夫蝼蛄 者。由食果 子不避有虫。即便啖食。内伤于肠。有毒不去。变化所生也。始
发之时。在于颈上。状如蜗形。瘾疹而出。其根在大肠也。
治蝼蛄 。生于项间。肿硬疼痛。丹参散方。
丹参（二两） 蒴 根（二两） 甘草（半两炙微赤锉） 秦艽（一两去苗） 独活（一
两） 牛
蒡子（一两） 踯躅花（半两） 川椒（半两去目及闭口者微炒去汗） 牛膝（一两去苗）
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。每日空心及晚食前服之。
治蝼蛄 。亭长散方。
亭长（六枚去头足翅糯米拌炒令黄色） 川大黄（半两锉碎微炒） 细辛（半两） 桂
心（一
分） 鲮鲤甲（一两炙令黄） 枫树甲虫粪（三指撮）
上件药。捣细罗为散。每日空心。温酒调下一钱。晚食前再服。
治蝼蛄 。疼痛出脓水。桂心丸方。
桂心（一分） 黄 （半两锉） 石（炼了者一分） 独活（半两） 芎 （一分） 川
大黄（
半两
（半两
涂醋
上件药。捣罗为末。炼蜜和丸。如绿豆大。每日空心。及晚食前。以温浆水下二十丸。
治蝼蛄 。马齿苋膏方。
马齿苋（阴干半两） 腊月淳麻烛烬（半两）
上件药。捣罗为末。以腊月猪脂和如膏。先暖泔清洗净。拭干涂之。
又方。
槲叶（烧灰细研）
上以泔。别渍槲叶取汁洗疮。拭干。纳少许灰于疮中。
Lougu disease (a type of ulcer occurring on the neck, named for its resemblance to a mole cricket), arises from consuming fruits containing insects. Upon ingestion, internal injury occurs to the intestines; toxic substances remain unexpelled and transform into this condition. Initially, the lesion appears on the upper neck, resembling a snail shell, manifesting as urticaria-like eruptions, with its root located in the Large Intestine.
For Lougu disease arising between the neck and shoulders, characterized by swelling, hardness, and pain, use Danshen San (Salvia Powder).
Danshen (Radix Salviae Miltiorrhizae, 2 liang), Shuodi Gen (Radix Datiscae Cannabinae, 2 liang), Gancao (Radix Glycyrrhizae Preparata, 0.5 liang, roasted until slightly red and chopped), Qinjiao (Radix Gentianae Macrophyllae, 1 liang, radix removed), Duhuo (Rhizoma et Radix Angelicae Pubescentis, 1 liang), Niubangzi (Fructus Arctii, 1 liang), Zhizhu Hua (Flos Rhododendri Moriifolii, 0.5 liang), Chuanjiao (Pericarpium Zanthoxyli, 0.5 liang, eyes and closed ones removed, lightly stir-fried to remove moisture), Nixi (Radix Achyranthis Bidentatae, 1 liang, radix removed).
Crush and sieve the above ingredients to make a powder. Take 3 qian per dose. Add one zhong of water, decoct until reduced to 6 fen, strain off the dregs. Take on an empty stomach daily and before evening meals.
For Lougu disease, use Tingchang San (Ground Beetle Powder).
Tingchang (Eupolyphaga seu Steleophaga, 6 pieces, heads, feet, and wings removed, stir-fried with glutinous rice until yellow), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, chopped and lightly stir-fried), Xixin (Herba Asari, 0.5 liang), Guixin (Cortex Cinnamomi Cassiae, 1 fen), Lingqi Jia (Squama Manis, 1 liang, roasted until yellow), Fengshu Jiachong Fen (Excrement of beetle larvae from maple trees, three finger-pinches).
Grind the above ingredients finely through a fine sieve to make a powder. Take 1 qian mixed with warm wine on an empty stomach daily, and take another dose before evening meals.
For Lougu disease presenting with pain and purulent discharge, use Guixin Wan (Cinnamon Heart Pill).
Guixin (Cortex Cinnamomi Cassiae, 1 fen), Huangqin (Radix Scutellariae, 0.5 liang, chopped), Shigao (Gypsum Fibrosum, refined, 1 fen), Duhuo (Rhizoma et Radix Angelicae Pubescentis, 0.5 liang), Chuanxiong (Rhizoma Chuanxiong, 1 fen), Chuan Dahuang (Radix et Rhizoma Rhei, 0.5 liang, [text incomplete]).
Pulverize the above ingredients through a sieve, mix with refined honey to form pills the size of mung beans. Take 20 pills with warm rice water on an empty stomach and before evening meals.
For Lougu disease, use Machixian Gao (Purslane Ointment).
Machixian (Herba Portulae Oleraceae, dried in shade, 0.5 liang), Lanyue Chunmazhu Jin (Ashes of pure hemp oil lamp wicks burned in the twelfth lunar month, 0.5 liang).
Grind the above ingredients finely through a sieve, mix with lard from the twelfth lunar month to form an ointment. First, cleanse the affected area with warm water, dry it, and apply the ointment.
Another prescription.
Hu Ye (Folium Quercus variabilis, burnt to ash and finely ground).
Soak Hu Ye separately in rice washing water to extract the juice, and use it to wash the sore. Dry the area, then insert a small amount of the ash into the wound.