疯犬伤证甚为危险，古方用斑蝥虽能治愈，然百日之内忌见水，忌闻锣声，忌食诸豆，忌行 麻之地
及手摩 麻，又须切忌房事百日。犯以上所忌，其证仍反复，如此，保养甚不易也。歙县友人胡××，深
悯患此证者不易挽救，曾登《绍兴医报》征求良方，继有江东束××登报相告，谓曾用《金匮》下瘀
血汤治愈二人。又继有江西黄××登报相告，谓系异人传授一方，用大蜈蚣一条、大黄一两、甘草一两，煎
汤服，甚验。如服后病者稍安静，未几又发，再根据此方续服，病必愈，乃可止。后附有治验之案二则，
皆疯已发动服此药治愈者。
按∶此方诚为至善良方。胡××谓∶俗传冬令蛇藏土洞，口衔或泥或草，迨至春日出蛰，口吐所衔
之物，犬嗅之即成疯犬，此理可信。盖犬性善嗅，有殊异之气味，辄喜嗅之，是以独中其毒。而疯后咬人，是
蛇之毒递传于人也，方中用蜈蚣一条，则蛇毒可解矣。又此证，束氏谓曾用《金匮》下瘀血汤治愈两人，由
斯知此证必有瘀血，下之则可愈。方中用大黄一两，其瘀血当可尽下，又加甘草一两，既善解毒，又能缓大
黄之峻攻，此所以为良方也。然此方善矣，而未知愈后亦多禁忌否？若仍然有禁忌，是善犹未尽善也。而愚在
奉天时，得其地相传之方，凡用其方者，服后即脱然无累，百无禁忌，真良方也。其方用片灰（即枪药之轧成片者，
系硫黄火硝木炭制成）三钱、鲜枸杞根三两，煎汤送下。必自小便下恶浊之物若干而
愈。愈后惟禁房事旬日。然药不可早服，必被伤后或五六日，或七八日，觉内风萌动，骚扰不安，然后服
之方效。此乃屡试屡效之方，万无闪失也。枸杞根即药中之地骨皮，然地骨但用根上之皮，兹则连皮中之木用之。
又∶吴县友人陆××，于丁卯中秋相遇于津门，论及此证。陆××言，凡疯狗脊骨中皆有毒虫，若将其脊
骨中脂膜刮下，炮作炭服之，可自二便中下恶浊之物，即愈。有族孙患此证，治以此
方，果愈。然所虑者，啮人之疯犬，未必能获之也。
又∶无锡友人周小农，曾登《山西医学杂志》，论治疯犬咬伤之方。谓岁己丑，象邑多疯犬，遭其害
者治多无效。适有耕牛亦遭此患而毙。剖其腹，有血块大如斗，黧紫，搅之蠕蠕然动，一方惊传异事。有
张君者，晓医理，闻之悟曰∶“仲景云‘瘀热在里，其人发狂。’又云‘其人如狂者，血证谛也，下血狂
乃愈。’今犯此证者，大抵如狂如癫，得非瘀血为之乎？不然，牛腹中何以有此怪物耶？吾今得其要矣。”于
斯用仲景下瘀血汤治之。不论证之轻重，毒之发与未发，莫不应手而愈。转以告人，百不失一。其所用之方，
将古时分量折为今时分量，而略有变通。方用大黄三钱，桃仁七粒，地鳖虫去足炒七个，共为细末，加蜂蜜
三钱，用酒一茶碗煎至七分，连渣服之。如不能饮酒者，水、酒各半煎服亦可。服后二盒饭下恶浊之物。日
进一剂，迨二便如常，又宜再服两剂，总要大、小便无纤毫恶浊为度。服此药者，但忌房事数日，其余则一概
不忌。若治小儿，药剂减半。妊妇亦可放胆服之，切莫忌较。按∶服此方果如上所云云，诚为佳方。
【××附记】∶同邑友人张××据周××云∶其戚某，得一治疯犬咬伤秘法。其方系用白雄鸡一只，取
其嘴，及腿之下截，连爪，及其胆，肫皮，翅尖翎，尾上翎。加银朱三钱，鳔须三寸，用绵纸三、四张裹之，
缟麻扎紧，用香油四两浸透，以火燃之，余油亦浇其上，烧为炭，研末，黄
酒送服，通身得汗即愈。愈后除忌房事旬日外，余无所忌，屡试屡验。
疯犬咬伤这一病症非常危险，古代方剂中使用斑蝥虽然能够治愈，但在百日之内必须忌讳见到水、忌讳听到锣声、忌讳食用各种豆类、忌讳走在种有芝麻的土地上以及手接触芝麻，同时还必须严格禁止房事一百天。如果违反了上述禁忌，病情仍然会反复，像这样保养是非常不容易的。歙县的朋友胡某某，深切怜悯患此病的人难以挽救，曾在《绍兴医报》上刊登征求良方，随后江东的束某某登报告知，称曾用《金匮要略》中的下瘀血汤治愈了两个人。接着又有江西的黄某某登报告知，称这是异人传授的一个方子，使用大蜈蚣一条、大黄一两、甘草一两，煎汤服用，效果非常显著。如果服药后病人稍微安静下来，不久又发作，再根据这个方子继续服用，病必定痊愈，才可以停药。后面附有两个治疗有效的案例，都是疯病发作后服用此药而治愈的。
按语：这个方子确实是极好的良方。胡某某说：民间传说冬天蛇藏在土洞里，嘴里衔着泥土或草，等到春天出洞时，吐出所衔之物，狗闻到气味就会变成疯狗，这个道理是可信的。因为狗的嗅觉灵敏，对有特殊气味的东西总是喜欢去闻，所以唯独它中了这种毒。而疯狗咬人，是将蛇的毒传递给人，方中用一条蜈蚣，就能解蛇毒。另外对于此证，束氏称曾用《金匮要略》中的下瘀血汤治愈两人，由此可知此证必然有瘀血，攻下瘀血就可以痊愈。方中用大黄一两，其瘀血应当可以全部攻下，又加入甘草一两，既善于解毒，又能缓和黄药的峻猛攻伐之力，这就是它成为良方的原因。然而这个方子虽然好，但不知道痊愈后是否还有很多禁忌？如果依然有禁忌，说明好得还不够彻底。而我当时在奉天（今沈阳），得到了当地相传的一个方子，凡是使用这个方子的人，服药后即轻松无负担，没有任何禁忌，真是良方啊。该方使用片灰（即枪药轧成片者，由硫磺、火硝、木炭制成）三钱、鲜枸杞根三两，煎汤送服。必定从小便排出若干恶浊之物而痊愈。痊愈后只禁止房事十天。但是药不可过早服用，必须在被咬后五到六天，或七到八天，感觉内风萌动，心中骚扰不安时，然后服用才有效。这是屡试屡效的方子，万无一失。枸杞根就是中药里的地骨皮，但通常只用根上的皮，这里则是连皮中的木质部一起使用。
另外：吴县的朋友陆某某，在丁卯年中秋节于天津相遇，讨论到此证。陆某某说，凡疯狗的脊骨中都有毒虫，如果将其脊骨中的脂膜刮下来，炮制为炭粉服用，可以从大小便中排出恶浊之物，即可痊愈。他的族孙患此病，用此方治疗，果然痊愈。然而所担心的是，咬人的疯狗未必能抓到。
另外：无锡的朋友周小农，曾在《山西医学杂志》上发表文章，论述治疗疯犬咬伤的方子。称己丑年，象邑多地出现疯狗，遭受伤害的人治疗大多无效。恰好有一头耕牛也遭此患而死。剖开它的肚子，发现有大如斗的血块，颜色黑紫，搅动时蠕蠕而动，一方之人惊传为异事。有一位张姓人士，通晓医理，听后感悟道：“仲景说‘瘀热在里，其人发狂’。又说‘其人如狂者，血证谛也，下血狂乃愈’。现在患此病的人，大多表现为如狂如癫，难道不是瘀血造成的吗？否则，牛腹中怎么会有这种怪物呢？我现在抓住关键了。”于是使用仲景的下瘀血汤来治疗。不论病情轻重，毒发或未发，没有不随手而愈的。转告他人，百不失一。他所用的方子，将古时的分量折算为现代分量，并略有变通。方用大黄三钱，桃仁七粒，地鳖虫去足炒七个，共研为细末，加蜂蜜三钱，用酒一茶碗煎至七分，连同药渣一起服用。如果不能饮酒的人，用水和酒各半煎服也可以。服药后两顿饭的时间，排出恶浊之物。每天进一剂，等到大小便恢复正常，适宜再服两剂，总要确保大小便中没有丝毫恶浊之物为止。服用此药的人，只需忌房事数日，其余一概不忌。如果治疗小儿，药剂减半。孕妇也可以放心服用，切勿过度忌讳。按语：服用此方果真像上面所说的那样，确实是佳方。
【某某附记】：同乡朋友张某某据周某某说：他的亲戚某得到一种治疗疯犬咬伤的秘法。该方系用白雄鸡一只，取其嘴，及腿的下截，连同爪子，以及胆囊、肫皮、翅尖翎毛、尾上翎毛。加入银朱三钱，鳔须三寸，用绵纸三四张包裹，用麻线扎紧，用香油四两浸透，点火燃烧，剩余的油也浇在上面，烧成炭，研成粉末，黄酒送服，全身出汗即痊愈。痊愈后除忌房事十天外，其余无所禁忌，屡试屡验。
Rabies caused by mad dog bites is a very dangerous condition. Although ancient formulas using *Mylabris* (Banmao) can achieve a cure, patients must avoid water, the sound of gongs, consumption of various beans, walking on land where sesame is planted, and touching sesame for one hundred days. Furthermore, sexual intercourse must be strictly prohibited for one hundred days. If any of these prohibitions are violated, the condition may relapse, making convalescence extremely difficult. Mr. Hu from Shexian, deeply pitying those suffering from this incurable disease, published a request for effective prescriptions in the *Shaoxing Medical Journal*. Subsequently, Mr. Shu from Jiangdong reported that he had cured two cases using *Xiayuxue Tang* (Lower Stasis Blood Decoction) from the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet). Later, Mr. Huang from Jiangxi reported a formula taught by an extraordinary person: one large centipede (*Scolopendra subspinipes mutilans*), 1 liang of *Rhei Radix et Rhizoma* (Dahuang), and 1 liang of *Glycyrrhizae Radix et Rhizoma* (Gancao), decocted in water and taken orally, proved highly effective. If the patient becomes slightly calm after taking the medicine but relapses shortly thereafter, the same formula should be continued until full recovery, at which point administration may cease. Two case records of successful treatment were appended, both involving patients who recovered after the onset of rabies symptoms.
Note: This prescription is indeed an excellent remedy. Mr. Hu stated: "It is commonly believed that during winter, snakes hide in earthen holes, holding mud or grass in their mouths. When they emerge in spring, they spit out what they held. Dogs, having a keen sense of smell, are attracted to these odors and become infected with madness. This theory is credible. Since dogs have a superior olfactory ability and are prone to sniffing unusual smells, they alone contract this poison. When a mad dog bites a human, it transmits the snake's poison to the human. The use of one centipede in this formula resolves the snake's toxicity." Additionally, regarding this condition, Mr. Shu mentioned curing two people with *Xiayuxue Tang* from the *Jin Gui Yao Lue*, indicating that blood stasis is present in this condition and can be resolved by purging. The use of 1 liang of *Rhei Radix et Rhizoma* (Dahuang) in the formula should effectively purge the stasis, while the addition of 1 liang of *Glycyrrhizae Radix et Rhizoma* (Gancao) not only detoxifies but also moderates the harsh purgative action of *Rhei Radix et Rhizoma* (Dahuang). This explains why it is considered a good prescription. However, although this formula is effective, it remains unclear if there are post-recovery prohibitions. If such prohibitions exist, the efficacy is incomplete. During my time in Fengtian (modern-day Shenyang), I obtained a locally transmitted formula. Those who used it experienced immediate relief without burden, with no specific prohibitions, making it truly an excellent remedy. The formula consists of 3 qian of Pianhui (gunpowder compressed into tablets, made from sulfur, saltpeter, and charcoal) and 3 liang of fresh *Lycii Cortex* (Gouqigen), decocted in water and taken orally. Recovery occurs after passing a certain amount of turbid, foul matter through urination. Post-recovery, only sexual intercourse is prohibited for ten days. However, the medication should not be taken too early; it is effective only when administered five to six days, or seven to eight days, after the bite, once internal wind begins to stir, causing restlessness and agitation. This is a repeatedly tested and effective formula, free from error. *Lycii Cortex* (Gouqigen) refers to the root bark of the wolfberry plant, but typically only the bark is used; here, the woody part within the bark is also utilized.
Furthermore: Mr. Lu from Wu County met me in Tianjin during the Mid-Autumn Festival of the Dingmao year, discussing this condition. Mr. Lu stated that mad dogs harbor toxic insects in their spinal bones. If the fatty membrane from the spinal bone is scraped off, processed into carbon powder, and ingested, it facilitates the expulsion of turbid matter through bowel and bladder movements, leading to recovery. His clan grandson suffered from this condition and was cured using this method. However, the concern is that the biting mad dog may not always be captured.
Additionally: Mr. Zhou Xiaonong from Wuxi published an article in the *Shanxi Medical Journal* discussing treatments for mad dog bites. He noted that in the Jichou year, many mad dogs appeared in Xiangyi, and most treatments for victims failed. Coincidentally, a draft ox died from this affliction. Upon dissection, a blood clot as large as a bushel basket was found in its abdomen, dark purple in color, moving wrigglingly when stirred, causing local astonishment. A Mr. Zhang, knowledgeable in medical principles, deduced: "Zhongjing stated, 'When stagnant heat resides in the interior, the person becomes manic.' He also said, 'When a person appears manic, it is undoubtedly a blood syndrome; purging the blood cures the mania.' Patients with this condition often exhibit manic or epileptic-like behavior. Could this not be caused by blood stasis? Otherwise, how could such a monster exist in the ox's abdomen? I have now grasped the key." Consequently, he treated patients using Zhongjing's *Xiayuxue Tang* (Lower Stasis Blood Decoction). Regardless of severity or whether toxins had manifested, all cases responded promptly. He shared this method, achieving near-perfect success. He adapted the ancient dosages to modern equivalents with slight modifications: 3 qian of *Rhei Radix et Rhizoma* (Dahuang), 7 seeds of *Persicae Semen* (Taoren), and 7 fried *Eupolyphaga seu Steleophaga* (Diebiechong) with feet removed, ground into fine powder. Add 3 qian of honey, decoct in one teacup of wine until reduced to seventy percent, and consume the dregs along with the liquid. For those who cannot drink alcohol, a half-water, half-wine decoction is acceptable. Within two meal times after ingestion, turbid matter is expelled. One dose per day is recommended. Once bowel and bladder functions normalize, two additional doses are advised, ensuring no turbid matter remains in excreta. Patients need only abstain from sexual intercourse for a few days; other prohibitions are unnecessary. For children, halve the dosage. Pregnant women may take it boldly without excessive caution. Note: If this formula works as described, it is indeed an excellent prescription.
[Appendix by XX]: Mr. Zhang from the same county reported that his relative acquired a secret method for treating mad dog bites. The formula uses one white rooster: beak, lower legs with claws, gallbladder, gizzard lining, wing tip feathers, and tail feathers. Add 3 qian of Cinnabar (Yinzhu) and 3 cun of fish maw whiskers (Bixu). Wrap in three to four sheets of cotton paper, tie tightly with hemp thread, soak in 4 liang of sesame oil, ignite, and pour remaining oil over it until carbonized. Grind into powder and administer with yellow rice wine. Recovery occurs upon profuse sweating. Post-recovery, only sexual intercourse is prohibited for ten days; otherwise, no restrictions apply. This method has been repeatedly tested and verified.