a man who has a serious mental illness 疯子；精神病患者 The killing was the act of a madman. 这起凶杀案是一个疯子所为。 He drove like a madman. 他像疯了似的开着车。 Some madman (= stupid person) deleted all the files. 不知哪个笨蛋把所有的文件都删掉了。
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madman
Crazy person: nutjob, madman, lunatic...
Offensive words for people who have specific medical conditions: backward, cabbage, cripple...
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