（附论）
病源云人有食蛇不消。因腹内生蛇瘕也。亦有蛇之精液。误入饮食内。亦令病之。其
状
方
疗蛇瘕大黄汤。（出千金方）
大黄（半两） 芒硝（如鸡子一枚） 乌鱼骨（三枚） 黄芩（半两一本作茯苓） 甘
草（如大
指一
纳
芒
治蛇瘕方。（出圣惠方）
川芒硝（半两） 乌贼鱼骨（半两） 川大黄（半两锉碎微炒） 防葵（半两） 皂荚
（半两去黑皮涂酥炙黄焦去子） 上为散。每服四钱。以水一中盏。煎至六分。去滓温服。
日三四服。
又方（出圣惠方）
雄黄（一分） 白矾（一分烧为灰） 砂（一分） 腻粉（一钱） 麝香（一分） 巴
豆（二七粒去
服。
治蛇症方。（出千金方）
上以白马尾切。长五分。酒服方寸匕。大者自出。更服。二分者一方寸匕。中者亦出。
（附论）
病源云。鳖瘕者。谓腹内瘕结如鳖状是也。有食鳖触冷不消而生者。亦有食诸杂冷物
变。
方
疗鳖瘕方。（出圣惠方）
大黄（六铢） 干姜（半两） 附子（九铢炮） 人参（九铢） 虫（大一寸者七枚
熬） 侧子
十味捣下筛。以酒服半
又方（出圣惠方）
防葵（一两） 鳖甲（一两涂醋炙令黄去裙 ） 苦楝子（一两） 郁李仁（一两去皮
微炒） 槟
患鳖瘕者（出本草）
上用新赤黍米淘。取泔汁生服一升。不过三两度愈。
(Attached Discussion)
The *Bingyuan* (Source of Diseases) records: Some individuals consume snake meat but fail to digest it, leading to the formation of a "Snake Jia" (abdominal mass resembling a snake) within the abdomen. Alternatively, snake essence may accidentally enter food or drink, thereby inducing this disease. Its manifestations are as follows...
[Formulas]
Dahuang Tang (Rhubarb Decoction) for treating Snake Jia. (From *Qianjin Fang*)
Dahuang (Rhei Radix et Rhizoma, 0.5 liang), Mangxiao (Natrii Sulfas, equivalent to one egg in size), Wuyu Gu (Bone of Black Carp, 3 pieces), Huangqin (Scutellariae Radix, 0.5 liang; another version lists Fuling/Poria), Gancao (Glycyrrhizae Radix et Rhizoma, segment the size of a large thumb)... Insert... Mang...
Formula for treating Snake Jia. (From *Shenghui Fang*)
Chuan Mangxiao (Natrii Sulfas, 0.5 liang), Wuzeiyu Gu (Cuttlebone, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 0.5 liang, crushed and lightly stir-fried), Fangkui (Radix Adenophorae, 0.5 liang), Zaojiao (Gleditsiae Fructus, 0.5 liang, black skin removed, coated with butter, roasted until yellow and charred, seeds removed). Grind the above ingredients into a powder. Take 4 qian per dose. Add one zhong of water, decoct until reduced to six-tenths, strain, and take warm. Administer three to four times daily.
Another formula (From *Shenghui Fang*)
Xionghuang (Realgar, 1 fen), Baijian (Alumen, 1 fen, calcined to ash), Sha (Arsenicum Rubrum, 1 fen), Nifen (Calomelas, 1 qian), Shexiang (Moschus, 1 fen), Badou (Crotonis Fructus, 14 grains, peeled)... Take.
Formula for treating Snake Zheng (Snake Jia). (From *Qianjin Fang*)
Take white horse tail hairs, cut into segments five fen long. Take with wine using a fangcun bi (a square-inch measure). Larger masses will expel themselves naturally; continue administration. For smaller masses, use one fangcun bi; medium-sized masses will also expel.
(Attached Discussion)
The *Bingyuan* records: "Bie Jia" refers to an abdominal mass that resembles the shape of a soft-shelled turtle. It arises from consuming turtle meat combined with cold exposure, leading to indigestion and accumulation; or it results from the transformation of various raw and cold foods consumed.
[Formulas]
Formula for treating Bie Jia. (From *Shenghui Fang*)
Dahuang (Rhei Radix et Rhizoma, 6 zhu), Ganjiang (Zingiberis Rhizoma, 0.5 liang), Fuzi (Aconiti Lateralis Radix Praeparata, 9 zhu, processed), Renshen (Ginseng Radix, 9 zhu), Chong (Insect/Parasite, seven pieces of one cun in length, roasted), Cizi (Aconiti Lateralis Radix Praeparata, side root)... Ten ingredients are pounded and sifted. Take half [measure] with wine.
Another formula (From *Shenghui Fang*)
Fangkui (Radix Adenophorae, 1 liang), Biejia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt edges removed), Koushenzi (Toosendan Fructus, 1 liang), Yuliren (Pruni Semen, 1 liang, peeled and lightly stir-fried), Binglang (Arecae Semen)...
Treatment for patients with Bie Jia. (From *Bencao*)
Use fresh red millet rice to wash thoroughly. Collect the starchy washing water and drink one sheng raw. Recovery can be expected within two to three doses.