（附论）
人误被马咬。或踢踏。伤损肌肉肿痛。若不即治。毒瓦斯日深。传入脏腑。有致死者。宜
急治
驴马时。
毒杀人。
初时便不
饮之即吐
者。久淹
也。如不
则病患危笃。遍身肿毒。脓出肉烂。死者甚众。应验方云。余年幼时。大安元年。在洛
南县
死者
相似
方
僵蚕散
治被马咬伤损皮肉。疼痛。
马鞭梢（五寸烧灰） 雄鼠粪（炒二十枚） 白僵蚕（炒半两） 上捣为末。以猪脂二
两。调敷咬
立效散（出千金方）
治马啮人。及蹋人作疮。毒肿热痛。
马鞭梢（二寸长） 鼠屎（二七枚） 用合烧为末。以猪膏和涂之。立愈。治遂成疮烂。
经久不
虎骨酒
治驴马气伤疮毒。
虎骨（酥炙半两） 木香（三钱） 上为细末。分作二服。酒调服之。
治马踢伤。（出经验良方）
用地骨皮不拘多少为末。以水调。敷疮甚效。
桑皮散（出千金方）
治马啮人。阴卵脱出。
用推纳入。以桑皮细作线缝之。破乌鸡取肝细锉。以封之。且忍勿小便即愈。
治马犬啮。及马骨刺伤人。及马血入旧疮中方。
用取新灰汁热渍疮。当令汁器有火。数易汁。勿令烂入肉。三数日渍之。有肿者炙石熨
之。
治剥马被骨刺破。毒欲死。
上以妇人月水敷疮口。立效。
治马咬人疮。有毒肿疼痛。又剥驴马伤手。（出圣惠方）
用鸡冠血着疮中三下。儿马用雌。牝马用雄。一方用热鸡血浸之。
茺蔚散
治马咬方。
以益母草细切。和醋炒封之效。益母草即茺蔚子也。
治马咬伤。（出传信适用方）
用烧独颗栗子灰。贴疮追毒。
治马咬人。或刺破疮。及马汗入疮毒痛。
用马粪烧灰为末。研敷疮上。及马尿洗疮佳。
治驴涎马汗毒所伤。神效。
白矾飞过。黄丹炒令紫色各等分。相滚合。以贴患处。
治马咬人。毒入心方。（出圣惠方）
用马齿菜子捣为散。每服一钱。温酒调下。不计时候。马齿汤食之瘥。
又方
用蓼蓝汁三大盏。水二盏。煎至一大盏。温服二合。不计时候。兼用洗疮良。
治马咬人。及踏人疮。有毒肿热痛方。
用灸疮中肿上瘥。
(Attached Discussion)
If a person is bitten by a horse or kicked/stomped on, causing muscle injury, swelling, and pain, it must be treated immediately. If not treated promptly, the toxic qi will deepen day by day, transmitting into the zang-fu organs, potentially leading to death. Urgent treatment is required.
When donkeys and horses are in certain states (such as estrus or frenzy), their toxicity can kill humans.
Initially, if drinking water leads to immediate vomiting, it indicates that the toxin has lingered for a long time.
If not treated, the patient's condition becomes critical, with generalized swelling and toxicity, pus discharge, and rotting flesh; many die. The *Yingyan Fang* records: "In my youth, during the Da'an era, first year, in Luonan County, I encountered similar cases."
Jiangcan San (Silkworm Powder)
Indications: Bitten by a horse, damaging skin and flesh, causing pain.
Ingredients: Ma Bian Shao (Cauda Equi Hippocampi, burnt to ash, 5 cun); Xiong Shu Fen (Excrement Mus Muri, stir-fried, 20 pieces); Bai Jiang Can (Bombyx Batryticatus, stir-fried, 0.5 liang).
Preparation: Grind the above ingredients into powder. Mix with 2 liang of Pig Fat (Suet Porci) and apply to the bite wound. It takes effect immediately.
Lixiao San (Instant Effect Powder) [Source: *Qianjin Fang*]
Indications: Bitten by a horse, or injuries from horse kicks resulting in sores, with toxic swelling, heat, and pain.
Ingredients: Ma Bian Shao (Cauda Equi Hippocampi, 2 cun long); Shu Shi (Excrement Mus Muri, 14 pieces).
Preparation: Burn them together to ash, grind into powder. Mix with Pig Grease (Suet Porci) and apply externally. It heals immediately. For sores that become chronic and ulcerate, this formula is also effective.
Hugu Jiu (Tiger Bone Wine)
Indications: Sores and toxicity caused by Qi injury from donkeys or horses.
Ingredients: Hu Gu (Os Tigris, prepared with butter, 0.5 liang); Mu Xiang (Radix Aucklandiae, 3 qian).
Preparation: Grind into fine powder. Divide into two doses. Take with wine.
Treatment for Horse Kick Injuries [Source: *Jingyan Liangfang*]
Use Di Gu Pi (Cortex Lycii) in any amount, grind into powder, mix with water, and apply to the sore. It is very effective.
Sangpi San (Mulberry Bark Powder) [Source: *Qianjin Fang*]
Indications: Bitten by a horse, causing prolapse of the scrotum.
Method: Manually reduce the prolapsed scrotum. Suture the wound using fine threads made from Mulberry Bark (Cortex Mori). Take the liver of a broken-shell black chicken, chop finely, and apply as a dressing. Retain urine until healed.
Formula for Dog/Horse Bites, Bone Splinters, and Horse Blood Entering Old Sores
Take the juice of fresh lime water, heat it, and soak the wound. Ensure the container remains hot. Change the juice frequently to prevent deep tissue necrosis. Soak for several days. If swelling occurs, apply Stone Moxibustion (Shi Yun) to the area.
Treatment for Fatal Toxicity from Horse Skinning Bone Splinters
Apply Menstrual Blood (Furen Yueshui) to the wound. It takes effect immediately.
Treatment for Horse Bite Wounds with Toxic Swelling and Pain; Also for Hand Injuries During Donkey/Horse Skinning [Source: *Shenghui Fang*]
Apply Chicken Comb Blood (Jiguan Xue) to the wound three times. For bites from stallions, use hen blood; for mares, use rooster blood. Alternatively, soak the wound in hot chicken blood.
Chongwei San (Leonurus Powder)
Treatment for Horse Bites.
Finely chop Yi Mu Cao (Herba Leonuri), stir-fry with vinegar, and apply as a poultice. Effective. Note: Yi Mu Cao is also known as Chongwei Zi.
Treatment for Horse Bites [Source: *Chuanxin Shi Yong Fang*]
Apply ash from a single roasted chestnut to the wound to draw out toxins.
Treatment for Horse Bites, Puncture Wounds, and Pain from Horse Sweat Entering Sores
Burn horse manure to ash, grind into powder, and apply to the wound. Washing the wound with horse urine is also beneficial.
Treatment for Injury from Donkey Saliva and Horse Sweat Toxicity (Highly Effective)
Mix equal parts of refined White Alum (Bai Fan) and stir-fried Yellow Cinnabar (Huang Dan, fried until purple). Apply to the affected area.
Treatment for Horse Bite with Toxin Entering the Heart [Source: *Shenghui Fang*]
Grind seeds of Ma Chi Xian (Herba Portulacae) into powder. Take 1 qian per dose, mixed with warm wine, at any time. Consuming Ma Chi Tang (Portulaca Decoction) also leads to recovery.
Another Formula
Boil 3 large cups of Polygonum Tinctorium Juice (Liao Lan Zhi) with 2 cups of water until reduced to 1 large cup. Take 2 he of the warm liquid at any time. It is also excellent for washing the wound.
Treatment for Horse Bites and Kick Injuries with Toxic Swelling, Heat, and Pain
Apply Moxibustion directly onto the swollen area of the wound until healed.