【方歌】溃疮误犯马汗伤,焮痛紫肿疮四旁,急砭肿处出紫血,
乌梅嚼烂涂敷良。患者烦热毒攻腹,强弱量服马苋汤,
更有驴涎入疮者,冬瓜青皮末敷疮。
【注】此证系溃疮未合,误入马汗之毒,以致疮口四旁,忽复
焮痛紫肿。宜急砭肿处,令出紫血,乌梅嚼烂,涂于疮
上。若患者烦闷发热,恐毒入腹,以致不救,急用醇酒
浓煎马齿苋饮之,尽醉为效。但马齿苋其性寒滑,凡疮
溃未合,气血未复,而又受此汗毒,必量人壮弱,用一
两或五钱。更有驴涎入疮者,形证与马汗毒同,宜冬瓜
片下青皮,晒干研末敷之,熬汤洗之亦可;毒甚者亦用
马齿苋酒饮之立效。
【方歌】蛇咬伤时即饮醋,仍宜用绳扎患处,再服五灵共雄黄,
肿消口合自如故。
【注】凡被蛇咬伤者,实时饮好醋一、二碗,使气不随血走,
以绳扎伤处两头。若昏困,宜用五灵脂五钱,雄黄二钱
五分,共为末,酒调二钱灌之。少时咬处出黄水,水尽
则肿消,以雄黄末掺之,口合而愈。
【方歌】蜈蚣咬伤用雄鸡,倒控鸡涎手蘸之,抹搽伤处痛立止,
甚饮鸡血最相宜。
【注】此伤取雄鸡倒控少时,以手蘸鸡口内涎抹搽伤处,其痛
立止;甚者,生鸡血乘热饮之,立效。
【方歌】蝎螫急取大蜗牛,捣烂涂之痛立休,蚕咬须将苎根捣,
取汁搽涂患即瘳。
【注】凡蝎螫,取大蜗牛一个,捣烂涂之,其痛立止。一时不
得蜗牛,即将螫处挤去毒水,急用膏药烤热贴之,亦能
止痛。蚕咬者,用苎根捣汁涂之即愈。
[Formula Song] When an ulcerated wound is mistakenly contaminated with horse sweat, causing injury, the area surrounding the wound becomes red, swollen, hot, and painful with a purple hue. One should urgently use a Bian stone (a type of surgical stone for pricking) to prick the swollen area and release dark purple blood. Chewing dried plum (Wumei) until it becomes a paste and applying it to the wound is effective. If the patient experiences irritability, heat, and fear that the toxin is attacking the abdomen, Ma Chi Xian Tang (Purslane Decoction) should be administered in amounts proportional to the patient's strength. In cases where donkey saliva enters the wound, the green skin of winter melon (Donggua), ground into powder, should be applied to the wound.
[Note] This condition arises when toxins from horse sweat enter an unhealed ulcerative wound, causing sudden redness, swelling, heat, pain, and purple discoloration around the wound edges. It is appropriate to urgently prick the swollen area with a Bian stone to allow dark purple blood to flow out, then chew dried plum (Wumei) and apply it to the wound. If the patient suffers from restlessness and fever, fearing the toxin has entered the abdomen leading to death, one should urgently decoct purslane (Ma Chi Xian) in strong wine and have the patient drink it until intoxicated for efficacy. However, purslane is cold and slippery in nature. For patients with unhealed ulcers and deficient Qi and Blood who have been exposed to this horse sweat toxin, the dosage must be adjusted according to whether the person is robust or weak, using either 1 liang or 5 qian. Additionally, if donkey saliva enters the wound, the symptoms are identical to those of horse sweat toxicity. One should take the green skin found under winter melon slices, dry it, grind it into powder, and apply it topically; alternatively, decocting it for washing is also suitable. For severe toxicity, drinking purslane wine can produce immediate results.
[Formula Song] Upon being bitten by a snake, immediately drink vinegar. It is still advisable to tie a rope tightly around the affected area, then administer a mixture of Trogopterus Dung (Wu Ling Zhi) and Realgar (Xiong Huang). Once the swelling subsides and the wound closes, normal function will return.
[Note] For anyone bitten by a snake, drink one to two bowls of good quality vinegar immediately to prevent the toxin from spreading with the blood, and tie a rope around both ends of the injured area. If the patient becomes unconscious or drowsy, mix 5 qian of Trogopterus Dung (Wu Ling Zhi) and 2.5 qian of Realgar (Xiong Huang) into a fine powder, mix with wine, and administer 2 qian orally. After a short while, yellow fluid will exude from the bite site; once the fluid is exhausted, the swelling will subside. Sprinkle Realgar powder on the wound, which will close and heal.
[Formula Song] For centipede bites, use a rooster. Hold the rooster upside down to collect its saliva, dip your hand in it, and smear the saliva onto the wound to stop pain immediately. In severe cases, drinking fresh chicken blood is most appropriate.
[Note] For such injuries, hold a rooster upside down for a moment, dip your hand in the saliva from the rooster's mouth, and smear it on the wound; the pain will cease immediately. In severe cases, drinking fresh chicken blood while it is warm produces immediate effects.
[Formula Song] For scorpion stings, quickly obtain a large snail, crush it, and apply it to stop pain immediately. For silkworm bites, crush the root of Ramie (Zhu Gen), extract the juice, and apply it to the affected area for recovery.
[Note] For any scorpion sting, take one large snail, crush it, and apply it; the pain will stop immediately. If a snail is unavailable at the moment, squeeze out the toxic fluid from the sting site and urgently apply a heated plaster, which can also relieve pain. For silkworm bites, crushing Ramie root (Zhu Gen) to extract juice and applying it leads to recovery.