【方歌】熊虎狼伤致成疮,内外服洗葛根汤,青布燃薰铁汤洗,
独窠栗子嚼涂伤。
【注】熊、虎、狼牙爪伤人皮肉成疮者,初宜葛根浓煎,内服
一、二钟,外洗日十度;或煮生铁有味者洗之。又用青
布急卷为绳,燃着纳竹筒中,注疮口薰之出毒水;次宜
独窠粟子,生嚼涂伤口效。
【方歌】马咬伤时损肌肉,粟子嚼烂敷患处,若逢毒气入里者,
马齿苋汤速宜服。
【注】此伤用粟子嚼烂敷之。毒气入里,心烦呕闷者,马齿苋
煎汤,饮之即效;外用马鞭子挽手,及鞭穗〔火段〕灰
存性,研末,猪脂捣合贴之,俱效。
【方歌】疯犬咬伤毒最深,刺吮粪灸尿洗淋,顶心红发当拔去,
三年禁忌保终身。
【注】犬因五脏受毒而成疯犬,故轻其咬,必致伤人,九死一
生之证也。初被咬时,急就咬处刺令出毒血,以口含浆
水吮洗伤处。或以拔法拔之,或以人尿淋洗,拭干,即
用核桃壳半边,以人粪填满,罨在咬处,上着艾灸之,
壳焦粪干再易;灸至百壮,以玉真散唾津调敷,次日再
灸,渐灸至三、五百壮为度。于初灸时,即服扶危散,
逐恶物血片,从小水中出;若毒物血片,堵塞茎中,致
小水涩滞若淋者,即服琥珀碧玉散以通利之。被咬之人
,顶心有红发一根,速当拔去。一法:用豆豉研末,香
油调稠,丸如弹子大,常揩拭所咬处;掏开看豉丸内若
有狗毛茸茸然,此系毒气已出,易丸再揩,至无茸毛方
止,甚效。始终禁忌,必当慎重,终身忌食狗肉,及蚕
蛹、赤豆;百日内忌见麻物,忌饮酒;三年内忌食一切
毒物及房事,可常食杏仁,以防其毒。若治迟,犬毒入
心,颢乱腹胀,口吐白沫者,用虎头骨、虎牙、虎胫骨
为末,酒调二钱服之;若发狂叫唤,人声似犬声,眼神
露白者逆。终始犯禁忌者不救。
方剂:扶危散
组成:斑蝥(按日数用之。如犬咬已七日用七个,十日用十个
,去翅、足,加糯米同炒,去米)
滑石(水飞,一两) 雄黄(一钱)
麝香(二分)
共研细末,每服一钱,温酒调下,不饮酒者米汤调
下。
【方歌】扶危散治疯犬咬,斑蝥糯米一同炒,滑石雄黄与麝香,
研加酒服毒即扫。
又方:琥珀碧玉散
组成:滑石(六两) 甘草(一两)
琥珀(五钱) 青黛(八分)
共研细末,每服三钱,灯心煎汤调下。
【方歌】琥珀碧玉用六一,黛珀同加研极细,灯心汤调服三钱,
滑涩能医小水利。
又方:疯犬咬伤拔法
组成:用砂烧酒壶两个,盛多半壶烧酒,先以一壶上火令滚无
声,倾去酒,即按在破伤疮口,拔出黑血水,满则自落
;再以次壶仍按疮口,轮流提拔,以尽为度,其证立愈
。
又方:玉真散(见破伤风)
【方歌】熊、虎、狼咬伤导致皮肤肌肉溃烂成疮,应内服、外洗葛根汤;用烧焦的青布熏蒸伤口,或用铁汤清洗;嚼碎独生的栗子涂抹患处。
【注】熊、虎、狼的牙齿和爪子伤人,使皮肉溃烂成疮的,初期宜将葛根浓煎,内服一到两碗,外用其汁液每日洗涤十次;或者煮有滋味的生铁水来清洗。另外,取青布紧急卷成绳状,点燃后纳入竹筒中,对着疮口熏蒸以引出毒水;随后宜用独生的栗子,生嚼后涂抹在伤口上,效果显著。
【方歌】马咬伤时损伤肌肉,嚼烂栗子敷于患处;如果遇到毒气入里,出现心烦呕吐胸闷等症状,应速服马齿苋汤。
【注】此类咬伤可用栗子嚼烂敷贴。若毒气入里,出现心烦、呕吐、胸闷者,煎马齿苋汤饮用即见效;外用马鞭子挽住手部(此处原文可能有误,结合语境及后续“鞭穗”推测可能指处理伤口或辅助疗法,但依字面翻译),以及马鞭穗燃烧存性后的灰烬,研成粉末,与猪脂捣合后贴敷,均有效。
【方歌】疯犬咬伤毒性最深,需刺破排血、吮吸、艾灸、尿液淋洗;头顶心若有红发应当拔除;终身遵守三年禁忌以防复发。
【注】狗因五脏受毒而成为疯狗,所以即使轻咬,也必然致人受伤,这是九死一生的证候。刚被咬时,应立即在咬处刺破令毒血流出,用口含浆水吮吸并清洗伤口。或者用拔法拔毒,或者用人尿淋洗,擦干后,立即用半个核桃壳填满人粪,敷在咬处,上面施艾灸;壳焦粪干后再更换;灸至一百壮,用玉真散加唾液调敷,第二天再灸,逐渐灸至三五百壮为止。在初次艾灸时,即服用扶危散,排出恶物血片,从小便中排出;如果毒物血片堵塞尿道,导致小便涩滞如淋症者,即服用琥珀碧玉散以通利小便。被咬之人,头顶心有一根红发,应当迅速拔去。另一种方法:用豆豉研末,香油调成稠状,做成弹子大小的丸药,经常擦拭所咬之处;拨开查看豆豉丸内若有狗毛茸茸的样子,这说明毒气已排出,更换丸药继续擦拭,直到没有茸毛为止,非常有效。始终要慎重遵守禁忌,终身忌食狗肉,以及蚕蛹、赤豆;百日内忌接触麻类物品,忌饮酒;三年内忌食一切有毒之物及行房事,可常食杏仁,以防其毒。如果治疗迟缓,犬毒入心,出现神志昏乱、腹胀、口吐白沫者,用虎头骨、虎牙、虎胫骨研成粉末,酒调二钱服用;如果发狂叫唤,人声似犬声,眼神露白者属逆证难治。始终违反禁忌者无法救治。
方剂:扶危散
组成:斑蝥(按日数使用。如犬咬已过七日用七个,十日用十个,去掉翅、足,加糯米同炒,去掉米)
滑石(水飞,一两) 雄黄(一钱)
麝香(二分)
共研细末,每服一钱,温酒调下,不饮酒者用米汤调下。
【方歌】扶危散治疗疯犬咬伤,斑蝥与糯米一同炒,加入滑石、雄黄和麝香,研末加酒服用毒邪即扫清。
又方:琥珀碧玉散
组成:滑石(六两) 甘草(一两)
琥珀(五钱) 青黛(八分)
共研细末,每服三钱,灯心草煎汤调下。
【方歌】琥珀碧玉散由六一散为基础,加入青黛和琥珀研极细,灯心草汤调服三钱,滑利与涩敛并用能治愈小便不利。
又方:疯犬咬伤拔法
组成:用砂烧酒壶两个,盛多半壶烧酒,先取一个壶上火加热至滚沸无声,倒掉酒,立即按在破损的伤口上,拔出黑血水,满则自动脱落;再用第二个壶仍按在疮口,轮流提拔,以尽为度,病症立即痊愈。
[Prescription Verse] Bear, tiger, and wolf bites causing sores: take Gegen Tang (Pueraria Decoction) internally and externally for washing; fumigate with burnt green cloth, wash with iron water, or chew and apply a solitary chestnut to the wound.
[Note] When bitten by bears, tigers, or wolves, resulting in skin and muscle ulcers, initially decoct Gegen Radix (Puerariae Radix) strongly, drink one to two bowls internally, and wash externally ten times daily; or boil edible raw iron for its flavor to wash. Additionally, tightly roll green cloth into a rope, ignite it, place it in a bamboo tube, and fumigate the sore to draw out toxic fluids. Subsequently, chew a solitary chestnut fresh and apply it to the wound for good effect.
[Prescription Verse] Horse bites damage muscles: chew chestnuts thoroughly and apply to the affected area. If toxic qi penetrates inward causing restlessness, vomiting, and chest oppression, quickly administer Machixian Tang (Portulaca Decoction).
[Note] For such injuries, apply chewed chestnuts. If toxic qi enters the interior causing restlessness, vomiting, and chest oppression, decoct Portulaca Herba (Portulacae Herba) and drink it for immediate effect. Externally, use horse whip handles to bind the hand, and burn the horse whip tassles until carbonized ("preserving nature"), grind into powder, mix with lard, and apply as a paste; both methods are effective.
[Prescription Verse] Mad dog bites carry the deepest toxicity: puncture to drain blood, suck and wash, moxibustion, and urine washing. Pull out any red hair at the vertex of the head; observe lifelong taboos for three years to ensure safety.
[Note] Dogs become mad due to toxicity in the five zang organs. Thus, even a light bite can cause severe injury, representing a condition with nine deaths for every one survival. Immediately after being bitten, puncture the site to release toxic blood, hold "jiang shui" (fermented grain liquid) in the mouth to suck and wash the wound. Alternatively, use cupping/suction methods to extract toxins, or wash with human urine, dry, then fill half a walnut shell with human feces, apply to the bite site, and perform moxibustion on top. Replace when the shell scorches and feces dry. Moxa until 100 cones, then apply Yuzhen San (Jade True Powder) mixed with saliva. Continue moxibustion the next day, gradually increasing to 300-500 cones. At the start of moxibustion, take Fuwei San (Rescue from Peril Powder) to expel evil matter and blood clots via urination. If toxic blood clots block the urethra causing dysuria resembling strangury, take Hupo Biyu San (Amber Jade Powder) to promote urination. If the victim has a single red hair at the vertex, pull it out immediately. Another method: grind fermented soybeans (Douchi) into powder, mix with sesame oil to form a thick paste, shape into pill-sized balls, and frequently rub over the bite site. Check the pill; if dog hairs appear fuzzy inside, it indicates toxin expulsion. Replace the pill and continue rubbing until no hairs appear; this is very effective. Lifelong taboos must be strictly observed: avoid dog meat, silkworm pupae, and adzuki beans forever. Within 100 days, avoid contact with hemp products and alcohol. Within three years, avoid all toxic foods and sexual intercourse. Almonds may be eaten regularly to prevent toxicity. If treatment is delayed and dog toxin enters the heart, causing delirium, abdominal distension, and foaming at the mouth, use powdered Tiger Head Bone, Tiger Tooth, and Tiger Tibia Bone, taken with wine (2 qian). If the patient becomes manic, barks like a dog, and shows white sclera, it is a adverse prognosis. Those who violate taboos throughout are incurable.
Formula: Fuwei San (Rescue from Peril Powder)
Composition: Mylabris (use quantity based on days since bite; e.g., 7 for 7 days, 10 for 10 days; remove wings and feet, stir-fry with glutinous rice, discard rice)
Talcum (water-triturated, 1 liang)
Realgar (1 qian)
Musk (2 fen)
Grind into fine powder. Take 1 qian each time, mixed with warm wine. Non-drinkers should use rice soup.
[Prescription Verse] Fuwei San treats mad dog bites; Mylabris and glutinous rice are stir-fried together, added with Talcum, Realgar, and Musk, ground, and taken with wine to sweep away toxins.
Another Formula: Hupo Biyu San (Amber Jade Powder)
Composition: Talcum (6 liang)
Licorice Root (Gancao, 1 liang)
Amber (5 qian)
Indigo Naturalis (Qingdai, 8 fen)
Grind into fine powder. Take 3 qian each time, mixed with decoction of Juncus Arvensis (Dengxincao).
[Prescription Verse] Hupo Biyu San uses Liu Yi San as base, adding Qingdai and Amber ground finely; taken with Juncus Arvensis decoction, 3 qian per dose, regulating slipperiness and astringency to treat difficult urination.
Another Method: Suction Method for Mad Dog Bites
Composition: Use two sand-fired wine pots, fill more than half with burning wine. Heat one pot until boiling silently, pour out the wine, and immediately press onto the broken wound to suck out black bloody fluid; it falls off when full. Repeat with the second pot, alternating suction until complete, leading to immediate recovery.
Another Formula: Yuzhen San (See section on Tetanus/Wound Stiffness)