but engaging in intercourse at dark hours (night), thus develop internal heat and蛊 (gu, a type of parasitic or mysterious disease/confusion) disorders. While it is widely known that females can cause 蛊 disorders, the fact that females, as Yin entities, can cause internal heat, has rarely been mentioned even by skilled physicians. All five labors and seven injuries generate heat. If the Liver is steamed and subjected to darkness, one will either suffer from 蛊 or wind-stroke, all generated by heat. I once highlighted and listed Yi He's words; here I record them while reading the *Zuo Zhuan*.
[Note: The text segment starting with "Ear" seems disjointed or refers to a specific herb preparation method possibly lost or misaligned in source, translated literally based on context]. Wash the roots, stems, leaves, and fruits thoroughly to remove sand and soil. Hang them in a shady place to dry. Sweep the ground clean and burn them into ash. Pour boiling water over the ash to extract a concentrated liquid. Refine this liquid using two connected stoves without stopping the fire for a day and night. As the ash liquid evaporates, replenish it with boiling ash liquid from an adjacent pot. Gradually, a frost-like substance will form. Store it in a dry porcelain bottle. Take one qianbi (a small spoonful measure) mixed with wine every morning and evening before sleep. It tonifies warmth, expels wind, and preserves youthfulness, benefits beyond description. It is especially effective for skin wind disorders, making the skin smooth and clean. Use a small amount like bath soap when washing face or bathing. There are no taboos. Congjian, father of Changtu, a literary official of Yizhou living in Yongzhou, took this medicine for over ten years. Now in his seventies or eighties, he is ruddy, light, and vigorous, largely due to the power of this medicine.
Du Fu's poetry includes a piece on [Missing Character] Grass; today in Shu region, it is called Maoyan. Its awns are formidable; touching it feels like being stung by bees or scorpions. However, to treat wind-pain, select the earliest sprouts. Applying this grass to the affected area eliminates pain throughout the body. Leaves with purple undersides are used for medicine.
I have an acquaintance who can treat horse back abscesses (ju). A wealthy old man bought a horse worth over one hundred thousand coins. Due to this illness, he acquired it for forty thousand. Later, he hosted a banquet and sought treatment. Before three rounds of wine were finished, the abscess resolved, causing laughter among the guests. The prescription uses only boiled pork broth, warmed and used for bathing the horse. The back straightens immediately upon contact. After some time, rinse with a little cold water. This substance also makes horse tails soft and fine. For treating alopecia (scald baldness), frequent washing yields excellent results within a month. It is extremely miraculous; keep it secret.
When a horse's lung is damaged and pus flows from the nose, physicians cannot treat it. It is said that lung medicines are generally cool/cold in nature and should be taken after meals. When the lung hurts, the horse fears the medicinal properties and refuses to eat herbs. If it does not eat but drinks cool medicine, it accelerates death; hence, it is considered untreatable. An old soldier taught me to cook radish root (Lufu) with glutinous rice to make porridge, adding a little Ejiao (donkey-hide gelatin) for the horse to eat. After eating, administer conventional lung medicine with Heqileli (Pericarpium Terminaliae Chebulae). The astringent nature of Hezi (Terminalia chebula) retains the cool medicine in the upper lungs, leading to recovery. Following his advice proved true.