熊虎野狼伤致成疮,内外服洗葛根汤,青布燃熏铁汤洗,独窠栗子嚼涂伤。
【注】熊、虎、野狼牙爪,伤人皮肉成疮者,初宜葛根浓煎,内服一二盅,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,注疮口熏之出毒水;次宜独窠
栗子,生嚼涂伤口效。
马咬伤时损肌肉,栗子嚼烂敷患处,若逢毒瓦斯入里者,马齿苋汤速宜服。
【注】此伤用栗子嚼烂敷之。毒瓦斯入里,心烦呕闷者,马齿苋煎汤,饮之即效;外用
马鞭子挽手,及鞭穗 灰存性,研末,猪脂捣合贴之,俱效。
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,故经其咬,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,常揩试
所咬处;掐开看豉丸内若有狗毛茸茸然,此系毒瓦斯已出,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,烦乱腹胀,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。
扶危散
斑蝥(按日数用之。如犬咬已竟七日用七个,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。
琥珀碧玉散
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。
疯犬咬伤拔法
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,拔出污黑血水,满则自落;再以次壶仍按疮口,轮流提拔,以尽为度,其证立愈。
玉真散(见破伤风)
熊、虎、野狼咬伤导致皮肤肌肉破损成疮,内服和外洗均使用葛根汤;用烧红的青布熏蒸伤口,或用铁汤清洗,将独生的栗子嚼碎后涂抹在伤口上。
【注】熊、虎、野狼的牙齿和爪子,伤人皮肉形成疮口的,初期宜浓煎葛根汤,内服一两个盅,外用清洗,每天十次;或者煮有味的生铁水来清洗。另外,取一块青布迅速卷成绳状,点燃后放入竹筒中,对着疮口熏蒸以排出毒水;随后宜用独生的栗子,生嚼后涂抹在伤口上,效果显著。
马咬伤时损伤肌肉,将栗子嚼烂敷在患处;如果遇到毒气侵入体内的情况,应速服马齿苋汤。
【注】这种损伤可用嚼烂的栗子敷贴。若毒气入里,出现心烦、呕吐闷胀等症状,煎服马齿苋汤,饮用后即见效;外用马鞭子挽住手臂,以及将马鞭穗烧存性(保留药性),研成粉末,与猪脂捣合后贴敷,都有效。
疯狗咬伤毒性最深,需采用刺血、吮吸、粪灸、尿洗淋等方法;头顶心若有红发应当拔除,遵守三年禁忌可保终身平安。
【注】狗因五脏受毒而变成疯狗,所以被其咬伤,必致伤人,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,用嘴含浆水吮吸清洗伤口。或者用拔罐法拔除毒气,或者用人尿淋洗,擦干后,即用半个核桃壳,填满人粪,敷在咬处,上面施艾灸;蛋壳焦黑、粪便干燥后再更换新的;灸至一百壮,用玉真散加唾液调匀敷贴,第二天再灸,逐渐灸至三五百壮为止。在开始艾灸时,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,导致小便涩滞像淋证一样,即服用琥珀碧玉散,以通利小便。被咬的人,头顶心有一根红发,应当迅速拔除。另一种方法:用豆豉研成粉末,香油调稠,做成如弹子大小的丸药,经常擦拭所咬之处;掐开看豆豉丸内若有狗毛茸茸的样子,这是毒气已排出的表现,换丸继续擦拭,直到没有茸毛为止,非常有效。始终要禁忌,必须慎重,终身忌食狗肉及蚕蛹、赤豆;百日内忌接触麻类物品,忌饮酒;三年内忌食一切毒物及房事,可常食杏仁,以防其毒。如果治疗迟缓,犬毒入心,出现烦乱腹胀,口吐白沫的情况,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,眼神露白者预后不良。始终违反禁忌者无法救治。
扶危散
斑蝥(按被咬后的天数使用。如狗咬后七天用七个,十天用十个,去掉翅膀和足,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,每次服用一钱,温酒调下,不饮酒者用米汤调下。
【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。
琥珀碧玉散
滑石(六两) 甘草(一两) 琥珀(五钱) 青黛(八分)
共研细末,每次服用三钱,灯心草煎汤调下。
【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。
疯狗咬伤拔法
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,拔出污黑血水,吸满后自动脱落;再用第二个壶同样按在疮口,轮流提拔,以吸尽为度,病症立愈。
玉真散(见破伤风章节)
Bear, tiger, and wild wolf bites causing skin and muscle ulcers should be treated internally and externally with Ge Gen Tang (Pueraria Decoction); the wound should be fumigated with burning green cloth or washed with iron decoction, and a solitary chestnut should be chewed and applied to the injury.
[Note] For wounds caused by the teeth and claws of bears, tigers, or wild wolves, initially decoct Ge Gen (Radix Puerariae) strongly for internal consumption (one to two bowls) and external washing, ten times daily; or wash with water boiled from raw iron that has a distinct taste. Additionally, roll a piece of green cloth tightly into a rope, ignite it, place it in a bamboo tube, and fumigate the wound to expel toxic fluids; subsequently, chew a solitary chestnut raw and apply it to the wound, which is effective.
Horse bites damage muscles; apply chewed chestnut paste to the affected area. If toxic vapors penetrate inward, Ma Chi Xian Tang (Portulaca Decoction) should be taken promptly.
[Note] This injury can be treated by applying chewed chestnut paste. If toxic vapors enter the interior, causing mental restlessness, nausea, and abdominal fullness, decoct Ma Chi Xian (Herba Portulacae) and drink it for immediate effect. Externally, use a horse whip to bind the arm, or burn the horse whip tassles until they retain their medicinal properties (Cinnabar), grind them into powder, mix with lard, and apply; both methods are effective.
Mad dog bites carry the deepest toxicity; treatments include pricking, sucking, fecal moxibustion, and urine washing/irrigation. A red hair on the vertex must be plucked out; observing taboos for three years ensures lifelong safety.
[Note] Dogs become mad due to toxicity in the five zang organs. Being bitten by such a dog inevitably harms humans and is a critical condition with nine deaths for every one survival. Immediately after being bitten, prick the bite site to let toxic blood flow out, and suck/wash the wound using mouthfuls of "jiang shui" (fermented grain liquid). Alternatively, use cupping/suction methods to remove toxic qi, or irrigate with human urine, dry the area, then fill half a walnut shell with human feces, apply it over the bite, and perform moxibustion on top; replace when the shell chars and feces dry; continue moxibustion up to 100 moxa cones (zhuang), then apply Yu Zhen San (Jade True Powder) mixed with saliva to the site, resume moxibustion the next day, gradually increasing to 300-500 cones. At the start of moxibustion, take Fu Wei San (Rescue Crisis Powder) to expel evil matter and blood clots via urination; if toxic blood clots block the urethra causing dysuria resembling strangury, take Hu Po Bi Yu San (Amber Jade Powder) to promote urination. The victim should have a red hair on the vertex plucked out immediately. Another method: grind fermented soybean (Dou Chi) into powder, mix with sesame oil to form a thick paste, shape into pills the size of a bullet, and frequently rub the bitten area; check the pill—if dog hairs are found inside, it indicates toxins are being expelled; replace the pill and continue rubbing until no hairs appear, which is very effective. Taboos must be strictly observed throughout: lifelong avoidance of dog meat, silkworm pupae, and adzuki beans; within 100 days, avoid contact with hemp products and alcohol; within three years, avoid all toxic foods and sexual intercourse. Almonds may be consumed regularly to prevent toxicity. If treatment is delayed and dog toxin enters the heart, causing mental confusion, abdominal distension, and foaming at the mouth, use powdered Tiger Head Bone (Os Capitis Tigris), Tiger Tooth (Dens Tigris), and Tiger Tibia Bone (Tibia Os Tigris), mixed with wine (2 qian) for oral administration. If the patient becomes manic, barking like a dog, with white sclera showing, the prognosis is adverse. Those who violate taboos throughout cannot be saved.
Fu Wei San (Rescue Crisis Powder)
Ban Mao (Mylabris, quantity based on days since bite: e.g., 7 beetles for 7 days, 10 for 10 days; remove wings and feet, stir-fry with glutinous rice, discard rice) Hua Shi (Talcum, water-ground, 1 liang) Xiong Huang (Realgar, 1 qian) She Xiang (Moschus, 2 fen)
Grind into fine powder. Take 1 qian each time, mixed with warm wine; non-drinkers may use rice gruel.
[Formula Song] Fu Wei San treats mad dog bites,
Stir-fry Mylabris with glutinous rice together.
Add Talcum, Realgar, and Moschus,
Grind and take with wine to sweep away toxins.
Hu Po Bi Yu San (Amber Jade Powder)
Hua Shi (Talcum, 6 liang) Gan Cao (Radix Glycyrrhizae, 1 liang) Hu Po (Succinum, 5 qian) Qing Dai (Indigo Naturalis, 8 fen)
Grind into fine powder. Take 3 qian each time, mixed with decoction of Jie Xin Cao (Herba Dictamni/Dentiae? Note: Deng Xin Cao is Juncus effusus, here likely referring to Juncus effusus Decoction as per context "Deng Xin"). *Correction*: Context says "Deng Xin Jian Tang", so Juncus effusus (Herba Junci).
[Formula Song] Amber Jade uses Liu Yi [Six-One Powder],
Add Indigo and Succinum, grind extremely fine.
Take 3 qian mixed with Juncus effusus decoction,
Slippery and astringent properties cure urinary difficulties.
Suction Method for Mad Dog Bites
Use two sand-fired liquor pots, filling each more than halfway with liquor. Heat one pot on fire until boiling silently, pour out the liquor, and immediately press the empty hot pot onto the broken wound to suction out dark, dirty blood and fluid; it will fall off automatically when full. Repeat with the second pot, alternating suction until all toxins are removed; the condition will heal immediately.
Yu Zhen San (Jade True Powder) (See section on Tetanus)