夫蚍蜉 者。因寒腹中胪胀。所得寒毒不去。变化所生也。始发之时。在其颈项。使人
壮热若伤寒。有似疥癣。屡屡孔出。其根在肺也。
治蚍蜉 发于颈上。初得壮热。后即成疮。出脓水疼痛。宜服桃白皮散方。
桃白皮（半两锉） 川大黄（半两锉碎微炒） 知母（一分） 生干地黄（半两） 雌
黄（一分
细研） 皮
口者微炒
去汗） 白
蝥（一分以
糯米拌炒米黄为度
上件药捣细罗为散。都研令匀。每日空心及晚食前。温粥饮调下一钱。
治蚍蜉 。赤小豆散方。
赤小豆（一合炒熟） 白蔹（一两） 露蜂房（一分炙黄色） 蛇蜕皮（二尺微炒）
上件药。捣细罗为散。每日空心。以温酒调下一钱。晚食前再服。
又方。
龟胆（三枚） 犬牙（三枚炙令黄色） 琥珀（半两） 虺蛇头（一枚炙令黄色） 雄
黄（半两
细研） 猪牙（三枚炙令黄色）
上件药。捣罗为末。以醋和匀。敷疮一宿神验。
治蚍蜉 。浮核不尽。及诸息肉在肌中。藜芦散方。
藜芦（一两去芦头以鸡子一枚取白涂炙令尽） 茹（一两） 雄黄（二两细研）
上件药。捣细罗为散。入雄黄末更研令匀。敷疮上。不得入眼。
夫蛴螬 者。由恐惧愁忧思虑。哭泣不止。余毒变化所生也。始发之时。在其颈项。无
头尾。如枣核。或移动皮中。使人寒热。心满。其根在心也。
治蛴螬 。结核肿痛。宜服玄参散方。
玄参（二两） 川升麻（二两） 独活（二两） 汉防己（一两） 甘菊花（一两） 连
翘（三两）
犀角屑（半两） 川大黄（半两锉碎微炒）
上件药。捣筛为散。每服四钱。以水一中盏。煎至六分。去滓。每于食前温服。
治蛴螬 。发于颈。如枣核在皮中。不能消散。结肿疼痛。空青散方。
空青（三分烧过细研） 当归（三分） 细辛（三分） 枸杞根（三分） 皮（三分
炙令黄）
干乌脑（三大豆大） 斑蝥（一分以糯米拌炒米黄为度去头足翅） 地胆（一分以糯米拌炒
米黄
为度
上件药。捣细罗为散。每于食前。以温浆水调下一钱。
治蛴螬 。久不瘥者。芫菁散方。
芫菁（四十枚去头足翅糯米拌炒令米黄去米） 海藻（二两洗去咸味） 地胆（二十枚
去头
足翅以糯米
令黄色）
牡蛎（一
上件药。捣细罗为散。每日空心及夜卧时。以温酒调下七钱。病当从小便出。如烂筋相
似。
治蛴螬 。神验犀角丸方。
犀角屑（三分） 麝香（半两） 甘草（半两炙令微黄） 生黑豆黄（半两） 斑蝥（一
分去头
足翅以糯米拌令米黄为度去米）
上件药。捣罗为末。炼蜜和丸。如绿豆大。每日空心以粥饮下十丸。其病根。当从小便
中出。瘥。
又方。
蜗牛壳（一两以牛乳半升炒令干细研） 川大黄（三分捣为末）
上件药相和。研令匀。每日空心。以温酒调下一钱。即于大便中泻出恶物。
Pifu (a type of skin ulcer, similar to scrofula or lymphatic tuberculosis in modern medicine) arises from cold pathogens invading the abdomen causing distension. The cold toxins within the body fail to dissipate and undergo pathological transformation. At the onset, the lesion is located on the neck and nape, causing high fever with symptoms resembling Taiyang disease (exogenous febrile disease affecting the Taiyang channel); externally it resembles scabies or tinea, with pus discharging from multiple orifices. Its root lies in the Lung.
For Pifu occurring on the upper neck, initially presenting with high fever and subsequently forming ulcers that discharge pus and cause pain, the Taobai Pi San (Peach White Bark Powder) formula is indicated.
Taobai Pi (Peach Tree Inner Bark, 0.5 liang, crushed), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, crushed and lightly stir-fried), Zhi Mu (Rhizoma Anemarrhenae, 1 fen), Sheng Gan Dihuang (Raw Radix Rehmanniae, 0.5 liang), Cihuang (Realgar, 1 fen, finely ground), [Text missing, likely a herb] (lightly stir-fried to remove moisture), Baimao (Mylabris, 1 fen, stir-fried with glutinous rice until the rice turns yellow).
The above herbs are pounded into a fine powder, sifted, and mixed uniformly. Take 1 qian with warm gruel on an empty stomach and before evening meals.
For Pifu, the Chixiaodou San (Adzuki Bean Powder) formula is indicated.
Chixiaodou (Vigna angularis, 1 he, cooked), Bailian (Rhizoma Belamcandae, 1 liang), Lufengfang (Nidus Vespae, 1 fen, roasted until yellow), Shetuipi (Ophichthus Skin, 2 chi, lightly stir-fried).
The above herbs are pounded into a fine powder, sifted, and mixed. Take 1 qian with warm wine on an empty stomach, and repeat before evening meals.
Another prescription:
Guidan (Gall Bladder of Turtle, 3 pieces), Quanya (Dog Tooth, 3 pieces, roasted until yellow), Hupo (Amber, 0.5 liang), Huishetou (Head of Vipera, 1 piece, roasted until yellow), Xionghuang (Realgar, 0.5 liang, finely ground), Zhuya (Tusk of Wild Boar, 3 pieces, roasted until yellow).
The above herbs are pounded into powder, mixed evenly with vinegar, and applied to the ulcer overnight for miraculous effect.
For floating nodules remaining after Pifu resolution, as well as various polyps within the muscle tissue, the Lilu San (Veratrum Powder) formula is indicated.
Lilu (Rhizoma Veratri, 1 liang, remove rhizome head, coat with white of one egg, roast until dry), [Text missing, likely a herb] (1 liang), Xionghuang (Realgar, 2 liang, finely ground).
The above herbs are pounded into a fine powder, sifted, and mixed with the Realgar powder. Apply to the ulcer. Avoid contact with eyes.
Qicao (a subcutaneous nodule or cyst, similar to lipoma or sebaceous cyst in modern medicine) arises from excessive fear, sorrow, overthinking, and incessant weeping, where residual toxins undergo transformation. At the onset, the lesion is located on the neck and nape, lacking distinct head or tail, resembling a jujube pit. It may move within the subcutaneous tissue, causing alternating chills and fever, and fullness in the heart region. Its root lies in the Heart.
For tubercles and swelling/pain caused by Qicao, the Xuanshen San (Scrophularia Powder) formula is indicated.
Xuanshen (Radix Scrophulariae, 2 liang), Chuan Shengma (Rhizoma Cimicifugae, 2 liang), Duohuo (Radix Angelicae Pubescentis, 2 liang), Han Fangji (Radix Stephaniae Tetrandrae, 1 liang), Gan Juhua (Flos Chrysanthemi, 1 liang), Lianqiao (Fructus Forsythiae, 3 liang), Xijiaoxie (Horn of Rhinoceros, 0.5 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, crushed and lightly stir-fried).
The above herbs are pounded and sifted into a powder. Take 4 qian per dose. Add 1 zhong of water, decoct until 6 fen remains, strain, and take warm before meals.
For Qicao occurring on the neck, resembling a jujube pit under the skin that cannot dissipate, resulting in indurated swelling and pain, the Kongqing San (Azurite Powder) formula is indicated.
Kongqing (Azurite, 3 fen, calcined and finely ground), Danggui (Radix Angelicae Sinensis, 3 fen), Xixin (Herba Asari, 3 fen), Gouqigen (Root Cortex Lycii, 3 fen), [Text missing, likely a herb] (3 fen, roasted until yellow), Gan Wunao (Dried Brain of Toad?, 3 large bean sizes), Banmao (Mylabris, 1 fen, stir-fried with glutinous rice until yellow, remove head, feet, wings), Diandan (Euphorbia kansui Root?, 1 fen, stir-fried with glutinous rice until yellow).
The above herbs are pounded into a fine powder, sifted, and mixed. Take 1 qian with warm sour rice wash before meals.
For chronic Qicao that does not heal, the Yuanjing San (Blister Beetle Powder) formula is indicated.
Yuanjing (Blister Beetle, 40 pieces, remove head, feet, wings, stir-fry with glutinous rice until yellow, discard rice), Haizao (Sargassum, 2 liang, washed to remove saltiness), Diandan (Euphorbia kansui Root?, 20 pieces, remove head, feet, wings, stir-fry with glutinous rice until yellow), Muli (Concha Ostreae, [dose missing]).
The above herbs are pounded into a fine powder, sifted, and mixed. Take 7 qian with warm wine on an empty stomach and before sleep. The pathogen will be discharged via urination, appearing similar to rotting sinews.
The Shenyan Xijiao Wan (Miraculous Rhino Horn Pill) formula for Qicao:
Xijiaoxie (Horn of Rhinoceros, 3 fen), Shexiang (Moschus, 0.5 liang), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly yellow), Sheng Heidouhuang (Black Soybean, 0.5 liang), Banmao (Mylabris, 1 fen, remove head, feet, wings, stir-fry with glutinous rice until yellow, discard rice).
The above herbs are pounded into powder, mixed with refined honey, and formed into pills the size of mung beans. Take 10 pills with gruel drink on an empty stomach daily. The root of the disease will be discharged via urination, leading to recovery.
Another prescription:
Woniuqiao (Shell of Snail, 1 liang, stir-fry with half sheng of cow's milk until dry, finely ground), Chuan Dahuang (Radix et Rhizoma Rhei, 3 fen, pounded into powder).
Mix the above herbs and grind uniformly. Take 1 qian with warm wine on an empty stomach daily. Evil substances will be purged through defecation.