溃疮误犯马汗伤, 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 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,宜用冬瓜片下青皮,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。
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。
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,甚痛立止;甚者,生鸡血乘热饮之,立效。
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。
If an ulcerated wound is accidentally contaminated with horse sweat, causing injury, the area around the wound will present with pain, purple discoloration, and swelling. One should immediately perform bloodletting (Bian Shi) at the swollen site to release dark purple blood, and apply chewed *Mume Fructus* (Wumei, 乌梅) as a topical paste for good effect. If the patient experiences irritability and fever, fearing toxin invasion into the abdomen, *Portulaca Oleracea Decoction* (Maxian Tang, 马苋汤) should be administered in doses adjusted to the patient's strength or weakness. In cases where donkey saliva enters the wound, powder from the green skin of winter melon (*Benincasa hispida*) should be applied topically.
[Note] This condition arises when toxins from horse sweat enter an unhealed ulcer, causing sudden pain, purple discoloration, and swelling around the wound edges. Immediate bloodletting (Bian Shi) at the swollen area is required to expel dark purple blood, followed by applying chewed *Mume Fructus* (Wumei, 乌梅) to the wound. If the patient suffers from restlessness and fever, indicating potential internal toxin invasion which could be fatal, one should urgently decoct *Portulaca Oleracea Herba* (Machi Xian, 马齿苋) in strong wine and have the patient drink it until intoxicated for therapeutic effect. However, since *Portulaca Oleracea Herba* (Machi Xian, 马齿苋) is cold and slippery in nature, for patients with unhealed ulcers and deficient Qi and Blood who have been exposed to this sweat toxin, the dosage must be calibrated according to physical robustness: either 1 liang or 5 qian. Furthermore, if donkey saliva enters the wound, the clinical presentation is identical to that of horse sweat toxin; one should use the green skin found under winter melon slices, dry it, grind it into powder, and apply it topically, or wash the area with a decoction. For severe toxicity, drinking *Portulaca Oleracea Herba* (Machi Xian, 马齿苋) prepared in wine yields immediate results.
Upon being bitten by a snake, immediately consume vinegar, and it is advisable to tie the affected area tightly with a rope, then administer a mixture of *Trogopterus Dung* (Wulingzhi, 五灵脂) and *Realgar* (Xionghuang, 雄黄). Once the swelling subsides and the wound heals, normalcy returns.
[Note] For snake bites, drink one to two bowls of good quality vinegar immediately to prevent pathogenic qi from spreading with the blood, and tie a rope around both ends of the injured limb. If the patient becomes comatose or lethargic, mix 5 qian of *Trogopterus Dung* (Wulingzhi, 五灵脂) and 2.5 qian of *Realgar* (Xionghuang, 雄黄), grind them into powder, mix with wine, and administer 2 qian orally. Soon after, yellow fluid will exude from the bite site; once the fluid ceases, the swelling will subside. Sprinkle *Realgar* (Xionghuang, 雄黄) powder onto the wound, which will close and heal.
For centipede bites, use a rooster. Hang the rooster upside down to collect its saliva, dip fingers in it, and smear the saliva on the wound to stop pain immediately. In severe cases, drinking fresh chicken blood is most appropriate.
[Note] For this type of injury, suspend a rooster upside down for a short time, use fingers to collect saliva from the rooster's mouth, and smear it on the wound to instantly alleviate severe pain. In severe cases, drink fresh chicken blood while warm for immediate efficacy.
For scorpion stings, urgently obtain a large snail, crush it, and apply the paste to stop pain immediately. For silkworm bites, crush *Boehmeria nivea Root* (Zhugen, 苎根), extract the juice, and apply it to the affected area for immediate recovery.
[Note] For scorpion stings, take one large snail, crush it, and apply it topically to stop pain instantly. If snails are unavailable, squeeze out the toxic fluid from the sting site and immediately apply a hot plaster to relieve pain. For silkworm bites, crushing *Boehmeria nivea Root* (Zhugen, 苎根) to extract juice and applying it leads to quick healing.