夫蛇蛊者。面色青黄。其脉洪壮。病发之时。腹内热闷。胸胁支满。舌本胀强。不喜言
语。
者。
生疮
又云
肉如
出。
病发
或
病
柱
不
去
之。其色大青是蛊毒也。昔
身体摇动。如鱼得水状。
治五般蛊。皆噎喉妨闷。不得只作喉病。切须审细治之。犀角散方。
犀角屑（半两） 荷根（二两） 黄连（一两去须） 茜根（一两） 当归（一两）
羊皮
（三寸炙令焦黄）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候温服。
治五蛊。吐血伤心腹中。或气塞咽喉。语声不出。气欲绝。饮食吐逆。上气。去来
无常
攻胸膈腹胁间
雄黄（半两细研） 川椒目（半两微炒去汗） 鬼臼（半两去须） 莽草（半两微炙） 芫
花（
半两醋拌炒令干） 木香（半两） 藜芦（半两去芦头） 白矾（半两烧令汁尽） 獭肝（半
两微
炙） 附子（半两炮
色去翅
足）
上件药。捣罗为末。入研了药令匀。炼蜜和捣五七百杵。丸如梧桐子大。每于空心。粥
饮下五丸。以利为效。
治五蛊。及中恶气。心腹胀满。不得喘息。心痛积聚。及疝瘕。宿食不消。吐逆呕
哕。
蜈蚣（一枚微炙去足） 巴豆（三十枚去皮心研纸裹压去油） 附子（一分炮裂去皮脐）
白
矾（半两烧令汁尽） 藜芦（一分去芦头） 雄黄（一分细研） 鬼臼（一分去须）
上件药。捣罗为末。入研了药。更研令匀。炼蜜和捣三五百杵。丸如麻子大。每服。以
温酒下二丸。
治五蛊毒。令病患唾水中。沉者。宜服此方。
巴豆（一枚去皮心研纸裹压去油） 豉（三粒） 釜底墨（一钱）
上件药。捣研。以软饭和。分为三丸。每服空心。以温酒下一丸。
治五种蛊毒。蛇蛊。食饮中得之。咽中如有物。咽又不下。吐之不出。闷乱不得
卧。心
马兜铃根（一两捣末） 荷根（半两）
上件药。以水一大盏。煎至六分。去滓。不计时候。顿服。其蛊并当吐出。
又方。
麝香（一钱细研）
上以温水空腹调服。即吐出蛊毒。
治蜣螂蛊。得之。胸中忽然哽。怵怵如虫行。咳而有血。咽喉多臭气方。
取猪脂半分（合）服即下。或吐之自消也。
治虾蟆蛊及蝌蚪蛊。得之。心腹胀满。口干思水。不能食。闷乱。大喘而气发。宜
服此
车辖脂半升以来渐渐服之。其蛊即出。
治草蛊毒。入人咽喉。刺痛欲死。宜服此方。
桔梗（一两去芦头） 犀角屑（一两）
上件药。捣细罗为散。每于食前。以暖酒调下三钱。
治草蛊术。在西凉更西。及岭南人。多行此毒。入人咽刺痛求死方。
上服甘草蓝汁即自消。
又方。
马兜铃苗（一两）
上件药。捣细罗为散。以温水调服一钱。自消。
治蛊似蛔。宜服此方。
雄黄末（一字） 麝香末（一字）
上件药。取生羊肺如指大。以刀开。纳雄黄等末。以肺裹吞之。
又方。
上以淘盐汁调甘草末三钱。服吐之效。
治食中有蛊毒。令人腹内坚痛。两目黄青。淋露骨立。病变无常处。宜服此方。\x
炉中取铁精细研。别捣鸡肝。和丸如梧桐子大。任食。前后以暖酒下五丸。
The symptoms of Snake Gu (Snake Parasitic Disease) include: a complexion that is greenish-yellow, and a pulse that is surging and vigorous. Upon onset, there is internal heat and stifling in the abdomen, distension and fullness supporting the chest and hypochondrium, swelling and stiffness of the tongue root, and an unwillingness to speak.
Another description states: the body trembles, resembling a fish in water. The color is deeply bluish-black, which indicates Gu poison.
When treating the five types of Gu, all present with throat obstruction and stifling sensation; one must not treat it merely as a throat disease but must examine carefully and treat accordingly. Formula for Xi Jiao San (Rhinoceros Horn Powder):
Xi Jiao Xie (Hornis Rhinocerotis, sliced), He Gen (Nelumbinis Rhizoma, two liang), Huang Lian (Coptidis Rhizoma, one liang, remove roots), Qian Gen (Rubiae Radix, one liang), Dang Gui (Angelicae Sinensis Radix, one liang), Yang Pi (Ovis/Capis Pellicula, three cun, roasted until scorched yellow).
Crush and sieve the above ingredients into a powder. Take five qian per dose, decoct with one large zhen of water until reduced to five fen, strain, and take warm at any time.
To treat the five types of Gu, where vomiting blood injures the heart and abdomen, or qi blocks the throat causing loss of voice, impending collapse of qi, regurgitation of food and drink, upward rushing of qi, irregular attacks attacking the chest, diaphragm, abdomen, and hypochondrium:
Xiong Huang (Realgar, half liang, finely ground), Chuan Jiao Mu (Sichuan Pepper Seed, half liang, lightly stir-fried to remove moisture), Gui Bai (Aristolochiae Manshuriensis Radix, half liang, remove roots), Mang Cao (Herba Siegesbeckiae, half liang, lightly roasted), Yuan Hua (Genkwa Flos, half liang, mixed with vinegar and stir-fried until dry), Mu Xiang (Aucklandiae Radix, half liang), Li Lu (Veratri Radix, half liang, remove rhizome), Bai Fan (Alumen, half liang, calcined until juice is gone), Ta Gan (Leporis Hepatis, half liang, lightly roasted), Fu Zi (Aconiti Lateralis Radix Praeparata, half liang, processed, skin and lateral roots removed).
Pulverize the above ingredients into powder, mix evenly with the pre-ground powders, knead with refined honey, pound 500-700 times, and form pills the size of paulownia seeds. Take five pills on an empty stomach with congee broth; efficacy is indicated by bowel movement.
To treat the five types of Gu, as well as sudden evil qi invasion causing abdominal distension and fullness, inability to breathe, heart pain and accumulations, hernia and masses, undigested food retention, vomiting and retching:
Wu Gong (Scolopendra, one piece, lightly roasted, legs removed), Ba Dou (Crotonis Fructus, thirty pieces, skin and core removed, ground and pressed between paper to remove oil), Fu Zi (Aconiti Lateralis Radix Praeparata, one fen, processed, skin and navel removed), Bai Fan (Alumen, half liang, calcined until juice is gone), Li Lu (Veratri Radix, one fen, remove rhizome), Xiong Huang (Realgar, one fen, finely ground), Gui Bai (Aristolochiae Manshuriensis Radix, one fen, remove roots).
Pulverize the above ingredients into powder, mix with pre-ground powders, grind evenly, knead with refined honey, pound 300-500 times, and form pills the size of hemp seeds. Take two pills per dose with warm wine.
To treat the five types of Gu poison: have the patient spit saliva into water; if it sinks, this formula is suitable.
Ba Dou (Crotonis Fructus, one piece, skin and core removed, ground and pressed between paper to remove oil), Chi (Sojae Semen Preparatum, three grains), Fu Di Mo (Fundi Cinerium, one qian).
Grind the above ingredients, mix with soft rice, divide into three pills. Take one pill on an empty stomach with warm wine.
To treat the five types of Gu poison, specifically Snake Gu, contracted through food and drink. Sensation of a foreign body in the throat, unable to swallow or vomit, mental agitation preventing sleep:
Ma Dou Ling Gen (Aristolochiae Radix, one liang, ground to powder), He Gen (Nelumbinis Rhizoma, half liang).
Decoct with one large zhen of water until reduced to six fen, strain, and take in one dose at any time. The Gu poison should be vomited out.
Another formula:
She Xiang (Moschus, one qian, finely ground).
Mix with warm water and take on an empty stomach; the Gu poison will be vomited out.
To treat Dung Beetle Gu: upon contraction, sudden choking in the chest, fearfulness as if insects are crawling, coughing with blood, foul odor from the throat.
Take half a he of Zhu Zhi (Porci Adeps), ingest it; it will pass down or be vomited out, and the condition will resolve spontaneously.
To treat Toad Gu and Tadpole Gu: upon contraction, abdominal distension and fullness, dry mouth craving water, inability to eat, mental agitation, severe panting and qi disturbance. This formula is suitable:
Che Xia Zhi (Axle Grease), more than half sheng, taken gradually. The Gu poison will be expelled.
To treat Grass Gu poison entering the throat, causing stabbing pain nearly unto death. This formula is suitable:
Jie Geng (Platycodonis Radix, one liang, remove rhizome), Xi Jiao Xie (Hornis Rhinocerotis, sliced, one liang).
Pulverize finely into powder. Take three qian before meals, mixed with warm wine.
To treat Grass Gu technique prevalent in regions west of Xiliang and in Lingnan, where the poison enters the throat causing stabbing pain.
Ingest Gan Cao Lan Zhi (Juice of Glycyrrhiza and Isatis Leaf); it will resolve spontaneously.
Another formula:
Ma Dou Ling Miao (Aristolochiae Herba, one liang).
Pulverize finely into powder, take one qian mixed with warm water; it will resolve spontaneously.
To treat Gu resembling roundworms. This formula is suitable:
Xiong Huang Mo (Realgar Powder, one zi), She Xiang Mo (Moschus Powder, one zi).
Take a piece of raw Sheep Lung (Ovis Pulmo) the size of a finger, cut open, insert the Realgar and Moschus powders, wrap in the lung tissue, and swallow whole.
Another formula:
Mix three qian of Gan Cao Mo (Glycyrrhizae Radix et Rhizoma Powder) with salt water from rinsing grain, and ingest; vomiting yields efficacy.
To treat Gu poison ingested with food, causing hard and painful abdomen, yellowish-green eyes, emaciation with visible bones, and shifting pathological locations. This formula is suitable:
Obtain fine iron filings from the furnace, grind finely. Separately grind Chicken Liver (Galli Hepatis), mix and form pills the size of paulownia seeds. Eat freely, taking five pills with warm wine before and after eating.