有 蝮虫尿人影，便令人病也。其状身中忽有处惨痛如芒刺，亦如虫所吮螫，然后起细
作聚，如茱萸子状也，其 边赤，中尖有白脓如粟粒是也。亦令人皮肉急剧，恶寒壮
热，
剧者连起，竟腰胁胸背也。
初得便以水摩犀角涂之，以止其毒，治之如火丹法，并诸草菜单行治也。
蝮尿人，初未发疮之时，欲与射公相似，射公疮止有一处黯黑， 蝮疮促促连聚作
痛，法亦小疹，以为异耳，然非杀人疾也。
形似 蝮，亦象 疽。
治 癣疥恶疮方。
水银 矾石 蛇床子 黄连（各二两）
四物捣筛，以腊月猪膏七合，并下水银搅万度，不见水银膏成，敷疮并小儿头疮，良。
治湿 疥疮方。
胡燕窠大者，用抱子处土，为末，以淡盐汤洗拭，干敷之，日一上。
有恶核病者，肉中忽有核，累累如梅李核状，小者如豆粒，皮肉中惨痛，左右走人身中，
壮热，索索畏寒是也。与诸疮痕、瘰 、结筋相似，其疮痕、瘰 要因疮而生，是缓疾无毒。
其恶核病，卒然而起，有毒，不治入腹，烦闷则杀人。南方多有此疾，皆是风月受温风，至
春夏有暴冷相搏，气结成此毒也。
宜服五香连翘汤，以小豆薄涂之得消也。亦煮五香汤去滓，时时洗渍之，消化之后，以
丹参膏敷，余核令消尽，不消尽者，还敷小豆薄也。
五香连翘汤，治恶脉及恶核、瘰 、风结诸核肿气痛方。
青木香（二两） 麝香（半两） 沉水香（二两） 薰陆香（一两） 鸡舌香（一两） 连
翘子
（二两） 射干（二两） 升麻（二两） 独活（二两） 寄生（二两） 大黄（三两） 甘
草（二两）
淡竹沥（二升）
凡十三物， 咀，以水九升，煮药汁水减半许，可纳竹沥汁，又克取三升，分三服。
丹参膏，治恶脉及恶核、瘰 、风结诸核肿痛方。
丹参（二两） 蒴 根（二两） 草（半两） 秦艽（一两） 独活（一两） 踯躅
花（半两）
蜀椒（半两） 白芨（一两） 牛膝（一两） 菊花（一两） 木防己（一两） 乌头（一
两）
凡十二物，细切为善，以苦酒二升，渍之一宿，夏月半日，急疾即煎之，以猪膏四升，
煎令苦酒竭，勿令暴焦熬也，去滓，以膏涂诸疾上，日五六，至良。
有恶肉病，身中忽有肉如赤豆粒，突出便长，推出不息，如牛马乳，亦如鸡冠状也。不
治其为自推出不肯止，亦不痛痒也。此由春冬时受恶风入肌脉中，变成此疾也。
治之宜服漏芦汤，外烧铁烁之，日日稍烁，令焦尽也。烁竟，以升麻膏敷之，积日乃瘥
耳。
治恶脉病方。
宜服五香连翘汤及竹沥汤， 去恶血，敷丹参膏，积日则瘥，亦以白雄鸡屎涂之。
There is a notion that the urine of a pit viper (Fushé, 蝮蛇) touching one's shadow can cause illness. The presentation involves sudden severe pain in a specific area of the body, resembling pricking by thorns or insect stings, followed by the aggregation of small nodules resembling cornel seeds. The periphery is red, and the center has a white pus head like millet grains. This condition also causes rapid changes in the skin and flesh, accompanied by aversion to cold and high fever. In severe cases, it spreads continuously across the waist, flanks, chest, and back.
Upon initial onset, grind rhinoceros horn (Xijiao, 犀角) with water and apply it topically to stop the toxicity. The treatment follows the method for Huodan (Fire Carbuncle, 火丹), or various single-herb prescriptions may be used.
When initially exposed to viper urine, before sores erupt, the symptoms resemble those of Shegong (Sheshui Nu, 射工/水弩). Shegong sores present as a single dark/black lesion, whereas viper sores appear urgently as clustered, painful eruptions; the pulse resembles that of minor rashes, which serves as a differentiating factor. However, this is not a fatal disease.
The morphology resembles the venom of the viper and is similar to Ju (Deep Abscess, 疽).
Prescription for treating Tinea, Scabies, and Malignant Sores:
Calculated Mercury (Shuiyin, 水银), Alum (Fanshi, 矾石), Cnidii Fructus (Shechuangzi, 蛇床子), Coptidis Rhizoma (Huanglian, 黄连) (each 2 liang).
Pound and sieve the four ingredients. Mix with 7 he of lard rendered in the twelfth lunar month. Stir in the mercury ten thousand times until no mercury particles are visible and the ointment forms. Apply to sores and infantile scalp sores; it is effective.
Prescription for treating Wet Scabies:
Take large Swallow Nests (Huyanke, 胡燕窠), specifically the soil from the part where chicks are raised. Pound into powder. Wash and wipe the affected area with light salt water, then apply dry powder once daily.
Patients with Ehe Disease (Malignant Nodules, 恶核病) suddenly develop hard masses within the flesh, linked together like plum or apricot pits, small ones like bean grains. There is severe pain in the skin and flesh, wandering left and right within the body, accompanied by high fever and shivering aversion to cold. This resembles Chuanghen (Scar-like lesions, 疮痕), Luoli (Scrofula, 瘰疬), and Jiejin (Tendon Knots, 结筋). However, Chuanghen and Luoli typically arise from existing sores and are slow-progressing diseases without toxicity.
Ehe Disease arises abruptly, possesses toxicity, and if untreated, enters the abdomen, causing restlessness and death. This disease is common in the South, caused by contracting warm winds during wind-moon periods, which then clash with sudden cold in spring and summer, leading to qi stagnation forming this toxin.
It is suitable to take Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction, 五香连翘汤) and apply a thin paste of Adzuki Bean (Xiaodou, 赤小豆) externally to resolve the swelling. One may also boil Wuxiang Tang, remove the dregs, and frequently wash/soak the area. After resolution, apply Danshen Gao (Salvia Ointment, 丹参膏) to dissipate remaining nodules. If not fully resolved, reapply the Adzuki Bean paste.
Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction): Treats Epomai (Malignant Veins, 恶脉), Ehe, Luoli, and Qi-pain from wind-aggregated nodules.
Aucklandiae Radix (Qingmuxiang, 青木香) (2 liang), Moschus (Shexiang, 麝香) (0.5 liang), Aquilariae Lignum Resinatum (Chenshuixiang, 沉水香) (2 liang), Frankincense (Xunluxiang/Ruxiang, 薰陆香) (1 liang), Caryophylli Flos (Jishe Xiang/Dingxiang, 鸡舌香) (1 liang), Forsythiae Fructus (Lianqiao, 连翘) (2 liang), Belamcandae Rhizoma (Shegan, 射干) (2 liang), Cimicifugae Rhizoma (Shengma, 升麻) (2 liang), Angelicae Pubescentis Radix (Duhuo, 独活) (2 liang), Taxilli Herba (Jisheng/Sangjisheng, 寄生) (2 liang), Rhei Radix et Rhizoma (Dahuang, 大黄) (3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang).
Bamboo Sap (Danzhuli, 淡竹沥) (2 sheng).
Chop the thirteen ingredients. Decoct in 9 sheng of water until reduced by half. Add Bamboo Sap, decoct further to obtain 3 sheng. Divide into three doses.
Danshen Gao (Salvia Ointment): Treats Epomai, Ehe, Luoli, and swelling/pain from wind-aggregated nodules.
Salviae Miltiorrhizae Radix (Danshen, 丹参) (2 liang), Polygoni Multiflori Caulis (Shuodi Gen, 蒴藋根) (2 liang), [Herb missing name] (Banliang, 半两 - *Note: Original text likely missing character*), Gentianae Macrophyllae Radix (Qinjiao, 秦艽) (1 liang), Angelicae Pubescentis Radix (Duhuo, 独活) (1 liang), Rhododendri Mollis Flos (Zhi Zhu Hua, 踯躅花) (0.5 liang).
Zanthoxyli Pericarpium (Shujiao, 蜀椒) (0.5 liang), Bletillae Rhizoma (Baiji, 白芨) (1 liang), Achyranthis Bidentatae Radix (Niuxi, 牛膝) (1 liang), Chrysanthemi Flos (Juhua, 菊花) (1 liang), Stephaniae Tetrandrae Radix (Mufangji, 木防己) (1 liang), Aconiti Lateralis Radix Preparata (Wutou, 乌头) (1 liang).
Finely chop the twelve ingredients. Soak in 2 sheng of Vinegar (Ku Jiu, 苦酒) overnight (half a day in summer). Decoct rapidly if urgent. Add 4 sheng of lard. Simmer until vinegar evaporates completely, avoiding burning. Remove dregs. Apply ointment to lesions 5-6 times daily until healed.
Regarding Roumei Disease (Malignant Flesh Growths, 恶肉病): Sudden growth of fleshy protrusions resembling adzuki beans within the body. They grow after protruding and do not retract when pushed, resembling cow/horse milk or rooster combs. Untreated, they continue to grow spontaneously without pain or itching. This results from malignant wind invading the muscle and vessels during spring and winter.
Treatment requires taking Loulu Tang (Euphorbiae Humifusae Decoction, 漏芦汤) internally. Externally, cauterize with hot iron tools daily until charred and detached. After cauterization, apply Shengma Gao (Cimicifuga Ointment, 治升麻膏) until recovery over several days.
Prescription for treating Epomai (Malignant Veins, 恶脉病):
Suitable to take Wuxiang Lianqiao Tang and Zhuli Tang (Bamboo Sap Decoction, 竹沥汤) to expel evil blood, apply Danshen Gao externally. Recovery occurs over time. Alternatively, apply White Rooster Droppings (Bai Xiong Ji Shi, 白雄鸡屎) topically.